#php framework 2019
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Et du coup le boulot, ça donne quoi ? 🦚

Dans les épisodes précédents :
Diplômée en 2019, je pensais à l'époque pouvoir trouver du boulot sans trop de soucis puisqu'on cherchait à m'embaucher à tous les coins de rue alors que je n'avais pas encore terminé mes études. Sauf que tout ne s'est pas passé comme prévu : à l'époque je n'avais pas encore le permis de conduire et dans ma cambrousse, ça fait vite cruellement défaut. Ensuite, le Covid est arrivé.
J'ai profité du Covid pour passer mon permis et faire un service civique à Pôle Emploi : meilleur endroit si tu veux apprendre à gérer des situations relationnelles très délicates.
Une fois la panique du Covid passée, je recommence les entretiens. Si avant on me reprochait de ne pas avoir le permis, on me reprochait à présent de ne pas avoir assez d'expérience. Et forcément, les stages, l'alternance, le bénévolat ne comptent pas sinon c'est pas drôle. Ce que le recruteur veut, c'est de l'expérience en entreprise ...quand tu sors de l'école.
J'ai été contrainte d'arrêter ma recherche d'emploi quelques temps à cause de soucis familiaux pour aider à la maison et quand j'ai recommencé à chercher, j'ai compris qu'en fait je pouvais chercher encore longtemps. Dans mon domaine, bien 80% des annonces (ok, c'est à la louche !) concernent des stages et des alternances. Exemple :
Recherche stagiaire/alternant Chargé/ée de Communication Description : ✨️Découvre✨️ le merveilleux monde de la communication dans une formidable structure ! [...] Prérequis : - Maitrise de l'intégralité du pack Adobe (ouais, même les logiciels qui ne sont pas inclus dans le Creative Cloud !), Maitrise de Wordpress, de Bootstrap (et de tout un tas d'autres frameworks) HTML, CSS, PHP, Javascript, Java, C, C+, C++, Python, BASIC, Assembleur [...] (là le RH sait pas ce qu'il faut donc il met toute la liste !) - Maitrise du graphisme, du développement web, du montage vidéo, de la rédaction, du marketing, de la gestion de projet, de la relation presse, de l'évènementiel, du community management, du droit des affaires [...] (et si en plus tu sais faire le café et assurer la maintenance de la photocopieuse c'est super !) - 5 ans d'expérience minimum dans la Communication et/ou dans notre domaine (Bah oui ...ton bac tu l'as fait en alternance aussi !) Autonome, disponible le soir et les week-ends et aime travailler dans l'urgence (là, ils t'avouent qu'ils sont pas organisés du tout !)
Les amis, le gosse qui postule techniquement il sort de bac général ou technique et il a pas vu la moitié des prérequis.
Là tu captes que le plus gros boulet que tu te portes dans ta recherche d'emploi, c'est ton diplôme : Pourquoi les entreprises se feraient chier à embaucher un bac+5 (et à le payer à hauteur de sa qualification) quand tu peux prendre un alternant encore tout frais tout naïf qui fera absolument tout ce que tu lui demandes pour des clopinettes (parce qu'il veut valider son diplôme) ? (Si t'es vache, tu lui as même fait croire que t'allais l'embaucher après !)
Là j'ai arrêté de déposer des CV et j'ai pensé création d'entreprise. C'est chaud quand t'es pas soutenue.
Au début, quand je regardais pour commencer mon business plan, on m'accusait à demi-mot de rien faire de mes journées. On me harcelait pour que j'envoie "encore une candidature" à tel ou tel endroit. Honnêtement c'était compliqué parce que ta famille te rabâche des trucs du style "nous on travaillait déjà" ou "C'est parce que t'en as pas déposé assez", "t'es trop exigeante !" ..."au pire tu veux pas aller entasser des boites de conserves ?" J'ai fini par accepter un CDD de 2 mois en plein dans ma création de projet mais j'allais bosser la mort dans l'âme car je m'éloignais de mon domaine ...
C'est plus tard qu'ils ont compris, quand mon père a postulé à une offre et qu'ils lui ont demandé de faire un "test" dans le cadre du processus d'embauche. L'idée c'était de répondre à une trentaine de questions avec un timer très serré. Même lui qu'est bon en maths, 2 équations à 2 inconnues à résoudre en 30 secondes, il a trouvé ça abusé. Et je vous parle même pas des phases où il fallait trouver un infime changement de couleurs entre 4 images grandes comme des timbres postes (il ne l'est pas mais au passage tu discrimines bien les daltoniens !) ... Bref, il a hurlé parce qu'à la fin il a compris que le recruteur cherchait à justifier sa paie. Son expérience ? Osef. On jugeait son aptitude sur un test qui n'avait strictement rien à voir avec les missions proposées (pour un poste similaire à celui qu'il a eu en 30 ans de carrière). Je me suis jurée que si jamais on me proposait ce genre de tests, j'allais en retour proposer au recruteur de résoudre un Rubik's cube en moins d'une minute devant moi pour m'assurer de ses compétences à lui ...juste pour voir.
Tu prouves quoi avec ça à part que t'es suffisamment désespéré/docile pour t'entrainer à résoudre ces casse-têtes pour avoir un poste ? Parce qu'il y a des sites pour t'entrainer ...
(Et après t'entends "Oh bah les gens veulent plus travailler ...")
... et du coup dans cet épisode :
Ma boite est lancée. Je travaille depuis le début de l'année et j'ai mes premiers clients. Tu fais des heures pas possibles mais tu te lèves le matin en te disant que tu bosses pour toi. T'as pas quelqu'un qui va s'attribuer le mérite de ce que tu fais. Tu fixes tes conditions avec tes clients (bon faut rester réaliste quand même !) ... Mais c'est impressionnant parce que tu as le contrôle sur absolument tout ... mais tu as la charge d'absolument tout aussi ! Alors tu doutes beaucoup, tu stresses beaucoup, tu pleures beaucoup aussi ... (Heureusement j'ai le soutien de mon Soleil !) mais tu mènes ta barque.
D'ailleurs c'est marrant parce que pendant longtemps je me culpabilisais de ne pas avoir "su" obtenir le même type de poste que mon Soleil ... La claque que je me suis prise quand il m'a avoué que lui m'admirait parce que j'ose me lancer toute seule ...
L'objectif maintenant, après être rentable mais c'est bien parti, c'est de pouvoir me constituer un fond pour d'éventuelles urgences et d'enfin prendre mon indépendance ...
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If you find reading this list of most popular PHP frameworks interesting and would like to use either of them in your website project, then you should contact any expert PHP development company to build your website application. Xicom is a leading company in this space and it has several years of experience in PHP website development. If you want to get the benefit from our dedicated PHP developers, then contact us and give us an opportunity to build an amazing website for your business and let us contribute to your success.
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There is no deficit of PHP frameworks nowadays for a web development company to choose from. They come in all shapes and sizes for developers with different hosting capabilities, skills, application needs, and development time-frames. The common goal of all PHP frameworks is to make the development process faster and easier. PHP frameworks help to simplify complex coding problems by providing developers with a platform for developing powerful web applications in a short time. The PHP structure allows for rapid application development (RAD), which saves a lot of time and reduces the need to run coding from scratch, ensuring stable application development. Without the help of a PHP infrastructure, developing mobile and web applications can challenging for beginners when it comes to writing code and creating a connection between a database and an application that is being developed from scratch. The use of the PHP Framework reduces the workload. The best thing about PHP frameworks is the ease of adaptation, as well as the ability to learn them faster compared to other programming languages. Although, every developer that has ever worked with a framework before, knows that each of them is unique and should be chosen depending on the anticipated result. Below we will review the best frameworks out there in 2019 to provide everything you need to know to choose the best one for you. Choosing a PHP Framework Before making a choice in favor of one particular framework, you should consider its following characteristics: Functionalities and components; Development frequency; Learning curve; Community size. You want to choose a framework that is easy to learn and provides fast development with good looking frontends. Let’s see which ones out of our Top 5 list suit these requirements the best, defining strengths and weaknesses of each of them. Laravel If you start searching for a PHP framework, this one will most likely come up first. Laravel owes its wide popularity to its easiness of use and wide range of inbuilt features. Strengths Developer-friendliness (easy to learn); Innovative technology (relatively new tool); High speed of development; High security (strong encryption packages); Convenient files and code organization; Great documentation; MVC architecture (and PHP7); Unit testing (FAST on HHVM); Advanced out of the box functionality; Routing (the easiest to manage); ORM support; Large community. Weaknesses Higher bugs possibility; Not easy to transfer legacy systems; Does lots of queries on the DB; Does not work on shared hosting plans. Symfony This tool will provide you with a rich variety of features. Symfony has earned a reputation of a reliable and mature PHP framework through the years. Strengths High performance; Flexibility; Reliability; Great documentation, maintenance, and support; Large community. Weaknesses Not an easy learning process; Reduced speed of development; No MVC support. Phalcon This tool is different in its coding style. Phalcon coding is based on C and C++, not holding it from providing an advanced set of development features you can use. Strengths Easy to learn; Very high speed of development; Autoloading; Advanced security features; Traditional MVC code; Great documentation. Weaknesses Not as open source as Laravel; Does not work on shared hosting plans; Does not work with HHVM. Yii 2 It is one of the oldest PHP frameworks that provide support and efficiently to answer modern development needs. You can call Yii 2 a more developer-friendly competitor of Symfony 2 with its easy learning curve. Strengths Easy to learn; Flexibility; High security; High speed of development; Variety of configuration; MVC and object-oriented; Availability to build small CRUD applications immediately. Weaknesses The lack of built-in allowances; No AR queries; Too many libraries & dependencies; Doesn’t allow multiple relations built up.
CodeIgniter If you need a powerful tool with advanced features, this one might be for you. CodeIgniter is appreciated among developers for allowing them to focus on creativity. Strengths Developer friendliness; Standard databases use (such as MySQL); Easy to extend and customize; Supports Web Page and Database Caching; Good documentation and support; Requires little coding; Built-in security feature Weaknesses Does no support code modular separation by default; Lacks exhaustive libraries that are built inside the framework. Summary There are many programming languages you can use, but PHP is still the best option for server-side scripting. However, even if you are a PHP professional, coding all parts of each new project will take a long time. However, if you choose the best PHP framework for your needs, you can skip a lot of the basics and go straight to the interesting part of developing a new project. Although we have shortlisted top 5 PHP frameworks of 2019, you will have your own opinion on each of them, depending on the goals you have set for your project. Above are the main factors that might influence your choice. Consider them and decide which one is a match with your requirements.
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Chitosan Market Size, Share, Trends & Forecast
According to a new report by Univdatos Market Insights, Chitosan Market is expected to reach USD 34.5 Billion in 2032 by growing at a CAGR of 13.2%. One of the primary drivers is the developing name for sustainable and biodegradable substances sooner or later of numerous industries, which incorporates prescribed drugs, cosmetics, and agriculture, as agencies and clients alike are attempting to find green alternatives for synthetic compounds.
The future of the chitosan marketplace appears promising with developing programs in rising fields at the side of bioplastics and nutraceuticals. For instance, the improvement of chitosan-based biodegradable plastics is turning into a huge fashion, reflecting the market’s version of the global call for sustainable packaging answers. Furthermore, contemporary day government guidelines are also fostering market increase. Various governments, especially in Europe and Asia, have completed policies supporting using biodegradable substances in industries. These tasks are not first-class to promote environmental sustainability but additionally open up new avenues for chitosan programs. As those developments keep conforming, the chitosan marketplace is prepared to extend its footprint globally, driven using a manner of innovation and supported through the use of beneficial regulatory frameworks.

Increasing Demand for Sustainable Materials
Increasing environmental cognizance and a global push for sustainability are essential drivers of the chitosan marketplace. As organizations and clients grow to be extra aware of their environmental impact, biodegradable and environmentally pleasant merchandise have become increasingly more vital. Chitosan derived from natural sources such as shrimp and crab shells match this requirement well. Its biodegradable and non-poisonous residences make it an appealing opportunity for artificial polymers and chemicals utilized in various industries. For example: One of the maximum wonderful biomaterials startups to emerge in current years is Shellworks. Founded in 2019 and primarily based in London, this progressive employer specializes in chitosan-based packaging that can be constituted of seafood waste. Shellworks' products exemplify the capacity of chitosan as an important decarbonization generation: it turns substances that might in any other case be thrown away into valuable meals, and the cease product is compostable from inside the nature of. Shellworks is poised to be one of the first organizations to industrially produce chitosan mainly for packaging.
Water Treatment Applications
The precise ability of chitosan to bind and do away with contaminants consisting of heavy metals, oil, and different pollutants makes it rather effective in water treatment and wastewater remedies. This is particularly critical in areas wherein extreme water pollutants and water shortage problems are encountered. As regulatory standards for water turn out to be extra stringent, there's a growing call for powerful and environmentally pleasant water remedy merchandise inclusive of chitosan. For instance: Qingdao Yunzhou Biochemistry Co... China offers chitosan-based liquid remedy. Their merchandise is utilized in municipal and commercial wastewater treatment vegetation to remove heavy metals and different pollution, making sure compliance with stringent environmental guidelines and supplying water is powerful.
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Pharmaceutical and Biomedical Advances
Chitosan is increasingly being followed with the aid of pharmaceutical and pharmaceutical companies because of its biocompatibility, non-toxicity, and practical properties. Chitosan is utilized in lots of packages, which include drug delivery, wound recovery, and tissue engineering. Its potential to form gels and movies, as well as its antimicrobial houses, makes it an extensively used cloth in scientific applications. Real-Life Example: Heppe Medical Chitosan GmbH, a German agency, produces excessive-purity chitosan for pharmaceutical use. Their chitosan substances are utilized in superior drug transport structures to manipulate drug launch, improving efficiency and lowering aspect consequences. Additionally, the chitosan-based total wound dressing evolved via the company hastens recovery and reduces the danger of contamination.
Conclusion
The chitosan market is driven by the developing demand for sustainable substances, which might be utilized in numerous industries including packaging, water remedy, and biopharmaceuticals. Corporations such as Shellworks, Qingdao Yunzhou Biochemistry Co., and Heppe Medical Chitosan GmbH are pioneering opportunities to make use of chitosan, constructing on its ability as a versatile and environmentally pleasant biopolymer the emphasis of the. As environmental recognition increases and regulatory requirements come to be greater stringent, the adoption of chitosan-based totally answers is ready to boom. This trend highlights the significance of chitosan in sustainable development and improving industrial methods internationally.
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Sweden Software Development Market - Forecast(2024 - 2030)
Sweden Software Development Market Overview
The Sweden Software Development market size is analyzed to be $7,720.7 million in 2021 and is projected to reach $10,856.3 million in 2027, growing at a CAGR of 5.9% during the forecast period 2022-2027. The global Sweden Software Development Market size is estimated to surpass $3.7 billion by 2027, growing at an estimated CAGR of more than 5.8% during the forecast period 2022 - 2027. Software development is the process of creating, designing and deploying software, which is independent of computer hardware and makes the computer programmable using various programming languages. Software development is primarily conducted by computer programmers, software engineers and software developers. Programmers and coders write source codes to program computers for specific tasks like merging databases, processing online orders, routing communications, source code generation, conducting searches or displaying text and graphics among others. According to a report by OECD, Sweden has one of the most digitally savvy populations in Europe; when it comes to familiarity with the internet and the adoption of this medium in their daily lives. The recent shift towards digitization, coupled with the growing trend towards Industry 4.0 and the Internet of Things, are some of the major factors that are driving the growth of the Sweden Software Development market. Software development in Sweden has gained a lot of traction in recent years. The markets have witnessed an increasing number of investments and acquisitions, particularly towards Computer-aided software engineering, which is projected to propel the growth of the Sweden software development market. For instance, in May 2021, the Swedish Foundation for Strategic Research (SSF), an independent public research funding organization, announced an investment of $19.7 million in software development in SSF Future Software Systems.
Report Coverage
The report: “Sweden Software Development Industry Outlook – Forecast (2022-2027)” by IndustryARC covers an in-depth analysis of the following segments in the Sweden Software Development Industry.
By Language: Java, Javascript, Python, C#, C++, C, Php, Golang, Typescript, Matlab and Others.
By Market Demand: In-House on Payroll, Hired from Secondment Providers, Hired Freelancers, Fully Outsourced.
By Deployment Type: On-Premise, Cloud.
By Business Size: Small and Medium Business, Enterprises, Government.
By End-Use Industry: Banking And Financial Institutions, Insurance Firms, Media and Entertainment, Government, Defense, Telecommunications, Automotive, Consumer Goods and Retail, Healthcare, Manufacturing, Gaming, Others.
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Key Takeaways
With the growth of software development, artificial intelligence and data sharing, the need for proper guidelines and policies relating to cyber security has become more crucial than ever. In order to combat the cyber security challenge, the Government of Sweden introduced the NIS directive in 2018, which introduced the requirements on information security and incident reporting for providers of infrastructure that are critical to the Swedish society.
As of now, most of the threat surveillance work has been handled by the financial institutions themselves and had no centralized mechanism for the purpose. Due to the growing need for a regulatory framework, in April 2019, the government of Sweden updated its Swedish Protective Security Act, which is set to tighten requirements for the security of IT systems at critical infrastructure providers under the supervision of Finansinspektionen, including the banks and market infrastructure firms. Developments like these are proving the market with new growth opportunities and is analyzed to boost the demand for the software development market in Sweden.
Although Sweden established a national strategy for cyber and information security in 2016, yet this strategy does not provide any specific guidance on how to prevent, handle or mitigate cyber-attacks in the financial sector. According to the Combatting the Cyber Threat in Sweden 2020 report by Oliver Wyman, the publishing of a sector-specific strategy for cyber security to direct the work in the Swedish financial, is set to provide the regional market with high growth opportunities in the near future. Factors like these are creating high growth opportunities for the Sweden Software Development Industry.
Sweden Software Development Market Segment Analysis - by Industry Vertical
In terms of End-use industry, the government segment also accounted for some market share in 2021 in the Sweden Software Development industry. The segment generated a revenue of $1,011.3 million in 2021 and is analyzed grow at a high CAGR of 5.87% during the forecast period to reach $1,424.3m in 2027. This is mainly due to the growing government efforts to coordinate and support digitalization within public administration and establish a framework for digital security in financial institutions in recent years. Additionally, according to the Digital Public Administration Factsheet Sweden 2021 report, the government formally launched the open data portal, dataportal.se which is aimed to provide way access to data resources from both private and public sector organizations. Furthermore, In December 2020, the Swedish government signed the Berlin Declaration on Digital Society and Value-Based Digital Government, which is aimed to foster digital transformation and Internet of Things adoption in order to allow citizens and businesses to harness the benefits and opportunities offered by modern digital technologies.
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Sweden Software Development Market Segment Analysis - by Language
By Language, Java segment accounted for the dominant market share in 2021. The segment generated a revenue of $1,554.1m in 2021 and is analyzed to grow at a CAGR of 5.8% during the forecast period to reach $2,172.3m in 2027. This is mainly owing to the high penetration of java programming language across enterprises and the availability of resources across the region. Additionally, the high rate of digitally skilled personnel in Sweden has propelled the demand for the programing language in the region. Sweden has one of the highest proportions of digitally skilled users in the world. According to the EU Education and Training Monitor 2020, 71% of the 16–19-year-old population have above basic digital and computer programming skills which is higher than the EU average. Furthermore, the growing demand for personalized software products in the region has resulted in an increase in demand for Java programming language. For instance, according to the Open Trade Gate Sweden Report by the National Board of Trade, almost 49% of the large companies, regardless of industry, develop their own software products.
Sweden Software Development Market Drivers
Increasing adoption and promotion of AI by the Government of Sweden
Artificial Intelligence is playing a vital role in the digital transformation, as it enables human capabilities including understanding, reasoning, planning and more, to be undertaken by software. This significantly increases efficiency and helps in the reduction of costs. As a result, to tap into this opportunity, in 2020, the Ministry of Enterprise and Innovation issued a report on the National Approach to Artificial Intelligence, which acknowledged the transformative nature of AI across the Internet of Things and computer programming sectors, while also emphasizing the need to create a framework that allows for the safe, secure and favorable climate for digitization and harnessing the opportunities of AI. Additionally, According to a report by Indiai.gov, for the years 2018 and 2019, the Swedish government allocated a sum of SEK 40 Million to increase focus on further education within Artificial Intelligence. Furthermore, according to a report by Indiaai.gov, the Swedish Government research and innovation agency Vinnova, invested around SEK 3Bn each year in fostering innovation across technology, transportation, communication and labor. Developments like these are promoting and boosting the adoption of Artificial Intelligence in Sweden, which is, in turn, driving the growth of the underlying software development market in Sweden.
Growing adoption of digitization in Public Administration
Sweden has one of the highest rates of internet users in the world. According to World Bank Data, in 2020, 94.5% of the Sweden population used the internet. Additionally, according to Eurostat data, 91% of the percent of the population used to the internet to interact with public authorities. Due to this high internet usage in the region, the government of Sweden is increasingly focusing on digitizing the public administration process, which is propelling the demand for the underlying software development market in the region. In January 2019 the Government established the Ministry of Infrastructure which was responsible for digitalization and facilitating seamless coordination within the Ministry with support from the unit of Digital Government. Additionally, according to the Digital Public Administration Factsheet Sweden 2020, the Government launched the Oppndata.se portal, which is set to publish open data and boost data-driven innovation in this field. According to the Digital Public Administration Factsheet Sweden 2020, at the end of 2019, the government launched two new projects which were aimed to establish a national basic data framework for basic data in public administration. Furthermore, In November 2020, changes to the justice legislation were passed through the act(2020:918) amending the Swedish Code of Judicial Procedure which is aimed to further enable and facilitate digital communication in court proceedings. Again, in March 2021, the government of Sweden started the development of Ombud, which is a Swedish national infrastructure for secure and digital management of powers of attorney and is currently under development by the Swedish Companies Registration Office, in close cooperation with the Swedish Tax Agency and the DIGG. Developments like these are some of the main factors that are driving the growth of the Sweden Software Development Market.
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Sweden Software Development Market Challenges
The increasing cost of Logging and high tax brackets are restricting the growth
Since the beginning, software engineers and developers use Logs for troubleshooting issues. As a result, maintenance and storage of the logs have become quite expensive. For instance, according to a report by Forbes, logs are becoming extremely noisy and expensive to store, especially in the Martech industry, where there is a lot of quick transactions. This significantly reduces the profit margin of enterprises, thereby hampering the growth of the underlying market. Although enterprises like Logz.io are trying to address the issue, it is still prevalent as one of the major challenges that are restricting the growth of the Software development market in Sweden. Additionally, Sweden has one of the most expensive labor rates in the Europe region along with the highest tax brackets, which significantly reduces the profit margin. According to a 2021 report by the International Trade Administration (ITA), a VAT rate of 25% generally applies to the import or sale of most products in Sweden, which represents about 18% of Sweden’s GDP, is higher than the EU average of 13%. As a result, various enterprises are outsourcing their work to a different regions where a skilled workforce is available at a cheaper rate along with lower tax brackets. Factors like these are some of the major challenges that are restricting the growth of the Software development market in Sweden.
Sweden Software Development Industry Outlook
Product launches, acquisitions and R&D activities are key strategies adopted by players in the Software Development Market. The top 10 Sweden Software Development companies include:
Exoft
Seeba
Ecommatrix
Innovise Group
Rite NRG
Codeblue
Source A Network AB
LoopLabz
SolveIT
Beetroot AB
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Recent Developments
In March 2022, Talenom announced the acquisition of three accounting firms in Sweden named Lindgren & Lindgren Ekonomi AB, Confido AB and Redovisningsbyrån Öckerö AB. This acquisition is set to combine Talenom’s software development with expertise in the accounting industry in a unique way and strengthen its position across Sweden.
In March 2022, Swedish startup 'My Telescope' secured $3 million for its market intelligence software.
In November 2021, Swedish telecommunications giant Ericsson snapped up US cloud-service provider Vonage in a multibillion-dollar deal which is its biggest acquisition in recent years.
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#Sweden Software Development Market#Sweden Software Development Market Share#Sweden Software Development Market Size#Sweden Software Development Market Forecast#Sweden Software Development Market Report#Sweden Software Development Market Growth
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The Script & Style web development podcast and Wyn Weng Labs were founded by David Walsh, a Senior Software Engineer and Evangelist for Mozilla who also blogs at davidwalsh.com. You'll receive technical advice and information on industry developments for web developers. Learn the most important Git commands and utilities, see how to build a RetroPie on a Raspberry Pi, and take the steps to stop experiencing the well-known imposter syndrome that often affects web developers.

CSS Tricks: Despite its misleading name, this blog contains information on more than simply CSS. Learn vital details on a variety of web design and development topics, from the basics to more complex subjects. Learn tips for writing animation code more effectively, discover why some HTML components age out, and explore working with APIs and authentication. The CSS techniques blog is a wonderful place to start if you want to understand the fundamentals and how to become a better web developer.
This one is for the creative developer, according to Creative Bloq. Creative Bloq is for you if you need creative inspiration for your coding process or if you want to see how elements like grid systems and animations appear in real-world web design. Read articles about how to design successful CTAs on a website and how to select the finest JavaScript frameworks. With this blog, you'll get a combination of front-end and back-end engineering information.
Webdesigner Depot: Webdesigner Depot offers free software downloads and articles to aid in the building of your website. You can learn more about what goes into making websites, even if you're brand-new to the field. Learn how to utilize PHP, how to decide between Grid and Flexbox, and how to build a "click to tweet" button on your website with the help of tools and tutorials. Additionally, you can master slightly more complex coding concepts like how to use machine learning.
Web Design Ledger: Web Design Ledger offers special insights on how to make beautiful web products for web developers and web designers. Through Q&A conversations, readers may learn about the most recent technological advancements and witness viewpoints from industry leaders in web development. Discover the top development tools, the top cloud computing programming languages, and methods for streamlining JavaScript testing and deployments.
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Laravel Beginner tutorial | Where is MVC in Laravel? - Laravel
Laravel Beginner tutorial | Where is MVC in Laravel? – Laravel
Laravel Beginner tutorial | Where is MVC in Laravel? – Laravel
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PHP stands for Personal Home Page. It is a widely-used open source server-side scripting language designed for web development. The PHP along with My SQL is used to build a dynamic and interactive website.
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Laravel is a PHP-based backend infrastructure that allows you to deploy amazing applications. With its bright and elegant code syntax, it helps developers improve their Web development skills. It’s a database migration system that allows the development team to easily create, modify, and share the application database schema (visual representation of a database). Read More ... https://viftechinfotechnology.wordpress.com/2019/11/19/5-reasons-why-laravel-is-the-best-php-framework-for-2019/
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Best 9 PHP Frameworks In 2019 For Test Automation ☞ https://codequs.com/p/rkPvCT0tN/best-9-php-frameworks-in-2019-for-test-automation #php #laravel
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Best 9 PHP Frameworks In 2019 For Test Automation ☞ https://codequs.com/p/rkPvCT0tN/best-9-php-frameworks-in-2019-for-test-automation #php #laravel
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CSS MINIFIER THE BEST TOOLS
CSS MINIFIER The Best Tools
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Iris Publishers - Current Trends in Clinical & Medical Sciences (CTCMS)
https://irispublishers.com/ctcms/fulltext/increasing-sexual-self-efficacy-among-college-students-through-telehealth-consultation.ID.000530.php
Authored by Pamela Stokes
National College Health Assessment data reveals that on a Midwestern University campus in 2019, only 26.3% utilize protection most of the time or always in comparison to Healthy Campus 2020 national goal of 56.1%, [2]. One approach to prevent STIs in the young adult population is to develop a sexual health education program where individuals have a high level of interaction and rapport with health care providers [3]. Tailoring sexual self-efficacy communication training with preventative mindfulness interventions leads to a positive effect on the intention to discuss safe sex practices with their partner [4].
Self-efficacy is beliefs about one’s ability to engage in a desired behavior or achieve a level of performance [5]. This principle is a key factor in young adult sexual communication and is often associated with sexual health research because the concept drives motivation in avoiding sexual risk behaviors [6]. Sexual communication selfefficacy is associated with more positive condom/barrier attitudes and use as well as managing risky sexual behaviors. The treatment focused office visits that currently only involve discussion surrounding the infection or diagnosis lead one to believe that little is done in regard to empowering young adults to be mindful about prevention. It is critical that the health care providers support young adults in talking to their partner(s) and acting with intention. They are strategic to decreasing STIs. There is a direct correlation in convenient guidance being provided on campus and the probability that one will have sex with protection (or abstain) [8]. Because the number of STIs continues to rise, a need exists to improve the selfefficacy young adults have towards sexual intercourse. This project will explore the role that case management through telehealth can play on increasing sexual communication self-efficacy, ultimately reducing STIs on campus.
Review of Literature
Donne [4] suggest that building rapport and supporting that relationship through case management strategies will be more effective than traditional education approaches to STI prevention. In fact, college students indicated that there is no significance in video, brochure, or other pre-developed material in regard to their motivation to make safe, sexual choices [4]. Interactive teaching, where the student is encouraged to place themselves in another’s shoes, allows them to initiate behavior changes. Lechner [3] validated this statement in their study which found that higher level of interaction with health care providers, patients, and sexual health resources, the better the outcome (meaning no recurrent STIs). Building rapport with providers and having meaningful conversations is more effective with education about safe sex [9].
Historically, self-efficacy and self-management are reflected and theoretically summarized in Pender’s Health Promotion Model [10]. The model explores the factors and relationships contributing to health-promoting behavior and the enhancement of the quality of life. This framework, developed as a guide for processes that motivate individuals to engage in health or healthy behaviors, is appropriate for adolescents and young adults. They have unique health considerations and are in transition as they move from parent-managed health care to personal responsibility for their health behavior choices. They are shaping their life through identity development and processing personal choices and/or newly formed relationships through the evolution of their own perceived self-efficacy.
Similarly, McCutcheon [11] found that cognitive processes, personal attitudes, and social norms affect behavior. Personal actions to sustain or increase wellness have direct correlations to the actions of individuals or groups that assist in guiding individuals towards preventative actions. Nursing has traditionally provided literature that has ignored psychosocial, political, and ethical aspects of health promotion while focusing on patient education rather than health-promoting behaviors related to safe sex practices [11].
Many researchers described successful sexual self-efficacy campaigns through examples from the HIV/AIDS movement. There are several key factors that assisted in the accomplishments of the HIV/AIDS campaign that included:
• Painting a clear, gripping story through media.
• Securing funding for outreach on a large scale.
• Confronting uncomfortable topics.
• Activism/civil disobedience.
• Pushing for patients to become experts [12]. Allowing
HIV/AIDS patients to focus on specific goals, specific institutions, and specific solutions through dialogue allowed them to become empowered and move towards a healthier sexual self-efficacy. In the HIV/AIDS movement example, the patients became experts on both the political and scientific processes that were involved with the disease and assisted in making changes to the overall sexual education approach.
Current models of psychosocial interactions with young adults suggest that there is a limited capacity for clinicians to provide a timely and personalized assessment [13]. Telehealth is a positive alternative that increases access to the provision of evidencedbased care and treatment [13]. [13] performed a pilot study for young adults receiving cancer care and found that telehealth was acceptable for education and psychosocial assessments. There were no significant barriers to the implementation, and over 63% of the participants favored the experience to a traditional face-toface interview [13].
In order to validate health care approaches that facilitate sexual self-efficacy, Van Volkom [14] suggest utilizing methods that provide immediate access and are technologically driven. If health care providers are available for that dialogue, young adults who have frequent discussions about STI prevention, are more likely to make safe sexual choices and communicate more with their partners regarding sexual health behaviors [6]. In fact, encouraging positivity about sexuality may have important implications for sexual health among young adults specifically, increasing the effectiveness of pregnancy and STI prevention.
Quinn Nilas [6] stated that there is limited research available on innovative educational strategies in relation to sexual health, reducing sexual risk taking, and enhancing sexual relationships. A gap in the research exists with what standardized training is in regard to sexual health education, whether throughout public school systems, in higher education, within health care clinics, or in the public health arena. The goal of improving sex education is needed to prevent future STI recurrences. This involves improving communication between the provider and the patient and evaluating sexual self-efficacy of the patient. Therefore, a need exists to examine new strategies promoting STI prevention and communication.
The purpose of this project is to determine the impact on the sexual self-efficacy of college students from their participation in a telehealth case management program on STIs. Aims included: 1) training and implementing effective case management strategies for young adults (ages 18 to 24); 2) providing telehealth case management support for patients that test positive to STI screens; and 3) assessing sexual communication self-efficacy before and after the implementation of the telehealth case management.
Method
Setting and Participants
This project was conducted at a public university located in the Midwestern United States, during the summer and fall of the 2019- 2020 academic school year. Newly diagnosed students (N=11 out of 122), who tested positive for an STI, were invited to participate in this project. The study was approved by the University Institutional Review Board.
Intervention
A Plan-Do-Study-Act (PDSA) model was used when implementing this quality improvement project [15]. The initial improvement goal and the “Plan” component of the model was to increase sexual self-efficacy, thus reducing the number of recurrent STIs. This was done by building rapport and educating students that tested positive for an STI using effective case management studies. The literature search identified the use of narrative storytelling as a teaching method to promote safe sexual choices [1]. Therefore, situational scenarios were discussed at telehealth sessions that allowed the students to put themselves in the shoes of someone who may be at risk for future STIs.
Prior to and after the telehealth case management appointment, data was gathered on the status of the student’s (N=11) sexual self-efficacy communication using the Sexual Communication Self- Efficacy Scale (SCSES). This is the “Do” component of the PDSA model. The SCSE Scale, created and validated by [6], was designed to measure the communication self-efficacy of adolescent men and women. The scale consists of 20 items that measure respondents’ confidence in engaging in a variety of activities with a sexual partner along a 4-point Likert-type scale (1=very difficult, 4=very easy). Permission was granted to utilize the Sexual Communication Self-Efficacy Scale (SCSES) Are you able to put the citation here of the article where you obtained the scale? Results of the scale as well as themes identified from the appointments where are fully analyzed as a part of the “Study” component of the PDSA model.
Data Collection
The students were informed of this quality improvement project by secure message through the student patient portal of the clinic’s electronic medical record when they tested positive for an STI. This was done retrospectively, after their initial face-to-face testing, treatment, and traditional education for a positive result. Participation was voluntary and measures were taken to maintain confidentiality and anonymity. As participants in this project, the students were requested to complete the SCSES which was followed by a telehealth appointment with the Clinical Director (who is an RN) to discuss STI communication and prevention incorporating situational scenarios involving high risk sexual behaviors. Finally, the students were requested to retake the SCSES. The SCSES were accessed through Qualtrics, a University subscribed survey platform, protected by personal password. By accessing and completing the online SCSES, the students were giving consent to be a part of this project. This was also noted in the original message that was sent to each student through the student portal.
The telehealth appointment took place on a web-based telehealth appointment platform, which is HIPAA compliant and password protected. The author contacted each individual to schedule a telehealth appointment and was the only provider performing the case management sessions.
Strategies used were taken from the literature and applied to the interactions with the student. They included: 1) building rapport through casual conversation, 2) eliminating a narrowed and defined time frame, 3) utilizing a narrative scenario to allow students to visualize themselves in a high risk situation, and 4) guiding the discussion with pre-determined topics [4].
During the telehealth appointment, the students provided their perspectives on the following pre-determined questions that were developed by the author. The literature indicated that talking with a sexual partner is the most invaluable step in protecting oneself from STIs [6]. The questions included the following:
• Describe the issues you discuss with your partner(s) prior to any sexual contact, if any.
• How would you take steps to protect yourself from an STI?
• What information do you need to feel like you can talk about STIs and safe sex with your partner?
It was stressed to the students that there were no right or wrong answers. The goal was to get them to think about how they approach sexual encounters and empower them to feel comfortable talking about sex. At the end of the visit, a scenario was given surrounding a potential unprotected sexual encounter and the nurse walked the student through the long-term effects of taking sexual risks. After the completion of the telehealth appointment, the patient was encouraged to practice sexual communication with their partner(s) and make safe sexual choices. Then, after a month’s time, a reminder was sent to the patient through the patient portal, with a link to complete the SCSES for the second time.
Analysis
Basic content analysis was performed in two different areas. The first area of analysis was a descriptive statistical summary from the quantitative data gathered from the SCSES pre- andpost- tests. The second area of analysis was a summative content analysis, comparing and noting keywords or themes Hsieh [16] gathered from the three questions posed during the telehealth case management sessions.
Question 1: Describe the issues you discuss with your partner(s) prior to any sexual contact, if any. The analysis of Question 1: “Describe the issues you discuss with your partner prior to any sexual content” elicited three common themes:
• A desire to have sexual relations,
• The status of the couple’s relationship.
• The seducing or flirtatious actions or comments that served as a precursor to the sexual encounter.
In the first theme, 100% of the participants reflected that there is a level of communication expressing a desire to be intimate or perform/receive sexual contact with their partner. For example, one participant commented that consent is “important and stressed to us growing up, in school, on social media…. it’s everywhere…so yeah of course we talk about it beforehand.”
A second theme, the status of the couple’s relationship, was identified by 81% of the participants. The participants reflected that they would want to know whether their partner was in a relationship, seeing other people, or serious about them before they engaged in sexual activities. The third theme involved the actions or words that are a part of any flirting that may take place before sex or sex acts. Seventy-three percent of participants identified this as a theme that occurs somewhat naturally. For example, one participant stated that “flirting happens…like certain looks, certain things are said…like the way someone speaks to me, I can tell.”
In summary, participants stated they “felt very comfortable” talking about sex prior to the sexual act occurring. Any form of healthy sexual communication is commonly highlighted as a key factor in influencing positive sexual health behavior, in particularly condom usage [6]. Young adults who do identify an ease with communicating about sex with partners decreases risky sexual behaviors.
The communication should surround all aspects of sex, rather than just disease prevention in order for the individuals to maintain healthy sexual behaviors and avoid risk-related sex acts. Thus, the responses indicated that the students in this project do engage in aspects of healthy sexual communication.
Question 2: How would you take steps to protect yourself from an STI?
The analysis of Question 2: “How would you take steps to protect yourself from an STI?” elicited two major themes: 1) use protection, and 2) ensure that their partner was free of infection. In the first theme, 100% of the participants responded with a statement that surrounded prophylactics or protection, like condoms. They unanimously referred to condoms as their chosen protection from STIs. However, 28% of students identified on the SCSES that they had difficulty demanding a condom or barrier be used with every sexual encounter before the case management appointment and 18% still had difficulty with this task after the case management appointment.
The second theme surrounded ways of ensuring that their partner was infection free. Seventy-three percent of participants reported that they made sure through verbal communication that their partner had no infections. This involved asking them if they “had been tested,” talking about previous partners, and asking if their partner had any symptoms that were indicative of an STI like “discharge or pain.” Most individuals who stated they would use a condom also suggested that they would talk about being infection free. [6] states that those individuals who utilize protection routinely are more likely to have positive, stress free sexual encounters than those who do not. Yet, it is common for young adults to avoid directly asking about condom/barrier use and/or STIs [17]. Prior to the case management implementation 18% of individuals had difficulty talking about sexual partners and STIs, yet after the implementation all participants found it “easy” or “very easy” to discuss these topics.
Question 3: What information do you need to feel like you can talk about STIs and safe sex with your partner?
The analysis of question 3: “What information do you need to feel like you can talk about STIs and safe sex with your partner?” elicited two primary themes: 1) a level of comfort with the other individual, and 2) a lack of desire to talk in depth with their partner. The first theme was identified by 64% of the participants. One individual stated that they would only speak to their partner about sex and details surrounding it, “if I was close with that individual or had a relationship. Sometimes sex happens casually without much talking.” Another stated that talking about STIs wasn’t something she did, but she always required condom usage. This is supported in the literature, which describes sexual self-efficacy as being stronger in individuals who are in steady, monogamous relationships [6].
The second theme reflected a lack of desire to talk about sex, STIs, or sexual acts. Twenty-seven percent of participants revealed they did not wish to talk about STIs or sexual details although they were willing to be sexually active. Poor verbal communication between partners is a significant factor is sexual risk taking and common for this population [6].
Discussion
Several things were apparent when comparing participants’ responses in the three questions to the SCSES data. The participants already knew a great deal about sex and STIs and felt quite comfortable not only having sexual relations with others but talking about the aspects of sex they liked/did not like. They did not however, feel comfortable talking about sharing needles and often admitted to engaging in risky sexual taking behaviors without having a close relationship with their partner
In this Midwestern state, there is a great deal of discussion about risk taking behaviors by young adults. In health care, there has been a 283% increase in congenital syphilis since 2014. The resurgence of syphilis cases in recent years highlights the fact that challenges remain in controlling STIs within the state [18]. Additionally, the congenital cases are being properly tracked because of the treatment taking place within the inpatient setting to the newborn. The community rates of young adults being treated are not accurately reflected and statisticians state that STIs often are diagnosed in pairs (or threes). This means that more common infections like Chlamydia and Gonorrhea could be at an all-time high [17].
Young adults engage in cognitive avoidance and are unable to see themselves in a situation that could permanently affect their health [19]. Additionally, sex and sexual acts was reported as part of routine activity for the participants involved in the project. Providers are often focused on curative aspects of care rather than education and prevention [20], thus students are unable to place themselves situationally into examples or narrative scenarios where they would know how to respond to protect themselves [4].
An unexpected theme arose during discussion over the three telehealth questions. Participants overwhelmingly inquired about the easy access of the telehealth appointment and questioned why this option was not available for the initial visit or for other health issues. This topic arose without prompting and was present in the discussions with all 11 eleven participants. The identification of this theme shows support for easy access to telehealth appointments that could be applied to more than just positive STI screens. The telehealth component is convenient and immediate, in that the patient may sign on at their selected time in the comfort of the own home or a private location of their choosing. The appointments can be short, yet frequent assisting in educating the students and freeing bookable face-to-face time within the clinic. This case management model could potentially increase the numbers of individuals that the clinic reaches in providing guidance for prevention of numerous health issues. Training and implementing case management strategies, similar to those previously summarized, could be done for the entire nursing staff rather than one provider as stated in aim 1. The methods could be sustained within the health center in order to introduce students to sexual communication and create a means for long-term STI prevention.
In summary, the findings obtained in the project provide evidence that there is a desire to pursue sexual health appointments and STI checks if a telehealth platform is available. The students requested easy and immediate access to appointments for STI education and other general health questions. Initially, the pre SCSES revealed that students already possessed an ability to engage in communication with their partner about sexual topics. They revealed that they are comfortable in talking with partners and pursuing sexual relationships with others, initiating sex, and talking about what feels good sexually, regardless of risk. However, when provided education on those risks, they became more comfortable with also talking about who their partner had been intimate with or about protecting themselves. Although students stated many sexual communication topics were “easy” to talk about initially, the telehealth session implementation revealed that there was slight improvement in sexual self-efficacy. The implementation of effective case management strategies using telehealth support was successful in this project as noted by the pre and post SCSES results.
Ethical Considerations
Participation in this study was voluntary. Each individual who tested positive for an STI received a secure message through the electronic medical record portal, outlining the opportunity to enroll in a telehealth case management program in order to learn more about sexual communication and to assist health care staff in understanding sexual self-efficacy. The secure message explained that clicking on the Qualtrics link and completing the sexual selfefficacy questionnaire implied they consented to their enrollment in the program. Within this message, each participant was instructed that their medical record and any information obtained during the project would be kept secure, password protected, and confidential. Because of the sensitive nature of the topic, the participant could decline to answer or remove themselves from the project at any time.
Limitations
The generalizability of the information obtained in this project is limited as it reports on the perceptions of a small sample (N=11) of young adults at a public, Midwestern University. An ongoing case management model that allowed for more time to build rapport with the patient could have revealed different results. Additionally, the time frame when results were gathered took place in the summer, when many students return home and the University is not saturated with students testing positive for STIs.
Implications
The information obtained through this project provides insight into the level of self-efficacy young adults have with sexual communication. It revealed that while young adults feel comfortable talking about sex and engaging in risk taking behaviors, they are unaware of their risks. The telehealth session provided the information that young adults needed to empower themselves. Given the sensitive nature of the topic, ideally the program will be expanded to allow for more time. Then, the practitioner can build the rapport needed to gain trust from the patient and discuss sexual activities that could be placing them at risk. Additional research on a program that took place during the semester, when STI diagnoses are highest would be desirable [21-22].
The feedback from participants revealed that they are more likely to seek help for various health issues if access is easier. They expressed a desire to have telehealth available with any health concern they may have. The telehealth platform could be expanded to various diagnoses and performed by various practitioners. This could lead to further quality improvement projects, where the availability of telehealth could address certain issues, improve certain health concerns with this population, and in turn improve clinic access by relieving face-to-face time with practitioners.
To read more about this article: https://irispublishers.com/ctcms/fulltext/increasing-sexual-self-efficacy-among-college-students-through-telehealth-consultation.ID.000530.php
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