Service Manual Research Articles

Clinical Practice Guidelines for the Management of Congenital Cytomegalovirus Infection in Japan 2023: Executive Summary.

Congenital cytomegalovirus (cCMV) infection is the most common congenital infection in developed countries. Although a standard therapy has not yet been established, evidence for the management of cCMV infection has been accumulating. The first edition of the "Clinical Practice Guidelines for the Management of Congenital Cytomegalovirus Infection" was published in Japan in 2023. This summary outlines the clinical questions (CQs) in the guidelines, with reference to the Japanese Medical Information Distribution Service Manual. Overall, 20 CQs with statements regarding prenatal risk assessment, prevention and management at diagnosis (CQs 1-1-1-3), diagnosis (CQs 2-1-2-6), treatment (CQs 3-1-3-7) and follow-up requirements (CQs 4-1-4-4) have been discussed. For each statement, the levels of recommendation, evidence and consensus rates were determined. These guidelines will assist in the management of patients with cCMV infection.

Performance evaluation of bus stops on arterial roads in Hanoi city

The operations of critical bus stops on arterial roads substantially influence the facility bus capacity and the bus quality of service in terms of schedule reliability. The aim of this article is to employ the methodology in the Transit Capacity Quality of Service Manual (TCQSM) to better understand the performance of key bus stops on arterial roads in Hanoi city. The obtained results shown that the capacities of most examined bus stops (Bus Stops 02, 03, and 04) are considerably lower than the actual demands of buses on the considered roads, and increasing the number of loading areas at bus stops is one of the feasible solutions to effectively improve the capacity of bus stops in Hanoi city. The results achieved provide urban transport management agencies and public transport practitioners in Vietnam with a valuable tool for bus stop capacity measurement and additional information for bus quality of service improvement

Proactive and integrated consultation-liaison psychiatry for older medical inpatients: A mixed methods description of training, care provided and clinician experience in the HOME study

ObjectivesTo describe the practical experience of delivering a proactive and integrated consultation-liaison (C-L) psychiatry service model (PICLP). PICLP is designed for older medical inpatients and is explicitly biopsychosocial and discharge-focused. In this paper we report: (a) observations on the training of 15 clinicians (seven senior C-L psychiatrists and eight assisting clinicians) to deliver PICLP; (b) the care they provided to 1359 patients; (c) their experiences of working in this new way. MethodA mixed methods observational study using quantitative and qualitative data, collected prospectively over two years as part of The HOME Study (a randomized trial comparing PICLP with usual care). ResultsThe clinicians were successfully trained to deliver PICLP according to the service manual. They proactively assessed all patients and found that most had multiple biopsychosocial problems impeding their timely discharge from hospital. They integrated with ward teams to provide a range of interventions aimed at addressing these problems. Delivering PICLP took a modest amount of clinical time, and the clinicians experienced it as both clinically valuable and professionally rewarding. ConclusionThe experience of delivering PICLP highlights the special role that C-L psychiatry clinicians, working in a proactive and integrated way, can play in medical care.

Guidelines for the Management of Respiratory Infectious Diseases in Children in Japan 2022.

The members of the Japanese Society for Pediatric Infectious Diseases and the Japanese Society of Pediatric Pulmonology have developed Guidelines for the Management of Respiratory Infectious Diseases in Children with the objective of facilitating appropriate diagnosis, treatment and prevention of respiratory infections in children. The first edition was published in 2004 and the fifth edition was published in 2022. The Guideline 2022 consists of 2 parts, clinical questions and commentary, and includes general respiratory infections and specific infections in children with underlying diseases and severe infections. This executive summary outlines the clinical questions in the Guidelines 2022, with reference to the Japanese Medical Information Distribution Service Manual. All recommendations are supported by a systematic search for relevant evidence and are followed by the strength of the recommendation and the quality of the evidence statements.

THE IMPACT OF ON-TIME PERFORMANCE TOWARDS QUALITY OF URBAN BUS SERVICES: A CASE STUDY IN STATE CAPITALS OF PENINSULAR MALAYSIA

Urbanisation have given significant impact on escalating the traffic volume as the tremendous traffic congestion daily, especially during peak hours in weekdays. The objective of this paper is to assesses the impact of on-time performance towards quality of urban bus services in Malaysia. Therefore, this study was conducted at 11 state capitals in Peninsular Malaysia. The main local bus terminals had been designated in this study. The Transit Capacity and Quality of Service Manual (TCQSM, 2013) was chosen as the guideline used in this study. The results showed that Johor Bahru recorded a total 648 departure daily which considered the highest departure. There were 4 state capitals that recorded more than 80% of overall on-time departure for each route, such as Kuala Terengganu (94.39%), Shah Alam (82.45%,), Ipoh (80.74%) and Kangar (80.06%). The overall quality of services for on-time performance in state capitals of Peninsular Malaysia was classified as QOS D. Based on the study results, several rectifications on bus services in state capitals of Peninsular Malaysia is highly required.

Education Law and Management Teacher's Professional Ethics in Secondary Schools Delta State Nigeria

This study focuses on education law and teacher ethics management in Delta Public Secondary Schools in Nigeria. In this study, a descriptive technique was used. The study group consisted of 473 principals and 14,482 teachers from 473 public high schools in Delta. A sample of 825 respondents (75 principals and 750 teachers) was drawn using a simple random sampling method. This study was based on two research questions and two hypotheses. A 15-item questionnaire was used as a means of data collection. For the data collected for the analysis, the mean and standard deviation of the research questions were analyzed at the average acceptance level of 2.50, the null hypotheses were verified through the Z-test, and the significance level was set at 0.05. This study's findings show that school boards and principals, especially after elementary school, manage teachers` integrity issues under the Delta Public High School Education Act and Code of Ethics. Among other things, teachers should be encouraged to purchase a copy of the Educational Services Manual to know their rights, their responsibilities to staff, and the fundamental rights of their students.

Personal rapid transit capacity evaluation for inner-city: A detailed micro-simulation study

This paper describes a detailed, discrete-event, micro-simulation study of an inner-city personal rapid transit (PRT) system, for the purpose of evaluating the capacity of such a system and the effect of various parameters on this capacity. While former studies considered various parameters, most considered only a partial set of the overall set of parameters considered by this paper. In many cases these parameters were treated differently from the model proposed here, which thus provides valuable insights for future research. This evaluation is crucial for justifying construction of such a system, and for judging its feasibility and may provide an initial step towards creating a PRT manual, similar to the Transit Capacity and Quality of Service Manual (TCQSM). The complex operation and structure of the problem suggests micro-simulation as a viable tool for this study. This necessitates tailoring a solution using general simulation software rather than a transportation-oriented tool. The simulation evaluated the capacity under three major scenarios related to passenger arrival characteristics. The results show that the capacity is not sensitive to pod velocity, nor to acceleration/deceleration rates, but is sensitive to the number of pods and suggests an optimal pod quantity.

An experimental study on pedestrian movement in railway station

Railway stations are complex and concentrate significant passenger volumes. Urban population rising has a great impact on railway stations, as they are concentrating higher dense of people. Analyzing pedestrian movement assists in understanding their behavior and the quality of service of Public Transport infrastructure. This paper analyses how several factors such as age, gender, carrying backpack, social interaction, and travel purpose influence the average walking speed of pedestrians. An observational study conducted in the central Railway Station in Patras on Sundays during summer months. Day and hour of the observation were selected in order to study the behavior of pedestrians travelling in leisure time. Video footages used to investigate pedestrian movement and the factors that influence pedestrian dynamics. The mean speed was observed 30% lower than the values mentioned in Transit Capacity and Quality of Service Manual, which might be attributed to the travel purpose of pedestrians. In consistent with previous studies, the impact of age, carrying backpack, and walking in a group on pedestrian walking speed rates has been verified. Results also revealed a trivial effect of gender when the travel purpose is leisure activities and people are not in a rush.

Experimental verification of the methodology to estimate transit dwell time from the Transit Capacity and Quality of Service Manual

Experimental verification of the methodology to estimate transit dwell time from the Transit Capacity and Quality of Service Manual

Application of ISAK 35 Concerning Financial Reports of Non-Profit Organizations at HKBP Gunung Bayu Church

HKBP Gunung Bayu Church is a non-profit oriented entity. HKBP is part of a Protestant Christian church denomination and a member of the Indonesian Church Association (PGI). The HKBP includes the Congregational Assembly Worker's Body (BPMJ) which compiles the plans and realization of church activities including accounting activities that present the church's financial reports. This study aims to implement the Interpretation of Financial Accounting Standards (ISAK) No. 35 on Presentation of Financial Statements of Nonprofit Oriented Entities at HKBP Gunung Bayu. The results showed that the presentation of financial reports at the HKBP Gunung Bayu Congregation was prepared based on the HKBP Treasury Oversight and Management Service Manual in the form of income, spending and budget realization. This means that the presentation of the financial reports of the Gunung Bayu Congregation of HKBP has not implemented ISAK No. 35 concerning the presentation of financial statements of non-profit oriented entities.

Analisis User Engagement pada Akun Instagram Perpustakaan di Masa Covid-19

<p>The Covid-19 pandemic has affected all walks of life, including college libraries which have made their services migrate online by utilizing social media. Instagram has become a common platform used by college libraries to interact with users during the Covid-19 pandemic. Tarumanagara University Library Services in the field of Psychology is one of the libraries in the university environment that uses Instagram media to serve its users. This study aims to photograph how users interact on the library's Instagram account. This research can be categorized as quantitative descriptive to get accurate results with statistical data. Content analysis was conducted to determine content categories based on their objectives. The results of this study indicate that during the pandemic it was found that there were 276 post content, most of which were photos. The average likes per post is only 10, while the number of comments from all posts is only 54. The dominant content category is literary exhibition, which is a content category with the aim of informing collections, references and technical service manuals.</p>

헤어미용서비스 소비자가 지각하는 인적서비스품질이 전환비용 및 충성도에 미치는 영향

Hairbeauty industry is a field which is highly dependent upon human services. This study attempted to investigate the influence of the quality of hairdressing services on switching costs and customer loyalty to help beauty salons overcome current crisis by preventing customer churn. For this purpose, this study collected and analyzed 338 questionnaire data from experienced men and women who visited hair salons in Gwangju. The questionnaire survey was performed with the following measuring tools by referring to previous studies: ‘reliability’, ‘professionalism’, ‘authenticity’, ‘switching costs’, ‘cognitive loyalty’, ‘affective loyalty’. The collected data were analyzed by multiple regression analysis, using SPSS 26.0, and the results found the followings: First, ‘reliability’, ‘professionalism’ and ‘authenticity’ had a positive influence on ‘switching costs’ with statistical significance. Second, ‘reliability’, ‘professionalism’ and ‘authenticity’ revealed a positive effect on ‘cognitive loyalty’ with statistical significance. Third, ‘reliability’, ‘professionalism’ and ‘authenticity’ showed a positive influence on ‘affective loyalty’ with statistical significance.
 Fourth, ‘switching costs’ had a positive effect on ‘cognitive loyalty’ with statistical significance. Fifth, ‘switching costs’ revealed a positive influence on ‘affective loyalty’ with statistical significance. The above results confirm that switching costs are recognized by the quality of services and that high switching costs enhance customer loyalty.
 Therefore, there is a need to create and supplement new services compared to other hair salons such as development of service manuals suitable for hair salons and efforts to maintain good relationships. With differentiated switching costs, it would be possible to enhance customer loyalty by reducing customer churn, anticipating creation of new consumers. significant influence was observed in ‘personnel’, ‘reward’ and ‘business factor’ (p<.001). In predicting social cognitive factors, ‘personnel’, ‘reward’ and ‘business factor’ demonstrated the explanatory power of 11.4%.

A nationwide, cross-sectional, web-based survey on healthcare providers' knowledge about, attitudes toward, and perceived barriers to adherence to clinical practice guidelines for anticancer drug therapy for older patients with cancer in Japan

IntroductionIn July 2019, in accordance with the Medical Information Distribution Service Manual for Guideline Development 2014, which was based on the Grading of Recommendations Assessment, Development and Evaluation approach, the Japanese Society of Medical Oncology (JSMO) and the Japan Society of Clinical Oncology (JSCO) published clinical practice guidelines (CPGs) on chemotherapy and other drug therapies for older patients with cancer (JSMO-JSCO CPGs). In September 2020, at one year after the publication of these guidelines, a survey was conducted to determine the extent to which they had been disseminated to JSMO and JSCO members and implemented in daily practice. Materials and MethodsThis nationwide, cross-sectional, web-based survey was conducted with JSMO and JSCO members. We surveyed the participants' overall awareness of the JSMO-JSCO CPGs, and their knowledge about, attitudes toward, and perceived barriers to adherence to each recommendation using validated questionnaires based on theoretical frameworks used in previous studies (Awareness to Adherence Model, Clinicians' Assessments of Practice Guidelines in Oncology questionnaires, and Knowledge–Attitudes–Behavior Framework). ResultsAmong JSMO and JSCO members who had been informed of the survey, 1230 responded (response rate: 8.6% and 4.8%, respectively). From these respondents, 107 were excluded because they did not practice anticancer drug therapy at the time of the survey. Of the remaining 1123 eligible participants, 674 (60.0%) were aware of the JSMO-JSCO CPGs before the survey, 492 (73.0%) of whom had read all or part of the guidelines (publications 57.1%, JSMO website 34.8%, and JSCO website 14.0%). Knowledge about, attitudes toward, and barriers to adherence to each recommendation differed widely according to the clinical questions. The most commonly cited barriers were lack of awareness, lack of agreement, lack of evidence, lack of outcome expectancy, patient values and preferences, and patient factors. DiscussionThis survey identified different barriers to guideline adherence, including providers' knowledge, attitudes, and external factors, depending on each recommendation. Effective strategies to overcome these barriers can be expected to improve the implementation of the guideline recommendations. Based on the results of this survey, efforts should be made to promote further the use of the clinical guidelines in daily practice.

Definition and Properties of Alternative Bus Service Reliability Measures at the Stop Level

The Transit Capacity and Quality of Service Manual (TCQSM) provides transit agencies with tools for measuring system performance at different levels of operation. Bus service reliability, one of the key performance measures, has become a major concern of both transit operators and users because it significantly affects user experience and service quality perceptions. The objective of this paper is to assess the existing reliability measures proposed by TCQSM and develop new ones at the bus stop level. The latter are not suggested as replacements for the existing measures; rather, they are complementary. Using empirical data from archived Bus Dispatch System (BDS) data in Portland, Oregon, a number of key characteristics of distributions of delay (schedule deviation) and headway deviation are identified. In addition, the proposed reliability measures at the stop level are capable of differentiating between the costs of being early versus late. The results of this study can be implemented in transit operations for use in improving schedules and operations strategies. Also, transit agencies can use the proposed reliability measures to evaluate and prioritize stops for operational improvement purposes.

Modelling the level of service of public transport : as a case study along Colombo – Galle buses

Even-though Public Transport (PT) was the most common (60%) mode of transport in Sri Lanka, people are shifting from PT to private vehicles during last few years. That has created a significant traffic congestion on roads which is one of the critical issues in urban roads in Sri Lanka. Improving PT service quality and promoting PT among people would be one solution. The existing service quality of PT should be identified first and expected improvements should be captured. Many researchers have identified “Level of Service (LOS)” as an efficient tool to measure PT service quality [1]. Transit Capacity and Quality of Service Manual highlights the importance of user’s perception for determining level of service [2]. This research attempt to quantify the existing LOS of PT based on bus passengers’ opinion gathered through a questionnaire survey from route between Galle to Colombo. From the literature review, the study identified around 15 factors which affect the LOS of PT and incorporated them into the survey.

Increasing Boarding Lost Time at Regular Bus Stops during Rainy Conditions: A Case Study

Inclement weather conditions affect the behavior of travelers and transportation system operations. Understanding this influence can help improve operational planning schemes for any mode of transport, especially for buses. One of the factors that can be affected by rainfall is the time expended by a passenger from the moment a bus opens its doors until he/she boards the bus. This time is known as “boarding lost time” (BLT), and it was first introduced in the latest edition of the Transit Capacity and Quality of Service Manual (TCQSM). TCQSM only considers BLT for bus rapid transit (BRT) stations with more than one berth. Weather conditions are not considered when calculating the current BLT for a BRT system, given the provision of protective shelters over the entire boarding area of such stations. Furthermore, recommendations with regard to BLT for regular bus stops have not been provided. This paper presents analyses of BLT for a two-berth regular bus stop under different rainy conditions. The findings demonstrate that the increment in BLT between Berth 2 and Berth 1 under heavy rainfall is significantly higher than in the absence of rainfall.

Stylometric features in librarian’s responses to user queries: implications for user interaction in digital information services

PurposeThe purpose of this study is to explore linguistic stylometric patterns encompassing lexical, syntactic, structural, sentiment and politeness features that are found in librarians’ responses to user queries.Design/methodology/approachA total of 462 online texts/transcripts comprising answers of librarians to users’ questions drawn from the Internet Public Library were examined. A Principal Component Analysis, which is a data reduction technique, was conducted on the texts and transcripts. Data analysis illustrates the three principal components that predominantly occur in librarians’ answers: stylometric richness, stylometric brevity and interpersonal support.FindingsThe results of the study have important implications in digital information services because stylometric features such as lexical richness, structural clarity and interpersonal support may interplay with the degree of complexity of user queries, the (a)synchronous communication mode, application of information service guideline and manuals and overall characteristics and quality of a given digital information service. Such interplay may bring forth a direct impact on user perceptions and satisfaction regarding interaction with librarians and the information service received through the computer-mediated communication channel.Originality/valueTo the best of the authors’ knowledge, the stylometric features encompassing lexical, syntactic, structural, sentiment and politeness using Principal Component Analysis have not been explored in digital information/reference services. Thus, there is an emergent need to explore more fully how linguistic stylometric features interplay with the types of user queries, the asynchronous online communication mode, application of information service guidelines and the quality of a particular digital information service.

서비스 접점을 고려한 공항의전의 근거이론적 접근

The purpose of this study was to investigate the current status of airport protocol services and analyze the protocol processes as an important element of service quality for enhancing VIP satisfaction. To this end, in-depth interview with 13 professionals from VIP room, protocol service agency, airlines and airport ground handling company were conducted. The experiences of participants were analyzed by systematic procedure of a grounded theory approach. Our analysis revealed 133 core concepts, 15 subcategories and 6 categories about airport protocols. In conclusion, airport service providers must focus on the shortest pathway and waiting time via cooperation to satisfy VIPs. In addition, systematic education and practical service manual are necessary to offer excellent airport protocols. This study will give meaningful resources to airport service fields and researchers interested in service management.

Development of prediction methodology for CO2 emissions and fuel economy of light duty vehicle

Fuel economy prediction models usually require vehicle specifications such as a fuel consumption map which are not publicly available. Therefore, the present study proposed a new data analyzing procedure to predict CO2 emissions and fuel economy using on-road driving data without confidential specifications. Vehicle specifications such as gear ratios and vehicle mass which are provided in a service manual and driving data such as vehicle speed and CO2 emission were used to develop the prediction model. Instead of the fuel consumption map, linear equations for each gear between wheel power and CO2 emissions were used to predict CO2 emissions for various driving modes. Since higher gears exhaust less CO2 than lower gears (the seventh gear exhausted 24.4% less CO2 than the first gear), the accuracy of fuel economy prediction was improved by applying the equations for each gear stage. The accuracy of the prediction was verified by comparing it with measurement data. The comparisons showed that the equations for each gear can predict the fuel economy more accurately than one equation representing the entire gear. In worldwide harmonized light vehicles test cycle (WLTC) mode, the former had a maximum error of 6.1%, but the latter showed an error of 17.9%.

Performance of Bus Services in Urban Area: A Case Study in Penang, Malaysia

Since the escalated industrialisation and urbanisation process began traffic congestion has been a serious problem in many Malaysian cities. One of the solutions for the traffic congestion is by promoting public transport. Public transport is needed to manage the transport in cities. In 2007, a corporate body owned by the Malaysian Government named Prasarana Malaysia, introduced the Rapid bus service in Penang. Currently, Rapid bus is the main public transport operator in Penang. However, the bus service had some setbacks and passengers had publicly voiced their dissatisfaction. Therefore, to encourage more people in using the public transport, a better public transport system should be provided and improved occasionally. Previous comprehensive studies were inadequate, and thus a detailed analysis of the bus service performance in Penang is needed. The Transit Capacity and Quality of Service Manual (TCQSM) was chosen for guidelines. Based on reviews from journals and papers three (3) objectives which focused on service frequency, on time performance and passenger load factor were chosen for the study. The study was conducted to evaluate the bus service performance in Penang. The study results obtained the quality of service (QOS) of D for the Rapid bus service performance in Penang, which was regarded as satisfactory. This showed that buses in Penang needed to be greatly improved to change the passenger’s perceptions.