Mixing methodologies to enhance the implementation of healthcare operational research

Healthcare Operational Research (OR) has had limited success in achieving a sufficient level of stakeholder acceptance to lead to implementation of results. This research study is aimed at combining OR methodologies to achieve greater acceptance of results for organizational change. Patient flow delays in the Paediatric intensive care unit (PICU) at Children's Hospital of Wisconsin were identified using case studies. Patient flow was modelled using hard OR (simulation) using case study findings, with active stakeholder participation, and enhanced with outcomes research. Outcomes research allowed achieving greater clinical relevance of OR findings. Results from hard OR, particularly for politically sensitive issues, were persuasive but inadequate to result in change. Soft OR (cognitive mapping) was used to identify new issues and enhance results. Consequently, the planned PICU expansion was deferred, and resources focused on improving staffing strategies identified independently from both hard and soft OR. These findings suggest that: (1) Outcomes research can play a unique role to enhance results in healthcare OR. (2) After obtaining a holistic understanding of the system using hard and soft OR, stakeholders are willing to implement results from each independently, supporting the development of a common form of knowledge, which is consistent with Mixed-Mode Modelling. (3) Hard OR, enhanced with outcomes research, with active stakeholder participation, and combined with soft OR, results in greater acceptance and sustained organizational change.     

Dimensional variation in production of high-aspect-ratio micro-pillars array by micro powder injection molding

Micro powder injection molding (μPIM) is one of the potential processes for the mass production of metallic microstructures and micro components. Here, μPIM is the miniaturization of conventional PIM, which involves four processing steps: mixing, injection molding, debinding and sintering. This paper looks into the feasibility and effectiveness of μPIM as a key mass production process for the fabrication of metallic micro components. For it to be an effective re-production process, it is imperative to examine how well parts can be duplicated/fabricated from a master mold. In this work, the dimensional variation of high-aspect-ratio micro-pillars arrays, in particular the dimensional shrinkage, global warpage, and surface roughness at each stage of the μPIM process for a range of molding pressures, are quantified and compared in detail. The sensitivity of the dimensional variation of the microstructures to the packing pressure is reported. The mechanism behind the dimensional variation is analyzed. PACS 81.20.Ev; 81.20.Hy; 81.70.Fy; 07.60.Ly; 81.05.-t     

Some geometrical aspects of semidefinite linear complementarity problems

This article studies some geometrical aspects of the semidefinite linear complementarity problem (SDLCP), which can be viewed as a generalization of the well-known linear complementarity problem (LCP). SDLCP is a special case of a complementarity problem over a closed convex cone, where the cone considered is the closed convex cone of positive semidefinite matrices. It arises naturally in the unified formulation of a pair of primal-dual semidefinite programming problems. In this article, we introduce the notion of complementary cones in the semidefinite setting using the faces of the cone of positive semidefinite matrices and show that unlike complementary cones induced by an LCP, semidefinite complementary cones need not be closed. However, under R₀-property of the linear transformation, closedness of all the semidefinite complementary cones induced by L is ensured. We also introduce the notion of a principal subtransformation with respect to a face of the cone of positive semidefinite matrices and show that for a self-adjoint linear transformation, strict copositivity is equivalent to strict semimonotonicity of each principal subtransformation. Besides the above, various other solution properties of SDLCP will be interpreted and studied geometrically.     

Generalized second law of thermodynamics in quintom dominated universe

In this Letter we will investigate the validity of the generalized second law of thermodynamics for the quintom model of dark energy. Reviewing briefly the quintom scenario of dark energy, we will study the conditions of validity of the generalized second law of thermodynamics in three cases: quintessence dominated, phantom dominated and transition from quintessence to phantom will be discussed.     

Some remarks on Newton–Sabatier methods

It is shown how Newton–Sabatier methods (arising in inverse scattering at fixed energy) can be related to spectral measures and typically when they correspond to regular potentials. A number of spectral formulae for various transmutation kernels are also given in terms of general Kontorovi?–Lebedev theory and connections to generating functions, generalized orthogonal polynomials, etc. are indicated.     

Coupled Thermo-Hydro-Mechanical and Chemical Analysis of Expansive Clay Subjected to Heating and Hydration

A fully coupled formulation combining reactive transport and an existing thermo-hydro-mechanical (THM) code is presented. Special attention has been given to phenomena likely to be encountered in clay barriers used as part of containment systems of nuclear waste. The types of processes considered include hydrolysis, complex formation, oxidation/reduction reactions, acid/base reactions, precipitation/dissolution of minerals and cation exchange. Both kinetically-controlled and equilibrium-controlled reactions have been incorporated. The total analytical concentrations (including precipitated minerals) are adopted as basic transport variables and chemical equilibrium is achieved by minimizing Gibbs Free Energy. The formulation has been incorporated in a general purpose computer code capable of performing numerical analysis of engineering problems. A validation exercise concerning a laboratory experiment involving the heating and hydration of an expansive compacted clay is described.     

Time interval distributions of atoms in atomic beams

We report an experimental investigation of two-particle correlations between neutral atoms in a Hanbury Brown and Twiss experiment. Both an atom laser beam and a pseudo-thermal atomic beam are extracted from a Bose–Einstein condensate and the atom flux is measured with a single atom counter. We determine the conditional and the unconditional detection probabilities for the atoms in the beam and find good agreement with the theoretical predictions. PACS 03.75.Pp; 05.30.Jp; 07.77.Gx; 42.50.Pq     

A side-coupled photonic crystal filter with sidelobe suppression

This paper presents the theoretical model and the optimization method to suppress the sidelobes of side-coupled photonic crystal filters. Numerical verification shows a good agreement between the theoretical method and the finite-difference time-domain simulation, but the theoretic method does not involve the time-consuming computation. The theoretical method also presents a better physical image for choosing the critical parameters, such as the quality factor, phase shift and the number of resonators. Based on the theoretical model, two optimization methods (chirp and cascading) are proposed to deeply suppress the sidelobes. They also show more flexibility in controlling the bandwidth and steepness of the roll-off in the filter. PACS 42.70.Qs     

Signed degree sets in signed graphs

The set D of distinct signed degrees of the vertices in a signed graph G is called its signed degree set. In this paper, we prove that every non-empty set of positive (negative) integers is the signed degree set of some connected signed graph and determine the smallest possible order for such a signed graph. We also prove that every non-empty set of integers is the signed degree set of some connected signed graph.     

Pressure recovery system for a high-power HF/DF laser: implementation practice

The matter of development of a high-performance pressure recovery system (PRS) for a high-power HF/DF laser is discussed. A sequence of design steps is proposed, which involves estimation of basic characteristics of PRS components with the help of one-dimensional integral and semi-empirical procedures; simulation, to be performed using three-dimensional non-stationary Navier — Stokes equations; experimental modelling aimed at verification of the calculation procedures and at refinement of obtained parameters; and a fullscale experiment. An ejector-type system providing for recovery of pressure from 12 Torr to atmospheric pressure in the gas-dynamic system of an HF/DF laser of several-tens-kilowatt power is developed. Matching conditions for parameters of individual PRS components as well as joint functioning of the PRS with a continuous chemical laser in an integral complex are analysed. Conditions for minimization of mass-dimensional characteristics of the laser-PRS complex necessary for the development of ground-based mobile systems are identified.