Digital Applications Research Articles

RANDOMIZED CONTROLLED CLINICAL TRIAL OF THE EFFICACY OF THE DIGITAL SELF-HELP PROGRAM EDUPRESSION.COM® IN MILD-TO- MODERATE UNIPOLAR DEPRESSIVE PATIENTS (EFICASY-STUDY)

Abstract Background Recent updates in the S3 and NICE treatment guidelines advocate for the integration of digital health applications into clinical practice. Despite rapid advancements in the digital transformation of depression treatment, clinical adoption remains insufficient, partly due to a lack of robust evidence supporting their efficacy Aims & Objectives The eFICASY study (NCT04839822, DRKS00032121) seeks to strengthen the existing evidence base by assessing the efficacy and healthcare benefits of edupression.com®, a digital self-help program employing cognitive behavioral therapy, medical psychoeducation, and measurement-based care principles. Designed for treating mild to moderate depression, the study also aimed to determine the program's effectiveness as an adjunctive augmentation alongside standard psychopharmacological treatments Method This monocentric RCT with an active control arm spanned 12 weeks, involving 250 adults, aged up to 65, suffering from mild to moderate major depressive episodes. Participants were equally divided into the intervention group (IG) and control group (CG), with allowance for conventional treatments. The IG engaged with edupression.com®, while the CG received medically innocuous content, such as general health tips and relaxation exercises. The study's primary endpoint was the change in depression severity measured by PHQ-9 scores from baseline to end of study (EOS), with secondary endpoints including D-Lit, WHOQOL- BREF, and B-IPQ changes, assessed using a baseline-adjusted linear regression model. Results From 907 initial inquiries, 463 were eligible after interviews, yielding a randomized sample of 250 for ITT analysis. Baseline demographics were comparable between groups. Furthermore, subgroup analysis revealed no significant differences in outcomes whether patients were receiving psychopharmacotherapy or not. The primary analysis showed a greater reduction in PHQ-9 scores in the IG (p<0.001)(see Figure1), with a normalized beta coefficient of 0.26 and Cohen's d of d= 0.58 [95% CI: 0.32 to 0.83]. Notably, 39% of the intervention group (IG) and 18% of the control group (CG) achieved a minimally clinically important difference (MICD) within the ITT sample with an Odds Ratio of 2.8 [CI 1.4 to 5.3]. Per-protocol analysis revealed an increased normalized beta coefficient to 0.35 (p=0.008) and divergent MICD rates (52% IG vs. 16% CG). Secondary analysis found significant benefits in D-Lit for the IG over the CG (p=0.016)(see Figure2), with a normalized beta coefficient of 0.19 and Cohen’ s d of d= 0.36 [95% CI: 0.01 to 0.62] in the ITT sample. Adverse effects were minimal, with 0.8% in the IG and 10.4% in the CG experiencing clinical deterioration. Discussion & Conclusion The eFICASY study demonstrates that edupression.com® significantly reduces depression severity and enhances depression literacy, aligning with S3 and NICE guidelines. These findings highlight the potential of digital interventions as tools in depression management, even as an augmentation to existing psychopharmacological treatments. Future research should focus on long-term impacts and integration strategies to fully harness digital interventions' potential in mental healthcare.

Bytes for Bites: Revolutionizing Sustainable Diets in India through Innovative Technologies

Focusing on technology as a transformative agent, this paper reviews how digital platforms, mobile applications, AI, machine learning, and big data analytics provide personalized dietary recommendations. It also examines how blockchain and IoT enhance food supply chain transparency and traceability, promoting sustainable sourcing and accountability. Promoting sustainable diets is crucial to tackling global issues such as climate change, food insecurity, and public health challenges. The paper explores the impact of innovative technologies on fostering sustainable diets in India. Given India’s diverse culinary heritage and huge population, adopting sustainable diets is imperative due to the adverse environmental and health impacts of current dietary practices. The role of VR and AR in educating and engaging individuals in sustainable food choices, including during grocery shopping, is discussed. The paper addresses challenges such as accessibility, affordability, and the digital divide, emphasizing inclusive strategies. It concludes by highlighting how technologies like digital platforms, blockchain, IoT, and immersive experiences empower sustainable food choices and enable effective policy interventions. Leveraging these technologies can reduce the environmental impact of food production and consumption while enhancing public health in India.

Impact of personalized pharmacokinetics-guided prophylaxis using standard half-life factor VIII in patients with hemophilia A

Abstract Introduction: Patients with Hemophilia A (HA) are at risk of severe bleeding and joint damage, which can lead to disability. Nonpharmacokinetic (PK)-guided prophylaxis treatment may not be suitable for all patients, as it does not involve personalized prophylaxis tailored to their activity levels. Objective: This study aimed to evaluate the clinical impact of PK-guided prophylaxis using standard half-life factor VIII (SHL FVIII) based on activity risk levels in patients with severe phenotype HA. Material and method: This retrospective and prospective cohort study compared data from the same group of patients receiving prophylactic treatment at Naradhiwasrajanagarindra Hospital between September 2023 and August 2024. Data from 6 months before and 6 months after the implementation of personalized PK-guided prophylaxis, combined with activity risk level design and digital diary application monitoring, were compared. Collected data included the annualized bleeding rate (ABR), annualized joint bleeding rate (AJBR), Hemophilia Joint Health Score (HJHS), Functional Independence Score in Hemophilia (FISH) and weekly consumption of SHL FVIII. Result: The study included 12 participants (mean age ± standard deviation [SD]: 16 ± 6.95 years). The results showed statistically significant reductions in ABR, AJBR, and HJHS (P = 0.005, 0.007, and 0.002, respectively). The median (interquartile range [IQR])FISH score increased from 26.50 (24 – 28.5) to 28 (26 – 29.75) (P = 0.002), while weekly SHL FVIII consumption did not significantly increase. Conclusion: Personalized treatment adjustments using PK data SHL FVIII and digital tools effectively improved treatment outcomes and supported patient activities.

Identification and justification of ways to improve the communicative support of the educational process in higher education institutions using the experience of foreign countries as an example

The article considers current issues of improving the communicative support of the educational process in higher education institutions (HEIs) taking into account the experience of foreign countries. The authors analyze current trends in the development of communications in the educational environment, identify key problems and challenges facing domestic HEIs in this area. Based on a detailed study and generalization of the practices of leading universities, ways to optimize communicative interaction between participants in the educational process are substantiated. Particular attention is paid to the use of innovative technologies, in particular digital platforms, social networks and mobile applications, to build an effective communication infrastructure. The paper offers specific recommendations for improving internal and external communication in HEIs, the formation of an open information space and the development of communicative competence of teachers and students. The problems of effective provision of communicative support of the educational process are described and ways to improve the outlined types of communications are proposed. Innovative teaching methods that contribute to the development of communicative competencies in higher education institutions in the United States are analyzed and ways of implementing the above examples in the educational process of domestic higher education institutions are proposed.

A smartphone-guided secondary prevention digital health application reduces systolic blood pressure in patients with chronic coronary syndrome and insufficient blood pressure control.

Chronic coronary syndrome (CCS) leads to high morbidity and mortality despite therapeutic advances in recent decades. Several modifiable risk factors, including increased blood pressure (BP), significantly contribute to cardiovascular risk in CCS. Therefore, optimal secondary prevention includes managing BP through lifestyle changes and pharmacological therapy. The CHANGE study aimed to provide evidence for optimizing secondary prevention in CCS patients using a smartphone application. The CHANGE-Study is a prospective, randomized, controlled trial performed in 9 centers in Germany. Patients with CCS were randomly allocated to either a control or an intervention group. The intervention group received the "Vantis | KHK und Herzinfarkt" digital health application and standard care. The control group received standard care alone. From the original cohort, subgroups of patients with systolic BP ≥140 mmHg (n = 44), ≥130 mmHg (n = 89) and diastolic BP ≥90 mmHg (n = 28) were analyzed for BP reduction after 12 weeks. In patients with systolic BP ≥140 mmHg, the intervention group showed a reduction in systolic BP by 15.5 mmHg (± 16.7 mmHg, p = 0.0001), which was greater compared to the control group (6.0 ± 13.0 mmHg, p = 0.058). This observation was consistent in patients with systolic BP ≥130 mmHg at baseline. No significant differences between both groups were observed in diastolic BP reduction in patients with diastolic BP ≥90 mmHg. The CHANGE study documents that a smartphone-guided digital health application positively affects systolic BP in CCS patients. This study underlines the potential of digital interventions in cardiology to improve secondary prevention.

New ways to communicate: Intensive care nurses’ perspectives on using the digital application Talk2Care. A qualitative study

Background: An increasing proportion of mechanically ventilated patients are held awake or lightly sedated. These patients require advanced communication skills and sufficient time from the intensive care nurses. In recent years, different digital applications have been developed to facilitate communication with this patient group. Aim: This study aims to report intensive care nurses’ experiences with the novel communication application “Talk2Care”. Methods: A qualitative design was applied to this study. Interviews were conducted with four intensive care nurses from two hospitals. The data were analysed using thematic analysis and were reported according to The Consolidated Criteria for Reporting Qualitative Research Checklist (COREQ). Results: The nurses in the study experienced that “Talk2Care” can help patients express complex emotions, pain, and practical requests. However, the application has several deficiencies. Four themes were constructed: “Allowing for more nuanced communication”, “Investing time and experience in communication”, “Overcoming implementation obstacles” and “Navigating patient limitations”. Conclusion: “Talk2Care” has the potential to improve communication with awake, mechanically ventilated patients. However, its effectiveness is limited by the patient’s physical and mental state. Motivation, experience, and available time can also influence the nurses’ use of the application. All of the above require an active adaptation and thorough implementation to identify suitable patients and overcome the barriers to its use.

A87 LEVERAGING DIGITAL HEALTH: SYMPTOM TRACKING IN PEDIATRIC IBD USING A SMARTPHONE APP FOR ENHANCED PATIENT-REPORTED OUTCOMES

Abstract Background Patient-reported outcome measures (PROMs) are essential for managing chronic diseases, as they provide valuable insights into patients’ perspectives on their condition’s impact and help tailor treatments accordingly. However, collecting this information from pediatric patients with inflammatory bowel disease (IBD) presents several challenges, such as the reluctance of patients to discuss sensitive topics such as bowel movements, defecation, and rectal bleeding. Additionally, the subjective nature of physicians’ evaluations compared to the experiences of patients affect the symptom assessment. An IBD app could help teenagers to routinely assess the clinical symptoms. Aims The objectives of the study were twofold: first, to describe the trajectory of symptoms as self-reported by patients through a digital application, and second, to compare these symptoms with those evaluated by physicians during medical visits. Methods We conducted a prospective study involving teenagers with IBD aged 15-18 years old. All participants had a smartphone and an understanding of English. They received an app (Injoy Gut Health tracking by Phyla Technologies Inc.) that allowed for the collection of symptoms at home, which they were asked to use daily. At inclusion, participants completed the IBD Control questionnaire. Additionally, we collected information on disease status such as the physician global assessment (PGA). Results We included 25 children (60% female) with a median age at diagnosis of 14.5 years (interquartile range (IQR): 13.2-14.5) for IBD (64% Crohn’s disease) for a median of 3.6 years (IQR: 2.7-5.4). Most participants (84%) were in complete remission and 16% had mild active disease, according to the PGA. The teenagers completed the app survey for a median of 122 (IQR: 44-200) days. Participants reported gastrointestinal symptoms during daily data collection: 48% experienced rectal pain, 64% experienced nausea, 96% experienced gas, 76% experienced bloating and 80% experienced abdominal pain. Finally, 28% noted blood in their stools representing a median of 7.8% (IQR 8.88-11.9) of their stools. The PROMs filled at baseline depicted a spectrum of disease activity. The median IBD-control-8 subscore was 12 (IQR: 10-15). The PROMs and the data self-collected daily at home were not in agreement with the PGA. Indeed, symptom data showed that participants experienced a median of 7 (IQR: 4-8) symptoms while 92% (23) of patients reported more than two symptoms. Conclusions These results highlight the importance of incorporating PROMs for more precise and personalized management of IBD in children. The use of an app for at-home daily data collection proved to be a valuable tool in capturing real-time symptomatology. Funding Agencies:

The Impact of Digital Storytelling Applications on Enhancing Critical Thinking Abilities in Higher Education Students

The Impact of Digital Storytelling Applications on Enhancing Critical Thinking Abilities in Higher Education Students

A UTILIZAÇÃO DE TECNOLOGIAS DIGITAIS NO MONITORAMENTO DA SAÚDE: AVANÇOS E DESAFIOS NA SAÚDE PÚBLICA

The advancement of digital technologies has significantly impacted the healthcare sector, especially with telemedicine and chronic disease monitoring applications. The objective was to analyze the impact of digital technologies, specifically telemedicine and health applications, on improving access and quality of healthcare. This is an approach quantitative, observational, descriptive, explanatory cross-sectional approach, referring to the theme addressed here in order to support the development of the research. It was verified that digital technologies, such as telemedicine and applications for monitoring chronic diseases, have played a transformative role in the health sector. It was observed that telemedicine and health applications have significantly contributed to reducing geographic barriers, facilitating remote medical consultations and diagnoses. Furthermore, it allows essential continuity of care for patients with chronic conditions, ensuring regular monitoring. Thus, the research concluded that telemedicine and health applications have great potential to transform public health, but strategic planning is necessary that includes overcoming current barriers. Only in this way will it be possible to maximize the benefits of these technologies and ensure that their use contributes to equity in access to health services

Організація змагань зі спортивних ігор в епоху діджиталізації: організаційні аспекти для вчителів фізичної культури та тренерів

The relevance of the study is due to the rapid development of digital technologies, which significantly transform the processes of managing and organising sports events. The purpose of the article is to explore the possibilities of using digital tools in the organisation and conduct of amateur sports competitions. Methods of research: analysis of scientific and methodological literature, documentary sources, publications and Internet resources, analysis of applications in the Play Market and App Store. Results of the study. The use of digital tools in sports competitions opens up new opportunities for process automation, transparent refereeing and participant engagement. Mobile applications and software allow for easier registration, real-time results, broadcasting and analysis of events. These solutions are particularly useful in schools, sports clubs and amateur competitions where accessibility and management efficiency are important. Digital platforms automate processes such as creating schedules, keeping statistics, and generating standings. Mobile apps such as Winner and other tournament management services offer multifunctional capabilities, including setting up a competition system (round robin, knockout), automated draws, entering match results, and saving data. Such tools also allow you to create online tournaments via web platforms without the need to install additional software. An intuitive interface and a wide range of functions allow organisers to easily adapt competitions to the specifics of the event. Conclusions. Based on the analysis of the use of digital applications and programmes for the organisation of sports competitions, it was found that one of the main advantages of digital tools is significant time savings, as they automate the processes of creating a competition calendar, entering data into tables, and calculating points to determine the winners. This allows organisers to focus on other aspects of tournament preparation and execution, reducing the time spent on routine tasks. Digital applications reduce the workload of organisers by automatically performing numerous functions that require a lot of effort in manual data entry. Most sports management software is available free of charge, allowing schools, amateur teams and extracurricular institutions to use these tools without significant financial outlay. This contributes to the wider adoption of digital technologies in sports practice at various levels. All these factors make digital applications a powerful tool for optimising the processes of organising sports competitions, increasing the efficiency and convenience of the organisers' work. However, potential difficulties related to Internet access, technical issues and personal data security should also be taken into account, which may require additional efforts to ensure the smooth operation of the platforms.

Telemedicine in Pediatric Clinics: Parental Satisfaction and Perception at King Khalid University Hospital During the COVID-19 Pandemic.

Background Telemedicine enables healthcare professionals to provide clinical services through digital applications and communication technologies remotely. Previous studies have reported a significant increase in telemedicine usage during the COVID-19 pandemic, particularly in Saudi Arabia. As the global adoption of telemedicine services continues to rise, patient satisfaction remains a key quality indicator. This study aimed to evaluate parental satisfaction with telemedicine services in pediatric clinics at King Khalid University Hospital (KKUH) during the COVID-19 pandemic. Additionally, it sought to assess parents' perceptions of telemedicine in this setting. Methods This descriptive cross-sectional study included 412 parents who used telemedicine services during the COVID-19 pandemic in pediatric clinics at KKUH in Riyadh, Saudi Arabia. A validated online questionnaire, adapted from a previous study, was used for data collection. The questionnaire comprised four main sections: informed consent, sociodemographic questions, satisfaction statements, and perception statements. Results The study included 412 participants, with a response rate of 56%. Among the satisfaction domains, the highest rated was safety (86%), followed by appropriateness (84%), access and timeliness (84%), effectiveness (82%), and efficiency (77%). Additionally, a positive correlation was observed between the level of satisfaction across these domains and parental perception (p < 0.05). Conclusions The study concluded that although parents were highly satisfied with the use of telemedicine during the COVID-19 pandemic, their overall perception of telemedicine was less favorable.

A Digital Behavior Change Intervention for Health Promotion for Adults in Midlife: Protocol for a Multidimensional Assessment Study.

To support lifelong health promotion and disease prevention, Santé publique France studied the methodology for building a social marketing scheme with a digital intervention targeting middle-aged adults, specifically socioeconomically disadvantaged groups. The digital intervention aims to encourage people aged 40-55 years to look after their health in the short and medium terms by adopting small actions relating to 8 health determinants: nutrition, physical activity, smoking, alcohol, stress, cognitive health, sleep, and environmental health. In the long term, the intervention intends to prevent frailty and reduce the burden of multimorbidities in older age, particularly for lower socioeconomic groups. This study aims to measure behavior changes among registered users of the future website. The protocol assesses the impact of the website based on users' implementation of small actions relating to the 8 health determinants. Specifically, it intends to evaluate the website's performance in terms of engaging a specific population, triggering behavior change, raising awareness about a multifactorial approach to health, and encouraging user interaction with the website's resources. The methodology is based on clinical assessments developed alongside the website according to the functionalities offered to registered users in their personalized space. The assessment tool design draws on logic models for digital interventions, and their consistency for digital applications is verified. The target audience is clearly defined from the outset. The protocol sets out a 3-step assessment: upon registration, after 3 weeks of use, and after 10 weeks of use (end of assessment). Users are divided into 2 groups (socioeconomically disadvantaged users and others) to characterize differences and make corrections. The protocol uses a mixed assessment approach based on website traffic and user login data. Specific and identifiable behavior changes are documented by monitoring the same individuals from T0 to T2, using verbatim comments to classify them into profiles and conducting semistructured individual interviews with a sample of users. The protocol creates a multidimensional assessment of digital intervention, showing that during a given timeline, interactions with users can reveal their capabilities, opportunities, and motivations to adopt healthy lifestyles. The protocol's principles were integrated into the development of a personal account to assess users' behavior changes. Given the delayed launch of the website, no recruitment or effects analysis of the protocol took place. As no multidimensional assessment protocol is currently available for digital behavior change interventions, our methods reveal that the different framework stages can strengthen the effect measurement, consolidate the choice of assumptions used within the logic model and steer the digital intervention toward action while reducing the burden of information. The suitability of the assessment protocol remains to be evaluated given the delayed launch of the website. PRR1-10.2196/60559.

Digitalization of Madrasah Financial System in Managing Financial Transparency and Accountability

This article aims to analyze the application of financial system digitization at MAN Kota Mojokerto in managing the transparency and accountability of madrasah financial management, in an effort to simplify and speed up the payment transaction process, MAN Kota Mojokerto uses the Infra digital application which allows payment of SPP, infaq, books, and other fees to be made online. Through this system, it is expected to reduce the potential for recording errors, improve operational efficiency, and ensure more transparent and accountable financial management. This article uses a descriptive qualitative method with data collection through observation, interviews, and documentation. The results show that the use of the Infra digital application makes it easier for parents to make payments, and makes it easier for the committee treasurer to monitor and report financial transactions. The implementation of digitalization has also proven effective in improving accountability, as every transaction is neatly recorded and can be accessed easily by related parties. In conclusion, the implementation of financial system digitization at MAN Kota Mojokerto has contributed greatly to realizing more transparent and accountable financial management, which has a positive impact on the quality of education management in the madrasah.

State of the Art of Digital Twins in Improving Supply Chain Resilience

Background: In today’s complex and rapidly changing global markets, supply chain resilience (SCR) has become critical for businesses aiming to maintain continuity and competitive advantage. Disruptions and challenges in the supply chain will always exist; therefore, preparing in advance and improving resilience for the upcoming consequences should be the utmost important goal. Methods: Digital twins (DTs) provide a comprehensive view of product performance, enabling companies to adopt an end-to-end approach to product management. To maximize product and service value, supply chains must also be managed holistically. Results: Therefore, companies will need smarter strategies to balance inventory costs, availability and lead times. The optimal setup of suppliers, manufacturing, logistics and stock locations will ensure high service levels and meet customer expectations. Additionally, supply chains must be resilient, and capable of maintaining performance during disruptions and adapting to demand changes. Conclusions: This paper aims to provide a comprehensive review of the state of the art in digital twin applications within supply chains, focusing on their role in improving visibility, agility and decision-making. This paper explores how digital twins might integrate with emerging technologies such as IoT, AI and blockchain, fostering a more adaptive and robust supply chain ecosystem.

Analysis of multi-bridge-channel FET for CMOS logic applications

Abstract This study analyses the vertically stacked GAA Multi-Bridge-Channel FETs like Nanosheet at the device level for CMOS applications. Studies are carried out to validate the impact of geometric deviations concerning thickness and width of the FET's performance. The study also investigates the process parameter variation on DC metrics like threshold voltage (Vth), subthreshold swing (SS), ON-time (ION), OFF-time (IOFF), ION/IOFF, and DIBL. The device achieves better performance by optimizing Nanosheet width (NW) and thickness (NT) variability which ensures scaling flexibility. The CADENCE tool is used to investigate the device's performance in terms of circuit applications. Various circuits like CMOS inverter transient response, switching characteristics, voltage transfer characteristics (VTC) and noise margins are evaluated. The CMOS inverter energy delay product (EDP) and power delay product (PDP) are also analyzed. The PDP and EDP increase by 2.51x and 3.06x with rise of NW. The CMOS inverter noise margins (NMs) are calculated towards digital circuit applications. The proposed Nanosheet FET has good electrostatic integrity due to its GAA nature; thus, it is a strong contender for low-power applications for future technology nodes.&amp;#xD;

DIGITAL TWIN APPLICATION IN CONSTRUCTION COST MANAGEMENT

In line with the current construction revolution, it is time for the construction industry to embrace innovation and technology. This is corresponding with the National Construction Policy 2030 (NCP 2030) that comes out with the aim to digitalize the entire construction industry towards the IR 4.0. The focus is to boost the nation's construction industry's competitiveness and recognition worldwide. The construction industry has undergone a significant transformation in recent years such as BIM, IoT including Digital Twin due to the incorporation of digital technologies. A digital twin is a virtual representation of a physical asset. It is still a relatively new concept in the construction industry, but it offers an innovative method for improving cost management strategies in construction projects. Applications of the digital twin in construction cost management have the potential to revolutionize conventional methods. Therefore, this study seeks to determine the level of understanding of construction industry players on the concept of digital twin applications in construction cost management by providing the concept and to explore the challenges and strategies in implementing the digital twin applications in construction cost management. This research employed a mixed-method approach by means of questionnaire survey and interview for data collection. 35 samples that consist of construction industry players from different organizations participated in this study. The data collected from the survey and interview are analyses through descriptive and content analysis. Overall, the findings find out the understanding of digital twin applications with its challenges and strategies to overcome it. This research contributes to the body of knowledge regarding digital twin applications and construction cost management.

DIGITAL BLOCK APPLICATIONS; A DETAILED SURVEY BETWEEN SURGICAL BRANCH SPECIALIST AND SPECIALIST STUDENTS

Purpose: The purpose of this study was to investigate the digital block application methods of specialists and assistants working in the Departments of Orthopedics and Traumatology, Emergency Medicine, Anesthesia and Reanimation, and Plastic and Reconstructive Surgery in Turkey and the accuracy of the information on which these methods are based, through a survey, and to interpret the survey results.Study plan: In the survey consisting of a total of eighteen questions, the personal information of the physicians, their preferred digital block application methods, local anesthetic agent selection and application doses, and the source of the information on which these preferences are based were questioned in a digital environment. The responses were interpreted and analyzed.Findings: A total of 110 physicians, 16 specialists and 94 assistants, participated in our survey. In the responses given to the multiple-choice question asked to the participants about the cases you encounter most frequently in your clinic, we saw that the most common ones were fractures at the finger and toe level, skin and subcutaneous lacerations at the finger level, and tendon injuries. In the responses we received to the question of the most preferred type of anesthesia in such injuries, we saw that 51.9% preferred digital block and 42.6% preferred regional anesthesia. In the responses we received to other questions regarding the application method, dosage and different usage patterns in our survey, it was seen that traditional and personal experiences were effective in digital block applications.Conclusion: It was determined that the digital nerve block applications preferred by specialists and specialist students were not compatible with the literature. The results of the study are warning signs for the revision of digital block applications. Experience-based applications and personal teachings should be replaced by evidence-based applications in digital block applications.

Pendampingan Digitalisasi Marketing Berbasis Website dan Aplikasi UMKM Klontong di Surabaya

Community service at Klontong UMKM in Surabaya started activities with digital marketing outreach. Next, the Klontong shop will practice marketing strategies through optimizing digital marketing through the marketplace. The aim of this service focuses on assisting the digitalization of marketing based on websites and applications for Klontong UMKM in Surabaya. The expected benefits are that partners are able to adapt and master the applications implemented in service. There are several stages in the implementation method for this service, namely the preparation and socialization stage, training and implementation, and application of technology. Next, a mentoring and evaluation pattern is carried out with the desired service program. The result of dedication is to increase economic independence for Klontong UMKM with marketing techniques that are in line with technological developments. Digital marketing applications make it easier for UMKM grocery stores to reach customers more effectively and widely. The integration between the Warung Kelontong.id website and applications via e-commerce not only increases operational efficiency, but also helps UMKM in analyzing customer data. Keyword: Digital Marketing, Grocery, UMKM, Social Media

Empowering Health Professionals with Digital Skills to Improve Patient Care and Daily Workflows.

The increasing digitalisation of healthcare has created a pressing need for health professionals to develop robust digital skills. This paper explores the imperative of equipping health professionals with the necessary digital proficiency to enhance their daily workflows and improve patient care. The expanding use of digital technologies, including electronic health records, telehealth, and artificial intelligence, has transformed the healthcare landscape. However, the adoption of these technologies has been hindered by barriers, such as a lack of interoperability and hesitancy among healthcare providers. To address these challenges, this paper argues that digital skill development must be a core component of healthcare education and professional training. Medical schools and healthcare organisations must prioritise the integration of digital health curricula and continuous learning opportunities to ensure that the next generation of healthcare providers is well-equipped to navigate the digital healthcare ecosystem. Additionally, this paper highlights the importance of fostering a culture of digital innovation and collaboration within healthcare settings. By empowering health professionals to actively participate in the development and testing of new digital health applications, the industry can unlock the full potential of digital technologies to enhance daily workflows and improve patient outcomes.

El cómic digital como recurso para consolidar el aprendizaje en la educación secundaria obligatoria

Currently, there are several digital applications that make it possible to create comics, which can enhance study in obligatory secondary education. Their use is an excellent contribution to the curriculum of different subjects by presenting the content through contextualised images and a more accessible language. This study will focus on the educational benefits of digital comics. Therefore, the main objective is to elaborate an analysis that highlights digital comics as a tool that simplifies learning for students, based on a review of the existing literature. In recent years, the virtual comic has begun to be used frequently in obligatory secondary education thanks to various initiatives that promote its use, such as training courses for teachers and the dissemination of educational comics through social networks. Among the advantages of digital comics over classic comics is their interactivity, which allows students to view animations or listen to sounds, show or hide elements, or even choose the outcome of the story. These qualities make the virtual comic a more interesting educational resource, which also facilitates learning by teaching content in a more entertaining and visual way.