RESUMEN
Guidelines are presented that summarise the legal position regarding the audio/visual recording of doctors and others in hospitals. In general, there are few, if any, legal grounds for refusing a request by patients to record procedures and/or discussions with clinicians, although some staff may feel uncomfortable being recorded. Trusts and others are advised to draw up local policies and ensure staff and patients are adequately informed.
Asunto(s)
Anestesiólogos , Hospitales , Médicos , Grabación en Video/normas , Seguridad Computacional , Confidencialidad , Humanos , Política Organizacional , Relaciones Médico-Paciente , Privacidad , Grabación en Video/legislación & jurisprudenciaRESUMEN
Upper limb disorders (affecting the hand, arm and neck) are common. The nature of anaesthetists' work poses a potential extra risk from poor posture that may contribute to the development of upper limb disorders in this professional group. However, to date, the problem has received scant attention in the literature. Following a 2 to 3-month period of publicity via newsletter, email and social media, all 10,231 electronically accessible members of the Association of Anaesthetists were invited by email to complete an online survey that was administered by a third-party company. A total of 3884 usable responses were received (38%). Analysis of possible risk factors found a significant association between upper limb disorders and years since starting anaesthetic training, having children (irrespective of respondents' sex or the number of children) and right-handedness. Years of practice and having children are less modifiable identified risk factors. However, right-handedness may be linked to the ergonomic design of the environment/equipment used within this specialty and may thus be a potentially modifiable risk factor worthy of further investigation.
Asunto(s)
Anestesistas , Enfermedades Musculoesqueléticas/epidemiología , Enfermedades Profesionales/epidemiología , Extremidad Superior , Adulto , Anciano , Ergonomía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Postura , Factores de Riesgo , Sociedades Médicas , Encuestas y CuestionariosRESUMEN
Previous guidelines on consent for anaesthesia were issued by the Association of Anaesthetists of Great Britain and Ireland in 1999 and revised in 2006. The following guidelines have been produced in response to the changing ethical and legal background against which anaesthetists, and also intensivists and pain specialists, currently work, while retaining the key principles of respect for patients' autonomy and the need to provide adequate information. The main points of difference between the relevant legal frameworks in England and Wales and Scotland, Northern Ireland and the Republic of Ireland are also highlighted.
Asunto(s)
Anestesia/normas , Consentimiento Informado/normas , Directivas Anticipadas/ética , Directivas Anticipadas/legislación & jurisprudencia , Anestesia/efectos adversos , Anestesia/ética , Competencia Clínica , Revelación/ética , Revelación/normas , Documentación/normas , Ética Médica , Humanos , Consentimiento Informado/ética , Consentimiento Informado/legislación & jurisprudencia , Irlanda , Competencia Mental , Participación del Paciente , Reino UnidoRESUMEN
Orbiting planets induce a weak radial velocity (RV) shift in the host star that provides a powerful method of planet detection. Importantly, the RV technique provides information about the exoplanet mass, which is unavailable with the complementary technique of transit photometry. However, RV detection of an Earth-like planet in the 'habitable zone'1 requires extreme spectroscopic precision that is only possible using a laser frequency comb (LFC)2. Conventional LFCs require complex filtering steps to be compatible with astronomical spectrographs, but a new chip-based microresonator device, the Kerr soliton microcomb3-8, is an ideal match for astronomical spectrograph resolution and can eliminate these filtering steps. Here, we demonstrate an atomic/molecular line-referenced soliton microcomb as a first in-the-field demonstration of microcombs for calibration of astronomical spectrographs. These devices can ultimately provide LFC systems that would occupy only a few cubic centimetres9,10, thereby greatly expanding implementation of these technologies into remote and mobile environments beyond the research lab.
RESUMEN
An important technique for discovering and characterizing planets beyond our solar system relies upon measurement of weak Doppler shifts in the spectra of host stars induced by the influence of orbiting planets. A recent advance has been the introduction of optical frequency combs as frequency references. Frequency combs produce a series of equally spaced reference frequencies and they offer extreme accuracy and spectral grasp that can potentially revolutionize exoplanet detection. Here we demonstrate a laser frequency comb using an alternate comb generation method based on electro-optical modulation, with the comb centre wavelength stabilized to a molecular or atomic reference. In contrast to mode-locked combs, the line spacing is readily resolvable using typical astronomical grating spectrographs. Built using commercial off-the-shelf components, the instrument is relatively simple and reliable. Proof of concept experiments operated at near-infrared wavelengths were carried out at the NASA Infrared Telescope Facility and the Keck-II telescope.