Current State Of Services Research Articles

From pediatric to adult care: a survey on the transition process in type 1 diabetes mellitus and the diabetes services in Italy.

The present study assessed the transitioning process of young adults with type 1 diabetes mellitus (T1D) in Italy. We asked Pediatric Diabetes Centers (PDC) and Adult Diabetes Centers (CAD) to fill in a web-based survey on the current state of services, the number of transitioning adolescents with T1D within the last year, observations on limitations, and future directions. 93 centers (46 PDCs, 47 CADs) joined the study. The total number of subjects with T1D being followed by a PDC was 16,261 (13,779 minors and 2483 young adults), while CADs had 25,500 patients. The survey showed an uneven situation. Only some services had a dedicated diabetes team (78% of PDCs, 64% of CADs). 72% of PDCs and 58% of CADs reported a protocol dedicated to transition. The median age for transition was 19 (range 16-25years); the time required for preparing transition, indicated by both PDCs and CADs, was 5.5months. A high percentage of CADs (80%) confirmed receiving sufficient clinical information, mainly through paper or computerized reports. The transition process is hampered by a lack of resources, logistical facilities, and communication between services. While some services have a protocol, monitoring of results is only carried out in a few cases. Most specialists expressed the need to enhance integration and continuity of treatment. The current situation could be improved. Applying standard guidelines, taking into consideration both clinicians' and patients' necessities, would lead to a more successful transition process.

Evaluation of the current status of prosthetic rehabilitation services for major limb loss: a descriptive study in Ugandan Referral hospitals

Purpose Low-and-middle-income countries (LMICs) have a large burden of major limb loss. No recent study has reported on Uganda’s state of public sector prosthetics services. This study aimed to document the landscape of major limb loss, and the structure of available prosthetics services in Uganda. Methods This study involved a retrospective review of medical records at Mulago National Referral Hospital, Fort Portal Regional Referral Hospital, and Mbale Regional Referral Hospital, and a cross-sectional survey of personnel involved in the fabrication and fitting of prosthetic devices across orthopaedic workshops in the country. Results Upper limb amputations accounted for 14.2%, and lower limb accounted for 81.2%. Gangrene (30.3%) was the leading cause of amputation, followed by road traffic accidents and diabetes mellitus. Orthopaedic workshops offered decentralised services, and most materials used were imported. Essential equipment was largely lacking. Orthopaedic technologists had diverse experience and skill sets, but many other factors limited their service provision. Conclusion The Ugandan public healthcare system lacks adequate prosthetic services both in terms of personnel and supporting resources, including equipment, materials, and components. The provision of prosthetics rehabilitation services is limited, especially in rural regions. Decentralising services could improve patients’ access to prosthetic services. Implications for Rehabilitation Availability and accessibility of prosthetic services are essential to the rehabilitation and reintegration of amputees into communities in Low-and-Middle-Income countries (LMICs). For stakeholders to formulate effective plans to address issues within prosthetics service provision, quality data on the current state of services is necessary. Service providers should prioritise the decentralisation of prosthetic rehabilitation services, especially for patients in rural areas, to improve access and reach of these services. To achieve optimal limb functionality after amputation for both lower and upper limb amputees, rehabilitation professionals working in LMICs should focus on delivering comprehensive multidisciplinary rehabilitation services. Orthopaedic personnel should ensure complete and accurate documentation of patient information following amputation to enable effective tracking and monitoring of patient care to improve outcomes of rehabilitation.

Bir Faizsiz Bankacılık Türü Olarak Türkiye’de Katılım Bankacılık Sisteminin Dünü, Bugünü ve Yarını

In this study, the basic principles of participation banking system, purpose, property, historical and legal development out of the square of the reasons the contributions of the economic structure in Turkey, with the participation of other banks within the banking systems in today's current state of services and activities of the traditional banking system, accounting methods and the application in other ways, the comparison is made. The interest-free banking system, called the participation banking system, came out of the idea phase in the 1970s and was first implemented in Egypt in 1976. Founded in Turkey in 1983 by a Decree-Law (Decree-Law), Private Financial Institutions with their then name, Participation Banks with their new names have shown rapid momentum on a global scale and, especially in Turkey, over the past two decades. Keywords: Interest-Free Banking, Private Financial Institutions, Participation Banking

THE FACTORS OF INFLUENCE ON THE QUALITY OF TOURIST SERVICES IN THE REGION

The article considers the main directions of the quality assurance of tourist services at the region's level. We proved that the qualitative development of tourist regions requires changes in the structure of production of a tourist product and significant changes in the organization of its production. The current state of services in the regions of Ukraine is under the impact of a significant number of factors. The main determinants are the "COVID-19" pandemic spread, increasing number of natural and anthropogenic disasters, the spread of terrorism and hostilities, et cetera. All these factors hinder the development of services. However, to promote domestic tourism as one of the areas of service in Ukraine, the pandemic was more resultative than joined industry reforms. Today, there is an increase in domestic tourists, and the tourism industry could get significant profits from the surge of domestic tourism. However, most of these trips are self-organized. In addition, most current tourists are looking for new experiences that allow relaxing, see and hear, and feel, taste, try, and learn about the area through cuisine, traditions, and ceremonies to take part in them. Therefore, we tried to substantiate new ways to improve the quality of service in the regions of Ukraine. The analysis of factors influencing the quality of regional tourist services is essential for the future development

Modelling automobile users’ response pattern in defining urban street level of service

This paper presents a qualitative study on automobile users’ response pattern to assess the provided transportation service quality under heterogeneous traffic flow conditions. An Automobile Users’ Satisfaction index (AUSi) is established using data sets of questionnaire survey collected from 34 urban street segments of three midsized Indian cities. About 977 respondents with a suitable cross-section of gender, age, driving experience etc. were participated in travellers’ intercept survey. Rasch Model (RM) was applied to identify a set of quantitative measures to analyse the complex process of measuring perceived service quality and degree of drivers’ satisfaction together. The present study comprehends the multidimensional nature of users’ perception to evaluate AUSi with the help of six-dimensional variables such as roadway geometry, traffic facilities, traffic management, pavement condition, safety and aesthetics. RM offers a particular score to each user and each dimensional attribute along with a shared continuum. This way, the attributes those are more demanding to produce satisfaction as well as the variation in response of different modes of transport are evidently identified. The key findings indicate that the participants reported lower satisfaction level mainly due to the absence of separate bike/bus pull-out lanes, improper parking facilities and interruption by non-motorised vehicles/public transit or roadside commercial activities. Fuzzy C-Means (FCM) clustering was applied to classify AUSi scores into six auto Levels Of Service (LOS) categories (A–F) for each street segment. The model was well validated with a significant matching of predicted Automobile users’ LOS (ALOS) service categories with the users’ perceived Overall Satisfaction (OS) scores for fourteen randomly selected segments. This prediction model is new to mixed traffic flow condition, which uses linguistic information and real-life issues of drivers for the current state of services. Hence, the proposed method would be more credible than conventional models to support the decision makers for long term planning and designing road networks on a priority basis

Children with Specific Language Impairment and Their Families: A Future View of Nature Plus Nurture and New Technologies for Comprehensive Language Intervention Strategies.

Future perspectives on children with language impairments are framed from what is known about children with specific language impairment (SLI). A summary of the current state of services is followed by discussion of how these children can be overlooked and misunderstood and consideration of why it is so hard for some children to acquire language when it is effortless for most children. Genetic influences are highlighted, with the suggestion that nature plus nurture should be considered in present as well as future intervention approaches. A nurture perspective highlights the family context of the likelihood of SLI for some of the children. Future models of the causal pathways may provide more specific information to guide gene-treatment decisions, in ways parallel to current personalized medicine approaches. Future treatment options can build on the potential of electronic technologies and social media to provide personalized treatment methods available at a time and place convenient for the person to use as often as desired. The speech-language pathologist could oversee a wide range of treatment options and monitor evidence provided electronically to evaluate progress and plan future treatment steps. Most importantly, future methods can provide lifelong language acquisition activities that maintain the privacy and dignity of persons with language impairment, and in so doing will in turn enhance the effectiveness of speech-language pathologists.

Hunting and Gathering: Attempting to Assess Services to Distance Learning Students

ABSTRACTThis case study presents the experiences of a newly hired distance learning librarian at a large academic library. Faced with taking over a position that lacked a dedicated staff member for two years, the librarian wanted to understand the current state of services. In the course of investigating and collecting data and while working through challenges, the librarian began to build her operations map and clarified her vision and values.

The Merit of a Municipal Service Review and the Potential Application for Southeastern Louisiana Water Suppliers

Municipal services are essential to the maintenance of a civil society. Without these services, clean water would not be available, sewerage would run through the streets, and transportation would be nonexistent. It is because of this that we should strive to improve these services whenever possible. Evaluating the current state of services is imperative to discovering potential efficiencies of scale that can result in better service. When multiple municipalities are operating similar facilities in relatively close proximity, it would behoove them to evaluate their systems and ensure that the most benefit is being generated for their constituents by operating an individual municipal facility. Because they draw from the same water source, Southeastern Louisiana municipalities providing water service are ripe for a Municipal Service Review to evaluate the potential benefit of a combined utility or the potential for shared best management practices.

Anaesthesia in Ethiopia: providers' perspectives on the current state of the service

The improvement of surgical and anaesthetic safety in low-resource settings is hampered by a lack of reliable information on the current provision of these services. Ethiopia is one of the world's poorest countries and, despite large amounts of both foreign and domestic investment, still reports some of the worst health outcomes. However, information on anaesthesia and surgical provision is sparse. This work reproduces a questionnaire study, first used in Uganda in 2006, to survey practising anaesthetists regarding the current state of anaesthesia services across Ethiopia. The results indicate that a large proportion of centres remain unable to provide safe general, spinal, paediatric and obstetric anaesthesia, at all levels of hospital and across almost all of the country's regions. In addition to a lack of equipment and pharmaceuticals, anaesthetists report problems with professional recognition and a lack of access to continuing professional development as key barriers to service development.

ISO 19115 for GeoWeb services orchestration

The paper describes theoretical and practical possibilities of ISO 19115 standard in a process of generating dynamic GeoWeb services orchestras. There are several ways how to instantiate orchestras according to current state of services and user needs, some of them are briefly described in the paper. The most flexible way is based on metadata that describe geodata used by services. The most common standard used for geodata metadata in the EU is ISO 19115. The paper should describe if the standard is able (without extensions) to hold enough information for orchestration purposes. The paper defines minimal set of metadata items named ”ISO 19115 Orchestration Minimal” that must be available for geodata evaluation in a process of orchestration. A second part of the article will be probably less optimistic. It should describe how are (or were, or are planned to be) ISO 19115 possibilities used for metadata creation nowadays in the Czech Republic. This part is based on analyses of ISO 19115 core, MIDAS system, Dublin Core and INSPIRE metadata IR.

MENTAL HEALTH SERVICES FOR PERSONS WITH MENTAL RETARDATION: ROLE OF THE ADVANCED PRACTICE PSYCHIATRIC NURSE

The term dual diagnosis is frequently used by mental health professionals to refer to people who have mental illness complicated by substance abuse. A less commonly recognized population are those individuals who have the dual diagnosis of mental retardation and mental illness. In this paper the author discusses (1) the mental health needs of persons with mental retardation and (2) the current state of services for them. There is a significant lack of appropriately trained professionals to help address the needs of this population. Traditionally, nurses have primarily been identified as providers of physical care. Advanced practice psychiatric nurses, however, are an underutilized group of professionals who have the capacity to assume a leadership role in clinical care, service coordination, and advocacy for individuals and families affected by mental illness and mental retardation.

Services Advertising: An Overview and Summary of Research, 1980–1995

Although services advertising has been studied heavily, researchers concur that programmatic research with a strategic emphasis is still needed on that topic. Such efforts may be hampered without a comprehensive summary of the general findings across studies. Therefore, to assess the current state of services advertising research and to encourage additional investigations, the author offers a conceptual review of the services advertising literature from 1980 to 1995. Those 15 years parallel the last two evolutionary stages of dramatic growth in general services marketing research.

Cooperative Reference Service

Cooperative reference service provides libraries with resources beyond their own collections and staff to provide answers to patrons' questions. The current state of service is examined through the literature and interviews with networkers. Factors to consider in planning cooperative reference service are suggested.

Prehospital and hospital coronary care.

This article reviews the current state of services for coronary care. Since the majority of deaths from coronary heart disease occur early and outside the hospital, the importance of the prehospital phase is emphasized. The delay in this period, which is very dangerous for the patient, should be reduced and mobile coronary care units (MCCU's) are one possibility to reduce the rate of sudden coronary death. Different systems of MCCU's are discussed: (1) those based on a hospital coronary care unit, usually accompanied by a nurse and/or a doctor and (2) those integrated into an already existing decentralized emergency system (e.g. fire department) run by paramedics. Although long-term survival of patients resuscitated from ventricular fibrillation is not so good, the results of many of these units are remarkable.