THE ROLE OF TECHNOLOGY IN ENHANCING A RECOVERER-ORIENTED APPROACH TO THE ENFORCEMENT PROCESS

This research paper delves into the role of technology in promoting and enhancing a recoverer-oriented approach to the enforcement process. Recognizing the evolving nature of the enforcement process and the need to prioritize the rights of recoverers, this study explores how technological advancements can be leveraged to facilitate a more efficient and effective enforcement process. By adopting a recoverer-oriented approach, where the focus is on restoring the rights of recoverers rather than solely on the debtor, the enforcement process can align more closely with principles of justice and fairness. The research employs a multidimensional methodology, combining legal analysis, case studies, and comparative assessments of enforcement processes across different jurisdictions. Additionally, technological advancements such as automation, data analytics, and digital platforms are examined for their potential to streamline and optimize the enforcement process. The study also considers the impact of technology on enforcement procedural legislation and its role in harmonizing enforcement practices on a national and international level. Through the analysis of relevant literature and empirical data, this research provides insights into the benefits and challenges associated with integrating technology into the recoverer-oriented enforcement process. Furthermore, it investigates the potential impact of technology on the quality, efficiency, and effectiveness of the enforcement process, with a specific focus on enhancing the enforceability of court decisions and decisions of other bodies

The clinical relevance of oliguria in the critically ill patient : Analysis of a large observational database

Funding Information: Marc Leone reports receiving consulting fees from Amomed and Aguettant; lecture fees from MSD, Pfizer, Octapharma, 3 M, Aspen, Orion; travel support from LFB; and grant support from PHRC IR and his institution. JLV is the Editor-in-Chief of Critical Care. The other authors declare that they have no relevant financial interests. Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results: Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay (n = 1349) were divided into three groups: transient - oliguria resolved within 48 h after the admission day (n = 390 [28.9%]), prolonged - oliguria resolved > 48 h after the admission day (n = 141 [10.5%]), and permanent - oliguria persisting for the whole ICU stay or again present at the end of the ICU stay (n = 818 [60.6%]). ICU and hospital mortality rates were higher in patients with oliguria than in those without, except for patients with transient oliguria who had significantly lower mortality rates than non-oliguric patients. In multilevel analysis, the need for RRT was associated with a significantly higher risk of death (OR = 1.51 [95% CI 1.19-1.91], p = 0.001), but the presence of oliguria on admission was not (OR = 1.14 [95% CI 0.97-1.34], p = 0.103). Conclusions: Oliguria is common in ICU patients and may have a relatively benign nature if only transient. The duration of oliguria and need for RRT are associated with worse outcome.publishersversionPeer reviewe

Introduction

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