The facts of the scale would not be protected, but expressions of it would be--for example, taking an image of the scale from a journal and including it in a new document would require permission.
To obtain permission to use the Hospital Anxiety and Depression Scale (HADS), you should first check the copyright status and any licensing requirements associated with the scale. Typically, you can find this information in the original publication or the official website of the authors. If necessary, you can contact the authors or the publisher directly to request permission. Always ensure to provide details on how you intend to use the scale in your research or clinical practice.
severe head injury
Glasgow Coma Scale-GCS
The Glasgow Coma Scale is a method of quantifying neurological dis-impairment by assigning values to eye actions, verbal responses, and motor skills. Possible values range from 15 (alert and unimpaired) to 3 (deep coma or death). A Glasgow of 4 is indicative of significant coma or neurological impairment.
The Glasgow Coma Scale (GCS) is a tool medical professionals use to objectively evaluate the degree to which a person is conscious or comatose. Also referred to as the "Glasgow Coma Score," it operates on a scale of "3" to "15," in which progressively higher scores indicate higher levels of consciousness. For example, while a patient who is profoundly unconscious would receive a 3 according to the Glasgow Coma Scale, conscious, healthy adults would be rated at 15. Immediately after a head trauma, emergency doctors and nurses will use the Glasgow Coma Scale to assess a patient's condition. Others who use the GCS include intensive care staff, EMTs and chronic care professionals. If a person has a brain injury resulting in a GCS of 3, it is most likely that the person has suffered some amount of brain damage. For a complete GCS chart, see: http://www.brainandspinalcord.org/recovery-traumatic-brain-injury/glasgow-coma-scale/index.html
Concerning copyright laws and torrents, it has been found recently that torrents are infringing upon copyright laws. So if someone is downloading a torrent it is quite possible for ones ISP to monitor this sort of activity. Large abuses of downloading torrents on a large scale could lead to copyright infringement charges.
You do not need permission to use the Likert scale, as it is a widely accepted and established method for measuring attitudes or opinions in research. It is considered a common tool in survey design and can be freely utilized in both academic and professional settings. However, if you are using a specific pre-existing instrument that employs the Likert scale, you may need to seek permission from the original authors or publishers for its use.
Saint George's Place. Source - 1859 Ordnance Survey Town Plan 1:500 scale.
General rule is less than 8...that being said there are very few always and nevers in medicine. A 2009 study of 73 patients with Glasgow scale less than 12 (many less than 8) did not intubate and they did not aspirate. A better answer would be to thoroughly assess the patient including history if available when deciding whether to tube or not.
Copyright will be a significant issue. You may digitize materials in the public domain, but anything protected will require permission from the rightsholder to make the digital copy, and to distribute it online. Fees for physical copies are 400 Rs per work; fees for digitization have not been standardized. As with large-scale digitization projects like Google Books and Europeana, you are likely to encounter orphan works: works where the rightsholder is unknown or cannot be located. Like many countries, India has failed to create a reasonable set of laws or even guidelines for the use of orphan works: without permission from the copyright holder, the work cannot be legally used.
as part of the admission examination, a Glasgow score of three to five points often suggests that the patient has likely suffered fatal brain damage, while eight or more points indicates that the patient's chances for recovery are good.
Frankly, it's not possible to enforce copyright law completely. The government really only seeks out large-scale importers, and content owners generally only sue when they know it'd be worth their while. At the lowest level, copyright is more of an ethical issue: as a user, will you do the right thing, even if you know you won't get caught?