WorldWideScience

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. Decisive Routing and Admission Control According to Quality of Service Constraints

    Science.gov (United States)

    2009-03-01

    in pn sn1 tn1 sn2 tn2 sny tny ⎞ ⎟⎟⎟⎟⎟⎟⎠ Where the each row in the matrix corresponds to the following i1...n = input file size of...Preemptive Congestion Control Code Snippet The Decisive Routing and Admission Control According to Quality of Service Constraints code snippet of reaction to...simulation snippet of reaction to forecasted state of the network. The Kalman filter queue has reached a stated level of 45% of its capacity and

  3. 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 ...

  4. LTE-A中基于准入控制的切换决策算法%Handoff Decision Algorithm Based on Admission Control in LTE-A

    Institute of Scientific and Technical Information of China (English)

    王华; 李鲁群; 王力

    2011-01-01

    在E-UTRAN架构下,提出一种基于目标小区准入控制的切换决策算法.通过eNB之间的X2接口来交互网络的负载信息、资源信息和服务速率等,以此获得对目标小区准入控制的预测.构建曼哈顿模型场景,仿真结果证明,该切换算法有较高的切换成功率和较小的切换时延;并可将用户终端切换到负载比较轻的小区,使相邻小区的负载得到均衡,提高了无线资源的利用率.%This paper provides a handoff decision algorithm based on admission control of target cell in the E-UTRAN architecture.In order to predict the admission control of target cell, it uses the X2 interface between eNBs to exchange the load information load network, resource information, and services rate of network.It constructs the Manhattan model.Simulation results indicate that the algorithm has higher successful handoff rate and smaller delay of handoff.It can switch the user terminal to the cell with lighter load, to make sure balancing the neighboring load and improving utilization of wireless resources.

  5. 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.

  6. The Declining Significance of Race in College Admissions Decisions

    Science.gov (United States)

    Grodsky, Eric; Kalogrides, Demetra

    2008-01-01

    Using 18 years of data from more than 1,300 four-year colleges and universities in the United States, we investigate the extent to which institutional characteristics and contextual factors influence the propensity of colleges to indicate that they engage in affirmative action in their admissions decisions. Consideration of race/ethnicity in…

  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.

  8. 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....

  9. 28 CFR 541.47 - Admission to control unit.

    Science.gov (United States)

    2010-07-01

    ... the inmate's confinement in a control unit; (b) Notice of the type of personal property which is... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Admission to control unit. 541.47 Section... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Control Unit Programs § 541.47 Admission to control...

  10. Observational study of admission and triage decisions for patients referred to a regional intensive care unit.

    Science.gov (United States)

    Howe, D C

    2011-07-01

    The objectives of this study were to identify factors associated with decisions concerning triage and admission to the intensive care unit and to describe the outcome of patients referred to intensive care unit for admission. The study was a single-centre, prospective, observational study. It was performed in the general intensive care unit of a tertiary regional hospital, over the period of February to June 2009. The patients were non-elective, acute medical in-patients. For 100 patients referred, only 36 were admitted to the intensive care unit. The remaining 64 were declined admission: nine were declined admission because they were assessed as too sick to benefit, 41 were declined admission because they were assessed as too well to benefit and 14 were deemed to potentially benefit from intensive care unit admission but were not admitted ('triage'). Patients most likely to receive triage decisions were medical in-patients who had expressed wishes about end-of-life care, who were functionally limited with co-morbid conditions affecting their performance status. Patients referred by Resident Medical Officers were also more likely to receive a triage decision. Age, gender Aboriginal and Torres Strait Islander status, diagnostic category and reason for referral did not impact on admission or triage decisions. Bed status in intensive care unit at the time of referral affected neither admission nor triage decisions. Hospital mortality in patients deemed too well to benefit from intensive care unit was 7.3%, suggesting that all patients referred for consideration of admission to intensive care unit should be classified as 'high risk'.

  11. 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.

  12. 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.

  13. Intelligent Joint Admission Control for Next Generation Wireless Networks

    Directory of Open Access Journals (Sweden)

    Abdulqader M. Mohsen

    2012-04-01

    Full Text Available The Heterogeneous Wireless Network (HWN integrates different wireless networks into one common network. The integrated networks often overlap coverage in the same wireless service areas, leading to the availability of a great variety of innovative services based on user demands in a cost-efficient manner. Joint Admission Control (JAC handles all new or handoff service requests in the HWN. It checks whether the incoming service request to the selected Radio Access Network (RAN by the initial access network selection or the vertical handover module can be admitted and allocated the suitable resources. In this paper, a decision support system is developed to address the JAC problem in the modern HWN networks. This system combines fuzzy logic and the PROMETHEE II multiple criteria decision making system algorithm, to the problem of JAC. This combination decreases the influence of the dissimilar, imprecise, and contradictory measurements for the JAC criteria coming from different sources. A performance analysis is done and the results are compared with traditional algorithms for JAC. These results demonstrate a significant improvement with our developed algorithm.

  14. 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...

  15. 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

  16. 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.

  17. 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.

  18. 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.

  19. BARTER: Behavior Profile Exchange for Behavior-Based Admission and Access Control in MANETs

    Science.gov (United States)

    Frias-Martinez, Vanessa; Stolfo, Salvatore J.; Keromytis, Angelos D.

    Mobile Ad-hoc Networks (MANETs) are very dynamic networks with devices continuously entering and leaving the group. The highly dynamic nature of MANETs renders the manual creation and update of policies associated with the initial incorporation of devices to the MANET (admission control) as well as with anomaly detection during communications among members (access control) a very difficult task. In this paper, we present BARTER, a mechanism that automatically creates and updates admission and access control policies for MANETs based on behavior profiles. BARTER is an adaptation for fully distributed environments of our previously introduced BB-NAC mechanism for NAC technologies. Rather than relying on a centralized NAC enforcer, MANET members initially exchange their behavior profiles and compute individual local definitions of normal network behavior. During admission or access control, each member issues an individual decision based on its definition of normalcy. Individual decisions are then aggregated via a threshold cryptographic infrastructure that requires an agreement among a fixed amount of MANET members to change the status of the network. We present experimental results using content and volumetric behavior profiles computed from the ENRON dataset. In particular, we show that the mechanism achieves true rejection rates of 95% with false rejection rates of 9%.

  20. A structural comparison of measurement-based admission control algorithms

    Institute of Scientific and Technical Information of China (English)

    GU Yi-ran; WANG Suo-ping; WU Hai-ya

    2006-01-01

    Measurement-based admission control (MBAC)algorithm is designed for the relaxed real-time service. In contrast to traditional connection admission control mechanisms,the most attractive feature of MBAC algorithm is that it does not require a prior traffic model and that is very difficult for the user to come up with a tight traffic model before establishing a flow.Other advantages of MBAC include that it can achieve higher network utilization and offer quality service to users. In this article, the study of the equations in the MBAC shows that they can all be expressed in the same form. Based on the same form,some MBAC algorithms can achieve same performance only if they satisfy some conditions.

  1. 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.

  2. 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.

  3. Intelligent Joint Admission Control for Next Generation Wireless Networks

    OpenAIRE

    Mohsen, Abdulqader M.; Al-Akwaa, Fadhl M.; Mohammed M. Alkhawlani

    2012-01-01

    The Heterogeneous Wireless Network (HWN) integrates different wireless networks into one common network. The integrated networks often overlap coverage in the same wireless service areas, leading to the availability of a great variety of innovative services based on user demands in a cost-efficient manner. Joint Admission Control (JAC) handles all new or handoff service requests in the HWN. It checks whether the incoming service request to the selected Radio Access Network (RAN) by the initia...

  4. 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.

  5. 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.

  6. 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...

  7. New degradation call admission control for increasing WCDMA system capacity

    Institute of Scientific and Technical Information of China (English)

    Liu Ningqing; Lu Zhi; Gu Xuemai

    2006-01-01

    Propose a new degradation call admission control(DCAC)scheme, which can be used in wideband code division multiple access communication system. So-called degradation is that non-real time call has the characteristic of variable bit rate, so decreasing its bit rate can reduce the load of the system, consequently the system can admit new call which should be blocked when the system is close to full load, therefore new call's access probability increases. This paper brings forward design project and does system simulation, simulation proves that DCAC can effectively decrease calls' blocking probability and increase the total number of the on-line users.

  8. 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.

  9. Admission Control Scheme for Multi-class Services in QoS-based Mobile Cellular Networks

    Institute of Scientific and Technical Information of China (English)

    YINZhiming; XIEJianying

    2004-01-01

    Call admission control (CAC) is one of the key schemes to guarantee Quality of service (QoS) in mobile cellular networks. In this paper, we propose an optimal CAC scheme based on Semi-Markov decision processes (SMDP) theory to support multi-class services for QoS wireless networks. Linear programming formulation is used to find the optimal solution, which maximizes the channel utilization while meeting the requirements of QoS constraints. The numerical results show that the performance of our scheme outperforms DCAC scheme.

  10. 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.

  11. 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.

  12. Strategic level proton therapy patient admission planning: a Markov decision process modeling approach.

    Science.gov (United States)

    Gedik, Ridvan; Zhang, Shengfan; Rainwater, Chase

    2016-01-25

    A relatively new consideration in proton therapy planning is the requirement that the mix of patients treated from different categories satisfy desired mix percentages. Deviations from these percentages and their impacts on operational capabilities are of particular interest to healthcare planners. In this study, we investigate intelligent ways of admitting patients to a proton therapy facility that maximize the total expected number of treatment sessions (fractions) delivered to patients in a planning period with stochastic patient arrivals and penalize the deviation from the patient mix restrictions. We propose a Markov Decision Process (MDP) model that provides very useful insights in determining the best patient admission policies in the case of an unexpected opening in the facility (i.e., no-shows, appointment cancellations, etc.). In order to overcome the curse of dimensionality for larger and more realistic instances, we propose an aggregate MDP model that is able to approximate optimal patient admission policies using the worded weight aggregation technique. Our models are applicable to healthcare treatment facilities throughout the United States, but are motivated by collaboration with the University of Florida Proton Therapy Institute (UFPTI).

  13. The role of socioeconomic status in SAT-grade relationships and in college admissions decisions.

    Science.gov (United States)

    Sackett, Paul R; Kuncel, Nathan R; Beatty, Adam S; Rigdon, Jana L; Shen, Winny; Kiger, Thomas B

    2012-09-01

    This article examines the role of socioeconomic status (SES) in the relationships among college admissions-test scores, secondary school grades, and subsequent academic performance. Scores on the SAT (a test widely used in the admissions process in the United States), secondary school grades, college grades, and SES measures from 143,606 students at 110 colleges and universities were examined, and results of these analyses were compared with results obtained using a 41-school data set including scores from the prior version of the SAT and using University of California data from prior research on the role of SES. In all the data sets, the SAT showed incremental validity over secondary school grades in predicting subsequent academic performance, and this incremental relationship was not substantially affected by controlling for SES. The SES of enrolled students was very similar to that of specific schools' applicant pools, which suggests that the barrier to college for low-SES students in the United States is a lower rate of entering the college admissions process, rather than exclusion on the part of colleges.

  14. 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

  15. 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.

  16. 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...

  17. 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...

  18. 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

  19. 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

  20. A Novel Effective Bandwidth Based Call Admission Control for Multimedia CDMA Systems

    Institute of Scientific and Technical Information of China (English)

    PAN Su; FENG Guang-zheng; ZHU Qi

    2004-01-01

    A novel Call Admission Control (CAC) scheme is proposed for multimedia CDMA systems. The effective bandwidth of real time calls is reserved in the CAC with the consideration of active factors. The admission of non-real time calls is controlled by the system according to the residual effective bandwidth left from real time calls. Simulation results have shown that the novel CAC has greatly enlarged the admission region for real time calls and make the transmission delay of non-real time calls under an acceptable level.

  1. 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...

  2. Patient-controlled hospital admission for patients with severe mental disorders

    DEFF Research Database (Denmark)

    Thomsen, Christoffer Torgaard; Benros, Michael Eriksen; Hastrup, Lene Halling

    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...

  3. Loss Performance Modeling for Hierarchical Heterogeneous Wireless Networks With Speed-Sensitive Call Admission Control

    DEFF Research Database (Denmark)

    Huang, Qian; Huang, Yue-Cai; Ko, King-Tim;

    2011-01-01

    dimensioning and planning. This paper investigates the computationally efficient loss performance modeling for multiservice in hierarchical heterogeneous wireless networks. A speed-sensitive call admission control (CAC) scheme is considered in our model to assign overflowed calls to appropriate tiers...

  4. 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.

  5. A self-learning call admission control scheme for CDMA cellular networks.

    Science.gov (United States)

    Liu, Derong; Zhang, Yi; Zhang, Huaguang

    2005-09-01

    In the present paper, a call admission control scheme that can learn from the network environment and user behavior is developed for code division multiple access (CDMA) cellular networks that handle both voice and data services. The idea is built upon a novel learning control architecture with only a single module instead of two or three modules in adaptive critic designs (ACDs). The use of adaptive critic approach for call admission control in wireless cellular networks is new. The call admission controller can perform learning in real-time as well as in offline environments and the controller improves its performance as it gains more experience. Another important contribution in the present work is the choice of utility function for the present self-learning control approach which makes the present learning process much more efficient than existing learning control methods. The performance of our algorithm will be shown through computer simulation and compared with existing algorithms.

  6. 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...

  7. 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.

  8. 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

  9. 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…

  10. 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.

  11. A new LP formulation of the admission control problem modelled as an MDP under average reward criterion

    Science.gov (United States)

    Pietrabissa, Antonio

    2011-12-01

    The admission control problem can be modelled as a Markov decision process (MDP) under the average cost criterion and formulated as a linear programming (LP) problem. The LP formulation is attractive in the present and future communication networks, which support an increasing number of classes of service, since it can be used to explicitly control class-level requirements, such as class blocking probabilities. On the other hand, the LP formulation suffers from scalability problems as the number C of classes increases. This article proposes a new LP formulation, which, even if it does not introduce any approximation, is much more scalable: the problem size reduction with respect to the standard LP formulation is O((C + 1)2/2 C ). Theoretical and numerical simulation results prove the effectiveness of the proposed approach.

  12. Smart packet access and call admission control for efficient resource management in advanced wireless networks

    OpenAIRE

    Phan, V. V. (Vinh V.)

    2005-01-01

    Abstract Efficient management of rather limited resources, including radio spectrum and mobile-terminal battery power, has been the fundamental design challenge of wireless networks and one of the most widespread research problems over the years. MAC (Medium Access Control) for packet access and CAC (Call Admission Control) for connection-oriented service domains are commonly used as effective tools to manage radio resources, capacity and performance of wireless networks while providing ad...

  13. 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.

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

    OpenAIRE

    Beinat E; Berg R van den; Vrije Universiteit van Amsterdam; Fraunhofer Institue for Environmental Chemistry and Ecotoxicology, Schmallenberg, Duitsland; International Centre of Pesticide Safety, Busto Garolfo, Italie; 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 plant-protection product (pesticide) in the European Union, including its Member States and their respective regions. The system is meant to fill the gap between the general criteria, set by the Un...

  15. Unsteady flow and load in 50% partial admission control stage with different admitting arc distributions

    Directory of Open Access Journals (Sweden)

    Gao Ke-Ke

    2016-01-01

    Full Text Available Full three-dimensional unsteady numerical investigation on an axial air turbine in 50% partial admission is conducted. The partial admission turbines are under different unsteady loading and unloading process, as well as flow parameters, respectively. The loss coefficient and static pressure distributions at the key position are presented in detail to analyze the nonuniformity originated from partial admission. The results show that the nonuniformity decreases along flow direction and the efficiency of control stage also decreases but with the uniformity improved downstream of the rotors with increasing admitting numbers in equal partial admission degree. The reasons for efficiency decreasing are reasonably explained with windage and sector end losses presented by static entropy distributions. The periodic changes of unsteady forces in amplitude and direction are also compared and transformed in the frequency domain by FFT method. The largest circumferential exciting force factor which is remarkably larger than the corresponding axial exciting force factor decreases by 13.2% with the increase of admitting arc number. Compared with the common distribution of two symmetric admitting arcs, the maximum exciting force factor of triangle admitting arc distribution drops 11.3% with the mere efficiency decrease of 1.32%. The multiple admitting arc turbines are more conducive to be applied to submarines which concerns more about exciting force other than efficiency. Efficiency and unsteady forces are both worth being taken into consideration in the practical applications.

  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. 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.

  18. Vertical Handoff and Admission Control Strategy in 4G Wireless Network Using Centrality Graph Theory

    Directory of Open Access Journals (Sweden)

    A. Ferdinand Christopher

    2014-06-01

    Full Text Available Vertical Handoff (VHO is a crucial mechanism for the architecture of the Fourth Generation (4G Heterogeneous Wireless Networks (HWN, because the users of 4G-HWN are capable of switching to any network in a seamless manner. These algorithms need to be practical and true to a wide range of applications hence utilization of an application layer parameter is important to decide the handoff and admission control. As a noticeable number of OSN users increased among smart phones, this study proposes a deployment of social context incorporated with vertical handoff and admission control algorithms called VHO-AC for the 4G-HWN environment. Admission of a node is decided based on the Graph Centrality Theory, which is contributing their measures to design an application layer parameter called Social Centrality Measure (SCM. The simulation results show that social network traffic flowing out of 2G and 3G base stations is much reduced than the existing SCVH method.

  19. Routing and admission control in general topology networks with poisson arrivals

    Energy Technology Data Exchange (ETDEWEB)

    Kamath, A.; Palmon, O.; Plotkin, S. [Stanford Univ., CA (United States)

    1996-12-31

    Emerging high speed networks will carry traffic for services such as video-on-demand and video teleconferencing - that require resource reservation along the path on which the traffic is sent. High bandwidth-delay product of these networks prevents circuit rerouting, i.e. once it is routed on a certain path, the bandwidth a circuit taken by this circuit remains unavailable for the duration (holding time) of this circuit. As a result, such networks will need effective routing and admission control strategies. Recently developed online routing and admission control strategies have logarithmic competitive ratios with respect to the admission ratio (the fraction of admitted circuits). Such guarantees on performance are rather weak in the most interesting case where the rejection ratio of the optimum algorithm is very small or even 0. Unfortunately, these guarantees can not be improved in the context of the considered models, making it impossible to use these models to identify algorithms that are going to perform well in practice.

  20. Effect of air pollution control on mortality and hospital admissions in Ireland.

    Science.gov (United States)

    Dockery, Douglas W; Rich, David Q; Goodman, Patrick G; Clancy, Luke; Ohman-Strickland, Pamela; George, Prethibha; Kotlov, Tania

    2013-07-01

    and 1998 bans, adjusting for influenza epidemics, weekly mean temperature, and local admissions for digestive diagnoses. Mean BS concentrations fell in all affected population centers post-ban compared with the pre-ban period, with decreases ranging from 4 to 35 microg/m3 (corresponding to reductions of 45% to 70%, respectively), but we observed no clear pattern in SO2 measured as total gaseous acidity associated with the bans. In comparisons with the pre-ban periods, no significant reduction was found in total death rates associated with the 1990 (1% reduction), 1995 (4% reduction), or 1998 (0% reduction) bans, nor for cardiovascular mortality (0%, 4%, and 1% reductions for the 1990, 1995, and 1998 bans, respectively). Respiratory mortality was reduced in association with the bans (17%, 9%, and 3%, respectively). We found a 4% decrease in hospital admissions for cardiovascular disease associated with the 1995 ban and a 3% decrease with the 1998 ban. Admissions for respiratory disease were not consistently lower after the bans; admissions for pneumonia, chronic obstructive pulmonary disease (COPD), and asthma were reduced. However, underreporting of hospital admissions data and lack of control and comparison series tempered our confidence in these results. The successive coal bans resulted in immediate and sustained decreases in particulate concentrations in each city or town; with the largest decreases in winter and during the heating season. The bans were associated with reductions in respiratory mortality but no detectable improvement in cardiovascular mortality. The changes in hospital admissions for respiratory and cardiovascular disease were supportive of these findings but cannot be considered confirming. Detecting changes in public health indicators associated even with clear improvements in air quality, as in this case, remains difficult when there are simultaneous secular improvements in the same health indicators.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

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

    Institute of Scientific and Technical Information of China (English)

    Lu Dongning; Liu Yiwu

    2014-01-01

    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 identi-ties 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 space-craft 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 H1 optimal control is designed by optimizing the H1 norm of the system transfer function matrix. Comparative numerical experiments are performed to verify the theoretical results.

  6. An Efficient Admission Control Algorithm for Load Balancing In Hierarchical Mobile IPv6 Networks

    CERN Document Server

    Harini, Prof P

    2009-01-01

    In hierarchical Mobile IPv6 networks, Mobility Anchor Point (MAP) may become a single point of bottleneck as it handles more and more mobile nodes (MNs). A number of schemes have been proposed to achieve load balancing among different MAPs. However, signaling reduction is still imperfect because these schemes also avoid the effect of the number of CNs. Also only the balancing of MN is performed, but not the balancing of the actual traffic load, since CN of each MN may be different. This paper proposes an efficient admission control algorithm along with a replacement mechanism for HMIPv6 networks. The admission control algorithm is based on the number of serving CNs and achieves actual load balancing among MAPs. Moreover, a replacement mechanism is introduced to decrease the new MN blocking probability and the handoff MN dropping probability. By simulation results, we show that, the handoff delay and packet loss are reduced in our scheme, when compared with the standard HMIPv6 based handoff.

  7. 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...

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  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. 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.

  15. 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.

  16. Adaptive call admission control and resource allocation in multi server wireless/cellular network

    Science.gov (United States)

    Jain, Madhu; Mittal, Ragini

    2016-11-01

    The ever increasing demand of the subscribers has put pressure on the capacity of wireless networks around the world. To utilize the scare resources, in the present paper we propose an optimal allocation scheme for an integrated wireless/cellular model with handoff priority and handoff guarantee services. The suggested algorithm optimally allocates the resources in each cell and dynamically adjust threshold to control the admission. To give the priority to handoff calls over the new calls, the provision of guard channels and subrating scheme is taken into consideration. The handoff voice call may balk and renege from the system while waiting in the buffer. An iterative algorithm is implemented to generate the arrival rate of the handoff calls in each cell. Various performance indices are established in term of steady state probabilities. The sensitivity analysis has also been carried out to examine the tractability of algorithms and to explore the effects of system descriptors on the performance indices.

  17. 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.

  18. 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.

  19. Voice Communications over 802.11 Ad Hoc Networks: Modeling, Optimization and Call Admission Control

    Science.gov (United States)

    Xu, Changchun; Xu, Yanyi; Liu, Gan; Liu, Kezhong

    Supporting quality-of-service (QoS) of multimedia communications over IEEE 802.11 based ad hoc networks is a challenging task. This paper develops a simple 3-D Markov chain model for queuing analysis of IEEE 802.11 MAC layer. The model is applied for performance analysis of voice communications over IEEE 802.11 single-hop ad hoc networks. By using the model, we finish the performance optimization of IEEE MAC layer and obtain the maximum number of voice calls in IEEE 802.11 ad hoc networks as well as the statistical performance bounds. Furthermore, we design a fully distributed call admission control (CAC) algorithm which can provide strict statistical QoS guarantee for voice communications over IEEE 802.11 ad hoc networks. Extensive simulations indicate the accuracy of the analytical model and the CAC scheme.

  20. 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.

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

    DEFF Research Database (Denmark)

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

    Dette dokument foreslår et nyt opkald Admission Control (CAC) algoritme, der finder forskellige typer af applikationer med forskellige QoS parametre, som en bruger og giver de nødvendige QoS til nyankomne brugere uden en forringelse af de QoS at der allerede er optaget dem. Den foreslåede CAC er...... 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...

  2. 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.

  3. 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.

  4. 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.

  5. An edge-to-edge Deployment Model for Pre-Congestion Notification: Admission Control over a DiffServ Region

    NARCIS (Netherlands)

    Briscoe, B.; Eardley, P.; Songhurst, D.; Le Faucheur, F.; Charny, A.; Liatsos, V.; Babiarz, J.; Chan, K.; Dudley, S.; Karagiannis, G.; Bader, A.; Westberg, L.; Briscoe, B.; Eardley, P.; Songhurst, D.; Le Faucheur, F.; Charny, A.; Liatsos, V.; Babiarz, J.; Chan, K.; Dudley, S.; Karagiannis, G.; Bader, A.; Westberg, L.

    2006-01-01

    This document describes a deployment model for pre-congestion notification (PCN) operating in a large DiffServ-based region of the Internet. PCN-based admission control protects the quality of service of existing flows in normal circumstances, whilst if necessary (eg after a large failure) pre-empti

  6. Locus of control and decision to abort.

    Science.gov (United States)

    Dixon, P N; Strano, D A; Willingham, W

    1984-04-01

    The relationship of locus of control to deciding on an abortion was investigated by administering Rotter's Locus of Control Scale to 118 women immediately prior to abortion and 2 weeks and 3 months following abortion. Subjects' scores were compared across the 3 time periods, and the abortion group's pretest scores were compared with those of a nonpregnant control, group. As hypothesized, the aborting group scored significantly more internal than the general population but no differences in locus of control were found across the 3 time period. The length of delay in deciding to abort an unwanted pregnancy following confirmation was also assessed. Women seeking 1st trimester abortions were divided into internal and external groups on the Rotter Scale and the lengths of delay were compared. The hypothesis that external scores would delay the decision longer than internal ones was confirmed. The results confirm characteristics of the locus of control construct and add information about personality characteristics of women undergoing abortion.

  7. 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.

  8. 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.

  9. 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.

  10. 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 dec......:: The initial refusal score and final triage score provide objective data for rejecting patients that will die even if admitted to the intensive care unit and survive if refused intensive care unit admission.......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...

  11. 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...

  12. MODELING MULTI-TRAFFIC ADMISSION CONTROL IN OFDMA SYSTEM USING COLORED PETRI NET

    Institute of Scientific and Technical Information of China (English)

    Yao Yuanyuan; Lu Yanhui; Yang Shouyi

    2012-01-01

    Call Admission Control (CAC) is one of the key traffic management mechanisms that must be deployed in order to meet the strict requirements for dependability imposed on the services provided by modern wireless networks.In this paper,we develop an executable top-down hierarchical Colored Petri Net (CPN) model for multi-traffic CAC in Orthogonal Frequency Division Multiple Access (OFDMA) system.By theoretic analysis and CPN simulation,it is demonstrated that the CPN model is isomorphic to Markov Chain (MC) assuming that each data stream follows Poisson distribution and the corresponding arrival time interval is an exponential random variable,and it breaks through MC's explicit limitation,which includes MC's memoryless property and proneness to state space explosion in evaluating CAC process.Moreover,we present four CAC schemes based on CPN model taking into account call-level and packet-level Quality of Service (QoS).The simulation results show that CPN offers significant advantages over MC in modeling CAC strategies and evaluating their performance with less computational complexity in addition to its flexibility and adaptability to different scenarios.

  13. 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.

  14. 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.

  15. Admission Control Over Internet of Vehicles Attached With Medical Sensors for Ubiquitous Healthcare Applications.

    Science.gov (United States)

    Lin, Di; Labeau, Fabrice; Yao, Yuanzhe; Vasilakos, Athanasios V; Tang, Yu

    2016-07-01

    Wireless technologies and vehicle-mounted or wearable medical sensors are pervasive to support ubiquitous healthcare applications. However, a critical issue of using wireless communications under a healthcare scenario rests at the electromagnetic interference (EMI) caused by radio frequency transmission. A high level of EMI may lead to a critical malfunction of medical sensors, and in such a scenario, a few users who are not transmitting emergency data could be required to reduce their transmit power or even temporarily disconnect from the network in order to guarantee the normal operation of medical sensors as well as the transmission of emergency data. In this paper, we propose a joint power and admission control algorithm to schedule the users' transmission of medical data. The objective of this algorithm is to minimize the number of users who are forced to disconnect from the network while keeping the EMI on medical sensors at an acceptable level. We show that a fixed point of proposed algorithm always exists, and at the fixed point, our proposed algorithm can minimize the number of low-priority users who are required to disconnect from the network. Numerical results illustrate that the proposed algorithm can achieve robust performance against the variations of mobile hospital environments.

  16. 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...

  17. 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.

  18. 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.

  19. 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.

  20. Optimal Admission to Higher Education

    Science.gov (United States)

    Albaek, Karsten

    2017-01-01

    This paper analyses admission decisions when students from different high school tracks apply for admission to university programmes. I derive a criterion that is optimal in the sense that it maximizes the graduation rates of the university programmes. The paper contains an empirical analysis that documents the relevance of theory and illustrates…

  1. 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

  2. Admissions Testing & Institutional Admissions Processes

    Science.gov (United States)

    Hossler, Don; Kalsbeek, David

    2009-01-01

    The array of admissions models and the underlying, and sometimes conflicting goals people have for college admissions, create the dynamics and the tensions that define the contemporary context for enrollment management. The senior enrollment officer must ask, for example, how does an institution try to assure transparency, equality of access,…

  3. An experimental study on load-peak shaving in smart homes by means of online admission control

    DEFF Research Database (Denmark)

    Costanzo, Giuseppe Tommaso; Kosek, Anna Magdalena; Zhu, Guchuan

    2012-01-01

    and appliances' operation is modeled as a finite state machine, which enables an efficient load control using scheduling techniques borrowed from real-time computing systems. In this study the Admission Control, which is the bottom layer of the presented architecture interacting in real-time with physical......This paper presents the design, implementation, and experimental results of an architecture for autonomous demand-side load management (ADSM) system for Smart Buildings in view of influencing the energy demand in the Smart Grid. In such an architecture, the management system has a layered structure...

  4. 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.

  5. Optimal threshold policies in a two-class preemptive priority queue with admission and termination control

    NARCIS (Netherlands)

    Brouns, G.A.J.F.; van der Wal, J.

    2006-01-01

    We consider a two-class M-lambda 1,M-lambda 2\\M-mu\\1 preemptive priority queue in which there are two essential, on-line decisions that have to be taken. The first is the decision to either accept or reject new type-1 or type-2 jobs. The second is the decision to abort jobs, i.e., to remove any type

  6. 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.

  7. 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...

  8. 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.

  9. 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.

  10. 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

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. Generation companies decision-making modeling by linear control theory

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez-Alcaraz, G. [Programa de Graduados e Investigacion en Ingenieria Electrica. Departamento de Ingenieria Electrica y Electronica, Instituto Tecnologico de Morelia. Av. Tecnologico 1500, Col. Lomas de Santiaguito 58120. Morelia, Mich. (Mexico); Sheble, Gerald B. [INESC Porto, Faculdade de Engenharia, Universidade do Porto, Campus da FEUP, Rua Dr. Roberto Frias, 4200-465 Porto (Portugal)

    2010-07-15

    This paper proposes four decision-making procedures to be employed by electric generating companies as part of their bidding strategies when competing in an oligopolistic market: naive, forward, adaptive, and moving average expectations. Decision-making is formulated in a dynamic framework by using linear control theory. The results reveal that interactions among all GENCOs affect market dynamics. Several numerical examples are reported, and conclusions are presented. (author)

  16. 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

  17. 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.

  18. 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.

  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. 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.

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

    OpenAIRE

    Lu Dongning; Liu Yiwu

    2014-01-01

    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 w...

  2. 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.

  3. Nonimmigrant Admissions - Annual Report

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  4. 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

  5. Probabilistic Anonymity and Admissible Schedulers

    CERN Document Server

    Garcia, Flavio D; Sokolova, Ana

    2007-01-01

    When studying safety properties of (formal) protocol models, it is customary to view the scheduler as an adversary: an entity trying to falsify the safety property. We show that in the context of security protocols, and in particular of anonymizing protocols, this gives the adversary too much power; for instance, the contents of encrypted messages and internal computations by the parties should be considered invisible to the adversary. We restrict the class of schedulers to a class of admissible schedulers which better model adversarial behaviour. These admissible schedulers base their decision solely on the past behaviour of the system that is visible to the adversary. Using this, we propose a definition of anonymity: for all admissible schedulers the identity of the users and the observations of the adversary are independent stochastic variables. We also develop a proof technique for typical cases that can be used to proof anonymity: a system is anonymous if it is possible to `exchange' the behaviour of two...

  6. Analysis of Quality of Service Performances of Connection Admission Control Mechanisms in OFDMA IEEE 802.16 Network using BMAP Queuing

    CERN Document Server

    Bouchti, Abdelali El; Kafhali, Said El

    2012-01-01

    In this paper, we consider a single-cell IEEE 802.16 environment in which the base station allocates subchannels to the subscriber stations in its coverage area. The subchannels allocated to a subscriber station are shared by multiple connections at that subscriber station. To ensure the Quality of Service (QoS) performances, two Connection Admission Control (CAC) mechanisms, namely, threshold-based and queue-aware CAC mechanisms are considered at a subscriber station. A queuing analytical framework for these admission control mechanisms is presented considering Orthogonal Frequency Division Multiple Access (OFDMA) based transmission at the physical layer. Then, based on the queuing model, both the connection-level and the packet-level performances are studied and compared with their analogues in the case without CAC. The connection arrival is modeled by a Poisson process and the packet arrival for a connection by Batch Markov Arrival Process (BMAP). We determine analytically and numerically different QoS per...

  7. Mathematics Admission Test Remarks

    Directory of Open Access Journals (Sweden)

    Ideon Erge

    2016-12-01

    Full Text Available Since 2014, there have been admission tests in mathematics for applicants to the Estonian University of Life Sciences for Geodesy, Land Management and Real Estate Planning; Civil Engineering; Hydraulic Engineering and Water Pollution Control; Engineering and Technetronics curricula. According to admission criteria, the test must be taken by students who have not passed the specific mathematics course state exam or when the score was less than 20 points. The admission test may also be taken by those who wish to improve their state exam score. In 2016, there were 126 such applicants of whom 63 took the test. In 2015, the numbers were 129 and 89 and in 2014 150 and 47 accordingly. The test was scored on scale of 100. The arithmetic average of the score was 30.6 points in 2016, 29.03 in 2015 and 18.84 in 2014. The test was considered to be passed with 1 point in 2014 and 20 points in 2015 and 2016. We analyzed test results and gave examples of problems which were solved exceptionally well or not at all.

  8. A Decision Support Tool for Transient Stability Preventive Control

    DEFF Research Database (Denmark)

    Pertl, Michael; Weckesser, Tilman; Rezkalla, Michel M.N.

    2017-01-01

    The paper presents a decision support tool for transient stability preventive control contributing to increased situation awareness of control room operators by providing additional information about the state of the power system in terms of transient stability. A time-domain approach is used...... to assess the transient stability for potentially critical faults. Potential critical fault locations are identified by a critical bus screening through analysis of pre-disturbance steady-state conditions. The identified buses are subject to a fast critical contingency screening determining the actual....... The effectiveness of the proposed method is demonstrated on a standard nine-bus and the New England test system...

  9. 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.

  10. [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

  11. 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.

  12. 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.

  13. A Minimum Relative Entropy Controller for Undiscounted Markov Decision Processes

    CERN Document Server

    Ortega, Pedro A

    2010-01-01

    Adaptive control problems are notoriously difficult to solve even in the presence of plant-specific controllers. One way to by-pass the intractable computation of the optimal policy is to restate the adaptive control as the minimization of the relative entropy of a controller that ignores the true plant dynamics from an informed controller. The solution is given by the Bayesian control rule-a set of equations characterizing a stochastic adaptive controller for the class of possible plant dynamics. Here, the Bayesian control rule is applied to derive BCR-MDP, a controller to solve undiscounted Markov decision processes with finite state and action spaces and unknown dynamics. In particular, we derive a non-parametric conjugate prior distribution over the policy space that encapsulates the agent's whole relevant history and we present a Gibbs sampler to draw random policies from this distribution. Preliminary results show that BCR-MDP successfully avoids sub-optimal limit cycles due to its built-in mechanism to...

  14. 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.

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

    NARCIS (Netherlands)

    Sprung, Charles L.; Baras, Mario; Iapichino, Gaetano; Kesecioglu, Jozef; Lippert, Anne; Hargreaves, Chris; Pezzi, Angelo; Pirracchio, Romain; Edbrooke, David L.; Pesenti, Antonio; Bakker, Jan; Gurman, Gabriel; Cohen, Simon L.; Wiis, Joergen; Payen, Didier; Artigas, Antonio

    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 decisio

  16. 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.

  17. 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.

  18. Combined Intelligent Control (CIC: An Intelligent decision making algorithm

    Directory of Open Access Journals (Sweden)

    Moteaal Asadi Shirzi

    2008-11-01

    Full Text Available The focus of this research is to introduce the concept of combined intelligent control (CIC as an effective architecture for decision making and control of intelligent agents and multi robot sets. Basically, the CIC is a combination of various architectures and methods from fields such as artificial intelligence, Distributed Artificial Intelligence (DAI, control and biological computing. Although any intelligent architecture may be very effective for some specific applications, it could be less for others. Therefore, CIC combines and arranges them in a way that the strengths of any approach cover the weaknesses of others. In this paper first, we introduce some intelligent architectures from a new aspect. Afterward, we offer the CIC by combining them. CIC has been executed in a multi agent set. In this set, robots must cooperate to perform some various tasks in a complex and nondeterministic environment with a low sensory feedback and relationship. In order to investigate, improve, and correct the combined intelligent control method, simulation software has been designed which will be presented and considered. To show the ability of the CIC algorithm as a distributed architecture, a central algorithm is designed and compared with the CIC.

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

    Institute of Scientific and Technical Information of China (English)

    马锴; 姚婷; 关新平

    2015-01-01

    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.%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。

  20. 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。

  1. Strategic control and interests, its effects on decision outcomes

    NARCIS (Netherlands)

    Stokman, FN; Stokman, JV

    1995-01-01

    In political systems and large organizations, ultimate decision makers are usually just a small subset of all actors in the social system. To arrive at acceptable decisions, decision makers have to take into account the preferences of other actors in the system. Typically preferences of more interes

  2. Comparison of CATs, CURB-65 and PMEWS as triage tools in pandemic influenza admissions to UK hospitals: case control analysis using retrospective data.

    Science.gov (United States)

    Myles, Puja R; Nguyen-Van-Tam, Jonathan S; Lim, Wei Shen; Nicholson, Karl G; Brett, Stephen J; Enstone, Joanne E; McMenamin, James; Openshaw, Peter J M; Read, Robert C; Taylor, Bruce L; Bannister, Barbara; Semple, Malcolm G

    2012-01-01

    Triage tools have an important role in pandemics to identify those most likely to benefit from higher levels of care. We compared Community Assessment Tools (CATs), the CURB-65 score, and the Pandemic Medical Early Warning Score (PMEWS); to predict higher levels of care (high dependency--Level 2 or intensive care--Level 3) and/or death in patients at or shortly after admission to hospital with A/H1N1 2009 pandemic influenza. This was a case-control analysis using retrospectively collected data from the FLU-CIN cohort (1040 adults, 480 children) with PCR-confirmed A/H1N1 2009 influenza. Area under receiver operator curves (AUROC), sensitivity, specificity, positive predictive values and negative predictive values were calculated. CATs best predicted Level 2/3 admissions in both adults [AUROC (95% CI): CATs 0.77 (0.73, 0.80); CURB-65 0.68 (0.64, 0.72); PMEWS 0.68 (0.64, 0.73), ptools for predicting need for higher levels of care and/or mortality in patients of all ages.

  3. Migratory decisions in birds: Extent of genetic versus environmental control

    Science.gov (United States)

    Ogonowski, M.S.; Conway, C.J.

    2009-01-01

    Migration is one of the most spectacular of animal behaviors and is prevalent across a broad array of taxa. In birds, we know much about the physiological basis of how birds migrate, but less about the relative contribution of genetic versus environmental factors in controlling migratory tendency. To evaluate the extent to which migratory decisions are genetically determined, we examined whether individual western burrowing owls (Athene cunicularia hypugaea) change their migratory tendency from one year to the next at two sites in southern Arizona. We also evaluated the heritability of migratory decisions by using logistic regression to examine the association between the migratory tendency of burrowing owl parents and their offspring. The probability of migrating decreased with age in both sexes and adult males were less migratory than females. Individual owls sometimes changed their migratory tendency from one year to the next, but changes were one-directional: adults that were residents during winter 2004-2005 remained residents the following winter, but 47% of adults that were migrants in winter 2004-2005 became residents the following winter. We found no evidence for an association between the migratory tendency of hatch-year owls and their male or female parents. Migratory tendency of hatch-year owls did not differ between years, study sites or sexes or vary by hatching date. Experimental provision of supplemental food did not affect these relationships. All of our results suggest that heritability of migratory tendency in burrowing owls is low, and that intraspecific variation in migratory tendency is likely due to: (1) environmental factors, or (2) a combination of environmental factors and non-additive genetic variation. The fact that an individual's migratory tendency can change across years implies that widespread anthropogenic changes (i.e., climate change or changes in land use) could potentially cause widespread changes in the migratory tendency of

  4. 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.

  5. A Learning Based Approach to Control Synthesis of Markov Decision Processes for Linear Temporal Logic Specifications

    Science.gov (United States)

    2014-09-20

    A Learning Based Approach to Control Synthesis of Markov Decision Processes for Linear Temporal Logic Specifications Dorsa Sadigh Eric Kim Samuel...2014 to 00-00-2014 4. TITLE AND SUBTITLE A Learning Based Approach to Control Synthesis of Markov Decision Processes for Linear Temporal Logic...ABSTRACT We propose to synthesize a control policy for a Markov decision process (MDP) such that the resulting traces of the MDP satisfy a linear

  6. Affirmative Action in College and University Admissions: Yes.

    Science.gov (United States)

    Michaelson, Martin

    1999-01-01

    Argues in support of affirmative action in college and university admissions, noting the actual, relatively small effect of affirmative action on white admission and opportunity, and suggesting other possible reasons for the heated debate. Notes two related Supreme Court decisions made a century apart and reviews statistical studies in support of…

  7. 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...

  8. 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.

  9. Delay-bound Admission Control for Real-time Traffic in Fourth Generation IMT-Advanced Networks based on 802.16m

    Directory of Open Access Journals (Sweden)

    POUDYAL, N.

    2011-02-01

    Full Text Available In this paper a novel schedulability criteria is developed to provide Quality of Service (QoS guarantees in terms of both minimum available bandwidth and maximum tolerated packet delay as required by the real-time traffic class. The contribution makes use of a measurement based admission control scheme at the base station of the 802.16m based 4G IMT�advanced network by considering the effects of various kinds of delays including the channel access delay, queuing delay and MAC layer transmission delay on the system's end to end delay. The paper also provides a way for the mobile station to proactively increase the chances of success of bandwidth grants by predicting in advance whether its bandwidth request will be approved by the base station, and then modifying or suspending its bandwidth request in case the chances of success is not favorable at that instant.

  10. 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

  11. 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.

  12. The Application of Time-Delay Dependent H∞ Control Model in Manufacturing Decision Optimization

    Directory of Open Access Journals (Sweden)

    Haifeng Guo

    2015-01-01

    Full Text Available This paper uses a time-delay dependent H∞ control model to analyze the effect of manufacturing decisions on the process of transmission from resources to capability. We establish a theoretical framework of manufacturing management process based on three terms: resource, manufacturing decision, and capability. Then we build a time-delay H∞ robust control model to analyze the robustness of manufacturing management. With the state feedback controller between manufacturing resources and decision, we find that there is an optimal decision to adjust the process of transmission from resources to capability under uncertain environment. Finally, we provide an example to prove the robustness of this model.

  13. Nonimmigrant Admissions: Fiscal Year 2008

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  14. Nonimmigrant Admissions: Fiscal Year 2009

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  15. Nonimmigrant Admission: Fiscal Year 2007

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  16. Nonimmigrant Admissions: Fiscal Year 2005

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  17. Nonimmigrant Admissions: Fiscal Year 2006

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  18. Nonimmigrant Admissions: Fiscal Year 2012

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  19. Nonimmigrant Admissions: Fiscal Year 2011

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  20. Nonimmigrant Admissions - Fiscal Year 2013

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  1. Nonimmigrant Admissions: Fiscal Year 2010

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  2. Comparison of CATs, CURB-65 and PMEWS as triage tools in pandemic influenza admissions to UK hospitals: case control analysis using retrospective data.

    Directory of Open Access Journals (Sweden)

    Puja R Myles

    Full Text Available Triage tools have an important role in pandemics to identify those most likely to benefit from higher levels of care. We compared Community Assessment Tools (CATs, the CURB-65 score, and the Pandemic Medical Early Warning Score (PMEWS; to predict higher levels of care (high dependency--Level 2 or intensive care--Level 3 and/or death in patients at or shortly after admission to hospital with A/H1N1 2009 pandemic influenza. This was a case-control analysis using retrospectively collected data from the FLU-CIN cohort (1040 adults, 480 children with PCR-confirmed A/H1N1 2009 influenza. Area under receiver operator curves (AUROC, sensitivity, specificity, positive predictive values and negative predictive values were calculated. CATs best predicted Level 2/3 admissions in both adults [AUROC (95% CI: CATs 0.77 (0.73, 0.80; CURB-65 0.68 (0.64, 0.72; PMEWS 0.68 (0.64, 0.73, p<0.001] and children [AUROC: CATs 0.74 (0.68, 0.80; CURB-65 0.52 (0.46, 0.59; PMEWS 0.69 (0.62, 0.75, p<0.001]. CURB-65 and CATs were similar in predicting death in adults with both performing better than PMEWS; and CATs best predicted death in children. CATs were the best predictor of Level 2/3 care and/or death for both adults and children. CATs are potentially useful triage tools for predicting need for higher levels of care and/or mortality in patients of all ages.

  3. 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

  4. 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.

  5. Assessing the Structure of Non-Routine Decision Processes in Airline Operations Control

    NARCIS (Netherlands)

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

    2015-01-01

    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 acti

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

    NARCIS (Netherlands)

    Richters, F.; Schraagen, J.M.C.; Heerkens, H.

    2015-01-01

    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 acti

  7. 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.

  8. 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.

  9. 高速网中最小阻塞率的接入控制研究%Call Admission Control with Optimal Block Probability in High-Speed Network

    Institute of Scientific and Technical Information of China (English)

    赵尔敦; 石冰心; 郭喻茹; 黄川

    2001-01-01

    A call admission control scheme with optimal block probability in high-speed network is given. Under the environment of multi-class calls ,the acceptance area with minimum call block probability is obtained. Numerical results show that the maximum call number decreases with the stay-time of the call and increases with the load of the call.

  10. Flexible Decision Control in an Autonomous Trading Agent

    NARCIS (Netherlands)

    J. Collins (John); W. Ketter (Wolfgang); M. Gini (Maria)

    2007-01-01

    textabstractAn autonomous trading agent is a complex piece of software that must operate in a competitive economic environment and support a research agenda. We describe the structure of decision processes in the MinneTAC trading agent, focusing on the use of evaluators – configurable, composable mo

  11. An engineering approach to modelling, decision support and control for sustainable systems.

    Science.gov (United States)

    Day, W; Audsley, E; Frost, A R

    2008-02-12

    Engineering research and development contributes to the advance of sustainable agriculture both through innovative methods to manage and control processes, and through quantitative understanding of the operation of practical agricultural systems using decision models. This paper describes how an engineering approach, drawing on mathematical models of systems and processes, contributes new methods that support decision making at all levels from strategy and planning to tactics and real-time control. The ability to describe the system or process by a simple and robust mathematical model is critical, and the outputs range from guidance to policy makers on strategic decisions relating to land use, through intelligent decision support to farmers and on to real-time engineering control of specific processes. Precision in decision making leads to decreased use of inputs, less environmental emissions and enhanced profitability-all essential to sustainable systems.

  12. 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. ...

  13. 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...

  14. 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

  15. 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.

  16. Salt controls feeding decisions in a blood-sucking insect.

    Science.gov (United States)

    Pontes, Gina; Pereira, Marcos H; Barrozo, Romina B

    2016-12-15

    Salts are necessary for maintaining homeostatic conditions within the body of all living organisms. Like with all essential nutrients, deficient or excessive ingestion of salts can result in adverse health effects. The taste system is a primary sensory modality that helps animals to make adequate feeding decisions in terms of salt consumption. In this work we show that sodium and potassium chloride salts modulate the feeding behavior of Rhodnius prolixus in a concentration-dependent manner. Feeding is only triggered by an optimal concentration of any of these salts (0.1-0.15M) and in presence of the phagostimulant ATP. Conversely, feeding solutions that do not contain salts or have a high-salt concentration (>0.3M) are not ingested by insects. Notably, we show that feeding decisions of insects cannot be explained as an osmotic effect, because they still feed over hyperosmotic solutions bearing the optimal salt concentration. Insects perceive optimal-salt, no-salt and high-salt solutions as different gustatory information, as revealed the electromyogram recordings of the cibarial pump. Moreover, because insects do a continuous gustatory monitoring of the incoming food during feeding, sudden changes beyond the optimal sodium concentration decrease and even inhibit feeding. The administration of amiloride, a sodium channel blocker, noticeably reduces the ingestion of the optimal sodium solution but not of the optimal potassium solution. Salt detection seems to occur at least through two salt receptors, one amiloride-sensitive and another amiloride-insensitive. Our results confirm the importance of the gustatory system in R. prolixus, showing the relevant role that salts play on their feeding decisions.

  17. The Admissions Equity Struggle

    Science.gov (United States)

    Freedman, Eric

    2012-01-01

    It has been a long, litigious road from Heman Sweatt, an African-American mail carrier who wanted to attend the prestigious, all-White law school at the University of Texas at Austin in 1946, to Abigail Fisher, a White high school student who failed to win undergraduate admission to the same university a half-century later. Depending on what the…

  18. 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...

  19. Quality Control and Continuous Education: Providing Tools for Contractors to Make Ethical Decisions

    OpenAIRE

    McDonald, Julie E

    2010-01-01

    Quality Control is a developing field in the building construction industry and successful quality control management relies on the ethical decision-making abilities of the inspectors. Research has identified a connection between personality types and the rationale for decision-making based on their type. The Myers-Briggs Type Indicator, a commonly used personality inventory, identifies personality preferences and how people relate to their environment and situations. In relation to construct...

  20. Technology of Endpoint Admission Control in Computer Networks%计算机网络终端准入控制技术

    Institute of Scientific and Technical Information of China (English)

    周超; 周城; 丁晨路

    2011-01-01

    终端准入控制根据预定安全策略,对接入网络的终端进行身份认证和安全性检查,确保可信、安全的终端访问网络,拒绝或限制不安全终端的接入,体现了终端安全与准入控制的结合,可以有效提高网络对安全威胁的主动防御能力.现行部署的解决方案在身份认证、安全状态检查中存在缺陷,容易受到中间人攻击、会话劫持攻击等,并且对虚拟化应用适应性不足.可考虑通过完善认证过程、改善交互机制等方法加以改进.%Endpoint Admission Control technology takes authentication and security state checking on endpoints accessing to network on the basis of pre-determinate security policies. It makes sure that only the trustworthy and secure endpoints could access to networks while rejects or limits the accessing of insecure endpoints. It' s exemplification of the combination of Endpoint Security and Access Control, which can efficiently improve the active defense ability against security threaten of networks. However, the existing solution has shortages in authentication and security state checking that it could easily attacked by Man-in-the-Middle Attack and Session Hijack. What's more, it also has limitation in Virtualization appliance as well. It's considerable to consummate the mechanism of authentication and communication processes for improvement.

  1. 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

  2. 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.

  3. 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.

  4. Cooperative Spatial Decision Support System for Controlling Animal Diseases Outbreaks in Egypt

    Directory of Open Access Journals (Sweden)

    Mahmoud Bakr

    2015-05-01

    Full Text Available Decision Support System (DSS aims to help decision maker in the process of making decision, a Spatial Decision Support System (SDSS is a DSS deals with spatial problem or use spatial data in solving a problem. Animal Diseases Spatial Decision Support System (ADSDSS utilizes the capabilities of Data warehouse, Online Analytical Processing (OLAP, Geographic Information System (GIS, data mining techniques and knowledge base systems to provide decision makers with their needed information about the infected animals, infected places and diseases outbreaks. This information is displayed as reports or charts or allocated on a map which illustrates the most and the least affected places in an easy and fast way. So decision makers can take the right decision to control the spread of diseases outbreaks. For building ADSDSS the following steps are done (a Animal diagnosis data from different data bases with climate database collected into a repository data warehouse for generating diagnosis data mart, (b OLAP capabilities integrated with the diagnosis data mart for analysis and aggregation of data, (c One of data mining techniques was applied and integrated into the system (association rules to discover the relationships between different data items, (d GIS spatial analysis and visualization capabilities integrated with the system to analyze diagnosis data and generate maps of diseases and outbreaks, (e decisions suggestion capability integrated into the system to provide decision makers with suggestions and solutions to deal with diseases outbreaks. The experimental results show that the proposed system can provide the decision makers with their needed information in a fast and easy way.

  5. The application of Quality Control Circle in the nursing admission assessment list on writing%品管圈活动在护理入院评估单书写中的应用

    Institute of Scientific and Technical Information of China (English)

    何凤益; 李艳

    2014-01-01

    Objective:To investigate the application effect of Quality Control Circle in the nursing admission assessment list on writing.Methods:Set up Quality Control Circle activity groups ,Investigate the status quo, analyzes the reason of the defects on Liver and gallbladder surgery nursing admission assessment single writing,Find out the main reason,Formulate corresponding countermeasures and implementation. Results:Quality Control Circle Make the nursing admission assessment sheet writing qualified rate increased from 88.08%to 94.6%. Conclusion:The effect of Quality Control Circle in raising the quality of nursing admission assessment list writing is remarkable,and it is worth popularization and application.%目的:探讨品管圈活动在提高护理入院评估单书写质量中的应用效果。方法:成立品管圈活动小组,进行现况调查,分析导致肝胆外科护理入院评估单书写缺陷的原因,通过筛选,找出主要原因,制定相应的对策并实施。结果:品管圈活动使护理入院评估单书写合格率从88.08%提高到94.6%。结论:品管圈活动在提高护理入院评估单书写质量方面效果显著,值得推广应用。

  6. False confessions, expert testimony, and admissibility.

    Science.gov (United States)

    Watson, Clarence; Weiss, Kenneth J; Pouncey, Claire

    2010-01-01

    The confession of a criminal defendant serves as a prosecutor's most compelling piece of evidence during trial. Courts must preserve a defendant's constitutional right to a fair trial while upholding the judicial interests of presenting competent and reliable evidence to the jury. When a defendant seeks to challenge the validity of that confession through expert testimony, the prosecution often contests the admissibility of the expert's opinion. Depending on the content and methodology of the expert's opinion, testimony addressing the phenomenon of false confessions may or may not be admissible. This article outlines the scientific and epistemological bases of expert testimony on false confession, notes the obstacles facing its admissibility, and provides guidance to the expert in formulating opinions that will reach the judge or jury. We review the 2006 New Jersey Superior Court decision in State of New Jersey v. George King to illustrate what is involved in the admissibility of false-confession testimony and use the case as a starting point in developing a best-practice approach to working in this area.

  7. 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...

  8. Loneliness and nursing home admission among rural older adults.

    Science.gov (United States)

    Russell, D W; Cutrona, C E; de la Mora, A; Wallace, R B

    1997-12-01

    In this study, the authors tested the relation between loneliness and subsequent admission to a nursing home over a 4-year time period in a sample of approximately 3,000 rural older Iowans. Higher levels of loneliness were found to increase the likelihood of nursing home admission and to decrease the time until nursing home admission. The influence of extremely high loneliness on nursing home admission remained statistically significant after controlling for other variables, such as age, education, income, mental status, physical health, morale, and social contact, that were also predictive of nursing home admission. Several mechanisms are proposed to explain the link between extreme loneliness and nursing home admission. These include loneliness as a precipitant of declines in mental and physical health and nursing home placement as a strategy to gain social contact with others. Implications for preventative interventions are discussed.

  9. 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.

  10. Modeling admissible behavior using event signals.

    Science.gov (United States)

    Pinzon, Luz; Jafari, Mohsen A; Hanisch, Hans-Michael; Zhao, Peng

    2004-06-01

    We describe here how to obtain a model for the admissible behavior of a discrete event system that is represented by a safe Petri net (PN) model. The transitions of this PN model may be controllable or uncontrollable. Also given is a sequential specification which is modeled with a special state machine. Then, using the condition and event arcs of net condition/event systems, a combined model of plant and specification is obtained. We use only the structure of this combined model to develop a method which gives the admissible behavior of the system. Thus, we avoid the complexity of a complete state enumeration.

  11. The effect of a decision aid on informed decision-making in the era of non-invasive prenatal testing: a randomised controlled trial.

    Science.gov (United States)

    Beulen, Lean; van den Berg, Michelle; Faas, Brigitte Hw; Feenstra, Ilse; Hageman, Michiel; van Vugt, John Mg; Bekker, Mireille N

    2016-10-01

    Early in pregnancy women and their partners face the complex decision on whether or not to participate in prenatal testing for fetal chromosomal abnormalities. Several studies show that the majority of pregnant women currently do not make informed decisions regarding prenatal testing. As the range of prenatal tests is expanding due to the development of new techniques such as non-invasive prenatal testing (NIPT), autonomous reproductive decision-making is increasingly challenging. In this study, a randomised controlled trial was conducted to evaluate the effect of a web-based multimedia decision aid on decision-making regarding prenatal testing. The decision aid provided both written and audiovisual information on prenatal tests currently available, that is, prenatal screening by first-trimester combined testing, NIPT and invasive diagnostic testing through chorionic villus sampling or amniocentesis. Furthermore, it contained values clarification exercises encouraging pregnant women to reflect on the potential harms and benefits of having prenatal tests performed. The use of the decision aid improved informed decision-making regarding prenatal testing. Of pregnant women allocated to the intervention group (n=130) 82.3% made an informed choice compared with 66.4% of women in the control group (n=131), P=0.004. As the vast majority of pregnant women made decisions consistent with their attitudes towards having prenatal testing performed, this improvement in informed decision-making could be attributed mainly to an increase in decision-relevant knowledge. This study shows that the implementation of a web-based multimedia decision aid directly facilitates the ultimate goal of prenatal testing for fetal chromosomal abnormalities, which is enabling informed autonomous reproductive choice.

  12. 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.

  13. 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.

  14. The functional neuroanatomy of decision making: prefrontal control of thought and action.

    Science.gov (United States)

    Coutlee, Christopher G; Huettel, Scott A

    2012-01-05

    Humans exhibit a remarkable capacity for flexible thought and action. Despite changing internal needs and external context, individuals maintain stable goals and pursue purposeful action. Functional neuroimaging research examining the neural underpinnings of such behavioral flexibility has progressed within several distinct traditions, as evident in the largely separate literatures on "cognitive control" and on "decision making." Both topics investigate the formulation of desires and intentions, the integration of knowledge and context, and the resolution of conflict and uncertainty. Additionally, each recognizes the fundamental role of the prefrontal cortex in supporting flexible selection of behavior. But despite this notable overlap, neuroimaging studies in cognitive control and decision making have exerted only limited influence on each other, in part due to differences in their theoretical and experimental groundings. Additionally, the precise organization of control processing within prefrontal cortex has remained unclear, fostering an acceptance of vague descriptions of decision making in terms of canonical cognitive control functions such as "inhibition" or "self-control." We suggest a unifying role for models of the hierarchical organization of action selection within prefrontal cortex. These models provide an important conceptual link between decision-making phenomena and cognitive-control processes, potentially facilitating cross-fertilization between these topics.

  15. Post Admission Cognitive Therapy (PACT) for the Inpatient Treatment of Military Personnel with Suicidal Behaviors: A Multi-Site Randomized Controlled Trial

    Science.gov (United States)

    2015-02-01

    for suicide . In Comprehensive Guide to Post - Traumatic Stress Disorders . London: Springer. 7. Tucker, J., Neely, L. L., Colborn, V., Tylor, S., Pak, K...research. New York: Nova Publications. 6. Ghahramanlou-Holloway, M., Tucker, J. & Neely, L. L. (in press). Post Traumatic Stress Disorder as a risk...Award Number: W81XWH-11-2-0106 TITLE: Post Admission Cognitive Therapy (PACT) for the Inpatient Treatment of Military Personnel with Suicidal

  16. 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.

  17. Future command and control systems should combine decision support and personalization interface features

    NARCIS (Netherlands)

    Streefkerk, J.W.; Smets, N.; Varkevisser, M.; Hiemstra-Van Mastrigt, S.

    2014-01-01

    On future battlefields, increasingly more sensor information will become available for military commanders to support mission execution. To improve (shared) situational awareness, decision-making and communication in face of this increased amount of information, the design of command and control (C2

  18. 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

  19. 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

  20. 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

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

    NARCIS (Netherlands)

    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) h

  2. 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

    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 stra...

  3. 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."

  4. Does Emotional Intelligence at Medical School Admission Predict Future Academic Performance?

    OpenAIRE

    Humphrey-Murto, Susan; Leddy, John J.; Wood, Timothy J.; Puddester, Derek; Moineau, Geneviève

    2014-01-01

    Purpose Medical school admissions committees are increasingly considering noncognitive measures like emotional intelligence (EI) in evaluating potential applicants. This study explored whether scores on an EI abilities test at admissions predicted future academic performance in medical school to determine whether EI could be used in making admissions decisions. Method The authors invited all University of Ottawa medical school applicants offered an interview in 2006 and 2007 to complete the M...

  5. Coercive control and abused women's decisions about their pets when seeking shelter.

    Science.gov (United States)

    Hardesty, Jennifer L; Khaw, Lyndal; Ridgway, Marcella D; Weber, Cheryl; Miles, Teresa

    2013-09-01

    The importance of pets in families, especially during major life stressors, is well documented. Research suggests links between pet ownership and intimate partner violence (IPV). This study explored abused women's decisions about pets when seeking help from a shelter. Interviews were conducted with 19 women who were pet owners. Using grounded theory methods, two patterns emerged surrounding abusers' treatment of pets, bonds to pets, women's decisions about pets upon seeking shelter, and future plans for pets. The presence of coercive control was central to these patterns. Women also discussed their experiences with and needs from shelter professionals and veterinarians with implications for practice.

  6. Optimal admission to higher education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    2016-01-01

    that documents the relevance of theory and illustrates how to apply optimal admission procedures. Indirect gains from optimal admission procedures include the potential for increasing entire cohorts of students' probability of graduating with a higher education degree, thereby increasing the skill level...

  7. Decision making under stress: scanning of alternatives under controllable and uncontrollable threats.

    Science.gov (United States)

    Keinan, G

    1987-03-01

    This study tested the proposition that deficient decision making under stress is due, to a significant extent, to the individual's failure to fulfill adequately an elementary requirement of the decision-making process, that is, the systematic consideration of all relevant alternatives. One hundred one undergraduate students (59 women and 42 men), aged 20-40, served as subjects in this experiment. They were requested to solve decision problems, using an interactive computer paradigm, while being exposed to controllable stress, uncontrollable stress, or no stress at all. There was no time constraint for the performance of the task. The controllability of the stressor was found to have no effect on the participants' performance. However, those who were exposed to either controllable or uncontrollable stress showed a significantly stronger tendency to offer solutions before all available alternatives had been considered and to scan their alternatives in a nonsystematic fashion than did participants who were not exposed to stress. In addition, patterns of alternative scanning were found to be correlated with the correctness of solutions to decision problems.

  8. Methicillin-resistant Staphylococcus aureus in Saarland, Germany: a statewide admission prevalence screening study.

    Directory of Open Access Journals (Sweden)

    Mathias Herrmann

    Full Text Available BACKGROUND: The screening of hospital admission patients for methicillin resistant Staphylococcus aureus (MRSA is of undisputed value in controlling and reducing the overall MRSA burden; yet, a concerted parallel universal screening intervention throughout all hospitals of an entire German Federal State has not yet been performed. METHODOLOGY/PRINCIPAL FINDINGS: During a four-week period, all 24 acute care hospitals of the State of Saarland participated in admission prevalence screening. Overall, 436/20,027 screened patients revealed MRSA carrier status (prevalence, 2.2/100 patients with geriatrics and intensive care departments associated with highest prevalence (7.6/100 and 6.3/100, respectively. Risk factor analysis among 17,975 admission patients yielded MRSA history (OR, 4.3; CI₉₅ 2.7-6.8, a skin condition (OR, 3.2; CI₉₅ 2.1-5.0, and/or an indwelling catheter (OR, 2.2; CI₉₅ 1.4-3.5 among the leading risks. Hierarchical risk factor ascertainment of the six risk factors associated with highest odd's ratios would require 31% of patients to be laboratory screened to allow for detection of 67% of all MRSA positive admission patients in the State. CONCLUSIONS/SIGNIFICANCE: State-wide admission prevalence screening in conjunction with risk factor ascertainment yields important information on the distribution of the MRSA burden for hospitals, and allows for data-based decisions on local or institutional MRSA screening policies considering risk factor prevalence and expected MRSA identification rates.

  9. The Demise of Affirmative Action in College Admission.

    Science.gov (United States)

    Arredondo, David G.

    2002-01-01

    The legal activity in federal courts related to affirmative action indicates a strong possibility the Supreme Court will abolish affirmative action in college admission. Such a decision would inevitably alter the landscape of higher education. Campus diversity will have to be achieved without using race or ethnicity to offer preference to some at…

  10. The Graduate Management Admission Test: Technical Report on Test Development and Score Interpretation for GMAT Users.

    Science.gov (United States)

    Schrader, William B.

    This report provides information on test development, test administration, and score interpretation for the Graduate Management Admission Test (GMAT). The GMAT, first administered in 1954, provides objective measures of an applicant's abilities for use in admissions decisions by graduate management schools. It is currently composed of five…

  11. Availability Control for Means of Transport in Decisive Semi-Markov Models of Exploitation Process

    Science.gov (United States)

    Migawa, Klaudiusz

    2012-12-01

    The issues presented in this research paper refer to problems connected with the control process for exploitation implemented in the complex systems of exploitation for technical objects. The article presents the description of the method concerning the control availability for technical objects (means of transport) on the basis of the mathematical model of the exploitation process with the implementation of the decisive processes by semi-Markov. The presented method means focused on the preparing the decisive for the exploitation process for technical objects (semi-Markov model) and after that specifying the best control strategy (optimal strategy) from among possible decisive variants in accordance with the approved criterion (criteria) of the activity evaluation of the system of exploitation for technical objects. In the presented method specifying the optimal strategy for control availability in the technical objects means a choice of a sequence of control decisions made in individual states of modelled exploitation process for which the function being a criterion of evaluation reaches the extreme value. In order to choose the optimal control strategy the implementation of the genetic algorithm was chosen. The opinions were presented on the example of the exploitation process of the means of transport implemented in the real system of the bus municipal transport. The model of the exploitation process for the means of transports was prepared on the basis of the results implemented in the real transport system. The mathematical model of the exploitation process was built taking into consideration the fact that the model of the process constitutes the homogenous semi-Markov process.

  12. 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.

  13. Control and decision strategies in wastewater treatment plants for operation improvement

    CERN Document Server

    Santín, Ignacio; Vilanova, Ramón

    2017-01-01

    This book examines the operation of biological wastewater treatment plants (WWTPs), with a focus on maintaining effluent water quality while keeping operational costs within constrained limits. It includes control operation and decision schemes and is based on the use of benchmarking scenarios that yield easily reproducible results that readers can implement for their own solutions. The final criterion is the effect of the applied control strategy on plant performance – specifically, improving effluent quality, reducing costs and avoiding violations of established effluent limits. The evaluation of the different control strategies is achieved with the help of two Benchmark Simulation Models (BSM1, BSM2). Given the complexity of the biological and biochemical processes involved and the major fluctuations in the influent flow rate, controlling WWTPs poses a serious challenge. Further, the importance of control goal formulation and control structure design in relation to WWTP process control is widely recogniz...

  14. 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.

  15. 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.

  16. 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.

  17. Towards an understanding of graduate admissions practices in physics

    Science.gov (United States)

    Potvin, Geoff; Chari, Deepa

    2017-01-01

    The APS bridge program works to improve the participation of students from traditionally under-represented groups in graduate physics. Related to this, we have undertaken research to improve our understanding of graduate admissions practices from the point of view of both students and faculty. Previously, we collected data on admission practices from over 75% of PhD-granting physics departments in the U.S., which highlighted the role of various criteria (including the GRE) in the admissions decisions faculty make, and identified the efforts (or lack thereof) made to recruit students from traditionally under-represented backgrounds. Currently, we are conducting a parallel study of upper division undergraduate physics majors to investigate their post-graduation career intentions, their perceptions of graduate admissions and perceived barriers to admissions, and to understand how undergraduate experiences influence students' career interests. Lastly, we are also studying, in depth, students who have been connected to physics bridge programs, to understand post-admission experiences and the enculturation process in physics departments. In this talk, we report on the collective results of these research efforts to date. NSF Award # 1143070.

  18. Environment-sensitive manipulator control. [real time, decision making computer aided control

    Science.gov (United States)

    Bejczy, A. K.

    1974-01-01

    Environment-sensitive manipulator control (control systems capable of controlling manipulator motion based on real-time response to sensor data obtained during the attempt to perform a requested task) is described, and experiments on (1) proximity control in manipulation and (2) application of an articulated and adaptively controlled hand-to-environment-sensitive manipulator control are reported. The efficiency of such systems is determined by the separation of control and data processing functions between operator and computer.

  19. General Practitioners and Involuntary Admission

    DEFF Research Database (Denmark)

    Jepsen, Britta; Lomborg, Kirsten; Engberg, Marianne

    2010-01-01

    in involuntary admissions. Setting: General practice, Aarhus, Denmark. Method: One focus group interview and six individual interviews were conducted with 13 Danish GPs, who had recently sectioned one of their own patients. Results: GPs experienced stress and found the admission procedure time consuming....... They felt that sectioning patients was unpleasant, and felt nervous, but experienced relief and professional satisfaction if things went well. The GPs experienced the doctor-patient relationship to be at risk, but also reported that it could be improved. GPs felt that they were not taken seriously...... by the psychiatric system. Conclusion: The unpleasant experiences and induced feelings resulting from involuntary admissions reflect an undesirable and stressful working environment....

  20. 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

  1. On the Controller Synthesis for Markov Decision Process of Conflict Tolerant Specification

    Science.gov (United States)

    Zhang, Junhua; Huang, Zhiqiu; Cao, Zining

    For an embedded control system, different requirements often need be satisfied at same time, and some of them make the system to act conflicted. Conflict tolerant specification is provided to denote this situation. In such a system, there often exist probabilistic and non-deterministic behaviors. We use Markov Decision Process (MDP) to denote these features. We study the controller synthesis for MDP over conflict tolerant specification. We extend PCTL star by adding past operator to denote the conflict tolerant specification succinctly. We use CT-PLTL to denote conflicted actions and PCTL to denote the specification for probability demand. We first synthesize a controller on a base system over CT-PLTL and then use it to prune the corresponding MDP of the system model. We use the resulting sub-MDP as the model to further synthesis a controller over PCTL. The whole controller for MDP is a conjunction of the two controllers obtained.

  2. Decision aid on radioactive iodine treatment for early stage papillary thyroid cancer - a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Ezzat Shereen

    2010-07-01

    Full Text Available Abstract Background Patients with early stage papillary thyroid carcinoma (PTC, are faced with the decision to either to accept or reject adjuvant radioactive iodine (RAI treatment after thryroidectomy. This decision is often difficult because of conflicting reports of RAI treatment benefit and medical evidence uncertainty due to the lack of long-term randomized controlled trials. Methods We report the protocol for a parallel, 2-arm, randomized trial comparing an intervention group exposed to a computerized decision aid (DA relative to a control group receiving usual care. The DA explains the options of adjuvant radioactive iodine or no adjuvant radioactive iodine, as well as associated potential benefits, risks, and follow-up implications. Potentially eligible adult PTC patient participants will include: English-speaking individuals who have had recent thyroidectomy, and whose primary tumor was 1 to 4 cm in diameter, with no known metastases to lymph nodes or distant sites, with no other worrisome features, and who have not received RAI treatment for thyroid cancer. We will measure the effect of the DA on the following patient outcomes: a knowledge about PTC and RAI treatment, b decisional conflict, c decisional regret, d client satisfaction with information received about RAI treatment, and e the final decision to accept or reject adjuvant RAI treatment and rationale. Discussion This trial will provide evidence of feasibility and efficacy of the use of a computerized DA in explaining complex issues relating to decision making about adjuvant RAI treatment in early stage PTC. Trial registration Clinical Trials.gov Identifier: NCT01083550

  3. A tuning algorithm for model predictive controllers based on genetic algorithms and fuzzy decision making.

    Science.gov (United States)

    van der Lee, J H; Svrcek, W Y; Young, B R

    2008-01-01

    Model Predictive Control is a valuable tool for the process control engineer in a wide variety of applications. Because of this the structure of an MPC can vary dramatically from application to application. There have been a number of works dedicated to MPC tuning for specific cases. Since MPCs can differ significantly, this means that these tuning methods become inapplicable and a trial and error tuning approach must be used. This can be quite time consuming and can result in non-optimum tuning. In an attempt to resolve this, a generalized automated tuning algorithm for MPCs was developed. This approach is numerically based and combines a genetic algorithm with multi-objective fuzzy decision-making. The key advantages to this approach are that genetic algorithms are not problem specific and only need to be adapted to account for the number and ranges of tuning parameters for a given MPC. As well, multi-objective fuzzy decision-making can handle qualitative statements of what optimum control is, in addition to being able to use multiple inputs to determine tuning parameters that best match the desired results. This is particularly useful for multi-input, multi-output (MIMO) cases where the definition of "optimum" control is subject to the opinion of the control engineer tuning the system. A case study will be presented in order to illustrate the use of the tuning algorithm. This will include how different definitions of "optimum" control can arise, and how they are accounted for in the multi-objective decision making algorithm. The resulting tuning parameters from each of the definition sets will be compared, and in doing so show that the tuning parameters vary in order to meet each definition of optimum control, thus showing the generalized automated tuning algorithm approach for tuning MPCs is feasible.

  4. The Association Between Prepregnancy Parental Support and Control and Adolescent Girls’ Pregnancy Resolution Decisions

    Science.gov (United States)

    Madkour, Aubrey Spriggs; Xie, Yiqiong; Harville, Emily W.

    2013-01-01

    Purpose To examine the influence of prepregnancy parental support and control on adolescent girls’ pregnancy resolution decisions. Methods Data from the National Longitudinal Study of Adolescent Health were analyzed. Girls whose first pregnancy reported in wave IV occurred after wave I and before age 20 were included (n = 1,107). Participants self-reported pregnancy disposition (abortion, ectopic or tubal pregnancy, miscarriage, stillbirth, live birth) for each pregnancy; responses were dichotomized as abortion versus other. Girls’ perceptions of parental support and control were measured at wave I. Controls were included for wave I age, age at pregnancy, year at the end of pregnancy, race/ethnicity, and parent characteristics (i.e., education, religious affiliation, age at first marriage, and educational expectations). Weighted multivariable logistic regression models were performed. Results Approximately 18% of girls reporting a teen pregnancy reported having an abortion. In crude analyses, parental support was marginally negatively related to abortion (odds ratio [OR] =.83, p =.06) and parental control was significantly negatively related to abortion (OR = .78, p = .02). In multivariable analyses, higher parental control was significantly negatively related to abortion versus other pregnancy outcomes (adjusted OR .80, 95% confidence interval .66–.98). Perceived parental support was unassociated with pregnancy resolution decisions. The only other factor associated with abortion decisions was parent education: odds of choosing abortion versus other pregnancy outcomes were significantly higher for adolescent girls whose parents had a bachelor’s degree or greater versus those with lower educational attainment. Conclusions Pregnant adolescents with less educated parents or parents exercising greater control were less likely to have an abortion. PMID:23763966

  5. [Principle for strategic decision based on population health risk in emergence environmental cadmium pollution control].

    Science.gov (United States)

    Shang, Qi

    2012-05-01

    The principles for strategic decision in emergence environmental pollution control was summarized based on population health risk and features of emergence events of environmental cadmium pollution. Main task and strategies for the events control was suggested in emergency treatment and post-event for water and soil cadmium pollution respectively. The work, monitoring method, key problems for both environment cadmium pollution and human health risk, and main content of health education for cadmium exposure people was proposed in follow-up action, at meanwhile, achievements of study on human health effects caused by environmental cadmium pollution was introduced briefly over recent years.

  6. 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.

  7. 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.

  8. Improving Computational Efficiency of Model Predictive Control Genetic Algorithms for Real-Time Decision Support

    Science.gov (United States)

    Minsker, B. S.; Zimmer, A. L.; Ostfeld, A.; Schmidt, A.

    2014-12-01

    Enabling real-time decision support, particularly under conditions of uncertainty, requires computationally efficient algorithms that can rapidly generate recommendations. In this paper, a suite of model predictive control (MPC) genetic algorithms are developed and tested offline to explore their value for reducing CSOs during real-time use in a deep-tunnel sewer system. MPC approaches include the micro-GA, the probability-based compact GA, and domain-specific GA methods that reduce the number of decision variable values analyzed within the sewer hydraulic model, thus reducing algorithm search space. Minimum fitness and constraint values achieved by all GA approaches, as well as computational times required to reach the minimum values, are compared to large population sizes with long convergence times. Optimization results for a subset of the Chicago combined sewer system indicate that genetic algorithm variations with coarse decision variable representation, eventually transitioning to the entire range of decision variable values, are most efficient at addressing the CSO control problem. Although diversity-enhancing micro-GAs evaluate a larger search space and exhibit shorter convergence times, these representations do not reach minimum fitness and constraint values. The domain-specific GAs prove to be the most efficient and are used to test CSO sensitivity to energy costs, CSO penalties, and pressurization constraint values. The results show that CSO volumes are highly dependent on the tunnel pressurization constraint, with reductions of 13% to 77% possible with less conservative operational strategies. Because current management practices may not account for varying costs at CSO locations and electricity rate changes in the summer and winter, the sensitivity of the results is evaluated for variable seasonal and diurnal CSO penalty costs and electricity-related system maintenance costs, as well as different sluice gate constraint levels. These findings indicate

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Collaborative distributed sensor management and information exchange flow control for multitarget tracking using Markov decision processes

    Science.gov (United States)

    Akselrod, Dimitry; Kirubarajan, T.

    2008-04-01

    In this paper, we consider the problem of collaborative management of uninhabited aerial vehicles (UAVs) for multitarget tracking. In addition to providing a solution to the problem of controlling individual UAVs, we present a method for controlling the information flow among them. The latter provides a solution to one of the main problems in decentralized tracking, namely, distributed information transfer and fusion among the participating platforms. The problem of decentralized cooperative control considered in this paper is an optimization of the information obtained by a number of UAVs, carrying out surveillance over a region, which includes a number of confirmed and suspected moving targets with the goal to track confirmed targets and detects new targets in the area. Each UAV has to decide on the most optimal path with the objective to track as many targets as possible, maximizing the information obtained during its operation with the maximum possible accuracy at the lowest possible cost. Limited communication between UAVs and uncertainty in the information obtained by each UAV regarding the location of the ground targets are addressed in the problem formulation. In order to handle these issues, the problem is presented as an operation of a group of decision makers. Markov Decision Processes (MDPs) are incorporated into the solution. A decision mechanism for collaborative distributed data fusion provides each UAV with the required data for the fusion process while substantially reducing redundancy in the information flow in the overall system. We consider a distributed data fusion system consisting of UAVs that are decentralized, heterogenous, and potentially unreliable. Simulation results are presented on a representative multisensor-multitarget tracking problem.

  14. 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

  15. 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.

  16. 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

  17. 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...

  18. 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...

  19. Survey of Admission Control and Scheduling Mechanisms for Software-as-a-Service in Cloud Computing Environments%云计算环境中SaaS的接入控制和调度策略研究

    Institute of Scientific and Technical Information of China (English)

    李波; 杨从有; 武浩; 裴以建

    2012-01-01

    SaaS是一种基于网络的软件应用模式,是服务提供商将应用软件统一部署在自己的服务器上,用户根据自己的实际需要,通过互联网向服务提供商订购并支付自己所需的服务.在未来,SaaS模式是占主导地位的云服务模型.文中阐 述SaaS的基本概念,介绍了SaaS的参考结构以及服务流程,分析概括了不同类型的服务要求的接入控制策略,总结了不同性能要求作业的调度策略,最后结合已有的云计算环境下的SaaS接人控制和调度策略研究成果,展望了未来的研究方向和亟待解决的关键问题.%SaaS is a kind of network-based software application paradigm that service providers deploy their application software on their servers. Users order and pay for their actual services via the internet. In the future, the SaaS model will be the dominant cloud service model. It introduces the concept of SaaS , its architecture and its service processes, and analyzes the types of admission control and scheduling algorithms for different service and performance requirements. It also presents a summary of the current state-of-the-art of the admission control and scheduling algorithms for SaaS in cloud computing environments, a discussion on the future work and some crucial problems should be solved pressingly.

  20. 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.

  1. Optimal Admission to Higher Education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    This paper constructs higher education admission rules that maximise graduation rates and thus increase the skill level of the work force. An application shows that students with a low level in mathematics in secondary school ought to find it easier to be admitted to an economics programme than...... to law or psychology programmes, even though economics is the most difficult programme from which to graduate without a strong background in mathematics. Indirect gains from optimal admission include the potential of making whole cohorts of students more able to graduate with a higher education degree....

  2. 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

  3. Trends in control and decision-making for human-robot collaboration systems

    CERN Document Server

    Zhang, Fumin

    2017-01-01

    This book provides an overview of recent research developments in the automation and control of robotic systems that collaborate with humans. A measure of human collaboration being necessary for the optimal operation of any robotic system, the contributors exploit a broad selection of such systems to demonstrate the importance of the subject, particularly where the environment is prone to uncertainty or complexity. They show how such human strengths as high-level decision-making, flexibility, and dexterity can be combined with robotic precision, and ability to perform task repetitively or in a dangerous environment. The book focuses on quantitative methods and control design for guaranteed robot performance and balanced human experience. Its contributions develop and expand upon material presented at various international conferences. They are organized into three parts covering: one-human–one-robot collaboration; one-human–multiple-robot collaboration; and human–swarm collaboration. Individual topic ar...

  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. A feasibility randomised controlled trial of the DECIDE intervention: dementia carers making informed decisions

    Science.gov (United States)

    Lord, Kathryn; Livingston, Gill

    2017-01-01

    Summary Family carers report high levels of decisional conflict when deciding whether their relative with dementia can continue to be cared for in their own home. We tested, in a feasibility randomised controlled trial, the first decision aid (the DECIDE manual) aiming to reduce such conflict. Twenty family carers received the DECIDE intervention, and 21 received usual treatment. The intervention group had reduced decisional conflict compared with controls (mean difference −11.96, 95% confidence interval −20.10 to −3.83, P=0.005). All carers receiving the intervention completed and valued it, despite some still reporting difficulties with family conflict and problems negotiating services. Declaration of interest None. Copyright and usage © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

  6. 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.

  7. IEEE 802.16系统中带有收益因子的动态呼叫接纳控制算法%Revenue-aware dynamic call admission control algorithm in IEEE 802.16 systems

    Institute of Scientific and Technical Information of China (English)

    徐晓希; 朱新宁; 徐春秀

    2009-01-01

    针对IEEE 802.16 OFDMA系统,提出了一种考虑运营收益并且动态调整预留信道的呼叫接纳控制算法.该算法将一个连接申请潜在的运营收益值作为接入优先级函数的因子,从而提高系统的运营收益;其次,算法根据系统内资源的使用情况动态调整预留信道,在降低系统掉话率的同时,也尽可能地将呼叫阻塞率保持在较低水平.将所提算法与传统接纳控制方法进行了仿真比较,结果表明该算法能够有效控制系统掉话率和阻塞率,达到用户使用满意度要求,同时增大系统运营收益.%This paper proposed a call admission control algorithm in IEEE 802.16 OFDMA systems, which took the revenue of the service providers into consideration and adjusted the threshold of reserved guard channel dynamically. First, introduced the revenue generated by accepting a connection in the admission priority function to produce high revenue of the system. Se-cond, the proposed algorithm adjusted the reserved channel according to the state of system dynamically so as to reduce the call dropping probability (CDP) and the call blocking probability (CBP) simultaneously. The simulation results show that the proposed algorithm can decrease CDP and CBP effectively to achieve high users' satisfaction degree, while increase the revenue of the network at the same time.

  8. College Admissions: Beyond Conventional Testing

    Science.gov (United States)

    Sternberg, Robert J.

    2012-01-01

    Standardized admissions tests such as the SAT (originally stood for "Scholastic Aptitude Test") and the ACT measure only a narrow segment of the skills needed to become an active citizen and possibly a leader who makes a positive, meaningful, and enduring difference to the world. The problem with these tests is that they promised, under…

  9. Admissions Plan Goes beyond Numbers

    Science.gov (United States)

    Hoover, Eric

    2007-01-01

    Northeastern University's Torch Scholars Program is designed to seek out first-generation students who would not qualify under the university's regular admissions process. The scholarships go to motivated students who have shown determination in overcoming personal challenges. Northeastern believes the experiment will enhance the socioeconomic…

  10. 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

  11. Is There a "Workable" Race-Neutral Alternative to Affirmative Action in College Admissions?

    Science.gov (United States)

    Long, Mark C.

    2015-01-01

    The 2013 decision by the U.S. Supreme Court in the Fisher v. University of Texas at Austin case clarified when and how it is legally permissible for universities to use an applicant's race or ethnicity in its admissions decisions. The court concluded that such use is permissible when "no workable race-neutral alternatives would produce…

  12. 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.

  13. 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.

  14. Decision-support tool for prevention and control of Rift Valley fever epizootics in the Greater Horn of Africa.

    Science.gov (United States)

    2010-08-01

    In East Africa, Rift Valley fever (RVF) usually occurs as explosive epizootics with prolonged inter-epidemic periods on the order of 8 to 10 years. The episodic nature of the disease and the rapid evolution of outbreaks create special challenges for its mitigation and control. Following the events of the 2006 and 2007 RVF outbreak in East Africa, decision-makers assembled their collective experiences in the form of a risk-based decision support tool to help guide responses in future emergencies. The premise of the tool is that a series of natural events are indicative of the increasing risk of an outbreak and that actions should be matched to this evolving risk profile. In this manner, investment in prevention and control can be qualitatively optimized. The decision support tool is a living document written through stakeholder input. This publication captures the current tool as an example of risk-based decision support.

  15. 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.

  16. Adolescent drinking and motivated decision-making: a cotwin-control investigation with monozygotic twins.

    Science.gov (United States)

    Malone, Stephen M; Luciana, Monica; Wilson, Sylia; Sparks, Jordan C; Hunt, Ruskin H; Thomas, Kathleen M; Iacono, William G

    2014-07-01

    The present study used a monozygotic (MZ) cotwin-control (CTC) design to investigate associations between alcohol use and performance on the Iowa gambling task (IGT) in a sample of 96 adolescents (half female). The MZ CTC design is well suited to shed light on whether poor decision-making, as reflected on IGT performance, predisposes individuals to abuse substances or is a consequence of use. Participants completed structural MRI scans as well, from which we derived gray matter volumes for cortical and subcortical regions involved in IGT performance and reduced in adolescents with problematic alcohol use. Drinking was associated with poorer task performance and with reduced volume of the left lateral orbital-frontal cortex. CTC analyses indicated that the former was due to differences between members of twin pairs in alcohol use (suggesting a causal effect of alcohol), whereas the latter was due to factors shared by twins (consistent with a pre-existing vulnerability for use). Although these preliminary findings warrant replication, they suggest that normative levels of alcohol use may diminish the quality of adolescent decision-making and thus have potentially important public health implications.

  17. Embedded system in Arduino platform with Fuzzy control to support the grain aeration decision

    Directory of Open Access Journals (Sweden)

    Albino Szesz Junior

    Full Text Available ABSTRACT: Aeration is currently the most commonly used technique to improve the drying and storage of grain, depending on temperature and water content of the grain, as of the temperature and relative humidity of the outside air. In order to monitor temperature and humidity of the grain mass, it is possible to have a network of sensors in the cells of both internal and external storage. Use of artificial intelligence through Fuzzy theory, has been used since the 60s and enables their application on various forms. Thus, it is observed that the aeration of grain in function of representing a system of controlled environment can be studied in relation to the application of this theory. Therefore, the aim of this paper is to present an embedded Fuzzy control system based on the mathematical model of CRUZ et al. (2002 and applied to the Arduino platform, for decision support in aeration of grain. For this, an embedded Arduino system was developed, which received the environmental values of temperature and humidity to then be processed in a Fuzzy controller and return the output as a recommendation to control the aeration process rationally. Comparing the results obtained from the graph presented by LASSERAN (1981 it was observed that the system is effective.

  18. 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...... system simulations. Fed with real-time wide-area measurements, one DT of measurable variables is employed for online DSA to identify potential security issues, and the other DT of controllable variables provides online decision support on preventive control strategies against those issues. A cost...

  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.

  20. 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.

  1. 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

  2. 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.

  3. 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…

  4. Toward a Sociology of Law School Admissions.

    Science.gov (United States)

    Erlanger, Howard S.

    1984-01-01

    The law school admission process plays a major role in determining the social class origins and ethnic composition of the bar, and perhaps also the nonlegal skills lawyers will have. Research is incomplete; consideration of admission criteria, the composition and processes of admissions committees, and applicant self-selection is advisable. (MSE)

  5. Seasonal variations in hospital admissions for mania

    DEFF Research Database (Denmark)

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

    2016-01-01

    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...

  6. 一种基于信任的P2P接纳控制方法%An Admission Control Method for P2P Network Based on Trust

    Institute of Scientific and Technical Information of China (English)

    张志丽

    2014-01-01

    当前P2P系统的研究集中在P2P内部节点的信誉排名问题上,从节点如何进入系统的角度提出了一种P2P节点的接纳控制方法。该方法基于节点自身经验及好友节点的推荐对申请加入节点进行判断,模拟实验表明该方法对新节点加入系统进行了有效控制,而且系统扩展性很好,同时也阻止了部分恶意节点进入系统。%In P2P network area, the current studies focus on the reputation rankings for internal nodes of P2P.However, this paper proposes an admission control method for those nodes who apply to join the P2P system. This method judge nodes who apply to join based on experience and friend nodes’s recommended of nodes who have been applied. Simulation experiments show that, with our method, it can not only effectively control the nodes who new added, but also possess very good scalability, on the other hand, it also protect the system from malicious peers.

  7. 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.

  8. 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

  9. 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 perception 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 suitable...... 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 immediate control requirement. A formalized...

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

    Science.gov (United States)

    Habib, Shaid; Pickering, Ken; Tzortziou, Maria; Maninio, Antonio; Policelli, Fritz

    2010-01-01

    As required by the Harmful Algal Bloom and Hypoxia Research Control Act of 1998, the Mississippi River/Gulf of Mexico Watershed Nutrient Task Force issued the 2001 Gulf Hypoxia Action Plan (updated in 2008). In response to the Gulf Hypoxia Action Plan of 2001 (updated in 2008), the EPA Gulf of Mexico Hypoxia Modeling and Monitoring Project has established a detailed model for the Mississippi-Attchafalaya River Basin which provides a capability to forecast the multi-source nutrient loading to the Gulf and the subsequent bio-geochemical processes leading to hypoxic conditions and subsequent effects on Gulf habitats and fisheries. The primary purpose of the EPA model is to characterize the impacts of nutrient management actions, or proposed actions on the spatial and temporal characteristics of the Gulf hypoxic zone. The model is expected to play a significant role in determining best practices and improved strategies for incentivizing nutrient reduction strategies, including installation of on-farm structures to reduce sediment and nutrient runoff, use of cover crops and other agricultural practices, restoration of wetlands and riparian buffers, improved waste water treatment and decreased industrial nitrogen emissions. These decisions are currently made in a fragmented way by federal, state, and local agencies, using a variety of small scale models and limited data. During the past three years, EPA has collected an enormous amount of in-situ data to be used in the model. We believe that the use of NASA satellite data products in the model and for long term validation of the model has the potential to significantly increase the accuracy and therefore the utility of the model for the decision making described above. This proposal addresses the Gulf of Mexico Alliance (GOMA) priority issue of reductions in nutrient inputs to coastal ecosystem. It further directly relates to water quality for healthy beaches and shellfish beds and wetland and coastal conservation

  11. Prioritizing congenital syphilis control in south China: a decision analytic model to inform policy implementation.

    Directory of Open Access Journals (Sweden)

    Nicholas X Tan

    Full Text Available BACKGROUND: Syphilis is a major public health problem in many regions of China, with increases in congenital syphilis (CS cases causing concern. The Chinese Ministry of Health recently announced a comprehensive 10-y national syphilis control plan focusing on averting CS. The decision analytic model presented here quantifies the impact of the planned strategies to determine whether they are likely to meet the goals laid out in the control plan. METHODS AND FINDINGS: Our model incorporated data on age-stratified fertility, female adult syphilis cases, and empirical syphilis transmission rates to estimate the number of CS cases associated with prenatal syphilis infection on a yearly basis. Guangdong Province was the focus of this analysis because of the availability of high-quality demographic and public health data. Each model outcome was simulated 1,000 times to incorporate uncertainty in model inputs. The model was validated using data from a CS intervention program among 477,656 women in China. Sensitivity analyses were performed to identify which variables are likely to be most influential in achieving Chinese and international policy goals. Increasing prenatal screening coverage was the single most effective strategy for reducing CS cases. An incremental increase in prenatal screening from the base case of 57% coverage to 95% coverage was associated with 106 (95% CI: 101, 111 CS cases averted per 100,000 live births (58% decrease. The policy strategies laid out in the national plan led to an outcome that fell short of the target, while a four-pronged comprehensive syphilis control strategy consisting of increased prenatal screening coverage, increased treatment completion, earlier prenatal screening, and improved syphilis test characteristics was associated with 157 (95% CI: 154, 160 CS cases averted per 100,000 live births (85% decrease. CONCLUSIONS: The Chinese national plan provides a strong foundation for syphilis control, but more

  12. 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.

  13. 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.

  14. 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.

  15. Atrial Fibrillation on Intensive Care Unit Admission Independently Increases the Risk of Weaning Failure in Nonheart Failure Mechanically Ventilated Patients in a Medical Intensive Care Unit: A Retrospective Case-Control Study.

    Science.gov (United States)

    Tseng, Yen-Han; Ko, Hsin-Kuo; Tseng, Yen-Chiang; Lin, Yi-Hsuan; Kou, Yu Ru

    2016-05-01

    Atrial fibrillation (AF) is one of the most frequent arrhythmias in clinical practice. Previous studies have reported the influence of AF on patients with heart failure (HF). The effect of AF on the non-HF critically ill patients in a medical intensive care unit (ICU) remains largely unclear. The study aimed to investigate the impact of AF presenting on ICU admission on the weaning outcome of non-HF mechanically ventilated patients in a medical ICU.A retrospective observational case-control study was conducted over a 1-year period in a medical ICU at Taipei Veterans General Hospital, a tertiary medical center in north Taiwan. Non-HF mechanically ventilated patients who were successful in their spontaneous breathing trial and underwent ventilator discontinuation were enrolled. The primary outcome measure was the ventilator status after the first episode of ventilator discontinuation.A total of 285 non-HF patients enrolled were divided into AF (n = 62) and non-AF (n = 223) groups. Compared with the non-AF patients, the AF patients were significantly associated with old age (P = 0.002), a higher rate of acute respiratory distress syndrome causing respiratory failure (P = 0.015), a higher percentage of sepsis before liberation from mechanical ventilation (MV) (P = 0.004), and a higher serum level of blood urea nitrogen on the day of liberation from MV (P = 0.003). Multivariate logistic regression analysis demonstrated that AF independently increased the risk of weaning failure [adjusted odds ratio (AOR), 3.268; 95% confidence interval (CI), 1.254-8.517; P = 0.015]. Furthermore, the AF patients were found to be independently associated with a high rate of ventilator dependence (log rank test, P = 0.026), prolonged total ventilator use (AOR, 1.979; 95% CI, 1.032-3.794; P = 0.040), increased length of ICU stay (AOR, 2.256; 95% CI, 1.049-4.849; P = 0.037), increased length of hospital stay (AOR, 2.921; 95% CI, 1.363-6.260; P = 0

  16. 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

  17. 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。

  18. TD-LTE网络基于AoA+TA功能的接入控制应用%Admission control application based on the AoA+TA

    Institute of Scientific and Technical Information of China (English)

    秦嗣仲

    2015-01-01

    This article discusses the new problems encountered in the TD-LTE network, ie the boundary optimization problem. The TD-LTE network site of China Mobile is built nearby Yalu River in Dandong. The reference Dandong border GSM network, combined with TD-LTE network's own characteristics, and TD-LTE network are coverage of the macro station district reached Sinuiju, North Korea along the region, using the location to accept control algorithm (such as the AOA+TA method, etc.), through the UE distance macro station district the proximity of the site limit the Korean users access the TD-LTE network to conduct business.%本文论述了在TD-LTE网络中遇见的新问题,即边境优化问题。中国移动TD-LTE网络建设与朝鲜隔江而建,参考丹东边境GSM网络的方法,结合TD-LTE网络自身特点,TD-LTE网络采用宏站小区覆盖朝鲜新义州沿江区域,令宏站小区采用基于位置的接纳控制算法(如AoA+TA方法等),通过UE距离站点的远近限制朝鲜用户接入TD-LTE网络进行业务。

  19. 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...... information and potential control strategies (the use of fly screens and hypothetical vaccines). In conclusion, results from model and sensitivity analyses indicated that the financial variables (cost–benefit functions) and the effectiveness of the different control strategies drove the results.......The control of Campylobacter in poultry is considered a public health priority and some intervention strategies have been implemented in Denmark. Nonetheless, Campylobacter infection in poultry can still be considerable particularly during the summer when the most promising Campylobacter control...

  20. Feature-based decision rules for control charts pattern recognition: A comparison between CART and QUEST algorithm

    Directory of Open Access Journals (Sweden)

    Shankar Chakraborty

    2012-01-01

    Full Text Available Control chart pattern (CCP recognition can act as a problem identification tool in any manufacturing organization. Feature-based rules in the form of decision trees have become quite popular in recent years for CCP recognition. This is because the practitioners can clearly understand how a particular pattern has been identified by the use of relevant shape features. Moreover, since the extracted features represent the main characteristics of the original data in a condensed form, it can also facilitate efficient pattern recognition. The reported feature-based decision trees can recognize eight types of CCPs using extracted values of seven shape features. In this paper, a different set of seven most useful features is presented that can recognize nine main CCPs, including mixture pattern. Based on these features, decision trees are developed using CART (classification and regression tree and QUEST (quick unbiased efficient statistical tree algorithms. The relative performance of the CART and QUEST-based decision trees are extensively studied using simulated pattern data. The results show that the CART-based decision trees result in better recognition performance but lesser consistency, whereas, the QUEST-based decision trees give better consistency but lesser recognition performance.

  1. Patient Admission Preferences and Perceptions

    Science.gov (United States)

    Wu, Clayton; Melnikow, Joy; Dinh, Tu; Holmes, James F.; Gaona, Samuel D.; Bottyan, Thomas; Paterniti, Debora; Nishijima, Daniel K.

    2015-01-01

    Introduction Understanding patient perceptions and preferences of hospital care is important to improve patients’ hospitalization experiences and satisfaction. The objective of this study was to investigate patient preferences and perceptions of hospital care, specifically differences between intensive care unit (ICU) and hospital floor admissions. Methods This was a cross-sectional survey of emergency department (ED) patients who were presented with a hypothetical scenario of a patient with mild traumatic brain injury (TBI). We surveyed their preferences and perceptions of hospital care related to this scenario. A closed-ended questionnaire provided quantitative data on patient preferences and perceptions of hospital care and an open-ended questionnaire evaluated factors that may not have been captured with the closed-ended questionnaire. Results Out of 302 study patients, the ability for family and friends to visit (83%), nurse availability (80%), and physician availability (79%) were the factors most commonly rated “very important,” while the cost of hospitalization (62%) and length of hospitalization (59%) were the factors least commonly rated “very important.” When asked to choose between the ICU and the floor if they were the patient in the scenario, 33 patients (10.9%) choose the ICU, 133 chose the floor (44.0%), and 136 (45.0%) had no preference. Conclusion Based on a hypothetical scenario of mild TBI, the majority of patients preferred admission to the floor or had no preference compared to admission to the ICU. Humanistic factors such as the availability of doctors and nurses and the ability to interact with family appear to have a greater priority than systematic factors of hospitalization, such as length and cost of hospitalization or length of time in the ED waiting for an in-patient bed. PMID:26587095

  2. Decision curve analysis revisited: overall net benefit, relationships to ROC curve analysis, and application to case-control studies

    Directory of Open Access Journals (Sweden)

    Zumbrunn Thomas

    2011-06-01

    Full Text Available Abstract Background Decision curve analysis has been introduced as a method to evaluate prediction models in terms of their clinical consequences if used for a binary classification of subjects into a group who should and into a group who should not be treated. The key concept for this type of evaluation is the "net benefit", a concept borrowed from utility theory. Methods We recall the foundations of decision curve analysis and discuss some new aspects. First, we stress the formal distinction between the net benefit for the treated and for the untreated and define the concept of the "overall net benefit". Next, we revisit the important distinction between the concept of accuracy, as typically assessed using the Youden index and a receiver operating characteristic (ROC analysis, and the concept of utility of a prediction model, as assessed using decision curve analysis. Finally, we provide an explicit implementation of decision curve analysis to be applied in the context of case-control studies. Results We show that the overall net benefit, which combines the net benefit for the treated and the untreated, is a natural alternative to the benefit achieved by a model, being invariant with respect to the coding of the outcome, and conveying a more comprehensive picture of the situation. Further, within the framework of decision curve analysis, we illustrate the important difference between the accuracy and the utility of a model, demonstrating how poor an accurate model may be in terms of its net benefit. Eventually, we expose that the application of decision curve analysis to case-control studies, where an accurate estimate of the true prevalence of a disease cannot be obtained from the data, is achieved with a few modifications to the original calculation procedure. Conclusions We present several interrelated extensions to decision curve analysis that will both facilitate its interpretation and broaden its potential area of application.

  3. ProsCan for Men: Randomised controlled trial of a decision support intervention for men with localised prostate cancer

    Directory of Open Access Journals (Sweden)

    Gardiner RA

    2008-07-01

    Full Text Available Abstract Background Prostate cancer is the most common male cancer in the Western world but is highly heterogeneous in disease progression and outcomes. Consequently, the most substantial morbidity may actually arise from the adverse psychosocial impact of distress in decision-making and long term quality of life effects such as impotence. This paper presents the design of a randomised controlled trial of a decision support/psychosocial intervention for men newly diagnosed with localised prostate cancer. Methods/Design 350 men per condition (700 men in total have been recruited after diagnosis and before treatment through urology private practices and hospital outpatient clinics and randomised to 1 a tele-based nurse delivered five session decision support/psychosocial intervention or 2 a usual care control group. Two intervention sessions are delivered before treatment that address decision support, stress management and preparation for treatment. Three further sessions are provided three weeks, seven weeks and five months after treatment that focus on adjustment to cancer, problem solving and coping with treatment side effects. Participants are assessed at baseline (before treatment and 2, 6, 12, 24 and 36 months post-treatment. Outcome measures include: cancer threat appraisal; decision-related distress and bother from treatment side effects; involvement in decision making; satisfaction with health care; heath care utilisation; use of health care resources; and a return to previous activities. Discussion The study will provide recommendations about the efficacy of early decision support to facilitate adjustment after prostate cancer. As well the study will identify men diagnosed with localised prostate cancer at risk of poorer long term psychosocial adjustment. Trial Registration ACTRN012607000233426.

  4. To Fear Is to Gain? The Role of Fear Recognition in Risky Decision Making in TBI Patients and Healthy Controls

    Science.gov (United States)

    Visser-Keizer, Annemarie C.; Westerhof-Evers, Herma J.; Gerritsen, Marleen J. J.; van der Naalt, Joukje; Spikman, Jacoba M.

    2016-01-01

    Fear is an important emotional reaction that guides decision making in situations of ambiguity or uncertainty. Both recognition of facial expressions of fear and decision making ability can be impaired after traumatic brain injury (TBI), in particular when the frontal lobe is damaged. So far, it has not been investigated how recognition of fear influences risk behavior in healthy subjects and TBI patients. The ability to recognize fear is thought to be related to the ability to experience fear and to use it as a warning signal to guide decision making. We hypothesized that a better ability to recognize fear would be related to a better regulation of risk behavior, with healthy controls outperforming TBI patients. To investigate this, 59 healthy subjects and 49 TBI patients were assessed with a test for emotion recognition (Facial Expression of Emotion: Stimuli and Tests) and a gambling task (Iowa Gambling Task (IGT)). The results showed that, regardless of post traumatic amnesia duration or the presence of frontal lesions, patients were more impaired than healthy controls on both fear recognition and decision making. In both groups, a significant relationship was found between better fear recognition, the development of an advantageous strategy across the IGT and less risk behavior in the last blocks of the IGT. Educational level moderated this relationship in the final block of the IGT. This study has important clinical implications, indicating that impaired decision making and risk behavior after TBI can be preceded by deficits in the processing of fear. PMID:27870900

  5. 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…

  6. 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…

  7. 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…

  8. 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.

  9. 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

  10. Admission Criteria for MBA Programs

    Directory of Open Access Journals (Sweden)

    Silvana Dakduk

    2016-11-01

    Full Text Available This paper reports a review of studies on admission criteria for MBA programs. The method consisted in a literary review based on a systematic search in international databases (Emerald, ABI/INFORM Global, ProQuest Education Journals, ProQuest European Business, ProQuest Science Journal, ProQuest Research Library, ProQuest Psychology Journals, ProQuest Social Science Journals and Business Source Complete of studies published from January 1990 to December 2013, which explore the academic performance of students or graduates of MBA programs. A quantitative review was performed. Results show that most researchers studied relations between GMAT (Graduate Management Admission Test and UGPA (Undergraduate Grade Point Average as predictors of GGPA (Graduate Grade Point Average. On the other hand, work experience and personal traits (such as personality, motivation, learning strategies, self-efficacy beliefs and achievement expectations and their relation with GGPA had been less studied, and results are not consistent enough to consider them valid predictors of student performance at this time.

  11. 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.

  12. An Optimization Model of the Single-Leg Air Cargo Space Control Based on Markov Decision Process

    Directory of Open Access Journals (Sweden)

    Chun-rong Qin

    2012-01-01

    Full Text Available Based on the single-leg air cargo issues, we establish a dynamic programming model to consider the overbooking and space inventory control problem. We analyze the structure of optimal booking policy for every kind of booking requests and show that the optimal booking decision is of threshold type (known as booking limit policy. Our research provides a theoretical support for the air cargo space control.

  13. Prioritizing Congenital Syphilis Control in South China: A Decision Analytic Model to Inform Policy Implementation

    Science.gov (United States)

    Tan, Nicholas X.; Rydzak, Chara; Yang, Li-Gang; Vickerman, Peter; Yang, Bin; Peeling, Rosanna W.; Hawkes, Sarah; Chen, Xiang-Sheng; Tucker, Joseph D.

    2013-01-01

    Background Syphilis is a major public health problem in many regions of China, with increases in congenital syphilis (CS) cases causing concern. The Chinese Ministry of Health recently announced a comprehensive 10-y national syphilis control plan focusing on averting CS. The decision analytic model presented here quantifies the impact of the planned strategies to determine whether they are likely to meet the goals laid out in the control plan. Methods and Findings Our model incorporated data on age-stratified fertility, female adult syphilis cases, and empirical syphilis transmission rates to estimate the number of CS cases associated with prenatal syphilis infection on a yearly basis. Guangdong Province was the focus of this analysis because of the availability of high-quality demographic and public health data. Each model outcome was simulated 1,000 times to incorporate uncertainty in model inputs. The model was validated using data from a CS intervention program among 477,656 women in China. Sensitivity analyses were performed to identify which variables are likely to be most influential in achieving Chinese and international policy goals. Increasing prenatal screening coverage was the single most effective strategy for reducing CS cases. An incremental increase in prenatal screening from the base case of 57% coverage to 95% coverage was associated with 106 (95% CI: 101, 111) CS cases averted per 100,000 live births (58% decrease). The policy strategies laid out in the national plan led to an outcome that fell short of the target, while a four-pronged comprehensive syphilis control strategy consisting of increased prenatal screening coverage, increased treatment completion, earlier prenatal screening, and improved syphilis test characteristics was associated with 157 (95% CI: 154, 160) CS cases averted per 100,000 live births (85% decrease). Conclusions The Chinese national plan provides a strong foundation for syphilis control, but more comprehensive measures

  14. Recursive decision-making feedback extension (RDFE) for fuzzy scheduling scheme applied on electrical power control generation

    Energy Technology Data Exchange (ETDEWEB)

    Gracios-Marin, C.A.; Nuno-de-la-Parra, P.; Vega-Lebrum, Carlos [Universidad Popular Autonoma del Estado de Puebla, 21 Sur 1103 Col, Puebla, Pue, 72220 Santiago (Mexico); Munoz-Hernandez, G.A.; Estevez-Carreon, J. [Instituto Tecnologico de Puebla, Av. Tecnologico 420. Col. Maravillas, Puebla, Pue (Mexico); Diaz-Sanchez, A. [INAOE. - Luis Enrique Erro. No. 1, Tonantzintla, Puebla (Mexico)

    2009-07-15

    A new decision feedback extension (DFE) and an alternative application to schedule industrial processes are presented. The DFE is defined as a recursive decision feedback extension (RDFE), where the recursive part is developed to assign the probability of occurrence in the operation of a set of machines working together using an objective function of production. The fundaments of fuzzy factors and the principle of maximum membership function are used to develop the new extension. At last, RDFE is proposed to generate a fuzzy scheduler, which is used to apply an intelligent control scheme to a hydropower station. (author)

  15. 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.

  16. Analysis and comparison of two optimized call admission control schemes in mobile computing environment%移动计算中2种呼叫接入控制优化策略的分析与比较

    Institute of Scientific and Technical Information of China (English)

    黄国盛; 陈志刚; 陈炳权; 赵明; 颜琳

    2016-01-01

    在介绍DT−CAC和RBDO−CAC这2种呼叫接入控制优化策略的基础上,通过NS−2工具对这2种策略在不同呼叫流量强度下的性能进行仿真测试,并与传统的 NCB 策略进行对比。研究结果表明:DT−CAC 和RBDO−CAC优化策略的性能均比NCB方案的性能好,从整体上看,RBDO−CAC策略的切换呼叫掉线率和新呼叫阻塞率比DT−CAC的低,且其系统资源利用率比DT−CAC的高;在网络呼叫流量较高的情况下,RBDO−CAC策略资源利用率比DT−CAC策略高2%~5%。%After two optimized call admission control schemes known as DT−CAC and RBDO−CAC were presented,the performances of these two schemesatdifferent call traffic intensitieswere tested using NS−2, and compared with traditional NCB scheme.Theresults show that both DT−CAC and RBDO−CAC can achieve better performancesthan NCB. On the whole,when compared with DT−CAC,RBDO−CAChas lowerhandoff call dropping probability and new call blocking probability, and higher system resource utilization rate. The system resource utilization rate under high call traffic load of RBDO−CAC can be 2%−5%higher thanDT−CAC.

  17. Impaired decision-making and impulse control in Internet gaming addicts: evidence from the comparison with recreational Internet game users.

    Science.gov (United States)

    Wang, Yifan; Wu, Lingdan; Wang, Lingxiao; Zhang, Yifen; Du, Xiaoxia; Dong, Guangheng

    2016-09-30

    Although Internet games have been proven to be addictive, only a few game players develop online gaming addiction. A large number of players play online games recreationally without being addicted to it. These individuals are defined as recreational Internet gaming users (RGU). So far, no research has investigated decision-making and impulse control in RGU. In the current study, we used delay discounting (DD) task and probabilistic discounting (PD) task to examine decision-making and impulse control in 20 healthy controls, 20 subjects with Internet gaming disorder (IGD) and 23 RGU during fMRI scanning. At the behavioral level, RGU showed lower DD rate and higher PD rate than subjects with IGD and there was no significant difference between RGU and healthy controls on the DD and PD rates. At the neural level, RGU showed increased neural response in the parahippocampal gyrus, the anterior cingulate cortex, the medial frontal gyrus and the inferior frontal gyrus as compared with subjects with IGD. These brain regions may play an important role in preventing RGU from developing addiction. The results suggest that the RGU are capable of inhibiting impulse due to additional cognitive endeavor and the subjects with IGD have deficit in decision-making and impulsive control, which are associated with brain dysfunction.

  18. 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.

  19. 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

    to the grade-based admissions procedure. Finally, students admitted through the MMI scored significantly higher on academic learning self-efficacy and critical thinking compared to students selected by grades. The implications for higher education admissions are discussed....

  20. 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

  1. 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.

  2. 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

  3. Effect of Locus of Control, Work Knowledge, and Mentoring on Career Decision-Making Difficulties: Testing the Role of Race and Academic Institution

    Science.gov (United States)

    Lease, Suzanne H.

    2004-01-01

    Knowledge of the working world and career locus of control are associated with career decision making. Racial minorities may experience an external locus of career control and greater career decision-making concerns resulting from limited exposure to mentors or other sources of career information. Access to information may be facilitated by…

  4. 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.

  5. Unethical Admissions: Academic Integrity in Question.

    Science.gov (United States)

    Ansah, Richard Hannis; Aikhuele, Daniel O; Yao, Liu

    2016-11-28

    The increasing unethical practices of graduates' admissions have heightened concerns about the integrity of the academy. This article informs this important subject that affects the students, admission systems, and the entire scientific community, thus, representing an approach against scholarly black market activities including falsified documents and unethical practices by consultants and students' recruitment agencies.

  6. A Logical Characterization of Iterated Admissibility

    CERN Document Server

    Halpern, Joseph Y

    2009-01-01

    Brandenburger, Friedenberg, and Keisler provide an epistemic characterization of iterated admissibility (i.e., iterated deletion of weakly dominated strategies) where uncertainty is represented using LPSs (lexicographic probability sequences). Their characterization holds in a rich structure called a complete structure, where all types are possible. Here, a logical charaacterization of iterated admisibility is given that involves only standard probability and holds in all structures, not just complete structures. A stronger notion of strong admissibility is then defined. Roughly speaking, strong admissibility is meant to capture the intuition that "all the agent knows" is that the other agents satisfy the appropriate rationality assumptions. Strong admissibility makes it possible to relate admissibility, canonical structures (as typically considered in completeness proofs in modal logic), complete structures, and the notion of ``all I know''.

  7. 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…

  8. Using Old and New SAT® Scores for Admission: A Closer Look at Concordant Scores in Predictive Models. Research Report 2016-17

    Science.gov (United States)

    Marini, Jessica P.; Shaw, Emily J.; Young, Linda

    2016-01-01

    During the transition period between the use of exclusively old SAT® scores and the use of exclusively new SAT scores, college admission offices will be receiving both types of scores from students. Making an admission decision based on new SAT scores can be challenging at first because institutions have methods, procedures, and models based on…

  9. [Patient participation in medical decision making within an integrated health care system in Germany: results of a controlled cohort study].

    Science.gov (United States)

    Hölzel, L P; Vollmer, M; Kriston, L; Siegel, A; Härter, M

    2012-11-01

    An integrated health care project called "Gesundes Kinzigtal" was conducted in a rural area in Germany. As part of the project, physicians were trained and other measures were taken to enhance patient involvement in medical decision making. As part of the external evaluation, various effects regarding patient involvement in medical decision making, patient involvement and information preference, decision confidence, patient satisfaction with ambulatory care and patient quality of life were examined. The data were gathered by means of a questionnaire on an annual basis between 2007 and 2009. Effects were compared between patients who were participating in the integrated care project and two control groups. Analyses are based on the data of 1,205 patients. Over time all outcomes decreased slightly, except for information preference and physical quality of life. No statistically significant intervention effects on patient involvement in medical decision making or any other outcome variable could be found. The intensity of the training was presumably too low to establish an enduring change in the physician-patient interaction.

  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. TradeSmith: An Exercise to Demonstrate the Illusion of Control in Decision Making

    Science.gov (United States)

    Martz, Ben; Neil, Thomas C.; Biscaccianti, Alessandro

    2003-01-01

    Resource allocation decisions are a fundamental class of problems common throughout a business and therefore are found throughout business school curricula. Entrepreneurs must allocate capital, financiers must allocation cash, and production managers must create the best mix of multiple-use resources. Within this context, a business school's…

  12. Decision Maker Perception of Information Quality: A Case Study of Military Command and Control

    Science.gov (United States)

    Morgan, Grayson B.

    2013-01-01

    Decision maker perception of information quality cues from an "information system" (IS) and the process which creates such meta cueing, or data about cues, is a critical yet un-modeled component of "situation awareness" (SA). Examples of common information quality meta cueing for quality criteria include custom ring-tones for…

  13. 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,…

  14. 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

  15. Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Davidson JA

    2015-04-01

    -quality, well-developed tools to facilitate shared decision-making in populations with limited access to culturally sensitive information can narrow gaps and align care with individual patient preferences. A newly developed PDA is available for shared decision-making that provides culturally appropriate treatment information for inadequately controlled Hispanics/Latinos with T2DM. The impact on the overall health of patients and care management of T2DM requires further study.Keywords: patient decision aid, language adaptation, Hispanic, decision making, type 2 diabetes

  16. The effect of a decision aid on informed decision-making in the era of non-invasive prenatal testing : A randomised controlled trial

    NARCIS (Netherlands)

    Beulen, Lean; Van Den Berg, Michelle; Faas, Brigitte Hw; Feenstra, Ilse; Hageman, Michiel; Van Vugt, John Mg; Bekker, Mireille N.

    2016-01-01

    Early in pregnancy women and their partners face the complex decision on whether or not to participate in prenatal testing for fetal chromosomal abnormalities. Several studies show that the majority of pregnant women currently do not make informed decisions regarding prenatal testing. As the range o

  17. Drug related hospital admissions in subspecialities of internal medicine.

    Science.gov (United States)

    Hallas, J

    1996-04-01

    probably had a specific effect on avoidable DRHs. Admissions caused by adverse ractions to over-the-counter remedies, usually salicylates, were characterised by a particularly inappropriate use of drugs, suggesting that the public may also be a suitable target for interventions. In 1990 the author established the Odense PharmacoEpidemiologic Database (OPED), a research registry with person-identifiable data on computerised refund claims from Funen County. The registry was validated by a cohort study on the association of non-steroidal antiinflammatory drugs (NSAID) and admission for severe upper gastrointestinal bleeding (UGB). All 31,503 recorded NSAID users in Odense during a 19 month period and a control cohort were studied. For both cohorts we obtained data on admissions caused by UGB and other diagnosis- and prescription-data that would be relevant for confounder control. The standardised incidence ratio was 5.5, controlled for age, sex and previous peptic ulcer episodes. A multivariate analyse revealed a number of other risk factors, but no other important confounders. The standardised incidence of UGB was particularly high during the first month of NSAID therapy. The size of the data set permitted an estimate of excess risk within various patient categories. NSAID users over 75 years of age or with a previous peptic ulcer episode had particularly high excess risks. The utilization pattern of NSAIDs was surprisingly sporadic and appeared to favour a high UGB rate for a given sales volume. It is pointed out that individualised dispensing data may be an important tool in future endeavors to control DRH incidences. The data may be used for generating or confirming hypotheses on unknown and suspected ADRs, for studies on risk factors of ADRs, for characterising the population's drug utilization, for identifying objects for interventions and for monitoring the effect of interventions.

  18. Quantum Type Indeterminacy in Dynamic Decision-Making: Self-Control through Identity Management

    Directory of Open Access Journals (Sweden)

    Jerome Busemeyer

    2012-05-01

    Full Text Available The Type Indeterminacy model is a theoretical framework that uses some elements of quantum formalism to model the constructive preference perspective suggested by Kahneman and Tversky. In a dynamic decision context, type indeterminacy induces a game with multiple selves associated with a state transition process. We define a Markov perfect equilibrium among the selves with individual identity (preferences as the state variable. The approach allows to characterize generic personality types and derive some comparative static results.

  19. Control policies for a water-treatment system using the Markov Decision Process.

    Science.gov (United States)

    Chiam, Tze; Mitchell, Cary; Yih, Yuehwern

    In order to build a decision-making tool for choosing a control policy from a set of predefined policies for a water-treatment system, a simulation was developed. This technology-independent simulation focuses on the functions of a simplified representation of the water system based on documentation by NASA in the Baseline Value and Assumption Documents (BVAD). The clean-water requirement (consumption) and dirty-water generation (production) are based on crewmember demographics, activity schedules, and intensity of each activity. The water system consists of hygiene and potable-water subsystems. The hygiene-water subsystem supplies water for purposes such as laundry, urinal flush, dish wash, oral hygiene, and shower. The potable-water subsystem supplies water for drinking and re-hydration of food. Due to a lack of stochastic property descriptions for a real-world system in the BVAD, stochastic variables are introduced in this research to reflect a more realistic system. These variables describe the magnitude of deviation of system variables from their theoretical values through predetermined statistical distributions. These variables include hygiene and potable-water-treatment efficiencies, amounts of hygiene and potable water consumed, and amount of dirty water produced following potable-water consumption. Conditions of the system occurring hourly result from the intricate interaction of crewmembers and the water system. The primary measure of the condition of the system is the "state" representation of the system, assessed at the beginning of every hour. Conditions of the system examined include the amount of clean water available for consumption, amount of overflow (in excess of storage capacity) of clean and dirty water, amount of hourly water deficiency, amount of accumulated water deficiency, etc. State transitions of the system based on these assessments are affected by the stochastic properties of the system described above. The transitions also depend on

  20. 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...

  1. Every seventh acute medical admission is preventable

    DEFF Research Database (Denmark)

    Jepsen, Henrik Koldborg; Hendriksen, Carsten; Nielsen, Henrik;

    2013-01-01

    The majority of patients who are admitted to the departments of internal medicine are admitted acutely. The aim of this study was to evaluate the appropriateness of admissions to a community hospital in Copenhagen....

  2. The Parent Role in College Admission.

    Science.gov (United States)

    Krugman, Mary K.

    1990-01-01

    Discusses techniques secondary school counselors can use to help parents understand and negotiate the college admissions process, including encouraging parental self-assessment; assisting parents to assess student; giving parents special tips; and maintaining open and ethical communication. (ABL)

  3. A Hierarchical Reliability Control Method for a Space Manipulator Based on the Strategy of Autonomous Decision-Making

    Directory of Open Access Journals (Sweden)

    Xin Gao

    2016-01-01

    Full Text Available In order to maintain and enhance the operational reliability of a robotic manipulator deployed in space, an operational reliability system control method is presented in this paper. First, a method to divide factors affecting the operational reliability is proposed, which divides the operational reliability factors into task-related factors and cost-related factors. Then the models describing the relationships between the two kinds of factors and control variables are established. Based on this, a multivariable and multiconstraint optimization model is constructed. Second, a hierarchical system control model which incorporates the operational reliability factors is constructed. The control process of the space manipulator is divided into three layers: task planning, path planning, and motion control. Operational reliability related performance parameters are measured and used as the system’s feedback. Taking the factors affecting the operational reliability into consideration, the system can autonomously decide which control layer of the system should be optimized and how to optimize it using a control level adjustment decision module. The operational reliability factors affect these three control levels in the form of control variable constraints. Simulation results demonstrate that the proposed method can achieve a greater probability of meeting the task accuracy requirements, while extending the expected lifetime of the space manipulator.

  4. Analysis of Criteria for Admission to the Polytechnic “Nikola Tesla” in Gospić

    Directory of Open Access Journals (Sweden)

    Kristina Devčić

    2013-07-01

    Full Text Available Much like in the rest of the world, higher education institutions in the Republic of Croatia are working in a turbulent environment. Croatian polytechnics must recognize and understand the changes in their environment in order to be able to properly respond to them. The Polytechnic “Nikola Tesla” in Gospić is one of the polytechnics facing a growing competition, but also the problem of decreasing enrolment. To solve these problems, it is necessary to apply marketing methods and techniques for understanding the process of deciding on applying for admission to the Polytechnic. In order to better understand this process and how it can be influenced, the authors examined the criteria that students use when making this decision. It was established during the research that some of the criteria had a greater impact on the decision to apply for admission (the location of the Polytechnic, professional orientation, reasonable admission requirements and applicability of professional knowledge in practice and employment prospects as the key decision factor, while others had a much smaller impact. In addition, the research has shown that there is no significant difference between male and female respondents with regard to the importance they attach to different criteria. Using factor analysis, the criteria for admission to the Polytechnic were grouped as follows: the quality of education, studying conditions, image of the institution, the cost of education, and the influence of friends and family.

  5. Every seventh acute medical admission is preventable

    DEFF Research Database (Denmark)

    Jepsen, Henrik Koldborg; Hendriksen, Carsten; Nielsen, Henrik;

    2013-01-01

    The majority of patients who are admitted to the departments of internal medicine are admitted acutely. The aim of this study was to evaluate the appropriateness of admissions to a community hospital in Copenhagen.......The majority of patients who are admitted to the departments of internal medicine are admitted acutely. The aim of this study was to evaluate the appropriateness of admissions to a community hospital in Copenhagen....

  6. 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...

  7. 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

    and adopts a methodology of importance sampling to maximize the information contained in the database so as to increase the accuracy of DT. Further, this paper also studies the effectiveness of DT by implementing its corresponding preventive control schemes. These approaches are tested on the detailed model......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......-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...

  8. Role of PUF-8/PUF protein in stem cell control, sperm-oocyte decision and cell fate reprogramming.

    Science.gov (United States)

    Datla, Udaya Sree; Scovill, Natasha Carol; Brokamp, Austin J; Kim, Eunsuk; Asch, Adam S; Lee, Myon-Hee

    2014-10-01

    Pumilio and FBF (PUF) proteins are conserved stem cell regulators that maintain germline stem cells (GSCs) in worms and flies. Moreover, they are also present in vertebrate stem cells. The nematode Caenorhabditis elegans has multiple PUF proteins with specialized roles. Among them, PUF-8 protein controls multiple cellular processes, including proliferation, differentiation, sperm-oocyte decision, and cell fate reprogramming, depending on the genetic context in the C. elegans germline. In this review, we describe the possible mechanisms of how PUF-8 protein systematically controls multiple cellular processes in the C. elegans germline. Since PUF proteins are evolutionarily conserved, we suggest that a similar mechanism may be involved in controlling stem cell regulation and differentiation in other organisms, including humans.

  9. 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

  10. 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.

  11. 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.

  12. Hospital admission among HIV-exposed uninfected children compared with HIV-unexposed children

    DEFF Research Database (Denmark)

    Moseholm, Ellen; Helleberg, Marie; Nordly, Sannie B;

    2016-01-01

    : A nationwide register-based cohort study. METHODS: All HEU children born in Denmark from 2000 to 2012 were individually matched to five HIV-unexposed controls. Outcomes were risk of hospital admission (any, because of an infectious disease, observation/nonspecific diagnosis) and use of antibiotics during......OBJECTIVE:: The main objective of this study was, on a national level, to investigate the risk of in-hospital admissions and use of antibiotics during the first 4 years of life among HIV-exposed uninfected (HEU) children compared with a matched control group of HIV-unexposed children. DESIGN...... because of observation/nonspecific diagnosis [excess incidence rate 22.6 (95% CI 18.2-27.0), IRR 6.06 (95% CI 4.84-7.61)]. CONCLUSION: HEU children had an increased risk of overall hospital admission mainly due to an increased risk of admission because of observation/nonspecific diagnosis...

  13. The "Admissions" Side of BCCAT: An Update. Special Report

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2008

    2008-01-01

    To spearhead increased emphasis on admissions, the British Columbia Council on Admissions and Transfer (BCCAT) formed an Admissions Committee in Fall 2003. The committee recognized the importance of institutional autonomy in determining admissions policies and processes at each institution. Following initiation of the Student Transitions Project…

  14. 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...

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

    DEFF Research Database (Denmark)

    Nielsen, Liza Rosenbaum; Dohoo, I.

    2011-01-01

    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...... if animals with red and yellow flags had higher probability of being slaughtered or sold before first calving than animals without any risk flags. For adult cows a semi-parametric proportional hazard survival model was used to test the effect of number of red and yellow flags on hazards of culling...... at different time points and interactions with prevalence in the herd while accounting for parity, stage of lactation, milk yield, somatic cell count and the hierarchical structure of the data with animals clustered at herd level. This study illustrates how investigation of culling decisions made by herd...

  16. Efficacy versus Equity: What Happens When States Tinker With College Admissions in a Race-Blind Era?

    Science.gov (United States)

    Black, Sandra E.; Cortes, Kalena E.; Lincove, Jane Arnold

    2016-01-01

    We investigate the efficacy and equity of college admissions criteria by estimating the effect of multiple measures of college readiness on college performance in the context of race-blind automatic admissions policies. We take advantage of a unique institutional feature of the Texas higher education system to control for selection into…

  17. 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.

  18. 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...

  19. 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…

  20. Methodology for allocation of remotely controlled switches in distribution networks based on a fuzzy multi-criteria decision making algorithm

    Energy Technology Data Exchange (ETDEWEB)

    Bernardon, D.P.; Sperandio, M.; Garcia, V.J.; Russi, J. [UNIPAMPA - Federal University of Pampa (Brazil); Canha, L.N.; Abaide, A.R. [UFSM - Federal University of Santa Maria (Brazil); Daza, E.F.B. [AES Sul (Brazil)

    2011-02-15

    Continuity in power supply for the consumers is a permanent concern from the utilities, pursued with the development of technological solutions in order to improve the performance of network restoration conditions. Using remotely controlled switches corresponds to one possible approach to reach such an improvement and giving some convenient remote resources such as the fault detect, isolation and transfer loads. This paper presents a methodology implemented in a computer programming language for allocation these devices in electric distribution systems based on multi-criteria fuzzy analysis. The main contributions are focus on considering the impact of installing remote-controlled switches in the reliability indexes and algorithm of fuzzy multi-criteria decision making for the switches allocation. The effectiveness of the proposed algorithm is demonstrated with case studies involving actual systems of the AES Sul utility located in the south of Brazil. (author)

  1. 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

  2. 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\\'.

  3. 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.

  4. Affirmative action policy in medical school admissions.

    Science.gov (United States)

    Frazer, Ricardo A

    2005-02-01

    Legal challenges to affirmative action are growing, a trend suggesting that a proactive stance is needed to maintain a policy that still has viability, legitimacy, and utility. Medical schools admissions offices in the United States emphasize the Medical College Admissions Test (MCAT), even though many studies have found that grade point averages are better single predictors of future academic achievement, regardless of the student's socioeconomic or racial category. The current essay suggests there is an overreliance on the MCAT in medical school admissions. Medical colleges should encourage the development of additional applicant selection criteria, while continuing to use affirmative action programs, in part to address the need for increased community-oriented health care.

  5. 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...

  6. 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.

  7. 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.

  8. 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 $\\{0,\\1\\}$.

  9. Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial

    Science.gov (United States)

    Hollander, Judd E; Schaffer, Jason T; Kline, Jeffrey A; Torres, Carlos A; Diercks, Deborah B; Jones, Russell; Owen, Kelly P; Meisel, Zachary F; Demers, Michel; Leblanc, Annie; Shah, Nilay D; Inselman, Jonathan; Herrin, Jeph; Castaneda-Guarderas, Ana; Montori, Victor M

    2016-01-01

    Objective To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome. Design Multicenter pragmatic parallel randomized controlled trial. Setting Six emergency departments in the United States. Participants 898 adults (aged >17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain. Interventions Patients were randomly assigned (1:1) by an electronic, web based system to shared decision making facilitated by a decision aid or to usual care. The primary outcome, selected by patient and caregiver advisers, was patient knowledge of their risk for acute coronary syndrome and options for care; secondary outcomes were involvement in the decision to be admitted, proportion of patients admitted for cardiac testing, and the 30 day rate of major adverse cardiac events. Results Compared with the usual care arm, patients in the decision aid arm had greater knowledge of their risk for acute coronary syndrome and options for care (questions correct: decision aid, 4.2 v usual care, 3.6; mean difference 0.66, 95% confidence interval 0.46 to 0.86), were more involved in the decision (observing patient involvement scores: decision aid, 18.3 v usual care, 7.9; 10.3, 9.1 to 11.5), and less frequently decided with their clinician to be admitted for cardiac testing (decision aid, 37% v usual care, 52%; absolute difference 15%; P<0.001). There were no major adverse cardiac events due to the intervention. Conclusions Use of a decision aid in patients at low risk for acute coronary syndrome increased patient knowledge about their risk, increased

  10. 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

  11. "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.

  12. 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.

  13. Primary path reservation using enhanced slot assignment in TDMA for session admission.

    Science.gov (United States)

    Koneri Chandrasekaran, Suresh; Savarimuthu, Prakash; Andi Elumalai, Priya; Ayyaswamy, Kathirvel

    2015-01-01

    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.

  14. 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....

  15. 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

    . 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...... 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......) and the use of a hypothetical cost-effective vaccine C (able to reduce the level of Campylobacter from two to six logs in 90% of the chickens with a cost of 0.03 £/chicken). The flexibility of probabilistic graphical models allows for the inclusion of more than one Campylobacter vaccination strategy and more...

  16. EQUIPT: supporting European stakeholders to make decisions about investment in evidence-based tobacco control

    Directory of Open Access Journals (Sweden)

    Silvia Evers

    2016-03-01

    Full Text Available EQUIPT brings together expertise from multiple disciplines and aims to provide policy makers and wider stakeholders with bespoke information about the economic and wider returns that investing in evidence-based tobacco control including smoking cessation agendas can generate. Led by Health Economics Research Group (HERG at Brunel University, London, EQUIPT is a partnership of 11 consortium members from 7 member states – Belgium, Croatia, Germany, Hungary, the Netherlands, Spain and the UK.

  17. 32 CFR 242.5 - Admission procedures.

    Science.gov (United States)

    2010-07-01

    ..., Attn: Assistant Dean for Academic Support. The School of Medicine shall not process a military person's...) MISCELLANEOUS ADMISSION POLICIES AND PROCEDURES FOR THE SCHOOL OF MEDICINE, UNIFORMED SERVICES UNIVERSITY OF THE... to the School of Medicine shall make direct application following instructions published in...

  18. 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…

  19. The National Center Test for University Admissions

    Science.gov (United States)

    Watanabe, Yoshinori

    2013-01-01

    This article describes the National Center Test for University Admissions, a unified national test in Japan, which is taken by 500,000 students every year. It states that implementation of the Center Test began in 1990, with the English component consisting only of the written section until 2005, when the listening section was first implemented…

  20. Reporting Subscores from College Admission Tests

    Science.gov (United States)

    Lyren, Per-Erik

    2009-01-01

    The added value of reporting subscores on a college admission test (SweSAT) was examined in this study. Using a CTT-derived objective method for determining the value of reporting subscores, it was concluded that there is added value in reporting section scores (Verbal/Quantitative) as well as subtest scores. These results differ from a study of…

  1. 7 CFR 15a.16 - Admission.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Admission. 15a.16 Section 15a.16 Agriculture Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM FEDERAL... institutions, subpart C applies only to institutions of vocational education, professional education,...

  2. Using geographic information systems and decision support systems for the prediction, prevention, and control of vector-borne diseases.

    Science.gov (United States)

    Eisen, Lars; Eisen, Rebecca J

    2011-01-01

    Emerging and resurging vector-borne diseases cause significant morbidity and mortality, especially in the developing world. We focus on how advances in mapping, Geographic Information System, and Decision Support System technologies, and progress in spatial and space-time modeling, can be harnessed to prevent and control these diseases. Major themes, which are addressed using examples from tick-borne Lyme borreliosis; flea-borne plague; and mosquito-borne dengue, malaria, and West Nile virus disease, include (a) selection of spatial and space-time modeling techniques, (b) importance of using high-quality and biologically or epidemiologically relevant data, (c) incorporation of new technologies into operational vector and disease control programs, (d) transfer of map-based information to stakeholders, and (e) adaptation of technology solutions for use in resource-poor environments. We see great potential for the use of new technologies and approaches to more effectively target limited surveillance, prevention, and control resources and to reduce vector-borne and other infectious diseases.

  3. Prospective payments to hospitals: should emergency admissions have higher rates?

    Science.gov (United States)

    Melnick, G A; Serrato, C A; Mann, J M

    1989-01-01

    Systematic variation in patient resource use can be a significant problem for a system based on diagnosis-related groups (DRG's) if this variation is not evenly distributed across hospitals. If certain hospitals routinely treat patients who require more services than average under DRG's, the long-run financial viability of these hospitals will be threatened. In this study, the authors examine whether patients who are admitted on an emergency or urgent basis represent an identifiable group of patients whose costs are systematically higher than those of electively admitted patients, controlling for DRG. Alternative approaches for incorporating admission status into a DRG payment system are developed and tested.

  4. 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

  5. Race-Sensitive Admissions in Higher Education: Commentary on How the Supreme Court Is Likely To Rule.

    Science.gov (United States)

    Bell, Derrick; Kehlenberg, Richard D.; Dorf, Michael C.; Tushnet, Mark V.; Delgado, Richard; Stefancic, Jean

    1999-01-01

    Six legal scholars suggest possible outcomes of a future Supreme Court ruling on affirmative action in student admissions to higher education. The scholars examine other Supreme Court decisions and look at the impact that different justices and different presidents would have on an affirmative action ruling. (SM)

  6. Changes in Levels of Affirmative Action in College Admissions in Response to Statewide Bans and Judicial Rulings

    Science.gov (United States)

    Blume, Grant H.; Long, Mark C.

    2014-01-01

    Affirmative action in college admissions was effectively banned in Texas by the Hopwood ruling in 1997, by voter referenda in California and Washington in 1996 and 1998, and by administrative decisions in Florida in 1999. The "Hopwood" and "Johnson" rulings also had possible applicability to public colleges throughout Alabama,…

  7. 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.

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

    DEFF Research Database (Denmark)

    Makransky, Guido; Havmose, Philip S.; Vang, Maria

    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 academic achievement after one and two years of study. The participants consisted of the entire population of 422 psychology students who were admitted to the University of Southern Denmark between 2010 and 2013. The results showed significantly lower drop-out rates after the first year of study, and non......-significant lower drop-out rates after the second year of study for the admission procedure that included the assessment of non-cognitive skills though the MMI. Furthermore, this admission procedure resulted in a significant lower risk of failing the final exam after the first and second year of study, compared...

  9. 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

  10. A leaky-integrator model as a control mechanism underlying flexible decision making during task switching.

    Science.gov (United States)

    Mitani, Akinori; Sasaki, Ryo; Oizumi, Masafumi; Uka, Takanori

    2013-01-01

    The ability to switch between tasks is critical for animals to behave according to context. Although the association between the prefrontal cortex and task switching has been well documented, the ultimate modulation of sensory-motor associations has yet to be determined. Here, we modeled the results of a previous study showing that task switching can be accomplished by communication from distinct populations of sensory neurons. We proposed a leaky-integrator model where relevant and irrelevant information were stored separately in two integrators and task switching was achieved by leaking information from the irrelevant integrator. The model successfully explained both the behavioral and neuronal data. Additionally, the leaky-integrator model showed better performance than an alternative model, where irrelevant information was discarded by decreasing the weight on irrelevant information, when animals initially failed to commit to a task. Overall, we propose that flexible switching is, in part, achieved by actively controlling the amount of leak of relevant and irrelevant information.

  11. Association between antipsychotic/antidepressant drug treatments and hospital admissions in schizophrenia assessed using a mental health case register

    Science.gov (United States)

    Cardinal, Rudolf N; Savulich, George; Mann, Louisa M; Fernández-Egea, Emilio

    2015-01-01

    Background: The impact of psychotropic drug choice upon admissions for schizophrenia is not well understood. Aims: To examine the association between antipsychotic/antidepressant use and time in hospital for patients with schizophrenia. Methods: We conducted an observational study, using 8 years’ admission records and electronically generated drug histories from an institution providing secondary mental health care in Cambridgeshire, UK, covering the period 2005–2012 inclusive. Patients with a coded ICD-10 diagnosis of schizophrenia were selected. The primary outcome measure was the time spent as an inpatient in a psychiatric unit. Antipsychotic and antidepressant drugs used by at least 5% of patients overall were examined for associations with admissions. Periods before and after drug commencement were compared for patients having pre-drug admissions, in mirror-image analyses correcting for overall admission rates. Drug use in one 6-month calendar period was used to predict admissions in the next period, across all patients, in a regression analysis accounting for the effects of all other drugs studied and for time. Results: In mirror-image analyses, sulpiride, aripiprazole, clozapine, and olanzapine were associated with fewer subsequent admission days. In regression analyses, sulpiride, mirtazapine, venlafaxine, and clozapine–aripiprazole and clozapine–amisulpride combinations were associated with fewer subsequent admission days. Conclusions: Use of these drugs was associated with fewer days in hospital. Causation is not implied and these findings require confirmation by randomized controlled trials. PMID:27336041

  12. Treatment Episode Data Set: Admissions (TEDS-A-1995)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  13. Treatment Episode Data Set: Admissions (TEDS-A-2001)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  14. Treatment Episode Data Set: Admissions (TEDS-A-2002)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  15. Treatment Episode Data Set: Admissions (TEDS-A-2000)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  16. Treatment Episode Data Set: Admissions (TEDS-A-1992)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  17. Treatment Episode Data Set: Admissions (TEDS-A-1999)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  18. Treatment Episode Data Set: Admissions (TEDS-A-2005)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  19. Treatment Episode Data Set: Admissions (TEDS-A-1994)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  20. Treatment Episode Data Set: Admissions (TEDS-A-1998)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  1. Treatment Episode Data Set: Admissions (TEDS-A-2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  2. Treatment Episode Data Set: Admissions (TEDS-A-1997)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  3. Treatment Episode Data Set: Admissions (TEDS-A-1996)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  4. Treatment Episode Data Set: Admissions (TEDS-A-1993)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  5. Treatment Episode Data Set: Admissions (TEDS-A-2004)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  6. Treatment Episode Data Set: Admissions (TEDS-A-2006)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  7. Treatment Episode Data Set: Admissions (TEDS-A-2013)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  8. Treatment Episode Data Set: Admissions (TEDS-A-2010)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  9. Treatment Episode Data Set: Admissions (TEDS-A-2008)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  10. Treatment Episode Data Set: Admissions (TEDS-A-2011)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  11. Treatment Episode Data Set: Admissions (TEDS-A-2003)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  12. Treatment Episode Data Set: Admissions (TEDS-A-2007)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  13. Treatment Episode Data Set: Admissions (TEDS-A-2009)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  14. Evidence and decision making: tobacco control policy and legislation in Vietnam.

    Science.gov (United States)

    Higashi, Hideki; Khuong, Tuan A; Ngo, Anh D; Hill, Peter S

    2013-01-01

    The Ministry of Health (MOH) in Vietnam is currently drafting the Tobacco Harm Prevention Law. The government requested the MOH to provide evidence on the strategies proposed in the draft law as part of its submission to the National Assembly. This study examines the availability and strength of evidence and its relationship to policy stakeholders' positions towards policy instruments proposed in the law. Several qualitative methods were employed including documentary analysis, key informant interviews, focus group discussion and a key stakeholders' survey. Contradictory findings were identified over the role of evidence. While there is high demand for local evidence, the availability and strength of evidence are not always aligned with stakeholders' positions with respect to different strategies. Stakeholders' positions are shaped by competing interests on the basis of their perceptions of the socioeconomic implications and health consequences of tobacco control. Claims of limited availability of evidence are often used to justify the maintenance of the status quo, a position that is seen to protect the state-owned tobacco industry and state revenue. Local evidence of the impact of tobacco on population health is argued to be 'one-sided' and evidence of selected interventions discounted. Compelling and comprehensive local evidence, including those addressing economic concerns, is acutely needed in order to proceed with the current legislation process. For evidence to play a critical role, it needs to engage those ministries responsible for the tobacco industry itself and the economic development.

  15. 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.

  16. 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.

  17. Cost Decision Support in Product Design

    NARCIS (Netherlands)

    Liebers, A.; Kals, H.J.J.

    1997-01-01

    The constraints addressed in decision making during product design, process planning and production planning determine the admissible solution space for the manufacture of products. The solution space determines largely the costs that are incurred in the production process. In order to be able to ma

  18. 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)

  19. 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)

  20. 22 CFR 142.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... who has a handicap that impairs sensory, manual, or speaking skills, the test results accurately... denied admission or be subjected to discrimination in admission or recruitment by a recipient to which... persons who may be admitted; (2) May not make use of any test or criterion for admission that has...

  1. 22 CFR 217.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... applicant who has a handicap that impairs sensory, manual, or speaking skills, the test results accurately... denied admission or be subjected to discrimination in admission or recruitment by a recipient to which... who may be admitted; (2) May not make use of any test or criterion for admission that has...

  2. Early Admissions at Selective Colleges. NBER Working Paper No. 14844

    Science.gov (United States)

    Avery, Christopher; Levin, Jonathan D.

    2009-01-01

    Early admissions is widely used by selective colleges and universities. We identify some basic facts about early admissions policies, including the admissions advantage enjoyed by early applicants and patterns in application behavior, and propose a game-theoretic model that matches these facts. The key feature of the model is that colleges want to…

  3. Admission criteria and diversity in medical school

    DEFF Research Database (Denmark)

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

    2013-01-01

    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......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 or attribute-based) had no statistically significant effect on the social diversity of medical students admitted to USD. Discussion: It may be a myth that attribute-based admission widens access and increases social diversity. To the contrary, there is evidence that combining grade-based with attribute...

  4. 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.

  5. Lie Admissible Non-Associative Algebras

    Institute of Scientific and Technical Information of China (English)

    H.Mohammad Ahmadi; Ki-Bong Nam; Jonathan Pakinathan

    2005-01-01

    A non-associative ring which contains a well-known associative ring or Lie ring is interesting. In this paper, a method to construct a Lie admissible non-associative ring is given; a class of simple non-associative algebras is obtained; all the derivations of the non-associative simple N0,0,1 algebra defined in this paper are determined; and finally, a solid algebra is defined.

  6. 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.

  7. Characteristics of delayed admission to stroke unit.

    Science.gov (United States)

    Silvestrelli, Giorgio; Parnetti, Lucilla; Tambasco, Nicola; Corea, Francesco; Capocchi, Giuseppe

    2006-01-01

    Early admission to stroke unit (SU) and factors that may cause admission delay represent relevant issues to obtain an optimal management of acute stroke. This study was aimed at recording timing from clinical onset to admission to our SU and to identify the reasons for delay. We prospectively examined acute stroke patients consecutively admitted to the Perugia SU. Baseline characteristics of stroke patients, stroke type and etiology, time from symptom onset to arrival in the SU were obtained from the Hospital-Based Perugia Stroke Registry. 60.8% of 2,213 consecutive stroke patients admitted to the SU arrived within 6 hrs and 39.2% after 6 hrs. Underestimation of symptoms was the cause of delay in 48.7% of cases. Younger age, especially for females, ischemic stroke, mild and/or unspecific symptoms and the underestimation of symptoms seem to be the main reasons for delayed arrival in the SU. To increase the proportion of stroke patients arriving in the SU within 3 hr of symptom onset, it is necessary to improve public and general practitioner awareness of stroke through educational programs.

  8. 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.

  9. 连续时间Markov决策过程在呼叫接入控制中的应用%Continuous-time Markov Decision Processes to Call Admission Control Problem

    Institute of Scientific and Technical Information of China (English)

    周亚平; 奚宏生; 殷保群; 唐昊

    2001-01-01

    应用Markov决策过程与性能势相结合的方法,给出了呼叫接入控制的策略优化算法.所得到的最优策略是状态相关的策略,与基于节点已占用带宽决定行动的策略相比,状态相关策略具有更好的性能值,而且该算法具有很快的收敛速度.

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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

  15. 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

  16. "Reclaiming Rapid Cognition": Improving Decision-making in Command and Control Agencies by Understanding and Enabling Rapid Cognition

    Science.gov (United States)

    2007-06-01

    down, in which they experience a sort of “temporary autism .”13 Repeated exposures to these same situations allow the subjects to feel more... horses , and must only be made at decisive moments. • - Alfred North Whitehead • When making a decision of minor importance, I have always found it

  17. Changes in Texas Universities’ Applicant Pools after the Hopwood Decision

    Science.gov (United States)

    Long, Mark C.; Tienda, Marta

    2012-01-01

    This paper evaluates how the distribution of applicant and enrollee attributes at seven Texas universities changed after the Hopwood decision and the implementation of a policy guaranteeing admission to students with high class ranks. We analyze changes in the distributions of test scores and high school class ranks for underrepresented minority groups as well as white and Asian American applicants across institutions and between admission regimes. We show that these admissions policy changes, which have direct effects on only the most selective institutions, have substantial indirect effects at other institutions. Average test scores of applicants to less selective institutions rose following the change in admission criteria, as students with high test scores who did not qualify for the admission guarantee applied to a broader set of institutions. Furthermore, as the share of high rank applicants at UT-Austin rose, the pre-Hopwood assent in the test scores of their applicants stagnated. PMID:23335823

  18. 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.

  19. 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

  20. On the hierarchical risk-averse control problems for diffusion processes

    OpenAIRE

    Befekadu, Getachew K.; Veremyev, Alexander; Pasiliao, Eduardo L.

    2016-01-01

    In this paper, we consider a risk-averse control problem for diffusion processes, in which there is a partition of the admissible control strategy into two decision-making groups (namely, the {\\it leader} and {\\it follower}) with different cost functionals and risk-averse satisfactions. Our approach, based on a hierarchical optimization framework, requires that a certain level of risk-averse satisfaction be achieved for the {\\it leader} as a priority over that of the {\\it follower's} risk-ave...

  1. Air pollution and hospital admissions for asthma in a tropical city: Kaohsiung, Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Shang-Shyue Tsai; Meng-Hsuan Cheng; Hui-Fen Chiu; Trong-Neng Wu; Chun-Yuh Yang [I-Shou University, Kaohsiung (Taiwan). Department of Health Care Administration

    2006-07-15

    This study was undertaken to determine whether there is an association between air pollutants levels and hospital admissions for asthma in Kaohsiung, Taiwan. Hospital admissions for asthma and ambient air pollution data for Kaohsiung were obtained for the period from 1996 through 2003. The relative risk of hospital admission was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. In the single-pollutant models, on warm days ({>=}25{sup o}C) statistically significant positive associations were found in all pollutants except sulfur dioxide. On cool days ({<=} 25{sup o}C) all pollutants were significantly associated with asthma admissions. For the two pollutant models, CO and O{sub 3} were significant in combination with each of the other four pollutants on warm days. On cool days NO{sub 2} remained statistically significant in all the two-pollutant models. This study provides evidence that higher levels of ambient pollutants increase the risk of hospital admissions for asthma.

  2. 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.

  3. 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

  4. Racial disparities in receiving total hip/knee replacement surgery: the effect of hospital admission sources.

    Science.gov (United States)

    Chen, Jie; Rizzo, John A; Parasuraman, Shreekant; Gunnarsson, Candace

    2013-02-01

    Using a nationally-representative inpatient care dataset (the HCUP National Inpatient Sample from 2002 to 2007) we examined racial disparities in receiving total hip replacement (THR) and total knee replacement (TKR) surgeries. Multivariable logistic regression models revealed that racial minorities were significantly less likely to receive THR or TKR than Whites, controlling for patients' hospital admission source and hospital characteristics. Employing Blinder-Oaxaca decomposition techniques, we found that observed difference in population characteristics explained 55%-67% and 78% of the racial disparities in THR and TKR, respectively. Differences in patients' hospital admission source emerged as the major individual factor associated with these disparities, explaining 57%-77% of racial disparities in THR and 26%-50% of racial disparities in TKR. This study suggests that substantive racial and ethnic disparities exist in utilization of THR and TKR surgery. Observed population characteristics accounted for most of these differences, with hospital admission source being the key factor.

  5. Clinical audit indicators of outcome following admission to hospital with acute exacerbation of chronic obstructive pulmonary disease

    OpenAIRE

    2002-01-01

    Background: The 1997 BTS/RCP national audit of acute chronic obstructive pulmonary disease (COPD) in terms of process of care has previously been reported. This paper describes from the same cases the outcomes of death, readmission rates within 3 months of initial admission, and length of stay. Identification of the main pre-admission predictors of outcome may be used to control for confounding factors in population characteristics when comparing performance between units.

  6. Epidural Analgesia Versus Patient-Controlled Analgesia for Pain Relief in Uterine Artery Embolization for Uterine Fibroids: A Decision Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Kooij, Sanne M. van der, E-mail: s.m.vanderkooij@amc.uva.nl; Moolenaar, Lobke M.; Ankum, Willem M. [Academic Medical Centre, Department of Gynaecology (Netherlands); Reekers, Jim A. [Academic Medical Centre, Department of Radiology (Netherlands); Mol, Ben Willem J. [Academic Medical Centre, Department of Gynaecology (Netherlands); Hehenkamp, Wouter J. K. [VU University Medical Centre, Department of Gynaecology (Netherlands)

    2013-12-15

    Purpose: This study was designed to compare the costs and effects of epidural analgesia (EDA) to those of patient-controlled intravenous analgesia (PCA) for postintervention pain relief in women having uterine artery embolization (UAE) for systematic uterine fibroids. Methods: Cost-effectiveness analysis (CEA) based on data from the literature by constructing a decision tree to model the clinical pathways for estimating the effects and costs of treatment with EDA and PCA. Literature on EDA for pain-relief after UAE was missing, and therefore, data on EDA for abdominal surgery were used. Outcome measures were compared costs to reduce one point in visual analogue score (VAS) or numeric rating scale (NRS) for pain 6 and 24 h after UAE and risk for complications. Results: Six hours after the intervention, the VAS was 3.56 when using PCA and 2.0 when using EDA. The costs for pain relief in women undergoing UAE with PCA and EDA were Euro-Sign 191 and Euro-Sign 355, respectively. The costs for EDA to reduce the VAS score 6 h after the intervention with one point compared with PCA were Euro-Sign 105 and Euro-Sign 179 after 24 h. The risk of having a complication was 2.45 times higher when using EDA. Conclusions: The results of this indirect comparison of EDA for abdominal surgery with PCA for UAE show that EDA would provide superior analgesia for post UAE pain at 6 and 24 h but with higher costs and an increased risk of complications.

  7. 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…

  8. The impact of airborne particulate matter on pediatric hospital admissions for pneumonia among Jinan children: a case-crossover study.

    Science.gov (United States)

    Lv, Chenguang; Wang, Xianfeng; Pang, Na; Wang, Lanzhong; Wang, Yuping; Xu, Tengfei; Zhang, Yu; Zhou, Tianran; Li, Wei

    2016-12-14

    This study aims to examine the effect of short-term changes in the concentration of particulate matter ≤2.5 µm (PM2.5) and ≤ 10 µm (PM10) on pediatric hospital admissions for pneumonia in Jinan, China. It explored confoundings factos of weather, season, and chemical pollutants. Information on pediatric hospital admissions for pneumonia in 2014 was extracted from the database of Jinan Qilu Hospital. The relative risk of pediatric hospital admissions for pneumonia was assessed using a case-crossover approach, controlling weather variables, day of the week, and seasonality. The single-pollutant model demonstrated that increased risk of pediatric hospital admissions for pneumonia was significantly associated with elevated PM2.5 concentrations the day before hospital admission and elevated PM10 concentrations two days before hospital admission. An increment of 10 μg/m(3) in PM2.5 and PM10 were correlated with a 6% (95% CI 1.02-1.10) and 4% (95% CI 1.00-1.08) rise in number of admissions for pneumonia, respectively. In two pollutant models, PM2.5 and PM10 remained significant after inclusion of sulfur dioxide or nitrogen dioxide but not carbon monoxide. This study demonstrated short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China. This study demonstrated short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China and suggested the relevance of pollutant exposure levels and their effects. As a specific group, children are sensitive to airborne particulate matter. This study estimated the short-term effects attribute to other air pollutants to provide references for relevant studies.

  9. 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.

  10. Student incentives and preferential treatment in college admissions

    OpenAIRE

    2012-01-01

    We consider a framework in which the optimal admissions policy of a purely academicquality oriented college implements preferential treatment in favor of the student from the deprived socioeconomic background which maximizes the competition between candidates. We find that the exact form of the preferential treatment admissions policy matters for student incentives and hence for student-body diversity in equilibrium. Preferential treatment policy in college admissions often tak...

  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. 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,

  13. 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

  14. 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.

  15. 3D technology of Sony Bloggie has no advantage in decision-making of tennis serve direction: A randomized placebo-controlled study.

    Science.gov (United States)

    Liu, Sicong; Ritchie, Jason; Sáenz-Moncaleano, Camilo; Ward, Savanna K; Paulsen, Cody; Klein, Tyler; Gutierrez, Oscar; Tenenbaum, Gershon

    2017-03-21

    This study aimed at exploring whether 3D technology enhances tennis decision-making under the conceptual framework of human performance model. A 3 (skill-level: varsity, club, recreational) × 3 (experimental condition: placebo, weak 3D [W3D], strong 3D [S3D]) between-participant design was used. Allocated to experimental conditions by a skill-level stratified randomization, 105 tennis players judged tennis serve direction from video scenarios and rated their perceptions of enjoyment, flow, and presence during task performance. Results showed that varsity players made more accurate decisions than less skilled ones. Additionally, applying 3D technology to typical video displays reduced tennis players' decision-making accuracy, although wearing the 3D glasses led to a placebo effect that shortened the decision-making reaction time. The unexpected negative effect of 3D technology on decision-making was possibly due to participants being more familiar to W3D than to S3D, and relatedly, a suboptimal task-technology match. Future directions for advancing this area of research are offered. Highlights • 3D technology augments binocular depth cues to tradition video displays, and thus results in the attainment of more authentic visual representation. This process enhances task fidelity in researching perceptual-cognitive skills in sports. • The paper clarified both conceptual and methodological difficulties in testing 3D technology in sports settings. Namely, the nomenclature of video footage (with/without 3D technology) and the possible placebo effect (arising from wearing glasses of 3D technology) merit researchers' attention. • Participants varying in level of domain-specific expertise were randomized into viewing conditions using a placebo-controlled design. Measurement consisted of both participants' subjective experience (i.e., presence, flow, and enjoyment) and objective performance (i.e., accuracy and reaction time) in a decision-making task. • Findings

  16. 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

  17. [Triage in acute medical admission units.

    DEFF Research Database (Denmark)

    Brabrand, Mikkel; Folkestad, Lars; Hallas, Peter

    2010-01-01

    . At 87% of the MAUs, a doctor was contacted by the admitting physician, while the contact was the responsibility of a nurse in 13% of MAUs. None of the contacted MAUs used a validated triage tool and 95% answered that they triaged on the basis of individual clinical assessment of patients. However, 22......INTRODUCTION: Many emergency departments use validated triage tools. It is currently undocumented if such a practice is common in Danish medical admission units (MAU). The current study was conducted in order to clarify this. MATERIAL AND METHODS: Questionnaire survey with data collected from......% answered that selected groups of patients were routinely assessed by a senior physician. CONCLUSION: None of the Danish MAUs uses a validated triage tool to prioritize acutely admitted medical patients. Udgivelsesdato: 2010-May-31...

  18. 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.

  19. 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.

  20. 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.

  1. Capacity and Utilization in Health Care: The Effect of Empty Beds on Neonatal Intensive Care Admission.

    Science.gov (United States)

    Freedman, Seth

    2016-05-01

    Because geographic variation in medical care utilization is jointly determined by both supply and demand, it is difficult to empirically estimate whether capacity itself has a causal impact on utilization in health care. In this paper, I exploit short-term variation in Neonatal Intensive Care Unit (NICU) capacity that is unlikely to be correlated with unobserved demand determinants. I find that available NICU beds have little to no effect on NICU utilization for the sickest infants, but do increase utilization for those in the range of birth weights where admission decisions are likely to be more discretionary.

  2. 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.

  3. 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.

  4. 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…

  5. Environmental Scan of BC Post-Secondary Admissions: 2009

    Science.gov (United States)

    Heath, Nick

    2009-01-01

    In 2008, British Columbia Council on Admissions and Transfer (BCCAT) commissioned an environmental scan on the possible need for system-wide work on institutional admissions processes and practices. This scan is intended to seek system input and to provide guidance on the choice of research projects and other related work in the coming year. This…

  6. Evaluating Admission Criteria Effects for Under-Represented Groups

    Science.gov (United States)

    Childs, Ruth A.; Ferguson, Amanda K.; Herbert, Monique B.; Broad, Kathryn; Zhang, Jingshun

    2016-01-01

    The effects that admission criteria may have for under-represented groups are an important concern for programs seeking to improve access to post-secondary education. Using data from a large preservice teacher education program in the Canadian province of Ontario, we demonstrate two approaches to evaluating the effects of admission criteria. The…

  7. 24 CFR 1720.425 - Presentation and admission of evidence.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Presentation and admission of evidence. 1720.425 Section 1720.425 Housing and Urban Development Regulations Relating to Housing and Urban... PRACTICE Adjudicatory Proceedings Discovery and Evidence § 1720.425 Presentation and admission of...

  8. 45 CFR 1170.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... impairs sensory, manual, or speaking skills, the test results accurately reflect the applicant's aptitude... subjected to discrimination in admission or recruitment by a recipient to which this subpart applies. (b... make use of any test or criterion for admission that has a disproportionate, adverse effect...

  9. 7 CFR 15b.30 - Admissions and recruitment.

    Science.gov (United States)

    2010-01-01

    ... handicap that impairs sensory, manual, or speaking skills, the test results accurately reflect the... be subjected to discrimination in admission or recruitment by a recipient to which this subpart... admitted; (2) May not make use of any test or criterion for admission that has a disproportionate,...

  10. 45 CFR 605.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... administered to an applicant who has a handicap that impairs sensory, manual, or speaking skills, the test..., on the basis of handicap, be denied admission or be subjected to discrimination in admission or... proportion of handicapped persons who may be admitted; (2) May not make use of any test or criterion...

  11. 45 CFR 84.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... administered to an applicant who has a handicap that impairs sensory, manual, or speaking skills, the test... basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by... proportion of handicapped persons who may be admitted; (2) May not make use of any test or criterion...

  12. 42 CFR 418.25 - Admission to hospice care.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Admission to hospice care. 418.25 Section 418.25... (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Eligibility, Election and Duration of Benefits § 418.25 Admission to hospice care. (a) The hospice admits a patient only on the recommendation of the medical...

  13. 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…

  14. 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…

  15. 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…

  16. 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...

  17. 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...

  18. 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…

  19. Evaluating the Predictive Validity of Graduate Management Admission Test Scores

    Science.gov (United States)

    Sireci, Stephen G.; Talento-Miller, Eileen

    2006-01-01

    Admissions data and first-year grade point average (GPA) data from 11 graduate management schools were analyzed to evaluate the predictive validity of Graduate Management Admission Test[R] (GMAT[R]) scores and the extent to which predictive validity held across sex and race/ethnicity. The results indicated GMAT verbal and quantitative scores had…

  20. 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

  1. SOFTWARE OPTIMIZATION OF BUSINESS PROCESS “UNIVERSITY ADMISSION CAMPAIGN”

    Directory of Open Access Journals (Sweden)

    Victor V. Babenko

    2015-01-01

    Full Text Available Admission campaign is an important part of the main business processes system of the university. Admission campaign is analyzed on the base of different modeling tools. The conceptual basis of CRM-system as information support of the process is proposed. It should be significant optimizing resource of business process. 

  2. 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…

  3. 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

  4. 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.

  5. 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

  6. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne

    2014-01-01

    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 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...

  7. 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.

  8. 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.

  9. 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.

  10. The Student Admission to Medicine (SAM) Program: First Steps toward the Paperless Processing of Medical School Admissions.

    Science.gov (United States)

    Harasym, P. H.; And Others

    1995-01-01

    The University of Calgary (Canada) medical school admissions process has been streamlined with the Student Admission to Medicine computer program, largely paperless, that creates a database from student applications. The database then converts grades to the university's standards and assists with administrative details, statistical analyses, and…

  11. 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.

  12. Standardizing admission and discharge processes to improve patient flow: A cross sectional study

    Directory of Open Access Journals (Sweden)

    Ortiga Berta

    2012-06-01

    Full Text Available Abstract Background The aim of this study was to evaluate how hospital capacity was managed focusing on standardizing the admission and discharge processes. Methods This study was set in a 900-bed university affiliated hospital of the National Health Service, near Barcelona (Spain. This is a cross-sectional study of a set of interventions which were gradually implemented between April and December 2008. Mainly, they were focused on standardizing the admission and discharge processes to improve patient flow. Primary administrative data was obtained from the 2007 and 2009 Hospital Database. Main outcome measures were median length of stay, percentage of planned discharges, number of surgery cancellations and median number of delayed emergency admissions at 8:00 am. For statistical bivariate analysis, we used a Chi-squared for linear trend for qualitative variables and a Wilcoxon signed ranks test and a Mann–Whitney test for non-normal continuous variables. Results The median patients’ global length of stay was 8.56 days in 2007 and 7.93 days in 2009 (p  Conclusions In conclusion, standardization of admission and discharge processes are largely in our control. There is a significant opportunity to create important benefits for increasing bed capacity and hospital throughput.

  13. Making choices impairs subsequent self-control: a limited-resource account of decision making, self-regulation, and active initiative.

    Science.gov (United States)

    Vohs, Kathleen D; Baumeister, Roy F; Schmeichel, Brandon J; Twenge, Jean M; Nelson, Noelle M; Tice, Dianne M

    2008-05-01

    The current research tested the hypothesis that making many choices impairs subsequent self-control. Drawing from a limited-resource model of self-regulation and executive function, the authors hypothesized that decision making depletes the same resource used for self-control and active responding. In 4 laboratory studies, some participants made choices among consumer goods or college course options, whereas others thought about the same options without making choices. Making choices led to reduced self-control (i.e., less physical stamina, reduced persistence in the face of failure, more procrastination, and less quality and quantity of arithmetic calculations). A field study then found that reduced self-control was predicted by shoppers' self-reported degree of previous active decision making. Further studies suggested that choosing is more depleting than merely deliberating and forming preferences about options and more depleting than implementing choices made by someone else and that anticipating the choice task as enjoyable can reduce the depleting effect for the first choices but not for many choices.

  14. Slips of action and sequential decisions: a cross-validation study of tasks assessing habitual and goal-directed action control

    Directory of Open Access Journals (Sweden)

    Zsuzsika Sjoerds

    2016-12-01

    Full Text Available Instrumental learning and decision-making rely on two parallel systems: a goal-directed and a habitual system. In the past decade, several paradigms have been developed to study these systems in animals and humans by means of e.g. overtraining, devaluation procedures and sequential decision-making. These different paradigms are thought to measure the same constructs, but cross-validation has rarely been investigated. In this study we compared two widely used paradigms that assess aspects of goal-directed and habitual behavior. We correlated parameters from a two-step sequential decision-making task that assesses model-based and model-free learning with a slips-of-action paradigm that assesses the ability to suppress cue-triggered, learnt responses when the outcome has been devalued and is therefore no longer desirable. Model-based control during the two-step task showed a very moderately positive correlation with goal-directed devaluation sensitivity, whereas model-free control did not. Interestingly, parameter estimates of model-based and goal-directed behavior in the two tasks were positively correlated with higher-order cognitive measures (e.g. visual short-term memory. These cognitive measures seemed to (at least partly mediate the association between model-based control during sequential decision-making and goal-directed behavior after instructed devaluation. This study provides moderate support for a common framework to describe the propensity towards goal-directed behavior as measured with two frequently used tasks. However, we have to caution that the amount of shared variance between the goal-directed and model-based system in both tasks was rather low, suggesting that each task does also pick up distinct aspects of goal-directed behavior. Further investigation of the commonalities and differences between the model-free and habit systems as measured with these, and other, tasks is needed. Also, a follow-up cross-validation on the neural

  15. Slips of Action and Sequential Decisions: A Cross-Validation Study of Tasks Assessing Habitual and Goal-Directed Action Control.

    Science.gov (United States)

    Sjoerds, Zsuzsika; Dietrich, Anja; Deserno, Lorenz; de Wit, Sanne; Villringer, Arno; Heinze, Hans-Jochen; Schlagenhauf, Florian; Horstmann, Annette

    2016-01-01

    Instrumental learning and decision-making rely on two parallel systems: a goal-directed and a habitual system. In the past decade, several paradigms have been developed to study these systems in animals and humans by means of e.g., overtraining, devaluation procedures and sequential decision-making. These different paradigms are thought to measure the same constructs, but cross-validation has rarely been investigated. In this study we compared two widely used paradigms that assess aspects of goal-directed and habitual behavior. We correlated parameters from a two-step sequential decision-making task that assesses model-based (MB) and model-free (MF) learning with a slips-of-action paradigm that assesses the ability to suppress cue-triggered, learnt responses when the outcome has been devalued and is therefore no longer desirable. MB control during the two-step task showed a very moderately positive correlation with goal-directed devaluation sensitivity, whereas MF control did not show any associations. Interestingly, parameter estimates of MB and goal-directed behavior in the two tasks were positively correlated with higher-order cognitive measures (e.g., visual short-term memory). These cognitive measures seemed to (at least partly) mediate the association between MB control during sequential decision-making and goal-directed behavior after instructed devaluation. This study provides moderate support for a common framework to describe the propensity towards goal-directed behavior as measured with two frequently used tasks. However, we have to caution that the amount of shared variance between the goal-directed and MB system in both tasks was rather low, suggesting that each task does also pick up distinct aspects of goal-directed behavior. Further investigation of the commonalities and differences between the MF and habit systems as measured with these, and other, tasks is needed. Also, a follow-up cross-validation on the neural systems driving these constructs

  16. 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

  17. Is There a “Workable” Race-Neutral Alternative to Affirmative Action in College Admissions?

    Science.gov (United States)

    Long, Mark C.

    2014-01-01

    The 2013 decision by the U.S. Supreme Court in the Fisher v. University of Texas at Austin case clarified when and how it is legally permissible for universities to use an applicant’s race or ethnicity in its admissions decisions. The court concluded that such use is permissible when “no workable race-neutral alternatives would produce the educational benefits of diversity.” This paper shows that replacing traditional affirmative action with a system that uses an applicant’s predicted likelihood of being an underrepresented racial minority as a proxy for the applicant’s actual minority status can yield an admitted class that has a lower predicted grade point average and likelihood of graduating than the class that would have been admitted using traditional affirmative action. This result suggests that race-neutral alternatives may not be “workable” from the university’s perspective. PMID:25750473

  18. Efficient smart system fuzzy logic model for determining candidates’ performances for university admission in Nigeria

    Directory of Open Access Journals (Sweden)

    P. O. Adebayo

    2015-01-01

    Full Text Available This paper depicts adaptation of expert systems technology using fuzzy logic to handle qualitative and uncertain facts in the decision making process. Over the years, performance evaluations of students are based on qualitative facts, which are now becoming numerically inestimable as a result of uncertainty factors. Through fuzzy logic the qualitative terms like; low, medium and high; low, moderate and high were numerically weighted during the final decision making on students’ performance. The key parameters were given weights according to their priorities through mapping of numeric results from uncertain knowledge. Mathematical formulae were applied to calculate the numeric results at the final stage. In this way, the developed fuzzy expert system was demonstrated to be an effective tool for evaluating the performances of candidates seeking for admission into Nigeria tertiary institutions. This may also be adopted as a useful tool by stakeholders in government and Industry to predict the standard and long term expectations in the nation-building enterprise.

  19. Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina Reduction in the number of asthma-related hospital admissions after the implementation of a multidisciplinary asthma control program in the city of Londrina, Brazil

    Directory of Open Access Journals (Sweden)

    Alcindo Cerci Neto

    2008-09-01

    Full Text Available OBJETIVO: Avaliar a relação entre a redução do número de internações hospitalares por asma e as transformações ocorridas após a intervenção realizada no sistema de saúde de Londrina. MÉTODOS: Em 2003, houve intervenção no sistema de saúde local (Unidades de Saúde da Família. Foram adotados os seguintes passos: elaboração de protocolo baseado no III Consenso Brasileiro no Manejo da Asma, fornecimento gratuito de corticosteróides inalatórios aos pacientes, capacitação de profissionais de saúde e realização de ações educativas, especialmente para a comunidade. Foram analisadas as autorizações de internação hospitalar de pacientes de Londrina com diagnóstico único de asma entre 2002 e 2005. RESULTADOS: A média de idade foi de 14,3 ± 0,5 anos, sem predomínio de sexo. Houve redução mais acentuada do número de internações hospitalares em 2005, em comparação aos anos anteriores estudados. Verifica-se declínio mais acentuado em Unidades de Saúde da Família onde a capacitação dos profissionais ocorreu há mais tempo. O índice de internação hospitalar por asma após a intervenção (2004 e 2005-120/100.000 habitantes-foi significativamente menor que o encontrado antes da intervenção (2002 e 2003 -178/100.000 habitantes (p OBJECTIVE: To evaluate the relationship between the reduction in the number of asthma-related hospital admissions and the changes occurring after the intervention performed in the health care system of the city of Londrina, Brazil. METHODS: In 2003, an intervention was performed in the local health care system (Family Health Clinics. The steps adopted were as follows: development of a protocol based on the III Brazilian Consensus on Asthma Management; access to free inhaled corticosteroids for patients; training of health professionals; and implementation of educational measures, especially for the community. The authorizations for hospital admissions of patients diagnosed with

  20. Involuntary admission: the case of anorexia nervosa.

    Science.gov (United States)

    Douzenis, Athanasios; Michopoulos, Ioannis

    2015-01-01

    Involuntary treatment of psychiatric disorders has always been controversial; this is especially true for eating disorders. Patients with anorexia nervosa of life threatening severity frequently refuse psychiatric hospitalization. Ambivalence toward treatment is characteristic of eating disorders and patients are often admitted to inpatient programs under pressure from family and doctors. In this article, we report research on the positive or negative impact of involuntary admission in the treatment of eating disorders, its application and effectiveness as well as the adverse consequences of coercive treatment in eating disorders. A literature review was done. From a total of 134 publications which were retrieved from the literature search, 50 studies were directly relevant to the scope of this review and fulfilled all inclusion criteria. There are trends and arguments for both sides; for and against involuntary treatment in anorexia nervosa. The scientific literature so far is inconclusive, although in the short term, involuntary hospitalization has benefits. This review has also shown that involuntary hospitalization can have adverse long-term consequences for the patient-therapist allegiance. We conclude that in some cases, involuntary treatment can save lives of young patients with anorexia nervosa; however, in other cases, it can break the psychotherapeutic relationship and make the patient abandon treatment. It is the clinician who has to decide for whom and when to approve involuntary treatment or not.

  1. 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...

  2. 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.

  3. 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.

  4. Impact of psychiatrists' qualifications on the rate of compulsory admissions.

    Science.gov (United States)

    Eytan, Ariel; Chatton, Anne; Safran, Edith; Khazaal, Yasser

    2013-03-01

    Despite efforts to reduce coercion in psychiatry, involuntary hospitalizations remain frequent, representing more than half of all admissions in some European regions. Since October 2006, only certified psychiatrists are authorized to require a compulsory admission to our facility, while before all physicians were, including residents. The aim of the present study is to assess the impact of this change of procedure on the proportion compulsory admissions. All medical records of patients admitted respectively 4 months before and 4 month after the implementation of the procedure were retrospectively analyzed. This search retrieved a total of 2,227 hospitalizations for 1,584 patients. The overall proportions of compulsory and voluntary admissions were 63.9 % and 36.1 % respectively. The average length of stay was 32 days (SD ± 64.4). During the study period, 25 % of patients experienced two hospitalizations or more. The most frequent patients' diagnoses were affective disorders (30 %), psychotic disorders (18.4 %) and substance abuse disorders (15.7 %). Compared with the period before October 2006, patients hospitalized from October 2006 up were less likely to be hospitalized on a compulsory basis (OR = 0.745, 95 % CI: 0.596-0.930). Factors associated with involuntary admission were young age (20 years or less), female gender, a diagnosis of psychotic disorder and being hospitalized for the first time. Our results strongly suggest that limiting the right to require compulsory admissions to fully certified psychiatrists can reduce the rate of compulsory versus voluntary admissions.

  5. 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.

  6. Low hospital admission rates for respiratory diseases in children

    Directory of Open Access Journals (Sweden)

    Willemsen Sten P

    2010-10-01

    Full Text Available Abstract 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 with respiratory diseases included in the Second Dutch National Survey of General Practice (DNSGP-2 were linked to all hospital admissions in the Dutch National Medical Registration. Admission rates for respiratory diseases were calculated. Data were analysed using multivariate logistic regression. Results Of all 79,272 children within the DNSGP-2, 1.8% were admitted to hospital for any respiratory diagnosis. The highest admission rates per 1000 children were for chronic disease of tonsils and adenoids (12.9; pneumonia and influenza (0.97; and asthma (0.92. Children aged 0-4 years and boys were admitted more frequently. Of children with asthma, 2.3% were admitted for respiratory diseases. For asthma, admission rates varied by urbanisation level: 0.47/1000 children/year in cities with ≤ 30,000 inhabitants, 1.12 for cities with ≥ 50,000 inhabitants, and 1.73 for the three largest cities (p = 0.002. Multivariate logistic regression showed that within two weeks after a GP consultation, younger age (OR 0.81, 95% CI 0.76-0.88 and more severe respiratory diseases (5.55, 95% CI 2.99-8.11 predicted hospital admission. Conclusions Children in the general population with respiratory diseases (especially asthma had very low hospital admission rates. In urban regions children were more frequently admitted due to respiratory morbidity. For effectiveness studies in a primary care setting, hospital admission rates should not be used as quality end-point.

  7. 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.

  8. 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.

  9. Notch-HES1 signaling axis controls hemato-endothelial fate decisions of human embryonic and induced pluripotent stem cells.

    Science.gov (United States)

    Lee, Jung Bok; Werbowetski-Ogilvie, Tamra E; Lee, Jong-Hee; McIntyre, Brendan A S; Schnerch, Angelique; Hong, Seok-Ho; Park, In-Hyun; Daley, George Q; Bernstein, Irwin D; Bhatia, Mickie

    2013-08-15

    Notch signaling regulates several cellular processes including cell fate decisions and proliferation in both invertebrates and mice. However, comparatively less is known about the role of Notch during early human development. Here, we examined the function of Notch signaling during hematopoietic lineage specification from human pluripotent stem cells of both embryonic and adult fibroblast origin. Using immobilized Notch ligands and small interfering RNA to Notch receptors we have demonstrated that Notch1, but not Notch2, activation induced hairy and enhancer of split 1 (HES1) expression and generation of committed hematopoietic progenitors. Using gain- and loss-of-function approaches, this was shown to be attributed to Notch-signaling regulation through HES1, which dictated cell fate decisions from bipotent precursors either to the endothelial or hematopoietic lineages at the clonal level. Our study reveals a previously unappreciated role for the Notch pathway during early human hematopoiesis, whereby Notch signaling via HES1 represents a toggle switch of hematopoietic vs endothelial fate specification.

  10. Incidence and Risk Factors for Neonatal Tetanus in Admissions to Kilifi County Hospital, Kenya

    Science.gov (United States)

    Ibinda, Fredrick; Bauni, Evasius; Kariuki, Symon M.; Fegan, Greg; Lewa, Joy; Mwikamba, Monica; Boga, Mwanamvua; Odhiambo, Rachael; Mwagandi, Kiponda; Seale, Anna C.; Berkley, James A.; Dorfman, Jeffrey R.; Newton, Charles R. J. C.

    2015-01-01

    Background 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. Methods 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. Results 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. Conclusions Incidence of NT in Kilifi County has significantly reduced, with reductions following immunisation campaigns. Our results suggest immunisation efforts are effective if

  11. 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

  12. Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Laupland Kevin B

    2011-11-01

    Full Text Available Abstract Background Although the association between mortality and admission to intensive care units (ICU in the "after hours" (weekends and nights has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death. Methods Adults (≥18 years admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included. Results Among the 7,380 patients included, 61% (4,481 were male, the median age was 62 (IQR, 49-75 years, and the median SAPS II score was 40 (IQR, 28-56. Admissions to ICU occurred during weekends (Saturday and Sunday in 1,708 (23% cases, during the night (18:00-07:59 in 3,855 (52%, and on nights and/or weekends in 4,659 (63% cases. Among 5,992 survivors to ICU discharge, 903 (15% were discharged on weekends, 659 (11% at night, and 1,434 (24% on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11 for death. Conclusions In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.

  13. Role Playing Approach vs. Traditional Method about Neonatal Admission Skills among Midwifery Students

    Directory of Open Access Journals (Sweden)

    Shahla Mohamadiriz

    2015-10-01

    Full Text Available Introduction Since, employing new education approach is necessary for enhancing medical students` skills, so the aim of this study was to determine the effectiveness of role –play approach compared the traditional method about neonatal admission skills in delivery room among midwifery students. Materials and Methods This was an experimental study in 2013-2014 in Isfahan-Iran. After baseline testing, 30 midwifery students were trained using role-playing method for neonatal admission skills (n=15, case group and using a traditional method (n=15, control group. Participants were tested after intervention in final term. The collected data was analyzed using SPSS version 13 and descriptive and analysis such as independent t-test and paired test. The significant level was considered less than 0.05. Results Before intervention, the findings did not show any significant difference between skill scores of  two groups (role-play and traditional method; while a statistically significant difference was observed in after intervention between the scores of two groups (P=0.003. After intervention, Paired t- test showed a statistically significant difference in skills scores in two groups respectively (P=0.024, P=0.010. Conclusion Role-play teaching technique can be increased neonatal admission management skills levels in midwifery students. So, the conduction of this educational model is recommended as an effective learning in neonatal admission management. The role playing approach leads to comparable practical neonatal admission management-performance compared to traditional method. Therefore, this approach could be useful in special educational settings especial midwifery and neonatal wards.

  14. 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.

  15. 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.

  16. Symbolic Heuristic Search for Factored Markov Decision Processes

    Science.gov (United States)

    Morris, Robert (Technical Monitor); Feng, Zheng-Zhu; Hansen, Eric A.

    2003-01-01

    We describe a planning algorithm that integrates two approaches to solving Markov decision processes with large state spaces. State abstraction is used to avoid evaluating states individually. Forward search from a start state, guided by an admissible heuristic, is used to avoid evaluating all states. We combine these two approaches in a novel way that exploits symbolic model-checking techniques and demonstrates their usefulness for decision-theoretic planning.

  17. Applying Early Decision: Student and College Incentives and Outcomes

    Science.gov (United States)

    Chapman, Gabrielle; Dickert-Conlin, Stacy

    2012-01-01

    Colleges' early decision (ED) admission policies require accepted students to commit to attend the school without comparing outside options. With data from two liberal arts schools we find evidence that students with higher willingness and ability to pay and lower measured ability levels are more likely to apply ED. Applying ED raises the…

  18. 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.

  19. 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...

  20. 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...