Primary healthcare institutions face limitations in medical resources, leading to concerns from patients and their families regarding the quality of medical services, resulting in complaints against ...these institutions. This study aims to analyze the causes of complaints and implement improvement measures to enhance the service quality of primary healthcare institutions, increase satisfaction among patients and their families, and reduce the number of complaints. Relevant data were collected, and verified complaints were categorized based on departments, administrative office, and category. Pearson Chi-square test, Spearman correlation analysis, as well as univariate logistic regression were employed to analyze factors influencing patient satisfaction. A complaint-handling process was established, and regulations pertaining to complaints were formulated. Pearson Chi-square test results indicated a significant correlation between satisfaction and departments (P = .016) and administrative office (P = .022). Spearman correlation analysis revealed a significant correlation between satisfaction and departments (ρ = 0.157, P = .017) and administrative office (ρ = 0.151, P = .021). Univariate logistic regression analysis demonstrated a significant correlation between satisfaction and other related complaints in administrative office (OR = 3.321, 95% CI = 1.196-9.218, P = .021). Complaints related to departments and administrative offices are significantly correlated with satisfaction. After the implementation of a complaint management system in primary healthcare institutions, there is a notable improvement in service quality, enhanced patient experience, increased satisfaction, and a reduction in hospital complaints.
Titanium oxide films were synthesized on titanium, cobalt alloy and low-temperature isotropic pryolytic carbon by ion beam enhanced deposition. The non-stoichiometrical titanium oxide films were ...obtained. Blood compatibility of the films were evaluated by clotting time measurement, platelet adhesion investigation and hemolysis analyses. The results revealed that blood compatibility of the materials was improved by the coating of titanium oxide films. Semiconductor nature of non-stoichiometric titanium oxide films might be responsible for the improvement of blood compatibility.
ZnO/FeS tubular nanocomposite was successfully synthesized by a facile two‐step chemical route. The as‐obtained composite was composed of the hexagonal ZnO tubes with a mean diameter of 150 nm and ...cubic FeS nanosheets with a thickness of 35 nm, and FeS nanosheets grew epitaxially on the outside surface of ZnO tubular microstructures. Furthermore during the process of FeS nanosheets coating on the ZnO needles, the acid etching leads to the formation of ZnO/FeS tubular structure. In addition, the as‐prepared ZnO/FeS tubular nanocomposite exhibited the enhanced optical properties and absorption degradation activity. After 30 min, the absorption degradation ratios of the as‐prepared ZnO/FeS tubular nanocomposite for some organic dyes can improve greatly Methylene blue, MB (82.4 %); Rhodamine B, RhB (94.5 %); Pyronine B, PB (86.6 %) and Methyl orange, MO (78.5 %) when compared to the individual ZnO needles.
Cobalt phosphide/reduced graphene oxide (Co2P/RGO) nanocomposites were synthesised successfully via a facile in-situ solvothermal method. Co2P nanoparticles with a mean size of 80 nm anchor uniformly ...and firmly on the surface of RGO nanosheets, which not only avoid the aggregation of Co2P nanoparticles, but also prevent the restacking of RGO nanosheets. Used as a degradation agent, the as-prepared composites exhibit superior adsorption degradation activity for various organic dyes. As an anode material for Li-ion battery, the Co2P/RGO composites also show good electrochemical properties and its initial discharge specific capacity of the as-prepared composites can achieve to 900 mAh/g. The reason might be attributed to the interfacial interaction and the effective combination of Co2P nanoparticles with RGO nanosheets.
Cobalt phosphide/reduced graphene oxide (Co2 P/RGO) nanocomposites were synthesised successfully via a facile in‐situ solvothermal method. Co2 P nanoparticles with a mean size of 80 nm anchor ...uniformly and firmly on the surface of RGO nanosheets, which not only avoid the aggregation of Co2 P nanoparticles, but also prevent the restacking of RGO nanosheets. Used as a degradation agent, the as‐prepared composites exhibit superior adsorption degradation activity for various organic dyes. As an anode material for Li‐ion battery, the Co2 P/RGO composites also show good electrochemical properties and its initial discharge specific capacity of the as‐prepared composites can achieve to 900 mAh/g. The reason might be attributed to the interfacial interaction and the effective combination of Co2 P nanoparticles with RGO nanosheets.
Ion beam enhanced deposition (IBED) was adopted to synthesize biocompatible titanium oxide film. Structure characteristics of titanium oxide film were investigated by RBS, AES, and XRD. The blood ...compatibility of the titanium oxide film was studied by measurements of blood clotting time and platelet adhesion. The results show that the anticoagulation property of titanium oxide film is improved significantly. The mechanism of anticoagulation of the titanium oxide film was discussed.
In the present study, three-point bending fatigue tests in Ringer solution were performed using unnotched specimens of Ti6A14V coated with TiN film by ion beam enhanced deposition (IBED). For ...comparison, uncoated samples were also investigated. The applied stresses on the tension side of the samples were 850–1100 MPa. The frequency was 60 Hz. The number of cycles to fatigue failure under different loads ranged from 3 × 10
4 to 1 × 10
7. The coated and uncoated samples had different fatigue behaviors. The fracture mechanisms of the samples were also studied using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Energy dispersive X-ray spectrometry (EDX) revealed segregation of aluminum from the matrix to the TiN surface area during the fatigue process. It was concluded that a TiN film coated by IBED could improve the fatigue properties of Ti6A14V under low stress.
To explore the predictive effect of effort-reward imbalance on students' learning engagement and to elucidate the underlying mechanism, 796 students were selected for a survey.
The participants were ...required to complete four scales: the Effort-reward Imbalance Scale, the Learning Engagement Scale, the Learned Helplessness Questionnaire, and the Perceived Social Support Scale.
(1) Students' effort-reward imbalance significantly and negatively predicts their learning engagement; (2) Learned helplessness serves as a mediator in the relationship between students' effort-reward imbalance and learning engagement; (3) Social support plays a moderating role in the association between effort-reward imbalance and learned helplessness. High levels of social support can buffer the impact of an effort-reward imbalance on learned helplessness, and the protective effect of social support is more obvious when the effort-reward imbalance is low.
The present study revealed how an effort-reward imbalance affects learning engagement among students through the dimensions of learned helplessness and perceived social support. The constructed model not only further clarifies the mechanism underlying the relationship between effort-reward imbalance and learning engagement but also holds significant implications for guiding students' education.
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