Objective: Most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. The aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality....

Cloud manufacturing is a new paradigm which has been under study since 2010 and a vast body of research has been conducted on this topic. Among them, service composition problems are of utmost importance. However, most studies only focused on private clouds meaning the objective function is defined for just one component of the supply chain. This paper attempts to consider service composition p...

introduction: in-service training of nurses plays an indispensable role in improving the quality of inpatient care. need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. this study attempted to design a new optimal model for in-service training of nurses. methods: this qualitative study was conducted in two stages during 2015-2016. in the first stage, ...

a b s t r a c t mortality and morbidity from trauma continues to be a serious, ubiquitous public health problem. our short communication reports on the benefits of a dedicated lower limb trauma coordinator (lltc) to the trauma service of a busy inner-london plastics unit. this is based on a retrospective case-note based audit; performed 19 months prior to the introduction of the lltc and for 16...

Background: Presynchronization could enhance fertility in timed breeding programs. The best presynchronization method has to justify biological requirements and to provide practical and economic advantages. OBJECTIVES: Present study investigated the effectiveness of presynchronization with equine chorionic gonadotropin (eCG) before ovsynch (eCG-ovsynch) compared to conventional presynch-ovsynch...

current study aims to prioritize four-star hotels through atwo-step procedure: firstly, classifying service quality dimensions (sqds)based on importance-performance analysis and secondly prioritizinghotels based on classified sqds analysing the results. to reach that aim,the customers of three 4-star hotels were considered and asked to statethe quality of the service they expected to receive pr...

quality of service (qos) refers to a set of rules or techniques that help the network administrators use the available network resources optimally to manage the effects of congestion and to treat the applications according to their needs. the differentiated services architecture (diffserv) allows providing quality of service to users. the major diffserv premise is that individual flows with sim...