Definition Of Length Research Articles

Standard length of peroral endoscopic myotomy (POEM) for achalasia: a systematic review and meta-analysis.

Peroral endoscopic myotomy (POEM) is an established treatment for achalasia, yet there is still a lack of technical standardization. No clear definition of 'long', 'standard', or 'short' POEM exists to date. We conducted a systematic review with meta-analysis to analyze current POEM length standards. We included studies reporting technical details of POEM, in which no definite or comparative myotomy length was intentionally adopted (standard myotomy). The primary outcome was the pooled mean total myotomy length. Sub-group analyses were performed to explore heterogeneity across studies. From the initial 7172 records, 31 studies with 3023 patients were included. Pooled mean of total myotomy length was 10.39cm (95% CI 10.06-10.71; I2 99.3%). Pooled mean of esophageal and gastric myotomy length, provided by 17 studies, was 7.11cm (95% CI 6.51-7.71; I2 99.8%) and 2.81cm (95% CI 2.41-3-22; I2 99.8%), respectively. On subgroup analysis for achalasia subtypes, pooled mean length in non-spastic achalasia (type I and II) was 10.17cm (95% CI 9.91-10.43; I2 94.2%), while in type III it was 14.02cm (95% CI 10.59-17.44; I2 98.9%). Pooled mean myotomy length for studies conducted between 2014-2020 was 10.53cm (95% CI, 10.22-10.84; I2 99.1%) and 9.74cm (95% CI, 7.95-11.54; I2 99.7%) in 2021-2022. Myotomy length during a 'standard' POEM is 10.4cm, remaining over 10cm in non-spastic achalasia. The high heterogeneity across studies confirms that the POEM technique needs further standardization. We found no significant time trend towards adopting short POEM, despite recent evidence supporting its use.

Effect of fluticasone-impregnated throat packs on postoperative sore throat (POST) and hoarseness of voice: A randomized clinical trial

Background Post-operative sore throat (POST) is one of the most common complaints post-endotracheal intubation and can be decreased through various interventions. This study aimed to determine the effect of fluticasone-impregnated versus saline throat packs on the occurrence and severity of POST and voice hoarseness. Methods This prospective, randomized, double-blinded trial was conducted on patients undergoing nasosinus surgeries at Kasturba Medical College and Hospital. Patients were randomized to groups based on a computer-generated table of random numbers post-intubation after placing a definite length of oropharyngeal packs into group F (fluticasone) who received four puffs of fluticasone furoate-soaked throat packs and group C (control) wherein normal saline-soaked throat packs were used. Determining the incidence of POST and voice hoarseness was the primary outcome; severity of POST and voice hoarseness, patient satisfaction scores at 24 hours post-surgery and adverse events were secondary outcomes. Results Overall, 86 patients were randomized and 43 patients were included in each group. Incidence of POST (%) and voice hoarseness (%) were 55.8, 55.6, 55.8, 53.4 and 30.2, 28, 28, 28 in group C. Incidence of POST (%) and voice hoarseness (%) were 37.2, 37.2, 37.2, 34.8 and 14, 14, 14,14 in group F at 1, 2, 6 and 24 hours, respectively, however, the p values were not found to be significant at any time interval. There was no significant difference in terms of severity of POST and voice hoarseness, patient satisfaction scores between the groups and there were no reported adverse events. Conclusions In patients undergoing nasosinus surgery under general anesthesia with endotracheal intubation, fluticasone furoate-impregnated throat packs failed to show any significant reduction in the incidence and severity of POST as well as hoarseness of voice, and even though it was not statistically significant, the fluticasone impregnated group had higher patient satisfaction scores. Registration CTRI (CTRI/2020/09/027946; 22/09/2020).

Postpartum versus postnatal period: Do the name and duration matter?

Guidelines and other strategic documents were collated to understand the extent of the global use of terms postpartum and postnatal along with the duration and schedule of maternal care after delivery. Postpartum care guidelines and strategies published in English, by international organisations including the World Health Organization, and countries in either the Organization for Economic Co-operation and Development or Group of 20 were included in this scoping review. All documents available online with unrestricted access and published before May 31, 2023, were included. The evolution of the World Health Organization's definition of the period after delivery for mothers and the changes in the schedule of routine maternal care following delivery over time were displayed pictorially. A summary table was then developed to present the level of similarities and differences in the latest available documents from the international organisations and countries belonging to either the Organisation for Economic Co-operation and Development or the Group of 20. Ten documents from the World Health Organization, one from the European Board, and 15 country-level guidelines from six countries met the inclusion criteria. The interchangeable use of 'postpartum' and 'postnatal' is common. While the World Health Organization mentions the definitive length (six weeks) of the postpartum/ postnatal period, it is not stated in documents from other organisations and countries. Additionally, the length and schedule of routine maternal care after delivery vary substantially between organisations/countries, spanning from six weeks to one year with two to six healthcare contacts, respectively. Through this review, we make a case for a universal harmonisation of the term postpartum when referring to mothers after delivery; add clarity to the documents on the rationale for and duration of the postpartum period; and extend the routine maternal care schedule after delivery to support women in this vulnerable period.

Antistaphylococcal Efficacy of Cefepime, Meropenem, and Piperacillin-Tazobactam in Patients with Polymicrobial Infection with MSSA Bacteremia or Pneumonia

There is a paucity of literature describing de-escalation techniques in patients with polymicrobial infections with one offending organism being methicillin-susceptible Staphylococcus aureus (MSSA) being treated with β-lactam therapy. The purpose of this study is to determine treatment outcomes for patients with polymicrobial infections with MSSA bacteremia or pneumonia who are treated with cefepime (FEP), meropenem (MEM), or piperacillin-tazobactam (TZP). This trial design represents a retrospective observational three-group comparison study of patients at a community teaching hospital system. Patients reviewed included those who had a MSSA bacteremia or pneumonia in addition to a confirmed polymicrobial infection or presence of a coinfection and received definitive therapy with FEP, MEM, or TZP. The primary outcome is defined as the resolution of fever of ≥100.4°F, hypothermia (≤95°F), leukocytosis (WBC °>° 12,000 cells/mm3), and leukopenia with WBC °<° 4,000 cells/mm3. Secondary outcomes included duration of definite therapy, in-hospital mortality, hospital and ICU length of stay (LOS), 30-day readmission rates for a presumed infection, and hospital-acquired Clostridioides difficile infection (HCDI). From August 1, 2016, to August 30, 2019, 45 patients met eligibility criteria. There were no observed differences in primary endpoint ( p = 0.65) or secondary endpoints, i.e., in-hospital mortality ( p = 0.10), hospital LOS ( p = 0.75), ICU LOS ( p = 0.53), 30-day readmission rates for presumed infection ( p = 0.07), or HCDI ( p = 0.34). There was no difference in treatment success with FEP, MEM, or TZP for polymicrobial infections with one offending organism being MSSA. Due to the lack of evidence in this unique patient population and observed results of our study, randomized studies are warranted to determine appropriate therapy in this complex patient population.

Effect of fluticasone-impregnated throat packs on postoperative sore throat (POST) and hoarseness of voice: A randomized clinical trial.

Post-operative sore throat (POST) is one of the most common complaints post-endotracheal intubation and can be decreased through various interventions. This study aimed to determine the effect of fluticasone-impregnated versus saline throat packs on the occurrence and severity of POST and voice hoarseness. This prospective, randomized, double-blinded trial was conducted on patients undergoing nasosinus surgeries at Kasturba Medical College and Hospital. Patients were randomized to groups based on a computer-generated table of random numbers post-intubation after placing a definite length of oropharyngeal packs into group F (fluticasone) who received four puffs of fluticasone furoate-soaked throat packs and group C (control) wherein normal saline-soaked throat packs were used. Determining the incidence of POST and voice hoarseness was the primary outcome; severity of POST and voice hoarseness, patient satisfaction scores at 24 hours post-surgery and adverse events were secondary outcomes. Overall, 86 patients were randomized and 43 patients were included in each group. Incidence of POST (%) and voice hoarseness (%) were 55.8, 55.6, 55.8, 53.4 and 30.2, 28, 28, 28 in group C. Incidence of POST (%) and voice hoarseness (%) were 37.2, 37.2, 37.2, 34.8 and 14, 14, 14,14 in group F at 1, 2, 6 and 24 hours, respectively, however, the p values were not found to be significant at any time interval. There was no significant difference in terms of severity of POST and voice hoarseness, patient satisfaction scores between the groups and there were no reported adverse events. In patients undergoing nasosinus surgery under general anesthesia with endotracheal intubation, fluticasone furoate-impregnated throat packs failed to show any significant reduction in the incidence and severity of POST as well as hoarseness of voice, and even though it was not statistically significant, the fluticasone impregnated group had higher patient satisfaction scores. CTRI ( CTRI/2020/09/027946; 22/09/2020).

On the delineation of the flow separation zone in open-channel confluences

In the context of a T-shaped open-channel confluence, where the tributary flow separates at the downstream junction edge and creates a separation zone in the post-confluence channel, this paper provides a critical reflection upon the terminology and the delineation methods for the separation zone and its proxies: the recirculation zone and the reverse flow zone. Following the fluid-mechanical literature on flow separation, the separation zone is delineated by a dividing surface formed by the three-dimensional (3D) streamlines separating from the downstream junction edge. Based on a dense 3D time-averaged velocity field obtained from a Large-Eddy Simulation of a lab-style confluence flow, the separation zone turns out to be open. Near the bed, the dividing surface exhibits a gap, through which mainly tributary fluid enters the separation zone, leading to a limited discharge flowing through that zone. Downstream of the section where the merging flows are the most contracted, the dividing surface does not reattach to the inner bank, prohibiting the determination of a maximum length of the separation zone. Downstream of that section, the dividing surface gradually loses its role as a skeleton for the separation zone shear layer. Due to mixing, the separation zone and the adjacent maximum velocity zone gradually dissolve and transform into the flow recovery zone, as in a wake. By means of flow visualization with 3D streamlines, revealing different types of recirculating motions, the maximum recirculation zone extent is determined. Then three simplified methods commonly used in the literature to quantify the dimensions of the separation zone or its proxies are evaluated by comparison with the 3D streamline method. By adopting various simplifying assumptions about the flow, the pseudo-streamline method, the zero-unit-discharge method and the zero-velocity method yield definite reasonable maximum lengths for the recirculation zone and the reverse flow zone. With the exception of the zero-velocity method, all simplified methods yield reasonable estimates for the maximum widths and the corresponding contraction coefficients of the separation zone proxies. Still, contrary to the simplified methods, only the 3D streamline method can provide physical insight into the flow features occurring in the separation zone or its proxies.

Delay of definitive care in cats and dogs with gastrointestinal foreign body obstruction following antiemetic administration: 537 cases (2012-2020).

To determine whether administration of antiemetic medication to dogs and cats with gastrointestinal foreign body obstruction (GIFBO) delays time to definitive care (surgery or endoscopy) and increases the risk of complications. Retrospective study (January 2012-July 2020). Private referral center. Five hundred and thirty-seven (440 dogs and 97 cats). None. Medical records of dogs and cats with GIFBO were reviewed for antiemetic administration at the onset of clinical signs, time from onset of clinical signs to first intervention and definitive care, GIFBO-related complications, and length of hospitalization. Antiemetics were prescribed for 200 of 537 patients (158 dogs, 42 cats). Antiemetic administration was associated with an increased time between the onset of clinical signs and definitive care (3.2days [95% confidence interval, CI, 2.8-3.5] vs. 1.6days [95% CI, 1.4-2.0]; P<0.001) but not with GIFBO-associated complications (P=0.45). Antiemetic administration was associated with an increased length of hospitalization (1.6days [95% CI, 1.4-1.7] vs. 1.1days [95% CI, 1.1-1.2]; P<0.001). A longer duration of clinical signs prior to intervention was associated with GIFBO-related complications (P<0.001) regardless of antiemetic administration. Antiemetic administration in patients with GIFBO was associated with increased time to definitive care and length of hospitalization but not GIFBO-associated complications. Antiemetics are not inherently contraindicated in patients for whom GIFBO is a differential, but clients should be counseled to monitor for progression of clinical signs and follow-up accordingly.

The modeling of the process of stationary gas flow to the horizontal well

The development process of a gas deposit in the statinary mode with a horizontal well was modeled within combined equations of gas filtration in the formation, as well as the gas flow in the borehole and balance equation of gas intake from formation into the horizontal shaft and the effect of the geological-technological aspects on the selection of an optimum structure providing the efficiency of development was estimated. During the displacement of the horizontal shaft from the formation bottom towards its central part, the dynamics of the increase of well flow rate, and from the cenral part to the attic zone the dynamics of decrease of flow rate have been set. It is shown that in the same data of geological conditions, and formation properties, the maximum flow rate of a horizontal well is achieved in the isotropic layers, and after a definite length of wellbore, its extension does not affect the well flow rate.

What variables should inform needle length choice for deltoid intramuscular injection? A systematic review

Objectives(1) Assess the distribution of skin-to-deltoid-muscle distance (SDMD) at the deltoid intramuscular (IM) injection site; (2) its relationship with demographic and anthropometric variables and (3) Consider the findings in relation...

Experimental, statistical, and numerical investigations for influence of using vegetable oil with mineral oil to enhance the flow characteristics through a closed hydraulic circuit

The aim of this paper is to investigate the performance of a hydraulic system using an equi-volume percentage of vegetable oil and mineral oil as hydraulic fluids. The hydraulic system performance was tested at different operating conditions, such as temperature and velocity. A test rig with a definite pipe length and diameter was used. The experimental results showed that the presence of vegetable oil reduced the viscosity by 21, 18, 11, and 8% at 30, 40, 50, and 60 °C, respectively. The pressure drop (ΔP) through the hydraulic circuit was improved. The reason may be attributed to a reduction in viscosity. At 6 L/min and 60 °C, the maximum percentage of drag reduction (%Dr) was around 29%, while the maximum percentage of flow improvement (%FI) was around 21%. Statistical analysis was used to correlate %Dr as a function of dimensionless groups with a high correlation coefficient. Numerical analysis was conducted using ANSYS software. Experimental and numerical results were very close with high validity. A numerical model was used to study the effect of pipe geometry. Pressure drop was increased with pipe length and inclination angle, but it decreased with pipe diameter. In the literature, the experimental and numerical performance of hydraulic systems using a blend of vegetable and mineral oils as hydraulic fluid was limited. Therefore, the current study is quite new for the hydraulic system performance at different operating conditions.

Policy For Formulation Of Criminal Sanctions Against Narcotics Criminal Offenders

In essence, narcotics are substances both natural and synthetic, namely narcotics, psychotropics and other addictive substances. If they enter the human body without following health regulations, they have an effect on the brain in the central structure and if misused, it is against legal provisions. Narcotics were first made by the British and then spread to mainland Asia, from China, Hong Kong, Japan to Indonesia.Examined from the optics of material criminal law, the Narcotics Law has several systems for formulating criminal sanctions (strafsoort) and several systems for formulating the duration of criminal witnesses (strafmaat). The system for formulating the length of criminal sanctions (strafmaat) is a fixed/definite sentence system in the form of a definite criminal threat, an indefinite sentence system in the form of a threat of a maximum length of sentence, then a determinate sentence system in the form of determining the minimum and maximum limits for the duration of a criminal threat and an indeterminate sentence system in the form of no the maximum criminal limit is determined. The law-making body completely delegates criminal policy (discretion) to criminal implementing officials at a lower level, for example in determining the size, nature or duration of punishment for perpetrators of certain crimes. The formulation system is indeterminate, determinate, presumptive and mandatory. Basically, according to criminal law science, there are several types of systems for formulating criminal sanctions (strafsoort), namely single/imperative formulation systems, alternative formulation systems, cumulative formulation systems, cumulative-alternative (mixed/combined) formulation systems and blind/blanch formulation systems. . Likewise, only for the system of formulating the length of criminal sanctions (strafmaat), there is a definite sentence system in the form of a threat of a definite length of sentence, a fixed/indefinite sentence system or maximum system, namely a threat of a maximum length of sentence, then a determinate sentence system in the form of a specified minimum limit and maximum criminal threat and indeterminate sentence system in the form of no specified maximum criminal limit, the law-making body gives full responsibility to criminal policy (decretion) to criminal implementing officials at lower levels, for example in determining the size, nature or duration of punishment for perpetrators certain crimes.

Experimental investigation on the motion of a single plug and its constituent particles in a horizontal pneumatic pipeline

In this study, the revolution of individual plug constituent particles, the relation between plug length and pressure drop, and the relation between plug velocity and pressure drop were experimentally examined, for a single plug in a negative pressure system, using high-speed video cameras. The horizontal pipeline consists of an 8.8 m long, 30 mm i.d. transparent acrylic tube. The particles used are three kinds of uniform spherical ABS resin particles of 6.0 mm diameter and different densities, and the non-spherical polyethylene pellet of 3.27 mm spherical equivalent diameter. By observing the plug-constituent particles, it was found that more than 65% of spherical particles revolve and about 33–39% of them are forward revolving. Some plug-constituent particles revolve in reverse due to the frictional force between the particles. For non-spherical particles, more than half revolve, although the revolution axis frequently changes and most revolutions are intermittent. Furthermore, a plug begins to be conveyed spontaneously as soon as it is generated, and plug length increases up to a definite length depending on the pressure drop across the plug.

Using Two Sensors for Damage Detection of Bridge Based on Transfer Entropy of Vehicle-bridge Information

An innovative damage identification method using only two sensors for damage detection of bridge based on transfer entropy of vehicle- bridge information is proposed in this article. In this method, a test vehicle passing through the bridge surface, and structural vibration acceleration responses at two measuring points are measured from two acceleration sensors, which one set on the bridge, and the other one set on the test vehicle. A fixed moving window is defined as a definitive length calculated by the sampling frequency and the fundamental frequency of the measured acceleration responses. The windowed pair time series extracted from the two measured acceleration responses that obtained from the bridge and the moving vehicle respectively are used to calculate the transfer entropy, which is used to define the new damage index. A simply supported beam bridge subjected to a test vehicle is simulated to verify the effectiveness and feasibility of this method. Numerical simulation results show that this method can accurately detect the damages under both single damage scenarios and multiple damage scenarios using acceleration responses obtained from bridge and moving vehicle. It indicates that the method proposed in this article has a promising application prospect in the field of bridge damage detection.

Modulation of persistent current in graphene quantum rings

We investigate the effect of long-range impurity potentials on the persistent current of graphene quantum rings in the presence of an uniform perpendicular magnetic field. The impurity potentials are modeled as finite regions of the ring with a definite length. We show that, due to the relativistic and massless character of the charge carriers in graphene, the effect of such non-uniform potentials on the energy spectrum and on the persistent current of the rings can be reliably modeled by assuming a non-perturbed ring and including an additional phase due to the interaction of the charge carriers with the potential. In addition, the results show the presence of localized states in the impurity regions. Moreover, we show that for the case of a potential created by a p-n-p junction, the persistent current can be modulated by controlling the voltage at the junction.

Surgical versus Non-Surgical Management in Fibroid Uterus: A Prospective Observational Study

Background and Aim: Uterine fibroid is the benign condition, known to occur more during reproductive period of women. It is mainly caused due to increased level of estrogen &amp; progesterone &amp; peptide growth. Current management strategies mainly involve surgical interventions, but choice of treatment is guided by patient’s age and desire to preserve fertility or avoid ‘radical’ surgery such as hysterectomyMaterial and Methods: It is the prospective observational study conducted in patients of department of Obstetrics and Gynecology at tertiary care hospital for the duration of one and half year. The treatment prognosis and outcome was measured in the symptomatic relief in patients, increase in quality of life, decrease in size of fibroid present, requirement of blood transfusion, definitive length of stay in the hospital and successful pregnancy after the line of management. Results: Of the total 60 patients diagnosed with fibroid uterus, there were 20 patients with fibroid size less than 8 cm and in 40 patients the size of fibroid was more than or equal to 8 cm. Among the 32 patients treated with medical line of management, 10 patients were treated with tablet ulipristal acetate 5 mg od for 3 months. Amongst the 28 patients treated surgically, in 7 patients myomectomy was done, 2 patients underwent vaginal hysterectomy, in 2 patient’s laparoscopic assisted vaginal hysterectomy done (LAVH) and 17 patients underwent total abdominal hysterectomy (TAH).Conclusion: The choice of treatment must be individualized to the women’s need and her clinical presentation. Medical line of management is best for patients in younger age group, small size fibroid, desire for future fertility. In medical line of management, ulipristal and mifepristone have better outcomes.

1176 Paediatric Patients Presented with Right Iliac Fossa Pain: Is the Ultrasound Scan Conducted in A Timely Manner?

Abstract Aim Ultrasound scan is a crucial clinical tool in the management of acute appendicitis in children. That is because it can aid in the diagnosis without exposing the patient to potentially harmful ionising radiation from computed tomography scans. In this project, we were assessing whether children presented with right iliac fossa pain receive their scans on time. In addition, we were exploring whether definitive management and hospital length of stay were affected by the scan delay. Method This was a retrospective project in which we assessed case notes of paediatric patients who had an ultrasound scan between September 2019 and September 2020 in one of the district general hospitals in the UK. The project included notes of patients who were below 16, admitted with right iliac fossa pain, and had an inpatient ultrasound scan. Results A total of 33 patients met the inclusion criteria. The waiting time ranged from 1 hour to 89 hours with a mean of around 19.5 hours and a median of 14.5 hours. The hospital length of stay ranged from 1 day to 21 days with a mean of around 2.5 days and a median of 1 day. Conclusions An ultrasound scan should be conducted within the same day of admission for all paediatric patients presented with right iliac fossa pain.

Optimal cut-off points for adherence measure among patients with type 2 diabetes in primary care clinics: a retrospective analysis.

Background:Medication adherence measures are often dichotomized to classify patients into those with good or poor adherence using a cut-off value ⩾80%, but this cut-off may not be universal across diseases or medication classes. This study aimed to examine the cut-off value that optimally distinguish good and poor adherence by using the medication possession ratio (MPR) and proportion of days covered (PDC) as adherence measures and glycated hemoglobin (HbA1c) as outcome measure among type 2 diabetes mellitus (T2DM) patients.Method:We used pharmacy dispensing data of 1461 eligible T2DM patients from public primary care clinics in Malaysia treated with oral antidiabetic drugs between January 2018 and May 2019. Adherence rates were calculated during the period preceding the HbA1c measurement. Adherence cut-off values for the following conditions were compared: adherence measure (MPR versus PDC), assessment period (90-day versus 180-day), and HbA1c target (⩽7.0% versus ⩽8.0%).Results:The optimal adherence cut-offs for MPR and PDC in predicting HbA1c ⩽7.0% ranged between 86.1% and 98.3% across the two assessment periods. In predicting HbA1c ⩽8.0%, the optimal adherence cut-offs ranged from 86.1% to 92.8%. The cut-off value was notably higher with PDC as the adherence measure, shorter assessment period, and a stricter HbA1c target (⩽7.0%) as outcome.Conclusion:We found that optimal adherence cut-off appeared to be slightly higher than the conventional value of 80%. The adherence thresholds may vary depending on the length of assessment period and outcome definition but a reasonably wise cut-off to distinguish good versus poor medication adherence to be clinically meaningful should be at 90%.

Schedule Planning Proceeding of Transfer Batches in Flexible Automated Lines While Sets are Forming and Limits are Recognized

The hierarchical approach while solving the problem of complex scheduling of transferred batches of units using flexible transfer lines is considered, when sets and time limits of flexible transfer lines are formed. Mathematical model of hierarchical game to optimize a mixture of transferred batches is developed. The groups of sets are processing during time intervals of definite lengths. The schedules of batches of units are optimized, using the mathematical model. The way of optimizing a mixture of groups of sets while resulting batches are formed, is developed.

Use of Negative-Pressure Wound Therapy With Instillation and Dwell Time: An Overview.

The use of negative-pressure wound therapy (NPWT) has become an established therapy for wound management. There have been many advancements in the technology of NPWT including NPWT with instillation and dwell (NPWTi-d). NPWTi-d promotes wound healing by wound cleansing, irrigation, and nonexcisional debridement. NPWTi-d has been shown in comparative clinical studies to decrease the time to definitive wound healing and length of hospitalization. NPWTi-d-using a reticulated open-cell foam dressing with "through" holes (ROCF-CC)-has been postulated to facilitate solubilization, detachment, and elimination of infectious materials, such as slough and thick exudate, before or after operative debridement, and in cases where surgical debridement is not an option. The authors provide an overview on the use of NPWTi-d by reviewing the components of the system, proposed mechanism of action, clinical outcomes, and current consensus guidelines for its utilization.

Video content analysis and retrieval system using video storytelling and indexing techniques

Videos are used often for communicating ideas, concepts, experience, and situations, because of the significant advances made in video communication technology. The social media platforms enhanced the video usage expeditiously. At, present, recognition of a video is done, using the metadata like video title, video descriptions, and video thumbnails. There are situations like video searcher requires only a video clip on a specific topic from a long video. This paper proposes a novel methodology for the analysis of video content and using video storytelling and indexing techniques for the retrieval of the intended video clip from a long duration video. Video storytelling technique is used for video content analysis and to produce a description of the video. The video description thus created is used for preparation of an index using wormhole algorithm, guarantying the search of a keyword of definite length L, within the minimum worst-case time. This video index can be used by video searching algorithm to retrieve the relevant part of the video by virtue of the frequency of the word in the keyword search of the video index. Instead of downloading and transferring a whole video, the user can download or transfer the specifically necessary video clip. The network constraints associated with the transfer of videos are considerably addressed.