7 research outputs found

    OSTVARENJE URAVNOTEŽENOG PRISTUPA IZMEĐU ŽRTVE I PRIJESTUPNIKA: INTEGRIRANJE PROAKTIVNOG PRISTUPA PREMA ŽRTVI

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    The Mediation and Reparation Program (MRP) was from the outset set up with the mission of serving both victims’ and offenders’ needs alike, that is to say, informed by a balanced approach between victim and offender in accordance with the restorative justice (RJ) principles. Concerned with the risk of secondary victimisation, the scheme has traditionally observed the protective approach; therefore as a general rule, with serious crimes we have followed the offender-initiated model. However, the experience gathered has shown that such practice was not fully in line with our stated mission as victims were having more limited access to the scheme compared to offenders. The aim of this paper is to share the process that has led a team of practitioners to reflect on our practice and review the protective approach in place. To that end, the combination of factors we have identified to be at the root of this transformation will be analysed, and the key changes introduced in order to improve victims’ access will also be outlined.Program posredovanja (medijacije) i reparativne pravde od samoga je početka pokrenut s misijom jednakomjernog služenja potrebama žrtava i počinitelja, odnosno, utemeljen je na uravnoteženom pristupu između žrtve i počinitelja, u skladu s načelima restorativne pravde. Zaokupljen rizikom od sekundarne viktimizacije, program kao i uvijek slijedi načela zaštitničkog pristupa; stoga smo, kao opće pravilo, kod teških zločina slijedili model koji se pokreće na zahtjev počinitelja. No prikupljeno je iskustvo pokazalo da takva praksa nije sasvim u skladu s našom misijom jer su žrtve, u usporedbi s počiniteljima, imale ograničeniji pristup programu. Cilj ovoga rada je predstavljanje procesa koji je skupinu praktičara navodio na razmišljanje o našoj praksi i pregledavanje ustanovljenog zaštitničkog pristupa. U tu će se svrhu analizirati kombinacija čimbenika za koje smo identificirali da se nalaze u korijenu takve transformacije, te će se također navesti ključne promjene koje su uvedene kako bi se žrtvama olakšao pristup

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

    The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

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    AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

    Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

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    Delaying surgery for patients with a previous SARS-CoV-2 infection

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