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Agarwal A, Baitha U, Ranjan P, Swarnkar NK, Singh GP, Baidya DK, Garg R, Gupta N, Choudhury A, Kumar A, Roy A, Naik N, Khan MA, Wig N. Knowledge and Skills in Cardiopulmonary Resuscitation and Effect of Simulation Training on it among Healthcare Workers in a Tertiary Care Center in India. Indian J Crit Care Med 2024; 28:336-342. [PMID: 38585308 PMCID: PMC10998517 DOI: 10.5005/jp-journals-10071-24670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 01/02/2024] [Indexed: 04/09/2024] Open
Abstract
AIM AND BACKGROUND High-quality cardiopulmonary resuscitation (CPR) is associated with improved patient outcomes, but healthcare workers (HCWs) may be frequently undertrained. This study aimed to assess baseline knowledge and skills among HCWs about basic and advanced life support and the effect of simulation-based training on it. METHODS It was a single-center prospective quasi-interventional study among resident doctors and nurses at a Tertiary Center in New Delhi, India. A questionnaire-based assessment was done to assess baseline knowledge. The participants then underwent simulation-based training followed by questionnaire-based knowledge assessment and skill assessment. A repeat questionnaire-based assessment was done 6 months post-training to assess knowledge retention. RESULTS A total of 82 HCWs (54 doctors and 28 nurses) were enrolled. The participants scored 22.28 ± 6.06 out of 35 (63.65%) in the pre-training knowledge assessment, with low scores in post-cardiac arrest care, advanced life support, and defibrillation. After the training, there was a significant rise in scores to 28.32 ± 4.08 out of 35 (80.9%) (p < 0.01). The retention of knowledge at 6 months was 68.87% (p < 0.01). The participants scored 92.61 ± 4.75% marks in skill assessment with lower scores in chest compressions and team leadership roles. There was a positive correlation (r = 0.35) between knowledge and skills scores (p < 0.01). CONCLUSION There is a progressive decrease in baseline knowledge of HCWs with the further steps in the adult chain of survival. The simulation training program had a positive impact on the knowledge of HCWs. The training programs should focus on defibrillation, advanced life support, post-cardiac arrest care, and leadership roles. HOW TO CITE THIS ARTICLE Agarwal A, Baitha U, Ranjan P, Swarnkar NK, Singh GP, Baidya DK, et al. Knowledge and Skills in Cardiopulmonary Resuscitation and Effect of Simulation Training on it among Healthcare Workers in a Tertiary Care Center in India. Indian J Crit Care Med 2024;28(4):336-342.
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Affiliation(s)
- Ayush Agarwal
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Upendra Baitha
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Piyush Ranjan
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Neeraj K Swarnkar
- Department of Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Gyaninder P Singh
- Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
| | - Dalim K Baidya
- Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India
| | - Rakesh Garg
- Department of Onco-Anaesthesiology and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Nishkarsh Gupta
- Department of Onco-Anaesthesiology and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Arindam Choudhury
- Department of Cardiac Anaesthesiology, All India Institute of Medical Sciences, New Delhi, India
| | - Arvind Kumar
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Ambuj Roy
- Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
| | - Nitish Naik
- Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
| | - Maroof Ahmed Khan
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
| | - Naveet Wig
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
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Kassie DG, Hassen Salih M. Study department and gender affects the knowledge and attitude of students towards cardio pulmonary resuscitation procedure at the University of Gondar, northwest Ethiopia, 2019. AMERICAN JOURNAL OF CARDIOVASCULAR DISEASE 2021; 11:441-449. [PMID: 34548941 PMCID: PMC8449198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 07/05/2021] [Indexed: 06/13/2023]
Abstract
UNLABELLED Cardiopulmonary Resuscitation (CPR) life-saving procedures, for emergency case purposes, to increase the victim's blood circulation and oxygen for vital organs. The World Health Organization and American Heart Association recommended that CPR learns from schools to increase the rate and reduce mortality. There is no known level of Knowledge and attitude acquisition towards CPR for graduate medical and health science students at the University of Gondar. This study aimed to assess knowledge, attitude, and associated factors towards CPR among final year undergraduate students at the University of Gondar, Northwest Ethiopia. METHODS An institution-based prospective cross-sectional study was conducted among 422 participants. A simple random sampling technique was used to draw the study participants. A pre-tested self-administered questioner was used to collect the data. Data was entered into Epi-info version7 and analysis by SPSS version20. Descriptive statics of frequency and percentage was done and presented by tables and figures. Logistic regression analysis was done. In bi-variable logistic regression analysis, variables P.V<0.2 were entered to multivariable analysis and statistical significance was declared at P.V<0.05 with 95% Confidence Interval (CI). RESULTS In this study; more than half of the participants, 58.8% were males. The mean ages were 24.5 ± (SD2.48). The knowledge and attitude levels of the study participant for CPR were [44.1%, 95% CI: (39.3-49.3)], and [45.7%, 95% CI: (41.0-50.5)], respectively. Age ranges from 20-24; [AOR = 1.73 (1.06-2.84)], medical students [AOR = 9.69 (5.06-18.56)], and advance nursing students [AOR = 4.63 (1.71-9.48)] were significantly associated to Knowledge. Male participants [AOR = 2.00 (1.32-3.01)], and age ≥25 years old [AOR = 1.90 (1.27-2.86)] were significantly associated with the attitude of CPR. CONCLUSIONS The level of knowledge and attitude of this study was not sufficient and favorable. Age and department are associated with knowledge of CPR, in turn, sex and age are also similarly associated with attitude. The authors recommended that CPR should be given an in the common course for all departments by revising their curriculum with up-to-date information, engaged female students to participate in life-saving procedure to adapt and perform at the health care, community, or whatever the causality founds.
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Affiliation(s)
- Destaye Guadie Kassie
- Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarEthiopia
| | - Mohamed Hassen Salih
- Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarEthiopia
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Keizur EM, Bristow CC, Baik Y, Klausner JD. Knowledge and testing preferences for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infections among female undergraduate students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:754-761. [PMID: 31140943 PMCID: PMC6883138 DOI: 10.1080/07448481.2019.1616742] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 03/22/2019] [Accepted: 05/06/2019] [Indexed: 05/16/2023]
Abstract
Objective: Our goal was to evaluate knowledge and testing preferences for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections.Participants: We surveyed female undergraduates attending the University of California, Los Angeles, in May 2017.Methods: Using an online survey, we collected demographic information and information on 793 participants' health care seeking behavior, sexual activity, sexually transmitted infection (STI) knowledge, and STI screening preferences. We used conjoint analysis to evaluate testing preferences of hypothetical STI tests.Results: On knowledge questions of CT and NG infections, 193 (27.7%) participants scored >80% correct. Cost had the largest impact on willingness to use a hypothetical STI test, accounting for 41.5% of preference, followed by specimen type (17.4%), and location of testing (16.4%).Conclusions: Knowledge regarding STIs was low. Educational programs implemented through the university health center might increase testing rates. A free, urine-based, home STI test may be desirable for undergraduate females.
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Affiliation(s)
- Erin M Keizur
- Division of Infectious Diseases, Department of Medicine, University of California Los Angeles, Los Angeles, California, USA
| | - Claire C Bristow
- Division of Global Public Health, Department of Medicine, University of California San Diego, La Jolla, California, USA
| | - Yeonsoo Baik
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, USA
| | - Jeffrey D Klausner
- Division of Infectious Diseases, Department of Medicine, University of California Los Angeles, Los Angeles, California, USA
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, USA
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Awadalla NJ, Al Humayed RS, Mahfouz AA. Experience of Basic Life Support among King Khalid University Health Profession Students, Southwestern Saudi Arabia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4822. [PMID: 32635499 PMCID: PMC7370157 DOI: 10.3390/ijerph17134822] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/01/2020] [Accepted: 07/01/2020] [Indexed: 05/31/2023]
Abstract
BACKGROUND Satisfactory experience about basic life support (BLS) is crucial to ensure rapid and efficient delivery of essential life-saving care during emergency situations. OBJECTIVES To assess BLS experience among health profession students at King Khalid University (KKU), Southwestern Saudi Arabia. METHODS A cross-sectional study was conducted on a representative sample of male and female health profession students, during the academic year 2019-2020. A self-reported questionnaire was utilized to collect data about BLS experiences, which included receiving BLS training, reasons for not having BLS training, suggestions to improve BLS training, encountering a situation that required the use of BLS, practicing BLS when needed and reasons for not practicing BLS when needed. RESULTS Out of 1261 health profession students, 590 received formal BLS training with a prevalence rate of 46.8% (95% CI: 44.0-49.6), and 46.0% of them trained at the university. Important obstacles for non-attendance included busy academic schedule (54.7%) and high cost of the training course (18%). Overall, 84.1% supported integration of BLS training into their college curricula. Almost 26% encountered a situation that required BLS; however, only 32.4% responded. Through multivariate regression, the significant determinant of response was having formal BLS training (aOR = 4.24, 95% CI: 2.38-7.54). The frequent reasons for non-response were lack of adequate BLS knowledge (35.0%), nervousness (22.8%), and that the victim was of opposite sex (9.0%). CONCLUSION It is recommended that more emphasis should be given to BLS training among undergraduates of health profession colleges in Southwestern Saudi Arabia. It is recommended that BLS training be integrated into health profession college curricula. Including BLS training as a graduation requirement for health profession students might motivate students to attain BLS training courses.
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Affiliation(s)
- Nabil J. Awadalla
- Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia; (N.J.A.); (R.S.A.H.)
- Department of Community Medicine, College of Medicine, Mansoura University, Mansoura 35516, Egypt
| | - Razan S. Al Humayed
- Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia; (N.J.A.); (R.S.A.H.)
| | - Ahmed A. Mahfouz
- Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia; (N.J.A.); (R.S.A.H.)
- Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria 21511, Egypt
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Baldi E, Contri E, Bailoni A, Rendic K, Turcan V, Donchev N, Nadareishvili I, Petrica AM, Yerolemidou I, Petrenko A, Franke J, Labbe G, Jashari R, Pérez Dalí A, Borg J, Hertenberger N, Böttiger BW. Final-year medical students' knowledge of cardiac arrest and CPR: We must do more! Int J Cardiol 2019; 296:76-80. [PMID: 31375334 DOI: 10.1016/j.ijcard.2019.07.016] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 06/27/2019] [Accepted: 07/04/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Students are an important part of the community response to an out-of-hospital cardiac arrest (OHCA). If even schoolchildren now know cardio-pulmonary resuscitation (CPR), even more the reason a young doctor should know how to treat an OHCA. The aim of our study was to assess medical students' knowledge of CPR and OHCA throughout Europe. METHODS An online survey was given to final-year students by the Medical Student Associations of different countries. RESULTS 1012 medical students from 99 different universities and 14 different countries completed the questionnaire. A total of 82.2% attended a BLS or BLS/AED course, provided by the University in only 69.7% of cases. In 84.3% it was a mandatory part of their degree. A total of 78.6% felt able to rescue a person in OHCA. Only 49.3% knew that 'unresponsiveness' and 'absence of normal breathing' are sufficient for lay people to identify an OHCA, and less than half of those interviewed knew the incidence of OHCA in Europe and the decrease in chance of survival if CPR is not performed. The correct compression:ventilation ratio was known by 90.2%, the correct compression depth by 69.7%, whilst only 57.8% knew the right compression rate. In total, 69.7% knew that an AED must be used immediately when available, and only 57.2% recognized the AED symbol. CONCLUSIONS Medical students' knowledge of cardiac arrest and CPR needs to be improved throughout Europe and we believe that BLS/AED training should be mandatory in all European Universities.
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Affiliation(s)
- Enrico Baldi
- Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy; Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Pavia nel Cuore, Pavia, Italy; Robbio nel Cuore, Robbio, Italy.
| | - Enrico Contri
- Pavia nel Cuore, Pavia, Italy; Robbio nel Cuore, Robbio, Italy; AREU Azienda Regionale Emergenza Urgenza-AAT Pavia c/o Fondazione IRCCS Policlinico San Matteo Hospital, Pavia, Italy
| | | | - Kristina Rendic
- Srpska Medical Students' International Committee-SaMSIC, Banja Luka, Bosnia and Herzegovina
| | - Valeria Turcan
- Asociaţia Studenţilor şi Rezidenţilor în Medicină-ASRM, Chișinău, Republic of Moldova
| | - Nikola Donchev
- Association of Medical Students in Bulgaria-AMSB, Sofia, Bulgaria
| | - Ilia Nadareishvili
- Georgian Medical Students Association-GMSA, Tbilisi, Georgia; David Tvildiani Medical University, Tbilisi, Georgia
| | - Ana-Maria Petrica
- Federaţia Asociaţiilor Studenţilor în Medicină din România-FASMR, Bucharest, Romania
| | | | | | | | - Gabrielle Labbe
- Association Nationale des Etudiants en Médecine de France-ANEMF, Montrouge, France
| | - Redon Jashari
- Kosova's Organization of Medical Students-KOMS, Pristina, Kosovo
| | - Alba Pérez Dalí
- Federación Española de Estudiantes de Medicina para la cooperación internacional-IFMSA Spain, Valladolid, Spain
| | - Jordy Borg
- Malta Medical Students' Association-MMSA, Msida, Malta
| | | | - Bernd W Böttiger
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Köln, Germany; European Resuscitation Council, Niel, Belgium
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García-Suárez M, Méndez-Martínez C, Martínez-Isasi S, Gómez-Salgado J, Fernández-García D. Basic Life Support Training Methods for Health Science Students: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E768. [PMID: 30832440 PMCID: PMC6427599 DOI: 10.3390/ijerph16050768] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 02/28/2019] [Indexed: 11/23/2022]
Abstract
: The acquisition of competencies in basic life support (BLS) among university students of health sciences requires specific and updated training; therefore, the aim of this review was to identify, evaluate, and synthesise the available scientific knowledge on the effect of training in cardiorespiratory resuscitation in this population. A comprehensive literature search was conducted in MEDLINE, CUIDEN, Web of Science, Wiley Online Library, CINAHL, and Cochrane, including all randomised clinical trials published in the last ten years that evaluated basic life support training methods among these students. We selected a total of 11 randomissed clinical trials that met the inclusion criteria. Participants were nursing and medicine students who received theoretical and practical training in basic life support. The studies showed a great heterogeneity in training methods and evaluators, as did the feedback devices used in the practical evaluations and in the measurement of quality of cardiorespiratory resuscitation. In spite of the variety of information resulting from the training methods in basic life support, we conclude that mannequins with voice-guided feedback proved to be more effective than the other resources analysed for learning.
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Affiliation(s)
| | | | - Santiago Martínez-Isasi
- Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Campus de Esteiro, 15403 Ferrol, Spain.
| | - Juan Gómez-Salgado
- Department of Nursing, University of Huelva, 21007 Huelva, Spain.
- Safety and Health Posgrade Program, Espíritu Santo University, Samborondón, 092301 Guayaquil, Ecuador.
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Aranzábal-Alegría G, Verastegui-Díaz A, Quiñones-Laveriano DM, Quintana-Mendoza LY, Vilchez-Cornejo J, Espejo CB, Arroyo LK, Vargas ML, Fernández-Lamas N, Mejia CR. Factors influencing the level of knowledge of cardiopulmonary resuscitation in hospitals in Peru. COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1016/j.rcae.2017.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Aranzábal-Alegría G, Verastegui-Díaz A, Quiñones-Laveriano DM, Quintana-Mendoza LY, Vilchez-Cornejo J, Espejo CB, Arroyo LK, Vargas ML, Fernández-Lamas N, Mejia CR. Factores asociados al nivel de conocimiento en reanimación cardiopulmonar en hospitales del Perú. COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1016/j.rca.2016.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Factors influencing the level of knowledge of cardiopulmonary resuscitation in hospitals in Peru☆. COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1097/01819236-201704000-00007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Gebreegziabher Gebremedhn E, Berhe Gebregergs G, Anderson BB, Nagaratnam V. Attitude and skill levels of graduate health professionals in performing cardiopulmonary resuscitation. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2017; 8:43-50. [PMID: 28123315 PMCID: PMC5234554 DOI: 10.2147/amep.s114726] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Cardiopulmonary resuscitation (CPR) is an emergency procedure used to treat victims following cardiopulmonary arrest. Graduate health professionals at the University of Gondar Teaching Hospital manage many trauma and critically ill patients. The chance of survival after cardiopulmonary arrest may be increased with sufficient attitude and skill levels. The study aimed to assess the attitude and skill levels of graduate health professionals in performing CPR. METHODS A hospital-based cross-sectional study was conducted from May 1 to 30, 2013, at the University of Gondar Teaching Hospital. The mean attitude and skill scores were compared for sex, original residence, and department of the participants using Student's t-test and analysis of variance (Scheffe's test). P-values <0.05 were considered to be statistically significant. RESULTS Of the 506 graduates, 461 were included in this study with a response rate of 91.1%. The mean attitude scores of nurse, interns, health officer, midwifery, anesthesia, and psychiatric nursing graduates were 1.15 (standard deviation [SD] =1.67), 8.21 (SD =1.24), 7.2 (SD =1.49), 6.69 (SD =1.83), 8.19 (SD =1.77), and 7.29 (SD =2.01), respectively, and the mean skill scores were 2.34 (SD =1.95), 3.77 (SD =1.58), 1.18 (SD =1.52), 2.16 (SD =1.93), 3.88 (SD =1.36), and 1.21 (SD =1.77), respectively. CONCLUSION AND RECOMMENDATIONS Attitude and skill level of graduate health professionals with regard to CPR were insufficient. Training on CPR for graduate health professionals needs to be given emphasis.
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Affiliation(s)
| | - Gebremedhn Berhe Gebregergs
- Department of Public Health, Bahir Dar College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar
| | - Bernard Bradley Anderson
- Department of Surgery, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Vidhya Nagaratnam
- Department of Anaesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar
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