Factors Influencing Clients’ Satisfaction of Agent Banking: An Empirical Exploration

Purpose: The prime intention of this study is to explore client satisfaction with branchless agent banking services during the COVID-19 Pandemic. The roles of service quality, security, transaction cost, trust, and convenience have been explored to assess the client satisfaction of agent banking in Bangladesh.   Theoretical framework: The research model used in this study is based on the theory of Oliver (1980). In the model, dependent variable (client satisfaction) is measured through the service quality, security, transaction cost, trust, and convenience. Oliver (1980) claims that the customer satisfaction model explains why feelings of satisfaction occur when customers assess how well actual products or services perform in comparison to their expectations.   Design/Methodology/Approach: The self-administered questionnaire was deployed for primary data collection purposes. A partial least square-structural equation model (PLS-SEM) analysis was performed on the 286 useable questionnaires that were returned from a total of 300 questionnaires in order to validate the model and assess the validity of the hypothesis.   Findings: The study's conclusions showed that factors including service quality, security, trust, and convenience have a big impact on how satisfied customers are. Transaction costs don't, however, significantly affect how satisfied customers are.   Research, Practical & Social implications: This study's findings will close the existing empirical gap by educating academics about the relationship between consumer happiness, service quality, security, transaction cost, trust, and convenience in the agent banking sector. Furthermore, it aids in their comprehension of theoretical and practical issues. Certainly, this research will serve as the basis for future research in Bangladesh in this field. The results of this investigation will have a wide range of significant ramifications for the sector.   Originality/Value: Agent banking is not a novel concept in Bangladesh, but to the best of our knowledge, there is no literature available that uses PLS-SEM to assess rural consumers' satisfaction. This essay is a wise attempt to close that gap. The research offers some useful practical implications for agent banks to identify appropriate ways to satisfy their consumers, despite some constraints

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

First Record of Porpita porpita (Cnidaria: Hydrozoa) from the coral reef ecosystem, Bangladesh

The occurrence of Porpita porpita is reported, for the first time, in the coral island of St. Martin’s located in the southeastern coastal region of Bangladesh. P. porpita was found to occur in the lower littoral zone and beach rock pools, together with molluscan species, and collected during the pre-monsoon season when both water temperature (> 30°C) and salinity (> 30‰) tend to reach a maximum. This study recounts some details on the discovery and description of the species, and thus extends the global distribution and range limits of the genus Porpita