Background: Since 1987, data regarding dental caries prevalence in the Philippines has been shown to be over 90%.

Objective: This study compared the trends of Filipino web searches regarding toothache and milk tea from 2017 to 2019 through spatio-temporal analyses.

Methods: Google Trends searches for the years 2017, 2018, and 2019 were done using three separate search queries using the parameters "toothache" (TA) and "milk tea" (MT) as search terms, Philippines as location, Health as category, and Web Search as database.

Results: The outcome showed a decreasing trend in searches for toothache and an increasing interest for milk tea web searches from 2017 to 2019. A multiple comparison test showed that searches for MT were significantly more than TA in 2017 (p<0.001), 2018 (p<0.001), and 2019 (p<0.001). Searches for TA during the 2nd, 3rd, and 4th quarter compared to the 1st quarter of the year, in Caraga, Eastern Visayas, Western Visayas and Zamboanga Peninsula compared to Manila, were found to be significantly high.

Conclusion: Filipinos' health-seeking behavior show decreasing interest towards TA and increasing for MT.

Key Words: spatio-temporal analysis, data mining, health-seeking behavior, dental care, Philippines

PURPOSE: This study was performed to evaluate the effect of seizures on the bilateral hippocampus in mesial temporal lobe epilepsy (mTLE) and neocortical epilepsy by single voxel proton magnetic spectroscopy. METHODS: Forty-one patients with mTLE having unilateral hippocampal sclerosis and 43 patients with a neocortical epilepsy who underwent subsequent epilepsy surgery were recruited. Ninety-five percent confidence intervals of N-acetyl aspartate/choline (NAA/Cho) and NAA/creatine (NAA/Cr) ratios in 20 healthy control subjects were used as threshold values to determine abnormal NAA/Cho and NAA/Cr. The relationship between the results of MRS and the duration of epilepsy, the frequency of seizure, the effect of secondary generalized tonic clonic seizures (2GTCS), and the postsurgical outcome was evaluated. RESULTS: NAA/Cho and NAA/Cr were significantly lower in the ipsilateral hippocampus of mTLE and neocortical epilepsy. NAA/Cho was abnormally low in the ipsilateral hippocampus in 43.9% (18/41) and bilateral hippocampus in 26.8% of mTLE patients. Ipsilateral or bilateral abnormal NAA/Cr was detected in 46.3% (19/41) of mTLE. NAA/Cho was abnormally lower in the ipsilateral hippocampus in 27.9% and bilateral hippocampus in 41.9% of neocortical epilepsy patients. Ipsilateral or bilateral abnormal NAA/Cr was detected in 32.6% of the patients with neocortical epilepsy. Using AIs for patients with bilaterally abnormal ratios of NAA/Cho and NAA/Cr combined with unilateral abnormal ratio, the seizure focus was correctly lateralized in 65.9% of the patients with mTLE and 48.8% of neocortical epilepsy patients. Bilateral NAA/Cho abnormality was significantly related with a poor surgical outcome in mTLE. No significant relationship was found between the results of NAA/Cho or NAA/Cr and the surgical outcome in neocortical epilepsy. The mean contralateral NAA/Cr ratio of the hippocampus in mTLE was significantly lower in patients with a history of the secondary generalized tonic clonic seizure (2GTCS) than in those without it. CONCLUSIONS: Our results demonstrate functional abnormality of the hippocampus in neocortical epilepsy and the relation between 2GTCS and NAA/Cr of the contralateral hippocampus in mTLE. This proves the presence of the seizure effect on the hippocampus in neocortical epilepsy as well as in mTLE.
Epilepsy* ; Epilepsy, Temporal Lobe* ; Hippocampus* ; Humans ; Magnetic Resonance Spectroscopy* ; Protons ; Sclerosis ; Seizures* ; Spectrum Analysis ; Temporal Lobe*

OBJECTIVETo study the time-space distribution of viral hepatitis C in Gansu province during 2009-2013, using the time-space statistics.

METHODSUsing Geoda to analysis the univariate Moran's I and univariate local Moran's I while using SaTScan to detect the time-space gathering areas.

RESULTSThere was spatial autocorrelation on incidence of hepatitis C noticed in Gansu during 2009-2013. The hot spots areas were counties as Jinchang, Wuwei, Zhangye and Lanzhou. Cold spot areas would include counties as Dingxi, Longnan, Pingliang, Gannan, Jiuquan, Qingyang, Baiyin and Tianshui. There were time-space gathering areas nitoced, during 2009-2010. Qinzhou and Maiji counties belonged to high incidence gathering areas. Lintao and Linxia were of low incidence gathering areas. In 2011-2013, high incidence gathering area would include counties as Zhangye, Jinchang, Wuwei Lanzhou and Baiyin while low incidence gathering areas would include counties as Dingxi, Tianshui, Pingliang, Longnan and Qingyang.

CONCLUSIONThere appeared time-space gathering of hepatitis C in Gansu province during 2009-2013. High and low gathering areas varied with time and high incidence gathering area mainly distributed in the western and central areas of Gansu province.

The velocity of blood in vessels is an important indicator that reflects the microcirculatory status. The core of the measurement technology, which is based on spatiotemporal (ST) image, is to map the cell motion trace to the two-dimensional ST image, and transfer the measurement of flow velocity to the detection of trace orientation in ST image. This paper proposes a trace orientation measurement algorithm is based on Randomized Hough Transformation and projection transformation, and it is able to estimate trace orientation and flow velocity in noisy ST images. Experiments showed that the agreement between the results by manual and by the proposed algorithm reached over 90%.
Algorithms ; Blood Flow Velocity ; Humans ; Microcirculation ; Spatio-Temporal Analysis

China/epidemiology* ; Environmental Monitoring ; Humans ; Spatio-Temporal Analysis ; Tuberculosis/epidemiology*

Discomfort and pain issue at the body part are common complaints reported by car drivers. It is due to driving task require physical demands and need to maintain and adapt several postures in a constrained space while controlling the car. Hence, this study aims to determine the pattern of shoulder activation muscle consisting of the Trapezius muscle in two different driving posture. Respondents were required to grasp the steering wheel at 8 and 4 hand position. The Surface Electromyography was used to get the reading for left muscle’s Trapezius Descendent (TD) at two different positions; i) closest distant from steering wheel and ii) far distant from the steering wheel. Then, Temporal Analysis was used to evaluate the pattern of the driving action. From the experiment, it shows the different value of muscle activation occurred while driving according to turning action. The far seated position depicted greater activation on driving action compared to the closer seated to the steering wheel. In conclusion, the driving posture effects the activation of shoulder and arm’s muscles as early as after 20 seconds of driving activity. Hence, choosing the correct driving posture allowed a comfortable driving environment for the driver.
Trapezius ; steering wheel ; SEMG ; driver ; temporal analysis ; driving posture

Objective: To analyze the epidemiology and spatial-temporal distribution characteristics of hand, foot and mouth disease (HFMD) in Shanxi province. Methods: The data of HFMD in Shanxi province from 2009 to 2020 were collected from notifiable disease management information system of Chinese information system for disease control and prevention and analyzed by descriptive epidemiology, Joinpoint regression, spatial autocorrelation analysis and spatio- temporal scanning analysis. Results: A total of 293 477 HFMD cases were reported in Shanxi province from 2009 to 2020, with an average annual incidence of 67.64/100 000 (293 477/433 867 454), severe disease rate of 5.36/100 000 (2 326/433 867 454), severe disease ratio of 0.79%(2 326/293 477), mortality of 0.015/100 000 (66/433 867 454), and fatality rate of 22.49/100 000 (66/293 477). The reported incidence rate, severe disease rate, mortality rate and fatality rate of HFMD showed decreasing trends. The main high-risk groups were scattered children and kindergarten children aged 0-5. The incidence of HFMD had obvious seasonal variation, with two peaks every year: the main peak was during June-July, the secondary peak was during September-October and the peak period is from April to November. A total of 13 942 laboratory cases were confirmed, with a diagnosis rate of 4.75% (13 942/293 477), including 4 438 (35.11%, 4 438/293 477) Enterovirus A71 (EV-A71) positive cases, 4 609 (33.06%, 4 609/293 477) Coxsackievirus A16 (CV-A16) positive cases, and 4 895 (31.83%, 4 895/293 477) other enterovirus positive cases. There was a spatial positive correlation (Moran's I ranged from 0.12 to 0.58, all P<0.05) and the spatial clustering was obvious. High-risk regions were mainly distributed in Taiyuan in central Shanxi province, Linfen and Yuncheng in southern Shanxi province, and Changzhi in southeastern Shanxi province. Spatial-temporal scanning analysis revealed 1 the most likely cluster and 8 secondary likely clusters, of which the most likely cluster (RR=2.65, LLR=22 387.42, P<0.001) located in Taiyuan and Jinzhong city, Shanxi province, including 12 counties (districts), and accumulated from April 1, 2009 to November 30, 2018. Conclusions: There was obvious spatial-temporal clustering of HFMD in Shanxi province, and the epidemic situation was in decline. The key areas were the districts in urban areas and the counties adjacent to it. Meanwhile, the monitoring and classification of other enterovirus types of HFMD should be strengthened.
Child ; Humans ; Hand, Foot and Mouth Disease/epidemiology* ; Spatial Analysis ; Enterovirus Infections ; Spatio-Temporal Analysis ; Cluster Analysis

OBJECTIVE: To investigate the incidence trend and spatial clustering characteristics of scarlet fever in China from 2016 to 2020 to provide evidence for development of regional disease prevention and control strategies. METHODS: The incidence data of scarlet fever in 31 provinces and municipalities in mainland China from 2016 to 2020 were obtained from the Chinese Health Statistics Yearbook and the Public Health Science Data Center led by the Chinese Center for Disease Control and Prevention.The three-dimensional spatial trend map of scarlet fever incidence in China was drawn using ArcGIS to determine the regional trend of scarlet fever incidence.GeoDa spatial autocorrelation analysis was used to explore the spatial aggregation of scarlet fever in China in recent years. RESULTS: From 2016 to 2020, a total of 310 816 cases of scarlet fever were reported in 31 provinces, municipalities directly under the central government and autonomous regions, with an average annual incidence of 4.48/100 000.The reported incidence decreased from 4.32/100 000 in 2016 to 1.18/100 000 in 2020(Z=103.47, P < 0.001).The incidence of scarlet fever in China showed an obvious regional clustering from 2016 to 2019(Moran's I>0, P < 0.05), but was randomly distributed in 2020(Moran's I>0, P=0.16).The incidence of scarlet fever showed a U-shaped distribution in eastern and western regions of China, and increased gradually from the southern to northern regions.Inner Mongolia Autonomous Region and Hebei and Gansu provinces had the High-high (H-H) clusters of scarlet fever in China. CONCLUSION Scarlet fever still has a high incidence in China with an obvious spatial clustering.For the northern regions of China with H-H clusters of scarlet fever, the allocation of health resources and public health education dynamics should be strengthened, and local scarlet fever prevention and control policies should be made to contain the hotspots of scarlet fever.
Humans ; Incidence ; Scarlet Fever/epidemiology* ; China/epidemiology* ; Spatial Analysis ; Cluster Analysis ; Spatio-Temporal Analysis

Objective: To analyze the spatial distribution and identify the high risk areas of pulmonary tuberculosis at the township level in Beijing during 2005-2015. Methods: Data on pulmonary tuberculosis cases was collected from the tuberculosis information management system. Global autocorrelation analysis, local indicators of spatial association and Kulldorff's Scan Statistics were applied to map the spatial distribution and detect the space-time clusters of the pulmonary tuberculosis cases during 2005-2015. Results: Spatial analysis on the incidence of pulmonary tuberculosis at the township level demonstrated that the spatial autocorrelation was positive during the study period. The values of Moran's I ranged from 0.224 3 to 0.291 8 with all the P values less than 0.05. Hotspots were primarily distributed in 8 towns/streets as follows: Junzhuang, Wangping, Yongding and Tanzhesi in Mentougou district, Yancun in Fangshan district, Wangzuo town in Fengtai district, Tianqiao street in Xicheng district and Tianzhu town in Shunyi district. Spatiotemporal clusters across the entire study period were identified by using Kulldorff's spatiotemporal scan statistic. The primary cluster was located in Chaoyang and Shunyi districts, including 17 towns/streets, as follows: Cuigezhuang, Maizidian, Dongfeng, Taiyanggong, Zuojiazhuang, Hepingjie, Xiaoguan, Xiangheyuan, Dongba, Jiangtai, Wangjing, Jinzhan, Jiuxianqiao, Laiguangying, Sunhe towns/streets in Chaoyang district, Houshayu and Tianzhu town in Shunyi district, during January to December 2005. Conclusion: Incidence rates of pulmonary tuberculosis displayed spatial and temporal clusterings at the township level in Beijing during 2005-2015, with high risk areas relatively concentrated in the central and southern parts of Beijing.
Beijing ; China ; Cluster Analysis ; Humans ; Incidence ; Spatial Analysis ; Spatio-Temporal Analysis ; Tuberculosis ; Tuberculosis, Pulmonary/ethnology*

BACKGROUND: In order to identify the prognostic factors of anterior temporal lobectomy (ATL) for mesial temporal lobe epilepsy (TLE), we performed multivariate analyses in patients with mesial TLE. METHODS: One hundred eighty six patients with mesial TLE (112 men and 74 women; mean age 28.9+/-8.7 years) were included. The primary outcome variable was a the patient's status in the third postoperative year: seizure free (except aura), or not. Clinical, electroencephalographic, radiological, intracarotid amobarbital test, and pathologic data were considered. Clinical data included age at surgery, age at nonfebrile seizure onset, duration of epilepsy, sex, seizure frequency, secondary generalization, history of febrile seizure, and existence of aura. RESULTS: One hundred fifty eight patients (84.9%) had remission of seizure. Univariate analysis found age at surgery (p=0.006) and MRI abnormality including hippocampal sclerosis ipsilateral to surgery (p=0.01) to be significant. Multivariate analyses using logistic regressions, the younger age at surgery (p=0.002) and MRI lateralization (p=0.02) were found to be the significant predictors for good surgical outcome. CONCLUSIONS: Age at surgery and hippocampal findings on MRI are independent prognostic factors for ATL in mesial TLE. These findings suggest that mesial TLE is a progressive disorder and surgical outcome is better when early ATL is performed, at least in medically intractable cases.
Amobarbital ; Anterior Temporal Lobectomy* ; Epilepsy ; Epilepsy, Temporal Lobe* ; Female ; Generalization (Psychology) ; Humans ; Logistic Models ; Magnetic Resonance Imaging ; Male ; Multivariate Analysis ; Sclerosis ; Seizures ; Seizures, Febrile ; Temporal Lobe*