Out-of-hospital cardiac arrest(OHCA)is widely recognized as a global health issue.However,little is known about OHCA epidemiology in the former Union of Soviet Socialist Republics(USSR)territories.[1,2]The15 post-Sovi...Out-of-hospital cardiac arrest(OHCA)is widely recognized as a global health issue.However,little is known about OHCA epidemiology in the former Union of Soviet Socialist Republics(USSR)territories.[1,2]The15 post-Soviet states occupy nearly one-sixth of the land surface of the earth,and the total population exceeds 292 million people.展开更多
BACKGROUND:To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation(CPR)guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation.METHOD...BACKGROUND:To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation(CPR)guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation.METHODS:It was a prospective,blind,randomised controlled study involving 109 medical students without previous CPR training.In a standardized mannequin scenario,after the step of dispatcher-assisted cardiac arrest recognition,the participants performed compression-only resuscitation guided over the telephone by either:(1)the pre-recorded instructional audio(n=57);or(2)verbal dispatcher assistance(n=52).The simulation video records were reviewed to assess the CPR performance using a 13-item checklist.The interval from call reception to the first compression,total number and rate of compressions,total number and duration of pauses after the first compression were also recorded.RESULTS:There were no significant differences between the recording-assisted and dispatcher-assisted groups based on the overall performance score(5.6±2.2 vs.5.1±1.9,P>0.05)or individual criteria of the CPR performance checklist.The recording-assisted group demonstrated provided(170.2±48.0 vs.156.2±60.7).CONCLUSION:When provided by untrained persons in the simulated settings,the compression-only resuscitation guided by the pre-recorded instructional audio is no less efficient than dispatcher-assisted CPR.Future studies are warranted to further assess feasibility of using instructional audio aid as a potential alternative to dispatcher assistance.展开更多
BACKGROUND: To promote potentially life-saving bystander cardiopulmonary resuscitation(CPR), the proportion of CPR-trained general public and their attitude toward CPR should be assessed, which is yet to be done in th...BACKGROUND: To promote potentially life-saving bystander cardiopulmonary resuscitation(CPR), the proportion of CPR-trained general public and their attitude toward CPR should be assessed, which is yet to be done in the former Soviet Union countries. As a case study, the survey is aimed to investigate the prevalence of CPR training, CPR knowledge, attitude and willingness to attend training and attempt CPR in the general population of the Crimea.METHODS: A personal interview survey was done from November 2017 to January 2018 with quota sampling refl ecting age, gender and territorial distribution of the Crimean population.RESULTS: Out of 384 persons surveyed, 53% were trained in CPR. Of trained, 24% passed training within the last year, 44% attended a single course. Among the non-trained, 51% never thought about the need to attend training. Knowledge of CPR is generally poor. About 52% wish to learn CPR, 79% and 91% are willing to attempt CPR on a stranger or a loved one, respectively. Lack of knowledge is the strongest barrier to attempt CPR. People aged ≥60, those with educational level lower than high school, widowed and retired are mostly untrained and unwilling to learn CPR. Females and unemployed are mostly untrained, but willing to be educated.CONCLUSION: There is a need for increasing CPR training and retraining, and improving awareness and motivation to learn CPR in the Crimean population, targeting the least trained groups. The results could be used as a reference point for future studies in the former USSR countries, utilising the same methodology.展开更多
BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general publ...BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general public to BLS training across the globe.This study aimed to investigate availability and key features of BLS courses proposed for lay people in India,Nigeria and the United Kingdom(UK).METHODS:A Google search was done in December 2018,using English keywords relevant for community resuscitation training.Ongoing courses addressing BLS and suitable for any adult layperson were included in the analysis.On-site training courses were limited to those provided within the country's territory.RESULTS:A total of 53,29 and 208 eligible courses were found for India,Nigeria and the UK,respectively.In the UK,the number of courses per 10 million population(31.5)is 79 and 21 times higher than that in India(0.4)and Nigeria(1.5).Course geography is limited to 28%states and one union territory in India,30%states and the Federal Capital Territory in Nigeria.In the UK,the training is offered in all constituent countries,with the highest prevalence in England.Courses are predominantly classroom-based,highly variable in duration,group size and instructors'qualifications.For India and Nigeria,mean cost of participation is exceeding the monthly minimum wage.CONCLUSION:In contrast to the UK,the availability and accessibility of BLS courses are critically limited in India and Nigeria,necessitating immediate interventions to optimize community CPR training and improve bystander CPR rates.展开更多
BACKGROUND: To summarise and appraise cumulative published scientific evidence relevant to cardiopulmonary resuscitation(CPR) education in Russia.DATA RESOURCES: We searched Medline, Scopus, Science Direct and Russian...BACKGROUND: To summarise and appraise cumulative published scientific evidence relevant to cardiopulmonary resuscitation(CPR) education in Russia.DATA RESOURCES: We searched Medline, Scopus, Science Direct and Russian Science Citation Index databases from December 1991 to December 2016 to identify studies pertaining to the field of CPR education that were carried out by Russian researchers and/or investigated the topic of interest for Russia/Russian population. Reference lists of eligible publications, contents pages of relevant Russian journals and Google Scholar were also searched. There was no limitation based on publication language or study design.RESULTS: Of 7 964 unique citations identified, 22 studies were included. All studies were published from 2009 to 2016, mainly in Russian. Only three studies were reported to be randomized controlled. Non-medical individuals constituted 17% of studied populations. Most of the studies aimed to assess effects of CPR educational interventions, generally suggesting positive influence of the training conducted. The studies were highly heterogeneous as for methodological approaches, structure and duration of educational interventions, evaluation methods and criteria being used. Methodological quality was generally poor, with >40% publications not passing quality screening and only 2 studies meeting the criteria of moderate high quality.CONCLUSION: The results suggest paucity, low population coverage, high thematic and methodological heterogeneity and low quality of the studies addressing CPR education, which were carried out in the Russian Federation. There is a critical need in conducting methodologically consistent, large-scale, randomized, controlled studies evaluating and comparing efficiency of educational interventions for teaching CPR in different population categories of Russia.展开更多
In this paper,we review the existing approaches for vortex and vector beam shaping and generation in the terahertz frequency range.The particular focus of this review is on the possibility of homogeneous topological c...In this paper,we review the existing approaches for vortex and vector beam shaping and generation in the terahertz frequency range.The particular focus of this review is on the possibility of homogeneous topological charge formation in the ultra-wide spectral interval inherent to ultrashort terahertz pulses.We review the available materials and components,analyse proposed and potentially possible solutions for broadband terahertz vortex and vector beam shaping,compare all developed approaches,and put forward a unified concept for constructing passive shapers of such beams from the existing component base.展开更多
In this paper,we demonstrate the capabilities of the terahertz pulse time-domain holography in visualisation,simulation,and assessment of broadband THz vortex beam formation dynamics upon its shaping by elements of be...In this paper,we demonstrate the capabilities of the terahertz pulse time-domain holography in visualisation,simulation,and assessment of broadband THz vortex beam formation dynamics upon its shaping by elements of beam converter,and further propagation and manipulation.By adding Jones matrix formalism to describe broadband optical elements,we highlight the differences in the spatio-spectral and spatio-temporal structure of the formed vortex and vector beams dependence on the modulator used and visualise their modal features.The influence of diffraction field structure from each element in the broadband vortex modulator is revealed in numerical simulation and the formed beams are analysed against the simplified Laguerre-Gaussian beam model.展开更多
Mediterranean spotted fever(MSF)has been diagnosed clinically in the Crimean Peninsula since the 1930s.We describe the recent illness of an elderly patient from Crimea who had developed a classic triad of MSF symptoms...Mediterranean spotted fever(MSF)has been diagnosed clinically in the Crimean Peninsula since the 1930s.We describe the recent illness of an elderly patient from Crimea who had developed a classic triad of MSF symptoms consisting of fever,maculopapular rash,and eschar.Clinical diagnosis of rickettsiosis was confirmed using real-time PCR and sequencing of 4 Rickettsia protein genes.The strain causing clinical illness was characterized as Rickettsia conorii subspecies conorii Malish 7.This report corroborates the utility of eschar swab material as a source of DNA for PCR-based diagnostics that enables timely patient treatment and management.展开更多
文摘Out-of-hospital cardiac arrest(OHCA)is widely recognized as a global health issue.However,little is known about OHCA epidemiology in the former Union of Soviet Socialist Republics(USSR)territories.[1,2]The15 post-Soviet states occupy nearly one-sixth of the land surface of the earth,and the total population exceeds 292 million people.
文摘BACKGROUND:To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation(CPR)guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation.METHODS:It was a prospective,blind,randomised controlled study involving 109 medical students without previous CPR training.In a standardized mannequin scenario,after the step of dispatcher-assisted cardiac arrest recognition,the participants performed compression-only resuscitation guided over the telephone by either:(1)the pre-recorded instructional audio(n=57);or(2)verbal dispatcher assistance(n=52).The simulation video records were reviewed to assess the CPR performance using a 13-item checklist.The interval from call reception to the first compression,total number and rate of compressions,total number and duration of pauses after the first compression were also recorded.RESULTS:There were no significant differences between the recording-assisted and dispatcher-assisted groups based on the overall performance score(5.6±2.2 vs.5.1±1.9,P>0.05)or individual criteria of the CPR performance checklist.The recording-assisted group demonstrated provided(170.2±48.0 vs.156.2±60.7).CONCLUSION:When provided by untrained persons in the simulated settings,the compression-only resuscitation guided by the pre-recorded instructional audio is no less efficient than dispatcher-assisted CPR.Future studies are warranted to further assess feasibility of using instructional audio aid as a potential alternative to dispatcher assistance.
文摘BACKGROUND: To promote potentially life-saving bystander cardiopulmonary resuscitation(CPR), the proportion of CPR-trained general public and their attitude toward CPR should be assessed, which is yet to be done in the former Soviet Union countries. As a case study, the survey is aimed to investigate the prevalence of CPR training, CPR knowledge, attitude and willingness to attend training and attempt CPR in the general population of the Crimea.METHODS: A personal interview survey was done from November 2017 to January 2018 with quota sampling refl ecting age, gender and territorial distribution of the Crimean population.RESULTS: Out of 384 persons surveyed, 53% were trained in CPR. Of trained, 24% passed training within the last year, 44% attended a single course. Among the non-trained, 51% never thought about the need to attend training. Knowledge of CPR is generally poor. About 52% wish to learn CPR, 79% and 91% are willing to attempt CPR on a stranger or a loved one, respectively. Lack of knowledge is the strongest barrier to attempt CPR. People aged ≥60, those with educational level lower than high school, widowed and retired are mostly untrained and unwilling to learn CPR. Females and unemployed are mostly untrained, but willing to be educated.CONCLUSION: There is a need for increasing CPR training and retraining, and improving awareness and motivation to learn CPR in the Crimean population, targeting the least trained groups. The results could be used as a reference point for future studies in the former USSR countries, utilising the same methodology.
文摘BACKGROUND:The number of lay people willing to attempt cardiopulmonary resuscitation(CPR)in real life is increased by effective education in basic life support(BLS).However,little is known about access of general public to BLS training across the globe.This study aimed to investigate availability and key features of BLS courses proposed for lay people in India,Nigeria and the United Kingdom(UK).METHODS:A Google search was done in December 2018,using English keywords relevant for community resuscitation training.Ongoing courses addressing BLS and suitable for any adult layperson were included in the analysis.On-site training courses were limited to those provided within the country's territory.RESULTS:A total of 53,29 and 208 eligible courses were found for India,Nigeria and the UK,respectively.In the UK,the number of courses per 10 million population(31.5)is 79 and 21 times higher than that in India(0.4)and Nigeria(1.5).Course geography is limited to 28%states and one union territory in India,30%states and the Federal Capital Territory in Nigeria.In the UK,the training is offered in all constituent countries,with the highest prevalence in England.Courses are predominantly classroom-based,highly variable in duration,group size and instructors'qualifications.For India and Nigeria,mean cost of participation is exceeding the monthly minimum wage.CONCLUSION:In contrast to the UK,the availability and accessibility of BLS courses are critically limited in India and Nigeria,necessitating immediate interventions to optimize community CPR training and improve bystander CPR rates.
文摘BACKGROUND: To summarise and appraise cumulative published scientific evidence relevant to cardiopulmonary resuscitation(CPR) education in Russia.DATA RESOURCES: We searched Medline, Scopus, Science Direct and Russian Science Citation Index databases from December 1991 to December 2016 to identify studies pertaining to the field of CPR education that were carried out by Russian researchers and/or investigated the topic of interest for Russia/Russian population. Reference lists of eligible publications, contents pages of relevant Russian journals and Google Scholar were also searched. There was no limitation based on publication language or study design.RESULTS: Of 7 964 unique citations identified, 22 studies were included. All studies were published from 2009 to 2016, mainly in Russian. Only three studies were reported to be randomized controlled. Non-medical individuals constituted 17% of studied populations. Most of the studies aimed to assess effects of CPR educational interventions, generally suggesting positive influence of the training conducted. The studies were highly heterogeneous as for methodological approaches, structure and duration of educational interventions, evaluation methods and criteria being used. Methodological quality was generally poor, with >40% publications not passing quality screening and only 2 studies meeting the criteria of moderate high quality.CONCLUSION: The results suggest paucity, low population coverage, high thematic and methodological heterogeneity and low quality of the studies addressing CPR education, which were carried out in the Russian Federation. There is a critical need in conducting methodologically consistent, large-scale, randomized, controlled studies evaluating and comparing efficiency of educational interventions for teaching CPR in different population categories of Russia.
文摘In this paper,we review the existing approaches for vortex and vector beam shaping and generation in the terahertz frequency range.The particular focus of this review is on the possibility of homogeneous topological charge formation in the ultra-wide spectral interval inherent to ultrashort terahertz pulses.We review the available materials and components,analyse proposed and potentially possible solutions for broadband terahertz vortex and vector beam shaping,compare all developed approaches,and put forward a unified concept for constructing passive shapers of such beams from the existing component base.
基金Russian Science Foundation,Project No 19-72-10147The work of A.G.is supported by EPSRC Grant No.EP/S018395/1。
文摘In this paper,we demonstrate the capabilities of the terahertz pulse time-domain holography in visualisation,simulation,and assessment of broadband THz vortex beam formation dynamics upon its shaping by elements of beam converter,and further propagation and manipulation.By adding Jones matrix formalism to describe broadband optical elements,we highlight the differences in the spatio-spectral and spatio-temporal structure of the formed vortex and vector beams dependence on the modulator used and visualise their modal features.The influence of diffraction field structure from each element in the broadband vortex modulator is revealed in numerical simulation and the formed beams are analysed against the simplified Laguerre-Gaussian beam model.
文摘Mediterranean spotted fever(MSF)has been diagnosed clinically in the Crimean Peninsula since the 1930s.We describe the recent illness of an elderly patient from Crimea who had developed a classic triad of MSF symptoms consisting of fever,maculopapular rash,and eschar.Clinical diagnosis of rickettsiosis was confirmed using real-time PCR and sequencing of 4 Rickettsia protein genes.The strain causing clinical illness was characterized as Rickettsia conorii subspecies conorii Malish 7.This report corroborates the utility of eschar swab material as a source of DNA for PCR-based diagnostics that enables timely patient treatment and management.
