Video tutorials are a common form of library instruction used with distance learners. This paper combines professional experience and literature reviews from multiple disciplines to provide a contextual overview of recommendations and findings for effective and engaging videos. The tools for tutorials appear in five main categories: screencasts, slidecasts, live action video, animation, and interactivity. Not all tools work for every task or skill level, so it is important to have an understanding of the options available to creators. While the category and combination of tools used can vary, some general design principles and considerations apply to any form of online video. The type and length of content, compatibility with different devices, accessibility to all viewers, and quality audio are vital to making video tutorials that distance learners will want to watch.
ObjectivesDexamethasone causes hiccups in an undefined percentage of patients, and these hiccups are often ignored (‘My doctors just shook their heads like I was joking …’). This study sought to learn the percentage of dexamethasone-treated patients who develop hiccups and to explore patients’ responses to the availability of educational materials on hiccups.MethodsEnglish-speaking, adult outpatients treated with oral, intravenous or epidural dexamethasone 2 weeks prior were contacted by phone and asked about hiccups. Educational materials were offered, and patients were queried on their opinion of the availability of such materials.ResultsOne hundred and twenty-seven patients or 11% (95% CI 9% to 13%) reported hiccups. This percentage was derived from 1186 reachable patients from 2000 total patients. Fifty-four (43%) of those with hiccups desired to learn about educational materials. Of these, 49 completed a single-item, 5-point scale item: 21 (43%) viewed the availability of educational materials ‘extremely helpful,’ providing a 5 rating; 8 (16%) provided a 4; 4 (8%) provided a 3; and 1 (4%) provided a 2.ConclusionsDexamethasone-induced hiccups occur in a small percentage of patients. The fact that most patients responded favourably to learning about the availability of educational materials suggests some have unmet needs.
Background
To our knowledge, previous studies have not investigated hiccups in patients with cancer with detailed patient-level data with the goal of capturing a broad spectrum of hiccup symptomatology.
Methods
This multi-site, single institution study examined consecutive medical records to better understand hiccups in patients with cancer.
Results
A total of 320 patients are the focus of this report. The median age of patients when hiccups were first reported in the medical record was 63 years (range: 21, 97 years) with 284 (89%) men and 36 (11%) women. The most common diagnose was gastrointestinal cancer. Hiccups most frequently occurred daily, as seen in 194 patients (62%), and the most common duration was less than 1 week, as seen in 146 patients (47%). However, nine patients had had daily hiccups for greater than 6 weeks, and 5 had symptoms for years. Cited etiology was non-chemotherapy medications in 36 (11%) and cancer chemotherapy in 19 (6%). Complications occurred in approximately a third and included insomnia in 51 patients (16%); hospitalization or emergency department visit in 34 (11%); and musculoskeletal pain in 23 (7%). Baclofen was the single most prescribed agent for hiccup palliation, but 100 patients received more than one medication. Medical procedures, which included acupuncture, paracentesis, or phrenic nerve block, were performed in 5 patients. In 234 patients (73%), the medical record documented hiccup cessation.
Conclusions
Hiccups appear to be highly problematic in a small subset of patients with cancer with no well-defined palliative approaches.
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