An assessment of patient satisfaction for a short-stay program in a physical and rehabilitation medicine day hospital

AbstractIntroductionThe aim of the Physical and Rehabilitation Medicine (PRM) day hospital's short-stay program is to propose a one- or two-day medical and psychosocial assessment to patients with disabilities. The day hospital is run by an interprofessional team, using interdisciplinary cooperation and a hospital/community network.ObjectivesTo describe a tool for assessing patient satisfaction and to present the results of our survey.Patients and methodsA self-administered questionnaire about patient satisfaction was created and given to patients coming to the PRM day hospital. The questionnaire included 27 multiple-choice questions, two visual analogic scales, and one free-response question. The survey was conducted over two months. For the 603 annual day hospital sessions, 143 questionnaires on 143 sessions were filled out.ResultsPatients found the questionnaire easy to use, but a few needed help to fill it out. It permitted us to highlight the places where the short-stay program performed unsatisfactorily.ConclusionsThe self-administered questionnaire seems to be appropriate for assessing patient satisfaction. The highest scores helped to emphasize where the program was functioning correctly, and the lowest scores allowed us to identify the points that needed to be improved

Smoothed particle hydrodynamics (SPH) model for coupled analysis of a damaged ship with internal sloshing in beam seas

The flooding of a damaged ship in waves is a complex process, often coupled with the internal and external liquid motion together with the ship hull motion. Paramount to the operation safety, in order to improve the prediction accuracy of ship motion during the flooding process, the strip theory is applied to study the dynamic response of the damaged ship in beam seas; a smoothed particle hydrodynamics (SPH) model is developed to consider the coupling effects of various factors including internal sloshing of intact cabins and damaged cabins and external waves. The numerical wave tank with a perfectly matched layer absorbing boundary condition is established and validated by the experimental results. The detailed sensitivity study is carried out focusing on the effects of damaged opening sizes, the relative position of opening, and the incident wave and the liquid loading conditions on the dynamic response of the damaged ship in regular beam waves. It is observed that the flooding process was slowed down and interrupted by the water exchanges at the damaged opening due to the dynamic motion. Compared with the opening facing the incident wave, the back one endangered the ship pronouncedly with large amplitude and frequency roll motion. It is also revealed that the liquid tank in the damaged ship imposes a significant influence on its rolling response. It is further demonstrated that the present SPH model is capable of handling the nonlinear phenomenon in a flooding process of a damaged ship