With overdose management training, opiate users can be trained to execute appropriate actions to assist the successful reversal of potentially fatal overdose. Wider provision may reduce drug-related deaths further. Future studies should examine whether public policy of wider overdose management training and naloxone provision could reduce the extent of opiate overdose fatalities, particularly at times of recognized increased risk.
Objetivo: caracterizar a assistência prestada a gestante com diagnóstico de sífilis durante o pré-natal em unidades de saúde da família. Métodos: estudo transversal, por meio da análise de relatórios de sistemas de informação e questionário estruturado sobre exposição à sífilis durante a gestação, aplicados a gestantes/puérperas e enfermeiras. Resultados: identificação de seis casos de sífilis em gestante, com subnotificação importante em sistemas de informação, detecção de gestantes inadequadamente tratadas devido às dificuldades apresentados pelos profissionais no manejo clínico das sífilis no curso da gestação e, percentuais de consultas pré-natais com realização de exames básicos e teste para sífilis abaixo do preconizado pelo Ministério da Saúde. Conclusões: é notória a necessidade de capacitação/sensibilização dos profissionais, ampliação da oferta de consultas, exames e notificação da sífilis na assistência ao pré-natal
Girls' lacrosse is fundamentally a different sport than boys' lacrosse, and girls are not required to wear protective headgear. Recent epidemiological studies have found that stick checks are the leading cause of concussion injury in girls' lacrosse. The purpose of this study was to determine stick check speeds and estimate the head acceleration associated with direct checks to the head. In addition, we briefly examine if commercially available headgear can mitigate the accelerations. Seven (n = 7) experienced female lacrosse players checked, with varying severity, a NOSCAE and an ASTM headform. Stick speed at impact and the associated peak linear accelerations of the headform were recorded. The NOCSAE headform was fitted with four commercially available headgear and similar stick impact testing was performed. The median stick impact speed was 8.1 m/s and 777 deg/s. At these speeds, peak linear acceleration was approximately 60g. Three out of the four headgear significantly reduced the peak linear acceleration when compared with the bare headform. These data serve as baseline for understanding the potential mechanism and reduction of concussions from stick impacts in girls' lacrosse.
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