Implementation Of Medical Interventions Research Articles

Foreign Experience of Legal Regulation of the Right of Minors to independently make a Decision on granting Consent for Medical Intervention

The subject of this work is the study of foreign experience in the normative consolidation of the right of minors to independently make decisions on granting consent to medical intervention. The author notes that, despite the substantial guarantees of prompt consideration of such cases provided for by the Code of Administrative Procedure of the Russian Federation, it is obvious that a delay in the implementation of medical intervention may entail serious consequences. In view of the above, the foreign experience of securing out-of-court procedures for obtaining such consent is of significant interest. The article considers examples of regulatory regulation used in certain European (the Republic of Latvia, the Republic of Serbia) and North American (Canada, the United States of America) states.The article considers examples of regulatory regulation used in certain European (the Republic of Latvia, the Republic of Serbia) and North American (Canada, the United States of America) states. During the research, the author used various methods of scientific cognition, both general scientific: analysis, synthesis, logical and structural-functional, and private scientific: formal legal, legal modeling method and comparative legal. The novelty of the research lies in the fact that the author for the first time in Russian legal science conducted a comparative analysis of the normative consolidation of the right of minors to independently make decisions on granting consent to medical intervention. The author comes to the conclusion that the issue of the need to expand the possibilities of minors to give appropriate consent, in relation to the Russian Federation, requires separate study and in the process of this work, foreign experience may well be taken into account.

Установление профессиональной обязанности медицинских работников при квалификации деяний, связанных с причинением смерти либо вреда здоровью пациента

The system of formal (legal) sources of professional duties of medical workers related to the provision of medical care to patients (implementation of medical intervention) is investigated. The provisions of the Constitution of the Russian Federation, the norms of international law, which is the core (basic) in the field of public health protection, Federal Law № 323-FZ of 21.11.2011 “On the basics of public health protection in the Russian Federation”, other federal laws adopted in accordance with it, other regulatory legal acts of the Russian Federation (for example, organizational and administrative documents of the Ministry of Health of the Russian Federation on the approval of procedures for the provision of medical care), legislation of the subjects of the Russian Federation, as well as municipal legal acts in the field of health protection. The assessment of the possibility of using the provisions of international legal acts in the field of health protection by law enforcers in the qualification of acts of medical workers, as a result of which patients are harmed or their death occurs, is given. Special attention is paid to the federal law specified as a profile law, which establishes both the specific duties of medical workers, medical organizations, issues of organizing medical care for patients, and criteria for the quality of medical care provided by medical workers. It is concluded that along with other regulatory legal acts of the federal level, a number of regulations concerning medical workers (senior management) establishes the Code of Professional Ethics of a doctor of the Russian Federation. According to the results of the study, the system of formal (legal) sources of professional duties of medical workers should include the provisions of Federal Law № 323-FZ dated 21.11.2011 “On the basics of protecting the health of citizens in the Russian Federation”, other federal laws adopted in accordance with it, other regulatory legal acts of the federal level and the legislation of the subjects of the Russian Federation.

Beyond the Fingerstick: Complications of Diabetes in the Acutely Ill Patient with Covid-19 with Lessons from Translation Biology and Therapeutics

The affliction that the Coronavirus Disease 2019 (COVID-19) pandemic has placed on the infrastructure of healthcare institutions across the globe permeates to the level of the provider, hampering clinical decision-making capacity and capability. Associated with the latter has been unprecedented, sweeping changes in biomedical equipment manufacturing, triage dynamics, and implementation of medical interventions in a landscape replete with clinical literature attempting to characterize features in COVID-19 patients. Preliminary assessments into the elements of the SARS-CoV-2 virus (the strain of coronavirus responsible for COVID-19) in addition to the delineation of patient flux pertaining to COVID-19 has identified diabetes as a prevalent comorbidity with increased mortality and increased disease burden in the acutely ill. The volume of patients with COVID-19 superimposed upon complicated diabetes exemplifies that insight into this association offers an expanded perspective of diabetes mellitus. Moreover, given the extensive organ compromise seen in COVID-19 in addition to the established notion that diabetes is a systemic syndrome of metabolism, an appraisal of the literature of medical management and precursory findings serve as bearings that help render clinical principles into viable treatments. In this review we investigate the array of contemporary literature surrounding COVID-19 with a perspective centered upon the management of acute diabetes complications, namely diabetic ketoacidosis and hyperosmolar hyperglycemic state, with emphases into translational biology and pharmacotherapeutics.