The study aims to evaluate patient satisfaction with respect to primary health-care services in Kuwait.A total of 245 patients completed the General Practice Assessment Questionnaire postconsultation version 2.0. Two statistically significant differences of patients' satisfaction with sex and level of education were found. Overall satisfaction was higher among men than women (P = 0.002), and it was also higher among those with university degree of education than the other levels of education (P = 0.049). We also found statistically significant differences of patients' responses over sex for three themes, namely: satisfaction with receptionists, satisfaction with access and satisfaction with communication; and over the age for one theme: satisfaction with access. There was no statistically significant differences of patients' responses over nationality for all themes. Satisfaction is a multifactorial and no one factor alone could provide satisfaction with primary health services in Kuwait.

The increasing penetration of large-scale Renewable Energy Sources (RESs) has raised several challenges for power grid operation. Power management solutions supporting the integration of RESs, such as those based on energy storage technologies, are generally costly. Alternatively, promoting a more proactive role of the Distribution System Operator (DSO) to successfully manage RESs’ uncertainty, and take advantage of their flexible resources for the provision of ancillary services, can avoid installing expensive devices in the network and reduce costs. In this line, improved coordination between Transmission System Operators (TSOs) and DSOs is highly desirable. In this paper, the feasibility of solving different aspects of the integration of RESs through an improved TSO/DSO coordination is evaluated. In particular, a Systematic Literature Review (SLR) is conducted to study the most relevant TSO/DSO coordination approaches, exclusively focused on integrating distributed RESs, currently available in the literature. Their main operational, managerial, economic, and computational challenges, advantages, and disadvantages are discussed in detail to identify the most promising research trends and the most concerning research gaps to pave the way for future research toward developing a solid TSO/DSO coordination mechanism for integrating RESs efficiently. The main results of the SLR show a clear trend in implementing decentralized TSO/DSO coordination models since they provide efficient facilitation of RESs’ services, while reducing computational burden and communication complexity and, consequently, reducing operative costs. In addition, while different aspects of the TSO/DSO coordination implementation, such as reactive power and voltage regulation, operational cost minimization, operational planning, and congestion management, have been thoroughly addressed in the literature, further research is needed regarding data exchange mechanisms and RESs’ uncertainty modeling and prediction. In this line, the development of standardized communication solutions, based on the Common Grid Model Exchange Standard (CGMES) of the International Electrotechnical Commission (IEC), has shown promising interoperability results, whereas the use of learning-based approaches to predict RESs’ uncertain behavior and distribution networks’ responses, using only historical data, which relieves the need for access to commercially sensitive and proprietary network data, has also shown itself to be a promising research direction.

This study aims to identify the steps in which users of academic libraries search for information and interact with the libraries' web interfaces. The study draws on models from the disciplines of human-computer interaction (HCI) and information-seeking behaviour (ISB) to create and investigate a Unified Model. Interpretive case studies were conducted at two universities, one in the UK and one in Kuwait. Qualitative data was collected using observations with postgraduate students and analysed by a content analysis approach. The findings revealed seven steps taken in searching for information and interacting with academic libraries' web interfaces, but these steps are overlapped as users can change, move and go from one step to another based on the difficulties they encounter and the options they have.