<p class="abstract"><strong>Background:</strong> There has been no study on Indian population which has tested ears prone for “noise induced hearing loss”. Also, no study on recruits of Indian origin could be found in the literature, so an attempt has been made to screen the individuals to prevent noise induced hearing loss.</p><p class="abstract"><strong>Methods:</strong> Otoacoustic emission (OAE) screening is done over recruits before and after first exposure to loud noise of rifle firing in our study. Recruits were followed up at 04 hours, 24 hours, 01 month and 06 months after exposure. Individuals showing variation in OAE at 24 hours were also subjected to pure tone audiometry (PTA) at 01 month and 06 months. </p><p class="abstract"><strong>Results:</strong> 98 recruits developed ‘refer’ in OAE at initial 4 hours out of which 67 recruits recovered in 24 hours. Remaining 31 recruits (45 ears) when followed up and screened at 01 month shows ‘refer’ in OAE in 22 recruits (37 ears) and high frequency loss on PTA in 17 recruits (31 ears). At 06 months 16 recruits (28 ears) shows ‘refer’ in OAE and 12 recruits (22 ears) shows dip in high frequency in PTA.</p><p class="abstract"><strong>Conclusions:</strong> OAE is more sensitive tool for early detection of noise induced hearing loss. This study also correlates time and frequency involved in OAE in detecting early hearing loss as the individuals who show refer in OAE at both 04 hours and 24 hours with both 3 kHz and 4 kHz involved are more prone for noise induced hearing loss in future.</p>
<p><strong>Background:</strong> In this era doctor patient relationship facing hard times, especially in Indian setup. It is immensely evident in form of increasing lawsuits and violence against doctors. This brings patient centred approach with patient satisfaction into picture and further leads to concepts of quality health care. There is raised attention on enhancing the quality of life through the quality council of India. Here is an attempt to look for any causal association with the help of some routine indicators which if modified can lead to better state of doctor patient relationship.</p><p><strong>Methods:</strong> This study has taken patient satisfaction into consideration with the help of quality care parameters at ear, nose, throat (ENT), outpatient department in Indian setup. These indicators are based on parameters divided into hospital domain and doctor domain and each parameter is graded on 5-point Likert scale.</p><p><strong>Results: </strong>Score under doctor domain are significantly high statistically. Examination and communication by doctor (domain) are the parameters which scored the most. Under hospital domain the highest preference by patients in terms of score was given to hygiene and sanitation of hospital.</p><p><strong>Conclusions:</strong> Quality health care is multifactorial and parameters under hospital domain and doctor domain are interdependent to much extent. It has been concluded statistically that examination and communication by doctor derives a better sense of trust and doctor patient relationship significantly.</p>
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