scholarly journals Gender inequality in hands-only cardiopulmonary resuscitation videos on YouTube

2021 ◽  
Vol 9 (7) ◽  
pp. 2049
Author(s):  
Reeya N. Gulve ◽  
Anuradha R. Joshi
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Poor Quality ◽  
P Value ◽  
Search Term ◽  
Mean Values ◽  
Global Quality ◽  
Significant Difference ◽  
Bystander Cardiopulmonary Resuscitation ◽  
Youtube Videos ◽  
Scientific Accuracy

Background: Bystander cardiopulmonary resuscitation (CPR) is performed at a significantly lower rate in women than in men. YouTube has a significant role in influencing the public’s perceptions about CPR due to its popularity. The aim of the study was to compare the availability, quality, and scientific accuracy of YouTube videos demonstrating hands-only CPR performed on men and woman recipient.Methods: Using a search term similar to hands-only CPR, YouTube was searched for videos in English. This study included the first 60 videos for each search term. All the videos meeting the inclusion criteria were viewed and classified according to gender of recipient of CPR. Views per day were calculated. Videos were scored for quality and scientific accuracy, using Global Quality Scale (GQS) score and comprehensiveness analysis respectively. Mean, standard deviation was calculated for all the variables. Independent t-tests were done to compare the mean values. A p value<0.05 was considered significant.Results: Only 12 (1.7%) videos demonstrated hands-only CPR performed on women as compared to 43 videos (6%) demonstrated in men. There was a statistically significant difference in GQS score, whereas, there was no statistically significant difference in viewer rate and comprehensiveness analysis score based upon the gender of recipient of CPR.Conclusions: The availability and quality of YouTube videos demonstrating hands-only CPR performed on men and women recipients differ significantly. There are limited numbers of videos available for demonstrations of CPR performed on women, and the majority of them are of poor quality and lack scientific accuracy. 

TO COMPARE THE EFFECTIVENESS OF NEBULISATION WITH ADRENALINE, 3% HYPERTONIC SALINE AND NORMAL SALINE IN BRONCHIOLITIS IN CHILDREN OF 2 TO 24 MONTHS OF AGE BASED ON CLINICAL SEVERITY SCORE AND NEBULISATION FREQUENCY.

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Priyanka Jain ◽  
Rakesh Jain
Keyword(s):  
Hypertonic Saline ◽  
Normal Saline ◽  
Mean Difference ◽  
Clinical Severity ◽  
Research Centre ◽  
P Value ◽  
College Hospital ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean

Background & Method: We conducted a double blinded study at Index Medical College Hospital & Research Centre, Indore. The sample size was determined to be minimum of 120 cases as based upon previous years admission due to acute bronchiolitis. Initially, 146 cases were included in the study out of which 23 cases dropped out of the study after giving consent by guardian for participation in the study as they left against medical advice from the hospital. Result: The mean difference of CSS between 0 minutes to 60 minutes of nebulisation between groups in all cases was 0.4 ± 0.6, between 60 minutes and 4 hours was 0.8 ± 0.6, between 4 to 8 hours was 0.7 ± 0.6, between 8-12 hours was 0.6 ± 0.4, between 12-24 hours was 1.6 ± 0.9 and between 24-48 hours was 1.9 ± 0.9.The mean values and resultant p-value of ANOVA of various nebulising agents used for improvement in CSS shows significant association between various nebulising agents used along with improvement in CSS at the end of assessment at 48 hours of treatment. Conclusion: This study was conducted to establish the efficacy of each nebulisation agent (i.e.  adrenaline, 3% hypertonic saline and normal saline) currently used and compare the outcomes as there is not enough evidence amongst Indian population on level of efficacy of each drug in causing improvement in symptoms and signs in various severities of bronchiolitis in early childhood. Comparison of significant improvement in mean difference in CSS at various intervals in all cases compared between groups by post hoc test revealed non-significant difference (p-value 0.700) between 3% hypertonic saline and normal saline. Keywords: nebulisation, adrenaline, bronchiolitis & clinical.

Utility of Bispectral Index Monitoring during Deep Sedation in Pediatric Dental Patients

2014 ◽  
Vol 39 (1) ◽  
pp. 291-296 ◽  
Author(s):  
C Dag ◽  
T Bezgin ◽  
N Özalp ◽  
G Gölcüklü Aydın
Keyword(s):  
Dental Treatment ◽  
Deep Sedation ◽  
Pediatric Dentistry ◽  
P Value ◽  
Chi Square ◽  
Mean Values ◽  
Dental Patients ◽  
Physiological Variables ◽  
Paired Samples ◽  
Significant Difference

Objective: The aim of this study was to compare the total medicament doses and recovery profiles of patients for whom Bispectral Analysis (BIS) monitor was used to monitor sedation. Study design: Thirty-four uncooperative paediatric patients aged 3-6 years who attended to the Department of Pediatric Dentistry for dental treatment were enrolled in the study. Patients were randomly divided into 2 groups of 17 patients each. Physiological variables including oxygen saturation, blood pressure and heart rate were recorded. In one group (BIS-monitored group), drugs were administered to maintain patients’ BIS values between 60-70, while the other group (Non-BIS-monitored Group) was not monitored using BIS. Data was evaluated by Chi-square, Mann Whitney U, Independent Samples t, Paired Samples t and Wilcoxon signed tests, with a p-value of &lt;0.05 considered to be statistically significant. Results: There was no significant difference in total anesthetic doses, incidence of adverse events or recovery profiles of patients between non- BIS-monitored and BIS-monitored groups (p≯0.05). However, distinct correlation was determined among mean values of UMSS and BIS values (p&lt;0.05). Conclusion: BIS represents no advantage over the current commonly accepted methods for monitoring sedation depth in children.

scholarly journals A profile and treatment outcome of seasonal hyper-acute panuveitis

1970 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
E Shrestha
Keyword(s):  
Visual Acuity ◽  
Medical Treatment ◽  
Visual Outcome ◽  
P Value ◽  
Fisher Exact Test ◽  
Mean Values ◽  
Exact Test ◽  
Pediatric Age Group ◽  
Significant Difference ◽  
The Mean

Introduction: Seasonal hyper-acute panuveitis (SHAPU) is a sight-threatening disease and its management is challenging. Objective: To study the profile and evaluate the visual outcome of the patients of clinicallydiagnosed cases of SHAPU after treatment. Subjects and methods: A retrospective interventional hospital-based study was carried out involving 21 subjects with clinically-diagnosed SHAPU. The data were retrieved from the record section of the hospital and analyzed. The variables studied were demographic pattern, clinical condition, duration of presentation and visual acuity before and after the treatment. Statistics: The data were analyzed using Epi Info version 2000. Percentage prevalence, mean values with standard deviation, relative risk, 95% CI and p value were calculated. P value of < 0.05 was considered to be significant. Results: Among the 21 cases, the numbers of male and female were 11 (52.4 %) and 10 (46.7 %) respectively. A comparative analysis of gender in children and adults did not show any significant difference (RR=0.47, 95% CI = 0.22 - 1.01, Fisher exact test: p = 0.14). The mean for all ages was 7 ± 12.68 years, while the mean age in pediatric cases was 4.5 ± 3.91 years. Thirteen (61.9%) cases occurred in children below fifteen years. Fifteen (71.4 %) cases reported during September and October. Presenting visual acuity of all cases was less than 3/60. All of them received medical treatment. By the end of the 4th week, seven (33.3 %) patients regained vision to 6/18. Conclusion: SHAPU is more prevalent in pediatric age group. It is equally prevalent among males and females. The visual acuity can improve with early medical treatment. Keywords: SHAPU; panuveitis; steroid; phthisis bulbi DOI: 10.3126/nepjoph.v2i1.3702 Nep J Oph 2010;2(1) 35-38

scholarly journals Effects of Roughness Coefficients and Complex Hillslope Morphology on Runoff Variables under Laboratory Conditions

Water ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2550 ◽  
Author(s):  
Masoud Meshkat ◽  
Nosratollah Amanian ◽  
Ali Talebi ◽  
Mahboobeh Kiani-Harchegani ◽  
Jesús Rodrigo-Comino
Keyword(s):  
Soil Erosion ◽  
Peak Discharge ◽  
Control Measures ◽  
P Value ◽  
Rainfall Runoff ◽  
Runoff Generation ◽  
Mean Values ◽  
Time Of Concentration ◽  
Significant Difference ◽  
The Impact

The geometry of hillslopes (plan and profile) affects soil erosion under rainfall-runoff processes. This issue comprises of several factors, which must be identified and assessed if efficient control measures are to be designed. The main aim of the current research was to investigate the impact of surface Roughness Coefficients (RCs) and Complex Hillslopes (CHs) on runoff variables viz. time of generation, time of concentration, and peak discharge value. A total of 81 experiments were conducted with a rainfall intensity of 7 L min−1 on three types of soils with different RCs (i.e., low = 0.015, medium = 0.016, and high = 0.018) and CHs (i.e., profile curvature and plan shape). An inclination of 20% was used for three replications. The results indicate a significant difference (p-value ≤ 0.001) in the above-mentioned runoff variables under different RCs and CHs. Our investigation of the combined effects of RCs and CHs on the runoff variables shows that the plan and profile impacts are consistent with a variation in RC. This can implicate that at low RC, the effect of the plan shape (i.e., convergent) on runoff variables increases but at high RC, the impact of the profile curvature overcomes the plan shapes and the profile curvature’s changes become the criteria for changing the behavior of the runoff variables. The lowest mean values of runoff generation and time of concentration were obtained in the convex-convergent and the convex-divergent at 1.15 min and 2.68 min, respectively, for the soil with an RC of 0.015. The highest mean of peak discharge was obtained in the concave-divergent CH in the soil with an RC of 0.018. We conclude that these results can be useful in order to design planned soil erosion control measures where the soil roughness and slope morphology play a key role in activating runoff generation.

Impact of Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation with Out-of-Hospital Cardiac Arrest: A Systemic Review and Meta-Analysis

2020 ◽  
Vol 35 (4) ◽  
pp. 372-381
Author(s):  
Junhong Wang ◽  
Hua Zhang ◽  
Zongxuan Zhao ◽  
Kaifeng Wen ◽  
Yaoke Xu ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Neurological Outcome ◽  
Meta Analysis ◽  
Systemic Review ◽  
Cochrane Library ◽  
Significant Difference ◽  
Bystander Cardiopulmonary Resuscitation ◽  
The Impact ◽  
Hospital Cardiac Arrest

AbstractObjective:This systemic review and meta-analysis was conducted to explore the impact of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) on bystander cardiopulmonary resuscitation (BCPR) probability, survival, and neurological outcomes with out-of-hospital cardiac arrest (OHCA).Methods:Electronically searching of PubMed, Embase, and Cochrane Library, along with manual retrieval, were done for clinical trials about the impact of DA-BCPR which were published from the date of inception to December 2018. The literature was screened according to inclusion and exclusion criteria, the baseline information, and interested outcomes were extracted. Two reviewers assessed the methodological quality of the included studies. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated by STATA version 13.1.Results:In 13 studies, 235,550 patients were enrolled. Compared with no dispatcher instruction, DA-BCPR tended to be effective in improving BCPR rate (I2 = 98.2%; OR = 5.84; 95% CI, 4.58-7.46; P <.01), return of spontaneous circulation (ROSC) before admission (I2 = 36.0%; OR = 1.17; 95% CI, 1.06-1.29; P <.01), discharge or 30-day survival rate (I2 = 47.7%; OR = 1.25; 95% CI, 1.06-1.46; P <.01), and good neurological outcome (I2 = 30.9%; OR = 1.24; 95% CI, 1.04-1.48; P = .01). However, no significant difference in hospital admission was found (I2 = 29.0%; OR = 1.09; 95% CI, 0.91-1.30; P = .36).Conclusion:This review shows DA-BPCR plays a positive role for OHCA as a critical section in the life chain. It is effective in improving the probability of BCPR, survival, ROSC before admission, and neurological outcome.

Thromboelastography in Children with Coagulation Factor Deficiencies.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 2139-2139 ◽  
Author(s):  
Meera B. Chitlur ◽  
Indira Warrier ◽  
Madhvi Rajpurkar ◽  
Wendy Hollon ◽  
Lolita Llanto ◽  
...  
Keyword(s):  
Whole Blood ◽  
Thrombin Generation ◽  
Hemophilia A ◽  
Coagulation Factor ◽  
Response To Treatment ◽  
Factor Vii ◽  
P Value ◽  
Factor V ◽  
Mean Values ◽  
Significant Difference

Abstract The thromboelastograph produces a continuous profile of the rheological changes that occur during the process of coagulation using whole blood. This information can be transformed into a dynamic velocity profile of the changes in blood elasticity occurring during clotting. We used the TEG® hemostasis analyzer in patients with hemophilia A or B with and without inhibitors and other coagulation factor deficiencies (OFD), to study the thromboelastographic profiles in these patients. Materials and Methods: 62 children (6 months-19 years old) were enrolled according to IRB regulations. 29 children had severe hemophilia A (SHA), 4 moderate hemophilia A or B (Mod.H), 2 severe factor VII deficiency, 1 combined factor V and VIII deficiency, 1 VWD (type II B), 1 severe factor V deficiency, 1 Severe PAI deficiency, 19 normal controls (NC), and 4 SHA with inhibitors (SHA+I). All patients were studied 72 hours after the last dose of factor. Citrated whole blood was activated using recombinant human tissue factor (Innovin, Dade Behring Inc®) and recalcified using 0.2M CaCl2. In patients with central lines with heparin, a heparinase cup was used. The TEG® was run for ≥ 90 min. CBC with differential was obtained on all subjects. Results: There was no significant difference in the CBC parameters among patients. Analysis of the TEG data revealed the following: Table 1 TEG Parameters (mean values) SHA (n=29) Mod.H (n=4) SHA+I (n=4) OFD (n=6) Control(n=19) MTG:Max rate of thrombin generation; TMG: Time to MTG; R: Reaction Time; K: Time to reach an amplitude of 20mm; MA: Max. Amplitude MTG(mm*100/sec) 8.7 9.6 1.3 9 17 TMG(min) 27.5 16.6 62.7 17.5 8.9 R(min) 22 14 56 15 7 K(min) 7 4 41 4 2 Max.Amplitude, MA (mm) 59 56 12 58 62 The rate of thrombin generation as visualized by plotting the 1st derivative of the TEG course, in patients with SHA without inhibitors, showed that they could be divided into 2 groups based on MTG (</>9). When analysed the 2 groups showed the following characteristics (5 representative curves from each group are shown): Figure Figure Table 2 TEG Parameters (Mean values) MTG < 9 (n=16) MTG > 9 (n=13) p value TMA: Time to MA; MTG(mm*100/sec) 5.5 12.6 <0.001 TMG (min) 33 20 0.009 R(min) 26 16 0.004 K(min) 9 3.4 0.03 MA(mm) 56.1 62.3 0.01 TMA(min) 60 38 0.006 13/29 children with SHA had target joints and 69%of patients with target joints had a MTG<9. Conclusions: SHA patients have variable bleeding tendencies as seen by the variation in MTG. A lower MTG is associated with a higher incidence of target joints. This may provide a clue as to which patients may have the greatest benefit from primary prophylaxis. Patients with OFD have a TEG® profile similar to Mod.H patients. SHA+I have poor thrombin generation as seen by a significantly longer TMG and R time (p <0.05), compared to all subjects. The TEG may provide valuable clues to the severity of bleeding tendencies in patients with factor deficiencies. In additional observations (not shown), it appears that the TEG may be used to monitor the response to treatment with factor concentrates and tailor treatment with rFVIIa.

scholarly journals Evaluation of Youtube Video Content About Developmental Dysplasia of the Hip

2020 ◽  
Author(s):  
Ahmet Oztermeli ◽  
Nazım Karahan
Keyword(s):  
Peer Review Process ◽  
International Health ◽  
Poor Quality ◽  
Developmental Dysplasia ◽  
Global Quality ◽  
Youtube Videos ◽  
The Mean ◽  
Mean Time ◽  
Dysplasia Of The Hip

Abstract Background: The purpose of this study is to investigate the quality and reliability of YouTube videos regarding developmental dysplasia of the hip (DDH).YouTube is one of the most popular websites used as a source of information, but the variety in authorship and lack of a peer-review process are problems.Methods: The search string “developmental dysplasia of the hip” was inputted to the YouTube search engine, and the first 52 videos returned as a response were assessed. The Video Power Index (VPI) (like ratio*view ratio/100) was used to assess the popularity of the videos. Global Quality Score (GQS) and developmental dysplasia of the hip scores (DDHS) were used to evaluate the quality and educational quality of the videos, and The Journal of the American Medical Association Score (JAMAS) was used to evaluate the accuracy of the source of information.Results: According to our research, the mean duration time of the videos was 526 s (SD: 813), and the average view count of the videos was 34,644. The mean time since upload was 1907 days (SD: 1137). On average, the videos received 10.9 comments, 210.3 likes, and 6.8 dislikes. The mean like ratio and VPI were 92.9 (SD: 19.57) and 25.8 (SD: 53.43), respectively. The mean JAMAS, GQS, and DDHS of all videos evaluated were 1.37 (SD: 0.7), 2.46 (SD: 1.09), and 4.63 (SD: 5.00), respectively. The DDHS and GQS were positively correlated (p:0.001 r: 65.8%). The GQS and the DDHS were higher in the academic group than in the commercial group (p:0.01). (p:0.037).Conclusions: The videos regarding DDH on YouTube generally had poor quality. As a result, to maintain an optimal parent–physician or patient–physician relationship, we suggest that international health societies make their own educational videos for parents, patients, and fellow physicians.

scholarly journals Phacoemulsification versus small incision cataract surgery (SICS): which one is a better surgical option for immature cataract in developing countries?

1970 ◽  
Vol 1 (2) ◽  
pp. 95-100 ◽  
Author(s):  
SK Singh ◽  
I Winter ◽  
L Surin
Keyword(s):  
Developing Countries ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Controlled Trial ◽  
Visual Outcome ◽  
P Value ◽  
Small Incision Cataract Surgery ◽  
Mean Values ◽  
Small Incision ◽  
Significant Difference

Background: Several studies have shown comparable visual outcomes of SICS and phacoemulsification (Gogate et al 2007, Ruit et al 2007). Objective: To compare the safety and efficacy of different types of surgical procedures (phacoemulsification versus SICS) for cataract surgery in immature cataract. Material and methods: A prospective randomized controlled trial was carried out involving 93 and 89 patients with immature senile cataract selected for phacoemulsification and SICS respectively. Statistics: Mean values with standard deviations were calculated. P value of less than 0.05 was considered significant. Results: There was no difference between the groups in terms of gender, age and pre-operative visual acuity (p = 0.09). In phacoemulsification group (n=93) more than two thirds and in SICS group (n=89) more than three quarters of the patients had good visual outcome (6/6-6/18) on first postoperative day (p=0.065). Poor outcome (<6/60) was recorded in 6% (phacoemulsification group) and 1% (small incision cataract surgery group). Mean visual acuity was 0.43 ± 0.27 in phacoemulsification group and 0.47 ± 0.24 in SICS group. Mean surgery time was significantly shorter in SICS group (p=0.0003). Statistics: Data were computed and analyzed using the SPSS software program vs 10. The p value of < 0.05 was considered significant. Conclusion: There was no significant difference in visual outcome on first post operative day in between phacoemulsification and SICS technique. However, performing SICS was significantly faster. Small incision cataract surgery with implantation of rigid PMMA lens is a suitable surgical technique to treat immature cataract in developing countries. Keywords: phacoemulsification; small incision cataract surgery (SICS) DOI: 10.3126/nepjoph.v1i2.3682 Nep J Oph 2009;1(2):95-100

Effect of H.pylori and Cag-A on the infertility among males

2017 ◽  
Vol 6 (03) ◽  
pp. 5292
Author(s):  
Najat Jabbar Ahmed Berwary
Keyword(s):  
Seminal Fluid ◽  
Cross Reactivity ◽  
P Value ◽  
Microbial Infection ◽  
Mean Values ◽  
Significant Difference ◽  
History Of ◽  
Sperm Antigens ◽  
Sperm Antibodies ◽  
Cag A

Among infertility factors, the immunological factor that associated with humoral immunity against sperm antigens is one of the causes of human infertility. A hypothesis for the induction of anti-sperm antibodies (ASA) is the cross-reactivity of spermatozoa antigens and exogenous antigens including; bacteria, viruses, fungi and allergens. The presence of anti-sperm Ab, anti-H.pylori and Cag-A and its effect on infertility among male and female have been found. In the current study, 129 male and 38 females (18-59 years) participated. Indirect Enzyme-Linked Immuno Sorbent Assay (ELISA) used for detection of ASA, anti-H.pylori Ab and Cag A. The seminal fluid examination test was performed according to an examination and processing of human semen. H.pylori infection can be observed among both of infertile male and females who participated in this study. A significant difference in mean values was observed between the presence of ASA, anti-H.pylori Ab and Cag-A (P-value < 0.000). P-value < 0.000 also observed between Cag A and ASA according to the trauma of testes. The result of the current study showed that about one of a third of males who participated in this study have a history of a microbial infection that can lead to the destruction of testes barrier thus result in the production of auto-antibodies against sperms.

YouTube and Rhinoplasty: An Analysis of the Videos Available Online

2017 ◽  
Vol 34 (4) ◽  
pp. 179-182 ◽  
Author(s):  
Amar Gupta ◽  
Michael Nissan ◽  
Hani Rayess ◽  
Giancarlo F. Zuliani ◽  
Michael Carron
Keyword(s):  
Web Sites ◽  
Search Term ◽  
Television Programs ◽  
Cross Sectional ◽  
Actual Patient ◽  
Significant Difference ◽  
Actual Operation ◽  
Youtube Videos ◽  
Sectional Analysis ◽  
Practicing Physicians

The objective of this study was to examine YouTube videos related to rhinoplasty created by both physicians and nonphysicians in order to determine the content of the videos, the selected topics of discussion, and other important parameters. A cross-sectional analysis was performed. YouTube videos that resulted when the search term “rhinoplasty” was entered were identified during the first 15 days of October 2014. The search was carried out daily during this time, and the first 20 unchanged videos were included in this analysis. Authorship, length of video, objective, total views, and type of video were recorded. Ten videos (50%) were physician based, 8 were patient based (40%), and 2 (10%) were television programs. Ten videos (50%) were longer than 10 minutes and 8 (40%) had greater than 100 000 views. The majority of videos (85%) aimed to provide didactic information on the rhinoplasty operation or intended to provide a perspective on the operation from an actual patient. Mann-Whitney U tests and Kruskal-Wallis tests were used to compare physician-based Web sites against those with other authorship with threshold of significance < .05 with no significant difference found between the groups. Videos submitted by practicing physicians were inherently different than those submitted by patients. While videos submitted by physicians concentrated primarily on the actual operation, videos submitted by patients were focused mainly on what they experienced during their procedure. The lack of safeguards on the quality or accuracy of videos posted on the popular Web site YouTube may lead to a possibility for misinformation to the consumer. It would likely be prudent for specialty bodies and organizations to submit high-quality videos to provide the best and most up-to-date information possible.

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