Optimizing the stake holder’s perspective on enhancing the service quality in health care

For the success of health care organizations, accurate measurement of health care service quality is as important as understanding the nature of the service delivery system. Without a valid measure, it would be difficult to establish and implement appropriate tactics or strategies for service quality management. Experts have struggled for decades to formulate a concise, meaningful and generally applicable definition of the quality of health care. However, the complexity and variability of many definitions are very confusing even to experts. Patients, service providers and other parties involved in the process of health care service delivery, understand and describe service quality in different ways. Different perspectives on health care quality lead to different expectations and different methods of quality measurement. Patients tend to evaluate health care quality according to the responsiveness to their specific needs. Most patients define quality as efforts of physicians to do everything possible for a patient. Patient’s expectations about the health care system may differ from those of health care professionals and managers. On the other hand, patients cannot evaluate many technical aspects of health care service quality. Physicians can provide a high level technical quality but still be rated low by patients because of the lack of humanity, responsiveness or satisfaction. For physicians and other health care providers measurement of service quality has typically been driven by medical outcomes. However, outcomes indicative of quality may differ for a patient and physician. Health care administrators often use managerial input measures such as the average number of nursing hours required for an outpatient surgery. This research paper aims to explore the ways and means towards optimizing the competing stake holders perspectives on enhancing the service quality in health care.Service quality; Healthcare; Optimization; India;

Mediating effects of broadband consumers’ behavior in India

Internet usage is rapidly growing in areas like cosmopolitan cities, semi-urban cities in India. I-enabled services offered by various government agencies, educational institutions and commercial activities force users of these services to seek superior internet access like broadband, WiMax is likely to replace traditional broadband and dial-up access soon. Interestingly, reforms in telecom sector are taking place at a rapid pace in India. Many private players started internet services affecting monopolistic public sector telecoms. The advent of private ISPs, the consumer behavior and brand choice of broadband consumers are witnessing dynamic shift in favor of private players. Cost competitiveness, transparency, paradigm shift in consumer responsiveness etc weigh in favor of Public Sector telecoms. This paper attempts to identify the factors affecting broadband consumer behavior. Further, paper studies the causes and effects, mediating effects of consumer behavior and conceptualizes a model to capture these effects. The results suggest that adoption of broadband service is playing a mediatory role in consumer satisfaction.Broadband, Adoption, Normative constructs, mediating

Elementary transition systems

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Induced breeding of Cresent Perch, Terapon jarbua under controlled conditions

822-824Crescent Perch, Terapon jarbua is an important candidate species for brackish water ornamental and food fishes. This fish inhabits brackish water of much of the tropical and sub-tropical Indo-Pacific region on sandy bottom including estuaries. During December 2014, a fully matured female with average egg diameter of 450 μ along with two oozing males were selected for induced spawning trials. Fishes were induced to spawn with Human Chorionic Gonadotropin, HCG hormone @300 IU/kg body weight and Luteinising Hormone Releasing Hormone analogue, LHRHa @ 75 µg/kg body weight; half the hormone dose was administered to male fishes. After 36 h of post-injection, all sets were spawned (fertilized egg mean size: 720 µ± 34.96 µ); the eggs were semi-buoyant in nature, Hatching was noticed after 16-18 h of incubation period. Average size of hatchlings was 2.04 mm ± 0.05 with the yolk sac length of 75 µ and presence of a single oil globule. A total of 3 lakh newly hatched larvae from four sets were collected and used for standardization of nursery rearing protocol. The larvae were reared for 60 days feeding with rotifers and artemia nauplii which then reached the fry size of 30 mm with 20% of survival rate

The Present status of our knowledge on the lesser sardines of Indian waters

The results of research carried out at Waltair, Mandapam. Tuticorin and Vizhinjam and another centres on the lesser sardines over the past up till 1978 are reviewed in detail. In the twentyyear period from 1958 to 1978 there was an increasing trend of production of these fishes along the different coasts of India, the average annual landings nearly doubling from 36,000 t in 1958-67 to 70,000 t in 1968-78. The bulk of the catches came from Tamil Nadu, including Pondicherry, (32.6%), Kerala (32.2%) and Andhra Pradesh (26.5%)- Fishing was mostly by the labour-intensive traditional methods in close-shore waters, better catches coming from 30-55 m depths. Shore seines, boat seines and gill nets were the principal gears employed in the fishery though gill nets were the most effective

Finfish resources around Andaman and Nicobar islands

The average catch rate of finfishes obtained by FORV Sagar Sampada from the survey area in the Andaman Sea was 259 kg/hr and the yield ranged from 8.6 to 1260 kg/hr. Silver bellies was the most abundant component (37.5%) with a catch rate of 96.9 kg/hr. Carangids, elasmobranchs and perches accounted for 20.3%, 11.9% and 8.0% of the total catch and the corresponding catch rates were 52.5, 31.1 and 20.8 kg/hr respectively. The highest catch rate of 1260 kg/hr was recorded from 13°10'N - 92°37'E at a depth of 65m. The catch rate indicated that the depth zone 51-100 m is productive and yielded 84.7% of the total catch at a catch rate of 501.4 kg/hr. Although the pelagic trawl was operated at 38 stations, the catch realised was neghgible (0.83 kg/hr)

An integrated approach to assessing seismic simulation based on analysis of preseismic, coseismic, postseismic and interseismic creep, and creep damage evolution

In this paper, a comprehensive theoretical, numerical and computational investigation based on the analysis of the Parkfield earthquakes will be carried out with the main focus directed at the understanding on how physical and chemical transport phenomena, creep deformation with preseismic, coseismic, postseismic and interseismic periods including steady-state static creep, diffusional creep, cyclic creep and dynamic creep, large strains, tension/compression creep asymmetry, creep dilatancy, active creep damage state (degradation) and passive creep damage state (healing), cyclic variations of velocities in boundary conditions, and tectonic loading history affect fault sliding, seismic activity in the crust surrounding a fault including accelerated seismic release characterized by cumulative Benioff strain, spatiotemporal seismicity patterns, large earthquake cycle on the fault as well as future destructive events. Furthermore, focus is put on how the diffusion, preseismic, coseismic, postseismic and interseismic creep processes, large strains, creep damage evolution including degradation and healing, movement of the front of creep rupture, boundary conditions as well as tectonic loading history may be modeled inorder to understand the workings of the Parkfield earthquakes and to predict new destructive earthquakes within a much shorter time frame than currently possible.Теоретичні та чисельні дослідження даної роботи направлено на дослідження Parkfield землетрусів. Головні дослідження направлено на пояснення впливу фізичної та хімічної дифузії, деформацій повзучості в досейсмічному, сейсмічному, післясейсмічному та міжсейсмічному періодах,включаючи сталу стадію повзучості, дифузійної повзучості, циклічної та динамічної повзучості, великих деформацій, асиметрії повзучості при розтягу та стисканні, явища ділатансії, активного та пасивного розвитку пошкоджуваності, циклічних варіацій крайових умов, історії тектонічних навантажень, сейсмічної активності земної кори на формування розломів та розривів кори та відповідно на виникнення катастрофічних випадків. Основні дослідження сфокусовано на дослідженні того, як дифузія, досейсмічна, сейсмічна, післясейсмічна та міжсейсмічна повзучість, великі деформації, розвиток процесів пошкоджуваності та заліковування, рух фронту руйнування, крайові умови можуть бути змодельовані для розуміння Parkfield землетрусів та прогнозування нових руйнівних землетрусів

Towards a Theory of Regular MSC Languages

Message Sequence Charts (MSCs) are an attractive visual formalism widely used to capture system requirements during the earlydesign stages in domains such as telecommunication software. It isfruitful to have mechanisms for specifying and reasoning about collections of MSCs so that errors can be detected even at the requirements level. We propose, accordingly, a notion of regularity for collections of MSCs and explore its basic properties. In particular, weprovide an automata-theoretic characterization of regular MSC languages in terms of finite-state distributed automata called boundedmessage-passing automata. These automata consist of a set of sequential processes that communicate with each other by sending andreceiving messages over bounded FIFO channels. We also provide alogical characterization in terms of a natural monadic second-orderlogic interpreted over MSCs.A commonly used technique to generate a collection of MSCs isto use a Message Sequence Graph (MSG). We show that the class oflanguages arising from the so-called locally synchronized MSGs constitute a proper subclass of the languages which are regular in our sense.In fact, we characterize the locally synchronized MSG languages asthe subclass of regular MSC languages that are finitely generated

Optimizing the stake holder’s perspective on enhancing the service quality in health care

For the success of health care organizations, accurate measurement of health care service quality is as important as understanding the nature of the service delivery system. Without a valid measure, it would be difficult to establish and implement appropriate tactics or strategies for service quality management. Experts have struggled for decades to formulate a concise, meaningful and generally applicable definition of the quality of health care. However, the complexity and variability of many definitions are very confusing even to experts. Patients, service providers and other parties involved in the process of health care service delivery, understand and describe service quality in different ways. Different perspectives on health care quality lead to different expectations and different methods of quality measurement. Patients tend to evaluate health care quality according to the responsiveness to their specific needs. Most patients define quality as efforts of physicians to do everything possible for a patient. Patient’s expectations about the health care system may differ from those of health care professionals and managers. On the other hand, patients cannot evaluate many technical aspects of health care service quality. Physicians can provide a high level technical quality but still be rated low by patients because of the lack of humanity, responsiveness or satisfaction. For physicians and other health care providers measurement of service quality has typically been driven by medical outcomes. However, outcomes indicative of quality may differ for a patient and physician. Health care administrators often use managerial input measures such as the average number of nursing hours required for an outpatient surgery. This research paper aims to explore the ways and means towards optimizing the competing stake holders perspectives on enhancing the service quality in health care

Optimizing the stake holder’s perspective on enhancing the service quality in health care

For the success of health care organizations, accurate measurement of health care service quality is as important as understanding the nature of the service delivery system. Without a valid measure, it would be difficult to establish and implement appropriate tactics or strategies for service quality management. Experts have struggled for decades to formulate a concise, meaningful and generally applicable definition of the quality of health care. However, the complexity and variability of many definitions are very confusing even to experts. Patients, service providers and other parties involved in the process of health care service delivery, understand and describe service quality in different ways. Different perspectives on health care quality lead to different expectations and different methods of quality measurement. Patients tend to evaluate health care quality according to the responsiveness to their specific needs. Most patients define quality as efforts of physicians to do everything possible for a patient. Patient’s expectations about the health care system may differ from those of health care professionals and managers. On the other hand, patients cannot evaluate many technical aspects of health care service quality. Physicians can provide a high level technical quality but still be rated low by patients because of the lack of humanity, responsiveness or satisfaction. For physicians and other health care providers measurement of service quality has typically been driven by medical outcomes. However, outcomes indicative of quality may differ for a patient and physician. Health care administrators often use managerial input measures such as the average number of nursing hours required for an outpatient surgery. This research paper aims to explore the ways and means towards optimizing the competing stake holders perspectives on enhancing the service quality in health care