This paper documents the effects related to the introduction of body-checking in ice hockey for players of 12 and 13 years old (Pee-Wee Division). Four different studies were conducted on 49 teams of Pee-Wee hockey players: 28 teams played in a league allowing body-checking, and 21 teams played in a league banning body-checking. The topics studied were (1) the attitudes and beliefs of coaches, parents, and players about body-checking; (2) the morphological and biomechanical differences among Pee-Wee players; (3) the numbers and types of penalties within Pee-Wee leagues playing with and without body-checking; and (4) the injury rate within Pee-Wee leagues playing with and without body-checking. Among the most interesting results were the facts that, in that age category, some players were found to be twice as heavy and twice as strong as others. Larger players could exert an impact force 70% greater than those exerted by smaller players. Contrary to popular belief, playing without body-checking resulted in fewer “hostile aggression penalties.” Finally, the rate of fractures was twelve times greater for the league allowing body-checking.
The results are discussed in the light of regulating actions taken in Quebec and the Canadian provinces toward body-checking in the Pee-Wee Division.
Purpose: To describe the work done at our centre in performing a Failure Modes and Effect Analysis (FMEA). The subject of the FMEA was the use of treatment couch position parameters in daily treatments. Methods: In collaboration with the hospitals risk management department analysis of the situation according to FMEA protocols was done. The team doing this work included two physicists a dosimetrist a treatment therapist and a simulation therapist. The center's workflow was studied possible failures were identified the causes for these failures were discussed and rated and the workflow was reviewed. Results: The failure of most concern was when an override on the couch position parameter was performed and an actual setup error was not identified leading to an error in treatment. The effect on the dose to the target and organ at risk is of concern. Causes were separated into 3 categories: inappropriate tolerance tables (i.e. site specific) mechanical issues (i.e. immobilization devices) and incorrect procedures. These causes where rated according to FMEA standards on a scale of 1 to 100 (severity (1 to 5) × frequency (1 to 5) × detectability (1 to 4)). The causes that obtained the highest scores were studied and actions to correct them were undertaken. The highest severity was associated to the anatomy treated therefore any cause that led to errors near the spine were included in the “high score” items. Conclusion: The FMEA protocol is a structured and useful method to review accepted clinical processes which helped identify weaknesses in the clinical workflow. Corrections were done so as to minimize the need for couch position parameters overrides.
Les enseignants d’éducation physique et à la santé (ÉPS) disposent d’un faible statut qui les expose à de la dévalorisation et à de la marginalisation. Après un bref état de la situation de l’enseignement au Québec, l’attention est ensuite portée sur celle des enseignants en ÉPS. Un cadre conceptuel articulant les modèles de la satisfaction au travail et de l’attachement à l’emploi est ensuite proposé pour étudier la situation de ces enseignants au Québec. En conclusion de cette réflexion théorique, il est avancé qu’en période de pénurie d’enseignants, les organisations scolaires devraient s’inscrire dans une culture de gestion durable des ressources enseignantes.
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