scholarly journals The efficacy of using Google Maps in accessing nearby public automated external defibrillators in Thailand

2021 ◽  
Vol 18 ◽  
Author(s):  
Thavinee Trainarongsakul ◽  
Chaiyaporn Yuksen ◽  
Phonnita Nakasint ◽  
Chetsadakon Jenpanitpong ◽  
Thanakorn Laksanamapune

Introduction Early defibrillation remains the highest priority in the chain of survival for out-of-hospital cardiac arrest. Shock delivery should be performed within 5 minutes of collapse to achieve a 50% survival rate. Google Maps has been one of the most popular mobile navigation applications worldwide. Our primary objective was to assess the efficacy of Google Maps in locating nearby public automated external defibrillators (AEDs). Methods Local and non-local populations were enrolled. Participants were randomly assigned to locate AEDs with or without the assistance of Google Maps. Participants used Google Maps on the same smartphone and cellular data network, an activity tracker recorded data for distance covered and time required to retrieve the AED. AEDs were located within 150 seconds of the starting point. Results Out of 100 recruited participants there was no difference in baseline characteristics. In the local population group, Google Maps assistance did not show statistical significance in successfully locating the AED within 150 seconds. Correspondingly, the travel time also showed no difference (173.52 ± 50.99 seconds for Google Maps vs. 206.20 ± 159.53 seconds for control group). The result in the non-local population group revealed no significant difference in successfully locating AEDs within 150 seconds: Google Maps (18.52%) vs. control group (39.13%); p=0.126. The recorded travel time between the Google Maps group and control group were similar (307.59 ± 220.10 seconds vs. 284.0 ± 222.37 seconds; p=0.709). Conclusion In Thailand, using Google Maps mobile assistance was found to be unhelpful in accessing nearby public AEDs.

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255457
Author(s):  
Cynthia McPherson Frantz ◽  
John Petersen ◽  
Kathryn Lucaites

Three studies provided initial laboratory tests of the effectiveness of a novel form of community-based environmental messaging intended to be deployed on public digital signs. In all studies, adult participants watched a slideshow of “Community Voices,” a display that combines community images and quotes to celebrate and empower pro-environmental and pro-community thought and action. In addition to assessing the general efficacy of the approach, a central goal was to assess the impact of alternative messengers by comparing identical text associated with either adult or child messengers (Studies 1, 2, and 3). We also assessed the impact of alternative framing of the message itself by comparing: injunctive vs non-injunctive wording (Study 1), political vs non-political content (Study 1), and future vs. present-oriented framing (Study 2). Studies 1 and 2 were conducted on a national sample. In addition, to assess the impact of local vs. non-local messengers, Study 3 compared the response of a non-local sample to a local population in which subjects had personal connections with the people and places featured in the message content. Exposure to Community Voices messages resulted in significant increases in social norm perception, concern about environmental issues, commitment to action, and optimism, suggesting that this approach to messaging is potentially valuable for stimulating cultural change. However, messages attributed to child messengers were generally not more effective, and in some cases were less effective than the same message attributed to adults. We also found no significant difference in the impact of the alternative message frames studied.


Author(s):  
Laksita Amelia Paramesti ◽  
Dedi Atunggal

 Traffic congestion is one of problem that occur in big cities, therefore people need traffic information to determine traffic condition. One of many applications that provides traffic information is Google Maps. From the information generated, there are insuitability between google maps’s traffic update and travel time with the actual condition. So the aim of this study is to analyze the suitability level of traffic density classification and google maps travel time. Based on the speed range by Google, the level of suitability can be determined, while the google maps travel time is done by statistical tests. The statistical test used is a statistical test of two parameters using table t with 95% confidence level. The results of this study indicate that the level of suitability of the traffic classification only reaches 35%. The low level of suitability is caused by network latency. While information on google maps travel time does not have a significant difference in actual time.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19049-e19049
Author(s):  
Leighton Andrew Elliott ◽  
Joseph Vadakara

e19049 Background: According to Surveillance, Epidemiology, and End Results (SEER) data, 5-year survival of esophageal cancer (EC) improved from 4.1% to almost 20% from 1975 to 2016, however, this is still poor compared to other cancers. Chitti et al describe temporal changes in EC mortality by geographic region across the United States (U.S.) and concluded that disparities exist. Other studies described survival disparities for rural communities specific to small cell lung carcinoma, cervical cancer, and breast cancer. Hung et al determined that 1 in 5 rural Americans lived > 60 miles from a medical oncologist. Studies performed outside of the U.S. described no difference in survival with travel distance. No studies on this topic have focused on gastrointestinal malignancy. Our study aimed to associated travel distance with travel time to a medical oncology treatment center as time can vary greatly with similar distances. We focused specifically on esophageal cancer considering its high mortality rate and significant effect on quality of life. Methods: We performed a descriptive analysis of a retrospective cohort (January 2008 – August 2019) of all individuals diagnosed with esophageal cancer using data from the institutional Oncology Tumor Registry, a regional cancer registry, and the electronic health records (EHR) of patients throughout a rural integrated health system in Pennsylvania. We geocoded home addresses using Google Maps Geocoding application programming interface (API) and the average driving distance and time to the nearest medical oncology treatment center was calculated using the Google Maps Distance Matrix API. Travel time compared to cancer stage was also assessed. Addresses listed over 100 miles were evaluated for documentation accuracy via the EHR. Results: A total of 1157 adult patients diagnosed with esophageal cancer was evaluated; of these, 433 had a documented outpatient chemotherapy infusion site visit. The mean travel distance to a medical oncology treatment center was 19.8 miles with a median of 16 miles; this correlated with a mean travel time of 28.2 minutes. Seventy-five percent of the population lived within 26 miles of an outpatient oncology center. The maximum distance traveled was 139 miles, which was confirmed via EHR chart review. Conclusions: This study shows that a rural population may not necessarily experience disparity in travel distance and time to a medical oncology treatment center. This was an exploratory study and further analysis will be needed to see if there was any statistically significant difference in survival based on distances when stratified by stage, age, treatment modality, etc.


2020 ◽  
pp. 49-51
Author(s):  
Megha Jha ◽  
Hari Shankar Mishra ◽  
Ajit Kumar Chaudhary ◽  
Debarshi Jana

Background: Hematological parameters are major indicator of ischemic stroke. Hematological parameters and stroke incidence have not been investigated in local population. Objective: The present study was designed to assess whether hematological parameters play an important role in ischemic stroke patients. Methodology: For this purpose a cross-sectional study was done at Department of Pathology,Darbhanga Medical College andHospital, Laheriasarai, Bihar from January 2020 to August 2020. A total of 150subjects were enrolled in Medicine Department and referred to Pathology Department for various hematological test.Patients divided into two groups, control (n=50) and ischemic stroke subjects (n=100). Data regarding risk factors was collected through questionnaire. Their hematological parameters such as WBCs count, RBCs count, haemoglobin concentration, HCT, MCV, MCH and PLT count were assessed by hematology analyzer. Statistical analysis was done by using SPSS (version 13). Result: Mean age of control and ischemic stroke group was 61.40y±1.33 and 63.8y±1.36 respectively with non-significant difference between the groups. Among the ischemic stroke subjects, 73% of the subjects were suffering from hypertension, 53% reported diabetes, 41% had heart disease, 39% had family history of stroke, 32% were smokers and 46% use high cholesterol food. The WBCs count, MCV, MCH and HCT were found significantly higher in ischemic stroke subjects when compared with control group while the significant decrease was observed in RBCs count and hemoglobin concentration. PLT count increased in ischemic stroke subjects as compared to control group. Conclusion: It was concluded that in ischemic stroke patients hematological parameters were greatly altered.


2018 ◽  
Vol 25 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Tarn Karson ◽  
Lee Qun-Jid ◽  
Wong Yiu-Chung

Introduction The demand of knee arthroplasty is increasing worldwide with aging population. Even though unicompartmental knee replacement is associated with fewer complications namely stroke, myocardial infarction, thrombo-embolism, blood transfusion and mortality, it merely comprises 3–8% of knee arthroplasties. The aim of the study is to establish the role of unicompartmental knee replacement by evaluating the benefits and risks of unicompartmental knee replacement versus total knee replacement in Hong Kong population. Methods All unicompartmental knee replacement performed in our institute from 2011 to 2014 were reviewed. Comparative analyses were performed on pre-operative, operative and post-operative parameters. Primary total knee replacement performed in the same period was chosen as control group with 1:1 matching for age, sex, BMI and pre-operative range of motion. Results There were 46 unicompartmental knee replacement. It comprises 3.3% of all knee arthroplasties in our institute. The mean follow-up time was 12.8 months (4–38 months). There was no significant difference in all pre-operative parameters except WOMAC score. All operative parameters favored unicompartmental knee replacement significantly (operation time 76 vs 91 minutes; wound size 7.5 vs 12.4 cm; haemoglobin drop 0.75 vs 2.46g/dl, p < 0.05). Early post-operative parameters also favored unicompartmental knee replacement (Deep vein thrombosis rate 4.3 vs 23.9%; length of stay 5.4 vs 7.0 days, p < 0.05). There was no infection or mortality in both groups. Conclusion Because of less operative risk and faster rehabilitation, this study suggested that unicompartmental knee replacement is more cost effective and might be a better choice for patients with unicompartmental arthritis in local population.


Once the recent studies regarding the use of the Internet in higher education are examined, it could be clearly seen that "OpenCourseWare" comprises an important research topic. “OpenCourseWare” is defined as opening the course materials such as lecture notes, presentations, project drafts, prepared by scholars themselves, to everyone without expecting any return over the Internet. "OpenCourseWare" was first commenced in the United States at Massachusetts Institute of Technology (MIT) in 2001. The fact that “OpenCourseWare” is increasing and becoming common relatively more gradually in our country, despite increasing applications around the world, comprises the starting point for this study. The study includes pre-test-post test control group experimental design and the study group involves the senior students at the Graphics Department of Dumlupinar University Faculty of Fine Arts. There are 20 students in the experimental group and 19 students in the control group. 49% of theese students are female and 51% are male. The course materials prepared for the course “Graphic Production Techniques”, which was taught in the fall semester of 2010-2011 academic year have been published over the website prepared by the researcher (www.masaustuyayincilikdersi.com) due to the absence of a website for open course materials of Dumlupınar University. Through the achievement test conducted at the end of the research, a significant difference was found in favour of the students in the experimental group, who made use of the open course ware. Keywords: OpenCourseWare, graphic design education, desktop publishing


2017 ◽  
Vol 24 (10) ◽  
Author(s):  
Noor Un Nisa Memon ◽  
Santosh Kumar ◽  
Bhagwan Das

Objectives: To compare thyroid hormone levels in apparently healthy individualsand un-dialyzed chronic renal failure patients in local population. Study Design: Crosssectional,descriptive, observational study. Setting: OPD patients in BMSI Biomedical ScienceInstitute of Medical Jinnah Medical Karachi. Period: June 2010 to December 2010 in BMSIJPMC, Karachi. Methods: Ninety individuals including 30 healthy control and 60 patients ofchronic renal failure were included in this study. Individuals were grouped based on severity ofdiseases (stages) as healthy (control) group and the diseased group. Patients with un-dialyzedCRF on conservative management, GFR < 60 ml/mint/1.73m2, age between 20 to 60 years inboth sexes were included in this study. Patients already taking thyroxine or antithyroid drugs,history of thyroid surgery and neck radiation and patients on maintenance haemodialysis wereexcluded. Measurement of thyroid hormone levels were done through Radio Imune Assay (RIA)method and GFR by Cock Craft Gualt formula. Results: Serum FT3 significantly low in patientswith CRF of stage III 1.27±0.12, stage IV 1.04±0.09 vs 2.80±0.09 in controls, p=0.001. TSHwas significantly high in patients of CRF as compared to control 4.41±0.87 and 3.3±0.34 vs1.97±0.16, P=0.001. No significant difference was seen in serum FT4 levels. Conclusion: Inlocal population thyroid hormone level of FT3 declines with the severity of Glomerular FiltrationRate as compare to healthy individuals. However, TSH level increases with this severity as alsoreported in other countries. Additionally, FT3 level is helpful for early detection and preventionof complications. Local population need awareness to prevent CRF by reporting to hospitalbefore stage 3.


2019 ◽  
Vol 28 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Scott W. Cheatham ◽  
Kyle R. Stull ◽  
Morey J. Kolber

Background: Roller massage (RM) has become a common intervention among health and fitness professionals. Recently, manufacturers have merged the science of vibration therapy and RM with the development of vibration rollers. Of interest, is the therapeutic effects of such RM devices. Purpose: The purpose of this study was to compare the effects of a vibration roller and nonvibration roller intervention on prone knee-flexion passive range of motion (ROM) and pressure pain threshold (PPT) of the quadriceps musculature. Methods: Forty-five recreationally active adults were randomly allocated to one of 3 groups: vibration roller, nonvibration roller, and control. Each roller intervention lasted a total of 2 minutes. The control group did not roll. Dependent variables included prone knee-flexion ROM and PPT measures. Statistical analysis included parametric and nonparametric tests to measure changes among groups. Results: The vibration roller demonstrated the greatest increase in PPT (180 kPa, P < .001), followed by the nonvibration roller (112 kPa, P < .001) and control (61 kPa, P < .001). For knee flexion ROM, the vibration roller demonstrated the greatest increase in ROM (7°, P < .001), followed by the nonvibration roller (5°, P < .001) and control (2°, P < .001). Between groups, there was a significant difference in PPT between the vibration and nonvibration roller (P = .03) and vibration roller and control (P < .001). There was also a significant difference between the nonvibration roller and control (P < .001). For knee ROM, there was no significant difference between the vibration and nonvibration roller (P = .31). A significant difference was found between the vibration roller and control group (P < .001) and nonvibration roller and control group (P < .001). Conclusion: The results suggest that a vibration roller may increase an individual’s tolerance to pain greater than a nonvibration roller. This investigation should be considered a starting point for future research on this technology.


2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
En chun Pan ◽  
Hong Sun ◽  
Qiu jin Xu ◽  
Qin Zhang ◽  
Lin fei Liu ◽  
...  

This study aims to evaluate the carcinogenic risk of PAHs in the drinking water of counties along the Huai River in China and study their associations with high cancer incidence in local population. We investigated 20 villages with high cancer incidence rates as the risk group and 20 villages with low rates as the control group. Water samples from each village were collected in the winter and summer seasons to analyze the concentrations of 16 PAHs. The carcinogenic risks of the PAHs were calculated for each village using a health risk assessment approach. Results showed that PAHs concentrations in 27.2% of the water samples were higher than the allowable values in China. However, no significant difference in water PAHs concentrations was observed between the risk and control groups (P>0.05), and no correlation was found between water PAHs concentrations and cancer incidence in these villages. The average upper bound carcinogenic risks were less than1×10-4in both groups. In conclusion, PAHs were present in the drinking water of the studied villages, but their carcinogenic risks remained within acceptable limits. PAHs in local drinking water might not be the major environmental cause of the high cancer incidences.


Author(s):  
Ibtisam Bruai Mustafa

Cholelithiasis is one of the most prevalent diseases in gastroenterology, and it is a major public health problem in all developed countries. It has the most common in patient diagnosis among gastrointestinal and liver diseases and it accounts for many hospital admissions and surgical interventions in our local population. Gallstone  disease also known to cause  liver disease and defragment of its enzymes. Our main objective in the this study was to investigate   the biochemical changes in serum liver enzyme and total bilirubin associated with Cholelithiasis. High incidence of cholelithiasis was more prominent among females 127(84.7%) relatives to males 23(15.3%), giving males to females ratio (1:5.5).The most affected age groups were 41-50 years .The majority of patients 62(41.33%) were obese and their body mass index (BMI) 25-30. The most common type of stones was Mixed stones (MS). Serum liver enzymes level of patients was found to be nearly within the same range, whereas their serum total bilirubin significantly increased in comparison with the control group. Furthermore, it is found that there was significant difference between males and females in ALT and AST in patients group. The serum total bilirubin of the patients with pigment stones was significantly elevated. Cholelithiasis is an important cause to significant pathological changes in serum total bilirubin   and slight changes in liver enzymes.


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