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.     

Studies on calcium‐containing poly(urethane ether)s

The calcium salt of mono(hydroxyethoxyethyl)phthalate [Ca(HEEP)₂] was synthesized by the reaction of diethylene glycol, phthalic anhydride, and calcium acetate. Calcium‐containing poly(urethane ether)s (PUEs) were synthesized by the reaction of hexamethylene diisocyanate (HMDI) or tolylene 2,4‐diisocyanate (TDI) with a mixture of Ca(HEEP)₂ and poly(ethylene glycol) (PEG₃₀₀ or PEG₄₀₀) with di‐n‐butyltin dilaurate as a catalyst. A series of calcium‐containing PUEs of different compositions were synthesized with Ca(HEEP)₂/PEG₃₀₀ (or PEG₄₀₀)/diisocyanate (HMDI or TDI) molar ratios of 2:2:4, 3:1:4, and 1:3:4 so that the coating properties of the PUEs could be studied. Blank PUEs without calcium‐containing ionic diols were also prepared by the reaction of PEG₃₀₀ or PEG₄₀₀ with HMDI or TDI. The PUEs were well characterized by Fourier transform infrared, ¹H and ¹³C NMR, solid‐state cross‐polarity/magic‐angle‐spinning ¹³C NMR, viscosity, solubility, and X‐ray diffraction studies. The thermal properties of the polymers were also studied with thermogravimetric analysis and differential scanning calorimetry. The PUEs were applied as top coats on acrylic‐coated leather, and their physicomechanical properties were also studied. The coating properties of PUEs, such as the tensile strength, elongation at break, tear strength, water vapor permeability, flexing endurance, cold crack resistance, abrasion resistance, color fastness, and adhesive strength, were better than the standard values. © 2003 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem 41: 2865–2878, 2003     

Nonvanishing cohomology and classes of Gorenstein rings

We give counterexamples to the following conjecture of Auslander: given a finitely generated module M over an Artin algebra Λ, there exists a positive integer n_M such that for all finitely generated Λ-modules N, if Ext_Λⁱ(M,N)=0 for all i?0, then Ext_Λⁱ(M,N)=0 for all i?n_M. Some of our examples moreover yield homologically defined classes of commutative local rings strictly between the class of local complete intersections and the class of local Gorenstein rings.     

Characteristics of radionuclide contamination of different zones of Semipalatinsk Nuclear Test Site “Opytnoe pole”

Data on the spatial distribution of radionuclides (²⁴¹Am, ²³⁹Pu, ¹³⁷Cs and ¹⁵²Eu) formed during nuclear explosions of different types near P2 SNTS test site are presented. Radionuclide contamination induced by the explosions varies in the concentrations of individual radionuclides, their proportions and species. Examination of the variations is a crucial task to plan remediation activities as well as those aimed at decrease of radiation risk for population and prevention of repeated contamination. Concentrations of ²⁴¹Am and ^239+240Pu that are the most toxic radionuclides in the area lie in hundred thousands of Bqkg^?1. The most contaminated areas are classified by the radionuclide concentration, ratio and form present in soil.     

Mathematical Model of a Social Insurance Fund with Random Expenditures for Social Programs (the Diffusion Approximation)

In the present work, the diffusion approximation of the capital is constructed for the mathematical model of a social insurance fund with random expenditures for social programs. The discontinuous hysteresis control of the fund capital is considered.     

Diffraction of the Electromagnetic Wave on a Small Obstacle of Elliptic Form in a Layer

The problem on the diffraction of the electromagnetic plane wave on a small obstacle included in a layer is investigated. The obstacle is assumed to be an elliptic cylinder whose diameter and focal distance are small in comparison with the length of the incident wave. It is proved that the small obstacle radiates as a point source, and its amplitude is proportional to the area of the cross-section and the jumps of the dielectric and magnetic constants on the interfaces. Bibliography: 5 titles.     

Pyroelectric effect in lead-magnoniobate-based solid solutions

A coordinated study of the dielectric, electrostriction, and pyroelectric properties of the lead-magnoniobate-based ceramic solid solutions 0.9PbMg_1/3Nb_2/3O₃-0.1PbTiO₃ and 0.55PbMg_1/3Nb_2/3O₃-0.45PbSc_1/2Nb_1/2O₃ conducted at the relaxor transition temperatures is reported. Electromechanical coupling stimulated by the giant electrostriction effect is shown to play an essential part in the pyroelectric effect.     

Effect of diffraction on the electrodynamic characteristics of two-dimensional coaxial Bragg resonators

The electrodynamic properties of coaxial two-dimensional Bragg resonators with two-dimensional distributed feedback are analyzed. These resonators are made of coaxial waveguide sections with doubly periodic corrugation, which provides coupling and mutual scattering of four partial waves. Two of them propagate along the waveguide, while the other two propagate in the transverse (azimuthal) direction. It is shown that the high azimuthal index selectivity of two-dimensional Bragg resonators may be related to a qualitative difference in topology of the dispersion characteristics of azimuth-symmetric and asymmetric normal waves propagating in infinite waveguides of such a geometry. For the finite-length systems used as two-dimensional Bragg resonators, the eigenmode spectrum is found for two types of boundary conditions that correspond to the limiting cases of perfectly matched (open) systems and, conversely, of systems closed for the extraction of transverse electromagnetic fluxes. Perimeter-to-length ratios of the resonator at which the Q factor of the fundamental azimuth-symmetric mode is greater than those of the other modes are determined. The applicability domain of the geometrical approach, which was earlier applied to two-dimensional Bragg resonators, is discussed.