Consumer Input Research Articles

Designing a decision aid for cancer prevention: a qualitative study.

Australian guidelines recommend people aged 50-70 years old consider taking low-dose aspirin to reduce their risk of colorectal cancer. The aim was to design sex-specific decision aids (DAs) with clinician and consumer input, including expected frequency trees (EFTs) to communicate the risks and benefits of taking aspirin. Semi-structured interviews were conducted with clinicians. Focus groups were conducted with consumers. The interview schedules covered ease of comprehension, design, potential effects on decision-making, and approaches to implementation of the DAs. Thematic analysis was employed; independent coding by 2 researchers was inductive. Themes were developed through consensus between authors. Sixty-four clinicians were interviewed over 6 months in 2019. Twelve consumers aged 50-70 years participated in two focus groups in February and March 2020. The clinicians agreed that the EFTs would be helpful to facilitate a discussion with patients but suggested including an additional estimate of the effects of aspirin on all-cause mortality. The consumers felt favourable about the DAs and suggested changes to the design and wording to ease comprehension. DAs were designed to communicate the risks and benefits of low-dose aspirin for disease prevention. The DAs are currently being trialled in general practice to determine their impact on informed decision-making and aspirin uptake.

Osteoarthritis consumers as co-researchers: identifying consumer insights to improve osteoarthritis management by co-designing translational research solutions

Co-design is a consumer-driven approach that facilitates consumer participation in creating meaningful solutions to complex problems. Poor uptake of core management strategies for osteoarthritis suggests there is a missing link in translation between research and practice. We partnered with osteoarthritis consumers as 'co-researchers' to identify translational research solutions to improve uptake of core management strategies that are grounded in lived experiences. To transparently describe a theory-driven, generative co-design approach using an integrated conceptual framework to collaborate with consumers at the equal partnership level. We used co-design workshops with a non-hierarchical participatory framework. Three workshops with six co-researchers [2 female, mean age 68.7 (9.8) years, 3-30 years symptom duration] were conducted using activities to encourage creative thinking, promote deep reflection on personal/societal beliefs and minimise sensitivities around sharing personal beliefs (e.g., establishing a safe space, prompting questions, perspective-taking, counter-stereotypical exemplars). All six co-researchers actively participated in the workshops. Achievement of an equal collaborative partnership was evidenced by co-researchers challenging a project proposed by the research team and making alternative recommendations that have been implemented in prospective decision-making - representing a complete change in research focus driven by consumer input. A key suggested solution was to develop a scalable knowledge translation intervention that targets misconceptions about osteoarthritis and its management at the societal-level. Through an innovative co-design approach in partnership with co-researchers, we identified meaningful areas on which to focus translational research for osteoarthritis. Discordance between existing research priorities and novel solutions proposed by co-researchers highlights the value of co-design.

Pengaruh Social Media Marketing Terhadap Customer Engagement Pada Skincare Merek Somethinc Survey Pada Followers Instagram Somethinc

Social media provides an additional option for marketers to track consumer attention to build brand awareness and consumer engagement. A number of companies also use social media as a forum to accommodate consumer opinions, criticisms, and input. The purpose of this study is to test whether there is an effect of Social Media Marketing on Customer Engagement. The research design used in this research is a quantitative approach. The sample taken in this study was 100 Instagram followers @somethincofficial. The data collection technique used in this study used a survey method using a questionnaire. The results show that Social Media Marketing (X) has a regression coefficient value of 0.861 and a significance value (Sig.) 0.000 in the Coefficientsa table with a value of (degree of significance) 0.05 meaning 0.000 <0.05 or there is a significant effect and the t test shows 7.554 > t. This means that Social Media Marketing has a positive and significant effect on Customer Engagement.

Examining clinician choice to follow-up (or not) on automated notifications of medication non-adherence by clinical decision support systems

BackgroundMaintaining medication adherence can be challenging for people living with mental ill-health. Clinical decision support systems (CDSS) based on automated detection of problematic patterns in Electronic Health Records (EHRs) have the potential to enable early intervention into non-adherence events (“flags”) through suggesting evidence-based courses of action. However, extant literature shows multiple barriers—perceived lack of benefit in following up low-risk cases, veracity of data, human-centric design concerns, etc.—to clinician follow-up in real-world settings. This study examined patterns in clinician decision making behaviour related to follow-up of non-adherence prompts within a community mental health clinic.MethodsThe prompts for follow-up, and the recording of clinician responses, were enabled by CDSS software (AI2). De-identified clinician notes recorded after reviewing a prompt were analysed using a thematic synthesis approach—starting with descriptions of clinician comments, then sorting into analytical themes related to design and, in parallel, a priori categories describing follow-up behaviours. Hypotheses derived from the literature about the follow-up categories’ relationships with client and medication-subtype characteristics were tested.ResultsThe majority of clients were Not Followed-up (n = 260; 78%; Followed-up: n = 71; 22%). The analytical themes emerging from the decision notes suggested contextual factors—the clients’ environment, their clinical relationships, and medical needs—mediated how clinicians interacted with the CDSS flags. Significant differences were found between medication subtypes and follow-up, with Anti-depressants less likely to be followed up than Anti-Psychotics and Anxiolytics (χ2 = 35.196, 44.825; p < 0.001; v = 0.389, 0.499); and between the time taken to action Followed-up0 and Not-followed up1 flags (M0 = 31.78; M1 = 45.55; U = 12,119; p < 0.001; η2 = .05).ConclusionThese analyses encourage actively incorporating the input of consumers and carers, non-EHR data streams, and better incorporation of data from parallel health systems and other clinicians into CDSS designs to encourage follow-up.

ADAPTIVE AUTOMATIC VOLTAGE REGULATION IN THE ELECTRICAL GRID USING SINGLE-PHASE LINEAR VOLTAGE REGULATORS

Ensuring the required voltage level in rural electric grids is a necessary condition for the efficient operation of agricultural enterprises and comfort in rural life. The overstated length of rural power transmission lines leads to excessive voltage deviations at consumer inputs. The existing methods and technical means of voltage regulation do not in all cases allow to provide the necessary level of voltage in the grid. (Research purpose) The research purpose is developing a method and device for phase-by-phase automatic voltage regulation in the electrical grid using linear voltage regulators, to illustrate the possibilities of its application. (Materials and methods) Used general scientific research methods, methods: literary review, theory of automatic control, electrical engineering. We analyzed the literary sources. We have studied the methods and technical means of voltage regulation in electrical grid. (Results and discussion) A new method and device for adaptive automatic voltage regulation in the rural electrical grid with the use of a separate phase-by-phase installation of linear voltage regulators have been proposed. We considered an example of the implementation of the method in a rural electrical grid with an uneven load in phases. (Conclusions) It was revealed during the review of voltage regulation methods that adaptive automatic control methods are promising, involving control of voltage deviation at consumer inputs and determination of the regulation coefficient based on this. It was determined that the use of the proposed method and device provides a normalized voltage value at consumer inputs by means of adaptive automatic phase-by-phase voltage regulation in the electrical grid with separately phase-by-phase linear regulators controlled by an adaptive automatic voltage regulation system that generates control commands based on data processing from voltage sensors installed at control points of the grid, including at consumer inputs.

"Appagalo" a Customized Mobile Health Intervention (mHealth) for Smoking Cessation in Women: A Randomized Controlled Trial.

Almost 30% of Chilean women report cigarette smoking with important repercussions on their health. Design and test a mobile phone intervention for smoking cessation in young women. A mobile application (app) was created using the best available evidence and consumer input. Its effectiveness was assessed through a randomized clinical trial. Women 18 to 44years old from middle-class neighborhoods in Santiago, Chile. Inclusion criteria were intention to quit cigarette smoking in the following month and having a smartphone cell phone. Women with positive screening for risky alcohol consumption were excluded. App with content to support cigarette smoking cessation over 6 months. The control arm included an app that delivered general messages to promote permanence in the study. Telephone follow-up was performed at 6 weeks, and at 3 and 6 months after randomization. No smoking in the past 7days at 6weeks from enrolment. Intention-to-treat analysis was carried out using SPSS 17.0 with a significance level set at .05. 309 women entered the study. Mean number of cigarettes smoked in a day was 8.8. 58.6% of the participants (n = 181) completed the follow-up for the primary outcome. With intention-to-treat analysis, 9.7% of participants in the intervention group reported not having smoked any cigarettes in the last 7days vs 3.2% in the control group (RR 2.98 CI 95% 1.11-8.0, P = .022). Additionally, 12.3% vs 1.9% of the participants in the intervention group and control group reported continuous abstinence at 6weeks, respectively (RR 6.29 95% CI 1.9-20.8, P < .001). Continuous abstinence was also significant at 6 months (P-value of .036). The "Appagalo" app is an effective tool to support smoking cessation in young women. It is a simple mHealth alternative for smoking cessation that can contribute to improving women's health in the Americas and worldwide.

Antioxidant Constituents and Activities of the Pulp with Skin of Korean Tomato Cultivars.

Tomato is a widely distributed, cultivated, and commercialized vegetable crop. It contains antioxidant constituents including lycopene, tocopherols, vitamin C, γ-aminobutyric acid, phenols, and flavonoids. This study determined the contents of the antioxidant components and activities of the pulp with skin of ten regular, six medium-sized, and two small cherry tomato cultivars at red ripe (BR + 10) stage cultivated in Korea. The relationships among the Hunter color coordinates, the content of each component, and antioxidant activities were measured by Pearson's correlation coefficients. As the a* value increased, the carotenoid and vitamin C contents increased, while the L* value, hue angle and tocopherol content decreased. As the b* value increased, the lycopene and total carotenoid contents decreased, and the flavonoid content in the hydrophilic extracts increased. The contents of vitamin C and total carotenoids including lycopene showed high positive correlations with the DPPH radical scavenging activities of both the lipophilic and hydrophilic extracts. Tocopherols and total phenolics in the hydrophilic and lipophilic extracts were not major positive contributors to the antioxidant activity. These findings suggest the quality standards for consumer requirements and inputs for on-going research for the development of better breeds.

The Regulation of the Spanish Electricity Sector: A Long Way to Convergence

The regulation of the electricity sector, in general and in the particular case of Spain, has been brilliantly analysed by economists and contemporary jurists placing the emphasis, preferably, on economic efficiency and social justice. This article, based on the writings of economic historians in recent years, has as its objective to shed light on the logic to regulatory changes in Spain. Exactly as has been done for other countries, the explanation of factors and of the characteristics of this regulatory change, without doubt, will contribute to the understanding of its special nature within the overall international panorama, as well as a better understanding of the contributions of other previous and future works from different perspectives of analysis. The conclusions on the historical construction of the regulation of the electricity industry until the twentieth century allow us to define four big stages, deeply conditioned by their political regimes and the economic circumstances of the country, as well as by the unequal importance of economic agents in the taking of decisions: powerful energy companies, weak governments, and a complete lack of consumer input.

O46 - Standing together at the top – Working with women to provide breastfeeding support in a regional hospital

Despite help from health professionals, women with GDM do not breastfeed as often as women with no-GDM. Literature suggests one way to find strategies to improve a woman’s confidence and intention to breastfeed is to provide antenatal education that is tailored to their individual needs when they have GDM, gathered from person-centred approaches. To develop a hospital-based intervention, co-designed with women who have GDM, to improve feelings of support for breastfeeding in a regional Australian hospital. A Participatory Action Research (PAR) study worked with women who had GDM over 10 workshops to ascertain their needs for breastfeeding support. These ideas were developed with staff input to provide an intervention to improve breastfeeding support for women with GDM. Thirty women with GDM participated in workshops and asked for information and breastfeeding support to be available on their phones, anytime they required it, and in a variety of formats (i.e. inclusion of breastfeeding apps and videos). Staff at the hospital developed local hospital-based webpages with consumer input to provide a well-utilized resource for women. Women with GDM will use on-line information and feel supported, if it is provided by their hospital.

Consumer Hedonic Ratings and Associated Sensory Characteristics and Emotional Responses to Fourteen Pecan Varieties Grown in Texas.

Pecan is one of the top five most widely consumed tree nuts, and pecan nut quality is a major factor for consideration in breeding better pecan cultivars for use by producers. However, the pecan industry faces a hurdle to evaluate its nutmeat taste, and there has so far been limited evaluation of consumer attitudes toward pecan nutmeat. This study aimed to investigate the consumer (n = 198) hedonic rating, diagnostic sensory attribute intensity, and emotional response for 14 pecan samples, consisting of native/seedling and improved varieties. The results showed all kernels received positive hedonic scores (>5, 9-point hedonic scale) for overall acceptance and the acceptability of size, interior color, typical-pecan flavor, and raw-nut flavor. The primary sensory attributes (intensities > 5.0, 0–10 line scale) were typical-pecan and raw-nut flavors, followed by buttery flavor, sweetness, and astringency. Kernel off-flavors were not perceived in general. For 20 emotion-associated terms, the intensity of the satiating effect was medium, while the energizing effect was lower. The major emotional responses were healthy, satisfied, and comfort, followed by calm, interested, premium, and relaxed. Kernel variety difference was significant (p ≤ 0.05) for all these measured variables. Consumer overall acceptance toward pecan kernels was driven by the acceptability of flavor and interior color, flavor intensities, no off-flavors, and positive emotional responses; kernel size was not an impactful factor. The six most preferred varieties were 86TX2-1.5, Pawnee, Barton, 1997-09-0012, 1991-01-0026, and Harris Super. This study is the first to use consumer input to assess nut quality and consumption preference and will be foundational to ongoing breeding programs to develop new pecan cultivars that will better meet consumer preferences and expectations, and therefore will be accepted by the processing industry and growers.

Designing a decision aid for cancer prevention.

10531 Background: Australian guidelines recommend those aged 50 to 70-years-old without contraindications, consider taking low-dose aspirin (100 mg – 300 mg per day) for at least 2.5 years to reduce their risk of colorectal cancer. To increase uptake of the new guidelines, we hypothesized that a decision aid (DA) would help facilitate a discussion between clinicians and patients about aspirin chemoprevention. We aimed to design a DA with clinician and consumer input including state-of-the-art expected frequency trees (EFTs). We aimed to explore clinicians’ opinions about using EFTs with their patients during consultations and gain consumers feedback on DAs including their understanding and their hypothetical decision to take aspirin or not. Methods: Semi-structured interviews were conducted with relevant clinicians including familial cancer clinic staff (geneticists, oncologists and genetic counsellors), gastroenterologists, pharmacists, and general practitioners (GPs). Focus groups were conducted with consumers in the target age range of the guidelines. DAs were developed through an iterative process. The clinician and focus group interview schedules covered ease of comprehension, design, potential effects on decision making, and approaches to implementation of the DA. Coding was inductive and the focus group interviews were independently coded by two researchers. Themes were developed through consensus between the authors. Final versions of the DAs were proposed to consumers for their final approval after all changes were made. Results: Sixty-four interviews were completed with clinicians between March and October 2019. Twelve consumers, aged 50 to 70 years, participated in two focus groups in February and March 2020. The clinicians agreed that the EFTs would be helpful to facilitate a discussion with patients but suggested including an additional estimate of the effects of aspirin on all-cause mortality. Clinicians agreed that patients would benefit from being shown the EFT in a consultation. The consumers felt favorable about the DA, especially if used with a clinician, and suggested some additional changes to the design and wording to improve ease of comprehension. Conclusions: We have designed a DA using novel approaches to communicate risks and benefits of low dose aspirin for cancer and cardiovascular disease prevention. The DAs are currently being trialled in the SITA trial in general practice to determine its impact on informed decision-making and aspirin uptake.

Preferences of patients with palliative care needs and their families for engagement with service improvement work within the hospital setting: A qualitative study

Background: There is growing recognition of the importance of involving patients and families with lived experiences of illness in healthcare service quality improvement, research and implementation initiatives. Ensuring input from people with palliative care needs is important, but how to enable this is not well understood. Aim: To seek the perspectives of Australian patients with palliative care needs, and their family members, to elicit their views on how to best contribute to inpatient palliative care quality improvement initiatives. Design: An exploratory qualitative study, using semi-structured interviews. Setting/participants: Eligible participants were adult patients with palliative care needs receiving care within a hospital setting, and their family members. Recruitment occurred through: five hospitals in New South Wales, Australia; and snowballing. Results: Fifty participants took part (21 patients and 29 family members). Results confirmed four themes: (1) Mechanisms for providing feedback about care quality need to be supportive and individualised; (2) The clinician-patient/family power imbalance makes real time feedback challenging to provide; (3) Willingness to contribute varies according to diagnosis, timing and role and (4) Face to face feedback is preferred for health service improvement work. Conclusions: Enabling meaningful consumer input to quality improvement requires careful consideration due to the unique requirements of the palliative care population. Embedding tailored outcome and experience measures to inform real-time care provision coupled with focussed opportunities for input into service improvement may best foster improvements in inpatient palliative care, founded in what matters most for people requiring this care.

Implementation science in adolescent healthcare research: an integrative review

BackgroundMultiple theories, models and frameworks have been developed to assist implementation of evidence-based practice. However, to date there has been no review of implementation literature specific to adolescent healthcare. This integrative review therefore aimed to determine what implementation science theories, models and frameworks have been applied, what elements of these frameworks have been identified as influential in promoting the implementation and sustainability of service intervention, and to what extent, in what capacity and at what time points has the contribution of adolescent consumer perspectives on evidence implementation been considered. MethodsAn integrative design was used and reported based on a modified form of the PRISMA (2020) checklist. Seven databases were searched for English language primary research which included any implementation science theory, model or framework developed for/with adolescents or applied in relation to adolescent healthcare services within the past 10 years. Content and thematic analysis were applied with the Consolidated Framework for Implementation Research (CFIR) used to frame analysis of the barriers and facilitators to effective implementation of evidence-informed interventions within youth health settings.ResultsFrom 8717 citations, 13 papers reporting 12 studies were retained. Nine different implementation science theories, frameworks or approaches were applied; six of 12 studies used the CFIR, solely or with other models. All CFIR domains were represented as facilitators and barriers for implementation in included studies. However, there was little or no inclusion of adolescents in the development or review of these initiatives. Only three mentioned youth input, occurring in the pre-implementation or implementation stages.ConclusionsThe few studies found for this review highlight the internationally under-developed nature of this topic. Flagging the importance of the unique characteristics of this particular age group, and of the interventions and strategies to target it, the minimal input of adolescent consumers is cause for concern. Further research is clearly needed and must ensure that youth consumers are engaged from the start and consistently throughout; that their voice is prioritised and not tokenistic; that their contribution is taken seriously. Only then will age-appropriate evidence implementation enable innovations in youth health services to achieve the evidence-based outcomes they offer.Trial RegistrationPROSPERO 2020 CRD42020201142 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=201142

Subtitusi Mocaf Pada Donat Kentang: Apakah berpengaruh Terhadap Daya Terima Konsumen?

This research purpose to find attributes that influence the selection potato donuts made from mocaf and find out the consumer's attitude towards potato donuts made from mocaf. Total respondents in this research are 30 people who had ever bought and ate potato donuts. The respondents were taken by purposive sampling. The methods used in this research is survey methods. The data analysis in this research is using Fishbein Model, the model applied is “the attitude toward object model”. It’s model were used to identify consumer attitudes towards the attributes potato donuts from mocaf and raw material includes taste, texture, shape, color and price suitability. The results show that the most influential attributes in the selection potato donuts made from mocaf are taste (13,74) and color (15,89). Consumer attitudes towards the overall attributes potato donuts are ordinary product. This study recommends potato donut producers to make improvements to the variables of texture, shape and price suitability from consumer input so that it becomes a potato donut product that is preferred by consumers.

Development of RehaBot-A Conversational Agent for Promoting Rewarding Activities in Users With Traumatic Brain Injury.

In this article, we describe the development and preliminary testing of RehaBot-a chatbot that users communicate with via text messaging designed to augment behavioral activation (BA) treatment of reducing depression and increasing participation in individuals with moderate to severe traumatic brain injury (TBI). Outpatient brain injury rehabilitation facility. Outpatient brain injury clinicians and individuals with moderate to severe TBI. Focus groups, software demonstration trials, and single-case experiments with an A-B-A design. System Usability Scale (SUS) and self-reported completed target activities. Focus group feedback guided the development of a flexible system to be used in conjunction with face-to-face therapy, designed to provide reminders, encouragement, and supportive feedback. Two of 3 participants completed all 6 RehaBot tasks independently. One completed 4 tasks independently and a fifth with assistance. Average SUS score in demonstration trials was 76.77 (SD = 21.19). In 4 single-case experiments, participants completed their highest proportion of planned activities in the RehaBot phase and the lowest proportion of planned activities in the reversal phase. They all interacted with RehaBot daily, exchanging an average of 225 messages over the 1-week period, and average SUS score was 95 (SD = 4.74). Their open-ended feedback revealed that participants found RehaBot enjoyable and easy to use. They felt it was a helpful memory aid and promoted better adherence to planned activities by providing accountability and positive reinforcement. This article presents a chatbot development process heavily involving consumer input, which may serve as a model for future development efforts. Our findings provide preliminary evidence suggesting that RehaBot is usable and may promote better adherence to planned target activities. However, future research is needed to establish usability and efficacy of RehaBot and to explore applications of chatbots to other domains of TBI rehabilitation.

Evaluating the development, woman-centricity and psychometric properties of maternity patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs): A systematic review protocol

IntroductionWoman-centred care is the right of every woman receiving maternity care, irrespective of where care is being received and who is providing care. This protocol describes a planned systematic review...

Consumer-Driven Demand-Side Management Using K-Mean Clustering and Integer Programming in Standalone Renewable Grid

Many countries have larger land areas and scattered communities. Therefore, to electrify them, small standalone power systems are the more preferred and cost-efficient solution as compared to utility grid extensions. The main objective of a standalone power system is to supply cleaner, cheaper, and uninterrupted electricity. However, for standalone power systems, demand-side management always remains a challenging task. In this paper, a load scheduling algorithm driven by K-mean clustering and linear integer programming to schedule consumers’ appliances for the upcoming day is proposed. In addition, the basic power to run the necessary appliances is kept available in the system all the time. Furthermore, to assist the consumer in every situation, the battery storage system and the overall system size reduction are also taken into consideration. Consumer input is also used in scheduling the appliances. The proposed method is evaluated on the publicly available real-world dataset; the simulation results demonstrate that the proposed approach performs better, due to which the reliability and continuity of the system are increased.

How the sanitation dimensions impacts consumer perceptions and emotions in five-star hotels due to COVID-19 pandemic?

Purpose This study aims to evaluate the consumer perceptions related to sanitation in the five-star hotels due to the COVID-19 pandemic. It also identified the most significant sanitation dimensions and their influence on the pertinent emotions experienced by the hotel consumers. Design/methodology/approach It identified seven sanitation dimensions (i.e. exterior of the hotel, guestrooms, washrooms/restrooms, in-house restaurant dining, hotel employees, public areas and handling of food) which were assessed through 10 positive and negative consumer sanitation emotions. A structured online survey was conducted to collect data from the 763 five-star hotel consumers. Exploratory factor analysis was applied on the 35 parameters of the seven identified sanitation dimensions, and analysis of variance (ANOVA) was used to determine the most significant dimensions among the hotel consumers. Findings Results revealed that among the seven sanitation dimensions, “exterior of the hotel” and “public area” dimensions were found to be statistically less significant compared to the other sanitation dimensions. Findings related to consumer emotions showed that a significantly high percentage of consumers revealed strong negative emotions, i.e. disgust and discontent toward the poor standards of sanitation in the hotels. Practical implications The study results may be helpful for the hotel administrators and managers to adequately plan the training sessions for their employees based on the consumer perception and emotions toward the identified sanitation dimensions. Further, it may also help in the implementation of the COVID-19 awareness program based on the consumer inputs and perceptions. Originality/value Although a few studies have been performed to explore the sanitation dimensions in the hospitality sector before, but this will be a first attempt to identify and measure the sanitation dimensions and corresponding consumer emotions due to the COVID-19 pandemic.

Establishing the Queensland Pelvic Mesh Service: Preliminary experience.

Transvaginal mesh (TVM) has been used for treatment of pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Mesh-related complications are reported in 3% of women receiving mid-urethral sling surgery for SUI and in up to 20% of women who receive TVM for POP. The Australian Senate Enquiry report in March 2018 recommended that each Australian state establish specialist multidisciplinary units for management of TVM complications. The aims of this study are to report on the setting up of the Queensland Pelvic Mesh Service (QPMS) and summarise its first 24months to provide a potential framework for the establishment of similar service models within Australia and internationally. The planning and implementation of QPMS was a complex two-stage co-design process involving clinicians and consumers representing women with TVM complications. Consumer input in planning was important for the optimal establishment of QPMS to meet women's holistic needs. From April 2019 to April 2021, 484 women had been treated by the medical team; 257 women had undergone cystoscopy and examination under anaesthesia; 91 patients had undergone mesh revision surgery - 65 complete excision and 25 partial excision and one sling division; and 180 women had been discharged from QPMS. Providing a comprehensive multidisciplinary service for managing TVM complications requires careful planning with consumer involvement before initiation. Addition of these patients to an existing service may not succeed. Emphasis on surgery may be misplaced for many. QPMS patients, as in sufferers with chronic pain conditions, benefit from psychological support and allied healthcare.

Internet of things-based automation design and organizational innovation of manufacturing enterprises

The Internet of Things (IoT) foresaw a transparent network between the real and virtual worlds. IoT offers a promising potential to develop strong market and industrial applications. The export-oriented economy of industrial manufacturers relies on product and service creativity to retain a competitive advantage. The IoT-based applications of innovative manufacturing companies (IOTs), where most companies are involved and engaged in many of the case IoT-based applications, is motivated by computing capacity, networking, cost reduction and electronic components. A common motive is the Internet of Things applications and the improvement of after-sales service activities. The suggested Linear Product Design Regression (LPDR) algorithm classifies business product innovation design based on consumer input to support business development. Businesses, companies and the technology industry: the inhibitors hinder the development of the four IT applications. IoT offers one of the latest innovations in manufacturing to allow us to meet key challenges. The product design and development engineering are engaged in utilizing the Internet of Things (IoT) to create comprehensive policies and policy creation for manufacturing companies.To support business development. Businesses, companies and the technology industry: the inhibitors hinder the development of the four IT applications. To allow us to meet key challenges and to create comprehensive policies and policy creation for manufacturing companies.