scholarly journals Faith, social prestige and violence against surgeon in India and subcontinent: a narrative review

2021 ◽  
Vol 8 (5) ◽  
pp. 1679
Author(s):  
Karan J. Yagnik
Keyword(s):  
Practical Knowledge ◽  
Quality Of Healthcare ◽  
Daily Basis ◽  
Poor Quality ◽  
Research Papers ◽  
Poor Patient ◽  
Social Prestige ◽  
Low Health Literacy ◽  
Judicial Procedure

Violence against surgeons is universal problem but unique in India. It is reported on a daily basis across India. A lot of literature is available. Analysis and review are required. This article is about the best solutions to violence’s against surgeon. Various books, conference presentation and proceedings, workshop lectures, various electronic databases, symposium lectures, research papers and talks have been selected. Selected full articles were reviewed (total-13 article). This review is conducted for the practical knowledge to prevent violence against surgeon and hence patient-doctor satisfaction. Poor patient surgeon communication and lack of faith in medical system are major reasons for violence. There are more reasons which are discussed in details. Poor image of surgeons, cost of healthcare, poor quality of healthcare and poor communication is major factor for violence against surgeons. Low health literacy and lack of faith in the judicial procedure are also important factor. Media can explain all these things but they are not interested. Surgeon should understand the nature of patient and their relatives and act accordingly. Proper explanation in people’s language can change things in tremendous way.

scholarly journals Case Report on a Misdiagnosed Case of Subcortical Vascular Dementia – the Importance of Sound Knowledge of Psychiatry With Proper History Taking

2021 ◽  
Vol 57 (2) ◽  
pp. 199-210
Author(s):  
Natasha Subhas ◽  
Nicholas Tze Ping Pang ◽  
Kok Yoon Chee ◽  
Norzaini Rose Mohd Zain ◽  
Kok Liang Teng ◽  
...  
Keyword(s):  
Vascular Dementia ◽  
Psychiatric Symptoms ◽  
Quality Of Healthcare ◽  
Poor Quality ◽  
Brain Scans ◽  
Subcortical Vascular Dementia ◽  
Assessment And Treatment ◽  
Post Stroke Depression ◽  
And Function

Psychiatric symptoms at presentation may often be missed, if not suspected or specifically explored. A missed psychiatric diagnosis may lead to dire consequences in terms of poor quality of life and function for the patient, affecting overall quality of healthcare provided. This lady presented with depressive symptoms after multiple strokes and was initially diagnosed as post stroke depression. However, after it was observed that she did not show any improvement in symptoms despite being on antidepressants, subsequent further investigations revealed a history more suggestive of subcortical vascular dementia. Consequently, detailed neuropsychological and neuropsychiatric assessments, including NUCOG, and relevant investigations including MRI brain scans were performed suggesting a diagnosis of vascular dementia. This case illustrates that an insufficiently thorough assessment and treatment process results in unnecessary morbidity, prolongs duration of illness, and increases social and occupational dysfunction to the patient. Hence, it further underscores the need to perform a thorough history, physical examination and relevant investigations to ensure organic etiologies are ruled out in clients with relevant sociodemographic and clinical risk factors.

scholarly journals The Quality of Supplied Parts and Their Influence on Manufactured Quality in Serial Production

2019 ◽  
Vol 1 (1) ◽  
pp. 512-519
Author(s):  
Milan Dian
Keyword(s):  
Daily Basis ◽  
Poor Quality ◽  
Quality Level ◽  
Design Development ◽  
Total Quality ◽  
Serial Production ◽  
Manufactured Products ◽  
Quality Tools ◽  
Business Philosophy

Abstract The quality of manufactured products itself has long been playing significant role in nowadays business as well as in customers satisfaction with all kinds of products and services provided. Since all of us face to the poor quality results on daily basis, it is necessary to deploy an appropriate set of quality tools in order to improve the total quality level. The quality level of supplied parts in terms of the product quality including the design, development, and manufacturing process has significantly been influencing the quality results of serial production. The contemporary business philosophy for supplier's selection uses merely the only criterion, the lowest price. The article describes some problems stemming from this philosophy and practice, determines a systemic approach and proposes a solution in order to improve supplier's reliability in terms of quality of supplied parts and customer satisfaction.

scholarly journals Patient satisfaction with healthcare services: Bangladesh perspective

2020 ◽  
Vol 9 (1) ◽  
pp. 34
Author(s):  
Absul Kader Mohiuddin
Keyword(s):  
Patient Satisfaction ◽  
Service Providers ◽  
Waiting Times ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Poor Quality ◽  
Access To Health Services ◽  
Long Distance

<p>Patient satisfaction is a useful measure for providing a quality benchmark for healthcare services. Concern about the quality of healthcare services in Bangladesh has led to a loss of confidence in healthcare providers, low use of public health facilities and increased outflows of patients from Bangladesh to hospitals abroad. The key obstacles to access to health services are insufficient infrastructure and poor quality of existing facilities, lack of medical equipment, scarcity of doctors due to high patient load, long distance to the facilities and long waiting times until facilities have been reached, very short appointment hours, lack of empathy of health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and, occasionally, disregard for the suffering that patients endure without being able to voice their concerns-all of these service failures are reported frequently in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with healthcare service providers and healthcare itself.</p>

scholarly journals Globalization, medical travel and healthcare management in Bangladesh

2016 ◽  
Vol 14 (2) ◽  
pp. 360-375 ◽  
Author(s):  
Muhammad Mahboob Ali ◽  
Anita Medhekar
Keyword(s):  
Medical Treatment ◽  
Low Cost ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Poor Quality ◽  
Healthcare Management ◽  
Medical Travel ◽  
Medical Facilities ◽  
Quality Of Nursing

There is an increasing evidence of people from Bangladesh travelling to neighboring countries of Asia, such as India, Thailand, Malaysia and Singapore for medical treatment due to poor quality of healthcare services, high cost, and non-availability of speciality medical treatment and facilities. Medical travel is a practise where patients travel to other countries for diagnostic, pathological and complex invasive surgeries due to various push factors in their home country which prevents them for getting affordable, accessible and accredited quality of medical treatment in a timely manner, due to high cost of surgery, uninsured, long waiting period, non-availability of treatment, lack of medical facilities and proper care, lack of trained doctors and nurses, ethical and regulatory reasons, corruption and inadequate public or private medical facilities. This study is based on qualitative and quantitative analysis to examine why people are travelling from Bangladesh to India for medical treatment. Quantitative data were randomly collected from six divisional cities of Bangladesh: Dhaka, Chittagong, Sylhet, Rajshai, Barisal and Khulna and two districts Comilla and Bogra. A total of 1282 participants, out of 1450 returned the questionnaires. Data were analyzed using regression analysis. The results concluded that the pull factors that motivated Bangladeshis to travel to India for medical treatment were: low cost of surgery, qualified experienced doctors, quality of nursing care, non-availability of treatment in Bangladesh, and state of the art medical facilities and treatment in India, which concurs with the literature

scholarly journals A re-examination of online journal quality and investigation of the possible impact of poor electronic surrogate quality on researchers

2018 ◽  
Vol 13 (3) ◽  
pp. 53-68 ◽  
Author(s):  
Ken Ladd
Keyword(s):  
Best Practice ◽  
Web Of Science ◽  
Poor Quality ◽  
Original Study ◽  
Electronic Journal ◽  
Research Papers ◽  
Online Journal ◽  
Content Information ◽  
Do So

Objective – This study re-examines the findings of a paper (Ladd, 2010) that investigated whether evidence indicated print equivalent journal collections needed to be preserved, based on the quality of their electronic surrogates. The current study investigates whether: 1) electronic surrogate articles that failed (i.e., the print equivalent article needed to be consulted to view all the content/information) in the first study had improved in quality; and 2) there was evidence that poor-quality electronic surrogates could impact on research if the print equivalent articles did not exist. Methods – Each of the 198 PDF documents identified in the 2010 study as failing were re-examined to assess whether any change in quality had occurred. To assess the possible impact for researchers if they needed to rely solely on poor-quality electronic journal surrogates, citation data were collected for each of the failed scholarly PDFs using Web of Science and Scopus, and usage count data were collected from Web of Science. Results – Across the electronic journal backfiles/archives examined, there were 13.6% fewer failures of electronic surrogates for all PDF documents than in the original study, while for scholarly PDF documents (e.g., research papers) there were 13.8% fewer failures. One electronic journal archive accounted for 91.7% of the improvement for scholarly PDF documents. A second archive accounted for all the observed improvement for non-scholarly PDF documents. The study found that for the failed scholarly PDF documents from the original study, 58.7% had been cited or had Web of Science usage counts from 2010 onward. Conclusion – The study demonstrates a continued need for retaining print equivalent journal titles for the foreseeable future, while poor-quality electronic surrogates are being replaced and digitally preserved. There are still poor-quality images, poor-quality scans of text-only articles, missing pages, and even content of PDF documents that could not be explained (e.g., incorrect text for images when compared to the print). While it is known that not all researchers will consult each of the papers that they cite, although it is best practice to do so, the extent of citations of the failed scholarly PDF documents indicate that having to rely solely on electronic surrogates could pose a problem for researchers.

scholarly journals Pediatric Health Quality Assessment in Different Regions of Russian Federation

2016 ◽  
Vol 71 (3) ◽  
Author(s):  
E. N. Baybarina ◽  
A. A. Baranov ◽  
L. S. Namazova-Baranova ◽  
S. G. Piskunova ◽  
E. A. Besedina ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Infant Health ◽  
Medical Personnel ◽  
Quality Of Healthcare ◽  
Poor Quality ◽  
High Rate ◽  
Pediatric Hospitals ◽  
Common Strategy ◽  
Pediatric Healthcare

Background: The quality of pediatric healthcare is a cornerstone for good maternal and infant health. Aims: To evaluate the quality of healthcare in secondary and tertiary regional pediatric hospitals in the Russian Federation.Methods: Healthcare quality assessment was performed in 21 pediatric hospitals (tertiary, n=5; secondary, n=16) of four regions. The WHO recommendations were used. Results: In all regions, similar traits of inpatient pediatric healthcare determining a poor quality were observed. These included low preparedness for emergent care at admission departments; a high rate of unjustified hospitalization due to lack of clear indications for inpatient care; a widespread polypharmacy and unnecessary painful procedures and treatment; inadequate unjustified antimicrobial and parenteral therapy. Conclusions: The revealed identity of problems in different regions of the country allows to consider a common strategy to overcome them, which, obviously, should primarily involve education of medical personnel, restructuring of hospital beds to increase day care beds, increasing the clinical expert work in hospitals.

scholarly journals Software Performance Testing Measures

2014 ◽  
Vol 8 (2) ◽  
pp. 1297-1300
Author(s):  
Charmy Patel ◽  
Dr. Ravi Gulati
Keyword(s):  
Performance Testing ◽  
Poor Quality ◽  
Software Components ◽  
Software Performance ◽  
Throughput Performance ◽  
Research Papers ◽  
Software Developers ◽  
Testing And Measurement ◽  
Testing And Evaluation

Software developers typically measure a Web application's quality of service in terms of webpage availability, response time, and throughput. Performance testing and evaluation of software components becomes a critical task. Poor quality of software performance can lead to bad opportunities. Few research papers address the issues and systematic solutions to performance testing and measurement for modern components of software. This paper proposes a solution and environment to support performance measurement for software. The objective is to provide all kind of important measures which must be tested at the coding phase instead of after completion of software. So developers can make software that can meet performance objectives.

scholarly journals Factors Associated with Patient Satisfaction to Healthcare at Mpigi Health Centre IV, Mpigi District-Uganda

2021 ◽  
Vol 1 (4) ◽  
pp. 1-12
Author(s):  
Kizito Omona ◽  
Leticia Nakandi ◽  
Annet Beatrice Nambi ◽  
Fatuma Mayanja Nakayiza ◽  
Margaret Nanozi ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Health Service ◽  
Healthcare Provider ◽  
Health Centre ◽  
Quality Of Healthcare ◽  
Health Service Delivery ◽  
Poor Quality ◽  
Factors Associated

Patient satisfaction is important for measuring health service delivery, utilization and thus improving quality of care provided. Worldwide, patients are increasingly dissatisfied with the commercialization of medical services, bureaucratic healthcare system, poor quality of healthcare and rotting patient- healthcare provider relationships. Satisfaction is an expression of the gap between the expected and perceived characteristics of service.

An experience of performing spirometry by trained general practitioners

2020 ◽  
pp. 34-36
Author(s):  
M. A. Pokhaznikova ◽  
E. A. Andreeva ◽  
O. Yu. Kuznetsova
Keyword(s):  
General Practitioners ◽  
Quality Criteria ◽  
Poor Quality ◽  
Male Gender ◽  
Study Research ◽  
The Poor ◽  
Quality Of Research ◽  
Forced Expiratory Maneuver ◽  
Maximal Effort

The article discusses the experience of teaching and conducting spirometry of general practitioners as part of the RESPECT study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). A total of 33 trained in spirometry general practitioners performed a study of 3119 patients. Quality criteria met 84.1% of spirometric studies. The analysis of the most common mistakes made by doctors during the forced expiratory maneuver is included. The most frequent errors were expiration exhalation of less than 6s (54%), non-maximal effort throughout the test and lack of reproducibility (11.3%). Independent predictors of poor spirogram quality were male gender, obstruction (FEV1 /FVC<0.7), and the center where the study was performed. The number of good-quality spirograms ranged from 96.1% (95% CI 83.2–110.4) to 59.8% (95% CI 49.6–71.4) depending on the center. Subsequently, an analysis of the reasons behind the poor quality of research in individual centers was conducted and the identified shortcomings were eliminated. The poor quality of the spirograms was associated either with the errors of the doctors who undertook the study or with the technical malfunctions of the spirometer.

Boilerplate

2012 ◽  
Author(s):  
Margaret Jane Radin
Keyword(s):  
Economic Efficiency ◽  
Analytical Framework ◽  
Daily Basis ◽  
Regulatory Agencies ◽  
Jury Trial ◽  
Comprehensive Treatment ◽  
New Methods ◽  
And Control ◽  
Fine Print

Boilerplate—the fine-print terms and conditions that we become subject to when we click “I agree” online, rent an apartment, or enter an employment contract, for example—pervades all aspects of our modern lives. On a daily basis, most of us accept boilerplate provisions without realizing that should a dispute arise about a purchased good or service, the nonnegotiable boilerplate terms can deprive us of our right to jury trial and relieve providers of responsibility for harm. Boilerplate is the first comprehensive treatment of the problems posed by the increasing use of these terms, demonstrating how their use has degraded traditional notions of consent, agreement, and contract, and sacrificed core rights whose loss threatens the democratic order. This book examines attempts to justify the use of boilerplate provisions by claiming either that recipients freely consent to them or that economic efficiency demands them, and it finds these justifications wanting. It argues that our courts, legislatures, and regulatory agencies have fallen short in their evaluation and oversight of the use of boilerplate clauses. To improve legal evaluation of boilerplate, the book offers a new analytical framework, one that takes into account the nature of the rights affected, the quality of the recipient's consent, and the extent of the use of these terms. It goes on to offer possibilities for new methods of boilerplate evaluation and control, and concludes by discussing positive steps that NGOs, legislators, regulators, courts, and scholars could take to bring about better practices.

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