Online ISSN: 2515-8260

Keywords : Quality


Problems associated with usage of PPE Kits during COVID19 pandemic : Experience of Healthcare workers of a tertiary care center from Eastern India

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 6133-6144

Background: Frontline healthcare workers play a critical role in the containment of the coronavirus disease-2019 (COVID-19) pandemic, and as they are wearing personal protective equipment to minimize cross-transmission and acquire confidence in fighting the pandemic (PPE) they face health problems and discomfort as well because of long duty hours. Objectives : To explore the health issues associated with use of PPE among healthcare front liners and to find out the possible solutions for the identified problems. Methodology: A cross sectional observational study involving a group of medical staff was done using a pre tested semi structured questionnaire using google forms at a tertiary care teaching hospital.

Assessment Of Live Kidney Donor In Term Of Functional Outcome And Quality Of Life Using Psychometric Analysis

Mukesh Jaysawal , Asutosh Kumar , Rohit Upadhyay , Rajesh K. Tiwari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1596-1604

Background: Candidates for living kidney donation accept a variety of risks and advantages when they choose to proceed with nephrectomy. In order to give their consent in this matter, people must first acquire accurate information about the results they consider to be essential to their choice. We determined which outcomes were most significant to living kidney donors and explained their selection criteria.
Aims: The current study aims to investigate the functional alterations in residual kidneys and assess the post-donation quality of life of live kidney donors.
Methods: The Department of Urology was where this study was carried out. The study used a prospective observational design, with some data being gathered retroactively. The donors who underwent donor nephrectomy at IGIMS Patna two years ago were included in the study. Donors were contacted by telephone after a 2-year nephrectomy in this hospital-based study.
Results: In our study, the physical domain of quality of life declined, whereas the psychological, environmental, and social domains all saw improvements. Living kidney donors reported a significant increase in pre and postoperative kidney surface area; preoperative 40.46 cm2 vs. 52.85 cm2, p<0.0001. There has been a reported statistically insignificant improvement in overall QOL (3.23 to 3.58, p<0.0148). There has been a documented, statistically small rise in health satisfaction (3.1 to 3.53, p<0.032).
Conclusion: Our study underlines the necessity of routine follow-up with donors in order to evaluate the effects of donation on physical health, clinical outcomes, and overall QOL.

Quality control of blood components-a step towards efficient supply of blood products

Dr. Sachin Sharma, Dr. Ashok Yadav, Dr. Radhika Rai, Dr. Yogesh Pawde

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 333-336

Objective: The aim of study was to ensure supply of safe and efficient blood transfusion to
patient and to prevent Transfusion Transmitted Diseases.
Methods: The present study included data of routine monthly analysis of whole blood and
blood components which was collected from archives of blood bank from the period of 1st
January 2018 to 31st December 2019. Data was collected for the above mentioned period in
which blood was collected from 2520 healthy donors in sterile single, double or triple blood
bags with anticoagulant Citrate Phosphate Dextrose Adenine 1 (CPDA 1) after taking written
consent.
Result: Mean volume was 65.5 mL with range of 50-70 mL. Mean WBC contamination was
1.4×108/unit with a range of 0.15-5.5×108/unit. Mean RBC contamination was
0.077×1012/liter with a range of 0.05- 0.14x1012/liter.
Conclusion: Quality indicators should be well-defined, regularly monitored and properly
documented. Quality Control is an important tool to ensure maximum benefit to patient with
minimum cost and maximum advantage and minimizing requirement of transfusion to patient
and Prevention of risk of Transfusion Transmitted Diseases.

Health Related Quality of Life for elderly people with Common Chronic Diseases in Patients Attending Primary Health Care Centers in Makkah- Al Mokarramah, Saudi Arabia 2021

Mahmood Mohammad alqurashi, Abdullah Eidhah Misfer Almalki, Zayed Saad Alzhranae

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 3227-3242

Although worse Health-Related Quality of Life (HRQL) among elderly people   has been widely described, it remains unclear whether this is due to differential reporting patterns, or whether there is a real difference in health status. Chronic diseases can have a profound impact on the health and quality of life of elder, not to mention the financial burden that is often associated with long-term illness. But specialists in gerontology and the emerging field of anti-aging medicine are quick to point out that while the risk of disease and disability undoubtedly can increase with advancing years, poor health is not an inevitable consequence of aging, According to the Centers for Disease Control (CDC) a lot of the sickness, disability, and even death associated with chronic disease can be avoided through preventive measures Older population is expected to be increased in Arab countries including Saudi Arabia in coming decades.  On the contrary, Arab countries are not paying attention to this increasing number of elderly people and most of the time; family is responsible for the increased demand of care for the elderly people.Aim of the study: To assess the health-Related Quality of Life for elderly people with Common Chronic Diseases in patients Attending Primary Health Care Centers in Makkah- Al Mokarramah, Saudi Arabia 2021. Method:  This cross-sectional study was carried out on 300 elderly people with age ≥ 60 years. Quality of life was assessed using Arabic translation of WHO Quality of Life-Brief (WHOQOL) questionnaire. Screening of cardiac diseases and depression was done using Framingham and PHQ-2 questionnaires, respectively. Results: In our study in table 3 show, the majority of the participants those who did Framingham risk score  classified as intermediate risk with constitutes of (62.0%) followed by high risk with constitutes of  31.0% while a significant were P-value=0.001and  X2=136.86 regarding the PHQ-2In our study the majority of the participants Positive were(69.0%) while a significant were P-value=0.001and  X2=42.563, regarding the QOL the majority of the participants Good were(50.0%) while a significant were P-value=0.001and  X2=67.92 Conclusion: Improve service quality and increase clinics responsible for providing Common Chronic Diseases  patients with health information

A study to assess the determinants affecting the satisfaction level of inpatients getting admitted through the Emergency department in a tertiary care hospital, Odisha

Mrs.Rashmi Ranjita Parhi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 582-591

Evaluation of Patient satisfaction level who are getting admitted through emergency department (ED) is very necessary because it affects the performance that reflects the high quality, efficiency, and sustainability.
Aim: To assess the level of satisfaction in various points among inpatients following 48 hours of their admission through the emergency department. To find out the quality indicators of patient care through emergency department care Methods: This quantitative cross-sectional study was conducted in the emergency department. The target population was who have been admitted through the emergency department. The data was collected after 48 hours of admission in to the hospital. Result: Total of 98 patients were participated in this study and shared their experiences through a standard questionnaire. Total percentage of highly satisfied patients was 60.2% (n=59) for the services given by the emergency department. Total percentages of satisfied patients were 22.4 %(n=22) and Similarly each of both highly dissatisfied and dissatisfied patients were 2, and neutrals are 13.3 %(n=13). Conclusion: Satisfaction level of patient carries the total image of the hospital. It is also a good quality indicator which enables the contact points of improvement in ED so that the hospital can provide better care and services to the patients.

A study to assess the determinants affecting the satisfaction level of inpatients getting admitted through the Emergency department in a tertiary care hospital, Odisha

Mrs.Rashmi Ranjita Parhi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 1618-1627

Evaluation of Patient satisfaction level who are getting admitted through emergency
department (ED) is very necessary because it affects the performance that reflects the
high quality, efficiency, and sustainability.
Aim:
To assess the level of satisfaction in various points among inpatients following 48 hours
of their admission through the emergency department.
To find out the quality indicators of patient care through emergency department care
Methods:
This quantitative cross-sectional study was conducted in the emergency department. The target
population was who have been admitted through the emergency department. The data was
collected after 48 hours of admission in to the hospital.
Result:
Total of 98 patients were participated in this study and shared their experiences through a
standard questionnaire. Total percentage of highly satisfied patients was 60.2% (n=59) for the
services given by the emergency department. Total percentages of satisfied patients were 22.4
%(n=22) and Similarly each of both highly dissatisfied and dissatisfied patients were 2, and
neutrals are 13.3 %(n=13).
Conclusion:
Satisfaction level of patient carries the total image of the hospital. It is also a good quality
indicator which enables the contact points of improvement in ED so that the hospital can
provide better care and services to the patients.

A Study To Assess The Knowledge Of Adolescent Regarding Food Adultration In Selected School Of Chennai, Tamilnadu

Mrs. Ariya .S. , Kurup

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 6090-6091

Food Adulteration refers to the process by which the quality or the nature of a given food is reduced through addition of adulterants or removal of vital substance. One form of adulteration is an addition of another substance to a food item in order to increase the quantity of the food item in raw form or prepared form, which may result in the loss of actual quality of food item. These substances may be either available food items or non-food items. The data shows that Adolescents (Age 14-16 Years) 25% having poor knowledge, 62.5% having average knowledge and 12.5% have good knowledge on Food Adulterations. So, the Adolescents (Age 14-16 Years) have enough knowledge regarding food Adulteration and able to take proper steps for the welfare of self and society.

The Determination Factors of the Education Quality of Madrassa Aliyah Pati Regency Indonesia

Priyo1 .; Purwanto .; Giyoto .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 39-47

This study aims to find out and examine the factors that affect the Quality of Madrasah Education, focusing on the Leadership of Madrasa Aliyah Principals, Madrasa Aliyah Climate, Teachers’ Performance in Teaching, Learning Facilities, and Community Participation and how much influence of the factors towards the quality of education in Madrasah. The design of this study is quantitative descriptive by: (1) identifying factors that affect the quality of madrasas, (2) identifying the functions of involvement of each factor, and (3) understanding the predictions of results. This study uses a survey method according to the characteristics of the variables studied. The object of his research was the Madrasa Aliyah teachers at Pati regency. Data were collected through questionnaire and observation. The population is the Madrasa Aliyah teachers who are in the Pati Regency area. In determining the sample, four sampling stages were carried out (multistage sampling), namely cluster-proportionate random sampling, simple random sampling, sampling techniques, and simple random sampling techniques. The results of research in the field and data analysis shows that the leadership of the head of the Madrasa Aliyah, the Climate of Islamic Senior High School, Teachers' Performance, Learning Facilities, and Community Participation significantly influence the quality of Madrasah education

Deep Analysis of ITIL Framework for Improvement of Indian IT Services in Industries

Ras Bihari Dayal; Rahul Chandra Kushwaha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 2243-2249

This research article proposes a model of management based on the methodology that the Infrastructure Library of Information Technologies (ITIL) raises through the life cycle of the service. In the development of this investigation, areas, groups interdisciplinary and tools that satisfy the problem of complex relationship between business and technology. As part of the methodology of this study, a bibliographic inquiry was carried out and analyzed operational experiences of the object of study, which were related to the alternatives and disciplines that the ITIL methodology proposes. As a result of the investigation, a model of management that relates areas, groups, roles

Cultivation Of Wheat And Chickpea Intercropping Under Organic System Of Production: A Review

G. Sanhthosh Kumar Raju; Sandeep Menon

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2349-2360

Global population increases drastically but the production of quality food grains has decreased in the same way that may results the poor nutrition content in the food. The reason behind less quality of food grain is the continuous use of chemical fertilizers in field in order to produce higher yield but these inorganic fertilizers increase yield and other side it decreases the soil fertility and cause effect to soil ecofriendly organisms and cause pollution in the soil and environment. Instead of using those inorganic fertilizers replace with using organic amendments like FYM, Poultry manure, Vermicomposting, sheep and goat manure, bone meal, slurry, sewage and sludge along with the bio fertilizers plays key role to enrich nutrient content, increase microbial population, improves water holding capacity in soil and provides the better aeration around plant rhizosphere. Growing of sole crop with organic amendments may reduce yield. Instead of these we fallow intercropping systems like cereals + pulse, cereal + oil crop, cereal + cereal crop may provide the better production and among intercropping systems cereal +pulse crop of wheat and chickpea with recommended ratios of (2:2,3:1,2:1,1:1) has shown the better results in crop production with good quality grain yield ,LER, better growth rate per unit area by better utilization of N2 from legume crop by fixation and makes profit to the farmer by reducing the incidence of disease, pest and weed .

Qualitative Analysis of Online Higher Education Websites Using Support Vector Machine

Chandra Mauli Sharma; Dr. Suruchi Gautam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1235-1246

The Quality analysis of online higher education websites is very important now a day. As such most of the quality parameters are defined to measure the quality of these websites. The paper is an attempt to make proper analysis of higher education websites. The research involves the creation of a database that includes well-defined parameters. Details are provided as an input to a learning model based on a vector support machine for comparison and ultimately geographical location. Testing the efficiency and accuracy of the database prepared for this task. This data was developed for seven different training, testing and verification on websites using support systems (SVM) algorithm. Algorithms trained with this database have proven to work well in site testing and level. The parameters provided are included in the model that includes the key keywords obtained (KH), average rating (AS), global standard (GR), wrap rate (BR) and daily page views per visitor (DPVPV). Thereafter a quality matrix is produced based on the quality of the extracted material. Pair pairing analysis was performed to determine the interaction between websites using scores on a quality matrix. The University of Kent (KENT) has been found
to have very high standards (13212.43) and in terms of quality content

Chalet and Resort Guests Expectation and Perception of the Quality Factors Using SERVQUAL Dimension

Muhd Khaizer Omar; NorArnie Sazerin Shamsul Azman; Rosnani Jusoh; Rahimah Jamaludin; Suhaida Abdul Kadir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 589-608

This article propagates the guests feedback on tourism experience based on the three major quality factors: service, facility, and location. We employ a descriptive quantitative survey and utilize five dimensions of SERVQUAL to determine guests expectation and perception from lodging experience offered by the chalet and resort entrepreneurs along the beach coast of Pengkalan Balak, Malacca, Malaysia. A total of 152 tourists who stay at five selected chalets and resorts are selected using a random sampling technique for the sample of the study. The results of the analysis indicate that the guest expectation on the service quality, the facility, and the environment is higher compared to guest actual experience during their stay in the designated premises. It is evident that the customer satisfaction level is low and the lodging providers are advised to take proactive measures in ensuring the quality of the service, the facility and the convenience of the location are at the global standard. It is important to note that the findings do not generalize to other lodging facilities, for example, hotel and homestay services. The findings from this study projects and assists chalet and resort entrepreneurs to advocate salient improvement for quality standards which ultimately flourish customer satisfaction level and discern best strategies in promoting the beach coast of Pengkalan Balak to be one of the best coastlines and finest chosen tourism destination in Malaysia.

Qualitative Analysisof Online Higher Education Websites Using Support Vector Machine

Chandra Mauli Sharma; Dr. Suruchi Gautam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 130-141

The Quality analysis of online higher education websites is very important now a day. As such most of the quality parameters are defined to measure the quality of these websites. The paper is an attempt to make proper analysis of higher education websites. The research involves the creation of a database that includes well-defined parameters. Details are provided as an input to a learning model based on a vector support machine for comparison and ultimately geographical location. Testing the efficiency and accuracy of the database prepared for this task. This data was developed for seven different training, testing and verification on websites using support systems (SVM) algorithm. Algorithms trained with this database have proven to work well in site testing and level. The parameters provided are included in the model that includes the key keywords obtained (KH), average rating (AS), global standard (GR), wrap rate (BR) and daily page views per visitor (DPVPV). Thereafter a quality matrix is produced based on the quality of the extracted material. Pair pairing analysis was performed to determine the interaction between websites using scores on a quality matrix. The University of Kent (KENT) has been found to have very high standards (13212.43) and in terms of quality content.

THE ASSESSMENT OF THE IMPACT OF QUALITY ON THE SAUDI HEATH CARE SYSTEM IN PRIMARY HEALTH CARE CENTERS IN MAKKAH

Nawar Hamad Mohammad Alfahmi, Khaled Fawzan gazi Alholaife, Abdulmohsen masraj Alfahmi, Faisal Mohammed Al-Nofaie, Hassan Fuad Labban, Fayez Abdul Rahman Fayez Al-Shehri,Abduljalil Ahmed Nojoom, Majed Faraj Alharthi, Majed Mohammedeid Almihmadi, Youssef Dakhilallah Nafea Aljehani

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 170-181

Background:
Primary health care, the basis of universal health coverage, needs to be assessed on its performance through Saudi health care quality system and future opportunities to serve the Saudi Arabian population increase the chance of desired health outcomes. Saudi Arabia has invested heavily in its health care system by establishing health care infrastructures to improve health of the nation. However, it remains to be seen whether it is efficient and effective in providing health care services needed. In spite of substantial improvements in the Saudi Arabian health services sector in the past few decades, the country is facing a number of challenges in its primary health care system. These challenges include increased demand because of rapid population growth, high costs of health care services, inequitable access, concerns about the quality and safety of care, a growing burden of chronic diseases, a less than effective electronic health system, poor cooperation and coordination between other sectors of care, and a highly centralized structure.
Aim of the study: This study aims to determine the impact of quality on the Saudi Heath care system in primary health care centers in Makkah on satisfaction of Saudi people.
 Method:A cross-sectional studydesign. The current study was conducted male and female in primary health care centers in Makkah.the study randomly sampled. The total sample size will be (300) participated. female and male.
Results:Regarding Patient satisfaction about study results showed that the majority of participants were high satisfaction proportions (65.7%) while average satisfaction were (31%) While The Range (50 – 113) Mean +SD (89.913±11.636). Regarding Patients satisfaction about Patients satisfaction about social and behavioral characteristics results show that the majority of participants were high satisfaction proportions (64.3%) while average satisfaction were (33.3%) While the Range (28 –56)Mean+SD(46.796±5.9636)
Conclusion:The Saudi Arabian health care system needs comprehensive reform with a focus on primary health care.There is substantial variation in the quality of Saudi primary care services. In order to improve quality, there is a need to improve the management and organization of primary care services. Professional development 
strategies are also needed to improve the knowledge and skills of staff.