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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 Q4 MEDICINE, LEGAL Pub Date : 2024-06-01 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)

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.

在体外受精(IVF)提出的医学、科学和伦理问题中,有关受孕儿童和青年的中长期健 康问题至关重要。在第一个试管婴儿诞生 45 年后,在全世界有 800 多万人通过试管婴儿受孕的同时,美国国 家医学科学院专门就这一主题编写了一份报告,主要分析了许多国际研究的结果。已公布的结果相当令人欣慰,但这些结果并不总是一致的,仍然存在许多不确定因素。医学科学院呼吁在特征更明确的人群中和在晚年开展进一步的流行病学和临床研究。医学科学院还建议开展基础研究,以更好地解释体外受精的潜在影响。
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引用次数: 0
La prise en compte du consentement dans les lois d’interdiction des thérapies de conversion sexuelle 在禁止性转化疗法的法律中考虑同意因素
IF 0.1 Q4 MEDICINE, LEGAL Pub Date : 2024-05-29 DOI: 10.1016/j.meddro.2024.05.002
Léa Lepoix (doctorante contractuelle)
Conversion therapies are pseudo-scientific practices aimed at changing sexual orientation or gender identity using violent methods. Since January 31, 2022, French law has expressly prohibited the practice of conversion therapy. All the difficulty in legislating on this subject tends to not affect the right of individuals to benefit from sexual reassignment operations, which although modifying the identity of people, an intervention whose medical justifications are clearly established.
转化疗法是一种伪科学做法,旨在通过暴力手段改变性取向或性别认同。自 2022 年 1 月 31 日起,法国法律明令禁止转换疗法。虽然变性手术改变了人的身份,但这一干预措施在医学上的合理性已得到明确证实。
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引用次数: 0
Chronique d’hospitalisation sans consentement 未经同意住院的大事记
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2024-04-01 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)

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.

精神病住院或未经同意住院专栏分析了法院有关剥夺精神病患者基本权利和自由的主要判决。本专栏将介绍 2022 年 9 月至 12 月期间的主要判决。
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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 Q4 MEDICINE, LEGAL Pub Date : 2024-04-01 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)

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.

防治动物源性疾病非常重要,尤其是在气候和环境干扰会影响人类健康和物种生存的情况下。全球、欧洲和法国都有各种人类和动物健康监测系统。在这些系统中,野生动物虽然是疾病传播的一个重要因素,但在法国却只占微不足道的地位。监测野生动物健康主要是猎人的责任。他们的监测、数据收集和预警系统与人类健康监测系统缺乏联系。本文从国外的例子出发,提出了一些将野生动物监测系统更好地融入人类健康监测系统的方法,以期建立全面的监测和预警系统,能够更有效地应对与我们生态系统的快速转变相关的流行病风险。
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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 Q4 MEDICINE, LEGAL Pub Date : 2024-04-01 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)

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.

通过分析医生在性病和壮阳药之间的角色,我们可以发现,在社会身体和人类身体、公共健康和个人健康之间存在着紧张关系。与肉体之爱有关的医学法律的演变表明了这一领域的重大发展。通过重新定义医学活动,换句话说,那些属于医生艺术范畴的活动,它对医学本身的定义提出了质疑。
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引用次数: 0
La cour de cassation interdit les expertises psychiatriques à distance : l’enfer est toujours pavé de bonnes intentions 最高上诉法院禁止远程精神病评估:通往地狱的道路总是由善意铺就的
IF 0.1 Q4 MEDICINE, LEGAL Pub Date : 2024-03-15 DOI: 10.1016/j.meddro.2024.02.003
A recent judgment handed down by the Court of Cassation prohibits the use of telecommunications means to carry out psychiatric assessments. This ban can be welcomed in that it makes it possible to offer quality expertise throughout France, but on the contrary, it arouses fear given the low number of experts and their uniform distribution across the territory.
最高法院最近的一项判决禁止使用电信手段进行精神病评估。这一禁令值得欢迎,因为它使得在法国全国范围内提供高质量的专业知识成为可能,但相反,由于专家人数较少且分布在全国各地,这一禁令引起了人们的担忧。
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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 Q4 MEDICINE, LEGAL Pub Date : 2024-02-01 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)

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.

在立法者准备修改《克莱斯-莱奥内蒂法》之际,回顾一下针对未成年人的现行法律以及辩论中的伦理问题似乎是有益的。如果限制或停止积极治疗(LATA)的决定涉及未成年人,则需要征求亲权持有者的意见,除非紧急情况导致无法进行协商。另一方面,法律法规没有规定必须征得父母同意的义务。国务委员会和宪法委员会为照顾者开辟了一条复杂的争议之路,他们认为,在司法部门的要求下,照顾者必须继续照顾,这是不合理的顽固行为。我们将研究法国行政法院判决的四起未成年人案件。
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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 Q4 MEDICINE, LEGAL Pub Date : 2024-02-01 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)

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.

随着神经法学的发展和大脑新秘密的发现,刑事司法系统利用神经科学的研究成果在司法方面取得了重大进展。神经科学技术在伊斯兰刑法体系中的一个重要应用,就是从神经心理学的角度解释人类自由意志的各个层面,除了为界定这一刑事责任要素创造新的方法外,还能确保被告在犯罪过程中的自由意志。为此,当前的研究试图在伊朗刑事司法系统的框架内回答这些问题:从伊斯兰神经法的角度来看,什么是自由意志?本文努力向刑事司法的发展迈出适当的一步,并介绍了伊斯兰神经法。在这项研究中,我们发现精神障碍、胁迫、紧急情况、醉酒、昏睡和错误是核心原因,可以通过脑电图和 fMRI 技术以特定方式进行评估,尽管每种技术都有其局限性。
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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 Q4 MEDICINE, LEGAL Pub Date : 2023-10-25 DOI: 10.1016/j.meddro.2023.07.002
Arnaud Ledoux

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.

本研究的目的是在社会工作和住房服务的支持下,开展康复路径上的具体行动,对每一种长期住院情况进行系统化的深入分析。只有更好地识别复杂因素和可能发生变化的变量,定期调整组织,以及有关部门之间的协同工作,才能设想康复途径中的综合全球管理。医院外设施在病人出院的前景中起着至关重要的作用,这就要求护理系统具备对再入院病人的快速中继能力,护理陪同是有效的,病人的护理项目应适应他的需要。医院内康复单位的关闭可能导致许多住院病人不再能够获得他们所需的专门康复服务。
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引用次数: 0
L’expertise en ostéopathie, une prérogative médicale ? 骨病专业知识,医学特权?
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-10-01 DOI: 10.1016/j.meddro.2023.02.003
Stéphane Beaume

With his decision of 22th august 2022, the Justice ministry modified the list of specialities relative to legal experts, created in 2005, intended for the establishment of annual list of experts by each court of appeal. In this list, we find legal experts of health field: medical professions, medical auxiliaries and regulated professions as psychologists and osteopathic physicians. In the last nomenclature, it was missing one specific specialty about osteopath. The decision changes this problem with the creation of not one category for osteopaths, but two. So, does two categories are really better? And if yes, for who?

根据他2022年8月22日的决定,司法部修改了2005年制定的与法律专家相关的专业名单,旨在由每个上诉法院制定年度专家名单。在这份名单中,我们找到了健康领域的法律专家:医学专业、医疗辅助和受监管的专业,如心理学家和整骨医生。在上一个命名法中,它缺少了一个关于整骨医生的特定专业。这一决定改变了这个问题,为整骨医生创建了两个类别,而不是一个类别。那么,两类真的更好吗?如果是,为谁?
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引用次数: 0
期刊
Medecine & Droit
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