1 A Survey on Service Quality Description

Quality of service (QoS) can be a critical element for achieving the business goals of a service provider, for the acceptance of a service by the user, or for guaranteeing service characteristics in a composition of services, where a service is defined as either a software or a software-support (i.e., infrastructural) service which is available on any type of network or electronic channel. The goal of this article is to compare the approaches to QoS description in the literature, where several models and metamodels are included. consider a large spectrum of models and metamodels to describe service quality, ranging from ontological approaches to define quality measures, metrics, and dimensions, to metamodels enabling the specification of quality-based service requirements and capabilities as well as of SLAs (Service-Level Agreements) and SLA templates for service provisioning. Our survey is performed by inspecting the characteristics of the available approaches to reveal which are the consolidated ones and which are the ones specific to given aspects and to analyze where the need for further research and investigation lies. The approaches here illustrated have been selected based on a systematic review of conference proceedings and journals spanning various research areas in compute

First Year Experience: Writing Matters

Cover and table of contents from the class journal, Writing Matters, produced for the fall 2011 class with instructors Dr. Katherine Schmidt and Dr. Karen Sullivan-Vance. Student submissions were bound together for the Symposium. Assignment: to craft content that matters and to prepare a product that is ready for publication and a public reading. Write to the most important person in your life: describe why they have made such an impact on your life and how you imagine their influence will affect your future; or choose a life-changing event and write to your future self: describe the event, explain why the event has been significant to you, and project how you think the experience should/will influence you in the future

Screening adult patients with a tracheostomy tube for dysphagia: a mixed-methods study of practice in the UK

Background: Patients with tracheostomy tubes are at risk of aspiration and swallowing problems (dysphagia) and because of their medical acuity, complications in this patient population can be severe. It is well recognised that swallow screening in stroke significantly reduces potential complications by allowing early identification and appropriate management of patients at risk (by health professionals), thereby reducing delays in commencing oral intake and preventing unnecessary, costly interventions by speech and language therapists (SLTs). However, there is no standardised swallow screen for the tracheostomised population and there is a paucity of literature regarding either current or best practice in this area. Aims: The aim of this study was therefore to investigate current United Kingdom (UK) practice for swallow (dysphagia) screening for adult patients with tracheostomy tubes and to explore and describe health professionals’ perceptions of their current practice/current systems used. Methods and Procedures: A mixed methods approach was adopted, comprising a semi-structured online questionnaire and recorded follow-up telephone interviews. Participants were SLTs, nurses and physiotherapists working with patients with tracheostomies. Responses were analysed to determine current practice with regard to swallow screening. Thematic analysis of interviews allowed further exploration and clarification of the questionnaire findings. Outcomes and Results: Two-hundred and twenty one questionnaires were completed. Approximately half (45%) of the participants worked in trusts with formal swallow screens, whilst the remainder used a variety of other approaches to identify patients at risk, often relying on informal links with multidisciplinary teams (MDT). In line with current evidence, patients with neurological diagnoses and a tracheostomy were consistently referred directly to speech and language therapy. Only a quarter of questionnaire participants thought their current system was effective at identifying patients at risk of swallowing problems. Eleven questionnaire participants were interviewed. They highlighted the important role of MDT team working here, emphasising both its strengths and weaknesses when working with these patients. Conclusions and Implications: Current practice in the UK for screening patients with a tracheostomy for swallow problems is varied and often sub-optimal. Despite the evidence base for enhancing outcomes, MDT working is still perceived as problematic. A swallow screening tool for use with this population, to enhance MDT working and ensuring that practice fits in line with current evidence, may improve patient safety and care

Comparing patient characteristics and treatment processes in patients receiving physical therapy in the United States, Israel and the Netherlands. Cross sectional analyses of data from three clinical databases

<p>Abstract</p> <p>Background</p> <p>Many assume that outcomes from physical therapy research in one country can be generalized to other countries. However, no well designed studies comparing outcomes among countries have been conducted. In this exploratory study, our goal was to compare patient demographics and treatment processes in outpatient physical therapy practice in the United States, Israel and the Netherlands.</p> <p>Methods</p> <p>Cross-sectional data from three different clinical databases were examined. Data were selected for patients aged 18 years and older and started an episode of outpatient therapy between January 1^st2005 and December 31^st2005. Results are based on data from approximately 63,000 patients from the United States, 100,000 from Israel and 12,000 from the Netherlands.</p> <p>Results</p> <p>Age, gender and the body part treated were similar in the three countries. Differences existed in episode duration of the health problem, with more patients with chronic complaints treated in the United States and Israel compared to the Netherlands. In the United States and Israel, physical agents and mechanical modalities were applied more often than in the Netherlands. The mean number of visits per treatment episode, adjusted for age, gender, and episode duration, varied from 8 in Israel to 11 in the United States and the Netherlands.</p> <p>Conclusion</p> <p>The current study showed that clinical databases can be used for comparing patient demographic characteristics and for identifying similarities and differences among countries in physical therapy practice. However, terminology used to describe treatment processes and classify patients was different among databases. More standardisation is required to enable more detailed comparisons. Nevertheless the differences found in number of treatment visits per episode imply that one has to be careful to generalize outcomes from physical therapy research from one country to another.</p

ICS Lecture Poster Quotes \u2799

List of Lecture series in 199

Scholars and Artists in Residence Spring \u2797 - \u2798

Scholars and Artists in Residence at the Institute for Spring 1997 through Spring 199