Just Add Magic Appropriateness "Just Add Magic" is a popular American television series that focuses on a group of young girls who discover a magical cookbook. The show's central theme revolves around the power of friendship, the importance of family, and the ability to overcome challenges. It has gained a considerable following, particularly among pre-teen and teenage audiences. The appropriateness of "Just Add Magic" lies in its ability to provide entertainment that is both enjoyable and suitable for its target demographic. The show features relatable characters who face everyday challenges, such as school, friendship troubles, and family dynamics. These aspects allow young viewers to connect with the characters and their experiences.
The panel reviewed 665 scenarios, rating 253 (38%) as appropriate, 124 (19%) as neutral/uncertain, and 288 (43%) as inappropriate.
As summarized in Annals of Internal Medicine , the international MAGIC panel was convened to apply the RAND UCLA Appropriateness Method in order to develop criteria for the use of PICCs. Parents need to know that despite a far-fetched plot and some cheesy acting in H20 Just Add Water , there s a fair amount to like about this Australian fantasy drama series for tweens.
These aspects allow young viewers to connect with the characters and their experiences. Moreover, the show incorporates magical elements, providing an element of fantasy and adventure. The magical cookbook adds an exciting and mysterious dimension to the storyline, capturing the imagination of viewers.
Assessment of the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) 2015 recommendations in the context of evolving evidence based on the use of peripherally-inserted central catheters (PICCs) in intensive care units (ICU).
Scientific publication: Pinelli F, Little A, Kokotis K, Alsbrooks K, Pittiruti M. Assessment of the MAGIC recommendations in the context of evolving evidence based on the use of PICC in ICU. J Vasc Access. 2021 Oct 23:11297298211048019. doi : 10.1177/11297298211048019.
Introduction – The MAGIC recommendations
Central venous access devices (CVADs) including tunnelled and non-tunnelled Centrally-Inserted Central Catheters (CICCs), Femoral-Inserted Central Catheters (FICCs) and Peripherally-Inserted Central Catheters (PICCs) are frequently used in intensive care units (ICUs). However, these devices are associated with the risk of complications, such as Central Line-Associated Bloodstream Infections (CLABSIs) and Catheter-Related Thrombosis (CRT). 1
The goal of the 2015 Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) 2 was to define appropriate indications for insertion, maintenance and care of PICCs. The MAGIC guidelines resulted after a panel of multidisciplinary specialists developed the criteria for PICC usage after systematically reviewing literature and scenarios, according to the patient population, indication for insertion and duration of use. 2 The appropriateness of PICC use in each scenario was compared with that of other venous access devices.
The MAGIC panel concluded that for peripherally compatible infusions, PICC use was inappropriate when the proposed duration of use was five or fewer days. 2 For use between 6 and 14 days, midlines and ultrasonography-guided peripheral intravenous catheters were preferable. 2 Non-tunnelled CICCs were preferable over PICCs for 14 or fewer days of use in critically ill patients while for cancer patients, PICCs were rated as appropriate for irritant or vesicant infusion regardless of duration. 2
Assessing the validity of the MAGIC recommendations
In this review published in the Journal of Vascular Access, Pinelli, et al, have aimed to re-assess the validity of the MAGIC recommendations and their applicability in current practice. 1 Discussed in the review are the methodological limitations of the Delphi process used, the focus on outdated evidence of suboptimal quality, concerns with the substantiation on many recommendations of PICC practices and the lack of unique patient considerations. 1
According to the authors of the review, the main problems with the MAGIC recommendations can be summarised as follows: 1
High-level assessment:
- A high volume of excessive variability in the clinical scenarios, that compromise the validity of the recommendations
- No assessment of the quality of the studies
- Over 33% of the studies were over a decade old, while several substantial recommendations for clinical practices have occurred in the last 10-15 years
- The low representation of specialists with direct PICC experience
- Limited geographic distribution of specialists (80% of the panelists from the US; 60% of the panelists from a single US state)
Thrombosis or infection risk:
- Limited discussion of strategies that minimize the risk of catheter-related complications
- Discussions based on antiquated studies that do not represent the current practice
- Recent high-quality evidence confirms that the risk of infection and symptomatic thrombosis is low in ICU patients.
Patient considerations
- Lack of adequate rationale for preferring CICCs over PICCs, since special clinical conditions are not considered.
Conclusions
The authors of the review maintain that in recent years, insertion techniques and maintenance strategies targeted at reducing complications associated with CVAD have evolved considerably, and the MAGIC guidelines do not consider these factors. 1 Among all central lines used in the ICU (CICCS, FICCs and PICCs), PICCs are reliable and safe for specific clinical situations, and cannot be replaced by midlines in these situations. 1 In addition, the MAGIC recommendations also do not take contemporary issues linked with COVID-19 into consideration. The need for the reduction in central line use, as purported by the MAGIC guidelines, may not be feasible in ICUs which are becoming resource-constrained and are increasing central line utilisation. 1
The authors recommend that MAGIC guidelines be revisited and conclude that the choice of vascular access device should be based on unique clinical considerations and current scientific evidence, and not on fears informed by antiquated data. 1
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1 Pinelli F, Little A, Kokotis K, Alsbrooks K, Pittiruti M. Assessment of the MAGIC recommendations in the context of evolving evidence based on the use of PICC in ICU. J Vasc Access. 2021 Oct 23:11297298211048019. doi: 10.1177/11297298211048019.
2 Chopra V, Flanders SA, Saint S, et. Al Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) Panel. The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results From a Multispecialty Panel Using the RAND/UCLA Appropriateness Method. Ann Intern Med . 2015 Sep 15;163(6 Suppl): S1-40. doi: 10.7326/M15-0744.
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The teens in this series are exceptionally well-behaved, with nary a hint of drinking, drugs, or sex. There are a lot of mild interpersonal conflicts between the teens on the show, i.e. stories dealing with gossip. But the trio of mermaids at the story's center always decide to stay true to their girlfriends eventually. Parents are mostly "at work" or busy elsewhere rather than paying attention to what their teens are up to; only rarely do they appear to offer guidance.
This combination of real-life situations and magical elements strikes a balance that keeps the show engaging and entertaining for its audience. Another aspect that contributes to the appropriateness of "Just Add Magic" is its emphasis on moral values. Throughout the series, the characters learn important lessons about honesty, responsibility, and the consequences of their actions. These themes promote positive character development and encourage young viewers to reflect on their own choices and behaviors. Furthermore, the diverse cast of characters in the show allows for representation and inclusivity. "Just Add Magic" features girls from different backgrounds and ethnicities, promoting diversity and offering a sense of inclusivity for viewers. This representation provides an opportunity for young viewers to see themselves reflected on screen, fostering a sense of acceptance and belonging. In conclusion, "Just Add Magic" is an appropriate and engaging television series for its target demographic. It combines relatable real-life situations with magical elements, promoting moral values and inclusivity. The show's ability to entertain and capture the imagination of young viewers while offering a positive message makes it a suitable choice for pre-teen and teenage audiences..
Reviews for "The role of tradition in determining magic appropriateness"
1. Samantha - 2/5 - I found "Just Add Magic" to be highly inappropriate for its intended young audience. The show's storyline revolves around three young girls who stumble upon a magical cookbook that grants them extraordinary powers. While the concept seems innocent enough, I felt that the show often delved into mature themes and complex plotlines that were not suitable for children. There were instances of characters lying, manipulating others, and even engaging in dark magic. I was concerned with the show's messaging and the mixed signals it sent to young viewers.
2. Michael - 1/5 - I was thoroughly disappointed with the appropriateness of "Just Add Magic." As a parent, I believe it is essential for children's television to uphold positive values and provide wholesome entertainment. However, this show seemed to incorporate too much magical and mystical content, which could mislead impressionable kids. Additionally, the storylines often involved conflict and dangerous situations that were not appropriate for the young target audience. I would strongly caution parents against allowing their children to watch this show without supervision or guidance.
3. Emily - 2/5 - I initially thought "Just Add Magic" would be a fun and innocent show for my young children to enjoy. However, as we watched a few episodes, I began to realize that the show contained a surprising amount of dark and unsettling moments. The magical elements were portrayed in a way that felt too intense for young viewers, and some scenes even bordered on scary. The show's attempts at suspense and mystery sometimes overshadowed the positive messages it aimed to deliver. Overall, I felt that the level of appropriateness in "Just Add Magic" fell short, making it a show I would not recommend for young children.