Audit of patient outcomes after free flap breast reconstruction following mastectomy –lessons learned in improving quality of service provision

The deep inferior epigastric perforator (DIEP) and muscle-sparing (MS) free transverse rectus abdominis musculocutaneous (TRAM) flaps are arguably the most common flaps used for autologous breast reconstruction. The benefit of these flaps is that very little to no donor site muscle is harvested. The decision to use one or the other is occasionally made preoperatively based on body habitus but often intraoperatively based on the quality of the perforating vessels. The technical aspects of the operation are similar except for the actual dissection around the perforating vessels. Studies have demonstrated no significant differences in outcome when comparing the DIEP and MS free TRAM flaps.

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Quality of Service Provision and Data Security in Communication Networks Based on Traffic Classification

Lecture Notes in Electrical Engineering - Advances in Ubiquitous Networking ◽

10.1007/978-981-287-990-5_22 ◽

2016 ◽

pp. 271-283

Author(s):

Jeferson Wilian de Godoy Stênico ◽

Lee Luan Ling

Keyword(s):

Quality Of Service ◽

Communication Networks ◽

Data Security ◽

Service Provision ◽

Traffic Classification

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Revisiting the Comparison of Public and Private Water Service Provision: An Empirical Study in Portugal

Water ◽

10.3390/w12051477 ◽

2020 ◽

Vol 12 (5) ◽

pp. 1477

Author(s):

Rui Cunha Marques ◽

Pedro Simões

Keyword(s):

Quality Of Service ◽

Empirical Study ◽

Service Provision ◽

Water Utilities ◽

Private Ownership ◽

Public And Private ◽

Efficiency And Effectiveness ◽

Water And Wastewater ◽

Essential Service

The controversy between the performance of public and private ownership of water and wastewater services is common worldwide. In most cases, this discussion is biased due to ideological issues or insufficiency or inconsistency of information. This study aims to compare the performance of private water utilities with that of public water utilities, using rich, robust, and audited information from Portuguese operators. The benchmarking exercise focuses on three distinct areas, namely, the efficiency and effectiveness of the investments made, the quality of service provided, and the tariffs and prices implemented. From the analysis performed, it is concluded that, on average, the performance of private water utilities exceeds that of public water utilities, and prejudice in most cases is unjustified regarding private ownership. Anyway, water, as an essential service, should always be provided, regardless of utility ownership.

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A Fast Hybrid Loss Protection Method with Quality of Service Provision for Image Transmission

Journal of Computer Research and Development ◽

10.1360/crad20061202 ◽

2006 ◽

Vol 43 ◽

pp. 2041

Author(s):

Yadong Yang

Keyword(s):

Quality Of Service ◽

Service Provision ◽

Image Transmission ◽

Protection Method

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Quality of service provision in noncooperative networks

Proceedings of the first international conference on Information and computation economies - ICE '98 ◽

10.1145/288994.289022 ◽

1998 ◽

Cited By ~ 25

Author(s):

Kihong Park ◽

Meera Sitharam ◽

Shaogang Chen

Keyword(s):

Quality Of Service ◽

Service Provision ◽

Noncooperative Networks

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Economic analysis of drinking water services, case of the city of Souk-Ahras (Algeria)

Water Practice & Technology ◽

10.2166/wpt.2019.082 ◽

2019 ◽

Vol 15 (1) ◽

pp. 10-18

Author(s):

S. Boukhari ◽

F. S. Pinto ◽

H. Abida ◽

Y. Djebbar ◽

C. de Miras

Keyword(s):

Drinking Water ◽

Quality Of Service ◽

Service Provision ◽

Economic Instruments ◽

Sanitation Services ◽

Tariff Structure ◽

High Level ◽

The City

Abstract Water Supply and Sanitation Services (WSSS) face various constraints that hinder their development. The application of sustainable economic instruments may help WSSS policymakers improving the quality of service provision for their clients. This study shows the role of these economic instruments in WSSS management for the case of the city of Souk-Ahras (Algeria). A detailed analysis of expenditures and revenues, focusing on the tariff structure and subsidies, has been carried out. The results obtained show that WSSS in Souk-Ahras suffer from a relevant budget imbalance influenced by the high level of non-revenue water and the application of pricing that does not achieve cost recovery.

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