OR and the challenge to improve the NHS: modelling for insight and improvement in in-patient flows

This paper considers efforts to improve in-patient flows, a particularly urgent issue in the National Health Service (NHS). The context is described and related to reasons why OR has been making relatively little contribution. The paper argues that large complex models may often be unnecessary and even get in the way of providing clear insight and guidance for problem owners. The importance of understanding the generic working of systems to lead to improvement, and the limitations of simply describing them, is stressed. It is demonstrated that some very simple models can be of significant practical value in understanding and managing complex systems, changing mindsets and driving collection and use of operationally valuable data. Recommendations for more effective engagement with the NHS are offered.     

Determination of ultra-trace gold in natural water by graphite furnace atomic absorption spectrophotometry after in situ enrichment with thiol cotton fiber

A simple method of determining ultra-trace Au in natural water was presented by using graphite furnace atomic absorption spectrophotometry (GFAAS) after in situ enrichment with thiol cotton fiber (TCF). The sample solution was adjusted to pH 1.5-2.0 with HCl, then the water sample was passed through a column packed with 0.10-0.20 g TCF and the flow rate was controlled at 20-40 ml min⁻¹. The effects of interferences, such as complexing and oxidizing agents and other elements adsorbed on TCF were overcome by chemical treatments prior to the desorption of Au. The adsorbed Au was adsorbed with 2.0 ml hot acid, then it was extracted with 1.00 ml methyl isobutylketone (MIBK). For a 5 l water sample, the detection limit of Au is 0.02 ng l⁻¹. The relative standard deviation (R.S.D.) for the determination of 1.44 ng l⁻¹ Au was 9.4%.The method was applied to determine ultra-trace Au both in suspended phase and soluble phase in natural water, the concentrations of total Au in natural water samples range from 0.51 to 67.82 ng l⁻¹. The recovery of added 0.50-6.00 ng l⁻¹ Au was 80-95%. The method is useful in prospecting for Au deposits by means of hydrogeochemical methods. The enrichment is carried out in the field, and then the determination of Au is completed later in the laboratory.     

Improved tabu search algorithm for the handling of route duration constraints in vehicle routing problems with time windows

This note introduces a refinement to a previously proposed tabu search algorithm for vehicle routing problems with time windows. This refinement yields new best known solutions on a set of benchmark instances of the multi-depot, the periodic and the site-dependent vehicle routing problems with time windows.     

Dispersion and distribution of organically modified montmorillonite in nylon‐66 matrix

Nylon‐66 nanocomposites were prepared by melt‐compounding nylon‐66 with an alkyl ammonium surfactant pretreated montmorillonite (MMT). The thermal stability of the organic MMT powders was measured by thermogravimetric analysis. The decomposition of the surfactant on the MMT occurred from 200 to 500 °C. The low onset decomposition temperature of the organic MMT is one shortcoming when it is used to prepare polymer nanocomposites at high melt‐compounding temperatures. To provide greater property enhancement and better thermal stability of the polymer/MMT nanocomposites, it is necessary to develop MMT modified with more thermally stable surfactants. The dispersion and spatial distribution of the organic MMT layers in the nylon‐66 matrix were characterized by X‐ray diffraction. The organic MMT layers were exfoliated but not randomly dispersed in the nylon‐66 matrix. A model was proposed to describe the spatial distribution of the organic MMT layers in an injection‐molded rectangular bar of nylon‐66/organic MMT nanocomposites. Most organic MMT layers were oriented in the injection‐molding direction. Layers near the four surfaces of the bar were parallel to their corresponding surfaces; whereas those in the bulk differed from the near‐surface layers and rotated themselves about the injection‐molding direction. The influence of the spatial distribution of the organic MMT on crystallization of nylon‐66 was also investigated. © 2003 Wiley Periodicals, Inc. J Polym Sci Part B: Polym Phys 41: 1234–1243, 2003     

Insights on some chiral smectic phases

Combining layered positional order as smectic order and chirality can generate complex architectures since twist parallel to the layers is not allowed. This paper will review some new experimental results on different phases resulting from the competition between smectic positional order and twist orientational order. It concerns the TGB_A and the NL^*, that is the liquid line phase as well as the SmQ phase. Chiral effects in the isotropic phase will also be discussed.     

The minimizing of the Nielsen root classes

Given a map f: X→Y and a Nielsen root class, there is a number associated to this root class, which is the minimal number of points among all root classes which are H-related to the given one for all homotopies H of the map f. We show that for maps between closed surfaces it is possible to deform f such that all the Nielsen root classes have cardinality equal to the minimal number if and only if either N R[f]≤1, or N R[f]>1 and f satisfies the Wecken property. Here N R[f] denotes the Nielsen root number. The condition “f satisfies the Wecken property is known to be equivalent to |deg(f)|≤N R[f]/(1−χ(M ₂)−χ(M ₁0/(1−χ(M ₂)) for maps between closed orientable surfaces. In the case of nonorientable surfaces the condition is A(f)≤N R[f]/(1−χ(M ₂)−χ(M ₂)/(1−χ(M ₂)). Also we construct, for each integer n≥3, an example of a map f: K _n →N from an n-dimensionally connected complex of dimension n to an n-dimensional manifold such that we cannot deform f in a way that all the Nielsen root classes reach the minimal number of points at the same time.     

On separation of gradient Young measures

Let be a linear subspace of real matrices without rank-one matrices and let be a finite set. Suppose is a bounded arcwise connected Lipschitz domain and is a sequence of bounded vector-valued mappings in such that in as , where is the closed -neighbourhood and the distance function to . We give estimates for such that up to a subsequence, in for some fixed . In other words, we give estimates on such that separates gradient Young measure. The two point set with is a special case of such sets up to a translation. Received: 20 July 2001 / Accepted: 23 January 2002 / Published online: 5 September 2002