Follow up survey in Taunton shows high level of satisfaction

INTRODUCTION Patients with minor anorectal conditions are frequently reviewed at an 8-week out-patient appointment (OPA). This study was designed to assess whether telephone follow-up could reduce OPA numbers whilst maintaining patient satisfaction. PATIENTS AND METHODS Over an 11-month period, 46 patients (23 male) underwent banding of haemorrhoids and 14 were prescribed medical treatment for fissure-in-ano (3 male). All were telephoned at 6 weeks and were offered an 8-week OPA if they had continuing problems. Patients were telephoned at a later date by a member of the hospital's patient panel to assess satisfaction. RESULTS Overall, 88% were contacted at 6 weeks, 60% at the first attempt; 40% required two or more attempts. Of those who underwent banding, 68% were asymptomatic, 17% requested an OPA for re-banding and 15% requested an OPA for a different problem. Of fissure patients, 25% were cured; the remainder were prescribed either second-line medical treatment (8%), anorectal physiology (42%) or surgery (25%). All avoided an OPA. Of a potential 60 OPAs, 47 were saved by telephone follow-up. None of 7 non-contactable patients accepted a written offer of an OPA. Overall, 89% of patients were contacted by the patient panel; of these patients, 93% reported a high level of satisfaction. CONCLUSIONS Telephone follow-up can reduce the number of OPAs following out-patient treatment of minor anorectal conditions whilst maintaining a high level of patient satisfaction. However, it requires considerable consultant time. This process could be developed into either a nurse-led service with booked telephone appointments or a patient-led service to a dedicated hotline.

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Comparative study of post placental cut insertion following vaginal and caesarean delivery

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170553 ◽

2017 ◽

Vol 6 (3) ◽

pp. 901 ◽

Cited By ~ 2

Author(s):

Jasmine Lall ◽

Oby Nagar

Keyword(s):

Caesarean Delivery ◽

Prospective Observational Study ◽

Postpartum Women ◽

Expulsion Rate ◽

Excessive Bleeding ◽

Level Of Satisfaction ◽

Post Placental ◽

High Level ◽

Effective Contraceptive

Background: The IUCD is a safe and effective contraceptive option for postpartum women who wish to either space or limit subsequent births.Methods: In a hospital based prospective observational, study we compared outcome of post placental IUCD in vaginal and caesarean delivery groups.Results: We found that expulsion rate is significantly higher in vaginal group (10%) as compared to caesarean delivery (2%) group at 3 months of follow up. Excessive bleeding is mostly commonly found complication (18% in both groups at 6weeks of follow up).Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

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Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial

BioMed Research International ◽

10.1155/2016/6397828 ◽

2016 ◽

Vol 2016 ◽

pp. 1-12 ◽

Cited By ~ 16

Author(s):

I. Dimbwadyo-Terrer ◽

A. Gil-Agudo ◽

A. Segura-Fragoso ◽

A. de los Reyes-Guzmán ◽

F. Trincado-Alonso ◽

...

Keyword(s):

Virtual Reality ◽

Upper Limb ◽

Conventional Therapy ◽

Control Group ◽

Virtual Reality System ◽

Limb Function ◽

Upper Limb Function ◽

Level Of Satisfaction ◽

High Level

The aim of this study was to investigate the effects of a virtual reality program combined with conventional therapy in upper limb function in people with tetraplegia and to provide data about patients’ satisfaction with the virtual reality system. Thirty-one people with subacute complete cervical tetraplegia participated in the study. Experimental group received 15 sessions with Toyra®virtual reality system for 5 weeks, 30 minutes/day, 3 days/week in addition to conventional therapy, while control group only received conventional therapy. All patients were assessed at baseline, after intervention, and at three-month follow-up with a battery of clinical, functional, and satisfaction scales. Control group showed significant improvements in the manual muscle test (p= 0,043, partialη2= 0,22) in the follow-up evaluation. Both groups demonstrated clinical, but nonsignificant, changes to their arm function in 4 of the 5 scales used. All patients showed a high level of satisfaction with the virtual reality system. This study showed that virtual reality added to conventional therapy produces similar results in upper limb function compared to only conventional therapy. Moreover, the gaming aspects incorporated in conventional rehabilitation appear to produce high motivation during execution of the assigned tasks. This trial is registered with EudraCT number2015-002157-35.

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A feasibility study of Dignity Psychotherapy delivered via telemedicine

Palliative & Supportive Care ◽

10.1017/s1478951504040209 ◽

2004 ◽

Vol 2 (2) ◽

pp. 149-155 ◽

Cited By ~ 23

Author(s):

STEVEN D. PASSIK ◽

KENNETH L. KIRSH ◽

SUZANNE LEIBEE ◽

LISA S. KAPLAN ◽

CELIA LOVE ◽

...

Keyword(s):

Feasibility Study ◽

Great Promise ◽

A Value ◽

Dignity Therapy ◽

Level Of Satisfaction ◽

Timely Fashion ◽

Dying At Home ◽

High Level ◽

Therapy Sessions

Objective: Dignity Psychotherapy has shown great promise as a value-affirming intervention for patients with advanced disease. We delivered the Dignity Psychotherapy intervention in a feasibility study of a series of eight cancer patients via videophone technology to deliver the therapy into their homes.Methods: Once eligible patients were consented on this IRB-approved study, they completed baseline assessments and were scheduled to have the videophone placed in their homes. The Dignity Therapy sessions then encompassed a first session, which was transcribed and edited, followed by a second session to go over the edited transcript and allow the patient to make changes. Patients then filled out follow-up questionnaires and had the telemedicine equipment removed from their homes, and their legacy document delivered.Results: Participants had a mean age of 56.32 years (range = 41–66, SD = 7.65) and were diagnosed with lung (n = 5, 62.5%), breast (n = 2, 25%), or colon cancer (n = 1, 12.5%). They reported overall benefit from the intervention along with a high level of satisfaction. We were able to deliver the intervention in a timely fashion, with minimal length between sessions and transcript delivery and few technical difficulties.Significance of results: Telemedicine can greatly extend the benefits of Dignity Psychotherapy by bringing it to patients who are dying at home. Our very preliminary work suggests that delivering the intervention to patients who are too ill to leave their homes or who are in rural locations may be a feasible way to help them.

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High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study

Surgery Research and Practice ◽

10.1155/2016/2906145 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Giuliano Reboa ◽

Marco Gipponi ◽

Maurizio Gallo ◽

Giovanni Ciotta ◽

Marco Tarantello ◽

...

Keyword(s):

High Volume ◽

Complication Rates ◽

Transanal Surgery ◽

Satisfaction Index ◽

Level Of Satisfaction ◽

High Satisfaction ◽

High Prevalence ◽

Anal Dilator ◽

High Level

The clinical chart of 621 patients with III-IV haemorrhoids undergoing Stapled Hemorrhoidopexy (SH) with CPH34 HV in 2012–2014 was consecutively reviewed to assess its safety and efficacy after at least 12 months of follow-up. Mean volume of prolapsectomy was significantly higher (13.0 mL; SD, 1.4) in larger prolapse (9.3 mL; SD, 1.2) (p<0.001). Residual or recurrent haemorrhoids occurred in 11 of 621 patients (1.8%) and in 12 of 581 patients (1.9%), respectively. Relapse was correlated with higher preoperative Constipation Scoring System (CSS) (p=0.000),Pescatori’s degree (p=0.000),Goligher’s grade (p=0.003), prolapse exceeding half of the length of the Circular Anal Dilator (CAD) (p=0.000), and higher volume of prolapsectomy (p=0.000). At regression analysis, only the preoperative CSS,Pescatori’s degree,Goligher’s grade, and volume of resection were significantly predictive of relapse. A high level of satisfaction (VAS = 8.6; SD, 1.0) coupled with a reduction of 12-month CSS (Δ preoperative CSS/12 mo CSS = 3.4, SD, 2.0;p<0.001) was observed. The wider prolapsectomy achievable with CPH34 HV determined an overall 3.7% relapse rate in patients with high prevalence of large internal rectal prolapse, coupled with high satisfaction index, significant reduction of CSS, and very low complication rates.

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Dermis fat grafts for bilateral augmentation mammaplasty

Canadian Journal of Plastic Surgery ◽

10.1177/229255039500300303 ◽

1995 ◽

Vol 3 (3) ◽

pp. 1-8

Author(s):

John Michael Drever

Keyword(s):

Body Contouring ◽

Breast Implants ◽

Augmentation Mammaplasty ◽

Silicone Implants ◽

Lower Abdomen ◽

Silicone Breast Implants ◽

Fat Grafts ◽

Level Of Satisfaction ◽

High Level

Dermis fat grafts for body contouring have been used for over a century and extensively reported and researched, but since the advent of the more reliable silicone implants they have been dropped and neglected. As a consequence of the present controversy surrounding silicone breast implants, women are inquiring about augmentation with their own tissues. Healthy patients with good vascularity are the best candidates. These grafts are removed from the lower abdomen and placed with the dermis side facing the muscle, ‘take’ and then lose about 30 to 50% of their initial volume. Thirty-six cases were performed with this technique, and a two-and-a-half year follow-up with few complications and a high level of satisfaction is reported.

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Mental Strategies Predict Performance and Satisfaction with Performance Among Soccer Players

Journal of Human Kinetics ◽

10.1515/hukin-2017-0149 ◽

2017 ◽

Vol 59 (1) ◽

pp. 79-90 ◽

Cited By ~ 1

Author(s):

Magdalena Kruk ◽

Jan Blecharz ◽

Monika Boberska ◽

Karolina Zarychta ◽

Aleksandra Luszczynska

Keyword(s):

Endurance Performance ◽

Individual Performance ◽

Soccer Players ◽

Emotional Control ◽

Level Of Satisfaction ◽

Self Talk ◽

Predictive Role ◽

High Level

AbstractThis study investigated the changes in mental strategies across the season and their effects on performance and satisfaction with individual performance. Data were collected three times: at the pre-season at Time 1 (T1; baseline), in the mid-season at Time 2 (T2; two-month follow-up), and at the end-of-season at Time 3 (T3; nine-month follow-up) among male soccer players (N = 97) aged 16-27. Athletes completed the questionnaires assessing the use of nine psychological strategies in competition and the level of satisfaction with individual performance. Endurance performance was measured objectively with a 300 m run. A high level of relaxation (T1) explained better 300 m run performance (T3) and a high level of self-talk explained a higher satisfaction with individual performance (T3). A rare use of distractibility and emotional control (T1) predicted a higher level of satisfaction with individual performance (T3). No predictive role of other psychological strategies was found. The use of emotional control, relaxation, and distractibility increased over the season, whereas the use of imagery and negative thinking declined. Besides the roles of self-talk, imagery, relaxation and goal-setting, the effects of distractibility and emotional control should be taken into account when considering athletes’ mental training programs.

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Maxillary Implant-Supported Overdentures: Mechanical Behavior Comparing Individual Axial and Bar Retention Systems. A Cohort Study of Edentulous Patients

Medicina ◽

10.3390/medicina56030139 ◽

2020 ◽

Vol 56 (3) ◽

pp. 139

Author(s):

José Félix Mañes Ferrer ◽

Lucía Fernández-Estevan ◽

Eduardo Selva-Otaolaurruchi ◽

Carlos Labaig-Rueda ◽

María Fernanda Solá-Ruíz ◽

...

Keyword(s):

Mechanical Behavior ◽

Failure Rate ◽

Patient Satisfaction Questionnaire ◽

Level Of Satisfaction ◽

Satisfaction With Treatment ◽

Edentulous Patients ◽

High Level ◽

Group Failure

Background and objectives: To compare the medium- to long-term mechanical behavior of overdentures with two different retention systems: overdentures with Locator® axial retention, and vertical insertion overdentures with bar retention, used to rehabilitate edentulous maxillar. Material and Methods: This prospective study assessed patients presenting complete maxillary edentulism, rehabilitated by means of implant-supported overdentures (n = 20), 10 with Locator® axial retention (ODA group) and 10 with overdentures on bars (ODB group). Patients also completed a questionnaire to determine their satisfaction with treatment. Results: The mean follow-up time in both groups was 11.4 years, with follow-up times in both groups ranging from 5 to 14 years. The ODA group suffered mechanical complications such as retention loss, need for nylon retention insert changes, resin fracture, and need for relining. In the ODB group, prosthetic dental wear, screw loosening, and complete prosthetic failure were more common. A total of 19 implants failed (23.8%); of these, 11 were in the ODA group (failure rate = 27.5%) and eight in the ODB group (failure rate = 20%). The patient satisfaction questionnaire obtained a mean score of 7.9 out of 10 in the ODA group, and 9.75 in the ODB group. Conclusions: in rehabilitations of edentulous maxillar by means of implant-supported overdentures, both the systems assessed were shown to be effective in the medium to long term. Patients expressed a high level of satisfaction with the treatments received.

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Effectiveness of a Pre-Surgery Assessment and Education Programs for Impotent Males

Journal of Applied Rehabilitation Counseling ◽

10.1891/0047-2220.18.1.38 ◽

1987 ◽

Vol 18 (1) ◽

pp. 38-42

Author(s):

M.G. Eisenberg ◽

Kirk M. Hubbard

Keyword(s):

Patient Education ◽

Rating Scale ◽

Assessment Procedure ◽

Chart Audit ◽

Education Programs ◽

Level Of Satisfaction ◽

Point Rating Scale ◽

Survey Results ◽

High Level

A pre-surgical assessment and patient education program for impotent surgical implant candidates is described. Using a five-point rating scale surgeons assessed the program's efficacy in terms of the importance of the evaluation in the total assessment procedure, quality, and timeliness of response to consultation requests. Survey results indicate a high level of satisfaction on all dimensions evaluated. This finding's validity was reinforced by chart audit which indicated that staff recommendations were followed 95% of the time. The program, however, was assessed as fully meeting only four of its five stated objectives with inadequate follow-up procedures for both the patient and his sex partner seen as a major deficiency of this and other similarly configured pre-surgical and patient education programs. Finally, the potential importance of establishing pre-surgical assessment and patient education programs for other surgical procedures are briefly considered.

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Unassigned Geriatric Evaluation and Management Program: preventing sub-acute hospital admissions

Australian Health Review ◽

10.1071/ah020164 ◽

2002 ◽

Vol 25 (6) ◽

pp. 164 ◽

Cited By ~ 1

Author(s):

Clare Heaney ◽

Kwang Lim ◽

Sharryn Lydall-Smith ◽

Michael Dorevitch

Keyword(s):

Hospital Admissions ◽

Management Program ◽

Community Case Management ◽

Level Of Satisfaction ◽

Extended Care ◽

Geriatric Evaluation ◽

High Level ◽

Effective Service ◽

Very High

The purpose of this study was to describe and evaluate the Unassigned Geriatric Evaluation and Management (UGEM) program recently developed at Bundoora Extended Care Centre (BECC). The UGEM program resembles a bed substitution service and aims to prevent hospital admissions by providing community case management services to clients who would otherwise require inpatient admission.Data was collected on 36 clients who had received UGEM services. Twenty-six clients/carers also took part in a follow-up telephone satisfaction interview.Overall, the evaluation indicates that the UGEM program is a flexible, valuable and effective service. Most UGEM clients could be maintained at home with services, and this suggests that the program succeeds in assisting many clients to avoid hospitalisation in crisis situations. Further, clients and carers displayed a very high level of satisfaction with the service. The ongoing funding of such programs is crucial in order to maintain the reduction in hospital admissions and hence the high costs associated with inpatient care.

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