جستجوی مقالات مرتبط با کلیدواژه « Legislation » در نشریات گروه « پزشکی »

Many countries undertake development activities that utilize resources from the environment. In the Democratic Republic of the Congo (DRC), the Congolese Environmental Agency is supervised by the Ministry of Environment and Sustainable Development to undertake an environmental assessment of all projects that pose risks to the environment. The present study conducted a critical review of the country’s existing environmental assessment legislation, identifying strengths and weaknesses in the Environmental and Social Impact Assessment (ESIA) system.

A literature survey was done in the Google Scholar, Taylor & Francis, and Elsevier databases, which were also guided by the PRISMA. All full-text articles included in the study were written or translated (using online translation software) into the English language, and also, reported on environmental impact assessment as well as legislation. A textual examination of the included literature was done. A set of adapted analytical criteria was used to critically review the ESIA system in the DRC. The results were discussed, and recommendations were given.

It was found that the decree was not effective and efficient for the ESIA study. Some of the key limitations of the ESIA decree included the lack of scoping in the entire ESIA process, alternatives that were limited in scope, fees and charges that were not explicitly stated in the legislation, and the lack of public participation at some stages.

The ESIA system in the DRC is ineffective and needs revision to improve its effectiveness.

Road traffic injuries (RTIs) have been eighth leading cause of death in the world and second leading one Iran in 2018. Every year, a large number of motorcycle RTIs lead to deaths and disabilities due to non-compliance with traffic rules and the traditional design of the streets and routes in Dezful, Iran. This study aims to pursue two goals: identifying the legal and environmental factors affecting motorcycle RTIs, and prioritizing effective strategies in reducing number of motorcycle RTIs in Dezful, Iran.

A mixed method approach was used in this study. In the qualitative phase, focus group meetings using key informants were used to identify the effective factors and in the quantitative one a matrix was used for prioritizing effective strategies in preventing motorcycle RTIs.

45 basic codes related to legal factors and 8 basic codes of environmental factors were derived from the focus group meetings. Six main legal factors and 3 main environmental factors were prioritized as the most effective strategies to reduce motorcycle RTIs. The legal factors with the highest score were: making visible: obstacles, motorcycles and pedestrians and motorcyclists using colors and stickers or glossy stickers, further monitoring and training of riders’ license issuance schools, seriousness in enforcing the laws and dealing legally and seriously with violators, continuous marking of roads and streets, random check of motorcycleriders' license, and construction of public parking lots in crowded zones. The environmental ones were: identifying places where traffic signs are covered with trees, and reporting through the 137 call center, identifying and reporting shoulderless and hazardous roads by municipality, and Identifying and reporting accident-causing potholes through the 137 call center.

All organizations and stakeholders involved in reducing motorcycle RTIs, should take benefit from different recommendation -i.e. education & awareness, law enforcement and legal actions, environmental actions, collaborations, partnerships, and lobbying, and research.

Although brain death has been extensively dealt within the contemporary literature, there does exist some ambiguities regarding its definition, clinical criteria, ethical and religious perspectives. The neurological criteria helped in subduing the much talked about issues of whole brain death and brainstem death to a greater extent, but the recently introduced cardiac or circulation death made the issue of brain death more complicated and indeed a conundrum. We would touch upon brain death issues since the terminology was initially introduced till the present day when the cardiac death connivingly made its way as a means of organ procurement in the so called dead patients. This review article is the authors' own perception and understanding of the conundrum of brain death, and should not be misinterpreted as a narrative or a systematic review of the subject. In conclusion, this review aims at filling the void that exists about the criteria for brain death in the contemporary literature.

Health legislation provides a framework to implement various health policies. Participatory democracy in healthcare is inevitable. Citizens and health professionals should participate in participatory democracy, and health laws should be the result of a process in which participatory instruments and techniques have a prominent role. Health democracy can be achieved through the expansion of mechanisms for citizens’ participation in the legislative process. The health democracy enables citizens to participate in the decision-making process and to have equal access to services provided by the public health system.

The current study aims to assess participatory mechanisms used by selected countries to participate their citizens in legislative processes.

The current study is a comparative study of the legislative processes of selected countries. To select countries, four issues were evaluated: (a) overall legal system; (b) how laws enforce; (c) legislative backgrounds; and (d) health system basic model.

The number of legislative chambers, legislative initiatives, legislative authorities and institutions, legislative commissions, and citizens’ participation in the legislative process were analyzed in the selected countries. An analysis of the factors affecting public participation in healthcare legislation shows that participation in the legislative process is a complex phenomenon influenced by social, legal, cultural, political, and sovereignty factors. This phenomenon cannot be analyzed isolated from these factors. However, the way should be paved for citizens' participation. The selected countries use different methods for citizens’ participation, depending on their legal systems.

Research results show that there are various public participation mechanisms. In Iran, there is a huge potential for public participation, and members of the parliament can easily interact with the interest groups and relevant individuals. These conditions provide a golden opportunity for expert health legislation.

Development plans aimed at macro-management planning in a country significantly impact all functional fields. This study investigated the status and significance of the health sector in the first to sixth economic, social, and cultural development plans in Iran. 

This was a review study using documentary analysis method. The review was conducted with an emphasis on purposefully selected upstream information. Then, the obtained data were analyzed by the second-hand documents, including authentic reports and published studies on this topic. The data collection instrument was a researcher-made checklist. Data analysis was run using content analysis.

There has been increasing attention to the health sector issues throughout development plans. Civil engineering, pharmaceuticals supply, and population control in the first and second plans; the extension of public insurance and service ranking in the third plan; formation of the Supreme Council of Health, and attention to medical emergencies in the fourth plan; targeting subsidies in the fifth plan; and policies to encourage population increase and reduce out-of-pocket expense have been the most critical concerns in the sixth development plan. 

Failure to achieve the expected results in the plans and repeating the same text in the following plan indicates the government’s poor commitment to some plan aspects provision, especially at a particular time. Moreover, they paid insufficient attention to international trends and health promotion issues. These issues must be an urgent concern in future development plans.

Indian national law namely Cigarettes and Other Tobacco Products Act (COTPA) exists since 2003 and aims at protecting all the people in our country, but smoking is still prevalent among people. This study was aimed to assess awareness, attitudes, and practices regarding prohibition of sale of tobacco products near educational institutions of Nellore city, India.

A descriptive cross-sectional study was conducted in degree colleges of Nellore city of Andhra Pradesh. The study population includes institutional personnel (student, teaching staff, nonteaching staff, and workers) of selected degree colleges of Nellore city. A structured questionnaire was designed for this study which was validated by Davis criteria; reliability was assessed by test–retest design. The questionnaire was divided into five parts consisting of demographic details (age and gender), smoking behavior, knowledge about tobacco control laws, attitudes toward the law and policies, and practices followed in the institution. Logistic regression analysis was used to find out the association between different independent variables to tobacco usage among institutional personnel.

Among the study population (n = 400 [100%]), 75.8% of the teaching staff do not know that there should be a board in the institution saying that “sale of tobacco product in an area within the radius of 100 m of educational institution is strictly prohibited,” 82.2% of the study population were not aware to whom should they report, 96.3% of the study population accepted that strict execution of COTPA law saves life, the participants who answered no to strict implementation of COTPA law, and to punish the person who is violating the COTPA law are susceptible to 0.28, and 0.14 times greater odds to be a smokeless tobacco user, respectively.

The study concluded that there was lack of knowledge about smoke-free legislation among the study population and a high support for strict implementation of COTPA.

Developing official protection policies for disasters is a main strategy in protecting vulnerable people. The aim of this study was to analyze official documents concerning policies on protecting vulnerable people during disasters. Evidence Acquisition: This study was conducted by the qualitative document analysis method. Documents were gathered by searching websites and referring to the organizations involved in disaster management. The documents were assessed by a researcher-made data collection form. A directed content analysis approach was used to analyze the retrieved documents regarding the protection policies and legislation for vulnerable people.

A total of 22 documents were included in the final analysis. Most of the documents referred to women, children, elderly people, poor, and villagers as vulnerable people. Moreover, the documents did not provide information regarding official measures for protecting vulnerable people during different phases of disaster management.

A clear and comprehensive definition of "vulnerable people" and formulation of official policies to protect them is needs to be formulated. Given the high prevalence of disasters in Iran, policymakers need to develop effective context-based policies to protect vulnerable people during disasters.