Degree Of Satisfaction Research Articles

Contributions of jaw functional orthopedics in temporomandibular joint ankylosis (TMA) – clinical case report

Temporomandibular joint (TMJ) ankylosis is one of the most disabling pathological conditions that can occur in the maxillofacial region, often occurring at an early age, limiting growth and causing facial deformity, which significantly affects the quality of life of the individual. The objective of the study was to evaluate the contribution of Jaw Functional Orthopedics (JFO) in TMJ ankylosis after the surgical phase. The case of a 7-year-old female patient diagnosed with bilateral condylar ankylosis (fibrous ankylosis on the right side and bony ankylosis on the left side) is presented. On clinical examination, facial asymmetry, retrognathia, muscle contraction and opening limitation were observed. Treatment consisted of temporalis muscle flap rotation surgery with condylectomy and coronoidectomy, physical therapy, and functional therapy with OFM. The clinical results at 4 months of follow-up suggest significant progress in oral opening and protrusion. The patient showed a high degree of satisfaction with the results obtained. She is currently continuing with the use of orthopedic appliances to correct the sequelae of ankylosis and improve mandibular kinematics.

Custom Hiring for Farm Mechanization & Degree of Satisfaction among Farmers in Vijayapur District, Karnataka, India: An Analytical Perspective

Custom Hiring for Farm Mechanization & Degree of Satisfaction among Farmers in Vijayapur District, Karnataka, India: An Analytical Perspective

Cross-generational Analysis of Consumer Behaviour towards Convenience Foods: A Study of Convenience Foods in Kerala

Aims: From customs dating back thousands of years to contemporary conveniences, food has always played a significant role in our societies. As we travel through history, we can see the tremendous change that has paved the way for the emergence of convenience foods in our lives. The behaviour of various generations is also on the go with time. Considering this, the study emphasises the intricate relationship between consumer behaviour towards convenience foods and age cohorts. Methodology: The data for the study was collected from a total of 180 respondents. Among these, 60 belonged to Gen X, Gen Y, and Gen Z respectively from the central region of Kerala state. Results: The results showed that all the respondents taken for the study irrespective of their generation showed a higher inclination towards home-cooked meals rather than convenience foods regardless of their popularity in today's market. For Gen X and Y, convenience food was a choice because of the little time and effort required for preparation while Gen Z preferred it as it fixes their hunger in a snap of a moment. The majority of the respondents purchased convenience food from the supermarkets. All the generations were moderately satisfied with the convenience foods available. Even though most showed modest satisfaction towards various parameters of satisfaction, the degree of satisfaction toward the availability of convenience food options differed among generations. Conclusion: The results showed the importance of understanding the behavioural differences across generations and how they can impact the acceptance of convenience food. With a comprehensive understanding of the needs and drives of each generation, marketers can adeptly navigate through the complexity of this fast-paced convenience food industry and can be a success.

Investment attractiveness factors in the opinion of companies from Special Economic Zones in Poland

The purpose of the research is the identification of important determinants shaping the investment attractiveness of the country (region) from the point of view of potential investors and an assessment of the degree of stakeholder satisfaction with existing methods of examining the investment climate and their availability for practical use. In order to assess a set of determinants that exert the most significant influence on a country’s investment climate, a questionnaire was developed consisting of 25 questions of various orientations. These questions were designed to assess the opinions of potential investors regarding the degree of influence of various factors on their decision on capital allocation and the investment climate of a country. The survey was conducted among 506 enterprises and 14 management bodies of Special Economic Zones in Poland from June 10 to July 20, 2023. The final step involved the analysis of the survey results using statistical methods.

Modified peri-areolar mastopexy and fat grafting in complex breast ptosis: A randomized open-label controlled trial

BackgroundComplex breast ptosis may be caused by moderate and severe degrees of skin and glandular sagging associated with breast' and nipple-areola complex (NAC) asymmetries and deformity. The use of traditional peri-areolar mastopexy (t-PM) with or without implants is limited only for mild or moderate breast ptosis. ObjectivesThis article aims to report the safety and efficacy of the modified peri-areolar mastopexy (m-PM) characterized by a vertical shift of the classical pattern with implants and fat grafting (FG) in complex breast ptosis also evaluating the influence of breast and NAC asymmetries, breast, and chest deformities in the aesthetics outcomes. MethodsAn open label randomized controlled trial was performed. 40 women (study group - SG) affected by breast ptosis (moderate, and severe), asymmetries, and deformities were treated with m-PM, implants, and FG, comparing outcomes with those of a control group (CG) (n = 35) treated with t-PM and implants. Aesthetic outcomes were evaluated through the patient’s satisfaction grade, the physician's assessment score, and the visual Analog Scale (VAS). Results75% (n = 30) of SG patients reported excellent results on breast lift, shape, volume, NAC position, and scar quality after 12 months, while the CG reported the same outcomes in 60% (n = 21) of cases. SG patients showed a vertical NAC shift and a satisfaction degree higher than in the CG (p < 0.001 vs. CG). ConclusionsThe m-PM with implants and FG was safe and effective in this trial.

Nonsurgical Rhinoplasty after Rhinoplasty: A Systematic Review of the Technique, Results, and Complications.

Introduction: Surgical rhinoplasty is a complex procedure with a high revision rate. Nonsurgical rhinoplasty (NSR) could avoid secondary rhinoplasty allowing the correction of postsurgical defects. A systematic review has been performed among adult patients who had previously undergone surgical rhinoplasty and now presenting for NSR with filler, demonstrated most common indications, fillers, and complications in this technique. Materials and Methods: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) system guidelines. Primary outcomes included indications for NSR in patients with prior rhinoplasty and complication rate. Secondary outcomes included filler material and degree of patient satisfaction. Results: Twenty articles met the inclusion criteria, obtaining 2,048 patients analyzed in the review. Hyaluronic acid was the most used filler, found in 67% of patients. Indications were highly variable, considering deformities of the middle third of the nose the most remarkable. A high degree of satisfaction was found in the analyzed studies and the rate of major complications was low. Discussion and Conclusions: NSR in patients with prior rhinoplasty is a useful option for correcting a range from subtle aesthetic defects to severe nasal deformities. However, this technique is not exempt from complications, since an increased risk of skin necrosis has been observed.

Analysis of the Results and Significance of the Independent Prospective Multicenter International Study “ACCRED-ROSOMED”

The study analyzed feedback from the accreditation subcommittees members and determined the significance of the multicenter prospective international study “ACCRED-ROSOMED”. The analysis included 410 questionnaires from APC members from 11 regions of the Russian Federation during the work of the subcommissions in 2022-24. The following issues were analyzed: composition, awareness, training, motivational factors of APC members, the degree of satisfaction with OSCE stations and the training of accredited persons, and other issues. The significance of the ACCRED-ROSOMED study for the further development of professional assessment of specialists and the need for further research was demonstrated.

The Impact of Scars After DIEP-Flap Breast Reconstruction on Satisfaction and HR-QoL: A Cross-Sectional Study Comparing BREAST-Q Scores.

Although deep inferior epigastric perforator (DIEP) flap breast reconstruction is the most widely used technique for autologous breast reconstruction, this technique leads to large scars in visible areas on breast and abdomen. So far, limited studies have thoroughly addressed the impact of breast and abdominal scars on satisfaction and Health-related Quality of Life (HR-QoL). This research aimed to determine whether women with no/minor scar symptoms after undergoing DIEP-flap breast reconstruction differ in satisfaction and perceived HR-QoL from women with symptomatic scars. In this cross-sectional survey study, women who had previously undergone DIEP-flap breast reconstruction completed an online survey. Patient-reported scar quality was assessed with the Patient and Observer Scar Assessment Scale (POSAS), and satisfaction and HR-QoL with BREAST-Q. Independent-samples t-tests were conducted to compare BREAST-Q scores between women with no/minor scar symptoms (POSAS overall opinion score 1-3) and women with symptomatic scars (POSAS overall opinion score 4-10). A total of 248 women completed the survey. Women with scar symptoms had significantly worse BREAST-Q scores on 'Satisfaction with breasts,' 'Physical well-being,' 'Psychosocial well-being' and, 'Sexual well-being' compared to women with no/minor scar symptoms (p ≤ 0.001). After DIEP-flap breast reconstructions, women with symptomatic breast and abdominal scars had a clinically relevant and statistically significant lower degree of satisfaction and HR-QoL compared to women who had no/minor scar symptoms. We therefore recommend to explicitly and repeatedly address inevitability of visible scars after DIEP-flap breast reconstruction, aiming to improve preoperative patient selection and post-operative expectation management. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Multi-task oriented team formation in online collaborative learning

Rational and personalized team formation can greatly enhance the efficiency of online collaborative learning. However, in the process of forming learning teams and completing learning tasks, online synchronous communication among team members is often overlooked, and the abilities of team members may change during task execution, which may have an effect on the completion of team tasks. To address these problems, this paper comprehensively considers the impact of learners’ online time and skill levels on team formation. We quantify the potential development space of learners’ skills and design optimization objectives accordingly based on the Zone of Proximal Development theory. Additionally, we propose a Near-Informer deep learning model to predict learners’ future online states, aiming to measure communication efficiency. Then, we propose a multi-task oriented multi-objective optimization team formation problem, and transform it into a single-objective one by using weighted aggregation of all objectives. After that, we present a Three-dimensional Monte Carlo Tree Search algorithm (TDMCTS). The experiments are conducted based on two real datasets. Compared with the baselines, our Near-informer model achieved the highest number of optimal predictions, with 22 out of 32. Besides, TDMCTS algorithm achieved more comprehensive team formation results, with average skill satisfaction degrees of 99.8% and 98.9% on two task sets, respectively, while satisfying the task requirements.

Evaluation of patient's quality of counselling in the context of diabetes treatment by community pharmacists for Public Health

Providing Patient Counseling (PC) may be beneficial in enhancing disease treatment results, especially for chronic illnesses like Diabetes Mellitus (DbM), which is prevalent in underdeveloped countries. This research aims to examine the counseling and contentment levels of patients who visit diabetes clinics in Community Pharmacies (CP), intending to contribute to the field of Public Health (PH). This research aimed to evaluate the efficacy of PC services offered to individuals with DbM. In this cross-sectional research, a patient simulation technique was used with an organized survey of 560 CPs chosen to offer primary healthcare. The survey has been split into three sections: demographics, PC methods used during prescription collection, and satisfaction assessment of the services rendered. The results revealed that PC was offered for taking medication among patients with type 1 DbM, but it was lacking for patients with type 2 DbM. Patients were provided with insufficient counseling on the potential adverse effects and the need to adopt a healthier lifestyle. The degree of satisfaction was a mere 20.2%, suggesting that there may be a deficiency in PC services. The investigation has shown inadequate PC procedures and low levels of contentment in the services offered by CP to patients with DbM. Given the rising occurrence of DbM and the presence of other medical conditions, it is crucial to provide PCs with DbM.

Penilaian Kepuasaan User dalam Menggunakan APlikasi SIM ASN Menggunakan Metode Website Quality

Implementation of the State Civil Apparatus Management Information System (SIM ASN) is a must. The ASN SIM is not only an administrative tool, but is a digital ecosystem that integrates all personnel application services. The problem that occurs in the ASN SIM application is that users find it difficult to complete the complete history requested by the ASN SIM in the personnel database to update employee data history. The aim of this study is to assess the impact of three factors on user satisfaction: application quality, user-friendliness, and interaction quality. The evaluation process is based on the Website Quality technique, which takes into account multiple aspects of website quality, such as as information content, security, usability, speed, and interface design. Respondents in this study were frequent users of the ASN SIM Application. Questionnaires were used to gather information about user opinions and experiences with the quality of the program. To characterize the degree of user satisfaction and the variables influencing it, data analysis was carried out using both statistical and qualitative methodologies. In order to enhance the user experience and efficacy of using the ASN SIM Application in the everyday work environment, it is intended that the research findings will offer comprehensive insight into the areas that require further development. This study adds to the body of knowledge about user satisfaction evaluation in the context of government apps and may serve as a model for future research on the subject.

Pilot Feasibility Study of an Individualized Cognitive Rehabilitation Program in Mexican Adults with Mild Dementia

Introduction. Dementia is a global public health problem, for which there is currently no cure. The increasing number of non-pharmacological interventions for the management of dementia challenges us to provide evidence-based care. Objective. To evaluate the feasibility of an individualized, cognitive rehabilitation program based on the French ETNA3 trial in Mexican subjects over fifty-five with mild Alzheimer's dementia and their caregivers who live in the community. Method. Non-randomized feasibility study. The intervention consisted of a twelve-month cognitive rehabilitation program, divided into eighteen ninety-minute sessions, administered by trained psychologists, and standardized according to the French ETNA3 program. To assess its feasibility, we determined the percentage of eligibility, acceptability, retention, and compliance and evaluated the adverse effects and degree of satisfaction in patients and their caregivers. Results. Thirty-two people with dementia and their caregivers agreed to participate. The mean age of the participants was 80 ± 8 years, the majority (72%) were women, and 78% had had five or more years of schooling. At twelve months, twenty-eight subjects (87%) completed the program with 100% compliance with the scheduled sessions. Discussion. This study shows the feasibility of an individualized cognitive rehabilitation program based on ETNA3 for Mexican subjects with mild dementia and their caregivers. Conclusion. More studies are required to evaluate the importance of trained therapists and caregiver support in achieving significant cognitive and functional changes in patients.

Lifestyle factors, physical health, and life satisfaction under different changes in depressive symptoms among Chinese community-dwelling older adults: A longitudinal analysis.

The study aims to investigate the long-term impact of lifestyle-related factors and physical health on life satisfaction and depressive symptoms among Chinese community-dwelling older adults. Using data from the China Health and Retirement Longitudinal Study (CHARLS), the analytic sample of this study included 1,068 older adults who had participated in the surveys in both 2011 and 2018. Multivariate regression was employed to analyze both cross-sectional and longitudinal relationships between lifestyle-related factors, physical health, and subjective well-being - specifically depressive symptoms and life satisfaction. Additionally, the model tested how these factors correlate with life satisfaction across different groups of depressive symptom changes among older adults, categorized as not at risk of depression, intermittent depression, and chronic depression. Multimorbidity was significantly related to baseline and follow-up depressive risk in older adults. Shorter sleep duration was associated with baseline depression risk. Current alcohol drinkers reported significantly more severe depressive symptoms than non-drinkers. At baseline, current smokers were more likely to have a lower degree of life satisfaction than nonsmokers. Among older adults with chronic depression at the 7-year follow-up, former smokers tended to have lower life satisfaction than nonsmokers. Our findings identified drinking alcohol and having a shorter sleep duration as modifiable lifestyle-related risk factors for late-life depression and smoking as a detrimental factor for life satisfaction in older Chinese adults. Multimorbidity was a significant predictor of more depressive symptoms. Our findings have implications for future psychosocial interventions that target the alleviation of depressive symptoms and the promotion of life satisfaction in older Chinese people based on their different long-term mental and physical health conditions.

The Keystone Flap: A Game Changer That Promises New Horizons in Reconstructive Surgery.

Since its first description emerged in 2003, the keystone flap has garnered the attention of the international scientific community due to its high safety profile and the suitably low complication rate associated with the reconstructive process. In this study, data were obtained from the performance of 72 keystone flaps to cover soft-tissue defects after the excision of neoplastic processes, excisions, and injuries occurring in polytrauma. The study was conducted in the Department of Plastic Surgery, "Bagdasar-Arseni" Emergency Hospital, Bucharest, and two plastic surgeons in the department performed the surgical procedures. The statistical analysis revealed a remarkably low complication rate (3.22%), excellent functional and esthetic results, and a short hospitalization time. No intraoperative complications were identified during this study. The degree of satisfaction obtained after reconstructive surgery was exceptionally high, with a score of 9.47 on a 10-point rating scale (0 = poor results, 10 = excellent results) from the patient's perspective and 9.51 out of 10 for the surgical team. The keystone flap is the optimal solution for reconstructing soft-tissue defects of variable sizes and shapes. It is associated with a low length of hospitalization, a low complication rate, and high patient satisfaction.

What Happens Post-Malone? An Investigation of Long-Term Postoperative Management of Antegrade Continence Enemas

BackgroundAn option for medically refractory fecal incontinence and/or constipation is the antegrade continence enema (ACE). We investigated ACE usage and its perceptions, including whether patients were able to discontinue use of the appendicostomy/cecostomy tube. MethodsPatients who underwent appendicostomy creation or cecostomy tube placement at two institutions between 2012 and 2021 were reviewed. Patients or parents/guardians were contacted for completion of a survey. Summary statistics for clinical data were tabulated and associations were evaluated with chi-square analysis. ResultsA total of 165 patients were included, including 92 (55.8%) males. Eighty-two (49.7%) surveys were completed. Most patients (51.5%) presented with fecal incontinence; 38 (23.3%) presented with constipation. More patients had a primary underlying diagnosis of anorectal malformation (39.4%), followed by functional constipation (21.2%), Hirschsprung disease (18.8%), and spinal malformation (17.6%). Thirty-six (21.8%) patients discontinued flushes by time of contact, with switch to laxatives being the most common reason (19%), followed by appendicostomy stricture/obstruction/closure (17%), switch to ileostomy/colostomy (17%), and patient preference (14%). There was no difference in patients’ ability to stop using flushes based on underlying diagnosis (p = 0.31). The majority (84.1%) of respondents were “very likely” to recommend antegrade enemas to other children with similar diagnosis and 76.8% reported being “very satisfied” that the operation was done. ConclusionsThere remains a high degree of satisfaction with antegrade continence enemas for children with constipation and fecal incontinence; some children may be able to stop using antegrade enemas with varied mechanisms including patient/family weaning versus with assistance and laxative trials. Type of StudyRetrospective cohort study. Level of EvidenceIII.

Characteristics and patient-reported outcomes of long-term cancer survivors after apatinib-based therapy: an online survey

BackgroundData on long-term cancer survivors treated with apatinib are lacking. This study aimed to describe the characteristics of long-term cancer survivors after apatinib-based therapy, and to know about their satisfaction degree with apatinib and severity of depression and insomnia.MethodsPatients with solid tumors who had received apatinib-based therapy for at least 5 years were invited to complete an online questionnaire. Characteristics of patients and treatment, knowledge of apatinib, satisfaction degree, and severity of depression and insomnia assessed by Patient Health Questionnaire-9 and Insomnia Severity Index were collected.ResultsBetween December 8, 2023 and March 1, 2024, a total of 436 patients completed the online questionnaire. Most patients were satisfied with the efficacy (96.6%) and safety (93.1%) of apatinib, were willing to continue apatinib treatment (99.5%), and would recommend apatinib to other patients (93.3%). Continuous apatinib treatment resulted in significant negative impact on daily life, work, or study in only two (0.5%) patients. Almost all patients currently had no or mild depression (97.0%) and insomnia (97.9%) problems. The most common patient-reported adverse events were hand-foot syndrome (21.3%) and hypertension (18.3%).ConclusionsOur survey showed a high satisfaction degree with apatinib in long-term cancer survivors. Long-term apatinib treatment resulted in almost no negative impact on patient’s quality of life.

Training Satisfaction of Moroccan Dental Residents at the Center of Dental Consultation and Treatment in Casablanca/ Morocco

Objective: The aim of this study was to evaluate the degree of satisfaction of resident doctors regarding their university hospital training at the Casablanca Dental Consultation and Treatment Center (CDCT) in Casablanca, Morocco, to improve the quality of teaching and educational tools. Method: We conducted a descriptive and transversal study in the University Hospital Center of Dental Consultation and Treatment of Casablanca between November 2021 and June 2022. All residents received an anonymous satisfaction questionnaire (N=40) with 31 questions. The analysis was carried out using Jamovi software. Results: 40 residents responded to the questionnaires, giving an overall response rate of 100%. The proportion of women was 85% (sex ratio M/F was 0.17). The age mean was 27.3± (1.5). The majority of the respondents were 1st-year residents with a percentage of 37.5%. Approximately 80% of residents were satisfied to very satisfied with their training. The supervision during the clinical internship was considered effective by the residents in 82.5% of the cases. The number of teachers was considered sufficient by 87.5% of the participants. The degree of satisfaction with the general atmosphere and the interpersonal relationship was 70%. Among the difficulties encountered, was the availability of dental chairs with a 67.5% satisfaction rate. Conclusion: The majority of the students find the supervision in our center satisfactory. This type of supervision is to be valued in the interest of the teacher and the student and consequently for the benefit of the population.

A sustainable recycling approach for construction: A case of remanufacturing waste rebar into steel nails

Minimizing waste in the construction industry provides economic and environmental benefits. Since steel has high embodied energy and many applications, recycling rebar waste contributes to a circular economy. This study proposes remanufacturing rebar into nails as a valuable by-product. In an experimental case-study to prove the technical feasibility of the process, short pieces of rebar waste were stripped to remove the ribs, welded into a coil, drawn to reduce the diameter, and formed into nails. The costs and technology of four alternative remanufacturing process portfolios were analyzed, giving an average profit of 576 USD/t of waste rebar. A cement consumption database was constructed based on literature data and regression analysis was applied to analyze the consumption of concrete and new rebar. The potential rebar waste was calculated assuming 3 %, 5 %, 8 %, or 10 % of the total new rebar consumption. Cement consumption data at the global and country scales were used to calculate the consumption rates of new and waste rebar to derive profit–remanufacturing potential curves. Regression analysis of these curves was performed to determine the economic sustainability degree of satisfaction (DSes). A second approach to find DSes applied regression analysis to the remanufacturing profits for the four rates of rebar waste together. The mean DSes values (0.62–0.87) and economic sustainability index (0.33) exceed the literature threshold of 0.6 and 0.26, respectively, indicating that remanufacturing rebar waste into steel nails is an economically sustainable business. The nails can be used in the construction industry to contribute to a circular economy, thereby reducing the environmental impact of steel waste and the production of new steel nails. The overall sustainability was considered by introducing Okun's Law to ensure that profitability is not achieved at the expense of development, and weighting the importance of economic sustainability based on literature averages. Rebar is used as a standard construction material globally, so these findings have broad significance. The proposed remanufacturing process is especially relevant for less-developed economies with higher rebar waste rates to stimulate small businesses and a circular construction industry.

Mobile Application System Efficiency and the Degree of User Satisfaction in Accessing Information

The purpose of this study was to explore the degree of user satisfaction with the use of mobile application systems to access information, specifically, the Moodle learning management system. Using quantitative methods, the authors explored user satisfaction in relation to system efficiency in accessing information and examined variables related to important demographic variables, such as local user location. The results showed that students were not afraid to use the Moodle learning management system but at the same time did not think Moodle was the best option for online learning because it continuously froze during exams, leading to student frustration. The results also showed that students were satisfied with information technology support when they needed it; however, they did not believe they received enough training to use Moodle. In addition, students did not find Moodle useful for online lectures because it does not have a live lecture feature.

A fuzzy multi-objective programming model for the delivery and distribution of humanitarian relief materials

Disaster relief presents many unique logistics challenges, including damaged transportation infrastructure, multiple conflicting goals, and secondary disasters caused by spontaneous disaster relief. The delivery and distribution of humanitarian relief materials faced by nonprofit organizations (NPOs) poses a critical challenge due to the highly unpredictable nature of disasters, conflicting missions, and the need to navigate government regulations in disaster management. In this paper, we propose a novel multi-objective disaster relief modeling system for NPOs, considering (1) prioritization (providing medical services to seriously injured victims), (2) effectiveness (degree of satisfaction), (3) efficiency (operational costs), and (4) equity (cost of maintaining order). To incorporate the practical constraints of disaster relief operations, we include factors such as road damage, transportation capacity limitations, and route flow saturation as part of the model formulation. We then utilize fuzzy multi-objective programming to optimize the proposed disaster relief model, considering two relief distribution schemes: a common NPOs' spontaneous relief scheme and a newly designed traffic control scheme with government regulation. Based on the real-world scenario of the 2008 Wenchuan earthquake, we demonstrate that the designed traffic control scheme exhibited remarkable improvement among the NPOs' four objectives compared to the spontaneous relief scheme. Moreover, in the process of solving fuzzy multi-objective programming problems, artificial intelligence technology is employed to handle the fuzziness in multi-objective and automatically adjust parameters, making the solution results better and in line with practical situations. And we also validate the proposed model can be solved in polynomial time, meeting the engineering practice requirements, and can be easily extend to most disaster relief distribution scenarios.