Issues in Law & Medicine最新文献

Turnaway Study Report Unethically Violated Participants' Privacy and Misleads Public with a Non-Representative Sample, Selective Reporting, and Overstated Conclusions. 弃婴研究报告侵犯了参与者的隐私权，并以不具代表性的样本、选择性的报告和夸大的结论误导公众，这是不符合伦理道德的。

IF 0.5 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01 DOI: 10.70257/TWGF1217

David C Reardon

引用次数: 0

International Standards and Features of Financing in the Field of Health Care and Provision of Medical Services. 医疗保健和医疗服务领域筹资的国际标准和特点。

IF 0.9 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01

Elena Kiselyova, Valeriia Myrhorod-Karpova, Tetiana Shlapko, Tetiana Malanchuk, Yana Sadykova

{"title":"International Standards and Features of Financing in the Field of Health Care and Provision of Medical Services.","authors":"Elena Kiselyova, Valeriia Myrhorod-Karpova, Tetiana Shlapko, Tetiana Malanchuk, Yana Sadykova","doi":"","DOIUrl":"","url":null,"abstract":"The relevance of this article is due to the fact that international standards in the field of health care and medical services are central to the field of world principles of functioning and development of medical law. The aim of the article is to conduct research on the peculiarities of international standards in the field of health care and medical services, as well as to study the prospects of their implementation in Ukraine. Leading research methods are general and special research methods, including methods of logic, analysis, comparison. The results of this study are to outline recommendations for the use of international standards in the field of health care and medical services in Ukraine and to summarize the legal framework on this issue. The significance of the results is reflected in the fact that this study can serve as a basis for outlining future changes in current legislation of Ukraine on the functioning of the health care system and implementation of world practices in health care. Within the framework of this study, systematized the main international and European documents that reflect the main international standards in the field of health care and medical services and ratified in Ukraine and have a direct impact on the legal framework for this area.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Reanalysis of Mental Disorders Risk Following First-Trimester Abortions in Denmark. 丹麦首胎流产后精神障碍风险的重新分析。

IF 0.9 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01

David C Reardon

{"title":"A Reanalysis of Mental Disorders Risk Following First-Trimester Abortions in Denmark.","authors":"David C Reardon","doi":"","DOIUrl":"","url":null,"abstract":"Background: A previous Danish study of monthly and tri-monthly rates of first-time psychiatric contact following first induced abortions reported higher rates compared to first live births but similar rates compared to nine months pre-abortion. Therefore, the researchers concluded abortion has no independent effect on mental health; any differences between psychiatric contacts after abortion and delivery are entirely attributable to pre-existing mental health differences. However, these conclusions are inconsistent with similar studies that used longer time frames. Reanalysis of the published Danish data over slightly longer time frames may reconcile this discordance.Method: Monthly and tri-monthly data was extracted for reanalysis of cumulative effects over nine- and twelvemonths post-abortion.Results: Across all psychiatric diagnoses, cumulative average monthly rate of first-time psychiatric contact increased from an odds ratio of 1.12 (95% CI: 1.02 to 1.22) at 9-months to 1.49 (95% CI: 1.37 to 1.63) at 12 months post-abortion as compared to the 9 months pre-abortion rate. At 12 months post-abortion, first-time psychiatric contact was higher across all four diagnostic groupings and highest for personality or behavioral disorders (OR=1.87; 95% CI:1.48 to 2.36) and neurotic, stress related, or somatoform disorders (OR=1.60; 95% CI: 1.41 to 1.81).Conclusions: Our reanalysis revealed that the Danish data is consistent with the larger body of both record-based and survey- based studies when viewed over periods of observation of at least nine months. Longer periods of observation are necessary to capture both anniversary reactions and the exhaustion of coping mechanisms which may delay observation of post-abortion effects.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In Vitro Fertilization, State Wrongful Death Statutes and State Fetal Homicide Statutes: The Reaction to LePage v. Center for Reproductive Medicine. 体外受精、州过失致人死亡法规和州杀害胎儿法规：对 LePage 诉生殖医学中心案的反应。

IF 0.9 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01

Paul Benjamin Linton

{"title":"In Vitro Fertilization, State Wrongful Death Statutes and State Fetal Homicide Statutes: The Reaction to LePage v. Center for Reproductive Medicine.","authors":"Paul Benjamin Linton","doi":"","DOIUrl":"","url":null,"abstract":"The Alabama Supreme Court recently held, in LePage v. Center for Reproductive Medicine, that the parents of human embryos that were negligently destroyed at a fertility clinic could bring an action for damages under the State's wrongful death statute. Although the Alabama legislature promptly enacted a law essentially overturning the state supreme court's decision, concerns have been raised that the court's decision might influence courts in other States to interpret their wrongful death statutes, or possibly even their fetal homicide statutes, to apply in similar circumstances, thereby threatening the availability of in vitro fertilization (IVF) technology. This article addresses those concerns.With respect to wrongful death statutes, only fourteen States (excluding Alabama) have interpreted their statutes to apply to unborn children without regard to their stage of gestation or development. The majority of States impose a gestational requirement (typically, viability) which would preclude their application to the destruction of human embryos. Even with respect to the minority of States that impose no limitation on the cause of action, those statutes, either by their express language or by fair interpretation, would not apply to unimplanted human embryos.With respect to the fetal homicide statutes in thirty-one States that do not have any gestational or developmental limitation, the statutes in twenty-six of those States apply only to acts causing the death of an unborn child in utero. As to the statutes in the other five States, the structure of the statute, considered in light of the applicable case law, strongly suggests that there would be no liability for causing the death of an unborn child before implantation. In sum, the Alabama Supreme Court's decision in LePage is not likely to be followed as a precedent in interpreting either the wrongful death statutes or the fetal homicide statutes of any other State.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

First Pregnancy Abortion or Natural Pregnancy Loss: A Cohort Study of Mental Health Services Utilization. 首次怀孕流产或自然流产：心理健康服务使用情况队列研究。

IF 0.5 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01 DOI: 10.70257/LZXP7816

James Studnicki, Tessa Longbons Cox, John W Fisher, Christina A Cirucci, David C Reardon, Ingrid Skop, Christopher Craver, Maka Tsulukidze, Zbigniew Ras

{"title":"First Pregnancy Abortion or Natural Pregnancy Loss: A Cohort Study of Mental Health Services Utilization.","authors":"James Studnicki, Tessa Longbons Cox, John W Fisher, Christina A Cirucci, David C Reardon, Ingrid Skop, Christopher Craver, Maka Tsulukidze, Zbigniew Ras","doi":"10.70257/LZXP7816","DOIUrl":"https://doi.org/10.70257/LZXP7816","url":null,"abstract":"Introduction: While both induced abortion and natural pregnancy loss have been associated with subsequent mental health problems, population-based studies directly comparing these two pregnancy outcomes are rare. We sought to compare mental health morbidity after an induced abortion or natural loss.Methods: Continuously eligible Medicaid beneficiaries age 16 in 1999 were assigned to two cohorts based upon the first pregnancy outcome: abortion (n = 1,331) or natural loss (n = 605). Outcomes were mental health outpatient visits, inpatient hospital admissions and hospital days of stay per patient per year. Average exposure periods before and after the first pregnancy outcome for each cohort were used to adjust the mental health service rates.Results: Prior to the first pregnancy outcome, all three utilization rates were significantly higher for the natural loss cohort compared to the abortion cohort. For the abortion cohort, the per-patient per-year increase from the pre- to post-pregnancy periods was significant for all three rates: 2.04 times for outpatient visits (p < 0.0001), 3.04 times for inpatient admissions (p = 0.0003), and 3.01 times for hospital days of stay (p = 0.0112). None of the pre-to-post rate increases were significant for the natural loss cohort.Conclusion: Higher pre-pregnancy use rates for women who experience a natural pregnancy loss indicate that increased mental health services use following abortion cannot be solely attributed to pre-existing mental illness. Only the abortion cohort, but not the natural loss cohort, experienced significant increases in mental health services use following the first pregnancy outcome.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenging Vavřička: Questioning Compatibility of the Mandatory Tetanus Vaccination with ECHR. 挑战瓦夫日卡：质疑强制接种破伤风疫苗是否符合《欧洲人权公约》。

IF 0.5 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01 DOI: 10.70257/DOEW4468

Meliha Sermin Paksoy, Zeynep Taner

{"title":"Challenging Vavřička: Questioning Compatibility of the Mandatory Tetanus Vaccination with ECHR.","authors":"Meliha Sermin Paksoy, Zeynep Taner","doi":"10.70257/DOEW4468","DOIUrl":"https://doi.org/10.70257/DOEW4468","url":null,"abstract":"The compatibility of mandatory vaccinations with human rights has become a very current issue with the COVID-19 pandemic and the Vavřička ruling by the European Court of Human Rights. This ruling has faced criticism for not conducting examinations related to disease and vaccines based on direct scientific evidence. In this analysis, an assessment will be made based on direct scientific evidence about tetanus and its vaccine.The prevailing reason for mandatory tetanus vaccination is to protect the health of the vaccinated individual. Competent adults have the right to refuse treatment. This rule also applies to preventive medical interventions, including tetanus vaccination. As a rule, parents are entitled to give consent for medical interventions on their children. If an immediate and serious threat permanently endangers the minor's life, medical intervention can be carried out against the parents' will. The limitation of parental autonomy is more disputed when the minor's life is not immediately threatened. With respect to tetanus vaccination as a preventive medical intervention, it does not eliminate an immediate and serious risk of harm. As a result, interference with the parent's discretion on tetanus vaccination as a preventive medical intervention should be evaluated for its compatibility with the current legal approach to medical interventions on minors and patient rights.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

United Kingdom Data Deficiencies Influencing U.S. FDA Decisions. 影响美国 FDA 决策的英国数据缺陷。

IF 0.9 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01

Ingrid Skop, Calum Miller, Kevin Duffy

引用次数: 0

A Statement on Abortion by 170 Obstetricians/Gynecologists after the Reversal of Roe v Wade. 罗伊诉韦德案被推翻后 170 名产科医生/妇科医生关于堕胎的声明》。

IF 0.5 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01 DOI: 10.70257/SFEV5216

Christina Cirucci, Michael Valley

{"title":"A Statement on Abortion by 170 Obstetricians/Gynecologists after the Reversal of Roe v Wade.","authors":"Christina Cirucci, Michael Valley","doi":"10.70257/SFEV5216","DOIUrl":"https://doi.org/10.70257/SFEV5216","url":null,"abstract":"In a recent American Journal of Obstetrics and Gynecology, 900 professors submitted a Special Report calling for reinstating federal protection for abortion. Here, we provide an alternative consensus statement. Induced abortion is not a constitutional right. We, too, value patient autonomy, but autonomy does not allow for causing harm to another human being, in this case, the human fetus. We share concern about maternal mortality in the United States, but evidence shows that induced abortion increases, not decreases, maternal mortality. We share the authors' concern for the effect of induced abortion on minority populations and mourn the fact that the abortion rate in non-Hispanic black patients is three times that of non-Hispanic white patients and twice that of Hispanic patients. Many obstetricians/gynecologists, like ourselves, do not support abortion, and most obstetricians/gynecologists do not perform abortions. Induced abortion is not necessary to provide evidence-based care. We also have seen tragic situations and misinformation and want to work toward addressing these issues. We support the highest level of clinical practice, bodily autonomy, reproductive freedom, and evidence-based care for both our patients-the pregnant woman and the human being in utero-whom we have dedicated our lives to serving.","PeriodicalId":48665,"journal":{"name":"Issues in Law & Medicine","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Misleading Statements About "Life of the Mother" Exceptions in Pro-life Laws Require Correction. 亲生命法律中关于 "母亲生命 "例外情况的误导性陈述需要更正。

IF 0.9 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01

Mary Harned, Ingrid Skop

引用次数: 0

Counseling the Abortion-Vulnerable Patient. 为容易流产的病人提供咨询。

IF 0.5 4区医学

Issues in Law & Medicine Pub Date : 2024-01-01 DOI: 10.70257/WZCE5456

引用次数: 0