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Though inspired on the experience of Curitiba, Bogotá could replicate on a wider scale the implementation of a BRT system, becoming thus a reference for many other cities from Latin America, Asia and Africa.
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Before implementation on a wider scale, the communication and the information technology of the program should be improved.
Competency-based approach to pre-service and in-service education is critical for sustainable, wider scale implementation of BNC and resuscitation [ 46, 50].
It is estimated that with this wide-scale implementation, the city of Los Angeles can annually save $100M with most of the savings coming from cool roofs, lighter colored pavement, and the planting of trees.
In recent years, in countries such as Sweden, Denmark and the US, considerable efforts have been made towards the wide scale implementation of ePrescribing [ 4, 16- 18].
With any new psychosocial intervention one of the barriers to wide-scale international implementation is the need for suitable adaptation to other cultures.
The existing LOEM model was modified to incorporate SO4 predictions specifically to evaluate potential impacts from SO4 loads resulting from a wide scale implementation of ASR technology within the Lake Okeechobee basin.
Since completing this investigation, AMPATH has partnered with the Kenyan Ministry of Health to begin wide scale implementation of a diabetes and hypertension screening program.
To our knowledge this is the first formal report of wide scale implementation of a teaching attending program for medical students on an inpatient service.
However, the primary questions to be answered are about the feasibility and costs of wide-scale implementation, and the survivor outcomes that can be achieved in this context.
We suggest that more research is needed on the various approaches in general practice before their wide scale implementation can be recommended.
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