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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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基于STK/X的航天器悬停应用仿真技术 总被引:1,自引:0,他引:1
针对基于STK/Connect典型模式航天仿真时需要同时启动STK软件的局限,在对STK/X组件技术进行深入研究的基础上,采用基于STK/X的仿真模式,通过STK/X组件提供的接口函数和相关交互命令,将STK引擎集成至航天器悬停应用仿真中,从而实现应用程序对仿真场景的控制与调用,并通过分析处理单元对通过交互所获取的STK场景中仿真数据的处理,对航天器悬停应用仿真效能进行了分析。该集成不仅充分利用了STK强大的轨道仿真能力,还有效提高了仿真程序整体效率。 相似文献
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张涛 《装甲兵工程学院学报》1998,(3)
MCS96系列单片机的外部总线宽度是可以编程控制的.为了达到访问16位RAM奇地址空间中的字,需要特殊的硬件结构支持.笔者讨论了两种方案,并进行了比较分析. 相似文献
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In this paper we consider the discrete time/resource trade-off problem in project networks. Given a project network consisting of nodes (activities) and arcs (technological precedence relations), in which the duration of the activities is a discrete, nonincreasing function of the amount of a single renewable resource committed to it, the discrete time/resource trade-off problem minimizes the project makespan subject to precedence constraints and a single renewable resource constraint. For each activity, a work content is specified such that all execution modes (duration/resource requirement pairs) for performing the activity are allowed as long as the product of the duration and the resource requirement is at least as large as the specified work content. We present a tabu search procedure which is based on a decomposition of the problem into a mode assignment phase and a resource-constrained project scheduling phase with fixed mode assignments. Extensive computational experience, including a comparison with other local search methods, is reported. © 1998 John Wiley & Sons, Inc. Naval Research Logistics 45: 553–578, 1998 相似文献
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贾红威 《武警工程学院学报》2010,(5):4-8
在新形势下,学院要按照第十五次全军院校会议和武警总部党委的指示精神,扎实推进任职教育取得新成绩,就要认真总结学院任职教育的经验,找出存在的不足,通过准确把握任职教育的本质,深化对任职教育的研究,增强使命意识,真抓实干,加快学院任职教育教学改革步伐,推进任职教育创新发展。 相似文献
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