BACKGROUND It remains unclear whether video aids can improve the quality of bystander cardiopulmonary resuscitation(CPR).AIM To summarize simulation-based studies aiming at improving bystander CPR associated with the ...BACKGROUND It remains unclear whether video aids can improve the quality of bystander cardiopulmonary resuscitation(CPR).AIM To summarize simulation-based studies aiming at improving bystander CPR associated with the quality of chest compression and time-related quality parameters.METHODS The systematic review was conducted according to the PRISMA guidelines.All relevant studies were searched through PubMed,EMBASE,Medline and Cochrane Library databases.The risk of bias was evaluated using the Cochrane collaboration tool.RESULTS A total of 259 studies were eligible for inclusion,and 6 randomised controlled trial studies were ultimately included.The results of meta-analysis indicated that video-assisted CPR(V-CPR)was significantly associated with the improved mean chest compression rate[OR=0.66(0.49-0.82),P<0.001],and the proportion of chest compression with correct hand positioning[OR=1.63(0.71-2.55),P<0.001].However,the difference in mean chest compression depth was not statistically significant[OR=0.18(-0.07-0.42),P=0.15],and V-CPR was not associated with the time to first chest compression compared to telecommunicator CPR[OR=-0.12(-0.88-0.63),P=0.75].CONCLUSION Video real-time guidance by the dispatcher can improve the quality of bystander CPR to a certain extent.However,the quality is still not ideal,and there is a lack of guidance caused by poor video signal or inadequate interaction.展开更多
Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at ...Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at present, there are few reports on the overall or large-scale soil-crop pollution and risk assessment of heavy metals in Yunnan Province. This study through 11 cities in Yunnan province of China farmland soil-crop systems of heavy metal lead, cadmium content, enrichment coefficient is analyzed, and using the method of potential ecological harm index, index of compressive quality to evaluate heavy metal pollution soil-crop system risk. Results showed that the average content of soil heavy metal Cd and Pb were 1.31 mg/kg, 64.17 mg/kg, which are higher than the background value of Yunnan province. The average contents of Pb and Cd in the edible parts of crops were 0.20 mg/kg, 0.08 mg/kg. The average content of heavy metals in crops in Diqing (Pb) and Nujiang (Cd) was 0.72 mg/kg and 0.148 mg/kg. The enrichment coefficients of heavy metals in edible parts of crops were the largest in Diqing (Pb) and Zhaotong (Cd). The average value of ecological risk index of Pb element in soil is 2.79, which indicates that the study area is in a slight ecological hazard, the average value of the ecological risk index of Cd in soil is 126.43. The average value of the comprehensive quality impact index (IICQ) is 4.27, which indicates that the study area is moderately polluted. In this study, the contents of heavy metals Cd and Pb in soils and crops in different administrative regions were determined, and the heavy metals Pb and Cd in soil-crop system of Yunnan province, China were evaluated, it is expected to have important scientific and theoretical significance for the safe use of cultivated land to export safe agricultural products and promote the sustainable development of agriculture in Yunnan Plateau.展开更多
The efficiency parameters are studied in this paper for evaluating the compression quality of the inlets with different compression degrees and assessing different design methods.Selfconsistency is proposed for the ef...The efficiency parameters are studied in this paper for evaluating the compression quality of the inlets with different compression degrees and assessing different design methods.Selfconsistency is proposed for the efficiency parameters,based on two mathematically derived efficiency parameters,entropy rise coefficient and compression quality efficiency.Two efficiency parameters are then examined for equal intensity shocks system to show their capabilities in characterizing the quality of compression system with different compression degrees,and representing the average compression efficiency of the entire inlet.And the process efficiency and compression quality efficiency are compared in the Mollier diagram to afford a clear understanding of their difference in evaluating the overall and the local compression efficiency.展开更多
基金Supported by the Fundamental Research Funds for the Central Universities,Northwest Minzu University,Grant No.31920170180.
文摘BACKGROUND It remains unclear whether video aids can improve the quality of bystander cardiopulmonary resuscitation(CPR).AIM To summarize simulation-based studies aiming at improving bystander CPR associated with the quality of chest compression and time-related quality parameters.METHODS The systematic review was conducted according to the PRISMA guidelines.All relevant studies were searched through PubMed,EMBASE,Medline and Cochrane Library databases.The risk of bias was evaluated using the Cochrane collaboration tool.RESULTS A total of 259 studies were eligible for inclusion,and 6 randomised controlled trial studies were ultimately included.The results of meta-analysis indicated that video-assisted CPR(V-CPR)was significantly associated with the improved mean chest compression rate[OR=0.66(0.49-0.82),P<0.001],and the proportion of chest compression with correct hand positioning[OR=1.63(0.71-2.55),P<0.001].However,the difference in mean chest compression depth was not statistically significant[OR=0.18(-0.07-0.42),P=0.15],and V-CPR was not associated with the time to first chest compression compared to telecommunicator CPR[OR=-0.12(-0.88-0.63),P=0.75].CONCLUSION Video real-time guidance by the dispatcher can improve the quality of bystander CPR to a certain extent.However,the quality is still not ideal,and there is a lack of guidance caused by poor video signal or inadequate interaction.
文摘Yunnan province in China is a high background area of soil heavy metals, and agricultural planting and industrial and mining activities are relatively frequent, which aggravate soil heavy metal pollution. However, at present, there are few reports on the overall or large-scale soil-crop pollution and risk assessment of heavy metals in Yunnan Province. This study through 11 cities in Yunnan province of China farmland soil-crop systems of heavy metal lead, cadmium content, enrichment coefficient is analyzed, and using the method of potential ecological harm index, index of compressive quality to evaluate heavy metal pollution soil-crop system risk. Results showed that the average content of soil heavy metal Cd and Pb were 1.31 mg/kg, 64.17 mg/kg, which are higher than the background value of Yunnan province. The average contents of Pb and Cd in the edible parts of crops were 0.20 mg/kg, 0.08 mg/kg. The average content of heavy metals in crops in Diqing (Pb) and Nujiang (Cd) was 0.72 mg/kg and 0.148 mg/kg. The enrichment coefficients of heavy metals in edible parts of crops were the largest in Diqing (Pb) and Zhaotong (Cd). The average value of ecological risk index of Pb element in soil is 2.79, which indicates that the study area is in a slight ecological hazard, the average value of the ecological risk index of Cd in soil is 126.43. The average value of the comprehensive quality impact index (IICQ) is 4.27, which indicates that the study area is moderately polluted. In this study, the contents of heavy metals Cd and Pb in soils and crops in different administrative regions were determined, and the heavy metals Pb and Cd in soil-crop system of Yunnan province, China were evaluated, it is expected to have important scientific and theoretical significance for the safe use of cultivated land to export safe agricultural products and promote the sustainable development of agriculture in Yunnan Plateau.
基金supported by National Natural Science Foundation of China(Nos.11672309 and 11472279)。
文摘The efficiency parameters are studied in this paper for evaluating the compression quality of the inlets with different compression degrees and assessing different design methods.Selfconsistency is proposed for the efficiency parameters,based on two mathematically derived efficiency parameters,entropy rise coefficient and compression quality efficiency.Two efficiency parameters are then examined for equal intensity shocks system to show their capabilities in characterizing the quality of compression system with different compression degrees,and representing the average compression efficiency of the entire inlet.And the process efficiency and compression quality efficiency are compared in the Mollier diagram to afford a clear understanding of their difference in evaluating the overall and the local compression efficiency.