In order to obtain the biggest economic benefits, large shipping firms widely use hub-and-spoke network operate ships. The reasonable not only decreases cost of infrastructure construction achieve scale economies, but also be efficient allocate existing resources maritime business. Shipping usually are in pursuit large-scale container ship, leading some blindly upgrade vessels and cause loss pr...

Supply chain is an integrated system of facilities and activities. Gaining the optimum design of demand satisfaction network is one of the most important live issues in the decision making problems category. Most of previous studies considered unreal assumptions such as the lack of capacity constraints to satisfy demand in the network and in hubs. By considering the nature of the case that have...

The implementation of the Hub & Spoke Network in the Integrated Trauma Support System (SIAT), operational in the Region of Emilia Romagna for about 8 Pervenuto in Redazione Febbraio 2010. Accettato per la pubblicazione Marzo 2010. Correspondence to: Dr. Francesco Buccoliero, Ospedale “M. Bufalini”, U.O. Chirurgia d’Urgenza, Via Ghirotti 285, Cesena, Italy (e.mail: [email protected]). ...

Telemedicine (also known as telehealth) is a means to increase access to care, one of the foundations of the Triple Aim. However, the expansion of telemedicine services in the United States has been relatively slow. We previously examined the extent of uptake of hospital based telemedicine using the 2013 HIMSS (Healthcare Information and Management Systems Society) Analytics national database o...

BACKGROUND A hub-and-spoke telestroke network is an effective way to extend quality emergency stroke care to remote hospitals and improve patient outcomes. OBJECTIVES To evaluate the cost utility of a telestroke network in the management of acute ischemic stroke from the societal perspective. STUDY DESIGN AND METHODS A lifetime Markov model was developed to compare the incremental costs and...

In this paper, we examine the transition process between synchronous and desynchronous states in supply chain networks, which is strongly correlated to network topology. While most research has focused on merits of steady-state synchronisation behaviour, very little been published interdependencies structural dynamic properties networks. Synchronisation processes are described by a variety cohe...