Adjusting to the Reign of Webinars: Viewpoint

Background With the integration of COVID-19 into our lives, the way events are organized has changed. The Cerrahpaşa Neuroscience Days held on May 8-9, 2021, was one of the conferences that was affected. The annual conference of the student-based Cerrahpaşa Neuroscience Society transitioned to the internet for the first time and had the premise of going international. Objective With this study, we aim to both discuss how a virtual conference is organized and perceived, and where our conference stands within the literature as a completely student-organized event. Methods The conference was planned in accordance with virtual standards and promoted to primarily medical schools. During the execution, there were no major issues. The feedback was collected via a form developed with Google Forms. Results Out of 2195 registrations, 299 qualified to receive a certificate. The feedback forms revealed a general satisfaction; the overall quality of the event was rated an average of 4.6 out of 5, and the ratings of various Likert scale–based questions were statistically analyzed. Open-ended questions provided improvement suggestions for future events. Conclusions The virtual Cerrahpaşa Neuroscience Days was a success in organization and received positive feedback from the participants. We aim to ground future events on this experience.

Clinical Training in Music Therapy

Objective: This paper examines the experiences of music therapy students throughout their clinical training. Three surveys inquired about: 1) the perception from both interns and supervisors as to interns’ needs, 2) interns’ preparedness, their skills, their priorities when choosing an internship, and whether their expectations for training were met (with comparisons between American and International respondents), and 3) satisfaction with clinical training. Method: Three separate surveys were distributed. The first survey’s respondents included pre-interns ( n = 19) and internship supervisors (n = 14) who had completed their training in the Great Lakes Region of the United States. The second survey’s respondents included American interns (n = 50), American professionals (n = 353), International interns (n = 12), and International professionals (n = 50). Respondents for the third survey included professional music therapists who completed their curriculum in the United States and held the MT-BC professional credential (N = 777). Results: Some differences between interns’ and supervisors’ perceptions of the interns’ needs were found in Survey 1; significant differences were found between the preparedness and strengths/weaknesses between groups in Survey 2; and Survey 3 found general satisfaction with training with some areas respondents felt needed improvement. Conclusions: While there is overall satisfaction with training for music therapists, there are inconsistencies in students’ experiences in, and perceptions of, their training.

Evaluation of the efficacy and patient satisfaction of the intracavernosal alprostadil in the treatment of erectile dysfunction following robot-assisted radical prostatectomy

Objective: Erectile dysfunction (ED) following robot-assisted radical prostatectomy (RARP) is an important problem. The purpose of this study was to evaluate the effectiveness of and patient satisfaction with intracavernosal alprostadil used in the treatment of ED. Material and Methods: Patients using intracavernosal alprostadil in the treatment of ED following RARP were assessed retrospectively. Patients’ demographic characteristics, pre- and postoperative International Index of Erectile Function (IIEF) scores, and general satisfaction evaluated using questions 13 and 14 of the IIEF form were all recorded. Complications developing during treatment, dosages used, and reasons for discontinuation were investigated. Results: Thirty-four patients with a mean age of 61.73±5.80 years were included in the study. Preoperative ED was determined in 52.9% (n=18) of patients. The mean IEFF of the patients who used preoperative, postoperative 1st month, postoperative 3 months after tadalafil use and intracavernosal alprostadil was 20.64 ± 3.46, 15.08 ± 2.09, 15.32 ± 2.18, 26.67 ± 2.30, respectively. The mean length of use of intracavernosal alprostadil was 8.20±2.48 months, and full erection was achieved in 70.58% of patients. Hematoma associated with intracavernosal alprostadil use developed in 2.9% of patients, ecchymosis in 8.8%, and pain in 8.8%. In addition, 73.5% of patients continued to take their medication during the follow-up process. Patients’ general satisfaction following alprostadil therapy was statistically significantly high. Conclusion: Intracavernosal alprostadil therapy following RARP represents a good therapeutic option due to its high success in achieving full erection, low complication rates, and high patient satisfaction. Keywords: erectile dysfunction, Alprostadil, robot-assisted radical prostatectomy

Adjusting to the Reign of Webinars: Viewpoint (Preprint)

BACKGROUND With the integration of COVID-19 into our lives, the way events are organized has changed. The Cerrahpaşa Neuroscience Days held on May 8-9, 2021, was one of the conferences that was affected. The annual conference of the student-based Cerrahpaşa Neuroscience Society transitioned to the internet for the first time and had the premise of going international. OBJECTIVE With this study, we aim to both discuss how a virtual conference is organized and perceived, and where our conference stands within the literature as a completely student-organized event. METHODS The conference was planned in accordance with virtual standards and promoted to primarily medical schools. During the execution, there were no major issues. The feedback was collected via a form developed with Google Forms. RESULTS Out of 2195 registrations, 299 qualified to receive a certificate. The feedback forms revealed a general satisfaction; the overall quality of the event was rated an average of 4.6 out of 5, and the ratings of various Likert scale–based questions were statistically analyzed. Open-ended questions provided improvement suggestions for future events. CONCLUSIONS The virtual Cerrahpaşa Neuroscience Days was a success in organization and received positive feedback from the participants. We aim to ground future events on this experience.

Patient Satisfaction with Private Recovery Services and Importance of Physician Behavior during COVID Time

Introduction: Patient satisfaction represents an essential indicator of the quality of care in the medical recuperation sector. This study aimed to identify the degree of satisfaction in patients who benefit from medical recuperation services in one private clinic from Romania and the factors that played a part in this respect. Method: An online questionnaire was completed by 105 patients of a private clinic in the period immediately following the opening of the clinic after the quarantine period due to COVID-19. The following concepts were measured: general satisfaction with clinical recuperation services (SG), physician’s behavior (PB), the impact of interventions on the state of health (IHI), modern equipment (ME), and the intention to return to the clinic (IRC). Based on a linear regression model, the impact of PB, IHI, ME, and IRC variables on general satisfaction (SG) was established. Results: The study results confirm the data from studies carried out in different sociocultural contexts in ordinary time, where physician behavior is the most crucial factor in patients’ satisfaction. Therefore, we can say that the physiotherapist’s behavior has an essential role in determining the patients’ satisfaction both in ordinary time and in COVID-19 time. The data in this study reflect the fact that satisfaction with the services offered by a medical recuperation clinic is a predictor for using the services in the future. Still, our study reflects a moderate relationship in intensity.

Hymen Restoration: An Experience From a Moroccan Center

Background Hymenoplasty is one of the least described vulvovaginal procedures in plastic surgery without any surgical standard that attempts to restore the hymen’s ability to bleed during sexual intercourse on a couple’s wedding night. Objectives The objective of this study is to report outcomes from a Moroccan retrospective study of a series of 529 patients who underwent either a hymenorrhaphy or a hymenoplasty. Methods This was a retrospective study of 529 patients who underwent hymen restoration at a center in Morocco between April 2010 and April 2019. The data were collected according to the requirements of the center through preoperative and postoperative consultations, presential or phone post-coital interviews. The procedure consisted of suturing the edges of the hymen remnants using Vicryl 5-0, leaving a small opening in the newly reconstructed hymen. Two techniques – Hymenal Flap Hymenoplasty (HLH) and Vaginal Flap Hymenoplasty (HLV) – are used depending on the presence or absence of hymen remnants. Results A total of 529 patients were underwent hymen restoration, including 42% hymenorrhaphies, 58% hymenoplasties, 39% HLH, and 19% HLV. The mean age of the patients was 32 years. Of the 227 women who underwent a hymenorrhaphy, no failure was reported, and all the patients who had sexual intercourse within 15 days of the procedure experienced vaginal bleeding. Of the 99 hymenoplasties using vaginal flaps, only one failure was reported. Conclusions The techniques used in our cohort are safer and the complications are minor with general satisfaction of patients.

Onsite versus remote working: the impact on satisfaction, productivity, and performance of medical call center workers

Background Job satisfaction is determined as the measure to know the individuals’ feelings toward their work. The working conditions that can affect the call center agents’ satisfaction, and performance have received particular concern. Methods This study included 124 agents working in a governmental medical call center in Saudi Arabia. Each agent was receiving a questionnaire that investigates their satisfaction, productivity and performance during working in the medical call center. Results Seventy-seven physicians working onsite were compared to 47 physicians working in the medical call center remotely. Onsite agents were more satisfied concerning job nature, supervisor support, productivity and performance compared to remote agents. Overall, general satisfaction was more seen in physicians working onsite as opposed to remote workers in the medical call center in Saudi Arabia (64.90% vs. 54.25%, [p-value < 0.01]). Conclusion It was found that onsite agents were significantly more satisfied in most investigated aspects compared with remote agents.

The Analysis of Integrity and Satisfaction Effect on Teacher Loyalty in Kupang

Kupang is a city where teacher competence is still low. The government has disbursed quite a lot of funds for teacher development in Kupang. It is unfortunate if the teachers who have been fostered do not have high loyalty to move to other schools or leave the area. It is suspected that loyalty is influenced by teacher satisfaction and integrity. Satisfaction can include satisfaction with salary, workload, leadership, co-workers, awards, regulations, and facilities. If the components influence of satisfaction and integrity on teacher loyalty in Kupang can be found, then policies to increase loyalty can be pursued. This research aims to analyze the distribution of teachers in Kupang based on their loyalty, analyze the distribution of teachers in Kupang based on their general satisfaction, the distribution of teachers in Kupang based on their integrity, and the effect of integrity and satisfaction on teacher loyalty in Kupang. This research was conducted based on 141 teachers in Kupang who were selected by purposive sampling. The method used for data analysis is Partial Least Square (PLS) and Distribution Table. The data analysis found that 39% of respondents had low loyalty, and 61% had high loyalty; 48.2% of respondents had low general satisfaction and 51.8% had high satisfaction, 44% had low integrity, and 56% had high integrity. Variables that influence loyalty are integrity, satisfaction with salary, school rules, and co-workers. The higher the integrity and satisfaction component of salaries, regulations, and co-workers, the higher the loyalty of teachers in Kupang.

Satisfaction and Its Relationship with Loyalty in Ecotourism: A Study in Costa Rica

Within ecotourism, the service can be improved with proper planning, achieving greater satisfaction and return of tourists, benefiting the destination and the community with higher income and employment. The objectives of this study were a) to analyze the relationships between tourists’ general satisfaction and loyalty, and b) to analyze the influence that the service aspects exert on the satisfaction and return of tourists. The study was conducted in Costa Rica, a Central American country with great ecological wealth for ecotourism. Three hundred ten questionnaires were filled out in the Arenal National Park and the Caño Negro National Wildlife Refuge. Spearman's statistical method of correlation was used for data analysis. As main results, the aspects of the service had a significant and positive influence on the satisfaction and return intentions of tourists. The aspects that most influenced general satisfaction were accessibility and infrastructure, tranquility, gastronomic quality, and the human treatment received. While the aspects that most influenced the return intentions were the tourist information and signage, the gastronomic quality, the accessibility of the infrastructure, and the equipment and facilities of the restaurant. The findings will serve to develop sustainable plans in protected areas and to improve service in ecotourism.

SATISFACTORY LEVELS ON PLANNED FITNESS PROGRAMME AMONG ADULTS CLARITY EMPLOYEES

The Satisfactory levels perceived and experiences from one planned fitness programme Fat to Fit- Just Do. It was for a group of clarity employees and adopted instrument’s reliability was r = .965. Its’ consisted of 8 dimensions: General Satisfaction, Treatment to Participants, Personal Skills of Participants, Instructors’ Presentation Skills, Instructors’ Effectiveness, Skill Acquisition, and Teamwork among Instructors with several items in each dimension. Participants were volunteer basis and had undergone one planned theory and practices session within one and the half day programme. The programme was fruitful which covered of fitness test, evaluation, dietarily and nutrition measurement among participants. Resulted descriptively showed highly satisfactory level achieved among 33 (Males = 8., Females = 25). Perhaps, experiential education theory based on outcome of this study showed all dimensions were undoubtfully at satisfied or very satisfied level (45% and 52% respectively). In addition, the study had justified those dimensions were gone through non parametric systematic with Kruskal Willis statistical method analysed by Friedman test ranked the most satisfied and to the least satisfied with mean rank from Instructor Presentation (4.75,1)., Instructor’ Effectiveness (4.55,2)., Personal Skill (4.50,3)., Teamwork of Instructor (4.45, 4)., Treatment to Participants (4.32, 5)., Skill Acquisition (4.24, 6)., General Satisfaction (4.23,7) respectively. This result concluded that fulfilled of the outcome - based education concerned. Therefore, it is highly recommended for implementation of more fitness programme such as Fat to Fit and at the same time considered researchers’ team of this programme were brilliant instructors in performing their expertise to conduct fitness programme and awareness of adults on important of self- fitness concerned.