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This article aims to firstly give a brief insight into the major challenges for modern time universities like necessary change management, growing competitiveness, increasing expectations by the stakeholders and how rising tuition fees affect all of that, and secondly on the growing pressure for universities on responding more effectively to a demanding student population, mounting expectations and diverse backgrounds of students, and thirdly how alternative dispute resolution is more and more commonly used as a means of resolving disputes and complaints informally and at an early stage in order to avoid litigation and the courts. It is described how ombudsmen in higher education can help to minimize the students’ feelings of disconnection created by formal and judicial processes and get fair treatment. Catering either for students only or for the whole university community, ombudsmen provide confidential, impartial complaints handling services and also contribute to change management on the macro level and hence help with changing policies.
Objective: Sleep complaints are recurrent in Geriatrics and are often
attributed to physiological aging. The aim of this work is to describe subjective
sleep quality and its impact on successful aging. Methods: Subjective sleep quality was evaluated by using the Pittsburgh subjective sleep quality
questionnaire. Two visual analogical scales (graduate from 0 to 10) were used
to quantify perceived state of health and life satisfaction. Objective respiratory sleep parameters were also collected. Results: 370 data were
analysed (46.2% of males). The
average age was 73.2 +/- 1. The level of
perceived state of health was 6.9 +/- 2, and life
satisfaction level was 7.7 +/-2. Subjective sleep
quality was significantly related to perceived health status (p = 0.034) and
life satisfaction (p = 0.005). There was no significant association between
sleep quality and objective respiratory sleep parameters. Conclusion: The
assessment of sleep quality plays an important role in the management of
elderly persons and can help them to age more successfully.
Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be seen (TTBS) in the ED. Methods: A retrospective report was generated from the EMR for all moderate acuity patients who visited the ED from January 2005 to December 2010 at a large urban teaching hospital. Abdominal pain, alcohol intoxication, back pain, chest pain, cough, dyspnea, dizziness, fall, fever, flank pain, headache, infection, pain (nonspecific), psychiatric evaluation, “sent by MD”, vaginal bleeding, vomiting, and weakness were the most common complaints. Non-Parametric Independent Sample Tests assessed median TTBS between complaints, gender, and age. Chisquare testing assessed for differences in the distribution of arrival times. Results: We obtained data from 116,194 patients. Patients presenting with weakness and dizziness waited the longest time of 35 minutes and patients with flank pain waited the shortest with 24 minutes. Males waited 30 minutes and females waited 32 minutes. Younger females between the ages of 18 - 50 waited significantly longer when presenting with a chief complaint of abdominal pain, chest pain, or flank pain. There was no difference in the distribution of arrival times for these complaints. Conclusion: There is a significant bias toward seeing young male patients more quickly than women or older males. Patients might benefit from efforts to educate EM physicians on the delays and potential quality issues associated with this bias in an attempt to move toward more egalitarian patient selection.