The topic of patient satisfaction has gained increasing importance over the past decade. Due to the impact of patient satisfaction on health care quality, understanding factors that predict ...satisfaction is vital. The purpose of this review is to examine the literature and identify factors related to patient perioperative satisfaction as well as predictive variables that, if modified, can enhance satisfaction scores of patients undergoing surgery. Our review reports that patient satisfaction scores are affected by modifiable factors such as clinician-patient communication, information provision to patients, and operational function of a hospital. Non-modifiable factors affecting patient satisfaction scores include patient demographics such as gender, age, and education. In order to enhance patient perioperative satisfaction, we suggest that anesthesiologists and surgeons focus their efforts on enhancing their communication skills and providing information that is appropriately tailored to the understanding of their patients. Keywords: Adult patient satisfaction, Perioperative, Review, Clinical communication, Information provision
Welcome to the second issue of JCJP Fortier, Lisa A.
Journal of cartilage & joint preservation,
June 2021, 2021-06-00, 2021-06-01, Letnik:
1, Številka:
2
Journal Article
Aims. The equation of state calculated by Saumon and collaborators has been adopted in most core-accretion simulations of giant-planet formation performed to date. Since some minor errors have been ...found in their original paper, we present revised simulations of giant-planet formation that considers a corrected equation of state. Methods. We employ the same code as Fortier and collaborators in repeating our previous simulations of the formation of Jupiter. Results. Although the general conclusions of Fortier and collaborators remain valid, we obtain significantly lower core masses and shorter formation times in all cases considered. Conclusions. The minor errors in the previously published equation of state have been shown to affect directly the adiabatic gradient and the specific heat, causing an overestimation of both the core masses and formation times.
Highlights ► Used NEURON software to model the passive and active properties of morphologically precise neurons. ► Examined effects of asymmetric voltage attenuation on summation of synaptic ...potentials and on action potential initiation. ► Results showed that the transfer voltages between a pair of dendritic sites were always equal. ► These transfer voltages provided equal contribution to the summation of synaptic currents and to action potential onset. ► The site of action potential onset differed according to input resistance, channel density and synaptic noise.
Purpose To evaluate morphological alterations, microarchitectural disturbances, and the extent of bone marrow access to the subchondral bone marrow compartment using micro–computed tomography ...analysis in different bone marrow stimulation (BMS) techniques. Methods Nine zones in a 3 × 3 grid pattern were assigned to 5 cadaveric talar dome articular surfaces. A 1.00-mm microfracture awl (s.MFX), a 2.00-mm standard microfracture awl (l.MFX), or a 1.25-mm Kirschner wire (K-wire) drill hole was used to penetrate the subchondral bone in each grid zone. Subchondral bone holes and adjacent tissue areas were assessed by micro–computed tomography to analyze adjacent bone area destruction and communicating channels to the bone marrow. Grades 1 to 3 were assigned, where 1 = minimal compression/sclerosis; 2 = moderate compression/sclerosis; 3 = severe compression/sclerosis. Bone volume/total tissue volume, bone surface area/bone volume, trabecular thickness, and trabecular number were calculated in the region of interest. Results Visual assessment revealed that the s.MFX had significantly more grade 1 holes ( P < .001) and that the l.MFX had significantly more poor/grade 3 holes ( P = .002). Bone marrow channel assessment showed a statistically significant increase in the number of channels in the s.MFX when compared with both K-wire and l.MFX holes ( P < .001). Bone volume fraction for the s.MFX was significantly less than that of the l.MFX ( P = .029). Conclusions BMS techniques using instruments with larger diameters resulted in increased trabecular compaction and sclerosis in areas adjacent to the defect. K-wire and l.MFX techniques resulted in less open communicating bone marrow channels, denoting a reduction in bone marrow access. The results of this study indicate that BMS using larger diameter devices results in greater microarchitecture disturbances. Clinical Relevance The current study suggests that the choice of a BMS technique should be carefully considered as the results indicate that smaller diameter hole sizes may diminish the amount of microarchitectural disturbances in the subchondral bone.
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