Poor Quality Of Treatment Research Articles

An Analysis of Road Accident Patients Problems in Private Multispecialty Hospitals in Salem District, Tamil Nadu, India

According to the World Health Organization, globally almost 1.24 million people die yearly on the world’s roads. In the Indian state of Tamil Nadu, there were roughly 57 thousand traffic accidents in 2019. Every year, traffic inconsistencies are a major cause of death, injury, and property damage. Vehicle over speeding was the leading cause of road accident fatalities in 2019. In World Road Statistics that year, the South Asian country ranked first out of 200 for the number of road accident deaths. With the growing growth of the population and a lack of healthcare facilities in government hospitals, private hospitals have become increasingly important. Vehicle accidents have been increasing in recent years for a variety of causes, including excessive speeding, alcoholic driving, driver distractions, red light jumping, avoiding safety equipment such as seat belts and helmets, non-adherence to lane driving, and improper overtaking. Accident patients choose a hospital according to various reasons such as high-quality treatment, reputation, experienced doctors, nearby accident places and infrastructure facilities. Though the patients are facing some important problems in multispecialty hospitals after met the road accident such as advance payments, high cost of treatments, careless of doctors and nurses and lack of cleanliness of hospitals, etc. That is the reason an attempt has been made to analyse the problems. It is found that high cost, poor quality of treatment, delay for discharge are major issues while taking treatment in the hospitals. Hence, management should avoid these issues to sustain the reputation in the future.

Comparative analysis of clinical and neurological manifestations in patients with chronic cerebral ischemia and chronic heart failure with stored and reduced release fraction

Chronic heart failure relates to the priorities of national health systems in most countries due to the high prevalence, steady increase in the number of new cases in all countries, frequent repeated hospitalizations, poor quality of treatment, high levels of disability and mortality, and increased treatment costs. An important multidisciplinary task is to study the state of the brain in the background of chronic cardiac pathology, which is associated with a violation of the pumping function of the heart and central hemodynamics. The purpose of the study was to investigate the state of the cognitive and psychoemotional sphere in patients with chronic cerebral ischemia and chronic heart failure with a preserved and reduced release fraction. In a comparative analysis in patients with chronic cerebral ischemia and chronic heart failure with a preserved and reduced emission fraction, a statistically significant difference was not found. Direct correlation dependence with complaints of memory impairment (r = 0.34), anxiety manifestations (r = 0.44), depression (r = 0.42). According to the study, cognitive impairment was observed in 95.3% of patients in group 1 and in 71.1% of patients in group 2. Dementia of light severity was found in patients with 1 group in 18.6% and in patients with 2 groups in 11.1%. Data from a neuropsychological study showed cognitive safety in 4.6% of patients in group I and 28.8% in group 2, which were characterized by mild modal-nonspecific mantle disorders. Premedicinal cognitive disorders were observed in group 1 in 33 (76.7%) patients and in 27 (60%) patients in group 2 (Table 1). There was a statistically significant difference between the groups p = 0.009 (p <0.05) and the direct correlation between MMSE and age (r = 0.63), quality of life (r = 0.31), complaints when considering deterioration of memory (r = 0.39).