PURPOSE: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. METHODS: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. RESULTS: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications CONCLUSION: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.
Accidental Falls ; Adult ; Audiovisual Aids ; Expert Testimony ; Gait ; Hospitals, General ; Humans ; Incidence ; Inpatients ; Intensive Care Units ; Korea ; Risk Assessment ; Risk Factors ; Vertigo ; Walking

PURPOSE: Patients and their caretakers need to understand various problems and requirements in the dying process so that they may prepare for death for the rest of their remaining life. Accordingly, a systematic audio-visual resource was developed to educate hospice patients and their families at the palliative care ward about the process of dying. METHODS: For the development of an audio-visual resource, a initial education material was produced in the form of simple and accessible Power Point handouts based on literature study. Then, the program was completed through five rounds of a process, including expert advice, revision, update and evaluation. RESULTS: The final version of the program was filmed with cooperation of the medical literature information division. Using the program, patients and families were educated through five phases over three sessions for a total 26 minutes and 34 seconds. CONCLUSION: The significance of this study lies in the fact that it was conducted after the establishment of the palliative care ward, which made it easier for nurses provide the education. It is expected that the program may be used by hospice specialists as well as nurses as an education resource for hospice patients and their families.
Audiovisual Aids* ; Education* ; Hospices* ; Humans ; Palliative Care ; Specialization

Audiovisual Aids ; Bibliography as Topic ; Biology ; Botany ; China ; Humans

INTRODUCTIONThe aim of the study is to investigate the effect of using Automated External Defibrillator (AED) audiovisual feedback on the quality of cardiopulmonary resuscitation (CPR) in a manikin training setting.

MATERIALS AND METHODSFive cycles of 30 chest compressions were performed on a manikin without CPR prompts. After an interval of at least 5 minutes, the participants performed another 5 cycles with the use of real time audiovisual feedback via the ZOLL E-Series defibrillator. Performance data were obtained and analysed.

RESULTSA total of 209 dialysis centre staff participated in the study. Using a feedback system resulted in a statistically significant improvement from 39.57% to 46.94% (P=0.009) of the participants being within the target compression depth of 4 cm to 5 cm and a reduction in those below target from 16.45% to 11.05% (P=0.004). The use of feedback also produced a significant improvement in achieving the target for rate of chest compression (90 to 110 compressions per minute) from 41.27% to 53.49%; (P<0.001). The mean depth of chest compressions was 4.85 cm (SD=0.79) without audiovisual feedback and 4.91 (SD=0.69) with feedback. For rate of chest compressions, it was 104.89 (SD=13.74) vs 101.65 (SD=10.21) respectively. The mean depth of chest compression was less in males than in females (4.61 cm vs 4.93 cm, P=0.011), and this trend was reversed with the use of feedback.

CONCLUSIONIn conclusion, the use of feedback devices helps to improve the quality of CPR during training. However more studies involving cardiac arrest patients requiring CPR need to be done to determine if these devices improve survival.

Adult ; Audiovisual Aids ; Cardiopulmonary Resuscitation ; instrumentation ; methods ; Defibrillators ; Feedback ; Female ; Humans ; Male ; Manikins ; Middle Aged ; Pressure ; Prospective Studies ; Thorax ; Young Adult

OBJECTIVES: In the present study, we aimed to develop an oral examination smart chart application for tablet personal computers (PC). We evaluated the time required to perform an oral examination and assessed the degree of user's convenience by using this application. We determined to make our application cost and human resource effective by automatically computerizing the statistics to facilitate its application in oral health services such as national oral health research. The development of this application for tablet PCs was aimed at recording the results of oral examinations. METHODS: We produced flow charts and designed the program screen, which would replace the existing paper chart. To evaluate the efficiency of the application, 1 preventive dentistry professor and 6 dentistry students performed an oral examination on 41 subjects. We performed the oral examination in duplicate using a tablet PC and a paper chart. The data collected were analyzed using the SPSS 18.0 program. P-values less than 0.05 were considered statistically significant. RESULTS: The time required for oral examination by the study group (the group using the application) and the control group (the group using paper) were 131.93+/-10.14 and 151.85+/-7.77, respectively; the difference between these values was statistically significant (P-value=0.002). The oral examination could be performed faster in the study group (the group using the application) than in the control group; therefore, we noted that the time taken for oral examination was reduced by using the application. CONCLUSIONS: The tablet-based system has been shown to save time by omitting the step of entering the paper chart data into a computer. Further, the findings of this study can be used to establish an oral health index database with the help of additional resources. Moreover, it would facilitate creating awareness among the patients with regard to their oral health indices through the use of visual aids.
Audiovisual Aids ; Dentistry ; Diagnosis, Oral ; Humans ; Microcomputers ; Oral Health ; Preventive Dentistry

PURPOSE: Epidemiologic evaluation and investigating the causes of visual impairment in any society is a matter of concern and has a direct effect on the country's health care planning. In this study we describe causes of low vision and blindness in Iranian patients referred to rehabilitation clinics for taking vision aids. METHODS: In this cross-sectional study, visual acuity was classified based on best-corrected visual acuity in the better eye according to the World Health Organization definition (blindness, visual acuity [VA] < 20 / 400; severe visual impairment, VA < 20 / 200-20 / 400; mild to moderate visual impairment, VA < 20 / 60-20 / 200). The causes of blindness and low vision were determined using the 10th version of International Classification of Diseases based on the main cause in both eyes. To describe data, we used mean +/- SD and frequency. RESULTS: The study included 432 patients, 65% male, with a mean age of 43.6 +/- 25.5 years (range, 3 to 92 years). Mild to moderate visual impairment, severe visual impairment and blindness were present in 122 (28.8%), 196 (46.4%) and 105 (24.8%) of the patients, respectively. The main causes of visual impairment were retinal and choroidal diseases (74.5%), optic nerve and optic tract diseases (9.8%), vitreous and globe disorders (5.3%), congenital cataract (3.1%), and glaucoma (2.6%). The distribution pattern of the causes was similar in all age subgroups. CONCLUSIONS: Diseases of the retina and choroid are the main cause of visual impairment among patients referred to an academic visual rehabilitation clinic in Iran.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Audiovisual Aids ; Blindness/*epidemiology/rehabilitation ; Child ; Child, Preschool ; Choroid Diseases/*epidemiology/rehabilitation ; Female ; Humans ; Iran/epidemiology ; Male ; Middle Aged ; Optic Nerve Diseases/epidemiology/rehabilitation ; Referral and Consultation/*statistics & numerical data ; Rehabilitation Centers/*statistics & numerical data ; Retinal Diseases/*epidemiology/rehabilitation ; Vision, Low/*epidemiology/rehabilitation ; Young Adult

PURPOSE: Cardiopulmonary resuscitation (CPR) education for school is extremely important in the community. In Korea, the curriculum for health care training including CPR has been established by law since 2009. The aim of this survey was to investigate the current status of CPR training in school from the viewpoint of program administration and their aids. METHODS: In January 2012, we conducted an interview survey with 243 health teachers regarding their educational status and confidence, current education condition for school, teaching materials, and opinion on governmental health policy. The characteristics of survey respondents were compared according to elementary, middle, and high school. According to their place of work, we focused on teaching methods and programs for implementation of adequate CPR practices. RESULTS: Half of the participants worked in elementary schools, 29% in middle schools, and 20% in high schools. Ninety-four percent of elementary respondents reported having ever run a CPR curriculum, and 51% of middle school respondents and 41% of high school respondents administered CPR education in 2011. The median time for CPR lessons was two class hours [interquartile range (IQR): 1~2]. The median number of students per lesson was 30 (IQR: 26~71). Among those who had been trained, 84% of the elementary school, 56% of middle school, and 55% of the high school had performed manikin practice. Healthcare textbooks (58%), group-used manikins (31%), visual aids (24%), and only 6% of individual practice manikins were secured for use as CPR teaching aids. CONCLUSION: Wide variations in CPR curriculums and educational materials were observed among different school levels, and the standard program administrations and equipment were insufficient. Therefore, strategies and guidelines for program administration should be established as soon as possible.
Audiovisual Aids ; Cardiopulmonary Resuscitation ; Curriculum ; Surveys and Questionnaires ; Delivery of Health Care ; Educational Status ; Health Policy ; Humans ; Hypogonadism ; Jurisprudence ; Korea ; Manikins ; Mitochondrial Diseases ; Ophthalmoplegia ; Teaching ; Teaching Materials

In this paper, the principle of computer vision was introduced and several typical radiotherapy devices based on computer vision were described, including their principle and applications.
Audiovisual Aids ; Imaging, Three-Dimensional ; Radiotherapy, Computer-Assisted ; methods ; Software

In this study, we investigated that consumers could differentiate between levels of claims and clarify how a visual aid influences consumer understanding of the different claim levels. We interviewed 2,000 consumers in 13 shopping malls on their perception of and confidence in different levels of health claims using seven point scales. The average confidence scores given by participants were 4.17 for the probable level and 4.07 for the possible level; the score for the probable level was significantly higher than that for the possible level (P < 0.05). Scores for confidence in claims after reading labels with and without a visual aid were 5.27 and 4.43, respectively; the score for labeling with a visual aid was significantly higher than for labeling without a visual aid (P < 0.01). Our results provide compelling evidence that providing health claims with qualifying language differentiating levels of scientific evidence can help consumers understand the strength of scientific evidence behind those claims. Moreover, when a visual aid was included, consumers perceived the scientific levels more clearly and had greater confidence in their meanings than when a visual aid was not included. Although this result suggests that consumers react differently to different claim levels, it is not yet clear whether consumers understand the variations in the degree of scientific support.
Audiovisual Aids ; Weights and Measures

OBJECTIVETo evaluate the attention shift effect produced by a video-audio eyewear in pediatric dentistry.

METHODSTotally 40 children aged 4-7 years were equally randomized into fissure sealant group(group S) and caries filling group(group F). A self-control comparison method was used in each group: each child took two visits to finish the whole study, they received the dental treatment either with normal method(SC, FC) or with attention shift by wearing the video-audio eyewear (SI, FI) for each visit. The degree of pain, accomplishment of treatment, and co-operation were analyzed and compared.

RESULTSAll children were successfully managed in the whole course. The pain scores were not significantly different between SC group and SI group or between FC group and FI group (P0.05), while the Frankl scores were significantly different between SC group and SI group (P=0.04) and between FC group and FI group (P=0.03). Houpt scores were significantly different between SC group and SI group (P=0.04), but not between FC group and FI group (P=0.85). Most children (90% in group S) and (85% in group F) expressed the willingness to receive the video-audio eyewear if they were asked to do so again.

CONCLUSIONSThe video-audio eyewear provides satisfactory attention shift for children during dental treatment and increases their cooperation. However, it has little effect on pain relieving.

Attention ; Audiovisual Aids ; Child ; Child, Preschool ; Female ; Humans ; Male ; Pediatric Dentistry ; Play and Playthings