Value management of diagnostic equipment with cancelation,no‐show,and emergency patients

Magnetic resonance imaging and other multifunctional diagnostic facilities, which are considered as scarce resources of hospitals, typically provide services to patients with different medical needs. This article examines the admission policies during the appointment management of such facilities. We consider two categories of patients: regular patients who are scheduled in advance through an appointment system and emergency patients with randomly generated demands during the workday that must be served as soon as possible. According to the actual medical needs of patients, regular patients are segmented into multiple classes with different cancelation rates, no‐show probabilities, unit value contributions, and average service times. Management makes admission decisions on whether or not to accept a service request from a regular patient during the booking horizon to improve the overall value that could be generated during the workday. The decisions should be made by considering the cancelation and no‐show behavior of booked patients as well as the emergency patients that would have to be served because any overtime service would lead to higher costs. We studied the optimal admission decision using a continuous‐time discrete‐state dynamic programming model. Identifying an optimal policy for this discrete model is analytically intractable and numerically inefficient because the state is multidimensional and infinite. We propose to study a deterministic counterpart of the problem (i.e., the fluid control problem) and to develop a time‐based fluid policy that is shown to be asymptotically optimal for large‐scale problems. Furthermore, we propose to adopt a mixed fluid policy that is developed based on the information obtained from the fluid control problem. Numerical experiments demonstrate that this improved policy works effectively for small‐scale problems. © 2016 Wiley Periodicals, Inc. Naval Research Logistics 63: 287–304, 2016     

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地铁火灾灭火战斗原则探讨

从地铁火灾特点及地铁灭火救援战斗规律入手，探讨了消防部队参加地铁火灾救援的战斗原则及这些原则的运用，供消防部队进行地铁火灾灭火救援时参考。     

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有源消声技术对于管道中低频噪声的控制非常有效。本文描述的自适应管道有源消声系统,性能稳定,对单频的消声量可达30dB,对宽带随机噪声的消声量不低于14dB。     

自适应跳频通信受扰信道无源确认技术

及时确认被干扰信道是自适应跳频通信躲避干扰的前提。本文提出了一种受扰信道无源自适应预测评估算法 ,无需发射信号就可以识别干扰信道并预先躲避 ,从而提高了系统的抗干扰性能 ,方法简单 ,易于实现。     

层次分析法在舰船作战能力分析中应用

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聚氨酯防腐涂料综述

介绍了聚氨酯防腐涂料的种类、成分及其性能,并与现有的防腐涂料进行了比较。     

双37毫米舰炮射击终止时弹壳贴膛故障的分析及改进措施

分析了双３７舰炮射击终止时产生弹壳贴膛,退壳困难的故障,详细探讨故障产生原因,提出在装备使用过程中,使机械和电气的动作能相互制约,相互控制,避免射击终止时弹壳贴膛的改进措施。     

几种坦克用钢氮离子注入强化试验

对10、38CrSi、20Cr2Ni4A等坦克用钢的氮离子注入强化进行了试验。结果表明:注入后的试样,硬度和相对耐磨性都有不同程度的提高。硬度的测试结果与试验载荷有关。     

核动力折中稳态运行方案下稳压器压力控制的模糊控制器

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