In Norway, 78% of publicly funded general practitioners (GPs) are self-employed, remunerated through a mix of capitation and fee-for-service, while 22 % are salaried. GPs register consultations and procedures using nationally standardized fees for health services, which allows for variations in earnings. Our study aims to examine whether high and low earning GPs also differ in their earnings per list patient and, if so, identify the specific fees that contribute to this difference. Additionally, we aim to compare practice characteristics between high and low earning GPs. We analyse national registry data from 2021 for all GPs with at least 100 working days (N=2546) and calculate annual earnings from capitation and fees. High earning GPs (upper quartile) have 55% more listed patients than low earning GPs (lower quartile), yet they earn 40% more from fees per patient (average €178 versus €127). Nearly half of the earnings difference per patient can be attributed to high earning GPs more frequently conducting consultations with patients. Still, patients of high earning GPs receive less minutes in consultations yearly (average 35 versus 38 min), due to high earners’ shorter consultation duration (average 15 versus 20 min). The remaining earning difference comes from higher utilization of procedure fees among high earners (average 5.6 versus 3.9 procedures per patient). Prolonged consultation, medication review, and talking therapy are some of the fees that contribute most to this difference. The findings highlight that considerable earning variations are linked to fee utilization and practice styles among GPs.

The ageing transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews are conducted and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service ageing model is constructed from the "macro-medium-micro" stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.

Empowering teachers with Critical Thinking and understanding of sustainability is vital for guiding students’ informed decisions and actions in today’s world. Higher education needs innovative, student-centered methods like case-based teaching in order to promote Critical Thinking and the principles of Education for Sustainable Development. The aim of the study was to explore and evaluate pre-service teachers' Critical Thinking when engaged with case studies in a practicum preparation course centered on Education for Sustainable Development. Nine undergraduate students in Teacher Education participated in the study and answered four case studies. The case studies’ responses were analyzed through a bottom-up content analysis revealing eight higher-order categories. While approaching the case studies, student-teachers followed thinking processes similar to the processes proposed by the iterative models of Critical Thinking as perceived by Garrison (1991) and/or Brookfield (1987). Nevertheless, in some cases, pre-service teachers’ disengagement was evident. The rubric assessment highlighted that the responses fell under three profiles, namely the “Deficient Critical Thinker”, the “Emerging Critical Thinker” and the “Competent Critical Thinker”. The findings emphasize the need for targeted and individualized teaching interventions in teacher higher education programs aiming at Education for Sustainable Development complying with the learning needs of student-teachers’ Critical Thinking profiles.

The agricultural sector, even though it has been greatly reduced and is in constant transformation, continues to be of strategic importance. Although it does not represent a quantitatively relevant employment sector, the dynamics are interesting because they reflect the structural, economic and social transformations that are affecting the sector in recent years; there is a growing need for external labour that corresponds to a massive recourse of foreigners to work. Innovative approaches are required to explore the capacity of social farming to create a sustainable and inclusive workplace for migrant. The overall methodological approach of the paper seeks to synthesize fieldwork research and qualitative interviewing to validate the Italian inclusive model. To do this, we have selected four experiences of Italian social agriculture in which migrants are included.

The establishment of protected areas and the practice of ecotourism are generally considered to be one of the crucial means for achieving sustainable development. This study focused on the development of ecotourism in oceanic island national parks, applying System Dynamics theory to explore the core mechanisms, system behaviors, and promotion strategies of sustainable development. We adopted the driving force–state–response (DSR) indicator framework and combined it with System Dynamics theory to construct a sustainable development model for ecotourism in oceanic island national parks. Through this model, we discovered that the intricate causal relationships between indicator factors form three dominant causal feedback loops that drive system behavior. The three causal feedback loops comprise one reinforcing loop and two balancing loops. Through the interaction and mutual regulation between these three loops, preliminary estimates can be made regarding the specific behavioral trends that promote ecotourism in oceanic island national parks. In addition, we further investigated whether the implementation of fee-based policies in oceanic island national parks contributes to these parks’ sustainability goals. Subsequently, this model could be developed into a numerical simulation program based on System Dynamics theory, thereby enabling the computer simulation of system behavior under various scenarios and conditions.

The present study explained factors influencing citizen satisfaction service in the Investment and One-Stop Service Agency of Tanah Bumbu Regency. In particular, this research analyses the level of citizen satisfaction and the extent to which Awareness, Rules, Organizational, Income, Skill-Ability, and Service Facility Factor influence Citizen Satisfaction. This study uses a mixed methodology with a sequential explanatory strategy. Using the incidental sampling with Slovin's Formula to calculate the number of samples is 93 respondents. The quantitative data were analyzed by the SmartPLS 3.0 program. The findings showed that the level of citizen satisfaction is included in the category "Satisfied". Furthermore, the variable of Citizen Satisfaction is influenced by variables of Awareness, Rules, Organizational, Income, Skill-Ability dan Service Facility Factor for 70,5%. Whereas Awareness, Rules, Organizational, and Skill-Ability Factor has a significant influence on Citizen Satisfaction. Besides, Income and Service Facility Factor do not have a significant influence on Citizen Satisfaction.

This paper proposes a re-conceptualization of the port supply chain as a smart service system, according to the theory of the Service science. Starting from a short literature review about the port supply chain approach and the Service science, a new comprehensive framework is provided to better understand the seaport dynamics and the creation of competitive port supply chains. The methodology used is the case study approach. The authors examined the port of Salerno (Italy), and re-conceptualized it as a smart port service systems. Both theoretical and practical implications are provided to enrich the literature about the port supply chain and to support the port operators.

This paper presents a thermal runaway prognosis scheme based on the big-data platform and entropy method for battery systems in electric vehicles. It can simultaneously realize the diagnosis and prognosis of thermal runaway caused by the temperature fault through monitoring battery temperature during vehicular operations. A vast quantity of real-time voltage monitoring data was collected in the National Service and Management Center for Electric Vehicles (NSMC-EV) in Beijing to verify the effectiveness of the presented method. The results show that the proposed method can accurately forecast both the time and location of the temperature fault within battery packs. Furthermore, a temperature security management strategy for thermal runaway is proposed on the basis of the Z-score approach and the abnormity coefficient is set to make real-time precaution of temperature abnormity.

As an emerging model, self-service fitness centers are reshaping the consumer fitness experience globally. Given the crucial role of customer loyalty in the sustainable operation and management of fitness service enterprises, this study constructs a structural model incorporating service quality, service convenience, customer satisfaction, word-of-mouth intentions, and repatronage intentions. The model is designed to elucidate the factors and mechanisms impacting customer loyalty at self-service fitness centers and further investigates how these relationships are affected by service methods, either with staff or without staff. The study employs PLS-SEM to empirically analyze 552 customer questionnaires from four self-service fitness centers in first-tier cities in China. The results reveal positive correlations among the constructs in the structural model, emphasizing the important position of raising service quality standards and reducing the time and effort expended by customers in the management of customer loyalty. Concurrently, service convenience was found to play a significant driving role in customers' perceived service quality. Through the chain-mediating effect of service quality and customer satisfaction, service convenience exerts a considerable positive impact on word-of-mouth intentions and repatronage intentions. Moreover, the study reveals significant differences in these relationships when considering service methods, either with staff or without staff.

To better understand farmers’ refusal and corresponding negative emotions to pay agricultural water fee under current policy in rural China, this paper applies mental accounting, a behavioral economics framework, to explore how the governmental policies of reform of rural taxes and fees, direct agricultural subsidy programs and agricultural water fee individually influence farmers’ decisions in paying agricultural water fee. Using fieldwork data from 577 farmers and 20 water managers in Sichuan, we explore farmers’ information processing regarding paying agricultural water fee via three sequential mental accounting processes, with the associated underlying principles and measures behind each process. We find that the information processing in three mental accounting scenarios related to the agricultural water fee elucidates farmers’ observed behaviors in rural China. Generally, in the three mental accounting scenarios, two conditional intuitive expectations and nine conditional intuitive preferences are formed, however, the conditions of those expectations or preferences cannot be matched with the facts due to the reform of rural taxes and fees, the direct agricultural subsidy programs and the internal attributes of agricultural water fee, which interpret those negative behaviors in rural China. Additionally, this paper offers a view into how previous policies create negative psychological externalities (such as farmers’ psychological dependence on the government) through mental accounting to negatively influence agents’ subsequent decision making; it highlights the significance of underlying mental factors and information processing of negative behaviors in policymaking for managing or conserving common pool resources.

Small and Medium Enterprises (SMEs) play a crucial role in the European economy, yet their ability to sustain coopetition networks—collaborative arrangements between competitors—remains underexplored. This study addresses the gap by developing a reference model and an instantiation methodology for coopetition networks explicitly tailored to the needs of SMEs, grounded in the Service-Dominant (S-D) Logic framework. The reference model provides a structured approach for SMEs to coopetition throughout their entire lifecycle, from initiation to dissolution, focusing on value co-creation and resource exchange. To validate the model, a Proof-of-Concept (PoC) was conducted in the Portuguese ornamental stone sector, demonstrating significant improvements in manufacturing effectiveness and confirming the model’s practical applicability. The findings highlight the potential of coopetition networks to enhance the competitiveness and performance of SMEs. While the reference model successfully addresses key challenges SMEs face, the study acknowledges certain limitations. It suggests areas for further research, particularly regarding the long-term sustainability of these networks and the role of interpersonal dynamics.

Small and Medium Enterprises (SMEs) play a crucial role in the European economy, representing the vast majority of businesses and a significant portion of employment. As the global business environment increasingly embraces digital supply chains, coopetition—collaborative competition—has emerged as a vital strategy for sustaining business growth and competitiveness. Despite its recognized importance, the potential of coopetition to enhance firm performance, particularly within SMEs, remains underexplored. This study aims to address this gap by developing and validating a reference model for coopetition networks specifically tailored for SMEs, utilizing the Service-Dominant framework. The research introduces a comprehensive model that guides the formation, management, and dissolution of coopetition networks throughout their lifecycle. The model is empirically validated within the Portuguese ornamental stone sector, providing insights into its practical applicability. Key findings demonstrate that the implementation of coopetition networks can significantly enhance production efficiency and operational effectiveness within SMEs. The study also highlights the critical role of technology as an enabler of service exchange and institutionalization within coopetition networks, facilitating collaborative interactions and value co-creation. While the study makes substantial contributions to the literature, it also identifies areas for further research, including the exploration of human dynamics within coopetition networks and the long-term sustainability of such networks. The findings offer valuable guidance for SMEs seeking to enhance their competitiveness and operational efficiency in an increasingly digital and interconnected business landscape.

With increasing availability of alternative mobility options for city transportation system, it is necessary to better understand how emerging mobility are impacting the travel demand and consumer-social surplus. However, few study has been conducted to evaluate the social welfare effects of the range of vacant trip in mobility oriented development(MOD) mode. This paper identified the vacant trip and loading rate evaluation model under mobility oriented development mode. recommended solutions to enhance the effective operation of the different mobility services under numerical illustrations, which can offer some beneficial guidance and theoretic basis to the efficiency of MOD in planning and management aspects.

With increasing availability of alternative mobility options for city transportation system, it is necessary to better understand how emerging mobility are impacting the travel demand and consumer-social surplus. However, few study has been conducted to evaluate the social welfare effects of the range of vacant trip in mobility oriented development(MOD) mode. This paper identified the vacant trip and loading rate evaluation model under mobility oriented development mode. recommended solutions to enhance the effective operation of the different mobility services under numerical illustrations, which can offer some beneficial guidance and theoretic basis to the efficiency of MOD in planning and management aspects.

This paper presents a review of cloud application architectures and its evolution. It reports observations being made during the course of a research project that tackled the problem to transfer cloud applications between different cloud infrastructures. As a side effect we learned a lot about commonalities and differences from plenty of different cloud applications which might be of value for cloud software engineers and architects. Throughout the course of the research project we analyzed industrial cloud standards, performed systematic mapping studies of cloud-native application related research papers, performed action research activities in cloud engineering projects, modeled a cloud application reference model, and performed software and domain specific language engineering activities. Two major (and sometimes overlooked) trends can be identified. First, cloud computing and its related application architecture evolution can be seen as a steady process to optimize resource utilization in cloud computing. Second, this resource utilization improvements resulted over time in an architectural evolution how cloud applications are being build and deployed. A shift from monolithic servce-oriented architectures (SOA), via independently deployable microservices towards so called serverless architectures is observable. Especially serverless architectures are more decentralized and distributed, and make more intentional use of independently provided services. In other words, a decentralizing trend in cloud application architectures is observable that emphasizes decentralized architectures known from former peer-to-peer based approaches. That is astonishing because with the rise of cloud computing (and its centralized service provisioning concept) the research interest in peer-to-peer based approaches (and its decentralizing philosophy) decreased. But this seems to change. Cloud computing could head into future of more decentralized and more meshed services.

In this paper I analyze the three plays produced during the inaugural season (2011) of the Theatre for Young Audiences Research Center of the National Theater Company of Korea and place it within the context of contemporary ideas and realities surrounding Korean youth. In the first part of this paper I explore how Korean youth are perceived by society and the reality in which they live. In the second part I analyze the aforementioned plays, especially through the directions of the production and portrayal of adult and young characters. The last part offers concluding thoughts. Through this study I ask the question of whether if it is possible for theatre to actually portray the realities of adolescents, when in fact the identities of youth are still fluid and the experiences of youth as diverse as those of adults. I suggest that theatre artists break free to depict reality or educate audiences and focus on providing a critical experience to adolescents.

Nowadays, the selection of web services with uncertain quality of service (QoS) is gaining a lot of attention in the service-oriented computing paradigm (soc). In fact, searching for a service composition that fulfills a complex user’s request is known to be NP-Complete. The search time is mainly dependent on the number of the requested tasks, the size the available services, and the size of the QoS realizations (i.e., sample size). To handle this problem, we propose a two-stage approach that reduces the search space using heuristics for ranking the tasks’ services and a bat algorithm metaheuristic for selecting the final near optimal compositions. The fitness used by the metaheuristic aims to fulfill all the global constraints of the user. The experimental study shows that the ranking heuristics, termed “fuzzy pareto dominance” and "Zero-order stochastic dominance", are highly effective than the other heuristics and most of the existing state-of-the-art methods.

AI-driven tools can identify nursing students' strengths and weaknesses, thus enabling the development of customized learning plans that target specific areas for improvement. This targeted approach can enhance knowledge retention and skill development, resulting in better prepared healthcare professionals. Nursing students are required to overcome their own psychological stress during their internship in order to understand sick children’s emotional reactions, as well as to be able to interact and communicate with such children. The application of AI picture-based teaching e-books helps nursing students to understand how to use therapeutic games to improve communication with sick children. A comparison of the differences between nursing teachers’ self-efficacy scores and nursing students’ application of AI picture-based teaching e-books (experimental group) and narrative handouts (control group) was achieved via therapeutic games to deal with sick children’s fear of medical examinations and treatments. In addition, a comparison was also conducted on the differences between the impact of the self-efficacy of the experimental group and that of the control group in dealing with sick children’s behavioral responses with respect to fears of medical examinations and treatments. This study is a quasi-experimental study, in which the self-efficacy scores of 30 nursing students were collected and analyzed in both the experimental group and the control group before and after intervention in dealing with sick children’s behavioral responses to fears of medical examinations and treatments. It was found that the self-efficacy score of the experimental group was higher than that of the control group (β coefficient is 0.356) when assessing the self-efficacy scores and behavior of the experimental and control groups in dealing with sick children’s fears of medical examinations and treatments through one-way analysis of covariance (one-way ANCOVA), moreover, a statistically significant difference (p < 0.05) was observed. The experimental group’s score of behavioral responses to the fears of sick children to examinations and treatments was lower than that of the control group (β coefficient was -1.540), wherein a statistically significant difference (p < 0.05) was shown. The self-efficacy of the experimental group in dealing with sick children’s fears of medical examinations and treatments had a statistically significant impact on the sick children’s behavioral responses to the fear of medical examinations and treatments (p < 0.05). In addition, the higher the self-efficacy scores of the experimental group in dealing with sick children’s fear of medical examinations and treatments, the lower the sick children’s behavioral responses to fears of medical examinations and treatments (the β coefficient was -0.914), the control group’s self-efficacy scores in dealing with sick children’s fears of medical examinations and treatments did not have a statistically significant impact on the sick children’s behavioral responses to fears of medical examinations and treatments (p > 0.05). This study proves that the application of AI picture-based teaching e-books by nursing teachers is more effective than narrative handouts in improving nursing students’ self-efficacy when using therapeutic games to deal with, as well as reduce, sick children’s fears of medical examinations and treatments.

This study aims to understand the role of BPJS Kesehatan as a variable that mediates or mediates the relationship between emergency services and patient satisfaction. This can include how administrative processes, access to services, or costs incurred by BPJS affect the relationship between service and satisfaction. Quantitative studies of a correlational nature are a part of this investigation. In order to forecast endogenous variables (Y) Purchase decisions, researchers conduct correlational studies, which examine the link between one or more variables and other factors. Here, X represents emergency services, Y stands for patient satisfaction, and M for BPJS are the exogenous variables. The purpose of this research is to examine the role of BPJS as a moderator between the impact of emergency services on patients' levels of satisfaction. There were 120 people that filled out the survey, and the margin of error was 10% (based on a 90% truth rate and a 10% error rate). Purposive sampling was used to select participants for the aforementioned studies. Warppls 8.0 and the Warp Partial Least Square program were utilized for data analysis in this investigation. The study found that PKD significantly and positively affected 71% of participants' happiness with the impact they received. With a 63% influence, PKD has a favorable and statistically significant effect on BPJS. Patient satisfaction is significantly impacted by BPJS, which has a favorable association. When looking at the connection between community satisfaction and emergency services, BPJS is a key mediator. Community satisfaction can be enhanced through the provision of fast and excellent emergency services, and BPJS plays a vital role in mediating this relationship. The beneficial effect of emergency services on community satisfaction can be amplified if BPJS is able to offer sufficient coverage while simultaneously reducing costs and expediting administrative processes

This study aims to understand the role of BPJS Kesehatan as a variable that mediates or mediates the relationship between emergency services and patient satisfaction. This can include how administrative processes, access to services, or costs incurred by BPJS affect the relationship between service and satisfaction. Quantitative studies of a correlational nature are a part of this investigation. In order to forecast endogenous variables (Y) Purchase decisions, researchers conduct correlational studies, which examine the link between one or more variables and other factors. Here, X represents emergency services, Y stands for patient satisfaction, and M for BPJS are the exogenous variables. The purpose of this research is to examine the role of BPJS as a moderator between the impact of emergency services on patients' levels of satisfaction. There were 120 people that filled out the survey, and the margin of error was 10% (based on a 90% truth rate and a 10% error rate). Purposive sampling was used to select participants for the aforementioned studies. Warppls 8.0 and the Warp Partial Least Square program were utilized for data analysis in this investigation. The study found that PKD significantly and positively affected 71% of participants' happiness with the impact they received. With a 63% influence, PKD has a favorable and statistically significant effect on BPJS. Patient satisfaction is significantly impacted by BPJS, which has a favorable association. When looking at the connection between community satisfaction and emergency services, BPJS is a key mediator. Community satisfaction can be enhanced through the provision of fast and excellent emergency services, and BPJS plays a vital role in mediating this relationship. The beneficial effect of emergency services on community satisfaction can be amplified if BPJS is able to offer sufficient coverage while simultaneously reducing costs and expediting administrative processes.

This research was focused on Public Service of departmental auction state officers of Makassar . It aimed to determine the state officers’ performance who passed departmental auction that had been assessed based on competence, and integrity in particular, the ability to provide and develop good service to the community at the 9 Local Government Work Unit (SKPD) Makassar, namely the Regional Revenue Board of Makassar City, the Land Board of Makassar City, the Office of Investment and Integrated One Stop Service of Makassar City and the Department of Population and Civil Registration of Makassar City, Ujung Pandang District Office, Makassar District , Rappocini District , Bontoala District , and Panakkukang District . The 9 SKPD were chosen purposively from 53 SKPD within the Makassar City Administration by considering the representation of SKPD of the Agency and the Department as well as the representation of the district Institution located in the northern, middle and southern part of Makassar City. Interviews and observation data were collected by 3 interviewers and narrated as facts and elaborated by the research team with qualitative and normative studies. The result of the research shown that the state officers’ performance in Makassar city administration area had been able to develop good service to the society at 9 Local Government Work Unit (SKPD) of Makassar City. However, it was necessary to improve the quality of human relations especially for the leading position of all SKPD so that the communication can be better served to the citizens. System reward dan punishment need to be upgraded and enforced as a trigger of employees’ motivation in work.

In an era driven by technology and connectivity, where the sphere of learning goes beyond conventional classrooms, e-Service-Learning (e-SL) merges the possibilities of technology with the principles of experiential education in a powerful blend [1]. Service-learning (SL) is an educational proposal that has been cited by UNESCO [2] as an innovative educational tool through which to address the complex challenges of our society. The Sustainable Development Goals [3] provide a framework around which to structure the SL projects and thus develop the skills needed to act on the full range of goals. Embedding digital means open a debate on the intricate relationship between technology, education, and societal impact [4]. By analyzing two focus groups involving faculty, students and community partners, this contribution aims to explore the potential of combining SL and digital empowerment (DE). The focus group participants discussed the opportunities for innovation, the expected impact on them and the society at large, their needs and the pre-conditions needed to make SL and DE successful, and limitations. The results are presented according to the six principles of sustainability education in the university environment, highlighting the transformative potential of combining these principles within SL and DE.

This study investigates how customers’ technological readiness affects service quality and the adoption of self-service banking by developing an empirical model. The model was proposed to explore the relationships between technology readiness, self-service quality, and customer satisfaction. The hypotheses and stability of the model were tested using structural equation modeling. The findings revealed that technology readiness, including the optimism, innovation, and insecurity dimensions, had a significant positive impact on self-service quality. In addition, service quality fully mediated the relationship between technological readiness and customer satisfaction. These results suggest that when customers are ready to embrace and use new technology, their evaluation of service quality is high. Thus, bank managers should drive customer perceptions of the quality of self-service banking by improving their technological readiness through various measures. Furthermore, based on the mediating effect of self-service quality, banks must be aware that improving service quality can enhance customer satisfaction and maintain a competitive advantage.

Many tasks in a modern household are done by machines like e.g. a dishwasher or a vacuum cleaner and in the near future most household tasks can be done by smart service robots. This relieves the residents who in turn can enjoy their free time. This newly gained free time turns out to cause the so called spare time rebound effect due to more resource consumption [1,2]. We roughly quantify this rebound effect and propose a CO2 -budget model to reduce or even avoid it. In modern industry, automation and AI take over work from humans, leading to higher productivity of the company as a whole. This is the main reason for economic growth which leads to environmental problems due to higher consumption of natural resources. We show that, even though the effects of automation at home and in the industry are different (free time versus higher productivity) in the end they both lead to more resource consumption and environmental pollution. We discuss possible solutions to this problem such as carbon taxes, emissions trading systems and a carbon budget.

In today's intricate media landscape, the resilience and relevance of public service media (PSM) depend on their capacity to align with the diverse and evolving expectations of the public. However, the audience perspective is often overlooked, resulting in a limited understanding of public expectations. This study employs a bottom-up approach that allows for a re-evaluation of the expectations from the audience's viewpoint. It investigates the public's expectations for PSM, drawing on data from 10 focus group discussions (with 60 participants) conducted in the Czech Republic. The findings indicate that expectations can be categorized into four primary dimensions: (1) the expected roles and functions of PSM; (2) the general characteristics of the PSM content (defining the desired nature of PSM content); (3) the principles governing the functioning of PSM (outlining how PSM should operate); and (4) specific requirements concerning PSM news and non-news content. In the latter dimension, objectivity emerged as one of the most critical expectations and a major source of dissatisfaction. While participants collectively value objectivity, they disagree on its definition. A deeper examination revealed that certain public expectations may be unattainable due to the simplistic view of objectivity held by some.

The Mexican Soil Mesh (MSMx) web service emerges as a pivotal tool for researchers, farmers, and policymakers in the efficient management of extensive soil databases. Built on a responsive and intelligent web design, MSMx synchronizes seamlessly with the SQL language, allowing users to selectively download variables tailored to their studies at the desired spatial scale. The programmatic structure enhances query speed, optimizes development times, and incorporates satellite programming modules for effective handling of the vast soil dataset. This paper high-lights the key features, benefits, and applications of MSMx, emphasizing its role in facilitating data-driven decision-making processes and promoting sustainable soil management practices on the continental shelf of Mexico.

Introduction : In today’s competitive business landscape, organizations strive to maintain a highly committed workforce to enhance productivity, reduce turnover, and achieve long-term success. Organizational commitment, defined as the psychological attachment of employees to their organization, is crucial in fostering employee loyalty and engagement (Meyer & Allen, 1991). However, identifying the factors that influence organizational commitment requires a deep understanding of employee attitudes and behaviors.

Following the transfer of hospital services to provincial government oversight, it is essential to understand how such changes impact service quality and efficiency. This study aims to identify the factors affecting hospital service quality post-transfer and evaluate the role of professional nurses in maintaining service standards under new governance.We conducted the study at sub-district health-promoting hospitals using a mixed-methods design based on the Global Fund-HSS framework (2012), which categorizes factors into accessibility, processes, productivity, and outcomes. We collected data from 340 nurses and 400 patients using structured questionnaires. We divided the questionnaires into seven sections, which captured a range of metrics such as the personal data of nurses, hospital service activities, and leadership qualities. We employed a Likert scale to gauge perceptions and expectations of service quality. We used paired t-tests to compare performance metrics before and after the administrative transfer, one-way ANOVA to assess variability among different service units, and binary logistic regression to identify key determinants of service quality in our statistical analysis. The analysis revealed a significant correlation between the attitudes and competencies of healthcare teams and the levels of service quality. Notably, service units transferred less than 50% exhibited minimal changes, indicating that the degree of transfer significantly impacts service outcomes. Despite these variations, the fundamental mission of promoting health remained consistent. The study emphasizes the critical role of nurses and recommends further research to identify additional factors that could improve service quality in transferred healthcare facilities. This could contribute to improved healthcare delivery across restructured health systems.

Following the transfer of hospital services to provincial government oversight, it is essential to understand how such changes impact service quality and efficiency. This study, conducted from 1 March 2023 to 31 March 2024 at sub-district health-promoting hospitals in Thailand, aims to identify the factors affecting hospital service quality post-transfer and evaluate the role of profes-sional nurses in maintaining service standards under new governance. Utilizing a mixed-methods design based on the Global Fund-HSS framework (2012), which categorizes factors into accessibility, processes, productivity, and outcomes, we collected data from 340 nurses and 400 patients through structured questionnaires. These questionnaires were divided into seven sec-tions, capturing metrics such as the personal data of nurses, hospital service activities, and lead-ership qualities. We employed a Likert scale to gauge perceptions and expectations of service quality and conducted paired t-tests to compare performance metrics before and after the admin-istrative transfer. One-way ANOVA was used to assess variability among different service units, and binary logistic regression helped identify key determinants of service quality. The analysis revealed a significant correlation between the attitudes and competencies of healthcare teams and the levels of service quality. Notably, service units transferred less than 50% exhibited mini-mal changes, indicating that the degree of transfer significantly impacts service outcomes. Despite these variations, the fundamental mission of promoting health remained consistent. The study emphasizes the critical role of nurses and recommends further research to identify additional factors that could improve service quality in transferred healthcare facilities, potentially contributing to enhanced healthcare delivery across restructured health systems.

To sustain water-dependent economic and socio-ecological systems, natural capital and its interactions with other capitals is gaining attention, but a clear understanding of how to manage natural capital sustainably and how to make decisions relevant to water-related ecosystem services is yet to be achieved. In this study, we extended the framing of water-related ecosystem service flows as a cycle, integrating water quantity and quality and capturing the flows of ecosystem services (i.e., green phase) and ecosystem disservices (i.e., red phase), and connecting natural capital, built capital, and beneficiaries. We applied this framework to the Jiulong River watershed in China, using hydrological models to model water quantity and quality based on historical observations and experimental data. Our results showed that, during the green phase, the interactions of natural capital and built capital significantly improved water quality in downstream areas with higher flows. During the red phase, built capital reduced ecosystem disservices by ~10% while natural capital further reduced it by over one half. Our framework can provide information for natural capital management, eco-compensation, and pollutant management relevant to water-related ecosystem services.

In recent times, the adoption of cloud computing by small and medium-sized 9 enterprises (SMEs) has become a crucial issue. These businesses face substantial difficulties in 10 accessing reliable and affordable IT infrastructure due to economic constraints and technological 11 restrictions. Hybrid cloud computing solutions which incorporate Infrastructure as a Service 12 (IaaS), Platform as a Service (PaaS), and Software as a Service (SaaS) offer a feasible approach to 13overcoming these challenges. This study proposes a systematic literature review of cloud 14 computing's impact on SME performance emphasizing cost-efficiency, reliability, and 15 competitive advantages, using the 2020 Preferred Reporting Items for Systematic Reviews and 16 Meta-Analyses (PRISMA) framework. The inclusion criteria are bounded by (1) publication date 17 between 2014 and 2024, (2) English-language publications, (3) research focused on cloud 18 computing for SMEs, and (4) studies with a clear analytical framework for evaluating SME 19 performance. Following this process, 90 eligible research studies were included. The average 20 total cost for cloud services varies significantly, with operational costs reflecting the scalability 21 of the services and the specific needs of SMEs. This analysis offers valuable guidance for SMEs 22 and stakeholders in optimizing cloud-based strategies for enhanced performance.

This study examined the relationships of reading strategies among different programs of English for Specific Purposes (ESP). A total of ninety-seven students in four ESP programs in Ecuador were surveyed regarding their reading strategies. The results found that there were significant differences among the four programs. These findings were discussed in regard to whether differences in reading strategies could potentially influence teaching effectiveness, learning outcomes, and English language applications.

Divulsuperbac (DSB) is a Service Learning project targeted at the educational community. It started in 2019 and has engaged Biology degree students in a Microbiology-focused initiative in the Valencian Community (Spain), for four academic years. The DSB project comprises various outreach activities intending to raise awareness of the superbugs' threat to pre-university students. We created an exhibition that contained 14 infographics on the topic of antimicrobial resistance which was presented every week in high schools. The infographics were presented by university students, who explained the problem to the pre-university students and subsequently assessed their comprehension of the topic. The surveys conducted yielded satisfactory results, which motivated us to extend this project to other regions of the world.

In the evolving landscape of cybersecurity threats, the Permanent Denial of Service (PDoS) attacks have emerged as a particularly damaging form of cyber aggression. Unlike the more well-known Denial of Service (DoS) attacks, which disrupt services temporarily, PDoS attacks aim to inflict irreversible damage to systems, often resulting in significant system overhauls and requiring hardware replacement. To enable the development of effective security measures, but also to address the knowledge gaps, this paper offers an in-depth exploration of PDoS attacks, emphasizing their distinguishing characteristics, underlying mechanisms, and potential further development. Through a comprehensive case study, the research highlights diverse tactics and strategies employed by attackers, from targeting IoT devices to manipulating boot processes and exploiting firmware vulnerabilities. A novel classification of PDoS attack vectors is proposed, that also explains the ways in which the systems can be compromised. The findings confirm the pressing need for adaptive and robust defense mechanisms to mitigate the threats posed by PDoS attacks in our interconnected digital world.

BACKGROUND: Current research recorded hearing loss in 8.5million Nigerians. Hearing loss can be prevented and treated. Most individuals in the communities are unaware. Available hearing screening instruments are not readily accessible in communities. Regular screening is the key. Hence, the introduction of the HearWHO App in the communities, a mobile hearing screener. AIM: - To detect hearing loss and otological disorders - To validate the HearWHO App in the communities - To launch the HearWHO App in the communities MATERIALS AND METHODS: Commenced after obtaining due ethical clearance, informed consent and permissions. A 3 year duration study (March 2020 to March 2022). Study centres were 4 motor parks in Benin City Edo State (Muyi line, Faith motors, Iyare motors and Magorawa terminal) and 2 hospitals in Ondo City, Ondo state (General Hospital and Trauma Centre of the UNIMEDTH complexes). Ambient noise was recorded. Total population sampling technique was used. Health education was given. Using the HearWHO App in mobile smartphone connected to ear piece, each participant’s ears were tested. Each ear was regarded as a separate entity. Otoscopy was done. Findings of hearWHO App were compared with Otoscopic findings. Data realized were documented and analyzed with SPSS -23. P value < 0.05 was regarded statistically significant. RESULTS: 175 individuals participated, giving 350 ears examined. There were abnormal HearWHO findings in 77.4% ears compared to abnormal Otological findings in 65.0% ears. Predominant otological disorder was Eustachian Tube Dysfunction. Association of HearWHO finding with location was statistically significant (P=0.014). CONCLUSION AND RECOMMENDATION: Hearing loss and otological disorders were detected. There was agreement between HearWHO normal findings and normal otological findings. Based on challenges encountered, there is need to develop additional Apps or modify the HearWHO App to ensure Sustainable Developmental Goal -3 (SDG -3). Thus, creating a better future today making impact with mobile technology.

Background: We conducted research on the newly developed personalized recommendation service (PRS) of the global network of Korean scientists and engineers (KOSEN) in order to explore the information usage behavior and importance of the PRS used by Korean scientists and engineers. Methods: In order to understand information usage behavior, we gathered data from 513 survey results and analyzed them in terms of information usage behavior and the corresponding importance in each of the service quality areas. Results: We analyzed the 321 outcomes that indicated non-use of the PRS in order to understand the underlying reason(s); we employed 192 results that demonstrated the use of functionality to examine information usage behavior and importance. They found that the predominant motive for non-use of the service resulted from the respondents not knowing how to use it. According to demographic characteristics, the usage behavior of the PRS showed a difference regarding the purpose of using the service in the categories of gender and major field of study. Furthermore, users were concerned with various components of the PRS such as ease of use, design, relevance of content, user support, and interactivity. Conclusions: We suggest reinforcing user education degree and promotion to enhance the PRS. Since users were concerned with ease of use, design, relevance, user support, and interactivity, we recommend these as major points for improvement.

1) Background: In service business areas, design enhances the customer experience through the elements which anticipate specific emotional responses of customers. Many service companies are keen to develop and examine design elements from the customer perspective. Furthermore, recently, having considered the significance of customers’ emotional responses by design elements, categorising design elements into manageable dimensions can facilitate the evaluation of design elements. However, design elements and dimensions of design value are not defined in the current service marketing literature, and companies need a measurement tool and managerial guideline to their innovative value creation and compelling service delivery. For these reasons, this research aims to categorise the design value dimensions and propose the managerial implication for the innovative use of design; 2) Methods: This study used the mixed methodology; two stages of interviews and SEM (Structural Equation Modelling); 3) Results: Interview analyses facilitate the identification of design elements in the service delivery process. SEM results underpin the relevance of the categorised design elements and their impact on customer loyalty by comparing different groups (country and time elapsed from experience); and 4) Conclusions: Findings are the fundamentals of developing measuring tool for design and trigger future studies for conceptualising intangible assets.

In the fast-evolving landscape of web services, success relies on optimizing efficiency, reliability, and user satisfaction. Decision-making in real-world applications demands a blend of quantitative (numerical values of quality of Service factors) and qualitative data of experts’ ratings of the quality of service factors. This paper proposes an optimization technique that integrates Hesitant and Intuitionistic Fuzzy Linguistic Terms with TOPSIS, leveraging Entropy Objective weights. There is limited research on Hesitant Intuitionistic Fuzzy Linguistic terms and the need to model fuzziness, haste and intuition in data precisely from experts rating. Thus, this article introduces an Entropy-based model tailored for web service optimization. Using the WS-DREAM dataset, quantitative data was extracted and objective weights were determined through the Entropy algorithm and qualitative evaluations from five experts, employing Hesitant Intuitionistic Fuzzy Linguistic Terms, were integrated. The process involved computing criteria weights and experts' assessment of Quality of Service factors for four services (S1, S2, S3, and S4) to form the Fuzzy Decision Matrix using modified Online output software. Applying the proposed technique to a web service optimization problem validated its effectiveness. The results indicated optimal selection of S1 as the best web service, supported by Coefficient Index values (0.785). This study introduces a novel approach, Entrop – Hesitationistic - Fuzz-TOPSIS, for web service optimization, integrating quantitative and qualitative data through an Entropy-based model. The effectiveness of the proposed technique, validated through application on the WS-DREAM dataset, underscores its potential in addressing real-world decision-making challenges. The optimal selection of S1 as the best web service suggests practical utility. The study encourages further exploration of this technique's applicability to diverse Multiple Criteria Decision Making (MCDM) problems, opening avenues for future research and application.

This study aimed to evaluate the level of skill in observing teaching competency in pre-service physical education (PE) teachers and provide basic data to cultivate teaching competency. A total of 21 third-year pre-service PE teachers were selected as participants. The study derived descriptive statistics to analyze the participants’ observation skills regarding teaching competency in different class stages using evaluation results of class demonstrations by pre-service teachers. Mann–Whitney U test was conducted to verify the statistical significance of the evaluation between in-service and pre-service teachers. Compared with in-service teachers, pre-service teachers reported high agreement with intuitive teaching behaviors. However, pre-service teachers indicated low agreement with skills that required complex teaching behaviors depending on various situations. Based on theories by Schon (1983), pre-service teachers showed high “knowledge for practice” and low “knowledge in practice.” Thus, pre-service education must balance practical knowledge and theory rather than focus on theory-based education. This study provided directions for pre-service teacher education to enhance the competency of pre-service teachers for leading and analyzing classes.

Relatives play an important role in mental health service users’ care. Interventions directed either at service users or their relatives may influence the other person as well. The project Activa’t per la salut mental (Get active for mental health) consisted of a series of four interventions addressed at people diagnosed with mental disorders and their relatives to help them in their recovery process, increasing their agency and quality of life. The objective of the present study is to evaluate the interaction of the participation of service users on their relatives’ outcomes and vice versa. The impact of the project was evaluated within an RCT. The treatment group had access to all the circuit interventions while the control group received treatment as usual and could only access one of the interventions. All participants were evaluated at baseline, six months, and twelve months after the end of the first intervention. Service users were evaluated with the Stages of recovery questionnaire, and relatives with the Family Burden Interview Schedule II and the Duke-UNC-11 questionnaires. The interaction between service users and their relatives was analysed by means of correlational analyses within the intervention group. Service users baseline characteristics influenced in the level of participation of relatives and vice versa. The results also indicated an interaction between service users’ recovery score changes on the change of care burden of relatives. Service users’ participation levels interacted with the decrease of relatives’ burden. These results can be extremely helpful in fostering interactive benefits in future projects addressing the wellbeing of mental health service users and their relatives. Future studies could use specific designs to explore the directionality of the causality of these effects.

In Differentiated Services (DiffServ) architecture, Priority Service System (PSS) plays a vital responsibility to provide Quality-of-Service (QoS) for the applications based on networks. Priority queuing systems has always been a subject of interest for analytical modelling and evaluating the performance. However, previous works have mainly focused on performing priority queuing under range dependent traffics, namely Short Range Dependent (SRD) or Long Range Dependent (LRD). Recent studies revealed that realistic traffic demonstrates a heterogeneous nature for the modern networks that provide multiple services. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to study the heterogeneous traffic impact on designing and performance of the systems based on networks. In this paper, the results of analytical and simulation models of dynamic priority service systems is reviewed to investigate the impact of heterogeneous traffic on the design and performance of network-based systems. Here, the time of presence of requests in limited and unlimited buffer system is restricted. If the restriction is violated, the requests will be lost. The results of experiments conducted on both models are compared and it is identified that they differ in the allowable limit (2-9) %.

Cloud robotics is becoming an alternative to support advanced services of robots with low computing power as network technology advances. Recently, fog robotics has gained attention since the approach has merit relieving latency and security issues over the conventional cloud robotics. In this paper, a Function-as-a-Service based Fog Robotic (FaaS-FR) for cognitive robots is proposed. The model distributes the cognitive functions according to the computational power, latency and security with a public robot cloud and fog robot server. During the experiment with a Raspberry Pi as an edge, the proposed FaaS-FR model shows efficient and practical performance in the proper distribution of the computational work of the cognitive system.

Inequality of health service for different specialty categories not only occurs in different areas inequality of health service for different specialty categories in the world, but also happens in the online service platform. In the online health community (OHC), health service was often of inequality for different specialty categories, including both online views and medical consultation for offline registered service. Moreover, how the factor city-level impacts the inequality of health service in OHC is still unknown. We designed a causal inference study with data on distributions of serviced patients and online views in over 100 distinct specialty categories on one largest OHC in China. To derive the causal effect of the city-levels (two levels inducing 1 and 0) on the Gini coefficient, we matched the focus cases in cities of rich healthcare resources with the potential control cities. For the Gini coefficient of serviced patients in over 100 specialty categories, the average treatment effect of level-1 cities is 0.470, which is 0.029 higher than that of the matched group. Similarly, for the Gini coefficient of online views, the average treatment effect of Level-1 cities is 0.573, which is 0.016 higher than that of the matched group. For each of the specialty categories, we also estimated the average treatment effect the specialty category’s Gini coefficient ( ) with the balanced covariates. The results support the argument that the total Gini coefficient of all the doctors in OHC shows that the inequality of health service is still very serious. This study contributes to the development of the theoretically grounded understanding of the causal effect of city-level on the inequality of health service in an online to offline healthcare service setting.

Many accidents, such as those involving collisions or trips, appear to involve failures of vision; but the association between accident risk and vision as conventionally assessed, is weak or absent. We addressed this conundrum by embracing the distinction inspired by neuroscientific research, between vision for perception and vision for action. A dual-process perspective predicts that accident vulnerability will be associated more strongly with vision for action than vision for perception. Older and younger adults, with relatively high and relatively low self-reported accident vulnerability (Accident Proneness Questionnaire), completed three behavioural assessments targeting: vision for perception (Freiburg Visual Acuity Test); vision for action (Vision for Action Test - VAT); and the ability to perform physical actions involving balance, walking and standing (Short Physical Performance Battery). Accident vulnerability was not associated with visual acuity or with performance of physical actions; but was associated with VAT performance. VAT assesses the ability to link visual input with a specific action –launching a saccadic eye movement as rapidly as possible, in response to shapes presented in peripheral vision. The predictive relationship between VAT performance and accident vulnerability was independent of age, visual acuity and physical performance scores. Applied implications of these findings are considered.

Online streaming contents are creating greater service uncertainty, as consumers need to experience such contents before making a decision to continue to purchase them. Few studies have investigated the interaction between eWOM (online word-of-mouth) and online streaming content service characteristics in online streaming contents’ performance and explained the way this interaction can promote service characteristics’ role in service performance or remedy service uncertainty attributable to these characteristics. Thus, this paper examines the interaction between eWOM and service (webtoon) characteristics (i.e., author experience, genre (drama or fantasy), completion, transfer to pay service, and publication time (Wednesday)) on online streaming contents’ service performance measures such as publication period and gamification of contents. Author experience and genre interact with the number of reviews to affect gamification. The transfer to pay service interacts crucially with review ratings and the number of reviews to influence both publication period and gamification. Online streaming contents completion and publication time are interacting factors with review ratings that affected publication period. Service providers need to cope with service uncertainty in furthering online streaming contents service by considering service characteristics as well as customers’ responses through eWOM.

The purpose of this study was to develop a reflective evaluation tool that can enhance the teaching competency of pre-service physical education teachers. A Delphi survey was conducted to modify the questions based on the evaluation tool for the teaching competency of physical education teachers, and each evaluation standard based on teaching competency was developed. The evaluation tool consisted of 46 questions for class preparation (the creation of the learning environment), the introduction (routine activities, learning goals, and task presentation), development (class strategy, observation and interaction, and the maintenance of the learning environment), and conclusion (routine activities, summary, and closure). It was designed to increase the accuracy of evaluation by developing evaluation criteria for each question. An evaluation tool including quantitative and qualitative methods for use in pre-service physical education teacher education was developed. The significance of this study was the development of an effective evaluation tool that can evaluate the core teaching behaviors in the field of physical education. This evaluation tool should be used as a learning tool that includes planning, operation, evaluation, and seeking improvement measures through reflective activities. If pre-service teacher education institutions apply this evaluation tool in their teacher training programs, it would be a great chance to learn how to develop and sustain teaching abilities and effectiveness.

Smart, reliable, and connected multi-modal mobility has been a long-standing goal of transit services. This paper focuses on the smart, seamless, and multi-modal mobility service in the context of “Mobility as a Service” (MaaS). Intelligent mobility is the smarter, greener, and more efficient movement of passengers around the world. Increasingly, mobility is approached as a service. This study first conducts an extensive literature review on mobility behavior and demand pattern of MaaS end-users. It then extends the mechanism of supply chain, MaaS, synergy (i.e., vertical cooperation synergy, horizontal competition synergy), and coopetition to develop the multi-tier closed-loop intelligent mobility service supply chain network. This paper explains the intelligent mobility service supply chain network from following perspectives: (i) mobility service taxonomy of MaaS; (ii) aims of intelligent mobility service supply chain network; (iii) urban rail transit (URT)-centered alternatives for integrated multimodal journey planning, i.e. access + URT + egress, and both access and egress can be served by Mobility-On-Demand (MOD) transport; (iv) node member imperatives. From a synthesis of insights from the ‘during’ journey, this study puts forward the synergetic design of intelligent mobility service supply chain network, including: (i) multi-tier closed-loop structure; (ii) key nodes identification for the physical multimodal transport network in the supply chain; (iii) hybrid synergy mechanisms among the partners, i.e., synergy principle, temporal splitting approach for coopetition synergy; (iv) index systems and evaluation methods for synergy measurement. This study also contributes to the integrated multimodal journey planning. In concluding, the paper highlights the important implications of the proposed intelligent mobility service supply chain network for MaaS bundle design and adverse effects reduction, resulting from 1 + 1 > 2 synergy effects.

Background: Burns are a common and severe medical emergency requiring immediate specialized care to minimize damage and prevent complications. Burn severity depends on depth, extent, and location, with more complex care needed for burns on critical areas or extensive burns. Nursing is essential in burn management, providing immediate care, adapting treatments, managing pain, preventing infections, and offering emotional support for recovery. Methods: Retrospective, observational study that analyzed burn cases treated at the Hospital Complex of Cáceres (Spain) 2018-2022. Inclusion criteria were based on ICD-10 codes for burns, excluding severe cases not treated in this service. Data were analyzed using descriptive statistics, Student's t-tests, Chi-square tests, and ANOVA. Results: 220 patients, with a mean age of 47 years and 60.9% male. Most burns (95.5%) affected the external body surface, with a mean hospital stay of 7.86 days. Medical treatment was provided to 75.5% of patients, and 24.5% required surgical intervention. Significant differences in treatment procedures were observed according to age, skin thickness, and burn degree. Older patients had more procedures and longer hospital stays. Excision and transfer procedures were more common in full-thickness and severe burns. Conclusions: The findings align with previous research on burn demographics and treatment approaches. Treatment differences by age and burn severity highlight the need for tailored interventions. The study underscores the importance of comprehensive burn management, including psychological support for improved long-term outcomes. Further research could explore the impact of socio-economic factors on burn incidence and treatment.

The purpose of this study is to analyse the drivers and outcomes of the brand love derived from consumption experiences in the automobile retail sector. We examine the effects of consumers’ perceptions of perceived service quality and the trust they feel towards a car dealership (cognition) on emotions and brand love (affection), and the effects of brand love on consumers´ behavioural intentions (conation). This research provides insights into customer brand love in the automobile industry.

Mangrove ecosystems play an important role in local livelihoods in coastal regions of tropical and subtropical countries. However, in recent years urbanisation has changed the income structure of residents near mangroves. Different landscapes provide different job opportunities; thus, analysis of regional landscape patterns is important for understanding income structures. In this study, surveys on the income structure and landscape patterns of the surrounding areas of three mangrove sites were conducted in the Hau and Hoang Mai River estuaries in Nghe An Province, North-Central Vietnam. The results revealed that both natural and socio-economic landscape components affected income structure. The major occupations in the study area were agriculture, including husbandry, sea fishing, and trading. Land morphology and river type were the major factors influencing the income from agriculture, while coastline morphology primarily affected income from sea fishing. Community-based trading was carried out in the study area; thus, the population inside each administrative unit was a significant factor increasing income, while the retail market size in an area had significant negative effects, potentially due to the increasing number of competitors. Our study aimed to evaluate mangrove ecosystem importance for local livelihoods in relation to landscape patterns, and the results contribute to urban planning based on the conservation and sustainable use of mangrove ecosystems.

The article presents an original method to assess the sustainability of concrete. The method uses three parameters, namely: performance, lifetime and environmental impact, to calculate a sustainability index. The originality and the simplicity of the proposed method presented in the article consists in the fact that by applying the relation to determine the sustainability index, the first two factors service life and performance are constant. This approach is possible in the context of the new proposals to specify the durability of structural concrete in EN 1992 and EN 206. That allows classification of concrete according to its performance, through Environmental action Resistance Classes (ERC). For this purpose, specific experimental methods were used in order to determine the performance of concrete exposed to carbonation. The concretes were prepared with two cement types with additions (CEM II / A-S and CEM II / A-M (S-LL)). Based on the carbonation resistance classes (the first constant - the performance) and exposure classes, the thickness of the concrete cover layer was determined to ensure a certain service lifetime (second constant - the service lifetime). Finally, the global warming potential was calculated for each composition, consequently allowing the users of the method, to select the compositions with the lowest impact on the environment.

This article presents a method to assess the sustainability of concrete based on three elements: service life, performance and environmental impact. The method proposes - to achieve similar performance and service life times, regardless of the component materials used, so that the sustainability assessment ultimately depends on the environmental impact criterion. To this end, specific experimental methods are used to determine the performance of concrete in terms of compressive strength and carbonation resistance for concrete cast with two blended cement types. The procedure needed to classify the concrete through carbonation resistance is detailed, in relationship with the performance obtained for compressive strength. The obtained results highlight the concrete formulations to be used to ensure similar performances regardless of the cement type used. In conclusion, the simplicity in the application of the method, which is closely related to the performance approach on concrete durability in the revision proposals of the European standards, is highlighted. The method is also a useful tool to encourage the widespread use in concrete formulation of blended cements with low environmental impact, without reducing the performance or service life time of the constructions.

Mobility as a Service (MaaS) is an innovative transport concept, anticipated to provide travelers with different kinds of travel services, more sustainable than a private car, in a simpler, packaged way. It combines different transport modes to offer a tailored mobility package, like a monthly mobile phone contract. The rapid development of intelligent transportation system and the shared economy has speeded up the development of MaaS in these years. In this paper, we aim at classifying the existing research on MaaS and the characteristics of MaaS into different categories, in order to answer the following questions after reviewing the existing literature: What is MaaS? Who are the main actors in MaaS? How can MaaS be implemented? Why should it be implemented? Where will MaaS end up in this wave of disruption? When we talk about MaaS, what are we focusing on? What is the future leading frequency of MaaS? Finally, based on the existing literature, we envision the leading future of MaaS.

This paper describes the development of a laser-based people detection and obstacle avoidance algorithm for a differential-drive robot, which is used for transporting materials along a reference path in hospital domains. Detecting humans from laser data is an important functionality for the safety of navigation in the shared workspace with people. Nevertheless, traditional methods normally utilize machine learning techniques on hand-crafted geometrical features extracted from individual clusters. Moreover, the datasets used to train the models are usually small and need to manually label every laser scan, increasing the difficulty and cost of deploying people detection algorithms in new environments. To tackle these problems, (1) we propose a novel deep learning-based method, which uses the deep neural network in a sliding window fashion to effectively classify every single point of a laser scan. (2) To increase the speed of inference without losing performance, we use a jump distance clustering method to decrease the number of points needed to be evaluated. (3) To reduce the workload of labeling data, we also propose an approach to automatically annotate datasets collected in real scenarios. In general, the proposed approach runs in real-time, performs much better than traditional methods, and can be straightforwardly extended to 3D laser data. Secondly, conventional pure reactive obstacle avoidance algorithms can produce inefficient and oscillatory behaviors in dynamic environments, making pedestrians confused and possibly leading to dangerous reactions. To improve the legibility and naturalness of obstacle avoidance in human crowded environments, we introduce a sampling-based local path planner, similar to the method used in autonomous driving cars. The key idea is to avoid obstacles by switching lanes. We also adopt a simple rule to decrease the number of unnecessary deviations from the reference path. Experiments carried out in real-world environments confirmed the effectiveness of the proposed algorithms.

Obesity in Australia is rapidly rising, and is a major public health concern. Obesity increases risk of breast cancer and worse associated outcomes, yet breast screening participation rates in Australia are suboptimal and can be lower in higher risk, obese women. This study qualitatively explored barriers to breast screening participation in obese women in Australia. In-depth interviews (n=29), were conducted with obese women (BMI 30) and key health stakeholders. A disconnect between stakeholders’ and women’s perceptions was found. For women, low knowledge around a heightened need to screen existed, they reported limited desire to prioritize personal health needs, reluctance to screen due to poor body image and prior negative mammographic experiences due to issues with weight. Stakeholders perceived few issues in screening obese women beyond equipment limitations, and health and safety issues. Overall, weight was a taboo topic among our interviewees, indicating that a lack of discourse around this issue may be putting obese women at increased risk of breast cancer morbidity and mortality. Consideration of breast screening policy in obese women is warranted. Targeted health promotion on increased breast cancer risk in obese women is required as is a need to address body image issues and encourage screening participation.

This paper aims to build up a preference function to evaluate the public benefits of the type of agricultural farming, biodiversity, water provisions, land use type, ecotourism modes, and a monetary attribute (environmental trust fund and willingness to contribute) associated with an ecosystem service and land use program in a forest park. This study used the choice experiments to build a random utility model, analyze the average preference for the above land use attributes based on the conditional logit and used a latent class model to test the resident’s heterogeneous preferences for land use planning in the forest park. We also estimated the welfare derived from various land use programs. The empirical result had shown that: (1) increasing organic farming area, maintaining the status quo of species biodiversity, increasing the surface water provision, increasing the area of custom flora, increasing the wetland area, and setting up an integrated framework for ecotourism increase the public’s preference for the land use program; (2) we found that farmer and non-farmer haven’t the same land use preferences; (3) the ecotourism development program incorporating biodiversity, organic farming, ethnobotany, and wetland area with integrated ecotourism are more preferred than other land use program scenarios.

Cloud Manufacturing (CMfg) has attracted lots of attention from scholars and practitioners. The purpose of quality of service (QoS)-aware manufacturing cloud service composition (MCSC), as one of the key issues in CMfg, is to combine different available manufacturing cloud services(MCSs) to generate an optimized MCSC that can meet diverse requirements of customers. However, many available MCS, deployed in the CMfg platform, have same function but different QoS attributes. It is a great challenge to achieve optimal MCSC with high QoS. In order to obtain better optimization results efficiently for the QoS-MCSC problems, a whale optimization algorithm(WOA) with adaptive weight, Lévy flight, and adaptive crossover strategies (ASWOA) is proposed. In the proposed ASWOA, the adaptive crossover inspired by the genetic algorithm is developed to balance the exploration and exploitation. The Lévy flight is designed to expand the search space of WOA and accelerate the convergence of WOA with adaptive crossover. The adaptive weight is developed to extend the search scale of the exploitation. Simulation and comparison experiments are conducted on different scale QoS-MCSC problems. The experimental results demonstrate that the proposed ASWOA outperforms other compared cutting-edge algorithms.

In addition to the traditional QoS metrics of delay, delay jitter, and packet loss probability (PLP), Quality of Experience (QoE) is now widely accepted as a numerical proxy for actual user experience. The literature has reported many mathematical mappings between QoE and QoS. These QoS parameters are measured by the network providers using sampling. There are some papers studying sampling errors in QoS measurements; however there is no account of propagation of these sampling errors to QoE evaluation. In this paper, we used industrially acquired measurements of PLP and jitter to evaluate the sampling errors and correlation in measurements. Focussing on Video-on-demand (VoD) applications, we use subjective testing and regression to map QoE metrics onto PLP and jitter. The resulting mathematical functions of QoE and theory of error propagation was used to evaluate the propagated error in QoE, and this error was represented as confidence interval. Using the guidelines of UK government for sampling, our results indicate that confidence intervals around estimated QoE in a busy hour can be between MOS=1 to MOS=5 at targeted operating point of QoS parameters. These results are a new perspective on QoE evaluation, and are of great significance to all organisations that need to estimate the QoE VoD applications precisely.

This study aimed to investigate Romanian physicians' awareness, recommendation practices, and opinions regarding using Foods for Special Medical Purposes (FSMPs) products. A total of ten physicians were interviewed using a structured questionnaire, and their responses were analysed using thematic content analysis. The study found that physicians were aware of FSMPs and recommended them to their patients based on nutritional deficits, weight loss, or deglutition impairments. In addition, disease stage, treatment scheme, taste, affordability, and availability were identified as factors influencing the recommendation and use of FSMPs. While physicians generally did not consult clinical trials, clinical experience was deemed essential for recommending FSMPs to patients. Patients' feedback regarding the usage and sourcing of FSMPs was generally positive, with some expressing concerns about the availability of different flavours and the costs of purchasing the products. The study concludes that physicians play a vital role in recommending FSMPs to patients and ensuring they have the necessary nutritional support during treatment. However, more patient education materials and collaboration with nutritionists may be required to improve patient outcomes and reduce patient financial burden.

Photodynamic therapy has been applied endoscopically to treat early esophageal cancer. However, the long-term survival outcome of this treatment option is unknown in literature. Patients and Method: The patients of early esophageal cancer (clinical stage I) treated with photophrin based photodynamic therapy were analyzed for their long-term survival outcome and compared to those patients undergoing esophagectomy by a single surgeon for stage I disease. Results: There were 15 and 16 patients undergoing PDT and esophagectomy enrolled in the current study respectively. Complete response was achieved in 10 (66.7%) patients after PDT. After adjuvant chemoradiation (CCRT) complete response was achieved in 13 patients (86%). There is no mortality after PDT. Severe complication was detected in 3 patients including trachea-esophageal fistulae, esophageal stenosis and skin photosensitivity respectively. With a median follow-up duration of 110.2 months (+9.6 months) for the patients after PDT, there were 4 and 3 recurrence in the primary tumor site and regional lymph node respectively with 73.3% of successful local control rate of the primary tumor. There were 7 (46.7%) patients died during clinical follow-up of this cohort with 5 (33.3%) from disease progression of esophageal cancer and two from other diseases respectively. The five-year survival rate after PDT is 64.3%, whereas 70.9% of the patients after esophagectomy without significant difference of these two group of patients (P=0.72). Conclusion: Our preliminary results suggested that PDT might provide an equivalent long-term oncological outcome as compared to that done by esophagectomy for early esophageal cancer. A prospective randomized clinical trial comparing the results with esophagectomy and other endoscopic abrasive therapies is warrant in the future.

This study investigated vegetable farmers’ willingness-to-pay (WTP) for private advisory services in northwestern Ethiopia. Understanding farmers' preferences for modernizing agricultural advisory services is essential for enhancing the productivity and profitability of smallholder farming. The study assessed WTP for improved advisory services using data from 393 farm households in northwestern Ethiopia. Data from discrete choice experiments were analysed using a random parameter logit model. The results revealed the existence of heterogeneity in farmers’ WTP for vegetable advisory services. Household educational status and age influenced preferences for advisory service features. Farmers preferred enhanced services with frequent visits from agricultural experts and hands-on, field assistance over digital short message service (SMS) and voice-based advice. Additionally, they were more willing to invest in services that focused on leafy vegetables than on fruity vegetables or roots and tubers. The results suggest that the push for commercializing agricultural advisory services should consider contextual differences in smallholders’ preferences.

Background: Community pharmacies have unparalleled potential to increase access to pre-exposure prophylaxis medications (PrEP) for HIV prevention; however, only 17 out of 50 states in the United States have statewide authority for pharmacists to provide PrEP at community pharmacies. Few studies have reported on how pharmacists overcome the legislative barrier and provide PrEP services in restrictive pharmacy prescription states. The objective of this article is to identify the existing primary literature describing pharmacist PrEP service in the community in states with restrictive prescription authority. Methods: A systemic literature review was conducted to identify primary literature that involved community pharmacy service and PrEP conducted in states that do not have expanded pharmacist prescriptive authority between 2000 and 2024. Results: Ten publications were identified describing nine studies, including four interview and survey studies, three intervention reports, and two ongoing clinical trials. None of these studies have a control group. Most pharmacists provide PrEP service in the community through a collaborative practice agreement with a primary care provider. Conclusions: Future clinical studies with randomized controlled designs are required to test novel strategies in the education and implementation of pharmacy-led PrEP services in a community pharmacy setting to increase PrEP access.

The focus of most interventions in COVID-19 responses across the world has been on healthcare systems, developing vaccines and treatments and the safety of healthcare workers with very little or no attention to sanitation service providers. This study assesses the operational and economic impact of the COVID-19 pandemic on sanitation service providers in Ghana. It identifies the coping mechanisms and measures put in place to ensure continuous service delivery, identifies promising circular economy solutions for water and fecal sludge reuse beneficial to water, waste, and food systems. The study uses cross-sectional data from 56 vacuum track operators from the Accra Metro using a semi-structured questionnaire between January – March 2021. Descriptive statistics such as means and frequencies have been used to analyze and present them using tables and graphs. Furthermore, narrative reviews are used to support findings of the survey. The number of clients served by vacuum truck operators during COVID-19 decreased on average by 20%, 24% and 29% for households, public toilet, and institutions respectively. Fees charged for services rendered were reduced on average by 19% across all clients. The use of PPEs by vacuum truck operators have increased during the pandemic. Most vacuum truck operators did not receive any public support during the pandemic, only a few received some form of training pertaining to safe and effective service delivery. It is recommended that training on how to provide quality customer service while ensuring safety be provided by waste management experts. Circular economy approaches in wastewater and fecal sludge management that have potential for building resilience against the pandemic include water reuse for irrigation, water reuse for aquaculture, nutrient, and energy recovery from fecal sludge.

Rapid urbanization has profoundly impacted regional ecosystem services. However, few studies have comprehensively examined the spatiotemporal relationship between multi-dimensional urbanization processes and ecosystem services. This study investigated the spatiotemporal dynamics of urbanization and ecosystem services value (ESV) in the Yangtze River Delta (YRD) region, China, from 2010 to 2020. We measured urbanization levels from two dimensions: Urbanization I (demographic, economic, and land urbanization) and Urbanization II (social and cultural urbanization). The ESV was quantified using the equivalent factor method. The results showed that: (1) The level of Urbanization I increased steadily, while Urbanization II, despite a lower level, exhibited a faster growth rate, especially after 2017; (2) The total ESV declined, with regulating services decreasing the most. The spatial distribution of ESV showed significant heterogeneity; (3) Urbanization had a significant negative correlation with ESV, with Urbanization I exerting a greater negative impact than Urbanization II; (4) The eastern region was dominated by high urbanization-low ESV clusters, while the western region was characterized by low urbanization-high ESV clusters. The findings provide important implications for regional sustainable development and can serve as a reference for related studies in other rapidly urbanizing areas around the world.

Background: Individuals living in rural areas often face challenges in accessing healthcare, increasing their risk of poor health outcomes. Farmers, a sub-population in rural areas, are particularly vulnerable to mental health issues and suicide, yet exhibit low rates of help-seeking behavior. The aim of our study was to develop an in-depth understanding of the issues influencing mental help-seeking among farmers living in rural areas from the perspectives of healthcare providers, as well as to explore the strategies providers use to navigate through these issues to effectively engage with this vulnerable population. Methods: We used a descriptive phenomenological approach to understand healthcare providers’ perspectives, experiences, and approaches to providing mental healthcare to farmer clients in rural areas. Semi-structured interviews were conducted with 21 participants between March and May 2023. Results: Our analysis yielded five thematic areas: (1) ensuring accessibility, (2) establishing relatability, (3) addressing stoicism and stigma, (4) navigating dual roles, and (5) understanding community trauma. Conclusions: Healthcare service delivery for farmers is multifaceted. This study fills a gap in knowledge by translating these the data to inform an evidence-based model and a list of recommendations for implementing agriculturally-informed practices in rural areas.

To decrease privacy risks, consumers may choose to misrepresent when they are asked to offer personal information. This paper examines the impact of consumer misrepresentation on a monopolistic firm and consumers with an economic model. The results show that consumer misrepresentation may benefit the firm but hurt consumers. In addition, consumers misrepresentation may encourage the firm to provide higher personalized service level in certain scenarios, such as, when the unit cost of personalized service is low. Thirdly, when consumers misrepresent, and the firm only covers part of the market, a greater unit value of consumer’s privacy information will reduce the firm’s profit, but a greater unit cost of personalized service increases the firm’s profit.

Abstract: This study aimed to evaluate the long-term impact of paediatric dentistry programmes on children and adolescents to reduce oral health inequalities. It measures and assesses the improvement effects of paediatric dentistry programmes on the oral health of children and adolescents as part of the efforts to decrease oral health disparities in this age group. It included 406 individuals who participated in student and paediatric dentistry programmes between 2013 and 2019 at screening facilities in Gwangjin-gu, Seoul. Frequency analysis was conducted for demographic characteristics, and binary logistic regression analysis was performed to identify factors influencing the prevalence of dental caries as the dependent variable. Data were analysed using PASW Statistics with the statistical significance level set at α=0.05. Regarding oral health indicators based on the frequency of participation in paediatric dentistry programmes for children and adolescents, participants with seven or more sessions had lower prevalence rates of dental caries, malocclusion, and periodontal disease than those with only one session. Second, when comparing oral health indicators in paediatric dentistry programmes between primary and adolescent age groups, individuals under continuous management showed a decrease in permanent teeth affected by dental caries, dental caries prevalence, and malocclusion prevalence (excluding primary school age). Third, binary logistic regression analysis revealed significant influences (p

Study aimed to evaluate the impact of integrating family planning with maternal, newborn, and child health (FP-MNCH) on uptake of modern contraceptive methods and related health outcomes in two districts of the province of Sindh, Pakistan. Impact of intervention was evaluated using a quasi-experimental control before-after study design. Intervention included capacity building of healthcare providers and outreach workers, ensuring sustained supplies of family planning commodities, data-driven decision-making, and community engagement activities. Data was collected through household surveys at baseline (December2020) and endline (December 2022). The sample size was estimated as 880 married women of reproductive age (MWRA) in each district. The Difference and Difference(DiD) analytical method was used to estimate the impact of intervention adjusted for potential confounding factors. There was statistically significant increase of 11.3% in the current use of MCM in the intervention group compared to the control group (p value <0.001), with increases observed in the uptake of injection , implants, and condoms. Additionally, there was an increase in the proportion of women who had ANC visits (DiD 10.5% p value 0.003), FP counselling during ANC (DiD 15.6% p value < 0.001), LHW visits during pregnancy (DiD 15.1% p value 0.021), PNC check-ups for mother (DiD 25.2% p value <0.001), LHW visits after delivery (DiD 20.4% p value <0.001), and LHW advised for family planning at PNC visit n (DiD 14.5% p value 0.030). This study provides strong evidence for the scaling-up of integrated interventions through existing health care platforms utilizing human resources deployed by the government. This FP-MNCH model has the potential to be adopted in other provinces and at federally administered areas for both health and population planning. This model should be considered for replication in other districts of Sindh to accelerate current level of integration already existing.

This study aimed to assess prescription transfer and medicines collection through Wasfaty, an electronic prescription service recently introduced in Saudi Arabia. A link to a cross-sectional online questionnaire was sent to all students and staff at the University of Jeddah, targeting beneficiaries who received e-prescriptions at the University Medical Centre (n = 2067). The questionnaire comprised 20 items under the following sections; demographics, patient perceptions and satisfaction with the Wasfaty service, and the availability of medicines. Of the 217 questionnaires received, the majority were filled by females (n = 125, 57.6%). Most were satisfied with the initial registration process of Wasfaty (n = 183, 84.1%). However, almost one-third of the participants reported that they could not find the prescribed medicines (n = 64, 29.7%), and most of them had to look for another pharmacy to obtain their treatment (n = 138, 63.9%). Respondents voiced their displeasure owing to the lack of access to certain pharmaceuticals, including anti-hypertensives and antidiabetics. This pilot study identified some challenges relating to the use of the Wasfaty service. Further attention to these challenges is required from the service providers, and a large-scale national study is warranted.

Background – The profound impact of COVID-19 on the U.S. healthcare industry cannot be overstated. Telemedicine utilization exploded virtually overnight as healthcare systems, hospitals, and clinical practices rushed to implement this delivery model to ensure accessibility and continuity of patient care access across myriad service lines and dimensions. Objective – The purpose of this systematic literature review is to examine the measures that were implemented to accommodate community and individual patient needs not only to afford access to critical services, but to also maintain safety standards for affected parties. Methods – Boolean operators were crafted with the expressed intent of identifying articles within multiple database domains germane to our chosen topic. Results – 52,206 articles were captured from a general search query and subsequently distilled to 44 through group consensus based on pertinence to our basic research question. The four health service lines identified encountered similar, surmountable obstacles in their care delivery models, but adapted accordingly to the respective needs of their patient populations. Conclusion – This review showcased the healthcare industry’s ability to rapidly acclimate and change due to the pervasive spread of COVID-19 throughout the U.S. Although imperfect, unique responses were developed within telemedicine platforms to broadly and effectively mitigate disruptions in care and treatment modalities.

Multigranulation is a new approach to the Rough Set Theory, where several separability relationships are used to obtain different granulations of the universe. The Multigranulation starts from the existence of different contexts or subsets of features to characterize the objects of the universe. In this paper, a method for the generation of contexts from the construction of similarity relations is proposed.The proposed solution was evaluated in an international database using the KNN classifier. It was also applied in the solution of a real problem in Civil Engineering specifically in Traffic Engineering, the contexts generated from the proposal used to determine the features of higher incidence in the service level of the road. The results achieved both in the international database and in the proposed application demonstrate the applicability of the proposed method.

We present a methodology to enable users to interact with statistical information owned by an institution and stored in a cloud infrastructure. Mainly based on R, this approach was developed following the open-data philosophy. Also, since we use R, the implementation is mainly based on open-source software. R gives several advantages from the point of view of data management and acquisition, as it becomes a common framework that can be used to structure the processes involved in any statistical operation. This simplifies the access to the data and enable to use all the power of R in the cloud information. This methodology was applied successfully to develop a tool to manage the data of the Centre d’Estudis d’Opinió, but it can be applied to other institutions to enable open access to its data. The infrastructure also was deployed to a cloud infrastructure, to assure the scalability and a 24/7 access.

Service robots operating in indoor environments should recognize dynamic changes from sensors, such as RGB-D camera, and recall the past context. Therefore, we propose a context query-processing framework, comprising spatio-temporal robotic context query language (ST-RCQL) and spatio-temporal robotic context query-processing system (ST-RCQP), for service robots. We designed them based on the spatio-temporal context ontology. ST-RCQL can query not only the current context knowledge but also the past. In addition, ST-RCQL includes a variety of time operators and time constants, and thus queries can be written very efficiently. The ST-RCQP is a query-processing system equipped with a perception handler, working memory, and backward reasoner for real-time query-processing. Moreover, ST-RCQP accelerates query-processing speed by building a spatio-temporal index in the working memory, where percepts are stored. Through various qualitative and quantitative experiments, we demonstrate the high efficiency and performance of the proposed context query-processing framework.

This research work examined the various communication media used in the rural areas for the purpose of conveying messages to Adolescents in the selected communities in Obio/Akpor Local Government Area of Rivers State, Nigeria - Woji, Rumuigbo, Rumuola, Rumuokwuta and Elelenwo communities. The Taro Yammane Statistical formula for determination of sample size was used in drawing a sample of 363 respondents from a population of 3,630 Adolescents. The simple random sampling method was used in the distribution of the questionnaire to target respondents in the selected communities. Two hundred and eighty two (282) copies of the questionnaire were returned valid, and data from them was analysed and interpreted with the use of frequency tables and percentages. The result shows that traditional communication media is still relevant in the dissemination of information to rural dwellers in general and to Adolescents in particular. The agencies that make use of these media are; village authority, age groups, etc. The research work recommend among others that the government and rural dwellers should hold our traditional and cultural values in high esteem through the use of these media, harmonizing the use of traditional communication media and modern media for effective rural information service delivery.

In service economy, scholars and practitioners focus on the development and the appliance of innovative services. The importance of service innovation is rising in many sectors and among different organizations. Several disciplines (e.g. marketing, management, operations research, etc.) focus on this innovation, a concept widely used, but with different definitions. In this paper, service innovation has been analyzed according to SD Logic and a service ecosystem perspective. Literature still call for a deeper understanding of how new or renewed resources’ combination affect the shaping of service ecosystems. To contribute to fill this gap, the study explores the practices that different actors, internal and external to a healthcare service ecosystem, enact to co-create value in novel ways that is service innovation. The paper is structured as follows. In the next section, the main academic contributions on service research have been reviewed, focusing on healthcare service innovation. Follows, the research method and the discussion of research findings. Finally, theoretical and managerial implications have been detailed and an agenda for future research suggested. The paper offers interesting insights to develop new or renewed practices that foster the reshaping and maintaining of a healthcare service ecosystem. Some recommendations are included to support managers in the development of service innovation strategies.

Optical networks offer a wide range of benefits to the telecommunication sector world- wide with its provision of higher bandwidth which leads to faster data speed, longer transmission distance, and improved latency. Currently, the complexity associated with advancements in optical networks poses problems to network flexibility, reliability, and quality of service. Over the years, many reviews and proposals have been implemented by several literatures to provide solutions for optical networks using software-defined networks and network service orchestrators. This paper reviews the significant challenges in current optical network applications, the various solutions rendered by software-defined networks as well as network service orchestration, the impediments, and gaps in these software – defined networks. This paper will go a step further to look into the various improvements and implementations of software-defined networks tailored to solve specific optical network problems. This paper further proposes a flexible orchestration architecture for software-defined networks for solving flexibility and scalability problems in optical networks. This proposal uses Open Network System (ONOS) SDN controller, leveraging on dockerisation as well as kubernetes clusterisation and orchestration. This solution presents a more flexible, reliable, customable, and higher quality of service which is an improvement upon current solutions in literature.

Background/Objectives: Systematic quality review of ultrasound exams is recommended to assure accurate diagnosis. Our primary objectives were to develop a quantitative method for quality review of estimated fetal weight (EFW) and to assess accuracy of EFW for an entire practice and for individual personnel. A secondary objective was to evaluate accuracy of fetal sex determination. Methods: This is a retrospective cohort study. Eligible ultrasound exams included singleton pregnancies with live birth and known birth weight (BW). A published method was used to predict BW from EFW for exams with ultrasound-to-delivery intervals up to 12 weeks. Mean error and median absolute error (AE) were compared between different personnel. Image audits were performed for exams with AE&gt;30% and exams with reported fetal sex different than newborn sex. Results: We analyzed 1,938 exams from 890 patients. In the last exam before birth, median AE was 5.9% and predicted BW was within ±20% of actual BW in 97.2% of patients. AE was &gt;30% in 28 exams (1.4%); image audit found correct caliper placement in all 28. Only 2 patients (0.2%) had AE&gt;30% on the last exam before birth. One sonographer systematically over-measured head and abdominal circumferences, leading to EFWs that were overestimated. Reported fetal sex differed from newborn sex in 7 exams (0.4%), 5 patients (0.6%). Images in 4 of these patients were annotated with correct fetal sex but a clerical error was made in the report. In 1 patient, the unclear image was labeled “probably female” but the newborn was male. Conclusions: Accuracy of EFW in this practice was similar to literature reports. Quantitative analysis identified a sonographer with outlier measurements. Time-consuming image audits could be focused on a small number of exams with large errors. We suggest some enhancements to ultrasound reporting software that may help to reduce clerical errors. We provide tools to help other practices perform similar quality reviews.

Information geometry is a mathematical framework that analyses the structure of statistical models using concepts from differential geometry. It treats families of probability distributions as manifolds, where the parameters of each model determine the coordinate charts. By applying info-geometric tools, we can gain insights into the characteristics of these models. The approach involves characterizing the queueing system's manifold using information geometry and presenting the exponential of the information matrix. This integration of information geometry with queueing theory provides a novel perspective for analyzing the dynamics of queueing systems, incorporating relativistic and Riemannian concepts. Some applications to E-health are highlighted. Finally, closing remarks and the next phase of research.

Waste glycerol can be subjected to various processing operations, including purification and re-fining, to obtain glycerol of appropriate purity. In addition, alternative methods of utilising waste glycerol are also being sought, e.g. by converting it into other valuable chemical products or biofuels. Therefore, various technologies are being developed to utilise this type of waste effectively and sustainably. The production of value-added products from waste glycerol is an important issue that determines the improvement of the economic viability of biofuel production and corresponds to the model of a waste-free and emission-free circular economy. This paper characterised the mechanisms and evaluated the efficiency of existing methods of microbiological utilisation of waste glycerol into liquid biofuels, including biodiesel, bioethanol and biobutanol, and identified further directions for the production of value-added products. In addition, a bibliographical analysis of publications re-lated to the production of liquid fuels and economically valuable products from glycerol was carried out, the progress of research and application work was assessed and directions for future research were identified.

Website defacement is an illegal electronic act of changing a website. In this paper, robust machine learning classifiers’ capabilities were exploited to select the best input feature set for evaluating a website’s defacement risk. Zone-H, a private organization, offered us a defacement mining dataset. A sample of 93644 datapoints was concisely pre-processed and used for modelling purposes. Considering multidimensional features as input, reason and hackmode variables were chosen as outputs. Massive machine learning models were examined; however, decision tree (DT), k-nearest neighbour (k-NN), and random forest (RF) were the most powerful algorithms used to predict the target model. The input variables 'domain', 'system', 'web_server','redefacement', 'type', 'def_grade', and 'reason/hackmode' were tested and used to shape the final model. Using the cross-validation (CV) technique, the model’s key performance factors were calculated and reported. After calculating the average scores for the hyperbolic metrics (i.e., max-depth, min-sample-leaf, weight, max-features, and CV), both targets were evaluated, and the learning algorithms were ranked as RF, DT, and k-NN. The reason and hackmode variables were thoroughly analysed. The average score accuracies for the reason and hackmode targets were 0.85 and 0.585, respectively. The results showed a significant development in terms of modelling and optimizing website defacement risk. The study also successfully addresses the main cybersecurity concerns, in particular website defacement.

Since the beginning, humans advanced their civilization by making better tools to improve their lives. Tools and products were designed for better living considering manufacturing issues, cost and time as predominant criteria. It has become clear that not considering environment and society, both at local/global levels, has now become a major impediment affecting living conditions on a large portion of the Earth and in many societies. Design methodologies should lead to creative solutions with consideration to engineering and economics for practicality but also to environmental and social constraints for sustainability. We propose a comprehensive design methodology based on multidisciplinary design to include the knowledge of humanities, environmentalists, science and engineering, and allowing for experts’ inputs from these areas to provide a holistic approach to engineering design . For example, experts in humanities are expected to interact with stakeholders to evaluate their value systems to provide guidance for the design. The methodology that we synthesize is new and combines (i) Societal level impacts at all scales, (ii) Environmental impacts and (iii) Engineering design with economic impacts, including uncertainty considerations. The proposed design methodology is called Social-Environmental-Economical-Engineering Framework (SEEEF). It can utilize concepts and tools such as Circular Design, Doughnut Economics, design based on environmental life cycle analysis, among others. SEEEF is quantity based and provides steps for evaluating any project or product in an objective manner and will help train engineers in design for sustainability. It also provides non-engineers with a significant role in design to increase their understanding of the hard constraints of engineering. Ultimately, SEEEF allows society to take an informed decision considering short/long term and local/global impacts of the design and the pertinent uncertainties.

More than 700 thousand human deaths from mosquito bites are observed annually in the world. It is more than 2 times the number of annual murders in the world. In this regard, the invention of new more effective methods of protection against mosquitoes is necessary. In this article for the first time, comprehensive studies of mosquito neutralization using machine vision and a 1 W power laser are considered. Developed laser installation with Raspberry Pi that changing the direction of the laser with a galvanometer. We developed a program for mosquito tracking in real. The possibility of using deep neural networks, Haar cascades, machine learning for mosquito recognition was considered. We considered in detail the classification problems of mosquitoes in images. A recommendation is given for the implementation of this device based on a microcontroller for subsequent use as part of an unmanned aerial vehicle. Any harmful insects in the fields can be used as objects for control.

Background: Medical and mental health conditions have a reciprocal relationship, with each impacting the other. Consultation-Liaison Psychiatry (CLP) is a sub-specialty that addresses psychiatric co-morbidities in the general hospital system and positively impacts hospital resources through its service aspects of ‘consultation’ and ‘liaison’. This multi-faceted evaluation aims to describe and evaluate the characteristics of a regional CLP service. Methods: Retrospective evaluation of all referrals accepted by CLP between May 2021-2022 were reviewed through the hospital’s electronic records. An evaluation tool was designed to assess multiple aspects of care including the source of referrals, the reasons for referral, patient demographics, how quickly the patient was seen, information of their mental health, and the details and timeframe of CLP involvement. Findings: There were 147 patients included in the study. Doctors were the primary referrers (92%). A total of 94% of patients were reviewed within 24 hours of the referral being received. Referral reasons were balanced across diagnostic clarification/review, medication review and risk review. A large proportion of referrals were aged &gt;60 years. There was a large proportion of patients that lived rurally requiring hospital transfer. CLP involvement was primarily required to provide a diagnosis (91% of patients) and provide pharmacological management advice (88%). Conclusion: The CLP service currently operates with limited resources, and without additional support, the sustainability of the service will become increasingly challenged due to population aging. It is essential that we address this issue to ensure that the community's needs are met effectively.

This study explores the role of chatbots in enhancing customer service, examining their benefits, limitations, and overall impact on modern support systems. Chatbots have emerged as a transformative technology in customer service, offering significant advantages such as increased efficiency through automation of routine tasks, reduced response times, and the ability to provide 24/7 support. By handling high volumes of inquiries and managing repetitive tasks, chatbots alleviate the workload of human agents, allowing them to focus on more complex issues. Additionally, chatbots employ advanced data analytics and machine learning to deliver personalized interactions, enhancing user engagement and satisfaction. Despite these benefits, the research identifies several challenges, including chatbots' difficulty in managing complex queries and their lack of emotional intelligence, which often necessitates escalation to human agents. The study also highlights the importance of well-designed chatbots and seamless integration with existing systems to ensure effective user experiences. Privacy and security concerns are critical, as chatbots handle sensitive customer data, requiring robust measures to protect against breaches and ensure compliance with data protection regulations. Looking ahead, advancements in technologies such as augmented reality (AR), virtual reality (VR), and artificial intelligence (AI) are expected to further enhance chatbot capabilities, addressing current limitations and expanding their role in customer service. The findings suggest that a hybrid approach, combining chatbots with human support, offers the most effective solution for delivering high-quality customer service. Overall, chatbots have proven to be valuable assets, and their continued evolution promises to significantly impact the future of customer service.

The present study examines the views of prospective science teachers in Colombia on creativity, employing a mixed-method approach that combines qualitative and quantitative techniques. This approach adapted and used an instrument previously developed by Diakidoy and Kanari [1] to explore student teachers' beliefs about creativity. The sample consisted of 152 science education students from two leading Colombian universities in representative cities. The findings align with previous international studies involving both practicing and trainee professionals, although subtle differences, likely due to cultural variations in the university settings, were observed. It emerged that future science teachers predominantly view creativity as an innate ability present in everyone and capable of development. Additionally, the study underscores the role of the classroom environment in fostering creativity, noting that effective creative expression also requires certain level of prior knowledge.

To study the spatial accessibility of healthcare services in cities on the Tibetan Plateau, this paper proposes an improved 3SFCA method in the main urban area of Xining City. The improved 3SFCA method incorporates both selection weights from the Huff model and the M2SFCA approach to addressing suboptimal allocation of supply resources. Results show that the accessibility of healthcare for the main urban area of Xining City decreases in a circle to four axes, with good accessibility in the east and center but poor accessibility in the north. And there is a positive spatial relationship between population and accessibility. Besides, this paper proposes a framework for studying the spatial accessibility of healthcare on the Tibetan Plateau.

The recent market and pandemic, with their complex nature and unpredictable developments, have had a great impact on coffee chains. The recovery factor in today's fiercely competitive coffee market is also derived from customer satisfaction, and the product's perceived value and ever with businesses' capabilities and recovery strategies. The research is based on the Customer and Service Recovery Performance model. Therefore, this study aims to investigate the impact of the Customer Satisfaction premise on the service recovery of the coffee chain and some other effects. After collecting surveys from 300 customers who have used beverages at famous coffee chains in Vietnam and performing data analysis via SEM-PLS, the results show that customer satisfaction positively influences customer loyalty. Customer loyalty mediates between customer satisfaction, and price fairness affects the resilience of the coffee chain. In addition, the two factors, Flexibility, and Adoption, also positively affect service recovery performance. Therefore, for coffee chains, customers are an important factor, and they need to maintain customer loyalty. In addition, seek ways to increase flexibility and apply technology at stores so that the company has enough experience and capacity to respond promptly to difficult market conditions, natural disasters and epidemics. This study presents insights into how coffee chains can adapt to the dynamic business environment during the current difficult business environment.

Mangrove forests play a vital role in maintaining the ecological balance of coastal regions. Ac-curately assessing changes in their ecosystem service value (ESV) requires more than precise mangrove distribution data, an appropriate set of evaluation methods is also needed. In this study, we obtain the spatial distribution and structural changes of mangrove forests based on Sentinel-2 imagery and build a mangrove forest ESV evaluation system by combining spatial pattern and the millennium ecosystem services. The results showed that: (1) the area of mangroves in Guangxi increased from 6245.15 ha in 2016 to 6750.01 ha to 2020, with a net increase of 504.81 ha which mainly concentrated in Lianzhou Bay, Tieshan Harbour and Dandou Bay; (2) the ESV of mangrove forests was 379.85 million U.S. dollars (USD) in 2016 and 413.13 million USD in 2020; (3) the value of fishery, soil conservation, wave absorption, and pollution purification comprise the largest proportion of the ESV of mangrove forests. From 2016 to 2020, mangroves in Guangxi had demonstrated a positive development trend and was undergoing a process of recovery. Results and conclusions of this study provide valuable insights and information to facilitate a more profound comprehension of the relationship between the mangrove forest and its ecological significance.

The COVID-19 pandemic, which has affected the entire world, has not only created a number of emerging issues for each country, especially in the field of public health, but has also provided a number of opportunities for risk management, alternative strategies and completely new ways of looking at challenges. This paper examines the COVID-19 pandemic response in Türkiye and the possible implications of the experience for future responses to other health emergencies and disaster risk management, based on the lessons learned. This study uses publicly available literature from government, private sector, and academic sources to analyse the conflicts, changes and lessons learned during the COVID-19 pandemic, which are components of the World Health Organization (WHO) Health Emergency and Disaster Risk Management (Health EDRM) framework. The COVID-19 experience in Türkiye has several aspects, including the significant role of healthcare workers, the existence of an effective health system accustomed to emergencies, applications based on information technologies, partial transparency of public authorities in providing information, and socio-cultural environment related to cooperation on prevention strategies, including wearing masks and vaccination. Challenges in Türkiye include distance learning in schools, lockdowns that particularly affect the elderly, ensuring environmental sustainability, hesitation about the effectiveness of social/financial support programmes, socio-cultural trivialisation of pandemics after a while, and relaxation of prevention strategies. Lessons learned from the COVID-19 pandemic include the value of transparency in public health/healthcare information, the strengthening of all aspects of the health system in terms of health workers, and the importance of a balanced economy prepared for foreseeable risks.

Positive recurrence for a single-server queueing system is established under generalised intensity conditions of service which does not assume existence of the density distribution function of service but a certain integral type lower bound as a sufficient condition. Positive recurrence implies existence of the invariant distribution and a guaranteed slow convergence to it in the total variation metric.

The employment rate of people who face severe mental health issues is extremely low, while the vast majority expresses their willingness to work. There are various obstacles that impede their work re-integration process. Apart from the illness’ symptoms and the employers’ stigma, these barriers are strongly associated with the effects of long-term unemployment and the lack of positive psychosocial resources, such as career adaptability and resilience. The present study aims at investigating career adaptability and resilience of mental health service users who receive career counseling services. The career counseling approach that was used combines elements from the IPS model and the career construction approach that has been developed to address the contemporary world of work challenges. We investigated how mental health service users view themselves in terms of career adaptability and resilience, and which factors contributed to their development or impeded them. We used a qualitative approach, which allows for an in-depth exploration of the participants’ views. Fifteen mental health users who receive career counseling services were interviewed. Results showed that mental health service users believe that they can overcome any difficulties and setbacks, when they have adequate support from their social network and when they receive career counseling services. They highlighted the importance of counseling services to maintain their work and cope with stressful events. Further implications of the results regarding vocational rehabilitation of mental health users as means for social inclusion are discussed.

The popularity of online retail is followed by decreasing transactions at shopping centres. Leisure and companionship trips to restaurants and cafés are replacing the frequency of intra-urban shopping trips. Several studies demonstrated a notable trend in urban commercial areas, wherein functionality has shifted from shopping centres to primarily focused on restaurants and cafes. Leisure and companionship places in the urban south have greater diversity than formal restaurants and cafés. This article employs a comprehensive framework to examine the categorization of restaurants and cafés in the urban south, referred to as food services. This study aims to investigate the spatial pattern of food service in Surabaya and ascertain whether there is a concentration of all food service variants around existing shopping centres. This research employs the POI of food service units gathered through web scraping from Google Maps. Applying the k-means cluster analysis demonstrates that the spatial pattern of food services is categorized into several distinct clusters. This article discloses five types of urban spaces characterized by varying compositions of food service variants within them. These spaces include the city centre, sub-city centre, areas along main roads, residential neighbourhoods, and peri-urban areas.

The effects of statin use for primary prevention in reducing mortality among older adults in Asian populations are unknown. This study aimed to determine whether use of statins for primary prevention was associated with a decreased risk of all-cause mortality in a Japanese older adult population. A regional, population-based, longitudinal cohort study was conducted using the Shizuoka Kokuho Database (SKDB). Data were compared between the statin-treated group and a non-statin-treated (control) group using the inverse probability of treatment weighting (IPTW) method. In the SKDB cohort aged ≥65 years, new statin use was associated with a decreased risk of all-cause mortality (hazard ratio, 0.40; 95% confidence interval [CI], 0.33–0.48) after IPTW adjustment. The risk difference for mortality at 5 years in the statin-treated group (7.9%) compared with that in the control group (92.1%) was 0.05 (95% CI, 0.04–0.06), and the number needed to treat was 21.20 (95% CI, 18.10–24.70). In conclusion, statin use for primary prevention in older adults may reduce the risk of all-cause mortality in the population without atherosclerotic disease. Furthermore, statin use for primary prevention is feasible in patients aged 75 to &lt;85 years and in patients with comorbidities such as diabetes, or dementia.

The Internet of Things (IoT) generates a large volume of data whenever devices are interconnected and exchange data across a network. As a result, there is a range of services with varying needs, for example, capacity requirements, data quality, and latency demands. These services operate on fog computing devices, which are limited in power and bandwidth compared to the cloud. The main challenge is deciding where to implement services on the fog, the cloud, or the hybrid. This paper proposes an efficient allocation technique that pushes processing closer to the network's fog side. It investigates which devices and services may best allocate while preserving resource usage in the IoT architecture. It also examines the importance of allocating services to devices and optimizing resource use in fog computing. In IoT settings, there is a wide range of services and devices; thus, it is critical to effectively assign the services to the devices. We propose Priority-based Service allocation (PSA) and Sort-based Service Allocation (SSA) techniques, which are used to enable an optimum order to employ devices to perform the various services. The experimental results indicate that our proposed technique minimize the data communication over the network by 82% by allocating most of the services locally in fog. We have maximized the number of distributed services to fog devices by 90% while minimizing the wastage of fog resources.

Background: Mental health difficulties during teenage years e are common and are a risk factor for later mental and physical health problems. Rural young people are at greater risk for mental health difficulties and have less access to services than their urban counterparts. The purpose of this study was to explore young people and their carers’ experiences of mental health support provided by a rural mobile service, and to identify access enablers from the service users’ perspective. Methods: A qualitative descriptive approach was used to analyse twelve interviews with current service users and eight interviews with family members of young people who had accessed the service.Results: Three main themes were identified: (a) Access and flexibility, (b) Clinicians’ qualities and strategies, and (c) Experiences of change. The mobile service was perceived to be effective in producing positive change in mental health, relationships and attainment of life goals. Key enablers to access included the flexibility of the mobile service, the variety of service delivery modes and therapeutic methods offered, the ease of access facilitated by location in schools, and young people’s autonomy in how they chose to utilise the service. Conclusion: This study provides information about what is important to rural young people and their families in mental health service provision. The findings have implications for changing the way services are organized and operated. Healthcare policy and services could support user-led model design that incorporates the access and use enablers and removes the barriers to rural mental health support.

The popularity of cloud computing is growing owing to its large data storage capacity and high computation power. It provides online, on-demand, scalable application solution, removes hardware and software barriers for non-specialist, rapidly integrates and deploys desired and necessary facilities, supports quick upgrading and addition of features. Users get benefitted with the selection of the appropriate cloud computing platform for their projects. Here, our paper provides a comprehensive overview of the services provided to the users by the most common cloud computing service providers. This paper could be used as a reference while selecting the best service provider based on the requirements of the projects.

Background: Endometriosis affects between 1% to 10% of women worldwide; it is associated with a significant burden on the woman, her relationships, productivity, mental health, family and society. Aim:To contribute to the current understanding of the impact of endometriosis on women’s lives by integrating qualitative research findings to explore the illness experiences of women living with endometriosis. Study design:Synthesis of qualitative data using Britten’s meta-ethnography.Methods:Six bibliographic databases (Medline, Embase, CINAHL, Web of Science, Scopus and PsycINFO) and Google Scholar were searched for peer-reviewed papers published in English language from inception of until August 6th 2021. Results: Fifteen studies were included in the data synthesis. The review included a total of 354 women from fourteen countries (including South Africa, Iran, England, Australia and United States of America), of age range 16-78 years. Subjects represented diverse ethnicities, cultures and native languages distributed across socioeconomic classes. Representation of all stages of endometriosis was included.Findings incorporate the following nine categories into a conceptual model: disease symptoms; health services experience; isolation and limited social participation; limited physical functioning; a coterie of emotions; sex and intimate relationships; infertility; work life and education; coping strategies and support. Diagnostic delays, persistent symptoms, healthcare costs and inadequate education to patients about the disease; all intersect into a web of struggles and incoherence for patients. Conclusion:Women with endometriosis living in various countries report similar illness experiences; although gender roles, culture and socio-economic status may act as mediating factors that shape an individual’s illness experience.

Spectacular shifts have been led to by The COVID-19 crisis in consumer behavior. Retailers will have to work hard to meet ever-evolving customer service experience with respect to the ways in which it may be differently affected by offline or online transactions in order to win and stay relevant. We suggest an integrative framework and construct customer service experience hypotheses, based on its antecedents and consequences that will contribute to academic study as well as managerial implications. The hypotheses are tested by a simultaneous equation model employing two data sets of the retail industry's offline and online customers. In this study, 571 samples of these businesses, 319 and 252 respondents from offline and online retail channels, respectively, were collected by means of an online web survey of consumers. The results show that the impact of consequences and antecedents of CSX differs based on the media utilized. The integrative framework of CSX in its online medium is far more effective than its explanatory power offline. The outcomes are reasonably counterintuitive in so far as they demonstrate that while most elements of CSX where a service is selected offline is the same in terms of customer loyalty and value equity, the emotional element related to the service provider is higher when the service is selected offline rather than online. These outcomes indicate that, contrary to popular fears, the online medium enables firms to develop a loyal customer foundation. These findings offer perceptivity into how an online channel could be used to better complement the offline channel, contributing towards new knowledge and understanding on CSX and how it may be utilized for managerial decision-making.

Students are regarded as frequent users of mobile phones which has proven to be a convenient and acceptable method to promote healthy lifestyle. Students usually engage in relatively high levels of risky behavior and make unhealthy lifestyle choices, a study that investigates how health students access health information is necessary. The study adopted a descriptive cross-sectional study which was undertaken among third-year nursing students from three nurses training institutions in Ghana. A total of 270 students participated in the study. Most of the respondents who were currently subscribers of the health messages reported that they usually received health information on reproductive health issues, nutrition, and practicing safe sex. Most of the health students revealed that they needed more information on safe sex, diet, managing weight, and stress management. The results also show that health students are likely to remember and share short messages with friends. The findings serve as an ‘eye-opener’ for health educators and mobile service providers concerning factors that should be taken into consideration when framing health text messages that will attract health students.

Statistical management policy and system plays significant role in development of any nation as it guides the planner to analyze the gaps, design programs and allocate budget in efficient manner. Globally, design and usage of statistical management system varies relying on country specific ability and resources availability. Government of Nepal has been managing database in individual as well as thematic manner. Policy wise, thematic database is in operation based on Statistics Act 1958 and individual database is in operation based on Birth, Death and Other Personal Related Events Registration Act 1976. Though civil registration related policies have been either updated or newly formed, sectoral statistic management related policy has not been updated since its first promulgation period (1958). With no policy supporting the consolidated statistical management system, government as well as non-government agencies has been investing millions of dollars annually to collect, compile and analyze individual related data and fulfill their respective objectives. It has forced the government services and performance to be paper-based, time-consuming and tedious thus creating dis-trust among citizen each passing day. Though, formulation of legal instrument promoted digital movement and mandated shift towards e-government modality, the process has been low. Theoretically, Technology Acceptance Model (TAM) state the need of having advanced and efficient technology to be in place in current setting to improve governance, efficiency, accountability, transparency and trust. Also, the same theory state the requirement of strong willingness and motivation from the users (government, non-government and citizen) to adopt the technology based policy and system. As the integrated statistical management policy emphasizes on technology-based system or digital system, the perspectives of Technology Acceptance Model also termed as Information System Theory aid in understanding the context, conceptualizing and addressing the needs with an establishment and implementation of digital system or technology based system. This policy paper applied the Technology Acceptance Model (TAP) to examine the underlying opportunities and challenges associated with an integrated statistical management policy. With existing gaps in existing policy, system and practice alongside an overview of opportunities and challenges, this paper recommends the need of stand-alone integrated statistical management policy to consolidate sectoral as well as civil related information through single system based on recommended policy.