BACKGROUND A hub-and-spoke telestroke network is an effective way to extend quality acute stroke care to remote hospitals and to improve patient outcomes. This study assessed the cost-effectiveness of a telestroke network in the management of acute ischemic stroke from the perspectives of a network, a hub hospital, and a spoke hospital. METHODS AND RESULTS A model was developed to compare cos...

in this paper we present the problem of designing a three level hub center network. in our network, the top level consists of a complete network where a direct link is between all central hubs.  the second and third levels consist of star networks that connect the hubs to central hubs and the demand nodes to hubs and thus to central hubs, respectively. we model this problem in an incomplete net...

BACKGROUND AND PURPOSE ResolutionMD mobile application runs on a Smartphone and affords vascular neurologists access to radiological images of patients with stroke from remote sites in the context of a telemedicine evaluation. Although reliability studies using this technology have been conducted in a controlled environment, this study is the first to incorporate it into a real-world hub and sp...

Background and Purpose—ResolutionMD mobile application runs on a Smartphone and affords vascular neurologists access to radiological images of patients with stroke from remote sites in the context of a telemedicine evaluation. Although reliability studies using this technology have been conducted in a controlled environment, this study is the first to incorporate it into a real-world hub and sp...

Maritime cabotage is a legislation published by a particular coastal country, which is used to conduct the cargo transportation between its two domestic ports. This paper proposes a two-phase mathematical programming model to formulate the liner hub-and-spoke shipping network design problem subject to the maritime cabotage legislations, i.e., the hub location and feeder allocation problem for p...

The hub-and-spoke network (HSN) design generally assumes direct transportation between a spoke node and its assigned hub, while the spoke’s demand may be far less than truckload. Therefore, total number of trucks on increases unnecessarily. We form drone-based traveling salesman problem (TSP-D) for cluster spokes to hub. A truck starts from visiting each hub in turn finally returning propose th...

The airlines reorganization will accelerate the switch of the Chinese mainland civil aviation system from a former point-to-point (PP) structure to a hub-and-spoke (HS) network. In such a context, the major efforts of our paper are put into identifying hub airports in mainland China. We first analyze the HS network’s competitive advantages and find four desirable hub characteristics. A three-le...