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Medicine and Law

P Elif Ekmekci
Turkey has been a growing market for multicenter clinical trials for the last ten years and is considered among the top ten countries in terms of potential study subject populations. The objective of increasing the share of Turkey in multicenter clinical trials is strongly supported. This ambitious goal of Turkey raises the need to have regulations in compliance with other leading countries conducting clinical trials. The latest published Turkish regulations on clinical trials are structured in compliance with the International Conference on Harmonization (ICH) Guidelines and in harmony with the regulations of other leading countries in clinical research, such as the US...
2016: Medicine and Law
Perihan Elif Ekmekci, Murat Oral, Eray Serdar Yurdakul
This paper originates from a panel discussion on the evaluation of "Ethics Educational Program in Health Sciences" held during the IAEE Conference 2014 Ankara, Turkey. The participants of the panel had consultations to solidify the concepts about the topic. The qualitative data out of these antecedent discussions became mature with the contributions in the panel. The outcome of this qualitative study mainly focuses on the examples of two current curricula; one from PhD on History of Medicine and Medical Ethics, the other one from an elective course on medical ethics as a part of a PhD program on Pharmacy Management and History, followed by the major challenges the trainees face during their education, their expectations and whether the program was satisfactory, the aspects of the programs which are prone to improvement and their overall evaluations of the programs...
June 2015: Medicine and Law
Janice Du Mont, Aftab Mirzaei, Sheila Macdonald, Meghan White, Daisy Kosa, Linda Reimer
BACKGROUND: Elder abuse is an increasingly important issue that must be addressed in a systematic and coordinated way. OBJECTIVE: Our objective was to evaluate the perceived feasibility of establishing an elder abuse care program at hospital-based sexual assault and domestic violence treatment centers in Ontario, Canada. METHOD: In July 2012, a questionnaire focused on elder abuse care was distributed to all of Ontario's Sexual Assault/Domestic Violence Treatment Centre (SA/DVTC) Program Coordinators/Managers...
December 2014: Medicine and Law
M Antonella Piga
In this article, the Author analyzes her own experience as a member of the IRB that approved a trial to determine the efficacy of a disobstruction procedure of extracranial veins by means of angioplasty in patients with multiple sclerosis (MS). The so-called "liberation therapy" was proposed by an Italian vascular surgeon, who theorized a condition called "chronic cerebrospinal venous insufficiency" (CCSVI) as playing a role in the pathogenesis of MS. This approval, given after an animated discussion amongst IRB members, lacked any solid scientific evidence of a causal relationship between CCSVI and MS, and was accepted despite the concerns about potential risks associated with the proposed therapy...
December 2014: Medicine and Law
Patricia Beatriz Oliveira
The present work develops particular qualities in the psychic manifestations of the Traumatic Complex in burn patients with aftereffects, as a result of a disruptive factual event that modifies the coping capacities in the studied group, and the relevance of actions and decisions that health professionals make with the patients. From an analytic approach to the Trauma, it is possible to apply new strategic interventions, centered in the development of better emotional and adaptive responses and adequate recovery of the patients...
December 2014: Medicine and Law
Roberto Mester, Jacob Margolin
As it can be observed in court rulings and psychiatric diagnostic criteria, the characteristics of the medico-legal concept of objective cause are undergoing evolutions in the psychiatric as well as in the legal areas. In this paper, we will analyze and discuss those evolutions, using two types of materials: (a) A recent Israeli Supreme Court ruling related to an appeal of an army officer who claimed to have developed a psychiatric disorder due to his military service. (B) The changes in the diagnostic criteria of Post-Traumatic Stress Disorder (PTSD) from the DSM-III through the DSM-IV till the recently published DSM-V...
December 2014: Medicine and Law
Juan Bass, Michelle A Mullen
This paper examines narratives from young men seeking non-medical circumcision. Non-medical circumcision remains controversial, yet there are young men seeking elective circumcision. At our centre, young men 15 to 17 seeking elective circumcision were asked to write short pieces to reflect their understanding and reason(s) for wanting circumcision. Fourteen youth participated; four changed their minds about the procedure. Findings are described and evaluated within the medico-legal description of informed consent, and, from a narrative ethics perspective explicitly concerned with giving voice to patients...
December 2014: Medicine and Law
Igor Milinkovic, Biljana Majstorovic
The principle of informed consent, which requires a patient's fully-informed consent prior to the medical treatment, is closely connected with the value of human dignity. The realization and protection of a patient's dignity is not possible without his/her right to choose the character and scope of medical treatment. This goal cannot be adequately achieved within the traditional model of medical paternalism characterized by the physician's authoritative position. The first part of the article deals with the content and ethical significance of the informed consent doctrine...
December 2014: Medicine and Law
Fruzsina Molnár-Gábor
Next-Generation Sequencing has been used as a diagnostic tool in an increasing manner. Compared to conventional medical interventions, NGS, as a medical intervention, has its own special characteristics. NGS allows us to obtain a multitude of additional findings. However, their correct interpretation requires molecular biological expertise and is still unknown at the time of the sampling. These factors, when applying NGS, lead to a dynamic process of informational interference with the patients' rights. The physician-patient relationship that becomes successive, is loosened by involving non-physician researchers in the validation of the findings and by the fact that genetic data also gives information about the relatives of the patient...
December 2014: Medicine and Law
Obiajulu Nnamuchi
A recent United Nations' (U.N.) Resolution, "Intensifying Global Efforts for the Elimination of Female Genital Mutilations," urging all countries to enact legislation outlawing female circumcision or female genital ritual (FGR) signals a disturbingly new frontier in the polemic surrounding the ancient cultural practice. Never before has the apex global institution lent its imprimatur to a project whose foundation is profoundly muddled in uncertainties and murkiness. That the Resolution received an instantaneous and near-universal acclaim as a necessary protective weapon against supposed assault on the human rights of women is not news...
December 2014: Medicine and Law
Jay Levinson, Abraham J Domb
Disaster Victim Identification (DVI) is a triangle, the components of which are secular law, religious law and custom and professional methods. In cases of single non-criminal deaths, identification often rests with a hospital or a medical authority. When dealing with criminal or mass death incidents, the law, in many jurisdictions, assigns identification to the coroner/medical examiner, who typically uses professional methods and only answers the religious requirements of the deceased's next-of-kin according to his personal judgment...
December 2014: Medicine and Law
Puteri Nemie Kassim
UNLABELLED: As an alternative to the tort or fault-based system, a no-fault compensation system has been viewed as having the potential to overcome problems inherent in the tort system by providing fair, speedy and adequate compensation for medically injured victims. Proponents of the suggested no-fault compensation system have argued that this system is more efficient in terms of time and money, as well as in making the circumstances in which compensation is paid, much clearer. However, the arguments against no-fault compensation systems are mainly on issues of funding difficulties, accountability and deterrence, particularly, once fault is taken out of the equation...
December 2014: Medicine and Law
I A Joshua, Y Y Dangata, O Audu, A G Nmadu, N V Omole
In Nigeria, just like in many other parts of the world, one of the most extensively discussed issues on the public agenda today is the increase in prison population. The aims of imprisonment are protection, retribution, deterrence, reformation and vindication. Investigations revealed that the prison services have been,neglected more than any other criminal justice agency in Nigeria. For example, most of the prisons were built during the colonial era for the purpose of accommodating a small number of inmates...
December 2014: Medicine and Law
Rotem Waitzman
Israel is a multicultural state that has absorbed, and is continually absorbing people of different cultures who immigrate to Israel, a situation that could create conflicts in the physician-patient relationship. In this article, I will present several cases in which diversity of culture can lead to conflict, and suggest a way of communication that can help prevent the conflicts arising from those situations.
December 2014: Medicine and Law
Daniella Keidar, Arie Yagoda
In recent years, the study of emotions has broadened its scope and established its standing as a new scientific discipline. Humanity has become increasingly conscious of the seminal role played by the emotional components in both intrapersonal and interpersonal behavior. A deeply rooted and inherent correlation exists between emotional intelligence (E.I. - Emotional Intelligence) and positive social results: social adaptation, quality social relationships, the capacity for healthy social behaviors, caring, altruism, empathy, enlightened communication and the efficacy and personal coherence essential to moral and ethical behavior, including its manifestation in the sphere of bio-ethics...
October 2014: Medicine and Law
Emad Gith
Over the past two decades, the Arab Israeli society's awareness to the need to treat children suffering from Attention Deficit/Hyperactivity Disorder (ADHD) has been rising. The State of Israel provides educational and psychological services in almost every Arab-Israeli town, allowing for identification, diagnosis and treatment. However, misleading prejudice stemming from lack of basic knowledge poses difficulties when offering appropriate therapy. The present paper aims to demonstrate the implications of such unawareness and stigmas, as well as to present the dilemmas and flaws in the professional relationship required between those involved in rendering appropriate care...
October 2014: Medicine and Law
Dorit Rubinstein
The increase in the number of older people in the world emphasizes the need to reevaluate and change health care policy and care services priorities. The provision of health care for this growing population has consequently become an important worldwide concern. The purpose of this article is to highlight the challenges stemming from the growing number of elderly people and their need for care. Collaborative and coordinated health care services for elderly people should be focused on the ethical issues deriving from the interpersonal relationships between the professional caregiver and the older person...
October 2014: Medicine and Law
Ilan Keidar
Modern medicine offers better health and longer life expectancy, yet consumes huge budgets. The Israeli Health Insurance Law (IHIL) regulates the delivery of health services to all Israel's residents through Health Maintenance Organizations (HMOS). These organizations confront constant struggles with their budgets and have to reduce expenses as much as possible (without harming the health level rendered). In the constant necessity to restrain expenses are embedded difficulties that might cause unrest to the Public Health System (PHS)...
October 2014: Medicine and Law
Limor Malul
The nature of physician-patient relationships has been documented in the ancient Greek and Roman, as well as in that of the Middle Ages and modern times' literature. Far back as in Hippocrates' writings, ethical dilemmas including those concerning patient-physician relationships, patient consent to treatment and end of life issues have been raised and discussed. Over time, changes have occurred in the dynamic between the diverse values that are taken into consideration when defining the therapeutic milieu. The nature of this dyad has have moved from a paternalistic framework empowering the physician and emphasizing the patient's wellbeing, to a relational framework that empowers the patient and is focused on his desires and rights...
October 2014: Medicine and Law
Ruth Wolf
The medical approach as summarized by Leibowitz--"We must treat the person, not just the disease"--highlights the importance of treating the sick person and not only the illness' pathology. This approach calls for healing not only the physical side, but also--and mainly--the mental aspect of the patient. One of the goals of this article is to turn physicians' attention towards the compassion necessary in treating a person with a severe or chronic illness, or a person who is dying--precisely because sometimes there is no medical cure for the physical state of such a patient...
October 2014: Medicine and Law
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