Percentage Of Satisfaction Research Articles

Army Physician Career Satisfaction Based on a Medical Corps Survey.

It is critical the U.S. Army retains skilled physicians in the Medical Corps (MC) to ensure direct support to military operations and medical readiness. The purpose of this study was to examine U.S. Army physicians' opinions concerning: readiness to perform required duties, work environment, support and recognition they receive, military career intentions, and how these factors may relate to Army physician job satisfaction. A cross-sectional study of Army physicians was conducted using a 45-item web-based survey tool, "Army Medicine Medical Corps (MC) Engagement/Satisfaction Survey 2018." The survey used a combination of multiple choice (Likert-scaled and categorical) and open text statements and questions. Satisfaction with their Army physician career was measured using a 5-point unipolar Likert scale response on level of satisfaction. Chi-square tests of independence were conducted on all demographic characteristics to examine if levels of satisfaction with Army physician career were associated with a particular demographic profile. Agreement opinions expressed on 20 statements about professional readiness, work environment, and job recognition were summarized and rank-ordered by percentage of "strongly agree" responses. Categorical responses to several questions related to career intentions were summarized overall and by career satisfaction level. Multivariate logistic regression was performed to identify demographic factors, which may influence career satisfaction as an Army physician. Approximately 47% (2,050/4,334) of U.S. Army physicians participated in the MC 2018 survey. Career satisfaction percentages overall were: "extremely satisfied" (10.0%), "quite satisfied" (24.8%), "moderately satisfied" (33.9%), "slightly satisfied" (22.6%), and "not at all satisfied" (8.3%). Respondents were in least agreement to statements about sufficient administrative support and recognition of doing good work. Logistic regression results showed military rank as a significant predictor of negative career satisfaction as an Army physician. For Captains, the odds for being "not at all satisfied" with their military career were almost nine times that of Colonels. Also, compared to their baseline group, physicians who completed their graduate medical education training, mission critical surgeons, and physicians who worked in military treatment facilities that were either a hospital (not a medical center) or a clinic-ambulatory surgery center had a greater risk of being "not at all satisfied" with their career as an Army physician. There is significant room for improvement in MC officer career satisfaction. The drivers of satisfaction are multiple and apply differently among MC officers of varied ranks and experience. Senior officers are the ones who are the most satisfied with their military career. Results of this novel MC officer study may serve as an impetus to identify existing shortcomings and make necessary changes to retain skilled Army physicians. Army leaders should invest resources to develop and sustain initiatives that improve military career satisfaction and retention of MC officers.

Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019.

Background In health care, patient satisfaction is an attitudinal response and a pillar for quality assurance, but there is reluctance to measure it among mentally ill patients. Satisfied patients become more compliant. However, no study was done in this study area before. Therefore, this study was conducted to determine the magnitude of perceived patient satisfaction and associated factor at Jimma University Medical Center, outpatient psychiatry clinic. Methods Cross-sectional study design was conducted, and systematic random sampling technique was used to get study participants. The 24-item Mental Health Service Satisfaction Scale (a validated tool in Ethiopia) was used to assess patient satisfaction. Data was entered using Epi-data 3.1 and exported to the Statistical Package for the Social Sciences 22.0 for analysis. Linear regression analysis (P < 0.05) was used to identify the association between the outcome and independent variable. Result 414 respondents participated in the study with response rate of 98%. The overall percentage of patient satisfaction was 50.3% (95% CI 48.4%–51.2%). Being male (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β = −0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (Conclusion and Recommendation. This study found that half of the study participants are satisfied with the service. Distance from the hospital, current substance use, waiting time, and having good social support were identified as modifiable factors that can be improved through working with stakeholders to increase patient satisfaction.

Study the Role of Loose versus cutting of Seton in Treatment of High Perianal fistula in a District Hospital of Health Insurance

Abstract When the track reaches the skin or another epithelialized surface then a fistula is formed. Anal fistula were classified on the basis of its relationship to the sphincters. The definition of high or low describes the height of the track as it traverses the sphincter muscles and not the position of the internal opening which is almost without exception at the dentate line. More accurately according to parks classification fistula in ano can result in an abscess between the internal and external sphincters, which in turn can spread to other parts of the perianal region. Infection can then track in many directions from this focus in the intersphincteric plane. Background Anal fistula is an abnormal communicative small channel that has an internal opening and an external opening and connected by the primary track. Our study evaluate the effectiveness of seton in high variety anal fistula. Objectives Evaluation the efficacy and safety of seton as surgical management of high anal fistula. Methods: This is a prospective study done on 30 patients in ELNile hospital in one Year period with high variety of anal fistula which is above the dentate line and were treated with seton .Outcome measured during follow up period were- successfully healed, recurrence, incontinence, percentage of complications and patients satisfaction. Result Among 30 patients mean age was 42.2+_6.8 years. Overall outcome of the patients showed-fistula completely healed in 27 patients, incontinence occurred in 3 patients and recurrence occurred in 3 patients. Conclusion Seton is relatively safe, effective and low cost for the management of high anal fistula with low rate of incontinence. It can therefore, be recommended as the standard of treatment for high variety fistula in ano.

The MILP Model for Locating the Temporary Disaster Emergency Operation Centers in Manado Indonesia

The research proposes the Mixed Integer Linear Programming Model (MILP). This model integrates the location decisions and the number of temporary Emergency Operations Center (EOC) to be constructed. This model also focuses on events related to natural disasters, particularly floods. The researchers applied this model according to the flood scenario in five flood-prone districts in Manado, Indonesia. This research focused on maximizing the number of temporary constructed EOCs to provide the relief demands of disaster areas by considering multiple periods. The available budgets were considered as the limited constraints in this model. Therefore, the results showed that the percentage of relief demand satisfaction ranges from 28% to 100%; meanwhile, the number of the to-be-constructed temporary EOCs ranges from 0-3 for each scenario.

PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN KONSUMEN PADA PT SETYA KULINER MANDIRI JAGAKARSA JAKARTA SELATAN

One of the important activities business was service quality which is must be realized and main prioritized by the organization. This research studied the influence of service quality to customer satisfaction in D’Besto Restaurant in Jagakarsa South Jakarta. Services of the employee are business activities that result was not a product in a physical form or construction which is one of the factors that affect customer satisfaction. The main purpose of this research is to analyze the quality service of employees influenced by customer satisfaction. This research uses the descriptive quantitative method and the sample in this study amounted to 80 respondents taken through the incidental sampling technique. While the data collection method uses observation, interviews, and questionnaires. Data analysis used is a simple linear regression model of ordinary least square (OLS) with a significance level of 5%. The results of the study with the correlation coefficient (r) are 0,828 showed that the variable of service quality significantly affects the customer satisfaction. The influence of dependent variables (service quality) similarly gave significant influence towards the customer satisfaction percentage of 68,6% and the remaining 31,4% is affected by the other variables. Based on the result improves that by increasing the quality of the service, the employee service functions more effective, efficient, and gives more satisfaction to the customer.

Quality Control of Emergency Dental Care in Mures County

Satisfaction of dental patients is an indicator of the quality of dental health care, and it is a patient-based outcome measure. The main objective of this four-year retrospective questionaire based study was to assess the satisfaction of patients who attended the Dental Emergency Medical Office at Mobile Emergency Service for Resuscitation and Extrication Tirgu Mures between 2014-2017. A total of 909 questionnaires were completed in the analyzed four-year period. The average value of staff scoring, waiting time to take over by the medical staff, doctor's time for consultation, the clarity of information received about investigations and medical procedures performed lead to a satisfaction percentage of 95.2% The score on the quality of the received medical services resulted in a satisfaction rate of 95.6% The results of the study confirmed the necessity of setting up this type of dental office that is available to all those affected by dental diseases requiring emergency treatment. Keywords: satisfaction, dental emergency treatment, retrospective questionnaire-based stud

Agreement between nutritional status and perception of body image in indigenous Khisêdjê of the Xingu Indigenous Park.

To determine the agreement between body self-image (based on the Stunkard figure rating scale) and nutritional status and to evaluate body satisfaction among the Khisêdjê indigenous people of Parque Indígena do Xingu (Xingu Indigenous Park). A cross-sectional study involving 131 natives aged 20 and older. Data on body image, body mass index and waist circumference were collected. Kappa statistics, χ2 (p < 0.05), crude and adjusted prevalence ratios and Student's t-test were used for data analysis. The prevalence of overweight and obesity was respectively 42 and 5.3%. The percentage of satisfaction with body profile was 61.8% with no difference between the sexes. There was good agreement between actual and ideal self-image (p < 0.001), but poor agreement between actual and ideal self-image with nutritional status for both sexes. A higher prevalence of body dissatisfaction due to overweight was detected in individuals with central obesity and overweight. The results suggest that body self-image evaluated by the Stunkard silhouette scale has little applicability as an indicator of nutritional status among the indigenous Khisêdjê of Xingu Indigenous Park.

Improving the performance of video Collaborative Filtering Recommender Systems using Optimization Algorithm

The growth amount of information on the Web makes it difficult for many web users to make decision and choose either information or goods. Thus, a recommender system is an approach that helps users to obtain their needs according to her/his preference within a massive amount of information rapidly without waste of time. The main advantage of using a recommender system in any online shopping or social media like Amazon, Netflix and Facebook is to increase the percentage of overall profits, customer satisfaction and retention. In this paper, we introduce an approach to increase the accuracy and to improve the performance of collaborative filtering recommender system. In this paper a hybrid approach is proposed to improve the performance of video collaborative filtering recommender system based on clustering and evolutionary algorithm. Proposed approach combines k-means clustering algorithm and two different evolutionary algorithms which are Accelerated Particle Swarm Optimization Algorithm (APSO) and Forest Optimization Algorithm (FOA). The main aim of this paper is to increase the accuracy of recommendation of user-based collaborative filtering video recommender system. Evaluation and computational results on the MovieLens dataset show that the proposed method has a better performance than the other related methods.

Assessment of hypothetical correlation between the various critical factors for lean systems in automobile industries

Lean production system leads to the elimination of non value added activities in the industrial environment and restructure the existing production procedures and processes to achieve improvements in terms of cost reduction, increase in quality and profit. The purpose of this paper is to identify the critical factors of lean Implementation and to evaluate their role of critical factors in organizational performance. The following factors are considered to measure the impact of lean system such as business type, period of usage of lean, type of benefits achieved from lean, lean activity occurrence, turnover rate, Employee training, customer satisfaction percentage, lean activity interval, the delivery defect rate in Indian automobile industries. To achieve these objectives a empirical study was conducted through 83 copies of questionnaire which is circulated to various employees attended the manufacturing exhibition in India. Frequency analysis is carried out for eight critical factors for lean implementation. The cross tabulation is charted out in order to find the hypothetical relations between the various factors. Each factor influences the lean production success, which is proved using the hypothesis testing. Hypothetical findings based on the survey reveal that successful lean implementation can positively affect both employees and industrial performance in Indian automobile industries.

THE IMPACT OF AN EDUCATIONAL PROGRAM THAT USES SMARTPHONE APPS TO ENHANCE THE SKILL OF MEMORIZING THE HOLY QURAN BY FEMALE STUDENTS (ADULTS) IN THE HOLY QURAN SCHOOL IN THE EAST OF RIYADH: أثر برنامج تعليمي يوظّف الأجهزة الذكية في تعزيز مهارة حفظ المتعلمات الكبيرات بدار القرآن الكريم شرق مدينة الرياض

This study is designed to identify the impact of an educational program that uses smartphone apps for learning the Holy Quran by female students (adults) and measure their satisfaction compared to the conventional method of learning. The Quasi-experimental approach was used. The sample of the study consisted of 31 female students (adults,18-50 years old) in the Holy Quran School in the east of Riyadh for the first semester of the scholar year 1439/1440 AH. The participants were selected deliberately. The first group (the control group) consisted of (14) female students and the second group (the experimental group) consisted of (17) female students according to the method of the designed program. Oral testing was used as a key tool for data collection, while the questionnaire was used as a further tool of the study to identify the satisfaction of students. The results of the study showed that the experimental group scored (32.73), while the control group scored (26.53). The difference was statistically significant at 0.05 and less in the oral testing in favor of the experimental group. The educational program met a high percentage of students' satisfaction, where the average of questionnaire tool reached 4.41 out of 5. At the level of the topics, the "performance level" reached the highest average (4.48), followed by "the level of meeting user's expectations" with an average of 4.47, and finally the "Students' attitudes towards the use of smartphone apps in the learning the Holy Quran" with an average of 4.26. In the light of the results, a set of recommendations and proposals were suggested to promote smartphone apps in the memorization of the Holy Quran.

Measuring the level of patient's satisfaction for those attending primary health centers versus family medicine centers in Basrah governorate

Background: Patient satisfaction is defined as the total judgments made by the recipient of a healthcare as to whether -or not- their expectations have been met. It is an important measure of healthcare quality as it offers information on the provider’s success to meet the clients’ expectations.The Study Objectives: The study aimed at measuring patient's satisfaction in primary health centers of Basrah governorate with a comparison between primary health centers that follow family medicine strategy versus general primary health centers.Methodology: It's a cross sectional study involved patients attended primary health care centers in Basrah governorate during June 2016.Standard check lists and questionnaires from Iraqi Ministry of Health were used to measure five main indicators of patient satisfaction including: appearance, credibility, responsiveness, security and empathy with a four likert scale to measure the satisfaction of patient. A total sample included 456 patients. Results: The lowest Cronbach's coefficient alpha value was found by the study to be in the "general appearance" dimension which included the general infrastructural appearance of the health facility with appropriate waiting areas for the attendees, cleanliness and lighting of the facility in addition to the general look and appearance of the health workers and service providers. While “assurance” dimensions shows the highest percentage of satisfaction. In addition, no significant difference was revealed for the chosen satisfactory dimensions between the health care centers providing family-medicine services compared to those with no family-medicine ones.Conclusions: The study remarks important weaknesses in some of the patient satisfactory dimensions including general appearance, responsiveness, apathy and assurance. However, it provides an evidence of having no significant difference for the chosen satisfactory dimensions between the health care centers providing family-medicine services compared to those with no family-medicine ones.

Percutaneous Full-Endoscopic Lumbar Foraminoplasty and Decompression by Using a Visualization Reamer for Lumbar Lateral Recess and Foraminal Stenosis in Elderly Patients

Percutaneous endoscopic lumbar discectomy has been widely used to treat lumbar disc herniation; its advantages are less trauma, faster recovery, lower costs, and higher percentage of patient satisfaction compared with open surgery. Treatment of lumbar spinal stenosis with percutaneous full-endoscopic surgery is still challenging, especially for elderly patients with multiple comorbidities and complex pathologic factors. The aim of this study was to introduce percutaneous full-endoscopic lumbar foraminoplasty and decompression using a visualization reamer in elderly patients with lateral recess and foraminal stenosis and evaluate efficacy and safety. This retrospective review comprised 65 consecutive elderly patients (30 men and 35 women) with lateral recess and foraminal stenosis who underwent percutaneous full-endoscopic lumbar foraminoplasty and discectomy from January 2017 to September 2017. Visual analog scale and Oswestry Disability Index were used to evaluate pain relief and neurologic improvement. Mean patient age was 71.58 years (range, 65-89 years). Mean follow-up period was 16.12 months (range, 12-20 months). Mean operative time was 98.59 minutes per level (range, 55-120 minutes). Mean intraoperative perspective frequency was 3.21 times (range, 2-6 times). Mean hospital stay after the procedure was 2.18 days (range, 1-4 days). Back and leg visual analog scale and Oswestry Disability Index scores at all time points in the postoperative period were significantly lower than preoperatively (P < 0.01). At final follow-up, modified MacNab criteria were rated as follows: excellent, 47 patients (72.31%); good, 12 patients (16.92%); fair, 3 patients (4.62%); and poor, 4 patients (6.15%). Therefore, excellent or good results were obtained in 89.23% of patients. Percutaneous full-endoscopic lumbar foraminoplasty and discectomy using a visualization reamer is an effective and safe treatment for elderly patients with lumbar lateral recess and foraminal stenosis. It improves safety and efficiency of decompression and reduces intraoperative fluoroscopy.

Expectations and challenges for TeamOncology workshops

Abstract Background Promoting team-based cancer care is required. J-TOP (Japan TeamOncology Program) is consisted of multidisciplinary medical staff and we regularly hold workshop (WS) to realize high-performance team in which the hospital and community are linked. The objective of this study is to clarify the challenges of WS format and facilitator training. Methods In May 2018, we conducted 14.75 hours of WS (lecture + group work [GW] + presentation) on 2 days. In the GW, participants were separated into 4 groups then discussed about ideal medical care on 1 case each. At last, case discussions were presented. The WS participants were asked 2 questionnaires before and after WS. The facilitators conducted WS after the preliminary training then answered 1 questionnaire. Results Of the 45 participants, doctors/ nurses/ pharmacists/ other medical professions (including medical social worker, nutritionist, and physiologist)/ survivors were 18/ 42/ 16/ 20/ 4%, respectively. Twenty-six (58%) of participants expected to improve communication skills. Expecting content was facilitator/ GW/ lecture (76/ 67/ 64%) in order. Percentage of satisfaction after WS of high/ moderate/ low/ no answer was overall: 80/ 13/ 0/ 7%, lecture: 78/ 15/ 0/ 7%, GW: 69/ 20/ 0/ 11%, and facilitator: 73/ 20/ 0/ 7%. Twelve facilitators consisted of 4 physicians/ nurses/ pharmacists were assigned to each of the 4 groups. All 9 facilitators who joined the preliminary training (100%) responded that the training was useful. Of 12 facilitators, the mean percentage who felt achieved was 77% on Human Needs-aware support, and 50% on Task Needsaware support and appropriate intervention, respectively. Conclusion In WS, expectations by participants for facilitators as well as lectures and GW were high, and pre-WS facilitator training is necessary. Establishing the way to train communication skills is a future challenge.

Role of fundoplication in treatment of patients with symptoms of hiatal hernia

Gastroesophageal reflux disease (GERD) is often associated with hiatal hernia (HH). However, the need for fundoplication during hiatal hernia repair (HHR) remains controversial. The objective of this study was to evaluate the effect of HHR with concomitant laparoscopic Nissen fundoplication (HHR-LNF) in HH patients. A total of 122 patients with symptomatic HH were randomized to receive either HHR (n = 61) or HHR-LNF (n = 61). The measures of evaluating outcomes included DeMeester scores (DMS), complications, Reflux Diagnostic Questionnaire and patients’ satisfaction 24 months following surgery. Despite comparable values in both groups at randomization, the DMS, total numbers of reflux episodes and percentage of time with pH < 4 were significantly higher in HHR group than in HHR-LNF group (P = 0.017, P = 0.002 and P = 0.019, respectively) at 6 months after surgery. One months postoperatively, complications were higher in the HHR-LNF group than in the HHR group (all P < 0.001), and there was no difference between the two groups at 6 months. By the end of the 2-year follow-up, HHR-LNF group showed a significantly lower reflux syndrome frequency-intensity score and greater percentage of satisfaction compared with HHR group (all P < 0.001). Laparoscopic HHR should be combined with a fundoplication in GERD patients with HH. HHR-LNF is safe and effective, not only improve reflux-related symptom, but also reduce the incidence of complications.

Student Satisfaction Level on Academic and Administrative Services in FMIPA Universitas Negeri Manado

Student satisfaction as users of academic and administrative services has been evaluated to find out the extent of service delivery that has been carried out by the academic and administrative work units of the Faculty of Mathematics and Natural Sciences, Universitas Negeri Manado. The level of student satisfaction with academic and administrative services has been measured using a linkert scale, and analyzed using the distribution of scores, then presented and served in tables or diagrams. Measuring the level of satisfaction of students to academic and administrative services covering six aspects, including tangibles, responsiveness, reliability, empathy, assurance and information systems. The six aspects are outlined in a question sheet with each aspect consisting of several question / statement items with the same score scale. Question points for all aspects of the assessment consisted of 42 items. The number of respondents amounted to 265 respondents. The measurement data is completely re-converted to get the level of student satisfaction with five categories, namely dissatisfied, less satisfied, quite satisfied, satisfied and very satisfied. The measurement results show that the level of student satisfaction with all aspects of academic and administrative services is 5.66% very satisfied, 23.02% satisfied, 38.11% quite satisfied, 24.91% less satisfied and 8.30% dissatisfied. While the level of student satisfaction with academic and administrative services for each aspect of service shows that only tangibles aspects are the percentage of satisfaction below 50%

Asymmetric Bargaining Model for Water Resource Allocation over Transboundary Rivers.

Sustainable transboundary water governance is often challenged by conflicts between agents, which necessitates the design of cooperative and self-enforcing alternatives to facilitate equitable water distribution. The Nash bargaining approach, which originated from game theory, could offer a good mathematical framework to simulate strategic interactions among involved agents by considering individual rational benefits. Given that river-sharing problems often involve multiple self-interested agents, the asymmetric Nash bargaining solution (ANBS) could be used to describe agents’ powers, as determined by disparate social, economic, and political as well as military status, and ensure win–win strategies based on individual rationality. This paper proposed an asymmetric bargaining model by combining multi-criteria decision making, bankruptcy theory, and the ANBS for water distribution in the transboundary river context. The Euphrates River Basin (ERB) with three littoral states was used as a case study. Turkey has the highest bargaining power in ERB negotiation since it dominates in terms of economic strength, political influence, and military capacity, whereas in the two downstream countries these aspects are limited due to their internal political fragmentation and weaker military status. The water satisfaction percentages of Turkey, Syria, and Iraq under the best alternative are 96.30%, 84.23%, and 40.88%, respectively. The findings highlight the necessity for synthetically considering the agent’s disagreement utility and asymmetrical power when negotiating over water allocation.

O REFORÇO ESCOLAR NA ESCOLA PÚBLICA MUNICIPAL – RELATO DE EXPERIÊNCIA

The extension project had the objective of implementing a reinforcement system in the primary school for the 2nd and 3rd year students from the Public School Antonio Guedes who presented poor performance or learning difficulties. The activities developed consisted of clarifying doubts, preparing verification exercises, giving reinforcement classes and guiding the execution of activities assigned by the teacher. The means used were: educational games and dominoes, textbooks, dictation of words, arithmetic tables and educational free software. The participating students commented that they enjoyed the activities of reinforcement, and the percentage of satisfaction was 100%. The main justifications they gave were: taking part in the activities resulted in better learning; they learned, above all, to read and write; and that they liked Auntie, as they spontaneously called the female university students who carried out the activities with them. According to the teachers, the experience showed that there was an improvement in Portuguese and mathematics performance, as well as higher participation in the classroom and better task accomplishment.

IMPLEMENTASI ALGORITMA K-NEAREST NEIGHBOR PADA WEBSITE REKOMENDASI LAPTOP

There are various types of laptops that make consumers or prospective buyers have difficulty in making choices accurately and precisely. The K-Nearest Neighbor (K-NN) algorithm was chosen because the K-NN algorithm is a form of model that can help classify data based on the closest distance. This system is designed to help prospective buyers in choosing a laptop based on purchase objectives such as gaming, design, and office, price, also specifications regarding the desired laptop. This system helps provide a shadow or reference to users or prospective buyers in determining the selection of laptops as needed. Based on user satisfaction test, from testing carried out to 10 users. As a result, 8 out of 10 people answered with the answers agreeing with the results of the recommendations given, with the results of the percentage of satisfaction with the recommendations of 80%, therefore the recommendations of laptops made were declared successful

Factors associated with the efficiency of hearing aids for patients with age-related hearing loss.

ObjectiveThe aim of this study was to investigate the satisfaction of age-related hearing loss (ARHL) or presbycusis patients with individual, accurate, and precise fitting progress, which is a priority for bilateral hearing aids, and to explore the related influencing factors and their role in predicting the efficiency of hearing aids.MethodsA total of 73 cases of presbycusis patients aged 60–95 years old underwent pure tone audiometry and speech recognition ability examination to obtain the pure tone audiometry of the better ear (BPTA) and maximum speech recognition rate of the better ear (BSRR) in quiet environment before hearing aid fitting. Audiologists evaluated the efficiency and satisfaction of participants according to the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire scores by face-to-face or telephone investigations after using the hearing aids for at least 3 months. The data were analyzed related to possible influencing factors.ResultsTotal satisfaction percentage according to IOI-HA scores was 86.3%. There was no significant correlation between age, first fitting age, unilateral or bilateral hearing aids, BPTA, and IOI-HA total score. BSRR was strongly correlated to total IOI-HA scores (r=0.768). According to the multiple linear regression analysis, BPTA and BSRR both had a statistically significant effect on the total IOI-HA scores after hearing aid intervention.ConclusionARHL patients with accurate hearing aid fitting will have high satisfaction and bilateral hearing aids are better than unilateral ones. Age and first fitting age are not meaningful to satisfaction with hearing aids. A higher maximum speech recognition rate before hearing aids fitting could predict better efficiency and satisfaction with hearing aids. Therefore, completing speech recognition ability examination before fitting would make a great contribution to the efficiency of hearing aids, and help ARHL patients have realistic expectations.

Functional and aesthetic results after septorhinoplasty and concomitant radiofrequency of the inferior turbinate: is there a role for patient reported outcome measures (PROMs)?

Functional and aesthetic results after septorhinoplasty (SRP) are often not clearly demonstrated. There is still an open topic in the literature about analysis of aesthetic, functional results and patients' satisfaction after SRP. The aim of our study is to determine patients' satisfaction after SRP and concomitant radiofrequency of the inferior turbinate (RF) regarding nose appearance and improvement of symptoms, using patient reported outcome measures (PROMs). ROE questionnaire and the NOSE scale were used for a retrospective evaluation to assess patient's satisfaction in 369 patients undergoing SRP surgery from 2003 to 2016. Two additional questions were asked to confirm satisfaction following surgery. 258 patients completed the questionnaires (71.7%). The global average ROE score was 18.14 (75.6%). The percentage of satisfaction of aesthetic result was 87.3%, in particular 10.5% were very happy, 57% very much satisfied and 19.8% moderately satisfied. The global post-operative average NOSE score was 13.1 with the resolution of nasal obstruction in 72.1% cases and a marked improvement in 9.3%. The results of the two additional questions showed that 81% of patients would undergo the procedure again if required and 72.1% of patients were globally satisfied. Our study demonstrates the utility of PROMs in evaluating aesthetic and functional results after SRP and simultaneous RF. In our series, the patients undergoing SRP and RF are generally satisfied by the functional and aesthetic results. This kind of assessments should be the most common post-operative evaluation methods in this surgery.