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Takashi Kawamura - One of the best experts on this subject based on the ideXlab platform.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
Yukiko Murakami - One of the best experts on this subject based on the ideXlab platform.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
Jan Olhager - One of the best experts on this subject based on the ideXlab platform.
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Comparing offshoring and backshoring: The role of manufacturing site Location Factors and their impact on post-reLocation performance
International Journal of Production Economics, 2018Co-Authors: Malin Johansson, Jan OlhagerAbstract:Abstract The global nature of businesses has increased the geographical dispersion of operations and has made the Location decision an important strategic perspective for manufacturing firms. The consensus view is that three major plant Location Factors must be kept in mind: (1) access to low-cost manufacturing, (2) proximity to market, and (3) access to development competences. Two options for changing the global manufacturing footprint are offshoring and backshoring. This research has analysed the role and relevance of these manufacturing site Location Factors as drivers for offshoring and backshoring decisions and has investigated these Factors' relationship with operational performance. The study used survey data drawn from Swedish manufacturing plants, including 133 offshoring projects and 99 backshoring projects. The survey instrument used the same set of questions for both reLocation directions (for drivers as well as performance benefits), which allowed us to analyse each direction separately as well as to make comparisons between offshoring and backshoring. We applied a theory-testing approach in the study, in that we tested how the three major Location Factors related to offshoring and backshoring based on confirmatory factor analysis and regression analyses. The results have verified that these three major Location Factors are relevant for both manufacturing offshoring and backshoring; the results also indicated significant differences in how these Factors influence reLocation decisions for offshoring and backshoring as well as how they affect performance.
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plant roles site competence bundles and their relationships with site Location Factors and performance
International Journal of Operations & Production Management, 2013Co-Authors: Andreas Feldmann, Jan OlhagerAbstract:Purpose - The purpose of this paper is to investigate the strategic role of plants, in terms of the type and level of site competence, the relationship with the strategic reason for Location, and t ...
Joseph Sarkis - One of the best experts on this subject based on the ideXlab platform.
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a joint Location and outsourcing sustainability analysis for a strategic offshoring decision
International Journal of Production Research, 2010Co-Authors: Yijie Dou, Joseph SarkisAbstract:With economic globalisation and the emergence of extended enterprises derived from interrelationships among organisations, there has been a steady increase in offshore outsourcing activities. Subsequently, the strategic importance of offshoring decisions is important. Traditional offshoring decisions mainly emphasise outsourcee (supplier) selection problems, with their focus upon economic Factors. Sustainability, which has recently been regarded as a competitive necessity in most industries, rarely enters into the modelling or discussion. Furthermore, additional and integrated facility Location Factors need to be included into the offshoring decision process. To help integrate these Factors and concerns, this paper constructs a model for evaluation and selection of various offshoring alternatives by simultaneously considering facility Location Factors, supplier selection metrics, and sustainability Factors. The model allows for input from a variety of managerial decision-making levels and involves the dyn...
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a joint Location and outsourcing sustainability analysis for a strategic offshoring decision
2008Co-Authors: Yijie Dou, Joseph SarkisAbstract:With economic globalization and the emergence of extended enterprises derived from interrelationship among organizations, there has been a steady increase in offshoring outsourcing activities. Subsequently, the strategic importance of offshoring decisions is important. Traditional offshoring decisions mainly emphasize outsource (supplier) selection problems, with their focus upon economic Factors. Sustainability, which has recently been seen as a competitive necessity in most industry, rarely enters into the modeling or discussion. Furthermore, additional and integrated facility Location Factors need to be involved into the offshoring decision process. To help integrate these Factors and concerns, this paper constructs a model for evaluation and selection of various offshoring alternatives by simultaneously considering facility Location Factors, supplier selection metrics, and sustainability Factors. The model allows for input from a variety of managerial decision making levels and involves the dynamic perspectives of the competitive environment in evaluating process. An empirical case illustration is applied to demonstrate the efficacy of the model. The paper closes with a discussion of managerial implications and an outlook on aspects for further research.
Chika Nishiyama - One of the best experts on this subject based on the ideXlab platform.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
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outcomes of out of hospital cardiac arrest by public Location in the public access defibrillation era
Journal of the American Heart Association, 2014Co-Authors: Yukiko Murakami, Taku Iwami, Tetsuhisa Kitamura, Chika Nishiyama, Tatsuya Nishiuchi, Yasuyuki Hayashi, Takashi KawamuraAbstract:Background The strategy to place public-access automated external defibrillators (AEDs) has not yet been established in real settings. Methods and Results This, prospective, population-based observational study in Osaka, Japan, included consecutive out-of-hospital cardiac arrest (OHCA) patients with resuscitation attempts during 7 years, from January 2005 through December 2011. The trends in the proportion of public-access AED use and 1-month survival with neurologically favorable outcome were evaluated by Location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander-witnessed OHCAs of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public-access AED use significantly increased from 0.0% (0/20) in 2005 to 41.2% (7/17) in 2011 at railway stations and from 0.0% (0/7) to 56.5% (13/23) at sports facilities. Mean time from collapse to shock was 5.0 minutes among those who received shocks with public-access AEDs. The proportion of neurologically favorable outcome was 28.0% (33/118) at railway stations, 51.6% (48/93) at sports facilities, 23.3% (20/86) in public buildings, and 41.9% (13/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1-minute increment, 0.89; 95% confidence interval, 0.87 to 0.92). Conclusions This large, population-based OHCA registry demonstrated that earlier shock, irrespective the shock provider (bystander or EMS personnel), contributed to improving outcome, and a public-access defibrillation program was successfully implemented so that shocks with public-access AEDs were delivered to over 40% of bystander-witnessed OHCAs and time to shock was shortened in some kinds of public places.
