TracWork: An On-Field Employee Tracking System

The internet has transformed the world into a global village, benefiting our society as a whole and empowering people in a variety of ways. Many mobile applications are becoming a part of people's daily lives and assisting them in their jobs or daily routines, thanks in part to the phenomenal growth of Internet usage over the last 21 years. Previous research has found a scarcity of high-quality apps that cover all bases. This project's primary goals are to combine fragmented market systems into a product capable of performing functions such as tracking an employee's on-field movement using GPS; assisting employees in navigating to their next destination; maintaining and improving productivity levels using indicators such as battery status; current and past location; and so on. We highlight previous work and how we learned to extract a model that harmonises current systems while also improving quality of life in this study. We investigated numerous approaches, methods, and procedures before applying them to the development of the system

PSYCARIA - EMOTION DETECTOR FOR A PSYCHIATRIST

Every person will experience stress around the world, some healthy, called EUSTRESS and some unpleasant, named DISTRESS. Good pressure and stress promote success. Stress damages people's lives and health and causes various diseases. On the other hand, psychiatrists have a hard time treating their patients owing to a lack of time. They need innovative and intelligent equipment to treat their patients. We prepared a device that can detect a person's POSITIVE and NEGATIVE emotions through a smartwatch and a gadget that can sense body temperature, respiration, and heart rate. After witnessing these parameters, it can store the results on a website depending on the patient's condition. For example, the psychiatrist observed one patient for at least seven days regarding the days' results stored on a website. After seven days, the report is generated. The goal of psychiatrists in keeping their patients for seven days is to assess their emotional health and determine if they need to adjust their treatment. This system detects eight positive and negative emotions through heartbeat, respiratory, and body temperature sensors. These sensors are incorporated by utilizing machine learning. Web-based apps interpret sensor readings. Psychiatrists will analyze and report the website's results

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation

Thematic Objective Structured Clinical Examination (OSCE) of Medical Students

Background : To study the students and faculty perception for incorporating long and short case in a ‘Thematic’ OSCE assessment of final year students.Methods: in this observational study 12 station with performance based OSCE for final year students, were developed. OSCE stations were divided in clusters of 3 stations. Each cluster started with a history from a real patient (non-standardized), followed by relevant physical examination on another real patient (standardized) and finally an interactive discussion on the two stations about diagnosis and management addressing clinical reasoning. Competency-based blueprint was determined after several discussions within the section of Medicine to ensure validity. Multiple trained examiners were used for grading purposes. Each station was given seven minutes. Feedback from students and faculty was obtainedResults: Structured questionnaire was completed by 189 out of 200 students over two consecutive final year students’ batch. Thirty faculty members responded to the feedback questionnaire. More than 80% of students gave favorable feedback on various aspect of thematic OSCE. Faculty members also liked the new format for its efficiency, competency-based approach and real patients’ participation.Conclusion: Thematic OSCE can serve as a practical alternate for traditional assessment of undergraduate medical students in Pakistan