Furthermore, after the barriers to CPR efficiency and schooling are better understood, it might be possible to design more linguistically suitable and culturally delicate CPR training programs which can be implemented in neighborhoods with low rates of bystander-initiated CPR. There are many important limitations of our study. The actual fact that subgroup of sufferers had a lower odds of receiving bystander-initiated CPR, which was similar to the likelihood for blacks, shows that data on competition or ethnic group were not missing at random in our research cohort.Platelet Counts The mean platelet count was higher in the romiplostim group than in the standard-of-care group through the entire treatment period . Patients in the romiplostim group had been 2.3 times as likely to have got a platelet response as those in the standard-of-care group . Treatment Splenectomy and Failure The incidence of treatment failure was significantly lower among patients receiving romiplostim than among those receiving the standard of care . The reason why for treatment failure included major bleeding , insufficient efficacy , and change of treatment due to a severe side-effect or bleeding ; individuals could have had even more than one reason behind treatment failure.