Valid License Research Articles

The Dangers of Distracted Driving: A Substudy of Patient Perception Data From the DRIVSAFE Observational Study.

To determine how fracture clinic patients perceive the dangers of distracted driving. Analysis of patient perception subset data from the original DRIVSAFE study; a large, multicenter cross-sectional study, surveying fracture clinic patients about distracted driving. Four Level 1 Canadian trauma center fracture clinics. English-speaking patients with a valid Canadian driver's license and a traumatic musculoskeletal injury sustained in the past 6 months. Primary outcome was patients' safety ratings of driving distractions. As per the original DRIVSAFE study, patients were categorized as distraction-prone or distraction-averse using their questionnaire responses and published crash-risk odds ratios (ORs). A regression analysis was performed to identify associations with unsafe driving perceptions. The study included 1378 patients, 749 (54.3%) male and 614 (44.6%) female. The average age was 45.8 ± 17.0 years (range 16-87). Sending electronic messages was perceived as unsafe by 92.9% (1242/1337) of patients, while reading them was seen as unsafe by 81.2% (1086/1337). Approximately three-quarters of patients viewed making (78.9%, 1061/1344) and accepting (74.8%, 998/1335) calls on handheld mobile phones as unsafe. However, 31.0% (421/1356) of patients believed that they had no differences in their driving ability when talking on the phone while 13.1% (175/1340) reported no driving differences when texting. Younger age (OR, 0.93 [95% confidence interval (CI) 0.90-0.96], P < 0.001), driving experience (OR, 1.06 [95% CI 1.02-1.09], P < 0.001), and distraction-prone drivers (OR, 3.79 [95% CI 2.91-4.94], P < 0.001) were associated with unsafe driving perceptions. There is a clear association between being prone to distractions and unsafe driving perceptions, with distraction-prone drivers being 3.8 times more likely to perceive driving distractions as safe. This information could potentially influence the appropriate delivery and content of future educational efforts to change the perception of driving distractions and thereby reduce distracted driving. Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Expert recommendations for internet medical care treatment of tuberculosis

Tuberculosis, a chronic infectious disease caused by Mycobacterium tuberculosis, has long posed significant challenges to both medical professionals and patients in its diagnosis and treatment. The need for regular follow-up visits has resulted in a significant economic and logistical burden for patients and a strain on healthcare resources. However, the recent rapid development of Internet technology has significantly enhanced the role of telemedicine in the health care of tuberculosis. This proposal aims to provide a comprehensive overview of the various aspects of telemedicine in the management of tuberculosis. It covers functional positioning, medical qualifications, scope of application, management team, operational model, medical standards, medication evaluation, precautions, risk management. It is intended to serve as a reference for healthcare professionals in the practical application of telemedicine in tuberculosis care.【Expert Recommendation 1】: To provide the further online services for tuberculosis patients who have already had a face-to-face consultation and been diagnosed with tuberculosis. Telemedicine in tuberculosis care includes confirmation of diagnosis, treatment, health counseling, management, educational initiatives, and the initial assessment and management of new symptoms and signs.【Expert Recommendation 2】: The qualifications for telemedicine in tuberculosis care require that the attending physician has a valid medical license and has at least three years of clinical experience in tuberculosis.【Expert Recommendation 3】: The primary target group for online tuberculosis care are patients who are undergoing routine follow-up visits. Certain examinations and test results are mutually recognized within certain regions.【Expert Recommendation 4】: The management team for telemedicine in tuberculosis care is consist of specialist physicians from tuberculosis medical institutions or third-party internet medical organizations, together with information technology staff.【Expert Recommendation 5】: The informatization framework for telemedicine in tuberculosis care includes referrals between higher and lower-level institutions, as well as online and offline referrals. Methods for online follow-up consultations include text-based and video consultations.【Expert Recommendation 6】: Standards for telemedicine in tuberculosis care must be in line with government documents. Regular monitoring and evaluation of the safety and efficacy of anti-tuberculosis therapy is needed, with guidance for patients to seek further treatment at an offline medical institution if necessary.【Expert Recommendation 7】: The attending physician must comply with regulations when documenting patient care and issuing prescriptions, which are valid only after review and approval by a pharmacist.【Expert Recommendation 8】: Healthcare providers are encouraged to use digital platforms, including social media, short video platforms, and mini-programs, to disseminate health information to patients and their families.【Expert Recommendation 9】: If the attending physician discovers adverse events in internet medical treatment, it is necessary to report them immediately to the adverse reaction reporting system of the hospital relying on internet medical treatment.【Expert Recommendation 10】: The attending physician should handle any disputes or complaints about online diagnosis and treatment in accordance with applicable laws, regulations, and guidelines.【Expert Recommendation 11】: Strict confidentiality of patient information must be maintained in online tuberculosis care, and patient consent before data can be used for educational or research purposes.【Expert Recommendation 12】: For primary care facilities that do not have the necessary resources for online diagnosis and treatment, we recommend establishing satellite centers, implementing simplified remote care systems, and utilizing mobile devices in collaboration with nearby hospitals that can provide remote care. This approach aims to increase the capacity of primary care facilities to provide telemedicine service.

Perception and Practices Towards Road Safety Rules and Regulations Amongst Pakistani Population

Background: Road traffic accidents (RTAs) remain a critical public health issue in densely populated urban areas like Latifabad, Hyderabad. Understanding the community's perception and practices towards road safety can inform targeted interventions to reduce RTAs. Objective: This study aims to explore the perception and practices regarding road traffic rules and regulations among residents of various units in Latifabad, Hyderabad, Pakistan. Methods: A cross-sectional descriptive study was conducted from March to August 2023 in Latifabad, Hyderabad. It involved 400 commuters aged 18 years and above, from either gender, residing in the area. Participants were included irrespective of their possession of a driving license, provided they consented to participate. Data on their perceptions and practices concerning road traffic were collected using a structured written questionnaire. Results: The participant demographic included 64.7% males and 35.3% females with an average age of 22.6 ± 1.2 years; the majority were students. Nearly half (48.0%) attributed poor road conditions as a primary cause of RTAs. Over half (57.0%) recognized driving without a valid license as an offense, with females significantly more aware (p&lt;0.05) of the risks of improper overtaking and the links between illiteracy, irresponsible behavior, and increased RTAs. There was no significant difference in the scores for violations and lapses related to injury exposure, though a significant association was found between errors and injury exposure. Conclusion: Despite possessing adequate knowledge, participants frequently displayed a dismissive attitude towards compliance with traffic laws, normalizing risky behaviors and potentially increasing the risk of road traffic accidents and injuries.

Kiteboarding Injuries

The aim of this paper was to determine the type and frequency of injuries in kiteboarding, and to define causes of injuries in recreational and professional athletes engaged in kiteboarding. The research was conducted on the sample of 93 kiteboarders, of which 74 were male and 19 were female. Online questionnaire was applied with clearly defined completing instructions. In overall sample of examinees (93), there were 51 who were injured during kiteboarding. Out of total percentage of injured (54.8%), as many as 30.1% had more than one injury. Depending on the method of initial learning and training, 70% of examinees who were self-taught were injured, among those who were taught by a friend with kiteboarding experience 68.18% were injured, then there were 58.82% of injured among those who passed the kiteboarding course with an instructor without a valid license, and, finally, the smallest percentage of injured, 43,18%, among those who took the kiteboarding course with an instructor having a valid license. The most frequent injuries are foot and knee injuries (59.65%) and more than half of injuries (57.91%) is related to strains of ligaments and muscles. Most of the injuries happen during the performance of more advanced technical elements, particularly jumps (33.3 %), while the second most frequent cause of injuries is insufficient kite control (23.7%). Kiteboarders taught by licensed instructors had the smallest risk of injury, while the greatest risk of injury was for self-taught individuals. Mentioned data clearly suggests how important it is to take a verified course with educated instructors to reduce the risk of injuries to a minimum.&#x0D;

ABCD (Asset Based Communities Development): Legalitas dan Pengembangan Potensi Usaha Mikro, Kecil, dan Menengah (UMKM) Telor Asin Desa Pagelaran

The basic idea of community service is based on the problematic situation faced by partners, namely regarding the management of the village's superior potential. Community service activities are carried out in the form of knowledge sharing with an andragogical approach. This research was conducted using the ABCD (Asset Based Communities Development) approach which is a model approach in community development. This development focuses on an inventory of assets in the community that are seen as supporting community empowerment activities. After conducting interviews with informants through purposive sampling techniques and in-depth observations by looking at the potential of Pagelaran village, it was found that potential problems with Micro, Small and Medium Enterprises (MSMEs) processing the largest salted eggs as a home industry that process the greatest potential of Pagelaran village, namely salted eggs which are still managed traditionally and do not have a valid business license. The solution offered based on these potential findings is to make business patents through legality and development of the potential of Salted Egg Micro, Small and Medium Enterprises (MSMEs) in Pagelaran Village.&#x0D;

Human resources for the sport of swimming for student athletes of the Indonesian special sports school with disabilities

Purpose This research aims to human resources for the sport of swimming for student athletes of the Indonesian special sports school with disabilities Material and methods This type of research is qualitative descriptive research. This study used basic interpretive study methods. Basic interpretive studies can be interpreted as problem-solving procedures that are researched to understand a particular phenomenon, process, or point of view from the perspective involved. The main objective of the study is to understand the world or the experiences of others. Basic interpretive studies can use a variety of data collection techniques, including interviews and observations as well as reviewing documents, and can draw from a variety of theoretical orientations. This research was carried out from September 2023 to December 2023. The research subjects consisted of: board chairmen of the organization, general treasurer, swimming coach (2 people), swimming athletes (3 people). Analysis in this study was carried out in four stages, namely: data collection stage, data reduction, data presentation, conclusion drawing / verification. Results and discussion Human Resources Athletes recruited by NPC have requirements both in terms of disability classification and sports skills that they master and can be developed and fostered by coaches later. Then there is a selection stage that is held according to the rules that have been compiled by the central NPC. The selection organizing team is handed over to teams that have been arranged and open in their fields, one of which is the FKOR UNS team. This NPC altet recruitment also has city boundaries set by navel and region. Recruitment will also be held across the province and will be classified from light to high. Recruitment carried out on coaches is the same as recruitment for athletes, where if during the next year there are no achievements and improvements that occur in athletes there will be relegation. This must be done sometimes once a year as the goal of producing outstanding athletes needs coaches who are also competent. The trainer must set a record of achievements that have been targeted by NPC. Recruitment is carried out by NPC but in collaboration with universities with sports faculties that have produced graduates who are competent in the field of training. In this case, NPC collaborates with Sebelas Maret University to become a collaborative team in recruiting coaches needed by NPC in each sport. Universitas Sebelas Maret has an accredited sports faculty, but there are still conditions that need to be met in the direction of non-secondary coaches. In addition, trainers must have a valid license, this will be better arranged by NPC against the level of license that must be owned by trainers. Regarding the recruitment of trainers' human resources, they have done that the recruitment is carried out directly by NPC. Recruitment is appointed directly by NPC based on the competence of the trainer, then submitted from the central NPC to the Minister of Youth and Sports. Conclusions Human resources in sports coaching are happy that NPC Indonesia student athletes in Surakarta are very good and competent according to their sports fields. In the recruitment of athletes and coaches carried out by NPC to be forged at SKODI through the results of open recruitment, it is seen through the competence of these athletes and coaches through regional NPC who register. In addition, it was observed by being appointed directly by the central NPC to join SKODI because it saw the potential of these athletes and coaches. In this case, NPC collaborates with universities that have human resources with the ability in the field of sports to be able to make selections in the recruitment of athletes and coaches. NPC center is in the city of Solo where the city also has universities that have human resources related to sports. Universitas Sebelas Maret is a source of human resources chosen by NPC to cooperate in recruiting competent coaches in certain sports for coaching the achievements of SKODI athletes. Universitas Sebelas Maret has professors who are experts in certain sports including swimming.

Design and Development of a Web-Based Medicine Inventory Information System

The establishment of this company took place in 2011, and it currently has a workforce of 63 individuals. The company distributes goods exclusively to authorized agencies or pharmacies rather than the general public. Only entities with a valid business license can purchase drugs from this company. It should be noted that this company does not produce drugs but rather acquires them from suppliers for resale. There are still challenges in gathering reports on the inflow and outflow of medicine stock data during inventorying. These reports are still reliant on ledger records. Consequently, warehouse staff require considerable time to document reports regarding the arrival and departure of items. This study aims to examine and create a web-based system for managing drug inventory, which is essential for enterprises. Developing this system entails utilizing the Prototyping methodology as a system development approach and the Unified Modeling Language (UML) as a modeling instrument. The activities implemented in this system encompass the management of goods data, incoming goods transactions, outgoing goods transactions, inventory management, goods stock reports, outgoing goods reports, incoming goods reports, and user administration. Based on this study, a web application was developed to address the drug supply system issues at Pharmaceutical Distribution Companies In Bandung.

Assessment of Knowledge, Attitude, and Practice of Therapeutic Drug Monitoring Among Hospital Pharmacists in Saudi Arabia

Objective: Optimal therapeutic drug monitoring (TDM), including clinical pharmacokinetics, appropriate interpretation, and dose adjustment of drugs, is required to effectively monitor specific therapeutic drugs. Hospital pharmacists (HPs), being the most qualified healthcare professionals to implement TDM, must understand its applications to determine and adjust drug doses and avoid adverse drug reactions and toxicity. Therefore, in this knowledge, attitude, and practice (KAP) study, we assessed TDM level among HPs in Saudi Arabia.Methods: This cross‐sectional study was conducted with 414 HPs in the Makkah region with a valid pharmacy license from the Saudi Commission for Health Specialties. An overall score of 50% or higher of the total responses in each section was considered good, whereas an overall score lower than 50% was considered poor. Categorical data are expressed as frequency and percentage. Correlations were measured using Pearson’s correlation coefficient (r).Results: The TDM‐KAP levels of the participants were 50%, 80%, and 62% for KAP, respectively. Significant positive linear correlations were found between knowledge and attitude, knowledge and practice, attitude and practice, knowledge and classification, practice and classification, practice and experience, and knowledge and experience. The participants showed acceptable knowledge and practice of TDM levels with elevated attitude levels.Conclusion: As a lack of TDM knowledge directly contributes to reduced practice levels, increasing TDM knowledge and practice by introducing more intensive pharmaceutical programs that illustrate TDM clinical applications in hospitals is recommended, which will enhance HP integration.

Independent Practice as a Nursing Practitioner in Pakistan: “Opportunities and Misconceptions

Independent Practice as a Nursing Practitioner in Pakistan: “Opportunities and Misconceptions

A discursive presentation of community pharmacies: Premises, storage, staff, documentation and legal compliance

ObjectivesThis study aimed to assess compliance with legal requirements, safe medication storage and staffing standards in community pharmacies in Punjab, Pakistan. MethodWe conducted a three-step cross-sectional study using observations, questionnaires and face-to-face interviews in 544 systematically-selected community pharmacies. We used descriptive statistic and one-way ANOVA to assess the data. ResultsOnly 23 (4.2 %) pharmacies had accurate area and only 3.9 % had appropriate walls. In total, 23.3 % had glass-fronted shelves and 38.2 % had a glass door. More than half (53.8 %) had separate narcotics shelves and 43.0 % a separate shelf of expired medicines. Less than half (47.5 %) of the pharmacies were able to maintain hygiene. About 36.2 % of the pharmacies segregated different types of product. Drugs were protected from direct sunlight in most (61.3 %) pharmacies, but the refrigerator was working properly in less than half (43.4 %) and only a very small number (2.4 %) had an alternative power supply for the refrigerator. Only 37 (6.8 %) were able to maintain an appropriate room temperature. The vast majority (93.0 %) displayed a valid drug sale license, but a qualified person/pharmacist was only present in 4.8 %. The average number of employees was 4.2, and more than 71.0 % of staff had 10–12 years of formal education. Only 0.2 % of employees could explain term “PRN”, although 57.3 % explained “IV” correctly. About 22.8 % replied correctly about the room temperature but the vast majority (97.6 %) did not know about cold chain temperature. The location of the pharmacy (p-value = 0.045) affected its performance. ConclusionsNoncompliance with legal requirements, unsafe drug storage and limited human resources reflect the poor enforcement of drug laws in Pakistan. The findings suggest that there is a need to strengthen inspection and management of community pharmacies.

Evaluation of the effects of hyperbaric on human attention functions based on eye movements recorded using an infrared camera.

This study aimed to assess the influence of elevated atmospheric pressure on the functions of attention of medical personnel working in hyperbaric chambers. We enrolled 15 participants who met the inclusion criteria. The test consisted of performing the same medical procedure under 2 conditions. For each of these test conditions, right eye movements were recorded using an oculograph. The obtained results revealed a relationship between elevated atmospheric pressure and the ability of medical personnel to focus. To assess the influence of hyperbaric oxygen (HBO2) on visual attention in medical personnel during medical activities performed under normobaric (1 absolute atmosphere (1 ATA)) and hyperbaric (4 ATA) conditions inside a hyperbaric chamber. Each participant had a valid license to act as a medical attendant during therapeutic hyperbaric sessions. Fifteen individuals, 10 men and 5 women aged between 28 and 65 years, participated in the study. The participants were asked to perform a medical procedure involving the preparation of a syringe with a drug administered by an infusion pump under 2 test conditions: 1 ATA corresponding to the atmospheric pressure on land, and 4 ATA corresponding to an underwater depth of 30 m. The order of test conditions was random. Both test conditions were performed inside a hyperbaric chamber. The number of fixations in the area of interest (AOI) varied between stages (1, 2 and 3) and task conditions (1 ATA and 4 ATA), with lower values for the 4 ATA condition. Under 1 ATA, 30% of eye fixations were in the AOI, as compared to only 6% under 4 ATA. The obtained results indicate that elevated atmospheric pressure has negative effects on the attention of medical personnel.

Factors Influencing Motorists' Injury Severities: An Empirical Assessment of Crashes in District Peshawar, Pakistan

Travelling in a motor car is a popular mode of conveyance across Pakistan. Similarly, motorists constitute about 66% of total registered cars in Peshawar District which observed a 200% increase from 2006 to 2016. The current research estimates a Random Parameter Logit (RPL) Model by heterogeneousness means &amp; variations in order to identify various parameters that contribute to the motorists' brutality of injury. The effects of motorist traits, temporal characteristics, motor vehicle features, roadway attributes, weather characteristics and effects of speed limits were predominantly considered for this analysis. Generally, typical approximation results show that the chance and severity of injuries increase for accidents including young drivers, winter indicators, and crashes that occurred between 10 AM-02 PM. Likewise, minor wound smashes are more likely to involve senior drivers, occurring during sunny weather, in the autumn season and in the month of August. Safety measures are suggested based on the findings of this research study to improve professional's motorist safety e.g. educating drivers about traffic rules and safety, zero tolerance for driving without a valid license, and enforcing speed limits on the roads. The results of this study will help in formulating strategies to improve motorists' safety.

‘I can still drive a car.’ Self-presentation in later life and the symbolic value of driving

Abstract This qualitative study draws attention to the symbolic value of driving or having a valid driver's licence among older adults as part of their impression management. While several studies have focused on driving behaviour, safety, risk factors and not least the consequences of driving cessation, the present study from the Faroe Islands contributes to the body of knowledge concerning older adults and driving by bringing an impression management lens to this issue. Social constructionism formed both the theoretical and methodological approach and data came from interviews with three couples and eight individuals in their eighties. All the male participants still had their driver's licence and were active drivers except for one. Among the women, four had driver's licences and three were active drivers. Our findings point to the necessity of understanding the reluctance to give up driving as being not only related to quality of life, mobility and independence, but also being highly related to preserving one's identity as a competent and ‘not that old’ person. Contrary to common prejudices against older drivers, the findings also showed that these participants reported self-regulation adjustments to continue driving safely. The study indicates a need to support older drivers to continue driving if they wish to do so. It is not only a question of mobility or being independent, but also related to preserving one's social identity in later life.

Safer gambling and consumer protection failings among 40 frequently visited cryptocurrency-based online gambling operators.

Online gambling has increased the accessibility and range of gambling products available to people all over the world. This trend has been particularly noticeable in the United Kingdom. Cryptocurrency-based gambling is a new, largely unregulated, way to gamble online, which uses mostly anonymous blockchain-based technologies, such as Bitcoin. The present research investigated consumer protection features of 40 frequently visited and U.K.-accessible cryptocurrency-based online gambling operators. A content analysis was performed by visiting all 40 cryptocurrency-based online operators and recording their safer gambling and consumer protection practices. Coded features included aspects of the sign-up process, features of any safer gambling pages, customer support practices, and Identity verification. Results revealed significant failings in the account registration process; none of the operators verified the identity of new users, and 35% required only an email or no personal information for sign-up. Overall, 37.5% of operators offered no safer gambling tools and a further 20% offered only one. Additionally, 64.7% of operators continued to email promotional material after being informed of a user's impaired control when gambling. Less than half of the analyzed operators held a valid license (47.5%), and none of the operators with an available deposit page required identity verification before enabling deposits. These results highlight the potential risks for young and vulnerable individuals, especially when a lack of identity verification is paired with the inherent anonymity of cryptocurrencies. Furthermore, it emphasizes the need for greater policy and research attention toward cryptocurrency-based online gambling. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Understanding the New Dimensions and Implications of Motor Vehicles (Amendment) Act, 2019

The Motor Vehicle Amendment Act 2019 is a significant piece of legislation that aims to reform and strengthen the laws governing road safety and motor vehicles in India. The Act was introduced as an amendment to the existing Motor Vehicles Act, 1988, and has been implemented with the objective of reducing road accidents, improving traffic management, and ensuring greater accountability among road users. The Motor Vehicle Amendment Act 2019 introduces several key provisions that have far-reaching implications for motorists, passengers, and other stakeholders. One of the major highlights of the Act is the substantial increase in fines and penalties for traffic violations, such as over-speeding, drunk driving, not wearing a seatbelt or helmet, and using a mobile phone while driving. The Act also introduces stricter provisions for driving without a valid license, allowing underage driving, and dangerous driving, with higher penalties and imprisonment in certain cases. Another significant aspect of the Motor Vehicle Amendment Act 2019 is the focus on improving road safety measures. The Act mandates the use of electronic enforcement, such as speed cameras and red-light cameras, to catch traffic violators. It also emphasizes the importance of road engineering and design, making it mandatory for road authorities to follow guidelines for road construction and maintenance. The Act also introduces provisions for protecting vulnerable road users, such as pedestrians and cyclists, and sets guidelines for their safety.

Bycatch of harbour porpoises (Phocoena phocoena) in gillnet fisheries of the Estuary and Gulf of St. Lawrence, Canada, 2000-02

The incidental catch of harbour porpoises (Phocoena phocoena) in the gillnet fishery of the Estuary and Gulf of St. Lawrence, Canada, was examined using: (1) questionnaires mailed to fishermen inquiring about bycatches in 2000 and 2001 (n=2,277 or 44% of the fishermen with valid licenses); and (2) using data from an at-sea observer programme and sentinel fishery programme in 2001 and 2002. The questionnaire survey had a low response rate (22%) and provided bycatch estimates of 2,215 (95% CI 1,151-3,662) and 2,394 (95% CI 1,440-3,348) porpoises in 2000 and 2001, respectively. The low number of hauls monitored by at-sea observers prevented the estimation of bycatch levels for several zones and the study area as a whole, and provided only imprecise estimates for all other zones. The results from questionnaires indicated a 24-63% reduction in harbour porpoise bycatches since the late 1980s, whereas the at-sea observer programme provided bycatch levels for 2001 and 2002 that were unreliable and underestimated, approaching one quarter of those documented in the late 1980s. Although both indices indicated a decrease in bycatches since the late 1980s, the magnitude of this change remains uncertain given the weaknesses associated with the two approaches. Considering the maximum population rate of increase (Rmax) for harbour porpoises as 4% and the lower and upper 95% confidence limits (1,440-3,348) of our most reliable estimate of bycatches (i.e. the 2001 questionnaire survey results), the harbour porpoise population in the Gulf of St. Lawrence would need to be at least 36,000-83,700 individuals for current incidental catches to be sustainable. If the rate of increase is less than maximal, e.g. 0.5Rmax or 2%, then 72,000-167,400 harbour porpoises would be needed to attain sustainability. Kingsley and Reeves (1998) estimated that an average 36,000 to 125,000 porpoises occupied the Gulf of St. Lawrence during the summers of 1995 and 1996. Although the trajectory of the population since it was last surveyed in 1996 is uncertain, these findings suggest that bycatch levels might remain a cause for concern for the harbour porpoise population in the Gulf of St. Lawrence. The results from the comparison between the sentinel fishery and the commercial fishery subjected and not subjected to at-sea observations suggest that fine-scale temporal and spatial changes in fishing activities may greatly affect harbour porpoise bycatch levels.

A Craft Essay on Trauma

A Craft Essay on Trauma

Проект «Код будущего». Обоснование выбранного механизма реализации проекта предоставления талантливым школьникам 8–11 классов возможности прохождения дополнительного двухлетнего курса обучения современным языкам программирования

The article provides a rationale for the “Future Code” Project which lies in teaching the schoolchildren the modern programming languages by the organizations carrying out educational activity based on the valid license to perform educational activity under subaspect “Additional Education of Children and Adults” implementing additional general educational programs aimed at studying the modern programming languages and defined by the results of the procurement procedures. Material and technical equipment of schools with modern computer equipment and availability of quality Internet connection, teaching staff of educational organizations and its readiness to implement additional general educational programs in the field of modern programming languages, availability of conditions to implement the additional education programs for the students in the educational institutions focused at teaching students to work with digital equipment and resources including programming, provision of correct adjustment and functioning of school digital equipment, availability of digital school platforms for diagnostic testing of the audience in the regions, for training, storage of educational materials and managing the process of the audience training, as well as collecting and storage of the audience digital trails corresponding to the requirements stated in the tender documents. Information base for the research were the results of the digital transformation of educational organizations monitoring held in 2020–2021 as well as the data of federal statistic monitoring.

Controlled register-based study of road traffic accidents in 12,651 Finnish cancer patients during 2013-2019.

Little controlled evidence exists on road traffic accident (RTA) risk among patients diagnosed with cancer, while clinicians are often requested to comment their ability to drive. The aim of this study was to evaluate RTA risk in a population-based cohort of cancer patients living in Southwest Finland. All adult patients diagnosed with cancer in 2013-2019 were included. Acute appendectomy/cholecystectomy and actinic keratosis patients without cancer were selected from the same region as the control cohort. Participants were cross-referenced to a national driving licence database, yielding 12,651 cancer and 6334 control patients with a valid licence. Due to marked differences in their clinical presentation, the cancer cohort was divided into nine cancers of interest (breast, prostate, colorectal, lung, melanoma, head & neck, primary brain tumours, gynaecological and haematological malignancies). The nationwide law-regulated motor liability insurance registry was searched for all RTAs leading to injury with claims paid to not- or at-fault participants. At-fault drivers were verified based on sex and birth year. During a median follow-up of 34 months, 167 persons were at-fault drivers in RTAs leading to injury. Among the nine cancers of interest, RTA risk did not differ from the control cohort. Among cancer patients, multivariable regression suggested male sex and opioid use, but not advanced cancer stage or given systemic therapy, as the most influential risk factors for RTA. Cancer diagnosis itself was not associated with increased RTA risk, but other associated symptoms, medications, comorbidities or specific cancer subgroups may.

UNQUALIFIED HEALTH CARE PROVIDERS AND RURAL PUBLIC HEALTH IN RAJASTHAN

There are many players for health care delivery systems like public and private providers. In between, another service delivery system exists and survived at large scale in rural India. One of them is called Rural Medical Practitioner or quacks or Jhola Chaap (unqualified service provider) or unethical practitioner. The term RMP is still not clear. In the lay men language, RMP stands for registered medical practitioner but only graduate in MBBS are registered by the Medical Council of India and has a valid licence to practices allopathic medicine in public health. In the medical world. In many developing countries like India, informal or rural medical practitioner provides the large-scale services to the poor and villagers. These practitioners cater a large population especially in rural India. In Rajasthan, the coverage of population by Government Public Health Services is not sufficient. This study carried out with interviewing 117 unqualified health care providers in rural area of Rajasthan. The current paper discusses about academic background, training, experience, daily patient load and practice of informal health care providers altering the unavailable health care professional for a long time. As resulted, a total of 95 (81.20%) informal health care providers have their own clinic where they attend the patients and provide services 24 x 7 without charging consultation fee, go for home visits to see the patient and refer the patients in critical situation to Government health facilities, etc. The strong presence of these so-called rural practitioners in the basket of private health care system put the rural health in very critical situations.