Use Of Mobile Units Research Articles

\u201cDoes this dental mob do eyes too?\u201d: perceptions and attitudes toward dental services among Aboriginal Australian adults living in remote Kimberley communities

BackgroundAustralian Aboriginal and Torres Strait Islander people continue to experience significant disparities in oral health and there remains an urgent need to improve services to rural and remote communities. Quantitative research has typically been used to highlight the disease burden and severity experienced by those living in remote communities, but this data does little to explore the lived reality and psychosocial nuances that impact on care. The Kimberley region of Western Australia is home to over 150 Aboriginal communities spread out across 400,000 square kilometres. The success and sustainability of oral health services to these remote communities relies on respect and reciprocity achieved through shared knowledge, decision making and involvement of Aboriginal people in discussions around oral health services and their delivery. This, study aimed to investigate the perceptions and attitudes toward dental services among Aboriginal Australian families living in remote Kimberley communities.MethodsSemi-structured interviews and yarning circles were carried out following purposive sampling of Aboriginal adults living in the East Kimberley region of Western Australia. Interviews were recorded, transcribed, and analysed guided by a constructivist grounded theory approach.ResultsIn total, 80 community members participated in the yarning process. Enablers to care included: promotion of existing services, integration with primary health services, using mobile dental services and volunteers to extend care. Barriers to care included transportation, cost of treatment, the complexity of appointment systems and shame associated with health-seeking behaviours.ConclusionsReassessing the prevailing operative model of dental care to remote Aboriginal communities is warranted to better address the overwhelming structural barriers that impact on oral health. Integration with existing primary health services and schools, the use of mobile units to extend care and increasing community engagement through clinical yarning are recommended in improving the current state of dental services to communities in the Kimberley.

FEASIBILITY STUDY OF APPLICATION OF FLOWSTREAM TREATMENT MOBILE INSTALLATIONS AT OIL FIELDS DURING TEST OPERATION

Background Currently, there are trends towards the development of promising solutions in the field of mobile installations. One of the main advantages of mobile plants is the possibility of developing deposits in the early stages, which will increase the economic efficiency of the project, before putting into operation the main production facilities. This is especially true for poorly studied new deposits due to the uncertainty in the number of geological and recoverable reserves, and a change in production profiles. The article assesses the prospects for the use of mobile units for the development of oil fields during the trial operation, in comparison with the use of units in capital execution. Aims and Objectives The aim of the article is a feasibility study on the use of mobile units for the development of oil fields, at the trial operation stage. Results According to the results of the feasibility study on the use of mobile units for the period of trial operation of the fields, a positive economic effect was revealed, provided that the launch of the field was accelerated, in comparison with the use of installations in the capital version.

Driving Access to Care: Use of Mobile Units for Urine Specimen Collection During the Coronavirus Disease-19 (COVID-19) Pandemic

Patients with substance use disorders (SUD) are at increased risk of both coronavirus disease-19 complications as well as exacerbations of their current conditions due to social distancing and isolation. Innovations that provide increased access to support substance use disorder patients may mitigate long-term sequelae associated with continued or renewed drug use. To improve patient access during the coronavirus disease-19 pandemic, we deployed a mobile unit to enable access to urine drug testing where needed for patients suffering from substance use disorder. Over a 3-week pilot program, 54 patients received urine drug testing across 5 providers and 8 zip codes. The mobile unit was cost-effective, demonstrating a volume-dependent 19% lower cost compared to pre-coronavirus disease-19 patient service centers in a similar geographic region. The mobile unit was well-received by patients and providers with an average of 9 out of 10 satisfaction scores and allowed for access to urine drug testing for 67% patients who would not have received testing during this time frame. No statistically significant differences were found in substance use positivity rates in comparison to pre-coronavirus disease findings; however, some shifts in use included higher rates of fentanyl and opioid positivity and reductions in tetrahydrocannabinol and cocaine use in the mobile collections setting. Deployment of mobile collection services during the coronavirus disease-19 pandemic has shown to be an effective mechanism for supporting patients suffering from substance use disorder, allowing for access to care of this often stigmatized, vulnerable population.

Socioeconomic determinants of cancer screening utilisation in Latin America: A systematic review.

Cancer incidence and mortality in Latin America are rising. While effective cancer screening services, accessible to the whole population and enabling early cancer detection are needed, existing research shows the existence of disparities in screening uptake in the region. We conducted a systematic review to investigate the socioeconomic determinants for the disparities in the use of breast, cervical and colorectal cancer screening services in Latin America. We searched for studies reporting on socioeconomic determinants impacting on access to breast, cervical and colorectal cancer screening, published from 2009 through 2018. The studies that qualified for inclusion contained original analyses on utilisation of breast, cervical and colorectal cancer screening across socioeconomic levels in Latin America. For each study, paired reviewers performed a quality analysis followed by detailed review and data extraction. Twenty-four articles that met the eligibility criteria and were of sufficient quality were included in this review. Thirteen of the included articles were written in English, eight in Portuguese and three in Spanish, and they reported on the use of breast or cervical cancer screening. No studies were found on the socioeconomic determinants regarding the utilisation of colorectal cancer screening in Latin America. Low income, low education level, lack of health insurance and single marital status were all found to be determinants of underuse of breast and cervical cancer screening services. Cancer screening programs in the region must prioritize reaching those populations that underuse cancer screening services to ensure equitable access to preventive services. It is important to develop national screening programmes that are accessible to all (including uninsured people) through, for example, the use of mobile units for mammography and self-screening methods.

An Unmanned Aerial Vehicles Company: A Stochastic Model of Resources Overbooking

Abstract In connection with the rapid development of commerce of unmanned aerial vehicles (UAV), the optimality of their use with UAV companies (UAVCo) is becoming increasingly important. The basis of such companies are mobile units (mobile units (MU)), which include UAV, means of their delivery to the place of rendering services and maintenance personnel. A problem of determining the optimal level of orders for the use of MU with UAVCo has been formulated and solved. The task is formulated as an overbooking task. The process under investigation is described as a discrete-time Markov chain corresponding to 24 hours. Based on a fixed number of MU and a fixed overbooking level, distributions for the number of orders on hand, the number of unfulfilled customs, and the average income with an MU usage fee and penalties for unfulfilled orders factored in have been calculated. The solution method has been tested on a particular model. For calculation used language and computer environment MathCAD.

Can the careHPV test performed in mobile units replace cytology for screening in rural and remote areas?

Human papillomavirus (HPV) DNA testing can be crucial for women who have limited access to traditional screening. The current study compared the results obtained through HPV DNA testing with those obtained through cytology-based screening. A total of 3068 women aged 18 to 85 years were enrolled in an opportunistic cervical cancer screening program developed by the Barretos Cancer Hospital and performed by a team of health professionals working within a mobile unit from March to December 2012, followed by statistical analyses. For each patient, 2 different cervical samples were collected and preserved in a careHPV assay and SurePath medium, respectively. High-risk HPV (hr-HPV) DNA was detected in 10.0% of women, with the majority (86.7%) demonstrating no abnormal Papanicolaou test results. The following cytological samples were found to be hr-HPV positive: 8.2% of the normal samples; 39.4% of the samples with atypical squamous/glandular cells of undetermined significance; 38.5% of the samples with atypical squamous/glandular cells of undetermined significance, cannot exclude high-grade lesion; 55.3% of the samples with low-grade squamous intraepithelial lesions; and 100% of the samples with high-grade squamous intraepithelial lesions. Colposcopy examinations were performed among 33.4% of the women with positive results on at least 1 of the tests (HPV DNA positive and/or cytology with atypical squamous/glandular cells of undetermined significance, cannot exclude high-grade lesion or high-grade squamous intraepithelial lesions), and 59.5% of these women underwent biopsies. Among these samples, 18.2% were confirmed as cervical intraepithelial neoplasia. The careHPV test was demonstrated to be a feasible alternative to primary screening in low-resource settings accessed through the use of mobile units. Cancer Cytopathol 2016;124:581-8. © 2016 American Cancer Society.

WiMAX 초기 인증을 향상시킨 경량화된 PKM 상호 인증 프로토콜

최근 노트북, PDA와 같은 이동 단말기의 사용이 일반화되면서 고속 인터넷 서비스에 대한 요구가 점차 증가하고 있지만 IEEE 802.16e에서 제공하는 PKMv2만으로는 고속 인터넷 서비스의 완전한 보안을 제공하지 못하고 있다. 이 논문에서는 WiMAX 환경에서 동작되는 노드들의 안전한 고속 데이터 전송을 지원하기 위하여 PKMv2를 경량화한 상호 인증 프로토콜을 제안한다. 제안된 상호 인증 프로토콜은 네트워크내 사용자가 초기 인증을 수행한 후 네트워크 내에서 가입자와 베이스 스테이션 사이의 추가적인 인증과정을 수행하지 않고 안전하게 네트워크 내에서 통신할 수 있도록 하여 효율성을 향상시켰다. 또한 제안된 상호 인증 프로토콜에서는 인증서를 보호하기 위해서 노드 자신이 생성한 난수와 비밀값을 PRF() 함수에 적용하여 키를 생성함으로써 가입자와 베이스 스테이션 사이의 내부 공격(man-in-the-middle 공격과 reply 공격)에 안전성을 보장하고 있다. Now a days, as increased the use of mobile units like a laptop computer and PDA, the demand for high speed internet service is increasing. On the other hand, PKMv2 which is provided from IEEE 802.16e cannot support fully on the security of high speed internet service. This paper proposes light-weight mutual authentication protocol which solved security problem of PKMv2 related to integrity of mobile node for transmission of safe high speed data of mobile node operating in mobile WiMAX environment. Proposed mutual authentication protocol increases the efficiency as the user in network can move in network safely without additional procedure of authentication between subscriber and base station after user's initial authentication. Also, the proposed mutual authentication protocol is safe from the security attack (the man-in-the-middle attack and reply attack) between subscriber and base station by generating a key adopt to PRF() function using random number and secret value in order to secure certification.

An efficient bandwidth reservation and call admission control scheme for wireless mobile networks

With increasing use of mobile units for various applications, it has become imperative to provide services with quality of service (QoS) guarantees. Efficient utilization of the available bandwidth is an important issue in any QoS provisioning scheme. To this end, we propose techniques for bandwidth reservation and call admission control for wireless mobile networks. Our proposed techniques utilize the available bandwidth efficiently to provide QoS guarantee with reduced new call rejection and handoff call blocking. We have analyzed the performance of our scheme through extensive simulation studies. The results appear promising.

Using a mobile unit for in‐service training of teachers in biotechnology

In the past ten years approximately 40 mobile training units have been used to provide courses in aspects of technology for teachers and for pupils. In this article a brief overview of past and present use of mobile units is given. Although, as will be seen, it is impossible to assess the overall success of such units due to lack of any systematic evaluation, it is possible to assess the effectiveness of one mobile unit. The aim for this unit, the Biotechnology Bus, was to encourage the uptake of biotechnology into the school curriculum.

Teleradiology: Part of a Comprehensive Telehealth System

Present technologic limitations do not allow completely accurate reproduction of a chest film, the gold standard of teleradiology. Although interpretation accuracy of broad-band teleradiographs is reasonably good and encouraging, the low level of confidence engendered by teleradiology interpretations in narrow-band transmission is self-evident in view of the tendency to provide an immediate provisional report followed later by a signed report after direct viewing of the film. Despite this, the important observation, putting things into perspective, was made by Andrus and Bird, namely that "the question is not whether teleradiology is preferable to direct visualization when either is available, but whether teleradiology offers an acceptable universally applicable method to augment the usefulness of the radiologist." Although fiberoptic guides may well lace the country in a few years, providing ample capacity and superb transmitted images, there are several options presently worth investigating now. These could provide teleradiology services to remote and rural communities, depending on the level of need and skills at the remote site, the availability and cost of transmission, and the need for access to 24-hour consultation services. The future role of teleradiology on a much larger scale within a regional network of health care facilities has yet to be defined, based on the perceived need for reasonable access to expensive but precise imaging methods. On the face of it, it would seem unlikely that small community hospitals will be able to afford the cost and maintenance of CT and MR scanners, digital angiography, and other useful and accepted imaging services.(ABSTRACT TRUNCATED AT 250 WORDS)

The use of mobile units in the first aid and medical treatment of gas casualties

The use of mobile units in the first aid and medical treatment of gas casualties