scholarly journals Back to Blame

2020 ◽  
Vol 11 (1) ◽  
pp. 9-12
Author(s):  
JS Bamrah ◽  
Ramesh Mehta
Keyword(s):  
Royal Infirmary ◽  
Criminal Proceedings ◽  
Medical Specialties ◽  
The World ◽  
Leicester Royal Infirmary

The death of Jack Adcock in 2011 made headlines all around the world for many reasons. He was a 6-year-old child, admitted to Leicester Royal Infirmary (LRI) in February 2011 who died of sepsis and pneumonia 11 hours later. The paediatric registrar Dr. Hadiza Bawa-Garba had failed to diagnose his condition, resulting in criminal proceedings and her erasure from the medical register in 2017. This article gives a glimpse of the controversial case, tries to relate this to all medical specialties, and offers some guidance on how to avoid a similar situation developing.

185 Vascular Hitch Procedure for Accessory Lower Pole Vessels

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Fashina ◽  
A Rajimwale
Keyword(s):  
Hospital Stay ◽  
Standard Procedure ◽  
Royal Infirmary ◽  
Lower Pole ◽  
Pelvic Wall ◽  
Stable Renal Function ◽  
The Mean ◽  
Leicester Royal Infirmary ◽  
Functional Magnetic Resonance Urography

Abstract Introduction The gold standard procedure for pelvi-ureteric junction obstruction has been the Anderson-Hynes dismembered pyeloplasty; involving the repositioning of the ureter and ureteropelvic anastomosis. However, the Hellstroem 'Vascular Hitch Procedure’ dictates the superior translocation of the accessory vessel and its fixation to the anterior pelvic wall. The latter has an estimated success rate >90%. Method During 2016-2020, at Leicester Royal Infirmary, 16 operations occurred on paediatric patients with pelvi-ureteric junction obstruction. The dismembered pyeloplasty was performed on 5 patients, 9 patients underwent the vascular hitch procedure, and 2 patients are currently awaiting the latter operation. All patients had a pre-operative functional magnetic resonance urography (fMRU) to identify and localise the accessory lower pole vessel. Results The mean hospital stay for the vascular hitch procedure was 1.5 days (range=1-2) in comparison to 4 days (range=3-5) for the dismembered pyeloplasty. The follow-up period ranged from 6 months to 3 years. Overall, it was noted that the patients were asymptomatic, had markedly reduced hydronephrosis on imaging as well as stable renal function noted on the MAG 3 renogram scan. Conclusions The laparoscopic vascular hitch procedure appears to be the superior operation for the management of pelvi-uteric junction obstruction as the patients had notably reduced hospital stay lengths.

A Beautiful Friendship—and a Lesson about Friends and Colleagues: A Classic Partnership Revisited

2021 ◽  
Author(s):  
David S. Warner ◽  
Michael M. Todd
Keyword(s):  
Iowa City ◽  
Clinical Neuroscience ◽  
University Of Iowa ◽  
Medical Specialties ◽  
Shared Interest ◽  
Operative Care ◽  
Neurosurgical Patients ◽  
The World ◽  
Working Together ◽  
The University

David Warner, M.D., and Michael Todd, M.D., first met in 1985. They began working together at the University of Iowa (Iowa City, Iowa) a year later with a shared interest in both laboratory and clinical neuroscience—and in the operative care of neurosurgical patients. That collaboration has now lasted for 35 yr, resulting in more than 70 joint publications. More importantly, they have had the privilege of working together with close to 1,000 colleagues from around the world, in a dozen medical specialties. Their careers are an example of what can be accomplished by friendship, mutual commitment, persistence, and a willingness to join with others.

scholarly journals The right to appeal on criminal procedure under international acts and jurisprudence

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
MSc. Vilard Bytyqi
Keyword(s):  
Best Practice ◽  
Second Phase ◽  
Court Decisions ◽  
Criminal Proceedings ◽  
Advanced Level ◽  
The World ◽  
The Right ◽  
Court Of First Instance ◽  
Comparative Description ◽  
Procedural Aspect

The right to appeal, respectively the right on complaint as per our legal vocabulary, constitutes the basic trunk of the second phase of court decisions in a certain procedure, in particular the criminal proceedings.The aim of this paper is to emphasize the main notions of appeal, but also in other aspects through the comparative description it aims to bring more clarity in differences and similarities that exist in between the appeal which is used in our criminal proceedings and the appeal which is used in the criminal proceedings that take place in the supranational courts. It is known that in courts which consist of international elements, the appeal is positioned in a more advanced level, due to the fact that there are grounds of suspicion used over every element that could be used in any national criminal proceedings.Overall, in any place of the world, the appeal has the goal to remedy court decisions brought by the court of first instance, while, in the procedural aspect it has more or less differences depending on the regulations of criminal procedures of that state. Such difference due to the diversity of the legal systems today are also accepted as the universal legal value, since establishment of international tribunals provides the best practice in this field. 

scholarly journals Odpowiedzialność osób zarządzających w transnarodowych korporacjach w prawie karnym – aspekty międzynarodowe i transnarodowe

2020 ◽  
Vol 30 (4) ◽  
pp. 75-96
Author(s):  
Kamil Boczek
Keyword(s):  
Human Rights ◽  
Criminal Responsibility ◽  
Transnational Corporations ◽  
Crimes Against Humanity ◽  
Criminal Proceedings ◽  
Corporate Managers ◽  
Business Opportunity ◽  
The World ◽  
International Laws ◽  
Forced Labour

Owing to increasing globalisation, transnational corporations play an important role in international trade. Those wealthy and very complex entities have a major impact on reality and often engage in activities which involve illegal practices such as the environmental pollution, forced labour and other serious infringement of employees’ right or even crimes against humanity. Carrying on business which is primarily profit-oriented may result in violations of fundamental human rights, if this is required for a corporation to financially exploit a business opportunity. It is difficult in practice to hold these entities and their corporate directors to account. Regulations regarding criminal responsibility of managers of transnational corporations can be found in national and international laws. However, criminal proceedings do not give satisfactory results. The main problem lies in powers, flexibility and close links of those corporations with local authorities. The paper points to different solutions applied throughout the world, and describes the best-known criminal proceedings against corporate managers.

Can we use routine data to evaluate organizational change? Lessons from the evaluation of business process re-engineering in a UK teaching hospital

2005 ◽  
Vol 18 (4) ◽  
pp. 265-276 ◽  
Author(s):  
A Brennan ◽  
F Sampson ◽  
M Deverill
Keyword(s):  
Organizational Change ◽  
Business Process ◽  
Peer Group ◽  
Routine Data ◽  
Teaching Hospitals ◽  
Royal Infirmary ◽  
Management Service ◽  
Change Initiatives ◽  
Efficiency Measures ◽  
Leicester Royal Infirmary

Objective: To review and critically evaluate a multidisciplinary independent evaluation of business process re-engineering within a UK hospital using routine data. Methods: Routine data measures of hospital cost efficiency are used to compare rates of changes at Leicester Royal Infirmary (LRI) with a 'peer group' of 22 teaching hospitals and to ascertain changes attributable to re-engineering. Different adjustment factors are quantified and the robustness of individual measures discussed. In addition to providing context to the quantitative primary research and the qualitative research on change management, service performance and quality indicators not captured in overall efficiency measures are assessed using detailed routine data measures. Results: LRI is one of the most efficient teaching hospitals in England and continued improvement during re-engineering is shown to be at a faster rate than the peer group average, although attribution of changes is difficult. Lack of availability and inconsistency of data for support services meant that many re-engineering initiatives are not quantifiable using routine data measures. Conclusions: When combining different measures, routine data is a valuable tool in evaluating organizational change initiatives. However, use in future evaluations would require consistent benchmarking of routine data.

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