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Sample records for admission control decision

  1. An Intelligent Call Admission Control Decision Mechanism for Wireless Networks

    CERN Document Server

    S., Ramesh Babu H; S, Satyanarayana P

    2010-01-01

    The Call admission control (CAC) is one of the Radio Resource Management (RRM) techniques plays instrumental role in ensuring the desired Quality of Service (QoS) to the users working on different applications which have diversified nature of QoS requirements. This paper proposes a fuzzy neural approach for call admission control in a multi class traffic based Next Generation Wireless Networks (NGWN). The proposed Fuzzy Neural Call Admission Control (FNCAC) scheme is an integrated CAC module that combines the linguistic control capabilities of the fuzzy logic controller and the learning capabilities of the neural networks .The model is based on Recurrent Radial Basis Function Networks (RRBFN) which have better learning and adaptability that can be used to develop the intelligent system to handle the incoming traffic in the heterogeneous network environment. The proposed FNCAC can achieve reduced call blocking probability keeping the resource utilisation at an optimal level. In the proposed algorithm we have c...

  2. Call Admission Control in Mobile Cellular Networks

    CERN Document Server

    Ghosh, Sanchita

    2013-01-01

    Call Admission Control (CAC) and Dynamic Channel Assignments (DCA) are important decision-making problems in mobile cellular communication systems. Current research in mobile communication considers them as two independent problems, although the former greatly depends on the resulting free channels obtained as the outcome of the latter. This book provides a solution to the CAC problem, considering DCA as an integral part of decision-making for call admission. Further, current technical resources ignore movement issues of mobile stations and fluctuation in network load (incoming calls) in the control strategy used for call admission. In addition, the present techniques on call admission offers solution globally for the entire network, instead of considering the cells independently.      CAC here has been formulated by two alternative approaches. The first approach aimed at handling the uncertainty in the CAC problem by employing fuzzy comparators.  The second approach is concerned with formulation of CAC ...

  3. A lexicographic approach to constrained MDP admission control

    Science.gov (United States)

    Panfili, Martina; Pietrabissa, Antonio; Oddi, Guido; Suraci, Vincenzo

    2016-02-01

    This paper proposes a reinforcement learning-based lexicographic approach to the call admission control problem in communication networks. The admission control problem is modelled as a multi-constrained Markov decision process. To overcome the problems of the standard approaches to the solution of constrained Markov decision processes, based on the linear programming formulation or on a Lagrangian approach, a multi-constraint lexicographic approach is defined, and an online implementation based on reinforcement learning techniques is proposed. Simulations validate the proposed approach.

  4. Adaptive Distributed Admission Control in Differentiated Services Domains

    Institute of Scientific and Technical Information of China (English)

    SHAO Hua-gang; CHEN Xiao; WANG Wei-nong

    2007-01-01

    In this paper we propose a scalable admission control scheme for the QoS sensitivity traffic in DiffServ domains. In our scheme, the ingress routers perform admissibility test in a fully distributed and parallel fashion for requests based on our resource per-assigning mechanism.Then, we introduce a novel two phase token passing mechanism to adaptively optimize resource per-assigning among contending edge ronters in proportion to their traffic.In addition, we adopt a measurement based admission decision-making criterion to gain the benefit of high utilization of statistical multiplexing. Our simulation results indicate that even under very high request load it is possible to perform admission control and resource allocation in parallel without suffering in terms of response time, packet loss rate, or utilization.

  5. Regressive Admission Control Enabled by Real-Time QOS Measurements

    Directory of Open Access Journals (Sweden)

    Mirjami Jutila

    2013-11-01

    Full Text Available We propose a novel regressive principle to Admission Control (AC assisted by real-time passive QoSmonitoring. This measurement-based AC scheme acceptsflows by default, but based on the changes in thenetwork QoS, it makes regressive decisions on the possible flow rejection, thus bringing cognition tothenetwork path. TheREgressive Admission Control (REAC system consists of three modules performing thenecessary tasks:QoS measurements, traffic identification, and the actual AC decision making and flowcontrol. There are two major advantages with this new scheme; (i significant optimization of theconnection start-up phase, and (ii continuous QoSknowledge of the accepted streams. In fact, the lattercombined with the REAC decisions can enable guaranteed QoS without requiring any QoS support fromthe network. REAC was tested on a video streaming test bed and proved to have a timely and realisticmatch between the network's QoS and the video quality.

  6. Admission Control Techniques for UMTS System

    Directory of Open Access Journals (Sweden)

    P. Kejik

    2010-09-01

    Full Text Available Universal mobile telecommunications system (UMTS is one of the 3rd generation (3G cell phone technologies. The capacity of UMTS is interference limited. Radio resources management (RRM functions are therefore used. They are responsible for supplying optimum coverage, ensuring efficient use of physical resources, and providing the maximum planned capacity. This paper deals with admission control techniques for UMTS. An own UMTS simulation program and several versions of proposed admission control algorithms are presented in this paper. These algorithms are based on fuzzy logic and genetic algorithms. The performance of algorithms is verified via simulations.

  7. Homecare Nurses' Decision-Making During Admission Care Planning.

    Science.gov (United States)

    Sockolow, Paulina; Bass, Ellen J; Eberle, Carl L; Bowles, Kathryn H

    2016-01-01

    The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern. They identified how the electronic health record (EHR) assisted the nurse in visit pattern frequency decisions. Major themes that emerged included reduced efficiency due to use of redundant intra-team communication methods to augment EHR documentation, redundant documentation, and workarounds and reorganization of clinical workflow. PMID:27332156

  8. Homecare Nurses' Decision-Making During Admission Care Planning.

    Science.gov (United States)

    Sockolow, Paulina; Bass, Ellen J; Eberle, Carl L; Bowles, Kathryn H

    2016-01-01

    The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern. They identified how the electronic health record (EHR) assisted the nurse in visit pattern frequency decisions. Major themes that emerged included reduced efficiency due to use of redundant intra-team communication methods to augment EHR documentation, redundant documentation, and workarounds and reorganization of clinical workflow.

  9. Multi-Stage Admission Control for Load Balancing in Next Generation Systems

    DEFF Research Database (Denmark)

    Mihovska, Albena D.; Anggorojati, Bayu; Luo, Jijun;

    2008-01-01

    This paper describes a load-dependent multi-stage admission control suitable for next generation systems. The concept uses decision polling in entities located at different levels of the architecture hierarchy and based on the load to activate a sequence of actions related to the admission...... of a user to the network, i.e., the ranking of the intermediate decisions is dynamic. The decision is controlled by passing a token between the base station (BS) and the gateway (GW), thereby considering the load status of the BS and the backhaul network. A token is assigned to the entity with the highest...... load. Each admission request will issue a flag whose colour will reflect the load level in this entity and will determine the correct sequence of the required admission control actions....

  10. The Value of Service Rate Flexibility in an M/M/1 Queue with Admission Control

    CERN Document Server

    Dimitrakopoulos, Yiannis

    2012-01-01

    We consider a single server queueing system with admission control and the possibility to switch dynamically between a low and a high service rate, and examine the benefit of this service rate flexibility. We formulate a discounted Markov Decision Process model for the problem of joint admission and service control, and show that the optimal policy has a threshold structure for both controls. Regarding the benefit due to flexibility, we show that it is increasing in system congestion, and that its effect on the admission policy is to increase the admission threshold. We also derive a simple approximate condition between the admission reward and the relative cost of service rate increase, so that the service rate flexibility is beneficial. We finally show that the results extend to the expected average reward case.

  11. The Use of Criminal History Information in College Admissions Decisions

    Science.gov (United States)

    Pierce, Matthew W.; Runyan, Carol W.; Bangdiwala, Shrikant I.

    2014-01-01

    To understand the potential public health and social justice implications of criminal background screening on college admissions, we examined postsecondary institutions' reasons for collecting or not collecting applicants' criminal justice information. We invited heads of admissions from 300 randomly sampled postsecondary institutions to…

  12. SARS: hospital infection control and admission strategies.

    Science.gov (United States)

    Ho, Pak-Leung; Tang, Xiao-Ping; Seto, Wing-Hong

    2003-11-01

    Nosocomial clustering with transmission to health care workers, patients and visitors is a prominent feature of severe acute respiratory syndrome (SARS). Hospital outbreaks of SARS typically occurred within the first week after admission of the very first SARS cases when the disease was not recognized and before isolation measures were implemented. In the majority of nosocomial infections, there was a history of close contact with a SARS patient, and transmission occurred via large droplets, direct contact with infectious material or by contact with fomites contaminated by infectious material. In a few instances, potential airborne transmission was reported in association with endotracheal intubation, nebulised medications and non-invasive positive pressure ventilation of SARS patients. In all SARS-affected countries, nosocomial transmission of the disease was effectively halted by enforcement of routine standard, contact and droplet precautions in all clinical areas and additional airborne precautions in the high-risk areas. In Hong Kong, where there are few private rooms for patient isolation, some hospitals have obtained good outcome by having designated SARS teams and separate wards for patient triage, confirmed SARS cases and step-down of patients in whom SARS had been ruled out. In conclusion, SARS represents one of the new challenges for those who are involved in hospital infection control. As SARS might re-emerge, all hospitals should take advantage of the current SARS-free interval to review their infection control programmes, alert mechanisms, response capability and to repair any identified inadequacies.

  13. Beyond Correlations: Usefulness of High School GPA and Test Scores in Making College Admissions Decisions

    Science.gov (United States)

    Sawyer, Richard

    2013-01-01

    Correlational evidence suggests that high school GPA is better than admission test scores in predicting first-year college GPA, although test scores have incremental predictive validity. The usefulness of a selection variable in making admission decisions depends in part on its predictive validity, but also on institutions' selectivity and…

  14. Variability of intensive care admission decisions for the very elderly.

    Directory of Open Access Journals (Sweden)

    Ariane Boumendil

    Full Text Available UNLABELLED: Although increasing numbers of very elderly patients are requiring intensive care, few large sample studies have investigated ICU admission of very elderly patients. Data on pre triage by physicians from other specialities is limited. This observational cohort study aims at examining inter-hospital variability of ICU admission rates and its association with patients' outcomes. All patients over 80 years possibly qualifying for ICU admission who presented to the emergency departments (ED of 15 hospitals in the Paris (France area during a one-year period were prospectively included in the study. Main outcome measures were ICU eligibility, as assessed by the ED and ICU physicians; in-hospital mortality; and vital and functional status 6 months after the ED visit. 2646 patients (median age 86; interquartile range 83-91 were included in the study. 94% of participants completed follow-up (n = 2495. 12.4% (n = 329 of participants were deemed eligible for ICU admission by ED physicians and intensivists. The overall in-hospital and 6-month mortality rates were respectively 27.2% (n = 717 and 50.7% (n = 1264. At six months, 57.5% (n = 1433 of patients had died or had a functional deterioration. Rates of patients deemed eligible for ICU admission ranged from 5.6% to 38.8% across the participating centers, and this variability persisted after adjustment for patients' characteristics. Despite this variability, we found no association between level of ICU eligibility and either in-hospital death or six-month death or functional deterioration. In France, the likelihood that a very elderly person will be admitted to an ICU varies widely from one hospital to another. Influence of intensive care admission on patients' outcome remains unclear. TRIAL REGISTRATION: ClinicalTrials.gov NCT00912600.

  15. A scalable admission control scheme based on time label

    Institute of Scientific and Technical Information of China (English)

    杨松岸; 杨华; 杨宇航

    2004-01-01

    Resource reservation protocols allow communicating hosts to reserve resources such as bandwidth to offer guaranteed service. However, current resource reservation architectures do not scale well for a large number of flows. In this paper, we present a simple reservation protocol and a scalable admission control algorithm, which can provide QoS guarantees to individual flows without per-flow management in the network core. By mapping each flow to a definite time, this scheme addresses the problems that limit the effectiveness of current endpoint admission control schemes. The overall admission control process is described. Analysis is used to explain the reasonability of our scheme and simulation validates its performance.

  16. Integrated Proactive Admission Control Technique For both UDP And TCP Traffic Flows

    Directory of Open Access Journals (Sweden)

    Lakshmanan Senthilkumar

    2007-02-01

    Full Text Available Real time traffic adopting UDP at the transport layer needs some quality of service. It is offered through an admission control scheme. This paper adopts one such scheme which is extended for elastic traffics adopting TCP at the transport layer. The proposed scheme operates on reserving network resources on a proactive manner. It is based on the principle of telephone networks Erlang-B model. The blocking probability measured is used as a flow admission decision parameter. The effectiveness of the proposed admission control algorithm is determined here through simulation. It offers a fair admission rate to both UDP and TCP traffic flows. It also results in a better bottleneck link utilization at a comparatively lower overhead traffic.

  17. A NEW ADMISSION CONTROL APPROACH BASED ON PREDICTION

    Institute of Scientific and Technical Information of China (English)

    Lu Kaining; Jin Zhigang; Zou Jun

    2002-01-01

    Admission control plays an important role in providing QoS to network users. Motivated by the measurement-based admission control algorithm, this letter proposed a new admission control approach for integrated service packet network based on traffic prediction. In the letter, FARIMA(p, d, q) models in the admission control algorithm is deployed. A method to simplify the FARIMA model fitting procedure and hence to reduce the time of traffic modeling and prediction is suggested. The feasibility-study experiments show that FARIMA models which have less number of parameters can be used to model and predict actual traffic on quite a large time scale. Simulation results validate the promising approach.

  18. Improving Experience-Based Admission Control through Traffic Type Awareness

    OpenAIRE

    Jens Milbrandt; Michael Menth; Jan Junker

    2007-01-01

    Experience-based admission control (EBAC) is a hybrid approach combining the classical parameter-based and measurement-based admission control. EBAC calculates an appropriate overbooking factor used to overbook link capacities with resource reservations in packet-switched networks. This overbooking factor correlates with the average peak-to-mean rate ratio of all admitted traffic flows on the link. So far, a single overbooking factor is calculated for the entire traffic aggregate. In this pap...

  19. Performing Admission Control Concurrently in Core-stateless Networks

    Directory of Open Access Journals (Sweden)

    Huagang Shao

    2009-12-01

    Full Text Available In this paper we propose a concurrent admission control scheme for the QoS sensitivity traffic in core-stateless networks. In this scheme, the ingress router of core-stateless network domain is capable of performing admissibility test in concurrent for requests by per-assigning core-link resource to each edge routers. Then, we introduce a novel two phase token passing mechanism to adaptively optimize the proportion of bandwidth dividing among contending edge routers according to the dynamic of their traffic. In addition, we adopt a measurement based admission decisionmaking criterion to gain the benefit of high utilization of statistical multiplexing. Our simulation results are very promising indicating that even under very high request load it is possible to perform admission control and resource allocation in concurrent without suffering in terms of response time, packet loss rate, or utilization.

  20. A scalable admission control scheme based on time label

    Institute of Scientific and Technical Information of China (English)

    杨松岸; 杨华; 杨宇航

    2004-01-01

    Resource reservation protocols allow communicating hosts to reserve resources such as bandwidth to offer guaranteed service. However,current resource reservation architectures do not scale well for a large number of flows. In this paper,we present a simple reservation protocol and a scalable admission control algorithm,which can provide QoS guarantees to individual flows without per-flow management in the network core. By mapping each flow to a definite time,this scheme addresses the problems that limit the effectiveness of current endpoint admission control schemes. The overall admission control process is described. Analysis is used to explain the reasonability of our scheme and simulation validates its performance.

  1. Advanced Fuzzy Logic Based Admission Control for UMTS System

    Directory of Open Access Journals (Sweden)

    P. Kejik

    2010-12-01

    Full Text Available The capacity of CDMA (Code Division Multiple Access systems is interference limited. Therefore radio resources management (RRM functions are used. They are responsible for supplying optimum coverage, ensuring efficient use of physical resources, and providing the maximum planned capacity. This paper deals with admission control techniques for UMTS (Universal Mobile Telecommunication System. A UMTS system model and four fuzzy logic based admission control algorithms are presented in this paper. Two new versions of fuzzy logic based admission control algorithms are presented there. All algorithms are mutually compared via simulations. Simulations show that the novel advanced fuzzy algorithm outperforms the other simulated algorithms (in terms of blocking probability, dropping probability and the number of active UEs in cell.

  2. Development of decision support systems for the admission of pesticides: definition report

    NARCIS (Netherlands)

    Linden AMA van der; Douven WJAM; Herrchen M; Ferioli A; Hoogenboom FGG; LBG; VUA; FHG; ISPS

    1994-01-01

    Dit rapport beschrijft de definitie van het project 'Development of decision support systems for the admission of pesticides', zoals dat wordt uitgevoerd met de "Environment Research Programm (1990 - 1994) van de Europese Unie, als sponsor, onder contract nummer EV5V-CT92-0217. De

  3. Admission Control Algorithm for Guaranteeing Real-Time Anycast Flow

    Institute of Scientific and Technical Information of China (English)

    Weijia Jia; Zhang Chuanlin

    2002-01-01

    In this paper, we study admission control algorithm for anycast flow with real-time constraints. With the given time requirement, when the result of this algorithm give succeed information, we find route for the anycast flow requesting. Therefore, what we need to do is testing if the corresponding path rj has enough bandwidth for coming anycast flow requirement at source S with end-to-end deadline D. This admission control is scalable in terms of the number of flows can be admitted through local information of the routes.

  4. Power Admission Control with Predictive Thermal Management in Smart Buildings

    DEFF Research Database (Denmark)

    Yao, Jianguo; Costanzo, Giuseppe Tommaso; Zhu, Guchuan;

    2015-01-01

    This paper presents a control scheme for thermal management in smart buildings based on predictive power admission control. This approach combines model predictive control with budget-schedulability analysis in order to reduce peak power consumption as well as ensure thermal comfort. First...... appliances. The performance of the proposed control scheme is assessed by simulation based on the thermal dynamics of a real eight-room office building located at Danish Technical University....

  5. The role of admission control in assuring multiple services quality

    OpenAIRE

    Carvalho, Paulo; Lima, Solange; Freitas, Vasco

    2006-01-01

    Considering that network overprovisioning by itself is not always an attainable and everlasting solution, Admission Control (AC) mechanisms are recommended to keep network load controlled and assure the required service quality levels. This article debates the role of AC in multiservice IP networks, providing an overview and discussion of current and representative AC approaches, highlighting their main characteristics, pros and cons regarding the management of network services quality. I...

  6. Admission control in multiservice IP networks : architectural issues and trends

    OpenAIRE

    Lima, Solange; Carvalho, Paulo; Freitas, Vasco

    2007-01-01

    The trend toward the integration of current and emerging applications and services in the Internet has launched new challenges regarding service deployment and management. Within service management, admission control (AC) has been recognized as a convenient mechanism to keep services under controlled load and assure the required QoS levels, bringing consistency to the services offered. In this context, this article discusses the role of AC in multiservice IP networks and surveys current and r...

  7. Admission Control of VL in AFDX Under HRT Constraints

    Institute of Scientific and Technical Information of China (English)

    ZHOU Qiang; QU Zhenliang; LIN Hengqing

    2011-01-01

    Avionics full duplex switched ethernet (AFDX) is a switched interconnection technology developed to provide reliable data exchange with strong data transmission time guarantees in internal communication of the spacecraft or aircraft. Virtual link (VL) is an important concept of AFDX to meet quality of service (QoS) requirements in terms of end-to-end message deadlines. A VL admission control algorithm in AFDX network under hard real-time (HRT) constraints is studied. Based on the scheduling principle of AFDX protocol, a packet scheduling scheme under HRT constraints is proposed, and after that an efficient VL admission control algorithm is presented. Analytical proof that the algorithm can effectively determine whether VL should be admitted is given. Finally simulative examples are presented to promote the conclusion.

  8. A Novel Admission Control Algorithm Based on Negotiation and Price

    Institute of Scientific and Technical Information of China (English)

    ZHANG Deng-yin; ZHANG Li; TANG Zhi-yun

    2005-01-01

    Admission control algorithm is a key component of a media server which supports Quality of Service(QoS).In this paper we present an admission control algorithm that exploits the elastic properties of the user requirements and the changing properties of system conditions.The characteristic of the algorithm can be expounded from these aspects:First,it provides multiple services to satisfy the different users' requirements regarding QoS and price.Second,it uses a worth function to select from media services with different QoS characteristics in the negotiation process.Finally,it employs a novel price policy to compute the charge for the service,which has a great effect on restricting the greediness of the users and therefore increase the overall user benefit.In the end of the paper,we compare the user benefit attained by our algorithm with that of other method.

  9. Admission control with long-range dependence traffic input

    Institute of Scientific and Technical Information of China (English)

    RAO Yun-hua; ZOU Xue-cheng

    2005-01-01

    The admission control scheme is investigated for a FIFO self-similar queuing system with Quality of Service (QoS) performance guarantees. Since the self-similar queuing system performance analysis is often carried out under the condition of infinite buffer, it is difficult to deduce the upper boundary of buffer overflow probability. To overcome this shortcoming, a simple overflow condition is proposed, which defines a buffer overflow occurrence whenever the arrival rate exceeds the service rate. The analytic formula for the buffer overflow probability upper boundary is easily obtained under this condition. The required bandwidth upper boundary with long-range dependence input and determined overflow probability is then derived from this formula. Based on the above analytic formulas, the upper boundaries of the admission control regions for homogeneous and heterogeneous long-range dependence traffic sources are separately obtained. Finally, an effective admission control scheme for long-range dependence input is proposed. Simulation studies with real traffic have confirmed the validity of these results.

  10. Federal Constitutional Court affirms admissibility of decision in the matter of the Fast Breeder Kalkar

    International Nuclear Information System (INIS)

    In the case of the examination of the constituionality of section 7 Atomic Energy Act, in as far as this article enables the licensing of nuclear power plants of the type called Fast Breeder, the Second Senate of the Federal Constitutional Court has answered the OVG Muenster's motion to stay proceedings dated Aug 18th, 1977, with the following 'interim decision' - 2 B v L 8/77 - dated Jan 31st, 1978: 'The action is admissible'. The verdict was unanimous. The main grounds upon which the interim judgment is based are given in full. (orig./HP)

  11. TCP-Call Admission Control Interaction in Multiplatform Space Architectures

    Directory of Open Access Journals (Sweden)

    Georgios Theodoridis

    2007-06-01

    Full Text Available The implementation of efficient call admission control (CAC algorithms is useful to prevent congestion and guarantee target quality of service (QoS. When TCP protocol is adopted, some inefficiencies can arise due to the peculiar evolution of the congestion window. The development of cross-layer techniques can greatly help to improve efficiency and flexibility for wireless networks. In this frame, the present paper addresses the introduction of TCP feedback into the CAC procedures in different nonterrestrial wireless architectures. CAC performance improvement is shown for different space-based architectures, including both satellites and high altitude platform (HAP systems.

  12. A QoS Provisioning Recurrent Neural Network based Call Admission Control for beyond 3G Networks

    Directory of Open Access Journals (Sweden)

    Ramesh Babu H. S.

    2010-03-01

    Full Text Available The Call admission control (CAC is one of the Radio Resource Management (RRM techniques that plays influential role in ensuring the desired Quality of Service (QoS to the users and applications in next generation networks. This paper proposes a fuzzy neural approach for making the call admission control decision in multi class traffic based Next Generation Wireless Networks (NGWN. The proposed Fuzzy Neural call admission control (FNCAC scheme is an integrated CAC module that combines the linguistic control capabilities of the fuzzy logic controller and the learning capabilities of the neural networks. The model is based on recurrent radial basis function networks which have better learning and adaptability that can be used to develop intelligent system to handle the incoming traffic in an heterogeneous network environment. The simulation results are optimistic and indicates that the proposed FNCAC algorithm performs better than the other two methods and the call blocking probability is minimal when compared to other two methods.

  13. A QoS Provisioning Recurrent Neural Network based Call Admission Control for beyond 3G Networks

    CERN Document Server

    S., Ramesh Babu H; S, Satyanarayana P

    2010-01-01

    The Call admission control (CAC) is one of the Radio Resource Management (RRM) techniques that plays influential role in ensuring the desired Quality of Service (QoS) to the users and applications in next generation networks. This paper proposes a fuzzy neural approach for making the call admission control decision in multi class traffic based Next Generation Wireless Networks (NGWN). The proposed Fuzzy Neural call admission control (FNCAC) scheme is an integrated CAC module that combines the linguistic control capabilities of the fuzzy logic controller and the learning capabilities of the neural networks. The model is based on recurrent radial basis function networks which have better learning and adaptability that can be used to develop intelligent system to handle the incoming traffic in an heterogeneous network environment. The simulation results are optimistic and indicates that the proposed FNCAC algorithm performs better than the other two methods and the call blocking probability is minimal when compa...

  14. Improving Experience-Based Admission Control through Traffic Type Awareness

    Directory of Open Access Journals (Sweden)

    Jens Milbrandt

    2007-04-01

    Full Text Available Experience-based admission control (EBAC is a hybrid approach combining the classical parameter-based and measurement-based admission control. EBAC calculates an appropriate overbooking factor used to overbook link capacities with resource reservations in packet-switched networks. This overbooking factor correlates with the average peak-to-mean rate ratio of all admitted traffic flows on the link. So far, a single overbooking factor is calculated for the entire traffic aggregate. In this paper, we propose typespecific EBAC which provides a compound overbooking factor considering different types of traffic that subsume flows with similar peak-to-mean rate ratios. The concept can be well implemented since it does not require measurements of type-specific traffic aggregates. We give a proof of concept for this extension and compare it with the conventional EBAC approach. We show that EBAC with type-specific overbooking leads to better resource utilization under normal conditions and to faster response times for changing traffic mixes.

  15. Admission Control and Interference Management in Dynamic Spectrum Access Networks

    Directory of Open Access Journals (Sweden)

    Jorge Martinez-Bauset

    2010-01-01

    Full Text Available We study two important aspects to make dynamic spectrum access work in practice: the admission policy of secondary users (SUs to achieve a certain degree of quality of service and the management of the interference caused by SUs to primary users (PUs. In order to limit the forced termination probability of SUs, we evaluate the Fractional Guard Channel reservation scheme to give priority to spectrum handovers over new arrivals. We show that, contrary to what has been proposed, the throughput of SUs cannot be maximized by configuring the reservation parameter. We also study the interference caused by SUs to PUs. We propose and evaluate different mechanisms to reduce the interference, which are based on simple spectrum access algorithms for both PUs and SUs and channel repacking algorithms for SUs. Numerical results show that the reduction can be of one order of magnitude or more with respect to the random access case. Finally, we propose an adaptive admission control scheme that is able to limit simultaneously the forced termination probability of SUs and what we define as the probability of interference. Our scheme does not require any configuration parameters beyond the probability objectives. Besides, it is simple to implement and it can operate with any arrival process and distribution of the session duration.

  16. Optimizing Voip Using A Cross Layer Call Admission Control Scheme

    Directory of Open Access Journals (Sweden)

    Mumtaz AL-Mukhtar

    2013-07-01

    Full Text Available Deployingwireless campus network becomes popular in many world universities for the services that areprovided.However, it suffers from different issues such as low VoIP network capacity, network congestioneffect on VoIP QoS and WLAN multi rate issue due to linkadaptation technique. In this paper a cross layercall admission control (CCAC scheme is proposed to reduce the effects of these problems on VoWLANbased on monitoring RTCPRR(RealTime Control Protocol ReceiverReportthat provides the QoS levelfor VoIP and monitoring the MAC layer for any change in the data rate. If the QoS level degrades due toone of the aforementioned reasons, a considerable change in the packet size or the codec type will be thesolution. A wireless campus network issimulatedusing OPNET 14.5 modeler and many scenarios aremodeled to improve this proposed scheme.

  17. Power Control Technique for Efficient Call Admission Control in Advanced Wirless Networks

    Directory of Open Access Journals (Sweden)

    Ch. Sreenivasa Rao

    2012-06-01

    Full Text Available In 4G networks, call admission control techniques have been proposed to provide Quality of Service (QoS in a network by restricting the access to network resources. Power control is essential in call admission control in order to provide fair access to all users, improve battery lifetime and system performance. But the existing call admission control algorithms rarely consider the power controlling techniques in the handoff process for different traffic classes. In this paper, we propose to develop a power controlled call admission control scheme for handoff in the advanced wireless networks. The incoming call measures the initial interference on it and then the base station starts transmitting the packets to the new call. The new call is rejected when the interference reaches a threshold value.Whenever an existing call meets the power constraint, the transmit power is decremented based on thetraffic class and incoming call obtains this information by monitoring the interference received on it. Theconvergence of the power control algorithm is checked and the power levels of all incoming calls areadjusted. From our simulation results we prove that this power control technique provides efficienthandoff in the 4G networks by increasing the throughput and reducing the delay of the existing users.

  18. Ethical problems in intensive care unit admission and discharge decisions: a qualitative study among physicians and nurses in the Netherlands

    NARCIS (Netherlands)

    Oerlemans, A.J.; Sluisveld, N. van; Leeuwen, E.S. van; Wollersheim, H.C.; Dekkers, W.J.M.; Zegers, M.

    2015-01-01

    BACKGROUND: There have been few empirical studies into what non-medical factors influence physicians and nurses when deciding about admission and discharge of ICU patients. Information about the attitudes of healthcare professionals about this process can be used to improve decision-making about res

  19. A Survey of PCN-Based Admission Control and Flow Termination

    NARCIS (Netherlands)

    Menth, Michael; Lehrieder, Frank; Briscoe, Bob; Eardley, Philip; Moncaster, Tony; Babiarz, Jozef; Charny, Anna; Zhang, Xinyang (Joy); Taylor, Tom; Chan, Kwok-Ho; Satoh, Daisuke; Geib, Ruediger; Karagiannis, Georgios

    2010-01-01

    Pre-congestion notification (PCN) provides feedback about load conditions in a network to its boundary nodes. The PCN working group of the IETF discusses the use of PCN to implement admission control (AC) and flow termination (FT) for prioritized realtime traffic in a DiffServ domain. Admission cont

  20. Optimal Switching Strategy between Admission Control and Pricing Control Policies with Two Types of Customers and Search Costs

    Directory of Open Access Journals (Sweden)

    Jae-Dong Son

    2015-01-01

    Full Text Available This paper presents a switching strategy between the admission control and the pricing control policies in a queueing system with two types of customers. For an arriving first-type customer, the decision maker has an option on which policy to choose between the two control policies; that is, one determines whether or not to admit the customer’s request for the service (admission control or decides a price of the customer’s request and offers it to the customer (pricing control. The second-type customers are only served when no first-type customers are present in the system in order to prevent the system from being idle. This would yield an extra income, which we refer to as the sideline profit. The so-called search cost, which is a cost paid to search for customers, creates the search option on whether to continue the search or not. We clarify the properties of the optimal switching strategy as well as the optimal search policy in relation to the sideline profit in order to maximize the total expected net profit. In particular, we show that when the sideline profit is sufficiently large, the two optimal switching thresholds exist with respect to the number of first-type customers in the system.

  1. A New Self-Adapting Admission Control Algorithm for Differential Service in Web Clusters

    Institute of Scientific and Technical Information of China (English)

    LIU An-feng; CHEN Zhi-gang; LONG Guo-ping

    2004-01-01

    A new admission control algorithm considering the network self-similar access characteristics is proposed.Taking advantage of the mathematical model of the network traffic admission control which can effectively overcome the self-similar characteristics of the network requests, through the scheduling of the differential service queue based on priority while at the same time taking into account various factors including access characteristics of requests, load information, etc, smoothness of the admission control is ensured by the algorithm proposed in this paper.We design a non-linear self-adapting control algorithm by introducing an exponential admission function, thus overcomes the negative aspects introduced by static threshold parameters.Simulation results show that the scheme proposed in this paper can effectively improve the resource utilization of the clusters, while at the same time protecting the service with high priority.Our simulation results also show that this algorithm can improve system stability and reliability too.

  2. An Autonomous Distributed Admission Control Scheme for IEEE 802.11 DCF

    CERN Document Server

    Patil, Preetam

    2007-01-01

    Admission control as a mechanism for providing QoS requires an accurate description of the requested flow as well as already admitted flows. Since 802.11 WLAN capacity is shared between flows belonging to all stations, admission control requires knowledge of all flows in the WLAN. Further, estimation of the load-dependent WLAN capacity through analytical model requires inputs about channel data rate, payload size and the number of stations. These factors combined point to a centralized admission control whereas for 802.11 DCF it is ideally performed in a distributed manner. The use of measurements from the channel avoids explicit inputs about the state of the channel described above. BUFFET, a model based measurement-assisted distributed admission control scheme for DCF proposed in this paper relies on measurements to derive model inputs and predict WLAN saturation, thereby maintaining average delay within acceptable limits. Being measurement based, it adapts to a combination of data rates and payload sizes, ...

  3. Family control and financing decisions

    NARCIS (Netherlands)

    Croci, Ettore; Doukas, John A.; Gonenc, Halit

    2011-01-01

    This study uses a comprehensive European dataset to investigate the role of family control in corporate financing decisions during the period 1998-2008. We find that family firms have a preference for debt financing, a non-control-diluting security, and are more reluctant than non-family firms to ra

  4. Combined Admission Control and Scheduling for QoS Differentiation in LTE Uplink

    DEFF Research Database (Denmark)

    Anas, Mohmmad; Rosa, Claudio; Calabrese, Francesco Davide;

    2008-01-01

    Long term evolution (LTE) architecture shall support end-to-end quality of service (QoS). For the QoS support and service differentiation it is important that the admission control and packet scheduling functionalities are QoS-aware. In this paper a combined admission control and a decoupled time......-frequency domain scheduling framework for LTE uplink is presented. The proposed framework is shown to effectively differentiate QoS user classes in a mixed traffic scenario....

  5. A COMBINED ADMISSION CONTROL ALGORITHM WITH DA PROTOCOL FOR SATELLITE ATM NETWORKS

    Institute of Scientific and Technical Information of China (English)

    Lu Rong; Cao Zhigang

    2006-01-01

    Admission control is an important strategy for Quality of Service (QoS) provisioning in Asynchronous Transfer Mode (ATM) networks. Based on a control-theory model of resources on-Demand Allocation (DA) protocol, the paper studies the effect of the protocol on the statistical characteristics of network traffic,and proposes a combined connection admission control algorithm with the DA protocol to achieve full utilization of link resources in satellite communication systems. The proposed algorithm is based on the cross-layer-design approach. Theoretical analysis and system simulation results show that the proposed algorithm can admit more connections within certain admission thresholds than one that does not take into account the DA protocol. Thus, the proposed algorithm can increase admission ratio of traffic sources for satellite ATM networks and improve satellite link utilization.

  6. Distributed Decision Making and Control

    CERN Document Server

    Rantzer, Anders

    2012-01-01

    Distributed Decision Making and Control is a mathematical treatment of relevant problems in distributed control, decision and multiagent systems, The research reported was prompted by the recent rapid development in large-scale networked and embedded systems and communications. One of the main reasons for the growing complexity in such systems is the dynamics introduced by computation and communication delays. Reliability, predictability, and efficient utilization of processing power and network resources are central issues and the new theory and design methods presented here are needed to analyze and optimize the complex interactions that arise between controllers, plants and networks. The text also helps to meet requirements arising from industrial practice for a more systematic approach to the design of distributed control structures and corresponding information interfaces Theory for coordination of many different control units is closely related to economics and game theory network uses being dictated by...

  7. Joint Resource Allocation and Admission Control Mechanism for an OFDMA-Based System

    DEFF Research Database (Denmark)

    Meucci, Filippo; Mihovska, Albena D.; Anggorojati, Bayu;

    2008-01-01

    This paper describes a Call Admission Control (CAC) mechanism that adapts the type of admitted users based on a proposed resource allocation strategy that responds to changes in the channel conditions. The admission control decides to admit new services according to the load of the cell and based...... on a-priori analysis of the radio link for the incoming request in terms of QoS satisfaction. For low to medium values of the load the Resource Allocation (RA) grants resources to user with higher priority. The priority is defined based on user and service characteristics. For very high load values...

  8. SERVICE-AWARE BASED FUZZY ADMISSION CONTROL SCHEME IN MULTI-SERVICE NETWORKS

    Institute of Scientific and Technical Information of China (English)

    Qiu Gongan; Zhang Shunyi; Liu Shidong

    2007-01-01

    Multi-service aggregated transmission is the direction of IP network. Providing different Quality of Service (QoS) assurance for different services has become a crucial problem in future network.Admission control is a vital function for multi-service IP network. This paper proposes a novel fuzzy admission control scheme based on coarse granularity service-aware technique. Different service has discriminative sensitivity to the same QoS characteristic parameter in general. The traffic class can be perceived by the service request parameter and the proposed QoS function. And requirements of different applications can be met by maintaining the life parameter. From simulation results, the proposed scheme shows a better QoS provisioning than those traditional fuzzy logic based methods under the same admission probability.

  9. Self-optimisation of admission control and handover parameters in LTE

    NARCIS (Netherlands)

    Sas, B.; Spaey, K.; Balan, I.; Zetterberg, K.; Litjens, R.

    2011-01-01

    In mobile cellular networks the handover (HO) algorithm is responsible for determining when calls of users that are moving from one cell to another are handed over from the former to the latter. The admission control (AC) algorithm, which is the algorithm that decides whether new (fresh or HO) calls

  10. Reduced Admissions for Acute Myocardial Infarction Associated with a Public Smoking Ban: Matched Controlled Study

    Science.gov (United States)

    Seo, Dong-Chul; Torabi, Mohammad R.

    2007-01-01

    There has been no research linking implementation of a public smoking ban and reduced incidence of acute myocardial infarction (AMI) among nonsmoking patients. An ex post facto matched control group study was conducted to determine whether there was a change in hospital admissions for AMI among nonsmoking patients after a public smoking ban was…

  11. Cognitive interference modeling with applications in power and admission control

    KAUST Repository

    Mahmood, Nurul Huda

    2012-10-01

    One of the key design challenges in a cognitive radio network is controlling the interference generated at coexisting primary receivers. In order to design efficient cognitive radio systems and to minimize their unwanted consequences, it is therefore necessary to effectively control the secondary interference at the primary receivers. In this paper, a generalized framework for the interference analysis of a cognitive radio network where the different secondary transmitters may transmit with different powers and transmission probabilities, is presented and various applications of this interference model are demonstrated. The findings of the analytical performance analyses are confirmed through selected computer-based Monte-Carlo simulations. © 2012 IEEE.

  12. A service-oriented admission control strategy for class-based IP networks

    OpenAIRE

    Lima, Solange; Carvalho, Paulo; Freitas, Vasco

    2008-01-01

    The clear trend toward the integration of current and emerging applications and services in the Internet launches new demands on service deployment and management. Distributed service-oriented traffic control mechanisms, operating with minimum impact on network performance, assume a crucial role as regards controlling services quality and network resources transparently and efficiently. In this paper, we describe and specify a lightweight distributed admission control (AC) model based on ...

  13. Joint QoS Multicast Power / Admission Control and Base Station Assignment : A Geometric Programming Approach

    OpenAIRE

    Karipidis, Eleftherios; Sidiropoulos, Nicholas; Tassiulas, Leandros

    2008-01-01

    The joint power control and base station (BS) assignment problem is considered under Quality-of-Service (QoS) constraints. If a feasible solution exists, the problem can be efficiently solved using existing distributed algorithms. Infeasibility is often encountered in practice, however, which brings up the issue of optimal admission control. The joint problem is NP-hard, yet important for QoS provisioning and bandwidth-efficient operation of existing and emerging cellular and overlay/underlay...

  14. EUPHIDS, a decision-support system for the admission of pesticides

    NARCIS (Netherlands)

    Beinat E; Berg R van den; Vrije Universiteit van; Fraunhofer Institue for Environmental Chemistry; International Centre of Pesticide Safety, Busto; LBG

    1996-01-01

    EUPHIDS (EUropean Pesticide Hazard Information and Decision-support System) is the result of a research project carried out during 1993-1995 with the support of the Environment Research Programme (1990-1994) of the European Union. The system is meant to become an aid in the process of registering a

  15. Decision Support for effective production control

    DEFF Research Database (Denmark)

    Africa, E.; Nehzati, T.; Strandhagen, J.O.;

    2012-01-01

    This study aims to identify the actual needs of decision makers for decision support in the production control activity, considering the role and cognitive skills of human decision-makers in the decision-making process. Multiple case studies have been conducted in order to gain practical insights...... from the manufacturing industry. This paper contributes to raise the issues that should be considered for successful implementation of the decision support systems in practice.......This study aims to identify the actual needs of decision makers for decision support in the production control activity, considering the role and cognitive skills of human decision-makers in the decision-making process. Multiple case studies have been conducted in order to gain practical insights...

  16. Performance Analysis of Prioritized Call Admission Control Schemes for Integrated Traffic in Wireless Network

    Directory of Open Access Journals (Sweden)

    Madhu Jain

    2013-01-01

    Full Text Available Wireless/mobile communication systems are becoming increasingly popular in recent years. As the wireless resources are scarce, it is important to allocate resources efficiently and carefully, in order to achieve maximum output. The call admission control schemes play a significant role in providing the desired quality of service (QoS by judiciously assigning the radio channels that are available in a micro cell. In this paper, we present two call admission control (CAC schemes for wireless mobile network, (i Prioritized call admission control (PCAC scheme (S1 and (ii Prioritized call admission control scheme with releasing function (S2. Both schemes support integrated traffic i.e. data and voice for both new and handoff attempts. Guard channel concept is used to give the priority to the handoff attempts. To admit more handoff attempts in the cellular system, buffering process is used for the handoff attempts. The concept of balking and reneging is also incorporated for both the schemes. The calls arrive in poisson fashion whereas channel holding time and cell residence times are exponentially distributed. The arrival rate of handoff attempts is computed by using iterative algorithm. Various performance metrics such as blocking probability of new call, blocking probability of handoff data/voice attempts, time out probability of handoff data/voice attempts, force termination probability of handoff data/voice attempts, waiting time of handoff data/voice attempts, carried load, etc. are determined. The sensitivity analysis has also been carried out to facilitate the insights of controllable parameters for real time systems

  17. Building a Decision Support System for Inpatient Admission Prediction With the Manchester Triage System and Administrative Check-in Variables.

    Science.gov (United States)

    Zlotnik, Alexander; Alfaro, Miguel Cuchí; Pérez, María Carmen Pérez; Gallardo-Antolín, Ascensión; Martínez, Juan Manuel Montero

    2016-05-01

    The usage of decision support tools in emergency departments, based on predictive models, capable of estimating the probability of admission for patients in the emergency department may give nursing staff the possibility of allocating resources in advance. We present a methodology for developing and building one such system for a large specialized care hospital using a logistic regression and an artificial neural network model using nine routinely collected variables available right at the end of the triage process.A database of 255.668 triaged nonobstetric emergency department presentations from the Ramon y Cajal University Hospital of Madrid, from January 2011 to December 2012, was used to develop and test the models, with 66% of the data used for derivation and 34% for validation, with an ordered nonrandom partition. On the validation dataset areas under the receiver operating characteristic curve were 0.8568 (95% confidence interval, 0.8508-0.8583) for the logistic regression model and 0.8575 (95% confidence interval, 0.8540-0. 8610) for the artificial neural network model. χ Values for Hosmer-Lemeshow fixed "deciles of risk" were 65.32 for the logistic regression model and 17.28 for the artificial neural network model. A nomogram was generated upon the logistic regression model and an automated software decision support system with a Web interface was built based on the artificial neural network model. PMID:26974710

  18. A NOVEL CALL ADMISSION CONTROL SCHEME IN CELLULAR/WLAN INTEGRATION AND PERFORMANCE ANALYSIS

    Institute of Scientific and Technical Information of China (English)

    Xia Weiwei; Shen Lianfeng

    2009-01-01

    In order to achieve the Quality of Service (QoS) provisioning and efficient resource utilization in cellular network and Wireless Local Area Network (WLAN) integration, an Integrated Service-Based Call Admission Control (ISB-CAC) scheme is proposed in this paper. The integrated network is modeled by using multi-dimensional Markov chains. The numerical analysis is presented to evaluate the important performance measures such as the blocking probability of originating calls, the dropping probability, and the average transfer time, etc. The steady-state probabilities of the multi-dimensional Markov chains are obtained by using an iterative approach, and the CAC parameters are optimally designed. The analytical model is validated by the computer simulation. It is shown that compared with the conventional WLAN-First Call Admission Control (WF-CAC) scheme, the proposed ISB-CAC scheme not only provides better QoS for mobile users but also utilizes the bandwidth resources more efficiently.

  19. A Study of Equivalence of Measurement-Based Admission Control Algorithms

    Institute of Scientific and Technical Information of China (English)

    GUI Zhi-bo; ZHOU Li-chao

    2003-01-01

    Measurement-Based Admission Control (MBAC) algorithms, as opposed to the more conservative worstcase parameter-based approach, are expressly designed to achieve high levels of network utilization for the controlledload service, a real-time service with very relaxed service guarantee. Most researchers studying MBAC algorithms(MBAC's) have focused primarily on the design of the Admission Control Equations (ACE's) using a variety of principled and ad hoc motivations. In this paper, we prove theoretically that the ACE's, even though derived and motivated in quite different ways, are equivalent by tuning the adjustable parameters of MBAC's. We also use simulations to confirm our work. The simulation results show that MBAC's may have the same utilization for a given packet loss rate through tuning the relevant parameters.

  20. Tensions between policy and practice: A qualitative analysis of decisions regarding compulsory admission to psychiatric hospital.

    Science.gov (United States)

    Fistein, Elizabeth C; Clare, Isabel C H; Redley, Marcus; Holland, Anthony J

    2016-01-01

    The use of detention for psychiatric treatment is widespread and sometimes necessary. International human rights law requires a legal framework to safeguard the rights to liberty and personal integrity by preventing arbitrary detention. However, research suggests that extra-legal factors may influence decisions to detain. This article presents observational and interview data to describe how decisions to detain are made in practice in one jurisdiction (England and Wales) where a tension between policy and practice has been described. The analysis shows that practitioners mould the law into 'practical criteria' that appear to form a set of operational criteria for identifying cases to which the principle of soft paternalism may be applied. Most practitioners also appear willing, albeit often reluctantly, to depart from their usual reliance on the principle of soft paternalism and authorise detention of people with the capacity to refuse treatment, in order to prevent serious harm. We propose a potential resolution for the tension between policy and practice: two separate legal frameworks to authorise detention, one with a suitable test of capacity, used to enact soft paternalism, and the other to provide legal justification for detention for psychiatric treatment of the small number of people who retain decision-making capacity but nonetheless choose to place others at risk by refusing treatment. This separation of detention powers into two systems, according to the principle that justifies the use of detention would be intellectually coherent, consistent with human rights instruments and, being consistent with the apparent moral sentiments of practitioners, less prone to idiosyncratic interpretations in practice. PMID:27062108

  1. A LP-RR Principle-Based Admission Control for a Mobile Network

    OpenAIRE

    Kumar, Vijay BP; Venkataram, Pallapa

    2002-01-01

    In mobile networks, the traffic fluctuation is unpredictable due to mobility and varying resource requirement of multimedia applications. Hence, it is essential to maintain traffic within the network capacity to provide service guarantees to running applications. This paper proposes an admission control (AC) scheme in a mobile cellular environment supporting hand-off and new application traffic. In the case of multimedia applications, each applications has its own distinct range of acceptable...

  2. The Eldicus prospective, observational study of triage decision making in European intensive care units: Part I-European Intensive Care Admission Triage Scores (EICATS)

    DEFF Research Database (Denmark)

    Sprung, Charles L; Baras, Mario; Iapichino, Gaetano;

    2012-01-01

    OBJECTIVE:: Life and death triage decisions are made daily by intensive care unit physicians. Scoring systems have been developed for prognosticating intensive care unit mortality but none for intensive care unit triage. The objective of this study was to develop an intensive care unit triage...... decision rule based on 28-day mortality rates of admitted and refused patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with a request for intensive...... care unit admission. INTERVENTIONS:: Admission or rejection to an intensive care unit. MEASUREMENTS AND MAIN RESULTS:: Clinical, laboratory, and physiological variables and data from severity scores were collected. Separate scores for accepted and rejected patients with 28-day mortality end point were...

  3. Who Goes Early?: A Multi-Level Analysis of Enrolling via Early Action and Early Decision Admissions

    Science.gov (United States)

    Park, Julie J.; Eagan, M. Kevin

    2011-01-01

    Background/Context: Several studies have identified that applicants who apply to college via early admissions programs tend to be White and affluent. Because researchers have also identified benefits with applying early, akin to a 100 point boost on the SAT, such programs raise questions around equity in the college admissions process.…

  4. Output Feedback Based Admissible Control of Switched Linear Singular Systems%切换线性奇异系统输出反馈容许控制

    Institute of Scientific and Technical Information of China (English)

    孟斌; 张纪峰

    2006-01-01

    The admissibility analysis and robust admissible control problem of the uncertain discretetime switched linear singular (SLS) systems for arbitrary switching laws are investigated. Based on linear matrix inequalities, some sufficient conditions are given for: A) the existence of generalized common Lyapunov solution and the admissibility of the SLS systems for arbitrary switching laws,B) the existence of static output feedback control laws ensuring the admissibility of the closed-loop SLS systems for arbitrary switching laws and norm-bounded uncertainties.

  5. UTILITY BASED SCHEDULING AND CALL ADMISSION CONTROL FOR LONG TERM EVOLUTION NETWORKS

    Directory of Open Access Journals (Sweden)

    J. Vijay Franklin

    2012-01-01

    Full Text Available In this study, we propose to design a call admission control algorithm which schedules the channels for Real time and non-real time users. In Long Term Evolution (LTE 3GPP Networks, several works were done on call admission control but these works rarely considers scheduling of resources to the real time and non-real time users.When the system meets traffic oriented performance degration, maximum resources are utilized for load balancing and to maintain the consistent quality. In order to avoid the channel degradation and improve the Quality of Service (QoS, the call requests are classified into New Call (NC request and Handoff Call (HC request and the type of services are classified as VoIP and video. Then based upon the Received Signal Strength (RSS value, the channel is estimated as good channel or bad channel. Resource allocation is made for VoIP users based on traffic density. Then non-VoIP users and the non-real time users are allocated resource blocks using the channel condition based marginal utility function. When there are no sufficient resources to allocate, it allocates the resources of bad channel users there by degrading their service. We have designed the network topology with G (n and B (n for representing the available good and bad channels. We investigate the performance degradation when the real time, Non real Time, video and VOIP environments based on RSS threshold value.Comparison is made with the VOS in terms of the paramenters like throughput,bandwidth,delay,fairness and rate. Our proposed method provides good performance and quality.From our simulation results we show that this admission control algorithm provides channel quality and prioritizes the handover calls over new calls which allocates resources to all kinds of users.

  6. Call Admission Control performance model for Beyond 3G Wireless Networks

    Directory of Open Access Journals (Sweden)

    Ramesh Babu H.S

    2009-12-01

    Full Text Available The Next Generation Wireless Networks (NGWN will be heterogeneous in nature where the different Radio Access Technologies (RATs operate together .The mobile terminals operating in this heterogeneous environment will have different QoS requirements to be handled by the system. These QoS requirements are determined by a set of QoS parameters. The radio resource management is one of the key challenges in NGWN.Call admission control is one of the radio resource management technique plays instrumental role in ensure the desired QoS to the users working on different applications which have diversified QoS requirements from the wireless networks . The call blocking probability is one such QoS parameter for the wireless network. For better QoS it is desirable to reduce the call blocking probability. In this customary scenario it is highly desirable to obtain analytic Performance model. In this paper we propose a higher order Markov chain based performance model for call admission control in a heterogeneous wireless network environment. In the proposed algorithm we have considered three classes of traffic having different QoS requirements and we have considered the heterogeneous network environment which includes the RATs that can effectively handle applications like voice calls, Web browsing and file transfer applications which are with varied QoS parameters. The paper presents the call blocking probabilities for all the three types of traffic both for fixed and varied traffic scenario.Keywords: Radio Access Technologies; Call admission control; Call blocking probability; Markov model; Heterogeneous wireless Networks.

  7. Adaptive Call Admission Control Based on Reward-Penalty Model in Wireless/Mobile Network

    Institute of Scientific and Technical Information of China (English)

    Jian-Hui Huang; De-Pei Qian; Sheng-Ling Wang

    2007-01-01

    A dynamic threshold-based Call Admission Control (CAC) scheme used in wireless/mobile network for multi- class services is proposed. In the scheme, each class's CAC thresholds are solved through establishing a reward-penalty model which strives to maximize network's revenue. In order to lower Handoff Dropping Probability (HDP), the scheme joints packet and connection levels Quality of Service constraints, designing a bandwidth degradation algorithm to accept handoff calls by degrading existing calls' bandwidth during network congestion. Analyses show that the CAC thresholds change adaptively with the average call arrival rate. The performance comparison shows that the proposed scheme outperforms the Mobile IP Reservation scheme.

  8. Singular formalism and admissible control of spacecraft with rotating flexible solar array

    Directory of Open Access Journals (Sweden)

    Lu Dongning

    2014-02-01

    Full Text Available This paper is concerned with the attitude control of a three-axis-stabilized spacecraft which consists of a central rigid body and a flexible sun-tracking solar array driven by a solar array drive assembly. Based on the linearization of the dynamics of the spacecraft and the modal identities about the flexible and rigid coupling matrices, the spacecraft attitude dynamics is reduced to a formally singular system with periodically varying parameters, which is quite different from a spacecraft with fixed appendages. In the framework of the singular control theory, the regularity and impulse-freeness of the singular system is analyzed and then admissible attitude controllers are designed by Lyapunov’s method. To improve the robustness against system uncertainties, an H∞ optimal control is designed by optimizing the H∞ norm of the system transfer function matrix. Comparative numerical experiments are performed to verify the theoretical results.

  9. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Abraham O. Fapojuwo

    2007-11-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  10. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Fapojuwo Abraham O

    2007-01-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  11. Call Admission Control performance model for Beyond 3G Wireless Networks

    CERN Document Server

    Babu, H S Ramesh; Satyanarayana, P S

    2010-01-01

    The Next Generation Wireless Networks (NGWN) will be heterogeneous in nature where the different Radio Access Technologies (RATs) operate together .The mobile terminals operating in this heterogeneous environment will have different QoS requirements to be handled by the system. These QoS requirements are determined by a set of QoS parameters. The radio resource management is one of the key challenges in NGWN. Call admission control is one of the radio resource management technique plays instrumental role in ensure the desired QoS to the users working on different applications which have diversified QoS requirements from the wireless networks . The call blocking probability is one such QoS parameter for the wireless network. For better QoS it is desirable to reduce the call blocking probability. In this customary scenario it is highly desirable to obtain analytic Performance model. In this paper we propose a higher order Markov chain based performance model for call admission control in a heterogeneous wireles...

  12. Admission Control for Multiservices Traffic in Hierarchical Mobile IPv6 Networks by Using Fuzzy Inference System

    Directory of Open Access Journals (Sweden)

    Jung-Shyr Wu

    2012-01-01

    Full Text Available CAC (Call Admission Control plays a significant role in providing QoS (Quality of Service in mobile wireless networks. In addition to much research that focuses on modified Mobile IP to get better efficient handover performance, CAC should be introduced to Mobile IP-based network to guarantee the QoS for users. In this paper, we propose a CAC scheme which incorporates multiple traffic types and adjusts the admission threshold dynamically using fuzzy control logic to achieve better usage of resources. The method can provide QoS in Mobile IPv6 networks with few modifications on MAP (Mobility Anchor Point functionality and slight change in BU (Binding Update message formats. According to the simulation results, the proposed scheme presents good performance of voice and video traffic at the expenses of poor performance on data traffic. It is evident that these CAC schemes can reduce the probability of the handoff dropping and the cell overload and limit the probability of the new call blocking.

  13. Algorithms for Deterministic Call Admission Control of Pre-stored VBR Video Streams

    Directory of Open Access Journals (Sweden)

    Christos Tryfonas

    2009-08-01

    Full Text Available We examine the problem of accepting a new request for a pre-stored VBR video stream that has been smoothed using any of the smoothing algorithms found in the literature. The output of these algorithms is a piecewise constant-rate schedule for a Variable Bit-Rate (VBR stream. The schedule guarantees that the decoder buffer does not overflow or underflow. The problem addressed in this paper is the determination of the minimal time displacement of each new requested VBR stream so that it can be accommodated by the network and/or the video server without overbooking the committed traffic. We prove that this call-admission control problem for multiple requested VBR streams is NP-complete and inapproximable within a constant factor, by reducing it from the VERTEX COLOR problem. We also present a deterministic morphology-sensitive algorithm that calculates the minimal time displacement of a VBR stream request. The complexity of the proposed algorithm along with the experimental results we provide indicate that the proposed algorithm is suitable for real-time determination of the time displacement parameter during the call admission phase.

  14. Mitigating Handoff Call Dropping in Wireless Cellular Networks: A Call Admission Control Technique

    Science.gov (United States)

    Ekpenyong, Moses Effiong; Udoh, Victoria Idia; Bassey, Udoma James

    2016-06-01

    Handoff management has been an important but challenging issue in the field of wireless communication. It seeks to maintain seamless connectivity of mobile users changing their points of attachment from one base station to another. This paper derives a call admission control model and establishes an optimal step-size coefficient (k) that regulates the admission probability of handoff calls. An operational CDMA network carrier was investigated through the analysis of empirical data collected over a period of 1 month, to verify the performance of the network. Our findings revealed that approximately 23 % of calls in the existing system were lost, while 40 % of the calls (on the average) were successfully admitted. A simulation of the proposed model was then carried out under ideal network conditions to study the relationship between the various network parameters and validate our claim. Simulation results showed that increasing the step-size coefficient degrades the network performance. Even at optimum step-size (k), the network could still be compromised in the presence of severe network crises, but our model was able to recover from these problems and still functions normally.

  15. Novel Stochastic Model for Call Admission Control in Broadband Wireless Multimedia Networks

    Institute of Scientific and Technical Information of China (English)

    LIUGan; ZHUGuangxi; RUANYoulin; HUZhenping; WUWeimin; WANGDesheng

    2005-01-01

    As the increasing demand of the capacity of cellular networks, the cell sizes have become smaller than ever, which increases the probability of handoff one may experience during a service. To ensure the calls, QoS and high channel utilization, an effective call admission control is needed urgently. The well-known Guard channel method (GCM) which works with static fashion cannotadapt to the changes in traffic pattern, whereas, SDCA mechanism proposed by S. Wu can overcome that shortcoming due to its dynamic nature. Unfortunately, it is only suitable for single-service. In this paper, we establish a novel stochastic model to study the actual system so as to avoid coping with the complex multiple dimensions stochastic problem. Two wonderful features of the model make it competent for this role. On one hand, it can turnthe multiple steps of state transition into single step ofstate transition, which is a necessary condition for ideal birth-death processes. On the other hand, it can providea simple method to compute the approximation of the call dropping probabilities for multiple services, which facilitate our estimation for the acceptance ratio vector subject to QoS requirement. As a result, we get a multi-services dynamic call admission scheme to adapt for multiple types of services in mobile wireless networks. Numerical results show that our scheme steadily satisfies the constraint on call dropping probability of multi-services while maintaining a high channel throughput.

  16. Rotary Mode Core Sampling Control Decision Record

    International Nuclear Information System (INIS)

    A control decision meeting was held on December 19, 2000, to analyze the rotary mode core sampling (RMCS) controls. The agenda for the control decision meeting is included in Appendix A, and the attendee list is included in Appendix B. The purpose of this control decision meeting was to reconcile the Los Alamos National Laboratories safety assessment control allocation for RMCS with the rest of the Tank Farms Authorization Basis (AB). In-mid 1998, calculation note HNF-3228, Rev. 0, Recalculation of Accident Consequences to Account for Rotary Mode Core Sampling, was generated to incorporate RMCS into HNF-SD-WM-B10-001, Tank Waste Remediation System Basis for Interim Operation (BIO), which was the current AB at that time. The Addendum 5 addition to the BIO was based on calculation note HNF-3228 and issued for approval in August 1998. Approval of Addendum 5 has been delayed. Since Addendum 5 was generated, the BIO has been superceded by HNF-SD-WM-SAR-067, Tank Farms Final Safety Analysis Report (FSAR); numerous changes have been made to the accident analyses; and considerable data have been gathered on aerosol experience during RMCS. These changes necessitated an update to HNF-3228, Rev. 0, to provide a current evaluation of the impact of RMCS activities on the accident analyses in the FSAR before RMCS is incorporated into the FSAR. The scope of this control decision is for RMCS activities only. The AB documents used for this control decision were Revision 2 of the FSAR and Revision 2 of HNF-SD-WM-TSR-006, Tank Farms Technical Safety Requirements, as well as supporting calculation notes HNF-3228/Rev.1, HNF-4240/Rev.1, Organic Solvent Topical Report, and HNF-3588/Rev.1, Organic Complexant Topical Report. The control decision meeting was conducted in accordance with the established and approved process and criteria described in the FSAR. A summary of the control decision process and criteria was presented at the start of the control decision meeting and is included in

  17. A STUDY ON PROBE-BASED MULTICAST ADMISSION CONTROL AND ENHANCEMENT

    Institute of Scientific and Technical Information of China (English)

    Le Chunhui; He Jianhua; Yang Zongkai; Liu Wei

    2006-01-01

    To provide scalable and simple Quality of Service(QoS) mechanism for multicast services,Probe-Based Multicast Admission Control (PBMAC) scheme was proposed. In this paper, PBMAC is studied and a so-called subsequent request problem is found in PBMAC, which degrades system performance significantly when the network traffic is heavily loaded. Based on the analysis on subsequent request problem, an Enhance PBMAC (EPBMAC) scheme is proposed, in which complementary probing is devised to solve the problem. Using a new metric of normalized requested equivalent link capacity, the performance of PBMAC and EPBMAC is analyzed and evaluated. Two implementations are proposed for incremental deployment. The paper finally introduces evaluation with packet-based simulations. Both analytical and simulation results show the significant improvement in performance.

  18. A Priority and SDB based Admission Control in IEEE 802.16 Systems

    Directory of Open Access Journals (Sweden)

    Xiu-ying Sun

    2010-09-01

    Full Text Available In IEEE 802.16 systems, the algorithm of admission control (AC is very important in guaranteeing the Quality of Service (QoS and managing service flows. However, the IEEE 802.16 standards do not specify any related strategies or algorithms on AC. In order to improve the system performance and satisfy the QoS of stations to the max, we propose a new AC strategy, which includes a weighted blocking rate based priority strategy and a satisfaction-degree based bandwidth-borrowing strategy named SDB in this paper. The simulation results show that the proposed strategy improves the overall performance of system in terms of weighted blocking rate. Furthermore, our strategy enhances the QoS in comparison with the strategy adopting conventional bandwidth-borrowing algorithm.

  19. AN Enhanced SINR-Based Call Admission Control in 3G Networks

    Directory of Open Access Journals (Sweden)

    Moses Ekpenyong

    2011-11-01

    Full Text Available This paper presents the signal-to-interference plus noise ratio (SINR-based call admission control (CAC as an effective technique that guarantees signal quality for admitted users. We propose a CAC model that admits users as long as the SINR exceeds a threshold (th SINR . To reduce blocking, we ensure that the threshold level is maintained at a lower bound (lb thSINR −, convenient to keep the blocking probability ( Pb below a maximum value ( Pb−max. We simulate the CAC model with the Java programming language and evaluate the performance of the model. Simulation results show that our CAC scheme produce the expected performance that improves the network quality.

  20. An Interference-Aware Admission Control Design for Wireless Mesh Networks

    Directory of Open Access Journals (Sweden)

    Manikantan Shila Devu

    2010-01-01

    Full Text Available In this paper, we present IAC, an interference aware admission control algorithm for use in wireless mesh networks. The core concept of IAC is to use a low overhead dual threshold based approach to share the bandwidth information with its neighbors in the interfering range. As a result, IAC guarantees that the shared wireless bandwidth is not overutilized and the quality of all existing flows are preserved. Moreover, IAC takes into account the intraflow interference effect to estimate the bandwidth consumption of the flow in a multihop path. We have further proposed two approaches of bandwidth allocation, FCFS and MCU, and demonstrated that proper tuning of thresholds can lead to high performance of both schemes. Simulation results illustrate that IAC effectively limits the overutilization of channel resources which in turn results in high throughput, low delay and low packet loss rate for all admitted flows.

  1. Admission Control of Integrated Voice and Data CDMA/TDD System Considering Asymmetric Traffic and Power Limit

    Institute of Scientific and Technical Information of China (English)

    CAOYanbo; ZHOUBin; LIChengshu

    2004-01-01

    In this paper, we research an admission control scheme of integrated voice and data CDMA/TDD (Code division multiple access/Time division duplex) system considering asymmetric traffic and power limit. A new user can access the system only if the outage probabilities it experiences on the uplink and downlink time slots are below a threshold value. Based on the power limit the results show the voice and data blocking probabilities under different cell coverage~ arrival rates and various uplink/downlink time slot allocation patterns. Furthermore, multicode and multislot schemes are also evaluated under the presented admission control scheme.

  2. Setting Local Cut Scores on the Sat Reasoning Test™ Writing Section: For Use in College Placement and Admissions Decisions

    Science.gov (United States)

    Morgan, Deanna L.

    2006-01-01

    The introduction of the SAT Reasoning Test™ with a writing section in March 2005 and the concomitant elimination of the SAT® Subject Test in Writing after January 2005 have led many colleges and institutions to ask for guidance in using the new SAT Reasoning Test writing section scores for college placement and admissions. Standard-setting…

  3. Financial Analysis, Budgeting, Decision and Control

    Directory of Open Access Journals (Sweden)

    Mariana Rodica TIRLEA

    2013-12-01

    Full Text Available The economic processes taking place in the economic environment are stochastic processes that involve and imply risks, arising from product diversification, competition, financial derivatives transactions: swaps, futures, options and from the large number of actors involved in the stock market with a higher or a smaller uncertainty degree. Competition and competitiveness, led to major and rapid change in the business environment, they determined actors participating in the economy to find solutions and methods of collecting and processing data, in such a way that, after being transformed into information they quickly help based on their analysis in decision making, planning and financial forecasting, having an effect on increasing their economic efficiency. In these circumstances the financial analysis, decision, forecasting and control, should be based on quality information that should be a value creation source. The active nature of the financial function implies the existence of a substantially large share of financial analysis, financial decision, forecasting and control.

  4. Decision support system for nursing management control

    Energy Technology Data Exchange (ETDEWEB)

    Ernst, C.J.

    1983-01-01

    A knowledge representation approach for expert systems supporting decision processes in business is proposed. A description of a knowledge representation schema using a logic programming metalanguage is described, then the role of such a schema in a management expert system is demonstrated through the problem of nursing management control in hospitals. 18 references.

  5. Study on the Class-Based Admission Control Scheme for DiffServ in MPLS Networks

    Institute of Scientific and Technical Information of China (English)

    李震宇; 张中兆

    2003-01-01

    Differentiated services (DiffServ) and MPLS are two major building blocks for providing multi-class services over IP networks. In order to respond to the need for relatively simple, coarse methods of providing different levels of service for Internet traffic, to support various types of applications and specific business requirements, the MPLS network infrastructure and the DiffServ traffic model will work together. Meanwhile, in today's environment of multiple service networks, it is necessary for the node in the networks to perform the control mechanism to guarantee various QoS. In this paper, we propose a class-based admission control scheme that is suitable for DiffServ in MPLS networks. This scheme can achieve twofold objects: reliable QoS provisioning and high resource utilization. We evaluate the proposed scheme by numerical analysis of its performance in terms of throughput, delay, and reject probability. By performing simulation, we can ensure that the proposed scheme can work efficiently to provide strict QoS guarantees.

  6. Rational decision-making in inhibitory control

    Directory of Open Access Journals (Sweden)

    Pradeep eShenoy

    2011-05-01

    Full Text Available An important aspect of cognitive flexibility is inhibitory control, the ability to dynamically modify or cancel planned actions in response to changes in the sensory environment or task demands. We formulate a probabilistic, rational decision-making framework for inhibitory control in the well-studied stop signal paradigm. Our model posits that subjects maintain a Bayes-optimal, continually updated representation of sensory inputs, and repeatedly assess the relative value of stopping and going on a fine temporal scale, in order to make an optimal decision on when and whether to go on each trial. We further posit that they implement this continual evaluation with respect to a global objective function capturing the various reward and penalties associated with different behavioral outcomes, such as speed and accuracy, or the relative costs of stop errors and go errors. We demonstrate that our rational decision-making model naturally gives rise to basic behavioral characteristics consistently observed for this paradigm, as well as more subtle effects due to contextual factors such as reward contingencies or motivational factors. Furthermore, we show that the classical race model can be seen as a computationally simpler, perhaps neurally plausible, approximation to optimal decision-making. This conceptual link allows us to predict how the parameters of the race model, such as the stopping latency, should change with task parameters and individual experiences/ability.

  7. Rational decision-making in inhibitory control.

    Science.gov (United States)

    Shenoy, Pradeep; Yu, Angela J

    2011-01-01

    An important aspect of cognitive flexibility is inhibitory control, the ability to dynamically modify or cancel planned actions in response to changes in the sensory environment or task demands. We formulate a probabilistic, rational decision-making framework for inhibitory control in the stop signal paradigm. Our model posits that subjects maintain a Bayes-optimal, continually updated representation of sensory inputs, and repeatedly assess the relative value of stopping and going on a fine temporal scale, in order to make an optimal decision on when and whether to go on each trial. We further posit that they implement this continual evaluation with respect to a global objective function capturing the various reward and penalties associated with different behavioral outcomes, such as speed and accuracy, or the relative costs of stop errors and go errors. We demonstrate that our rational decision-making model naturally gives rise to basic behavioral characteristics consistently observed for this paradigm, as well as more subtle effects due to contextual factors such as reward contingencies or motivational factors. Furthermore, we show that the classical race model can be seen as a computationally simpler, perhaps neurally plausible, approximation to optimal decision-making. This conceptual link allows us to predict how the parameters of the race model, such as the stopping latency, should change with task parameters and individual experiences/ability.

  8. Call Admission Control Algorithm for pre-stored VBR video streams

    CERN Document Server

    Tryfonas, Christos; Mehler, Andrew; Skiena, Steven

    2008-01-01

    We examine the problem of accepting a new request for a pre-stored VBR video stream that has been smoothed using any of the smoothing algorithms found in the literature. The output of these algorithms is a piecewise constant-rate schedule for a Variable Bit-Rate (VBR) stream. The schedule guarantees that the decoder buffer does not overflow or underflow. The problem addressed in this paper is the determination of the minimal time displacement of each new requested VBR stream so that it can be accomodated by the network and/or the video server without overbooking the committed traffic. We prove that this call-admission control problem for multiple requested VBR streams is NP-complete and inapproximable within a constant factor, by reducing it from the VERTEX COLOR problem. We also present a deterministic morphology-sensitive algorithm that calculates the minimal time displacement of a VBR stream request. The complexity of the proposed algorithm make it suitable for real-time determination of the time displacem...

  9. A BATCH ARRIVAL RETRIAL QUEUE WITH STARTING FAILURES, FEEDBACK AND ADMISSION CONTROL

    Institute of Scientific and Technical Information of China (English)

    Jinting WANG; Peng-Feng ZHOU

    2010-01-01

    This paper is concerned with the analysis of a feedback M[X]/G/1 retrial queue with starting failures and general retrial times.In a batch,each individual customer is subject to a control admission policy upon arrival.If the server is idle,one of the customers admitted to the system may start its service and the rest joins the retrial group,whereas all the admitted customers go to the retrial group when the server is unavailable upon arrival.An arriving customer(primary or retrial)must turn-on the server,which takes negligible time.If the server is started successfully(with a certain probability),the customer gets service immediately.Otherwise,the repair for the server commences immediately and the customer must leave for the orbit and make a retrial at a later time.It is assumed that the customers who find the server unavailable are queued in the orbit in accordance with an FCFS discipline and only the customer at the head of the queue is allowed for access to the server.The Markov chain underlying the considered queueing system is studied and the necessary and sufficient condition for the system to be stable is presented.Explicit formulae for the stationary distribution and some performance measures of the system in steady-state are obtained.Finally,some numerical examples are presented to illustrate the influence of the parameters on several performance characteristics.

  10. Performance Analysis and Optimization of an Adaptive Admission Control Scheme in Cognitive Radio Networks

    Directory of Open Access Journals (Sweden)

    Shunfu Jin

    2013-01-01

    Full Text Available In cognitive radio networks, if all the secondary user (SU packets join the system without any restrictions, the average latency of the SU packets will be greater, especially when the traffic load of the system is higher. For this, we propose an adaptive admission control scheme with a system access probability for the SU packets in this paper. We suppose the system access probability is inversely proportional to the total number of packets in the system and introduce an Adaptive Factor to adjust the system access probability. Accordingly, we build a discrete-time preemptive queueing model with adjustable joining rate. In order to obtain the steady-state distribution of the queueing model exactly, we construct a two-dimensional Markov chain. Moreover, we derive the formulas for the blocking rate, the throughput, and the average latency of the SU packets. Afterwards, we provide numerical results to investigate the influence of the Adaptive Factor on different performance measures. We also give the individually optimal strategy and the socially optimal strategy from the standpoints of the SU packets. Finally, we provide a pricing mechanism to coordinate the two optimal strategies.

  11. Exponential Admissibility and Dynamic Output Feedback Control of Switched Singular Systems with Interval Time-Varying Delay

    Directory of Open Access Journals (Sweden)

    Jinxing Lin

    2010-01-01

    Full Text Available This paper is concerned with the problems of exponential admissibility and dynamic output feedback (DOF control for a class of continuous-time switched singular systems with interval time-varying delay. A full-order, dynamic, synchronously switched DOF controller is considered. First, by using the average dwell time approach, a delay-range-dependent exponential admissibility criterion for the unforced switched singular time-delay system is established in terms of linear matrix inequalities (LMIs. Then, based on this criterion, a sufficient condition on the existence of a desired DOF controller, which guarantees that the closed-loop system is regular, impulse free and exponentially stable, is proposed by employing the LMI technique. Finally, some illustrative examples are given to show the effectiveness of the proposed approach.

  12. Further Studies on Equivalence of Structure and Its Relevance to Performance of Measurement-Based Admission Control Algorithms

    Institute of Scientific and Technical Information of China (English)

    GUIZhibo; ZHOULichao

    2005-01-01

    The advantage of Measurement-based admission control algorithms (MBACs) is that they are able to improve network utilization for the controlled-load service. Most researchers have focused primarily on designs of the Admission control equations (ACEs) of MBACs using a variety of principled and ad hoc motivations. In this paper, six typical MBACs, namely MS, HB, TP, TO, TE and MC algorithms, are discussed. First, we have proven analytically that the ACEs of TE and MC have the same structural form as the ACEs of the other four MBACs above. Second, through formal analysis we have theoretically proven that the ACEs of TE and MC, even though they are derived and motivated in quite different ways, are equivalent to the other four MBACs by tuning the adjustable parameters of MBACs. Finally, we have used also simulations to confirm our work.

  13. Metacognitive Control of Categorial Neurobehavioral Decision Systems.

    Science.gov (United States)

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions that engender normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements) of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel) processing with Type 2 (slower, computationally demanding, sequential) processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling. PMID:26925004

  14. Metacognitive control of categorial neurobehavioral decision systems

    Directory of Open Access Journals (Sweden)

    Gordon Robert Foxall

    2016-02-01

    Full Text Available The competing neuro-behavioral decision systems (CNDS model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC. The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive functions that engender classes normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but, a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel processing with Type 2 (slower, computationally-demanding, sequential processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling.

  15. Metacognitive Control of Categorial Neurobehavioral Decision Systems.

    Science.gov (United States)

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions that engender normal and addictive responding. However, a case may be made for construing several components of the impulsive and executive systems depicted in the model as categories (elements) of additional systems that are concerned with the metacognitive control of behavior. Hence, this paper proposes a category-based structure for understanding the effects on behavior of CNDS, which includes not only the impulsive and executive systems of the basic model but a superordinate level of reflective or rational decision-making. Following recent developments in the modeling of cognitive control which contrasts Type 1 (rapid, autonomous, parallel) processing with Type 2 (slower, computationally demanding, sequential) processing, the proposed model incorporates an arena in which the potentially conflicting imperatives of impulsive and executive systems are examined and from which a more appropriate behavioral response than impulsive choice emerges. This configuration suggests a forum in which the interaction of picoeconomic interests, which provide a cognitive dimension for CNDS, can be conceptualized. This proposition is examined in light of the resolution of conflict by means of bundling.

  16. Investment decisions with benefits of control

    DEFF Research Database (Denmark)

    Poulsen, Thomas

    that underinvestment is aggravated when there are benefits of being in control, and these benefits are diluted if equity is issued to finance the investment project. I assume that large shareholders are constrained from further investments in their firms, and that they maximize their own wealth, which includes......This paper studies how large shareholders with benefits of control affect firms' equity issue behavior and investment decisions. I introduce an explicit agency cost structure based on the large shareholder's benefits of control. In a simple extension of Myers and Majluf [1984], I show...... as a representation of the large shareholders' expected private benefits. Using a large panel of U.S. data, I find that large shareholders' concern with dilution of ownership and control cause firms to issue less equity and to invest less. I also find that it has no significant effect whether new shares are issued...

  17. A NEW DYNAMIC QUOTA-BASED ADMISSION CONTROL WITH SUB NEGOTIATION FOR SOFTSWITCH-BASED CLUSTERED MEDIA SERVER

    Institute of Scientific and Technical Information of China (English)

    Wu Naixing; Liao Jianxin; Zhu Xiaomin

    2006-01-01

    Based on the demand of the admission control of softswitch-based clustered media server, this paper proposed a new dynamic quota-based admission control algorithm that has a sub-negotiation process. The strongpoint of quota-based algorithm had been inherited in the algorithm and at the same time some new ideas had also been introduced into it. Simulations of the algorithm had been conducted on the Petri net model and the results show that this algorithm has excellent performance. In order to find the optimal resource quota setting in real time, the paper proposed two approximation analysis methods. It can be seen from analysis results that these two methods can be used to get sub-optimal quota values quickly and effectively. These two approximation analysis methods will play important roles in implementation of the algorithm in system.

  18. Patient-controlled hospital admission for patients with severe mental disorders: study protocol for a nationwide prospective multicentre study

    Science.gov (United States)

    Thomsen, Christoffer Torgaard; Benros, Michael Eriksen; Hastrup, Lene Halling; Andersen, Per Kragh; Giacco, Domenico; Nordentoft, Merete

    2016-01-01

    Introduction Patient-controlled hospital admission for individuals with severe mental disorders is a novel approach in mental healthcare. Patients can admit themselves to a hospital unit for a short stay without being assessed by a psychiatrist or contacting the emergency department. Previous studies assessing the outcomes of patient-controlled hospital admission found trends towards reduction in the use of coercive measures and length of hospital stay; however, these studies have methodological shortcomings and small sample sizes. Larger studies are needed to estimate the effect of patient-controlled hospital admission on the use of coercion and of healthcare services. Design and methods We aim to recruit at least 315 patients who are offered a contract for patient-controlled hospital admissions in eight different hospitals in Denmark. Patients will be followed-up for at least 1 year to compare the use of coercive measures and of healthcare services, the use of medications and suicidal behaviour. Descriptive statistics will be used to investigate hospitalisations, global assessment of functioning (GAF) and patient satisfaction with treatment. To minimise selection bias, we will match individuals using patient-controlled hospital admission and controls with a 1:5 ratio via a propensity score based on the following factors: sex, age group, primary diagnosis, substance abuse as secondary diagnosis, coercion, number of psychiatric bed days, psychiatric history, urbanity and suicidal behaviour. Additionally, a historical control study will be undertaken in which patients serve as their own control group prior to index date. Ethics and dissemination The study has been approved by The Danish Health and Medicines Authority (j.nr.: 3-3013-934/1/) and by The Danish Data Protection Agency (j.nr.: 2012-58-0004). The study was categorised as a register study by The Danish Health Research Ethics Committee and therefore no further approval was needed (j.nr.: H-2-2014-FSP70

  19. Call Admission Control with Bandwidth Reallocation for Adaptive Multimedia in High-Rate Short-Range Wireless Networks

    Institute of Scientific and Technical Information of China (English)

    ZHAIXuping; BIGuangguo; XUPingping

    2005-01-01

    In high-rate short-range wireless networks,CAC (Call admission control) scheme plays an important role in quality of service provisioning for adaptive multimedia services. Three functions, namely bandwidth satisfaction function, revenue rate function and bandwidth reallocation cost function, are firstly introduced. Based on these functions, an efficient CAC scheme, the Rev-RT-BRA (Reservation-based and Revenue test with Bandwidth reallocation) CAC scheme is proposed. The main idea is that it reserves some bandwidth for service classes with higher admission priority. The performance of the Rev-RT-BRA CAC scheme is analyzed by solving a multidimension Markov process. Both the numerical and simulation results are given. The advantages of the proposedRev-RT-BRA CAC scheme are as follows. (1) It maximizes the overall bandwidth satisfaction function at any system state. (2) It solves the unfairness problem in admitting multiple classes of services with different bandwidth requirenlents. (3) The required admission priority level can be guaranteed for various classes of services.

  20. Integrating sand control, completion decisions pay off

    Energy Technology Data Exchange (ETDEWEB)

    Renfro, K.D.; Procyk, A.

    1998-10-01

    Anadarko recently completed an open-hole, horizontal gas well in the Gulf of Mexico using completion and sand control techniques that have proven extremely successful, judging from the production numbers. The well, in the East Addition, High Island Area, about 120 miles southeast of Galveston in 341-ft waters, was completed with a Pall Stratapac Sand Control Screen without a gravel pack. The flow rate of the well is four to sic times what would have been expected from a conventional, vertical, gravel-packed well with similar conditions. The well`s peak production rate was 22.0 MMcfd, and the well produced a total of more than 2.635 bcf of gas from November 1997 to July 1998. Drawdown was calculated at less than 40 psi, and a skin factor of negative 3.5 indicates that formation damage during the completion was negligible. The full range of completion and sand control decisions came together to make this well a success.

  1. QoS awared power and admission controls based on non-cooperative game theory in wireless networks

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In order to better accommodate heterogeneous quality of service (QoS) in wireless networks, an algorithm called QeS-aware power and admission controls (QAPAC) is proposed. The system is modeled as u non- cooperative game where the users adjust their transmit powers to maximize the utility, thus restraining the interferences. By using adaptive utility functions and tunable pricing parameters according to QoS levels, this algorithm can well meet different QoS reqniremcnts and improve system capacity compared with those that ignore the QoS differ- ences.

  2. QoS awared power and admission controls based on non-cooperative game theory in wireless networks

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In order to better accommodate heterogeneous quality of service (QoS) in wireless networks, an algorithm called QoS-aware power and admission controls (QAPAC) is proposed. The system is modeled as a non-cooperative game where the users adjust their transmit powers to maximize the utility, thus restraining the interferences. By using adaptive utility functions and tunable pricing parameters according to QoS levels, this algorithm can well meet different QoS requirements and improve system capacity compared w...

  3. Two-Level Cross-Talked Admission Control Mechanism for QoS Guarantee in 802.11e EDCA

    Institute of Scientific and Technical Information of China (English)

    NIU Zhisheng; LIU Jing

    2008-01-01

    This paper describes a two-level cross-talked admission control mechanism that guarantees qual-ity of service (QoS) requirements for multimedia applications over wireless local area networks (WLANs). An enhanced distributed channel access analytical model is used to compute the maximum number of admitted users according to the QoS requirements and the packet arrival characters. Then, some channel resources are reserved for handoff calls based on the maximum number of admitted users and the call-level traffic model. The channel utilization ratio is also measured to reflect the current system traffic load. The maximum number of admitted users and the channel utilization ratio are used for admission control for applications with QoS requirements in the call level and for rate control of best effort applications in the packet level using the p-nonacknowledgement scheme. Thus, the QoS requirements are statistically guaranteed while the system is efficiently utilized. Simulations validate the effectiveness of this mechanism to guarantee the QoS and bandwidth utilization.

  4. GCAD: A Novel Call Admission Control Algorithm in IEEE 802.16 based Wireless Mesh Networks

    Directory of Open Access Journals (Sweden)

    Floriano De Rango

    2011-04-01

    Full Text Available In this paper, a GCAD-CAC (Greedy Choice with Bandwidth Availability aware Defragmentation algorithm is proposed. It is able to guarantee respect for data flow delay constraints defined by three different traffic classes. To achieve good results, the algorithm tries to accept all the new requests, but when a higher priority request is received, a lower priority admitted request is preempted. This preemption can leave some small gaps which are not sufficient for new connection admission; these gaps can be collected by the GCAD algorithm by activating a bandwidth availability based defragmentation process. The quality of the algorithm is shown by a comparison with two other algorithms found in the literature.

  5. A Cross-Entropy-Based Admission Control Optimization Approach for Heterogeneous Virtual Machine Placement in Public Clouds

    Directory of Open Access Journals (Sweden)

    Li Pan

    2016-03-01

    Full Text Available Virtualization technologies make it possible for cloud providers to consolidate multiple IaaS provisions into a single server in the form of virtual machines (VMs. Additionally, in order to fulfill the divergent service requirements from multiple users, a cloud provider needs to offer several types of VM instances, which are associated with varying configurations and performance, as well as different prices. In such a heterogeneous virtual machine placement process, one significant problem faced by a cloud provider is how to optimally accept and place multiple VM service requests into its cloud data centers to achieve revenue maximization. To address this issue, in this paper, we first formulate such a revenue maximization problem during VM admission control as a multiple-dimensional knapsack problem, which is known to be NP-hard to solve. Then, we propose to use a cross-entropy-based optimization approach to address this revenue maximization problem, by obtaining a near-optimal eligible set for the provider to accept into its data centers, from the waiting VM service requests in the system. Finally, through extensive experiments and measurements in a simulated environment with the settings of VM instance classes derived from real-world cloud systems, we show that our proposed cross-entropy-based admission control optimization algorithm is efficient and effective in maximizing cloud providers’ revenue in a public cloud computing environment.

  6. Control Decisions for Flammable Gas Hazards in Waste Transfer Systems

    International Nuclear Information System (INIS)

    This report describes the control decisions for flammable gas hazards in waste transfer systems (i.e., waste transfer piping and waste transfer-associated structures) made at control decision meetings on November 30, 1999a and April 19, 2000, and their basis. These control decisions, and the analyses that support them, will be documented in an amendment to the Final Safety Analysis Report (FSAR) (CHG 2000a) and Technical Safety Requirements (TSR) (CHG 2000b) to close the Flammable Gas Unreviewed Safety Question (USQ) (Bacon 1996 and Wagoner 1996). Following the Contractor Tier I review of the FSAR and TSR amendment, it will be submitted to the US. Department of Energy (DOE), Office of River Protection (ORP) for review and approval. The control decision meeting on November 30, 1999 to address flammable gas hazards in waste transfer systems followed the control decision process and the criteria for control decisions described in Section 3.3.1.5 of the FSAR. The control decision meeting agenda, attendance list, and introductory and background presentations are included in Attachments 1 through 4. The control decision discussions on existing and other possible controls for flammable gas hazards in waste transfer systems and the basis for selecting or not selecting specific controls are summarized in this report

  7. Task Release Control for Decision Making Queues

    CERN Document Server

    Srivastava, Vaibhav; Bullo, Francesco; Langbort, Cédric

    2010-01-01

    We consider the optimal duration allocation in a decision making queue. Decision making tasks arrive at a given rate to a human operator. The correctness of the decision made by human evolves as a sigmoidal function of the duration allocated to the task. Each task in the queue loses its value continuously. We elucidate on this trade-off and determine optimal policies for the human operator. We show the optimal policy requires the human to drop some tasks. We present a receding horizon optimization strategy, and compare it with the greedy policy.

  8. Relationship between glycated hemoglobin, Intensive Care Unit admission blood sugar and glucose control with ICU mortality in critically ill patients

    Science.gov (United States)

    Mahmoodpoor, Ata; Hamishehkar, Hadi; Shadvar, Kamran; Beigmohammadi, Mohammadtaghi; Iranpour, Afshin; Sanaie, Sarvin

    2016-01-01

    Background and Aims: The association between hyperglycemia and mortality is believed to be influenced by the presence of diabetes mellitus (DM). In this study, we evaluated the effect of preexisting hyperglycemia on the association between acute blood glucose management and mortality in critically ill patients. The primary objective of the study was the relationship between HbA1c and mortality in critically ill patients. Secondary objectives of the study were relationship between Intensive Care Unit (ICU) admission blood glucose and glucose control during ICU stay with mortality in critically ill patients. Materials and Methods: Five hundred patients admitted to two ICUs were enrolled. Blood sugar and hemoglobin A1c (HbA1c) concentrations on ICU admission were measured. Age, sex, history of DM, comorbidities, Acute Physiology and Chronic Health Evaluation II score, sequential organ failure assessment score, hypoglycemic episodes, drug history, mortality, and development of acute kidney injury and liver failure were noted for all patients. Results: Without considering the history of diabetes, nonsurvivors had significantly higher HbA1c values compared to survivors (7.25 ± 1.87 vs. 6.05 ± 1.22, respectively, P < 0.001). Blood glucose levels in ICU admission showed a significant correlation with risk of death (P < 0.006, confidence interval [CI]: 1.004–1.02, relative risk [RR]: 1.01). Logistic regression analysis revealed that HbA1c increased the risk of death; with each increase in HbA1c level, the risk of death doubled. However, this relationship was not statistically significant (P: 0.161, CI: 0.933–1.58, RR: 1.2). Conclusions: Acute hyperglycemia significantly affects mortality in the critically ill patients; this relation is also influenced by chronic hyperglycemia. PMID:27076705

  9. Relationship between glycated hemoglobin, Intensive Care Unit admission blood sugar and glucose control with ICU mortality in critically ill patients

    Directory of Open Access Journals (Sweden)

    Ata Mahmoodpoor

    2016-01-01

    Full Text Available Background and Aims: The association between hyperglycemia and mortality is believed to be influenced by the presence of diabetes mellitus (DM. In this study, we evaluated the effect of preexisting hyperglycemia on the association between acute blood glucose management and mortality in critically ill patients. The primary objective of the study was the relationship between HbA1c and mortality in critically ill patients. Secondary objectives of the study were relationship between Intensive Care Unit (ICU admission blood glucose and glucose control during ICU stay with mortality in critically ill patients. Materials and Methods: Five hundred patients admitted to two ICUs were enrolled. Blood sugar and hemoglobin A1c (HbA1c concentrations on ICU admission were measured. Age, sex, history of DM, comorbidities, Acute Physiology and Chronic Health Evaluation II score, sequential organ failure assessment score, hypoglycemic episodes, drug history, mortality, and development of acute kidney injury and liver failure were noted for all patients. Results: Without considering the history of diabetes, nonsurvivors had significantly higher HbA1c values compared to survivors (7.25 ± 1.87 vs. 6.05 ± 1.22, respectively, P < 0.001. Blood glucose levels in ICU admission showed a significant correlation with risk of death (P < 0.006, confidence interval [CI]: 1.004–1.02, relative risk [RR]: 1.01. Logistic regression analysis revealed that HbA1c increased the risk of death; with each increase in HbA1c level, the risk of death doubled. However, this relationship was not statistically significant (P: 0.161, CI: 0.933–1.58, RR: 1.2. Conclusions: Acute hyperglycemia significantly affects mortality in the critically ill patients; this relation is also influenced by chronic hyperglycemia.

  10. Metacognitive Control of Categorial Neurobehavioral Decision Systems

    OpenAIRE

    Foxall, Gordon R

    2016-01-01

    The competing neuro-behavioral decision systems (CNDS) model proposes that the degree to which an individual discounts the future is a function of the relative hyperactivity of an impulsive system based on the limbic and paralimbic brain regions and the relative hypoactivity of an executive system based in prefrontal cortex (PFC). The model depicts the relationship between these categorial systems in terms of the antipodal neurophysiological, behavioral, and decision (cognitive) functions tha...

  11. Distributed Stable-Group Differentiated Admission Control Algorithm in Mobile Peer-to-Peer Media Streaming System

    Institute of Scientific and Technical Information of China (English)

    XUEGuangtao; SHIHua; YOUJinyuan; YAOWensheng

    2003-01-01

    Mobile peer-to-peer media streaming systems are expected to become as popular as the peer-to-peer file sharing systems. In this paper, we study two key problems arising from mobile peer-to-peer media streaming: the stability of interconnection between supplying peers and requesting peers in mobile peer-to-peer streaming system; and fast capacity amplification of the entire mobile peer-to-peer streaming system. We use the Stable group algorithm to characterize user mobility in mobile ad hoc networks. Based on the stable group, we then propose a distributed Stable-group differentiated admission control algorithm (SGDACp2p), which leads to fast amplifying the system's total streaming capacity using its self-growing. At last, the extensive simulation results are presented to compare between the SGDACp2p and traditional methods to prove the superiority of the algorithm.

  12. Association between birth order and emergency room visits and acute hospital admissions following pediatric vaccination: a self-controlled study.

    Directory of Open Access Journals (Sweden)

    Steven Hawken

    Full Text Available OBJECTIVE: We investigated the association between a child's birth order and emergency room (ER visits and hospital admissions following 2-,4-,6- and 12-month pediatric vaccinations. METHODS: We included all children born in Ontario between April 1(st, 2006 and March 31(st, 2009 who received a qualifying vaccination. We identified vaccinations, ER visits and admissions using health administrative data housed at the Institute for Clinical Evaluative Sciences. We used the self-controlled case series design to compare the relative incidence (RI of events among 1(st-born and later-born children using relative incidence ratios (RIR. RESULTS: For the 2-month vaccination, the RIR for 1(st-borns versus later-born children was 1.37 (95% CI: 1.19-1.57, which translates to 112 additional events/100,000 vaccinated. For the 4-month vaccination, the RIR for 1(st-borns vs. later-borns was 1.70 (95% CI: 1.45-1.99, representing 157 additional events/100,000 vaccinated. At 6 months, the RIR for 1(st vs. later-borns was 1.27 (95% CI: 1.09-1.48, or 77 excess events/100,000 vaccinated. At the 12-month vaccination, the RIR was 1.11 (95% CI: 1.02-1.21, or 249 excess events/100,000 vaccinated. CONCLUSIONS: Birth order is associated with increased incidence of ER visits and hospitalizations following vaccination in infancy. 1(st-born children had significantly higher relative incidence of events compared to later-born children.

  13. Relevant Costs for Decision in an Effective Controlling System

    Directory of Open Access Journals (Sweden)

    Mihaela TULVINSCHI

    2010-05-01

    Full Text Available Controlling is considered a leading concept in the sense of coordination, planning, control and automation, in order to produce the synthesis necessary in decision making. The purpose of article is to highlight the link between a dynamic accounting system and an effective controlling system. The research method used is based on the idea that the cost analysis in an efficient controlling system involves obtaining accounting information from within the entity which management then uses in decision making. In conclusion, we emphasize that an effective controlling system must provide managers the tools to meet their informational needs.

  14. Real-Time Co-Operative Decision Making & Control Systems

    OpenAIRE

    Vlacic, Ljubo; Thomas, Daniel; Pérez Rastelli, Joshué

    2011-01-01

    International audience Learning and adaptability (and thus the ability of being co-operative) are important features of decision & control systems. This paper investigates decision making and control concepts that enable human beings and artificial beings to interact and co-operate in real time in a dynamic and reliable way. It examines the aspects of being co-operative and substitutable in the context of: (i) co-operative driving by driverless vehicles; and (ii) computer game play scenari...

  15. Decision-making for foot-and-mouth disease control

    NARCIS (Netherlands)

    Probert, William J.M.; Shea, Katriona; Fonnesbeck, Christopher J.; Runge, Michael C.; Carpenter, Tim E.; Dürr, Salome; Garner, M.G.; Harvey, Neil; Stevenson, Mark A.; Webb, Colleen T.; Werkman, Marleen; Tildesley, Michael J.; Ferrari, Matthew J.

    2016-01-01

    Formal decision-analytic methods can be used to frame disease control problems, the first step of which is to define a clear and specific objective. We demonstrate the imperative of framing clearly-defined management objectives in finding optimal control actions for control of disease outbreaks.

  16. Enhanced signaling scheme with admission control in the hybrid optical wireless (HOW) networks

    DEFF Research Database (Denmark)

    Yan, Ying; Yu, Hao; Wessing, Henrik;

    2009-01-01

    The hybrid optical wireless (HOW) network has been viewed as a promising solution to meet the increasing user bandwidth and mobility demands. Due to the basic differences in the optical and wireless technologies, a challenging problem lies in the Media Access Control (MAC) protocol design so that...

  17. Airport Casualties: Non-Admission and Return Risks at Times of Internalized/Externalized Border Controls

    Directory of Open Access Journals (Sweden)

    Maybritt Jill Alpes

    2015-09-01

    Full Text Available This article analyzes what can happen to forced returnees upon arrival in their country of nationality. Subjective configurations of state agents in the Global South have created return risks, which in turn transform subjectivities of post-colonial citizens. The article contributes to this Special Issue by tracing repercussions of the externalization and internalization of border controls. In the case of Cameroon, these connections have resulted in the criminalization of emigration. Aspiring migrants are prosecuted if their departure projects fail to respect the entry requirements of countries in the Global North. The article is based on research conducted in Douala, Cameroon, in the form of discussions with control agents at the international airport, investigations at a prison, a review of related case law, police registers and interviews with Cameroonians returnees (November 2013–January 2014. Border controls and connected anti-fraud programs suppress family-based forms of solidarity and allow only for subjectivities rooted in state-managed forms of national identity. The article illustrates how efforts to combat fraud fuel corruption in returnees’ social networks, whereby, instead of receiving remittances, families in emigration countries have to mobilize financial resources in order to liberate returnees from police stations or prison complexes. Migration related detention of nationals in the Global South highlights the growing significance of exit controls in migration management.

  18. Admissibility of Linear Systems in Banach Spaces

    Institute of Scientific and Technical Information of China (English)

    GUO Fa-ming

    2005-01-01

    In this paper, infinite-time p-admissibility of unbounded operators is introduced and the Co-semigroup characterization of the infinite-time p-admissibility of unbounded observation operators is given. Moreover, the analogous result for the infinite-time p-admissibility of unbounded control operators is presented.

  19. Admission to Law School: New Measures

    Science.gov (United States)

    Shultz, Marjorie M.; Zedeck, Sheldon

    2012-01-01

    Standardized tests have been increasingly controversial over recent years in high-stakes admission decisions. Their role in operationalizing definitions of merit and qualification is especially contested, but in law schools this challenge has become particularly intense. Law schools have relied on the Law School Admission Test (LSAT) and an INDEX…

  20. FUZZY-LOGIC BASED CALL ADMISSION CONTROL FOR A HETEROGENEOUS RADIO ENVIRONMENT

    DEFF Research Database (Denmark)

    Ramkumar, Venkata; Mihovska, Albena D.; Prasad, Neeli R.;

    evalueret for en heterogen radio access-teknologier (rotter) scenario. Den QoS parametre varierer afhængigt af den type af ansøgninger, og aftalen mellem udbyderen og brugeren. Den foreslåede CAC er baseret på en fuzzy logik mekanisme, der består af to etaper, i første omgang den bedste celle i hver RAT er...... valgt ved hjælp af en fuzzy sproglig controller, og i anden fase den bedste RAT baseret på brugerens præferencer er valgt ved hjælp den fuzzy flere attribut beslutningsprocessen (MADM) metode. Resultaterne viser, at brugeren kan vælge den bedste celle i hver RAT bruge cellen udvælgelse algoritme og...

  1. Relevant Costs for Decision in an Effective Controlling System

    OpenAIRE

    Mihaela TULVINSCHI

    2010-01-01

    Controlling is considered a leading concept in the sense of coordination, planning, control and automation, in order to produce the synthesis necessary in decision making. The purpose of article is to highlight the link between a dynamic accounting system and an effective controlling system. The research method used is based on the idea that the cost analysis in an efficient controlling system involves obtaining accounting information from within the entity which management then uses in decis...

  2. Medical-Grade Channel Access and Admission Control in 802.11e EDCA for Healthcare Applications.

    Science.gov (United States)

    Son, Sunghwa; Park, Kyung-Joon; Park, Eun-Chan

    2016-01-01

    In this paper, we deal with the problem of assuring medical-grade quality of service (QoS) for real-time medical applications in wireless healthcare systems based on IEEE 802.11e. Firstly, we show that the differentiated channel access of IEEE 802.11e cannot effectively assure medical-grade QoS because of priority inversion. To resolve this problem, we propose an efficient channel access algorithm. The proposed algorithm adjusts arbitrary inter-frame space (AIFS) in the IEEE 802.11e protocol depending on the QoS measurement of medical traffic, to provide differentiated near-absolute priority for medical traffic. In addition, based on rigorous capacity analysis, we propose an admission control scheme that can avoid performance degradation due to network overload. Via extensive simulations, we show that the proposed mechanism strictly assures the medical-grade QoS and improves the throughput of low-priority traffic by more than several times compared to the conventional IEEE 802.11e. PMID:27490666

  3. The neuroscience of impulsive and self-controlled decisions.

    NARCIS (Netherlands)

    T. Kalenscher; T. Ohmann; O. Güntürkün

    2006-01-01

    Impulsiveness and self-control are two antagonistic choice patterns. Whereas impulsive decisions can be exemplified by the preference for a small, immediate over a large, delayed reward, self-control can be characterised as the opposite preference order. This review focuses on current developments i

  4. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial

    OpenAIRE

    Pinnock, Hilary; Hanley, Janet; McCloughan, Lucy; Todd, Allison; Krishan, Ashma; Lewis, Stephanie; Stoddart, Andrew; van der Pol, Marjon; MacNee, William; Sheikh, Aziz; Pagliari, Claudia; McKinstry, Brian

    2013-01-01

    Objective: To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care. Design: Researcher blind, multicentre, randomised controlled trial. Setting: UK primary care (Lothian, Scotland). Participants: Adults with at least one admission for chronic obstructive pulmonary disease (COPD) in the year before randomisation. We excluded people who had other significant lung disease, who were unab...

  5. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial

    OpenAIRE

    Pinnock, Hilary; Hanley, Janet; McCloughan, Lucy; Todd, Allison; Krishan, Ashma; Lewis, Stephanie; Stoddart, Andrew; van der Pol, Marjon; MacNee, William; Sheikh, Aziz; Pagliari, Claudia; McKinstry, Brian

    2013-01-01

    Objective To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care. Design Researcher blind, multicentre, randomised controlled trial. Setting UK primary care (Lothian, Scotland). Participants Adults with at least one admission for chronic obstructive pulmonary disease (COPD) in the year before randomisation. We excluded people who had other significant lung disease, who were unable t...

  6. Call Admission Control Method Based on AHP and MMTD%基于AHP和MMTD的呼叫接纳控制方法AM-CAC

    Institute of Scientific and Technical Information of China (English)

    王雪梅; 张登银

    2013-01-01

    提出一种统一的呼叫接纳控制方法。应用层次分析过程(AHP)实现系统建模,根据网络运营目标,对于决策所依据的诸多准则之间的重要性关系进行定性分析和定量描述,从而确定各准则在决策中的影响力;应用中介真值程度度量(MMTD)方法统一量化各影响因素相对各准则的真值程度,通过配置合理参数,来适应异构网络在技术特性、性能目标上的差异。仿真结果表明,文中所提方法对于网络的运营目标和偏好具有很好的适应能力。%An unified call admission control method was proposed,which adopted the Analytic Hierarchy Process ( AHP) to achieve sys-tem modeling. According to the targets of network operators,the pairwise relationship of importance among criterions associated with de-cison-making is analyzed qualitatively and described quantitatively,to determine influence of each criterion on decision-making;moreo-ver,the method of Measureing of Medium Truth Degree ( MMTD) is employed to quantify the truth degree of each factor relative to cri-terion,and reasonable parameters are configured to adapt to difference in technical characteristics and performance goals among heteroge-neous network. Simulation results show that the proposed method has a better ability to adapt to goals and preferences of network opera-tors.

  7. The effect of health-facility admission and skilled birth attendant coverage on maternal survival in India: a case-control analysis.

    Directory of Open Access Journals (Sweden)

    Ann L Montgomery

    Full Text Available BACKGROUND: Research in areas of low skilled attendant coverage found that maternal mortality is paradoxically higher in women who seek obstetric care. We estimated the effect of health-facility admission on maternal survival, and how this effect varies with skilled attendant coverage across India. METHODS/FINDINGS: Using unmatched population-based case-control analysis of national datasets, we compared the effect of health-facility admission at any time (antenatal, intrapartum, postpartum on maternal deaths (cases to women reporting pregnancies (controls. Probability of maternal death decreased with increasing skilled attendant coverage, among both women who were and were not admitted to a health-facility, however, the risk of death among women who were admitted was higher (at 50% coverage, OR = 2.32, 95% confidence interval 1.85-2.92 than among those women who were not; while at higher levels of coverage, the effect of health-facility admission was attenuated. In a secondary analysis, the probability of maternal death decreased with increasing coverage among both women admitted for delivery or delivered at home but there was no effect of admission for delivery on mortality risk (50% coverage, OR = 1.0, 0.80-1.25, suggesting that poor quality of obstetric care may have attenuated the benefits of facility-based care. Subpopulation analysis of obstetric hemorrhage cases and report of 'excessive bleeding' in controls showed that the probability of maternal death decreased with increasing skilled attendant coverage; but the effect of health-facility admission was attenuated (at 50% coverage, OR = 1.47, 0.95-1.79, suggesting that some of the effect in the main model can be explained by women arriving at facility with complications underway. Finally, highest risk associated with health-facility admission was clustered in women with education ≤ 8 years. CONCLUSIONS: The effect of health-facility admission did vary by skilled attendant coverage, and

  8. Using the decision ladder to understand road user decision making at actively controlled rail level crossings.

    Science.gov (United States)

    Mulvihill, Christine M; Salmon, Paul M; Beanland, Vanessa; Lenné, Michael G; Read, Gemma J M; Walker, Guy H; Stanton, Neville A

    2016-09-01

    Rail level crossings (RLXs) represent a key strategic risk for railways worldwide. Despite enforcement and engineering countermeasures, user behaviour at RLXs can often confound expectations and erode safety. Research in this area is limited by a relative absence of insights into actual decision making processes and a focus on only a subset of road user types. One-hundred and sixty-six road users (drivers, motorcyclists, cyclists and pedestrians) completed a diary entry for each of 457 naturalistic encounters with RLXs when a train was approaching. The final eligible sample comprised 94 participants and 248 encounters at actively controlled crossings where a violation of the active warnings was possible. The diary incorporated Critical Decision Method probe questions, which enabled user responses to be mapped onto Rasmussen's decision ladder. Twelve percent of crossing events were non-compliant. The underlying decision making was compared to compliant events and a reference decision model to reveal important differences in the structure and type of decision making within and between road user groups. The findings show that engineering countermeasures intended to improve decision making (e.g. flashing lights), may have the opposite effect for some users because the system permits a high level of flexibility for circumvention. Non-motorised users were more likely to access information outside of the warning signals because of their ability to achieve greater proximity to the train tracks and the train itself. The major conundrum in resolving these issues is whether to restrict the amount of time and information available to users so that it cannot be used for circumventing the system or provide more information to help users make safe decisions.

  9. Controlling Uncertainty Decision Making and Learning in Complex Worlds

    CERN Document Server

    Osman, Magda

    2010-01-01

    Controlling Uncertainty: Decision Making and Learning in Complex Worlds reviews and discusses the most current research relating to the ways we can control the uncertain world around us.: Features reviews and discussions of the most current research in a number of fields relevant to controlling uncertainty, such as psychology, neuroscience, computer science and engineering; Presents a new framework that is designed to integrate a variety of disparate fields of research; Represents the first book of its kind to provide a general overview of work related to understanding control

  10. Long-term exposure to air pollution and hospital admissions for ischemic stroke. A register-based case-control study using modelled NOx as exposure proxy

    OpenAIRE

    Oudin, Anna; Stroh, Emilie; Strömberg, Ulf; Jakobsson, Kristina; Björk, Jonas

    2009-01-01

    Background Long-term exposure to air pollution is a hypothesized risk factor for ischemic stroke. In a large case-control study with a complete study base, we investigated whether hospital admissions for ischemic stroke were associated with residential concentrations of outdoor NOx, as a proxy for exposure to air pollution, in the region of Scania, Southern Sweden. Methods We used a two-phase case-control study design, including as first-phase controls all individuals born between 1923 and 19...

  11. Emergent collective decision-making: Control, model and behavior

    Science.gov (United States)

    Shen, Tian

    In this dissertation we study emergent collective decision-making in social groups with time-varying interactions and heterogeneously informed individuals. First we analyze a nonlinear dynamical systems model motivated by animal collective motion with heterogeneously informed subpopulations, to examine the role of uninformed individuals. We find through formal analysis that adding uninformed individuals in a group increases the likelihood of a collective decision. Secondly, we propose a model for human shared decision-making with continuous-time feedback and where individuals have little information about the true preferences of other group members. We study model equilibria using bifurcation analysis to understand how the model predicts decisions based on the critical threshold parameters that represent an individual's tradeoff between social and environmental influences. Thirdly, we analyze continuous-time data of pairs of human subjects performing an experimental shared tracking task using our second proposed model in order to understand transient behavior and the decision-making process. We fit the model to data and show that it reproduces a wide range of human behaviors surprisingly well, suggesting that the model may have captured the mechanisms of observed behaviors. Finally, we study human behavior from a game-theoretic perspective by modeling the aforementioned tracking task as a repeated game with incomplete information. We show that the majority of the players are able to converge to playing Nash equilibrium strategies. We then suggest with simulations that the mean field evolution of strategies in the population resemble replicator dynamics, indicating that the individual strategies may be myopic. Decisions form the basis of control and problems involving deciding collectively between alternatives are ubiquitous in nature and in engineering. Understanding how multi-agent systems make decisions among alternatives also provides insight for designing

  12. Do ‘Virtual Wards’ reduce rates of unplanned hospital admissions and at what cost? A research protocol using propensity matched controls

    Directory of Open Access Journals (Sweden)

    Geraint Hywel Lewis

    2011-07-01

    Full Text Available Background: This retrospective study will assess the extent to which multidisciplinary case management in the form of virtual wards (VWs leads to changes in the use of health care and social care by patients at high risk of future unplanned hospital admission. VWs use the staffing, systems and daily routines of a hospital ward to deliver coordinated care to patients in their own homes. Admission to a VW is offered to patients identified by a predictive risk model as being at high risk of unplanned hospital admission in the coming 12 months.Study design and data collection methods: We will compare the health care and social care use of VW patients to that of matched controls. Controls will be drawn from (a national, and (b local, individual-level pseudonymous routine data. The costs of setting up and running a VW will be determined from the perspectives of both health and social care organizations using a combination of administrative data, interviews and diaries.Methods of analysis: Using propensity score matching and prognostic matching, we will create matched comparator groups to estimate the effect size of virtual wards in reducing unplanned hospital admissions.Conclusions: This study will allow us to determine relative to matched comparator groups: whether VWs reduce the use of emergency hospital care; the impact, if any, of VWs on the uptake of primary care, community health services and council-funded social care; and the potential costs and savings of VWs from the perspectives of the national health service (NHS and local authorities.

  13. Do ‘Virtual Wards’ reduce rates of unplanned hospital admissions and at what cost? A research protocol using propensity matched controls

    Directory of Open Access Journals (Sweden)

    Geraint Hywel Lewis

    2011-07-01

    Full Text Available Background: This retrospective study will assess the extent to which multidisciplinary case management in the form of virtual wards (VWs leads to changes in the use of health care and social care by patients at high risk of future unplanned hospital admission. VWs use the staffing, systems and daily routines of a hospital ward to deliver coordinated care to patients in their own homes. Admission to a VW is offered to patients identified by a predictive risk model as being at high risk of unplanned hospital admission in the coming 12 months. Study design and data collection methods: We will compare the health care and social care use of VW patients to that of matched controls. Controls will be drawn from (a national, and (b local, individual-level pseudonymous routine data. The costs of setting up and running a VW will be determined from the perspectives of both health and social care organizations using a combination of administrative data, interviews and diaries. Methods of analysis: Using propensity score matching and prognostic matching, we will create matched comparator groups to estimate the effect size of virtual wards in reducing unplanned hospital admissions. Conclusions: This study will allow us to determine relative to matched comparator groups: whether VWs reduce the use of emergency hospital care; the impact, if any, of VWs on the uptake of primary care, community health services and council-funded social care; and the potential costs and savings of VWs from the perspectives of the national health service (NHS and local authorities.

  14. Of special humanitarian concern: U.S. refugee admissions since passage of the Refugee Act.

    Science.gov (United States)

    Gallagher, D; Forbes, S; Fagan, P W

    1986-01-01

    The Refugee Act of 1980 is the 1st comprehensive legislation on the admission of refugees to the US; in the 5+ years since its enactment, over 500,000 refugees from more than 25 countries have been admitted to the US. This report assesses the effectiveness of the law in achieving its objectives in making and implementing decisions about the admission of refugees. The objectives of the Act include 1) a desire for a humanitarian response to refugee emergencies and a desire for control over that response, 2) a concern that ideological and geographic restrictions on refugee admissions be removed, and 3) a desire to balance international concerns and domestic impacts in making decisions on refugee admissions. The authors conclude that the refugee program does not serve the broad humanitarian purposes of previous parole programs, due to its stringent review requirements. The formal Congressional Consultations on refugee numbers should be rescheduled to allow regular Congressional input. The program needs a contingency budget for changing situations. The program needs more input from nongovernmental agencies and information sources. Recommendations on refugee admission numbers and allocations have not been well substantiated. Determinations as to which refugees are of "special humanitarian concern" are made solely on the basis of nationality; these decisions should also incorporate other factors. Admissions priorities are generally based on ties to this country, but this makes the refugee program a surrogate immigration program. Although the application of the refugee definition is difficult in practice, it forms the essence of the admission process. US staff must be trained to make these decisions; indecisiveness must not be allowed to jeopardize refugees.

  15. Evolutionary game dynamics of controlled and automatic decision-making

    Science.gov (United States)

    Toupo, Danielle F. P.; Strogatz, Steven H.; Cohen, Jonathan D.; Rand, David G.

    2015-07-01

    We integrate dual-process theories of human cognition with evolutionary game theory to study the evolution of automatic and controlled decision-making processes. We introduce a model in which agents who make decisions using either automatic or controlled processing compete with each other for survival. Agents using automatic processing act quickly and so are more likely to acquire resources, but agents using controlled processing are better planners and so make more effective use of the resources they have. Using the replicator equation, we characterize the conditions under which automatic or controlled agents dominate, when coexistence is possible and when bistability occurs. We then extend the replicator equation to consider feedback between the state of the population and the environment. Under conditions in which having a greater proportion of controlled agents either enriches the environment or enhances the competitive advantage of automatic agents, we find that limit cycles can occur, leading to persistent oscillations in the population dynamics. Critically, however, these limit cycles only emerge when feedback occurs on a sufficiently long time scale. Our results shed light on the connection between evolution and human cognition and suggest necessary conditions for the rise and fall of rationality.

  16. [Making Decisions on the Resources for Cancer Control

    Science.gov (United States)

    Gróf, Agnes

    2000-12-01

    We aim at modelling the strategic decision making process in case of devoting resources to a governmental cancer control program. We use a model based on the theory of Analytic Hierarchy Process. In this article we describe the characteristic features of such a decision making process and reveal the complexity of the problem underlying the decisions. A second article will present and discuss the results from the application of the AHP model. Interventions which are capable of decreasing the burden of cancer in a society need strategic approach. Decisions on interventions seem inevitable to be based on and balance between the priorities and the available resources. There is not much doubt about it that the reason for setting the priorities arises on the one hand from the scarcity of resources. On the other hand, priorities evolve on other bases, and are supposed to "guide" health policy makers devoting the scarce resources. In general, a strategic mode of thought has been based on assumptions, which, in case of cancer control enhance the necessity to assess information on cancer and cancer patients, and to understand the factors contributing towards better health. The capabilities of the NCCP achieving its aims by preventing the development of cancer diseases (primary prevention), by making use of the means of early detection and appropriate therapy (secondary prevention), and by providing modern (comprehensive) tertiary prevention are inevitably affected by the priorities. Health policy should assume a responsibility for enforcing certain priorities and should be aware of the long-term interest of the population. To solve the problem we restrict the model to a simple three level one, representing the goals, the criteria, and the alternatives of the resource allocation. We determine "decreasing the burden of cancer" as the overall goal. "Distributive justice" "cost-effectiveness", "human rights", "evidences", and "standpoints of a community" serve as criteria, while

  17. SLUDGE TREATMENT PROJECT KOP CONCEPTUAL DESIGN CONTROL DECISION REPORT

    International Nuclear Information System (INIS)

    This control decision addresses the Knock-Out Pot (KOP) Disposition KOP Processing System (KPS) conceptual design. The KPS functions to (1) retrieve KOP material from canisters, (2) remove particles less than 600 (micro)m in size and low density materials from the KOP material, (3) load the KOP material into Multi-Canister Overpack (MCO) baskets, and (4) stage the MCO baskets for subsequent loading into MCOs. Hazard and accident analyses of the KPS conceptual design have been performed to incorporate safety into the design process. The hazard analysis is documented in PRC-STP-00098, Knock-Out Pot Disposition Project Conceptual Design Hazard Analysis. The accident analysis is documented in PRC-STP-CN-N-00167, Knock-Out Pot Disposition Sub-Project Canister Over Lift Accident Analysis. Based on the results of these analyses, and analyses performed in support of MCO transportation and MCO processing and storage activities at the Cold Vacuum Drying Facility (CVDF) and Canister Storage Building (CSB), control decision meetings were held to determine the controls required to protect onsite and offsite receptors and facility workers. At the conceptual design stage, these controls are primarily defined by their safety functions. Safety significant structures, systems, and components (SSCs) that could provide the identified safety functions have been selected for the conceptual design. It is anticipated that some safety SSCs identified herein will be reclassified based on hazard and accident analyses performed in support of preliminary and detailed design.

  18. SLUDGE TREATMENT PROJECT KOP CONCEPTUAL DESIGN CONTROL DECISION REPORT

    Energy Technology Data Exchange (ETDEWEB)

    CARRO CA

    2010-03-09

    This control decision addresses the Knock-Out Pot (KOP) Disposition KOP Processing System (KPS) conceptual design. The KPS functions to (1) retrieve KOP material from canisters, (2) remove particles less than 600 {micro}m in size and low density materials from the KOP material, (3) load the KOP material into Multi-Canister Overpack (MCO) baskets, and (4) stage the MCO baskets for subsequent loading into MCOs. Hazard and accident analyses of the KPS conceptual design have been performed to incorporate safety into the design process. The hazard analysis is documented in PRC-STP-00098, Knock-Out Pot Disposition Project Conceptual Design Hazard Analysis. The accident analysis is documented in PRC-STP-CN-N-00167, Knock-Out Pot Disposition Sub-Project Canister Over Lift Accident Analysis. Based on the results of these analyses, and analyses performed in support of MCO transportation and MCO processing and storage activities at the Cold Vacuum Drying Facility (CVDF) and Canister Storage Building (CSB), control decision meetings were held to determine the controls required to protect onsite and offsite receptors and facility workers. At the conceptual design stage, these controls are primarily defined by their safety functions. Safety significant structures, systems, and components (SSCs) that could provide the identified safety functions have been selected for the conceptual design. It is anticipated that some safety SSCs identified herein will be reclassified based on hazard and accident analyses performed in support of preliminary and detailed design.

  19. Nursing Home Admission: When, Why, Where?

    OpenAIRE

    Bergman, H; Clarfield, A M

    1985-01-01

    The decision to institutionalize older patients puts stress on both them and their families. This option should be carefully considered and alternatives explored before a final decision is made. The physician must seek and treat reversible diseases, and try to optimize the patient's functional status. Once the decision to institutionalize is made, careful preparation and follow-up of both family and patient must occur in the pre-, peri-, and post-admission periods. In this way, the physician ...

  20. Multistable decision switches for flexible control of epigenetic differentiation.

    Directory of Open Access Journals (Sweden)

    Raúl Guantes

    2008-11-01

    Full Text Available It is now recognized that molecular circuits with positive feedback can induce two different gene expression states (bistability under the very same cellular conditions. Whether, and how, cells make use of the coexistence of a larger number of stable states (multistability is however largely unknown. Here, we first examine how autoregulation, a common attribute of genetic master regulators, facilitates multistability in two-component circuits. A systematic exploration of these modules' parameter space reveals two classes of molecular switches, involving transitions in bistable (progression switches or multistable (decision switches regimes. We demonstrate the potential of decision switches for multifaceted stimulus processing, including strength, duration, and flexible discrimination. These tasks enhance response specificity, help to store short-term memories of recent signaling events, stabilize transient gene expression, and enable stochastic fate commitment. The relevance of these circuits is further supported by biological data, because we find them in numerous developmental scenarios. Indeed, many of the presented information-processing features of decision switches could ultimately demonstrate a more flexible control of epigenetic differentiation.

  1. Neuromodulatory control of a goal-directed decision.

    Directory of Open Access Journals (Sweden)

    Keiko Hirayama

    Full Text Available Many cost-benefit decisions reduce to simple choices between approach or avoidance (or active disregard to salient stimuli. Physiologically, critical factors in such decisions are modulators of the homeostatic neural networks that bias decision processes from moment to moment. For the predatory sea-slug Pleurobranchaea, serotonin (5-HT is an intrinsic modulatory promoter of general arousal and feeding. We correlated 5-HT actions on appetitive state with its effects on the approach-avoidance decision in Pleurobranchaea. 5-HT and its precursor 5-hydroxytryptophan (5-HTP augmented general arousal state and reduced feeding thresholds in intact animals. Moreover, 5-HT switched the turn response to chemosensory stimulation from avoidance to orienting in many animals. In isolated CNSs, bath application of 5-HT both stimulated activity in the feeding motor network and switched the fictive turn response to unilateral sensory nerve stimulation from avoidance to orienting. Previously, it was shown that increasing excitation state of the feeding network reversibly switched the turn motor network response from avoidance to orienting, and that 5-HT levels vary inversely with nutritional state. A simple model posits a critical role for 5-HT in control of the turn network response by corollary output of the feeding network. In it, 5-HT acts as an intrinsic neuromodulatory factor coupled to nutritional status and regulates approach-avoidance via the excitation state of the feeding network. Thus, the neuromodulator is a key organizing element in behavioral choice of approach or avoidance through its actions in promoting appetitive state, in large part via the homeostatic feeding network.

  2. Decision support facility for the APS control system.

    Energy Technology Data Exchange (ETDEWEB)

    Dohan, D. A.

    2001-11-12

    The Advanced Photon Source is now in its fifth year of routine beam production. The EPICS-based [1] control system has entered the phase in its life cycle where new control algorithms must be implemented under increasingly stringent operational and reliability requirements. The sheer volume of the control system ({approx}270,000 records, {approx}145 VME-based input-output controllers (IOCs), and {approx}7,000,000 lines of EPICS ASCII configuration code), presents a daunting challenge for code maintenance. The present work describes a relational database that provides an integrated view of the interacting components of the entire APS control system, including the IOC low-level logic, the physical wiring documentation, and high-level client applications. The database is extracted (booted) from the same operational CVS repository as that used to load the active IOCs. It provides site-wide decision support facilities to inspect and trace control flow and to identify client (e.g., user interface) programs involved at any selected point in the front-end logic. The relational database forms a basis for generalized documentation of global control logic and its connection with both the physical I/O and with external high-level applications.

  3. The admission control algorithm based on the heterogeneous network environment%基于异构网络环境中的接纳控制算法

    Institute of Scientific and Technical Information of China (English)

    黄存东; 王胜

    2012-01-01

    Admission control system which can effectively deal with network congestion can provide dependable Qos for VoIP application. Taking the advantages and universality of Random Early Detection (RED) in implementing fair queue management for VolP application, we proposed a delay analyzing and computing method of RED queues in this paper and achieved a RED--based admission control algorithm whose effectiveness is proved through simulation.%接纳控制机制可以有效控制网络拥塞程度,为VoIP应用提供服务质量保证。RED算法可以为VoIP应用提供公平的队列管理机制,鉴于RED队列的优越性和普遍性,提出了RED队列的延迟分析计算方法,并基于该计算方法设计实现了基于RED的接纳控制算法,仿真结果表明该算法是有效的。

  4. Demand response based on admission control in smart grid%基于接纳控制的智能电网需求响应

    Institute of Scientific and Technical Information of China (English)

    马锴; 姚婷; 关新平

    2015-01-01

    采用效用函数刻画用户的用电满意度,将需求响应问题建模为一类凸优化问题。针对电力供应商的供电量不能满足用户最小用电需求的问题,结合分布式用电量调度和实时定价,设计两类接纳控制算法。仿真结果表明,通过接纳控制,满足了购电用户的最小用电需求,保证了用户的用电质量,能够实现电网的供需平衡。%Utility functions are used to denote the satisfaction of consumers and formulate demand response as a convex optimization problem. For the case that the power supply can not meet the minimum power consumption of the consumers, two admission control algorithms are designed, combining with distributed power consumption scheduling and real-time pricing. Simulation results show that the admission control makes the consumers meet the minimum power consumption, ensure the power quality of the consumers, and balance the supply and the demand in smart grid.

  5. Cost and effects of different admission screening strategies to control the spread of methicillin-resistant Staphylococcus aureus.

    Directory of Open Access Journals (Sweden)

    Tanya Gurieva

    Full Text Available Nosocomial infection rates due to antibiotic-resistant bacteriae, e.g., methicillin-resistant Staphylococcus aureus (MRSA remain high in most countries. Screening for MRSA carriage followed by barrier precautions for documented carriers (so-called screen and isolate (S&I has been successful in some, but not all settings. Moreover, different strategies have been proposed, but comparative studies determining their relative effects and costs are not available. We, therefore, used a mathematical model to evaluate the effect and costs of different S&I strategies and to identify the critical parameters for this outcome. The dynamic stochastic simulation model consists of 3 hospitals with general wards and intensive care units (ICUs and incorporates readmission of carriers of MRSA. Patient flow between ICUs and wards was based on real observations. Baseline prevalence of MRSA was set at 20% in ICUs and hospital-wide at 5%; ranges of costs and infection rates were based on published data. Four S&I strategies were compared to a do-nothing scenario: S&I of previously documented carriers ("flagged" patients; S&I of flagged patients and ICU admissions; S&I of flagged and group of "frequent" patients; S&I of all hospital admissions (universal screening. Evaluated levels of efficacy of S&I were 10%, 25%, 50% and 100%. Our model predicts that S&I of flagged and S&I of flagged and ICU patients are the most cost-saving strategies with fastest return of investment. For low isolation efficacy universal screening and S&I of flagged and "frequent" patients may never become cost-saving. Universal screening is predicted to prevent hardly more infections than S&I of flagged and "frequent" patients, albeit at higher costs. Whether an intervention becomes cost-saving within 10 years critically depends on costs per infection in ICU, costs of screening and isolation efficacy.

  6. Decision Support Facility for the APS Control System

    CERN Document Server

    Dohan, D A

    2001-01-01

    The Advanced Photon Source is now in its fifth year of routine beam production. The EPICS-based [1] control system has entered the phase in its life cycle where new control algorithms must be implemented under increasingly stringent operational and reliability requirements. The sheer volume of the control system (~270,000 records, ~145 VME-based input-output controllers (IOCs), and ~7,000,000 lines of EPICS ASCII configuration code), presents a daunting challenge for code maintenance. The present work describes a relational database that provides an integrated view of the interacting components of the entire APS control system, including the IOC low-level logic, the physical wiring documentation, and high-level client applications. The database is extracted (booted) from the same operational CVS repository as that used to load the active IOCs. It provides site-wide decision support facilities to inspect and trace control flow and to identify client (e.g., user interface) programs involved at any selected poin...

  7. The role of consciousness in cognitive control and decision making

    Directory of Open Access Journals (Sweden)

    Simon evan Gaal

    2012-05-01

    Full Text Available Here we review studies on the complexity and strength of unconscious information processing. We focus on empirical evidence that relates awareness of information to cognitive control processes (e.g. response inhibition, conflict resolution, and task-switching, the life-time of information maintenance (e.g. working memory and the possibility to integrate multiple pieces of information across space and time. Overall, the results that we review paint a picture of local and specific effects of unconscious information on various (high-level brain regions, including areas in the prefrontal cortex. Although this neural activation does not elicit any conscious experience, it is functional and capable of influencing many perceptual, cognitive (control and decision-related processes, sometimes even for relatively long periods of time. However, recent evidence also points out interesting dissociations between conscious and unconscious information processing when it comes to the duration, flexibility and the strategic use of that information for complex operations and decision-making. Based on the available evidence, we conclude that the role of task-relevance of subliminal information and meta-cognitive factors in unconscious cognition need more attention in future work.

  8. Wide Variability in Emergency Physician Admission Rates: A New Target To Reduce Healthcare Costs Without Adversely Affecting Quality of Care

    OpenAIRE

    Richman, Mark; Guterman, Jeffrey James; Lundberg, Scott Ryan; Talan, David Andrew; Gross-Schulman, Sandra Geri; Wang, Chien-Ju; Scheib, Geoffrey Paul

    2016-01-01

    INTRODUCTION Attending physician judgment is the traditional standard of care for Emergency Department (ED) admission decisions. The extent to which variability in admission decisions affect cost and quality is not well understood. METHODS We sought to determine the impact of variability in admission decisions on cost and quality. We performed a retrospective observational study of patients presenting to a u...

  9. Decisiveness

    OpenAIRE

    Junichiro Ishida

    2008-01-01

    This paper investigates how the presence of strong leadership influences an organization's ability to acquire and process information. The key concept is the leader's decisiveness. A decisive leader can make a bold move in response to a large change in the underlying landscape, whereas an indecisive leader biases her position excessively towards the status quo. An organization led by an indecisive leader needs to accumulate unrealistically strong evidence before it changes the course of actio...

  10. Healthy eating decisions require efficient dietary self-control in children: A mouse-tracking food decision study.

    Science.gov (United States)

    Ha, Oh-Ryeong; Bruce, Amanda S; Pruitt, Stephen W; Cherry, J Bradley C; Smith, T Ryan; Burkart, Dominic; Bruce, Jared M; Lim, Seung-Lark

    2016-10-01

    Learning how to make healthy eating decisions, (i.e., resisting unhealthy foods and consuming healthy foods), enhances physical development and reduces health risks in children. Although healthy eating decisions are known to be challenging for children, the mechanisms of children's food choice processes are not fully understood. The present study recorded mouse movement trajectories while eighteen children aged 8-13 years were choosing between eating and rejecting foods. Children were inclined to choose to eat rather than to reject foods, and preferred unhealthy foods over healthy foods, implying that rejecting unhealthy foods could be a demanding choice. When children rejected unhealthy foods, mouse trajectories were characterized by large curvature toward an eating choice in the beginning, late decision shifting time toward a rejecting choice, and slowed response times. These results suggested that children exercised greater cognitive efforts with longer decision times to resist unhealthy foods, providing evidence that children require dietary self-control to make healthy eating-decisions by resisting the temptation of unhealthy foods. Developmentally, older children attempted to exercise greater cognitive efforts for consuming healthy foods than younger children, suggesting that development of dietary self-control contributes to healthy eating-decisions. The study also documents that healthy weight children with higher BMIs were more likely to choose to reject healthy foods. Overall, findings have important implications for how children make healthy eating choices and the role of dietary self-control in eating decisions. PMID:27349708

  11. Healthy eating decisions require efficient dietary self-control in children: A mouse-tracking food decision study.

    Science.gov (United States)

    Ha, Oh-Ryeong; Bruce, Amanda S; Pruitt, Stephen W; Cherry, J Bradley C; Smith, T Ryan; Burkart, Dominic; Bruce, Jared M; Lim, Seung-Lark

    2016-10-01

    Learning how to make healthy eating decisions, (i.e., resisting unhealthy foods and consuming healthy foods), enhances physical development and reduces health risks in children. Although healthy eating decisions are known to be challenging for children, the mechanisms of children's food choice processes are not fully understood. The present study recorded mouse movement trajectories while eighteen children aged 8-13 years were choosing between eating and rejecting foods. Children were inclined to choose to eat rather than to reject foods, and preferred unhealthy foods over healthy foods, implying that rejecting unhealthy foods could be a demanding choice. When children rejected unhealthy foods, mouse trajectories were characterized by large curvature toward an eating choice in the beginning, late decision shifting time toward a rejecting choice, and slowed response times. These results suggested that children exercised greater cognitive efforts with longer decision times to resist unhealthy foods, providing evidence that children require dietary self-control to make healthy eating-decisions by resisting the temptation of unhealthy foods. Developmentally, older children attempted to exercise greater cognitive efforts for consuming healthy foods than younger children, suggesting that development of dietary self-control contributes to healthy eating-decisions. The study also documents that healthy weight children with higher BMIs were more likely to choose to reject healthy foods. Overall, findings have important implications for how children make healthy eating choices and the role of dietary self-control in eating decisions.

  12. The association of tobacco control policies and the risk of acute myocardial infarction using hospital admissions data.

    Directory of Open Access Journals (Sweden)

    Carmen Jan

    Full Text Available OBJECTIVE: To evaluate the association of a nationwide comprehensive smoking ban (CSB and tobacco tax increase (TTI on the risk of acute myocardial infarctions (AMI in Panama for the period of 2006 - 2010 using hospital admissions data. METHODS: Data of AMI cases was gathered from public and private hospitals in the country for the period of January 1, 2006 to December 31, 2010. The number of AMI cases was calculated on a monthly basis. The risk of AMI was estimated for the pre-CSB period (January 2006 to April 2008 and was used as a reference point. Three post-intervention periods were examined: (1 post-CSB from May 2008 to April 2009 (12 months; (2 post-CSB from May 2009 to November 2009 (7 months; and (3 post-TTI from December 2009 to December 2010 (13 months. Relative risks (RR of AMI were estimated for each post intervention periods by using a Poisson regression model. Mortality registries for the country attributed to myocardial infarction (MI were obtained from January 2001 to December 2012. The annual percentage change (APC of the number of deaths from MI was calculated using Joinpoint regression analysis. RESULTS: A total sample size of 2191 AMI cases was selected (monthly mean number of cases 36.52 ± 8.24 SD. Using the pre-CSB as a reference point (RR = 1.00, the relative risk of AMI during the first CSB period, the second CSB period and post-TTI were 0.982, 1.049, and 0.985, respectively. The APC of deaths from MI from January 2001 to April 2008 was 0.5%. From January 2001 to June 2010 the APC trend was 0.47% and from July 2010 to December 2012 the APC was -0.3%. CONCLUSIONS: The implementation of a CSB and TTI in Panama were associated with a decrease in tobacco consumption and a reduction of the RR of AMI.

  13. Call Admission Control and Scheduling Schemes with QoS Support for Real-time Video Applications in IEEE 802.16 Networks

    Directory of Open Access Journals (Sweden)

    Ou Yang

    2006-05-01

    Full Text Available IEEE 802.16 networks are going to provide broadband wireless access with quality of service (QoS guarantee. In all of services, real-time video traffic plays an impeditive role because of its varying bit-rate and stringent delay constraint. To the best of our knowledge, no call admission control (CAC and scheduling schemes cover throughput expectation, delay constraint and fairness requirement simultaneously. In this paper, by taking advantage of traffic periodicity and regularity, a set of CAC and scheduling schemes for real-time video traffic in IEEE 802.16 networks is proposed. Specifically, two key parameters are studied to compromise throughput and delay, as well as, delay and fairness. Simulations with real life video traces show that the proposed schemes may well bear flexibility in balancing throughput, delay and fairness, or, offering significant throughput improvement with acceptable delay and fairness.

  14. Enabling real-time H.26L video services over wireless ad hoc networks using joint admission and transmission power control

    Science.gov (United States)

    Pei, Yong; Modestino, James W.; Qu, Qi; Wang, Xiaochun

    2003-06-01

    In a wireless ad hoc network, packets are sent from node-to-node in a multihop fashion until they reach the destination. In this paper we investigate the capacity of a wireless ad hoc network in supporting packet video transport. The ad hoc network consists of n homogeneous video users with each of them also serving as a relay node for other users. We investigate how the time delay aspects the video throughput in such an ad hoc network and how to provide a time-delay bounded packet video delivery service over such a network? The analytical results indicate that appropriate joint admission and power control have to be employed in order to efficiently utilize the network capacity while operating under the delay constraint as the distance between source and destination changes.

  15. MACHINE LEARNING APPROACHES IN IMPROVING SERVICE LEVEL AGREEMENT-BASED ADMISSION CONTROL FOR A SOFTWARE-AS-A-SERVICE PROVIDER IN CLOUD

    Directory of Open Access Journals (Sweden)

    R. S. Mohana

    2013-01-01

    Full Text Available Software as a Service (SaaS offers reliable access to software applications to the end users over the Internet without direct investment in infrastructure and software. SaaS providers utilize resources of internal data centres or rent resources from a public Infrastructure as a Service (IaaS provider in order to serve their customers. Internal hosting can ample cost of administration and maintenance whereas hiring from an IaaS provider can impact the service quality due to its variable performance. To surmount these drawbacks, we propose pioneering admission control and scheduling algorithms for SaaS providers to effectively utilize public Cloud resources to maximize profit by minimizing cost and improving customer satisfaction level. There is a drawback in this method is strength of the algorithms by handling errors in dynamic scenario of cloud environment, also there is a need of machine learning method to predict the strategies and produce the according resources. The admission control provided by trust model that is based on SLA uses different strategies to decide upon accepting user requests so that there is minimal performance impact, avoiding SLA penalties that are giving higher profit. Machine learning method aims at building a distributed system for cloud resource monitoring and prediction that includes learning-based methodologies for modelling and optimization of resource prediction models. The learning methods are Artificial Neural Network (ANN and Support Vector Machine (SVM are two typical machine learning strategies in the category of regression computation. These two methods can be employed for modelling resource state prediction. In addition, we conduct a widespread evaluation study to analyze which solution matches best in which scenario to maximize SaaS provider’s profit. Results obtained through our extensive simulation shows that our proposed algorithms provide significant improvement (up to 40% cost saving over

  16. 29 CFR 458.71 - Procedure upon admission of facts.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Procedure upon admission of facts. 458.71 Section 458.71... facts. The admission of all the material allegations of fact in the complaint shall constitute a waiver... his recommended decision and order in which he shall adopt as his proposed findings of fact...

  17. Attention control learning in the decision space using state estimation

    Science.gov (United States)

    Gharaee, Zahra; Fatehi, Alireza; Mirian, Maryam S.; Nili Ahmadabadi, Majid

    2016-05-01

    The main goal of this paper is modelling attention while using it in efficient path planning of mobile robots. The key challenge in concurrently aiming these two goals is how to make an optimal, or near-optimal, decision in spite of time and processing power limitations, which inherently exist in a typical multi-sensor real-world robotic application. To efficiently recognise the environment under these two limitations, attention of an intelligent agent is controlled by employing the reinforcement learning framework. We propose an estimation method using estimated mixture-of-experts task and attention learning in perceptual space. An agent learns how to employ its sensory resources, and when to stop observing, by estimating its perceptual space. In this paper, static estimation of the state space in a learning task problem, which is examined in the WebotsTM simulator, is performed. Simulation results show that a robot learns how to achieve an optimal policy with a controlled cost by estimating the state space instead of continually updating sensory information.

  18. Towards a controlled sensitivity analysis of model development decisions

    Science.gov (United States)

    Clark, Martyn; Nijssen, Bart

    2016-04-01

    The current generation of hydrologic models have followed a myriad of different development paths, making it difficult for the community to test underlying hypotheses and identify a clear path to model improvement. Model comparison studies have been undertaken to explore model differences, but these studies have not been able to meaningfully attribute inter-model differences in predictive ability to individual model components because there are often too many structural and implementation differences among the models considered. As a consequence, model comparison studies to date have provided limited insight into the causes of differences in model behavior, and model development has often relied on the inspiration and experience of individual modelers rather than a systematic analysis of model shortcomings. This presentation will discuss a unified approach to process-based hydrologic modeling to enable controlled and systematic analysis of multiple model representations (hypotheses) of hydrologic processes and scaling behavior. Our approach, which we term the Structure for Unifying Multiple Modeling Alternatives (SUMMA), formulates a general set of conservation equations, providing the flexibility to experiment with different spatial representations, different flux parameterizations, different model parameter values, and different time stepping schemes. We will discuss the use of SUMMA to systematically analyze different model development decisions, focusing on both analysis of simulations for intensively instrumented research watersheds as well as simulations across a global dataset of FLUXNET sites. The intent of the presentation is to demonstrate how the systematic analysis of model shortcomings can help identify model weaknesses and inform future model development priorities.

  19. Modeling, control and optimization of water systems systems engineering methods for control and decision making tasks

    CERN Document Server

    2016-01-01

    This book provides essential background knowledge on the development of model-based real-world solutions in the field of control and decision making for water systems. It presents system engineering methods for modelling surface water and groundwater resources as well as water transportation systems (rivers, channels and pipelines). The models in turn provide information on both the water quantity (flow rates, water levels) of surface water and groundwater and on water quality. In addition, methods for modelling and predicting water demand are described. Sample applications of the models are presented, such as a water allocation decision support system for semi-arid regions, a multiple-criteria control model for run-of-river hydropower plants, and a supply network simulation for public services.

  20. An Empirical Study of Surrogates' Preferred Level of Control over Value-laden Life Support Decisions in Intensive Care Units

    OpenAIRE

    Johnson, Sara K.; Bautista, Christopher A.; Hong, Seo Yeon; Weissfeld, Lisa; White, Douglas B.

    2010-01-01

    Rationale: Despite ongoing ethical debate concerning who should control decisions to discontinue life support for incapacitated, critically ill patients, the perspectives of surrogate decision makers are poorly understood.

  1. Wide Variability in Emergency Physician Admission Rates: A Target to Reduce Costs Without Compromising Quality

    Directory of Open Access Journals (Sweden)

    Jeffrey J. Guterman

    2016-09-01

    Full Text Available Introduction: Attending physician judgment is the traditional standard of care for emergency department (ED admission decisions. The extent to which variability in admission decisions affect cost and quality is not well understood. We sought to determine the impact of variability in admission decisions on cost and quality. Methods: We performed a retrospective observational study of patients presenting to a university-affiliated, urban ED from October 1, 2007, through September 30, 2008. The main outcome measures were admission rate, fiscal indicators (Medicaid-denied payment days, and quality indicators (15- and 30-day ED returns; delayed hospital admissions. We asked each Attending to estimate their inpatient admission rate and correlated their personal assessment with actual admission rates. Results: Admission rates, even after adjusting for known confounders, were highly variable (15.2%-32.0% and correlated with Medicaid denied-payment day rates (p=0.038. There was no correlation with quality outcome measures (30-day ED return or delayed hospital admission. There was no significant correlation between actual and self-described admission rate; the range of mis-estimation was 0% to 117%. Conclusion: Emergency medicine attending admission rates at this institution are highly variable, unexplained by known confounding variables, and unrelated to quality of care, as measured by 30-day ED return or delayed hospital admission. Admission optimization represents an important untapped potential for cost reduction through avoidable hospitalizations, with no apparent adverse effects on quality.

  2. Investigating Postgraduate College Admission Interviews: Generalizability Theory Reliability and Incremental Predictive Validity

    Science.gov (United States)

    Arce-Ferrer, Alvaro J.; Castillo, Irene Borges

    2007-01-01

    The use of face-to-face interviews is controversial for college admissions decisions in light of the lack of availability of validity and reliability evidence for most college admission processes. This study investigated reliability and incremental predictive validity of a face-to-face postgraduate college admission interview with a sample of…

  3. Analysis of Decision Factors for the Application of Information Access Controls within the Organization

    Science.gov (United States)

    Foerster, Carl A.

    2013-01-01

    The application of access controls on internal information necessarily impacts the availability of that information for sharing inside the enterprise. The decisions establishing the degree of control are a crucial first step to balance the requirements to protect and share. This research develops a set of basic decision factors and examines other…

  4. Multi Criteria Decision Making to evaluate control strategies of contagious animal diseases

    NARCIS (Netherlands)

    Mourits, M.C.M.; Asseldonk, van M.A.P.M.; Huirne, R.B.M.

    2010-01-01

    The decision on which strategy to use in the control of contagious animal diseases involves complex trade-offs between multiple objectives. This paper describes a Multi Criteria Decision Making (MCDM) application to illustrate its potential support to policy makers in choosing the control strategy t

  5. Impact of a clinical decision model for febrile children at risk for serious bacterial infections at the emergency department: a randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Evelien de Vos-Kerkhof

    Full Text Available To assess the impact of a clinical decision model for febrile children at risk for serious bacterial infections (SBI attending the emergency department (ED.Randomized controlled trial with 439 febrile children, aged 1 month-16 years, attending the pediatric ED of a Dutch university hospital during 2010-2012. Febrile children were randomly assigned to the intervention (clinical decision model; n = 219 or the control group (usual care; n = 220. The clinical decision model included clinical symptoms, vital signs, and C-reactive protein and provided high/low-risks for "pneumonia" and "other SBI". Nurses were guided by the intervention to initiate additional tests for high-risk children. The clinical decision model was evaluated by 1 area-under-the-receiver-operating-characteristic-curve (AUC to indicate discriminative ability and 2 feasibility, to measure nurses' compliance to model recommendations. Primary patient outcome was defined as correct SBI diagnoses. Secondary process outcomes were defined as length of stay; diagnostic tests; antibiotic treatment; hospital admission; revisits and medical costs.The decision model had good discriminative ability for both pneumonia (n = 33; AUC 0.83 (95% CI 0.75-0.90 and other SBI (n = 22; AUC 0.81 (95% CI 0.72-0.90. Compliance to model recommendations was high (86%. No differences in correct SBI determination were observed. Application of the clinical decision model resulted in less full-blood-counts (14% vs. 22%, p-value < 0.05 and more urine-dipstick testing (71% vs. 61%, p-value < 0.05.In contrast to our expectations no substantial impact on patient outcome was perceived. The clinical decision model preserved, however, good discriminatory ability to detect SBI, achieved good compliance among nurses and resulted in a more standardized diagnostic approach towards febrile children, with less full blood-counts and more rightfully urine-dipstick testing.Nederlands Trial Register NTR2381.

  6. Admissible and Restrained Revision

    CERN Document Server

    Booth, R; 10.1613/jair.1874

    2011-01-01

    As partial justification of their framework for iterated belief revision Darwiche and Pearl convincingly argued against Boutiliers natural revision and provided a prototypical revision operator that fits into their scheme. We show that the Darwiche-Pearl arguments lead naturally to the acceptance of a smaller class of operators which we refer to as admissible. Admissible revision ensures that the penultimate input is not ignored completely, thereby eliminating natural revision, but includes the Darwiche-Pearl operator, Nayaks lexicographic revision operator, and a newly introduced operator called restrained revision. We demonstrate that restrained revision is the most conservative of admissible revision operators, effecting as few changes as possible, while lexicographic revision is the least conservative, and point out that restrained revision can also be viewed as a composite operator, consisting of natural revision preceded by an application of a "backwards revision" operator previously studied by Papini. ...

  7. A Markov decision process approach to optimal control of a multi-level hierarchical manpower system

    OpenAIRE

    Udom, Akaninyene U.

    2013-01-01

    A recurrent problem in manpower control is how to attain the desired structural configuration in an optimal way, since it is possible to reach a desired structural configuration using different control inputs. The major aim of this paper is to develop a Markov Decision Process for optimal control of a Multi-level Hierarchical Manpower System (MHMS) by promotion and interdepartmental transfers. This is examined under control by intervention and contraction cost Markov Decision Process.

  8. Automatic sleep staging using state machine-controlled decision trees.

    Science.gov (United States)

    Imtiaz, Syed Anas; Rodriguez-Villegas, Esther

    2015-01-01

    Automatic sleep staging from a reduced number of channels is desirable to save time, reduce costs and make sleep monitoring more accessible by providing home-based polysomnography. This paper introduces a novel algorithm for automatic scoring of sleep stages using a combination of small decision trees driven by a state machine. The algorithm uses two channels of EEG for feature extraction and has a state machine that selects a suitable decision tree for classification based on the prevailing sleep stage. Its performance has been evaluated using the complete dataset of 61 recordings from PhysioNet Sleep EDF Expanded database achieving an overall accuracy of 82% and 79% on training and test sets respectively. The algorithm has been developed with a very small number of decision tree nodes that are active at any given time making it suitable for use in resource-constrained wearable systems.

  9. Growing old at home – A randomized controlled trial to investigate the effectiveness and cost-effectiveness of preventive home visits to reduce nursing home admissions: study protocol [NCT00644826

    Directory of Open Access Journals (Sweden)

    Riedel-Heller Steffi G

    2008-05-01

    Full Text Available Abstract Background Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention in Germany by a randomized controlled trial. Methods The trial is designed as a prospective multi-center randomized controlled trial in the cities of Halle and Leipzig. The trial includes an intervention and a control group. The control group receives usual care. The intervention group receives three additional home visits by non-physician health professionals (1 geriatric assessment, (2 consultation, (3 booster session. The nursing home admission rate after 18 months will be defined as the primary outcome. An absolute risk reduction from a 20% in the control-group to a 7% admission rate in the intervention group including an assumed drop out rate of 30% resulted in a required sample size of N = 320 (n = 160 vs. n = 160. Parallel to the clinical outcome measurement the intervention will be evaluated economically. The economic evaluation will be performed from a society perspective. Discussion To the authors' knowledge for the first time a trial will investigate the effectiveness and cost-effectiveness of preventive home visits for people aged 80 and over in Germany using the design of a randomized controlled trial. Thus, the trial will contribute to

  10. Structural contradictions in control system by enterprise as function of associate administrative decisions

    OpenAIRE

    Kalyuzhna, N.; Golovkova, К.

    2013-01-01

    The key role of organizationally-functional structure improvement of management is reasonable in the increase of efficiency of preparation processes, acceptance and realization of administrative decisions on an enterprise. The algorithm of structural exposure contradictions is offered in control system by an enterprise. The morphological matrix of description of structural contradiction as functions of associate administrative decisions is formed. Sources 22.

  11. Modelling risk aversion to support decision-making for controlling zoonotic livestock diseases

    NARCIS (Netherlands)

    Asseldonk, van M.A.P.M.; Bergevoet, R.H.M.; Ge, L.

    2013-01-01

    Zoonotic infectious livestock diseases are becoming a significant burden for both animal and human health and are rapidly gaining the attention of decision-makers who manage public health programmes. If control decisions have only monetary components, governments are generally regarded as being risk

  12. Control of a Braitenberg Lizard in a Phonotaxis Task with Decision Models

    DEFF Research Database (Denmark)

    Shaikh, Danish; Hallam, John; Christensen-Dalsgaard, Jakob

    2009-01-01

    a Braitenberg vehicle–like mobile robot without any decision model in a phonotaxis task. In this paper we extend the Braitenberg vehicle model to include two separate decision models in the control and recreate the phonotaxis task. We compare the performance of the robot, in terms of successful phonotaxis...

  13. Decision Support System for Flood Control with Applications to Jiangxi Province

    Institute of Scientific and Technical Information of China (English)

    朱来友

    2004-01-01

    Affected by the climatic fluctuation and human activities, significant changes of the flood control situation are taking place in China. In the new century, the flood control systems have to face a series of challenges. In this paper, we design fa decision support system (DSS) for flood control based on its requirements. The DSS has been applied to decision-making for flood control in Jiangxi province, and play an important role in the flood control in the recent two years. Finally, we plot the further improvement on the DSS so that it will make more contribution in the flood control.

  14. Wireless Mesh Networks Admission Control Based on Non-Cooperative Game%基于非合作博弈的无线Mesh网络接入控制

    Institute of Scientific and Technical Information of China (English)

    翟师伟; 沈士根; 曹奇英

    2016-01-01

    For implementing the equilibrium of network load and fairness of resource allocation, this paper models admission con-trol between a new station and a Mesh access point as a non-cooperative game to analyze the equilibrium point between the net-work load and the departure probability, taking the QoS satisfaction degree, access cost, network load and departure probability into consideration.The station utilization of network resource which is optimized by introducing the station information sharing mechanism to ensure the fairness of resource allocation.Experiments show that the non-cooperative model and station information sharing mechanism can ensure the station utilization of network resource as a whole, and thus ensure the fairness of resource allo-cation.%为实现无线Mesh网络中网络负载的均衡性和资源分配的公平性,将新站点和Mesh接入点之间的接入控制过程形式化为一个非合作博弈,结合站点的QoS满意度、连接成本、网络负载和站点离开率4个网络连接的参数函数,对网络负载与站点离开率的均衡点进行分析。引入站点信息分享机制,对站点利用网络资源的效率进行优化,保证资源分配的公平性。实验仿真表明,非合作博弈模型和站点信息分享机制能够从整体保证站点利用资源的效率,从而保证资源分配的公平性。

  15. Aid to Families with Dependent Children Quality Control Review Panel Decisions

    Data.gov (United States)

    U.S. Department of Health & Human Services — Decisions issued by the Aid to Families with Dependent Children (AFDC) Quality Control Review Panel of the Departmental Appeals Board concerning the AFDC program...

  16. The separation of ownership and control and investment decisions in Mexican manufacturing firms

    OpenAIRE

    Ruiz-Porras, Antonio; Lopez-Mateo, Celina

    2010-01-01

    We study how the ownership and control structures may explain investment decisions of Mexican manufacturing firms. We study them with aggregate indexes and the assessment of several regression sets. We use measures of ownership, management and agency costs. The econometric analysis uses longitudinal census data for 182 industries. Our findings support the claim that agency costs, as a measure of the separation of management and control, and firms` size can explain investment decisions. Furthe...

  17. Investigating the Decision Heuristics of Candidate Teachers Who Are Different in Their Responsibility Controls

    Science.gov (United States)

    Özen, Yener

    2016-01-01

    In this study, decision heuristics used by individuals with different responsibility controls were investigated. In the research, 370 final grade university students studying at Erzincan University Faculty of Education were included. In order to collect data, Internally Controlled Responsibility-Externally Controlled Responsibility Scale of Özen…

  18. Proceedings of the eighth European annual conference on human decision making and manual control

    International Nuclear Information System (INIS)

    The papers contributed at the eighth European annual conference on human decision making and manual control cover the subject areas of vehicle control, robotics, modeling, operator support and cognitive engineering, artificial intelligence and neural network. Some of the papers are relevant to power plant control and in this respect to nuclear safety. (AB)

  19. Designing a Decision Making Support Information System for the Operational Control of Industrial Technological Processes

    Directory of Open Access Journals (Sweden)

    Adelina Faradian

    2015-08-01

    Full Text Available Fuzzy logic is a new and innovative technology that was used in order to develop a realization of engineering control. In recent years, fuzzy logic proved its great potential especially applied to automatization of industrial process control, where it enables the control design to be formed based on experience of experts and results of experiments. The projects that have been realized reveal that the application of fuzzy logic in the technological process control has already provided us with better decisions compared to that of standard control technique. Fuzzy logic provides an opportunity to design an advisory system for decision-making based on operator experience and results of experiments not taking a mathematical model as a basis. The present work deals with a specific technological process ─ designing a support decision making information system for the operational control of the lime kiln with the use of fuzzy logic based on creation of the relevant expert-objective knowledge base.

  20. Assessing the structure of non-routine decision processes in Airline Operations Control.

    Science.gov (United States)

    Richters, Floor; Schraagen, Jan Maarten; Heerkens, Hans

    2016-03-01

    Unfamiliar severe disruptions challenge Airline Operations Control professionals most, as their expertise is stretched to its limits. This study has elicited the structure of Airline Operations Control professionals' decision process during unfamiliar disruptions by mapping three macrocognitive activities on the decision ladder: sensemaking, option evaluation and action planning. The relationship between this structure and decision quality was measured. A simulated task was staged, based on which think-aloud protocols were obtained. Results show that the general decision process structure resembles the structure of experts working under routine conditions, in terms of the general structure of the macrocognitive activities, and the rule-based approach used to identify options and actions. Surprisingly, high quality of decision outcomes was found to relate to the use of rule-based strategies. This implies that successful professionals are capable of dealing with unfamiliar problems by reframing them into familiar ones, rather than to engage in knowledge-based processing. Practitioner Summary: We examined the macrocognitive structure of Airline Operations Control professionals' decision process during a simulated unfamiliar disruption in relation to decision quality. Results suggest that successful professionals are capable of dealing with unfamiliar problems by reframing them into familiar ones, rather than to engage in knowledge-based processing.

  1. Use of web services for computerized medical decision support, including infection control and antibiotic management, in the intensive care unit.

    Science.gov (United States)

    Steurbaut, Kristof; Van Hoecke, Sofie; Colpaert, Kirsten; Lamont, Kristof; Taveirne, Kristof; Depuydt, Pieter; Benoit, Dominique; Decruyenaere, Johan; De Turck, Filip

    2010-01-01

    The increasing complexity of procedures in the intensive care unit (ICU) requires complex software services, to reduce improper use of antibiotics and inappropriate therapies, and to offer earlier and more accurate detection of infections and antibiotic resistance. We investigated whether web-based software can facilitate the computerization of complex medical processes in the ICU. The COSARA application contains the following modules: Infection overview, Thorax, Microbiology, Antibiotic therapy overview, Admission cause with comorbidity and admission diagnosis, Infection linking and registration, and Feedback. After the implementation and test phase, the COSARA software was installed on a physician's office PC and then on the bedside PCs of the patients. Initial evaluation indicated that the services had been integrated easily into the daily clinical workflow of the medical staff. The use of a service oriented architecture with web service technology for the development of advanced decision support in the ICU offers several advantages over classical software design approaches. PMID:20086264

  2. Arousal, Executive Control and Decision Making in Compulsive Buying Disorder

    DEFF Research Database (Denmark)

    Ramsøy, Thomas Zöega; Zuraigat, Farah Qureshi; Jacobsen, Catrine;

    2013-01-01

    Compulsive buying disorder (CBD) is noted by an obsession with shopping and a chronic, repetitive purchasing behavior with adverse consequences for the sufferer and their social surroundings. While CBD is often classified as an impulse control disorder (ICD), little is still known about the actual...... products was associated with a stronger emotional response in CBD subjects, while no relationship between emotions and WTP could be observed in healthy controls. This suggests that CBD, instead of being tentatively classified as an ICD, should rather be understood as a behavioral addiction. By this token...

  3. The role of consciousness in cognitive control and decision making

    OpenAIRE

    Simon Van Gaal; de Lange, Floris P.; Cohen, Michael X

    2012-01-01

    Here we review studies on the complexity and strength of unconscious information processing. We focus on empirical evidence that relates awareness of information to cognitive control processes (e.g., response inhibition, conflict resolution, and task-switching), the life-time of information maintenance (e.g., working memory) and the possibility to integrate multiple pieces of information across space and time. Overall, the results that we review paint a picture of local and specific effects o...

  4. Development of an Automated Decision-Making Tool for Supervisory Control System

    Energy Technology Data Exchange (ETDEWEB)

    Cetiner, Sacit M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Muhlheim, Michael David [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Flanagan, George F. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Fugate, David L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kisner, Roger A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2014-09-01

    This technical report was generated as a product of the Supervisory Control for Multi-Modular Small Modular Reactor (SMR) Plants project within the Instrumentation, Control and Human-Machine Interface technology area under the Advanced Small Modular Reactor (AdvSMR) Research and Development Program of the US Department of Energy. The report documents the definition of strategies, functional elements, and the structural architecture of a supervisory control system for multi-modular AdvSMR plants. This research activity advances the state of the art by incorporating real-time, probabilistic-based decision-making into the supervisory control system architectural layers through the introduction of a tiered-plant system approach. The report provides background information on the state of the art of automated decision-making, including the description of existing methodologies. It then presents a description of a generalized decision-making framework, upon which the supervisory control decision-making algorithm is based. The probabilistic portion of automated decision-making is demonstrated through a simple hydraulic loop example.

  5. A decision support system for the control of Campylobacter in chickens at farm level using data from Denmark

    DEFF Research Database (Denmark)

    Garcia, A. B.; Madsen, A. L.; Vigre, Håkan

    2016-01-01

    regarding Campylobacter control strategies, the objective of the present study was to produce a decision support system that integrated knowledge and used a Bayesian approach to handle uncertainty. This decision support system integrated epidemiological data, microbiological considerations, financial...

  6. Control Decisions for Flammable Gas Hazards in Double Contained Receiver Tanks (DCRTs)

    Energy Technology Data Exchange (ETDEWEB)

    KRIPPS, L.J.

    2000-06-28

    This report describes the control decisions for flammable gas hazards in double-contained receiver tanks (DCRTs) made at control decision meetings on November 16, 17, and 18, 1999, on April 19,2000, and on May 10,2000, and their basis. These control decisions, and the analyses that support them, will be documented in an amendment to the Final Safety Analysis Report (FSAR) (CHG 2000a) and Technical Safety Requirements (TSR) (CHG 2000b) to close the Flammable Gas Unreviewed Safety Question (USQ) (Bacon 1996 and Wagoner 1996) for DCRTs. Following the contractor Tier I review of the FSAR and TSR amendment, it will be submitted to the U.S. Department of Energy (DOE), Office of River Protection (ORP) for review and approval.

  7. Modelling risk aversion to support decision-making for controlling zoonotic livestock diseases.

    Science.gov (United States)

    van Asseldonk, M A P M; Bergevoet, R H M; Ge, L

    2013-12-01

    Zoonotic infectious livestock diseases are becoming a significant burden for both animal and human health and are rapidly gaining the attention of decision-makers who manage public health programmes. If control decisions have only monetary components, governments are generally regarded as being risk-neutral and the intervention strategy with the highest expected benefit (lowest expected net costs) should be preferred. However, preferences will differ and alternative intervention plans will prevail if (human) life and death outcomes are involved. A rational decision framework must therefore consider risk aversion in the decision-maker and controversial values related to public health. In the present study, risk aversion and its impact on both the utility for the monetary component and the utility for the non-monetary component is shown to be an important element when dealing with emerging zoonotic infectious livestock diseases and should not be ignored in the understanding and support of decision-making. The decision framework was applied to several control strategies for the reduction of human cases of brucellosis (Brucella melitensis) originating from sheep in Turkey.

  8. Hospital admissions before and after shipyard closure.

    Science.gov (United States)

    Bartley, M; Fagin, L

    1990-03-01

    "To determine the effect of job loss on health an investigation was made of admissions to hospitals in 887 men five years before and three years after the closure of a Danish shipyard. The control group comprised 441 men from another shipyard. The information on hospital admissions was obtained from the Danish national register of patients. The relative risk of admission in the control group dropped significantly in terms of the number of men admitted from the study group from 1.29 four to five years before closure to 0.74 in the three years after closure. This was especially true of admissions due to accidents (1.33 to 0.46) and diseases of the digestive system (4.53 to 1.03). For diseases of the circulatory system, particularly cardiovascular diseases, the relative risk increased from 0.8 to 1.60, and from 1.0 to 2.6 respectively. These changes in risk of illness after redundancy are probably a consequence of a change from the effects of a high risk work environment to the effects of psychosocial stresses such as job insecurity and unemployment."

  9. Deciding How To Decide: Self-Control and Meta-Decision Making.

    Science.gov (United States)

    Boureau, Y-Lan; Sokol-Hessner, Peter; Daw, Nathaniel D

    2015-11-01

    Many different situations related to self control involve competition between two routes to decisions: default and frugal versus more resource-intensive. Examples include habits versus deliberative decisions, fatigue versus cognitive effort, and Pavlovian versus instrumental decision making. We propose that these situations are linked by a strikingly similar core dilemma, pitting the opportunity costs of monopolizing shared resources such as executive functions for some time, against the possibility of obtaining a better outcome. We offer a unifying normative perspective on this underlying rational meta-optimization, review how this may tie together recent advances in many separate areas, and connect several independent models. Finally, we suggest that the crucial mechanisms and meta-decision variables may be shared across domains. PMID:26483151

  10. Deciding How To Decide: Self-Control and Meta-Decision Making.

    Science.gov (United States)

    Boureau, Y-Lan; Sokol-Hessner, Peter; Daw, Nathaniel D

    2015-11-01

    Many different situations related to self control involve competition between two routes to decisions: default and frugal versus more resource-intensive. Examples include habits versus deliberative decisions, fatigue versus cognitive effort, and Pavlovian versus instrumental decision making. We propose that these situations are linked by a strikingly similar core dilemma, pitting the opportunity costs of monopolizing shared resources such as executive functions for some time, against the possibility of obtaining a better outcome. We offer a unifying normative perspective on this underlying rational meta-optimization, review how this may tie together recent advances in many separate areas, and connect several independent models. Finally, we suggest that the crucial mechanisms and meta-decision variables may be shared across domains.

  11. Cost account in agriculture with particular accordance to requirements of decision making process and controls

    Directory of Open Access Journals (Sweden)

    Tomasz Kondraszuk

    2009-01-01

    Full Text Available The article presents cost account applicability in the agricultural companies regarding the general theory of economic and organisation of enterprises. The main focus was laid down to analyse the unit total cost account with variable costs and their applicability in three spheres: stock valuation and profit, requirements of planning and decision making processes and controlling. It was concluded that cost calculation at the level of agricultural enterprise should be an inherent element of integrated information system at the level of registry, planning, decision making and control.

  12. Including Life Cycle Assessment for decision-making in controlling wastewater nutrient removal systems

    DEFF Research Database (Denmark)

    Corominas, Lluís; Larsen, Henrik Fred; Flores-Alsina, Xavier;

    2013-01-01

    of the impact categories is conducted to assess how value choices (policy decisions) may affect the management of WWTPs. For the scenarios with only N-limitation, the LCA-based ranking of the control strategies is sensitive to the choice of weighting factors, whereas this is not the case for N&P or P......This paper focuses on the use of Life Cycle Assessment (LCA) to evaluate the performance of seventeen control strategies in wastewater treatment plants (WWTPs). It tackles the importance of using site-specific factors for nutrient enrichment when decision-makers have to select best operating...

  13. Multi Criteria Decision Making to evaluate control strategies of contagious animal diseases.

    Science.gov (United States)

    Mourits, M C M; van Asseldonk, M A P M; Huirne, R B M

    2010-09-01

    The decision on which strategy to use in the control of contagious animal diseases involves complex trade-offs between multiple objectives. This paper describes a Multi Criteria Decision Making (MCDM) application to illustrate its potential support to policy makers in choosing the control strategy that best meets all of the conflicting interests. The presented application focused on the evaluation of alternative strategies to control Classical Swine Fever (CSF) epidemics within the European Union (EU) according to the preferences of the European Chief Veterinary Officers (CVO). The performed analysis was centred on the three high-level objectives of epidemiology, economics and social ethics. The appraised control alternatives consisted of the EU compulsory control strategy, a pre-emptive slaughter strategy, a protective vaccination strategy and a suppressive vaccination strategy. Using averaged preference weights of the elicited CVOs, the preference ranking of the control alternatives was determined for six EU regions. The obtained results emphasized the need for EU region-specific control. Individual CVOs differed in their views on the relative importance of the various (sub)criteria by which the performance of the alternatives were judged. Nevertheless, the individual rankings of the control alternatives within a region appeared surprisingly similar. Based on the results of the described application it was concluded that the structuring feature of the MCDM technique provides a suitable tool in assisting the complex decision making process of controlling contagious animal diseases.

  14. Enhanced situation awareness and decision making for an intelligent reconfigurable reactor power controller

    International Nuclear Information System (INIS)

    A Learning Automata based intelligent reconfigurable controller has been adapted for use as a reactor power controller to achieve improved reactor temperature performance. The intelligent reconfigurable controller is capable of enforcing either a classical or an optimal reactor power controller based on control performance feedback. Four control performance evaluation measures: dynamically estimated average quadratic temperature error, power, rod reactivity and rod reactivity rate were developed to provide feedback to the control decision component of the intelligent reconfigurable controller. Fuzzy Logic and Neural Network controllers have been studied for inclusion in the bank of controllers that form the intermediate level of an enhanced intelligent reconfigurable reactor power controller (IRRPC). The increased number of alternatives available to the supervisory level of the IRRPC requires enhanced situation awareness. Additional performance measures have been designed and a method for synthesizing them into a single indication of the overall performance of the currently enforced reactor power controller has been conceptualized. Modification of the reward/penalty scheme implemented in the existing IRRPC to increase the quality of the supervisory level decision process has been studied. The logogen model of human memory (Morton, 1969) and individual controller design information could be used to allocate reward to the most appropriate controller. Methods for allocating supervisory level attention were also studied with the goal of maximizing learning rate

  15. Enhanced situation awareness and decision making for an intelligent reconfigurable reactor power controller

    Energy Technology Data Exchange (ETDEWEB)

    Kenney, S.J.; Edwards, R.M. [Pennsylvania State Univ., University Park, PA (United States). Dept. of Nuclear Engineering

    1996-07-01

    A Learning Automata based intelligent reconfigurable controller has been adapted for use as a reactor power controller to achieve improved reactor temperature performance. The intelligent reconfigurable controller is capable of enforcing either a classical or an optimal reactor power controller based on control performance feedback. Four control performance evaluation measures: dynamically estimated average quadratic temperature error, power, rod reactivity and rod reactivity rate were developed to provide feedback to the control decision component of the intelligent reconfigurable controller. Fuzzy Logic and Neural Network controllers have been studied for inclusion in the bank of controllers that form the intermediate level of an enhanced intelligent reconfigurable reactor power controller (IRRPC). The increased number of alternatives available to the supervisory level of the IRRPC requires enhanced situation awareness. Additional performance measures have been designed and a method for synthesizing them into a single indication of the overall performance of the currently enforced reactor power controller has been conceptualized. Modification of the reward/penalty scheme implemented in the existing IRRPC to increase the quality of the supervisory level decision process has been studied. The logogen model of human memory (Morton, 1969) and individual controller design information could be used to allocate reward to the most appropriate controller. Methods for allocating supervisory level attention were also studied with the goal of maximizing learning rate.

  16. Qualitative critical incident study of patients’ experiences leading to emergency hospital admission with advanced respiratory illness

    OpenAIRE

    Karasouli, Eleni; Munday, Daniel; Bailey, Cara; Staniszewska, Sophie; Hewison, Alistair; Griffiths, Frances

    2016-01-01

    Objectives The high volume of emergency admissions to hospital is a challenge for health systems internationally. Patients with lung cancer and chronic obstructive pulmonary disease (COPD) are frequently admitted to hospital as emergency cases. While the frequency of emergency admission has been investigated, few studies report patient experiences, particularly in relation to the decision-making process prior to emergency admission. We sought to explore patient and carer experiences and those...

  17. Atomos IV : enabling integrated decision support in the supervisory control of ships

    NARCIS (Netherlands)

    Breda, L. van; Veen, H.A.H.C. van

    2005-01-01

    TNO participated during eight years in a European Consortium ATOMOS IV (Advanced Technology ro Optimise Marine Operational Safety - Intelligent Vessels), performing research in the human-centred development of decision support systems for ship control centers. New concepts were developed and tested,

  18. Decision support system for flood control and ecosystem upgrading in the Red River basin

    NARCIS (Netherlands)

    Booij, M.J.; Bloschl, Gunter; Franks, Stewart; Kumagai, Michio; Musiake, Katumi; Rosbjerg, Dan

    2003-01-01

    A decision support system (DSS) for the selection of a suitable combination of flood control and ecosystem upgrading measures was developed. This was achieved by carefully selecting the most appropriate model environment for the DSS. The hydrological, hydraulic and socioeconomic models within the DS

  19. Measuring the Extent of European State Aid Control : An Econometric Analysis of the European Commission Decisions

    NARCIS (Netherlands)

    Brouwer, E.; Ozbugday, F.C.

    2011-01-01

    This paper provides an analysis of the European Commission (EC) decisions on state aid control using data on 550 state aid cases approved by the EC between 1998 and 2009. More specifically, we measure the determinants of the duration of state aid, total budget of state aid and daily budget of state

  20. Measuring the Extent of European State Aid Control : An Econometric Analysis of the European Commission Decisions

    NARCIS (Netherlands)

    Brouwer, E.; Ozbugday, F.C.

    2010-01-01

    This paper provides an analysis of the European Commission (EC) decisions on state aid control using data on 550 state aid cases approved by the EC between 1998 and 2009. More specifically, we measure the determinants of the duration of state aid, total budget of state aid and daily budget of state

  1. Towards a decision support system for control of multiple food safety hazards in raw milk production

    NARCIS (Netherlands)

    Spiegel, van der M.; Sterrenburg, P.; Haasnoot, W.; Fels-Klerx, van der H.J.

    2013-01-01

    Decision support systems (DSS) for controlling multiple food safety hazards in raw milk production have not yet been developed, but the underlying components are fragmentarily available. This article presents the state-of-the-art of essential DSS elements for judging food safety compliance of raw mi

  2. Exact Methods for Multi-echelon Inventory Control: Incorporating Shipment Decisions and Detailed Demand Information

    OpenAIRE

    Stenius, Olle

    2016-01-01

    Recent advances in information technologies and an increased environmental awareness have altered the prerequisites for successful logistics. For companies operating on a global market, inventory control of distribution systems is often an essential part of their logistics planning. In this context, the research objective of this thesis is: To develop exact methods for stochastic inventory control of multi-echelon distribution systems incorporating shipment decisions and/or detailed d...

  3. Admissibility of logical inference rules

    CERN Document Server

    Rybakov, VV

    1997-01-01

    The aim of this book is to present the fundamental theoretical results concerning inference rules in deductive formal systems. Primary attention is focused on: admissible or permissible inference rules the derivability of the admissible inference rules the structural completeness of logics the bases for admissible and valid inference rules. There is particular emphasis on propositional non-standard logics (primary, superintuitionistic and modal logics) but general logical consequence relations and classical first-order theories are also considered. The book is basically self-contained and

  4. Differential Freshman Admission by Sex

    Science.gov (United States)

    Suddick, David E.; McBee, M. Louise

    1974-01-01

    The authors report on a study whose purpose was to determine if, after adjusting for initial differences in high school averages and SAT scores via separate regression equations, differential admissions criterion by sex is justifiable. No justification is found. (RP)

  5. Government Control,Uncertainty,and Investment Decisions in China’s Listed Companies

    Institute of Scientific and Technical Information of China (English)

    Liping Xu; Jingwei Wang; Yu Xin

    2010-01-01

    This paper empirically investigates the relation between uncertainty and investment among China’s listed companies, and analyzes the influence of government control on the investment-uncertainty relation. We find that there is a negative relation between total firm uncertainty and investment in China’s listed companies. However, this holds only for privately controlled firms. Among privately controlled listed firms, investment is negatively related to firm-specific uncertainty, whereas among government-controlled ones, investment is positively related to market uncertainty. We also find that the risktaking preference of government-controlled listed companies is greater among those firms with fewer investment opportunities. Finally, among financially distressed firms, the negative relation between investment and uncertainty becomes nonsignificant because of risk shifting, which is more serious among government-controlled listed companies. We conclude that government control leads to state interference and weak corporate governance, which, in turn, distorts investment decision making among listed companies.

  6. Approaches to Affective Computing and Learning towards Interactive Decision Making in Process Control Engineering

    Institute of Scientific and Technical Information of China (English)

    SU Chong; LI Hong-Guang

    2013-01-01

    Numerous multi-objective decision-making problems related to industrial process control engineering such as control and operation performance evaluation are being resolved through human-computer interactions.With regard to the problems that traditional interactive evolutionary computing approaches suffer i.e.,limited searching ability and human's strong subjectivity in multi-objective-attribute decision-making,a novel affective computing and learning solution adapted to human-computer interaction mechanism is explicitly proposed.Therein,a kind of stimulating response based affective computing model (STAM) is constructed,along with quantitative relations between affective space and human's subjective preferences.Thereafter,affective learning strategies based on genetic algorithms are introduced which are responsible for gradually grasping essentials in human's subjective judgments in decision-making,reducing human's subjective fatigue as well as making the decisions more objective and scientific.Affective learning algorithm's complexity and convergence analysis are shown in Appendices A and B.To exemplify applications of the proposed methods,ad-hoc test functions and PID parameter tuning are suggested as case studies,giving rise to satisfying results and showing validity of the contributions.

  7. Decision-making for foot-and-mouth disease control: Objectives matter.

    Science.gov (United States)

    Probert, William J M; Shea, Katriona; Fonnesbeck, Christopher J; Runge, Michael C; Carpenter, Tim E; Dürr, Salome; Garner, M Graeme; Harvey, Neil; Stevenson, Mark A; Webb, Colleen T; Werkman, Marleen; Tildesley, Michael J; Ferrari, Matthew J

    2016-06-01

    Formal decision-analytic methods can be used to frame disease control problems, the first step of which is to define a clear and specific objective. We demonstrate the imperative of framing clearly-defined management objectives in finding optimal control actions for control of disease outbreaks. We illustrate an analysis that can be applied rapidly at the start of an outbreak when there are multiple stakeholders involved with potentially multiple objectives, and when there are also multiple disease models upon which to compare control actions. The output of our analysis frames subsequent discourse between policy-makers, modellers and other stakeholders, by highlighting areas of discord among different management objectives and also among different models used in the analysis. We illustrate this approach in the context of a hypothetical foot-and-mouth disease (FMD) outbreak in Cumbria, UK using outputs from five rigorously-studied simulation models of FMD spread. We present both relative rankings and relative performance of controls within each model and across a range of objectives. Results illustrate how control actions change across both the base metric used to measure management success and across the statistic used to rank control actions according to said metric. This work represents a first step towards reconciling the extensive modelling work on disease control problems with frameworks for structured decision making. PMID:27266845

  8. Decision-making for foot-and-mouth disease control: Objectives matter

    Directory of Open Access Journals (Sweden)

    William J.M. Probert

    2016-06-01

    Full Text Available Formal decision-analytic methods can be used to frame disease control problems, the first step of which is to define a clear and specific objective. We demonstrate the imperative of framing clearly-defined management objectives in finding optimal control actions for control of disease outbreaks. We illustrate an analysis that can be applied rapidly at the start of an outbreak when there are multiple stakeholders involved with potentially multiple objectives, and when there are also multiple disease models upon which to compare control actions. The output of our analysis frames subsequent discourse between policy-makers, modellers and other stakeholders, by highlighting areas of discord among different management objectives and also among different models used in the analysis. We illustrate this approach in the context of a hypothetical foot-and-mouth disease (FMD outbreak in Cumbria, UK using outputs from five rigorously-studied simulation models of FMD spread. We present both relative rankings and relative performance of controls within each model and across a range of objectives. Results illustrate how control actions change across both the base metric used to measure management success and across the statistic used to rank control actions according to said metric. This work represents a first step towards reconciling the extensive modelling work on disease control problems with frameworks for structured decision making.

  9. Decision-making for foot-and-mouth disease control: Objectives matter

    Science.gov (United States)

    Probert, William J. M.; Shea, Katriona; Fonnesbeck, Christopher J.; Runge, Michael C.; Carpenter, Tim E.; Durr, Salome; Garner, M. Graeme; Harvey, Neil; Stevenson, Mark A.; Webb, Colleen T.; Werkman, Marleen; Tildesley, Michael J.; Ferrari, Matthew J.

    2016-01-01

    Formal decision-analytic methods can be used to frame disease control problems, the first step of which is to define a clear and specific objective. We demonstrate the imperative of framing clearly-defined management objectives in finding optimal control actions for control of disease outbreaks. We illustrate an analysis that can be applied rapidly at the start of an outbreak when there are multiple stakeholders involved with potentially multiple objectives, and when there are also multiple disease models upon which to compare control actions. The output of our analysis frames subsequent discourse between policy-makers, modellers and other stakeholders, by highlighting areas of discord among different management objectives and also among different models used in the analysis. We illustrate this approach in the context of a hypothetical foot-and-mouth disease (FMD) outbreak in Cumbria, UK using outputs from five rigorously-studied simulation models of FMD spread. We present both relative rankings and relative performance of controls within each model and across a range of objectives. Results illustrate how control actions change across both the base metric used to measure management success and across the statistic used to rank control actions according to said metric. This work represents a first step towards reconciling the extensive modelling work on disease control problems with frameworks for structured decision making.

  10. A Model of Human Decision Making in Complex Systems and its Use for Design of System Control Strategies

    DEFF Research Database (Denmark)

    Rasmussen, Jens; Lind, Morten

    The paper describes a model of operators' decision making in complex system control, based on studies of event reports and performance in control rooms. This study shows how operators base their decisions on knowledge of system properties at different levels of abstraction depending on their perc...

  11. CARDIOTOCOGRAPH: ADMISSION TEST AND OUTCOME

    Directory of Open Access Journals (Sweden)

    Nesam Susana

    2015-12-01

    Full Text Available The main objective of intrapartum fetal monitoring is reduction or prevention of congenital neurological deficit and other intrapartum adverse events by screening for intrapartum hypoxia/acidosis. With an aim of evaluating role of admission test in predicting the adverse fetal outcome in high risk pregnancies in Government Chengalpattu Medical College, a cross-sectional study was designed including 50 high risk patients and 50 low risk patients. All the patients were subjected to a standard clinical evaluation using a proforma and subsequently subjected to admission test for 20 mins and their readings were grouped into 1. Reactive, 2. Suspicious, 3. Ominous. Intervention is planned based on the tracings of the admission test. The data from the admission test were compiled and subjected to statistical analysis. At the end of statistical analysis, it is found that electronic fetal monitoring has high sensitivity and low specificity. Antepartum risk factors are a poor predictors of fetal outcome. A normal tracing carries a predictive value of over 95% for APGAR score of 7 or greater and an abnormal tracing carries a predictive value of about 50% for APGAR score less than 7. In high risk cases admission test is more sensitive and in low risk cases the admission test is more specific. The negative predictive value for both groups were 85.2% and 97.7%

  12. The control gap : the role of budgets, accounting information and (non-) decisions in hospital settings

    OpenAIRE

    2004-01-01

    This paper investigates the link between budgets, accounting information and the decisionmaking processes at both strategic and operational levels in a large Norwegian hospital, as this hospital now is facing the New Public Management reforms which are introduced in Norway. The study has examined the use of budget and accounting information in the management control process. The empirical data are based on interviews with key actors in the decision-making process at all management levels in t...

  13. Bayesian Updating in the EEG : Differentiation between Automatic and Controlled Processes of Human Economic Decision Making

    OpenAIRE

    Hügelschäfer, Sabine

    2011-01-01

    Research has shown that economic decision makers often do not behave according to the prescriptions of rationality, but instead show systematic deviations from rational behavior (e.g., Starmer, 2000). One approach to explain these deviations is taking a dual-process perspective (see Evans, 2008; Sanfey & Chang, 2008; Weber & Johnson, 2009) in which a distinction is made between deliberate, resource-consuming controlled processes and fast, effortless automatic processes. In many cases, deviati...

  14. Designing strategies to control grey mould in strawberry cultivation using decision support systems

    OpenAIRE

    Evenhuis, A.; Wilms, J.A.M.

    2009-01-01

    Grey mould is one of the major diseases in strawberry cultivation. Fungicides to control Botrytis cinerea are applied frequently during flowering and sometimes at harvest. Reduction of pesticide use is one of the major aims of the Dutch government. Implementation of a Decision Support System (DSS) helps to achieve this goal. Pin point timing of fungicide application can possibly improve the efficacy of the treatment and reduce the number of spray applications. Predicted weather data to foreca...

  15. 44 CFR 68.9 - Admissible evidence.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Admissible evidence. 68.9 Section 68.9 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... admissible. (b) Documentary and oral evidence shall be admissible. (c) Admissibility of non-expert...

  16. Admission control with batch arrivals and imperfect information in loss systems%批量到达及不完美信息条件下损失系统的准入控制

    Institute of Scientific and Technical Information of China (English)

    叶涛锋; 达庆利

    2011-01-01

    研究面向2个任务类的损失系统中的动态准入控制策略.任务有不同的服务时间要求和不同的报酬,对于到达的任务,服务提供者无法直接判断每个任务属于哪一类,但能观测到每个任务所带的信号.证明了值函数的次模性和凹性,且存在一个唯一的用于对任务进行归类的信号阈值,建立了一个4层的准入控制策略.当任务信号的信息量较少时,在一定的条件下所建立的准入策略仍然有效.最后,将所建立的4层准入控制策略应用于不完美信息条件下的库存配给问题,应用结果表明该控制策略是可行而有效的.%This paper considers the dynamic admission control policy in a two-class loss system.Each class of jobs requires different service rates and offer different rewards.The service provider cannot directly determine the identities but can observe the signals of the jobs in a batch.The submodularity and concavity properties of the value function are proved. There is a signal threshold such that the jobs with signals larger than or equal to it are classified as class 1,and those with signals smaller than it are classified as class 2.Consequently,a four-layer admission control policy is established.When the signals are less informative,the main results are also available under some certain conditions.Finally,the resulting admission control policy is applied to an inventory rationing problem with imperfect information,and the feasibility and effectiveness of such a polity is identified.

  17. Private Benefits of Control, Ownership, and the Cross-Listing Decision

    OpenAIRE

    Craig Doidge; G. Andrew Karolyi; Karl V. Lins; Darius P. Miller; Stulz, Rene M.

    2005-01-01

    This paper investigates how a foreign firm's decision to cross-list its shares in the U.S. is related to the concentration of the ownership of its cash flow rights and of its control rights. Theory has proposed that when private benefits are high, controlling shareholders are less likely to choose to list their firm's shares in the U.S. because the higher standards for transparency and disclosure, as well as the increased monitoring associated with such listings, limit their ability to extrac...

  18. Asymptotic admissibility of priors and elliptic differential equations

    CERN Document Server

    Hartigan, J A

    2010-01-01

    We evaluate priors by the second order asymptotic behavior of the corresponding estimators.Under certain regularity conditions, the risk differences between efficient estimators of parameters taking values in a domain D, an open connected subset of R^d, are asymptotically expressed as elliptic differential forms depending on the asymptotic covariance matrix V. Each efficient estimator has the same asymptotic risk as a 'local Bayes' estimate corresponding to a prior density p. The asymptotic decision theory of the estimators identifies the smooth prior densities as admissible or inadmissible, according to the existence of solutions to certain elliptic differential equations. The prior p is admissible if the quantity pV is sufficiently small near the boundary of D. We exhibit the unique admissible invariant prior for V=I,D=R^d-{0). A detailed example is given for a normal mixture model.

  19. Developing an Intelligent Reservoir Flood Control Decision Support System through Integrating Artificial Neural Networks

    Science.gov (United States)

    Chang, L. C.; Kao, I. F.; Tsai, F. H.; Hsu, H. C.; Yang, S. N.; Shen, H. Y.; Chang, F. J.

    2015-12-01

    Typhoons and storms hit Taiwan several times every year and cause serious flood disasters. Because the mountainous terrain and steep landform rapidly accelerate the speed of flood flow, rivers cannot be a stable source of water supply. Reservoirs become one of the most important and effective floodwater storage facilities. However, real-time operation for reservoir flood control is a continuous and instant decision-making process based on rules, laws, meteorological nowcast, in addition to the immediate rainfall and hydrological data. The achievement of reservoir flood control can effectively mitigate flood disasters and store floodwaters for future uses. In this study, we construct an intelligent decision support system for reservoir flood control through integrating different types of neural networks and the above information to solve this problem. This intelligent reservoir flood control decision support system includes three parts: typhoon track classification, flood forecast and adaptive water release models. This study used the self-organizing map (SOM) for typhoon track clustering, nonlinear autoregressive with exogenous inputs (NARX) for multi-step-ahead reservoir inflow prediction, and adaptive neuro-fuzzy inference system (ANFIS) for reservoir flood control. Before typhoons landfall, we can estimate the entire flood hydrogragh of reservoir inflow by using SOM and make a pre-release strategy and real-time reservoir flood operating by using ANFIS. In the meanwhile, NARX can be constantly used real-time five-hour-ahead inflow prediction for providing the newest flood information. The system has been successfully implemented Typhoons Trami (2013), Fitow (2013) and Matmo (2014) in Shihmen Reservoir.

  20. Cognitive control and individual differences in economic ultimatum decision-making.

    Directory of Open Access Journals (Sweden)

    Wim De Neys

    Full Text Available Much publicity has been given to the fact that people's economic decisions often deviate from the rational predictions of standard economic models. In the classic ultimatum game, for example, most people turn down financial gains by rejecting unequal monetary splits. The present study points to neglected individual differences in this debate. After participants played the ultimatum game we tested for individual differences in cognitive control capacity of the most and least economic responders. The key finding was that people who were higher in cognitive control, as measured by behavioral (Go/No-Go performance and neural (No-Go N2 amplitude markers, did tend to behave more in line with the standard models and showed increased acceptance of unequal splits. Hence, the cognitively highest scoring decision-makers were more likely to maximize their monetary payoffs and adhere to the standard economic predictions. Findings question popular claims with respect to the rejection of standard economic models and the irrationality of human economic decision-making.

  1. Using a geographical-information-system-based decision support to enhance malaria vector control in zambia.

    Science.gov (United States)

    Chanda, Emmanuel; Mukonka, Victor Munyongwe; Mthembu, David; Kamuliwo, Mulakwa; Coetzer, Sarel; Shinondo, Cecilia Jill

    2012-01-01

    Geographic information systems (GISs) with emerging technologies are being harnessed for studying spatial patterns in vector-borne diseases to reduce transmission. To implement effective vector control, increased knowledge on interactions of epidemiological and entomological malaria transmission determinants in the assessment of impact of interventions is critical. This requires availability of relevant spatial and attribute data to support malaria surveillance, monitoring, and evaluation. Monitoring the impact of vector control through a GIS-based decision support (DSS) has revealed spatial relative change in prevalence of infection and vector susceptibility to insecticides and has enabled measurement of spatial heterogeneity of trend or impact. The revealed trends and interrelationships have allowed the identification of areas with reduced parasitaemia and increased insecticide resistance thus demonstrating the impact of resistance on vector control. The GIS-based DSS provides opportunity for rational policy formulation and cost-effective utilization of limited resources for enhanced malaria vector control.

  2. Multi-criteria decision making approaches for quality control of genome-wide association studies.

    Science.gov (United States)

    Malovini, Alberto; Rognoni, Carla; Puca, Annibale; Bellazzi, Riccardo

    2009-03-01

    Experimental errors in the genotyping phases of a Genome-Wide Association Study (GWAS) can lead to false positive findings and to spurious associations. An appropriate quality control phase could minimize the effects of this kind of errors. Several filtering criteria can be used to perform quality control. Currently, no formal methods have been proposed for taking into account at the same time these criteria and the experimenter's preferences. In this paper we propose two strategies for setting appropriate genotyping rate thresholds for GWAS quality control. These two approaches are based on the Multi-Criteria Decision Making theory. We have applied our method on a real dataset composed by 734 individuals affected by Arterial Hypertension (AH) and 486 nonagenarians without history of AH. The proposed strategies appear to deal with GWAS quality control in a sound way, as they lead to rationalize and make explicit the experimenter's choices thus providing more reproducible results.

  3. Adolescent Temperament and Parental Control in the Development of the Adolescent Decision Making in a Chilean Sample

    Science.gov (United States)

    Perez, J. Carola; Cumsille, Patricio

    2012-01-01

    The study analyzes the way in which adolescents' temperamental characteristics interact with parental control to shape adolescent decision making development. A sample of high-school Chilean adolescents (N = 391) answered a self-report questionnaire that included measures of behavioral autonomy (the extent to which adolescents make decisions in…

  4. Researching Applicants Online in the Veterinary Program Admissions Process: Perceptions, Practices, and Implications for Curricular Change.

    Science.gov (United States)

    Kogan, Lori R; Hellyer, Peter W; Stewart, Sherry M; Hendrickson, Dean A; Dowers, Kristy L; Schoenfeld-Tacher, Regina

    2015-01-01

    As the use of social media websites continues to grow among adults 18-34 years old, it is necessary to examine the consequences of online disclosure to the veterinary admissions processes and to consider the effects on the professional integrity of veterinary schools and on the e-professionalism of DVM graduates. Prior research has shown that employers, across all fields, routinely use information from social media sites to make hiring decisions. In veterinary medicine, a little over one-third of private practitioners reported using online information in the selection of new associates. However, professional academic programs appear to use online information less frequently in the selection processes. The current study examines the behaviors and attitudes of veterinary medical admissions committees toward the use of applicants' online information and profiles in their recruitment and selection process. An online survey was distributed to Associate Deans for Academic Affairs at all AAVMC-affiliated schools of veterinary medicine. A total of 21 schools completed the survey. The results showed that most veterinary schools do not currently use online research in their admissions process; however, most admissions committee members feel that using online social networking information to investigate applicants is an acceptable use of technology. Previous research has suggested that the majority of veterinary student applicants view this as an invasion of their privacy. Given this discordance, future educational efforts should focus on helping veterinary students determine what type of information is appropriate for posting online and how to use privacy settings to control their sharing behaviors. PMID:26291414

  5. Allocation and Admission Policies for Service Streams

    CERN Document Server

    Mazzucco, Michele; Fisher, Mike; McKee, Paul

    2011-01-01

    A service provisioning system is examined, where a number of servers are used to offer different types of services to paying customers. A customer is charged for the execution of a stream of jobs; the number of jobs in the stream and the rate of their submission is specified. On the other hand, the provider promises a certain quality of service (QoS), measured by the average waiting time of the jobs in the stream. A penalty is paid if the agreed QoS requirement is not met. The objective is to maximize the total average revenue per unit time. Dynamic policies for making server allocation and stream admission decisions are introduced and evaluated. The results of several simulations are described.

  6. A Content Analysis of Medical School Admissions Interviews

    Directory of Open Access Journals (Sweden)

    Elizabeth M. Altmaier

    2003-04-01

    Full Text Available Introduction. Prospective medical school applicants use Internet websites to gain information about medical school interviews as well as to offer their experience in such interviews. This study examined applicants’ reported experiences of interviews and compared them to the purposes of the interview as purported by medical schools. Method. Content analysis of student feedback regarding medical school interviews at 161 medical schools was conducted for entries of over 4600 students applying to medical school who anonymously and voluntarily completed an online questionnaire. Results. Across all medical schools, nearly one half of all cited interview questions addressed non-cognitive characteristics of the applicants. Top ranked medical schools were reported to ask significantly more interpersonal and illegal questions and fewer academic/general knowledge questions than other medical schools. Lower ranked schools did not differ significantly in the types of questions reportedly asked applicants compared to other medical schools. Discussion. Medical school interviews are generally gathering types of information about applicants that admissions personnel identify as important in the admission decision. In addition to measuring interpersonal characteristics, medical school admissions interviews are assessing cognitive abilities and ethical decision-making. Sources on the Internet provide actual medical school interview questions to prospective students. This practice can help them gain an undue advantage in interviewing. Admissions committees and faculty who interview students may want to consider how best to obtain accurate and valid responses from applicants.

  7. Countering the negative effects of job insecurity through participative decision making: lessons from the demand-control model.

    Science.gov (United States)

    Probst, Tahira M

    2005-10-01

    This study examined the effectiveness of increased organizational participative decision making in attenuating the negative consequences of job insecurity. Data were collected from 807 employees in 6 different companies. Analyses suggest that job insecurity is related to lower coworker, work, and supervisor satisfaction and higher turnover intentions and work withdrawal behaviors. However, employees with greater participative decision-making opportunities reported fewer negative consequences of job insecurity compared with employees with fewer participative decision-making opportunities. Results are interpreted using the demand-control model and suggest that organizations that allow greater employee participative decision making may experience fewer negative side effects from today's rising levels of employee job insecurity.

  8. Optimization of matrix tablets controlled drug release using Elman dynamic neural networks and decision trees.

    Science.gov (United States)

    Petrović, Jelena; Ibrić, Svetlana; Betz, Gabriele; Đurić, Zorica

    2012-05-30

    The main objective of the study was to develop artificial intelligence methods for optimization of drug release from matrix tablets regardless of the matrix type. Static and dynamic artificial neural networks of the same topology were developed to model dissolution profiles of different matrix tablets types (hydrophilic/lipid) using formulation composition, compression force used for tableting and tablets porosity and tensile strength as input data. Potential application of decision trees in discovering knowledge from experimental data was also investigated. Polyethylene oxide polymer and glyceryl palmitostearate were used as matrix forming materials for hydrophilic and lipid matrix tablets, respectively whereas selected model drugs were diclofenac sodium and caffeine. Matrix tablets were prepared by direct compression method and tested for in vitro dissolution profiles. Optimization of static and dynamic neural networks used for modeling of drug release was performed using Monte Carlo simulations or genetic algorithms optimizer. Decision trees were constructed following discretization of data. Calculated difference (f(1)) and similarity (f(2)) factors for predicted and experimentally obtained dissolution profiles of test matrix tablets formulations indicate that Elman dynamic neural networks as well as decision trees are capable of accurate predictions of both hydrophilic and lipid matrix tablets dissolution profiles. Elman neural networks were compared to most frequently used static network, Multi-layered perceptron, and superiority of Elman networks have been demonstrated. Developed methods allow simple, yet very precise way of drug release predictions for both hydrophilic and lipid matrix tablets having controlled drug release.

  9. Adolescents' risky decision-making activates neural networks related to social cognition and cognitive control processes.

    Science.gov (United States)

    Rodrigo, María José; Padrón, Iván; de Vega, Manuel; Ferstl, Evelyn C

    2014-01-01

    This study examines by means of functional magnetic resonance imaging the neural mechanisms underlying adolescents' risk decision-making in social contexts. We hypothesize that the social context could engage brain regions associated with social cognition processes and developmental changes are also expected. Sixty participants (adolescents: 17-18, and young adults: 21-22 years old) read narratives describing typical situations of decision-making in the presence of peers. They were asked to make choices in risky situations (e.g., taking or refusing a drug) or ambiguous situations (e.g., eating a hamburger or a hotdog). Risky as compared to ambiguous scenarios activated bilateral temporoparietal junction (TPJ), bilateral middle temporal gyrus (MTG), right medial prefrontal cortex, and the precuneus bilaterally; i.e., brain regions related to social cognition processes, such as self-reflection and theory of mind (ToM). In addition, brain structures related to cognitive control were active [right anterior cingulate cortex (ACC), bilateral dorsolateral prefrontal cortex (DLPFC), bilateral orbitofrontal cortex], whereas no significant clusters were obtained in the reward system (ventral striatum). Choosing the dangerous option involved a further activation of control areas (ACC) and emotional and social cognition areas (temporal pole). Adolescents employed more neural resources than young adults in the right DLPFC and the right TPJ in risk situations. When choosing the dangerous option, young adults showed a further engagement in ToM related regions (bilateral MTG) and in motor control regions related to the planning of actions (pre-supplementary motor area). Finally, the right insula and the right superior temporal gyrus were more activated in women than in men, suggesting more emotional involvement and more intensive modeling of the others' perspective in the risky conditions. These findings call for more comprehensive developmental accounts of decision-making in

  10. Adolescents’ risky decision-making activates neural networks related to social cognition and cognitive control processes

    Directory of Open Access Journals (Sweden)

    María José eRodrigo

    2014-02-01

    Full Text Available This study examines by means of fMRI the neural mechanisms underlying adolescents’ risk decision-making in social contexts. We hypothesize that the social context could engage brain regions associated with social cognition processes and developmental changes are also expected. Sixty participants (adolescents: 17-18, and young adults: 21-22 years old read narratives describing typical situations of decision-making in the presence of peers. They were asked to make choices in risky situations (e.g., taking or refusing a drug or ambiguous situations (e.g., eating a hamburger or a hotdog. Risky as compared to ambiguous scenarios activated bilateral temporoparietal junction (TPJ, bilateral middle temporal gyrus (MTG, right medial prefrontal cortex (mPFC, and the precuneus bilaterally; i.e., brain regions related to social cognition processes, such as self-reflection and theory of mind. In addition, brain structures related to cognitive control were active (right ACC, bilateral DLPFC, bilateral OFC, whereas no significant clusters were obtained in the reward system (VS. Choosing the dangerous option involved a further activation of control areas (ACC and emotional and social cognition areas (temporal pole. Adolescents employed more neural resources than young adults in the right DLPFC and the right TPJ in risk situations. When choosing the dangerous option, young adults showed a further engagement in theory of mind related regions (bilateral middle temporal gyrus and in motor control regions related to the planning of actions (pre-supplementary motor area. Finally, the right insula and the right superior temporal gyrus were more activated in women than in men, suggesting more emotional involvement and more intensive modeling of the others’ perspective in the risky conditions. These findings call for more comprehensive developmental accounts of decision-making in social contexts that incorporate the role of emotional and social cognition processes.

  11. Multi-phase intelligent decision model for reservoir real-time flood control during typhoons

    Science.gov (United States)

    Hsu, Nien-Sheng; Huang, Chien-Lin; Wei, Chih-Chiang

    2015-03-01

    This study applies an Adaptive Network-based Fuzzy Inference System (ANFIS) and a Real-Time Recurrent Learning Neural Network (RTRLNN) with an optimized reservoir release hydrograph using Mixed Integer Linear Programming (MILP) from historical typhoon events to develop a multi-phase intelligent real-time reservoir operation model for flood control. The flood control process is divided into three stages: (1) before flood (Stage I); (2) before peak flow (Stage II); and (3) after peak flow (Stage III). The models are then constructed with either three phase modules (ANFIS-3P and RTRLNN-3P) or two phase (Stage I + II and Stage III) modules (ANFIS-2P and RTRLNN-2P). The multi-phase modules are developed with consideration of the difference in operational decision mechanisms, decision information, release functions, and targets between each flood control stage to solve the problem of time-consuming computation and difficult system integration of MILP. In addition, the model inputs include the coupled short lead time and total reservoir inflow forecast information that are developed using radar- and satellite-based meteorological monitoring techniques, forecasted typhoon tracks, meteorological image similarity analysis, ANFIS and RTRLNN. This study uses the Tseng-Wen Reservoir basin as the study area, and the model results showed that RTRLNN outperformed ANFIS in the simulated outcomes from the optimized hydrographs. This study also applies the models to Typhoons Kalmaegi and Morakot to compare the simulations to historical operations. From the operation results, the RTRLNN-3P model is better than RTRLNN-2P and historical operations. Further, because the RTRLNN-3P model combines the innovative multi-phase module with monitored and forecasted decision information, the operation can simultaneously, effectively and automatically achieve the dual goals of flood detention at peak flow periods and water supply at the end of a typhoon event.

  12. Admission to Selective Schools, Alphabetically

    Science.gov (United States)

    Jurajda, Stepan; Munich, Daniel

    2010-01-01

    One's position in an alphabetically sorted list may be important in determining access to over-subscribed public services. Motivated by anecdotal evidence, we investigate the importance of the position in the alphabet of Czech students for their admission chances into over-subscribed schools. Empirical evidence based on the population of students…

  13. The Tension between the Decision and Control Perspectives of Accounting Revisited

    DEFF Research Database (Denmark)

    Christensen, John

    2009-01-01

    The accounting system is a carefully managed information system which is used for multiple purposes. Traditionally, the uses are categorized using the main headings of decision and control. Numerous conflicts are the consequence of the multi-purpose accounting system. The easy way out is apparently...... to use different accounting systems for different purposes. That is not the norm. The tensions are managed within a single accounting system and that leads to trade-offs in the accounting system. I will revisit these conflicts of uses of accounting systems using product costing, transfer pricing and fair...

  14. Judicial review of administrative normative act. Limits of courts control on political decision making

    Directory of Open Access Journals (Sweden)

    Erlir Puto

    2016-03-01

    Full Text Available Legal democracies have been facing with the evolution of a system of administrative activity judicial review. Meanwhile the evolving of the Judicial Control over the Public Administration in different countries of civil law systems has produced even in Albania the possibility of a specific judiciary control over the Public Administration in an extended way. The new Albanian Law on Administrative Courts (Law 49/2012 provides the power of the Administrative Court of Appeal to judge as a Court of First Instance, in the cases regarding controversies on normative administrative acts. It is a new open door to judge political decision makers, with some implicit consequences on the entire system. Those acts are produced as a further explanation and specification of the Law. Meanwhile they also express the Government Political Direction and Political will. The most important issue which may rise in this case is: How can an Administrative Court judge on the Executive Political Decision? May a Court judge the political will of the Executive? This power, given to the court, if we refer to administrative normative acts produced by public authorities of political nature, is in substance in contrast to the right of exercising political powers. This power to judge the politics should be evaluated case by case, but also some guiding lines should be established. These should be some basic guiding criteria and limits to be followed by the judges in the evaluation of objectives, purposes, aims or proportionality to the situation that has imposed the law. In most of the judiciary systems, the limits of reciprocal control between powers of the state remain a never ending process of practice. It is usual that the law gives to the administration a wide margin of opportunity. The way how executive would use its discretionarily, should be judged in an appropriate way by courts. The limits of court interference in administrative decision making would produce a fair system

  15. Decisions on foot-and-mouth disease control informed by model prediction

    DEFF Research Database (Denmark)

    Hisham Beshara Halasa, Tariq; Willeberg, Preben; Christiansen, Lasse Engbo;

    2013-01-01

    The predictive capability of the first fortnight incidence (FFI), which is the number of detected herds within the first 14 days following detection of the disease, of the course of a foot-and-mouth disease (FMD) epidemic and its outcomes were investigated. Epidemic outcomes included the number...... correlations with the epidemic outcomes. The predictive capability of the FFI was high. This indicates that the FFI may take a part in the decision of whether or not to boost FMD control, which might prevent occurrence of a large epidemic in the face of an FMD incursion. The prediction power was improved...

  16. Controle de plantas daninhas em arroz irrigado mediante o momento da admissão e da altura da lâmina de água Weed control in lowland rice, using water application moment and water dephts

    OpenAIRE

    Enes Furlani Junior; José Ricardo Machado; Edivaldo Domingues Velini

    1995-01-01

    Este trabalho, desenvolvido ao nível de campo, na Fazenda Experimental Edgárdia, da Faculdade de Ciências Agronômicas da UNESP, Botucatu, no ano agrícola 1990/91, objetivou avaliar os efeitos do momento de admissão da água e da altura da lâmina de água sobre o desenvolvimento das plantas daninhas e os reflexos sobre as de arroz. O delineamento experimental usado foi de blocos ao acaso com parcelas subsubdivididas. Às parcelas, corresponderam os momentos de admissão de água M1, M2 e M3, respec...

  17. The Effect of Using Break-Even-Point in Planning, Controlling, and Decision Making in the Industrial Jordanian Companies

    OpenAIRE

    Nabil Alnasser; Osama Samih Shaban; Ziad Al-Zubi

    2014-01-01

    This research study aimed to figure out the effect of using breakeven point in planning, controlling, and in the decision-making process, in the Jordanian industrial companies. This research study shed the light on the reality of the use of the breakeven point in the planning, controlling and decision-making in industrial companies in Jordan. The study sample of the study was formed out of 54 employees in the accounting departments in the Jordanian industrial companies. The study found out th...

  18. Forecasting paediatric malaria admissions on the Kenya Coast using rainfall

    Directory of Open Access Journals (Sweden)

    Stella Wanjugu Karuri

    2016-02-01

    Full Text Available Background: Malaria is a vector-borne disease which, despite recent scaled-up efforts to achieve control in Africa, continues to pose a major threat to child survival. The disease is caused by the protozoan parasite Plasmodium and requires mosquitoes and humans for transmission. Rainfall is a major factor in seasonal and secular patterns of malaria transmission along the East African coast. Objective: The goal of the study was to develop a model to reliably forecast incidences of paediatric malaria admissions to Kilifi District Hospital (KDH. Design: In this article, we apply several statistical models to look at the temporal association between monthly paediatric malaria hospital admissions, rainfall, and Indian Ocean sea surface temperatures. Trend and seasonally adjusted, marginal and multivariate, time-series models for hospital admissions were applied to a unique data set to examine the role of climate, seasonality, and long-term anomalies in predicting malaria hospital admission rates and whether these might become more or less predictable with increasing vector control. Results: The proportion of paediatric admissions to KDH that have malaria as a cause of admission can be forecast by a model which depends on the proportion of malaria admissions in the previous 2 months. This model is improved by incorporating either the previous month's Indian Ocean Dipole information or the previous 2 months’ rainfall. Conclusions: Surveillance data can help build time-series prediction models which can be used to anticipate seasonal variations in clinical burdens of malaria in stable transmission areas and aid the timing of malaria vector control.

  19. Development of a First-of-a-Kind Deterministic Decision-Making Tool for Supervisory Control System

    Energy Technology Data Exchange (ETDEWEB)

    Cetiner, Sacit M [ORNL; Kisner, Roger A [ORNL; Muhlheim, Michael David [ORNL; Fugate, David L [ORNL

    2015-07-01

    Decision-making is the process of identifying and choosing alternatives where each alternative offers a different approach or path to move from a given state or condition to a desired state or condition. The generation of consistent decisions requires that a structured, coherent process be defined, immediately leading to a decision-making framework. The overall objective of the generalized framework is for it to be adopted into an autonomous decision-making framework and tailored to specific requirements for various applications. In this context, automation is the use of computing resources to make decisions and implement a structured decision-making process with limited or no human intervention. The overriding goal of automation is to replace or supplement human decision makers with reconfigurable decision- making modules that can perform a given set of tasks reliably. Risk-informed decision making requires a probabilistic assessment of the likelihood of success given the status of the plant/systems and component health, and a deterministic assessment between plant operating parameters and reactor protection parameters to prevent unnecessary trips and challenges to plant safety systems. The implementation of the probabilistic portion of the decision-making engine of the proposed supervisory control system was detailed in previous milestone reports. Once the control options are identified and ranked based on the likelihood of success, the supervisory control system transmits the options to the deterministic portion of the platform. The deterministic multi-attribute decision-making framework uses variable sensor data (e.g., outlet temperature) and calculates where it is within the challenge state, its trajectory, and margin within the controllable domain using utility functions to evaluate current and projected plant state space for different control decisions. Metrics to be evaluated include stability, cost, time to complete (action), power level, etc. The

  20. Advising and Admission: Partners in Enrollment Management.

    Science.gov (United States)

    Devine, Joseph E.

    1987-01-01

    Focuses on marketing strategies for college admission and examines the essential interaction between admission and academic units as a means of enhancing retention and producing informed, satisfied consumers/students. (KS)

  1. 10 CFR 2.708 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... admission of the genuineness and authenticity of any relevant document described in or attached to the... document for which an admission of genuineness and authenticity is requested must be delivered with...

  2. Reasons for refusal of admission to intensive care and impact on mortality

    NARCIS (Netherlands)

    Iapichino, Gaetano; Corbella, Davide; Minelli, Cosetta; Mills, Gary H.; Artigas, Antonio; Edbooke, David L.; Pezzi, Angelo; Kesecioglu, Jozef; Patroniti, Nicol; Baras, Mario; Sprung, Charles L.

    2010-01-01

    To identify factors influencing triage decisions and investigate whether admission to the intensive care unit (ICU) could reduce mortality compared with treatment on the ward. A multicentre cohort study in 11 university hospitals from seven countries, evaluating triage decisions and outcomes of pati

  3. Management of redundancy in flight control systems using optimal decision theory

    Science.gov (United States)

    1981-01-01

    The problem of using redundancy that exists between dissimilar systems in aircraft flight control is addressed. That is, using the redundancy that exists between a rate gyro and an accelerometer--devices that have dissimilar outputs which are related only through the dynamics of the aircraft motion. Management of this type of redundancy requires advanced logic so that the system can monitor failure status and can reconfigure itself in the event of one or more failures. An optimal decision theory was tutorially developed for the management of sensor redundancy and the theory is applied to two aircraft examples. The first example is the space shuttle and the second is a highly maneuvering high performance aircraft--the F8-C. The examples illustrate the redundancy management design process and the performance of the algorithms presented in failure detection and control law reconfiguration.

  4. Culling decisions of dairy farmers during a 3-year Salmonella control study

    DEFF Research Database (Denmark)

    Nielsen, Liza Rosenbaum; Dohoo, I.

    2011-01-01

    with at least one recent moderately high ELISA result (flagged as “yellow”) on the lists. Risk management included, e.g. culling or separation of the cows at calving. We analysed culling decisions using two models. For heifers a hierarchical multivariable logistic model with herd as random effect evaluated...... animals into risk groups. These risk groups and all individual ELISA-results were communicated to the farmers as colour-coded lists four to six times per year. Farmers were advised to manage the risk of Salmonella transmission from cattle with repeatedly high ELISA results (flagged as “red”) or cows...... Dublin which is the most prevalent and most persistent serotype in the Danish cattle population. A field study in 10 dairy herds with persistent Salmonella infections was carried out over three years to gain experience with control procedures including risk assessment, targeted control actions and test...

  5. Short- and Long-Term Validity of High School GPA for Admission to Colleges outside the United States

    Science.gov (United States)

    Al-Hattami, Abdulghani

    2014-01-01

    High school GPA is the only admission criterion that is currently used by many colleges in Yemen to select their potential students. Its predictive validity was investigated to ensure the accuracy of the admission decisions in these colleges. The relationship between students' persistence in the 4 years of college and high school GPA was studied…

  6. Cost-effectiveness of an intervention to reduce emergency re-admissions to hospital among older patients.

    Directory of Open Access Journals (Sweden)

    Nicholas Graves

    Full Text Available BACKGROUND: The objective is to estimate the cost-effectiveness of an intervention that reduces hospital re-admission among older people at high risk. A cost-effectiveness model to estimate the costs and health benefits of the intervention was implemented. METHODOLOGY/PRINCIPAL FINDINGS: The model used data from a randomised controlled trial conducted in an Australian tertiary metropolitan hospital. Participants were acute medical admissions aged >65 years with at least one risk factor for re-admission: multiple comorbidities, impaired functionality, aged >75 years, recent multiple admissions, poor social support, history of depression. The intervention was a comprehensive nursing and physiotherapy assessment and an individually tailored program of exercise strategies and nurse home visits with telephone follow-up; commencing in hospital and continuing following discharge for 24 weeks. The change to cost outcomes, including the costs of implementing the intervention and all subsequent use of health care services, and, the change to health benefits, represented by quality adjusted life years, were estimated for the intervention as compared to existing practice. The mean change to total costs and quality adjusted life years for an average individual over 24 weeks participating in the intervention were: cost savings of $333 (95% Bayesian credible interval $ -1,932:1,282 and 0.118 extra quality adjusted life years (95% Bayesian credible interval 0.1:0.136. The mean net-monetary-benefit per individual for the intervention group compared to the usual care condition was $7,907 (95% Bayesian credible interval $5,959:$9,995 for the 24 week period. CONCLUSIONS/SIGNIFICANCE: The estimation model that describes this intervention predicts cost savings and improved health outcomes. A decision to remain with existing practices causes unnecessary costs and reduced health. Decision makers should consider adopting this program for elderly hospitalised patients.

  7. Why Do Students Repeat Admissions Tests?

    Science.gov (United States)

    Jones, Martha S.

    Attitudes and beliefs about the admissions process, especially the role of standardized testing in admissions, were examined for students who took a standardized admissions test more than once. Their attitudes were compared with those of students who did not repeat the test. About 200 preveterinary students who had taken the Veterinary Aptitude…

  8. Regulating outdoor advertisement boards; employing spatial decision support system to control urban visual pollution

    Science.gov (United States)

    Wakil, K.; Hussnain, MQ; Tahir, A.; Naeem, M. A.

    2016-06-01

    Unmanaged placement, size, location, structure and contents of outdoor advertisement boards have resulted in severe urban visual pollution and deterioration of the socio-physical living environment in urban centres of Pakistan. As per the regulatory instruments, the approval decision for a new advertisement installation is supposed to be based on the locational density of existing boards and their proximity or remoteness to certain land- uses. In cities, where regulatory tools for the control of advertisement boards exist, responsible authorities are handicapped in effective implementation due to the absence of geospatial analysis capacity. This study presents the development of a spatial decision support system (SDSS) for regularization of advertisement boards in terms of their location and placement. The knowledge module of the proposed SDSS is based on provisions and restrictions prescribed in regulatory documents. While the user interface allows visualization and scenario evaluation to understand if the new board will affect existing linear density on a particular road and if it violates any buffer restrictions around a particular land use. Technically the structure of the proposed SDSS is a web-based solution which includes open geospatial tools such as OpenGeo Suite, GeoExt, PostgreSQL, and PHP. It uses three key data sets including road network, locations of existing billboards and building parcels with land use information to perform the analysis. Locational suitability has been calculated using pairwise comparison through analytical hierarchy process (AHP) and weighted linear combination (WLC). Our results indicate that open geospatial tools can be helpful in developing an SDSS which can assist solving space related iterative decision challenges on outdoor advertisements. Employing such a system will result in effective implementation of regulations resulting in visual harmony and aesthetic improvement in urban communities.

  9. Making decisions about care: what it means for hospice inpatients with terminal progressive disease.

    Science.gov (United States)

    Fisher, Simon; Colyer, Hazel

    2009-11-01

    There is very little research into patients who suffer from a terminal and progressive illness making decisions about health care in a hospice setting. What decision-making means to the inpatients in a hospice could be better understood by staff caring for this patient group. The aim of this small qualitative study was to explore the nature of decisions and the process of decision-making with patients who had been admitted to a hospice with a progressive terminal illness. A phenomenological approach was taken using a theoretical framework to explore the patients' life world and its existential meaning, and interviews were conducted with six inpatients. The decisions that came to the fore for the participants were around the driving force behind admission, which was often pain. Beyond this often traumatic event they were able to be robust in decision-making about day-to-day issues. Other decisions related to the purpose of the admission such as symptom control, achieving independence, whether to have further treatment, communication with their families and returning to the community. Patients had an increased awareness of the fragility of their existence, which was brought into focus by the decision to be admitted to the hospice. The findings give an insight into the driving forces behind decision-making and the kind of decisions that are important to the patients in this sample, which staff caring for this patient group may find valuable.

  10. Oxytocin Effect on Collective Decision Making: A Randomized Placebo Controlled Study.

    Science.gov (United States)

    Hertz, Uri; Kelly, Maria; Rutledge, Robb B; Winston, Joel; Wright, Nicholas; Dolan, Raymond J; Bahrami, Bahador

    2016-01-01

    Collective decision making often benefits both the individuals and the group in a variety of contexts. However, for the group to be successful, individuals should be able to strike a balance between their level of competence and their influence on the collective decisions. The hormone oxytocin has been shown to promote trust, conformism and attention to social cues. We wondered if this hormone may increase participants' (unwarranted) reliance on their partners' opinion, resulting in a reduction in collective benefit by disturbing the balance between influence and competence. To test this hypothesis we employed a randomized double-blind placebo-controlled design in which male dyads self-administered intranasal oxytocin or placebo and then performed a visual search task together. Compared to placebo, collective benefit did not decrease under oxytocin. Using an exploratory time dependent analysis, we observed increase in collective benefit over time under oxytocin. Moreover, trial-by-trial analysis showed that under oxytocin the more competent member of each dyad was less likely to change his mind during disagreements, while the less competent member showed a greater willingness to change his mind and conform to the opinion of his more reliable partner. This role-dependent effect may be mediated by enhanced monitoring of own and other's performance level under oxytocin. Such enhanced social learning could improve the balance between influence and competence and lead to efficient and beneficial collaboration.

  11. Oxytocin Effect on Collective Decision Making: A Randomized Placebo Controlled Study.

    Science.gov (United States)

    Hertz, Uri; Kelly, Maria; Rutledge, Robb B; Winston, Joel; Wright, Nicholas; Dolan, Raymond J; Bahrami, Bahador

    2016-01-01

    Collective decision making often benefits both the individuals and the group in a variety of contexts. However, for the group to be successful, individuals should be able to strike a balance between their level of competence and their influence on the collective decisions. The hormone oxytocin has been shown to promote trust, conformism and attention to social cues. We wondered if this hormone may increase participants' (unwarranted) reliance on their partners' opinion, resulting in a reduction in collective benefit by disturbing the balance between influence and competence. To test this hypothesis we employed a randomized double-blind placebo-controlled design in which male dyads self-administered intranasal oxytocin or placebo and then performed a visual search task together. Compared to placebo, collective benefit did not decrease under oxytocin. Using an exploratory time dependent analysis, we observed increase in collective benefit over time under oxytocin. Moreover, trial-by-trial analysis showed that under oxytocin the more competent member of each dyad was less likely to change his mind during disagreements, while the less competent member showed a greater willingness to change his mind and conform to the opinion of his more reliable partner. This role-dependent effect may be mediated by enhanced monitoring of own and other's performance level under oxytocin. Such enhanced social learning could improve the balance between influence and competence and lead to efficient and beneficial collaboration. PMID:27070542

  12. Investigating a training supporting shared decision making (IT'S SDM 2011): study protocol for a randomized controlled trial

    OpenAIRE

    Geiger Friedemann; Liethmann Katrin; Hoffmann Frauke; Paschedag Jutta; Kasper Jürgen

    2011-01-01

    Background Shared Decision Making (SDM) is regarded as the best practice model for the communicative challenge of decision making about treatment or diagnostic options. However, randomized controlled trials focusing the effectiveness of SDM trainings are rare and existing measures of SDM are increasingly challenged by the latest research findings. This study will 1) evaluate a new physicians' communication training regarding patient involvement in terms of SDM, 2) validate SDMMASS, a new com...

  13. Utility of admission physiology in the surgical triage of isolated ballistic battlefield torso trauma

    Directory of Open Access Journals (Sweden)

    Jonathan J Morrison

    2012-01-01

    Full Text Available Background: An assessment of hemodynamic stability is central to surgical decision-making in the management of battlefield ballistic torso trauma (BBTT. Aims: To analyse the utility of admission physiological parameters in characterising hemodynamic stability. Settings and Design: A retrospective analysis of consecutive admissions, with BBTT, to forward surgical facility in Afghanistan. Materials and Methods: The cohorts′ admission physiology, need for operative intervention, and mortality data were collected retrospectively. The cohort was divided into patients requiring surgery for Life-Threatening Torso Hemorrhage (LTTH and those not requiring immediate surgery (non-LTTH. Statistical Analysis: Parameters were compared using two sample t tests, Mann-Whitney, Fisher′s exact, and Chi-square tests. Receiver operator characteristic curves were used to identify significant parameters and determine optimum cut-off values. Results: A total of 103 patients with isolated BBTT were identified: 44 in the LTTH group and 59 in the non-LTTH group. The mean New Injury Severity Score ± Standard Deviation (NISS±SD was 28±14 and 13±12, respectively. The heart rate, systolic blood pressure (SBP, pulse pressure, shock index (SI=heart rate/SBP and base excess were analysed. SI correlated best with the need for surgical torso hemorrhage control, P<0.05. An optimal cut-off of 0.9 was identified, producing a positive and negative predictive value of 81% and 82%, respectively. Conclusions: Shock index (SI is a useful parameter for helping military surgeons triage BBTT, identifying patients requiring operative torso hemorrhage control. SI performance requires a normal physiological response to hypovolemia, and thus should always be considered in clinical context.

  14. A nuclear decision support system built with a real-time process control AI shell

    International Nuclear Information System (INIS)

    Managing large nuclear power plants is generally approached by creating separate management teams to handle major functional areas such as operations, maintenance, training and engineering. While this approach facilitates a general understanding of the specific functions and problem areas of a nuclear plant, such broad definitions diminish the integration of information needed to understand the overall problem domain. One solution utilizes a decision support system that integrates a real-time process control AI shell, relational database manager, graphic depiction of the real-time events, and distributed knowledge bases that reside within each of the departments. The goal is to create a living model between plant components, procedures, tech specs, specific functions, maintenance and training requirements. This paper describes such a model, called Engineering Model and Simulation System (EMASS)

  15. Improved Hypoxia Modeling for Nutrient Control Decisions in the Gulf of Mexico

    Science.gov (United States)

    Habib, Shahid; Pickering, Ken; Tzortziou, Maria; Maninio, Antonio; Policelli, Fritz; Stehr, Jeff

    2011-01-01

    The Gulf of Mexico Modeling Framework is a suite of coupled models linking the deposition and transport of sediment and nutrients to subsequent bio-geo chemical processes and the resulting effect on concentrations of dissolved oxygen in the coastal waters of Louisiana and Texas. Here, we examine the potential benefits of using multiple NASA remote sensing data products within this Modeling Framework for increasing the accuracy of the models and their utility for nutrient control decisions in the Gulf of Mexico. Our approach is divided into three components: evaluation and improvement of (a) the precipitation input data (b) atmospheric constituent concentrations in EPA's air quality/deposition model and (c) the calculation of algal biomass, organic carbon and suspended solids within the water quality/eutrophication models of the framework.

  16. Racism, gun ownership and gun control: biased attitudes in US whites may influence policy decisions.

    Directory of Open Access Journals (Sweden)

    Kerry O'Brien

    Full Text Available OBJECTIVE: Racism is related to policies preferences and behaviors that adversely affect blacks and appear related to a fear of blacks (e.g., increased policing, death penalty. This study examined whether racism is also related to gun ownership and opposition to gun controls in US whites. METHOD: The most recent data from the American National Election Study, a large representative US sample, was used to test relationships between racism, gun ownership, and opposition to gun control in US whites. Explanatory variables known to be related to gun ownership and gun control opposition (i.e., age, gender, education, income, conservatism, anti-government sentiment, southern vs. other states, political identification were entered in logistic regression models, along with measures of racism, and the stereotype of blacks as violent. Outcome variables included; having a gun in the home, opposition to bans on handguns in the home, support for permits to carry concealed handguns. RESULTS: After accounting for all explanatory variables, logistic regressions found that for each 1 point increase in symbolic racism there was a 50% increase in the odds of having a gun at home. After also accounting for having a gun in the home, there was still a 28% increase in support for permits to carry concealed handguns, for each one point increase in symbolic racism. The relationship between symbolic racism and opposition to banning handguns in the home (OR1.27 CI 1.03,1.58 was reduced to non-significant after accounting for having a gun in the home (OR1.17 CI.94,1.46, which likely represents self-interest in retaining property (guns. CONCLUSIONS: Symbolic racism was related to having a gun in the home and opposition to gun control policies in US whites. The findings help explain US whites' paradoxical attitudes towards gun ownership and gun control. Such attitudes may adversely influence US gun control policy debates and decisions.

  17. Just-in-time information improved decision-making in primary care: a randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Jessie McGowan

    Full Text Available BACKGROUND: The "Just-in-time Information" (JIT librarian consultation service was designed to provide rapid information to answer primary care clinical questions during patient hours. This study evaluated whether information provided by librarians to answer clinical questions positively impacted time, decision-making, cost savings and satisfaction. METHODS AND FINDING: A randomized controlled trial (RCT was conducted between October 2005 and April 2006. A total of 1,889 questions were sent to the service by 88 participants. The object of the randomization was a clinical question. Each participant had clinical questions randomly allocated to both intervention (librarian information and control (no librarian information groups. Participants were trained to send clinical questions via a hand-held device. The impact of the information provided by the service (or not provided by the service, additional resources and time required for both groups was assessed using a survey sent 24 hours after a question was submitted. The average time for JIT librarians to respond to all questions was 13.68 minutes/question (95% CI, 13.38 to 13.98. The average time for participants to respond their control questions was 20.29 minutes/question (95% CI, 18.72 to 21.86. Using an impact assessment scale rating cognitive impact, participants rated 62.9% of information provided to intervention group questions as having a highly positive cognitive impact. They rated 14.8% of their own answers to control question as having a highly positive cognitive impact, 44.9% has having a negative cognitive impact, and 24.8% with no cognitive impact at all. In an exit survey measuring satisfaction, 86% (62/72 responses of participants scored the service as having a positive impact on care and 72% (52/72 indicated that they would use the service frequently if it were continued. CONCLUSIONS: In this study, providing timely information to clinical questions had a highly positive impact on

  18. Including Life Cycle Assessment for decision-making in controlling wastewater nutrient removal systems.

    Science.gov (United States)

    Corominas, Lluís; Larsen, Henrik F; Flores-Alsina, Xavier; Vanrolleghem, Peter A

    2013-10-15

    This paper focuses on the use of Life Cycle Assessment (LCA) to evaluate the performance of seventeen control strategies in wastewater treatment plants (WWTPs). It tackles the importance of using site-specific factors for nutrient enrichment when decision-makers have to select best operating strategies. Therefore, the LCA evaluation is repeated for three different scenarios depending on the limitation of nitrogen (N), phosphorus (P), or both, when evaluating the nutrient enrichment impact in water bodies. The LCA results indicate that for treated effluent discharged into N-deficient aquatic systems (e.g. open coastal areas) the most eco-friendly strategies differ from the ones dealing with discharging into P-deficient (e.g. lakes and rivers) and N&P-deficient systems (e.g. coastal zones). More particularly, the results suggest that strategies that promote increased nutrient removal and/or energy savings present an environmental benefit for N&P and P-deficient systems. This is not the case when addressing N-deficient systems for which the use of chemicals (even for improving N removal efficiencies) is not always beneficial for the environment. A sensitivity analysis on using weighting of the impact categories is conducted to assess how value choices (policy decisions) may affect the management of WWTPs. For the scenarios with only N-limitation, the LCA-based ranking of the control strategies is sensitive to the choice of weighting factors, whereas this is not the case for N&P or P-deficient aquatic systems.

  19. A new computational account of cognitive control over reinforcement-based decision-making: Modeling of a probabilistic learning task.

    Science.gov (United States)

    Zendehrouh, Sareh

    2015-11-01

    Recent work on decision-making field offers an account of dual-system theory for decision-making process. This theory holds that this process is conducted by two main controllers: a goal-directed system and a habitual system. In the reinforcement learning (RL) domain, the habitual behaviors are connected with model-free methods, in which appropriate actions are learned through trial-and-error experiences. However, goal-directed behaviors are associated with model-based methods of RL, in which actions are selected using a model of the environment. Studies on cognitive control also suggest that during processes like decision-making, some cortical and subcortical structures work in concert to monitor the consequences of decisions and to adjust control according to current task demands. Here a computational model is presented based on dual system theory and cognitive control perspective of decision-making. The proposed model is used to simulate human performance on a variant of probabilistic learning task. The basic proposal is that the brain implements a dual controller, while an accompanying monitoring system detects some kinds of conflict including a hypothetical cost-conflict one. The simulation results address existing theories about two event-related potentials, namely error related negativity (ERN) and feedback related negativity (FRN), and explore the best account of them. Based on the results, some testable predictions are also presented. PMID:26339919

  20. A new computational account of cognitive control over reinforcement-based decision-making: Modeling of a probabilistic learning task.

    Science.gov (United States)

    Zendehrouh, Sareh

    2015-11-01

    Recent work on decision-making field offers an account of dual-system theory for decision-making process. This theory holds that this process is conducted by two main controllers: a goal-directed system and a habitual system. In the reinforcement learning (RL) domain, the habitual behaviors are connected with model-free methods, in which appropriate actions are learned through trial-and-error experiences. However, goal-directed behaviors are associated with model-based methods of RL, in which actions are selected using a model of the environment. Studies on cognitive control also suggest that during processes like decision-making, some cortical and subcortical structures work in concert to monitor the consequences of decisions and to adjust control according to current task demands. Here a computational model is presented based on dual system theory and cognitive control perspective of decision-making. The proposed model is used to simulate human performance on a variant of probabilistic learning task. The basic proposal is that the brain implements a dual controller, while an accompanying monitoring system detects some kinds of conflict including a hypothetical cost-conflict one. The simulation results address existing theories about two event-related potentials, namely error related negativity (ERN) and feedback related negativity (FRN), and explore the best account of them. Based on the results, some testable predictions are also presented.

  1. 层次型WSN中基于博弈论的能耗优化与接纳控制机制%Energy optimization and admission control based on game theory in hierarchical wireless sensor networks

    Institute of Scientific and Technical Information of China (English)

    ZHAO Ji-jun; WANG Shuo; XUE Liang; LI Zhi-hua; WEI Zhong-cheng

    2014-01-01

    Energy constraint of cluster heads is an important issue in hierarchical wireless sensor networks.This paper proposed an admission control scheme based on a non-cooperative game model to solve the problem. By defining a pricing factor in the utility funct%针对层次型无线传感器网络中簇首节点的能量受限问题,提出了一种基于非合作博弈模型的节点接纳控制机制。该机制依据簇首节点的效用函数,引入定价因子,优化了簇首数目和功率水平,并得到簇首发射功率的纳什均衡。仿真实验模拟该博弈的均衡过程,将簇首节点设为非合作博弈的参与者,对各簇首节点发射功率的决策过程进行验证。

  2. A model of human decision making in complex systems and its use for design of system control strategies

    International Nuclear Information System (INIS)

    The paper describes a model of operators' decision making in complex system control, based on studies of event reports and performance in control rooms. This study shows how operators base their decisions on knowledge of system properties at different levels of abstraction depending on their preception of the system's immediate control requirements. These levels correspond to the abstraction hierarchy including system purpose, functions, and physical details, which is generally used to describe a formal design process. In emergency situations the task of the operator is to design a suitabel control strategy for systems recovery, and the control systems designer should provide a man-machine interface, supporting the operator in identification of his task and in communication with the system at the level of abstraction corresponding to the immedite control requirement. A formalized representation of system properties in a multilevel flow model is described to provide a basis for an integrated control system design. (author)

  3. Reducing Patient Placement Errors in Emergency Department Admissions: Right Patient, Right Bed

    Directory of Open Access Journals (Sweden)

    Niels K. Rathlev

    2014-09-01

    Full Text Available Introduction: Because lack of inpatient capacity is associated with emergency department (ED crowding, more efficient bed management could potentially alleviate this problem. Our goal was to assess the impact of involving a patient placement manager (PPM early in the decision to hospitalize ED patients. The PPMs are clinically experienced registered nurses trained in the institution-specific criteria for correct unit and bed placement. Methods: We conducted two pilot studies that included all patients who were admitted to the adult hospital medicine service: 1 10/24 to 11/22/2010 (30 days; and 2 5/24 to 7/4/2011 (42 days. Each pilot study consisted of a baseline control period and a subsequent study period of equal duration. In each pilot we measured: 1 the number of “lateral transfers” or assignment errors in patient placement, 2 median length of stay (LOS for “all” and “admitted” patients and 3 inpatient occupancy. In pilot 2, we added as a measure code 44s, i.e. status change from inpatient to observation after patients are admitted, and also equipped all emergency physicians with portable phones in order to improve the efficiency of the process. Results: In pilot 1, the number of “lateral transfers” (incorrect patient placement assignments during the control period was 79 of the 854 admissions (9.3% versus 27 of 807 admissions (3.3% during the study period (P<0.001. We found no statistically significant differences in inpatient occupancy or ED LOS for “all” or for “admitted” patients. In pilot 2, the number of “lateral transfers” was 120 of 1,253 (9.6% admissions in the control period and 42 of 1,229 (3.4% admissions in the study period (P<0.001. We found a 49-minute (352 vs. 401 minutes decrease in median LOS for “admitted” ED patients during the study period compared with the control period (P=0.04. The code 44 rates, median LOS for “all” patients and inpatient occupancy did not change. Conclusion

  4. Durable decision-making is central to the control of risks

    International Nuclear Information System (INIS)

    In several capacities the author has promoted the importance of risk analysis techniques as a rational path to the improved assurance of safety. The interest in decisions arose from the persistent observation of only moderate or minor impacts or benefits to practical operations from the availability of wall documented risk analysis studies for many nuclear units. The complexity and number of variables in decisions on matters of safety of large scale operations defies ordinary intuitive decision making. The structured decision process is not a panacea, but is often the practical tool of choise for managing complexity in an orderly way. Typical basic sources for decision techniques are listed in references. (orig.)

  5. Controle de plantas daninhas em arroz irrigado mediante o momento da admissão e da altura da lâmina de água Weed control in lowland rice, using water application moment and water dephts

    Directory of Open Access Journals (Sweden)

    Enes Furlani Junior

    1995-01-01

    Full Text Available Este trabalho, desenvolvido ao nível de campo, na Fazenda Experimental Edgárdia, da Faculdade de Ciências Agronômicas da UNESP, Botucatu, no ano agrícola 1990/91, objetivou avaliar os efeitos do momento de admissão da água e da altura da lâmina de água sobre o desenvolvimento das plantas daninhas e os reflexos sobre as de arroz. O delineamento experimental usado foi de blocos ao acaso com parcelas subsubdivididas. Às parcelas, corresponderam os momentos de admissão de água M1, M2 e M3, respectivamente, 15, 42 e 74 dias após a emergência das plantas de arroz. As subparcelas corresponderam às alturas das lâminas de água L5, L10 e L15, respectivamente, 5, 10 e 15 cm e as subsubparcelas, a dois sistemas de condução: com capina (cc e sem capina (sc. Verificou-se que o desenvolvimento das plantas daninhas foi afetado tanto pelo momento de admissão de água como pela altura da lâmina de água sendo a produção de grãos reduzida 61,5% devido à competição das plantas daninhas com a cultura.This research was carried out at the "Experimental Edgárdia Farm" - State of São Paulo University, Campus of Botucatu - Brazil, during the growing season of 1990/91. The objective was to evaluate the effect of water depths and the beginning of water application on the weed development and rice yield. Three water dephts (5, 10 and 15 cm; three water application moments (15, 42 and 74 days after crop emergence and weed management (weeded and unweeded were tested in a randomized complete block design, arranged in split-splitplots. The moments were the main plots; the water depths, the splitplots and the weed management, the split-splitplots. The weed development was affected by the water depths and water application moments. The grain yield was reduced in 61.5% by the weed competition with the rice crop.

  6. A decision aid to assist decisions on disclosure of mental health status to an employer: protocol for the CORAL exploratory randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Henderson Claire

    2012-08-01

    Full Text Available Abstract Background The UK Equality Act 2010 makes it unlawful for employers to ask health questions before making an offer of employment except in certain circumstances. While the majority of employers would prefer applicants to disclose a mental illness at the application stage, many people either wait until they have accepted the job and then disclose to an occupational health professional, or do not do so at all due to the anticipation of discrimination or a wish for privacy. However, non disclosure precludes the ability to request reasonable adjustments in the workplace or to make a claim of direct discrimination. Disclosure to employers is therefore a difficult decision. A recent pilot study by our group of the CORAL decision aid showed that it helped mental health service users clarify their needs and values regarding disclosure and led to reduction in decisional conflict. The present proof of concept trial aims to determine whether a full scale randomised controlled trial (RCT is justifiable and feasible, and to optimise its design. Methods In this single blind exploratory RCT in London, a total of 80 participants (inclusion criteria: age ≥18 years, on the caseload of a specialist employment adviser working with people with mental illness; referred to the adviser either from primary care via Improving Access to Psychological Therapies or secondary mental health service; currently seeking or interested in either paid or voluntary employment, and a Decisional Conflict Scale score of 37.5 or greater and stage of decision score 1–5 will be recruited from vocational advice services. After completing a baseline assessment, participants will be randomly assigned to one of two conditions (1 Use of the CORAL Decision Aid (DA in addition to treatment as usual or (2 Treatment as usual. Those allocated to the DA condition will be given it to read and complete, and the researcher will be present to record the time taken and any content that

  7. Risk factors for pediatric intensive care admission in children with acute asthma

    NARCIS (Netherlands)

    G.E. van den Bosch (Gerbrich); P.J.F.M. Merkus (Peter); C.M.P. Buysse (Corinne); A.L. Boehmer; A.A.P.H. Vaessen-Verberne (Anja); L. van Veen (Leoniek); W.C.J. Hop (Wim); M. de Hoog (Matthijs)

    2012-01-01

    textabstractINTRODUCTION: Severe acute asthma in children is associated with substantial morbidity and may require pediatric ICU (PICU) admission. The aim of the study was to determine risk factors for PICU admission. METHODS: The study used a retrospective multicenter case-control design. The cases

  8. Risk factors for pediatric intensive care admission in children with acute asthma.

    NARCIS (Netherlands)

    Bosch, G.E. van den; Merkus, P.J.F.M.; Buysse, C.M.; Boehmer, A.L.; Vaessen-Verberne, A.A.; Veen, L.N. van; Hop, W.C.J.; Hoog, M. de

    2012-01-01

    INTRODUCTION: Severe acute asthma in children is associated with substantial morbidity and may require pediatric ICU (PICU) admission. The aim of the study was to determine risk factors for PICU admission. METHODS: The study used a retrospective multicenter case-control design. The cases included ch

  9. Nuclear receptor NR5A2 controls neural stem cell fate decisions during development

    Science.gov (United States)

    Stergiopoulos, Athanasios; Politis, Panagiotis K.

    2016-01-01

    The enormous complexity of mammalian central nervous system (CNS) is generated by highly synchronized actions of diverse factors and signalling molecules in neural stem/progenitor cells (NSCs). However, the molecular mechanisms that integrate extrinsic and intrinsic signals to control proliferation versus differentiation decisions of NSCs are not well-understood. Here we identify nuclear receptor NR5A2 as a central node in these regulatory networks and key player in neural development. Overexpression and loss-of-function experiments in primary NSCs and mouse embryos suggest that NR5A2 synchronizes cell-cycle exit with induction of neurogenesis and inhibition of astrogliogenesis by direct regulatory effects on Ink4/Arf locus, Prox1, a downstream target of proneural genes, as well as Notch1 and JAK/STAT signalling pathways. Upstream of NR5a2, proneural genes, as well as Notch1 and JAK/STAT pathways control NR5a2 endogenous expression. Collectively, these observations render NR5A2 a critical regulator of neural development and target gene for NSC-based treatments of CNS-related diseases. PMID:27447294

  10. TWRS FSAR integrated control decision meetings - January 22 - 31,1997

    Energy Technology Data Exchange (ETDEWEB)

    Saladin, V.L.

    1997-03-17

    U.S. Department of Energy (DOE), Richland Operations Office (RL) letter 97-MSD-163 dated January 15, 1997, directed the Project Hanford Management Contractor (Contractor), Fluor Daniel Hanford, inc., to form a joint RL-Contractor Integrated Control Decision Team (ICDT) to evaluate the Tank Waste Remediation System (TWRS) Final Safety Analysis Report (FSAR) accident scenarios that were identified to be above the risk evaluation guidelines (radiological and/or toxicological) defined by the April 8, 1996, letter from J. Kinzer, RL-TWRS (96-MSO-069) to Dr. A. L. Trego, Westinghouse Hanford Company. The ICDT evaluated six postulated accidents from the draft FSAR which had analyzed consequences above the DOE directed risk evaluation guidelines after controls were applied. The accidents were: (1) Organic Solvent Fires; (2) Organic Salt-Nitrate Fire; (3) Spray Leak; (4) Flammable Gas; (5) Steam Intrusion; and (6) Seismic Event. Five of the postulated accidents exceed radiological risk guidelines. Although the postulated steam intrusion accident does not exceed the radiological risk guidelines, it was considered in the ICDT evaluation because its calculated consequences exceed toxicological risk evaluation guidelines. Figure 1 delineates the mitigated and unmitigated risk evaluations performed for the FSAR.

  11. A BMP regulatory network controls ectodermal cell fate decisions at the neural plate border.

    Science.gov (United States)

    Reichert, Sabine; Randall, Rebecca A; Hill, Caroline S

    2013-11-01

    During ectodermal patterning the neural crest and preplacodal ectoderm are specified in adjacent domains at the neural plate border. BMP signalling is required for specification of both tissues, but how it is spatially and temporally regulated to achieve this is not understood. Here, using a transgenic zebrafish BMP reporter line in conjunction with double-fluorescent in situ hybridisation, we show that, at the beginning of neurulation, the ventral-to-dorsal gradient of BMP activity evolves into two distinct domains at the neural plate border: one coinciding with the neural crest and the other abutting the epidermis. In between is a region devoid of BMP activity, which is specified as the preplacodal ectoderm. We identify the ligands required for these domains of BMP activity. We show that the BMP-interacting protein Crossveinless 2 is expressed in the BMP activity domains and is under the control of BMP signalling. We establish that Crossveinless 2 functions at this time in a positive-feedback loop to locally enhance BMP activity, and show that it is required for neural crest fate. We further demonstrate that the Distal-less transcription factors Dlx3b and Dlx4b, which are expressed in the preplacodal ectoderm, are required for the expression of a cell-autonomous BMP inhibitor, Bambi-b, which can explain the specific absence of BMP activity in the preplacodal ectoderm. Taken together, our data define a BMP regulatory network that controls cell fate decisions at the neural plate border.

  12. A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol

    Directory of Open Access Journals (Sweden)

    Griffiths Jeff

    2007-10-01

    Full Text Available Abstract Background Informed decision making is the theoretical basis in the UK for men's decisions about Prostate Specific Antigen (PSA testing for prostate cancer testing. The aim of this study is to evaluate the effect of a web-based PSA decision-aid, Prosdex, on informed decision making in men. The objective is to assess the effect of Prosdex on six specific outcomes: (i knowledge of PSA and prostate cancer-related issues – the principal outcome of the study; (ii attitudes to testing; (iii decision conflict; (iv anxiety; (v intention to undergo PSA testing; (vi uptake of PSA testing. In addition, a mathematical simulation model of the effects of Prosdex will be developed. Methods A randomised controlled trial with four groups: two intervention groups, one viewing Prosdex and the other receiving a paper version of the site; two control groups, the second controlling for the potential Hawthorn effect of the questionnaire used with the first control group. Men between the ages of 50 and 75, who have not previously had a PSA test, will be recruited from General Practitioners (GPs in Wales, UK. The principal outcome, knowledge, and four other outcome measures – attitudes to testing, decision conflict, anxiety and intention to undergo testing – will be measured with an online questionnaire, used by men in three of the study groups. Six months later, PSA test uptake will be ascertained from GP records; the online questionnaire will then be repeated. These outcomes, and particularly PSA test uptake, will be used to develop a mathematical simulation model, specifically to consider the impact on health service resources. Trial registration Current Controlled Trial: ISRCTN48473735.

  13. Investigating a training supporting shared decision making (IT'S SDM 2011: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Geiger Friedemann

    2011-10-01

    Full Text Available Background Shared Decision Making (SDM is regarded as the best practice model for the communicative challenge of decision making about treatment or diagnostic options. However, randomized controlled trials focusing the effectiveness of SDM trainings are rare and existing measures of SDM are increasingly challenged by the latest research findings. This study will 1 evaluate a new physicians' communication training regarding patient involvement in terms of SDM, 2 validate SDMMASS, a new compound measure of SDM, and 3 evaluate the effects of SDM on the perceived quality of the decision process and on the elaboration of the decision. Methods In a multi-center randomized controlled trial with a waiting control group, 40 physicians from 7 medical fields are enrolled. Each physician contributes a sequence of four medical consultations including a diagnostic or treatment decision. The intervention consists of two condensed video-based individual coaching sessions (15min. supported by a manual and a DVD. The interventions alternate with three measurement points plus follow up (6 months. Realized patient involvement is measured using the coefficient SDMMASS drawn from the Multifocal Approach to the Sharing in SDM (MAPPIN'SDM which includes objective involvement, involvement as perceived by the patient, and the doctor-patient concordance regarding their judges of the involvement. For validation purposes, all three components of SDMMASS are supplemented by similar measures, the OPTION observer scale, the Shared Decision Making Questionnaire (SDM-Q and the dyadic application of the Decisional Conflict Scale (DCS. Training effects are analyzed using t-tests. Spearman correlation coefficients are used to determine convergent validities, the influence of involvement (SDMMASS on the perceived decision quality (DCS and on the elaboration of the decision. The latter is operationalised by the ELAB coefficient from the UP24 (Uncertainty Profile, 24 items version

  14. Seasonal variations in hospital admissions for mania

    DEFF Research Database (Denmark)

    Medici, Clara Reece; Vestergaard, Claus Høstrup; Hadzi-Pavlovic, Dusan;

    2016-01-01

    BACKGROUND: Bipolar disorder is characterized by a seasonal pattern with emerging evidence that weather conditions may trigger symptoms. Thus, our aims were to investigate if year-to-year variations in admissions with mania correlated with year-to-year variations in key meteorological variables...... Central Research Register. The Danish Meteorological Institute provided the meteorological variables. The association between weather and admissions was tested using linear regression. RESULTS: Our database comprised 24,313 admissions with mania. There was a seasonal pattern with admission rates peaking...

  15. The supportive effect of patterns in architecture decision recovery-A controlled experiment

    NARCIS (Netherlands)

    Heesch, Uwe van; Avgeriou, Paris; Zdun, Uwe; Harrison, Neil

    2012-01-01

    The documentation of software architectural design decisions is important to help people understand the system and the rationale behind architectural solutions. In practice, the documentation of such decisions is regularly done after the fact, or skipped completely. To support software maintenance a

  16. The Interplay between Information and Control Theory within Interactive Decision-Making Problems

    Science.gov (United States)

    Gorantla, Siva Kumar

    2012-01-01

    The context for this work is two-agent team decision systems. An "agent" is an intelligent entity that can measure some aspect of its environment, process information and possibly influence the environment through its action. In a collaborative two-agent team decision system, the agents can be coupled by noisy or noiseless interactions…

  17. Efficiently Establishing Concepts of Inferential Statistics and Hypothesis Decision Making through Contextually Controlled Equivalence Classes

    Science.gov (United States)

    Fienup, Daniel M.; Critchfield, Thomas S.

    2010-01-01

    Computerized lessons that reflect stimulus equivalence principles were used to teach college students concepts related to inferential statistics and hypothesis decision making. Lesson 1 taught participants concepts related to inferential statistics, and Lesson 2 taught them to base hypothesis decisions on a scientific hypothesis and the direction…

  18. Performing under pressure: gaze control, decision making and shooting performance of elite and rookie police officers.

    Science.gov (United States)

    Vickers, Joan N; Lewinski, William

    2012-02-01

    Gaze of elite (E) and rookie (R) officers were analyzed as they faced a potentially lethal encounter that required use of a handgun, or inhibition of the shot when a cell phone was drawn. The E shot more accurately than the R (E 74.60%; R 53.80%) and made fewer decisions errors in the cell condition when 18.50% of E and 61.50% of R fired at the assailant. E and R did not differ in duration of the draw/aim/fire phases, but the R's motor onsets were later, during the final second compared to the E's final 2.5 s. Across the final six fixations the E increased the percent of fixations on the assailant's weapon/cell to 71% and to 86% on hits, compared to a high of 34% for the R. Before firing, the R made a rapid saccade to their own weapon on 84% of trials leading to a failure to fixate the assailant on 50% of trials as they fired. Compared to the R, the E had a longer quiet eye duration on the assailant's weapon/cell prior to firing. The results provide new insights into officer weapon focus, firearms training and the role of optimal gaze control when under extreme pressure. PMID:21807433

  19. Optimal Decision for Fashion Supply Chains with Service Level Constraint and Controllable Lead Time

    Directory of Open Access Journals (Sweden)

    Guo Li

    2015-01-01

    Full Text Available We study a two-echelon supply chain inventory model with controllable lead time and service level constraint in fashion supply chains, in which we assume that the unit cost of compressing lead time follows exponential distribution. Under these conditions we investigate the optimal ordering quantity and production quantity in the fashion supply chain by minimizing the joint total cost. Simultaneously, we work out the boundaries of ordering quantity and production quantity, which simplify the computation. Furthermore, numerical examples are presented to test the feasibility of the model. The results show that assuming the unit cost of compressing lead time in accordance with exponential distribution is realistic. It also notices that the optimal order and production decision for fashion supply chains are constrained obviously by the service level and safety factors. What is more, the holding cost rate of both the service level and safety factors has a certain influence on it. And by further analyzing on some references in the last part, we have done some extensions and found some interesting results.

  20. ANALYSIS AND SYNTHESIS OF A DECISION SUPPORT SYSTEM WITHIN MEDICALECONOMIC PREFERENTIAL DRUGS PRESCRIPTION CONTROL

    Directory of Open Access Journals (Sweden)

    Koshkarov A. A.

    2016-05-01

    Full Text Available There are about 575 thousand of citizens in the Krasnodar Region that are entitled to a preferential medical maintenance in accordance with the Federal Law of 17.07.1999 (№178-FZ "On state social assistance." About 120 thousand of preferential prescriptions for 150 thousand of medicines are serviced per month. In order to make the drugs prescription process based exceptionally on real medical indications in accordance with modern concepts of medical service quality it is necessary to plan the medical-economic drugs prescription validity control (MEC. The work proposes the analysis and synthesis method of decision support system (DSS modules for automation the selection of drugs prescription and medicinal maintenance cases, concerning the federal benefit recipients, while performing the MEC. DSS allows medical experts to estimate the efficiency of federal funds costs, that are spent on the preferential medicinal maintenance, moreover, it can serve as a basis for future purchases planning, as well as to correct and improve the efficiency of medical prescriptions. The DSS was developed in accordance with the approved procedure of information exchange in the Krasnodar Region; it involves the integration with existing systems. Furthermore, as the federal register of persons, entitled to the state social assistance, has common formats among all the Russian Federation subjects, the developed system can be easily adapted in other regions

  1. Effects of a Web-Based Decision Aid Regarding Diagnostic Self-Testing. A Single-Blind Randomized Controlled Trial

    Science.gov (United States)

    Ickenroth, Martine H. P.; Grispen, J. E. J.; de Vries, N. K.; Dinant, G. J.; Ronda, G.; van der Weijden, T.

    2016-01-01

    Currently, there are many diagnostic self-tests on body materials available to consumers. The aim of this study was to assess the effect of an online decision aid on diagnostic self-testing for cholesterol and diabetes on knowledge among consumers with an intention to take these tests. A randomized controlled trial was designed. A total of 1259…

  2. Agency Decision-Making Control and Employment Outcomes by Vocational Rehabilitation Consumers Who Are Blind or Visually Impaired

    Science.gov (United States)

    Steinman, Bernard A.; Kwan, Ngai; Boeltzig-Brown, Heike; Haines, Kelly; Halliday, John; Foley, Susan M.

    2013-01-01

    Introduction: We hypothesized that consumers who are blind or visually impaired (that is, those who have low vision) who were served by state vocational rehabilitation agencies with decision-making control over administrative functions would experience better vocational rehabilitation outcomes than consumers served by vocational rehabilitation…

  3. Distributed multisensor processing, decision making, and control under constrained resources for remote health and environmental monitoring

    Science.gov (United States)

    Talukder, Ashit; Sheikh, Tanwir; Chandramouli, Lavanya

    2004-04-01

    Previous field-deployable distributed sensing systems for health/biomedical applications and environmental sensing have been designed for data collection and data transmission at pre-set intervals, rather than for on-board processing These previous sensing systems lack autonomous capabilities, and have limited lifespans. We propose the use of an integrated machine learning architecture, with automated planning-scheduling and resource management capabilities that can be used for a variety of autonomous sensing applications with very limited computing, power, and bandwidth resources. We lay out general solutions for efficient processing in a multi-tiered (three-tier) machine learning framework that is suited for remote, mobile sensing systems. Novel dimensionality reduction techniques that are designed for classification are used to compress each individual sensor data and pass only relevant information to the mobile multisensor fusion module (second-tier). Statistical classifiers that are capable of handling missing/partial sensory data due to sensor failure or power loss are used to detect critical events and pass the information to the third tier (central server) for manual analysis and/or analysis by advanced pattern recognition techniques. Genetic optimisation algorithms are used to control the system in the presence of dynamic events, and also ensure that system requirements (i.e. minimum life of the system) are met. This tight integration of control optimisation and machine learning algorithms results in a highly efficient sensor network with intelligent decision making capabilities. The applicability of our technology in remote health monitoring and environmental monitoring is shown. Other uses of our solution are also discussed.

  4. Should the MCAT exam be used for medical school admissions in Canada?

    Science.gov (United States)

    Eskander, Antoine; Shandling, Maureen; Hanson, Mark D

    2013-05-01

    In light of the structural and content changes to the Medical College Admission Test (MCAT) to be implemented in 2015 and the recent diversity- and social-accountability-based recommendations of the Future of Medical Education in Canada (FMEC) project, the authors review and reexamine the use of the MCAT exam in Canadian medical school admissions decisions.This Perspective article uses a point-counterpoint format to discuss three main advantages and disadvantages of using the MCAT exam in the medical school admissions process, from a Canadian perspective. The authors examine three questions regarding the FMEC recommendations and the revised MCAT exam: (1) Is the MCAT exam equal and useful in Canadian admissions? (2) Does the MCAT exam affect matriculant diversity? and (3) Is the MCAT exam a strong predictor of future performance? They present the most recent arguments and evidence for and against use of the MCAT exam, with the purpose of summarizing these different perspectives for readers.

  5. Vital Signs Predict Rapid-Response Team Activation within Twelve Hours of Emergency Department Admission

    Directory of Open Access Journals (Sweden)

    James M. Walston

    2016-05-01

    Full Text Available Introduction: Rapid-response teams (RRTs are interdisciplinary groups created to rapidly assess and treat patients with unexpected clinical deterioration marked by decline in vital signs. Traditionally emergency department (ED disposition is partially based on the patients’ vital signs (VS at the time of hospital admission. We aimed to identify which patients will have RRT activation within 12 hours of admission based on their ED VS, and if their outcomes differed. Methods: We conducted a case-control study of patients presenting from January 2009 to December 2012 to a tertiary ED who subsequently had RRT activations within 12 hours of admission (early RRT activations. The medical records of patients 18 years and older admitted to a non-intensive care unit (ICU setting were reviewed to obtain VS at the time of ED arrival and departure, age, gender and diagnoses. Controls were matched 1:1 on age, gender, and diagnosis. We evaluated VS using cut points (lowest 10%, middle 80% and highest 10% based on the distribution of VS for all patients. Our study adheres to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology guidelines for reporting observational studies. Results: A total of 948 patients were included (474 cases and 474 controls. Patients who had RRT activations were more likely to be tachycardic (odds ratio [OR] 2.02, 95% CI [1.25-3.27], tachypneic (OR 2.92, 95% CI [1.73-4.92], and had lower oxygen saturations (OR 2.25, 95% CI [1.42-3.56] upon arrival to the ED. Patients who had RRT activations were more likely to be tachycardic at the time of disposition from the ED (OR 2.76, 95% CI [1.65-4.60], more likely to have extremes of systolic blood pressure (BP (OR 1.72, 95% CI [1.08-2.72] for low BP and OR 1.82, 95% CI [1.19-2.80] for high BP, higher respiratory rate (OR 4.15, 95% CI [2.44-7.07] and lower oxygen saturation (OR 2.29, 95% CI [1.43-3.67]. Early RRT activation was associated with increased healthcare

  6. Business Intelligence Framework in Higher Education Admission Center (HEAC

    Directory of Open Access Journals (Sweden)

    Maryam Humaid Alwashahi

    2015-12-01

    Full Text Available - In recent year found that many organizations used Business Intelligence (BI in most of sectors in order to gather, consolidating, analyzing , and providing access to data to provide better decision-making to be faster than ever before by providing the right information to the right people at the right Time. This paper proposes Business Intelligence (BI framework for Higher Education Admission Centre (HEAC to simplify and integrate business critical data of a multi-schema database by using an Active database approach uses active rules, called EventCondition-Action (ECA rules. This paper explores the problem in HEAC, BI overview, BI component, BI features, BI framework, active DB.

  7. The Terms and Tasks of "Open Admissions"

    Science.gov (United States)

    Scott, Robert A.

    1976-01-01

    Noting the need to define the terms used for policies which are changing the role of admissions offices, the author defines "open admissions" as "universal opportunity for post-secondary schooling" and points out changes in the core tasks of recruiting, selecting, counseling, and management of student records and data. (JT)

  8. Admissibility under extension of number fields

    CERN Document Server

    Danny, Neftin

    2009-01-01

    A finite group G is K-admissible if there is a G-crossed product K-division algebra. In this manuscript we study the behavior of admissibility under extension of number fields M/K. While tame admissibility goes down, wild admissibility goes up: if G is a wildly K-admissible p-group, for an odd prime p, having the Grunwald-Neukirch (GN) property over M, then G is also wildly M-admissible. We generalize this statement to odd order groups $G$ with the GN-property over M, provided that the extension locally avoids a certain list of 29 sensitive extensions. On the other hand, we give an example of a quadratic extension M/K with a 2-group which is wildly K-admissible, and not even M-preadmissible. We also consider eight possible notions of being M-admissible with respect to a subfield K, where the field of definition of the division algebra, the maximal subfield or the Galois group is asserted to be $K$. We provide counterexamples for each implication between these notions which is not proved in the text.

  9. Grade Inflation and Law School Admissions

    Science.gov (United States)

    Wongsurawat, Winai

    2008-01-01

    Purpose: The purpose of this paper is to evaluate the evidence on whether grade inflation has led to an increasing emphasis on standardized test scores as a criterion for law school admissions. Design/methodology/approach: Fit probabilistic models to admissions data for American law schools during the mid to late 1990s, a period during which…

  10. Alphabetical Order Effects in School Admissions

    Science.gov (United States)

    Jurajda, Štepán; Münich, Daniel

    2016-01-01

    If school admission committees use alphabetically sorted lists of applicants in their evaluations, one's position in the alphabet according to last name initial may be important in determining access to selective schools. Jurajda and Münich (2010) "Admission to Selective Schools, Alphabetically". "Economics of Education…

  11. Out of control mortality matters: the effect of perceived uncontrollable mortality risk on a health-related decision

    Directory of Open Access Journals (Sweden)

    Gillian V. Pepper

    2014-06-01

    Full Text Available Prior evidence from the public health literature suggests that both control beliefs and perceived threats to life are important for health behaviour. Our previously presented theoretical model generated the more specific hypothesis that uncontrollable, but not controllable, personal mortality risk should alter the payoff from investment in health protection behaviours. We carried out three experiments to test whether altering the perceived controllability of mortality risk would affect a health-related decision. Experiment 1 demonstrated that a mortality prime could be used to alter a health-related decision: the choice between a healthier food reward (fruit and an unhealthy alternative (chocolate. Experiment 2 demonstrated that it is the controllability of the mortality risk being primed that generates the effect, rather than mortality risk per se. Experiment 3 showed that the effect could be seen in a surreptitious experiment that was not explicitly health related. Our results suggest that perceptions about the controllability of mortality risk may be an important factor in people’s health-related decisions. Thus, techniques for adjusting perceptions about mortality risk could be important tools for use in health interventions. More importantly, tackling those sources of mortality that people perceive to be uncontrollable could have a dual purpose: making neighbourhoods and workplaces safer would have the primary benefit of reducing uncontrollable mortality risk, which could lead to a secondary benefit from improved health behaviours.

  12. Controlling equine influenza: policy networks and decision-making during the 2007 Australian equine influenza outbreak.

    Science.gov (United States)

    Schemann, K; Gillespie, J A; Toribio, J-A L M L; Ward, M P; Dhand, N K

    2014-10-01

    Rapid, evidence-based decision-making is critical during a disease outbreak response; however, compliance by stakeholders is necessary to ensure that such decisions are effective - especially if the response depends on voluntary action. This mixed method study evaluated technical policy decision-making processes during the 2007 outbreak of equine influenza in Australia by identifying and analysing the stakeholder network involved and the factors driving policy decision-making. The study started with a review of the outbreak literature and published policy documents. This identified six policy issues regarding policy modifications or differing interpretations by different state agencies. Data on factors influencing the decision-making process for these six issues and on stakeholder interaction were collected using a pre-tested, semi-structured questionnaire. Face-to-face interviews were conducted with 24 individuals representing 12 industry and government organizations. Quantitative data were analysed using social network analysis. Qualitative data were coded and patterns matched to test a pre-determined general theory using a method called theory-oriented process-tracing. Results revealed that technical policy decisions were framed by social, political, financial, strategic and operational considerations. Industry stakeholders had influence through formal pre-existing channels, yet specific gaps in stakeholder interaction were overcome by reactive alliances formed during the outbreak response but outside the established system. Overall, the crisis management system and response were seen as positive, and 75-100% of individuals interviewed were supportive of, had interest in and considered the outcome as good for the majority of policy decisions, yet only 46-75% of those interviewed considered that they had influence on these decisions. Training to increase awareness and knowledge of emergency animal diseases (EADs) and response systems will improve stakeholder

  13. Controlling equine influenza: policy networks and decision-making during the 2007 Australian equine influenza outbreak.

    Science.gov (United States)

    Schemann, K; Gillespie, J A; Toribio, J-A L M L; Ward, M P; Dhand, N K

    2014-10-01

    Rapid, evidence-based decision-making is critical during a disease outbreak response; however, compliance by stakeholders is necessary to ensure that such decisions are effective - especially if the response depends on voluntary action. This mixed method study evaluated technical policy decision-making processes during the 2007 outbreak of equine influenza in Australia by identifying and analysing the stakeholder network involved and the factors driving policy decision-making. The study started with a review of the outbreak literature and published policy documents. This identified six policy issues regarding policy modifications or differing interpretations by different state agencies. Data on factors influencing the decision-making process for these six issues and on stakeholder interaction were collected using a pre-tested, semi-structured questionnaire. Face-to-face interviews were conducted with 24 individuals representing 12 industry and government organizations. Quantitative data were analysed using social network analysis. Qualitative data were coded and patterns matched to test a pre-determined general theory using a method called theory-oriented process-tracing. Results revealed that technical policy decisions were framed by social, political, financial, strategic and operational considerations. Industry stakeholders had influence through formal pre-existing channels, yet specific gaps in stakeholder interaction were overcome by reactive alliances formed during the outbreak response but outside the established system. Overall, the crisis management system and response were seen as positive, and 75-100% of individuals interviewed were supportive of, had interest in and considered the outcome as good for the majority of policy decisions, yet only 46-75% of those interviewed considered that they had influence on these decisions. Training to increase awareness and knowledge of emergency animal diseases (EADs) and response systems will improve stakeholder

  14. Radical Decisions in Cancer: Redox Control of Cell Growth and Death

    International Nuclear Information System (INIS)

    Free radicals play a key role in many physiological decisions in cells. Since free radicals are toxic to cellular components, it is known that they cause DNA damage, contribute to DNA instability and mutation and thus favor carcinogenesis. However, nowadays it is assumed that free radicals play a further complex role in cancer. Low levels of free radicals and steady state levels of antioxidant enzymes are responsible for the fine tuning of redox status inside cells. A change in redox state is a way to modify the physiological status of the cell, in fact, a more reduced status is found in resting cells while a more oxidative status is associated with proliferative cells. The mechanisms by which redox status can change the proliferative activity of cancer cells are related to transcriptional and posttranscriptional modifications of proteins that play a critical role in cell cycle control. Since cancer cells show higher levels of free radicals compared with their normal counterparts, it is believed that the anti-oxidative stress mechanism is also increased in cancer cells. In fact, the levels of some of the most important antioxidant enzymes are elevated in advanced status of some types of tumors. Anti-cancer treatment is compromised by survival mechanisms in cancer cells and collateral damage in normal non-pathological tissues. Though some resistance mechanisms have been described, they do not yet explain why treatment of cancer fails in several tumors. Given that some antitumoral treatments are based on the generation of free radicals, we will discuss in this review the possible role of antioxidant enzymes in the survival mechanism in cancer cells and then, its participation in the failure of cancer treatments

  15. Redundancy, Discrimination and Corruption in the Multibillion-Dollar Business of College Admissions Testing

    Science.gov (United States)

    Rizzo, Monica Ellen

    2012-01-01

    Most American colleges and universities require standardized entrance exams when making admissions decisions. Scores on these exams help determine if, when and where students will be allowed to pursue higher education. These scores are also used to determine eligibility for merit based financial aid. This testing persists even though half of the…

  16. Does Grade Inflation Affect the Credibility of Grades? Evidence from US Law School Admissions

    Science.gov (United States)

    Wongsurawat, Winai

    2009-01-01

    While the nature and causes of university grade inflation have been extensively studied, little empirical research on the consequence of this phenomenon is currently available. The present study uses data for 48 US law schools to analyze admission decisions in 1995, 2000, and 2007, a period during which university grade inflation appears to have…

  17. Consciência situacional, tomada de decisão e modos de controle cognitivo em ambientes complexos Situation awareness, decision making, and cognitive control in complex environments

    Directory of Open Access Journals (Sweden)

    Éder Henriqson

    2009-01-01

    Full Text Available O presente trabalho tem como objetivo analisar a consciência situacional, os processos de tomada de decisão naturalística e os modos de controle cognitivo utilizados por pilotos de aeronaves em um experimento em simulador de voo. Dessa forma, diferentes situações foram propostas durante a simulação objetivando o estudo da consciência situacional e tomada de decisão dos tripulantes. As ações dos participantes foram investigadas e classificadas de acordo com o modelo de controle cognitivo proposto. Os resultados sugerem que os fatores de complexidade contextual afetam a gestão da dificuldade, influenciando a consciência situacional, a tomada de decisão e os modos de controle cognitivo dos pilotos.This work aims to analyze situation awareness, natural decision-making processes and cognitive control modes used by airplane pilots in a flight simulator experiment. In this way, different situations during flight simulation were considered in order to study the crew's situation awareness and natural decision-making. The participants' actions were investigated and classified according to the cognitive control model proposed. Results suggest that context complexity factors affect difficulty management, influencing situation awareness, decision-making and pilots' cognitive control modes.

  18. The decision to engage cognitive control is driven by expected reward-value: neural and behavioral evidence.

    Directory of Open Access Journals (Sweden)

    Matthew L Dixon

    Full Text Available Cognitive control is a fundamental skill reflecting the active use of task-rules to guide behavior and suppress inappropriate automatic responses. Prior work has traditionally used paradigms in which subjects are told when to engage cognitive control. Thus, surprisingly little is known about the factors that influence individuals' initial decision of whether or not to act in a reflective, rule-based manner. To examine this, we took three classic cognitive control tasks (Stroop, Wisconsin Card Sorting Task, Go/No-Go task and created novel 'free-choice' versions in which human subjects were free to select an automatic, pre-potent action, or an action requiring rule-based cognitive control, and earned varying amounts of money based on their choices. Our findings demonstrated that subjects' decision to engage cognitive control was driven by an explicit representation of monetary rewards expected to be obtained from rule-use. Subjects rarely engaged cognitive control when the expected outcome was of equal or lesser value as compared to the value of the automatic response, but frequently engaged cognitive control when it was expected to yield a larger monetary outcome. Additionally, we exploited fMRI-adaptation to show that the lateral prefrontal cortex (LPFC represents associations between rules and expected reward outcomes. Together, these findings suggest that individuals are more likely to act in a reflective, rule-based manner when they expect that it will result in a desired outcome. Thus, choosing to exert cognitive control is not simply a matter of reason and willpower, but rather, conforms to standard mechanisms of value-based decision making. Finally, in contrast to current models of LPFC function, our results suggest that the LPFC plays a direct role in representing motivational incentives.

  19. The decision to engage cognitive control is driven by expected reward-value: neural and behavioral evidence.

    Science.gov (United States)

    Dixon, Matthew L; Christoff, Kalina

    2012-01-01

    Cognitive control is a fundamental skill reflecting the active use of task-rules to guide behavior and suppress inappropriate automatic responses. Prior work has traditionally used paradigms in which subjects are told when to engage cognitive control. Thus, surprisingly little is known about the factors that influence individuals' initial decision of whether or not to act in a reflective, rule-based manner. To examine this, we took three classic cognitive control tasks (Stroop, Wisconsin Card Sorting Task, Go/No-Go task) and created novel 'free-choice' versions in which human subjects were free to select an automatic, pre-potent action, or an action requiring rule-based cognitive control, and earned varying amounts of money based on their choices. Our findings demonstrated that subjects' decision to engage cognitive control was driven by an explicit representation of monetary rewards expected to be obtained from rule-use. Subjects rarely engaged cognitive control when the expected outcome was of equal or lesser value as compared to the value of the automatic response, but frequently engaged cognitive control when it was expected to yield a larger monetary outcome. Additionally, we exploited fMRI-adaptation to show that the lateral prefrontal cortex (LPFC) represents associations between rules and expected reward outcomes. Together, these findings suggest that individuals are more likely to act in a reflective, rule-based manner when they expect that it will result in a desired outcome. Thus, choosing to exert cognitive control is not simply a matter of reason and willpower, but rather, conforms to standard mechanisms of value-based decision making. Finally, in contrast to current models of LPFC function, our results suggest that the LPFC plays a direct role in representing motivational incentives. PMID:23284730

  20. Experimental Investigation of Performance, Flow Interactions and Rotor Forcing in Axial Partial Admission Turbines

    OpenAIRE

    Fridh, Jens

    2012-01-01

    The thesis comprises a collection of four papers with preceding summary and supplementary appendices. The core investigation solely is of experimental nature although reference and comparisons with numerical models will be addressed. The first admission stage in an industrial steam turbine is referred to as the control stage if partial admission is applied. In order to achieve high part load efficiency and a high control stage output it is routinely applied in industrial steam turbines used i...

  1. Weather, season, and daily stroke admissions in Hong Kong

    Science.gov (United States)

    Goggins, William B.; Woo, Jean; Ho, Suzanne; Chan, Emily Y. Y.; Chau, P. H.

    2012-09-01

    Previous studies examining daily temperature and stroke incidence have given conflicting results. We undertook this retrospective study of all stroke admissions in those aged 35 years old and above to Hong Kong public hospitals from 1999 through 2006 in order to better understand the effects of meteorological conditions on stroke risk in a subtropical setting. We used Poisson Generalized Additive Models with daily hemorrhagic (HS) and ischemic stroke (IS) counts separately as outcomes, and daily mean temperature, humidity, solar radiation, rainfall, air pressure, pollutants, flu consultation rates, day of week, holidays, time trend and seasonality as predictors. Lagged effects of temperature, humidity and pollutants were also considered. A total of 23,457 HS and 107,505 IS admissions were analyzed. Mean daily temperature had a strong, consistent, negative linear association with HS admissions over the range (8.2-31.8°C) observed. A 1°C lower average temperature over the same day and previous 4 days (lags 0-4) being associated with a 2.7% (95% CI: 2.0-3.4%, P < .0.0001) higher admission rate after controlling for other variables. This association was stronger among older subjects and females. Higher lag 0-4 average change in air pressure from previous day was modestly associated with higher HS risk. The association between IS and temperature was weaker and apparent only below 22°C, with a 1°C lower average temperature (lags 0-13) below this threshold being associated with a 1.6% (95% CI:1.0-2.2%, P < 0.0001) higher IS admission rate. Pollutant levels were not associated with HS or IS. Future studies should examine HS and IS risk separately.

  2. Analysis of Communication between Main Control Room Operators in Decision-making Process in Steam Generator Tube Rupture Accident

    International Nuclear Information System (INIS)

    The paper presents an investigation results for Main Control Room operators' reliability by Performance Evaluation of Teamwork method, based on FSS-1000 training archives in KNPP in case of Steam Generator Tube Rupture accident. The advantages of operators' teamwork are shown: a) group decision-making vs. individual one: b) positive influence of crew initiated communication consisting of orders and reports that are required by instruction. (authors)

  3. Approaches to optimal aquifer management and intelligent control in a multiresolutional decision support system

    Science.gov (United States)

    Orr, Shlomo; Meystel, Alexander M.

    2005-03-01

    Despite remarkable new developments in stochastic hydrology and adaptations of advanced methods from operations research, stochastic control, and artificial intelligence, solutions of complex real-world problems in hydrogeology have been quite limited. The main reason is the ultimate reliance on first-principle models that lead to complex, distributed-parameter partial differential equations (PDE) on a given scale. While the addition of uncertainty, and hence, stochasticity or randomness has increased insight and highlighted important relationships between uncertainty, reliability, risk, and their effect on the cost function, it has also (a) introduced additional complexity that results in prohibitive computer power even for just a single uncertain/random parameter; and (b) led to the recognition in our inability to assess the full uncertainty even when including all uncertain parameters. A paradigm shift is introduced: an adaptation of new methods of intelligent control that will relax the dependency on rigid, computer-intensive, stochastic PDE, and will shift the emphasis to a goal-oriented, flexible, adaptive, multiresolutional decision support system (MRDS) with strong unsupervised learning (oriented towards anticipation rather than prediction) and highly efficient optimization capability, which could provide the needed solutions of real-world aquifer management problems. The article highlights the links between past developments and future optimization/planning/control of hydrogeologic systems. Malgré de remarquables nouveaux développements en hydrologie stochastique ainsi que de remarquables adaptations de méthodes avancées pour les opérations de recherche, le contrôle stochastique, et l'intelligence artificielle, solutions pour les problèmes complexes en hydrogéologie sont restées assez limitées. La principale raison est l'ultime confiance en les modèles qui conduisent à des équations partielles complexes aux paramètres distribués (PDE) à une

  4. Does Family Group Decision Making Affect Child Welfare Outcomes? Findings from a Randomized Control Study

    Science.gov (United States)

    Berzin, Stephanie Cosner; Cohen, Ed; Thomas, Karen; Dawson, William C.

    2008-01-01

    This article describes the evaluation of two family group decision-making programs administered under the California Title IV-E Waiver Demonstration Project. This is the only evaluation using random assignment to examine FGDM. Overall, results did not indicate more positive outcomes for children receiving the intervention, but did indicate that…

  5. Decision-Making Style among Adolescents: Relationship with Sensation Seeking and Locus of Control

    Science.gov (United States)

    Baiocco, Roberto; Laghi, Fiorenzo; D'Alessio, Maria

    2009-01-01

    The principal aim of the study was to examine the psychometric properties and construct validity of the General Decision-Making Scale (GDMS) in a sample of 700 adolescents (aged 15-19 years). Confirmatory and exploratory factor analyses provide evidence for a solid five-dimension structure reflecting the theorized construct: rational, intuitive,…

  6. Should Universities lower Admission Requirements for Celebrities?

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    In recent years, many famous universities lower admission requirements for celebrities. More and more celebrities, especially sports stars, have been admitted to famous universities even without an entry examination. This phenomenon has become a subject of widespread controversy.

  7. 16 CFR 3.32 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... ADJUDICATIVE PROCEEDINGS Discovery; Compulsory Process § 3.32 Admissions. (a) At any time after thirty (30... unless the party states that it has made reasonable inquiry and that the information known to or...

  8. Marketing in Admissions: The Information System Approach.

    Science.gov (United States)

    Wofford, O. Douglas; Timmerman, Ed

    1982-01-01

    A marketing information system approach for college admissions is outlined that includes objectives, information needs and sources, a data collection format, and information evaluation. Coordination with other institutional information systems is recommended. (MSE)

  9. Admissible Strategies in Semimartingale Portfolio Selection

    CERN Document Server

    Biagini, Sara

    2009-01-01

    The choice of admissible trading strategies in mathematical modelling of financial markets is a delicate issue, going back to Harrison and Kreps (1979). In the context of optimal portfolio selection with expected utility preferences this question has been a focus of considerable attention over the last twenty years. We propose a novel notion of admissibility that has many pleasant features -- admissibility is characterized purely under the objective measure $P$; the wealth of any admissible strategy is a supermartingale under all pricing measures; local boundedness of the price process is not required; neither strict monotonicity, strict concavity nor differentiability of the utility function are necessary; the definition encompasses both the classical mean-variance preferences and the monotone expected utility. For utility functions finite on the real line, our class represents a minimal set containing simple strategies which also contains the optimizer, under conditions that are substantially milder than th...

  10. Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet

    Directory of Open Access Journals (Sweden)

    Torvaldsen Siranda

    2010-04-01

    Full Text Available Abstract Background Most women use some method of pain relief during labour. There is extensive research evidence available of pharmacological pain relief during labour; however this evidence is not readily available to pregnant women. Decision aids are tools that present evidence based information and allow preference elicitation. Methods We developed a labour analgesia decision aid. Using a RCT design women either received a decision aid or a pamphlet. Eligible women were primiparous, ≥ 37 weeks, planning a vaginal birth of a single infant and had sufficient English to complete the trial materials. We used a combination of affective (anxiety, satisfaction and participation in decision-making and behavioural outcomes (intention and analgesia use to assess the impact of the decision aid, which were assessed before labour. Results 596 women were randomised (395 decision aid group, 201 pamphlet group. There were significant differences in knowledge scores between the decision aid group and the pamphlet group (mean difference 8.6, 95% CI 3.70, 13.40. There were no differences between decisional conflict scores (mean difference -0.99 (95% CI -3.07, 1.07, or anxiety (mean difference 0.3, 95% CI -2.15, 1.50. The decision aid group were significantly more likely to consider their care providers opinion (RR 1.28 95%CI 0.64, 0.95. There were no differences in analgesia use and poor follow through between antenatal analgesia intentions and use. Conclusions This decision aid improves women's labour analgesia knowledge without increasing anxiety. Significantly, the decision aid group were more informed of labour analgesia options, and considered the opinion of their care providers more often when making their analgesia decisions, thus improving informed decision making. Trial Registration Trial registration no: ISRCTN52287533

  11. A Systematic Approach for Dynamic Security Assessment and the Corresponding Preventive Control Scheme Based on Decision Trees

    DEFF Research Database (Denmark)

    Liu, Leo; Sun, Kai; Rather, Zakir Hussain;

    2014-01-01

    This paper proposes a decision tree (DT)-based systematic approach for cooperative online power system dynamic security assessment (DSA) and preventive control. This approach adopts a new methodology that trains two contingency-oriented DTs on a daily basis by the databases generated from power......-effective algorithm is adopted in this proposed approach to optimize the trajectory of preventive control. The paper also proposes an importance sampling algorithm on database preparation for efficient DT training for power systems with high penetration of wind power and distributed generation. The performance...... of the approach is demonstrated on a 400-bus, 200-line operational model of western Danish power system....

  12. Fields of definition for admissible groups

    CERN Document Server

    Neftin, Danny

    2011-01-01

    A finite group G is admissible over a field M if there is a division algebra whose center is M with a maximal subfield G-Galois over M. We consider nine possible notions of being admissible over M with respect to a subfield K of M, where the division algebra, the maximal subfield or the Galois group are asserted to be defined over K. We completely determine the logical implications between all variants.

  13. Immigration, moving house and psychiatric admissions.

    Science.gov (United States)

    Johansson, L M; Sundquist, J; Johansson, S E; Bergman, B

    1998-08-01

    This study was designed to elucidate psychiatric admission rates for native Swedes and foreign-born individuals during the period 1991-1994, when Sweden had a great influx of refugees. During the same period, and even earlier, psychiatric in-patient care had been reduced. Tests of differences between Swedes and foreign-born individuals in first psychiatric admission rates were performed using Poisson regressions, and the risk of a readmission was assessed using a proportional hazard model. Foreign-born individuals and native Swedes, both males and females, showed a similar admission pattern with regard to the number of admissions. Foreign-born males under 55 years of age and foreign-born females under 35 years of age had significantly higher admission rates than native Swedes. In total, native Swedes, both males and females, were hospitalized for a significantly longer period than the foreign-born subjects. About 43% of the patients were readmitted. The risk of a readmission was significantly increased among those with a high rate of internal migration. The high admission rates for young foreign-born individuals might be explained by a high incidence of mental illness owing to the trauma of being violently forced to migrate, acculturation difficulties, or unsatisfactory social circumstances such as high unemployment. The shorter hospitalization time could be due to undertreatment or less serious mental illness. PMID:9718235

  14. Decision making on the control of the European grape berry moth Lobesia botrana in the "vinhos verdes" region, in the northwest of Portugal

    OpenAIRE

    Mexia, António; St. Aubyn, A.; Aguiar, A.

    2008-01-01

    A conceptual model is proposed as a decision tool for control of European grape moth Lobesia botrana Denis & Scchiffermuller (Lepidoptera; Tortricidae) in the "vinhos verdes" region in the northwest of Portugal. The aim is to use simple methods of estimating the pest population so the farmers can make future decisions earlier in the season and avoid the effects of a third generation. A dochotomous decision tree was used to structure the alternative choices by each farmer. For the tree L. botr...

  15. Approaches to optimal aquifer management and intelligent control in a multiresolutional decision support system

    Science.gov (United States)

    Orr, Shlomo; Meystel, Alexander M.

    2005-03-01

    Despite remarkable new developments in stochastic hydrology and adaptations of advanced methods from operations research, stochastic control, and artificial intelligence, solutions of complex real-world problems in hydrogeology have been quite limited. The main reason is the ultimate reliance on first-principle models that lead to complex, distributed-parameter partial differential equations (PDE) on a given scale. While the addition of uncertainty, and hence, stochasticity or randomness has increased insight and highlighted important relationships between uncertainty, reliability, risk, and their effect on the cost function, it has also (a) introduced additional complexity that results in prohibitive computer power even for just a single uncertain/random parameter; and (b) led to the recognition in our inability to assess the full uncertainty even when including all uncertain parameters. A paradigm shift is introduced: an adaptation of new methods of intelligent control that will relax the dependency on rigid, computer-intensive, stochastic PDE, and will shift the emphasis to a goal-oriented, flexible, adaptive, multiresolutional decision support system (MRDS) with strong unsupervised learning (oriented towards anticipation rather than prediction) and highly efficient optimization capability, which could provide the needed solutions of real-world aquifer management problems. The article highlights the links between past developments and future optimization/planning/control of hydrogeologic systems. Malgré de remarquables nouveaux développements en hydrologie stochastique ainsi que de remarquables adaptations de méthodes avancées pour les opérations de recherche, le contrôle stochastique, et l'intelligence artificielle, solutions pour les problèmes complexes en hydrogéologie sont restées assez limitées. La principale raison est l'ultime confiance en les modèles qui conduisent à des équations partielles complexes aux paramètres distribués (PDE) à une

  16. On the Bayesness, minimaxity and admissibility of point estimators of allelic frequencies.

    Science.gov (United States)

    Martínez, Carlos Alberto; Khare, Kshitij; Elzo, Mauricio A

    2015-10-21

    In this paper, decision theory was used to derive Bayes and minimax decision rules to estimate allelic frequencies and to explore their admissibility. Decision rules with uniformly smallest risk usually do not exist and one approach to solve this problem is to use the Bayes principle and the minimax principle to find decision rules satisfying some general optimality criterion based on their risk functions. Two cases were considered, the simpler case of biallelic loci and the more complex case of multiallelic loci. For each locus, the sampling model was a multinomial distribution and the prior was a Beta (biallelic case) or a Dirichlet (multiallelic case) distribution. Three loss functions were considered: squared error loss (SEL), Kulback-Leibler loss (KLL) and quadratic error loss (QEL). Bayes estimators were derived under these three loss functions and were subsequently used to find minimax estimators using results from decision theory. The Bayes estimators obtained from SEL and KLL turned out to be the same. Under certain conditions, the Bayes estimator derived from QEL led to an admissible minimax estimator (which was also equal to the maximum likelihood estimator). The SEL also allowed finding admissible minimax estimators. Some estimators had uniformly smaller variance than the MLE and under suitable conditions the remaining estimators also satisfied this property. In addition to their statistical properties, the estimators derived here allow variation in allelic frequencies, which is closer to the reality of finite populations exposed to evolutionary forces. PMID:26271891

  17. A Life-Cycle Cost Estimating Methodology for NASA-Developed Air Traffic Control Decision Support Tools

    Science.gov (United States)

    Wang, Jianzhong Jay; Datta, Koushik; Landis, Michael R. (Technical Monitor)

    2002-01-01

    This paper describes the development of a life-cycle cost (LCC) estimating methodology for air traffic control Decision Support Tools (DSTs) under development by the National Aeronautics and Space Administration (NASA), using a combination of parametric, analogy, and expert opinion methods. There is no one standard methodology and technique that is used by NASA or by the Federal Aviation Administration (FAA) for LCC estimation of prospective Decision Support Tools. Some of the frequently used methodologies include bottom-up, analogy, top-down, parametric, expert judgement, and Parkinson's Law. The developed LCC estimating methodology can be visualized as a three-dimensional matrix where the three axes represent coverage, estimation, and timing. This paper focuses on the three characteristics of this methodology that correspond to the three axes.

  18. A decision tree-based on-line preventive control strategy for power system transient instability prevention

    Science.gov (United States)

    Xu, Yan; Dong, Zhao Yang; Zhang, Rui; Wong, Kit Po

    2014-02-01

    Maintaining transient stability is a basic requirement for secure power system operations. Preventive control deals with modifying the system operating point to withstand probable contingencies. In this article, a decision tree (DT)-based on-line preventive control strategy is proposed for transient instability prevention of power systems. Given a stability database, a distance-based feature estimation algorithm is first applied to identify the critical generators, which are then used as features to develop a DT. By interpreting the splitting rules of DT, preventive control is realised by formulating the rules in a standard optimal power flow model and solving it. The proposed method is transparent in control mechanism, on-line computation compatible and convenient to deal with multi-contingency. The effectiveness and efficiency of the method has been verified on New England 10-machine 39-bus test system.

  19. 45 CFR 84.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Admissions and recruitment. 84.42 Section 84.42... Education § 84.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment...

  20. Cognitive issues in autonomous spacecraft-control operations: An investigation of software-mediated decision making in a scaled environment

    Science.gov (United States)

    Murphy, Elizabeth Drummond

    As advances in technology are applied in complex, semi-automated domains, human controllers are distanced from the controlled process. This physical and psychological distance may both facilitate and degrade human performance. To investigate cognitive issues in spacecraft ground-control operations, the present experimental research was undertaken. The primary issue concerned the ability of operations analysts who do not monitor operations to make timely, accurate decisions when autonomous software calls for human help. Another key issue involved the potential effects of spatial-visualization ability (SVA) in environments that present data in graphical formats. Hypotheses were derived largely from previous findings and predictions in the literature. Undergraduate psychology students were assigned at random to a monitoring condition or an on-call condition in a scaled environment. The experimental task required subjects to decide on the veracity of a problem diagnosis delivered by a software process on-board a simulated spacecraft. To support decision-making, tabular and graphical data displays presented information on system status. A level of software confidence in the problem diagnosis was displayed, and subjects reported their own level of confidence in their decisions. Contrary to expectations, the performance of on-call subjects did not differ significantly from that of continuous monitors. Analysis yielded a significant interaction of sex and condition: Females in the on-call condition had the lowest mean accuracy. Results included a preference for bar charts over line graphs and faster performance with tables than with line graphs. A significant correlation was found between subjective confidence and decision accuracy. SVA was found to be predictive of accuracy but not speed; and SVA was found to be a stronger predictor of performance for males than for females. Low-SVA subjects reported that they relied more on software confidence than did medium- or high

  1. Decisions on control of foot-and-mouth disease informed using model predictions

    DEFF Research Database (Denmark)

    Hisham Beshara Halasa, Tariq; Willeberg, P.; Christiansen, Lasse Engbo;

    2013-01-01

    , epidemic duration, geographical size and costs. The first 14 days spatial spread (FFS) was also included to further support the prediction. The epidemic data was obtained from a Danish version (DTU-DADS) of a pre-existing FMD simulation model (Davis Animal Disease Spread – DADS) adapted to model the spread...... and consequences would be useful to assist the veterinary authorities in the decision-making process. A previously proposed simple quantitative tool based on the first 14 days outbreaks (FFO) of FMD was used with results from an FMD simulation exercise. Epidemic outcomes included the number of affected herds...

  2. Study of the strong prolongation equation for the construction of statically admissible stress fields: implementation and optimization

    CERN Document Server

    Rey, Valentine; Rey, Christian

    2013-01-01

    This paper focuses on the construction of statically admissible stress fields (SA-fields) for a posteriori error estimation. In the context of verification, the recovery of such fields enables to provide strict upper bounds of the energy norm of the discretization error between the known finite element solution and the unavailable exact solution. The reconstruction is a difficult and decisive step insofar as the effectiveness of the estimator strongly depends on the quality of the SA-fields. This paper examines the strong prolongation hypothesis, which is the starting point of the Element Equilibration Technique (EET). We manage to characterize the full space of SA-fields satisfying the prolongation equation so that optimizing inside this space is possible. The computation exploits topological properties of the mesh so that implementation is easy and costs remain controlled. In this paper, we describe the new technique in details and compare it to the classical EET and to the flux-free technique for different...

  3. Major Research Efforts of the Law School Admission Council. Law School Admission Research.

    Science.gov (United States)

    Hart, Frederick M.; Evans, Franklin R.

    Research conducted by the Law School Admission Council since the development of the Law School Admission Test (LSAT) in 1948 is described. An overview of the research topics is provided, and relevant published reports are cited in 61 footnotes. The following topics of study are discussed: (1) use and validity of traditional predictors of law…

  4. The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation.

    Science.gov (United States)

    Watson, J P; Cowen, P; Lewis, R A

    1996-10-01

    This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n = 10,044), and in one of the region's wealthier districts, Worcester (n = 251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admission, were compared with the Towns- end Deprivation Index for the place of residence. Asthma SAR was strongly associated with deprivation as measured by the Towns end Index for the district of residence (Spearman rank correlation coefficient rho = 0.65; p = 0.004). Asthma admission rates for all age groups, except those aged over 65 yrs, were higher in poorer districts. A significantly greater proportion of emergency admissions in poorer districts came via Accident and Emergency departments, rather than general practitioner referrals (rho = 0.76; p Townsend Index for the ward of residence (rho = 0.39; p < 0.001). This remained significant after excluding repeat admissions (rho = 0.45; p < 0.001). We conclude that asthma admissions are strongly associated with deprivation in the community. Differences in the health care received during acute exacerbations by asthma patients from different economic backgrounds is likely to be an important factor in this relationship. PMID:8902471

  5. The Predictive Validity of using Admissions Testing and Multiple Mini-interviews in Undergraduate University Admissions

    DEFF Research Database (Denmark)

    Makransky, Guido; Havmose, Philip; Vang, Maria Louison;

    2016-01-01

    The aim of this study was to evaluate the predictive validity of a two-step admissions procedure that included a cognitive ability test followed by multiple mini-interviews (MMI) used to assess non-cognitive skills compared to a grade-based admissions relative to subsequent drop-out rates and aca...

  6. Assessing Practical Intelligence in Business School Admissions: A Supplement to the Graduate Management Admissions Test

    Science.gov (United States)

    Hedlund, Jennifer; Wilt, Jeanne M.; Nebel, Kristina L.; Ashford, Susan J.; Sternberg, Robert J.

    2006-01-01

    The Graduate Management Admission Test (GMAT) is the most widely used measure of managerial potential in MBA admissions. GMAT scores, although predictive of grades in business school, leave much of the variance in graduate school performance unexplained. The GMAT also produces disparities in test scores between groups, generating the potential for…

  7. Decision model on the demographic profile for tuberculosis control using fuzzy logic

    Directory of Open Access Journals (Sweden)

    Laisa Ribeiro de Sá

    2015-06-01

    Full Text Available This study aimed to describe the relationship between demographic factors and the involvement of tuberculosis by applying a decision support model based on fuzzy logic to classify the regions as priority and non-priority in the city of João Pessoa, state of Paraíba (PB. As data source, we used the Notifiable Diseases Information System between 2009 and 2011. We chose the descriptive analysis, relative risk (RR, spatial distribution and fuzzy logic. The total of 1,245 cases remained in the study, accounting for 37.02% of cases in 2009. High and low risk clusters were identified, and the RR was higher among men (8.47, with 12 clusters, and among those uneducated (11.65, with 13 clusters. To demonstrate the functionality of the model was elected the year with highest number of cases, and the municipality district with highest population. The methodology identified priority areas, guiding managers to make decisions that respect the local particularities.

  8. Resource allocation within the National AIDS Control Program of Pakistan: a qualitative assessment of decision maker's opinions

    Directory of Open Access Journals (Sweden)

    Kadir Masood

    2007-01-01

    Full Text Available Abstract Background Limited resources, whether public or private, demand prioritisation among competing needs to maximise productivity. With a substantial increase in the number of reported HIV cases, little work has been done to understand how resources have been distributed and what factors may have influenced allocation within the newly introduced Enhanced National AIDS Control Program of Pakistan. The objective of this study was to identify perceptions of decision makers about the process of resource allocation within Pakistan's Enhanced National AIDS Control Program. Methods A qualitative study was undertaken and in-depth interviews of decision makers at provincial and federal levels responsible to allocate resources within the program were conducted. Results HIV was not considered a priority issue by all study participants and external funding for the program was thought to have been accepted because of poor foreign currency reserves and donor agency influence rather than local need. Political influences from the federal government and donor agencies were thought to manipulate distribution of funds within the program. These influences were thought to occur despite the existence of a well-laid out procedure to determine allocation of public resources. Lack of collaboration among departments involved in decision making, a pervasive lack of technical expertise, paucity of information and an atmosphere of ad hoc decision making were thought to reduce resistance to external pressures. Conclusion Development of a unified program vision through a consultative process and advocacy is necessary to understand goals to be achieved, to enhance program ownership and develop consensus about how money and effort should be directed. Enhancing public sector expertise in planning and budgeting is essential not just for the program, but also to reduce reliance on external agencies for technical support. Strengthening available databases for effective

  9. US Supreme Court decisions, expert testimony, and implant dentistry.

    Science.gov (United States)

    Flanagan, Dennis

    2002-01-01

    There have been 3 US Supreme Court decisions in the last 8 years that have established new rules of admissibility of expert witness testimony. These will have great bearing on the practice of oral implantology now and in the future.

  10. Admission criteria and diversity in medical school

    DEFF Research Database (Denmark)

    O'Neill, Lotte; Vonsild, Maria; Wallstedt, Birgitta;

    2013-01-01

    Introduction: The underrepresentation of students from lower socioeconomic backgrounds in medical education is an important social issue. There is currently little evidence about whether changes in admission strategy could increase the diversity of medical students. Denmark introduced an “attribute......-based” admission track to make it easier for students who may not be eligible for admission through the “grade-based” track, to be admitted on the basis of attributes other than academic performance. The aim of this research was to examine whether there were significant differences in the social composition...... of students admitted via the two tracks between the years 2002-2007. Method: This prospective cohort study included 1074 medical students admitted between the years 2002-2007 to the University of Southern Denmark (USD) medical school. Of these, 454 were admitted by grade-based selection and 620 were selected...

  11. The therapeutic relationship after psychiatric admission.

    LENUS (Irish Health Repository)

    Roche, Eric

    2014-03-01

    The therapeutic relationship is one of the most central and important factors in the treatment of mental health disorders. A better therapeutic relationship is associated with service engagement, medication adherence, and satisfaction with services. This study aimed to compare the demographic and clinical factors associated with the therapeutic relationship in voluntarily and involuntarily admitted psychiatric service users. We found that individuals who had been admitted involuntarily, who had a diagnosis of a psychotic disorder, and who reported higher levels of perceived pressures on admission were more likely to have a poorer therapeutic relationship with their consultant psychiatrist. Greater levels of insight and treatment satisfaction, together with higher levels of procedural justice experienced on admission, were associated with a better therapeutic relationship. We found that the level of perceived coercion on admission was not related to the therapeutic relationship. Targeted interventions to improve the therapeutic relationship, particularly for involuntarily admitted service users, are discussed.

  12. Failing Decision

    DEFF Research Database (Denmark)

    Knudsen, Morten

    2014-01-01

    Recently the Danish subway trains have begun to announce “on time” when they arrive at a station on time. This action reflects a worrying acceptance of the normality of failure. If trains were generally expected to be on time, there would be no reason to – triumphantly – announce it. This chapter...... as a controlled cost for achieving organizational goals. Decisions must fail so the organization can succeed. This chapter uses two cases to elaborate on these ideas. By way of introduction, I will reflect on the notion of ‘failing decisions’ within organization and decision theory. This chapter is also propelled...

  13. Simple decision tools to help optimize the control strategy 2 weeks into a Danish FMD epidemic

    DEFF Research Database (Denmark)

    Willeberg, Preben; Hisham Beshara Halasa, Tariq; Boklund, Anette;

    2012-01-01

    , and how to apply vaccine, but also its economic consequences. Computer modelling may be a useful aid to cost benefit and decision support systems in this context (Barnett et al. 2002). We used a modified FFI procedure to analyze data from a series of 5,000 FMD simulations with current Danish population...... to estimate predictive values by applying selected cut-off- values for both the dependent and the independent variables (Table 1). Emergency vaccination should be considered during an outbreak if the predicted cumulative size, duration or cost of the epidemic appears alarming (EU 2003, Kitching et al. 2005......, since we simulated 5000 different epidemics, while the original publication analyzed regional variations in field data from one and the same epidemic (Hutber et al. 2006). We also simplified the presentation of the results for operational use during a potential outbreak, using a 2-by-2 table format...

  14. Can advanced paramedics in the field diagnose patients and predict hospital admission?

    LENUS (Irish Health Repository)

    Cummins, Niamh Maria

    2013-02-13

    BACKGROUND: Accurate patient diagnosis in the prehospital environment is essential to initiate suitable care pathways. The advanced paramedic (AP) is a relatively recent role in Ireland, and refers to a prehospital practitioner with advanced life-support skills and training. OBJECTIVES: The objectives of this study were to compare the diagnostic decisions of APs with emergency medicine (EM) physicians, and to investigate if APs, as currently trained, can predict the requirement for hospital admission. METHODS: A prospective study was initiated, whereby each emergency ambulance call received via the statutory 999 system was recorded by the attending AP. The AP was asked to provide a clinical diagnosis for each patient, and to predict if hospital admission was required. The data was then cross-referenced with the working diagnosis of the receiving emergency physician and the hospital admission records. RESULTS: A total of 17 APs participated in the study, and 1369 emergency calls were recorded over a 6-month period. Cases where a general practitioner attended the scene were excluded from the concordance analysis. Concordance with the receiving emergency physician represents 70% (525\\/748) for all cases of AP diagnosis, and is mirrored with 70% (604\\/859) correct hospital admission predictions. CONCLUSIONS: AP diagnosis and admission prediction for emergency calls is similar to other emergency medical services systems despite the relative recency of the AP programme in Ireland. Recognition of non-concordance case types may identify priorities for AP education, and drive future AP practice in areas such as \\'treat and refer\\'.

  15. Integration of Epidemiological Evidence in a Decision Support Model for the Control of Campylobacter in Poultry Production

    Directory of Open Access Journals (Sweden)

    Håkan Vigre

    2013-09-01

    Full Text Available The control of human Campylobacteriosis is a priority in public health agendas all over the world. Poultry is considered a significant risk factor for human infections with Campylobacter and risk assessment models indicate that the successful implementation of Campylobacter control strategies in poultry will translate on a reduction of human Campylobacteriosis cases. Efficient control strategies implemented during primary production will reduce the risk of Campylobacter introduction in chicken houses and/or decrease Campylobacter concentration in infected chickens and their products. Consequently, poultry producers need to make difficult decisions under conditions of uncertainty regarding the implementation of Campylobacter control strategies. This manuscript presents the development of probabilistic graphical models to support decision making in order to control Campylobacter in poultry. The decision support systems are constructed as probabilistic graphical models (PGMs which integrate knowledge and use Bayesian methods to deal with uncertainty. This paper presents a specific model designed to integrate epidemiological knowledge from the United Kingdom (UK model in order to assist poultry managers in specific decisions related to vaccination of commercial broilers for the control of Campylobacter. Epidemiological considerations and other crucial aspects including challenges associated with the quantitative part of the models are discussed in this manuscript. The outcome of the PGMs will depend on the qualitative and quantitative data included in the models. Results from the UK model and sensitivity analyses indicated that the financial variables (cost/reward functions and the effectiveness of the control strategies considered in the UK model were driving the results. In fact, there were no or only small financial gains when using a hypothetical vaccine B (able to decrease Campylobacter numbers from two to six logs in 20% of the chickens with a

  16. Bernoulli measure of complex admissible kneading sequences

    CERN Document Server

    Bruin, Henk

    2012-01-01

    Iterated quadratic polynomials give rise to a rich collection of different dynamical systems that are parametrized by a simple complex parameter $c$. The different dynamical features are encoded by the \\emph{kneading sequence} which is an infinite sequence over $\\{0,\\1\\}$. Not every such sequence actually occurs in complex dynamics. The set of admissible kneading sequences was described by Milnor and Thurston for real quadratic polynomials, and by the authors in the complex case. We prove that the set of admissible kneading sequences has positive Bernoulli measure within the set of sequences over $\\{0,\\1\\}$.

  17. Entropy Production and Admissibility of Shocks

    Institute of Scientific and Technical Information of China (English)

    Tai-Ping Liu; Tommaso Ruggeri

    2003-01-01

    In shock wave theory there are two considerations in selecting the physically relevant shock waves.There is the admissibility criterion for the well-posedness of hyperbolic conservation laws. Another consideration concerns the entropy production across the shocks. The latter is natural from the physical point of view, but is not sufficient in its straightforward formulation, if the system is not genuinely nonlinear. In this paper we propose the principles of increasing entropy production and that of the superposition of shocks. These principles are shown to be equivalent to the admissibility criterion.

  18. Concerning Workload Control and Order Release : The Pre-Shop Pool Sequencing Decision

    NARCIS (Netherlands)

    Thürer, Matthias; Land, Martin J.; Stevenson, Mark; Fredendall, Lawrence D.; Godinho Filho, Moacir

    2015-01-01

    Every production planning concept that incorporates controlled order release will initially withhold jobs from the shop floor and create a pre-shop pool. Order release is a key component of the Workload Control concept that aims to maintain work-in-process within limits while ensuring due dates are

  19. The Effect of Farmers' Decisions on Pest Control with Bt Crops: A Billion Dollar Game of Strategy.

    Science.gov (United States)

    Milne, Alice E; Bell, James R; Hutchison, William D; van den Bosch, Frank; Mitchell, Paul D; Crowder, David; Parnell, Stephen; Whitmore, Andrew P

    2015-12-01

    A farmer's decision on whether to control a pest is usually based on the perceived threat of the pest locally and the guidance of commercial advisors. Therefore, farmers in a region are often influenced by similar circumstances, and this can create a coordinated response for pest control that is effective at a landscape scale. This coordinated response is not intentional, but is an emergent property of the system. We propose a framework for understanding the intrinsic feedback mechanisms between the actions of humans and the dynamics of pest populations and demonstrate this framework using the European corn borer, a serious pest in maize crops. We link a model of the European corn borer and a parasite in a landscape with a model that simulates the decisions of individual farmers on what type of maize to grow. Farmers chose whether to grow Bt-maize, which is toxic to the corn borer, or conventional maize for which the seed is cheaper. The problem is akin to the snow-drift problem in game theory; that is to say, if enough farmers choose to grow Bt maize then because the pest is suppressed an individual may benefit from growing conventional maize. We show that the communication network between farmers' and their perceptions of profit and loss affects landscape scale patterns in pest dynamics. We found that although adoption of Bt maize often brings increased financial returns, these rewards oscillate in response to the prevalence of pests.

  20. Importance Sampling Based Decision Trees for Security Assessment and the Corresponding Preventive Control Schemes: the Danish Case Study

    DEFF Research Database (Denmark)

    Liu, Leo; Rather, Zakir Hussain; Chen, Zhe;

    2013-01-01

    Decision Trees (DT) based security assessment helps Power System Operators (PSO) by providing them with the most significant system attributes and guiding them in implementing the corresponding emergency control actions to prevent system insecurity and blackouts. DT is obtained offline from time...... of western Danish power system which is characterized by its large scale wind energy penetration and high proportion of distributed generation (DG). DIgSILENT PowerFactory is adopted for the power system simulation and Salford Predictive Modeler (SPM) is used for data mining.......-domain simulation and the process of data mining, which is then implemented online as guidelines for preventive control schemes. An algorithm named Classification and Regression Trees (CART) is used to train the DT and key to this approach lies on the accuracy of DT. This paper proposes contingency oriented DT...

  1. Primary Path Reservation Using Enhanced Slot Assignment in TDMA for Session Admission

    Directory of Open Access Journals (Sweden)

    Suresh Koneri Chandrasekaran

    2015-01-01

    Full Text Available Mobile ad hoc networks (MANET is a self-organized collection of nodes that communicates without any infrastructure. Providing quality of service (QoS in such networks is a competitive task due to unreliable wireless link, mobility, lack of centralized coordination, and channel contention. The success of many real time applications is purely based on the QoS, which can be achieved by quality aware routing (QAR and admission control (AC. Recently proposed QoS mechanisms do focus completely on either reservation or admission control but are not better enough. In MANET, high mobility causes frequent path break due to the fact that every time the source node must find the route. In such cases the QoS session is affected. To admit a QoS session, admission control protocols must ensure the bandwidth of the relaying path before transmission starts; reservation of such bandwidth noticeably improves the admission control performance. Many TDMA based reservation mechanisms are proposed but need some improvement over slot reservation procedures. In order to overcome this specific issue, we propose a framework—PRAC (primary path reservation admission control protocol, which achieves improved QoS by making use of backup route combined with resource reservation. A network topology has been simulated and our approach proves to be a mechanism that admits the session effectively.

  2. QUANTIFICATION OF THE DECISIONS OF CONTROL AND AUDIT IN INVENTORY MANAGEMENT IN CEMENT INDUSTRY ENTERPRISES

    OpenAIRE

    Sylwia £êgowik-Œwi¹cik

    2011-01-01

    Inventory management in enterprises of cement industry necessitates the assessment of the level of risk which is generated by production inventory. The processes of control and auditing allow for planning, monitoring and organization of inventory management in the analysed business entities. This paper is aimed at presentation of the phase of preparation of audit activities in the area of inventory and verification of model solutions for the processes of control and audit in terms of inventor...

  3. Development of Integration Algorithms for Vision/Force Robot Control with Automatic Decision System

    OpenAIRE

    Bdiwi, Mohamad

    2014-01-01

    In advanced robot applications, the challenge today is that the robot should perform different successive subtasks to achieve one or more complicated tasks similar to human. Hence, this kind of tasks required to combine different kind of sensors in order to get full information about the work environment. However, from the point of view of control, more sensors mean more possibilities for the structure of the control system. As shown previously, vision and force sensors are the most common ex...

  4. Optimal control of uncertain stochastic systems with Markovian switching and its applications to portfolio decisions

    OpenAIRE

    Weiyin Fei

    2014-01-01

    This paper first describes a class of uncertain stochastic control systems with Markovian switching, and derives an It\\^o-Liu formula for Markov-modulated processes. And we characterize an optimal control law, which satisfies the generalized Hamilton-Jacobi-Bellman (HJB) equation with Markovian switching. Then, by using the generalized HJB equation, we deduce the optimal consumption and portfolio policies under uncertain stochastic financial markets with Markovian switching. Finally, for cons...

  5. Racism, gun ownership and gun control:biased attitudes in US whites may influence policy decisions

    OpenAIRE

    Kerry O'Brien; Walter Forrest; Dermot Lynott; Michael Daly

    2013-01-01

    OBJECTIVE: Racism is related to policies preferences and behaviors that adversely affect blacks and appear related to a fear of blacks (e.g., increased policing, death penalty). This study examined whether racism is also related to gun ownership and opposition to gun controls in US whites. METHOD: The most recent data from the American National Election Study, a large representative US sample, was used to test relationships between racism, gun ownership, and opposition to gun control in US wh...

  6. Cap-independent translation by DAP5 controls cell fate decisions in human embryonic stem cells.

    Science.gov (United States)

    Yoffe, Yael; David, Maya; Kalaora, Rinat; Povodovski, Lital; Friedlander, Gilgi; Feldmesser, Ester; Ainbinder, Elena; Saada, Ann; Bialik, Shani; Kimchi, Adi

    2016-09-01

    Multiple transcriptional and epigenetic changes drive differentiation of embryonic stem cells (ESCs). This study unveils an additional level of gene expression regulation involving noncanonical, cap-independent translation of a select group of mRNAs. This is driven by death-associated protein 5 (DAP5/eIF4G2/NAT1), a translation initiation factor mediating IRES-dependent translation. We found that the DAP5 knockdown from human ESCs (hESCs) resulted in persistence of pluripotent gene expression, delayed induction of differentiation-associated genes in different cell lineages, and defective embryoid body formation. The latter involved improper cellular organization, lack of cavitation, and enhanced mislocalized apoptosis. RNA sequencing of polysome-associated mRNAs identified candidates with reduced translation efficiency in DAP5-depleted hESCs. These were enriched in mitochondrial proteins involved in oxidative respiration, a pathway essential for differentiation, the significance of which was confirmed by the aberrant mitochondrial morphology and decreased oxidative respiratory activity in DAP5 knockdown cells. Further analysis identified the chromatin modifier HMGN3 as a cap-independent DAP5 translation target whose knockdown resulted in defective differentiation. Thus, DAP5-mediated translation of a specific set of proteins is critical for the transition from pluripotency to differentiation, highlighting the importance of cap-independent translation in stem cell fate decisions. PMID:27664238

  7. Differential Prediction Generalization in College Admissions Testing

    Science.gov (United States)

    Aguinis, Herman; Culpepper, Steven A.; Pierce, Charles A.

    2016-01-01

    We introduce the concept of "differential prediction generalization" in the context of college admissions testing. Specifically, we assess the extent to which predicted first-year college grade point average (GPA) based on high-school grade point average (HSGPA) and SAT scores depends on a student's ethnicity and gender and whether this…

  8. Virginia Tech's Undergraduate Admissions Director Resigns

    OpenAIRE

    Cox, Clara B.

    2003-01-01

    Karen E. Torgersen, director of undergraduate admissions at Virginia Tech since 1997, has submitted her resignation from the university effective Dec. 31 to become associate executive director of U21pedagogica Limited (Pedagogica), a new international educational enterprise in Charlottesville, Va.

  9. "In the beginning...": tools for talking about resuscitation and goals of care early in the admission.

    Science.gov (United States)

    White, Jocelyn; Fromme, Erik K

    2013-11-01

    Quality standards no longer allow physicians to delay discussing goals of care and resuscitation. We propose 2 novel strategies for discussing goals and resuscitation on admission. The first, SPAM (determine Surrogate decision maker, determine resuscitation Preferences, Assume full care, and advise them to expect More discussion especially with clinical changes), helps clinicians discover patient preferences and decision maker during routine admissions. The second, UFO-UFO (Understand what they know, Fill in knowledge gaps, ask about desired Outcomes, Understand their reasoning, discuss the spectrum Feasible Outcomes), helps patients with poor or uncertain prognosis or family-team conflict. Using a challenging case example, this article illustrates how SPAM and UFO-UFO can help clinicians have patient-centered resuscitation and goals of care discussions at the beginning of care. PMID:23236089

  10. "In the beginning...": tools for talking about resuscitation and goals of care early in the admission.

    Science.gov (United States)

    White, Jocelyn; Fromme, Erik K

    2013-11-01

    Quality standards no longer allow physicians to delay discussing goals of care and resuscitation. We propose 2 novel strategies for discussing goals and resuscitation on admission. The first, SPAM (determine Surrogate decision maker, determine resuscitation Preferences, Assume full care, and advise them to expect More discussion especially with clinical changes), helps clinicians discover patient preferences and decision maker during routine admissions. The second, UFO-UFO (Understand what they know, Fill in knowledge gaps, ask about desired Outcomes, Understand their reasoning, discuss the spectrum Feasible Outcomes), helps patients with poor or uncertain prognosis or family-team conflict. Using a challenging case example, this article illustrates how SPAM and UFO-UFO can help clinicians have patient-centered resuscitation and goals of care discussions at the beginning of care.

  11. The effects of photovoltaic electricity injection into microgrids: Combination of Geographical Information Systems, multicriteria decision methods and electronic control modeling

    International Nuclear Information System (INIS)

    Highlights: • Geographical Information Systems can be used as a support to classify the viable locations for photovoltaic facilities. • Multicriteria decision methods are useful tools to choose the optimal locations for photovoltaic systems. • Variations of photovoltaic power injected into the grid have been calculated for the optimum locations. • Grid stabilization can be achieved within 500 ms with electronic control strategies. - Abstract: This article presents a model to calculate the impact on the grid of the injection of electricity generated from photovoltaic systems. The methodology combines the use of Geographical Information System tools to classify the optimal locations for the installation of photovoltaic systems with the calculation of the impact into microgrids of the electricity generated in such locations. The case study is focused on Murcia region, in South-east Spain, and on medium size photovoltaic systems. The locations have been selected from a Geographical Information System database including several parameters, and evaluated and classified using a fuzzy version of the multicriteria decision method called Technique for Order Preference by Similarity to Ideal Solution. In order to obtain the weights for the criteria used in the evaluation, the Analytic Hierarchy Process has been used. Finally, using meteorological data from a small set of possible locations, the impact on the grid arising from the injection of power generated from photovoltaic systems that are connected to the grid via a module implementing different control electronic strategies has been calculated. Different electronic control strategies have been modeled to demonstrate that stabilization of the electrical parameters of a microgrid can be obtained within 500 ms in all cases, even when a relatively large power surge, or slower variations, are injected into the grid from the medium size photovoltaic systems

  12. Using fuzzy logic analysis for siting decisions of infiltration trenches for highway runoff control.

    Science.gov (United States)

    Ki, Seo Jin; Ray, Chittaranjan

    2014-09-15

    Determining optimal locations for best management practices (BMPs), including their field considerations and limitations, plays an important role for effective stormwater management. However, these issues have been often overlooked in modeling studies that focused on downstream water quality benefits. This study illustrates the methodology of locating infiltration trenches at suitable locations from spatial overlay analyses which combine multiple layers that address different aspects of field application into a composite map. Using seven thematic layers for each analysis, fuzzy logic was employed to develop a site suitability map for infiltration trenches, whereas the DRASTIC method was used to produce a groundwater vulnerability map on the island of Oahu, Hawaii, USA. In addition, the analytic hierarchy process (AHP), one of the most popular overlay analyses, was used for comparison to fuzzy logic. The results showed that the AHP and fuzzy logic methods developed significantly different index maps in terms of best locations and suitability scores. Specifically, the AHP method provided a maximum level of site suitability due to its inherent aggregation approach of all input layers in a linear equation. The most eligible areas in locating infiltration trenches were determined from the superposition of the site suitability and groundwater vulnerability maps using the fuzzy AND operator. The resulting map successfully balanced qualification criteria for a low risk of groundwater contamination and the best BMP site selection. The results of the sensitivity analysis showed that the suitability scores were strongly affected by the algorithms embedded in fuzzy logic; therefore, caution is recommended with their use in overlay analysis. Accordingly, this study demonstrates that the fuzzy logic analysis can not only be used to improve spatial decision quality along with other overlay approaches, but also is combined with general water quality models for initial and refined

  13. The use of earned value management for initiating directive project control decisions: a case study

    Directory of Open Access Journals (Sweden)

    Nkiwane, N. H.

    2016-05-01

    Full Text Available With large infrastructure backlogs in Africa, well-controlled projects will play a significant role in African infrastructure development. In this paper, the monitoring and/or directive use of Earned Value Management (EVM is investigated and linked to project management maturity. This case study also investigates the use of EVM based on the financial and schedule risk distribution among project role players, and the effect of EVM on project performance. The results show minimal use of EVM in the directive control of projects; at best, the directive use of EVM is found to be implied rather than deliberate and methodical.

  14. Routine perineal shaving on admission in labour.

    Science.gov (United States)

    Basevi, Vittorio; Lavender, Tina

    2014-01-01

    BackgroundPubic or perineal shaving is a procedure performed before birth in order to lessen the risk of infection if there is a spontaneous perinealtear or if an episiotomy is performed.ObjectivesTo assess the effects of routine perineal shaving before birth onmaternal and neonatal outcomes, according to the best available evidence.Search methodsWe searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (12 June 2014).Selection criteriaAll controlled trials (including quasi-randomised) that compare perineal shaving versus no perineal shaving.Data collection and analysisTwo review authors independently assessed all potential studies for inclusion, assessed risk of bias and extracted the data using apredesigned form. Data were checked for accuracy.Main resultsThree randomised controlled trials (1039 women) published between 1922 and 2005 fulfilled the prespecified criteria. In the earliesttrial, 389 women were alternately allocated to receive either skin preparation and perineal shaving or clipping of vulval hair only. In thesecond trial, which included 150 participants, perineal shaving was compared with the cutting of long hairs for procedures only. In thethird and most recent trial, 500 women were randomly allocated to shaving of perineal area or cutting of perineal hair. The primaryoutcome for all three trials was maternal febrile morbidity; no differences were found (risk ratio (RR) 1.14, 95% confidence interval(CI) 0.73 to 1.76). No differences were found in terms of perineal wound infection (RR 1.47, 95% CI 0.80 to 2.70) and perinealwound dehiscence (RR 0.33, 95% CI 0.01 to 8.00) in the most recent trial involving 500 women, which was the only trial to assessthese outcomes. In the smallest trial, fewer women who had not been shaved had Gram-negative bacterial colonisation compared withwomen who had been shaved (RR 0.83, 95% CI 0.70 to 0.98). There were no instances of neonatal infection in either group in theone trial that reported this

  15. EFFICACY OF ADMISSION CARDIOTOCOGRAPHY (ADMISSION T EST TO PREDICT OBSTETRIC OUTCOME

    Directory of Open Access Journals (Sweden)

    Dwarakanath

    2013-01-01

    Full Text Available ABSTRACT: OBJECTIVE: To determine the efficacy of admission test on perin atal outcome and levels of obstetric interventions. METHODS: Prospective study on 200 pregnant women at admission by cardiotocography and assess th e perinatal outcome and obstetric interventions. RESULTS: Incidence of reactive trace was 69%, suspicious 24% and ominous 7%. Out of 200 cases 159(80% had vaginal delivery, 28( 14% had LSCS and 13(6% had instrumental delivery. There was increased incidenc e of operative delivery and NICU admissions in suspicious and ominous tracings. This study has a sensitivity of 76% and positive predictive value(PPV of 96%, specificity of 77% and negative predictive value(NPV of 33% for a reactive test. CONCLUSION: Admission test is an effective predictive technique to detect pre- existing fetal distress and plan early intervention to prevent adverse perinatal outcome.

  16. Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan.

    Science.gov (United States)

    Cheng, Meng-Hsuan; Chiu, Hui-Fen; Yang, Chun-Yuh

    2015-10-01

    This study was undertaken to determine whether there was an association between coarse particles (PM₂.₅-₁₀) levels and frequency of hospital admissions for respiratory diseases (RD) in Kaohsiung, Taiwan. Hospital admissions for RD including chronic obstructive pulmonary disease (COPD), asthma, and pneumonia, and ambient air pollution data levels for Kaohsiung were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for RD was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single pollutant model (without adjustment for other pollutants), increased rate of admissions for RD were significantly associated with higher coarse PM levels only on cool days (carbon monoxide, or ozone on cool days. This study provides evidence that higher levels of PM₂.₅-₁₀ enhance the risk of hospital admissions for RD on cool days. PMID:26501308

  17. EFFICACY OF ADMISSION CARDIOTOCOGRAPHY (ADMISSION T EST) TO PREDICT OBSTETRIC OUTCOME

    OpenAIRE

    Dwarakanath; Lakshmikantha; Chaitra

    2013-01-01

    ABSTRACT: OBJECTIVE: To determine the efficacy of admission test on perin atal outcome and levels of obstetric interventions. METHODS: Prospective study on 200 pregnant women at admission by cardiotocography and assess th e perinatal outcome and obstetric interventions. RESULTS: Incidence of reactive trace was 69%, suspicious 24% and ominous 7%. Out of 200 cases 159(80%) had vaginal delivery, 28( 14%) had LSCS and 13(6%) had instrumental delivery. ...

  18. Users' experiences of an emergency department patient admission predictive tool: A qualitative evaluation.

    Science.gov (United States)

    Jessup, Melanie; Crilly, Julia; Boyle, Justin; Wallis, Marianne; Lind, James; Green, David; Fitzgerald, Gerard

    2016-09-01

    Emergency department overcrowding is an increasing issue impacting patients, staff and quality of care, resulting in poor patient and system outcomes. In order to facilitate better management of emergency department resources, a patient admission predictive tool was developed and implemented. Evaluation of the tool's accuracy and efficacy was complemented with a qualitative component that explicated the experiences of users and its impact upon their management strategies, and is the focus of this article. Semi-structured interviews were conducted with 15 pertinent users, including bed managers, after-hours managers, specialty department heads, nurse unit managers and hospital executives. Analysis realised dynamics of accuracy, facilitating communication and enabling group decision-making Users generally welcomed the enhanced potential to predict and plan following the incorporation of the patient admission predictive tool into their daily and weekly decision-making processes. They offered astute feedback with regard to their responses when faced with issues of capacity and communication. Participants reported an growing confidence in making informed decisions in a cultural context that is continually moving from reactive to proactive. This information will inform further patient admission predictive tool development specifically and implementation processes generally. PMID:25916833

  19. The GRAIDS Trial: a cluster randomised controlled trial of computer decision support for the management of familial cancer risk in primary care

    OpenAIRE

    Emery, J.; Morris, H.; R. Goodchild; Fanshawe, T.; Prevost, A.T.; Bobrow, M.; Kinmonth, A L

    2007-01-01

    The objective was to evaluate the effect of an assessment strategy using the computer decision support system (the GRAIDS software), on the management of familial cancer risk in British general practice in comparison with best current practice. The design included cluster randomised controlled trial, and involved forty-five general practice teams in East Anglia, UK. Randomised to GRAIDS (Genetic Risk Assessment on the Internet with Decision Support) support (intervention n=23) or comparison (...

  20. Spatial Externalities of Pest Control Decisions in the California Citrus Industry

    OpenAIRE

    Grogan, Kelly A.; Goodhue, Rachael E

    2012-01-01

    Predaceous and parasitic insects provide control of important citrus pests. However, many pesticides are toxic to these beneficials. Using California citrus grower survey data, this article tests whether landscape-level use of pesticides affects the presence of and reliance on Aphytis melinus, an important beneficial insect. Results show that landscape-level pesticide use decreases the presence of A. melinus and increases reliance on insecticides. Pesticide use on non-citrus crops has a signi...

  1. Optimal Decision for Fashion Supply Chains with Service Level Constraint and Controllable Lead Time

    OpenAIRE

    Guo Li; Yu-chen Kang; Guan Xu

    2015-01-01

    We study a two-echelon supply chain inventory model with controllable lead time and service level constraint in fashion supply chains, in which we assume that the unit cost of compressing lead time follows exponential distribution. Under these conditions we investigate the optimal ordering quantity and production quantity in the fashion supply chain by minimizing the joint total cost. Simultaneously, we work out the boundaries of ordering quantity and production quantity, which simplify the ...

  2. Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan

    Directory of Open Access Journals (Sweden)

    Meng-Hsuan Cheng

    2015-10-01

    Full Text Available This study was undertaken to determine whether there was an association between coarse particles (PM2.5–10 levels and frequency of hospital admissions for respiratory diseases (RD in Kaohsiung, Taiwan. Hospital admissions for RD including chronic obstructive pulmonary disease (COPD, asthma, and pneumonia, and ambient air pollution data levels for Kaohsiung were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for RD was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single pollutant model (without adjustment for other pollutants, increased rate of admissions for RD were significantly associated with higher coarse PM levels only on cool days (<25 °C, with a 10 µg/m3 elevation in PM2.5–10 concentrations associated with a 3% (95% CI = 1%–5% rise in COPD admissions, 4% (95% CI = 1%–7% increase in asthma admissions, and 3% (95% CI = 2%–4% rise in pneumonia admissions. No significant associations were found between coarse particle levels and the number of hospital admissions for RD on warm days. In the two-pollutant models, PM2.5–10 levels remained significantly correlated with higher rate of RD admissions even controlling for sulfur dioxide, nitrogen dioxide, carbon monoxide, or ozone on cool days. This study provides evidence that higher levels of PM2.5–10 enhance the risk of hospital admissions for RD on cool days.

  3. Timing of College Enrollment and Family Formation Decisions

    DEFF Research Database (Denmark)

    Humlum, Maria; Kristoffersen, Jannie H. G.; Vejlin, Rune Majlund

    The level of progression of an individual’s educational or labor market career is a potentially important factor for family formation decisions. We address this issue by considering the effects of a particular college admission system on family formation. We show that the admission system affects...... system to estimate the effect of being above the admission requirement in the year of application on later family formation decisions. We find that the admission system has substantial effects on the timing of family formation and, specifically, that the timing of college enrollment is an important...... determinant hereof. This suggests that career interruptions such as delays in the educational system can have large effects on family decision - making....

  4. Inertia and Decision Making.

    Science.gov (United States)

    Alós-Ferrer, Carlos; Hügelschäfer, Sabine; Li, Jiahui

    2016-01-01

    Decision inertia is the tendency to repeat previous choices independently of the outcome, which can give rise to perseveration in suboptimal choices. We investigate this tendency in probability-updating tasks. Study 1 shows that, whenever decision inertia conflicts with normatively optimal behavior (Bayesian updating), error rates are larger and decisions are slower. This is consistent with a dual-process view of decision inertia as an automatic process conflicting with a more rational, controlled one. We find evidence of decision inertia in both required and autonomous decisions, but the effect of inertia is more clear in the latter. Study 2 considers more complex decision situations where further conflict arises due to reinforcement processes. We find the same effects of decision inertia when reinforcement is aligned with Bayesian updating, but if the two latter processes conflict, the effects are limited to autonomous choices. Additionally, both studies show that the tendency to rely on decision inertia is positively associated with preference for consistency.

  5. Hospital Admissions from Nursing Homes: Rates and Reasons

    OpenAIRE

    Geir Egil Eide; Kristian Jansen; Anders Grimsmo; Kjell Krüger; Jonn Terje Geitung

    2011-01-01

    Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of ...

  6. Making school admissions fairer? 'Quasi-regulation' under New Labour

    OpenAIRE

    West, Anne; Ingram, Dabney

    2001-01-01

    This paper examines reforms to secondary school admissions in England since 1997. In particular, it focuses on the new ‘quasi-regulation’ that has been introduced to make the process of admissions fairer and more transparent. Our analysis reveals that the quasi-regulation has had some impact on the process of admissions to secondary schools. In a number of authorities with highly developed secondary school quasi-markets, the policy changes have resulted in some inequitable admissions criteria...

  7. Identifying patients at risk of emergency admission for colorectal cancer

    OpenAIRE

    Wallace, D.; Walker, K.; Kuryba, A; Finan, P; Scott, N.; Van Der Meulen, J.

    2014-01-01

    Background: Patients whose colorectal cancer is treated after an emergency admission tend to have late-stage cancer and a poor prognosis. We identified risk factors for an emergency admission by linking data from the National Bowel Cancer Audit (NBCA) and the English Hospital Episode Statistics (HES), an administrative database of all admissions to English National Health Service hospitals, which includes data on mode of admission. Methods: We identified all adults included in the NBCA with a...

  8. 45 CFR 605.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Admissions and recruitment. 605.42 Section 605.42... Postsecondary Education § 605.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not... recruitment by a recipient to which this subpart applies. (b) Admissions. In administering its...

  9. Criteria Use and Importance in Independent Secondary School Admissions

    Science.gov (United States)

    Schuster, Shannan Boyle

    2009-01-01

    The purpose of this study was threefold: first, to determine the use of specified admission criteria in the independent school admission process; second, to determine admission directors' perceptions of the importance of selected criteria; and third, to determine the nature of the relationship between selected independent measures and the use of…

  10. Equity of Access. New Approaches to Minority Admissions

    Science.gov (United States)

    Bingham, Rebecca Saady

    1978-01-01

    One new approach to the admission of minorities to medical schools is that of the Simulated Minority Admission Exercises (SMAE). It sensitizes admission committee members to the different backgrounds of minority applicants and teaches them to evaluate them more effectively. (Author/AM)

  11. Reclaiming the Educational Role of Chief Admission Officers.

    Science.gov (United States)

    McDonough, Patricia; Robertson, Larry

    1995-01-01

    Describes changes that have occurred in high schools, colleges, and the entrepreneurial admission sector. Relates the evolution of the admission officer's job since the early 1960s and the profession's rapid growth. Details the hybrid role of marketer and educator for chief admissions officers, and issues a call for professional standards. (RJM)

  12. Pursuing Equity in and through Teacher Education Program Admissions

    Science.gov (United States)

    Childs, Ruth A.; Broad, Kathryn; Gallagher-Mackay, Kelly; Sher, Yael; Escayg, Kerry-Ann; McGrath, Christopher

    2011-01-01

    This case study investigated equity in teacher education admissions. Through document analysis and structured interviews with ten past or current members of the admissions committee in a large initial teacher education program in Ontario, we developed an understanding of equity in teacher education admissions as encompassing two foci: equity in…

  13. Per-flow Admission Control with Adaptive Reservation of Bandwidth and Multiple QoS Support in EDCA of IEEE 802.11e Based on Cross-layer Design%基于跨层的自适应预留带宽和多重QoS保证的EDCA流接纳控制

    Institute of Scientific and Technical Information of China (English)

    曾菊玲; 蒋砺思

    2012-01-01

    提出了基于跨层的自适应带宽预留和多重QoS保证的802.11eEDCA分布式流接纳控制.首先自适应分配各站点OFDM子载波比特以最大化信道容量,并将比特率跨层传送到MAC层.基于此,提出了基于分布式测量的动态带宽预留机制,使预留带宽自适应各用户信道特点和业务特征;提出了半模式化的中心控制的剩余因子估计方法,从而克服了直接测量的不准确性和分布式估计的局部性,并降低了计算复杂度;提出了基于协议模型的带宽和碰撞率双重接纳标准,使多重QoS参数同时得到保证.通过这些措施得到自上至下的自适应接纳控制.仿真表明,提出的接纳控制机制能较大地提高资源利用率,更好地保证业务质量.%A novel dynamic distributed admission control with adaptive reservation of bandwidth and multiple QoS support of EDCA(enhanced distributed channel access) in IEEE802. lie based on cross-layer was presented. In this mechanism, the bits of the subcarrier of OFDM in the station are allocated to obtain the maximum channel capacity subjected to the maximum power at first and the bit rate is transmitted to the medium access control layer at the same time. By means of that,a dynamic reservation of the bandwidth was presented based on the distributed measurement, which a-dapts tb the characteristics of the channel and the service. And an estimation of the surplus factor by center control half-based on model was presented, which overcomes the un-accuracy resulted by directed measuring and locality resulted by distributed estimation. The relationship between the service's parameters and the collision probability was obtained and the double admission criteria of the bandwidth and the collision probability was suggested to support the multiple QoS such as bandwidth and delay as well as error ratio of the frame. All above suggestions structure an adaptive admission control from the upper layer to the lower layer

  14. THE OBJECT OF THE ADMISSION OF GUILT

    Directory of Open Access Journals (Sweden)

    Constantin NEDELCU

    2015-07-01

    Full Text Available This paper aims at studying how elements of negotiated justice specific to common law systems entered into the Romanian criminal procedural law system. It particularly deals with the admission of guilt and about one of its most controversial aspects – the object of recognition. The research concludes that what is recognized within this simplified procedure it is the deed and not its legal classification given by the criminal prosecution bodies.

  15. Non-native fish control below Glen Canyon Dam - Report from a structured decision-making project

    Science.gov (United States)

    Runge, Michael C.; Bean, Ellen; Smith, David; Kokos, Sonja

    2011-01-01

    This report describes the results of a structured decision-making project by the U.S. Geological Survey to provide substantive input to the Bureau of Reclamation (Reclamation) for use in the preparation of an Environmental Assessment concerning control of non-native fish below Glen Canyon Dam. A forum was created to allow the diverse cooperating agencies and Tribes to discuss, expand, and articulate their respective values; to develop and evaluate a broad set of potential control alternatives using the best available science; and to define individual preferences of each group on how to manage the inherent trade-offs in this non-native fish control problem. This project consisted of two face-to-face workshops, held in Mesa, Arizona, October 18-20 and November 8-10, 2010. At the first workshop, a diverse set of objectives was discussed, which represented the range of concerns of those agencies and Tribes present. A set of non-native fish control alternatives ('hybrid portfolios') was also developed. Over the 2-week period between the two workshops, four assessment teams worked to evaluate the control alternatives against the array of objectives. At the second workshop, the results of the assessment teams were presented. Multi-criteria decision analysis methods were used to examine the trade-offs inherent in the problem, and allowed the participating agencies and Tribes to express their individual judgments about how those trade-offs should best be managed in Reclamation`s selection of a preferred alternative. A broad array of objectives was identified and defined, and an effort was made to understand how these objectives are likely to be achieved by a variety of strategies. In general, the objectives reflected desired future conditions over 30 years. A rich set of alternative approaches was developed, and the complex structure of those alternatives was documented. Multi-criteria decision analysis methods allowed the evaluation of those alternatives against the array

  16. SCOPE safety-controls optimization by performance evaluation: A systematic approach for safety-related decisions at the Hanford Tank Remediation System. Phase 1, final report

    International Nuclear Information System (INIS)

    The Department of Energy's Hanford Tank Waste Remediation system poses a significant challenge for hazard management because of the uncertainty that surrounds many of the variables that must be considered in decisions on safety and control strategies. As a result, site managers must often operate under excessively conservative and expensive assumptions. This report describes a systematic approach to quantifying the uncertainties surrounding the critical parameters in control decisions (e.g., condition of the tanks, kinds of wastes, types of possible accidents) through the use of expert elicitation methods. The results of the elicitations would then be used to build a decision support system and accident analysis model that would allow managers to see how different control strategies would affect the cost and safety of a facility configuration

  17. SCOPE safety-controls optimization by performance evaluation: A systematic approach for safety-related decisions at the Hanford Tank Remediation System. Phase 1, final report

    Energy Technology Data Exchange (ETDEWEB)

    Bergeron, K.D.; Williams, D.C.; Slezak, S.E.; Young, M.L. [and others

    1996-12-01

    The Department of Energy`s Hanford Tank Waste Remediation system poses a significant challenge for hazard management because of the uncertainty that surrounds many of the variables that must be considered in decisions on safety and control strategies. As a result, site managers must often operate under excessively conservative and expensive assumptions. This report describes a systematic approach to quantifying the uncertainties surrounding the critical parameters in control decisions (e.g., condition of the tanks, kinds of wastes, types of possible accidents) through the use of expert elicitation methods. The results of the elicitations would then be used to build a decision support system and accident analysis model that would allow managers to see how different control strategies would affect the cost and safety of a facility configuration.

  18. Perceived coercion in voluntary hospital admission.

    LENUS (Irish Health Repository)

    O'Donoghue, Brian

    2014-01-30

    The legal status of service users admitted to psychiatric wards is not synonymous with the level of coercion that they can perceive during the admission. This study aimed to identify and describe the proportion of individuals who were admitted voluntarily but experienced levels of perceived coercion comparable to those admitted involuntarily. Individuals admitted voluntarily and involuntarily to three psychiatric hospitals were interviewed using the MacArthur Admission Experience Interview and the Structured Clinical Interview for DSM-IV diagnoses. One hundered sixty-one individuals were interviewed and 22% of the voluntarily admitted service users had levels of perceived coercion similar to that of the majority of involuntarily admitted service users. Voluntarily admitted service users who experienced high levels of perceived coercion were more likely to have more severe psychotic symptoms, have experienced more negative pressures and less procedural justices on admission. Individuals brought to hospital under mental health legislation but who subsequently agreed to be admitted voluntarily and those treated on a secure ward also reported higher levels of perceived coercion. It needs to be ensured that if any service user, whether voluntary or involuntary, experiences treatment pressures or coercion that there is sufficient oversight of the practice, to ensure that individual\\'s rights are respected.

  19. The role of the asthma nurse in treatment compliance and self-management following hospital admission.

    Science.gov (United States)

    Morice, A H; Wrench, C

    2001-11-01

    Effective self-management and treatment compliance is important in achieving good symptom control in asthma. The aim of this study was to determine whether asthma nurse intervention during hospital admission could increase knowledge and improve self-management and whether this would influence the number of emergency call-out visits by Genera Practitioners (GPs) and hospital re-admissions. Patients with acute asthma (n=80) were assessed by the asthma nurse within 24 h of admission using a British Thoracic Society (BTS) guideline-based questionnaire. Main outcome measures were: know edge of inhalers, self-management plans, peak flow monitoring, recognition of worsening symptoms and appropriate emergency action, Following randomization, half received nurse intervention during hospitalization. All received a follow-up questionnaire 6 weeks post-discharge and again at 6 months (response rates 86% and 81% respectively). GPs were contacted by postal questionnaire after 4 months. Questionnaire responses indicated an increase in knowledge in the intervention group, along with an ability to identify appropriate action on worsening symptoms. Emergency GP call-outs were more frequent in the control group in the 4 months post-discharge. Hospital re-admission rates were similar in both groups. Asthma nurse intervention appeared to increase knowledge of asthma management, maintained throughout the study period, but had no significant impact on reducing re-admissions to hospital.

  20. TWRS Final Safety Analysis Report (FSAR) integrated control decision team (ICDT) meetings January 22 - 31,1997

    International Nuclear Information System (INIS)

    U.S. Department of Energy (DOE), Richland Operations Office (RL) letter 97-MSD-163 dated January 15, 1997, directed the Project Hanford Management Contractor (Contractor), Fluor Daniel Hanford, inc., to form a joint RL-Contractor Integrated Control Decision Team (ICDT) to evaluate the Tank Waste Remediation System (TWRS) Final Safety Analysis Report (FSAR) accident scenarios that were identified to be above the risk evaluation guidelines (radiological and/or toxicological) defined by the April 8, 1996, letter from J. Kinzer, RL-TWRS (96-MSO-069) to Dr. A. L. Trego, Westinghouse Hanford Company. The ICDT evaluated six postulated accidents from the draft FSAR which had analyzed consequences above the DOE directed risk evaluation guidelines after controls were applied. The accidents were: (1) Organic Solvent Fires; (2) Organic Salt-Nitrate Fire; (3) Spray Leak; (4) Flammable Gas; (5) Steam Intrusion; and (6) Seismic Event. Five of the postulated accidents exceed radiological risk guidelines. Although the postulated steam intrusion accident does not exceed the radiological risk guidelines, it was considered in the ICDT evaluation because its calculated consequences exceed toxicological risk evaluation guidelines. Figure 1 delineates the mitigated and unmitigated risk evaluations performed for the FSAR

  1. Clinical Decision Support and Closed-Loop Control for Cardiopulmonary Management and Intensive Care Unit Sedation Using Expert Systems.

    Science.gov (United States)

    Gholami, Behnood; Bailey, James M; Haddad, Wassim M; Tannenbaum, Allen R

    2012-03-01

    Patients in the intensive care unit (ICU) who require mechanical ventilation due to acute respiratory failure also frequently require the administration of sedative agents. The need for sedation arises both from patient anxiety due to the loss of personal control and the unfamiliar and intrusive environment of the ICU, and also due to pain or other variants of noxious stimuli. While physicians select the agent(s) used for sedation and cardiovascular function, the actual administration of these agents is the responsibility of the nursing staff. If clinical decision support systems and closed-loop control systems could be developed for critical care monitoring and lifesaving interventions as well as the administration of sedation and cardiopulmonary management, the ICU nurse could be released from the intense monitoring of sedation, allowing her/him to focus on other critical tasks. One particularly attractive strategy is to utilize the knowledge and experience of skilled clinicians, capturing explicitly the rules expert clinicians use to decide on how to titrate drug doses depending on the level of sedation. In this paper, we extend the deterministic rule-based expert system for cardiopulmonary management and ICU sedation framework presented in [1] to a stochastic setting by using probability theory to quantify uncertainty and hence deal with more realistic clinical situations.

  2. Optimal DO Setpoint Decision and Electric Cost Saving in Aerobic Reactor Using Respirometer and Air Blower Control

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kwang Su; Yoo, Changkyoo [Kyung Hee University, Yongin (Korea, Republic of); Kim, Minhan [Pangaea21 Ltd., Seongnam (Korea, Republic of); Kim, Jongrack [UnUsoft Ltd., Seoul (Korea, Republic of)

    2014-10-15

    Main objects for wastewater treatment operation are to maintain effluent water quality and minimize operation cost. However, the optimal operation is difficult because of the change of influent flow rate and concentrations, the nonlinear dynamics of microbiology growth rate and other environmental factors. Therefore, many wastewater treatment plants are operated for much more redundant oxygen or chemical dosing than the necessary. In this study, the optimal control scheme for dissolved oxygen (DO) is suggested to prevent over-aeration and the reduction of the electric cost in plant operation while maintaining the dissolved oxygen (DO) concentration for the metabolism of microorganisms in oxic reactor. The oxygen uptake rate (OUR) is real-time measured for the identification of influent characterization and the identification of microorganisms' oxygen requirement in oxic reactor. Optimal DO set-point needed for the micro-organism is suggested based on real-time measurement of oxygen uptake of micro-organism and the control of air blower. Therefore, both stable effluent quality and minimization of electric cost are satisfied with a suggested optimal set-point decision system by providing the necessary oxygen supply requirement to the micro-organisms coping with the variations of influent loading.

  3. Analysis of factors influencing admission to intensive care following convulsive status epilepticus in children.

    LENUS (Irish Health Repository)

    Tirupathi, Sandya

    2012-02-01

    OBJECTIVES: To identify clinical features and therapeutic decisions that influence admission to the Intensive Care unit (ICU) in children presenting with convulsive status epilepticus (CSE). METHODS: We evaluated 47 admissions with status epilepticus to a tertiary paediatric hospital A&E over a three year period (2003-2006). Following initial management 23 episodes required admission to ICU and 24 were managed on a paediatric ward. We compared clinical, demographic data and compliance with our CSE protocol between the ICU and ward groups. RESULTS: Median age at presentation in the ICU group was 17 months (range 3 months-11 years) compared to 46 months in the ward group (range 3 months-10 years). Fifty per cent of patients in both groups had a previous history of seizures. Median duration of pre-hospital seizure activity was 30 min in both groups. More than two doses of benzodiazepines were given as first line medication in 62% of the ICU group and 33% of the ward group. Among children admitted to ICU with CSE, 26% had been managed according to the CSE protocol, compared to 66% of children who were admitted to a hospital ward. Febrile seizures were the most common aetiology in both groups. CONCLUSION: Younger age at presentation, administration of more than two doses of benzodiazepines and deviation from the CSE protocol appear to be factors which influence admission of children to ICU. Recognition of pre-hospital administration of benzodiazepines and adherence to therapeutic guidelines may reduce the need for ventilatory support in this group.

  4. Glycated hemoglobin A: A predictor of outcome in trauma admissions to intensive care unit

    Directory of Open Access Journals (Sweden)

    Karen Ruby Lionel

    2014-01-01

    Full Text Available Background and Aim: Although large studies have demonstrated the association between hyperglycemia and adverse intensive care unit (ICU outcomes, it is yet unclear which subset of patients benefit from tight sugar control in ICU. Recent evidence suggests that stress induced hyperglycemia (SIH and co-incidentally detected diabetes mellitus are different phenomena with different prognoses. Differentiating SIH from diabetic hyperglycemia is challenging in ICU settings. We followed a cohort of trauma patients admitted to a surgical intensive care unit (SICU to evaluate if initial glycated hemoglobin A (HbA 1 c level predicts the outcome of admission. Materials and Methods: A cohort of 120 consecutive admissions to SICU following trauma were recruited and admission blood sugar and HbA 1 c were measured. Outcomes were prospectively measured by blinded ICU doctors. A logistic regression model was developed to assess if HbA 1 c predicts poor outcomes in these settings. Results: Nearly 24% of the participants had HbA 1 c ≥ 6. Those with HbA 1 c ≥ 6 had 3.14 times greater risk of poor outcome at the end of hospital stay when compared to those with HbA 1 c < 6 and this risk increased to an odds ratio of 4.57 on adjusting for other significant predictors: Acute Physiology and Chronic Health Evaluation II, injury severity score, admission blood sugar and age at admission. Conclusions: Substantial proportion of trauma admissions has underlying diabetes. HbA 1 c, a measure of pre admission glycaemic status is an important predictor of ICU outcome in trauma patients.

  5. Effects of Coarse Particulate Matter on Emergency Hospital Admissions for Respiratory Diseases: A Time-Series Analysis in Hong Kong

    OpenAIRE

    Qiu, Hong; Yu, Ignatius Tak-sun; Tian, Linwei; Wang, Xiaorong; Tse, Lap Ah; Tam, Wilson; Wong, Tze Wai

    2012-01-01

    Background: Many epidemiological studies have linked daily counts of hospital admissions to particulate matter (PM) with an aerodynamic diameter ≤ 10 μm (PM 10) and ≤ 2.5 μm (PM 2.5), but relatively few have investigated the relationship of hospital admissions with coarse PM (PM c; 2.5-10 μm aerodynamic diameter). Objectives: We conducted this study to estimate the health effects of PM c on emergency hospital admissions for respiratory diseases in Hong Kong after controlling for PM 2.5 and ga...

  6. Comparative assessment of supervision and decision-making procedures regarding sustainable development; Evaluation comparee de methodes de controle et de decision en matiere de developpement durable

    Energy Technology Data Exchange (ETDEWEB)

    Carlevaro, F.; Garbely, M.; Genoud, S.

    2002-07-01

    This final report for the Swiss Federal Office of Energy (SFOE) presents the results of a study made on the possibilities of establishing a system of indicators that allows the monitoring of sustainable development and its effects, as stipulated in the Agenda 21. The report presents the findings of the study on criteria and indicators for sustainability in the energy area. The challenge posed by the synthesis of information from a system of indicators is discussed and four general approaches are proposed, compared and tested for the monitoring of sustainability in the energy area. These include the calculation of a composite index from several indicators, a similar process that uses statistical methods of dimensional reduction, methods for the measurement of productivity loaned from economics and a method for decision-making using multiple criteria. Examples for the four approaches are given and experience gained in their use - partly in other countries and in United Nations agencies - is discussed.

  7. Local Medicaid home- and community-based services spending and nursing home admissions of younger adults.

    Science.gov (United States)

    Thomas, Kali S; Keohane, Laura; Mor, Vincent

    2014-11-01

    We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.

  8. 空中交通管制安全风险预警决策模式%Early Warning Decision Model of Safety Risk in Air Traffic Control

    Institute of Scientific and Technical Information of China (English)

    罗帆; 杨智

    2013-01-01

    The existing decision problems in the early warning management were discussed using decision theory. The effectiveness of early warning and the accuracy improvement of the early warning signal output practice were investigated. From the level of preventing missing alarming and false alarming, the connotation of early warning decision was defined and warning decision model was designed. And the decision object which needs to be focused on in the warning decision model operation was analyzed. It was pointed out that the choice of decisions implement, restructure of the index system and threshold value definition were the main works of early warning decision-making model. It provided novel research field in the air traffic control in the early warning management theory.%针对空中交通管制安全风险预警管理中,如何实现有效预警,提高预警信号输出精度的实际问题,引入决策理论,探讨预警管理中存在的决策问题.从漏警、虚警防范的层面,定义预警决策的内涵,设计预警决策模式,并对预警决策模式运行中需要重点关注的决策对象进行了分析,指出指标体系再构、阈值界定,及以预警诊断方法为集合的决策器选择,是预警决策模式的主要工作导向,从而为空中交通管制预警管理理论导入新的研究内容.

  9. A Randomized Controlled Trial on Teaching Geriatric Medical Decision Making and Cost Consciousness With the Serious Game GeriatriX

    NARCIS (Netherlands)

    Lagro, J.; Pol, M.H.J. van de; Laan, A. van der; Huijbregts-Verheyden, F.J.; Fluit, L.; Olde Rikkert, M.G.M.

    2014-01-01

    OBJECTIVE: Medical students often lack training in complex geriatric medical decision making. We therefore developed the serious game, GeriatriX, for training medical decision making with weighing patient preferences, and appropriateness and costs of medical care. We hypothesized that education with

  10. Joint venture dynamics : The effects of decisions made within a parent company and the role of joint venture management control

    NARCIS (Netherlands)

    Kooistra, Jeltje; Kamminga, Pieter

    2015-01-01

    This study aims at understanding the dynamic processes, which we call JV dynamics, over the life of JV relationships. It focuses on JV dynamics created by decisions made within one of the parent companies. It uses the case study methodology to analyse the antecedents that lead to decisions made with

  11. A single-blind randomised controlled trial of the effects of a web-based decision aid on self-testing for cholesterol and diabetes. study protocol

    Directory of Open Access Journals (Sweden)

    Ickenroth Martine HP

    2012-01-01

    Full Text Available Abstract Background Self-tests, tests on body materials to detect medical conditions, are widely available to the general public. Self-testing does have advantages as well as disadvantages, and the debate on whether self-testing should be encouraged or rather discouraged is still ongoing. One of the concerns is whether consumers have sufficient knowledge to perform the test and interpret the results. An online decision aid (DA with information on self-testing in general, and test specific information on cholesterol and diabetes self-testing was developed. The DA aims to provide objective information on these self-tests as well as a decision support tool to weigh the pros and cons of self-testing. The aim of this study is to evaluate the effect of the online decision aid on knowledge on self-testing, informed choice, ambivalence and psychosocial determinants. Methods/Design A single blind randomised controlled trial in which the online decision aid 'zelftestwijzer' is compared to short, non-interactive information on self-testing in general. The entire trial will be conducted online. Participants will be selected from an existing Internet panel. Consumers who are considering doing a cholesterol or diabetes self-test in the future will be included. Outcome measures will be assessed directly after participants have viewed either the DA or the control condition. Weblog files will be used to record participants' use of the decision aid. Discussion Self-testing does have important pros and cons, and it is important that consumers base their decision whether they want to do a self-test or not on knowledge and personal values. This study is the first to evaluate the effect of an online decision aid for self-testing. Trial registration Dutch Trial Register: NTR3149

  12. Decision aid on breast cancer screening reduces attendance rate: results of a large-scale, randomized, controlled study by the DECIDEO group.

    Science.gov (United States)

    Bourmaud, Aurelie; Soler-Michel, Patricia; Oriol, Mathieu; Regnier, Véronique; Tinquaut, Fabien; Nourissat, Alice; Bremond, Alain; Moumjid, Nora; Chauvin, Franck

    2016-03-15

    Controversies regarding the benefits of breast cancer screening programs have led to the promotion of new strategies taking into account individual preferences, such as decision aid. The aim of this study was to assess the impact of a decision aid leaflet on the participation of women invited to participate in a national breast cancer screening program. This Randomized, multicentre, controlled trial. Women aged 50 to 74 years, were randomly assigned to receive either a decision aid or the usual invitation letter. Primary outcome was the participation rate 12 months after the invitation. 16 000 women were randomized and 15 844 included in the modified intention-to-treat analysis. The participation rate in the intervention group was 40.25% (3174/7885 women) compared with 42.13% (3353/7959) in the control group (p = 0.02). Previous attendance for screening (RR = 6.24; [95%IC: 5.75-6.77]; p aid reduced the participation rate. The decision aid activate the decision making process of women toward non-attendance to screening. These results show the importance of promoting informed patient choices, especially when those choices cannot be anticipated.

  13. 40 CFR 85.1512 - Admission of catalyst and O2 sensor-equipped vehicles.

    Science.gov (United States)

    2010-07-01

    ... system and/or O2 sensor; (iii) Is labeled in accordance with 40 CFR part 86, subpart A or subpart S, or... CFR 12.73 unless it is included in a catalyst and O2 sensor control program approved by the... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Admission of catalyst and O2...

  14. Split Decisions, Split Decisions

    Directory of Open Access Journals (Sweden)

    2000-01-01

    Full Text Available The lead stories in Nature and Science went in opposite directions this week. Science chose outer space, launching into NASA’s hotly disputed decision to shelve a planned mission to Pluto. Nature plunged into inner space with a story about a report to the European Commission advising against granting “premature” approval to create human embryos for stem-cell research.

  15. Pre-consultation educational group intervention to improve shared decision-making in postmastectomy breast reconstruction: study protocol for a pilot randomized controlled trial

    OpenAIRE

    Platt, Jennica; Baxter, Nancy; Jones, Jennifer; Metcalfe, Kelly; Causarano, Natalie; Hofer, Stefan OP; ONeill, Anne; Cheng, Terry; Starenkyj, Elizabeth; Zhong, Toni

    2013-01-01

    Background The Pre-Consultation Educational Group Intervention pilot study seeks to assess the feasibility and inform the optimal design for a definitive randomized controlled trial that aims to improve the quality of decision-making in postmastectomy breast reconstruction patients. Methods/design This is a mixed-methods pilot feasibility randomized controlled trial that will follow a single-center, 1:1 allocation, two-arm parallel group superiority design. Setting: The University Health Netw...

  16. Students Selection for University Course Admission at the Joint Admissions Board (Kenya) Using Trained Neural Networks

    Science.gov (United States)

    Wabwoba, Franklin; Mwakondo, Fullgence M.

    2011-01-01

    Every year, the Joint Admission Board (JAB) is tasked to determine those students who are expected to join various Kenyan public universities under the government sponsorship scheme. This exercise is usually extensive because of the large number of qualified students compared to the very limited number of slots at various institutions and the…

  17. Admission Hyperglycemia in Head Injured Patients

    Directory of Open Access Journals (Sweden)

    Yousefzadeh Chabok Sh

    2009-04-01

    Full Text Available Hyperglycemia, in trauma patient, is commonly associated with a hyper metabolic stress response. Our objective is to determine the effects of hyperglycemia on the overall outcome of head trauma patients. In this descriptive study data were collected from head trauma patients' admitted to Intensive Care Unit (ICU of Poursina University Hospital in a one-year period (Jan 2004-Jan 2005, retrospectively. All patients had stayed in the ICU for more than 48 hours post-injuries. They were divided into two groups according to their serum glucose levels at the time of admission (<200mg/dl or >200mg/dl, age, gender and Injury Severity Score (ISS. Patients with diabetes mellitus were excluded .We determined the outcome according to duration of hospitalization and ICU stay as well as mortality rates. Variables were analyzed with t-test and chi square test. Out of 115 patients, 89.6% were men. About 36 % of patients had serum glucose levels ≥ 200 mg/dl over the study period and this group had significantly greater mortality rate but without necessarily longer ICU or hospital stay. In this study we have shown that admission hyperglycemia has significant effect on patient's mortality but it is still unclear whether it can be a cause for longer ICU/hospital stay."n© 2009 Tehran University of Medical Sciences. All rights reserved.

  18. Influences of Parental Control and Decision Making on Risk-Taking Behavior: A Cross-Cultural Study in the U.S. and Taiwan

    OpenAIRE

    Chou, Catherine Pei Wern

    2014-01-01

    The purpose of the present research was to examine the use and the effect of parental control (i.e., behavioral control and psychological control) on risk-taking behavior among emerging adults by using a cross-cultural approach. Specifically, the current research aimed to examine the associations between parental control and risk-taking behavior as mediated by decision making processes. Data were drawn from college students from the U.S. (Asian American N = 164) and Taiwan (N = 156) by using ...

  19. The effect of a patient-oriented treatment decision aid for risk factor management in patients with diabetes (PORTDA-diab: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Denig Petra

    2012-11-01

    Full Text Available Abstract Background To improve risk factor management in diabetes, we need to support effective interactions between patients and healthcare providers. Our aim is to develop and evaluate a treatment decision aid that offers personalised information on treatment options and outcomes, and is intended to empower patients in taking a proactive role in their disease management. Important features are: (1 involving patients in setting goals together with their provider; (2 encourage them to prioritise on treatments that maximise relevant outcomes; and (3 integration of the decision aid in the practice setting and workflow. As secondary aim, we want to evaluate the impact of different presentation formats, and learn more from the experiences of the healthcare providers and patients with the decision aid. Methods and design We will conduct a randomised trial comparing four formats of the decision aid in a 2×2 factorial design with a control group. Patients with type 2 diabetes managed in 18 to 20 primary care practices in The Netherlands will be recruited. Excluded are patients with a recent myocardial infarction, stroke, heart failure, angina pectoris, terminal illness, cognitive deficits, >65 years at diagnosis, or not able to read Dutch. The decision aid is offered to the patients immediately before their quarterly practice consultation. The same decision information will be available to the healthcare provider for use during consultation. In addition, the providers receive a set of treatment cards, which they can use to discuss the benefits and risks of different options. Patients in the control group will receive care as usual. We will measure the effect of the intervention on patient empowerment, satisfaction with care, beliefs about medication, negative emotions, health status, prescribed medication, and predicted cardiovascular risk. Data will be collected with questionnaires and automated extraction from medical records in 6 months before and

  20. Control of decisions in proceedings at administrative courts relating to the Federal Act for Protection Against Nuisances and to the Atomic Energy Law

    International Nuclear Information System (INIS)

    The author examines especially those lawsuits where the judicial decision depends - among other things - on the prior settling of most difficult technological questions. The decision on Kalkar given by the Federal Court of Justice is so important because it confirms that largely unclear legal terms are unobjectionable from the point of view of constitutional law. Using other findings, the author discusses the extension of legal protection as to include earlier stages of licensing procedures, foreclosure, the tightness of controls in case of review and subsequent assessment of difficult scientific or technological issues, risk assessment and its evaluation by the executive and judiciary. Law leaves final decision and assessment up to the executive power, the review of the framework up to the court. The problems mentioned can be solved without having to set up a science court or to install a judge who is an expert in technologies. (HSCH)

  1. Nosocomial infection in adult admissions with hematological malignancies originating from different lineages: a prospective observational study.

    Directory of Open Access Journals (Sweden)

    Hui Liu

    Full Text Available Nosocomial infection (NI causes prolonged hospital stays, increased healthcare costs, and higher mortality among patients with hematological malignancies (HM. However, few studies have compared the incidence of NI according to the HM lineage.To compare the incidence of NI according to the type of HM lineage, and identify the risk factors for NI.This prospective observational study monitored adult patients with HM admitted for >48 hours to the General Hospital of the People's Liberation Army during 2010-2013. Attack rates and incidences of NI were compared, and multivariable logistic regression was used to control for confounding effects.This study included 6,613 admissions from 1,922 patients. During these admissions, 1,023 acquired 1,136 NI episodes, with an attack rate of 15.47% and incidence of 9.6‰ (95% CI: 9.1-10.2. Higher rates and densities of NIs were observed among myeloid neoplasm (MN admissions, compared to lymphoid neoplasm (LN admissions (28.42% vs. 11.00%, P<0.001 and 11.4% vs. 8.4‰, P<0.001. NI attack rates in acute myeloid leukemia (AML and myelodysplastic/myeloproliferative neoplasm (MDS/MPN were higher than those in MDS (30.69% vs. 20.19%, P<0.001; 38.89% vs. 20.19%, P = 0.003. Attack rates in T/NK-cell neoplasm and B-cell neoplasm were higher than those in Hodgkin lymphoma (15.04% vs. 3.65%; 10.94% vs. 3.65%, P<0.001. Multivariable regression analysis indicated prolonged hospitalization, presence of central venous catheterization, neutropenia, current stem cell transplant, infection on admission, and old age were independently associated with higher NI incidence. After adjusting for these factors, MN admissions still had a higher risk of infection (odds ratio 1.34, 95% CI: 1.13-1.59, P<0.001.Different NI attack rates were observed for HM from different lineages, with MN lineages having a higher attack rate and incidence than LN lineages. Special attention should be paid to MN admissions, especially AML and MDS

  2. Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Ringbæk, Thomas; Green, Allan; Laursen, Lars Christian;

    2015-01-01

    BACKGROUND AND OBJECTIVE: Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital...... during the study period. RESULTS: Most of the enrolled patients had severe COPD (forced expiratory volume in 1 second <50%pred in 86% and ≥hospital admission for COPD in the year prior to enrollment in 45%, respectively, of the patients). No difference in drop-out rate and mortality was found between the...... groups. With regard to the primary outcome, no significant difference was found in hospital admissions for COPD between the groups (P=0.74), and likewise, no difference was found in time to first admission or all-cause hospital admissions. Compared with the control group, TM group patients had more...

  3. Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions

    DEFF Research Database (Denmark)

    Kristensen, Troels; Rose Olsen, Kim

    there is a link between preventable hospital admissions and POCT of HbA1c in general practice. Preventable hospital admissions were assessed through the ambulatory care sensitive conditions (ACSCs) classification of hospital admissions. We include independent variables such as gender, age, ethnicity......Background: Point-of-care testing (POCT) of HbA1c may result in improved diabetic control, better patient outcomes and enhanced clinical efficiency with fewer patient visits and subsequent reductions in hospitalizations and costs. In 2008, the Danish regulators agreed to create a new tariff...... for the remuneration of POCT of HbA1c in primary care. Aim: The aim of this study is to assess whether there is an association between the use of POCT of HbA1c and preventable hospital admissions among diabetes patients in general practice. Method: We apply logistic regression analyses to examine whether...

  4. Study protocol: Improving patient choice in treating low back pain (IMPACT - LBP: A randomised controlled trial of a decision support package for use in physical therapy

    Directory of Open Access Journals (Sweden)

    Tysall Colin

    2011-02-01

    Full Text Available Abstract Background Low back pain is a common and costly condition. There are several treatment options for people suffering from back pain, but there are few data on how to improve patients' treatment choices. This study will test the effects of a decision support package (DSP, designed to help patients seeking care for back pain to make better, more informed choices about their treatment within a physiotherapy department. The package will be designed to assist both therapist and patient. Methods/Design Firstly, in collaboration with physiotherapists, patients and experts in the field of decision support and decision aids, we will develop the DSP. The work will include: a literature and evidence review; secondary analysis of existing qualitative data; exploration of patients' perspectives through focus groups and exploration of experts' perspectives using a nominal group technique and a Delphi study. Secondly, we will carry out a pilot single centre randomised controlled trial within NHS Coventry Community Physiotherapy. We will randomise physiotherapists to receive either training for the DSP or not. We will randomly allocate patients seeking treatment for non specific low back pain to either a physiotherapist trained in decision support or to receive usual care. Our primary outcome measure will be patient satisfaction with treatment at three month follow-up. We will also estimate the cost-effectiveness of the intervention, and assess the value of conducting further research. Discussion Informed shared decision-making should be an important part of any clinical consultation, particularly when there are several treatments, which potentially have moderate effects. The results of this pilot will help us determine the benefits of improving the decision-making process in clinical practice on patient satisfaction. Trial registration Current Controlled Trials ISRCTN46035546

  5. Business making decisions

    Directory of Open Access Journals (Sweden)

    Enrique Benjamín Franklin Fincowsky

    2011-06-01

    Full Text Available People and organizations make better or get wrong as consequence of making decisions. Sometimes making decisions is just a trial and error process. Some others, decisions are good and the results profitable with a few of mistakes, most of the time because it’s considered the experience and the control of a specific field or the good intention of who makes them. Actually, all kinds of decisions bring learning. What is important is the intention, the attitude and the values considered in this process. People from different scenes face many facts and circumstances—almost always out of control—that affect the making decisions process. There is not a unique way to make decisions for all companies in many settings. The person who makes a decision should identify the problem, to solve it later using alternatives and solutions. Even though, follow all the steps it’s not easy as it seems. Looking back the conditions related to the decisions, we can mention the followings: uncertainty, risk and certainty. When people identify circumstances and facts, as well as its effects in a possible situation, they will make decisions with certainty. As long as the information decreases and it becomes ambiguous the risk becomes an important factor in the making decisions process because they are connected to probable objectives (clear or subjective (opinion judgment or intuition. To finish, uncertainty, involves people that make a decision with no or little information about circumstances or criteria with basis

  6. Namibia's exceptional admission to the ILO.

    Science.gov (United States)

    Fromont, M

    1998-01-01

    Namibia officially became the 136th ¿member state¿ of the International Labour Office (ILO) on October 3, 1978. At that time Namibia was politically dependent on South Africa and lived under apartheid. This stood in contradiction to international law, given that since October 1966 the UN General Assembly had terminated the Republic of South Africa's mandate over the territory. In 1967 it had entrusted its official administration to the UN Council for Namibia, which requested Namibia's admission to the ILO as a full member. Namibia met all the criteria required of a state: an established population and territory, a stable and internationally recognized legal structure, together with the capacity to enter into relations with other states. Namibia was recognized by the Conference as the de-facto authentic government through an election in which 368 voted in favor of Namibia with no oppositions and 50 abstentions.

  7. Superconformal minimal models and admissible Jack polynomials

    CERN Document Server

    Blondeau-Fournier, Olivier; Ridout, David; Wood, Simon

    2016-01-01

    We give new proofs of the rationality of the N=1 superconformal minimal model vertex operator superalgebras and of the classification of their modules in both the Neveu-Schwarz and Ramond sectors. For this, we combine the standard free field realisation with the theory of Jack symmetric functions. A key role is played by Jack symmetric polynomials with a certain negative parameter that are labelled by admissible partitions. These polynomials are shown to describe free fermion correlators, suitably dressed by a symmetrising factor. The classification proofs concentrate on explicitly identifying Zhu's algebra and its twisted analogue. Interestingly, these identifications do not use an explicit expression for the non-trivial vacuum singular vector. While the latter is known to be expressible in terms of an Uglov symmetric polynomial or a linear combination of Jack superpolynomials, it turns out that standard Jack polynomials (and functions) suffice to prove the classification.

  8. HIV/AIDS and admission to intensive care units: A comparison of India, Brazil and South Africa

    Directory of Open Access Journals (Sweden)

    Kantharuben Naidoo

    2013-03-01

    Full Text Available In resource-constrained settings and in the context of HIV-infected patients requiring intensive care, value-laden decisions by critical care specialists are often made in the absence of explicit policies and guidelines. These are often based on individual practitioners’ knowledge and experience, which may be subject to bias. We reviewed published information on legislation and practices related to intensive care unit (ICU admission in India, Brazil and South Africa, to assess access to critical care services in the context of HIV. Each of these countries has legal instruments in place to provide their citizens with health services, but they differ in their provision of ICU care for HIV-infected persons. In Brazil, some ICUs have no admission criteria, and this decision vests solely on the ‘availability, and the knowledge and the experience’ of the most experienced ICU specialist at the institution. India has few regulatory mechanisms to ensure ICU care for critically ill patients including HIV-infected persons. SA has made concerted efforts towards non-discriminatory criteria for ICU admissions and, despite the shortage of ICU beds, HIV-infected patients have relatively greater access to this level of care than in other developing countries in Africa, such as Botswana. Policymakers and clinicians should devise explicit policy frameworks to govern ICU admissions in the context of HIV status. S Afr J HIV Med 2013;14(1:15-16. DOI:10.7196/SAJHIVMED.887

  9. 基于决策网络模型的通信网阻塞控制方法%The Novel Approach of Congestion Control of Communication Network Based on Decision Network Model

    Institute of Scientific and Technical Information of China (English)

    王宽全; 程代杰

    2001-01-01

    In this paper the decision network model of congestion control of communication network is presented and simulation of this model is conducted by software. At last this model is applied in man-agement of telecommunication network and the decision of congestion control strategies can be effective-ly obtained.

  10. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

    Directory of Open Access Journals (Sweden)

    Lay Barbara

    2012-09-01

    Full Text Available Abstract Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be

  11. Temperature effects on hospital admissions for kidney morbidity in Taiwan

    International Nuclear Information System (INIS)

    Objective: This study aimed to associate hospital admissions of kidney diseases with extreme temperature and prolonged heat/cold events in 7 regions of Taiwan. Methods: Age-specific (10, O3, and NO2) and potential confounders. Results: We observed a V or J-shape association between daily average temperatures and the RR estimates for hospital admissions of kidney diseases in Taiwan. The lowest risk for hospital admissions of kidney diseases was found at around 25 °C, and risk increased as temperatures deviated from 25 °C. The pooled cumulative 8-day RR for all ages of population of the 7 study areas were 1.10 (95% confidence interval (CI): 1.01, 1.19) at 18 °C and 1.45 (95% CI: 1.27, 1.64) at 30 °C. High temperature has more profound influence on hospital admission of kidney diseases than low temperature. Temperature risks for hospital admissions were similar between younger (< 65 years) and elderly (65 + years) population. This study observed no significant effects of prolonged heat extremes on hospital admissions of kidney diseases. Conclusions: The heat effect for kidney morbidities leading to hospital admission was more significant than that of the cold temperature. This study did not find the age-dependent relative risks for temperature associating with hospital admissions of kidney diseases. - Highlights: ► V or J-shaped association was observed between daily temperatures and hospital admissions for renal diseases in Taiwan. ► The pooled relative risks accounting for 8 days of lag for the 7 study areas were 1.1 at 18 °C and 1.46 at 30 °C. ► There is no difference of the relative risk estimates for hospital admissions between younger and elderly population. ► We found significant protective effects of hospital admissions for prolonged cold extremes, but not for heat extremes

  12. Assisted admissions? A national survey of general practitioner experience of involuntary admissions.

    LENUS (Irish Health Repository)

    Kelly, M

    2011-10-01

    The 2001 Mental Health Act introduced in 2006, changed how a patient is admitted involuntarily to a psychiatric unit. This paper reports on a national survey of general practitioners\\' experience implementing the Act. Five hundred and sixty eight (568) GPs completed the survey. Twenty five percent (25%) of respondants had not used it. When used, twenty four percent (24%) report that it takes seven hours or more to complete an admission. Fifty percent (50%) of respondents are confident to complete the necessary paperwork. Overall GPs are dissatisfied with arrangements for transport of patients (mean Likert score 3.5), primarily due to the time delay. GPs believe this places risk on the patient, family and GP. Only thirty-three percent (33%) of respondents feel that the Mental Health Act has improved the patient, GP and family experience of involuntary admission.

  13. 10 CFR 590.308 - Admissions of facts.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Admissions of facts. 590.308 Section 590.308 Energy... WITH RESPECT TO THE IMPORT AND EXPORT OF NATURAL GAS Procedures § 590.308 Admissions of facts. (a) At... proceeding that relate to statements or opinions of fact or of the application of law to fact. (b) A...

  14. Problems in Admissions in U.S. Dental Schools

    Science.gov (United States)

    Mendel, Robert W.; Tabb, W. Gary

    1977-01-01

    Dental school admission policy must direct significant attention to the number of selectees who might enter each of the dental career fields and to those who might eventually serve population segments that currently receive little dental care. Specific suggestions for improving the admissions situation are offered. (LBH)

  15. Strategic Enrollment Management's Ambassadors: The Changing Role of Admissions Counselors

    Science.gov (United States)

    Mathis, Daniel

    2010-01-01

    Road runner. File jockey. Advisor. Public speaker. Recruiter. At any given time, an admissions counselor fits one, some, or all of these descriptors. While all of these descriptors indicate an important function within a college or university, none reflects the increasingly complex nature of the role of an admissions counselor in strategic…

  16. Hospital admission interviews are time-consuming with several interruptions

    DEFF Research Database (Denmark)

    Ghazanfar, Misbah N; Honoré, Per Gustaf Hartvig; Nielsen, Trine R H;

    2012-01-01

    The admission interview is an important procedure to reduce medication errors. Studies indicate that physicians do not spend much time on the interview and that the major obstacles are lack of time and heavy workload. The aim of this study was to measure the time physicians spend on admission...... interviews and to describe factors that affect time consumption....

  17. 14 CFR 125.315 - Admission to flight deck.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Admission to flight deck. 125.315 Section...,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 125.315 Admission to flight deck. (a) No person may admit any person to the flight deck of an airplane unless...

  18. Using Social Media "Smartly" in the Admissions Process

    Science.gov (United States)

    Parrot, Teresa Valerio; Tipton, Stacia

    2010-01-01

    Admissions officers around the country are hearing consistent calls to enhance their social media presence. Whether the pressure is from administrators, influential alumni, or peers across institutions, social media are touted as the next big thing in admissions marketing. But are social media strategies truly "strategic," or are they merely…

  19. Communications Is from Mars, Admissions Is from Venus

    Science.gov (United States)

    Scully, Maura King

    2010-01-01

    Marketing communications and admissions often have very different needs, priorities, and ways of conducting business, but the two units work toward the same end goal. Brad Ward of BlueFuego, a marketing company that specializes in social Web tools for educational institutions, explains that admissions doesn't necessarily need to [talk] to…

  20. University of California Adopts Sweeping Changes in Admissions Policy

    Science.gov (United States)

    Keller, Josh; Hoover, Eric

    2009-01-01

    The University of California has adopted changes to its undergraduate admissions policy that will enlarge its applicant pool and drop the requirement that students take the SAT Subject Tests. The policy is the most significant change in the university's admissions practices in at least a decade. It will increase the number of California…

  1. Admissions Handbook, Third level full time courses : 1988

    OpenAIRE

    City of Dublin Vocational Education Committee

    1988-01-01

    Issued by the Admissions Office, DIT, 14 Upr. Mount St., Dublin 2. Booklet includes application form for admission to third level whole-time courses 1988/89, external examinations form,submission of portfolios form, payment form and application acknowledgement postcard.

  2. Early Admission to Elementary School: Barriers versus Benefits.

    Science.gov (United States)

    Proctor, Theron B.; And Others

    1988-01-01

    This article analyzes why schools fail to provide for early admission of intellectually advanced children. Reasons cited include misinterpretation of research findings, bias of school personnel, expense of screening, convenience of administering a uniform entrance age procedure, etc. Benefits accruing from early admission are discussed. (JDD)

  3. UCT's Admissions Policies: Is the Playing Field Level?

    Science.gov (United States)

    Favish, J.; Hendry, J.

    2010-01-01

    The article outlines how UCT's commitment to redress and diversity has officially guided the university's approach to admissions planning. In 2009 the Senate requested the Vice Chancellor to conduct a review of the admissions policy particularly to determine whether race continued to be an adequate proxy for disadvantage. This article analyses…

  4. Low hospital admission rates for respiratory diseases in children.

    NARCIS (Netherlands)

    Uijen, J.H.J.M.; Schellevis, F.G.; Bindels, P.J.E.; Willemsen, S.P.; Wouden, J.C. van der

    2010-01-01

    BACKGROUND: Population-based data on hospital admissions for children aged 0-17 years concerning all respiratory diseases are scarce. This study examined hospital admissions in relation to the preceding consultations in general practice in this age group. METHODS: Data on children aged 0-17 years wi

  5. A Revised Admissions Standard for One Community College Nursing Program

    Science.gov (United States)

    Lown, Maris A.

    2010-01-01

    Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…

  6. Psychiatric Inpatient Admissions of Adults with Intellectual Disabilities: Predictive Factors

    Science.gov (United States)

    Cowley, Amy; Newton, Jonathan; Sturmey, Peter; Bouras, Nick; Holt, Geraldine

    2005-01-01

    Information on admission to psychiatric inpatient units is lacking from the literature on contemporary services for people with intellectual disability and mental health needs. Here we report on predictors of admission for a cohort of 752 adults from this population living in community settings; 83 were admitted. We also report on two subsamples…

  7. Psychological expert witness testimony and judicial decision making trends.

    Science.gov (United States)

    Shapiro, David L; Mixon, LeKisha; Jackson, Melissa; Shook, Jonathan

    2015-01-01

    Despite the establishment of the Daubert standard in 1993, the evidentiary criteria are rarely used as a basis for admissibility of expert witness testimony in the behavioral sciences. Ever since the promulgation of Frye and the Federal Rules of Evidence, controversy has surrounded the admissibility of expert testimony in courtrooms. There appears to be no existing uniform application of standards governing the admissibility of psychological expert witness testimony. Therefore, it is essential for the psycho-legal communities to explore judicial decision-making trends regarding psychological expert witness evidence. In this current research, psychological expert witness testimony and judicial decision-making will be explored. In preliminary examination, 97 criminal and civil case summaries from the LexisNexis Academic Database involved issues of admissibility. Analyses conducted by eight trained and paired coders revealed that reliability and assistance to the trier of fact were the most often cited reasons for admissibility in courts. Consistent with prior studies, it was also found that the most applied standards for admissibility of psychological evidence were the Federal Rules of Evidence. Interestingly, while the Daubert scientific criteria for admission of scientific testimony were mentioned, they were rarely utilized. A secondary analysis of 167 civil and criminal appellate cases indicated that the reliability of testimony (18% of all cases), ability to assist the trier of fact (17%), the expert witness' qualifications (17%), and the relevance of the testimony (16%) were the most commonly cited reasons for determining admissibility. A tertiary qualitative analysis focusing on these four categories then revealed eight major trends in admissibility of psychological expert evidence. PMID:26341310

  8. Psychological expert witness testimony and judicial decision making trends.

    Science.gov (United States)

    Shapiro, David L; Mixon, LeKisha; Jackson, Melissa; Shook, Jonathan

    2015-01-01

    Despite the establishment of the Daubert standard in 1993, the evidentiary criteria are rarely used as a basis for admissibility of expert witness testimony in the behavioral sciences. Ever since the promulgation of Frye and the Federal Rules of Evidence, controversy has surrounded the admissibility of expert testimony in courtrooms. There appears to be no existing uniform application of standards governing the admissibility of psychological expert witness testimony. Therefore, it is essential for the psycho-legal communities to explore judicial decision-making trends regarding psychological expert witness evidence. In this current research, psychological expert witness testimony and judicial decision-making will be explored. In preliminary examination, 97 criminal and civil case summaries from the LexisNexis Academic Database involved issues of admissibility. Analyses conducted by eight trained and paired coders revealed that reliability and assistance to the trier of fact were the most often cited reasons for admissibility in courts. Consistent with prior studies, it was also found that the most applied standards for admissibility of psychological evidence were the Federal Rules of Evidence. Interestingly, while the Daubert scientific criteria for admission of scientific testimony were mentioned, they were rarely utilized. A secondary analysis of 167 civil and criminal appellate cases indicated that the reliability of testimony (18% of all cases), ability to assist the trier of fact (17%), the expert witness' qualifications (17%), and the relevance of the testimony (16%) were the most commonly cited reasons for determining admissibility. A tertiary qualitative analysis focusing on these four categories then revealed eight major trends in admissibility of psychological expert evidence.

  9. Hexagonal Binary Decision Diagram Quantum Logic Circuits Using Schottky In-Plane and Wrap Gate Control of GaAs and InGaAs Nanowires

    OpenAIRE

    Hasegawa, Hideki; Kasai, Seiya

    2001-01-01

    Previous quantum device research has been done on discrete device levels and lacks a clear vision for high density integration. This paper proposes a new, simple and realistic approach for quantum large scale integrated circuits (QLSIs) where a binary-decision diagram (BDD) logic architecture is implemented by BDD node devices based on quantum wire transistors (QWTrs) and single electron transistors (SETs) realized by the Schottky in-plane gate (IPG) and wrap-gate (WPG) control of III-V hexag...

  10. Early Cell Fate Decisions of Human Embryonic Stem Cells and Mouse Epiblast Stem Cells Are Controlled by the Same Signalling Pathways

    OpenAIRE

    Ludovic Vallier; Thomas Touboul; Zhenzhi Chng; Minodora Brimpari; Nicholas Hannan; Enrique Millan; Smithers, Lucy E.; Matthew Trotter; Peter Rugg-Gunn; Anne Weber; Pedersen, Roger A.

    2009-01-01

    Human embryonic stem cells have unique value for regenerative medicine, as they are capable of differentiating into a broad variety of cell types. Therefore, defining the signalling pathways that control early cell fate decisions of pluripotent stem cells represents a major task. Moreover, modelling the early steps of embryonic development in vitro may provide the best approach to produce cell types with native properties. Here, we analysed the function of key developmental growth factors suc...

  11. The providing resources to enhance African American patients’ readiness to make decisions about kidney disease (PREPARED study: protocol of a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Ephraim Patti L

    2012-10-01

    Full Text Available Abstract Background Living related kidney transplantation (LRT is underutilized, particularly among African Americans. The effectiveness of informational and financial interventions to enhance informed decision-making among African Americans with end stage renal disease (ESRD and improve rates of LRT is unknown. Methods/design We report the protocol of the Providing Resources to Enhance African American Patients’ Readiness to Make Decisions about Kidney Disease (PREPARED Study, a two-phase study utilizing qualitative and quantitative research methods to design and test the effectiveness of informational (focused on shared decision-making and financial interventions to overcome barriers to pursuit of LRT among African American patients and their families. Study Phase I involved the evidence-based development of informational materials as well as a financial intervention to enhance African American patients’ and families’ proficiency in shared decision-making regarding LRT. In Study Phase 2, we are currently conducting a randomized controlled trial in which patients with new-onset ESRD receive 1 usual dialysis care by their nephrologists, 2 the informational intervention (educational video and handbook, or 3 the informational intervention in addition to the option of participating in a live kidney donor financial assistance program. The primary outcome of the randomized controlled trial will include patients’ self-reported rates of consideration of LRT (including family discussions of LRT, patient-physician discussions of LRT, and identification of a LRT donor. Discussion Results from the PREPARED study will provide needed evidence on ways to enhance the decision to pursue LRT among African American patients with ESRD. Trial registration ClinicalTrials.gov NCT01439516

  12. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2012-01-01

    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  13. Effects of meteorological factors on daily hospital admissions for asthma in adults: a time-series analysis.

    Directory of Open Access Journals (Sweden)

    Yue Zhang

    Full Text Available There is limited evidence for the impacts of meteorological changes on asthma hospital admissions in adults in Shanghai, China.To quantitatively evaluate the short-term effects of daily mean temperature on asthma hospital admissions.Daily hospital admissions for asthma and daily mean temperatures between January 2005 and December 2012 were analyzed. After controlling for secular and seasonal trends, weather, air pollution and other confounding factors, a Poisson generalized additive model (GAM combined with a distributed lag non-linear model were used to explore the associations between temperature and hospital admissions for asthma.During the study periods, there were 15,678 hospital admissions for asthma by residents of Shanghai, an average 5.6 per day. Pearson correlation analysis found a significant negative correlation (r = -0.174, P<0.001 between asthma hospitalizations and daily mean temperature (DMT. The DMT effect on asthma increased below the median DMT, with lower temperatures associated with a higher risk of hospital admission for asthma. Generally, the cold effect appeared to be relatively acute, with duration lasting several weeks, while the hot effect was short-term. The relative risk of asthma hospital admissions associated with cold temperature (the 25th percentile of temperature relative to the median temperature was 1.20 (95% confidence interval [CI], 1.01∼1.41 at lag0-14. However, warmer temperatures were not associated with asthma hospital admissions.Cold temperatures may trigger asthmatic attacks. Effective strategies are needed to protect populations at risk from the effects of cold.

  14. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne

    2014-01-01

    Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical......The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission...... interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired by...

  15. Factors related to monitoring during admission of acute patients

    DEFF Research Database (Denmark)

    Schmidt, Thomas; Bech, Camilla Louise Nørgaard; Brabrand, Mikkel;

    2016-01-01

    Understanding the use of patient monitoring systems in emergency and acute facilities may help to identify reasons for failure to identify risk patients in these settings. Hence, we investigate factors related to the utilization of automated monitoring for patients admitted to an acute admission...... one measurement were analyzed using quantile regression by looking at the impact of distance from nursing office, number of concurrent patients, wing type (medical/surgical), age, sex, comorbidities, and severity conditioned on how much patients were monitored during their admissions. We registered 11......,848 admissions, of which we were able to link patient monitor readings to 3149 (26.6 %) with 50 % being monitored <1.4 % of total admission time. Distance from nursing office had little influence on patients monitored <10 % of their admission time. But for other patients, being positioned further away from the...

  16. An environmental fairness based optimisation model for the decision-support of joint control over the water quantity and quality of a river basin

    Science.gov (United States)

    Yu, Sen; He, Li; Lu, Hongwei

    2016-04-01

    This paper presented a new environmental fairness based optimisation model (EFOM) for the decision-support of water resources management and water pollution control at the watershed scale. The model integrated three prediction modules for water consumption and pollutant discharge (WCPD), environmental Gini coefficient (EGC) and water quality (WASP). The model is capable of optimizing the total discharge quantity in the whole basin and controlling units both spatially and temporally, and addressing the conflicts between environmental fairness and efficiency. The model was applied to the Songhua River basin, attempting to support decision-making of joint control over the water quantity and quality. Validation of the WASP module showed that the simulation agreed well with water quality monitoring values (2013) in the Harbin section. Results from the EFOM model also indicated that the water environment in the Harbin section would be improved significantly by effectively controlling the total pollution discharge. The identified optimal strategy obtained from the EFOM showed that the percentage of water in good quality reaches 72% in 2020, suggesting that the strategy would guarantee the planning goals of The China Action Plan for Water Pollution Control to be satisfied. Hence, the modelling under the consideration of environmental fairness can be a new attempt, which is beneficial to optimal joint control of water quantity and water quality at the watershed scale.

  17. Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Sheridan Stacey L

    2012-11-01

    Full Text Available Abstract Background Professional societies recommend shared decision making (SDM for prostate cancer screening, however, most efforts have promoted informed rather than shared decision making. The objective of this study is to 1 examine the effects of a prostate cancer screening intervention to promote SDM and 2 determine whether framing prostate information in the context of other clearly beneficial men’s health services affects decisions. Methods We conducted two separate randomized controlled trials of the same prostate cancer intervention (with or without additional information on more clearly beneficial men’s health services. For each trial, we enrolled a convenience sample of 2 internal medicine practices, and their interested physicians and male patients with no prior history of prostate cancer (for a total of 4 practices, 28 physicians, and 128 men across trials. Within each practice site, we randomized men to either 1 a video-based decision aid and researcher-led coaching session or 2 a highway safety video. Physicians at each site received a 1-hour educational session on prostate cancer and SDM. To assess intervention effects, we measured key components of SDM, intent to be screened, and actual screening. After finding that results did not vary by trial, we combined data across sites, adjusting for the random effects of both practice and physician. Results Compared to an attention control, our prostate cancer screening intervention increased men’s perceptions that screening is a decision (absolute difference +41%; 95% CI 25 to 57% and men’s knowledge about prostate cancer screening (absolute difference +34%; 95% CI 19% to 50%, but had no effect on men’s self-reported participation in shared decisions or their participation at their preferred level. Overall, the intervention decreased screening intent (absolute difference −34%; 95% CI −50% to −18% and actual screening rates (absolute difference −22%; 95% CI −38 to

  18. 77 FR 41973 - Record of Decision for the Entry Control Reconfiguration and Base Perimeter Fence Relocation in...

    Science.gov (United States)

    2012-07-17

    ... Availability (NOA) of a Record of Decision (ROD). SUMMARY: On June 21, 2012, the United States Air Force signed... relevant factors. The FEIS was made available to the public on May 11, 2012 through a NOA in the Federal... FEIS. Authority: This NOA is published pursuant to the regulations (40 CFR Part 1506.6)...

  19. Banding and Ballots: Secondary School Admissions in England: Admissions in 2012/13 and the Impact of Growth of Academies

    Science.gov (United States)

    Noden, Philip; West, Anne; Hind, Audrey

    2014-01-01

    This report provides key findings from a two part research project funded by the Sutton Trust and the London School of Economics & Political Science, (LSE) focusing on secondary school admissions in England. The research analyses secondary schools' admissions criteria and practices in England in 2012/13 and illustrative examples of how some…

  20. Apparent temperature and cause-specific emergency hospital admissions in Greater Copenhagen, Denmark.

    Directory of Open Access Journals (Sweden)

    Janine Wichmann

    Full Text Available One of the key climate change factors, temperature, has potentially grave implications for human health. We report the first attempt to investigate the association between the daily 3-hour maximum apparent temperature (Tapp(max and respiratory (RD, cardiovascular (CVD, and cerebrovascular (CBD emergency hospital admissions in Copenhagen, controlling for air pollution. The study period covered 1 January 2002-31 December 2006, stratified in warm and cold periods. A case-crossover design was applied. Susceptibility (effect modification by age, sex, and socio-economic status was investigated. For an IQR (8°C increase in the 5-day cumulative average of Tapp(max, a 7% (95% CI: 1%, 13% increase in the RD admission rate was observed in the warm period whereas an inverse association was found with CVD (-8%, 95% CI: -13%, -4%, and none with CBD. There was no association between the 5-day cumulative average of Tapp(max during the cold period and any of the cause-specific admissions, except in some susceptible groups: a negative association for RD in the oldest age group and a positive association for CVD in men and the second highest SES group. In conclusion, an increase in Tapp(max is associated with a slight increase in RD and decrease in CVD admissions during the warmer months.

  1. Rational decisions

    CERN Document Server

    Binmore, Ken

    2008-01-01

    It is widely held that Bayesian decision theory is the final word on how a rational person should make decisions. However, Leonard Savage--the inventor of Bayesian decision theory--argued that it would be ridiculous to use his theory outside the kind of small world in which it is always possible to ""look before you leap."" If taken seriously, this view makes Bayesian decision theory inappropriate for the large worlds of scientific discovery and macroeconomic enterprise. When is it correct to use Bayesian decision theory--and when does it need to be modified? Using a minimum of mathematics,

  2. QUALIFICATION FOR ADMISSION TO INTENSIVE PSYCHOTHERAPY IN A DAY HOSPITAL FOR NEUROTIC DISORDERS

    Directory of Open Access Journals (Sweden)

    Sobanski, Jerzy A.

    2011-12-01

    included by the insurance company in the treatment contract for the institution, e.g. organic brain disorders,drug-dependencies, psychotic schizophrenic disorders and affective disorders, while the next group contained patients suffering from disorders fitting the profile of the treatment provided by the institution (neurotic and personality disorders, but not being able to comply to treatment program because of life context, general health conditions, insufficient motivation, decreased control of autoagressive impulses etc.Conclusions: Admission for treatment in the day hospital is connected with a significant selection of patients, carried out during initial ambulatory visits by both: staff and the patients themselves. The majority of referrals to hospitals and ambulatory psychiatric clinics (PZP result from initial psychiatric examination, while referrals to psychotherapy clinics (e.g. for personality disorders often occur later. Referral for treatment outside the institution sometimes turns out to be necessary even after several weeks from the beginning of theambulatory selection examinations. Resignations of patients in a form of absences without any notification, cancelling visits or informing about the decision during the visit are frequent. Effectiveness of the selection process – connected with patients-candidates’ groupcomposition, and with the specific setting of intensive treatment – cannot be easily improved because of the specificity of intensive psychotherapy. Disrupting the relatively burdening diagnostics probably decreases the number of dropouts during treatment in a day hospital.

  3. Utilizing Chinese Admission Records for MACE Prediction of Acute Coronary Syndrome

    Science.gov (United States)

    Hu, Danqing; Huang, Zhengxing; Chan, Tak-Ming; Dong, Wei; Lu, Xudong; Duan, Huilong

    2016-01-01

    Background: Clinical major adverse cardiovascular event (MACE) prediction of acute coronary syndrome (ACS) is important for a number of applications including physician decision support, quality of care assessment, and efficient healthcare service delivery on ACS patients. Admission records, as typical media to contain clinical information of patients at the early stage of their hospitalizations, provide significant potential to be explored for MACE prediction in a proactive manner. Methods: We propose a hybrid approach for MACE prediction by utilizing a large volume of admission records. Firstly, both a rule-based medical language processing method and a machine learning method (i.e., Conditional Random Fields (CRFs)) are developed to extract essential patient features from unstructured admission records. After that, state-of-the-art supervised machine learning algorithms are applied to construct MACE prediction models from data. Results: We comparatively evaluate the performance of the proposed approach on a real clinical dataset consisting of 2930 ACS patient samples collected from a Chinese hospital. Our best model achieved 72% AUC in MACE prediction. In comparison of the performance between our models and two well-known ACS risk score tools, i.e., GRACE and TIMI, our learned models obtain better performances with a significant margin. Conclusions: Experimental results reveal that our approach can obtain competitive performance in MACE prediction. The comparison of classifiers indicates the proposed approach has a competitive generality with datasets extracted by different feature extraction methods. Furthermore, our MACE prediction model obtained a significant improvement by comparison with both GRACE and TIMI. It indicates that using admission records can effectively provide MACE prediction service for ACS patients at the early stage of their hospitalizations. PMID:27649220

  4. Utilizing Chinese Admission Records for MACE Prediction of Acute Coronary Syndrome

    Directory of Open Access Journals (Sweden)

    Danqing Hu

    2016-09-01

    Full Text Available Background: Clinical major adverse cardiovascular event (MACE prediction of acute coronary syndrome (ACS is important for a number of applications including physician decision support, quality of care assessment, and efficient healthcare service delivery on ACS patients. Admission records, as typical media to contain clinical information of patients at the early stage of their hospitalizations, provide significant potential to be explored for MACE prediction in a proactive manner. Methods: We propose a hybrid approach for MACE prediction by utilizing a large volume of admission records. Firstly, both a rule-based medical language processing method and a machine learning method (i.e., Conditional Random Fields (CRFs are developed to extract essential patient features from unstructured admission records. After that, state-of-the-art supervised machine learning algorithms are applied to construct MACE prediction models from data. Results: We comparatively evaluate the performance of the proposed approach on a real clinical dataset consisting of 2930 ACS patient samples collected from a Chinese hospital. Our best model achieved 72% AUC in MACE prediction. In comparison of the performance between our models and two well-known ACS risk score tools, i.e., GRACE and TIMI, our learned models obtain better performances with a significant margin. Conclusions: Experimental results reveal that our approach can obtain competitive performance in MACE prediction. The comparison of classifiers indicates the proposed approach has a competitive generality with datasets extracted by different feature extraction methods. Furthermore, our MACE prediction model obtained a significant improvement by comparison with both GRACE and TIMI. It indicates that using admission records can effectively provide MACE prediction service for ACS patients at the early stage of their hospitalizations.

  5. Revisiting Bakke and Diversity-Based Admissions: Constitutional Law, Social Science Research, and the University of Michigan Affirmative Action Cases. Briefing Paper.

    Science.gov (United States)

    Ancheta, Angelo N.

    This paper explains how upcoming U.S. Supreme Court decisions in Gratz v. Bollinger and Grutter v. Bollinger are expected to broadly affect the future of race-conscious affirmative action. In these cases, the Supreme Court addresses the constitutionality of admissions policies at the University of Michigan designed to promote educational diversity…

  6. Admissibility, stable units and connected components

    CERN Document Server

    Xarez, J J

    2011-01-01

    Consider a reflection from a finitely-complete category $\\mathbb{C}$ into its full subcategory $\\mathbb{M}$, with unit $\\eta :1_\\mathbb{C}\\rightarrow HI$. Suppose there is a left-exact functor $U$ into the category of sets, such that $UH$ reflects isomorphisms and $U(\\eta_C)$ is a surjection, for every $C\\in\\mathbb{C}$. If, in addition, all the maps $\\mathbb{M}(T,M)\\rightarrow \\mathbf{Set}(1,U(M))$ induced by the functor $UH$ are surjections, where $T$ and 1 are respectively terminal objects in $\\mathbb{C}$ and $\\mathbf{Set}$, for every object $M$ in the full subcategory $\\mathbb{M}$, then it is true that: the reflection $H\\vdash I$ is semi-left-exact (admissible in the sense of categorical Galois theory) if and only if its connected components are "connected"; it has stable units if and only if any finite product of connected components is "connected". Where the meaning of "connected" is the usual in categorical Galois theory, and the definition of connected component with respect to the ground structure wil...

  7. Simulation and experimental studies of operators` decision styles and crew composition while using an ecological and traditional user interface for the control room of a nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Meshkati, N.; Buller, B.J.; Azadeh, M.A. [Univ. of Southern California, Los Angeles, CA (United States)

    1995-04-01

    The goal of this research is threefold: (1) use of the Skill-, Rule-, and Knowledge-based levels of cognitive control -- the SRK framework -- to develop an integrated information processing conceptual framework (for integration of workstation, job, and team design); (2) to evaluate the user interface component of this framework -- the Ecological display; and (3) to analyze the effect of operators` individual information processing behavior and decision styles on handling plant disturbances plus their performance on, and preference for, Traditional and Ecological user interfaces. A series of studies were conducted. In Part I, a computer simulation model and a mathematical model were developed. In Part II, an experiment was designed and conducted at the EBR-II plant of the Argonne National Laboratory-West in Idaho Falls, Idaho. It is concluded that: the integrated SRK-based information processing model for control room operations is superior to the conventional rule-based model; operators` individual decision styles and the combination of their styles play a significant role in effective handling of nuclear power plant disturbances; use of the Ecological interface results in significantly more accurate event diagnosis and recall of various plant parameters, faster response to plant transients, and higher ratings of subject preference; and operators` decision styles affect on both their performance and preference for the Ecological interface.

  8. Daily weather variables and affective disorder admissions to psychiatric hospitals

    Science.gov (United States)

    McWilliams, Stephen; Kinsella, Anthony; O'Callaghan, Eadbhard

    2014-12-01

    Numerous studies have reported that admission rates in patients with affective disorders are subject to seasonal variation. Notwithstanding, there has been limited evaluation of the degree to which changeable daily meteorological patterns influence affective disorder admission rates. A handful of small studies have alluded to a potential link between psychiatric admission rates and meteorological variables such as environmental temperature (heat waves in particular), wind direction and sunshine. We used the Kruskal-Wallis test, ARIMA and time-series regression analyses to examine whether daily meteorological variables—namely wind speed and direction, barometric pressure, rainfall, hours of sunshine, sunlight radiation and temperature—influence admission rates for mania and depression across 12 regions in Ireland over a 31-year period. Although we found some very weak but interesting trends for barometric pressure in relation to mania admissions, daily meteorological patterns did not appear to affect hospital admissions overall for mania or depression. Our results do not support the small number of papers to date that suggest a link between daily meteorological variables and affective disorder admissions. Further study is needed.

  9. Admissions for personality disorders in Italy from 1988 to 1998

    Directory of Open Access Journals (Sweden)

    Barbui Corrado

    2006-08-01

    Full Text Available Abstract Background Personality disorders affect a substantial proportion of the population. It is unclear, however, whether the burden of personality disorders on modern mental health services has been increasing. To fill this gap, we analyzed trends in admissions for personality disorders in Italy from 1988 to 1998. Methods We used the yearly data from the Italian Central Institute of Statistics to analyse trends in the total number of admissions for personality disorders and in the total number of first admissions for personality disorders. Results The absolute number of admissions for personality disorders almost trebled from 1988 to 1998, as well as the proportion of all psychiatric admissions that were for personality disorders. Whilst there has been a marked increase in the absolute number of first admissions, the proportion of all first psychiatric admissions that were for personality disorders showed a steady but modest increase, from 5.7% to 7.6%. Conclusion In Italy, the burden of personality disorders on modern mental health services has been increasing. In terms of public health, these findings highlight the urgent need of developing policies to tackle the increasing demand of care of this difficult-to-treat patient population.

  10. Sleep deprivation is associated with attenuated parametric valuation and control signals in the midbrain during value-based decision making.

    Science.gov (United States)

    Menz, Mareike M; Büchel, Christian; Peters, Jan

    2012-05-16

    Sleep deprivation (SD) has detrimental effects on cognition, but the affected psychological processes and underlying neural mechanisms are still essentially unclear. Here we combined functional magnetic resonance imaging and computational modeling to examine how SD alters neural representation of specific choice variables (subjective value and decision conflict) during reward-related decision making. Twenty-two human subjects underwent two functional neuroimaging sessions in counterbalanced order, once during rested wakefulness and once after 24 h of SD. Behaviorally, SD attenuated conflict-dependent slowing of response times, which was reflected in an attenuated conflict-induced decrease in drift rates in the drift diffusion model. Furthermore, SD increased overall choice stochasticity during risky choice. Model-based functional neuroimaging revealed attenuated parametric subjective value signals in the midbrain, parietal cortex, and ventromedial prefrontal cortex after SD. Conflict-related midbrain signals showed a similar downregulation. Findings are discussed with respect to changes in dopaminergic signaling associated with the sleep-deprived state.

  11. Triage of Patients Consulted for ICU Admission During Times of ICU-Bed Shortage

    Science.gov (United States)

    Orsini, Jose; Blaak, Christa; Yeh, Angela; Fonseca, Xavier; Helm, Tanya; Butala, Ashvin; Morante, Joaquin

    2014-01-01

    Background The demand for specialized medical services such as critical care often exceeds availability, thus rationing of intensive care unit (ICU) beds commonly leads to difficult triage decisions. Many factors can play a role in the decision to admit a patient to the ICU, including severity of illness and the need for specific treatments limited to these units. Although triage decisions would be based solely on patient and institutional level factors, it is likely that intensivists make different decisions when there are fewer ICU beds available. The objective of this study is to evaluate the characteristics of patients referred for ICU admission during times of limited beds availability. Methods A single center, prospective, observational study was conducted among consecutive patients in whom an evaluation for ICU admission was requested during times of ICU overcrowding, which comprised the months of April and May 2014. Results A total of 95 patients were evaluated for possible ICU admission during the study period. Their mean APACHE-II score was 16.8 (median 16, range 3 - 36). Sixty-four patients (67.4%) were accepted to ICU, 18 patients (18.9%) were triaged to SDU, and 13 patients (13.7%) were admitted to hospital wards. ICU had no beds available 24 times (39.3%) during the study period, and in 39 opportunities (63.9%) only one bed was available. Twenty-four patients (25.3%) were evaluated when there were no available beds, and eight of those patients (33%) were admitted to ICU. A total of 17 patients (17.9%) died in the hospital, and 15 (23.4%) expired in ICU. Conclusion ICU beds are a scarce resource for which demand periodically exceeds supply, raising concerns about mechanisms for resource allocation during times of limited beds availability. At our institution, triage decisions were not related to the number of available beds in ICU, age, or gender. A linear correlation was observed between severity of illness, expressed by APACHE-II scores, and the

  12. Algorithm for decision support as the tool for control system of industries with variable assortment of products

    Science.gov (United States)

    Ladaniuk, Anatolii; Ivashchuk, Viacheslav; Kisała, Piotr; Askarova, Nursanat; Sagymbekova, Azhar

    2015-12-01

    Conditions of diversification of enterprise products are involving for changes of higher levels of management hierarchy, so it's leading by tasks correcting and changing schedule for operating of production plans. Ordinary solve by combination of enterprise resource are planning and management execution system often has exclusively statistical content. So, the development of decision support system, that helps to use knowledge about subject for capabilities estimating and order of operation of production object is relevant in this time.

  13. Inertia and Decision Making.

    Science.gov (United States)

    Alós-Ferrer, Carlos; Hügelschäfer, Sabine; Li, Jiahui

    2016-01-01

    Decision inertia is the tendency to repeat previous choices independently of the outcome, which can give rise to perseveration in suboptimal choices. We investigate this tendency in probability-updating tasks. Study 1 shows that, whenever decision inertia conflicts with normatively optimal behavior (Bayesian updating), error rates are larger and decisions are slower. This is consistent with a dual-process view of decision inertia as an automatic process conflicting with a more rational, controlled one. We find evidence of decision inertia in both required and autonomous decisions, but the effect of inertia is more clear in the latter. Study 2 considers more complex decision situations where further conflict arises due to reinforcement processes. We find the same effects of decision inertia when reinforcement is aligned with Bayesian updating, but if the two latter processes conflict, the effects are limited to autonomous choices. Additionally, both studies show that the tendency to rely on decision inertia is positively associated with preference for consistency. PMID:26909061

  14. Variance in practice emergency medical admission rates: can it be explained?

    OpenAIRE

    Duffy, Rebecca; Neville, Ron; Staines, Harry

    2002-01-01

    BACKGROUND: Emergency admission rates have been rising steadily in recent years, with the majority of the increase owing to emergency medical admissions. Possible causative factors include changing demography, incidence of disease, admission thresholds, multiple admissions, and appropriateness of admission. AIM: To investigate the impact of patient and practice factors on variance in general practices' emergency medical admissions rates. DESIGN OF STUDY: Multiple regression analysis relating ...

  15. Fine particulate air pollution and its components in association with cause-specific emergency admissions

    Directory of Open Access Journals (Sweden)

    Koutrakis Petros

    2009-12-01

    Full Text Available Abstract Background Although the association between exposure to particulate matter and health is well established, there remains uncertainty as to whether certain chemical components are more harmful than others. We explored whether the association between cause-specific hospital admissions and PM2.5 was modified by PM2.5 chemical composition. Methods We estimated the association between daily PM2.5 and emergency hospital admissions for cardiac causes (CVD, myocardial infarction (MI, congestive heart failure (CHF, respiratory disease, and diabetes in 26 US communities, for the years 2000-2003. Using meta-regression, we examined how this association was modified by season- and community-specific PM2.5 composition, controlling for seasonal temperature as a surrogate for ventilation. Results For a 10 μg/m3 increase in 2-day averaged PM2.5 concentration we found an increase of 1.89% (95% CI: 1.34- 2.45 in CVD, 2.25% (95% CI: 1.10- 3.42 in MI, 1.85% (95% CI: 1.19- 2.51 in CHF, 2.74% (95% CI: 1.30- 4.2 in diabetes, and 2.07% (95% CI: 1.20- 2.95 in respiratory admissions. The association between PM2.5 and CVD admissions was significantly modified when the mass was high in Br, Cr, Ni, and Na+, while mass high in As, Cr, Mn, OC, Ni, and Na+ modified MI, and mass high in As, OC, and SO42- modified diabetes admissions. For these species, an interquartile range increase in their relative proportion was associated with a 1-2% additional increase in daily admissions per 10 μg/m3 increase in mass. Conclusions We found that PM2.5 mass higher in Ni, As, and Cr, as well as Br and OC significantly increased its effect on hospital admissions. This result suggests that particles from industrial combustion sources and traffic may, on average, have greater toxicity.

  16. Incidence and risk factors for neonatal tetanus in admissions to Kilifi County Hospital, Kenya.

    Directory of Open Access Journals (Sweden)

    Fredrick Ibinda

    Full Text Available Neonatal Tetanus (NT is a preventable cause of mortality and neurological sequelae that occurs at higher incidence in resource-poor countries, presumably because of low maternal immunisation rates and unhygienic cord care practices. We aimed to determine changes in the incidence of NT, characterize and investigate the associated risk factors and mortality in a prospective cohort study including all admissions over a 15-year period at a County hospital on the Kenyan coast, a region with relatively high historical NT rates within Kenya.We assessed all neonatal admissions to Kilifi County Hospital in Kenya (1999-2013 and identified cases of NT (standard clinical case definition admitted during this time. Poisson regression was used to examine change in incidence of NT using accurate denominator data from an area of active demographic surveillance. Logistic regression was used to investigate the risk factors for NT and factors associated with mortality in NT amongst neonatal admissions. A subset of sera from mothers (n = 61 and neonates (n = 47 were tested for anti-tetanus antibodies.There were 191 NT admissions, of whom 187 (98% were home deliveries. Incidence of NT declined significantly (Incidence Rate Ratio: 0.85 (95% Confidence interval 0.81-0.89, P<0.001 but the case fatality (62% did not change over the study period (P = 0.536. Younger infant age at admission (P = 0.001 was the only independent predictor of mortality. Compared to neonatal hospital admittee controls, the proportion of home births was higher among the cases. Sera tested for antitetanus antibodies showed most mothers (50/61, 82% had undetectable levels of antitetanus antibodies, and most (8/9, 89% mothers with detectable antibodies had a neonate without protective levels.Incidence of NT in Kilifi County has significantly reduced, with reductions following immunisation campaigns. Our results suggest immunisation efforts are effective if sustained and efforts should continue to

  17. Using preventive home monitoring to reduce hospital admission rates and reduce costs

    DEFF Research Database (Denmark)

    Dinesen, Birthe; Hæsum, Lisa Korsbakke Emtekær; Sørensen, Natascha;

    2012-01-01

    We studied whether preventive home monitoring of patients with chronic obstructive pulmonary disease (COPD) could reduce the frequency of hospital admissions and lower the cost of hospitalization. Patients were recruited from a health centre, general practitioner (GP) or the pulmonary hospital ward....... They were randomized to usual care or tele-rehabilitation with a telehealth monitoring device installed in their home for four months. A total of 111 patients were suitable for inclusion and consented to be randomized: 60 patients were allocated to intervention and three were lost to follow......-up. In the control group 51 patients were allocated to usual care and three patients were lost to follow-up. In the tele-rehabilitation group, the mean hospital admission rate was 0.49 per patient per 10 months compared to the control group rate of 1.17; this difference was significant (P = 0.041). The mean cost...

  18. Discovery of Association Rules from University Admission System Data

    Directory of Open Access Journals (Sweden)

    Abdul Fattah Mashat

    2013-05-01

    Full Text Available Association rules discovery is one of the vital data mining techniques. Currently there is an increasing interest in data mining and educational systems, making educational data mining (EDM as a new growing research community. In this paper, we present a model for association rules discovery from King Abdulaziz University (KAU admission system data. The main objective is to extract the rules and relations between admission system attributes for better analysis. The model utilizes an apriori algorithm for association rule mining. Detailed analysis and interpretation of the experimental results is presented with respect to admission office perspective.

  19. Differentiability of the Pritchard-Salamon systems with admissible state-feedback

    Institute of Scientific and Technical Information of China (English)

    YU Xin

    2005-01-01

    Many papers on a wide range of control problems for Pritchard-Salamon systems have appeared and many of its important mathematical and system theoretical properties have been revealed. This paper deals with the differentiability of the Pritchard-Salamon system with admissible state-feedback. Spectrum analysis showed that under definite condition, the unbounded perturbation semigroup of the Pritchard-Salamon system is eventually differentiable.

  20. Assessment of Impacts of Public Health Interventions on the SARS Epidemic in Beijing in Terms of the Intervals Between Its Symptom Onset, Hospital Admission, and Notification

    Institute of Scientific and Technical Information of China (English)

    WAN-NIAN LIANG; MIN LIU; QI CHEN; ZE-JUN LIU; XIONG HE; YUE PAN; XUE-QIN XIE

    2005-01-01

    Objectives To assess the impacts of public health interventions on the outbreak of SARS in Beijing by analyzing the intervals between symptom onset, hospital admission and notification of its cases. Methods Data of SARS cases reported from the Beijing Municipal Centers for Disease Prevention and Control (BCDC) were collected and analyzed by descriptive epidemiology. Results In the early epidemic period, the intervals between the disease onset and the hospital admission seemed irregular, so was the intervals between the hospital admission and the notification. After the middle ten days of April, the intervals turned out to be more regular, and the disordered situation in terms of the hospital admission and the case notification was gradually brought under control. Conclusions Public health interventions against SARS has revealed positive impacts on SARS control program in Beijing. The timing and sensitivity of epidemic information reporting systems has been greatly improved in Beijing as a result of successful fight against this disease.

  1. Efficient Admission Control for Next Generation Cellular Networks

    DEFF Research Database (Denmark)

    Ramkumar, Venkata; Stefan, Andrei Lucian; Nielsen, Rasmus Hjorth;

    2012-01-01

    in the MAC layer is done by considering the effects of adaptive modulation and coding (AMC) in the physical layer. Using the Markov model, the number of resources required by the new user is predicted by taking the QoS requirements of the user application and channel parameters into consideration...

  2. Selection of priority areas for tsetse control in Africa; A decision tool using GIS in Didessa Valley, Ethiopia, as a pilot study

    International Nuclear Information System (INIS)

    Trypanosomosis is one of the main constraints to livestock production, particularly in the sub-humid and the semi-arid zones in Africa. To study the impact of the disease and the people economically affected by the disease GIS has proven to be a valuable decision tool to prioritise intervention areas and to select control or eradication methods. In this study a GIS and remote sensing based model have been used in the Didessa Valley and southwestern Ethiopia to study valley specific relationships of all factors (host, vector, disease, human population/activity) with geography, environment and farming systems to answer the following questions: Where does trypanosomosis have a negative effect on (agricultural) development? In which areas will control measures have the highest impact/economical benefit? These findings have been extrapolated to set priority areas for tsetse control for Ethiopia as a whole, using a multi-criterion evaluation technique and a Boolean disease data-set to create signatures (training sets) to predict the probability of agricultural suitability and disease suitability based on a set of environmental predictors. Data sets have been validated through ground-truthing using a random data-set for the specified window of Southwestern Ethiopia. A logical expression has been used to combine the factors (vector distribution, agricultural suitability, climatically disease suitability, control area suitability) to select the priority areas for tsetse control. Areas permanently infested by malaria, one of the life-threatening human diseases in Africa, have been considered as not suitable for intervention, The result, a Boolean representation of the priority areas for southwestern Ethiopia can be prioritised further by the decision maker (government, donor, specialist) using criteria such as cost/benefit, administrative organisation and control method. The unique altitude related dynamic tsetse situation in Ethiopia, makes wider extrapolation using the

  3. Decision Making in Action

    Science.gov (United States)

    Orasanu, Judith; Statler, Irving C. (Technical Monitor)

    1994-01-01

    The importance of decision-making to safety in complex, dynamic environments like mission control centers and offshore installations has been well established. NASA-ARC has a program of research dedicated to fostering safe and effective decision-making in the manned spaceflight environment. Because access to spaceflight is limited, environments with similar characteristics, including aviation and nuclear power plants, serve as analogs from which space-relevant data can be gathered and theories developed. Analyses of aviation accidents cite crew judgement and decision making as causes or contributing factors in over half of all accidents. A similar observation has been made in nuclear power plants. Yet laboratory research on decision making has not proven especially helpful in improving the quality of decisions in these kinds of environments. One reason is that the traditional, analytic decision models are inappropriate to multidimensional, high-risk environments, and do not accurately describe what expert human decision makers do when they make decisions that have consequences. A new model of dynamic, naturalistic decision making is offered that may prove useful for improving decision making in complex, isolated, confined and high-risk environments. Based on analyses of crew performance in full-mission simulators and accident reports, features that define effective decision strategies in abnormal or emergency situations have been identified. These include accurate situation assessment (including time and risk assessment), appreciation of the complexity of the problem, sensitivity to constraints on the decision, timeliness of the response, and use of adequate information. More effective crews also manage their workload to provide themselves with time and resources to make good decisions. In brief, good decisions are appropriate to the demands of the situation. Effective crew decision making and overall performance are mediated by crew communication. Communication

  4. 22 CFR 217.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... those skills are the factors that the test purports to measure); (ii) admissions tests that are designed... written questionnaire used for this purpose or makes clear orally if no written questionnaire is used...

  5. 49 CFR 1114.27 - Request for admission.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION RULES OF PRACTICE EVIDENCE; DISCOVERY Discovery § 1114.27 Request for admission. (a... of information or knowledge as a reason for failure to admit or deny unless he states that he...

  6. 16 CFR 1025.34 - Requests for admission.

    Science.gov (United States)

    2010-01-01

    ... PROCEEDINGS Discovery, Compulsory Process § 1025.34 Requests for admission. (a) Procedure for request. A party... and qualify or deny the remainder. An answering party may not give lack of information or knowledge...

  7. 14 CFR 121.547 - Admission to flight deck.

    Science.gov (United States)

    2010-01-01

    ... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.547 Admission to flight deck... holder. However, the certificate holder may not admit employees of traffic, sales, or other...

  8. 49 CFR 386.44 - Request for admissions.

    Science.gov (United States)

    2010-10-01

    ... serve upon any other party a request for admission of any relevant matter or the authenticity of any... other proceeding. (c) If a party refuses to admit a matter or the authenticity of a document which...

  9. 19 CFR 210.31 - Requests for admission.

    Science.gov (United States)

    2010-04-01

    ... TRADE ADJUDICATION AND ENFORCEMENT Discovery and Compulsory Process § 210.31 Requests for admission. (a... or deny unless he states that he has made reasonable inquiry and that the information known to...

  10. Admission to a psychiatric unit and changes in tobacco smoking

    Directory of Open Access Journals (Sweden)

    Owens David

    2008-05-01

    Full Text Available Abstract Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward completed self-report questionnaires about smoking habits. Those who smoked a different amount after admission had a follow-up interview to find out why they thought this had occurred. The interview incorporated qualitative and quantitative aspects which were analysed accordingly. Fifty-six percent of participants were smokers before admission, rising to 70% afterwards. Of the smokers, 17% smoked less after admission, and 63% smoked more. The average number of cigarettes smoked per person per day increased from five to thirteen. The main reasons for smoking more were boredom, stress and the wish to socialise.

  11. Protocol for the Quick Clinical study: a randomised controlled trial to assess the impact of an online evidence retrieval system on decision-making in general practice

    Directory of Open Access Journals (Sweden)

    Kidd Michael R

    2006-08-01

    Full Text Available Abstract Background Online information retrieval systems have the potential to improve patient care but there are few comparative studies of the impact of online evidence on clinicians' decision-making behaviour in routine clinical work. Methods/design A randomized controlled parallel design is employed to assess the effectiveness of an online evidence retrieval system, Quick Clinical (QC in improving clinical decision-making processes in general practice. Eligible clinicians are randomised either to receive access or not to receive access to QC in their consulting rooms for 12 months. Participants complete pre- and post trial surveys. Two-hundred general practitioners are recruited. Participants must be registered to practice in Australia, have a computer with Internet access in their consulting room and use electronic prescribing. Clinicians planning to retire or move to another practice within 12 months or participating in any other clinical trial involving electronic extraction of prescriptions data are excluded from the study. The primary end-points for the study is clinician acceptance and use of QC and the resulting change in decision-making behaviour. The study will examine prescribing patterns related to frequently prescribed medications where there has been a recent significant shift in recommendations regarding their use based upon new evidence. Secondary outcome measures include self-reported changes in diagnosis, patient education, prescriptions written, investigations and referrals. Discussion A trial under experimental conditions is an effective way of examining the impact of using QC in routine general practice consultations.

  12. A Randomised Controlled Experimental Study on the Influence of Patient Age on Medical Decisions in Respect to the Diagnosis and Treatment of Depression in the Elderly

    Directory of Open Access Journals (Sweden)

    Michael Linden

    2009-01-01

    Full Text Available Background. Elderly patients are often treated differently than younger patients, even when suffering from the same disorder. Objective. The study examines the influence of “patient age” on the perception of symptoms and conclusions of physicians in respect to diagnosis and treatment. Methods. In a randomised controlled experimental study on medical decision-making, 121 general practitioners were given two case vignettes which contained all the criteria for major depression according to ICD-10, but differed in respect to the age of the patient (39 or 81. Reaction time, diagnostic conclusions and therapeutic recommendations were assessed by computer. Results. Depression and anxiety were significantly seen as more probable in the young cases and dementia and physical illness in the old. In young age, psychotherapy, pharmacotherapy and referral to a specialist or inpatient treatment were significantly more recommended than in old age, for whom supportive counselling was significantly more recommended. The time needed for a decision was significantly longer in the older patients. Conclusion. Ageing stereotypes can also form medical illness concepts and have a significant influence on diagnostic and therapeutic decisions.

  13. Air pollution from biomass burning and asthma hospital admissions in a sugar cane plantation area in Brazil

    Science.gov (United States)

    Arbex, Marcos Abdo; Martins, Lourdes Conceição; de Oliveira, Regiani Carvalho; Pereira, Luiz Alberto Amador; Arbex, Flávio Ferlin; Cançado, José Eduardo Delfini; Saldiva, Paulo Hilário Nascimento; Braga, Alfésio Luís Ferreira

    2007-01-01

    Objective To evaluate the association between the total suspended particles (TSPs) generated from preharvest sugar cane burning and hospital admission due to asthma (asthma hospital admissions) in the city of Araraquara. Design An ecological time‐series study. Total daily records of asthma hospital admissions (ICD 10th J15) were obtained from one of the main hospitals in Araraquara, São Paulo State, Brazil, from 23 March 2003 to 27 July 2004. The daily concentration of TSP (μg/m3) was obtained using Handi‐vol equipment (Energética, Brazil) placed in downtown Araraquara. The local airport provided the daily mean figures of temperature and humidity. The daily number of asthma hospital admissions was considered as the dependent variable in Poisson's regression models and the daily concentration of TSP was considered the independent variable. The generalised linear model with natural cubic spline was adopted to control for long‐time trend. Linear terms were used for weather variables. Results TSP had an acute effect on asthma admissions, starting 1 day after TSP concentrations increased and remaining almost unchanged for the next four days. A 10 μg/m3 increase in the 5‐day moving average (lag1–5) of TSP concentrations was associated with an increase of 11.6% (95% CI 5.4 to 17.7) in asthma hospital admissions. Conclusion Increases in TSP concentrations were definitely associated with asthma hospital admissions in Araraquara and, despite using sugar cane alcohol to reduce air pollution from automotive sources in large Brazilian urban centres, the cities where sugar cane is harvested pay a high toll in terms of public health. PMID:17435205

  14. Prediction of mortality 1 year after hospital admission.

    LENUS (Irish Health Repository)

    Kellett, J

    2012-09-01

    Hospital admission, especially for the elderly, can be a seminal event as many patients die within a year. This study reports the prediction of death within a year of admission to hospital of the Simple Clinical Score (SCS) and ECG dispersion mapping (ECG-DM). ECG-DM is a novel technique that analyzes low-amplitude ECG oscillations and reports them as the myocardial micro-alternation index (MMI).

  15. RELATIONSHIP OF SUCCESS IN UNIVERSITY STUDY AND ADMISSION EXAM RESULTS

    OpenAIRE

    Poláčková, Julie

    2013-01-01

    The admission examinations represent a first important moment in academic education. If the admission proceedings really are expected to satisfy the intention to select those most capable and fittest candidates for study, proper attention has to be paid to them. Besides checking and confirming satisfactory levels of the results of secondary school studies they also should predict with sufficient reliability the academic success of study in the given branch. The paper brings research results c...

  16. Discovery of Association Rules from University Admission System Data

    OpenAIRE

    Abdul Fattah Mashat; Mohammed M. Fouad; Yu, Philip S.; Tarek F. Gharib

    2013-01-01

    Association rules discovery is one of the vital data mining techniques. Currently there is an increasing interest in data mining and educational systems, making educational data mining (EDM) as a new growing research community. In this paper, we present a model for association rules discovery from King Abdulaziz University (KAU) admission system data. The main objective is to extract the rules and relations between admission system attributes for better analysis. The model utilizes an apriori...

  17. [Compulsory admission to hospital in Tunisia: a necessary evolution].

    Science.gov (United States)

    Ellouze, Faten; Lahmar, Aymen; Beji, Rami; Dridi, Anis; Fadhel M'rad, Mohamed

    2015-01-01

    The evolution of the legislation governing compulsory admission to hospital in Tunisia is interesting for two reasons. The country's 2011 revolution notably brought about major changes to the legislative framework, from constitutional through to ordinary laws. At the same time, the current trend for globalisation is also affecting legislation: international laws, treaties and UN charters are imposed on the laws of individual countries. This article looks at how Tunisian law governing compulsory admission to hospital has had to evolve. PMID:26143219

  18. [Compulsory admission to hospital in Tunisia: a necessary evolution].

    Science.gov (United States)

    Ellouze, Faten; Lahmar, Aymen; Beji, Rami; Dridi, Anis; Fadhel M'rad, Mohamed

    2015-01-01

    The evolution of the legislation governing compulsory admission to hospital in Tunisia is interesting for two reasons. The country's 2011 revolution notably brought about major changes to the legislative framework, from constitutional through to ordinary laws. At the same time, the current trend for globalisation is also affecting legislation: international laws, treaties and UN charters are imposed on the laws of individual countries. This article looks at how Tunisian law governing compulsory admission to hospital has had to evolve.

  19. The Cochrane Lecture. The best and the enemy of the good: randomised controlled trials, uncertainty, and assessing the role of patient choice in medical decision making.

    Science.gov (United States)

    McPherson, K

    1994-02-01

    This lecture aimed to create a bridge to span the conceptual and ideological gap between randomised controlled trials and systematic observational comparisons and to reduce unwanted and unproductive polarisation. The argument, simply put, is that since randomisation alone eliminates the selection effect of therapeutic decision making, anything short of randomisation to attribute cause to consequent outcome is a waste of time. If observational comparison does have any significant part in evaluating medical outcomes, there is a grave danger of "the best", to paraphrase Voltaire, becoming "the enemy of the good". The first section aims to emphasise the advantages of randomised controlled trials. Then the nature of an essential precondition--medical uncertainty--is discussed in terms of its extent and effect. Next, the role of patient choice in medical decision making is considered, both when outcomes can safely be attributed to treatment choice and when they cannot. There may be many important situations in which choice itself affects outcome and this could mean that random comparisons give biased estimates of true therapeutic effects. In the penultimate section, the implications of this possibility both for randomised controlled trials and for outcome research is pursued and lastly there are some simple recommendations for reliable outcome research. PMID:8138772

  20. Hospital admissions: An examination of race and health insurance

    Directory of Open Access Journals (Sweden)

    Eric Gass

    2008-06-01

    Full Text Available This study examined the effects of racial differences and differences in insurance status on source of hospital admissions.  The data source was the 2001 National Hospital Discharge Survey and included a sub-sample of 104,185 patients.  58.3% of patients were admitted through the emergency room, 75.0% of patients were White, 19.7% were Black, and 61.5% were on government insurance or uninsured.  Black patients were found to have significantly higher levels of emergency room admissions (69.1%=p < .0001, regardless of insurance status (gov’t/self-pay, 73.7%=p < .0001, private insurance, 59.5%=p < .0001.  Patients on government insurance or self-payment had significantly higher levels of emergency room admissions (65.8%=p < .0001.  Regression analysis showed that both race and insurance type are significant predictors (p < .0001 of Source of Admission to the hospital.  Percent probabilities confirmed this finding.  Thus, it was concluded that racial differences witnessed in source of admission were not mediated by insurance type and that race and insurance type are significant, independent predictors of hospital admission source.

  1. Hospital admissions: An examination of race and health insurance

    Directory of Open Access Journals (Sweden)

    Eric Gass

    2008-06-01

    Full Text Available This study examined the effects of racial differences and differences in insurance status on source of hospital admissions. The data source was the 2001 National Hospital Discharge Survey and included a sub-sample of 104,185 patients. 58.3% of patients were admitted through the emergency room, 75.0% of patients were White, 19.7% were Black, and 61.5% were on government insurance or uninsured. Black patients were found to have significantly higher levels of emergency room admissions (69.1%=p < .0001, regardless of insurance status (gov’t/self-pay, 73.7%=p < .0001, private insurance, 59.5%=p < .0001. Patients on government insurance or self-payment had significantly higher levels of emergency room admissions (65.8%=p < .0001. Regression analysis showed that both race and insurance type are significant predictors (p < .0001 of Source of Admission to the hospital. Percent probabilities confirmed this finding. Thus, it was concluded that racial differences witnessed in source of admission were not mediated by insurance type and that race and insurance type are significant, independent predictors of hospital admission source.

  2. Bayesian Decision Support for Military Command and Control%军事指挥控制中的贝叶斯决策支持

    Institute of Scientific and Technical Information of China (English)

    王莉

    2013-01-01

    军事指挥控制是一个复杂的决策过程,该过程中信息是结合定性的专家知识和定量的融合数据而得到的.贝叶斯网为指挥控制系统提供了一个框架来处理这种专家知识和具体数据相结合的问题,并且影响图作为贝叶斯网的延伸可被用于分析指挥控制系统中某个决策的可行性.进一步地,为了减少所需指定的条件概率的数量并引入时变的概念,提出动态影响网作为一种新的决策支持方法.%The military Command and Control (C2) is a complicated decision process.Moreover,the information acquirement of this decision process is based on the qualitative data of experts'knowledge structure and quantitative fusion data.Bayesian Networks (BNs) provide a framework for the C2 system in which to deal with the problems combining the experts' knowledge structure and specific data,and Influence Diagrams can be used to analysis the feasibility of some decisions in the C2 system as the extension of BNs.Furthermore,in order to decrease the amount of assigned conditional probabilities and introduce the concept of time-varying,Dynamic Influence Networks is proposed to be used as a new method of decision-making support.

  3. Daily diurnal variation in admissions for ruptured abdominal aortic aneurysms.

    LENUS (Irish Health Repository)

    Killeen, Shane

    2012-02-03

    BACKGROUND: Many vascular events, such as myocardial infarction and cerebrovascular accident, demonstrate a circadian pattern of presentation. Blood pressure is intimately related to these pathologies and is the one physiological variable consistently associated with abdominal aortic aneurysm rupture. It also demonstrates a diurnal variation. The purpose of this study was to determine if rupture of an abdominal aortic aneurysm (RAAA) exhibits a diurnal variation. METHODS: A retrospective cohort-based study was performed to determine the timing of presentation of RAAA to the vascular unit of Cork University Hospital over a 15-year period. Time of admission, symptom onset, and co-morbidities such as hypertension were noted. Fournier\\'s analysis and chi-squared analysis were performed. To ameliorate possible confounding factors, patients admitted with perforated peptic ulcers were examined in the same manner. RESULTS: A total of 148 cases of RAAA were identified, with a male preponderance (71.7% [124] male versus 29.3% [44] female patients) and a mean age of 74.4 +\\/- 7.2 years at presentation. 70.9% (105) were known to have hypertension, 52.2% (77) were current smokers, and 46.8% (69) were being treated for chronic obstructive airway disease (COAD). Time of symptom onset was recorded in 88.5% (131) of patients. There was a marked early morning peak in RAAA admissions, with the highest number of RAAA being admitted between 08.00 and 09.59. A second, smaller peak was observed at 14.00-15.59. These findings were suggestive of diurnal variation. [chi(2) =16.75, p < 0.003]. Some 40% (59) of patients were admitted between 00.00 and 06.00, an incidence significantly higher than for other time periods (06.00-12.00, 12.00-18.00, and 18.00-24.00) [chi(2) = 18.72; df = 3; p < 0.0003]. A significantly higher number of patients admitted between 00.00 and 06.00 were known hypertensives (chi(2) = 7.94; p < 0.05). CONCLUSIONS: The findings of this study suggest a distinct

  4. Weekend Admission in Patients with Acute Ischemic Stroke Is Not Associated with Poor Functional Outcome than Weekday Admission

    OpenAIRE

    Kim, Sang-Chul; Hong, Keun-Sik; Hwang, Seon-Il; KIM, Ji-Eun; Kim, Ah-Ro; Cho, Joong-Yang; Park, Hee Kyung; Park, Ji-Hyun; Koo, Ja-Seong; Park, Jong-Moo; Bae, Hee-Joon; Han, Moon-Ku; Kang, Dong-Wha; Oh, Mi-Sun; Yu, Kyung-Ho

    2012-01-01

    Background and Purpose Stroke requires consistent care, but there is concern over the "weekend effect", whereby a weekend admission results in a poor outcome. Our aim was to determine the impact of weekend admission on clinical outcomes in patients with acute ischemic stroke in Korea. Methods The outcomes of patients admitted on weekdays and weekends were compared by analyzing data from a prospective outcome registry enrolling 1247 consecutive patients with acute ischemic stroke admitted to f...

  5. Ambient particle source apportionment and daily hospital admissions among children and elderly in Copenhagen

    DEFF Research Database (Denmark)

    Andersen, Zorana Jovanovic; Wahlin, P.; Raaschou-Nielsen, Ole;

    2007-01-01

    An association between particulate air pollution and morbidity and mortality is well established. However, little is known about which sources of particulate matter contribute most to the adverse health effects. Identification of responsible sources would merit more efficient control. For a 6-year...... period (01 January 1999 to 31 December 2004), we examined associations between urban background PM(10) in the presence of gaseous pollutants (CO, NO(2)) and hospital admissions due to cardiovascular and respiratory disease in the elderly (age>/=65), and asthma in children (age 5-18) in Copenhagen......, Denmark. We further studied associations between fractions of PM(10) assigned to six sources (biomass, secondary, oil, crustal, sea salt, and vehicle) and admissions during a 1(1/2) -year campaign. We used Poisson generalized additive time-series model adjusted for season, day of the week, public holidays...

  6. A distributed admission approach based on marking mechanism over Bluetooth best-effort network

    DEFF Research Database (Denmark)

    Son, L.T.; Schiøler, Henrik; Madsen, Ole Brun

    2002-01-01

    The end-to-end Quality of Service delivered in Bluetooth networks depends on a large number of parameters at different levels, e.g. link capacity, packet delays, etc, which are requested in certain patterns and controlled by various algorithms. In this paper, a method of adaptive distributed...... admission with end-to-end Quality of Service (QoS) provisions based marking information for real time and non real time traffics in Bluetooth networks is highlighted, its mathematical background is analyzed and a simulation with bursty traffic sources, Interrupted Bernoulli Process (IBP), is carried out....... The simulation results show that the performance of Bluetooth network is improved when applying the distributed admission method....

  7. Delay-Constrained Admission and Bandwidth Allocation for Long-Reach EPON

    Directory of Open Access Journals (Sweden)

    Burak Kantarci

    2012-05-01

    Full Text Available Next generation Passive Optical Network (PONtechnology has been evolving to consolidate the metro andaccess networks in order to offer enhanced capacity, highsplit ratio and reduced deployment cost per subscriber.However, transmission of the signals to long distances up to100km leads to increased propagation delay whereas highsplit ratio may lead to long cycle times resulting in largequeue occupancies and long packet delays. In this article, wepresent a delay-constrained admission control mechanismand adapt this scheme to our previously proposed bandwidthallocation technique, namely Periodic GATE Optimization(PGO. We call this new scheme Delay-Constrained PeriodicGATE Optimization (DC-PGO. DC-PGO is designed to runfor multiple service classes as it inherits the advantages ofPGO by periodically building and solving an ILP formulationat the OLT in order to obtain the appropriate creditvalues for the overloaded ONUs. At the ONU side, DCPGOruns an admission control scheme before pushing thearriving packets in the sub-queues. The admission controlscheme uses statistical information consisting of the localdata at the ONU and the previously received GATE messagesfrom the OLT. Through simulations, we show that DC-PGOenhances the performance of multi-threaded polling in longreachEthernet PON when packets of differentiated serviceclasses arrive with pre-specified delay requirements.

  8. Sox17-Mediated XEN Cell Conversion Identifies Dynamic Networks Controlling Cell-Fate Decisions in Embryo-Derived Stem Cells

    Directory of Open Access Journals (Sweden)

    Angela C.H. McDonald

    2014-10-01

    Full Text Available Little is known about the gene regulatory networks (GRNs distinguishing extraembryonic endoderm (ExEn stem (XEN cells from those that maintain the extensively characterized embryonic stem cell (ESC. An intriguing network candidate is Sox17, an essential transcription factor for XEN derivation and self-renewal. Here, we show that forced Sox17 expression drives ESCs toward ExEn, generating XEN cells that contribute to ExEn when placed back into early mouse embryos. Transient Sox17 expression is sufficient to drive this fate change during which time cells transit through distinct intermediate states prior to the generation of functional XEN-like cells. To orchestrate this conversion process, Sox17 acts in autoregulatory and feedforward network motifs, regulating dynamic GRNs directing cell fate. Sox17-mediated XEN conversion helps to explain the regulation of cell-fate changes and reveals GRNs regulating lineage decisions in the mouse embryo.

  9. Differential Effects of Temperature Extremes on Hospital Admission Rates for Respiratory Disease between Indigenous and Non-Indigenous Australians in the Northern Territory.

    Science.gov (United States)

    Green, Donna; Bambrick, Hilary; Tait, Peter; Goldie, James; Schultz, Rosalie; Webb, Leanne; Alexander, Lisa; Pitman, Andrew

    2015-12-03

    The health gap between Indigenous and non-Indigenous Australians may be exacerbated by climate change if temperature extremes have disproportionate adverse effects on Indigenous people. To explore this issue, we analysed the effect of temperature extremes on hospital admissions for respiratory diseases, stratified by age, Indigenous status and sex, for people living in two different climates zones in the Northern Territory during the period 1993-2011. We examined admissions for both acute and chronic respiratory diagnoses, controlling for day of the week and seasonality variables. Our analysis showed that: (1) overall, Indigenous hospital admission rates far exceeded non-Indigenous admission rates for acute and chronic diagnoses, and Top End climate zone admission rates exceeded Central Australia climate zone admission rates; (2) extreme cold and hot temperatures were associated with inconsistent changes in admission rates for acute respiratory disease in Indigenous and non-Indigenous children and older adults; and (3) no response to cold or hot temperature extremes was found for chronic respiratory diagnoses. These findings support our two hypotheses, that extreme hot and cold temperatures have a different effect on hospitalisations for respiratory disease between Indigenous and non-Indigenous people, and that these health risks vary between the different climate zones. We did not, however, find that there were differing responses to temperature extremes in the two populations, suggesting that any increased vulnerability to climate change in the Indigenous population of the Northern Territory arises from an increased underlying risk to respiratory disease and an already greater existing health burden.

  10. Regulatory decision making by decision analyses

    International Nuclear Information System (INIS)

    The Technical Research Centre of Finland (VTT) has studied with the Finnish Centre for Radiation and Nuclear Safety (STUK) the applicability of decision analytic approach to the treatment of nuclear safety related problems at the regulatory body. The role of probabilistic safety assessment (PSA) in decision making has also been discussed. In the study, inspectors from STUK exercised with a decision analytic approach by reoperationalizing two occurred and solved problems. The research scientist from VTT acted as systems analysts guiding the analysis process. The first case was related to a common cause failure phenomenon in solenoid valves controlling pneumatic valves important to safety of the plant. The problem of the regulatory body was to judge whether to allow continued operation or to require more detailed inspections and in which time chedule the inspections should be done. The latter problem was to evaluate design changes of external electrical grid connections after a fire incident had revealed weakness in the separation of electrical system. In both cases, the decision analysis was carried out several sessions in which decision makers, technical experts as well as experts of decision analysis participated. A multi-attribute value function was applied as a decision model so that attributes had to be defined to quantify the levels of achievements of the objectives. The attributes included both indicators related to the level of operational safety of the plant such as core damage frequency given by PSA, and indicators related to the safety culture, i.e., how well the chosen option fits on the regulatory policy. (24 refs., 6 figs., 9 tabs.)

  11. The Influence of Future Command, Control, Communications, and Computers (C4) on Doctrine and the Operational Commander's Decision-Making Process

    Science.gov (United States)

    Mayer, Michael G.

    1996-01-01

    Future C4 systems will alter the traditional balance between force and information, having a profound influence on doctrine and the operational commander's decision making process. The Joint Staff's future vision of C4 is conceptualized in 'C4I for the Warrior' which envisions a joint C4I architecture providing timely sensor to shoot information direct to the warfighter. C4 system must manage and filter an overwhelming amount of information; deal with interoperability issues; overcome technological limitations; meet emerging security requirements; and protect against 'Information Warfare.' Severe budget constraints necessitate unified control of C4 systems under singular leadership for the common good of all the services. In addition, acquisition policy and procedures must be revamped to allow new technologies to be fielded quickly; and the commercial marketplace will become the preferred starting point for modernization. Flatter command structures are recommended in this environment where information is available instantaneously. New responsibilities for decision making at lower levels are created. Commanders will have to strike a balance between exerting greater control and allowing subordinates enough flexibility to maintain initiative. Clearly, the commander's intent remains the most important tool in striking this balance.

  12. Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission : A cross-sectional study

    NARCIS (Netherlands)

    Platteel, T. N.; Leverstein-van Hall, M. A.; Cohen Stuart, J. W.; Thijsen, S. F T; Mascini, E. M.; van Hees, B. C.; Scharringa, J.; Fluit, A. C.; Bonten, M. J M

    2015-01-01

    The prevalence of patients colonized with extended-spectrum beta-lactamase (ESBL)-producing bacteria increases, especially in long-term-care facilities (LTCFs). Identification of ESBL carriers at hospital admission is relevant for infection control measures and antibiotic therapy for nosocomial infe

  13. Compact storage at Ohu is legally admissible

    International Nuclear Information System (INIS)

    The official headnotes of the Bavarian higher administrative court's decision state the following: (1) Spent fuel elements which are reprocessable in accordance with the criteria given in section 9 a, sub-section (1) of the Atomic Energy Act do not fall into the category of radioactive waste, - despite the current gap in the FRG in waste disposal technology and possibilities -, but into the category of radioactive residues. (2) The interim storage of such spent fuel elements hence is not subject to the legal provisions of sections 9 a and the following of the Atomic Energy Act, but to sections 5 and the following of said act. (3) Installation and operation of a compact storage facility in the fuel storage pool of an operating nuclear power plant for the purpose of interim storage of the plant's spent fuel requires a licence in accordance with section 7, sub-section (1) of the Atomic Energy Act. (orig./HSCH)

  14. Handbook for the College Admissions Profession. The Greenwood Educators' Reference Collection.

    Science.gov (United States)

    Swann, Claire C., Ed.; Henderson, Stanley E., Ed.

    The 19 chapters of this book on college admissions are divided into six sections on: (1) perspectives and history, (2) the admissions officer, (3) understanding enrollment management, (4) admissions tools, (5) admissions programs, and (6) perspectives on the twenty-first century. The papers are: "Perspectives on Educational Reform" (Donald…

  15. An integrated environmental decision support system for water pollution control based on TMDL--A case study in the Beiyun River watershed.

    Science.gov (United States)

    Zhang, Shanghong; Li, Yueqiang; Zhang, Tianxiang; Peng, Yang

    2015-06-01

    This paper details the development and application of an integrated environmental decision support system (EDSS) for water pollution control based on total maximum daily load (TMDL). The system includes an infrastructure, simulation, and application platforms. Using the water pollution control of Beiyun River in China as a case study, the key development processes and technologies of the EDSS are discussed including relations and links between various environmental simulation models, and model integration, visualization and real-time simulation methods. A loose coupling method is used to connect the environmental models, and an XML file is used to complete data exchange between different models. Project configuration and scheme configuration are used for simulation data organization. The integration approach is easy to implement and enables different development languages and reuse of existing models. The EDSS has been applied to water environment management of Beiyun River, and can be applied to other geographic regions.

  16. The prioritisation of invasive alien plant control projects using a multi-criteria decision model informed by stakeholder input and spatial data.

    Science.gov (United States)

    Forsyth, G G; Le Maitre, D C; O'Farrell, P J; van Wilgen, B W

    2012-07-30

    Invasions by alien plants are a significant threat to the biodiversity and functioning of ecosystems and the services they provide. The South African Working for Water program was established to address this problem. It needs to formulate objective and transparent priorities for clearing in the face of multiple and sometimes conflicting demands. This study used the analytic hierarchy process (a multi-criteria decision support technique) to develop and rank criteria for prioritising alien plant control operations in the Western Cape, South Africa. Stakeholder workshops were held to identify a goal and criteria and to conduct pair-wise comparisons to weight the criteria with respect to invasive alien plant control. The combination of stakeholder input (to develop decision models) with data-driven model solutions enabled us to include many alternatives (water catchments), that would otherwise not have been feasible. The most important criteria included the capacity to maintain gains made through control operations, the potential to enhance water resources and conserve biodiversity, and threats from priority invasive alien plant species. We selected spatial datasets and used them to generate weights that could be used to objectively compare alternatives with respect to agreed criteria. The analysis showed that there are many high priority catchments which are not receiving any funding and low priority catchments which are receiving substantial allocations. Clearly, there is a need for realigning priorities, including directing sufficient funds to the highest priority catchments to provide effective control. This approach provided a tractable, consensus-based solution that can be used to direct clearing operations.

  17. Integration of Epidemiological Evidence in a Decision Support Model for the Control of Campylobacter in Poultry Production

    DEFF Research Database (Denmark)

    Garcia Clavero, Ana Belén; Madsen, Anders L.; Vigre, Håkan

    2013-01-01

    in poultry will translate on a reduction of human Campylobacteriosis cases. Efficient control strategies implemented during primary production will reduce the risk of Campylobacter introduction in chicken houses and/or decrease Campylobacter concentration in infected chickens and their products. Consequently...... in already infected chickens, and translate to an attractive cost-reward balance will be preferred by poultry producers.......The control of human Campylobacteriosis is a priority in public health agendas all over the world. Poultry is considered a significant risk factor for human infections with Campylobacter and risk assessment models indicate that the successful implementation of Campylobacter control strategies...

  18. Strategies and Decision Support Systems for Integrating Variable Energy Resources in Control Centers for Reliable Grid Operations. Executive Summary

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Lawrence E. [Alstom Grid, Inc., Washington, DC (United States)

    2011-11-01

    This is the executive summary for a report that provides findings from the field regarding the best ways in which to guide operational strategies, business processes and control room tools to support the integration of renewable energy into electrical grids.

  19. Strategies and Decision Support Systems for Integrating Variable Energy Resources in Control Centers for Reliable Grid Operations

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Lawrence E. [Alstom Grid Inc., Washington, DC (United States)

    2011-11-01

    This report provides findings from the field regarding the best ways in which to guide operational strategies, business processes and control room tools to support the integration of renewable energy into electrical grids.

  20. Efficacy of a training intervention on the quality of practitioners' decision support for patients deciding about place of care at the end of life: A randomized control trial: Study protocol

    Directory of Open Access Journals (Sweden)

    Murray Mary Ann

    2008-04-01

    Full Text Available Abstract Background Most people prefer home palliation but die in an institution. Some experience decisional conflict when weighing options regarding place of care. Clinicians can identify patients' decisional needs and provide decision support, yet generally lack skills and confidence in doing so. This study aims to determine whether the quality of clinicians' decision support can be improved with a brief, theory-based, skills-building intervention. Theory The Ottawa Decision Support Framework (ODSF guides an evidence based, practical approach to assist clinicians in providing high-quality decision support. The ODSF proposes that decisional needs [personal uncertainty, knowledge, values clarity, support, personal characteristics] strongly influence the quality of decisions patients make. Clinicians can improve decision quality by providing decision support to address decisional needs [clarify decisional needs, provide facts and probabilities, clarify values, support/guide deliberation, monitor/facilitate progress]. Methods/Design The efficacy of a brief education intervention will be assessed in a two-phase study. In phase one a focused needs assessment will be conducted with key informants. Phase two is a randomized control trial where clinicians will be randomly allocated to an intervention or control group. The intervention, informed by the needs assessment, knowledge transfer best practices and the ODSF, comprises an online tutorial; an interactive skills building workshop; a decision support protocol; performance feedback, and educational outreach. Participants will be assessed: a at baseline (quality of decision support; b after the tutorial (knowledge; and c four weeks after the other interventions (quality of decision support, intention to incorporate decision support into practice and perceived usefulness of intervention components. Between group differences in the primary outcome (quality of decision support scores will be analyzed