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This tool enables the large-scale collation and analysis of the operational readiness of physician-based ambulance services. Currently the state does not suffer from a general lack of emergency physicians. However, rural areas as well as bases affiliated with small hospitals show a considerable deficit in operational readiness caused by a shortage of staff. These deficits may be partially compensated by optimized planning and disposition within rescue coordination centers. Moreover, they call for corrective actions in the light of health care politics. In addition, analyses of other elements of EMS (i.e. rescue helicopters) should be undertaken.

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Abstract. Managing software development productivity and effort are key issues in software organizations. Identifying the most relevant factors influencing project performance is essential for implementing business strategies by selecting and adjusting proper improvement activities. There is, however, a large number of potential influencing factors. This paper proposes a novel approach for identifying the most relevant factors influencing software development productivity. The method elicits relevant factors by integrating data analysis and expert judgment approaches by means of a multi-criteria decision support technique. Empirical evaluation of the method in an industrial context has indicated that it delivers a different set of factors compared to individual data-and expertbased factor selection methods. Moreover, application of the integrated method significantly improves the performance of effort estimation in terms of accuracy and precision. Finally, the study did not replicate the observation of similar investigations regarding improved estimation performance on the factor sets reduced by a data-based selection method.

The prehospital intravenous administration of paracetamol by paramedics to patients with limb trauma is simple, safe and in 50 % of the patients effective in achieving a NRS value < 5; however, further improvements in prehospital pain therapy initiated by paramedics are desirable, especially in patients with an initial NRS value > 7.