Status Satisfaction Research Articles

Effects of Regular Exercise, Arts (Origami), and Group Psychotherapy on the Quality of Life, Anxiety, Depression, Patient Satisfaction, and Hope in Cancer Patients in Remission: A Prospective Study

Background: Cancer is a critical public health problem worldwide. Some studies found that group psychotherapy, when applied to cancer patients as a psychiatric approach, also decreases the existing psychopathological symptoms. Objectives: This study aimed to determine the effects of a Quality-of-Life Support Program (QOLSP) for cancer patients in remission. Methods: Twenty-six cancer patients who were monitored while in remission were included in this study. During the eight-week prospective study, a QOLSP was implemented weekly. The patients’ hope, anxiety, depression, and quality of life (QoL) were assessed using different scales. Additional questionnaires assessed the status of program satisfaction and the arm utilization angle of the breast cancer patients (n=20). Results: The total mean score on the hope scale was initially 25.6±3.9 and increased to 29.7±1.9 post-QOLSP (P˂0.001). Additionally, the total mean score on the EORTC QLQ-C30 scale was initially 68.9±4.9 and increased to 92.6±2.2 post-QOLSP (P˂0.001). Moreover, the total mean anxiety and depression scores on the Hospital Anxiety and Depression Scale (HADS) decreased (P<0.001) post-QOLSP. Factors affecting the hope score differences, including the hope pre-score and the sap score (Loss of Appetite), in the EORTC QLQ-C30 symptom scale were significant (P<0.001 and P=0.01, respectively). Factors affecting the anxiety and depression score differences were the HADS anxiety (P=0.001) and depression (P<0.001) pre-scores, in descending order. Moreover, the factor affecting the sql2 score, evaluating General Health Status on the EORTC QLQ-C30, was the sql2 pre-score (P<0.001). All 26 patients were “very satisfied” with the program, and the arm usage angle of the 20 operated breast cancer patients improved. Conclusion: Facilities that can provide a multidisciplinary QOLSP throughout treatment and follow-up will favorably affect QoL, anxiety, depression, hope, and satisfaction among cancer patients.

How do implicit and explicit partner evaluations update in daily life? Evidence from the lab and the field.

Evidence suggesting that implicit partner evaluations (IPEs), but not explicit evaluations (EPEs), can predict later changes in satisfaction and relationship status has led researchers to postulate that IPEs must be especially sensitive to relational reward and costs. However, supporting evidence for this assumption remains scarce, and very little is known regarding how IPEs versus EPEs actually update in everyday life. Two studies (one in-lab dyadic interaction study, N = 255, and one 14-day dyadic diary study, N = 348) investigated updating in IPEs and EPEs in the context of real-life relationship experiences. Study 1 revealed that the level of positive and negative experiences that a couple encountered while discussing a divergence of interests in their relationship predicted pre-to-post changes in EPEs, but not in IPEs. Study 2 revealed that IPEs showed less sensitivity to everyday relationship experiences across multiple metrics over the course of 14 days. Specifically, compared with EPEs, IPEs fluctuated less at the within- (vs. between-) person level, showed less-abrupt changes from day-to-day, and had a substantially weaker relationship with same-day positive and negative experiences. Rather than covarying with same-day experiences, IPEs appeared sensitive to relationship experiences aggregated across multiple prior days as well as to highly diagnostic relationship experiences, such as breakup. Consistent with recent advances in social-cognitive research, these findings support a modified account of IPE sensitivity, according to which IPEs show only gradual shifts under everyday circumstances, but more-dramatic shifts under highly diagnostic circumstances. Implications of these findings for close relationships and implicit social cognition research are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The role of social capital in achieving preferred customer status with manufacturing and service suppliers

PurposeThis study uses social capital theory to analyze how social capital and supplier development support achieving supplier satisfaction and preferred customer status. The resulting model is compared between manufacturing and service suppliers.Design/methodology/approachA survey receiving 482 supplier responses from manufacturing and service suppliers was utilized and analyzed using partial least squares (PLS) path modeling and multi-group comparison tests.FindingsThe paper adds new explanations for preferred customer status through empirical evidence of relationships between supplier development, social capital, supplier satisfaction, and preferred customer status. Cognitive and relational capital directly support achieving preferred customer status. The role of supplier satisfaction in achieving preferred customer status is lower for manufacturing suppliers.Research limitations/implicationsBoth service and manufacturing suppliers could also be studied in their specific industry settings. A more in-depth investigation of other business relationship dynamics, such as power, is needed in a future study.Practical implicationsService and manufacturing suppliers need different strategies to obtain the benefits from supplier development and social capital building. For service suppliers, more intangible factors are relevant in comparison to manufacturing suppliers.Originality/valueThis study advances the literature in two main ways. First, it elaborates the role of supplier development and social capital in the path toward supplier satisfaction and preferred customer status as perceived by suppliers. Second, this study answers the calls for a better understanding of the contextual characteristics underlying potential differences in how preferred customer status is formed.

Hedonism and Repurchase: Determining Value for Money and Repurchase Intentions in Shopping Malls

This research determines, how the customers intend on buying and how their perceptions of currency values are affecting their shopping experiences in Pakistan To do so, a questionnaire with a sample size of 360 respondents. To achieve the research objectives, a quantitative investigation was conducted. Information was gathered from malls and a few supermarkets in Multan. According to this study, a buyer’s repurchase represents found a key indicator of their status, amusement, idea, and level of satisfaction. The association between the study and the social value of the currency was found negative. However, no correlation was found between exploration and intention of purchase in the proposed study area. Furthermore, the outcome of this study showed that the value of the currency was positively influenced by repurchase objectives. This research presented novel perceptions on the nature of hedonism, repurchase intention, and the emergence of more engaging shopping strategies encouraging consumers to enjoy their goods in depth. Interventions of the study revealed an entertaining shopping mechanism with more valuable and happy footsteps. By providing a large variety of fresh things i.e., a greater selection of products, friendly sales employees, interesting shopping areas, regular access to shopping information, and a high level of service, it is recommended to boost the recreational and practical elements of shopping. The analysis showed the number of customers could steadily rise in future who repurchase the product.

중년의 가구형태와 우울의 관계에서 소득 만족도와 직업 유무의 다중가산조절효과

최근 중년층의 1인 가구가 증가하고 있으며, 우울과 같은 정신건강에 어려움을 호소하고 있다. 중년의 1인 가구는 전체 세대에서 큰 비중을 차지하고 있으며, 우울 역시도 중요한 사회문제로 대두되었다. 1인 가구로 대두되는 가구형태는 우울에 부정적인 영향을 미치고 있으며, 이 가운데에서 중년의 우울에 다양한 사회경제적 요인들이 영향을 미치고 있음을 확인하였다. 이에 본 연구는 중년의 가구형태가 우울에 미치는 영향에 대해 살펴보았다. 또한 중년의 가구형태와 우울 간의 관계에서 사회경제적 요인인 소득과 직업에 초점을 맞추어, 주관적인 소득인 소득 만족도와 직업 유무의 다중가산조절효과를 검증하고자 하였다. 이를 위하여 한국보건사회연구원의 한국복지패널 15차 년도(2020년) 데이터를 이용하였고, SPSS Process Macro v3.3을 활용하여 다중가산조절효과를 검증하였다. 분석결과 중년의 1인 가구는 우울 수준을 높이는 통계적으로 유의미한 요인이었으며, 중년의 소득 만족도와 직업 유무는 가구형태와 우울의 관계에 있어 완충하는 역할인 다중가산조절효과를 갖는 것으로 분석되었다. 이와 같은 연구결과에 기반 하여, 소득 만족도와 직업 유무를 각각 통제할 경우 중년의 가구형태가 우울 수준에 미치는 영향이 어떻게 달라지는지에 대해 논의하였다. 본 연구는 중년의 가구형태로 인한 우울을 완화하기 위한 방안으로 소득의 만족도를 높이고 무직의 경우 재취업 관련 프로그램의 필요성을 강조하였다. 본 연구를 통해 중년을 대상으로 한 정신건강 증진을 위한 사회경제적인 정보를 제공하며, 후속 연구에 유용하게 활용될 수 있기를 기대한다.

Continuum of maternal health care services among peri-urban women- a community-based cross-sectional study in North India

Background: Low level of utilization of continuum of maternal health services (CMHS) is a major factor responsible for high maternal mortality and morbidity. This study was conducted to assess status of utilization, determinants and satisfaction of /about CMHS in peri-urban women of north India.Methods: A community based, cross-sectional study of 310 recently delivered women (RDWs) was conducted. Data were collected using a structured interviewer administered questionnaire and analysed using SPSS 26.0.Results: 158 (51%), 228 (73.5%) and 92 (29.7%) of RDWs had full utilization of antenatal care (ANC), intra natal care (INC) and post-natal care (PNC) respectively. Birth order, education of husband, complications in previous pregnancies, type of family, first ANC visit and place of ANC were significant (p<0.05) predictor of full utilization of ANC. Education of RDW and husband, complications in previous pregnancies were significant (p<0.05) predictor of full utilization of INC. Age, birth order and education of husband were significant predictors (p<0.05) of full utilization of PNC. Full utilization of overall CMHS was only 60 (19.4%). >70% RDWs expressed satisfaction with the quality of CMHS while 28.5% were not satisfied.Conclusions: Utilization of all the three aspects of CMHS still lagging behind with regards to required goals with full utilization of PNC, as limiting factor. Comprehensive approach to increase utilization of CMHS is need of hour, to address the issue of drop out with special emphasis on PNC.

Application Effect of Laparoscopic Myomectomy and Comprehensive Rehabilitation Nursing on Patients with Uterine Fibroids.

Background Uterine fibroids are most common in women aged 30-50 and are the most common benign gynecological tumors. Relevant data suggest that about 25% of patients with uterine fibroids are at childbearing age. Uterine fibroids not only cause the discomfort symptoms, and affect the pregnancy, but also have certain malignant transformation risk, thus needed to be treated positively and promptly. Aim This study is aimed at exploring the effect of laparoscopic myomectomy and comprehensive rehabilitation nursing on patients with uterine fibroids. Methods The clinical data of 110 cases of uterine fibroids admitted to our hospital from August 2019 to December 2021 were analyzed retrospectively, and they were divided into two groups according to postoperative rehabilitation strategies. Both groups were treated with laparoscopic myomectomy. The A group was treated with routine rehabilitation strategy, while the B group was treated with comprehensive rehabilitation nursing strategy. The differences in operation-related indicators, stress factors, inflammatory factors, nutritional indicators, knowledge mastery, occurrence of adverse symptoms and pain scores, negative emotion scores, nursing satisfaction, and simplified comfort status scale (GCQ) scores between the two groups under nursing strategies were compared. Results The postoperative exhaust time (13.14 ± 2.03) h, bed time (9.86 ± 1.94) h, postoperative hospital stay (4.37 ± 1.31) d, and total hospital stay (6.78 ± 1.69) d in the B group were shorter than those in the A group, and the hospitalization expenses (0.74 ± 0.25) million were less than those in the A group (P < 0.05). Before operation, stress factors, inflammatory factors, and nutritional indexes were compared between the two groups (P > 0.05). On the 3rd day after operation, tumor necrosis factor-α (TNF-α), cortisol (Cor), norepinephrine (NE), and interleukin-1β (IL-1β) in the two groups showed a significantly upward trend compared with those before operation, and albumin and transferrin were significantly fell compared with those before operation. However, the values of stress factor and inflammatory factor in the B group were significantly lower than those in the A group, and the values after the decrease of nutritional index were significantly higher than those in the A group (P < 0.05). The pain scores at 24 h, 48 h, and 72 h after operation in the B group were significantly lower than those in the A group (P < 0.05). Negative emotions, nursing satisfaction, and GCQ scores were compared between the two groups before intervention (P > 0.05). After the intervention, the scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) in the two groups were significantly lower than those before the intervention, and the scores of nursing satisfaction and GCQ were higher than those before the intervention. The values of negative emotions in the B group after the decline were significantly lower than those in the A group, while the values of nursing satisfaction and GCQ after the increase were higher than those in the A group (P < 0.05). The excellent and good rate of knowledge acquisition in the B group was 94.55% (52/55), which was significantly higher than 78.18% (43/55) in the A group (P < 0.05). The incidence of adverse symptoms in the B group was 9.09% (5/55), which was lower than 21.82% (12/55) in the A group, while the difference was not statistically significant (P > 0.05). Conclusion Laparoscopic myomectomy combined with comprehensive rehabilitation nursing can reduce the postoperative stress state of patients with uterine fibroids, improve patient satisfaction, reduce adverse emotions, and promote rehabilitation.

Analysis of Nursing Students' Stress Experienced In Simulation Education, Individualized Care Giving and Satisfaction Status

Amaç: Hemşirelik öğrencilerinin simülasyon eğitimi öncesi ve sonrası algıladıkları stres düzeyi ve bireyselleştirilmiş bakım verme algıları ile simülasyon eğitimi sonrası memnuniyet düzeylerinin belirlenmesidir.&#x0D; Gereç ve Yöntemler: Yarı-deneysel çalışma yöntemi kullanılarak yapılan bu araştırmanın örneklemini bir hemşirelik fakültesinde bulunan 148 öğrenci oluşturmuştur. Simulasyon eğitim öncesi ve sonrasında verilerin toplanması amacıyla sosyodemografik veri toplama formu, Hemşirelik Öğrencileri için Algılanan Stres Ölçeği, Bireyselleştirilmiş Bakım Skalası A (BBSA)-Hemşire Versiyonu ölçeği ile Öğrenmede Öğrenci Memnuniyeti ve Özgüven Ölçeği kullanılmıştır. Simülasyon eğitimi preeklemsi-eklemsi, postpartum hemoraji, gebelikte diyabet ve aile planlaması olmak üzere 4 vaka üzerinden yürütülmüştür. &#x0D; Bulgular: Simülasyon eğitimi sonrası öğrencilerin algılanan stres ölçeği puan ortalaması (60,88±31,07) eğitim öncesine göre düşük, eğitim sonrası BBSA-Hemşire Versiyonu puan ortalaması (4,43±0,68) ise yüksek bulunmuştur. Eğitim öncesi dönemde mesleği sevdiğini belirten öğrencilerin stres puan ortalamaları (69,00±28,46) düşük, BBSA-Hemşire Versiyonu puan ortalaması (4,33±0,64) yüksektir. Mesleği isteyerek tercih eden öğrencilerin eğitim öncesi BBSA-Hemşire Versiyonu puan ortalaması (4,30±0,86) diğer öğrencilerle karşılaştırıldığında yüksektir. Öğrencilerin simülasyon eğitimi sonrası Öğrenmede Öğrenci Memnuniyeti Ölçeği Puan Ortalamaları 22,21±3,01 olarak bulunmuştur. &#x0D; Sonuç: Gerçek hasta ile karşılaştıklarında olumlu deneyim yaşamalarını sağlayabilmek amacıyla verilen simülasyon eğitiminin öğrencilerin algıladıkları stres düzeyini azalttığı ve bireyselleştirilmiş bakım verme becerilerini arttırdığı görülmektedir. Aynı zamanda öğrencilere verilen simülasyon eğitimi ile öğrenciler üzerinde öğrenmede memnuniyet oluşturmaktadır.

The Impact of Technostress on Teacher Educators’ Work–Family Conflict and Life Satisfaction While Working Remotely during COVID-19 in Pakistan

This study aims to examine the relationship between teacher educators’ technostress, work–family conflict, and life satisfaction while working from home during the COVID-19 pandemic in Pakistan. The sample consists of 292 respondents, 151 (51.7%) male and 141 (48.3%) female teacher educators, who participated in this study. Three scales, the Technostress Scale (TS), Work–Family Conflict Scale (WFCS), and the Life-Satisfaction Scale (LS), were administered to determine the impact of demographic variables (i.e., gender, age, qualification) on teachers’ technostress, work–family conflict, and life satisfaction. The findings of the study suggest a positive correlation of technostress with work–family conflict (r = 381) and life satisfaction (r = 0.449). Moreover, gender differences were found in the variables of technostress (t = −3.506, df = 290, p ≤ 0.05), work–family conflict (t = −2.834, df = 290, p ≤ 0.05), and life satisfaction (t = −2.916, df = 290, p ≤ 0.05). The present research is a baseline study within the context of Pakistan to report the findings in terms of educators’ technostress, keeping balance between work and life, and status of life satisfaction as a result of teaching virtually while working from home during the pandemic.

Neighborhood satisfaction and reproductive status.

Both urban planners and urban scholars have been keenly interested in identifying the characteristics associated with neighborhood satisfaction. One robust but surprising pattern is that the presence or number of children in a household has no effect on neighborhood satisfaction. To clarify this pattern, we measured the neighborhood satisfaction of a representative sample of 1,000 Michigan adults, whom we divided into six distinct reproductive statuses: co-parents, single-parents, empty nesters, not-yet-parents, childless individuals, and childfree individuals. We found that a simple parent vs. non-parent dichotomy hides significant heterogeneity among these groups. Specifically, we found that single parents and childfree individuals experience significantly less neighborhood satisfaction than other groups. We conclude by reflecting on the methodological and practical implications of differences in neighborhood satisfaction when more nuanced reproductive statuses are considered.

Psychological distress and marital satisfaction among the spouses of patients with alcohol dependence syndrome attending Patan Hospital

Introduction: Alcohol dependence is considered as an ongoing stressor for individual and family. Among them, spouses are primarily affected because of intimate nature of their relationship. Spouses play an important role in treatment programs related to alcohol and thus there is a need to study psychological distress and marital satisfaction in order to understand and address such issues. Thus, this study aims to identify prevalence of psychological distress and marital satisfaction among spouses of ADS patients.&#x0D; Method: This was cross-sectional study was conducted at Patan Hospital in Nepal. A total of 92 spouses of patient with alcohol dependence syndrome were selected by purposive sampling were assessed using self-administered questionnaire. Psychological Distress and Marital Satisfaction was assessed using DASS 21 and Marital Satisfaction Scale respectively. The descriptive statistics was calculated for socio demographic and association and correlation between marital satisfaction status and psychological distress was done using chi square test and Spearman’s rank correlation coefficient respectively.&#x0D; Result: Majority of respondents had anxiety 59(64.13%) followed by depression 52(56.52%) and 19(20.65%) perceived stress. There was significant association between the psychological distress (Depression, Anxiety and Stress) and marital dissatisfaction in spouses (p-value = &lt;0.05) whereas there was negative correlation with each other.&#x0D; Conclusion: Psychological distress in spouses of alcohol dependent patient is high, with marital satisfaction being low. Addressing these issues will be beneficial as spouses have important role for prompt treatment of alcohol dependence syndrome and also prevents from deterioration of spouse’s mental state.

Influence of perceived importance of the internet on life satisfaction and health of the older people: An analysis based on intermediary and moderating effects.

With the global growth of the aging population, healthy aging and active aging has become an important goal for the future social development of all countries. The purpose of this study is to explore the potential relationships between the older people's perceived importance of the Internet, family atmosphere, behavioral independence, life satisfaction, and health. The data come from the China Family Panel Studies' fourth wave (2015–2016) and fifth wave (2017–2018) investigations. According to an analysis of data of 5,948 people over 60 years old performed using LISREL 8.8 software, the selected cases answered the same questions about the perceived importance of the Internet, life satisfaction, and health status in two waves of surveys. The results show that life satisfaction and self-rated health have cross influences, while at the same time both are persistent in the time baseline, and family atmosphere and behavioral independence play an important intermediary role. Therefore, strengthening parent–child interaction, promoting parent–child relationships, and improving behavioral independence can effectively improve the life satisfaction and health status of the older people.

Financial Leverage and Life Satisfaction of U.S. Baby Boomer Retirees: An Empirical Study

This study examined the association between financial leverage and life satisfaction for retired baby boomers in the United States. Financial planning factors modeled included mortgage and non-mortgage debt, wealth, income, financial satisfaction, and financial control. This empirical study used a sample of 984 retirees aged 50-70 from the 2016 Health and Retirement Study. Life-cycle hypothesis was employed to explain and model life satisfaction. Ordinary least squares regression produced an adjusted R-squared of 41.31%. Partial support for the hypotheses was demonstrated. Non-mortgage debt was found to be negatively associated with life satisfaction, indicating lack of utility for this type of debt. Mortgage debt, on the other hand, was not negatively or positively associated with life satisfaction. Significant variables contributing to life satisfaction included financial satisfaction, physical health, social control, life expectations, and marital status. The results of this modeling would appear to indicate that outstanding non-mortgage debt has a greater negative impact on life satisfaction than mortgage debt.

Cacao Butter as Prophylaxis for Nipple Problems: A Pilot Randomized Controlled Study

Objective: Cacao butter is a type of oil extracted from the fruit of the Theobroma Cacao plant. This study was conducted to compare the use of breast milk and cacao butter for the prevention of nipple problems in the early postpartum period. Materials and Methods: This randomized controlled study involved 72 participants, who were randomized into the cacao and mother's milk groups. Data were collected using Descriptive questionnaire, Nipple assessment form, and IMDAT (Amount of Urine Output, Condition of Breasts, Amount of Stool, Weight Increase and Satisfaction Status). Results: On postpartum day 10, the rates of nipple pain (11.40% cacao group versus 40.50% mother's milk group), rashes (14.30% cacao group versus 35.10% mother's milk group), and cracks (14.30% cacao group versus 43.20% mother's milk group) significantly reduced in the cacao group when compared with the mother's milk group (p < 0.05). Conclusion: The application of cacao butter to the nipples is possibly a more effective method than the application of mother's milk for preventing nipple pain, rashes, or cracked nipples. Cacao butter can be used prophylactically to prevent nipple problems in the early postpartum period.

Is C7-T1 cervical disc replacement a viable technique: A case series.

IntroductionCervical disc replacement (CDR) surgery is well established for the treatment of disc degeneration from C3-C7, but there is little data regarding the safety and efficacy of CDR at the cervicothoracic junction, C7-T1. CDR is an appealing option, in terms of range of motion preservation, symptom relief, and absence of risk for nonunion. Currently, C7-T1 CDR is not approved by the Food and Drug Administration, and the existing literature is limited to two case reports that describe the results of a combined two patients. This series explores whether C7-T1 CDR is a reasonable treatment and alternative to fusion.MethodsWe present a case series of seven consecutive patients who underwent CDR at C7-T1 by a single surgeon from January to December of 2019. There were five females and two males with an average age of 61.3 ± 6.4 years.ResultsAverage follow up was 18.9 ± 2.5 months. The average postoperative NDI score was 22.6 % ± 14.0. We also recorded qualitative data regarding patient satisfaction and revision surgery status. There was one complication of disc subsidence following three months of complete pain resolution. The six other patients reported being very satisfied with their surgical outcome.ConclusionThese seven cases dramatically increase the volume of data in the literature on clinical outcomes and patient satisfaction following CDR at the cervicothoracic junction. Additionally, the heterogeneity of cases shows the effectiveness of this treatment in many real-world cases. A greater volume of cases with longer follow up will be necessary to better establish long-term clinical success.

Job satisfaction and its related factors among emergency department physicians in China

BackgroundJob satisfaction is recognized as an important factor affecting the performance and quality of medical services of emergency department physicians. However, little is known about the status of job satisfaction among emergency department physicians in China. This study aimed to explore the current level of job satisfaction and its associated factors among emergency department physicians in China.MethodsA nationwide cross-sectional survey was conducted in China from July to August 2018. A total of 10,457 emergency department physicians completed the questionnaire. The structured online questionnaire collected information on socio-demographic characteristics, work-related factors, work-family conflict, and job satisfaction. Student's t-test or ANOVA were used to compare the job satisfaction scores in different characters. The generalized linear model was used to investigate the related factors of job satisfaction among emergency department physicians.ResultsThe respondents' job satisfaction average score was 12.2 ± 3.6, of which 42.01% were satisfied of which the job. The results showed that emergency department physicians over 41 years old, with a higher income and working in central and western regions were positively associated with job satisfaction. In contrast, bachelor degree and above, fixed posts, long years of service, a high frequency of night shift, perceived shortage of physicians, perceived medical errors, and higher work-family conflict scores were negatively correlated with job satisfaction among emergency department physicians.ConclusionJob satisfaction of emergency department physicians in China is low. It is suggested that hospital administrators could improve the job satisfaction of emergency department physicians by establishing an acceptable shift system, ensuring adequate emergency department staffing, increasing their income appropriately and alleviating work-family conflict.

Depression, Anxiety, Stress, and Satisfaction of Medical Students in Relation to Income and Body Mass Index

Objectives: The aim of this study was to explore the relationship of students' income and body mass index (BMI) with the level of depression, anxiety, stress, and academic satisfaction. Methods: A cross-sectional study with distribution of online Depression, Anxiety, and Stress Scale questionnaire online to medical students in different universities of Saudi Arabia. In addition, they filled out a predesigned pro forma that contained sociodemographic characteristics and satisfaction status regarding lectures, practical, staff, and examinations. A total of 351 participants completed the study. Students were asked about various academic issues and assessed by a three-point Likert scale (satisfied, undecided, and unsatisfied). Results: The prevalence of depression, anxiety, and stress in students with a father's monthly income of &lt;3000 US Dollars was 72.4% (n = 79), 83.4% (n = 91), and 63.3% (n = 69), respectively. Furthermore, the prevalence of depression, anxiety, and stress in students with a father's monthly income between 3000-5000 US Dollars was 71.5% (n = 73), 74.5% (n = 76), and 48.0% (n = 49) respectively. As for the students with a father's monthly income &gt;5000 US Dollars had a prevalence of 62.1% (n = 87), 71.4% (n = 100), and 48.5% (n = 68) for depression, anxiety, and stress respectively. Hence, it was noted that the prevalence was higher in students with a father's monthly income &lt;3000 US Dollars in all categories (depression P = 0.056 which was marginal, anxiety P = 0.009, and stress P = 0.050).. 46.8% (n = 51) of students with a father's monthly income &lt;3000 US Dollars, 32.4% (n = 33) of students with a father's monthly income between 3000 and 5000 US Dollars, and 30.7% (n = 43) of students with a father's monthly income &gt;5000 showed an extremely severe anxiety score. It showed that the moderate degree of depression with mean total depression score of students with a father's monthly income &lt;3000 was 17.7 ± 11.7. It showed a severe degree of anxiety with a mean total anxiety score of 18.4 ± 11.4, and a moderate degree of stress with a mean total stress score of 19.1 ± 10.4. The prevalence of depression 69.3% (n = 172), anxiety 77.4% (n = 192), and stress 54.8% (n = 136) in students with BMI &lt;25 was higher than in students with BMI ≥25 65.0% (n = 67), 72.8% (n = 75), and 48.5% (n = 50) with no statistically significant difference (P = 0.161, P = 0.433, and 0.572), respectively. It showed that 37.5% (n = 93) of students with BMI &lt;25 were extremely severely anxious while students with BMI ≥25 were 33.0% (n = 34). Conclusions: The prevalence of depression, anxiety, and stress in medical students with low father monthly income was significantly high. The prevalence of severe anxiety in all groups needs more attention from the medical college's higher authorities.

What Makes Indonesians Satisfied With Their Health? A Multilevel Analysis

National governments are increasingly exploring how the routine collection of subjective well-being data can be a valuable tool for improving public policy. In particular, health satisfaction is an indicator of subjective well-being which can be helpful in evaluating and improving of health policy. This study aimed to examine patterns and determinants of health satisfaction across provinces, considering how its measurement can help governments to deliver more effective health policy. We used secondary data using Happiness Level Assessment Survey conducted by the Central Statistics Agency of Indonesia involved respondents aged 18 to 98 with response rate in 2014 was 94.2%, while in 2017 was 96.4%. To this end, an analysis was performed on 45,881 responses to the 2014 and 2017 Happiness Level Assessment Survey performed by the Central Agency of Statistics. The results showed that there was a significant difference in health satisfaction in 2017 compared with 2014, with health satisfaction in 2017 is higher than that in 2014. Overall, 12 out of 34 provinces experienced a substantial rise in health satisfaction. Subsequently, multi-level modeling was used to explore the extent to which health satisfaction was associated with different individual-level and provincial-level explanatory variables. Here, the analyses showed that health satisfaction among Indonesians is associated with whether individuals live in urban or rural areas, demographic factors, health-related factors, social capital, and leisure time. Overall, the study helps to illuminate the status of health satisfaction across Indonesia, leading to numerous suggestions for improving health policy.

The modified Devine's procedure for the management of concealed penis in children: an experience of 131 cases.

With the current study, we aimed at describing our experience of surgical management of concealed penis using the modified Devine's procedure. Medical records of all patients undergoing surgical management of concealed penis using the modified Devine's procedure from January 2019 to June 2021 were retrieved. Penile length was measured before and after the procedure. Parental satisfaction on the penile size, morphology, voiding status and hygiene was measured using a 5-point Likert's scale. A total of 131 patients were included. The mean age of the patients was 8.56 ± 2.75 years. The mean BMI of the patients was 24.17 ± 1.78 kg/m2. The patients were followed up to a mean of 15 ± 3 months. The duration of the surgery was 89.93 ± 16.85 minutes. There was a statistically significant increase in penile length from 1.8 ± 0.64 cm to 5.02 ± 1.11 cm after the procedure (p < 0.01). There was a statistically significant improvement in satisfaction status of all domains at 6, 12 and 24 weeks as compared to pre-operative levels. The modified Devine's technique is a simple and effective surgical technique for management of concealed penis in children producing predictable results and excellent parental satisfaction. The low rate of complications and good cosmetic outcomes lend support to its use in clinical practice.

A Comparison of Clinical Outcomes Between the Winograd and Modified Winograd Methods for Ingrown Toenails: A Retrospective Study of the Importance of Suturing Techniques.

Aim: This study aimed to compare the effects of the Winograd and modified Winograd methods for nail bed suturing on clinical outcomes in patients with nail ingrown.Methods: In total, 45 patients who underwent surgery for ingrown toenails between December 2019 and December 2020 were randomised retrospectively. In this study, different methods applied by the authors were studied, and the methods applied by each author were divided into two separate groups. All patients had partial germinal matrix and nail bed excisions. Thirty (53.6%) of the nails were dressed in gauze, leaving the excised area of ​​the nail unsutured (group 1). Then, the remaining 26 nails (group 2) were sutured with the mattress suturing technique to ensure that the skin was under the nail. Clinical outcomes, visual analogue scale (VAS) scores, and verbal satisfaction status were statistically evaluated.Results: In our study, 56 nails of 45 patients were evaluated retrospectively. The patients were followed up for an average of 13 (10­19) months. The mean age was 27.13 (15-­48) years. In total, 31 (68.9%) of the patients were men, and 14 (31.1%) were women. The incidence of postoperative bleeding and granulation tissue development decreased in the sutured group. In group 1, the development of hypertrophic granulation tissue after surgery had a significantly negative impact on VAS score and recovery time. In the sutured group, patients returned to work or performed activities of daily living for a shorter period. Approximately 95% of patients were satisfied or extremely satisfied.Conclusion: Partial matrix excision using the appropriate suturing technique is associated with a fast recovery, low recurrence rate, high patient satisfaction, and earlier return to work activities of daily life among patients treated for ingrown toenails.