utilization pattern
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2022 ◽  
Author(s):  
Sara Guila Fidel-Kinori ◽  
Gerard Carot-Sans ◽  
Andres Cuartero ◽  
Damià Valero-Bover ◽  
Rosa Romà-Monfà ◽  
...  

BACKGROUND Quarantines and nationwide lockdowns dictated for containing the spread of the COVID-19 pandemic may lead to distress and increase the frequency of anxiety and depression symptoms among the general population. During the national lockdown of the first wave of the COVID-19 outbreak in Spain, we developed and launched a Web App to promote emotional self-care in the general population and facilitate contact with healthcare professionals. OBJECTIVE To describe the Web App and analyse its utilization pattern throughout two successive waves of the COVID-19 outbreak in Spain. METHODS The Web App targeted all individuals aged 18 years or more and was designed by adapting the contents of a mobile App for adjuvant treatment of post-traumatic stress disorder (i.e., the PTSD Coach App) to the general population and the pandemic/lockdown scenario. We retrospectively assessed the utilization pattern of the Web App using data systematically retrieved from Google Analytics. Data were grouped into three time periods, defined using a join point analysis of COVID-19 incidence in our area: first wave, between-wave period, and second wave. RESULTS The resulting Web App, named gesioemocional.cat, maintains the navigation structure of the PTSD Coach App, with three main modules: tools for emotional self-care, a self-assessment test, and professional resources for on-demand contact. The self-assessment test combines the Patient Health Questionnaire-2 (PHQ-2) and the 7-item Generalized Anxiety Disorder Scale (GAD-7) and offers professional contact in the advent of a high level of depression and anxiety; contact is prioritized according to a screening questionnaire administered at the time of obtaining individual consent to be contacted. The tools for emotional self-care can be accessed either on-demand or symptom-driven. The utilization analysis showed a high number of weekly accesses during the first wave. In this period, press releases regarding critical events of the pandemic progression and government decisions on containment measures were followed by a utilization peak, irrespective of the sense (i.e., positive or negative) of the information. Positive information pieces (e.g., relaxation of containment measures due to a reduction of COVID-19 cases) resulted in a sharp increase in utilization immediately after information release, followed by a successive decline in utilization. The second wave was characterized by a lower and less responsive utilization of the Web App. CONCLUSIONS mHealth tools may help the general population coping with stressful conditions associated with the pandemic scenario. Future studies shall investigate the effectiveness of these tools among the general population―including individuals without diagnosed mental illnesses―and strategies to reach as many people as possible. CLINICALTRIAL Not applicable


2022 ◽  
Author(s):  
Vibhuti . ◽  
Kiran Bargali ◽  
Surendra Bargali

The aim of the present study was to analyse the species utilization pattern and their relative prevalence in homegardens varying in size and altitude. Four sites were selected along an altitudinal gradient viz., very low (up to 350 m), low (350-700 m), mid (700-1500 m) and high altitudes (above 2000 m) in Kumaun Himalaya, India. At each altitude, homegardens were categorized into three size classes viz., large (above 0.007 ha), medium (0.004-0.006 ha) and small homegardens (up to 0.003 ha). Maximum species richness was recorded in large sized homegarden at all altitudes except mid altitude where maximum species was observed in medium sized homegardens. Across altitudes, maximum plant species (39) was recorded at mid altitude whereas minimum species (24) were present in high altitude homegardens. Amaryllidaceae was the most important family followed by Oxalidaceae across all the altitudes. In case of plant utilization pattern, maximum species were utilized as a medicine (44.23 %) followed by vegetables (26.66 %), fodder (18.1 %), miscellaneous (15.97 %), spices (13.97 %) and fruits (12.34 %). Among the species, <i>A. cepa</i> (1380) and <i>C. annuum</i> (1026) showed most prevalence whereas <i>S. cumini</i> (278) was the least prevalent species. Across the altitudinal gradient, mid altitude showed most (2341, 1330) relative prevalence whereas high altitude showed least (876, 0) relative prevalence for <i>A. cepa</i> and <i>M. indica</i>, respectively. Management practices and conventional activity could show a higher effect on species composition and their utilization pattern to improve food security and conserving plant genetic diversity in altitudes.


2021 ◽  
Vol 878 (1) ◽  
pp. 012027
Author(s):  
S Wardiningsih ◽  
F Dwi P ◽  
S I Wahyudi ◽  
H P Adi ◽  
E Supriyanto

Abstract East Flood Canal is one of the manmade waterfront public open spaces in Jakarta which is often visited by residents. The existence of the public open space is very important for society. The purpose of the study is to identify the utilization pattern of public open space on canal banks and analyze the problems related to the utilization of this space. Method used place-centered mapping to identify physical characteristic of public open space and patterns of activity that occur in the study area. The study is conducted in the segment East Flood Canal on Jl. Kolonel Sugiono, Duren Sawit sub-district, East Jakarta. The result is the pattern of utilizing public open space in the four zones in the East Flood Canal segment is linear because the pattern follows the physical setting of pedestrian circulation paths and bicycle lanes. This study suggests both two circulation pathways (pedestrian and bicycle) need to be designed continuously along the canal and equipped with adequate facilities. Improvement of the planning, design, and maintenance of public open space in the segment of canal will have many benefits to increase social interaction, recreational activities, educational communication, and also a concern for the hydrological aspects of the canal.


2021 ◽  
Vol 206 (Supplement 3) ◽  
Author(s):  
Eileen Byrne ◽  
Joshua Horns ◽  
Yafi Faysal ◽  
Tung-Chin Hsieh ◽  
James Hotaling

Author(s):  
Sunil Baile ◽  
Rajesh Hadia ◽  
Pankti Patel ◽  
Maitree Shah ◽  
Priyal Soni ◽  
...  

Background: Anemia is a disease that is more prevalent among pregnant women in India. Objective: To Study the Drug Utilization Pattern, compare and evaluate better drug selection in Anaemic Pregnant Women. Methodology: A total of 300 pregnant women ranging in the age group of 17 to 38 years and having 1 month to 9 months of pregnancy was included in a study. The medical records of patients were checked and information was recorded. The prescriptions were analyzed for drug utilization patterns. Statistical analysis was done. Result: Out of all 300 pregnant women 176 patients having iron deficiency Anemia, 99 patients having sickle cell Anemia, 20 patients having folate deficiency Anemia, and the rest of the patients having Vitamin B12 deficiency or hemolytic or beta-thalassemia. The average number of drugs prescribed per patient was 3-4 and the average monthly cost per patient was 920.68 Rs. The most commonly prescribed drug was Vitamin C it is of Category C drug which could be harmful to the fetus followed by MVBC (Multivitamin B complex). Conclusion: Anemia was commonly seen in 2nd trimester. Sickle cell Anemia was seen in 1/3rd of the patients. Study data highlights that Vitamin C, Calcium & Multivitamin B complex were the most prescribed drugs in anemic patients. Drugs prescribed were produced risk to the fetus according to USFDA criteria.


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