Lower Satisfaction Ratings Research Articles

Penerapan Restorative Justice dalam Kasus Kekerasan Domestik di Indonesia: Studi Empiris di Wilayah Perkotaan dan Pedesaan

Domestic violence is a critical issue affecting many individuals and families in Indonesia, with varied impacts across urban and rural areas. This study examines the implementation of the Restorative Justice approach in resolving domestic violence cases in these contexts and identifies factors influencing its effectiveness. Using a mixed-methods approach, the research combines quantitative analysis through surveys and qualitative insights from in-depth interviews. Data were collected from 300 respondents, including victims, offenders, and mediators, from urban and rural settings, alongside interviews with key stakeholders. The findings reveal significant differences in acceptance and satisfaction with Restorative Justice processes between urban and rural populations. In urban areas, higher legal awareness and access to trained mediators contribute to a 70% satisfaction rate, reflecting better participation and understanding of the process. In contrast, rural areas exhibit a lower satisfaction rate of 50%, hindered by cultural norms, limited legal knowledge, and a shortage of qualified mediators. Despite these challenges, Restorative Justice shows promise in addressing domestic violence by fostering dialogue, accountability, and reconciliation, emphasizing victim empowerment and offender rehabilitation. This study underscores the necessity of adapting Restorative Justice practices to local socio-cultural contexts to enhance effectiveness. Recommendations include developing tailored mediator training programs, increasing public awareness, and integrating community leaders into the process to build trust and legitimacy. The research contributes to the discourse on legal reform by highlighting the potential of Restorative Justice to create a more inclusive, responsive, and sustainable mechanism for resolving domestic violence cases in Indonesia. These findings are pivotal for policymakers in designing adaptive strategies to bridge the urban-rural divide and strengthen the justice system.

Satisfaction of academic medical staff with integrated medical curriculum: an exploratory multinational survey

BackgroundThe adoption of integrated curricula in medical schools has grown globally, emphasizing the need to understand academic medical staff satisfaction as a crucial factor influencing successful implementation.AimThis study aimed to assess satisfaction levels among academic medical staff with integrated medical curricula, identifying socio-demographic and work-related predictors of dissatisfaction.MethodsA cross-sectional, online multinational survey was conducted from December 2023 to April 2024 among 525 academic medical staff. A structured, self-reported questionnaire was used to assess satisfaction levels, demographic characteristics, and work-related factors. The data were analyzed using descriptive and inferential statistics, including logistic regression analysis, to identify predictors of dissatisfaction.ResultsThe study revealed a low satisfaction rate (44.2%) among medical staff, with significant dissatisfaction influenced by nationality (Jordanian: OR = 7.74, and Egyptian: OR = 4.68), male gender (OR = 3.27), over ten years of teaching experience in integrated curricula (OR = 4.25), and employment in governmental universities (OR = 4.23). Dissatisfaction was particularly high with aspects such as the integration of basic and clinical sciences, assessment methods, and implementation schedules. Faculty from private universities demonstrated significantly higher satisfaction (65.1%) compared to those in governmental institutions (41.3%). Younger staff < 45 years reported higher satisfaction rates (50.9%) compared to their older counterparts ≥ 45 years (39.1%), reflecting greater adaptability to curriculum changes.ConclusionsThe findings highlight substantial dissatisfaction among academic medical staff with the design and implementation of integrated curricula, particularly in governmental institutions and among senior faculty. Institutions must address challenges in curriculum design, resource allocation, and faculty support to enhance satisfaction. Revisiting conventional curriculum components or adopting a hybrid approach may help balance innovation with faculty preferences, fostering a more conducive educational environment.

Smartphones in Relational Conflicts: Examining When and How They Interfere

ABSTRACT This study investigates the influence of copresent smartphone use and presence on conflict interactions. Sixty-four dating couples (N = 128) completed one 10-minute in-person serial argument conversation. Dyads were randomly assigned to one of three conditions: (a) smartphones absent, (b) smartphone used by one participant, or (c) smartphone present but not used. Results indicate that copresent smartphone use – but not the presence of an unused smartphone – during conflict is more dissatisfying than conflict conversations absent of smartphones overall and at one-minute measurements. Also, perceived technological interference – but not the amount of phone use – was associated with lower ratings of conversation satisfaction. These findings suggest that copresent smartphone use is more problematic than smartphone presence, and perceptions of smartphone use may explain how and why copresent smartphone use may erode conversation quality.

Professional development and job satisfaction in pain medicine

Pain medicine is an interdisciplinary and interprofessional field of specialisation. Due to concerns about new recruits and an aging workforce, especially among physicians, it is important to better understand professional and career pathways in pain medicine. The aim of this study was to record the occupational routes of people working in an institution specialised in pain medicine/pain management as well as their motivation and job satisfaction. Astandardised online questionnaire was used to survey members via cooperating scientific societies and organisations. Data from 398 physicians, 78psychologists, 62physiotherapists, three occupational therapists and 23nursing professionals were included in the analysis. The age distribution skewed towards higher age groups, with the majority of respondents aged between 51and 60years. The respondents usually first came into clinical contact with pain medicine after many years of work. In the case of physicians in particular, there was adelay of almost adecade after their licence to practise. With regard to motivational factors, intrinsic aspects were rated higher than monetary ones. Work-life balance issues tended to be in the middle of the ranking. Regarding job satisfaction in pain medicine, the overall satisfaction of the respondents was high, with the lowest satisfaction ratings being given in the categories "opportunities for further career development", "additional income options" and "recognition by superiors". Asignificant proportion of respondents (1/3) stated that career changes were forthcoming-changes outside apain medicine setting or in particular retirement. The results emphasise the critical perspectives regarding the future provision of care for people with chronic pain. The results provide, for the first time, an insight into the career routes of staff in the field of pain medicine and their motivations and job satisfaction, which should be considered in the discussion about ensuring personnel resources in the future.

Subjective Well-Being Among African Americans: Findings from the National Survey of American Life

ABSTRACT Life satisfaction and happiness are related but distinct assessments of life quality with established links to sociodemographic and health factors. Despite a rich literature on quality of life, there remains a paucity of research on this topic among African Americans. This investigation explored (1) the sociodemographic correlates of life satisfaction and happiness and (2) how life satisfaction and happiness are related to health factors and adversity-relevant life circumstances. Ordinary least squares regression was used to identify correlates of life satisfaction and happiness among a nationally representative sample of African American adults (National Survey of American Life). Findings confirmed several sociodemographic and health correlates, as well as unique differences. Regional differences indicated that residents in the Northeast had lower life satisfaction ratings, while those in the West had higher happiness ratings. Education was negatively related to both life satisfaction and happiness. Self-rated physical health and oral health and adversity-relevant life circumstances were associated with both life satisfaction and happiness. In contrast, self-rated childhood health and experiences of everyday racial discrimination were only associated with happiness, while being a parent was only associated with lower life satisfaction. Noted differences suggest that, while related, satisfaction and happiness represent distinct assessments of life quality.

Feasibility study of the e-learning version of the “Journey of the Brave:” a universal anxiety-prevention program based on cognitive behavioral therapy

BackgroundSchool-based cognitive behavioral therapy (CBT) programs could contribute toward preventing anxiety disorders in children. However, setting aside class time for such programs is difficult. Internet-based CBT (I-CBT) is an efficient way to provide CBT. However, studies on I-CBT for anxiety prevention remain scarce, including I-CBT for school-based universal prevention programs. Therefore, we developed an e-learning version of a school-based anxiety-prevention CBT program, “Journey of the Brave,” which was effective in Japan, to make it more flexible and accessible. This study evaluated its feasibility.MethodsWe conducted a single-arm study based on 44 parents and children. Children aged 10–12 years took the e-learning program at home. Parents and children responded to a questionnaire three times: before the learning (Pre), after the learning (Post), and three months later (FU: Follow-up). Feasibility was comprehensively evaluated through dropout rates, satisfaction and learning records, and changes in scores on psychological scales assessing anxiety symptoms, emotion-regulation skills, and children’s emotional and behavioral problems.ResultsOf the 44 children, 42 started the e-learning, and 32 continued it (dropout rate of 23.8%). Furthermore, 83.9% of the children and 96.8% of the parents responded “agree” or “somewhat agree” regarding overall satisfaction. The parent-rated Spence Children’s Anxiety Scale(SCAS) (SCAS-P) showed a significant decrease between Pre and FU (p = 0.014, 95% CI = (-9.22, -0.84)); however, the child-rated SCAS (SCAS-C) reduction was not significant (p = 0.08). The Emotion‑Regulation Skills Questionnaire (ERSQ) also increased significantly between Pre and FU (p = 0.045, 95% CI = (0.18, 18.31)). The Total Difficulties Score of the Strengths and Difficulties Questionnaire(SDQ) decreased significantly from Pre to Post (p = 0.025, 95% CI = (-3.62, -0.19)); however, it was not significantly different between Pre and FU (p = 0.67).ConclusionThe e-learning version showed low dropout rates and high satisfaction ratings from parents and children. Moreover, this study did not rule out the possibility that the program reduced children’s anxiety and improved their emotional-regulation skills. Therefore, its potential and feasibility were indicated.Trial registrationUMIN, UMIN000049182, Registered 11 October 2022.

Which is the safer option for adult patients between peripherally inserted central catheters and midline catheters: a meta-analysis.

Peripherally inserted central catheters (PICC) and midline catheters (MC) are widely used for intravenous infusions in oncology and critically ill patients. However, controversy remains regarding which method is superior. This meta-analysis systematically compares the safety differences between these 2 methods of intravenous catheterization. Eligible studies comparing PICC and MC were identified through searches in 6 databases. Thrombosis is the primary endpoint, while secondary endpoints include other complications, cost, and satisfaction rate. Fourteen studies with 20,675 patients were analyzed. Based on patient data, the MC group exhibited higher rates of catheter-related superficial vein thrombosis (SVT) (risk ratio [RR]: 0.42 [0.28, 0.64]), infiltrations (RR: 0.27 [0.12, 0.62]), and leaks (RR: 0.16 [0.05, 0.53]). In contrast, the PICC group had more catheter-related bloodstream infections (RR: 1.95 [1.15, 3.32]). Considering catheter days, the MC group showed increased total complications (RR: 0.51 [0.26, 0.99]), catheter-related thrombosis (deep vein thrombosis [DVT]+SVT) (RR: 0.41 [0.18, 0.95]), and leaks (RR: 0.17 [0.05, 0.64]). In the PICC group, the top 3 complications were catheter occlusions (20 per 1,000 catheter days [CDs]), pain (15 per 1,000 CDs), and phlebitis (11 per 1,000 CDs); for the MC group, they were leaks (33 per 1,000 CDs), premature removals (22 per 1,000 CDs), and catheter-related DVT (22 per 1,000 CDs). Additionally, the PICC group had higher dissatisfaction rates (RR: 4.77 [2.33, 9.77]) and increased costs. Compared to MC, PICC appears to be a safer intravenous catheterization option for adult patients, exhibiting fewer complications. However, the higher associated costs and lower satisfaction rates of PICC warrant serious attention.

Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care

Occupational burnout syndrome is characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment and is prevalent among nurses. Although previous meta-analyses have explored the correlates of nurse burnout, none have estimated their association with health care quality and safety and patient morbidity and mortality. To evaluate the magnitude and moderators of the association between nurse burnout and patient safety, patient satisfaction, and quality of care. The Web of Science, Scopus, MEDLINE, Embase, PsycINFO, CINAHL, and ProQuest databases were searched from January 1, 1994, to February 29, 2024. Two reviewers independently identified studies that reported a quantifiable association between nurse burnout and any of the outcomes of patient safety, patient satisfaction, or quality of health care. The PRISMA 2020 guideline was followed. Two reviewers independently extracted the standardized mean difference (SMD) (Cohen d) estimates for a random-effects meta-analysis. Subgroup analyses and meta-regressions were conducted using prespecified variables. Any measure of patient safety, patient satisfaction, or quality of health care previously associated with nurse burnout. A total of 85 studies (81 cross-sectional and 4 longitudinal) involving 288 581 nurses from 32 countries (mean [SD] age, 33.9 (2.1) years; 82.7% female; mean [SD] burnout prevalence rate with study-specific ascertainments, 30.7% [9.7%]) were included. Nurse burnout was associated with a lower safety climate or culture (SMD, -0.68; 95% CI, -0.83 to -0.54), lower safety grade (SMD, -0.53; 95% CI, -0.72 to -0.34), and more frequent nosocomial infections (SMD, -0.20; 95% CI, -0.36 to -0.04), patient falls (SMD, -0.12; 95% CI, -0.22 to -0.03), medication errors (SMD, -0.30; 95% CI, -0.48 to -0.11), adverse events or patient safety incidents (SMD, -0.42; 95% CI, -0.76 to -0.07), and missed care or care left undone (SMD, -0.58; 95% CI, -0.91 to -0.26) but not with the frequency of pressure ulcers. Nurse burnout was also associated with lower patient satisfaction ratings (SMD, -0.51; 95% CI, -0.86 to -0.17) but not with the frequencies of patient complaints or patient abuse. Finally, nurse burnout was associated with lower nurse-assessed quality of care (SMD, -0.44; 95% CI, -0.57 to -0.30) but not with standardized mortality rate. The associations were consistent across nurses' age, sex, work experience, and geography and persistent over time. For patient safety outcomes, the association was smaller for the low personal accomplishment subcomponent of burnout than for emotional exhaustion or depersonalization, as well as for nurses with a college education. In this systematic review and meta-analysis, nurse burnout was found to be associated with lower health care quality and safety and lower patient satisfaction. This association was consistent across nurse and study characteristics.

Why should i be judged? Exploring third party perceptions of workplace incivility against single working mothers

A serious problem in the workplace is incivility, which impacts especially vulnerable groups like single mothers who hold jobs and experience subtle unfair or damaging treatment. As the number of single working mothers continues to rise in today’s workforce, this study aims to clarify third-party perceptions about incivility against them at work and subsequent influences on individuals as well as the organization. Because the analysis is embedded in theories of social role expectations and organizational justice, it explores third-party observers’ perceptions (such as coworkers or supervisors) of whether incivility directed at single working mothers differs from that experienced by their comparison group—professionally equivalent peers who do not share equal caregiver responsibilities. The researchers employed a mixed-methods approach, incorporating both quantitative surveys and in-depth qualitative interviews to collect rich data from participants who represented several fields. They report their results that third-party observers are less likely to experience vicarious justification of incivility against single working mothers but may be equally unlikely or even more reluctant than in the case of other employees and furthermore find this data account for these differences. The results illustrate the intricate interplay of gender, family structure and work dynamics on workplace outcomes—all leading to lower job satisfaction rates, a high level of stress or even stagnation in career progression for single working mothers. Our findings also extend the workplace incivility literature by demonstrating ways in which single working mothers are particularly vulnerable to this form of mistreatment and a broader need for organizational policies that cultivate an inclusive, supportive environment. Implications for human resource management, organizational culture and policy based on these findings are discussed as it may provide some recommendations for handling incivility in the workplace environment.

Two-Stage Glenohumeral Fusion for the Paralytic Shoulder

BackgroundShoulder fusion after nerve injury can improve overall arm function, however high revision and low patient satisfaction rates have been described. The purpose of this study is to describe a two-stage shoulder fusion, first pinning in a position of function and then converting to a shoulder fusion. Our hypothesis is that temporary pinning improves overall satisfaction after shoulder fusion in comparison to satisfaction reported in the literature. MethodsA retrospective review was performed for patients receiving two-stage shoulder fusion between 2020 and 2023. Patient demographics and clinical outcomes were recorded. Univariate statistics were performed to compare pre- and postoperative values. ResultsEighteen patients with an average age of 47 +/- 17.3 years and average follow-up of 23.7 +/- 4.5 months were included. Preoperative diagnoses included brachial plexus injury (n=13; 72%), late presentation obstetric brachial plexus injury (n=2; 11%), traumatic brain injury (n=1; 14.2%), cervical spinal cord injury (n=1; 14.2%) and iatrogenic axillary nerve injury with advanced arthritis (n=1;14.2%). Twelve (67%) patients received unilateral shoulder fusion 2.7 +/- 1.9 days after their initial pinning. Six patients (28.6%) did not receive a second stage fusion. Reasons for not continuing with fusion were attributed to perceived hand function and arm position. Three patients received two shoulder pinnings prior to their fusion to adjust the fusion position to accommodate more internal rotation. After fusion, both SSV (5.2 +/- 5.5% versus 71.6 +/- 10.4%; p<0.001) and pain (2.3 ± 4.0 vs 0.5 ± 0.71; p=0.56) improved. Forward elevation (5 +/- 12 versus 108 +/-35; p=0.01), abduction (10 +/- 15 versus 78 +/-9; p<0.001)), and external rotation (5 +/- 12 versus 22 +/- 17; p=0.26) all improved postoperatively while internal rotation remained limited (1.3 +/- 0.9 versus 1.2 +/- 0.5; p=0.84). Time to union was 15.4 +/- 15.4 weeks confirmed with CT scan. There was one (5.5%) reoperation for non-union, and patient satisfaction was 92% (n=11/12). ConclusionShoulder fusion after neurologic injury provides improved function and patient outcomes, however some patients may be unsatisfied with their new arm position. Percutaneous pinning prior to fusion is tolerated and allows patients to trial potential fusion positions. This method may improve patient satisfaction and avoid excess morbidity in those that would not be satisfied with a shoulder fusion.

User-centric AI: evaluating the usability of generative AI applications through user reviews on app stores.

This article presents a usability evaluation and comparison of generative AI applications through the analysis of user reviews from popular digital marketplaces, specifically Apple's App Store and Google Play. The study aims to bridge the research gap in real-world usability assessments of generative AI tools. A total of 11,549 reviews were extracted and analyzed from January to March 2024 for five generative AI apps: ChatGPT, Bing AI, Microsoft Copilot, Gemini AI, and Da Vinci AI. The dataset has been made publicly available, allowing for further analysis by other researchers. The evaluation follows ISO 9241 usability standards, focusing on effectiveness, efficiency, and user satisfaction. This study is believed to be the first usability evaluation for generative AI applications using user reviews across digital marketplaces. The results show that ChatGPT achieved the highest compound usability scores among Android and iOS users, with scores of 0.504 and 0.462, respectively. Conversely, Gemini AI scored the lowest among Android apps at 0.016, and Da Vinci AI had the lowest among iOS apps at 0.275. Satisfaction scores were critical in usability assessments, with ChatGPT obtaining the highest rates of 0.590 for Android and 0.565 for iOS, while Gemini AI had the lowest satisfaction rate at -0.138 for Android users. The findings revealed usability issues related to ease of use, functionality, and reliability in generative AI tools, providing valuable insights from user opinions and feedback. Based on the analysis, actionable recommendations were proposed to enhance the usability of generative AI tools, aiming to address identified usability issues and improve the overall user experience. This study contributes to a deeper understanding of user experiences and offers valuable guidance for enhancing the usability of generative AI applications.

SLE patient satisfaction with care in Jordan: A single-center study.

Systemic Lupus Erythematosus (SLE) is a chronic multi-systemic autoimmune disease that mainly affects young females. SLE's chronicity and high level of complications yield frequent clinic visitations & hospital admissions, increasing the necessity to investigate the healthcare system and improve patient satisfaction and quality of life. This study aimed to understand SLE patients' points of view on the healthcare system in Jordan, especially given the chronic nature of the disease. With a clearer understanding, improvements can be made to benefit both the patients and the healthcare system. A cross-sectional study of 79 patients following up at the University of Jordan Hospital, rheumatology clinics were interviewed over the phone. The majority of patients were satisfied overall with the treatment services and medications as rated on a Likert scale of 1-5 (4.28 ± 1.01 and 4.19 ± 0.96, respectively) despite a quarter of patients complaining of adverse effects from the medications. The use of oral corticosteroids was significantly associated with a lower General Satisfaction Rate (p = 0.050), while high income (1000 Jordanian Dinars and above) and fatigue contributed to a lower Medication Satisfaction Rate (p = 0.016 and 0.000, respectively). A good physician-patient relationship was the most commonly cited reason for general satisfaction (73.4%) and was positively associated with the general (p = 0.000) and medication satisfaction (p = 0.004) rates. SLE patients perceived high satisfaction rates despite adverse effects and symptoms. These higher satisfaction rates were seen predominantly due to good physician-patient relationships.

Under Pressure: Employee Work Stress, Supervisory Mentoring Support, and Employee Career Success

ABSTRACTDespite consistent findings that stressed employees benefit from social support, these employees do not always have access to such support. We propose and test a conceptual model suggesting employee work stress will negatively affect supervisory career and psychosocial mentoring support. Drawing from social exchange theory, we predict this will indirectly affect employee career success (lower career satisfaction and promotability ratings, fewer promotions), and that the relationship between employee work stress and lower supervisory mentoring support can be explained by lower levels of work engagement experienced by, and attributed to, stressed employees. We tested our model across three studies. In Study 1, we collected four waves of multisource field data (254 employees, 127 managers, and company records) at a large postal organization in the United Kingdom (UK). Employee work stress was negatively related to supervisor career and psychosocial mentoring support, and indirectly affected career satisfaction and manager promotability ratings of employees via supervisor career mentoring support. Cross‐lagged panel analyses in a supplemental study additionally supported the proposed directionality of relationships. Study 2 included data across three waves from employees in Hong Kong (n = 137) and showed that employee work stress had indirect effects on supervisor career and psychosocial mentoring via lower employee engagement. In Study 3, using data from supervisors in the UK (n = 240) we showed that supervisor perceived employee stress had indirect effects on their provision of supervisor career and psychosocial mentoring support via lower perceived employee engagement.

Characteristics and Experiences of Employees who Gamble at Work

Given that little is currently known about gambling in the workplace, we conducted a mixed-methods study to describe the characteristics and experiences of people who gamble at work. We administered a Canada-wide online survey (n = 2,000) of adults who 1) gamble, 2) are currently employed full-time, and 3) have internet access at work. A descriptive analysis of quantitative survey data showed that individuals who gamble at work had lower job satisfaction and higher rates of problem gambling compared to those who do not. Among those who gamble at work, we quantitatively described the types of gambling, the consequences experienced, and the motivations for gambling. Qualitative interviews were conducted with 18 individuals who met the criteria for problem gambling and who gamble at work. Data were integrated to provide a richer description of the experiences of those who gamble at work, including their motivations, the role of work–life satisfaction, and the dynamic influence of work as a social context. Motivations for workplace gambling included excitement, social connection, avoidance, and coping with stress or emotions. The results highlight the importance of understanding the varied motivations of individuals who gamble at work, and the role of work experiences in shaping meaning regarding gambling behaviours.

Functional benefit of joint surgery in patients with non-vascular Ehlers-Danlos syndrome: results of a retrospective study

BackgroundEhlers-Danlos syndrome (EDS) is a hereditary disease characterised by joint hypermobility, skin hyperextensibility and tissue fragility. Hypermobile EDS (hEDS is the more frequent subtype. Joint surgery may benefit certain patients after failure of medical treatments, but there is no consensus on the optimal surgical management of patients with hEDS. The aims of this retrospective study were to chart the surgical management of patients with hEDS, to determine the role of arthroscopy and to evaluate the functional results of joint surgery, including the reintervention rates.ResultsA total of 69 patients with non-vascular EDS were evaluated (60 female; 87%). Mean (SD) age at first surgery was 25.6 ± 11.1 years. Among the 69 patients, first surgeries were carried out on the knee (n = 50; 39.4%), ankle (n = 28; 22.0%), shoulder (n = 22; 17.3%), wrist (n = 18; 14.2%) and elbow (n = 9; 7.1%). One-fifth of all first operations (20.8%) were carried out by arthroscopy, most often on the knee (36% of knee surgery cases). At the time of primary surgery, the surgeon was alerted to the diagnosis or suspicion of hEDS in only 33.9% of patients. The rate of reoperations (2 to ≥ 5) was 35.7% (10/28) for the ankle, 40.9% (9/22) for the shoulder, 44.4% (4/9) for the elbow, 50% (9/18) for the wrist and 60% (30/50) for the knee. Local or regional anaesthesia was badly tolerated or ineffective in 27.8%, 36.4% and 66.6% of operations on the wrist, shoulder and elbow, respectively. Overall, the majority of patients (> 70%) were satisfied or very satisfied with their surgery, particularly on the non-dominant side. The lowest satisfaction rate was for shoulder surgery on the dominant side (58.3% dissatisfied).ConclusionsSurgery for joint instability has a greater chance of success when it is carried out in patients with a known diagnosis of EDS before surgery. The majority of patients were satisfied with their surgery and, with the exception of the knee, there was a low rate of reoperations (≤ 50%). Arthroscopic procedures have an important role to play in these patients, particularly when surgery is performed on the knee.

Study on the Characteristics of Community Elderly Care Service Facilities Usage and Optimization Design Based on Life Cycle Theory

Abstract: As the aging population in China increases, home-based elderly care is set to become the main mode of elderly care in the future. The construction of community elderly care service facilities is receiving more and more attention from society. Currently, residential area design standards in China lack clear guidance on the spatial planning of facilities, which will lead to unreasonable facility layout planning and insufficient convenience in the utilization of facilities by the elderly. Fully considering the distribution characteristics of community elderly care service facilities and the needs of the community life circle when planning residential areas can effectively solve this problem. This study takes Xi’an City as the research object, based on the theory of life circle, through questionnaire surveys and cluster analysis, analyzes the current situation of the construction of elderly care service facilities and the characteristics of the use by the elderly. Combined with the community life circle model, the study scope is divided into community life circle levels, and put forward the planning strategies of coverage rate, number, richness, and spatial layout of the facilities, respectively. These strategies are designed to enhance the quality of life for seniors, ensuring that they have access to essential support and resources within their communities. It demonstrated that middle-aged elderly prefer community canteens and activity centers, while those with limited mobility and multiple chronic diseases have a higher demand for health service centers and community canteens. The utilization weight analysis shows that vegetable markets and supermarkets are most frequently used, whereas health service centers are the least utilized. The research proposes strategic planning enhancements, including full coverage of basic facilities, targeted increases in high-demand facilities, and tailored facilities for elderly characteristics. It recommends cross-community layouts to ensure service radius coverage, development reservations for future needs, and quality improvements to address the low satisfaction rates of existing facilities. The study concludes that a targeted approach to facility planning, considering the elderly’s diverse needs, can enhance the community elderly care service system’s sustainability and effectiveness.

Diabetes Mellitus and its Association with Work Patterns and Characteristics: A Narrative Review.

Diabetes mellitus is a leading cause of disability with adverse effects on the quality of life. It also affects occupational health by impacting several work-related parameters. This review discusses the relationship between diabetes and absenteeism, presenteeism, work impairment and unemployment. The association between work and diabetic complications such as neuropathic pain, diabetic foot, psychological issues and hypoglycemia due to treatment is also examined. Evidence points to a relationship between diabetes and absenteeism, reduced work productivity, and, thus, overall work impairment. A stronger negative impact on work performance is mediated by painful diabetic neuropathy and diabetic foot. In addition, psychological distress has been positively correlated with total workdays lost and frequency of absence. Depression in the diabetic population has also been linked with increased absenteeism, presenteeism, and work disability. Moreover, hypoglycaemia induced by antidiabetic medication may affect work attendance and performance. Finally, diabetes has been associated with inequality in the work environment, lower job satisfaction and higher unemployment rates, mainly because of its complications.

Subpectoral Biceps Tenodesis Using an All-Suture Anchor

Background: The long head of the biceps tendon (LHBT) has long been considered an intra-articular pain generator in the shoulder. While nonoperative treatment modalities can be acceptable for less severe presentations of LHBT pathology, surgical treatment options such as tenotomy and tenodesis remain controversial for recalcitrant cases. Open subpectoral biceps tenodesis allows for removal of all pathologic tissue from the bicipital groove, and all-suture anchor fixation utilizes a small caliber unicortical drill hole, which can potentially reduce the risk of a stress riser and iatrogenic fracture. Indications: In this study, we present a male patient with a history of left anterolateral shoulder pain worse overhead activities who has failed extensive physical therapy and other conservative measures. After extensive discussion regarding the treatment options, surgery in the form of shoulder arthroscopy, extensive debridement, rotator cuff repair, and open subpectoral biceps tenodesis was recommended and the patient had opted to proceed. For the purposes of this video, we focus on the open subpectoral biceps tenodesis portion of the procedure. Results: Open subpectoral biceps tenodesis can reduce pain with low complication and high satisfaction rates. Discussion: In this surgical technique study, we underline the importance position of the skin incision in axillary crease as well as skin tensioning when making the incision and retracting the conjoint tendon. We also highlight a locking lasso loop and double luggage tag fixation technique using a double-loaded all-suture anchor for the biceps tenodesis. We also provide technique commentary for appropriate restin tension of the LHBT. Finally, we review outcomes, postoperative management, rehabilitation protocol, and technique pearls and pitfalls. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

Religion and spirituality in therapeutic training in the UK: A survey of current and recent trainees

AbstractBackgroundResearch indicates counsellors and psychotherapists receive little training around working with clients who present with religious or spiritual issues and feel unprepared to work with these clients.AimsThis paper presents part of the findings from an online survey that aimed to explore how trainee and newly qualified counsellors and psychotherapists, who identify as religious or spiritual, experienced undertaking therapeutic training in the UK.MethodThis online survey collected data on how much training participants received on their courses in religion/spirituality, how this training was delivered, how satisfied they were with their training, their knowledge base and skills around religion/spirituality, and what areas relating to religion/spirituality participants would like to see incorporated into therapeutic training. The survey data were analysed using descriptive statistics and thematic analysis.ResultsOver half of the participants received no training in this area, with a further third receiving minimal input. Participants reported low satisfaction rates with training received unless integrated throughout their course and identified specific knowledge gaps around religious/spiritual literacy, therapeutic skills, and awareness of religion and mental health research. Participants wanted more input on religion/spirituality in the training syllabus to increase their knowledge base and therapeutic competences.ConclusionThis research employed a non‐randomised sample, which limits the generalisability of these findings to a wider training population. Survey participants were also a highly religious/spiritual group, with 87% indicating they engaged in weekly religious/spiritual practices. Participants identified as Christian and White, and reported receiving person‐centred or integrative training.

Comparative analysis of student evaluations: Exploring the effects of course modality and type in graduate business courses

This study compares student evaluations across face-to-face and online modalities, as well as qualitative versus quantitative courses, in a large sample of graduate-level courses from 2008 to 2023 at a US business school. The findings reveal significantly lower course and instructor evaluation ratings despite similar class performance in online modality. Quantitative courses received notably lower satisfaction ratings than qualitative courses. Importantly, when accounting for modality and course type, grades do not influence student evaluations. Maintaining fair comparisons by restricting evaluations solely to the same modality and course type is crucial for assessing college professors’ teaching quality through student evaluation ratings.