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  <front>
    <journal-meta id="journal-meta-545684648d1043fc84a4c38a01b3b829">
      <journal-id journal-id-type="nlm-ta">Sciresol</journal-id>
      <journal-id journal-id-type="publisher-id">Sciresol</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines"/>
      <journal-title-group>
        <journal-title>Journal of Pharmaceutical Research</journal-title>
      </journal-title-group>
      <issn publication-format="electronic">2454-8405</issn>
      <issn publication-format="print"/>
    </journal-meta>
    <article-meta id="article-meta-20968205f3b64ce5b77efc63aaf9346a">
      <article-id pub-id-type="doi">10.18579/jopcr/v21i3.3</article-id>
      <article-categories>
        <subj-group>
          <subject>Original Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title id="article-title-c540f22ded1348749fde86c55cf565a1">
          <bold id="strong-6fe8a0748eac480ca0a864a5670eadd8">A Survey of Healthcare Professionals’</bold>
          <bold id="strong-b3b608060b99471cadfc51226df6717b"> </bold>
          <bold id="strong-c1612336b5f54e0ca1c2c2e5acd75770">Attitude and Awareness towards Q</bold>
          <bold id="strong-0814eb7fc4194a89ac0b8a3f049d00de">uick </bold>
          <bold id="strong-da20fe1b2b934f4497f94b42e8246814">Response</bold>
          <bold id="strong-67be88b84caf43dab423c4a72bcd08c5"> Codes and Review of its </bold>
          <bold id="strong-807f92c61742461ea48bcfeb51cb6eeb">Possible Applications in Medical Education and Pharmaceutical Industry</bold>
        </article-title>
        <alt-title alt-title-type="right-running-head">A survey of healthcare professionals’ attitude</alt-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name id="name-10594cc8b0a840cba99add32cceb594d">
            <surname>Pareek</surname>
            <given-names>Varun</given-names>
          </name>
          <xref id="xref-91d37f84dd4d4e959e99d637aa0eed75" rid="aff-98c9669b15a34f388b19ae0b7fe2427e" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-5efeadc6c767490ea9492e3847fa6b06">
            <surname>Sharma</surname>
            <given-names>Shivangi</given-names>
          </name>
          <xref id="xref-2a4bc327630942068930ead96b05080f" rid="aff-43d2f7da005e4459b113648abc08e9cb" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name id="name-8bdb463ee7bd4d888773e455211054d3">
            <surname>Kumar</surname>
            <given-names>Susheel</given-names>
          </name>
          <email>susheelpn72@gmail.com</email>
          <xref id="xref-47f0340f52214a239bd939330e715eb7" rid="aff-98c9669b15a34f388b19ae0b7fe2427e" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-b9958733cf964823a1933128600d1171">
            <surname>Pareek</surname>
            <given-names>Abhinav</given-names>
          </name>
          <xref id="x-1bb3c1f5b8fd" rid="a-48fd8ec6c902" ref-type="aff">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-4fc56cd6d1b74ce9861121a7077c096c">
            <surname>Sharma</surname>
            <given-names>Lokendra</given-names>
          </name>
          <xref id="xref-2610f81038d741138728c53e2c640d4a" rid="aff-98c9669b15a34f388b19ae0b7fe2427e" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-4bf12f17b360452fb39c1c78b5bbf922">
            <surname>Rathore</surname>
            <given-names>Rajveer Singh</given-names>
          </name>
          <xref id="xref-99ff4c7171f3457cafa3bd00f6e1de10" rid="aff-98c9669b15a34f388b19ae0b7fe2427e" ref-type="aff">1</xref>
        </contrib>
        <aff id="aff-98c9669b15a34f388b19ae0b7fe2427e">
          <institution>Department of Pharmacology, RUHS College of Medical Sciences</institution>
          <addr-line>Jaipur­, Rajasthan, 302033</addr-line>
          <country country="IN">India</country>
        </aff>
        <aff id="aff-43d2f7da005e4459b113648abc08e9cb">
          <institution>Government Medical College</institution>
          <addr-line>Jhalawar, Rajasthan, ­326001</addr-line>
          <country country="IN">India</country>
        </aff>
        <aff id="a-48fd8ec6c902">
          <institution>University of Texas at Arlington</institution>
          <addr-line>TX, 76019</addr-line>
          <country>USA</country>
        </aff>
      </contrib-group>
      <volume>21</volume>
      <issue>3</issue>
      <fpage>76</fpage>
      <permissions>
        <copyright-year>2022</copyright-year>
      </permissions>
      <abstract id="abstract-abstract-title-ba8c695a2b3d4c30b310c11da802e88f">
        <title id="abstract-title-ba8c695a2b3d4c30b310c11da802e88f">Abstract</title>
        <p id="paragraph-1c5a1a05f46240e58fcff979cbb0db5b">Medicine is rapidly adopting newer technologies such as Quick Response (QR) codes to effectively and efficiently manage, share and store information. QR codes can have a wide variety of applications in the healthcare, medical education and pharmaceutical industry. This article aims to explore the applications of Quick Response code in Medicine and other affiliated sectors. Through this survey we have tried to score the attitude and awareness of healthcare professionals towards the viability of QR codes. The study sample was of n = 142 respondents. Majority of respondents were aware about the utility of QR codes in day-to-day aspects and academics with Online transactions being the predominant usage. 84.5% respondents were aware of the technology involved in QR codes and 83.1% respondents had used the QR code in different scenarios. Despite the awareness only 21.1% respondents knew how to create a QR code. Overwhelming majority of 80.3% respondents replied that they would prefer access to educational material and recording of attendance through QR codes. According to the findings, awareness of technology and use of QR codes is not a significant factor in QR code acceptance in accessing study material and attendance. But we have a significant p-value (p value = 0.017) when acceptance of QR codes in medical education was significant among healthcare professionals who were exposed to QR codes in the Department of Pharmacology. Our findings further suggest that most healthcare professionals have convenient access to the technology essential to generate QR codes, and yet, about 21.1% of healthcare professionals are unaware of the technique for QR code generation. Based on this finding, we conclude that knowledge of QR codes and use of QR codes outside of the medical setup doesn’t affect the acceptability of QR codes in healthcare professionals, but when they’re exposed to QR codes in the medical setup, there is a significant correlation in acceptance of QR codes for study materials and attendance. From our results, we can conclude that most healthcare workers and medical students approve of more integration of QR codes in medical workflow and agree with the convenience and ease of use and easier access to information.</p>
        <p id="p-cf395c4790d9"/>
      </abstract>
      <kwd-group id="kwd-group-b5cc3e9f81ea4296ba58d1124532204c">
        <title>Keywords</title>
        <kwd>Medical education</kwd>
        <kwd>Behaviour modification</kwd>
        <kwd>Pharmaceutical Industry</kwd>
        <kwd>Healthcare</kwd>
        <kwd>Quick Response code</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec>
      <title id="title-b139efb9635e49fd841e7b2327a50127">INTRODUCTION</title>
      <p id="t-3a80a02a309a">To understand the applications of QR codes, we first need to understand the technology and define a QR code. A QR code is a matrix bar code (<xref id="x-70a10100138c" rid="figure-bae760e6cc8348cc95d3b25fc05d4d8f" ref-type="fig">Figure 1</xref>) that stores data, generally URLs, text, v-Cards, or photo to guide consumers to online products or websites efficiently. The first QR code was developed in 1994 the Japanese automotive company Denso Wave. Still was not until recently that the ordinary public accessed it with broader access to smartphones.  </p>
      <fig id="figure-bae760e6cc8348cc95d3b25fc05d4d8f" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 1 </label>
        <caption id="caption-97ec88789b184a4fbfffd758457e935b">
          <title id="title-4c58d40294424a3dbbb1934fbf5c0943"><bold id="s-3d1face562a7"/>The English Wikipedia Mobile home page's QR code (Source: Wikipedia.org)</title>
        </caption>
        <graphic id="graphic-92982ce0f10d45cc8b2d5eae2809f6a7" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image1.png"/>
      </fig>
      <p id="paragraph-9011423c552443b6ae56823ab29acc53"/>
      <p id="paragraph-d5b3a13479f54196a77fe7443423418f"/>
      <p id="paragraph-c6dbdaad8a7e4d329cdc02f6076ac82f">The Quick Response system gained wide acceptance outside the automotive industry because of fast readability, reliability, convenience, and huge storage capacity than standard UPC barcodes. Applications range from tracking parts to product or identification of item, document management, time tracking, and general mercantile.</p>
      <p id="paragraph-53f19704103e45829c8acf14f165145a">As the COVID-19 became pandemic, use of QR codes got momentum as a "touchless" system to present information, display menus, or offer updated and streamlined consumer information, especially in the hospitality industry. Restaurants replaced paper or laminated plastic menus by QR code decals on the table, which provided digital menu card. This avoided the necessity of disposing single-use paper menus or additional cleaning and sanitizing procedures for permanent menus after each use. Digital media have also started using codes on news telecast so that viewers can access stories or news about the pandemic, including testing and immunization schedule.</p>
      <p id="paragraph-23252c5cb44240139da4205982365118">In several Australian states, patrons must access QR codes at shops, clubs, supermarkets, and other service and retail outlets on entry to assist in contact tracing. Singapore, Taiwan, the United Kingdom, and New Zealand use similar mechanisms.</p>
      <p id="paragraph-2f47e1a8b1724818b4e9b9091b1e52f1">QR codes are also present on COVID-19 vaccination certificates in places such as India, Canada, and the EU (EU Digital COVID certificate), where they can be accessed to scrutinise and cross-verify the information on the certificate. <xref id="xref-d07a4784b2b14e9da0019a952fb2d0ed" rid="R156800626283508" ref-type="bibr">1</xref></p>
      <p id="paragraph-db59bf08eae340a4bc28fe4492d35917">There are numerous applications for the integration of QR codes in Medicine, some of which are listed below:</p>
      <sec>
        <title id="t-6b6d5a9b6513">
          <bold id="strong-b1da7501fb2e48ca8f3eb1c1066062ce">QR codes in Medical Education</bold>
        </title>
        <p id="t-f7e0a8cec3df"/>
        <fig id="f-e8e234f848bd" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 2 </label>
          <caption id="c-27c0218dddb4">
            <title id="t-2b684a806f4a">E<bold id="s-759dde99bbd4"/>xample of a Quick Response (QR) Codes in Poster Presentation (Source: Google Images)</title>
          </caption>
          <graphic id="g-d7d3fa46575c" xlink:href="https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/3e69a8b4-8832-4de1-816d-16427e2b2fdf/image/d4bd7852-154f-450c-9540-ff7e5d5f1c6b-uimage.png"/>
        </fig>
        <p id="p-07637cc0fd88"/>
        <p id="paragraph-cea1e308feec462183fc39d776b7c0fd">Conference poster presentations can benefit greatly from the use of QR codes. A QR code, rather than simply putting images to a poster, allows conference participants to incorporate videos that presenters have connected to their signs. This technology expands information exchange in static 2-dimensional posters. It includes multimedia presentations that enhance the poster's educational value by presenting slideshows (<xref id="x-fcd90f497e7c" rid="f-e8e234f848bd" ref-type="fig">Figure 2</xref>) or films of uncommon case reports, surgical techniques, or other video-centric material. QR codes also give useful resources, such as the presenter's vCard, contact information, references, extra material, or feedback questionnaires. <xref id="xref-d6cf3fb983384c13a451e2a9a17fbdcd" rid="R156800626283506" ref-type="bibr">2</xref> </p>
        <fig id="figure-b70b26002d7140e89e5221f8f9eb9812" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 3 </label>
          <caption id="caption-7de10569a2d64de1915615886d566263">
            <title id="title-6a4005a487814dd7a4a329ba695c1359"><bold id="strong-9a07171be1af4e3595ff4918c66d566b"/><bold id="strong-47e1d9e637a04e5fa48265b3cacb42f4"/>Example of integration of the Quick Response (QR) Codes in PowerPoint Presentations (Source: Google Images)</title>
          </caption>
          <graphic id="graphic-0979828fe1834d8fb93fdd50acd43144" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image3.jpeg"/>
        </fig>
        <p id="paragraph-f4a42e4b22dc438b946dd6bd64af66b7">Beyond posters, QR codes can enhance the educational content of lecture presentations (<xref id="x-b8c60a543f4a" rid="figure-b70b26002d7140e89e5221f8f9eb9812" ref-type="fig">Figure 3</xref>) by: </p>
        <p id="paragraph-1ea0dc817b4b4d4c80cbbba378022661">(a) quickly guiding learners toward resources to prepare for lectures, and </p>
        <p id="paragraph-5090d6f2e9814fd2bbcc579a543d2c91">(b) extra stress on information by linking relevant articles, videos, or other classes.</p>
        <p id="paragraph-abc2baf5a66441808c612f8ba1c00f10">QR codes also can be integrated into print or digital publications. When added to journal articles or textbook chapters, they can link to less effectively modelled resources in fixed 2-dimensional figures. Rather than using photos or graphs, QR readers can show videos or dynamic graphs and models that can be updated and enhanced over time. The QR codes allow print and online resources to be converted interchangeably by embedding videos not earlier possible on printed resources.</p>
        <p id="paragraph-fb5833c42d8540af86c383d4919d3e0e"> Because QR codes are shareable, they are apt for clinical simulations, which educators are using to creatively engage learners to apply knowledge and act in real-time simulated clinical scenarios. <xref rid="R156800626283502" ref-type="bibr">3</xref>, <xref rid="R156800626283504" ref-type="bibr">4</xref>, <xref rid="R156800626283503" ref-type="bibr">5</xref></p>
        <p id="paragraph-d9aad465658b4071b83b71f19307da8a">At academic teaching hospitals, a number of small studies have discovered a correlation between improved applicability and quicker feedback when QR readers are utilised for trainee assessment.</p>
      </sec>
      <sec>
        <title id="t-e41a85124e6b">
          <bold id="strong-099e87ff3f2c406eb47fbfaaca211496">QR codes in Pharmaceutical Industry </bold>
        </title>
        <p id="paragraph-97767775001b4e559651d790f7d3997d">There are numerous challenges that a pharmaceutical company and its consumers face regularly. One of those challenges is a counterfeit product. Using QR can assist the development get an additional level of legitimacy. Moreover, QR codes can ensure more accessible access to product manuals and related info graphics.</p>
      </sec>
      <sec>
        <title id="t-3098ffb3b48b">
          <bold id="strong-dc7d29fb3c984695b46f275a73afa98a">QR codes at the </bold>
          <bold id="strong-bac215103e7c43ba89f2403417dea398">Department of Pharmacology, Rajasthan University of Health Sciences</bold>
        </title>
        <p id="paragraph-fb7149d086264b29ab271255ed0b6aac">We at RUHS-CMS Jaipur have started an initiative of digitally cataloguing our Experimental Lab Equipment, Research lab Equipment and Pharmacology museum exhibits (<xref id="x-8f10ffaea240" rid="figure-f72582a3075f4ee1862d15e2c8d2fc5d" ref-type="fig">Figure 4</xref>).</p>
        <p id="paragraph-18ad71e7390b4e82a8524a5f10e3fc69">Moreover, we have made those digital catalogues accessible to our students through QR codes.</p>
        <fig id="figure-f72582a3075f4ee1862d15e2c8d2fc5d" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 4 </label>
          <caption id="caption-30572d29d5e74b73bafeae4404b53f56">
            <title id="title-4938218361834b0aab74f794c5a305cf">Q<bold id="strong-805bb35cbac64b22ab7b3694e502650b"/>R codes at the Department of Pharmacology, RUHS-CMS, Jaipur, India</title>
          </caption>
          <graphic id="graphic-6f17f1595abe43249a5226d2cab8725d" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image4.png"/>
        </fig>
        <fig id="figure-464b278f4c1d489abb223e90d4ee1673" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 5 </label>
          <caption id="caption-38efc50f82384c89b07235ff67ae1a31">
            <title id="title-cd6fda63889f4caaace36d3db8938353"><bold id="s-40a8b084dc4a"/>QR codes at the Department of Pharmacology at RUHS-CMS for GMHAT.</title>
          </caption>
          <graphic id="graphic-fe72a9e6cc2947f69374218342fb5a19" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image5.jpeg"/>
        </fig>
        <p id="paragraph-41d0bc895fa249ddbda0be1797055ec8">We have also provided our students with QR codes based access to online mental health assessment tools (GMHAT) (<xref id="x-766d3703778b" rid="figure-464b278f4c1d489abb223e90d4ee1673" ref-type="fig">Figure 5</xref>) to keep track of their mental health.</p>
        <p id="paragraph-066c92acd1254d619531aa3d136d40bf"/>
        <p id="paragraph-14b9a0262f304298abae988dce42ab2f">At the Department of Pharmacology, RUHS-CMS, we are also planning for an attendance method that utilises QR codes that students can scan with their smart phones at the entrance to the lecture hall, and their Attendance will automatically get recorded in an Excel sheet.</p>
      </sec>
    </sec>
    <sec>
      <title id="t-a8ebea6a1bb4">
        <bold id="strong-3ea1a27a5b5a4549a2d62b6d779bf2e5">Indian Scenario</bold>
      </title>
      <p id="paragraph-8fc77bd30076460e919004162eb0cabc">The Department of Pharmaceuticals, Government of India mandated QR Codes on all pharmaceutical packages. The primary goal is to pass on the benefits of fair pricing to customers. Furthermore, to keep customers informed of any price decreases or increases. <xref id="xref-59ea6d151e2c4af7b5c0b005e1651898" rid="R156800626283507" ref-type="bibr">6</xref><sup id="superscript-9e13866a0d3643bb944d2f1e04fdd333"> </sup></p>
      <p id="paragraph-2b4a6c895a5f4cff811037f28b97191f">The QR Code scanner is linked to software that has price information for all brands. This is overseen by the National Pharmaceutical Pricing Authority (NPPA). Any pricing change is automatically updated in the software. Customers receive real-time information on the pricing of the Medicine when they scan it. As a result, they may pay properly.</p>
    </sec>
    <sec>
      <title id="t-f95ea137e7e5">
        <bold id="strong-a1ff0c5daa2747b587c70e9383c88b1a">Scenario Abroad</bold>
      </title>
      <p id="paragraph-c662c56f9ae04c0989fda25e4a5274ae">Many other countries have recognised the usefulness of QR Codes and have provided regulatory guidelines to accelerate the adoption of this technology. The European Medical Agency (EMA), for example, has recognised QR Codes' enormous potential in the pharmaceutical industry. As a result, it has created guidelines and restrictions for all brands and firms who want to incorporate QR codes into their prescription packaging.</p>
    </sec>
    <sec>
      <title id="t-ac0b86403a23">
        <bold id="strong-63ab6f2b3ed349ec87b68ee1a580b573">How to create a QR code</bold>
      </title>
      <p id="p-1dbb03995212">Five-step guide to how to make a QR code for a link includes:-</p>
      <list list-type="order">
        <list-item id="li-7f6228771c36">
          <p>Find a good quality QR code generator that can offer both free and paid QR codes;</p>
        </list-item>
        <list-item id="li-18ec8a742e75">
          <p>Open the menu and enter the URL or your username on the given field;</p>
        </list-item>
        <list-item id="li-0b6b45dc9ac2">
          <p>Select “Generate Code” and modify your QR code by applying multiple patterns and eyes, adding a logo, and setting colours;</p>
        </list-item>
        <list-item id="li-e4de793537c8">
          <p>Download your QR code and make sure that it works; and</p>
        </list-item>
        <list-item id="li-f151924e1206">
          <p>Distribute the downloaded QR code to your target audience</p>
        </list-item>
      </list>
    </sec>
    <sec>
      <title id="t-dd23576cd752">
        <bold id="strong-d7dcafa3ff144204904134bc9a543430">Materials </bold>
        <bold id="strong-ef38489ae58b4abcb38de5957539bf1c">and Method</bold>
      </title>
      <p id="paragraph-71509e8561774c8c80b70281d4ab6181">Researchers, including healthcare professionals, postgraduate medical students, and a medical professor, conducted a pilot cross-sectional study using a self-constructed e-questionnaire (<xref id="x-fbfefb4cab79" rid="table-wrap-49378494b0964ef5840148d480a5dfb8" ref-type="table">Table 1</xref>). The questionnaire was created with Google Forms containing 13 questions about QR code utility, generation technique, and prevalent usage and also a consent statement (<xref id="x-da1584a9f5b0" rid="table-wrap-a569e3563b61419a9cc6132b8e3238db" ref-type="table">Table 2</xref>) from participants. Healthcare professionals from Rajasthan, including medical and paramedical students, were eligible to participate. Respondents who refused to fill out the survey, provided incomplete responses, or opted out of the survey process were excluded from the results analysis. </p>
      <p id="paragraph-aae90ebc87e447b6991668cab54b14df">Participants were also encouraged to share the survey with their contacts in order to boost participation and response rates. The study protocol was approved by the Institutional Ethical Review Board (Ref No.: ECR/434/Inst./RJ/2013/RR-19, dated:7<sup id="superscript-ae4216ee61f64109acae8a13cc15f4a3">th</sup> July 2022).</p>
      <table-wrap id="table-wrap-49378494b0964ef5840148d480a5dfb8" orientation="portrait">
        <label>Table 1</label>
        <caption id="caption-79476ac3440d455ebe09fc5c1369e759">
          <title id="title-60f6eebdb7ce4ab885179b4136d30c9e">
            <bold id="s-63a748c5d4a2">Google form Questionnaire</bold>
          </title>
        </caption>
        <table id="table-dd881cd9f21b4127916ef9767647567c" rules="rows">
          <colgroup/>
          <tbody id="table-section-e9527923a605410bb4eaff1bbb34d8bb">
            <tr id="table-row-8e79cca1415947b8a33d7da41e97ac59">
              <td id="table-cell-e17129f026b84b8ab2b3b62b46c2a3eb" align="left">
                <p id="paragraph-1eaaed1115b74a2791f814ac9a12122d">
                  <bold id="s-a56e84f9118a">S.No.</bold>
                </p>
              </td>
              <td id="table-cell-446622d169f640f9906c2ce89c9d4347" align="left">
                <p id="paragraph-6c92ef715a4d4e8785fcab1d50087a3e">
                  <bold id="s-7bd960bf14cd"> Questions Asked</bold>
                </p>
              </td>
            </tr>
            <tr id="table-row-02e13dad270e4b1b8bb1656b6355df44">
              <td id="table-cell-e2c2a91ef5d747f493886b9234c760f5" align="left">
                <p id="paragraph-17ef76fb317b4a97a2e5a9874f9101c8"> 1</p>
              </td>
              <td id="table-cell-04c013a3b11c4e8dbca0829ee2e6d2d2" align="left">
                <p id="paragraph-aabedb3446b44473a759d94f322ecef6"> Please specify your gender</p>
              </td>
            </tr>
            <tr id="table-row-b8bf6de6903c4a439c0cd26c0580db33">
              <td id="table-cell-da71ce7986764f1cab3e06124061c918" align="left">
                <p id="paragraph-597c4abbb4384fb39ef8be4330810f4d"> 2</p>
              </td>
              <td id="table-cell-37c320f28d7b4e6fbca868a424668d47" align="left">
                <p id="paragraph-ac1aa47ef27d41a3a8fe19ce008218f6"> What is your age?</p>
              </td>
            </tr>
            <tr id="table-row-4609e863be69416a906b00504a6c2a66">
              <td id="table-cell-23edbc45cfea4f74aeba407d020380f5" align="left">
                <p id="paragraph-b2de57a634f24c3b892e67579e76ada7"> 3</p>
              </td>
              <td id="table-cell-3f0e26b446054d819fb0f58c0f33033e" align="left">
                <p id="paragraph-ab188d943a634a8ba2b22494224c1a62"> What is your role as a Healthcare professional?</p>
              </td>
            </tr>
            <tr id="table-row-87cee2d399b74f369979d647c07e26f2">
              <td id="table-cell-e419c36f08b1443da393313331397edc" align="left">
                <p id="paragraph-39f06eebfbad489c9b83248f1d6b8f1b"> 4</p>
              </td>
              <td id="table-cell-d241285e68764507a0852b41aa6c57f8" align="left">
                <p id="paragraph-39327e60ddac4322bb2b4c0d1928c25e"> Are you aware about the technology involved and the uses of QR codes?</p>
              </td>
            </tr>
            <tr id="table-row-e3fdf2f9bd274110a80e3e4afbd7fece">
              <td id="table-cell-ee9c3ef086e3484fb95a76f6e591c5ec" align="left">
                <p id="paragraph-30d573f1359448eea1f58bd528250368"> 5</p>
              </td>
              <td id="table-cell-669413d89a674bc194807fbdaff70203" align="left">
                <p id="paragraph-fcb42843f6bb4b3bb2df65135e3ceb7c"> How much do you know about what a QR code is?</p>
              </td>
            </tr>
            <tr id="table-row-fd6e33eac76b406a8ee7bd77ae219a34">
              <td id="table-cell-6eb3634bd0e8414c9073763bc5c42995" align="left">
                <p id="paragraph-e777e5efe0cc4ffab35b4d6bf1dc6b6b"> 6</p>
              </td>
              <td id="table-cell-d6a7e68b763540fc9196e2bf1efbce2b" align="left">
                <p id="paragraph-fb48ee433d0e40d48de9d818f915f480"> Have you used QR Codes before?</p>
              </td>
            </tr>
            <tr id="table-row-ec4bfe7a0ad449a19718e54a8454d8dc">
              <td id="table-cell-2142b311b4444cf39ced46caa4cba942" align="left">
                <p id="paragraph-df28ca4cd29b4f7499c73f4bfb464ed6"> 7</p>
              </td>
              <td id="table-cell-d44a608531cc4bfc9a07dad55e1cf819" align="left">
                <p id="paragraph-b68d219d70054c7b8b01684d9cfd7b0b"> Where or for what do you use the QR codes the most?(List as many uses as possible)</p>
              </td>
            </tr>
            <tr id="table-row-e3216fdcd02741d998575a75965ac654">
              <td id="table-cell-b7a728afad72464087604b91c97b2edb" align="left">
                <p id="paragraph-b0f0edfb560a42c3950d2ace054e8c1a"> 8</p>
              </td>
              <td id="table-cell-bb52abceaa824be895fc3e8bfa3480e3" align="left">
                <p id="paragraph-9bf717715b624ce385b487816be9aa23"> Do you know about how to create a QR code?</p>
              </td>
            </tr>
            <tr id="table-row-0c32d37b4fe0428fa4f39aab9edf1756">
              <td id="table-cell-49a5c74b92124b30925487acb971ca09" align="left">
                <p id="paragraph-0fddca9def7f4626ba93cfcaaecb32f6"> 9</p>
              </td>
              <td id="table-cell-e97a6106d51e440e85f3825958e0fc64" align="left">
                <p id="paragraph-0eabc346ee30466eb185bd2d52980242"> Are QR codes easy to use?</p>
              </td>
            </tr>
            <tr id="table-row-0fa9e2bc62e944b6bf1a215da18c1fc3">
              <td id="table-cell-0bb488bbc5224c659698fb508d8f86a6" align="left">
                <p id="paragraph-b827737a3b0c44deb8710a4df96f48c2"> 10</p>
              </td>
              <td id="table-cell-9209ee0e3543448e9610567d09bc7791" align="left">
                <p id="paragraph-61052ba21c6c4d238d41979edd1c9702"> Do you find QR codes useful?</p>
              </td>
            </tr>
            <tr id="table-row-f864bebb338f4d5c88822e27a5a70992">
              <td id="table-cell-238b9fcb27164006a9ce75759a66f293" align="left">
                <p id="paragraph-3e766ce0e756408584b309b186b3c616"> 11</p>
              </td>
              <td id="table-cell-6735dc4361134f88bd6183e00ea1bf73" align="left">
                <p id="paragraph-4a6ddb7ba4654cd5b3d7bb3fd300fb7b"> Have you accessed the QR codes displayed in the Department of Pharmacology?</p>
              </td>
            </tr>
            <tr id="table-row-e8c31e9cf26240369c76fe34b39df8b6">
              <td id="table-cell-f81641eea7b94d99b96f908d971f6bb5" align="left">
                <p id="paragraph-953d2d3ae8604dac9fefefe2d1d04e32"> 12</p>
              </td>
              <td id="table-cell-a01a923b8a6142e9b1dddd0aeae14d5b" align="left">
                <p id="paragraph-c9b09955b381494c858f83699ea28ef6"> Do you find the QR code displayed in the Department of Pharmacology useful?</p>
              </td>
            </tr>
            <tr id="table-row-f998425f6d3143eb9a5704d6426efb6c">
              <td id="table-cell-c1e3056b54ad4be3a9bd774153418e0b" align="left">
                <p id="paragraph-e48ddc6b39004695b62ca753a660e7ff"> 13</p>
              </td>
              <td id="table-cell-4f652d31b5184c7791f2a9cb4ed7f54f" align="left">
                <p id="paragraph-161a3e93269f427c8df800a2ee1ab961"> Would you prefer educational material access and student attendance automated through QR codes?</p>
              </td>
            </tr>
          </tbody>
        </table>
      </table-wrap>
      <table-wrap id="table-wrap-a569e3563b61419a9cc6132b8e3238db" orientation="portrait">
        <label>Table 2</label>
        <caption id="caption-37d301b33b6043acb741b6d014e3fa87">
          <title id="title-481bf1c9a64846eca8d79455e960f285">
            <bold id="strong-2510f132f89b4ba7adb7b4a874ab6229">Consent Statement</bold>
          </title>
        </caption>
        <table id="table-d601e80b625f40288d4e957e89d5d4ed" rules="rows">
          <colgroup>
            <col width="81.835"/>
            <col width="18.165"/>
          </colgroup>
          <tbody id="table-section-cedb624bcafa46c5986117ec5344d93a">
            <tr id="table-row-ffe0b70535ec44ae8ebc25362e669c1e">
              <td id="table-cell-e2e6045437f9495a9bf9259fce42665a" align="left">
                <p id="paragraph-9271522b1fab4454b84d1055e8f1f3d5">
                  <bold id="s-15653fb9c87a"> Consent Statement</bold>
                </p>
              </td>
              <td id="table-cell-cb7e8a8f2b0e48929c2e6f3ae0d80e34" align="left">
                <p id="paragraph-041d0322e8ad4a079c3eff285fa813c4">
                  <bold id="s-a9986a9f2fd6">Response</bold>
                </p>
              </td>
            </tr>
            <tr id="table-row-6e3b49ad8fbe47e28754f9fb6b5d98ef">
              <td id="table-cell-070836dea83f474aafeba26ab5a58a28" align="left">
                <p id="paragraph-e361ca589f1f4bbb9710a792ff1471a5"> All information provided by you (survey participants) will be kept strictly confidential, and submitted data will not be shared with anyone. The information provided will be published in the form of a research study, poster presentations, academic articles, and so on. Please confirm that you understand, appreciate, and can reason through all of the information provided to you regarding the questionnaires and the objectives of this study, and that you consent to the use of the above information for the purpose of the study.</p>
              </td>
              <td id="table-cell-c68f3e730f0f4d61b251ae953299e212" align="left">
                <p id="paragraph-db69eb5a3ad141c3bb84df92e01d8895">      YES/NO</p>
              </td>
            </tr>
          </tbody>
        </table>
      </table-wrap>
    </sec>
    <sec>
      <title id="t-979ea182747f">
        <bold id="strong-9c1e71584bc343b0b67b7b6fc35839bf">Statistical Analysis</bold>
      </title>
      <p id="paragraph-4a1d01762de2456989921f1b59e9c956">Microsoft Excel's Data Analysis toolpak was used for statistical analysis. Descriptive statistics such as frequencies and percentages for categorical data and mean and standard deviation for numerical data are shown. Regression analysis was used to compare the frequencies of prominent factors (independent variables) with the Dependent variable. P &lt;0.05 was considered statistically significant for all statistical tests, with a 5% margin of error.</p>
    </sec>
    <sec>
      <title id="title-f4fb98f7488c43808a0ba7f09a40e3f4">Results</title>
      <p id="paragraph-c0a1e440a8024ffca817e52683197159">The survey sample consisted of 142 respondents, 50.7% of whom were females and 48.6% of whom were males. 96.5% of respondents were between the ages of 15 and 25, while 3.5% were between the ages of 26 and 45. <xref id="x-a32660211e70" rid="figure-6090ef794221494881ab024c71dca7a8" ref-type="fig">Figure 6</xref> shows that 76.8% of respondents were students, 18.3% were doctors, and the remaining 4.9% worked in paramedical services. The majority of respondents were aware of the utility of QR codes in everyday life and academics, with online transactions being the most common application. 84.5% of respondents were aware of the technology behind QR codes, and 83.1% had used the QR code in various scenarios (<xref id="x-7cb57160fd00" rid="figure-fd1da4ac1a834200a0061bc91da3a7f0" ref-type="fig">Figure 7</xref>). Google form responses were fed into Microsoft excel sheets, and responses were quantified and given a numerical value. For example, reactions ranging from strongly agree to disagree strongly (<xref id="x-cf3df05d875a" rid="figure-066fa19be5a14941bea0cf07a784dd94" ref-type="fig">Figure 8</xref>) were quantified on a numerical scale of 1 to 5. Despite their awareness, only 21.1% of those polled knew how to make a QR code (<xref id="x-d78fffafcf9d" rid="figure-7622e03961544233a87d469f68ba55fc" ref-type="fig">Figure 9</xref>).</p>
      <fig id="figure-6090ef794221494881ab024c71dca7a8" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 6 </label>
        <caption id="caption-d0fd57cbca304b0d9de80f7c25194e42">
          <title id="title-aab8e1dbe000476d8586b94a46b5c603"><bold id="strong-d4f8033cba1e4a71a3fb63649bd618a8"/><bold id="strong-c27a6c434a5e4b21bad73bde36351382"/>Demographic data from the QR code survey Google Form. (A)= Gender, (B)= Age Range, (C)= Role in Healthcare </title>
        </caption>
        <graphic id="graphic-0f9116bd9bda46a5b3138cb3fb4f2b61" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image6.png"/>
      </fig>
      <fig id="figure-fd1da4ac1a834200a0061bc91da3a7f0" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 7 </label>
        <caption id="caption-a7b5dacea0d746bfa0e9b587020d0f9d">
          <title id="title-b7b2f351b8e64d718ca9d35de1068544"><bold id="strong-29945747ef7345d88c8d68d16eb3604d"/><bold id="strong-e13ac0b7a3cc42b1903f26274b51da0f"/>Pie chart for QR code awareness from the QR code survey Google Form</title>
        </caption>
        <graphic id="graphic-78af1db3d53f4270b53f6cd4a386590d" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image7.png"/>
      </fig>
      <fig id="figure-066fa19be5a14941bea0cf07a784dd94" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 8 </label>
        <caption id="caption-26585eae9d644fd68bd15d9c3f2bf2e4">
          <title id="title-0038bd46d268486cb6d88b000866e51e">P<bold id="strong-0f2d1e65eb3b4497846a07b5cbe95dfb"/>ie Chart for healthcare professionals’ perception about the ease of use of the QR codes</title>
        </caption>
        <graphic id="graphic-abdebf801f4944768771f1b2c5e0b826" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image8.png"/>
      </fig>
      <fig id="figure-7622e03961544233a87d469f68ba55fc" orientation="portrait" fig-type="graphic" position="anchor">
        <label>Figure 9 </label>
        <caption id="caption-c5c040eaf95746cb8aed4cc4eeb4741b">
          <title id="title-b2b8dc235a514543a1f8e03152996b4f">P<bold id="strong-3af9fd4eebaf49428b0db046d97a6964"/>ie Chart for healthcare professionals' acceptance for study material access and attendance through automated approaches using the QR code</title>
        </caption>
        <graphic id="graphic-9d45445453f74f30a6d97ae8384aead0" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/42699638-c83e-4a8a-94c7-53540988fde1image9.png"/>
      </fig>
      <p id="paragraph-0eb90b863aab474a988b8e74f3c2bb28">The three hypotheses’ P-values were calculated using Microsoft Excel's Data Analysis toolpak.</p>
      <sec>
        <title id="t-49a9b40c0706">
          <bold id="strong-bab2610c73ab49518d665b0ee7b4d928">Hypothesis 1(H1)</bold>
        </title>
        <p id="paragraph-a6a7dda66439461c8811bc756cd53567">N<sub id="subscript-ce0b6df3189d43a8affd3b81190883f6">0</sub> = Knowledge of QR codes is not a factor for wanting to see QR codes implemented in Material access and Attendance</p>
        <p id="paragraph-cf475234a15d4a5187efa79d6bf176d5">N<sub id="subscript-6dd12583f13f43ee9404a3e369a0f514">1</sub> = Knowledge of QR codes is not a factor for wanting to see QR codes implemented in Material access and Attendance. Who are aware of QR code technology and wants to see QR codes implemented in Material access and Attendance?</p>
      </sec>
      <sec>
        <title id="t-7adc68f130d9">
          <bold id="strong-728857fad54049b788b055bcde8cc377">Hypothesis 2(H2)</bold>
        </title>
        <p id="paragraph-a268103b37de498ab704ff6ed1eae764">N<sub id="subscript-d2e0ad30970a4bafa48bd012acf6b5e2">0</sub> = Participants who have accessed QR codes displayed in the Department of Pharmacology may not prefer to access educational material and student attendance automated through QR codes</p>
        <p id="paragraph-aa2e1465079b42aa8a4130e23466715a">N<sub id="subscript-868ba675941247bb84473e008f4d9431">1</sub> = Participants who have accessed QR codes displayed in the Department of Pharmacology would prefer to access educational material and student attendance automated through QR codes.</p>
      </sec>
      <sec>
        <title id="t-7ba96bc151ed">
          <bold id="strong-0093cff32a6c4ad09a7b72dfc2905682">Hypothesis 3(H3)</bold>
        </title>
        <p id="paragraph-ef7743383c664c55a4c0d5bb28d8b522">N<sub id="subscript-f913c6ccb36148788b33c6b7084deda0">0</sub> = Having used QR codes is not a significant factor in the preference of educational material access and student attendance being automated through QR codes</p>
        <p id="paragraph-f75a9bac6ada44fea34aa3e3018b85b3">N<sub id="subscript-76a8794a640a485d9c8a3ca1eee41ad3">1</sub> = Having used QR codes is a significant factor in the preference of educational material access and student attendance being automated through QR codes.</p>
        <p id="paragraph-549c4615efb24c8da41a5716c2fe2707">Respective p-values for all the tested hypotheses are presented in <xref id="x-61acf87d35cb" rid="table-wrap-462e3705943a4fbb900097c22b0e7149" ref-type="table">Table 3</xref>.</p>
        <table-wrap id="table-wrap-462e3705943a4fbb900097c22b0e7149" orientation="portrait">
          <label>Table 3</label>
          <caption id="caption-6b2e426ec9ca4036bcff043dabe697b7">
            <title id="title-26b755624de4474d8ddf9ea89db62e60">
              <bold id="s-20021ad29930">p-values for the tested hypothesis</bold>
            </title>
          </caption>
          <table id="table-2f2171caaf1144359b878289c85d7b44" rules="rows">
            <colgroup/>
            <tbody id="table-section-da31f25ee9d04880b48c40ef13511ee6">
              <tr id="table-row-b8f96bf103df47a8a7765ad4c3fda895">
                <td id="table-cell-48219c7235fd41669d8e49ad2608732b" align="left">
                  <p id="paragraph-2f29b894d89e404b9d4a61c42329a7e3"> <bold id="strong-e4579494f9c0419cb83e976954049898">Hypothesis</bold></p>
                </td>
                <td id="table-cell-f968cee900b84823a76ad84264bf7101" align="left">
                  <p id="paragraph-086cad160df54ab3a2b1f23e1d244075"> <bold id="strong-cafefb67d7904b6bb5f77bb2eefae702">P </bold><bold id="strong-0f25d10f97fa4a4a881738778d699c4d">– Value</bold></p>
                </td>
              </tr>
              <tr id="table-row-663666e5f52c40e08f0f4b4bc867b6f0">
                <td id="table-cell-f697db8f5d1b4ccb98c546e45140773f" align="left">
                  <p id="paragraph-5825357769ee445bb87bfa289906bac2"> Hypothesis 1(H1)</p>
                </td>
                <td id="table-cell-a550e79ed2184cbba718261e3d474a31" align="left">
                  <p id="paragraph-63d8b18842af409c96ce785ebf0207b7"> 0.1684</p>
                </td>
              </tr>
              <tr id="table-row-c198d326ef2d459d953e935e8c01a3e6">
                <td id="table-cell-0bc7cf3aa5c54b74b7bba5b5d80a11bb" align="left">
                  <p id="paragraph-3077b94613984837823abc986089248c"> Hypothesis 2(H2)</p>
                </td>
                <td id="table-cell-3f65331d87d5419b8680dd16d882a694" align="left">
                  <p id="paragraph-eb7ee3c5918b4eabbc3f4d183b55d6b9"> 0.0176</p>
                </td>
              </tr>
              <tr id="table-row-dc491a7b59044a08b84f0b1d899b8fb2">
                <td id="table-cell-1be6b6a28acf4df6912f8e1570905ab9" align="left">
                  <p id="paragraph-a625abd9e0e444d8859859b9254dab82"> Hypothesis 3(H3)</p>
                </td>
                <td id="table-cell-652ba5070bfa4ab5a04395d8e0549efa" align="left">
                  <p id="paragraph-d5b00a4b12b740bead5f147cb27c2f8f"> 0.3201</p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
      </sec>
    </sec>
    <sec>
      <title id="title-0f9418f0f70b4cdfae4cfd22281ef6a9">Discussion</title>
      <p id="paragraph-6bb9cf09187544e7905f84d73164ceaf">Results indicate that awareness of technology and the use of QR codes is not a significant factor in the acceptance of QR code usage in accessing study material and Attendance. Nevertheless, we have a significant p-value (p-value = 0.017) when acceptance of QR codes in medical education was not substantial in healthcare professionals exposed to QR codes in the Department of Pharmacology. The results indicate that knowledge of QR codes and use of QR codes outside of the medical setting do not affect the acceptability of QR codes by healthcare professionals. Still, when they are exposed to QR codes in the medical setup, there is a significant correlation between acceptance of QR codes for study materials and Attendance.QR codes can be used in a variety of industries, including healthcare, medical education, and pharmaceuticals. Our findings indicate that the majority of Healthcare professionals have easy access to the technology required to generate QR codes. However, approximately 21.1% of healthcare professionals are unaware of the QR code generation technique. </p>
    </sec>
    <sec>
      <title id="title-c5a855319c7a44efb218c04c70a00bbb">Limitationsof QR Codes</title>
      <p id="paragraph-846155ed1a8d47eeb4c684c4a796e909">The main limitation of this technology is the access to smartphones and reliable internet connection.</p>
      <p id="paragraph-613906f89faa406d8f7e55ee62b91581">Although smartphones are available in all price ranges, the smartphone penetration in the population is 30-70%, depending on the region's geography, socioeconomic situation, and internet access.</p>
      <p id="paragraph-6ab4247db4f247769b9d538f57be806e">Another limitation is the lack of knowledge amongst medical professionals, educators, and students about how to use this technology effectively and how to create and integrate QR codes in their activities. With the ease of use, these QR codes also risk phishing cyber-attacks, and scanning a wrong malicious code may infringe upon patron’s digital privacy and install harmful apps in the device. Hence proper awareness about how to use these codes while protecting self from phishing attacks requires adequate knowledge and understanding of this technology.</p>
    </sec>
    <sec>
      <title id="title-5e4fe901e5fa4a6cb8b12897c93799a6">Conclusion</title>
      <p id="paragraph-63cc49d84dea46eca5b3f3e950c6e736">QR codes are trusted tools for increasing access to online resources such as videos, infographics, and instant feedback in presentations, posters, and publications. Furthermore, they may transform information sharing and promote interactivity in teacher-less, flipped, or hybrid classrooms through discussions, workshops, and simulations. Also, QR codes can help pharmaceutical companies safeguard their consumers from counterfeit products and misleading information.</p>
      <p id="paragraph-45add12d966c44b1abb2ca43b849fdc9">Based on our results of the tested hypothesis in our study, we can conclude that most Healthcare workers and medical students approve of more integration of QR codes in medical workflow and agree with the convenience, ease of use, and easier access to information. This study employed QR codes as an example of a newer tool for improving student interaction in medical education, but many other technological innovations in various educational settings can be examined for acceptance using the same methods.</p>
      <sec>
        <title id="t-876dace973e0">Funding and Conflicts of Interest</title>
        <p id="paragraph-485b4a28393b41e4a908d857afc9127f">No funding was received for this research, and there is no conflict of interest to report.</p>
      </sec>
      <sec>
        <title id="t-98d4f9a4ad05">Availability of Data and Materials</title>
        <p id="paragraph-81f83b1492544361adb1026799794901">The data supporting the study's conclusions is available upon request from the corresponding author. The data is not publicly available to protect the participants' privacy because it contains identifiable information such as email IDs.</p>
      </sec>
    </sec>
  </body>
  <back>
    <ack>
      <title id="title-f4e6fb14a1ab40be816fa7e2fdddfa15">Acknowledgment</title>
      <p id="paragraph-31f0dd1f81be453ca721cc304857ffa7">The author acknowledges the contribution and support provided by the Department of Pharmacology, RUHS-College of Medical Sciences, Jaipur.</p>
      <p id="p-d8666f329b00"/>
    </ack>
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