Assessment of ambulance services performance by queuing theory, at the Center for Disaster and Emergency Management: A descriptive-analytical study

2021 ◽  
Vol 19 (5) ◽  
pp. 469-478
Author(s):  
Mehdi Nasr Isfahani, MD ◽  
Azar Niknam, PhD Student ◽  
Mahoobeh Doosti-Irani, PhD Student

Background: The emergency departments of the hospitals and emergency medical services (EMSs) centers have a critical role for providing urgent medical care for patients. The statistical data of the present study were provided by the EMS headquarters of the city of Isfahan, from August to November 2017. Results: The findings showed that on average, 210 missions were accomplished each day by the emergency call center, with an average duration of about 53 minutes, for each mission. In addition, the average time for response time (the time between a call and dispatch of the ambulance) was less than 3 minutes, and the average time for arrival time (the time between request of ambulance and the arrival to the scene) was 8.1 minutes. Adequacy of current number of ambulances and staff is evaluated.Conclusion: Considering an average of 8.1 minutes for arrival time, we conclude that the EMS of Isfahan is within an acceptable range, compared to the international standards. In fact, it is shown that the infrastructures of EMS system including ambulance fleets, staff, and equipment are sufficient, and as an effective step for reducing the total time of the mission, the EMS has to operate seamlessly with the patient’s admission process in hospitals. Information such as workload hours, availability of resources and staff, etc. ought to be shared between the EMS and the hospital.

Transport ◽  
2012 ◽  
Vol 26 (4) ◽  
pp. 418-424 ◽  
Author(s):  
Valentina Basarić ◽  
Jadranka Jović

The research presented in this paper is aimed at defining a model that enables the management of the relationship between private vehicles and public transport applying the available instruments of city transport policy such as parking policy and public transport policy measures. Statistical data used for modelling is sourced from the database in a wide range of EU cities. The target model was developed in the form of stepwise regression analysis. Very favourable statistical results were obtained, and the subsequent tests on the city of Novi Sad (250000 inhabitants) led to the conclusion that the obtained results were suitable for implementation in practice. The results of the implemented procedure are of great importance for the enhancement of the existing transport policies in cities, as they enable the development of strategies for finding combinations of instruments that would bring the transport system and urban environment into a desired-viable rather than consequential condition.


2021 ◽  
Vol 39 (11) ◽  
Author(s):  
Shahlaa Kamel Abdulhassan ◽  
Salama Ibrahim Ali

The research aims to study the requirements of a IFRS (1) standard and the statement of a suitable concept and its importance for users of financial statements and the role of applying of IFRS (1) standard also aims to test the ability of applying the standard requirements in companies listed on the Iraqi Stock Exchange, and the relevant of the accounting information for the users of those companies in light of applying those standards. The research reached a set of conclusions, the most important of which was that of the standard, the application of the IFRS (1) standard requirements, describe the transformation process to IFRSs as a transformational stage, as the stage involves adopting the economic unit of standards  on a set of procedures, methods and accounting treatments that unit should perform for the purpose of preparing financial statements in accordance with international standards and optional and compulsory exceptions that it facilitates the adoption process, in addition, the reports and financial statements aim to provide useful and appropriate accounting information that meets the needs of its users, as the property of predictive value in accounting information improve the ability of companies to predict the results of future expectations, the property of value assurance in accounting information provides the ability to change or correct current or future expectations, and it reduces the degree of uncertainty when it has feedback.


Author(s):  
Nadezhda V. Dulina ◽  
◽  
Evgeniya V. Anufrieva ◽  

In order to study the feminization process of the Russian city, the article compares statistical data on a number of indicators for 2015 and 2019–2020. In the course of the analysis an asymmetry in the urban population is revealed: (there are more women than men). It is shown how the ratio of women to men in employment has changed during the study period. As well the article defines those areas in which women lead. The authors outline a range of works studying the feminization phenomenon in social processes, including the feminization of the city. The results of the work made it possible to conclude that the feminization of the Russian city is one of the processes in the space of a today Russian city that have a positive dynamics


2018 ◽  
Author(s):  
Suzane S. de Sá ◽  
Brett B. Palm ◽  
Pedro Campuzano-Jost ◽  
Douglas A. Day ◽  
Weiwei Hu ◽  
...  

Abstract. Fundamental to quantifying the influence of human activities on climate and air quality is an understanding of how anthropogenic emissions affect the concentrations and composition of airborne particulate matter (PM). The central Amazon basin, especially around the city of Manaus, Brazil, has experienced rapid changes in the past decades due to ongoing urbanization. Herein, changes in the concentration and composition of submicron PM due to pollution downwind of the Manaus metropolitan region are reported as part of the GoAmazon2014/5 experiment. A high-resolution time-of-flight aerosol mass spectrometer (HR-ToF-AMS) and a suite of other gas- and particle-phase instruments were deployed at the T3 research site, 70 km downwind of Manaus, during the wet season. At this site, organic components represented on average 79 ± 7 % of the non-refractory PM1 mass concentration, which was in the same range as several upwind sites. The organic PM1 was, however, considerably more oxidized at T3 compared to upwind measurements. Positive-matrix factorization (PMF) was applied to the time series of organic mass spectra collected at the T3 site, yielding three factors representing secondary processes (73 ± 15 % of total organic mass concentration) and three factors representing primary anthropogenic emissions (27 ± 15 %). Fuzzy c-means clustering (FCM) was applied to the afternoon time series of concentrations of NOy, ozone, total particle number, black carbon, and sulfate. Four clusters were identified and characterized by distinct airmass origins and particle compositions. Two clusters, Bkgd-1 and Bkgd-2, were associated with background conditions. Bkgd-1 appeared to represent near-field atmospheric PM production and oxidation of a day or less. Bkgd-2 appeared to represent material transported and oxidized for two or more days, often with out-of-basin contributions. Two other clusters, Pol-1 and Pol-2, represented the Manaus influence, one apparently associated with the northern region of Manaus and the other with the southern region of the city. A composite of the PMF and FCM analyses provided insights into the anthropogenic effects on PM concentration and composition. The increase in mass concentration of submicron PM ranged from 25 % to 200 % under polluted compared to background conditions, including contributions from both primary and secondary PM. Furthermore, a comparison of PMF factor loadings for different clusters suggested a shift in the pathways of PM production under polluted conditions. Nitrogen oxides may have played a critical role in these shifts. Increased concentrations of nitrogen oxides can shift pathways of PM production from HO2-dominant to NO-dominant as well as increase the concentrations of oxidants in the atmosphere. Consequently, the oxidation of biogenic and anthropogenic precursor gases as well as the oxidative processing of pre-existing atmospheric PM can be accelerated. The combined set of results demonstrates the susceptibility of atmospheric chemistry, air quality, and associated climate forcing to anthropogenic perturbations over tropical forests.


2018 ◽  
Vol 7 (2.29) ◽  
pp. 1002
Author(s):  
Bambang Setioko ◽  
Mustika KW ◽  
Titien WM

In recent decades the urban growth in Indonesia is likely to follow a global urban trend, characterized by peripheral urbanization. This phenomenon has potentially encouraged the growth of urban physical area to be very broad and unlimited, and often exceeds the city administrative boundary. The urban catalyst development in the eastern city accelerates the growth of settlement in the border area; while the visually of both amongst the border area and the urban area are similar. This research was conducted in Sendang Mulyo village located in the administrative area of Semarang City and in Pucang Gading village located in, Demak Region. This study aims to determine the effect of urban catalyst element on the pattern of spatial distribution in the border area of Semarang City and Demak Region. Based on literature study that has been done, this research uses a quantitative approach with descriptive method under of rationalistic paradigm. Statistical data analysis is done by regression test using software SPSS 16.0. The results of this study indicate the growth and development of urban catalyst elements in the eastern part of Semarang city, significantly has impact to the pattern of spatial distribution in the border area of the Semarang city significantly.  


Author(s):  
Norberto Pe´rez Rodri´guez ◽  
Erik Rosado Tamariz ◽  
Rafael Garci´a Illescas

This work is focused on the diagnosis of behavior, from the point of view of control emissions and noise level, of a power Turbogas plant during the process of commissioning, to guarantee that its operation complies with national and international standards. The environmental diagnosis of the power plant was developed as part of the performance evaluation of the unit. The conditions of the unit evaluation include operation at base load and partial load, as well as time periods for load changes. The evaluated power plant consists of an aeroderivative gas turbine installed in a simple cycle, operating with a cooling system (chiller) installed in the urban zone of Mexico City. Therefore, it should comply with the legislation and regulations of the city concerning air pollution and allowed noise, besides the international standards established by the manufacturer. The study includes emissions measurements using a Continuous Emissions Monitoring System installed in-situ, previously calibrated and checked during and after the test which was found inside the permissible deviation of 3%. Measurements were recorded at intervals of 5 minutes during test periods of 110 minutes for each load and 45 minutes for load changes. On the other hand, noise pressure evaluation was carried out in near field as well as far field produced by the power plant during operation. Measurements were carried out by using precision instruments installed specifically for it. A temporary system for obtaining data was used to monitoring the environmental conditions every 30 seconds. It was possible to verify that the turbogenerator complies with all noise levels and contaminant emissions requirements and regulations according to the limits established by the manufacturer and national and international standards.


2019 ◽  
Vol 1 (1) ◽  
pp. 50-63
Author(s):  
Tabah Rizki ◽  
Sany Dwita

This study aims to interpret in depth the cultural values ​​of Confucianism reflected in the management control system of Chinese ethnic families in Minangkabau. This study uses qualitative interpretive. The process of this research is interactive and meaning that is not measured by statistical data and aims to explore various information more in depth and makes it possible to get things implied by data collection carried out in triangulation. Data analysis is inductive and the results of qualitative research emphasize the meaning of generalization. This interpretive research method seeks to formulate a question and then analyze it based on the question of participants' perceptions studied. This research was conducted in one of the food trading businesses in the city of Padang, namely UD. KBF. The results of the study can be concluded by interpreting Confucian cultural values ​​in the implementation of the management system of Chinese ethnic family companies. This study found that Confucian values ​​were reflected in the implementation of the company's management control system UD. KBF. The values ​​applied by the company's leadership are


2021 ◽  
Vol 7 (4) ◽  
pp. 139-144
Author(s):  
Chevin Ramadhan Hadiwijaya ◽  
Muhammad Imam Zan Zabiyla Analuddin ◽  
Ayikacantya Sudayasa ◽  
Muhammad Hoki Akbar ◽  
Lilyana Aritonia Ahmad ◽  
...  

Background: Adequate health systems and effective strategies are needed to increase trust and acceptance in vaccines. Generation Z is more concerned with environmental issues related to the pandemic situation.Objective: This study aimed to assess the acceptance of the COVID-19 vaccine in Generation Z.Methods: This was an observational analytical study with a cross-sectional design on generation Z in Southeast Sulawesi, Indonesia, from May to July 2021. The samples were taken by cluster sampling using faculty classification. Data was collected using a questionnaire with a google form, included the characteristics, knowledge regarding COVID-19 and vaccine, and the media information.Results: There were 396 participants. Most of them were 20 years (52.6%), female (74.8%), and Muslim (93.7%). About 61.6% live outside the city and had insurance (77.3%). Half of the participants knew the COVID-19 symptoms (51.26%), some participants were hesitant (11.8%) and did not even know (0.76%). Almost all participants were aware of the COVID-19 vaccination program (99.2%), benefits (95.2%), side effects (84.1%), and knew the contents of the COVID-19 vaccine (62.1%). Most of them were willing to take the COVID-19 vaccine (77.8%). However, 17.93% were hesitant, and 4.29% were unwilling to participate. Most participants were not trusting vaccines (43.9%), did not feel the need (29.3%), and felt access was not easy (26.8%). Most of them used social media to get information about COVID-19 (89.1%).Conclusion: Generation Z has a good acceptance of the COVID-19 vaccine, even though there are still doubts and rejects. Accurately and sustainable information is needed.


2021 ◽  
pp. 31-34
Author(s):  
S.V. Yankina ◽  
◽  
N.V. Shatrova ◽  
A.Ju Efratov ◽  

The aim of the study is to study the prevalence, structure and nature of injuries, to identify the frequency of deaths at the stage of medical evacuation, and to determine the number of injured people who need medical care in medical organizations (LMO), according to the data on requests of the population of the Ryazan region and the city of Ryazan for emergency medical care (SMP). Materials and methods of research. Statistical data on the requests of victims with injuries for emergency medical care in the Ryazan region and the city of Ryazan are analyzed. Materials of the study – maps of calls of the SMP teams in Ryazan and statistical data for the Ryazan region for 2017-2019. The results of the study and their analysis. The most frequent causes of injuries, their nature, the frequency of requests of the population of the Ryazan region and the city of Ryazan for emergency medical care, the number of deaths and the frequency of hospitalizations for injuries were determined.


Sign in / Sign up

Export Citation Format

Share Document