ABSTRACT
The pandemic caused by Coronavirus disease (covid-19) has impacted society as a whole, demanding adaptation to a new context, both personal and professional. The working conditions of health professionals have been the subject of current research interest, with emphasis on the risk of transmission and its impact on mental health. In this sense, the study analyzes the different implications of this pandemic in the private and professional environments among physicians, nurses and nursing technicians working in the Metropolitan Region of São Paulo, Brazil. From a qualitative and quantitative approach, interviews conducted mainly from a distance were explored, with the aid of technological mediation, with the application of a semi-structured interview script. It was verified that the adaptations to live and work in the pandemic were expressed heterogeneously among the different categories of health professionals, identified at the intersection between gender and social class, with women being largely responsible for the articulation of new forms of network support. The interventions to be implemented to recover from the effects of the pandemic will not be able to the inequalities already present in society that are reproduced in the professional environment. © 2022 Pontificia Universidad Javeriana. All rights reserved.
ABSTRACT
Purpose: With increasing demands and time constraints on physicians, compounded by the telemedicine era of COVID, patients are ill-equipped to make informed decisions regarding their treatments1. Patients are seeking further information on the internet, particularly the audio-visual platform YouTube2. Appropriate patient education is paramount for patients undergoing treatment, particularly intervention, as it provides appropriate expectations and reduces anxiety1. This aim of this study was to objectively evaluate videos on YouTube that related to commonly performed musculoskeletal procedures against validated scoring systems. Methods and Materials: YouTube was utilised to search for common musculoskeletal procedures including "facet joint injection", "knee injection" and "shoulder injection". The first thirty videos returned for each search were assessed for suitability as it was deemed this was likely to encompass a patient search results as average user's will only assess the first 5 search results 3. 90 total videos were identified, and after exclusion 51 were included for analysis by three independent reviewers. Data extracted from the videos included video authorship, year published, number of views and number of 'likes' and 'dislikes'. Videos were scored for quality and reliability using three separate and validated tools for online medical video assessment;Journal of American Medical Association (JAMA) benchmark criteria, the global quality scoring (GQS) and the DISCERN criteria. Result(s): Of the 51 videos analysed, 88% were authored by a medical doctor, and the average number of views were 67,552. The overall video quality and reliability was poor. The mean DISCERN score was 32.78 (<39 = poor). The mean JAMA score was 1.79 (<3 = low quality) and the GQS was 2.39 (<3 = poor). As per DISCERN standards 24.18% of videos were very poor, 46.70% were poor, 26.79% were fair, 2.61% were good, and 0% were excellent. There was no significant difference in quality or reliability across the three video categories. Conclusion(s): YouTube is a popular medium for individuals seeking health related information, however, it provides substandard information for patient education on three commonly performed radiological guided musculoskeletal procedures;failing to meet benchmark criteria. Radiologists and referring physicians should avoid the recommendation of YouTube as an education aid at this time, as it may misinform patients and provide misconceptions with altered expectations.
ABSTRACT
Background: Front of Neck Access (FONA) is a critical skill Anaesthetists must be able to perform in the 'Can't Intubate, Can't oxygenate' (CICO) scenario, and is a core technical skill ANZCA registrars must develop during training (ANZCA 2020). However, since the Covid-19 pandemic, opportunities for first hand emergency airway experience have reduced. To gain an understanding of trends in the field of FONA and to guide future advancement, we conducted a bibliometric analysis of the 100 most cited papers for Front of Neck Access. Methods: The Thomas Reuters Web of Science database was searched on 13th of June 2021 using the terms;“Front of Neck Access”, “FONA”, “Cricothyroidotomy”, “Surgical cricothyroidotomy”, “Scalpel Cricothyroidotomy”, “Needle Cricothyroidotomy”. The 100 most cited papers relevant to FONA were analysed by design, topic, author, publication year and institution. The journal impact factor for the year 2019 along with Eigenfactor scores were recorded. Results: A total of 787 papers were retrieved from our search. These were ranked by total number of citations. The median number of citations for the top 100 articles was 56.5 (IQR 28), with 44% of articles originating from the USA. The top five cited papers made up 37% of total citations. Anesthesia (n=9) and The British Journal of Anesthesia (n=9) had the greatest number of papers, whilst the greatest number of citations came from Academic Emergency Medicine (n=2456). The years 2011 (n=9) and 2015 (n=9) had the greatest number of papers published. Technique for emergent FONA was the most common theme. Conclusions: The most influential articles in the FONA literature have each been cited at least 35 times, reflecting considerable impact and quality. The USA has produced most research in this area, allowing the widespread dispersion of indications, technique and guidelines at a time when practical experience may be limited due to the pandemic.