The Experts below are selected from a list of 546 Experts worldwide ranked by ideXlab platform

Choong, Kartina Aisha - One of the best experts on this subject based on the ideXlab platform.

  • Re A (A Child) and the United Kingdom Code of Practice for the Diagnosis and Confirmation of Death: Should a Secular Construct of Death Override Religious Values in a Pluralistic Society?
    'Springer Science and Business Media LLC', 2016
    Co-Authors: Choong, Kartina Aisha, Rady, Mohamed Y.
    Abstract:

    The determination of death by neurological criteria remains controversial scientifically, culturally, and legally, worldwide. In the United Kingdom, although the determination of death by neurological criteria is not legally codified, the Code of Practice of the Academy of Medical Royal Colleges is customarily used for neurological (brainstem) death determination and treatment withdrawal. Unlike some states in the US, however, there are no provisions under the law requiring accommodation of and respect for residents’ religious rights and commitments when secular conceptions of death based on Medical codes and practices conflict with a traditional concept well-grounded in religious and cultural values and practices. In this article, we analyse the Medical, ethical, and legal issues that were generated by the recent judgement of the High Court of England and Wales in Re: A (A Child) [2015] EWHC 443 (Fam). Mechanical ventilation was withdrawn in this case despite parental religious objection to a determination of death based on the code of practice. We outline contemporary evidence that has refuted the reliability of tests of brainstem function to ascertain the two conjunctive clinical criteria for the determination of death that are stipulated in the code of practice: irreversible loss of capacity for consciousness and somatic integration of bodily biological functions

  • Re M (Declaration of Death of Child) [2020]: "No Best Interests to Consider"?
    'Nomos Verlag', 2026
    Co-Authors: Choong, Kartina Aisha
    Abstract:

    When Midrar Namiq was diagnosed brain stem dead at the age of two weeks old, Manchester University NHS Foundation Trust applied for a declaration that it would be lawful to make arrangements for his mechanical ventilation to be switched off. This declaration, which was granted by the High Court, was upheld by the Court of Appeal. Although the child’s parents had protested against the withdrawal of ventilatory support on the basis of their religious beliefs, this point was sidelined by the courts. Rather, they viewed their task solely as one to identify whether the child is brain stem dead, hence clinically (and legally) dead, in accordance with the protocol and criteria established by the Academy of Medical Royal Colleges and the Royal College of Paediatrics and Child Health. This frame of reference has led to the conclusion that no consideration of best interests was necessary, as the concept is only relevant for patients who are still alive but who are incompetent on grounds of mental incapacity and/or age. This paper contends that had the parents’ religious objections been taken into proper account, best interests is potentially a pertinent consideration in this case. Although the outcome may still be the same, it would be reached through a different legal route

Mohamed Y Rady - One of the best experts on this subject based on the ideXlab platform.

  • re a a child and the united kingdom code of practice for the diagnosis and confirmation of death should a secular construct of death override religious values in a pluralistic society
    Hec Forum, 2018
    Co-Authors: Kartina Aisha Choong, Mohamed Y Rady
    Abstract:

    The determination of death by neurological criteria remains controversial scientifically, culturally, and legally, worldwide. In the United Kingdom, although the determination of death by neurological criteria is not legally codified, the Code of Practice of the Academy of Medical Royal Colleges is customarily used for neurological (brainstem) death determination and treatment withdrawal. Unlike some states in the US, however, there are no provisions under the law requiring accommodation of and respect for residents' religious rights and commitments when secular conceptions of death based on Medical codes and practices conflict with a traditional concept well-grounded in religious and cultural values and practices. In this article, we analyse the Medical, ethical, and legal issues that were generated by the recent judgement of the High Court of England and Wales in Re: A (A Child) [2015] EWHC 443 (Fam). Mechanical ventilation was withdrawn in this case despite parental religious objection to a determination of death based on the code of practice. We outline contemporary evidence that has refuted the reliability of tests of brainstem function to ascertain the two conjunctive clinical criteria for the determination of death that are stipulated in the code of practice: irreversible loss of capacity for consciousness and somatic integration of bodily biological functions. We argue that: (1) the tests of brainstem function were not properly undertaken in this case; (2) the two conjunctive clinical criteria set forth in the code of practice cannot be reliably confirmed by these tests in any event; and (3) absent authentication of the clinical criteria of death, the code of practice (in fact, although implicitly rather than explicitly) wrongly invokes a secular definition of death based on the loss of personhood. Consequently, the moral obligation of a pluralistic society to honor and respect diverse religious convictions to the greatest extent possible is being violated. Re A (A Child) is contrasted with the US case of Jahi McMath in which the court accommodated parental religious objection to the determination of neurological death codified in the Uniform Determination of Death Act. We conclude that the legal system in the United Kingdom should not favour a secular definition of death over a definition of death that is respectful of religious values about the inviolability and sanctity of life. We recommend the legal recognition of religious accommodation in death determination to facilitate cultural sensitivity and compassionate care to patients and families in a pluralistic society.

Rady, Mohamed Y. - One of the best experts on this subject based on the ideXlab platform.

  • Re A (A Child) and the United Kingdom Code of Practice for the Diagnosis and Confirmation of Death: Should a Secular Construct of Death Override Religious Values in a Pluralistic Society?
    'Springer Science and Business Media LLC', 2016
    Co-Authors: Choong, Kartina Aisha, Rady, Mohamed Y.
    Abstract:

    The determination of death by neurological criteria remains controversial scientifically, culturally, and legally, worldwide. In the United Kingdom, although the determination of death by neurological criteria is not legally codified, the Code of Practice of the Academy of Medical Royal Colleges is customarily used for neurological (brainstem) death determination and treatment withdrawal. Unlike some states in the US, however, there are no provisions under the law requiring accommodation of and respect for residents’ religious rights and commitments when secular conceptions of death based on Medical codes and practices conflict with a traditional concept well-grounded in religious and cultural values and practices. In this article, we analyse the Medical, ethical, and legal issues that were generated by the recent judgement of the High Court of England and Wales in Re: A (A Child) [2015] EWHC 443 (Fam). Mechanical ventilation was withdrawn in this case despite parental religious objection to a determination of death based on the code of practice. We outline contemporary evidence that has refuted the reliability of tests of brainstem function to ascertain the two conjunctive clinical criteria for the determination of death that are stipulated in the code of practice: irreversible loss of capacity for consciousness and somatic integration of bodily biological functions

Rees C E - One of the best experts on this subject based on the ideXlab platform.

  • Multiple and multidimensional transitions from trainee to trained doctor : a qualitative longitudinal study in the UK
    'BMJ', 2017
    Co-Authors: Gordon, Lisi Jane, Jindal-snape D, Morrison J, Muldoon J, Needham G, Siebert S, Rees C E
    Abstract:

    This project was funded by NHS Education for Scotland (NES) through the Scottish Medical Education Research Consortium (SMERC).Objectives : To explore trainee doctors’ experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors’ successful transition experiences? (3) What is the impact of MMTs on trained doctors? Design : A qualitative longitudinal study underpinned by MMT theory. Setting : Four training areas (health boards) in the UK. Participants 20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews. Methods : Data were analysed cross-sectionally and longitudinally using thematic Framework Analysis. Results : Participants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee–trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees’ children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees’ new roles). Conclusions : Priority should be given to developing supportive relationships (both formal and informal) to help trainees transition into their trained doctor roles, as well as providing more opportunities for learning. Further longitudinal qualitative research is now needed with a longer study duration to explore transition journeys for several years into the trained doctor role.Publisher PDFPeer reviewe

Rees Charlotte - One of the best experts on this subject based on the ideXlab platform.

  • Multiple and multidimensional transitions from trainee to trained doctor: a qualitative longitudinal study in the UK
    'BMJ', 2017
    Co-Authors: Gordon Lisi, Jindal-snape Divya, Morrison Jillian, Muldoon Janine, Needham Gillian, Siebert Sabina, Rees Charlotte
    Abstract:

    Objectives To explore trainee doctors’ experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors’ successful transition experiences? (3) What is the impact of MMTs on trained doctors? Design: A qualitative longitudinal study underpinned by MMT theory. Setting: Four training areas (health boards) in the UK. Participants: 20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews. Methods: Data were analysed cross-sectionally and longitudinally using thematic Framework Analysis. Results: Participants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee–trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees’ children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees’ new roles). Conclusions: Priority should be given to developing supportive relationships (both formal and informal) to help trainees transition into their trained doctor roles, as well as providing more opportunities for learning. Further longitudinal qualitative research is now needed with a longer study duration to explore transition journeys for several years into the trained doctor role