Level Of Satisfaction Research Articles

ANALISIS TINGKAT KEPUASAN MASYARAKAT TERHADAP PELAYANAN PADA KANTOR IMIGRASI KELAS I KHUSUS TPI NGURAH RAI

This research was conducted to analyze the level of public satisfaction with services at the TPI Ngurah Rai Special Class I Immigration Office, which was motivated by the high number of complaints and requests for information as well as the lowest rating from Google reviews among other immigration offices in Bali. The results of previous research show varying results regarding the influence of tangible, reliability, responsiveness, assurance and empathy aspects on community satisfaction. The aim of this research is to determine the effect of service quality using ServQual (tangible, reliability, responsiveness, assurance and empathy) on community satisfaction at the TPI Ngurah Rai Special Class I Immigration Office partially and simultaneously. This research uses descriptive quantitative methods. The total sample was 100 respondents with sampling using the accidental sampling method. The data analysis technique uses multiple linear regression analysis with hypothesis testing using the t test and F test. The results simultaneously show that the variables tangible, reliability, responsiveness, assurance and empathy have a significant effect on community satisfaction. Partial results show that the tangible and assurance variables do not have a significant effect on community satisfaction, the empathy variable has a negative but not significant effect on community satisfaction, and the reliability and responsiveness variables have a significant influence on community satisfaction. The determination test showed that 62.9% of the variation in community satisfaction variables could be influenced by tangible, reliability, responsiveness, assurance and empathy variables.

KUALITAS APLIKAIS MOBILE JKN TERHADAP KEPUASAN PENGGUNA DI BPJS KESEHATAN CABANG SINGARAJA

The purpose of this study is to determine the level of satisfaction of BPJS Health Singaraja Branch users regarding the quality of the JKN mobil application. The survey used in this research used quantitative methods. The implementation of this research took place at BPJS Health Singaraja Branch. The research sample was random. Data collection was carried out using a questionnaire which was distributed directly to the community using the JKN mobile application. We chose 100 people who used the Mobile JKN application as respondents. The analytical method used in this research is the SPSS version 18 model. All relationships investigated show significant positive results in terms of service quality, system quality and information quality, which influence user satisfaction of the JKN mobile application. For this reason, BPJS Health Singaraja Branch is expected to be able to improve the quality of the application so that it remains an online administration tool. The realization of user satisfaction will have an impact on the survival of the BPJS Health Singaraja Branch which is influenced by Service Quality, System Quality and Information Quality from the Mobile JKN application itself.

Affordability, Accessibility, and Quality of Maternal Health Care Services and Level of Satisfaction of Mothers in Rural Areas in China

Objective: This study aimed to understand the affordability, accessibility, and quality of maternal and child health services for postpartum mothers, and their impact on satisfaction. Methods: The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire. A survey was conducted among 289 mothers aged 20–49 in Feicheng City. Results: Regarding accessibility, most respondents (133) reported that travel time to healthcare services exceeded 60 minutes, while 99 respondents indicated a travel time of 16–30 minutes. The issue of affordability was highlighted, with 86.85% of participants perceiving maternal healthcare services as costly, indicating a significant financial burden. More than 50% of respondents were satisfied with two specific dimensions (P < 0.05) regarding the quality of maternal healthcare services. Conclusion: The study found that accessibility, affordability, and quality significantly affect mothers’ satisfaction with maternal health services. Future research should focus on developing more suitable service pathways for rural mothers.

SPIDOL study protocol for the assessment of intrathecal ziconotide antalgic efficacy for severe refractory neuropathic pain due to spinal cord lesions

RationaleCentral neuropathic pain resulting from spinal cord injury is notoriously debilitating and difficult to treat with few currently available treatments. A novel molecule with intrathecal administration: Ziconotide has been approved for treatment of refractory neuropathic pain in general. It acts as a presynaptic calcium channel blocker. A pilot study has shown its potential in SCI neuropathic pain patients.ObjectiveThe aim of this study is to determine the long-term (6 months) efficacy of chronic intrathecal ziconotide for the treatment of neuropathic SCI pain.Study designMulticenter, Randomized, Comparative, Placebo controlled, Double blind clinical trial, with a crossover of random alternated periods of 6 months (placebo or ITZ) for a total of 15 months including a total of 44 patients.Study population• Patients with SCI of various etiologies exhibiting neuropathic pain refractory to non-invasive treatments.• > 18 years.InterventionIntrathecal administration of ziconotide via an implanted pump.Study outcomesPrimary study outcomeDifference in pain intensity for all patients between effective treatment and placebo periods.Secondary study outcomes1. Continuous evaluation of pain intensity.2. Percentage of patients with at least 30% of pain reduction.3. Satisfaction level of the patient pain relief.4. Declarations of serious adverse events.5. Duration and intensity of spontaneous and provoked pain.6. Quality of life.7. Patient global impression of change.8. Quantification of daily dosages of analgesic drug intake.9. Long term memory and neurocognitive effects.10. Assessment of the patient’s physical and emotional distress.Nature and extent of the burden and risks associated with participation, benefit, and group relatednessParticipation in this study is in accordance with current treatment protocols for SCI neuropathic pain in France therefore it proposes a treatment that would currently be considered regular practice even though no RCT evidence is yet available. The study gives patients the advantage of directly testing versus placebo a treatment that otherwise entails significant constraints.A Data Safety Monitoring board (DSMB) will be created for continuous safety analysis. Furthermore, patients will be followed in specialized pain centers offering the possibility of continuing their treatment after the study period.

Polycystic Ovary Syndrome: A Comprehensive Exploration of Diagnosis Experience in Saudi Women.

Background/Objectives: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder among women of reproductive age, characterized by symptoms such as menstrual irregularities, hyperandrogenism, and polycystic ovaries. This study aimed to explore the diagnostic experiences of women with PCOS in Saudi Arabia, evaluating the timeline to diagnosis, the adequacy of information provided, and overall patient satisfaction with the healthcare process. Methods: A cross-sectional online survey was conducted with 1182 women diagnosed with PCOS across Saudi Arabia. The survey collected data on sociodemographic characteristics, the timeline from symptom onset to diagnosis, the number of healthcare visits required for diagnosis, and satisfaction with the information and support provided during the diagnostic process. Statistical analyses, including linear regression, were performed to identify factors influencing patient satisfaction. Results: The study found that 43.2% of participants sought medical attention within a year of symptom onset, yet significant delays in diagnosis were common, with 28.6% of women waiting six months or more after seeking medical care. Only 42.7% of women reported receiving adequate information at diagnosis, and satisfaction levels varied across different aspects of care. Key predictors of lower satisfaction included marital status and longer time since diagnosis, while quicker diagnosis and more healthcare visits before diagnosis positively influenced satisfaction. Conclusions: The findings highlight critical gaps in the diagnostic process and patient education for PCOS in Saudi Arabia. The widespread dissatisfaction with the information provided underscores the need for improved patient-centered care, comprehensive education, and standardized diagnostic protocols. Addressing these issues could enhance patient satisfaction and lead to better management of PCOS, both in Saudi Arabia and globally.

Job satisfaction and associated factors among rural health extension workers in Buno Bedele Zone South West Ethiopia

Job satisfactions have impacts on productivity and essentials provision of care for maternal and child health in the rural area. Despite Health extension workers (HEWs) have pivotal role towards improvement of maternal and child health outcome, there is scarcity of data regarding their job satisfaction, hence this study was employed to assess the level of job satisfaction and associated factors among rural HEW in Buno Bedele Zone, Southwest Ethiopia. A Facility based cross-sectional study design was conducted among 393 randomly selected HEW from May to June, 2023. A pretested; questionnaire was used to collect the data. SPSS version 25 was used for statistical analysis. Logistic regression analysis with odds ratio (OR), a 95% CI and P < 0.05 were used to declare statistical significance. The overall satisfaction of health extension workers was 45.5%, [95% Confidence interval CI 44.0–46.09]. Availability of residence [AOR = 2.349, 95% CI 1.352, 4.083], transfer between kebeles [AOR = 0.267, 95% CI 0.132, 0.540], availability of medical supply [AOR = 2.853, 95% CI 1.474, 5.523], Good working environment [AOR = 3.395, 95% CI 2.017, 5.717], Getting technical support during work from their supervisor [AOR = 3.656, 95% CI 1.851, 7.219] were significantly associated factors with HEW job satisfaction. More than half of the health extension workers were dissatisfied with their jobs. Availability of living home, Transfer, medical supply, Environment, Support was predictor of job satisfaction. It is crucial to encourage intervention mode that may enhance their satisfaction and motivation of HEWs to improve service provision.

A Study on General Staffing Services and Manpower Providing Services of QUESS CORP LTD. in Ahmedabad

This research paper presents a comprehensive study of general staffing services and manpower providing services offered by Quess Corp in Ahmedabad. The study aims to explore the operational frameworks, client engagement strategies, and service delivery mechanisms that make Quess Corp a significant player in the staffing industry. Through a combination of qualitative and quantitative research methods, including interviews with company executives, surveys of client companies, and analysis of industry reports, the paper delves into the challenges and opportunities faced by the company in the rapidly evolving employment landscape of Ahmedabad. Key findings indicate that Quess Corp's emphasis on technology- driven solutions, robust training programs, and strategic partnerships has significantly enhanced its service efficiency and client satisfaction levels. Additionally, the study highlights the critical role of adaptive workforce solutions in addressing the dynamic needs of businesses in Ahmedabad. The paper concludes with recommendations for leveraging technological advancements and optimizing human resource management practices to further strengthen Quess Corp's market position. Quess Corp’s general staffing services encompass temporary staffing, contract staffing, and permanent staffing solutions. The company’s comprehensive approach ensures that it can meet the diverse staffing needs of its clients, ranging from short- term project-based requirements to long-term strategic hires. The study explores how Quess Corp tailors its services to suit the specific demands of various sectors, including IT, manufacturing, retail, and healthcare. The company utilizes advanced technology platforms to manage its talent pool, ensuring quick and accurate matching of candidates to job requirements. This technological integration is a significant factor in Quess Corp’s ability to deliver high- quality staffing solutions efficiently

Enhancing rural healthcare through internet-based remote collaborative outpatient services: A comprehensive evaluation in Changzhi, Shanxi Province.

The advancement of digital technology, particularly telemedicine, has become crucial in improving healthcare access in rural areas. By integrating cloud computing and mHealth technologies, Internet-based Collaborative Outpatient Clinics offer a promising solution to overcome the limitations of traditional healthcare delivery in underserved communities. A trial was conducted in 4 counties of Changzhi City in Shanxi Province, China. The system extended to 495 rural communities and served over 5000 rural residents. Deep learning algorithms were employed to analyze medical data patterns to increase the accuracy of diagnoses and the quality of personalized treatment recommendations. After the implementation of the system, there was a significant improvement in the satisfaction levels of rural residents regarding medical services; the accuracy of medical consultations increased by 30%, and the convenience of medical access improved by 50%. There was also a notable enhancement in overall health management. Satisfaction rates among healthcare professionals and rural inhabitants were over 90% and 85%, respectively, indicating that the system has had a significant positive impact on the quality of health-care services. The study confirms the feasibility of implementing telemedicine services in rural areas and offers evidence and an operational framework for promoting innovative healthcare models on a large scale.

Augmented Reality Gaming Experience: Assessing Satisfaction Level Towards Post Event Behavior for MARA 1.0

The proliferation of Augmented Reality (AR) technology has significantly transformed the gaming industry by merging digital content with the physical environment. This study focuses on assessing player satisfaction and subsequent behaviors in response to Mission AR Apocalypse (MARA) 1.0, an AR game designed to enhance educational engagement for Universiti Teknologi MARA (UiTM) students. Developed amidst the COVID-19 pandemic by UnBound Malaysia, this game aims to provide an enriching experience through the integration of educational content within an AR framework. This research investigates four primary factors influencing player satisfaction: immersion and visual experience, ease of use and controls, game content and storyline and technical performance. Utilizing a correlational research design, data were collected from 503 students across 15 UiTM branches via structured questionnaires. The study employs Net Promoter Score (NPS) to measure satisfaction levels and their impact on post-event behaviors, such as the intent to recommend and continue using the game. Findings indicate a high level of satisfaction with immersion and visual experience, ease of use, and game content, though technical performance showed mixed results. These results support the hypotheses that immersive, visually rich AR games with user-friendly controls and engaging content enhance player satisfaction and recommendation intentions. The study concludes that while the majority of players are satisfied, there are areas for improvement, particularly in technical performance, to ensure a more seamless and enjoyable gaming experience. These insights are crucial for developers and educators aiming to optimize AR applications for educational purposes.

Examining the contributing factors of virtual event quality toward event satisfaction among attendees

Due to the rising acceptance of virtual events, more empirical studies are needed to determine factors influencing attendees’ satisfaction. It is crucial to comprehend the essential factors determining the quality of virtual events as the virtual world continues to define the future of event experiences. Given these considerations, event planners may create and deploy virtual experiences meeting the diverse needs and preferences of the attendees. Hence, the main purpose of this paper is to examine the influence of virtual event quality dimensions on the level of event satisfaction among the attendees. A cross-sectional study was undertaken by administering a survey instrument to collect response data from participants in virtual events. There were 124 valid responses obtained for data analysis. Descriptive and inferential analyses were performed using IBM SPSS version 28. The study findings revealed that there was a statistically significant relationship between the quality of virtual event factors and event satisfaction among the attendees. The results of regression analysis indicated that vividness (p=0.016), functionality (p=0.003), entertainment (p=0.029), fulfillment (p=0.037), privacy (p=0.037), and social presence (p=0.001) were found to be significant predictors of event satisfaction. In conclusion, this study highlights the importance of considering several factors of event quality, particularly in planning and implementing virtual events. Event organizers can enhance attendees’ satisfaction through the use of more immersive and substantial virtual experiences, by focusing on attributes such as vividness, functionality, entertainment, fulfillment, privacy and social presence.

Subsidence after Trapeziometacarpal Arthroplasty.

Surgeons sometimes ascribe inadequate comfort and capability after trapeziometacarpal (TMC) arthroplasty to movement of the trapezium toward the scaphoid (subsidence or reduced trapezial space height [TSH]). We asked the following: (1) What percentage of studies found a relationship between subsidence of the metacarpal toward the distal scaphoid and measures of grip strength, capability, pinch strength, pain intensity, or patient satisfaction after TMC arthroplasty and what study characteristics are associated with having notable correlation? (2) What study factors are associated with greater postoperative TSH? (3) What is the mean subsidence over time? We conducted a systematic review by querying PubMed, Cochrane, and Web of Science databases from 1986 and onward. Using inclusion criteria of TMC arthroplasty inclusive of trapeziectomy, ligament reconstruction and tendon interposition, tendon interposition, and prosthetic arthroplasty and a measure of subsidence, 91 studies were identified. Seven of 31 study groups reported a correlation of subsidence with pinch strength, 5 of 21 with magnitude of incapability, 1 of 16 with grip strength, 2 of 20 with pain intensity, and none of 10 with satisfaction. Study factors associated with a relationship between subsidence and one of these measures included continents other than Europe. Among the 9 studies that measured TSH over time, the mean change in TSH was 5.0 mm ± 2.2 mm SD for visits less than 1 year after surgery and 5.5 mm ± SD 1.0 mm for visits 1 to 3.5 years after surgery. The observation that most studies find no relationship between radiographic subsidence of an average of 5 millimeters and levels of strength, capability, comfort, or satisfaction after TMC arthroplasty suggests that primary surgeries may not benefit from a focus on limiting subsidence and revision arthroplasty ought not be offered based on this radiographic measure.

Instability after reverse shoulder arthroplasty: a retrospective review of thirty one cases.

A retrospectively analyze of instability after RSA in terms of aetiology, treatment and final functional outcome. A bicentric retrospective study of 31 patients (mean age 67.6 years; 42-83) treated for RSA instability using RSA Arrow System (FH Orthopedics, Mulhouse, France), mean follow-up 41months (range 12-158). Aetiologies for dislocation were evaluated using a previously described classification system for RSA instability. Actions performed during the Revision Surgeries were analyzed and grouped into five categories. Clinical outcome measures included range of motion, SSV, VAS, Constant-Murley scores, satisfaction level and recurrence of instability. The most frequent aetiology for RSA instability was loss of compression (18), followed by impingement (8) and loss containment (5). Total RSA revision (bipolar procedure) involving both distalization and lateralization occurred in 13 instances. Isolated distalization through the humerus was performed in ten patients and Isolated lateralization through the glenoid in three patients. Three cases of components exchange due to mechanical failure were noted. Bone graft was used in nine instances. Three patients (10%) suffered recurrent instability following Revision Surgery and required an additional stabilizing procedure. At final follow-up all 31 RSA were reported as stable with a mean VAS of 1.1, SSV 54.5%, constant score 48.3, constant ponderate 74.9%. The management of unstable RSA represent a challenge that can be successfully overcome with a revision surgery with compromised functional results. Loss of compression was the most common cause for primary and recurrent RSA instability that were treated principally with bipolar revisions involving component lateralization and distalization.

Satisfaction-Behavior Paradox in Lifestyle Choices: A Cross-Sectional Study of Health Behaviors and Satisfaction Levels in Jazan, Saudi Arabia.

Lifestyle choices significantly affect health outcomes in Saudi Arabia, but the relationship between health behaviors and satisfaction is unclear. This study aimed to assess lifestyle choices and associated satisfaction levels among residents in the Jazan region of Saudi Arabia. A cross-sectional study was conducted in Jazan, Saudi Arabia, with 3411 participants. Sociodemographic, lifestyle, and satisfaction data were collected using a questionnaire that was completed during interviews. Logistic regression analyses were implemented to examine the relationships between the study variables and factors related to weight, physical activity, and eating satisfaction. The study found that 38.3% of participants were inactive and 77% rarely ate fruits and vegetables. A total of 47.6% were overweight or obese. Weight (71.12%) and eating (71.59%) satisfaction were high despite these health concerns. The satisfaction-behavior paradox was especially evident in diet. Higher income, physical activity, and healthy eating habits were significantly associated with higher satisfaction (OR = 1.49, 95% CI: 1.15-1.93, p = 0.003 for weight satisfaction, OR = 34.74, 95% CI: 25.42-48.35, p < 0.001 for physical activity satisfaction, and OR = 2.08, 95% CI: 1.67-2.61, p < 0.001 for fruit and vegetable consumption). Lifestyle behaviors and satisfaction in Jazan, Saudi Arabia, are complex. The satisfaction-behavior paradox, especially in diet, reveals a major gap between perceived and actual health. These findings highlight the need for targeted, culturally sensitive interventions that address behavioral change and perception alignment to improve regional public health.

Effectiveness of telespeech therapy on language abilities in people with aphasia: A pilot study

Background: Aphasia is a condition that happens when certain areas of the brain responsible for language are damaged, causing difficulties in communicating. Treatment involving speech and language interventions is essential for rehabilitating communication abilities. However, due to accessibility and distancing challenges, access to these medical services has been restricted, especially during COVID-19. Telepractice was introduced as an alternative approach to speech and language therapy. However, there currently needs to be more research on its application, specifically within the aphasia population in Thailand. Objective: This study aimed to investigate the effectiveness of telepractice in aphasia intervention to enhance the general practice standard and to explore satisfaction with using telepractice in speech therapy among aphasia patients and their caregivers. Materials and methods: Sixteen participants were recruited for this study, comprising eight aphasia patients and eight caregivers. A standardized aphasia test, the Thai Adaptation of the Western Aphasia Battery (TWAB), was used for pre- and postassessments. Additionally, satisfaction surveys were employed to gauge significant satisfaction levels among participants. A one-month telepractice intervention (12 sessions in total) was conducted between the pre- and post-assessments to determine the effectiveness of telepractice based on its impact on TWAB test scores. Results: Overall, this study revealed a significant improvement in the Aphasia Quotient (AQ) as measured by the TWAB test (p=0.011). However, only the repetition and naming sub-tests showed significant improvement between pre- and post-assessment (p=0.019 and p=0.011). The satisfaction levels were reported as high to very high. Conclusion: This study demonstrated the effectiveness of telepractice in aphasia intervention, particularly in improving naming and repetition skills and eliciting a high to very high level of satisfaction among patients and their caregivers.

ВЛИЯНИЯ ЛОЯЛЬНОСТИ ПЕРСОНАЛА НА ПРОЦЕСС ЭФФЕКТИВНОГО ФУНКЦИОНИРОВАНИЯ ОРГАНИЗАЦИИ

The study is devoted to the urgent problem of studying the influence of staff loyalty on the process of effective functioning of an organization in the dynamic turbulent socio-economic situation of recent years in the Russian Federation. In a period of insufficient personnel caused by demographic reasons and at the same time high rates of staff turnover, the study of the influence of staff loyalty on the process of effective functioning of the organization comes to the fore. A theoretical analysis of the influence of staff loyalty on the process of effective functioning of the company was carried out. The study presents the main aspects of the influence of staff loyalty on the process of effective functioning of the organization. Attitudinal and behavioral approaches to the definition of “loyalty” of personnel are outlined. A formulation is given to the basic concept of “loyalty” of personnel, which is revealed as the quality of an employee’s personality, determined by the willingness to adhere to the principles and established rules of the company, and the attitude towards the performance of job duties at a high level to maintain the functioning of the organization. The criteria for staff loyalty are highlighted, for example, such as: level of staff satisfaction with the conditions and results of work; emotional attachment to the organization (external and internal manifestations); degree of trust between management and employees. A description is given and the results of a practical study of the influence of staff loyalty on the process of effective functioning of the organization are presented. Of particular empirical importance are practical recommendations for the HR manager to determine the influence of staff loyalty, based on the use of methods for assessing the level of loyalty; research into the relationship between loyalty and company performance; analysis of received materials during feedback; monitoring of key indicators of the company’s operational efficiency and effectiveness.

Formative Research to Design and Evaluate Caring Text Messages for American Indian and Alaska Native Youth, College Students, and Veterans.

Purpose. Caring Text Messages (CTM) is an evidence-based intervention, developed by the Northwest Portland Area Indian Health Board, modeled after the Caring Contacts (CC) intervention. CC has been shown to prevent suicide deaths, attempts, ideation, and hospitalizations in a variety of settings. Method. Three sets of CTM were developed by American Indian and Alaska Native (AI/AN) teens, college students, and veterans (tailored for each audience), which were reviewed by psychologists familiar with the intervention. To enroll in the service, participants texted a keyword to a text message short code and received two text messages per week with hopeful and encouraging messages. A robust multimedia social marketing campaign was designed to promote the service for each audience. Results. By September 2023, 387 participants enrolled in the Youth CTM intervention, 141 enrolled in the College CTM, and 31 enrolled in the Veterans CTM. Post surveys show elevated levels of user satisfaction. Conclusions. CTM can be tailored to reach populations at higher risk of suicide, including AI/AN youth, college students, and veterans, and connect them to culturally responsive peer and crisis support services. Continued monitoring and evaluation can guide next steps for marketing and outreach and will be useful to determine its impact on those who enroll.

Advancing Antenatal Care in Ethiopia: The Impact of Tele-Ultrasound on Antenatal Ultrasound Access in Rural Ethiopia.

Introduction: Access to antenatal ultrasound is limited in low-income countries such as Ethiopia. Virtual care platforms that facilitate supervision and mentoring for ultrasound scanning may improve patient access by facilitating task-sharing of antenatal ultrasound with midlevel providers. The purpose of this study was to assess the feasibility of a large volume tele-ultrasound program in Ethiopia, its impact on antenatal care (ANC) and patient access, and its sustainability as it transitioned from a pilot project to a continuing clinical program. Methods: Health care providers at two health centers in the North Shoa Zone, Ethiopia, performed antenatal tele-ultrasound exams with remote guidance from obstetricians located in urban areas. Data regarding ANC and ultrasound utilization, participant travel, ultrasound findings, specialist referrals, and participant experience were collected through a mobile app. Results: Between November 2020 and December 2023, 7,297 tele-ultrasound exams were performed. Of these, 489 tele-ultrasound exams were performed during the period of data collection from October to December 2022. The availability of tele-ultrasound at the two health centers significantly reduced participant travel distance (4.2 km vs. 10.2 km; p < 0.01; one-way distance). Most participants (99.2%) indicated the tele-ultrasound service was very important or important, with high levels of satisfaction. Clinically significant findings were identified in 26 cases (5.3%), leading to necessary referrals. Conclusion: This study demonstrated the feasibility of a large volume tele-ultrasound program in Ethiopia, its impact on improving the quality of ANC, and its sustainability. These findings lay a foundation upon which low-income countries can develop tele-ultrasound programs to improve antenatal ultrasound access.

Safety and effectiveness results of an innovative injectable poly-L-lactic acid-based collagen stimulator (Lanluma®)-Clinical outcomes at 9 months in a post-market study.

Injectable fillers for soft tissue augmentation stand out as one of the most favored procedures in the field of aesthetic medicine, especially in addressing the clinical signs of skin aging. Among soft tissue fillers, non-permanent fillers have been safely used in numerous medical applications for several decades. The aim of this post-market observational, open-label, uncontrolled, multicentered, prospective study (PMS) was to evaluate the effects of an injectable poly-L-lactic acid-based collagen stimulator (Lanluma®, the study product). This analysis is based on the clinical outcomes data (safety and effectiveness) collected from investigators and participants between the first injection (T0, September 2022) and 9 months thereafter (T3, June 2023) in the treatment of five body-contouring areas. Overall, 70 participants had 99 treatment sessions of the neck (31%), upper arm (20%), hand (17%), thigh (16%) and décolleté (15%). Lumps (neck, upper arm, hand) and nodules (neck, hand, thigh) were the most frequent adverse events (AEs) reported by investigators. All were treatment related. None were serious, severe or fatal. No AEs were reported following treatment of the décolleté. Both investigators and participants reported high levels of satisfaction during the nine-month follow-up period with the treatments in five body areas. These positive clinical outcomes can be attributed to a proper implementation of best practices and recommendations, and the rheological properties of the study product. This 9-month follow-up analysis should be reconsidered in light of the study's objectives for the final analysis at the 25-month follow-up.

Educational media utilization for rehabilitation among community-dwelling stroke survivors and their caregivers: a pilot study

Background: Recently, there has been an increasing number of stroke patients. Those who survive still need continuous rehabilitation after being discharged from the hospital. The information and knowledge on stroke rehabilitation at home is crucial for these patients and their caregivers. However, there has never been a study of educational media on rehabilitation for those patients and their caregivers in Thailand. Objective: To explore the educational media used in stroke rehabilitation, list their benefits, and the most satisfying media type for stroke participants and their caregivers after hospital discharge. Materials and methods: Twenty-eight stroke patients and twenty-one primary caregivers from two Subdistrict Municipalities and two Districts in Chaing Mai province were recruited using purposive sampling methods. All participants were aged 18 years and over and could communicate in Thai. All the stroke participants had no cognitive impairment screening by the Mental Status Examination-10 (MSET-10) and had self-rehabilitation therapy at home. A Questionnaire on the use of educational media in stroke rehabilitation with the index of item objective congruence (IOC) range between 0.67-1.00 was used for data collection. The statistics used were descriptive. Results: Stroke patients used information obtained primarily from medical personnel in the community (78.57%), while caregivers used advice from medical personnel the most in the hospitals (57.14%). Regarding the highest satisfaction with educational media, 59% of stroke patients and 42% of caregivers were satisfied with advice from medical personnel in the community. Stroke patients revealed that using a combination of advice from medical professionals, brochure-based media, and only document media was the most beneficial in providing knowledge about rehabilitation. For caregivers, the use of a combination of advice from medical professionals along with paper and video media, and the use of knowledge gained from online channels were the most beneficial. Conclusion: Rehabilitation education materials used by stroke patients and their caregivers at home offer the highest level of satisfaction for the patients and caregivers if the medium of people who can give advice and communicate on issues meets their needs. In addition, patients and caregivers agreed that rehabilitation education should include more than one form of media for maximum benefit. Therefore, health professionals should consider the format of educational media appropriate to the needs of service recipients to be able to use them most effectively.

Impact of a social media-delivered distance learning program on mhGAP training among primary care providers in Jalisco, Mexico

BackgroundThe World Health Organization’s (WHO) Mental Health Gap Action Programme (mhGAP) aims to provide evidence-based guidelines for the management of mental, neurological, and substance use disorders in non-specialized healthcare settings. However, implementing these guidelines remains a challenge due to various factors, including limited training opportunities for primary care providers. This study con the effectiveness of a social media-delivered distance education program on the mhGAP intervention guide, to overcome barriers of technology access and digital literacy, providing a familiar and accessible platform for primary care providers in Jalisco.MethodsA quasi-experimental study with a pre-test/post-test design was conducted. Primary care providers from Jalisco were invited to participate in a distance education program on the mhGAP intervention guide. The program consisted of online modules, webinars, and discussion forums facilitated by mental health experts. Knowledge assessments were conducted before and after the intervention using a standardized questionnaire. Participant satisfaction and perceived utility were also evaluated through surveys and focus group discussions.ResultsA total of 1,096 primary care providers completed the program. The mean knowledge score significantly improved from 58.2% (SD = 12.8%) in the pre-test to 81.4% (SD = 9.6%) in the post-test (p < 0.001), with a large effect size (Cohen’s d = 2.04). Subgroup analyses revealed consistent knowledge gains across different demographic and professional characteristics. Participant satisfaction was high, with 92% rating the program’s overall quality as “good” or “excellent.” Qualitative findings highlighted the benefits of accessibility, flexibility, interactivity, and practical applicability of the distance education approach.ConclusionsThe social media-delivered distance education program on the mhGAP intervention guide effectively improved the knowledge of primary care providers in Jalisco, Mexico. Participants reported high levels of satisfaction and perceived utility. This study demonstrates the potential of distance education strategies to disseminate evidence-based guidelines and enhance mental health service delivery in primary care settings, particularly in resource-limited areas.