Service Sites Research Articles

Programmes promoted on police service websites to safeguard autistic individuals in Ontario, Canada: an inductive content analysis

PurposeThis study (1) explores what programmes police services promote for autistic individuals on their websites and (2) describes how autistic individuals are constructed in the information about these programmes.Design/methodology/approachAll 53 official police service websites in Ontario, Canada, were examined to determine which programmes were promoted for autistic individuals. Inductive qualitative content analysis was used to identify and describe how autism was constructed in the information about the programmes.FindingsAbout 64.8% of police services in Ontario, Canada, promoted at least one programme to autistic individuals and their caregivers. These programmes included Vulnerable Person and Autism Registries, MedicAlert™ and Project Lifesaver™. Autistic individuals were described as vulnerable using medicalised and tragic narratives of autism.Originality/valueAutistic individuals and caregivers have suggested several interventions to improve police-autistic individual encounters. Little is known about which interventions police services have adopted and which representations of autism are used to describe autistic individuals.

State-level trends in access to Medicaid family planning services, 2008-2023.

To characterize the landscape of policies that determine eligibility for family planning services through Medicaid programs and describe trends in eligibility and its determinants over time. Secondary data were collected for all states in the United States for the years 2008 through 2023. Data on economic and demographic characteristics came from the American Community Survey (ACS). Our descriptive study characterized state adoptions of Medicaid family planning section 1115 waivers and state plan amendments (SPA) and their eligibility criteria. We then estimated the proportion of women aged 19-44 years who were eligible for family planning services through Medicaid and identified the key determinants of changes in eligibility, by state and year. Information on state Medicaid policies was extracted from documentation on the Centers for Medicare & Medicaid Services website. When estimating the eligible population sizes, the denominator was women aged 19-44 years, the group most likely to be eligible for Medicaid family planning programs. Supplemental data on program enrollment or utilization were collected from states' websites and reports. Though eligibility limits for family planning through Medicaid generally increased over time, the proportion of women aged 19-44 years eligible for at least limited benefits decreased from 45.0% in 2012 to 39.4% in 2022, largely because of increases in household income. Trends varied considerably across states and by eligibility pathway. Among women with incomes below the poverty level, the proportion who were not eligible for Medicaid family planning services decreased from 6.3% in 2013 to 1.5% in 2022. Our data demonstrated substantial geographic and temporal variation in eligibility for family planning services through Medicaid. We identified key drivers of eligibility changes that may have important implications for health services analyses of means-tested public programs.

Towards women's digital health equity: A qualitative inquiry into attitude and adoption of reproductive mHealth services in Bangladesh.

Health equity in Bangladesh faces a large chasm over the economic conditions, socio-cultural factors and geographic location despite the push for digitalization of the health sector. While some research has been conducted assessing the viability of digital health solutions in Bangladesh, gender dynamics of digital healthcare have been absent. This study dived into healthcare equity for women with a focus on reproductive health services delivered through mobile devices. This paper reported the findings of a qualitative study employing in-depth interviews conducted among 26 women about their behavioral intention to use mHealth services for reproductive health and the underlying factors influencing this intention with the help of the Integrative Model of Planned Behavior (IMPB). A snowball sampling technique were used to interview those university educated women, aged 21-31, based on their familiarity and exposure of mHealth services from seven universities in Bangladesh. The findings suggested that users of mHealth services find it more convenient and secure compared to visiting healthcare facilities, especially for trivial issues and inquiries regarding their reproductive health. Although promoting such services is lagging behind traditional healthcare, the attitude toward reproductive health services in Bangladesh is generally favorable resulting increasing adoption and use. Because such information-related mobile services (apps, websites, and social media) served as a first base of knowledge on reproductive health among many young girls and women in Bangladesh, who are generally shy to share or talk about their menstruation or personal health problems with family members, peers, or even health professionals due to socio-cultural factors and stigmatization. Conversely, urban centric services, availability of experts, quality management, security of privacy, authenticity of the information, digital divide, lack of campaign initiatives, lack of equipment and technology, lack of sex education, and outdated apps and websites were identified as obstacles that constrain the widespread use of reproductive mHealth services in Bangladesh. This study also concluded that promotion will be crucial in reforming conservative norms, taboos, and misconceptions about women's health and recommended such endeavors to be initiated by the policy makers as there is a substantive need for a specific policy regulating emerging digital health market in Bangladesh. Notwithstanding, women-only sample, low sample size, narrow focus on mHealth users and absence of perspectives from healthcare providers were among shortcomings of this study which could be addressed in future research. Further quantitative explorations are must to determine the usage patterns of reproductive mHealth services and their effectiveness that would identify implementation challenges in terms of customization and personalization in reproductive healthcare in a developing country like Bangladesh.

A scoping review to map public-facing websites for non-traumatic wrist disorders with quality evaluation

Introduction Public-facing resources for non-traumatic wrist disorders (NTWD) exist, but care recipients and healthcare professionals alike are uncertain where to access the most useful resources and have raised concerns over the quality of information provided. Previous studies involving stakeholders highlight a need for quality evaluation of these resources. The aim of this study was to identify website resources accessible to UK-based online health seekers and explore their content through quality assessment. Methods A scoping review of public-facing websites was conducted in accordance with Joanna Briggs Institute guidelines and PRISMA-ScR checklist. An a-priori search strategy was performed of publicly accessible websites using lay terms were entered into a simple Google search. The DISCERN tool was used to appraise the quality of health information with additional data charted to pre-determined criteria. Results The 82 websites meeting inclusion criteria scored an average of 2/5 DISCERN. Nine funding categories existed with private service websites were the most common. 18 different diagnoses were found with twenty different management interventions were recommended. Conclusion Considerable variation was found in the quality of websites providing information which people with NTWD are likely to access. Quality and trustworthiness of website information on NTWD are not the preserve of any sector or organisation and we identified potential for improvements across the board.

Marketing mental health services: a mixed-methods analysis of racially and ethnically diverse college students’ engagement with and perspectives on U.S. university mental health clinics’ websites

BackgroundThe United States (U.S.) faces a significant mental health crisis, with around 52.9 million adults experiencing mental health disorders, with young adults (18–25 years old), such as college students, having the highest prevalence and lowest service utilization rates. While efforts to expand mental health services through “push” strategies are in place (e.g., training therapists in evidence-based therapies), limited initial engagement suggests a need for “pull strategies” and targeted marketing that make services attractive to college students and increase demand. This mixed-methods study identifies U.S. university mental health clinic websites and website characteristics that are attractive and engaging to college students interested in seeking mental health services (i.e., students were considering or actively looking for mental health support).MethodsEleven U.S. university websites were chosen (10 randomly and one from the university where students were attending) from a pool of 44 Psychological Clinical Science Accreditation System training clinics websites. Fifty-seven college students (Mage = 20.95, SD = 2.97; 81% female; 68% racial/ethnic minority) were videorecorded engaging with two U.S. university mental health clinic websites, completed self-report engagement measures, and gave detailed feedback about websites through semi-structured interviews.ResultsLikert scale scores revealed moderate engagement with all websites (e.g., they were interesting and helpful). Qualitative results indicated that websites that provided important and easily understood information about key features of services (e.g., types, evidence-base, and cost), therapist backgrounds, psychoeducation, used lay language, and had an appealing website layout (e.g., color, font, images, organization, and interactive components) generated greater consumer interest and trust in their mental health services.ConclusionsThis study emphasizes the importance of using marketing strategies to enhance college students’ engagement through mental health service websites. Salient features, psychoeducation, and effective promotional strategies (e.g., how information is presented) were identified as crucial for website engagement and subsequent mental health service uptake. Using marketing strategies, such as tailoring language to consumer literacy levels, describing the evidence-base of services, and improving website design may address college students’ needs and enhance initial mental health service engagement.

Rancang Bangun Website Layanan Muggle Cloud Terintegrasi dengan WHMCS & Tidio LiveChat

This study aims to design and develop the Muggle Cloud service website integrated with WHMCS (Web Host Manager Complete Solution) and Tidio LiveChat. The background of this research is the need for a hosting platform that can manage hosting services, payments, and customer support effectively and efficiently. Many hosting companies currently face difficulties in integrating account management systems, payment processes, and customer support, resulting in suboptimal services for users. The purpose of this research is to develop an integrated system that can solve these problems by providing a website that facilitates hosting service management and supports real-time interaction between customers and technical support. The method used in this research is the Waterfall software development model, which includes the stages of requirement analysis, system design, implementation, testing, and maintenance. Data were collected through literature studies, interviews with related parties, and analysis of existing systems. The results of the research show that the integration between WHMCS and Tidio LiveChat on the Muggle Cloud platform successfully provides an effective solution for managing hosting services and customer support. The implementation of this system not only simplifies administrative and payment processes but also increases responsiveness to customer needs and inquiries through live chat features. The conclusion of this research is that the integrated system can improve operational efficiency and customer satisfaction in hosting service companies and make an important contribution to the development of integrated hosting service management technology.

Review of Local Homeless Mortality Efforts: A Call for Standardized Data and Reporting.

There are currently no national estimates of how many people die while unhoused in the US. Local jurisdictions have developed their own approaches for estimating homeless mortality. We aimed to examine these local approaches, document what is known about homeless mortality, and summarize local methodologies. We reviewed 17 publicly available homeless mortality reports (ie, gray literature). Reports were sought from government, Health Care for the Homeless, coalition to end homelessness, and other advocacy and social service websites. From each report, we extracted the number of homeless deaths, dates of observation, data source(s) used, determination of homeless status, manners and causes of death, and decedent demographics. Data collection and reporting on homeless mortality varied greatly across reports. This variation limits aggregation across reports. Medical examiner data was the most used data source. Manner of death was the most consistently collected field, with accidental deaths reported as the most prevalent manner of homeless deaths. Not all reports listed specific causes of death, but those that did reported toxicity (eg, overdose) and cardiovascular causes as most prevalent. The most granular age category of most homeless decedents was 40 to 60years. On average, 80% of decedents were of male sex. While over half of reports included race and ethnicity information, disparities could not be estimated without suitable denominators. Standardized data collection and reporting guidance is needed for homeless mortality. Health departments can work with local Health Care for the Homeless programs and Continuums of Care to establish data sharing processes. Matching vital statistics with homeless service utilization records may be one opportunity to improve these efforts. Until there is federal or national guidance on these standards, localities can consider adding housing or homelessness variables as optional or mandatory fields in electronic death reporting systems.

Optimalisasi Database dan Pembuatan Guidebook Layanan Sistem Informasi Desa Pupuan

The rapid development of information technology has impacted the way people think and perceive various activities. This swift progress, along with its wide-ranging potential applications, opens up opportunities for quick access to and dissemination of information. In village governance, information technology is used to quickly disseminate information and provide village services. The village of Pupuan has implemented the OpenSID village information system. However, it is not yet fully utilized by the village staff because the data on the website has not been fully entered. Additionally, there are no guidelines for submitting requests on the village website. Based on this situation, the researcher conducted activities such as optimizing the village website database, creating articles on the village website, and creating user manuals and instructional videos for the website's services. These activities are expected to provide the benefits of a village information system to the government of Pupuan Village and the local community. As a result, the OpenSID website of Pupuan Village was successfully managed and developed through these activities, and the village staff gained a better understanding of the website's services through the provided training and user manuals.

Empirical analysis of the cyberattacks of the Russian–Ukrainian war

This research study aims to empirically analyze the cyberattacks that occurred in the context of the Russian–Ukrainian conflict between 2022 and 2023, with a specific focus on the impact of these attacks on civilian infrastructure and institutions. The data collection for this study is based on publicly available sources from the Cyber- Peace Institute, taking into account various types of incidents such as malware, distributed denial of service (DDoS) attacks, spam, information operations, and website defacements. The study employs a network theory approach to examine the structure and dynamics of incidents and campaigns, while additional statistical methods and trend analysis are used to assess sector-specific and geographic patterns, as well as changes in attack frequency and severity. The research aims to contribute to the existing literature on cyber warfare and to provide valuable insights into the cyber threats faced by civilian infrastructure and institutions during times of conflict.

Politeness Strategies by "Ellie" from the Tv series "The Last of Us."

This research thoroughly explores the captivating world of politeness strategies employed by the main character, "Ellie," in the immensely popular television series "The Last of Us." the data source was meticulously collected from the HBO streaming service website and a comprehensive transcript repository. Employing Brown and Levinson's politeness strategy framework (1987), the study embarked on a qualitative method analysis, carefully examining the dialogue and interactions of "Ellie" throughout the series. The investigation unravels a fascinating array of insights, shedding light on how "Ellie" masterfully employs diverse politeness strategies in her communications. The study identified 16 instances of various politeness strategies found within the series. Among these, the most frequently observed strategy was the "Bald on Record" approach, utilized a remarkable nine times (comprising 52.25% of the instances). Following this, the "Negative Politeness" tactic emerged with four occurrences (25%), while "Positive Politeness" was deployed twice (12.5%). Lastly, the "Off-record" strategy was observed once (10%). The findings of this research unveil a compelling pattern of "Ellie" consistently employing a wide range of politeness strategies throughout the series. It is intriguing that the prevalence of "Bald on Record" may be attributed to the dangerous and challenging circumstances Ellie and the other characters face in the post-apocalyptic world. Direct communication is a pragmatic approach in such dire situations, minimizing misunderstandings and saving precious time. This study's nuanced exploration of politeness strategies in "The Last of Us" offers valuable insights into the complexities of human communication, even in the face of adversity. It mirrors real-life communication challenges and strategies in diverse contexts.

Analysis of HNI Website Service Quality Using Webqual 4.0 and Importance-performance Analysis (IPA) Methods in Sei Beduk District, Batam City

Analysis of HNI Website Service Quality Using Webqual 4.0 and Importance-performance Analysis (IPA) Methods in Sei Beduk District, Batam City

Development of a Measure of Anti-Rape Attitudes as a Potential Protective Factor Against Rape Perpetration.

The role of attitudes toward women and sexual violence in predicting men's perpetration of rape has been well documented in the literature. While research on rape perpetration has primarily focused on identifying risk factors, the limited understanding of protective factors has hindered the development of psychometric measures to assess attitudinal protective factors. However, comprehending these protective factors is essential for a comprehensive understanding of the risk of rape perpetration and the advancement of strength-based approaches. This research describes the development of a new scale designed to measure anti-rape attitudes (ARA) in young heterosexual men. To generate the initial item pool, relevant information was gathered from sexual violence support service websites and academic literature. This item pool underwent an external expert review for further item generation and cognitive interviews for content validation. This qualitative phase was followed by four quantitative studies for item reduction and scale validation. The resulting 19-item scale demonstrates good internal consistency (Cronbach's α = .84). The ARA scale exhibits strong negative correlations with rape myth acceptance (RMA) and hostile sexism, and strong positive correlations with positive consent attitudes (PCA), supporting the scale's construct validity. We further conducted hierarchical regression analyses to test the unique relationship of ARA with those constructs while controlling for RMA. These showed that ARA have significant, unique associations with PCA and ambivalent sexism. The development of this new scale enables a more comprehensive assessment of the risk of rape perpetration and opens up new avenues for research on protective factors against rape. Ultimately, this study constitutes an important step toward fostering strength-based approaches to combat sexual violence.

A comparative study of home healthcare quality in urban and rural home health agencies throughout the USA (2010-22).

Urban-rural disparities in medical care, including in home healthcare, persist globally. With aging populations and medical advancements, demand for home health services rises, warranting investigation into home healthcare disparities. Our study aimed to (i) investigate the impact of rurality on home healthcare quality, and (ii) assess the temporal disparities and the changes in disparities in home healthcare quality between urban and rural home health agencies (HHAs), incorporating an analysis of geospatial distribution to visualize the underlying patterns. This study analyzed data from HHAs listed on the Centers for Medicare and Medicaid Services website, covering the period from 2010 to 2022. Data were classified into urban and rural categories for each HHA. We employed panel data analysis to examine the impact of rurality on home healthcare quality, specifically focusing on hospital admission and emergency room (ER) visit rates. Disparities between urban and rural HHAs were assessed using the Wilcoxon test, with results visualized through line and dot plots and heat maps to illustrate trends and differences comprehensively. Rurality is demonstrated as the most significant variable in hospital admission and ER visit rates in the panel data analysis. Urban HHAs consistently exhibit significantly lower hospital admission rates and ER visit rates compared to rural HHAs from 2010 to 2022. Longitudinally, the gap in hospital admission rates between urban and rural HHAs is shrinking, while there is an increasing gap in ER visit rates. In 2022, HHAs in Mountain areas, which are characterized by a higher proportion of rural regions, exhibited higher hospital admission and ER visit rates than other areas. This study underscores the persistent urban-rural disparities in home healthcare quality. The analysis emphasizes the ongoing need for targeted interventions to address disparities in home healthcare delivery and ensure equitable access to quality care across urban and rural regions. Our findings have the potential to inform policy and practice, promoting equity and efficiency in the long-term care system, for better health outcomes throughout the USA.

Evaluation of the Appropriateness and Readability of ChatGPT-4 Responses to Patient Queries on Uveitis

To compare the utility of ChatGPT-4 as an online uveitis patient education resource with existing patient education websites. Evaluation of technology. Not applicable. The term "uveitis" was entered into the Google search engine, and the first 8 nonsponsored websites were selected to be enrolled in the study. Information regarding uveitis for patients was extracted from Healthline, Mayo Clinic, WebMD, National Eye Institute, Ocular Uveitis and Immunology Foundation, American Academy of Ophthalmology, Cleveland Clinic, and National Health Service websites. ChatGPT-4 was then prompted to generate responses about uveitis in both standard and simplified formats. To generate the simplified response, the following request was added to the prompt: 'Please provide a response suitable for the average American adult, at a sixth-grade comprehension level.' Three dual fellowship-trained specialists, all masked to the sources, graded the appropriateness of the contents (extracted from the existing websites) and responses (generated responses by ChatGPT-4) in terms of personal preference, comprehensiveness, and accuracy. Additionally, 5 readability indices, including Flesch Reading Ease, Flesch-Kincaid Grade Level, Gunning Fog Index, Coleman-Liau Index, and Simple Measure of Gobbledygook index were calculated using an online calculator, Readable.com, to assess the ease of comprehension of each answer. Personal preference, accuracy, comprehensiveness, and readability of contents and responses about uveitis. A total of 497 contents and responses, including 71 contents from existing websites, 213 standard responses, and 213 simplified responses from ChatGPT-4 were recorded and graded. Standard ChatGPT-4 responses were preferred and perceived to be more comprehensive by dually trained (uveitis and retina) specialist ophthalmologists while maintaining similar accuracy level compared with existing websites. Moreover, simplified ChatGPT-4 responses matched almost all existing websites in terms of personal preference, accuracy, and comprehensiveness. Notably, almost all readability indices suggested that standard ChatGPT-4 responses demand a higher educational level for comprehension, whereas simplified responses required lower level of education compared with the existing websites. This study shows that ChatGPT can provide patients with an avenue to access comprehensive and accurate information about uveitis, tailored to their educational level. The author(s) have no proprietary or commercial interest in any materials discussed in this article.

Choice of needleless connector technology as a risk reduction strategy for catheter related bloodstream infection, mortality, and cost: A secondary data analysis.

To compare relative risk (RR) of central line-associated bloodstream infection (CLABSI) between hospitals using Clave needleless connector technologies (NCT) and comparator hospitals using non-Clave NCT. And, to estimate avoided CLABSIs, mortality, and cost savings. Needleless connectors, while protective against needlestick injury, have long been implicated as a potential risk for CLABSI. Significant RR reduction of CLABSI among the many NCT has not been clinically demonstrated. The U.S. Healthcare-Associated Infections database was accessed for CLABSI data for calendar year 2019 via the Centers for Medicare and Medicaid Services website. This dataset was merged with the Clave NCT manufacturer's 2019 database to identify hospitals purchasing Clave NCT (MicroClave™, NanoClave™, Clave Neutron™, Clave™, Microclave™ Clear) and non-Clave NCT comparator hospitals. Sub-analysis of Clave NCT hospitals included: (1) Clave NCT mixed-use and (2) Clave high-volume use hospitals. The standardized infection ratio (SIR) was generated to estimate CLABSI RR after adjusting for intern/resident-to-bed-ratio (IRB), care location, and hospital demographics. Using the RR, avoided CLABSIs, mortality, and cost savings were calculated. A total of 2987 eligible hospitals (1288 Clave NCT, 1699 non-Clave NCT) with 17,452,575 central line-days were evaluated. All three Clave NCT hospital groups showed a statistically significant reduction in RR compared to the non-Clave NCT hospitals. The RR in Clave NCT hospitals was 0.93, a 7% decrease in CLABSI risk (p = 0.02). In the Clave NCT subgroups, mixed-use hospitals RR was 0.93, a 7% reduction (p = 0.04), while the Clave NCT high-volume hospitals experienced a 19% reduction, RR 0.81 (p = 0.04). An estimated 563 CLABSIs and 84 related deaths were avoided with use of Clave NCT and $27,095,231 in cost savings. The use of the Clave NCT, in and of itself, is an effective risk reduction strategy for CLABSI prevention, reduced mortality, and substantial cost savings.

The Supply of Surgical Specialists and Subspecialists to the U.S. Medicare Population: National Trends from 2013 to 2019.

The U.S. population is rapidly aging. The supply of surgeons needed to meet this demand should be evaluated. This study evaluated the trends in supply of Medicare surgeons by specialty and by U.S. state and region. All surgeons associated with a National Provider Identifier for cardiothoracic surgery, colorectal surgery, general surgery, gynecologic oncology, hand surgery, neurosurgery, obstetrics-gynecology, ophthalmology, oral and maxillofacial surgery, orthopedic surgery, otolaryngology, plastic and reconstructive surgery, surgical oncology, urology, and vascular surgery from 2013 to 2019 on the Centers for Medicare & Medicaid Services website were included. The absolute number of physicians was adjusted per 100,000 Medicare beneficiaries. Annual change was calculated by linear regression model, and the compound annual growth rate (CAGR) was calculated per specialty. The absolute number of physicians per 100,000 beneficiaries increased in 6 of 15 specialties during the study period. Vascular surgery had the largest annual increase (+0.23; CAGR, +2.75%), and obstetrics-gynecology had the largest annual decrease (-1.08; CAGR, -1.44%). Surgical oncology showed the largest positive CAGR (+4.20%). Oral and maxillofacial surgery had the largest negative CAGR (-2.86%). The Northeast was above the national average in supply for each specialty. The Midwest had the most specialties with positive CAGRs. The South did not meet the national average for physicians in any specialty. This analysis of 15 surgical specialties provides important context to predicted physician shortages to the Medicare population. The study found geographic variation by region across specialty, which has important implications for health care planning from the level of undergraduate medical education to provision of hospital resources. Overall, the supply of surgeons across all specialties may not be sufficient to meet the demand of the rapidly aging U.S. population. Future study is needed to evaluate why surgeons are leaving the Medicare program.

E-Satisfaction from E-government Services after E-Participation: A Perspective of E-Service Users (Citizens)

In the improvement or deterioration and continual usage of e-government services, users of e-government services are the most important characters in the satisfaction of e-government in Pakistan. The current study aimed to measure Pakistani users’ satisfaction with e-government service apps and websites. Five hypotheses are framed and key factors (Trust, Citizens’ Involvement, Reduction of Corruption, Transparency, Effectiveness, and Efficiency of e-services). The influence of Pakistanis' satisfaction level with the e-government based on the corresponding literature review is identified in the study. To investigate the proposed hypotheses, survey data was gathered from 310 citizens of Pakistan. The data is analyzed using SPSS, leading to numerous significant findings. These findings emphasize the worth of understanding the main drivers of e-satisfaction to make available endorsements for generating e-government thresholds that are aligned with the expectations and needs of the users. They also propose valuable understandings for government policymakers and general practitioners to develop e-government portals by making an allowance for several factors.

Evaluation analysis of electronic governance in the Malang City communication and information service

An innovative public service system can certainly produce more conduciveconditions and foster and develop creativity in the management of serviceunits and government institutions. This article identifies problems or obstaclesthat may occur in electronic governance services at the Malang City Diskominfo,especially on the Sambat Online website. By evaluating the quality and effectiveness of existing services, corrective and enhancing steps can be taken toensure that these electronic services truly provide benefits to the people ofMalang City. This article focuses on the evaluation analysis of Electronic Governance services carried out at the Malang City Communication and Information Service (Diskominfo) using descriptive qualitative research methods. Then the data collection technique was carried out by observation and distributingquestionnaires via Google Forms. The result of this article is that the SambatOnline website service mechanism itself makes it easier for people to makecomplaints online. The service in responding to complaints from the people ofMalang City is in web form (sambat.malangkota.go.id) via SMS, website andAndroid. The supporting factors for managing online sambat in responding tocomplaints from the people of Malang City are the available budget, supporting facilities and infrastructure. Meanwhile, the inhibiting factors for onlinesambat management in responding to complaints from the people of MalangCity are the lack of super admin in the Malang City communications andinformation services department, budgets that have not been allocated to eachregional apparatus and frequent rollovers in the distribution of employeeswithin the Malang City Government.

Effect of climate on emergency department admissions for renal colic: a comparative analysis of sedentary and non-sedentary lifestyles.

To investigate the impact of climate and seasonal variations on emergency department (ED) admissions for renal colic, while specifically comparing the differences between individuals with sedentary and non-sedentary lifestyles. A retrospective, single center study was conducted. Between the years 2017- 2020, medical records of patients admitted to the ED with renal colic, found to harbor ureteric stones on CT scans, were examined. Data on patients' occupational activities was collected through telephone questionnaires. Patients were categorized into two groups: sedentary and active. Precise weather data was obtained from the Israeli Meteorological Service website. The monthly average daily maximum temperatures were calculated. In the final sample of 560 participants, 285 were in the sedentary group, and 275 were in the active group. The study population consisted of 78.1% males and 21.9% females, with consistent gender ratios in both occupational groups. Prevalence of uric acid stones was higher in the sedentary group (p < 0.05). While there was a slight increase in admissions during the summer, seasonal distribution did not significantly differ among occupational groups. The study found no significant differences in admissions across different temperature ranges. Both groups exhibited a pattern of increased referrals during the summer and reduced referrals in the colder winter months. The baseline data revealed notable differences between the sedentary and active groups, particularly in the prevalence of uric acid stones. Climate factors, including temperature and seasonal variations, had limited impact on ED admissions for renal colic in patients with kidney stones, irrespective of their sedentary or active lifestyles. Both groups exhibited similar admission patterns, with a higher rate of admissions during the summer and a lower rate of admissions during the winter.

Cloud-Based Remote Real-Time Monitoring and Control System for Spring Fatigue Testing Machine

In recent years, the utilization of cloud technology has witnessed a surge, particularly in the domains of industrial automation and intelligent scenarios. However, the prevailing spring fatigue testing machine is still in the traditional single-machine working mode. In this mode, there are many problems such as low automation of testing equipment, poor experimental site environment, and the need for experimenters to be on duty for a long time. In order to solve the above problems, this paper builds a cloud-based remote monitoring and control system based on the high-temperature constant-force spring fatigue testing machine. The system is based on Browser/Server architecture, and clients can access it anytime and anywhere using a browser in a public network environment. The server is hosted on a public cloud platform and includes website service, data storage service, WebSocket real-time communication service, and remote video monitoring service. Clients can remotely monitor and control the testing machine in real time through the cloud. After experimental verification, the real-time monitoring and control messages delay is 11 ms, and the video monitoring delay is 291 ms, which can meet the actual needs of remote spring fatigue testing. This remote monitoring and control system improves the automation of the spring fatigue testing machine and improves the working environment of the experimenters. In addition, it can be applied to other reliability testing machines in the laboratory, and can further help build a workshop-level remote monitoring and control platform.