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1.
Scheduling emergency medicine residents (EMRs) is a complex task, which considers a large number of rules (often conflicting) related to various aspects such as limits on the number of consecutive work hours, number of day and night shifts that should be worked by each resident, resident staffing requirements according to seniority levels for the day and night shifts, restrictions on the number of consecutive day and night shifts assigned, vacation periods, weekend off requests, and fair distribution of responsibilities among the residents. Emergency rooms (ERs) are stressful workplaces, and in addition shift work is well-known to be more demanding than regular daytime work. For this reason, preparing schedules that suit the working rules for EMRs is especially important for reducing the negative impact on shift workers physiologically, psychologically, and socially. In this paper, we present a goal programming (GP) model that accommodates both hard and soft constraints for a monthly planning horizon. The hard constraints should be adhered to strictly, whereas the soft constraints can be violated when necessary. The relative importance values of the soft constraints have been computed by the analytical hierarchy process (AHP), which are used as coefficients of the deviations from the soft constraints in the objective function. The model has been tested in the ER of a major local university hospital. The main conclusions of the study are that problems of realistic size can be solved quickly and the generated schedules have very high qualities compared to the manually prepared schedules, which require a lot of effort and time from the chief resident who is responsible for this duty. 相似文献
2.
Persistent calls come from within the graduate medical education community and from external sources for regulating the resident duty hours in order to meet the obligations about the quality of resident education, the well-being of residents themselves, and the quality of patient care services. The report of the Accreditation Council for Graduate Medical Education (ACGME) proposes common program requirements for resident hours. In this paper, we first develop a mixed-integer programming model for scheduling residents’ duty hours considering the on-call night, day-off, rest period, and total work-hour ACGME regulations as well as the demand coverage requirements of the residency program. Subsequently, we propose a column generation model that consists of a master problem and an auxiliary problem. The master problem finds a configuration of individual schedules that minimizes the sum of deviations from the desired service levels for the day and night periods. The formulation of this problem is possible by representing the feasible schedules using column variables, whereas the auxiliary problem finds the whole set of feasible schedules using constraint programming. The proposed approach has been tested on a series of problems using real data obtained from a hospital. The results indicate that high-quality schedules can be obtained within a few seconds. 相似文献
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Jose Luz Silveira Wendell de Queiroz Lamas Celso Eduardo Tuna Iraides Aparecida de Castro Villela Laura Siso Miro 《Renewable & Sustainable Energy Reviews》2012,16(5):2894-2906
This work aims with an approach for cogeneration plants evaluation based on thermoeconomic functional diagram analysis. The second law of thermodynamics is used to develop a methodology to analyse cogeneration systems, based on exergoeconomics evaluation. The thermoeconomic optimisation method developed is applied to allow a better configuration of the cogeneration plant associated to a university hospital. Also ecological efficiency is evaluated. The method was efficient and contributes for thermoeconomics modelling and analysis and can be applied to any sort of thermal system, especially those with combined heat and power in thermal parity. 相似文献
4.
In this study, pyrolysis of tomato waste has been performed in fixed bed tubular reactor at 500 °C, both in absence and presence of Cu/Al2O3 catalyst. The influences of heating rate, catalyst preparation method and catalyst loading on bio-oil yields and properties were examined. According to pyrolysis experiments, the highest bio-oil yield was obtained as 30.31% with a heating rate of 100 °C/min, 5% Cu/Al2O3 catalyst loading ratio and co-precipitation method. Results showed that the catalysts have strong positive effect on bio-oil yields. Bio-oil quality obtained from fast catalytic pyrolysis was more favorable than that obtained from non-catalytic and slow catalytic pyrolysis. 相似文献
5.
Studies on supply chain complexity mainly use the static and dynamic complexity distinction. While static complexity describes the structure of the supply chain, the number and the variety of its components and strengths of interactions between these; the dynamic complexity represents the uncertainty in the supply chain and involves the aspects of time and randomness. This distinction is also valid when classifying the drivers of supply chain complexity according to the way they are generated. Supply chain complexity drivers (e.g., number/variety of suppliers, number/variety of customers, number/variety of interactions, conflicting policies, demand amplification, differing/conflicting/non-synchronized decisions and actions, incompatible IT systems) play a significant and varying role in dealing with complexity of the different types of supply chains (e.g., food, chemical, electronics, automotive). 相似文献
6.
The existing solution methods for the Weibull Renewal Equation suffer from a lack of sufficient accuracy due to the singularity at the origin for some parameter values of the weibull density. The proposed method of solution provides accuracy to any desired degree of precision for all parameter values particularly in the singular range. The method utilizes a cubic spline approximation of the unknown renewal function and applies the Galerkin technique of integral equation solution. Gaussian quadratures are used to evaluate integrals. The singular nature of the integrand is handled by the Gauss-Jacobi quadrature. Results are compared with those obtained by simulation. 相似文献
7.
Seyda Korkut Ozoner 《Journal of chemical technology and biotechnology (Oxford, Oxfordshire : 1986)》2012,87(1):146-152
BACKGROUND: Hydrogen peroxide biosensors based on Poly(glycidyl methacrylate‐co‐3‐thienylmethylmethacrylate)/ Polypyrrole [Poly(GMA‐co‐MTM)/PPy] composite film were reported. Poly(GMA‐co‐MTM) including various amounts of GMA and MTM monomers was synthesized via the radical polymerization. Enzyme horseradish peroxidase (HRP) was trapped in Poly(GMA‐co‐MTM)/PPy composites during the electropolymerization reaction between pyrrole and thiophene groups of MTM monomer, and chemically bonded via the epoxy groups of GMA. Analytical parameters of the fabricated electrodes were calculated and are discussed in terms of film electroactivity and mass transfer conditions of the composite films. RESULTS: The amount of electroactive HRP was found to be 1.25, 0.34 and 0.213 µg for the working electrodes of Poly(GMA30%‐ co‐MTM70%)/PPy/HRP, Poly(GMA85%‐co‐MTM15%)/PPy/HRP and Poly(GMA90%‐co‐MTM10%)/PPy/HRP, respectively. Optimal response of the fabricated electrodes was obtained at pH 7 and an operational potential of ? 0.35 V. It was observed that effective enzyme immobilization and electroactivity of the composite films could be changed by changing the ratios of GMA and MTM fractions of Poly(GMA‐co‐MTM) based working electrodes. CONCLUSION: The amount of electroactive enzyme increases with increasing MTM content of the final copolymer. High operational stabilities of the biosensors can be attributed to the strong covalent enzyme linkage via the epoxy groups of GMA due to preventing enzyme deterioration and loss. A more convenient microenvironment for mass transfer was provided for the electrodes by higher GMA ratios. It is observed that mass transfer is dominated by the mechanism of electron transfer to obtain effective sensitivity values. This work contributes to discussions clarifying the problems regarding the design parameters of biosensors. Copyright © 2011 Society of Chemical Industry 相似文献
8.
Cihat Cetinkaya Korhan Herguner Cornelius Hellge Muge Sayit 《International Journal of Network Management》2020,30(4)
Most of the video streaming applications running over the Internet send video data over HTTP and provide an architecture for video clients to adapt video quality during streaming. In HTTP adaptive streaming, a raw video is encoded at various qualities, each encoded video file is divided into small segments, and the clients may change the segment quality by sending requests for segments having different qualities over time. MPEG has standardized dynamic adaptive streaming over HTTP (MPEG‐DASH) due to this tendency. In this work, we focus on DASH over software‐defined networks (SDN), and we dynamically reroute DASH flows by considering the current network capacity, available bandwidth of the paths, and bitrate of the segments in order to provide high quality of experience (QoE) and fairness among DASH clients. Simulations performed under various network conditions show that the proposed study provides higher QoE and fairness compared with the max‐flow routing approach. 相似文献
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10.
Maria I. G. Siso Marianne Graber Jean-Stphane Condoret Didier Combes 《Journal of chemical technology and biotechnology (Oxford, Oxfordshire : 1986)》1990,48(2):185-200
Alpha-amylase from Aspergillus oryzae has been immobilized onto corn grits and porous silica (specific areas 180 and 440 m2 g?1). Kinetic parameters of immobilized enzyme have been determined. Immobilization of alpha-amylase results in the formation of less polymerized products resulting in an apparent decrease in the number of transglycosylation reactions, for both maltotetraose and starch as substrates, when compared with free enzyme. Diffusional limitations for substrate and products have been quantified in the case of the three supports used. External diffusional resistances were important in all cases for the reaction products, whilst they became negligible for the substrate in the case of silica supports. Moreover, internal transfer limitations were identified with silica 180 m2g?1 support. It was demonstrated that diffusional resistances were in direct relation to the apparent modification of the enzyme action pattern after immobilization. 相似文献