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Les grands magasins de la médecine de Milton Friedman 米尔顿·弗里德曼的医药百货公司
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.07.002
Mathieu Ginier-Gillet (Omnipraticien, Chercheur indépendant)

The coronavirus pandemic has brought back the question in Western countries of the solidity of their health systems. This article discusses Friedman's 1962 piece of work, “Capitalism and Freedom”, and more specifically his presentation based on American occupational licensure. This research insists beyond the complexity of “de-licensing laws” passed for some U.S. health care facilities, on the consequences of a parasitic competition on health care ethics.

冠状病毒大流行在西方国家重新引发了对其卫生系统可靠性的质疑。本文讨论弗里德曼1962年的著作《资本主义与自由》,更具体地说,是他基于美国职业执照的演讲。这项研究超越了美国一些医疗机构通过的“去许可法”的复杂性,强调了寄生竞争对医疗伦理的影响。
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引用次数: 0
La responsabilité pénale du psychiatre du fait de son patient 精神病医生对病人的刑事责任
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.07.003
Alice Milon (médecin légiste) , Renaud Bouvet (médecin légiste, docteur en droit)

If the criminal liability remains personal, recent case law has tended to broaden the hypotheses for the doctor's criminal liability in the case of unintentional offenses. The question particularly concerns the psychiatrist, because of acts committed by his patient, on the basis of articles 221-6 or 222-19 of the French penal code. However, judicial assessment of the fault and its causal link with the damage does not impose on the psychiatrist an obligation of result, insofar as only serious professional misconduct, manifestly not in accordance with the rules of medical art, are sanctioned.

如果刑事责任仍然是个人的,最近的判例法倾向于扩大对医生在非故意犯罪情况下的刑事责任的假设。这个问题特别涉及精神科医生,因为他的病人根据《法国刑法》第221-6或222-19条所犯的行为。然而,对过失及其与损害的因果关系的司法评估并不要求精神科医生承担结果义务,因为只有明显不符合医疗艺术规则的严重专业不当行为才会受到制裁。
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引用次数: 0
La responsabilité médicale des accidents de la circoncision en Tunisie : à propos de trois affaires judiciaires 突尼斯包皮环切术事故的医疗责任:关于三个法律案件
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.05.004
Khaled Annabi (Médecin résident en médecine légale) , Elyes Turki (Médecin assistant en médecine légale) , Amal Ben Daly (Médecin résidente en médecine légale) , Mohamed Ben Dhiab (Professeur en Médecine Légale)

Circumcision is the most frequently performed surgical procedure worldwide, mainly as part of religious rituals. It may lead to serious complications. Although there is no specific law relative to circumcision accidents in Tunisia, the occurrence of complications of this act is likely to engage the penal, civil and disciplinary liability of the doctor. Prevention involves respecting the principles of the Medical Deontology Code, raising awareness about the need to practice circumcision in a medical environment and the promulgation of specific legislation regulating this act. The new Tunisian law on medical liability seems to offer a solution to solve the legal complaints concerning circumcision accidents by providing more opportunities for amicable settlement and at the same time guaranteeing adequate and rapid compensation of the prejudice. In this article, we discuss the medical liability of circumcision accidents through three medicolegal cases carried out at the Department of Legal Medicine of Ibn El Jazzar University Hospital, Kairouan, Tunisia.

包皮环切术是世界上最常见的外科手术,主要作为宗教仪式的一部分。它可能会导致严重的并发症。虽然突尼斯没有关于包皮环切事故的具体法律,但这种行为的并发症的发生很可能使医生承担刑事、民事和纪律责任。预防包括尊重《医疗义务法典》的原则,提高人们对在医疗环境中实施包皮环切术必要性的认识,以及颁布规范这一行为的具体立法。突尼斯关于医疗责任的新法律似乎提供了一种解决包皮环切事故的法律申诉的办法,为友好解决提供了更多的机会,同时保证对偏见给予充分和迅速的赔偿。在本文中,我们通过在突尼斯凯鲁万Ibn El Jazzar大学医院法医学部门进行的三个医学法律案例来讨论包皮环切事故的医疗责任。
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引用次数: 1
Erratum à « L’expertise médicale au temps des pandémies : l’exemple des cancers » [Med. Droit 2020 (2020) 92–95] "流行病时期的医学专业知识:癌症的例子"的勘误表[Med. Droit 2020 (2020) 92 - 95]
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.09.001
Dr Rémy J. Salmon (Membre honoraire de l’Académie de Chirurgie, Ancien chef du département de Chirurgie de l’Institut Curie, Expert près des CCI et Tribunal Administratif de Paris) , Pr Catherine Buffet (Membre de l’Académie Nationale de Médecine, Ancienne Cheffe du service des maladies du foie et de l’appareil digestif de Bicêtre, Expert près des CCI et de l’ONIAM) , Dr Christine Estève (Docteur en droit, Expert agréé par la cour de cassation)
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引用次数: 0
Corrigendum à « Les grands magasins de la médecine de Milton Friedman » [Med. Droit (Paris). (2020)]. doi:10.1016/j.meddro.2020.07.002 《米尔顿·弗里德曼医学百货公司》的勘误表(巴黎)。(2020年)]。doi: 10.1016 / j.meddro.2020.07.002
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.10.001
Mathieu Ginier-Gillet (Omnipraticien, Chercheur indépendant)
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引用次数: 0
Un produit de santé peut-il changer de statut au gré des circonstances ? Éléments de réflexion avec l’exemple précis du savon 保健品的状态会因情况而改变吗?以肥皂为例进行反思
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-12-01 DOI: 10.1016/j.meddro.2020.07.001
Laurence Coiffard, Céline Couteau

Soap is a cosmetic product in common use during this pandemic period. It enables barrier gestures to be carried out. Capable of preventing pathology (COVID-19), it should, therefore, be marketed under a drug status. If we consider the history of soap, we realize the complexity of its status. Depending on the period, it has been considered as a hygiene product and/or as an excipient or an active ingredient allowing the production of a drug or cosmetic making it possible to treat both scabies and burns, to carry out purges or to put at the point of preparations to soften or whiten hands or to lengthen eyelashes. The use of the term “soap”, being extremely overused, the establishment of regulations to clarify this situation is essential.

在这次大流行期间,肥皂是一种常用的化妆品。它可以实现障碍手势。能够预防病理(COVID-19),因此,它应该以药物身份上市。如果我们考虑一下肥皂的历史,我们就会意识到它地位的复杂性。根据不同的时期,它被认为是一种卫生产品和/或作为一种赋形剂或一种活性成分,允许生产一种药物或化妆品,使其能够治疗疥疮和烧伤,进行清洗或在制剂点上软化或美白手或延长睫毛。由于“肥皂”一词被过度使用,因此必须制定规章来澄清这种情况。
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引用次数: 1
L’ADN, la reine des preuves imparfaites dna,不完美证据之王
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-10-01 DOI: 10.1016/j.meddro.2020.05.002
Catherine Ménabé (Maître de conférences HDR, Directrice du DU de Criminologie)

Due to the progress of science and the stakes of inquiry and sentence, the DNA analysis is subject of a substantial development within the area of criminal procedure. However, the DNA is by no means a perfect evidence and it faces scientific, ethic and legal limits which result in reconsidering the balance between the stakes of punishment and the protection of Fundamental Freedoms.

由于科学的进步以及调查和判决的利害关系,DNA分析在刑事诉讼领域得到了实质性的发展。然而,DNA绝不是一个完美的证据,它面临着科学、伦理和法律的限制,这导致人们重新考虑惩罚和保护基本自由之间的平衡。
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引用次数: 0
Le harcèlement : évolution du droit français et problématiques de l’évaluation des victimes 骚扰:法国法律的演变和受害者评估的问题
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-10-01 DOI: 10.1016/j.meddro.2020.04.004
François Van Maris (interne en médecine légale), Gaëtan Prissette (psychiatre et légiste), Pr Cécile Manaouil (légiste et docteur en droit)

Medical doctors are often asked by patients victim of harassment, or even by the authorities, to establish medical certificate. Harassment is a complex phenomenon, covering a wide range of behaviours occurring in multiple situations. The writing of such a certificate can prove to be difficult, can be a cause of legal proceedings for clinicians, especially at a disciplinary level. Moreover, the evaluation is all the more complex since the qualification of harassment by the judge sometimes requires an evaluation of the impact on the victims under the form of a Total Work Incapacity (TWI) duration, but not under all the circumstances existing in French law. In this article, we first propose to address general consideration towards the writing of the certificate, before doing a systematic review of the successive evolutions of French penal and labour law regarding harassment in its most frequent forms. Finally, we propose to address the matter of victims evaluation, especially towards TWI duration evaluation, which does not seem to us an adapted tool regarding the fact that harassment is usually a chronical and durable phenomenon.

遭受骚扰的病人甚至当局经常要求医生出具医疗证明。骚扰是一种复杂的现象,涵盖了多种情况下发生的广泛行为。这样的证书的写作可能被证明是困难的,可能是临床医生的法律诉讼的原因,特别是在学科层面。此外,评估工作更加复杂,因为法官对骚扰行为的认定有时需要根据完全丧失工作能力的持续时间评估对受害者的影响,但不是根据法国法律现有的所有情况。在本文中,我们首先建议对证书的编写进行一般性考虑,然后对法国刑法和劳动法关于最常见形式的骚扰的连续演变进行系统审查。最后,我们建议解决受害者评估问题,特别是对TWI持续时间的评估,在我们看来,这似乎不是一个适应的工具,因为骚扰通常是一个长期和持久的现象。
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引用次数: 0
La déontologie médicale à l’épreuve de l’épidémie de Covid 19 : à propos de l’Hydroxychloroquine Covid - 19疫情下的医学伦理:关于羟氯喹
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-08-01 DOI: 10.1016/j.meddro.2020.06.003
Anne-Marie Duguet (Maitre de conférences Émerite)
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引用次数: 0
Dispositif d’urgence en situation de crise sanitaire : application d’un régime dérogatoire au pharmacien d’officine 在卫生危机情况下的紧急安排:对药剂师实行减损制度
IF 0.2 Q4 MEDICINE, LEGAL Pub Date : 2020-08-01 DOI: 10.1016/j.meddro.2020.04.003
Romain Métayer (Docteur en pharmacie, doctorant en droit)

The coronavirus pandemic is an unprecedented health crisis (in the XXIth Century). France has declared a “state of health emergency”. In order to tackle the spread of the virus and to prevent the risk of overwhelming the health care system, the French government has implemented extraordinary measures all over the country. In accordance with the public health code, the Minister of Health has implemented the provisions that are deemed necessary to avoid jeopardizing the therapeutic follow-up of patients. The mandatory medical prescriptions dispensing system is being transformed for a limited period. Therefore, the pharmacist's liability is disrupted.

冠状病毒大流行是(21世纪)前所未有的健康危机。法国宣布进入“卫生紧急状态”。为了应对病毒的传播,防止医疗系统不堪重负的风险,法国政府在全国范围内实施了非常措施。根据《公共卫生法》,卫生部长执行了被认为必要的条款,以避免损害病人的后续治疗。强制性处方配发制度正在进行限期改革。因此,药剂师的责任被打乱了。
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引用次数: 1
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Medecine & Droit
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