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An interventional cross-sectional study of electrolyte levels in newborns with hyperbilirubinemia before and after phototherapy in a tertiary care hospital in central India 印度中部一家三级医院对光疗前后患有高胆红素血症的新生儿电解质水平进行干预性横断面研究
Pub Date : 2024-05-09 DOI: 10.12688/f1000research.144931.1
Ankita Kiran Patel, J. Vagha
Introduction This study protocol outlines a comprehensive investigation into the impact of phototherapy on electrolyte levels in newborns with hyperbilirubinemia. With a focus on neonates admitted to the Neonatal Intensive Care Unit (NICU) at Jawaharlal Nehru Medical College and AVBR Hospital, Sawangi, Wardha, Central India, the research aims to contribute valuable insights into the physiological changes associated with this common neonatal condition. The study’s introduction highlights the rationale, significance, and gaps in current knowledge, emphasising the need for a detailed exploration of electrolyte dynamics before and after phototherapy. Method The methodology involves a descriptive, interventional cross-sectional design with a calculated sample size of 264 neonates. Standardised protocols for data collection, including serum electrolyte analysis and urine-specific gravity assessment, will be employed. Inclusion and exclusion criteria are clearly defined to ensure a homogenous study population. Statistical analyses, utilising R Studio 4.3.1 will encompass descriptive statistics, comparative analysis, correlation analysis, and multivariate analysis to explore the nuanced relationships between variables. Rigorous ethical considerations and transparency in reporting will guide the data collection process. Expected Result Anticipated outcomes include a nuanced understanding of changes in serum electrolyte levels following phototherapy and the correlation of these changes with the treatment duration. The study is poised to shed light on the impact of gestational age and birth weight on electrolyte responses. Through rigorous statistical analysis, the research aims to provide evidence-based insights that can inform neonatal care protocols. The anticipated findings hold the potential to influence clinical practices, enhancing the quality of care provided to newborns with hyperbilirubinemia undergoing phototherapy.
引言 本研究方案概述了光疗对高胆红素血症新生儿电解质水平影响的综合调查。研究重点是印度中部瓦尔达省萨旺吉贾瓦哈拉尔-尼赫鲁医学院和 AVBR 医院新生儿重症监护室(NICU)收治的新生儿,旨在为了解与这种常见新生儿疾病相关的生理变化提供有价值的见解。该研究的导言强调了研究的理由、意义和现有知识的不足,强调有必要对光疗前后的电解质动态进行详细探讨。研究方法 采用描述性、干预性横断面设计,计算样本量为 264 名新生儿。将采用标准化方案收集数据,包括血清电解质分析和尿液比重评估。明确规定了纳入和排除标准,以确保研究对象的同质性。利用 R Studio 4.3.1 进行的统计分析将包括描述性统计、比较分析、相关分析和多变量分析,以探索变量之间的微妙关系。在数据收集过程中,将严格遵守道德规范,并提高报告的透明度。预期结果 预期结果包括深入了解光疗后血清电解质水平的变化以及这些变化与治疗持续时间的相关性。该研究有望揭示胎龄和出生体重对电解质反应的影响。通过严格的统计分析,研究旨在提供以证据为基础的见解,为新生儿护理方案提供依据。预期的研究结果有望影响临床实践,提高为接受光疗的高胆红素血症新生儿提供的护理质量。
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引用次数: 0
Case Report: Urothelial urethral carcinoma in HIV patient underwent total urethrectomy and perineal urethrostomy 病例报告:接受全尿道切除术和会阴部尿道前列腺切除术的艾滋病患者患上尿道上皮癌
Pub Date : 2024-05-08 DOI: 10.12688/f1000research.148984.1
A. Agil, Kenfin Surya
Introduction HIV affects over 38 million people worldwide, affecting the immune system and leading to symptoms like fever, lymphadenopathy, and sore throat. High viral loads can lead to opportunistic infections and tumors. The life expectancy of HIV patients has increased due to high-efficiency combination anti-retroviral therapy. Urothelial carcinoma, a malignant development, damages the urinary canal lining. The connection between HIV and urinary cancers is unclear, the aims of this study to report a case of urethral urothelial Carcinoma in HIV patient who underwent total urethrectomy and perineal urethrostomy. Case presentation A 34-year-old male patient with a papilliferous lump on the glans penis for over six months was admitted to the hospital. Preoperative screening revealed HIV and a urethral mass was found. A partial urethrectomy was performed, revealing high grade papillary urothelial Carcinoma. Five months after surgery, the patient developed a recurrent lump, requiring a total urethrectomy, TUR (transurethral resection) of the mass in the prostatic urethra, and perineal urethrostomy. Conclusion Primary carcinoma of the urethra in HIV patient is an extremely rare case. To date, there is no consensus on the primary urethral carcinoma therapy. The treatment of primary urethral carcinoma is tailored specifically to the patient based on the location, histology, and stage of the carcinoma.
导言 艾滋病毒影响着全球 3800 多万人的免疫系统,导致发烧、淋巴结病和咽喉痛等症状。高病毒载量可导致机会性感染和肿瘤。由于采用了高效的抗逆转录病毒联合疗法,艾滋病患者的预期寿命有所延长。尿道癌是一种恶性肿瘤,会损害尿道内壁。艾滋病病毒与泌尿系统癌症之间的关系尚不清楚,本研究旨在报告一例接受了全尿道切除术和会阴部尿道前列腺切除术的艾滋病病毒感染者的尿道尿路上皮癌病例。病例介绍 一位 34 岁的男性患者因阴茎龟头乳头状肿块超过六个月而入院。术前筛查发现了艾滋病毒,并发现了尿道肿块。患者接受了尿道部分切除术,发现了高级别乳头状尿道上皮癌。术后五个月,患者复发肿块,需要进行全尿道切除术、经尿道前列腺尿道肿块切除术和会阴部尿道造口术。结论 艾滋病患者尿道原发癌的病例极为罕见。迄今为止,对于原发性尿道癌的治疗还没有达成共识。原发性尿道癌的治疗要根据癌肿的位置、组织学和分期来为患者量身定制。
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引用次数: 0
Case Report: Branch retinal vein occlusion following COVID-19 vaccination and SARS-CoV-2 infection while taking oral contraceptives 病例报告:口服避孕药期间接种 COVID-19 疫苗和感染 SARS-CoV-2 后出现视网膜分支静脉闭塞
Pub Date : 2024-05-08 DOI: 10.12688/f1000research.148251.1
T. Muto, Masaaki Sakamoto, Shigeki Machida, Shinichiro Imaizumi, Yoshinobu Hamada, Koju Kamoi
Oral contraceptive use, vaccination for Coronavirus disease 2019 (COVID-19), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are risk factors for venous thromboembolism. Branch retinal vein occlusion (BRVO) generally develops mid-60s patients. Herein, we present a case of BRVO caused by the above mentioned risk factors in a young woman. To the best of our knowledge, this is the first report about BRVO associated with oral contraceptives, COVID-19 vaccination, and SARS-CoV-2. A 21-year-old woman presented with loss of visual acuity in her right eye for 10 days. She had been receiving oral contraceptives for 2 years for oligomenorrhea before noticing ophthalmological symptoms. Despite having received two doses of an mRNA COVID-19 vaccine, she contracted COVID-19 and developed fever, sore throat, cough, low back pain, and general malaise about 40 days before the initial visit. However, only cough persisted for more than a month. The right eye showed BRVO with macular edema (ME). She did not smoke nor had diabetes or hypertension. Blood test results, including cardiolipin antibody IgG, were normal. She was treated with an intravitreal aflibercept injection. ME in the fundus showed rapid improvement and resolution. Although more than 20 months have passed since the first injection, there has been no relapse of ME. The combination of oral contraceptive use, COVID-19 vaccination, and subsequent SARS-CoV-2 infection could induce the development of venous thromboembolism, thereby leading to BRVO. Given that cases of COVID-19 have increased globally, patients with retinal vein occlusion who use oral contraceptives are likely to be encountered more frequently.
口服避孕药、接种 2019 年冠状病毒病(COVID-19)疫苗和感染严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)是静脉血栓栓塞症的危险因素。视网膜分支静脉闭塞(BRVO)一般发生在 60 岁左右的中年患者身上。在此,我们介绍一例由上述危险因素导致的年轻女性视网膜分支静脉闭塞症。据我们所知,这是第一例与口服避孕药、COVID-19 疫苗接种和 SARS-CoV-2 相关的 BRVO 报告。一名 21 岁的女性因右眼视力下降 10 天前来就诊。在发现眼部症状之前,她曾因少经而口服避孕药 2 年。尽管她曾接种过两剂 mRNA COVID-19 疫苗,但在初诊前约 40 天,她还是感染了 COVID-19,并出现发烧、咽痛、咳嗽、腰痛和全身不适。然而,只有咳嗽持续了一个多月。右眼显示 BRVO,伴有黄斑水肿(ME)。她不吸烟,也没有糖尿病或高血压。血液检查结果(包括心磷脂抗体 IgG)正常。她接受了玻璃体内注射阿弗利百普的治疗。眼底 ME 迅速改善并消退。虽然距离第一次注射已经过去了 20 多个月,但 ME 并未复发。口服避孕药、接种 COVID-19 疫苗以及随后感染 SARS-CoV-2 都可能诱发静脉血栓栓塞,从而导致 BRVO。鉴于 COVID-19 病例在全球范围内有所增加,使用口服避孕药的视网膜静脉闭塞患者可能会更频繁地出现。
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引用次数: 0
Statistical data transformation in agrarian sciences for variance analysis: a systematic review 用于方差分析的农业科学统计数据转换:系统综述
Pub Date : 2024-05-08 DOI: 10.12688/f1000research.144805.1
Jhennifer Nascimento, Jonas Silva, Rodrigo Cupertino Bernardes, Guilherme S. Costa, P. Emiliano
In statistical analyses, a common practice for enhancing the validity of variance analysis is the application of data transformation to convert measurements into a different mathematical scale. This technique was first employed in 1898 by Edgeworth and remains relevant in current scientific publications despite the proliferation of more modern and advanced techniques that obviate the need for certain assumptions. Data transformations, when appropriately used, can make the model error terms approximate a normal distribution. It is also possible to use the technique to correct the heterogeneity of variances or to render an additive model, ensuring the validity of the analysis of variances. Given that this technique can be hastily applied, potentially leading to erroneous or invalid results, we conducted a systematic literature review of studies in the field of agrarian sciences that utilized data transformations for the validation of analysis of variances. The aim was to check the transformations employed by the scientific community, the motivation behind their use, and to identify possible errors and inconsistencies in applying the technique in publications. In this study, we identified shortcomings and misconceptions associated with using this method, and we observed incomplete and inadequate utilization of the technique in 94.28% of the analysed sample, resulting in misguided and erroneous conclusions in scientific research outcomes.
在统计分析中,提高方差分析有效性的常用方法是应用数据转换,将测量结果转换成不同的数学标度。埃奇沃思于 1898 年首次采用了这一技术,尽管更现代、更先进的技术不断涌现,使某些假设不再需要,但这一技术在当前的科学出版物中仍具有重要意义。如果使用得当,数据转换可以使模型误差项接近正态分布。还可以使用该技术修正方差的异质性,或建立加法模型,确保方差分析的有效性。鉴于这一技术可能会被匆忙应用,从而可能导致错误或无效的结果,我们对农业科学领域利用数据转换验证方差分析的研究进行了系统的文献综述。目的是检查科学界采用的转换方法、使用这些方法的动机,并找出出版物在应用该技术时可能存在的错误和不一致之处。在这项研究中,我们发现了与使用这种方法相关的缺点和误区,并观察到在 94.28% 的分析样本中不完全和不充分地使用了这种技术,从而导致科学研究成果中出现误导和错误的结论。
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引用次数: 0
Stem cell therapy outcome for diabetic erectile dysfunction: A pilot analysis 干细胞疗法治疗糖尿病勃起功能障碍的效果:试点分析
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.145149.1
G. A. Irdam, D. Parikesit, Nur Rasyid, Widi Atmoko, A. Taher
Background Many males encounter the condition of erectile dysfunction (ED), particularly individuals diagnosed with type 2 diabetes mellitus (DM). Stem cell therapy is a burgeoning treatment modality being explored for individuals with erectile dysfunction in the context of type 2 DM. Nevertheless, the available body of clinical evidence supporting its efficacy remains limited. This study aims to assess the effectiveness and safety of umbilical cord-derived mesenchymal stem cell (MSC) therapy in managing erectile dysfunction (ED) resulting from type 2 DM. Methods A randomized, double-blind, placebo-controlled trial was conducted at Dr. Cipto Mangunkusumo Hospital in Indonesia from October 2020 to January 2023. A total of 26 eligible patients were randomly assigned to two groups: one receiving intracavernosal injections of MSC and the other receiving a placebo. Follow-up assessments were conducted at baseline, month one, and month three. The primary outcomes were measured using the IIEF-5 questionnaire and dorsal artery peak systolic velocity (PSV). Metabolic markers were used as secondary outcomes. Results The IIEF-5 scores for both groups showed a significant increase (p < 0.001) from baseline to month three. There was no significant difference observed between the MSC and placebo groups. Moreover, no significant differences were observed in the PSV of the dorsal artery between the two groups (p>0.05). There were no significant differences in metabolic markers between the groups. The incidence of mild post-injection pain was reported by only 11% of individuals, indicating a low occurrence of adverse events. Conclusions Intracavernous administration of MSC did not demonstrate superior efficacy compared to a placebo in improving metabolic or erectile function in diabetic males with erectile dysfunction. Additional research utilizing larger sample sizes and more extended follow-up periods is necessary.
背景 许多男性都会遇到勃起功能障碍(ED)的问题,尤其是被诊断出患有 2 型糖尿病(DM)的患者。干细胞疗法是针对 2 型糖尿病患者勃起功能障碍的一种新兴治疗方式。然而,支持其疗效的现有临床证据仍然有限。本研究旨在评估脐带间充质干细胞(MSC)疗法治疗2型糖尿病勃起功能障碍(ED)的有效性和安全性。方法 2020年10月至2023年1月,印度尼西亚Cipto Mangunkusumo博士医院开展了一项随机、双盲、安慰剂对照试验。共有 26 名符合条件的患者被随机分配到两组:一组接受海绵体内注射间充质干细胞,另一组接受安慰剂。在基线、第一个月和第三个月进行随访评估。主要结果采用 IIEF-5 问卷和背动脉收缩峰值速度 (PSV) 进行测量。代谢指标作为次要结果。结果 从基线到第三个月,两组患者的 IIEF-5 评分均有显著提高(p < 0.001)。间充质干细胞组和安慰剂组之间没有观察到明显差异。此外,两组患者的背动脉 PSV 也无明显差异(P>0.05)。两组之间的代谢指标也无明显差异。仅有 11% 的人报告注射后出现轻微疼痛,表明不良反应发生率较低。结论 与安慰剂相比,海绵体内注射间充质干细胞在改善患有勃起功能障碍的糖尿病男性的代谢或勃起功能方面并没有显示出更优越的疗效。有必要利用更大的样本量和更长的随访期进行更多的研究。
{"title":"Stem cell therapy outcome for diabetic erectile dysfunction: A pilot analysis","authors":"G. A. Irdam, D. Parikesit, Nur Rasyid, Widi Atmoko, A. Taher","doi":"10.12688/f1000research.145149.1","DOIUrl":"https://doi.org/10.12688/f1000research.145149.1","url":null,"abstract":"Background Many males encounter the condition of erectile dysfunction (ED), particularly individuals diagnosed with type 2 diabetes mellitus (DM). Stem cell therapy is a burgeoning treatment modality being explored for individuals with erectile dysfunction in the context of type 2 DM. Nevertheless, the available body of clinical evidence supporting its efficacy remains limited. This study aims to assess the effectiveness and safety of umbilical cord-derived mesenchymal stem cell (MSC) therapy in managing erectile dysfunction (ED) resulting from type 2 DM. Methods A randomized, double-blind, placebo-controlled trial was conducted at Dr. Cipto Mangunkusumo Hospital in Indonesia from October 2020 to January 2023. A total of 26 eligible patients were randomly assigned to two groups: one receiving intracavernosal injections of MSC and the other receiving a placebo. Follow-up assessments were conducted at baseline, month one, and month three. The primary outcomes were measured using the IIEF-5 questionnaire and dorsal artery peak systolic velocity (PSV). Metabolic markers were used as secondary outcomes. Results The IIEF-5 scores for both groups showed a significant increase (p < 0.001) from baseline to month three. There was no significant difference observed between the MSC and placebo groups. Moreover, no significant differences were observed in the PSV of the dorsal artery between the two groups (p>0.05). There were no significant differences in metabolic markers between the groups. The incidence of mild post-injection pain was reported by only 11% of individuals, indicating a low occurrence of adverse events. Conclusions Intracavernous administration of MSC did not demonstrate superior efficacy compared to a placebo in improving metabolic or erectile function in diabetic males with erectile dysfunction. Additional research utilizing larger sample sizes and more extended follow-up periods is necessary.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":"93 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A bibliometric analysis of the literature on goat breeding  山羊育种文献的文献计量分析
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.147108.1
Thobela Louis Tyasi, Malik Ergin, M. Mathapo
Background Bibliometric analysis plays an essential role in scientific research. However, some research areas still have several gaps. This is also the case in the animal sciences. Therefore, the status of current studies can be analyzed to provide guidance for future research through scientific studies that will be conducted. The aim of this study was to perform a bibliometric analysis of goat breeding to evaluate current trends, gaps in knowledge, and future perspectives. Methods A large dataset was extracted from the Web of Science (WoS), a popular database for scientific studies. According to the WoS, we used 1000 scientific papers (1991–2023) that contained articles, book chapters, data papers, proceedings papers, meeting abstracts, and notes. All bibliometric analyses were performed using the bibliometrix package. Results and Conclusions In 2023, there were 34 studies available. Average citations per year showed that the highest average citation count occurred in 2006 (31.35). In total, 265 scientific journals in the WoS database have published goat breeding studies. Small Ruminant Research led to the remaining 145 articles. In conclusion, scientific studies on goat breeding have become popular in recent years. The authors may gravitate towards popular journals in the future.
背景文献计量分析在科学研究中发挥着至关重要的作用。然而,某些研究领域仍存在一些空白。动物科学也是如此。因此,可以对当前的研究状况进行分析,通过即将开展的科学研究为未来的研究提供指导。本研究旨在对山羊育种进行文献计量分析,以评估当前趋势、知识差距和未来前景。方法 我们从著名的科学研究数据库 Web of Science(WoS)中提取了一个大型数据集。根据 WoS,我们使用了 1000 篇科学论文(1991-2023 年),其中包括文章、书籍章节、数据论文、论文集论文、会议摘要和注释。所有文献计量分析均使用 bibliometrix 软件包进行。结果与结论 2023 年,共有 34 项研究。年平均被引次数显示,2006 年的平均被引次数最高(31.35)。WoS 数据库中共有 265 种科学期刊发表过山羊育种研究。小反刍动物研究》发表了其余 145 篇文章。总之,有关山羊育种的科学研究近年来很受欢迎。作者今后可能会倾向于热门期刊。
{"title":"A bibliometric analysis of the literature on goat breeding ","authors":"Thobela Louis Tyasi, Malik Ergin, M. Mathapo","doi":"10.12688/f1000research.147108.1","DOIUrl":"https://doi.org/10.12688/f1000research.147108.1","url":null,"abstract":"Background Bibliometric analysis plays an essential role in scientific research. However, some research areas still have several gaps. This is also the case in the animal sciences. Therefore, the status of current studies can be analyzed to provide guidance for future research through scientific studies that will be conducted. The aim of this study was to perform a bibliometric analysis of goat breeding to evaluate current trends, gaps in knowledge, and future perspectives. Methods A large dataset was extracted from the Web of Science (WoS), a popular database for scientific studies. According to the WoS, we used 1000 scientific papers (1991–2023) that contained articles, book chapters, data papers, proceedings papers, meeting abstracts, and notes. All bibliometric analyses were performed using the bibliometrix package. Results and Conclusions In 2023, there were 34 studies available. Average citations per year showed that the highest average citation count occurred in 2006 (31.35). In total, 265 scientific journals in the WoS database have published goat breeding studies. Small Ruminant Research led to the remaining 145 articles. In conclusion, scientific studies on goat breeding have become popular in recent years. The authors may gravitate towards popular journals in the future.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":"33 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Sample Size Determination in Educational Research: A Comprehensive Review 探索教育研究中样本量的确定:全面回顾
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.141173.3
Smruti Besekar, S. Jogdand, Waqar M. Naqvi
Background By conducting an in-depth study of the publications, a review was conducted with the goal of evaluating the sample size in educational research. The sample size, represented by the letter “n,” is a key factor in this research because it specifies the number of participants who represent the target population. Although various studies have been published in the literature defining the processes for calculating sample sizes, there is still much uncertainty. It is vital to understand that there is no single all-encompassing method for determining sample sizes for different study designs. Instead, different study designs call for different approaches to determine sample numbers. Methods Information was retrieved from the databases in accordance with updated PRISMA recommendations. The keywords used for the retrieval of the relevant articles from two databases (Google Scholar and PubMed). The articles were selected by thorough scrutiny and application of inclusion and exclusion criteria. Results Seven articles were selected and the comparison was made among the studies in the relation to methods, objective, and outcome from the enrolled studies. Conclusions The evaluation of the seven studies as a whole concluded that the sample size for testing any novel approach essentially required 24.24 participants in each group. The median sample size for the simulation-based educational research was 30. Further research is required to determine the proper sample size based on a single universal formula for all types of designs.
背景 通过对出版物进行深入研究,我们对教育研究中的样本量进行了评估。样本量(用字母 "n "表示)是本研究的一个关键因素,因为它规定了代表目标人群的参与者人数。尽管文献中已经发表了各种研究报告,对样本量的计算过程进行了定义,但仍存在很多不确定性。重要的是要明白,对于不同的研究设计,并没有一种包罗万象的方法来确定样本量。相反,不同的研究设计需要不同的方法来确定样本数。方法 根据最新的 PRISMA 建议从数据库中检索信息。从两个数据库(谷歌学术和 PubMed)中检索相关文章时使用了关键词。通过彻底审查并应用纳入和排除标准筛选出文章。结果 筛选出七篇文章,并对入选研究的方法、目标和结果进行了比较。结论 对七项研究进行整体评估后得出结论,任何新方法的测试样本量基本上都需要每组 24.24 名参与者。模拟教育研究的样本量中位数为 30 人。要根据适用于所有设计类型的单一通用公式来确定适当的样本量,还需要进一步的研究。
{"title":"Exploring Sample Size Determination in Educational Research: A Comprehensive Review","authors":"Smruti Besekar, S. Jogdand, Waqar M. Naqvi","doi":"10.12688/f1000research.141173.3","DOIUrl":"https://doi.org/10.12688/f1000research.141173.3","url":null,"abstract":"Background By conducting an in-depth study of the publications, a review was conducted with the goal of evaluating the sample size in educational research. The sample size, represented by the letter “n,” is a key factor in this research because it specifies the number of participants who represent the target population. Although various studies have been published in the literature defining the processes for calculating sample sizes, there is still much uncertainty. It is vital to understand that there is no single all-encompassing method for determining sample sizes for different study designs. Instead, different study designs call for different approaches to determine sample numbers. Methods Information was retrieved from the databases in accordance with updated PRISMA recommendations. The keywords used for the retrieval of the relevant articles from two databases (Google Scholar and PubMed). The articles were selected by thorough scrutiny and application of inclusion and exclusion criteria. Results Seven articles were selected and the comparison was made among the studies in the relation to methods, objective, and outcome from the enrolled studies. Conclusions The evaluation of the seven studies as a whole concluded that the sample size for testing any novel approach essentially required 24.24 participants in each group. The median sample size for the simulation-based educational research was 30. Further research is required to determine the proper sample size based on a single universal formula for all types of designs.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":"32 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delirium management and current practice among Intensive Care Units Doctors, Khartoum 喀土穆重症监护室医生的谵妄管理和当前做法
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.142233.1
Sheema Hamid Seidna Hamid, Ghada Omer Hamad AbdD El-Raheem, Hana Eltayeb Salih Elamin, Mudawi Mohammed Ahmed Abdallah
Delirium is a brain dysfunction characterized by attention and cognitive disturbances in a fluctuating manner. The international guidelines recommend daily screening for delirium. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) are the most commonly used methods for assessing delirium. This study aimed to identify barriers and gaps in knowledge and practice. This was a hospital-based Cross-Sectional study. Stratified random sampling was used in this study. 72 ICU doctors were randomly selected. Statistical analyses were performed using IBM SPSS version 23. Descriptive data were presented, and the chi-squared test was used to determine the associations among variables. Statistical significance was set at p < 0.05. More than 70% of the doctors were ≤ 30 years of age and female. A total of 69.4% of the participants had < 1year of experience. In total, 94.4% of the participants worked in medical ICUs. Less than 20% of the doctors used delirium assessment tools, with a statistically significant difference based on experience (p=0.012). Delirium was not regularly assessed in 13.9% of the patients. Non-pharmacological management was applied by 76.4% of doctors, and communication with patients was the most frequent (75%). Haloperidol was the most commonly used drug (83.3%). A total of 40.3% of doctors did not stop delirium medication on ICU discharge. A regular delirium assessment was performed. However, the use of validated assessment tools is uncommon. Nonpharmacological management of delirium is important and is mostly performed. Our doctors prescribed antipsychotics for the treatment of both forms of delirium, and almost half of them did not stop the medications on ICU discharge. Medication reconciliation and contact with the next in-charge of the patients are important.
谵妄是一种大脑功能障碍,其特点是注意力和认知能力出现波动性紊乱。国际指南建议每天进行谵妄筛查。重症监护病房意识混乱评估方法(CAM-ICU)和重症监护谵妄筛查核对表(ICDSC)是评估谵妄最常用的方法。本研究旨在找出知识和实践方面的障碍和差距。这是一项基于医院的横断面研究。本研究采用分层随机抽样法。随机抽取了 72 名 ICU 医生。使用 IBM SPSS 23 版本进行统计分析。研究采用描述性数据,并使用卡方检验来确定变量之间的关联。统计显著性以 p < 0.05 为标准。超过 70% 的医生年龄小于 30 岁,且为女性。69.4%的参与者工作经验小于 1 年。总共有 94.4% 的参与者在重症监护病房工作。只有不到 20% 的医生使用过谵妄评估工具,不同经验的医生使用谵妄评估工具的比例存在显著差异(P=0.012)。13.9%的患者未定期进行谵妄评估。76.4%的医生采用了非药物治疗方法,与患者的沟通最为频繁(75%)。氟哌啶醇是最常用的药物(83.3%)。共有 40.3% 的医生在重症监护室出院时没有停止谵妄药物治疗。定期进行谵妄评估。然而,使用有效评估工具的情况并不常见。对谵妄进行非药物治疗非常重要,而且大多数情况下都会这样做。我们的医生为两种形式的谵妄开具了抗精神病药物,其中近一半的医生在 ICU 出院时没有停药。对症下药以及与患者的下一任负责人联系非常重要。
{"title":"Delirium management and current practice among Intensive Care Units Doctors, Khartoum","authors":"Sheema Hamid Seidna Hamid, Ghada Omer Hamad AbdD El-Raheem, Hana Eltayeb Salih Elamin, Mudawi Mohammed Ahmed Abdallah","doi":"10.12688/f1000research.142233.1","DOIUrl":"https://doi.org/10.12688/f1000research.142233.1","url":null,"abstract":"Delirium is a brain dysfunction characterized by attention and cognitive disturbances in a fluctuating manner. The international guidelines recommend daily screening for delirium. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) are the most commonly used methods for assessing delirium. This study aimed to identify barriers and gaps in knowledge and practice. This was a hospital-based Cross-Sectional study. Stratified random sampling was used in this study. 72 ICU doctors were randomly selected. Statistical analyses were performed using IBM SPSS version 23. Descriptive data were presented, and the chi-squared test was used to determine the associations among variables. Statistical significance was set at p < 0.05. More than 70% of the doctors were ≤ 30 years of age and female. A total of 69.4% of the participants had < 1year of experience. In total, 94.4% of the participants worked in medical ICUs. Less than 20% of the doctors used delirium assessment tools, with a statistically significant difference based on experience (p=0.012). Delirium was not regularly assessed in 13.9% of the patients. Non-pharmacological management was applied by 76.4% of doctors, and communication with patients was the most frequent (75%). Haloperidol was the most commonly used drug (83.3%). A total of 40.3% of doctors did not stop delirium medication on ICU discharge. A regular delirium assessment was performed. However, the use of validated assessment tools is uncommon. Nonpharmacological management of delirium is important and is mostly performed. Our doctors prescribed antipsychotics for the treatment of both forms of delirium, and almost half of them did not stop the medications on ICU discharge. Medication reconciliation and contact with the next in-charge of the patients are important.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":"31 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To compare the efficacy of ropivacaine alone versus ropivacaine with magnesium sulphate for postoperative analgesia in peripheral nerve stimulator-guided supraclavicular plexus block in upper limb surgeries 比较上肢手术中在周围神经刺激器引导下锁骨上神经丛阻滞术中单独使用罗哌卡因与罗哌卡因加硫酸镁的术后镇痛效果
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.144032.1
Sikha Subhadarshini, Karuna Taksande, Amreesh Paul
Background Postoperative pain management is a crucial part of patient care for surgeries involving the upper limbs. A popular technique for providing both postoperative analgesia and regional anaesthesia is a supraclavicular plexus block guided by a peripheral nerve stimulator. Recent research has demonstrated that the analgesic effect of ropivacaine, a common local anaesthetic, can be enhanced by the addition of magnesium sulphate. The study aims to assess the safety and effectiveness of utilising magnesium sulphate in addition to ropivacaine alone for postoperative analgesia in patients having upper limb surgeries under peripheral nerve stimulator-guided supraclavicular plexus block. Methods This protocol outlines a prospective, double-blind, randomised, controlled trial that assesses the efficacy of ropivacaine versus ropivacaine plus magnesium sulphate for analgesia post surgery in patients undergoing upper limb surgeries under the guidance of a peripheral nerve stimulator (PNS). 50 Patients will be included in the study in total, and they will be split into two groups at random. PNS-guided supraclavicular plexus block with ropivacaine alone will be administered to one group, while ropivacaine combined with magnesium sulphate will be administered to the other. Regular monitoring will be done during the postoperative phase to determine pain levels, use of analgesics, motor and sensory blockade, and adverse events. Results The study aims to determine if ropivacaine with magnesium sulphate postoperative analgesia is superior to ropivacaine alone in supraclavicular plexus blocks. The motor and sensory blockade duration, opioid use, and any negative results will be evaluated as secondary outcomes. Statistical analysis will be performed to determine the significance of the differences between the two groups. Conclusion This study protocol compares the effectiveness of ropivacaine alone against ropivacaine with magnesium sulphate in peripheral nerve stimulator-guided supraclavicular plexus block, with the goal of adding to the repository of information on postoperative analgesia in upper limb procedures. The study’s findings could be very helpful in enhancing pain management strategies and enhancing patient outcomes in this context.
背景术后疼痛管理是上肢手术患者护理的重要组成部分。一种常用的术后镇痛和区域麻醉技术是在外周神经刺激器的引导下进行锁骨上神经丛阻滞。最近的研究表明,加入硫酸镁可增强常用局麻药罗哌卡因的镇痛效果。本研究旨在评估在外周神经刺激器引导下进行锁骨上神经丛阻滞的上肢手术患者术后镇痛时,除单独使用罗哌卡因外,再使用硫酸镁的安全性和有效性。方法 本方案概述了一项前瞻性、双盲、随机对照试验,评估在外周神经刺激器(PNS)引导下进行上肢手术的患者术后镇痛时使用罗哌卡因与罗哌卡因加硫酸镁的疗效。共有 50 名患者参与研究,他们将被随机分成两组。一组将在 PNS 引导下单独使用罗哌卡因进行锁骨上神经丛阻滞,另一组将使用罗哌卡因联合硫酸镁。在术后阶段将进行定期监测,以确定疼痛程度、镇痛剂的使用、运动和感觉阻滞以及不良反应。结果 该研究旨在确定在锁骨上神经丛阻滞中,罗哌卡因联合硫酸镁术后镇痛效果是否优于单独使用罗哌卡因。运动和感觉阻滞持续时间、阿片类药物的使用量以及任何阴性结果将作为次要结果进行评估。将进行统计分析以确定两组间差异的显著性。结论 本研究方案比较了在外周神经刺激器引导下锁骨上神经丛阻滞中单独使用罗哌卡因与罗哌卡因加硫酸镁的效果,目的是增加上肢手术术后镇痛的信息库。在这种情况下,研究结果对加强疼痛管理策略和提高患者疗效很有帮助。
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How the COVID-19 pandemic changed stakeholder engagement processes in sustainability research in the long-term COVID-19 大流行如何长期改变可持续性研究中利益相关者的参与过程
Pub Date : 2024-05-07 DOI: 10.12688/f1000research.145238.1
Diana Süsser, Amanda Schibline, Andrzej Ceglarz, J. Lilliestam, Vassilis Stavrakas, Pia-Johanna Schweizer
Background The COVID-19 pandemic affected stakeholder engagement in sustainability research projects in many ways. But which effects appear permanent today, after the pandemic ended? Methods To address this, we interviewed researchers and stakeholders and carried out a survey among European sustainability research projects in 2022. Results We find that the pandemic years disrupted stakeholder-based research, also with lasting effects. The forced shift to online modes showed how digital engagement can bring benefits in terms of easier and more efficient stakeholder engagement, but also that important aspects are lost, particularly regarding intensity of collaboration and depth of insights. Whether to go online or stay offline depends largely on the research objective, which stakeholders to involve, and how well researchers and stakeholders already know each other. Most researchers and stakeholders want to continue online collaboration in the long term, especially those with positive online collaboration experiences from the pandemic years. Conclusions The pandemic has a long-term impact on stakeholder engagement in research; online engagement cannot replace all benefit of previous in-person interactions with stakeholders, but it has led to digital innovations and expanded the engagement portfolio. Our research has provided qualitative insights into the impact of the pandemic on stakeholder engagement in various sustainability research projects and the implications for the long-term future that are relevant to researchers and funding agencies.
背景 COVID-19 大流行在很多方面影响了利益相关者对可持续发展研究项目的参与。但在疫情结束后的今天,哪些影响似乎是永久性的?方法 为了解决这个问题,我们采访了研究人员和利益相关者,并在 2022 年对欧洲可持续发展研究项目进行了调查。结果 我们发现,大流行病扰乱了以利益相关者为基础的研究,也产生了持久的影响。被迫转向在线模式表明,数字参与可以为利益相关者的参与带来更便捷、更高效的好处,但同时也失去了一些重要方面,尤其是合作的强度和见解的深度。是在线还是离线,主要取决于研究目标、需要哪些利益相关者参与,以及研究人员和利益相关者对彼此的了解程度。大多数研究人员和利益相关者都希望继续长期在线合作,尤其是那些在大流行病期间有过积极在线合作经验的研究人员和利益相关者。结论 大流行对利益相关者参与研究产生了长期影响;在线参与不能取代以前与利益相关者面对面互动的所有好处,但它带来了数字创新,扩大了参与组合。我们的研究提供了有关大流行病对利益相关者参与各种可持续发展研究项目的影响的定性见解,以及对研究人员和资助机构的长期影响。
{"title":"How the COVID-19 pandemic changed stakeholder engagement processes in sustainability research in the long-term","authors":"Diana Süsser, Amanda Schibline, Andrzej Ceglarz, J. Lilliestam, Vassilis Stavrakas, Pia-Johanna Schweizer","doi":"10.12688/f1000research.145238.1","DOIUrl":"https://doi.org/10.12688/f1000research.145238.1","url":null,"abstract":"Background The COVID-19 pandemic affected stakeholder engagement in sustainability research projects in many ways. But which effects appear permanent today, after the pandemic ended? Methods To address this, we interviewed researchers and stakeholders and carried out a survey among European sustainability research projects in 2022. Results We find that the pandemic years disrupted stakeholder-based research, also with lasting effects. The forced shift to online modes showed how digital engagement can bring benefits in terms of easier and more efficient stakeholder engagement, but also that important aspects are lost, particularly regarding intensity of collaboration and depth of insights. Whether to go online or stay offline depends largely on the research objective, which stakeholders to involve, and how well researchers and stakeholders already know each other. Most researchers and stakeholders want to continue online collaboration in the long term, especially those with positive online collaboration experiences from the pandemic years. Conclusions The pandemic has a long-term impact on stakeholder engagement in research; online engagement cannot replace all benefit of previous in-person interactions with stakeholders, but it has led to digital innovations and expanded the engagement portfolio. Our research has provided qualitative insights into the impact of the pandemic on stakeholder engagement in various sustainability research projects and the implications for the long-term future that are relevant to researchers and funding agencies.","PeriodicalId":504605,"journal":{"name":"F1000Research","volume":"7 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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