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Most athletes in order to achieve satisfactory results have to train long and hard. However, some of them, aiming at victory at all costs, resort to doping. The benefits of winning are relatively small when compared to the damage of the human organism caused by doping. The phenomenon has been present in cycling, athletics, boxing, football, weightlifting and many other sport disciplines for many years. In fencing only few instances of the use of illegal substances during the competition were revealed, which was reflected in Polish and foreign sports press. In many European countries the use of doping is regulated by the anti-doping rules, regulations and policies that define these practices as penal acts. In Poland the problem of doping was first regulated by the Act on Physical Culture of 1984 and 1996 as well as the he Act of 1985 on Prevention of Drug Abuse. The regulations of FIE fencing competitions, prepared on the request of Polish Fencing Federation on the basis of the FIE competition rules in the disciplinary regulations of competitions prohibited the use of artificial stimulants during or before the competition. The aim of this paper is to present the threats in modern sports with particular attention to the phenomenon of doping in fencing, as well as in social terms. It is a case study and a study of selected issues connected to doping in contemporary sports. The author poses the question whether the fencers often are tempted to support their bodies with doping in order to achieve better results than the representatives of other sports? What percentage of the fencers were using illegal stimulants? Is there is a problem of doping in fencing, and if so, what is its scale?
EN
The ownership of meteorites is not directly regulated by the Polish law. The legislator did not sufficiently dealt with this issue, although in the case of finding a meteorite formed unregulated problem. In addition, the environment uses a large number of collectors and meteorite hunters, who can not unambiguously clarify the legal situation in which they move. In such a situation at the beginning there is a lot of questions and above all who is the owner found a meteorite, or you can without permission or a license to search for and extract meteorites, what about selling the found specimen? In order to answer the questions posed above should give you some rules that will introduce ambiguity related to this issue. This brief characterization of the issues I will show, with the vast problems we face and will answer questions.
EN
The article examines the main state-building acts adopted by the highest authorities of Ukraine and the Baltic states starting from 1990 (as a result of the first free election of deputies of these republics in the post-war period) and until 2004 (when significant changes took place in the internal political and geopolitical context, in particular – the accession of the Baltic states to NATO and the EU, as well as changes in the form of government in Ukraine in amendments to the Constitution as a result of the so-called «Orange Revolution»). The article reflects not only the legal part of the specified period, but also the institutional part, in particular, in the part of the formation of both legislative and executive power in the specified countries. The interaction of political, regulatory and historical components in this article forms a holistic vision of state-building processes in their synergistic unity. The purpose of the study is to conduct a chronological comparison of the main statebuilding acts of Ukraine and the Baltic countries in the period from 1990 to 2004. The methodological basis is a chronological comparison of the normative framework of countries in the context of the processes of state formation. It was determined that the parliaments of these countries, which were elected in the spring of 1990, immediately began to fight for their sovereignty and set a course for separation from the union center. The August 1991 putsch in Moscow became the «trigger mechanism» in the declaration of independence of the Baltic states and Ukraine. From that time, these countries began to build their states independently, in particular in the political and legal sphere. First, there is a change in the name of the state itself and its parliament (getting rid of the Soviet one) at the legislative level, as well as the complete subordination of power structures and other authorities exclusively to republican structures. Subsequently, the main state symbols (flag, coat of arms and anthem), constitutions are adopted, the course of states towards a market economy through the denationalization of property and privatization is introduced, each has its own currency, property is divided with other republics, international treaties and agreements are adopted, and countries The Baltics (but not Ukraine) manage to completely get rid of Russian troops from their territory through complex diplomatic efforts. The latter also contributed to the fact that the Baltic countries, having immediately taken a course towards the West, later became full members of NATO and the EU. During this period, Ukraine only decided on its geopolitical vector, that it intends to join these international associations in the future.
EN
Introduction. As these define the status of the patient during the provision of health services, patients' rights are a very important component of Poland's medical law. The observance of these rights is a prerequisite for the proper performance of the nursing profession. Theoretical and practical preparation in this area is thus already a necessity in the students' education process. Aim. The aim of the study was to analyze the opinions and attitudes of nursing students with respect to problems in the field of the observance of the rights of patients in Poland. Material and methods. The study was built upon the opinions expressed by 375 students (362 women and 13 men) of the first and second year. These were full-time and part-time students in master's studies in nursing, of the Faculty of Health Science, Medical University of Warsaw. The study employed a qualitative and quantitative analysis of the content of essays. Results. The results of the study indicate that 59 percent of the respondents report being frequent witnesses of violation of patient's rights. In particular, that which noted were the rights to privacy and dignity (98%), to receive sought-after information (91%) and to suitable health-care (85%). Another right seen to have been violated in the respondents' workplace was the patient's right to the maintenance of the confidentiality of patient-related information by medical personnel (77%). The respondents, while seeing violation of the patient's rights by other employees, declared their own adherence to these rights in their own professional practice. Conclusions. 1. The majority of the study group repeatedly witnessed violation of patients' rights. It would, therefore, be advisable to monitor the observance of the rights of patients by medical personnel, and to see to the professional liability of those who flagrantly breaking the law. 2. Research findings indicate that ethics should be given more emphasis in teaching future health professionals in the course of their medical studies. 3. The analysis of the available literature and our own study show that the share of medical personnel in providing information about the patients' rights is minimal. It would be advisable for medical personnel to be given an opportunity to acquire new skills and competences in this field. 4. Awareness of the existence and knowledge of the patient's rights, not only among medical students and health professionals, but also among patients, is crucial to their observance by the former and their exercise by the latter. It should, therefore, be spread and raised. 5. Training and thematic courses in patient's rights should be provided in order to enable medical personnel to acquire new skills and competences in this field, with the end result of improving their observance of patient's rights. 6. A qualitative analysis constitutes an innovative and effective way of carrying out research and interpreting research findings, being a valuable and reasonable method of conducting a survey, and in exploring the attitudes of students and health-care workers towards patient's rights.
EN
Transplantology is constantly evolving. New challenges are emerging, including those related to transplants after suicide. Concerned for the welfare of donor families who have experienced the trauma of a loved one’s suicide, it is important that the donation decision process be as minimally burdensome as possible. Therefore, it is important to raise public awareness of organ donation in the context of suicide. Educating the public can help break down the barriers and false beliefs about the process. Although suicide is a profoundly tragic event, the opportunity to donate an organ to save another person’s life is extremely valuable. The purpose of this paper is to show the legal and ethical treatment of organ transplantation from suicidal patients. The article presents a case report of a person who committed suicide, but for whom resuscitation was undertaken in the prehospital setting, despite severe craniocerebral trauma, and a return of spontaneous circulation was achieved. Subsequent in-hospital efforts made it possible to successfully maintain vital functions and declare brain death. The commitment of the medical personnel and the professional discussions with the patient's family made it possible to obtain consent for the donation of seven organs.
PL
Transplantologia stale się rozwija. Pojawiają się nowe wyzwania, w tym związane z przeszczepami po samobójstwie. W trosce o dobro rodzin dawców, które doświadczyły traumy związanej z samobójstwem bliskiej osoby, ważne jest, aby proces podejmowania decyzji o oddaniu narządów był jak najmniej uciążliwy. Dlatego ważne jest podnoszenie świadomości społecznej na temat dawstwa narządów w kontekście samobójstwa. Edukacja społeczeństwa może pomóc w przełamaniu barier i fałszywych przekonań na temat tego procesu. Chociaż samobójstwo jest wydarzeniem głęboko tragicznym, możliwość oddania narządu w celu uratowania życia innej osoby jest niezwykle cenna. Celem artykułu jest ukazanie prawnego i etycznego postępowania w przypadku przeszczepiania narządów od pacjentów ze skłonnościami samobójczymi. W artykule przedstawiono opis przypadku osoby, która popełniła samobójstwo, u której pomimo ciężkiego urazu czaszkowo-mózgowego, mimo ciężkiego urazu czaszkowo-mózgowego, podjęto reanimację w warunkach przedszpitalnych i uzyskano przywrócenie samoistnego krążenia. Późniejsze wysiłki wewnątrzszpitalne pozwoliły na skuteczne utrzymanie funkcji życiowych i stwierdzenie śmierci mózgu. Zaangażowanie personelu medycznego oraz profesjonalne rozmowy z rodziną pacjenta pozwoliły uzyskać zgodę na pobranie siedmiu narządów.
EN
The COVID-19 pandemic had a major impact on the functioning of the entire world, and the consequences of this event are still visible in various aspects of the functioning of countries. As a countermeasure against such a crisis, Poland implemented regulations to help combat the negative effects or minimize them. The aim of the study is to evaluate the anti-epidemic regulations and their changes during the pandemic. The acts were reviewed by means of the Internet System of Legal Acts (Internetowy System Aktów Prawnych – ISAP) and the Public Information Bulletin (Biuletyn Informacji Publicznej – BIP) database. The anti-epidemic regulations in Poland propose solutions that may help in counteracting a pandemic both in the sphere directly related to medical aspects, as well as social and entrepreneurial or economic aspects. However, the analysis of relevant regulations and literature revealed a large mismatch between the existing regulations and the actual needs related to real epidemiological phenomena. The first weeks of the pandemic, especially in the area of applying these standards, revealed a great deal of chaos. The standards introduced during the pandemic were also characterised by a number of inaccuracies and ambiguities. An attempt should be made to create a more coordinated plan for an eventual subsequent pandemic and an evaluation of the rules for other emergencies should be undertaken to avoid the mistakes and chaos witnessed in the COVID-19 pandemic.
PL
Pandemia COVID-19 miała duży wpływ na funkcjonowanie całego świata, a konsekwencje tego wydarzenia w dalszym ciągu są widoczne w różnych dziedzinach funkcjonowania państw. W ramach walki z zaistniałym kryzysem Polska wdrożyła regulacje prawne mające pomóc zwalczać negatywne skutki epidemii bądź je minimalizować. Celem pracy jest ocena regulacji dotyczących zwalczania zagrożeń epidemicznych oraz ich zmian w czasie pandemii. Przeglądu ustaw dokonano na podstawie Internetowego Systemu Aktów Prawnych (ISAP) oraz Biuletynu Informacji Publicznej (BIP). Przepisy odnoszące się do zwalczania zagrożeń epidemicznych w Polsce proponują rozwiązania mogące po-móc w przeciwdziałaniu pandemii zarówno w sferze bezpośrednio związanej z kwestiami medycznymi, jak i społecznymi czy ekonomicznymi. Analiza obowiązujących regulacji oraz piśmiennictwa ujawniła jednak pro-blem niedopasowania istniejących przepisów do faktycznych potrzeb związanych z realnymi zjawiskami epi-demiologicznymi, a pierwsze tygodnie pandemii, szczególnie jeśli chodzi o stosowanie tych norm, uwidoczniły duży chaos. Regulacje wprowadzane już w czasie pandemii również cechowały się szeregiem nieścisłości i niejasności. Należy podjąć próbę stworzenia lepiej skoordynowanego planu na wypadek kolejnej pandemii oraz przeprowadzić ewaluację przepisów w razie innych sytuacji kryzysowych, aby uniknąć błędów i chaosu widocznego przy COVID-19.
EN
Introduction. Initially, a transplant coordinator assisted in the process of removal and transplantation of organs. The most important rule in the Polish legislation is the Act of July 17th, 2009, amending the Act on removal, preservation, and transplantation of cells, tissues, and organs. Professional qualifications of a transplant coordinator are specified by the Regulation of the Minister of Health of December 4th, 2009 on detailed conditions of removal, preservation, and transplantation of cells, tissues, and organs. Aim. The study aimed to assess the knowledge of medical personnel about the function of a transplant coordinator with reference to the current Polish legislation. Material and methods. The study was conducted in April 2013 among 100 selected health professionals (25 physicians, 62 nurses, and 13 persons representing other medical professions) with the use of a questionnaire comprising 42 close-ended simple choice questions and one multiple-choice question. They were referring to various aspects associated with the legal axiology of transplantation, procedure of organ donation, and tasks of a donation coordinator, as well as one open-ended question about the age of respondents. Results. Statistically significant differences between the occupational groups were found in relation to questions about legal and medical aspects. As many as 21 nurses (34%), 26 physicians (92%), and 6 persons representing other medical professions (46%) (p<0.000) provided the correct answer to a question referring to determination of death, and 19 nurses (31%), 7 physicians (28%), and 5 persons representing other medical professions (p<0.021) answered correctly to a question about the key premise to determine brain death. Conclusions. 1. The knowledge of medical personnel about the function of a transplant coordinator and the legal provisions concerning brain death determination needs to be supplemented. 2. There is a need of constantly supplementing knowledge of medical personnel about the clinical aspects of transplantation
EN
Transplantology is constantly evolving. New challenges are emerging, including those related to transplants after suicide. Concerned for the welfare of donor families who have experienced the trauma of a loved one’s suicide, it is important that the donation decision process be as minimally burdensome as possible. Therefore, it is important to raise public awareness of organ donation in the context of suicide. Educating the public can help break down the barriers and false beliefs about the process. Although suicide is a profoundly tragic event, the opportunity to donate an organ to save another person’s life is extremely valuable. The purpose of this paper is to show the legal and ethical treatment of organ transplantation from suicidal patients. The article presents a case report of a person who committed suicide, but for whom resuscitation was undertaken in the prehospital setting, despite severe craniocerebral trauma, and a return of spontaneous circulation was achieved. Subsequent in-hospital efforts made it possible to successfully maintain vital functions and declare brain death. The commitment of the medical personnel and the professional discussions with the patient's family made it possible to obtain consent for the donation of seven organs.
|
2011
|
vol. 19
|
issue 2
69-78
EN
The aim of this paper is to verify a hypothesis that there is no legal definition of the notion of physiotherapist in Polish legal system. The task was to identify the source of the legal status of physiotherapists in Poland, preceded by an analysis of the existing legal order. Critical analysis of selected literature was used as the research method. The analytic method has also been used in the selection of sources of law and an analysis of their contents, which have been then synthesized in order to define the concept. The following conclusions are the result of the study. None of the existing sources of law contain the definition of a physiotherapist profession. Physiotherapist is a medical profession grounded on possession of the specialized education. Physiotherapists and their activities have been taken into account in the existing catalogue of the professions and services. A physiotherapist is a physical culture personnel representative.
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