Gap analysis between perceptions and expectations of service recipients through servqual approach in Yazd, Afshar hospital

The quality of service is a key ingredient in the success of health care, organizations. Parasuraman, et al [1985] defined service quality as the differences between predicted or expected service [customer expectations] and perceived service [customer perception].Recently, service quality has become an important research topic for of its significant relationship to costs, profitability, customer satisfaction, customer retention and service guarantee. Several tools have therefore been developed to measure service quality but the Parasuraman 22 item servqual questionnaire created based on the gap model remains the most widely used tool in a variety of industries. This study attempts to replicate the servqual measurement of Parasuraman et al in determining the gap between perceptions and expectations of service recipients in Afshar hospital. This descriptive - applied study was carried out cross-sectionally in 2010. The research population consisted of patients admitted to Afshar hospital wards. Totally 84 patients were selected by sample size formula. The data were collected by 22-item servqual questionnaire designed according to gap model. Data analysis was carried out through SPSS and LISREL software using Kolmosrof - Smirnoff and paired sample t -test. The results demonstrated that there was a quality gap in Afshar hospital,that is, there were significant differences between expectations and perceptions of patients in servqual dimensions. Also, the study identified some critical and problematic items that have main roles in constructing observed quality gap. The existing quality gap means patients' expectations exceed their perceptions.Thus improvements are needed to be made across servqual dimensions

Effects of allopurinol on the left ventricular ejection fraction in patients with left ventricular failure

Efficacy of xanthine oxidase inhibitors on the improvement of cardiac performance is not clearly defined. This study was designed to study the efficacy of allopurinol on the improvement of left ventricular ejection fraction [LVEF] in patients with chronic heart failure. A randomized, double blind, placebo controlled clinical trial was performed on two groups of patients suffered from class II to III heart failure of New York Heart Association classification. 16 cases were in intervention group who intake allopurinol [100 mg/day in the first three days, 200 mg/day in the second three days and 300 mg/day for one month]; 15 cases were in control group and intaked placebo like case group. Left ventricular ejection fraction was measured by echocardiography with Simpson's method and compared before and after the intervention. The mean of LVEF before and after intervention, in case group were 38.8 +/- 9.9 and 41.9 +/- 9.7 respectively [p0.05]. In intervention group EF was increased 3.1% from base level. Allopurinol can be effective in improvement of cardiac performance. However its clinical use for heart failure patients needs to be approved by more trials, in various situations and longer periods

Effects of novel 2-alkylamino-substituted dfflydropyridines on rabbit jejunum

In order to investigate the effects of dimethylamino substituent at position 2 of the dihydropyridine nucleus on activity, starting from dialkyl 1, 4-dihydro-2, 6-dimethyl-4- [1-benzyl-2-alkylttoo-5-imidazoty