scholarly journals Inpatients’ opinions on a hospital in Portugal

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 49
Author(s):  
Carina C Silva ◽  
Agripino Oliveira
Keyword(s):  
Medical Care ◽  
Diagnostic Tests ◽  
Response Options ◽  
Patient Representatives ◽  
Discharged Patients ◽  
The Difference ◽  
Socio Demographic Factors ◽  
The Relationship ◽  
Personal Assessment

Background: Little is known about the relationship between the opinions of inpatients and the degree to which hospitals are improving in performance over time. The aim of this study was to determine the personal assessment level of inpatients or their representatives regarding aspects of health care in an internal medicine ward.Methods: We carried out a questionnaire in September 2011 with 284 discharged patients and patient representatives, focusing on their opinions about the department, health professionals and amenities, with response options ranging from 1 (very bad) to 5 (very good). The relationships between domains from the questionnaire and socio-demographic factors were examined using a t-test and one-way ANOVA.Results: The response rate was 78%. The patients showed a slightly higher mean score (m) for factors in the medical care domain than did the patient representatives (m = 4.51 vs. m = 4.27; p = 0.014). The mean score of all the items in all domains was 4.24; this allowed us to determine the difference from the overall mean (DIFM) for medical care (DIFM = 0.18; p = 0.000), foods (DIFM = –0.31; p = 0.000), diagnostic tests (DIFM = –0.15; p = 0.036) and transport (DIFM = –0.41; p = 0.000). Respondents with a medium or higher educational level gave lower scores to the domains food (m = 3.74; p = 0.004), diagnostic tests (m = 3.72; p = 0.04) and transport (m = 3.62; p = 0.025) than those with lower educational levels. The domains facilities (m = 2.4; p = 0.04) and diagnostic tests (m = 3.63; p = 0.009) were given lower scores by those aged <50 years compared with older respondents.Conclusions: Our findings suggest that the evaluation of the responders will allow the hospital management to make improvements in the quality of care.

Abstract 279: The Impact of Heart Failure on Depression and Quality of Life is Greater in Men than Women

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Rory Hachamovitch ◽  
Brian Griffin ◽  
Alan Klein ◽  
Benjamin Nutter ◽  
Irene Katzan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Demographic Data ◽  
Cardiovascular Assessment ◽  
Related Quality ◽  
Health Related ◽  
The Difference ◽  
The Impact ◽  
The Relationship

Background. Patients (pts) diagnosed with congestive heart failure (HF) have been reported to have more frequent depression and worsened health related quality of life (HRQOL). Although depression is more common in women than men in this condition, the impact of HF on depression and HRQOL in men versus women is unclear. We sought to examine the relationship between pt sex, HF diagnosis, and pt-perceived depression and HRQOL. Methods. Depression (PHQ-9) and HRQOL (EQ5D) data were collected using tablet computers from pts presenting for routine outpatient cardiovascular assessment at our institution between November, 2010 and December, 2011. Demographic, clinical, and historical data was collected as per routine. We examined the association of pt sex and clinical diagnosis of HF with instrument results after adjusting for potential confounding information using mutliple linear regression. Results. Of 3046 pts (age 61±15), 39% were female and 8.7% were diagnosed with HF. Overall, PHQ-9 was greater, and minor or major depression (PHQ-9≥10) was more frequent, in women than men (4.6±4.6 vs. 3.3±4.4; 14.0% vs. 8.9%, both p<0.05) and in HF pts than pts without HF (5.9±5.6 vs. 3.6±4.3, 22.0% versus 9.6%; both p<0.05). Similarly, HRQOL was worse in women than men (EQ-5D 0.80±0.18 vs. 0.87±0.16; p<0.01) and in HF pts than no HF (EQ-5D 0.76±0.18 vs. 0.85±0.17; p<0.01). However, the difference in PHQ-9 between pts with versus without HF was greater in men (6.23±6.06 vs. 3.02±4.06, p<0.01) than women (5.43±4.85 vs. 4.55±4.58, p=0.09). After adjusting for cardiovascular diagnoses, comorbidities, clinical and demographic data, multivariable modeling of PHQ-9 revealed a significant interaction between pt sex and HF diagnosis (p=0.001; see Figure) such that women had greater PHQ-9 scores compared to men without HF, but in the setting of HF, mens' PHQ-9 scores were greater. Modeling of EQ-5D also revealed that after risk-adjustment an interaction between HF diagnosis and sex was present with a similar pattern of findings. Conclusion. Although depression is more frequent and severe in women compared to men, and in pts with versus without HF, HF appears to impact depression severity more in men compared to women.

scholarly journals Study on the Influence of CFO Characteristics on Accounting Conservatism of Listed Companies

2021 ◽  
Vol 275 ◽  
pp. 03005
Author(s):  
Miao Yu
Keyword(s):  
Economic Development ◽  
Social Economy ◽  
Accounting Information ◽  
Personal Characteristics ◽  
Listed Companies ◽  
Accounting Conservatism ◽  
Quality Of Accounting Information ◽  
The Difference ◽  
The Relationship

As the information reflection of social economy, the quality of accounting information is closely related to economic development and market operation system. And accounting conservatism is one of the important standards to measure of quality of accounting information. As the maker and executor of the financial strategy of the listed company, the CFO’s different personal characteristics will affect its choice of different accounting policies, thus affecting the accounting conservatism of the enterprise. Therefore, this paper selects CFOs of A-share listed companies in Shanghai and Shenzhen from 2016 to 2018 as research objects, respectively discusses the influence of CFO’s natural attributes and social attributes on accounting conservatism, and analyzes the moderating effect of property rights and CFO’s power on the relationship between them. The results show that the CFO’s age, tenure, education, professional skills, salary and number of part-time jobs are negatively correlated with accounting conservatism. The female CFO, shareholding and concurrent director are significantly positively correlated with accounting conservatism. The difference of property right nature and CFO power moderates the relationship between CFO characteristics and accounting conservatism to some extent. On this basis, this paper puts forward corresponding suggestions on how to improve accounting conservatism and promote economic development.

scholarly journals Improving communication within the interdisciplinary team monitoring young women with onco-gynecological pathology in Romania

2018 ◽  
Vol 91 (3) ◽  
pp. 307-311
Author(s):  
Ioan Lancrajan ◽  
Ioan Lisencu ◽  
Laurentiu Ignat ◽  
Rares Trisca ◽  
Madalina Coman ◽  
...  
Keyword(s):  
Data Analysis ◽  
Medical Care ◽  
Gynecologic Cancer ◽  
Online Communication ◽  
Family Physicians ◽  
Quality Of Medical Care ◽  
Gynecologic Neoplasm ◽  
The Relationship ◽  
Communication Methods

Background. The quality of medical care, as well as the application of effective treatments in the management of patients with gynecologic neoplasm, is of great importance. Finding new and efficient ways of communication between the doctors involved in the multidisciplinary team for the management of the disease, from the diagnosis to the reintegration into society, would help improve the quality of comprehensive patient care.Objective. The objective of the study was to assess the collaboration of family physicians with specialists treating patients suffering from gynecologic cancer, in order to improve the relationship between them via electronic communication.Study design. We conducted a descriptive, transversal study on 353 family physicians and 37 specialist doctors from Romania, between January and June 2015. For statistical data analysis, R for Data Analysis and Graphics version 3.2.1 was used.Results. Most of the family physicians and specialist doctors believed that they provided the best care that they could, but consider that a multidisciplinary approach using online communication methods, in which doctors collaborate among each other, is needed. Conclusions. Finding a simple, efficient and modern means of communication is essential in order to increase the efficiency of medical care overall.

The iconography of co-rule at Deir el-Bahari: Hatshepsut and Tuthmosis III in the Statue Room of the Main Sanctuary of Amun

2016 ◽  
Vol XXIV (2) ◽  
pp. 161-168
Author(s):  
Marta Sankiewicz
Keyword(s):  
Dominant Position ◽  
Side Walls ◽  
The Difference ◽  
The Relationship ◽  
The Temple

Hatshepsut and Tuthmosis III were represented as seemingly equal kings on the side walls of the Second Room of the Main Sanctuary of Amun in the Temple of Hatshepsut in Deir el-Bahari. Iconographic analysis reveals the relationship between the two rulers, demonstrating the different and discreet ways in which Hatshepsut emphasized her dominant position and Tuthmosis’s secondary one during their co-rule. The quality of the representations is just as crucial as their number for understanding their relationship. Hatshepsut used among others the symbolism of the cardinal points, orientation of figures and the hierarchy of attributes to emphasize the difference in their positions. The four scenes in question are the most representative examples of these fixed rules in the Deir el-Bahari temple.

scholarly journals Some aspects of the theory of errors of doctors

2021 ◽  
Vol 65 (2) ◽  
pp. 159-165
Author(s):  
Murat M. Makhambetchin ◽  
Kayrat T. Shakeyev
Keyword(s):  
Medical Care ◽  
Medical Errors ◽  
Negative Attitude ◽  
Quality Of Medical Care ◽  
Clinical Thinking ◽  
Based Medicine ◽  
Relationship Of ◽  
The Relationship

The development of clinical thinking and the improvement of medical care largely depend on doctors and society’s attitude to medical errors. A balanced, rational perspective to medical errors is critical with an understanding of the main aspects of medication errors. The paper presents two important aspects of the problem of medical errors - their probability and, in a sense, their routine, as well as the role of collective relationships in shaping an objective attitude of doctors to errors. The article argues that the correct action of a doctor does not mean that they are unmistakable. The factors that determine the complexity of medicine are listed. The actual and ambiguous effectiveness of the medicine is considered. It is argued that the development of evidence-based medicine is evidence of the relativity of knowledge in medicine. The basic variants of the relationship of doctors in the collective are given. The role of collegiality in improving the professional experience and quality of medical care is specified. It has been shown that the absence of objective criteria of guilt or innocence of a doctor in error exacerbates the problem of errors. It emphasizes the flaw of equating all errors with misconduct and the unilateralism of such an approach in preventing mistakes. A vicious circle is presented, where the traditionally negative attitude towards doctors who made a mistake ultimately leads to concealment of errors, a decrease in the number and quality of error analysis, stagnation in the development of clinical thinking, an increase in the number of errors and, accordingly, the legal tightening of demand for medical errors.

scholarly journals Surface morphology and X-ray photoelectron spectroscopy of BiFeO3 thin films deposited on top of Ta2O5/Si layers

2021 ◽  
Vol 295 ◽  
pp. 04009
Author(s):  
Shikhgasan Ramazanov ◽  
Ştefan Ţălu ◽  
Rashid Dallaev ◽  
Guseyn Ramazanov ◽  
Pavel Škarvada ◽  
...  
Keyword(s):  
Thin Films ◽  
Photoelectron Spectroscopy ◽  
Bismuth Ferrite ◽  
Ferrite Film ◽  
Bifeo3 Thin Films ◽  
Expansion Coefficients ◽  
The Difference ◽  
First Time ◽  
The Relationship

In this study a comparison of the topography of BiFeO3 (BFO) thin films deposited on tantalum pentoxide substrates of different thicknesses is provided. The Ta2O5 substrates had a roughness increasing with the film thickness. The relationship between substrates of different topography but the same composition with the quality of the growing bismuth ferrite film is estimated. For the first time the topography estimation of BFO on Ta2O5 is presented. The difference in temperature expansion coefficients leads to intensive evaporation of bismuth ferrite from the surface during annealing. XPS analysis is provided for asdeposited and annealed BFO layers.

" Management of human talent and its relationship to enhance the competitive advantage of some sports federations in the Egyptian and Bahraini societies "

2019 ◽  
Vol 7 (2) ◽  
pp. 21-33
Author(s):  
Hasan Ahmad Alshafea ◽  
Abdelrahman Ahmad Saear ◽  
Abdelrahman Mohamad Megahed
Keyword(s):  
Competitive Advantage ◽  
Positive Relationship ◽  
Talent Management ◽  
Core Sample ◽  
Board Members ◽  
The Difference ◽  
The Cost ◽  
The Relationship

The study aimed to identify the relationship between talent management and enhancing the competitive advantage of some sports federations in the Egyptian and Bahraini societies, in addition to the difference in this according to the variables of both experience and level of employment. To achieve this, the researchers used both Talent Management and Competitive Advantage quetionair as a tool to collect data and information from a sampling sample of (50) and a core sample of (247) board members and employees of Egyptian and Bahraini sports federations. The results of the study showed that there is no relationship between the methods of managing human talent between the Egyptian and Bahrain sports federations. There is a positive relationship in the quality of talent in the Bahraini unions and creativity in the Egyptian and Bahraini federations. The results also indicate that there is no difference between the Bahraini and Egyptian federations in the management of sports talents and the promotion of competitive advantage due to the variables of experience and level of employment. Researchers have recommended that specific criteria be used to attract sports talent and retain competencies to reduce the cost of spending on sports talent.

Cultural Collisions at the Bedside: Social Expectations and Value Triage in Medical Practice

2001 ◽  
Vol 10 (1) ◽  
pp. 7-15 ◽  
Author(s):  
RICHARD GORLIN ◽  
JAMES J. STRAIN ◽  
ROSAMOND RHODES
Keyword(s):  
Medical Care ◽  
Medical Practice ◽  
Emotional Awareness ◽  
Evoked Responses ◽  
Social Expectations ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
The Subject ◽  
The Relationship

As early as 1981 Gorlin and Zucker produced a film, A Complicating Factor: Doctors' Feelings as a Factor in Medical Care and in a 1983 paper on the subject they described one of the important epiphenomena of the encounter between doctor and patient—namely, the reaction of the physician to the patient and how this affects both the physician and the quality of the relationship. At that time they were concerned with the physicians' ability to reckon with their own reactions to patients who presented with problems or personality traits that complicated the doctor-patient relationship. Some patients were hateful or unlikable, some denied their disease state, some became unusually dependent on the physician, some were intimidating to the doctor. Their behavior evoked responses that tended to complicate the doctor-patient relationship with distancing, unusual identification, or hostility. That publication recognized and explained the problem and went on to suggest a process of achieving emotional awareness and mastery to help physicians maintain their appropriate role.

New Approaches to Old Problems: The Well-Being of the Population of Russia from 1821 to 1910 as Measured by Physical Stature

Slavic Review ◽  
1999 ◽  
Vol 58 (1) ◽  
pp. 1-26 ◽  
Author(s):  
Boris N. Mironov
Keyword(s):  
Quality Of Life ◽  
Environmental Factors ◽  
Medical Care ◽  
Genetic Factors ◽  
Well Being ◽  
Living Conditions ◽  
Physical Stature ◽  
The Relationship ◽  
Conditions Of Work

Scholars generally agree on the relationship between the physical stature, or height, of children and adults, and their quality of life, or their biological status, including diet, illnesses, intensity and conditions of work, availability of medical care, living conditions, psychological well-being, climate, water, air, and other environmental factors that have impinged on their lives prior to the point at which their height is measured. Genetic factors have an important effect on individual height, but genetic distinctions lose their significance when masses of individuals are measured and average heights are compared. The same effect holds at the level of entire populations: differences in height are determined, not by ethnic or racial attributes, but by living conditions.

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