procalcitonin (pct) is a precursor peptide for the hormone calcitonin and is frequently increased in overt sepsis. the aim of this study was to test diagnostic accuracy of procalcitonin among patients with positive systemic inflammatory response syndrome (sirs) in identifying sepsis. in this cross sectional study, from 563 patients with positive sirs admitted through the emergency department of...

A typical Vehicle Routing Problem (VRP) is to design the least cost routes for a vehicle fleet to supply goods from inventory to demanding customer locations. In this paper, we are interested in routing vehicles to minimize unmet demand and time delays. An important application of the presented model is to distribute medical supplies to response to large-scale emergencies, such as natural disas...

OBJECTIVE Effective planning of Emergency Medical Services (EMS), which is highly dependent on the analysis of past data trends, is important in reducing response time. Thus, we aimed to analyze demand for these services based on time and location trends to inform planning for an effective EMS. MATERIALS AND METHODS Data for this retrospective study were obtained from the Izmir EMS 112 system...

Stock prepositioning is one of the most important issues in preparedness stage of emergency logistics response. In a previous research, a stock prepositioning model to support an emergency disaster relief response in the event of earthquake has been proposed. Since the results contained zero proportion of some type of item, which is not allowed in a real system, an improvement of the model is n...

This paper describes the chemical industry's Community Awareness and Emergency Response (CAER) Program, and voluntary and mandatory actions by the chemical industry to comply with the major environmental legislation. The chemical industry started the voluntary CAER Program soon after the Bhopal Disaster in 1984; it is coordinated through the Chemical Manufacturer's Association. This program, wh...