British Journal of Medical and Health Research

Background: Patient satisfaction is a key indicator of service quality in hospital emergency departments (EDs), where care is delivered under time pressure across multiple service touchpoints. This study assessed satisfaction with ED services at a tertiary care hospital and identified specific dimensions requiring administrative attention. Methods: A cross-sectional, descriptive study was conducted in the ED of a tertiary care hospital in Faridabad, India, over a 25-day period. A structured, interviewer-administered 15-item questionnaire covering registration, waiting time, doctor and nursing care, facilities, billing, and overall experience was used. Convenience sampling was employed; critically ill or unconscious patients were excluded, with an accompanying relative or attendant responding as proxy. A total of 400 valid responses were analysed using descriptive statistics, and the association between Left Against Medical Advice (LAMA) discharge status and recommendation intent was tested using Fisher's exact test. Results: Overall, 91.25% of respondents would recommend the ED. Satisfaction was highest for cleanliness (99.8% strongly agree), privacy and dignity (99.8%), and treatment explanation (100% agreement). The weakest item was waiting time for investigation results, with 43.2% dissatisfaction, followed by billing clarity (19.5%). All 35 non-recommenders corresponded exactly to LAMA discharges (Fisher's exact p < .001). Conclusion: ED service quality was strong overall, particularly in interpersonal and facility domains. Diagnostic turnaround time was the primary improvement area, and dissatisfaction was concentrated among LAMA cases, indicating a targeted rather than broad-based improvement strategy.

Despite increased awareness of youth mental health challenges, the available support systems remain inadequate to address the complex emotional and psychological consequences of trauma, especially in the context where access to professional mental health services is limited. Thus, this study adopted the systematic review approach to explore creative arts interventions for trauma-informed youth mental health support. The study adopted systematic review approach, consulting five (5) credible databases for the relevant literature. The search employed the Population, Exposure, and Outcome (PEO) tools, using relevant keywords and search terms. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) was used to select final sixteen (16) literature, which was used for the thematic analysis. Results showed that trauma exposure influence emotional regulation, cognitive development, social relationships, and psychological wellbeing among children and adolescents. Findings showed that diverse creative arts approaches are used to support trauma-informed youth mental health, including paint, slime, cardboard, and Play-Doh. Results showed that creative arts interventions are generally effective in improving emotional wellbeing, psychological adjustment, and trauma recovery among youths. The findings showed that there are diverse mechanisms explaining how creative arts interventions support trauma recovery among youths, including emotional regulation, self-awareness, and social connection and belonging. Findings showed that there are several challenges associated with the use of creative arts interventions for trauma-informed mental health challenges. The study concludes that trauma-related mental health illnesses among youths are associated with adverse experiences, violence, and social vulnerabilities they have had while growing up.

Aim: The purpose of this study was to assess and compare the mechanical failure and dentinal crack formation related to the ProTaper Universal Retreatment, Endostar RE-Endo, and Retreaty retreatment file systems. Forty-five human single-rooted premolars were extracted, obturated and then randomly selected into three experimental groups of 15 teeth each. The three systems of rotary files were used for retreatment, as recommended by the manufacturers. After instrumentation, the roots were cut horizontally 3 mm, 6 mm and 9 mm from the root apex. Samples obtained were examined under a stereomicroscope to look for dentinal defects or fissures. File characteristics and alterations to the file such as fracture and file deformation were also documented. The statistical analysis was done using one-way ANOVA for continuous variables and Pearson's chi-square test for categorical variables with a significance level of P < 0.05. Results: Significant variations were noticed among the three groups among the three groups among the three groups among the three groups. ProTaper Universal Retreatment had the highest frequency of mechanical failure, whereas the Retreaty method had the lowest incidence of dentinal fissures and instrument deformation. Results from Endostar RE-Endo were mediocre. Conclusion: Within the restrictions of this in vitro experiment, Retreaty retreatment files displayed more favorable mechanical behavior and caused fewer dentinal flaws, suggesting its potential as a safer choice for nonsurgical endodontic retreatment.