scholarly journals Cardiopulmonary Resuscitation of Patients with Coronavirus Disease 2019: A One-Year Survey in The West of Iran

2021 ◽  
Author(s):  
Afshin Goodarzi ◽  
Masoud Khodaveisi ◽  
Alireza Abdi ◽  
Rasoul Salimi ◽  
Khodayar Oshvandi
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Underlying Disease ◽  
Spontaneous Circulation ◽  
Time Interval ◽  
Chi Square ◽  
Cross Sectional ◽  
Epinephrine Administration ◽  
Administration Time ◽  
One Year ◽  
The One

Abstract Background The coronavirus disease 2019 (COVID-19) is associated with high risk of cardiac arrest (CA). Therefore, assessing cardiopulmonary resuscitation (CPR) success among patients with COVID-19 and employing effective strategies for its improvement are essential. The present study aimed at assessing the one-year epidemiology and outcomes of CPR among patients with COVID-19. Methods This cross-sectional descriptive-analytical study was conducted in January 2021 in the emergency departments of two hospitals in Hamadan and Kermanshah, Iran. Participants were 487 patients with confirmed COVID-19 and CA who had undergone CPR during the one-year period between January 20, 2020 and January 20, 2021. Data were collected using the available CPR documentation forms developed based on the Utstein Style. Data analysis was performed via the Chi-square, Fisher’s exact, and Mann-Whitney U tests and the logistic regression analysis. Results Participants’ age was 69.31 ± 14.73 years and most of them were male (61.8%) and suffered from at least one underlying disease (58.1%). The rate of total and in-hospital CA was 9.67% and 9.39%, respectively. The most prevalent first documented rhythm was asystole and the highest responsivity to CPR was for shockable rhythms. The rate of the return of spontaneous circulation was 9% and the rate of survival to hospital discharge was 2%. The significant predictors of CPR success were age, epinephrine administration time interval, and CPR duration. Conclusion CPR outcomes among patients with COVID-19 are poor, particularly among those with asystole and bradycardia. Old age and high or low doses of epinephrine can reduce CPR success, while CPR prolongation can improve CPR outcomes.

scholarly journals Immediate intravenous epinephrine versus early intravenous epinephrine for in-hospital cardiopulmonary arrest

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdullah Bakhsh ◽  
Maha Safhi ◽  
Ashwaq Alghamdi ◽  
Amjad Alharazi ◽  
Bedoor Alshabibi ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cardiopulmonary Arrest ◽  
Spontaneous Circulation ◽  
Do Not Resuscitate ◽  
High Quality ◽  
Epinephrine Administration ◽  
Return Of Spontaneous Circulation ◽  
Administration Time ◽  
Resuscitation Attempt ◽  
The Ideal

Abstract Background Intravenous epinephrine has been a key treatment in cardiopulmonary arrest since the early 1960s. The ideal timing for the first dose of epinephrinee is uncertain. We aimed to investigate the association of immediate epinephrine administration (within 1-min of recognition of cardiac arrest) with return of spontaneous circulation (ROSC) up to 24-h. Methods This was a multicenter retrospective analysis of patients who underwent cardiopulmonary resuscitation. We included the following patients: 1) ≥18 years-old, 2) non-shockable rhythms, 3) received intravenous epinephrine during cardiopulmonary resuscitation, 4) witnessed in-hospital arrest and 5) first resuscitation attempt (for patients requiring more than one resuscitation attempt). We excluded patients who suffered from traumatic arrest, were pregnant, had shockable rhythms, arrested in the operating room, with Do-Not-Resuscitate (DNR) order, and patient aged 17 years-old or less. Results A total of 360 patients were included in the analysis. Median age was 62 years old and median epinephrine administration time was two minutes. We found that immediate epinephrine administration (within 1-min) is associated with higher rates of ROSC up to 24-h (OR = 1.25, 95% CI; [1.01–1.56]), compared with early epinephrine (≥2-min) administration. After adjusting for confounding covariates, earlier administration of epinephrine predicted higher rates of ROSC sustained for up to 24-h (OR 1.33 95%CI [1.13–1.55]). Conclusions Immediate administration of epinephrine in conjunction with high-quality CPR is associated with higher rates of ROSC.

scholarly journals Opioid overdose in public libraries: Results from a five state survey

2020 ◽  
Author(s):  
Rachel Feuerstein-Simon ◽  
Margaret Lowenstein ◽  
Roxanne Dupuis ◽  
Xochitl Luna Marti ◽  
Abby Dolan ◽  
...  
Keyword(s):  
Substance Use ◽  
Public Libraries ◽  
Public Library ◽  
Opioid Overdose ◽  
Cross Sectional ◽  
Public And Private ◽  
The Past ◽  
Library Staff ◽  
One Year ◽  
The One

AbstractIntroductionPublic libraries are increasingly impacted by the overdose crisis. A 2017 survey of public librarians in the state of Pennsylvania revealed that 12% had reported an on-site overdose in the previous year. There are increasing public and private efforts to equip public libraries with the opioid overdose antidote, naloxone.MethodsWe conducted a cross-sectional web-based survey of all public library branches in Colorado, Connecticut, Florida, Michigan, and Virginia. Survey questions. We used descriptive statistics to report frequencies of responses and crude odds ratios were calculated to predict the dichotomized variable of endorsement of naloxone uptake.ResultsLibrary staff reported witnessing on-site alcohol (45%) and injection drug (14%) use in the past month. The one-year cumulative incidence (12% overall) of on-site overdose ranged from a low of 10% in MI, to a high of 17% in FL. Among libraries with on-site overdoses, a minority (21%) stocked naloxone, and 12% had administered naloxone. Overall, 11% of libraries stocked naloxone on-site. Although 24% of respondents reported attending at least one training regarding SUD in the past year, 91% wanted more training on the topic.ConclusionsPublic library staff routinely address issues related to substance use and overdose in their institutions. This work highlights the importance of including public libraries as part of a comprehensive public health strategy to address substance use-related morbidity and mortality in the U.S.

scholarly journals Perception of Telephone-assisted Cardiopulmonary Resuscitation Among Emergency Medical Personnel in China: a Web-based Survey

2021 ◽  
Author(s):  
Xuqin Kang ◽  
Jing Lou ◽  
Sijia Tian ◽  
Shengmei Niu ◽  
Luxi Zhang ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Professional Training ◽  
Medical Personnel ◽  
Medical Emergency ◽  
Survey Study ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Automated External Defibrillators ◽  
Emergency Medical

Abstract Background: To investigate the perception of telephone-assisted cardiopulmonary resuscitation (T-CPR) after out-of-hospital cardiac arrest (OHCA) among emergency medical service (EMS) providers in China.Methods: A multicentre, cross-sectional, descriptive, online questionnaire survey study was conducted on the perception among emergency centres in various regions across China from December 2018 to June 2019. Answers to questions concerning baseline characteristics of survey respondents, cognition and implementation of T-CPR, and use of automated external defibrillators were surveyed.Results: Of 1,191 questionnaires obtained from 15 provinces in China, 1,187 were valid. Among the 1,187 respondents, the mean age was 38.0±1.1 (20–60) years; 436 (36.7%) were male and 751 (63.3%) female; there were 256 dispatchers, 494 emergency doctors, 400 emergency nurses, and 37 medical emergency assistants; 960 (80.9%) had previously learned T-CPR and 227 (19.1%) had not. Of the 960 participants who knew T-CPR, 796 (82.9%) recognised CA, 714 of whom (89.7%) would further implement T-CPR. The difference in the cognition rate of T-CPR was statistically significant among EMS providers (chi-square test, 38.1; P<.001). In multivariate analysis, dispatchers had a significantly improved knowledge of T-CPR as their workload increased (P<.001; OR=1.002; 95%CI, 1.001–1.003).Conclusion: Substantial and important differences in the perception and implementation of T-CPR among EMS personnel were observed throughout China. Further professional training in T-CPR is urgently required for improvement in outcomes of OHCA countrywide.Trial registration: not applicable.

scholarly journals Oral neglect as a marker of broader neglect: a cross-sectional investigation of orodental consultation letter of leukemic admitted patients in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatemeh Owlia ◽  
Amin Ansarinia ◽  
Hassanali Vahedian Ardakani
Keyword(s):  
Underlying Disease ◽  
Cross Sectional Study ◽  
Lymphocytic Leukemia ◽  
Oral Manifestations ◽  
Chi Square ◽  
Cross Sectional ◽  
Request Rate ◽  
Significant Difference ◽  
Chi Square Test ◽  
Consultation Request

Abstract Background Leukemia is the main malignant hematologic disease of children with different oral manifestations and clinical features. Attention to the oral manifestations is essential for better management. This study assessed the oral and dental consultations conducted in the admitted leukemic patients of an Iranian teaching hospital. Methods In this descriptive cross-sectional study, medical records of patients admitted in Yazd Shahid Sadoughi Hospital were evaluated. Records of 300 patients with leukemia were randomly selected. Data including demographic information on age, sex, type of oral problems, prescribed instructions and leukemia type were extracted from archived records and registered on the checklist. Finally, Data were analyzed by SPSS17 using Chi-square test. Results The results showed the average age ± SD of patients were 24.36 ± 23.91 with a range of 4 days to 86 years. Among 300 files, 167 belonged to males (55.7%) and 133 pertained to females (44.3%). The most prevalent type of underlying disease was ALL (Acute lymphocytic leukemia) with the frequency of 180 persons (60%). Only 12 (4%) of patients were referred to a specialist due to oral problems. Of all cases of consultation requests, 75% received consultation because of dental problems and 25% for mucosal problems. There was a statistically significant difference between age and consultation request (P = 0.002). Conclusions According to the results of this study, orodental consultation request rate for admitted leukemic patients was low. Pediatric hematologist and oncologists to some extent had more interest to consult due to oral and dental problems rather than others.

scholarly journals Study of Weaning Practices among Mothers of Children less than One year of Age in Slum area of Multan

2020 ◽  
Vol 11 (3) ◽  
pp. 21-24
Keyword(s):  
Low Socioeconomic Status ◽  
Economic Status ◽  
Sampling Technique ◽  
Slum Area ◽  
Time Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Mother’S Education ◽  
One Year ◽  
Mother's Education

Background: Weaning is the key to the proper growth and development of a child. Mothers must do proper weaning practices in order to prevent malnutrition and infection in children. Objective: To determine the weaning practice among mothers with infants aged 6 months to one year of age, and causes of delayed weaning. Methodology: A cross-sectional descriptive study was carried out among the residents of the slum area of Jahangirabad, Multan, from 31st March to 25th May 2018. A close-ended questionnaire was used for collecting data from 85 mothers using a non-probability convenient sampling technique. Frequency and percentages were calculated for qualitative variables like education, occupation, socio-economic status, the start of weaning time. Data were analyzed using SPSS version 20. Results: Mothers who started weaning of their children at age of 6 months and above were 91%. Mothers who felt their milk was enough for the baby were only 37%. Mothers using marketed food for weaning were, 48 %. Illiterate mothers were, 45%. Those who were doing weaning less than 6 times per day were 98%. Families belonging to low socioeconomic status were, 61%. On applying the chi-square test there was no significant association found between the start of weaning time and mother's education (p=0.3) or occupation (p=0.3). Conclusion: A large proportion of children's population has started weaning above 6 months of age. There was no significant association found between the start of weaning time with the mother’s education and occupation.

scholarly journals Εlectrocardiographic and electrophysiological characteristics of idiopathic ventricular arrhythmias with acute successful ablation at the anterior portion of the mitral annulus

2021 ◽  
Author(s):  
Chengye Di ◽  
Konstantinos Letsas ◽  
Peng Gao ◽  
Qun Wang ◽  
Yanxi Wu ◽  
...  
Keyword(s):  
Ventricular Arrhythmias ◽  
Mitral Annulus ◽  
Time Interval ◽  
Recurrence Rates ◽  
Anterior Portion ◽  
Premature Ventricular Contractions ◽  
Distinct Subgroup ◽  
One Year ◽  
The One

Abstract Background: We sought to clarify the electrocardiographic and electrophysiological characteristics of ventricular arrhythmias (VAs), including idiopathic ventricular tachycardia (VT) and premature ventricular contractions (PVCs), with acute successful radiofrequency catheter ablation (RFCA) at the anterior portion of the mitral annulus (AP-MA).Methods and Results: Among 437 consecutive patients who presented with VAs for RFCA, twenty-six patients with acute successful RFCA at the AP-MA were included in this study. The ratio of the amplitude of the first positive peak (if present) vs. the nadir in the unipolar electrogram (EGM) was 0.00 – 0.03 (0.00) at the acute successful RFCA site. The time interval between the QRS onset to the maximum descending slope (D-Max) in the unipolar EGM (QRS - Uni) were 18.8 ± 13.6 ms. With bipolar mapping, the V-QRS interval was 3.75 – 17.3 (11) ms, 6 (23.1%) patients showed earliest V-QRS interval of 0 ms, and the other 20 patients (76.9%) showed V-QRS interval of 10-54 ms. The RFCA start-to-effect time was 14.1 ± 7.2 seconds in 23 patients (88.5%). In the remaining 3 patients (11.5%), the mean duration of successful RFCA were not well determined due to infrequent nature of clinical VAs during RFCA. Early (within 3 days) and late (one-year) recurrence rates were 23.1% (6 patients) and 26.9% (7 patients), respectively. The VAs disappeared 3 days later due to delayed RFCA efficacy in 2 patients (7.7%). No complications occurred during RFCA or the one-year follow up.Conclusions: AP-MA VAs are a rare but distinct subgroup of VAs. Bipolar and unipolar EGM features can help to detect the optimal RFCA site, and the QRS - Uni interval may work as a marker for guiding RFCA.

scholarly journals Immediate Intravenous Epinephrine Versus Early Intravenous Epinephrine for In-Hospital Cardiopulmonary Arrest

2021 ◽  
Author(s):  
Abdullah Bakhsh ◽  
Maha Safhi ◽  
Ashwaq Alghamdi ◽  
Amjad Alharazi ◽  
Bedoor Alshabibi ◽  
...  
Keyword(s):  
Chart Review ◽  
Cardiopulmonary Arrest ◽  
Retrospective Chart Review ◽  
Spontaneous Circulation ◽  
Chi Square ◽  
Epinephrine Administration ◽  
Return Of Spontaneous Circulation ◽  
Study Population ◽  
Epinephrine Dose ◽  
The Ideal

Abstract Background intravenous epinephrine has been a key treatment for cardiopulmonary arrest since the early 1960s. Although, many studies have questioned neurological outcome benefit, it remains to be recommended in international guidelines for its benefit on return of spontaneous circulation (ROSC). The ideal timing for the first epinephrine dose is uncertain. We aimed to look at the association of immediate epinephrine administration (within 1-minute of cardiac arrest recognition) with return of spontaneous circulation (ROSC) up to 24-hours and beyond 24-hours. Methods this was a multicenter retrospective chart review of patients undergoing cardiopulmonary resuscitation. Descriptive statistics were used to characterize study population, while t-test and chi-square were used to compare groups and outcomes. Results immediate epinephrine administration (within 1-minute) is associated with higher rates of ROSC up to 24-hours (OR = 2.36, 95% CI; [1.46–3.81]) and beyond 24-hours (OR = 2.26, 95% CI; [1.06–4.83]). Conclusions we encourage immediate administration of epinephrine in conjunction with high-quality CPR, as this is associated with higher rates of ROSC.

Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders

1998 ◽  
Vol 173 (S34) ◽  
pp. 24-28 ◽  
Author(s):  
D. A. Regier ◽  
D. S. Rae ◽  
W. E. Narrow ◽  
C. T. Kaelber ◽  
A. F. Schatzberg
Keyword(s):  
Anxiety Disorder ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Age Of Onset ◽  
Cross Sectional ◽  
Prospective Data ◽  
Addictive Disorders ◽  
Physical Disorders ◽  
One Year ◽  
The One

Background The co-occurrence of anxiety disorders with other mental, addictive, and physical disorders has important implications for treatment and for prediction of clinical course and associated morbidity.Method Cross-sectional and prospective data on 20 291 individuals from the Epidemiologic Catchment Area (ECA) study were analysed to determine one-month, current disorders, one-year incidence, and one-year and lifetime prevalence of anxiety, mood, and addictive disorders, and to identify the onset and offset of disorders within the one-year prospective period.Results Nearly half (47.2%) of those meeting lifetime criteria for major depression also have met criteria for a comorbid anxiety disorder. The average age of onset of any lifetime anxiety disorder (16.4 years) and social phobia (11.6 years) among those with major depression was much younger than the onset age for major depression (23.2 years) and panic disorder.Conclusions Anxiety disorders, especially social and simple phobias, appear to have an early onset in adolescence with potentially severe consequences, predisposing those affected to greater vulnerability to major depression and addictive disorders.

scholarly journals Perbedaan Fungsi Kognitif Mahasiswa Fakultas Kedokteran Unissula dengan IPK Kurang dari 3 dan IPK Lebih sama dengan 3 Yudisium Tahun 2018

2019 ◽  
Vol 2 (1) ◽  
pp. 293
Author(s):  
Ahmadi NH ◽  
Elly Noerhidajati ◽  
Siti Maesaroh
Keyword(s):  
Mini Mental State Examination ◽  
Descriptive Analysis ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
The One ◽  
State Examination

Cognitive function varies in each human being, from simple to complex, requiring attention, concentration, and coordination. Cognitive is related to a person's ability to think, solve problems, organize and also to communicate and interact with others and the environment. Methods: cross-sectional research, samples involve the students of medical faculty of Unissula-Semarang with GPA less than 3 and more than 3 graduated in 2018, instrument Mini-Mental State Examination (MMSE). Descriptive analysis and Chi-square test. Results and Discussion: samples are 56 students, the highest gender is men (51%), the range of age 18-21 years old (53.6%), the number of GPA is the same as the one below and above 3 there are 28 (50%). Test Chi Square gender difference with P value of 0.422 GPA gender does not have significant difference to the GPA, based on the age of the results of T-test p-value 0.000, showed age had significant difference to the GPA, where the age is getting younger GPA is getting better, based on the scores of MMSE test, it was obtained p 1.000, MMSE score has no significant difference with the GPA. Conclusion: Gender and MMSE value have no difference with GPA, there is difference between age and GPA, the younger the students the better GPA the students achieve.

scholarly journals Relationship of Some Internal Factors with Open Defecation (OD) Behavior in Dusun Kandangan Tarik District Sidoarjo

2017 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
Gede Bagus Subha Jana Giri ◽  
Marini Ayu Purnama ◽  
I Putu Bhayu Wiratma
Keyword(s):  
Economic Status ◽  
Simple Random Sampling ◽  
Credit System ◽  
Open Defecation ◽  
Chi Square ◽  
Cross Sectional ◽  
Internal Factors ◽  
Level Of Education ◽  
The One ◽  
Relationship Of

OD or open defecation is one of activity that influenced many aspects, it can pollute the source of drinking water, contaminate the crops , and the one  that causes many diseases that are related to GI (Gastrointestinal) tract infectious diseases. Even though in Subdistrict of Tarik many household already had  latrines, but not make the society become open defecation free, as in  Kandangan hamlet  which the percentage of OD is 35% at 2014  . The main purpose of this study is to evidently expose several internal factors that influence OD behavior in Kandangan Hamlet,village of  Banjarwungu, subdistrict of Tarik,Sidoarjo regency. This analytic study used cross sectional approach, with chi square to test the hypothesis. The population consisted of 1003 people that come from Kandangan Hamlet,  ,with  sample size 91 people determined through simple random sampling method, focused between  15-65 years old. Variable of this research consists of age, gender, level of education, and economic status, those variable considered  as the Independent variables and OD behavior as the dependent variable. The result of this study shows that age, level of education, and economic statu respectively  influenced  OD behavior in Kandangan  Hamlet, (p<0,05). While gender and habit were not influence the behavior of OD(p>0,05). Suggestion for this problem can be made through improvingt of promotion program regarding OD issues emphasizing the importance of latrines, recruiting health cadres that can giving understanding about the importance of latriney, helding latrine community gathering and giving credit system for building latrines as hope for improving level of ODF in the society.

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