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1.
Over the past 10 years, a considerable amount of research has been devoted to the development of models to support decision making in the particular yet important context of Emergency Medical Services (EMS). More specifically, the need for advanced strategies to take into account the uncertainty and dynamism inherent to EMS, as well as the pertinence of socially oriented objectives, such as equity, and patient medical outcomes, have brought new and exciting challenges to the field. In this context, this paper summarizes and discusses modern modeling approaches to address problems related to ambulance fleet management, particularly those related to vehicle location and relocation, as well as dispatching decisions. Although it reviews early works on static ambulance location problems, this review concentrates on recent approaches to address tactical and operational decisions, and the interaction between these two types of decisions. Finally, it concludes on the current state of the art and identifies promising research avenues in the field.  相似文献   
2.
We consider a problem where different classes of customers can book different types of service in advance and the service company has to respond immediately to the booking request confirming or rejecting it. The objective of the service company is to maximize profit made of class-type specific revenues, refunds for cancellations or no-shows as well as cost of overtime. For the calculation of the latter, information on the underlying appointment schedule is required. In contrast to most models in the literature we assume that the service time of clients is stochastic and that clients might be unpunctual. Throughout the paper we will relate the problem to capacity allocation in radiology services. The problem is modeled as a continuous-time Markov decision process and solved using simulation-based approximate dynamic programming (ADP) combined with a discrete event simulation of the service period. We employ an adapted heuristic ADP algorithm from the literature and investigate on the benefits of applying ADP to this type of problem. First, we study a simplified problem with deterministic service times and punctual arrival of clients and compare the solution from the ADP algorithm to the optimal solution. We find that the heuristic ADP algorithm performs very well in terms of objective function value, solution time, and memory requirements. Second, we study the problem with stochastic service times and unpunctuality. It is then shown that the resulting policy constitutes a large improvement over an “optimal” policy that is deduced using restrictive, simplifying assumptions.  相似文献   
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A fluid flow and heat transfer model has been developed for the reactive, porous bed of the biomass gasifier to simulate pressure drop, temperature profile in the bed and flow rates. The conservation equations, momentum equation and energy equation are used to describe fluid and heat transport in porous gasifier bed. The model accounted for drag at wall, and the effect of radial as well as axial variation in bed porosity to predict pressure drop in bed. Heat transfer has been modeled using effective thermal conductivity approach. Model predictions are validated against the experiments, while effective thermal conductivity values are tested qualitatively using models available in literature. Parametric analysis has been carried out to investigate the effect of various parameters on bed temperature profile and pressure drop through the gasifier. The temperature profile is found to be very sensitive to gas flow rate, and heat generation in oxidation zone, while high bed temperature, gas flow rate and the reduction in feedstock particle size are found to cause a marked increase in pressure drop through the gasifier. The temperatures of the down stream zones are more sensitive to any change in heat generation in the bed as compared to upstream zone. Author recommends that the size of preheating zone may be extended up to pyrolysis zone in order to enhance preheating of input air, while thermal insulation should not be less than 15 cm.  相似文献   
5.
基于Web Services的移动通信综合网管系统   总被引:1,自引:1,他引:0  
基于Web Services分布式原理,提出了一种新的移动通信综合网管系统的方案.该系统与目前国内传统的TMN网管系统相比,在匹配性、移植性、扩展性、安全性以及重用性等方面都具有明显的优越性.通过对Web Services体系结构分析研究,给出了Web Services到TMN网管系统的映射.并在试验环境中,实现和验证了这种基于Web Services分布式综合网管系统.最后对如何用,ETWeb服务来实现综合的网管的关键技术进行了阐述和分析。  相似文献   
6.
This paper investigates the relationship between market conditions and the value and use of sourcing flexibility for service processes. We develop and analyze a series of models, and we derive expressions for the optimal switching decision, the value of the option to outsource, the value of the option to backsource, and the probability and timing of switches between the alternative sources.  相似文献   
7.
We propose a multiple state repetitive group sampling plan by considering the process loss. The optimal plan parameters of the proposed plan are selected such that producer’s risk and consumer’s risk are satisfied simultaneously by minimizing the average sample number. The advantages of the proposed plan over the existing sampling plans are given. Extensive tables are provided for practical applications of the proposed plan. Two real world examples are given for the illustration purpose.  相似文献   
8.
The inter-modes mixing effects in Mode Group Diversity Multiplexing   总被引:1,自引:0,他引:1  
Multiplexing technology in indoor optical networks with multimode fibres allows the integration of several services to the end user. The Mode Group Diversity Multiplexing technique (MGDM) in Graded-Index Multi-Mode (GI-MMF) fibre makes the system less expensive with simpler transmitters and receivers, keeping the same information capacity as other multiplexing techniques. The capacity conservation and transmission quality obtained using MGDM technique depends on the transmission conditions and the state of fibre. Bending of the fibre can affect the system by changing modes excited for the different propagation channels in the fibre. In this paper an analytical modelling method for MGDM will be presented. Improvements in system sending and receiving conditions are studied. Modelling of the fibre curvature as well as the effects of coupling patterns on the MGDM are discussed.  相似文献   
9.
We consider an MRI scanning facility run by a Radiology department. Several hospital departments compete for capacity and have private information regarding their demand for scans. The fairness of the capacity allocation by the Radiology department depends on the quality of the information provided by the hospital departments. We employ a generic Bayesian game approach that stimulates the disclosure of true demand (truth-telling), so that capacity can be allocated fairly. We derive conditions under which truth-telling is a Bayesian Nash equilibrium. The usefulness of the approach is illustrated with a numerical example.  相似文献   
10.
In the past few years primary health care has been characterised as central to the development of the National Health Service in the United Kingdom. Furthermore, performance assessment is seen as a way of achieving care of high standards. Performance indicators and targets are being developed to assess primary care providers, and to develop financial incentives. However, the number of studies that have compared the performance of primary care providers is limited and the existing approaches to evaluation are open to improvement.  相似文献   
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