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1.
Zhonghua Wei Chang Wai Ke Za Zhi ; 22(10): 955-960, 2019 Oct 25.
Artigo em Chinês | MEDLINE | ID: mdl-31630493

RESUMO

Objective: To evaluate the incidence of intraoperative vascular injury (IVI) and associated anatomical features during laparoscopy - assisted distal gastrectomy (LADG) with D2 lymphadenectomy for gastric cancer. Methods: A descriptive cohort study was performed. Clinical data and operational videos of 278 consecutive gastric cancer patients who underwent LADG with D2 lymphadenectomy for gastric cancer at Department of General Surgery of Nanfang Hospital between January 2010 and December 2017 were retrospectively analyzed. IVI and vascular anatomy during lymphadenectomy were observed and recorded in the following four scenes: scene I: No. 4sb and No.4d of lower left (tail of pancreas) area; scene II: No.6 of lower right (subpyloric) area; scene III: No.5 and No.12a of upper right (suprapyloric) area; scene IV: No. 7, No. 8a, No. 9, No. 11p of central area posterior to the gastric body. IVI was defined as the injury of main perigastric vessel requiring additional procedure for hemostasis such as electrocauterization, gauze compression, clipping or suture. Results: Among 278 patients, 125 (45.0%) had IVI. Two cases of IVI required conversion to open operation and the injuried vascular was left gastric artery (LGA) and right gastric artery (RGA), respectively. Higher incidence of IVI was found in scene II (92/278, 33.1%) and scene IV(39/278, 14.0%). More common IVI was observed in right gastroepiploic vein (RGeV, 57/278, 20.5%) and left gastric vein (LGV, 33/278, 11.9%). The right gastroepiploic vessels were observed in all 278 patients, including 3 (1.1%) cases with 2 RGeVs, and 2 cases with 2 right gastroepiploic arteries (RGeA). RGA was observed clearly in 265 (95.3%) patients, whose ramification pattern was as follows: from proper hepatic artery (PHA, 223/265, 84.2%), from gastroduodenal artery (GDA, 16/265, 6.0%), from left hepatic artery (LHA, 12/265,4.5%), from the crossing of PHA and GDA (8/265, 3.0%), and 6 (2.3%) patients with 2 RGAs simultaneously from PHA and GDA, respectively. The most common injury of RGA (4/12) occurred in LHA. Excluding 2 cases of conversion to open surgery due to intraoperative hemorrhage, among 276 patients, LGV was observed in 270 patients (97.1%), whose drainage pattern was as follows: into the portal vein (PV, 148/270, 54.8%), into the spleen vein (SV, 56/270, 20.7%), into the junction of these two veins (52/270, 19.3%), into left portal vein (LPV, 8/270, 3.0%), meanwhile 6 patients had 2 LGVs simultaneously, including LGVs of 5 cases into PV and SV, and of 1 case into PV-SV junction and SV. The most common IVI was found in those patients with two LGVs (4/6). Conclusions: IVI during LADG with D2 lymphadenectomy is common. The highest risk of IVI is found in scene II and scene IV. Attentions should be paid to anatomic variation of vessels, especially the RGeV, LGV and RGA.


Assuntos
Gastrectomia/efeitos adversos , Laparoscopia/efeitos adversos , Excisão de Linfonodo/efeitos adversos , Neoplasias Gástricas/patologia , Neoplasias Gástricas/cirurgia , Lesões do Sistema Vascular/etiologia , Gastrectomia/métodos , Humanos , Complicações Intraoperatórias , Laparoscopia/métodos , Excisão de Linfonodo/métodos , Estudos Retrospectivos , Lesões do Sistema Vascular/cirurgia , Gravação em Vídeo
2.
Medicine (Baltimore) ; 98(39): e17056, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574803

RESUMO

RATIONALE: Swallowing apraxia is defined as dysfunction in oral phase caused by the deficit in the coordination of tongue, lip, and chin movements, without motor weakness, sensory loss, and cognitive decline and has not been reported yet. PATIENT CONCERNS: A 69-year-old male with personal medical history of ischemic stroke about 10 years ago newly developed right striatocapular infarction. He had a problem in the oral phase of swallowing after recurrent ischemic strokes. DIAGNOSES: He was diagnosed as swallowing apraxia via bed side examination and videofluoroscopic swallowing study. INTERVENTION: Videofluoroscopic swallowing study was done in this case. OUTCOMES: Symptoms and findings of VFSS were not improved after 2 months treatment. LESSONS: This case implies that a clinician should be alert to swallowing apraxia as a possible cause when a patient with recurrent strokes complains of oral phase dysfunction of swallowing and considers proper diagnostic option such as videofluoroscopic swallowing study.


Assuntos
Apraxias/etiologia , Isquemia Encefálica/complicações , Transtornos de Deglutição/etiologia , Idoso , Apraxias/diagnóstico por imagem , Apraxias/fisiopatologia , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/fisiopatologia , Fluoroscopia/métodos , Humanos , Lábio/fisiopatologia , Masculino , Recidiva , Língua/fisiopatologia , Gravação em Vídeo
3.
Codas ; 31(6): e20180160, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31618343

RESUMO

PURPOSE: To compare pharyngeal residues of different consistencies among groups of individuals with neurogenic oropharyngeal dysphagia. METHODS: In a cross-sectional study, a fiberoptic endoscopic evaluation was performed in 30 swallowing exams of individuals diagnosed with neurological disease and oropharyngeal dysphagia, regardless of the time or stage of the disease. The individuals were divided into three groups according to etiology: group I, 10 post-stroke, 8 male and 2 female, aged 51 to 80 years (average age: 67 years); group II, 10 individuals with amyotrophic lateral sclerosis, 5 male and 5 female, aged 39 to 78 years (average age: 57 years); group III, 10 examinations of individuals with Parkinson's disease, 5 male and 5 female aged 65-88 years (average age: 74 years). The Yale Pharyngeal Residue Severity Rating Scale was applied by two independent raters in a blind manner for the analysis of pharyngeal residues in valleculae and pyriform sinuses based on the first swallowing of 5 mL of pureed and thickened liquid. RESULTS: No statistically significant difference was observed among groups in the degree of pharyngeal residues of puree food or thickened liquid in the valleculae (p = 0.25/p = 0.18) or the pyriform sinuses (p = 1.41/0.49). CONCLUSION: The pharyngeal residue levels of pureed and thickened liquid were similar for the groups studied, with less severe levels being more frequent.


Assuntos
Esclerose Amiotrófica Lateral/complicações , Transtornos de Deglutição/fisiopatologia , Doença de Parkinson/complicações , Acidente Vascular Cerebral/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Esclerose Amiotrófica Lateral/fisiopatologia , Estudos Transversais , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/etiologia , Feminino , Humanos , Laringoscopia , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/fisiopatologia , Índice de Gravidade de Doença , Acidente Vascular Cerebral/fisiopatologia , Gravação em Vídeo
5.
Isr Med Assoc J ; 21(8): 524-527, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31474013

RESUMO

BACKGROUND: The output settings of echocardiographic systems should be set to the full (original) frame rate and lossless compression (e.g., run-length encoding) in order to transmit echocardiographic videos so that they retain their original quality. In addition, monitors and display cards of echocardiography systems and workstations should be able to support an adaptive refresh rate for displaying video at an arbitrary frame rate, including a high frame rate (90+ fps) without dropping frames and preserving the original frame duration. Currently, the only available option for echocardiography monitors is 144-165 Hz (or higher) based on adaptive frame rate G-Sync or FreeSync technology monitors. These monitors should be accompanied by compatible display cards. Echocardiography systems and workstation video playback software should support G-Sync or FreeSync adaptive frame rate technology to display echocardiography videos at their original frame rates without the effects of jitter and frame drops. Echocardiography systems should support an online display of the videos on the workstations during acquisition with the original quality. The requirements for web-based workstations are the same as for desktops workstations. Hospital digital networks should provide transmission and long-term archiving of the echocardiographic videos in their original acquisition quality.


Assuntos
Ecocardiografia/métodos , Ecocardiografia/normas , Sistemas de Informação em Radiologia , Gravação em Vídeo , Humanos , Israel
6.
Am J Orthod Dentofacial Orthop ; 156(3): 420-428, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31474272

RESUMO

INTRODUCTION: This study aimed to test the accuracy of the 3-dimensional (3D) digital dental models generated by the Dental Monitoring (DM) smartphone application in both photograph and video modes over successive DM examinations in comparison with 3D digital dental models generated by the iTero Element intraoral scanner. METHODS: Ten typodonts with setups of class I malocclusion and comparable severity of anterior crowding were used in the study. iTero Element scans along with DM examination in photograph and video modes were performed before tooth movement and after each set of 10 Invisalign aligners for each typodont. Stereolithography (STL) files generated from the DM examinations in photograph and video modes were superimposed with the STL files from the iTero scans using GOM Inspect software to determine the accuracy of both photograph and video modes of DM technology. RESULTS: No clinically significant differences, according to the American Board of Orthodontics-determined standards, were found. Mean global deviations for the maxillary arch ranged from 0.00149 to 0.02756 mm in photograph mode and from 0.0148 to 0.0256 mm in video mode. Mean global deviations for the mandibular arch ranged from 0.0164 to 0.0275 mm in photograph mode and from 0.0150 to 0.0264 mm in video mode. Statistically significant differences were found between the 3D models generated by the iTero and the DM application in photograph and video modes over successive DM examinations. CONCLUSIONS: 3D digital dental models generated by the DM smartphone application in photograph and video modes are accurate enough to be used for clinical applications.


Assuntos
Confiabilidade dos Dados , Técnica de Moldagem Odontológica , Modelos Dentários , Processamento de Imagem Assistida por Computador/métodos , Imagem Tridimensional/métodos , Projeto Auxiliado por Computador , Arco Dental , Humanos , Má Oclusão/diagnóstico por imagem , Aparelhos Ortodônticos/normas , Aparelhos Ortodônticos Removíveis , Ortodontia/normas , Fotografia Dentária , Smartphone , Software , Estereolitografia , Tecnologia Odontológica/métodos , Técnicas de Movimentação Dentária , Gravação em Vídeo
7.
Eur J Dent Educ ; 23(4): 522-526, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31429507

RESUMO

BACKGROUND: The Internet has become an established learning tool in dental education where students can access online videos on a range of dental subjects. However, finding reliable peer-reviewed content is not straightforward. AIM: To evaluate the video content offered by UK and Republic of Ireland (RoI) Dental Schools on their YouTube channels and public websites. METHODS: Free videos offered on UK and RoI Dental schools websites and YouTube channels were watched and set according to its purpose, as educational or non-educational. The number of views, length, category and date of publication were analysed. RESULTS: A total of 627 videos offered by dental courses were evaluated. Videos were available on 83% of the websites, but only 9% was educational content. Dental courses YouTube channels received more than 2.3 million views, but less than 5% of the material offered is educational. Instructional videos found on the websites (3.2 min) were shorter than those found on YouTube (8.5 min) (P = .03). The majority of the videos, provided by Universities, were not educational and focused on promoting the dental courses. Most websites have demonstrated a password-protected area where quality content may be offered. CONCLUSION: Students wishing to watch instructional videos will find limited educational content provided by UK and RoI dental courses. Therefore, they are likely to access course-related material elsewhere on the Internet that may not be necessarily peer-reviewed.


Assuntos
Educação em Odontologia , Faculdades de Odontologia , Humanos , Internet , Irlanda , Estudantes de Odontologia , Gravação em Vídeo
9.
Stud Health Technol Inform ; 264: 1811-1812, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438356

RESUMO

Electronic health records (EHRs) have been shown to improve safety and quality. However, usability and safety issues with EHRs have been reported. The current state of the art in usability testing is to have clinicians conduct simulated activities in a usability lab. In this poster, we describe our experience with continuous recording of real-world EHR use to improve safety and usability.


Assuntos
Registros Eletrônicos de Saúde , Interface Usuário-Computador , Gravação em Vídeo
10.
Am J Orthod Dentofacial Orthop ; 156(2): 169-177.e2, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31375226

RESUMO

INTRODUCTION: A randomized controlled trial was undertaken to compare the efficacy of 3 methods of delivering information on short- and long-term recall of information in orthodontic patients and parents. METHODS: Participants who received an audiovisual presentation on orthodontic treatment were randomly allocated to 1 of 3 written information groups (leaflets, generic mind map, or participant's customized mind map). A questionnaire was used to assess short- and long-term retention of information (maximum score 30). RESULTS: Eighty-eight patients (94.6%) and 77 parents (86.5%) completed the study. The average knowledge scores at baseline for the patient groups were 17.71 95 CI 16.28-19.14), 16.58 (14.67-18.49), and 17.37 (15.92-18.81), respectively. The parents' knowledge scores for the 3 groups were 19.06 (17.51-20.62), 19.39 (17.44-21.35), and 18.76 (17.19-20.33), respectively. The short- and long-term knowledge scores improved over baseline in all 3 groups (P <0.0001). The parents achieved higher scores than the patients (P = 0.002) and their rate of forgetting information was less. The knowledge scores of the mind map groups were higher than that of the leaflet group for all cohorts (P = 0.025). No statistical difference was found between the type of mind map. The correlation between patient and parent knowledge scores was significant (P <0.0001) at all 3 time points. CONCLUSIONS: Provision of an audiovisual presentation supplemented with 1 of 3 written information methods is an effective way of delivering information. There was a significant improvement in the retention of information with the use of mind maps compared with leaflets. The generic mind map is equally as effective, more consistent in information delivered, and less labor intensive than the individual customized mind map and therefore would be our recommendation. Participation of parents is important because they comprehend and retain information better. In this study, 100% of parents shared information with their children, perhaps improving the patients' recall.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Ortodontia Corretiva/psicologia , Ortodontia/educação , Pais/educação , Educação de Pacientes como Assunto , Adolescente , Adulto , Criança , Comunicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto/métodos , Inquéritos e Questionários , Reino Unido , Gravação em Vídeo , Redação
11.
Cyberpsychol Behav Soc Netw ; 22(7): 472-476, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31295030

RESUMO

Troll is a commonly used term for disinhibited individuals who create havoc as they lurk and lash out with the purpose of disrupting the environment in online communities. This research focuses on the phenomenon of trolling in a livestream video broadcast scenario. This study investigates the extent that trolling occurs in a livestream, whether there is a difference in the degree of trolling in broadcasts based on gender, and is there a difference in the extent of trolling behavior based on the gender of the viewer. Data were collected from 998 viewers that participate in the live broadcast platform called Twitch through an online survey. Participants answered questions regarding their experiences with overly aggressive, derogatory, and negative behavior, generally trolling, in the channel of their favorite broadcaster. Questions addressed the degree of acceptability of trolling and likelihood of intervention. Findings indicate that female viewers were more sensitive than male viewers in picking up trolling cues. Both males and females agreed that female broadcasters are more likely to be targets of sexual harassment trolling. Male viewers felt that it was more acceptable when male broadcasters were harassed than female broadcasters. Finally, gender is a factor determining intervention behavior.


Assuntos
Bullying/psicologia , Meios de Comunicação de Massa , Fatores Sexuais , Adulto , Agressão , Emoções , Feminino , Humanos , Masculino , Percepção , Assédio Sexual/psicologia , Inquéritos e Questionários , Gravação em Vídeo
12.
Accid Anal Prev ; 131: 239-247, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31326615

RESUMO

The cycling safety research literature has proposed methods to analyse safety and case studies to better understand the factors that lead to cyclist crashes. Surrogate measures of safety (SMoS) are being used as a proactive approach to identify severe interactions that do not result in an accident and interpreting them for a safety diagnosis. While most cyclist studies adopting SMoS have evaluated interactions by counting the total number of severe events per location, only a few have focused on the interactions between general directions of movement e.g. through cyclists and right turning vehicles. However, road users perform maneuvers that are more varied at a high spatiotemporal resolution such as a range of sharp to wide turning movements. These maneuvers (motion patterns) have not been considered in past studies as a basis for analysis to identify, among a range of possible motion patterns in each direction of travel, which ones are safer, and which are more likely to result in a crash. This paper presents a novel movement-based probabilistic SMoS approach to evaluate the safety of road users' trajectories based on clusters of trajectories representing the various movements. This approach is applied to cyclist-vehicle interactions at two locations of cycling network discontinuity and two control sites in Montréal. The Kruskal-Wallis and Kolmogorov-Smirnov tests are used to compare the time-to-collision (TTC) distribution between motion patterns in each site and between sites with and without a discontinuity. Results demonstrate the insight provided by the new approach and indicate that cyclist interactions are more severe and less safe at locations with a cycling network discontinuity and that cyclists following different movements have statistically different levels of safety.


Assuntos
Acidentes de Trânsito/prevenção & controle , Ciclismo/estatística & dados numéricos , Ambiente Construído , Condução de Veículo/estatística & dados numéricos , Feminino , Humanos , Masculino , Movimento (Física) , Segurança , Estatísticas não Paramétricas , Gravação em Vídeo
13.
Medicine (Baltimore) ; 98(30): e16459, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31348247

RESUMO

BACKGROUND: Video-sharing website "YouTube" is a growing source of healthcare information. But, the videos uploaded on this open platform are not peer reviewed, therefore, the information available needs to be sufficiently evaluated. No studies have been conducted to evaluate the authenticity and utility of obstetrics and gynecology (Obs/Gyne) physical examination YouTube videos. This study was performed to analyze the sources, contents, and quality of videos about the Obs/Gyne clinical examination available on YouTube. METHODS: A systematic search was performed on YouTube website using the following key words: "OBSTETRIC," "GYNECOLOGICAL," "SPECULUM OBSTETRIC," "OBSTETRIC CLINICAL," "BIMANUAL PELVIC," and "EXAMINATION" to analyze the sources, contents, and the quality of YouTube videos about the Obs/Gyne clinical examination during the period between November 2015 and March 2017. The videos were classified into educationally useful and useless based on the content, accuracy of the knowledge, and the demonstration. RESULTS: Out of total 457 screened videos, 176 (38.51%) videos met the pre-set inclusion criteria. After review, out of 176 pertinent videos, 84 (47.7%) videos were found educationally useful, and out of these 84 useful videos, only 29 (34.5%) were highly educational in nature. CONCLUSION: YouTube videos showed variable educational value. Only, a small number of videos were identified as useful and can be used by the medical students for self-directed learning and by the clinical teachers for educational purposes or other academic activities.


Assuntos
Exame Ginecológico/métodos , Exame Ginecológico/normas , Mídias Sociais/normas , Gravação em Vídeo/normas , Humanos , Internet
14.
BMC Health Serv Res ; 19(1): 527, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31357993

RESUMO

BACKGROUND: The PRagmatic trial Of Video Education in Nursing homes (PROVEN) aims to test the effectiveness of an advance care planning (ACP) video intervention. Relatively little is known about the challenges associated with implementing ACP interventions in the nursing home (NH) setting, especially within a pragmatic trial. To address this research gap, this report sought to identify facilitators of and barriers to implementing PROVEN from the perspective of the Champions charged with introducing the ACP video program delivery to patients and families. METHODS: In semi-structured telephone interviews at 4 and 15 months of the 18-month implementation period, ACP Champions at all PROVEN intervention facilities (N = 119) were asked about their perceptions of program implementation. Forty interviews were purposively sampled, transcribed, and analyzed using a hybrid deductive/inductive approach to thematic analysis incorporating the Consolidated Framework for Implementation Research's domains: Intervention Characteristics (IC), Inner Setting (IS), Characteristics of Individuals (CI), Outer Setting (OS), and Process (P). RESULTS: Implementation facilitators identified by Champions included: the intervention's adaptable mode of presentation and minimal time burden (IC) as well as the program's customizable delivery to patients and families and opportunity for group reflection on implementation among ACP Champions (P). Barriers included mandated protocol-driven aspects of the program (OS), limited time to deliver the intervention (IS), and lack of perceived relevance and emotional readiness for ACP amongst stakeholders (CI). CONCLUSIONS: Despite the promise of PROVEN's intervention for improving ACP in nursing homes, unchangeable setting and characteristics of Champions, patients, and family members presented implementation barriers. Researchers need to engage all program participants (i.e., facility staff, patients, and families), in addition to corporate-level stakeholders, in early pragmatic trial design to minimize such obstacles. Further, despite the facilitating nature of PROVEN's implementation processes, the study encountered tension between scientific rigor and real-world demands. Researchers need to optimize the real-world authenticity of pragmatic trial design while avoiding excessive implementation protocol deviations. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02612688. Registered 19 November 2015.


Assuntos
Planejamento Antecipado de Cuidados , Casas de Saúde , Educação de Pacientes como Assunto , Gravação em Vídeo , Atitude do Pessoal de Saúde , Feminino , Pessoal de Saúde/educação , Humanos , Capacitação em Serviço , Entrevistas como Assunto , Masculino , Educação de Pacientes como Assunto/métodos , Assistentes Sociais/educação
15.
Rev Assoc Med Bras (1992) ; 65(6): 810-817, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31340309

RESUMO

BACKGROUND: Time-motion analysis has been used to provide detailed insight into surfers' performance. This study evaluated surfers' activity times at the Portuguese surfing championship in order to account for the time spent in each surfing activity. METHODS: Eighty-seven individually recorded videos of surfers were analyzed, showing their activity over the entire heat, and video analysis software was used to obtain each surfer's activity profile in the competition. RESULTS: The results breakdown by time percentage show that the surfers were paddling 50.9% of the time, sprint paddling for wave 1.9%, were stationary 34.1% of the time, wave riding 3.7%, and involved in miscellaneous activities (e.g., duck diving, board recovery, etc.) 9.4% of the total time. Average times spent in each surfing activity were 18.6 seconds for paddling, 2.9 seconds for sprint paddling for a wave, 21.7 seconds for the stationary period, 11.5 seconds for wave riding, and 6.9 seconds for miscellaneous activities. CONCLUSIONS: The data revealed that the most performed heat activity was paddling, allowing us to conclude that surfing is basically a long-arm paddling activity and that this activity constitutes a specific surfing competition demand, which in turn means that individual surfer's data can be used as a starting point for the development of tailored conditioning training programs.


Assuntos
Desempenho Atlético/fisiologia , Movimento/fisiologia , Estudos de Tempo e Movimento , Esportes Aquáticos/fisiologia , Atletas , Estudos Transversais , Feminino , Humanos , Masculino , Portugal , Valores de Referência , Fatores Sexuais , Fatores de Tempo , Gravação em Vídeo
16.
J Craniofac Surg ; 30(5): e481-e484, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31299822

RESUMO

This present study aimed to evaluate the education of YouTube videos about wisdom tooth surgical removal for viewers. In this study, the term "wisdom tooth surgical removal" was searched on YouTube. After excluding duplicates, irrelevant videos, non-English-language videos; 92 relevant videos in English were independently examined by 3 reviewers. The videos were categorized as 'poor', 'moderate' and 'excellent' by scoring 9 points in order to evaluate the information they provided to the audience. Chi-square test was performed for categorical variables and differences between groups were compared with ANOVA-Kruskal Wallis. Correlations were analyzed using Pearson and Spearman test. Statistical significance was set P < 0.05. Majority of the videos (63%, n = 58) were uploaded by layperson for sharing personal experience, 19.6%, (n = 18) healthcare professionals (dentist, orthodontist, surgeon). There were 64 (69.6%) not useful videos, 19 (20.7%) moderately useful videos, and 9 (9.8%) very useful videos. There is no significant correlation between efficiency ratio and source of upload (P > 0.05). There is a significant relationship between efficiency ratio and interaction index (P = 0.019 < 0.05). Interaction indexes of poor useful videos are more than others. There is a significant relationship between the type of video and video demographics (all data' significant values < 0.05). Mean values of patient's experience are more than others. Healthcare professionals should be aware of the accuracy of information on the internet in order to guide patients.


Assuntos
Dente Serotino/cirurgia , Mídias Sociais , Extração Dentária , Humanos , Educação de Pacientes como Assunto , Gravação em Vídeo
17.
Emerg Med Clin North Am ; 37(3): 473-491, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31262416

RESUMO

Airway management is the cornerstone to resuscitation efforts for many critically ill pediatric patients presenting for emergency care. Pediatric endotracheal intubation is uncommon in emergency medicine, making it challenging to maintain comfort with this critical procedure. This article offers strategies to facilitate pediatric airway management by addressing predictable anatomic and physiologic differences in children. Also reviewed are alternative approaches to airway management (eg, noninvasive ventilation and videolaryngoscopy) that might be used in cases of recognized difficult airways. Finally, recommendations for maintaining procedural skills in providers who may have limited clinical exposure to critically ill children requiring airway interventions are provided.


Assuntos
Manuseio das Vias Aéreas/métodos , Antiarrítmicos/uso terapêutico , Atropina/uso terapêutico , Criança , Medicina de Emergência , Capacidade Residual Funcional , Humanos , Hipnóticos e Sedativos/uso terapêutico , Máscaras Laríngeas , Laringoscopia , Laringe/anatomia & histologia , Pulmão/anatomia & histologia , Bloqueadores Neuromusculares/uso terapêutico , Ventilação não Invasiva , Pediatria , Gravação em Vídeo
18.
BMC Public Health ; 19(1): 952, 2019 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-31311523

RESUMO

BACKGROUND: YouTube™ ( http://www.youtube.com ), as a very popular video site around the world, is increasingly being used for health information. The objectives of this review were to assess the overall usefulness of information on food poisoning presented on YouTube™ for patients. METHODS: The YouTube™ website was systematically searched using the key words "food poisoning", "foodborne diseases" and "foodborne illness". One hundred and sixty videos meet the inclusion criteria. Two independent reviewers scored the videos utilizing a customized usefulness scoring scheme separately and assessed the video duration, views, days since upload, likes, and dislikes. The videos were categorized as education, entertainment, News & Politics and People & Blogs. A usefulness score was devised to assess video quality and to categorize the videos into "slightly useful", "useful", and "very useful". RESULTS: Most videos were educational 66 (41.3%). Educational videos had significantly higher scores, but had no significant differences in likes, views or views/day. Over half of the videos (97/160) were categorized as "useful". The mean posted days (885.2 ± 756.1 vs 1338.0 ± 887.0, P = 0.043) and the mean duration of video (12.8 ± 13.9 vs 3.5 ± 3.4, P < 0.001) were both significantly different in the very useful group compared with the slightly useful group. There was no correlation between usefulness and the number of likes, the number of dislikes, the number of views, or views/day. CONCLUSION: YouTube™ is a promising source of information regarding food poisoning. Educational videos are of highest usefulness. Considering that there is a lot of low-credibility information, consumers need to be guided to reliable videos in the field of healthcare information.


Assuntos
Informação de Saúde ao Consumidor/normas , Doenças Transmitidas por Alimentos , Disseminação de Informação/métodos , Mídias Sociais , Gravação em Vídeo , Humanos
19.
J Grad Med Educ ; 11(3): 328-331, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31210866

RESUMO

Background: Improvements in personal technology have made video recording for teaching and assessment of surgical skills possible. Objective: This study compared 5 personal video-recording devices based on their utility (image quality, hardware, mounting options, and accessibility) in recording open surgical procedures. Methods: Open procedures in a simulated setting were recorded using smartphones and tablets (MOB), laptops (LAP), sports cameras such as GoPro (SC), single-lens reflex cameras (DSLR), and spy camera glasses (SPY). Utility was rated by consensus between 2 investigators trained in observation of technology using a 5-point Likert scale (1, poor, to 5, excellent). Results: A total of 150 hours of muted video were reviewed with a minimum 1 hour for each device. Image quality was good (3.8) across all devices, although this was influenced by the device-mounting requirements (4.2) and its proximity to the area of interest. Device hardware (battery life and storage capacity) was problematic for long procedures (3.8). Availability of devices was high (4.2). Conclusions: Personal video-recording technology can be used for assessment and teaching of open surgical skills. DSLR and SC provide the best images. DSLR provides the best zoom capability from an offset position, while SC can be placed closer to the operative field without impairing sterility. Laptops provide best overall utility for long procedures due to video file size. All devices require stable recording platforms (eg, bench space, dedicated mounting accessories). Head harnesses (SC, SPY) provide opportunities for "point-of-view" recordings. MOB and LAP can be used for multiple concurrent recordings.


Assuntos
Cirurgia Geral/instrumentação , Cirurgia Geral/métodos , Gravação em Vídeo/instrumentação , Competência Clínica/normas , Computadores de Mão , Educação Médica/métodos , Humanos , Fotografação/instrumentação , Fotografação/métodos , Smartphone , Estudantes de Medicina , Gravação em Vídeo/métodos
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