Evaluation des mécanismes de gestion et d’élimination des produits pharmaceutiques inutilisables (PPI) en Côte d’Ivoire, son impact sur l’environnement et la sante de la population

Thesis Subjects > Social Sciences Ibero-american International University > Research > Doctoral Thesis Cerrado Francés L’accès aux produits de santés de qualité est primordial dans les systèmes de santé des pays en développement (Côte d’Ivoire). Cependant la gestion des produits de santé occasionne toujours la production de déchets médicaux et pharmaceutiques (PPI) surtout, quand celle-ci n’est pas optimale. Pour réduire le volume de PPI et faire face aux enjeux et aux problèmes de gestion, d’abord un accent particulier devrait être mis sur les textes réglementaires et législations nationaux et leur application stricte, par l’intégration de mesures organisationnelles, institutionnelles, politiques, des moyens humains, financiers et techniques suffisants pour optimiser la gestion de la filière des déchets. Ensuite, la formation et l’information sont des aspects cruciaux pour une amélioration réussie des pratiques de gestion des déchets de soins médicaux. Enfin, les médicaments et les produits de santé représentent approximativement 15% de ces déchets dans les hôpitaux, et ne sont pas nécessairement traités de façon adéquate. Il est donc nécessaire de minimiser les quantités de déchets produits et de réduire les risques de contamination sur la santé de la population et sur l’environnement.Pour ce fait, la recherche terrain a permis d’évaluer le système actuel de gestion dans tous ces aspects. La finalité de l’étude est de contribuer à l’amélioration de la chaine de distribution des médicaments en Côte d’ivoire. Au total, 94 structures et 376 agents ont participé à cette recherche exploratoire qui mise sur des données quantitatives et qualitatives et sur plusieurs méthodes de collectes de données telles que l’analyse de documents, les observations, les entrevues semi-structurées et l’enquête.Les résultats essentiels ont été organisés autour de ces axes : 1) analyse de la gestion actuelle des Produits Pharmaceutiques Inutilisables en CI, 2) analyse de la capacité de la résilience du système sanitaire face à la mauvaise gestion des déchets et 3) examen de plusieurs propositions de solutions pour optimiser la gestion et l’élimination des PPI. metadata Ayemon, Florent mail florentayemon@gmail.com (2024) Evaluation des mécanismes de gestion et d’élimination des produits pharmaceutiques inutilisables (PPI) en Côte d’Ivoire, son impact sur l’environnement et la sante de la population. Doctoral thesis, UNSPECIFIED.

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Abstract

L’accès aux produits de santés de qualité est primordial dans les systèmes de santé des pays en développement (Côte d’Ivoire). Cependant la gestion des produits de santé occasionne toujours la production de déchets médicaux et pharmaceutiques (PPI) surtout, quand celle-ci n’est pas optimale. Pour réduire le volume de PPI et faire face aux enjeux et aux problèmes de gestion, d’abord un accent particulier devrait être mis sur les textes réglementaires et législations nationaux et leur application stricte, par l’intégration de mesures organisationnelles, institutionnelles, politiques, des moyens humains, financiers et techniques suffisants pour optimiser la gestion de la filière des déchets. Ensuite, la formation et l’information sont des aspects cruciaux pour une amélioration réussie des pratiques de gestion des déchets de soins médicaux. Enfin, les médicaments et les produits de santé représentent approximativement 15% de ces déchets dans les hôpitaux, et ne sont pas nécessairement traités de façon adéquate. Il est donc nécessaire de minimiser les quantités de déchets produits et de réduire les risques de contamination sur la santé de la population et sur l’environnement.Pour ce fait, la recherche terrain a permis d’évaluer le système actuel de gestion dans tous ces aspects. La finalité de l’étude est de contribuer à l’amélioration de la chaine de distribution des médicaments en Côte d’ivoire. Au total, 94 structures et 376 agents ont participé à cette recherche exploratoire qui mise sur des données quantitatives et qualitatives et sur plusieurs méthodes de collectes de données telles que l’analyse de documents, les observations, les entrevues semi-structurées et l’enquête.Les résultats essentiels ont été organisés autour de ces axes : 1) analyse de la gestion actuelle des Produits Pharmaceutiques Inutilisables en CI, 2) analyse de la capacité de la résilience du système sanitaire face à la mauvaise gestion des déchets et 3) examen de plusieurs propositions de solutions pour optimiser la gestion et l’élimination des PPI.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Côte d’Ivoire, Gestion, déchets médicaux et pharmaceutiques, santé, environnemental.
Subjects: Subjects > Social Sciences
Divisions: Ibero-american International University > Research > Doctoral Thesis
Date Deposited: 01 Aug 2024 23:30
Last Modified: 01 Aug 2024 23:30
URI: https://repositorio.unini.edu.mx/id/eprint/9589

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<a href="/10290/1/Influence%20of%20E-learning%20training%20on%20the%20acquisition%20of%20competences%20in%20basketball%20coaches%20in%20Cantabria.pdf" class="ep_document_link"><img class="ep_doc_icon" alt="[img]" src="/style/images/fileicons/text.png" border="0"/></a>

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Influence of E-learning training on the acquisition of competences in basketball coaches in Cantabria

The main aim of this study was to analyse the influence of e-learning training on the acquisition of competences in basketball coaches in Cantabria. The current landscape of basketball coach training shows an increasing demand for innovative training models and emerging pedagogies, including e-learning-based methodologies. The study sample consisted of fifty students from these courses, all above 16 years of age (36 males, 14 females). Among them, 16% resided outside the autonomous community of Cantabria, 10% resided more than 50 km from the city of Santander, 36% between 10 and 50 km, 14% less than 10 km, and 24% resided within Santander city. Data were collected through a Google Forms survey distributed by the Cantabrian Basketball Federation to training course students. Participation was voluntary and anonymous. The survey, consisting of 56 questions, was validated by two sports and health doctors and two senior basketball coaches. The collected data were processed and analysed using Microsoft® Excel version 16.74, and the results were expressed in percentages. The analysis revealed that 24.60% of the students trained through the e-learning methodology considered themselves fully qualified as basketball coaches, contrasting with 10.98% of those trained via traditional face-to-face methodology. The results of the study provide insights into important characteristics that can be adjusted and improved within the investigated educational process. Moreover, the study concludes that e-learning training effectively qualifies basketball coaches in Cantabria.

Producción Científica

Josep Alemany Iturriaga mail josep.alemany@uneatlantico.es, Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es, Javier Jorge mail , Kamil Giglio mail ,

Alemany Iturriaga

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Exploring body composition and somatotype profiles among youth professional soccer players

OBJECTIVE: This study aimed to analyze the body composition and somatotype of professional soccer players, investigating variations across categories and playing positions. METHODS: An observational, cross-sectional, and analytical study was conducted with 51 male professional soccer players in the U-19 and U-20 categories. Data about sex, age, height, and weight were collected between March and May 2023. Body composition analysis utilized the ISAK protocol for the restricted profile, while somatotype categorization employed the Heath and Carter formula. Statistical analysis was performed using IBM SPSS Statistics V.26, which involved the application of Mann-Whitney and Kruskal-Wallis tests to discern differences in body composition variables and proportionality based on categories and playing positions. The Dunn test further identified specific positions exhibiting significant differences. RESULTS: The study encompassed 51 players, highlighting meaningful differences in body composition. The average body mass in kg was 75.8 (±6.9) for U-20 players and 70.5 (±6.1) for U-19 players. The somatotype values were 2.6-4.6-2.3 for U-20 players and 2.5-4.3-2.8 for U-19 players, with a predominance of muscle mass in all categories, characterizing them as balanced mesomorphs. CONCLUSIONS: Body composition and somatotype findings underscore distinctions in body mass across categories and playing positions, with notably higher body mass and muscle mass predominance in elevated categories. However, the prevailing skeletal muscle development establishes a significant semblance with the recognized somatotype standard for soccer.

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Raynier Zambrano-Villacres mail , Evelyn Frias-Toral mail , Emily Maldonado-Ponce mail , Carlos Poveda-Loor mail , Paola Leal mail , Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es, Alice Leonardi mail , Bruno Trovato mail , Federico Roggio mail , Alessandro Castorina mail , Xu Wenxin mail , Giuseppe Musumeci mail ,

Zambrano-Villacres

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Dietary counseling, meal patterns, and diet quality in patients with type 2 diabetes mellitus with/without chronic kidney disease

Background Aim to this study is to investigate the association of Dietary Counseling, Meal Patterns, and Diet Quality (DietQ) in Patients with Type 2 Diabetes Mellitus (T2DM) with/without chronic kidney disease (CKD) in primary healthcare. Methods Cross-sectional study acquired data on dietary counseling and meal patterns by direct interview with a food-frequency questionnaire and one 24-h food-recall. The Healthy Eating Index (HEI) was used to classify DietQ [“good” DietQ (GDietQ, score ≥ 80) and “poor” DietQ (PDietQ, score < 80)]. Participants/setting This study included 705 patients with T2DM: 306 with normal kidney function; 236 with early nephropathy, and 163 with overt nephropathy (ON). Statistical analyses performed Multivariate linear-regression models for predicting HEI and χ2 tests for qualitative variables and one-way ANOVA for quantitative variables were employed. Mann-Whitney U and independent Student t were performed for comparisons between GDietQ and PDietQ. Results Only 18 % of the population was classified as GDietQ. Patients with ON and PDietQ vs. with GDietQ received significantly less dietary counseling from any health professional in general (45 % vs 72 %, respectively), or from any nutrition professional (36 % vs. 61 %, respectively). A better HEI was significantly predicted (F = 42.01; p = 0.0001) by lower HbA1C (β −0.53, p = 0.0007) and better diet diversity (β 8.09, p = 0.0001). Conclusions Patients with more advanced stages of CKD had less nutritional counseling and worse dietary patterns, as well as more frequent PDietQ. Our findings reinforce the need for dietitians and nutritionists in primary healthcare to provide timely nutritional counseling.

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Erika F. Gómez-García mail , Alfonso M. Cueto-Manzano mail , Héctor R. Martínez-Ramírez mail , Laura Cortés-Sanabria mail , Carla M. Avesani mail , Claudia N. Orozco-González mail , Enrique Rojas-Campos mail ,

Gómez-García

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Smart Physiotherapy: Advancing Arm-Based Exercise Classification with PoseNet and Ensemble Models

Telephysiotherapy has emerged as a vital solution for delivering remote healthcare, particularly in response to global challenges such as the COVID-19 pandemic. This study seeks to enhance telephysiotherapy by developing a system capable of accurately classifying physiotherapeutic exercises using PoseNet, a state-of-the-art pose estimation model. A dataset was collected from 49 participants (35 males, 14 females) performing seven distinct exercises, with twelve anatomical landmarks then extracted using the Google MediaPipe library. Each landmark was represented by four features, which were used for classification. The core challenge addressed in this research involves ensuring accurate and real-time exercise classification across diverse body morphologies and exercise types. Several tree-based classifiers, including Random Forest, Extra Tree Classifier, XGBoost, LightGBM, and Hist Gradient Boosting, were employed. Furthermore, two novel ensemble models called RandomLightHist Fusion and StackedXLightRF are proposed to enhance classification accuracy. The RandomLightHist Fusion model achieved superior accuracy of 99.6%, demonstrating the system’s robustness and effectiveness. This innovation offers a practical solution for providing real-time feedback in telephysiotherapy, with potential to improve patient outcomes through accurate monitoring and assessment of exercise performance.

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Hussain

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Deep transfer learning-based bird species classification using mel spectrogram images

The classification of bird species is of significant importance in the field of ornithology, as it plays an important role in assessing and monitoring environmental dynamics, including habitat modifications, migratory behaviors, levels of pollution, and disease occurrences. Traditional methods of bird classification, such as visual identification, were time-intensive and required a high level of expertise. However, audio-based bird species classification is a promising approach that can be used to automate bird species identification. This study aims to establish an audio-based bird species classification system for 264 Eastern African bird species employing modified deep transfer learning. In particular, the pre-trained EfficientNet technique was utilized for the investigation. The study adapts the fine-tune model to learn the pertinent patterns from mel spectrogram images specific to this bird species classification task. The fine-tuned EfficientNet model combined with a type of Recurrent Neural Networks (RNNs) namely Gated Recurrent Unit (GRU) and Long short-term memory (LSTM). RNNs are employed to capture the temporal dependencies in audio signals, thereby enhancing bird species classification accuracy. The dataset utilized in this work contains nearly 17,000 bird sound recordings across a diverse range of species. The experiment was conducted with several combinations of EfficientNet and RNNs, and EfficientNet-B7 with GRU surpasses other experimental models with an accuracy of 84.03% and a macro-average precision score of 0.8342.

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