This paper reports on the minimization of the average waiting time of the customers in the M/G/1 queue with vacation. Explicit formula for the unknown service parameter of a particular customer has been obtained by considering the exhaustive service discipline in the case of multi-user with unlimited service system. Moreover, results in case of partially gated and gated service disciplines unde...

since its establishment in 1948, the history of the national health service (nhs) has been characterized by organisational turbulence and system reform. at the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. the nhs has become a much loved, if much critiqued, national treasure. it is against this backdrop that ...

in their study, brenna and spandonaro analyzed the mobility into italian regions. in particular, it analyzes the situation of 5 regions, with very different backgrounds. with this paper, we try to better define the meaning of health mobility and to find its underlying causes. furthermore, we propose a strategy that could help in controlling mobility flows that currently are the source of health...

objective: to examine the inter-rater reliability of triages performed by the electronic triage system (ets) which has recently developed and used in hospital emergency department (ed). methods: this cross-sectional study was conducted prospectively and studied 408 visitors of tabriz imam reza hospital’s ed. the variables of interest were age, sex, nurse-assigned triage category, physician-assi...

conclusions the ops is a good stand-alone pain score and is better than the nrs for defining mild and moderate pain. it may even be used to supplement nrs when it is indicative of mild or moderate pain. patient and methods a total of 1021 paired readings of the ops and nrs of 93 patients who underwent laparotomy and used patient-controlled analgesia were evaluated. acute pain service (aps) pers...

conclusions by studying the gap between perceptions and expectations of students from counseling services, we can provide the base for developing appropriate programs for the improvement of counseling services. results the result of this study showed that there were some differences between students’ perceptions and their expectations of counseling services quality (z = -12.91; p < 0.0001). the...

background: determining quality requirements and quality dimensions is one of the most reliable ways of providing high quality services. the objective of the present study was to investigate the association between quality requirements and quality dimensions according to the points of view of physicians, nurses, and patients. materials and methods: this descriptive study was carried out in hosp...