Is Hepatorenal Syndrome a Diagnosis for the Emergency Physician

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Measuring Language Effects of Bilingual Advertisements on the Language Preference among Chinese students in a University

The influence of advertising language on the readers’ emotion is pertinent in sustaining customer loyalty and long-term relationships. This study is a contrastive analysis of Chinese New Year seasonal greetings on English and Chinese print advertisements that identifies the language preference and its impact on the emotional affect of Chinese undergraduates. The quantitative study was carried out amongst 63 university students based on a questionnaire constructed on the PANAS-X Manual for the Positive and Negative Affect Schedule. The Basic Positive Emotion Scales (PANAS-X Manual) components identified in this study are Joviality, Self-Assurance and Attentiveness that covered several sub-components of affects. The overall scale for the three adverts in the English and Chinese adverts showed that the English adverts recorded a lower scale of the emotional affect compared to the Chinese adverts. Among the three different emotional affects too, the Attentiveness component recorded a higher emotional scale compared to Self-assurance and Joviality whereby reunion themes are preferred by the respondents’ in both the Chinese and English adverts. The study gives insights into language forms that evoke emotional interest and would be useful for planning the language writing tasks in various ways. Keywords: Language preference, Relationship marketing, Emotional affect, Bilingual advertisin

Risk Stratification with Extreme Learning Machine: A Retrospective Study on Emergency Department Patients

This paper presents a novel risk stratification method using extreme learning machine (ELM). ELM was integrated into a scoring system to identify the risk of cardiac arrest in emergency department (ED) patients. The experiments were conducted on a cohort of 1025 critically ill patients presented to the ED of a tertiary hospital. ELM and voting based ELM (V-ELM) were evaluated. To enhance the prediction performance, we proposed a selective V-ELM (SV-ELM) algorithm. The results showed that ELM based scoring methods outperformed support vector machine (SVM) based scoring method in the receiver operation characteristic analysis

Evolutionary Voting-Based Extreme Learning Machines

Voting-based extreme learning machine (V-ELM) was proposed to improve learning efficiency where majority voting was employed. V-ELM assumes that all individual classifiers contribute equally to the decision ensemble. However, in many real-world scenarios, this assumption does not work well. In this paper, we aim to enhance V-ELM by introducing weights to distinguish the importance of each individual ELM classifier in decision making. Genetic algorithm is used for optimizing these weights. This evolutionary V-ELM is named as EV-ELM. Results on several benchmark databases show that EV-ELM achieves the highest classification accuracy compared with V-ELM and ELM

Screensavers : for healthier digital kids

This paper presents Screensavers, a public information campaign to nurture healthier digital kids, initiated by three final year students from Wee Kim Wee School of Communication and Information, Nanyang Technological University. Through reaching out to the primary target audience, parents with primary school children aged 6 to 12, and the secondary target audience, children aged 6 to 12 themselves, the campaign aims to educate its target audiences on effectively managing digital technology use. The paper summarises primary and secondary research, which shaped the campaign’s messaging, strategies and tactics. In addition to the study of present literature, expert interviews, focus groups and a survey study were conducted. Focus was placed on children’s digital habits, parents’ mediation of their children’s use of digital technology, and current efforts to managing digital technology use, both locally and globally. As a result of the research conducted, the campaign’s key message and Screen Tips, with an emphasis on child’s well-being, were conceived. Campaign outreach activities were formulated to convey the key messages of the campaign, particularly through active community engagement, with a focus on parent-child learning. Both online and offline platforms were utilized, to expand reach to the target audience. The paper concludes with an evaluation of the campaign through a post- campaign survey, metrics from campaign activities, analysis of media coverage and appraisals from stakeholders. Future opportunities for continuation of the campaign through a self-sustaining model are also highlighted. Campaign collaterals, photos of the campaign’s outreach activities, as well as tables, and lists detailing the campaign’s execution, can be found in the appendices.Bachelor of Communication Studie

DARE Train-the-Trainer Pedagogy Development Using 2-Round Delphi Methodology

The Dispatcher-Assisted first REsponder programme aims to equip the public with skills to perform hands-only cardiopulmonary resuscitation (CPR) and to use an automated external defibrillator (AED). By familiarising them with instructions given by a medical dispatcher during an out-of-hospital cardiac arrest call, they will be prepared and empowered to react in an emergency. We aim to formalise curriculum and standardise the way information is conveyed to the participants. A panel of 20 experts were chosen. Using Delphi methodology, selected issues were classified into open-ended and close-ended questions. Consensus for an item was established at a 70% agreement rate within the panel. Questions that had 60%–69% agreement were edited and sent to the panel for another round of voting. After 2 rounds of voting, 70 consensus statements were agreed upon. These covered the following: focus of CPR; qualities and qualifications of trainers; recognition of agonal breathing; head-tilt-chin lift; landmark for chest compression; performance of CPR when injuries are present; trainers’ involvement in training lay people; modesty of female patients during CPR; AED usage; content of trainer’s manual; addressing of questions and answers; updates-dissemination to trainers and attendance of refresher courses. Recommendations for pedagogy for trainers of dispatcher-assisted CPR programmes were developed

Determinants of health-related quality of life after out-of-hospital cardiac arrest (OHCA): a systematic review

Objective: With a growing number of out-of-hospital cardiac arrest (OHCA) survivors globally, the focus of OHCA management has now broadened to survivorship. An outcome central to survivorship is health-related quality of life (HRQoL). This systematic review aimed to synthesise evidence related to the determinants of HRQoL of OHCA survivors. Methods: We systematically searched MEDLINE, Embase, and Scopus from inception to 15 August 2022 to identify studies investigating the association of at least one determinant and HRQoL in adult OHCA survivors. All articles were independently reviewed by two investigators. We abstracted data pertaining to determinants and classified them using a well-established HRQoL theoretical framework – the Wilson and Cleary (revised) model. Results: 31 articles assessing a total of 35 determinants were included. Determinants were classified into the five domains in the HRQoL model. 26 studies assessed determinants related to individual characteristics (n = 3), 12 studied biological function (n = 7), nine studied symptoms (n = 3), 16 studied functioning (n = 5), and 35 studied characteristics of the environment (n = 17). In studies that included multivariable analyses, most reported that individual characteristics (older age, female sex), symptoms (anxiety, depression), and functioning (impaired neurocognitive function) were significantly associated with poorer HRQoL. Conclusions: Individual characteristics, symptoms, and functioning played significant roles in explaining the variability in HRQoL. Significant nonmodifiable determinants such as age and sex could be used to identify populations at risk of poorer HRQoL, while significant modifiable determinants such as psychological health and neurocognitive functioning could serve as targets for post-discharge screening and rehabilitation plans. PROSPERO registration number: CRD42022359303

Emergency Medical Services Utilization among Patients with ST-Segment Elevation Myocardial Infarction: Observations from the Singapore Myocardial Infarction Registry

10.3109/10903127.2015.1128032Prehospital Emergency Care204454-46

Acute Health Impacts of the Southeast Asian Transboundary Haze Problem—A Review

Air pollution has emerged as one of the world’s largest environmental health threats, with various studies demonstrating associations between exposure to air pollution and respiratory and cardiovascular diseases. Regional air quality in Southeast Asia has been seasonally affected by the transboundary haze problem, which has often been the result of forest fires from “slash-and-burn” farming methods. In light of growing public health concerns, recent studies have begun to examine the health effects of this seasonal haze problem in Southeast Asia. This review paper aims to synthesize current research efforts on the impact of the Southeast Asian transboundary haze on acute aspects of public health. Existing studies conducted in countries affected by transboundary haze indicate consistent links between haze exposure and acute psychological, respiratory, cardiovascular, and neurological morbidity and mortality. Future prospective and longitudinal studies are warranted to quantify the long-term health effects of recurrent, but intermittent, exposure to high levels of seasonal haze. The mechanism, toxicology and pathophysiology by which these toxic particles contribute to disease and mortality should be further investigated. Epidemiological studies on the disease burden and socioeconomic cost of haze exposure would also be useful to guide policy-making and international strategy in minimizing the impact of seasonal haze in Southeast Asia