Level Of Patient Satisfaction Research Articles

Improving Venous Thromboembolism Prophylaxis Through Service Integration, Policy Enhancement, and Health Informatics.

Venous thromboembolism (VTE) prevention and management are susceptible issues that require specific rules to sustain and oversee their functioning, as preventing VTE is a vital patient safety priority. This paper aims to investigate and provide recommendations for VTE assessment and reassessment through policy enhancement and development. We reviewed different papers and policies to propose recommendations and theme analysis for policy modifications and enhancements to improve VTE prophylaxis and management. Recommendations were set to enhance the overall work of VTE prophylaxis, where the current VTE protocols and policies must ensure high levels of patient safety and satisfaction. The recommendations included working through a well-organized multidisciplinary team and staff engagement to support and enhance VTE's work. Nurses', pharmacists', and physical therapists' involvement in setting up the plan and prevention is the way to share the knowledge and paradigm of experience to standardize the management. Promoting policies regarding VTE prophylaxis assessment and reassessment using electronic modules as a part of the digital health process was proposed. A deep understanding of the underlying issues and the incorporation of generic policy recommendations were set. This article presents recommendations for stakeholders, social media platforms, and healthcare practitioners to enhance VTE prophylaxis and management.

Assessment of Patient Satisfaction and Functional Outcomes in Orthognathic Surgery.

Orthognathic surgery is a surgical procedure performed to correct severe jaw misalignments that can affect a patient's facial aesthetics and functional occlusion. While the primary goal of orthognathic surgery is to improve functional outcomes and facial appearance, it is essential to assess patient satisfaction as a crucial aspect of overall treatment success. Patient selection: We conducted a prospective study involving 50 patients who underwent orthognathic surgery. All patients had a confirmed diagnosis of severe jaw misalignment, as determined by clinical and radiographic assessments. The surgical procedures performed included maxillary advancement, mandibular setback, or a combination of both, depending on the patient's specific diagnosis. Preoperative orthodontic treatment was provided to align the teeth and prepare the patient for surgery. Patients were evaluated preoperatively and at postoperative intervals of 3 months, 6 months, and 1 year. Patient satisfaction scores and functional outcomes were as follows: aesthetics of facial profile (1-year post-op): mean score = 4.6, chewing function (1-year post-op): mean score = 4.4, speech function (1-year post-op): mean score = 4.3, and overall satisfaction with surgical outcome (1-year post-op): mean score = 4.5. Objective assessments revealed a significant improvement in occlusion and facial aesthetics. The mean reduction in overjet was 4.8 mm, and the mean reduction in overbite was 3.2 mm. Additionally, the mean postoperative ANB angle improved by 3.7°, indicating a better facial balance. Orthognathic surgery in our cohort of 50 patients resulted in high levels of patient satisfaction with both functional outcomes and facial aesthetics. Objective measurements also indicated significant improvements in occlusion and facial balance.

Aesthetic Outcome and Patient Perception of Immediate vs. Delayed Loading of Implant-Supported Single Crowns: A Randomized Controlled Trial

ABSTRACT Background: This randomized controlled trial aimed to compare the aesthetic outcome and patient perception of immediate versus DL of implant-supported single crowns. Methods: A total of 60 patients with a single missing tooth were enrolled and randomly assigned to two groups: immediate loading (IL) and delayed loading (DL). Each group consisted of 30 patients with a total of 30 implants. In the IL group, crowns were loaded onto implants immediately after placement, while in the DL group, a healing period of 3 months was observed before crown placement. Aesthetic outcome was assessed using the Pink Esthetic Score (PES) for soft tissue and the White Esthetic Score (WES) for the crown. Patient perception was evaluated through a visual analog scale (VAS) for satisfaction, comfort, and overall experience. Results: The IL group demonstrated comparable aesthetic outcomes to the DL group, with mean PES and WES scores of 10.2 ± 1.5 and 8.7 ± 1.2, respectively, in the IL group, and 10.5 ± 1.3 and 8.5 ± 1.4 in the DL group. Patient perception in terms of satisfaction, comfort, and overall experience was similarly high in both groups, with VAS scores above 8 for each parameter. Conclusion: This randomized controlled trial suggests that both IL and DL of implant-supported single crowns result in favorable aesthetic outcomes and high levels of patient satisfaction.

Perioperative duloxetine improves postoperative outcomes after anterior talofibular ligament repair for chronic lateral ankle instability for patients with depression: A prospective randomized clinical trial

BackgroundRecent studies have indicated that depression is associated with persistent postoperative pain and decreased satisfaction following foot and ankle surgery. This study aimed to evaluate the effect of perioperative duloxetine on postoperative outcomes of anterior talofibular ligament (ATFL) surgical repair for chronic ankle instability (CAI) in patients with depression. We further sought to evaluate patients’ satisfaction and side effects related to duloxetine. Material and methodsPatients undergoing ATFL repair were screened for depression preoperatively with the Patient Health Questionnaire (PHQ-9). Among 249 patients who underwent arthroscopic or open surgical Brostrom repair of the ATFL, 120 patients were identified as being “possibly depressed” and were included in the study. Sixty patients were randomly assigned to the duloxetine group (one day preoperatively and for 6 weeks postoperatively), and the other sixty were randomized to the placebo group. Painkillers and opioid consumption, pain scores, and patient satisfaction were recorded at 12, 24, 48, and 72hours postoperatively and at follow-up visits 1, 3, and 6 months after surgery. Patient-reported outcome measures (PROMs) were assessed preoperatively and at 3, 6, 12 and 24 months postoperatively. Duloxetine-related side effects such as nausea/vomiting and fatigue were also recorded. ResultsThe patients in the duloxetine group reported a significantly longer time to rescue analgesic and reduced opioid requirements (including celecoxib, pregabalin, acetaminophen, and tramadol). The patients experienced decreased pain intensity and greater satisfaction with their pain management at 24, 48, 72h and 1 and 3 months after surgery (p<0.05). The duloxetine group also had significantly better clinical and functional outcomes at 3 and 6 months of follow-up compared to the placebo group (p<0.05). The occurrence and rate of symptoms of duloxetine side effects were not significant. DiscussionDepression is an important factor to consider and address because its presence before surgery can predict poor postoperative outcomes, including more severe postoperative pain, persistent postoperative pain, and increased consumption of painkillers and opioids. ConclusionPerioperative administration of duloxetine following ATFL repair for CAI in patients with depression increased the time to first postoperative rescue analgesic request and reduced both opioid consumption and postoperative pain. This approach also led to a high level of patient satisfaction. In addition, duloxetine improved the quality of recovery without leading to significant side effects. Level of evidenceI; prospective randomized controlled trial.

Changing the liver transplant assessment process from inpatient to a day-case and outpatient approach to reduce inpatient bed utlisation

The liver transplant assessment process involves a complex set of tests and clinical reviews to determine suitability for liver transplantation. We had an assessment process involving a 3-day inpatient stay...

Carotenoids in red fruit (Pandanusconoideus Lam.) have a potential role as an anti‑pigmentation agent (Review).

Melasma is a persistent condition characterized by excessive melanin production in the skin. The management of melasma necessitates a protracted treatment duration, which is associated with diminished levels of patient satisfaction. One effective strategy for mitigating occurrence of melasma is consumption of nutricosmetics with depigmentation properties. The present review aimed to investigate the potential of red fruit as a depigmentation agent. Carotenoids serve a crucial role in human nutrition as a precursor to vitamin A. Carotenoids serve as scavengers of reactive oxygen species generated by ultraviolet radiation. Carotenoids promote skin health. Red fruit, a fruit originating from Papua (Indonesia) has anti-pigmentation properties associated with its ability to block melanogenesis through various protein pathways such as PKA, ERK, and AKT signaling pathways. The consumption of food rich in carotenoids, such as red fruit, has advantageous properties to reduce hyperpigmentation and skin brightening.

GAMBARAN TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN KEFARMASIAN DI APOTEK EMPUNALA PERIODE MARET – MEI 2023

Pharmaceutical services are health services that have an important role in realizing health quality. Pharmaceutical services apart from being a 2 demand for professionalism such as a factor that attracts consumers' interest in purchasing drugs at pharmacies in order to obtain patient satisfaction. The purpose of this study was to describe the level of patient satisfaction with pharmaceutical services at the Empunala Drug store and to improve the quality of pharmaceutical services at the Empunala Drug store. This Research is descriptive non-experimental with incidental sampling, data collection using a questionnaire. The results of the study on the level of patient satisfaction with pharmaceutical services at the Empunala Drug store period March until May 2023 concluded on the Reliability dimension is 76%, the Responsiveness dimension is 78%, the Assurance dimension is 78%, the Emphaty dimension is 77%, and the Tangible dimension is 80%.

MANUAL METHOD FOR GINGIVAL SHADE SELECTION- A LITERATURE REVIEW

Objective- The purpose of the article is to present a narrative review of the literature related to the different shade guides available for dental practitioners. Materials And Methods- A literature search was performed in the online databases – PubMed, Science Direct, Medline and Google Scholar with the following When fabricating a restoration, patient satisfaction with the shade match is essential. The patients level of satisfaction may not be the same as that of the dental practitioner. Esthetic expectations have dramatically increased in the last few years. Color and shade determination are generally considered difficult in dental practice. Most prostheses fail esthetically owing to improper shade selection. A good understanding of color shade guides is essential for precise shade matching, but the paucity of dental practitioners knowledge of color science because of the numerous available shade guides creates a challenge. This comprehensive review states information on shade selection, different shade guides, and shade matching devices commonly used in dental practice. Dental shade guides are a set of colour standards mimicking the colour of tissues, which dentists aim to restore – tooth structures, gingival tissues or facial structures in facial prosthodontics - skin, mucosa, eyes etc. They can be systematized based on the following principles – fabrication process, the material of manufacturing or restoration and according to the tissues, which are restored. Conclusion: To provide an esthetic restoration to the patient, the dentist must have a full understanding of the science of color and color perception. Matching the correct shade satisfies both the dentist and patient and gives a pleasing appearance to the patient.

Importance Performance Analysis (IPA) of Patient Satisfaction with Fuzzy Logic at the Rumbai Maternity Clinic

This study focuses on the level of patient satisfaction at the Rumbai Maternity Clinic. Quality of service is the main key that influences patient trust and satisfaction with this health facility. Therefore, the purpose of this study was to analyze patient satisfaction with the Importance Performance Analysis (IPA) method using fuzzy logic. This study will identify service attributes that are considered important by patients and evaluate the extent to which patient expectations have been met at the clinic. Attributes studied include cleanliness of facilities, courtesy of medical staff, availability of medicines, quality of medical services, information conveyed to patients, and others. The (IPA) method will help measure the level of importance and performance of each service attribute based on patient perceptions. Fuzzy logic is used to overcome the complexity and subjectivity of assessing patient satisfaction. The results of this study are expected to provide a comprehensive picture of patient perceptions and satisfaction at the Rumbai Maternity Clinic. Clinical management can use the results of this study to identify service improvement priorities and increase patient satisfaction. The scientific contribution of this research lies in combining the IPA method and fuzzy logic in the analysis of patient satisfaction. Thus, this research has the potential to help improve the quality of health services at the Rumbai Maternity Clinic and can be applied as a guide for developing similar methods in other health facilities.

Patient Satisfaction in Neurosurgery Clinic.

National commercial surveys are used to assess patient satisfaction. However, the information obtained does not always correspond tothe clinical situation and therefore may be inadequate to help improve a specific patient experience when through no fault of its design, results in low response rates and inadequate specifics. The objective is to investigate patient satisfaction using real-time in-person patient experience survey responses at the end of a neurosurgical clinic visit and review the results from these survey responses and those from national commercial survey responses provided by the hospital for the ability to affect change. This is a prospective study from October 2023 to December 2023 during which a paper copy of 10 questionnaires derived from a national commercial outpatient clinical survey was given to every unique patient who was neurologically capable of filling it out at the end of his or her neurosurgery clinic visit. The electronic medical record was used to collect patient demographics and details of the clinic visit. National commercial survey responses from July 2022 to November 2023 provided by the hospital were reviewed. A total of 149 patients were seen in the neurosurgery clinic from October 2023 to December 2023, 121 patients were given the in-person patient satisfaction survey, and the response rate was 100%. The mean age was 46.5 years with females constituted 45.5% of the patient sample. The visit type included 46 (38.0%) new patients, 53 (43.8%) returning patients, and 22 (18.2%) post-op patients, of which 45.5% presented with cranial pathologies. Comparing the patient satisfaction level between those seen by one provider and those seen by two providers, such as resident, or mid-level with attending, patients seen by two providers were less satisfied with "feeling respected by the providers" (4.92 vs. 4.64, p=0.0088), "feeling listened to by the providers" (4.84 vs. 4.50, p=0.0180), and "feeling appreciated that the providers discussed illness prevention" (4.72 vs. 4.29, p=0.0232). Due to a lack of necessary information from our national commercial outpatient clinic survey responses provided by the hospital, a direct comparison between the in-person survey and our national commercial outpatient clinic survey was not made. Patient satisfaction surveys when not given in real-time in-person run the risk of low response rate and lack of specifics to help guide providers in quality improvement. Our data supports the use of real-time in-person patient satisfaction surveys that not only increase response rate but also provide useful information to help improve patient experience.

Tingkat Kepuasan Pasien Rawat Jalan Terhadap Mutu Pelayanan Kesehatan Di Unit Poli Umum Puskesmas Bolou Kecamatan Sabu Timur Tahun 2023

Patient satisfaction embodies patient loyalty to health services that can provide maximum service quality. Calculating the level of patient satisfaction is an indicator of the quality of health services. The total number of outpatients visiting the Bolou Community Health Center in 2020 was 6,477, in 2021 there were 3,571, in 2022 there were 1,834 and in 2023 there were 3,970. This shows that over the last four years patients visiting the Bolou Community Health Center have decreased. The decline that occurred in the level of outpatient satisfaction in the General Poly Unit was 42% in 2021, 35% in 2022, and 27% in 2023. To find out the description of outpatient satisfaction in the General Poly Unit which includes the dimensions of tangible, reliability, responsiveness, assurance and empathy, this research was conducted. The type of research used is quantitative research with a descriptive design where this research is carried out with the aim of describing an objective condition. The population in this study was all outpatients at the General Polyclinic in 2023, totaling 3,970 patients. The sample in this research was an accidental sampling technique, namely 94 samples. The questionnaire measuring tool is the instrument in this research. Univariate analysis is the analysis used in research. research results, the description of the tangible aspect with the most indicator achievements expressed satisfaction (70.2%), the description of the reliability aspect with the most indicator achievements expressed satisfaction (58.5%), the description of the responsiveness aspect with the most indicator achievements expressed dissatisfaction (52.1%) , the description of the assurance aspect with the most indicator achievements expressed satisfaction (61.7%), the description of the empathy aspect with the most indicator achievements expressed satisfaction (53.2%).

The Role of TAP/RS Block in Minor Gynecologic Laparoscopic Surgery: A Randomized Clinical Trial

Objectives: The aim of the study was to compare, in patients undergoing minor gynecological laparoscopic procedures, the effects of ultrasound (US)-guided transversus abdominis plane (TAP) + rectus sheath (RS) block versus no TAP/RS block in terms of post-surgical pain control using the numeric pain rating scale (NRS) and the degree of patient satisfaction, according to the main goals of Early Recovery After Surgery (ERAS) programs. The primary outcome is to value the postoperative abdominal pain using NRS in both groups. Secondary outcomes are to evaluate blood values, presence of postoperative nausea and vomiting (PONV), postoperative ileus, level of patient expected satisfaction, time of discharge, length of stay (LOS), and the amounts of additional analgesics required. Design: In this prospective randomized controlled trial, patients were randomly assigned to loco-regional anesthesia (LRA) group, who received TAP and RS block under US guidance, or no loco-regional anesthesia (N-LRA) group. Enrolled patients were randomized 1:1 to either receive bilateral TAP/RS block with ropivacaine or sham treatment (patches were applied on the abdominal wall of the patients under general anesthesia). Participants: All patients aged between 18 and 75 years, with ASA (American Society of Anesthesiologists) physical status 1-2, undergoing laparoscopic minor gynecological surgery, were enrolled. Setting: The study was conducted to the University of Campus Bio-Medico Hospital of Rome. Methods: Half an hour before surgery, all patients received gabapentin 300 mg per os. Once the patient underwent general anesthesia, US-guided bilateral TAP/RS block was performed by the anesthesiology team, while the uterine manipulator was positioned by a gynecology resident (not involved in the study). In the operative room, all patients received the same standardized anesthetic regimen. Postoperative abdominal pain was assessed at rest, after palpation, during movement, and after a cough by evaluating the patient at 6, 12, 18, 24, 36, 48, and 72 h after surgery, using the NRS from 0 to 10 in both groups. The amount of drug used for analgesia in the first 48 h after surgery was recorded. Moreover, hemoglobin, white blood cells, and c-reactive protein levels were recorded at 24, 48, and 72 h. The presence of PONV and the postoperative ileus was recorded throughout convalescence. The expected level of patient satisfaction at discharge and finally the LOS were assessed. Limitations: The major weakness of this study is that 60 mL of 0.5% ropivacaine was administered to each patient, without considering weight differences, yet contemporary literature rarely suggests volume/dose titration in fascial blocks. Results: A total of 104 women, undergoing gynecological minor laparoscopic surgery, were enrolled and assigned to LRA group (53 pts) and N-LRA group (51 pts). Postoperative pain was significantly reduced in patients who received TAP/RS block. A reduction in the intake of non-steroidal anti-inflammatory drugs after surgery was registered in LRA group (p < 0.01). Moreover, a significant reduction of LOS (45.97 ± 9.87 vs. 65.08 ± 17.32 h; p < 0.01) and PONV was observed in the LRA group, as well as a better level of patient satisfaction at discharge (9.43 ± 0.94 vs. 8.26 ± 1.19; p < 0.01), compared to the N-LRA group. Conclusions: US-guided TAP and RS block significantly reduces postoperative pain after minor gynecologic laparoscopic surgery and improves patients’ post-operative recovery.

Artificial Intelligence in Remote Monitoring and Telemedicine

Telemedicine, remote monitoring coupled with Artificial Intelligence innovations are redesigning the face of the healthcare sector in record way and increasing satisfaction levels for patients’ clinical enhancements, reduced charges and increased effectiveness in the delivery of services. The applied and advanced AI technologies consist of machine learning, natural language processing, and predictive analytics used in applications for RPM, PT, and VC. In RPM, AI augments the processes of data aggregation and data analysis of patients’ real-time health data from wearable and other digital health technologies. The former capability makes it possible to check for the possible infections, caretaker interferences, and regular management of recurring diseases. For example, AI can help in anticipating incidents such as heart attacks based on previous data of patients, thus preventive care is implemented. On the other hand, AI is incorporated in telemedicine through applying virtual health assistance, diagnostic tools and even chats. With the help of AI, virtual assistants can filter patients’ complaints, give first-stages diagnoses, and suggest necessary treatments, which will decrease loads of clinicians and increase availability of medical services. This review analyses the current uses, advantages and disadvantages of AI in remote observation and m-telemedicine. Here the details what kind of AI technologies implied in different spheres of healthcare, diagnosing, treatment planning, and individual therapies. Also, it examines how the responsible AI should be implemented ethically in a healthcare setting. Moreover, it presents the further prospects of AI in telemedicine which underlines the importance of AI development and enhancement of patient treatment.

2046 Outcomes of exercise practitioner-led physical activity in hospitalised older people: Saints Foundation - UHS Partnership

Abstract Background University Hospital Southampton (UHS) partnered with Saints Foundation (SF), to test the feasibility and acceptability of a non-registered Exercise Practitioner (EP) to work alongside the therapy team to promote physical activity (PA) of hospitalised older people. Our aim was to collect trust level data to review the impact the EP had on outcomes such as length of stay (LOS) and discharge destination (DD) and identify and address any additional challenges that arose. Methods The EP delivered twice weekly gym-based group interventions as well as regular 1:1 rehabilitation and education sessions to hospitalised older patients. Interventions were ward based or within the acute therapy gym. Results From June to August 2023, the EP reviewed 82 patients, mean age of 88 years. 15 (18%) patients underwent 1:1 rehabilitation whereas 67 (82%) patients underwent gym-based rehabilitation sessions. Median LOS for patients reviewed by the EP was 15 days compared with average departmental LOS of 8 days. 53 (65%) patients were able to either maintain or improve their predicted to actual discharge destination, compared with 10 (12%) patients whose physical capability declined. Of those remaining, 1 patient died and 18 others had not yet been discharged. High patient satisfaction levels continued to be reported. Conclusion Intervention by a non-registered EP appears to have an impact on patients’ ability to maintain or improve level of function and physical dependency during acute hospital stay. Factors such as outbreaks of infectious illness and staffing challenges prevented more frequent EP led intervention. Next steps include introducing daily class-based interventions. Participants will be encouraged to attend at least three classes. Anticipated benefits include improvement in patients’ functional levels and reductions in physical dependency on discharge. Additional data will be collected on fear of falling and confidence in function as well as uptake of post discharge activity and readmission.

The Mediating Effect of Patient Satisfaction in The Effect of Service Quality on Patient Loyalty

Background: Pharmaceutical services are a form of health service that directly connects patients with pharmaceutical preparations. The quality of service greatly determines the level of patient satisfaction. Service quality and patient satisfaction are factors that influence patient loyalty. Method: The data analysis technique that will be used to test this research uses the Partial Least Square (PLS) method which is operated using SMARTPLS 4.0. Results: Service quality has a significant effect on patient satisfaction and patient loyalty, patient satisfaction has a significant effect on patient loyalty, and service quality has a significant effect on patient loyalty which is mediated by patient satisfaction. Conclusion: When a hospital provides better quality service than before, it will have an impact on high patient satisfaction and patient loyalty. The more positive patient satisfaction is, the more patient loyalty will increase. When service quality is improved, a positive perception of patient satisfaction arises, which can encourage increased patient loyalty.

Patient Satisfaction Levels in One of the Private Hospital in Padang City

Improving patient care is a priority for health service providers, with the aim of achieving optimal levels of patient satisfaction. Based on patient satisfaction data, the level of patient satisfaction in 2022 still doesn't meet the minimum service standard. It was also found that there were many complaints about the services provided at outpatient clinics. This research aims to determine the level of patient satisfaction based on satisfaction indicators and analyze which attributes are priority problems. The research method uses a sequential explanatory method. Data was obtained from 167 respondents and nine informants. Data analysis uses descriptive analysis and Cartesian diagrams. Qualitative research was carried out using in-depth interviews, observations, and reviews of related documents. Research results showed that the level of patient satisfaction was 72.5%. Based on the five dimensions of service quality, the level of patient satisfaction was found to not meet service standards. There are four main priority problems to be addressed: service registration procedures, inappropriate arrival times for doctors, staff attitudes and communication that aren't optimal, and waiting times for medicines that don't meet standards. It was concluded that the level of patient satisfaction still doesn’t meet the minimum service standards. Keywords: Outpatient care, patient satisfaction, service quality

Analgesic Effect of Quadratus Lumborum Block Type III and Type II Versus Lateral Transversus Abdominis Plane Block in Cesarean Section: A Randomized Controlled Multicenter Trial.

Appropriate pain management promotes immediate mobilization and allows the parturient to adequately care for her neonate after cesarean section (CS). This trial objective was to compare the type III and type II quadratus lumborum block (QLB) to transversus abdominis plane block (TAPB) regarding postoperative analgesic effect in CS. This randomized, controlled, single-blind trial involved 60 women presenting for CS under spinal anesthesia. The patients were assigned randomly to either the QLB type III, QLB type II, or lateral TAPB group. All blocks were performed using 20 mL of bupivacaine 0.25% bilaterally at the end of the operation with ultrasound guidance. Pain was assessed using the numerical rating scale (NRS) score at the post-anesthesia care unit (PACU) at 2, 4, 6, 8, 12, 18, and 24 hours. The level of patient satisfaction was graded on a 5-point Likert scale. Numerical rating scale measurements at 6, 8, and 12 hours and total consumed meperidine in the 1st 24 hours after the operation were reduced significantly in QLB III than in QLB II and TAPB groups (P < 0.05) with an insignificant difference between the QLB II and TAPB groups (P > 0.05). The onset of the first request for analgesia was delayed significantly in QLB III, compared to QLB II and TAPB groups (P < 0.05), without a significant difference between the QLB II and TAPB groups (P > 0.05). Patient satisfaction and adverse events (e.g., postoperative nausea and vomiting, bradycardia, and hypotension) exhibited insignificant differences among the three groups (P > 0.05). The QLB type III ensured better analgesia as evidenced by significantly lower pain measurements and amount of meperidine in the first 24 hours after the operation with delayed time of the first rescue analgesia in comparison to QLB II and TAPB; however, QLB II and TAPB were similar.

Outcomes of Surgical Treatment of Vaughan-Jackson Syndrome.

Background Vaughan-Jackson syndrome (VJS) is the attritional rupture of the extensor tendons secondary to arthritis or inflammation affecting the distal radioulnar joint. The surgical outcomes following Darrach's procedure and tendon transfers are not well described. The primary aim of this study was to report patient-reported functional outcome measures after surgery for VJS. Secondary aims were to report health-related quality-of-life scores, patient satisfaction, and complications Methods A single-center retrospective study was performed to identify patients who underwent surgical intervention for the management of VJS. Patient-reported outcomes were measured using the Patient-Rated Wrist and Hand Evaluation (PRWHE), Quick version of the Disability of the Arm, Shoulder, and Hand (QuickDASH), EuroQoL 5-dimensions 5-Likert (EQ-5D-5L), and calculation of the Net Promoter Score (NPS). Results We report postoperative patient-reported functional outcome measures for 12 cases of VJS treated with distal ulna excision and extensor tendon transfer. The mean age was 69 years (range: 45-87 years; standard deviation [SD]: 14.1), and eight patients were females. Five patients had rheumatoid arthritis, and there was one case each of seronegative polyarthritis, ankylosing spondylitis, and CREST (calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia.) syndrome; the rest of the patients had osteoarthritis. At a mean of 53 months of follow-up, the mean PRWHE score was 34.5 (SD: 17.9), the mean QuickDASH score was 28.2 (SD: 18.6), and the mean EQ-5D-5L score was 0.71 (SD: 0.203). Ten patients were satisfied and the NPS was 42. Postoperatively eight patients had pain scores reported as none or mild, three as moderate, and one as severe. Two patients required further operations, both undergoing total wrist arthrodesis. Conclusion Although a degree of functional deficit persists after Darrach's procedure and tendon transfer for treatment of VJS, there are also high levels of patient satisfaction, a good NPS, and a low rate of operative reintervention. Level IV evidence.

Predictors of Patients` Satisfaction with Nursing Care Delivery Among Patients in Mbodo Aluu Health Center, Rivers State

Patients’ satisfaction is a vital evaluation that should be made often for improved service delivery. Patients’ satisfaction is key to improving quality of care. Patients have a right to quality care and information regarding their health and treatment regimen. This study assessed the predictors of patients` satisfaction with nursing care delivery among patients in Mbodo Aluu Health Center, Rivers State. Descriptive survey design was used for the study. A sample of 160patients were selected from Mbodo Aluu Health Center in Rivers State. A simple random sample technique was adopted to select the participants who met the inclusion criteria into the study. Data were collected using a self-developed questionnaire. Face and content validity of the questionnaire were ensured. The reliability of the questionnaire was ascertained using test re-test method and Cronbach’s alpha coefficient was 0.78. Data collected were processed using Statistical Package for Social Sciences (SPSS) version 23. Research questions and hypotheses were answered using descriptive statistics of mean, standard deviation, percentage t-test, PPMC and Chi-squaretested at 0.05 level of significance. Results revealed the overall satisfaction levels of the patient receiving nursing care to be fair,while hospital environment, nurses’ disposition to work, attitude of the nurses, supply of information by the nurses to the patients, and respect for privacy are the factors that affect the satisfaction level of patient. Also, nurses’ behavior or care affects patients’ health \recovery of health. It was revealed further that male and female patients do not differ in their level of satisfaction and the care received; while a positive significant relationship was found between respondent’s length of hospital stays, level of education, and their satisfaction with nursing care received. It is concluded that nurses’ care attributes and hospital environments are strong predictors of patients’ satisfaction. Therefore, it is recommended that to increase satisfaction with nursing care, greater emphasis should be given to patient privacy, freedom and communication.

Analyzing patients satisfaction level for medical services using twitter data.

Public concern regarding health systems has experienced a rapid surge during the last two years due to the COVID-19 outbreak. Accordingly, medical professionals and health-related institutions reach out to patients and seek feedback to analyze, monitor, and uplift medical services. Such views and perceptions are often shared on social media platforms like Facebook, Instagram, Twitter, etc. Twitter is the most popular and commonly used by the researcher as an online platform for instant access to real-time news, opinions, and discussion. Its trending hashtags (#) and viral content make it an ideal hub for monitoring public opinion on a variety of topics. The tweets are extracted using three hashtags #healthcare, #healthcare services, and #medical facilities. Also, location and tweet sentiment analysis are considered in this study. Several recent studies deployed Twitter datasets using ML and DL models, but the results show lower accuracy. In addition, the studies did not perform extensive comparative analysis and lack validation. This study addresses two research questions: first, what are the sentiments of people toward medical services worldwide? and second, how effective are the machine learning and deep learning approaches for the classification of sentiment on healthcare tweets? Experiments are performed using several well-known machine learning models including support vector machine, logistic regression, Gaussian naive Bayes, extra tree classifier, k nearest neighbor, random forest, decision tree, and AdaBoost. In addition, this study proposes a transfer learning-based LSTM-ETC model that effectively predicts the customer's satisfaction level from the healthcare dataset. Results indicate that despite the best performance by the ETC model with an 0.88 accuracy score, the proposed model outperforms with a 0.95 accuracy score. Predominantly, the people are happy about the provided medical services as the ratio of the positive sentiments is substantially higher than the negative sentiments. The sentiments, either positive or negative, play a crucial role in making important decisions through customer feedback and enhancing quality.