Evaluation of the origin and educational quality of youtube videos on adrenaline auto-injectors.

Summary: Background. Guidelines highlight the pivotal role of adrenaline auto-injector (AAI) training. However, the standards of visual training platforms has not been determined. Our aim was to evaluate the reliability and quality of the AAI related videos on YouTube. Methods. After a search on YouTube about AAI, all videos were categorized into groups based on their origin and the aim of the content. The quality, reliability, understandibility, and actionability of the videos were evaluated using the Global Quality Scale (GQS), Patient Education Materials Assessment Tool Audovisiual (PEMAT-A/V), Quality Criteria for Consumer Health Information (DISCERN), and a modified DISCERN. In each video, the application steps of AAI were evaluated according to a scale of correct usage. Results. 107 YouTube videos in English were included. No significant difference in terms of views, likes, duration and uploading time was observed between the health and non-health groups whereas the GQS (p=0.001), DISCERN (total: p=0.02, and overall: p=0.094), modified DISCERN (p=0.001) scores were higher in the health group. It was found that scores tended to be higher in educational videos. AAI use was mentioned in 85% videos. The median number of mentioned steps was 6. Conclusions. YouTube is an effective platform for visual learning for the use of AAIs. Although the visibility of the videos is equal independent of the origin, the ones recorded by medical professionals seem to provide the most qualified and reliable information.

Evaluation of the frequency and awareness of obesity among healthcare workers.

OBJECTIVE: The aim of this study is to determine the frequency of obesity in healthcare workers and to evaluate the awareness of obesity by using Obesity Awareness Scale. SUBJECTS AND METHODS: This descriptive frequency study was conducted between January 1 and March 31, 2021, in 17 Family Health Centers in the Health Training and Research Area. 119 health personnel working in Family Health Centers were included in the study. The Body Mass Index (BMI) classification accepted by the World Health Organization for adults was used to determine obesity. Obesity Awareness Scale adapted to the Turkish language was used to evaluate obesity awareness. RESULTS: The frequency of obesity among healthcare workers was 11.8% and overweight was 37.8%. 51.9% of physicians were overweight, 14.8% were obese; 38.5% of midwives were overweight, 15.4% were obese; 24.4% of the nurses were overweight and 9.8% were obese. The mean BMI of the participants was 18.00±0.52 for underweight, 22.65±1.35 for normal, 27.32±1.43 for overweight, and 31.53±1.68 for obese. The obesity awareness total score average of the participants was 63.97±7.47 (high level). According to the obesity awareness scale sub-dimension mean scores, obesity awareness was 28.7±3.9 (high), nutrition awareness was 20.0±3.1 (high), and physical activity was 15.3±1.8 (good). CONCLUSIONS: The frequency of obesity was found to be low, and the awareness of obesity was found to be high among HCWs in Family Health Centers. In addition, obesity was mostly detected in physicians, midwives, and nurses. Urgent act policies are needed to encourage both patients and HCWs to the awareness and prevention of obesity and to have a healthy lifestyle.

The level of anxiety in pregnant women in COVID-19 pandemic: a cross-sectional study.

OBJECTIVE: We aimed to determine the COVID-19 anxiety level in pregnant women who presented to an outpatient clinic during the COVID-19 pandemic. PATIENTS AND METHODS: This is a descriptive cross-sectional study including 203 of 310 pregnant women who presented to the outpatient clinic of a training and research hospital of the Ministry of Health between 29 September-1 October, 2020. The level of anxiety was assessed with the COVID-19 Anxiety Inventory (CAS) using a face-to-face survey method. RESULTS: The mean age of the patients was 28.15±5.95 years. In the study, while 6.2% of women over 30 years old was identified to have psychological problems, 0.7% of those under 30 years old had such problems. The rate of diagnosis of COVID-19 in the family/acquaintances of those with an educational level of high school or higher was 56.9%, and those who had an educational level under high school had a corresponding rate of 39.5%. The rate of COVID-19 diagnosis in the family/acquaintances of those with an educational level of high school or higher was significantly higher (p<0.05). The mean COVID-19 anxiety scale score was 0.18±0.47; COVID-19 anxiety was not observed in pregnant women. CONCLUSIONS: This study detected no anxiety in pregnant women. Therefore, it can be said that pregnant women do not need immediate psycho-social support.

Comprehensive analysis of the volume of bone for grafting that can be harvested from iliac crest donor sites.

Our aim was to calculate the volumes of cancellous, cortical, and corticocancellous bone that can be harvested as a graft from the anterior and posterior iliac crests using 3-dimensional computed tomography (CT) and software in a living adult population. We selected random CT scans of the pelvis from 31 men and 29 women from the Department of Radiology imaging database. CT data in DICOM file format were imported into Mimics software. The anterior iliac crest and posterior iliac crest bone graft-harvested boundaries were measured. The volume of the 3-dimensional cortical and cancellous bone grafts was measured using the Mimics software. There were significant differences in all comparisons between the anterior and posterior iliac crest, except for volumes of cortical bone. More cancellous and total corticocancellous bone can be harvested from the posterior than the anterior iliac crest, together with similar or smaller volumes of cortical bone. Sex, but not age, is an important factor in terms of the amount of bone that can be harvested, with a wide range of volumes individually from both iliac crests.