Quality Of Questionnaire Research Articles

Long-term observation on safety and visual quality of implantable collamer lens V4c implantation for myopia correction: a 5-year follow-up.

To elucidate the safety and visual quality of implantable collamer lens with central hole (ICL V4c) implantation for correcting moderate and high myopia for at least 5y. This retrospective study was conducted on 58 patients (114 eyes) who were followed up for at least 5y after ICL V4c implantation. The observation was done before and on 1d, 1mo, 1 and 5y or more after the surgical procedure. The visual acuity, subjective refraction, intraocular pressure, vault, axial length, central hole position, pupil diameter, visual quality, and adverse events were analyzed. The visual quality includes aberration, the modulation transfer function cutoff frequency (MTF cutoff), objective scattering index (OSI), Stroller's ratio (SR), and visual quality questionnaire. The average follow-up period was 69.25±3.80mo (range 60-82mo) and the preoperative spherical equivalent (SE) was -8.66±1.97 D. At 5y after operation, the safety index was 1.01±0.02 and the efficacy index was 0.99±0.42 and SE was -0.65±0.63 D. The 59.6% of the eyes achieved an uncorrected distance visual acuity of 20/20, 76.3% of the eyes had SE within ±1.0 D at the last visit. The axial length increased by 0.29±0.71 mm 5y after the surgery (t=-3.843, P<0.001). The mean vault at the last follow-up was 510.59±245.61 µm. The central hole was on the temporal side in 80 eyes (84.2%). The visual quality questionnaire showed that 98.2% patients were satisfied with the surgical procedure. Adverse events occurred in 4 eyes (3.5%), including the posttraumatic toric ICL rotation (2 eyes), iris incarceration (1 eye), and posttraumatic ICL displacement (1 eye) at the last follow-up. Long-term ICL V4c implantation is safe, effective, and stable for correcting moderate and to high myopia, and the visual quality with patients is excellent and satisfactory, but the progression of axial length still needs attention after surgery.

A 4-Week Straw Phonation in Water Exercise Program for Aging-Related Vocal Fold Atrophy.

This study evaluated the efficacy of a 4-week straw phonation in water (SPW) exercise program on aging-related vocal fold atrophy (VFA), with a secondary objective to examine the immediate effects of SPW exercises. Thirty-eight older adults aged 60 years and above formally diagnosed with aging-related VFA were randomly assigned into an experimental group undergoing SPW exercises with an 8-cm depth of straw submersion into water for 4 weeks plus vocal hygiene practice (n = 20), and a control group with only vocal hygiene practice (n = 18). Outcome measures included laryngeal endoscopic measures of glottal gap, auditory-perceptual ratings of voice quality, acoustic measures, aerodynamic measures, and standardized self-assessment questionnaire scores. An additional round of acoustic and aerodynamic assessment following 20 min of SPW exercises was conducted to examine the immediate effects. Significant improvements in normalized glottal gap area, perceptual rating of breathiness, smoothed cepstral peak prominence, harmonics-to-noise ratio (HNR), mean oral airflow, subglottal pressure and laryngeal airway resistance at comfortable loudness, Voice-related Quality of Life scores, and Chinese Vocal Fatigue Index Factor 3 scores were observed in the experimental group relative to the control group. There were also significant immediate effects for HNR, mean oral airflow, subglottal pressure, and laryngeal airway resistance. These findings suggested significant immediate improvements in vocal function following SPW exercises, with additional significant improvements in vocal function as well as significant improvements in quality of life following the 4-week SPW exercise program. Further studies with more long-term follow-up are recommended to better understand the efficacy of SPW exercises with deep levels of straw submersion into water as an effective clinical option for the management of hypofunctional dysphonia associated with aging-related VFA.

The Relationship between Head Nurses’ Authentic Leadership Style and Nurses' Job Satisfaction and the Quality of Nursing Services at the Educational – therapeutic Centers of Hamadan University of Medical Sciences

Background and Objective: One aspect of nurses' working lives affected by head nurses' leadership style is job satisfaction, which can change the quality of nursing services. The present study aimed to assess the association of head nurses' authentic leadership style with nurses' job satisfaction and the quality of nursing services at educational-therapeutic centers of Hamadan University of Medical Sciences. Materials and Methods: The current cross-sectional descriptive study was conducted in 2019. A total of 295 nurses and 885 patients were selected using the stratified random sampling method. The data collection tools included four questionnaires: a demographic characteristics form, the Authentic Leadership Questionnaire (ALQ) by Walumbwa, The Minnesota Satisfaction Questionnaire (MSQ), and the SERVQUAL service quality questionnaire. Data were analyzed using SPSS software (version 24). Results: The application of the authentic leadership style by head nurses, job satisfaction of nurses, and the quality of nursing services obtained mean scores of 3.75, 3.45, and 3.83, respectively, demonstrating that they were at a moderate level. Head nurses' authentic leadership style showed a significant and weak relationship with nurses' job satisfaction (r=0.1, P=0.002) and perceived quality of nursing services (r=0.11, P=0001). Moreover, nurses' job satisfaction was weakly correlated with the quality of nursing services (r=0.16, p=0.001). Conclusion: Considering the weak but significant relationship between the variables, the authorities can take effective measures to improve job satisfaction and the quality of nursing services.

Comparative study of the quality of life of medical workers in Belarus and Japan

Objective. The purpose of the study was to conduct a cross-cultural analysis of the quality of life of medical workers in Belarus and Japan, to assess the similarities and differences, to identify cultural characteristics and factors affecting the quality of life of medical workers of both countries.Materials and methods. The study was conducted in medical organizations in Gomel, Belarus, where 400 respondents (doctors and nurses) were interviewed and in university clinics in Nagasaki (Japan), where 238 medical workers took part in the survey. The survey was conducted using a validated Russian and English versions of the WHO Brief Questionnaire for Quality of Life (WHOQOL-BREF).Results. The results of the study showed that Japanese medical workers are less satisfied with their ability to work and the ability to perform their duties compared to Belarusian medical workers (31.0 and 34.0% of respondents in Japan and 68.9 and 62.2% of respondents in Belarus, respectively, p &lt; 0.001). About a third of respondents (31.6% in Belarus, 38.0% in Japan) often experience negative emotions (bad mood, anxiety, despair, depression). 79.0% of respondents in Belarus are satisfied with their personal relationships, while in Japan this indicator was 49.3% (p &lt; 0.001). The percentage of dissatisfaction with their sex life is high among Japanese medical workers (71.9% compared to 21.8% of respondents in Belarus, p &lt; 0.001). 56.6% of Japanese medical workers and 77.2% of Belarusian medical workers are satisfied with the support from friends (p &lt; 0.001). Indicators of psychological health and social relations are higher among respondents who are married. The incidence of medical workers in both countries is very high: from 20 to 30% of respondents report the presence of a disease or health problem.Conclusion. Medical workers’ assessment of their quality of life depends largely on the different ways of life in the two countries, the peculiarities of the health care system, the general standard of living of the population, and other factors. However, as the survey showed, statistically these differences in the assessment of the quality of life are insignificant.

The RU_SATED as a measure of sleep health: cross-cultural adaptation and validation in Chinese healthcare students

BackgroundThe RU_SATED scale is a multidimensional instrument measuring sleep health, consisting of Regularity, Satisfaction, Alertness, Timing, Efficiency, Duration dimensions. We adapted and validated the Chinese RU_SATED (RU_SATED-C) scale.MethodsThe RU_SATED-C scale was developed through a formal linguistic validation process and was validated in an observational longitudinal survey design. Healthcare students completed the RU_SATED scale, Sleep Quality Questionnaire, and Patient Health Questionnaire-4 among two sites of Hangzhou and Ningbo, China. Psychometric assessments included structural validity, longitudinal measurement invariance, convergent and divergent validity, internal consistency, and test–retest reliability.ResultsA total of 911 healthcare students completed the RU_SATED-C scale at baseline (Time 1, T1) and follow-up (Time 2, T2) with an average time interval of 7 days + 5.37 h. Confirmatory factor analysis (CFA) confirmed a single-factor model and resulted in an acceptable model fit. The two-factor model previously found in the Japanese version fit better than the one-factor model, whereas the one-factor model fit had a better fit than the two-factor model found in the English version. Longitudinal CFA resulted in negligible changes in fit indices for four forms of increasingly restrictive models and supported that a single-factor model was equivalent over time. The data also endorsed longitudinal measurement invariance among the two-factor models found in the English and Japanese samples. The RU_SATED-C scale total score displayed a moderately strong negative correlation with sleep quality; however, negligible associations were observed with anxiety and depression. Ordinal Cronbach’s alpha and Ordinal McDonald's omega at T1 and T2 ranged from suboptimal to acceptable. The RU_SATED-C scale and all items were significantly correlated across time intervals.ConclusionThe RU_SATED-C scale is an easy-to-use instrument with potentially valid data for the measurement of multidimensional sleep health. Use of the RU_SATED-C scale can help raise awareness of sleep health and could pave the way for important efforts to promote healthy sleep.

Application of the Student Teams Achievement Division (STAD) Type Cooperative Learning Model to Improve Science Learning Outcomes of Class VIII Students at UPTD SMP Negeri 1 Alasa for the 2022/2023 Academic Year

Based on the results of initial observations at SMP Negeri 1 Alasa, several problems were found, namely: 1) Students were not actively involved in learning activities, and 2) Student learning outcomes in science subjects were still low. Research objectives: (1) Describe the implementation of the learning process through the application of cooperative learning models of the Student Teams Achievement Division type. (2) Describe student learning outcomes through the application of cooperative learning models of the Student Teams Achievement Division type. The research location is at SMP Negeri 1 Alasa. The research subjects were 30 students in class VIII-4, consisting of 16 boys and 14 girls. The research method used was classroom action research which consisted of four stages: (1) Planning, (2) Action, (3) Observation, and (4) Reflection. Research instruments: (1) observation sheet, (2) learning quality questionnaire, (3) student learning achievement test, (4) interview guide sheets, and (5) photo documentation. The results of the study: (1) Implementation of the learning process through the application of the Student Teams Achievement Division cooperative learning model in science subjects in Cycle I, namely 45.14% with poor criteria and Cycle II, namely 81.25% with good criteria. (2) Student learning outcomes through the application of the cooperative learning model type Student Teams Achievement Division in science subjects in Cycle I, namely 68.33 with sufficient criteria and Cycle II, namely 80.67 with good criteria.

Sleep quality and related factors in older adults: A cross-sectional study

This study aimed to evaluate sleep quality and related factors in hospitalized older adults. In this cross-sectional study, 390 older adults were admitted to the medical and surgical departments of Musa Ibn Jafar Hospital in Quchan. The data was collected from October to March 2017. Data collection tools were the demographic information questionnaire and Pittsburgh Sleep Quality Questionnaire (PSQI). A total of 390 older adults participated in this study. The mean age of participants was 71.73 (SD=8.05) years. Of the participants, 54.6% were male, 73.8% were married, 31.5% had a diploma, and 77.4% lived in the city. Also, 67.4% of the individuals had never been hospitalized before, and 69.0% of them had a history of chronic disease. The mean sleep quality score based on PSQI in the elderly was 7.40 (SD=4.02). Among the participants, 63.8% of them had undesirable sleep quality. The age of elderly people who had undesirable sleep was significantly higher than people with desirable sleep (P=0.03). Also, there was a significant difference between undesirable and desirable sleep quality with education level (P=0.05), marital status (P&lt;0.001), hospitalization frequency (P&lt;0.001), and history of chronic disease (P&lt;0.001). In sum, considering that the results of the research showed that the elderly did not have a good quality of sleep, it is recommended to provide nursing care in the inpatient wards as well as teach it to the elderly and their families to prevent sleep problems and related problems.

The effect of regular nursing rounds on patients' comfort and satisfaction, and violence against nurses in surgical ward

BackgroundPatients' satisfaction and comfort are known as the quality indicators of nursing care. Nowadays, violence against nurses has an increasing trend. Regular nursing rounds are one of the caring programs that help improve these indicators. This study aimed to examine the effect of regular nursing rounds on patients' comfort, satisfaction, and violence against nurses. Materials and methodsThis quasi-experimental study was conducted in two groups consisting of 100 patients and 35 nurses in a surgery ward in the northwest of Iran. The satisfaction with nursing care quality questionnaire, Kolcaba's general comfort questionnaire, and work environment violence were used for data collection. In the present study, the control and intervention groups were selected using a simple sampling method. The control group received routine care only; however, the intervention group received a regular nursing round program every 2 h from the second day of their admission for three days. The satisfaction questionnaire and comfort scale were completed on the second and fifth days of admission, and the evaluation of violence against nurses was performed from the second to the fourth day. The results were analyzed using chi-square, Fisher, independent t, and paired t tests. ResultsBefore the intervention, no statistically significant difference was observed between the two groups in terms of demographic and dependent variables (p > 0/05). After the intervention, statistically significant differences were observed among the mean scores of satisfaction with nursing care (p < 0/001), comfort (p < 0.001), and violence against nurses (p = 0.041) between the two study groups, so that in the intervention group, the patients’ satisfaction and comfort increased and violence against nurses reduced during the intervention period. ConclusionsThe use of regular nursing rounds had a positive effect on the study results. Therefore, it is recommended that nurse managers design, implement, encourage, and evaluate regular nursing rounds to improve nursing care.

The Relationship Between Compassion Fatigue and Nursing Care Quality in Intensive Care Units: A Correlational Study in Northeast of Iran.

Intensive care unit (ICU) nurses are repetitively exposed to traumatic situations and stressful events, which can lead to compassion fatigue (CF). Compassion fatigue can negatively affect the nurses' emotional and physical health and job satisfaction. The aim of this study was to evaluate the relationship between CF and nursing care quality in ICU. This descriptive-correlational study was conducted on 46 ICU nurses and 138 ICU patients, in 2 referral hospitals in Gorgan, Northeast of Iran in 2020. Participants were selected using stratified random sampling. Data were collected using CF and nursing care quality questionnaires. The results of this study showed that most nurses were women (n = 31, 67.4%), with mean age of 28.58 ± 4.80 years. The mean patients' age was 49.22 ± 22.01 years and 87 (63%) of them were male. The severity of CF in most ICU nurses (54.3%) was moderate, with a mean score of 86.21 ± 16.78. Among of the subscales, psychosomatic score was higher than the rest of subscales (0.53 ± 0.26). Nursing care quality was at the optimal level (91.3%) with the mean score of 81.51 ± 9.93. The highest scores of nursing care were related to subscale of medications, intake, and output (0.92 ± 0.23). In this study, there was a weak and inverse relationship between CF and nursing care quality (r = -0.28; P = .058). The results of this study indicate a weak, nonsignificant inverse relationship between CF and nursing care quality in ICU.

Assessment of Quality of Life of Patients with Type-II Diabetes Mellitus

Background: Diabetes is a chronic metabolic disorder that negatively affects the quality of life in context of physical, psychological and social health or well-being. Objective: Current study aimed to assess the quality of life with type 2 diabetes and determine its association with demographic variations of study participants. Study Design: A descriptive cross-sectional study design was used to assess the quality of life of Diabetes patient type 2 with the structured questionnaire of the World Health Organization Quality of Life (WHOQoL-BREF) was adopted. Settings: The study was conducted in the outpatient department (OPD) of Allied Hospital, Faisalabad Pakistan. Duration: Data was collected from April 2022 to June 2022. Methods: Total of 450 patients with type 2 diabetes were recruited according to inclusion criteria. Results: A total of 450 patients with DM-2, and mean age of 53.8 ± 10.2 years and 50.7%were males and 49.3% were females. Overall, 44.2% of participants rated moderate and 40% were found satisfactory in terms of good Quality of Life. Mean stress score of QoL domains: physical (51 ± 10.8), psychological (48.04 ± 12.6), social relationship (53.3 ± 19.6), and environmental health (46.1 ± 13.9). To determine the association multiple linear regression model was used. Significant association were seen between age, marital status, Body Mass Index (BMI), and monthly income with QoL four domains(p&lt;0.05). Fasting Glucose Sugar (FBS) was negatively associated with QoL domains, except environmental health. Conclusion: Overall, the present study has clearly shown that DM2 alters the QoL of patients and patients reported moderate level QoL, and its significant association with demographic parameters of study participants such as age, gender, and household income.

Assessment of Hospitalised Patient Satisfaction with Nursing Care in the Gynaecology and Obstetrics Department of Benghazi Medical Center, Libya

Satisfaction with nursing care is believed to be an indicator of the quality of the health setting, for this reason, many stakeholders and managers focus on measuring patients’ satisfaction to gather crucial information that could improve nursing service quality. The purpose of this study was to assess patients’ satisfaction with nursing care in the gynaecology and obstetrics department at Benghazi Medical Center (BMC) in Libya. Method: This study utilized a cross-sectional survey design. The survey was conducted from April to May 2022. Participants: - The population of the study consisted of adult patients who agreed to participate in the research and met the inclusion criteria, A convenient sampling method was applied in this study (n=300). Instrument: The data were collected through patient satisfaction with the nursing care quality questionnaire (PSNCQQ). The first section collected general information and demographic data; the second section consisted of a questionnaire related to patient satisfaction with nursing care. The scale included additional questions designed to assess satisfaction with the overall quality of care and treatment received during hospitalization, the overall quality of nursing care, and the likelihood that the patient would recommend the hospital to relatives and friends. The findings: The patients rated their satisfaction with nursing care as being at a low level of satisfaction. Moreover, patients reported less satisfaction with the overall quality of care and services received during their hospital stay and reported that they would not recommend this hospital to their families and friends. Recommendation: Periodic assessments to measure patients’ satisfaction levels with nursing care in different units and locations, and with a larger sample, could help healthcare facilities to guarantee the provision of high-quality patient care. - The results of the evaluation should be used to develop potential new strategies to improve the level of nursing services in the hospital.

Psychological morbidity in patients with pemphigus and its clinicodemographic risk factor: A comparative study.

Due to the long disease duration, impact on appearance, social stigmatization, and numerous side effects of treatment, pemphigus, an autoimmune bullous disease, often has a significant psychological impact on patients. On the other hand, mood disorders may exacerbate the disease by affecting the patient's self-management, forming a vicious circle. To investigate anxiety and depressive disorders in patients with pemphigus, a total of 140 patients with pemphigus were recruited for this cross-sectional retrospective study between March 2020 and January 2022. A control group of 118 patients with psoriasis, a commonly known psychosomatic dermatosis, was established. Patients were evaluated at the visiting day with the Beck Anxiety Inventory and Beck Depression Inventory second edition for mood disorders, the Dermatology Life Quality Index and the EuroQol Five Dimensions Questionnaire for disease-related life quality, and the Visual Analogue Scale for pain and itching symptoms. In our cohort, 30.7% of patients with pemphigus suffered from either anxiety disorder (25%) or depressive disorders (14.3%). Propensity score matching was implemented to create a comparable cohort of pemphigus and psoriasis groups considering the baseline discrepancy. Thirty-four comparable pairs of pemphigus and psoriasis patients were extracted. The prevalence and severity of depressive disorder in pemphigus patients were significantly higher than in psoriasis patients, while anxiety disorder levels appeared to be similar in two groups. Multivariate logistic regression analysis further revealed that disease-related hospitalization history, active mucosal damage, and concomitant thyroid disease are independent risk factors for mood disorders in pemphigus patients. Our results showed that pemphigus patients had a high prevalence and severity of mood disorders. Relevant clinicodemographic indicators may be valuable for prediction and early identification of mood disorders in pemphigus. Better disease education from physicians may be important for these patients to achieve overall disease management.

Quality Instrument is Focused Reusability For Academic Information Systems Software

The usability-focused IS quality instrument is a conceptual model of a quality instrument that implements and focuses on standardizing usability behavior in a website software-based academic information system. Quality Structure along with Quality Factors and Quality Model Questionnaire Method which consists of the Basic Quality Questionnaire Method for AISS, Basic Quality Model Questionnaire Method and Usability Questionnaire Method are the research methods used. The purpose of this study is to propose an IS quality instrument that focuses on usability as a quality instrument that determines usability behavior in academic information system software, namely understandability, learnability, operability, attractiveness, and usability compliance. The usability-focused IS quality instrument is one of the quality assurance software quality instruments that has a high level of reliability and is required in every academic information system (AISS) software. So that a quality instrument is needed as a determinant of the quality of academic information system software that implements the quality model as an instrument system.

P-556 Digital platform for remote pre-treatment assessment: Perceived usefulness and quality by patients and doctors

Abstract Study question Is a digital platform for remote pre-treatment assessment perceived as useful and able to fulfil the needs of patients and clinicians? Summary answer The digital platform was found to be of high quality, useful, and answer the expressed needs of the targeted audiences in cross-cultural samples. What is known already Infertility is a life crisis. It takes on average 3.2 years to be diagnosed, 1.6 years to access a specialist, and 2.2 years to complete treatment. The pre-assessment phase is time-consuming, costly, often disruptive to the patient’s life, and may require traveling abroad. Patients need organized care where they can schedule/order tests, access information about their specific health conditions, and reach out to professionals. On the other hand, clinicians find themselves trying to assess a large number of patients before initiating treatment abroad without having a unified platform where they can review the patient’s clinical history and treatment plan. Study design, size, duration Study I explored patients’ experience with pre-treatment care and their perceived usefulness of the Patient’s Portal. An online questionnaire of 25 questions was used. Study II explored clinicians’ perceived usefulness and quality of the Doctor’s Portal. A semi-structured interview was conducted and an online questionnaire of 17 items was used. Both questionnaires had multiple options, Likert-scale, and open-ended items. The studies followed a cross-sectional design. The data were analyzed using IBM SPSS Statistics, Version 28.0. Participants/materials, setting, methods Study I had a cross-cultural sample of 59 women (M = 37.2, SD = 4.9 years). 41% are trying to conceive for more than 24 months, 89.8% were in a heterosexual relationship, and all were undergoing treatment/pursuing a clinic. The internal consistency of the questionnaire is α=.97. Study II had a cross-cultural sample (N = 8) of clinic leaders, all from different clinics. The interview questions were open-ended to capture unprompted opinions. The internal consistency of the questionnaire is α=.94. Main results and the role of chance Study I: People who took &amp;gt;4 weeks to have tests done/get the results scored significantly higher values than people who took less time in terms of how much they had to pay, struggled to find where to have the tests done, had difficulty managing emotions, and would’ve preferred their clinic had scheduled the testing for them. Overall, 61.02% reported the testing had been disruptive to their lives. Regarding the perceived usefulness of the platform, means &amp;gt;4 and a mode of 5 on a scale of 1-5 were obtained. We also found that regardless of the woman’s age or how long she’s been trying to conceive, she’d benefit from having this platform available. Study II: 75% made mention the high-quality of the platform, 50% said it would improve their current practice, covered information comprehensively, and was user-friendly, and 37.5% said it would make the process of diagnosing patients faster. Suggestions were used to adapt the platform. Regarding the quality questionnaire, the means varied between 7.86 and 9.14 (SD between .69 and 1.11) and the mode between 8 and 9 on a scale of 1-10. The inter-rater reliability coefficient was .94. This means the perceived high-quality and usefulness of the platform were consensual. Limitations, reasons for caution Small sample sizes condition the extrapolation of the findings. Further studies of the perceived usefulness and quality of the Patients’ Portal and Doctors’ Portal after the implementation of the digital platform are required. Wider implications of the findings The digital platform for remote pre-treatment assessment is currently available and being used by clinicians and patients. In the future it, can be further developed to develop and train an Artificial Intelligence algorithm to Diagnose &amp; Predict Fertility Treatment Outcomes with Personalised Patient Pathways. Trial registration number not applicable

Omalizumab in the treatment of various forms of chronic urticaria

BACKGROUND: Chronic urticaria is a skin disease characterized by the appearance of itchy weals and/or angioedema for 6 or more weeks. Chronic urticaria is subdivided into chronic spontaneous urticaria, which occurs due to an unknown cause, and chronic inducible urticaria, which occurs as a result of exposure to various physical factors (water, cold, heat, pressure, mechanical irritation), can occur simultaneously or independently of each other. Omalizumab, anti-IgE monoclonal antibody, is approved for the treatment of patients with chronic spontaneous urticaria and is the second choice in cases of resistance to antihistamine treatment. In patients with a combination of chronic spontaneous urticaria and chronic inducible urticaria, the effectiveness of treatment with omalizumab has been little studied.&#x0D; AIM: compare the effectiveness of omalizumab treatment in patients with chronic spontaneous urticaria and patients with a combination of chronic spontaneous and chronic induced urticaria.&#x0D; MATERIALS AND METHODS: Under supervision there were 30 patients with chronic spontaneous urticaria and combined chronic spontaneous and inducible urticaria (15 patients in each group). Evaluation of the effectiveness of treatment was carried out according to the results of the questionnaires DLQI (dermatological index of quality of life), CU-Q2oL (questionnaire for quality of life in chronic urticaria), UCT (urticaria control test), UAS (urticaria activity scale), HADS (Hospital Anxiety and Depression Scale) and provocation tests in dynamics before and during treatment.&#x0D; RESULTS: All patients received omalizumab 300 mg subcutaneously once a month for 6 to 12 months. After the first injection of omalizumab, we noted a decrease in the severity of urticaria, an increase in the level of disease control and quality of life when comparing parameters before and during treatment in more than 90% of patients. Improved performance remained at this level throughout all subsequent months of treatment.&#x0D; CONCLUSION: Omalizumab is equally effective in patients with an isolated form of chronic spontaneous urticaria and in patients with a combined form of chronic spontaneous and inducible urticaria. The use of omalizumab allows you to control the symptoms of chronic spontaneous and inducible urticaria, even with prolonged use.

Investigation of long-term symptoms and influencing factors in patients with mild traumatic brain injury: A cross-sectional study

BackgroundTraumatic brain injury is the leading cause of death and disability in individuals under the age of 45, which places a heavy disease burden on patients and society. However, the prevalence of long-term symptoms in individuals who suffered from mild traumatic brain injury and how psychosocial factors affect their long-term symptoms remain unclear. ObjectiveTo determine howpsychosocial factors influence long-term symptomsin individuals who suffered from mild traumatic brain injury as well as the prevalence of long-term symptoms. MethodsA demographic characteristics questionnaire, adapted self-report questionnaire of family relationship quality, revised Chinese version of the disease perception questionnaire, Rivermead postconcussion syndrome symptom questionnaire, Glasgow Outcome Scale-Extended, and Brief Symptoms Inventory 18 were used to collect data anonymously. Psychosocial factors associated with long-term symptoms in individuals who suffered from mild traumatic brain injury weremeasuredusingmultiple linear regression. ResultsMore than half of individuals who suffered from mild traumatic brain injury showed at least 1 long-term symptom after injury. Our results indicated that family relationship quality, disease perception, and demographic characteristics were related to the long-term symptoms of individuals who suffered from mild traumatic brain injury. ConclusionsOur study shows that theprevalence of long-term symptomsfollowingmild traumatic brain injuryishigh. Psychosocial factors are related to patients' long-term symptoms.The findings indicate that healthcare administrators ought to adopt a robust health promotion strategy that prioritizes familial support and health education of diseases to ameliorate long-term symptoms in individuals who suffered from mild traumatic brain injury.

The Effectiveness of Virtual Anger Management Training Using the Cognitive Behavioral Method on Anger Rumination, Mental Health, Work-Family Conflict, and Interpersonal Relationships

Introduction: In recent years, the work environment has gained great importance and has been considered as a suitable place for health improvement activities. The work environment provides opportunities and suitable facilities to influence people's lives. The present research was conducted with the aim of the effectiveness of virtual anger management with Cognitive behavioral methodology using the cognitive behavioral method on anger rumination, mental health, work-family conflict and interpersonal relationships.&#x0D; Materials and Methods: The research method was a semi-experimental research method with control groups and pre-test-post-test. The statistical population included all secondary school female teachers in Isfahan city in the academic year of 2021-2020, 30 female teachers were selected by random sampling and randomly assigned to two experimental groups (15 people) and a control group (15 people). The experimental group underwent 60-minute virtual anger management training and the control group remained on the waiting list. Both groups were evaluated in the pre-test and post-test stages by Sakhodolsky et al.'s (2001) anger rumination, shortened form of the SCL-90 inventory, work-family conflict questionnaire (Carlson et al., 2000) and Interpersonal Relationship Quality Questionnaire (Pierce et al., 1991). In order to analyze the data, statistical methods and SPSS version 23 software and multivariate covariance and single covariance analysis were used.&#x0D; Results: The findings showed that the virtual training of anger management on rumination of anger and its dimensions, thoughts of anger, thoughts of revenge, memories of anger and knowing the causes are equal to 44.7, 16.9, 23.2 and 45.5 percent of the variance, respectively. , mental health is 43.3% of the variance, work-family conflict is 37.2% of the variance, and interpersonal relationships and its dimensions have a significant effect of 65.2% of the variance (p&lt;0.01).&#x0D; Conclusion: As a result, virtual anger management training as an effective therapy can help to improve mental health. Therefore, it is suggested that counselors and psychologists pay special attention to anger management virtual training to reduce anger rumination and work-family conflict and increase mental health and interpersonal relationships.

Impact of nurse-led education on the prognosis of heart failure patients: A systematic review and meta-analysis.

To perform a meta-analysis of randomized controlled trials to investigate the effect of nurse-led education on death, readmission, and quality of life in patients with heart failure. The evidence of the effectiveness of nurse-led education in heart failure patients from randomized controlled trials is limited, and the results are inconsistent. Therefore, the impact of nurse-led education remains poorly understood, and more rigorous studies are needed. Heart failure is a syndrome associated with high morbidity, mortality, and hospital readmission. Authorities advocate nurse-led education to raise awareness of disease progression and treatment planning, as this could improve patients' prognosis. PubMed, Embase, and the Cochrane Library were searched up to May 2022 to retrieve relevant studies. The primary outcomes were readmission rate (all-cause or HF-related) and all-cause mortality. The secondary outcome was quality of life, evaluated by the Minnesota Living with Heart Failure Questionnaire (MLHFQ), EuroQol-5D (EQ-5D), and visual analog scale for quality of life. Although there was no significant association between the nursing intervention and all-cause readmissions [RR (95% CI) = 0.91 (0.79, 1.06), P = 0.231], the nursing intervention decreased HF-related readmission by 25% [RR (95% CI) = 0.75 (0.58, 0.99), P = 0.039]. The e nursing intervention reduced all-cause readmission or mortality as a composite endpoint by 13% [RR (95% CI) = 0.87 (0.76, 0.99), P = 0.029]. In the subgroup analysis, we found that home nursing visits reduced HF-related readmissions [RR (95% CI) = 0.56 (0.37, 0.84), P = 0.005]. In addition, the nursing intervention improved the quality of life in MLHFQ and EQ-5D [standardized mean differences (SMD) (95% CI)=3.38 (1.10, 5.66), 7.12 (2.54, 11.71), respectively]. The outcome variation between studies may be due to reporting methods, comorbidities, and medication management education. Patient outcomes and quality of life may also vary between different educational approaches. Limitations of this meta-analysis stem from the incomplete reporting of information from the original studies, the small sample size, and the inclusion of English language literature only. Nurse-led education programs significantly impact HF-related readmission rates, all-cause readmission, and mortality rates in patients with HF. The results suggest stakeholders should allocate resources to develop nurse-led education programs for HF patients.

Analisis Kepuasan Pelanggan PT. Era Energi Krazu Nusantara dengan Metode Service Quality dan Importance Performance Analysis

Quality of service as one of the efforts of PT. Era Krazu Energi Nusantara to continuously improve the quality of all processes, services and products produced. Based on the results of interviews with customers, complaints related to service quality and customer satisfaction are influenced by several factors, apart from product quality and price, the most important of which are service quality and personal factors that annoy individual customers. The results of the study using the Service Quality and Importance Performance Analysis methods, on the quality of service, it is known that there are several attributes indicating that the current quality of service is still not as expected by customers. Based on the calculation of Gap 5 from the service quality questionnaire, the highest results were obtained and had an effect on service quality, namely attribute X4 with a gap value of -0.33823, which is a strategic location attribute. Based on Importance Performance Analysis, the highest value is obtained from the attribute value in quadrant I at X7 (Employees' willingness to handle complaints quickly), and X11 (Employees are honest with consumers).

PENGUKURAN MUTU LAYANAN POSYANDU SEBAGAI UPAYA MENGURANGI KASUS BALITA TENGKES

In particular, this study aimed to test the value of the gap and efforts to close the gap through the Servqual test. The population in this study were housewives who had children under five receiving Posyandu (Integrated Healthcare Center) services. Sampling used purposive sampling of 20 respondents in the Posyandu area of ​​Jogonalan Village, Klaten. Attributes in the service quality questionnaire included tangibles, reliability, responsiveness, assurance and empathy. Quantitative tests carried out included item reliability validity test, Servqual confirmation test. The test results show that the confirmation value has a positive value with the lowest positive value on the tangible dimension. Improvement efforts must continue to be made with the emphasis on improvement on the value that has the lowest positive dimension followed by the next positive value. The increasing quality of Posyandu KB (Family planning )services in Jogonalan Village leads to community satisfaction so that it can become a stronghold against cases of stunting infants under five years of age in urban areas.