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.     

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.     

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.     

A Higher-Dimensional Version of the Brody Reparametrization Lemma

We prove a generalization of the Brody reparametrization lemma.__________Published in Ukrains’kyi Matematychnyi Zhurnal, Vol. 56, No. 10, pp. 1369 – 1377, October, 2004.     

A Note on the Linearity of Real-valued Functions with Respect to Suitable Metrics

In this paper we prove that for every real-valued Morse function φ on a smooth closed manifold ℳ and every neighborhood U of its critical points a suitable Riemannian metric μ _U exists such that φ is linear outside U