Abstract

This paper reviews the research, policy proposals and recommendations, implemented policies, and programs on sustainable transportation since 2000, with regional focus on the US, using the UK (related to the European Union if appropriate), and Canada as references. The paper finds that the concept of sustainable transportation has been given increased attention in all places. There are significant variances between the research, policy proposal, and implementation. Efforts made towards sustainable transportation, and the focus of the efforts at entities within and outside the US also vary notably. As a whole, the US did more research on sustainable transportation than the reference countries and it even undertook several studies of sustainable transportation practices in West Europe. The US federal government is less aggressive than its foreign counterparts in marketing and implementing sustainable transportation. This is evidenced by a lack of overarching federal policy (mandate) on and a universal working definition for sustainable transportation, and absence of a gateway and dedicated website to market and disseminate the idea of sustainable development in general and sustainable transportation in particular.

Abstract

     Since the beginning of Cardiology in the world and then started as specialty in Venezuela history have occurred various events that influenced the development of the Cardiovascular Program in Venezuela created to become a national response to cardiovascular disease as a public health problem. In this context, this historical note  particular places emphasis on the commencement of the Cardiovascular Program in Lara State, taking into account the set of individual and institutional situations that gave the necessary momentum, before 1976, for its establishment. In accordance with the foregoing, this factual account is intended to understand the evolution of the program in the region, which, following the same doctrinal basis of the national proposal and implementing different strategies, has achieved its permanence in time. By the way of closure, in the historical note, the strengths of the Cardiovascular Program in the state of Lara, Which through time have allowed it to consolidate itself as a unique and successful experience in the country, namely, the organized participation of the community, the link with the doctrinal issues, the organization and articulation of services by levels of resolution capacity, The teaching-assistance linkage, complementary sources of program financing and teamwork.