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Les empreintes génétiques et les limites de l’expertise 基因指纹和专业知识的局限性
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-04-18 DOI: 10.1016/j.meddro.2023.04.001
Clotilde Bricot (Doctorante contractuelle)

The DNA is now seen as irrefutable proof, both by actors on the ground and by civil society in general, especially in criminal matters. Nevertheless, although it's valuable in some cases, the DNA evidence cannot be described as infallible. It has many limitations, in particular as regards fundamental freedoms.

DNA现在被现场行为者和民间社会普遍视为无可辩驳的证据,尤其是在刑事案件中。然而,尽管DNA证据在某些情况下很有价值,但它不能被描述为绝对可靠。它有许多限制,特别是在基本自由方面。
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引用次数: 0
Le don du corps à la science enfin encadré juridiquement 身体对科学的捐赠最终受到法律监管
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-04-01 DOI: 10.1016/j.meddro.2022.11.004
Clotilde Rougé-Maillart (Professeur de médecine légale et droit de la santé)

Until very recently, the decision to donate a body to science was governed solely by the funeral policy. There was no legal framework setting out how such bodies were to be used. The Descartes mass grave scandal set in motion a process of reflection that led to the introduction of several provisions in the French Public Health Code. Reception facilities must now be licensed and have governance in place. Use may only be made of bodies once plans have been reviewed by scientific and educational ethics committees, and donors must be better informed as to how their bodies will be used. Families are given wider scope for inclusion, meaning that they can be notified of the wishes of the deceased, and of the possibility of having the body returned to them for burial. These long-awaited legal provisions are a real step forward. However, it is unfortunate that this work did not provide an opportunity for wider reflection on the use of bodies, particularly for research purposes. In fact, the provisions and supervisory bodies change according to whether the ultimate goal is research on bodies arising from a donation, research on samples, or research on brain-dead persons. It would have been worthwhile to standardize procedures and control bodies, and perhaps to include research on antique corpses in this reflection.

直到最近,向科学界捐赠遗体的决定还完全由葬礼政策决定。没有法律框架规定如何使用这些机构。笛卡尔集体坟墓丑闻引发了一个反思过程,导致《法国公共卫生法》引入了几项条款。接待设施现在必须获得许可证,并进行管理。只有在科学和教育伦理委员会审查了计划后,才能使用尸体,捐赠者必须更好地了解如何使用他们的尸体。家庭被赋予了更大的包容范围,这意味着他们可以被告知死者的意愿,以及将尸体归还给他们安葬的可能性。这些期待已久的法律条款是向前迈出的真正一步。然而,令人遗憾的是,这项工作没有为更广泛地反思身体的使用,特别是用于研究目的提供机会。事实上,条款和监督机构的变化取决于最终目标是对捐赠产生的尸体进行研究、对样本进行研究还是对脑死亡人员进行研究。将程序和控制机构标准化是值得的,也许在这一反思中包括对古董尸体的研究。
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引用次数: 0
Réflexions sur la fin de vie 关于生命终结的思考
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-04-01 DOI: 10.1016/j.meddro.2022.12.002
Philippe Cournarie

The following reflections have to do with the "end of life" and are presented here as a lecture addressed to high school and preparatory school student attending a Parisian institute. They were developed with the aim of finding where a current citizens' debate called for by the executive branch and timeless, age-old questions might overlap. When we begin to ponder ultimates such as birth or death, we owe it to ourselves to take into consideration all the nuances involved; this is the only way to process the complexity of these topics. The goals of this course are, first of all, to situate the current debate within the ethical and juridical history of France, and then proceed towards making necessary conceptual distinctions. Finally, we will consider, as much as possible, what is at stake with the options at hand.

以下思考与“生命的终结”有关,是在这里向巴黎一所学院的高中生和预科生发表的演讲。它们的开发目的是找到行政部门呼吁的当前公民辩论和永恒的、古老的问题可能重叠的地方。当我们开始思考诸如出生或死亡之类的最后决定时,我们有义务考虑到所有涉及的细微差别;这是处理这些主题复杂性的唯一方法。本课程的目标首先是将当前的辩论置于法国的道德和司法史中,然后着手进行必要的概念区分。最后,我们将尽可能多地考虑手头各种选择的利害关系。
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引用次数: 0
Valorisation de la recherche en santé humaine et protection des données à l’ère du numérique 数字时代人类健康研究和数据保护的定价
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-04-01 DOI: 10.1016/j.meddro.2022.11.002
Frédérique Lesaulnier (Docteure en droit, déléguée à la protection des données de l’Institut du cerveau)

Medical research collects a huge number of medical data sheltered in Data Centers. An European regulation rule (GDRP) or General Data Protection Regulation aims to give an ethic frame to protect personal data and delegate responsability to citizens.

医学研究收集了数据中心保护的大量医学数据。欧洲监管规则(GDRP)或《通用数据保护条例》旨在为保护个人数据提供一个道德框架,并将责任委托给公民。
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引用次数: 0
Responsabilité médicale et expertise : de la loi du Talion à la loi Kouchner 医疗责任和专业知识:从塔利昂法到库什内尔法
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-02-01 DOI: 10.1016/j.meddro.2022.11.003
Arnaud Léger , Cécile Manaouil (Membre de la commission de conciliation et d’indemnisation de Picardie et de la commission nationale des accidents médicaux) , Dominique Montpellier (Membre de la commission de conciliation et d’indemnisation de Picardie) , Marie-Laure Moquet-Anger (Professeur agrégé de droit public) , Philippe Pierre (Directeur de l’Axe Responsabilité/Sécurité de l’IODE (UMR CNRS 6262))

Despite the appearance from the Mesopotamian era of medical responsibility, an apparent impunity of the doctor will be in place until the 19th century. In France, it will be necessary to wait for the Napoleonic codes of 1804 and 1810 in order to clearly dissociate the civil and criminal responsibilities of the doctor. If liability for fault remains the rule in medical matters today, the concept of liability without fault introduced by the industrial revolution and the legislation on industrial accidents was taken up by the Kouchner law of 2002. It definitively opens the way to a statutory and legal compensation for non-faulty medical accidents under national solidarity via the National Office for Compensation for Medical Accidents (ONIAM) and the Conciliation and Compensation Commissions (CCI). Expertise in medical liability is now the backbone of the victim compensation process. It guides the magistrate in the recognition of faulty or non-faulty medical liability and helps him to set the amount of compensation allocated with regard to bodily injury.

尽管美索不达米亚时代出现了医疗责任,但医生明显有罪不罚的现象将持续到19世纪。在法国,有必要等待1804年和1810年的拿破仑法典,以明确区分医生的民事和刑事责任。如果说过失责任仍然是当今医疗事务的规则,那么2002年的库什内尔法采用了工业革命和工伤事故立法引入的无过失责任概念。它通过国家医疗事故赔偿办公室(ONIAM)和调解与赔偿委员会(CCI),在全国团结一致的情况下,为非过失医疗事故的法定和法律赔偿开辟了道路。医疗责任方面的专业知识现在是受害者赔偿程序的支柱。它指导裁判官承认有过错或无过错的医疗责任,并帮助他确定与身体伤害有关的赔偿金额。
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引用次数: 0
Le suicide de l’Antiquité au XXI siècle. Les éditions hospitalières ; Bordeaux ; août 2022 ; 812 pages 50e TTC 21世纪的古代自杀。医院版;波尔多;2022年8月;812页50e TTC
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-02-01 DOI: 10.1016/j.meddro.2022.11.001
Philippe Biclet
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引用次数: 0
Judicial protection of the right to health in the context of Covid-19 and populism in Brazil 新冠肺炎疫情和巴西民粹主义背景下健康权的司法保护
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-02-01 DOI: 10.1016/j.meddro.2022.10.003
Rodolfo Gutiérrez Silva

Background

The Covid-19 pandemic has brought new challenges to the health systems of Latin America. However, the institutions and mechanisms created by the Social State of Law were unable to confront these new risks. As a result of that, populist governments have used this crisis as an opportunity to deepen the high levels of inequalities through the appropriation of power, wealth and social welfare. Courts have also reacted in order to guarantee the right to health; however, many challenges remain.

Objective

To examine the challenges and opportunities of the judicial protection of the right to health in the context of Covid-19 and Populism in Brazil.

Methodology

Qualitative, descriptive and exploratory. Documentary research was carried out by reviewing databases such as Scholar, PubMed, and Scopus. Indexed articles, jurisprudence, legislation, and literature were also reviewed. Additional publications were also identified through other sources.

Results

There is an inversely proportional relationship between the intensity of the crisis and the level of judicial activism on the part of the Courts. Therefore, the more the scale and intensity of the crisis generated by populist governments in the context of pandemics, uncertainty, and inequality the more reflexive, and strategic courts should be and the more protection, defense and monitoring should be promoted in order to ensure the fulfilment of the right to the highest attainable level of health especially of the most vulnerable. On the other hand, the more compliance through the availability of health goods and services, and the more availability of health workers with better salaries, social security and working conditions the more resilient the State will be to face emergencies, which at the same time will promote fewer restrictions on fundamental rights.

Conclusions

Courts play a special role in protecting the right to health, especially in the context of emergencies and crises. States must adopt measures by using the maximum available resources in order to protect the right to the highest attainable standard of health.

2019冠状病毒病大流行给拉丁美洲的卫生系统带来了新的挑战。然而,社会法治国家所建立的机构和机制无法应付这些新的风险。因此,民粹主义政府利用这次危机作为一个机会,通过侵占权力、财富和社会福利,加深了高度的不平等。法院也作出了反应,以保障健康权;然而,许多挑战依然存在。目的探讨新冠肺炎疫情和民粹主义背景下巴西健康权司法保障面临的挑战与机遇。方法:定性、描述性和探索性。文献研究通过查阅Scholar、PubMed和Scopus等数据库进行。索引文章,法理学,立法和文献也进行了审查。还通过其他来源确定了其他出版物。结果危机的严重程度与法院司法能动程度成反比关系。因此,民粹主义政府在大流行病、不确定性和不平等的背景下造成的危机的规模和强度越大,法院就越应具有反思性和战略性,并应更多地促进保护、防御和监测,以确保实现可达到的最高健康水平的权利,特别是最弱势群体的权利。另一方面,通过提供卫生物资和服务,遵守情况越好,工资、社会保障和工作条件更好的卫生工作者越多,国家面对紧急情况的复原力就越强,同时也将促进减少对基本权利的限制。结论法院在保护健康权方面发挥着特殊作用,特别是在紧急情况和危机背景下。各国必须采取措施,最大限度地利用现有资源,以保护享有能达到的最高标准健康的权利。
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引用次数: 0
La fécondation artificielle post-mortem dans le Code civil Hellénique 希腊民法典中的死后人工受精
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2023-02-01 DOI: 10.1016/j.meddro.2022.10.001
Andreas-Nikolaos Koukoulis (Maître de conférences adjoint à la Faculté de droit de l’Université de Thrace/Chercheur postdoctoral à la Faculté de droit de l’Université d’Athènes)

Medically assisted reproduction offers a technique that allows to have children of a recently deceased person. This is provided for in the Hellenic Civil Code. This article analyzes and criticizes the conditions of post-mortem assisted reproduction according to the Hellenic Civil Code.

医学辅助生殖提供了一种技术,可以让最近去世的人生孩子。《希腊民法典》对此作出了规定。本文根据《希腊民法典》对尸检辅助生殖的条件进行了分析和批判。
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引用次数: 0
Refus transfusionnel 拒绝输血
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2022-12-01 DOI: 10.1016/j.meddro.2022.09.002
François Vialla (Professeur de Droit privé et sciences criminelles, Directeur du Centre Européen d’Études et de Recherche Droit&Santé, Professeur des universités, Directeur de l’École de Droit de la Santé)

After a twenty-year hiatus, the issue of transfusion refusal issued by Jehovah's Witnesses comes up in legal news with the decision of May 20, 2022 rendered by the Council of State. During these 20 years the rights of patients and the autonomy of the person have been considerably strengthened. Although the refusal of treatment is clearly stated in the law, the High Administrative Court nevertheless maintains its position.

在中断了20年之后,耶和华见证人发布的拒绝输血问题在2022年5月20日由国务委员会作出的决定中出现在法律新闻中。在这20年中,病人的权利和人的自主权得到了相当大的加强。虽然法律中明确规定了拒绝待遇,但高等行政法院仍然维持其立场。
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引用次数: 0
Un mineur peut-il consentir à un parcours de transition médicale? 未成年人可以同意医疗过渡途径吗?
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2022-12-01 DOI: 10.1016/j.meddro.2022.09.001
Olivia Sarton (Juriste, Directrice scientifique de Juristes pour l’enfance)

As hundreds of so-called transgender children and teenagers enter “medical transition” processes with serious consequences, the relevance of the application of the rules of the Public Health Code relating to patient information and consent must be questioned : to what extent are these young minors capable of understanding the information provided and giving free and informed consent to these programmes?

The medical controversies that have arisen concerning the consequences of the medical transition processes, the experimental nature of which has been pointed out, raise serious doubts about the quality, reliability and fairness of the information given. Furthermore, is the complexity of the information communicated to minors who have no life experience, the eagerness of young patients, the influence of social networks, and the censure attached to possible therapeutic alternatives compatible with the capacity to give free and informed consent?

Finally, if it is not a question of treating a pathology but of “concretising the right to self-determination”, can we still claim the application of rules specific to the medical field? If there is no medical necessity or very serious medical reason, is it legitimate to accede to a minor's request to irreversibly damage his or her body?

In the UK, a thousand families are reportedly preparing to take legal action for medical negligence, alleging that their vulnerable children have been misdiagnosed and placed on a damaging medical transition course. Yet these minors had been found to be ‘consenting’.

It is time to weigh up the relevance of the sacredness of the minor's consent.

由于数以百计的所谓跨性别儿童和青少年进入"医疗过渡"过程,造成严重后果,必须质疑《公共卫生法》中有关患者信息和同意的规则的适用性:这些未成年人能够在多大程度上理解所提供的信息并对这些方案作出自由和知情的同意?医学过渡过程的实验性质已被指出,其后果引起的医学争议使人们对所提供信息的质量、可靠性和公正性产生了严重怀疑。此外,向没有生活经验的未成年人传达信息的复杂性,年轻患者的渴望,社会网络的影响,以及对可能的治疗方案的谴责,是否与给予自由和知情同意的能力相一致?最后,如果这不是治疗一种病症的问题,而是"使自决权具体化"的问题,我们还能声称适用于医疗领域的具体规则吗?如果没有医疗需要或非常严重的医疗原因,同意未成年人对其身体进行不可逆转伤害的请求是否合法?据报道,在英国,有1000个家庭正准备对医疗过失提起法律诉讼,声称他们脆弱的孩子被误诊,并被置于破坏性的医疗过渡过程中。然而,这些未成年人被发现是“同意的”。是时候衡量未成年人同意的神圣性的相关性了。
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引用次数: 2
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Medecine & Droit
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