Why hydroxyethyl starch solutions should NOT be banned from the operating room

This review summarises the new insights into the physiology of perioperative fluid therapy and analyses recent studies of the safety of the use of HES solutions in the fluid management of critically ill patients. This analysis reveals a number of methodological issues in the three major studies that have initiated the recommendation of the European Medicine Agency to ban hydroxyethyl starches from clinical practice. It is concluded that, when used in the proper indication, and taking into account the recommended doses, hydroxyethyl starches continue to have a place in perioperative fluid management

Globalisation, crime and governance:Transparency, accountability and participation as principles for global criminal law

The aim of this chapter is to look for analytical tools at an abstract level to help further the debate on the many legal and practical issues besetting the public spheres of transitional and international criminal justice. To that end, I propose a global criminal law perspective, encompassing both transitional justice and international criminal law and transnational criminal law, and inquire into the principles that could guide us. Can we simply apply domestic principles of criminal law and criminal justice at the transstate level? Admittedly, a theoretical framework developed for sovereign states can be adapted to an interstate context. Yet, the inherent weaknesses of the modern principled approach to criminal law remain—for instance, the lack of an empirical basis, and of respect in practice, for the use of the harm criterion or the ultima ratio principle. The result is a certain cynicism regarding the actual capacity of modern criminal law principles to steer legislative and judicial developments. I suggest looking elsewhere when discussing how to govern and imple- ment global criminal justice and advocate a procedural approach, relying on two theoretical frameworks. The first was proposed by Brants, Mevis and Prakken in 2001, and looks to procedurally oriented principles to address criminal justice issues, in particular transparency, accountability and participation. The second is also a call for a procedural approach but launched in the context of the Global Administrative Law project and the debate on global constitutionalism. Can these two approaches be connected? What are their limits and possibilities for global criminal justice and their application for global criminal law? Finally, how do they interrelate and could they provide a way forward in terms of a methodology to judge their application in each and every single case, given the many insights on this to be found in governance literature? <br/

The future of privacy - Addressing singularities to identify bright-line rules that speak to us

To apprehend the future of privacy I have opted for a controlled exploration of the issue, mainly taking the form of delamination: an exploration or assessment of privacy in a broad sense is not the object of this reflection. The focus is on technology-related privacy. Is the future of (some aspects of privacy) dependent on the future of technology? What is then the future of technology? What technology brings the future and what future brings technology? We know technology changes rapidly and we, law and technology lawyers or privacy lawyers, update ourselves constantly, including on the various technology-related concepts that come to us from other industries. One author sees a hype cycle at work with machine learning and blockchain currently peaking in the ‘must understand’-lists of technology and big data having lost already all its appea

Burnout in healthcare workers : prevalence, impact and preventative strategies

Approximately, one in three physicians is experiencing burnout at any given time. This may not only interfere with own wellbeing but also with the quality of delivered care. This narrative review discusses several aspects of the burnout syndrome: prevalence, symptoms, etiopathogenesis, diagnosis, impact, and strategies on how to deal with the problem