Pilgrim Satisfaction in a Mass Religious Gathering: Study from Sabarimala Destination, Kerala State of India
AbstractIdentification of basic factors of pilgrim satisfaction is essential to responsive authorities for effective implementation of devotee welfare programmes. The determinants of satisfaction in a particular location are comprised of environmental, economic and sociocultural activities. The Sabarimala hill temple is one of the major Sastha temples in India. Every year, about 25 million pilgrims visit the temple from all parts of the country and abroad. The present study analyzes devotee satisfaction according to their demographic profile and identifies key factors that affect the overall satisfaction of pilgrims visiting the temple at the Sabarimala mass gathering destination. A total of 526 visitors were contacted with a prestructured, field tested questionnaire. This was analyzed using the Statistical Package for Social Sciences. Factor analysis, regression analysis and two-step cluster analysis were used to elucidate satisfaction parameters. The identified factor groupings for pilgrim satisfaction at Sabarimala destination are food and accommodation, safety and security, health and sanitation, ecology and environment and and communication and transportation. From the analysis of various results of the present study, it is evident that the mass pilgrimage of Sabarimala destination exhibits the signs of a secular experience and its visitors are mainly motivated by spiritual aspects.
CONCLUSION: Prevalence of antibiotic use was high not only versus other hospitals in the region but globally including Africa, coupled with significant evidence of sub-optimal prescribing. Swift action is needed to improve future prescribing to reduce AMR. One or two areas should initially be targeted for quality improvement including development of local guidelines, documentation of antibiotic indications and/or stop/review dates. PMID: 33034234 [PubMed - as supplied by publisher]
Authors: Rombauts A, Abelenda-Alonso G, Cuervo G, Gudiol C, Carratalà J Abstract INTRODUCTION: Despite adequate antibiotic coverage, community-acquired pneumonia (CAP) remains a leading cause of hospitalization and mortality worldwide. It induces both a local pulmonary and a systemic inflammatory response, particularly significant in severe cases. The intensity of the dysregulated host response varies from patient to patient and has a negative impact on survival and other outcomes. AREAS COVERED: This comprehensive review summarizes the pathophysiological aspects of the inflammatory response in CAP, brie...
Authors: Hammerschlag MR, Sharma R Abstract INTRODUCTION: Azithromycin was recommended as the first-line therapeutic regimen for treatment of genital infections in men and women by the Centers for Disease Control in 1998. A series of studies of azithromycin for treatment of rectal chlamydial infection in men who have sex with men (MSM) found that azithromycin was significantly less effective than doxycycline. AREAS COVERED: Literature on treatment of rectal C. trachomatis from 2000 through May 2020 was searched using PubMed. Retrospective and observational studies were identified documenting the frequency and t...
Authors: Reissier S, Cattoir V Abstract INTRODUCTION: Streptogramins (pristinamycin and quinupristin-dalfopristin) can be interesting options for the treatment of infections due to Gram-positive cocci, especially multidrug-resistant isolates. AREAS COVERED: This review provides an updated overview on structural and activity characteristics, mechanisms of action and resistance, pharmacokinetic/pharmacodynamic and clinical use of streptogramins. EXPERT OPINION: The streptogramin antibiotics act by inhibition of the bacterial protein synthesis. They are composed of two chemically distinct compounds, namely typ...
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