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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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本文分析了一般屏幕点阵汉字放大的方法及不足,提出使用线性平滑法提高汉字放大字符质量的思想,给出了线性平滑法实现高质量汉字放大的方法。此外,本文还介绍了不同汉字操作系统的识别方法及多种汉字字模获取的方法,为实现多种汉字字体放大提供了方便。 相似文献
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The Cr-plated coating inside a gun barrel can effectively improve the barrel's erosion resistance and thus increase the service life.However,due to the cyclic thermal load caused by high-temperature gun-powder,micro-element damage tends to occur within the Cr coating/steel substrate interface,leading to a gradual deterioration in macro-mechanical properties for the material in the related region.In order to mimic this cyclic thermal load and,thereby,study the thermal erosion behavior of the Cr coating on the barrel's inner wall,a laser emitter is utilized in the current study.With the help of in-situ tensile test and finite element simulation results,a shear stress distribution law of the Cr coating/steel substrate and a change law of the interface ultimate shear strength are identified.Studies have shown that the Cr coating/steel substrate interface's ultimate shear strength has a significant weakening effect due to increasing temperature.In this study,the interfacial ultimate shear strength decreases from 2.57 GPa(no erosion)to 1.02 GPa(laser power is 160 W).The data from this experiment is employed to establish a Cr coating/steel substrate interface shear damage model.And this model is used to predict the flaking process of Cr coating by finite element method.The simulation results show that the increase of coating crack spacing and coating thickness will increase the service life of gun barrel. 相似文献
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涉外型院校实施体育“双语教学”的可行性研究 总被引:2,自引:0,他引:2
焦峪平 《兵团教育学院学报》2006,16(3):49-51
在社会飞速发展的时代,经济的进步促使知识的日新月异,导致教学模式的不断创新。伴随着我国加入WTO,双语教学应运而生.在体育教学中运用双语教学,是体育教学模式的大胆尝试和教学手段的创新.涉外型院校具有实施体育双语教学得天独厚的条件,双语教学的实施具有重要意义,并有可行性。 相似文献
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王月 《中国人民武装警察部队学院学报》2006,22(4):69-71
大学英语教学在贯彻提高大学生英语知识水平的同时,必须把外语教学与文化教学紧密地结合起来。语言是文化的载体,又是文化的重要组成部分,文化对语言的产生和发展起着重要作用。大学英语教学要有目的、有计划地实施文化教学,通过掌握英语国家的历史背景、文化内涵来指导外语学习,培养学生对西方文化的了解,为今后顺利使用外语和胜任跨文化交际打好基础。 相似文献