Diana Bulgaru Iliescu

Ethical and legal medicine aspects related to hepatic encephalopathy

The study initiates a thematic debate in which we associate a series of ethical and legal considerations on hepatoportal encephalopathy frequently encountered in both theory and especially in medical practice. We used as a model for ethical and legal dilemmas assessment a real-life case of a relatively young doctor diagnosed with chronic hepatitis virus C infection, non-responder to antiviral therapy who later progressed to liver cirrhosis and minimal HE. Having in mind background information, beyond the usual medical debates, we propose for discussion following legitimate ethical dilemma: To what extent is HE involving ethical and legal medicine issues? What are the ethical, moral, ethical and legal issues involved?

The role of computer simulation methods in avoiding orthodontic malpractice

Before the beginning of any dental treatment, the patients or their legal representatives should be completely informed about the medical procedures and potential risks and sign an informed consent. In dentistry, orthodontics is unique, as it usually extends over a long period of time and can generate disagreements with the patients based on esthetic or functional results. Therefore, the knowledge of abnormal accumulation of stress induced by an orthodontic force of excessive intensity, allows the intervention with timely therapeutic methods to avoid the iatrogenic effects. The aim of this paper is to present the use of computer-aided simulation technique, the Finite Element Method, in the evaluation of real biological phenomena specific to orthodontic treatment. We simulated the use of orthodontic forces 5 times higher than normal and studied their iatrogenic effects on the dental supporting tissues. The results showed that computer simulations can be used with considerable success in all clinical orthodontic patients, increasing their confidence in the proposed treatment plan, providing an ethical support for the dentist and a positive feedback on patient responses. The maximum stress distribution with iatrogenic effect on dental and periodontal anatomical structures has been emphasized. In conclusion, the transposition of clinical reality through the computer simulation requires continuous development of the IT systems in this field and opens new research directions and applicability regarding the iatrogenic effects of orthodontic forces.

THE SPECIFICS AND PECULIARITIES OF MEDICAL LIABILITY

This article aims to analyze an exception to the principle of indirect applicability of the directive, as secondary source of law, except in a case underlined the courts across Suceava Court of Appeal. The issue that has generated substantive dispute relating to extrapolate the definition of the concept of unity from a European directive so that the concept of unit to cover premises of a company, although national law does not provide this distinction.