An exploratory study of consumer complaining

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An exploratory study of consumer complaining

ILR is indicated for early phase evaluation in patients with recurrent syncope of uncertain origin, absence of high-risk criteria see appendixand a high likelihood of recurrence within the battery life of the device.

An ILR is recommended in patients who have high-risk features see appendix in whom a comprehensive evaluation did not demonstrate a cause of syncope or lead to a specific treatment.

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An ILR should be considered to assess the contribution of bradycardia before embarking on cardiac pacing in patients with suspected or certain reflex syncope with frequent or traumatic syncopal episodes.

The median interval to NDAF detection in these higher risk patients was 72 days interquartile range: Whether patients with CHADS2 risk factors but without a history of AF might benefit from implantable monitors for the selection and administration of anti-coagulation for primary stroke prevention merits additional investigation.

A cohort study was reported of 51 patients in whom ILRs were implanted for the investigation of ischemic stroke for which no cause had been found cryptogenic following appropriate vascular and cardiac imaging and at least 24 hours of cardiac rhythm monitoring.

Age of patients ranged from 17 to 73 median of 52 years. Of the 30 patients with a shunt investigation, 22 had a patent foramen ovale Atrial fibrillation was identified in 13 The median range of monitoring prior to AF detection was 48 0 to days.

Predictors of AF were identified, which may help to target investigations. They stated that ILRs may have a central role in the future in the investigation of patients with unexplained stroke.

Mittal et al stated that in patients with atrial flutter who undergo cavo-tricuspid isthmus ablation, long-term ECG monitoring may identify new onset of AF. These investigators ascertained, through the use of an ILR with a dedicated AF detection algorithm, the incidence, duration, and burden of new AF in these patients and developed an optimal post-ablation ECG monitoring strategy.

After cavo-tricuspid isthmus ablation, these investigators implanted an ILR, which was interrogated routinely; all stored ECGs were adjudicated. The authors concluded that these findings showed that many but not all patients develop new AF within the first 4 months of flutter ablation.

The median time to detection of AF was 7 days. The majority of patients with paroxysmal AF were asymptomatic during the fleeting episodes. Other reports have noted that the detection rate of paroxysmal AF can be increased with longer duration of cardiac monitoring, and that precursors of AF such as frequent premature atrial contractions may predict those harboring paroxysmal AF.

Patients 40 years of age or older with no evidence of atrial fibrillation during at least 24 hours of ECG monitoring underwent randomization within 90 days after the index event.

The primary end-point was the time to first detection of atrial fibrillation lasting greater than 30 seconds within 6 months. Among the secondary end-points was the time to first detection of atrial fibrillation within 12 months. Data were analyzed according to the intention-to-treat principle.

By 6 months, atrial fibrillation had been detected in 8. By 12 months, atrial fibrillation had been detected in The authors concluded that ECG monitoring with an ICM was superior to conventional follow-up for detecting atrial fibrillation after cryptogenic stroke.

In the EMBRACE trial, Gladstone et al randomly assigned patients 55 years of age or older, without known atrial fibrillation, who had had a cryptogenic ischemic stroke or TIA within the previous 6 months cause undetermined after standard tests, including hour electrocardiography [ECG]to undergo additional noninvasive ambulatory ECG monitoring with either a day event-triggered recorder intervention group or a conventional hour monitor control group.

The primary outcome was newly detected atrial fibrillation lasting 30 seconds or longer within 90 days after randomization. Secondary outcomes included episodes of atrial fibrillation lasting 2.

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Atrial fibrillation lasting 30 seconds or longer was detected in 45 of patients Atrial fibrillation lasting 2. By 90 days, oral anti-coagulant therapy had been prescribed for more patients in the intervention group than in the control group 52 of patients [ The investigators concluded that, among patients with a recent cryptogenic stroke or TIA who were 55 years of age or older, paroxysmal atrial fibrillation was common.

Even after long-term follow-up involving 3 years of continuous rhythm monitoring in the CRYSTAL AF trial, less than one third of the patients had evidence of atrial fibrillation. We need to identify additional sources of embolism and better markers of known stroke mechanisms such as nonobstructive atherosclerosis.

Second, we need more evidence to guide therapy for subclinical atrial fibrillation. Randomized trials of antithrombotic therapy have involved patients with a sufficient burden of atrial fibrillation to allow its recognition without prolonged rhythm monitoring.Fox News' favorite sheriff Paul Babeu recently announced that he would be running for Arizona's 4th congressional district, stating, "it's time for a new Sheriff in Washington."While Babeu is known for his attacks against immigrants, part of his campaign plan for his congressional run includes fixing the budget and pushing for fiscal responsibility.

What We Don't Need: Nikita Khrushchev, during his stint as ruler of Russia, was most famous for a speech he made in which he detailed and disavowed all the cruel and dictatorial acts of Josef Stalin.

Advances in Consumer Research Volume 6, Pages AN EXPLORATORY STUDY OF ASSERTIVENESS, AGGRESSIVENESS, AND CONSUMER COMPLAINING BEHAVIOR. Claes Fornell, Northwestern University. Robert A. Westbrook, University of Arizona.

An exploratory study of consumer complaining

ABSTRACT -. Given this absence, an exploratory study was considered necessary to learn if and how, when dissatisfied with a product, customers complain; and whether differences in complaining behaviour exist between Saudi and Filipino customers residing in.

An exploratory study was conducted to obtain a better understanding of customer complaint behaviour (CCB) in Saudi Arabian electrical goods retailing. Recognising the purchasing presence of a. 1 An exploratory study of customer responses to complaint Web sites 1 Introduction The World Wide Web has become increasingly important in shaping opinions about.

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