OBJECTIVE Ventilator-associated event surveillance was introduced in the National Healthcare Safety Network in 2013, replacing surveillance for ventilator-associated pneumonia in adult inpatient locations. We determined incidence rates and characteristics of ventilator-associated events reported to the National Healthcare Safety Network. DESIGN, SETTING, AND PATIENTS We analyzed data reported...

the environmental rules of reverse logistic networks have caused important economic growth in the past decades. to integrate forward logistic networks with reverse logistics networks a helpful method is to design both networks simultaneously. considering more retrieval choices in modeling reverse logistic systems can be very critical. this article contains a mixed integer linear programming mod...

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...

nowadays, the environmental impact of transportation project and, especially air pollution impacts, are major concerns in evaluating transportation projects. based on this concern, beside definition of traditional objective functions like total travel time and total investment cost, different type of environmental related function is considered as objective function in urban network design. in...

spending costs in construction of road pavements has turned this subject into one of the significant points in transportation infrastructure of countries. concrete slabs consider as a paving method with ability of reducing the rehabilitation needs. therefore, to manage costs and optimize the thickness of concrete pavements, recognizing the amount of determinative factors’ influence will be requ...

In this paper, we study WSN design, as a multi-objective optimization problem using GA technique. We study the effects of GA parameters including population size, selection and crossover method and mutation probability on the design. Choosing suitable parameters is a trade-off between different network criteria and characteristics. Type of deployment, effect of network size, radio communication...

AbstrAct: As a consequence of rapid technological development , the normally isolated medical sensor platform is gradually being integrated into networks. However, most ubiquitous or mobile health systems are lacking a system that combines both network security and QoS (Quality of Service). This paper investigates the possible security and QoS methods of a ubiquitous healthcare network platform...

responsibility in demand networks is one of the most important measures of performance. the concept of agility and flexibility in service and production. variety and changes in demand need more flexible network design that can cope with potential shortage and delay. this paper presents new mathematical model to optimize the design of demand network when there are highly variable demands. it als...

BACKGROUND As in many European countries, undocumented migrants in Denmark have restricted access to healthcare. The aim of this study is to describe and analyse undocumented migrants' experiences of access to healthcare, use of alternative health-seeking strategies; and ER nurses' experiences in encounters with undocumented migrants. METHODS Qualitative design using semi-structured interview...