Upp Till Kemp! Se Kronan Dig Vantar!

Illustration of large crown in center of coverhttps://scholarsjunction.msstate.edu/cht-sheet-music/1256/thumbnail.jp

Persistent idiopathic unilateral isolated hypoglossal nerve palsy:a report of two cases

Introduction: Isolated unilateral hypoglossal nerve palsy is an infrequent condition that usually appears in connection to an underlying disease. Rarely, the cause cannot be determined, and there is no symptom remission. Case description: We report two cases of male patients who developed persistent idiopathic isolated unilateral hypoglossal nerve palsy. The younger patient complained of involuntary movements of the tongue, while the older patient developed dysarthria. In both cases, the symptoms lasted for several weeks before the initial clinical examination, and after comprehensive clinical, laboratory, and imaging investigations, no underlying cause was detected. Both patients did not show remission of symptoms on the follow-up examinations done after several months. Discussion: Idiopathic isolated unilateral hypoglossal nerve palsy is an underreported condition, most likely due to the expected reversible nature of the disease. In the case of persistence of symptoms, extensive medical assessment is needed before postulating a diagnosis of persistent idiopathic isolated unilateral hypoglossal nerve palsy. There are no treatment guidelines for this condition, but oral steroids were reported as a treatment option. Therefore, physicians should use a systematic approach to exclude serious underlying pathology or identify a treatable condition.</p

Impacts of Duty Belts and Load Placement on Police Officers: A Systematic Review

Law enforcement officers (LEO) wear duty belts to hold the specialised equipment required to complete their daily occupational tasks. The aim of this review was to identify, collect, and synthesize research investigating the impacts of duty belts and load placement on LEOs. Methods: A systematic review, registered with the Open Science Framework, was conducted following the Preferred Reporting Items for Systematic Reviews guidelines. Five databases were searched (PubMed, Embase, CINAHL, SPORTDiscus, and Web of Science) with identified studies considered against eligibility criteria. Included studies were critically appraised by two reviewers independently using the Joanna Briggs Institute checklist or the Mixed Method Appraisal Tool. Results: Ten studies (mean appraisal score = 79.8%; Kappa agreement = 0.73) informed the review revealing two main emerging themes; occupational impacts (task performance, vehicle duties, and weapon draw time), and movement impacts (balance, gait, and jump-based movements). Nine studies found duty belts and equipment loads, regardless of placement, negatively impacted LEO occupational tasks and movements in general. There were some differences in the nature of the impacts (e.g., areas of pressure with different systems). One study found no differences in performance between hip versus thigh holsters. Conclusions: The evidence suggests that LEO duty belts, their attachments, and the loads imparted by their equipment have a negative impact on performance of occupational tasks as well as officer movement, increasing injury potential. There were some differences in impacts based on load placement warranting consideration and further research

Professionals’ Experiences with Local Implementation of the Greenlandic Parenting Programme MANU 0–1 Year

Historically, public health interventions in Greenland are primarily adopted from a Scandinavian context or developed centrally in the capital city instead of building on communities’ local resources and strengths. The aim of this article is to identify implementation determinants from professionals’ perspectives in the implementation of the parenting programme Meeraq Angajoqqaat Nuannaarneq (MANU, meaning child’s and parent’s happiness) 0–1 Year, at the local level in three of Greenland’s five health regions. The study applied the Consolidated Framework for Implementation Research. Semi-structured interviews with 18 health professionals and six managers in healthcare and with four municipality personnel were held. Additionally, data on staffing from the Board for Health and Prevention was gathered. Professionals agree on the importance of having a universal parenting programme, but it is not a priority to them. Characteristics of the programme were a barrier in implementation in some local contexts, such as professionals experiencing parents being uncomfortable with participating in group sessions. Many professionals felt it was a daunting task to facilitate a group session. MANU was also incompatible with existing workflows. High turnover in the healthcare system makes it difficult to implement and sustain programmes. Professionals found it difficult to apply supervision provided by the MANU team and, at times, did not feel recognised in their efforts. Adaptations were made to MANU to fit local contexts. The identified determinants hindering local implementation link back to MANU’s complexity and inadequate preparatory investigations made into aspects influencing implementation during MANU’s conceptualisation and development. Many of the barriers identified could have been prevented by involving local community perspectives from professionals and families from the outset of MANU