A systematic review of ePCR systems on reducing the response time of prehospital medical care

Background Poor communication at the time of patient handover is recognized as a root cause of a considerable proportion of preventable deaths. Despite several advantages, the Patient Care Report (PCR) implementation may include insufficient details for demonstrating the functional status of the patients during the actual response which can further prolong the response time. Healthcare entities have been emphasizing the need to implement e-PCR systems. This systematic review aimed to examine the impact of e-PCR systems on reducing response time of prehospital care. Methods Literature search was carried out using the relevant search terms and keywords with inclusion and exclusion criteria. N=6 researchers that focused on the impact of e-PCR systems on reducing response time of prehospital medical care were included within this review. Results The findings indicated that ePCR implementation led to prominent improvements in the quality of the care services provided by the healthcare organisation. Additionally, ePCR reduces the response rate by data standardization. Conclusion The implementation of e-PCR systems ensures the availability of records and automates reporting on given quality metrics. Moreover, the implementation of e-PCR systems also improved response time and increased the out of hospital rates of survival. However, fear of increasing the ambulance run time, compromise on the availability of ambulance, and challenges in integration with the existing information systems implemented within the hospitals, were some of the most common challenging situations associated with implementing e-PCR systems.

FE Modelling and Analysis of Beam Column Joint Using Reactive Powder Concrete

Reactive powder concrete (RPC) is used in the beam-column joint region in two out of four frames. Finite element modeling of all specimens is developed by using ABAQUS software. Displacement controlled analysis is used rather than load control analysis to obtain the actual response of the structure. The prepared models were verified by using experimental results. The results showed that using RPC in the joint region increased the overall strength of the structure by more than 10%. Moreover, it also helped in controlling the crack width. Furthermore, using RPC in the joint region increased the ductility of the structures. Comparisons were made by varying the size of the mesh and viscosity parameter values. It was found that by increasing the mesh size and viscosity parameter value, analysis time and the number of steps during analysis were reduced. This study provides a new modeling approach using RPC beam-column joint to predict the behavior and response of structures and to improve the shear strength deformation against different structural loading.

Are you talking to me? Generation X, Y, Z responses to mobile advertising

This study explores intergenerational differences in attitudes toward mobile advertising (addressing their informativeness, irritation, trustworthiness, entertainment, and intrusiveness) and actual response to mobile advertising messages in Israel. Using an online survey ( N = 408) and drawing on Congruence Theory and Generation Cohort Theory, we focus on three generations: X, Y, and Z. Findings show that all generations responded negatively when receiving an advertisement via smartphone. However, the generations differ in their patterns of association between mobile advertising attitudes and responses to mobile ads. Findings suggest that incongruence between each generation’s scheme and the five dimensions of advertising attitudes results in unfavorable responses to mobile advertising. These findings provide guidelines for future research and implications for marketers who intend to design behavioral targeting to consumers of various generational cohorts while using mobile platforms as an advertising channel.

Survey on the dissemination of Web-based information on “evacuation and sheltering” in the context of COVID-19 by the Japanese Government

Purpose This study examines the websites of central government ministries, prefectures and municipalities to obtain a comprehensive bird’s-eye view of how they are preparing for natural disasters in the context of the novel coronavirus (COVID-19) outbreak. Design/methodology/approach This study examines the websites of central government ministries, prefectures and municipalities in Japan to survey the actual status of information dissemination on “evacuation and sheltering” in the context of COVID-19. Findings This study found that the central government issued many notices, notifications and administrative communications to prefectures, cities with public health centers and special wards, which were mainly related to opening, securing and operating evacuation centers and improving the environment. It was found that most prefectures disseminated information on both survival and living evacuation and did so from June onward, when the flood season was approaching. Among the municipalities, there were differences in information dissemination tendencies by prefecture, and it became clear that smaller municipalities were especially incapable of fully disseminating information via the Web. Research limitations/implications The data from the prefectures and municipalities surveyed in this study were collected from websites and do not necessarily represent the actual response to disaster-related evacuation in the context of COVID-19 in those areas. To clarify this evacuation, more detailed surveys are needed. Originality/value This study is unique because no research has been conducted on the response of Japanese administrative agencies to disaster-related evacuation in the context of COVID-19; the actual situation was analyzed in this study by examining central government ministries, prefectures and municipalities as administrative agencies and comparing their responses.

Application of Elements of Quality by Design to Development and Optimization of HPLC Method for Fingolimod

Purpose: A HPLC method for Fingolimod was developed using a Quality by Design concept. QbD has gained importance in recent times due to regulatory requirements. Actual study was started after determination of target profile and qualification of instrument. Methods: Separation was carried on a Grace C-8 column (4.6 x 250 mm, 5-μm particle size).The composition of mobile phase was methanol and 20 mM ammonium formate buffer of pH5.8 in gradient mode HPLC method development is affected by critical factors like pH, flow rate and mobile phase composition. Results: To study the effects of these three factors on USP tailing, Box Behnken optimization model was applied. Desirability of the model was set at Tailing less than 1.2.Analysis of results was done using surface diagrams. Verification of Software generated results was done by taking six replicates of the run. Thus developed and optimised method was Finally validated as per ICH guideline. Conclusion: A Quality by Design approach has been successfully utilised in method development of the Fingolimod in bulk. All key aspect of QbD were tried to be implemented in said study. Systematic approach was utilized for method development which includes beginning with determination of target profile characteristics, instrument qualification, risk assessment, design of experiment and validation. Three factors i.e. Ph, flow rate and methanol concentration were analysed for their effect on USP tailing as a responce. Interaction and quadratic effect of the factors were studied with least possible runs by using Box Behnken model. Response surface diagrams and contour plots were studied for coming to conclusion which factors are affecting response and their limits were recorded. Optimum run condition was obtained; Replicates of run having optimized condition were taken to confirm the predicted response with actual response.

Relationen mellan lärares intentioner och deras respons till elever

Formative feedback has the potential to support student learning and performance. However, teachers sometimes have difficulties realizing their intentions with formative feedback when responding to students’ questions or solutions. If the actual response provided does not agree with the teacher’s intentions, the formative potential may be diminished or lost. The purpose of this study is therefore to investigate whether teachers themselves are able to identify the correspondence between their stated intentions and their actual response to students. Four teachers participated in the study by responding to the mathematical reasoning performed by twelve students in grades 4-5 (the feedback situations were recorded) and then taking part in stimulated-recall interviews. The results show that the teachers were able to identify certain instances of correspondence, and/or differences, between their intentions and how they acted in the feedback situations. The differences identified by the teachers were justified based on the teachers’ individual beliefs – for instance, the belief that some mathematical methods belong to certain grade levels and should not be taught in advance – or on concerns about how the students would react.

Affective politics and online culture: Reserved’s digital marketing campaign in post-hegemonic perspective

The article employs post-hegemonic theory to reframe how power operates within online cultures. To that end, it investigates a digital marketing campaign for a Polish clothing brand, Reserved, and its reception in social media. Examining over one thousand comments on Facebook, it argues that while the initial viral success abruptly turned into public outcry, the actual response was much more varied, encompassing a multiplicity of different feelings and immediate orientations, not necessarily congruent with the backlash. In this sense, the shifting balance of power was not contingent on the emergence of a public consensus that challenged corporate hegemony, but pertained to the arrangement of affective intensities to habituate the multitude to the networked media environment. Consequently, the article approaches Reserved’s campaign and its online reception as involving a series of corporeal attunements that re-territorialized multiple and incongruent affective flows into established networked structures and corresponding relations of power.

The level of oil spill risk in Northwest Pacific and regional cooperation activities of NOWPAP MERRAC on marine pollution preparedness and response.

1. ABSTRACT The Northwest Pacific region, covering the four member states namely, People's Republic of China, Japan, Republic of Korea and Russian Federation, has been severely exposed to oil and HNS spills due to its high shipping density and high levels of industrial and economic growth and became a hotspot worldwide. Since member states are geographically close to each other, it is possible to cause transboundary issue affecting neighboring countries when oil and HNS spill incidents occur. In accordance with the need, the NOWPAP member states adopted the Regional oil and HNS spill Contingency Plan (RCP) in 2008, which provides the technical and operational framework for regional cooperation on major spill accidents, is a major achievements among the various regional cooperation activities. This was the first agenda actually adopted in the NOWPAP region and shows a national level of cooperation to protect the marine and coastal environment of the region. Particularly, to enhance the response capacities under the RCP, since 2006, member states jointly conduct oil and HNS spill response exercises (DELTA exercise) biannually, mobilizing actual response resources from the member states in a rotational basis. The 7th NOWPAP DELTA exercise was organized by Japan and Russia in Maizuru city, Japan (Oct. 2018). In addition to this, 19 communication exercises (BRAVO exercise) have also been implemented to test joint operational response procedures and associated communication tools in case of major spills. To further facilitate the exchange of information on marine pollution and preparedness in the region, MERRAC developed and operates the online pollution reporting system (POLREP) since 2015, which enables real-time exchange of information not only with the emails and fax but also through personal mobile phones of competent national authorities of member states. During the Sanchi spill incident (Jan 2018), the member states and MERRAC exchanged almost 300 notifications through POLREP concerning the location and trajectory of the spill and response operations. Furthermore, Member states exchange information on their national policies and response resources and has been building regional cooperation to strengthen its capabilities. In order to establish and maintain such regional cooperation system, MERRAC has been holding Focal Points meetings every year and Expert meetings every two years to exchange information on oil and HNS spill preparedness and response and implement Specific projects for various purposes by the national experts from the member states. In this presentation, we will review the oil and HNS risk levels in the NOWPAP region and examine the various cooperative activities and achievements and discuss the future prospects which MERRAC should go in through.

An Improved Non-Face-to-Face, Contactless Preference Survey System

Conventional election-related public opinion polls have utilized the automated response system (ARS) method. The ARS public opinion polls are predicated on the convenience of use and require random telephonic responses. However, the actual response rate is less than 5%. As a result, discrepancies between recent public opinion polls and the actual election results have become an issue. In this study, we propose a system that quantifies the preferences by region, age, and gender by quantifying emotions based on the behaviors and facial expressions of the citizens passing by at the campaign site and utilizes them as basic statistics. Furthermore, a previously published facial recognition artificial intelligence (AI) was used to obtain age, gender, and various facial recognition data, along with citizens’ emotions. The published facial recognition AI produced stability of over 99% recognition rate. The data structure followed a weighted reverse tree structure, and facial expressions, gender, and age were analyzed using the published facial recognition algorithm. Moreover, the expressions as well as the behaviors showing emotions were merged to gather and analyze data with weights.

A line-of-sight channel model for the 100–450 gigahertz frequency band

This paper documents a simple parametric polynomial line-of-sight channel model for 100–450 GHz band. The band comprises two popular beyond fifth generation (B5G) frequency bands, namely, the D band (110–170 GHz) and the low-THz band (around 275–325 GHz). The main focus herein is to derive a simple, compact, and accurate molecular absorption loss model for the 100–450 GHz band. The derived model relies on simple absorption line shape functions that are fitted to the actual response given by complex but exact database approach. The model is also reducible for particular sub-bands within the full range of 100–450 GHz, further simplifying the absorption loss estimate. The proposed model is shown to be very accurate by benchmarking it against the exact response and the similar models given by International Telecommunication Union Radio Communication Sector. The loss is shown to be within ±2 dBs from the exact response for one kilometer link in highly humid environment. Therefore, its accuracy is even much better in the case of usually considered shorter range future B5G wireless systems.