The comparison between two methods of basic life support instruction: Video self-instruction versus traditional method

Introduction: Medical education is changing and evolving. Teachers need to re-evaluate their medical teaching practice to enhance student learning. The data about the ideal training method of Basic Life Support (BLS) is lacking. The goal of this study was to analyse the use and performance of video self-instruction (VSI) method in BLS, in order to develop an efficient BLS training method. Methods: Eighty-one undergraduate medical interns were enrolled in a prospective clinical study in 2011. They were divided into VSI group and traditional group. We provided the first group with a DVD containing a 20-minute training video while the second group took part in a 4-hour training class of BLS. Subjects participated in a pre-test and post-test based on 2010 American Heart Association Resuscitation guideline. Results: The average scores of VSI group and the traditional group before training were 8.85±2.42 and 8.57±2.22 respectively (p=0.592). After training, the average scores of the VSI and the traditional group were 20.24±0.83 and 18.05±1.86 respectively. VSI group achieved slightly better scores compared with the traditional group (p<0.001). Conclusions: Training through VSI achieves more satisfying results than the traditional lecture method. VSI method can be considered a useful technique in undergraduate educational programs. Developing VSI can increase significantly the access to the BLS training. © 2015, Medcom Limited. All rights reserved

The promising applications of ultrasound in emergency medicine and critical care related to in cancer: A review

The referral of critically ill cancer patients to an Intensive Care Unit (ICU) is a matter of controversial debate. During the past decade, ultrasound imaging performed by emergency physicians and critical care providers has gained significant clinical importance. A number of researches reported the ability of emergency physicians and critical care providers to carry out and interpret bedside assessments exactly, along with a great effect on the quality of care. It is possible assessing ultrasound-mediated subjects who are very much instable to be evaluated through alternative imaging methods. Furthermore, ultrasound in the emergency medicine and critical care open a new way towards facilitate diagnosis, simplify rapid dispositions, and influence management decisions. The primarily perspective of bedside ultrasound by emergency physicians and critical care providers was limited to a few applications. However, it was observed a number of new applications due to the universal and extensive adaptation of ultrasound in emergency uses. In this review, we discussed the promising applications of ultrasound for emergency medicine and critical care that encompass telemedicine, prehospital setting, soft tissue, fractures, ocular, paracentesis, pneumothorax, foreign bodies, bladder and arthrocentesis ultrasound. © Oncology and Radiotherapy

Are serial hematocrit measurements sensitive enough to predict intra-abdominal injuries in blunt abdominal trama?

Objective: Routine serial hematocrit measurements are a component of the trauma evaluation for patients without serious injury identified on initial evaluation. We sought to determine whether serial hematocrit testing was useful in predicting the probable injuries in blunt abdominal trauma. Materials and method: We performed a prospective study of trauma patients admitted in our observation unit over a 12-month period. Patients routinely underwent serial hematocrit testing in 6-hour intervals (two hematocrit levels). We compared trauma patients with a hematocrit drop of 5 and 10 points or more to those without a significant hematocrit drop. Results: Five hundred forty-two isolated blunt abdominal trauma patients were admitted to observation unit, and 468 patients (86.35) had serial hematocrit during their 6-hour stay. Of these patients, 36.11 had a hematocrit drop of 5 or more and 12.61 a drop of 10 or more. Of patients with the hematocrit drop >10, 50.8 have had diagnostic manifestations of intra-abdominal injury in both ultrasonographic and computed tomography scanning (P5 and positive imaging. Conclusion: Although serial hematocrit testing may be useful in specific situations, routine use of serial hematocrit testing in trauma patients at a level I trauma center�s observation unit did not significantly aid in the prediction of occult injuries. © 2019 Mosaddegh et al

DRAFT A STUDY OF GYROSCOPIC EFFECTS ON STABILITY OF HIGH SPEED MILLING

ABSTRACT Dynamic stability of machine tools during operations is dependent on many parameters including the spindle speed. In high and ultra high speed machining, the gyroscopic on the spindle dynamics becomes more pronounced and can affect the borders of stability of the rotating system. In this paper, a finite element based model of spindle, tool holder and cutting tool based on Timoshenko beam theory is used to obtain the dynamic response of the system when gyroscopic terms are included. An iterative scheme is used to update the speed dependent frequency response of the system for obtaining system stability characteristics. It is shown that the gyroscopic effect reduces the critical depth of cut in high speed milling. INTRODUCTION . High speed machining at speeds well above 10000rpm is growing very rapidly in automotive, aerospace, die making, electronics and many other industries. To achieve cutting at such high speeds, the technology has advanced in many fronts, including machine tool design, cutting tools and production systems. Development of cutting tool materials and coatings that can withstand high temperatures and forces has made cutting at very high cutting speeds possible. New spindles capable of running at 40,000 rpm and higher and with high power are commercially available. The high speed machining technology requires accurate and superior spindle design. In particular, the dynamic stability of the spindle system against chatter vibration is vital in producing high quality products at high material removal rates. The stability of machine tool is dependent, among other things, on the dynamic behavior of machine tool structure

Comparison between Effects of Addition of Salvia mirzayanii Essence with Virginiamycin on Performance, Carcass Characteristics, Blood Factors and some Immune Parameters of Broiler Chickens

In order to investigate effects of addition of Salvia mirzayanii essence and comparison with antibiotic an experiment was conducted as dietary a completely of the randomized design with 5 treatments, and 5 replicates with 12 chickens per replicate for 42 days with treatments control, virginiamycin antibiotic 10% (100 ppm) and three levels of S. mirzayanii essence (200, 400 and 600 ppm). Weight gain and feed intake recorded weekly and carcass characteristics analysis and blood parameters were determined at 28 and 42 days of age. Highest weight gain was observed at the level of 200 ppm essence at the 22-42 days of age (grower phase) and at1-42 days of age (total of experiment), 200 and 600 ppm essence showed the highest results. Feed intake was highest in 200 and 600ppm essence level in the grower phase as well as overall. Best feed conversion ratio at the grower phase and total of experiment observed in the 200 ppm essence treatment. Gizzard and gastrointestinal tract weights significantly decreased with addition of antibiotic. This essence significantly decreased cholesterol, HDL and LDL. Bursa of fabricius weight was significantly highest at level of 400 ppm essence and lowest at the level of 600 ppm. Dietary addition of essence significantly decreased blood eosinofil. The results of this experiment showed that S. mirzayanii essence could be used as growth promoter and using low levels of the essence could improve performance and immune system

A review on the technique of procedural sedation and analgesia (Psa) in emergency medicine

One of the proper clinical practices that applied in emergency medicine departments is the medical technique of procedural sedation and analgesia (PSA). The sedation level should be modified somehow that patients be able to undergo undesirable medical conditions and also preserve normal consciousness and physiological reflexes while being able for considering and responding to tactile or/and verbal stimulations. In spite the fact that the most frequently applied drugs for procedural sedation are broadly safe, but improper dosing or monitoring would increase adverse side effects. It should be noted that applying the technique of procedural sedation in emergency medicine departments may bring risks along. Appropriate medical monitoring from one side, and providing proper accessibility to resuscitation possibilities with the presence of properly educated staffs of emergency units for immediate management of airway and supporting the life of patients in an advanced way from the other side, could decrease the harmful consequences of treatment. For proper screening of compatibility of procedural sedation and evaluation the main risk factors, preprocedural assessment should be done. Patients who have improper airway, are in full stomach condition or have considerable medical diseases should take higher levels of conscious sedation and also should consider alternatives to procedural sedation. The medical professional doctor which is responsible for carrying out procedural sedation must be educated properly from the point view of operation, dose, consequences, side effects and antitoxin of frequently applied sedative analgesics. The recent developed novel and advanced techniques are such as the chemical compound of Inhalational anesthetic, drug delivery system of transmucosal, target controlled sedation (TCS), patient-controlled sedation (PCS) and transnasal esophagoscopy. After procedural sedation process all patients must be undergoing medical monitoring and also must be kept at the recovery room until they present all required criteria�s for being discharged. © 2020, Japan International Cultural Exchange Foundation. All rights reserved

The Effect of Plant Growth Regulators and Different Explants on the Response of Tissue Culture and Cell Suspension Cultures of German Chamomile (Matricaria chamomilla L.)

German chamomile (Matricaria chamomilla L.) is one of the most important medicinal plants that its essential oils used in different medicinal industries. In this study which was carried out in 2013 growing season at the Faculty of Agricultural Sciences of the University of Mohaghegh Ardabili, the in vitro response of leaf and hypocotyl explants of German Chamomile in B5 medium supplemented with different levels of plant growth regulators including 2,4-D, naphthalene acetic acid (NAA), kinetin and 6-benzylaminopurine (BAP) were investigated in a factorial experiment based on completely randomized design (CRD).In addition, cell suspension cultures were established and characterized. Hypocotyl and leaf explants exhibited cell proliferation and produced callus within 1-2 weeks. The highest fresh weight of the callus (264.1 mg) was produced by leaf explants in the medium supplemented with 0.5 mg/l 2,4-D and 1 mg/l BAP. However, the leaf explants cultured on medium containing 1.5 mg/l 2,4-D showed the lowest cell proliferation and callus yield (40.42 mg). The highest percentage of root induction from leaf explants (58.73%) was observed on the medium containing 4 mg/l 2,4-D and 1 mg/l Kin, and from hypocotyl explants (48.61%) was observed on medium supplemented with 1.5 mg/l NAA. The 42.22% of calli derived from hypocotyl explants on B5 medium supplemented with 4 mg/l NAA and 3 mg/l BAP, were friable. Cell suspension cultures of German chamomile were established by transferring of hypocotyl-derived friable calli into the MS medium supplemented with 1.5 mg/l 2,4-D and 1 mg/l kinetin. The growth curve of cell proliferations started 4 days after culture and continued to grow until day 13th, where the cells entered stationary phase