Psychosexual Assessment of Transgender Individuals during the Sex Reassignment Process: Sexual Desire, Activity, and Satisfaction

A group of 39 Transgender subjects, 17 Female to Male (FtM) and 22 Male to Female (MtF), have been evaluated about their sexual desire, activity, and satisfaction during the period before and after Sex Reassignment by Surgery (SRS). Visual Analogue Scale from 0 to 10 has been used to assess sexual desire and satisfaction, number of sexual partners and number of sexual intercourses/ month have been evaluated to assess sexual activity. Moreover, after the surgery, the Sexual Desire Inventory-2 (SDI-2) was administered to patients and related to testosterone (total or free) levels. In FtM, after hysterectomy and bilateral ovariectomy, mean value of sexual desire (VAS 0 - 10) was 7.5 before beginning testosterone therapy, this value increased after six months of therapy and after one year. Just before SRS the value decreased, but increased to 8.42 after SRS. In the same patients the values (VAS 0 - 10) on sexual satisfaction were respectively 6.5, 6.9, 7.1, 6.5 and 7. Mean number of partners was 4, with 7.07 mean frequency of sexual intercourse/month, before starting therapy (after hysterectomy). During hormonal therapy (testosterone), No. of partners was 2.46 and 8.96 intercourses/month, while after SRS the partners were 1.25 and intercouses/month 7.91. MtF patients reported a sexual desire (VAS 0 - 10) before therapy of 7, this remained almost constant after 6 months, decreases after 12 months and just before surgery, and finally increased to 7.76 after SRS. For sexual satisfaction mean values of VAS were respectively: 6.1, 6.2, 6.3, 6, and 6.8. Regarding sexual activity, MtF report 3.81 mean No. of partners and 9.27 intercouses/month before the beginning of hormonal therapy, 1.36 partners and 4.36 intercourses after therapy, and 1.3 partners and 4.54 intercourses after SRS.

Analysis on Residents’ Satisfaction and Its Influencing Factors with Water Environment Management: Based on the Data from Xiaoqing River

Xiaoqing River is one of the key rivers in the Yellow River Basin, and its management satisfaction is the content that the government should consider when formulating policies. This paper concentrates on residents’ satisfaction of water environment management in Jinan section of Xiaoqing River, using questionnaires to find out the problems and effects of Xiaoqing River management. Based on the correlation analysis of the questionnaire data, the results show that five factors including the impact of water pollution, understanding of Xiaoqing River governance, willingness to participate in Xiaoqing River governance, policy publicity, and government regulation have a positive impact on the satisfaction of Xiaoqing River water environment governance. Finally, the paper puts forward some countermeasures and suggestions to increase residents’ satisfaction from five aspects, such as increasing publicity efforts, paying attention to the cultivation of public participation consciousness, etc.

Survey and Analysis on the Students Satisfaction with Undergraduate Teaching Management in Local Agricultural Colleges and Universities:A Case Study of Tianjin Agricultural University

Local agricultural colleges and universities undertake the important task of training rural revitalization talents suitable for regional characteristics.Only by mastering students'satisfaction with teaching management can we find the problems existing in teaching management.Taking Tianjin Agricultural University as an example,this paper analyzes the undergraduates'satisfaction with teaching management by questionnaire and SPSS24.0.The results show that undergraduates can actively and actively participate in undergraduate teaching management,but their satisfaction is not high.There are significant differences in teaching evaluation management satisfaction among students of different majors and grades.It is suggested to improve the level of teaching management from the aspects of guiding and cultivating a new concept of management and education,establishing and perfecting a scientific and rigorous teaching management system,strengthening the information-based construction of teaching management and strengthening personnel training.

How to improve a urology outpatient service? A survey of patient satisfaction

AIM: To investigate and improve our out-patients department patient satisfaction, provide minimum consultation delay and appropriate consultation duration to meet with targets. METHODS: We distributed the modified satisfaction with outpatient service(SWOPS) questionnaires developed for use in Irish hospitals by the Health Services Research between August and December 2012. The patient disclosed their age and sex and completed the modified SWOPS questionnaire anonymously. Every patient was eligible to participate in the study who attended any of the Urology Outpatient Clinics. Patients lacking capacity to consent were excluded. Additionally, each patient was only permitted to complete one questionnaire regardless of repeat attendances within the 4 mo study period. The answers to every question were presented as percentages. One-way ANOVA was used to establish whether there was a significant difference in appointment delay and "Overall Satisfaction"on the different clinic days. The unpaired t-test was applied to establish whether "Overall Satisfaction" was affected by diagnosis(benign or malignant). Paired t-test was used to establish whether "Overall Satisfaction" was affected by appointment delay and appointment length. RESULTS: Three hundred and forty-eight questionnaires were completed with an overall > 65% participation rate. Eighty-one point six percent were male and 18.4% female with a mean age of 65 ± 21 years. Mean delay time was 32 min, which 30.6% stated should be an improvement priority. The delay times for Wednesday(mean 13 min) were significantly(P < 0.05) lower than for other days(mean 36 min). Generally 12-15 min outpatient appointment length is acceptable and adequate for patients as 97.70% suggested, however 31.60% of patients would favour longer duration. Eleven point four nine percent do not want to see different doctors each time, and 31.60% of the patient feel that no change is required. Average satisfaction was 84.65%. There was no significant relationship between satisfaction and clinic day, diagnosis and consultation length, whether the patient was reviewed by a registrar or consultant. Satisfaction was universally high and independent of consultation delay/length and diagnosis. Dissatisfaction in delay times with a significant improvement on Wednesday suggests necessary and achievable improvements. Notably, the Wednesday clinic has less patients per doctor per hour and enforces a 1 patient per 15 min slot with a no over-booking policy. CONCLUSION: Surveying our patient dissatisfaction would require more frequent audits by clinicians to improve patient satisfaction and to achieve better quality of care.

A cellular automata traffic flow modeling of desired speed variability

The satisfaction rate of desired velocity in the case of a mixture of fast and slow vehicles is studied by using a cellular automaton method. It is found that at low density the satisfaction rate depends on the maximal velocity. However, the behavior of the satisfaction rate as a function of the coefficient of variance is independent of the maximal velocity. This is in good agreement with empirical results obtained by Lipshtat [Phys. Rev. E 79 066110 （2009）]. Furthermore, our numerical result demonstrates that at low density the satisfaction rate takes higher values, whereas the coefficient of variance is close to zero. The coefficient of variance increases with increasing density, while the satisfaction rate decreases to zero. Moreover, we have also shown that, at low density the coefficient variance depends strongly on the probability of overtaking.

Post-endoscopic procedure satisfaction scores: Can we improve?

AIM To organize post-procedure satisfaction data into a useful reference and analyze patient-centered parameters to find trends that influence patient satisfaction.METHODS A robust database of two cohorts of outpatients that underwent an endoscopic procedure at Georgetown University Hospital at two separate three-month intervals ranging from November 2012 to January 2013 and November 2015 to January 2016 was compiled. Time of year was identical to control for weather/seasonal issues that may have contributed to the patient experience. The variables recorded included age, sex, body mass index(BMI), type of procedure, indication for procedure, time of the procedure, length of the procedure, type of prep used, endoscopist, satisfactory score, and comments/reasons for score. For continuous variables, differences in averages were tested by two sample t-test, Wilcoxon rank sum test, and ANOVA as appropriate. For categorical variables, differences in proportions between two groups were tested by χ~2 test. Correlation test and linear regression analyses were conducted to examine relationships between length of procedure and continuous predictors. A P value < 0.05 used to indicate statistically significant relationship.RESULTS The primary outcome of this study was to assess if telephone outreach after an endoscopic intervention was a satisfactory method of obtaining post-procedure satisfaction scores from patients at a tertiary care center. With the addition of post-procedure calls, instilled in January 2014, the response rate was 40.5%(508/1256 patients) from a prior completion rate of 3.4%(31/918) with the mail out survey initially. There was a statistically significant improved response rate pre and post intervention with P < 0001. The secondary outcome of this study was to assess if we could use predictive analytics to identify independent predictors of procedure length, such as gender, age, type of procedure, time of procedure, or BMI. The combined pre and post intervention data was used in order to optimize the power to identify independent predictors of procedure length. The total number of patient's data analyzed was 2174. There was no statistically significant difference in procedure length between males and females with P value 0.5282. However, there was a small(1 min), but statistically significant difference(P = 0.0185) in procedure length based on the time of day the procedure took place, with afternoon procedures having a longer duration than morning procedures. The type of procedure was an independent predictor of procedure length as demonstrated with P value < 0.0001. There is a statistically significant correlation between age and procedure length, although it is only a weak relationship with a correlation coefficient < 0.3. Contrary to patient age, BMI did not have a statistically significant correlation with procedure length(P = 0.9993), which was also confirmed by linear regression analysis.CONCLUSION Our study proves calling patients after endoscopy improves post-procedure satisfaction response rates and changing procedural time allotment based on patient characteristics would not change endoscopic workflow.

Satisfaction about Patient-centeredness and Healthcare System among Patients with Chronic Multimorbidity

The aim of the present study was to measure the prevalence of multimorbidity in Bangladesh,India and China,and to assess the relationship between multimorbidity and patient＇s opinion regarding their involvement in healthcare decision-making and overall satisfaction of healthcare system.Cross-sectional data on 18 696 men and women aged 18 and above were collected from the World Health Survey of World Health Organization（WHO）.Outcome variables were subjective rating of（1） healthcare system＇s ability to involve patients in decision-making,and（2） satisfaction with the way healthcare system runs in the country.Self-reported chronic conditions were used to measure the prevalence of multimorbidity.Out of 9 chronic conditions,back pain,arthritis,and chronic cough appeared to be the most prevalent ones among majority of the participants.About one-third of the participants in China（30.7%） and two-thirds in Bangladesh（66.1%） and India（66.6%） reported having at least one chronic illness.Prevalence of multimorbidity was highest in India（34.3%） followed by Bangladesh（28.8%） and China（14.3%）.In Bangladesh,India and China,respectively 70.5%,41.7%,61.3% women and 54.5%,42.8% and 58.8 % men expressed dissatisfaction regarding the way healthcare system runs in their country.In Bangladesh and India,men who were living with multimorbidity were more likely to rate the patient-centeredness as ＂bad＂ than those who had no disease illness.This study suggests that the prevalence of multimorbidity was remarkably high especially in Bangladesh and India.Higher likelihood of dissatisfaction about healthcare system among multimorbid patients might be indicative of inadequacy in the provision of care in qualitative and quantitative terms.Key words

The Influence of Social Desirability on Self-Reported Sexual Behavior in HIV Survey in Rural Ethiopia

Objective: It is in order to examine associations between social desirability (SD) and self-reports of abstinence among youths in rural Ethiopia. Methods: Youths of ages 15-24 (114 participants) were administered questionnaire to assess HIV knowledge and primary abstinence and a modified Marlowe-Crowne Social Desirability Scale to assess SD bias. The relationships between SD groups (dichotomized into high and low) and abstinence by various characteristics were assessed by using Fisher’s exact p-values. Results: The odds of individuals reporting abstinence were 13.2 times greater in the high SD group compared to the low SD group (p-value 0.002) when adjusted for education, gender, age group, and HIV knowledge. The differences in abstinence between the high and low SD score groups were also examined for selected variables. Conclusions: Individuals who exhibited more SD bias were more likely to report primary abstinence. SD bias should be considered when conducting self-reported surveys to measure the effectiveness of HIV prevention programs.

Penile prosthesis: Patient satisfaction, use and preference for malleable vs inflatable

AIM: To evaluate and compare long-term patient satisfaction and use after either malleable penile prosthesis(MPP) or inflatable penile prosthesis(IPP) implantation. METHODS: we present a retrospective unicenter study of 108 patients implanted with either 2 or 3-piece American Medical System^(TM)(AMS^(TM)) or Coloplast^(TM) inflatable penile prosthesis(AMS 700CX^(TM), AMS 700CXR^(TM), AMS Ambicor^(TM) or Coloplast TITAN^(TM)) or malleable(AMS Spectra^(TM) or Coloplast Genesis^(TM)) in our Centre between 1993 and 2011. We collected data from the medical record including follow-up, age and type of prosthesis. We used a four-question telephone surveydesigned ad hoc by urologist in our Department, with three multiple choice questions and a grading answer. After verbal consent was obtained, proposed questions concerned global satisfaction regarding to the procedure, quality of sexual intercourses graded from 0 to 10, frequency of sexual intercourse and about undergoing the same procedure again. SPSS^(TM) version 20.0 was used for the descriptive analysis of the data. RESULTS: Sixty seven(64%) patients underwent a MPP and 41(36%) an IPP. The mean age was 52.6 ± 3.6 years in the MPP group and 57.2 ± 2.8 years in the IPP group(P = 0.02). Total respond rate was 55.5%(60/108). Twenty six out of 33 MPP patients(78.9%) and 19 of the 27 IPP subjects(70.3%) were satisfied or very satisfied with the procedure. The quality of sexual intercourse was rated 7.13 ± 0.39 points in the MPP group and 6.16 ± 0.47 points in the IPP group. Frequency of sexual intercourse was 1 or more times per week in 15(46.9%) patients with MPP and in 12(46.1%) of the IPP patients. Twenty-eight(84.9%) patients who received a MPP would undergo the procedure for the same device again as well as 24(88.9%) of the IPP group. There were no statistical differences between groups regarding the four items in the survey.CONCLUSION: Patients show high satisfaction rate and no statistical differences exist regarding to global satisfaction, use of the device and quality of sexual intercourse depending on the type of penile prosthesis.

An Analysis of Sister Carrie's Desire——from Perspective of Maslow's Needs Theory

Since the publication of Sister Carrie,there has been a tense discussion on the desire of the Carrie.Many critics focus on the conspicuous desire that drives Carrie to be a social climber.Indeed,desire is the driving force for Carrie.But we can’t generalize all her longings as desire or use"desire"to describe Carrie’s different needs at different life stage.Here,the author attempts to analyze Carrie’s desire in detail and form a better understanding of her desire by using Maslow’s Needs-Hierarchy Theory.

Analysis and Suggestions of the Satisfaction of Postgraduate Education in Engineering Universities —Take Harbin Institute of Technology (Weihai) for Example

Accelerating the development of students is the basic goal of postgraduate talent cultivation.The final research results,employment situation and satisfaction of postgraduate students with school education are more important indicators of the quality of talent cultivation in a university.For having a deeper understanding of the satisfaction of postgraduates in Harbin Institute of Technology(Weihai)in terms of motivation,tutor situation,management service and employment situation,a questionnaire survey was conducted on postgraduates.The survey results show that the overall satisfaction of postgraduates is high.In terms of studying motivation,most postgraduates think that their majors are more related to employment;in terms of professors,most of them can get along well with their professors and learn from the advantages of their professors;in terms of school management,they respond well to the"library",but think that the"dormitory"and"canteen"need further improvement;in terms of employment,most of postgraduates choose to be employed,while a few of them choose to further their studies,most of which have applied to study in domestic or foreign universities.

Multi-center investigation of breast reconstruction after mastectomy from Chinese Society of Breast Surgery:A survey based on 31 tertiary hospitals(CSBrS-004)

Objective:Multi-center data on the current status and trends of breast reconstruction after mastectomy in China are lacking.Herein,we conducted a cross-sectional survey to investigate the current clinical practice pattern of postmastectomy breast reconstruction among Chinese female patients with breast cancer.Methods:A standardized questionnaire used to collect information on breast reconstruction among females diagnosed with breast cancer was distributed by 31 members of the Chinese Society of Breast Surgery between January 1,2018 and December 31,2018.Information was collected on tumor characteristics,treatment,mesh application,nipple-areola complex(NAC)preservation,postoperative complications,bilateral reconstruction,patient satisfaction and local recurrence.The overall rate of breast reconstruction was assessed,and the characteristics were compared across patient groups with different reconstruction approaches.Results:A total of 1,554 patients underwent breast reconstruction after total mastectomy,with a reconstruction rate of 9.6%.Among them,1,190 were implant-based,and 262 underwent autologous reconstructions,while 102 cases underwent a combination of both.Patients who underwent implant-based reconstruction were younger than those who received autologous reconstruction(40.1±4.6 vs.45.0±5.9,P=0.004).Compared to patients with autologous reconstruction,mesh application(25.5%vs.6.5%),NAC preservation(51.8%vs.40.5%)and reconstruction failure(1.8%vs.0)were more frequently reported among those with implant-based reconstruction.There was no significant difference in general satisfaction across three reconstruction approaches,though patients with autologous reconstruction reported the highest aesthetic satisfaction among the three groups(P=0.044).Conclusions:Implant-based breast reconstruction remains the dominant choice among patients,while autologous reconstruction was associated with higher aesthetic satisfaction.Our multi-center investigation based on the findings of the tertiary hospitals of Chinese Society of Breast Surgery may guide a future series of clinical studies on breast reconstruction in China.

Emergency department patient experience:Same location,same provider,different scores by different survey methods

BACKGROUND: Recent findings on emergency department (ED) patient experience surveys and concerns for the low response rates challenge the quality and reliability of the survey reports. We assessed the consistency of an ED patient experience survey report and identifi ed the effects of patient demographics on ED patient experiences. METHODS: We conducted a prospective, cross-sectional study at a university-based ED from July to December 2017. We obtained ED patient experience scores from an institutional version (IS) survey and the Press Ganey Associates-distributed survey (PGA). We compared top box scores from the two reports using frequency analysis and performed multivariable logistic regressions to identify associations between IS patient demographics and scores. RESULTS: We obtained 289 PGA and 234 IS responses. The IS reported signifi cant, higher top box scores in doctor-specifi c patient questions compared to PGA (all four P-values < 0.01). Female, Christian and White patients were more likely to give top box scores (OR 3.07, OR 2.22 and OR 2.41, P-value < 0.05, respectively). CONCLUSION: We found significant differences in ED patient experience scores between the IS and PGA surveys. We recommend that healthcare providers consider patient demographic variables when interpreting ED experience score reports. Multiple survey techniques and distribution methods may be adopted to best capture ED patient experiences.

Gender-related Differences in Perceived Productivity and Indoor Environmental Quality Acceptance-Results of a Questionnaire Survey in University Workplaces

Improving occupant's satisfaction represents an important target oriented both towards the increment of productivity and towards the reduction of operational costs related to health and safety of employees.These considerations are the bases of an interdisciplinary cross-country survey on the human-building interaction in office buildings.The proposed study presents findings from the survey conducted at the University of Calabria(Italy).In particular,both demographic characteristics of the sample and data regarding comfort,satisfaction,and productivity are processed and investigated.Descriptive statistical analysis is developed with the aim of highlighting the influence of indoor comfort conditions on the perceived productivity of employees.Particular attention is dedicated to the study of genderrelated differences in internal environment perception.Indoor temperature,quality of indoor air,and acoustics are the most selected causes of dissatisfaction and low perceived productivity both for women and men.The responses regarding satisfaction level and perceived productivity are also combined by defining a quantitative indicator named Office Productivity and Satisfaction index(OPSi)that is the ratio between the perceived productivity and the satisfaction level of the considered comfort condition.Causes of discomfort are also analyzed and demonstrated gender-related differences in workplaces quality evaluation.

A survey of public needs for digital information service in libraries and museums

Purpose:The purpose of the research is to investigate public needs for digital information service in the Chinese libraries and museums and seek ways to help these public service institutions improve their service to meet user needs.Design/methodology/approach:An online questionnaire survey was used to study the publicneeds for digital information service provided by libraries and museums.A total of 474 valid questionnaires were retrieved for analysis.Findings:The primary purpose of using the digital library and museum service was for knowledge acquisition,followed by work or class assignment and leisure and entertainment.Users need one-stop information service that provides information and service in a more integrated form and allows cross-database searching as well.Research limitations:A majority of the respondents were young and middle-aged people who often use the Internet.We would need to increase our sample size and include different groups of users such as children and retirees to make the sample more representative.Practical implications:Libraries and museums should collaborate to provide the users with one-stop digital information service.Meanwhile,the research can serve as a reference source for the future studies of digital library and museum service.Originality/value:Few studies were published on the public needs for digital library and museum service in China.This study bridges the gap and contributes to our understanding of the Chinese users’ needs for digital information service in libraries and museums.

娱乐主题公园游客满意度研究——以北京为例

游乐园是人们接触最早、最雏形的主题公园。拥有不同的主题区域,区域中设有表明主题的乘骑设施和吸引物的娱乐主题公园成为主要旅游目的地之一。娱乐主题公园的游客满意度由五个因素共同影响,这五个因素与游客满意度具有显著相关性并且每个因素影响强度有所不同。游客满意度与忠诚度之间存在着显著相关关系,游客的重游愿望更为强烈,这对于提高娱乐主题公园的入园人数和营业收入具有重要的意义。

顾客心理授权的多层次模型分析:基于控制欲的调节作用

许多学者的研究结果都表明,优质服务是决定顾客满意度的最重要因素之一。但这些学者的研究往往将员工的服务质量与顾客的满意感当做单一层次变量处理。在深入文献研究的基础上,本文提出了一个包括顾客心理授权在内的员工服务质量与顾客满意感关系的新模型,并采用多层次模型分析方法,着重分析了控制欲对顾客心理授权与顾客满意感的调节效应。数据分析结果表明,员工的服务质量并不直接影响顾客满意度,而是通过顾客心理授权对顾客满意度产生间接作用,也就是说,顾客心理授权是服务质量对顾客满意感影响的中介。此外,顾客的控制欲正向调节心理授权对满意感的影响作用。即企业只有授权给控制欲强的顾客,才能显著提高顾客满意度。本文研究结果进一步深化了关于满意度的研究,丰富了营销学界对顾客授权理论的研究,对服务性企业采取针对顾客的授权措施,提高顾客满意程度有一定的实践指导意义。

甘肃农户参与农民专业合作社意愿及满意度的实证研究——基于376户农户的调查

甘肃农民专业合作社虽然起步较晚,但已经显示出了强大的生命力和辐射力,方便小农户与大市场的对接。文章通过问卷和访谈实地调查甘肃省农户参与合作社意愿及满意度状况,深入分析影响农户参加农民专业合作社的因素,并相应提出完善合作社内部机制、强化服务职能、加强规范管理等一系列对策建议。

价值需求的边际欲望与边际效用及其研究意义

人对物质的价值需求是有限的,对精神的价值需求是无限的。人对价值的需求或占有实际上是一个过程,且表现出特有的规律。一是人对价值占有的边际心理欲望递增与边际效用递减的二律背反规律;二是人对价值付出的心理边际欲望递减与边际效用递减呈同向关系的规律。研究这些规律,对于增进价值包容与价值和谐,有非常重要的理论意义和现实意义。

初次网购体验对再购欲望的影响机理研究

随着电子商务的迅速发展,网上购物已成为人们消费的主流方式。从消费者初次网购体验的角度出发,采用实证分析法,研究其对消费者再购欲望的影响机理,并据此建立模型,结合相关分析以及回归分析法,对各个因素之间的关系展开研究,得出消费者首次网购后,显著影响消费者再购欲望的因素有售后服务、网页设计、物流及商品特征等,同时消费者满意正向影响再购欲望。