671 research outputs found

    Assessing Patients’ Perception of Health Care Service Quality Offered by COHSASA-Accredited Hospitals in Nigeria

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    Service quality in health care institutions is an emerging phenomenon, and many hospitals are concerned about providing quality service to their patients based on information obtained by the patient’s perceptions of service quality. First, we aimed to determine patients’ perception of service quality offered at Council for Health Service Accreditation of Southern Africa (COHSASA)–accredited private hospitals in Nigeria. And that included reexamining the dimensionality of SERVQUAL (the test tool) based on our sample data. Second, we aimed to find out whether there are any existing gaps between patients’ expectation and perception of the service quality. Third, this research is an attempt to test the perceived quality effects on patients’ satisfaction and repurchase intentions toward health services. Quantitative research was conducted via self-administered questionnaires to patients who attended a randomly selected COHSASA-accredited private hospital in Nigeria and analyze their data using a variety of quantitative procedures including structural equation modeling, factor analyses, and paired-samples t tests. A systematic sampling method was used, and a total of 228 questionnaires were used for the final analyses. SERVQUAL was found to be a three-factor variate comprising the following: tangibility, reliability, and sensitivity. Our results concluded that perceived quality was significantly lower than expected quality despite being accompanied with positive levels of satisfaction and repurchase intentions. Finally, patient’s satisfaction was found to fully transmit the indirect effects of two of the three factors, quality sensitivity and reliability, onto repurchase intentions, whereas tangibility does not exert indirect significant influences over repurchase intentions via patient satisfaction

    Causes and Prevalence of Ocular Morbidity among Primary School Children in Ilorin, Nigeria

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    Objective: To determine the causes and prevalence of ocular morbidity among primary school children in Ilorin, Nigeria. Materials and Methods: A cross sectional survey of primary school children in 10 randomly selected primary schools within Ilorin, Nigeria was carried out between July 2005 and January 2006. Relevant ocular history and basic ocular examinations were carried out on the children that were selected from a multi-stage sampling process. Results: One thousand three hundred and ninety three pupils were surveyed. There were 689 (49.4%) boys and 704 (50.6%) girls. The age range was between 4 and 15 years. The mean and modal ages were 10.16 SD 2.5 and 10 respectively. Two hundred and seventy seven pupils had ocular pathology giving a prevalence of 19.9%. The two most common ocular disorders found among the pupils were refractive errors and vernal conjunctivitis with prevalence of 6.9% and 6.7% respectively. Others included genetic / congenital / developmental ocular disorders 39 (2.8%), glaucoma / glaucoma suspect 20 (1.4%), ocular infections 18 (1.3%), and ocular trauma 11 (0.8%). More than three-quarters (86.7%) of the causes of visual impairment and blindness among the pupils were avoidable (preventable or treatable). Conclusion: The sheer magnitude of avoidable causes of visual impairment and blindness in the study underscores the need for effective school eye-health programmes in developing countries.Key Words: Ocular morbidity, childhood blindness, school eye health, Nigeria

    Total Quality Management Boosters and Blockers in a Humanitarian Setting: An Exploratory Investigation

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    Utilizing qualitative techniques, this research is aimed at investigating total quality management (TQM) implementation practices within a humanitarian setting. The extensive survey instrument of professionals working for the United Nations (UN) organizations operating in the Middle East is used to reveal TQM use within international nongovernmental organizations (INGOs) that provide humanitarian relief. With the goal of helping organizations to address anticipated difficulties in implementing TQM practices that improve performance of humanitarian interventions, this study identifies and examines the boosters and blockers of successful implementation of the TQM practices. The most prominent themes that were identified relate to availability of funding, management commitment to quality, partnerships and communication channels, and knowledge sharing

    Discovery anti-diabetic potent ofthiazolidinedione derivative based on virtual screening against aldose reducates

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    Thiazolidinedione (1) was used as a key intermediate for the synthesis of many therapeutic anti-diabetic molecule. Thus, Thiazolidinedione (1) was refluxed with aromatic aldehydes and phenol derivatives to afforded aryldine derivative (3). Moreover, the stereochemistry for compound 3 was discussed using Hartree-Fock theory geometries, and have been optimized at HF with 6-311G level of theory. The HOMO-LUMO energy gap of studied systems has been discussed. The molecular docking simulations into the active site of ALR2 were performed, and showed that, the compound 3 more suitable inhibitor against ALR2 and can used as anti- diabetic drug

    The Impact of Menus on the Customer Satisfaction in Restaurants Classified in Aqaba Special Economic Zone Authority (ASEZA)

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    This research aims to focus on the pricing strategy for the menus and the cost of food, drink, and the types of menus. aims to follow the restaurants the best ways in pricing and calculating the cost of food and drink well, and the design of the menu is eye-catching and containing a meal full food and the presence of the essential elements necessary for human and not- focus on the side without the other.The study reached the following conclusions that the lack of variety and the alternative does not represent statistically reason to leave or leave the restaurant, The menu at the restaurant do not follow the sequence profitable to facilitate the selection process and the search for the desired product. Keyword: Menu, customer satisfaction,   restaurants, Aqaba city

    Appropriateness of Ophthalmic Cases Presenting to a Nigerian Tertiary Health Facility: Implications for Service Delivery in a Developing Country

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    To assesswhether the ophthalmic cases presenting at aNigerian tertiary eye unit are appropriate for such level of care and also drawnecessary implications for service delivery. : Data on 1,321 consecutive new patients that presented at the ophthalmic clinic of the University of Teaching Hospital, Ilorin, Nigeria between February and July 2005 were reviewed on demographics, referral routes, and reasons for patronage, diagnoses and disease categories. Information on the general situation of health infrastructures prevailing at the surrounding health facilitieswas collected fromkey-informants. One thousand and ninety-one (82.6%) presentedwithout any referral and 1,095 (82.9%) patronized in order to access perceived good quality of eye care service being rendered. However, only a small proportion of their ailments (191, 14.5%) actually required attention at the tertiary level of eye care. The key informants painted a picture of severely-challenged general and health infrastructures particularly at the primary health care facility level An overwhelming majority of ophthalmic patients directly accessed eye care at the tertiary level, even though most of their ailments could have been satisfactorily treated at the lower facilities of health care were the latter to be functioning optimally. A better coordinated and strengthened health care system, particularly at the primary and secondary health care facilities would ease the burden of inappropriate presentations on tertiary health facilities inNigeria.Keywords: Health care utilization pattern, referral routes

    Physicochemical Studies and Biological Activity of Mixed Ligand Complexes Involving Bivalent Transition Metals, 2-Aminomethylthiophenyl-4-Bromosalicylaldehyde Schiff Base and Glycine

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    The Mixed-ligand complexes of Co(II), Ni(II), Mn(II) and Zn(II) with 2-aminomethylthiophenyl-4-bromosalicylaldehyde Schiff base (ATS) and glycine as a representative example of amino acids have been achieved. These complexes namely [Ni(ATS)(Gly)] (1), [Co(ATS)(Gly)].H2O (3) [Mn(ATS)(Gly)].2H2O (2)  and [Zn(ATS)(Gly)] (4) were characterized by elemental, molar conductance, infrared, magnetic moment, and electronic spectra. ATS behaves as mononegatively charged bidentate ligand with coordination through azomethine nitrogen and phenolate oxygen groups while glycine acts as monobasic bidentate ligand is coordinated via amino and ionized carboxylate group after deprotonation. The low molar conductance values suggest the non-electrolytic nature of these complexes. The magnetic and spectral data indicates a square planar geometry for Ni2+ complex, tetrahedral geometry for Zn2+ and octahedral geometry for both Mn2+ and Co2+ complexes. The isolated chelates have been screened for their antimicrobial activity. Keywords: Schiff base, Nickel(II); Glycine; Electronic Spectra; antibacterial activity

    Comparative Study of the Use of Insect Meal from Spodoptera littoralis and Bactrocera zonata for Feeding Japanese Quail Chicks

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    A transformation of current livestock production towards a more sustainable operation is crucial to face nutritional and environmental challenges. There is an urgent demand for more sustainable high-quality feed sources to reduce environmental costs. Insects pose a potential alternative since they can be reared sustainably on food and feed residues. Know-how in mass rearing already exists for insect species used in biological pest control, such as the African cotton leafworm Spodoptera littoralis and the peach fruit fly Bactrocera zonata. The impact of a replacement of 50% of soybean meal by S. littoralis and B. zonata meal, respectively, on seven-days-old Japanese quail chicks was investigated in feeding trials. Concomitantly, the chemical compositions of the two insect meals and soybean meal were determined and compared. It was observed that the insect meals had higher protein and fat contents, lower carbohydrate contents and contained more saturated fatty acids than soybean meal. They also had higher methionine, and S. littoralis had a higher lysine content. Feeding trials resulted in improved growth, feed performance parameters, carcass characteristics, and biochemical indices for both insect meals. Consequently, both insect meals represent a promising alternative to soy in the feed of Japanese quail chicks.DFG, 414044773, Open Access Publizieren 2019 - 2020 / Technische Universität Berli
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