New Federal Standards for Privacy of Individual Health Information (Medicolegal Issues)

On December 20, 2000, President Clinton signed a regulation that established the first-ever federal privacy protections for personal health information. The regulation issued by President Clinton was the culmination of a process that dates from 1996. When the Health...

Emergence of Extensive Drug Resistance (XDR) Among Gramnegative Bacilli in South Africa Looms Nearer (Issues IN PUBLIC Health) (Report)

Until recently, the term ‘extensive drug resistance’ (XDR) was held to be applicable to Mycobacterium tuberculosis only. It is now clear that Gram-negative bacilli are moving a step closer towards acquiring similar resistance. The emergence of multi(MDR) and pan-drug...

Utilizing Causation (Medicolegal Issues)

The medical community is probably well aware of the importance of causation in health care liability claims. To establish recovery, the claimant must prove 1) the existence of a duty and the specifics of the duty; 2) breach of...

Expanding Access to ART in South Africa: The Role of Nurse-Initiated Treatment (Issues IN Medicine) (Antiretroviral Therapy )

The South African government’s recent policy decision to expand access to HIV care rapidly and ‘ensure that all the health institutions in the country are ready to receive and assist patients and not just a few accredited ARV centres’...

Revitalising Professionalism (Issues in Medicine) (Report)

‘Medical professionalism is not optional. It is an essential part of being a doctor, no matter how many challenges face us.’ (trainee doctor (1)) Against the background of current social criticism of the medical profession, well captured by Benatar...

Informed Consent (Medicolegal Issues)

The doctrine of informed consent is based upon the right of every individual to determine what shall be done to his or her body in connection with medical treatment (1). To exercise this right, the patient is entitled to...

Surprises of Off-Label Drug Use–Where had All the Prostin Gone? (Issues in Medicine)

The off-label use of drugs is common, particularly in paediatrics, where many drugs have yet to undergo the rigorous scrutiny demanded by authorities such as the Medicines Control Council (MCC) and the US Food and Drug Administration (FDA) before...

Disclosure of Personal Information (Medicolegal Issues) (Law Overview)

It is well known that personal information, such as health care records, is privileged. As discussed last issue, the federal government has recently taken additional steps to ensure that the privileged nature of this information is maintained. Financial information...

BCG Vaccination in South African Hiv-Exposed Infants–Risks and Benefits (Issues in Public Health) (Report)

Until 2007, the World Health Organization (WHO) recommended that bacille Calmette-Guerin (BCG) vaccination should be contraindicated in infants with symptomatic HIV disease in countries with a high burden of tuberculosis. This recommendation was based on the perceived low risk...

Getting Stiffed No Longer Needs to be a Cost of Doing Business: Texas Prompt Pay Provisions (Medicolegal Issues)

Despite the enactment of new “prompt pay” legislation in 2003, many health care providers still accept slow, low, or no reimbursement from a health maintenance organization (HMO) or preferred provider organizations (PPO) for their services. Some health care providers...

Clinical Excellence and the Niceties of Value-Based Priority Setting (Issues in Medicine) (National Institute of Health and Clinical Excellence) (Report)

In an environment where debates about tertiary care viability in South Africa are characterised more by stridency than logic, it is refreshing to encounter positive suggestions such as those from Kenyon et al. (1) They suggested that scrutiny of...

Ethical Decision Making in Severe Paediatric Burn Victims (Issues IN MEDICINE)

‘The life of a patient is the only life the patient has–can we really make a judgment call on who to treat or not?’ J Puchula (from his address at the 2008 congress of the European Club for Paediatric...

Correlation Between Psychosocial Issues and Noncompliance in Spinal Orthosis in Patients with Adolescent Idiopathic Scoliosis (Report)

Byline: Aziz Ahmad ABSTRACT

Is Scaling up Enough to Curb the HIV Epidemic in Southern Africa? (Issues in Public Health) (Human Immunodeficiency Virus) (Report)

We highlight key insights and provide some food for thought on ‘Scaling up for success’, the theme of the 4th Southern African AIDS Conference (Durban, 31 March-3 April 2009), where over 4 000 scientists, field workers and activists presented...

Mediation (Medicolegal Issues)

Almost every health care liability claim will be mediated before it is tried or otherwise resolved. Mediation is an integral part of the litigation process. Without fail, courts either order parties to mediate before trial or require that mediation...

Maternal Deaths Associated with Eclampsia in South Africa: Lessons to Learn from the Confidential Enquiries Into Maternal Deaths, 2005-2007 (ISSUES IN Medicine) (Report)

Hypertensive disorders of pregnancy (HDP) are the commonest medical complication in pregnancy, and remain the commonest direct cause of maternal mortality in South Africa. (1) The latest (2005 2007) Saving Mothers report (SMR) indicates that there were 622 maternal...

Medicare Program – Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition)

The Law Library presents the complete text of the Medicare Program – Competitive Acquisition for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other Issues (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition).Updated as...

Medical Philosophy: Conceptual Issues in Medicine

This is the first book that analyzes and systematizes all the general ideas of medicine, in particular the philosophical ones, which are usually tacit. The aims of this book are to ferret out, investigate, and inter-relate the most general...

Nuclear Weapon Accident Response Procedures (NARP) – Accident Site, Weapon Recovery, Site Remediation, Radiological Hazard and Safety, Medical Issues, Security, Public Affairs

This Manual provides a concept of operations as well as functional information necessary to execute a comprehensive and unified response to a nuclear weapon accident. It provides information for planners and response elements to understand the overall response concept...

NASA Space Technology Reports: Astronaut Health and Medical Issues, Long-Duration Mission Countermeasures, Cancer, Mental Health, Dental, Injuries and Illness, Training, Carbon Dioxide

Twelve NASA research papers provide unique and up-to-date information about space medicine issues that face astronauts on long-duration missions. Part 1: Performance Data Report – Space Medicine Division Human Research ProgramPart 2: Perspectives on Asthenia in Astronauts and Cosmonauts:...