Predicting intensive care unit bed occupancy for integrated operating room scheduling via neural networks

In a master surgery scheduling (MSS) problem, a hospital's operating room (OR) capacity is assigned to different medical specialties. This task is critical since the risk of assigning too much or too little OR time to a specialty is associated with overtime or deficit hours of the staff, deferral or delay of surgeries, and unsatisfied—or even endangered—patients. Most MSS approaches in the literature focus only on the OR while neglecting the impact on downstream units or reflect a simplified version of the real‐world situation. We present the first prediction model for the integrated OR scheduling problem based on machine learning. Our three‐step approach focuses on the intensive care unit (ICU) and reflects elective and urgent patients, inpatients and outpatients, and all possible paths through the hospital. We provide an empirical evaluation of our method with surgery data for Universitätsklinikum Augsburg, a German tertiary care hospital with 1700 beds. We show that our model outperforms a state‐of‐the‐art model by 43% in number of predicted beds. Our model can be used as supporting tool for hospital managers or incorporated in an optimization model. Eventually, we provide guidance to support hospital managers in scheduling surgeries more efficiently.     

Effect of change of sand properties on travel distance of ricocheted debris

The debris from exploded buildings can ricochet after colliding with the ground, thus increasing the debris travel distance and danger from any associated impacts or collisions. To reduce this danger, the travel distance of ricocheted debris must be accurately predicted. This study analyzed the change in the travel distance of ricocheted concrete debris relative to changes in the properties of a sand medium. Direct shear tests were conducted to measure the change in internal friction angle as a function of temperature and water content of the sand. Finite element analysis (FEA) was then applied to these variables to predict the speed and angle of the debris after ricochet. The FEA results were compared with results of low-speed ricochet experiments, which employed variable temperature and water content. The travel distance of the debris was calculated using MATLAB, via trajectory equations considering the drag coefficient. As the internal friction angle decreased, the shear stress decreased, leading to deeper penetration of the debris into the sand. As the loss of kinetic energy increased, the velocity and travel distance of the ricocheted debris decreased. Changes in the ricochet velocity and travel distance of the debris, according to changes in the internal friction angle, indicated that the debris was affected by the environment.     

An economic selective assembly procedure for two mating components with equal variance

An economic procedure of selective assembly is proposed when a product is composed of two mating components. The major quality characteristic of the product is the clearance between the two components. The components are divided into several classes prior to assembly. The component characteristics are assumed to be independently and normally distributed with equal variance. The procedure is designed so that the proportions of both components in their corresponding classes are the same. A cost model is developed based on a quadratic loss function and methods of obtaining the optimal class limits as well as the optimal number of classes are provided. Formulas for obtaining the proportion of rejection and the unavailability of mating components are also provided. The proposed model is compared with the equal width and the equal area partitioning methods using a numerical example. © 1999 John Wiley & Sons, Inc. Naval Research Logistics 46: 809–821, 1999     

Probabilistic partial set covering problems

In this article, we consider a situation in which a group of facilities need to be constructed in order to serve a given set of customers. However, the facilities cannot guarantee an absolute coverage to any of the customers. Hence, we formulate this problem as one of maximizing the total service reliability of the system subject to a budgetary constraint. For this problem, we develop and test suitable branch-and-bound algorithms and study the effect of problem parameters on solution difficulty. Some generalizations of this problem are also mentioned as possible extensions.     

Transient analysis of multiple-unit reliability systems

A general Markovian model representing several multiple-unit redundant repairable systems is proposed and its transient behavior is studied. Specifically, for multiple-unit reliability system the reliability and availability functions are derived in an explicit form for the transient case. The stationary availability and mean time to system failure are deduced from the main results as special cases.     

Herdsmen militancy and humanitarian crisis in Nigeria: A theoretical briefing

This article explores the phenomenon of herdsmen militancy as a new trajectory for the farmer–herder crisis in Nigeria, with reference to its humanitarian implications. Relying on a systematic analysis of secondary data and aligning with the analytical anchorage of liberal political ecology theory, the article posits that herdsmen militancy depicts a contradiction in agrarian relations in the context of a national security crisis which has been complicated by salient socio-ecological factors such as climate change, armed violence, and identity politics. In view of the dire humanitarian consequences of this situation, the article submits that herdsmen militancy constitutes a major threat to human and national security in Nigeria. It makes a case for a pragmatic policy capable of mitigating the myriad socio-ecological factors that tend to trigger herdsmen militancy, with prohibition on open grazing in critical hotbeds of herder–farmer conflict as a strategic measure.     

Economic and environmental impacts of vertical and horizontal competition and integration

We explore the economic and environmental impacts of market structures (competition or integration at vertical and horizontal levels). We consider a bilateral duopoly consisting of two manufacturers and two retailers in which each manufacturer offers a wholesale price contract to the respective retailer. The manufacturers decide on wholesale prices and abatement efforts concerning pollution emissions related to manufacturing processes, whereas the retailers compete in quantities in the consumer market. To understand the comprehensive effects of market structures on economic competitiveness and environmental sustainability, we examine a measure of eco‐friendly social welfare, which is the ratio of social welfare and environmental pollution. Interestingly, we find that the market structures that have been believed to be more efficient are less efficient from a broader perspective: (1) double marginalization can generate higher eco‐friendly social welfare, and (2) horizontal competition between firms can result in lower eco‐friendly social welfare. Although vertical integration and horizontal competition yield greater social welfare by facilitating more production activities, these market structures often fail to induce sufficient abatement efforts to balance the polluting effect of the large volume, resulting in more significant environmental degradation. We also show that, despite the pollution‐curbing effect, higher emission penalties can result in less eco‐friendly social welfare. They can even curtail the abatement efforts of firms under particular circumstances. When products become more substitutable, the eco‐friendly social welfare can decrease depending upon the market structure.     

The Just Warrior Ethos: A Response to Colonel Riza

In 2014, Colonel M. Shane Riza published an article in this journal arguing that remotely piloted aircraft (RPA) and robotic weapons threaten the US Air Force’s warrior ethos. Riza has clearly articulated the sentiments of one side of a vibrant debate within our service. This paper presents an alternative view; a view held by some who have experienced these new forms and tools of war, and who have wrestled with their implications first-hand. In this paper, we address some methodological concerns with Riza’s approach and then engage some misunderstandings about RPA’s relationship to military history and to risk. The second part of this paper takes a close look at some of the early Just War thinkers to determine what implications the tradition may have on the warrior ethos. We propose, as an alternative to Riza’s position, a return to an ethos grounded in humility, charity, and a conception of war as a last resort; in short, a return to the Just Warrior Ethos.     

Minimal LST representations of MAP(n)s: Moment fittings and queueing approximations

A Markovian arrival process of order n, MAP(n), is typically described by two n × n transition rate matrices in terms of rate parameters. While it is straightforward and intuitive, the Markovian representation is redundant since the minimal number of parameters is n² for non‐redundant MAP(n). It is well known that the redundancy complicates exact moment fittings. In this article, we present a minimal and unique Laplace‐Stieltjes transform (LST) representations for MAP(n)s. Even though the LST coefficients vector itself is not a minimal representation, we show that the joint LST of stationary intervals can be represented with the minimum number of parameters. We also propose another minimal representation for MAP(3)s based on coefficients of the characteristic polynomial equations of the two transition rate matrices. An exact moment fitting procedure is presented for MAP(3)s based on two proposed minimal representations. We also discuss how MAP(3)/G/1 departure process can be approximated as a MAP(3). A simple tandem queueing network example is presented to show that the MAP(3) performs better than the MAP(2) in queueing approximations especially under moderate traffic intensities. © 2016 Wiley Periodicals, Inc. Naval Research Logistics 63: 549–561, 2016     

Why provoke? the Sino-US competition in East Asia and North Korea’s strategic choice

This article seeks to make sense of North Korean provocations in light of the Sino-US strategic competition in post-Cold War East Asia, where such variables as China’s rise, US’s pivot to Asia, and growing Sino-ROK economic ties are driving the strategic choices of major states in the region. The article examines the main motivations behind Pyongyang’s provocations since the end of the Cold War, discusses their implications for the Sino-US strategic competition in East Asia, and offers predictions about the future of North Korean provocations. The central thesis of the article is that Pyongyang has exploited the Sino-US strategic competition in East Asia for its regime survival. By raising North Korea’s strategic value to China, the intensifying Sino-US competition allows Pyongyang to continue provocations, regardless of Beijing’s explicit opposition.