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From the onset of these challenges, she had sought support from her medical team and this care continued throughout the intervention. The patient undertook a mental health intervention in a format that consisted of neosurf deposit casinos australia weekly individual consulting sessions for the initial six weeks before it extended to individual sessions once every two weeks for a further 10 weeks. The mental health intervention was based on a humanistic methodology that combines a reparative approach most commonly associated with counselling, with the addition of exercise, meditation and new australian casinos online other lifestyle components incorporated into her treatment plan. Throughout the intervention, the patient maintained a written record of her reflections and progress. During the initial four weeks, the patient was supported to reframe her beliefs about her changing capacities and she was encouraged to explore the ongoing grief that was associated with the loss of her late husband. By the fifth week, a protocol was designed for the patient to complete on a daily basis. This protocol involved the patient being instructed to replace known problematic times where her symptoms spiked with guided strategies that targeted the compounding impact of the beliefs associated with her debilitating symptoms. While the patient reported that the protocol resulted in reductions in the frequency of her symptoms to a maximum of one to two days per week, the intensity of her symptoms when occurring were still scored at an eight out of 10. In the sixth week, the patient reported that she had sourced her own medical cannabis oil that tangiers australian casino was made from the OG Kush strain of cannabis. She reported that she maintained a daily dose of 2 ml of a medical cannabis that contained Tetrahydrocannabinol or more commonly known as THC. The patient reported that, after incorporating the cannabis oil into the protocol, the intensity of her symptoms ceased and that she could be free from any symptoms for a period of at least two weeks. By the nz casino no deposit bonus codes 2019 tenth week, the patient reported significant improvements to her quality of life. In the fifteenth week, the patient stopped using medical cannabis due to the inability to access more. In the sixteenth and final week of the intervention, the patient had reintegrated medical cannabis into her daily protocol and she had been able to once again regain her quality of life through the cessation of her symptoms.

In a review three months after the intervention, the patient reported that she had now resumed the daily protocol that includes taking a dose of 2 ml of medical cannabis in the morning. The patient reported that, since finishing the intervention, she experienced a four-week period where she was unable to access a further supply of medical cannabis.

She reported that, during the four weeks, her physical health, mental health and quality of life deteriorated. These deteriorations included a life alert system being installed in her home by her family due to concern about her safety. The patient also reported that she had informed her medical team about her daily consumption of a medical cannabis oil.

She reported that her medical team could not prescribe her a cannabis oil but that they supported and encouraged her to continue the cannabis oil as a daily treatment. The patient did not have a scheduled annual blood test due to her fear of needles. Thus, no blood tests have been completed to identify any chemical changes that were associated with her introducing medical cannabis into her life. Go to:DISCUSSIONWhile it is clear that the popularity of cannabis is increasingly for the general public, there is a clear need to gain more scientific knowledge about the associated benefits and risks of cannabis for patients with medical conditions. Undoubtedly, there are many unsubstantiated claims about the use of cannabis for treating several medical conditions. More specifically for anxiety, scientific evidence is also showing cannabis is expected to relieve tension and help young females relax7. Although the future role that medical cannabis will play in healthcare is unknown, this case demonstrates how the patient was able to significantly benefit from the introduction of medical cannabis into her mental health intervention for the treatment of vertigo and a generalized anxiety disorder. In this case, the benefits for the 88-year-old patient using medical cannabis as a treatment in the both the short term and longer-term far outweighed the potential risks that may require consideration for children or adolescents8. This case demonstrates how the patient was able to use medical cannabis to reduce the new australian casinos online debilitating symptoms associated with her vertigo to drastically improve her quality of life. A pattern seems evident for the patient where her symptoms for online casinos australia no deposit bonus vertigo fluctuated according to whether or not she was able to access medical cannabis. This case also highlights the legislative conundrum for patients, physicians and government9. Despite her medical team supporting her continual use of medical cannabis, she was not able to receive a prescription. As a result, she accessed medical cannabis from an illegal and unregulated source.

While the patient reported to trust this source and only use medical cannabis according to her daily protocol, there are potential safety risks associated with her new australian casinos online self-medicating cannabis to combat her symptoms and not having accurate information about dosing, consistency and quality of the cannabis.

Go to:CONCLUSIONThis case is a preliminary finding and reinforces the need for more rigorous testing on the application of medical cannabis to be used as a treatment for different medical conditions, including generalized anxiety disorder.

The practice is extremely painful and has serious health consequences both at the time when the mutilation is carried out and in later life. The age at which girls undergo FGM varies enormously according to the community. The procedure may be carried out when the girl is newborn, during childhood or adolescence, just before marriage or during the first pregnancy. However, the majority of cases of FGM are thought to take place between the ages of five and eight. It modernised the offence of FGM and the offence of assisting a girl to carry out FGM on herself while also creating extra-territorial offences to deter people from taking girls abroad for mutilation.

To date no-one has been convicted of FGM in England and Wales. In July 2014, the UK Government and UNICEF hosted the first Girl Summit,2 aimed at mobilising domestic and international efforts to end FGM.

The Government made a number of commitments for new legislation to tackle FGM. Under the 2003 Act it is an offence for any person in England, Wales or Northern Ireland (regardless of their nationality or residence status) to perform FGM (section 1) or to assist a girl to carry out FGM on herself (section 2). It is also an offence to assist (from England, Wales or Northern Ireland) a non-UK national or resident to carry out FGM outside the UK on a UK national or permanent UK resident (section 3). Section 4 extends sections 1 to 3 to extra-territorial acts so that it is also an offence for a UK national or permanent UK resident to: perform FGM abroad assist a girl to perform FGM on herself outside the UK and assist (from outside the UK) a non-UK national or resident to carry out FGM outside the UK on a UK national or permanent UK resident.

The intention was for the extra-territorial provisions to catch offences involving those with a substantial connection to the UK but not those who were here temporarily. However, the Director of Public Prosecutions has highlighted a small number of cases where the CPS could not prosecute for FGM committed abroad because those involved were not, at the material time, permanent UK residents as defined by the 2003 Act. These changes will mean that the 2003 Act can capture offences of FGM committed abroad by or against those who are at the time new australian casinos online are habitually resident in the UK irrespective of whether they are subject to immigration restrictions.

It will be for the courts to determine on the facts of individual cases whether or not those involved are habitually resident in the UK and thus covered by the 2003 Act.


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Section 70(2) of the 2015 Act makes equivalent amendments to the Prohibition of Female Genital Mutilation (Scotland) Act 2005. Reluctance to be identified as a victim of FGM is believed to be one of the reasons for the low incidence of reporting of this offence. It is anticipated that providing for the anonymity of victims of alleged offences of FGM will encourage more victims to come forward. Section 71 of the 2015 Act amends the 2003 betway casino canada Act to prohibit the publication of any information that would be likely to lead to the identification of a person against whom an FGM offence is alleged to have been committed. This is similar, although not identical, to the anonymity given to alleged victims of sexual offences by the Sexual Offences (Amendment) Act 1992.

There are two limited circumstances where the court may disapply the restrictions on publication. The first is where a person being tried for an FGM offence, could have their defence substantially prejudiced if the restriction to prevent identification of the person against whom the allegation of FGM was committed is not lifted. The second circumstances is where preventing identification of the person against whom the allegation of FGM was committed, could be seen as a substantial and unreasonable restriction on the reporting of the proceedings and it is considered in the public interest to remove the restriction. Offence of failing to protect a girl from risk of FGM 16. Section new australian casinos online 72 of the 2015 Act inserts new section 3A into the 2003 Act this creates a new offence of failing to protect a girl from FGM. This will mean that if an offence of FGM is committed against a girl under the age of 16, each person who is responsible for the girl at the time of FGM occurred will be liable under this new offence.

It would be a defence for a defendant to show that at the relevant time, they did not think that there was a significant risk of FGM being committed, and could not reasonably have been expected to be aware that there was any such risk or they took such steps as he or she could reasonably have been expected to take to protect the girl from being the victim of FGM.

The onus would then be on the prosecution to prove the contrary. At the Girl Summit on 22 July 2014 the Prime Minister launched a consultation on a proposal to introduce a specific civil law measure for the purpose of protecting potential or actual victims of FGM, closely modelled on the forced marriage protection orders in the Family Law Act 1996.