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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 相似文献
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针对多核集群系统所表现出的新的性能特征,提出了面向多核集群系统消息传递应用程序的并行模拟模型并设计、实现了一个并行模拟器MCPSim(Multi-core Cluster Parallel Simulator),MCPSim在功能模型和性能模型上体现了片内核间、结点内片间以及结点间等三个层次上消息通信的特点,同时支持对应用的消息数量、通信量等的百分比分布的profiling功能,采用PRIMEJ、acobi3D、NPB IS以及HPL等Benchmark程序对MCPSim进行了测试,结果表明MCPSim性能预测的精度优于BigSim,同时能够广泛应用于针对多核集群系统消息传递应用程序的性能分析中。 相似文献
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We consider a general linear filtering operation on an autoregressive moving average (ARMA) time series. The variance of the filter output, which is an important quantity in many applications, is not known with certainty because it depends on the true ARMA parameters. We derive an expression for the sensitivity (i.e., the partial derivative) of the output variance with respect to deviations in the model parameters. The results provide insight into the robustness of many common statistical methods that are based on linear filtering and also yield approximate confidence intervals for the output variance. We discuss applications to time series forecasting, statistical process control, and automatic feedback control of industrial processes. © 2010 Wiley Periodicals, Inc. Naval Research Logistics, 2010 相似文献
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在并行离散事件仿真系统中实现仿真模型间的互操作机制需要引入类似HLA中定义的声明管理(DM)和数据分发管理(DDM)服务.我们开发的KD-PADSE高性能并行离散事件仿真环境采用谓词断言和对象代理方法在面向对象的并行离散事件仿真系统中实现了基于平行结构和事件调度机制的声明管理(DM)和数据分发管理(DDM)服务.在以千兆以太网互联的10节点Linux集群计算机上,采用DDM机制后仿真模型每秒(物理时间)可以进行1万次属性更新,是没有采用DDM机制时的20倍,在功能性和性能上验证了该DDM机制在并行离散事件仿真系统中的适用性. 相似文献
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分析了现阶段我国农村环境污染的主要特点,并对农村环境污染防治的宏观对策进行了系统性分析。由手农村污染严重、防治形势严峻且比城市环境污染情况复杂,在制定农村环境污染防治对策时,需要运用系统工程原理全方位、全过程分析实际情况,制定整体效果最优的系统化对策组合,并注意对策措施的系统性、协调性、连续性和针对性。 相似文献