Tennessee's failed managed care program for mental health and substance abuse services

In July 1996, Tennessee initiated a managed mental health and substance abuse program called TennCare Partners. This publicly funded "carve-out" experiment started chaotically and soon deteriorated into a crisis. Many patients did not receive care or lost continuity of care, and the traditional "safety net" mental health system nearly disintegrated. This qualitative case study sought to ascertain the impact of the TennCare Partners program. It points out that the program's difficulties stemmed directly from a flawed design that spread funds previously earmarked for severely mentally ill patients across the entire Medicaid population. States contemplating similar reforms should strive to protect vulnerable patients by risk-adjusting capitation payments and by focusing resources on care for severely mentally ill persons. States should also minimize program complexity and ensure the accountability of managed care networks for their patients' behavioral health care needs.     

Elliptical trough reflector for the collection of light from linear sources

A trough reflector with a reflective, truncated elliptical surface was designed to efficiently collect freely propagating light from a linear source. The source was placed at one focus of the reflector, and light was collected through a rectangular aperture near the second focus. Collection efficiency was much greater than that of a spherical integrator and approximately 6.5x greater than that of an objective lens; as much as approximately 55% of the light could be captured from the full aperture. This reflector could be used to efficiently collect surface fluorescence excited by use of evanescent waves in fluorescence-based fiber optic or capillary waveguide sensors.     

Polarization-Dependent Periodic Pulse Oscillation in a Diode-Laser-Pumped and Intracavity Frequency-Doubled Nd:YVO 4 Laser

We demonstrate that two cross-polarized longitudinal modes can have 50% higher conversion efficiency than two parallel-polarized longitudinal modes in a diode-laser-pumped and intracavity frequency-doubled Nd:YVO(4) laser when operated under periodic pulse oscillation. Through simulations of the rate equations for primary frequency intensities and gains, we also verify that this effect can be attributed to gain competition and complementary conversion coefficient between second-harmonic and sum-frequency generations.     

Global exponential robust stability of reaction–diffusion interval neural networks with continuously distributed delays

This paper considers the existence of the equilibrium point and its global exponential robust stability for reaction-diffusion interval neural networks with variable coefficients and distributed delays by means of the topological degree theory and Lyapunov-functional method. The sufficient conditions on global exponential robust stability established in this paper are easily verifiable. An example is presented to demonstrate the effectiveness and efficiency of our results.     

Filtering Data Streams for Entity-Based Continuous Queries

The idea of allowing query users to relax their correctness requirements in order to improve performance of a data stream management system (e.g., location-based services and sensor networks) has been recently studied. By exploiting the maximum error (or tolerance) allowed in query answers, algorithms for reducing the use of system resources have been developed. In most of these works, however, query tolerance is expressed as a numerical value, which may be difficult to specify. We observe that in many situations, users may not be concerned with the actual value of an answer, but rather which object satisfies a query (e.g., "who is my nearest neighbor?”). In particular, an entity-based query returns only the names of objects that satisfy the query. For these queries, it is possible to specify a tolerance that is "nonvalue-based.” In this paper, we study fraction-based tolerance, a type of nonvalue-based tolerance, where a user specifies the maximum fractions of a query answer that can be false positives and false negatives. We develop fraction-based tolerance for two major classes of entity-based queries: 1) nonrank-based query (e.g., range queries) and 2) rank-based query (e.g., k-nearest-neighbor queries). These definitions provide users with an alternative to specify the maximum tolerance allowed in their answers. We further investigate how these definitions can be exploited in a distributed stream environment. We design adaptive filter algorithms that allow updates be dropped conditionally at the data stream sources without affecting the overall query correctness. Extensive experimental results show that our protocols reduce the use of network and energy resources significantly.     

An integrated fuzzy TOPSIS and MCGP approach to supplier selection in supply chain management

Supplier selection is an important issue in supply chain management. In recent years, determining the best supplier in the supply chain has become a key strategic consideration. However, these decisions usually involve several objectives or criteria, and it is often necessary to compromise among possibly conflicting factors. Thus, the multiple criteria decision making (MCDM) becomes a useful approach to solve this kind of problem. Considering both tangible and intangible criteria, this study proposes integrated fuzzy techniques for order preference by similarity to ideal solution (TOPSIS) and multi-choice goal programming (MCGP) approach to solve the supplier selection problem. The advantage of this method is that it allows decision makers to set multiple aspiration levels for supplier selection problems. The integrated model is illustrated by an example in a watch firm.     

On NFAs where all states are final,initial, or both

We examine questions involving nondeterministic finite automata where all states are final, initial, or both initial and final. First, we prove hardness results for the nonuniversality and inequivalence problems for these NFAs. Next, we characterize the languages accepted. Finally, we discuss some state complexity problems involving such automata.     

Matrix games with interval data

The conventional game theory is concerned with how rational individuals make decisions when they are faced with known payoffs. In the real world, sometimes the payoffs are not known and have to be estimated, and sometimes the payoffs are only approximately known. This paper develops a solution method for the two-person zero-sum game where the payoffs are imprecise and are represented by interval data. Since the payoffs are imprecise, the value of the game should be imprecise as well. A pair of two-level mathematical programs is formulated to obtain the upper bound and lower bound of the value of the game. Based on the duality theorem and by applying a variable substitution technique, the pair of two-level mathematical programs is transformed to a pair of ordinary one-level linear programs. Solving the pair of linear programs produces the interval of the value of the game. It is shown that the two players in the game have the same upper bound and lower bound for the value of the imprecise game. An example illustrates the whole idea and sheds some light on imprecise game.     

Stability of linear discrete switched systems with delays based on average dwell time method

This paper deals with the problem of exponential stability for a class of linear discrete switched systems with constant delays.The switched systems consist of stable and unstable subsystems.Based on the average dwell time method, some switching signals will be found to guarantee exponential stability of these systems.The explicit state decay estimation is also given in the form of the solutions of linear matrix inequalities(LMIs).An example relating to networked control systems(NCSs) illustrates the effect...