This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home an...This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home and aboard, and by considering the consuming situation in China and the features of the China＇s petroleum industry. For the existence of： （1） multiple correlations among the factors in the model; （2） the variables need to be explained, but that are hard to observe; （3） the customer satisfaction degree of observation variables appears the shape of skewness or two or three peaks, the correlations between the satisfaction index and its factors cannot be described by common multiple regression. This paper uses a partial least squares （PLS） method based on principal components and typical correlative analysis to solve the problem. When PLS is used in the model of the customer satisfaction index of the wellhead blowout preventers, the latent variables and the explanation degree coefficient of the manifest variable to the corresponding latent variables are estimated by PLS path analysis, and the influencing coefficient among the latent variables in the model is estimated by PLS regression analysis. PLS is also be used to calculate and analyze the model and disclose the correlations among the structural variables as well as the correlation between structural variables and its corresponding observation variables, evaluating results of which provide useful information for petroleum industry to improve the product quality and to the enhancement of the customer satisfaction to the product.展开更多
<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of li...<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Reported Outcome Measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. <strong>Objectives:</strong> To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years.<strong> Materials and Methods:</strong> Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos Mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. <strong>Results:</strong> 153 patients were included in the analysis. Mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. <strong>Conclusion:</strong> Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.展开更多
<strong>Background: </strong>Eyes are one of the most important facial features, their appearance being associated with state of mind, age and beauty. Therefore, upper blepharoplasty is one of the most com...<strong>Background: </strong>Eyes are one of the most important facial features, their appearance being associated with state of mind, age and beauty. Therefore, upper blepharoplasty is one of the most common procedures performed in plastic surgery. Standardized tools allow for measurement of outcomes through patient satisfaction and surgeon experience. <strong>Objectives: </strong>Our objective was to measure the satisfaction index and scar quality of patients who underwent upper blepharoplasty using the Patient-reported Outcome Measure Questionnaire (PROM-Q) and Patient and Observer Scar Assessment Scale (POSAS). <strong>Methods: </strong>A retrospective review of patients that underwent upper blepharoplasty in our institution was performed. We included those with a preoperative anthropometric analysis, standardized incision markings (developed in our center), same operative technique and a 3-month postoperative evaluation with PROM-Q and POSAS. The sample for this study consists of 67 patients, all of them operated between January 1 2019 and June 30 2019 at the Department of Plastic Surgery, South Central High Specialty Hospital, Pemex, Mexico City, Mexico. <strong>Results: </strong>A total of 67 patients were included, 73% female and 27% male. The most frequent indication for surgery was functional visual symptoms. The index of PROM-Q at 3 months demonstrated an increased satisfaction above 90%, and the evaluation with POSAS reported an almost imperceptible scar. <strong>Conclusion:</strong> Evaluating outcomes with objective tools provides data useful to improve the surgical protocols of patients subjecting to aesthetic procedures.展开更多
Health care is an area in which all who are involved should try to ensure that the quality of the provision is at a high level,especially in maternity wards.The quality of these services is not only the competence of ...Health care is an area in which all who are involved should try to ensure that the quality of the provision is at a high level,especially in maternity wards.The quality of these services is not only the competence of the medical staff,but the whole set of factors prevailing in the ward and in the hospital,from cleanliness of the delivery room to the staff courtesy of the institution.The article presents the results of research on clients'satisfaction with the quality of the services offered by the selected maternity ward in Provincial Hospital in Bielsko-Biala.Customer Satisfaction Index(CSI)method was used for analysis.展开更多
Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their pro...Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). Materials and Methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEMEX in Mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BMI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psychosocial well-being, sexual well-being, physical well-being regarding the chest area, with some degree of better perception of her breasts. Conclusion: This study suggests that the results in terms of satisfaction in BR after mastectomy for breast cancer are quite similar for patients who decide to take only the first reconstructive stage, compared with those that finished all the process along, this may be a valuable tool for decision making.展开更多
By modeling the decision-making process of garment coordination of fashion designers, a kind of computer-aid garment coordination using fuzzy neural network was propesed. The Takagi Sugeno Fuzzy Neural Network （TSFNN...By modeling the decision-making process of garment coordination of fashion designers, a kind of computer-aid garment coordination using fuzzy neural network was propesed. The Takagi Sugeno Fuzzy Neural Network （TSFNN） is used to learn the knowledge and rules of fashion designers on garment coordination and calculate the garment coordination satisfaction index （GCSI）. The implementation of the computer-aid garment coordination tool is divided into two stages. The first stage is to acquire the knowledge of garment coordination. The second stage is to train and use the fuzzy neural network to conduct garment coordination. Three layers structure were also discussed for developing the system. By applying the computer-aid garment coordination tool into a real fushionretailing store, the experimental results show the system pexforms well with choosing a suitable value for screening out the satisfaction coordination pairs.展开更多
Objective: to analyze the application of patient-patient communication skills in outpatient guidance.Methods: 60 outpatient patients received from January 2020 to January 2021 to participate in the study and were divi...Objective: to analyze the application of patient-patient communication skills in outpatient guidance.Methods: 60 outpatient patients received from January 2020 to January 2021 to participate in the study and were divided into reference and test groups by lottery, with 30 patients in each group.The reference group carried out the traditional outpatient guidance work. And the trial group applied patient-patient communication skills in the traditional outpatient guidance work to observe the nursing satisfaction index, patient disputes, incidence of nursing complaints, anxiety self-evaluation scale (SAS) score and depression (SDS) score before and after the two groups.Results: the nursing satisfaction index and the incidence of nursing disputes and nursing complaints in the test group were 96.67%, 0.00% and 3.33%, respectively, The nursing satisfaction index, and the incidence of nursing disputes and nursing complaints were 83.33%, 10.00%, and 20.00%, The nursing satisfaction index in the trial group was higher than in the reference group, The incidence of nursing disputes and nursing complaints were lower than those in the reference group, Group differences were statissignificant (P <0.05);Before implementing the care, There were no significant difference between SAS and SDS scores between the test and reference groups (P> 0.05), After the implementation of the care, The SAS scores and the SDS scores were all reduced in both groups, All of the test groups were lower than the reference group, The difference between groups was statistical significant (P <0.05).Conclusion: care-patient communication skills have certain application value in outpatient guidance work, which is conducive to improving nursing satisfaction index, reduce care-patient disputes and nursing complaints, make patients have more trust in medical staff, and promote the smooth development of outpatient guidance work.展开更多
文摘This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home and aboard, and by considering the consuming situation in China and the features of the China＇s petroleum industry. For the existence of： （1） multiple correlations among the factors in the model; （2） the variables need to be explained, but that are hard to observe; （3） the customer satisfaction degree of observation variables appears the shape of skewness or two or three peaks, the correlations between the satisfaction index and its factors cannot be described by common multiple regression. This paper uses a partial least squares （PLS） method based on principal components and typical correlative analysis to solve the problem. When PLS is used in the model of the customer satisfaction index of the wellhead blowout preventers, the latent variables and the explanation degree coefficient of the manifest variable to the corresponding latent variables are estimated by PLS path analysis, and the influencing coefficient among the latent variables in the model is estimated by PLS regression analysis. PLS is also be used to calculate and analyze the model and disclose the correlations among the structural variables as well as the correlation between structural variables and its corresponding observation variables, evaluating results of which provide useful information for petroleum industry to improve the product quality and to the enhancement of the customer satisfaction to the product.
文摘<strong>Introduction: </strong>Cancer is one of the most devastating pathologies to affect the breast. Mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROM (Patient Reported Outcome Measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. <strong>Objectives:</strong> To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years.<strong> Materials and Methods:</strong> Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos Mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. <strong>Results:</strong> 153 patients were included in the analysis. Mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. <strong>Conclusion:</strong> Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.
文摘<strong>Background: </strong>Eyes are one of the most important facial features, their appearance being associated with state of mind, age and beauty. Therefore, upper blepharoplasty is one of the most common procedures performed in plastic surgery. Standardized tools allow for measurement of outcomes through patient satisfaction and surgeon experience. <strong>Objectives: </strong>Our objective was to measure the satisfaction index and scar quality of patients who underwent upper blepharoplasty using the Patient-reported Outcome Measure Questionnaire (PROM-Q) and Patient and Observer Scar Assessment Scale (POSAS). <strong>Methods: </strong>A retrospective review of patients that underwent upper blepharoplasty in our institution was performed. We included those with a preoperative anthropometric analysis, standardized incision markings (developed in our center), same operative technique and a 3-month postoperative evaluation with PROM-Q and POSAS. The sample for this study consists of 67 patients, all of them operated between January 1 2019 and June 30 2019 at the Department of Plastic Surgery, South Central High Specialty Hospital, Pemex, Mexico City, Mexico. <strong>Results: </strong>A total of 67 patients were included, 73% female and 27% male. The most frequent indication for surgery was functional visual symptoms. The index of PROM-Q at 3 months demonstrated an increased satisfaction above 90%, and the evaluation with POSAS reported an almost imperceptible scar. <strong>Conclusion:</strong> Evaluating outcomes with objective tools provides data useful to improve the surgical protocols of patients subjecting to aesthetic procedures.
文摘Health care is an area in which all who are involved should try to ensure that the quality of the provision is at a high level,especially in maternity wards.The quality of these services is not only the competence of the medical staff,but the whole set of factors prevailing in the ward and in the hospital,from cleanliness of the delivery room to the staff courtesy of the institution.The article presents the results of research on clients'satisfaction with the quality of the services offered by the selected maternity ward in Provincial Hospital in Bielsko-Biala.Customer Satisfaction Index(CSI)method was used for analysis.
文摘Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). Materials and Methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEMEX in Mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BMI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psychosocial well-being, sexual well-being, physical well-being regarding the chest area, with some degree of better perception of her breasts. Conclusion: This study suggests that the results in terms of satisfaction in BR after mastectomy for breast cancer are quite similar for patients who decide to take only the first reconstructive stage, compared with those that finished all the process along, this may be a valuable tool for decision making.
基金National Natural Science Foundations of China (No.60975059, No.60775052)Specialized Research Fund for the Doctoral Program of Higher Education from Ministry of Education of China (No.20090075110002)Projects of Shanghai Committee of Science and Technology, China (No.09JC1400900, No.08JC1400100, No.10DZ0506500)
文摘By modeling the decision-making process of garment coordination of fashion designers, a kind of computer-aid garment coordination using fuzzy neural network was propesed. The Takagi Sugeno Fuzzy Neural Network （TSFNN） is used to learn the knowledge and rules of fashion designers on garment coordination and calculate the garment coordination satisfaction index （GCSI）. The implementation of the computer-aid garment coordination tool is divided into two stages. The first stage is to acquire the knowledge of garment coordination. The second stage is to train and use the fuzzy neural network to conduct garment coordination. Three layers structure were also discussed for developing the system. By applying the computer-aid garment coordination tool into a real fushionretailing store, the experimental results show the system pexforms well with choosing a suitable value for screening out the satisfaction coordination pairs.
文摘Objective: to analyze the application of patient-patient communication skills in outpatient guidance.Methods: 60 outpatient patients received from January 2020 to January 2021 to participate in the study and were divided into reference and test groups by lottery, with 30 patients in each group.The reference group carried out the traditional outpatient guidance work. And the trial group applied patient-patient communication skills in the traditional outpatient guidance work to observe the nursing satisfaction index, patient disputes, incidence of nursing complaints, anxiety self-evaluation scale (SAS) score and depression (SDS) score before and after the two groups.Results: the nursing satisfaction index and the incidence of nursing disputes and nursing complaints in the test group were 96.67%, 0.00% and 3.33%, respectively, The nursing satisfaction index, and the incidence of nursing disputes and nursing complaints were 83.33%, 10.00%, and 20.00%, The nursing satisfaction index in the trial group was higher than in the reference group, The incidence of nursing disputes and nursing complaints were lower than those in the reference group, Group differences were statissignificant (P <0.05);Before implementing the care, There were no significant difference between SAS and SDS scores between the test and reference groups (P> 0.05), After the implementation of the care, The SAS scores and the SDS scores were all reduced in both groups, All of the test groups were lower than the reference group, The difference between groups was statistical significant (P <0.05).Conclusion: care-patient communication skills have certain application value in outpatient guidance work, which is conducive to improving nursing satisfaction index, reduce care-patient disputes and nursing complaints, make patients have more trust in medical staff, and promote the smooth development of outpatient guidance work.
