General Internet Search Research Articles

Readability and Suitability of Local Disaster Preparedness Materials in Predominantly Hispanic Border Communities: A Case Study of Cameron County, Texas

Abstract Community awareness is a key component of disaster resilience and numerous agencies developed a plethora of preparedness materials. Previous studies evaluated national-level resources and social media content indicating that these efforts are not effectively reaching vulnerable populations, as the information is provided at or above the secondary education level. However, the local-specific content has been mostly overlooked in the analyses, subsequently neglecting the needs of areas with specific demographics and hazards, like predominantly Hispanic border communities. Thus, this study turns to local preparedness and mitigation materials, rather than general internet searches or national level documents. We analyze information provided on 239 webpages of local authorities in Cameron county in the southernmost tip of Texas. We evaluate: 1) the availability of languages and visual materials, 2) the reading difficulty level, and 3) the suitability of content. Our results demonstrate the lack of suitable and readable information provided on the local authorities’ websites with the average readability level implying “difficult” to “very confusing”, and the average suitability score equivalent to “below average/adequate”. Moreover, the lack of Spanish-language content indicates an under-utilization of the otherwise vernacular language. We discuss those results in the socio-cultural context of the border community.

Prosthetic outcomes after amputation and the impact of mobility level on survival

ObjectiveLower extremity amputation continues to be necessary in a significant number of patients with peripheral vascular disease. The 5-year survival following lower limb loss is markedly reduced. Many of these patients are never fitted with a prosthesis, and there is a dearth of knowledge regarding the barriers to prosthetic attainment. The goal of this study was to identify the risk factors for not receiving a prosthesis and the effect of mobility level on survival following major amputation. MethodsThis was a retrospective analysis of all patients that underwent lower extremity amputation by surgeons in our practice from January 1, 2010, to December 31, 2019. Abstracted data included: age, sex, race, body mass index, comorbidities, American Society of Anesthesiologists score, statin use, level of amputation, stump revision, fitting for prosthesis, type of prosthesis, and the United States’ Medicare Functional Classification Level, also called K level. Survival was determined using a combination of sources, including the Social Security Death Master File, searches of multiple genealogic registries, and general internet searches. Multivariable logistic regression was used to determine risk factors associated with prosthesis attainment. Multivariable Cox proportional hazard regression with time-dependent covariates was performed to assess risk factors associated with 5-year mortality. ResultsA total of 464 patients were included in this study. The mean age was 65 years, and mean body mass index was 27 kg/m2. The majority of patients were male (68%), White (56%), diabetic (62%), and hypertensive (76%), and underwent below-the-knee amputation (69%). Prosthetic attainment occurred in 185 (40%). On multivariable analysis, age >81 years and current tobacco use were associated with no prosthetic fitting. Overall 5-year survival was 41.9% (95% confidence interval [CI], 37.6%-46.6%) (below-the-knee amputation, 47.7% [95% CI, 42.5%-53.5%]; above-the-knee amputation, 28.7% [95% CI, 22.1%-37.2%]). On multivariable analysis, age >60 years, congestive heart failure, above-the-knee amputation, and no prosthetic attainment were associated with decreased survival. Increasing K level was incrementally associated with improved survival. ConclusionsThis study has identified several patient factors associated with prosthetic attainment, as well as multiple factors predictive of reduced survival after amputation. Being referred for prosthetic fitting was associated with improved survival not explained by patient characteristics and comorbidities. The Medicare Functional Classification Level K level predicts survival. More research is needed to determine the barriers to prosthetic attainment and if improving a patients K level will improve survival.

Quality of patient-oriented online information on treatment of dementia: A comparative assessment of web pages in English and Hindi language.

Management of dementia involves a multidisciplinary approach which also requires active participation from family members and caregivers. Thus, having easy access to information about dementia care is pertinent. Internet-based information is an emerging method for the same. To perform a comparative assessment of patient-oriented online information available on treatment of dementia over web pages in English and Hindi language. Observational study was conducted online through a general internet search engine (www.google.com). Web pages containing patient-oriented online information on treatment of dementia in English and Hindi were reviewed to assess their content and quality, esthetics, and interactivity. Appropriate descriptive and inferential statistics were conducted using the Statistical Package for the Social Sciences. A total of 70 web pages met the eligibility criteria. Content quality assessed using the DISCERN score was significantly higher for English web pages compared to Hindi web pages (P < 0.01). About 72.4% (21/29) of English and only 9.8% (4/41) of Hindi web pages had a total DISCERN score of 40 or above, indicating good quality. For esthetics, the median score for English pages was significantly higher than for Hindi web pages (P < 0.01). The web pages with Health On Net (HON) certification had significantly better content quality. Our study revealed a scarcity of good quality online information about dementia and its treatment, especially in the Hindi language. English language websites showed better content quality than Hindi websites. HON Code label might be used as an indicator of better content quality for online resources informing on dementia treatment by lay people.

Contrasting Approaches to Managing the Debate on Same-Sex Blessing and Same-Sex Marriage in New Zealand and Australia: Applying Insights from Jungian Psychological Type Theory

Abstract In October 2022 the Church of England commissioned an examination of the impact of the debate on same-sex blessing and same-sex marriage within other Anglican Churches. The examination involved a literature search, an original survey among key informers and a general internet search. This paper draws on the general internet search to contrast the impacts in New Zealand and Australia. Drawing on Jungian psychological type theory, this analysis employs the contrasting decision-making functions of feeling (concerned with subjective interpersonal values) and thinking (concerned with objective logical analysis). The data suggest that the feeling approach dominant in New Zealand, which prioritized offering space and time for those of differing opinions to meet together, reported more positive outcomes than the thinking approach dominant in Australia, which gave greater priority to adversarial debate.

Online Search Strategies and Results From a Crowdsourced Survey on Asymptomatic Bacteriuria.

Despite the prevalence of asymptomatic bacteriuria (ASB), what proportion of the population is aware of this condition and the quality of internet resources are currently unknown. This study aimed to use an online crowdsourcing platform to explore general knowledge and internet search strategies, along with the quality of information, on ASB. An online survey was administered through a crowdsourcing platform to women 50 years or older via Qualtrics, which is a sophisticated online survey tool. Participants completed a survey on ASB, and participants were asked how they would search the internet for information both on urinary test results and on ASB. Outcomes included survey responses, and qualitative data were coded and analyzed thematically. χ2 Testing and regression modeling were used to look for variables associated with concern for ASB. There were a total of 518 participants who passed attention check qualifications, and only 45 respondents (8.7%) had heard of ASB. Many were concerned about progress to a worsening infection (n = 387 [77.6%]). When controlling for confounders, education beyond a college degree was not associated with a lower concern for ASB when compared with those with a high school education or less (adjusted odds ratio, 0.63; 95% confidence interval, 0.25-1.55; P = 0.31). Medical providers were the target audience for a majority of the websites, and many of the patient-facing results were of poor quality. Our national survey of women demonstrated a prevalent knowledge deficit surrounding ASB. We must seek to create high-quality, readily available, patient-facing information to increase awareness of ASB, allay concerns, and increase antibiotic stewardship.

Review of international practice of health care provider network planning

Objevtive: to identify and systematize the main approaches to planning health care provider network used in foreign countries.Material and methods. Preliminary search for countries who had an experience of systematical planning of health care provider network and tools that they used for planning was conducted in regular health system reviews made by the European Observatory on Health Systems and Policies. Identified tools became a subject of general Internet search for the official publications about goals, mechanisms and results of their usage. The findings were analysed to reveal the similarities and differences between national health care provider network planning policies as well as the objective preconditions for the formation of such policies.Results. Three main approaches to health care provider network planning were identified in the analysis: (1) through establishing state-owned health care providers, (2) through granting the right to deliver guaranteed health care or (3) through granting the right to deliver health care of all categories. A close relationship between the choice of prevailing approach to planning and specific planning tools and the national health care model and structure of health services supply was shown. The typical policy of countries most similar to Russia on these parameters (“young” insurance systems, operating under conditions of predominant state supply of medical services) is the protection of key providers on the basis of minimum activity or income guarantees with the gradual development of a competitive health care market based on the rest of the Compulsory Health Insurance program.Conclusion. Current Russian health care provider network planning regulation based on the direct control over the state-owned health care providers does not correspond to the changed health care model and does not allow taking full advantages of the social health insurance. The results of the review can be used to develop new tools for planning health care provider network spanning on non-state providers.

Art Therapy in The Arab World

Art therapy helps individuals explore their inner world, conflicts, strength, and experiences. It promotes human growth, development, and healing. While art therapy utilizes nonverbal expression as a means of communication, which benefits individuals from traditional and collectivistic societies, it is still novel in the Arab world. This paper aims to review art therapy and its implementation in the Arab world. A scoping review explored the implementation of visual art therapy, specifically in Arab countries. We identified relevant studies from different databases and general Internet searches. The data (n = 27 papers) were summarized and reported following data charting and extraction. Art therapy in the Arab world is present in various disciplines in general psychological support, mainly for trauma-informed interventions. In the 27 studies reviewed, participants reported feeling safe in the sessions, and art was described as a productive way to unmask emotions without violating their sociocultural needs. Art therapy was well accepted and may provide an alternative means of emotion processing. In conducting art therapy interventions with individuals from Arab societies, art therapists may encounter complex cultural, religious, and political issues. Cultural sensitivity and humility should be used to take this into consideration. Art therapists can learn from the above findings to adapt their interventions to the Arab culture and possible with other traditional and collectivistic individuals.

Cross-sectional survey of barriers and opportunities for engaging backyard poultry producers and veterinarians in addressing poultry health

Aims To assess the current level of engagement between backyard poultry keepers and veterinarians in New Zealand; to understand the opportunities and barriers for improving access to poultry health care; and to gauge the interest of backyard poultry keepers in participating in a voluntary national poultry health information system. Materials and methods Backyard poultry were defined as any bird species kept for non-commercial purposes. Separate cross-sectional surveys were administered to backyard poultry keepers and veterinarians in New Zealand over 12-week periods starting 22 March 2021 and 03 May 2021 respectively. The veterinarian survey was advertised in the monthly update e-mail from the Veterinary Council of New Zealand, while the survey for backyard poultry keepers was advertised on various online platforms that focus on raising backyard poultry. Results for quantitative variables were reported as basic descriptive statistics, while qualitative free-text responses from open-ended questions were explored using thematic analysis. Results A total of 125 backyard poultry keepers and 35 veterinarians completed the survey. Almost half (56/125; 44.8%) of backyard poultry keepers reported that they had never taken their birds to a veterinarian, with common reasons being difficulty finding a veterinarian, cost of treatment, and perceptions that most visits result in the bird being euthanised. The majority (113/125; 90.4%) of backyard poultry keepers reported that a general internet search was their primary source for poultry health advice. However, it remains unclear if owners were satisfied with the advice found online, as many cited that having access to reliable health information would be an incentive for registering with a poultry health information system. Of the veterinarian responses, 29/35 (82.9%) reported treating an increasing number of poultry in the last 5 years, although many (27/35; 77.1%) suggested they would be hesitant to increase their poultry caseload due to concerns over their lack of knowledge and confidence in poultry medicine; a lack of clinic resources to treat poultry; concerns over the cost-effectiveness of treatments; and a general feeling of helplessness when treating poultry, with most consultations being for end-stage disease and euthanasia. Conclusion The results of this study highlight opportunities for increased engagement between backyard poultry keepers and veterinarians, including making available accurate poultry health information and providing veterinarians with improved training in poultry medicine. The results also support the development of a poultry health information system in New Zealand to further enhance health and welfare in backyard poultry populations.

UK parents' help-seeking for child sleep: A qualitative investigation into parental preferences and reservations about resources.

Child sleep is a common parental concern and there is an array of resources available to parents. However, an exploration of UK parents' help-seeking behaviours around child sleep is lacking. This study sought to identify the resources parents use to seek information and help for child sleep, as well as to explore what factors parents prefer about certain sources and their reservations about using other resources. Parents of 6-36 month old children residing in the United Kingdom (UK) completed an online questionnaire between October 2015 and October 2016 about their use, opinions and experiences regarding resources for child sleep. Quantitative data were descriptively analysed and thematic analysis was conducted on parents' open-ended text responses. Participants were 266 UK parents (97% mothers). Parents' ages ranged from 21 to 45 years (M=33.49 years, SD=4.71) and all resided in the United Kingdom (UK). General Internet searches were the most commonly reported source used by 47% of parents with a range of other informal resources also frequently consulted. Health Visitors (HVs) were the most accessed healthcare professional reportedly consulted by 38% of parents. Seven themes represented parental preferences for their resource use. Most strongly endorsed included a desire for information from other parents, particularly those with practical experience and accessing information that aligned with their parenting values. Parents preferred sources that provided support and reassurance, as well as those that afforded parents the ability to select relevant elements from a range of information. Seven themes represented parents' reservations about resources. Most strongly endorsed were concerns about reliability, being judged and challenges associated with filtering vast amounts of information. Parents reported having reservations towards sources if they had a previous negative experience with the source. Possible implications of the findings and specific suggestions about how existing and future resources could be adapted to better meet parents' needs are highlighted.

Temporal search persistence, certainty, and source preference in dentistry: Results from the National Dental PBRN

The primary goal of this paper was to investigate an old question in a new way: what are the search patterns that professionals demonstrate when faced with a specific knowledge gap? We examine data from a cascading survey question design that captures details about searching for information to answer a self-nominated clinical question from 1027 dental professionals enrolled in the National Dental Practice Based Research Network. Descriptive and conditional logistical regression analysis techniques were used. 61% of professionals in our sample choose informal sources of information, with only about 11% looking to formal peer reviewed evidence. The numbers of professionals turning to general internet searches is more than twice as high as any other information source other than professional colleagues. Dentists with advanced training and specialists are significantly more likely to consult peer-reviewed sources, and women in the sample were more likely than men to continue searching past a first source. Speed/availability of information may be just as, or in some cases, more important than credibility for professionals' search behavior. Additionally, our findings suggest that more insights are needed into how various categories of professionals within a profession seek information differently.

Editorial conflicts of interest related to the management of stable ischemic heart disease

ObjectiveOur study examines the association between the favorability of percutaneous coronary intervention (PCI) and/or coronary artery bypass surgery (CABG) and the presence of conflicts of interest (COIs) among authors. MethodsWe used the “Citing Articles” tool on the New England Journal of Medicine website to identify editorials on the use of PCI/CABG for stable ischemic heart disease. Authors were rated as “supportive,” “neutral,” or “critical” of these interventions based on the content of their editorials. COIs for each author were identified using past publications found on Scopus, PubMed, or a general internet search. ResultsA total of 606 articles were identified, and data were extracted from 56 of them. Among the 149 authors, 64 (43.0%) had a COI. Of these 64 authors, 19 (29.7%) disclosed their COI, while 45 (70.3%) did not. Overall, among authors with a COI, there was no association between disclosed and undisclosed COIs and the authors' view of PCI/CABG [χ2 (2, N = 64) = 1.63, p = .44]. If an author was associated with Medtronic, Abbott, or Boston Scientific, they were more likely to favor PCI/CABG if they had an undisclosed COI relative to authors who disclosed COIs [χ2 (1, N = 31) = 5.04, p = .025]. Authors publishing in a cardiology journal were more likely to view PCI/CABG favorably relative to those publishing in a general medicine journal [χ2 (2, N = 62) = 7.17, p = .028]. ConclusionEditors should adopt policies to counteract the unbalancing effects that COIs have on medical opinions and evidence.

Full curriculum-based venture creation programmes: current knowledge and research challenges

PurposeFull curriculum-based Venture Creation Programmes (VCPs) are a relatively new and potentially underutilised form of degree programme in which students explore the on-going creation of a new venture as a primary aspect of their formal study. The highly experiential nature of VCPs has the potential to meet the calls of researchers and policymakers for students to actively participate in and control their own learning for enterprise and entrepreneurship. However, research into VCP's remains limited which constrains their development. The purpose of this paper is, therefore, to review the literature surrounding VCPs in order to investigate the current research and explore areas for further study to support the development of these courses.Design/methodology/approachA systematic literature review was conducted in order to find and explore literature around VCPs, defined here as credit-bearing whole programmes of study, focused on learning for entrepreneurship, with the creation of a real-life business venture as an integral part of the learning experience, on which completion of the programme is dependent. First, academic literature published in peer-reviewed journals was collected through a systematic search. In parallel with this, academic colleagues working in this space were contacted for recommendations of literature and for information on work in progress. This led to additional emerging work being discovered that is primarily being presented at conferences. A further general Internet search was conducted to find non-academic information, reports and literature relating to VCP practice.FindingsFour themes were explored covering the entire student journey (1) application and recruitment; (2) teaching, learning and assessment; (3) development of entrepreneurial identity; and (4) entrepreneurial outcomes. The literature presented in the paper suggests that VCPs can meet calls to provide an innovative curriculum based on experiential learning principles. VCPs can provide a positive learning experience in addition to leading to actual business start-up during the degree or after graduation.Originality/valueThis paper presents a comprehensive review of literature focusing on VCPs. Recommendations are made for further research. A key question remains: if full VCPs have the potential to enhance learning, produce positive business outcomes, and address policy calls, why are there so few known VCPs at universities around the world?

NEW MOMS USE OF MEDIA TECHNOLOGY IN PARENTING

Literature review from as early as 2004 till 2020 was analyzed from various databases such as Web of Science (WoS), SAGE Publications, Wiley-Blackwell, Elsevier, and ACM. These literature reviews were within the area of new media and new moms and their transition towards parenthood. Seeing that new moms are navigating ubiquitous territory of parenting coupled with isolation and insufficient face-to-face contact, more urban new moms are utilizing technology to obtain information and support. The researcher created three blocks of searches with keywords ranging from parenting, new media and social media groups to obtain these literatures. Pertinent literature was highlighted in this research. Results from combing the literature indicates that new moms are utilizing various types of technology to obtain information and support ranging from general internet search engines, bulletin boards, blogs and Facebook as these platforms provides the interactivity and ease of use for exchange of information as well as the sense of belonging to a community with shared interest.

Pediatric Group Care: A Systematic Review.

To describe characteristics and outcomes of Group Well-Child Care programs and provide recommendations for future research. Informed by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, an electronic references database, manual search of bibliographies and peer-reviewed journals, and general Internet search were conducted including research published up to July 2019. English language, peer-reviewed research, with provision of medical care were included. Studies without published outcomes, not specific to well-child care, or included only one visit were excluded. Nineteen articles met review criteria. Study quality was assessed using the Downs and Black tool for rigor. Programs typically included an individual medical examination, check-in, and group discussion. Demographics varied by race, ethnicity, age, income level, education and parity, though many were used specifically with underserved populations. Group size ranged from 3 to 10 and lasted an average of 1.5h over a period of 6-24months. Evidence suggests group well-child care is as effective as individual care with improvement noted for health-care utilization, weight outcomes, and more content covered. Design elements such as patient-led discussion, self-check-in, inclusion of other family members, and use of a variety of health care professionals and para-professionals may influence these outcomes. Group well-child care is useful in providing efficient and patient-centered care and shows promise for use in underserved populations. Future research should utilize more rigorous study design and include evaluations of program components and group processes to address implementation challenges and determine effectiveness.

Older Adults' Experiences With Using Technology for Socialization During the COVID-19 Pandemic: Cross-sectional Survey Study.

BackgroundTechnology use has become the most critical approach to maintaining social connectedness during the COVID-19 pandemic. Older adults (aged >65 years) are perceived as the most physiologically susceptible population to developing COVID-19 and are at risk of secondary mental health challenges related to the social isolation that has been imposed by virus containment strategies. To mitigate concerns regarding sampling bias, we analyzed a random sample of older adults to understand the uptake and acceptance of technologies that support socialization during the pandemic.ObjectiveWe aimed to conduct a population-based assessment of the barriers and facilitators to engaging in the use of technology for web-based socialization among older adults in the Canadian province of British Columbia during the COVID-19 pandemic.MethodsWe conducted a cross-sectional, population-based, regionally representative survey by using the random-digit dialing method to reach participants aged >65 years who live in British Columbia. Data were analyzed using SPSS (IBM Corporation), and open-text responses were analyzed via thematic analysis.ResultsRespondents included 400 older adults aged an average of 72 years, and 63.7% (n=255) of respondents were female. Most respondents (n=358, 89.5%) were aware of how to use technology to connect with others, and slightly more than half of the respondents (n=224, 56%) reported that, since the beginning of the pandemic, they used technology differently to connect with others during the pandemic. Additionally, 55.9% (n=223) of respondents reported that they adopted new technology since the beginning of the pandemic. Older adults reported the following key barriers to using technology: (1) a lack of access (including finance-, knowledge-, and age-related issues); (2) a lack of interest (including a preference for telephones and a general lack of interest in computers); and (3) physical barriers (resultant of cognitive impairments, stroke, and arthritis). Older adults also reported the following facilitators: (1) a knowledge of technologies (from self-teaching or external courses); (2) reliance on others (family, friends, and general internet searches); (3) technology accessibility (including appropriate environments, user-friendly technology, and clear instructions); and (4) social motivation (everyone else is doing it).ConclusionsMuch data on older adults’ use of technology are limited by sampling biases, but this study, which used a random sampling method, demonstrated that older adults used technology to mitigate social isolation during the pandemic. Web-based socialization is the most promising method for mitigating potential mental health effects that are related to virus containment strategies. Providing telephone training; creating task lists; and implementing the facilitators described by participants, such as facilitated socialization activities, are important strategies for addressing barriers, and these strategies can be implemented during and beyond the pandemic to bolster the mental health needs of older adults.

United States v. Google - Implications of the Antitrust Lawsuit for Health Information

In October 2020, the U.S. Department of Justice and 11 state attorneys general filed an astounding civil antitrust lawsuit against Google. The cause of action was that Google has created and maintained through anticompetitive strategies monopolies on general internet search and search advertising, in violation of Section 2 of the Sherman Antitrust Act. The lawsuit has sparked wide interest since it is the first time that one of the major technology platforms has been the focus of antitrust action. This article explores the implications of the antitrust lawsuit for health information. Google’s internet search engine is used for a remarkable 1 billion health-related searches per day, constituting 7% of its total search traffic. Search results for health information are typically accompanied by advertisements that appear at the top of the page. This article presents arguments that Google maintains monopolies on online search for health information and advertising for health products. A single, dominant provider of online health information harms consumer welfare since it discourages innovation in internet search and may result in a biased spectrum of health information. The article discusses another recent lawsuit, Dinerstein v. Google, a health information privacy lawsuit, which provides a broad perspective on the vast quantity of personal health information to which Google has gained access. The article concludes with a presentation of possible antitrust remedies.

United States v Google-Implications of the Antitrust Lawsuit for Health Information.

In October 2020, the U.S. Department of Justice and 11 state attorneys general filed an astounding civil antitrust lawsuit against Google. The cause of action was that Google has created and maintained through anticompetitive strategies monopolies on general internet search and search advertising, in violation of Section 2 of the Sherman Antitrust Act. The lawsuit has sparked wide interest since it is the first time that one of the major technology platforms has been the focus of antitrust action. This article explores the implications of the antitrust lawsuit for health information. Google’s internet search engine is used for a remarkable 1 billion health-related searches per day, constituting 7% of its total search traffic. Search results for health information are typically accompanied by advertisements that appear at the top of the page. This article presents arguments that Google maintains monopolies on online search for health information and advertising for health products. A single, dominant provider of online health information harms consumer welfare since it discourages innovation in internet search and may result in a biased spectrum of health information. The article discusses another recent lawsuit, Dinerstein v. Google, a health information privacy lawsuit, which provides a broad perspective on the vast quantity of personal health information to which Google has gained access. The article concludes with a presentation of possible antitrust remedies.

MP41: Crowdsourcing to save lives: A scoping review of bystander alert technologies for out-of-hospital cardiac arrest

Introduction: Out-of-hospital cardiac arrest (OHCA) constitutes a significant global health burden, with a survival rate of only 10-12%. Early intervention is vital but limited by ambulance response times, low rates of bystander assistance, and access to AEDs. Smartphone technologies have been developed that crowdsource willing volunteers to nearby OHCAs in order to initiate resuscitation prior to ambulance arrival. We performed a scoping review to map the available literature on these crowdsourcing technologies and compared their key operational features. Methods: A search strategy was developed for five online databases: Medline, Cochrane, Embase, and Web of Science, as well as Google Scholar. We searched for primary studies and grey literature describing mobile phone technologies that alerted users of nearby cardiac arrests in the community. Two reviewers independently screened all articles and extracted relevant study information. Subsequently, we performed a search of the Google and Apple app stores, a general internet search, and consulted experts to identify all available technologies that might not be described in literature. We contacted developers for information on technology use and specifications to create a detailed features table. Results: We included 72 articles examining bystander alerting technologies from 15 countries worldwide, owing to the increasing importance of this topic. We identified 25 unique technologies, of which 18 were described in the included literature. Technologies were either text message-based systems (n = 4) or mobile phone applications (n = 21). Most (23/25) used global positioning systems to direct bystanders to victims and nearby AEDs. Response radii for alerts varied widely from 200m to 10km. Some technologies had advanced features such as video-conferencing with ambulance dispatch and detailed alert settings. Not all systems required volunteers to have first aid training. There were 18 studies examining effects on bystander intervention, all of which showed significant improvements using the technologies. However, only six studies assessed impact on survival outcomes. Key barriers discussed included false positive alerts, legal liability, and potential psychological impact on volunteers. Conclusion: Our review provides a comprehensive overview of crowdsourcing technologies for bystander intervention in out-of-hospital cardiac arrest. Future work in this growing field should focus on survival outcomes and methods of addressing barriers to implementation.

Document analysis of exertional heat illness policies and guidelines published by sports organisations in Victoria, Australia

ObjectivesTo conduct a document and content analysis of exertional heat illness (EHI)-related documents published by sports organisations in Victoria, Australia, in order to determine their scope and evidence base against...

How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners

Genomic technologies are having an increasing impact across medicine, including primary care. To enable their wider adoption and realize their potential, education of primary health-care practitioners will be required. To enable the development of such resources, understanding where GPs currently access genomic information is needed. One-hundred fifty-nine UK GPs completed the survey in response to an open invitation, between September 2017 and September 2018. Questions were in response to 4 clinical genomic scenarios, with further questions exploring resources used for rare disease patients, direct-to-consumer genetic testing and collecting a family history. Respondents were most commonly GP principals (independent GPs who own their clinic) (64.8%), aged 35–49 years (54%), worked as a GP for more than 15 years (44%) and practiced within suburban locations (typically wealthier) (50.3%). The most popular ‘just in time’ education source for all clinical genomic scenarios were online primary care focussed resources with general Internet search engines also popular. For genomic continuous medical education, over 70% of respondents preferred online learning. Considering specific scenarios, local guidelines were a popular resource for the familial breast cancer scenario. A large proportion (41%) had not heard of Genomics England’s 100,000 genome project. Few respondents (4%) would access rare disease specific Internet resources (Orphanet, OMIM). Twenty-five percent of respondents were unsure how to respond to a direct-to-consumer commercial genetic test query, with 41% forwarding such queries to local genetic services. GPs require concise, relevant, primary care focussed resources in trusted and familiar online repositories of information. Inadequate genetic education of GPs could increase burden on local genetic services.