scholarly journals Implementing real-time sepsis alerts using middleware and smartphone technology

2020 ◽  
Vol 15 (2) ◽  
pp. 41-48
Author(s):  
Melissa Zimmermann ◽  
You “Jay” Chung ◽  
Cara Fleming ◽  
Jericho Garcia ◽  
Yekaterina Tayban ◽  
...  
Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Benjamin Y Andrew ◽  
Colleen M Stack ◽  
Julian P Yang ◽  
Jodi A Dodds

Introduction: The use of mobile electronic care coordination via smartphone technology is a novel approach aimed at increasing efficiency in acute stroke care. One such platform, StopStroke© (Pulsara Inc., Bozeman, MT), serves to coordinate personnel (EMS, nurses, physicians) during stroke codes with real-time digital alerts. This study was designed to examine post-implementation data from multiple medical centers utilizing the StopStroke© application, and to evaluate the effect of method of arrival to ED and time of presentation on these results. Methods: A retrospective analysis of all acute stroke codes using StopStroke© from 3/2013 – 5/2016 at 12 medical centers was performed. Preliminary unadjusted comparison of clinical metrics (door-to-needle time [DTN], door-to-CT time [DTC], and rate of goal DTN) was performed between subgroups based on both method of arrival (EMS vs. other arrival to ED) and time of day. Effects were then adjusted for confounding variables (age, sex, NIHSS score) in multiple linear and logistic regression models. Results: The final dataset included 2589 unique cases. Patients arriving by EMS were older (median age 67 vs. 64, P < 0.0001), had more severe strokes (median NIHSS score 8 vs. 4, P < 0.0001), and were more likely to receive tPA (20% vs. 12%, P < 0.0001) than those arriving to ED via alternative method. After adjustment for age, sex, NIHSS score and case time, patients arriving via EMS had shorter DTC (6.1 min shorter, 95% CI [2, 10.3]) and DTN (12.8 min shorter, 95% CI [4.6, 21]) and were more likely to meet goal DTN (OR 1.83, 95% CI [1.1, 3]). Adjusted analysis also showed longer DTC (7.7 min longer, 95% CI [2.4, 13]) and DTN (21.1 min longer, 95% CI [9.3, 33]), and reduced rate of goal DTN (OR 0.3, 95% CI [0.15, 0.61]) in cases occurring from 1200-1800 when compared to those occurring from 0000-0600. Conclusions: By incorporating real-time pre-hospital data obtained via smartphone technology, this analysis provides unique insight into acute stroke codes. Additionally, mobile electronic stroke care coordination is a promising method for more efficient and efficacious acute stroke care. Furthermore, early activation of a mobile coordination platform in the field appears to promote a more expedited and successful care process.


Panggung ◽  
2019 ◽  
Vol 29 (3) ◽  
Author(s):  
Wanda Listiani ◽  
Sri Rustiyanti ◽  
Fani Dila Sari ◽  
IBG. Surya Peradantha

Abstract            The collaboration between art and technology of augmented reality (AR) has not been get attention in the field of Nusantara Performing Arts. On the other side, performances of traditional dance get hardly found in the era of smartphone technology which gets more sophisticated. Mostly all people either kids or adults own handphone which can be used as the media for learning performing arts. This research aims to develop AR technology as the alternative performing arts learning media 4.0 by digitalizing performing arts from Biak tribe, Papua; Cikeruhan Sunda peforming arts, and Guel Aceh performing arts. These combined performing arts name from Papua, Sunda, and Aceh is shortened into PASUA PA. The research method applied is experiment method and interaction based on pixel-cloud avatar AR virtual dance. The result of the study portrays the phases of creative process of designing PASUA PA AR performing arts and the real time synchronization between music, virtual dancer, and 4.0 performing art learners.   Keywords: Augmented Reality, Papua-Sunda-Aceh, learning media, performing arts 4.0 Abstrak            Kolaborasi antara seni dan teknologi augmented reality (AR) masih belum banyak dilakukan dalam seni pertunjukan nusantara. Di sisi lain, semakin langkanya pertunjukan tari tradisi di setiap daerah di Indonesia di antara perkembangan teknologi smartphone. Padahal hampir setiap orang, mulai anak-anak hingga dewasa memiliki handphone yang dapat digunakan sebagai medium pembelajaran seni pertunjukan. Penelitian ini mengembangkan teknologi AR sebagai media alternatif pembelajaran seni pertunjukan 4.0 dengan mendigitalisasi seni pertunjukan khas Suku Biak Papua, seni pertunjukan Cikeruhan Sunda, dan seni pertunjukan Guel Aceh. Seni Pertunjukan Papua, Sunda dan Aceh disingkat PASUA PA. Metode penelitian yang digunakan adalah metode eksperimen dan interaksi berdasar pixel-cloud avatar penari virtual AR. Hasil penelitian ini menggambarkan tahapan proses kreatif pembuatan AR seni pertunjukan PASUA PA dan sinkronisasi real-time antara musik, penari virtual, dan pembelajar seni pertunjukan 4.0.  Kata kunci: Augmented Reality, Papua-Sunda-Aceh, Media Pembelajaran, Seni Pertunjukan 4.0 


Author(s):  
Linda-Marie Sundstrom

This research is intended to introduce a new concept of Interactive Government (i-Government), provide an overview of current practices, and offer recommendations for development and implementation. i-Government is the use of smartphone applications to: a) connect citizens with resources; b) engage citizens in collaboration; c) empower citizens as volunteers; and d) enable citizens to serve as watchdogs. Smartphone applications enable government agencies to provide citizens with information and resources anytime (24/7), from anywhere. This anytime, anywhere feature, combined with smartphone technology such as a camera, GPS/location detection service, and an Internet browser, allows citizens to interact with government by accessing information and providing real-time data. Citizens become a new type of volunteer force, who serve as sensors in the community, and who provide information on anything from potholes, to graffiti, to suspicious activity. Because smartphones are always on, government agencies can directly contact citizens who are also willing to serve their community.


2018 ◽  
Author(s):  
Ronald John Teufel II 2nd ◽  
Sachin K Patel ◽  
Anita B Shuler ◽  
Anne L Andrews ◽  
Michelle Nichols ◽  
...  

BACKGROUND Youth and adolescents with high-risk asthma have poor medication adherence, limited access to care, and are frequently seen in the acute care setting. OBJECTIVE Our purpose was to design and test the feasibility of using smartphone technology to assess contextual factors that may impact changes in daily adherence and identify new symptom episodes among high risk children with asthma in their home environment. METHODS Children 8-17 years with high risk asthma from two children’s hospitals were eligible for the 2-month study. An App was downloaded on participants’ phones at enrollment. Daily text reminders to complete ecological momentary assessment of asthma symptoms and other contextual factors such as emotional state through the App were sent. Bluetooth inhaler devices were used to measure inhaler use with the ability to review and manually enter data. Acceptability was assessed with surveys, key informant interviews (KII), and frequency of days with asthma data. KII data were used in an iterative design approach to identify challenges, strengths, and maximize use. Generalized linear mixed modelling was used to determine contextual factors associated with changes in daily adherence. RESULTS We enrolled 14 children (8-16 years; 93% of whom were African-American). Over the 2-month study period participants reported coughing (45%), wheezing (25%), chest tightness (17%), and boredom (49%). Controller medication adherence was 30% and increased significantly on days with asthma symptoms or boredom. Data were received on 89% of study days. Surveys and KIIs suggested acceptability. Challenges reported during the study included lost or damaged phones and available memory. CONCLUSIONS Patients and families reported acceptability in using smartphones for real-time asthma monitoring. Overall medication adherence was low but increased significantly on days with reported asthma symptoms or boredom, suggesting contextual factors may be associated with a change in adherence behavior. CLINICALTRIAL N/A


2021 ◽  
Vol 911 (1) ◽  
pp. 012037
Author(s):  
M. Aqil ◽  
F. Tabri ◽  
N. N. Andayani ◽  
S. Panikkai ◽  
Suwardi ◽  
...  

Abstract The study of android based maize assessment was done by involving two popular machine learning software i.e. teachable machine and android studio. The classification model was performed in online teachable machine learning while interface generation was performed in android studio. Various maize tassel from male, female and contamination plants were collected and used for training and model validation. The results indicated that Android-based tassel classification was successfully applied to the study area with accuracy of 80.7%. In addition, the error of classification was 19.3%, a relatively lower values for large testing datasets. Several mis-classification were found particularly at similar tassel shape. The integration of the model with smartphone technology enables rapid recognition of off-type plant at real-time, even though operated by personnel with limited skills or no knowledge seed technology on maize parental lines ideotype.


2019 ◽  
Vol 11 (2) ◽  
pp. 1109
Author(s):  
Syifa Nur Rakhmah ◽  
Reza Reza ◽  
Kardinal Novel

The utilization of smartphone technology in various aspects has now been felt, without exception reaching restaurants that want to use technology for the satisfaction of customers and the benefits of restaurants. Humans in general want everything to be easily done, as well as restaurant customers who want to order menus easily in the sense that it is not complicated and does not take a long time. It's easy to order the menu in question without having to queue and without waiting for the waiter to be busy with other customers. Restaurant customers can also take time to order orders according to their needs so they are not disturbed by the presence of a waiter who is waiting for the order. The preparation of this study uses two research methods, namely, data collection methods and software development methods, namely using the waterfall method. To overcome the problems that the authors describe, a web-based application is made to make it easier for restaurants and customers to order food. With the use of media websites that have been published can facilitate food ordering in real time.


1979 ◽  
Vol 44 ◽  
pp. 41-47
Author(s):  
Donald A. Landman

This paper describes some recent results of our quiescent prominence spectrometry program at the Mees Solar Observatory on Haleakala. The observations were made with the 25 cm coronagraph/coudé spectrograph system using a silicon vidicon detector. This detector consists of 500 contiguous channels covering approximately 6 or 80 Å, depending on the grating used. The instrument is interfaced to the Observatory’s PDP 11/45 computer system, and has the important advantages of wide spectral response, linearity and signal-averaging with real-time display. Its principal drawback is the relatively small target size. For the present work, the aperture was about 3″ × 5″. Absolute intensity calibrations were made by measuring quiet regions near sun center.


Author(s):  
Alan S. Rudolph ◽  
Ronald R. Price

We have employed cryoelectron microscopy to visualize events that occur during the freeze-drying of artificial membranes by employing real time video capture techniques. Artificial membranes or liposomes which are spherical structures within internal aqueous space are stabilized by water which provides the driving force for spontaneous self-assembly of these structures. Previous assays of damage to these structures which are induced by freeze drying reveal that the two principal deleterious events that occur are 1) fusion of liposomes and 2) leakage of contents trapped within the liposome [1]. In the past the only way to access these events was to examine the liposomes following the dehydration event. This technique allows the event to be monitored in real time as the liposomes destabilize and as water is sublimed at cryo temperatures in the vacuum of the microscope. The method by which liposomes are compromised by freeze-drying are largely unknown. This technique has shown that cryo-protectants such as glycerol and carbohydrates are able to maintain liposomal structure throughout the drying process.


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