Application of automatic vehicle location in law enforcement: An introductory planning guide

A set of planning guidelines for the application of automatic vehicle location (AVL) to law enforcement is presented. Some essential characteristics and applications of AVL are outlined; systems in the operational or planning phases are discussed. Requirements analysis, system concept design, implementation planning, and performance and cost modeling are described and demonstrated with numerous examples. A detailed description of a typical law enforcement AVL system, and a list of vendor sources are given in appendixes

State criminal justice telecommunications (STACOM). Volume 1: Executive summary

Techniques for identifying user requirements and network designs for criminal justice networks on a state wide basis are discussed. Topics covered include: methods for determining data required; data collection and survey; data organization procedures, and methods for forecasting network traffic volumes. Developed network design techniques center around a computerized topology program which enables the user to generate least cost network topologies that satisfy network traffic requirements, response time requirements and other specified functional requirements. The developed techniques were applied in Texas and Ohio, and results of these studies are presented

Selective Referral Using CCTA Versus Direct Referral for Individuals Referred to Invasive Coronary Angiography for Suspected CAD : a Randomized, Controlled, Open-Label Trial

Objectives: This study compared the safety and diagnostic yield of a selective referral strategy using coronary computed tomographic angiography (CCTA) compared with a direct referral strategy using invasive coronary angiography (ICA) as the index procedure. Background: Among patients presenting with signs and symptoms suggestive of coronary artery disease (CAD), a sizeable proportion who are referred to ICA do not have a significant, obstructive stenosis. Methods: In a multinational, randomized clinical trial of patients referred to ICA for nonemergent indications, a selective referral strategy was compared with a direct referral strategy. The primary endpoint was noninferiority with a multiplicative margin of 1.33 of composite major adverse cardiovascular events (blindly adjudicated death, myocardial infarction, unstable angina, stroke, urgent and/or emergent coronary revascularization or cardiac hospitalization) at a median follow-up of 1-year. Results: At 22 sites, 823 subjects were randomized to a selective referral and 808 to a direct referral strategy. At 1 year, selective referral met the noninferiority margin of 1.33 (p = 0.026) with a similar event rate between the randomized arms of the trial (4.6% vs. 4.6%; hazard ratio: 0.99; 95% confidence interval: 0.66 to 1.47). Following CCTA, only 23% of the selective referral arm went on to ICA, which was a rate lower than that of the direct referral strategy. Coronary revascularization occurred less often in the selective referral group compared with the direct referral to ICA (13% vs. 18%; p < 0.001). Rates of normal ICA were 24.6% in the selective referral arm compared with 61.1% in the direct referral arm of the trial (p < 0.001). Conclusions: In stable patients with suspected CAD who are eligible for ICA, the comparable 1-year major adverse cardiovascular events rates following a selective referral and direct referral strategy suggests that both diagnostic approaches are similarly effective. In the selective referral strategy, the reduced use of ICA was associated with a greater diagnostic yield, which supported the usefulness of CCTA as an efficient and accurate method to guide decisions of ICA performance. (Coronary Computed Tomographic Angiography for Selective Cardiac Catheterization [CONSERVE]; NCT01810198