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Artificial intelligence (AI) has the ability to completely transform the healthcare industry by enhancing diagnosis, treatment, and resource allocation. To ensure patient safety and equitable access to healthcare, it also presents ethical and practical issues that need to be carefully addressed. Its integration into healthcare is a crucial topic. To realize its full potential, however, the ethical issues around data privacy, prejudice, and transparency, as well as the practical difficulties posed by workforce adaptability and statutory frameworks, must be addressed. While there is growing knowledge about the advantages of AI in healthcare, there is a significant lack of knowledge about the moral and practical issues that come with its application, particularly in the setting of emergency and critical care. The majority of current research tends to concentrate on the benefits of AI, but thorough studies that investigate the potential disadvantages and ethical issues are scarce. The purpose of our article is to identify and examine the ethical and practical difficulties that arise when implementing AI in emergency medicine and critical care, to provide solutions to these issues, and to give suggestions to healthcare professionals and policymakers. In order to responsibly and successfully integrate AI in these important healthcare domains, policymakers and healthcare professionals must collaborate to create strong regulatory frameworks, safeguard data privacy, remove prejudice, and give healthcare workers the necessary training.
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INTRODUCTION: Rhinoplasty, also referred to as a nose job or a reconstruction of the nose, is a surgical procedure that alters and reconstructs the nose for aesthetic or functional purposes. With the emergence of social media and modern internet accessibility, YouTube has gained popularity among users of all ages. Despite this, the accuracy and credibility of these videos and the information they include could be cause for concern. AIMS: This study intends to assess the competence, quality, and dependability of the information in the videos related to "Rhinoplasty surgery" on YouTube. METHODOLOGY: This is a cross-sectional observational study that analyzes rhinoplasty information on YouTube. A Google Forms questionnaire was used to collect the data. The Global Quality Score (GQS), reliability score, and Video Power Index (VPI) were used to assess quality and reliability, and statistical analysis was performed using IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp. The inclusion criteria were videos ranging from 1 minute to 20 minutes in duration, pertinent to the topic of rhinoplasty surgery, and in either English or Hindi. RESULTS: A total of 71 videos were analyzed, and 70 videos were included. A comparison of GQS, reliability score, and VPI based on the type of uploader was done by the Kruskal-Wallis test. The association between VPI, GQS, and reliability score with that of the uploader of the video was found to be statistically insignificant (p<0.05). Videos uploaded by healthcare organizations, news outlets, patients, or other relevant groups have the most GQS (4.5), whereas videos uploaded by hospitals have the lowest. CONCLUSIONS: Compared to the type of uploader, videos have no statistically significant changes in quality, reliability, or video power, implying that the type of uploader does not necessarily impact the overall quality or reliability of the information presented in the investigated YouTube videos. While the majority of the videos addressed the indications of rhinoplasty and provided information about the etiology, there were gaps in discussing pre-procedural investigations and preventive measures. Due to our limitations, expanding the number of accounts used for search and increasing the number of videos might overcome the search algorithm.
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Background For tendon rupture, a disabling musculoskeletal injury, surgical management is considered the gold standard. The goal is to reduce complications and enable the patient to regain full mobility and strength. With the rise of modern internet accessibility and social media, YouTube has become a frequently used platform for all ages; however, the accuracy and reliability of the videos and the information therein may be a point of concern. Methodology This cross-sectional, observational study was designed to analyze tendon repair surgery information available on YouTube. Data were collected using a Google Forms questionnaire which included questions analyzing the videos and their content and the professional status of the uploaders. Quality and reliability scores were assessed through the Global Quality Score (GQS), reliability score, and Video Power Index (VPI). Statistical analysis was performed using SPSS software (IBM Corp., Armonk, NY, USA). We included videos one minute to twenty minutes in length that were relevant to the topic of tendon repair surgery and in the English language. Results A total of 82 videos were evaluated, of which 67 videos were chosen. A comparison of GQS, reliability score, and VPI based on the type of uploader was done using the Kruskal-Wallis test. The association between GQS and reliability score with that of the video uploader was found to be statistically significant (p < 0.05). Videos uploaded by hospitals had the highest GQS (4) and reliability score (4). Conclusions On comparing the uploader type, videos uploaded by hospitals had good quality and were useful for patients. The quality and reliability of the videos were almost above average. Only half discussed the signs and symptoms and even fewer discussed pre- and post-procedural care. The most important aspect, i.e., prevention, was mentioned in none of the videos. Due to our limitations, expanding the number of accounts used for search and increasing the number of videos might overcome the search algorithm.
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Surgical site infection (SSI) is a growing global concern. The principal explanation for this is its adverse clinical outcomes, such as morbidity and mortality. However, the link between the economic burden of SSIs and patient outcomes needs to be sufficiently characterized. This review aims to describe the financial implications of SSIs on patient outcomes in low- and middle-income countries (LMIC). Despite the heterogeneity in study designs from multiple LMIC countries, there is a significant correlation between SSI-associated healthcare costs from increased length of stay (LOS), readmissions, reoperations, and adverse patient outcomes. This varies based on the size, degree of infection, or other patient comorbidities. SSIs are much more prevalent in LMICs. The additional financial burden incurred in managing SSIs reinforces the need to prioritize practicing interventions to prevent this complication, which resource-limited health institutions are unequipped to do and consequently have significant adverse patient outcomes.
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Electrocardiography (ECG) parameters are significant in the prognosis of ischemia and other cardiovascular conditions. Reperfusion or revascularization techniques are essential in reestablishing blood flow to ischemic tissues. This study aims to demonstrate the association between percutaneous coronary intervention (PCI), a revascularization technique, and the electrocardiography (ECG) parameter, QT dispersion (QTd). We conducted a systematic review of the association between PCI and QTd through a literature search in three electronic databases, ScienceDirect, PubMed, and Google Scholar, for empirical studies published in English. Review Manager (RevMan) 5.4 (Cochrane Collaboration, Oxford, England) was used for statistical analysis. Of 3,626 studies, 12 articles met the inclusion criteria, enrolling a total of 1,239 patients. After a successful PCI procedure, QTd and corrected QT (QTc) tremendously reduced at various time intervals with statistical significance in most of the studies. There was a clear association between ECG parameters QTd, QTc, and corrected QT dispersion (QTcd), and PCI, in that there is a considerable reduction in these ECG parameters after PCI treatment.