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Home > Medical Malpractice: An Analytical Study in the Light of Shariah & Law

Medical Malpractice: An Analytical Study in the Light of Shariah & Law

Thesis Info

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Author

Shaheen Waraich, Rukhsana

Program

PhD

Institute

International Islamic University

City

Islamabad

Province

Islamabad.

Country

Pakistan

Thesis Completing Year

2020

Thesis Completion Status

Completed

Subject

Law

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/13390/1/Rukhsana%20shaheen%20waraich%20shariah%202020%20iiui%20isb%20prr.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676724862466

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Medical malpractice is professional misconduct or unreasonable lack of skill by the practitioners in the field of medicine. At present, such malpractices are not only an issue of developing countries but of developed countries as well. In Pakistan, the situation of law regarding medical malpractice has not remained very encouraging, for two main reasons. First, Pakistan lags behind in healthcare system, although its basic structure is quite similar to the world’s leading systems, that is, ‘National Healthcare System’ of England. Lamentably, this extensive infrastructure has not been translated in delivery of good healthcare due to the lack of political will, thorough supervision, insufficient legislation and inefficeinet implementation. Secondly, Pakistan, being former colony of British India, provides ‘law of torts’ to be invoked in cases of medical negligence, that has reached to commendable maturity in England nonetheless an immature segment of legislation in Pakistan. Consequently, unlike recent past, very few instances of medical malpractice were brought into litigation. However, a recent increase in number of such cases seems a good indicator to show that the law of medical malpractice has started taking roots in Pakistan under the influence of different jurisdictions. Thus, following Indian example, Pakistan has included medical services within the ambit of consumer protection laws. However, it is detestable to include medical services within the scope of consumer laws. It may lead to an acceptance to the element of consumerism in the field of medicine, which is a noble profession to serve humanity rather than a business venture for the maximization of profit. Sharī‘ah, on the other hand, provides basic guidelines regarding medical ethics and liability of medical practitioners in case of medical malpractice that may be adopted in legal system of Pakistan. Moreover, its criminal law provides a complete tariff of monetary compensation for bodily harm. Pakistan can learn lessons from Sharī‘ah and English law, in order to develop a comprehensively dedicated law on the given subject. Thus, this thesis suggests proposal for development of medical malpractice law for Pakistan in the light of Sharī‘ah and English law.
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مفتی انتظام اﷲ شہابی

مفتی انتظام اﷲ شہابی
مفتی انتظام اﷲ صاحب شہابی مصنف یاادیب نہیں، لکھنے کی مشین تھے۔ بہت لکھتے تھے اور جلد لکھتے تھے۔ بلامبالغہ سینکڑوں مضامین ومقالات اورایک درجن سے زیادہ کتابیں ان کی قلمی یادگار ہیں۔ ان کا اصل فن تاریخ نگاری تھا لیکن مذہب، تصوّف اورادب وشعر کامیدان بھی ان کے رہوارِ قلم کی جو لانگاہ تھا۔ آگرہ جواُن کا مولد اوروطن اصلی تھا، اس کی علمی ،ادبی اورسیاسی تاریخ سے ان کوخاص دلچسپی تھی۔بُرہان اورندوۃ المصنفین سے ان کو دلی تعلق اور لگاؤ تھا۔ ۴۹ء کے شروع میں راقم الحروف کے کلکتہ چلے جانے کے بعد چند مہینوں تک مرحوم بُرہان کی ادارت سے وابستہ بھی رہے تھے۔اب ادہر چند مہینوں سے بتقاضائے عمر ان میں ضعف واضمحلال بہت زیادہ پیدا ہوگیاتھا۔ لیکن اس پربھی کچھ نہ کچھ لکھتے پڑھتے رہتے تھے۔ طبعاً بڑے خوش مزاج اور شریف وبااخلاق انسان تھے۔ اس کا افسوس عمر بھر رہے گا کہ پچھلے دنوں نظیراکبر آبادی پرایک مقالہ لکھنے کی فرمائش کے سلسلہ میں آگے پیچھے ان کے دو خط بڑے شدید تقاضہ اور اصرار کے آئے لیکن مصروفیتوں کے باعث تعمیل نہ ہوسکی۔اﷲ تعالیٰ دونوں کو مغفرت وبخشش کی نعمتوں سے سرفراز فرمائے ۔آمین [اکتوبر ۱۹۶۸ء]

 

مقام نبوت و رسالت: کتب مقدسہ کی روشنی میں: تجزیاتی مطالعہ

Allah used to send Prophets to deliver his message and to provide guidance to the people in every field of life. Different Prophets brought divine religions with them and make people convince to that particular religion. For the purpose of guiding people, Allah made a formal arrangement of sending down divine books. Among those, Torah, Gospel and the Holy Quran are the three books on which this paper will focus on Torah, Gospel and Holy Quran are followed by Jews, Muslims and Christians respectively. This paper emphasizes on the respect and status these books give to their prophets. As three of these have been sent down by Allah, researchers are interested in knowing the similarities in these books with reference to esteem and prestige these books offer to their holy prophets, i.e. Hazrat Moosa (A.S), Hazrat Issa (A.S)and Hazrat Muhammad (PBUH).

Study of Inhibition of Carbonic Anhydrase Ii and Dpp-Iv As Possible Targets of Drug Discovery

Research on enzyme inhibitors has an enormous potential to introduce new drug candidates against enzyme related diseases. Keeping this in view, present study was designed to identify natural and synthetic compounds as leads against two clinically important enzymes, carbonic anhydrase-II (CA-II) and dipeptidyl peptidase-IV (DPP-IV). Carbonic anhydrases (CAs), and dipeptidyl peptidase-IV (DPP-IV) have pathological roles in the emergence of number of diseases, particularly glaucoma and diabetes, respectively. The results of the study are summarized below: PART A CA-II is an important enzyme for many physiological processes. Inhibitors of CA-II are used for the treatment of many diseases, such as epilepsy, mountain sickness, and glaucoma. During this study, over 350 fully characterized compounds were evaluated against BCA-II enzyme. Out of which 58 compounds showed a good inhibitory activity. Among these compounds, bisindoles and thiourea derivatives of bisindolyl showed the most significant activity with IC50 values in the range of 14.4 – 70.36 μM. To study the mechanism of action of inhibitors, most active inhibitors of these classes were further subjected to kinetic studies. Inhibition constants and type of inhibition were deduced by using Lineweaver-Burk plot, secondary re-plot of Lineweaver-Burk plot, and Dixon plot. Inhibition type and dissociation constants were deduced by Lineweaver-Burk plot, secondary re-plot, and Dixon plot. Bisindole derivatives, such as 23 (N-(4-(bis(5-chloro-1H-indol-3-yl)methyl)phenyl)-2,4-dinitrobenzenesulfonamide), 28 (N-(4-(bis(5-chloro-1H-indol-3-yl)methyl)phenyl)-3,5-dichloro-2-hydroxybenzenesulfonamide), and 38 (N-(4- (bis(5-bromo-1H-indol-3-yl)methyl)phenyl)-2,4-dinitrobenzenesulfonamide) showed a significant inhibition of enzyme CA-II (IC50 = 15.6 – 28.86 μM). To assess their safety profile, cytotoxic studies were conducted on mouse fibroblast cell line (3T3). Fortunately some of the good active compounds were found non-cytotoxic, and thus can serve as leads for further studies on CA inhibitor drug design and development. PART B Epidemic prevalence of diabetes at national and global level emphasizes the need of urgent therapeutic intervention. In the second part of our work, we targeted an important enzyme of incretin pathway, dipeptidyl peptidase-IV (DPP-IV). Inhibitors of DPP-IV occupy center stage in the current anti-diabetic drug market. We screened over 1,800 fully characterized natural and synthetic compounds, through a mechanism-based colorimetric assay. This led to the identification of 87 new inhibitors. Significant inhibition was shown by the compounds of semicarbazones, thiosemicarbazone, benzophenone Schiff bases classes, and gold complexes. New inhibitors, identified through initial screening, were further subjected to mechanism-based kinetic studies. Lineweaver-Burk plot, secondary re-plot of Lineweaver-Burk plot, and Dixon plots were constructed to determine the type of inhibition, inhibition constant, and other kinetic parameters. Cytotoxic studies of active compounds were also conducted on mouse fibroblast cell line (3T3). Some potent inhibitors were also subjected to in situ DPP-IV inhibition assay by using Caco-2 cellular model. Synthetic compounds of different classes and Gold complexes were found to be active. Compounds (R)-2-phenyl-2,3-dihydrobenzo [d] imidazo[2,1-b] thiazole gold (I) triphenylphosphine tetrafluoro borate (204), (S)-2-phenyl-2,3-dihydrobenzo[d]imidazo [2,1-b]thiazole gold (I) triphenylphosphine tetrafluoro borate (207), and (S)-2-phenyl-2,3-dihydrobenzo[d] imidazo [2,1-b] thiazole gold (I) chloride (209) were identified as most potent inhibitors with IC50 values in the range of 22.0 – 35.6 μM. Earlier studies on DPP-IV inhibitors were restricted to selected number of compounds with limited structural variations. Present study presents comprehensive screening of different classes of synthetic compounds for the discovery of new inhibitors of DPP-IV. This is a cost effective, easy, reliable, and fast approach for the discovery of new drug candidates.