Characterization of top 100 researches on e-waste based on bibliometric analysis

With rapid development of energy, information, and communication technology, e-waste problem has become one of the global issues to be settled urgently. The main features on publication years, journals, countries and institutions, authors, keywords, and content types of the 100 most-cited articles on e-waste had been unfolded in this research. The direction and way forward were illustrated, the trends to date were demonstrated, and the terrain and pathways were evaluated on the research of e-waste. Bibliometric analysis method was applied to analyze various attributes on the 100 most-cited articles which were retrieved from WoSCC on May 25, 2021, by utilizing the software tools Microsoft Excel 2016 and VOS viewer 1.6.9. The publication year and citation number of the 100 articles ranged between 2003 and 2017 and from 83 to 925, respectively. Environmental Science & Technology (n=17) published the maximum articles. Waste Management, Journal of Hazardous Materials, and Environmental Science & Technology were the core journals on e-waste. One hundred twenty-three institutions and 25 countries were involved in publishing the 100 articles. Three hundred seventy authors contributed to the 100 articles in total. A total of 267 keywords occurred in the 100 articles. The keywords "e-waste" and "recycling" held the highest occurrences. The study content of the 100 articles could be classified into four types including the characteristic-and-property type, the environment-and-health type, the management-and-economic type, and the technique-and-processing type. Overall completeness and applicability of the evidence found in this study were verified sufficiently; the potential biases in the review process were also considered. The innovations of the research from the past bibliometric analysis work on e-waste were stated, and the implication for practice and research of this study were explained as well. 2007, 2008, and 2009 were a peak of the researches on e-waste, while the recent years were experiencing a valley. China and its institutions were most influential in this field on e-waste. India was becoming more and more influential on e-waste research in the world. Nigeria was the research center in Africa, and Brazil was the research center in Latin America. Wong Minghung was the most important expert on e-waste. The impact on environment and human being's health was the hot topic of researches on e-waste; the characteristic and property of e-waste were studied not enough. The researches of technique and processing would be the direction and way forward in the study field on e-waste. The characteristic and property on e-waste would need more attention to be researched. The researchers could develop new pathways based on and beyond the four types of content evaluated in this research.

The impact of the emergency medical services (EMS) automation system on patient care process and user workflow

Background

One of the important components of the health system is the emergency medical services (EMS) system. The EMS system was implemented at Kerman University of Medical Sciences teaching hospitals to communicate the situation of patients being transferred to the hospital by EMS and to provide facilities tailored to the patient's condition. The objective of this study was to investigate the impact of the EMS system on the patient care process and the workflow of users.

Methods

The hospital information system (HIS) report was used to investigate the impact of the EMS system on the patient care process and a questionnaire was distributed among 244 participants to determine its impact on the workflow of the users. Mann–Whitney U was used to analyze HIS reports, and Chi-square was used to analyze the data collected by questionnaires.

Results

The EMS system reduced the patient's stay in hospital by an average of 3 h and 45 min. It also increased the number of patients' discharge from the emergency room to 2.2% and reduced the death rate by 1.3% (p < 0.001). Besides, 78% of physicians, 75% of nurses and 83% of technicians stated that this system has positively influenced their workflow.

Conclusions

The EMS system reduced the patient's stay in hospital and mortality, and increased the speed of patient service, readiness of users to provide patient care and the number of discharged patients. However, problems such as inappropriate technical infrastructure of the EMS system should be solved to improve patients' recovery, reduce mortality and improve user satisfaction.

A Cloud-Based Smartphone Solution for Transmitting Bio-Signals From an Emergency Response Vehicle

Most developing countries are currently unable to provide adequate, let alone advanced healthcare support to rural areas. Telemedicine combines the capability of information technology and dedicated people working towards the common goal of providing good quality healthcare in remote areas. In this article, the authors propose a system that can be used to transmit patient vitals like pulse rate, oxygen saturation, and perfusion index readings to a doctor in a remote area, while a patient is in transit. This system uses a smartphone application, a pulse oximeter, and the real-time data transferring capabilities of Firebase (a cloud database). The application has been tested under various network conditions which includes connection types such as 2G (2nd Generation), 3G (3rd Generation), 4G (4th Generation), and Fiber To The Home (FTTH). The work also discusses the possible reasons for the higher performance found in 4G networks over 3G and 2G cellular connections.

Ubiquitous Emergency Medical Service System Based on Wireless Biosensors, Traffic Information, and Wireless Communication Technologies: Development and Evaluation

This study presents a new ubiquitous emergency medical service system (UEMS) that consists of a ubiquitous tele-diagnosis interface and a traffic guiding subsystem. The UEMS addresses unresolved issues of emergency medical services by managing the sensor wires for eliminating inconvenience for both patients and paramedics in an ambulance, providing ubiquitous accessibility of patients' biosignals in remote areas where the ambulance cannot arrive directly, and offering availability of real-time traffic information which can make the ambulance reach the destination within the shortest time. In the proposed system, patient's biosignals and real-time video, acquired by wireless biosensors and a webcam, can be simultaneously transmitted to an emergency room for pre-hospital treatment via WiMax/3.5 G networks. Performances of WiMax and 3.5 G, in terms of initialization time, data rate, and average end-to-end delay are evaluated and compared. A driver can choose the route of the shortest time among the suggested routes by Google Maps after inspecting the current traffic conditions based on real-time CCTV camera streams and traffic information. The destination address can be inputted vocally for easiness and safety in driving. A series of field test results validates the feasibility of the proposed system for application in real-life scenarios.

LBMR: Load-Balanced Multipath Routing for Wireless Data-Intensive Transmission in Real-Time Medical Monitoring

In wireless networks, low-power Zigbee is an excellent network solution for wireless medical monitoring systems. Medical monitoring generally involves transmission of a large amount of data and easily causes bottleneck problems. Although Zigbee's AODV mesh routing provides extensible multi-hop data transmission to extend network coverage, it originally does not, and needs to support some form of load balancing mechanism to avoid bottlenecks. To guarantee a more reliable multi-hop data transmission for life-critical medical applications, we have developed a multipath solution, called Load-Balanced Multipath Routing (LBMR) to replace Zigbee's routing mechanism. LBMR consists of three main parts: Layer Routing Construction (LRC), a Load Estimation Algorithm (LEA), and a Route Maintenance (RM) mechanism. LRC assigns nodes into different layers based on the node's distance to the medical data gateway. Nodes can have multiple next-hops delivering medical data toward the gateway. All neighboring layer-nodes exchange flow information containing current load, which is the used by the LEA to estimate future load of next-hops to the gateway. With LBMR, nodes can choose the neighbors with the least load as the next-hops and thus can achieve load balancing and avoid bottlenecks. Furthermore, RM can detect route failures in real-time and perform route redirection to ensure routing robustness. Since LRC and LEA prevent bottlenecks while RM ensures routing fault tolerance, LBMR provides a highly reliable routing service for medical monitoring. To evaluate these accomplishments, we compare LBMR with Zigbee's AODV and another multipath protocol, AOMDV. The simulation results demonstrate LBMR achieves better load balancing, less unreachable nodes, and better packet delivery ratio than either AODV or AOMDV.

[Current capabilities of telemedicine in anaesthesiology]

Because of an ageing population and a relative lack of professionals, the German health system is under great pressure. In rural regions in particular, anesthesiology is also affected - nursing staff, anesthetists, intensive care physicians, and emergency physicians often have to be supported by freelancers from other regions and from abroad - at least periodically. In addition to the increasing number of treatments, the potential quality of therapy is also increasing owing to progress in medical research. Against this background the need for resources is increasing to ensure the optimal quality of treatment. This applies to all clinical disciplines, including all sections of anesthesiology - especially in economically underdeveloped regions where highly qualified experts are lacking. In various cases it is not the physical attendance or manual skills of experts that is primarily requested on-site, but rather their medical expertise and experience. Therefore, telemedicine systems are suitable for closing these gaps very effectively and efficiently. In the various anesthesiological sub-sections the number of scientific papers published to date varies. For anesthesia and pain therapy only a few telemedical applications or concepts have been reported in the literature. However, in tele-intensive care medicine and tele-emergency medicine several national and international research projects have successfully been carried out, leading to established routine systems in some cases.