Management Program Research Articles

Barriers faced by primary healthcare providers in addressing emergencies in the Northern region of Palestine before and during the Gaza war

IntroductionPhysicians working in primary health care (PHC) centers are the first contact for patients and expected to deal with emergencies. Emergency care training in PHC settings has been neglected globally, especially in low to middle income countries. Adequate preparation becomes especially important during periods of conflict. The study objectives are to identify the barriers facing PHC physicians when dealing with emergency cases in the northern region of Palestine during the current conflict.MethodsA cross-sectional study was conducted with 179 physicians working in the 10 PHC centers distributed among 5 northern governances in Palestine. The study period was from July through December 2023. Data were collected electronically using a self-administered questionnaire, which was adapted from a comprehensive literature review. The questionnaire’s internal validity was confirmed by a Cronbach’s alpha coefficient of [0.85], indicating high reliability.ResultsThe ages of the physicians ranged from 25 to 60 years, with a mean ± SD of 35.3 ± 8.15 years. A significant majority (91.6%) were not boarded in any specialty. Most physicians (85.5%) had attended Basic Life Support (BLS) courses, whereas 45.2% and 72% had never attended Advanced Cardiovascular Life Support (ACLS) or Advanced Trauma Life Support (ATLS) courses, respectively. Physicians with emergency department experience (P = 0.002) and those who had attended ACLS courses (P < 0.001) reported significantly higher perceived competence in managing emergency cases.ConclusionEmergency services at PHC centers in northern Palestine are operational but require significant enhancements. There is a critical need for increased availability of essential equipment, supplies, and medications. Additionally, implementing comprehensive training programs in emergency management, particularly ACLS, is essential to improve the competence and performance of PHC physicians in emergency situations.

Florasis: the emerging C-beauty brand

Learning outcomes This case study is designed to enable students to understand the reasons behind the launch of a beauty brand grounded on traditions and culture, understand the strategies adopted by Florasis to establish its presence in the C-beauty space and emerge successful, analyze the positioning of a C-beauty brand in a highly competitive beauty market, identify the issues and challenges faced by a C-beauty brand in its efforts to disrupt the C-beauty space and suggest strategies that Florasis can adopt to emerge as a market leader in the global beauty industry. Case overview/synopsis Set in 2021, the case study discusses about the emerging C-beauty brand Florasis innovative strategies to promote the brand. Florasis was founded in 2017 with a vision to become a century old national makeup brand of China. Florasis was successful in getting on board a story-telling experience that featured traditional Chinese culture, aesthetics and heritage. It sold cosmetic products with retro packaging, concepts derived from traditional Chinese style, promoting a sense of national pride and nostalgia. The case study highlights the innovative strategies Florasis adopted like influencer marketing through key opinion leaders and key opinion customers, celebrity endorsements, user co-creation programs, social content and network marketing, brand crossovers and collaborations, etc. In April 2021, Florasis became the No. 1 cosmetic company in China with a gross merchandise value of 218m yuan and further the total sales for second quarter of 2021 reached 830m yuan, endorsing its supremacy over other global and local beauty brands in China. However, with success came along a set of challenges. Some analysts pointed that the brand was slow in innovating its product line-up, it focused more on promotions and advertisements and the brand positioning with a single sales channel, the cost performance and quality of the products and excessive marketing campaigns targeting a niche segment. Going forward, what should Florasis do to conquer the global beauty space? Can Florasis aspire to become a digitally empowered global beauty brand? Has it got the momentum? Will its direct-to-consumer model and unprecedented marketing and promotion gimmicks, help it achieve the lead in the global beauty space? Complexity academic level This case study is suitable for students of the graduate and undergraduate programs in management. Supplementary materials Teaching notes are available for educators only. Subject code CSS 8: Marketing.

Achieving consensus on the key elements of a nurse-led multidisciplinary chronic heart failure service in Thailand: An e-Delphi study.

To describe the outcomes of an e(electronic)-Delphi survey used to achieve consensus on the essential elements that should be included in a multidisciplinary, nurse-led service for patients with chronic heart failure (CHF). The study design was based on a three-round e-Delphi survey. A series of three survey rounds were used to gather expert opinions and achieve consensus on the key elements that should be included in a CHF disease management program from a sample of healthcare professionals and organizational leaders with expertise in existing CHF services. Consensus for each item was defined as at least 90% agreement. There were 20 participants (18 healthcare professionals and 2 organizational leaders) in round-1, 22 (20 healthcare professionals and 2 organizational leaders) in round-2, and 17 (15 healthcare professionals and 2 organizational leaders) in round-3. Fifteen participants attended a final online meeting (13 healthcare professionals and 2 organizational leaders). Consensus was obtained on five essential components: (i) consumer education, (ii) treatment optimization using a multidisciplinary approach, (iii) discharge planning, (iv) provision of supportive community care and (v) mechanisms to respond to early symptoms of decompensated CHF. Participants focused on mechanisms to improve treatment effectiveness, patient and family knowledge, communication between healthcare providers and supportive care in the community. The proposed model of care may be useful to other health service providers who are designing or adapting CHF models of care for the South-East Asian environment. This research provides a solid basis for using a Delphi method to resolve the challenges and issues of transferring global model-based recommendations in CHF knowledge. The Delphi method proved successful as an important step in developing a culturally acceptable model of chronic care that meets the goals of local healthcare providers.

Promoting safety of underground machinery operators through participatory ergonomics and fuzzy model analysis to foster sustainable mining practices

One of the most vital parameters to achieve sustainability in any field is encompassing the Occupational Health and Safety (OHS) of the workers. In mining industry where heavy earth moving machineries are largely employed, ergonomic hazards turn out to be significant OHS hazards causing Musculoskeletal Disorders (MSDs) in the operators. Nevertheless, the Indian mining industry lacks a comprehensive technique of OHS risk assessment, especially for ergonomic hazards that cause MSDs. This research appraises ergonomic hazards and develops Fuzzy Musculoskeletal-disorders Index (FMI) model to evaluate ergonomic-related MSDs. Work process and work tool ergonomic risk factors were identified through literature review and directives recommended by experts. Work posture was evaluated using RULA. The data-collecting approach was implemented using participatory ergonomic and design science principles. The FMI results show average MSDs score of 3.69, indicating high to extremely high risk. Surface plots show that combined work tool and work process was the most sensitive factors to MSDs risk compared to other two combinations. A two-sample t-test validated the FMI. The findings should help safety experts and managers develop effective OHS management plans and programmes for the sustainability of Indian mining industry.

A 4-year field study monitoring the evolution of Trp574Leu-resistant plants in an Echinochloa crus-galli population under different crop rotation and herbicide programs in maize.

A 4-year experiment evaluated the effects of different integrated weed management (IWM) programs on the evolution of a Echinochloa crus-galli population resistant to acetolactate synthase (ALS) inhibitors in a maize cropping system. The programs included the continued use of ALS inhibitors, mixing them with alternative herbicides, or without ALS-inhibitors, in all cases under maize monocrop or a biennial crop rotation. IWM programs that relied solely on non-ALS-inhibitors usually achieved high control levels across years (> 90%). Additionally, Trp574Leu-resistant plants became prevalent (> 90%) in programs only using ALS inhibitors, while in the rest the frequency of susceptible plants did not substantially decrease below 40%. Regarding the other monitored grass weeds, Digitaria sanguinalis and Panicum dichotomiflorum were effectively controlled in programs using ALS-inhibitors without soybean rotation or in programs without ALS-inhibitors altogether, excepting the program relying on an 4-hydroxyphenylpyruvate dioxygenase (HPPD)-inhibitor under maize monocrop for the latter species (0%). At the end of the experiment, the only IWM programs that reduced infestation levels were the one without ALS-inhibitors under soybean rotation, and the one with standard pre-emergence treatments. These findings highlight the effectiveness of crop rotation and alternative herbicides both pre- or post-emergence in controlling E. crus-galli. ALS-inhibitors, while challenged by resistance in E. crus-galli, remain valuable tools for managing other grass weed species in maize. It is crucial to adapt IWM strategies for herbicide-resistant E. crus-galli and other grass weed populations to mitigate the further evolution of resistance. © 2024 Corteva Agriscience. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Assessing Work Stress and Its Impact On Job Satisfaction and Performance of Employees in Banks

The Banking industry is known for its fast-paced, high–pressure environment, which can lead to significant work-related stress for employees. Factors such as long work hours, tight deadlines, heavy workloads, and complex customer interactions can all contribute to elevated stress levels. Additionally, the constant need to adapt to changes in regulations, technology, and, market conditions adds to the challenges faced by banking professionals. Studies have shown that work stress can have a profound impact on the physical and mental well-being of employees, leading to issues such as burnout, anxiety, and depression. This, in turn negatively affects job satisfaction, employee engagement, and overall performance within the organization. The paper aims to provide a comprehensive analysis of work stress and its effects on job satisfaction and employee performance within the banking industry. It t examines the key factors contributing to work-related stress, the impact on job satisfaction, and strategies for mitigating the negative consequences. The information presented in the paper can help HR professionals and managers in the banking sector to develop effective stress management programs and improve overall employee well-being and productivity.

Predictors of medical adherence following a bowel management program for youth and young adults with Spina Bifida.

To evaluate individual and community sociodemographic factors that predict bowel regimen adherence in youth and young adults with Spina Bifida (SB) following participation in a bowel management program (BMP). Participants were drawn from clinical cases seen through an International Center for Colorectal and Urogenital Care. Area deprivation index (ADI) scores were extracted from participant addresses and bowel regimen adherence data were collected from the electronic medical record (EMR). Participants' mean age was 8.06years old, 51.7% were male, 72.4% white, 37.9% Hispanic, 56.9% government insurance, 89.7% myelomeningocele, 15.5% non-adherent. Average neighborhood disadvantage was 5.19 (SD:2.83, range:1-10). After controlling for variables correlated with adherence (p < .20), every one decile higher neighborhood disadvantage score was associated with a 48% decrease in the odds of being adherent (OR = 0.52, p = .005, 95% CI: -101.90, -0.21). Our results suggest that neighborhood disadvantage is a strong predictor of medical adherence following a BMP, more so than other sociodemographic and health-related variables. These results may assist with identifying which individuals may be at higher risk for poor health outcomes due to neighborhood socioeconomic disadvantage and help health care systems intervene proactively.

COVID-19 Symptoms and Mental Health Outcomes among Italian Healthcare Workers: A Latent Class Analysis

The COVID-19 pandemic has led to long-lasting consequences for workers leading to what has been termed a “psychological pandemic”. Some categories, such as healthcare workers (HCWs), are considered high risk due to factors such as increased exposure and stressful working conditions. In this study, we investigate whether levels of posttraumatic stress symptoms and COVID-19-related fear (IES-6 and PSI-4) are associated with illness severity in a sample of 318 infected HCWs in Italy. To investigate the presence of different profiles of COVID-19 severity, Latent Class Analysis (LCA) was performed based on 11 symptoms. Differences in the IES-6 and PSI-4 scores across the latent classes were compared using the non-parametric Kruskal–Wallis (KW) test with Dunn’s multiple comparison post hoc testing. Our analyses show that the LCA identified three classes of symptoms, reflecting no/low, mild and severe symptoms. The classes include vomiting, confusion, conjunctivitis, diarrhea, dyspnea, headache, ageusia, fever, anosmia, osteo muscle articular pain and asthenia. We found that HCWs who experienced more intense symptoms reported significantly higher IES-6 and PSI-4 scores. Moreover, we found gender-related differences in IES-6 and PSI-4 scores as females exhibited higher levels than males. Indeed, these findings are useful for developing health prevention and emergency management programs.

Evasive invasives? Implications of neophobia for feral cat (Felis catus) control

AbstractNeophobia is an ecologically relevant personality trait that manifests as aversion to new or unfamiliar stimuli. Fear and subsequent avoidance of novel stimuli represents a challenge for pest management programs, as control tools that induce a neophobic response will reduce their effectiveness. Additionally, neophobia can be a plastic trait induced by exposure to high‐risk environments, and so can be exacerbated by repeated harassment, which often occurs in pest management programs that are conducted at high intensity. We investigated the propensity of feral cats (Felis catus) to exhibit neophobic behavior towards a novel control device. We also tested whether neophobia was altered by capture and radio‐collaring or changed over time. We found that there is significant potential for initial avoidance of control devices by some feral cats, and that capture and handling significantly increased the likelihood of avoidance. Neophobia generally declined over time suggesting that long‐term deployment may reduce the impact of neophobia. Avoidance of novel control tools could severely limit their effectiveness, especially if deployed to remove the last remaining cats from confined areas. Remaining cats may have avoided repeated attempts at conventional control techniques and so may be more neophobic. In such circumstances, control tool deployments should be lengthened considerably, to take advantage of waning neophobia over time, and, concealed effectively to hide them from neophobic cats. The increased neophobia recorded in cats that were handled and radio‐collared for monitoring suggests that results from experiments that test new control devices may not be indicative of the behavior of naïve cats. Changes to methodology such as minimizing capture and handling may be required to reduce neophobia and provide valid research results when testing novel control tools.

Two-Pass Weed Management Programs for White Bean

It is essential to implement effective weed management programs to minimize white bean yield loss from weed interference. Four field experiments were conducted during 2022 and 2023 to determine the efficacy of one-pass compared to two-pass weed control programs. This study evaluated trifluralin + S-metolachlor + imazethapyr or trifluralin + S-metolachlor + halosulfuron applied preplant incorporated (PPI), bentazon + fomesafen + quizalofop-p-ethyl applied postemergence (POST), and trifluralin + S-metolachlor + imazethapyr or trifluralin + S-metolachlor + halosulfuron applied PPI followed by (fb) bentazon + fomesafen + quizalofop-p-ethyl applied POST in white bean. There was minimal white bean injury (&amp;le; 5%) with the herbicide programs evaluated. Weed interference decreased white bean yield 44%. Weed interference with bentazon + fomesafen + quizalofop-p-ethyl applied POST resulted in a 24% decrease in white bean seed yield compared to the weed-free control; however, all other PPI and PPI fb POST herbicide programs resulted in white bean seed yield that was similar to the weed-free control. Weed interference with the one-pass herbicide programs (PPI or POST) resulted in 17% lower white bean seed yield compared to the two-pass herbicide programs (PPI fb POST). Trifluralin + S-metolachlor + imazethapyr, applied PPI, controlled velvetleaf 85%, common ragweed 35%, common lambsquarters 96%, and green foxtail 80% at 8 weeks after the POST application (WAT). Trifluralin + S-metolachlor + halosulfuron, applied PPI, controlled velvetleaf 68%, common ragweed 87%, common lambsquarters 94% and green foxtail 56% at 8 WAT. Bentazon + fomesafen + quizalofop-p-ethyl, applied POST, controlled velvetleaf 86%, common ragweed 97%, common lambsquarters 34%, and green foxtail 29% at 8 WAT. Trifluralin + S-metolachlor + imazethapyr, applied PPI, followed by bentazon + fomesafen + quizalofop-p-ethyl, applied POST, controlled velvetleaf, common ragweed, common lambsquarters, and green foxtail 98, 97, 96, and 94%, respectively at 8 WAT. Trifluralin + S-metolachlor + halosulfuron, applied PPI, followed by bentazon + fomesafen + quizalofop-p-ethyl, applied POST, controlled velvetleaf, common ragweed, common lambsquarters, and green foxtail 97, 99, 97 and 93%, respectively at 8 WAT. Based on orthogonal contrast, the two-pass herbicide programs provided 17, 21, 20, and 38% greater control of velvetleaf, common ragweed, common lambsquarters, and green foxtail in comparison to the one-pass herbicide programs, respectively at 8 WAT. This study concludes that the two-pass herbicide programs of trifluralin + S-metolachlor + imazethapyr or trifluralin + S-metolachlor + halosulfuron applied PPI followed by bentazon + fomesafen + quizalofop-p-ethyl applied POST provides the most consistent weed control in white bean in Ontario.

Personalized care in dilated cardiomyopathy: Rationale and study design of the activeDCM trial.

Dilated cardiomyopathy (DCM) is a leading cause of heart failure, particularly in younger individuals. Low physical strength is a global risk factor for cardiovascular mortality, and physical activity and a healthy lifestyle have been shown to improve outcomes in patients with heart failure. However, inappropriate exercise may increase the risk of arrhythmias in certain individuals with DCM. The determinants for predicting individual risks in this setting are poorly understood, and clinicians are hesitant to recommend sports for cardiomyopathy patients. The activeDCM trial aims to assess the safety and efficacy of a personalized exercise and activity programme for individuals with DCM. The activeDCM trial is a prospective, randomized, interventional trial with a 12month follow-up. Three hundred patients, aged 18-75years with DCM, left ventricular ejection fraction (LVEF)≤50% and New York Heart Association (NYHA) classes I-III, will be enrolled. The intervention includes a personalized exercise and activity programme. The primary outcome is the increase in peak oxygen uptake (VO2max, mL/kg/min) from baseline to 12months. Secondary endpoints include adherence to personalized activity programmes, freedom from clinically relevant arrhythmia, unplanned hospitalization for heart failure and changes in NYHA class, quality of life scores, 6min walk distance, muscular strength, N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity troponin T (hsTnT) levels and cardiac function. Advanced research questions include high-density phenome and omics analysis combined with digital biomarkers derived from Apple Watch devices. The activeDCM trial will provide valuable insights into the safety and efficacy of personalized exercise training in DCM patients, inform clinical practice and contribute to the development of heart failure management programmes. The study will generate data on the impact of exercise on various aspects of cardiovascular disease, including genetic, metabolic, phenotypic and longitudinal aspects, facilitating the development of future digital tools and strategies, including the incorporation of smart wearable devices.

A Prototype Decision Support System for Tree Selection and Plantation with a Focus on Agroforestry and Ecosystem Services

This study presents the development and application of a prototype decision support system (DSS) for tree selection specifically for Punjab, India, a region facing challenges of low forest cover and an increasing demand for sustainable land use practices. The DSS developed using the R Shiny framework integrates ecological, social, and agro-commercial criteria to facilitate scientific knowledge decision making in tree plantation. The modules in this DSS include a tree selection tool based on comprehensive species attributes, a GIS-based tree suitability map module utilizing an Analytical Hierarchical Process (AHP), and a silviculture practice information module sourced from authoritative databases. Combining sophisticated statistical and spatial analysis, such as NMDS and AHP-GIS, this DSS mitigates data redundancy in SDM while incorporating extensive bibliographic research in dataset processing. The study highlights the necessity of fundamental niche-based suitability in comparison to realized niche suitability. It emphasizes on the importance of addressing ecosystem services, agro-commercial aspects, and enhancing silvicultural knowledge. Additionally, the study underscores the significance of local stakeholder engagement in tree selection, particularly involving farmers and other growers, to ensure community involvement and support. The DSS supports agroforestry initiatives and finds applications in urban tree management and governmental programs, emphasizing the use of scientific literature at each step, in contrast to relying solely on local knowledge.

Non-emergency department (ED) interventions to reduce ED utilization: a scoping review

BackgroundEmergency department (ED) crowding is a global burden. Interventions to reduce ED utilization have been widely discussed in the literature, but previous reviews have mainly focused on specific interventions or patient groups within the EDs. The purpose of this scoping review was to identify, summarize, and categorize the various types of non-ED-based interventions designed to reduce unnecessary visits to EDs.MethodsThis scoping review followed the JBI Manual for Evidence Synthesis and the PRISMA-SCR checklist. A comprehensive structured literature search was performed in the databases MEDLINE and Embase from 2008 to March 2024. The inclusion criteria covered studies reporting on interventions outside the ED that aimed to reduce ED visits. Two reviewers independently screened the records and categorized the included articles by intervention type, location, and population.ResultsAmong the 15,324 screened records, we included 210 studies, comprising 183 intervention studies and 27 systematic reviews. In the primary studies, care coordination/case management or other care programs were the most commonly examined out of 15 different intervention categories. The majority of interventions took place in clinics or medical centers, in patients’ homes, followed by hospitals and primary care settings - and targeted patients with specific medical conditions.ConclusionA large number of studies have been published investigating interventions to mitigate the influx of patients to EDs. Many of these targeted patients with specific medical conditions, frequent users and high-risk patients. Further research is needed to address other high prevalent groups in the ED - including older adults and mental health patients (who are ill but may not need the ED). There is also room for further research on new interventions to reduce ED utilization in low-acuity patients and in the general patient population.

Molecular detection of sub-microscopic infections and Plasmodium falciparum histidine-rich protein-2 and 3 gene deletions in pre-elimination settings of South Africa

South Africa’s efforts toward eliminating malaria have positioned the country in the pre-elimination stage. Imported and sub-microscopic cases still contribute to the persistence of malaria in regions of low transmission as identified in this study where diagnostics is built largely on the use of Rapid Diagnostic Test (RDT). However, the presence of Pfhrp2/3 gene deletion is known to interfere with the accuracy of diagnosis with the use of RDT. Malaria elimination and detection of Pfhrp2/3 gene deletion in the pre-elimination setting requires accurate molecular surveillance. With the core objective of this study being the determination of the presence sub-microscopic malaria cases and deleted Pfhrp2/3 gene markers, a total of 354 samples were collected from five districts of KwaZulu Natal, South Africa. These samples were prepared for molecular analysis using primers and PCR conditions specific for amplification of 18S rRNA and msp-1gene. Positive amplicons were analysed for the presence of Pfhrp2/3 and flanking genes, along with Sanger sequencing and phylogenetic studies. Out of 354 samples collected 339 were tested negative with PfHRP2 based RDTs. Of these Pfhrp2 and Pfhrp3 gene deletions were confirmed in 94.7% (18/19) and 100% (19/19) respectively. High migration rate (75%) among the study participants was noted and phylogenetic analysis of sequenced isolates showed close evolutionary relatedness with India, United Kingdom, Iran, and Myanmar and China isolates. Molecular-based test is recommended as an essential surveillance tool for malaria management programs as the target focuses on elimination.

The Impact of Remote Work Policies, Employee Mental Health Support, and Agile Project Management on Organizational Resilience

This study examines the impact of remote work policies, employee mental health support, and agile project management on organizational resilience. The primary objective is to qualitatively analyze the literature to understand how these practices contribute to building and sustaining resilience within organizations. The research employs a qualitative literature review methodology, synthesizing findings from academic articles, industry reports, case studies, and empirical studies to provide a comprehensive understanding of the relationship between these factors and organizational resilience. The literature review methodology involves systematically collecting and analyzing scholarly sources that explore various aspects of remote work policies, employee mental health support, and agile project management. The study categorizes the literature into key themes, such as the benefits and challenges of remote work, the importance of mental health initiatives for employee well-being, and the effectiveness of agile methodologies in project management. Thematic analysis is used to identify patterns and trends in how these practices interact to enhance organizational resilience. The findings reveal that remote work policies, when effectively implemented, offer flexibility, improve work-life balance, and maintain productivity during disruptions. Employee mental health support, including counseling services, stress management programs, and fostering a supportive workplace culture, significantly enhances employee well-being and reduces burnout, contributing to overall organizational stability. Agile project management, characterized by its flexibility, iterative approach, and emphasis on collaboration, enables organizations to quickly adapt to changes and efficiently manage projects under varying conditions.

Sustainable residency training in urology in context of current changes in the German healthcare system

Promoting sustainable structures and measures in residency is crucial to meet current and future requirements of the German healthcare system. This process does not only involve the integration of social, ecological, and economic aspects into everyday professional life but also into residency training. Specifically, sustainable structures and measures in residency include initiatives such as structured training curricula, simulation-based training, digital training opportunities, flexible working time models, and gender equality. In addition, consideration of environmental aspects as well as expansion of quality management programs are essential. Aholistic approach that considers both the efficiency and the needs of physicians and their patients is the key to sustainable urologic residency programs. This way, urology will remain an attractive specialty for future generations.

Development and Effectiveness of a Pattern Management Educational Program Using Continuous Glucose Monitoring for Type 2 Diabetic Patients in Korea: A Quasi-Experimental Study

Background: The prevalence of diabetes has increased worldwide. Therefore, interest in improving glycemic control for diabetes has grown, and continuous glucose monitoring (CGM) has recently received attention as an effective glycemic control method. This study developed and evaluated the effectiveness of an education program for pattern management using CGM based on Whittemore and Roy’s middle-range theory of adapting to diabetes mellitus. Methods: A quasi-experimental study was conducted on 50 adult patients with type 2 diabetes who visited the outpatient clinic of a university hospital. The experimental group was treated with a pattern management program using CGM for 12 weeks and six personalized education sessions were provided to the patients through face-to-face education and phone monitoring. Results: The frequency of diabetes-related symptoms in the experimental group decreased, and social support (t = 2.95, p = 0.005), perceived benefits (t = 3.72, p &lt; 0.001) and self-care significantly increased (t = 6.09, p &lt; 0.001). Additionally, the program was found to be effective in improving HbA1c (t = −3.83, p &lt; 0.001), FBS (t = −2.14, p = 0.038), and HDL-C (t = 2.39, p = 0.021). Conclusion: The educational program developed through this study can be implemented as a self-management approach for individuals with type 2 diabetes using CGM, aimed at enhancing glycemic control and preventing complications.

Revolutionizing trade finance: leveraging the power of blockchain and AI in electronic letters of credit

Abstract This article examines the innovative combination of blockchain and artificial intelligence (AI) technologies in the field of electronic letters of credit and international trade finance. It explores how the combined effect of this convergence may greatly improve the security, effectiveness, and clarity of trade finance procedures. The article presents a suggested framework for combining various technologies, focusing on important design considerations including security, trust, interoperability, and adherence to international trade norms. The technological design blends blockchain’s decentralized ledger with AI’s analytical capabilities, highlighting the need of smart contracts, data management, and application programming interfaces for smooth interoperability. The implementation plan and stages are meticulously detailed, emphasizing the systematic approach necessary for effective integration. The article also discusses the problems and dangers related to this technology integration, such as technical obstacles, regulatory compliance, security threats, stakeholder acceptance, and cost factors. The conclusion outlines the impact of blockchain and AI on trade finance, discusses their larger implications for international commerce, and advocates for the adoption of these advanced technologies by collective action. This article seeks to provide significant insights to financial institutions, policy-makers, technologists, and stakeholders in the trade finance sector, promoting the modernization of trade finance via new technology.

Toxicity of cockroach gel baits to the oothecal parasitoid Aprostocetus hagenowii (Hymenoptera: Eulophidae) and implications for cockroach integrated pest management.

Aprostocetus hagenowii (Ratzeburg) is a parasitoid wasp that parasitizes the oothecae of peridomestic pest cockroaches. A. hagenowii has been used in integrated pest management (IPM) programs for cockroach control but little is known about how this parasitoid responds to the insecticides commonly used for cockroach management. Five insecticidal gel bait products containing indoxacarb, clothianidin, fipronil, dinotefuran, or abamectin B1 were tested for their toxicity towards A. hagenowii and the American cockroach, Periplaneta americana (L.; Blattodea: Blattidae), a host of A. hagenowii and a common pest. All baits were tested as fresh and 1-d aged deposits. Indoxacarb was the only active ingredient that did not cause significant (P < 0.05) A. hagenowii mortality compared to the control in both the fresh and aged gel experiments (Median survival time [MST]s: 168h fresh, 72h aged). Clothianidin caused the lowest A. hagenowii MSTs across experiments (24h, fresh and aged). All baits caused significant P. americana mortality as fresh and 1-d aged deposits (P < 0.05). Indoxacarb appears most compatible with A. hagenowii in cockroach IPM.

Systematic approach of measuring program outcomes of management postgraduate program

This study aimed to develop a simplified approach for measuring the outcomes of academic programs. To achieve this, postgraduate management programs offered by various Indian institutions have been selected. Program outcomes (POs) and course outcomes (COs) are key measurement constructs. The course assessment strategy is tailored to the nature of each course, which is categorized into four distinct groups. Course outcomes (COs) of continual evaluation courses are measured through developed rubrics. This study concludes that a systematic assessment process and well-designed measurement tools are important for measuring program outcomes (POs) of academic programs such as management postgraduate programs. We recommend our model of measuring learning outcomes for all institutions, where the management postgraduate programs offered courses are evaluated on three components: faculty assessment, mid-semester assessment, and end-semester assessment. This process ensures a comprehensive and accurate measurement of program outcomes.