Expectations and Level of Satisfaction of the Patient with Parkinson’s Disease Undergoing Deep Brain Stimulation Surgery at the National Institute of Neurology and Neurosurgery

Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced Parkinson’s disease (PD). Reports show continued patient satisfaction after surgery despite not maintaining clinical improvement as measured by evolution scales. Objectives: The present study sought to explore expectations and level of satisfaction in patients after DBS surgery with a semi-structured questionnaire and subsequent correlation with functional scales, Quality of Life (QoL), and motor and non-motor symptoms. Methods: We performed descriptive statistics to represent demographic data, Wilcoxon rank tests to determine significant differences, and Spearman correlation between the applied scales. Results: We evaluated 20 patients with a history of DBS surgery. 45% were female, with a mean age of 55.7 ± 14.15 years, a mean disease duration of 13.42 ± 8.3 years, and a mean time after surgery of 3.18 ± 1.86 years. Patients reported surgery meeting expectations in 85.5% and continued satisfaction in 92%. These two variables showed a significant correlation. Conclusions: This sample of patients remained satisfied after DBS surgery, although we found no differences in motor and non-motor clinimetric scales. Further studies are needed to confirm the importance of assessing quality of life in patients with DBS.

The Research of Cenozoic Migrant Worker Satisfaction

The phenomenon of Cenozoic migrant worker shortage is a realism problem of China's enterprise, and Cenozoic migrant worker has become an important force occupied the social structure. So the study of Cenozoic migrant worker's status and the demand is imperative. Understand employees' both psychological and physiological satisfaction of enterprises' environmental factors, and make some corresponding changes is of great help to reduce the employee turnover rate. This paper commenced to research from the Cenozoic migrant worker 's characteristics, analyzed conditions and puts forward the corresponding countermeasures.

Priority of Factors Affected on Customer＇s Satisfaction in the E-Banking by Using Kano Model and Analytical Hierarchy Process： A Case of Iranian Commercial Bank

The aim of the article is to determine the extent to which customer satisfaction＇s in the e-banking in Semnan area had organizational and customer readiness for developing their services. One of the most important sectors that plays key role for grasping developed condition is banking sector. Banks like other institutions also look for augmenting their profits and increasing their strength by expansion. The designing of bank must involve selection of those that have sufficient success potential. Hence, from several factors of success, the following three criteria factors have been： selected-customer satisfied, one dimensional, and product fully functional. These factors offers three question multi criteria group extracted from a 16 norms. Also, three criteria factors have been studied over a period of five years and important criteria for evaluating the norms. The Analytical Hierarchy Process （AHP） has been employed to calculate the success potential of each norm. The empirical data comprises the longitudinal survey of the agricultural banking of the Semnan province. The paper, also, finds that product fully functional is placed as the first priority.

Exploring the Retailer＇s Relational Satisfaction in a Non-western Context： Evidence From the Tunisian Post 2011 ＇s RevolutionSetting

The current research aims to find out whether the model of the retailer＇s relational satisfaction, developed in a western setting is relevant in a different economic and cultural field of investigation： the Tunisian post 2011 revolution＇s emerging context, and in a different industry： the retail industry. It explores the distinctive economic and cultural features that affect the retailer＇s relational satisfaction with its consumer goods manufacturers. The study employs a survey based on a face-to-face administered questionnaire. Two hundred and thirty four responses from a survey with Tunisian retailers as well as international retailers operating in Tunisia were obtained. All constructs are measured using five-point Likert type scales （1 = strongly disagree, 5 = strongly agree）. Analyses are conducted using exploratory factor analysis and reliability analysis. The results support the original model with however some differences derived from the Tunisian economic setting as a whole, the characteristics of the Tunisian consumer goods industry as well as the clan characteristic feature of the Tunisian collectivistic culture. Thus, the amount of discounts obtained, does no longer contribute to the retailer＇s economic satisfaction. Moreover, when it comes to social satisfaction, the respondents get uncomfortable, even to deal with a potential negative interaction with their suppliers. For retail companies involved in internationalization in the Maghreb Region, and especially in Tunisia, it seems that other competitive advantages than prices are to be developed, such as the development of private label or other services that create positive perceived value for the Tunisian customer. From a cultural standpoint, western managers have rather to go away from a formalized channel relationship management, while taking into account the importance of interpersonal influence. The study sheds light on the heterogeneity of the so-called Arab-Muslim world. This is highlighted in the management of channel relationship in Tunisia, that is influenced by： （1） The government＇s price regulation and control, especially in many food products; （2） The relative weak importance of discounts in gaining retailer＇s economic satisfaction; （3） The reshaping of the local retailing sector due to the arrival of international retail companies; （4） The clan feature of the Tunisian collectivistic culture that advocates putting priority on interpersonal influence in channel relationship＇s management.

Patient Satisfaction Index and Quality of Life Measurement with Breast-Q after Breast Reconstruction in a Plastic Surgery Center in Mexico

Introduction: 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. Objectives: 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. Materials and Methods: 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. Results: 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. Conclusion: 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.

A Research on the Relationship of Charismatic Leadership Behaviors of Agricultural Cooperative Managers With Cooperative Shareholders＇ Performance and Satisfaction

In this study, the cooperative shareholders＇ performance and satisfaction were investigated as antecedent. Charismatic leadership of cooperative managers has been identified as antecedent. In addition, shareholders＇ age, education, land size, and duration of membership in the cooperative were investigated to have effect on the shareholder＇s performance and satisfaction. Charismatic leadership of cooperative managers is the subject of research on the effects of performance and satisfaction of the cooperative shareholders. A field survey was conducted. This study has been applied to Cukobirlik, an agricultural sale cooperative in East Mediterranean of Turkey. The researchers collected data by random questionnaire method. The research data were collected from 155 cooperative shareholders. For the data, exploratory factor, correlation, and regression were analyzed. The results of this analysis show that there is a meaningful relationship between charismatic leaders and the performance and satisfaction of shareholders for these cooperatives. Another result, there is significant relation between land size of cooperative shareholders and the performance and satisfaction of cooperative shareholders.

Climate and Tourism： Generational Differences and Effects on Satisfaction

Climate, weather, and its attributes such as temperature and number of rainy days are essential for the success of many tourism destinations. As climate scientists have determined that climate changes are inevitable, tourism destinations need to determine how to best manage these changes and mitigate any negative consequences. In addition, the perceived weather and/or climate at a destination can have as much weight on an individual＇s travel experience as the actual weather. The purpose of this study was to examine climate attributes and their importance on a traveler＇s behavior and satisfaction. Two hundred and sixty four surveys were gathered in the Mediterranean regions of Europe in the summer of 2009. Regression analysis revealed that climate attributes play a role in a traveler＇s satisfaction with their choice of a destination, but the traveler does not feel that climate changes are affecting their destinations as a whole. Analysis of variance （ANOVA） determined generational age differences in importance of climate attributes and if climate changes are affecting destinations. Management considerations for destination planners are explored.

Location Attractiveness as a Major Factor in Museum Visitors＇Choice and Satisfaction

This paper is intended to give a contribution to the debate on the functional relationship between the museum and the local territory; more specifically, the aim of this study is to understand the role of a museum location in attracting visitors and influencing their processes of choice and satisfaction. The study follows, in particular, a previous study conducted by Mariani and Mussini （2013） based on Fondazione di Venezia data, with a view to better contextualization level. Previous studies have examined the role of museums in enhancing the image of a destination and in attracting and conveying additional tourists＇ fluxes, arguing that although not all museums are a destination of choice for visitors, a great museum or a strong exhibition program still does represent a national and international attraction. This paper overturns this argument investigating whereas an appealing location （such as a tourist destination） can influence prospective visitors about the level of attractiveness of a pay cultural event taking place therein. A questionnaire was developed and data were collected at the Palazzo Ducale in Venice, Italy, in 2007, during the art exhibition ＂Venezia e l＇Islam 829-1797＂, via 501 face-to-face visitors interviews. The research model analyzes data through the conjoint analysis and the descriptive statistics. Results show that the exhibition location has been a relevant factor in influencing the visitors＇ decision process linked to the attendance of the event. Data show that, for the majority of visitors, the exhibition had been located elsewhere, they would not have visited it. Thus, an appealing location or a structured tourist destination may function as an attractive platform that may contribute to enforce the overall visitor＇s satisfaction with regard to his or her attendance to a cultural event. Furthermore, such a fact depends on specific objective variables （e.g., level of education, age）, although no significant differences were reported between segments based on other socio-demographic characteristics such as sex. To conclude, arts and cultural managers should market and position cultural events in locations that can function as attractive, thus as emotionally driven experience consumption sites. Furthermore, they should consider both the cognitive and the emotional aspects of visitor＇s experience when designing and planning their events, as well as when assessing visitor＇s satisfaction. Cognitive and emotional aspects should be considered simultaneously when measuring visitors＇ satisfaction. In shaping visitors＇ satisfaction, emotions, such as the pleasure to be in a particular location, are more significant than cognitive aspects, such as the theme of the exhibition.

Do Learners' Preferred Learning Styles Affect Learning Outcomes and Satisfaction in PLE: A Pilot Study of the Supervised-PLE-IELTS Platform

Personal Learning Environment(PLE)enables a knowledge-based,learner-centered lifelong learning which could be successfully integrated with formal education when taking educators’supervision into consideration.But do learners’preferred Learning Styles matter in PLE?To investigate the relationship among learners’Learning Styles,learning outcomes and satisfaction towards the PLE platform,the study constructed and applied a supervised-PLE-IELTS platform.57 sophomores majored in Business in Wenzhou University took part in a 16-week project.Data were collected by Honey and Mumford’s Learning Styles questionnaire for the Learning Styles,post-test of IELTS reading,listening and vocabulary for the cognitive learning outcomes,and Distance Education Learning Environments Survey(DELES)for the satisfaction towards the PLE platform.The results showed:(1)Learning Styles have positive relationship with the cognitive learning achievements in PLE;(2)Learning Styles had no direct effect on satisfaction,and learners of all Learning Styles enjoyed PLE-IELTS platform;and(3)learners who spent more time on PLE platform achieved better cognitive learning outcomes.The paper shed light on the future construction of supervised-PLEs.

集体经营性建设用地入市农户满意度影响因素研究——基于Logistic-ISM模型的分析

农户满意程度可以反映政策改革成效,探究农户集体经营性建设用地入市满意度影响因素,有助于评价政策实施效果,同时对提升农村发展和农民幸福感也有一定的现实意义.采用问卷调查和访谈的方式,选取重庆市大足区作为研究区域,基于Logistic模型确定农户满意度的影响因素,结合ISM模型分析各影响因素之间的层次关系,对农民的政策实施满意度影响因素进行实证分析.研究结果显示:(1)针对入市实施效果,绝大部分农户持满意态度,不满意的地方集中在收益分配不及时和环境污染方面;(2)家中是否有村干部、生态环境变化情况、是否参与表决、分配公平性、入市实际收益、程序透明性、入市风险存在情况、对入市土地所有者的认知对入市农户满意度有显著影响.其中对入市土地所有者的认知、入市风险存在情况、入市实际收益为表层直接因素,中层间接因素有生态环境变化情况、是否参与表决、分配公平性以及程序透明性,家中是否有村干部为深层根源因素.应进一步完善土地产权制度,明晰入市到期后土地权属问题;健全监督管理机制,建立集体经营性建设用地入市单位的产业目录和准入标准制度;完善收益分配机制,制定集体土地入市指导性分配意见;将村集体负责人纳入政府基层领导队伍体系,提高程序透明性.

基于SERVQUAL模型的零售药店药学服务质量评价体系构建

目的:为进一步提高零售药店的药学服务质量提供参考。方法:基于SERVQUAL理论构建零售药店药学服务质量评价体系,并以此体系为依据对206例顾客进行问卷调查,分析零售药店的药学服务质量对顾客满意度的影响。结果:结合SERVQUAL量表的有形性、可靠性、响应性、安全性、移情性等5个维度的内涵,可构建出药学服务质量的上述5个一级指标,以及与之分别对应的药店布局、服务环境、服务人员资格、履行承诺、服务及时性、投诉服务、药师审核处方、工作人员专业能力、建立药历档案、售后服务等27个二级指标。经过对206份问卷中的166份有效问卷进行回归分析表明,各维度对零售药店药学服务质量满意度的影响大小依次为可靠性、有形性、安全性、移情性(权重分别为0.359、0.338、0.230、0.159)。结论:应重点确保服务质量的可靠性,从保障服务人员的资格、履行对顾客的承诺等方面入手,以提高顾客的满意度。

基于ExtJS的富客户端联通分销商管理系统设计

为了提高联通公司分销商业务管理的工作效率,增强信息动态管理,并利用当前最新的软件开发技术赋予系统更好的用户体验,从而为联通公司赢得市场竞争优势,设计了基于Ext JS的富客户端联通分销商管理系统.在业务需求分析基础上,采用B/S架构、SSH框架技术进行业务功能部分的主要设计,采用Ext JS框架技术进行富客户端的主要设计.并且,设计并分析了其中的主要关键技术.

基于改进P-S模型工程抢修抢建风险预警方法

为适应风险预警"风险可能性低、安全满意度高"的心理特征与期望,提出了一种基于改进可能满意度的震后工程抢修抢建风险预警方法。在介绍可能满意度方法原理基础上,建立了震后工程抢修抢建风险预警模式,划分预警等级,确定多层次风险预警等级的可能度、满意度函数,分析风险可能度与满意度的互逆变化特征,确定风险预警可能满意度的并合形式化表达,运用数据包络分析方法改进风险预警的可能满意度模型,确定震后工程抢修抢建风险预警的相对可能满意度模型。模型应用于边坡工程抢修作业进程中整体安全风险预警案例,结果表明方法合理、可行,具有较好的预警能力。

具有最大总加权满意度的单机调度问题的dynasearch算法

研究了总加权满意程度最大化的单机调度问题.对最优解的性质进行分析和证明,提出该类问题的统治规则.提出该问题新的基于dynasearch邻域的迭代局域搜索算法(ILS).算法主要特点:1)dynasearch是基于多摄动的思想,即一次可以做多个相互独立的交换(或插入);2)用动态规划获得最优dynasearch移动;3)ILS采用随机kick策略对局部最优解进行摄动,然后继续迭代.实现了该问题的两种dynaearch算法;把两种dynasearch算法与统治规则相结合;在进行kick时引入误差限制.实验表明:嵌入统治规则的算法优于没有统治规则的算法;基于dynasearch交换的ILS优于基于dynasearch插入的ILS;dynaearch算法要优于以交换为邻域的多初始点改进算法.

青岛市三级医院员工HPWS相关职业体验调查分析

目的采用高绩效作体系调查表评估青岛市三级医院人力资源管理实践,分析员工工作满意度之间的关系。方法运用高质效作体系相关员工职业体验调查问卷收集2家医院员工职业体验相关统计数据。结果样本医院团队合作与回报得分最高,在就业安全感、授权、组织承诺、自主性、员工间关系、信任、平等等方面得分较高;晋升、情绪完好状态和绩效管理等方面得分较低;团队合作、授权、信息支持与员工工作满意度和员工感受的病人服务正相关。结论我国医院管理实践中包含了大量高绩效作体系的内容,高绩效作体系与员工工作满意度呈正向关系,因此也适用于我国。

使用SERVQUAL模型评价现场管理创新推动门诊服务升级的效果分析

目的评价使用SERVQUAL模型的现场管理在门诊医疗服务改进的实施效果。方法将传统医院管理与项目管理、全面质量管理理论紧密结合,采用SERVQUAL模型评价门诊医疗服务质量,针对性锁定服务需求及重点问题,通过运用5 s等现场管理方法,有效预防问题发生,确保快速、准确、方便地满足患者的服务需求,并在实施前后对患者进行效果评价。结果现场管理创新实施后,调查患者对门诊服务有行形、可靠性、响应性、保证性、移情性5个维度的实际感受均高于改进前,差异有统计学差异(P<0. 05)。患者总体满意度达83. 3%,高于实施前的70. 8%,差异有统计学意义(P<0. 05)。结论实施现场管理创新,提高了门诊的整体绩效和能力,提升了医院自身竞争力。

多端口功率分配器S参数的计算机分析

本文给出复杂网络任意端口连接理论，从而可以方便地进行多端口功率分配器的Ｓ参数计算机分析。理论计算与实测结果作了比较。这一理论也适用于其它多端微波元件的分析。

复杂性视网膜脱离患者基于Snyder希望理论的护理干预

目的探讨基于Snyder希望理论的护理干预在复杂性视网膜脱离患者中的应用效果。方法将80例复杂性视网膜脱离患者随机分为观察组与对照组各40例。对照组采用常规护理,观察组在常规护理基础上将Snyder希望理论贯穿于整个护理实践中。干预1个月采用Herth希望指数量表、焦虑自评量表、抑郁自评量表对两组患者进行评价。结果干预后观察组希望水平显著高于对照组,焦虑、抑郁评分低于对照组(均P<0.01)。结论基于Snyder希望理论的干预措施应用于复杂性视网膜脱离患者,可帮助患者提升希望水平,改善负性情绪。

基于D-S证据理论的电力客户满意度评价

供电公司在实践以客户满意为指导的市场营销理念的过程中,客户满意度评价至关重要。根据评价指标的建立原则,从供电质量、电能价格、供电服务和用电指导4个方面构建电力客户满意度评价指标体系,应用D-S证据理论建立客户满意度评价模型,同时在问卷调查取得的数据基础上,运用D-S证据理论进行满意度评价,分析结果体现了该方法的有效性。

基于ERAS理念的针对性护理干预在帕金森病围术期患者中的应用

目的:探讨基于快速康复外科(ERAS)理念的针对性护理干预在帕金森病围术期患者中的应用方法及效果。方法:将98例帕金森病行脑深部电刺激术患者按入院日期分为观察组47例和对照组51例,对照组实施传统快速康复护理,观察组实施基于ERAS理念的针对性护理干预,比较两组护理效果。结果:观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及术后视觉模拟评分法(VAS)评分低于对照组(P<0.05);两组术后住院时间、术后下床时间及满意度比较差异有统计学意义(P<0.05)。结论:基于ERAS理念的针对性护理干预可缓解患者的紧张、焦虑情绪,缩短住院时间,提高患者的满意度。