BACKGROUND AND PURPOSE Emergency medical dispatchers play an important role in optimizing stroke care if they are able to accurately identify calls regarding acute cerebrovascular disease. This study was undertaken to assess the diagnostic accuracy of the current national protocol guiding dispatcher questioning of 911 callers to identify stroke (QA Guide version 11.1 of the National Academy Med...

Non-governmental aid programs are an important source of health care for many people in the developing world. Despite the central role non-governmental organizations (NGOs) play in the delivery of these vital services, for the most part they either lack formal systems of accountability to their recipients altogether, or have only very weak requirements in this regard. This is because most NGOs ...

OBJECTIVE To describe perceptions of the administrative procedures for seasonal bed closures and their consequences in the intensive care unit (ICU), and to critique this example of health care priority setting for legitimacy and fairness. DESIGN A qualitative study using case study methods and interviews with key participants. We evaluated fairness and legitimacy of the bed closure process u...

Gaps in child mortality between rich and poor countries are unacceptably wide and in some areas are becoming wider, as are the gaps between wealthy and poor children within most countries. Poor children are more likely than their better-off peers to be exposed to health risks, and they have less resistance to disease because of undernutrition and other hazards typical in poor communities. These...

BACKGROUND In Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with varied needs. Nevertheless, priority setting in the health care service has rema...

Data movement is a common performance bottleneck, and its chief remedy caching. Traditional cache management transparent to the workload: data that should be kept in are determined by recency information only, while program information, i.e., future reuses, not communicated cache. This has changed new design named Lease Cache . The control passed lease compiler technique called Compiler Assigne...

BACKGROUND The study aimed to determine the proportion of each priority level of patients, time of performance in each priority level, and the reliability of the South African Triage Scale (SATS) tool at the Mahalapye District Hospital - Emergency Department (MDH-ED), a setting where the majority of the nurses were not formally trained on the use of the SATS. METHODS This was a cross-sectiona...

The paper proposes an admission control scheme based on adaptive bandwidth reservation to provide QOS guarantees for multimedia traffic carried in highspeed wireless cellular networks. The proposed scheme allocates bandwidth to a connection in the cell where the connection request originates and reserves bandwidth in all neighboring cells. It combines admission The proposed scheme adjusts the a...