Jurisprudence

法理学
  • 文章类型: Journal Article
    背景:牙科医疗事故索赔,这涉及针对被指控对患者造成伤害的临床疏忽的牙医的法律诉讼,在过去的十年里,韩国的情况有所增加。索赔是由并发症引起的,尤其是三叉神经损伤,由于各种牙科手术。先前在韩国尚未描述与三叉神经损伤有关的医学问题。因此,在这项研究中,我们的目标是确定将军,牙科,以及封闭式牙科医疗事故索赔的司法特征。
    方法:本研究设计为描述性研究。我们收集了51项与牙科手术如牙种植体植入引起的三叉神经损伤相关的封闭索赔的数据,拔牙,和局部麻醉。这些索赔是在2016年至2023年之间由韩国法院裁决的。将军,牙科,并对索赔的司法特征进行了回顾性分析。
    结果:发生不良事件后的平均索赔解决期为4.2年(范围:1.47-8.39年),牙科诊所(68.6%)的发生率高于牙科(25.5%)或综合医院(5.9%)。牙科手术后,下肺泡(66.7%)和舌神经(17.6%)受伤。68.6%的索赔违反了告知义务。进行的牙科手术(P<0.001)和受伤的神经(P<0.001)与违反护理义务有关。
    结论:为了提高牙科护理服务质量,使用包括判断在内的各种资源对不良事件的分析应得到有力解决.
    BACKGROUND: Dental malpractice claims, which pertain to legal actions against dentists accused of clinical negligence that caused harm to patients, have increased in the past ten years in South Korea. The claims are caused by complications, particularly trigeminal nerve injuries, resulting from various dental procedures. Medicolegal issues related to trigeminal nerve injury have not been previously described in South Korea. Therefore, in this study, we aimed to identify the general, dental, and judicial characteristics of closed dental malpractice claims.
    METHODS: This study was designed as a descriptive study. We collected the data of 51 closed claims related to trigeminal nerve injury resulting from dental procedures such as dental implant emplacement, tooth extraction, and local anesthesia. The claims were decided by courts in South Korea between 2016 and 2023. The general, dental, and judicial characteristics of the claims were analyzed retrospectively.
    RESULTS: The average claim resolution period was 4.2 (range: 1.47-8.39) years post-adverse events that occurred more frequently in dental clinics (68.6 %) than in dental (25.5 %) or general hospitals (5.9 %). Inferior alveolar (66.7 %) and lingual (17.6 %) nerves were injured following dental procedures. The duty to inform was breached in 68.6 % of claims. The dental procedure performed (P < 0.001) and the injured nerve (P < 0.001) were associated with the violation of the duty to care.
    CONCLUSIONS: To improve the quality of dental care services, the analysis of the adverse events using various resources including judgments should be strongly addressed.
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  • 文章类型: Journal Article
    Emmanuel-JosephSieyès在1795年提出的宪法陪审团提案通常被描述为控制法律合宪性的机构的第一个提案,也就是现代宪法法院的始祖。挑战这个观点,这篇文章在更广泛的跨大西洋传统中重新任命宪法陪审团,非司法和明确政治的宪法监护人,并展示了1776年宾夕法尼亚州审查委员会对Sieyès宪法陪审团的影响。借鉴这一传统提供的见解,然后重新评估宪政的历史和当代宪法监护的危机。
    Emmanuel-Joseph Sieyès\'s 1795 proposal for a Constitutional Jury is usually portrayed as the first proposal for an institution to control the constitutionality of laws, and thus the ancestor of the modern constitutional court. Challenging this view, this article resituates the Constitutional Jury in a broader transatlantic tradition concerned with creating a conservative power, a non-judicial and explicitly political constitutional guardian, and demonstrates the influence of the 1776 Pennsylvania Council of Censors on Sieyès\'s Constitutional Jury. Drawing upon the insights provided by this tradition, it then reevaluates the history of constitutionalism and the contemporary crisis of constitutional guardianship.
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  • 文章类型: Journal Article
    目标第一反应者需要急诊医院护理的精神健康事件的强制性报告包含有关患者及其需求的丰富信息。在昆士兰州(澳大利亚),紧急检查机构(EEA)中包含的许多信息仍未使用。我们提出并演示了一种方法,该方法可以提取和翻译诸如EEA之类的报告中所包含的重要信息,并将其用于调查严重心理健康事件发生率的极端倾向。方法该方法结合临床,人口统计学,空间和自由文本信息到一个单一的数据集合。对数据进行探索性分析以进行空间模式识别,从而建立了观察性流行病学模型,用于分析EEA发作的最大空间复发。结果情绪分析显示,在EEA演示文稿中,医院和卫生服务(HHS)#4地区的积极情绪比例最低(18%),而HHS#1地区的积极情绪比例为33%,这表明强制性自由文本内在的情绪空间差异需要更详细的分析。在邮政编码地理一级,我们发现EEA的最大空间复发变化与情绪的空间范围(0.29,p<0.001)和邮政编码参考的性别比(0.45,p=0.01)显着正相关。情绪的波动与EEA发作的极端复发显着相关。映射时的预测(概率)发病率反映了这种相关性。结论本文证明了整合的有效性,机器提取,人类情绪(作为潜在的替代)与传统的暴露变量为基础的方法的心理健康空间流行病学。从信息学驱动的流行病学观察中获得的这些见解可能会为卫生系统资源的战略分配提供信息,以满足最高水平的需求,并提高精神病人的护理标准,同时加强他们的安全和人道治疗和管理。
    Objective First responders\' mandatory reports of mental health episodes requiring emergency hospital care contain rich information about patients and their needs. In Queensland (Australia) much of the information contained in Emergency Examination Authorities (EEAs) remains unused. We propose and demonstrate a methodology to extract and translate vital information embedded in reports like EEAs and to use it to investigate the extreme propensity of incidence of serious mental health episodes. Methods The proposed method integrates clinical, demographic, spatial and free text information into a single data collection. The data is subjected to exploratory analysis for spatial pattern recognition leading to an observational epidemiology model for the association of maximum spatial recurrence of EEA episodes. Results Sentiment analysis revealed that among EEA presentations hospital and health service (HHS) region #4 had the lowest proportion of positive sentiments (18 %) compared to 33 % for HHS region #1 pointing to spatial differentiation of sentiments immanent in mandated free text which required more detailed analysis. At the postcode geographical level, we found that variation in maximum spatial recurrence of EEAs was significantly positively associated with spatial range of sentiments (0.29, p < 0.001) and the postcode-referenced sex ratio (0.45, p = 0.01). The volatility of sentiments significantly correlated with extremes of recurrence of EEA episodes. The predicted (probabilistic) incidence rate when mapped reflected this correlation. Conclusions The paper demonstrates the efficacy of integrating, machine extracted, human sentiments (as potential surrogates) with conventional exposure variables for evidence-based methods for mental health spatial epidemiology. Such insights from informatics-driven epidemiological observations may inform the strategic allocation of health system resources to address the highest levels of need and to improve the standard of care for mental patients while also enhancing their safe and humane treatment and management.
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    文章类型: Journal Article
    PALLIATIVE CARE AND LEGISLATION. Defined by the circular of August 26, 1986, palliative care is provided to people at the end of life, helping to relieve their suffering. Since the law of June 9, 1999, access to palliative care has been a right of all patients. With a view to alleviating suffering, human resources are mobilized to support the sick person. While human relationships play a central role, technology is also called. Caregivers have a responsibility to provide palliative care, as they are bound by professional ethics. Doctors and nurses have a duty to accompany the dying person to his final moments, ensuring the quality of a life that is coming to an end through appropriate care and measures. They are liable for any breach.
    SOINS PALLIATIFS ET LÉGISLATION. Définis par la circulaire du 26 août 1986, les soins palliatifs sont dispensés à des personnes en fin de vie et contribuent au soulagement des souffrances. Depuis la loi du 9 juin 1999, l’accès aux soins palliatifs est un droit des personnes malades. Dans une optique de conjuration de la souffrance, des moyens humains sont mobilisés à travers l’accompagnement de la personne malade. Si les relations humaines occupent une place centrale, la technique est également sollicitée. Les soignants ont une responsabilité dans la délivrance des soins palliatifs, puisque la déontologie les y oblige. Le médecin et l’infirmier ont notamment le devoir d’accompagner le mourant jusqu’à ses derniers moments en assurant, par des soins et mesures appropriés, la qualité d’une vie qui prend fin. Leur responsabilité est engagée en cas de manquement.
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  • DOI:
    文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    这篇文章提出了对索菲·德·格劳奇的道德观的解读,政治,和嵌入自然法学传统的经济思想,适应法国第一共和国的背景。仔细阅读她对亚当·斯密的《道德情感理论》和她的《关于同情的八封信》的法语翻译,证实了在早期现代自然法语言的背景下阅读她的作品是有道理的。这阐明了一个重要的问题,即如何阅读来自新罗马非统治话语以外的多种传统的革命共和主义。
    This article proposes a reading of Sophie de Grouchy\'s moral, political, and economic thought as embedded in the tradition of natural jurisprudence, adapted to the context of the French First Republic. A close reading of her French translation of Adam Smith\'s Theory of Moral Sentiment and her eight Letters on Sympathy confirms that there are points to be made by reading her works in the context of the language of early modern natural law. This sheds light on the important question of how to read revolutionary republicanism emanating from multiple traditions other than the neo-Roman discourse of non-domination.
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  • 文章类型: Journal Article
    这项研究的目的是确定前牙弓中的最小牙齿数量,这将为法医背景下的个体鉴定提供准确的结果。
    该研究涉及对28组3维(3D)点云数据的分析,集中在前牙的唇面。这些数据集以真实和冒名顶替者对叠加在每个组中。A组合并了从右至左中切牙的数据,B组从右到左的侧切牙,和C组从右到左的犬。进行了全面分析,包括评估均方根误差(RMSE)值和牙弓段叠加产生的距离。所有分析均使用CloudCompare版本2.12.4(电信ParisTech和研发,基辅,乌克兰)。
    A组中真品对之间的距离,B,和C显示0.153至0.184mm的平均范围。相比之下,冒名顶替者对的距离范围为0.338至0.522毫米。真实配对的RMSE值的平均范围为0.166至0.177,而冒名顶替者配对的RMSE值的平均范围为0.424至0.638。真假假对的距离之间观察到统计学上的显着差异(P<0.05)。
    在前牙的唇面观察到的出色性能强调了它们作为准确的3D牙齿识别的可靠标准的潜力。这是通过评估最少4颗牙齿来实现的。
    UNASSIGNED: The objective of this study was to determine the minimum number of teeth in the anterior dental arch that would yield accurate results for individual identification in forensic contexts.
    UNASSIGNED: The study involved the analysis of 28 sets of 3-dimensional (3D) point cloud data, focused on the labial surface of the anterior teeth. These datasets were superimposed within each group in both genuine and imposter pairs. Group A incorporated data from the right to the left central incisor, group B from the right to the left lateral incisor, and group C from the right to the left canine. A comprehensive analysis was conducted, including the evaluation of root mean square error (RMSE) values and the distances resulting from the superimposition of dental arch segments. All analyses were conducted using CloudCompare version 2.12.4 (Telecom ParisTech and R&D, Kyiv, Ukraine).
    UNASSIGNED: The distances between genuine pairs in groups A, B, and C displayed an average range of 0.153 to 0.184 mm. In contrast, distances for imposter pairs ranged from 0.338 to 0.522 mm. RMSE values for genuine pairs showed an average range of 0.166 to 0.177, whereas those for imposter pairs ranged from 0.424 to 0.638. A statistically significant difference was observed between the distances of genuine and imposter pairs (P<0.05).
    UNASSIGNED: The exceptional performance observed for the labial surfaces of anterior teeth underscores their potential as a dependable criterion for accurate 3D dental identification. This was achieved by assessing a minimum of 4 teeth.
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  • 文章类型: Journal Article
    本技术说明回顾了不同国家/地区用于报告合法目的的血液酒精浓度(BAC)和呼吸酒精浓度(BrAC)的大量浓度单位。当来自某个国家的科学论文可能通过专家证词被引入证据时,单位的选择有时会造成混乱,例如与酒精有关的罪行被起诉。在国家之间计算和比较酒精的血液/呼吸比率(BBR)时,考虑浓度单位也很重要。在大多数国家/地区,驾驶的法定BAC限制以质量/体积(m/v)单位报告,例如美国的g/100mL(g%),mg/100mL(mg%)在英国和爱尔兰共和国,或g/L(mg/mL)在许多欧盟国家。相比之下,德国和北欧国家报告BAC为质量/质量(m/m)单位,因此g/kg或mg/g,比m/v单位低~5.5%,因为全血的平均密度为1.055g/mL。存在以质量/质量单位报告BAC的历史原因,因为分析的血液的等分试样是通过重量而不是体积来测量的。m/m和m/v之间的差异在死后毒理学中也很重要,例如当乙醇在血液和其他生物样本之间的分配比时,如尿液,玻璃体幽默,和脑脊液,已报告。
    This technical note reviews the plethora of concentration units used to report blood-alcohol concentration (BAC) and breath-alcohol concentrations (BrAC) for legal purposes in different countries. The choice of units sometimes causes confusion when scientific papers originating from a certain country might be introduced into evidence via expert testimony, such as when alcohol-related crimes are prosecuted. The concentration units are also important to consider when blood/breath ratios (BBRs) of alcohol are calculated and compared between countries. Statutory BAC limits for driving in most nations are reported in mass/volume (m/v) units, such as g/100 mL (g%) in the United States, mg/100 mL (mg%) in the United Kingdom and Republic of Ireland, or g/L (mg/mL) in many EU nations. By contrast, Germany and the Nordic countries report BAC as mass/mass (m/m) units, hence g/kg or mg/g, which are ~5.5% lower than m/v units, because whole blood has an average density of 1.055 g/mL. There are historical reasons for reporting BAC in mass/mass units because the aliquots of blood analyzed were measured by weight rather than volume. The difference between m/m and m/v is also important in postmortem toxicology, such as when distribution ratios of ethanol between blood and other biological specimens, such as urine, vitreous humor, and cerebrospinal fluid, are reported.
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  • 文章类型: Journal Article
    这一观点打破了阿拉巴马州最高法院宣布冷冻胚胎为儿童合法等同物损害母亲和胎儿健康的无数方式,限制了基于遗传和无法触及的成本的生殖决策,阻碍了研究。
    This Viewpoint breaks down the myriad ways the Alabama Supreme Court decision to declare frozen embryos as legal equivalents to children harms the health of mothers and fetuses, limits reproductive decision-making based on genetics and out-of-reach costs, and impedes research.
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  • 文章类型: Journal Article
    器官移植是现代医学最成功的进展之一。然而,法律制度对于其实践没有道德缺陷和尊重捐助者是必要的,收件人,和家庭成员。
    为了绘制规范捐赠的全球立法,用于移植的已故捐献者的器官和组织的捕获和分配过程。
    根据JoannaBriggsInstitute在以下数据库中进行了范围审查:Medline,CINAHL,虚拟健康图书馆,Scopus,WebofScience,科学直接,和EMBASE,以及灰色文学,并根据PRISMA扩展报告范围审查。
    我们确定了3302条记录,对其中77项进行了分析,从而能够绘制所采用的同意书类型以及在循环和脑死亡后采集器官和组织的现行立法的存在。
    选择退出同意在欧洲占主导地位,大脑和循环系统死亡后有收获。选择退出在美洲占主导地位,而在亚洲和大洋洲,脑死亡后器官和组织的选择和收获占主导地位。在非洲,几乎不存在从已故捐赠者那里购买器官和组织的情况。
    UNASSIGNED: Organ transplantation is one of the most successful advances in modern medicine. However, a legal system is necessary for its practice to be free from ethical flaws and to respect donors, recipients, and family members.
    UNASSIGNED: To map the global legislation regulating the donation, capture and distribution processes of organs and tissues from deceased donors for transplants.
    UNASSIGNED: A scoping review according to the Joanna Briggs Institute was conducted in the following databases: Medline, CINAHL, Virtual Health Library, SCOPUS, Web of Science, Science Direct, and EMBASE, as well as gray literature, and reported according to the PRISMA extension for scoping reviews.
    UNASSIGNED: We identified 3302 records, of which 77 were analyzed which enabled mapping the type of consent adopted and the existence of current legislation for harvesting organs and tissues after circulatory and brain death.
    UNASSIGNED: Opt-out consent predominates in Europe, and there is harvesting after brain and circulatory death. Opt-out predominates in the Americas, while Opt-in and harvesting of organs and tissues after brain death predominate in Asia and Oceania. The procurement of organs and tissues from deceased donors is practically non-existent in Africa.
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