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As medical schools move to integrate the Core Entrustable Professional Activities for Entering Residency (EPAs) into curricula and address the transition from student to resident, residency preparatory courses have become more prevalent. The authors developed an experiential learning EPA-based capstone course for assessment to determine impact on learner self-assessed ratings of readiness for residency and acquisition of medical knowledge. All fourth-year students from the classes of 2018-2020 completed a required course in the spring for assessment of multiple EPAs, including managing core complaints, performing basic procedures, obtaining informed consent, and providing patient handoffs. Learners selected between three specialty-based parallel tracks - adult medicine, surgery, or pediatrics. Students completed a retrospective pre-post questionnaire to provide self-assessed ratings of residency preparedness and comfort in performing EPAs. Finally, the authors studied the impact of the course on knowledge acquisition by comparing student performance in the adult medicine track on multiple choice pre- and post-tests. Four hundred and eighty-one students were eligible for the study and 452 (94%) completed the questionnaire. For all three tracks, there was a statistically significant change in learner self-assessed ratings of preparedness for residency from pre- to post-course (moderately or very prepared: adult medicine 61.4% to 88.6% [p-value < 0.001]; surgery 56.8% to 81.1% [p-value < 0.001]; pediatrics 32.6% to 83.7% [p-value 0.02]). A similar change was noted in all tracks in learner self-assessed ratings of comfort from pre- to post-course for all studied EPAs. Of the 203 students who participated in the adult medicine track from 2019-2020, 200 (99%) completed both the pre- and post-test knowledge assessments. The mean performance improved from 65.0% to 77.5% (p-value < 0.001). An experiential capstone course for the assessment of EPAs can be effective to improve learner self-assessed ratings of readiness for residency training and acquisition of medical knowledge.

Preparing and serving allergen-free meals continue to be challenging for food service establishments due to the associated costs and complexity of menu items. Our study assessed food allergy policies and procedures in independently owned restaurants (n = 103) within the Orlando metropolitan area in Florida. The Florida Department of Business and Professional Regulation HR 5030-038 from the Division of Hotels and Restaurants requires all food service managers and employees to know and name the top 8 major allergens and describe common food allergy symptoms. In total, 71 restaurants accommodated customers who have food allergies. Further, 25 restaurants reported having written food allergy policies and procedures, 63 did not, and 5 did not know. Approximately one half (49) of the owners, operators, and managers did not receive food allergy training. Of the training provided, 27 restaurants offered training in English and 20 restaurants offered training also in Spanish. Food service establishments will benefit from developing and implementing food allergy policies and procedures to serve food safely to customers who have food allergies. [ABSTRACT FROM AUTHOR]

Pseudothrombocytopenia (PTCP) is defined by the occurence of spouriously low platelet count as a consequence of in vitro platelet aggregation. It is a rare and benign artifact, not associated with any specific disorder or therapy, that becomes clinically relevant when it is not timely and reliably recognized. Thus, it may result in inappropriate clinical decisions (i.e. unnecessary further testing, misdiagnoses and potential patients' mismanagement) unavoidably compromising patient safety. The most common form of PTCP is caused by ethylenediaminetetraacetic acid (EDTA). Several approaches for the management of samples with EDTA-induced PTCP have been described in the literature. However, expert recommendations are scarce. The scope of these recommendations is to assist in achieving national harmonisation in laboratory management (i.e. detecting and reporting platelet counts) of samples with EDTA-induced PTCP. These minimal recommendations were prepared by the members of the joint working group of the Croatian Chamber of Medical Biochemists and Working group for Laboratory Hematology of the Croatian Society of Medical Biochemistry and Laboratory Medicine, and might be customized according to specific conditions (i.e. personnel and equipment) of each individual laboratory. These recommendations are primarily intended to all laboratory professionals involved in the management of samples with EDTA-induced PTCP, but also to other healthcare professionals involved in collecting samples and interpreting complete blood count results. [ABSTRACT FROM AUTHOR]

The Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) Series was created in 2014 to address the Free Open Access Medical Education (FOAM) movements decentralized nature and lack of inherent peer review. The AIR series provides a topic-based, curated list of online educational content vetted by academic emergency medicine (EM) faculty that meets individualized interactive instruction criteria for EM trainees. Relevant FOAM resources were identified from the top 50 FOAM websites using the Social Media Index and then scored by EM faculty using a validated instrument to identify the highest quality posts related to a topic. This article reviews FOAM resources pertaining to EM procedures that were labeled as an Approved Instructional Resource or Honorable Mention using the AIR series methodology.

The purpose of the article is to present the impact of legal regulations in the field of sustainable development (ESG) and taxonomies on the course of credit processes in commercial banks. Methodology refers to studies of legal regulations, comparative analysis of cases (case study) and inference. Results of the research show that the implementation of ESG regulations and taxonomies and the adaptation of credit processes in commercial banks will result in structural changes in loan portfolios in the near future while moving away from financing dirty industries towards the green ones. As a result, the financing stream for green assets and those supporting sustainable development will be increased, while the financing of dirty assets will be significantly reduced due to the increase in risks and accompanying costs for customers and banks. It is expected that even if some banks grant loans to finance dirty assets, they will only be short-term loans and will require high servicing costs (commission, margin, legal security, and insurance). This is due to the fact that the portfolio with credit exposures in the so-called dirty industries (mining, construction, trade) will escalate the increase in ESG risk. Such a portfolio with dirty exposures will require banks to secure additional reserve capital to maintain higher general and sector systemic risk buffers. Some banks will completely stop financing assets from dirty industries, which will mean that some of them will be abandoned due to the lack or high costs of their modernization, intensifying the negative socio-economic consequences. The ongoing process of redirecting the financing stream to green assets in banks means that enterprises and households need to take earlier adaptation actions. These include actions against financing constraints in dirty sectors and likely future losses in infrastructure and assets related to them.

ALS is characterized by a highly heterogeneous course, ranging from slow and uncomplicated to rapid progression with severe extra-motor manifestations. This study investigated ALS-related hospitalizations and their connection to clinical aspects, comorbidities, and prognosis. We performed a retrospective cohort study including patients residing in Modena, Italy, newly diagnosed between 2007 and 2017 and followed up until 31 December 2022. Data were obtained from the Emilia Romagna ALS registry, regional hospitals, and medical records. Among the 249 patients, there were 492 hospital admissions, excluding those for diagnostic purposes; 63% of the patients had at least one hospitalization post-diagnosis, with an average stay of 19.90 ± 23.68 days. Younger patients were more likely to be hospitalized multiple times and experienced longer stays (44.23 ± 51.71 days if <65 years; 26.46 ± 36.02 days if older, p < 0.001). Patients who were hospitalized at least once more frequently underwent gastrostomy (64.97%) or non-invasive (66.24%) and invasive (46.50%) ventilation compared to those never hospitalized (21.74%, 31.52%, 13.04%, respectively, p < 0.001 for all). Emergency procedures led to longer hospitalizations (62.84 ± 48.91 days for non-invasive ventilation in emergencies vs. 39.88 ± 46.46 days electively, p = 0.012). Tracheostomy-free survival was not affected by hospitalizations. In conclusion, younger ALS patients undergo frequent and prolonged hospitalizations, especially after emergency interventions, although these do not correlate with reduced survival. [ABSTRACT FROM AUTHOR]

Objective: Using eye tracking technology, this study sought to determine if differences in hazard statement (HS) compliance based on design elements are attributable to attention maintenance (AM). Background: Recent empirical work has demonstrated counter-intuitive findings for HS designs embedded in procedures. Specifically, prevalent HS designs in procedures were associated with lower compliance. Method: The current study utilized eye tracking technology to determine whether participants are attending to HSs differently based on the inclusion or absence of visually distinct HS design elements typically used for consumer products. We used two different designs that previously yielded the largest gap in HS compliance. In a fully-crossed design, 33 participants completed four rounds of tasks using four procedures with embedded HSs. To assess AM, eye tracking was used to measure gaze and fixation duration. Results: The results indicated there are differences in AM between the two designs. The HSs that included elements traditionally considered effective in the consumer products literature elicited lower fixation duration times, and were associated with lower compliance. However, AM did not mediate the design effect on compliance. Conclusions: The study results suggest the design of HSs are impacting individuals as early as the AM stage of the C-HIP model. The absence of HS design-AM-compliance mediation suggests other C-HIP elements more directly explain the HS design-compliance effects. Application: These results provide more evidence that the communication of Health, Environment, and Safety information in procedures may need to be different from those on consumer products, suggesting design efficacy may be task dependent. [ABSTRACT FROM AUTHOR]

Over investigations contribute to escalating health costs driven by multiple factors including physician decisions, patient requests, information overload, technological advances, marketing, hospital management policies, insurance requirements and defensive practices. The reconciliation between knowledge and clinical wisdom while dealing with uncertainties in medicine is the primary way forward through this ethical maze. A case scenario illustrates what pediatricians need to reflect upon while facing decisions on rational investigations to maximize beneficence while being aware of economics of healthcare delivery. [ABSTRACT FROM AUTHOR]

Copyright of Revista Entramado is the property of Universidad Libre Seccional Cali and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Engineering (17264073) is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Biopsies of muscle and adipose tissue (AT) are useful tools to gain insights into the aging processes in these tissues. However, they are invasive procedures and their risk/benefit profile in older adults can be altered by sarcopenia, frailty, poor healing, and multimorbidity. Their success rates, safety, and tolerability in a geriatric population have not been reported in detail. Investigators in the Study of Muscle, Mobility, and Aging (SOMMA) performed biopsies of muscle and AT in older adults and prospectively collected data on biopsy success rates, safety, and tolerability. We report here the methods and outcomes of these two procedures. In total, 861 participants (aged 70–94) underwent percutaneous biopsies of the Vastus lateralis muscle with a Bergstrom needle. A subset (n = 241) also underwent percutaneous biopsies of the abdominal subcutaneous AT with the tumescent liposuction technique. Success rate was assessed by the percentage of biopsies yielding adequate specimens for analyses; tolerability by pain scores; and safety by frequency of adverse events. All data were prospectively collected. The overall muscle biopsy success rate was 97.1% and was modestly lower in women. The AT biopsy success rate was 95.9% and slightly lower in men. Minimal or no pain was reported in 68% of muscle biopsies and in 83% of AT biopsies. Adverse events occurred in 2.67% of muscle biopsies and 4.15% of AT biopsies. None was serious. In older adults, percutaneous muscle biopsies and abdominal subcutaneous AT biopsies have an excellent safety profile, often achieve adequate tissue yields for analyses, and are well tolerated. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Finance & Financial Law / Finanse i Prawo Finansowe is the property of Wydawnictwo Uniwersytetu Lodzkiego and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Starting a new business can sometimes be quite simple and sometimes very challenging. Data from various countries show that this situation varies from region to region. In particular, the setup time and procedures involved in starting a business are important factors that can hinder the business setup process and demotivate entrepreneurs from making a new investment. This study therefore examines the extent to which entrepreneurs are affected by these factors. The research sample includes 10-year data of 87 different countries. It consists of 3 different variables and contains 2610 data in total. The findings demonstrated a positive and significant relationship between business setup time and procedures, a negative and significant relationship between procedures and starting a new business, a negative and significant relationship between business set up time and starting a new business. It was also revealed that procedures have a mediator role on the relationship between business setup time and starting a new business. The results of the study indicate that there should be a global reduction in the time-consuming aspects of business start-up procedures. Addressing these impediments to entrepreneurship and implementing policies that encourage the creation new investment in the economy are important tasks of governments. The research provides quantitative insights to researchers who aim to conduct future studies on this subject. [ABSTRACT FROM AUTHOR]

Conceptual and procedural knowledge is fundamental for students to understand and solve fraction problems comprehensively. However, empirical studies indicate that elementary school students still do not have adequate conceptual and procedural knowledge in solving fraction problems. This study aimed to analyze the forms of conceptual and procedural knowledge of elementary school students in solving fraction problems. This study used a qualitative method involving 86 participants from grades four to six in one of the public elementary schools in Sidoarjo. Seven subjects were selected to represent the forms based on each aspect of conceptual and procedural knowledge of fractions. The data analysis used was descriptive analysis with data collection methods using tests, interviews, and documentation. Empirical research showed that students can successfully use conceptual and procedural knowledge of fractions in certain forms. There are three forms of conceptual knowledge of fractions: comparing, applying, and visualizing fractions. Meanwhile, there are four forms of procedural knowledge of fractions: explaining procedures, converting fractions, adding or subtracting fractions, and simplifying fractions. The results of this study have implications for educators or academics to emphasize learning by integrating forms of conceptual and procedural knowledge so that students avoid failure in solving fraction problems. Pengetahuan konseptual dan prosedural merupakan pengetahuan mendasar agar siswa dapat memahami dan memecahkan masalah pecahan secara komprehensif. Namun, berdasarkan studi empiris diindikasikan bahwa siswa sekolah dasar masih belum memiliki pengetahuan konseptual dan prosedural yang memadai dalam memecahkan masalah pecahan. Tujuan penelitian ini untuk menganalisis bentuk-bentuk pengetahuan konseptual dan prosedural siswa sekolah dasar dalam memecahkan masalah pecahan. Penelitian ini menggunakan metode kualitatif dengan melibatkan 86 partisipan siswa kelas empat sampai enam di salah satu sekolah dasar negeri di Sidoarjo. Tujuh subjek dipilih untuk mewakili bentuk-bentuk berdasarkan setiap aspek pengetahuan konseptual dan prosedural pecahan. Analisis data yang digunakan adalah analisis deskriptif dengan metode pengumpulan data menggunakan tes, wawancara dan dokumentasi. Hasil penelitian secara empiris menunjukkan siswa berhasil menggunakan pengetahuan konseptual dan prosedural pecahan dalam bentuk-bentuk tertentu. Terdapat tiga bentuk pengetahuan konseptual pecahan, yaitu: membandingkan pecahan, menerapkan pecahan, dan memvisualisasikan pecahan. Sementara, terdapat empat bentuk pengetahuan prosedural pecahan, yaitu: menjelaskan prosedur, mengkonversi pecahan, menjumlahkan atau mengurangkan pecahan, dan menyederhanakan pecahan. Hasil penelitian ini berimplikasi bagi para pendidik atau akademisi untuk menekankan pembelajaran dengan mengintegrasikan bentuk-bentuk pengetahuan konseptual dan prosedural, agar siswa terhindar dari ketidakberhasilan dalam memecahkan masalah pecahan.

As medical schools move to integrate the Core Entrustable Professional Activities for Entering Residency (EPAs) into curricula and address the transition from student to resident, residency preparatory courses have become more prevalent. The authors developed an experiential learning EPA-based capstone course for assessment to determine impact on learner self-assessed ratings of readiness for residency and acquisition of medical knowledge. All fourth-year students from the classes of 2018–2020 completed a required course in the spring for assessment of multiple EPAs, including managing core complaints, performing basic procedures, obtaining informed consent, and providing patient handoffs. Learners selected between three specialty-based parallel tracks – adult medicine, surgery, or pediatrics. Students completed a retrospective pre-post questionnaire to provide self-assessed ratings of residency preparedness and comfort in performing EPAs. Finally, the authors studied the impact of the course on knowledge acquisition by comparing student performance in the adult medicine track on multiple choice pre- and post-tests. Four hundred and eighty-one students were eligible for the study and 452 (94%) completed the questionnaire. For all three tracks, there was a statistically significant change in learner self-assessed ratings of preparedness for residency from pre- to post-course (moderately or very prepared: adult medicine 61.4% to 88.6% [p-value < 0.001]; surgery 56.8% to 81.1% [p-value < 0.001]; pediatrics 32.6% to 83.7% [p-value 0.02]). A similar change was noted in all tracks in learner self-assessed ratings of comfort from pre- to post-course for all studied EPAs. Of the 203 students who participated in the adult medicine track from 2019–2020, 200 (99%) completed both the pre- and post-test knowledge assessments. The mean performance improved from 65.0% to 77.5% (p-value < 0.001). An experiential capstone course for the assessment of EPAs can be effective to improve learner self-assessed ratings of readiness for residency training and acquisition of medical knowledge.

Introduction: Hospitalizations during the coronavirus 2019 (COVID-19) pandemic peaked in New York in March–April 2020. In the months following, emergency department (ED) volumes declined. Our objective in this study was to examine the effect of this decline on the procedural experience of emergency medicine (EM) residents compared to the pre-pandemic period.Methods: We conducted this multicenter, retrospective cohort study of patients seen and key procedures performed by EM residents at hospitals spanning three Accreditation Committee for Graduate Medical Education-approved EM residencies in New York City and Nassau County, NY. We obtained numbers of procedures performed during May–July 2020 and compared them to the same time period for 2019 and 2018. We a priori classified critical care procedures—cardioversion, central lines, chest tubes, procedural sedation, and endotracheal intubation. We also studied “fast-track” procedures—fracture/joint reduction, incision and drainage (I&D), laceration repairs, and splints.Results: Total number of critical care procedures in the months following the COVID-19 peak decreased from 694 to 606 (−12.7%, 95% confidence interval [CI] 10.3–15.4%), compared to an increase from 642 to 694 (+8.1%, 95% CI 6.1–10.5%) the previous year (difference −9.3%). Total number of fast-track procedures decreased from 5,253 to 3,369 (−35.9%, 95% CI 34.6–37.2%), compared to a decrease from 5,333 to 5,253 (−1.5%, 95% CI 1.2–1.9%) the year before (difference −36.3%). Specific critical care procedures performed in 2020 compared to the mean of 2019 and 2018 as follows: cardioversion −33.3%; central lines +19.0%; chest tubes −27.9%; procedural sedation −30.8%; endotracheal intubation −13.8%. Specific fast-track procedures: reductions +33.3%; I&D −48.6%; laceration repair −17.3%; and splint application −49.8%.Conclusion: Emergency medicine residents’ critical and fast-track procedural experience at five hospitals was reduced during the months following the COVID-19 peak in comparison to a similar period in the two years prior. Training programs may consider increasing simulation-lab and cadaver-lab experiences, as well as ED and critical care rotations for their residents to offset this trend.

Introduction: Emergency medicine (EM) programs train residents to perform clinical procedures with known iatrogenic risks. Currently, there is no established framework for graduating medical students to demonstrate procedural competency prior to matriculating into residency. Mastery-based learning has demonstrated improved patient-safety outcomes. Incorporation of this framework allows learners to demonstrate procedural competency to a predetermined standard in the simulation laboratory prior to performing invasive procedures on patients in the clinical setting. This study describes the creation and implementation of a competency-based procedural curriculum for first-year EM residents using simulation to prepare learners for supervised participation in procedures during patient care.Methods: Checklists were developed internally for five high-risk procedures (central venous line placement, endotracheal intubation, lumbar puncture, paracentesis, chest tube placement). Performance standards were developed using Mastery-Angoff methods. Minimum passing scores were determined for each procedure. Over a two-year period, 38 residents underwent baseline assessment, deliberate practice, and post-testing against the passing standard score to demonstrate procedural competency in the simulation laboratory during intern orientation.Results: We found that 37% of residents required more than one attempt to achieve the minimum passing score on some procedures, however, all residents ultimately met the competency standard on all five high-risk procedures in simulation. One critical incident of central venous catheter guideline retention was identified in the simulation laboratory during the second year of implementation.Conclusion: All incoming first-year EM residents demonstrated procedural competence on five different procedures using a mastery-based educational framework. A competency-based EM curriculum allowed for demonstration of procedural competence prior to resident participation in supervised clinical patient care.

Copyright of University of Health Sciences Journal of Nursing is the property of Saglik Bilimleri Universitesi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Parliamentary questions are one of the most widely used and common parliamentary control instruments. The purpose of parliamentary questions in the United Arab Emirates (UAE) is to hold the government accountable and reveal violations or clarify facts in the work of the executive authority. The Federal Constitution does not provide means of parliamentary control over the government, so parliamentary questions play a bigger role in the UAE than in other countries. This paper examines the practice of parliamentary questions in the Federal National Council (FNC) of the UAE. The methodology employed in this paper involves a comprehensive analysis of the practice of parliamentary questions within the context of the UAE's Federal National Council (FNC). Through a qualitative approach, the study delves into the role of parliamentary questions as a tool for governmental reforms, transparency enhancement, and executive authority accountability. Utilizing both primary and secondary sources, the research examines the impact of parliamentary questions in revealing violations, elucidating facts, and addressing citizens' everyday concerns. By employing a multifaceted analytical framework, this study offers valuable insights into the significance and effectiveness of parliamentary questions within the UAE's political landscape. The key findings in the paper on the practice of parliamentary questions in the UAE's FNC underscore the essential role of parliamentary questions in holding the government accountable and ensuring transparency. The document reveals how parliamentary questions serve as a vital tool for revealing violations, clarifying facts, and prompting governmental reforms. Overall, this paper highlights how parliamentary questions are a vital component of governance in the UAE and emphasizes their importance for ensuring accountability and transparency in government operations. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Babylon Center for Humanities Studies is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The interest and thus the number of publications on the supply chains of bast fiber plants has steadily increased in recent years. A number of specific technical terms related to methods and their use for individual areas of the supply chain are often interpreted and used in very different ways. Therefore, the aim of this publication is to increase the clarity of the description of the operations and to improve the understanding of the sequence and the purpose of the process steps. This is based on a selected review of the relevant literature as well as on suggestions for their classification [ABSTRACT FROM AUTHOR]

The use of machine translation has become ubiquitous across various translation practices, especially with the advent of neural machine translation and the integration of deep learning and artificial intelligence in translation program development. While the accuracy and quality of machine translation outcomes have significantly improved, challenges persist particularly in legal translation from English to Arabic. The unique nature of legal discourse and structural differences between English and Arabic make accurately translating legal language features a daunting task. This study aims to evaluate the quality of neural machine translation in rendering legal Latin phraseology into Arabic by comparing two websites: Google Translate and Yandex. A corpus-based approach was adopted where 270 Latin-origin legal terms and phrases were collected, scrutinised, and translated using both platforms. The evaluation focuses on four criteria: inappropriate translations, no translations provided, borrowing (phonetic transliteration into Arabic), and equivalence—the culturally and functionally suitable translation. Key findings indicate that despite significant advancements in machine translation technology, accuracy remains a critical issue, with approximately half of the terms not translated correctly. While Google Translate is widely used, Yandex demonstrated higher accuracy in this context. Furthermore, the majority of phrases selected for this study were not accurately translated by either website. The solution to this problem lies in enhancing the training process. Arabic users and translators should contribute more translations to enrich Arabic corpora online. Additionally, it's been observed that there is a lack of English-Arabic dictionaries or databases dedicated to Legal Language Processing (LLP). Therefore, initiating a research project addressing this issue could be of utmost importance. Regarding specialized language, improving the quality of Neural Machine Translation (NMT) raises questions about its reliability for both learners and professional translators. Accordingly, the study recommends further research on assessing machine translation quality, improving neural machine translation terminology accuracy, and enhancing machine learning models with more Arabic content and corpora.

The right to own property is an intrinsic human right that grants ownership and enjoyment to owners. The property right, however, is not absolute because it is subject to the state’s authority to compulsorily acquire land that is in private hands, which is referred to as land acquisition. Land acquisition refers to the power granted to the state government to obtain privately owned land for a public purpose, in exchange for fair compensation (Keith et al., 2008). Land acquisition is an essential strategy for the state to address the limited availability of land when it is necessary to create railways, airports, or any other infrastructure for the benefit of the public (Jonathan, 2012). Nevertheless, the process of acquiring land is a lengthy procedure that has a significant influence on the local community. This is because it involves conflicting interests between the government that is seemingly acting on behalf of the general public, and the very public who are affected by the acquisition itself. Therefore, the land acquisition system is supposed to be designed as a method of reconciling these conflicting interests. Despite this ideal purpose, numerous countries, particularly in emerging nations like Malaysia, face challenges in achieving a harmonious equilibrium between the conflicting public and private interests. These challenges arise from inadequate legislative safeguards and a conventional hierarchical approach adopted by the government branches of the state (Ghimire et al., 2017). The public aspect is usually legally defined, but private perspectives may not always be apparent. In order to achieve the right balance between conflicting public and private interests, this study aims to examine the perspectives of the individuals, i.e., the landowners who are directly affected by the land acquisition. This study examines their perceptions and attitudes towards the whole process and procedures of the land acquisition to which they were subjected, as well as their corresponding responses and willingness to make sacrifices in pursuit of the higher objectives of the state. To achieve this goal, a questionnaire survey has been used as the methodology of collecting data from the landowners and the results are presented using descriptive analysis. The outcome demonstrated that whenever the state exercises the power of land acquisition, the balance tends to side with the interest of the public rather than the private interests of the affected individuals, both in law and in practice. In addition, Malaysia became a member of the United Nations on 17 September 1957. Hence, it is crucial to examine the principles of compulsory land acquisition as delineated by the United Nations study (Keith et al., 2008). The final section of this article provides an analysis of the findings and then make recommendations by referring to Australia’s best practices for adoption in Peninsular Malaysia. The methodologies employed in this study are the data collection method and comparative legal analysis.

Today's world is witnessing continuous development, particularly in the construction sector, which is meeting the rising population and their need for essential facilities; this is one of the reasons why construction is witnessing such development. Different crises significantly affect this sector, including the financial crisis in different countries. This paper identifies the financial crises, their categories, and the reasons for appearing them. Inflation, currency exchange fluctuations, and the drop in global oil prices are the most important reasons for the emergence of external financial crises, especially in Iraq, which considers oil an important economic resource for its budget. The unexpected global financial events led to an economic collapse that affected the construction sector. Many large projects in Iraq have been put on hold as a result of these conditions due to the country's lack of resources to address these crises. This paper aims to study and identify potential crises and potential responses and mitigation strategies for each crisis stage.

Abstract Objectives Emergency department (ED) crowding negatively affects patient care, but the effect on resident education has been difficult to quantify. We aimed to describe the relationship between ED crowding and residents’ ability to meet point‐of‐care ultrasound (POCUS) education goals. Methods We retrospectively reviewed medical records from November 2021 to June 2023 at an academic level 1 trauma center, where emergency medicine residents complete longitudinal POCUS scanning shifts throughout 3 years of training. Residents are expected to complete ≥14 scans per scanning shift. We assessed whether completing the goal POCUS scans on a scanning shift (success: ≥14 scans, near‐success: 10‒13, failure:

Rehabilitation is increasingly being integrated into dementia care. To provide person-centred rehabilitation interventions, a systematic assessment of rehabilitation needs is essential. This scoping review was conducted to identify and map the characteristics of tools and procedures used by health professionals to assess the rehabilitation needs of people living at home with early-stage dementia. A comprehensive literature search was conducted in 2018, 2020, 2021 and 2023 of PubMed, Embase, PsycInfo, CINAHL and Prospero. Identified tools were classified according to the World Health Organization's ICF classification and subjective perspectives. Procedures were classified according to place, time and the people involved in the needs assessment. Eleven papers were included. The population considered was predominantly people diagnosed with Alzheimer's dementia. The identified tools mainly assessed problems with functioning, predominantly focusing on activity and less frequently on participation. One tool had a focus on the environment. None of the tools focused on personal factors. Subjective perspectives were mainly assessed in terms of goal setting. Procedures were poorly described. While several needs assessment tools were identified, procedures for needs assessment were sparsely described in the included papers. This scoping review indicates that a strengthened focus on needs assessment is needed in future research and practice.

Abstract Background In the Netherlands, 2 to 10% of the residents terminate training prematurely. Infrequently, termination of training is by dismissal. Incidentally, residents may disagree, dispute and challenge these decisions from the programme directors. Resident dismissal is always a difficult decision, most commonly made after, repeated assessments, and triangulation of the resulting assessment data and one or more remediation attempts. Nevertheless, the underlying reasons for dismissal and the policies for remediation and dismissal may differ between training programmes. Such differences may however impact the chance of remediation success, the chance of dismissal and subsequent residents’ appeals. Method We included a total of 70 residents from two groups (community-based and hospital-based specialties) during 10 years of appeals. Subsequently, we compared these groups on factors potentially associated with the outcome of the conciliation board decision regarding the residents’ dismissal. We focused herein on remediation strategies applied, and reasons reported to dismiss residents. Results In both groups, the most alleged reason to dismiss residents was lack of trainability, > 97%. This was related to deficiencies in professionalism in community-based practice and medical expertise in hospital-based specialties respectively. A reason less frequently mentioned was endangerment of patient care,

Starting a new business can sometimes be quite simple and sometimes very challenging. Data from various countries show that this situation varies from region to region. In particular, the setup time and procedures involved in starting a business are important factors that can hinder the business setup process and demotivate entrepreneurs from making a new investment. This study therefore examines the extent to which entrepreneurs are affected by these factors. In the study, 10-year data of 87 different countries were used. These data consist of 3 different variables and include 2610 data in total. The findings demonstrated a positive and significant relationship between business setup time and procedures, a negative and significant relationship between procedures and starting a new business, a negative and significant relationship between business set up time and starting a new business. It was also revealed that procedures have a mediator role on the relationship between business setup time and starting a new business. The results of the study indicate that there should be a global reduction in the time-consuming aspects of business start-up procedures. Addressing these impediments to entrepreneurship and implementing policies that encourage the creation new investment in the economy are important tasks of governments. The research provides quantitative insights to researchers who aim to conduct future studies on this subject.

Abstract Background Children with autism spectrum disorders are frequent visitors to high technology environments, and their needs may differ from those of their typically developed peers. Procedures in high technology environments can constitute a challenge for these children and their parents since the environment presents many challenges relevant to the child’s impairments. This systematic review aimed to explore the experiences of children with autism spectrum disorders and their parents during procedures in a high technology environment. Methods The following sources were searched for this systematic review: Cochrane CENTRAL Trials, CINAHL, Dentistry and Oral Sciences Source, MEDLINE, PsycINFO, Scopus, and Web of Science Core Collection. The search terms included variants of the following concepts: (1) children with autism spectrum disorder and/or their parents and (2) anesthesia or radiographic departments. Publications were not limited by date or study design. Result Out of 13,389 bibliographic records, nine studies were eligible for synthesis. After another search in October 2022, one additional study was eligible for synthesis.None of the studies reported children’s experiences, and all ten reported their parents’ experiences. Only one study was conducted in a radiographic context. Parents’ experiences were both positive and negative and were categorized into two main categories: (1) challenges in a new environment and (2) health care professionals’ approaches. Conclusion Studies describing children’s experiences with procedures in high technology environments are lacking. The parents described a need for health care professionals to work in structured ways with their child and to be able to make suitable adaptations. Systematic review registration This systematic review was registered in advance on the Open Science Framework, https://doi.org/10.17605/OSF.IO/5TXWJ .

Background: In the Netherlands, 2 to 10% of the residents terminate training prematurely. Infrequently, termination of training is by dismissal. Incidentally, residents may disagree, dispute and challenge these decisions from the programme directors. Resident dismissal is always a difficult decision, most commonly made after, repeated assessments, and triangulation of the resulting assessment data and one or more remediation attempts. Nevertheless, the underlying reasons for dismissal and the policies for remediation and dismissal may differ between training programmes. Such differences may however impact the chance of remediation success, the chance of dismissal and subsequent residents' appeals. Method: We included a total of 70 residents from two groups (community-based and hospital-based specialties) during 10 years of appeals. Subsequently, we compared these groups on factors potentially associated with the outcome of the conciliation board decision regarding the residents' dismissal. We focused herein on remediation strategies applied, and reasons reported to dismiss residents. Results: In both groups, the most alleged reason to dismiss residents was lack of trainability, > 97%. This was related to deficiencies in professionalism in community-based practice and medical expertise in hospital-based specialties respectively. A reason less frequently mentioned was endangerment of patient care, < 26%. However, none of these residents accused of endangerment, actually jeopardized the patients' health, probably due to the vigilance of their supervisors. Remediation strategies varied between the two groups, whereas hospital-based specialties preferred formal remediation plans in contrast to community-based practice. A multitude of remediation strategies per competency (medical expertise, professionalism, communication, management) were applied and described in these law cases. Discussion: Residents' appeals in community-based practice were significantly less likely to succeed compared to hospital-based specialties. Hypothesised explanatory factors underlying these differences include community-based practices' more prominent attention to the longitudinal assessment of professionalism, the presence of regular quarterly progress meetings, precise documentation of deficiencies, and discretion over the timing of dismissal in contrast to dismissal in the hospital-based specialties which is only formally possible during scheduled formal summative assessment meetings. [ABSTRACT FROM AUTHOR]

Background: Children with autism spectrum disorders are frequent visitors to high technology environments, and their needs may differ from those of their typically developed peers. Procedures in high technology environments can constitute a challenge for these children and their parents since the environment presents many challenges relevant to the child's impairments. This systematic review aimed to explore the experiences of children with autism spectrum disorders and their parents during procedures in a high technology environment. Methods: The following sources were searched for this systematic review: Cochrane CENTRAL Trials, CINAHL, Dentistry and Oral Sciences Source, MEDLINE, PsycINFO, Scopus, and Web of Science Core Collection. The search terms included variants of the following concepts: (1) children with autism spectrum disorder and/or their parents and (2) anesthesia or radiographic departments. Publications were not limited by date or study design. Result: Out of 13,389 bibliographic records, nine studies were eligible for synthesis. After another search in October 2022, one additional study was eligible for synthesis.None of the studies reported children's experiences, and all ten reported their parents' experiences. Only one study was conducted in a radiographic context. Parents' experiences were both positive and negative and were categorized into two main categories: (1) challenges in a new environment and (2) health care professionals' approaches. Conclusion: Studies describing children's experiences with procedures in high technology environments are lacking. The parents described a need for health care professionals to work in structured ways with their child and to be able to make suitable adaptations. Systematic review registration: This systematic review was registered in advance on the Open Science Framework, https://doi.org/10.17605/OSF.IO/5TXWJ. [ABSTRACT FROM AUTHOR]

Copyright of Avances is the property of Instituto de Informacion Cientifica y Tecnologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The study examined the legal system of electronic telegrams in the system of using electronic means in civil proceedings The Jordanian legislator was created to keep abreast of recent electronic developments and to use them to facilitate litigation proceedings against the parties to the proceedings and to address the obstacles and problems encountered in conventional reporting and researchers used the descriptive and analytical approach by describing the concept of electronic reporting, Analyzing the texts of the Civil Trial Code and Code of Procedure and amendments. This study has reached several conclusions. The ease of use, as well as several suggestions, is important for the legislator to organize texts setting out the system's electronic reporting procedures because of the inadequacy of the texts contained in the Code of Civil Procedure, and the Provision of more modern technical equipment and development, numbers and qualification of Ministry of Justice staff to use means. [ABSTRACT FROM AUTHOR]

Copyright of Derecho Penal y Criminologia is the property of Universidad Externado de Colombia, Departamento de Derecho Penal y Criminologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The maintenance of nursing professional competency is essential to ensure patients' health outcomes. With the current shortage of nursing workforce, a novel approach is necessary to refresh clinical skills and update practice. Objective: This study aims to examine the effectiveness of using head-mounted display virtual reality to refresh knowledge and skills and explore nurses' perceptions towards using this technology for refresher training. Design: A pre-test post-test mixed-method experimental design was employed. Results: Participants (n = 88) were registered nurses with a diploma in nursing. The intravenous therapy and subcutaneous injection procedures were implemented using headmounted display virtual reality. The study showed significant improvement in knowledge for the procedures, cognitive absorption, online readiness, self-directed learning, and motivation for learning. In the qualitative focus group discussions, three themes were identified using thematic analyses: enjoyable way to refresh clinical knowledge; learning outside classroom and limitations in maneuver. Conclusion: Using head-mounted display virtual reality is promising in refreshing clinical skills for nurses. Training and refresher courses can explore using this novel technology, which may be a viable alternative to ensure professional competence with reduced manpower and resources used by the healthcare institution. [ABSTRACT FROM AUTHOR]

This research sheds light on the discretionary authority of the court to interrogate opponents in accordance with the Saudi Evidence System issued by Royal Decree No. M/43, issued on 5/26/1443 AH. It explains the basis of this authority, its statutory nature and scope, and the role of the court in assessing the consequences of interrogating adversaries. He concluded that the court has the discretion to accept or reject the interrogation request. If the court finds that the case does not need interrogation or that the facts about which the opponent is intended to be interrogated are unproductive or not permissible to prove. In that case, it rejects the interrogation request, meaning that the court has the discretion if the matter is presented. One of the litigants requested to interrogate his opponent about whether this matter was necessary, and she agreed to it or rejected it according to what she appreciated. There is no control over her if she does not take it whenever she finds sufficient elements to form her belief without the need to take this measure. [ABSTRACT FROM AUTHOR]

The State-of-the-Practice Survey on United States Departments of Transportation (DOTs) Worker Injuries and Safety Program Efforts is a comprehensive report that provides valuable insights into the safety programs of state DOTs. The survey was conducted using a web-based questionnaire that was distributed to all 50 state DOTs and received a response rate of 44% (22 states). The survey consisted of 40 questions that were designed to gather information about the safety programs of state DOTs, including their training and education efforts, injury analysis practices, and safety efforts. The survey responses were analyzed using descriptive statistics and a thematic analysis approach. The results highlighted contrasts in safety efforts across responding DOTs, with various methods of injury documentation, data collection, and the implementation of safety-related policies and procedures. The report offers recommendations for reducing worker injuries and illnesses, including the need for standardized injury documentation and data collection practices, the provision of regular and updated training to address new hazards that may arise due to changes in job tasks or procedures, the allocation of adequate funding and resources to support safety programs, and the development of a return-to-work program to facilitate the prompt return of injured workers. Additionally, ergonomic assessments and training should be provided to prevent musculoskeletal injuries. The report concludes that state DOTs can benefit from sharing best practices and collaborating on safety initiatives in order to improve worker safety and reduce the incidence of injuries and illnesses. The findings of this survey may be beneficial to any DOT implementing worker safety best practices within their respective agency. The limitations of the study include a lack of inferential statistical analysis due to the restricted statistical power of the sample size. [ABSTRACT FROM AUTHOR]

Parliamentary questions are one of the most widely used and common parliamentary control instruments. The purpose of parliamentary questions in the United Arab Emirates (UAE) is to hold the government accountable and reveal violations or clarify facts in the work of the executive authority. The Federal Constitution does not provide means of parliamentary control over the government, so parliamentary questions play a bigger role in the UAE than in other countries. This paper examines the practice of parliamentary questions in the Federal National Council (FNC) of the UAE. The methodology employed in this paper involves a comprehensive analysis of the practice of parliamentary questions within the context of the UAE's Federal National Council (FNC). Through a qualitative approach, the study delves into the role of parliamentary questions as a tool for governmental reforms, transparency enhancement, and executive authority accountability. Utilizing both primary and secondary sources, the research examines the impact of parliamentary questions in revealing violations, elucidating facts, and addressing citizens' everyday concerns. By employing a multifaceted analytical framework, this study offers valuable insights into the significance and effectiveness of parliamentary questions within the UAE's political landscape. The key findings in the paper on the practice of parliamentary questions in the UAE's FNC underscore the essential role of parliamentary questions in holding the government accountable and ensuring transparency. The document reveals how parliamentary questions serve as a vital tool for revealing violations, clarifying facts, and prompting governmental reforms. Overall, this paper highlights how parliamentary questions are a vital component of governance in the UAE and emphasizes their importance for ensuring accountability and transparency in government operations.

Background: Emergency physicians commonly perform ultrasound-assisted abdominal , using point of care ultrasound (POCUS) to identify and select a site for needle insertion. However, ultrasound-guided has the benefit of real-time needle visualization during the entire procedure. Our objective was to characterize the performance of emergency physician-performed ultrasound-guided using POCUS, their ability to achieve good in-plane needle visualization, and factors associated with procedural success. Methods: A POCUS database was retrospectively reviewed for examinations where abdominal was performed by an emergency physician at two academic urban emergency departments over a six-year period. Medical records were reviewed for demographics, presenting history, complications, and hospital course. Descriptive statistics were used to summarize the data. Results: 131 patients were included in the final analysis. The success rate for ultrasound-guided was 97.7% (84/86, 95% CI 92-100%) compared to 95.6% (43/45, 95% CI 85-99%) for ultrasound-assisted (p = .503). 58% (50/86) demonstrated good in-plane needle visualization; 17% (15/86) had partial or out-of-plane visualization; and 24% (21/86) did not demonstrate needle visibility on their saved POCUS images. All four procedural failures were performed by first- or second-year residents using a transducer, while all procedures using a linear transducer were successful. The most common complications were leak, infection at the site, and minor bleeding. Conclusions: Emergency physicians with training in real-time needle guidance with ultrasound were able to use POCUS to perform ultrasound-guided in the emergency department with a high success rate and no fatal complications. Based on our experience, we recommend performing ultrasound-guided using a linear transducer, with attention to identifying vessels near the procedure site and maintaining sterile technique.

This paper highlights the paramount role of parliamentary questioning as a control mechanism exercised by the Federal National Council (FNC) in the United Arab Emirates (UAE). The surge in its utilization, attributed to heightened awareness among FNC members and ministers, has significantly enhanced the Council's control capabilities, especially in the absence of alternative parliamentary control instruments such as interpellations. The paper underscores the simplicity and adaptability of parliamentary questioning, which spans diverse topics and addresses everyday state matters, rectifies errors, monitors law implementation, and fills legislative gaps. The structure of the paper comprises two sections: the first scrutinizes procedural requirements within the UAE's Constitution and the FNC's Bylaw, while the second section explores practical examples, offering insights into the distinctive nature of the FNC's parliamentary questioning compared to regional practices.

Abstract Background In sub-Saharan Africa, recent graduates from medical school provide more direct surgical and procedural care to patients than their counterparts from the Global North. Nigeria has no nationally representative data on the procedures performed by trainees before graduation from medical school and their confidence in performing these procedures upon graduation has also not been evaluated. Methods We performed an internet-based, cross-sectional survey of recent medical school graduates from 15 accredited Federal, State, and private Nigerian medical schools spanning six geopolitical zones. Essential surgical procedures, bedside interventions and three Bellwether procedures were incorporated into the survey. Self-reported confidence immediately after graduation was calculated and compared using cumulative confidence scores with subgroup analysis of results by type and location of institution. Qualitative analysis of free text recommendations by participants was performed using the constant comparative method in grounded theory. Results Four hundred ninety-nine recent graduates from 6 geopolitical zones participated, representing 15 out of a total of 44 medical schools in Nigeria. Male to female ratio was 2:1, and most respondents (59%) graduated from Federal institutions. Students had greatest practical mean exposure to bedside procedures like intravenous access and passing urethral foley catheters and were most confident performing these. Less than 23% had performed over 10 of any of the assessed procedures. They had least exposures to chest tube insertion (0.24/person), caesarean Sect. (0.12/person), and laparotomy (0.09/person). Recent graduates from Federal institutions had less procedural exposure in urethral catheterization (p

The purpose of this article is to bring to public attention the view of managers from Romanian state organizations on the potential risks related to public procurement procedures, in the current context of the legislative framework. The research aims to identify and gain a deep understanding of the concerns, challenges and obstacles these professionals face in the procurement process, which is often complicated and subject to rigorous scrutiny. The purpose of the article is to provide recommendations based on the data collected, which will contribute to the improvement of the risk management framework in public procurement and to increase the awareness and training of managers to face the challenges in this field. In this way, the aim is not only a better understanding of the current landscape, but also the facilitation of possible legislative or procedural developments that increase efficiency and Clarity and openness in the public procurement process in Romania.

Background and Objectives: The number of obstetricians and gynecologists in the United States is decreasing and providers backfilling this service have not been well described. The intent of the study was to identify the skills that physician associates (PAs) in obstetrics and gynecology (OBGyn) contribute to this aspect of medicine and surgery. Methods: A survey of PAs specializing in OBGyn was conducted in 2022. The intent was to list office-based procedures that were part of their skill set. A vetted questionnaire was sent to the 1,630 American Academy of Physician Associates members who identified themselves in OBGyn at some point in their career, and 729 responded (44.7% relative risk). Results: Most PAs (88.7%) in OBGyn first assist in surgery. This first-assist role ranged across the open, laparoscopic, and robotic-type operations. Categories of surgery included Cesarean section, hysterectomy, salpingo-oophorectomy, and subspecialty surgeries such as oncology and urogynecology. In the outpatient setting, PAs listed over 40 procedures ranging from biopsies of the endometrium, cervix, vagina, and vulva, as well as fetal assessment, ultrasonography, and long-acting contraceptive insertion and removals. Conclusions: The proceduralist role of PAs in OBGyn is broad. Furthermore, this role may need to be utilized more at a time of growing scarcity of clinicians. The OBGyn role for PAs adds to their specialization and increasing presence in American medicine.

Children tend to view equal resource distributions as more fair than unequal ones, but will sometimes view even unequal distributions as fair. However, less is known about how children form judgments about inequality when different procedures are used. In the present study, we investigated childrens consideration of procedures (i.e., resource-distributing processes), outcomes (i.e., the distributions themselves), and emotions (i.e., the emotional reactions of those receiving the resources) when judging the fairness of unequal resource distributions. Participants (N = 130, 3- to 8-year-olds) were introduced to a Fair Coin (different color on each side) and an Unfair Coin (same color on both sides). In two between-subjects conditions, they watched a researcher flip either the Fair or Unfair Coin in order to distribute resources unequally between two child recipients. Participants then rated the fairness of this event, provided verbal justifications for their ratings (coded for references to procedures and/or outcomes), and rated the emotional state of each recipient (from which an Emotion Difference Score was computed). Results revealed that participants rated the event as more fair in the Fair Coin than the Unfair Coin condition. References to the outcome in childrens justifications predicted lower fairness ratings, while references to the procedure only predicted lower ratings in the Unfair Coin condition. Greater Emotion Difference Scores predicted lower fairness ratings, and this effect increased with age. Together, these results show that children consider procedures, outcomes, and emotions when judging the fairness of inequality. Moreover, results suggest age-related increases in consideration of recipients emotions makes inequality seem less fair, even when fair procedures are used. Implications for the development of fairness are discussed.

Meniscus tissue deficiency resulting from primary meniscectomy or meniscectomy after failed repair is a clinical challenge because the meniscus has little to no capacity for regeneration. Loss of meniscus tissue has been associated with early-onset knee osteoarthritis due to an increase in joint contact pressures in meniscectomized knees. Clinically available replacement strategies range from allograft transplantation to synthetic implants, including the collagen meniscus implant, ACTIfit, and NUSurface. Although short-term efficacy has been demonstrated with some of these treatments, factors such as long-term durability, chondroprotective efficacy, and return to sport activities in young patients remain unpredictable. Investigations of cell-based and tissue-engineered strategies to treat meniscus tissue deficiency are ongoing.

ALS is characterized by a highly heterogeneous course, ranging from slow and uncomplicated to rapid progression with severe extra-motor manifestations. This study investigated ALS-related hospitalizations and their connection to clinical aspects, comorbidities, and prognosis. We performed a retrospective cohort study including patients residing in Modena, Italy, newly diagnosed between 2007 and 2017 and followed up until 31 December 2022. Data were obtained from the Emilia Romagna ALS registry, regional hospitals, and medical records. Among the 249 patients, there were 492 hospital admissions, excluding those for diagnostic purposes; 63% of the patients had at least one hospitalization post-diagnosis, with an average stay of 19.90 ± 23.68 days. Younger patients were more likely to be hospitalized multiple times and experienced longer stays (44.23 ± 51.71 days if p < 0.001). Patients who were hospitalized at least once more frequently underwent gastrostomy (64.97%) or non-invasive (66.24%) and invasive (46.50%) ventilation compared to those never hospitalized (21.74%, 31.52%, 13.04%, respectively, p < 0.001 for all). Emergency procedures led to longer hospitalizations (62.84 ± 48.91 days for non-invasive ventilation in emergencies vs. 39.88 ± 46.46 days electively, p = 0.012). Tracheostomy-free survival was not affected by hospitalizations. In conclusion, younger ALS patients undergo frequent and prolonged hospitalizations, especially after emergency interventions, although these do not correlate with reduced survival.