Medecine & Droit最新文献

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Le malade génétique responsable « La loi des suspects » 负责任的基因疾病“嫌疑人的法则”
IF 0.2
Medecine & Droit Pub Date : 2021-10-01 DOI: 10.1016/j.meddro.2021.06.002
Gérard Mémeteau (Professeur émérite à la Faculté de Droit de Poitiers)
{"title":"Le malade génétique responsable « La loi des suspects »","authors":"Gérard Mémeteau (Professeur émérite à la Faculté de Droit de Poitiers)","doi":"10.1016/j.meddro.2021.06.002","DOIUrl":"10.1016/j.meddro.2021.06.002","url":null,"abstract":"<div><p>A patient suffers of a genetical disease. He does not wish to inform his family. Is he responsible for a lost of chances of his parents, chances to prevent the disease, or to receive care? Is there a second class of patients?</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 170","pages":"Pages 83-87"},"PeriodicalIF":0.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43421933","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: 1
Réflexions d’un médecin expert et d’un juriste autour d’un exercice pratique de droit médical 医学专家和法学家对医疗法实践的思考
IF 0.2
Medecine & Droit Pub Date : 2021-10-01 DOI: 10.1016/j.meddro.2021.05.003
Cécile Manaouil , Laurent Bloch
{"title":"Réflexions d’un médecin expert et d’un juriste autour d’un exercice pratique de droit médical","authors":"Cécile Manaouil ,&nbsp;Laurent Bloch","doi":"10.1016/j.meddro.2021.05.003","DOIUrl":"10.1016/j.meddro.2021.05.003","url":null,"abstract":"<div><p>We offer a reflection around a clinical case of nosocomial infection allowing us to address the difficulties faced by experts and lawyers and other jurists in matters of medical liability. This case is the result of an exercise proposed within the framework of the national DIU (interuniversity diploma) in medical accidents for which the two authors are responsible in Amiens and Bordeaux. The writing was enriched with the responses of the students. This clinical case makes it possible to approach the compensation for nosocomial infections, to compare the amicable procedure before the conciliation and compensation commission for medical accidents and the procedure before a judicial or administrative jurisdiction. Finally, the reflection focuses on patient information, especially protected adult, and access to the medical file. It is not a question here of detailing the medical care but of discussing medical responsibility and the rights of the patients.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 170","pages":"Pages 92-97"},"PeriodicalIF":0.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44596859","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
Analyse des prélèvements biologiques médico-légaux : quel cadre juridique à l’ère de la qualité? 法医生物样本分析:质量时代的法律框架是什么?
IF 0.2
Medecine & Droit Pub Date : 2021-10-01 DOI: 10.1016/j.meddro.2021.02.003
P. Henry , F. Paysant , H. Fricker-Hidalgo , O. Cognet , H. Pelloux , V. Scolan
{"title":"Analyse des prélèvements biologiques médico-légaux : quel cadre juridique à l’ère de la qualité?","authors":"P. Henry ,&nbsp;F. Paysant ,&nbsp;H. Fricker-Hidalgo ,&nbsp;O. Cognet ,&nbsp;H. Pelloux ,&nbsp;V. Scolan","doi":"10.1016/j.meddro.2021.02.003","DOIUrl":"10.1016/j.meddro.2021.02.003","url":null,"abstract":"<div><p>Medico-legal autopsy sometimes requires the use of the Parasitology-Mycology specialty. Two recent medico-legal clinical cases, involving this specialty, have questioned us. First of all, may a non-conformity biological analytical (compared to accepted and accredited standards by COFRAC) fail the whole biological expertise, and thereafter, the medico-legal expertise of the file? The answer must consider that the raw result obtained as a result of a medical biology technique must be interpreted and discussed by the expert in the discipline (in this case by the parasitologist) before being included in the medical discussion and discussed by the medical examiner. The judgment is secondarily delivered by the judge according to his intimate conviction and without determining the probative value of the examination. Should a post-mortem biological examination be part of an expertise in medical biology or is it a technical and scientific examination? This answer is based on the previous one, considering the significant contribution of the expert who will bring his knowledge, interpreting and discussing the raw result. A simple technical and scientific examination would only provide the raw result without any assessment of the context and circumstances of the biological sample.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 170","pages":"Pages 98-101"},"PeriodicalIF":0.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43525788","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
Implantologie orale et responsabilité : à propos du choix du dispositif implantaire 口腔种植学与责任:关于种植装置的选择
IF 0.2
Medecine & Droit Pub Date : 2021-08-01 DOI: 10.1016/j.meddro.2021.04.001
Hadrien Diakonoff , Philippe Pirnay
{"title":"Implantologie orale et responsabilité : à propos du choix du dispositif implantaire","authors":"Hadrien Diakonoff ,&nbsp;Philippe Pirnay","doi":"10.1016/j.meddro.2021.04.001","DOIUrl":"10.1016/j.meddro.2021.04.001","url":null,"abstract":"<div><p>Dental implants are medical devices designed to create stable, strong, non-iatrogenic and durable anchors in the maxilla or mandible to which a removable or fixed dental prothesis fits, to replace one or more missing teeth. From the 1970s to 2000, these medical devices experienced changes in shape and materials before a consensus was reached on a type of implant that responded to the standard of care. This raises the question of the medical liability of healthcare professionals who use different implant systems in their practices. The present article proposes to highlight the choice of the dental implant by dental practitioner, its design and the materials used, on the field of the medical liability, through a retrospective study of judicial decisions in France. The “Brånemark-type” endosseous cylindrical-conical screw implant is considered as standard of care in France. The dental surgeon has the possibility to use other types of dental implants when the clinical situation strictly contraindicates the use of cylindrical-conical screw implants. In case of litigation, he must be able to justify his choices.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 169","pages":"Pages 64-67"},"PeriodicalIF":0.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42921787","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 publications des experts médicaux : l’exemple de l’anesthésie-réanimation 医学专家出版物:以麻醉复苏为例
IF 0.2
Medecine & Droit Pub Date : 2021-08-01 DOI: 10.1016/j.meddro.2021.03.001
Jean Xavier Mazoit , Hervé Bouaziz
{"title":"Les publications des experts médicaux : l’exemple de l’anesthésie-réanimation","authors":"Jean Xavier Mazoit ,&nbsp;Hervé Bouaziz","doi":"10.1016/j.meddro.2021.03.001","DOIUrl":"10.1016/j.meddro.2021.03.001","url":null,"abstract":"<div><p>Forensic expertise becomes dominant in our society. Several reports questioned the competence of medical experts. We analysed the scientific competence of the 136 experts in Anaesthesia, Intensive Care and Emergency Medicine from senior courts in France. For that purpose, we made the choice of the H-Index and the number of scientific publications as markers of quality, using Google Scholar and PubMed databases. Thirty-five percent of experts have an H-Index equal to zero and 27 % never published. Out of the 104 experts who published at least one scientific article, 27 (26 %) did not publish for at least 10 years. The present study illustrates the great heterogeneity of the medical expert population regarding our criterions of judgement. This questions the selection and the operating mode of legal experts. There is a major difference with the selection process performed by the French Conciliation and Compensation Commissions. We propose that the official scholarly societies should be consulted during the appointment process.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 169","pages":"Pages 59-63"},"PeriodicalIF":0.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47184590","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 vaccin, un médicament devenu l’arme absolue promise contre la COVID-19 : une réglementation adaptée ? 疫苗,一种药物,已成为对抗COVID-19的承诺绝对武器:适当的监管?
IF 0.2
Medecine & Droit Pub Date : 2021-08-01 DOI: 10.1016/j.meddro.2021.01.001
Mathieu Guerriaud (Maître de conférences en Droit pharmaceutique et de la santé, pharmacovigilance et iatrogénie, Docteur en Sciences (PhD)/Docteur en Pharmacie (PharmD), Membre de la société d’Histoire de la Pharmacie)
{"title":"Le vaccin, un médicament devenu l’arme absolue promise contre la COVID-19 : une réglementation adaptée ?","authors":"Mathieu Guerriaud (Maître de conférences en Droit pharmaceutique et de la santé, pharmacovigilance et iatrogénie, Docteur en Sciences (PhD)/Docteur en Pharmacie (PharmD), Membre de la société d’Histoire de la Pharmacie)","doi":"10.1016/j.meddro.2021.01.001","DOIUrl":"10.1016/j.meddro.2021.01.001","url":null,"abstract":"<div><p>As the first vaccines against COVID-19 arrive on the market, the question of the safety of these products arises in the public debate. The major concern is about the possible occurrence of adverse effects, particularly in the context of the use of novel pharmaceutical technologies such as mRNA. It is important to remind both patients and professionals that a vaccine is not only a medicinal product in its own right, but also a special medicinal product: biological and immunological. As a result, its supervision is draconian, and despite the urgency, no requirements have been lowered. The speed of marketing is the result both of adapted clinical trials and optimized evaluation procedures.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 169","pages":"Pages 74-80"},"PeriodicalIF":0.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47936594","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
为你而读
IF 0.2
Medecine & Droit Pub Date : 2021-08-01 DOI: 10.1016/j.meddro.2021.06.001
Philippe Biclet
{"title":"","authors":"Philippe Biclet","doi":"10.1016/j.meddro.2021.06.001","DOIUrl":"10.1016/j.meddro.2021.06.001","url":null,"abstract":"","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 169","pages":"Page 81"},"PeriodicalIF":0.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47363313","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 normes et standards de la documentation des allégations de torture et autres mauvais traitements selon le protocole d’Istanbul 根据《伊斯坦布尔议定书》记录酷刑和其他虐待指控的规范和标准
IF 0.2
Medecine & Droit Pub Date : 2021-08-01 DOI: 10.1016/j.meddro.2021.01.002
Pr Abdallah Dami , Pr Samir Nya , Pr Hicham Benyaich
{"title":"Les normes et standards de la documentation des allégations de torture et autres mauvais traitements selon le protocole d’Istanbul","authors":"Pr Abdallah Dami ,&nbsp;Pr Samir Nya ,&nbsp;Pr Hicham Benyaich","doi":"10.1016/j.meddro.2021.01.002","DOIUrl":"10.1016/j.meddro.2021.01.002","url":null,"abstract":"<div><p>Torture and ill treatment constitute a serious violation of basic human rights. Health professionals are actors capable of acting, in addition to caring for the victims, for the advent of a world without torture. Thorough investigation and substantiated documentation of allegations of torture can help victims to tell the truth about what has happened to them and support them in their quest for justice and reparation. They help victims to obtain credible evidence that torture has taken place, allowing them to assert their rights. Trained health professionals can document the physical and psychological trauma resulting from torture, and link them to specific torture practices with a very high level of credibility, using the Istanbul protocol, a manual on documentation of torture approved by the United Nations. Victims can use this evidence to formally file a complaint to substantiate allegations in civil or criminal cases, as a basis for their request for rehabilitation assistance, and as an official acknowledgment of the harm they have suffered. This work aims to point out the important role of the doctor in the process of documenting the allegations of torture and other ill treatment and the need for training on the ethical, legal and practical aspects of this intervention in order to participate in prevention, and fight against this crime.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 169","pages":"Pages 68-73"},"PeriodicalIF":0.2,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48267178","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 geste suicidaire et la faute inexcusable de l’employeur 自杀行为和雇主不可原谅的过错
IF 0.2
Medecine & Droit Pub Date : 2021-06-01 DOI: 10.1016/j.meddro.2021.02.004
Sophie Joly (Maître de conférences à l’université de Montpellier)
{"title":"Le geste suicidaire et la faute inexcusable de l’employeur","authors":"Sophie Joly (Maître de conférences à l’université de Montpellier)","doi":"10.1016/j.meddro.2021.02.004","DOIUrl":"10.1016/j.meddro.2021.02.004","url":null,"abstract":"<div><p>When a suicidal act is attributed to work, in addition to the qualification of a work accident, the employer's inexcusable fault, based on his obligation of safety, can be retained if the latter was aware of the danger incurred by his subordinate and did not take the necessary measures to protect him. Two points stand out. On the one hand, the risk of suicide is not always predictable, which leads to a more general thinking on its prevention. On the other hand, since 2015, two conceptions regarding the obligation of security have coexisted, new in labour law and, constant in social security law, with litigation falling under two separate chambers of the High Court. Three judgments from October 8, issued by the second civil chamber of the High Court appear to be moving towards a harmonization of case law. Consequently, their scope should be assessed, in particular regarding the preventive measures expected from the employer.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 168","pages":"Pages 35-44"},"PeriodicalIF":0.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47936324","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
Causalité juridique et imputabilité médicale : l’incidence de l’approche juridique du lien de causalité sur la pratique expertale en droit de la réparation du dommage corporel 法律因果关系和医疗责任:因果关系的法律方法对人身伤害赔偿法专家实践的影响
IF 0.2
Medecine & Droit Pub Date : 2021-06-01 DOI: 10.1016/j.meddro.2021.02.002
Caroline Catz , Clotilde Rougé-Maillart , Pauline Patard , Renaud Clément
{"title":"Causalité juridique et imputabilité médicale : l’incidence de l’approche juridique du lien de causalité sur la pratique expertale en droit de la réparation du dommage corporel","authors":"Caroline Catz ,&nbsp;Clotilde Rougé-Maillart ,&nbsp;Pauline Patard ,&nbsp;Renaud Clément","doi":"10.1016/j.meddro.2021.02.002","DOIUrl":"10.1016/j.meddro.2021.02.002","url":null,"abstract":"<div><p>Traditionally, a “direct and certain” causal link was required between fault and harm in order to engage an individual's compensatory liability. However, upon reading case law, it is possible to note that causality no longer necessarily has to be either direct or certain. Indeed, although the presence of a previous condition long enabled the exclusion of a direct link between a harmful event and its aftereffects, the French Court of Appeal (Cour de Cassation) now considers that pathological predispositions must no longer be taken into account (in respect of an exclusion or a reduction in the right to compensation) if these were latent, and only revealed by the harmful event. Similarly, on occasion the plaintiffs support their claims with bundles of evidence and arguments that can but force magistrates to set aside the absence of absolute certainty on a scientific level. Presumptions of accountability have even been put forward in some areas of personal injury compensation (traffic accidents and workplace accidents). The conduct and content of forensic expertises are then disrupted, both for the expert and for the victim's lawyer.</p></div>","PeriodicalId":41275,"journal":{"name":"Medecine & Droit","volume":"2021 168","pages":"Pages 45-53"},"PeriodicalIF":0.2,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.meddro.2021.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49200426","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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