AIM To analyze the initial rhythm, bystander cardiopulmonary resuscitation (CPR) rate, and survival after out-of-hospital cardiac arrests (OHCA) in Varaľdin County (Croatia), and to investigate whether physician's inexperience in emergency medical services (EMS) has an impact on resuscitation management. METHODS We reviewed clinical records and Revised Utstein cardiac arrest forms of all out-...

Medical oversight is a fundamental component of every emergency medical services (EMS) system. The quality of physician medical direction has a significant impact upon the system and patient outcome. The lead agency for the state EMS system is a principal facet of our emergency care system, and the state EMS medical director is a vital component within this comprehensive network. The selection ...

Growing social and academic concerns toward environmental sustainability are constantly driving attention eco-innovation as an effective solution to problems. Extant studies on drivers of have not fully investigated the interaction mechanisms between different factors. Drawing upon resource-based view, stakeholder theory, literature, this paper aims explore how firm capabilities perceived press...

In a technically advanced world where demand is increasing very fast especially large number of non-linear loads and electric vehicles has led to energy crisis pollution grid power. Depleting conventional sources environmental concerns integration distributed resources (DERs) at distributional level resolve problem reduce emissions. With connected different types DERs, it challenging manage the...

A microgrid is characterized by the integration of distributed energy resources and controllable loads in a power distribution network. Such integration introduces new, unique challenges to microgrid management that have never been exposed to traditional power systems. To accommodate these challenges, it is necessary to redesign a conventional Energy Management System (EMS) so that it can cope ...

Background: Due to the lack of a proper waste management system, Tehran Municipality Region 20 is facing economic and environmental problems such as the high costs of a disposal system and source pollution. Life cycle assessment (LCA) is a method for collecting and evaluating the inputs, outputs, and potential environmental impacts of a product system throughout its life cycle. The current stud...

The Japanese government’s setting of mediumterm targets for cutting greenhouse gas emissions (cutting emissions by 25% from 1990 levels by 2020), revision of the “Law concerning the rational use of energy” (energy saving law), the international standard (ISO 50001) concerning energy management to be issued this year, and the like are measures that address the urgent need to prevent global warmi...

The large environmental impacts associated with agro-industrial development in Indonesia are both striking and increasingly important, especially with increased demand for biofuels and the rapid extension of oil palm plantations. Recently, Indonesia has also seen a series of transformations in the regulatory regime for pollution control with decentralization and a shift towards new environmenta...