Package Of Services Research Articles

Diabetes Health Supervision and Treatment Strategy Based on Data Management and Analysis on eKTANG Platform.

The management of diabetes-related risk factors could effectively reduce the occurrence of its complications, improve the quality of life of patients, and reduce the mortality of patients. Data analysis based on the eKTANG platform could greatly improve the efficiency of communication between patients and doctors, and strengthen the treatment and management of diabetes. We created eKTANG to monitor patient health effectively. The eKTANG health management system aims to extensively intervene in blood glucose monitoring, nutrition, exercise, medicine, and health education to enable diabetes patients to achieve optimal treatment results. Diabetes patients diagnosed by Henan University Medical School included through the eKTANG platform were randomly divided into three groups: member service package group, discharge/ outpatient follow-up group, and out-of-hospital care group. We conducted intensive out-ofhospital interventions for three groups of patients for three months to help patients formulate precise blood glucose control plans and conduct training. The traditional group was compared with the eKTANG platform group, and the physiological indicators and patient compliance of the four groups were observed 6 months later. In the eKTANG platform management group, the average blood glucose compliance rate increased significantly, and the percentage of average blood glucose in the range of 3.9-10.0 showed an upward trend. Fasting blood glucose and postprandial blood glucose showed a downward trend. At the same time, the number of patients per capita blood glucose monitoring showed a significant increase compared with the control group. The establishment of the eKTANG platform can improve the efficiency of patient's medical treatment, improve their lifestyles, reduce the incidence of patient complications, and build a virtuous circle gradually. This research has strengthened the health management and autonomy of diabetic patients and improved the efficiency of treatment. It is worthy of promotion.

Sustainable paper-based packaging from hemp hurd fiber: A potential material for thermoformed molded fiber packaging

Hemp hurd fiber, a low-value waste stream from the hemp industry, has potential downstream applications as an alternative to non-renewable plastics for single-use food service ware and packaging applications. Packaging paper substrates made from chemically pulped hemp hurd, mixed in varying ratios with bleached thermomechanical radiata pine pulp were developed and tested. Handsheets were characterized using several mechanical property tests including tensile strength, tearing resistance, burst strength, short-span compression, ring crush, together with Gurley air resistance, contact angle, and Cobb60 tests. Generally, addition of hemp hurd fibers significantly improved handsheet mechanical properties. Hot-pressing of the handsheets so as to approximate molded fiber thermoforming further enhanced their performance, with pure hemp hurd handsheets having the highest mechanical properties and barrier performance. A prototype was successfully thermoformed from hemp fiber, demonstrating overall feasibility of this fibre source for molded fibre objects.

Synthesis and Physico-mechanical Characterization of Polystyrene Blended with Uvaria chamae Seed Oil (UCSO) Used as a Plasticizer

Polystyrene has long been recognized as a versatile and cost-effective material used in several industries, such as packaging, consumer electronics, building, medical, and and food service disposables. The current research focuses on the synthesis and physico-mechanical characterization of polystyrene blended with Uvaria chamae seed oil (UCSO), used as a plasticizer. UCSO was extracted with hexane and used as a plasticizer in the suspension polymerization of styrene. The findings on the quality of the oil are as follows: oil content (12.54%), specific gravity at 25 oC (0.94 ± 0.00), acid value (8.029 ± 0.12 mg KOH), iodine value (18.987 ± 0.40), peroxide value (7.0), free fatty acid (4.015%), and saponification values (173.392). The mechanical properties of the polystyrene blend with Uvaria chamae seed oil (PS-UCSO) at 100g were reported as follows: ultimate tensile strength (48.6 MPa), Young modulus (1985.3 MPa), % elongation (12.6%), break load (390.6 N), peak load (386.5 N), Shore D hardness (80.0), and water absorption (1.31%). Other properties like thermal conductivity and thermal resistance were reported as 0.2614 (W/m.K.) and 3.8256 (1/k). The findings revealed that the mechanical properties of PS-UCSO were highly competitive with the conventional white petroleum oil used as a plasticizer. As a recommendation, Uvaria chamae seed oil should be used as a plasticizer since it is available, cheap, and environmentally friendly.

Perencanaan Desain Layout Optimal pada Unit Pelaksana Teknis Dinas Rumah Kemasan

UPTD Rumah Kemasan established by the Southeast Minahasa Small and Medium Enterprises Cooperative Office is a packaging service center for Small and Medium Industries (SMI), the construction of the Rumah Kemasan is based on the number of Small and Medium Industries (SMI) which has increased from year to year. The correcting problem faced by the UPTD Rumah Kemasan is related to the layout of machinery and equipment. The problem faced by the UPTD Rumah Kemasan is related to the layout of machinery and equipment. The conditions in the current areas of the Rumah Kemasan have not been determined and there is no planning and arrangement, this will certainly have a major impact on the operation of the UPTD Rumah Kemasan. There are two methods used to solve the packaging house problem, the first is BLOCPLAN (Block Layout Overview with Layout Planning) and the second is the CORELAP method (Computerized Relationship Layout Planning Algorithm) which can provide solutions related to optimal initial layout planning for the UPTD Rumah Kemasan. The results of data processing after being compared, the recommended layout is the output of the CORELAP (Computerized Relationship Layout Planning Algorithm) method, with the most optimal results, seen from several indicators and the results of the distance obtained based on the activity of the operating process map 49.2 meters and based on the distance of machines and equipment 65.78.

Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study.

Despite the fact that community-based health insurance (CBHI) is a promising program to achieve the goal of universal health coverage (UHC), it faces challenges that are not only due to low enrollment but also due to membership renewal decision that impact its sustainability. Hence, the study aimed to identify the determinants of CBHI membership renewal decision among rural households in Kellem Wollega zone, Ethiopia. The study was conducted in Kellem Wollega, Ethiopia, among rural households from March 30-April 30, 2022, using a community-based cross-sectional study design. An interviewer-administered structured questionnaire through face-to-face interviews was used. Using a systematic random sampling method, 551 households were selected making 540 (98%) response rates. The data was entered into EPI Data 3.1 and analyzed using SPSS 25 software. Descriptive statistics, binary, and multiple logistic regressions were performed. Using multiple logistic regressions, a significant association between the CBHI membership renewal decision and independent variables was identified, declaring the statistical significance level using a 95% confidence interval (CI) at p < 0.05. The overall rate of CBHI membership renewal decision among households was estimated to be 365 (67.6%, 95% CI = 63.7-71.5%). The factors that significantly influenced the households' membership renewal decision were family size (AOR = 0.46, 95% CI = 0.25-0.86), low literacy status (AOR = 0.28 95% CI = 0.12-0.64), lower than middle-level of wealth index (AOR = 9.80, 95% CI = 2.75-34.92), premium affordability (AOR = 4.34, 95% CI = 2.08-9.04), unavailability of services (AOR = 0.26, 95% CI = 0.12-0.55), trusting in health facilities (AOR = 5.81, 95% CI = 2.82-11.94), favorable providers' attitude toward members (AOR = 8.23, 95% CI = 3.96-19.64), good quality of service (AOR = 4.47, 95% CI = 2.28-8.85) and health care seeking behavior (AOR =3.25, 95% CI = 1.32-7.98). The overall CBHI membership dropout decision rate among rural households was high, which could affect health service provision and utilization. Therefore, the insurance scheme and contracted health facilities should consider and work on family size and wealth status when membership premiums are calculated, the education level of households when creating awareness about the scheme, building trust in the contracted health facilities by providing all promised benefit packages of health services with good quality, and improving the attitude of health care providers towards the scheme members.

An autonomous mixed data oversampling method for AIOT-based churn recognition and personalized recommendations using behavioral segmentation.

The telecom sector is currently undergoing a digital transformation by integrating artificial intelligence (AI) and Internet of Things (IoT) technologies. Customer retention in this context relies on the application of autonomous AI methods for analyzing IoT device data patterns in relation to the offered service packages. One significant challenge in existing studies is treating churn recognition and customer segmentation as separate tasks, which diminishes overall system accuracy. This study introduces an innovative approach by leveraging a unified customer analytics platform that treats churn recognition and segmentation as a bi-level optimization problem. The proposed framework includes an Auto Machine Learning (AutoML) oversampling method, effectively handling three mixed datasets of customer churn features while addressing imbalanced-class distribution issues. To enhance performance, the study utilizes the strength of oversampling methods like synthetic minority oversampling technique for nominal and continuous features (SMOTE-NC) and synthetic minority oversampling with encoded nominal and continuous features (SMOTE-ENC). Performance evaluation, using 10-fold cross-validation, measures accuracy and F1-score. Simulation results demonstrate that the proposed strategy, particularly Random Forest (RF) with SMOTE-NC, outperforms standard methods with SMOTE. It achieves accuracy rates of 79.24%, 94.54%, and 69.57%, and F1-scores of 65.25%, 81.87%, and 45.62% for the IBM, Kaggle Telco and Cell2Cell datasets, respectively. The proposed method autonomously determines the number and density of clusters. Factor analysis employing Bayesian logistic regression identifies influential factors for accurate customer segmentation. Furthermore, the study segments consumers behaviorally and generates targeted recommendations for personalized service packages, benefiting decision-makers.

Dynamics of regionalization and repercussions of gaps in care on health marketing in remote rural municipalities

This article analyzed the dynamics of regionalization in municipalities within hinterlands and the possible implications of gaps in care for the marketing of health. This is a multiple case study with a qualitative approach, involving 76 semi-structured interviews with municipal, regional, and state managers. The results show that, particularly in the Northern states, the regional scheme did not reflect the social dynamics of the populations and created inadequate flows and unwanted routes. The municipal political agenda often prioritized interests other than that of regionalization, and rural problems did not mobilize managers to build specific regional planning. Parliamentary amendments were essential for investment in healthcare and the managers pointed to clientelistic relationships to obtain such resources, often conditioned by political-ideological alignment. The scarcity of public services favored dependence on the private sector and the commercialization of health in different situations. The great distances and the lack of public services in municipalities in the hinterland made the local public health system offer eminently dependent on contracts with private providers who negotiated on a retail basis or via service packages. Lastly, in the wake of unmet needs and gaps in care in remote rural municipalities, players in the healthcare market ₋ companies supplying inputs, consultants, healthcare professionals, and transportation services ₋ filled the gaps in public provision, sometimes controlling prices, supply and availability of services.

ScienceBox 2.0: Evolving the demonstrator package for CERN storage and analysis services

ScienceBox 2.0: Evolving the demonstrator package for CERN storage and analysis services

Strengthening Public Financing of Primary Healthcare in India: A Perspective.

Resilient and high-performing health systems that can respond to the global polycrisis hinge upon the effectiveness of their primary healthcare (PHC) system. This requires adequate and sustainable financing for PHC, which should be predominantly government financed. The recent Ayushman Bharat health reforms in India aim to ensure comprehensive PHC services and enhance financial risk protection through increased government financing. The government has augmented investments to fortify the PHC system by establishing Health and Wellness Centers (HWCs), equipped with an expanded benefit package for PHC services & human resource capacity. Aligned with the National Health Mission's targeted and flexible financial mechanisms, this offers States the opportunity to contextualize solutions and offer incentives to healthcare workers. However, aligning public financing arrangements to service delivery complexities and health outcomes pose intricate challenges in shaping the required reforms. The economic growth and room for increased taxation on health products provide an avenue for increased funding. Smart and efficient payment mechanism with improved accountability should complement increased investment.

Health System Resilience in a PHC Setting in India—A study of Assam and MP

Context: To bolster the ambitious Program of Government of India (GOI), to build a strong and resilient healthcare system plans to establish 1,50,000 Health and Wellness Centres (HWCs) across the country by 2024, the GOI gave a clear to its partners to explore options. Aim: Therefore, LEHS | WISH, initiated a baseline study to assess the service availability and service readiness (SARA) status of 18 Sub-centres (SCs) and Primary Health Centres (PHCs) to be upgraded as HWCs to deliver the twelve package of services as envisaged in HWC guidelines to strengthen the primary healthcare system. Settings and Design: Health system resilience, was assessed against the 10 Areas of Concern, elaborated in National Quality Assurance Standards (NQAS) for all the 12 thematic areas of service delivery of HWCs. Methods and Material: A sequential mixed method of design was adopted, which included both quantitative and qualitative components of assessment. The major focus of the study was quantitative in nature to assess HWC facility level gaps across key areas. Qualitative study with stakeholders including that of the community was undertaken to elicit reasons for such gaps and awareness of the community to respond/ engage with health systems better. Statistical Analysis Used: STATA was used a quantitative analysis tool undertake the analysis. Results: on average, both the last mile healthcare delivery system (PHC and SC) and the community are less than 25% resilient, even for disasters. Conclusion: It is not possible to make the system resilient unless focused effort is made. Therefore, there’s a need to clearly define the essential services and its resource requirement to be made available 24X7 for 365 days without fail, offer regular training to the staff to ensure process resilience, create awareness within the community to engage with the health system optimally, strengthen local governance to assure provision of essential services.

Fostering Flexibility: How Medicare Advantage Potentially Accelerated Telehealth Benefits.

In 2018, the US Congress enacted a policy permitting Medicare Advantage (MA) plans to cover telehealth services in a beneficiary's home and through audio-only means as part of the basic benefit package of services, where prior to the policy change such benefits were only allowed to be covered as a supplemental benefit. MA plans were afforded 2 years of lead time for strategizing, negotiating, and capital investment prior to the start date (January 1, 2020) of the new coverage option. Our data analysis found basic benefit telehealth was offered by plans comprising 71% of enrollment in 2020 and increased to 95% in 2021. At the same time, remote access telehealth was offered as a supplemental benefit for 69% of enrollees in 2020, a decrease of 23% compared to 2019. These efforts by MA plans may have enabled traditional Medicare (TM) to leverage an existing telehealth infrastructure as a solution to the access issues created by public health policies requiring sheltering in place and social distancing during the COVID-19 pandemic. The success of this MA policy prompts consideration of additional flexibility beyond the standard basic benefit package, and whether such benefits reduce costs while improving access and/or outcomes in the context of a managed care environment like MA. Subject to oversight, such flexibility could potentially improve value in MA, and facilitate future changes in TM, as appropriate.

Introducing Open Dialogue as part of the WHO QualityRights Project in South Korea: experiences and opinions from an introductory workshop and 1-year pilot practice.

This study explores the subjective experiences of participants in a 5-day Open Dialogue (OD) workshop and a 1-year pilot practice, conducted as part of the WHO QualityRights Project in South Korea. Twenty-four participants, selected through purposive sampling, completed surveys immediately after the workshop and 1 year later. Data were analyzed through both statistical and thematic approaches. A statistically significant decrease in the availability of "Flexibility and Mobility" was observed across all participants (p = 0.044) and a significant reduction in the availability of "Tolerance of Uncertainty" (p = 0.04) was noted among participants who engaged in network meetings over the course of 1 year. Qualitative analysis revealed that participants initially felt ambivalent toward OD due to systemic, cultural, and professional challenges. However, through experiential learning, their ambivalence shifted to hope, fostering solidarity and a more positive outlook for future OD practice. Participants recognized that implementing OD supported human rights, while addressing personal, organizational, and policy challenges. The findings provide important insights for developing OD training and implementation guidelines in South Korea. Recommendations include focusing on experiential learning and selecting mixed-group trainees from catchment area institutions, emphasizing the support of client rights, and considering individual, organizational, and systemic levels for successful implementation. This study represents a new case of OD dissemination through a top-down national research and development project and its integration into the WHO QualityRights service package, suggesting complementary potential between OD and global human rights-based mental health initiatives.

Web-based program for sexual and reproductive health education of immigrant women: A scoping review protocol.

Developing web-based education sexual and reproductive health (SRH) programs for immigrant women is crucial. This scoping review aims to provide basic data for developing more advanced programs by examining web-based educational program literature. This review considers web-based SRH education programs for adult immigrant women and focuses on their characteristics, instructional strategies, and outcome evaluations. Data will be extracted following the Minimum Initial Service Package (MISP) and Kirkpatrick level and summarized to show future-oriented results while documenting web-based approach evidence for educating immigrant women on SRH. It is expected to provide information for web-based education programs to meet the MISP and develop various evaluation methods. As such, the findings can be used to determine the direction and level of SRH education.

Concept and practice of marketing glamping as an eco-friendly tourism product

The article updates the application of a marketing approach in the glamping industry to maximize the use of all the opportunities that this environmental innovation provides for solving economic and social problems. The purpose of the study is to formulate the foundations of the conceptual model of glamping marketing as a type of marketing management in the service sector, combining, on the basis of the principle of complementarity, on the one side, the realization of the needs and motives (rational, emotional, mental) of clients in active leisure and on the other side, green, cultural, economic development of territories into a single synergetic process of creating socially significant products that combine the characteristics of tradition and modernity. In their study, the authors rely on the results of an analysis of the Russian glamping market and note the increased interest of consumers in the new format of the tourism product. The glamping industry can bring quick profits, but less long-term results combined with a weak social effect. The scientific novelty of the research is as follows: based on clarifying the characteristics of marketing in the glamping industry, the term “glamping marketing” was proposed and justified, which, despite its industry nature, can become the basis for the creation of other innovative products of the green industry; the relationship between green marketing, territorial marketing and glamping marketing has been identified; the elements of the service package were adapted to the glamping industry and an algorithm for its strategic marketing management was proposed, based on the logic of strategic management and technological entrepreneurship.

The Influence of Quality of Umrah Package Services on the Interest of Jama'ah to Register at PT Cordoba Berkah Mandiri

Although PT. Cordoba Berkah Mandiri has a license to operate legally, the products are not innovative and varied, and the information presented is not complete and detailed. This study aimed to determine and analyze how much influence the quality of Umrah service package services has on the congregation's interest in registering at PT Cordoba Berkah Mandiri.This research is a quantitative research that analyzes the relationship between variables by testing the hypothesis. The data collection technique was a questionnaire (questionnaire) with a sample of 91 people. The data analysis technique used is simple regression analysis, T-test, and coefficient of determination test (R2). The results of the regression analysis show that the service quality variable (X) has a positive and significant influence on the intention to register (Y) in choosing travel organizers for the Umrah pilgrimage as evidenced by the equation Y = 12.315 + 0.459X, meaning that before there is a service quality variable, the value of interest in registering amounted to 12.315 or 1231.5%, but after there was a service intensity variable, interest in registering increased by 0.459 or 45.9%. In terms of service quality, it also positively and significantly influenced interest in registering with travel organizers of the Umrah pilgrimage.

SCIENTIST PROFILE IN IDENTIFICATION SYSTEMS AS AN INDICATOR OF PUBLICATION ACTIVITY OF A SCIENTIST: THE ROLE OF THE UNIVERSITY LIBRARY

The article deals with the features of international identification systems of scientists. The author analyzes the profile of a scientist tied to a single unique number identifier as the most important criterion for identifying scientific articles of the author in databases of scientific citation. The directions of activity of the Scientific Library of the Admiral Makarov National University of Shipbuilding, which are aimed at to increase the indicators of publication activity and citations by providing information support of university scientists, popularization of the achievements of leading scientists. Conclusions. The system of accounting for scientific publications in an organization involves: identifying all author identifiers in the main scientific citation systems; combining information into a single profile with a unique identification number of each system; displaying indexed scientific publications in the ORCID system (author responsibility), and actively involving researchers in the work of reputable international professional social networks. It is proved that the formation of a package of new services provided by the Scientific Library: assistance in in the preparation of manuscripts according to the requirements of publishers; consulting on the state of the author's profile in various scientometric systems; selection of scientific journals for publication of research; maintaining retrospective and current information on the publications of higher education institutions contribute to increasing the publication activity of university researchers.

Impact of the DSA Regulation on Very Large Online Platforms

The activities of large online platforms based in third countries in the internal market pose potential risks to EU users. The EU aims to ensure a safe online environment not only for consumers, but also for all users active in this ecosystem. Increased security, legal certainty, consumer protection, transparency, and several other partial aims have led to the adoption of the Digital Services Package, which includes the so-called DSA Regulation. The present article aims to identify the key impacts of the new regulation on very large online platforms that are part of the daily routine of EU citizens and to highlight the benefits it brings to regular users. There are many changes brought about by the new legislation; therefore, we decided to focus only on those that we consider the most tangible, both from the perspective of the everyday user and for the platforms per se.

A retrospective review of the impact of immunization eCare plans in community-based pharmacy setting

BackgroundThe Pharmacist Electronic Care (eCare) plan is an electronic documentation and billing platform that allows for exchanging and integrating pharmacy patient care information. eCare plans make it easier for pharmacists to track recommendations and referrals to both patients and providers and to bill for services. ObjectivesTo determine the impact on the type and number of vaccines administered after the completion of immunization eCare plans and to examine sociodemographic differences in patients who received immunizations were documented in an eCare plan in a community-based pharmacy setting. Practice DescriptionBremo Pharmacy is an independently owned pharmacy located in Richmond, Virginia. Bremo Pharmacy offers a medication synchronization program targeting patients for enrollment in compliance packaging and clinical services. Practice InnovationBremo Pharmacists use eCare plans to track patient and provider interactions, goals, and medication-related information. Pharmacists used eCare plans to document vaccine recommendations and interactions with patients as a tool to increase vaccinations. Evaluation MethodsReports were generated to extract data containing information from each eCare plan during the intervention period and the number and type of vaccines administered 1 and 2 years before the intervention. Percent change was used to calculate the change in vaccines administered between years. The sociodemographic data was analyzed using descriptive statistics and bivariate statistical analysis using SAS 9.0 (Cary, NC). ResultsThere were a total of 1105 immunization eCare plans completed. An increase of 136.6% in vaccines administered occurred after the implementation of the eCare plans. While the number of vaccines administered increased, no significant differences were found in vaccine uptake by gender or age. ConclusionImmunization eCare plans are a useful tool to help pharmacists increase the number of vaccines administered in an independent pharmacy.

Investigating the relationship between psychological adjustment and the quality of marital relationship dimensions of women with breast cancer in Golestan Province in 2022

IntroductionBreast cancer is the most prevalent cancer among women. Contracting this cancer is an experience accompanied by extreme mental stress. Therefore, when they know about their disease, they experience high levels of disappointment and weakness in adapting to it in their personal and family lives. Like any other type of cancer, it endangers various aspects of mental health, including the marital relation. Breast cancer diagnosis is a crisis in a women's life. In this respect, mastectomy (i.e., breast removal surgery) is eliminating a part of the body that symbolizes gender, femininity, and maternal dimensions. Regarding the importance of the breast in forming a woman's sexual identity, the reaction to the disease by women may involve fear, anxiety, and depression. Hence, the contraction of breast cancer may damage the married life of these women. The present study was conducted to explore the relationship between mental adjustment to cancer (MAC) and marital relationship quality (MRQ) in women with breast cancer. Materials and methodThis descriptive-correlational study was conducted on a sample size of 135. Sampling was performed through the accessible sampling method on women with breast cancer referred to two clinics in Gorgan City during 2020–2021. The data-collection tool comprised the demographic data blank, the Mini-Mac mental-adjustment-to-cancer questionnaire, and the Perceived Relationship Quality Component (PRQC) inventory. The data were analyzed using Pearson's correlation index, multivariable regression model, and the SPSS software ver. 18. ResultsThe mean scores for MAC and MRQ domains in women with breast cancer were 81.15 ± 19.78 and 93.19 ± 95.17, respectively. There was a direct and significant relation between the MAC score in women with breast cancer and the perceived MRQ in them (r = 0.341; p = 0.001), such that with increasing the psychological MAC, the perceived quality of the marital relationship was significantly higher. ConclusionBased on the obtained results, it is inferred that with an increase in the MAC, MRQ domains improve accordingly. Concerning the major role of the MRQ in the mental health of couples, the authorities must prepare a service package to improve the MRQ and mental health of breast cancer patients.

Translating political commitments into actions to enhance Universal Health Coverage in the Eastern Mediterranean Region.

Many countries in the Eastern Mediterranean Region (EMR) have developed packages of services for achieving Universal Health Coverage (UHC), however, policymakers, especially in resource-constrained countries, still face challenges in delivering equitable, efficient and sustainable health services. To provide guidance for EMR countries and develop packages of services for UHC. We used information gathered from narrative reviews, national experiences and expert consultations to develop step-by-step guidance for the development of national packages of services for the achievement of UHC by countries in the EMR. The processes used to develop packages of services varied between EMR countries and these processes may not have involved all relevant stakeholders. We highlight in this paper the iterative processes, including several phases and steps, to be used by EMR countries for developing packages of services for UHC. These processes also make provision for continuous monitoring and revision to make necessary improvements as morbidity patterns evolve. Developing a package of services for the achievement of UHC is a significant milestone for EMR countries and it is central to shaping the healthcare system for effective delivery of services.