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Evidenz, Technik und Tipps
Osteoporose als Folgeerkrankung: Konsequenzen für die Praxis
Extracranielle Indikationen
Aspekte aus juristischer und medizinischer Sicht

Abstract

BACKGROUND. Starting from the European and American guidelines regarding sedation during gastrointestinal investigations and continuing with the American Society of Anesthesiologists (ASA) recommendations, we have developed a software that helps the ENT specialist to decide whether the patient can undergo a moderate sedation in the operating room, or in the outpatient office, during the drug-induced sleep endoscopy.

MATERIAL AND METHODS. The application is written in C#, using the. NET Framework, and is available for the Windows operating system. The application has a very simple and user-friendly interface, and a bare-bones implementation, focusing strictly on the decision-making process.

RESULTS. The application involves the information obtained from patient history, clinical examination and polysomnography. After filling all the patient’s data, it will show the result that can be one of the following: ”treatment can be ambulatory”, “treatment should be done in the hospital” or “treatment is not recommended”.

CONCLUSION. The decision-making software application may substitute the evaluation of the anaesthesiologist during drug-induced sleep endoscopy in certain conditions.

Abstract

In the perspective of the General Theory of Fighting Arts, an analysis of socio-cultural factors that determine the opposition of the role of a teacher of martial arts (Jap. sensei) to the role of a sports trainers was undertaken. The structural cultural context, cultural patterns, and social institutions resulting from divergent goals were taken into account. The roles of teachers and trainers result from these conditions. The existence of the separate roles of the master-teacher in martial arts and the sports trainer was established. These roles manifest themselves in different relations with students or players. Democratic and egalitarian interactions in sports teams include player and coach relations. In traditional martial arts, the dominance of the teacher is more accepted. However, there is also a social position combining the features of the sensei and the trainer that is typical for combat sports that are also martial arts (participating in sports competitions). As there are relationships of subordination in the hierarchical societies of Japan and Korea, there is no problem with recognizing the primary role of the sensei in these cultures. The position of the master-teacher is also sanctified by tradition. Reducing educational systems, which are the paths of martial arts, to oriental varieties of sports would be a serious factual mistake.