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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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Adam D.M. Svendsen 《Defense & Security Analysis》2015,31(1):58-73
This article aims to encourage the fostering of more systems thinking, and its greater exploitation, within the domain of contemporary intelligence. With particular focus on “micro systems thinking” and with reference to key intelligence processes, such as intelligence analysis, the utility of many systems dynamics within the intelligence context seeks to be further revealed. Through their greater collective harnessing, including up to “System of Systems” (“SoS”) dynamics, and promoting all that they can offer, more sophisticated overarching operational-to-strategic/policy “ends,” notably that of “defence-in-depth,” can be viably further advanced in a sustainable manner into the future. Arguably, a much-needed transformative impact on contemporary intelligence can also be increasingly realised through comprehensively engaging in and with more systems and SoS thinking. Aiding civil protection tasks, crisis management, emergency planners, and civil contingency practitioners likewise gain. 相似文献
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李世虎 《中国人民武装警察部队学院学报》2014,(1):21-24
心理应激是一种特殊的情绪状态,在这种情绪状态下个体会有很多特殊的反应和举动。边防警察由于其工作的特殊性,难免会产生心理应激。边防警察的心理应激源包括工作方面、环境方面、生活方面。分析了边防警察心理应激的类型及表现,主要从培养品质和意志,学会放松,取得社会、家人、亲友的支持和理解,加强心理训练等方面论述了应对边防警察心理应激的措施。 相似文献
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裴仁君 《中国人民武装警察部队学院学报》2014,(5):50-53
管理现代化是一所大学成功办学的基本标志。军队院校文化管理理论的提出是时代发展的必然要求。军队院校实施文化管理的核心内容及基本策略就是建设好、使用好自己的特色文化,为此,管理者应注意处理好有为管理与无为管理、柔性管理与刚性管理、部门主管与分工合作、硬件投入与软件提升四个方面的关系。 相似文献
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装甲车辆起动电动机综合试验台 总被引:1,自引:0,他引:1
采用较先进的磁粉制动器作为电机的负载,使电机加载平稳、可靠、恒定,并可连续调节负载大小;同时采用高精度的ZJ型转矩转速传感器并配合转矩转速仪,不但能测量电机稳态时的转矩、转速和功率,同时还可测试电机某一过渡过程中转矩、电流、转速随时间变化的数值并贮存或打印. 相似文献
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项目管理能力是评价科研单位是否具有牵头组织能力的重要指标之一。针对现有评价方法在稳定性、科学性方面的不足,以传统的科研项目管理能力评估方法为基础,引入贝叶斯理论,建立了贝叶斯决策评估模型,并利用实际案例验证了其在科研项目管理能力评估中的有效性。结果表明,该评估方法能够充分利用历史资料和专家意见,对初步评估结果进行再度评估,具有较强的客观性、准确性。 相似文献
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周冬林 《中国人民武装警察部队学院学报》2011,(10):19-20
高性能混凝土与传统混凝土相比,结构密实,脆性更大,渗透性低,尤其是在火灾高温状态下发生爆裂现象因而造成其抗火性差。为此,提出在高性能混凝土中混掺聚丙烯纤维和钢纤维、外加减水剂及骨料两种技术措施,以提高高性能混凝土的耐火性能。 相似文献