Improving Patient Satisfaction in Health Services: An Application At Dumlupinar University Kutahya Evliya Celebi Education & Research Hospital

The aim of this study is to reveal the factors in improving patient satisfaction at health institutions. In line with this aim, the effect of service quality perceptions and corporate image on patient satisfaction was analysed through the data acquired from 307 patients at Dumlupinar University Kutahya Evliya Celebi Education & Research Hospital using multiple regression model. Moreover, the patients’ perceptions about service quality dimensions were also evaluated through the same data. As a result of the analyses, it was determined that the highest perceptions of the patients about service quality dimensions turned out to be in tangibles and reliability dimensions. On the other hand, it was also determined that perceived service quality and corporate image are effective on patient satisfaction. The results of this study are a guide for public hospitals to increase their service presentation quality and to develop their corporate image. These improvements will increase customer satisfaction and thus enable public hospitals to be preferred more. Key Words: Perceived service quality, corporate image, patient satisfaction, regression analysi

Recovering From the Global Crisis: A Panel Study

AbstractThe current global crisis that originated in the USA in the middle of 2008 financial market was spread very quickly across the globe in almost all sectors, which caused most countries’ economy to shrink. The crisis raised the uncertainty in world economy and caused unsteadiness firstly at financial markets and later at real markets. The recession that started firstly in developed countries has affected the developing countries in critical levels as well. While the global developments were regressing, the countries were in consensus to take precautions in order to struggle with the crisis in the world economy. The financial and economic crises have induced negative implications on investment channel, since investors cut down on their investments in developing countries hence triggering job losses.In this study, we investigate the relationship between investment rates and real per capita GDP using two-way panel estimation technique as this has significant implications for development policy. Our sample covers 35 upper-middle income economies classified by the World Bank and the period analyzed extends from 1970 to 2007

Impact of global recession on selected OECD countries : a panel data analysis

The tax burden on wages, profits, property, and goods or services has a serious impact on cross-country competiveness, something that, in turn, impinges strongly on the actual economy of common markets such as the European Union (EU). While the mobility of productive factors is directly related with country tax-regime differences, government budget funding from tax revenues and rates are the main fiscal policy tools. This article analyzes the trends, similarities and differences between the tax regimes of European Monetary Union (EMU) for the period from 1995 to 2019. The methodologies we employ include time series analysis, regression analysis and multivariate cluster analysis. The data are mainly collected from the OECD database and tax revenue departments at country level. We argue that there are significant differences among the tax regimes of EU countries and that no policy has been implemented to ensure tax homogeneity across the EU, nor is there any likelihood of such. The anarchy in fiscal policy is an obstacle for the European Integration. Budget deficits have an impact on taxation and countries, invariably, manage the recent debt crisis by selecting different taxes as fiscal policy tools. Our article presents the differences between tax regimes of EMU countries and shows that the level of economic growth affects the structure of taxes at work and alters the performance of different types of taxes; is also wishes to explain the factors that differentiate tax regimes by using multi dimensional criteria and variance analysis. Our work contributes to the debate toward a common tax regime between EU countries and our analysis is concentrated on this.peer-reviewe

A Case Report on Aspergillus lentulus Pneumonia

Background: Aspergillus lentulus was described as a new species in 2005 but it was isolated from Turkey for the first time. Case report: A. lentulus was isolated as the cause of pneumonia from a patient who had renal transplantation 4 months ago. The patient received immunosuppressive treatment after transplantation. A. lentulus was isolated from his sputum as an agent in pneumonia developed 4 months after the transplantation. Leukocytes, blastospores, and hyphae were seen in both Gram- and Giemsa-stained smears of the sputum. The isolate was identified by using the Maren A. Klich algorithm and molecular methods and confirmed by the reference laboratory of the CBS Fungal Biodiversity Centre (The Netherlands). In the susceptibility tests of the isolate, minimal inhibitory concentrations for amphotericin B, voriconazole, posaconazole, and caspofungin were found to be 0.5 µg/mL, 0.25 µg/mL, 0.125 µg/mL, and 0.25 µg/mL, respectively. The patient recovered with voriconazole treatment (2x200 mg/day).Conclusion: The use of the molecular tests is important for identification of A. lentulus strains because they are very easily confused with A.fumigatus strains according to phenotypic characteristics

Autoestima y rendimiento académico en estudiantes de nivel primario de una institución educativa de Cutervo - Cajamarca, 2020

La presente investigación tuvo como objetivo principal el Determinar la relación entre autoestima y el rendimiento académico en los estudiantes del IV ciclo del nivel primario de la I.E. 10868, El Corral, Distrito de Querocotillo, Provincia de Cutervo, 2020, se trata de investigación de tipo descriptiva - correlacional, la muestra fue de 18 estudiantes, para dicha investigación se utilizó el test de autoestima 25 para poder medir la autoestima (25 items) y para medir el rendimiento académico se tomó en cuenta las notas obtenidas en el periodo 2020. Por tanto, el valor de significancia fue menor a 5% (P=0.003), por lo cual se determina que existe una correlación directa entre autoestima y el rendimiento académico. A su vez, las dimensiones de la autoestima (familia, emociones y motivación), guardan una relación con el rendimiento académico, mientras que las dimensiones (identidad personal, autonomía y socialización), no guardan relación con el rendimiento académico.Tesi

Comparison of pediatric and adult antibiotic-associated diarrhea and Clostridium difficile infections

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0/.Antibiotic-associated diarrhea (AAD) and Clostridium difficile infections (CDI) have been well studied for adult cases, but not as well in the pediatric population. Whether the disease process or response to treatments differs between pediatric and adult patients is an important clinical concern when following global guidelines based largely on adult patients. A systematic review of the literature using databases PubMed (June 3, 1978-2015) was conducted to compare AAD and CDI in pediatric and adult populations and determine significant differences and similarities that might impact clinical decisions. In general, pediatric AAD and CDI have a more rapid onset of symptoms, a shorter duration of disease and fewer CDI complications (required surgeries and extended hospitalizations) than in adults. Children experience more community-associated CDI and are associated with smaller outbreaks than adult cases of CDI. The ribotype NAP1/027/BI is more common in adults than children. Children and adults share some similar risk factors, but adults have more complex risk factor profiles associated with more co-morbidities, types of disruptive factors and a wider range of exposures to C. difficile in the healthcare environment. The treatment of pediatric and adult AAD is similar (discontinuing or switching the inciting antibiotic), but other treatment strategies for AAD have not been established. Pediatric CDI responds better to metronidazole, while adult CDI responds better to vancomycin. Recurrent CDI is not commonly reported for children. Prevention for both pediatric and adult AAD and CDI relies upon integrated infection control programs, antibiotic stewardship and may include the use of adjunctive probiotics. Clinical presentation of pediatric AAD and CDI are different than adult AAD and CDI symptoms. These differences should be taken into account when rating severity of disease and prescribing antibiotics.Peer reviewedFinal Published versio

Propuesta de una metodologia de seguridad basada en el comportamiento para minimizar las conductas de riesgo en las instalaciones eléctricas de la empresa, Diar Ingenieros S.A. – San Juan de Lurigancho - 2022

Objetivo: “Determinar la relación entre el diseñó de una propuesta de metodología de seguridad basada en el comportamiento y las conductas de riesgo en las instalaciones eléctricas de la empresa DIAR INGENIEROS S.A. Metodología: El método científico del tipo de investigación fue básico y el nivel de investigación fue correlacional. Hipótesis: El diseñó de una propuesta de metodología de seguridad basada en el comportamiento y las conductas de riesgo en las instalaciones eléctricas, guardan una relación significativa positiva, en la empresa DIAR INGENIEROS S.A. Población: Para la presente investigación la población son los 22 trabajadores de la empresa DIAR INGENIEROS S.A. Las técnicas utilizadas en el presente estudio fueron la observación, la encuesta estructurada y análisis documental con cada una de sus herramientas. Instrumento: Cuestionario con preguntas sobre medición de la variable independiente y otra pregunta sobre medición de la variable dependiente, la información se procesa estadísticamente con el software SPSS25.0. Resultado: La prueba de chi-cuadrado en la hipótesis general fue de 0.000, lo cual significa que rechazamos la hipótesis nula y aceptamos la hipótesis alternativa. Conclusión: El diseñó de una propuesta de metodología de seguridad basada en el comportamiento y las conductas de riesgo en las instalaciones eléctricas, guardan una relación significativa positiv