WorldWideScience

Sample records for nrdc consent decree

  1. 75 FR 68620 - Notice of Lodging Proposed Consent Decree

    Science.gov (United States)

    2010-11-08

    ... Florida on November 1, 2010. The proposed Consent Decree concerns a First Amended Complaint filed by the...; Century Partners Group, Ltd.; Century Homebuilders of South Florida, LLC; and Cesar E. Llano to obtain...). The proposed Consent Decree resolves these allegations by requiring the defendants to enhance wetlands...

  2. 78 FR 57176 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2013-09-17

    ... model of the system to plan for future needs. The consent decree also provides for the payment of a....html . We will provide a paper copy of the consent decree upon written request and payment of reproduction costs. Please mail your request and payment to: Consent Decree Library, U.S. DOJ--ENRD, P.O. Box...

  3. 78 FR 5837 - Notice of Lodging Proposed Consent Decree

    Science.gov (United States)

    2013-01-28

    ... Policy, 28 CFR 50.7, notice is hereby given that a proposed Consent Decree in United States v. Porter... complaint filed by the United States against Wesley Porter, Wes Porter Development Company, LLC, Temple and... Division, P.O. Box 7611, Washington, DC 20044, and refer to United States v. Porter, DJ 90-5-1-1-18341. The...

  4. 77 FR 36003 - Notice of Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2012-06-15

    ... adequate secondary containment system, and failing to prepare and implement an adequate Spill Prevention... may be examined on the following Department of Justice Web site: http://www.usdoj.gov/enrd/Consent_Decrees.html . A copy of the proposed Decree may also be obtained by mail from the Consent Decree Library...

  5. 76 FR 5400 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-01-31

    ... ability to pay. The settlement requires, among other things, that Defendants assign their interest in insurance policies to a trust, established for the benefit of EPA and the natural resource trustees, and pay... Department of Justice Web site: http://www.usdoj.gov/enrd/Consent_Decrees.html . A copy of the Consent Decree...

  6. 76 FR 60529 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-09-29

    ... resources. The Consent Decree also requires, among other things, that Defendants assign their interests in insurance policies to a trust, established for the benefit of EPA and the natural resource trustees, and pay... comment period, the Consent Decree may be examined on the following Department of Justice Web site: http...

  7. 77 FR 73496 - Notice of Lodging of Proposed Consent Decrees Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2012-12-10

    ... Defendants International Paper Company and Georgia-Pacific Consumer Products, LP (collectively, ``IP/GP... may be submitted either by email or by mail: To submit comments: Send them to: By email pubcomment-ees... per page reproduction cost) for the IP/GP consent decree and/or $4.75 for the Rexam consent decree...

  8. The Court versus Consent Decrees? Schools, "Horne v. Flores" and Judicial Strategies of Institutional Reform Litigation

    Science.gov (United States)

    Chilton, Bradley; Chwialkowski, Paul

    2014-01-01

    Is the U.S. Supreme Court inviting litigants to take aim at unraveling injunctions in institutional reform litigation--especially consent decrees in the schools? In "Horne v. Flores" (2009), the court remanded a 17-year-old school reform case to a federal judge with orders to look beyond consent decrees on financing, reducing class…

  9. 76 FR 81967 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-12-29

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Comprehensive Environmental.... Cal.), with respect to the Middlefield-Ellis-Whisman Superfund Site in Mountain View, California (the..., which is attached as Appendix F to the First Amended Consent Decree. The Department of Justice will...

  10. 78 FR 69875 - Notice of Lodging of Proposed Consent Decree Under the Oil Pollution Act

    Science.gov (United States)

    2013-11-21

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Oil Pollution Act On November 15, 2013, the Department of Justice lodged a proposed consent decree with the United States... against Suncor (U.S.A.) Inc. (``Suncor'') pursuant to the Oil Pollution Act, 33 U.S.C. 2701-2762. The...

  11. 78 FR 1251 - Notice of Lodging of Proposed Consent Decree Under the Oil Pollution Act

    Science.gov (United States)

    2013-01-08

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Oil Pollution Act On December 21, 2012, the Department of Justice lodged a proposed consent decree with the United States... Oil Pollution Act, 33 U.S.C. 2702, 2706, and Section 128D of the Hawaii Environmental Response law...

  12. 77 FR 1085 - Notice of Lodging of Consent Decree Under the Oil Pollution Act

    Science.gov (United States)

    2012-01-09

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Oil Pollution Act Notice is hereby given that on December 21, 2011, a proposed Consent Decree in United States v. Marathon Pipe Line... resource damages under the Oil Pollution Act, 33 U.S.C. 2710, et seq., which arose from an alleged August...

  13. 77 FR 31040 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2012-05-24

    ... expert to audit the refrigeration system and recommend any necessary changes; and implement any changes..., the Consent Decree may also be examined on the following Department of Justice Web site, http://www... Consent Decree Library, P.O. Box 7611, U.S. Department of Justice, Washington, DC 20044-7611 or by faxing...

  14. 75 FR 28820 - Notice of Public Meeting by Teleconference Concerning Heavy Duty Diesel Engine Consent Decrees

    Science.gov (United States)

    2010-05-24

    ... implementation of the provisions of the seven consent decrees signed by the United States and diesel engine..., or anticipates receiving, requests from the diesel engine manufacturers for termination of their respective decrees. This meeting notice is also available on EPA's Diesel Engine Settlement Web site at http...

  15. 76 FR 28459 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-05-17

    ... Response, Compensation, and Liability Act Notice is hereby given that on May 11, 2011, a proposed Consent Decree (the ``Decree'') in United States v. Alsol Corporation, SB Building Associates, Limited Partnership, SB Building GP, L.L.C., United States Land Resources, L.P., United States Realty Resources, Inc...

  16. 76 FR 79710 - Notice of Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-12-22

    ... ten times the average dry weather flow for the average design year. The proposed Consent Decree... control floatables in such waterways; (3) post construction monitoring following completion of TARP; (4...

  17. 76 FR 68788 - Notice of Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-11-07

    ... Regulations Governing the Control of Water Pollution, 7 Del. Admin. Code Sec. 7201. The United States and... Web site, http://www.usdoj.gov/enrd/Consent_Decrees.html , maintained by the Department of Justice. A...

  18. 75 FR 24946 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2010-05-06

    ..., South Carolina, Wisconsin, Indiana, Michigan, Ohio, Louisiana, Kansas, Nebraska, Missouri, Colorado..., Wisconsin, Indiana, Michigan, Ohio, Louisiana, Kansas, Nebraska, Missouri, Colorado, Montana, South Dakota... ENVIRONMENTAL PROTECTION AGENCY [FRL-9146-3] Proposed Consent Decree, Clean Air Act Citizen Suit...

  19. 78 FR 68863 - Notice of Lodging of Proposed Stipulation, Consent Decree and Settlement Agreement Under the...

    Science.gov (United States)

    2013-11-15

    ... in Rootstown, Ohio, formerly operating under Delphi's Packard Electric/Electronic Architecture... payment to: Consent Decree Library, U.S. DOJ--ENRD, P.O. Box 7611, Washington, DC 20044-7611. Please...

  20. 78 FR 23957 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2013-04-23

    ... sand, gravel, crushed stone mining, and redi-mix concrete operation at 18 Dorre Road, Kingston, New... Justice Department Web site: http://www.usdoj.gov/enrd/Consent_Decrees.html . We will provide a paper copy...

  1. 75 FR 7627 - Notice of Lodging of Proposed Consent Decree Under the Federal Water Pollution Control Act

    Science.gov (United States)

    2010-02-22

    .... (``Defendants'') under the pre-treatment requirements of the Federal Water Pollution Control Act (Clean Water... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Federal Water Pollution Control Act Notice is hereby given that on February 16, 2010, a proposed Consent Decree was filed...

  2. 76 FR 72973 - Notice of Lodging of Consent Decree Under the Clean Water Act and Safe Drinking Water Act

    Science.gov (United States)

    2011-11-28

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Water Act and Safe Drinking Water Act Notice is hereby given that on November 21, 2011, a proposed Consent Decree (``proposed... penalties under the Clean Water Act, 33 U.S.C. 1251-387; the Safe Drinking Water Act, 42 U.S.C. 300f-300j-26...

  3. 75 FR 43554 - Notice of Lodging of Consent Decree Under the Federal Water Pollution Control Act (“Clean Water...

    Science.gov (United States)

    2010-07-26

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Federal Water Pollution Control Act (``Clean Water Act'') Notice is hereby given that on July 21, 2010, a proposed Consent Decree... Sections 301 and 308 of the Clean Water Act, 33 U.S.C. 1311 and 1318, at thirteen of its facilities in...

  4. 76 FR 76762 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-12-08

    ... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby.... Environmental Protection Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act...

  5. 76 FR 57764 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-09-16

    ... recovery at no additional cost; (2) no longer accept small appliances, motor vehicle air conditioners... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby... Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act (``CAA'') against...

  6. 77 FR 23278 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2012-04-18

    ... accept small appliances, motor vehicle air conditioners (``MVACs''), or MVAC- like appliances with cut... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Air Act Notice is hereby... Agency (``U.S. EPA''), sought penalties and injunctive relief under the Clean Air Act (``CAA'') against...

  7. 76 FR 9610 - Notice of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-02-18

    ... pollution control technology; undertake periodic equipment testing; and to submit required reports. The... resolves allegations by the Environmental Protection Agency and the San Joaquin Valley Unified Air Pollution Control District (``District''), asserted in a complaint filed together with the Consent Decree...

  8. 75 FR 14184 - Notice of Proposed Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-03-24

    ... Response, Compensation, and Liability Act Notice is hereby given that on March 18, 2010, the United States... her capacity as personal representative of the Estate, under CERCLA Section 107(a), 42 U.S.C. 9607(a... Consent Decree resolves the claims in the Complaint against the Estate and Barbara C. Harker, in her...

  9. 78 FR 44599 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2013-07-24

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Clean Water Act On... seeking permanent injunctive relief and civil penalties under the Clean Water Act (``CWA''), 33 U.S.C..., manganese, potassium, sodium, strontium, bromide, chloride, [[Page 44600

  10. 78 FR 28242 - Notice of Lodging of Proposed Consent Decree Under the Safe Drinking Water Act

    Science.gov (United States)

    2013-05-14

    ... Drinking Water Act (SDWA) and the Surface Water Treatment Rule, promulgated under the SDWA. Under the terms... public water system and to pay $8,000 into an escrow account to be used by the association for future... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Safe Drinking Water...

  11. 75 FR 48992 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-08-12

    ..., among other things, that the Defendant pay $150,000, provide $50,000 worth of construction materials to..., established for the benefit of EPA and the natural resource trustees. For thirty (30) days after the date of... the following Department of Justice Web site: http://www.usdoj.gov/enrd/Consent_Decrees.html . A copy...

  12. 75 FR 42785 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-07-22

    ... given that on July 7, 2010, a proposed Consent Decree in United States of America, et al. v. Wise Alloys..., Alabama which contains two affected sources, the Alabama Reclamation Operations and the Alloys Cast House... should refer to United States of America, et al. v. Wise Alloys, LLC, Civil Action No. CV-10-TMP-1811-NW...

  13. 75 FR 17770 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-04-07

    ...., Civil Action No. 3:10-cv-00222-RET-CN, was lodged with the United States District Court for the Middle... or e-mailing a request to Tonia Fleetwood ( [email protected] ), fax number (202) 514-0097, phone confirmation number (202) 514-1547. In requesting a copy from the Consent Decree Library, please...

  14. 77 FR 43859 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2012-07-26

    ... companies to clean up the Site and pay EPA $900,000 towards past and future costs. The cleanup will cost $56...), are resolving their liability in the Consent Decree by paying cash to the group of 27 companies that... projects. (This amount also covers some assessment, planning, and oversight costs.) The trustees are the...

  15. 78 FR 38074 - Notice of Lodging of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-06-25

    ... manufacturing plants operating in as many states. The states of Arkansas, Idaho, Kansas, Montana, Nebraska... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree Under the Clean Air Act On June... Court for the District of Kansas in the lawsuit entitled United States et al. v. Ash Grove Cement...

  16. 77 FR 11158 - Notice of Lodging of Consent Decree Under the Toxic Substances Control Act

    Science.gov (United States)

    2012-02-24

    ... Dover Chemical to pay a $1.4 million civil penalty. Dover Chemical has halted manufacture of short-chain chlorinated paraffins and committed to submit premanufacture notices (``PMNs'') for medium and long-chain chlorinated paraffins, pursuant to TSCA Section 5. The proposed Consent Decree prohibits Dover Chemical from...

  17. 75 FR 51483 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-08-20

    ... given that on August 9, 2010, a proposed Consent Decree in United States v. Middlesex County Utilities... Air Pollution Control Act, N.J.S.A. 26:2C-1 et seq., at the Middlesex County landfill in East... to the United States and New Jersey, and shall upgrade the Middlesex County Landfill Gas Collection...

  18. 76 FR 34983 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2011-06-15

    ... startup, shutdown, malfunction and maintenance; failed to act on a Wyoming SIP submission addressing... Plaintiffs for EPA's alleged failure to take timely action under CAA sections 110(k)(2) and 110(c) on SIPs... addition, the proposed consent decree requires that no later than 10 business days following signature of...

  19. 76 FR 75544 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2011-12-02

    ... holidays. Comments on a disk or CD-ROM should be formatted in Word or ASCII file, avoiding the use of... U.S. Virgin Islands had failed to submit CAA SIPs for improving visibility in mandatory Federal..., Vermont, U.S. Virgin Islands, Virginia, Washington, and Wisconsin. The proposed consent decree would also...

  20. The Aspira Consent Decree: A Thirtieth-Anniversary Retrospective of Bilingual Education in New York City

    Science.gov (United States)

    Reyes, Luis O.

    2006-01-01

    In this article, Luis O. Reyes provides a retrospective of the historic 1974 Aspira Consent Decree between the New York City Board of Education and Aspira of New York, which established bilingual instruction as a legally enforceable federal entitlement for New York City's non-English-speaking Puerto Rican and Latino students. Reyes analyzes the…

  1. 77 FR 16862 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2012-03-22

    ... address. Robert Brook, Assistant Chief, Environmental Enforcement Section, Environment and Natural...' natural resource damage assessment costs of $18,964.34, and will pay future travel costs incurred by... Consent Decree. Comments should be addressed to the Assistant Attorney General, Environment and Natural...

  2. 75 FR 40827 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2010-07-14

    ... Cement manufacturing (40 CFR part 63, subpart LLL). The proposed Consent Decree establishes deadlines for..., subpart II); (8) Wood Furniture Manufacturing Operations (40 CFR part 63, subpart JJ); (9) Primary Lead... and Paper Production (40 CFR part 63, subpart S); (12) Aerospace Manufacturing and Rework Facilities...

  3. 77 FR 66081 - Notice of Lodging of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2012-11-01

    ... District Court for the Western District of Michigan in the lawsuit entitled United States v. Kellogg USA... Implementation Plan, for violations at Kellogg's cereal and snack food manufacturing plants located in Battle Creek, Michigan and Grand Rapids, Michigan. The proposed Consent Decree requires Kellogg to reduce its...

  4. 75 FR 1770 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2010-01-13

    ... Division, to the Public Service of Colorado to operate the Hayden Station power plant near Hayden, Colorado... Environment, Air Pollution Division, to the Public Service of Colorado to operate the Hayden Station power plant near Hayden, Colorado. Under the terms of the proposed consent decree, EPA has agreed to respond...

  5. 75 FR 68620 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2010-11-08

    ..., the consent decree requires the Township to perform a wide variety of short-, medium, and long-term..., Environment and Natural Resources Division, and either e-mailed to [email protected] or mailed to... the U.S. Treasury. Maureen Katz, Assistant Chief Environmental Enforcement Section, Environment and...

  6. 76 FR 75913 - Notice of Lodging of Modification of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-12-05

    ... Elimination System Permit PR0000591. The Department of Justice will receive, for a period of thirty (30) days... the public comment period, the Modification may be examined on the following Department of Justice Web... by mail from the Consent Decree Library, P.O. Box 7611, United States Department of Justice...

  7. 75 FR 70947 - Notice of Lodging of Consent Decree Pursuant to Oil Pollution Act

    Science.gov (United States)

    2010-11-19

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Pursuant to Oil Pollution Act Notice is... claims of the United States (on behalf of the Department of Commerce/National Oceanic and Atmospheric..., and the State of Rhode Island for natural resource damages under the Oil Pollution Act, 33 U.S.C. 2701...

  8. 76 FR 21405 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-04-15

    ..., on Behalf of the National Oceanic and Atmospheric Administration and the United States Department of... section 1002(b) of the Oil Pollution Act (OPA), 33 U.S.C. 2702(b), for damages for injury to, destruction... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Comprehensive Environmental...

  9. 76 FR 15998 - Notice of Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-03-22

    ..., treatment plant, and landfill. To address two mines with discharges into the Ohio River Basin, Defendants... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Clean Water Act Notice is..., Defendants will perform injunctive relief with two components. To address four mines with discharges into the...

  10. 76 FR 42138 - Notice of Lodging of Consent Decree Under The Resource Conservation and Recovery Act (RCRA)

    Science.gov (United States)

    2011-07-18

    ... generation, transportation, treatment, storage, handling and disposal of hazardous wastes, Fla. Admin. Code... Consent Decree, may also be examined on the following Department of Justice Web site, http://www.usdoj.gov...

  11. 77 FR 4060 - Notice of Lodging of Second Agreement and Order Regarding Modification of the Consent Decree...

    Science.gov (United States)

    2012-01-26

    ... Modification'') in United States and Louisiana v. City of Baton Rouge, Civil Action No. 3:01-cv-00978-FJP-CN...-0097, phone confirmation number (202) 514-5271. If requesting a copy from the Consent Decree Library by...

  12. 75 FR 16177 - Notice of Lodging of Material Modification to Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2010-03-31

    ... things, the 2002 Consent Decree required Anderson to develop and implement a Long Term Control Plan to... electronically to [email protected] or in hard copy to P.O. Box 7611, U.S. Department of Justice...

  13. 78 FR 15376 - Notice of Lodging of Proposed Consent Decree Amendment Under the Clean Air Act; the Clean Water...

    Science.gov (United States)

    2013-03-11

    ... Corporation d/b/a The Doe Run Company, and The Buick Resource Recycling Facility, LLC, (collectively ``Doe Run... Missouri. The Consent Decree required Doe Run to perform injunctive relief and mitigation projects and to...

  14. 75 FR 63506 - Notice of Lodging of Consent Decree Under the Clean Air Act; the Clean Water Act; the Resource...

    Science.gov (United States)

    2010-10-15

    ...; and will spend an estimated $5.8 million on stream mitigation activities along 8.5 miles of Bee Fork..., and either e-mailed to [email protected] or mailed to P.O. Box 7611, U.S. Department of... Consent Decree may also be obtained by mail from the Consent Decree Library, P.O. Box 7611, U.S...

  15. Consent Decrees

    Data.gov (United States)

    U.S. Environmental Protection Agency — EPAs Office of Enforcement and Compliance Assurance (OECA) cases and settlements webpage contains links to selected settlements resolving civil enforcement cases...

  16. 77 FR 55861 - Notice of Lodging of Consent Decree Under the Oil Pollution Act of 1990 (“OPA”)

    Science.gov (United States)

    2012-09-11

    ... International under Section 1002 of OPA and Section 48-1-90 of the South Carolina Pollution Control Act, S.C... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Oil Pollution Act of 1990... United States Fish and Wildlife Service, and the National Oceanic and Atmospheric Administration, against...

  17. 75 FR 5343 - Notice of Lodging of Consent Decree Under Sections 106, 107 and 113 of the Comprehensive...

    Science.gov (United States)

    2010-02-02

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under Sections 106, 107 and 113 of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, 42 U.S.C. 9606, 9607 and 9613, as... hazardous substances at or from the Armour Road Superfund Site, located at and adjacent to 2251 Armour Road...

  18. 76 FR 4723 - Notice of Lodging of a Consent Decree Modification Pursuant to The Clean Water Act

    Science.gov (United States)

    2011-01-26

    ... anticipated. The City and WMU considered another stream restoration project as an alternate, but easements.... Box 7611, U.S. Department of Justice, Washington, DC 20044-7611, and should refer to United States v... from the Consent Decree Library, P.O. Box 7611, U.S. Department of Justice, Washington, DC 20044-7611...

  19. 75 FR 47627 - Notice of Lodging of Proposed Consent Decree With Hoosier Energy Rural Electric Cooperative, Inc...

    Science.gov (United States)

    2010-08-06

    ..., DC 20044-7611, and should refer to United States v. Hoosier Energy Rural Electric Cooperative, Inc... DEPARTMENT OF JUSTICE Notice of Lodging of Proposed Consent Decree With Hoosier Energy Rural Electric Cooperative, Inc. Under The Clean Air Act Pursuant to 28 CFR 50.7, notice is hereby given that on...

  20. 78 FR 21418 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-04-10

    .... Attachment A to the Decree is the St. Lawrence River Environment Natural Resource Damage Assessment: Restoration and Compensation Determination Plan and Environmental Assessment (``RCDP''). The RCDP describes... York. The Decree provides for the Defendants to pay assessment costs, pay for natural resource...

  1. 75 FR 47028 - Notice of Lodging of a Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2010-08-04

    ... Decree (``proposed Decree'') in United States of America v. Ray Crosby, Civil Action No. 2:10-cv-00715... portion of EPA's past response costs at the Site. Mr. Crosby owned the Site at the time of the release or.... Department of Justice, Washington D.C. 20044-7611, and should refer to United States of America v. Ray Crosby...

  2. 76 FR 20371 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-04-12

    ... decree, GM obtained a performance bond from Westchester Fire Insurance Company (``Westchester''). After... Dearborn St., Chicago, Illinois 60604, and at U.S. EPA Region 5, 77 W. Jackson Blvd., Chicago, IL 60604...

  3. 77 FR 43860 - Notice of Lodging of a Consent Decree Pursuant to the Clean Water Act

    Science.gov (United States)

    2012-07-26

    ..., Chattanooga has agreed to perform a stream restoration supplemental environmental project at a cost of [email protected] or mailed to P.O. Box 7611, U.S. Department of Justice, Washington, DC 20044-7611 and... Decree Library, P.O. Box 7611, U.S. Department of Justice, Washington, DC 20044-7611, or by faxing or...

  4. 77 FR 61641 - Notice Lodging of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2012-10-10

    ...'') that will significantly reduce the inventory of anhydrous ammonia at each facility, improve the monitoring and alarm system at the Aguadilla facility, and provide training and/or equipment to medical... be examined and downloaded at this Justice Department Web site: http://www.usdoj.gov/enrd/Consent...

  5. 76 FR 45564 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2011-07-29

    ... operating permit issued by the Wisconsin Department of Natural Resources to Carmeuse Lime & Stone, a lime... to Carmeuse Lime & Stone, a lime kiln facility in Manitowoc, Wisconsin. Under the proposed consent... note that EPA's policy is that public comments, whether submitted electronically or in paper, will be...

  6. 78 FR 20947 - Notice of Lodging of Proposed Consent Decree Under the Clean Air Act (“CAA”)

    Science.gov (United States)

    2013-04-08

    ... pay the sum of $1.5 million dollars cash, including interest, to the United States as a civil penalty and $1.5 million dollars cash, including interest, to the Commonwealth as a civil penalty. The... Decree upon written request and payment of reproduction costs. Please mail your request and payment to...

  7. 76 FR 11280 - Notice of Lodging of an Amendment to Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-03-01

    ... Kilns 22 and 23 at Lafarge's Alpena, Michigan cement production facility. The proposed Amendment to the... both Kilns 22 and 23 at its Alpena, Michigan cement production facility, rather than the two Wet FGDs... three months earlier than currently required in the decree for one of the Alpena cement kilns; (2...

  8. 75 FR 69704 - Notice of Lodging of Second Proposed Amendment to Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2010-11-15

    ... Deep Rock Tunnel Connector (DRTC), which allowed the City to avoid several environmental and right-of-way impediments to the project. The DRTC, as conceived, would have improved the overall level of... Decree may also be examined on the following Department of Justice Web site: http://www.usdoj.gov/enrd...

  9. 78 FR 11222 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act and the Comprehensive...

    Science.gov (United States)

    2013-02-15

    ..., Environmental Enforcement Section, Environment and Natural Resources Division. [FR Doc. 2013-03517 Filed 2-14-13... natural resource damages claims through restoration and reimbursement of assessment costs. The consent... and future assessment costs of the trustees and the Hillsborough County Environmental Protection...

  10. Lodged Consent Decree US Steel #2733655

    Science.gov (United States)

    The United States of America, by the authority of the Attorney General of the United States and through its undersigned attorneys, acting at the request of the United States Environmental Protection Agency (“EPA”), file this Complaint.

  11. Dutch Building Decree

    NARCIS (Netherlands)

    Scholten, N.P.M.

    2000-01-01

    On the 1 October 1992 a change in the Dutch building legislation took effect: the revised Housing Act, the Building Decree and the technical documents related to this legislation came into force. This publication contains an English translation of the Building Decree. In order to give an idea of the

  12. The art of collecting experimental data internationally: EXFOR, CINDA and the NRDC network

    International Nuclear Information System (INIS)

    Henriksson, H.; Schwerer, O.; Rochman, D.; Mikhaylyukova, M.V.; Otuka, N.

    2008-01-01

    The world-wide network of nuclear reaction data centres (NRDC) has, for about 40 years, provided data services to the scientific community. This network covers all types of nuclear reaction data, including neutron-induced, charged-particle-induced, and photonuclear data, used in a wide range of applications, such as fission reactors, accelerator driven systems, fusion facilities, nuclear medicine, materials analysis, environmental monitoring, and basic research. The now 13 nuclear data centres included in the NRDC are dividing the efforts of compilation and distribution for particular types of reactions and/or geographic regions all over the world. A central activity of the network is the collection and compilation of experimental nuclear reaction data and the related bibliographic information in the EXFOR and CINDA databases. Many of the individual data centres also distribute other types of nuclear data information, including evaluated data libraries, nuclear structure and decay data, and nuclear data reports. The network today ensures the world-wide transfer of information and coordinated evolution of an important source of nuclear data for current and future nuclear applications. (authors)

  13. THE ART OF COLLECTING EXPERIMENTAL DATA INTERNATIONALLY: EXFOR, CINDA AND THE NRDC NETWORK

    International Nuclear Information System (INIS)

    HENRIKSSON, H.; SCHWERER, O.; ROCHMAN, D.; MIKHAYLYUKOVA, M.V.; OTUKA, N.

    2007-01-01

    The world-wide network of nuclear reaction data centers (NRDC) has, for about 40 years, provided data services to the scientific community. This network covers all types of nuclear reaction data, including neutron-induced, charged-particle-induced, and photonuclear data, used in a wide range of applications, such as fission reactors, accelerator driven systems, fusion facilities, nuclear medicine, materials analysis, environmental monitoring, and basic research. The now 13 nuclear data centers included in the NRDC are dividing the efforts of compilation and distribution for particular types of reactions and/or geographic regions all over the world. A central activity of the network is the collection and compilation of experimental nuclear reaction data and the related bibliographic information in the EXFOR and CINDA databases. Many of the individual data centers also distribute other types of nuclear data information, including evaluated data libraries, nuclear structure and decay data, and nuclear data reports. The network today ensures the world-wide transfer of information and coordinated evolution of an important source of nuclear data for current and future nuclear applications

  14. 75 FR 26275 - Notice of Lodging of Proposed Consent Decree

    Science.gov (United States)

    2010-05-11

    ... Oceanic and Atmospheric Administration and the Department of the Interior; the State of Washington; the.... 9607(a); section 311 of the Clean Water Act (CWA), 33 U.S.C. 1321; section 1002(b) of the Oil Pollution Act (OPA), 33 U.S.C. 2702(b); and the Model Toxics Control Act (MTCA), RCW 70.105D. Under the proposed...

  15. Informed consent

    International Nuclear Information System (INIS)

    Bundy, A.L.

    1988-01-01

    Numerous articles on informed consent have appeared in medical and legal journals over the past few years. Many of these have been in the radiological literature. This chapter presents an overview of the legal principles behind this controversial topic. Recent articles are reviewed and specific suggestions are made where applicable. The doctrine of informed consent is both a product of and the basis for the physician-patient relationship. Their communications to each other establish the relationship, but once established, heightened degrees of expectations on the patient's part have dictated the need for a more sophisticated level of communication. Since patients and physicians often expect different things of each other, it is imperative that the relationship leads to effective and respectful conversation

  16. Decree No. 200 Of infringements on environmental

    International Nuclear Information System (INIS)

    1999-01-01

    The present Decree establishes violations applicable to the environment without prejudice to existing or which may be established with respect to certain sectors of environmental protection. The system of administrative measures regarding environmental protection that this Decree-Law provides, including natural and legal persons or foreign nationals who commit misdemeanors that are punishable by this standard.

  17. [Informed consent].

    Science.gov (United States)

    López-Sáez, Asunción; López, de Teruel; Siso Martín, Juan

    2003-11-01

    Once the stage of health paternalism, exercised so many times under the pretext of the principle of benevolence, has been overcome, treatment relationships level off, they become symmetrical and balanced and in this climate of a "therapeutic alliance", both parties, the patient and the health professional, have to merge their capabilities and their limitations. The health professional can not impose general character operational methods to follow to a patient nor interventions, even though clinically correct, against a patient's will; but neither does a patient have the right to obtain treatment in accordance with his desires if these are found to be in disagreement with concrete clinical recommendations for the case dealt with according to the health professional's criteria. We can summarize what has just been stated in two basic principles: 1. The health professional is not obliged to follow the requests of a patient if he/she does not consider these clinically appropriate, but in order to follow a different treatment method, the health professional must have the consent of the patient. 2. In any case, if a patient opposes a treatment being applied to him/her, except in the few legally recognized exceptions, the health professional can try to persuade a patient to accept recommended treatment, but never can carry out treatment against the patient's will.

  18. 77 FR 26474 - Approval and Promulgation of Air Quality Implementation Plans; Maryland; Approval of 2011 Consent...

    Science.gov (United States)

    2012-05-04

    ... Department of the Environment (MDE). These revisions approve specific provisions of a 2011 Consent Decree between MDE and GenOn to reduce particulate matter (PM), sulfur oxides (SO X ), and nitrogen oxides (NO X....regulations.gov or email. The www.regulations.gov Web site is an ``anonymous access'' system, which means EPA...

  19. 77 FR 26438 - Approval and Promulgation of Air Quality Implementation Plans; Maryland; Approval of 2011 Consent...

    Science.gov (United States)

    2012-05-04

    ... (MDE) pertaining to the GenOn Chalk Point Generating Station (Chalk Point). These revisions approve specific provisions of a 2011 Consent Decree between MDE and GenOn to reduce particulate matter (PM... www.regulations.gov or email. The www.regulations.gov Web site is an ``anonymous access'' system...

  20. [Consent and confidentiality in occupational health practice: balance between legal requirements and ethical values].

    Science.gov (United States)

    Mora, Erika; Franco, G

    2010-01-01

    The recently introduced Italian law on the protection of workers' health states that the occupational health physician (competent physician) is required to act according to the Code of Ethics of the International Commission on Occupational Health (ICOH). This paper aims at examining the articles of legislative decree 81/2008 dealing with informed consent and confidentiality compared with the corresponding points of the ICOH Ethics Code. Analysis of the relationship between articles 25 and 39 (informed consent) and 18, 20 and 39 (confidentiality) of the decree shows that there are some points of disagreement between the legal requirements and the Code of Ethics, in particular concerning prescribed health surveillance, consent based on appropriate information (points 8, 10 and 12 of the Code) and some aspects of confidentiality (points 10, 20, 21, 22 and 23 of the Code). Although the competent physician is required to act according to the law, the decisional process could lead to a violation of workers' autonomy.

  1. Nuclear Energy Decree of February 12, 1988

    International Nuclear Information System (INIS)

    1988-01-01

    This decree no. 161/1988 entered into force on 1 March 1988. It was made in accordance with Section 82 of the 1987 Nuclear Energy Act and aims to define the scope of application of the Act. The Decree deals with the licensing procedure for nuclear installations and competence in this field. It also establishes exemptions to the licencing of radioactive materials and covers radioactive waste management and its financing. (NEA) [fr

  2. From Informed Consent to Negotiated Consent.

    Science.gov (United States)

    Moody, Harry R.

    1988-01-01

    Considers informed consent standard inadequate for insuring autonomy in long term care. Argues for complex standard of "negotiated consent." Illuminates philosophical argument by qualitative data from interviews with physicians, nurses, and social workers in nursing homes, which demonstrated continuum of interventions ranging from…

  3. Informed Consent and Routinisation

    DEFF Research Database (Denmark)

    Ploug, Thomas; Holm, Søren

    2013-01-01

    provide evidence of the routinisation of informed consent in various types of interaction on the internet; among these, the routinisation of consent to the exchange of health related information. We also provide evidence that the extent of the routinisation of informed consent is dependent...

  4. Stb 342 - Decree of 4 June 1987 amending the Decree on the transport of fissionable materials, ores and radioactive substances

    International Nuclear Information System (INIS)

    1987-01-01

    The 1969 transport Decree governs all modes of transport of fissile and radioactive materials as well as ores in and to and from the Netherlands. The 1987 Decree amends it, in particular, for modernization purposes. (NEA) [fr

  5. Informed Consent in Dentistry.

    Science.gov (United States)

    Reid, Kevin I

    2017-03-01

    A review of literature regarding informed consent in dentistry reveals a paucity of information and minimal scholarship devoted to this subject. But this begs the question about informed consent somehow being different for dentistry than for medicine or other healthcare delivery. My account draws distinctions where appropriate but is rooted in the premise that informed consent is an ethical construct applicable to vulnerable people as patients independent of what type of treatment or body part being considered. This paper highlights the crucial importance of the process of informed consent and refusal in dentistry, underscoring its important place in oral healthcare. This paper will not address the unique circumstances involving consent in those without capacity or focus on informed consent in the research setting; our focus will be on those patients with full decisionmaking capacity in the clinical setting. I will emphasize the importance of disclosure of treatment options and highlight the benefits of shared-decision-making in the informed consent process.

  6. Decree No. 1900 of 24 August 1989 authorizing civil divorce before a notary for reasons provided in Section 8 of Article 154 of the Civil Code.

    Science.gov (United States)

    1989-01-01

    This Colombian Decree authorizes civil divorce to take place before a notary by means of public document when the spouses are in mutual agreement; the ground for the divorce is separation, either decreed by a court or formalized before a notary; and the separation has lasted more than 2 years. Such a divorce produces the same legal effects as a divorce decreed by a court. The document is to set forth the duties of both spouses with respect to the provisions of sentence 3 of Article 166 of the Civil Code. If there are minors, the document must receive the approval of the municipal or district representative. Decree No. 2275 of 7 October 1989 (Diario Oficial, 7 October 1989, pp. 75-76) amends this Decree to provide that the judgment of the municipal or district representative must be made within 10 days after the document is received. Sentence 3 of Article 166 of the Civil Code requires that spouses who are separating by mutual consent send to a judge their agreement with respect to the care and support of children, which the judge may reject if necessary in the interests of the children.

  7. [Making up tuberculosis risk groups from decreed contingents].

    Science.gov (United States)

    Kucherov, A L; Il'icheva, E Iu

    2001-01-01

    The paper provides materials to make up risk groups from decreed contingents by using the database developed and introduced in the Novomoskovsk district, as well as a programme for rapid determination of the risk of tuberculosis. This procedure reduces a scope of fluorographic surveys among the decreed contingents, as well as their expenditures by 60%. Moreover, it may be useful for professional choice in the employment of the decreed persons, which may promote a decrease in the incidence of tuberculosis among them.

  8. Consent ain't anything

    DEFF Research Database (Denmark)

    Di Nucci, Ezio

    2016-01-01

    I argue against various versions of the 'attitude' view of consent and of the 'action' view of consent: I show that neither an attitude nor an action is either necessary or sufficient for consent. I then put forward a different view of consent based on the idea that, given a legitimate epistemic ...

  9. Informed consent in psychotherapy.

    Science.gov (United States)

    Beahrs, J O; Gutheil, T G

    2001-01-01

    The authors sought a rational approach to implementing informed consent within the practice of psychotherapy. The history of informed consent in psychotherapy was reviewed to define a common synthesis that maximizes the potential benefits and minimizes the potential hazards. The benefits of informed consent in psychotherapy include fostering a positive treatment outcome through enhancing patient autonomy, responsibility, and self-therapeutic activity; lessening the risks of regressive effects and therapist liability; and helping the practice of psychotherapy extend beyond particular parochialisms by providing checks and balances on therapist judgments. The hazards include the unpredictability of interactional outcomes and the possibilities of replacing positive expectancy with negative suggestion, replacing a therapeutic alliance with a legalistic stance, and misimplying that patients are passive recipients. Practical implementation of informed consent in psychotherapy must balance such tensions in service of optimal treatment. As a guiding principle, the authors recommend that psychotherapists convey to a prospective patient information that is material to the particular patient's decision. The level of detail needed in informed consent discussions varies directly with the cost and risks of the proposed treatment, the presence of viable alternatives and their relative grounding in scientific data and professional acceptance, and the presence of significant controversy. Unresolved is the question of how to address problematic or controversial psychotherapeutic trends that temporarily enjoy wide professional support.

  10. 22 CFR 19.6 - Court orders and divorce decrees.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Court orders and divorce decrees. 19.6 Section 19.6 Foreign Relations DEPARTMENT OF STATE PERSONNEL BENEFITS FOR SPOUSES AND FORMER SPOUSES OF PARTICIPANTS IN THE FOREIGN SERVICE RETIREMENT AND DISABILITY SYSTEM § 19.6 Court orders and divorce decrees. ...

  11. Stb No. 404 - Decree of 12 July 1983 amending the fissionable materials, ores and radioactive substances (Transport) Decree

    International Nuclear Information System (INIS)

    1983-01-01

    For the Netherlands, international carriage by air of radioactive materials is governed by the regulations of the internationl Air Transport Association (IATA) which are partly based on the IAEA's recommendations in this respect. These were revised in 1973, and the present Decree amends the Transport Decree of 1969 to align it with the 1973 revision followed by IATA. (NEA) [fr

  12. Click here to consent forever: Expiry dates for informed consent

    Directory of Open Access Journals (Sweden)

    Bart Custers

    2016-01-01

    Full Text Available The legal basis for processing personal data and some other types of Big Data is often the informed consent of the data subject involved. Many data controllers, such as social network sites, offer terms and conditions, privacy policies or similar documents to which a user can consent when registering as a user. There are many issues with such informed consent: people get too many consent requests to read everything, policy documents are often very long and difficult to understand and users feel they do not have a real choice anyway. Furthermore, in the context of Big Data refusing consent may not prevent predicting missing data. Finally, consent is usually asked for when registering, but rarely is consent renewed. As a result, consenting once often implies consent forever. At the same time, given the rapid changes in Big Data and data analysis, consent may easily get outdated (when earlier consent no longer reflects a user’s preferences. This paper suggests expiry dates for consent, not to settle questions, but to put them on the table as a start for further discussion on this topic. Although such expiry dates may not solve all the issues of informed consent, they may be a useful tool in some situations.

  13. Decree of 11 August 1973 Stb. 504 containing amendments to the Nuclear Energy Act (Radioactive Materials) Decree (Bulletin of Acts, Orders and Decrees 404 of 1969)

    International Nuclear Information System (INIS)

    1973-01-01

    This Decree lays down special regulations concerning the use of radioactive luminous paints for timepieces and prescribes activity limits for each timepiece. The Decree furthermore prohibits the manufacture in the Netherlands of timepieces which do not comply with these regulations and provides that such articles manufactured abroad may not be distributed in the Netherlands unless the supplier provides a statement certifying that they comply with the OECD Radiation Protection Standards for Radioluminous Timepieces. (NEA) [fr

  14. 75 FR 29584 - Notice of Lodging of Consent Decree Under the Resource Conservation and Recovery Act

    Science.gov (United States)

    2010-05-26

    ..., to obtain a permit under the Resource Conservation and Recovery Act (``RCRA'') for its ownership and... emissions from the TMW at the facility; perform trial and risk burns for the TMW to identify appropriate incinerator level and risk based operating and control parameters for the unit; file a notification and...

  15. 78 FR 3029 - Notice of Lodging of Proposed Amended Consent Decree Under the Comprehensive Environmental...

    Science.gov (United States)

    2013-01-15

    ... (represented by Kenneth Senser as the Executor the Estate of Saul Senser) will pay the United States $243,250... claim, the Estate of Saul Senser, together with Kenneth Senser in his capacity as Executor of the Estate...

  16. 77 FR 75659 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2012-12-21

    ... Defendants, consisting of Johnson & Johnson, Permacel, Inc., 3M Company, Lionetti Oil Recovery, Inc., and Fry... for the District of New Jersey in the lawsuit entitled United States v. Johnson & Johnson, et al... Management Company, Union Carbide Corporation, Advanced Environmental Technology Corporation, AT&T Corp., The...

  17. 76 FR 9609 - Notice of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-02-18

    ... the Environmental Protection Agency and the San Joaquin Valley Unified Air Pollution Control District... related to emissions of pollutants; install and operate required pollution control technology; undertake... Clean Air Act, 42 U.S.C. 7413(b), for alleged environmental violations at defendant's biomass electric...

  18. 76 FR 45617 - Notice of Lodging of the Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-07-29

    ..., which resulted in dry weather overflows and numerous basement backups in the homes of residents of... well as implement numerous construction projects aimed at repairing or replacing deteriorating sewers...

  19. 75 FR 28820 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-05-24

    ... (``CERCLA''), 42 U.S.C. 9607(a)(3), for response costs incurred by the Environmental Protection Agency..., Inc. associated with costs incurred by EPA at the Pioneer Smelting Superfund Site. The Department of... (25 cents per page reproduction cost) payable to the U.S. Treasury or, if by e-mail or fax, forward a...

  20. 75 FR 32503 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response Compensation...

    Science.gov (United States)

    2010-06-08

    ... Liability Act (``CERCLA''), 42 U.S.C. 9607(a)(2), for response costs incurred by the Environmental... any claim the United States has associated with costs incurred by EPA at the Pioneer Smelting... of $7.75 (25 cents per page reproduction cost) payable to the U.S. Treasury or, if by e-mail or fax...

  1. 75 FR 57817 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-09-22

    ... sought the performance of response actions or the recovery of response costs incurred by the United... to pay, collectively, $1.9 million in reimbursement of response costs incurred by the United States... (25 cents per page reproduction cost) payable to the U.S. Treasury or, if by e-mail or fax, forward a...

  2. 75 FR 30859 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-06-02

    ..., Compensation and Liability Act of 1980, 42 U.S.C. 9601-9675, for recovery of costs incurred by the United... of costs incurred by EPA at the Site. The Department of Justice will receive for a period of thirty... Library, please enclose a check in the amount of $23.25 (25 cents per page reproduction cost) payable to...

  3. 76 FR 30197 - Notice of Lodging of Consent Decree Under The Clean Air Act

    Science.gov (United States)

    2011-05-24

    ... System, LLC, Western Convenience Stores, Inc., and Offen Petroleum, Inc. (collectively, the ``Defendants... the sampling, testing, record keeping and reporting requirements of those regulations and by producing...

  4. 76 FR 59425 - Notice of Lodging of Consent Decree Under The Clean Air Act

    Science.gov (United States)

    2011-09-26

    ... and collection systems, to correctly establish and monitor operating parameters, and to comply with... using model test protocols, adopt new monitoring practices, correct deficiencies in recordkeeping and... Environmental Protection Agency, Ariel Rios Building, 1200 Pennsylvania Avenue, NW., Washington, DC 20460...

  5. 75 FR 62421 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-10-08

    ... States of America v. James Valley Ethanol, LLC, Northern Lights Ethanol, LLC, and Poet Plant Management... Ethanol, LLC (``James Valley''), Northern Lights Ethanol, LLC (``Northern Lights''), and POET Plant Management (``POET'') pursuant to Sections 111 and 502(a) of the Clean Air Act (the ``Act''), 42 U.S.C. 7411...

  6. 78 FR 68476 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-11-14

    ..., General Electric Company, GlaxoSmithKline, LLC, Goodrich Corporation, HCR ManorCare, Inc., Hoffmann-La..., Inc., L.E. Carpenter & Company, LANXESS Corporation, Mack Trucks, Inc., Merck & Co., Inc., Momentive...

  7. 75 FR 42132 - Notice of Lodging of Consent Decree Pursuant to the Clean Air Act

    Science.gov (United States)

    2010-07-20

    ... assist refuse collection vehicle, purchasing a pluggable hybrid electric terminal truck to replace one of... typically emitted from traditional refuse collection vehicles. The pluggable hybrid electric terminal truck...

  8. 75 FR 42131 - Notice of Lodging of Consent Decree Pursuant to the Clean Air Act

    Science.gov (United States)

    2010-07-20

    ... assist refuse collection vehicle, purchasing a pluggable hybrid electric terminal truck to replace one of... typically emitted from traditional refuse collection vehicles. The pluggable hybrid electric terminal truck...

  9. 78 FR 55098 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-09-09

    ... agrees to finance and perform the work for the Site and to reimburse $400,000 in past costs to the United... and Natural Resources Division, and should refer to United States v. The Dow Chemical Company, D.J... General, U.S. DOJ--ENRD, P.O. Box 7611, Washington, DC 20044-7611. Under Section 7003(d) of the Resource...

  10. 78 FR 14358 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-03-05

    ... violations related to a tire-burning electric generating plant in Ford Heights, Illinois (the ``Facility..., including: (1) The New Source Performance Standards for Industrial Steam Generating Units; (2) the Illinois...

  11. 75 FR 39041 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2010-07-07

    ... processing and rendering facility located outside of Philadelphia, to re-construct the system that collects..., its asset management, its recordkeeping, and its computer based monitoring systems. Finally, the... Protection, and $100,000 of which will be made to the Pennsylvania Fish and Boat Commission. Both the...

  12. 76 FR 39899 - Notice of Proposed Consent Decrees Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-07-07

    ... United States District Court for the Middle District of Florida. In this action the United States sought..., Hillsborough County, Florida. The United States also sought to recover past and future costs incurred and to be... contaminated groundwater, and restoration of on-site wetlands impacted during removal of contaminated soils...

  13. 77 FR 39262 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2012-07-02

    ... Frozen Bakery Products, Inc. (collectively ``Cottage'') for violations of the federal Clean Air Act, 42 U... Joaquin Valley Unified Air Pollution Control District v. Cottage Bakery, Inc. and Ralcorp Frozen Bakery Products, Inc., case number 2:12-at-00895, was lodged with the United States District Court for the Eastern...

  14. 78 FR 21419 - Notice of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-04-10

    ... Redevelopment Corp.; IBP Food Co.; Foodbrands Supply Chain Services, Inc.; Tyson Chicken, Inc.; Tyson Deli, Inc... abide by the Risk Management Program (``RMP'') requirements of Section 112(r)(7) of the Act. The... responses to emergencies involving chemicals that are regulated pursuant to the CAA Risk Management Program...

  15. 78 FR 45970 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-07-30

    ... District of Alabama in the lawsuit entitled United States of America, Alabama Department of Conservation... United States of America, Alabama Department of Conservation and Natural Resources, and the Geological... the Interior (DOI), Alabama Department of Conservation and Natural Resources, and the Geological...

  16. 77 FR 73675 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2012-12-11

    ... recover past response costs incurred and other relief in connection with the B.F. Goodrich Superfund Site....25 million toward the settlement funds, as well as to participate in funding certain cost overruns... $9.95 million in cash contributions to the settlement funds. In return, the United States provides...

  17. 75 FR 4847 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-01-29

    ... operates three coal-fired power plants in Kansas. One of those plants, the Jeffrey Energy Center (``Jeffrey... retrofitting diesel engines to reduce emissions from vehicles owned by or operated for public entities in Kansas with emission control equipment, installing new wind turbines that provide electricity for the...

  18. 75 FR 39041 - Notice of Lodging of Proposed Consent Decree Under the Solid Waste Disposal Act

    Science.gov (United States)

    2010-07-07

    ... Water Services, Inc., Civil Action No. 2:10-CV-00128-ABJ, was lodged with the United States District... the Solid Waste Disposal Act (as amended by the Resource Conservation and Recovery Act), 42 U.S.C. 6973, in connection with Defendant's failure to comply with an Administrative Order issued by EPA...

  19. 76 FR 28810 - Notice of Proposed Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-05-18

    .... South Carolina Electric & Gas Company, Case No. 2-11-cv-1110-CWH (D. S. Car. May 9, 2011). The proposed...'') against South Carolina Electric & Gas Company (``SCE&G''). The claims arise from the release of hazardous..., Washington, DC 20044-7611, and should refer to United States et al. v. South Carolina Electric & Gas Company...

  20. 75 FR 13781 - Notice of Lodging of Consent Decree Pursuant to the Clean Water Act

    Science.gov (United States)

    2010-03-23

    ... Operating Partnership LP, Civ. A. No. 10-106, was lodged with the United States Court for the District of... Act, 33 U.S.C. 1321, against Defendant NuStar Pipeline Operating Partnership LP. The Complaint alleges that Defendant failed to comply with regulations issued pursuant to Section 311(j)(5) of the CWA, 33 U...

  1. 77 FR 46759 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2012-08-06

    ... holidays. Comments on a disk or CD-ROM should be formatted in Word or ASCII file, avoiding the use of... U.S. Virgin Islands had failed to submit CAA SIPs for improving visibility in mandatory Federal... from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone number for...

  2. 77 FR 281 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2012-01-04

    ... holidays. Comments on a disk or CD-ROM should be formatted in Word or ASCII file, avoiding the use of... U.S. Virgin Islands had failed to submit CAA SIPs for improving visibility in mandatory Federal...

  3. 78 FR 32276 - Notice of Lodging of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-05-29

    ... comments: Send them to: By e-mail [email protected] . By mail Assistant Attorney General, U.S... & Marketing L.L.C., Civil Action No. 11-CV-1291-JTM- JPO. The United States of America, on behalf of the... against Defendant Coffeyville Resources Refining & Marketing, LLC (``CRRM'') for penalties and injunctive...

  4. 75 FR 6220 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-02-08

    ... settles claims for natural resource damages under the Comprehensive Environmental Response, Compensation... natural resource trustees for any unreimbursed assessment costs incurred by the State and Federal natural... Assistant Attorney General, Environment and Natural Resources Division, and either e-mailed to pubcomment...

  5. 76 FR 20372 - Notice of Lodging of Consent Decree and Settlement Agreement Regarding Natural Resource Damage...

    Science.gov (United States)

    2011-04-12

    ..., Assistant Section Chief, Environmental Enforcement Section, Environment and Natural Resources Division. [FR... resolves claims for natural resource damages and assessment costs of the United States Department of the..., Environment and Natural Resources Division, and either e-mailed to [email protected] or mailed to...

  6. 75 FR 64352 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2010-10-19

    ... and state trustees nearly $1,200,000 of past natural resource damages assessment costs, (2) perform... and Environmental Assessment for the Bayou Verdine Site, and (3) pay an additional sum of $750,000... Environment and Natural Resources Division, U.S. Department of Justice, and either e-mailed to pubcomment-ees...

  7. 77 FR 29361 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2012-05-17

    ... (a) pay $3,812,127 to the Department of the Interior's Natural Resource Damage Assessment and... the Massachusetts Executive Office of Energy and Environmental Affairs for its assessment costs. The... General, Environment and Natural Resources Division, P.O. Box 7611, U.S. Department of Justice, Washington...

  8. 75 FR 13304 - Notice of Lodging of Consent Decree Under the Oil Pollution Act (OPA)

    Science.gov (United States)

    2010-03-19

    ...., will pay assessment costs and natural resource damages totaling $588,000. The Natural Resources Trustees developed a proposed Restoration Plan and Environmental Assessment in connection with the Spill... Attorney General, Environment and Natural Resources Division, and either e-mailed to pubcomment-ees.enrd...

  9. 77 FR 25499 - Notice of Lodging of Proposed Natural Resource Damages Consent Decree Under the Comprehensive...

    Science.gov (United States)

    2012-04-30

    ... above. Ronald Gluck, Assistant Section Chief, Environmental Enforcement Section Environment and Natural... Department of the Interior's Natural Resource Damage Assessment and Restoration Fund, which can be used to.... Comments should be addressed to the Assistant Attorney General, Environment and Natural Resources Division...

  10. 78 FR 22295 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-04-15

    ... claims for natural resource damages and assessment costs (``NRD'') of the United States Department of... should be addressed to the Assistant Attorney General, Environment and Natural Resources Division, and..., Environment and Natural Resources Division. [FR Doc. 2013-08719 Filed 4-12-13; 8:45 am] BILLING CODE 4410-15-P ...

  11. 78 FR 6131 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-01-29

    ... agree to reimburse the United States and the State for natural resource damage assessment costs ($31,060... Section, Environment and Natural Resources Division. [FR Doc. 2013-01761 Filed 1-28-13; 8:45 am] BILLING... Environmental Response, Compensation, and Liability Act On January 22, 2013, the Department of Justice lodged a...

  12. 78 FR 61867 - Notice of Lodging of Proposed Consent Decree Under the Safe Drinking Water Act

    Science.gov (United States)

    2013-10-04

    ... and/or operated by the Fort Belknap Indian Community and the Prairie Mountain Utility (``PMU'') and... responsibilities of the PMU and tribal government, and implement a series of changes in operation of the PMU to...

  13. 75 FR 29584 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-05-26

    ... and violations of the Pennsylvania State Implementation Plan at a steel manufacturing facility in...) Cease operation of the Natrona steel manufacturing facility not later than November 30, 2010; (2) pay a...

  14. 77 FR 1948 - Notice of Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2012-01-12

    .... International Hospitality Associates, S. en C. por A. (SE.), et al., Civil Action No. 3:11-cv- 02200, was lodged...) against Settling Defendants, International Hospitality Associates S. en C. Por A. (SE.) and International Hospitality Associates, Inc., for violations of Sections 301, 308, and 402(p) of the Federal Water Pollution...

  15. 75 FR 62567 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2010-10-12

    ...) and the Chemical Accident Prevention Provisions promulgated at 40 CFR part 68. The United States' CAA... also requires BP Products to regularly report to EPA on indicators of process safety at the Texas City... received process safety training, and (3) whether additional accidental releases of regulated substances...

  16. 76 FR 2134 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-01-12

    ... Seven Out, LLC and BCX, Inc. (``Settling Defendants'') in United States of America v. Seven Out LLC, and BCX, Inc., Case No. 3:11-cv-0009-UAMH-MCR (U.S.D.C. M.D. Fla.), with respect to the BCX Tank Superfund... at or from the Site. Financial information provided by the Settling Defendants indicated an inability...

  17. 78 FR 18629 - Notice of Lodging of Proposed Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2013-03-27

    ... with the defendant's discharge of ash from BADGER, a coal- fired, stream-driven ferry that operates.... Box 7611, Washington, DC 20044-7611. During the public comment period, you can examine and download...-ENRD, P.O. Box 7611, Washington, DC 20044-7611. Please enclose a check or money order for $10.50...

  18. 78 FR 5209 - Notice of Lodging of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-01-24

    ... vehicles and to keep them out of the stream of commerce; a wood-stove replacement project designed to... General U.S. DOJ--ENRD P.O. Box 7611 Washington, DC 20044-7611. During the public comment period, the... Library, U.S. DOJ--ENRD, P.O. Box 7611, Washington, DC 20044- 7611. Please enclose a check or money order...

  19. 77 FR 48170 - Notice of Lodging of Consent Decree Pursuant to Comprehensive Environmental Response...

    Science.gov (United States)

    2012-08-13

    ... Medical Center; Scana Corp.; Southern Union Company; Space Systems/Loral, Inc.; Taylor School District; The M&P Lab, Inc.; The Scripps Research Institute; TRW Automotive US, LLC; Union College; University...

  20. 76 FR 43346 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2011-07-20

    ... production limits and restrictions while seeking permits to install and operate additional equipment to... pre-1988 wood stoves with cleaner burning parts and/or stoves. The Department of Justice will receive...

  1. 78 FR 78384 - Notice of Filing of Proposed Consent Decree Under the Clean Air Act

    Science.gov (United States)

    2013-12-26

    ... facilities located in New Cumberland, WV and Washington, MO. Section 112(r)(1) imposes a general duty on... 7611, Washington, DC 20044-7611. Please enclose a check or money order for $3.50 (25 cents per page...

  2. 78 FR 14119 - Notice of Lodging of Proposed Consent Decrees Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-03-04

    ... Utility, City of Mount Vernon, MO, City of New Madrid, MO, Pet Inc., City of Seymour, MO, Tipmont Rural Electric Membership Corp., and City of West Plains, MO) under Section 107 of CERCLA, 42 U.S.C. 9607, at the....S. DOJ--ENRD, P.O. Box 7611, Washington, DC 20044-7611. Please enclose a check or money order for...

  3. 75 FR 48726 - Notice of Lodging of Consent Decree Under the Resource Conservation and Recovery Act

    Science.gov (United States)

    2010-08-11

    ... reduction program; install synthetic protective barriers beneath its production plants; provide $163.5... Natural Resources Division, and either e-mailed to [email protected] or mailed to P.O. Box..., Natural Resources. [FR Doc. 2010-19799 Filed 8-10-10; 8:45 am] BILLING CODE 4410-15-P ...

  4. 76 FR 50757 - Notice of Lodging of a Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-08-16

    ... March 2023 by completing sewer separation projects and upgrades at an approximate cost of $4.2 million... and (3) establish and operate a yard waste pick-up and recycling program for Elkins' residents as a Supplemental Environmental Project (``SEP''). The Department of Justice will receive for a period of thirty (30...

  5. 75 FR 80809 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2010-12-23

    ... Department of Air Quality to the Tennessee Valley Authority's Paradise Fossil Plant in Drakesboro, Kentucky... permit issued by the Kentucky Department of Air Quality to the Tennessee Valley Authority's Paradise...'s policy is that public comments, whether submitted electronically or in paper, will be made...

  6. 75 FR 49949 - Notice of Lodging of Consent Decree Under The Clean Water Act

    Science.gov (United States)

    2010-08-16

    ...) improve pipeline operation and integrity management practices, and (3) enhance leak detection capabilities... Pipeline, L.P., et al., (Civil No. 4:10-cv-2833), was lodged with the United States District Court for the... Act (``CWA''), 33 U.S.C. 1251 et seq., against Plains All American Pipeline, L.P. and several of its...

  7. 78 FR 35315 - Notice of Lodging of Proposed Consent Decree Under The Clean Water Act

    Science.gov (United States)

    2013-06-12

    ... Florida Air and Water Pollution Control Act, Fla. Stat. Chapter 403, seeking penalties and injunctive... underneath Government Cut between Fisher Island and south of the City of Miami Beach that conveys untreated... implement a number of EPA sewer maintenance and repair programs which EPA believes will dramatically reduce...

  8. 77 FR 516 - Notice of Lodging of Proposed Natural Resource Damages Consent Decree Under the Comprehensive...

    Science.gov (United States)

    2012-01-05

    ...-McMoRan Tyrone Inc., Freeport-McMoRan Tyrone Mining LLC, and Freeport-McMoRan Cobre Mining Company... Damage Assessment and Restoration Fund, which can be used to restore, rehabilitate, replace, or acquire...

  9. 75 FR 73130 - Notice of Lodging of Consent Decree and Environmental Settlement under the Comprehensive...

    Science.gov (United States)

    2010-11-29

    ... of Navajo Nation, NM, AZ The White King/Lucky Lass mine site, Lakeview, OR The Toledo Tie Site... Fleetwood ( [email protected] ), fax no. (202) 514-0097, phone confirmation number (202) 514-1547...

  10. 76 FR 70164 - Notice of Lodging of Consent Decree under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-11-10

    ... threat of release of hazardous substances at or in connection with the Armour Road Superfund Site located at 2251 Armour Road North Kansas City, Missouri. The Complaint alleged claims against Donald E. Horne...

  11. 76 FR 49505 - Notice of Lodging of a Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2011-08-10

    ... District's (``MSD's'') operation of its sewer system in the City of St. Louis and St. Louis County, Missouri. The Complaint alleged that MSD's discharges of raw sewage from its sanitary sewer system-- discharges that often are referred to as Sanitary Sewer Overflows or ``SSOs''--and from MSD's combined storm...

  12. 78 FR 45971 - Amended Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental...

    Science.gov (United States)

    2013-07-30

    ... Gammill (Mr. Gammill) and his spouse Lynn Crosby Gammill (Mrs. Gammill) on April 30, 2012. The complaint... operator of Crosby Wood Preserving Company a woodtreating facility on a portion of the Site from 1964...

  13. 78 FR 42801 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-07-17

    ... his spouse Lynn Crosby Gammill (Mrs. Gammill) on April 30, 2012. The complaint alleged claims of the... operator of Crosby Wood Preserving Company a woodtreating facility on a portion of the Site from 1964...

  14. 76 FR 586 - Notice of Lodging of Consent Decree Under the Comprehensive Environmental Response, Compensation...

    Science.gov (United States)

    2011-01-05

    ... Parties (Alcoa, Inc., ANR Pipeline Company, C. Stoddard & Sons, Inc., Clean Harbors Environmental Services, Inc., Consolidated Rail Corporation, CSX Transportation, Inc., Ford Motor Company, Imperial Oil Limited, Ingersoll-Rand Company, Northern Indiana Public Service Company, Rockwell Automation, Tennessee...

  15. 76 FR 34102 - Notice of Lodging of Consent Decree Under The Clean Air Act

    Science.gov (United States)

    2011-06-10

    ...; (2) surrender all pollution credits relating to emissions from the chip dryer; (3) perform a supplemental environmental project by spending $132,627 to retrofit municipal or school bus diesel vehicles within Cook County by installing pollution control devices to reduce the emissions of particulate matter...

  16. 78 FR 17941 - Notice of Lodging of Proposed Consent Decrees Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2013-03-25

    ...' limited ``ability to pay,'' requires Settling Defendants to undertake a Remedial Design/ Remedial Action... by making five equal payments, plus interest, over the course of approximately four years. The...-11-3-09813. All comments must be submitted no later than thirty (30) days after the publication date...

  17. 78 FR 27258 - Notice of Lodging of Proposed First Amended Consent Decree Under the Comprehensive Environmental...

    Science.gov (United States)

    2013-05-09

    ... the goal of reducing groundwater contaminant levels below drinking water standards and did not address...., Civil Action No. CV-93- 2990-JSL (SHx), with respect to the Pacific Coast Pipeline Superfund Site in...

  18. 78 FR 48161 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Science.gov (United States)

    2013-08-07

    ... further alleged that EPA had failed to take final action on the attainment demonstration, contingency... a notice taking final action on the attainment demonstration, contingency measures, emission....gov . You may use the www.regulations.gov to submit or view public comments, access the index listing...

  19. 77 FR 26044 - Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response...

    Science.gov (United States)

    2012-05-02

    ...-to-pay'' settlement based on financial analyses conducted by the Department's Antitrust Corporate Finance Unit. Senser Metal and Mr. Senser's Estate (represented by Kenneth Senser as the Executor the...

  20. 78 FR 41423 - Notice of Lodging of Proposed Consent Decree Under the Oil Pollution Act

    Science.gov (United States)

    2013-07-10

    ... the request of National Oceanic and Atmospheric Administration and the Department of the Interior, and... enclose a check or money order for $13 (25 cents per page reproduction cost) payable to the United States...

  1. Informed consent for braces.

    Science.gov (United States)

    Jharwal, Vikas; Trehan, Mridula; Rathore, Nidhi; Rathee, Pooja; Agarwal, Deepesh; Mathur, Nikunj

    2014-05-01

    The influence of law on the orthodontic profession has greatly increased in the last few decades. Dental law has emerged today as a full-fedged specialty dealing with a variety of areas, like professional negligence, doctor-patient contracts, consumer protection laws, ethics, general and special health legislations and practice regulatory mechanisms. This article highlights the concept of informed consent which is based on the premise that each individual has a right to make decisions concerning his health, disease and treatment. How to cite this article: Jharwal V, Trehan M, Rathore N, Rathee P, Agarwal D, Mathur N. Informed Consent for Braces. Int J Clin Pediatr Dent 2014;7(2):105-108.

  2. Nudging and informed consent.

    Science.gov (United States)

    Cohen, Shlomo

    2013-01-01

    Libertarian paternalism's notion of "nudging" refers to steering individual decision making so as to make choosers better off without breaching their free choice. If successful, this may offer an ideal synthesis between the duty to respect patient autonomy and that of beneficence, which at times favors paternalistic influence. A growing body of literature attempts to assess the merits of nudging in health care. However, this literature deals almost exclusively with health policy, while the question of the potential benefit of nudging for the practice of informed consent has escaped systematic analysis. This article focuses on this question. While it concedes that nudging could amount to improper exploitation of cognitive weaknesses, it defends the practice of nudging in a wide range of other conditions. The conclusion is that, when ethically legitimate, nudging offers an important new paradigm for informed consent, with a special potential to overcome the classical dilemma between paternalistic beneficence and respect for autonomy.

  3. Consent in escrow.

    Science.gov (United States)

    Van der Loos, Kiah I; Longstaff, Holly; Virani, Alice; Illes, Judy

    2015-02-01

    Disasters such as flash flooding, mass shootings, and train and airplane accidents involving large numbers of victims produce significant opportunity for research in the biosciences. This opportunity exists in the extreme tails of life events, however, during which decisions about life and death, valuing and foregoing, speed and patience, trust and distrust, are tested simultaneously and abundantly. The press and urgency of these scenarios may also challenge the ability of researchers to comprehensively deliver information about the purposes of a study, risks, benefits, and alternatives. Under these circumstances, we argue that acquiring consent for the immediate use of data that are not time sensitive represents a gap in the protection of human study participants. In response, we offer a two-tiered model of consent that allows for data collected in real-time to be held in escrow until the acute post-disaster window has closed. Such a model not only respects the fundamental tenet of consent in research, but also enables such research to take place in an ethically defensible manner.

  4. Decree No 90-78 of 19 January 1990 amending Decree No 63-1228 of 11 December 1963 on nuclear installations

    International Nuclear Information System (INIS)

    1990-01-01

    This Decree amends Decree No. 63-1228 of 11 December 1963 laying down a prior licensing procedure for large nuclear installations. The amendments aim to harmonize the 1963 Decree with the Act of 1987 on the prevention of major risks. Henceforth decommissioning is taken into account, both in the application and in the licence itself [fr

  5. Decree of 25 September 1982 amending Ministerial Decree of 27 July 1966 on conditions for notifying possession of radioactive materials and for annual updating of records thereof

    International Nuclear Information System (INIS)

    1982-01-01

    This Decree issued by the Ministry of Industry, Commerce and Crafts, amends a similar one of 27 July 1966 made in implementation of Presidential Decree No 185 of 1964 on radiation protection. This new Decree simplifies the notification procedures. (NEA) [fr

  6. Decree No 70-440 of 22 May 1970 abolishing the licensing system, set up by the Decree of 30 October 1935, in respect of thermal and nuclear electricity-generating plants

    International Nuclear Information System (INIS)

    1970-01-01

    With this Decree, nuclear power plants are subject only to the licensing system established by the 1963 Decree on nuclear installations, as amended subsequently by the Decree of 1973 and regulations specific to nuclear installations. (NEA) [fr

  7. Decree of the 27. July 2001

    International Nuclear Information System (INIS)

    Anon.

    2001-01-01

    The decree of the 27. July 2001 defines the organization of nuclear safety concerning nuclear military systems (SNM) and secret basic nuclear installations (INBS). The responsibility of nuclear safety is shared between 3 authorities: 1) the synthetic authority, this authority defines the organization required to reach and maintain the adequate level of safety set by the ministry of defence, the synthetic authority can change according to the state in which SNM or INBS is (designing, fabrication, operation and dismantling); 2) the authority that is responsible for the material and staff resources that are required to operate the SNM or INBS according to the rules and regulations of nuclear safety; and 3) the military territorial authority, this authority manages the actions made by the state services concerning the prevention of accidents, or the measures to take in case of accidents. (A.C.)

  8. Adolescents and consent to treatment.

    Science.gov (United States)

    Dickens, B M; Cook, R J

    2005-05-01

    Adolescents, defined by WHO as 10 to 19 years old, can give independent consent for reproductive health services if their capacities for understanding have sufficiently evolved. The international Convention on the Rights of the Child, almost universally ratified, limits parental powers, and duties, by adolescents' "evolving capacities" for self-determination. Legal systems may recognize "mature minors" as enjoying adult rights of medical consent, even when consent to sexual relations does not absolve partners of criminal liability; their consent does not make the adolescents offenders. There is usually no chronological "age of consent" for medical care, but a condition of consent, meaning capacity for understanding. Like adults, mature minors enjoy confidentiality and the right to treatment according to their wishes rather than their best interests. Minors incapable of self-determination may grant or deny assent to treatment for which guardians provide consent. Emancipated minors' self-determination may also be recognized, for instance on marriage or default of adults' guardianship.

  9. Informed consent and the readability of the written consent form.

    Science.gov (United States)

    Sivanadarajah, N; El-Daly, I; Mamarelis, G; Sohail, M Z; Bates, P

    2017-11-01

    Introduction The aim of this study was to objectively ascertain the level of readability of standardised consent forms for orthopaedic procedures. Methods Standardised consent forms (both in summary and detailed formats) endorsed by the British Orthopaedic Association (BOA) were retrieved from orthoconsent.com and assessed for readability. This involved using an online tool to calculate the validated Flesch reading ease score (FRES). This was compared with the FRES for the National Health Service (NHS) Consent Form 1. Data were analysed and interpreted according to the FRES grading table. Results The FRES for Consent Form 1 was 55.6, relating to the literacy expected of an A level student. The mean FRES for the BOA summary consent forms (n=27) was 63.6 (95% confidence interval [CI]: 61.2-66.0) while for the detailed consent forms (n=32), it was 68.9 (95% CI: 67.7-70.0). All BOA detailed forms scored >60, correlating to the literacy expected of a 13-15-year-old. The detailed forms had a higher FRES than the summary forms (p<0.001). Conclusions This study demonstrates that the BOA endorsed standardised consent forms are much easier to read and understand than the NHS Consent Form 1, with the detailed BOA forms being the easiest to read. Despite this, owing to varying literacy levels, a significant proportion of patients may struggle to give informed consent based on the written information provided to them.

  10. Informed Consent in Adult Psychiatry

    Directory of Open Access Journals (Sweden)

    Ahmed Bait Amer

    2013-07-01

    Full Text Available This article addresses some of the groundwork of informed consent in people with mental illness whose decision-making capacity has obviously been compromised. This article examines four crucial aspects in particular, namely: i the main elements of informed consent; ii difficulties pertaining to psychiatric illnesses; iii the effect of psychiatric disorders on the patient’s capability; iv how to assess situations in which consents may not be required.

  11. Decree No. 83/7405 of 18 November 1983 on the licensing procedure for nuclear installations

    International Nuclear Information System (INIS)

    1983-01-01

    This Decree (No. 83/7405) on the licensing procedure for nuclear installations came into force on 19 December 1983 and supersedes Decree No. 7/9141 of 5 December 1974 on the same subject. The general lines of the licensing procedure laid down by this new Decree are similar to that provided by the 1979 Decree; it is also carried out in three stages: site, construction and operating licences are delivered in succession. (NEA) [fr

  12. Informed consent -- Building consensus

    International Nuclear Information System (INIS)

    Lovenheim, R.

    1990-01-01

    The author shares his observations and offers an approach to 'building consensus' for what he believes is the only environmentally sound option, i.e., safe, permanent disposal of low-level radioactive waste (LLRW). Consensus does not mean unanimity, acceptance, or harmony. The low-level radioactive waste disposal issue is fraught with fear and hysteria. The paper discusses major emotions that fracture public opinion regarding this issue. The author defines consensus as the informed consent of LLRW disposal strategies by a majority of citizens whose cooperation is required to achieve the goals of environmentally sound solution. The political aspects are reviewed. The need for US Department of Energy to fulfill its importance technical assistance role is discussed

  13. Decree of 11 August 1973 amending the Radioactive Materials (Nuclear Energy Act) Decree (Bulletin of Acts, Orders and Decrees 404/1969)

    International Nuclear Information System (INIS)

    Anon.

    1973-01-01

    This Decree amends the Radioactive Materials (Nuclear Energy Act) Decree of 1969 in order to insert special regulations for the use of radioactive luminous paint in timepieces. The amendment, which consists of a new Part 4a and an Annex to the 1969 Decree incorporates in Netherlands legislation the Radiation Protection Standards for Radioluminous Timepieces recommended for adoption by the OECD Council on 19th July 1966 and by the IAEA Board of Governors on 19th September 1966. An Explanatory Memorandum is also attached to the Decree. The new provisions specify the permissible nuclides as well as their activity limits for the different categories of timepieces, the markings, the requirements for the cases. The Annex lays down the tests and inspections to be carried out during manufacture of the timepieces; finally, the Explanatory Memorandum states that these standards have been incorporated with national legislation, in view of the increasing use of such products and analyses the new provisions. (N.E.A.) [fr

  14. Nudging, informed consent and bullshit.

    Science.gov (United States)

    Simkulet, William

    2017-11-18

    Some philosophers have argued that during the process of obtaining informed consent, physicians should try to nudge their patients towards consenting to the option the physician believes best, where a nudge is any influence that is expected to predictably alter a person's behaviour without (substantively) restricting her options. Some proponents of nudging even argue that it is a necessary and unavoidable part of securing informed consent. Here I argue that nudging is incompatible with obtaining informed consent. I assume informed consent requires that a physician tells her patient the truth about her options and argue that nudging is incompatible with truth-telling. Instead, nudging satisfies Harry Frankfurt's account of bullshit. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Where no consent = death.

    Science.gov (United States)

    1977-01-01

    Men must be made to understand the value of family planning - particularly in societies where men hold the power of decision in the family. Dr. Kotha Pannikar, chairman of the Kedah Family Planning Association (FPA) in Malaysia, illustrated this point in discussion which followed the Consultation of Medical and Communication Fieldworkers conference in Kuala Lumpur in August, with a story about 1 of her own patients. When the girl, who had a rheumatic heart, was 16, Dr. Pannikar advised the parents that she needed cardiac surgery if she were to be a healthy wife and mother. But the parents lived some distance from Dr. Pannikar's surgery and did not heed the advice. The girl was married to a carpenter from a traditional Chinese family, in which "the man is lord and master." Her new home had no piped water, and in additional to normal domestic tasks she had to carry water from a source 1 1/2 miles agay. In the 7th month of her 1st pregnancy, she went into cardiac failure. After the 3rd pregnancy and a 3rd cardiac failure, Dr. Pannikar tried to arrange a sterilization "but we could not get consent - her husband refused to turn up at the hospital." When the girl was admitted to hospital 6 months into her 4th pregnancy, Dr. Pannikar got hold of her patient's mother-in-law. "I told her if she wanted a servant in the house, it was easy to get one. But no servant would look after her grandchildren the way their mother would. I told her if she wanted to save the girl's life she had better speak to her son." During the 4th delivery, the girl went into cardiac arrest and spent 2 weeks in intensive care. The mother-in-law prevailed upon her son to at least consent, and the girl was sterilized before she left hospital. But "it was a very near thing," Dr. Pannikar recalls "and it wouldn't have happened if the husband had felt he was responsible in parenthood." The Kedah FPA makes special efforts to reach men. Dr. Pannikar herself talks to men's organizations like the Lions and

  16. Informed Consent and Capacity to Give Consent in Mental Disorders

    OpenAIRE

    Zeynep Mackali

    2014-01-01

    Among four basic principles (respect for autonomy, beneficence, non-malfeasance, and justice) which determine ethical behaviors in healthcare, informed consent is mostly related to and lsquo;respect for autonomy'. Also, it reflects patient/client's right for decision and the value given for the client and his/her autonomy. Informed consent is an information sharing process including both rational decision-making about the most appropriate method among many different options and the interacti...

  17. Interactive informed consent: randomized comparison with paper consents.

    Directory of Open Access Journals (Sweden)

    Michael C Rowbotham

    Full Text Available Informed consent is the cornerstone of human research subject protection. Many subjects sign consent documents without understanding the study purpose, procedures, risks, benefits, and their rights. Proof of comprehension is not required and rarely obtained. Understanding might improve by using an interactive system with multiple options for hearing, viewing and reading about the study and the consent form at the subject's own pace with testing and immediate feedback. This prospective randomized study compared the IRB-approved paper ICF for an actual clinical research study with an interactive presentation of the same study and its associated consent form using an iPad device in two populations: clinical research professionals, and patients drawn from a variety of outpatient practice settings. Of the 90 participants, 69 completed the online test and survey questions the day after the session (maximum 36 hours post-session. Among research professionals (n = 14, there was a trend (p = .07 in the direction of iPad subjects testing better on the online test (mean correct  =  77% compared with paper subjects (mean correct = 57%. Among patients (n = 55, iPad subjects had significantly higher test scores than standard paper consent subjects (mean correct = 75% vs 58%, p < .001. For all subjects, the total time spent reviewing the paper consent was 13.2 minutes, significantly less than the average of 22.7 minutes total on the three components to be reviewed using the iPad (introductory video, consent form, interactive quiz. Overall satisfaction and overall enjoyment slightly favored the interactive iPad presentation. This study demonstrates that combining an introductory video, standard consent language, and an interactive quiz on a tablet-based system improves comprehension of research study procedures and risks.

  18. Decree of 16 February 1982 to amend the Ministerial Decree of 27 September 1965 determining activities subject to fire prevention inspections

    International Nuclear Information System (INIS)

    1982-01-01

    This Decree, issued by the Ministers of the Interior and of Industry, Commerce and Crafts, amends a Decree of 27th September 1965 listing the facilities and activities, also in the nuclear reactor, subject to fire prevention controls. The new Decree expands the list to include facilities for the storage of nuclear substances, radioactive products or waste, and facilities where nuclear fuels are held. In addition, facilities for the production, preparation and treatment of nuclear substances as well as for the separation of isotopes are now covered by the 1982 Decree. (NEA) [fr

  19. 18536 - Royal Decree 813/1988 of 15 July amending Royal Decree 1611/1985 of 17 July on the organization of nuclear fuel cycle activities

    International Nuclear Information System (INIS)

    1988-07-01

    The 1985 Decree had amended a 1979 Decree on the organisation of activities in the nuclear fuel cycle by providing in particular that the National Uranium Undertaking (Empresa Nacional del Uranio - ENUSA) should progressively reduce its stockpile of nuclear fuels. This Decree amends the 1985 Decree providing inter alia, that after the first nuclear fuel loading, pressurized water and boiling water reactors (PWR and BWR) in nuclear power plants should have a stockpile of fuel elements available at all times. The number of elements will be fixed for each plant by the Ministry of Industry and Energy [fr

  20. Informed Consent and Capacity to Give Consent in Mental Disorders

    Directory of Open Access Journals (Sweden)

    Zeynep Mackali

    2014-09-01

    Full Text Available Among four basic principles (respect for autonomy, beneficence, non-malfeasance, and justice which determine ethical behaviors in healthcare, informed consent is mostly related to and lsquo;respect for autonomy'. Also, it reflects patient/client's right for decision and the value given for the client and his/her autonomy. Informed consent is an information sharing process including both rational decision-making about the most appropriate method among many different options and the interaction between the clinician and the client. This concept sheds light on criteria regarding the limits of confidentiality, competency, appropriate and sufficient information sharing and voluntariness. In this theoretical review, the definitions and the content of informed consent were shared, and then a section regarding the required content of informed consent for psychotherapy process was provided. Then, the components of informed consent were discussed and the relationship between capacity to consent and mental disorders in terms of aforementioned diagnostic groups was examined. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(3.000: 227-242

  1. Radiation Protection Decree 27.9.1957/328

    International Nuclear Information System (INIS)

    1957-01-01

    This Decree as amended was made under the Radiation Protection Act 1957 and deals with the protection of workers against ionizing radiation. It specifies the licensing procedure required for possession, use, trade in, export and import of radioactive materials and equipment. (NEA) [fr

  2. Soviet Cinema and State Control: Lenin's Nationalization Decree Reconsidered.

    Science.gov (United States)

    Kepley, Vance, Jr.

    1990-01-01

    Proposes a revisionist account of the immediate conditions and consequences of the 1919 Soviet cinema nationalization decree. Argues that nationalization was the least successful of a set of stop-gap measures; that it dispersed and diluted control; and that it actually retarded the growth of the film industry. (KEH)

  3. Decree-Law No. 199/88, 31 May 1988.

    Science.gov (United States)

    1988-01-01

    This Decree-Law establishes criteria for the determination of final compensation for expropriation or nationalization of land or agricultural capital. The lack of legal definition of criteria for the determination of such final compensation was a gap in recent Portuguese legislation on land reform. Although the holdings of many landlords and farmers had been nationalized or expropriated after 11 March 1975, the compensation obtained prior to the enactment of this Decree-Law was provisional and reflected outdated values. This Decree-Law closes this gap by establishing the criteria for the determination of final compensation with adjusted value. Under it, any farmer whose land or capital has been nationalized or expropriated since March 1975 may apply for final compensation, from which shall be deducted the value of any provisional compensation previously obtained and any property previously devolved as a "right of reserve" pursuant to pertinent legislation (see Law No. 109/88 of 26 September 1988 and Decree No. 44/88 of 14 December 1988). The final compensation shall be determined by administrative procedure in which the Ministry of Agriculture, Fisheries, and Food; the Ministry of Finance; and the applicant are represented. full text

  4. Informed consent in surgical trials.

    Science.gov (United States)

    Etchells, E

    1999-12-01

    All participants must provide a valid consent to surgical clinical trials. A valid consent requires patient capacity, adequate disclosure of information, and voluntariness. Capacity is the ability to understand information relevant to making a decision and to appreciate the reasonably foreseeable consequences of a decision or lack of decision. To protect vulnerable persons, an incapable person should not be enrolled in most clinical trials. The only exception is if the study can only be conducted on incapable persons. If the willing research participant is incapable, consent must be obtained from others through a process called substitute (or proxy) consent. Disclosure refers to the provision of relevant information to the patient and its comprehension by the patient. Most surgical trials carry more than minimal risks, so the requirement for careful disclosure of these risks to potential participants is generally stringent. Voluntariness refers to the freedom of a person to make a treatment decision. In specific circumstances related to emergency research, the requirement for consent may be waived. Waiver can be justified only if the delay required to obtain consent would prevent the research from occurring and only after prior consultation with from the "community" of potential research participants.

  5. Consented Autopsy and the Middle-East.

    Science.gov (United States)

    Kharoshah, Magdy A; Hussain, Syed Ather; Madadin, Mohammed; Menezes, Ritesh G

    2017-02-01

    Consented autopsy is almost non-existent in the Middle-East where established social and cultural beliefs regarding the procedure might discourage family members from requesting a consented autopsy. Evidence suggests that new information is obtained from consented autopsies. It would not be in the best interest of medicine if social and cultural misconceptions succeed in erasing the existence of consented autopsies entirely.

  6. Decree of 17 June 1971, Stb. 420, concerning the implementation of Section 68 of the Nuclear Energy Act (Nuclear Energy Act (Secrecy) Decree)

    International Nuclear Information System (INIS)

    1971-01-01

    This Decree lays down that rules may be made to secure the secrecy of a number of nuclear matters. An obligation to observe secrecy may be imposed upon persons engaged in the nuclear activities listed in the Decree if the interest of the State so requires. The competent Minister for the activity concerned is empowered to impose this obligation. (NEA) [fr

  7. Changing trends in informed consent

    OpenAIRE

    Victor Lim

    2014-01-01

    Abstract: Consent is defined as the “voluntary agreement to or acquiescence in what another person proposes or desires”. In the context of medical practice it is now universally accepted that every human being of adult years and of sound mind has the right to determine what shall be done with his or her own body. Informed consent is now a central part of medical ethics and medical law. There has been a change in the public’s expectations of their role in medical decisi...

  8. Decree-law no 348/89 on protection against ionizing radiation

    International Nuclear Information System (INIS)

    1989-10-01

    This Decree-Law sets up a National Commission for Protection against Radiation (Comissao Nacional de Proteccao contra Radiacoes - CNPCR) within the General Directorate for Health in the Health Ministry. The Commission has advisory functions covering protection against ionizing radiation resulting from all nuclear activities. It will make recommendations on harmonizing national radiation protection regulations with those of other European Community Member States and in accordance with Community Directives in this field. The Decree-Law repeals Decree-Law No 44 060 of 25 November 1961 and Decree-Law No 45 132 of 13 June 1963 on radiation protection [fr

  9. Decree 2177/1967 of 22 June approving the Regulations on cover for nuclear risks

    International Nuclear Information System (INIS)

    1967-01-01

    This Decree was made in implementation of Section 45 of the 1964 Act on nuclear energy. It contains provisions on third party liability for nuclear damage, the type of security to cover such liability and State intervention in compensating nuclear damage. The Decree was amended by two Decrees of 28 March 1968 and 7 November 1968 respectively. In particular, the latter Decree implements the provisions of the Paris Convention, ratified by Spain and fixes cover for nuclear risks at 350 million pesetas. (NEA) [fr

  10. National Atomic Energy Commission. Decree No. 1540, August 30 1994

    International Nuclear Information System (INIS)

    1994-01-01

    One of the objectives of the reorganization process of Argentina's public sector was to transfer to the private sector some of the Nation's productive activities, including those concerning the nuclear field. As a consequence, by Decree No. 1540 of August 30, 1994, (B.O. 2-Dec-94), CNEA's functions were partially reorganized. According to Decree No. 1540, the National Atomic Energy Commission (CNEA) maintained the missions and functions established by Decree-Law No. 22.498/56, with the exception of the regulation and surveillance of nuclear activities and the nuclear power generation activities. For the fulfillment of these activities, both the National Board of Nuclear Regulation (Ente Nacional Regulador Nuclear - ENREN) and Nucleoelectrica Argentina S.A. (NASA), were created. The National Board of Nuclear Regulation (ENREN), as an autarchical entity reporting to the Presidency of the Nation, shall be administered by a Board of Directors and shall be responsible for surveying and controlling all nuclear activities, shall suggest regulations and standards to ensure radiological and nuclear safety, personal protection, a controlled use of nuclear materials, licensing and surveillance of nuclear installations, and compliance with international safeguards. Nucleoelectrica Argentina S.A. (NASA) shall be organised as a corporation, reporting to the Ministry of Economy and Public Works and Services (Ministerio de Economia y Obras y Servicios Publicos) who will approve its statures. NASA shall take care of nuclear power generation at the Atucha I and Embalse nuclear power plants, as well as the construction, start-up and operation of the Atucha II nuclear power plant. As far as royalties are concerned, the Decree obliges Nucleoelectrica Argentina S.A. to pay CNEA for the performance of research and development activities, and to the ENREN an yearly regulatory tax per megawatt of installed nuclear power generation capacity. Also, Nucleoelectrica Argentina S.A. is declared

  11. Oberlandesgericht Hamm confirms decree against power price boycotters

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    With the interim decree of July 1, 1981 - 70VGA 1/79 - the OVG Lueneburg has decided in favour of the action of a plaintiff living at a distance of 6.5 km from KKU Unterweser (KKU) to set aside the 3rd partial license under water law granted to KKU by the district of Wesermarsch for discharge of the KKU waste water into the Weser river. The grounds for the decision are rendered in full wording. (orig./HP) [de

  12. Organ procurement: let's presume consent

    OpenAIRE

    Moustarah, F

    1998-01-01

    IN WINNING FIRST PRIZE in the Logie Medical Ethics Essay Contest in 1997, Dr. Fady Moustarah made a strong and compelling argument in favour of presumed consent in the procurement of donor organs. He stressed that a major education campaign will be needed when such a policy is adopted lest some people begin to regard physicians as "organ vultures."

  13. Decree No. 126/78 integrating the suppressed services of the Ministry for Industry and Technology into bodies created by Decree-Law No. 548/77 of 31 December 1977

    International Nuclear Information System (INIS)

    1978-01-01

    This Decree which came into force on 1 June 1978 was made in implementation of Decree-Law No. 548/77 of 31 December 1977 deciding the creation of new departments in the Ministry for Industry and Technology in Portugal and the abolition of others, including the Junta de Energia Nuclear. The Decree divides up the Junta's activities among several administrative departments pending its actual abolition to be fixed by a subsequent Decree. (NEA) [fr

  14. Decree-Law No. 426/88, 18 November 1988.

    Science.gov (United States)

    1988-01-01

    A 1988 Decree-Law of Portugal facilitates preventative and remedial actions with respect to discrimination against women in the civil service. Under the Decree-Law, discriminatory admission and promotion practices are forbidden in all levels of the central administration, independent agencies, the social security administration, and regional administrations. Practices forbidden include those having an unintended discriminatory impact and all job-related differentiation based on sex, directly or indirectly, as in cases where reference is made to a woman's marital or family status. The Decree-Law guarantees equality of remuneration for male and female workers for equal work or work of equal value and prohibits restrictions based on sex in entrance examinations and job advertising. Practices not considered discriminatory include those designed to correct the imbalance between male and female employees and those undertaken to protect maternity. Moreover, work may be restricted that poses risks or the potential of risk to genetic functions and jobs may be conditioned on sex if sex is essential to the performance of the job. Major procedural provisions are as follows: 1) the burden of proving that a decision affecting the position of a female civil servant is justified and does not violate the law is placed on the public authority accused of practicing discrimination; 2) workers have the right to challenge any act of alleged discrimination and may be represented by the pertinent body of collective representation in any proceeding arising under the Decree-Law; 3) no worker may be punished or otherwise penalized for alleging discrimination; 4) directors or workers whose actions have been judged as discriminatory are subject to disciplinary proceedings; and 5) any administrative authority conducting an inquiry regarding alleged discrimination or adopting disciplinary measures in connection with unfounded allegations of the practice of discrimination must obtain from the

  15. Royal Decree 1899/1984 of 1 August amending Royal Decree 2967/1979 of 7 December on the organisation of activities in the nuclear fuel cycle

    International Nuclear Information System (INIS)

    1984-01-01

    Under the Decree of 1979 the ''Empresa Nacional del Uranio SA'' (National Uranium Enterprise - ENUSA) was responsible for spent management while the Junta de Energia Nuclear (JEN) was responsible for the final storage of radioactive waste. However, these provisions do not cover waste resulting from activities outside the fuel cycle or the dismantling of nuclear and radioactive installations, nor do they provide a global solution to the different problems involved in organising the overall management of radioactive waste. Therefore, this Decree authorises the National Enterprise for Radioactive Waste (ENRESA) to perform the tasks prescribed in this field by the 1964 Nuclear Energy Act and the 1979 Decree. (NEA) [fr

  16. 32 CFR 634.8 - Implied consent.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Implied consent. 634.8 Section 634.8 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) LAW ENFORCEMENT AND CRIMINAL INVESTIGATIONS MOTOR VEHICLE TRAFFIC SUPERVISION Driving Privileges § 634.8 Implied consent. (a) Implied consent to blood, breath, or urine tests....

  17. Decree of 19 November 1981 listing the insanitary industries in accordance with Section 216 of the health Code

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree issued by the Minister of Health approves an amended list of insanitary industries which are subject to certain obligations under Section 216 of the Health Code of 1934. The amendments concern certain nuclear plants and laboratories. The 1981 Decree modifies a previous Decree of 1976. (NEA) [fr

  18. Decree No. 83/7467 of 24 November 1983 on visits of foreign armed forces vessels in Turkish waters

    International Nuclear Information System (INIS)

    1983-01-01

    This Decree (No. 83/7467) lays down the principles and procedures for the visits of foreign armed forces vessels in Turkish harbours and inland waterways and came into force on 15 December 1983. This new Decree supersedes a similar Decree of 27 December 1978. (NEA) [fr

  19. Decree 2869/1972 of 21 July approving the Regulations on nuclear and radioactive installations

    International Nuclear Information System (INIS)

    1972-01-01

    This Decree determines nuclear and radioactive installations and establishes their licensing system which is carried out in several stages and differs according to the category concerned. The procedures cover in particular prior authorization, construction licence and operating licence. Provision is also made for inspections. The Annex to the Decree classifies the radionuclides for determining the category of the installation. (NEA) [fr

  20. Ministry of the Environment and Natural Resources - Regulatory Decree No 34/92 of 4 December

    International Nuclear Information System (INIS)

    1992-01-01

    This Decree sets out the radiation protection standards to be applied to uranium mining and related activities. It replaces an earlier Decree (No 78/84) to take into account more recent standards jointly issued by WHO, ILO, IAEA, NEA/OECD and EURATOM, on the basis of ICRP recommendations. (NEA)

  1. Decree 3322/1971 of 23 December on the purposes of the National Uranium Enterprise

    International Nuclear Information System (INIS)

    1972-01-01

    This Decree determines the purposes of the National Uranium Enterprise set up by a Decree of 22 February 1969. In collaboration with the Junta de Energia Nuclear, the Enterprise will in particular work uranium deposits, produce uranium concentrates, enrich uranium, manufacture fuel elements, process nuclear fuel and engage in the trade of the products obtained. (NEA) [fr

  2. Should we nudge informed consent ?

    OpenAIRE

    Brooks, Thom

    2013-01-01

    Critics argue that nudge theory manipulates rather than respects the informed consent of patients. Cohen (2013) convincingly argues that this criticism falls short of the mark. But we might go one step further: nudges are not only defensible, there are also inescapable. Cohen’s defence should be more robust and recognize the importance of context and unavoidable framing effects. The question is not whether nudges are acceptable, but rather how they might be better employed to improve informed...

  3. Futility, autonomy, and informed consent.

    Science.gov (United States)

    Trau, J M

    1994-03-01

    If clinicians deem a treatment medically futile, is it appropriate to mention such a treatment to patients? Do healthcare professionals violate informed consent if they do not offer patients an opportunity to decline futile treatments? The notion of futility involves an assessment of patient best interest--both short-term and long-term therapeutic benefit for a patient and the community in which he or she intends to survive and flourish. Although survival interests may be construed as long term, a treatment that offers survival without any promise of flourishing is not the goal of medicine and is futile. Flourishing requires some cognitive and affective function. The goal of informed consent practices is to ensure that patients accept the benefits of treatment with cognizance of the burdens and risks. Given the impact of illness on the emotional and psychological states of patients and their families and their resultant vulnerability, the omission of futile options from treatment plans is logical and exemplifies the best of paternalistic behavior. The claim that requests for futile treatment must be honored is based on a perverse understanding of patient autonomy. Rational medicine demands that patients' requests be reasonable from a clinical perspective, as well as from a subjective one. The practice of informed consent can be implemented as a balance between these two interests.

  4. Decree No. 2000 of 3 October 1980 modifying Decree No. 1613 of 29 June 1979 on the restructuring of the Ministry of Industry and Energy

    International Nuclear Information System (INIS)

    1980-01-01

    This Decree which further reorganizes the Commissions and Directorates within the Ministry of Industry and Energy provides, inter alia, that the Commissioner for Energy and Mineral Resources shall also be the Chairman of the Junta de Energia Nuclear. (NEA) [fr

  5. Decree 284/12. It regulate the servitudes prescribed by decree law 10.383 referring of UTE conduction lines energy

    International Nuclear Information System (INIS)

    2012-01-01

    This decree is about the UTE transmission line which integrate the Uruguayan National Electricity System. This regulation are able to allow an increasing energy demand as well as a better public service, a main purpose of UTE.

  6. Decree No 63-1228 of 11 December 1963 concerning nuclear installations as amended by Decree No 73-405 of 27 March 1973

    International Nuclear Information System (INIS)

    1973-01-01

    This text, which incorporates the amendments made by the 1973 Decree, regulates large nuclear installations in France and defines them. It lays down in detail their licensing procedure and also designates the competent authorities in that respect. (NEA) [fr

  7. 877-Royal Decree 1753/1987 of 25 November partly amending the Regulations on health protection against ionizing radiation, approved by Royal Decree 2519/1982 of 12 August

    International Nuclear Information System (INIS)

    1988-01-01

    This Decree modifies the 1982 Royal Decree on Radiation Protection as a result of Spain's entry into the European Community and its taking into account of EURATOM Radiation Protection Directives 80/836. The 1987 Decree amends relevant provisions of the 1982 Decree to reflect the basic safety standards of the EURATOM Directives concerning the types of activities which imply exposure, the justification and optimisation of exposure and the requirement that individual doses not exceed specified limits. The annual dose equivalent limits are set out in Annex II to the Decree while Annex III gives the annual limits of intake by inhalation and ingestion for workers and members of the public [fr

  8. Decree No. 70-878 of 29 September 1970 concerning the Atomic Energy Commission, as amended by Decree No. 81-789 of 18 August 1981

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree determines the field of competence of the CEA, and the scope of its work. It also provides for the setting up of a Committee responsible for its administration, under the chairmanship of an Administrator-general who is in charge of the general management of the CEA. He is advised on scientific and technical questions by a High-commissioner. This Decree contains all the amendments made to it in 1974, 1976, 1978, 1979 and 1981. (NEA) [fr

  9. Decree No 90-222 of 9 March 1990 supplementing the general regulations on extractive industries set by Decree No 80-331 of 7 May 1980

    International Nuclear Information System (INIS)

    1990-03-01

    This Decree completes the transfer into national legislation of Euratom Directive No. 80-836 on radiation protection. It inserts in the General Regulations on extractive industries laid down by a Decree No. 80-331 of 1980 a Part 2 relating to environmental protection. Its provisions determine the annual permissible exposure limits to ionizing radiation during management of radioactive products, the monitoring of releases and the environment and the controls set up by the authorities [fr

  10. 76 FR 65534 - Notice of Lodging of Modification of Consent Decree Under the Resource Conservation and Recovery Act

    Science.gov (United States)

    2011-10-21

    ... its ownership and operation of a Thermal Metal Washing unit (``TMW''), in violation of Section 3005(a... trial and risk burns for the TMW to identify appropriate incinerator level and risk based operating and...''), the risk assessment report, the approval of the NOC, and the issuance of a final RCRA permit for the...

  11. 77 FR 21808 - Notice of Lodging of Consent Decree Under The Clean Air Act, The Comprehensive Environmental...

    Science.gov (United States)

    2012-04-11

    ... Comprehensive Environmental Response, Compensation and Liability Act, and The Emergency Planning and Community... 325(b)(3) of the Emergency Planning and Community Right-To-Know Act, 42 U.S.C. 11045(b)(3). The... gases that are flared. Under the flare minimization terms of the settlement, MPC will implement waste...

  12. 78 FR 69709 - Notice of Extension to Public Comment Period for Consent Decree Under the Clean Air Act and the...

    Science.gov (United States)

    2013-11-20

    ... Clean Air Act and the Emergency Planning and Community Right- To Know Act'' On September 30, 2013, the... lawsuit filed under the Clean Air Act and the Emergency Planning & Community Right to Know Act, the United... would receive comments concerning the settlement for a period of thirty (30) days from the date of...

  13. 77 FR 32135 - Notice of Lodging of Consent Decree Under the Clean Air Act and the Emergency Planning and...

    Science.gov (United States)

    2012-05-31

    ... Emergency Planning and Community Right to Know Act. Notice is hereby given that on May 23, 2012, a proposed..., was lodged with the United States District Court for the Northern District of Indiana. The settlement... the Clean Air Act and under the Emergency Planning and Community Right to Know Act related to the...

  14. 77 FR 2319 - Notice of Extension of Public Comment Period for Lodging of Consent Decree Under the Clean Water Act

    Science.gov (United States)

    2012-01-17

    ... treatment for at least ten times the average dry weather flow for the average design year. The proposed... area waterways; (2) a plan to control floatables in such waterways; (3) post construction monitoring...

  15. 77 FR 34065 - Notice of Lodging of Consent Decree Under The Clean Air Act, the Comprehensive Environmental...

    Science.gov (United States)

    2012-06-08

    ... Comprehensive Environmental Response, Compensation and Liability Act, and the Emergency Planning and Community...''), 42 U.S.C. 9603(a); and Sections 304(a) and (b) of the Emergency Planning and Community Right- To-Know.../EPCRA audit. INEOS also will pay a civil penalty of $1,150,000. The Department of Justice will receive...

  16. 75 FR 41239 - Notice of Lodging of Consent Decree; Pursuant to the Resource Conservation and Recovery Act (“RCRA”)

    Science.gov (United States)

    2010-07-15

    ... compliance procedures, a RCRA-specific employee training program, and undertaking a comprehensive third-party... be addressed to the Assistant Attorney General, Environment and Natural Resources Division, and... public meeting in the affected area, in accordance with section 7003(d) of RCRA, 42 U.S.C. 6973(d). The...

  17. 75 FR 42130 - Notice of Lodging of Consent Decree Under the Clean Air Act; Clean Water Act; Resource...

    Science.gov (United States)

    2010-07-20

    ... plants and one fire extinguisher plant. Most of these facilities operate under trade names, including... Agency, 77 West Jackson Boulevard, Chicago, IL 60604-3507, Phone: (312) 353- 2000 Fax: (312) 353-4135...

  18. 76 FR 59738 - Notice of Lodging of Consent Decree Under the National Marine Sanctuaries Act, The Park System...

    Science.gov (United States)

    2011-09-27

    ... the City of Richmond. The settling defendants are Regal Stone Limited, Fleet Management Ltd., the M/V... Drug Stores California, LLC, Longs Drug Stores, LLC, Longs Drug Stores Corporation, CVS Caremark...

  19. 78 FR 52786 - Notice of Lodging of Proposed Consent Decree Under the Park System Resource Protection Act

    Science.gov (United States)

    2013-08-26

    ... access to Defendants' property to plant, water, and monitor replacement trees, and conduct other appropriate activities. Defendants will also supply water and equipment to water the trees. The publication of....C. 19jj et seq., for destruction of, loss of, or injury to park system resources of the Saint Croix...

  20. 78 FR 4438 - Notice of Lodging of Proposed Consent Decree Under the Resource Conservation and Recovery Act and...

    Science.gov (United States)

    2013-01-22

    ... beginning in 2014; (f) remove and dispose of off-site used tires remaining at the landfill; (g) remove and... diversion/recycling program; and (k) pay a civil penalty of $50,000. The publication of this notice opens a...

  1. 77 FR 18266 - Notice of Lodging of Consent Decree Under the Resource Conservation and Recovery Act and Clean...

    Science.gov (United States)

    2012-03-27

    ... tires adjacent to the landfill; (d) implement phased closure of the landfill beginning in 2014; (f) implement a waste diversion/ recycling program; and (g) pay a civil penalty of $50,000. The Department of...

  2. Enhancing informed consent for research and treatment.

    Science.gov (United States)

    Dunn, L B; Jeste, D V

    2001-06-01

    Increased scrutiny of informed consent calls for further research into decision making by patients who may be at risk for impairments. We review interventions designed to improve patient understanding of informed consent. A number of studies, within as well as outside psychiatry, have evaluated the effectiveness of specific interventions, as well as possible "predictors" of understanding of consent, such as subject characteristics, psychiatric symptoms, and cognitive impairment. Deficits in patients' understanding of informed consent may be partially related to poorly conceived, written, or organized informed consent materials; these deficits may be remediable with educational interventions. We find that effective interventions include corrected feedback, multiple learning trials, and more organized or simplified consent forms. Educational levels of patients generally correlate with levels of understanding. Even among individuals with psychiatric illness or cognitive impairment, deficits in understanding can be remedied with certain educational interventions. A variety of interventions can enhance understanding of informed consent.

  3. Decree No. 86-1103 of 2 October 1986 on protection of workers against the hazards of ionizing radiation

    International Nuclear Information System (INIS)

    1986-01-01

    This Decree repeals and replaces the Decree of 15th March 1967 on protection of workers against the hazards of ionizing radiation. Like the 1967 Decree, this Decree does not apply to major nuclear installations, including those classified as secret. The purpose of the 1986 Decree is to implement in domestic legislation the Euratom Directive of 15th July 1980, amended by the Directive of 3rd September 1984, to take into account developments in labour laws - in particular as regards the role of committees responsible for health, safety and working conditions and technology. Finally, it covers all work involving ionizing radiation, including agricultural activities. (NEA) [fr

  4. Prospects of development of the court decrees enforcement system

    Directory of Open Access Journals (Sweden)

    Kristina Sergeyevna Morkovskaya

    2015-06-01

    Full Text Available Objective the relevance of the topic the insufficient level of its scientific elaboration predetermined the research objectives which consist in the analysis of the institution of enforcement proceedings the identification of key challenges trends and ways to improve the current system of court decrees enforcement. Methods the methodological basis of the undertaken research is scientific method of cognition in conjunction with certain specific scientific methods the laws of formal logic historical method comparative legal method and systematic analysis of theoretical works studied in this work. Results the emerging trends in the enforcement proceedings reform in the country cannot be considered to be satisfactory in general although some initiatives seem quite appropriate in case of the proper performance. If you the situation cannot be rectified with the execution of judicial decrees basing on own experience only it is necessary to pay attention to foreign practices and to provide citizens with the right to an effective judicial protection. Of all approaches to reforming of the enforcement institution analyzed in the article the preferred for the Russian legal reality is modernization of the existing nonjudicial system of enforcement through civil procedural means. Scientific novelty at present neither the civil procedure nor the general theory of law has not developed a unified understanding of the civil procedural tools for improving the efficiency of enforcement proceedings. Practical value the main provisions and conclusions of the article can be used in research and teaching when viewing the issues of the effectiveness of enforcement proceedings. nbsp

  5. Placebo Effects and Informed Consent.

    Science.gov (United States)

    Alfano, Mark

    2015-01-01

    The concepts of placebos and placebo effects refer to extremely diverse phenomena. I recommend dissolving the concepts of placebos and placebo effects into loosely related groups of specific mechanisms, including (potentially among others) expectation-fulfillment, classical conditioning, and attentional-somatic feedback loops. If this approach is on the right track, it has three main implications for the ethics of informed consent. First, because of the expectation-fulfillment mechanism, the process of informing cannot be considered independently from the potential effects of treatment. Obtaining informed consent influences the effects of treatment. This provides support for the authorized concealment and authorized deception paradigms, and perhaps even for outright deceptive placebo use. Second, doctors may easily fail to consider the potential benefits of conditioning, leading them to misjudge the trade-off between beneficence and autonomy. Third, how attentional-somatic feedback loops play out depends not only on the content of the informing process but also on its framing. This suggests a role for libertarian paternalism in clinical practice.

  6. Unanimous Constitutional Consent and the Immigration Problem

    OpenAIRE

    Josten, Stefan D.; Zimmermann, Klaus W.

    2004-01-01

    This paper utilizes the cross-cutting cleavages approach to evaluate the probability of a unanimous constitutional consent and, based on these results, discusses the implications of immigration on an existing constitutional consent. It is shown that previous conclusions of beneficial effects stemming from a multitude of political dimensions for a unanimous constitutional consent crucially depend on the assumption of an extreme mode of intrapersonal compensation of constitutional majority and ...

  7. Royal Decree-Law 1302/1986 of 28 June 1986 on environmental impact studies

    International Nuclear Information System (INIS)

    1986-01-01

    This Royal Decree-Law (No 1302/1986) of 28th June 1986 was published in the Official Gazette of 30th June 1986. The purpose of this Decree-Law is to provide for assessments of the environmental impact of certain projected installations and activities. The installations and activities requiring environmental impact studies are listed in the Annex to the Decree-Law and include nuclear power plants and other nuclear reactors (excluding those whose thermal power does not exceed 1 kW) as well as installations for the disposal and final storage of radioactive waste (NEA) [fr

  8. Obtaining consent to oral and maxillofacial surgery.

    Science.gov (United States)

    Poswillo, D

    1989-09-01

    The question of whether or not a patient has consented to treatment has recently become significant to all who practise oral and maxillofacial surgery. It is often linked to professional negligence when the outcome differs from the patient's perception or expectation of the operation. Consent may be oral or written, applies to referred patients and all those with physical and mental handicap and religious restrictions. Examples of procedure in discussing consent assist the surgeon to inform without creating fear. Knowledge of the benefits of informed consent and current legal opinion assist the oral and maxillofacial surgeon to avoid the pitfalls of failure to inform.

  9. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy.

    Science.gov (United States)

    Borello, Alessandro; Ferrarese, Alessia; Passera, Roberto; Surace, Alessandra; Marola, Silvia; Buccelli, Claudio; Niola, Massimo; Di Lorenzo, Pierpaolo; Amato, Maurizio; Di Domenico, Lorenza; Solej, Mario; Martino, Valter

    2016-01-01

    Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion. This prospective, randomized study involved 70 adult patients awaiting cholecystectomy for gallstones. Consent was obtained after standard verbal explanation using either a graphically formatted (study group, n=33) or a standard text document (control group, n=37). Comprehension was evaluated with a 9-item multiple-choice questionnaire administered before surgery and factors affecting comprehension were analyzed. Comparison of questionnaire scores showed no effect of age, sex, time between consent and surgery, or document format on understanding of informed consent. Educational level was the only predictor of comprehension. Simplified surgical consent documents meet the goals of health literacy and informed consent. Educational level appears to be a strong predictor of understanding.

  10. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy

    OpenAIRE

    Borello Alessandro; Ferrarese Alessia; Passera Roberto; Surace Alessandra; Marola Silvia; Buccelli Claudio; Niola Massimo; Di Lorenzo Pierpaolo; Amato Maurizio; Di Domenico Lorenza; Solej Mario; Martino Valter

    2016-01-01

    Abstract Background Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion. Methods This prospective, randomized study involved 70 adult patients awaiting cholecystectomy for gallstones. Consent was obtained after standard verbal explanation using either a grap...

  11. [The origin of informed consent].

    Science.gov (United States)

    Mallardi, V

    2005-10-01

    The principle of informed consent, aimed at the lawfulness of health assistance, tends to reflect the concept of autonomy and of decisional autodetermination of the person requiring and requesting medical and/or surgical interventions. This legal formula, over the last few years, has gained not only considerable space but also importance in the doctrinal elaboration and approaches, as well as juridical interpretations, thereby influencing the everyday activities of the medical profession. Informed consent is still the object of continuous explorations, not only asfar as concerns the already confirmed theoretical profile but, instead, the ambiguous practical and consequential aspect. Analysing how the concept and role of consensus was born and developed with the more adequate and reasonable excursions to make it valid and obtain it, it is impossible not to take into consideration, on the one hand, the very ancient philosophical origins and, on the other, the fact that it was conditioned by religion with the moral aspects and the accelerated deontological evolution with pathways parallel to the needs and the progress offered by new forms of treatment and novel biotechnological applications. The principle of consent is a relatively new condition. In fact, already in the times of not only the Egyptian civilisation, but also the Greek and Roman, documents have been found which show how the doctor's intervention had, in some way, first to be approved by the patient. Plato (law IV) had already foreseen the problems, the procedures and the modes of information which are, in synthesis, at the root of the principles of the present formula of informed consent and correlated the practice of the information and consensus with the quality and social position of the patient. The only guarantee that the patient might have, derived from a fundamental principle of medicine of all times: "in disease, focus on two aims, to improve and not to cause damage". A figure can be recognised

  12. The limits of informed consent.

    Science.gov (United States)

    1975-09-01

    The patient, a 59-year-old man, was referred to a psychiatric hospital with what appeared initially to be the signs and symptoms of mental disorder. In hospital a lesion of the brain was diagnosed and surgery was proposed to relieve the condition. The patient, however, during this and subsequent admissions to hospital, refused operation. His refusal to consent was regarded as valid as he seemed to have good insight into his condition. Finally, under section 26 of the Mental Health Act, he was treated surgically. Unfortunately the patient died six weeks later of intracranial haemorrhage. Three comments are made on this case - two by psychiatrists, Dr K Davison and Dr Ashley Robin, the other by a professor of Christian ethics, Professor F C Blackie. Both psychiatrists argue that when a patient's mind is affected by mental or organic illness to the degree that 'he cannot bring a rational and conscious mind' to the question of his treatment then the doctor, in consultation with the relatives, making clear to them the likely course of events if an operation is not performed, must take whatever is the proper course of action, in this case surgery. In this view, such an operation performed immediately the diagnosis was confirmed might not have been so complicated. Professor Blackie, commending 'the attempt to regard the patient as a responsible human being' with a 'moral right to be consulted on all aspects of treatment', questions in this patient the limits to which the appeal to reason was carried. He concludes that 'in this situation the advice and consent of the family must weigh more heavily than the statements of the patient'.

  13. What is presumed when we presume consent?

    Directory of Open Access Journals (Sweden)

    Pierscionek Barbara K

    2008-04-01

    Full Text Available Abstract Background The organ donor shortfall in the UK has prompted calls to introduce legislation to allow for presumed consent: if there is no explicit objection to donation of an organ, consent should be presumed. The current debate has not taken in account accepted meanings of presumption in law and science and the consequences for rights of ownership that would arise should presumed consent become law. In addition, arguments revolve around the rights of the competent autonomous adult but do not always consider the more serious implications for children or the disabled. Discussion Any action or decision made on a presumption is accepted in law and science as one based on judgement of a provisional situation. It should therefore allow the possibility of reversing the action or decision. Presumed consent to organ donation will not permit such reversal. Placing prime importance on the functionality of body organs and their capacity to sustain life rather than on explicit consent of the individual will lead to further debate about rights of ownership and potentially to questions about financial incentives and to whom benefits should accrue. Factors that influence donor rates are not fully understood and attitudes of the public to presumed consent require further investigation. Presuming consent will also necessitate considering how such a measure would be applied in situations involving children and mentally incompetent adults. Summary The presumption of consent to organ donation cannot be understood in the same way as is presumption when applied to science or law. Consideration should be given to the consequences of presuming consent and to the questions of ownership and organ monetary value as these questions are likely to arise should presumed consent be permitted. In addition, the implications of presumed consent on children and adults who are unable to object to organ donation, requires serious contemplation if these most vulnerable

  14. Use of a simplified consent form to facilitate patient understanding of informed consent for laparoscopic cholecystectomy

    Directory of Open Access Journals (Sweden)

    Borello Alessandro

    2016-01-01

    Full Text Available Surgical informed consent forms can be complicated for patients to read and understand. We created a consent form with key information presented in bulleted texts and diagrams combined in a graphical format to facilitate the understanding of information during the verbal consent discussion.

  15. Royal Decree 1157/1982 of 30 April approving the Statute of the Nuclear Safety Council

    International Nuclear Information System (INIS)

    1982-01-01

    This Decree, made in implementation of the Act of 1980, setting up the Nuclear Safety Council, lays down the statutes, responsibilities, structure and rules of procedure of the Council as well as its staff rules. (NEA) [fr

  16. Decree No. 85-140 of 28 January 1985 on the Higher Council for Nuclear Safety

    International Nuclear Information System (INIS)

    1985-01-01

    The Council set up in 1973 under the supervision of the Minister responsible for energy matters, is charged with all questions dialing with nuclear safety. This Decree expands membership in the Council. (NEA) [fr

  17. Value of informed consent in surgical orthodontics

    NARCIS (Netherlands)

    Brons, S.; Becking, A.G.; Tuinzing, D.B.

    2009-01-01

    PURPOSE: Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation,

  18. Value of informed consent in surgical orthodontics

    NARCIS (Netherlands)

    Brons, S.; Becking, A.G.; Tuinzing, D.B.

    2009-01-01

    Purpose: Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation,

  19. Value of informed consent in surgical orthodontics.

    NARCIS (Netherlands)

    Brons, S.; Becking, A.G.; Tuinzing, D.B.

    2009-01-01

    PURPOSE: Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation,

  20. Value of informed consent in surgical orthodontics

    NARCIS (Netherlands)

    Brons, Sander; Becking, Alfred G.; Tuinzing, D. Bram

    2009-01-01

    Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation, attention was

  1. Use of informed consent with therapeutic paradox.

    Science.gov (United States)

    Farkas, M M

    1992-01-01

    Debate persists in the literature and among clinicians about the ethical appropriateness of paradoxical interventions. It has been suggested that informed consent with therapeutic paradox would alleviate ethical concerns of deception, manipulation, harm to the client, and withholding of information from the client in therapy. The purpose of this study was to explore health care consumer reactions to the benefits and risks of therapeutic paradox as stated in a consent for treatment form. The study explored the responses of 32 medical patients to a hypothetical consent for treatment form for therapeutic paradox. Data were collected in a brief semistructured interview after subjects read the hypothetical consent form. Utilizing a case study, the investigator then offered an example of a successful paradoxical intervention and additional subject comments were solicited. Content analysis of the responses was made. Health care consumers had mixed responses to the consent form. While the consent form served as an obstacle for some consumers, many were willing to sign the consent form and accept treatment even though they had internal reservations and questions. Appropriateness of the consent form format is discussed.

  2. The changing face of informed surgical consent.

    LENUS (Irish Health Repository)

    Oosthuizen, J C

    2012-03-01

    To determine whether procedure-specific brochures improve patients\\' pre-operative knowledge, to determine the amount of information expected by patients during the consenting process, and to determine whether the recently proposed \\'Request for Treatment\\' consenting process is viable on a large scale.

  3. Consenting to Heteronormativity: Assumptions in Biomedical Research

    NARCIS (Netherlands)

    Cottingham, M.D.; Fisher, J.A.

    2015-01-01

    The process of informed consent is fundamental to basic scientific research with human subjects. As one aspect of the scientific enterprise, clinical drug trials rely on informed consent documents to safeguard the ethical treatment of trial participants. This paper explores the role of

  4. HIV testing and informed consent - ethical considerations

    African Journals Online (AJOL)

    donation; and the protection of third parties, including the health care worker. .... closest available relative or, in the case of a minor, the consent of the medical ... case informed consent to the taking of blood is obviously mandatory. . Blood ...

  5. Dynamic axes of informed consent in Japan.

    Science.gov (United States)

    Specker Sullivan, Laura

    2017-02-01

    Scholarship in cross-cultural bioethics routinely frames Japanese informed consent in contrast to informed consent in North America. This contrastive analysis foregrounds cancer diagnosis disclosure and physician paternalism as unique aspects of Japanese informed consent that deviate from American practices. Drawing on in-depth interviews with 15 Japanese medical professionals obtained during fieldwork in Japan from 2013 to 15, this article complicates the informed consent discourse beyond East-West comparisons premised on Anglo-American ethical frameworks. It expands professional perspectives to include nurses, medical social workers, clinical psychologists, and ethicists and it addresses informed consent for a broad range of conditions in addition to cancer. The results suggest that division of affective labor is an under-theorized dimension of informed consent that is perceived as at odds with principled demands for universal informed consent. These practical tensions are conceptualized as cultural differences, with Japan identified in terms of omakase as practical and supportive and the United States identified in terms of jiko kettei as principled and self-determining. These results have implications for the methodology of cross-cultural bioethics as well as for theories and practices of informed consent in both Japan and the United States. I conclude that responsible cross-cultural work in bioethics must begin from the ground up, incorporating all relevant stakeholder perspectives, attitudes, and experiences. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Decree No. 92-1391 of 30 December 1992 on the National Radioactive Waste Management Agency

    International Nuclear Information System (INIS)

    1992-01-01

    This Decree concerns the arrangement of the National Radioactive Waste Management's (ANDRA) administrative organization. It provides for the resources, type of management and supervision of the new public establishment, as well as for the transfer of assets, rights and obligations which tally with the tasks assigned to ANDRA. The Decree also prescribes that ANDRA must, each year, submit to its Ministerial supervisory authorities a report reviewing its work. (NEA)

  7. Decree Law No. 38/90 of 8 November 1990 providing for environmental impact assessments

    International Nuclear Information System (INIS)

    1990-01-01

    This Decree, made in implementation of Decree-Law No. 186/90 on environmental protection, provides that prior to any licence being granted to any project, including nuclear installations, the licensing authority must be provided with an environmental impact study of the planned installation. This study must include a description of the project, its site, its operational characteristics, physical, geological, hydrological, ecological, demographic data, as well as information on the quality of the environment [fr

  8. European Gas Appliances Directive and the Dutch Decree on Gas Appliances. Special section

    International Nuclear Information System (INIS)

    De Bruin, B.; Venhorst, T.; Van Tricht, A.

    1998-01-01

    The Gas Appliances Decree is the Dutch translation of the European Gas Appliances Directive. The Decree and the EU Directive contain substantial information, provided they will be read carefully. The EU Directive lays down general safety requirements for gas appliances. They serve as a practical tool for manufacturers and service engineers. In two articles, the Directive is explained, addressing uncertainties and answering important questions. 5 ills

  9. Decree no. 81-730 of 30 July 1981 concerning the responsibilities of the Minister of Industry

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree, which determines the competence of the Minister of Industry, provides that he shall discharge the duties previously given to the Minister of Industry by Decree No. 78-593 of 16 May 1978, with the exception of the responsibilities transferred to the Minister for Research and Technology by Decree No. 81-723 of 28 July 1981. He determines, proposes and implements, in liaison with the Ministers concerned, the Government's policy in industrial development, energy and source materials. (NEA) [fr

  10. Competence for Contract and Competence to Consent to Treatment

    OpenAIRE

    前田, 泰

    2008-01-01

    This paper analyzes assessing competence to consent to treatment. It focuses on problems of competence for contract and competence to consent to treatment. Finally, it discusses the degree of assessing competence to consent to treatment.

  11. Informed consent - a survey of doctors' practices in South Africa ...

    African Journals Online (AJOL)

    Informed consent - a survey of doctors' practices in South Africa. ... whether informed consent as envisioned by the law exists in reality. Cross-cultural research is needed to clarify patients' and parents' expectations of informed consent ...

  12. Improving the Proficiency of Research Consent Administrators

    Science.gov (United States)

    Larson, Elaine L.; Lally, Rachel; Foe, Gabriella; Joaquin, Gabriela; Meyer, Dodi D.; Cohn, Elizabeth G.

    2015-01-01

    Abstract Objective: To describe the development and testing of a module to improve consent administrators’ skills when obtaining research consent from culturally and linguistically diverse and low literacy populations. Design: Development and psychometric testing of video module including community vignettes. Methods: Following initial content, face, and construct validity testing by experts, a field trial was conducted with pre‐ and postknowledge tests and satisfaction surveys completed by 112 consent administrators. Results: Mean score out of a possible 10 on pretest was 8.6 (±standard deviation [SD], 1.55) and on posttest was 9.1 (±SD, 1.2; paired t‐test 95% confidence interval of difference: –0.18 to –0.88; two‐tailed p = 0.003). The average years of experience with obtaining consent was 6.42 years (range: 0–35), but years of experience was not significantly associated with either pre‐ or posttest scores (p = 0.82 and 0.44, respectively). Most user evaluations were positive, although suggestions for improvements were made. Conclusion: Although pretest scores were relatively high, training needs of research consent administrators for consenting diverse and low literacy populations may be unmet. We urge that institutional review boards, researchers, policymakers, educators, and bioethicists address the training needs of research consent administrators and we offer this training module as one potential resource and adjunct to such training. PMID:25676061

  13. [Schizophrenia and informed consent to research].

    Science.gov (United States)

    Fovet, T; Amad, A; Thomas, P; Jardri, R

    2015-10-01

    Informed consent to research remains a complex issue, while sometimes staying difficult to obtain, even in the general population. This problem may be maximized with patients suffering from schizophrenia. This paper summarizes available data in the literature about informed consent for research involving patients suffering from schizophrenia. Medline and Google Scholar searches were conducted using the following MESH terms: schizophrenia, informed consent and research. Studies using dedicated standardized scales (e.g. MacCAT-CR) revealed a decrease in the capacity to consent of patients with schizophrenia when compared with healthy individuals. Keeping in mind that schizophrenia is an heterogeneous disorder, patients with the lowest insight as well as those with the most severe cognitive symptoms appeared more impaired in their capacity to consent. Such a poor capacity to understand and consent to trials was shown linked with alterations in decision-making. For these specific patients, interventions may be set up to increase their capacity to consent. Various strategies were proposed: enhanced consent forms, extended discussion, test/feedback method or multimedia interventions. Among them, interventions relying on communication and the growing field of information technologies (e.g. web-based tools) seem promising. Finally, associations grouping families and patients (like the French Association UNAFAM) may facilitate the involvement of patients in research programs with safer conditions. Patients suffering from schizophrenia appear able to consent to research programs when suitable interventions are proposed. Further studies are now needed to optimize and individualize such interventions. Copyright © 2014 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  14. Informed consent for radiotherapy: Our responsibility

    International Nuclear Information System (INIS)

    Colyer, Hazel

    2007-01-01

    This article describes and contextualises the findings from an email survey of cancer centres in the United Kingdom (UK) conducted early in 2005. It sought to discover how widely the model consent policy and process, published in 2001 [Department of Health. Good practice in consent. Achieving the NHS Plan commitment to patient-centred consent practice. HSC 2001/023. NHS Executive; November 2001], had been implemented and, more controversially, which professional groups gained the consent of patients to radiotherapy. The survey was sent on the author's behalf by the Society and College of Radiographers (SCoR) to all cancer centres in the UK, including five private sector facilities (n = 63). Forty-eight responses were received (76%). A majority of cancer centres have implemented the new procedures and these are undertaken most commonly by consultant oncologists and trained specialist registrars. In 10 centres, therapeutic radiographers (radiographers) are among the team gaining consent to radiotherapy and other centres have radiographers in training. There is widespread adherence to government guidance for obtaining consent and a growing number of centres are implementing radiographer-led consent. However, this is controversial from both medical and radiographic professional perspectives despite guidance indicating that the person who is actually treating the patients should seek their consent [Department of Health. 12 Key points on consent: the law in England. March 2001]. In the context of creating person-centred services, the significance for the development of the profession of therapeutic radiography is evaluated. In particular, the implications of radiographers both capitalising on and failing to assume this professional responsibility were explored

  15. Ministerial Decree of 18 July 1967 updating the table containing the groups of radionuclides annexed to the Ministerial Decree of 27 July 1966 concerning the values of the total quantity of radioactivity within the meaning and in implementation of Section 5 (2) of Act No. 1860 of 31 December 1962, amended by Section 2 of Decree No. 1704 (Transport of Radioactive Materials) of the President of the Republic dated 30 December 1965

    International Nuclear Information System (INIS)

    1967-01-01

    This Decree amends the table of radionuclides in the 1966 Decree to adopt the modifications to the Euratom Directives on protection against ionizing radiation made by the Directive of 27 October 1966. (NEA) [fr

  16. Informed consent: information or knowledge?

    Science.gov (United States)

    Berger, Ken

    2003-01-01

    A fiduciary relationship should be nurtured between patient and physician. This requires effective communication throughout all aspects of care - especially pertaining to treatment decisions. In the context of illness as experienced by the patient a unique set of circumstances is presented. However, communication in an illness context is fraught with problems. The patient is vulnerable and the situation may be overwhelming. Voluminous amounts of information are available to patients from a host of health care providers, family members, support groups, advocacy centers, books, journals, and the internet. Often conflicting and confusion, frequently complex, this information may be of greater burden than benefit. Some information is of high validity and reliability while other information is of dubious reliability. The emotional freight of bad news may further inhibit understanding. An overload of information may pose an obstacle in decision-making. To facilitate the transformation of information into knowledge, the health care provider must act on some occasions as a filter, on other occasions as a conduit, and on still other occasions simply as a reservoir. The evolution of patient rights to receive or refuse treatment, the right to know or not to know calls for a change in processing of overwhelming information in our modem era. In this paper we will discuss the difference between information and knowledge. How can health care providers ensure they have given their patients all necessary and sufficient information to make an autonomous decision? How can they facilitate the transformation of information into knowledge? The effect of knowledge to consent allows a more focused, relevant and modern approach to choice in health care.

  17. Decree 302/013. It amend Art. 5 of Decree 202/005 on the integration of the National Oncology Committee and it create a Standing Advisory Group

    International Nuclear Information System (INIS)

    2013-01-01

    The decree is about an adaptation of the integration of the national committee on oncologic o including representatives of the Faculty of Medicine of the University of the Republic and representatives of the National Board of Health and Honorary Commission to Fight Cancer that is proposed.Creating a Standing Advisory Group is also suggested

  18. Ministerial Decree of 12 May 1980 authorizing AGIP Nucleare S.p.a., in Rome, to underline physical and medical supervision for radiation protection purposes

    International Nuclear Information System (INIS)

    1980-01-01

    Under Section 83 of Presidential Decree No. 185 of 13 February 1964 on radiation protection, this Decree authorizes Agip Nucleare to undertake physical and medical surveillance in the field of radiation protection. (NEA) [fr

  19. Conditions for Australian consent to reprocessing

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    This article contains the text of the statement by the Australian Minister for Foreign Affairs to the House of Representatives, Noember 1980, on conditions for Australian consent to the reprocessing of nuclear material of Australian origin

  20. Sole risk and non-consent

    International Nuclear Information System (INIS)

    Winsor, Tom

    1994-01-01

    This article discusses the subjects of sole risk and non-consent in joint operation agreements as used by oil and gas joint ventures in the United Kingdom. The difference between these two concepts is examined in detail. (UK)

  1. Legal protection of informed consent of minors.

    Science.gov (United States)

    Osuna, Eduardo

    2010-06-01

    One of the pillars of healthcare provision is respect for the autonomy of the patient's wishes, which is given substance by the process of obtaining informed consent. Minors deserve special protection, entitled to basic rights and increasingly autonomous as they develop. In certain situations, minors are deemed matures and able to consent to treatment without the involvement of a parent or guardian. The assessment of competence would be based on the child's functional ability, not on age or outcome of the decision. This manuscript includes a brief analysis of legal perspectives on informed consent of minors, and minors' capacities to make medical decisions. Remaining questions of how to evaluate capacity and balance parental and minor autonomy are explored. Considerations on informed consent in different situations as refusing treatment and termination of pregnancy by female children are analyzed.

  2. [Dentistry and healthcare legislation 3: informed consent].

    Science.gov (United States)

    Brands, W G; van der Ven, J M; Eijkman, M A J

    2013-06-01

    The relationship between a dentist and his patient is based on trust. The principle of informed consent contributes to the quality of that relationship of trust. According to the professional standards for such a relationship, it is up to the dentist to make sure that the patient is well informed. Reliable information is necessary if the patient is to be in a position to give his or her consent for treatment. The Dutch Law of Agreement to Medical Treatment (WGBO) provides aframework for informed consent. Disciplinary judges establish the scope and if necessary the limits. It is clear that, among other things, not defining the risks beforehand can be the basis for a (disciplinary) complaint. Determining the requirements of informed consent calls for familiarity with the law and communication skills. Programmes in dental education ought to devote more attention to this issue.

  3. Testing Consent Order for Sodium Cyanide

    Science.gov (United States)

    This document announces that EPA has signed an enforceable testing Consent Order with E.I. du Pont de Nemours and Company (DuPont), FMC Corporation (FMC), Degussa Corporation (Degussa), ICI Americas Incorporated (ICI), and Cyanco Company (Cyanco).

  4. Consent Codes: Upholding Standard Data Use Conditions.

    Directory of Open Access Journals (Sweden)

    Stephanie O M Dyke

    2016-01-01

    Full Text Available A systematic way of recording data use conditions that are based on consent permissions as found in the datasets of the main public genome archives (NCBI dbGaP and EMBL-EBI/CRG EGA.

  5. Testing Consent Order on Refractory Ceramic Fibers

    Science.gov (United States)

    This notice announces that EPA has signed signed an enforceable testing consent order under the Toxic Substances Control Act (TSCA), 15 U.S.C. section 2601 at seq., with three of the primary producers of refractory ceramic fibers (RCF).

  6. Informed consent comprehension in African research settings.

    Science.gov (United States)

    Afolabi, Muhammed O; Okebe, Joseph U; McGrath, Nuala; Larson, Heidi J; Bojang, Kalifa; Chandramohan, Daniel

    2014-06-01

    Previous reviews on participants' comprehension of informed consent information have focused on developed countries. Experience has shown that ethical standards developed on Western values may not be appropriate for African settings where research concepts are unfamiliar. We undertook this review to describe how informed consent comprehension is defined and measured in African research settings. We conducted a comprehensive search involving five electronic databases: Medline, Embase, Global Health, EthxWeb and Bioethics Literature Database (BELIT). We also examined African Index Medicus and Google Scholar for relevant publications on informed consent comprehension in clinical studies conducted in sub-Saharan Africa. 29 studies satisfied the inclusion criteria; meta-analysis was possible in 21 studies. We further conducted a direct comparison of participants' comprehension on domains of informed consent in all eligible studies. Comprehension of key concepts of informed consent varies considerably from country to country and depends on the nature and complexity of the study. Meta-analysis showed that 47% of a total of 1633 participants across four studies demonstrated comprehension about randomisation (95% CI 13.9-80.9%). Similarly, 48% of 3946 participants in six studies had understanding about placebo (95% CI 19.0-77.5%), while only 30% of 753 participants in five studies understood the concept of therapeutic misconception (95% CI 4.6-66.7%). Measurement tools for informed consent comprehension were developed with little or no validation. Assessment of comprehension was carried out at variable times after disclosure of study information. No uniform definition of informed consent comprehension exists to form the basis for development of an appropriate tool to measure comprehension in African participants. Comprehension of key concepts of informed consent is poor among study participants across Africa. There is a vital need to develop a uniform definition for

  7. Semantic Representation of Mutual-Consent Divorce

    Directory of Open Access Journals (Sweden)

    مهری سادات موسوی

    2016-09-01

    Full Text Available This article discussed mutual-consent divorce in the context of thoughts and attitude of female applicants of this type of divorce with an inductive qualitative and ethnographic method. Based on the qualitative purposive sampling, 30 women of those who had referred for divorce to family court of Karaj, were selected and deeply interviewed. The results obtained in six major categories as follows: Rethinking the role of men as families’ breadwinners, inappropriate sexual relationships, emotional conflicts, cultural- social dissensions, normative pressures of family and relatives, and personality and behavioral disorders. The core-oriented category of this study is "Women's attitude towards mutual-consent divorce" that includes other major categories and can semantically alter and redirect women’s opinion about mutual-consent divorce. According to the results, the term of mutual-consent is thought-provoking in this type of divorce; because considering the situations which were leaded to mutual-consent divorce and quantifying them revealed that nearly 32% of mutual-consent divorces were not mutual in fact; since, these women accepted divorce with desperation, coercion and threat.

  8. Readability of Invasive Procedure Consent Forms.

    Science.gov (United States)

    Eltorai, Adam E M; Naqvi, Syed S; Ghanian, Soha; Eberson, Craig P; Weiss, Arnold-Peter C; Born, Christopher T; Daniels, Alan H

    2015-12-01

    Informed consent is a pillar of ethical medicine which requires patients to fully comprehend relevant issues including the risks, benefits, and alternatives of an intervention. Given the average reading skill of US adults is at the 8th grade level, the American Medical Association (AMA) and the National Institutes of Health (NIH) recommend patient information materials should not exceed a 6th grade reading level. We hypothesized that text provided in invasive procedure consent forms would exceed recommended readability guidelines for medical information. To test this hypothesis, we gathered procedure consent forms from all surgical inpatient hospitals in the state of Rhode Island. For each consent form, readability analysis was measured with the following measures: Flesch Reading Ease Formula, Flesch-Kincaid Grade Level, Fog Scale, SMOG Index, Coleman-Liau Index, Automated Readability Index, and Linsear Write Formula. These readability scores were used to calculate a composite Text Readability Consensus Grade Level. Invasive procedure consent forms were found to be written at an average of 15th grade level (i.e., third year of college), which is significantly higher than the average US adult reading level of 8th grade (p readability guidelines for patient materials of 6th grade (p readability levels which makes comprehension difficult or impossible for many patients. Efforts to improve the readability of procedural consent forms should improve patient understanding regarding their healthcare decisions. © 2015 Wiley Periodicals, Inc.

  9. A descriptive study of consent documentation.

    LENUS (Irish Health Repository)

    Murphy, K

    2011-09-01

    The aim of this study was to observe the error rate in the consent process of a university hospital and to illicit the opinions of the consenting doctors on the process. A prospective observational review of theatre consent forms was performed along with an anonymous survey of non-consultant hospital doctors (NCHD\\'s). No potential risks were documented in 95.3% of the 64 scrutinized consents and late alterations were required in 9%. Respondents to the NCHD survey estimated that they were unsure of the procedure or risks involved in an average of 29% of occasions. Interns admitted to being unsure of the details of the procedure in almost a third (32%) of cases, making them less well informed than their senior colleagues (p=0.024). This study highlights the difficulties encountered by consenting doctors, an issue which may lead to patient dissatisfaction, threaten the efficient running of a surgical unit and potentially expose its staff to avoidable litigation. It also recommends the use of multimedia adjuncts to facilitate both patient and doctor education in the consent process.

  10. Decree No. 81-300 of 31 March 1981 authorising the Atomic Energy Commission and COGEMA to intervene in the field of ores and fossile substances

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree was made to enable COGEMA to diversify its activities in the mining sector. It was therefore necessary to amend both the Decree of 26 December 1975 authorizing the Atomic Energy Commission (CEA) to set up the COGEMA and the Decree of 29 September 1970 relating to the CEA, in view of the specific nature of the duties entrusted to this body by the latter Decree. (NEA) [fr

  11. Decree of 20 October 1969, Stb. 476, concerning the implementation of Sections 14, 21, 28, 32, 34 and 75 of the Nuclear Energy Act (National Defense (Exemption))

    International Nuclear Information System (INIS)

    1969-01-01

    Under this Decree, no licence is required concerning fissionable materials, ores and radioactive materials, as well as establishments or equipment for use by the Netherlands Armed Forces or the Armed Forces of an allied country. However, exemptions from licensing under the Decree are without prejudice to the general provisions of the Nuclear Energy (Radioactive Materials) Decree and in the Fissionable Materials, Ores and Radioactive Materials (Transport) Decree. (NEA) [fr

  12. Decree of the Czech Labor Safety Office No. 263/1991 amending the Decree No. 76/1989 on ensuring safety of technical facilities in the nuclear power sector

    International Nuclear Information System (INIS)

    1995-01-01

    Some provisions of the Decree of the Czech Labor Safety Office No. 76/1989 on ensuring safety of technical facilities in the nuclear power sector are amended, particularly in the field of construction activities, assembling, reconstruction and repair of nuclear power facilities. The Decree entered into force on 28 June 1991. (J.B.)

  13. Decree nr 2017-1309 of 29 August 2017 bearing modification of the decree nr 2008-209 of 3 March 2008 related to procedures applicable to the processing of waste fuels and radioactive wastes coming from foreign countries

    International Nuclear Information System (INIS)

    Philippe, Edouard; Hulot, Nicolas; Le Drian, Jean-Yves

    2017-01-01

    This rather brief decree specifies some modifications brought to a previous decree, and more particularly addresses conditions of derogation of attributions of foreign recipients of wastes produced by a processing in France of waste fuels and radioactive wastes coming from abroad

  14. Decree of 4 November 1982 on conditions for notification of possession of special fissile materials and source materials and for keeping accounts thereof

    International Nuclear Information System (INIS)

    1982-01-01

    This Decree lays down a detailed procedure for notification of the possession and accounting of special fissile materials and source materials. The Decree was made in pursuance of Decree No. 185 of 13 February 1964 of the President of the Republic concerning radiation protection and licensing procedures. (NEA) [fr

  15. Decree of 1 August 1981 on examinations for qualified experts and physicians authorised to undertake physical surveillance for protection against radiation

    International Nuclear Information System (INIS)

    1981-01-01

    English. This Decree of the Minister of labour and Social Affairs of 1 August 1981 concerns the procedure for admission to examinations, for inclusion in the national list, of qualified experts and approved medical practitioners who are competent in radiation protection matters. the Decree replaces a former Decree of 24 June 1978 on the same subjec [fr

  16. The Impact of Spain's 1863 Educational Decree on the Spread of Philippine Public Schools and Language Acquisition

    Science.gov (United States)

    Hardacker, Erin P.

    2013-01-01

    The Educational Decree of 1863 was an effort by Spain to reform the Philippine colonial education system. The Decree established a complete system of education in the archipelago--it required two elementary schools in each municipality (one for girls and one for boys), standardized the curriculum, and established normal schools, thus making…

  17. Consenting options for posthumous organ donation: presumed consent and incentives are not favored

    Directory of Open Access Journals (Sweden)

    Hammami Muhammad M

    2012-11-01

    Full Text Available Abstract Background Posthumous organ procurement is hindered by the consenting process. Several consenting systems have been proposed. There is limited information on public relative attitudes towards various consenting systems, especially in Middle Eastern/Islamic countries. Methods We surveyed 698 Saudi Adults attending outpatient clinics at a tertiary care hospital. Preference and perception of norm regarding consenting options for posthumous organ donation were explored. Participants ranked (1, most agreeable the following, randomly-presented, options from 1 to 11: no-organ-donation, presumed consent, informed consent by donor-only, informed consent by donor-or-surrogate, and mandatory choice; the last three options ± medical or financial incentive. Results Mean(SD age was 32(9 year, 27% were males, 50% were patients’ companions, 60% had ≥ college education, and 20% and 32%, respectively, knew an organ donor or recipient. Mandated choice was among the top three choices for preference of 54% of respondents, with an overall median[25%,75%] ranking score of 3[2,6], and was preferred over donor-or-surrogate informed consent (4[2,7], p vs. 11[6,11], respectively, p = 0.002. Compared to females, males more perceived donor-or-surrogate informed consent as the norm (3[1,6] vs. 5[3,7], p vs. 8[4,9], p vs. 5[2,7], p  Conclusions We conclude that: 1 most respondents were in favor of posthumous organ donation, 2 mandated choice system was the most preferred and presumed consent system was the least preferred, 3 there was no difference between preference and perception of norm in consenting systems ranking, and 4 financial (especially in females and medical (especially in males incentives reduced preference.

  18. Voluntary Informed Consent in Paediatric Oncology Research.

    Science.gov (United States)

    Dekking, Sara A S; Van Der Graaf, Rieke; Van Delden, Johannes J M

    2016-07-01

    In paediatric oncology, research and treatments are often closely combined, which may compromise voluntary informed consent of parents. We identified two key scenarios in which voluntary informed consent for paediatric oncology studies is potentially compromised due to the intertwinement of research and care. The first scenario is inclusion by the treating paediatric oncologist, the second scenario concerns treatments confined to the research context. In this article we examine whether voluntary informed consent of parents for research is compromised in these two scenarios, and if so whether this is also morally problematic. For this, we employ the account of voluntary consent from Nelson and colleagues, who assert that voluntary consent requires substantial freedom from controlling influences. We argue that, in the absence of persuasion or manipulation, inclusion by the treating physician does not compromise voluntariness. However, it may function as a risk factor for controlling influence as it narrows the scope within which parents make decisions. Furthermore, physician appeal to reciprocity is not controlling as it constitutes persuasion. In addition, framing information is a form of informational manipulation and constitutes a controlling influence. In the second scenario, treatments confined to the research context qualify as controlling if the available options are restricted through manipulation of options. Although none of the influences is morally problematic in itself, a combination of influences may create morally problematic instances of involuntary informed consent. Therefore, safeguards should be implemented to establish an optimal environment for parents to provide voluntary informed consent in an integrated research-care context. © 2015 John Wiley & Sons Ltd.

  19. Aspects pertaining to the legal regime of Presidential decrees in Romania

    Directory of Open Access Journals (Sweden)

    Camelia Florentina STOICA

    2014-12-01

    Full Text Available The doctrinal debates on the legal regime of presidential decrees and the recent case-law of the Constitutional Court have determined the present approach for analysis of some aspects pertaining to the issues arising in relation to these acts, especially their legal features and nature and, from this perspective, the differentiations with regard to the challenging of presidential decrees – we refer, in this context, to the extension of the control carried out by courts. The conclusions of the study reveal the importance of addressing and establishing the relations between public authorities, inclusively with regard to the substantiation, issuance and implementation of presidential decrees, in relation to the principle of constitutional loyalty.

  20. The “May” Decrees of the President: objective, indicators, implementation dynamics

    Directory of Open Access Journals (Sweden)

    Mariya Aleksandrovna Pechenskaya

    2015-01-01

    Full Text Available Two and a half years have passed since the RF President’s adoption of a number of decrees aimed at improving social welfare of the citizens. The objectives of the given legal documents concern the issues of education and science, health, demography and social policy, economy and foreign policy, military service and development of the Armed Forces of Russia, inter-ethnic harmony, governance and quality of housing and utility services. V.V. Putin has set targets to be achieved in Russia by 2020. However, the acute budget crisis of regional systems hinders the implementation of Presidential Decrees. This article provides the reader with the analysis of the achieved results and states the problems of “May” requirements funding. In addition, there are possible options for the implementation of the targets laid down in the presidential decrees in the prescribed period

  1. iConsent an Electronic Consent Platform with the MS Register

    Directory of Open Access Journals (Sweden)

    Rod Middleton

    2017-04-01

    Patients who have been e-consented have expressed satisfaction in the ease of use and security of the software. Patients being unable to rest their hands on the screen is being examined. Newer tablets can ignore inputs other than the stylus. The MS Register intends to use the software in additional centres to capture patient consent.

  2. Parental And Clinician Views Of Consent In Neonatal Research

    LENUS (Irish Health Repository)

    O’Shea, N

    2018-03-01

    Informed consent is an obligatory requirement for research participation1. The process of informed consent states that certain measures must be followed to ensure a research participant has made an informed decision about their participation in a research study2,3. Consent for research should be voluntary, informed, and understood by the consenting individual who must also be competent to do so. In the case of neonatal research informed consent is acquired from parent(s)\\/guardian(s) of a patient.

  3. Value of informed consent in surgical orthodontics.

    Science.gov (United States)

    Brons, Sander; Becking, Alfred G; Tuinzing, D Bram

    2009-05-01

    Informed consent forms an important part of treatment, especially in the case of elective treatment. The aim of this survey was to establish how much patients can recall of the information given during an informed consent interview before orthognathic surgery. During the consultation, attention was given to all aspects of the treatment. However, because of "insurance-related factors," the need for treatment because of functional reasons was stressed over esthetics. The recall of information given during an informed consent interview before orthognathic surgery was measured using a questionnaire. Patients with a mandibular deficiency with a low mandibular plane angle were questioned after an informed consent interview regarding surgical orthodontic treatment. Esthetics were more frequently and functional problems were less frequently recalled as the reason for operation than was expected. The risk of a change in the sensation of the lower lip by surgery was frequently recalled as a reason to refrain from the operation. The overall recall rate of the possible risks and complications of orthodontic surgery was 40%. No reports were found of comparable research on the preoperative recall after consultation before surgical orthodontic surgery. The aspects of communication that can improve recall must be clarified. A recall rate of 100% seems a utopia, although an arbitrary line is needed to determine the quality of an informed consent interview.

  4. Simplifying informed consent for biorepositories: stakeholder perspectives.

    Science.gov (United States)

    Beskow, Laura M; Friedman, Joëlle Y; Hardy, N Chantelle; Lin, Li; Weinfurt, Kevin P

    2010-09-01

    Complex and sometimes controversial information must be conveyed during the consent process for participation in biorepositories, and studies suggest that consent documents in general are growing in length and complexity. As a first step toward creating a simplified biorepository consent form, we gathered data from multiple stakeholders about what information was most important for prospective participants to know when making a decision about taking part in a biorepository. We recruited 52 research participants, 12 researchers, and 20 institutional review board representatives from Durham and Kannapolis, NC. These subjects were asked to read a model biorepository consent form and highlight sentences they deemed most important. On average, institutional review board representatives identified 72.3% of the sentences as important; researchers selected 53.0%, and participants 40.4% (P = 0.0004). Participants most often selected sentences about the kinds of individual research results that might be offered, privacy risks, and large-scale data sharing. Researchers highlighted sentences about the biorepository's purpose, privacy protections, costs, and participant access to individual results. Institutional review board representatives highlighted sentences about collection of basic personal information, medical record access, and duration of storage. The differing mandates of these three groups can translate into widely divergent opinions about what information is important and appropriate to include a consent form. These differences could frustrate efforts to move simplified forms--for biobanking as well as for other kinds of research--into actual use, despite continued calls for such forms.

  5. Autonomy and informed consent: a mistaken association?

    Science.gov (United States)

    Kristinsson, Sigurdur

    2007-09-01

    For decades, the greater part of efforts to improve regulatory frameworks for research ethics has focused on informed consent procedures; their design, codification and regulation. Why is informed consent thought to be so important? Since the publication of the Belmont Report in 1979, the standard response has been that obtaining informed consent is a way of treating individuals as autonomous agents. Despite its political success, the philosophical validity of this Belmont view cannot be taken for granted. If the Belmont view is to be based on a conception of autonomy that generates moral justification, it will either have to be reinterpreted along Kantian lines or coupled with a something like Mill's conception of individuality. The Kantian interpretation would be a radical reinterpretation of the Belmont view, while the Millian justification is incompatible with the liberal requirement that justification for public policy should be neutral between controversial conceptions of the good. This consequence might be avoided by replacing Mill's conception of individuality with a procedural conception of autonomy, but I argue that the resulting view would in fact fail to support a non-Kantian, autonomy-based justification of informed consent. These difficulties suggest that insofar as informed consent is justified by respect for persons and considerations of autonomy, as the Belmont report maintained, the justification should be along the lines of Kantian autonomy and not individual autonomy.

  6. Intermarriage, conflict and social control in Ireland - the decree 'ne temere'

    OpenAIRE

    Lee, Raymond M.

    1985-01-01

    The decree `Ne temere? of 1908 by which the Roman Catholic Church has, until recently, governed the marriage of one of its members to someone who is not a Roman Catholic has had attributed to it a number of deleterious consequences. The origins of the decree, as it has applied to Ireland, are described, as are the events following its promulgation which came to be referred to as the `McCann case?. It is argued that the McCann case can be thought of as a `moral panic?.

  7. Health Ministry - Regulatory Decree No 9/90 of 19 April

    International Nuclear Information System (INIS)

    1990-01-01

    This Decree was adopted in implementation of Community Directives Nos. 80/836, 84/467 and 84/466/Euratom on radiation protection. The Decree establishes the basic principles in the field of radiation protection applicable to occupationally exposed persons, to individuals and to the population as a whole. It specifies the duties of the authorities and of the persons responsible for installations or activities likely to involve exposure to ionizing radiation. It also deals with exposure to radiation for medical purposes and provides for the measures to be taken by the authorities regarding emergency plans in case of a nuclear accident. (NEA) [fr

  8. Decree No. 80-204 of 11 March 1980 concerning mining rights

    International Nuclear Information System (INIS)

    1980-01-01

    This Decree repeals a Decree of 29 October 1970 on the same subject. However, it does not amend the Mining Code presently in Force, which contains provisions of substance governing mining resarch and exploitation. In connection with substances of use for atomic energy, any projects for taking out, modifying or suppressing mining rights must, as in the past, be submitted to the Committee for Atomic Energy before the file is forwarded to the General Council for Mines. It is now laid down that the Committee for Atomic Energy must take its decision within one month. The previous text contained no provision concerning a time-limit in this respect. (NEA) [fr

  9. The unbearable lightness of user consent

    Directory of Open Access Journals (Sweden)

    Rikke Frank Joergensen

    2014-10-01

    Full Text Available The article discusses challenges to privacy protection in social media platforms, focusing in particular on the principle of user consent. Based on a Danish study, the article argues that in relation to Facebook, user consent de facto served as the price for participating and for gaining access to a social infrastructure. The article opens with a brief introduction to privacy as a human right, followed by a discussion of some of the critique that has been raised towards social media platforms vis-à-vis the right to privacy. Second, it presents the findings from a study conducted amongst 68 Danish high school students in October 2013 concerning their privacy perceptions and practices when using social media platforms. Thirdly, it discusses the implications of these findings in relation to the principle of user consent as a means of providing individuals with control over their personal information in the context of social media platforms.

  10. Informed consent: not just for procedures anymore.

    Science.gov (United States)

    Feld, Andrew D

    2004-06-01

    The ethical and legal requirement to obtain informed consent prior to performing a procedure or administering a treatment derives from the concept of personal (patient) autonomy. The competent patient, after receiving appropriate disclosure of the material risks of the procedure or treatment, understanding those risks, the benefits, and the alternative approaches, makes a voluntary and uncoerced informed decision to proceed. This article will present a general overview of the modern concept of informed consent as a process (mutual communication) rather than an event (document signing). The historical evolution of this concept and the legal rulings that have shaped the requirements of informed consent will be cited. The benefits of informed decision making as a communication and risk management tool are presented. This review is intended as general information, and not as legal advice, which should be sought from a health-care attorney.

  11. Non-completion and informed consent.

    Science.gov (United States)

    Wertheimer, Alan

    2014-02-01

    There is a good deal of biomedical research that does not produce scientifically useful data because it fails to recruit a sufficient number of subjects. This fact is typically not disclosed to prospective subjects. In general, the guidance about consent concerns the information required to make intelligent self-interested decisions and ignores some of the information required for intelligent altruistic decisions. Bioethics has worried about the 'therapeutic misconception', but has ignored the 'completion misconception'. This article argues that, other things being equal, prospective subjects should be informed about the possibility of non-completion as part of the standard consent process if (1) it is or should be anticipatable that there is a non-trivial possibility of non-completion and (2) that information is likely to be relevant to a prospective subject's decision to consent. The article then considers several objections to the argument, including the objection that disclosing non-completion information would make recruitment even more difficult.

  12. Testing an alternate informed consent process.

    Science.gov (United States)

    Yates, Bernice C; Dodendorf, Diane; Lane, Judy; LaFramboise, Louise; Pozehl, Bunny; Duncan, Kathleen; Knodel, Kendra

    2009-01-01

    One of the main problems in conducting clinical trials is low participation rate due to potential participants' misunderstanding of the rationale for the clinical trial or perceptions of loss of control over treatment decisions. The objective of this study was to test an alternate informed consent process in cardiac rehabilitation participants that involved the use of a multimedia flip chart to describe a future randomized clinical trial and then asked, hypothetically, if they would participate in the future trial. An attractive and inviting visual presentation of the study was created in the form of a 23-page flip chart that included 24 color photographs displaying information about the purpose of the study, similarities and differences between the two treatment groups, and the data collection process. We tested the flip chart in 35 cardiac rehabilitation participants. Participants were asked if they would participate in this future study on two occasions: immediately after the description of the flip chart and 24 hours later, after reading through the informed consent document. Participants were also asked their perceptions of the flip chart and consent process. Of the 35 participants surveyed, 19 (54%) indicated that they would participate in the future study. No participant changed his or her decision 24 hours later after reading the full consent form. The participation rate improved 145% over that of an earlier feasibility study where the recruitment rate was 22%. Most participants stated that the flip chart was helpful and informative and that the photographs were effective in communicating the purpose of the study. Participation rates could be enhanced in future clinical trials by using a visual presentation to explain and describe the study as part of the informed consent process. More research is needed to test alternate methods of obtaining informed consent.

  13. Current approaches for informed consent in pediatrics

    Directory of Open Access Journals (Sweden)

    Hatice Betül Gemici

    2014-09-01

    Full Text Available Today in medical practis; codes of ethic are becoming important. New aprroaches has emerged that about to participate with patient’s consent and child absent understand the own situation should be taken for treatment or process on child. Means of child informing is to given simple information about understandable language. Physicians should support to be shared with the patient’s medical decision according to the child’s age and understanding capacity. Informed consent in pediatric patients makes contribution to develepmont of future individuals; therefore that is an important ethic assignment for doctors. J Clin Exp Invest 2014; 5 (3: 496-503

  14. Children's competency to consent: an ethical dilemma.

    Science.gov (United States)

    Spencer, G E

    2000-01-01

    The application of the best interests principle in current legislation creates an ethical dilemma in relation to children's consent to treatment. The guiding principle of the UN Convention on the Rights of the Child (1989) symbolises a formal expression of children's participation rights. Children's rights to consent to treatment are granted on socially determined ideals of competency. Children's participation in health care is increasingly advocated in legislation but many barriers remain. Nurses can facilitate children's participation through communicating information and creating partnerships with children.

  15. Can children withhold consent to treatment?

    OpenAIRE

    Devereux, J A; Jones, D P; Dickenson, D L

    1993-01-01

    A dilemma exists when a doctor is faced with a child or young person who refuses medically indicated treatment. The Gillick case has been interpreted by many to mean that a child of sufficient age and intelligence could validly consent or refuse consent to treatment. Recent decisions of the Court of Appeal on a child's refusal of medical treatment have clouded the issue and undermined the spirit of the Gillick decision and the Children Act 1989. It is now the case that a child patient whose c...

  16. Informed consent: using a structured interview changes patients' attitudes towards informed consent.

    Science.gov (United States)

    Dawes, P J; O'Keefe, L; Adcock, S

    1993-09-01

    Patients want to know more about their condition and its proposed treatment. Gaining patients' confidence before treatment reduces the changes of their seeking legal redress for an unexpected outcome. As part of a prospective study of informed consent for surgery we have assessed the attitudes of patients towards informed consent when different types of consent interview are used. We found that most patients are happy to do as their doctor advises but think the informal consent interview is important because it gives them information; they also want to know about most, but not all, complications of the procedure. One quarter worried about the anaesthetic, about one eighth worried about 'not waking up' and similar proportions worried about complications and other things such as pain and nausea. Most patients think that the consent form is a legal document. In addition patients who had an informal interview felt obliged to sign the consent form and thought it had medicolegal implications. In contrast those who had a structured interview felt less obliged to sign the consent form and more involved in the decision to operate.

  17. 10 CFR 850.36 - Medical consent.

    Science.gov (United States)

    2010-01-01

    ... consent. (a) The responsible employer must provide each beryllium-associated worker with a summary of the... will be protected. (b) Responsible employers must also provide each beryllium-associated worker with... answered. (c) The responsible employer must have the SOMD obtain a beryllium-associated worker's signature...

  18. Learning Ethics through Everyday Problems: Informed Consent

    Science.gov (United States)

    Verdu, Fernando; Frances, Francesc; Castello, Ana

    2012-01-01

    The teaching of bioethics and its importance in clinical relationships is to a certain extent complicated when we address students of medicine, young people who are more used to dealing with and solving strictly clinical problems. Informed Consent is one of the aspects of professional practice that is generally and widely accepted in Western…

  19. Consent in dentistry: ethical and deontological issues.

    Science.gov (United States)

    Conti, Adelaide; Delbon, Paola; Laffranchi, Laura; Paganelli, Corrado

    2013-01-01

    In Italy, consent for health treatment, aside from being an ethical and deontological obligation, constitutes an essential requirement for any medical treatment according to articles 13 and 32 of the National Constitution and also in accordance with the Council of Europe's 'Convention on Human Rights and Biomedicine'. An essential requirement for the validity of consent is that clear, exhaustive and adequate information be provided to the patient himself: the practice of informed consent is a communicative relationship in which the patient can express doubts, perplexities and clarification requests to the dentist. Furthermore, dental treatment has specific peculiarities: the relationship between dentistry and aesthetics, the concomitant presence of pathologies requiring different treatments, the elongated care process and the establishment of a trustworthy relationship and familiarity with the patient represent important aspects in the configuration of the dentist-patient relationship and in the process of acquiring informed consent. The dentist must offer correct information on diagnosis, prognosis, the therapeutic perspective and the likely consequences of therapy, alternative therapy and refusal of therapy, as well as eventual commitments for the period after treatment. Particular consideration must be given to minors and patients of unsound mind: the dentist's approach to these patients needs to be clear and appropriate to the person's age and understanding ability, even if the decisional power for sanitary treatment may be in the hands of a third person.

  20. Informed consent in Malaysia: an overview.

    Science.gov (United States)

    Che Ngah, Anisah

    2005-01-01

    The right of a person to control his body is a concept that has long been recognized in Malaysia under the law of torts. The purpose of requiring informed consent is to preserve that right in medical decision-making. Informed Consent is a relatively new concept in medical litigation cases. However in the late 1990's, it has become one of the important claims under negligence made against the doctor for failure to disclose relevant information to patients in respect of the treatment proposed. Whether Malaysia has begun to recognize patient's right to decision-making is yet to be seen. Furthermore the social-cultural relationship between doctors and patients had to be considered. In this respect, the researcher had conducted interviews with doctors and patients to gauge their reaction towards a shared process of decision-making, which is the central issue in the doctrine of informed consent. Findings suggest that in society where primary health care is the main thrust to achieve health for all, the possibility of recognition of the rights of patients to receive information before making decisions about treatment appears remote. The findings also underscore the importance of incorporating aspects of informed consent as part of providing quality service to patients.

  1. 47 CFR 76.64 - Retransmission consent.

    Science.gov (United States)

    2010-10-01

    ...) The retransmission consent requirements of this section are not applicable to broadcast signals... systems. Such elections shall take effect 90 days after they are made. (g) If one or more franchise areas served by a cable system overlaps with one or more franchise areas served by another cable system...

  2. Students' Consent to a Teacher's Pedagogical Authority

    Science.gov (United States)

    Harjunen, Elina

    2011-01-01

    In this paper student comments are examined to identify a typology of demands for granting their consent to a teacher's pedagogical authority. The data for this study (136 written responses and 66 interviews) have been collected from students in a Finnish comprehensive school and examined by means of a theory-bounded content analysis. The results…

  3. Language, cultural brokerage and informed consent - will ...

    African Journals Online (AJOL)

    Language, cultural brokerage and informed consent - will technological terms impede telemedicine use? C Jack, Y Hlombe, M Mars. Abstract. Background. Telemedicine provides a solution to treatment of economically and geographically compromised patients and enhances the level of care. However, a problem has ...

  4. 12 CFR 347.119 - Specific consent.

    Science.gov (United States)

    2010-01-01

    ... processing procedure. (d) Specific consent. Direct or indirect investments in or activities of foreign... control such organization as a result of a foreign investment; or (ii) A bank would be establishing a... foreign country. (1) Applicable law or practice in the foreign country where the foreign organization or...

  5. Tandheelkunde en gezondheidsrecht 3: informed consent

    NARCIS (Netherlands)

    Brands, W.G.; van der Ven, J.M.; Eijkman, M.A.J.

    2013-01-01

    De relatie tussen een tandarts en zijn patiënt is gebaseerd op vertrouwen. Het principe van informed consent draagt bij aan de kwaliteit van die vertrouwensrelatie. De relationele professionele standaard brengt met zich mee dat het op de weg van de tandarts ligt patiënten goed te informeren. Goede

  6. Recommendations for communication to enhance informed consent ...

    African Journals Online (AJOL)

    Recommendations for communication to enhance informed consent and enrolment at multilingual research sites. Claire Penn, Melanie Evans. Abstract. Language issues can affect HIV and AIDS research trial enrolment, but little is understood about variables in this process. Some evidence indicates barriers exist even ...

  7. 34 CFR 300.9 - Consent.

    Science.gov (United States)

    2010-07-01

    ... SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES... parent revokes consent in writing for their child's receipt of special education services after the child... amend the child's education records to remove any references to the child's receipt of special education...

  8. Decree 53/1963 of 10 January on the establishment of a radioactivity alarm network

    International Nuclear Information System (INIS)

    1963-01-01

    This Decree provides for the setting up of a radioactivity alarm network by the Directorate General for Public Protection to prevent hazards arising from possible incidents originating in nuclear installations. The Duty stations are located in specified police stations and with fire brigades within a radius ranging from 15 to 20 km from planned reactors or nuclear power plants. (NEA) [fr

  9. Royal Decree 441/1986 of 28 February 1986 on the establishment of new electricity tariffs

    International Nuclear Information System (INIS)

    1986-01-01

    This Decree raises electricity tariffs and prescribes the use to be made of the funds obtained from the sale of electricity: electrical/technical R and D, constitution of uranium stocks and work on the terminal part of the nuclear fuel cycle. (NEA) [fr

  10. Ministry of Industry and Energy - Regulatory Decree No. 7/93 of 19 March

    International Nuclear Information System (INIS)

    1993-01-01

    This Decree reorganizes the General Directorate for Energy within the Ministry of Industry and Energy. Its services include a Nuclear Energy Division which is responsible for keeping under review the technical and economic tendencies in the development of fuel and equipment for nuclear power plants and the problems in the field of radioactive waste management. (NEA)

  11. Decree No 82-531 of 22 June 1982 on the Higher Council for Nuclear Safety

    International Nuclear Information System (INIS)

    1982-01-01

    This Decree lays down the composition of the Higher Council for Nuclear Safety which comprises representatives of parliament and of various ministries and scientific, technical, economic circles covering industry, energy, environment, defense, labour, as well as health and safety. (NEA) [fr

  12. Decree No 81-1056 of 1 December 1981 concerning the organisation of the Ministry of Research and Technology

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree determines the organisation and tasks of the Ministry of Research and Technology. The General Policy Directorate, within the Ministry, is assigned certain duties which concern the Atomic Energy Commission (CEA). These tasks include the allocation of R and D funds and verification of their use, as well as the joint supervision of the CEA. This Decree repeals Chapter III of Decree No. 75-1002 of 29 October 1975. As Chapter III only concerned the General Delegation for Scientific and Technical Research (DGRST) this body is therefore suppressed. (NEA) [fr

  13. 1,1,2-Trichloroethane (TCE); Final Enforceable Consent Agreement and Testing Consent Order

    Science.gov (United States)

    EPA has issued an enforceable consent agreement (ECA) with The Dow Chemical Company; Vulcan Materials Company; Occidental Chemical Corp; Oxy Vinyls, LP; Georgia Gulf Corp; Westlake Chemical Corp; PPG, Borden Chemicals & Plastics, and Formosa Plastics.

  14. 1,2-Ethylene Dichloride; Final Enforceable Consent Agreement and Testing Consent Order

    Science.gov (United States)

    This document announces that EPA has signed an enforceable testing Consent Order with the Dow Chemical Co, Vulcan Materials Co, Occidental Chemical Corp, Oxy Vinyls, LP, Georgia Gulf Corp, Westlake Chemical Corp, PPG Industries, Inc., and Formosa Plastics.

  15. Consenting options for posthumous organ donation: presumed consent and incentives are not favored

    Science.gov (United States)

    2012-01-01

    Background Posthumous organ procurement is hindered by the consenting process. Several consenting systems have been proposed. There is limited information on public relative attitudes towards various consenting systems, especially in Middle Eastern/Islamic countries. Methods We surveyed 698 Saudi Adults attending outpatient clinics at a tertiary care hospital. Preference and perception of norm regarding consenting options for posthumous organ donation were explored. Participants ranked (1, most agreeable) the following, randomly-presented, options from 1 to 11: no-organ-donation, presumed consent, informed consent by donor-only, informed consent by donor-or-surrogate, and mandatory choice; the last three options ± medical or financial incentive. Results Mean(SD) age was 32(9) year, 27% were males, 50% were patients’ companions, 60% had ≥ college education, and 20% and 32%, respectively, knew an organ donor or recipient. Mandated choice was among the top three choices for preference of 54% of respondents, with an overall median[25%,75%] ranking score of 3[2,6], and was preferred over donor-or-surrogate informed consent (4[2,7], p < 0.001), donor-only informed consent (5[3,7], p < 0.001), and presumed consent (7[3,10], p < 0.001). The addition of a financial or medical incentive, respectively, reduced ranking of mandated choice to 7[4,9], p < 0.001, and 5[3,8], p < 0.001; for donor-or-surrogate informed consent to 7[5,9], p < 0.001, and 5[3,7], p = 0.004; and for donor-only informed consent to 8[6,10], p < 0.001, and 5[3,7], p = 0.56. Distribution of ranking score of perception of norm and preference were similar except for no-organ donation (11[7,11] vs. 11[6,11], respectively, p = 0.002). Compared to females, males more perceived donor-or-surrogate informed consent as the norm (3[1,6] vs. 5[3,7], p < 0.001), more preferred mandated choice with financial incentive option (6[3,8] vs. 8[4,9], p < 0.001), and

  16. Informed Consent: An Ethical Obligation or Legal Compulsion?

    OpenAIRE

    Satyanarayana Rao, K H

    2008-01-01

    Informed consent is a vital document while performing all surgical and aesthetic procedures, particularly in the current day practice. Proper documentation and counseling of patients is important in any informed consent.

  17. Is The Consent Process Appropriate - The Interns’ Perspective?

    LENUS (Irish Health Repository)

    Rohan, P

    2018-04-01

    Consent is an integral component to any medical procedure involving a competent patient, a communicating doctor, and transfer of information about the procedure. The aim of this study was to assess interns’ experience of the consent process.

  18. Decree 343/012. Is regulated the servitude established by Decree-Law 10,383, on several lines of electricity conduction -150 KV to be built in the departments of Florida, Cerro Largo, Maldonado, Flores, San Jose and Tacuarembo

    International Nuclear Information System (INIS)

    2012-01-01

    This decree regulates the establishment of electricity conduction in Florida, Cerro Largo, Maldonado, Flores, San Jose and Tacuarembo towns. These electrical lines are necessary to provide the public service by UTE

  19. Decree 234/003. Is derogate decree 317/987, from the date of entry into force the safe exercise regulation of the packing activities and the distribution of liquefied petroleum gas (LPG) that will dictate the URSEA

    International Nuclear Information System (INIS)

    2003-01-01

    This decree allows the entry into force the safe exercise regulation of the packing activities and the distribution of liquefied petroleum gas (LPG) that will dictate the URSEA (The regulatory unit of energy and water service)

  20. [Comparative analysis of occupational health physician's duties based upon legislative decree 81/2008 art. 25 and upon the Ethics Code of the International Commission on Occupational Health].

    Science.gov (United States)

    Franco, G; Mora, Erika

    2009-01-01

    Ethical behaviour consists ofindividual choices inspired by knowledge and professional experience derived from the universally acknowledged ethical principles of beneficience/nonmaleficience, autonomy and justice. However, in spite of the unanimous consent on their universal importance, such principles do not usually have the strength of a law. The recently introduced Italian law on the protection of workers' health represents a novelty because it gives the Ethics Code of the International Commission on Occupational Health legal strength. This paper aims at examining article 25 of legislative decree 81/2008 by comparing the points of the Ethics Code and the Deontology Code of the Italian medical profession. The relationships between the 12 points of paragraph 1 of article 25, the 26 points ofthe Code ofEthics and the 75 articles of the Deontology Code are described with regard to the occupational health physician's duties (i) of collaboration with other occupational health professionals, (ii) of organization and execution of health surveillance, (iii) of recording, securing, transmitting of medical files on workers' health and (iv) of employee and employer information on the importance and meaning of health surveillance.

  1. Decree 560/003. It approve the National Regulations text about dangerous goods transport by road, for national jurisdiction routes

    International Nuclear Information System (INIS)

    2004-01-01

    This decree approve the transport regulation in the national jurisdiction routes. Is prohibited the transport of dangerous good with contamination risk in food, medication or articles intended for human or animal use

  2. 3084 ROYAL DECREE No 53/1992 of 24 January 1992 approving the Regulation on Health Protection against Ionizing Radiation

    International Nuclear Information System (INIS)

    1992-01-01

    The purpose of this new Regulation is to unite in a single instrument the existing rules on this subject contained in Decree 2519/1982 as amended by Decree 1753/1987, now repealed, as well as to introduce certain modifications which have proved desirable in the light of the practical application of those rules. The 1987 Decree reflected the basic safety standards of the Euratom Directives. Like that Decree, the new regulation lays down the measures for protection of the public and occupationally exposed persons against the dangers of ionizing radiation. The Regulation is supplemented by Appendices providing for definitions of radiological, biological and medical terms, annual dose limits for the public and for occupationally exposed persons, etc. (NEA)

  3. The decree of the 8 January 2015 related to geothermal industry: a determining step for the development of this sector

    International Nuclear Information System (INIS)

    Lormeteau, Blanche

    2015-01-01

    In order to favour the use of small-scale geothermal energy, this decree has simplified the regulatory framework by substituting an on-line work declaration to the previous authorization-based regime. This article analyses and discusses the content of this decree which makes the distinction between small-scale geothermal energy, low temperature geothermal energy, and high temperature geothermal energy. The decree modifies the mining title regime, simplifies procedures of exploitation of small scale geothermal sites. The author outlines that this new regime will be more precisely defined by other decrees which are to be published during the summer 2015, and will be completed by arrangements which are part of the bill on energy transition

  4. Decree No. 89-85 of 8 February 1989 setting up a Council on Technological Risk Prevention

    International Nuclear Information System (INIS)

    1989-01-01

    The Council set up by this Decree contributes to the assessment of collective risks arising from industrial activities, in particular nuclear activities, through its opinions, recommendations, studies, and proposes the relevant preventive actions to the Government. (NEA) [fr

  5. Recruiting women smokers: the engineering of consent.

    Science.gov (United States)

    Brandt, A M

    1996-01-01

    A range of social forces contributed to the effective recruitment of women to cigarette smoking in the crucial period between 1900 and 1940. Cigarette advertisers and public relations experts recognized the significance of women's changing roles and the rising culture of consumption, and worked to create specific meanings for the cigarette to make it appeal to women. The cigarette was a flexible symbol, with a remarkably elastic set of meanings; for women, it represented rebellious independence, glamour, seduction, and sexual allure, and served as a symbol for both feminists and flappers. The industry, with the help of advertisers and public relations experts, effectively engineered consent for women as smokers. The "engineering of consent" has a role to play in smoking cessation, since negative meanings for the cigarette can be engineered as well.

  6. Informed consent needed for sterilization or research.

    Science.gov (United States)

    Barnett, B

    1998-01-01

    Informed choice involves enabling family planning clients to base their decisions about contraceptive use upon adequate information. It is a process in which clients give their permission to undergo a procedure, take a medication, or participate in a study after being fully informed. Informed consent protects an individual's freedom of choice, respects his or her autonomy, is important in both family planning programs and reproductive health research, and should always be available to clients seeking health services. Although written informed consent is not needed for most reproductive health services, it should be obtained from men and women who undergo sterilization, since that involves surgery and is considered permanent. In addition, people who volunteer to participate in contraceptive studies need to be fully informed of the risks and benefits of any new drugs or devices they receive. Volunteers should understand the potential effects of methods upon their physical health and other aspects of their lives. Ethical reviews need to be conducted before research begins.

  7. Decree no 77-974 of 19 August 1977 on information to be supplied in relation to harmful waste

    International Nuclear Information System (INIS)

    1977-01-01

    Under this Decree the services in charge of controlling classified installations are responsible for policing undertakings whose work involves certain types of harmful wastes; the undertakings concerned may be required to keep records, to send periodic statements or, in the case of waste transport, to establish a loading statement specifying the planned methods of disposal. Wastes containing radioactive substances are included in the categories of waste covered by this Decree. (NEA) [fr

  8. Regulations concerning licensing of nuclear reactor facilities and other nuclear installations, Decree No 7/9141, 6 January 1975

    International Nuclear Information System (INIS)

    1975-01-01

    This Decree lays down the licensing system for nuclear installations in Turkey and also sets up a Nuclear Safety Committee whose duty is to ensure that the requirements of this Decree are met. The Committee is made up of members of the Atomic Energy Commission specialized in reactors, nuclear safety, health physics, reactor physics as well as two experts respectively appointed by the Ministry of Health and Social Welfare and the Ministry of Energy and National Resources. (NEA) [fr

  9. Decree-Law N0 678 of 26 November 1981 concerning the creation of local health centres

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree-Law provides for direct employment of workers by the Regions in connection with the creation of adequate health centres and radioactive decontamination centres, following nuclear emergencies in areas where nuclear power plants are located. This Decree-Law was converted into Act N 0 12 of 26th January 1982 and published in the Official Gazette of 27th January 1982. (NEA) [fr

  10. Ministry of the Environment and Natural Resources - Decree-Law No 186/90 of 6 of June

    International Nuclear Information System (INIS)

    1990-01-01

    This Decree-Law was made in implementation of Community Directive 85/337/CEE of 27 June 1985 on the assessment of the effects of certain public and private projects on the environment. According to the Decree-Law, approval of nuclear power plant projects and other nuclear reactor projects, as well as radioactive waste repositories is subject to a prior assessment of their effect on the environment. (NEA) [fr

  11. [Pediatric autopsy and informed parental consent].

    Science.gov (United States)

    Rambaud, C; Guilleminault, C

    2005-10-01

    In French legal terminology, the definition of autopsy is "organs'withholding". This phrase is ambiguous, meaning both removing the organs for their macroscopic exam and their retention for subsequent histology. The autopsy of a child requires an informed consent from both parents. The issue is that the pathologist who performs the autopsy is not the one who delivers the information and gets the parents' consent: therefore, he does not know what they were told and what they actually agreed upon. A questionnaire was sent to 3 groups of paediatricians (N=891) to approach their knowledge regarding autopsy. Among 362 paediatricians who answered the questionnaire, 57.2% never attended an autopsy and procedures were badly known. They did not know whether or not organs, were systematically sampled especially brain. Regarding the possibility of conservation of organs, a majority thought that one should not solely answer to parents'queries (63.8%) but rather that one should point out every possibility, without giving the ins and outs (60.8%). The majority favoured organs retention and use for research. We make 3 suggestions: to register autopsy in the Natioanal Securite Sociale nomenclature, to establish information and consent forms for organs'removal, retention and disposal, and to offer parents the possibility of an interview with the pathologist before and/or after the autopsy, in association with the paediatrician.

  12. Consenting process for radiation facilities. V. 4

    International Nuclear Information System (INIS)

    2011-03-01

    Safety codes and standards are formulated on the basis of nationally and internationally accepted safety criteria for design, construction and operation of specific equipment, systems, structures and components of nuclear and radiation facilities. Safety, codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety guides elaborate various requirements and furnish approaches for their implementation. Safety manuals deal with specific topics and contain detailed scientific and technical information on the subject. These documents are prepared by experts in the relevant fields and are extensively reviewed by advisory committees of the Atomic Energy Regulatory Board (AERB) before they are published. The documents are revised when necessary, in the light of experience and feedback from users as well as new developments in the field. AERB issued a safety code on Regulation of Nuclear and Radiation Facilities (AERB/SC/G) to spell out the requirements/obligations to be met by a nuclear or radiation facility for the issue of regulatory consent at every stage. This safety guide apprises the details of the regulatory requirements for setting up the radiation facility such as consenting process, the stages requiring consent, wherever applicable documents to be submitted and the nature and extent of review. The guide also gives information on methods of review and assessment adopted by AERB

  13. Consenting process for radiation facilities. V. 3

    International Nuclear Information System (INIS)

    2011-03-01

    Safety codes and standards are formulated on the basis of nationally and internationally accepted safety criteria for design, construction and operation of specific equipment, systems, structures and components of nuclear and radiation facilities. Safety, codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety guides elaborate various requirements and furnish approaches for their implementation. Safety manuals deal with specific topics and contain detailed scientific and technical information on the subject. These documents are prepared by experts in the relevant fields and are extensively reviewed by advisory committees of the Atomic Energy Regulatory Board (AERB) before they are published. The documents are revised when necessary, in the light of experience and feedback from users as well as new developments in the field. AERB issued a safety code on Regulation of Nuclear and Radiation Facilities (AERB/SC/G) to spell out the requirements/obligations to be met by a nuclear or radiation facility for the issue of regulatory consent at every stage. This safety guide apprises the details of the regulatory requirements for setting up the radiation facility such as consenting process, the stages requiring consent, wherever applicable documents to be submitted and the nature and extent of review. The guide also gives information on methods of review and assessment adopted by AERB

  14. Consenting process for radiation facilities. V. 1

    International Nuclear Information System (INIS)

    2011-03-01

    Safety codes and standards are formulated on the basis of nationally and internationally accepted safety criteria for design, construction and operation of specific equipment, systems, structures and components of nuclear and radiation facilities. Safety, codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety codes establish the objectives and set requirements that shall be fulfilled to provide adequate assurance for safety. Safety guides elaborate various requirements and furnish approaches for their implementation. Safety manuals deal with specific topics and contain detailed scientific and technical information on the subject. These documents are prepared by experts in the relevant fields and are extensively reviewed by advisory committees of the Atomic Energy Regulatory Board (AERB) before they are published. The documents are revised when necessary, in the light of experience and feedback from users as well as new developments in the field. AERB issued a safety code on Regulation of Nuclear and Radiation Facilities (AERB/SC/G) to spell out the requirements/obligations to be met by a nuclear or radiation facility for the issue of regulatory consent at every stage. This safety guide apprises the details of the regulatory requirements for setting up the radiation facility such as consenting process, the stages requiring consent, wherever applicable documents to be submitted and the nature and extent of review. The guide also gives information on methods of review and assessment adopted by AERB

  15. Informed consent: Do not be afraid

    Directory of Open Access Journals (Sweden)

    Dominique Sprumont

    2017-04-01

    Full Text Available Informed consent is the cornerstone of the doctor–patient relationship. At least this is how it is presented in theory. In practice, doctors struggle with their obligation to inform their patient before obtaining their approval prior to a medical intervention. In Taiwan, the culture is often mentioned to justify the doctor's reluctance to speak openly with their patient. Invoking the importance of the family in the society, doctors tend to rely less on their patients and more on their relatives to make important decisions. Yet, the cultural argument for not seeking the patients' informed consent sounds more like a mere excuse than the real cause of the difficulties doctors face today in obtaining their patients' consent. This paper argues that today the doctors in Taiwan are mostly governed by the same fear that was the rule in the USA and Europe until the 1980s. It may be time for changing the paradigm, admitting that patients are able to handle even the most dramatic diagnosis. It seems also important to get away from the sterile opposition of doctor's paternalism versus patient's autonomy and to introduce a true partnership between doctors and patients.

  16. An approach to radiotherapy under informed consent

    International Nuclear Information System (INIS)

    Okazaki, Atsushi; Maehara, Tadayuki; Baba, Sadaaki; Nakamura, Yuji; Kamitani, Hiroshi

    1996-01-01

    Over the past two years, we have attempted to practice radiotherapy in accordance with the principle of informed consent. The procedure used in our radiotherapy, which consists of informing the patient of the seriousness of his or her disease (malignant and benign) and receiving signed consent forms, is a new system in Japan. This is a report of our experience with this system and its advantages and disadvantages. We are satisfied with the clinical results of the attempt. Radiotherapy in accordance with informed consent has now become routine at our hospital. We feel that this practice will produce the mutual enhancement of our responsibility to patients and their trust in us, and improve cure rates. In promoting mutual understanding between our patients and ourselves, we must keep in mind that we, radiation oncologists, are not only radiotherapists but also health-care providers in our capacity as medical and surgical doctors. It is also necessary to achieve the best radiotherapeutic system in Japan. (author)

  17. Informed consent: is it a myth?

    Science.gov (United States)

    Herz, D A; Looman, J E; Lewis, S K

    1992-03-01

    The issue of informed consent at it relates to neurosurgical professional malpractice liability and litigation has been of concern for 20 years or more. The problem persists, and the subject has been addressed by providing patient education with full disclosure regarding neurosurgical procedures. In the process of imparting informed consent, the authors studied the effectiveness of specific neurosurgical health care teaching. One hundred six persons undergoing anterior cervical fusion or lumbar laminectomy were instructed by a neurosurgeon and clinical nurse specialist with a master's degree in neurosurgery. Written testing was performed in each case immediately after a formal teaching session before surgery. Questions were simple and covered only four general topics: 1) diagnosis and surgical techniques; 2) operative risks; 3) postoperative care; and 4) goals and benefits relating to surgery. The mean score on testing immediate retention of information revealed a 43.5% overall performance rate. When patients were tested approximately 6 weeks later, the score dropped to 38.4%. This was statistically significant (chi 2, P less than 0.05). The authors encourage the concept of patient education. The data in the current study, however, suggest that the reasonable and prudent neurosurgeon making a concerted effort at patient education, with the assistance of a professional educator, cannot necessarily expect accurate patient or family recall or comprehension. Fulfillment of the doctrine of informed consent by neurosurgeons may very well be mythical.

  18. Can children withhold consent to treatment?

    Science.gov (United States)

    Devereux, J A; Jones, D P; Dickenson, D L

    1993-05-29

    A dilemma exists when a doctor is faced with a child or young person who refuses medically indicated treatment. The Gillick case has been interpreted by many to mean that a child of sufficient age and intelligence could validly consent or refuse consent to treatment. Recent decisions of the Court of Appeal on a child's refusal of medical treatment have clouded the issue and undermined the spirit of the Gillick decision and the Children Act 1989. It is now the case that a child patient whose competence is in doubt will be found rational if he or she accepts the proposal to treat but may be found incompetent if he or she disagrees. Practitioners are alerted to the anomalies now exhibited by the law on the issue of children's consent and refusal. The impact of the decisions from the perspectives of medicine, ethics, and the law are examined. Practitioners should review each case of child care carefully and in cases of doubt seek legal advice.

  19. Impact of verbal explanation and modified consent materials on orthodontic informed consent.

    Science.gov (United States)

    Carr, Kelly M; Fields, Henry W; Beck, F Michael; Kang, Edith Y; Kiyak, H Asuman; Pawlak, Caroline E; Firestone, Allen R

    2012-02-01

    Comprehension of informed consent information has been problematic. The purposes of this study were to evaluate the effectiveness of a shortened explanation of an established consent method and whether customized slide shows improve the understanding of the risks and limitations of orthodontic treatment. Slide shows for each of the 80 subject-parent pairs included the most common core elements, up to 4 patient-specific custom elements, and other general elements. Group A heard a presentation of the treatment plan and the informed consent. Group B did not hear the presentation of the informed consent. All subjects read the consent form, viewed the customized slide show, and completed an interview with structured questions, 2 literacy tests, and a questionnaire. The interviews were scored for the percentages of correct recall and comprehension responses. Three informed consent domains were examined: treatment, risk, and responsibility. These groups were compared with a previous study group, group C, which received the modified consent and the standard slide show. No significant differences existed between groups A, B, and C for any sociodemographic variables. Children in group A scored significantly higher than did those in group B on risk recall and in group C on overall comprehension, risk recall and comprehension, and general risks and limitations questions. Children in group B scored significantly higher than did those in group C on overall comprehension, treatment recall, and risk recall. Elements presented first in the slide show scored better than those presented later. This study suggested little advantage of a verbal review of the consent (except for patients for risk) when other means of review such as the customized slide show were included. Regression analysis suggested that patients understood best the elements presented first in the informed consent slide show. Consequently, the most important information should be presented first to patients, and any

  20. 19335 - Royal Decree 1611/1985 of 17 July amending Royal Decree 2967/1979 of 7 December on the reorganization of activities in the nuclear fuel cycle

    International Nuclear Information System (INIS)

    1985-01-01

    Based on the directives given in the National Energy Plan of 1983, this Decree provides that the National Uranium Undertaking (ENUSA) which must constitute a stockpile of nuclear fuels to meet the needs of Spanish nuclear power plants, should now keep a lower stock. Therefore, the contingency stock is to be reduced progressively and a so-called operating stock is to be kept by ENUSA. In addition, the safety stocks of uranium concentrates and uranium enrichment services ensured by ENUSA will be eliminated and replaced by safety stocks or fuel elements in operating power plants to guarantee them a measure of autonomy. (NEA) [fr

  1. Role of informed consent for intravascular contrast media

    International Nuclear Information System (INIS)

    Hopper, K.D.; Tyler, H.N. Jr.

    1988-01-01

    To evaluate the usefulness of different degrees of informed consent for intravascular contrast media, the authors divided 100 patients into four groups: (1) informed consent with no information on intravascular contrast media, (2) simple written informed consent that detailed common risks, (3) detailed written informed consent that detailed all known risks, and (4) MD informed consent, during which a radiologist discussed all known risks of intravascular contrast media. Physician counseling time for group 4 averaged 11.4 minutes. On a postprocedure test about the common complications and risk factors of intravascular contrast media, the average scores were: group 1, 38.4%; group 2, 68.2%; group 3, 63.2%; and group 4, 69.8%. There was no statistical difference between groups 2-4 on the postprocedure test. If informed consent is to be used prior to intravascular contrast media administration, a simple written consent detailing the common risks and risk factors appears to be the best method

  2. Risk assessment in gas activities according to legislative decree No. 626/94

    International Nuclear Information System (INIS)

    Del Gaudio, P.; Andreani, A.; Brindani, A.; Capizzi, F.; Cervi, G.; Gandausio, C.; Savio, S.; Rossi, G.P.; Viola, M.

    1998-01-01

    Among the latest measures on health and safety (H and S) at work, Legislative Decree 626/94 is the most important step ever taken until now. Following the implementation of a long series of European Directives, the Decree gives the guidelines to be followed in order to safeguard the workers' H and S. Since gas distribution companies are deeply involved in these activities, the Italian Technical Gas Association (ATIG) has issued a paper on D and S focused on the activities of construction, maintenance and management of gas distribution networks. In a series of tables, the article summarizes a long list of the possible actions to be taken during various interventions, detects the sources of potential risks and suggests the main operational precautions. Besides, criteria for risk assessment, a scale of occurrence probabilities and a scale for damage evaluation are given [it

  3. Decree No 85/9727 of 24/7/1985 on radiation safety regulation

    International Nuclear Information System (INIS)

    1985-01-01

    This Decree took effect on 7 September 1985 and revises Decree No. 7/9038 of 30 November 1974. It was prepared on the basis of recommendation No. 26 of the International Commission on Radiological Protection (ICRP). Its purpose is to provide protection for persons against ionizing radiations arising from the medical, industrial, research and other applications of nuclear energy. According to its provisions, all persons and establishments which keep, use, produce or store radioactive materials and radiation sources must obtain a licence from the Turkish Atomic Energy Authority (TAEA). In addition, the import, export and transport of all radioactive materials must be approved by TAEA and a valid permit issued by TAEA must be presented to customs authorities for all importation and exportation. (NEA) [fr

  4. Autonomy, consent and responsibility. Part II. Informed consent in medical care and in the law.

    Science.gov (United States)

    Mellado, J M

    Legal recognition of patient's rights aspired to change clinical relationship and medical lex artis. However, its implementation has been hampered by the scarcity of resources and the abundance of regulations. For several years, autonomy, consent, and responsibility have formed one of the backbones of the medical profession. However, they have sparked controversy and professional discomfort. In the first part of this article, we examine the conceptual and regulatory limitations of the principle of autonomy as the basis of informed consent. We approach the subject from philosophical, historical, legal, bioethical, deontological, and professional standpoints. In the second part, we cover the viability of informed consent in health care and its relationship with legal responsibility. Copyright © 2016 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Decree N0 75-306 of 30 April 1975 on the protection of workers against the hazards of ionizing radiation in large nuclear installations

    International Nuclear Information System (INIS)

    1975-01-01

    This Decree supplements French regulations on radiation protection established by the Decree of 20 June 1966 on general radiation protection principles and that of 15 March 1967 on protection of workers against ionizing radiation hazards in other types of nuclear installation. This Decree refers to the provisions of the above-mentioned Decrees concerning maximum permissible dose equivalents and maximum permissible concentrations of the different radionuclides to be complied with in workplaces. It also lays down the provisions the head of the establishment must implement at administrative, technical and medical levels to ensure radiation protection in such premises. (NEA) [fr

  6. Ministerial Decree of 13 November 1964 concerning approval of the model of the register for commercial operations covering source materials, ores and radioactive materials

    International Nuclear Information System (INIS)

    1964-01-01

    This Decree prescribes the procedure to be complied with for entering information in the special register for commercial operations concerning source materials, ores and radioactive materials. (NEA) [fr

  7. Decree No. 78/84 of 5 September 1984 regulating safety and radiological protection in mines and related ore treatment and uranium recovery

    International Nuclear Information System (INIS)

    1984-01-01

    This Decree was issued in pursuance of Decree-Law No. 426/83 of 7 December 1983 which provides that safety and radiological protection regulations shall be made for activities involving the mining of uranium and related treatment of uranium. It lays down definitions of technical radiation protection terms and sets out the requirements for permissible concentrations and internal and sets out the requirements for permissible concentrations and internal and external dose-limits for workers and members of the public. The Decree also sets up a Radiological Protection Service responsible for ensuring that the provisions of the Decree are observed. (NEA) [fr

  8. Decree of the 24 April 2016 related to the objectives of development of renewable energies

    International Nuclear Information System (INIS)

    Royal, Segolene

    2016-01-01

    This decree defines objectives by 2018 and 2023 in terms of installed power for ground-based wind energy, solar radiative energy, hydroelectricity, offshore wind energy, marine energies, electrical geothermal energy, wood energy, and methanization. It also indicates an agenda for bidding procedures related to these different renewable energies. It indicates objectives of heat and cold renewable production based on biomass, biogas, heat pumps, low and medium geothermal energy, and thermal solar energy. Targeted percentages of use of advanced biofuels are also defined

  9. Health Ministry - Decree-law no 72/91 of 8 february

    International Nuclear Information System (INIS)

    1991-01-01

    This Decree-Law No 72/91 was brought into force retroactively since 1 January 1991. It lays down regulations for the marketing, quality control and fabrication of medical products and apparatus for human use. The regulations take into account a series of Directives in this respect issued by the Council of the European Communities and establish a licensing system for medicines and apparatus, including those containing radioisotopes [fr

  10. Ministry of Industry and Energy - Decree Law No. 122/93 of 16 April

    International Nuclear Information System (INIS)

    1993-01-01

    The Directorate for Geology and Mines was restructured into a public boy by this Decree-Law and named the Geological and Mining Institute. The Institute is placed under the authority of the Ministry of Industry and Energy and is generally responsible for the management of mineral resources, for establishing and implementing the national policy regarding extractive industries and for proposing and implementing the related regulations. (NEA)

  11. Decree 120/12. It regulate the servitudes prescribed by law 17,389

    International Nuclear Information System (INIS)

    2012-01-01

    This decree regulates the monitoring, control, maintenance and operation of the oil pipeline territory in charge of Ancap. This pipeline connects the Eastern Terminal Jose Ignacio with La Teja refinery which simultaneously is connected with La Tablada plant. The Administracion Nacional de Combustibles Alcohol y Portland (Ancap) establish the prohibitions and limitations on the land use as well as the explosive charge circulation in the zone.

  12. The patient's opinion of informed consent

    International Nuclear Information System (INIS)

    Pinto, I.; Paul, L.; Chimeno, P.; Fernandez, J. L.; Vigil, D.

    1999-01-01

    To evaluate the quality of the information provided by informed consent forms for angiography and interventional radiology on the basis of the patients opinion. A descriptive study was performed based on an anonymous survey distributed among patients who were to undergo angiography and interventional radiology, and had previously been informed and provided with the corresponding informed consent form. A descriptive and analytical statistical study was carried out to compare the responses to the questions concerning different factors (Mann-Whitney U test). Of the 182 surveys completed 75.3% corresponded to diagnostic procedures and the remaining 24.7% to therapeutic procedures. When the responses to closed-ended questions were analyzed, 90.1% of respondents considered the amount of information provided by the document to be sufficient 75.3% declared that they found the form easy to comprehend and 34.1% responded that reading it had calmed their nerves. Statistically significant differences were observed, depending on whether the form corresponded to diagnostic or therapeutic procedures, concerning the questions related to comprehension of the document and to the feeling upon reading it, with those used for diagnostic procedures obtaining better scores. There was a statistically significant difference between the responses of the patients to the question concerning their feeling upon reading the document and the responses of family members, with the patients responding more favorably than their relatives. The consent forms prepared for angiography and interventional radiology procedures are acceptable to the patients concerned with respect to both the quantity and the quality of the information. (Author) 22 refs

  13. Informed consent: Enforcing pharmaceutical companies' obligations abroad.

    Science.gov (United States)

    Lee, Stacey B

    2010-06-15

    The past several years have seen an evolution in the obligations of pharmaceutical companies conducting clinical trials abroad. Key players, such as international human rights organizations, multinational pharmaceutical companies, the United States government and courts, and the media, have played a significant role in defining these obligations. This article examines how such obligations have developed through the lens of past, present, and future recommendations for informed consent protections. In doing so, this article suggests that, no matter how robust obligations appear, they will continue to fall short of providing meaningful protection until they are accompanied by a substantive enforcement mechanism that holds multinational pharmaceutical companies accountable for their conduct. Issues of national sovereignty, particularly in the United States, will continue to prevent meaningful enforcement by an international tribunal or through one universally adopted code of ethics. This article argues that, rather than continuing to pursue an untenable international approach, the Alien Torts Statute (ATS) offers a viable enforcement mechanism, at least for US-based pharmaceutical companies. Recent federal appellate court precedent interpreting the ATS provides the mechanism for granting victims redress and enforcing accountability of sponsors (usually pharmaceutical companies and research and academic institutions) for informed consent misconduct. Substantive human rights protections are vital in order to ensure that every person can realize the "right to health." This article concludes that by building on the federal appellate court's ATS analysis, which grants foreign trial participants the right to pursue claims of human rights violations in US courts, a mechanism can be created for enforcing not only substantive informed consent, but also human rights protections.

  14. Developing a simplified consent form for biobanking.

    Science.gov (United States)

    Beskow, Laura M; Friedman, Joëlle Y; Hardy, N Chantelle; Lin, Li; Weinfurt, Kevin P

    2010-10-08

    Consent forms have lengthened over time and become harder for participants to understand. We sought to demonstrate the feasibility of creating a simplified consent form for biobanking that comprises the minimum information necessary to meet ethical and regulatory requirements. We then gathered preliminary data concerning its content from hypothetical biobank participants. We followed basic principles of plain-language writing and incorporated into a 2-page form (not including the signature page) those elements of information required by federal regulations and recommended by best practice guidelines for biobanking. We then recruited diabetes patients from community-based practices and randomized half (n = 56) to read the 2-page form, first on paper and then a second time on a tablet computer. Participants were encouraged to use "More information" buttons on the electronic version whenever they had questions or desired further information. These buttons led to a series of "Frequently Asked Questions" (FAQs) that contained additional detailed information. Participants were asked to identify specific sentences in the FAQs they thought would be important if they were considering taking part in a biorepository. On average, participants identified 7 FAQ sentences as important (mean 6.6, SD 14.7, range: 0-71). No one sentence was highlighted by a majority of participants; further, 34 (60.7%) participants did not highlight any FAQ sentences. Our preliminary findings suggest that our 2-page form contains the information that most prospective participants identify as important. Combining simplified forms with supplemental material for those participants who desire more information could help minimize consent form length and complexity, allowing the most substantively material information to be better highlighted and enabling potential participants to read the form and ask questions more effectively.

  15. [The informed consent in international clinical trials including developing countries].

    Science.gov (United States)

    Montenegro Surís, Alexander; Monreal Agüero, Magda Elaine

    2008-01-01

    The informed consent procedure has been one of the most important controversies of ethical debates about clinical trials in developing countries. In this essay we present our recommendations about important aspects to consider in the informed consent procedure for clinical trials in developing countries. We performed a full publications review identified by MEDLINE using these terms combinations: informed consent, developing countries, less developed countries and clinical trials. To protect volunteers in less developed countries should be valuated the importance of the community in the informed consent proceeding. The signing and dating of the informed consent form is not always the best procedure to document the informed consent. The informed consent form should be written by local translators. Alternative medias of communications could be needed for communicatios of the information to volunteers. Comparing with developed countries the informed consent proceeding in clinical trials in developing countries frequently require additional efforts. The developing of pragmatic researches is needed to implement informed consent proceedings assuring subjects voluntarily in each developing country. The main aspects to define in each clinical trial for each country are the influence of the community, the effective communication of the information, the documentation of the informed consent and local authority's control.

  16. "Consent Is Good, Joyous, Sexy": A Banner Campaign to Market Consent to College Students

    Science.gov (United States)

    Thomas, Kristie A.; Sorenson, Susan B.; Joshi, Manisha

    2016-01-01

    Objective: This study assessed the recall of, reaction to, and understanding of a brief campus banner campaign promoting consent in sexual relationships, and determined whether campaign exposure was associated with subsequent engagement in activities related to sexual assault education, awareness, and prevention. Participants: A stratified random…

  17. Informed consent: a socio-legal study.

    Science.gov (United States)

    Rathor, M Y; Rani, Mohammad Fauzi Abdul; Shah, Azarisman Mohammad; Akter, Sheikh Fariuddin

    2011-12-01

    Informed consent [IC] is a recognized socio-legal obligation for the medical profession. The doctrine of IC involves the law, which aims to ensure the lawfulness of health assistance and tends to reflect the concept of autonomy of the person requiring and requesting medical and/or surgical treatment. Recent changes in the health care delivery system and the complex sociological settings, in which it is practiced, have resulted in an increase in judicial activity and medical negligence lawsuits for physicians. While IC is a well-established practice, it often fails to meet its stated purpose. In the common law, the standard of medical care to disclose risks has been laid down by the Bolam test- a familiar concept to most physicians, but it has been challenged recently in many jurisdictions. This paper aims to discuss some important judgments in cases of alleged medical negligence so as to familiarize doctors regarding their socio-legal obligations. We also propose to discuss some factors that influence the quality of IC in clinical practice. Literature review. The law of medical consent has been undergoing changes in recent years. Case law appears to be evolving towards a more patient centered standard of disclosure. Patient's expectations are higher and they are aware of the power of exercising their rights. Failure to obtain IC is one of the common allegations in medical malpractice suits. The medical professionals need to change their mindset and avoid claims of negligence by providing information that is "reasonable" in the eyes of the court.

  18. Patient Recall of Informed Consent at 4 Weeks After Total Hip Replacement With Standardized Versus Procedure-Specific Consent Forms.

    Science.gov (United States)

    Pomeroy, Eoghan; Shaarani, Shahril; Kenyon, Robert; Cashman, James

    2017-08-25

    Informed consent plays a pivotal role in the operative process, and surgeons have an ethical and legal obligation to provide patients with information to allow for shared decision-making. Unfortunately, patient recall after the consent process is frequently poor. This study aims to evaluate the effect of procedure-specific consent forms on patient's recall four weeks after total hip replacement (THR). This is a prospective study using a posttest-only control group design. Sixty adult patients undergoing total hip replacement were allocated to be consented using either the generic or the surgery-specific consent form. Four weeks after surgery, a phone interview was conducted to assess patient's recall of risk of surgical complications. Patient demographic characteristics and educational attainment were similar in both groups. There was a statistically significant increase in the mean number of risks recalled in the study group at 1.43 compared with 0.67 in the control group (P = 0.0131). Consent is a complex process, and obtaining informed consent is far from straightforward. A statistically significant improvement in patient's recall with the use of procedure-specific consent forms was identified, and based on this, we would advocate their use. However, overall patient recall in both groups was poor. We believe that improving the quality of informed consent may require the sum of small gains, and the use of procedure-specific consent forms may aid in this regard.

  19. The accompanying adult: authority to give consent in the UK.

    Science.gov (United States)

    Lal, Seema Madhur Lata; Parekh, Susan; Mason, Carol; Roberts, Graham

    2007-05-01

    Children may be accompanied by various people when attending for dental treatment. Before treatment is started, there is a legal requirement that the operator obtain informed consent for the proposed procedure. In the case of minors, the person authorized to give consent (parental responsibility) is usually a parent. To ascertain if accompanying persons of children attending the Department of Paediatric Dentistry at the Eastman Dental Hospital, London were empowered to give consent for the child's dental treatment. A total of 250 accompanying persons of children attending were selected, over a 6-month period. A questionnaire was used to establish whether the accompanying person(s) were authorized to give consent. The study showed that 12% of accompanying persons had no legal authority to give consent for the child's dental treatment. Clinicians need to be aware of the status of persons accompanying children to ensure valid consent is obtained.

  20. 12 CFR 980.6 - Finance Board consent.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Finance Board consent. 980.6 Section 980.6 Banks and Banking FEDERAL HOUSING FINANCE BOARD NEW FEDERAL HOME LOAN BANK ACTIVITIES NEW BUSINESS ACTIVITIES § 980.6 Finance Board consent. The Finance Board may at any time provide consent for a Bank to undertake a particular new business activity and...

  1. Decree of the President of the Republic No. 185 of 13 February 1964 on the safety of plants and protection of workers and the population against the risk of ionizing radiation arising from the peaceful uses of nuclear energy

    International Nuclear Information System (INIS)

    1964-01-01

    This Decree is the basic legislative text on radiation protection in Italy. It was made under Act No. 1860 of 31 December 1962. A series of decrees were subsequently made in implementation of this decree and together with Act No. 1860, it provides the basic framework for the regulation of nuclear activities in Italy. (NEA) [fr

  2. Decree pf 16 July 1970, no.46, Stcrt. 140, concerning the implementation of Section 22, paragraph 4, of the Nuclear Energy Act

    International Nuclear Information System (INIS)

    1970-01-01

    Under the Nuclear Energy Act, any fissionable materials or ores held without due authorization shall be seized and handed over to an establishment designated by Decree. This Decree designates the establishment to which such materials or ores shall be transferred. (NEA) [fr

  3. Decree-Law No. 548/77 of 31 December - Further amendments in the general organisation of the Ministry of Industry and Technology

    International Nuclear Information System (INIS)

    1977-01-01

    Further to Decree-Law No. 358/76 of 14 May 1976 establishing the general reorganisation of the Ministry of Industry and Technology, this Decree-Law creates new departments and decides the abolition of others, including the Junta de Energia Nuclear. The JEN's activities are henceforth to be redistributed to other departments in the Ministry. (NEA) [fr

  4. Decree no. 2009-959 from July 29 2009 relative to some technical conditions of operation to be applied in cancer treatment activity

    International Nuclear Information System (INIS)

    2009-08-01

    This decree aims at making compulsory the presence of a skilled medical radio-physics specialist in the medical centre during the whole duration of the radiotherapy treatment given to patients. The planning of presence of this specialist must take into account the schedule of patients treatment. The decree specifies the conditions of deputizing in case of absence of this specialist. (J.S.)

  5. Decree bringing into force Act n0 996 of 8 December 1970 providing regulations for aid and assistance to populations struck by catastrophes - Public welfare

    International Nuclear Information System (INIS)

    1981-01-01

    The purpose of this Decree is to provide a framework for aid and assistance at a local level, taking into account the decentralization following the creation in 1972 of autonomous administration in the regions. The provisions of thid Decree are of general application, and therefore cover nuclear emergencies, although they are not explicitly mentioned (NEA) [fr

  6. Decree nr 2013-440 of the 28 May 2013 modifying the decree of the 5 February 1980 authorizing the creation by Electricite de France of two units of the Blayais nuclear power station, in the district of Gironde, and authorizing Electricite de France to use fuel containing plutonium in the INB nr 110 - Opinion nr 2012-AV-0165 of the Nuclear Safety Authority of the 9 October 2012

    International Nuclear Information System (INIS)

    Ayrault, Jean-Marc; Batho, Delphine

    2013-01-01

    While referring to various legal European and French texts (treaty, codes, decrees, and so on), this decree indicates modifications to a previous decree. These modifications notably concern the fuel type, and arrangements concerning the operator. These modifications are also made, based on a text published by the ASN (nuclear safety authority)

  7. Consent for pediatric anesthesia: an observational study.

    Science.gov (United States)

    Lagana, Zoe; Foster, Andrew; Bibbo, Adriana; Dowling, Kate; Cyna, Allan M

    2012-08-01

    Informed consent prior to anesthesia is an important part of the pediatric pre-anesthetic consultation. This study aimed to observe and identify the number and nature of the anesthesia risks considered and communicated to parents/guardians and children during the pediatric informed consent process on the day of elective surgery. A convenience sample of anesthetists had their pre-anesthesia consultations voice recorded, prior to elective surgery, during a 4-month period at the largest tertiary referral centre for pediatric care in South Australia. A data collection form was used to note baseline demographic data, and voice recording transcripts were independently documented by two researchers and subsequently compared for accuracy regarding the number and nature of risks discussed. Of the 96 voice recordings, 91 (92%) were suitable for the analysis. The five most commonly discussed risks were as follows: nausea and vomiting (36%); sore throat (35%); allergy (29%); hypoxia (25%); and emergence delirium (19%). Twenty-seven pre-anesthetic consultations (30%) were found to have had no discussion of anesthetic risk at all while a further 23 consultations (26%) incorporated general statements inferring that anesthesia carried risks, but with no elaboration about their nature, ramifications or incidence. The median number of risks (IQR) specifically mentioned per consultation was higher, 3 (1) vs 1 (1), P anesthesia experience odds ratio 0.34, 95% CI [0.13, 0.87], P = 0.025. The pediatric anesthesia risk discussion is very variable. Trainees tend to discuss more specific risks than consultants and a patient's previous experience of anesthesia was associated with a more limited discussion of anesthesia risk. © 2011 Blackwell Publishing Ltd.

  8. "Consent is Good, Joyous, Sexy": A banner campaign to market consent to college students.

    Science.gov (United States)

    Thomas, Kristie A; Sorenson, Susan B; Joshi, Manisha

    2016-01-01

    This study assessed the recall of, reaction to, and understanding of a brief campus banner campaign promoting consent in sexual relationships, and determined whether campaign exposure was associated with subsequent engagement in activities related to sexual assault education, awareness, and prevention. A stratified random sample of 1,200 undergraduates was recruited during fall of 2010; 628 (52.3%) participated. To account for history and maturation, an experimental research design was employed with an online survey. Direct and indirect campaign exposure was associated with increased action. Students expressed primarily positive reactions to and appeared to understand the consent message. The campaign appealed to and was associated with increased activity among a wide range of students with one exception: a negative effect was observed for business students. Colorful banners with pithy, upbeat messages hold promise for engaging undergraduates in conversations and proactive activities related to sexual assault prevention.

  9. 29 CFR 1921.8 - Consent findings and order.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Consent findings and order. 1921.8 Section 1921.8 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... WORKERS' COMPENSATION ACT Prehearing Procedures § 1921.8 Consent findings and order. (a) General. At any...

  10. Sexual Consent as a Scientific Subject: A Literature Review

    Science.gov (United States)

    Fenner, Lydia

    2017-01-01

    Despite the presumed centrality of sexual consent to definitions of sexual violence, it remains an ambiguous and often unexamined concept both in lay and professional/scientific discourses. The following literature review of peer-reviewed research studying sexual consent as a scientific object will thematically present major findings from said…

  11. Readability of Informed Consent Documents at University Counseling Centers

    Science.gov (United States)

    Lustgarten, Samuel D.; Elchert, Daniel M.; Cederberg, Charles; Garrison, Yunkyoung L.; Ho, Y. C. S.

    2017-01-01

    The extent to which clients understand the nature and anticipated course of therapy is referred to as informed consent. Counseling psychologists often provide informed consent documents to enhance the education of services and for liability purposes. Professionals in numerous health care settings have evaluated the readability of their informed…

  12. 21 CFR 50.25 - Elements of informed consent.

    Science.gov (United States)

    2010-04-01

    ... Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROTECTION OF HUMAN SUBJECTS Informed Consent of Human Subjects § 50.25 Elements of informed consent. (a) Basic... pertinent questions about the research and research subjects' rights, and whom to contact in the event of a...

  13. 17 CFR 230.263 - Consent to Service of Process.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Consent to Service of Process... Consent to Service of Process. (a) If the issuer is not organized under the laws of any of the states of... [§ 239.42 of this chapter]. (b) Any change to the name or address of the agent for service of the issuer...

  14. Informed consent for medical photography in Nigerian surgical ...

    African Journals Online (AJOL)

    Background: The aim of this study is to assess the current practice of informed consent for medical photography in the Nigerian surgical practice and how it compares to international best practices. Methods: Self-administered questionnaires were distributed to consenting surgeons attending two major surgical conferences.

  15. 29 CFR 70.42 - Consent to Pay Fees.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Consent to Pay Fees. 70.42 Section 70.42 Labor Office of the....42 Consent to Pay Fees. (a) The filing of a request under this subpart will be deemed to constitute an agreement by the requester to pay all applicable fees charged under this part up to and including...

  16. Alcohol and Sexual Consent Scale: Development and Validation

    Science.gov (United States)

    Ward, Rose Marie; Matthews, Molly R.; Weiner, Judith; Hogan, Kathryn M.; Popson, Halle C.

    2012-01-01

    Objective: To establish a short measure of attitudes toward sexual consent in the context of alcohol consumption. Methods: Using a multistage and systematic measurement development process, the investigators developed the Alcohol and Sexual Consent Scale using a sample of college students. Results: The resulting 12-item scale, the Alcohol and…

  17. Informed Consent in Research on Second Language Acquisition

    Science.gov (United States)

    Thomas, Margaret; Pettitt, Nicole

    2017-01-01

    The practice of securing informed consent from research participants has a relatively low profile in second language (L2) acquisition research, despite its prominence in the biomedical and social sciences. This review article analyses the role that informed consent now typically plays in L2 research; discusses an example of an L2 study where…

  18. Key factors in children's competence to consent to clinical research

    NARCIS (Netherlands)

    Hein, Irma M.; Troost, Pieter W.; Lindeboom, Robert; Benninga, Marc A.; Zwaan, C. Michel; van Goudoever, Johannes B.; Lindauer, Ramón J. L.

    2015-01-01

    Although law is established on a strong presumption that persons younger than a certain age are not competent to consent, statutory age limits for asking children's consent to clinical research differ widely internationally. From a clinical perspective, competence is assumed to involve many factors

  19. 42 CFR 35.15 - Consent to operative procedures.

    Science.gov (United States)

    2010-10-01

    ... emergencies when the patient is physically or mentally incapable of consenting and the delay required to... operative procedure shall be undertaken unless the patient or, in the case of a minor or incompetent, his... or refusal of consent shall be made a part of the clinical record. ...

  20. Scientists' perspectives on consent in the context of biobanking research.

    Science.gov (United States)

    Master, Zubin; Campo-Engelstein, Lisa; Caulfield, Timothy

    2015-05-01

    Most bioethics studies have focused on capturing the views of patients and the general public on research ethics issues related to informed consent for biobanking and only a handful of studies have examined the perceptions of scientists. Capturing the opinions of scientists is important because they are intimately involved with biobanks as collectors and users of samples and health information. In this study, we performed interviews with scientists followed by qualitative analysis to capture the diversity of perspectives on informed consent. We found that the majority of scientists in our study reported their preference for a general consent approach although they do not believe there to be a consensus on consent type. Despite their overall desire for a general consent model, many reported several concerns including donors needing some form of assurance that nothing unethical will be done with their samples and information. Finally, scientists reported mixed opinions about incorporating exclusion clauses in informed consent as a means of limiting some types of contentious research as a mechanism to assure donors that their samples and information are being handled appropriately. This study is one of the first to capture the views of scientists on informed consent in biobanking. Future studies should attempt to generalize findings on the perspectives of different scientists on informed consent for biobanking.

  1. Informed consent for telemedicine in South Africa: A survey of ...

    African Journals Online (AJOL)

    Informed consent for telemedicine in South Africa: A survey of consent practices among healthcare professionals in Durban, KwaZulu-Natal. C Jack, M Mars. Abstract. Background. The Health Professions Council of South Africa is drafting guidelines to regulate the practice of telemedicine. These emphasise the need for ...

  2. 42 CFR 50.205 - Consent form requirements.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Consent form requirements. 50.205 Section 50.205 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS POLICIES OF GENERAL APPLICABILITY Sterilization of Persons in Federally Assisted Family Planning Projects § 50.205 Consent form...

  3. Language, cultural brokerage and informed consent – will ...

    African Journals Online (AJOL)

    2014-05-14

    May 14, 2014 ... focus of recent debate around ethical issues relating to the standard of care and ... Forty-one key words relevant to computer terminology and concepts required to gain informed consent for a .... patients did not understand the meaning of the word 'consent' and .... [24] Lindegger and Richter[25] looked at.

  4. Informed consent and collaborative research: perspectives from the developing world.

    Science.gov (United States)

    Hyder, Adnan A; Wali, Salman A

    2006-03-01

    Informed consent has been recognized as an important component of research protocols and procedures of disclosure and consent in collaborative research have been criticized, as they may not be in keeping with cultural norms of developing countries. This study, which is part of a larger project funded by the United States National Bioethics Advisory Commission, explores the opinions of developing country researchers regarding informed consent in collaborative research. A survey of developing country researchers, involved in human subject research, was conducted by distributing a questionnaire with 169 questions, which included questions relating to informed consent. In addition, six focus group discussions, eight in-depth interviews and 78 responses to open-ended questions in the questionnaire provided qualitative data. 203 surveys were considered complete and were included in the analysis. Written consent was not used by nearly 40% of the researchers in their most recent studies. A large proportion of respondents recommended that human subject regulations should allow more flexibility in ways of documenting informed consent. 84% of researchers agreed that a mechanism to measure understanding should be incorporated in research studies as part of the process of informed consent. This paper is an empirical step in highlighting the ethical issues concerning disclosure. Health researchers in developing countries are well aware of the importance of consent in health research, and equally value the significance of educating human subjects regarding study protocols and associated risks and benefits. However, respondents emphasize the need for modifying ethical regulations in collaborative research.

  5. Consent to tissue banking for research: qualitative study and recommendations.

    Science.gov (United States)

    Soto, Carmen; Tarrant, Carolyn; Pritchard-Jones, Kathy; Dixon-Woods, Mary

    2012-07-01

    To explore how families of children with cancer experience giving consent for tissue banking and to produce recommendations on good practice. 79 participants from 42 families (41 mothers, 18 fathers, 20 children and young people with cancer) took part in semistructured interviews to explore their experiences of being approached for consent to tissue banking. Tertiary care facilities for childhood cancer. Families are generally supportive of tissue banking, although they report that it may be difficult for them to consider all the implications when asked for consent. They typically do not want detailed information when consent is sought close to diagnosis, preferring to see tissue banking as part of routine practice. Families often recognise that their consent may not be fully informed, but are content to give consent based on their understanding at the time. Some may want a chance to go over the information and revisit their decision when things have settled. Families' views can inform practical recommendations for optimising the experience of consent for tissue banking. Current guidelines for obtaining consent should be revisited to take account of families' preferences.

  6. Consent and assessment of capacity to decide or refuse treatment.

    Science.gov (United States)

    Simpson, Owena

    Consent protects the right of patients to decide what happens to them. Before any medical intervention, adults must give valid consent, which must be voluntary, informed and given free of undue influence. When consent is being obtained, patients must be informed about the intervention, why it is being done and its risks; information they are given must be recorded. Every effort should be made to explain the issues in terms that the patient can understand and by providing support and aids to communicate. Consent can be expressed, where patients say they consent or put it in writing, or implied, where a healthcare professional infers from their behaviour that they consent. While different types of consent are valid, some are evidence of stronger proof in court that valid consent has been given. Competent adults have the right to refuse treatment, regardless of the reasons they give for refusal and even if the refusal will result in death; clinicians must respect their decision. In some circumstances-such as when an unconscious person is admitted as an emergency-healthcare professionals can make decisions on behalf of patients, and must do so in patients' best interests.

  7. Informed Consent for Inclusion into Clinical Trials: A Serious Subject ...

    African Journals Online (AJOL)

    Informed Consent for Inclusion into Clinical Trials: A Serious Subject to Note in the Developing World Morteza. ... Review: The process of taking informed consent is wellunderstood in developed countries, with every effort taken to enhance and maintain the autonomy of patients and their right to make an informed choice of ...

  8. 40 CFR 26.1117 - Documentation of informed consent.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Documentation of informed consent. 26.1117 Section 26.1117 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF... Intentional Exposure of Non-pregnant, Non-nursing Adults § 26.1117 Documentation of informed consent. (a...

  9. Informed consent for caesarean section at a Nigerian university ...

    African Journals Online (AJOL)

    Results: The mean age of the respondents was 32±1.8 yearswith 118(79%) of the surgeries being emergency Cesarean sections. The consent for CS were mostly given by the patients (96, 64.0%) and husbands (43, 28.6%). Majority of the respondents 123(81.5%) had the consent obtained in the labour ward with profuse ...

  10. Black Boxing Restraints: The Need for Full Disclosure and Consent

    Science.gov (United States)

    Mohr, Wanda K.; Nunno, Michael A.

    2011-01-01

    In this article we discuss the necessity of fully informing patients and their families of what constitutes physical interventions and their attendant risks under the established principles and obligations of informed consent. After a brief review of the elements of informed consent and the nature of the duty to advise patients and their families…

  11. Decree N0 81-978 of 29 October 1981 setting up a Higher Council for Nuclear Safety

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree amends the Decree of 13 March 1973 setting up a High Council for Nuclear Safety and a Central Service for the Safety of Nuclear Installations. The High Council, which is attached to the Ministry of industry, is competent to advise on all questions involving the safety of nuclear installations. Henceforth, the National Assembly, the Senate and the regional or general Councils concerned may request the Minister to submit for consideration by the High Council all important matters within its competence. (NEA) [fr

  12. Decree No 87-137 of 2 March 1987 concerning the High Council for nuclear safety and information

    International Nuclear Information System (INIS)

    1987-01-01

    This Decree amends the Decree of 13th March 1973 setting up a High Council for Nuclear Safety. Its purpose is to widen the terms of reference of the High Council for Nuclear Safety. In addition to its responsibilities as regards the safety of nuclear installations, it is now competent in the field of information. The Council is now charged with informing the media as well as the public not only on questions of safety proper but also on incidents and accidents occurring in nuclear installations. (NEA) [fr

  13. Decree No. 67/77 of 6 May establishing a National Uranium Undertaking as a public body

    International Nuclear Information System (INIS)

    1977-01-01

    This Decree, promulgated on 29 March 1977, sets up a National Uranium Undertaking (ENU). The ENU Statute which is attached to the Decree lays down that its main purpose is to prospect for and inventory uranium deposits, to explore known deposits, to set up facilities for recovery and treatment of uranium ores, and finally, to market the products obtained. The ENU has taken over the work which, until now, had been carried out in that field by the Junta de Energia Nuclear and it is placed under the authority of the Minister of Industry and Technology. (NEA) [fr

  14. Application of the decree 2910 for coal fired boilers; Application de l`arrete 2910 aux chaudieres a charbon

    Energy Technology Data Exchange (ETDEWEB)

    Hing, K. [CDF Energie, Charbonnages de France, 92 - Rueil-Malmaison (France)

    1997-12-31

    The impacts of the new French decree 2910 concerning the classification of all combustion equipment with regards to their energy sources, energy efficiency and pollution control, on 2 to 20 MW coal-fired boilers, are discussed, with emphasis on their pollutant emissions (SO{sub 2}, NO{sub x} and ashes). The compositions of several coals is presented and the various types of coal-fired boilers adapted to the new decree are presented: automatic boilers, dense fluidized bed boilers, vibrating and chain grids with fume tubes and water tubes

  15. Decree from July 25, 2015 related to general prescriptions applicable to geothermal activities of minor importance. Decree from July 25, 2015 related to the certification of drilling companies intervening in geothermal energy of minor importance. Decree from July 25, 2015 related to the zoning map in the field minor importance geothermal energy

    International Nuclear Information System (INIS)

    Delduc, P.; Blanc, P.; Michel, L.

    2015-01-01

    These decrees concern various actors of the geothermal sector in the case of projects and works of minor importance. The first one defines general technical prescriptions applicable to a geothermal site of minor importance, the conditions related to the implantation of a geothermal installation of minor importance, measures to be implemented when performing geothermal works and when stopping its exploitation, control and maintenance modalities in order to prevent risks for the environment and to preserve water resource quality. The second decree defines measures to be implemented by drilling companies in the case of geothermal projects of minor importance. The third decree defines the map of geothermal areas of minor importance, specifies the map elaboration methodology and its reviewing modalities

  16. Constitutional Decree No. 19 promulgating the Constitution of the Oriental Republic of Uruguay, 15 August 1984.

    Science.gov (United States)

    1988-01-01

    This Decree amends Section 44 of the Constitution of Uruguay to read as follows: "44. The State shall legislate on all matters related to public health and hygiene, and shall assure the improvement of the physical, moral, and social well-being of all the inhabitants of the country. All inhabitants shall have a duty to care for their own health and to have themselves treated in the event of disease. The State shall make available, without charge, means of prevention and medical care to indigent persons or to persons lacking sufficient resources." full text

  17. Decree nr 2014-764 of the 3 July 2014 related to electricity load managements

    International Nuclear Information System (INIS)

    Valls, Manuel; Royal, Segolene; Montebourg, Arnaud

    2014-01-01

    This decree issued by the Ministry of ecology, sustainable development and energy aims at defining the methodology used to establish rules of valorisation of electricity load managements. It concerns energy suppliers and load management operators. A first chapter defines what electricity load management is and who a load management operator is. The next chapter addresses the methodology, the definition of the electricity load management volume, data used for the certification of load management volumes. The third chapter describes how to calculate the premium awarded to load management operators. The last chapters indicate how the ministries define the premium amount, and some aspects related to the communication of data to load management operators

  18. Decree 2006-265/PRN of 18 August 2006 fixing the modalities of mining law application

    International Nuclear Information System (INIS)

    2006-01-01

    This decree fixes modalities of applying ordinance 93-16 of 2 march 1993 concerning mining law in Niger Republic and its subsequent modified text. Any petitioner, owner of mining title, prospecting authorization, opening and mining quarry, sub-leaser shall have an office in Niger Republic and notify it to the Minister of Mines and energy. each licence or lease is based on an agreement between the government and the society. Any change of status, capital or personnel of the company shall be noted to the Minister of Mines and energy. The company shall pay fiscal duties and respect rules and regulations concerning mines and quarries health and safety [fr

  19. Constitution of the Federal Republic of Nigeria (Promulgation) Decree 1989 (No. 12 of 1989).

    Science.gov (United States)

    1989-01-01

    This document contains major provisions of the Constitution of the Federal Republic of Nigeria which was promulgated by decree in 1989. The Constitution guarantees every citizen equality under the law. Opportunities to secure employment without discrimination are protected; working conditions are to be safe and humane; adequate medical and health facilities are to be available; pay equity is assured; vulnerable groups (children, the aged, and the disabled) are to receive social protection; and the free movement of citizens is assured. The third part of the constitution establishes a national population census which is to be submitted to the President of the country for acceptance.

  20. Ethical Issues Regarding Informed Consent for Minors for Space Tourism

    Science.gov (United States)

    Marsh, Melvin S.

    2010-01-01

    This paper describes the difficulty with informed consent and debates whether or not whether adults should be able to ethically, morally, and legally consent for their children during the high-risk activity of space tourism. The experimental nature of space vehicles combined with the high likelihood of medical complications and the destination places space tourism legally in the category of "adventure activities," which include adventure travel to exotic locations as well as adventure sports, such as mountain climbing, rafting, etc. which carry a high risk of danger (http://rescommunis.wordpress.com/2008/02/14/interview-tracey-l-knutson-adventure-sports-defense-attorney-on-space-tourism-risk-and-informed-consente/). However, unlike other adventure sports, adults currently cannot consent for their minor children. Other topics also receive attention, such as a "mature minors" clause, radiation exposure of potential future children, and other difficulties preventing adults from legally consenting to space travel.

  1. A randomized controlled trial of an electronic informed consent process.

    Science.gov (United States)

    Rothwell, Erin; Wong, Bob; Rose, Nancy C; Anderson, Rebecca; Fedor, Beth; Stark, Louisa A; Botkin, Jeffrey R

    2014-12-01

    A pilot study assessed an electronic informed consent model within a randomized controlled trial (RCT). Participants who were recruited for the parent RCT project were randomly selected and randomized to either an electronic consent group (n = 32) or a simplified paper-based consent group (n = 30). Results from the electronic consent group reported significantly higher understanding of the purpose of the study, alternatives to participation, and who to contact if they had questions or concerns about the study. However, participants in the paper-based control group reported higher mean scores on some survey items. This research suggests that an electronic informed consent presentation may improve participant understanding for some aspects of a research study. © The Author(s) 2014.

  2. Epidural analgesia for labour: maternal knowledge, preferences and informed consent.

    LENUS (Irish Health Repository)

    2012-02-29

    Epidural analgesia has become increasingly popular as a form of labour analgesia in Ireland. However obtaining true inform consent has always been difficult. Our study recruited 100 parturients who had undergone epidural analgesia for labour, aimed to determine the information they received prior to regional analgesia, and to ascertain their preferences regarding informed consent. Only 65 (65%) of patients planned to have an epidural. Knowledge of potential complications was variable and inaccurate, with less than 30 (30%) of women aware of the most common complications. Most women 79 (79%) believed that discomfort during labour affected their ability to provide informed consent, and believe consent should be taken prior to onset of labour (96, 96%). The results of this study helps define the standards of consent Irish patients expect for epidural analgesia during labour.

  3. Manufacturing Consent revisité Manufacturing Consent revisited Una nueva aproximación a Manufacturing Consent

    Directory of Open Access Journals (Sweden)

    Michael Burawoy

    2012-12-01

    Full Text Available Cet article présente rapidement Manufacturing Consent publié en 1979 dans lequel la direction d’Allis Chalmer organisait la discipline du travail ouvrier par la coercition et par le consentement, en particulier à travers l’établissement des quotas de production qui fondait une sorte de jeu social entre ouvriers (the game of making out. L’auteur revient sur la méthode ethnographique utilisée alors pour la critiquer et il propose de la remplacer par « l’étude de cas élargie » (the extented case method qui prend en compte le contexte du travail dont les trajectoires des acteurs, les transformations des marchés et du rôle de l’État, sans négliger les éléments spatio-temporels facteurs de changement. C’est l’occasion pour l’auteur de passer en revue les publications récentes qui ont élargi les objets de recherches à la question du genre, au travail domestique, aux travailleurs migrants, aux services, au syndicalisme, etc. L’article suggère que l’enjeu des luttes passerait de l’exploitation à la marchandisation (commodification avec les luttes consuméristes qui l’accompagneraient ; lesquelles inaugureraient une nouvelle ère de mobilisations transnationales étendues à l’Europe de l’Est et à l’Asie. Ce qui conduit l’auteur à reprendre les thèses de Polanyi sur La Grande Transformation en les actualisant avec l’avènement présent d’une troisième vague ultra-libérale qui étend la marchandisation à la nature (terre, eau et air et aux connaissances : les mouvements « d’occupation » (“occupy” movements en seraient les premières ripostes.The article briefly presents Manufacturing Consent, a 1979 publication directed by Allis Chalmer that deals with the way in which work discipline for manual labourers is organised through coercion and consent, based in particular on the establishment of production quota creating a kind of "game of making out" between works. The author reviews

  4. Manufacturing Consent revisited Manufacturing Consent revisité Una nueva aproximación a Manufacturing Consent

    Directory of Open Access Journals (Sweden)

    Michael Burawoy

    2012-12-01

    Full Text Available Cet article présente rapidement Manufacturing Consent publié en 1979 dans lequel la direction d’Allis Chalmer organisait la discipline du travail ouvrier par la coercition et par le consentement, en particulier à travers l’établissement des quotas de production qui fondait une sorte de jeu social entre ouvriers (the game of making out. L’auteur revient sur la méthode ethnographique utilisée alors pour la critiquer et il propose de la remplacer par « l’étude de cas élargie » (the extented case method qui prend en compte le contexte du travail dont les trajectoires des acteurs, les transformations des marchés et du rôle de l’État, sans négliger les éléments spatio-temporels facteurs de changement. C’est l’occasion pour l’auteur de passer en revue les publications récentes qui ont élargi les objets de recherches à la question du genre, au travail domestique, aux travailleurs migrants, aux services, au syndicalisme, etc. L’article suggère que l’enjeu des luttes passerait de l’exploitation à la marchandisation (commodification avec les luttes consuméristes qui l’accompagneraient ; lesquelles inaugureraient une nouvelle ère de mobilisations transnationales étendues à l’Europe de l’Est et à l’Asie. Ce qui conduit l’auteur à reprendre les thèses de Polanyi sur La Grande Transformation en les actualisant avec l’avènement présent d’une troisième vague ultra-libérale qui étend la marchandisation à la nature (terre, eau et air et aux connaissances : les mouvements « d’occupation » (“occupy” movements en seraient les premières ripostes.The article briefly presents Manufacturing Consent, a 1979 publication directed by Allis Chalmer that deals with the way in which work discipline for manual labourers is organised through coercion and consent, based in particular on the establishment of production quota creating a kind of "game of making out" between works. The author reviews

  5. Blockchain protocols in clinical trials: Transparency and traceability of consent

    Science.gov (United States)

    Benchoufi, Mehdi; Porcher, Raphael; Ravaud, Philippe

    2018-01-01

    Clinical trial consent for protocols and their revisions should be transparent for patients and traceable for stakeholders. Our goal is to implement a process allowing for collection of patients’ informed consent, which is bound to protocol revisions, storing and tracking the consent in a secure, unfalsifiable and publicly verifiable way, and enabling the sharing of this information in real time. For that, we build a consent workflow using a trending technology called Blockchain. This is a distributed technology that brings a built-in layer of transparency and traceability. From a more general and prospective point of view, we believe Blockchain technology brings a paradigmatical shift to the entire clinical research field. We designed a Proof-of-Concept protocol consisting of time-stamping each step of the patient’s consent collection using Blockchain, thus archiving and historicising the consent through cryptographic validation in a securely unfalsifiable and transparent way. For each protocol revision, consent was sought again.  We obtained a single document, in an open format, that accounted for the whole consent collection process: a time-stamped consent status regarding each version of the protocol. This document cannot be corrupted and can be checked on any dedicated public website. It should be considered a robust proof of data. However, in a live clinical trial, the authentication system should be strengthened to remove the need for third parties, here trial stakeholders, and give participative control to the peer users. In the future, the complex data flow of a clinical trial could be tracked by using Blockchain, which core functionality, named Smart Contract, could help prevent clinical trial events not occurring in the correct chronological order, for example including patients before they consented or analysing case report form data before freezing the database. Globally, Blockchain could help with reliability, security, transparency and could be

  6. Blockchain protocols in clinical trials: Transparency and traceability of consent.

    Science.gov (United States)

    Benchoufi, Mehdi; Porcher, Raphael; Ravaud, Philippe

    2017-01-01

    Clinical trial consent for protocols and their revisions should be transparent for patients and traceable for stakeholders. Our goal is to implement a process allowing for collection of patients' informed consent, which is bound to protocol revisions, storing and tracking the consent in a secure, unfalsifiable and publicly verifiable way, and enabling the sharing of this information in real time. For that, we build a consent workflow using a trending technology called Blockchain. This is a distributed technology that brings a built-in layer of transparency and traceability. From a more general and prospective point of view, we believe Blockchain technology brings a paradigmatical shift to the entire clinical research field. We designed a Proof-of-Concept protocol consisting of time-stamping each step of the patient's consent collection using Blockchain, thus archiving and historicising the consent through cryptographic validation in a securely unfalsifiable and transparent way. For each protocol revision, consent was sought again.  We obtained a single document, in an open format, that accounted for the whole consent collection process: a time-stamped consent status regarding each version of the protocol. This document cannot be corrupted and can be checked on any dedicated public website. It should be considered a robust proof of data. However, in a live clinical trial, the authentication system should be strengthened to remove the need for third parties, here trial stakeholders, and give participative control to the peer users. In the future, the complex data flow of a clinical trial could be tracked by using Blockchain, which core functionality, named Smart Contract, could help prevent clinical trial events not occurring in the correct chronological order, for example including patients before they consented or analysing case report form data before freezing the database. Globally, Blockchain could help with reliability, security, transparency and could be a

  7. Intimacy and Family Consent: A Confucian Ideal.

    Science.gov (United States)

    Lee, Shui Chuen

    2015-08-01

    In the West, mainstream bioethicists tend to appreciate intimate relationships as a hindrance to individual autonomy. Scholars have even argued against approaching a mother to donate a kidney to save the life of her child; the request, they claim, is too manipulative and, thereby, violates her autonomy. For Chinese bioethicists, such a moral analysis is absurd. The intimate relationship between mother and child establishes strong mutual obligations. It creates mutual moral responsibilities that often require sacrifices for each other. This paper argues that while aiding others is a moral duty, helping one's family is a much stronger duty and poses no threat to one's autonomy. For Confucianism, empathetic intimate feelings, the heart and mind of ren, rest at the root of morality. It requires that we, as moral beings, assume duties to relieve the suffering of others. The more intimate the relationship the stronger the obligation to assist. The family is a closely knitted moral community. Family members often share living resources, mutual experiences, and a sense of identity. Family members act as a social unit, and, ordinarily, mutual obligations among members have priority over duties to those outside of the family. For Confucian bioethics, family-based consent to medical treatment is regarded as natural and reasonable. Family-based decision making is a taken-for-granted norm of social life. While close family members have priority, Confucianism extends such obligations outward toward members of the extended family and the society at large. There is a general principle of gradation of love, which reflects different degrees of personal intimacy and, therefore, of moral obligation. In this fashion, Confucianism seeks to treat the whole of society as one extended family. Hence, in bioethics, mutual responsibility and family-based consent are regarded as basic principles. Through a series of case discussions, this paper illustrates that atomistic individual

  8. [Readability of surgical informed consent in Spain].

    Science.gov (United States)

    San Norberto, Enrique María; Gómez-Alonso, Daniel; Trigueros, José M; Quiroga, Jorge; Gualis, Javier; Vaquero, Carlos

    2014-03-01

    To assess the readability of informed consent documents (IC) of the different national surgical societies. During January 2012 we collected 504 IC protocols of different specialties. To calculate readability parameters the following criteria were assessed: number of words, syllables and phrases, syllables/word and word/phrase averages, Word correlation index, Flesch-Szigriszt index, Huerta Fernández index, Inflesz scale degree and the Gunning-Fog index. The mean Flesch-Szigriszt index was 50.65 ± 6,72, so readability is considered normal. There are significant differences between specialties such as Urology (43.00 ± 4.17) and Angiology and Vascular Surgery (63.00 ± 3.26, P<.001). No IC would be appropriate for adult readability according to the Fernández-Huerta index (total mean 55.77 ± 6.57); the IC of Angiology and Vascular Surgery were the closest ones (67.85 ± 3.20). Considering the Inflesz scale degree (total mean of 2.84 ± 3,23), IC can be described as «somewhat difficult». There are significant differences between the IC of Angiology and Vascular Surgery (3.23 ± 0.47) that could be qualified as normal, or Cardiovascular Surgery (2.79 ± 0.43) as «nearly normal readability»; and others such as Urology (1, 70 ± 0.46, P<.001) and Thoracic Surgery (1.90 ± 0.30, P<.001), with a readability between «very» and «somewhat» difficult. The Gunning-Fog indexes are far from the readability for a general audience (total mean of 26.29 ± 10,89). IC developed by scientific societies of different surgical specialties do not have an adequate readability for patients. We recommend the use of readability indexes during the writing of these consent forms. Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

  9. Informed consent during the clinical emergency of acute myocardial infarction (HERO-2 consent substudy): a prospective observational study.

    Science.gov (United States)

    Williams, Barbara F; French, John K; White, Harvey D

    2003-03-15

    Anxiety, fear, pain, and treatment with morphine might compromise the ability of patients to comprehend information about, and give informed consent for, participation in clinical trials. We aimed to assess whether patients with acute myocardial infarction could understand written and verbal information and whether they were competent to give autonomous informed consent to participate in a clinical trial. We prospectively studied 399 patients with acute myocardial infarction in 16 hospitals in New Zealand and Australia who were eligible for participation in the Hirulog and Early Reperfusion or Occlusion (HERO)-2 trial. We assessed readability of patient information sheets, patients' educational status, their views of the consent process, comprehension of verbal and written information, and competence to give consent. The patient information sheet needed a year 13 (age 18) educational level for comprehension, although only 75 of 345 patients (22%) had been educated beyond secondary school. Only 63 of 346 (18%) read the patient information sheet before giving or refusing consent to participate. Patients who gave consent were more likely to report good or partial comprehension of the information provided than were those who refused consent (272 [89%] vs 14 [70%], respectively; p=0.009). In an assessment of competence to make an autonomous decision, 75 of 145 (52%) were ranked at the lowest grade and 26 (18%) were not competent to consent. Although the consent process for HERO-2 met regulatory requirements for clinical trials, it was inappropriate for the needs of most patients. The patients' comprehension of the information provided and their competence to autonomously give consent was less than optimum.

  10. Ministerial Decree of 15 June 1966 determining the activity of radioactive substances for purposes of classification of commercial operations under Section 32 of the Decree of the President of the Republic No. 185 of 13 February 1964

    International Nuclear Information System (INIS)

    1966-01-01

    This Decree was made to determine the quantity of radioactivity which constitutes the threshold for classifying commercial operations into a less or more hazardous category, namely A and B categories respectively. The IAEA criteria in this field were used as a basis for this classification. (NEA) [fr

  11. Decree no. 2003-295 on the 31. of march 2003 relative to the interventions in emergency situations and in case of durable exposure and modifying the health code of public health (second part: decrees in Council of State)

    International Nuclear Information System (INIS)

    2003-01-01

    This decree lists and explains in detail the procedures to follow in the case of radiological emergency situations such radiological incidents or accidents. The definitions of emergency cases, the interventions themselves and the persons susceptible to be committed in these interventions are detailed, information to the population if necessary is taken into account. (N.C.)

  12. Parents, adolescents, and consent for research participation.

    Science.gov (United States)

    Iltis, Ana S

    2013-06-01

    Decisions concerning children in the health care setting have engendered significant controversy and sparked ethics policies and statements, legal action, and guidelines regarding who ought to make decisions involving children and how such decisions ought to be made. Traditionally, parents have been the default decision-makers for children not only with regard to health care but with regard to other matters, such as religious practice and education. In recent decades, there has been a steady trend away from the view that parents are in authority over their children and toward the view that children are rights-bearers who should be granted greater authority over themselves. The mature minor doctrine refers to the decision to grant mature minors the authority to make decisions traditionally reserved for their parents. This essay (1) documents the trend towards expanding the understanding of some minors as "mature" and hence as having the right and authority to give informed consent, (2) examines the reasons for which some commentators have a special interest in expanding the mature minor doctrine to the research setting and allowing minors to enroll in research without parental permission, and (3) defends the view that the mature minor doctrine, regardless of its application to clinical health care decisions, ought to be set aside in the research setting in favor of greater parental involvement.

  13. Anesthesiological ethics: can informed consent be implied?

    Science.gov (United States)

    Spike, Jeffrey R

    2012-01-01

    Surgical ethics is a well-recognized field in clinical ethics, distinct from medical ethics. It includes at least a dozen important issues common to surgery that do not exist in internal medicine simply because of the differences in their practices. But until now there has been a tendency to include ethical issues of anesthesiology as a part of surgical ethics. This may mask the importance of ethical issues in anesthesiology, and even help perpetuate an unfortunate view that surgeons are "captain of the ship" in the operating theater (leaving anesthesiologists in a subservient role). We will have a better ethical understanding if we see surgery and anesthesia as two equal partners, ethically as well as in terms of patient care. Informed consent is one such issue, but it is not limited to that. Even on the topic of what type of anesthesia to use, anesthesiologists have often felt subsumed to the surgeon's preferences. This commentary takes the case study and uses it as a exemplar for this very claim: it is time to give due recognition for a new field in clinical ethics, ethics in anesthesia.

  14. USign--a security enhanced electronic consent model.

    Science.gov (United States)

    Li, Yanyan; Xie, Mengjun; Bian, Jiang

    2014-01-01

    Electronic consent becomes increasingly popular in the healthcare sector given the many benefits it provides. However, security concerns, e.g., how to verify the identity of a person who is remotely accessing the electronic consent system in a secure and user-friendly manner, also arise along with the popularity of electronic consent. Unfortunately, existing electronic consent systems do not pay sufficient attention to those issues. They mainly rely on conventional password based authentication to verify the identity of an electronic consent user, which is far from being sufficient given that identity theft threat is real and significant in reality. In this paper, we present a security enhanced electronic consent model called USign. USign enhances the identity protection and authentication for electronic consent systems by leveraging handwritten signatures everyone is familiar with and mobile computing technologies that are becoming ubiquitous. We developed a prototype of USign and conducted preliminary evaluation on accuracy and usability of signature verification. Our experimental results show the feasibility of the proposed model.

  15. Evaluating nurse understanding and participation in the informed consent process.

    Science.gov (United States)

    Axson, Sydney A; Giordano, Nicholas A; Hermann, Robin M; Ulrich, Connie M

    2017-01-01

    Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill their well-established role as patient advocates. This study examines hospital-based nurses' experiences and understandings of the informed consent process. This qualitative descriptive study utilized a semi-structured interview approach identifying thematic concerns, experiences, and knowledge of informed consent across a selected population of clinically practicing nurses. Participants and research context: In all, 20 baccalaureate prepared registered nurses practicing in various clinical settings (i.e. critical care, oncology, medical/surgical) at a large northeastern academic medical center in the United States completed semi-structured interviews and a demographic survey. The mean age of participants was 36.6 years old, with a mean of 12.2 years of clinical experience. Ethical considerations: Participation in this study involved minimal risk and no invasive measures. This study received Institutional Review Board approval from the University of Pennsylvania. All participants voluntarily consented. The majority of participants (N = 19) believe patient safety is directly linked to patient comprehension of the informed consent process. However, when asked if nurses have a defined role in the informed consent process, nearly half did not agree (N = 9). Through this qualitative approach, three major nursing roles emerged: the nurse as a communicator, the nurse as an advocate, and the clerical role of the nurse. This investigation contributes to the foundation of ethical research that will better prepare nurses for patient engagement, advance current understanding of informed consent, and allow for future development of solutions. Nurses are at the forefront of

  16. Interactive multimedia consent for biobanking: a randomized trial.

    Science.gov (United States)

    Simon, Christian M; Klein, David W; Schartz, Helen A

    2016-01-01

    The potential of interactive multimedia to improve biobank informed consent has yet to be investigated. The aim of this study was to test the separate effectiveness of interactivity and multimedia at improving participant understanding and confidence in understanding of informed consent compared with a standard, face-to-face (F2F) biobank consent process. A 2 (face-to-face versus multimedia) × 2 (standard versus enhanced interactivity) experimental design was used with 200 patients randomly assigned to receive informed consent. All patients received the same information provided in the biobank's nine-page consent document. Interactivity (F(1,196) = 7.56, P = 0.007, partial η(2) = 0.037) and media (F(1,196) = 4.27, P = 0.04, partial η(2) = 0.021) independently improved participants' understanding of the biobank consent. Interactivity (F(1,196) = 6.793, P = 0.01, partial η(2) = 0.033), but not media (F(1,196) = 0.455, not significant), resulted in increased participant confidence in their understanding of the biobank's consent materials. Patients took more time to complete the multimedia condition (mean = 18.2 min) than the face-to-face condition (mean = 12.6 min). This study demonstrated that interactivity and multimedia each can be effective at promoting an individual's understanding and confidence in their understanding of a biobank consent, albeit with additional time investment. Researchers should not assume that multimedia is inherently interactive, but rather should separate the two constructs when studying electronic consent.

  17. Can a subject consent to a 'Ulysses contract'?

    Science.gov (United States)

    1982-08-01

    A case study is presented in which a schizophrenic consents to experimental drug treatment while competent and then refuses the treatment when in a psychotic state. Three commentaries consider the ethical and legal issues involved in permitting informed consent by the mentally ill by means of a "Ulysses contract," i.e., by agreeing at the time of consent that later refusal of treatment is to be ignored if the patient is no longer competent. The commentators see value in such agreements, provided that safeguards are included to ensure that the patient's legitimate wishes and interests are not ignored.

  18. The Consent Solution to Punishment and the Explicit Denial Objection

    Directory of Open Access Journals (Sweden)

    Miroslav Imbrisevic

    2010-06-01

    Full Text Available Recently, David Boonin has put forward several objections to Carlos S. Nino's 'Consensual Theory of Punishment'. In this paper I will defend Nino against the 'explicit denial objection'. I will discuss whether Boonin's interpretation of Nino as a tacit consent theorist is right. I will argue that the offender's consent is neither tacit nor express, but a special category of implicit consent. Further, for Nino the legal-normative consequences of an act (of crime are 'irrevocable', i.e. one cannot (expressly and successfully deny liability to them. I will suggest an explanation for Nino's irrevocability claim.

  19. Decree No 81-723 of 28 July 1981 concerning the competence of the Minister of Research and Technology

    International Nuclear Information System (INIS)

    1981-01-01

    This Decree, which determines the competence of the Minister of Research and Technology, provides that the latter prepares the Governments' decisions on the distribution of funds for technological R and D for civilian uses. Therefore he is responsible for allocating funds for such activities to the Atomic Energy Commission (CEA). (NEA) [fr

  20. Royal Decree-Law 12/1982 of 27 August regulating State intervention in the Lemoniz nuclear power plant

    International Nuclear Information System (INIS)

    1982-01-01

    This Royal Decree-Law sets out the conditions of intervention by the State in the achievement of the Lemoniz nuclear power plant with a view to accelerating the work. It sets up an Intervention Council responsible for directing the work which is empowered to take the necessary measures for discharging its duties. (NEA) [fr

  1. Decree of the Czechoslovak Atomic Energy Commission concerning the security protection of nuclear installations and nuclear materials

    International Nuclear Information System (INIS)

    1989-01-01

    In compliance with the Czechoslovak State Surveillance over Nuclear Safety of Nuclear Installations Act No. 28/1984, the Decree specifies requirements for assuring security protection of nuclear installations (and their parts) and of nuclear materials with the aim to prevent their abuse for jeopardizing the environment and the health and lives of people. (P.A.)

  2. Decree of 29 August 1969, Stb. 358, concerning the implementation of Section 1 of the Nuclear Energy Act (Definitions)

    International Nuclear Information System (INIS)

    1969-01-01

    In implementation of Section 1 of the Nuclear Energy Act, this Decree lays down the percentages of uranium, plutonium and thorium substances must contain to be classified as fissionable materials under the Act. It provides for more detailed definitions of non-irradiated materials, natural, enriched and depleted uranium and ionizing radiations. (NEA) [fr

  3. Decree of 16 October 1969, Stb. 475, concerning the implementation of Section 74 of the Nuclear Energy Act (Contributions)

    International Nuclear Information System (INIS)

    1969-01-01

    In accordance with the Nuclear Energy Act, this Decree determines the amount of contributions required towards the costs incurred by the State in implementation of the Act. Contributions are required when licences are granted, when packaging must be approved and when materials are transported. (NEA) [fr

  4. Decree No 81-858 of 15 September 1981 on the organization of the Ministry of Industry

    International Nuclear Information System (INIS)

    1981-01-01

    This is an extract of the Decree on the organization of the Ministry of Industry and covers questions related to the Ministry's responsibilities in connection with the Atomic Energy Commission (CEA). This concerns in particular the CEA's activities in energy production, nuclear materials supply and nuclear safety. (NEA) [fr

  5. Decree No 74-1181 of 31 December 1974 concerning liquid radioactive effluent releases from nuclear installations

    International Nuclear Information System (INIS)

    1975-01-01

    This Decree prescribes the licensing procedure for the release of liquid wastes from nuclear installations as well as the technical supervision of such operations. It does not apply to the transport of radioactive effluents which is governed by the regulations on the transport of dangerous goods. (NEA) [fr

  6. Decree no. 2004-251 from March 19, 2004 relative to public utility obligations in the gas sector

    International Nuclear Information System (INIS)

    2004-03-01

    This decree defines the public utility obligations that gas suppliers and gas facility operators (transportation and distribution networks, underground storage facilities, LNG facilities) have to fulfill in order to ensure without interruption the continuity of gas supplies to their clients. (J.S.)

  7. Decree no. 2004-90 from January 28, 2004 relative to the compensation of electric public utility charges

    International Nuclear Information System (INIS)

    2004-03-01

    This decree defines the charges imputable to the missions of electric public utility, the procedure of determination of their amount, the contribution to these charges by end-users and the operations of recovery and transfer, the processing of declaration defects and payment failures and some other various dispositions. (J.S.)

  8. Decree No. 84-492 of 22 June 1984 revising and supplementing the tables of occupational diseases annexes to Decree No. 46-2959 of 31 December 1946 made in implementation of Book IV of the Social Security Code concerning prevention and compensation of occupational accidents and diseases

    International Nuclear Information System (INIS)

    1984-01-01

    This Decree amends and replaces several tables of occupational diseases annexes to the Decree of 31 December 1946 made under the Social Security Code. In particular it amends Table 6 now entitled: ''Diseases caused by ionizing radiation'' to take account of the latest status of knowledge in this field. (NEA) [fr

  9. The Minister Council decree about intervention level values for particular types of intervention activity and about criteria of recall this activity of 27 April 2004

    International Nuclear Information System (INIS)

    Miller, L.

    2004-01-01

    The decree refers to intervention level values for particular types of intervention activity, such as evacuation, order to leave in closed rooms, application of preparations containing stabile iodine, prohibition or limiting to consume contaminated food or water, temporary or permanent displacement. The intervention level values refer to contamination level values refer to contamination with strontium 90, iodine 131, plutonium 239, americium 241, cesium 134 and cesium 137 of drinking water, milk and food for men and domestic animals. The decree replaces the decrees of 6 August 2002 (Dz. U. no 145, item 1218, 2002 and no 151, item 1463, 2003)

  10. Decree-Law no. 49398 of 24 November 1969 - Establishment of a licensing system for nuclear activities of an industrial nature

    International Nuclear Information System (INIS)

    1969-01-01

    This decree-Law lists the nuclear activities subject to licensing in Portugal. These include: research involving use of nuclear laboratories, pilot and industrial facilities; prospecting for and exploration of radioactive ore deposits, including the production of concentrates; import and export of radioactive materials and nuclear fuels, including fabrication of the latter; nuclear reactors and power plants; trade in irradiated fuels and recycling of recovered fuels. The Decree-Law lays down that the licensing procedure for such activities will be fixed by decree. (NEA) [fr

  11. Decree no. 487/72 of 5 December defining the rules to be complied with when setting up nuclear electricity generating plants

    International Nuclear Information System (INIS)

    1972-01-01

    This Decree was made in implementation of Decree-Law no. 49398 of 24 November 1969 establishing the licensing system for nuclear activities of an industrial nature in Portugal; it determines the licensing procedure for nuclear electricity-generating plants. The Decree lays down the conditions to be complied with for obtaining a licence, which is issued in three stages, prior to the activity. The three stages are: site approval; construction licence and operating licence. The operating licence is delivered by the competent authorities after they are satisfied that the final safety report conforms to requirements. (NEA) [fr

  12. Decree N0 73-322 of 15 March 1973 concerning insurance and reinsurance of exceptional and nuclear risks by the Central Reinsurance Fund

    International Nuclear Information System (INIS)

    1973-01-01

    This Decree provides that the Central Reinsurance Fund may cover, with the State guarantee, risks for which operators of nuclear ships and installations are liable and concerning which State intervention is provided for by legislation. These operations relate in particular to goods carried, nuclear installations and property on the site of such installations. The Decree sets up an Advisory Commission for the Central Reinsurance Fund regarding security for exceptional and nuclear risks and repeals a 1967 Decree on insurance of exceptional risks. (NEA) [fr

  13. Explanation of the degree of Divine Knowledge in the degree of Decrees of fate in Molla Sadra and Allama Tabatabai's views

    Directory of Open Access Journals (Sweden)

    Ali Reza Khwajegir

    Full Text Available The Sadraee's transcendental philosophy in theology affected by the authentic Divinity texts and discussions and has inspired in resolving many of the theological and philosophical problems of this school. Therefore, this school can be considered as the most prominent school. Although, Molla sadra does not know enough the argument and arguing without conscience and purification of self, but, the most based on imported sources of revelation and interpretations of Imams (AS and believes that truths of faith are not possible except by purifying heart from the whims, thinking of the Divine verses, hadith of the Prophet (The Prophet's massage and his tribe, and following the way of the pious men. Proposing the problem of Divine Decrees of fate in transcendental philosophy and explaining its principles that brought up in both the philosophical texts and exegesis of the followers of transcendental philosophy are of the most important Instances that this school takes impression from religious texts. Decrees of fate has various levels, such as essential and actual, scientific and objective, divine creation and divine legislation, fixed and variable, that is every level take into consideration the discussion of Divine Decrees of fate from a particular direction. Divine Decrees of fate in one dimension is related to the degrees of Divine knowledge and the quality of Divine knowledge on what is apart from God, on the other dimension, is related to the question of the necessity of The existence system and the quality of causal connection between the elements of the universe and the origin of necessity of The existence system that has been expressed in these schools with a certain thoughtfulness in both theology and cosmology. Divine Decrees of fate in comparing with universal realms of existence is considered the same as degree of intellectual forms beyond the spiritual and natural forms that emanated from the god, suddenly and timelessly and called one of

  14. Explanation of the degree of Divine Knowledge in the degree of Decrees of fate in Molla Sadra and Allama Tabatabai's views

    Directory of Open Access Journals (Sweden)

    Alireza Khajegir

    2013-08-01

    Full Text Available The Sadraee's transcendental philosophy in theology affected by the authentic Divinity texts and discussions and has inspired in resolving many of the theological and philosophical problems of this school. Therefore, this school can be considered as the most prominent school. Although, Molla sadra does not know enough the argument and arguing without conscience and purification of self, but, the most based on imported sources of revelation and interpretations of Imams (AS and believes that truths of faith are not possible except by purifying heart from the whims, thinking of the Divine verses, hadith of the Prophet (The Prophet's massage and his tribe, and following the way of the pious men. Proposing the problem of Divine Decrees of fate in transcendental philosophy and explaining its principles that brought up in both the philosophical texts and exegesis of the followers of transcendental philosophy are of the most important Instances that this school takes impression from religious texts.    Decrees of fate has various levels,  such as essential and actual, scientific and objective, divine creation and divine legislation, fixed and variable, that is every level take into consideration the discussion of Divine Decrees of fate from a particular direction. Divine Decrees of fate in one dimension is related to the degrees of Divine knowledge and the quality of Divine knowledge on what is apart from God, on the other dimension, is related to the question of the necessity of The existence system and the quality of causal connection between the elements of the universe and the origin of necessity of The existence system that has been expressed in these schools with a certain thoughtfulness in both theology and cosmology. Divine Decrees of fate in comparing with universal realms of existence is considered the same as degree of intellectual forms beyond the spiritual and natural forms that emanated from the god, suddenly and timelessly and called

  15. Explanation of the degree of Divine Knowledge in the degree of Decrees of fate in Molla Sadra and Allama Tabatabai\\\\\\'s views

    Directory of Open Access Journals (Sweden)

    Alireza Khajegir

    2013-09-01

    Full Text Available The Sadraee's transcendental philosophy in theology affected by the authentic Divinity texts and discussions and has inspired in resolving many of the theological and philosophical problems of this school. Therefore, this school can be considered as the most prominent school. Although, Molla sadra does not know enough the argument and arguing without conscience and purification of self, but, the most based on imported sources of revelation and interpretations of Imams (AS and believes that truths of faith are not possible except by purifying heart from the whims, thinking of the Divine verses, hadith of the Prophet (The Prophet's massage and his tribe, and following the way of the pious men. Proposing the problem of Divine Decrees of fate in transcendental philosophy and explaining its principles that brought up in both the philosophical texts and exegesis of the followers of transcendental philosophy are of the most important Instances that this school takes impression from religious texts.    Decrees of fate has various levels,  such as essential and actual, scientific and objective, divine creation and divine legislation, fixed and variable, that is every level take into consideration the discussion of Divine Decrees of fate from a particular direction. Divine Decrees of fate in one dimension is related to the degrees of Divine knowledge and the quality of Divine knowledge on what is apart from God, on the other dimension, is related to the question of the necessity of The existence system and the quality of causal connection between the elements of the universe and the origin of necessity of The existence system that has been expressed in these schools with a certain thoughtfulness in both theology and cosmology. Divine Decrees of fate in comparing with universal realms of existence is considered the same as degree of intellectual forms beyond the spiritual and natural forms that emanated from the god, suddenly and timelessly and called

  16. Public consent for mining: An industry viewpoint

    International Nuclear Information System (INIS)

    Zelms, J.L.

    1990-01-01

    The predominance of the mining industry was never intentionally destructive to the environment. Even when laws and regulations were far more relaxed than they are today, our operations were conducted professionally, But when change came, mining companies took a noncooperative attitude. We knew that we were the mining experts and that regulators or lawmakers were not. And it became accepted in our industry to stonewall change -- not to work with regulators and lawmakers but to resist change. This same attitude spilled over into attitudes with the media. Reporters were percieved as the enemy and many felt the press misrepresented their views. So we didn't work with the media unless we absolutely had to. In the process, industry did not participate in establishing guidelines and criteria for environmental regulation. Business ceded the environmental agenda to others and we have ended up with laws that forced billions of dollars of expenditures without ensuring that those expenditures had maximum impact on environmental problems. New rules are written by people less knowledgeable about the industry, consequently they cost more than they should and may not even have the desired result. Companies end up spending more than if they had addressed the problem themselves originally. It is no longer enough merely to be mining professionals. Today, it's only a threshold requirement for enduring success. We will best earn public consent to operate by anticipating what society will expect of us and by working to meet those expectations. We must set our own public policy before they become law or regulation and before we are branded as nonresponsive and noncaring

  17. Informed consent for anaesthesiological and intensive care unit ...

    African Journals Online (AJOL)

    2013-03-04

    Mar 4, 2013 ... care unit research: a South African perspective. De Roubaix JAM, MBChB, .... (g) the development of new applications of health technology. The last two items .... Consent in emergency and ICU care: SA regulatory guidelines.

  18. Informed consent and the law--an English legal perspective.

    Science.gov (United States)

    Hassan, Majid

    2008-01-01

    'Informed consent' is a widely used term, but its application in a legal perspective can be varied. American and Commonwealth jurisdictions have developed a 'patient-based' true informed consent approach, whereas in the English legal system a 'doctor-based' approach has traditionally been applied in relation to disclosure of risk. This article will seek to compare these approaches and give a brief overview of some of the key legal rulings which have shaped the requirement of consent. The decision in the English case of Chester vs. Afshar is considered as showing the significance the court attached to the principle of autonomy and using ethical and policy considerations to depart from established principles of English law relating to consent to treatment and disclosure of risk. This review is intended as general information and not as legal advice which should be sought from defence organisation and specialist health care lawyers. Copyright 2008 S. Karger AG, Basel.

  19. Socio-Cultural Factors Influencing Consent For Research In Nigeria ...

    African Journals Online (AJOL)

    Socio-Cultural Factors Influencing Consent For Research In Nigeria: Lessons ... for Health Research Ethics in enforcing researchers' compliance with ethical standards in ... Genuine respect for human dignity requires deeper understanding of ...

  20. Consent to research by mentally ill children and adolescents: The ...

    African Journals Online (AJOL)

    , the Act's statutory requirements relating to the informed consent to participation in clinical research by mentally ill children and adolescents in South Africa are examined. The necessity of doing clinical research in mentally ill children and ...

  1. Informed consent: attitudes, knowledge and information concerning prenatal examination

    DEFF Research Database (Denmark)

    Dahl, Katja; Kesmodel, Ulrik; hvidman, lone

    2006-01-01

    Background: Providing women with information enabling an informed consent to prenatal examinations has been widely recommended. Objective: The primary purpose of this review is to summarise current knowledge of the pregnant woman's expectations and attitudes concerning prenatal examinations, as w...

  2. Boni mores and consent for child research in South Africa

    African Journals Online (AJOL)

    2015-05-22

    May 22, 2015 ... 2 HIV/AIDS Vaccines Ethics Group, School of Applied Human Sciences, University of ... procedural requirements for approving research – for example, if a study does not obtain ethical approval for consent to participation –.

  3. Access to special care dentistry, part 3. Consent and capacity.

    Science.gov (United States)

    Dougall, A; Fiske, J

    2008-07-26

    This article considers what is meant by informed consent and the implications of the Mental Capacity Act in obtaining consent from vulnerable adults. It explores a number of conditions which impact on this task, namely dyslexia, literacy problems and learning disability. The focus on encouraging and facilitating autonomy and the use of the appropriate level of language in the consent giving process ensures that consent is valid. The use of appropriate methods to facilitate communication with individuals in order to be able to assess capacity and ensure that any treatment options that are chosen on their behalf are in their best interests are outlined. The use of physical intervention in special care dentistry in order to provide dental care safely for both the patient and the dental team is also considered.

  4. Customising informed consent procedures for people with schizophrenia in India.

    Science.gov (United States)

    Chatterjee, Sudipto; Kieselbach, Berit; Naik, Smita; Kumar, Shuba; John, Sujit; Balaji, Madhumitha; Koschorke, Mirja; Dabholkar, Hamid; Varghese, Mathew; Patel, Vikram; Thornicroft, Graham; Thara, Rangaswamy

    2015-10-01

    There is little information on how the ethical and procedural challenges involved in the informed participation of people with schizophrenia in clinical trials are addressed in low- and middle-income countries (LMICs). The informed consent procedure used in the collaborative community care for people with schizophrenia in India (COPSI) RCT was developed keeping these challenges in mind. We describe the feasibility of conducting the procedure from the trial, researcher and participants perspectives and describe the reasons for people consenting to participate in the trial or refusing to do so. Three sources of information were used to describe the feasibility of the COPSI consent procedure: key process indicators for the trial perspective, data from a specially designed post-interview form for participant's observations and focus group discussion (FGD) with the research interviewers. Categorical data were analysed by calculating frequencies and proportions, while the qualitative data from the FGD, and the reasons for participation or refusal were analysed using a thematic content analysis approach. 434 people with schizophrenia and their primary caregiver(s) were approached for participation in the trial. Consent interviews were conducted with 332, of whom 303 (91%) agreed to participate in the trial. Expectation of improvement was the most common reason for agreeing to participate in the trial, while concerns related to the potential disclosure of the illness, especially for women, were an important reason for refusing consent. The COPSI consent procedure demonstrates preliminary, observational information about the feasibility of customising informed consent procedures for people with schizophrenia LMIC contexts. This and other similar innovations need to be refined and rigorously tested to develop evidence-based guidelines for informed consent procedures in such settings.

  5. Readability and comprehensibility of informed consent forms for clinical trials

    Directory of Open Access Journals (Sweden)

    Anvita Pandiya

    2010-01-01

    A shortened Informed Consent Form, with information that a reasonable person would want to understand along with specific information that the person wants in particular would be a good option to improve understanding or comprehensibility. Additional informational meetings with a qualified person like a counselor could help in comprehension. Questionnaires designed to test comprehension of patient, peer review, patient writing the salient features could help evaluate the comprehensibility of the Informed Consent Form.

  6. Should informed consent be based on rational beliefs?

    OpenAIRE

    Savulescu, J; Momeyer, R W

    1997-01-01

    Our aim is to expand the regulative ideal governing consent. We argue that consent should not only be informed but also based on rational beliefs. We argue that holding true beliefs promotes autonomy. Information is important insofar as it helps a person to hold the relevant true beliefs. But in order to hold the relevant true beliefs, competent people must also think rationally. Insofar as information is important, rational deliberation is important. Just as physicians should aim to provide ...

  7. Emergency Physicians, Beware of the Consent Standard of Care

    OpenAIRE

    Moore, Gregory P.; Matlock, Aaron G.; Kiley, John L.; Percy, Katherine D.

    2018-01-01

    Many emergency physicians view informed consent as a necessary component of treatments or procedures to be performed on their patients. When such procedures are necessary, often there is a discussion of risks, benefits and alternatives with forms signed to validate the discussion. Two Wisconsin emergency department medical-legal cases have expanded liability of the duty of informed consent. These cases have focused on withholding medication and diagnostic tests.

  8. [Informed consent and neuromodulation techniques for psychiatric purposes: an introduction].

    Science.gov (United States)

    Mandarelli, Gabriele; Moscati, Filippo Maria; Venturini, Paola; Ferracuti, Stefano

    2013-01-01

    The aim of this review was to investigate informed consent-related issues concerning vagus nerve stimulation and deep brain stimulation in the treatment of psychiatric disorders. We searched the principal medical databases for studies concerning informed consent, as well as ethical and deontological issues in psychosurgery. Data were critically analysed. We also provided guidelines for the evaluation of accuracy of the informed consent in such treatments. Despite major deontological and ethical implications, there is substantial lack of information pertaining informed consent decision-making in psychiatric patients with an indication for psychosurgery. In clinical research studies, deep brain stimulation and vagus nerve stimulation have been mainly used in drug-resistant major depressive disorder, Tourette syndrome and obsessive-compulsive disorder. Existing data on efficacy and tolerability, as well as those studies indicating the risk for incapacity in drug-resistant severe mental disorders, suggest the need to achieve a better understanding of the capacity to consent to psychosurgery in patients affected by mental disorders. Informed consent decision-making in clinical trials of deep brain stimulation and vagus nerve stimulation in psychiatric patients is largely unknown and deserves further investigation.

  9. Informed consent in neurosurgery--translating ethical theory into action.

    Science.gov (United States)

    Schmitz, Dagmar; Reinacher, Peter C

    2006-09-01

    Although a main principle of medical ethics and law since the 1970s, standards of informed consent are regarded with great scepticism by many clinicans. By reviewing the reactions to and adoption of this principle of medical ethics in neurosurgery, the characteristic conflicts that emerge between theory and everyday clinical experience are emphasised and a modified conception of informed consent is proposed. The adoption and debate of informed consent in neurosurgery took place in two steps. Firstly, respect for patient autonomy was included into the ethical codes of the professional organisations. Secondly, the legal demands of the principle were questioned by clinicians. Informed consent is mainly interpreted in terms of freedom from interference and absolute autonomy. It lacks a constructive notion of physician-patient interaction in its effort to promote the best interest of the patient, which, however, potentially emerges from a reconsideration of the principle of beneficence. To avoid insufficient legal interpretations, informed consent should be understood in terms of autonomy and beneficence. A continuous interaction between the patient and the given physician is considered as an essential prerequisite for the realisation of the standards of informed consent.

  10. Capacity to consent to research among patients with bipolar disorder.

    Science.gov (United States)

    Misra, Sahana; Ganzini, Linda

    2004-06-01

    Experts have debated the influence of mental illness on decision-making capacity. This paper reviews concepts of decision-making capacity and existing research on the influence of mental illness on capacity to consent to research. We propose how bipolar disorder, especially mania, may have an effect on consent capacity. The current conceptualization of capacity utilizes legal standards of 'choice', 'understanding', 'appreciation' and 'rational reasoning', as well as voluntarism, or the assurance that the patient is free to agree or to decline to participate in research. Studies of patients with schizophrenia suggest impaired cognition influences 'understanding' and is more important than severity of psychosis in affecting decision-making abilities. There are no studies of sources and extent of impairment to consent to research among manic patients. Mania may influence a patient's understanding of the research protocol, but also alter the patient's views, values and level of insight, thus impairing decision-making abilities at the 'appreciation' standard even when the patient understands the relevant information. Mania may impact freedom to decide, yet paradoxically, manic patients may be less influenced by others and less vulnerable to coercion, undue influence and undue incentives compared to patients without mental illness. We suggest that in patients with mood disorders, the legal standard of appreciation be thoroughly probed during the consent procedure. Studies of the effect of mania and depression on consent capacity and voluntarism are needed in order to develop processes that increase safeguards in the informed consent process.

  11. Informed consent in neurosurgery—translating ethical theory into action

    Science.gov (United States)

    Schmitz, Dagmar; Reinacher, Peter C

    2006-01-01

    Objective Although a main principle of medical ethics and law since the 1970s, standards of informed consent are regarded with great scepticism by many clinicans. Methods By reviewing the reactions to and adoption of this principle of medical ethics in neurosurgery, the characteristic conflicts that emerge between theory and everyday clinical experience are emphasised and a modified conception of informed consent is proposed. Results The adoption and debate of informed consent in neurosurgery took place in two steps. Firstly, respect for patient autonomy was included into the ethical codes of the professional organisations. Secondly, the legal demands of the principle were questioned by clinicians. Informed consent is mainly interpreted in terms of freedom from interference and absolute autonomy. It lacks a constructive notion of physician–patient interaction in its effort to promote the best interest of the patient, which, however, potentially emerges from a reconsideration of the principle of beneficence. Conclusion To avoid insufficient legal interpretations, informed consent should be understood in terms of autonomy and beneficence. A continuous interaction between the patient and the given physician is considered as an essential prerequisite for the realisation of the standards of informed consent. PMID:16943326

  12. Ministerial Decree of 6 June 1968 determining the maximum permissible doses and concentrations for purposes of the health protection of workers in the field of ionizing radiation

    International Nuclear Information System (INIS)

    1968-01-01

    This Decree made in implementation of DPR No. 185 of 13 February 1964 forms an important part of regulations on occupational health protection. It adopts the criteria and values laid down by Euratom Directives on radiation protection. (NEA) [fr

  13. Decree of 13 October 1969, Stb. 473, concerning the implementation of Section 56, paragraph 4 of the Nuclear Energy Act (Appeals)

    International Nuclear Information System (INIS)

    1969-01-01

    This Decree concerns the conditions attached to the licences required under the Nuclear Energy Act. It provides for the procedure for lodging appeals against additional conditions which may be imposed upon applicants for a licence. (NEA) [fr

  14. Ministerial Decree of 1 March 1973. Approval of the models of documents concerning the professional qualifications for the management and operation of nuclear installations

    International Nuclear Information System (INIS)

    1973-01-01

    This Decree by the Ministry of Labour implements Section 36 of DPR No. 1450 of 30 December 1970 (Regulations concerning the qualifications for technical operation of nuclear installations) made under Act no. 1860. (NEA) [fr

  15. Amendment to the Decree of the Slovak Nuclear Regulatory Authority on details concerning emergency planning in case of nuclear incident or accident

    International Nuclear Information System (INIS)

    Biharyová, Michaela

    2018-01-01

    Following up amendment to the Slovak Atomic Act, the Decree No. 55/2006 on details concerning emergency planning in case of nuclear incident or accident has also been amended now. Following a short introductory text by the author, the entire text of the ‘Decree of the Nuclear Regulatory Authority of the Slovak Republic No 9/2018 Coll. of 2 January 2018 amending Decree of the Nuclear Regulatory Authority of the Slovak Republic No 55/2006 Coll. on details in emergency planning in case of nuclear incident or accident as amended by Decree No. 35/2012 Coll.’ is reproduced. The Amendment entered into force 1 February 2018. (orig.)

  16. Decree no 2013-496/PRN/ME/P from December 04, 2013 provides for the organization of the Ministry of Energy and Oil

    International Nuclear Information System (INIS)

    Issoufou, Mahamadou; Brigi, Rafini; Foumakoye, Gado

    2013-01-01

    This decree provides for the organization of the Ministry of Energy and Oil. Thus the Ministry of Energy and Oil is composed of: the central administration, deconcentrated services and piecing services, administrations and decentralized services, programs and public projects. [fr

  17. Decree 2211: Standards to control the generation and handling of dangerous wastes

    International Nuclear Information System (INIS)

    1992-01-01

    This Decree has for object to establish the conditions under which should be carried out the activities of generation and handling of dangerous waste, in order to prevent damages to health and to the atmosphere. It includes: definitions; a list of sources of waste; a list of constituent of dangerous waste; the characteristics of danger; a lists of maximum permissible concentrations in leachates, handling of dangerous waste, criterion for transport, monitoring form, storage areas, treatment and final disposition, storage, elimination, incineration, recycling, reuse and recovery, installation and operation of security backfilling, book of waste record, control of activities, obligations in charge of those who manage dangerous waste, and trans border movements of dangerous waste [es

  18. Decree No. 208 On National Accounting and Control System of the Nuclear Materials

    International Nuclear Information System (INIS)

    1996-01-01

    The present Decree establishes the arrangements to formalize the National Accounting and Control System of the Nuclear Materials, the which one has the objectives of contributing to an efficient and economic management of the nuclear materials in the national territory; to establish the arrangements directed to detect any employment, lost or unauthorized movement of the nuclear material; and to establish the measures of necessary control to give fulfillment to the international commitments assumed by the Cuban State in relationship to the nuclear materials, important components, or both. It also establishes the following responsibilities: The Ministry of Science Technology and Environment is the Organism of the Central Administration of the State responsible for the supervision and control of the dispositions and it delegates in the National Center of Nuclear Security the execution of the functions assigned to this Ministry

  19. Issues of informed consent for intrapartum trials: a suggested consent pathway from the experience of the Release trial [ISRCTN13204258

    Directory of Open Access Journals (Sweden)

    Weeks Andrew

    2006-05-01

    Full Text Available Abstract Service users within the NHS are increasingly being asked to participate in clinical research. In Liverpool Women's NHS Foundation Trust, approximately 35% of women take part in research during their pregnancy. For many studies the consent process is simple; information is provided and signed consent is given. There is a difficulty, however, with obtaining informed consent from women in pregnancy who become eligible only when they develop unforeseen complications, especially when they occur acutely. The problem is compounded with women in labour who may be frightened, vulnerable, in pain, under the effect of opiate analgesia, or all of the above. If research to improve the care of these women is to continue, then special consent procedures are needed. These procedures must ensure that the woman's autonomy is protected whilst recognising that women under these circumstances vary enormously, both in their desire for information and their ability to comprehend it. This paper will discuss the obtaining of consent in this situation, and describe an information and consent pathway for intrapartum research which has been developed in collaboration with consumer groups as a way in which these issues can be tackled.

  20. Decree of the Czechoslovak Atomic Energy Commission No. 8 as of 25 June 1981 on the testing of equipment for radioactive waste transport, storage and disposal

    International Nuclear Information System (INIS)

    1995-01-01

    The Decree stipulates that manufacturers and users of equipment for radioactive waste transportation, storage and disposal are obliged to have the equipment tested. This duty concerns radioactive waste transport casks, shielding containers, etc., except for nuclear fuel transporting facilities. Authorization to act as the national testing body was granted to the Institute for Research, Production and Application of Radioisotopes. The Decree entered into force on 1 July 1981. (J.B.)

  1. Ministerial Decree of 13 May 1978 on the safety and health protection of workers in the mining industry against ionizing radiation

    International Nuclear Information System (INIS)

    1978-01-01

    This Ministerial Decree was made in implementation of Decree No. 185 of 13 February 1964 of the President of the Republic on the safety of installations and the health protection of workers and the population against the hazards of ionizing radiation. It determines the methods for evaluating environmental contamination doses in mines which contain radioactive substances, and more generally, as regards mining research or exploitation implying a risk of exposure to ionizing radiaton. (NEA) [fr

  2. Ministerial Decree of 30 March 1978 on the exclusion of nuclear installations from the application of the requirements on combustion control

    International Nuclear Information System (INIS)

    1978-01-01

    This Decree was made by the Italian Minister for Industry, Commerce and Crafts; it lays down that nuclear installations governed by Act No. 1860 of 31 December 1962 on the Peaceful Uses of Nuclear Energy and by Presidential Decree No. 185 of 13 February 1964 on Radiation Protection and excluded from the scope of are Royal Order No. 824 of 12 May 1927 on combustion control. (NEA) [fr

  3. Ministerial Decree of 12 May 1980 authorising Agip Nucleare S.p.a. in Rome to undertake health physics and medical supervision of protection against ionizing radiation

    International Nuclear Information System (INIS)

    1980-01-01

    Section 83 of Decree No. 185 of 13 February 1964 on protection against ionizing radiation provides that institutions previously authorised by the Minister of Labour and Social Security may, on condition that they are adequately equipped for such services, be authorised to undertake health physics and medical supervision of personnel. This Decree accordingly authorises the Agip Nucleare Company to carry out this work. (NEA) [fr

  4. "Informed" Consent: An Audit of Informed Consent of Cesarean Section Evaluating Patient Education and Awareness.

    Science.gov (United States)

    Kirane, Akhilesh G; Gaikwad, Nandkishor B; Bhingare, Prashant E; Mule, Vidya D

    2015-12-01

    Better diagnosis and early referral due to increased health care coverage have increased the cesarean deliveries at tertiary-care hospitals of India. Improvements in the health care system raise many concerns and need of cross-checking system in place to counter the problems pertaining to patient education and participation of patient. While most of the cesarean sections are done in good faith for the patient, it does not escape the purview of consumer awareness and protection. This cross-sectional study was undertaken at a tertiary level government institution to understand the level of awareness of 220 patients regarding the various aspects of cesarean delivery which are essential for women to know before giving an informed consent. 71 % of the women had knowledge about the indication and need to do cesarean delivery. Of these, only one-third (25 % of total women) were properly explained about procedure and complications. Other demographic and social characteristics were also evaluated. While the health care schemes have had their improved results, the onus lies upon the caregivers to improve and maintain the quality of health care in these tertiary-care government hospitals in proportion to the increase in patient load. The results of this study highlight the need for proper counseling of patients regarding complications of cesarean section. The fact that only 25 % of total cases were explained proper procedure and complication as opposed to 71 % of patients having proper knowledge about the indication of cesarean section points out the lack of information in seemingly "informed" consent. To bring about awareness about the risks and complications of cesarean section, there is a need that patients be counseled during the antenatal visits, specifically when patients visit near term for antenatal check up.

  5. [Decree of anaesthesia of 1994, day surgery and medical responsibility: necessary reflections on the inevitable conciliation between regulations and recommendations].

    Science.gov (United States)

    Bontemps, G; Daver, C; Ecoffey, C

    2014-12-01

    Day surgery is often considered as a marker of the necessity of reorganizing the hospital to take care globally and so better meet the expectations of improvement of the management of patients. But the actual deployment of day surgery can also act as a real revelation of the stakes of conciliation between the regulations, which supervise professional practices and organization, and the functioning of hospitals. Between the regulations supervising hospitals and professional practices and the place of the recommendations, between the general legal framework of the medical activity and specific legal framework (decree of anesthesia of 1994) and the Evidence-Based Medicine, the pretext of the improvement of the patient flow in day surgery, recommended by several institutions (Sfar, ANAP, HAS), questions about the legal obligation of the passage of all the patients in the postanesthesia care unit (PACU). Seen under the angle of a legal action against a medical doctor, the study of the French jurisprudence reveals that every practitioner has to respect the recommendations and the Evidence-Based Medicine, and this in the standardized frame of the MD's activity and the respect for a very strict legal environment. The question of an obvious conciliation between all these measures arises today clearly. In the case of a potential conflict, the key of resolution, based only on legal standards (constitution, laws, decrees), is not enough for arbitrating. Applying that the only respect for the decree of anesthesia would be enough for exempting itself from any contentious risk does not satisfy more. There is a real difficulty defining the legal precise nature of the recommendations, so best practices as better organization, which are more and more frequently. Even if these recommendations originally had not their place in the hierarchy of the legal standards, they are brought in there today. There is a real brake in the deployment of the day surgery because the strict respect for

  6. 75 FR 47465 - Pymetrozine; Regulation Denying NRDC's Objections on Remand

    Science.gov (United States)

    2010-08-06

    ..., total cholesterol, urea nitrogen, creatinine, total protein, total bilirubin, albumin, hormones, and... may not occur in areas with the highest pesticide use, and/or the sampling may not occur when the... first tier model uses high-end and worst-case assumptions as a screen to identify pesticides that will...

  7. NDS status report to the 1987 NRDC meeting

    International Nuclear Information System (INIS)

    Lemmel, H.D.

    1988-01-01

    The report presents the activities of the IAEA Nuclear Data Section concerning CINDA, EXFOR system, data evaluation, publications, customer services, programming and systems development, on-line center-to-center data transmission

  8. Report to the President of the Republic related to the decree nr 2016-128 of February 10, 2016 bearing various measures regarding nuclear issues. Decree nr 2016-128 of February 10, 2016 bearing various measures regarding nuclear issues

    International Nuclear Information System (INIS)

    Hollande, Francois; Valls, Manuel; Royal, Segolene

    2016-01-01

    In its first part, this official document describes the objectives and contents of the different chapters and articles of a decree which is related to the application of some articles contained by the law on energy transition and for a green growth (the decree builds up the second part of the document). It notably addresses the transposition of the 2011/70/EURATOM, directive, the adaptation of existing laws to this transposition, the definition of a procedure of reclassification of materials into radioactive wastes, and the strengthening of administrative and penal sanctions, measures related to nuclear safety and transparency, the creation of a system for the safety control of radioactive sources by the ASN, activities related to the Public Health Code

  9. Remote preenrollment checking of consent forms to reduce nonconformity.

    Science.gov (United States)

    Journot, Valérie; Pérusat-Villetorte, Sophie; Bouyssou, Caroline; Couffin-Cadiergues, Sandrine; Tall, Aminata; Chêne, Geneviève

    2013-01-01

    In biomedical research, the signed consent form must be checked for compliance with regulatory requirements. Checking usually is performed on site, most frequently after a participant's final enrollment. We piloted a procedure for remote preenrollment consent forms checking. We applied it in five trials and assessed its efficiency to reduce form nonconformity before participant enrollment. Our clinical trials unit (CTU) routinely uses a consent form with an additional copy that contains a pattern that partially masks the participant's name and signature. After completion and signatures by the participant and investigator, this masked copy is faxed to the CTU for checking. In case of detected nonconformity, the CTU suspends the participant's enrollment until the form is brought into compliance. We checked nonconformities of consent forms both remotely before enrollment and on site in five trials conducted in our CTU. We tabulated the number and nature of nonconformities by location of detection: at the CTU or on site. We used these data for a pseudo before-and-after analysis and estimated the efficiency of this remote checking procedure in terms of reduction of nonconformities before enrollment as compared to the standard on-site checking procedure. We searched for nonconformity determinants among characteristics of trials, consent forms, investigator sites, and participants through multivariate logistic regression so as to identify opportunities for improvement in our procedure. Five trials, starting sequentially but running concurrently, with remote preenrollment and on-site checking of consent forms from 415 participants screened in 2006-2009 led to 518 consent forms checked; 94 nonconformities were detected in 75 forms, 75 (80%) remotely and 19 more (20%) on site. Nonconformities infrequently concerned dates of signatures (7%) and information about participants (12%). Most nonconformities dealt with investigator information (76%), primarily contact information

  10. Decree no 77-623 of 6 June 1977 amending Decree no 73-278 of 13 March 1973 setting up a Superior Council for Nuclear Safety and a Central Service for the Safety of Nuclear Installations

    International Nuclear Information System (INIS)

    1977-01-01

    Under this Decree, the Central Service for the Safety of Nuclear Installations is placed from now onwards within the Directorate of Mines which comes under the Ministry of Industry, Trade and Crafts. The Head of the Central Service for the Safety of Nuclear Installations and his deputy are appointed by Order of the Minister of Industry, Trade and Crafts, on the proposal of the Director of Mines. (NEA) [fr

  11. No Understanding, No Consent: The Case Against Alternative Medicine.

    Science.gov (United States)

    Shahvisi, Arianne

    2016-02-01

    The demand for informed consent in clinical medicine is usually justified on the basis that it promotes patient autonomy. In this article I argue that the most effective way to promote autonomy is to improve patient understanding in order to reduce the epistemic disparity between patient and medical professional. Informed consent therefore derives its moral value from its capacity to reduce inequalities of power as they derive from epistemic inequalities. So in order for a patient to have given informed consent, she must understand the treatment. I take this to mean that she has sufficient knowledge of its causal mechanisms and has accepted the explanations in which the treatment is implicated. If this interpretation of informed consent is correct, it is unethical for medical professionals to offer or endorse 'alternative medicine' treatments, for which there is no known causal mechanism, for if they do, they may end up widening the epistemic disparity. In this way, informed consent may be understood as an effective way of ruling out particular treatments in order to improve patient autonomy and maintain trust in the medical profession. © 2016 John Wiley & Sons Ltd.

  12. Informed consent for and regulation of critical care research.

    Science.gov (United States)

    Lemaire, François

    2008-12-01

    Critical care is a special area in which research needs to take place, because of the severity of the diseases which are treated there, but it is also a place where research faces a lot of hurdles and difficulties. The main cause of difficulties is the consent issue, as most patients cannot consent for themselves. Recently, all national legislations in the countries of the European Union have been modified to include the provisions of directive 2001/20. This review article provides a summary of the recent literature concerning the issue of consent for clinical care research such as how the surrogate consent reflects the view of the patient and how time consuming and inaccurate can be the consultation of a community before the start of a trial with a waiver of consent. Another hurdle to research is the rigidity of our legislations concerning clinical research, especially the absence of a simplified way for low or no-risk research. This article shows how this situation is potentially deleterious and how it could ultimately forbid low-risk research. Critical research remains a domain in which research on patients is difficult and controversial. Regulation can be difficult to implement, largely inadequate or uselessly complicated. Intensive care physicians need to keep pressure on politicians and lawmakers to constantly explain the necessity and specificities of critical care research.

  13. Decree No. 2967 of 7 December 1979 on the regulation of activities in the nuclear fuel cycle

    International Nuclear Information System (INIS)

    1980-01-01

    Within the framework of the national energy plan, and for the purpose of ensuring the supply of uranium for nuclear power plants in Spain, this Decree reorganises and develops the duties and responsibilities of the National Uranium Undertaking (ENUSA) set up by Decree No. 3322 of 23 December 1971. ENUSA is a public undertaking, wholly controlled by the State, with a majority capital held by the National Institute for Industry and participation by the Junta de Energia Nuclear, which advises it in connection with research and development. ENUSA is responsible for the development of industrial and commercial activities related to the nuclear fuel cycle. While the Junta de Energia Nuclear remains responsible for final storage of radioactive waste, ENUSA is henceforth in charge of other activities in execution of the national plan for prospection for and investigation of uranium. (NEA) [fr

  14. From the Law of European Delegation to the Legislative Decree on experiments with animals: consequences for biomedical research.

    Science.gov (United States)

    Petrini, C

    2014-01-01

    The provisions contained in the Legislative Decree no.26 signed by Italy's President on 4th March 2014 will have a considerable impact on the future of experiments with animals. The article briefly describes the stages of the decree's complicated passage through Parliament and the resulting text, which includes bans on: the use of animals for xenotransplants or research on drugs of abuse; the breeding of dogs, cats and non-human primates for experimental use; research without anaesthetic or analgesics that causes pain to the animal, except when anaesthetics or analgesics are being investigated. There is widespread feeling in the scientific community that these provisions will hinder the advancement of biomedical research in Italy.

  15. Resolution. 428/012. It promulgates de decree 20/011, establishing the departmental guidelines about the territorial ordering and sustainable development in Canelones town, within the framework of the law 18,308

    International Nuclear Information System (INIS)

    2011-01-01

    This decree promulgates the establishing of the Canelones town guidelines about the territorial ordering and sustainable development. These guidelines involves the environmental, economic, social and institutional areas

  16. Decree-Law No. 189/93 of 24 May establishing the General Directorate for the Environment

    International Nuclear Information System (INIS)

    1993-01-01

    This Decree-Law sets up a General Directorate for the Environment with the Ministry for the Environment and Natural Resources. The Protection and Nuclear Safety Bureau-GPSN which had first been transferred from the Ministry of Industry, has now been merged with other Directorates into this new General Directorate for the Environment. The tasks of this Directorate include assessing and examining the radiological impact of nuclear and radioactive installations, including radioactive waste management and the safety of nuclear installations. (NEA)

  17. Decree No 67-228 of 15 March 1967 regulating the protection of workers against the hazards of ionizing radiation

    International Nuclear Information System (INIS)

    1967-01-01

    This Decree, together with its implementing Orders, contains the basic provisions for the protection of workers. However, it does not cover large nuclear installations and mainly applies to establishments dealing with sealed or unsealed sources and X-ray devices. It lays down the measures to be complied with by employers in such establishments to ensure the protection of staff and also sets out the maximum permissible equivalent radiation doses. (NEA) [fr

  18. Ministry of the Environment and Natural Resources-Decree-Law No.425/91 of 30 October

    International Nuclear Information System (INIS)

    1991-01-01

    This Decree-Law restructures the Nuclear Protection and Safety Bureau to take account of its new responsibilities. It has the following tasks: evaluates and monitors the radiological impact of nuclear and radioactive installations, the safe management of radioactive waste; safety of nuclear and radioactive installations; controls that measures in the field of third party liability and nuclear non-proliferation are complied with; and co-operates with national and international authorities to respond to nuclear and radiological emergencies. (NEA)

  19. Use of altered informed consent in pragmatic clinical research.

    Science.gov (United States)

    McKinney, Ross E; Beskow, Laura M; Ford, Daniel E; Lantos, John D; McCall, Jonathan; Patrick-Lake, Bray; Pletcher, Mark J; Rath, Brian; Schmidt, Hollie; Weinfurt, Kevin

    2015-10-01

    There are situations in which the requirement to obtain conventional written informed consent can impose significant or even insurmountable barriers to conducting pragmatic clinical research, including some comparative effectiveness studies and cluster-randomized trials. Although certain federal regulations governing research in the United States (45 CFR 46) define circumstances in which any of the required elements may be waived, the same standards apply regardless of whether any single element is to be waived or whether consent is to be waived in its entirety. Using the same threshold for a partial or complete waiver limits the options available to institutional review boards as they seek to optimize a consent process. In this article, we argue that new standards are necessary in order to enable important pragmatic clinical research while at the same time protecting patients' rights and interests. © The Author(s) 2015.

  20. Body integrity identity disorder beyond amputation: consent and liberty.

    Science.gov (United States)

    White, Amy

    2014-09-01

    In this article, I argue that persons suffering from Body Integrity Identity Disorder (BIID) can give informed consent to surgical measures designed to treat this disorder. This is true even if the surgery seems radical or irrational to most people. The decision to have surgery made by a BIID patient is not necessarily coerced, incompetent or uninformed. If surgery for BIID is offered, there should certainly be a screening process in place to insure informed consent. It is beyond the scope of this work, however, to define all the conditions that should be placed on the availability of surgery. However, I argue, given the similarities between BIID and gender dysphoria and the success of such gatekeeping measures for the surgical treatment of gender dysphoria, it is reasonable that similar conditions be in place for BIID. Once other treatment options are tried and gatekeeping measures satisfied, A BIID patient can give informed consent to radical surgery.

  1. Negligence in securing informed consent and medical malpractice.

    Science.gov (United States)

    Perry, C

    1988-01-01

    The doctrine of informed consent requires that the patient must act voluntarily and in the light of adequate information in order to give legally valid consent to medical care. Different models have been developed by various courts to determine whether the informational requirement, what the physician must disclose to the patient about the potential risks of the proposed treatment, has been met under the tort theory of negligence. To prevail, the patient plaintiff must show that a particular jurisdiction's disclosure standard has been breached, that harm has resulted, and that the defendant physician's negligent failure to discuss certain risks was causally responsible for the patient's failure to withhold consent. Perry discusses possible problems of redundancy or inconsistency concerning the relationship between different models for disclosure and causality, and notes that these problems may have serious implications for patient autonomy.

  2. Opt-Out Parental Consent in Online Surveys: Ethical Considerations.

    Science.gov (United States)

    Harris, Jane; Porcellato, Lorna

    2018-07-01

    This article aims to foster discussion and debate around seeking parental consent from young people recruited online. The growth of social media, particularly for young people, has led to increased interest in young people's online activities as both a research topic and recruitment setting. In a health-related study, which sought to recruit young people aged 13 to 18 years old from YouTuber fan communities to an online survey, the question arose of how parental consent could be sought from young people below 16 when no link existed between researcher and parents/guardians. A practical strategy is proposed which combines novel communication methods for participant information, opt-out online consent and age verification to address this issue. Strengths and limitations of these approaches are discussed.

  3. Disclosure of information and informed consent: ethical and practical considerations.

    Science.gov (United States)

    Steinberg, Avraham

    2009-12-01

    Disclosure of information and informed consent are relatively new concepts in the patient-physician relationship. They are based primarily on the principle of autonomy and they have many favorable practical advantages. However, the practical implementation of these requirements is fraught with difficulties, some of which can cause harm to the patient or be obstacles in fulfilling the moral obligation of beneficence. This is particularly true when disclosure of information and informed consent are done by physicians in a defensive way for fear of malpractice suits. The most ethically defensible approach is to tailor and navigate the information according to the needs and desires of each individual patient in a sensitive and empathic manner. The informed consent should be a process of mutually shared responsibility by the patient and the physician, ensuring adequate and relevant information that is well comprehended by the individual patient, and is used correctly for his or her decision making.

  4. Relational autonomy in informed consent (RAIC) as an ethics of care approach to the concept of informed consent.

    Science.gov (United States)

    Osuji, Peter I

    2018-03-01

    The perspectives of the dominant Western ethical theories, have dominated the concepts of autonomy and informed consent for many years. Recently this dominant understanding has been challenged by ethics of care which, although, also emanates from the West presents a more nuanced concept: relational autonomy, which is more faithful to our human experience. By paying particular attention to relational autonomy, particularity and Process approach to ethical deliberations in ethics of care, this paper seeks to construct a concept of informed consent from the perspective of ethics of care which is here called relational autonomy-in-informed consent (RAIC). Thus, providing a broader theoretical basis for informed consent beyond the usual theoretical perspectives that are particularly Western. Care ethics provides such a broader basis because it appeals to a global perspective that encompasses lessons from other cultures, and this will help to enrich the current ideas of bioethics principles of autonomy and informed consent. This objective will be achieved by exploring the ethics of care emphasis on relationships based on a universal experience of caring; and by contrasting its concept of autonomy as relational with the understanding of autonomy in the approaches of the dominant moral theories that reflect rational, individualistic, and rights-oriented autonomy of the American liberalism.

  5. Informed consent in direct-to-consumer personal genome testing: the outline of a model between specific and generic consent.

    Science.gov (United States)

    Bunnik, Eline M; Janssens, A Cecile J W; Schermer, Maartje H N

    2014-09-01

    Broad genome-wide testing is increasingly finding its way to the public through the online direct-to-consumer marketing of so-called personal genome tests. Personal genome tests estimate genetic susceptibilities to multiple diseases and other phenotypic traits simultaneously. Providers commonly make use of Terms of Service agreements rather than informed consent procedures. However, to protect consumers from the potential physical, psychological and social harms associated with personal genome testing and to promote autonomous decision-making with regard to the testing offer, we argue that current practices of information provision are insufficient and that there is a place--and a need--for informed consent in personal genome testing, also when it is offered commercially. The increasing quantity, complexity and diversity of most testing offers, however, pose challenges for information provision and informed consent. Both specific and generic models for informed consent fail to meet its moral aims when applied to personal genome testing. Consumers should be enabled to know the limitations, risks and implications of personal genome testing and should be given control over the genetic information they do or do not wish to obtain. We present the outline of a new model for informed consent which can meet both the norm of providing sufficient information and the norm of providing understandable information. The model can be used for personal genome testing, but will also be applicable to other, future forms of broad genetic testing or screening in commercial and clinical settings. © 2012 John Wiley & Sons Ltd.

  6. Obtaining subjects' consent to publish identifying personal information: current practices and identifying potential issues.

    Science.gov (United States)

    Yoshida, Akiko; Dowa, Yuri; Murakami, Hiromi; Kosugi, Shinji

    2013-11-25

    In studies publishing identifying personal information, obtaining consent is regarded as necessary, as it is impossible to ensure complete anonymity. However, current journal practices around specific points to consider when obtaining consent, the contents of consent forms and how consent forms are managed have not yet been fully examined. This study was conducted to identify potential issues surrounding consent to publish identifying personal information. Content analysis was carried out on instructions for authors and consent forms developed by academic journals in four fields (as classified by Journal Citation Reports): medicine general and internal, genetics and heredity, pediatrics, and psychiatry. An online questionnaire survey of editors working for journals that require the submission of consent forms was also conducted. Instructions for authors were reviewed for 491 academic journals (132 for medicine general and internal, 147 for genetics and heredity, 100 for pediatrics, and 112 for psychiatry). Approximately 40% (203: 74 for medicine general and internal, 31 for genetics and heredity, 58 for pediatrics, and 40 for psychiatry) stated that subject consent was necessary. The submission of consent forms was required by 30% (154) of the journals studied, and 10% (50) provided their own consent forms for authors to use. Two journals mentioned that the possible effects of publication on subjects should be considered. Many journal consent forms mentioned the difficulties in ensuring complete anonymity of subjects, but few addressed the study objective, the subjects' right to refuse consent and the withdrawal of consent. The main reason for requiring the submission of consent forms was to confirm that consent had been obtained. Approximately 40% of journals required subject consent to be obtained. However, differences were observed depending on the fields. Specific considerations were not always documented. There is a need to address issues around the study

  7. Obtaining subjects’ consent to publish identifying personal information: current practices and identifying potential issues

    Science.gov (United States)

    2013-01-01

    Background In studies publishing identifying personal information, obtaining consent is regarded as necessary, as it is impossible to ensure complete anonymity. However, current journal practices around specific points to consider when obtaining consent, the contents of consent forms and how consent forms are managed have not yet been fully examined. This study was conducted to identify potential issues surrounding consent to publish identifying personal information. Methods Content analysis was carried out on instructions for authors and consent forms developed by academic journals in four fields (as classified by Journal Citation Reports): medicine general and internal, genetics and heredity, pediatrics, and psychiatry. An online questionnaire survey of editors working for journals that require the submission of consent forms was also conducted. Results Instructions for authors were reviewed for 491 academic journals (132 for medicine general and internal, 147 for genetics and heredity, 100 for pediatrics, and 112 for psychiatry). Approximately 40% (203: 74 for medicine general and internal, 31 for genetics and heredity, 58 for pediatrics, and 40 for psychiatry) stated that subject consent was necessary. The submission of consent forms was required by 30% (154) of the journals studied, and 10% (50) provided their own consent forms for authors to use. Two journals mentioned that the possible effects of publication on subjects should be considered. Many journal consent forms mentioned the difficulties in ensuring complete anonymity of subjects, but few addressed the study objective, the subjects’ right to refuse consent and the withdrawal of consent. The main reason for requiring the submission of consent forms was to confirm that consent had been obtained. Conclusion Approximately 40% of journals required subject consent to be obtained. However, differences were observed depending on the fields. Specific considerations were not always documented. There is a need

  8. Time to Improve Informed Consent for Dialysis: An International Perspective.

    Science.gov (United States)

    Brennan, Frank; Stewart, Cameron; Burgess, Hannah; Davison, Sara N; Moss, Alvin H; Murtagh, Fliss E M; Germain, Michael; Tranter, Shelley; Brown, Mark

    2017-06-07

    The literature reveals that current nephrology practice in obtaining informed consent for dialysis falls short of ethical and legal requirements. Meeting these requirements represents a significant challenge, especially because the benefits and risks of dialysis have shifted significantly with the growing number of older, comorbid patients. The importance of informed consent for dialysis is heightened by several concerns, including: ( 1 ) the proportion of predialysis patients and patients on dialysis who lack capacity in decision making and ( 2 ) whether older, comorbid, and frail patients understand their poor prognosis and the full implications to their independence and functional status of being on dialysis. This article outlines the ethical and legal requirements for a valid informed consent to dialysis: ( 1 ) the patient was competent, ( 2 ) the consent was made voluntarily, and ( 3 ) the patient was given sufficient information in an understandable manner to make the decision. It then considers the application of these requirements to practice across different countries. In the process of informed consent, the law requires a discussion by the physician of the material risks associated with dialysis and alternative options. We argue that, legally and ethically, this discussion should include both the anticipated trajectory of the illness and the effect on the life of the patient with particular regard to the outcomes most important to the individual. In addition, a discussion should occur about the option of a conservative, nondialysis pathway. These requirements ensure that the ethical principle of respect for patient autonomy is honored in the context of dialysis. Nephrologists need to be open to, comfortable with, and skillful in communicating this information. From these clear, open, ethically, and legally valid consent discussions, a significant dividend will hopefully flow for patients, families, and nephrologists alike. Copyright © 2017 by the

  9. Improving participant comprehension in the informed consent process.

    Science.gov (United States)

    Cohn, Elizabeth; Larson, Elaine

    2007-01-01

    To critically analyze studies published within the past decade about participants' comprehension of informed consent in clinical research and to identify promising intervention strategies. Integrative review of literature. The Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, and the Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials were searched. Inclusion criteria included studies (a) published between January 1, 1996 and January 1, 2007, (b) designed as descriptive or interventional studies of comprehension of informed consent for clinical research, (c) conducted in nonpsychiatric adult populations who were either patients or volunteer participants, (d) written in English, and (e) published in peer-reviewed journals. Of the 980 studies identified, 319 abstracts were screened, 154 studies were reviewed, and 23 met the inclusion criteria. Thirteen studies (57%) were descriptive, and 10 (43%) were interventional. Interventions tested included simplified written consent documents, multimedia approaches, and the use of a trained professional (consent educator) to assist in the consent process. Collectively, no single intervention strategy was consistently associated with improved comprehension. Studies also varied in regard to the definition of comprehension and the tools used to measure it. Despite increasing regulatory scrutiny, deficiencies still exist in participant comprehension of the research in which they participate, as well as differences in how comprehension is measured and assessed. No single intervention was identified as consistently successful for improving participant comprehension, and results indicated that any successful consent process should at a minimum include various communication modes and is likely to require one-to-one interaction with someone knowledgeable about the study.

  10. Authorization Decree Application for the creation of the Flamanville-3 Basic Nuclear Installation. Executive Summary of the Technical Review

    International Nuclear Information System (INIS)

    2009-01-01

    On 9 May 2006, Electricite de France (EDF) submitted to the Ministers for Nuclear Safety an authorization decree application for an EPR-type reactor on the site of the Flamanville Nuclear Power Plant (NPP). Article 29 of Act No. 2006-686 of 13 June 2006 on Transparency and Security in the Nuclear Field prescribes that the creation of any basic nuclear installation shall be issued by a decree taken after consultation with the Nuclear Safety Authority (Autorite de surete nucleaire - ASN). The purpose of this report is to provide ASN's Board with a summary of the technical review led by ASN services and carried out by their technical support agencies, namely the IRSN, the GPR and the Standing Nuclear Section of the CCAP between 2001 and 2006. After summing up the conclusions of the review on the safety options of the European Pressurized Reactor (EPR) Project, as carried out between 1993 and 2000, this report describes the process and modalities of the review conducted from 2001 to 2006. Besides providing the opinion of ASN's services on the creation-licence application, it also outlines the further review to be carried out, if the authorization decree is issued. (authors)

  11. Control of the voluntary splitting of photovoltaic projects and unique purchase contract - Decree of the 26 June 2015 modifying the decree of the 4 March 2011 defining the purchase conditions for the electricity produced by installations using solar radiation like those concerned in the 3. of the article 2 of the decree 2000-1196 of the 6 December 2000

    International Nuclear Information System (INIS)

    Leloup, Lea

    2015-01-01

    This article comments a recent decree which aims at struggling against artificial splitting of solar installations, i.e. the possibility for solar electricity producers to circumvent tariffs and ask for a better purchase tariff through requests for distinct contracts. The author describes this problem, and analyses how this struggle is strengthened by new legal arrangements. She also outlines that no more parcel division will be tolerated

  12. Undergraduate Consent Form Reading in Relation to Conscientiousness, Procrastination, and the Point-of-Time Effect.

    Science.gov (United States)

    Theiss, Justin D; Hobbs, William B; Giordano, Peter J; Brunson, Olivia M

    2014-07-01

    Informed consent is central to conducting ethical research with human participants. The present study investigated differences in consent form reading in relation to conscientiousness, procrastination, and the point-of-time (PT) effect among undergraduate participants at a U.S. university. As hypothesized, conscientious participants and those who signed up to participate in a research study more days in advance and for earlier sessions (PT effect) read the consent form more thoroughly. However, procrastination was not related to consent form reading. Most importantly, consent form reading in general was poor, with 80% of participants demonstrating that they had not read the consent form. Conscientious participants were more likely to self-report reading the consent form, irrespective of their measured consent form reading. The article closes with suggestions to improve the process of obtaining informed consent with undergraduate participants. © The Author(s) 2014.

  13. Establishing and adhering to sexual consent: the association between reading magazines and college students' sexual consent negotiation.

    Science.gov (United States)

    Hust, Stacey J T; Marett, Emily Garrigues; Ren, Chunbo; Adams, Paula M; Willoughby, Jessica F; Lei, Ming; Ran, Weina; Norman, Cassie

    2014-01-01

    Content analyses have cataloged the sexual scripts present in magazines largely because of their perceived value to readers and their potential role as sex educators. Although it is generally agreed that magazines have the potential to influence sexual attitudes and behavioral intentions, the effects of this medium are not as frequently researched as are other forms of media. The current study tested whether exposure to magazines was associated with intentions related to sexual consent negotiation. A survey of 313 college students indicated that exposure to men's magazines was significantly associated with lower intentions to seek sexual consent and lower intentions to adhere to decisions about sexual consent. In contrast, exposure to women's magazines was significantly associated with greater intentions to refuse unwanted sexual activity. Overall, the findings of this study further reinforce the critical need for responsible and realistic portrayals of sex in entertainment media, specifically magazines.

  14. Autonomy, consent and responsability. Part 1: limitations of the principle of autonomy as a foundation of informed consent.

    Science.gov (United States)

    Mellado, J M

    2016-01-01

    Legal recognition of patient's rights aspired to change clinical relationship and medical lex artis. However, its implementation has been hampered by the scarcity of resources and the abundance of regulations. For several years, autonomy, consent, and responsibility have formed one of the backbones of the medical profession. However, they have sparked controversy and professional discomfort. In the first part of this article, we examine the conceptual and regulatory limitations of the principle of autonomy as the basis of informed consent. We approach the subject from philosophical, historical, legal, bioethical, deontological, and professional standpoints. In the second part, we cover the viability of informed consent in health care and its relationship with legal responsibility. Copyright © 2016 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. Consent to research by mentally ill children and adolescents: The ...

    African Journals Online (AJOL)

    2013-03-01

    Mar 1, 2013 ... permissible in minors be stated in terms of well-defined risk standards. Finally, the ... The assessment of a mentally ill child's or adolescent's capacity to consent to ... 'mental healthcare' may include research; furthermore its repeated ..... Clinical response and risk of reported suicidal ideation and suicide ...

  16. 41 CFR 60-30.13 - Consent findings and order.

    Science.gov (United States)

    2010-07-01

    ... Administrative Law Judge after consideration of the nature of the proceeding, the requirments of the public... to the Administrative Law Judge for his consideration; (2) Inform the Administrative Law Judge that... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Consent findings and...

  17. Towards guidelines for informed consent for prospective stem cell ...

    African Journals Online (AJOL)

    2015-08-02

    Aug 2, 2015 ... of genes that reactivate the embryonic genetic programme.[5,6]. We, and many ... ever more complex and multifaceted ethical issues, many of which require new guidelines, consent protocols and even change in legislation, since they do not ..... Progress and prospects in stem cells therapy. Acta. Pharmacol ...

  18. Optimization of informed consent for umbilical cord blood banking.

    Science.gov (United States)

    Sugarman, Jeremy; Kurtzberg, Joanne; Box, Tamara L; Horner, Ronnie D

    2002-12-01

    The purpose of this project was to evaluate the informed consent process for donation to a public umbilical cord blood bank. Telephone interviews were conducted with 170 women who had given consent to donate their newborn infants' umbilical cord blood. Of the 170 women who were contacted, 96.8% of the women reported that all their questions had been answered. Nevertheless, approximately one third of the respondents did not consider themselves to be in research, and almost one quarter of the respondents did not know how to contact the umbilical cord blood bank if they or their infant became seriously ill. Further, a substantial proportion of the respondents did not understand the full range of alternatives to donation and incorrectly endorsed potential benefits. Informed consent could be optimized by (1) having those personnel who obtain consent emphasize that banking involves research and to explain the true benefits of donation, (2) ensuring that parents know how and when to contact the umbilical cord blood bank after donation, and (3) using phone surveys to continue assessments and to monitor changes in the process.

  19. Informed consent and medical ordeal: a qualitative study.

    Science.gov (United States)

    Little, M; Jordens, C F C; McGrath, C; Montgomery, K; Lipworth, W; Kerridge, I

    2008-08-01

    Informed consent is a mainstay of clinical practice, with both moral and legal forces. Material disclosure about extreme treatments, however, is unlikely to convey the full impact of the experience of treatment. Informed consent may be flawed under such circumstances. The aims of this study were to compare expressed satisfaction with pretreatment information to satisfaction after experiencing autologous stem cell transplantation for recurrent lymphoma. A qualitative, narrative-based cohort study was conducted in a bone-marrow transplant unit of a teaching hospital at Westmead Hospital, Sydney, Australia. The cohort consisted of 10 transplant recipients and 9 of their nominated lay carers. The outcome measure was satisfaction expressed in narrative interviews at the time of transplantation and 3 months later. We used discourse-analytic techniques to examine the narratives. Both patients and carers expressed high satisfaction with the information given by individual clinicians and by speakers at a formal Information Day held before transplantation. At the first interview, neither patients nor carers commented much on the forthcoming ordeal of chemotherapy and bone marrow ablation, although all patients had undergone previous chemotherapy. At the second interview, the ordeal dominated the narratives and retrospective dissatisfaction with information was common. This study suggests that information about treatment theories and protocols can be satisfactorily communicated, but personal experience of suffering defies communication. This finding has serious implications for the practices involved in obtaining informed consent and for the very notion of informed consent.

  20. Fiberoptic endoscopic evaluation of swallowing (FEES): proposal for informed consent.

    Science.gov (United States)

    Nacci, A; Ursino, F; La Vela, R; Matteucci, F; Mallardi, V; Fattori, B

    2008-08-01

    Fiberoptic endoscopic evaluation of swallowing (FEES) is now a first choice method for studying swallowing disorders on account of the various advantages it offers: easy to use, very well tolerated, allows bedside examination and is economic. Nevertheless, this diagnostic procedure is not without risks, the most probable consequences of which include discomfort, gagging and/or vomiting, vasovagal syncope, epistaxis, mucosal perforation, adverse reactions to topical anaesthetics and laryngospasm. The risks involved with FEES stress the importance of informing the patient of these; this is an important aspect in medicine that necessarily and immediately implies receiving the patient's so-called "informed consent". Informed consent should be obtained not only by means of specific printed forms but also after the patient has had an interview with the physician who will be performing the procedure and who will offer information according to the personal clinical, psychological, cultural and linguistic situation of the patient and in keeping with the type of procedure proposed. In the case of FEES, as with other invasive or non-invasive diagnostic procedures, therefore, routine written and signed consent, together with a patient/physician interview should fulfil what is known as "complete information". In this report, a specific form for informed consent to FEES procedures, is proposed.