Use Of Electronic Tools Research Articles

Standardizing and Improving Primary Care-Based Electronic Developmental Screening for Young Children in Federally Qualified Health Center Clinics

ObjectivesMany barriers to implementation of developmental screening in primary care exist, especially for children from under-resourced communities. Developmental screening is vital to early detection of developmental delay and autism spectrum disorder, and early intervention (EI) referral. This study sought to examine whether implementation of a standardized clinical workflow using electronic screening tools improved both rates of developmental screening, and the number of children identified at risk for developmental delay, in a federally qualified health center (FQHC).MethodsA retrospective study was conducted at an academic-affiliated FQHC. Electronic versions of the Ages and Stages Questionnaire 3 (ASQ-3) and Modified Checklist in Autism for Toddlers Revised (M-CHAT-R) were implemented at well-child visits. New clinical workflow training on developmental screening and EI referral was provided. Chi-square and Fisher’s Exact analyses were conducted.ResultsASQ-3 screening rates increased from 62.7 to 73.6% pre- to post-intervention. Post-intervention, there was a significant decrease in paper screens (p < .001), and a significant increase in the percentage of children with ASQ-3 results in the below cutoff range from 14.7 to 18.2% (p < .002). M-CHAT-R screening rates increased from 56.4 to 59.4% pre- to post-intervention. Post-intervention, there was a significant increase in electronic screens (p < .001).Conclusions for PracticeImplementation of electronic screening tools improved universal developmental screening in a FQHC. To decrease barriers in under-resourced communities, the use of electronic tools may decrease the rate of screening error seen with paper screening and have the potential to better identify children at risk for developmental delay.

РОЗВИТОК ТЕХНОЛОГІЙ УПРАВЛІННЯ ПЕРСОНАЛОМ В УМОВАХ ЦИФРОВОЇ ЕКОНОМІКИ

The article determined that new technologies have great prospects in the development of the personnel management system. They create new paths and opportunities for a more prosperous future, but along with that they also present new challenges. Although digital technologies have impressed with the brilliance and skill of their applications, they have not yet fully yielded the expected dividends in higher productivity growth. It has been proven that digitalization not only opens up new opportunities, but also presents difficult tasks and challenges to managers. The article structured current digital HR technologies and developed proposals for their implementation in the work practice of modern Ukrainian enterprises and proved the feasibility of using digital technologies in the Ukrainian practice of personnel management, it was determined that the most effective way to implement HR technologies is the use of electronic tools and specific software, in particular, HR - systems with the capabilities of comprehensive automation of personnel recruitment. The role of HR in the digital transformation of the development of the digital economy of society is determined. Prospective directions for the use of digital technologies to increase the efficiency of the personnel management process are proposed. The expediency of using social networks, communication robots (chatbots), big data analysis, applications and analytics based on artificial intelligence, cloud technologies in software for personnel management needs is substantiated. The main emphasis of the transformation of the HR manager’s activities, caused by the possibilities of using new digital platforms, applications, systems and methods of automating the management of HR processes, as well as the competence and professional challenges of HR specialists related to the need to adapt to fast-moving digital solutions, intellectualization and robotization of business processes. Changes in the conditions of digitalization are singled out, which require new skills and abilities from employees, which increases the need for innovative methods of training, development and motivation of personnel. The advantages and disadvantages of digitalization of the main HR functions in the activities of enterprises are highlighted. It has been clarified how the digitization of HR functions allows enterprises not to lose personnel potential and to ensure the stability of work in conditions of economic shocks.

شناسایی و درجه‌بندی عوامل مؤثر بر فرار مالیاتی در افغانستان

This research is titled "Priority Ranking of Factors Affecting Tax Evasion" in order to identify which factor has a more significant impact on tax evasion. The study population consists of four groups: 35 experts and university professors, 35 tax payers and merchants, 35 tax office employees, and 35 managers of private organizations. The opinions of each group were separately examined and studied, and the overall results are presented in this research. The findings of this research, obtained through the Analytic Hierarchy Process (AHP) method, indicate that the economic-technical factors have a weight value of 0.616, the political-security-administrative factors have a weight value of 0/231, and the legal-social-cultural factors have a weight value of 0.153 in terms of their impact. The highest impact is related to the following four factors: economic instability, increased unemployment, inflation, and changes in the income of taxpayers, with a weight value of 0.202. The existence of fake jobs and underground activities with a weight value of 0.106, the absence of an electronic system and weaknesses in the use of electronic tools with a weight value of 0/106, and the improper collection and allocation of budget with a weight value of 0.076 are also influential factors. The first three factors belong to the economic-technical factors, while the fourth factor belongs to the political-security-administrative factors. Therefore, it is necessary for tax policymakers, tax administrators, and managers of tax organizations to pay attention to these factors and take more effective measures to address the issue of tax evasion. This can be done through electronicization of the tax system, providing training on the use of technological tools, eliminating fake markets and businesses, and ensuring proper utilization of collected tax revenues.

The effect of martial law on the use of electronic tools of democracy

The effect of martial law on the use of electronic tools of democracy

The use of electronic tools for monitoring personnel activities in a competency-based approach to HR processes

The use of electronic tools for monitoring personnel activities in a competency-based approach to HR processes

Application of electronic tools by participants in commercial proceedings

The trend towards digitizing procedures involved in legal commercial proceedings is regularly analyzed on the pages of profile publications. Meanwhile, the practical application of electronic tools available to participants in commercial proceedings and commercial courts does not often receive the attention it is due, which creates difficulties in implementing them in real court proceedings. The author understands electronic tools as the mechanisms enshrined in the Russian Commercial Procedure Code that allow participants in commercial proceedings and commercial courts to perform procedural actions in electronic form and/or remotely. Having analyzed, systematized, and summarized the judicial practices formed by the Russian Constitutional Court, the Russian Supreme Court, the Court for Intellectual Property Rights, and commercial courts of appeal and cassation, as well as relevant publications, the author draws up a practical guide to the use of electronic tools for (a) obtaining information on the proceedings via electronic tools of communication and the Internet, (b) electronic access to case files in limited access mode or via the Court File service, and (c) remote participation in court hearings via web-conferencing (online hearings). This practical guide is necessary due to the lack of proper, uniform, and complete statutory regulation of the use of electronic tools by courts and participants of commercial proceedings. The necessary procedural actions are often performed on the basis of guides posted on the websites of commercial courts and/or in the ‘My Arbitr’ system. In this regard, drawing up a practical guide seems to be highly relevant, useful, and appropriate.

ISO 9001:2015 standard implementation in clinical trial centers: An exploratory analysis of benefits and barriers in Italy

BackgroundIn the last decade many clinical research centers in Italy have increasingly implemented and improved their quality standards and effectiveness of processes through the adoption of a quality management system also according to the certification ISO 9001:2015. ObjectiveThe aim of this project is to evaluate expected benefits and barriers of ISO 9001 certification for a Clinical Trial Center. Material and methodsOn April 2021, the Italian Group of Data Manager and Clinical Research Coordinator spread an anonymous online survey to healthcare professionals operating in clinical research and quality management systems at research sites. ResultsReported benefits of ISO oriented Quality Management System adoption include continual improvement and better-quality processes (73.3%), assuring corrective actions (63.6%), planning internal audits (60.2%) and risk management approach (60.7%). The most important barriers to QMS implementation are increased logistical and/or organizational activities (40.9%) and insufficient training on quality programs (29.5%). ConclusionsImplementing a quality management system represents a challenge for the Clinical Trial Center and helps to improve quality standards and risk management approach. The use of electronic tools is poor and could be increased in the future. Lastly, improvement of continuous QMS trainings should be necessary for updating professionals and optimizing activities within the Clinical Trial Center.

A new approach to purchase in domestic SMEs

Purpose: The main objective of the paper is to determine the way purchases are carried out in small and medium-sized domestic enterprises. In particular, the following research questions are asked: (1) in which activities do they use the Internet? (2) How willing are they to use electronic tools in purchases? (3) Have supply chain problems arising primarily from the COVID-19 pandemic and the war in Ukraine changed the buying habits of companies? Design/methodology/approach: SMEs were selected as the subject of the research. The questionnaire study was quantitative in nature. Findings: The specificity of purchasing in SMEs results mainly from a different way of managing organisations and often from a different approach to cooperation with suppliers. Research results show that small and medium companies are using the Internet increasingly in particular phases of the purchase process. They are becoming convinced (albeit slowly) of the electronic solutions available in the area of purchasing and appreciate their advantages. Supply chains and consumerization of B2B purchasing contribute to changing the approach of SMEs and popularising electronic tools. Research limitations/implications: The article contains a preliminary study. In the future, additional research is planned on a comparison of the use of electronic solutions in the procurement of SMEs in individual industries and in different countries. Originality/value: The article presents a detailed analysis of the reasons for the specificity of SMEs’ purchase. In addition, the results of research on the use of electronic tools on the Internet in the purchasing process are discussed. The conclusions of the research are important for domestic SMEs and organisations that support the development of this sector. Keywords: purchasing, electronic tools, supply chains, SME sector. Category of the paper: Research paper.

Perspektywy ewangelizacji w epoce cyfrowej

The aim of the analysis presented in this article is to explore new ways of presenting religious content, which may respond to the growing secularization and the decline of traditional methods of acquiring religious knowledge among those who best navigate the digital culture. The primary method for addressing this issue will be the analysis of the educational potential of modern informational tools, which can significantly aid in fostering religious sensitivity and enable the teaching of faith truths. The presentation of how digital culture can be utilized demonstrates how, in times of secularization, the process of nurturing faith can be effectively extended using widely available digital methodological tools. The proposals for non-traditional use of electronic tools in religious education and their educational significance highlighted in this article may serve as valuable inspiration for those preparing religious education curricula. Although digital culture has dominated the functioning of individuals in the contemporary world, the call for a radical turn towards its potential in religious teaching remains an original proposition and may serve as an introduction to discussions about the future of religious education.

Regulatory and legal ensuring the ophthalmic services and assistance provision in Ukraine

Regulatory and legal ensuring the ophthalmic services and assistance provision in Ukraine

Educational interventions for the prevention and control of dengue in adults: An integrative review

ObjectiveTo review and synthesize the scientific production of educational interventions for the prevention and control of dengue in adults. MethodIntegrative literature review, protocol registered in INPLASY (202170038). The search was performed in MEDLINE, LILACS, Web of Science and EMBASE, with no start date until March 31, 2021. Intervention studies were included: randomized clinical trials, cluster and quasi-experimental studies. The outcome evaluated was dengue prevention and control. The evaluation of the methodological quality and the level of evidence of the included studies was carried out. Results10 studies were included with levels of evidence between 1c and 2dm, corresponding to low- and middle-income countries in Asia and America. The use of didactic aids was evidenced against educational processes, digital tools, and a field of action by nursing was observed, from health education. ConclusionsHealth education in scenarios other than clinical ones can favor empowerment by the population to improve health behaviors. On the other hand, the use of electronic tools is of great help in evaluating the effect of an intervention.

Exploring Students’ Engagement of Using Mediating Tools in E-Learning

People are looking for flexible learning ways to meet educational needs in today's world context. There is an increasing need and expectation for universities to incorporate technologies into the design and delivery. It is of significant interest whether the increased use of electronic tools and the provision of online teaching resources positively impact students. The function and influence that a mediation tool can have should be evaluated more closely, rather than viewing them as just assistance. Student involvement is generally regarded as an important benchmark and indication of the quality of the student experience in higher education. Still, the idea is challenging to define and is interpreted in various ways throughout the literature. Hence, this study explores how students experience online learning using the mediating tool. Semi-structured interviews were applied to determine the types of student engagement. The interviews were recorded and transcribed by thematic analysis (Braun and Clarke, 2006). The results showed that the mediating tool positively supports social engagement, behavioral engagement, collaborative engagement, emotional engagement, and cognitive engagement. Implications shed light on teachers, designers, and students when using the mediating tool in online learning.

Prevalence of medical students’ satisfaction with online education during COVID- 19 pandemic: A systematic review and meta-analysis

Background: Electronic (E)-learning is defined as the use of electronic tools for education, training, and communication.(ERT) is defined as use of alternative methods of teaching such as remote learning during a crisis circumstances Education, among many other sectors, has been profoundly affected by the spread of the coronavirus disease 2019 (COVID-19). More than 90% of the world’s students are unable to attend teaching sessions due to the COVID-19 pandemic. Methods: This study was conducted in accordance with the published guidelines for meta-analysis and reviews (PRISMA) reporting guidelines. A database and electronic search was performed on September 21st, 2021 using PubMed, Medline and Embase through the OVID platform, and ScienceDirect. We removed duplicates, and screened the title, abstract, and full texts of included papers. We included studies published only in English and excluded studies without sufficient data, case reports, editorials, and protocols. The quality of included articles was examined using the AXIS tool for cross-sectional studies, and the Newcastle–Ottawa scale for observational case-control studies. From the included studies, demographic and satisfaction with online education (OE) prevalence data were extracted and analyzed. We calculated the pooled prevalence of medical students’ satisfaction. Results: Eighteen studies with a total sample of 7,907 students were included in the meta-analysis. The pooled prevalence of medical students’ satisfaction with online education was 57% (95% CI: 47 - 67%). Publication bias was assessed and reported. Conclusions: The pooled prevalence of medical students’ satisfaction with online education was 57 %. Online learning satisfaction was associated with students’ prior experience with OE. The greatest benefit of OE is overcoming obstacles faced with learning Major challenges for implementing OE were technical and infrastructural resources.

Barriers in the technological environment of education

Currently using innovation and technological tools in a classroom is more than being updated, it is to be connected with students and the environment in which they develop daily. The proper use of electronic tools through a technological environment will help to develop more efficiently, reliably and satisfactorily from the beginning of the teaching-learning process. However, it is necessary to analyze the barriers and inconveniences generated before, during and after its application, so a qualitative and quantitative research will be used through checklists applied to students in the third semester of the Language and Literature career, in order to establish the use of technological tools within the different subjects they are studying, whose results show that the lack of preparation of teachers to create an appropriate environment directly affects the educational training. It can be concluded that there is a need to prepare teachers in the implementation of a technological environment according to the different subjects to be taught, in order to involve more students who through technology will receive scientific information that will allow them to exercise their profession more proactively in different work environments

Prevalence of medical students’ satisfaction with online education during COVID- 19 pandemic: A systematic review and meta-analysis

Background: Electronic (E)-learning is defined as the use of electronic tools for education, training, and communication. Education, among many other sectors, has been profoundly affected by the spread of the coronavirus disease 2019 (COVID-19). More than 90% of the world’s students are unable to attend teaching sessions due to the COVID-19 pandemic. Methods: This study was conducted in accordance with the published guidelines for meta-analysis and reviews (PRISMA) reporting guidelines. A database and electronic search was performed on September 21st, 2021 using PubMed, Medline and Embase through the OVID platform, and ScienceDirect. We removed duplicates, and screened the title, abstract, and full texts of included papers. We included studies published only in English and excluded studies without sufficient data, case reports, editorials, and protocols. The quality of included articles was examined using the AXIS tool for cross-sectional studies, and the Newcastle–Ottawa scale for observational case-control studies. From the included studies, demographic and satisfaction with online education (OE) prevalence data were extracted and analyzed. We calculated the pooled prevalence of medical students’ satisfaction. Results: Eighteen studies with a total sample of 7,907 students were included in the meta-analysis. The pooled prevalence of medical students’ satisfaction with online education was 0.57 (95% CI: 47 - 67%). Publication bias was assessed and reported. Conclusions: The pooled prevalence of medical students’ satisfaction with online education was 53 %. Online learning satisfaction was associated with students’ prior experience with OE. The greatest benefit of OE is overcoming obstacles faced with learning Major challenges for implementing OE were technical and infrastructural resources.

Electronic diaries in the management of haemophilia gene therapy: Perspective of an expert group from the German, Austrian and Swiss Society on Thrombosis and Haemostasis (GTH).

Gene therapy (GT) is becoming a realistic treatment option for patients with haemophilia. Outside clinical trials, the complexity and potential complications of GT will pose unprecedented challenges to haemophilia care centres. To explore the potential use of electronic tools to improve the delivery of GT under real-world conditions. Considering the hub-and-spoke model, the GTH working group on GT considered the entire patient pathway and reached consensus on requirements for an integrative software tool to secure documenting and sharing information between treaters, pharmacies and patients. Six steps of the gene therapy process were identified, each requiring completion of the previous step as a prerequisite for entry. The responsibilities of GT dosing and follow-up treatment centres, read/write access rules, and the minimum data set were outlined. Data contributed by patients through mobile devices was also considered. Important information needs to be shared between patients and treatment centres in a real-world GT hub-and-spoke model. Collecting and sharing this information in well-organised electronic applications will not only improve patient care but also enable national and international data collection in clinical registries.

A pilot mixed-methods randomized controlled trial of verbal versus electronic screening for adverse social determinants of health.

ObjectivesExamining the social risks that influence the health of patients accessing emergency care can inform future efforts to improve health outcomes. The optimal modality for screening in the emergency department (ED) has not yet been identified. We conducted a mixed methods evaluation of the impact of screening modality on patient satisfaction with the screening process.MethodsPatients were enrolled at a large urban academic ED and randomized to verbal versus electronic modalities following informed consent. Participants completed a short demographic survey, a brief validated health literacy test, and a social need and risk screening tool. Participants were purposively sampled to complete qualitative interviews balanced across 4 groups defined by health literacy scores (high vs limited) and screening modality. Quantitative outcomes included screening results and satisfaction with the screening process; qualitative questions focused on experience with the screening process, barriers, and facilitators to screening.ResultsOf 554 patients assessed, 236 were randomized (115 verbal, 121 electronic). Participants were 23% Hispanic, 6% non‐Hispanic Black, 58% non‐Hispanic White, 38% publicly insured, and 57% privately insured. Two‐thirds (67%) identified social needs and risks and the majority (81%) reported satisfaction with the screening. Screening modality was not associated with satisfaction with screening process after adjustment for language, health literacy, and social risk (adjusted odds ratio, 0.74; 95% confidence interval, 0.32, 1.71).ConclusionScreening modality was not associated with overall satisfaction with screening process. Future strategies can consider the advantage of multimodal screening options, including the use of electronic tools to streamline screening and expand scalability and sustainability.

New approaches to risk and the use of electronic tools in primary care medicine in 2021

Our selection of articles published in 2021 sheds light on topics related to risk, and to the use of electronic tools in primary care medicine. They cover blood pressure targets, telemonitoring, and the omega-3 fatty acid diet in the elderly and/or in patients with high cardiovascular risk. They present the role of primary care physicians in the management of patients with NAFLD, and in screening for domestic violence in all couples. They assess the risk of recurrence of a depressive episode after stopping antidepressant treatment. Finally, they discuss the place of apps to communicate with foreign-speaking patients and of vaping in smoking cessation.

Convolutional neural network-based crop disease detection model using transfer learning approach

Crop diseases disrupt the crop's physiological constitution by affecting the crop's natural state. The physical recognition of the symptoms of the various diseases has largely been used to diagnose cassava infections. Every disease has a distinct set of symptoms that can be used to identify it. Early detection through physical identification, however, is quite difficult for a vast crop field. The use of electronic tools for illness identification then becomes necessary to promote early disease detection and control. Convolutional neural networks (CNN) were investigated in this study for the electronic identification and categorization of photographs of cassava leaves. For feature extraction and classification, the study used databases of cassava images and a deep convolutional neural network model. The methodology of this study retrained the models' current weights for visual geometry group (VGG-16), VGG-19, SqueezeNet, and MobileNet. Accuracy, loss, model complexity, and training time were all taken into consideration when evaluating how well the final layer of CNN models performed when trained on the new cassava image datasets.

Attitudes and expectations of patients on home parenteral nutrition towards ehealth

Rationale: eHealth denotes the use of electronic tools in healthcare to improve processes and connect patients with health care personnel. We are developing an eHealth platform for home parenteral nutrition (HPN) patients, including video consultations, instructions (e.g. for patient education), and interaction with patient support groups. In addition, this platform will serve as a central repository for treatment- and care-related data for patients and medical staff. For the creation and implementation of such an eHealth platform, we need to know the attitudes and expectations of HPN patients towards eHealth.