نتایج جستجو برای: hub and spoke
تعداد نتایج: 16828932 فیلتر نتایج به سال:
BACKGROUND Characterized by declining populations, high poverty, reduced employment opportunities, and high numbers of uninsured residents, rural communities pose significant challenges for healthcare providers desirous of addressing these medically underserved areas. Such difficult environments, in fact, have forced the closure of many rural hospitals across America, with scores facing the sam...
The proliferation of preferential trade agreements in Asia may result in a number of hub and spoke configures with Japan, China and ASEAN compete as regional hub of bilateral FTAs. Using a newly developed global CGE model with imperfect competition, increasing return to scale and heterogeneous firm, we explore the potential economic effects of alternative hub and spoke configurations in Asia. T...
In telecommunication and transportation systems, the uncapacitated multiple allocation hub location problem (UMAHLP) arises when we must flow commodities or information between several origin–destination pairs. Instead of establishing a direct node to node connection from an origin to its destination, the flows are concentrated with others at facilities called hubs. These flows are transported ...
BACKGROUND AND PURPOSE Because of a shortage of stroke specialists, many outlying or "spoke" hospitals initiate intravenous (IV) thrombolysis using telemedicine or telephone consultation before transferring patients to a regional stroke center (RSC) hub. We analyzed complications and outcomes of patients treated with IV tissue plasminogen activator (tPA) using the "drip and ship" approach compa...
BACKGROUND The majority of established telestroke services are based on "hub-and-spoke" models for providing acute clinical assessment and thrombolysis. We report results from the first year of the successful implementation of a locally based telemedicine network, without the need of 1 or more hub hospitals, across a largely rural landscape. METHODS AND RESULTS Following a successful pilot ph...
Background The Lablite project captured information on access to antiretroviral therapy (ART) at larger health facilities ('hubs') and lower-level health facilities ('spokes') in Phalombe district, Malawi and in Kalungu district, Uganda. Methods We conducted a cross-sectional survey among patients who had transferred to a spoke after treatment initiation (Malawi, n=54; Uganda, n=33), patients...
Built upon a wealth of neuroimaging, neurostimulation, and neuropsychology data, a recent proposal set forth a framework termed controlled semantic cognition (CSC) to account for how the brain underpins the ability to flexibly use semantic knowledge (Lambon Ralph et al., 2017; Nature Reviews Neuroscience). In CSC, the 'semantic control' system, underpinned predominantly by the prefrontal cortex...
for Enterprise Application Integration Today’s enterprise applications must be highly scalable and equipped for growth — adaptable and extensible enough to manage both current and future business systems and processes. With service-oriented architecture, IT organizations have a variety of options for integrating their infrastructure — from point-to-point and hub and spoke approaches, to an ente...
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