Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
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Dr. Mamta Gupta
Consultant
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Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
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Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
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Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Original article / research
Year : 2010 | Month : June | Volume : 4 | Issue : 3 | Page : 2511 - 2514 Full Version

Assessing The Need And Effect Of Updating The Knowledge About Cardio-Pulmonary Resuscitation In Experts


Published: June 1, 2010 | DOI: https://doi.org/10.7860/JCDR/2010/.763
BAKHSHA F*

*MSc of anesthesiology, Golestan Medical University, Iran.

Correspondence Address :
The college of Paramedics, Golestan Medical University, Falsafi Collection, Shast kola road, Gorgan city, Golestan province, (Iran)
Tel: 0098-171-5539485
Mobile: 0911-177-5765
E-mail: bakhsha_fo@yahoo.com

Abstract

Cardiopulmonary resuscitation [CPR] is an emergency medical procedure for the victims of cardiac arrest, which should be performed by skillful individuals. This study was done to assess the level of knowledge in 35 CPR staff of a hospital which was affiliated to the Golestan University of Medical Sciences.
Materials and Method:
Simple Sampling with a before-after method was applied. Data Collection was done by a questionnaire of 43 questions about knowledge which was completed by the participants before and after teaching and after a two-month duration. Educational lectures were held by expert professors. The data were analyzed by the Wilcoxon test. P-values less than 0.01 were considered to be significant.
Results:
The mean age was 37.16 ± 6.21 years. The results showed that the level of knowledge had improved to 85% after training and to 87% after two months [P-value<0.01].
Conclusion: It is suggested that a periodic training of practical skills should be scheduled for these staff.

Keywords

Cardio Pulmonary Resuscitation, Knowledge, CPR staff, training.

Background
Immediate response to a cardiac arrest, which is defined as Cardiopulmonary resuscitation [CPR], is a critical component of basic life support and the established first line before advanced life support. CPR as a potential life saver is associated with survival and has the potential to prevent sudden death (1)

The American Heart Association (AHA) resuscitation guidelines recommend that all hospital staff who are in contact with the patients should have regular resuscitation training. (1).
Nagashima et al concluded that 80% of the nurses did not have enough knowledge about CPR, despite passing educational programs about resuscitation (2).

Suzuki et al studied the levels of knowledge in 3305 Japanese medical students and showed that less than 20% of them could perform standard CPR (3). Other similar studies confirmed this, too (4),(5),(6),(7).

Updating the knowledge and skills about CPR is a necessary option in the field of medicine (8).

This study was designed to assess the effect of teaching CPR skills on the level of knowledge in the CPR team of a hospital which was affiliated to the Golestan University of Medical Sciences.

Material and Methods

This study was conducted on 35 personnel of CPR in a hospital which was affiliated to the Golestan University of Medical Sciences, 2007 in the Northeast of Iran. The before-after method was applied by simple sampling without substituting. A questionnaire which was completed by each case contained demographic data and 43 questions about theoretical and practical points in basic and advanced CPR, based on the latest version of CPR guidelines.

A scale was designed for scoring the level of the knowledge per group, ie: 965 for physicians, 710 for nurses and 655 for technicians of anaesthesia. The questionnaire was completed before the programs, immediately after the educational programs and then after 2-months. This model of assessing the effectiveness of educational programs was used in other studies too (1).

The validity of the questionnaire was evaluated by the latest version of the American Heart Association (2005) and by the post test method. A pilot study on 10 persons was done to evaluate the stability of the forms.

Results

Most of the cases which were studied were females [60%]. The mean age was 37.16 ± 6.21 years and the mean employing time was about 12.03 ± 7.25 years. Among these, 71.52% were nurses, 11.42% were physicians and 17.14% were technicians of anaesthesia.

The results showed that in the 5 items including: basic and advanced knowledge in maintaining the airway, circulation, chest compression, medicines in CPR and probable adverse effects; the level of knowledge had improved by more than 85% of basic one.

In cardiac arrest signs, it had improved from 45% to 71%, in performing DC shock it had increased from from 30% to 76%,. in applicants after resuscitation it had increased from 11% to 74% and in diagnosing a foetal arrhythmia it had increased from 34% to 59.5% (Table/Fig 1).

Discussion

As the results showed, most of the study subjects, ie: the CPR personnel had a weak knowledge before education [43%] and it improved significantly to 85% after the lectures and to 87% 2-months later, in all items related to basic and advanced CPR. Madenc et al conducted a study about the effect of 4-hours of teaching courses on the knowledge of nursing students about CPR and showed a significant impact (1).

Other studies showed a similar significant effect of education on the knowledge of health care workers and medical or nursing personnel about CPR (9),(10),(11).

In a project done on medical doctors who were employed in the emergency department, it was reported that although 94% of them were the head of the CPR team in their department, 77.6% of them had not undergone any previous educational courses on CPR (11).

Bakhsha et al, in a previous study done on CPR nurses in hospitals which were affiliated to the Golestan Medical University [2006], concluded that their knowledge about foetal arrhythmias and therapeutic protocols were very low and that education can improve it but not at the standard level (12).

It was suggested that all nurses and physicians should have enough knowledge about CPR (13) and that the present level of knowledge is unsuitable for the personnel.

Updating this knowledge is a necessity and it should be suggested per 3-months or even per month according to the latest version of the world suggestions of CPR (14).

Limitations
The sample size was too small to be distributed to all the health care workers and more studies are needed. Also, we had no equal numbers of male and female personnel in order to compare the skills between them.

References

1.
Madden C. Undergraduate nursing students' acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006 Apr;26
3.
:218-27.
2.
2-Nagashima K, ‬Takahata O‭, ‬Fujimoto K‭, ‬Suzuki A‭, ‬Iwasaki H. Investigation on nurses‭' ‬knowledge of and experience in cardiopulmonary resuscitation and on nurses‭' ‬knowledge of the guidelines for cardiopulmonary resuscitation and emergency cardiovascular care established in 2000-‭-‬results of a survey at Asahikawa Medical College Hospital‭. ‬Masui‭. ‬2003‭; ‬52‭[‬4‭]:‬427-30‭
3.
3- ‬Suzuki A‭ , ‬Suzuki Y‭, ‬Takahata O‭, ‬Fujimoto K‭, ‬Nagashima K‭; ‬Mamiya K‭, ‬Sengoku K‭, ‬and Iwasaki H‭. ‬A survey of 3,303‭ ‬6th year medical students from 36‭ ‬universities concerning knowledge of resuscitation‭. ‬Journal of anesthesiology 2001‭; ‬50‭[‬3‭]: ‬316-22‭.
4.
4- Farah R.StinerE,Zveibil F,Zohar Z,Eisenman Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of
5.
5- Adib Haj Bagheri M., Akbari H., Mosavi Gh. Successful CPR in Kashan Hospitals. Isfahan Journal of Medical Sciences 2005. 10
3.
:156-162.
6.
6-Sayyah S. Assessing the knowledge of Qazvin medical students about CPR. Qazvin Medical Journal 2004. 33: 98-100.
7.
Bakhsha F. Assessing the awareness and knowledge of CPR staffs in 5 Azar hospital, Gorgan. 4th international congress of Intensive health care. 2005. Abstarct book. Pp:124-253.
8.
8- Broomfield R.A quasi-experimental research to investigate the retention of basic cardiopulmonary resuscitation skills and knowledge by qualified nurses following a course in professional development. J Adv Nurs. 1996 May;23
5.
:1016-23.
9.
9-Kerridge IH, Pearson SA, Rolfe IE, Lowe M, McPhee JR. Impact of written information on knowledge and preferences for cardiopulmonary resuscitation. Med J Aust. 1999 Sep 6;171
5.
:239-42.
10.
10- Nyman J, Sihvonen M.Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000 Oct;47
2.
:179-84.
11.
11- Güldal D, Semih S, Esin S.E. ‬Do physicians have sufficient knowledge of basic and advanced cardiac life support‭? ‬The Middle East Journal of Emergency Medicine‭. 2001; 1
1.
12.
Bakhsha F. The effect of teaching cardio pulmonary resuscitation on knowledge and Attitude of Nurses employed in therapeutic centers depend to Golestan of medical sciences university Journal of Gorgan University Of Medical Sciences winter.2007.vol8.no4
13.
[No authors listed] Resuscitation from cardiopulmonary arrest. Training and organization. A report of the Royal College of Physicians. J R Coll Physicians Lond. 1987 Jul;21
3.
:175-82.
14.
Hamilton R. Nurses' knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. J Adv Nurs. 2005 Aug;51
3.
:288-97.

Tables and Figures
[Table / Fig - 1]
JCDR is now Monthly and more widely Indexed .
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  • Index Copernicus ICV 2017: 134.54
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