45 research outputs found

    Legal Aspects of Safety Designed Software Development, Especially under European Law

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    International audienceThis lecture deals with the question what has to be done to prevent liability risks stated by European law. In particular, it deals with the question whether the compliance with state-of-the-art safety standards (such as IEC 61508) leads to an exemption from liability for producers and/or suppliers of software. After having defined the terms "product liability" and "producer's liability", we shall point out the legal measures which are necessary for the fulfilment of the manufacturer's organizational and due diligence obligations. Thereby, we shall come to the conclusion that the implementation and application of procedures described in applicable safety standards such as IEC 61508, EN etc. are only some of the minimum core conditions to prevent liability risks stated by European law in connection with defects of software caused by the software's design, development, production and/or distribution process

    Systemic Membrane Defect in the Proximal Muscular Dystrophies

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    Abstract We studied lymphocyte capping in 61 patients with Duchenne, Becker, limb-girdle, facioscapulohumeral and congenital muscular dystrophies. All showed a markedly diminished percentage of capped cells when compared with 86 normal controls, providing support for previous evidence that an alteration in membrane fluidity may be a common pathogenic feature in several genetically distinct forms of proximal muscular dystrophy. Heterozygous carriers of Duchenne muscular dystrophy showed diminished capping that was indistinguishable from that of afflicted males and was often present even when serum enzyme levels were normal. Studies in 25 families with 16 suspected sporadic cases indicated that no more than four out of 30 afflicted males may represent new mutations. These findings imply that most cases of Duchenne dystrophy might be prevented by a population screening program for carrier females combined with prenatal detection of afflicted males. (N Engl J Med 299:841–846, 1978

    Acute pain treatment on postoperative and medical non-surgical wards [Akutschmerztherapie auf operativen und konservativen Stationen]

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    [english] The effectiveness of acute pain treatment in hospitals is examined. An efficient therapy of acute pain is efficient and cost-effective. Although every patient is entitled for the relief of pain, many hospitals do not treat acute pain in an optimal manner.<br>[german] Es wird die Effektivität der Akutschmerztherapie in Krankenhäusern untersucht. Eine effiziente Behandlung akuter Schmerzen ist wirksam und spart Kosten. Obwohl jeder Patient Anspruch auf Linderung seiner Schmerzen hat, behandeln viele Krankenhäuser akute Schmerzen noch nicht optimal

    Optimiser le résultat par une stratégie prix européenne 

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    International audienceEn Europe, la monnaie unique introduit une brutale transparence des prix, qui renforce la pression exercée par les importations parallèles et les centrales d’achat. Un corridor de prix peut limiter les effets négatifs des importations parallèles mais ne représente pas toujours la bonne solution : un prix unique ou des écarts de prix importants peuvent constituer des alternatives intéressantes. D’un point de vueorganisationnel, l’euro nécessite une politique de prix centralisée qui gère les particularités nationales et optimise le résultat au niveau du groupe

    Immune response modifiers--mode of action.

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    The innate immune system governs the interconnecting pathways of microbial recognition, inflammation, microbial clearance, and cell death. A family of evolutionarily conserved receptors, known as the Toll-like receptors (TLRs), is crucial in early host defense against invading pathogens. Upon TLR stimulation, nuclear factor-kappaB activation and the interferon (IFN)-regulatory factor 3 pathway initiate production of pro-inflammatory cytokines, such as interleukin-1 and tumor necrosis factor-alpha, and production of type I IFNs (IFN-alpha and IFN-beta), respectively. The innate immunity thereby offers diverse targets for highly selective therapeutics, such as small molecular synthetic compounds that modify innate immune responses. The notion that activation of the innate immune system is a prerequisite for the induction of acquired immunity raised interest in these immune response modifiers as potential therapeutics for viral infections and various tumors. A scenario of dermal events following skin cancer treatment with imiquimod presumably comprises (i) an initial low amount of pro-inflammatory cytokine secretion by macrophages and dermal dendritic cells (DCs), thereby (ii) attracting an increasing number type I IFN-producing plasmacytoid DCs (pDCs) from the blood; (iii) Langerhans cells migrate into draining lymph nodes, leading to an increased presentation of tumor antigen in the draining lymph node, and (iv) consequently an increased generation of tumor-specific T cells and finally (v) an accumulation of tumoricidal effector cells in the treated skin area. The induction of predominately T helper (Th)1-type cytokine profiles by TLR agonists such as imiquimod might have further benefits by shifting the dominant Th2-type response in atopic diseases such as asthma and atopic dermatitis to a more potent Th1 response
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