A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in Diagnostic Radiology Johannesburg, 2014. / INTRODUCTION: Litigation may involve radiology personnel radiological reports and imaging studies as evidence and therefore influences clinical practice. Litigation is implicated in defensive radiology practices. There are no publications addressing litigation and radiology specifically for South Africa. AIM: To determine the number of legal cases involving radiological personnel and radiological investigations in South Africa and frequency of citing of these within the law reports. METHOD: The search engine attached to The Southern African Legal Information Institute (SAFLII) website was searched systematically for the period 2001 to 2010 with keywords relating to radiologists, radiographers and equipment / imaging modalities using a frequency ‘citation’ score. RESULTS: 114 legal cases involving radiological personnel and radiological investigations in South Africa were identified (0.5% of all cases reported). Few radiologists have been sued in medicolegal lawsuits, but nearly a quarter of all radiology medicolegal reports, involved radiologists providing expert opinion and reports. In addition to being the commonest imaging investigation to feature in medicolegal reports (in over two thirds), plain X-rays also had the highest citation scores. CONCLUSIONS: Very few radiologists have been the accused in medicolegal suits, yet radiologists were involved in nearly a quarter of reports, predominantly providing expert opinion and reports. Plain X-rays were the commonest imaging investigation to feature but CT scanning featured in 20% of reports. This is of particular concern because this is considered an advanced technology, not widely available in South Africa.

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In this article, James Frierson, J.D., outlines the requirements for group practices under the Americans with Disabilities Act (ADA). Rules concerning required changes take effect in January of 1993 (and sooner for some groups), making it imperative that group practices be aware of the new law.

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Psychiatric advance directives (PADs) are legal documents allowing competent individuals to declare their treatment preferences in advance of a mental health crisis. The objective of this thesis is to examine psychosocial perceptions of legal and mental health professionals in Ontario and Quebec regarding their knowledge and willingness to implement PADs. Two hundred professionals---psychiatrists, psychologists, lawyers and administrative tribunal members---participated in an Web-survey measuring psychosocial perceptions of clinical, ethical, legal and implementation factors of PADs. Results indicate Quebec professionals are more willing to begin using PADs than Ontario professionals. Mental health professionals reported more concern than legal professionals for medical malpractice lawsuits for overriding PADs. Advantages of PADs most commonly reported are patients' ability to declare their clear wishes ahead of time, respect for autonomous choice, and establishing a collaborative treatment plan with physicians. Disadvantages included patients' lack of awareness, treatment refusal, and being self-bound to an earlier decision.

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Research report submitted in accordance with the requirements for the Degree Master of Science in Medicine( Bioethics and Health Law. Faculty of Health Sciences, University of the Witwatersrand Steve Biko Centre for Bioethics, 2014 / It is every normal parent’s wish to have a happy child free of ailments and suffering. However, not all children are born free of diseases and suffering. Some are born with severe disabilities and others are born with congenital genetic problems that have less chances of cure or no cure at all. These unfortunate circumstances make parents of such children with severe medical conditions desperate and devastated to the extent that they try anything possible in attempting to improve quality of life of their sick children. No parent wants to see his or her child suffering. However, a more pressing situation is when parents decide to have a second child whose purpose is to save the life of the sick first child by donating stem cells from cord blood or bone marrow. This second child is sometimes referred to as the “Saviour sibling” and is born for the purpose of saving the life of the sick older child of the family. ‘Saviour sibling is the media name for a child who is conceived, gestated, and delivered in order to provide umbilical cord blood, or, even more contentious, bone marrow desperately needed by the parents’ older child’ (Mills 2005:2).Because there is no matching donor for the ill older child, a donor is created in the form of a second sibling, whose match is genetically guaranteed by IVF, preimplantation genetic diagnosis (PGD), and tissue typing (Boyle and Savulescu 2001). Given that children are already being created in other Countries such as the United States of America, France and Britain for the above-mentioned purpose, this research report will attempt to engage in the debate surrounding saviour siblings, the use of preimplantation genetic diagnosis (PGD) in creating these children, and the possibility of this technology being abused and misused for gender selection. Taking this into consideration, this research report will attempt to highlight what the South African laws and policies say about saviour siblings. Should parents with pressing issues as mentioned-above demand to have a “saviour child” of their own for the purpose of using him or her to save the life of another of their children in South Africa, on which grounds would it be rejected or accepted?

劉鵬. / Thesis (doctoral)--Chinese University of Hong Kong, 2008. / Includes bibliographical references (p. 450-498). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Liu Peng.