Emergency department (ED) overcrowding threatens healthcare quality. Ambulance diversion (AD) may relieve ED overcrowding; however, diverting patients from an overcrowded ED will load neighboring EDs with more patients and may result in regional overcrowding. The purpose of this study was to evaluate the impact of different diversion strategies on the crowdedness of multiple EDs in a region. Th...

Calls for the eradication of malaria require the development of global and regional strategies based on a strong and consistent evidence base. Evidence from the previous global malaria eradication program and more recent transborder control campaigns have shown the importance of accounting for human movement in introducing infections to areas targeted for elimination. Here, census-based migrati...

BACKGROUND Duodenal perforation is an uncommon complication of endoscopic retrograde cholangio-pancreatography (ERCP) and a rare complication of upper gastrointestinal endoscopy. Most are minor perforations that settle with conservative management. A few perforations however result in life-threatening retroperitoneal necrosis and require surgical intervention. There is a relative paucity of ref...

Establishing an advanced European bioeconomy is an important step in achieving the transition towards sustainable development and away from fossil fuels. The bioeconomy can be defined as an economy based on the sustainable production and conversion of renewable biomass into a range of bio-based products, chemicals, and energy. Several strategies have been produced in Europe from different persp...

The paper explains the concept of Regional Innovation Systems. It argues that global economic forces have raised the profile of regions and regional governance not least because of the rise to prominence of regional and local business clusters as vehicles for

This thesis explores the application of scenario planning to regional strategic transportation planning (RSTP). Like all strategic planning, RSTP takes place in the presence of uncertainty, requiring flexibility and systematic thinking. The work presented builds on that of Mufioz in his application of scenarios to Mendoza, Argentina and the Cooperative Mobility Program ReS/SITE team's scenario-...

introduction: voluntary counseling and testing (vct) for hiv infection is a confidential service offered to individuals in the community. this study intended to present a pattern for regional surveillance of vct services in iran. methods: this was an applied descriptive study. at first, the existing regional vct surveillance in 2009 was investigated through visiting the clinical deputy of medic...