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At the end of 2019, there was discussion in France about whether to abolish the obligatory medical certificate of no contraindication for a minor to obtain a sports license. It was finally decided not to abolish the certificate, but it raises the question of which steps should be taken to assess the physical capacities of children. General practitioners or pediatricians are responsible for the preparticipation physical evaluation of children wishing to obtain a sports license, in particular involving over 20 mandatory consultations between the ages of 0 and 18. The purpose of the article is to propose a course of action to be taken considering the French legislation and general pediatric resources concerning the medical examination and warning signs that should lead to vigilance.
A better understanding of the lawful use of guns and the symbolic meaning of guns to gun owners is essential to bridge the divide in public opinion regarding policies to reduce gun violence in the U.S.
A national, prerecruited Internet panel of U.S. adults in 2019 was used to survey gun owners (n=2,086) to ascertain their gun-related attitudes and practices. Data were analyzed in 2020.
The primary reason given for owning a gun was defense (59.4%), followed by recreation (26.8%). A minority of the gun owners in the sample (22.9%) reported taking part in any gun-related activity more than rarely. The proportion of respondents who agreed that guns are an important part of their identity was just 10.0%. The majority of the gun owners viewed gun control advocates as wanting to take away all guns (58.5%). Nearly 70% of gun owners reported that a reason for their reluctance to engage in gun violence prevention was that they feel alienated because they perceive gun control advocates as blaming them for the gun violence problem, not understanding gun ownership, and not understanding much about guns.
For most of the gun owners, gun ownership plays a practical role as a method of self-protection and has a symbolic association with freedom. Public health practitioners must develop novel communication strategies that avoid alienating gun owners by creating a perception that the ultimate aim is to take their guns away.
For most of the gun owners, gun ownership plays a practical role as a method of self-protection and has a symbolic association with freedom. Public health practitioners must develop novel communication strategies that avoid alienating gun owners by creating a perception that the ultimate aim is to take their guns away.
This study aimed to evaluate the implementation of nursing actions in anesthesia guided by the Patient Safety Checklist Nursing Anesthetic Procedure and the difficulties in performing patient care.
A cross-sectional study.
Nursing actions were evaluated in 282 anesthetic procedures of adult patients undergoing general anesthesia in three periods of anesthesia in a private hospital operating room in Brazil, from January to July 2018. The evaluated outcomes were the number of items performed by nurses during anesthesia periods and limitations for applying the Patient Safety Checklist Nursing Anesthetic Procedure instrument.
Execution of the nursing actions presented a mean percentage of 85.6, highlighting the anesthetic induction stage and differences between the periods before induction and reversal. The main items not performed in evaluating the nursing care in anesthesia were as follows the anesthesia equipment test (84; 29.78%) in the preinduction period; the evaluation of adequate ventilation (132; 46.81%) in the induction period; and the tracheal aspiration assistance (62; 21.98%) during reversal. Bardoxolone mouse Receiving a call from another room with care interruption was highlighted among the nurses' justifications for not performing the activities and difficulty in continuing care because of shift change.
The execution of nursing care actions in anesthesia mainly occurred during the period related to induction, with limitations because of dimensioning of operating rooms and simultaneous procedures.
The execution of nursing care actions in anesthesia mainly occurred during the period related to induction, with limitations because of dimensioning of operating rooms and simultaneous procedures.
With the increase of smartphone use and availability over the last decade, mobile healthcare applications have become more accessible. Many of these applications allow users to track behaviors and goals, and acquire feedback and information while on the go. Recent studies appearing in the literature suggest that smartphones may offer a means of augmenting clinical voice assessment by recording individuals with voice disorders outside the clinic for the purpose of extracting acoustic characteristics. This review examines the effectiveness of smartphones in clinical voice assessment and treatment, as reported in the current literature.
The PubMed database was searched using a combination and variation of different term related to smartphones, voice, and recording apps, in order to find articles that address the role of smartphones in clinical voice recording and assessment.
Six studies published in the last 3 years were reviewed and examined in terms of types of device and operating systems used, types of subjects and disorders studied, voice parameters extracted, and microphones used. Considerations such as impact of environmental noise, and privacy and security issues are also examined. While smartphones and mobile apps have the potential to be valuable tools in voice assessment outside the clinic, further efforts are needed for them to be effectively used in a clinical setting.
Six studies published in the last 3 years were reviewed and examined in terms of types of device and operating systems used, types of subjects and disorders studied, voice parameters extracted, and microphones used. Considerations such as impact of environmental noise, and privacy and security issues are also examined. While smartphones and mobile apps have the potential to be valuable tools in voice assessment outside the clinic, further efforts are needed for them to be effectively used in a clinical setting.
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