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Fractures anciennes du scaphoïde. La difficile question de l’imputabilité 陈旧性肩胛骨骨折。难以归咎的问题
IF 0.1
Medecine & Droit Pub Date : 2024-08-01 Epub Date: 2024-07-29 DOI: 10.1016/j.meddro.2024.02.002
Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé, expert près la cour d’appel d’Angers) , Florence Mallard (Chirurgien de la main)
{"title":"Fractures anciennes du scaphoïde. La difficile question de l’imputabilité","authors":"Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé, expert près la cour d’appel d’Angers) ,&nbsp;Florence Mallard (Chirurgien de la main)","doi":"10.1016/j.meddro.2024.02.002","DOIUrl":"10.1016/j.meddro.2024.02.002","url":null,"abstract":"<div><p>Scaphoid fractures are difficult fractures to diagnose. They are often revealed at a late stage, or even at a very early stage of pseudarthrosis. Pseudarthroses may be asymptomatic and the fracture will be revealed when a new, more recent trauma occurs. For the expert physician, the question of a previous condition or pathological predisposition must be posed. Using two clinical cases of an old scaphoid fracture revealed by a recent trauma, the authors propose to study clinical and radiological elements in order to analyze imputability and discuss a possible previous condition or pathological predisposition.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 187","pages":"Pages 77-82"},"PeriodicalIF":0.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Le médecin confronté à l’IA (Intelligence artificielle) : Éthique et responsabilité 医生面对 AI（人工智能）：伦理与责任
IF 0.2
Medecine & Droit Pub Date : 2024-06-01 Epub Date: 2024-03-15 DOI: 10.1016/j.meddro.2024.02.001
Cécile Manaouil , Sylvain Chamot , Pascal Petit
{"title":"Le médecin confronté à l’IA (Intelligence artificielle) : Éthique et responsabilité","authors":"Cécile Manaouil ,&nbsp;Sylvain Chamot ,&nbsp;Pascal Petit","doi":"10.1016/j.meddro.2024.02.001","DOIUrl":"10.1016/j.meddro.2024.02.001","url":null,"abstract":"<div><p>Artificial intelligence (AI) is developing at an impressive speed in the field of health. AI paves the way for new practices in diagnostic assistance, preventive medicine, individualized patient follow-up, support in choosing a therapy, assistance in interpreting the results of additional examinations, etc. Far from being a magic bullet, delegating tasks to AI raises many ethical questions relating in particular to the supervision of algorithms, equal access to innovation and the use of patient data. It is still difficult to predict whether AI will remain a “safety net” for the doctor or if it will supplant him. France and Europe have laid down the principle of “human guarantee” in the interpretation of diagnostic and therapeutic results, implying that the machine cannot act alone and enshrining the responsibility of the health professional. This article aims to understand how complex AI is to regulate legally at the risk of neglecting its secrecy, whether at the individual or collective level.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 186","pages":"Pages 50-66"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fécondation in vitro : quel impact sur la santé à moyen et long terme des enfants conçus 体外受精：对受孕儿童的中长期健康有何影响？
IF 0.2
Medecine & Droit Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1016/j.meddro.2024.03.001
Pierre Jouannet (Biologiste de la reproduction et professeur émérite à l’université Paris Cité, Membre de l’Académie nationale de médecine)
{"title":"Fécondation in vitro : quel impact sur la santé à moyen et long terme des enfants conçus","authors":"Pierre Jouannet (Biologiste de la reproduction et professeur émérite à l’université Paris Cité, Membre de l’Académie nationale de médecine)","doi":"10.1016/j.meddro.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.meddro.2024.03.001","url":null,"abstract":"<div><p>Among the medical, scientific and ethical questions raised by in vitro fertilization (IVF), those concerning the medium and long-term health of children and young adults thus conceived are essential. Forty-five years after the birth of the first child and while more than 8 million people in the world have been conceived by IVF, the National Academy of Medicine has devoted a report to this theme, mainly analysing the results of numerous international studies. The published results are rather reassuring but they are not always consistent and many uncertainties remain. The Academy of Medicine calls for further epidemiological and clinical studies in better characterized populations and at later ages of life. The Academy also recommends developing basic research to better explain the potential effects of IVF.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 186","pages":"Pages 47-49"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1246739124000101/pdfft?md5=6e835cf90f5669f45f62c9c0f88ead47&pid=1-s2.0-S1246739124000101-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronique d’hospitalisation sans consentement 未经同意住院的大事记
IF 0.2
Medecine & Droit Pub Date : 2024-04-01 Epub Date: 2024-03-13 DOI: 10.1016/j.meddro.2023.12.001
Christian Gamaleu Kameni (Enseignant chercheur, Mandataire Judiciaire à la Protection des Majeurs) , Laurent Mortet (Docteur en droit, Avocat au Barreau d’Épinal) , Telesphore Tekebeng Lele (Docteur en droit, Avocat au Barreau d’Épinal)
{"title":"Chronique d’hospitalisation sans consentement","authors":"Christian Gamaleu Kameni (Enseignant chercheur, Mandataire Judiciaire à la Protection des Majeurs) ,&nbsp;Laurent Mortet (Docteur en droit, Avocat au Barreau d’Épinal) ,&nbsp;Telesphore Tekebeng Lele (Docteur en droit, Avocat au Barreau d’Épinal)","doi":"10.1016/j.meddro.2023.12.001","DOIUrl":"10.1016/j.meddro.2023.12.001","url":null,"abstract":"<div><p>The column on hospitalization psychiatric or hospitalization without consent analyses main decisions of the Court concerning the privation of fundamental rights and freedoms of psychiatric patient. This column will cover main decisions from September to December 2022.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 185","pages":"Pages 31-36"},"PeriodicalIF":0.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
L’humain, la faune sauvage et la chasse : perspectives d’un système intégral de surveillance de la santé 人类、野生动物和狩猎：全面健康监测系统的前景
IF 0.2
Medecine & Droit Pub Date : 2024-04-01 Epub Date: 2024-02-08 DOI: 10.1016/j.meddro.2023.12.002
Julia Brunn (doctorante en droit privé, secrétaire de rédaction de la Revue Droit & Santé, École de Droit de la Santé) , Pierre-Henri Bréchat (docteur en droit public, docteur ès sciences et habilité à diriger des recherches, membre de l’Institut Droit et Santé, membre associé du Centre d’études et de recherches de sciences administratives et politiques (CERSA), médecin spécialiste de santé publique et médecine sociale, praticien hospitalier, Fellow et diplômé de l’Advanced Training Program (ATP) in Health Care Delivery Improvement de l’Healthcare Delivery Institute, diplômé du Developing Trusted Leaders de l’Intermountain Healthcare Leadership Institute du Kem C. Gardner Transformation Center d’Intermountain Health aux États-Unis d’Amérique)
{"title":"L’humain, la faune sauvage et la chasse : perspectives d’un système intégral de surveillance de la santé","authors":"Julia Brunn (doctorante en droit privé, secrétaire de rédaction de la Revue Droit & Santé, École de Droit de la Santé) ,&nbsp;Pierre-Henri Bréchat (docteur en droit public, docteur ès sciences et habilité à diriger des recherches, membre de l’Institut Droit et Santé, membre associé du Centre d’études et de recherches de sciences administratives et politiques (CERSA), médecin spécialiste de santé publique et médecine sociale, praticien hospitalier, Fellow et diplômé de l’Advanced Training Program (ATP) in Health Care Delivery Improvement de l’Healthcare Delivery Institute, diplômé du Developing Trusted Leaders de l’Intermountain Healthcare Leadership Institute du Kem C. Gardner Transformation Center d’Intermountain Health aux États-Unis d’Amérique)","doi":"10.1016/j.meddro.2023.12.002","DOIUrl":"10.1016/j.meddro.2023.12.002","url":null,"abstract":"<div><p>It is important to combat diseases of animal origin, particularly in the light of climatic and environmental disturbances, which can have an impact on human health and the survival of species. There are various human and animal health surveillance systems at global, European and French. Within these systems, wild animals, although an essential element in the transmission of diseases, occupy only a marginal place in France. Monitoring wildlife health is primarily the responsibility of hunters. Their surveillance, data collection and warning systems lack links with human health surveillance systems. From foreign examples, this article suggests a number of ways in which wildlife surveillance systems can be better integrated into human health surveillance systems, with a view to building comprehensive surveillance and warning systems capable of responding more effectively to epidemic risks linked to the rapid transformation of our ecosystems.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 185","pages":"Pages 37-46"},"PeriodicalIF":0.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scolie sur l’évolution du droit médical érotique : Des maladies vénériennes aux remèdes aphrodisiaques, « iatrique ou pas ? » 斯科里亚谈情色医疗法的演变：从性病到壮阳药，"情色与否？
IF 0.2
Medecine & Droit Pub Date : 2024-04-01 Epub Date: 2023-11-10 DOI: 10.1016/j.meddro.2023.10.001
Quentin Le Pluard (Docteur en Droit de l’université de Brest, membre du Lab-LEX (UR 7480), Enseignant-chercheur contractuel à l’université de Tour)
{"title":"Scolie sur l’évolution du droit médical érotique : Des maladies vénériennes aux remèdes aphrodisiaques, « iatrique ou pas ? »","authors":"Quentin Le Pluard (Docteur en Droit de l’université de Brest, membre du Lab-LEX (UR 7480), Enseignant-chercheur contractuel à l’université de Tour)","doi":"10.1016/j.meddro.2023.10.001","DOIUrl":"10.1016/j.meddro.2023.10.001","url":null,"abstract":"<div><p>Analyse the doctor's role relative to diseases formerly qualified as venereal on the one hand, to aphrodisiac remedies on the other, reveals the existing tension between the care of the social body and the human body, between public and individual health. The evolution of the medical law relating to carnal love demonstrates a significant evolution in this area. By redefining iatric activities, in other words those that come under the art of the doctor, it questions the definition of medicine itself.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 185","pages":"Pages 23-30"},"PeriodicalIF":0.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sédation et fin de vie du patient mineur : aspects juridiques 未成年人的镇静和临终关怀：法律问题
IF 0.2
Medecine & Droit Pub Date : 2024-02-01 Epub Date: 2023-10-25 DOI: 10.1016/j.meddro.2023.09.001
Valentine Basse (Master 2 droit de la santé), Cécile Manaouil (Professeur en médecine légale et en droit de la santé, praticien hospitalier)
{"title":"Sédation et fin de vie du patient mineur : aspects juridiques","authors":"Valentine Basse (Master 2 droit de la santé),&nbsp;Cécile Manaouil (Professeur en médecine légale et en droit de la santé, praticien hospitalier)","doi":"10.1016/j.meddro.2023.09.001","DOIUrl":"10.1016/j.meddro.2023.09.001","url":null,"abstract":"<div><p>At a time when the legislator is preparing to modify the Claeys Léonetti law, it seems useful to recall the legislation in force for minors and the ethical issues of the debate. If the decision to limit or stop active therapy (LATA) concerns a minor, the opinion of the holders of parental authority is requested, unless the emergency makes this consultation impossible. On the other hand, there is no legislative or regulatory obligation to obtain parental consent. The Council of State and the Constitutional Council have opened the way to a complex dispute to understand for caregivers who must, at the request of justice, continue care, which they consider to be unreasonable obstinacy. We will study four cases concerning minors judged by the French Council of State.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 184","pages":"Pages 11-21"},"PeriodicalIF":0.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136167050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loss of free will from the perspective of islamic neurolaw: The Iranian criminal justice system 从伊斯兰神经法的角度看自由意志的丧失：伊朗的刑事司法制度
IF 0.2
Medecine & Droit Pub Date : 2024-02-01 Epub Date: 2023-09-15 DOI: 10.1016/j.meddro.2023.08.002
Arian Petoft (Assistant Professor of Neurolaw) , Mahmoud Abbasi (Associate Professor of Medical Law) , Alireza Zali (Professor of neurosurgery)
{"title":"Loss of free will from the perspective of islamic neurolaw: The Iranian criminal justice system","authors":"Arian Petoft (Assistant Professor of Neurolaw) ,&nbsp;Mahmoud Abbasi (Associate Professor of Medical Law) ,&nbsp;Alireza Zali (Professor of neurosurgery)","doi":"10.1016/j.meddro.2023.08.002","DOIUrl":"10.1016/j.meddro.2023.08.002","url":null,"abstract":"<div><p>With the advancement of neurolaw and the discovery of new secrets of the brain, criminal justice systems have made significant progress in justice, employing neuroscience findings. A crucial application of neuroscience techniques in the Islamic criminal law system is to explain the dimensions of human free will from the perspective of neuropsychology, which in addition to creating a new approach to defining this element of criminal responsibility, can ensure the free will of the accused during the commitment of the crime. For this purpose, the current research is an attempt to answer these questions in the framework of Iran's criminal justice system: what is free will from the perspective of Islamic neurolaw, and what are the causes of the loss of free will? This article strives to take an appropriate step towards the development of criminal justice, and introduces Islamic neurolaw. In this study we found that mental disorders, coercion, emergency, drunkenness, somnambulism, and error are the core causes that can be assessed in specific ways using EEG and fMRI techniques, although each has limitations.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2024 184","pages":"Pages 1-10"},"PeriodicalIF":0.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Situation du parcours de réhabilitation concernant les patients hospitalisés au long cours. À partir d’une analyse clinique et catamnestique de 75 cas 长期住院病人的康复情况。基于对75例病例的临床和catamnestic分析
IF 0.2
Medecine & Droit Pub Date : 2023-12-01 Epub Date: 2023-10-25 DOI: 10.1016/j.meddro.2023.07.002
Arnaud Ledoux
{"title":"Situation du parcours de réhabilitation concernant les patients hospitalisés au long cours. À partir d’une analyse clinique et catamnestique de 75 cas","authors":"Arnaud Ledoux","doi":"10.1016/j.meddro.2023.07.002","DOIUrl":"10.1016/j.meddro.2023.07.002","url":null,"abstract":"<div><p>This study aims to carry out a specific action on the rehabilitation path, with the support of the service of social work and housing, systematizing a thorough analysis of each long-term hospitalization situation. An integrated global management in a rehabilitation pathway can only be conceived by a better identification of the factors of complexity and variables likely to change, an organization regularly readjusted, and collaborative work between relevant departments. Extra-hospital facilities play an essential role in the prospects of exits, which requires that the care system be equipped with a rapid relay capacity towards a readmission, that the care accompaniment be efficient and that the patient's care project be adapted to his needs. The closure of intra-hospital rehabilitation units may result in many hospitalized patients no longer having access to the specialized rehabilitation services they need.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 183","pages":"Pages 108-120"},"PeriodicalIF":0.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136167547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Les médecins, la communication et l’influence en santé après la loi du 9 juin 2023 2023年6月9日法律之后的医生、沟通和健康影响
IF 0.2
Medecine & Droit Pub Date : 2023-12-01 Epub Date: 2023-09-04 DOI: 10.1016/j.meddro.2023.08.001
Bruno Py (Doctors, communication, advertising and health influencers)
{"title":"Les médecins, la communication et l’influence en santé après la loi du 9 juin 2023","authors":"Bruno Py (Doctors, communication, advertising and health influencers)","doi":"10.1016/j.meddro.2023.08.001","DOIUrl":"10.1016/j.meddro.2023.08.001","url":null,"abstract":"<div><p>Medicine has always required a communication between the doctor and his patient whereas the ethics prohibited any communication with the public when the latter could be related to advertising. A decision of the European Court of Justice dating from 2017 imposed a revision of the code of ethics which specifies the distinction between communication and advertising whatever the means of dissemination used. In addition, a recent law specifically regulates the activity of health influencers on social networks.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2023 183","pages":"Pages 121-125"},"PeriodicalIF":0.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131605222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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