Average Satisfaction Rating Research Articles

Study of Effective Factors on Job Satisfaction of Omid Hospital Staff in Isfahan City

This study investigated factors affecting the job satisfaction of Omid hospital staff is performed. This research is correlational and cross-sectional study was conducted in 2013 the sample population included all Omid hospital staff. It is also stratified random sampling; 183 people were selected according to Cochran's sampling formula. Methodology: Data also were collected using a standard questionnaire with good validity and reliability, and then to analyze the statistical methods included analysis of variance (ANOVA), T-test and Pearson's correlation coefficient was used. According to these findings, with an average satisfaction rate of pay received (M=9.40) has the lowest levels of satisfaction among employee job satisfaction. Satisfaction with job promotion with a mean (M=10.17) is the next category. On the other hand, with the average job satisfaction (M=22.52) the highest levels of satisfaction among job satisfaction, dedicated to the satisfaction with the supervisor, with a mean (M=21.56) is the next category. Results: These data indicate that job satisfaction and supervisor satisfaction among employees better salary of satisfaction, and satisfaction with the job promotion. Conclusion: In the bivariate analysis also showed that there is a significant difference between job satisfaction and gender, the inverse relationship between job satisfaction and lower-income workers and there, While the relationship between age and job satisfaction, and the other between education level and work experience personnel, and there is no significant relationship between job satisfaction and so on, depending on the type of employment between job satisfaction, and there is no significant difference in terms of marital status.

Silastic replacement of the first metatarsophalangeal joint: historical evolution, modern concepts and a systematic review of the literature.

Silastic implants for the first metatarsophalangeal joint (MTPJ) have been in use for over 50 years. Initial reports were associated with high failure rates leading to development of new designs that are currently in use.The aim of this article is to review the historical evolution and the outcomes of silastic implants for the treatment of end-stage OA of the first MTPJ. Databases were searched for studies reporting the outcomes of silastic implants for the first MTPJ. Various relevant search terminologies were used. Studies reporting the outcomes of metallic implants or arthrodesis were excluded.The literature search revealed 522 studies, of which 28 were included. Eight studies used single-stemmed implants and 20 used double-stemmed implants for their patients. Twenty-eight studies had a total of 2354 feet with silastic replacements in 1884 patients (1968 to 2003) with an average age of 53 years and the average follow-up was 85.3 months. There were a total of 5.3% (124 feet) failed prostheses. Improvement in pain was reported in 76.6% (1804 feet) with an average patient satisfaction rate of 84%. Radiological changes around the implants were found to be significantly higher with single-stemmed implants (30.3%) compared to the double-stemmed implants (14.7%) (p < 0.05).Significantly more single-stemmed implants failed (11%) than the double-stemmed implants (3.6%) (p < 0.05). Despite the initial reports of failed implants and complications, first- and second-generation silastic implants were associated with high patient satisfaction and pain improvement. Current literature lacks long-term outcomes of implants currently in use.Cite this article: EFORT Open Rev 2019;4:77-84. DOI: 10.1302/2058-5241.4.180055

干旱区绿洲城市生态文明建设公众参与意识研究——以“一带一路”沿线城市乌鲁木齐为例

PDF HTML阅读 XML下载 导出引用 引用提醒 干旱区绿洲城市生态文明建设公众参与意识研究——以“一带一路”沿线城市乌鲁木齐为例 DOI: 10.5846/stxb201808011634 作者: 作者单位: 新疆大学,新疆大学,新疆大学,乌拉尔联邦大学 作者简介: 通讯作者: 中图分类号: 基金项目: 国家自然科学基金项目（31770750）；德国大众基金会Eco CAR国际合作项目（Az.：88497）；国家留学基金委上海合作组织大学项目（201707010009） Public awareness of ecological civilization construction in an arid land oasis city: evidence from Urumqi, a city along the “Belt and Road” Author: Affiliation: Xinjiang University,Xinjiang University,Xinjiang University,Ural Federal University Fund Project: 摘要 | 图/表 | 访问统计 | 参考文献 | 相似文献 | 引证文献 | 资源附件 | 文章评论 摘要:生态文明是人类文明发展的新阶段，其强调人与自然的协调发展。基于公众科学理论框架，采用模型模拟方法、实地问卷调查、多元回归方法，分析了乌鲁木齐居民参与城市生态文明建设的自我感知、满意程度、参与意愿，并构建了结构方程模型（SEM），探讨了居民参与城市生态文明意愿的可行路径，分析了居民参与城市生态文明建设的意愿与其相关因素间的关系，揭示了居民参与城市生态文明建设主要限制因素。结果表明：（1）居民自我感知与城市生态文明建设参与意愿呈显著正相关，满意程度与参与意愿呈显著负相关；（2）45.36%的受访者表示非常愿意参与城市生态文明建设；（3）居民主体意识和支持度占比分别为72.92%、72.04%，生态认知、生态关注及参与信心占比分别为43.08%、64.33%和55.14%；（4）受访者对城市生态文明建设状况满意度的平均偏效应为2.32，各项满意度均值情况为：城市绿化状况（2.51）> 政府环境信息公开程度（2.41）> 城市空气状况（2.35）> 城市垃圾处理与分类状况（1.99）。研究成果以期为建立和推进城市生态文明建设提供科学参考。 Abstract:Ecological civilization is a new stage in the development of human civilization, which emphasizes the harmonious development of man and nature. Based on citizen science theory, this study used model simulation methods, field surveys, and multiple regression methods to analyze residents' self-perception, satisfaction, and willingness to participate in the construction of urban ecological civilization. We explored the feasible path of residents' participation in urban ecological civilization using structural equation modeling (SEM). In addition, multiple regression analysis was used to analyze the relationship between residents' willingness to participate in urban ecological civilization construction and impact factors. The study revealed that the main factors restricting residents' participation in urban ecological civilization construction. (1) Residents' self-perception had a significant positive impact on their willingness to participate in urban ecological civilization construction, while satisfaction had a significant negative impact on willingness to participate. (2) 45.36% of respondents expressed willingness to participate in the construction of urban ecological civilization. (3) Subject consciousness and support for residents' self-awareness accounted for 72.92% and 72.04%, respectively, of the variance in willingness to participate and ecological cognition, ecological concern, and participation confidence accounted for 43.08%, 64.33%, and 55.14% respectively. (4) The average bias effect of respondents' satisfaction with urban ecological civilization construction was 2.32. The average satisfaction rate was satisfaction with urban green status (2.51) > satisfaction with environmental information transparency (2.41) > satisfaction with urban air condition (2.35) > satisfaction with urban garbage treatment (1.99). The study provides a reference for the establishment and implementation of urban ecological civilization. 参考文献 相似文献 引证文献

State Policies And Enrollees' Experiences In Medicaid: Evidence From A New National Survey.

Medicaid provides health insurance to more than seventy million Americans, yet there has been little systematic analysis of what factors influence enrollees' satisfaction with and access to care. Using a nationally representative survey of more than 270,000 Medicaid enrollees in 2014-15, we examined the consumer perspective on care in Medicaid. Average satisfaction ratings were 7.9 out of 10.0, but there were significant disparities across racial/ethnic groups. Satisfaction and access measures were generally similar among enrollees in managed care versus fee-for-service Medicaid. Access was significantly better in states where more physicians per capita accepted Medicaid patients: A one-standard-deviation increase in participating physicians per 100,000 population was associated with a 4.6-percentage-point increase in having a personal doctor. This was particularly true in fee-for-service Medicaid, and measures of physicians per capita were stronger predictors of patient experience than the simple percentage of doctors who accept Medicaid. Among those in Medicaid managed care, greater spending per enrollee was a significant predictor of satisfaction and access. Our findings emphasize that physician availability makes a difference in patients' experiences in Medicaid, and they indicate that racial/ethnic disparities in those experiences persist even among a uniformly insured population.

The Optimal Carbon Reduction and Return Strategies under Carbon Tax Policy

Recently, consumers have been increasingly shopping due to the development of e-commerce; thus, many traditional firms producing green products are entering e-commerce platforms to sell products for their survival. In the contexts of online sales and carbon tax policy, firms need to determine an optimal carbon reduction level and online return strategies. To address firms’ decision-making challenges, we consider a firm producing and selling its green products via an e-commerce platform. For optimal online return strategies, we find that if the residual value of the returned product is relatively small, the firm should not offer an online return service; otherwise, the firm should offer this service. Moreover, the results show that carbon tax policy is detrimental to the firm and consumers, while increasing the average customer satisfaction rate of the product benefits the firm and consumers. Interestingly, we find that the platform should reduce its referral fee as the unit carbon tax increases.

Examining Family Quality of Life Within the Context of a Participant‐Directed ASD Funding Program in British Columbia, Canada

AbstractIndividuals with autism spectrum disorder (ASD) will access significant supports across their lifespan, often within multiple service systems (e.g., medical, education, mental health, and social). The responsibility for service coordination most often falls to the family, and frustrations with systemic and practical barriers have significant implications for family functioning, and specifically for family quality of life (FQOL). This mixed‐methods study examined caregivers' perceptions of service access within British Columbia, a province that utilizes a participant‐directed model. Families described how their interactions with the service system impacted their FQOL, and differences across families representative of both the high and low ends of the FQOL satisfaction continuum were examined. Caregivers (N = 118) of individuals with ASD (aged 6–18 years) reported on their satisfaction with support and FQOL, and described their service navigation experiences. Fifteen caregivers also participated in follow‐up interviews, in which they elaborated on their perceptions of service delivery, highlighting the associated strengths and challenges. Overall, only approximately one‐quarter of participants were “satisfied” or “very satisfied” with the resources and funds available to their family, and the average satisfaction rating was low. Caregivers shared their concerns about the British Columbia service context, describing the system as inflexible, complicated, and inaccessible. Participants shared how burdensome they found funding and service coordination to be, and highlighted the strain associated with the lack of available guidance. This suggests that it is not enough to simply make families responsible for service coordination if they are not also armed with the necessary knowledge and supports. The implications for policy and practice are reviewed.

Managing ESBL-producing Enterobacteriaceae-related urinary tract infection in primary care: a tool kit for general practitioners.

In Southern France, approximately 4% of E. coli isolates from community-acquired urinary tract infections are extended spectrum beta-lactamase producers, while carriage rates for enterobacteriaceae (ESBL-E) range from 3 to 6%. General practitioners (GP) are unfamiliar with the management of patients harboring ESBL-E. Providing them with a specific tool kit should assist in their therapeutic approach and optimize antimicrobial prescription an ESBL-E tool kit was developed by a multidisciplinary team: infectious diseases (ID) specialists, microbiologists, pharmacologists, and nursing home staff. This tool kit includes treatment protocols, GP and patient information leaflets, a list of infection control measures, and contact details of ID physicians for specialized advice. A community-based (including nursing homes) prospective study was conducted in 2012 in Southeastern France to test the tool kit in the context of ESBL-E-related urinary tract infections (UTI). ESBL-E-related UTI were identified in 88 patients, 66 GPs were contacted by the microbiology laboratory, 56 stated they were offered the tool kit, 48 said they had received it, and 41 stated they had read its contents. Use of the tool kit was significantly correlated with appropriate antibiotic prescription, which concerned 36/39 tool kit users versus 13/20 non-users (p = 0.0125) and 40 GPs expressed an average satisfaction rate of 4.2 on a scale of 0 to 5. Availability of a specific tool for managing patients harboring ESBL-E, now completed with a website, can assist community-based GPs and improve antimicrobial prescription.

Research on the training mode of tutorial system for undergraduates in pharmacy with CDIO

Objective To explore the training mode of tutorial system for undergraduates majoring in pharmacy based on CDIO (conceive, design, implement and operate). Methods 72 undergraduates majoring in pharmacy from the Fourth Military Medical University were randomly divided into two groups, and they were taught by CDIO based tutorial system and general tutorial system, respectively. By using the Graphpad prism 5.0 software and adopting the method of independent sample unpaired t test, we made a comparative analysis of two groups in the project's scoring. In addition, the questionnaire survey was con-ducted to evaluate the teaching effectiveness, whose data was expressed by a percentage. Results The average score of the experimental group was (116.8±7.73), which was 43.3% higher than that of the control group (81.51±6.08), and the difference was statistically significant (P=0.001). The questionnaire survey showed that the average satisfaction rate of the experimental group was above 90%. Conclusion Excellent teaching effect was obtained based on CDIO training mode, and the ability of students in practice, team co-operation, problem-solving and innovative thinking, professional ethics and a serious attitude on scienceare promptly enhanced. Key words: CDIO (conceive, design, implement and operate); Pharmacy; Tutor; Training mode

Endoscopic Repair of Partial-Thickness Undersurface Tears of the Abductor Tendon: Clinical Outcomes With Minimum 2-Year Follow-up

To report the minimum 2-year outcomes of transtendinous repair of partial-thickness undersurface tears of the abductor tendon using patient-reported outcomes (PROs), visual analog scale (VAS) scores, and patient satisfaction scores. All patients who underwent endoscopic transtendinous gluteus medius repair between October 2009 and May 2013 at 1 institution were prospectively evaluated. The exclusion criteria consisted of less than 2years' follow-up, previous hip surgery, inflammatory arthritis, open surgery, full-thickness abductor tear, and Workers' Compensation patients. All patients underwent a documented preoperative physical examination with strength testing (scale of 0-5) and observation of their gait. Patient satisfaction and PRO scores were recorded preoperatively; at 3months postoperatively; and at 1, 2, 5, and 10years after surgery. The PRO scores collected were the modified Harris Hip Score, Hip Outcome Score-Activities of Daily Living Subscale, Hip Outcome Score-Sports-Specific Subscale, Non-arthritis Hip Score, and VAS score. Preoperative strength and gait were compared with latest follow-up. There were 25 patients who fit our criteria. Significant improvement in PRO scores were shown for the modified Harris Hip Score, Hip Outcome Score-Activities of Daily Living Subscale, Hip Outcome Score-Sports-Specific Subscale, Non-arthritis Hip Score, and VASscore from 54.9 to 76.2, from 50.2 to 80.6, from 30.1 to 67.3, from 51.9 to 82.4, and from 7.1 to 2.7, respectively (P<.001). Before surgery, 11 patients had objective weakness; 7 of these patients moved up at least 1 strength grade byfinal follow-up. Preoperatively, 14 patients had a Trendelenburg gait; 12 of them had a normal gait at latest follow-up (P < .001). The average patient satisfaction rating was 7.5. There were no revision surgical procedures, and no complications were noted. Partial-thickness undersurface tears of the abductor can be treated successfully with endoscopic transtendinous repair preserving the intact attachment of the superficial fibers of the gluteus medius. We recommend this treatment for partial undersurface tears recalcitrant to nonoperative treatment because patients showed clinical benefit at greater than 2years' follow-up that exceeded substantial clinical benefit and the minimal clinically important difference. Level IV, case series.

Functional outcome of complete distal biceps tendon repair following noninvasive operative management in the west of Iran

Background and Objectives: Avulsion of the distal biceps tendon insertion from the radial tuberosity is rare. It is an opportunity for a double-incision surgical technique for repairing a complete tear of the distal biceps tendon. The aim of this study is to evaluate the double-incision technique with regard to full functional restoration, complication rate, and safety. Materials and Methods: A retrospective review of consecutive complete biceps tendon repair was performed at one institution over a 6-year period. Thirty-two patients met the inclusion criteria and 28 were available for follow-up which included subjective assessment, physical examination, and strength testing. The mean age of patients was 40 ± 28 years (ranging from 25 to 71 years). Modified two-incision surgical approach (Boyd and Anderson) was performed for all the patients. Functional outcome after repairs was measured by physical examination, range of motion measurements using a goniometer and radiographic follow-up, as well as isokinetic tests and Disability of the Arm, Shoulder, and Hand scores. Furthermore, the average patient satisfaction rating on a Likert scale associated with complications was documented. Results: There were no statistically significant differences in regard to flexion strength or endurance and supination strength or endurance between the injured and uninjured arm in each patient. The overall incidence of complications was 7.2%. The average patient satisfaction rating was 9.6. Conclusion: The modified Boyd–Anderson two-incision produced adequate and full functional restoration of strength with a low complication rate. This technique is safe to perform by a surgeon.

The comparison of two professional prophylaxis systems in plaque removal and debonding of orthodontic brackets.

Introduction:During orthodontic treatment, patients are expected to undergo consistent periodic prophylaxis as a result of complexities in oral hygiene. The aim of this study was to investigate, analyze, and compare the effectiveness of two professional prophylaxis systems of rubber cup polishing (RCP) and air-powder polishing (APP) in patients undergoing orthodontic treatment based on different levels of plaque and pigment on teeth and the extent of attachment of brackets after prophylaxis.Materials and Methods:A total of 50 patients were selected for this clinical trial study. A couple of months after the orthodontic treatment, the patients were placed on professional prophylaxis in terms of the plaque index. Randomized cross-arch prophylaxis (right maxilla with left mandible), RCP (left maxilla with right mandible), and APP were carried out on the patients. The main indexes in the study (number of plaque removal and debonding), the work time duration per second, and convenience of patients using visual analog scale in each of the methods were evaluated as minor factors. Data were recorded in a special checklist.Results:The mean of the plaque index and the time spent on RCP were observed to be higher than APP. The average satisfaction rate of patients with RCP was higher than APP. The debonding of the bracket and the tooth was not observed in any of the methods.Conclusion:APP is more efficient than RCP for performing professional prophylaxis of orthodontic patients.

The balance of patient and learners needs in non-profit, public and for-profit teaching hospitals: An analysis of average patient satisfaction ratings of hospitals on a German hospital rating platform

ABSTRACT Background: Teaching hospitals have to balance patient and learner needs in their daily routines. To respond to these challenges, non-profit hospitals may perform differently than public and for-profit hospitals because of their non-distribution constraint. Purposes: This study analyzes patient satisfaction data of non-profit teaching hospitals in comparison to teaching hospitals with for-profit and public ownership status. Patient satisfaction is assumed to be an indicator of how patient needs are met regardless of the teaching goals. Approach: The average patient satisfaction ratings for German hospitals (n = 1461) that were published on the ‘klinikbewertungen.de’ German hospital rating platform were collected for a cross-section analysis. Findings: The data show that non-profit teaching hospitals are better rated than for-profit and public teaching hospitals. Non-profit hospitals seem to be more competent in handling the balance between societies’ needs for clinical training and patient needs for a favorable service experience. Practice implications: For-profits hospitals should revisit their business model once they get involved in the provision of public values such as education.

The Significance of Intraoperative First Metatarsal Traction Test in Hallux Valgus Surgical Decision Making

Category: Bunion Introduction/Purpose: To investigate the significance of using an intraoperative first metatarsal traction test in hallux valgus correction surgery in decision making of the procedure choice and operation designs. Methods: From Jun 2015 to Jun 2016, correction surgery performed in patients with hallux valgus 40 cases with 68 feet. We used the intra-operative first metatarsal traction test to judge the grade of laxity of the 1st TMT and the factual IMA and thus help to make the decision of the level of osteotomy and or fusion. We adopted distal Chevon osteotomy (11 cases 16.2%) when the congruence of the surface of the 1st MPJ remains more than ½ under tension with the traction test. Proximal Scarf osteotomy (54 cases 79.4%) was used when the congruence was less than ½. While if there was a complete incongruent dislocation, Lapidus procedure (3 cases 4.4%) was carried out. We measured IMA and HVA in the patients preoperative, intraoperative, 3 days after operation and at 6 months’ follow-up. Same measurements were done on the 40 patients from the same time without traction test Results: Retrospective review of the 2 groups showing significant improvement (p&lt;0.001) but more reliable larger correction of IMA angles in the intraoperative traction test group. The patients of the intraoperative traction test group had average higher satisfaction rate with more reliable improvement of symptoms and less postoperative complications. Significant improvement (P&lt;0.001) and postoperative AOFAS score average of 93.2 was recorded in traction test method group vs. a 84.3 in control group. The traction test group largely retained the correction in half year follow up which is significant when comparing to the control Conclusion: The intraoperative traction test of first metatarsal objectively guided the decision making of procedure choice and operation design optimization. The traction test gave a reliable assessment of the laxity of first TMT thus avoiding inadequate correction of Hallux Valgus with improper surgical designs. The test can be potentially used as an objective intraoperative guidance in avoidance of inadequate correction with inappropriate surgical choices and thus maintain the correction in the long term with patient satisfaction

A Multifunctional Brain-Computer Interface Intended for Home Use: An Evaluation with Healthy Participants and Potential End Users with Dry and Gel-Based Electrodes.

Current brain-computer interface (BCIs) software is often tailored to the needs of scientists and technicians and therefore complex to allow for versatile use. To facilitate home use of BCIs a multifunctional P300 BCI with a graphical user interface intended for non-expert set-up and control was designed and implemented. The system includes applications for spelling, web access, entertainment, artistic expression and environmental control. In addition to new software, it also includes new hardware for the recording of electroencephalogram (EEG) signals. The EEG system consists of a small and wireless amplifier attached to a cap that can be equipped with gel-based or dry contact electrodes. The system was systematically evaluated with a healthy sample, and targeted end users of BCI technology, i.e., people with a varying degree of motor impairment tested the BCI in a series of individual case studies. Usability was assessed in terms of effectiveness, efficiency and satisfaction. Feedback of users was gathered with structured questionnaires. Two groups of healthy participants completed an experimental protocol with the gel-based and the dry contact electrodes (N = 10 each). The results demonstrated that all healthy participants gained control over the system and achieved satisfactory to high accuracies with both gel-based and dry electrodes (average error rates of 6 and 13%). Average satisfaction ratings were high, but certain aspects of the system such as the wearing comfort of the dry electrodes and design of the cap, and speed (in both groups) were criticized by some participants. Six potential end users tested the system during supervised sessions. The achieved accuracies varied greatly from no control to high control with accuracies comparable to that of healthy volunteers. Satisfaction ratings of the two end-users that gained control of the system were lower as compared to healthy participants. The advantages and disadvantages of the BCI and its applications are discussed and suggestions are presented for improvements to pave the way for user friendly BCIs intended to be used as assistive technology by persons with severe paralysis.

Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan

Background: Shortage of nurses resulting from nurses migration, has created a health care crisis in developing countries and has adversely affected the quality of nursing care provided to patients. The main objective of this study was to investigate the factors influencing Jordanian public hospital nurses’ intent to leave their current employment. Methods: A cross-sectional survey was conducted among 348 registered nurses randomly selected from two public referral hospitals, Al Bashier Teaching Hospital, and Amirah Basma Teaching Hospital, Jordan. Data to investigate the nurses’ satisfaction and their intention to leave were collected using self-administered questionnaire compromised 28 factors included in seven dimension: Administrative support, supervision and leadership, interaction with co-workers, work related factors, staff development practices, pay and promotion system, and control and responsibility. Data collected over a 4-month period (December 13, 2015 to April 7, 2016). Results: of the 348 registered nurses 212 (60.9%) had an intention to leave their current work. The average satisfaction rate for all dimensions was (2.83). The dominant factors were not satisfied nurses (mean&lt;3) and influencing their intention to leave were Pay and benefits, nurse to bed ratio due to shortage of nurses, and praising and recognitions for achievement. The variables gender, work experience, and nursing role yielded significant associations with intent to leave (p&lt;0.05). Conclusions: The study showed that the majority of nurses were dissatisfied and had intention to leave their current job. Developing strategies to increase retention of nurses such as salaries and benefits should be periodically reviewed in light of the national consumer index, in addition to other strategies could improve nursing retention and quality of nursing care.

Simulation of multi-echelon supply chain inventory transshipment models at different levels

An inventory transshipment model comprising manufacturers, distributors, and retailers based on multi-echelon supply chains is established using the system dynamics method. Thereafter, the single-, double-, three-, and four-chain inventory transshipment models at different levels are comparatively analyzed through simulation. Studies indicated that from the single- to four-chain inventory transshipment models, the average stock level minimally changed and declined. Meanwhile, the stability of the supply chain inventory improved continuously. The average customer requirement satisfaction rate of the inventory transshipment system consistently increases as the number of chains added to the transshipment system increases. However, the growth range of the average customer satisfaction rate continuously decreases with the increasing transshipment costs.

Application of navigation guidance in the diagnosis and treatment of patients

Objective To investigate the application and effects of navigation guidance in the diagnosis and treatment of patients so as to standardize the process of medical activities, provide convenience for patients and improve the quality of clinical service. Methods A total of 582 patients from outpatient clinic, 306 hospitalized patients with MRI examinations and 124 medical staff from May 2015 to June 2015 in Hu'nan People's Hospital were randomly selected as control group. A number of 582 patients from outpatient clinic, 306 hospitalized patients with MRI examinations and 124 medical staff from July 2015 to August 2015 were randomly selected as experimental group. Patients in control group went for waiting doctor, treatment, examination and taking medicine with the guidance of responsible nurses. Patients in experimental group were guided with additional navigation guidance which was designed depend on the hospital. Treatment time of patients from outpatient clinic, MRI examination time of hospitalized patients, satisfaction of patients and medical staff to treatment time, treatment procedure and clinical service were compared between two groups. Results After the usage of navigation guidance, treatment time of patients from outpatient clinic in experimental group (63.53±32.97) was shorter than that in control group (67.94±39.44) . The difference was statistically significant (P<0.05) . MRI examination time of hospitalized patients in experimental group (30.90±12.19) was shorter than that in control group (33.75±13.38) , with significant difference (P<0.05) . Satisfaction rates of patients to waiting time, treatment procedure and clinical service in experimental group were higher than those in control group (t=-3.977, -3.355, -4.843, P<0.001) . Average satisfaction rate of medical staff to treatment procedure in experimental group (84.26±9.80) % was significant higher than that in control group (80.27±9.40) % (P<0.05) . Conclusions Application of navigation guidance improves the standardization and specification of diagnosis and treatment procedure and clinical service levels. It is an effective management method which could significantly short patients' treatment and examination time so as to promote the satisfaction rate of medical staff and patients. Key words: Navigation guidance; Diagnosis and treatment; Application

Instilling positive beliefs about disabilities: pilot testing a novel experiential learning activity for rehabilitation students

Purpose: To develop and test a novel impairment simulation activity to teach beginning rehabilitation students how people adapt to physical impairments.Methods: Masters of Occupational Therapy students (n = 14) and Doctor of Physical Therapy students (n = 18) completed the study during the first month of their program. Students were randomized to the experimental or control learning activity. Experimental students learned to perform simple tasks while simulating paraplegia and hemiplegia. Control students viewed videos of others completing tasks with these impairments. Before and after the learning activities, all students estimated average self-perceived health, life satisfaction, and depression ratings among people with paraplegia and hemiplegia.Results: Experimental students increased their estimates of self-perceived health, and decreased their estimates of depression rates, among people with paraplegia and hemiplegia after the learning activity. The control activity had no effect on these estimates.Conclusions: Impairment simulation can be an effective way to teach rehabilitation students about the adaptations that people make to physical impairments. Positive impairment simulations should allow students to experience success in completing activities of daily living with impairments. Impairment simulation is complementary to other pedagogical methods, such as simulated clinical encounters using standardized patients.Implication of RehabilitationIt is important for rehabilitation students to learn how people live well with disabilities.Impairment simulations can improve students’ assessments of quality of life with disabilities.To be beneficial, impairment simulations must include guided exposure to effective methods for completing daily tasks with disabilities.

The effect of adopting green SLA on key parameters of optical WDM networks

This paper presents green service level agreement (GSLA) awareness for the hybrid and traditional routing mechanisms by proposing a mathematical model for the amount of route greenness, and proposing two algorithms for the adoption of GSLA. The effect of the adoption of GSLA on a network that on average has green energy available for longer duration of a day is modeled by defining a one-step two-by-two Markov matrix and representing the transformation through a state machine. This work also examines a re-provisioning algorithm to deal with the effect of re-provisioning of the established lightpaths in case of a change in the topology of a network. To study the effect of adopting GSLA, two Scenarios with different arrival rates of connections and four performance parameters such as average emission per lambda, average connection length, GSLA satisfaction and success rate are defined and analyzed over NSFnet. Results reveal that adopting the GSLA by routing mechanisms decreases the resource efficiency with both light and heavy traffic in return for less reduction in emission as compared to green and hybrid routing mechanisms.

A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.

We implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). The most common reason for not approaching the patient was our inability to identify a health care proxy when a patient was incapacitated. Significantly more caregivers were enrolled in medical intensive care units compared with oncology units (75% vs 32%; P < .01). Of the 239 patient/caregivers, 158 (66%) and 97 (41%) inputted a daily and overall goal, respectively. Use of educational content was highest for medications and test results and infrequent for problems. The most common clinical theme identified in 291 messages sent by 158 patients/caregivers was health concerns, needs, preferences, or questions (19%, 55 of 291). The average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable. From analysis of feedback, we identified barriers to adoption and outlined strategies to promote use.