Exploration of Medical Equipment Management Development in Public Hospitals / 中国医疗器械杂志

With the continuous improvement of the hospital diagnosis and treatment level and the continuous renewal of medical equipment in China, the mismatch between medical equipment management personnel training and the introduction of medical equipment, the development of medical technology and the requirements of modern hospital management is increasingly prominent. This article is based on a current situation survey of medical equipment and management personnel at all levels of hospitals in Shanghai. It discusses joint with professional colleges and universities, and gives suggestions about needs, objectives and practice of personnel training. It provides references to improve the personnel training of medical equipment.

Assessment of a long-acting Reversible Contraceptive Insertion Training Program OMIT: A Questionnaire Survey

Introduction: Before launching an etonogestrel subcutaneous implant on the Australian market, a training programme for health care providers (HCPs) was designed, and endorsed by both the Royal Australian New Zealand College of Obstetricians and Gynaecologists and Family Planning Australia. Methodology: 10,000 HCPs were trained between 2001 and 2003, and these were sent a questionnaire in November 2010. Within the first decade after its launch 633,000 implants were inserted. Results: Twenty-five percent of the questionnaires were returned and collated. Eightyfour percent of respondents were inserting subcutaneous implants, nearly 4% more than ten a month. One hundred and thirteen were not confident in the insertion technique- the “training failures”, yet most of these said that the training gave them the “skills to insert” and “confidence to insert”. As a group these HCPs were older, and there seemed to be a significant interval between undertaking training and starting to insert implants. Conclusions: To minimise “training failures” MSD now offers representatives to attend at surgeries with a placebo arm and implants to enable a “refresher” training if the HCP requests. Funding: The cost of printing and posting of the questionnaires, as well as collating the responses were funded by MSD.

Adequação da saúde vocal aos diversos estilos musicais / Vocal health fitness to different music styles

Apresentar gêneros e estilos executados atualmente no cenário musical ocidental, relacionando com aspectos fonoaudiológicos da prática da voz cantada. Método: Estudo observacional documental, para o qual foram selecionadas mídias musicais que caracterizassem gêneros e estilos da vivência dos pesquisadores, as quais foram analisadas considerando origens, elementos formadores, tipos e recursos vocais. Paralelamente, foi feita uma revisão de literatura ancorada em pesquisa nos bancos de dados e revisão não sistemática de sites na internet e clássicos da área. Resulta dos: Os estilos selecionados (Rockand Roll, Heavy Metal, Trash Metal, Grunge, Gothic Metal, Rap, Funk, Blues, R&B ? Rhythm and Blues, Soul, Gospel, MPB, Samba, Forró, Sertanejo, Bossa Nova, Ópera e Música de Câmara) foram caracterizados, justificando-se o conhecimento pelo fonoaudiólogo acerca dos estilos escolhidos e os diversos aspectos que envolvem a voz cantada. Sua orientação pode minimizar possíveis prejuízos vocais, pois cada estilo carrega um padrão próprio ao qual o intérprete deverá se submeter. Conclusões: Concluiu-se que o cantor irá refletir um padrão vocal característico ao estilo que se propõe a cantar, independente se o mesmo seja prejudicial ou não à saúde vocal. Ao escolher um estilo musical, é importante que o cantor tenha o conhecimento e a noção de como o uso que fará do seu aparelho vocal irá causar ou não prejuízo a sua voz. Também deve ter consciência de que a técnica no canto é necessária para a longevidade vocal.

To present genres and styles currently running on western music scene, focusing on the practice of singing voice. Methods: An observational and documental study for which were selected sound sources presenting musical genres and styles that are part of the experience of the researchers, which were analyzed considering origins, formative elements and vocal features. Alongside we carried out a review of literature grounded in databases research and free review of websites and classical books of the area. Results: The selected styles (Rock and Roll, Heavy Metal, Trash Metal, Grunge, Gothic Metal, Rap, Funk, Blues, R&B ? Rhythm and Blues, Soul, Gospel, MPB, Samba, Forro, Sertanejo, Bossa Nova, Opera and Chamber Music) were described, pointing the reasons for the speech therapist to be informed about them and about singing voice aspects. His guidance may minimize possible vocal damage caused by each style, since each of them carries its own patterns to which the interpreter must submit. Conclusions: We conclude that the singer will use a specific vocal pattern that resembles the musical style he intends to sing, regardless of any harm it may or may not cause to vocal health. When choosing a musical style, it is important that the singer has the knowledge and understanding of how the use of his vocal apparatus will cause or not cause injury to his voice. Also be aware that the technique in singing is necessary for vocal longevity.