scholarly journals Profile of self-triage with a cellphone app for pediatric emergency patients: A population-based study in Japan (Preprint)

2021 ◽  
Author(s):  
Yusuke Katayama ◽  
Kosuke Kiyohara ◽  
Tomoya Hirose ◽  
Tasuku Matsuyama ◽  
Kenichiro Ishida ◽  
...  

BACKGROUND When children suffer sudden illness or injury, many parents wonder whether they should go to the hospital immediately or call an ambulance. In 2015, we developed a mobile app that allows parents or guardians to determine the urgency of their child’s condition or call an ambulance, and which indicates available hospitals and clinics when their child is suddenly sick or injured by simply selecting the child’s chief complaints and symptoms. However, the effectiveness of medical apps used by the general public has not been well evaluated. OBJECTIVE The purpose of this study was to reveal a profile of the use of this mobile app based on data usage in the app. METHODS This study was a descriptive epidemiological study with a 4-year study period running from January 2016 to December 2019. We included cases in which the app was used either by the children themselves or by their parents and other guardians. The cases in which the app was downloaded but never actually used were excluded from this study. Continuous variables are presented as medians and interquartile range (IQR), and categorical variables are presented as actual number and percentages. RESULTS The app was used during the study period for 59,375 children whose median age was 1 year (IQR: 0-3 years). The app was used for 33,874 (57.1%) infants, 16,228 (27.3%) toddlers, 8,102 (13.6%) elementary school students, 1117 (1.9%) junior high school students, and 54 (0.1%) were unknown. Among them, 31,519 (53.1%) were male, 27,329 (46.0%) were female, and sex was unknown for 527 (0.9%). “Sickness” was chosen for 49,101 (78.5%) patients, and “Injury, poisoning, foreign substances and others” was chosen for 13,441 (21.5%). For “Sickness”, “fever” was most commonly selected (22,773, 36.4%), followed by “cough” (4054, 6.5%) and “nausea/vomiting” (3528, 5.6%), whereas for “Injury, poisoning, foreign substances and others”, “head and neck injury” was most commonly selected (3887, 6.2%), followed “face and extremities injury” (1493, 2.4%) and “injury and foreign substances in eyes” (1255, 2.0%). CONCLUSIONS This study revealed the profile of use of a self-triage app for pediatric emergency patients in Japan.

2020 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Dian Fitri Argarini ◽  
Nok Izatul Yazidah ◽  
Anik Kurniawati

This study aims to look at the effect of the use of instructional media on student learning achievement in terms of students' mathematical communication. The learning media in this study are textbooks with a constructivism approach that has been validated and tested previously. This study will compare the learning achievements of students who learn using constructivism learning models with constructivism media, constructivism learning models without media, and direct learning. This is a quasi-experimental research with a 3 × 3 factorial design. It involved junior high school students in Malang district as the research population. Based on the hypothesis, it is revealed that : (1) students who learn using constructivism approach with constructivist media had better performance than other groups, (2) students with high mathematical communication had higher learning achievement than students with moderate and low communication skills, ( 3) based on the category of high, moderate and low mathematical communication, students with constructivist learning and constructivist media gained better achievements, (4) in the constructivist learning group using constructivist media, constructivist learning without media, and direct learning, students with high mathematical communication gained better achievement than students with moderate and low mathematical communication


2019 ◽  
Vol 20 (1) ◽  
pp. 69
Author(s):  
Endang Wahyuningrum ◽  
Disti Pratiwi ◽  
Sandra Sukmaning Adji

The purpose of this study was to describe the creative thinking skills of junior high school students based on mathematics anxiety and gender. Aspects of creative thinking skills used in this study are fluency, flexibility, and novelty. This research is a qualitative descriptive study. The instruments used were open-ended questions consisting of algebra and geometry questions, mathematics anxiety questionnaires, and interview guidelines. The study was conducted in class IX E of SMPI Al Azhar 12 Rawamangun Jakarta. The subject of this study consisted of four students, they are male student with low mathematics anxiety, female student with low mathematics anxiety, male student with medium mathematics anxiety, and female student with medium mathematics anxiety. The results of the mathematics anxiety questionnaire showed that none of the students in class IX E had high math anxiety. There are differences in the fulfillment of aspects of creative thinking in terms of differences in mathematics anxiety and gender levels. Students with low math anxiety fulfill aspects of fluency, flexibility, and novelty in algebra and geometry questions. Students with medium math anxiety fulfill aspects of fluency and flexibility both in algebra and geometry questions. Female students fulfill aspects of fluency, flexibility, and novelty both in algebra and geometry questions. Male students fulfill aspects of fluency and flexibility in algebra questions, while in geometry questions the aspects that are fulfilled are fluency, flexibility, and novelty.


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