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Telephonic follow-up of epilepsy patients at AIIMS soon?
New Delhi: Telephonic follow-up with epilepsy patients who live far away could be introduced at the AIIMS here soon following a study that showed that some patients suffered seizures while travelling sleepless overnight in unreserved train compartments to reach the premier Delhi hospital.
The study, done by the Neurology Department of the All India Institute of Medical Sciences, found that many patients would be relieved to follow up of their cases on phone by the doctor concerned that saves them from the tensions of travelling long distances.
“The patients, mostly from Bihar or Uttar Pradesh, are on medication and remain seizure-free for months. But when they come in packed unreserved train compartments for follow-up visits to the doctor, they are unable to get sleep, and some of them suffer seizures on the train,” Mamta Bhushan Singh, additional professor in the AIIMS’ neurolgy department, told.
“Telephonic follow-up would save not just money but time. The study is to be published,” she added.
The study was done on a randomized selection of 450 patients whose follow-up was done on the phone. They were asked if they were happy and satisfied. “They were extremely happy with the follow-up on phone,” Singh said.
As part of the follow-up, the patient had to cite his or her file number, which the doctor would click open on a computer terminal for the patient’s data sheet, that would have the date of the last seizure, the medicines and the duration of medication. The doctor would then ask the set questions, including if the patient had suffered a seizure in the interim since meeting the doctor the last time, and how many seizures, if any dose of medicine was missed and any side effects of the drugs, said Singh.
“Maybe in future we may offer telephonic follow-ups,” said the expert.
With India home to around 12 percent of epilepsy cases – or 1-2 percent per 100 people – Singh said there is a dire need for more doctors, especially in the rural areas, and also of health educators and volunteers who would help raise awareness of the health condition that most people still feel embarrassed to acknowledge.
“Epilepsy should be understood and treated. The treatment is affordable and, along with medicines, patients need to be educated about epilepsy, that it is perfectly treatable, that they should not miss medicine doses and have proper sleep,” she said.
Singh also said that the figure of 12 million prevalence was an “underestimation” as “at least half of patients are not being treated”.
One major reason for people reporting with seizures is ingestion of tapeworm eggs, either through eating pork that is not well cooked, or from dirty water or unwashed lettuce leaves or cabbage.
Neurocysticercosis, a parasitic infection that results from ingestion of eggs from the adult tapeworm, is a leading cause of seizures and epilepsy in the developing world.
“Once ingested, the fertilized egg of the tapeworm reaches the brain. This comes from contaminated water or eating salad leaves or cabbage which get the eggs due to open defecation,” she added.
International online casino Casino Days has published a report sharing their internal data on what types and brands of devices are used to play on the platform by users from the South Asian region.
Such aggregate data analyses allow the operator to optimise their website for the brands and models of devices people are actually using.
The insights gained through the research also help Casino Days tailor their services based on the better understanding of their clients and their needs.
Desktops and Tablets Lose the Battle vs Mobile
The primary data samples analysed by Casino Days reveal that mobile connections dominate the market in South Asia and are responsible for a whopping 96.6% of gaming sessions, while computers and tablets have negligible shares of 2.9% and 0.5% respectively.
The authors of the study point out that historically, playing online casino was exclusively done on computers, and attribute thе major shift to mobile that has unfolded over time to the wide spread of cheaper smartphones and mobile data plans in South Asia.
“Some of the reasons behind this massive difference in device type are affordability, technical advantages, as well as cheaper and more obtainable internet plans for mobiles than those for computers,” the researchers comment.
Xiaomi and Vivo Outperform Samsung, Apple Way Down in Rankings
Chinese brands Xiaomi and Vivo were used by 21.9% and 20.79% of Casino Days players from South Asia respectively, and together with the positioned in third place with a 18.1% share South Korean brand Samsung dominate the market among real money gamers in the region.
Cupertino, California-based Apple is way down in seventh with a user share of just 2.29%, overshadowed by Chinese brands Realme (11.43%), OPPO (11.23%), and OnePlus (4.07%).
Huawei is at the very bottom of the chart with a tiny share just below the single percent mark, trailing behind mobile devices by Motorola, Google, and Infinix.
The data on actual phone usage provided by Casino Days, even though limited to the gaming parts of the population of South Asia, paints a different picture from global statistics on smartphone shipments by vendors.
Apple and Samsung have been sharing the worldwide lead for over a decade, while current regional leader Xiaomi secured their third position globally just a couple of years ago.
Striking Android Dominance among South Asian Real Money Gaming Communities
The shifted market share patterns of the world’s top smartphone brands in South Asia observed by the Casino Days research paper reveal a striking dominance of Android devices at the expense of iOS-powered phones.
On the global level, Android enjoys a comfortable lead with a sizable 68.79% share which grows to nearly 79% when we look at the whole continent of Asia. The data on South Asian real money gaming communities suggests that Android’s dominance grows even higher and is north of the 90% mark.
Among the major factors behind these figures, the authors of the study point to the relative affordability of and greater availability of Android devices in the region, especially when manufactured locally in countries like India and Vietnam.
“And, with influencers and tech reviews putting emphasis on Android devices, the choice of mobile phone brand and OS becomes easy; Android has a much wider range of products and caters to the Asian online casino market in ways that Apple can’t due to technical limitations,” the researchers add.
The far better integration achieved by Google Pay compared to its counterpart Apple Pay has also played a crucial role in shaping the existing smartphone market trends.
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