Level Of Satisfaction Research Articles

Working conditions, missed care and patient experience in home care nursing in Italy: An observational study.

The aging of the population requires an appropriate knowledge of the type of care that needs to be provided to inform healthcare policies. In Italy, neither home care nursing, nor the patient experiences have ever been described. To describe the characteristics of nurses and care recipients involved in home care. A descriptive cross-sectional study conducted in 18 Italian Regions. Between April and October 2023, data from nurses and patients involved in home care were collected through two surveys. Psychosocial conditions in workplaces, missed care, and care experiences were assessed using validated tools. Descriptive statistics and Pearson's correlations were performed. A total of 46 local healthcare units were included in this study, with a total of 2549 nurses and 4709 care recipients. Nurses (mean age 46.60; 79.48% female; 44.68% regional nursing diploma as the highest qualification) reported good working conditions (42.37; SD=12.25; range=0-100) and a high mean number of missed care activities (5.11; SD=3.19; range 0-9). Most nurses (83.41%) reported high levels of job satisfaction, while 20.28% intended to leave their job. Patients (mean age 75.18; 57.57% female; 36.95% primary school), on the other hand, rated positively the care they had received (8.23; range=0-10). Despite the perception of critical issues at work and some missed care, satisfaction in nurses and patients was high. These data constitute a preliminary snapshot of the studied phenomena, which will be investigated through more in-depth analyses.

Reviving forgotten techniques: Vaginal salpingectomy in public health system, a retrospective cohort study.

To evaluate the viability of the vaginal route as an alternative to laparoscopy for patients seeking permanent surgical contraception. We conducted a retrospective cohort study in 2021, dividing patients into two groups based on their preference: vaginal and laparoscopic salpingectomy. The statistical analysis was conducted using STATA, employing standard statistical methods based on the distribution of variables. The study included 64 patients, with 34 undergoing the vaginal approach and 30 the laparoscopic route. No statistically significant differences were observed in baseline characteristics or complications between the two groups. Both surgical methods were found to be feasible. The vaginal route demonstrated a significantly shorter mean surgical time (P < 0.001). The laparoscopic route exhibited significantly less intraoperative blood loss (P < 0.001) and fewer hospitalization hours (P = 0.008). Postoperative satisfaction and pain levels did not show statistically significant differences. Vaginal salpingectomy is a feasible technique with low complication rates, making it a potential option for gynecologists to offer their patients. We propose vaginal route inclusion in the training curriculum for gynecologic surgeons during the residency program, without any subspecialty requirements.

A Study of Satisfaction Level of Current Account Holders of Akola Urban Co-Operative Bank

A Study of Satisfaction Level of Current Account Holders of Akola Urban Co-Operative Bank

A STUDY ON CUSTOMER SATISFACTION OF SMALL CARS WITH SPECIAL REFERENCE TO MARUTI SUZUKI PVT. LTD GREATER NOIDA

This study delves at the levels of customer satisfaction linked to compact cars, with a specific emphasis on Maruti Suzuki vehicles. In developing economies, little automobiles make up a sizable portion of the market. The varied offerings of market leader Maruti Suzuki meet the demands of a wide range of consumers. In order to gauge client happiness, the study makes use of quantitative and qualitative techniques. Quantitative information is derived from surveys administered to customers who own Maruti Suzuki small cars. The satisfaction levels are measured across various dimensions, including performance, design, comfort, and after-sale care. Nuanced understanding of consumer perceptions and preferences is provided by qualitative insights generated from in-depth interviews and focus groups. Key factors of consumer happiness are revealed by the data, which also identify areas of potential improvement and areas where Maruti Suzuki shines. Customers are most impacted by factors like price, fuel efficiency, reliability, and brand reputation when it comes to their overall pleasure. Also, to help with targeted marketing, the study looks at how demographic and psychographic aspects affect satisfaction levels. Keywords:- Maruti Suzuki, Customer Satisfaction, Greater Noida

The Job Satisfaction Variation Due to Socio-Demographic Characteristics: An Indicator for CSR And Alignment with UN SDGs? Evidence in Healthcare Field in Turkey

This study seeks to examine the job satisfaction among different demographic groups of employees in the healthcare sector in Turkey. The study seeks to broaden the scope of job satisfaction by emphasizing its role as an indirect measure of the positive principles and practices that contribute to maintaining a high level of Corporate Social Responsibility (CSR) in line with the United Nations Sustainable Development Goals (UN SDGs) for groups of employees. This paper employed a survey to gather primary data. The survey forms utilized comprise two distinct sections. The initial section of the survey forms was determining the socio-demographic characteristics of the participants. The second portion of the poll utilized the Minnesota work satisfaction survey to measure job satisfaction. T-test and ANOVA are employed to detect disparities among separate employee categories. The findings suggest that there are disparities in the job satisfaction levels among employees belonging to at least two distinct groups with varying educational backgrounds (p &gt; 0.040). Upon analyzing the job satisfaction of the staff based on their job positions, a notable disparity in job satisfaction was observed among at least two distinct employee groups in various roles (p &gt; 0.009). No significant disparities in job satisfaction were seen across the employee groups based on age, marital status, parenting status, work experience, and monthly salary. Simultaneously, the paper establishes a connection between the job satisfaction and a more advanced level of corporate governance focused on CSR and aligned with the UN SDGs. This paper aims to explore the potential use of work satisfaction as an indicator in evaluating CSR and its alignment with the UN SDGs in the future.   Received: 17 January 2024 / Accepted: 30 April 2024 / Published: 5 May 2024

Safety and feasibility of in-hospital autonomous transportation using a driverless mobility for patients with musculoskeletal disorders: preliminary clinical study to achieve mobility as a service in medical care

BackgroundRecent advancements in and the proliferation of autonomous mobility technology, such as intelligent wheelchairs, have made it possible to provide mobility services for patients with reduced mobility due to musculoskeletal disorders. In the present study, we conducted a preliminary clinical study to assess the safety and feasibility of in-hospital autonomous transportation using a driverless mobility (wheelchair) for patients with musculoskeletal disorders.MethodsFrom January to February 2022, 51 patients with musculoskeletal disorders exhibiting gait disturbance who presented to our institution were included in the present study. Driverless mobility rides were conducted over a straight-line distance of 100 m from the orthopaedic outpatient reception to the payment counter after the outpatient consultation. We assessed the quality of life using an EQ-5D-5 L index and pain using a VAS score before riding the mobility to investigate the patient’s condition. After the ride, a questionnaire survey was conducted to assess patient satisfaction on a 5-point scale. In addition, adverse events during the mobility ride were investigated.ResultsOverall satisfaction levels showed that 44 out of 51 (86%) patients rated the level as 3 or higher. There were no significant differences in the level of satisfaction based on the cause of disorders or EQ-5D-5 L Index. Among 19 patients who rated the level of satisfaction as 2–3, the ratio of postoperative patients and those with pain tended to be higher (p < 0.05). While 26 of 51 (51%) patients reported moments of feeling unsafe during the mobility ride, no actual adverse events, such as collisions, were observed.ConclusionsAn in-hospital autonomous transportation service using a driverless mobility for patients with musculoskeletal disorders demonstrated high satisfaction levels and was safe with no severe adverse events observed. The expansion of autonomous mobility deployment is expected to achieve mobility as a service in medical care.

Navigating the Portfolio Landscape: Examining Lecturers’ and Students’ Perspectives on Portfolio Assessment Practices

This study examined the perceptions of lecturers and students regarding portfolio assessment practices, their overall attitudes towards this assessment method, and the alignment and divergence between their perceptions. Employing a survey research design, the study was conducted at the University of Education, Winneba, in the Central Region of Ghana, involving 52 final-year science education students and five of their lecturers. Students were selected using stratified random sampling, while lecturers were chosen purposefully. Data collection instruments comprised five-point Likert scale questionnaires administered to both groups, ranging from strongly disagree to strongly agree. Descriptive analysis, including mean, frequencies, and percentages, was utilised for data analysis. Results indicated that lecturers generally perceive a clear purpose for portfolio assessment practices (mean score = 4.20) and emphasise integrating them into every educational programme (mean score = 4.40), while students express lower levels of satisfaction with these aspects (mean scores = 2.15, 2.42, respectively). Additionally, lecturers exhibit moderate attitudes towards portfolio assessment (60.0%), while students predominantly demonstrate low attitudes (59.6%). Alignment between lecturers and students is evident in some areas, such as the importance of communicating objectives and providing feedback to students and the importance of this assessment in diagnosing students’ strengths and weaknesses, but discrepancies arise regarding the guidance of students during the practices. The study concluded that understanding and addressing the differences in perceptions and attitudes between lecturers and students is crucial for promoting a shared understanding and acceptance of portfolio assessment practices. In order to close gaps and foster meaningful engagement, it is then recommended that institutions prioritise efforts to improve communication, collaboration, and support for both lecturers and students to enhance the effectiveness of portfolio assessment practices in higher education.

Analisis Kepuasan Pengguna Terhadap Layanan Arsip di Sekolah Vokasi Institut Pertanian Bogor

Service quality is very important, because its role is related to the interests of users, both the interests of internal and external users as a whole. This research aims to determine the level of satisfaction and performance assessment of archive services. The data collection method uses a literature study model and questionnaires. Data analysis uses primary data obtained from the results of questionnaire analysis, and secondary data obtained from a literature review. Respondents in this research were education staff, lecturers and students. The level of satisfaction with the quality of archival services at the IPB College of Vocational Studies based on CSI analysis was 81.76%, indicating that in general respondents were very satisfied with the quality of archival services. The results of the suitability analysis show that the relationship between expectations and the quality of archival services shows the highest gap in indicator A3(-0.502), where respondents expect the complete availability of required records, and the lowest gap in indicator Y3 (-0.364), namely staff politeness and the information provided is clearly understood. The conformity level of 90.24% indicates that the quality of archival services is considered good and service performance is in line with expectations. IPB College of Vocational Studies must consider human resource competency and ease of access. Human resourcecompetency, ease of access, is one of the issues that needs to be paid attention to by the IPB College of Vocational Studies. One of the managerial implications is increasing capabilities in the field of archives and recommendations for a comprehensively integrated system for IPB. It is hoped that researchers and stakeholders will accept development ideas and practical contributions in the form of strategic understanding and references.

Building Consumer Behaviourin E-commerce : A Case Study of Flipkart

ABSTRACT In the rapidly evolving landscape of e-commerce, consumer behaviourstands as a pivotal factor influencing purchasing decisions, brand loyalty, and overall business success. This case study delves into the strategies and practices adopted by Flipkart, a leading player in the Indian ecommerce sphere, to cultivate and sustain consumer trust. Through a meticulous examination backed by a sample size of 30+ respondents, this research employs statistical tools, specifically the Chi-Square test method, to scrutinize hypotheses pertaining to various dimensions of consumer trust. The study encompasses an extensive exploration of factors crucial to consumer behaviourin ecommerce, encompassing elements such as website security, product quality, customer service, and brand reputation. Utilizing a structured questionnaire, data is meticulously gathered from Flipkart customers, aiming to capture their perceptions and experiences with the platform. The application of the Chi-Square test method enables a thorough analysis of the interplay between different behaviourfactors and levels of customer satisfaction. Initial findings suggest that Flipkart's strategic emphasis on robust security measures, dependable product delivery mechanisms, responsive and empathetic customer support, and coherent brand messaging significantly contributes to fostering consumer trust. Moreover, the research identifies specific strengths within Flipkart's approach to building trust, alongside areas where further enhancements could be made. By illuminating the intricate mechanisms through which Flipkart nurtures consumer trust, this study offers valuable insights for e-commerce practitioners striving to fortify customer relationships and attain a competitive edge in the digital marketplace. These insights hold significance not only for Flipkart but also for businesses operating within the broader ecommerce ecosystem, providing actionable strategies to bolster behaviourand drive sustainable growth.

Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland)

Background. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. Materials and Methods. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). Results. The study group included 900 participants. There were 300 physicians (mean age 38±7 years), 300 nurses (mean age 35±6 years), and 300 paramedics (mean age 31±5 years). Life satisfaction as measured by the SWLS was lowest among nurses and paramedics in 2021 and among doctors in 2022. Male respondents and those with fewer years of work had higher levels of life satisfaction. People with more years of work had higher scores in EE and DEP and lower scores in SRPA (p=0.001). We found a negative correlation between life satisfaction and EE (p=0.001), DEP (p=0.001), and SRPA (p=0.002). Conclusions. The results highlight the need for further research into the causes of burnout among medical professionals and the need for effective interventions to promote well-being and prevent burnout in this group.

Stigma by association among alcohol and other drug and harm reduction workers: Implications for workplace outcomes.

The negative attitudes people hold towards those who use alcohol or other drugs (AOD) can also affect the people who work with this community, leading to lowered productivity and wellbeing. The impact of this stigma by association in the AOD and harm reduction sector is particularly significant because workers may have lived experience of AOD use and identify strongly with their client group. This study aimed to examine how stigma by association among health workers in the AOD/harm reduction sector relates to workplace outcomes. A secondary aim was to explore how lived experience influences experiences of stigma by association. The research used a cross-sectional survey design and data collection occurred in 2023. Australian AOD/harm reduction workers (n = 228) completed an online survey assessing stigma by association as well as various workplace outcomes measures. Participants who reported experiencing more stigma by association experienced poorer workplace wellbeing, higher burnout and greater intentions to leave the AOD/harm reduction field. Experiences of stigma by association were unrelated to job satisfaction. Additional analyses revealed that participants with lived experience reported higher levels of job satisfaction and lowered intentions to leave the sector, but findings of stigma by association and its impacts on workplace outcomes did not differ from those without lived experience. Identifying staff experiences of stigma by association and developing support and advocacy mechanisms to address this is likely to be key to reducing these experiences and ultimately to increasing positive workplace outcomes for AOD and harm reduction staff.

Building Consumer Trust in E-commerce : A Case Study of Flipkart

In the rapidly evolving landscape of e-commerce, consumer trust stands as a pivotal factor influencing purchasing decisions, brand loyalty, and overall business success. This case study delves into the strategies and practices adopted by Flipkart, a leading player in the Indian ecommerce sphere, to cultivate and sustain consumer trust. Through a meticulous examination backed by a sample size of 30+ respondents, this research employs statistical tools, specifically the Chi-Square test method, to scrutinize hypotheses pertaining to various dimensions of consumer trust. The study encompasses an extensive exploration of factors crucial to consumer trust in ecommerce, encompassing elements such as website security, product quality, customer service, and brand reputation. Utilizing a structured questionnaire, data is meticulously gathered from Flipkart customers, aiming to capture their perceptions and experiences with the platform. The application of the Chi-Square test method enables a thorough analysis of the interplay between different trust factors and levels of customer satisfaction. Initial findings suggest that Flipkart's strategic emphasis on robust security measures, dependable product delivery mechanisms, responsive and empathetic customer support, and coherent brand messaging significantly contributes to fostering consumer trust. Moreover, the research identifies specific strengths within Flipkart's approach to building trust, alongside areas where further enhancements could be made. By illuminating the intricate mechanisms through which Flipkart nurtures consumer trust, this study offers valuable insights for e-commerce practitioners striving to fortify customer relationships and attain a competitive edge in the digital marketplace. These insights hold significance not only for Flipkart but also for businesses operating within the broader ecommerce ecosystem, providing actionable strategies to bolster trust and drive sustainable growth.

Qualitative service evaluation of a rural midwife-led ultrasound service: listening to women

Background/Aims Patient experience is needed to understand if a service is meeting the needs of the population it serves. In rural areas, accessing maternity services can be challenging for women. Local provision should be explored and consistently reviewed to adapt to changing social requirements and expectations. The aim of this study was to examine a rural midwifery-led ultrasound service 5 years after implementation and post COVID-19, to ascertain if the service provides a positive service user experience. Methods A qualitative service evaluation was carried out using semi-structured interviews with four service users. Data were analysed using content analysis. Results Positive aspects of the service included continuity of care, communication, time to care, financial benefits and inclusivity in care and care decisions. It was noted that the ultrasound service was in the opposite direction from their homes to the obstetric service if participants needed to be referred for consultant opinion the same day. The significant underlying theme was the positive impact on mental wellbeing and patient experience in pregnancy when attending the service. Conclusions There was a high level of satisfaction with the service. Engagement of a broader spectrum of women would provide deeper insight into the service and robust evidence for any service development.

Abstract PO1-10-10: Leveraging technology to optimize symptom management and patient empowerment in routine breast cancer care: implementation of a remote patient monitoring (RPM) pathway across 24 hospitals in Europe

Abstract Background: In clinical trials, RPM has been proven to improve the quality of life and toxicity management for patients receiving systemic treatment and is recommended by international guidelines for routine clinical practice (Di Maio et al., Ann Oncol 2022). Resilience is an oncology-specific RPM system (CE marked, class IIa medical device - mobile application [app] or web interface) which prompts patients to complete a weekly survey including core symptoms from NCI’s PRO-CTCAE questionnaire. Severe or worsening symptoms trigger an alert notification sent to the patient’s care team. In addition to the RPM system, the mobile app offers a large pool of breast cancer-specific educational, self-management, and patient empowerment resources that are personalized according to symptoms reported, disease stage, and treatments received. Here we present the implementation of the Resilience RPM pathway in routine breast cancer care across 24 highly diverse cancer centers. Methods: The implementation process followed a phasic process of Exploration, Preparation, Implementation, and Sustainability that involved close collaboration with technology providers, hospital managers, and care teams at participating cancer centers to coordinate, train, provide technical assistance, and respond to site-specific needs. In addition, monthly webinars offered participating centers an opportunity to share best practices and ways to overcome implementation barriers. A dedicated platform with educational RPM resources for healthcare providers was also available. A process evaluation according to the RE-AIM framework was performed assessing the reach, adoption, implementation, and maintenance of the RPM pathway in routine care. The effectiveness of the pathway was assessed as the ability of the care team to timely respond to alerts. Aggregated system level metric of RPM was collected covering patients with breast cancer under active systemic treatment followed by Resilience from 01-11-2021 to 29-06-2023. Usage data of mobile app resources was tracked from 01-01-2023 to 29-06-2023. Qualitative assessments with focus groups complemented this evaluation. Results: 985 patients, 1% male, 99% female, with a median age of 57y (range: 21-95y; P25-75 38.5-64.5y), were registered across 24 cancer centers. In the last 6 months, the predominant RPM interface chosen by patients was the mobile app (64.1 vs 35.9% for the web platform). Adherence to weekly ePRO reporting was 89.4% in the mobile app and 86.6% in the web platform. The median time from prompt receipt to survey completion was 5.6 hours. The median time for the nurse navigator (NN) to process an alert was 3h50min. Most alerts (91%) were handled directly by NN with 9% requiring the support of a physician. The mean number of individual content consumed per patient was 13 (6744 resources/523 pts, 100% of app users accessed resources). Preferred formats of content delivery were written articles (66.5%), followed by videos (23.1%) and podcasts (10.4%). Most assessed contents referred to: symptom management advice (16%), followed by information about breast cancer disease characteristics (12.5%), supportive care strategies (11.5%), self-guided exercises of mindfulness-based stress reduction (9.4%), and breast cancer treatment journey (8.3%). Qualitative assessments of the app interface, educational content, and self-management programs revealed high levels of satisfaction. The RPM pathway is sustained in the 24 cancer centers and implementation is expanding to additional centers. Conclusion: The Resilience RPM pathway was successfully implemented in routine care across a diverse group of cancer centers with elevated levels of patient engagement and responsiveness from NN. In addition, patients accessed evidence-based educational and empowerment resources, adapted to their medical profile according to their preferences and learning style. Citation Format: Maria Alice Franzoi, Arlindo R Ferreira, Juliette Fanton d'Andon, Thomas Grellety, Eliane Ithurbide-Dachary, Laura Polastro, Laurence Caravella, Joseph Rodriguez, Nathanaelle Leprevier, Elsa Blanchard, Stéphane Remy, Belen d' Ythurbide, Romain Rivoirard, Raoudha Boughzala, Joana M Ribeiro, Ines Vaz Luis. Leveraging technology to optimize symptom management and patient empowerment in routine breast cancer care: implementation of a remote patient monitoring (RPM) pathway across 24 hospitals in Europe [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO1-10-10.

Effects of Continuous Analgesic Titrated Spinal Anesthesia in Elderly Patients Undergoing Hip Fracture Surgery

Background and Objectives: Anesthetizing elderly patients with hip fractures poses a significant challenge in emergency settings, particularly given the aging population both in Algeria and worldwide. With a high prevalence of comorbidities and polypharmacy, effective anesthetic management becomes paramount. Continuous titrated spinal anesthesia (CTSA) has emerged as a promising technique for addressing these complexities by proposing lower doses of local anesthetic (LA) in this patient population. Methods: This retrospective study involved 40 elderly patients (&gt;65 years) undergoing hip fracture repair. Patients received intermittent dosing of a local anesthetic solution via an intrathecal catheter, utilizing 0.25 ml increments of 0.5% isobaric bupivacaine and 0.25 ml of fentanyl (12.5 μg). Evaluation criteria included hemodynamic stability, incidence of hypotension, extent of sensory and motor blockade, total ephedrine consumption, and patient and surgeon satisfaction. Results: A female predominance was noted, with a mean age of 75 years, and 72% classified as ASA ≥ III. Pertrochanteric fractures accounted for 47% of cases, followed by femoral neck fractures at 53%. Nearly all patients achieved a sensory level ≥ D10, with a failure rate of only 2%. Sedation supplementation was required in 20% of cases, with conversion to general anesthesia in one patient. Complications were minimal, including arterial hypotension (3%), vasoconstrictor use (2%), and bradycardia (0.8%). Overall, both patients and surgeons reported high levels of satisfaction. Conclusions: Our findings demonstrate that CTSA is an effective technique for elderly patients undergoing hip fracture repair, offering the advantages of reduced LA doses, excellent hemodynamic stability, and minimal side effects. Its simplicity and cost-effectiveness further enhance its appeal in clinical practice.

WHY GOOGLE GLASSES FAILED?

In this research paper we are basically trying to find out why Google Glasses failed as a product in the market. Google Glasses was launched back in 2012 as a product that created a lot of buzz in the market as “Wearable Smart Glasses”. But it never managed to effectively capitalise on the hype that surrounded the product and failed in capturing the market share and did not turn out as a money-making product. On the contrary, Google lost $895 million and incurred heavy losses and ultimately had to give up on the product. It failed to captivate the imagination of the people and people were not really interested in the product. When we dig deeper into the problem, we found several loopholes and flaws in the product, and in the basic business idea on the fundamental level. First of all, the designers of the idea and the product lacked the clarity as to whether the glasses would be considered as a fashionable device or just stand out as a utilitarian product. The problem was also with the price of the product, as this was so expensive that only the rich could afford and hence inaccessible to the masses and a limited target market. The people were also concerned with the privacy aspect as the current generation is quite conscious about their data being recorded and people did not really like this aspect of Google Glasses. People were even concerned with the safety of this product. People were not really great fans of the design of the glasses and generally regarded the product as uncool. Moreover, the grim problem of low battery life on the glasses was another major flaw. Nobody likes it, if they have to charge their product every now and then, it really drops the satisfaction level, and this happened with Google Glasses as well. The design of the glasses was unappealing and the glasses regularly faced heating and language issues. So overall these were the factors we found out that contributed in the product ending up as a huge failure in the market, despite the fact that it had a huge brand value as the likes of Google backing it up.

Effect of nano-silver coated catheter combined with comprehensive care on postoperative infection and rehabilitation in patients after coronary artery bypass grafting (CABG)

Coronary artery bypass grafting (CABG) is an effective treatment method for coronary atherosclerosis, aiming to improve patients’ quality of life and facilitate their return to normal activities after surgery. This study examines the effects of comprehensive nursing intervention and application of nano-silver coated catheter on postoperative infection and rehabilitation among patients who have undergone coronary artery bypass grafting. The study included 72 patients, randomly assigned into an intervention group and a control group, with 36 patients in each. The control group received standard care, while the intervention group received comprehensive care along with postoperative application of nano-silver coated catheter. The study compared various factors, including the Hamilton Anxiety Scale (HAMA) score, quality of life score, postoperative recovery, postoperative infection, satisfaction, and adverse reactions between the two groups. The intervention group exhibited better scores in HAMD, HAMA, PSQI and quality of survival score when compared to the control group. Moreover, the intervention group experienced an earlier time to first bowel movement and first defecation after surgery. The intervention group also demonstrated lower rates of urinary protein detection, pathogen detection, and serum inflammatory factor levels compared to the control group. Additionally, the overall incidence of complications in the control group was higher at 27.8% compared to 8.3% in the intervention group. Furthermore, the satisfaction level in the intervention group was significantly higher at 97.2%, in contrast to 83.3% in the control group. Overall, comprehensive care combined with the postoperative application of a nano-silver coated catheter can effectively address patients’ emotional needs and accelerate recovery. It also reduces the incidence of infection, ultimately enhancing the quality of life and satisfaction levels among patients. This study provides a good nursing plan for the postoperative recovery of CABG patients, which is conducive to promoting the speed of postoperative recovery and improving the quality of life of patients.

From Awareness to Action: Clinicians and the Health Care of Deaf Patients

High levels of patient satisfaction are critical in health care and allow patients to feel more satisfied with their care and be more compliant overall. This idea is even more important in traditionally disenfranchised groups of people, such as Deaf patients, because satisfaction with medical encounters can translate into better health outcomes. This community possesses its own traditions, language, and culture, and health disparities here are apparent and often significant. Clearer communication in clinical encounters allows for more accessible health care. Barriers to effective communication are a major factor accounting for poorer health outcomes for Deaf individuals.

Patient- and Clinician-Reported Outcomes for Tirbanibulin in Actinic Keratosis in Clinical Practice Across the United States (PROAK).

The Patient-Reported Outcomes in Actinic Keratosis (PROAK) study evaluated patient- and clinician-reported outcomes (PRO; ClinRO) during 24 weeks of follow-up among adult patients with actinic keratosis (AK) on the face or scalp who were administered tirbanibulin 1% ointment in real-world community practices in the United States.&nbsp; Methods: Quality of life (QoL) was assessed by Skindex-16 at week (W) 8. Additionally, effectiveness (Investigator Global Assessment [IGA]), PRO and ClinRO (Treatment Satisfaction Questionnaire for Medication and Expert Panel Questionnaire), safety, and tolerability were assessed at W8 and W24. The safety population included 300 patients; the full analysis set included 290 patients (278 patients at W24). At W8, a statistically significant difference (P&lt;0.03) was observed for Skindex-16 domains in all assessed subgroups. Clinicians and patients reported high global satisfaction (mean [SD] scores of 74.9 [23.9] and 72.0 [24.6], respectively) at W24. Overall skin appearance improved from baseline to W24 (83.6% clinicians; 78.5% patients). IGA success (IGA score of 0-1) was achieved by 71.9% of patients at W24 with a similar % at W8 (73.8%) suggesting a stable effectiveness over time. About 5% of patients reported at least one adverse event, 4% reported at least one serious adverse event and no patients reported serious adverse drug reactions. At W8, the most frequently reported local skin reactions were mild/moderate erythema (47.6%) and flaking/scaling (49.6%). Treatment with tirbanibulin demonstrated effectiveness in the management of AK lesions and a favorable safety and tolerability profile. Furthermore, QoL was improved as early as W8, and both patients and clinicians reported high levels of treatment satisfaction, independently of patients' characteristics. J Drugs Dermatol. 2024;23(5):338-346. doi:10.36849/JDD.8264.

Immediate versus early loading of immediately placed bone-level tapered dental implants with hydrophilic surface in full arch maxillary rehabilitation: A pilot randomized clinical trial with 2-year follow-up.

This study aimed to compare implant stabilities between the immediate and early loaded, immediately placed bone-level tapered dental implants in the maxilla and to evaluate marginal bone loss (MBL), oral health-related quality of life (OHRQoL), and patient satisfaction at a 2-year follow-up. A pilot, prospective, randomized, controlled clinical trial was conducted on 24 maxillary failing dentition patients. The bone-level tapered implants of 12 patients were immediately loaded with temporary restorations, while the other 12 patients did not receive any kind of temporization. Implant-supported screw-retained complete porcelain-fused-to-metal prostheses were delivered to all patients in the seventh postoperative week. The insertion torque values of implants assigned to the immediate and early loading groups were 33.0 ± 4.87 and 29.26 ± 8.31 Ncm, respectively. The dynamics of implant stability changes from implant placement up to a 2-year follow-up were similar for both groups (Penguin®, p = 0.268; Ostell®, p = 0.552), while the MBL was at submillimeter level. The cumulative implant survival rate was 91.80% for immediately loaded implants and 97.22% for early loaded implants, without significant difference (p = 0.162). The total score on the Oral Health Impact Profile questionnaire significantly decreased over time in both groups, indicating improvement in OHRQoL (p < 0.001), and the high level of patient satisfaction remained after 2 years of function regardless of a loading protocol. Both loading protocols, immediate and early, of six immediately placed bone-level tapered dental implants are an adequate treatment choice for fixed rehabilitation of the maxillary failing dentition.