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This paper describes a methodology for allocating resources in hospitals. The methodology uses two linear goal-programming models. One model sets case mix and volume for physicians, while holding service costs fixed; the other translates case mix decisions into a commensurate set of practice changes for physicians. The models allow decision makers to set case mix and case costs in such a way that the institution is able to break even, while preserving physician income and minimizing disturbance to practice. The models also permit investigation of trade-offs between case mix and physician practice parameters. Results are presented from a decision-making scenario facing the surgical division of Toronto's Mount Sinai Hospital after the announcement of a 3-year, 18% reduction in funding. 相似文献
44.
T. González-Lezana G. Delgado-Barrio P. Villarreal F.X. Gadéa 《The European Physical Journal D - Atomic, Molecular, Optical and Plasma Physics》2002,20(2):227-232
The stabilization method is applied to the case of interacting resonances in the photo-dissociation of van der Waals clusters
composed by a rare gas atom bound to a dihalogen molecule. The study of an illustrative two-dimensional model consisting in
a T-shaped NeI2 molecule shows the adequacy of the method whenever the projection of the stabilization wave functions on the assumed prepared
initial state is accounted for. The agreement of the fragmentation cross-sections with some previous results using the effective
resolvent method and accurate close-coupling calculations is excellent. The method reveals its utility as a complementary
tool since allows, through the analysis of the stabilization wave function in terms of zero-order levels, a precise characterization
of the resonant states involved.
Received 5 April 2002 / Received in final form 24 May 2002 Published online 19 July 2002 相似文献
45.
SUMMARY: In recent years, the multiparametric approach for evaluating perceptual rating of voice quality has been advocated. This study evaluates the accuracy of predicting perceived overall severity of voice quality with a minimal set of aerodynamic, voice range profile (phonetogram), and acoustic perturbation measures. One hundred and twelve dysphonic persons (93 women and 19 men) with laryngeal pathologies and 41 normal controls (35 women and six men) with normal voices participated in this study. Perceptual severity judgement was carried out by four listeners rating the G (overall grade) parameter of the GRBAS scale. The minimal set of instrumental measures was selected based on the ability of the measure to discriminate between dysphonic and normal voices, and to attain at least a moderate correlation with perceived overall severity. Results indicated that perceived overall severity was best described by maximum phonation time of sustained /a/, peak intraoral pressure of the consonant-vowel /pi/ strings production, voice range profile area, and acoustic jitter. Direct-entry discriminant function analysis revealed that these four voice measures in combination correctly predicted 67.3% of perceived overall severity levels. 相似文献
46.
Applying a Lindemann like criterion obtained previously by Kierfeld et al. [J. Kierfeld, T. Nattermann, T. Hwa, Phys. Rev. B 55 (1997) 626], we estimate the magnetic field and temperature for a high-Tc superconductor, at which a topologically ordered vortex glass phase becomes unstable with respect to a disorder-induced formation of dislocations. The employed criterion is shown to be equivalent to a conventional phenomenological Lindemann criterion including the values for the numerical factors, i.e., for the Lindemann number. The positional correlation length of the topologically ordered vortex glass is calculated. 相似文献
47.
In this paper an algorithm is developed to generate all nondominated extreme points and edges of the set of objective values of a multiple objective linear program. The approach uses simplex tableaux but avoids generating unnecessary extreme points or bases of extreme points. The procedure is based on, and improves, an algorithm Dauer and Liu developed for this problem. Essential to this approach is the work of Gal and Kruse on the neighborhood problem of determining all extreme points of a convex polytope that are adjacent to a given (degenerate) extreme point of the set. The algorithm will incorporate Gal's degeneracy graph approach to the neighborhood problem with Dauer's objective space analysis of multiple objective linear programs. 相似文献
48.
The precision of isotopic measurements of Pb by thermal ionization mass spectrometry (TIMS) is limited by the fact that this element does not possess an invariant isotope ratio that can be used for the correction of mass fractionation by internal normalization. Multiple-collector inductively coupled plasma mass spectrometry (MC-ICPMS) can overcome this limitation, because with plasma ionization, elements with overlapping mass ranges are thought to display identical mass discrimination. With respect to Pb, this can be exploited by the addition of Tl to the sample solutions; the mass discrimination factor obtained for Tl can then be used for the correction of the measured Pb isotope ratios. In this article we present the results of a detailed study that investigates the accuracy and precision of such an external correction technique for mass discrimination based upon the results of multiple analyses of a mixed standard solution of NIST SRM-981 Pb and SRM-997 Tl. Our data indicate that normalization of the Pb isotope ratios to the certified isotopic composition of SRM-997 Tl produces Pb isotopic results that are significantly lower than recently published reference values by TIMS. This systematic offset can be eliminated by renormalization of the Pb data to a different Tl isotopic composition to obtain an empirically determined mass discrimination factor for Pb that generates accurate results. It is furthermore shown that a linear law is least suited for the correction of mass discrimination, whereas a power or exponential law function provide significantly more accurate and precise results. In detail, it appears that a power law may provide the most appropriate correction procedure, because the corrected Pb isotope ratios display less residual correlations with mass discrimination compared to the exponentially corrected data. Using an exponential or power law correction our results, obtained over a period of over seven months, display a precision (2σ) of better than 60 parts per million (ppm) for 208Pb/206Pb and 207Pb/206Pb and of better than 350 ppm for 206Pb/204Pb, 207Pb/204Pb/204Pb, and 208Pb/204Pb. This represents a significant improvement compared to conventional TIMS techniques and demonstrates the potential of MC-ICPMS for routine, high-precision measurements of Pb isotopic compositions. 相似文献
49.
报告了143例沈阳市健康人血清中Mg、Zn、Cu、Se、Cr含量及Cu/Zn值,并指出健康人血清中Mg与Cu量正相关,Mg与Cr呈负相关,Mg与Cu/Zn值呈正相关.Zn与Cr呈正相关.Zn与Cu/Zn呈负相关.Cu与Cr呈负相关。Cu与Cu/Zn值呈负相关.Cr与Cu/Zn值呈负相关. 相似文献
50.
Suzdalev I. P. Buravtsev V. N. Maksimov Yu. V. Zharov A. A. Imshennik V. K. Novichikhin S. V. Matveev V. V. 《Russian Chemical Bulletin》2003,52(9):1950-1958
Magnetic phase transitions of the first and second order were revealed by Mössbauer spectroscopy in nanosystems of - and -ferric oxides and metallic europium subjected to shear stress (240°) under high pressure (20 kbar). For - and -ferric oxide nanoclusters, the Curie (Neel) points decreased to 300 K, whereas for nanostructured europium the Neel point increased from 90 to 100 K. The thermodynamic model of magnetic phase transitions predicting a change in the character of magnetic phase transitions and a decrease (increase) in the critical Neel (Curie) points in nanoclusters was developed. The type of magnetic phase transitions and the change in the critical points were caused by defects in nanoclusters, whose maximum concentration was observed for the clusters with the 20—50 nm size range. 相似文献