Risk capital allocation

DEFF Research Database (Denmark)

Hougaard, Jens Leth; Smilgins, Aleksandrs

Risk capital allocation problems have been widely discussed in the academic literature. We consider a company with multiple subunits having individual portfolios. Hence, when portfolios of subunits are merged, a diversification benefit arises: the risk of the company as a whole is smaller than...... the sum of the risks of the individual sub-units. The question is how to allocate the risk capital of the company among the subunits in a fair way. In this paper we propose to use the Lorenz set as an allocation method. We show that the Lorenz set is operational and coherent. Moreover, we propose a set...... of new axioms related directly to the problem of risk capital allocation and show that the Lorenz set satisfies these new axioms in contrast to other well-known coherent methods. Finally, we discuss how to deal with non-uniqueness of the Lorenz set....

Early goal-directed nutrition in icU patients (EAT-ICU)

DEFF Research Database (Denmark)

Allingstrup, Matilde Jo; Kondrup, Jens; Wiis, Jørgen

2016-01-01

-energy nutrition based on measured requirements on short-term clinical outcomes and long-term physical quality of life in ICU patients. METHODS: The EAT-ICU trial is a single-centre, randomised, parallel-group trial with concealed allocation and blinded outcome assessment. A total of 200 consecutive, acutely...... admitted, mechanically ventilated intensive care patients will be randomised 1:1 to early goal-directed nutrition versus standard of care to show a potential 15% relative risk reduction in the primary outcome measure (physical function) at six months (two-sided significance level α = 0.05; power β = 80......%). Secondary outcomes include energy- and protein balances, metabolic control, new organ failure, use of life support, nosocomial infections, ICU- and hospital length of stay, mortality and cost analyses. CONCLUSION: The optimal nutrition strategy for ICU patients remains unsettled. The EAT-ICU trial...

17 CFR 256.01-11 - Methods of allocation.

Science.gov (United States)

2010-04-01

... applicable and currently effective methods of allocation filed with the Commission. Both direct and allocated... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Methods of allocation. 256.01... HOLDING COMPANY ACT OF 1935 General Instructions § 256.01-11 Methods of allocation. Indirect costs and...

Allocation of substance use disorder patients to appropriate levels of care: feasibility of matching guidelines in routine practice in Dutch treatment centres.

Science.gov (United States)

Merkx, Maarten J M; Schippers, Gerard M; Koeter, Maarten J W; Vuijk, Pieter Jelle; Oudejans, Suzan; de Vries, Carlijn C Q; van den Brink, Wim

2007-03-01

To examine the feasibility of implementing evidence-based guidelines for patient-treatment-matching to levels of care in two Dutch substance abuse treatment centres. Multi-centre observational follow-up study. Two large substance abuse treatment centres (SATCs). All 4394 referrals to the two SATCs in 2003. Baseline patient characteristics needed for treatment allocation according to protocol, treatment allocation according to matching protocol, treatment allocation according to actual level of care (LOC) entered. Comparison of recommended and actual LOC entered. Evaluation of reasons for observed differences between recommended and actual LOC entered. Data needed for treatment allocation according to protocol were available for 2269 (51.6%) patients. Data needed for evaluation of actual LOC entered were available for 1765 (40.2%) patients. Of these patients, 1089 (60.8%) were allocated according to protocol: 48.4% based on the guideline algorithm and 12.4% based on clinically justified deviations from this algorithm. The main reason for deviation was a different appraisal of addiction severity, made by the intake counsellor compared to the protocol. The feasibility of guideline-based treatment allocation is seriously limited due to inadequate data collection of patient characteristics and suboptimal guideline-based treatment allocation. As a consequence, only 24.4% of the patients could be evaluated as being matched properly to the treatment planned. The results indicate several barriers which limit the adequate implementation of patient-treatment-matching guidelines: problems in the infrastructure of data collection and storage and the inertia of intake staff who did not adhere to the guidelines for assessment and matching.

Patient flow based allocation of hospital resources.

Science.gov (United States)

Vissers, J M

1995-01-01

The current practice of allocating resources within a hospital introduces peaks and troughs in the workloads of departments and leads therefore to loss of capacity. This happens when requirements for capacity coordination are not adequately taken into account in the decision making process of allocating resources to specialties. The first part of this research involved an analysis of the hospital's production system on dependencies between resources, resulting in a number of capacity coordination requirements that need to be fulfilled for optimized resource utilization. The second, modelling, part of the study involved the development of a framework for resource management decision making, of a set of computer models to support hospital managerial decision making on resource allocation issues in various parts of the hospital, and of an implementation strategy for the application of the models to concrete hospital settings. The third part of the study was devoted to a number of case-studies, illustrating the use of the models when applied in various resource management projects, such as a reorganization of an operating theatre timetable, or the development of a master plan for activities of a group of general surgeons serving two locations of a merged hospital system. The paper summarizes the main findings of the study and concludes with a discussion of results obtained with the new allocation procedure and with recommendations for future research.

Cost allocation review : staff discussion paper

International Nuclear Information System (INIS)

2005-09-01

This report addressed the need for updated cost allocation studies filed by local electricity distribution companies because they ensure that distribution rates for each customer class remain just and reasonable. According to the 2001 Electricity Distribution Rate Handbook, the Ontario Energy Board requires new cost allocation studies before implementing any future incentive regulation plans. A review of cost allocations allows the Board to consider the need for adjustments to the current share of distribution costs paid by different classes of ratepayers. This report included 14 sections to facilitate consultations with stakeholders on financial information requirements for cost allocation; directly assignable costs; functionalization; categorization; allocation methods; allocation of other costs; load data requirements; cost allocation implementation issues; addition of new rate class and rate design for scattered unmetered loads; addition of new rate class for larger users; rates to charge embedded distributors; treatment of the rate sub-classification identified as time-of-use; and, rate design implementation issues. 1 fig., 7 appendices

INDIRECT LABOR COSTS AND IMPLICATIONS FOR OVERHEAD ALLOCATION

OpenAIRE

Bea Chiang

2013-01-01

Cost accounting typically allocates indirect labor cost to cost object based on direct labor hours. The allocation process implicitly assumes that indirect labor costs vary proportionally with direct labor hours. The assumption of a linear relationship between indirect and direct labor is particularly suspicious at low production volume levels because there tends to be a fixed component in indirect labor. The linearity assumption is also challenged by recent increasing complexity of indirect ...

Helper effects on breeder allocations to direct care.

Science.gov (United States)

Kushnick, Geoff

2012-01-01

Mothers receive childcare and productive assistance from allomaternal helpers in many societies. Although much effort has been aimed toward showing helper effects on maternal reproductive success, less has been directed toward highlighting the full range of potential effects on breeder behavior. I present a model of optimal maternal care with helpers, and tests of derived hypotheses with data collected among the Karo Batak-a group of Indonesian agriculturalists. To test the model's predictions I compared the effect of women receiving help from patrilateral versus matrilateral kin because those kin may provide help with different maternal responsibilities. The model predicts a decrease in maternal allocation to care that is substitutable with the helper contribution and the helper assists with that type of care; it predicts an increase in care that is nonsubstitutable with the helper contribution or substitutable care when the helper assists with other responsibilities. With the exception of one other, most models have failed to account for an increase. Analyses of time spent carrying children supported the model. With matrilateral helpers, women increased carrying; with patrilateral helpers, they decreased it. Time spent farmworking showed the opposite pattern, suggesting that matrilateral helpers effectively decrease costs, nudging optimal maternal care upward. Patterns of breastfeeding provided little support for the model. The results do, however, suggest potential proximate mechanisms by which helpers influence maternal reproductive success in cooperative breeding societies. Copyright © 2012 Wiley Periodicals, Inc.

Resource allocation in health care and the role of personal autonomy.

Science.gov (United States)

Gandjour, A

2015-03-01

Resource allocation decisions in health care require the consideration of ethical values. Major ethical theories include Amartya Sen's capability approach, Norman Daniels's theory of justice for health, and preference utilitarian theory. This paper argues that while only preference utilitarian theory explicitly considers the impact of an individual's actions on others, all 3 theories agree in terms of providing individual autonomy. Furthermore, it shows that all 3 theories emphasise the role of informed preferences in securing individual autonomy. Still, stressing personal autonomy has limited direct implications for priority setting. 2 priority rules for resource allocation could be identified: 1) to give priority to patients with mental disability (over those with pure physical disability); and 2) to give priority to patients with a large expected loss of autonomy without treatment. © Georg Thieme Verlag KG Stuttgart · New York.

48 CFR 1631.203-70 - Allocation techniques.

Science.gov (United States)

2010-10-01

... shall consistently apply the methods and techniques established to classify direct and indirect costs... meant to be exhaustive, but rather are examples of allocation methods that may be acceptable under... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Allocation techniques. 1631...

An Adaptive Allocation Algorithm Using Directional CSMA/CA over mmWave Wireless Personal Area Networks

Directory of Open Access Journals (Sweden)

Hyunhee Park

2012-04-01

Full Text Available Directional antennas have the considerable benefits of higher antenna gain, long transmission distance and spatial reuse compared to omni-antennas. To support a directional antenna, IEEE 802.15.3c specifies a high data transmission rate and short frequency range communication based on the characteristics of 60GHz band. However, the contention-based protocol of IEEE 802.15.3c may cause channel collisions and throughput degradation as the number of stations in the network increases. In order to resolve this problem and reduce channel access latency, we propose an adaptive allocation algorithm in which the contention window size for optimal transmission probability is derived after the directional information has been obtained by means of AP control procedures. Extensive simulations demonstrate that the proposed algorithm outperforms the existing channel access scheme in IEEE 802.15.3c wireless personal area networks under different situations, especially when the number of contending stations is large.

Analysis of national allocation plans for the EU ETS

Energy Technology Data Exchange (ETDEWEB)

Zetterberg, Lars; Nilsson, Kristina; Aahman, Markus; Kumlin, Anna-Sofia; Birgersdotter, Lena

2004-08-01

The EU ETS is a Community-wide scheme established by Directive 2003/87/EC for trading allowances to cover the emissions of greenhouse gases from permitted installations. The first phase of the EU ETS runs from 1 January 2005 to 31 December 2007. Each Member State must develop a National Allocation Plan for the first phase stating: the total quantity of allowances that the Member State intends to issue during that phase; and how it proposes to distribute those allowances among the installations which are subject to the scheme In this paper twelve of the national allocation plans have been analysed and compared to the criteria stated in the EU Directive. The twelve allocation plans analysed are: the Austrian, the Danish, the Finnish, the German, the Irish, the Lithuanian, the Luxembourg, the Dutch, the Swedish, the British and the draft Flemish (Belgium) and Portuguese. Generally most countries have allocated generously to the trading sector. The allocation has often been based on future needs. For most sectors the allocation is higher than current emissions. Many countries will have to make large reductions in the non-trading sector and/or buy credits through JI- and CDM-projects in order to fulfil their commitment according to the EU burden sharing agreement of the Kyoto Protocol. In many of the allocation plans the emission reducing measures in the non-trading sector is poorly described and the credibility of the measures are hard to determine. Two sectors have been analysed in more detail, the energy and the mineral oil refining sectors. Figures presenting allocation vs. current emissions for those sectors are given for those countries where data was available in the allocation plan. The energy sector has been considered to have the best possibilities to pass on costs for the allowances to the consumers and hence the allocation to this sector is often more restricted than the allocation to other sectors. The mineral oil refining sector is more exposed to

48 CFR 8.705-3 - Allocation process.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Allocation process. 8.705-3 Section 8.705-3 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION ACQUISITION... Are Blind or Severely Disabled 8.705-3 Allocation process. (a) When the direct order process has not...

Children's self-allocation and use of classroom curricular time.

Science.gov (United States)

Ingram, J; Worrall, N

1992-02-01

A class of 9-10 year-olds (N = 12) in a British primary school were observed as it moved over a one-year period through three types of classroom environment, traditional directive, transitional negotiative and established negotiative. Each environment offered the children a differing relationship with curricular time, its control and allocation, moving from teacher-allocated time to child allocation. Pupil self-report and classroom observation indicated differences in the balance of curricular spread and allocated time on curricular subject in relation to the type of classroom organisation and who controlled classroom time. These differences were at both class and individual child level. The established negotiative environment recorded the most equitable curricular balance, traditional directive the least. While individual children responded differently within and across the three classroom environments, the established negotiative where time was under child control recorded preference for longer activity periods compared to where the teacher controlled time allocations.

Concept for individualized patient allocation: ReCompare—remote comparison of particle and photon treatment plans

International Nuclear Information System (INIS)

Lühr, Armin; Baumann, Michael; Löck, Steffen; Roth, Klaus; Helmbrecht, Stephan; Jakobi, Annika; Petersen, Jørgen B; Just, Uwe; Krause, Mechthild; Enghardt, Wolfgang

2014-01-01

Identifying those patients who have a higher chance to be cured with fewer side effects by particle beam therapy than by state-of-the-art photon therapy is essential to guarantee a fair and sufficient access to specialized radiotherapy. The individualized identification requires initiatives by particle as well as non-particle radiotherapy centers to form networks, to establish procedures for the decision process, and to implement means for the remote exchange of relevant patient information. In this work, we want to contribute a practical concept that addresses these requirements. We proposed a concept for individualized patient allocation to photon or particle beam therapy at a non-particle radiotherapy institution that bases on remote treatment plan comparison. We translated this concept into the web-based software tool ReCompare (REmote COMparison of PARticlE and photon treatment plans). We substantiated the feasibility of the proposed concept by demonstrating remote exchange of treatment plans between radiotherapy institutions and the direct comparison of photon and particle treatment plans in photon treatment planning systems. ReCompare worked with several tested standard treatment planning systems, ensured patient data protection, and integrated in the clinical workflow. Our concept supports non-particle radiotherapy institutions with the patient-specific treatment decision on the optimal irradiation modality by providing expertise from a particle therapy center. The software tool ReCompare may help to improve and standardize this personalized treatment decision. It will be available from our website when proton therapy is operational at our facility

A case study exploring the ethical and policy dimensions of allocating acute care resources to a dying patient.

Science.gov (United States)

Cooke, Mary; Hurley, Ciarán

2008-05-01

We aimed to identify policy, process and ethical issues related to allocation of National Health Service resources when patients with end-of-life illness are referred to acute care services. Sharing healthcare decisions denotes a different partnership between professionals and patients when patients are empowered to define their needs. Implementation of a transition from professional to patient decision-making appears to be dependent upon its interpretation by personnel delivering care using the local trust policy. The outcome of this is a reformation of responsibility for budget allocation, choice of acute care provider and selecting services, currently in the realm of primary care; be it the general practitioner, community practitioners, or the patient. We used a 'lens' approach to case study analysis in which the lens is constructed of a model of policy analysis and four principles of biomedical ethics. A patient's decision to decline care proposed by an Accident and Emergency department nurse and the nurse's response to that decision expose a policy that restricts the use of ambulance transport and with that, flexibility in responses to patients' decisions. End-of-life care partnership decisions require sensitivity and flexibility from all healthcare practitioners. We found that policy-based systems currently used to deliver care across the primary care - hospital care border are far from seamless and can lead to foreseeable problems. Health professionals responsible for the care of a patient at the end of life should consider the holistic outcomes of resource allocation decisions for patients. Government and health professional agenda suggest that patients should be given a greater element of control over their healthcare than has historically been the case. When patients take responsibility for their decisions, healthcare personnel should recognize that this signals a shift in the nature of the professional-patient relationship to one of partnership.

Patient-care time allocation by nurse practitioners and physician assistants in the intensive care unit.

Science.gov (United States)

Carpenter, David L; Gregg, Sara R; Owens, Daniel S; Buchman, Timothy G; Coopersmith, Craig M

2012-02-15

Use of nurse practitioners and physician assistants ("affiliates") is increasing significantly in the intensive care unit (ICU). Despite this, few data exist on how affiliates allocate their time in the ICU. The purpose of this study was to understand the allocation of affiliate time into patient-care and non-patient-care activity, further dividing the time devoted to patient care into billable service and equally important but nonbillable care. We conducted a quasi experimental study in seven ICUs in an academic hospital and a hybrid academic/community hospital. After a period of self-reporting, a one-time monetary incentive of $2,500 was offered to 39 affiliates in each ICU in which every affiliate documented greater than 75% of their time devoted to patient care over a 6-month period in an effort to understand how affiliates allocated their time throughout a shift. Documentation included billable time (critical care, evaluation and management, procedures) and a new category ("zero charge time"), which facilitated record keeping of other patient-care activities. At baseline, no ICUs had documentation of 75% patient-care time by all of its affiliates. In the 6 months in which reporting was tied to a group incentive, six of seven ICUs had every affiliate document greater than 75% of their time. Individual time documentation increased from 53% to 84%. Zero-charge time accounted for an average of 21% of each shift. The most common reason was rounding, which accounted for nearly half of all zero-charge time. Sign out, chart review, and teaching were the next most common zero-charge activities. Documentation of time spent on billable activities also increased from 53% of an affiliate's shift to 63%. Time documentation was similar regardless of during which shift an affiliate worked. Approximately two thirds of an affiliate's shift is spent providing billable services to patients. Greater than 20% of each shift is spent providing equally important but not reimbursable

Adaptation of Dutch Allocation Guideline for Patients after Alcohol Detoxification - Results of a Delphi Survey

NARCIS (Netherlands)

Friedrichs, A.; Kraus, L.; Berner, M.; Schippers, G.; Broekman, T.; Rist, F.; Piontek, D.; Roehrlg, J.; Buchholz, A.

2013-01-01

Aim of the study: In the Netherlands, guidelines for the allocation of patients with alcohol related disorders to different levels of care have been implemented and evaluated nationwide. These guidelines cannot be used in the German health care system without adaptation, but with modifications they

Direct potable reuse microbial risk assessment methodology: Sensitivity analysis and application to State log credit allocations.

Science.gov (United States)

Soller, Jeffrey A; Eftim, Sorina E; Nappier, Sharon P

2018-01-01

Understanding pathogen risks is a critically important consideration in the design of water treatment, particularly for potable reuse projects. As an extension to our published microbial risk assessment methodology to estimate infection risks associated with Direct Potable Reuse (DPR) treatment train unit process combinations, herein, we (1) provide an updated compilation of pathogen density data in raw wastewater and dose-response models; (2) conduct a series of sensitivity analyses to consider potential risk implications using updated data; (3) evaluate the risks associated with log credit allocations in the United States; and (4) identify reference pathogen reductions needed to consistently meet currently applied benchmark risk levels. Sensitivity analyses illustrated changes in cumulative annual risks estimates, the significance of which depends on the pathogen group driving the risk for a given treatment train. For example, updates to norovirus (NoV) raw wastewater values and use of a NoV dose-response approach, capturing the full range of uncertainty, increased risks associated with one of the treatment trains evaluated, but not the other. Additionally, compared to traditional log-credit allocation approaches, our results indicate that the risk methodology provides more nuanced information about how consistently public health benchmarks are achieved. Our results indicate that viruses need to be reduced by 14 logs or more to consistently achieve currently applied benchmark levels of protection associated with DPR. The refined methodology, updated model inputs, and log credit allocation comparisons will be useful to regulators considering DPR projects and design engineers as they consider which unit treatment processes should be employed for particular projects. Published by Elsevier Ltd.

Restricting minimum size of DGs to confirm correct operation of fast directional protection switches in their simultaneous allocation with DGs

International Nuclear Information System (INIS)

Dorkhosh, Seyed Salman; Samet, Haidar

2015-01-01

Highlights: • Simultaneous allocation of DGs and fast directional protection switches (FPDSs) is made. • A protection constraint is proposed which restricts the allowable size of DGs. • The proposed constraint ensures the correct operation of upstream installed FDPS in all conditions. - Abstract: This paper presents simultaneous allocation of distributed generations (DGs) and fast directional protection switches (FDPSs) to decrease energy losses and enhance reliability of the network. The main contribution of the paper is restricting the allowable size of DGs to ensure the correct operation of upstream installed FDPS in all conditions. The paper introduces a method based on genetic algorithm to solve the optimization problem. Finally, to confirm the effectiveness of the proposed method some simulations considering a 33 bus test network are performed. The optimization problem with and without applying protection constraint is solved. Customer’s load is modeled by a three level yearly load. Time value of money and load growth rate are also considered. To assess the importance of the proposed protection constraint, fault studies after adding DGs and FDPSs to a 33 bus test network are performed. Results confirm the importance of the proposed protection constraint

26 CFR 1.103(n)-5T - Certification of no consideration for allocation (temporary).

Science.gov (United States)

2010-04-01

... any bribe, gift, gratuity, or direct or indirect contribution to any political campaign. With respect... willfully making an allocation in consideration of any bribe, gift, gratuity, or direct or indirect... allocation of any portion of the State ceiling in consideration of any bribe, gift, gratuity, or direct or...

4G femtocells resource allocation and interference management

CERN Document Server

Zhang, Haijun; Wen, Xiangming

2014-01-01

This brief examines resource allocation and interference management for 4G femtocells. It introduces 4G femtocells in the context of 4G mobile networks and discusses related technical challenges in resource allocation and interference management. Topics include ant colony algorithm based downlink resource allocation, intelligent scheduling and power control, uplink and downlink for two-tier networks, quality of service (QoS) constraints and the cross-tier interference constraint. The authors present algorithms to alleviate common femtocell-related problems such as subchannel power allocation. The complexity of the proposed resource allocation algorithms is analyzed, and the effectiveness of the proposed algorithms is verified by simulations. This concise and practical book directly addresses common problems relating to femtocells and resource management. It serves as a useful tool for researchers in the field. Advanced-level students or professionals interested in femtocells and networks will also find the co...

26 CFR 1.199-4 - Costs allocable to domestic production gross receipts.

Science.gov (United States)

2010-04-01

... allocation method is reasonable is based on all of the facts and circumstances including whether the taxpayer... relationship between the adjustment and the allocation base chosen; the accuracy of the method chosen as... (ii) Y uses a standard cost method to allocate all direct and indirect costs (section 471 and...

Resource Allocation Models and Accountability: A Jamaican Case Study

Science.gov (United States)

Nkrumah-Young, Kofi K.; Powell, Philip

2008-01-01

Higher education institutions (HEIs) may be funded privately, by the state or by a mixture of the two. Nevertheless, any state financing of HE necessitates a mechanism to determine the level of support and the channels through which it is to be directed; that is, a resource allocation model. Public funding, through resource allocation models,…

An exploratory study on equity in funding allocation for essential medicines and health supplies in Uganda's public sector.

Science.gov (United States)

Kusemererwa, Donna; Alban, Anita; Obua, Ocwa Thomas; Trap, Birna

2016-08-30

To ascertain equity in financing for essential medicines and health supplies (EMHS) in Uganda, this paper explores the relationships among government funding allocations for EMHS, patient load, and medicines availability across facilities at different levels of care. We collected data on EMHS allocations and availability of selected vital medicines from 43 purposively sampled hospitals and the highest level health centers (HC IV), 44 randomly selected lower-level health facilities (HC II, III), and from over 400 facility health information system records and National Medical Stores records. The data were analyzed to determine allocations per patient within and across levels of care and the effects of allocations on product availability. EMHS funding allocations per patient varied widely within facilities at the same level, and allocations per patient between levels overlapped considerably. For example, HC IV allocations per patient ranged from US$0.25 to US$2.14 (1:9 ratio of lowest to highest allocation), and over 75 % of HC IV facilities had the same or lower average allocation per patient than HC III facilities. Overall, 43 % of all the facilities had optimal stock levels, 27 % were understocked, and 30 % were overstocked. Using simulations, we reduced the ratio between the highest and lowest allocations per patient within a level of care to less than two and eliminated the overlap in allocation per patient between levels. Inequity in EMHS allocation is demonstrated by the wide range of funding allocations per patient and the corresponding disparities in medicines availability. We show that using patient load to calculate EMHS allocations has the potential to improve equity significantly. However, more research in this area is urgently needed. The article does not report any results of human participants. It is implemented in collaboration with the Uganda's Ministry of Health, Pharmacy Division.

Impaired information processing speed and attention allocation in multiple sclerosis patients versus controls: a high-density EEG study.

LENUS (Irish Health Repository)

Whelan, R

2012-02-01

BACKGROUND: The no-go P3a is a variant of the P300 event-related potential (ERP) that indexes speed of information processing and attention allocation. The aim of this study was to compare ERP findings with results from the paced auditory serial addition test (PASAT) and to quantify latency, amplitude and topographical differences in P3a ERP components between multiple sclerosis (MS) patients and controls. PATIENTS AND METHODS: Seventy-four subjects (20 relapsing remitting (RRMS) patients, 20 secondary progressive (SPMS) patients and 34 controls) completed a three-stimulus oddball paradigm (target, standard, and non-target). Subjects participated in separate visual and auditory tasks while data were recorded from 134 EEG channels. Latency differences were tested using an ANCOVA. Topographical differences were tested using statistical parametric mapping. RESULTS: Visual P3a amplitude correlated with PASAT score in all MS patients over frontal and parietal areas. There were significant differences in latency, amplitude, and topography between MS patients and controls in the visual condition. RRMS and SPMS patients differed in visual P3a latency and amplitude at frontal and parietal scalp regions. In the auditory condition, there were latency differences between MS patients and controls only over the parietal region. CONCLUSION: The present results demonstrate that information processing speed and attention allocation are impaired in MS.

Surgical Versus Nonsurgical Management of Rotator Cuff Tears: Predictors of Treatment Allocation.

Science.gov (United States)

Kweon, Christopher; Gagnier, Joel J; Robbins, Christopher B; Bedi, Asheesh; Carpenter, James E; Miller, Bruce S

2015-10-01

Rotator cuff tears are a common shoulder disorder resulting in significant disability to patients and financial burden on the health care system. While both surgical and nonsurgical management are accepted treatment options, there is a paucity of data to support a treatment algorithm for care providers. Defining variables to guide treatment allocation may be important for patient education and counseling, as well as to deliver the most efficient care plan at the time of presentation. To identify independent variables at the time of initial clinical presentation that are associated with preferred allocation to surgical versus nonsurgical management for patients with known full-thickness rotator cuff tears. Case control study; Level of evidence, 3. A total of 196 consecutive adult patients with known full-thickness rotator cuff tears were enrolled into a prospective cohort study. Robust data were collected for each subject at baseline, including age, sex, body mass index (BMI), shoulder activity score, smoking status, size of cuff tear, duration of symptoms, functional comorbidity index, the American Shoulder and Elbow Surgeons (ASES) score, the Western Ontario Rotator Cuff index (WORC), and the Veterans Rand 12-Item Health Survey (VR-12). Logistic regression was performed to identify variables associated with treatment allocation, and the corresponding odds ratios were calculated. Of the 196 patients enrolled, 112 underwent surgical intervention and 84 nonoperative management. With covariates controlled for, significant baseline patient characteristics predictive of eventual allocation to surgical treatment included younger age, lower BMI, and durations of symptoms less than 1 year. Increasing age, higher BMI, and duration of symptoms longer than 1 year were predictive of nonsurgical treatment. Factors that were not associated with treatment allocation included sex, tear size, functional comorbidity score, or any of the patient-derived outcome scores at presentation

Comparing methodologies for the allocation of overhead and capital costs to hospital services.

Science.gov (United States)

Tan, Siok Swan; van Ineveld, Bastianus Martinus; Redekop, William Ken; Hakkaart-van Roijen, Leona

2009-06-01

Typically, little consideration is given to the allocation of indirect costs (overheads and capital) to hospital services, compared to the allocation of direct costs. Weighted service allocation is believed to provide the most accurate indirect cost estimation, but the method is time consuming. To determine whether hourly rate, inpatient day, and marginal mark-up allocation are reliable alternatives for weighted service allocation. The cost approaches were compared independently for appendectomy, hip replacement, cataract, and stroke in representative general hospitals in The Netherlands for 2005. Hourly rate allocation and inpatient day allocation produce estimates that are not significantly different from weighted service allocation. Hourly rate allocation may be a strong alternative to weighted service allocation for hospital services with a relatively short inpatient stay. The use of inpatient day allocation would likely most closely reflect the indirect cost estimates obtained by the weighted service method.

Perceived state of self during motion can differentially modulate numerical magnitude allocation.

OpenAIRE

Arshad, Q; Nigmatullina, Y; Roberts, RE; Goga, U; Pikovsky, M; Khan, S; Lobo, R; Flury, AS; Pettorossi, VE; Cohen-Kadosh, R; Malhotra, PA; Bronstein, AM

2016-01-01

Although a direct relationship between numerical-allocation and spatial-attention has been proposed, recent research suggests these processes are not directly coupled. In keeping with this, spatial attention shifts induced either via visual or vestibular motion can modulate numerical allocation in some circumstances but not in others. In addition to shifting spatial attention, visual or vestibular motion-paradigms also (i) elicit compensatory eye-movements which themselves can influence numer...

Attribute framing affects the perceived fairness of health care allocation principles

Directory of Open Access Journals (Sweden)

Eyal Gamliel

2010-02-01

Full Text Available Health care resource allocation is a central moral issue in health policy, and opinions about it have been studied extensively. Allocation situations have typically been described and presented in a positive manner (i.e., who should receive medical aid. On the other hand, the negative valence allocation situation (i.e., who should not receive medical aid has been relatively neglected. This paper demonstrates how positive versus negative framing of the exact same health care resource allocation situation can affect the perceived fairness of allocation principles. Participants usually perceived non-egalitarian principles (i.e., need, equity and tenure to be fairer in positively framed situations (i.e., to deliver health care resources to certain patients than negatively framed situation (i.e., not to deliver health care resources to other patients. However, framing did not affect the perceived fairness of the equality principle (i.e., a random draw. The paper offers a theoretical explanation for the effect of framing on the perceived fairness of heath care resource allocation and discusses implications for both researchers and policy makers.

Motion-related resource allocation in dynamic wireless visual sensor network environments.

Science.gov (United States)

Katsenou, Angeliki V; Kondi, Lisimachos P; Parsopoulos, Konstantinos E

2014-01-01

This paper investigates quality-driven cross-layer optimization for resource allocation in direct sequence code division multiple access wireless visual sensor networks. We consider a single-hop network topology, where each sensor transmits directly to a centralized control unit (CCU) that manages the available network resources. Our aim is to enable the CCU to jointly allocate the transmission power and source-channel coding rates for each node, under four different quality-driven criteria that take into consideration the varying motion characteristics of each recorded video. For this purpose, we studied two approaches with a different tradeoff of quality and complexity. The first one allocates the resources individually for each sensor, whereas the second clusters them according to the recorded level of motion. In order to address the dynamic nature of the recorded scenery and re-allocate the resources whenever it is dictated by the changes in the amount of motion in the scenery, we propose a mechanism based on the particle swarm optimization algorithm, combined with two restarting schemes that either exploit the previously determined resource allocation or conduct a rough estimation of it. Experimental simulations demonstrate the efficiency of the proposed approaches.

Advance directives: survey of primary care patients.

Science.gov (United States)

O'Sullivan, Rory; Mailo, Kevin; Angeles, Ricardo; Agarwal, Gina

2015-04-01

To establish the prevalence of patients with advance directives in a family practice, and to describe patients' perspectives on a family doctor's role in initiating discussions about advance directives. A self-administered patient questionnaire. A busy urban family medicine teaching clinic in Hamilton, Ont. A convenience sample of adult patients attending the clinic over the course of a typical business week. The prevalence of advance directives in the patient population was determined, and the patients' expectations regarding the role of their family doctors were elucidated. The survey population consisted of 800 participants (a response rate of 72.5%) well distributed across age groups; 19.7% had written advance directives and 43.8% had previously discussed the topic of advance directives, but only 4.3% of these discussions had occurred with family doctors. In 5.7% of cases, a family physician had raised the issue; 72.3% of respondents believed patients should initiate the discussion. Patients who considered advance directives extremely important were significantly more likely to want their family doctors to start the conversation (odds ratio 3.98; P < .05). Advance directives were not routinely addressed in the family practice. Most patients preferred to initiate the discussion of advance directives. However, patients who considered the subject extremely important wanted their family doctors to initiate the discussion. Copyright© the College of Family Physicians of Canada.

Zinc allocation and re-allocation in rice

NARCIS (Netherlands)

Stomph, T.J.; Jiang, W.; Putten, van der P.E.L.; Struik, P.C.

2014-01-01

Aims: Agronomy and breeding actively search for options to enhance cereal grain Zn density. Quantifying internal (re-)allocation of Zn as affected by soil and crop management or genotype is crucial. We present experiments supporting the development of a conceptual model of whole plant Zn allocation

Resource allocation and the burden of co-morbidities among patients diagnosed with chronic obstructive pulmonary disease

DEFF Research Database (Denmark)

Ahnfeldt-Mollerup, Peder; Lykkegaard, Jesper; Halling, Anders

2016-01-01

Background Chronic obstructive pulmonary disease is a leading cause of mortality, and associated with increased healthcare utilization and healthcare expenditure. In several countries, morbidity-based systems have changed the way resources are allocated in general practice. In primary care, fee......-for-services tariffs are often based on political negotiation rather than costing systems. The potential for comprehensive measures of patient morbidity to explain variation in negotiated expenditures for patients with chronic obstructive pulmonary disease has not previously been examined. The aim of this study...... is to analyze fee-for-service expenditure of patients diagnosed with chronic obstructive pulmonary disease visiting Danish general practice clinics and further to assess what proportion of fee-for-service expenditure variation was explained by patient morbidity and general practice clinic characteristics...

26 CFR 1.861-10T - Special allocations of interest expense (temporary).

Science.gov (United States)

2010-04-01

... allocation of amortizable bond premium. (b) Qualified nonrecourse indebtedness—(1) In general. In the case of... interest shall be considered directly allocable solely to the gross income which the property acquired.... [Reserved] (v) Examples. The principles of this paragraph may be demonstrated by the following examples...

An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Childhood Cancer.

Science.gov (United States)

Unguru, Yoram; Fernandez, Conrad V; Bernhardt, Brooke; Berg, Stacey; Pyke-Grimm, Kim; Woodman, Catherine; Joffe, Steven

2016-06-01

Shortages of life-saving chemotherapy and supportive care agents for children with cancer are frequent. These shortages directly affect patients' lives, compromise both standard of care therapies and clinical research, and create substantial ethical challenges. Efforts to prevent drug shortages have yet to gain traction, and existing prioritization frameworks lack concrete guidance clinicians need when faced with difficult prioritization decisions among equally deserving children with cancer. The ethical framework proposed in this Commentary is based upon multidisciplinary expert opinion, further strengthened by an independent panel of peer consultants. The two-step allocation process includes strategies to mitigate existing shortages by minimizing waste and addresses actual prioritization across and within diseases according to a modified utilitarian model that maximizes total benefit while respecting limited constraints on differential treatment of individuals. The framework provides reasoning for explicit decision-making in the face of an actual drug shortage. Moreover, it minimizes bias that might occur when individual clinicians or institutions are forced to make bedside rationing and prioritization decisions and addresses the challenge that individual clinicians face when confronted with bedside decisions regarding allocation. Whenever possible, allocation decisions should be supported by evidence-based recommendations. "Curability," prognosis, and the incremental importance of a particular drug to a given patient's outcome are the critical factors to consider when deciding how to allocate scarce life-saving cancer drugs. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

29 CFR 4207.7 - Liability for subsequent complete withdrawals and related adjustments for allocating unfunded...

Science.gov (United States)

2010-07-01

... uses either the “presumptive” or the “direct attribution” method (section 4211(b) or (c)(4), respectively) for allocating unfunded vested benefits, the plan shall modify those allocation methods as... using “presumptive” method. In a plan using the “presumptive” allocation method under section 4211(b) of...

Frontiers in economic research on petroleum allocation using mathematical programming methods

International Nuclear Information System (INIS)

Rowse, J.

1991-01-01

This paper presents a state of the art of operations research techniques applied in petroleum allocation, namely mathematical programming methods, with principal attention directed toward linear programming and nonlinear programming (including quadratic programming). Contributions to the economics of petroleum allocation are discussed for international trade, industrial organization, regional/macro economics, public finance and natural resource/environmental economics

Allocating effort and anticipating pleasure in schizophrenia: Relationship with real world functioning.

Science.gov (United States)

Serper, M; Payne, E; Dill, C; Portillo, C; Taliercio, J

2017-10-01

Poor motivation to engage in goal-oriented behavior has been recognized as a hallmark feature of schizophrenia spectrum disorders (SZ). Low drive in SZ may be related to anticipating rewards as well as to poor working memory. However, few studies to date have examined beliefs about self-efficacy and satisfaction for future rewards (anticipatory pleasure). Additionally, few studies to date have examined how these deficits may impact SZ patients' real world functioning. The present study examined SZ patients' (n=57) anticipatory pleasure, working memory, self-efficacy and real world functioning in relation to their negative symptom severity. Results revealed that SZ patients' negative symptom severity was related to decisions in effort allocation and reward probability, working memory deficits, self-efficacy and anticipatory pleasure for future reward. Effort allocation deficits also predicted patients' daily functioning skills. SZ patients with high levels of negative symptoms are not merely effort averse, but have more difficulty effectively allocating effort and anticipating pleasure engaging in effortful activities. It may be the case that continuously failing to achieve reinforcement from engagement and participation may lead SZ patients to form certain negative beliefs about their abilities which contributes to amotivation and cognitive deficits. Lastly, our findings provide further support for a link between SZ patients functional daily living skills their effort allocation. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Global trends and challenges in deceased donor kidney allocation.

Science.gov (United States)

Wu, Diana A; Watson, Christopher J; Bradley, J Andrew; Johnson, Rachel J; Forsythe, John L; Oniscu, Gabriel C

2017-06-01

Worldwide, the number of patients able to benefit from kidney transplantation is greatly restricted by the severe shortage of deceased donor organs. Allocation of this scarce resource is increasingly challenging and complex. Striking an acceptable balance between efficient use of (utility) and fair access to (equity) the limited supply of donated kidneys raises controversial but important debates at ethical, medical, and social levels. There is no international consensus on the recipient and donor factors that should be considered in the kidney allocation process. There is a general trend toward a reduction in the influence of human leukocyte antigen mismatch and an increase in the importance of other factors shown to affect posttransplant outcomes, such as cold ischemia, duration of dialysis, donor and recipient age, and comorbidity. Increased consideration of equity has led to improved access to transplantation for disadvantaged patient groups. There has been an overall improvement in the transparency and accountability of allocation policies. Novel and contentious approaches in kidney allocation include the use of survival prediction scores as a criterion for accessing the waiting list and at the point of organ offering with matching of predicted graft and recipient survival. This review compares the diverse international approaches to deceased donor kidney allocation and their evolution over the last decade. Copyright © 2017 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

The Design and Implementation of a GUI-Based Control Allocation Toolbox in the MATLAB Environment

OpenAIRE

Glaze, Michelle L.

1998-01-01

Control Allocation addresses the problem of the management of multiple, redundant control effectors. Generally speaking, control allocation is any method that is used to determine how the controls of a system should be positioned to achieve some desired effect. An infinite number of allocation methods exist, from the straight-forward direct allocation technique, to the daisy chaining approach, to the computationally simple generalized inverse method. Because different methods have advantag...

Transport Infrastructure Slot Allocation

NARCIS (Netherlands)

Koolstra, K.

2005-01-01

In this thesis, transport infrastructure slot allocation has been studied, focusing on selection slot allocation, i.e. on longer-term slot allocation decisions determining the traffic patterns served by infrastructure bottlenecks, rather than timetable-related slot allocation problems. The

75 FR 12173 - Proposed Information Collection; Comment Request; Defense Priorities and Allocations System

Science.gov (United States)

2010-03-15

... Allocations System regulation (15 CFR part 700) must retain the records for at least 3 years. II. Method of... Request; Defense Priorities and Allocations System AGENCY: Bureau of Industry and Security, Commerce...: Direct all written comments to Diana Hynek, Departmental Paperwork Clearance Officer, Department of...

Direct in situ measurement of Carbon Allocation to Mycorrhizal Fungi in a California Mixed-Conifer Forest

Science.gov (United States)

Allen, M.

2012-04-01

Mycorrhizal fungi consume fixed C in ecosystems in exchange for soil resources. We used sensor and observation platforms belowground to quantify belowground dynamics in a California mixed-conifer ecosystem. We directly observed growth and mortality of mycorrhizal fungi in situ on a daily basis using an automated minirhizotron. We measured soil CO2, T and soil moisture at 5-min intervals into the soil profile. These data are coupled with sensors measuring eddy flux of water and CO2, sapflow for water fluxes and C fixation activity, and photographs for leaf phenology. We used DayCent modeling for net primary productivity (NPP) and measured NPP of rhizomorphs, and fungal hyphae. In an arbuscular mycorrhizal (AM) meadow, NPP was 141g/m2/y, with a productivity of fine root NPP of 76.5g C/m2/y, an estimated 10 percent of which is AM fungal C (7.7 g/m2/y). Extramatrical AM hyphal peak standing crop was 4.4g/m2, with a lifespan of 46 days, with active hyphae persisting for 240 days per year. The extramatrical AM fungal hyphal C was 22.9g/m2/y, for a total net allocation to AM fungi of 30.5 C/m2/y, or 22 percent of the estimated NPP. In the ectomycorrhizal (EM) forest, root standing crop (200g C/m2/y) and rhizomorph (2mg C/m2/y) was 33 percent of the NPP (600g C/m2/y). EM fungal hyphae standing crop was 18g/m2/y, with a 48day lifespan, persisting throughout the year, or 59 g C/m2/y. EM root tips and rhizomorph life spans were nearly a year. Assuming that EM fungi represent 40 percent of the fine root EM NPP (of 200g C/m2/y) or 80g C/m2/y, most of the rhizomorph (in the mineral soil) mass being EM (or 2mg C), and 57 percent of the soil fungal NPP or 80 g C/m2/y, then the EM NPP is 139 C/m2/y, or 23 percent of the estimated NPP (600g C/m2/y). As an independent check on the allocation of C, we applied the Hobbie and Hobbie isotopic fractionation d15N model to C allocation. Using d15N of Chantarellus sp. (10.6) and Rhizopogon sp. (9.1), with a leaf d15N of -4.9, we estimated

Perceived state of self during motion can differentially modulate numerical magnitude allocation.

Science.gov (United States)

Arshad, Q; Nigmatullina, Y; Roberts, R E; Goga, U; Pikovsky, M; Khan, S; Lobo, R; Flury, A-S; Pettorossi, V E; Cohen-Kadosh, R; Malhotra, P A; Bronstein, A M

2016-09-01

Although a direct relationship between numerical allocation and spatial attention has been proposed, recent research suggests that these processes are not directly coupled. In keeping with this, spatial attention shifts induced either via visual or vestibular motion can modulate numerical allocation in some circumstances but not in others. In addition to shifting spatial attention, visual or vestibular motion paradigms also (i) elicit compensatory eye movements which themselves can influence numerical processing and (ii) alter the perceptual state of 'self', inducing changes in bodily self-consciousness impacting upon cognitive mechanisms. Thus, the precise mechanism by which motion modulates numerical allocation remains unknown. We sought to investigate the influence that different perceptual experiences of motion have upon numerical magnitude allocation while controlling for both eye movements and task-related effects. We first used optokinetic visual motion stimulation (OKS) to elicit the perceptual experience of either 'visual world' or 'self'-motion during which eye movements were identical. In a second experiment, we used a vestibular protocol examining the effects of perceived and subliminal angular rotations in darkness, which also provoked identical eye movements. We observed that during the perceptual experience of 'visual world' motion, rightward OKS-biased judgments towards smaller numbers, whereas leftward OKS-biased judgments towards larger numbers. During the perceptual experience of 'self-motion', judgments were biased towards larger numbers irrespective of the OKS direction. Contrastingly, vestibular motion perception was found not to modulate numerical magnitude allocation, nor was there any differential modulation when comparing 'perceived' vs. 'subliminal' rotations. We provide a novel demonstration that numerical magnitude allocation can be differentially modulated by the perceptual state of self during visual but not vestibular mediated motion

Development of sample size allocation program using hypergeometric distribution

International Nuclear Information System (INIS)

Kim, Hyun Tae; Kwack, Eun Ho; Park, Wan Soo; Min, Kyung Soo; Park, Chan Sik

1996-01-01

The objective of this research is the development of sample allocation program using hypergeometric distribution with objected-oriented method. When IAEA(International Atomic Energy Agency) performs inspection, it simply applies a standard binomial distribution which describes sampling with replacement instead of a hypergeometric distribution which describes sampling without replacement in sample allocation to up to three verification methods. The objective of the IAEA inspection is the timely detection of diversion of significant quantities of nuclear material, therefore game theory is applied to its sampling plan. It is necessary to use hypergeometric distribution directly or approximate distribution to secure statistical accuracy. Improved binomial approximation developed by Mr. J. L. Jaech and correctly applied binomial approximation are more closer to hypergeometric distribution in sample size calculation than the simply applied binomial approximation of the IAEA. Object-oriented programs of 1. sample approximate-allocation with correctly applied standard binomial approximation, 2. sample approximate-allocation with improved binomial approximation, and 3. sample approximate-allocation with hypergeometric distribution were developed with Visual C ++ and corresponding programs were developed with EXCEL(using Visual Basic for Application). 8 tabs., 15 refs. (Author)

Decentralizing constrained-efficient allocations in the Lagos–Wright pure currency economy

OpenAIRE

Bajaj, Ayushi; Hu, Tai Wei; Rocheteau, Guillaume; Silva, Mario Rafael

2017-01-01

This paper offers two ways to decentralize the constrained-efficient allocation of the Lagos–Wright (2005) pure currency economy. The first way has divisible money, take-it-or-leave-it offers by buyers, and a transfer scheme financed by money creation. If agents are sufficiently patient, the first best is achieved for finite money growth rates. If agents are impatient, the equilibrium allocation approaches the constrained-efficient allocation asymptotically as the money growth rate tends to i...

Study of Knowledge and Practice of Patient Self directed Care among Diabetics Patients

Directory of Open Access Journals (Sweden)

Z. Abedini

2008-07-01

Full Text Available Background and ObjectivesDiabetic patients play the main role in the management of their disease. Adequate knowledge of this disease state and self directed patient care will improve the health of these patients. Some studies have indicated a high prevalence of diabetes complication are due to the lack of knowledge of self directed patient care and practice in diabetic patient group. The objective of this study is to measure the knowledge level of self directed patient care and practice in order to evaluate their effects on improvement of diabetic patients' health in the city of Qom, Iran.MethodsIn this cross sectional study 1004 patients with diabetes participated (During year 2006. Data were collected from patients of General Hospital metabolism and endocrine research center.An interviewing method was used to asses the demographics data, history of disease, and knowledge of self directed patient care in these patients. Data were analyzed using a descriptive statistic, chi-square, and Pearson correlation coefficient, and SPSS software.ResultsOut of 1004 observed case, 154 patients were with Diabetes type I and 850 patients with Diabetes type II. The knowledge of self directed patient care and practice level of with both types of diabetes were determined to be mostly at an intermediate level. In type I diabetic patients there was a significant relation between knowledge level of self directed patient care and gender of the patients (P=0.01. Also, there was a significant correlation between practice and age (P=0.03(, and economical status (P=0.06 of the patients. In type II diabetic patients there was a significant relation between knowledge level of self directed patient care and educational level (P=0.00(, and economical status (P=0.01 of the patients. The practice level of self directed patient care was significantly related to economical status (p=0.03 in this group of patients. ConclusionThese results indicate that an increase in knowledge

Automation trust and attention allocation in multitasking workspace.

Science.gov (United States)

Karpinsky, Nicole D; Chancey, Eric T; Palmer, Dakota B; Yamani, Yusuke

2018-07-01

Previous research suggests that operators with high workload can distrust and then poorly monitor automation, which has been generally inferred from automation dependence behaviors. To test automation monitoring more directly, the current study measured operators' visual attention allocation, workload, and trust toward imperfect automation in a dynamic multitasking environment. Participants concurrently performed a manual tracking task with two levels of difficulty and a system monitoring task assisted by an unreliable signaling system. Eye movement data indicate that operators allocate less visual attention to monitor automation when the tracking task is more difficult. Participants reported reduced levels of trust toward the signaling system when the tracking task demanded more focused visual attention. Analyses revealed that trust mediated the relationship between the load of the tracking task and attention allocation in Experiment 1, an effect that was not replicated in Experiment 2. Results imply a complex process underlying task load, visual attention allocation, and automation trust during multitasking. Automation designers should consider operators' task load in multitasking workspaces to avoid reduced automation monitoring and distrust toward imperfect signaling systems. Copyright © 2018. Published by Elsevier Ltd.

Stochastic resource allocation in emergency departments with a multi-objective simulation optimization algorithm.

Science.gov (United States)

Feng, Yen-Yi; Wu, I-Chin; Chen, Tzu-Li

2017-03-01

The number of emergency cases or emergency room visits rapidly increases annually, thus leading to an imbalance in supply and demand and to the long-term overcrowding of hospital emergency departments (EDs). However, current solutions to increase medical resources and improve the handling of patient needs are either impractical or infeasible in the Taiwanese environment. Therefore, EDs must optimize resource allocation given limited medical resources to minimize the average length of stay of patients and medical resource waste costs. This study constructs a multi-objective mathematical model for medical resource allocation in EDs in accordance with emergency flow or procedure. The proposed mathematical model is complex and difficult to solve because its performance value is stochastic; furthermore, the model considers both objectives simultaneously. Thus, this study develops a multi-objective simulation optimization algorithm by integrating a non-dominated sorting genetic algorithm II (NSGA II) with multi-objective computing budget allocation (MOCBA) to address the challenges of multi-objective medical resource allocation. NSGA II is used to investigate plausible solutions for medical resource allocation, and MOCBA identifies effective sets of feasible Pareto (non-dominated) medical resource allocation solutions in addition to effectively allocating simulation or computation budgets. The discrete event simulation model of ED flow is inspired by a Taiwan hospital case and is constructed to estimate the expected performance values of each medical allocation solution as obtained through NSGA II. Finally, computational experiments are performed to verify the effectiveness and performance of the integrated NSGA II and MOCBA method, as well as to derive non-dominated medical resource allocation solutions from the algorithms.

An alternative approach in operator allocation labor intensive manufacturing system: A three-phase methodology framework

Science.gov (United States)

Mat Rani, Ruzanita; Ismail, Wan Rosmanira

2013-04-01

Operator allocation is one of the most important decisions that can affect productivity in labor-intensive manufacturing system. Improper decision on operator allocation will reduce company's throughput and increase waste. Therefore, all factors such as operators' performance and operational constraints need to be considered in making the best operator allocation decision. Most of previous studies used two phases methodology. In two phases methodology, they used operational constraints and treated all operators to have the same level of performance for making decision on operator allocation. Therefore, in this paper a three-phase methodology is proposed to determine the optimal operator allocation. This methodology advances the existing approach on operator allocation by combining operators' performance and operational constraints. The methodology starts with evaluating the operators' performance. Then, it is followed with determining inputs and outputs for operator allocation alternatives and it ends with determining the optimal operator allocation. This paper will give ideas and directions to the management of the manufacturing company in determining the optimal operator allocation decision.

Residency Allocation Database

Data.gov (United States)

Department of Veterans Affairs — The Residency Allocation Database is used to determine allocation of funds for residency programs offered by Veterans Affairs Medical Centers (VAMCs). Information...

Comparison of the effects of Truview PCD™ video laryngoscopy and Macintosh blade direct laryngoscopy in geriatric patients.

Science.gov (United States)

Kurnaz, Muhammed M; Sarıtaş, Aykut

2016-12-01

To compare the effects of Truview PCD™ video laryngoscopy (TVL) and Macintosh blade direct laryngoscopy (MDL) on hemodynamic responses observed during laryngoscopy and orotracheal intubation conditions in geriatric patients. Randomized prospective study. Operating room. One hundred patients in the risk group American Society of Anesthesiologists I to III aged 65 years and older underwent elective surgery under general anesthesia. This prospective study was performed between January 2014 and February 2015 after institutional ethics committee approval. Patients were randomly allocated to 2 groups, namely, TVL and MDL. Hemodynamic parameters, modified Cormack-Lehane grade, intubation period, and preoperative examination (age, sex, American Society of Anesthesiologists, modified Mallampati test score, and thyromental and sternomental distances) of patients were evaluated. There were no statistically significant differences in hemodynamic responses (heart rates and mean arterial pressure) between the 2 groups (P>.05). The median intubation period in the TVL group was significantly higher than observed in the MDL group (t=4.594; Psystem does not provide significant hemodynamic response sparing or shorten orotracheal intubation times when compared to MDL in geriatric patients. Copyright © 2016 Elsevier Inc. All rights reserved.

Communication of bed allocation decisions in a critical care unit and accountability for reasonableness

Directory of Open Access Journals (Sweden)

Swota Alissa H

2005-10-01

Full Text Available Abstract Background Communication may affect perceptions of fair process for intensive care unit bed allocation decisions through its impact on the publicity condition of accountability for reasonableness. Methods We performed a qualitative case study to describe participant perceptions of the communication of bed allocation decisions in an 18-bed university affiliated, medical-surgical critical care unit at Sunnybrook and Women's College Health Sciences Centre. Interviewed participants were 3 critical care physicians, 4 clinical fellows in critical care, 4 resource nurses, 4 "end-users" (physicians who commonly referred patients to the unit, and 3 members of the administrative staff. Median bed occupancy during the study period (Jan-April 2003 was 18/18; daily admissions and discharges (median were 3. We evaluated our description using the ethical framework "accountability for reasonableness" (A4R to identify opportunities for improvement. Results The critical care physician, resource nurse, critical care fellow and end-users (trauma team leader, surgeons, neurosurgeons, anesthesiologists functioned independently in unofficial "parallel tracks" of bed allocation decision-making; this conflicted with the official designation of the critical care physician as the sole authority. Communication between key decision-makers was indirect and could exclude those affected by the decisions; notably, family members. Participants perceived a lack of publicity for bed allocation rationales. Conclusion The publicity condition should be improved for critical care bed allocation decisions. Decision-making in the "parallel tracks" we describe might be unavoidable within usual constraints of time, urgency and demand. Formal guidelines for direct communication between key participants in such circumstances would help to improve the fairness of these decisions.

Factors of Selection of the Stock Allocation Method

Directory of Open Access Journals (Sweden)

Rohov Heorhii K.

2014-03-01

Full Text Available The article describes results of the author’s study of factors of making strategic decisions on selection of methods of stock allocation by public joint stock companies in Ukraine. The author used the Random forest mathematical apparatus of classification trees building and also informal methods. The article analyses the reasons that restrain public allocation of stock. It shows significant influence upon selection of a method of stock allocation of such factors as capital concentration, balance rate of corporate rights, sector of economy and significant participation of the institutes of common investment or the state in the authorised capital. The built hierarchical model of classification of factors of the issuing policy of joint stock companies finds logical justification in specific features of the institutional environment, however, it does not fit into the framework of the classical concept of the market economy. The model could be used both for formation of goals of corporate financial strategies and in the process of improvement of state regulation of activity of securities issuers. The prospect of further studies in this direction is identification of transformation of factors of selection of the stock allocation method under conditions of revival of the stock market.

SYSTEMATIC LITERATURE REVIEW ON RESOURCE ALLOCATION AND RESOURCE SCHEDULING IN CLOUD COMPUTING

OpenAIRE

B. Muni Lavanya; C. Shoba Bindu

2016-01-01

The objective the work is intended to highlight the key features and afford finest future directions in the research community of Resource Allocation, Resource Scheduling and Resource management from 2009 to 2016. Exemplifying how research on Resource Allocation, Resource Scheduling and Resource management has progressively increased in the past decade by inspecting articles, papers from scientific and standard publications. Survey materialized in three-fold process. Firstly, investigate on t...

Experimental Analysis of a Heat Cost Allocation Method for Apartment Buildings

Directory of Open Access Journals (Sweden)

Fabio Saba

2017-03-01

Full Text Available The correct estimate of individual thermal energy consumptions, and consequently, a fair heat cost allocation among the residents of apartment buildings with centralized heating systems, represents an important driving force towards energy saving, energy efficiency and the reduction of pollutant emissions. Nowadays, in those contexts where direct heat meters cannot be used because of the layout of the hot water distribution system, electronic Heat Cost Allocators (HCAs have the highest market share for the assessment of individual thermal energy consumptions. The uncertainty associated with the parameterization of heat cost allocation devices and the installation effects arising in real applications can negatively affect the accuracy of these devices, as far as the estimation of the individual fractions of thermal energy consumption is concerned. This work deals with the experimental analysis of a novel heat cost allocation method for apartment buildings and its comparison with conventional HCAs. The method allows the indirect estimation of the thermal energy exchanged by water radiators without the need for surface temperature measurements, reducing some of the drawbacks associated with the on-site installation. The experimental analysis was carried out in a full-scale central heating system test facility available at the Italian National Metrology Institute (INRIM and characterized by SI-traceable direct heat meters installed on each water radiator.

High emergency organ allocation rule in lung transplantation: a simulation study.

Science.gov (United States)

Riou, Julien; Boëlle, Pierre-Yves; Christie, Jason D; Thabut, Gabriel

2017-10-01

The scarcity of suitable organ donors leads to protracted waiting times and mortality in patients awaiting lung transplantation. This study aims to assess the short- and long-term effects of a high emergency organ allocation policy on the outcome of lung transplantation. We developed a simulation model of lung transplantation waiting queues under two allocation strategies, based either on waiting time only or on additional criteria to prioritise the sickest patients. The model was informed by data from the United Network for Organ Sharing. We compared the impact of these strategies on waiting time, waiting list mortality and overall survival in various situations of organ scarcity. The impact of a high emergency allocation strategy depends largely on the organ supply. When organ supply is sufficient (>95 organs per 100 patients), it may prevent a small number of early deaths (1 year survival: 93.7% against 92.4% for waiting time only) without significant impact on waiting times or long-term survival. When the organ/recipient ratio is lower, the benefits in early mortality are larger but are counterbalanced by a dramatic increase of the size of the waiting list. Consequently, we observed a progressive increase of mortality on the waiting list (although still lower than with waiting time only), a deterioration of patients' condition at transplant and a decrease of post-transplant survival times. High emergency organ allocation is an effective strategy to reduce mortality on the waiting list, but causes a disruption of the list equilibrium that may have detrimental long-term effects in situations of significant organ scarcity.

Advance directives: cancer patients' preferences and family-based decision making.

Science.gov (United States)

Xing, Yan-Fang; Lin, Jin-Xiang; Li, Xing; Lin, Qu; Ma, Xiao-Kun; Chen, Jie; Wu, Dong-Hao; Wei, Li; Yin, Liang-Hong; Wu, Xiang-Yuan

2017-07-11

Advance directives are a sensitive issue among traditional Chinese people, who usually refrain from mentioning this topic until it is imperative. Medical decisions for cancer patients are made by their families, and these decisions might violate patients' personal will. This study aimed to examine the acceptance of advance directives among Chinese cancer patients and their families and patient participation in this procedure and, finally, to analyze the moral risk involved. While 246 patients and their family members refused official discussion of an advance directive, the remaining 166 patients and their families accepted the concept of an advance directive and signed a document agreeing to give up invasive treatment when the anti-cancer treatment was terminated. Of these, only 24 patients participated in the decision making. For 101 patients, anti-cancer therapy was ended prematurely with as many as 37 patients not told about their potential loss of health interests. Participants were 412 adult cancer patients from 9 leading hospitals across China. An advance directive was introduced to the main decision makers for each patient; if they wished to sign it, the advance directive would be systematically discussed. A questionnaire was given to the oncologists in charge of each patient to evaluate the interaction between families and patients, patients' awareness of their disease, and participation in an advance directive. Advance directives were not widely accepted among Chinese cancer patients unless anti-cancer therapy was terminated. Most cancer patients were excluded from the discussion of an advance directive.

Optimizing 4DCBCT projection allocation to respiratory bins

International Nuclear Information System (INIS)

O’Brien, Ricky T; Kipritidis, John; Shieh, Chun-Chien; Keall, Paul J

2014-01-01

4D cone beam computed tomography (4DCBCT) is an emerging image guidance strategy used in radiotherapy where projections acquired during a scan are sorted into respiratory bins based on the respiratory phase or displacement. 4DCBCT reduces the motion blur caused by respiratory motion but increases streaking artefacts due to projection under-sampling as a result of the irregular nature of patient breathing and the binning algorithms used. For displacement binning the streak artefacts are so severe that displacement binning is rarely used clinically. The purpose of this study is to investigate if sharing projections between respiratory bins and adjusting the location of respiratory bins in an optimal manner can reduce or eliminate streak artefacts in 4DCBCT images. We introduce a mathematical optimization framework and a heuristic solution method, which we will call the optimized projection allocation algorithm, to determine where to position the respiratory bins and which projections to source from neighbouring respiratory bins. Five 4DCBCT datasets from three patients were used to reconstruct 4DCBCT images. Projections were sorted into respiratory bins using equispaced, equal density and optimized projection allocation. The standard deviation of the angular separation between projections was used to assess streaking and the consistency of the segmented volume of a fiducial gold marker was used to assess motion blur. The standard deviation of the angular separation between projections using displacement binning and optimized projection allocation was 30%–50% smaller than conventional phase based binning and 59%–76% smaller than conventional displacement binning indicating more uniformly spaced projections and fewer streaking artefacts. The standard deviation in the marker volume was 20%–90% smaller when using optimized projection allocation than using conventional phase based binning suggesting more uniform marker segmentation and less motion blur. Images

Emissions trading and competitive positions. The European Proposal for a Directive establishing a Framework for Greenhouse Gas Emissions Trading and Methods for the initial Allocation of Pollution Rights

International Nuclear Information System (INIS)

Grimeaud, D.; Peeters, M.

2002-10-01

The study on the intention to introduce emissions trading on a European Union level was conducted on the basis of the following three questions: Which methods can be used (by the Member States) to distribute the tradable emissions rights en which legal preconditions should be observed considering the EU-Treaty and the relevant directive proposal? Whenever necessary and possible international agreements on climate change and international trade law will be mentioned. Which safeguards are available for fair competition and which system of emissions trading is advisable in this perspective? How should the PSR (performance standard rate) system, which is preferred by industry, be valued? The structure of this study is as follows: in chapter 2 insight is given into the various methods that can be used to start an emissions trading system, i.e. the way tradable pollution rights are distributed (initial allocation). Chapter 3 will further examine the system of the initial allocation of pollution rights as it has been chosen in the proposal for the European directive. The aim is to give an exact qualification of the method of emissions trading, especially the method of initial allocation, that is used in the directive proposal. Chapter 4 examines whether safeguards are available to prevent competition distortions between firms that fall under the scope of the emissions trading scheme. Special attention will be given to conditions that result from the EU-Treaty in this context, such as the prohibition of state aid. In this chapter the international trade law will be dealt with as well. Chapter 5 will present an executive summary and the specific question whether the PSR-system is legally acceptable or maybe even recommendable, will be answered

Surgical versus Non-surgical Management of Rotator Cuff Tears: Predictors of Treatment Allocation

OpenAIRE

Kweon, Christopher Y.; Gagnier, Joel Joseph; Robbins, Christopher; Bedi, Asheesh; Carpenter, James E.; Miller, Bruce S.

2014-01-01

Objectives: Rotator cuff tears are a common shoulder disorder resulting in significant disability to patients and strain on the health care system. While both surgical and non-surgical management are accepted treatment options, little data exist to guide the surgeon in treatment allocation. Defining variables to guide treatment allocation may be important for patient education and counseling, as well as to deliver the most efficient care plan at the time of presentation. The objective of this...

HIV/AIDS and time allocation in rural Malawi

Directory of Open Access Journals (Sweden)

Simona Bignami-Van Assche

2011-05-01

Full Text Available AIDS morbidity and mortality are expected to have a large impact on households' labor supply in rural Malawi since they reduce the time that adults can spend on production for subsistence and on income generating activities. However, the data demands for estimating this impact are high, limiting the amount of empirical evidence. In this paper, we utilize a unique combination of quantitative and qualitative data, including biomarkers for HIV, collected by the Malawi Diffusion and Ideational Change Project, to analyze the impact of AIDS-related morbidity and mortality on time allocation decisions for rural Malawians. We evaluate both the direct effect of HIV/AIDS on the time allocation of affected individuals as well as its indirect effect on the time allocation of surviving household members. We find that the latter is the most important effect of AIDS-related morbidity and mortality, especially on women's time. Specifically, AIDS induces diversification of income sources, with women reallocating their time from work-intensive (typically farming and heavy chores to cash-generating tasks (such as casual labor.

Cost allocation with limited information

DEFF Research Database (Denmark)

Hougaard, Jens Leth; Tind, Jørgen

This article investigates progressive development of Aumann-Shapley cost allocation in a multilevel organizational or production structure. In particular, we study a linear parametric programming setup utilizing the Dantzig-Wolfe decomposition procedure. Typically cost allocation takes place after...... all activities have been performed, for example by finishing all outputs. Here the allocation is made progressively with suggestions for activities. I other words cost allocation is performed in parallel for example with a production planning process. This development does not require detailed...... information about some technical constraints in order to make the cost allocation....

Allocation base of general production costs as optimization of prime costs

Directory of Open Access Journals (Sweden)

Levytska I.O.

2017-03-01

Full Text Available Qualified management aimed at optimizing financial results is the key factor in today's society. Effective management decisions depend on the necessary information about the costs of production process in all its aspects – their structure, types, accounting policies of reflecting costs. General production costs, the so-called indirect costs that are not directly related to the production process, but provide its functioning in terms of supporting structural divisions and create the necessary conditions of production, play a significant role in calculating prime costs of goods (works, services. However, the accurate estimate of prime costs of goods (works, services should be determined with the value of indirect costs (in other words, general production costs, and properly determined with the base of their allocation. The choice of allocation base of general production costs is the significant moment, depending on the nature of business, which must guarantee fair distribution regarding to the largest share of direct expenses in the total structure of production costs. The study finds the essence of general production costs based on the analysis of key definitions of leading Ukrainian economists. The optimal allocation approach of general production costs is to calculate these costs as direct production costs within each subsidiary division (department separately without selecting a base as the main one to the their total amount.

Why does primary angioplasty not work in registries? Quantifying the susceptibility of real-world comparative effectiveness data to allocation bias.

Science.gov (United States)

Sen, Sayan; Davies, Justin E; Malik, Iqbal S; Foale, Rodney A; Mikhail, Ghada W; Hadjiloizou, Nearchos; Hughes, Alun; Mayet, Jamil; Francis, Darrel P

2012-11-01

Meta-analysis of registries (comparative effectiveness research) shows that primary angioplasty and fibrinolysis have equivalent real-world survival. Yet, randomized, controlled trials consistently find primary angioplasty superior. Can unequal allocation of higher-risk patients in registries have masked primary angioplasty benefit? First, we constructed a model to demonstrate the potential effect of allocation bias. We then analyzed published registries (55022 patients) for allocation of higher-risk patients (Killip class ≥1) to determine whether the choice of reperfusion therapy was affected by the risk level of the patient. Meta-regression was used to examine the relationship between differences in allocation of high-risk patient to primary angioplasty or fibrinolysis and mortality. Initial modeling suggested that registry outcomes are sensitive to allocation bias of high-risk patients. Across the registries, the therapy receiving excess high-risk patients had worse mortality. Unequal distribution of high-risk status accounted for most of the between-registry variance (adjusted R(2)(meta)=83.1%). Accounting for differential allocation of higher-risk patients, primary angioplasty gave 22% lower mortality (odds ratio, 0.78; 95% confidence interval, 0.64-0.97; P=0.029). We derive a formula, called the number needed to abolish, highlighting situations in which comparative effectiveness studies are particularly vulnerable to this bias. In ST-segment elevation myocardial infarction, clinicians' preference for management of a few high-risk patients can shift mortality substantially. Comparative effectiveness research in any disease is vulnerable to this, especially diseases with an immediately identifiable high-risk subgroup that clinicians prefer to allocate to 1 therapy. For this reason, preliminary indications from registry-based comparative effectiveness research should be definitively tested by randomized, controlled trials.

Economic Evaluation of a Patient-Directed Music Intervention for ICU Patients Receiving Mechanical Ventilatory Support.

Science.gov (United States)

Chlan, Linda L; Heiderscheit, Annette; Skaar, Debra J; Neidecker, Marjorie V

2018-05-04

Music intervention has been shown to reduce anxiety and sedative exposure among mechanically ventilated patients. Whether music intervention reduces ICU costs is not known. The aim of this study was to examine ICU costs for patients receiving a patient-directed music intervention compared with patients who received usual ICU care. A cost-effectiveness analysis from the hospital perspective was conducted to determine if patient-directed music intervention was cost-effective in improving patient-reported anxiety. Cost savings were also evaluated. One-way and probabilistic sensitivity analyses determined the influence of input variation on the cost-effectiveness. Midwestern ICUs. Adult ICU patients from a parent clinical trial receiving mechanical ventilatory support. Patients receiving the experimental patient-directed music intervention received a MP3 player, noise-canceling headphones, and music tailored to individual preferences by a music therapist. The base case cost-effectiveness analysis estimated patient-directed music intervention reduced anxiety by 19 points on the Visual Analogue Scale-Anxiety with a reduction in cost of $2,322/patient compared with usual ICU care, resulting in patient-directed music dominance. The probabilistic cost-effectiveness analysis found that average patient-directed music intervention costs were $2,155 less than usual ICU care and projected that cost saving is achieved in 70% of 1,000 iterations. Based on break-even analyses, cost saving is achieved if the per-patient cost of patient-directed music intervention remains below $2,651, a value eight times the base case of $329. Patient-directed music intervention is cost-effective for reducing anxiety in mechanically ventilated ICU patients.

Online Job Allocation with Hard Allocation Ratio Requirement (Author’s Manuscript)

Science.gov (United States)

2016-04-14

server divided by its capacity. Specifically , let nj be the number of jobs that have already been allocated to server j. When job i arrives, it is...decisions solely based on current system state is needed. The problem of online job allocation has attracted much attention . Most current studies study...closed-form expressions for their performance. Specifically , we prove that, in order to allocate at least 1− 1θ of jobs , the two policies only need to

An Effective Channel Allocation Scheme to Reduce Co-Channel and Adjacent Channel Interference for WMN Backhaul

International Nuclear Information System (INIS)

Abbasi, S.; Ismaili, I.A.; Khuhawar, F.Y.

2016-01-01

Two folded work presents channel allocation scheme sustaining channel orthogonality and channel spacing to reduce CCI (Co-Channel Interference) and ACI (Adjacent Channel Interference) for inter flow of an intra-flow link. Proposed scheme as a part of radio resource allocation is applied on infrastructure based backhaul of wireless mesh network using directional antennas. The proposed approach is applied separately on 2.4 and 5GHz bands. Interference of connectivity graph is modelled by strongly connected directed graph and greedy algorithms are used for channel allocation. We have used OPNET Modeller suite to simulate network models for this research. The proposed arrangement reduces the channel interference and increases system throughput. In this research, the influence of channel is computed in terms of network throughput and delay. (author)

Next allocation phase of the EU emissions trading scheme: How tough will the future be?

International Nuclear Information System (INIS)

Georgopoulou, E.; Sarafidis, Y.; Mirasgedis, S.; Lalas, D.P.

2006-01-01

The development of National Allocation Plans (NAPs) for the first phase 2005-2007 of the EU emissions trading scheme (EU-ETS) was accompanied by the stated concern of the industrial enterprises with installations that fall under the scope of the relevant Directive 2003/87, since the impacts of the allocation in their financial and technical modes of operation were judged to be severe. Thus, the intensity of the negotiations for the next allocation phase (i.e. 2008-2012), is expected to be heated. With a view to assisting enterprises, especially in the energy sector or for which energy use and its management is a crucial part of their activity, to incorporate in their business plans the impacts of the Directive in an informed manner, an attempt is made here to explore the constraints and the available options that will guide the coming EU-ETS potential allocations. In the analysis, the credits derived from the use of CDM are specifically taken into account. The results show that the next allocations would tend to be significantly more stringent than the current ones because of the combined effect of no inter-period transfer of allowances, the amount of CDM credits expected to be available compared to the amount of effort that would be required and the yield of emission reductions from existing or planned policies and measures. It becomes then crucial, if not imperative, for the enterprises involved as well as national governments to examine carefully means to address their obligations under the Directive

The Role of Intrinsic Motivations in Attention Allocation and Shifting

Directory of Open Access Journals (Sweden)

Dario edi Nocera

2014-04-01

Full Text Available The concepts of attention and intrinsic motivations are of great interest within adaptive robotic systems, and can be exploited in order to guide, activate, and coordinate multiple concurrent behaviors. Attention allocation strategies represent key capabilities of human beings, which are strictly connected with action selection and execution mechanisms, while intrinsic motivations directly affect the allocation of attentional resources. In this paper we propose a model of Reinforcement Learning (RL, where both these capabilities are involved. RL is deployed to learn how to allocate attentional resources in a behavior-based robotic system, while action selection is obtained as a side effect of the resulting motivated attentional behaviors. Moreover, the influence of intrinsic motivations in attention orientation is obtained by introducing rewards associated with curiosity drives. In this way, the learning process is affected not only by goal-specific rewards, but also by intrinsic motivations.

Unfair allocation of gains under equal price in cooperative purchasing

NARCIS (Netherlands)

Schotanus, Fredo; Calvi, R.; Merminod, N.

2005-01-01

Cooperative purchasing is becoming more and more common practice. However, many cooperative initiatives end prematurely or do not flourish. Important reasons indi-cated for these problems are directly or indirectly related to the unfair allocation of gains. The purpose of this paper is to analyse

Ethical issues faced by clinician/managers in resource-allocation decisions.

Science.gov (United States)

Lemieux-Charles, L; Meslin, E M; Aird, C; Baker, R; Leatt, P

1993-01-01

This article explores the ethical issues faced by clinicians with management responsibilities (clinician/managers) when making decisions related to resource allocation and utilization at a Canadian teaching hospital. Using a focus group method, 28 individuals participated in four homogeneous groups that included nurse managers, managers from other professional groups, and physician managers. Ethical issues that recurred throughout the discussions included fairness, concern with preventing harm, consumer/patient choice, balancing needs of different groups of patients, conflict between financial incentives and patient needs, and professional autonomy. The particular issue of conflict is analyzed from two perspectives--a theory of professional-bureaucratic roles and of obligation--that illustrate how both management and philosophical issues are related. The findings suggest that decentralizing resource allocation and utilization decisions does raise ethical issues for clinician/managers and that a better understanding of these issues can be obtained using an interdisciplinary perspective.

Using Excel's Matrix Operations to Facilitate Reciprocal Cost Allocations

Science.gov (United States)

Leese, Wallace R.; Kizirian, Tim

2009-01-01

The reciprocal method of service department cost allocation requires linear equations to be solved simultaneously. These computations are often so complex as to cause the abandonment of the reciprocal method in favor of the less sophisticated direct or step-down methods. Here is a short example demonstrating how Excel's sometimes unknown matrix…

Emissions trading with offset markets and free quota allocations

Energy Technology Data Exchange (ETDEWEB)

Rosendahl, Knut Einar; Strand, Jon

2012-07-01

We study interactions between a 'policy bloc's' emissions quota market and an offset market where emissions offsets can be purchased from a non-policy 'fringe' of countries (such as for the CDM under the Kyoto Protocol). Policy-bloc firms are assumed to benefit from free quota allocations that are updated according to either past emissions or past outputs. We show that both overall abatement, and the allocation of given abatement between the policy bloc and the fringe, tend to be inefficient. When the policy-bloc quota market and offset markets are fully integrated (and firms buy offsets directly from the fringe), and all quotas and offsets must be traded at a single price, it is optimal for the policy bloc to either not constrain the offset market whatsoever, or to ban offsets completely. The former (latter) case occurs when free allocation of quotas is not too generous (very generous), and the offset market can profitably deliver large (only a small) quota amounts. Governments of policy countries would however instead prefer to buy offsets directly from the fringe at a price below the policy-bloc quota price. The offset price will then be below the marginal damage cost of emissions, and the quota price in the policy bloc above marginal damage cost. This solution is also inefficient as the policy bloc (acting as a monopsonist) purchases too few offsets from the fringe.(Author)

Emissions allocation in transportation routes

NARCIS (Netherlands)

Leenders, B.P.J.; Velázquez Martínez, J.; Fransoo, J.C.

2017-01-01

This article studies the allocation of CO2 emissions to a specific shipment in routing transportation. The authors show that this problem differs from a cost allocation problem specifically because the concavity condition does not hold necessarily in the CO2 allocation problem. This implies that a

Ising game: Nonequilibrium steady states of resource-allocation systems

Science.gov (United States)

Xin, C.; Yang, G.; Huang, J. P.

2017-04-01

Resource-allocation systems are ubiquitous in the human society. But how external fields affect the state of such systems remains poorly explored due to the lack of a suitable model. Because the behavior of spins pursuing energy minimization required by physical laws is similar to that of humans chasing payoff maximization studied in game theory, here we combine the Ising model with the market-directed resource-allocation game, yielding an Ising game. Based on the Ising game, we show theoretical, simulative and experimental evidences for a formula, which offers a clear expression of nonequilibrium steady states (NESSs). Interestingly, the formula also reveals a convertible relationship between the external field (exogenous factor) and resource ratio (endogenous factor), and a class of saturation as the external field exceeds certain limits. This work suggests that the Ising game could be a suitable model for studying external-field effects on resource-allocation systems, and it could provide guidance both for seeking more relations between NESSs and equilibrium states and for regulating human systems by choosing NESSs appropriately.

Effect of social influence on effort-allocation for monetary rewards.

Science.gov (United States)

Gilman, Jodi M; Treadway, Michael T; Curran, Max T; Calderon, Vanessa; Evins, A Eden

2015-01-01

Though decades of research have shown that people are highly influenced by peers, few studies have directly assessed how the value of social conformity is weighed against other types of costs and benefits. Using an effort-based decision-making paradigm with a novel social influence manipulation, we measured how social influence affected individuals' decisions to allocate effort for monetary rewards during trials with either high or low probability of receiving a reward. We found that information about the effort-allocation of peers modulated participant choices, specifically during conditions of low probability of obtaining a reward. This suggests that peer influence affects effort-based choices to obtain rewards especially under conditions of risk. This study provides evidence that people value social conformity in addition to other costs and benefits when allocating effort, and suggests that neuroeconomic studies that assess trade-offs between effort and reward should consider social environment as a factor that can influence decision-making.

Effect of social influence on effort-allocation for monetary rewards.

Directory of Open Access Journals (Sweden)

Jodi M Gilman

Full Text Available Though decades of research have shown that people are highly influenced by peers, few studies have directly assessed how the value of social conformity is weighed against other types of costs and benefits. Using an effort-based decision-making paradigm with a novel social influence manipulation, we measured how social influence affected individuals' decisions to allocate effort for monetary rewards during trials with either high or low probability of receiving a reward. We found that information about the effort-allocation of peers modulated participant choices, specifically during conditions of low probability of obtaining a reward. This suggests that peer influence affects effort-based choices to obtain rewards especially under conditions of risk. This study provides evidence that people value social conformity in addition to other costs and benefits when allocating effort, and suggests that neuroeconomic studies that assess trade-offs between effort and reward should consider social environment as a factor that can influence decision-making.

Application of case mix index in the allocation of nursing human resources.

Science.gov (United States)

Han, Binru; Chen, Xi; Li, Qiuping

2018-02-23

To investigate the feasibility of the case mix index and compare the allocation of nursing human resources between two departments of a hospital with different case mix indexes in China. The case mix index is used to assess the resource allocation of all cases in two departments of a hospital. Its values can determine the resource allocation required to diagnose and treat the patients. Clinical data were obtained from 23 different departments in 2015 and analysed retrospectively from October to November, 2016. Factors influencing the allocation of registered nurses were identified, and balanced quantities of patients with different case mix indexes were chosen from two departments. Spearman correlation analysis was performed. The per capita nursing workload was significant (r = .669, p = .000). The length of hospital stay, quantity of nurses, and department case mix index were correlated with the nursing workload (t = 4.211, p = .000; t = 2.962, p = .008; t = 2.266, p = .035). Education levels (Z = -1.391, p = .164) and the professional titles (Z = -1.832, p = .067) of the nurses were not statistically significant, whereas the registered nurse level differed between two departments (Z = -2.125, p = .034). The case management index provides references for the efficient allocation of registered nurses in clinical practice. © 2018 John Wiley & Sons Ltd.

Total Belowground Carbon Allocation in a Fast-growing Eucalyptus Plantation Estimated Using a Carbon Balance Approach

Science.gov (United States)

Christian P. Giardina; Michael G. Ryan

2002-01-01

Trees allocate a large portion of gross primary production belowground for the production and maintenance of roots and mycorrhizae. The difficulty of directly measuring total belowground carbon allocation (TBCA) has limited our understanding of belowground carbon (C) cycling and the factors that control this important flux. We measured TBCA over 4 years using a...

Peer-Allocated Instant Response (PAIR): Computional allocation of peer tutors in learning communities

NARCIS (Netherlands)

Westera, Wim

2009-01-01

Westera, W. (2007). Peer-Allocated Instant Response (PAIR): Computational allocation of peer tutors in learning communities. Journal of Artificial Societies and Social Simulation, http://jasss.soc.surrey.ac.uk/10/2/5.html

Resource allocation in public health practice: a national survey of local public health officials.

Science.gov (United States)

Baum, Nancy M; DesRoches, Catherine; Campbell, Eric G; Goold, Susan Dorr

2011-01-01

The purpose of this study was to gain an empirical understanding of the types of allocation decisions local health officials (LHOs) make and the factors that influence those allocation decisions. We conducted a national survey of LHOs in the United States in 2008 to 2009. The sample was stratified by the size of the population served by the department. We merged our data with data from the 2008 National Association of County and City Health Officials Profile survey. Descriptive statistics were generated using weighted data. Our final sample size was 608 respondents, with an average of 10 years experience. The LHOs reported little shifting of resources among population groups but greater capacity to redirect staffing time. Less than half of LHOs reported using economic analyses or conducting needs assessments when setting priorities. Having sole provider status in a community strongly influenced LHOs' allocation decisions. In addition, the effectiveness of activities, previous budget allocations, and input from boards of health were influential factors in allocation decisions. Public expectations were moderately to very influential, but direct public input had a low impact on allocation decisions. Survey findings provide a clearer understanding of how LHOs fulfill their obligations as stewards of public health resources and ensure effective activities and access to needed services. It may be useful to assess the value of more structured allocation methods (eg, decision frameworks) in the allocation process. Expanding opportunities for public engagement in priority setting may also be valuable for difficult allocation decisions.

National plan of allocation of CO2 emission quotas

International Nuclear Information System (INIS)

2006-01-01

The directive 2003/87/CE of the European parliament and council from October 13, 2003 establishes a trading system of CO 2 emission quotas for some companies of the energy generation industry, of the manufacturing industry and of services. These quotas are tradable and negotiable and an initial amount of quotas is allocated to these companies according to their facilities in concern. The national plan of quotas allocation must precise the total amount of tradable emissions and its share among the different sectors of activity and facilities. The first project of allocation plan was transmitted to the European Commission on July 6, 2004 after its public consultation between June 8 and June 29 2004. Modifications have been added to meet the requests of the Commission and the French plan was finally approved on December 17, 2004 for an annual amount of 156.51 Mt of CO 2 quotas during the 2005-2007 period. This paper precises the modifications requested by the commission, the modifications of the French juridical system necessary to complete the implementation of the French part of the European quotas trading system, the elaboration of the next allocation plan for the 2008-2012 period, and the link between the European emissions trading system and the 'joint implementation' and 'clean development ' mechanisms implemented by the Kyoto protocol. (J.S.)

Liver allocation and distribution: time for a change.

Science.gov (United States)

Deshpande, Ranjit; Hirose, Ryutaro; Mulligan, David

2017-04-01

Liver allograft allocation has been a topic of hot debate for over a decade. New redistricting changes have been proposed by the Liver and Intestinal Transplant Committee to the existing United Network for Organ Sharing (UNOS) liver allocation policy. The basis of this new proposal is similar to the old one with an aim to distribute organs in a fair, efficient and equitable fashion. In this review, we plan to look in depth at the redistribution proposals thus far, their merits and how they may help patients who do not have adequate access to livers. Many authors have criticized the proposed changes to organ distribution to reduce geographic disparity in access to liver transplantation. Our focus in this article is to bring forth the most recent literature and proposed changes in the current distribution system. We will also mention two other possible methods that have been proposed to redesign distribution using concentric circles and neighborhoods. In this article, we also look at the economics of the redistricting proposal and its effects on transplant centers. The UNOS Liver and Intestinal Transplant Committee has recommended a proposal using the eight-district model with proximity circles and three additional Model for End-Stage Liver Disease (MELD) points with initial sharing MELD threshold of 25 as a starting point to reduce disparity in patient access to deceased donor livers for transplantation. This proposal has met with significant resistance because of concerns of cost, logistics and impact on existing transplant centers. Other methodologies have also been proposed that have the potential to significantly improve our current disparity of access to life-saving organs. Variation in the supply of donor organs vs. the demand or need for liver transplant by geography and the current defined areas of distribution drive this disparity. Cost benefits to the healthcare system in caring for patients with advanced stages of liver disease may outweigh increased

Optimal allocation of resources for suppressing epidemic spreading on networks

Science.gov (United States)

Chen, Hanshuang; Li, Guofeng; Zhang, Haifeng; Hou, Zhonghuai

2017-07-01

Efficient allocation of limited medical resources is crucial for controlling epidemic spreading on networks. Based on the susceptible-infected-susceptible model, we solve the optimization problem of how best to allocate the limited resources so as to minimize prevalence, providing that the curing rate of each node is positively correlated to its medical resource. By quenched mean-field theory and heterogeneous mean-field (HMF) theory, we prove that an epidemic outbreak will be suppressed to the greatest extent if the curing rate of each node is directly proportional to its degree, under which the effective infection rate λ has a maximal threshold λcopt=1 / , where is the average degree of the underlying network. For a weak infection region (λ ≳λcopt ), we combine perturbation theory with the Lagrange multiplier method (LMM) to derive the analytical expression of optimal allocation of the curing rates and the corresponding minimized prevalence. For a general infection region (λ >λcopt ), the high-dimensional optimization problem is converted into numerically solving low-dimensional nonlinear equations by the HMF theory and LMM. Counterintuitively, in the strong infection region the low-degree nodes should be allocated more medical resources than the high-degree nodes to minimize prevalence. Finally, we use simulated annealing to validate the theoretical results.

Resource Allocation Model for Great Plains Regional Medical Command: Volume 1

National Research Council Canada - National Science Library

Wojcik, Barbara E; Humphrey, Rebecca J; Oakley, Carolyn L; Morrison, Scott C; Devore , Jr., Raymond B; Hassell, Harrison L

2005-01-01

.... The forecasting model may estimate future allocation of resources for each military treatment facility on a yearly or monthly basis, as well as healthcare demand for each combination of patient's...

Tradable permit allocations and sequential choice

Energy Technology Data Exchange (ETDEWEB)

MacKenzie, Ian A. [Centre for Economic Research, ETH Zuerich, Zurichbergstrasse 18, 8092 Zuerich (Switzerland)

2011-01-15

This paper investigates initial allocation choices in an international tradable pollution permit market. For two sovereign governments, we compare allocation choices that are either simultaneously or sequentially announced. We show sequential allocation announcements result in higher (lower) aggregate emissions when announcements are strategic substitutes (complements). Whether allocation announcements are strategic substitutes or complements depends on the relationship between the follower's damage function and governments' abatement costs. When the marginal damage function is relatively steep (flat), allocation announcements are strategic substitutes (complements). For quadratic abatement costs and damages, sequential announcements provide a higher level of aggregate emissions. (author)

Harnessing Scientific and Technological Advances to Improve Equity in Kidney Allocation Policies.

Science.gov (United States)

Tambur, A R; Audry, B; Antoine, C; Suberbielle, C; Glotz, D; Jacquelinet, C

2017-12-01

We reported that current assignment of HLA-DQ is a barrier to organ allocation. Here we simulated the impact of incorporating HLA-DQ antigens and antibodies as A/B and αβ allelic variants, respectively, on calculated panel reactive antibody (cPRA) and probability of finding potential compatible donors (PCD). A cohort of 1224 donors and 2075 sensitized candidates was analyzed using HLA-DQαβ allelic (study) versus serologic (current practice) nomenclature. A significant (p < 10 -4 ) decrease in cPRA was observed with higher impact for male versus female, and first transplant versus retransplant (p < 10 -4 ), affecting mostly patients with moderate cPRA (30-80%). Consequently, the number of patients qualifying for 100% cPRA points according to the United Network for Organ Sharing-Kidney Allocation System decreased by 37%. More critically, by using allelic versus serologic nomenclature for HLA-DQ, the number of PCDs for all patients was increased, with male and first-transplant patients showing a higher expansion compared with female and retransplants. Patients of blood group O showed the highest benefit. The goal of reporting unacceptable antigens is to improve accuracy of virtual crossmatching and increase the likelihood of finding immunologically compatible donors. Our simulation provides strong support for the need to re-evaluate the use of allele typing and how HLA-DQ antigens and antibodies are incorporated into allocation policies to ensure equity. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

Genetic components to caste allocation in a multiple-queen ant species

NARCIS (Netherlands)

Libbrecht, Romain; Schwander, Tanja; Keller, Laurent

2011-01-01

Reproductive division of labor and the coexistence of distinct castes are hallmarks of insect societies. In social insect species with multiple queens per colony, the fitness of nestmate queens directly depends on the process of caste allocation (i.e., the relative investment in queen, sterile

IPO Allocations: Discriminatory or Discretionary?

OpenAIRE

William Wilhelm; Alexander Ljungqvist

2001-01-01

We estimate the structural links between IPO allocations, pre-market information production, and initial underpricing returns, within the context of theories of bookbuilding. Using a sample of both US and international IPOs we find evidence of the following: ? IPO allocation policies favour institutional investors, both in the US and worldwide. ? Increasing institutional allocations results in offer prices that deviate more from the indicative price range established prior to bankers’ efforts...

Intelligent tactical asset allocation support system

NARCIS (Netherlands)

Hiemstra, Y.

1995-01-01

This paper presents an advanced support system for Tactical Asset Allocation. Asset allocation explains over 90% of portfolio performance (Brinson, Hood and Beebower, 1988). Tactical asset allocation adjusts a strategic portfolio on the basis of short term market outlooks. The system includes

How should INGOs allocate resources?

Directory of Open Access Journals (Sweden)

Scott Wisor

2012-02-01

Full Text Available International Non-governmental Organizations (INGOs face difficult choices when choosing to allocate resources. Given that the resources made available to INGOs fall far short of what is needed to reduce massive human rights deficits, any chosen scheme of resource allocation requires failing to reach other individuals in great need. Facing these moral opportunity costs, what moral reasons should guide INGO resource allocation? Two reasons that clearly matter, and are recognized by philosophers and development practitioners, are the consequences (or benefit or harm reduction of any given resource allocation and the need (or priority of individual beneficiaries. If accepted, these reasons should lead INGOs to allocate resources to a limited number of countries where the most prioritarian weighted harm reduction will be achieved. I make three critiques against this view. First, on grounds the consequentialist accepts, I argue that INGOs ought to maintain a reasonably wide distribution of resources. Second, I argue that even if one is a consequentialist, consequentialism ought not act as an action guiding principle for INGOs. Third, I argue that additional moral reasons should influence decision making about INGO resource allocation. Namely, INGO decision making should attend to relational reasons, desert, respect for agency, concern for equity, and the importance of expressing a view of moral wrongs.

Examining Police Strategic Resource Allocation in a Time of Austerity

Directory of Open Access Journals (Sweden)

Garth den Heyer

2014-03-01

Full Text Available The increasing importance of proactive policing has highlighted the need to ensure that the police utilise their resources both efficiently and effectively. Traditionally, police agencies have allocated resources in response to their operational demands or requirements, with the majority of resources being distributed in response to political demands and public calls for service. In recent years there has been a greater emphasis by police to deliver services proactively, and to direct resources to specific geographic areas of high crime or to specific crimes, and to apply intelligence led targeted policing initiatives. The changing operating environment to a public service ethos of accountability and ‘do more with less’ means that historical methods of allocating police officers may not meet an agency's strategic goals. This paper examines if an economic approach to allocating police strategic resources is an appropriate and equitable method in a time of austerity. This greater emphasis on proactive, rather than reactive policing, which also represents a shift from centralised control, underlines the need to ensure the efficient and effective use of resources.

Patients direct costs to undergo TB diagnosis.

Science.gov (United States)

de Cuevas, Rachel M Anderson; Lawson, Lovett; Al-Sonboli, Najla; Al-Aghbari, Nasher; Arbide, Isabel; Sherchand, Jeevan B; Nnamdi, Emenyonu E; Aseffa, Abraham; Yassin, Mohammed A; Abdurrahman, Saddiq T; Obasanya, Joshua; Olanrewaju, Oladimeji; Datiko, Daniel; Theobald, Sally J; Ramsay, Andrew; Squire, S Bertel; Cuevas, Luis E

2016-03-24

A major impediment to the treatment of TB is a diagnostic process that requires multiple visits. Descriptions of patient costs associated with diagnosis use different protocols and are not comparable. We aimed to describe the direct costs incurred by adults attending TB diagnostic centres in four countries and factors associated with expenditure for diagnosis. Surveys of 2225 adults attending smear-microscopy centres in Nigeria, Nepal, Ethiopia and Yemen. Adults >18 years with cough >2 weeks were enrolled prospectively. Direct costs were quantified using structured questionnaires. Patients with costs >75(th) quartile were considered to have high expenditure (cases) and compared with patients with costs <75(th) quartile to identify factors associated with high expenditure. The most significant expenses were due to clinic fees and transport. Most participants attended the centres with companions. High expenditure was associated with attending with company, residing in rural areas/other towns and illiteracy. The costs incurred by patients are substantial and share common patterns across countries. Removing user fees, transparent charging policies and reimbursing clinic expenses would reduce the poverty-inducing effects of direct diagnostic costs. In locations with limited resources, support could be prioritised for those most at risk of high expenditure; those who are illiterate, attend the service with company and rural residents.

Asset Allocation of Mutual Fund Investors

OpenAIRE

Dengpan Luo

2003-01-01

This paper studies mutual fund investors' asset allocation decisions using monthly flow data of U.S mutual fund industry from 1984 to 1998. We find that mutual fund investors change their asset allocations between stocks and bonds in reaction to business conditions tracked by changes in expected stock market returns. They tend to allocate less into stock funds during the trough of a business cycle when expected stock market returns are higher and to allocate more into stock funds during the p...

40 CFR 60.4142 - Hg allowance allocations.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Hg allowance allocations. 60.4142... Coal-Fired Electric Steam Generating Units Hg Allowance Allocations § 60.4142 Hg allowance allocations. (a)(1) The baseline heat input (in MMBtu) used with respect to Hg allowance allocations under...

An intelligent allocation algorithm for parallel processing

Science.gov (United States)

Carroll, Chester C.; Homaifar, Abdollah; Ananthram, Kishan G.

1988-01-01

The problem of allocating nodes of a program graph to processors in a parallel processing architecture is considered. The algorithm is based on critical path analysis, some allocation heuristics, and the execution granularity of nodes in a program graph. These factors, and the structure of interprocessor communication network, influence the allocation. To achieve realistic estimations of the executive durations of allocations, the algorithm considers the fact that nodes in a program graph have to communicate through varying numbers of tokens. Coarse and fine granularities have been implemented, with interprocessor token-communication duration, varying from zero up to values comparable to the execution durations of individual nodes. The effect on allocation of communication network structures is demonstrated by performing allocations for crossbar (non-blocking) and star (blocking) networks. The algorithm assumes the availability of as many processors as it needs for the optimal allocation of any program graph. Hence, the focus of allocation has been on varying token-communication durations rather than varying the number of processors. The algorithm always utilizes as many processors as necessary for the optimal allocation of any program graph, depending upon granularity and characteristics of the interprocessor communication network.

Impact of Different Creatinine Measurement Methods on Liver Transplant Allocation

Science.gov (United States)

Kaiser, Thorsten; Kinny-Köster, Benedict; Bartels, Michael; Parthaune, Tanja; Schmidt, Michael; Thiery, Joachim

2014-01-01

Introduction The model for end-stage liver disease (MELD) score is used in many countries to prioritize organ allocation for the majority of patients who require orthotopic liver transplantation. This score is calculated based on the following laboratory parameters: creatinine, bilirubin and the international normalized ratio (INR). Consequently, high measurement accuracy is essential for equitable and fair organ allocation. For serum creatinine measurements, the Jaffé method and enzymatic detection are well-established routine diagnostic tests. Methods A total of 1,013 samples from 445 patients on the waiting list or in evaluation for liver transplantation were measured using both creatinine methods from November 2012 to September 2013 at the university hospital Leipzig, Germany. The measurements were performed in parallel according to the manufacturer’s instructions after the samples arrived at the institute of laboratory medicine. Patients who had required renal replacement therapy twice in the previous week were excluded from analyses. Results Despite the good correlation between the results of both creatinine quantification methods, relevant differences were observed, which led to different MELD scores. The Jaffé measurement led to greater MELD score in 163/1,013 (16.1%) samples with differences of up to 4 points in one patient, whereas differences of up to 2 points were identified in 15/1,013 (1.5%) samples using the enzymatic assay. Overall, 50/152 (32.9%) patients with MELD scores >20 had higher scores when the Jaffé method was used. Discussion Using the Jaffé method to measure creatinine levels in samples from patients who require liver transplantation may lead to a systematic preference in organ allocation. In this study, the differences were particularly pronounced in samples with MELD scores >20, which has clinical relevance in the context of urgency of transplantation. These data suggest that official recommendations are needed to determine which

Development of a new loss allocation method for a hybrid electricity market using graph theory

International Nuclear Information System (INIS)

Lim, Valerie S.C.; McDonald, John D.F.; Saha, Tapan K.

2009-01-01

This paper introduces a new method for allocating losses in a power system using a loop-based representation of system behaviour. Using the new method, network behaviour is formulated as a series of presumed power transfers directly between market participants. In contrast to many existing loss allocation methods, this makes it easier to justify the resulting loss distribution. In addition to circumventing the problems of non-unique loss allocations, a formalised process of loop identification, using graph theory concepts, is introduced. The proposed method is applied to both the IEEE 14-bus system and a modified CIGRE Nordic 32-bus system. The results provide a demonstration of the capability of the proposed method to allocate losses in the hybrid market, and demonstrate the approach's capacity to link the technical performance of the network to market instruments. (author)

Direct vision internal urethrotomy in 459 urethral stricture patients at ...

African Journals Online (AJOL)

Keywords: Direct vision, internal, urethrotomy, urethral and stricture.;. Four hundred and fifty nine patients seen with simple urethral strictures between 1990 and 1998 underwent direct vision urethrotomy.. The procedure was successful in 441 patients and failed in only 18 patients. Postoperative complications included fever.

Importance measures and resource allocation

International Nuclear Information System (INIS)

Guey, C.N.; Morgan, T.; Hughes, E.A.

1987-01-01

This paper discusses various importance measures and their practical relevance to allocating resources. The characteristics of importance measures are illustrated through simple examples. Important factors associated with effectively allocating resources to improve plant system performance or to prevent system degradation are discussed. It is concluded that importance measures are only indicative of and not equal to the risk significance of a component, system, or event. A decision framework is suggested to provide a comprehensive basis for resource allocation

Principles and Reality of Proton Therapy Treatment Allocation

Energy Technology Data Exchange (ETDEWEB)

Bekelman, Justin E., E-mail: bekelman@uphs.upenn.edu [Department of Radiation Oncology, Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Asch, David A. [Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (United States); The Wharton School and Penn Medicine Center for Health Care Innovation, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Tochner, Zelig [Department of Radiation Oncology, Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Friedberg, Joseph [Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Vaughn, David J. [Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Rash, Ellen [Department of Radiation Oncology, Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States); Raksowski, Kevin [Department of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania (United States); Hahn, Stephen M. [Department of Radiation Oncology, Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (United States)

2014-07-01

Purpose: To present the principles and rationale of the Proton Priority System (PROPS), a priority points framework that assigns higher scores to patients thought to more likely benefit from proton therapy, and the distribution of PROPS scores by patient characteristics Methods and Materials: We performed multivariable logistic regression to evaluate the association between PROPS scores and receipt of proton therapy, adjusted for insurance status, gender, race, geography, and the domains that inform the PROPS score. Results: Among 1529 adult patients considered for proton therapy prioritization during our Center's ramp-up phase of treatment availability, PROPS scores varied by age, diagnosis, site, and other PROPS domains. In adjusted analyses, receipt of proton therapy was lower for patients with non-Medicare relative to Medicare health insurance (commercial vs Medicare: adjusted odds ratio [OR] 0.47, 95% confidence interval [CI] 0.34-0.64; managed care vs Medicare: OR 0.40, 95% CI 0.28-0.56; Medicaid vs Medicare: OR 0.24, 95% CI 0.13-0.44). Proton Priority System score and age were not significantly associated with receipt of proton therapy. Conclusions: The Proton Priority System is a rationally designed and transparent system for allocation of proton therapy slots based on the best available evidence and expert opinion. Because the actual allocation of treatment slots depends mostly on insurance status, payers may consider incorporating PROPS, or its underlying principles, into proton therapy coverage policies.

Principles and Reality of Proton Therapy Treatment Allocation

International Nuclear Information System (INIS)

Bekelman, Justin E.; Asch, David A.; Tochner, Zelig; Friedberg, Joseph; Vaughn, David J.; Rash, Ellen; Raksowski, Kevin; Hahn, Stephen M.

2014-01-01

Purpose: To present the principles and rationale of the Proton Priority System (PROPS), a priority points framework that assigns higher scores to patients thought to more likely benefit from proton therapy, and the distribution of PROPS scores by patient characteristics Methods and Materials: We performed multivariable logistic regression to evaluate the association between PROPS scores and receipt of proton therapy, adjusted for insurance status, gender, race, geography, and the domains that inform the PROPS score. Results: Among 1529 adult patients considered for proton therapy prioritization during our Center's ramp-up phase of treatment availability, PROPS scores varied by age, diagnosis, site, and other PROPS domains. In adjusted analyses, receipt of proton therapy was lower for patients with non-Medicare relative to Medicare health insurance (commercial vs Medicare: adjusted odds ratio [OR] 0.47, 95% confidence interval [CI] 0.34-0.64; managed care vs Medicare: OR 0.40, 95% CI 0.28-0.56; Medicaid vs Medicare: OR 0.24, 95% CI 0.13-0.44). Proton Priority System score and age were not significantly associated with receipt of proton therapy. Conclusions: The Proton Priority System is a rationally designed and transparent system for allocation of proton therapy slots based on the best available evidence and expert opinion. Because the actual allocation of treatment slots depends mostly on insurance status, payers may consider incorporating PROPS, or its underlying principles, into proton therapy coverage policies

Optimal allocation of resources in systems

International Nuclear Information System (INIS)

Derman, C.; Lieberman, G.J.; Ross, S.M.

1975-01-01

In the design of a new system, or the maintenance of an old system, allocation of resources is of prime consideration. In allocating resources it is often beneficial to develop a solution that yields an optimal value of the system measure of desirability. In the context of the problems considered in this paper the resources to be allocated are components already produced (assembly problems) and money (allocation in the construction or repair of systems). The measure of desirability for system assembly will usually be maximizing the expected number of systems that perform satisfactorily and the measure in the allocation context will be maximizing the system reliability. Results are presented for these two types of general problems in both a sequential (when appropriate) and non-sequential context

Using Excel's Solver Function to Facilitate Reciprocal Service Department Cost Allocations

Science.gov (United States)

Leese, Wallace R.

2013-01-01

The reciprocal method of service department cost allocation requires linear equations to be solved simultaneously. These computations are often so complex as to cause the abandonment of the reciprocal method in favor of the less sophisticated and theoretically incorrect direct or step-down methods. This article illustrates how Excel's Solver…

National plan project of quotas allocation. Reference period

International Nuclear Information System (INIS)

2004-06-01

This document described the national plan project of greenhouse gases quotas allocation, in application of the directive 2003/87/CE. It is a preliminary document providing hypothesis, data and results which could well be modified. It presents in seven chapters the determination of the final quotas quantity, the determination of the final quotas quantity per each activity sectors and per installation, the technical aspects, the community policy and legislation, the public consultation and other criteria analysis. (A.L.B.)

Allocating multiple units

DEFF Research Database (Denmark)

Tranæs, Torben; Krishna, Kala

2002-01-01

This paper studies the allocation and rent distribution in multi-unit, combinatorial-bid auctions under complete information. We focus on the natural multi-unit analogue of the first-price auction, where buyers bid total payments, pay their bids, and where the seller allocates goods to maximize his...... auction, which is the multi unit analogue of a second-price auction. Furthermore, we characterize these equilibria when valuations take a number of different forms: diminishing marginal valuations, increasing average valuations, and marginal valuations with single turning points...

ESG Allocations

Data.gov (United States)

Department of Housing and Urban Development — This report displays the Emergency Solutions Grants (ESG), formerly Emergency Shelter Grants, allocation by jurisdiction. The website allows users to look at...

Optimizing MPBSM Resource Allocation Based on Revenue Management: A China Mobile Sichuan Case

Directory of Open Access Journals (Sweden)

Xu Chen

2015-01-01

Full Text Available The key to determining the network service level of telecom operators is resource allocation for mobile phone base station maintenance (MPBSM. Given intense market competition and higher consumer requirements for network service levels, an increasing proportion of resources have been allocated to MPBSM. Maintenance costs account for the rising fraction of direct costs, and the management of MPBSM resource allocation presents special challenges to telecom operators. China Mobile is the largest telecom operator in the world. Its subsidiary, China Mobile Sichuan, is the first in China to use revenue management in improving MPBSM resource allocation. On the basis of comprehensive revenue (including both economic revenue and social revenue, the subsidiary established a classification model of its base stations. The model scientifically classifies more than 25,000 base stations according to comprehensive revenue. China Mobile Sichuan also conducted differentiation allocation of MPBSM resources on the basis of the classification results. Furthermore, it optimized the assessment system of the telecom base stations to establish an assurance system for the use of MPBSM resources. After half-year implementation, the cell availability of both VIP base stations and total base stations significantly improved. The optimization also reduced economic losses to RMB 10.134 million, and enhanced customer satisfaction with network service by 3.2%.

Comprehensive reliability allocation method for CNC lathes based on cubic transformed functions of failure mode and effects analysis

Science.gov (United States)

Yang, Zhou; Zhu, Yunpeng; Ren, Hongrui; Zhang, Yimin

2015-03-01

Reliability allocation of computerized numerical controlled(CNC) lathes is very important in industry. Traditional allocation methods only focus on high-failure rate components rather than moderate failure rate components, which is not applicable in some conditions. Aiming at solving the problem of CNC lathes reliability allocating, a comprehensive reliability allocation method based on cubic transformed functions of failure modes and effects analysis(FMEA) is presented. Firstly, conventional reliability allocation methods are introduced. Then the limitations of direct combination of comprehensive allocation method with the exponential transformed FMEA method are investigated. Subsequently, a cubic transformed function is established in order to overcome these limitations. Properties of the new transformed functions are discussed by considering the failure severity and the failure occurrence. Designers can choose appropriate transform amplitudes according to their requirements. Finally, a CNC lathe and a spindle system are used as an example to verify the new allocation method. Seven criteria are considered to compare the results of the new method with traditional methods. The allocation results indicate that the new method is more flexible than traditional methods. By employing the new cubic transformed function, the method covers a wider range of problems in CNC reliability allocation without losing the advantages of traditional methods.

A New UK 2006 National Kidney Allocation Scheme for deceased heart-beating donor kidneys.

Science.gov (United States)

Johnson, Rachel J; Fuggle, Susan V; Mumford, Lisa; Bradley, J Andrew; Forsythe, John L R; Rudge, Chris J

2010-02-27

In 2004, it was agreed that a new allocation scheme for kidneys from deceased heart-beating donors was required in the United Kingdom to address observed inequities in access to transplant. The 2006 National Kidney Allocation Scheme (2006 NKAS) was developed to meet agreed objectives and preparatory work included a review of the criteria for human leukocyte antigen (HLA) matching and simulation evidence about the effectiveness of alternative schemes. ALGORITHM FOR 2006 NKAS: The 2006 NKAS gives absolute priority to all 000 HLA-A, -B, -DR-mismatched patients and well-matched pediatric patients (inequity of access will take a number of years to address fully.

Verification of Heart Disease: Implications for a New Heart Transplantation Allocation System.

Science.gov (United States)

Raeisi-Giglou, Pejman; Rodriguez, E Rene; Blackstone, Eugene H; Tan, Carmela D; Hsich, Eileen M

2017-12-01

This study sought to determine the accuracy of the pre-transplantation clinical diagnosis of heart disease in the United Network for Organ Sharing (UNOS) database. Because survival on the heart transplantation waitlist depends on underlying heart disease, a new allocation system will include the type of heart disease. Accuracy of the pre-transplantation clinical diagnosis and the effect of misclassification are unknown. We included all adults who received transplants at our center between January 2009 to December 2015. We compared the pre-transplantation clinical diagnosis at listing with pathology of the explanted heart and determined the potential effect of misclassification with the proposed allocation system. A total of 334 patients had the following clinical cardiac diagnoses at listing: 148 had dilated cardiomyopathy, 19 had restrictive cardiomyopathy, 103 had ischemic cardiomyopathy, 24 had hypertrophic cardiomyopathy, 11 had valvular disease, 16 had congenital heart disease (CHD), and 13 patients had a diagnosis of "other." Pathology of the explanted hearts revealed 82% concordance and 18% discordance (10% coding errors and 8% incorrect diagnosis). The most common incorrect diagnoses were sarcoidosis (66%), arrhythmogenic right ventricular dysplasia (60%), and other causes of predominately right-sided heart failure (33%). Among the misclassified diagnoses, 40% were listed as UNOS status 2, 8% remained at status 2 at transplantation, and only sarcoidosis and CHD were potentially at a disadvantage with the new allocation. There is high concordance between clinical and pathologic diagnosis, except for sarcoidosis and genetic diseases. Few misclassifications result in disadvantages to patients based on the new allocation system, but rare diseases like sarcoidosis remain problematic. To improve the UNOS database and enhance outcome research, pathology of the explanted hearts should be required post-transplantation. Copyright © 2017 American College of

Musical Meter Modulates the Allocation of Attention across Time.

Science.gov (United States)

Fitzroy, Ahren B; Sanders, Lisa D

2015-12-01

Dynamic attending theory predicts that attention is allocated hierarchically across time during processing of hierarchical rhythmic structures such as musical meter. ERP research demonstrates that attention to a moment in time modulates early auditory processing as evidenced by the amplitude of the first negative peak (N1) approximately 100 msec after sound onset. ERPs elicited by tones presented at times of high and low metric strength in short melodies were compared to test the hypothesis that hierarchically structured rhythms direct attention in a manner that modulates early perceptual processing. A more negative N1 was observed for metrically strong beats compared with metrically weak beats; this result provides electrophysiological evidence that hierarchical rhythms direct attention to metrically strong times during engaged listening. The N1 effect was observed only on fast tempo trials, suggesting that listeners more consistently invoke selective processing based on hierarchical rhythms when sounds are presented rapidly. The N1 effect was not modulated by musical expertise, indicating that the allocation of attention to metrically strong times is not dependent on extensive training. Additionally, changes in P2 amplitude and a late negativity were associated with metric strength under some conditions, indicating that multiple cognitive processes are associated with metric perception.

Strategies for Allocation of the US Federal Budget: Military and Innovative Dimension

Directory of Open Access Journals (Sweden)

Glukhova Darya A.

2015-11-01

Full Text Available The aim of the article is to define the conceptual framework and features of priority directions in redistribution of the US federal funds. This subject is very relevant because it discloses a system of financing and allocations of the most powerful state in the world in many aspects. The article describes the structure of government funding of the national military sector and directions of the modernization of the US military-industrial complex. It has been determined that in the global expansion of military actions the USA in no case remain aloof from the given events. Manufacturing the US military products plays a key role in the defense industry not only of the country itself but also the international community as a whole. For Ukraine, with the complications in its military-political situation, the cooperation with the United States and inclusion of the financial assistance to our country in its federal budget are very important. The mentioned directions for allocating the received funds in the amount of $ 300 mln by the Ukrainian government confirm the support by the American state of our military equipment and modernization of the national defense industry

A novel evaluation of heat-electricity cost allocation in cogenerations based on entropy change method

International Nuclear Information System (INIS)

Ye, Xuemin; Li, Chunxi

2013-01-01

As one of the most significant measures to improve energy utilization efficiency and save energy, cogeneration or combined heat and power (CHP) has been widely applied and promoted with positive motivations in many countries. A rational cost allocation model should indicate the performance of cogenerations and balance the benefits between electricity generation and heat production. Based on the second law of thermodynamics, the present paper proposes an entropy change method for cost allocation by choosing exhaust steam entropy as a datum point, and the new model works in conjunction with entropy change and irreversibility during energy conversion processes. The allocation ratios of heat cost with the present and existing methods are compared for different types of cogenerations. Results show that the allocation ratios with the entropy change method are more rational and the cost allocation model can make up some limitations involved in other approaches. The future energy policies and innovational directions for cogenerations and heat consumers should be developed. - Highlights: • A rational model of cogeneration cost allocation is established. • Entropy change method integrates the relation of entropy change and exergy losses. • The unity of measuring energy quality and quantity is materialized. • The benefits between electricity generation and heat production are balanced

An Analysis and Allocation System for Library Collections Budgets: The Comprehensive Allocation Process (CAP)

Science.gov (United States)

Lyons, Lucy Eleonore; Blosser, John

2012-01-01

The "Comprehensive Allocation Process" (CAP) is a reproducible decision-making structure for the allocation of new collections funds, for the reallocation of funds within stagnant budgets, and for budget cuts in the face of reduced funding levels. This system was designed to overcome common shortcomings of current methods. Its philosophical…

Endogeneously arising network allocation rules

NARCIS (Netherlands)

Slikker, M.

2006-01-01

In this paper we study endogenously arising network allocation rules. We focus on three allocation rules: the Myerson value, the position value and the component-wise egalitarian solution. For any of these three rules we provide a characterization based on component efficiency and some balanced

Risk allocation under liquidity constraints

NARCIS (Netherlands)

Csóka, P.; Herings, P.J.J.

2013-01-01

Risk allocation games are cooperative games that are used to attribute the risk of a financial entity to its divisions. In this paper, we extend the literature on risk allocation games by incorporating liquidity considerations. A liquidity policy specifies state-dependent liquidity requirements that

Cost Allocation Plans for Municipalities for Internal Management and Grant Programs.

Science.gov (United States)

1981-03-01

21 3. Indirect Cost --------------------------------- 23 4. S ummary--------------------------------------- 25 D. RESPONSIBILITY ACCOUNTING ...depart- ments or operating units. Z-7:6747 In Cost Accounting - A Managerial Emphasis by Charles T. Horngren the word direct refers to the practicable...INDIRECT COST POOL -- COST ALLOCATION BASE -- COST FINDING In Cost Accounting : A Managerial Emphasis, Charles T. Horngren states: There are

Direct reciprocity stabilizes simultaneous hermaphroditism at high mating rates: A model of sex allocation with egg trading.

Science.gov (United States)

Henshaw, Jonathan M; Kokko, Hanna; Jennions, Michael D

2015-08-01

Simultaneous hermaphroditism is predicted to be unstable at high mating rates given an associated increase in sperm competition. The existence of reciprocal egg trading, which requires both hermaphroditism and high mating rates to evolve, is consequently hard to explain. We show using mathematical models that the presence of a trading economy creates an additional fitness benefit to egg production, which selects for traders to bias their sex allocation toward the female function. This female-biased sex allocation prevents pure females from invading a trading population, thereby allowing simultaneous hermaphroditism to persist stably at much higher levels of sperm competition than would otherwise be expected. More generally, our model highlights that simultaneous hermaphroditism can persist stably when mating opportunities are abundant, as long as sperm competition remains low. It also predicts that reciprocity will select for heavier investment in the traded resource. © 2015 The Author(s). Evolution © 2015 The Society for the Study of Evolution.

Prevalence and Contents of Advance Directives of Patients with ESRD Receiving Dialysis.

Science.gov (United States)

Feely, Molly A; Hildebrandt, Daniel; Edakkanambeth Varayil, Jithinraj; Mueller, Paul S

2016-12-07

ESRD requiring dialysis is associated with increased morbidity and mortality rates, including increased rates of cognitive impairment, compared with the general population. About one quarter of patients receiving dialysis choose to discontinue dialysis at the end of life. Advance directives are intended to give providers and surrogates instruction on managing medical decision making, including end of life situations. The prevalence of advance directives is low among patients receiving dialysis. Little is known about the contents of advance directives among these patients with advance directives. We retrospectively reviewed the medical records of all patients receiving maintenance in-center hemodialysis at a tertiary academic medical center between January 1, 2007 and January 1, 2012. We collected demographic data, the prevalence of advance directives, and a content analysis of these advance directives. We specifically examined the advance directives for instructions on management of interventions at end of life, including dialysis. Among 808 patients (mean age of 68.6 years old; men =61.2%), 49% had advance directives, of which only 10.6% mentioned dialysis and only 3% specifically addressed dialysis management at end of life. Patients who had advance directives were more likely to be older (74.5 versus 65.4 years old; Phydration (34.3%), and pain management (43.4%) than dialysis (10.6%). Although one-half of the patients receiving dialysis in our study had advance directives, end of life management of dialysis was rarely addressed. Future research should focus on improving discernment and documentation of end of life values, goals, and preferences, such as dialysis-specific advance directives, among these patients. Copyright © 2016 by the American Society of Nephrology.

24 CFR 791.404 - Field Office allocation planning.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Field Office allocation planning... Allocation of Budget Authority for Housing Assistance § 791.404 Field Office allocation planning. (a) General objective. The allocation planning process should provide for the equitable distribution of available budget...

Advance Directives and Powers of Attorney in Intensive Care Patients.

Science.gov (United States)

de Heer, Geraldine; Saugel, Bernd; Sensen, Barbara; Rübsteck, Charlotte; Pinnschmidt, Hans O; Kluge, Stefan

2017-06-05

Advance directives and powers of attorney are increasingly common, yet data on their use in clinical situations remain sparse. In this single center cross-sectional study, we collected data by questionnaire from 1004 intensive care patients in a university hospital. The frequencies of advance directives and powers of attorney were determined, and the factors affecting them were studied with multivariate logistic regression analysis. Usable data were obtained from 998 patients. 51.3% stated that they had prepared a document of at least one of these two kinds. Among them, 39.6% stated that they had given the relevant document(s) to the hospital, yet such documents were present in the patient's hospital record for only 23%. 508 patients stated their reasons for preparing an advance directive or a power of attorney: the most common reason (48%) was the fear of being at other people's mercy, of the lack of self-determination, or of medical overtreatment. The most important factors associated with a patient's statement that he/she had prepared such a document were advanced age (advance directive: 1.022 [1.009; 1.036], p = 0.001; power of attorney: 1.027 [1.014; 1.040], padvance directive: 1.622 [1.138; 2.311], padvance directives and 44.1% of the powers of attorney that were present in the hospital records were poorly interpretable because of the incomplete filling-out of preprinted forms. Half of the patients who did not have such a document had already thought of preparing one, but had not yet done so. For patients hospitalized in intensive care units, there should be early discussion about the presence or absence of documents of these kinds and early evaluation of the patient's concrete wishes in critical situations. Future studies are needed to determine how best to assure that these documents will be correctly prepared and then given over to hospital staff so that they can take their place in the patient's record.

Approach of the T-CONT Allocation to Increase the Bandwidth in Passive Optical Networks

Directory of Open Access Journals (Sweden)

Z. Bosternak

2017-12-01

Full Text Available This paper works with the simulation of T-CONT allocation and delay analysis in passive optical networks PON. Building our networks with the PON technology we can achieve increased data rates, however we need to ensure that the idle gaps between the particular transmissions are minimal. The primary method for the upstream time slot allocation in passive optical networks is via Multi Point Control Protocol. The baseline standard of this protocol clearly defines the use of the REPORT and GATE control messages. The two optical network elements used here, the optical network unit ONT and the optical line termination OLT, located at the central office CO, can be scheduled to allocate the time slots. Using the control messages, a more accurate scheduling algorithm can be developed, hence we can directly improve the utilization of the bandwidth as well. In this work, we introduce the basic topology of the passive optical networks, how PON works and what basic principles of bandwidth allocation have been applied. Subsequently, we suggest a selection of methods for time slot allocation and we make an analysis on the achieved results. Our main focus is on the system load, transfer delay and the analysis of the effectivity.

Type monotonic allocation schemes for multi-glove games

OpenAIRE

Brânzei, R.; Solymosi, T.; Tijs, S.H.

2007-01-01

Multiglove markets and corresponding games are considered.For this class of games we introduce the notion of type monotonic allocation scheme.Allocation rules for multiglove markets based on weight systems are introduced and characterized.These allocation rules generate type monotonic allocation schemes for multiglove games and are also helpful in proving that each core element of the corresponding game is extendable to a type monotonic allocation scheme.The T-value turns out to generate a ty...

Allocation of Internal Medicine Resident Time in a Swiss Hospital: A Time and Motion Study of Day and Evening Shifts.

Science.gov (United States)

Wenger, Nathalie; Méan, Marie; Castioni, Julien; Marques-Vidal, Pedro; Waeber, Gérard; Garnier, Antoine

2017-04-18

Little current evidence documents how internal medicine residents spend their time at work, particularly with regard to the proportions of time spent in direct patient care versus using computers. To describe how residents allocate their time during day and evening hospital shifts. Time and motion study. Internal medicine residency at a university hospital in Switzerland, May to July 2015. 36 internal medicine residents with an average of 29 months of postgraduate training. Trained observers recorded the residents' activities using a tablet-based application. Twenty-two activities were categorized as directly related to patients, indirectly related to patients, communication, academic, nonmedical tasks, and transition. In addition, the presence of a patient or colleague and use of a computer or telephone during each activity was recorded. Residents were observed for a total of 696.7 hours. Day shifts lasted 11.6 hours (1.6 hours more than scheduled). During these shifts, activities indirectly related to patients accounted for 52.4% of the time, and activities directly related to patients accounted for 28.0%. Residents spent an average of 1.7 hours with patients, 5.2 hours using computers, and 13 minutes doing both. Time spent using a computer was scattered throughout the day, with the heaviest use after 6:00 p.m. The study involved a small sample from 1 institution. At this Swiss teaching hospital, internal medicine residents spent more time at work than scheduled. Activities indirectly related to patients predominated, and about half the workday was spent using a computer. Information Technology Department and Department of Internal Medicine of Lausanne University Hospital.

Optimal resource allocation for distributed video communication

CERN Document Server

He, Yifeng

2013-01-01

While most books on the subject focus on resource allocation in just one type of network, this book is the first to examine the common characteristics of multiple distributed video communication systems. Comprehensive and systematic, Optimal Resource Allocation for Distributed Video Communication presents a unified optimization framework for resource allocation across these systems. The book examines the techniques required for optimal resource allocation over Internet, wireless cellular networks, wireless ad hoc networks, and wireless sensor networks. It provides you with the required foundat

Indirect vs direct bonding of mandibular fixed retainers in orthodontic patients: Comparison of retainer failures and posttreatment stability. A 2-year follow-up of a single-center randomized controlled trial.

Science.gov (United States)

Egli, Fabienne; Bovali, Efstathia; Kiliaridis, Stavros; Cornelis, Marie A

2017-01-01

The objectives of this 2-arm parallel trial were to compare the numbers of failures of mandibular fixed retainers bonded with indirect and direct methods and to investigate the posttreatment changes 2 years after placement. Sixty-four consecutive patients from the postgraduate orthodontic clinic of the University of Geneva in Switzerland were randomly allocated to either an indirect or a traditional direct bonding procedure of a mandibular fixed retainer at the end of their orthodontic treatment (T0). Eligibility criteria were the presence of the 4 mandibular incisors and the 2 mandibular canines, and no active caries, restorations, fractures, or periodontal disease of these teeth. The patients were randomized in blocks of 4 (using an online randomization service) with allocation concealment secured by contacting the sequence generator for assignment. The patients were recalled 12 months and 24 months (T3) after retainer bonding. The main outcome was any first-time failure of retainers (ie, at least 1 composite pad debonded or fractured); unexpected posttreatment changes of the mandibular incisors and canines were a secondary outcome. Impressions and lateral cephalograms were taken at T0 and T3: changes in mandibular intercanine and interpremolar distances and mandibular incisor inclination were assessed. Blinding was applicable for outcome assessment only. The chi-square test and Cox regression were used to compare the survival rates of the retainers bonded with direct and indirect methods. Paired t tests were used to assess differences in intercanine and interpremolar distances and mandibular incisor inclination at T0 and T3. Significance was set at P direct bonding group (log-rank test, P = 0.64). The hazard ratio was 1.26 (95% confidence interval, 0.56-2.81; P = 0.58). Bond failures occurred mainly during the first year. There were no clinically significant changes in mandibular intercanine distance, interpremolar distance, and incisor inclination

Intelligent tactical asset allocation support system

OpenAIRE

Hiemstra, Y.

1995-01-01

This paper presents an advanced support system for Tactical Asset Allocation. Asset allocation explains over 90% of portfolio performance (Brinson, Hood and Beebower, 1988). Tactical asset allocation adjusts a strategic portfolio on the basis of short term market outlooks. The system includes aprediction model that forecasts quarterly excess returns on the S and PSOO, an optimization model that adjusts a user-specified strategic portfolio on thebasis of the excess return forecast, and a compo...

Direct-to-consumer teledermatology services for pediatric patients: Room for improvement.

Science.gov (United States)

Fogel, Alexander L; Teng, Joyce; Sarin, Kavita Y

2016-11-01

Direct-to-consumer teledermatology is radically changing the way some patients obtain dermatologic care. Many direct-to-consumer teledermatology services offer care to patients younger than 18 years, but policies and standards are nonuniform. For pediatric patients, direct-to-consumer teledermatology is a substantial departure from in-person care. More consensus, standards, and guidelines are necessary. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Cognitive radio networks dynamic resource allocation schemes

CERN Document Server

Wang, Shaowei

2014-01-01

This SpringerBrief presents a survey of dynamic resource allocation schemes in Cognitive Radio (CR) Systems, focusing on the spectral-efficiency and energy-efficiency in wireless networks. It also introduces a variety of dynamic resource allocation schemes for CR networks and provides a concise introduction of the landscape of CR technology. The author covers in detail the dynamic resource allocation problem for the motivations and challenges in CR systems. The Spectral- and Energy-Efficient resource allocation schemes are comprehensively investigated, including new insights into the trade-off

On the power and offset allocation for rate adaptation of spatial multiplexing in optical wireless MIMO channels

KAUST Repository

Park, Kihong

2013-04-01

In this paper, we consider resource allocation method in the visible light communication. It is challenging to achieve high data rate due to the limited bandwidth of the optical sources. In order to increase the spectral efficiency, we design a suitable multiple-input multiple-output (MIMO) system utilizing spatial multiplexing based on singular value decomposition and adaptive modulation. More specifically, after explaining why the conventional allocation method in radio frequency MIMO channels cannot be applied directly to the optical intensity channels, we theoretically derive a power allocation method for an arbitrary number of transmit and receive antennas for optical wireless MIMO systems. Based on three key constraints: the nonnegativity of the intensity-modulated signal, the aggregate optical power budget, and the bit error rate requirement, we propose a novel method to allocate the optical power, the offset value, and the modulation size. Based on some selected simulation results, we show that our proposed allocation method gives a better spectral efficiency at the expense of an increased computational complexity in comparison to a simple method that allocates the optical power equally among all the data streams. © 2013 IEEE.

On the power and offset allocation for rate adaptation of spatial multiplexing in optical wireless MIMO channels

KAUST Repository

Park, Kihong; Ko, Youngchai; Alouini, Mohamed-Slim

2013-01-01

In this paper, we consider resource allocation method in the visible light communication. It is challenging to achieve high data rate due to the limited bandwidth of the optical sources. In order to increase the spectral efficiency, we design a suitable multiple-input multiple-output (MIMO) system utilizing spatial multiplexing based on singular value decomposition and adaptive modulation. More specifically, after explaining why the conventional allocation method in radio frequency MIMO channels cannot be applied directly to the optical intensity channels, we theoretically derive a power allocation method for an arbitrary number of transmit and receive antennas for optical wireless MIMO systems. Based on three key constraints: the nonnegativity of the intensity-modulated signal, the aggregate optical power budget, and the bit error rate requirement, we propose a novel method to allocate the optical power, the offset value, and the modulation size. Based on some selected simulation results, we show that our proposed allocation method gives a better spectral efficiency at the expense of an increased computational complexity in comparison to a simple method that allocates the optical power equally among all the data streams. © 2013 IEEE.

Allocation of losses in distribution system with dispersed generation of electricity

International Nuclear Information System (INIS)

Atanasovski, Metodija B.

2005-01-01

The problem of allocation of losses in distribution systems with dispersed generation (DG) of electricity is considered in this work. Definition of category DG, overview of technologies which belongs to this category and main features of each technology are given. Modeling of DG in steady state analysis of distribution networks is completely elaborated. Requirements for ideal allocation of losses are summarized. Methods from the literature, for allocation of losses in distribution systems with DG, are elaborated, as: classical distribution pricing method, substitution method, marginal loss coefficients method and nodal factors pricing method. In this work a new method for allocation of losses in distribution systems with DG is also presented. The new method is based on branches and resolves the problems of implementation of branch based methods for transmission networks to distribution networks. The method establishes direct relationship between losses in each branch of the network and injected active and reactive power in the nodes on which path to the root node the branch is placed. Reactive power is considered in the loss allocation process in this method and allocation of crossed terms of active and reactive power is performed using quadratic allocation of crossed terms. DG in this method is treated as negative power injection. It is assumed that the network is radial and the power flow in each branch of the, distribution network is constant and equal to the sum of injected active and reactive power in each node on which path to the root node, the branch is placed. The network is considered loss less. The new proposed method is applied and tested on real distribution network which is a part of Distribution company-Bitola. One distribution feeder of power station 110/10 kV/kV Bitola 4 is considered. Different types of consumers and two small hydro power plants in property of JP Strezevo as typical representatives of DG are connected to the feeder. Results

Burnout After Patient Death: Challenges for Direct Care Workers.

Science.gov (United States)

Boerner, Kathrin; Gleason, Hayley; Jopp, Daniela S

2017-09-01

Direct care workers in long-term care can develop close relationships with their patients and subsequently experience significant grief after patient death. Consequences of this experience for employment outcomes have received little attention. To investigate staff, institutional, patient, and grief factors as predictors of burnout dimensions among direct care workers who had experienced recent patient death; determine which specific aspects of these factors are of particular importance; and establish grief as an independent predictor of burnout dimensions. Participants were 140 certified nursing assistants and 80 homecare workers who recently experienced patient death. Data collection involved comprehensive semistructured in-person interviews. Standardized assessments and structured questions addressed staff, patient, and institutional characteristics, grief symptoms and grief avoidance, as well as burnout dimensions (depersonalization, emotional exhaustion, and personal accomplishment). Hierarchical regressions revealed that grief factors accounted for unique variance in depersonalization, over and above staff, patient, and institutional factors. Supervisor support and caregiving benefits were consistently associated with higher levels on burnout dimensions. In contrast, coworker support was associated with a higher likelihood of depersonalization and emotional exhaustion. Findings suggest that grief over patient death plays an overlooked role in direct care worker burnout. High supervisor support and caregiving benefits may have protective effects with respect to burnout, whereas high coworker support may constitute a reflection of burnout. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Identifying Memory Allocation Patterns in HEP Software

Science.gov (United States)

Kama, S.; Rauschmayr, N.

2017-10-01

HEP applications perform an excessive amount of allocations/deallocations within short time intervals which results in memory churn, poor locality and performance degradation. These issues are already known for a decade, but due to the complexity of software frameworks and billions of allocations for a single job, up until recently no efficient mechanism has been available to correlate these issues with source code lines. However, with the advent of the Big Data era, many tools and platforms are now available to do large scale memory profiling. This paper presents, a prototype program developed to track and identify each single (de-)allocation. The CERN IT Hadoop cluster is used to compute memory key metrics, like locality, variation, lifetime and density of allocations. The prototype further provides a web based visualization back-end that allows the user to explore the results generated on the Hadoop cluster. Plotting these metrics for every single allocation over time gives a new insight into application’s memory handling. For instance, it shows which algorithms cause which kind of memory allocation patterns, which function flow causes how many short-lived objects, what are the most commonly allocated sizes etc. The paper will give an insight into the prototype and will show profiling examples for the LHC reconstruction, digitization and simulation jobs.

Resource Allocation in a Frequency Hopping PCS1900/GSM/DCS1800 Type of Network

DEFF Research Database (Denmark)

Nielsen, Thomas Toftegaard; Wigard, Jeroen; Michaelsen, Per-Henrik

1999-01-01

Resource allocation in a frequency hopping network is even more problematic than in a traditional network. The combined effect from all serving frequencies has to be considered directly in the allocation process. An algorithm doing this for a PCS1900/GSM/DCS1800 type of network is presented. The ....... A graphical visualisation tool has been developed as well. This tool uses a network quality measure tightly linked to the FER rather than the traditional C/I or BER. Using these statistics an increase in network quality is shown...

Interactive Land-Use Optimization Using Laguerre Voronoi Diagram with Dynamic Generating Point Allocation

Science.gov (United States)

Chaidee, S.; Pakawanwong, P.; Suppakitpaisarn, V.; Teerasawat, P.

2017-09-01

In this work, we devise an efficient method for the land-use optimization problem based on Laguerre Voronoi diagram. Previous Voronoi diagram-based methods are more efficient and more suitable for interactive design than discrete optimization-based method, but, in many cases, their outputs do not satisfy area constraints. To cope with the problem, we propose a force-directed graph drawing algorithm, which automatically allocates generating points of Voronoi diagram to appropriate positions. Then, we construct a Laguerre Voronoi diagram based on these generating points, use linear programs to adjust each cell, and reconstruct the diagram based on the adjustment. We adopt the proposed method to the practical case study of Chiang Mai University's allocated land for a mixed-use complex. For this case study, compared to other Voronoi diagram-based method, we decrease the land allocation error by 62.557 %. Although our computation time is larger than the previous Voronoi-diagram-based method, it is still suitable for interactive design.

Neural circuitry governing anxious individuals' mis-allocation of working memory to threat.

Science.gov (United States)

Stout, Daniel M; Shackman, Alexander J; Pedersen, Walker S; Miskovich, Tara A; Larson, Christine L

2017-08-18

Dispositional anxiety is a trait-like phenotype that confers increased risk for a range of debilitating neuropsychiatric disorders. Like many patients with anxiety disorders, individuals with elevated levels of dispositional anxiety are prone to intrusive and distressing thoughts in the absence of immediate threat. Recent electrophysiological research suggests that these symptoms are rooted in the mis-allocation of working memory (WM) resources to threat-related information. Here, functional MRI was used to identify the network of brain regions that support WM for faces and to quantify the allocation of neural resources to threat-related distracters in 81 young adults. Results revealed widespread evidence of mis-allocation. This was evident in both face-selective regions of the fusiform cortex and domain-general regions of the prefrontal and parietal cortices. This bias was exaggerated among individuals with a more anxious disposition. Mediation analyses provided compelling evidence that anxious individuals' tendency to mis-allocate WM resources to threat-related distracters is statistically explained by heightened amygdala reactivity. Collectively, these results provide a neurocognitive framework for understanding the pathways linking anxious phenotypes to the development of internalizing psychopathology and set the stage for developing improved intervention strategies.

29 CFR 4211.35 - Direct attribution method for withdrawals after the initial plan year.

Science.gov (United States)

2010-07-01

... WITHDRAWING EMPLOYERS Allocation Methods for Merged Multiemployer Plans § 4211.35 Direct attribution method for withdrawals after the initial plan year. The allocation method under this section is the... 29 Labor 9 2010-07-01 2010-07-01 false Direct attribution method for withdrawals after the initial...

Disappointment and drop-out rate after being allocated to control group in a smoking cessation trial

DEFF Research Database (Denmark)

Lindström, D; Sundberg-Petersson, I; Adami, J

2010-01-01

If a patient agrees to take part in a randomised trial it is reasonable to presume that the patient would prefer to be allocated into the intervention. This study's aim was to investigate how patients react after they have been randomised into control group....

Holding-time-aware asymmetric spectrum allocation in virtual optical networks

Science.gov (United States)

Lyu, Chunjian; Li, Hui; Liu, Yuze; Ji, Yuefeng

2017-10-01

Virtual optical networks (VONs) have been considered as a promising solution to support current high-capacity dynamic traffic and achieve rapid applications deployment. Since most of the network services (e.g., high-definition video service, cloud computing, distributed storage) in VONs are provisioned by dedicated data centers, needing different amount of bandwidth resources in both directions, the network traffic is mostly asymmetric. The common strategy, symmetric provisioning of traffic in optical networks, leads to a waste of spectrum resources in such traffic patterns. In this paper, we design a holding-time-aware asymmetric spectrum allocation module based on SDON architecture and an asymmetric spectrum allocation algorithm based on the module is proposed. For the purpose of reducing spectrum resources' waste, the algorithm attempts to reallocate the idle unidirectional spectrum slots in VONs, which are generated due to the asymmetry of services' bidirectional bandwidth. This part of resources can be exploited by other requests, such as short-time non-VON requests. We also introduce a two-dimensional asymmetric resource model for maintaining idle spectrum resources information of VON in spectrum and time domains. Moreover, a simulation is designed to evaluate the performance of the proposed algorithm, and results show that our proposed asymmetric spectrum allocation algorithm can improve the resource waste and reduce blocking probability.

Carbon allocation in forest ecosystems

Science.gov (United States)

Creighton M. Litton; James W. Raich; Michael G. Ryan

2007-01-01

Carbon allocation plays a critical role in forest ecosystem carbon cycling. We reviewed existing literature and compiled annual carbon budgets for forest ecosystems to test a series of hypotheses addressing the patterns, plasticity, and limits of three components of allocation: biomass, the amount of material present; flux, the flow of carbon to a component per unit...

[Model for the regional allocation of the National Health Care Fund].

Science.gov (United States)

Loreti, P; Muzzi, A; Bruni, G

1989-01-01

In 1978 a National Health Service (Servizio Sanitario Nazionale = SSN) was constituted in Italy which exercises jurisdiction in the sector of health care and is duty bound to assist all citizens. Basically speaking, the NHS is organized on three levels (national, regional and local) with the management of direct operations assigned to the (about 700) Local Health Boards (Unità Sanitaria Locale = USL) each of which covers a well determined territorial area. The Authors indicate that rarely discussed or evaluated are the procedures for the regional allocation of health care funding which is determined by Parliament within the ambit of the National Budget (The National Health Care Fund). The current allocation model distributes the available capital resources for each expense item (e.g. hospitalization, pharmaceutical assistance, etc.) on a per capita basis with respect to the regional populations modified in order to allow for differing degrees of health care requirements. The regional populations are subdivided into broad age groups (e.g. children, intermediary, the elderly) with specific weighting factors expressing the different level of health care requirements. The application of these weighting factors alters the regional populations (with no change in the total population of the country) in order to express them in equivalent units with respect to the health care need. Moreover, standardized death rates are introduced into the model as indicators of the different health risk, and their application leads to a further modification in the level of the regional populations so as to express them in equivalent units with respect to the health risk as well. Once the available financial resources have been subdivided in this "theoretical" way, the following corrective factors are applied: a) hospital mobility correction factor: the regions with a credit admissions balance are assigned an additional cost which is borne by the regions with a debit admissions balance; b

Pollution permits allocation and imperfect competition; Allocation de permis de pollution et concurrence imparfaite

Energy Technology Data Exchange (ETDEWEB)

Schwartz, S.

2004-12-15

The aim of this thesis is to highlight the imperfections on the permits markets and to analyze their consequences on markets' efficiency. More precisely, we try to identify the implications of the initial allocation of permits when such imperfections are present. We try to draw some conclusions for the regulator concerning the different forms of the permits' allocation. After having described and compared these forms, we define in which circumstances the initial allocation matters in terms of efficiency. Then, we study different forms of imperfections. First, we take into account the information asymmetry between firms and the regulator and we define an optimal mechanism to sell pollution permits. Then, we analyze a market power on a differentiated pollution permits market. At last, we study the exclusionary manipulation of pollution permits market. (author)

Cost allocation in distribution planning

International Nuclear Information System (INIS)

Engevall, S.

1996-01-01

This thesis concerns cost allocation problems in distribution planning. The cost allocation problems we study are illustrated using the distribution planning situation at the Logistics department of Norsk Hydro Olje AB. The planning situation is modeled as a Traveling Salesman Problem and a Vehicle Routing Problem with an inhomogeneous fleet. The cost allocation problems are the problems of how to divide the transportation costs among the customers served in each problem. The cost allocation problems are formulated as cooperative games, in characteristic function form, where the customers are defined to be the players. The games contain five and 21 players respectively. Game theoretical solution concepts such as the core, the nucleolus, the Shapley value and the τ-value are discussed. From the empirical results we can, among other things, conclude that the core of the Traveling Salesman Game is large, and that the core of the Vehicle Routing Game is empty. In the accounting of Norsk Hydro the cost per m 3 can be found for each tour. We conclude that for a certain definition of the characteristic function, a cost allocation according to this principle will not be included in the core of the Traveling Salesman Game. The models and methods presented in this thesis can be applied to transportation problems similar to that of Norsk Hydro, independent of the type of products that are delivered. 96 refs, 11 figs, 26 tabs

Cost allocation in distribution planning

Energy Technology Data Exchange (ETDEWEB)

Engevall, S.

1996-12-31

This thesis concerns cost allocation problems in distribution planning. The cost allocation problems we study are illustrated using the distribution planning situation at the Logistics department of Norsk Hydro Olje AB. The planning situation is modeled as a Traveling Salesman Problem and a Vehicle Routing Problem with an inhomogeneous fleet. The cost allocation problems are the problems of how to divide the transportation costs among the customers served in each problem. The cost allocation problems are formulated as cooperative games, in characteristic function form, where the customers are defined to be the players. The games contain five and 21 players respectively. Game theoretical solution concepts such as the core, the nucleolus, the Shapley value and the {tau}-value are discussed. From the empirical results we can, among other things, conclude that the core of the Traveling Salesman Game is large, and that the core of the Vehicle Routing Game is empty. In the accounting of Norsk Hydro the cost per m{sup 3} can be found for each tour. We conclude that for a certain definition of the characteristic function, a cost allocation according to this principle will not be included in the core of the Traveling Salesman Game. The models and methods presented in this thesis can be applied to transportation problems similar to that of Norsk Hydro, independent of the type of products that are delivered. 96 refs, 11 figs, 26 tabs

Cost allocation in distribution planning

Energy Technology Data Exchange (ETDEWEB)

Engevall, S

1997-12-31

This thesis concerns cost allocation problems in distribution planning. The cost allocation problems we study are illustrated using the distribution planning situation at the Logistics department of Norsk Hydro Olje AB. The planning situation is modeled as a Traveling Salesman Problem and a Vehicle Routing Problem with an inhomogeneous fleet. The cost allocation problems are the problems of how to divide the transportation costs among the customers served in each problem. The cost allocation problems are formulated as cooperative games, in characteristic function form, where the customers are defined to be the players. The games contain five and 21 players respectively. Game theoretical solution concepts such as the core, the nucleolus, the Shapley value and the {tau}-value are discussed. From the empirical results we can, among other things, conclude that the core of the Traveling Salesman Game is large, and that the core of the Vehicle Routing Game is empty. In the accounting of Norsk Hydro the cost per m{sup 3} can be found for each tour. We conclude that for a certain definition of the characteristic function, a cost allocation according to this principle will not be included in the core of the Traveling Salesman Game. The models and methods presented in this thesis can be applied to transportation problems similar to that of Norsk Hydro, independent of the type of products that are delivered. 96 refs, 11 figs, 26 tabs

Implementation of the CEC Directive on patient protection

International Nuclear Information System (INIS)

Harris, M.A.

1986-01-01

A report on a lecture given on the implementation in the UK of the CEC Directive on patient protection is given. After outlining the history of legislation on the medical uses of ionizing radiations, the current Directive and the Department of Health and Social Security's specific proposals to meet its requirements are presented. (UK)

Perspectives of Korean Patients, Families, Physicians and Nurses on Advance Directives

Directory of Open Access Journals (Sweden)

Jia Lee, PhD, RN

2010-12-01

Conclusions: There were many differences in the perspectives of patients, families, physicians and nurses on advance directives. End-of-life care decisions should take the wishes of patients into account, and that such decisions should therefore be made before the patients lose the capacity to make them. To make well-informed decisions regarding future care, patients and families must be fully educated about advance directives and expected outcomes.

Fast SPT-Term Allocation and Efficient FPGA Implementation of FIR Filters for Software Defined Radio Applications

OpenAIRE

Bae, Choonghoon; Moteki, Takayuki; Kim, Minseok; Ichige, Koichi; Arai, Hiroyuki

2009-01-01

This paper presents a fast SPT-term allocation scheme and an efficient FPGA implementation of FIR filters for Software Defined Radio (SDR) applications. Direct conversion method based on RF direct sampling is nowadays widely used in SDR applications. Fast and accurate digital filters are required for RF direct sampling and processing in direct conversion, however such filters often require large digital circuit area. Signed-Power-of-Two (SPT) terms will be suitable for fast processing and eff...

A novel power and offset allocation method for spatial multiplexing MIMO Systems in optical wireless channels

KAUST Repository

Park, Kihong

2011-12-01

We consider optical wireless communication which can be utilized for illumination and communication by relying on lighting devices. Due to the limited bandwidth of optical sources, it is challenging to achieve high data rate in optical wireless systems. In order to obtain a multiplexing gain and high spectral efficiency, we design an optical multi-input multi-output (MIMO) system utilizing a singular value decomposition-based spatial multiplexing and adaptive modulation. We note that the conventional allocation method in radio frequency MIMO channels cannot be applied directly to the optical intensity channels. In this paper, we generalize the result of power allocation method in [1] for arbitrary number of transmit and receive antennas in optical wireless MIMO systems. Based on three constraints, namely, the nonnegativity, the aggregate optical power, and the bit error rate requirement, we propose a novel method to allocate the optical power, the offset value, and the modulation size for maximum sum rate. From some selected simulation results, we show that our proposed allocation method gives a better spectral efficiency than the method that allocates the optical power equally for each data stream. © 2011 IEEE.

Ramsey waits: allocating public health service resources when there is rationing by waiting.

Science.gov (United States)

Gravelle, Hugh; Siciliani, Luigi

2008-09-01

The optimal allocation of a public health care budget across treatments must take account of the way in which care is rationed within treatments since this will affect their marginal value. We investigate the optimal allocation rules for public health care systems where user charges are fixed and care is rationed by waiting. The optimal waiting time is higher for treatments with demands more elastic to waiting time, higher costs, lower charges, smaller marginal welfare loss from waiting by treated patients, and smaller marginal welfare losses from under-consumption of care. The results hold for a wide range of welfarist and non-welfarist objective functions and for systems in which there is also a private health care sector. They imply that allocation rules based purely on cost effectiveness ratios are suboptimal because they assume that there is no rationing within treatments.

Art viewing directives in hospital settings effect on mood.

Science.gov (United States)

Ho, Rainbow T H; Potash, Jordan S; Fang, Fan; Rollins, Judy

2015-01-01

The purpose of this study was to determine the effect viewing directives can have when encountering art in hospitals. A secondary objective of the study was to understand the responses of viewers to an art exhibit on the theme of medical student empathy toward patient pain and suffering. Displaying art in hospitals has been credited with increasing well-being of patients, visitors, and staff. Generally, hospital curators have focused on the type of art to display (natural, symbolic, and abstract). This focus has neglected the possibility that in addition to the type of art, the way that viewers engage art may also be responsible for the healing effect. Participants (n = 97) were randomly allocated into one of the viewing directives: (1) reflecting on one artwork, (2) creating a drawing or poem in response to one artwork, or (3) no direction. Prior to looking at the art and immediately after, participants were administered the Brief Mood Introspection Scale (BMIS) and offered an opportunity to participate in an interview. Pre-post results of the BMIS demonstrated that viewers who received directions achieved some therapeutic effect. Qualitative themes from the post-exhibit interviews identified that the empathy themed exhibit was well received, although there were differences among responses from patients, visitors, and staff. The results imply that hospitals may consider offering prompts to help viewers engage with art to enhance mood and exhibiting art that demonstrates empathy for patient suffering. © The Author(s) 2015.

The allocation of attention to learning of goal-directed actions: A cognitive neuroscience framework focusing on the basal ganglia

Directory of Open Access Journals (Sweden)

Liz eFranz

2012-12-01

Full Text Available The present paper builds on the idea that attention is largely in service of our actions. A framework and model which captures the allocation of attention for learning of goal-directed actions is proposed and developed. This framework highlights an evolutionary model based on the notion that rudimentary brain functions have become embedded into increasingly higher levels of networks which all contribute to adaptive learning. Background literature is presented alongside key evidence based on experimental studies in the so-called ‘split-brain’ (surgically divided cerebral hemispheres with a key focus on bimanual actions. The proposed multilevel cognitive-neural system of attention is built upon key processes of a highly-adaptive basal-ganglia-thalamic-cortical system. Although overlap with other existing findings and models is acknowledged where appropriate, the proposed framework is an original synthesis of cognitive experimental findings with supporting evidence of a neural system and a carefully formulated model of attention. It is the hope that this new synthesis will be informative in fields of cognition and other fields of brain sciences and will lead to new avenues for experimentation across domains.

Establishment of calculated panel reactive antibody and its potential benefits in improving the kidney allocation strategy in Taiwan

Directory of Open Access Journals (Sweden)

Ssu-Wen Shen

2017-12-01

Full Text Available Background/Purpose: Renal transplant candidates who are highly sensitized to human leukocyte antigens (HLAs tend to wait longer to find a matched donor and have poor outcomes. Most organ-sharing programs prioritize highly sensitized patients in the allocation scoring system. The HLA sensitization status is traditionally evaluated by the panel-reactive antibody (PRA assay. However, this assay is method dependent and does not consider the ethnic differences in HLA frequencies. A calculated PRA (cPRA, based on a population's HLA frequency and patients' unacceptable antigens (UAs, correctly estimates the percentage of donors suitable for candidates. The Taiwan Organ Registry and Sharing Center does not prioritize sensitized patients. We propose that the incorporation of the cPRA and UAs into the renal allocation program will improve the local kidney allocation policy. Methods: We established a cPRA calculator using 6146 Taiwanese HLA-A, -B, -C, -DR, and -DQ phenotypes. We performed simulated allocation based on the concept of acceptable mismatch for 76 candidates with cPRA values exceeding 80%. Results: We analyzed 138 waitlisted renal transplant candidates at our hospital, and we determined that the concordance rate of the cPRA and PRA for highly sensitized (%PRA > 80% candidates was 92.5%, which decreased to 20% for those with %PRA < 80%. We matched 76 highly sensitized patients based on acceptable mismatch with the HLA phenotypes of 93 cadaver donors. Forty-six patients (61% found at least one suitable donor. Conclusion: The application of the cPRA and acceptable mismatch can benefit highly sensitized patients and reduce positive lymphocyte cytotoxicity crossmatch. Keywords: Kidney transplantation, Human leukocyte antigen, CPRA

Energy abatement in Chinese industry: Cost evaluation of regulation strategies and allocation alternatives

International Nuclear Information System (INIS)

Xia, X.H.; Chen, G.Q.

2012-01-01

For Chinese industry, the costs of different energy consumption abatement scenarios are evaluated by the method of directional distance function. These scenarios are based on the combinations of regulation strategies and allocation alternatives—the former are sectors and provinces, and the latter include the five principles of average, intensity share, absolute share, discriminatory absolute and discriminatory intensity. For all the scenarios, the quantitative impacts in terms of output potential loss are calculated and compared. Due to less output potential loss for all the allocation alternatives, the sector regulation strategy is shown to be more effective than the province regulation strategy. It is also demonstrated that, among all the scenarios considered, the sector regulation based on the intensity share principle and the province regulation based on the absolute share principle are the two optimal. The performances of energy abatement allocation of the 11th and 12th Five Year Plans of China are assessed against the simulated scenarios. - Highlights: ► The costs of different energy consumption abatement scenarios are evaluated for Chinese industry. ► The impacts on all entities under all allocation alternatives are calculated and compared. ► The optimal scenarios for the different strategies are identified. ► The performances of the 11th and 12th Five Year Plans are assessed.

Participation behavior and social welfare in repeated task allocations

NARCIS (Netherlands)

Ye, Q.C.; Zhang, Y.

2016-01-01

Task allocation problems have focused on achieving one-shot optimality. In practice, many task allocation problems are of repeated nature, where the allocation outcome of previous rounds may influence the participation of agents in subsequent rounds, and consequently, the quality of the allocations

Characterizing contract-based multiagent resource allocation in networks.

Science.gov (United States)

An, Bo; Lesser, Victor

2010-06-01

We consider a multiagent resource allocation problem where individual users intend to route traffic by requesting the help of entities across a network, and a cost is incurred at each network node that depends on the amount of traffic to be routed. We propose to study contract-based network resource allocation. In our model, users and nodes in the network make contracts before nodes route traffic for the users. The problem is an interesting self-interested negotiation problem because it requires the complete assembly of a set of distinct resources, and there are multiple combinations of distinct resources that could satisfy the goal of negotiation. First, we characterize the network allocation problem and show that finding optimal allocations is NP-complete and is inapproximable. We take both Nash equilibrium and pairwise Nash equilibrium as the solution concepts to characterize the equilibrium allocations. We find that, for any resource allocation game, Nash equilibrium and pairwise Nash equilibrium always exist. In addition, socially optimal allocations are always supported by Nash equilibrium and pairwise Nash equilibrium. We introduce best-response dynamics in which each agent takes a myopic best-response strategy and interacts with each other to dynamically form contracts. We analyze the convergence of the dynamics in some special cases. We also experimentally study the convergence rate of the dynamics and how efficient the evolved allocation is as compared with the optimal allocation in a variety of environments.

Optimal defense resource allocation in scale-free networks

Science.gov (United States)

Zhang, Xuejun; Xu, Guoqiang; Xia, Yongxiang

2018-02-01

The robustness research of networked systems has drawn widespread attention in the past decade, and one of the central topics is to protect the network from external attacks through allocating appropriate defense resource to different nodes. In this paper, we apply a specific particle swarm optimization (PSO) algorithm to optimize the defense resource allocation in scale-free networks. Results reveal that PSO based resource allocation shows a higher robustness than other resource allocation strategies such as uniform, degree-proportional, and betweenness-proportional allocation strategies. Furthermore, we find that assigning less resource to middle-degree nodes under small-scale attack while more resource to low-degree nodes under large-scale attack is conductive to improving the network robustness. Our work provides an insight into the optimal defense resource allocation pattern in scale-free networks and is helpful for designing a more robust network.

A pollutant load hierarchical allocation method integrated in an environmental capacity management system for Zhushan Bay, Taihu Lake.

Science.gov (United States)

Liang, Shidong; Jia, Haifeng; Yang, Cong; Melching, Charles; Yuan, Yongping

2015-11-15

An environmental capacity management (ECM) system was developed to help practically implement a Total Maximum Daily Load (TMDL) for a key bay in a highly eutrophic lake in China. The ECM system consists of a simulation platform for pollutant load calculation and a pollutant load hierarchical allocation (PLHA) system. The simulation platform was developed by linking the Environmental Fluid Dynamics Code (EFDC) and Water Quality Analysis Simulation Program (WASP). In the PLHA, pollutant loads were allocated top-down in several levels based on characteristics of the pollutant sources. Different allocation methods could be used for the different levels with the advantages of each method combined over the entire allocation. Zhushan Bay of Taihu Lake, one of the most eutrophic lakes in China, was selected as a case study. The allowable loads of total nitrogen, total phosphorus, ammonia, and chemical oxygen demand were found to be 2122.2, 94.9, 1230.4, and 5260.0 t·yr(-1), respectively. The PLHA for the case study consists of 5 levels. At level 0, loads are allocated to those from the lakeshore direct drainage, atmospheric deposition, internal release, and tributary inflows. At level 1 the loads allocated to tributary inflows are allocated to the 3 tributaries. At level 2, the loads allocated to one inflow tributary are allocated to upstream areas and local sources along the tributary. At level 3, the loads allocated to local sources are allocated to the point and non-point sources from different towns. At level 4, the loads allocated to non-point sources in each town are allocated to different villages. Compared with traditional forms of pollutant load allocation methods, PLHA can combine the advantages of different methods which put different priority weights on equity and efficiency, and the PLHA is easy to understand for stakeholders and more flexible to adjust when applied in practical cases. Copyright © 2015 Elsevier B.V. All rights reserved.

Clinical trial allocation in multinational pharmaceutical companies - a qualitative study on influential factors.

Science.gov (United States)

Dombernowsky, Tilde; Haedersdal, Merete; Lassen, Ulrik; Thomsen, Simon F

2017-06-01

Clinical trial allocation in multinational pharmaceutical companies includes country selection and site selection. With emphasis on site selection, the overall aim of this study was to examine which factors pharmaceutical companies value most when allocating clinical trials. The specific aims were (1) to identify key decision makers during country and site selection, respectively, (2) to evaluate by which parameters subsidiaries are primarily assessed by headquarters with regard to conducting clinical trials, and (3) to evaluate which site-related qualities companies value most when selecting trial sites. Eleven semistructured interviews were conducted among employees engaged in trial allocation at 11 pharmaceutical companies. The interviews were analyzed by deductive content analysis, which included coding of data to a categorization matrix containing categories of site-related qualities. The results suggest that headquarters and regional departments are key decision makers during country selection, whereas subsidiaries decide on site selection. Study participants argued that headquarters primarily value timely patient recruitment and quality of data when assessing subsidiaries. The site-related qualities most commonly emphasized during interviews were study population availability, timely patient recruitment, resources at the site, and site personnel's interest and commitment. Costs of running the trials were described as less important. Site personnel experience in conducting trials was described as valuable but not imperative. In conclusion, multinational pharmaceutical companies consider recruitment-related factors as crucial when allocating clinical trials. Quality of data and site personnel's interest and commitment are also essential, whereas costs seem less important. While valued, site personnel experience in conducting clinical trials is not imperative.

Adolescence, Attention Allocation, and Driving Safety

Science.gov (United States)

Romer, Daniel; Lee, Yi-Ching; McDonald, Catherine C.; Winston, Flaura K.

2014-01-01

Motor vehicle crashes are the leading source of morbidity and mortality in adolescents in the United States and the developed world. Inadequate allocation of attention to the driving task and to driving hazards are important sources of adolescent crashes. We review major explanations for these attention failures with particular focus on the roles that brain immaturity and lack of driving experience play in causing attention problems. The review suggests that the potential for overcoming inexperience and immaturity with training to improve attention to both the driving task and hazards is substantial. Nevertheless, there are large individual differences in both attentional abilities and risky driving tendencies that pose challenges to novice driver policies. Research that can provide evidence-based direction for such policies is urgently needed. PMID:24759442

Bounds in the location-allocation problem

DEFF Research Database (Denmark)

Juel, Henrik

1981-01-01

Develops a family of stronger lower bounds on the objective function value of the location-allocation problem. Solution methods proposed to solve problems in location-allocation; Efforts to develop a more efficient bound solution procedure; Determination of the locations of the sources....

Profit allocation of independent power producers based on cooperative Game theory

International Nuclear Information System (INIS)

Jia, N.X.; Yokoyama, R.

2003-01-01

With the development of deregulation, the retail market is being formed. The independent power producers (IPPs) can contact the customers and sell electric power to them directly to obtain the profits because IPPs can provide electricity at cheaper prices to the customers than the utilities can. If IPP can obtain further more profit through collaborating with other ones in some coalition, it will prefer to collaborate to form this coalition rather than participating individually. In coalition, also the problem of how to allocate profit rationally for each IPP should also be solved. In this paper, we discuss the cooperation of IPPs in retail market and give a formulation about the calculation of IPPs profits. After that, based on Game theory, we propose a scheme to decide the profit allocation of each IPP in the coalitions rationally and impartially. (author)

Direct vision internal urethrotomy in 459 urethral stricture patients at ...

African Journals Online (AJOL)

Four hundred and fifty nine patients seen with simple urethral strictures between 1990 and 1998 underwent direct vision urethrotomy.. The procedure was successful in 441 patients and failed in only 18 patients. Postoperative complications included fever in 31 patients, urethral bleeding in 14 and epididymitis in 17 patients.

Resource allocation based on cost efficiency

DEFF Research Database (Denmark)

Dehnokhalaji, Akram; Ghiyasi, Mojtaba; Korhonen, Pekka

2017-01-01

-objective linear programming problem using two different strategies. First, we propose an RA model which keeps the cost efficiencies of units unchanged. This is done assuming fixed technical and allocative efficiencies. The approach is based on the assumption that the decision maker (DM) may not have big changes......In this paper, we consider a resource allocation (RA) problem and develop an approach based on cost (overall) efficiency. The aim is to allocate some inputs among decision making units (DMUs) in such way that their cost efficiencies improve or stay unchanged after RA. We formulate a multi...... in the structure of DMUs within a short term. The second strategy does not impose any restrictions on technical and allocative efficiencies. It guarantees that none of the cost efficiencies of DMUs get worse after RA, and the improvement for units is possible if it is feasible and beneficial. Two numerical...

Transcranial Direct Current Stimulation Improves Audioverbal Memory in Stroke Patients.

Science.gov (United States)

Kazuta, Toshinari; Takeda, Kotaro; Osu, Rieko; Tanaka, Satoshi; Oishi, Ayako; Kondo, Kunitsugu; Liu, Meigen

2017-08-01

The aim of this study was to investigate whether anodal transcranial direct current stimulation over the left temporoparietal area improved audioverbal memory performance in stroke patients. Twelve stroke patients with audioverbal memory impairment participated in a single-masked, crossover, and sham-controlled experiment. The anodal or sham transcranial direct current stimulation was applied during the Rey Auditory Verbal Learning Test, which evaluates the ability to recall a list of 15 heard words over five trials. The number of correctly recalled words was compared between the anodal and sham conditions and the influence of transcranial direct current stimulation on serial position effect of the 15 words was also examined. The increase in the number of correctly recalled words from the first to the fifth trial was significantly greater in the anodal condition than in the sham condition (P transcranial direct current stimulation over the left temporoparietal area improved audioverbal memory performance and induced the primacy effect in stroke patients.

Maintainability allocation

International Nuclear Information System (INIS)

Guyot, Christian.

1980-06-01

The author gives the general lines of a method for the allocation and for the evaluation of maintainability of complex systems which is to be developed during the conference. The maintainability objective is supposed to be formulated under the form of a mean time to repair (M.T.T.R.) [fr

Optimal allocation of thermodynamic irreversibility for the integrated design of propulsion and thermal management systems

Science.gov (United States)

Maser, Adam Charles

work losses over the time history of the mission. The characterization of the thermodynamic irreversibility distribution helps give the propulsion systems designer an absolute and consistent view of the tradeoffs associated with the design of the entire integrated system. Consequently, this leads directly to the question of the proper allocation of irreversibility across each of the components. The process of searching for the most favorable allocation of this irreversibility is the central theme of the research and must take into account production cost and vehicle mission performance. The production cost element is accomplished by including an engine component weight and cost prediction capability within the system model. The vehicle mission performance is obtained by directly linking the propulsion and thermal management model to a vehicle performance model and flying it through a mission profile. A canonical propulsion and thermal management systems architecture is then presented to experimentally test each element of the methodology separately: first the integrated modeling and simulation, then the irreversibility, cost, and mission performance considerations, and then finally the proper technique to perform the optimal allocation. A goal of this research is the description of the optimal allocation of system irreversibility to enable an engine cycle design with improved performance and cost at the vehicle-level. To do this, a numerical optimization was first used to minimize system-level production and operating costs by fixing the performance requirements and identifying the best settings for all of the design variables. There are two major drawbacks to this approach: It does not allow the designer to directly trade off the performance requirements and it does not allow the individual component losses to directly factor into the optimization. An irreversibility allocation approach based on the economic concept of resource allocation is then compared to the

[Can the vascular specialist improve patient awareness about advanced directives?].

Science.gov (United States)

Sanson, H; Priollet, P

2016-05-01

In France, the Leonetti law, adopted on April 22, 2005, stipulates the regulations concerning advanced directives. This is a patient's right that is not well known and rarely applied. In 2015, a new law project was thus presented in which the French National Authority for Health recommended that doctors, including all specialists, bring up the subject, especially during consultation. To evaluate the vascular specialist's possibility to mention the topic of advanced directives during consultations. A single and non-interventional prospective study conducted with the help of patients who consulted a private practitioner vascular specialist: recurrent patients regularly consulting a private practitioner vascular specialist were included. First-time consultants, minors and patients to whom it was not adapted to speak about the subject were not included. Between July 27 and September 23, 2015, 159 consecutive patients were examined. Fifty-five first-time consultants and four patients for whom the interview was unsuitable were excluded. In all, 100 patients were questioned. None of them refused to talk about the subject. Women made up a majority of the population (63 %) with an average age of 67 years (23-97). The principal diagnostics were common to vascular medicine consultations: deep vein thrombosis (20 %), peripheral arterial disease (15 %), varicose veins (11 %), lymphedema (11 %) and leg ulcers (9 %). Thirteen percent of the people had a history of cancer. Half of the patients had had follow-ups for over 10 years. The average time devoted to discussing the topic was 12minutes (5-40). Only 22 % of the patients declared having been familiar with advance directives. Once informed however, 78 % chose to write up an adapted form: 36 % with the help of their doctor and 42 % with a doctor and a relative. Seventy-three percent of the consultants thought that talking about the advance directives would reinforce the confidence link between the doctor and the

Optimizing utilization of kidneys from deceased donors over 60 years: five-year outcomes after implementation of a combined clinical and histological allocation algorithm.

Science.gov (United States)

Pierobon, Elisa Sefora; Sefora, Pierobon Elisa; Sandrini, Silvio; Silvio, Sandrini; De Fazio, Nicola; Nicola, De Fazio; Rossini, Giuseppe; Giuseppe, Rossini; Fontana, Iris; Iris, Fontana; Boschiero, Luigino; Luigino, Boschiero; Gropuzzo, Maria; Maria, Gropuzzo; Gotti, Eliana; Eliana, Gotti; Donati, Donato; Donato, Donati; Minetti, Enrico; Enrico, Minetti; Gandolfo, Maria Teresa; Teresa, Gandolfo Maria; Brunello, Anna; Anna, Brunello; Libetta, Carmelo; Carmelo, Libetta; Secchi, Antonio; Antonio, Secchi; Chiaramonte, Stefano; Stefano, Chiaramonte; Rigotti, Paolo; Paolo, Rigotti

2013-08-01

This 5 year observational multicentre study conducted in the Nord Italian Transplant programme area evaluated outcomes in patients receiving kidneys from donors over 60 years allocated according to a combined clinical and histological algorithm. Low-risk donors 60-69 years without risk factors were allocated to single kidney transplant (LR-SKT) based on clinical criteria. Biopsy was performed in donors over 70 years or 60-69 years with risk factors, allocated to Single (HR-SKT) or Dual kidney transplant (HR-DKT) according to the severity of histological damage. Forty HR-DKTs, 41 HR-SKTs and 234 LR-SKTs were evaluated. Baseline differences generally reflected stratification and allocation criteria. Patient and graft (death censored) survival were 90% and 92% for HR-DKT, 85% and 89% for HR-SKT, 88% and 87% for LR-SKT. The algorithm appeared user-friendly in daily practice and was safe and efficient, as demonstrated by satisfactory outcomes in all groups at 5 years. Clinical criteria performed well in low-risk donors. The excellent outcomes observed in DKTs call for fine-tuning of cut-off scores for allocation to DKT or SKT in high-risk patients. © 2013 Steunstichting ESOT. Published by John Wiley & Sons Ltd.

Worst-case analysis of heap allocations

DEFF Research Database (Denmark)

Puffitsch, Wolfgang; Huber, Benedikt; Schoeberl, Martin

2010-01-01

the worst-case heap allocations of tasks. The analysis builds upon techniques that are well established for worst-case execution time analysis. The difference is that the cost function is not the execution time of instructions in clock cycles, but the allocation in bytes. In contrast to worst-case execution...... time analysis, worst-case heap allocation analysis is not processor dependent. However, the cost function depends on the object layout of the runtime system. The analysis is evaluated with several real-time benchmarks to establish the usefulness of the analysis, and to compare the memory consumption...

Resource Allocation for A Mobile Application Oriented Architecture

NARCIS (Netherlands)

Guo, Y.; Smit, Gerardus Johannes Maria; Lu, W.W.; Xie, X.

2005-01-01

A Montium is a coarse-grained reconfigurable architecture designed by the CADTES group of the University of Twente for mobile applications. This paper presents a resource allocation method to allocate variables to storage places and to schedule data movements for the Montium. The resource allocation

Cognitive allocation and the control room

International Nuclear Information System (INIS)

Paradies, M.W.

1985-01-01

One of the weakest links in the design of nuclear power plants is the inattention to the needs and capabilities of the operators. This flaw causes decreased plant reliability and reduced plant safety. To solve this problem the designer must, in the earliest stages of the design process, consider the operator's abilities. After the system requirements have been established, the designer must consider what functions to allocate to each part of the system. The human must be considered as part of this system. The allocation of functions needs to consider not only the mechanical tasks to be performed, but also the control requirements and the overall control philosophy. In order for the designers to consider the control philosophy, they need to know what control decisions should be automated and what decisions should be made by an operator. They also need to know how these decisions will be implemented: by an operator or by automation. ''Cognitive Allocation'' is the allocation of the decision making process between operators and machines. It defines the operator's role in the system. When designing a power plant, a cognitive allocation starts the process of considering the operator's abilities. This is the first step to correcting the weakest link in the current plant design

Methodology for allocating reliability and risk

International Nuclear Information System (INIS)

Cho, N.Z.; Papazoglou, I.A.; Bari, R.A.

1986-05-01

This report describes a methodology for reliability and risk allocation in nuclear power plants. The work investigates the technical feasibility of allocating reliability and risk, which are expressed in a set of global safety criteria and which may not necessarily be rigid, to various reactor systems, subsystems, components, operations, and structures in a consistent manner. The report also provides general discussions on the problem of reliability and risk allocation. The problem is formulated as a multiattribute decision analysis paradigm. The work mainly addresses the first two steps of a typical decision analysis, i.e., (1) identifying alternatives, and (2) generating information on outcomes of the alternatives, by performing a multiobjective optimization on a PRA model and reliability cost functions. The multiobjective optimization serves as the guiding principle to reliability and risk allocation. The concept of ''noninferiority'' is used in the multiobjective optimization problem. Finding the noninferior solution set is the main theme of the current approach. The final step of decision analysis, i.e., assessment of the decision maker's preferences could then be performed more easily on the noninferior solution set. Some results of the methodology applications to a nontrivial risk model are provided, and several outstanding issues such as generic allocation, preference assessment, and uncertainty are discussed. 29 refs., 44 figs., 39 tabs

Financial Resources Allocation of Tabriz University of Medical Sciences

Directory of Open Access Journals (Sweden)

Esmaeil Afiyan

2015-08-01

Full Text Available ​ Background and Objectives : According to complexity of resource allocation, issue about how to allocate health care resources in an accurate and fair manner has become the subject of discussions and decisions of related groups. Therefore, in this research we aim to study the methods of financial resource allocation of Tabriz University of Medical Sciences in order to identify its strengths and weaknesses for its promotion. Material and Methods : This study is a descriptive, qualitative sectional research and all comments have been collected by focus group discussions with experts and managers involved in the allocation of financial resources of Tabriz University of Medical Sciences. All factors affecting the process of allocation have been reviewd carefully. Results : Results suggested that except the health sector, none of the other sectors use the formulated  and scientific methods for allocating financial resources and despite the emphasize in the 4th development plan for operating funding, the final cost of the services, has no role in allocating financial resources. Conclusion : Regarding to judgmental and subjective method of financial resources allocation of Tabriz University of Medical Sciences and lack of documented and formulated methods, there is an essential need for developing an appropriate and formulated model for scientific allocation of financial resources in order to improve the efficiency and fairness of the allocation.

On the power and offset allocation for rate adaptation of spatial multiplexing in optical wireless MIMO channels

KAUST Repository

Park, Kihong

2011-07-01

Visible light communication (VLC) using optical sources which can be simultaneously utilized for illumination and communication is currently an attractive option for wireless personal area network. Improving the data rate in optical wireless communication system is challenging due to the limited bandwidth of the optical sources. In this paper, we design the singular value decomposition (SVD)- based multiplexing multiple-input multiple-output (MIMO) system to support two data streams in optical wireless channels. Noting that the conventional allocation method in radio frequency (RF) MIMO channels cannot be applied directly to the optical intensity channels, we propose a novel method to allocate the optical power, the offset value and the modulation size for maximum sum rate under the constraints of the nonnegativity of the modulated signals, the aggregate optical power and the bit error rate (BER) requirement. The simulation results show that the proposed allocation method gives the better performance than the method to allocate the optical power equally for each data stream. © 2011 IEEE.

Efficient Metropolitan Resource Allocation

Directory of Open Access Journals (Sweden)

Richard Arnott

2016-05-01

Full Text Available Over the past 30 years Calgary has doubled in size, from a population of 640,645 in 1985 to 1,230,915 in 2015. During that time the City has had five different mayors, hosted the Winter Olympics, and expanded the C-Train from 25 platforms to 45. Calgary’s Metropolitan Area has grown too, with Airdrie, Chestermere, Okotoks and Cochrane growing into full-fledged cities, ripe with inter-urban commuters.* And with changes to provincial legislation in the mid-’90s, rural Rocky View County and the Municipal District of Foothills are now real competitors for residential, commercial and industrial development that in the past would have been considered urban. In this metropolitan system, where people live, their household structure, and their place of work informs the services they need to conduct their daily lives, and directly impacts the spatial character of the City and the broader region. In sum, Metropolitan Calgary is increasingly complex. Calgary and the broader metropolitan area will continue to grow, even with the current economic slowdown. Frictions within Calgary, between the various municipalities in the metropolitan area, and the priorities of other local authorities (such as the School Boards and Alberta Health Services will continue to impact the agendas of local politicians and their ability to answer to the needs of their residents. How resources – whether it is hard infrastructure, affordable housing, classrooms, or hospital beds – are allocated over space and how these resources are funded, directly impacts these relationships. This technical paper provides my perspective as an urban economist on the efficient allocation of resources within a metropolitan system in general, with reference to Calgary where appropriate, and serves as a companion to the previously released “Reflections on Calgary’s Spatial Structure: An Urban Economists Critique of Municipal Planning in Calgary.” It is hoped that the concepts reviewed

The Voucher System as an Alternative for Allocating Sports Grants

Directory of Open Access Journals (Sweden)

Marek Pavlik

2014-12-01

Full Text Available Sport funding at the municipal level has a long tradition, especially in Europe. Youth involvement in sport is usually an important aspect of grant policies. There are questions regarding how to allocate public resources more efficiently and how to increase youth participation in sport. We analyse sport vouchers as a tool for increasing transparency and efficiency as well as the involvement of young people and their parents in sport policy at the local level.Vouchers typically transfer purchasing power directly to the target group. Using sport vouchers as a tool for allocating public resources is still quite rare. Some attempts with sport vouchers were made in Australia and the UK, and there are examples of sport vouchers in the Czech Republic.The aim of this paper is to discuss the advantages of vouchers as an alternative method of sport funding at the municipal level. We also formulate recommendations for implementing a voucher system.

Ethical models in bioethics: theory and application in organ allocation policies.

Science.gov (United States)

Petrini, C

2010-12-01

Policies for allocating organs to people awaiting a transplant constitute a major ethical challenge. First and foremost, they demand balance between the principles of beneficence and justice, but many other ethically relevant principles are also involved: autonomy, responsibility, equity, efficiency, utility, therapeutic outcome, medical urgency, and so forth. Various organ allocation models can be developed based on the hierarchical importance assigned to a given principle over the others, but none of the principles should be completely disregarded. An ethically acceptable organ allocation policy must therefore be in conformity, to a certain extent, with the requirements of all the principles. Many models for organ allocation can be derived. The utilitarian model aims to maximize benefits, which can be of various types on a social or individual level, such as the number of lives saved, prognosis, and so forth. The prioritarian model favours the neediest or those who suffer most. The egalitarian model privileges equity and justice, suggesting that all people should have an equal opportunity (casual allocation) or priority should be given to those who have been waiting longer. The personalist model focuses on each individual patient, attempting to mesh together all the various aspects affecting the person: therapeutic needs (urgency), fairness, clinical outcomes, respect for persons. In the individualistic model the main element is free choice and the system of opting-in is privileged. Contrary to the individualistic model, the communitarian model identities in the community the fundamental elements for the legitimacy of choices: therefore, the system of opting-out is privileged. This article does not aim at suggesting practical solutions. Rather, it furnishes to decision makers an overview on the possible ethical approach to this matter.

Balancing treatment allocations by clinician or center in randomized trials allows unacceptable levels of treatment prediction.

Science.gov (United States)

Hills, Robert K; Gray, Richard; Wheatley, Keith

2009-08-01

Randomized controlled trials are the standard method for comparing treatments because they avoid the selection bias that might arise if clinicians were free to choose which treatment a patient would receive. In practice, allocation of treatments in randomized controlled trials is often not wholly random with various 'pseudo-randomization' methods, such as minimization or balanced blocks, used to ensure good balance between treatments within potentially important prognostic or predictive subgroups. These methods avoid selection bias so long as full concealment of the next treatment allocation is maintained. There is concern, however, that pseudo-random methods may allow clinicians to predict future treatment allocations from previous allocation history, particularly if allocations are balanced by clinician or center. We investigate here to what extent treatment prediction is possible. Using computer simulations of minimization and balanced block randomizations, the success rates of various prediction strategies were investigated for varying numbers of stratification variables, including the patient's clinician. Prediction rates for minimization and balanced block randomization typically exceed 60% when clinician is included as a stratification variable and, under certain circumstances, can exceed 80%. Increasing the number of clinicians and other stratification variables did not greatly reduce the prediction rates. Without clinician as a stratification variable, prediction rates are poor unless few clinicians participate. Prediction rates are unacceptably high when allocations are balanced by clinician or by center. This could easily lead to selection bias that might suggest spurious, or mask real, treatment effects. Unless treatment is blinded, randomization should not be balanced by clinician (or by center), and clinician-center effects should be allowed for instead by retrospectively stratified analyses. © 2009 Blackwell Publishing Asia Pty Ltd and Chinese

Swaps and Chains and Vouchers, Oh My!: Evaluating How Saving More Lives Impacts the Equitable Allocation of Live Donor Kidneys.

Science.gov (United States)

Tenenbaum, Evelyn M

2018-03-01

Live kidney donation involves a delicate balance between saving the most lives possible and maintaining a transplant system that is fair to the many thousands of patients on the transplant waiting list. Federal law and regulations require that kidney allocation be equitable, but the pressure to save patients subject to ever-lengthening waiting times for a transplant has been swinging the balance toward optimizing utility at the expense of justice. This article traces the progression of innovations created to make optimum use of a patient's own live donors. It starts with the simplest - direct donation by family members - and ends with voucher donations, a very recent and unique innovation because the donor can donate 20 or more years before the intended recipient is expected to need a kidney. In return for the donation, the intended recipient receives a voucher that can be redeemed for a live kidney when it is needed. Other innovations that are discussed include kidney exchanges and list paired donation, which are used to facilitate donor swaps when donor/recipient pairs have incompatible blood types. The discussion of each new innovation shows how the equity issues build on each other and how, with each new innovation, it becomes progressively harder to find an acceptable balance between utility and justice. The article culminates with an analysis of two recent allocation methods that have the potential to save many additional lives, but also affirmatively harm some patients on the deceased donor waiting list by increasing their waiting time for a life-saving kidney. The article concludes that saving additional lives does not justify harming patients on the waiting list unless that harm can be minimized. It also proposes solutions to minimize the harm so these new innovations can equitably perform their intended function of stimulating additional transplants and extending the lives of many transplant patients.

Accounting of allocation of production enterprises’ overhead costs

Directory of Open Access Journals (Sweden)

О.V. Ivaniuta

2016-12-01

Full Text Available Taking into account the complexity of engineering technological cycles, the use of traditional approaches to the allocation of overhead costs at the researching enterprises is inexpedient and inefficient. The authors find out that to solve this problem it is not enough to choose only one base of allocation because the formed prime cost with such an approach will not meet the reality. That is why it is suggested to use a multilevel allocation of overhead costs. The proposed approach involves the allocation of overhead costs at the following levels: fixed and variable, with shops of main and auxiliary production, calculation stations, some orders. Each level involves the selection of individual allocation bases that are grouped on economic, technological and integrated ones.

S4HARA: System for HIV/AIDS resource allocation.

Science.gov (United States)

Lasry, Arielle; Carter, Michael W; Zaric, Gregory S

2008-03-26

HIV/AIDS resource allocation decisions are influenced by political, social, ethical and other factors that are difficult to quantify. Consequently, quantitative models of HIV/AIDS resource allocation have had limited impact on actual spending decisions. We propose a decision-support System for HIV/AIDS Resource Allocation (S4HARA) that takes into consideration both principles of efficient resource allocation and the role of non-quantifiable influences on the decision-making process for resource allocation. S4HARA is a four-step spreadsheet-based model. The first step serves to identify the factors currently influencing HIV/AIDS allocation decisions. The second step consists of prioritizing HIV/AIDS interventions. The third step involves allocating the budget to the HIV/AIDS interventions using a rational approach. Decision-makers can select from several rational models of resource allocation depending on availability of data and level of complexity. The last step combines the results of the first and third steps to highlight the influencing factors that act as barriers or facilitators to the results suggested by the rational resource allocation approach. Actionable recommendations are then made to improve the allocation. We illustrate S4HARA in the context of a primary healthcare clinic in South Africa. The clinic offers six types of HIV/AIDS interventions and spends US$750,000 annually on these programs. Current allocation decisions are influenced by donors, NGOs and the government as well as by ethical and religious factors. Without additional funding, an optimal allocation of the total budget suggests that the portion allotted to condom distribution be increased from 1% to 15% and the portion allotted to prevention and treatment of opportunistic infections be increased from 43% to 71%, while allocation to other interventions should decrease. Condom uptake at the clinic should be increased by changing the condom distribution policy from a pull system to a push

Allocating health care resources: a questionnaire experiment on the predictive success of rules.

Science.gov (United States)

Ahlert, Marlies; Schwettmann, Lars

2017-06-26

The topic of this paper is related to equity in health within a country. In public health care sectors of many countries decisions on priority setting with respect to treatment of different types of diseases or patient groups are implicitly or explicitly made. Priorities are realized by allocation decisions for medical resources where moral judgments play an important role with respect to goals and measures that should be applied. The aim of this study is to explore the moral intuitions held in the German society related to priorities in medical treatment. We use an experimental questionnaire method established in the Empirical Social Choice literature. Participants are asked to make decisions in a sequence of distributive problems where a limited amount of treatment time has to be allocated to hypothetically described patients. The decision problems serve as an intuition pump. Situations are systematically varied with respect to patients' initial health levels, their ability to benefit from treatment time, and the amount of treatment time available. Subjects are also asked to describe their deliberations. We focus on the acceptance of different allocation principles including equity concepts and utilitarian properties. We investigate rule characteristics like order preservation or monotonicity with respect to resources, severity, or effectiveness. We check the consistency of individual choices with stated reasoning. The goals and allocation principles revealed show that the moral intuitions held by our experimental subjects are much more complex than the principles commonly applied in health economic theory. Especially, cost-utility principles are rarely applied, whereas the goal of equality of health gain is observed more often. The principle not to leave any patient untreated is very dominant. We also observe the degrees to which extent certain monotonicity principles, known from welfare economics, are followed. Subjects were able to describe their moral

Learning to trade via direct reinforcement.

Science.gov (United States)

Moody, J; Saffell, M

2001-01-01

We present methods for optimizing portfolios, asset allocations, and trading systems based on direct reinforcement (DR). In this approach, investment decision-making is viewed as a stochastic control problem, and strategies are discovered directly. We present an adaptive algorithm called recurrent reinforcement learning (RRL) for discovering investment policies. The need to build forecasting models is eliminated, and better trading performance is obtained. The direct reinforcement approach differs from dynamic programming and reinforcement algorithms such as TD-learning and Q-learning, which attempt to estimate a value function for the control problem. We find that the RRL direct reinforcement framework enables a simpler problem representation, avoids Bellman's curse of dimensionality and offers compelling advantages in efficiency. We demonstrate how direct reinforcement can be used to optimize risk-adjusted investment returns (including the differential Sharpe ratio), while accounting for the effects of transaction costs. In extensive simulation work using real financial data, we find that our approach based on RRL produces better trading strategies than systems utilizing Q-learning (a value function method). Real-world applications include an intra-daily currency trader and a monthly asset allocation system for the S&P 500 Stock Index and T-Bills.

Dutch direct real estate investments in private portfolios

NARCIS (Netherlands)

Berkhout, T.M.; Geer, van der G.

2005-01-01

Direct real estate plays an important role in our daily lives. The place of direct real estate in the portfolio of a private investor is often limited however. The paper attempts to answer the question of how large the allocation to direct real estate should be to attain an optimal risk/return

Dynamic Allocation of Sugars in Barley

Science.gov (United States)

Cumberbatch, L. C.; Crowell, A. S.; Fallin, B. A.; Howell, C. R.; Reid, C. D.; Weisenberger, A. G.; Lee, S. J.; McKisson, J. E.

2014-03-01

Allocation of carbon and nitrogen is a key factor for plant productivity. Measurements are carried out by tracing 11C-tagged sugars using positron emission tomography and coincidence counting. We study the mechanisms of carbon allocation and transport from carbohydrate sources (leaves) to sinks (stem, shoot, roots) under various environmental conditions such as soil nutrient levels and atmospheric CO2 concentration. The data are analyzed using a transfer function analysis technique to model transport and allocation in barley plants. The experimental technique will be described and preliminary results presented. This work was supported in part by USDOE Grant No. DE-FG02-97-ER41033 and DE-SC0005057.

International Development Aid Allocation Determinants

OpenAIRE

Tapas Mishra; Bazoumana Ouattara; Mamata Parhi

2012-01-01

This paper investigates the factors explaining aid allocation by bilateral and multilateral donors. We use data for 146 aid recipient countries over the period 1990-2007 and employ Bayesian Averaging of Classical Estimates Approach (BACE) approach and find that both the recipient need and donor interest motives are `significant' determinants of bilateral and multilateral aid allocation process. Our results also indicate that the measures for recipient need and donor interests vary from bilate...

Transcranial Direct Current Stimulation in Patients with Prolonged Disorders of Consciousness: Combined Behavioral and Event-Related Potential Evidence

Directory of Open Access Journals (Sweden)

Ye Zhang

2017-11-01

Full Text Available BackgroundThe electrophysiological evidence supporting the therapeutic efficacy of multiple transcranial direct current stimulation (tDCS sessions on consciousness improvement in patients with prolonged disorders of consciousness (DOCs has not been firmly established.ObjectivesTo assess the effects of repeated tDCS in patients with prolonged DOCs by Coma Recovery Scale-Revised (CRS-R score and event-related potential (ERP.MethodUsing a sham-controlled randomized double-blind design, 26 patients were randomly assigned to either a real [five vegetative state (VS and eight minimally conscious state (MCS patients] or sham (six VS and seven MCS patients stimulation group. The patients in the real stimulation group underwent 20 anodal tDCS sessions of the left dorsolateral prefrontal cortex (DLPFC over 10 consecutive working days. The CRS-R score and P300 amplitude and latency in a hierarchical cognitive assessment were recorded to evaluate the consciousness level before tDCS and immediately after the 20 sessions.ResultsThe intra-group CRS-R analysis revealed a clinically significant improvement in the MCS patients in the real stimulation group. The inter-group CRS-R analysis showed a significant difference in CRS-R between VS and MCS patients at baseline in both the real and sham stimulation groups. The intra-group ERP analysis revealed a significant increase in P300 amplitude after tDCS in the MCS patients in the real stimulation group, but no significant differences in P300 latency. For the inter-group ERP analysis, we observed significant differences regarding the presence of P300 at baseline between the VS and MCS patients in both groups.ConclusionThe repeated anodal tDCS of the left DLPFC could produce clinically significant improvements in MCS patients. The observed tDCS-related consciousness improvements might be related to improvements in attention resource allocation (reflected by the P300 amplitude. The findings support the use of tDCS in

Impact of CO2 quota allocation to new entrants in the electricity market

Energy Technology Data Exchange (ETDEWEB)

Lindboe, H.H.; Werling, J.; Kofoed-Wiuff, A. [Ea Energy Analyses (Denmark); Bregnbaek, L. [Energy Modelling (Denmark)

2007-08-28

In 2003, the EU adopted a directive on a greenhouse gas emissions trading scheme (ETS) encompassing all major energy-producing units and the majority of the energy-intensive industry. The EU ETS is based on the recognition that creating a price for carbon through the establishment of a market for emission reductions provides the most cost-effective way of complying with international greenhouse gas commitments (EU 2005, EU action against climate change). All countries have opted to allocate CO{sub 2}-allowances to new power plants. The present project explores the consequences of allocation to new entrants on market players' investments in the electric market, the welfare-economic consequences and impacts on long-term CO{sub 2}-emission from the electricity sector. (au)

A novel frame-level constant-distortion bit allocation for smooth H.264/AVC video quality

Science.gov (United States)

Liu, Li; Zhuang, Xinhua

2009-01-01

It is known that quality fluctuation has a major negative effect on visual perception. In previous work, we introduced a constant-distortion bit allocation method [1] for H.263+ encoder. However, the method in [1] can not be adapted to the newest H.264/AVC encoder directly as the well-known chicken-egg dilemma resulted from the rate-distortion optimization (RDO) decision process. To solve this problem, we propose a new two stage constant-distortion bit allocation (CDBA) algorithm with enhanced rate control for H.264/AVC encoder. In stage-1, the algorithm performs RD optimization process with a constant quantization QP. Based on prediction residual signals from stage-1 and target distortion for smooth video quality purpose, the frame-level bit target is allocated by using a close-form approximations of ratedistortion relationship similar to [1], and a fast stage-2 encoding process is performed with enhanced basic unit rate control. Experimental results show that, compared with original rate control algorithm provided by H.264/AVC reference software JM12.1, the proposed constant-distortion frame-level bit allocation scheme reduces quality fluctuation and delivers much smoother PSNR on all testing sequences.

Donor-estimated GFR as an appropriate criterion for allocation of ECD kidneys into single or dual kidney transplantation.

Science.gov (United States)

Snanoudj, R; Rabant, M; Timsit, M O; Karras, A; Savoye, E; Tricot, L; Loupy, A; Hiesse, C; Zuber, J; Kreis, H; Martinez, F; Thervet, E; Méjean, A; Lebret, T; Legendre, C; Delahousse, M

2009-11-01

It has been suggested that dual kidney transplantation (DKT) improves outcomes for expanded criteria donor (ECD) kidneys. However, no criteria for allocation to single or dual transplantation have been assessed prospectively. The strategy of DKT remains underused and potentially eligible kidneys are frequently discarded. We prospectively compared 81 DKT and 70 single kidney transplant (SKT) receiving grafts from ECD donors aged >65 years, allocated according to donor estimated glomerular filtration rate (eGFR): DKT if eGFR between 30 and 60 mL/min, SKT if eGFR greater than 60 mL/min. Patient and graft survival were similar in the two groups. In the DKT group, 13/81 patients lost one of their two kidneys due to hemorrhage, arterial or venous thrombosis. Mean eGFR at month 12 was similar in the DKT and SKT groups (47.8 mL/min and 46.4 mL/min, respectively). Simulated allocation of kidneys according to criteria based on day 0 donor parameters such as those described by Remuzzi et al., Andres et al. and UNOS, did not indicate an improvement in 12-month eGFR compared to our allocation based on donor eGFR.

Patient satisfaction after gut-directed hypnotherapy in irritable bowel syndrome.

Science.gov (United States)

Lindfors, P; Ljótsson, B; Bjornsson, E; Abrahamsson, H; Simrén, M

2013-02-01

Gut-directed hypnotherapy is an effective treatment option for irritable bowel syndrome (IBS). However, clinical observations suggest that patient satisfaction with hypnotherapy is not always associated with improvement in IBS symptoms. We evaluated 83 patients with IBS treated with gut-directed hypnotherapy (1 h week(-1), 12 weeks). After the treatment period, patients reported their satisfaction with the treatment (ranging from 1 = not at all satisfied, to 5 = very satisfied) and completed questionnaires to assess IBS symptom severity, quality of life, cognitive function, sense of coherence, depression, and anxiety before and after treatment. After hypnotherapy improved IBS symptom severity, quality of life, cognitive function, and anxiety were seen. Thirty patients (36%) were very satisfied with the treatment and 57 (69%) patients scored 4 or 5 on the patient satisfaction scale. Patient satisfaction was associated with less severe IBS symptoms and better quality of life after the treatment. In a multiple linear regression analysis, only the quality of life domain sexual relations was independently associated with patient satisfaction after hypnotherapy, explaining 22% of the variance. Using 25% reduction of IBS symptom severity to define an IBS symptom responder, 52% of the responders were very satisfied with hypnotherapy, but this was also true for 31% in the non-responder group. Patient satisfaction with gut-directed hypnotherapy in IBS is associated with improvement of quality of life and gastrointestinal (GI) symptoms. However, other factors unrelated to GI symptoms also seems to be of importance for patient satisfaction, as a substantial proportion of patients without GI symptom improvement were also very satisfied with this treatment option. © 2012 Blackwell Publishing Ltd.

Allocation of authority in European health policy.

Science.gov (United States)

Adolph, Christopher; Greer, Scott L; Massard da Fonseca, Elize

2012-11-01

Although many study the effects of different allocations of health policy authority, few ask why countries assign responsibility over different policies as they do. We test two broad theories: fiscal federalism, which predicts rational governments will concentrate information-intensive operations at lower levels, and redistributive and regulatory functions at higher levels; and "politicized federalism", which suggests a combination of systematic and historically idiosyncratic political variables interfere with efficient allocation of authority. Drawing on the WHO Health in Transition country profiles, we present new data on the allocation of responsibility for key health care policy tasks (implementation, provision, finance, regulation, and framework legislation) and policy areas (primary, secondary and tertiary care, public health and pharmaceuticals) in the 27 EU member states and Switzerland. We use a Bayesian multinomial mixed logit model to analyze how different countries arrive at different allocations of authority over each task and area of health policy, and find the allocation of powers broadly follows fiscal federalism. Responsibility for pharmaceuticals, framework legislation, and most finance lodges at the highest levels of government, acute and primary care in the regions, and provision at the local and regional levels. Where allocation does not follow fiscal federalism, it appears to reflect ethnic divisions, the population of states and regions, the presence of mountainous terrain, and the timing of region creation. Copyright © 2012 Elsevier Ltd. All rights reserved.

Optimized maritime emergency resource allocation under dynamic demand.

Directory of Open Access Journals (Sweden)

Wenfen Zhang

Full Text Available Emergency resource is important for people evacuation and property rescue when accident occurs. The relief efforts could be promoted by a reasonable emergency resource allocation schedule in advance. As the marine environment is complicated and changeful, the place, type, severity of maritime accident is uncertain and stochastic, bringing about dynamic demand of emergency resource. Considering dynamic demand, how to make a reasonable emergency resource allocation schedule is challenging. The key problem is to determine the optimal stock of emergency resource for supplier centers to improve relief efforts. This paper studies the dynamic demand, and which is defined as a set. Then a maritime emergency resource allocation model with uncertain data is presented. Afterwards, a robust approach is developed and used to make sure that the resource allocation schedule performs well with dynamic demand. Finally, a case study shows that the proposed methodology is feasible in maritime emergency resource allocation. The findings could help emergency manager to schedule the emergency resource allocation more flexibly in terms of dynamic demand.

[Patients with ICD-10 disorders F3 and F4 in psychiatric and psychosomatic in-patient units - who is treated where? : Allocation features from the PfAD study].

Science.gov (United States)

Bichescu-Burian, D; Cerisier, C; Czekaj, A; Grempler, J; Hund, S; Jaeger, S; Schmid, P; Weithmann, G; Steinert, T

2017-01-01

In Germany, in-patient treatment of patients with depressive, neurotic, anxiety, and somatoform disorders (ICD-10 F3, F4) is carried out in different settings in psychiatry and psychosomatics. Which patient characteristics determine referral to one or the other specialty is a crucial question in mental health policy and is a matter of ongoing controversy. However, comparative data on patient populations are widely lacking. In the study of Treatment Pathways of Patients with Anxiety and Depression (PfAD study), a total of 320 patients with ICD-10 F3/F4 clinical diagnoses were consecutively recruited from four treatment settings (psychiatric depression ward, psychiatric crisis intervention ward, psychiatric day hospitals, or psychosomatic hospital units; 80 participants per setting) and investigated. In all treatment settings, patients with considerable severity of illness and chronicity were treated. Female gender, higher education, and higher income predicted referral to psychosomatic units; male gender, transfer from another hospital or emergency hospitalization, co-morbidity with a personality disorder, higher general psychiatric co-morbidity, and danger to self at admission predicted referral to psychiatric unit. Patients in psychosomatic units had neither more psychosomatic disorders nor more somatic problems. There is considerable overlap between the clientele of psychiatric and psychosomatic units. Referral and allocation appears to be determined by aspects of severity and social status.

Subnational Adaptation Finance Allocation: Comparing Decentralized and Devolved Political Institutions in Kenya

OpenAIRE

Sam Barrett

2015-01-01

Adaptation finance is designed to help vulnerable populations withstand effects of climate variability and change. However, levels of vulnerability seldom determine finance distribution. Political and economic preferences of national and local government decision-makers tend to direct funding streams. This article takes an institutional approach to adaptation finance allocation by comparing decentralized and devolved local governance structures managing adaptation finance in Kenya before and ...

Dynamic fair node spectrum allocation for ad hoc networks using random matrices

Science.gov (United States)

Rahmes, Mark; Lemieux, George; Chester, Dave; Sonnenberg, Jerry

2015-05-01

Dynamic Spectrum Access (DSA) is widely seen as a solution to the problem of limited spectrum, because of its ability to adapt the operating frequency of a radio. Mobile Ad Hoc Networks (MANETs) can extend high-capacity mobile communications over large areas where fixed and tethered-mobile systems are not available. In one use case with high potential impact, cognitive radio employs spectrum sensing to facilitate the identification of allocated frequencies not currently accessed by their primary users. Primary users own the rights to radiate at a specific frequency and geographic location, while secondary users opportunistically attempt to radiate at a specific frequency when the primary user is not using it. We populate a spatial radio environment map (REM) database with known information that can be leveraged in an ad hoc network to facilitate fair path use of the DSA-discovered links. Utilization of high-resolution geospatial data layers in RF propagation analysis is directly applicable. Random matrix theory (RMT) is useful in simulating network layer usage in nodes by a Wishart adjacency matrix. We use the Dijkstra algorithm for discovering ad hoc network node connection patterns. We present a method for analysts to dynamically allocate node-node path and link resources using fair division. User allocation of limited resources as a function of time must be dynamic and based on system fairness policies. The context of fair means that first available request for an asset is not envied as long as it is not yet allocated or tasked in order to prevent cycling of the system. This solution may also save money by offering a Pareto efficient repeatable process. We use a water fill queue algorithm to include Shapley value marginal contributions for allocation.

Application of an allocation methodology

International Nuclear Information System (INIS)

Youngblood, R.

1989-01-01

This paper presents a method for allocating resources to elements of a system for the purpose of achieving prescribed levels of defense-in-depth at minimal cost. The method makes extensive use of logic modelling. An analysis of a simplified high-level waste repository is used as an illustrative application of the method. It is shown that it is possible to allocate quality control costs (or demonstrate performance) in an optimal way over elements of a conceptual design

S4HARA: System for HIV/AIDS resource allocation

Directory of Open Access Journals (Sweden)

Carter Michael W

2008-03-01

Full Text Available Abstract Background HIV/AIDS resource allocation decisions are influenced by political, social, ethical and other factors that are difficult to quantify. Consequently, quantitative models of HIV/AIDS resource allocation have had limited impact on actual spending decisions. We propose a decision-support System for HIV/AIDS Resource Allocation (S4HARA that takes into consideration both principles of efficient resource allocation and the role of non-quantifiable influences on the decision-making process for resource allocation. Methods S4HARA is a four-step spreadsheet-based model. The first step serves to identify the factors currently influencing HIV/AIDS allocation decisions. The second step consists of prioritizing HIV/AIDS interventions. The third step involves allocating the budget to the HIV/AIDS interventions using a rational approach. Decision-makers can select from several rational models of resource allocation depending on availability of data and level of complexity. The last step combines the results of the first and third steps to highlight the influencing factors that act as barriers or facilitators to the results suggested by the rational resource allocation approach. Actionable recommendations are then made to improve the allocation. We illustrate S4HARA in the context of a primary healthcare clinic in South Africa. Results The clinic offers six types of HIV/AIDS interventions and spends US$750,000 annually on these programs. Current allocation decisions are influenced by donors, NGOs and the government as well as by ethical and religious factors. Without additional funding, an optimal allocation of the total budget suggests that the portion allotted to condom distribution be increased from 1% to 15% and the portion allotted to prevention and treatment of opportunistic infections be increased from 43% to 71%, while allocation to other interventions should decrease. Conclusion Condom uptake at the clinic should be increased by

Plastic apron wear during direct patient care.

Science.gov (United States)

Candlin, Josie; Stark, Sheila

To identify factors that influence nurses' practice in apron use during direct patient care. A small-scale documentary analysis of a purposive sample of 15 journal articles relating to nurses' apron use during patient care was undertaken. The analysis sought to address what factors affect nurses' decisions in relation to apron use. Nurses' decisions regarding apron use during patient care tend to be ritualistic rather than evidence-based. Their knowledge of infection control is limited. Although there is current literature available on infection control, as well as health and safety regulations, if local policy regarding apron use in nursing care is scant this can result in inconsistent and, perhaps, less desirable practices.

30 CFR 206.459 - Allocation of washed coal.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Allocation of washed coal. 206.459 Section 206... MANAGEMENT PRODUCT VALUATION Indian Coal § 206.459 Allocation of washed coal. (a) When coal is subjected to washing, the washed coal must be allocated to the leases from which it was extracted. (b) When the net...

30 CFR 206.260 - Allocation of washed coal.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Allocation of washed coal. 206.260 Section 206... MANAGEMENT PRODUCT VALUATION Federal Coal § 206.260 Allocation of washed coal. (a) When coal is subjected to washing, the washed coal must be allocated to the leases from which it was extracted. (b) When the net...

Cost Allocation and Convex Data Envelopment

DEFF Research Database (Denmark)

Hougaard, Jens Leth; Tind, Jørgen

such as Data Envelopment Analysis (DEA). The convexity constraint of the BCC model introduces a non-zero slack in the objective function of the multiplier problem and we show that the cost allocation rules discussed in this paper can be used as candidates to allocate this slack value on to the input (or output...

Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany

Science.gov (United States)

2012-01-01

The purpose of this paper is to analyze the German diagnosis related groups (G-DRG) cost accounting scheme by assessing its resource allocation at hospital level and its tariff calculation at national level. First, the paper reviews and assesses the three steps in the G-DRG resource allocation scheme at hospital level: (1) the groundwork; (2) cost-center accounting; and (3) patient-level costing. Second, the paper reviews and assesses the three steps in G-DRG national tariff calculation: (1) plausibility checks; (2) inlier calculation; and (3) the “one hospital” approach. The assessment is based on the two main goals of G-DRG introduction: improving transparency and efficiency. A further empirical assessment attests high costing quality. The G-DRG cost accounting scheme shows high system quality in resource allocation at hospital level, with limitations concerning a managerially relevant full cost approach and limitations in terms of advanced activity-based costing at patient-level. However, the scheme has serious flaws in national tariff calculation: inlier calculation is normative, and the “one hospital” model causes cost bias, adjustment and representativeness issues. The G-DRG system was designed for reimbursement calculation, but developed to a standard with strategic management implications, generalized by the idea of adapting a hospital’s cost structures to DRG revenues. This combination causes problems in actual hospital financing, although resource allocation is advanced at hospital level. PMID:22935314

Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany.

Science.gov (United States)

Vogl, Matthias

2012-08-30

The purpose of this paper is to analyze the German diagnosis related groups (G-DRG) cost accounting scheme by assessing its resource allocation at hospital level and its tariff calculation at national level. First, the paper reviews and assesses the three steps in the G-DRG resource allocation scheme at hospital level: (1) the groundwork; (2) cost-center accounting; and (3) patient-level costing. Second, the paper reviews and assesses the three steps in G-DRG national tariff calculation: (1) plausibility checks; (2) inlier calculation; and (3) the "one hospital" approach. The assessment is based on the two main goals of G-DRG introduction: improving transparency and efficiency. A further empirical assessment attests high costing quality. The G-DRG cost accounting scheme shows high system quality in resource allocation at hospital level, with limitations concerning a managerially relevant full cost approach and limitations in terms of advanced activity-based costing at patient-level. However, the scheme has serious flaws in national tariff calculation: inlier calculation is normative, and the "one hospital" model causes cost bias, adjustment and representativeness issues. The G-DRG system was designed for reimbursement calculation, but developed to a standard with strategic management implications, generalized by the idea of adapting a hospital's cost structures to DRG revenues. This combination causes problems in actual hospital financing, although resource allocation is advanced at hospital level.

Optimizing resource allocation for breast cancer prevention and care among Hong Kong Chinese women.

Science.gov (United States)

Wong, Irene O L; Tsang, Janice W H; Cowling, Benjamin J; Leung, Gabriel M

2012-09-15

Recommendations about funding of interventions through the full spectrum of the disease often have been made in isolation. The authors of this report optimized budgetary allocations by comparing cost-effectiveness data for different preventive and management strategies throughout the disease course for breast cancer in Hong Kong (HK) Chinese women. Nesting a state-transition Markov model within a generalized cost-effectiveness analytic framework, costs and quality-adjusted life-years (QALYs) were compared to estimate average cost-effectiveness ratios for the following interventions at the population level: biennial mass mammography (ages 40-69 years or ages 40-79 years), reduced waiting time for postoperative radiotherapy (by 15% or by 25%), adjuvant endocrine therapy (either upfront aromatase inhibitor [AI] therapy or sequentially with tamoxifen followed by AI) in postmenopausal women with estrogen receptor-positive disease, targeted immunotherapy in those with tumors that over express human epidermal growth factor receptor 2, and enhanced palliative services (either at home or as an inpatient). Usual care for eligible patients in the public sector was the comparator. In descending order, the optimal allocation of additional resources for breast cancer would be the following: a 25% reduction in waiting time for postoperative radiotherapy (in US dollars: $5000 per QALY); enhanced, home-based palliative care ($7105 per QALY); adjuvant, sequential endocrine therapy ($17,963 per QALY); targeted immunotherapy ($62,092 per QALY); and mass mammography screening of women ages 40 to 69 years ($72,576 per QALY). Given the lower disease risk and different age profiles of patients in HK Chinese, among other newly emergent and emerging economies with similar transitioning epidemiologic profiles, the current findings provided direct evidence to support policy decisions that may be dissimilar to current Western practice. Copyright © 2012 American Cancer Society.

Outcome based state budget allocation for diabetes prevention programs using multi-criteria optimization with robust weights.

Science.gov (United States)

Mehrotra, Sanjay; Kim, Kibaek

2011-12-01

We consider the problem of outcomes based budget allocations to chronic disease prevention programs across the United States (US) to achieve greater geographical healthcare equity. We use Diabetes Prevention and Control Programs (DPCP) by the Center for Disease Control and Prevention (CDC) as an example. We present a multi-criteria robust weighted sum model for such multi-criteria decision making in a group decision setting. The principal component analysis and an inverse linear programming techniques are presented and used to study the actual 2009 budget allocation by CDC. Our results show that the CDC budget allocation process for the DPCPs is not likely model based. In our empirical study, the relative weights for different prevalence and comorbidity factors and the corresponding budgets obtained under different weight regions are discussed. Parametric analysis suggests that money should be allocated to states to promote diabetes education and to increase patient-healthcare provider interactions to reduce disparity across the US.

Railway Track Allocation: Models and Methods

DEFF Research Database (Denmark)

Lusby, Richard Martin; Larsen, Jesper; Ehrgott, Matthias

2011-01-01

Efficiently coordinating the movement of trains on a railway network is a central part of the planning process for a railway company. This paper reviews models and methods that have been proposed in the literature to assist planners in finding train routes. Since the problem of routing trains......, and train routing problems, group them by railway network type, and discuss track allocation from a strategic, tactical, and operational level....... on a railway network entails allocating the track capacity of the network (or part thereof) over time in a conflict-free manner, all studies that model railway track allocation in some capacity are considered relevant. We hence survey work on the train timetabling, train dispatching, train platforming...

Railway Track Allocation: Models and Methods

DEFF Research Database (Denmark)

Lusby, Richard Martin; Larsen, Jesper; Ehrgott, Matthias

Eciently coordinating the movement of trains on a railway network is a central part of the planning process for a railway company. This paper reviews models and methods that have been proposed in the literature to assist planners in nding train routes. Since the problem of routing trains......, and train routing problems, group them by railway network type, and discuss track allocation from a strategic, tactical, and operational level....... on a railway network entails allocating the track capacity of the network (or part thereof) over time in a con ict-free manner, all studies that model railway track allocation in some capacity are considered relevant. We hence survey work on the train timetabling, train dispatching, train platforming...

Output-based allocation and investment in clean technologies

Energy Technology Data Exchange (ETDEWEB)

Rosendahl, Knut Einar; Storroesten, Halvor Briseid

2011-07-01

Allocation of emission allowances may affect firms' incentives to invest in clean technologies. In this paper we show that so-called output-based allocation tends to stimulate such investments as long as individual firms do not assume the regulator to tighten the allocation rule as a consequence of their investments. The explanation is that output-based allocation creates an implicit subsidy to the firms' output, which increases production, leads to a higher price of allowances, and thus increases the incentives to invest in clean technologies. On the other hand, if the firms expect the regulator to tighten the allocation rule after observing their clean technology investment, the firms' incentives to invest are moderated. If strong, this last effect may outweigh the enhanced investment incentives induced by increased output and higher allowance price. (Author)

Equitable fund allocation, an economical approach for sustainable waste load allocation.

Science.gov (United States)

Ashtiani, Elham Feizi; Niksokhan, Mohammad Hossein; Jamshidi, Shervin

2015-08-01

This research aims to study a novel approach for waste load allocation (WLA) to meet environmental, economical, and equity objectives, simultaneously. For this purpose, based on a simulation-optimization model developed for Haraz River in north of Iran, the waste loads are allocated according to discharge permit market. The non-dominated solutions are initially achieved through multiobjective particle swarm optimization (MOPSO). Here, the violation of environmental standards based on dissolved oxygen (DO) versus biochemical oxidation demand (BOD) removal costs is minimized to find economical total maximum daily loads (TMDLs). This can save 41% in total abatement costs in comparison with the conventional command and control policy. The BOD discharge permit market then increases the revenues to 45%. This framework ensures that the environmental limits are fulfilled but the inequity index is rather high (about 4.65). For instance, the discharge permit buyer may not be satisfied about the equity of WLA. Consequently, it is recommended that a third party or institution should be in charge of reallocating the funds. It means that the polluters which gain benefits by unfair discharges should pay taxes (or funds) to compensate the losses of other polluters. This intends to reduce the costs below the required values of the lowest inequity index condition. These compensations of equitable fund allocation (EFA) may help to reduce the dissatisfactions and develop WLA policies. It is concluded that EFA in integration with water quality trading (WQT) is a promising approach to meet the objectives.

Patient-directed music therapy reduces anxiety and sedation exposure in mechanically-ventilated patients: a research critique.

Science.gov (United States)

Gullick, Janice G; Kwan, Xiu Xian

2015-05-01

This research appraisal, guided by the CASP Randomised Controlled Trial Checklist, critiques a randomised, controlled trial of patient-directed music therapy compared to either noise-cancelling headphones or usual care. This study recruited 373 alert, mechanically-ventilated patients across five intensive care units in the United States. The Music Assessment Tool, administered by a music therapist, facilitated music selection by participants in the intervention group. Anxiety was measured using the VAS-A scale. Sedation exposure was measured by both sedation frequency and by sedation intensity using a daily sedation intensity score. Context for the data was supported by an environmental scan form recording unit activity and by written comments from nurses about the patient's responses to the protocol. Patient-directed music therapy allowed a significant reduction in sedation frequency compared to noise-cancelling headphones and usual care participants. Patient-directed music therapy led to significantly lower anxiety and sedation intensity compared to usual care, but not compared to noise-cancelling headphones. This is a robust study with clear aims and a detailed description of research methods and follow-up. While no participants were lost to follow-up, not all were included in the analysis: 37% did not have the minimum of two anxiety assessments for comparison and 23% were not included in sedation analysis. While some participants utilised the intervention or active control for many hours-per-day, half the music therapy participants listened for 12min or less per day and half of the noise-cancelling headphone participants did not appear to use them. While the results suggest that patient-directed music therapy and noise-cancelling headphones may be useful and cost-effective interventions that lead to an overall improvement in anxiety and sedation exposure, these may appeal to a subset of ICU patients. The self-directed use of music therapy and noise

Impression Management Messages and Reactions to Organizational Reward Allocations: The Mediating Influence of Fairness and Responsibility.

Science.gov (United States)

Tata, Jasmine; Rhodes, Susan R.

1996-01-01

Examines relationships among impression-management messages, evaluations of reward allocations (fairness and responsibility), and reaction to rewards (anger, approval of manager, and overall job satisfaction). Finds that impression-management messages directly influence fairness and responsibility, and indirectly influence anger and approval. (SR)

Comparison of systems for memory allocation in the C programming language

OpenAIRE

Zavrtanik, Matej

2016-01-01

The bachelor thesis describes memory allocation. Work begins with description of mechanism, system calls and data structures used in memory allocators. Goals of memory allocation ares listed along with problems which must be avoided. Afterwards construction and allocating of popular memory allocators is described. Work ends with comparison of memory allocators based on time of execution of programs and memory usage, on which conclusion is based.

SOME NOTES ON COST ALLOCATION IN MULTICASTING

Directory of Open Access Journals (Sweden)

Darko Skorin-Kapov

2012-12-01

Full Text Available We analyze the cost allocation strategies with the problef of broadcasting information from some source to a number of communication network users. A multicast routing chooses a minimum cost tree network that spans the source and all the receivers. The cost of such a network is distributed among its receivers who may be individuals or organizations with possibly conflicting interests. Providing network developers, users and owners with practical computable 'fair' cost allocation solution procedures is of great importance for network mamagement. Consequently, this multidisciplinary problem was extensively studied by Operational Researchers, Economists, Mathematicians and Computer Scientists. The fairness of various proposed solutions was even argued in US courts. This presentation overviews some previously published, as well as some recent results, in the development of algorithmic mechanisms to efficiently compute 'attractive' cost allocation solutions for multicast networks. Specifically, we will analyze cooperative game theory based cost allocation models that avoid cross subsidies and/or are distance and population monotonic. We will also present some related open cost allocation problems and the potential contribution that such models might make to this problem in the future.

Constrained control allocation for systems with redundant control effectors

OpenAIRE

Bordignon, Kenneth A

1996-01-01

Control allocation is examined for linear time-invariant problems that have more controls than degrees of freedom. The controls are part of a physical system and are subject to limits on their maximum positions. A control allocation scheme commands control deflections in response to some desired output. The ability of a control allocation scheme to produce the desired output without violating the physical position constraints is used to compare allocation schemes. Methods are develop...

Fund allocation using capacitated vehicle routing problem

Science.gov (United States)

Mamat, Nur Jumaadzan Zaleha; Jaaman, Saiful Hafizah; Ahmad, Rokiah Rozita; Darus, Maslina

2014-09-01

In investment fund allocation, it is unwise for an investor to distribute his fund into several assets simultaneously due to economic reasons. One solution is to allocate the fund into a particular asset at a time in a sequence that will either maximize returns or minimize risks depending on the investor's objective. The vehicle routing problem (VRP) provides an avenue to this issue. VRP answers the question on how to efficiently use the available fleet of vehicles to meet a given service demand, subjected to a set of operational requirements. This paper proposes an idea of using capacitated vehicle routing problem (CVRP) to optimize investment fund allocation by employing data of selected stocks in the FTSE Bursa Malaysia. Results suggest that CRVP can be applied to solve the issue of investment fund allocation and increase the investor's profit.

Resource allocation in networks via coalitional games

NARCIS (Netherlands)

Shams, F.

2016-01-01

The main goal of this dissertation is to manage resource allocation in network engineering problems and to introduce efficient cooperative algorithms to obtain high performance, ensuring fairness and stability. Specifically, this dissertation introduces new approaches for resource allocation in

Function allocation in distributed safeguards and security systems

International Nuclear Information System (INIS)

Barlich, G.L.

1991-01-01

Computerized distributed systems are being used to collect and manage data for activities such as nuclear materials accounting, process control, laboratory coordination, and security. Poor choices made in allocating functions to individual processors can make a system unusable by burdening machines with excessive network retrievals and updates. During system design phases, data allocation algorithms based on operation frequencies, field sizes, security information, and reliability requirements can be applied in sensitivity studies to mathematically ensure processor efficiency. The Los Alamos Network Design System (NDS) implements such an allocation algorithm. The authors analyzed a large, existing distributed system to test the cost functions and to compare actual network problems with NDS results. Several common configurations were also designed and studied using the software. From these studies, some basic principles for allocating functions emerged. In this paper recommendations for function allocation in generic systems and related design options are discussed

Targeted versus universal prevention. a resource allocation model to prioritize cardiovascular prevention

Directory of Open Access Journals (Sweden)

Hoogenveen Rudolf T

2011-10-01

Full Text Available Abstract Background Diabetes mellitus brings an increased risk for cardiovascular complications and patients profit from prevention. This prevention also suits the general population. The question arises what is a better strategy: target the general population or diabetes patients. Methods A mathematical programming model was developed to calculate optimal allocations for the Dutch population of the following interventions: smoking cessation support, diet and exercise to reduce overweight, statins, and medication to reduce blood pressure. Outcomes were total lifetime health care costs and QALYs. Budget sizes were varied and the division of resources between the general population and diabetes patients was assessed. Results Full implementation of all interventions resulted in a gain of 560,000 QALY at a cost of €640 per capita, about €12,900 per QALY on average. The large majority of these QALY gains could be obtained at incremental costs below €20,000 per QALY. Low or high budgets (below €9 or above €100 per capita were predominantly spent in the general population. Moderate budgets were mostly spent in diabetes patients. Conclusions Major health gains can be realized efficiently by offering prevention to both the general and the diabetic population. However, a priori setting a specific distribution of resources is suboptimal. Resource allocation models allow accounting for capacity constraints and program size in addition to efficiency.

Uncertainty analysis and allocation of joint tolerances in robot manipulators based on interval analysis

International Nuclear Information System (INIS)

Wu Weidong; Rao, S.S.

2007-01-01

Many uncertain factors influence the accuracy and repeatability of robots. These factors include manufacturing and assembly tolerances and deviations in actuators and controllers. The effects of these uncertain factors must be carefully analyzed to obtain a clear insight into the manipulator performance. In order to ensure the position and orientation accuracy of a robot end effector as well as to reduce the manufacturing cost of the robot, it is necessary to quantify the influence of the uncertain factors and optimally allocate the tolerances. This involves a study of the direct and inverse kinematics of robot end effectors in the presence of uncertain factors. This paper focuses on the optimal allocation of joint tolerances with consideration of the positional and directional errors of the robot end effector and the manufacturing cost. The interval analysis is used for predicting errors in the performance of robot manipulators. The Stanford manipulator is considered for illustration. The unknown joint variables are modeled as interval parameters due to the inherent uncertainty. The cost-tolerance model is assumed to be of an exponential form during optimization. The effects of the upper bounds on the minimum cost and relative deviations of the directional and positional errors of the end effector are also studied

Reward-allocation judgments in Romania : A factorial survey approach

NARCIS (Netherlands)

Buzea, C.; Meseşan-Schmitz, L.; van de Vijver, F.J.R.

2013-01-01

We investigated reward-allocation judgments when positive outcomes (monetary rewards) were distributed and the allocator was not a co-recipient, in a sample of 200 Romanian students. Within a full factorial survey design, seven factors, selected to affect the allocation decision, were orthogonally

Adaptive FTC based on Control Allocation and Fault Accommodation for Satellite Reaction Wheels

DEFF Research Database (Denmark)

Baldi, P.; Blanke, Mogens; Castaldi, P.

2016-01-01

and fault accommodation module directly exploiting the on-line fault estimates. The use of the nonlinear geometric approach and radial basis function neural networks allows to obtain a precise fault isolation, independently from the knowledge of aerodynamic disturbance parameters, and to design generalised......This paper proposes an active fault tolerant control scheme to cope with faults or failures affecting the flywheel spin rate sensors or satellite reaction wheel motors. The active fault tolerant control system consists of a fault detection and diagnosis module along with a control allocation...... estimation filters, which do not need a priori information about the internal model of the signal to be estimated. The adaptive control allocation and sensor fault accommodation can handle both temporal faults and failures. Simulation results illustrate the convincing fault correction and attitude control...

Dynamic Asset Allocation and the Informational Efficiency of Markets.

OpenAIRE

Grossman, Sanford J

1995-01-01

Markets have an allocational role; even in the absence of news about payoffs, prices change to facilitate trade and allocate resources to their best use. Allocational price changes create noise in the signal extraction process, and markets where such trading is important are markets in which we may expect to find a failure of informational efficiency. An important source of allocational trading is the use of dynamic trading strategies caused by the incomplete equitization of risks. Incomplete...

Fundamental-driven and Tactical Asset Allocation: what really matters?

OpenAIRE

Hartpence, Maria; Boulier, Jean-François

2004-01-01

Asset allocation contribution to ex-post performance is of primary importance. Nobody denies its role, yet the subject of allocating assets remains controversial. To some contenders, the added value stems only from strategic asset allocation which aims at providing the long-term average exposure to the selected asset classes. On the other hand, proponents of active management have introduced several forms of tactical asset allocation. In this paper, we will go a step further by distinguishing...

On the allocation of functions between human and machine

International Nuclear Information System (INIS)

Wirstad, J.

1979-09-01

The idea of allocating functions between human and machine was proceduralized early through aids like Fitts' List which describes the relative advantages of men and machines. Although the principle is clear, function allocation has never worked in practice. Some conditions for function allocations are discussed; adequate logic, a common man-machine system language, usable human engineering guides and data and professional habits and attitudes. Trends which will influence ergonomics procedures are described; influence from technology, increasing work environment requirements and user participation requirements. A procedural structure for human engineering or ergonomics in control system design is suggested. This does not include a separate function allocation activity but a number of activities, the result of which will be a systematic function allocation. A case study on ergonomics techniques for systematic function allocation in a control system is described in an appendix to the report. (author)

Impact of MELD allocation policy on survival outcomes after liver transplantation: a single-center study in northeast Brazil

Directory of Open Access Journals (Sweden)

Thales Paulo Batista

2011-01-01

Full Text Available OBJECTIVE: To analyze the impact of model for end-stage liver disease (MELD allocation policy on survival outcomes after liver transplantation (LT. INTRODUCTION: Considering that an ideal system of grafts allocation should also ensure improved survival after transplantation, changes in allocation policies need to be evaluated in different contexts as an evolutionary process. METHODS: A retrospective cohort study was carried out among patients who underwent LT at the University of Pernambuco. Two groups of patients transplanted before and after the MELD allocation policy implementation were identified and compared using early postoperative mortality and post-LT survival as end-points. RESULTS: Overall, early postoperative mortality did not significantly differ between cohorts (16.43% vs. 8.14%; p = 0.112. Although at 6 and 36-months the difference between pre-vs. post-MELD survival was only marginally significant (p = 0.066 and p = 0.063; respectively, better short, medium and long-term post-LT survival were observed in the post-MELD period. Subgroups analysis showed special benefits to patients categorized as nonhepatocellular carcinoma (non-HCC and moderate risk, as determined by MELD score (15-20. DISCUSSION: This study ensured a more robust estimate of how the MELD policy affected post-LT survival outcomes in Brazil and was the first to show significantly better survival after this new policy was implemented. Additionally, we explored some potential reasons for our divergent survival outcomes. CONCLUSION: Better survival outcomes were observed in this study after implementation of the MELD criterion, particularly amongst patients categorized as non-HCC and moderate risk by MELD scoring. Governmental involvement in organ transplantation was possibly the main reason for improved survival.

Application of an allocation methodology

International Nuclear Information System (INIS)

Youngblood, R.; de Oliveira, L.F.S.

1989-01-01

This paper presents a method for allocating resources to elements of a system for the purpose of achieving prescribed levels of defense-in-depth at minimal cost. The method makes extensive use of logic modelling. An analysis of a simplified high-level waste repository is used as an illustrative application of the method. It is shown that it is possible to allocate quality control costs (or demonstrated performance) in an optimal way over elements of a conceptual design. 6 refs., 3 figs., 2 tabs

Human-Automation Allocations for Current Robotic Space Operations

Science.gov (United States)

Marquez, Jessica J.; Chang, Mai L.; Beard, Bettina L.; Kim, Yun Kyung; Karasinski, John A.

2018-01-01

Within the Human Research Program, one risk delineates the uncertainty surrounding crew working with automation and robotics in spaceflight. The Risk of Inadequate Design of Human and Automation/Robotic Integration (HARI) is concerned with the detrimental effects on crew performance due to ineffective user interfaces, system designs and/or functional task allocation, potentially compromising mission success and safety. Risk arises because we have limited experience with complex automation and robotics. One key gap within HARI, is the gap related to functional allocation. The gap states: We need to evaluate, develop, and validate methods and guidelines for identifying human-automation/robot task information needs, function allocation, and team composition for future long duration, long distance space missions. Allocations determine the human-system performance as it identifies the functions and performance levels required by the automation/robotic system, and in turn, what work the crew is expected to perform and the necessary human performance requirements. Allocations must take into account each of the human, automation, and robotic systems capabilities and limitations. Some functions may be intuitively assigned to the human versus the robot, but to optimize efficiency and effectiveness, purposeful role assignments will be required. The role of automation and robotics will significantly change in future exploration missions, particularly as crew becomes more autonomous from ground controllers. Thus, we must understand the suitability of existing function allocation methods within NASA as well as the existing allocations established by the few robotic systems that are operational in spaceflight. In order to evaluate future methods of robotic allocations, we must first benchmark the allocations and allocation methods that have been used. We will present 1) documentation of human-automation-robotic allocations in existing, operational spaceflight systems; and 2) To

Detecting non-binomial sex allocation when developmental mortality operates.

Science.gov (United States)

Wilkinson, Richard D; Kapranas, Apostolos; Hardy, Ian C W

2016-11-07

Optimal sex allocation theory is one of the most intricately developed areas of evolutionary ecology. Under a range of conditions, particularly under population sub-division, selection favours sex being allocated to offspring non-randomly, generating non-binomial variances of offspring group sex ratios. Detecting non-binomial sex allocation is complicated by stochastic developmental mortality, as offspring sex can often only be identified on maturity with the sex of non-maturing offspring remaining unknown. We show that current approaches for detecting non-binomiality have limited ability to detect non-binomial sex allocation when developmental mortality has occurred. We present a new procedure using an explicit model of sex allocation and mortality and develop a Bayesian model selection approach (available as an R package). We use the double and multiplicative binomial distributions to model over- and under-dispersed sex allocation and show how to calculate Bayes factors for comparing these alternative models to the null hypothesis of binomial sex allocation. The ability to detect non-binomial sex allocation is greatly increased, particularly in cases where mortality is common. The use of Bayesian methods allows for the quantification of the evidence in favour of each hypothesis, and our modelling approach provides an improved descriptive capability over existing approaches. We use a simulation study to demonstrate substantial improvements in power for detecting non-binomial sex allocation in situations where current methods fail, and we illustrate the approach in real scenarios using empirically obtained datasets on the sexual composition of groups of gregarious parasitoid wasps. Copyright © 2016 Elsevier Ltd. All rights reserved.

PACS 2000: quality control using the task allocation chart

Science.gov (United States)

Norton, Gary S.; Romlein, John R.; Lyche, David K.; Richardson, Ronald R., Jr.

2000-05-01

Medical imaging's technological evolution in the next century will continue to include Picture Archive and Communication Systems (PACS) and teleradiology. It is difficult to predict radiology's future in the new millennium with both computed radiography and direct digital capture competing as the primary image acquisition methods for routine radiography. Changes in Computed Axial Tomography (CT) and Magnetic Resonance Imaging (MRI) continue to amaze the healthcare community. No matter how the acquisition, display, and archive functions change, Quality Control (QC) of the radiographic imaging chain will remain an important step in the imaging process. The Task Allocation Chart (TAC) is a tool that can be used in a medical facility's QC process to indicate the testing responsibilities of the image stakeholders and the medical informatics department. The TAC shows a grid of equipment to be serviced, tasks to be performed, and the organization assigned to perform each task. Additionally, skills, tasks, time, and references for each task can be provided. QC of the PACS must be stressed as a primary element of a PACS' implementation. The TAC can be used to clarify responsibilities during warranty and paid maintenance periods. Establishing a TAC a part of a PACS implementation has a positive affect on patient care and clinical acceptance.

Two-dimensional priority-based dynamic resource allocation algorithm for QoS in WDM/TDM PON networks

Science.gov (United States)

Sun, Yixin; Liu, Bo; Zhang, Lijia; Xin, Xiangjun; Zhang, Qi; Rao, Lan

2018-01-01

Wavelength division multiplexing/time division multiplexing (WDM/TDM) passive optical networks (PON) is being viewed as a promising solution for delivering multiple services and applications. The hybrid WDM / TDM PON uses the wavelength and bandwidth allocation strategy to control the distribution of the wavelength channels in the uplink direction, so that it can ensure the high bandwidth requirements of multiple Optical Network Units (ONUs) while improving the wavelength resource utilization. Through the investigation of the presented dynamic bandwidth allocation algorithms, these algorithms can't satisfy the requirements of different levels of service very well while adapting to the structural characteristics of mixed WDM / TDM PON system. This paper introduces a novel wavelength and bandwidth allocation algorithm to efficiently utilize the bandwidth and support QoS (Quality of Service) guarantees in WDM/TDM PON. Two priority based polling subcycles are introduced in order to increase system efficiency and improve system performance. The fixed priority polling subcycle and dynamic priority polling subcycle follow different principles to implement wavelength and bandwidth allocation according to the priority of different levels of service. A simulation was conducted to study the performance of the priority based polling in dynamic resource allocation algorithm in WDM/TDM PON. The results show that the performance of delay-sensitive services is greatly improved without degrading QoS guarantees for other services. Compared with the traditional dynamic bandwidth allocation algorithms, this algorithm can meet bandwidth needs of different priority traffic class, achieve low loss rate performance, and ensure real-time of high priority traffic class in terms of overall traffic on the network.

The decision-making process for senior cancer patients: treatment allocation of older women with operable breast cancer in the UK

International Nuclear Information System (INIS)

Morgan, Jenna L.; Richards, Paul; Zaman, Osama; Ward, Sue; Collins, Karen; Robinson, Thompson; Cheung, Kwok-Leung; Audisio, Riccardo A.; Reed, Malcolm W.; Wyld, Lynda

2015-01-01

Up to 40% of women over 70 years with primary operable breast cancer in the UK are treated with primary endocrine therapy (PET) as an alternative to surgery. A variety of factors are important in determining treatment for older breast cancer patients. This study aimed to identify the patient and tumor factors associated with treatment allocation in this population. Prospectively collected data on treatment received (surgery vs. PET) were analysed with multivariable logistic regression using the variables age, modified Charlson Comorbidity Index (CCI), activities of daily living (ADL) score, Mini-Mental State Examination (MMSE) score, HER2 status, tumour size, grade and nodal status. Data were available for 1,122 cancers in 1,098 patients recruited between February 2013 and June 2015 from 51 UK hospitals. About 78% of the population were treated surgically, with the remainder being treated with PET. Increasing patient age at diagnosis, increasing CCI score, large tumor size (5 cm or more) and dependence in one or more ADL categories were all strongly associated with non-surgical treatment (P<0.05). Increasing comorbidity, large tumor size and reduced functional ability are associated with reduced likelihood of surgical treatment of breast cancer in older patients. However, age itself remains a significant factor for non-surgical treatment; reinforcing the need for evidence-based guidelines

Cost allocation policy review: options and preferred alternatives

Energy Technology Data Exchange (ETDEWEB)

NONE

2010-10-15

This policy review of the consultation process on the electricity cost allocation issue is presented with specific cost allocation policy issues addressed herein, such as: the new microFIT rate, accounting changes and the transition to IFRS, and review of allocating costs to load displacement generation. This report gave the current situation for all these issues, previous work, issues, viable options for dealing with these issues and the preferred alternatives.

A Fair Resource Allocation Algorithm for Data and Energy Integrated Communication Networks

Directory of Open Access Journals (Sweden)

Qin Yu

2016-01-01

Full Text Available With the rapid advancement of wireless network technologies and the rapid increase in the number of mobile devices, mobile users (MUs have an increasing high demand to access the Internet with guaranteed quality-of-service (QoS. Data and energy integrated communication networks (DEINs are emerging as a new type of wireless networks that have the potential to simultaneously transfer wireless energy and information via the same base station (BS. This means that a physical BS is virtualized into two parts: one is transferring energy and the other is transferring information. The former is called virtual energy base station (eBS and the latter is named as data base station (dBS. One important issue in such setting is dynamic resource allocation. Here the resource concerned includes both power and time. In this paper, we propose a fair data-and-energy resource allocation algorithm for DEINs by jointly designing the downlink energy beamforming and a power-and-time allocation scheme, with the consideration of finite capacity batteries at MUs and power sensitivity of radio frequency (RF to direct current (DC conversion circuits. Simulation results demonstrate that our proposed algorithm outperforms the existing algorithms in terms of fairness, beamforming design, sensitivity, and average throughput.

Adolescence, attention allocation, and driving safety.

Science.gov (United States)

Romer, Daniel; Lee, Yi-Ching; McDonald, Catherine C; Winston, Flaura K

2014-05-01

Motor vehicle crashes are the leading source of morbidity and mortality in adolescents in the United States and the developed world. Inadequate allocation of attention to the driving task and to driving hazards are important sources of adolescent crashes. We review major explanations for these attention failures with particular focus on the roles that brain immaturity and lack of driving experience play in causing attention problems. The review suggests that the potential for overcoming inexperience and immaturity with training to improve attention to both the driving task and hazards is substantial. Nevertheless, there are large individual differences in both attentional abilities and risky driving tendencies that pose challenges to novice driver policies. Research that can provide evidence-based direction for such policies is urgently needed. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Methods of Thrust Allocation in a DP Simulation System of Maritime University of Szczecin

Directory of Open Access Journals (Sweden)

Zalewski Paweł

2016-12-01

Full Text Available Vessels conducting dynamic positioning (DP operations are usually equipped with thruster configurations that enable generation of resultant force and moment in any direction. These configurations are deliberately redundant in order to reduce the consequences of thruster failures and increase the safety. On such vessels a thrust allocation system must be used to distribute the control actions determined by the DP controller among the thrusters. The optimal allocation of thrusters′ settings in DP systems is a problem that can be solved by several convex optimization methods depending on criteria and constraints used. The paper presents linear programming (LP and quadratic programming (QP methods adopted in DP control model which is being developed in Maritime University of Szczecin for ship simulation purposes.

30 CFR 220.014 - Allocation of joint costs and credits.

Science.gov (United States)

2010-07-01

... allocation principles apply in allocating joint costs: (1) G & G. G & G shall be allocated on a line mile per... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Allocation of joint costs and credits. 220.014... MANAGEMENT ACCOUNTING PROCEDURES FOR DETERMINING NET PROFIT SHARE PAYMENT FOR OUTER CONTINENTAL SHELF OIL AND...

Prospect theory reflects selective allocation of attention.

Science.gov (United States)

Pachur, Thorsten; Schulte-Mecklenbeck, Michael; Murphy, Ryan O; Hertwig, Ralph

2018-02-01

There is a disconnect in the literature between analyses of risky choice based on cumulative prospect theory (CPT) and work on predecisional information processing. One likely reason is that for expectation models (e.g., CPT), it is often assumed that people behaved only as if they conducted the computations leading to the predicted choice and that the models are thus mute regarding information processing. We suggest that key psychological constructs in CPT, such as loss aversion and outcome and probability sensitivity, can be interpreted in terms of attention allocation. In two experiments, we tested hypotheses about specific links between CPT parameters and attentional regularities. Experiment 1 used process tracing to monitor participants' predecisional attention allocation to outcome and probability information. As hypothesized, individual differences in CPT's loss-aversion, outcome-sensitivity, and probability-sensitivity parameters (estimated from participants' choices) were systematically associated with individual differences in attention allocation to outcome and probability information. For instance, loss aversion was associated with the relative attention allocated to loss and gain outcomes, and a more strongly curved weighting function was associated with less attention allocated to probabilities. Experiment 2 manipulated participants' attention to losses or gains, causing systematic differences in CPT's loss-aversion parameter. This result indicates that attention allocation can to some extent cause choice regularities that are captured by CPT. Our findings demonstrate an as-if model's capacity to reflect characteristics of information processing. We suggest that the observed CPT-attention links can be harnessed to inform the development of process models of risky choice. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Deciduous and evergreen trees differ in juvenile biomass allometries because of differences in allocation to root storage

NARCIS (Netherlands)

Tomlinson, K.W.; Langevelde, van F.; Ward, D.; Bongers, F.J.J.M.; Alves da Silva, D.; Prins, H.H.T.; Bie, de S.; Sterck, F.J.

2013-01-01

Background and Aims - Biomass partitioning for resource conservation might affect plant allometry, accounting for a substantial amount of unexplained variation in existing plant allometry models. One means of resource conservation is through direct allocation to storage in particular organs. In this

The Determinants of Productivity in Medical Testing: Intensity and Allocation of Care*

Science.gov (United States)

Abaluck, Jason; Agha, Leila; Kabrhel, Chris; Raja, Ali; Venkatesh, Arjun

2017-01-01

A large body of research has investigated whether physicians overuse care. There is less evidence on whether, for a fixed level of spending, doctors allocate resources to patients with the highest expected returns. We assess both sources of inefficiency exploiting variation in rates of negative imaging tests for pulmonary embolism. We document enormous across-doctor heterogeneity in testing conditional on patient population, which explains the negative relationship between physicians’ testing rates and test yields. Furthermore, doctors do not target testing to the highest risk patients, reducing test yields by one third. Our calibration suggests misallocation is more costly than overuse. PMID:29104293

Nash social welfare in multiagent resource allocation

NARCIS (Netherlands)

Ramezani, S.; Endriss, U.; David, E.; Gerding, E.; Sarne, D.; Shehory, O.

2010-01-01

We study different aspects of the multiagent resource allocation problem when the objective is to find an allocation that maximizes Nash social welfare, the product of the utilities of the individual agents. The Nash solution is an important welfare criterion that combines efficiency and fairness

Allocation Problems and Market Design

DEFF Research Database (Denmark)

Smilgins, Aleksandrs

The thesis contains six independent papers with a common theme: Allocation problems and market design. The first paper is concerned with fair allocation of risk capital where independent autonomous subunits have risky activities and together constitute the entity's total risk, whose associated risk...... at a certain point in time involves countries that have excess demand and countries that have surplus of green energy. The problem addressed here is how the gains from trade ought to influence the way that members of the grid share common costs. The fifth paper extends the classical two-sided one...

Sample size allocation in multiregional equivalence studies.

Science.gov (United States)

Liao, Jason J Z; Yu, Ziji; Li, Yulan

2018-06-17

With the increasing globalization of drug development, the multiregional clinical trial (MRCT) has gained extensive use. The data from MRCTs could be accepted by regulatory authorities across regions and countries as the primary sources of evidence to support global marketing drug approval simultaneously. The MRCT can speed up patient enrollment and drug approval, and it makes the effective therapies available to patients all over the world simultaneously. However, there are many challenges both operationally and scientifically in conducting a drug development globally. One of many important questions to answer for the design of a multiregional study is how to partition sample size into each individual region. In this paper, two systematic approaches are proposed for the sample size allocation in a multiregional equivalence trial. A numerical evaluation and a biosimilar trial are used to illustrate the characteristics of the proposed approaches. Copyright © 2018 John Wiley & Sons, Ltd.

Risk allocation approach to reactor safety design and evaluation

International Nuclear Information System (INIS)

Gokcek, O.; Temme, M.I.; Derby, S.L.

1978-01-01

This paper describes a risk allocation technique used for determining nuclear power plant design reliability requirements. The concept of risk allocation-optimum choice of safety function reliabilities under a maximum risk constraint - is described. An example of risk allocation is presented to demonstrate the application of the methodology

Designing equitable antiretroviral allocation strategies in resource-constrained countries.

Directory of Open Access Journals (Sweden)

David P Wilson

2005-02-01

Full Text Available Recently, a global commitment has been made to expand access to antiretrovirals (ARVs in the developing world. However, in many resource-constrained countries the number of individuals infected with HIV in need of treatment will far exceed the supply of ARVs, and only a limited number of health-care facilities (HCFs will be available for ARV distribution. Deciding how to allocate the limited supply of ARVs among HCFs will be extremely difficult. Resource allocation decisions can be made on the basis of many epidemiological, ethical, or preferential treatment priority criteria.Here we use operations research techniques, and we show how to determine the optimal strategy for allocating ARVs among HCFs in order to satisfy the equitable criterion that each individual infected with HIV has an equal chance of receiving ARVs. We present a novel spatial mathematical model that includes heterogeneity in treatment accessibility. We show how to use our theoretical framework, in conjunction with an equity objective function, to determine an optimal equitable allocation strategy (OEAS for ARVs in resource-constrained regions. Our equity objective function enables us to apply the egalitarian principle of equity with respect to access to health care. We use data from the detailed ARV rollout plan designed by the government of South Africa to determine an OEAS for the province of KwaZulu-Natal. We determine the OEAS for KwaZulu-Natal, and we then compare this OEAS with two other ARV allocation strategies: (i allocating ARVs only to Durban (the largest urban city in KwaZulu-Natal province and (ii allocating ARVs equally to all available HCFs. In addition, we compare the OEAS to the current allocation plan of the South African government (which is based upon allocating ARVs to 17 HCFs. We show that our OEAS significantly improves equity in treatment accessibility in comparison with these three ARV allocation strategies. We also quantify how the size of the

New Organ Allocation System for Combined Liver-Kidney Transplants and the Availability of Kidneys for Transplant to Patients with Stage 4-5 CKD.

Science.gov (United States)

Asch, William S; Bia, Margaret J

2017-05-08

A new proposal has been created for establishing medical criteria for organ allocation in recipients receiving simultaneous liver-kidney transplants. In this article, we describe the new policy, elaborate on the points of greatest controversy, and offer a perspective on the policy going forward. Although we applaud the fact that simultaneous liver-kidney transplant activity will now be monitored and appreciate the creation of medical criteria for allocation in simultaneous liver-kidney transplants, we argue that some of the criteria proposed, especially those for allocating a kidney to a liver recipient with AKI, are too liberal. We call on the nephrology community to follow the consequences of this new policy and push for a re-examination of the longstanding policy of allocating kidneys to multiorgan transplant recipients before all other candidates. The charge to protect our system of equitable organ allocation is very challenging, but it is a challenge that we must embrace. Copyright © 2017 by the American Society of Nephrology.

Cognitive radio resource allocation based on coupled chaotic genetic algorithm

International Nuclear Information System (INIS)

Zu Yun-Xiao; Zhou Jie; Zeng Chang-Chang

2010-01-01

A coupled chaotic genetic algorithm for cognitive radio resource allocation which is based on genetic algorithm and coupled Logistic map is proposed. A fitness function for cognitive radio resource allocation is provided. Simulations are conducted for cognitive radio resource allocation by using the coupled chaotic genetic algorithm, simple genetic algorithm and dynamic allocation algorithm respectively. The simulation results show that, compared with simple genetic and dynamic allocation algorithm, coupled chaotic genetic algorithm reduces the total transmission power and bit error rate in cognitive radio system, and has faster convergence speed

29 CFR 4211.13 - Modifications to the direct attribution method.

Science.gov (United States)

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Modifications to the direct attribution method. 4211.13... Changes Not Subject to PBGC Approval § 4211.13 Modifications to the direct attribution method. (a) Error in direct attribution method. The unfunded vested benefits allocated to a withdrawing employer under...

Bidding for surplus in network allocation problems

NARCIS (Netherlands)

Slikker, M.

2007-01-01

In this paper we study non-cooperative foundations of network allocation rules. We focus on three allocation rules: the Myerson value, the position value and the component-wise egalitarian solution. For any of these three rules we provide a characterization based on component efficiency and some

14 CFR 1214.113 - Allocation of risk.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Allocation of risk. 1214.113 Section 1214.113 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION SPACE FLIGHT General....113 Allocation of risk. The U.S. Government will assume no risk for damages to the customer resulting...

CPD Allocations and Awards

Data.gov (United States)

Department of Housing and Urban Development — The CPD Allocation and Award database provides filterable on-screen and exportable reports on select programs, such as the Community Development Block Grant Program,...

Work-family conflict and self-discrepant time allocation at work.

Science.gov (United States)

Dahm, Patricia C; Glomb, Theresa M; Manchester, Colleen Flaherty; Leroy, Sophie

2015-05-01

We examine the relationships between work-to-family conflict, time allocation across work activities, and the outcomes of work satisfaction, well-being, and salary in the context of self-regulation and self-discrepancy theories. We posit work-to-family conflict is associated with self-discrepant time allocation such that employees with higher levels of work-to-family conflict are likely to allocate less time than preferred to work activities that require greater self-regulatory resources (e.g., tasks that are complex, or those with longer term goals that delay rewards and closure) and allocate more time than preferred to activities that demand fewer self-regulatory resources or are replenishing (e.g., those that provide closure or are prosocial). We suggest this self-discrepant time allocation (actual vs. preferred time allocation) is one mechanism by which work-to-family conflict leads to negative employee consequences (Allen, Herst, Bruck, & Sutton, 2000; Mesmer-Magnus & Viswesvaran, 2005). Using polynomial regression and response surface methodology, we find that discrepancies between actual and preferred time allocations to work activities negatively relate to work satisfaction, psychological well-being, and physical well-being. Self-discrepant time allocation mediates the relationship between work-to-family conflict and work satisfaction and well-being, while actual time allocation (rather than the discrepancy) mediates the relationship between work-to-family conflict and salary. We find that women are more likely than men to report self-discrepant time allocations as work-to-family conflict increases. (c) 2015 APA, all rights reserved.

Grief after patient death: direct care staff in nursing homes and homecare.

Science.gov (United States)

Boerner, Kathrin; Burack, Orah R; Jopp, Daniela S; Mock, Steven E

2015-02-01

Patient death is common in long-term care (LTC). Yet, little attention has been paid to how direct care staff members, who provide the bulk of daily LTC, experience patient death and to what extent they are prepared for this experience. To 1) determine how grief symptoms typically reported by bereaved family caregivers are experienced among direct care staff, 2) explore how prepared the staff members were for the death of their patients, and 3) identify characteristics associated with their grief. This was a cross-sectional study of direct care staff experiencing recent patient death. Participants were 140 certified nursing assistants and 80 homecare workers. Standardized assessments and structured questions addressed staff (e.g., preparedness for death), institutional (e.g., support availability), and patient/relational factors (e.g., relationship quality). Data analyses included bivariate group comparisons and hierarchical regression. Grief reactions of staff reflected many of the core grief symptoms reported by bereaved family caregivers in a large-scale caregiving study. Feelings of being "not at all prepared" for the death and struggling with "acceptance of death" were prevalent among the staff. Grief was more intense when staff-patient relationships were closer, care was provided for longer, and staff felt emotionally unprepared for the death. Grief symptoms like those experienced by family caregivers are common among direct care workers after patient death. Increasing preparedness for this experience via better training and support is likely to improve the occupational experience of direct care workers and ultimately allow them to provide better palliative care in nursing homes and homecare. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

The Influence of Allocation Formula on Generation of Profit in Different Economy Sectors

Directory of Open Access Journals (Sweden)

Kateřina Krchnivá

2015-01-01

Full Text Available The mechanism for the distribution of the Common Consolidated Corporate Tax Base will be based on three macroeconomics factors which are considered to be the main indicators of generated profit/loss. The paper analyzes the explanatory power of proposed allocation formula for the distribution of the Common Consolidated Corporate Tax Base with respect to the sector of economic activity from the perspective of the Czech independent enterprises. The research is based on the comparison of the coefficients of determination indicating the proportion of explained variability of proposed multiple regression models. The paper concludes that the proportion of explained profitability by the allocation formula factors as are defined by the Common Consolidated Corporate Tax Base Draft Directive may differ up to 34% with regard to the sector of economic activity classified by NACE classification.

Obtaining a Proportional Allocation by Deleting Items

NARCIS (Netherlands)

Dorn, B.; de Haan, R.; Schlotter, I.; Röthe, J.

2017-01-01

We consider the following control problem on fair allocation of indivisible goods. Given a set I of items and a set of agents, each having strict linear preference over the items, we ask for a minimum subset of the items whose deletion guarantees the existence of a proportional allocation in the

47 CFR 69.502 - Base factor allocation.

Science.gov (United States)

2010-10-01

... 47 Telecommunication 3 2010-10-01 2010-10-01 false Base factor allocation. 69.502 Section 69.502... Segregation of Common Line Element Revenue Requirement § 69.502 Base factor allocation. Projected revenues from the following shall be deducted from the base factor portion to determine the amount that is...

Twelve fundamental life histories evolving through allocation-dependent fecundity and survival.

Science.gov (United States)

Johansson, Jacob; Brännström, Åke; Metz, Johan A J; Dieckmann, Ulf

2018-03-01

An organism's life history is closely interlinked with its allocation of energy between growth and reproduction at different life stages. Theoretical models have established that diminishing returns from reproductive investment promote strategies with simultaneous investment into growth and reproduction (indeterminate growth) over strategies with distinct phases of growth and reproduction (determinate growth). We extend this traditional, binary classification by showing that allocation-dependent fecundity and mortality rates allow for a large diversity of optimal allocation schedules. By analyzing a model of organisms that allocate energy between growth and reproduction, we find twelve types of optimal allocation schedules, differing qualitatively in how reproductive allocation increases with body mass. These twelve optimal allocation schedules include types with different combinations of continuous and discontinuous increase in reproduction allocation, in which phases of continuous increase can be decelerating or accelerating. We furthermore investigate how this variation influences growth curves and the expected maximum life span and body size. Our study thus reveals new links between eco-physiological constraints and life-history evolution and underscores how allocation-dependent fitness components may underlie biological diversity.

Task mapping for non-contiguous allocations.

Energy Technology Data Exchange (ETDEWEB)

Leung, Vitus Joseph; Bunde, David P.; Ebbers, Johnathan; Price, Nicholas W.; Swank, Matthew.; Feer, Stefan P.; Rhodes, Zachary D.

2013-02-01

This paper examines task mapping algorithms for non-contiguously allocated parallel jobs. Several studies have shown that task placement affects job running time for both contiguously and non-contiguously allocated jobs. Traditionally, work on task mapping either uses a very general model where the job has an arbitrary communication pattern or assumes that jobs are allocated contiguously, making them completely isolated from each other. A middle ground between these two cases is the mapping problem for non-contiguous jobs having a specific communication pattern. We propose several task mapping algorithms for jobs with a stencil communication pattern and evaluate them using experiments and simulations. Our strategies improve the running time of a MiniApp by as much as 30% over a baseline strategy. Furthermore, this improvement increases markedly with the job size, demonstrating the importance of task mapping as systems grow toward exascale.

Peritonitis related to percutaneous endoscopic gastrostomy using the direct method for cancer patients.

Science.gov (United States)

Osera, Shozo; Yano, Tomonori; Odagaki, Tomoyuki; Oono, Yasuhiro; Ikematsu, Hiroaki; Ohtsu, Atsushi; Kaneko, Kazuhiro

2015-10-01

Percutaneous endoscopic gastrostomy (PEG) using the direct method is generally indicated for cancer patients. However, there are little available data about peritonitis related to this method. The aim of this retrospective analysis was to assess peritonitis related to PEG using the direct method in patients with cancer. We assessed the prevalence of peritonitis and the relationship between peritonitis and patients' backgrounds, as well as the clinical course after peritonitis. Between December 2008 and December 2011, peritonitis was found in 9 (2.1 %) of 421 patients. Of the 9 patients with peritonitis, 4 had received PEG prior to chemoradiotherapy. Emergency surgical drainage was required in 1 patient, and the remaining 8 recovered with conservative treatment. Peritonitis occurred within 8 days of PEG for 8 of the 9 patients and occurred within 2 days of suture removal for 4 of the 9 patients. Peritonitis related to PEG using the direct method was less frequent for cancer patients. Peritonitis tended to occur within a few days after removal of securing suture and in patients with palliative stage.

Macroeconomic influences on optimal asset allocation

OpenAIRE

Flavin, Thomas; Wickens, M.R.

2003-01-01

We develop a tactical asset allocation strategy that incorporates the effects of macroeconomic variables. The joint distribution of financial asset returns and the macroeconomic variables is modelled using a VAR with a multivariate GARCH (M-GARCH) error structure. As a result, the portfolio frontier is time varying and subject to contagion from the macroeconomic variable. Optimal asset allocation requires that this be taken into account. We illustrate how to do this using three ri...

Multiobjective optimal allocation problem with probabilistic non ...

African Journals Online (AJOL)

user

In multivariate stratified sampling where more than one characteristic are to be estimated, an allocation which is optimum for one characteristic may not be optimum for other characteristics also. In such situations a compromise criterion is needed to work out a usable allocation which is optimum for all characteristics in some ...

A Time Allocation Study of University Faculty

Science.gov (United States)

Link, Albert N.; Swann, Christopher A.; Bozeman, Barry

2008-01-01

Many previous time allocation studies treat work as a single activity and examine trade-offs between work and other activities. This paper investigates the at-work allocation of time among teaching, research, grant writing and service by science and engineering faculty at top US research universities. We focus on the relationship between tenure…

Risk and reliability allocation to risk control

International Nuclear Information System (INIS)

Vojnovic, D.; Kozuh, M.

1992-01-01

The risk allocation procedure is used as an analytical model to support the optimal decision making for reliability/availability improvement planning. Both levels of decision criteria, the plant risk measures and plant performance indices, are used in risk allocation procedure. Decision support system uses the multi objective decision making concept. (author) [sl

Direct and indirect healthcare costs of rheumatoid arthritis patients in Turkey.

Science.gov (United States)

Hamuryudan, Vedat; Direskeneli, Haner; Ertenli, Ihsan; Inanc, Murat; Karaaslan, Yasar; Oksel, Fahrettin; Ozbek, Suleyman; Pay, Salih; Terzioglu, Ender; Balkan Tezer, Dilara; Hacibedel, Basak; Akkoc, Nurullah

2016-01-01

To estimate the annual cost of rheumatoid arthritis (RA) in Turkey by obtaining real-world data directly from patients. In this cross-sectional study, RA patients from the rheumatology outpatient clinics of 10 university hospitals were interviewed with a standardised questionnaire on RA-related healthcare care costs. The study included 689 RA patients (565 females) with a mean age of 51.2±13.2 years and mean disease duration of 9.4±7.8 years. The mean scores of the Routine Assessment of Patient Index Data 3 and the Health Assessment Questionnaire-Disability Index (5.08±2.34 and 1.08±0.68, respectively) indicated moderate disease activity and severity for the whole group. One-third of the patients were on biologic agents and 12% had co-morbid conditions. The mean number of annual outpatient visits was 11.7±9.6 per patient. Of the patients, 15% required hospitalisation and 4% underwent surgery. The mean annual direct cost was € 4,954 (median, € 1,805), whereas the mean annual indirect cost was € 2,802 (median, € 608). Pharmacy costs accounted for the highest expenditure (mean, € 2,777; median, € 791), followed by the RA-related consultations and expenses (mean, € 1,600; median, € 696). RA has a substantial economic burden in Turkey, direct costs being higher than indirect costs. Although both direct and indirect costs are lower in Turkey than in Europe with respect to nominal Euro terms, they are higher from the perspectives of purchasing power parity and gross domestic product. Early diagnosis and treatment of RA may positively affect the national economy considering the positive correlation between health care utilisations and increased cost with disease severity.

DETERMININGS OF FARM WORK ALLOCATION IN BRAZILIAN REGIONS

Directory of Open Access Journals (Sweden)

Filipe de Morais Cangussu Pessoa

2013-03-01

Full Text Available The aim of this paper was to analyze the determinings of farm work allocation in Brazilian regions, based on micro data of National Household Sample Survey 2009. For that, the empirical procedure consisted in the use of two models: Confirmatory Factor Analysis and the Logit Model. The model Confirmatory Factor Analysis showed good fit and defined two latent variables: qualification and income. As to the Logit Model, the results showed that the fact of a man living in rural areas increases the likelihood of being allocated in farm work, however if he is white this probability decrease. Besides, the variables qualification and income have a negative relation with farm work allocation, being the Midwest region that contributed most for people being allocated in farm work.

Symptom burden and job absenteeism after treatment with additional catheter-directed thrombolysis for deep vein thrombosis

Directory of Open Access Journals (Sweden)

Enden T

2013-09-01

Full Text Available Tone Enden,1–3 Nils-Einar Kløw,2,3 Per Morten Sandset1,3 1Department of Hematology, Oslo University Hospital, Oslo, Norway; 2Department of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway; 3Institute of Clinical Medicine, University of Oslo, Oslo, Norway Introduction: Additional catheter-directed thrombolysis (CDT for acute deep vein thrombosis (DVT reduces long-term postthrombotic syndrome and is likely to represent a cost-effective alternative treatment compared to the standard treatment of anticoagulation and elastic compression stockings. Accelerated thrombus resolution has also been suggested to improve symptoms and patient function in the acute phase. We aimed to investigate whether additional CDT led to fewer symptoms and job absenteeism during the first 6 months after initiation of DVT treatment compared to standard treatment alone. Methods: The Catheter-directed Venous Thrombolysis (CaVenT study was a multicenter open label, randomized controlled trial of patients ages 18 years to 75 years with a verified high proximal DVT,<21 days of symptoms, and no apparent bleeding risk. Patients were allocated to additional CDT or to standard treatment only. Symptoms were assessed at baseline and at 6 months using items from the generic and disease-specific quality of life questionnaires EQ-5D and VEINES-QOL/Sym, respectively. Individual data on sickness benefits related to venous thromboembolic disease were obtained from the national welfare service. Results: A total of 90 patients allocated additional CDT and 99 control patients completed long-term follow-up and were included in the analyses. Twenty-four in the CDT arm and 40 controls received sick leave (P = 0.046. When considering working patients only (54 in the CDT arm and 72 controls this difference was no longer statistically significant. Mean duration of job absenteeism was 86.4 days (95% confidence interval 59.4–113.5 in the CDT arm and 60.1 days (95% confidence

Downlink resource allocation for multichannel TDMA visible light communications

KAUST Repository

Abdelhady, Amr Mohamed Abdelaziz; Amin, Osama; Chaaban, Anas; Alouini, Mohamed-Slim

2017-01-01

Optical wireless communications (OWC) in general and resource allocation in OWC networks particularly have gained lots of attention recently. In this work, we consider the resource allocation problem of a visible light communication downlink transmission system based on time division multiple access with the objective of maximizing spectral efficiency (SE). As for the operational conditions, we impose constraints on the average optical intensity, the energy consumption and the quality-of-service. To solve the non-convex problem, we transform the objective function into a difference of concave functions by solving a second order differential inequality. Then, we propose a low-complexity algorithm to solve the resource allocation problem. Finally, we show by simulations the SE performance gains achieved by optimizing the power allocation over equal power allocation in the considered system. Numerical results show the SE gains achieved by using this solution.

Downlink resource allocation for multichannel TDMA visible light communications

KAUST Repository

Abdelhady, Amr Mohamed Abdelaziz

2017-05-12

Optical wireless communications (OWC) in general and resource allocation in OWC networks particularly have gained lots of attention recently. In this work, we consider the resource allocation problem of a visible light communication downlink transmission system based on time division multiple access with the objective of maximizing spectral efficiency (SE). As for the operational conditions, we impose constraints on the average optical intensity, the energy consumption and the quality-of-service. To solve the non-convex problem, we transform the objective function into a difference of concave functions by solving a second order differential inequality. Then, we propose a low-complexity algorithm to solve the resource allocation problem. Finally, we show by simulations the SE performance gains achieved by optimizing the power allocation over equal power allocation in the considered system. Numerical results show the SE gains achieved by using this solution.

Direct medical cost of stroke in Singapore.

Science.gov (United States)

Ng, Charmaine Shuyu; Toh, Matthias Paul Han Sim; Ng, Jiaying; Ko, Yu

2015-10-01

Globally, stroke is recognized as one of the main causes of long-term disability, accounting for approximately 5·7 million deaths each year. It is a debilitating and costly chronic condition that consumes about 2-4% of total healthcare expenditure. To estimate the direct medical cost associated with stroke in Singapore in 2012 and to determine associated predictors. The National Healthcare Group Chronic Disease Management System database was used to identify patients with stroke between the years 2006 and 2012. Estimated stroke-related costs included hospitalizations, accident and emergency room visits, outpatient physician visits, laboratory tests, and medications. A total of 700 patients were randomly selected for the analyses. The mean annual direct medical cost was found to be S$12 473·7, of which 93·6% were accounted for by inpatient services, 4·9% by outpatient services, and 1·5% by A&E services. Independent determinants of greater total costs were stroke types, such as ischemic stroke (P = 0·005), subarachnoid hemorrhage (P costs. Efforts to reduce inpatient costs and to allocate health resources to focus on the primary prevention of stroke should become a priority. © 2015 World Stroke Organization.

Adaptive Control Allocation for Fault Tolerant Overactuated Autonomous Vehicles

Science.gov (United States)

2007-11-01

Tolerant Overactuated Autonomous Vehicles Casavola, A.; Garone, E. (2007) Adaptive Control Allocation for Fault Tolerant Overactuated Autonomous ...Adaptive Control Allocation for Fault Tolerant Overactuated Autonomous Vehicles 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6...Tolerant Overactuated Autonomous Vehicles 3.2 - 2 RTO-MP-AVT-145 UNCLASSIFIED/UNLIMITED Control allocation problem (CAP) - Given a virtual input v(t

Stochastic Resource Allocation for Energy-Constrained Systems

Directory of Open Access Journals (Sweden)

Sachs DanielGrobe

2009-01-01

Full Text Available Battery-powered wireless systems running media applications have tight constraints on energy, CPU, and network capacity, and therefore require the careful allocation of these limited resources to maximize the system's performance while avoiding resource overruns. Usually, resource-allocation problems are solved using standard knapsack-solving techniques. However, when allocating conservable resources like energy (which unlike CPU and network remain available for later use if they are not used immediately knapsack solutions suffer from excessive computational complexity, leading to the use of suboptimal heuristics. We show that use of Lagrangian optimization provides a fast, elegant, and, for convex problems, optimal solution to the allocation of energy across applications as they enter and leave the system, even if the exact sequence and timing of their entrances and exits is not known. This permits significant increases in achieved utility compared to heuristics in common use. As our framework requires only a stochastic description of future workloads, and not a full schedule, we also significantly expand the scope of systems that can be optimized.

Provider and Patient Directed Financial Incentives to Improve Care and Outcomes for Patients with Diabetes

Science.gov (United States)

Lorincz, Ilona S.; Lawson, Brittany C. T.

2012-01-01

Incentive programs directed at both providers and patients have become increasingly widespread. Pay-for-performance (P4P) where providers receive financial incentives to carry out specific care or improve clinical outcomes has been widely implemented. The existing literature indicates they probably spur initial gains which then level off or partially revert if incentives are withdrawn. The literature also indicates that process measures are easier to influence through P4P programs but that intermediate outcomes such as glucose, blood pressure, and cholesterol control are harder to influence, and the long term impact of P4P programs on health is largely unknown. Programs directed at patients show greater promise as a means to influence patient behavior and intermediate outcomes such as weight loss; however, the evidence for long term effects are lacking. In combination, both patient and provider incentives are potentially powerful tools but whether they are cost-effective has yet to be determined. PMID:23225214

Availability Allocation of Networked Systems Using Markov Model and Heuristics Algorithm

Directory of Open Access Journals (Sweden)

Ruiying Li

2014-01-01

Full Text Available It is a common practice to allocate the system availability goal to reliability and maintainability goals of components in the early design phase. However, the networked system availability is difficult to be allocated due to its complex topology and multiple down states. To solve these problems, a practical availability allocation method is proposed. Network reliability algebraic methods are used to derive the availability expression of the networked topology on the system level, and Markov model is introduced to determine that on the component level. A heuristic algorithm is proposed to obtain the reliability and maintainability allocation values of components. The principles applied in the AGREE reliability allocation method, proposed by the Advisory Group on Reliability of Electronic Equipment, and failure rate-based maintainability allocation method persist in our allocation method. A series system is used to verify the new algorithm, and the result shows that the allocation based on the heuristic algorithm is quite accurate compared to the traditional one. Moreover, our case study of a signaling system number 7 shows that the proposed allocation method is quite efficient for networked systems.

Game-Theoretic Social-Aware Resource Allocation for Device-to-Device Communications Underlaying Cellular Network

Directory of Open Access Journals (Sweden)

Lei Wang

2018-01-01

Full Text Available Device-to-Device communication underlaying cellular network can increase the spectrum efficiency due to direct proximity communication and frequency reuse. However, such performance improvement is influenced by the power interference caused by spectrum sharing and social characteristics in each social community jointly. In this investigation, we present a dynamic game theory with complete information based D2D resource allocation scheme for D2D communication underlaying cellular network. In this resource allocation method, we quantify both the rate influence from the power interference caused by the D2D transmitter to cellular users and rate enhancement brought by the social relationships between mobile users. Then, the utility function maximization game is formulated to optimize the overall transmission rate performance of the network, which synthetically measures the final influence from both power interference and sociality enhancement. Simultaneously, we discuss the Nash Equilibrium of the proposed utility function maximization game from a theoretical point of view and further put forward a utility priority searching algorithm based resource allocation scheme. Simulation results show that our proposed scheme attains better performance compared with the other two advanced proposals.

Multi-objective reliability redundancy allocation in an interval environment using particle swarm optimization

International Nuclear Information System (INIS)

Zhang, Enze; Chen, Qingwei

2016-01-01

Most of the existing works addressing reliability redundancy allocation problems are based on the assumption of fixed reliabilities of components. In real-life situations, however, the reliabilities of individual components may be imprecise, most often given as intervals, under different operating or environmental conditions. This paper deals with reliability redundancy allocation problems modeled in an interval environment. An interval multi-objective optimization problem is formulated from the original crisp one, where system reliability and cost are simultaneously considered. To render the multi-objective particle swarm optimization (MOPSO) algorithm capable of dealing with interval multi-objective optimization problems, a dominance relation for interval-valued functions is defined with the help of our newly proposed order relations of interval-valued numbers. Then, the crowding distance is extended to the multi-objective interval-valued case. Finally, the effectiveness of the proposed approach has been demonstrated through two numerical examples and a case study of supervisory control and data acquisition (SCADA) system in water resource management. - Highlights: • We model the reliability redundancy allocation problem in an interval environment. • We apply the particle swarm optimization directly on the interval values. • A dominance relation for interval-valued multi-objective functions is defined. • The crowding distance metric is extended to handle imprecise objective functions.

Matching today's allocation of LDC expenses with cost causation

International Nuclear Information System (INIS)

Yankel, A.J.

1990-01-01

This article discusses the costs of natural gas distribution and how to integrate these costs into the allocation of local distribution companies expenses for the purpose of establishing rate structures. The author's contention is that costs related to throughput are a larger share than historically used allocation factors suggest. Topics include the historical allocation factors, a case study and the conclusions drawn from it

Structure stability index allocation theory and measurement of laser prototype facility

International Nuclear Information System (INIS)

Zhang Junwei; China Academy of Engineering Physics, Mianyang; Zhou Hai; Feng Bin; Lin Donghui; Jing Feng; Zhou Yi; Wang Shilong

2008-01-01

Structure stability is an important design index of ICF driver. Based on laser prototype facility(TIL) design characteristic of multi-pass amplifier and frame structure, the optical matrix is used to analyze the single optical element influence on the beam drift and get the mathematic model. Considering all the optical elements influence on the beam drift, the mathematic model of the optical element stability index allocation is built, the parameter relation of the mathematic model is defined according to the structure characteristic of TIL, the stability index of each optical element is got as the support structure design index. Charge-coupled device(CCD) detect technology is used to measure the general beam stability of TIL. The root mean square beam drift in x and y direction are 2.78 μm, the difference between peak and valley values are 14.4 μm and 15.60 μm, respectively. The result indicates that the stability drift of the prototype facility can satisfy the design requirement, the way of the stability allocation is reasonable. (authors)

Efficient Power Allocation for Video over Superposition Coding

KAUST Repository

Lau, Chun Pong

2013-03-01

In this paper we consider a wireless multimedia system by mapping scalable video coded (SVC) bit stream upon superposition coded (SPC) signals, referred to as (SVC-SPC) architecture. Empirical experiments using a software-defined radio(SDR) emulator are conducted to gain a better understanding of its efficiency, specifically, the impact of the received signal due to different power allocation ratios. Our experimental results show that to maintain high video quality, the power allocated to the base layer should be approximately four times higher than the power allocated to the enhancement layer.

Modelling information exchange in worker-queen conflict over sex allocation

NARCIS (Netherlands)

Pen, I.R.; Taylor, P.D.

2005-01-01

We investigate the conflict between queen and worker over sex allocation, specifically the allocation of the queen's eggs between workers and reproductives and the allocation of the reproductive eggs between male and female. In contrast to previous models, we allow workers to observe and use

Optimal allocation of multi-state retransmitters in acyclic transmission networks

International Nuclear Information System (INIS)

Levitin, Gregory

2002-01-01

In this paper, an algorithm for optimal allocation of multi-state elements (MEs) in acyclic transmission networks (ATNs) is suggested. The ATNs consist of a number of positions (nodes) in which MEs capable of receiving and sending a signal are allocated. Each network has a root position where the signal source is located, a number of leaf positions that can only receive a signal, and a number of intermediate positions containing MEs capable of transmitting the received signal to some other nodes. Each ME that is located in a nonleaf node can have different states determined by a set of nodes receiving the signal directly from this ME. The probability of each state is assumed to be known for each ME. The ATN reliability is defined as the probability that a signal from the root node is transmitted to each leaf node. The optimal distribution of MEs with different characteristics among ATN positions provides the greatest possible ATN reliability. The suggested algorithm is based on using a universal generating function technique for network reliability evaluation. A genetic algorithm is used as the optimization tool. Illustrative examples are presented

7 CFR 761.204 - Methods of allocating funds to State Offices.

Science.gov (United States)

2010-01-01

... 7 Agriculture 7 2010-01-01 2010-01-01 false Methods of allocating funds to State Offices. 761.204... Funds to State Offices § 761.204 Methods of allocating funds to State Offices. FO and OL loan funds are... allocation, if the Agency cannot adequately meet program objectives with a formula allocation. The National...

Decision support system for health care resources allocation.

Science.gov (United States)

Sebaa, Abderrazak; Nouicer, Amina; Tari, AbdelKamel; Tarik, Ramtani; Abdellah, Ouhab

2017-06-01

A study about healthcare resources can improve decisions regarding the allotment and mobilization of medical resources and to better guide future investment in the health sector. The aim of this work was to design and implement a decision support system to improve medical resources allocation of Bejaia region. To achieve the retrospective cohort study, we integrated existing clinical databases from different Bejaia department health sector institutions (an Algerian department) to collect information about patients from January 2015 through December 2015. Data integration was performed in a data warehouse using the multi-dimensional model and OLAP cube. During implementation, we used Microsoft SQL server 2012 and Microsoft Excel 2010. A medical decision support platform was introduced, and was implemented during the planning stages allowing the management of different medical orientations, it provides better apportionment and allotment of medical resources, and ensures that the allocation of health care resources has optimal effects on improving health. In this study, we designed and implemented a decision support system which would improve health care in Bejaia department to especially assist in the selection of the optimum location of health center and hospital, the specialty of the health center, the medical equipment and the medical staff.

Energy-Efficient Power Allocation for MIMO-SVD Systems

KAUST Repository

Sboui, Lokman; Rezki, Zouheir; Alouini, Mohamed-Slim

2017-01-01

In this paper, we address the problem of energyefficient power allocation in MIMO systems. In fact, the widely adopted water-filling power allocation does not ensure the maximization of the energy efficiency (EE). Since the EE maximization is a non

Efficient Power Allocation for Video over Superposition Coding

KAUST Repository

Lau, Chun Pong; Jamshaid, K.; Shihada, Basem

2013-01-01

are conducted to gain a better understanding of its efficiency, specifically, the impact of the received signal due to different power allocation ratios. Our experimental results show that to maintain high video quality, the power allocated to the base layer

Human Capital and Risky Asset Allocation

OpenAIRE

Lu, Wenjie; Yu, Qun

2011-01-01

Much research has been done to examine the relation between investors' human capital and their financial asset allocation. While some showed that the value of human capital should be taken into consideration to make financial asset allocation decisions on the composition of investing portfolios, most argued not. In this paper, we selected the monthly return of 9 industrial ETFs from June of 2007 to July 2011, used the present value of total future income as estimate of human capital, and reli...

Cost allocation. Combined heat and power production

International Nuclear Information System (INIS)

Sidzikauskas, V.

2002-01-01

The benefits of Combined Heat and Power (CHP) generation are discussed. The include improvement in energy intensity of 1% by 2010, 85-90% efficiency versus 40-50% of condensation power and others. Share of CHP electricity production in ERRA countries is presented.Solutions for a development CHP cost allocation are considered. Conclusion are presented for CHP production cost allocation. (R.P.)

Modeling the multi-scale mechanisms of macromolecular resource allocation

DEFF Research Database (Denmark)

Yang, Laurence; Yurkovich, James T; King, Zachary A

2018-01-01

As microbes face changing environments, they dynamically allocate macromolecular resources to produce a particular phenotypic state. Broad 'omics' data sets have revealed several interesting phenomena regarding how the proteome is allocated under differing conditions, but the functional consequen...... and detail how mathematical models have aided in our understanding of these processes. Ultimately, such modeling efforts have helped elucidate the principles of proteome allocation and hold promise for further discovery....

77 FR 26698 - Allocation of Mortgage Insurance Premiums

Science.gov (United States)

2012-05-07

... Allocation of Mortgage Insurance Premiums AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Final... explain how to allocate prepaid qualified mortgage insurance premiums to determine the amount of the... Act of 2010. The regulations affect taxpayers who pay prepaid qualified mortgage insurance premiums...

Hardware Resource Allocation for Hardware/Software Partitioning in the LYCOS System

DEFF Research Database (Denmark)

Grode, Jesper Nicolai Riis; Knudsen, Peter Voigt; Madsen, Jan

1998-01-01

as a designer's/design tool's aid to generate good hardware allocations for use in hardware/software partitioning. The algorithm has been implemented in a tool under the LYCOS system. The results show that the allocations produced by the algorithm come close to the best allocations obtained by exhaustive search.......This paper presents a novel hardware resource allocation technique for hardware/software partitioning. It allocates hardware resources to the hardware data-path using information such as data-dependencies between operations in the application, and profiling information. The algorithm is useful...

Optimal treatment cost allocation methods in pollution control

International Nuclear Information System (INIS)

Chen Wenying; Fang Dong; Xue Dazhi

1999-01-01

Total emission control is an effective pollution control strategy. However, Chinese application of total emission control lacks reasonable and fair methods for optimal treatment cost allocation, a critical issue in total emission control. The author considers four approaches to allocate treatment costs. The first approach is to set up a multiple-objective planning model and to solve the model using the shortest distance ideal point method. The second approach is to define degree of satisfaction for cost allocation results for each polluter and to establish a method based on this concept. The third is to apply bargaining and arbitration theory to develop a model. The fourth is to establish a cooperative N-person game model which can be solved using the Shapley value method, the core method, the Cost Gap Allocation method or the Minimum Costs-Remaining Savings method. These approaches are compared using a practicable case study

Patient admission planning using Approximate Dynamic Programming

NARCIS (Netherlands)

Hulshof, P.J.H.; Mes, Martijn R.K.; Boucherie, Richardus J.; Hans, Elias W.

2016-01-01

Tactical planning in hospitals involves elective patient admission planning and the allocation of hospital resource capacities. We propose a method to develop a tactical resource allocation and patient admission plan that takes stochastic elements into consideration, thereby providing robust plans.

Cost-allocation principles for pipeline capacity and usage

International Nuclear Information System (INIS)

Salant, D.J.; Watkins, G.C.

1996-01-01

The issue of cost sharing among multiple users of transmission facilities, such as pipelines, was discussed. The various ways in which a fair and reasonable pipeline cost-allocation scheme can be implemented were examined. It was suggested that no method exists for allocating costs that will achieve all major policy goals. The advantages and disadvantages of a system of uniform rates, such as postage stamp tolls, was discussed in the context of a natural gas pipeline system. A postage stamp system is one in which all users pay the same amount per unit of capacity, regardless of transport distances. This rate structure, while sometimes appropriate, is inefficient if total costs are distance-sensitive or if there is a significant variation in the sources of demand. Two commonly accepted minimal principles that a cost allocation should satisfy include: (1) the stand-alone cost test, and (2) the incremental cost test. This means that no one should pay costs in excess of their stand-alone costs and no one should pay less than their incremental costs. Postage stamp tolls were found to fail the minimal set of commonly applied principles. More optimal ways in which to allocate pipeline network costs among users were presented. The nucleolus is a unique cost allocation that is consistent, symmetric and homogeneous. The nucleolus is calculated by splitting the costs equally among users of a common facility. Another effective cost allocation system is the Shapley value which can be derived from a set of axioms which differ slightly from those that identify the nucleolus. 2 refs., 1 tab

Cost-allocation principles for pipeline capacity and usage

Energy Technology Data Exchange (ETDEWEB)

Salant, D.J.; Watkins, G.C. [Law and Economics Consulting Group, Emeryville, CA (United States)

1996-12-31

The issue of cost sharing among multiple users of transmission facilities, such as pipelines, was discussed. The various ways in which a fair and reasonable pipeline cost-allocation scheme can be implemented were examined. It was suggested that no method exists for allocating costs that will achieve all major policy goals. The advantages and disadvantages of a system of uniform rates, such as postage stamp tolls, was discussed in the context of a natural gas pipeline system. A postage stamp system is one in which all users pay the same amount per unit of capacity, regardless of transport distances. This rate structure, while sometimes appropriate, is inefficient if total costs are distance-sensitive or if there is a significant variation in the sources of demand. Two commonly accepted minimal principles that a cost allocation should satisfy include: (1) the stand-alone cost test, and (2) the incremental cost test. This means that no one should pay costs in excess of their stand-alone costs and no one should pay less than their incremental costs. Postage stamp tolls were found to fail the minimal set of commonly applied principles. More optimal ways in which to allocate pipeline network costs among users were presented. The nucleolus is a unique cost allocation that is consistent, symmetric and homogeneous. The nucleolus is calculated by splitting the costs equally among users of a common facility. Another effective cost allocation system is the Shapley value which can be derived from a set of axioms which differ slightly from those that identify the nucleolus. 2 refs., 1 tab.

26 CFR 1.42-6 - Buildings qualifying for carryover allocations.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 1 2010-04-01 2010-04-01 true Buildings qualifying for carryover allocations. 1... INCOME TAXES Credits Against Tax § 1.42-6 Buildings qualifying for carryover allocations. (a) Carryover... carryover allocation may only be made with respect to a qualified building. A qualified building is any...

Allocation of nursing care hours in a combined ophthalmic nursing unit.

Science.gov (United States)

Navarro, V B; Stout, W A; Tolley, F M

1995-04-01

Traditional service configuration with separate nursing units for outpatient and inpatient care is becoming ineffective for new patient care delivery models. With the new configuration of a combined nursing unit, it was necessary to rethink traditional reporting methodologies and calculation of hours of care. This project management plan is an initial attempt to develop a standard costing/productivity model for a combined unit. The methodology developed from this plan measures nursing care hours for each patient population to determine the number of full time equivalents (FTEs) for a combined unit and allocates FTEs based on inpatient (IP), outpatient (OP), and emergency room (ER) volumes.

HLA matching and the United Network for Organ Sharing Allocation System: impact of HLA matching on African-American recipients of cadaveric kidney transplants.

Science.gov (United States)

Rebellato, Lorita M; Arnold, Angelo N; Bozik, Karen M; Haisch, Carl E

2002-12-15

A recent proposal supports the elimination of allocation points for human leukocyte antigen (HLA) mismatches (MM) in cadaveric kidney transplantation. The intent is to increase access for some racial groups that might be disadvantaged by the representation of race-specific HLA in a largely white donor pool. We report our experience from two transplant centers that serve a large African American (AA) patient population. All cadaveric transplants into AA recipients from 1994 to 2000 (n=162) were included in a retrospective review. Superior graft survival was observed in AA recipients of 0 MM transplants. When induction therapy was used, the graft survival at 3 years for the human leukocyte antigen (HLA)-BDR MM grades given allocation points (0,1,2 MM) was 82% versus only 49% for BDR MM grades not given points (3,4 MM: =0.0022). Our collective experience demonstrates that AA patients having HLA-BDR MM grades given allocation points had better graft survival. Removing points for HLA from the national allocation system may result in significantly poorer outcome in AA kidney recipients.

Resource Allocation in a Repetitive Project Scheduling Using Genetic Algorithm

Science.gov (United States)

Samuel, Biju; Mathew, Jeeno

2018-03-01

Resource Allocation is procedure of doling out or allocating the accessible assets in a monetary way and productive way. Resource allocation is the scheduling of the accessible assets and accessible exercises or activities required while thinking about both the asset accessibility and the total project completion time. Asset provisioning and allocation takes care of that issue by permitting the specialist co-ops to deal with the assets for every individual demand of asset. A probabilistic selection procedure has been developed in order to ensure various selections of chromosomes

A win for the patient: Direct patient notification improves treatment rates of active Helicobacter pylori infection.

Science.gov (United States)

Selvaratnam, Sriharan; Yeoh, Joey; Hsiang, John; Patrick, Alasdair B

2014-01-01

Current international guidelines recommend the commencement of effective eradication therapy as soon as active Helicobacter pylori (H. pylori) infection is confirmed. At our institution, all positive Campylobacter-like Organism (CLO) test results were automatically communicated to general practitioners (GPs) via a standardised letter, which also advised the commencement of eradication therapy. Despite this endeavour, a clinical audit conducted in 2011 demonstrated that only 66 per cent of confirmed H. pylori-positive South Auckland patients received eradication treatment and only 83 per cent of these patients received treatment within one month. Improve the timely initiation of H. pylori eradication therapy through direct patient notification. A prospective clinical audit of 109 consecutive outpatients with a positive CLO test identified at gastroscopy. In addition to standard general practitioner notification, patients were also directly notified of their positive CLO test result via a standardised letter, which provided information about H. pylori and its disease associations as well as advising patients to seek consultation with their GP to commence eradication therapy. Dispensing data was examined using Test Safe electronic records to determine the total uptake and timing of treatment compared to data from a preliminary 2011 audit. Ninety-five per cent of H. pylori-positive patients received standard triple therapy; therefore, treatment of active H. pylori infection was significantly higher when patients were directly notified in addition to standard GP notification, when compared to GP notification alone (95 per cent vs 66 per cent, paudit in 2011 (100 per cent vs. 83 per cent, pstrategy that significantly improves the timely initiation of eradication therapy for active H. pylori infection. This has since been integrated into standard practice at our District Health Board (DHB).

Optimal Register Allocation by Augmented Left-Edge Algorithm on Arbitrary Control-Flow Structures

DEFF Research Database (Denmark)

Ruvald Pedersen, Mark; Madsen, Jan

2012-01-01

for allocation to be done using only quasi-local and local allocation - avoiding the complexity of true global allocation. As local allocation is much simpler than global allocation, this approach emphasizes efficiency and ease of implementation - at a cost of an increased number of register transfers compared...... to other allocators. Experiments show that runtime is linear for all practical purposes....

Cost Allocation and Overpricing of Spare Parts.

Science.gov (United States)

1986-09-01

traditional cost allocation process as reported in accounting literature. Horngren reported there are essen- tially three facets of cost allocation as...is for more than one unit of a product. Horngren reports cost accounting systems commonly have two major cost objectives: departments and products (8...Standards Board: Standards, Rules, and Regulations. Washington: Government Printing Office, 1985. 8. Horngren , Charles T. Cost Accounting : A Managerial

Towards an understanding of the molecular regulation of carbon allocation in diatoms: the interaction of energy and carbon allocation.

Science.gov (United States)

Wagner, Heiko; Jakob, Torsten; Fanesi, Andrea; Wilhelm, Christian

2017-09-05

In microalgae, the photosynthesis-driven CO 2 assimilation delivers cell building blocks that are used in different biosynthetic pathways. Little is known about how the cell regulates the subsequent carbon allocation to, for example, cell growth or for storage. However, knowledge about these regulatory mechanisms is of high biotechnological and ecological importance. In diatoms, the situation becomes even more complex because, as a consequence of their secondary endosymbiotic origin, the compartmentation of the pathways for the primary metabolic routes is different from green algae. Therefore, the mechanisms to manipulate the carbon allocation pattern cannot be adopted from the green lineage. This review describes the general pathways of cellular energy distribution from light absorption towards the final allocation of carbon into macromolecules and summarizes the current knowledge of diatom-specific allocation patterns. We further describe the (limited) knowledge of regulatory mechanisms of carbon partitioning between lipids, carbohydrates and proteins in diatoms. We present solutions to overcome the problems that hinder the identification of regulatory elements of carbon metabolism.This article is part of the themed issue 'The peculiar carbon metabolism in diatoms'. © 2017 The Author(s).

Energy-Efficient Power Allocation for Cognitive MIMO Channels

KAUST Repository

Sboui, Lokman

2017-03-20

Due to the massive data traffic in wireless networks, energy consumption has become a crucial concern, especially with the limited power supply of the mobile terminals and the increasing CO2 emission of the cellular industry. In this context, we study the energy efficiency (EE) of MIMO spectrum sharing cognitive radio (CR) systems under power and interference constraints. We present an energy-efficient power allocation framework based on maximizing the average EE per parallel channel resulting from the singular value decomposition (SVD) eigenmode transmission. We also present a sub-optimal low-complexity power allocation scheme based on the water-filling power allocation. In the numerical results, we show that the sub-optimal power allocation achieves at least 95% of the optimal performance. In addition, we show that adopting more antennas is more energy efficient for a given power budget. Finally, we show that the interference threshold has a significant effect on both the EE and the spectral efficiency at high-power regime.

Continuous integration congestion cost allocation based on sensitivity

International Nuclear Information System (INIS)

Wu, Z.Q.; Wang, Y.N.

2004-01-01

Congestion cost allocation is a very important topic in congestion management. Allocation methods based on the Aumann-Shapley value use the discrete numerical integration method, which needs to solve the incremented OPF solution many times, and as such it is not suitable for practical application to large-scale systems. The optimal solution and its sensitivity change tendency during congestion removal using a DC optimal power flow (OPF) process is analysed. A simple continuous integration method based on the sensitivity is proposed for the congestion cost allocation. The proposed sensitivity analysis method needs a smaller computation time than the method based on using the quadratic method and inner point iteration. The proposed congestion cost allocation method uses a continuous integration method rather than discrete numerical integration. The method does not need to solve the incremented OPF solutions; which allows it use in large-scale systems. The method can also be used for AC OPF congestion management. (author)

Evaluation on equality and efficiency of health resources allocation and health services utilization in China.

Science.gov (United States)

Sun, Jian; Luo, Hongye

2017-07-14

China is faced with a daunting challenge to equality and efficiency in health resources allocation and health services utilization in the context of rapid economic growth. This study sought to evaluate the equality and efficiency of health resources allocation and health services utilization in China. Demographic, economic, and geographic area data was sourced from China Statistical Yearbook 2012-2016. Data related to health resources and health services was obtained from China Health Statistics Yearbook 2012-2016. Furthermore, we evaluated the equality of health resources allocation based on Gini coefficient. Concentration index was used to measure the equality in utilization of health services. Data envelopment analysis (DEA) was employed to assess the efficiency of health resources allocation. From 2011 to 2015, the Gini coefficients for health resources by population ranged between 0.0644 and 0.1879, while the Gini coefficients for the resources by geographic area ranged from 0.6136 to 0.6568. Meanwhile, the concentration index values for health services utilization ranged from -0.0392 to 0.2110. Moreover, in 2015, 10 provinces (32.26%) were relatively efficient in terms of health resources allocation, while 7 provinces (22.58%) and 14 provinces (45.16%) were weakly efficient and inefficient, respectively. There exist distinct regional disparities in the distribution of health resources in China, which are mainly reflected in the geographic distribution of health resources. Furthermore, the people living in the eastern developed areas are more likely to use outpatient care, while the people living in western underdeveloped areas are more likely to use inpatient care. Moreover, the efficiency of health resources allocation in 21 provinces (67.74%) of China was low and needs to be improved. Thus, the government should pay more attention to the equality based on geographic area, guide patients to choose medical treatment rationally, and optimize the resource

A Knowledge-Informed and Pareto-Based Artificial Bee Colony Optimization Algorithm for Multi-Objective Land-Use Allocation

Directory of Open Access Journals (Sweden)

Lina Yang

2018-02-01

Full Text Available Land-use allocation is of great significance in urban development. This type of allocation is usually considered to be a complex multi-objective spatial optimization problem, whose optimized result is a set of Pareto-optimal solutions (Pareto front reflecting different tradeoffs in several objectives. However, obtaining a Pareto front is a challenging task, and the Pareto front obtained by state-of-the-art algorithms is still not sufficient. To achieve better Pareto solutions, taking the grid-representative land-use allocation problem with two objectives as an example, an artificial bee colony optimization algorithm for multi-objective land-use allocation (ABC-MOLA is proposed. In this algorithm, the traditional ABC’s search direction guiding scheme and solution maintaining process are modified. In addition, a knowledge-informed neighborhood search strategy, which utilizes the auxiliary knowledge of natural geography and spatial structures to facilitate the neighborhood spatial search around each solution, is developed to further improve the Pareto front’s quality. A series of comparison experiments (a simulated experiment with small data volume and a real-world data experiment for a large area shows that all the Pareto fronts obtained by ABC-MOLA totally dominate the Pareto fronts by other algorithms, which demonstrates ABC-MOLA’s effectiveness in achieving Pareto fronts of high quality.

Prediction of Commuter’s Daily Time Allocation

Directory of Open Access Journals (Sweden)

Fang Zong

2013-10-01

Full Text Available This paper presents a model system to predict the time allocation in commuters’ daily activity-travel pattern. The departure time and the arrival time are estimated with Ordered Probit model and Support Vector Regression is introduced for travel time and activity duration prediction. Applied in a real-world time allocation prediction experiment, the model system shows a satisfactory level of prediction accuracy. This study provides useful insights into commuters’ activity-travel time allocation decision by identifying the important influences, and the results are readily applied to a wide range of transportation practice, such as travel information system, by providing reliable forecast for variations in travel demand over time. By introducing the Support Vector Regression, it also makes a methodological contribution in enhancing prediction accuracy of travel time and activity duration prediction.

Resource allocation using ANN in LTE

Science.gov (United States)

Yigit, Tuncay; Ersoy, Mevlut

2017-07-01

LTE is the 4th generation wireless network technology, which provides flexible bandwidth, higher data speeds and lower delay. Difficulties may be experienced upon an increase in the number of users in LTE. The objective of this study is to ensure a faster solution to any such resource allocation problems which might arise upon an increase in the number of users. A fast and effective solution has been obtained by making use of Artificial Neural Network. As a result, fast working artificial intelligence methods may be used in resource allocation problems during operation.

Direct and indirect costs of tuberculosis among immigrant patients in the Netherlands.

Science.gov (United States)

Kik, Sandra V; Olthof, Sandra P J; de Vries, Jonie T N; Menzies, Dick; Kincler, Naomi; van Loenhout-Rooyakkers, Joke; Burdo, Conny; Verver, Suzanne

2009-08-05

In low tuberculosis (TB) incidence countries TB affects mostly immigrants in the productive age group. Little empirical information is available about direct and indirect TB-related costs that patients face in these high-income countries. We assessed the direct and indirect costs of immigrants with TB in the Netherlands. A cross-sectional survey at 14 municipal health services and 2 specialized TB hospitals was conducted. Interviews were administered to first or second generation immigrants, 18 years or older, with pulmonary or extrapulmonary TB, who were on treatment for 1-6 months. Out of pocket expenditures and time loss, related to TB, was assessed for different phases of the current TB illness. In total 60 patients were interviewed. Average direct costs spent by households with a TB patient amounted euro353. Most costs were spent when being hospitalized. Time loss (mean 81 days) was mainly due to hospitalization (19 days) and additional work days lost (60 days), and corresponded with a cost estimation of euro2603. Even in a country with a good health insurance system that covers medication and consultation costs, patients do have substantial extra expenditures. Furthermore, our patients lost on average 2.7 months of productive days. TB patients are economically vulnerable.

Direct and indirect costs of tuberculosis among immigrant patients in the Netherlands

Directory of Open Access Journals (Sweden)

Kincler Naomi

2009-08-01

Full Text Available Abstract Background In low tuberculosis (TB incidence countries TB affects mostly immigrants in the productive age group. Little empirical information is available about direct and indirect TB-related costs that patients face in these high-income countries. We assessed the direct and indirect costs of immigrants with TB in the Netherlands. Methods A cross-sectional survey at 14 municipal health services and 2 specialized TB hospitals was conducted. Interviews were administered to first or second generation immigrants, 18 years or older, with pulmonary or extrapulmonary TB, who were on treatment for 1–6 months. Out of pocket expenditures and time loss, related to TB, was assessed for different phases of the current TB illness. Results In total 60 patients were interviewed. Average direct costs spent by households with a TB patient amounted €353. Most costs were spent when being hospitalized. Time loss (mean 81 days was mainly due to hospitalization (19 days and additional work days lost (60 days, and corresponded with a cost estimation of €2603. Conclusion Even in a country with a good health insurance system that covers medication and consultation costs, patients do have substantial extra expenditures. Furthermore, our patients lost on average 2.7 months of productive days. TB patients are economically vulnerable.

Research advances on thereasonable water resources allocation in irrigation district

DEFF Research Database (Denmark)

Xuebin, Qi; Zhongdong, Huang; Dongmei, Qiao

2015-01-01

The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area. The prog......The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area...... mechanism of water resources is not perfect, the model for optimal water resources allocation is not practical, and the basic conditions for optimal allocation of water resources is relatively weak. In order to solve those problems in water resources allocation practice, six important as?pects must...... in irrigation districts, studying the water resources control technology in irrigation districts by hydrology ecological system, studying the technologies of real?time risk dispatching and intelligent management in irrigation districts, and finally studying the technology of cou?pling optimal allocation...

Modeling Budget Optimum Allocation of Khorasan Razavi Province Agriculture Sector

Directory of Open Access Journals (Sweden)

Seyed Mohammad Fahimifard

2016-09-01

Full Text Available Introduction: Stock shortage is one of the development impasses in developing countries and trough it the agriculture sector has faced with the most limitation. The share of Iran’s agricultural sector from total investments after the Islamic revolution (1979 has been just 5.5 percent. This fact causes low efficiency in Iran’s agriculture sector. For instance per each 1 cubic meter of water in Iran’s agriculture sector, less that 1 kilogram dry food produced and each Iranian farmer achieves less annual income and has less mechanization in comparison with similar countries in Iran’s 1404 perspective document. Therefore, it is clear that increasing investment in agriculture sector, optimize the budget allocation for this sector is mandatory however has not been adequately and scientifically revised until now. Thus, in this research optimum budget allocation of Iran- Khorasan Razavi province agriculture sector was modeled. Materials and Methods: In order to model the optimum budget allocation of Khorasan Razavi province’s agriculture sector at first optimum budget allocation between agriculture programs was modeled with compounding three indexes: 1. Analyzing the priorities of Khorasan Razavi province’s agriculture sector experts with the application of Analytical Hierarchy Process (AHP, 2. The average share of agriculture sector programs from 4th country’s development program for Khorasan Razavi province’s agriculture sector, and 3.The average share of agriculture sector programs from 5th country’s development program for Khorasan Razavi province’s agriculture sector. Then, using Delphi technique potential indexes of each program was determined. After that, determined potential indexes were weighted using Analytical Hierarchy Process (AHP and finally, using numerical taxonomy model to optimize allocation of the program’s budget between cities based on two scenarios. Required data, also was gathered from the budget and planning

12 CFR 615.5208 - Allotment of allocated investments.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Allotment of allocated investments. 615.5208... allocated investments. (a) The following conditions apply to agreements that a Farm Credit Bank or... investments held by those associations with which there is no agreement (nonagreeing associations), and does...

Security cost allocation under combined bilateral-pool market dispatch

International Nuclear Information System (INIS)

Abdullah, M.P.; Hassan, M.Y.; Hussin, F.

2008-01-01

Most electricity markets around the world are a combination of bilateral and pool markets, such as NordPool and NYPOOL. In these models, market participants bid into the pool and also make bilateral contracts with each other. This paper addressed the issue of congestion management and security cost allocation in a power pool market model. The basic idea of security cost allocation is to divide the incurred security cost due to congestion relief into pool and bilateral market based on their flow contribution to the congested line. A newly proposed security cost allocation strategy of the combined bilateral-pool market was also presented along with case studies using IEEE-14 bus system that tested the proposed method. Using the proposed method, it was shown that security costs are allocated to market participants at different prices which reflect the load contribution to the security problem. This solves the problem of the uniform security cost allocation in a pure pool market system having uniform pricing, and provides a proper security signal to market participants. 11 refs., 3 tabs., 4 figs

Protocol for the administration of haemofiltration fluids and using patient group electrolytes direction.

Science.gov (United States)

Kingston, Diana; Sykes, Siobhan; Raper, Sarah

2002-01-01

A patient group direction (PGD) is a specific written instruction for the supply or administration of named medicines in an identified clinical situation The introduction of a PGD must demonstrate a benefit for patients Haemofiltration is widely accepted as the treatment of choice when caring for critically ill patients in acute renal failure on an intensive care unit The haemofiltration PGD improves patient care by providing standardisation in administration of fluids and electrolytes and enabling nurses to respond rapidly to changes in biochemistry during haemofiltration This paper describes the development and implementation of a protocol to enable nurses to administer haemofiltration fluids and electrolytes under a patient group direction.

A Generalization of the Aumann-Shapley Value for Risk Capital Allocation Problems

NARCIS (Netherlands)

Boonen, T.J.; De Waegenaere, A.M.B.; Norde, H.W.

2012-01-01

Abstract: This paper analyzes risk capital allocation problems. For risk capital allocation problems, the aim is to allocate the risk capital of a firm to its divisions. Risk capital allocation is of central importance in risk-based performance measurement. We consider a case in which the aggregate

Liver Transplantation: Evolving Patient Selection Criteria

Directory of Open Access Journals (Sweden)

Andy S Yu

2001-01-01

Full Text Available The widespread recognition of the success of liver transplantation as a treatment for most types of acute and chronic liver failure has led to increased referrals for transplantation in the setting of a relatively fixed supply of cadaver donor organs. These events have led to a marked lengthening of the waiting time for liver transplantation, resulting in increased deaths of those on the waiting list and sicker patients undergoing transplantation. Nearly 5000 liver transplantations were performed in the United States in 2000, while the waiting list grew to over 17,000 patients. The mounting disparity between the number of liver transplant candidates and the limited supply of donor organs has led to reassessment of the selection and listing criteria for liver transplantation, as well as revision of organ allocation and distribution policies for cadaver livers. The development of minimal listing criteria for patients with chronic liver disease based on a specific definition for decompensation of cirrhosis has facilitated the more uniform listing of patients at individual centres across the United States. The United Network for Organ Sharing, under pressure from transplant professionals, patient advocacy groups and the federal government, has continuously revised allocation and distribution policies based on the ethical principles of justice for the individual patient versus optimal utility of the limited organ supply available annually. Beginning in 2002, it is likely that the Model for End-stage Liver Disease (MELD score will be implemented to determine disease severity and direct donor organs to the sickest patients rather than to those with the longest waiting times.

Optimization of NANOGrav's time allocation for maximum sensitivity to single sources

International Nuclear Information System (INIS)

Christy, Brian; Anella, Ryan; Lommen, Andrea; Camuccio, Richard; Handzo, Emma; Finn, Lee Samuel

2014-01-01

Pulsar timing arrays (PTAs) are a collection of precisely timed millisecond pulsars (MSPs) that can search for gravitational waves (GWs) in the nanohertz frequency range by observing characteristic signatures in the timing residuals. The sensitivity of a PTA depends on the direction of the propagating GW source, the timing accuracy of the pulsars, and the allocation of the available observing time. The goal of this paper is to determine the optimal time allocation strategy among the MSPs in the North American Nanohertz Observatory for Gravitational Waves (NANOGrav) for a single source of GW under a particular set of assumptions. We consider both an isotropic distribution of sources across the sky and a specific source in the Virgo cluster. This work improves on previous efforts by modeling the effect of intrinsic spin noise for each pulsar. We find that, in general, the array is optimized by maximizing time spent on the best-timed pulsars, with sensitivity improvements typically ranging from a factor of 1.5 to 4.

Winter wheat optimizes allocation in response to carbon limitation

Science.gov (United States)

Huang, Jianbei; Hammerbacher, Almuth; Trumbore, Susan; Hartmann, Henrik

2016-04-01

• Plant photosynthesis is not carbon-saturated at current atmospheric CO2 concentration ([CO2]) thus carbon allocation priority is of critical importance in determining plant response to environmental changes, including increasing [CO2]. • We quantified the percentage of daytime net assimilation (A) allocated to whole-plant nighttime respiration (R) and structural growth (SG), nonstructural carbohydrates (NSC) and secondary metabolites (SMs) during winter wheat (Triticum aestivum) vegetative growth (over 4 weeks) at glacial, ambient, and elevated [CO2] (170, 390 and 680 ppm). • We found that R/A remained relatively constant (11-14%) across [CO2] treatments, whereas plants allocated less C to growth and more C to export at low [CO2] than elevated [CO2]; low [CO2] grown plants tended to invest overall less C into NSC and SMs than to SG due to reduced NSC availability; while leaf SMs/NSC was greater at 170 ppm than at 680 ppm [CO2] this was the opposite for root SMs/NSC; biomass, especially NSC, were preferentially allocated to leaves instead of stems and roots, likely to relieve C limitation induced by low [CO2]. • We conclude that C limitation may force plants to reduce C allocation to long-term survival in order to secure short-term survival. Furthermore, they optimized allocation of the available resource by concentrating biomass and storage to those tissues responsible for assimilation.

Does direct-to-consumer advertising affect patients' choice of pain medications?

Science.gov (United States)

Liu, Yifei; Doucette, William R

2008-04-01

In the United States, direct-to-consumer advertising (DTCA) has grown rapidly to promote prescription medications, including analgesics. Few studies in the literature directly examine the association between DTCA and patients' choice of pain medications. This article discusses how DTCA affects such choice from a behavioral perspective, because DTCA-prompted behaviors are important indicators of DTCA's influence. After DTCA exposure, patients may request prescriptions, seek further medication information, and ask about advertised conditions. Patients who suffer from pain may seek more communication with their health care providers because they are cautious about the information quality of DTCA, mainly because of the recall of rofecoxib (Vioxx; Merck, Whitehouse Station, NJ). However, the availability and DTCA of over-the-counter analgesics complicate their treatment choice. Patients could use DTCA as a tool to launch health communication and make an informed treatment choice with the guidance of their health care providers.

Smart LED allocation scheme for efficient multiuser visible light communication networks.

Science.gov (United States)

Sewaiwar, Atul; Tiwari, Samrat Vikramaditya; Chung, Yeon Ho

2015-05-18

In a multiuser bidirectional visible light communication (VLC), a large number of LEDs or an LED array needs to be allocated in an efficient manner to ensure sustainable data rate and link quality. Moreover, in order to support an increasing or decreasing number of users in the network, the LED allocation is required to be performed dynamically. In this paper, a novel smart LED allocation scheme for efficient multiuser VLC networks is presented. The proposed scheme allocates RGB LEDs to multiple users in a dynamic and efficient fashion, while satisfying illumination requirements in an indoor environment. The smart LED array comprised of RGB LEDs is divided into sectors according to the location of the users. The allocated sectors then provide optical power concentration toward the users for efficient and reliable data transmission. An algorithm for the dynamic allocation of the LEDs is also presented. To verify its effective resource allocation feature of the proposed scheme, simulations were performed. It is found that the proposed smart LED allocation scheme provides the effect of optical beamforming toward individual users, thereby increasing the collective power concentration of the optical signals on the desirable users and resulting in significantly increased data rate, while ensuring sufficient illumination in a multiuser VLC environment.

A transaction assessment method for allocation of transmission services

Science.gov (United States)

Banunarayanan, Venkatasubramaniam

The purpose of this research is to develop transaction assessment methods for allocating transmission services that are provided by an area/utility to power transactions. Transmission services are the services needed to deliver, or provide the capacity to deliver, real and reactive power from one or more supply points to one or more delivery points. As the number of transactions increase rapidly in the emerging deregulated environment, accurate quantification of the transmission services an area/utility provides to accommodate a transaction is becoming important, because then appropriate pricing schemes can be developed to compensate for the parties that provide these services. The Allocation methods developed are based on the "Fair Resource Allocation Principle" and they determine for each transaction the following: the flowpath of the transaction (both real and reactive power components), generator reactive power support from each area/utility, real power loss support from each area/utility. Further, allocation methods for distributing the cost of relieving congestion on transmission lines caused by transactions are also developed. The main feature of the proposed methods is representation of actual usage of the transmission services by the transactions. The proposed method is tested extensively on a variety of systems. The allocation methods developed in this thesis for allocation of transmission services to transactions is not only useful in studying the impact of transactions on a transmission system in a multi-transaction case, but they are indeed necessary to meet the criteria set forth by FERC with regard to pricing based on actual usage. The "consistency" of the proposed allocation methods has also been investigated and tested.

Free allocation in the European Emissions Trading System (EU ETS): identifying efficient mechanisms through to 2030

International Nuclear Information System (INIS)

Jalard, Matthieu; Alberola, Emilie

2015-11-01

In a world with asymmetrical climate policies, the conclusions of the European Council of October 2014 agreed on continuing the allocation of free CO 2 emissions allowances beyond 2020 to industrial sectors in the EU ETS. This statement has been confirmed in the European Commission's proposal to revise EU ETS directive for phase IV disclosed in July 2015. The stated objective is to ensure that the most efficient industrial installations do not face undue carbon costs which would lead to carbon leakages. Furthermore, free allocations should not undermine the incentive to cut CO 2 emissions, lead to distortions or windfall profits and reduce the auctioning share of allowances. From 2013 to 2020, the allocation of free allowances has been defined according to harmonized European rules based on benchmarks (carbon intensity targets) and historical output adjusted to the free allocation cap by applying the Cross-Sectoral Correction Factor (CSCF). What would be the impact of pursuing the current mechanism through to 2030? Does the EU Commissions' proposal of 15 July respond to the Council's requirements? Which alternative mechanisms could do so? This study examines four scenarios and their potential consequences. - Scenario 1 continues the current free allocation mechanism until 2030. The volume of free allocations thus calculated would be higher than the available free allocation cap and would need to be reduced by a Cross-Sectoral Correction Factor (CSCF) of 66% in 2030. Carbon costs would thus increase for all installations, regardless their exposure to carbon leakages, reducing the protection of most exposed sectors, while widely allocating sectors with limited exposure. - Scenario 2 analyses the proposal to implement an allocation mechanism based on recent industrial output combined with appropriate updating of benchmarks. This allocation method is more effective in combating carbon leakage, as it gives clearer incentive to maintain domestic production

Management of Advanced Heart Failure in the Elderly: Ethics, Economics, and Resource Allocation in the Technological Era

Directory of Open Access Journals (Sweden)

Keith M. Swetz

2012-01-01

Full Text Available Significant strides have been made in the durability, portability, and safety of mechanical circulatory support devices (MCS. Although transplant is considered the standard treatment for advanced heart failure, limits in organ availability leave a much larger pool of recipients in need versus donors. MCS is used as bridge to transplantation and as destination therapy (DT for patients who will have MCS as their final invasive therapy with transplant not being an option. Despite improvements in quality of life (QOL and survival, defining the optimal candidate for DT may raise questions regarding the economics of this approach as well as ethical concerns regarding just distribution of goods and services. This paper highlights some of the key ethical issues related to justice and the costs of life-prolonging therapies with respect to resource allocations. Available literature, current debates, and future directions are discussed herein.

Implementation of directly observed patient hand hygiene for hospitalized patients by hand hygiene ambassadors in Hong Kong.

Science.gov (United States)

Cheng, Vincent C C; Tai, Josepha W M; Li, W S; Chau, P H; So, Simon Y C; Wong, Lisa M W; Ching, Radley H C; Ng, Modissa M L; Ho, Sara K Y; Lee, Doris W Y; Lee, W M; Wong, Sally C Y; Yuen, K Y

2016-06-01

The importance of compliance with hand hygiene by patients is increasingly recognized to prevent health care-associated infections. This descriptive study observed the effects of an education campaign, targeted to increase patients' self-initiated hand hygiene, and a hand hygiene ambassador-initiated directly observed hand hygiene program on patients' hand hygiene compliance in a university-affiliated hospital. The overall audited compliance of patients' self-initiated hand hygiene was only 37.5%, with a rate of 26.9% (112/416 episodes) before meals and medications, 27.5% (19/69 episodes) after using a urinal or bedpan, and 89.7% (87/97 episodes) after attending toilet facilities. Patients referred from a residential care home for older adults had significantly lower hand hygiene compliance (P = .007). Comparatively, the overall audited compliance of ambassador-initiated directly observed hand hygiene was 97.3% (428/440 episodes), which was significantly higher than patients' self-initiated hand hygiene via a patient education program (37.5%, 218/582 episodes, P hand hygiene can play an important role in improving compliance with hand hygiene by hospitalized patients. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Evolving Reliability and Maintainability Allocations for NASA Ground Systems

Science.gov (United States)

Munoz, Gisela; Toon, T.; Toon, J.; Conner, A.; Adams, T.; Miranda, D.

2016-01-01

This paper describes the methodology and value of modifying allocations to reliability and maintainability requirements for the NASA Ground Systems Development and Operations (GSDO) programs subsystems. As systems progressed through their design life cycle and hardware data became available, it became necessary to reexamine the previously derived allocations. This iterative process provided an opportunity for the reliability engineering team to reevaluate allocations as systems moved beyond their conceptual and preliminary design phases. These new allocations are based on updated designs and maintainability characteristics of the components. It was found that trade-offs in reliability and maintainability were essential to ensuring the integrity of the reliability and maintainability analysis. This paper discusses the results of reliability and maintainability reallocations made for the GSDO subsystems as the program nears the end of its design phase.

Lung Allocation Score: A Single-Center Simulation.

Science.gov (United States)

Rosso, L; Palleschi, A; Tosi, D; Mendogni, P; Righi, I; Carrinola, R; Montoli, M; Damarco, F; Rossetti, V; Morlacchi, L C; Nosotti, M

2016-03-01

The lung allocation score (LAS) was introduced in the United States in May 2005 with the main goal of reducing the waiting list mortality of patients with end-stage lung diseases, but also to enhance the lung transplant benefit and improve the management of urgent candidates. Several papers have reported that LAS resulted in a reduction of the waiting list mortality but no significant survival benefit was noted. We evaluate the usefulness of LAS as a predictor for lung transplantation outcome in 123 patients listed for lung transplantation in an Italian center. Primary endpoints were waiting list mortality and posttransplant mortality at 1 year; secondary endpoints included perioperative circulatory support, cardiopulmonary bypass, primary graft dysfunction, and long-term survival after transplantation. We observed the absence of correlation between LAS and waiting list mortality. The LAS did not affect the long-term survival in our population. High LAS was predictive of primary graft dysfunction of grade 3 in the first 72 hours after transplantation. Copyright © 2016 Elsevier Inc. All rights reserved.

40 CFR 96.142 - CAIR NOX allowance allocations.

Science.gov (United States)

2010-07-01

... the 3 highest amounts of the unit's adjusted control period heat input for 2000 through 2004, with the adjusted control period heat input for each year calculated as follows: (A) If the unit is coal-fired... CAIR NOX Allowance Allocations § 96.142 CAIR NOX allowance allocations. (a)(1) The baseline heat input...

Cost of schizophrenia: direct costs and use of resources in the State of São Paulo.

Science.gov (United States)

Leitão, Raquel Jales; Ferraz, Marcos Bosi; Chaves, Ana Cristina; Mari, Jair J

2006-04-01

To estimate the direct costs of schizophrenia for the public sector. A study was carried out in the state of São Paulo, Brazil, during 1998. Data from the medical literature and governmental research bodies were gathered for estimating the total number of schizophrenia patients covered by the Brazilian Unified Health System. A decision tree was built based on an estimated distribution of patients under different types of psychiatric care. Medical charts from public hospitals and outpatient services were used to estimate the resources used over a one-year period. Direct costs were calculated by attributing monetary values for each resource used. Of all patients, 81.5% were covered by the public sector and distributed as follows: 6.0% in psychiatric hospital admissions, 23.0% in outpatient care, and 71.0% without regular treatment. The total direct cost of schizophrenia was US $191,781,327 (2.2% of the total health care expenditure in the state). Of this total, 11.0% was spent on outpatient care and 79.2% went for inpatient care. Most schizophrenia patients in the state of São Paulo receive no regular treatment. The study findings point out to the importance of investing in research aimed at improving the resource allocation for the treatment of mental disorders in Brazil.

Decentralization in Zambia: resource allocation and district performance.

Science.gov (United States)

Bossert, Thomas; Chitah, Mukosha Bona; Bowser, Diana

2003-12-01

Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents an assessment of the degree of decentralization, called 'decision space', that was allowed to districts in Zambia, and an analysis of data on districts available at the national level to assess allocation choices made by local authorities and some indicators of the performance of the health systems under decentralization. The Zambian officials in health districts had a moderate range of choice over expenditures, user fees, contracting, targeting and governance. Their choices were quite limited over salaries and allowances and they did not have control over additional major sources of revenue, like local taxes. The study found that the formula for allocation of government funding which was based on population size and hospital beds resulted in relatively equal per capita expenditures among districts. Decentralization allowed the districts to make decisions on internal allocation of resources and on user fee levels and expenditures. General guidelines for the allocation of resources established a maximum and minimum percentage to be allocated to district offices, hospitals, health centres and communities. Districts tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations. Wealthier and urban districts were more successful in raising revenue through user fees, although the proportion of total expenditures that came from user fees was low. An analysis of available indicators of performance, such as the utilization of health services, immunization coverage and family planning activities, found little variation during the period 1995-98 except for a decline in immunization coverage, which may have also been affected by changes in donor funding. These findings suggest that decentralization may not have had either a positive or

Funding Allocation and Staff Management. A Portuguese Example

Science.gov (United States)

Rosa, Maria Joao; Amado, Diana; Amaral, Alberto

2009-01-01

For many years the Portuguese Ministry of Education used a funding formula to allocate the State budget to public higher education institutions. Some of its major objectives were higher enrolments and allocation equity. As the expenditure on salaries was a major component of the budget, the formula was supposed to force convergence to established…

Joint overbooking and seat allocation for fare families

DEFF Research Database (Denmark)

Hjorth, Robert; Fiig, Thomas; Bondoux, Nicolas

2016-01-01

Revenue Management Systems (RMS) traditionally solve the seat allocation problem separately from the overbooking problem. Overbooking is managed by inflating the authorization levels obtained from seat allocation by various heuristics. This approach although suboptimal, is necessitated because...... independent demand model, which is readily solved. The resulting availability control can easily by implemented in existing RMS...

Allocation of Decommissioning and Waste Liabilities

International Nuclear Information System (INIS)

Varley, Geoff

2011-11-01

The work demonstrates that there are a number of methods available for cost allocation, the pros and cons of which are examined. The study investigates potential proportional and incremental methods in some depth. A recommendation in principle to use the latter methodology is given. It is concluded that a 'fair assumption' is that the potential allocation of costs for 'the RMA Leaching Hall' probably is small, in relation to the total costs, and estimated to be not more than about 175 kSEK, plus any costs associated with decommissioning/ disposal of a number of small pieces of equipment added by the current operator

Does Distraction Reduce the Alcohol-Aggression Relation? A Cognitive and Behavioral Test of the Attention-Allocation Model

Science.gov (United States)

Gallagher, Kathryn E.; Parrott, Dominic J.

2011-01-01

Objective: This study provided the first direct test of the cognitive underpinnings of the attention-allocation model and attempted to replicate and extend past behavioral findings for this model as an explanation for alcohol-related aggression. Method: A diverse community sample (55% African American) of men (N = 159) between 21 and 35 years of…

Percutaneous Transjugular Direct Porto-caval Shunt in Patients with Budd-Chiari Syndrome

International Nuclear Information System (INIS)

Quateen, A.; Pech, M.; Berg, T.; Bergk, A.; Podrabsky, P.; Felix, R.; Ricke, J.

2006-01-01

The purpose of the study was to evaluate the feasibility and effectiveness of direct porto-caval shunts in patients with Budd-Chiari syndrome (BCS) in whom there is no access to the hepatic veins during transjugular intrahepatic portosystemic shunt (TIPSS). We included six consecutive patients with fulminant/acute Budd-Chiari syndrome (mean age: 35 years) in whom a conventional TIPSS was not possible due to inaccessible hepatic veins. We performed a direct porto-caval shunt via a transhepatic approach. Patients were followed up by means of clinical examination, laboratory investigations, and Doppler ultrasound. TIPSS implantation from the inferior vena cava (IVC) was successful in all six patients (100%). The median transhepatic shunt length was 9 cm (8-10 cm). No procedure-related complications were observed in our patients. Early shunt occlusion occurred in three out of six patients (50%). In all three of these patients, the stent used to stabilize the shunt ended 1-2 cm before reaching the IVC. All occlusions were successfully recanalized. One of these patients developed recurrent early shunt as well as mesenteric and splenic vein occlusions. She died 7 days after TIPSS placement due to an unmanageable coagulation disorder. The remaining five patients were followed up by planned clinical examination and laboratory investigations (mean follow-up time was 15 months; patient 1 was followed up for 13 months, patient 2 for 14 months, patient 3 for 15 months, and patients 4 and 5 for 16 months) and all displayed a complete and durable resolution of liver failure and ascites without reintervention. In patients with acute liver failure originating from BCS and inaccessible hepatic veins, a direct transhepatic porto-caval shunt can be performed safely and effectively under ultrasound guidance. Future studies in larger patient groups should investigate if the patency of transcaval TIPSS with long transhepatic shunt segments is similar compared to conventional TIPSS via

Allocation of Functions in a Far-Term Air Traffic Control Environment

Science.gov (United States)

Homola, Jeffrey; Martin, Lynne; Mercer, Joey; Cabrall, Christopher; Prevot, Thomas

2011-01-01

A human-in-the-loop exploration of a ground-based automated separation assurance concept was conducted that involved the allocation of certain functions between humans and automation. This exploration included operations that were sustained for prolonged periods of time with high levels of traffic in the presence of convective weather and scheduling constraints. An investigation into the acceptability of the defined roles and performance of tasks was conducted where it was found that the participants rated the concept and allocation of functions with a high level of acceptability. However, issues were encountered with the automation related to the detection of and response to tactical conflicts. Lower ratings were given on account of these concerns, and it was found that a key contributor to the underlying problems was transitioning aircraft and the uncertainty of their trajectories. Stemming from those results, participants responded that they would rather have direct control over aircraft transitions as well as more control over the tactical conflict resolution automation. In contrast, participants responded that they would rather have the automation place aircraft back on trajectory, and perform weather avoidance and scheduling tasks.

A Multistep, Consensus-Based Approach to Organ Allocation in Liver Transplantation: Toward a "Blended Principle Model".

Science.gov (United States)

Cillo, U; Burra, P; Mazzaferro, V; Belli, L; Pinna, A D; Spada, M; Nanni Costa, A; Toniutto, P

2015-10-01

Since Italian liver allocation policy was last revised (in 2012), relevant critical issues and conceptual advances have emerged, calling for significant improvements. We report the results of a national consensus conference process, promoted by the Italian College of Liver Transplant Surgeons (for the Italian Society for Organ Transplantation) and the Italian Association for the Study of the Liver, to review the best indicators for orienting organ allocation policies based on principles of urgency, utility, and transplant benefit in the light of current scientific evidence. MELD exceptions and hepatocellular carcinoma were analyzed to construct a transplantation priority algorithm, given the inequity of a purely MELD-based system for governing organ allocation. Working groups of transplant surgeons and hepatologists prepared a list of statements for each topic, scoring their quality of evidence and strength of recommendation using the Centers for Disease Control grading system. A jury of Italian transplant surgeons, hepatologists, intensivists, infectious disease specialists, epidemiologists, representatives of patients' associations and organ-sharing organizations, transplant coordinators, and ethicists voted on and validated the proposed statements. After carefully reviewing the statements, a critical proposal for revising Italy's current liver allocation policy was prepared jointly by transplant surgeons and hepatologists. © Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.

Application of genetic algorithm for reliability allocation in nuclear power plants

International Nuclear Information System (INIS)

Yang, Joon-Eon; Hwang, Mee-Jung; Sung, Tae-Yong; Jin, Youngho

1999-01-01

Reliability allocation is an optimization process of minimizing the total plant costs subject to the overall plant safety goal constraints. Reliability allocation was applied to determine the reliability characteristics of reactor systems, subsystems, major components and plant procedures that are consistent with a set of top-level performance goals; the core melt frequency, acute fatalities and latent fatalities. Reliability allocation can be performed to improve the design, operation and safety of new and/or existing nuclear power plants. Reliability allocation is a kind of a difficult multi-objective optimization problem as well as a global optimization problem. The genetic algorithm, known as one of the most powerful tools for most optimization problems, is applied to the reliability allocation problem of a typical pressurized water reactor in this article. One of the main problems of reliability allocation is defining realistic objective functions. Hence, in order to optimize the reliability of the system, the cost for improving and/or degrading the reliability of the system should be included in the reliability allocation process. We used techniques derived from the value impact analysis to define the realistic objective function in this article

Allocation of Load-Loss Cost Caused by Voltage Sag

Science.gov (United States)

Gao, X.

2017-10-01

This paper focuses on the allocation of load-loss cost caused by voltage sag in the environment of electricity market. To compensate the loss of loads due to voltage sags, the load-loss cost is allocated to both sources and power consumers. On the basis of Load Drop Cost (LDC), a quantitative evaluation index of load-loss cost caused by voltage sag is identified. The load-loss cost to be allocated to power consumers themselves is calculated according to load classification. Based on the theory of power component the quantitative relation between sources and loads is established, thereby a quantitative calculation method for load-loss cost allocated to each source is deduced and the quantitative compensation from individual source to load is proposed. A simple five-bus system illustrates the main features of the proposed method.

Energy: allocation or chaos. Remarks by Malcolm Rowan, Deputy Minister of Energy, to the Ontario Electric League's annual meeting and technical conference, at the Wheels Inn, Chatham, February 10, 1979

Energy Technology Data Exchange (ETDEWEB)

1979-01-01

This paper focuses on two kinds of allocations. The first is an allocation of energy as between customers when there is a shortage, in other words, rationing. The second is an allocation of markets as between suppliers of different energy sources so that each supplier is guaranteed or apportioned in some way a share of the total energy market. In some respects, there could be an element of rationing involved in this form of allocation as well, if individuals are told they can use only so much of one type of energy and not more in order to guarantee other forms of energy a share of the market. Mr. Rowan's remarks are directed primarily to the Ontario scene. He feels that if a shortage of supplies does occur, it will be short-lived and temporary, barring the disaster scenario which would envisage a complete breakdown in world trade. The government of Ontario is urging the Federal government to adopt as a national objective crude oil self-sufficiency by not later than 1995. Mr. Rowan then deals with the allocation that divides up the energy market as between energy sources, an outgrowth of the competitive system. After thoroughly examining both allocation views, he feels neither view is correct. Neither is appropriate by itself if Ontario is to have a balanced, secure supply of energy and a reasonably non-directive economy. (MCW)

34 CFR 200.70 - Allocation of funds to LEAs in general.

Science.gov (United States)

2010-07-01

... Improving Basic Programs Operated by Local Educational Agencies Allocations to Leas § 200.70 Allocation of funds to LEAs in general. (a) The Secretary allocates basic grants, concentration grants, targeted grants, and education finance incentive grants, through SEAs, to each eligible LEA for which the Bureau...

40 CFR 97.142 - CAIR NOX allowance allocations.

Science.gov (United States)

2010-07-01

... heat input for each year calculated as follows: (A) If the unit is coal-fired during the year, the unit... the first such 5 years. (2)(i) A unit's control period heat input, and a unit's status as coal-fired... Allocations § 97.142 CAIR NOX allowance allocations. (a)(1) The baseline heat input (in mmBtu) used with...

The Evolution of Organ Allocation for Liver Transplantation: Tackling Geographic Disparity Through Broader Sharing.

Science.gov (United States)

Axelrod, David A; Vagefi, Parsia A; Roberts, John P

2015-08-01

The liver transplant allocation system has evolved to a ranking system of “sickest-first” system based on objective criteria. Yet, organs continue to be distributed first within OPOs and regions that are largely based on historical practice patterns related to kidney transplantation and were never designed to minimize waitlist death or equalize opportunity for liver transplant. The current proposal is a move to enhance survival though the application of modern mathematical techniques to optimize liver distribution. Like MELDbased allocation, it will never be perfect and should be continually evaluated and revised. However, the disparity in access, which favors those residing in or able to travel to privileged areas, to the detriment of the patients dying on the list in underserved areas, is simply not defensible in 2015.

Resource Allocation Support System (RASS): Summary report of the 1992 pilot study

International Nuclear Information System (INIS)

Buehring, W.A.; Whitfield, R.G.; Wolsko, T.D.; Kier, P.H.; Absil, M.J.G.; Jusko, M.J.; Sapinski, P.F.

1993-02-01

The Resource Allocation Support System (RASS) is a decision-aiding system being developed to assist the US Department of Energy's (DOE's) Office of Waste Management in program and budget decision making. Four pilot studies were conducted at DOE field offices in summer 1992 to evaluate and improve the RASS design. This report summarizes the combined results of the individual field office pilot studies. Results are presented from different perspectives to illustrate the type of information that would be available from RASS. Lessons learned and directions for future RASS developments are also presented

An Optimal Online Resource Allocation Algorithm for Energy Harvesting Body Area Networks

Directory of Open Access Journals (Sweden)

Guangyuan Wu

2018-01-01

Full Text Available In Body Area Networks (BANs, how to achieve energy management to extend the lifetime of the body area networks system is one of the most critical problems. In this paper, we design a body area network system powered by renewable energy, in which the sensors carried by patient with energy harvesting module can transmit data to a personal device. We do not require any a priori knowledge of the stochastic nature of energy harvesting and energy consumption. We formulate a user utility optimization problem. We use Lyapunov Optimization techniques to decompose the problem into three sub-problems, i.e., battery management, collecting rate control and transmission power allocation. We propose an online resource allocation algorithm to achieve two major goals: (1 balancing sensors’ energy harvesting and energy consumption while stabilizing the BANs system; and (2 maximizing the user utility. Performance analysis addresses required battery capacity, bounded data queue length and optimality of the proposed algorithm. Simulation results verify the optimization of algorithm.

Optimal allocation of reviewers for peer feedback

DEFF Research Database (Denmark)

Wind, David Kofoed; Jensen, Ulf Aslak; Jørgensen, Rasmus Malthe

2017-01-01

feedback to be effective students should give and receive useful feedback. A key challenge in peer feedback is allocating the feedback givers in a good way. It is important that reviewers are allocated to submissions such that the feedback distribution is fair - meaning that all students receive good......Peer feedback is the act of letting students give feedback to each other on submitted work. There are multiple reasons to use peer feedback, including students getting more feedback, time saving for teachers and increased learning by letting students reflect on work by others. In order for peer...... indicated the quality of the feedback. Using this model together with historical data we calculate the feedback-giving skill of each student and uses that as input to an allocation algorithm that assigns submissions to reviewers, in order to optimize the feedback quality for all students. We test...

Nursing home reimbursement and the allocation of rehabilitation therapy resources.

Science.gov (United States)

Murtaugh, C M; Cooney, L M; DerSimonian, R R; Smits, H L; Fetter, R B

1988-10-01

Most public funding methods for long-term care do not adequately match payment rates with patient need for services. Case-mix payment systems are designed to encourage a more efficient and equitable allocation of limited health care resources. Even nursing home case-mix payment systems, however, do not currently provide the proper incentives to match rehabilitation therapy resources to a patient's needs. We were able to determine by a review of over 8,500 patients in 65 nursing homes that certain diagnoses, partial dependence in activities of daily living (ADLs), clear mental status, and improving medical status are associated with the provision of rehabilitation services to nursing home residents. These patient characteristics are clinically reasonable predictors of the need for therapy and should be considered for use in nursing home case-mix reimbursement systems. Primary payment source also was associated with the provision of rehabilitation services even after taking into account significant patient characteristics. It is unclear how much of the variation in service use across payers is due to differences in patient need as opposed to differences in the financial incentives associated with current payment methods.

Optimal allocation of sensors for state estimation of distributed parameter systems

International Nuclear Information System (INIS)

Sunahara, Yoshifumi; Ohsumi, Akira; Mogami, Yoshio.

1978-01-01

The purpose of this paper is to present a method for finding the optimal allocation of sensors for state estimation of linear distributed parameter systems. This method is based on the criterion that the error covariance associated with the state estimate becomes minimal with respect to the allocation of the sensors. A theorem is established, giving the sufficient condition for optimizing the allocation of sensors to make minimal the error covariance approximated by a modal expansion. The remainder of this paper is devoted to illustrate important phases of the general theory of the optimal measurement allocation problem. To do this, several examples are demonstrated, including extensive discussions on the mutual relation between the optimal allocation and the dynamics of sensors. (author)

Direct-acting antiviral therapy decreases hepatocellular carcinoma recurrence rate in cirrhotic patients with chronic hepatitis C.

Science.gov (United States)

Virlogeux, Victor; Pradat, Pierre; Hartig-Lavie, Kerstin; Bailly, François; Maynard, Marianne; Ouziel, Guillaume; Poinsot, Domitille; Lebossé, Fanny; Ecochard, Marie; Radenne, Sylvie; Benmakhlouf, Samir; Koffi, Joseph; Lack, Philippe; Scholtes, Caroline; Uhres, Anne-Claire; Ducerf, Christian; Mabrut, Jean-Yves; Rode, Agnès; Levrero, Massimo; Combet, Christophe; Merle, Philippe; Zoulim, Fabien

2017-08-01

Arrival of direct-acting antiviral agents against hepatitis C virus with high-sustained virological response rates and very few side effects has drastically changed the management of hepatitis C virus infection. The impact of direct-acting antiviral exposure on hepatocellular carcinoma recurrence after a first remission in patients with advanced fibrosis remains to be clarified. 68 consecutive hepatitis C virus patients with a first hepatocellular carcinoma diagnosis and under remission, subsequently treated or not with a direct-acting antiviral combination, were included. Clinical, biological and virological data were collected at first hepatocellular carcinoma diagnosis, at remission and during the surveillance period. All patients were cirrhotic. Median age was 62 years and 76% of patients were male. Twenty-three patients (34%) were treated with direct-acting antivirals and 96% of them achieved sustained virological response. Median time between hepatocellular carcinoma remission and direct-acting antivirals initiation was 7.2 months (IQR: 3.6-13.5; range: 0.3-71.4) and median time between direct-acting antivirals start and hepatocellular carcinoma recurrence was 13.0 months (IQR: 9.2-19.6; range: 3.0-24.7). Recurrence rate was 1.7/100 person-months among treated patients vs 4.2/100 person-months among untreated patients (P=.008). In multivariate survival analysis, the hazard ratio for hepatocellular carcinoma recurrence after direct-acting antivirals exposure was 0.24 (95% confidence interval: 0.10-0.55; PHepatocellular carcinoma recurrence rate was significantly lower among patients treated with direct-acting antivirals compared with untreated patients. Given the potential impact of our observation, large-scale prospective cohort studies are needed to confirm these results. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Competition for Export Markets and the Allocation of Foreign Aid

DEFF Research Database (Denmark)

Barthel, Fabian; Neumeyer, Erich; Nunnenkamp, Peter

We account for the competition for export markets among the donor countries of foreign aid by analyzing spatial dependence in aid allocation. We employ sector-specific aid data, distinguishing between first and second stage decisions on the selection of recipient countries and the amount of aid...... allocated to selected recipients. We find that the five largest donors react to aid giving by other donors with whom they compete in terms of exporting goods and services to a specific recipient country at both stages of their allocation of aid for economic infrastructure and productive sectors. By contrast......, evidence for export competition driving aid allocation is lacking for more altruistic donors and for aid in social infrastructure....

On capital allocation for stochastic arrangement increasing actuarial risks

Directory of Open Access Journals (Sweden)

Pan Xiaoqing

2017-01-01

Full Text Available This paper studies the increasing convex ordering of the optimal discounted capital allocations for stochastic arrangement increasing risks with stochastic arrangement decreasing occurrence times. The application to optimal allocation of policy limits is presented as an illustration as well.

Portfolio allocation under the vendor managed inventory: A Markov ...

African Journals Online (AJOL)

Portfolio allocation under the vendor managed inventory: A Markov decision process. ... Journal of Applied Sciences and Environmental Management ... This study provides a review of Markov decision processes and investigates its suitability for solutions to portfolio allocation problems under vendor managed inventory in ...

Rethinking Reinforcement: Allocation, Induction, and Contingency

Science.gov (United States)

Baum, William M

2012-01-01

The concept of reinforcement is at least incomplete and almost certainly incorrect. An alternative way of organizing our understanding of behavior may be built around three concepts: allocation, induction, and correlation. Allocation is the measure of behavior and captures the centrality of choice: All behavior entails choice and consists of choice. Allocation changes as a result of induction and correlation. The term induction covers phenomena such as adjunctive, interim, and terminal behavior—behavior induced in a situation by occurrence of food or another Phylogenetically Important Event (PIE) in that situation. Induction resembles stimulus control in that no one-to-one relation exists between induced behavior and the inducing event. If one allowed that some stimulus control were the result of phylogeny, then induction and stimulus control would be identical, and a PIE would resemble a discriminative stimulus. Much evidence supports the idea that a PIE induces all PIE-related activities. Research also supports the idea that stimuli correlated with PIEs become PIE-related conditional inducers. Contingencies create correlations between “operant” activity (e.g., lever pressing) and PIEs (e.g., food). Once an activity has become PIE-related, the PIE induces it along with other PIE-related activities. Contingencies also constrain possible performances. These constraints specify feedback functions, which explain phenomena such as the higher response rates on ratio schedules in comparison with interval schedules. Allocations that include a lot of operant activity are “selected” only in the sense that they generate more frequent occurrence of the PIE within the constraints of the situation; contingency and induction do the “selecting.” PMID:22287807

Sex allocation promotes the stable co-occurrence of competitive species

Science.gov (United States)

Kobayashi, Kazuya

2017-03-01

Biodiversity has long been a source of wonder and scientific curiosity. Theoretically, the co-occurrence of competitive species requires niche differentiation, and such differences are well known; however, the neutral theory, which assumes the equivalence of all individuals regardless of the species in a biological community, has successfully recreated observed patterns of biodiversity. In this research, the evolution of sex allocation is demonstrated to be the key to resolving why the neutral theory works well, despite the observed species differences. The sex allocation theory predicts that female-biased allocation evolves in species in declining density and that this allocation improves population growth, which should lead to an increase in density. In contrast, when the density increases, a less biased allocation evolves, which reduces the population growth rate and leads to decreased density. Thus, sex allocation provides a buffer against species differences in population growth. A model incorporating this mechanism demonstrates that hundreds of species can co-occur over 10,000 generations, even in homogeneous environments, and reproduces the observed patterns of biodiversity. This study reveals the importance of evolutionary processes within species for the sustainability of biodiversity. Integrating the entire biological process, from genes to community, will open a new era of ecology.

Allocation of ventilators in a public health disaster.

Science.gov (United States)

Powell, Tia; Christ, Kelly C; Birkhead, Guthrie S

2008-03-01

In a public health emergency, many more patients could require mechanical ventilators than can be accommodated. To plan for such a crisis, the New York State Department of Health and the New York State Task Force on Life and the Law convened a workgroup to develop ethical and clinical guidelines for ventilator triage. The workgroup crafted an ethical framework including the following components: duty to care, duty to steward resources, duty to plan, distributive justice, and transparency. Incorporating the ethical framework, the clinical guidelines propose both withholding and withdrawing ventilators from patients with the highest probability of mortality to benefit patients with the highest likelihood of survival. Triage scores derive from the sepsis-related organ failure assessment system, which assigns points based on function in 6 basic medical domains. Triage may not be implemented by a facility without clear permission from public health authorities. New York State released the draft guidelines for public comment, allowing for revision to reflect both community values and medical innovation. This ventilator triage system represents a radical shift from ordinary standards of care, and may serve as a model for allocating other scarce resources in disasters.

Resource allocation on computational grids using a utility model and the knapsack problem

CERN Document Server

Van der ster, Daniel C; Parra-Hernandez, Rafael; Sobie, Randall J

2009-01-01

This work introduces a utility model (UM) for resource allocation on computational grids and formulates the allocation problem as a variant of the 0–1 multichoice multidimensional knapsack problem. The notion of task-option utility is introduced, and it is used to effect allocation policies. We present a variety of allocation policies, which are expressed as functions of metrics that are both intrinsic and external to the task and resources. An external user-defined credit-value metric is shown to allow users to intervene in the allocation of urgent or low priority tasks. The strategies are evaluated in simulation against random workloads as well as those drawn from real systems. We measure the sensitivity of the UM-derived schedules to variations in the allocation policies and their corresponding utility functions. The UM allocation strategy is shown to optimally allocate resources congruent with the chosen policies.

Allocation of scarce resources during mass casualty events.

Science.gov (United States)

Timbie, Justin W; Ringel, Jeanne S; Fox, D Steven; Waxman, Daniel A; Pillemer, Francesca; Carey, Christine; Moore, Melinda; Karir, Veena; Johnson, Tiffani J; Iyer, Neema; Hu, Jianhui; Shanman, Roberta; Larkin, Jody Wozar; Timmer, Martha; Motala, Aneesa; Perry, Tanja R; Newberry, Sydne; Kellermann, Arthur L

2012-06-01

This systematic review sought to identify the best available evidence regarding strategies for allocating scarce resources during mass casualty events (MCEs). Specifically, the review addresses the following questions: (1) What strategies are available to policymakers to optimize the allocation of scarce resources during MCEs? (2) What strategies are available to providers to optimize the allocation of scarce resources during MCEs? (3) What are the public's key perceptions and concerns regarding the implementation of strategies to allocate scarce resources during MCEs? (4) What methods are available to engage providers in discussions regarding the development and implementation of strategies to allocate scarce resources during MCEs? We searched Medline, Scopus, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Global Health, Web of Science®, and the Cochrane Database of Systematic Reviews from 1990 through 2011. To identify relevant non-peer-reviewed reports, we searched the New York Academy of Medicine's Grey Literature Report. We also reviewed relevant State and Federal plans, peer-reviewed reports and papers by nongovernmental organizations, and consensus statements published by professional societies. We included both English- and foreign-language studies. Our review included studies that evaluated tested strategies in real-world MCEs as well as strategies tested in drills, exercises, or computer simulations, all of which included a comparison group. We reviewed separately studies that lacked a comparison group but nonetheless evaluated promising strategies. We also identified consensus recommendations developed by professional societies or government panels. We reviewed existing State plans to examine the current state of planning for scarce resource allocation during MCEs. Two investigators independently reviewed each article, abstracted data, and assessed study quality. We considered 5,716 reports for this comparative effectiveness

Comparison of multinomial logistic regression and logistic regression: which is more efficient in allocating land use?

Science.gov (United States)

Lin, Yingzhi; Deng, Xiangzheng; Li, Xing; Ma, Enjun

2014-12-01

Spatially explicit simulation of land use change is the basis for estimating the effects of land use and cover change on energy fluxes, ecology and the environment. At the pixel level, logistic regression is one of the most common approaches used in spatially explicit land use allocation models to determine the relationship between land use and its causal factors in driving land use change, and thereby to evaluate land use suitability. However, these models have a drawback in that they do not determine/allocate land use based on the direct relationship between land use change and its driving factors. Consequently, a multinomial logistic regression method was introduced to address this flaw, and thereby, judge the suitability of a type of land use in any given pixel in a case study area of the Jiangxi Province, China. A comparison of the two regression methods indicated that the proportion of correctly allocated pixels using multinomial logistic regression was 92.98%, which was 8.47% higher than that obtained using logistic regression. Paired t-test results also showed that pixels were more clearly distinguished by multinomial logistic regression than by logistic regression. In conclusion, multinomial logistic regression is a more efficient and accurate method for the spatial allocation of land use changes. The application of this method in future land use change studies may improve the accuracy of predicting the effects of land use and cover change on energy fluxes, ecology, and environment.

Direct anticoagulants and nursing: an approach from patient's safety.

Science.gov (United States)

Romero Ruiz, Adolfo; Romero-Arana, Adolfo; Gómez-Salgado, Juan

In recent years, a new line of treatment for the prevention of stroke in non-valvular atrial fibrillation, the so-called direct anticoagulants or new anticoagulants has appeared. The proper management and follow-up of these patients is essential to minimize their side effects and ensure patient safety. In this article, a description of these drugs is given, analyzing their characteristics, functioning and interactions together with the most habitual nursing interventions, as well as a reflection on the implications for the practice. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Capacity allocation in wireless communication networks - models and analyses

NARCIS (Netherlands)

Litjens, Remco

2003-01-01

This monograph has concentrated on capacity allocation in cellular and Wireless Local Area Networks, primarily with a network operator’s perspective. In the introduc- tory chapter, a reference model has been proposed for the extensive suite of capacity allocation mechanisms that can be applied at

Foreign Bank Entry and Credit Allocation in Emerging Markets

NARCIS (Netherlands)

Degryse, H.A.; Havrylchyk, O.; Jurzyk, E.; Kozak, S.

2009-01-01

We employ a unique data set containing bank-specific information to explore how foreign bank entry determines credit allocation in emerging markets. We investigate the impact of the mode of foreign entry (greenfield or takeover) on banks’ portfolio allocation to borrowers with different degrees of

Resource Allocation and Public Policy in Alberta's Postsecondary System.

Science.gov (United States)

Barneston, Bob; Boberg, Alice

2000-01-01

Resource allocation in Alberta's postsecondary system has changed substantially since 1994, designed to reapportion financial responsibility for higher education, increase vocational outcomes of postsecondary education, and increase transfer of knowledge and technology to the private sector. This paper outlines how resource allocation has been…

Perception-based Co-evolutionary Reinforcement Learning for UAV Sensor Allocation

National Research Council Canada - National Science Library

Berenji, Hamid

2003-01-01

.... A Perception-based reasoning approach based on co-evolutionary reinforcement learning was developed for jointly addressing sensor allocation on each individual UAV and allocation of a team of UAVs...

Is subjective well-being a useful parameter for allocating resources among public interventions?

Science.gov (United States)

Gandjour, A

2001-01-01

Scarce public resources require trade-offs between competing programs in different sectors, and the careful allocation of fixed resources within a single sector. This paper argues that a general quality of life instrument encompassing health-related and non-health-related components is suitable for determining the best trade-offs between sectors. Further, this paper suggests that subjective well-being shows the properties crucial to a general quality of life measure and has additional advantages that makes it particularly useful for the allocation of public and health care resources. The paper argues that Western societies are in an unusually prosperous situation today which allows to concentrate efforts not only on reducing harm but also on improving positive states of health. Further, subjective well-being can be evaluated from the patient's perspective and incorporates a valuation of life expectancy. Criteria required for an appropriate questionnaire that measures subjective well-being are presented.

Biomass Resource Allocation among Competing End Uses

Energy Technology Data Exchange (ETDEWEB)

Newes, E.; Bush, B.; Inman, D.; Lin, Y.; Mai, T.; Martinez, A.; Mulcahy, D.; Short, W.; Simpkins, T.; Uriarte, C.; Peck, C.

2012-05-01

The Biomass Scenario Model (BSM) is a system dynamics model developed by the U.S. Department of Energy as a tool to better understand the interaction of complex policies and their potential effects on the biofuels industry in the United States. However, it does not currently have the capability to account for allocation of biomass resources among the various end uses, which limits its utilization in analysis of policies that target biomass uses outside the biofuels industry. This report provides a more holistic understanding of the dynamics surrounding the allocation of biomass among uses that include traditional use, wood pellet exports, bio-based products and bioproducts, biopower, and biofuels by (1) highlighting the methods used in existing models' treatments of competition for biomass resources; (2) identifying coverage and gaps in industry data regarding the competing end uses; and (3) exploring options for developing models of biomass allocation that could be integrated with the BSM to actively exchange and incorporate relevant information.

Measuring health indicators and allocating health resources: a DEA-based approach.

Science.gov (United States)

Yang, Chih-Ching

2016-02-03

This paper suggests new empirical DEA models for the measurement of health indicators and the allocation of health resources. The proposed models were developed by first suggesting a population-based health indicator. By introducing the suggested indicator into DEA models, a new approach that solves the problem of health resource allocation has been developed. The proposed models are applied to an empirical study of Taiwan's health system. Empirical findings show that the suggested indicator can successfully accommodate the differences in health resource demands between populations, providing more reliable performance information than traditional indicators such as physician density. Using our models and a commonly used allocation mechanism, capitation, to allocate medical expenditures, it is found that the proposed model always obtains higher performance than those derived from capitation, and the superiority increases as allocated expenditures rise.

Energy-efficient two-hop LTE resource allocation in high speed trains with moving relays

KAUST Repository

Alsharoa, Ahmad M.

2014-05-01

High-speed railway system equipped with moving relay stations placed on the middle of the ceiling of each train wagon is investigated. The users inside the train are served in two hops via the 3GPP Long Term Evolution (LTE) technology. The objective of this work is to maximize the number of served users by respecting a specific quality-of-service constraint while minimizing the total power consumption of the eNodeB and the moving relays. We propose an efficient algorithm based on the Hungarian method to find the optimal resource allocation over the LTE resource blocks in order to serve the maximum number of users with the minimum power consumption. Moreover, we derive a closed-form expression for the power allocation problem. Our simulation results illustrate the performance of the proposed scheme and compare it with various previously developed algorithms as well as with the direct transmission scenario. © 2014 IFIP.

Innovative Approach for Developing Spacecraft Interior Acoustic Requirement Allocation

Science.gov (United States)

Chu, S. Reynold; Dandaroy, Indranil; Allen, Christopher S.

2016-01-01

The Orion Multi-Purpose Crew Vehicle (MPCV) is an American spacecraft for carrying four astronauts during deep space missions. This paper describes an innovative application of Power Injection Method (PIM) for allocating Orion cabin continuous noise Sound Pressure Level (SPL) limits to the sound power level (PWL) limits of major noise sources in the Environmental Control and Life Support System (ECLSS) during all mission phases. PIM is simulated using both Statistical Energy Analysis (SEA) and Hybrid Statistical Energy Analysis-Finite Element (SEA-FE) models of the Orion MPCV to obtain the transfer matrix from the PWL of the noise sources to the acoustic energies of the receivers, i.e., the cavities associated with the cabin habitable volume. The goal of the allocation strategy is to control the total energy of cabin habitable volume for maintaining the required SPL limits. Simulations are used to demonstrate that applying the allocated PWLs to the noise sources in the models indeed reproduces the SPL limits in the habitable volume. The effects of Noise Control Treatment (NCT) on allocated noise source PWLs are investigated. The measurement of source PWLs of involved fan and pump development units are also discussed as it is related to some case-specific details of the allocation strategy discussed here.

Optimal allocation of international atomic energy agency inspection resources

International Nuclear Information System (INIS)

Markin, J.T.

1987-01-01

Each year the Department of Safeguards of the International Atomic Energy Agency (IAEA) conducts inspections to confirm that nuclear materials and facilities are employed for peaceful purposes. Because of limited inspection resources, however, the IAEA cannot fully attain its safeguards goals either quantitatively as measured by the inspection effort negotiated in the facility attachments or qualitatively as measured by the IAEA criteria for evaluating attainment of safeguards goals. Under current IAEA procedures the allocation of inspection resources assigns essentially equal inspection effort to facilities of the same type. An alternative approach would incorporate consideration of all material categories and facilities to be assigned inspection resources when allocating effort to a particular facility. One such method for allocating inspection resources is based on the IAEA criteria. The criteria provide a framework for allocating inspection effort that includes a ranking of material types according to their safeguards importance, an implicit definition of inspection activities for each material and facility type, and criteria for judging the attainment of safeguards goals in terms of the quality and frequency of these inspection activities. This framework is applicable to resource allocation for an arbitrary group of facilities such as a state's fuel cycle, the facilities inspected by an operations division, or all of the facilities inspected by the IAEA

An Indirect Simulation-Optimization Model for Determining Optimal TMDL Allocation under Uncertainty

Directory of Open Access Journals (Sweden)

Feng Zhou

2015-11-01

Full Text Available An indirect simulation-optimization model framework with enhanced computational efficiency and risk-based decision-making capability was developed to determine optimal total maximum daily load (TMDL allocation under uncertainty. To convert the traditional direct simulation-optimization model into our indirect equivalent model framework, we proposed a two-step strategy: (1 application of interval regression equations derived by a Bayesian recursive regression tree (BRRT v2 algorithm, which approximates the original hydrodynamic and water-quality simulation models and accurately quantifies the inherent nonlinear relationship between nutrient load reductions and the credible interval of algal biomass with a given confidence interval; and (2 incorporation of the calibrated interval regression equations into an uncertain optimization framework, which is further converted to our indirect equivalent framework by the enhanced-interval linear programming (EILP method and provides approximate-optimal solutions at various risk levels. The proposed strategy was applied to the Swift Creek Reservoir’s nutrient TMDL allocation (Chesterfield County, VA to identify the minimum nutrient load allocations required from eight sub-watersheds to ensure compliance with user-specified chlorophyll criteria. Our results indicated that the BRRT-EILP model could identify critical sub-watersheds faster than the traditional one and requires lower reduction of nutrient loadings compared to traditional stochastic simulation and trial-and-error (TAE approaches. This suggests that our proposed framework performs better in optimal TMDL development compared to the traditional simulation-optimization models and provides extreme and non-extreme tradeoff analysis under uncertainty for risk-based decision making.

Phylogeny determines flower size-dependent sex allocation at flowering in a hermaphroditic family.

Science.gov (United States)

Teixido, A L; Guzmán, B; Staggemeier, V G; Valladares, F

2017-11-01

In animal-pollinated hermaphroditic plants, optimal floral allocation determines relative investment into sexes, which is ultimately dependent on flower size. Larger flowers disproportionally increase maleness whereas smaller and less rewarding flowers favour female function. Although floral traits are considered strongly conserved, phylogenetic relationships in the interspecific patterns of resource allocation to floral sex remain overlooked. We investigated these patterns in Cistaceae, a hermaphroditic family. We reconstructed phylogenetic relationships among Cistaceae species and quantified phylogenetic signal for flower size, dry mass and nutrient allocation to floral structures in 23 Mediterranean species using Blomberg's K-statistic. Lastly, phylogenetically-controlled correlational and regression analyses were applied to examine flower size-based allometry in resource allocation to floral structures. Sepals received the highest dry mass allocation, followed by petals, whereas sexual structures increased nutrient allocation. Flower size and resource allocation to floral structures, except for carpels, showed a strong phylogenetic signal. Larger-flowered species allometrically allocated more resources to maleness, by increasing allocation to corollas and stamens. Our results suggest a major role of phylogeny in determining interspecific changes in flower size and subsequent floral sex allocation. This implies that flower size balances the male-female function over the evolutionary history of Cistaceae. While allometric resource investment in maleness is inherited across species diversification, allocation to the female function seems a labile trait that varies among closely related species that have diversified into different ecological niches. © 2017 German Botanical Society and The Royal Botanical Society of the Netherlands.

Robust Power Allocation for Multi-Carrier Amplify-and-Forward Relaying Systems

KAUST Repository

Rao, Anlei

2012-09-08

It has been shown that adaptive power allocation can provide a substantial performance gain in wireless communication systems when perfect channel state information (CSI) is available at the transmitter. However when only imperfect CSI is available, the performance may degrade significantly, and as such robust power allocation schemes have been developed to minimize the effects of this degradation. In this paper, we investigate power allocation strategies for multicarrier systems, in which each subcarrier employs single amplify-and-forward (AF) relaying scheme. Optimal power allocation schemes are proposed by maximizing the approximated channel capacity under aggregate power constraint (APC) and separate power constraint (SPC). By comparison with the uniform power allocation scheme and the best channel power allocation scheme, we confirm that both the APC and SPC schemes achieve a performance gain over benchmark schemes. In addition, the impact of channel uncertainty is also considered in this paper by modeling the uncertainty regions as bounded sets, and results show that the uncertainty can degrade the worst-case performance significantly.

Resource Allocation and Outpatient Appointment Scheduling Using Simulation Optimization

Directory of Open Access Journals (Sweden)

Carrie Ka Yuk Lin

2017-01-01

Full Text Available This paper studies the real-life problems of outpatient clinics having the multiple objectives of minimizing resource overtime, patient waiting time, and waiting area congestion. In the clinic, there are several patient classes, each of which follows different treatment procedure flow paths through a multiphase and multiserver queuing system with scarce staff and limited space. We incorporate the stochastic factors for the probabilities of the patients being diverted into different flow paths, patient punctuality, arrival times, procedure duration, and the number of accompanied visitors. We present a novel two-stage simulation-based heuristic algorithm to assess various tactical and operational decisions for optimizing the multiple objectives. In stage I, we search for a resource allocation plan, and in stage II, we determine a block appointment schedule by patient class and a service discipline for the daily operational level. We also explore the effects of the separate strategies and their integration to identify the best possible combination. The computational experiments are designed on the basis of data from a study of an ophthalmology clinic in a public hospital. Results show that our approach significantly mitigates the undesirable outcomes by integrating the strategies and increasing the resource flexibility at the bottleneck procedures without adding resources.

Comparison of surgical treatment with direct repair versus conservative treatment in young patients with spondylolysis: a prospective, comparative, clinical trial.

Science.gov (United States)

Lee, Gun Woo; Lee, Sun-Mi; Ahn, Myun-Whan; Kim, Ho-Joong; Yeom, Jin S

2015-07-01

Although direct repair (DR) with screw fixation at the pars defect is a common surgical treatment for lumbar spondylolysis, it is unknown whether DR leads to better outcomes for young patients with spondylolysis than traditional nonsurgical treatment. The purpose of the study was to investigate whether DR was associated with better outcomes for lumbar spondylolysis in young patients than traditional conservative treatment. This is a prospective cohort study. Of 1,784 patients with low back pain in the reference period, 149 young patients with spondylolysis who followed up for at least 1 year were enrolled in the study. The primary outcome was pain intensity at the lower back measured with a Visual Analog Scale. Secondary outcomes included the functional outcome as measured with the Oswestry disability index (ODI) and the 12-item short-form health survey (SF-12) consisting of the physical component summary (PCS) and mental component summary (MCS) scores, the radiologic outcome as measured with lumbar spine radiographs and computed tomography scans, and complications of treatment. This was a prospective comparative study between two groups of patients who were treated with either conservative treatment or surgery for lumbar spondylolysis. Enrolled patients self-selected their own treatment and were allocated to either the traditional care group with conservative treatment (87 patients) or the surgery group (62 patients). All patients were followed up for at least 1 year. Pain intensity at the lower back did not differ significantly between groups at the final follow-up. Likewise, the ODI and SF-12 (PCS and MCS) scores did not differ significantly between groups (p=.13, .71, and .68, respectively). The change in the gap distance of the pars defect at the final follow-up was significantly different between groups (traditional care group: +0.8±0.4 mm; surgery group: -0.7±0.5; p=.01). The union rate at 1 year after surgical treatment was 52% (32/61). The rate of

Tax levy financing for local public health: fiscal allocation, effort, and capacity.

Science.gov (United States)

Riley, William J; Gearin, Kimberly J; Parrotta, Carmen D; Briggs, Jill; Gyllstrom, M Elizabeth

2013-12-01

Local health departments (LHDs) rely on a wide variety of funding sources, and the level of financing is associated with both LHD performance in essential public health services and population health outcomes. Although it has been shown that funding sources vary across LHDs, there is no evidence regarding the relationship between fiscal allocation (local tax levy); fiscal effort (tax capacity); and fiscal capacity (community wealth). The purpose of this study is to analyze local tax levy support for LHD funding. Three research questions are addressed: (1) What are tax levy trends in LHD fiscal allocation? (2) What is the role of tax levy in overall LHD financing? and (3) How do local community fiscal capacity and fiscal effort relate to LHD tax levy fiscal allocation? This study focuses on 74 LHDs eligible for local tax levy funding in Minnesota. Funding and expenditure data for 5 years (2006 to 2010) were compiled from four governmental databases, including the Minnesota Department of Health, the State Auditor, the State Demographer, and the Metropolitan Council. Trends in various funding sources and expenditures are described for the time frame of interest. Data were analyzed in 2012. During the 2006-2010 time period, total average LHD per capita expenditures increased 13%, from $50.98 to $57.63. Although the overall tax levy increase in Minnesota was 25%, the local tax levy for public health increased 5.6% during the same period. There is a direct relationship between fiscal effort and LHD expenditures. Local funding reflects LHD community priorities and the relative importance in comparison to funding other local programs with tax dollars. In Minnesota, local tax levy support for local public health services is not keeping pace with local tax support for other local government services. These results raise important questions about the relationship between tax levy resource effort, resource allocation, and fiscal capacity as they relate to public health

Economic burden and its associated factors of hospitalized patients infected with A (H7N9) virus: a retrospective study in Eastern China, 2013-2014.

Science.gov (United States)

Huo, Xiang; Chen, Li-Ling; Hong, Lei; Xiang, Lun-Hui; Tang, Fen-Yang; Chen, Shan-Hui; Gao, Qiang; Chen, Cong; Dai, Qi-Gang; Sun, Chuan-Wu; Xu, Ke; Dai, Wen-Jun; Qi, Xian; Li, Chang-Cheng; Yu, Hui-Yan; Zhou, Yin; Huang, Hao-Di; Pan, Xing-Yang; Xu, Chang-Sha; Zhou, Ming-Hao; Bao, Chang-Jun

2016-09-01

H7N9 continues to cause human infections and remains a pandemic concern. Understanding the economic impacts of this novel disease is important for making decisions on health resource allocation, including infectious disease prevention and control investment. However, there are limited data on such impacts. Hospitalized laboratory-confirmed H7N9 patients or their families in Jiangsu Province of China were interviewed. Patients' direct medical costs of hospitalization were derived from their hospital bills. A generalized linear model was employed to estimate the mean direct medical costs of patients with different characteristics. The mean direct cost of hospitalization for H7N9 was estimated to be ¥ 71 060 (95 % CI, 48 180-104 820), i.e., US$ 10 996 (95 % CI, 7 455-16 220), and was ¥12 060 (US$ 1 861), ¥136 120 (US$ 21 001) and ¥218 610 (US$ 33 728) for those who had mild or severe symptoms or who died, respectively. The principal components of the total fees differed among patients with different disease severity, although medication fees were always the largest contributors. Disease severity, proportion of reimbursement and family member monthly average income were identified as the key factors that contributed to a patient's direct medical cost of hospitalization. The direct medical costs of hospitalized patients with H7N9 are significant, and far surpass the annual per capita income of Jiangsu Province, China. The influencing factors identified should be taken into account when developing related health insurance policies and making health resource allocation. Not applicable. This is a survey study with no health care intervention implemented on human participants.

An assessment of Nigerias budgetary allocation to the education ...

African Journals Online (AJOL)

This study assessed Nigerias budgetary allocations to the Education sector from year 2000 to 2010. Simple percentage method was adopted in the empirical investigation. The study showed that Nigerias budgetary allocation was less than the 26 percent recommended by the United Nations Educational Scientifc and ...

Multiple sensitive estimation and optimal sample size allocation in the item sum technique.

Science.gov (United States)

Perri, Pier Francesco; Rueda García, María Del Mar; Cobo Rodríguez, Beatriz

2018-01-01

For surveys of sensitive issues in life sciences, statistical procedures can be used to reduce nonresponse and social desirability response bias. Both of these phenomena provoke nonsampling errors that are difficult to deal with and can seriously flaw the validity of the analyses. The item sum technique (IST) is a very recent indirect questioning method derived from the item count technique that seeks to procure more reliable responses on quantitative items than direct questioning while preserving respondents' anonymity. This article addresses two important questions concerning the IST: (i) its implementation when two or more sensitive variables are investigated and efficient estimates of their unknown population means are required; (ii) the determination of the optimal sample size to achieve minimum variance estimates. These aspects are of great relevance for survey practitioners engaged in sensitive research and, to the best of our knowledge, were not studied so far. In this article, theoretical results for multiple estimation and optimal allocation are obtained under a generic sampling design and then particularized to simple random sampling and stratified sampling designs. Theoretical considerations are integrated with a number of simulation studies based on data from two real surveys and conducted to ascertain the efficiency gain derived from optimal allocation in different situations. One of the surveys concerns cannabis consumption among university students. Our findings highlight some methodological advances that can be obtained in life sciences IST surveys when optimal allocation is achieved. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Updates to the Demographic and Spatial Allocation Models to ...

Science.gov (United States)

EPA announced the availability of the draft report, Updates to the Demographic and Spatial Allocation Models to Produce Integrated Climate and Land Use Scenarios (ICLUS) for a 30-day public comment period. The ICLUS version 2 (v2) modeling tool furthered land change modeling by providing nationwide housing development scenarios up to 2100. ICLUS V2 includes updated population and land use data sets and addressing limitations identified in ICLUS v1 in both the migration and spatial allocation models. The companion user guide describes the development of ICLUS v2 and the updates that were made to the original data sets and the demographic and spatial allocation models. [2017 UPDATE] Get the latest version of ICLUS and stay up-to-date by signing up to the ICLUS mailing list. The GIS tool enables users to run SERGoM with the population projections developed for the ICLUS project and allows users to modify the spatial allocation housing density across the landscape.

Optimization of Power Allocation for Multiusers in Multi-Spot-Beam Satellite Communication Systems

Directory of Open Access Journals (Sweden)

Heng Wang

2014-01-01

Full Text Available In recent years, multi-spot-beam satellite communication systems have played a key role in global seamless communication. However, satellite power resources are scarce and expensive, due to the limitations of satellite platform. Therefore, this paper proposes optimizing the power allocation of each user in order to improve the power utilization efficiency. Initially the capacity allocated to each user is calculated according to the satellite link budget equations, which can be achieved in the practical satellite communication systems. The problem of power allocation is then formulated as a convex optimization, taking account of a trade-off between the maximization of the total system capacity and the fairness of power allocation amongst the users. Finally, an iterative algorithm based on the duality theory is proposed to obtain the optimal solution to the optimization. Compared with the traditional uniform resource allocation or proportional resource allocation algorithms, the proposed optimal power allocation algorithm improves the fairness of power allocation amongst the users. Moreover, the computational complexity of the proposed algorithm is linear with both the numbers of the spot beams and users. As a result, the proposed power allocation algorithm is easy to be implemented in practice.

Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers

Directory of Open Access Journals (Sweden)

Einsiedel Edna

2009-06-01

Full Text Available Abstract Background With a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing robust decision rules or guidelines to allocate a finite number of public resources. The objective of this study was to gain Canadian genetic health providers' perspectives on factors and criteria that influence and shape resource allocation decisions for publically funded predictive genetic testing in Canada. Methods The authors conducted semi-structured interviews with 16 senior lab directors and clinicians at publically funded Canadian predictive genetic testing facilities. Participants were drawn from British Columbia, Alberta, Manitoba, Ontario, Quebec and Nova Scotia. Given the community sampled was identified as being relatively small and challenging to access, purposive sampling coupled with snowball sampling methodologies were utilized. Results Surveyed lab directors and clinicians indicated that predictive genetic tests were funded provincially by one of two predominant funding models, but they themselves played a significant role in how these funds were allocated for specific tests and services. They also rated and identified several factors that influenced allocation decisions and patients' decisions regarding testing. Lastly, participants provided recommendations regarding changes to existing allocation models and showed support for a national evaluation process for predictive testing. Conclusion Our findings suggest that largely local and relatively ad hoc decision making processes are being made in relation to resource allocations for predictive genetic tests and that a more coordinated and, potentially, national approach to allocation decisions in this context may be appropriate.

Optimal power allocation for SM-OFDM systems with imperfect channel estimation

International Nuclear Information System (INIS)

Yu, Feng; Song, Lijun; Lei, Xia; Xiao, Yue; Jiang, Zhao Xiang; Jin, Maozhu

2016-01-01

This paper analyses the bit error rate (BER) of the spatial modulation orthogonal frequency division multiplex (SM-OFDM) system and derives the optimal power allocation between the data and the pilot symbols by minimizing the upper bound for the BER operating with imperfect channel estimation. Furthermore, we prove the proposed optimal power allocation scheme applies to all generalized linear interpolation techniques with the minimum mean square error (MMSE) channel estimation . Simulation results show that employing the proposed optimal power allocation provides a substantial gain in terms of the average BER performance for the SM-OFDM system compared to its equal-power-allocation counterpart.

Applied cost allocation

DEFF Research Database (Denmark)

Bogetoft, Peter; Hougaard, Jens Leth; Smilgins, Aleksandrs

2016-01-01

This paper deals with empirical computation of Aumann–Shapley cost shares for joint production. We show that if one uses a mathematical programing approach with its non-parametric estimation of the cost function there may be observations in the data set for which we have multiple Aumann–Shapley p...... of assumptions concerning firm behavior. These assumptions enable us to connect inefficient with efficient production and thereby provide consistent ways of allocating the costs arising from inefficiency....

Variation of fee-for-service specialist direct care work effort with patient overall illness burden.

Science.gov (United States)

Goodman, Robert

2011-08-01

To explore whether a common industry measure of overall patient illness burden, used to assess the total costs of members in a health plan, would be suitable to describe variation in a summary metric of utilization that assesses specialist physician direct patient care services not grouped into clinical episodes, but with exclusion criteria applied to reduce any bias in the data. Data sources/study setting Calendar year 2006 administrative data on 153,557 commercial members enrolled in a non-profit single-state statewide Health Maintenance Organization (HMO) and treated by 4356 specialists in 11 specialties. The health plan's global referral process and specialist fee-for-service reimbursement likely makes these results applicable to the non-managed care setting, as once a global referral was authorized there was no required intervention by the HMO or referring primary care provider for the majority of any subsequent specialist direct clinical care. Study design Specialty-specific correlations and ordinary least-squares regression models to assess variations in specialist direct patient care work effort with patient overall illness burden, after the application of exclusion criteria to reduce potential bias in the data. Principle findings Statistically significant positive correlations exist between specialist direct patient care work effort and patient overall illness burden for all studied specialties. Regression models revealed a generally monotonic increasing relationship between illness burden categories and aggregate specialist direct patient care work effort. Almost all regression model differences from the reference category across specialties are statistically significant (P ≤ 0.012). Assessment of additional results demonstrates the relationship has more substantive significance in some specialties and less in others. The most substantive relationships in this study were found in the specialties of orthopaedic surgery, general surgery and interventional

Promotion of self-directed learning using virtual patient cases.

Science.gov (United States)

Benedict, Neal; Schonder, Kristine; McGee, James

2013-09-12

To assess the effectiveness of virtual patient cases to promote self-directed learning (SDL) in a required advanced therapeutics course. Virtual patient software based on a branched-narrative decision-making model was used to create complex patient case simulations to replace lecture-based instruction. Within each simulation, students used SDL principles to learn course objectives, apply their knowledge through clinical recommendations, and assess their progress through patient outcomes and faculty feedback linked to their individual decisions. Group discussions followed each virtual patient case to provide further interpretation, clarification, and clinical perspective. Students found the simulated patient cases to be organized (90%), enjoyable (82%), intellectually challenging (97%), and valuable to their understanding of course content (91%). Students further indicated that completion of the virtual patient cases prior to class permitted better use of class time (78%) and promoted SDL (84%). When assessment questions regarding material on postoperative nausea and vomiting were compared, no difference in scores were found between the students who attended the lecture on the material in 2011 (control group) and those who completed the virtual patient case on the material in 2012 (intervention group). Completion of virtual patient cases, designed to replace lectures and promote SDL, was overwhelmingly supported by students and proved to be as effective as traditional teaching methods.

Does routine psychosocial screening improve referral to psychosocial care providers and patient-radiotherapist communication? A cluster randomized controlled trial.

Science.gov (United States)

Braeken, Anna P B M; Lechner, Lilian; Eekers, Daniëlle B P; Houben, Ruud M A; van Gils, Francis C J M; Ambergen, Ton; Kempen, Gertrudis I J M

2013-11-01

This study tests whether using a screening instrument improves referral to psychosocial care providers (e.g. psychologist) and facilitates patient-radiotherapist communication. A cluster randomized controlled trial was used. Fourteen radiotherapists were randomly allocated to the experimental or control group and 568 of their patients received care in accordance with the group to which their radiotherapist was allocated. Patients in the experimental group were asked to complete a screening instrument before and at the end of the radiation treatment period. All patients were requested to complete questionnaires concerning patient-physician communication after the first consultation and concerning psychosocial care 3 and 12 months post-intervention. Patients who completed the screening instrument were referred to social workers at an earlier stage than patients who did not (Pcommunication. Our results suggest that a simple screening procedure can be valuable for the timely treatment of psychosocial problems in patients. Future efforts should be directed at appropriate timing of screening and enhancing physicians' awareness regarding the importance of identifying, discussing and treating psychosocial problems in cancer patients. Psychosocial screening can be enhanced by effective radiotherapist-patient communication. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

77 FR 2240 - Allocation and Apportionment of Interest Expense

Science.gov (United States)

2012-01-17

... allocation and apportionment of interest expense using the fair market value asset method. The temporary regulations also update the interest allocation regulations to conform to the changes made to the applicable... using the fair market value method. The text of those regulations also serves as the text of these...

Comment: Risk Allocation Norms of Civil Construction Contracts in ...

African Journals Online (AJOL)

This comment discusses risk allocation under Ethiopian construction law and examines risks in civil construction contracts. The comment highlights the gaps in risk allocation norms under the standard format of construction contract that was issued by the Ethiopian Ministry of Work and Urban Development (MoWUD) in 1994 ...

A hybrid method for provincial scale energy-related carbon emission allocation in China.

Science.gov (United States)

Bai, Hongtao; Zhang, Yingxuan; Wang, Huizhi; Huang, Yanying; Xu, He

2014-01-01

Achievement of carbon emission reduction targets proposed by national governments relies on provincial/state allocations. In this study, a hybrid method for provincial energy-related carbon emissions allocation in China was developed to provide a good balance between production- and consumption-based approaches. In this method, provincial energy-related carbon emissions are decomposed into direct emissions of local activities other than thermal power generation and indirect emissions as a result of electricity consumption. Based on the carbon reduction efficiency principle, the responsibility for embodied emissions of provincial product transactions is assigned entirely to the production area. The responsibility for carbon generation during the production of thermal power is borne by the electricity consumption area, which ensures that different regions with resource endowments have rational development space. Empirical studies were conducted to examine the hybrid method and three indices, per capita GDP, resource endowment index and the proportion of energy-intensive industries, were screened to preliminarily interpret the differences among China's regional carbon emissions. Uncertainty analysis and a discussion of this method are also provided herein.

Environment assessment: allocation of petroleum feedstock, Algonquin SNG Inc. , Freetown SNG Plant, Bristol County, MA. [Effects of 100, 78, 49% allocations

Energy Technology Data Exchange (ETDEWEB)

1980-01-01

The proposed administrative action to deny, grant or modify the Algonquin SNG, Inc. (Algonquin) petition for an adjusted allocation of naphtha feedstock may significantly affect the ehuman environment. The volume of feedstock requested is 4,425,571 barrels per year of naphtha to be used in Algonquin's Freetown, MA synthetic natural gas (SNG) plant. Environmental impacts of 100, 78, and 49% allocations were evaluated.

Managing direct oral anticoagulants in patients undergoing dentoalveolar surgery.

Science.gov (United States)

Patel, J P; Woolcombe, S A; Patel, R K; Obisesan, O; Roberts, L N; Bryant, C; Arya, R

2017-02-24

Our objective was to describe our experience of managing a cohort of adult patients prescribed direct oral anticoagulants (DOACs) undergoing dentoalveolar procedures between November 2012 and May 2016. Prior to conducting a procedure a formal assessment was made of each patient's anticoagulation treatment. A specific plan was then formulated, balancing the risk of bleeding with the risk of thrombosis. Patients received a telephone consultation one week following treatment to assess any post-operative bleeding. Eighty-two patients underwent 111 oral surgical procedures, the majority of which were dental extractions. In the case of 35 (32%) procedures, advice was given to omit the DOAC, either before or after treatment. There was no bleeding following the majority of procedures. Persistent bleeding followed 15 (13.5%) procedures, of which 7 (6.3%) procedures required specific intervention. The majority of patients prescribed DOACs can undergo dentoalveolar procedures safely. Important considerations when planning treatment are: (i) when the patient usually takes their dose of DOAC, (ii) the time the procedure is performed and, (iii) when the DOAC is taken post-procedure. In our experience, if these factors are considered carefully, omission of DOAC doses is unlikely to be required for most patients.

Children's Evaluations of Resource Allocation in the Context of Group Norms

Science.gov (United States)

Cooley, Shelby; Killen, Melanie

2015-01-01

This study investigated children's evaluations of peer group members who deviated from group norms about equal and unequal allocation of resources. Children, ages 3.5 to 4 years and 5 to 6 years (N = 73), were asked to evaluate a peer group member who deviated from 1 of 2 group allocation norms: (a) equal allocation of resources, or (b) unequal…

Vascularized Composite Allografts: Procurement, Allocation, and Implementation.

Science.gov (United States)

Rahmel, Axel

Vascularized composite allotransplantation is a continuously evolving area of modern transplant medicine. Recently, vascularized composite allografts (VCAs) have been formally classified as 'organs'. In this review, key aspects of VCA procurement are discussed, with a special focus on interaction with the procurement of classical solid organs. In addition, options for a matching and allocation system that ensures VCA donor organs are allocated to the best-suited recipients are looked at. Finally, the different steps needed to promote VCA transplantation in society in general and in the medical community in particular are highlighted.

Using contests to allocate pollution rights

International Nuclear Information System (INIS)

MacKenzie, Ian A.; Hanley, Nick; Kornienko, Tatiana

2009-01-01

In this paper we advocate a new initial allocation mechanism for a tradable pollution permit market. We outline a Permit Allocation Contest (PAC) that distributes permits to firms based on their rank relative to other firms. This ranking is achieved by ordering firms based on an observable 'external action' where the external action is an activity or characteristic of the firm that is independent of their choice of emissions in the tradable permit market. We argue that this mechanism has a number of benefits over auctioning and grandfathering. Using this mechanism efficiently distributes permits, allows for the attainment of a secondary policy objective and has the potential to be more politically appealing than existing alternatives.

40 CFR 60.4153 - Recordation of Hg allowance allocations.

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Recordation of Hg allowance allocations... Times for Coal-Fired Electric Steam Generating Units Hg Allowance Tracking System § 60.4153 Recordation of Hg allowance allocations. (a) By December 1, 2006, the Administrator will record in the Hg Budget...

The incidence of local government allocations in Tanzania

OpenAIRE

Jameson Boex

2003-01-01

Since 1999, Tanzania has been actively pursuing reforms of the way in which the central government finances local government activities. This paper looks at the current incidence of central government allocations to local authorities in Tanzania through: 1) examining of potential problems with the current financing method, 2) showing large variations between local government allocations, and 3) finding that surprisingly what drives t his distribution of resources maybe substantial pro-wealthy...

FOREIGN DIRECT INVESTMENTS IN SOUTH-EASTERN EUROPE COUNTRIES ANALYSIS OF INFLUENCE FACTORS

Directory of Open Access Journals (Sweden)

Nenad POPOVIĆ

2010-01-01

Full Text Available That influences the inflow of foreign direct investments (FDIs into South-Eastern Europe (SEE, whereby main emphasis will be put on republics of Former Yugoslavia, but also with some references to Romania’s case.Choice of the countries for comparison is made upon assumption that they were characterized by relatively the same industrial, market and social development before they entered the process of transition, so comparisons from the aspect of achieved results is of scientific importance. Special attention will be directed to the result made by the Republic of Serbia in the process of attracting FDIs. First of all, main terms of foreign direct investments will be defined in this paper and we will give general review of literature related to allocation of foreign direct investments. Then, recent trends of foreign direct investments in south-astern Europe will be described. Finally, the factors that influence allocation of FDIs,as well as relationship between index of global competitiveness of observed countries and accumulated FDIs during period of transition will be analyzed.

Influence of biases in numerical magnitude allocation on human prosocial decision making.

Science.gov (United States)

Arshad, Qadeer; Nigmatullina, Yuliya; Siddiqui, Shuaib; Franka, Mustafa; Mediratta, Saniya; Ramachandaran, Sanjeev; Lobo, Rhannon; Malhotra, Paresh A; Roberts, R E; Bronstein, Adolfo M

2017-12-01

can directly predict the amount of money donated by an individual to an anonymous stranger during the dictator game. Furthermore, subliminally inducing perceptual biases in numerical-magnitude allocation can actively drive prosocial choices in the corresponding direction. Our findings provide evidence for numerical influences on decision making during performance of the dictator game. Accordingly, without the implementation of an adequate control for numerical influences, the dictator game and other tasks with an inherent numerical component (i.e., ultimatum game) should be employed with caution in the assessment of human behavior. Copyright © 2017 the American Physiological Society.

Optimal allocation of trend following strategies

Science.gov (United States)

Grebenkov, Denis S.; Serror, Jeremy

2015-09-01

We consider a portfolio allocation problem for trend following (TF) strategies on multiple correlated assets. Under simplifying assumptions of a Gaussian market and linear TF strategies, we derive analytical formulas for the mean and variance of the portfolio return. We construct then the optimal portfolio that maximizes risk-adjusted return by accounting for inter-asset correlations. The dynamic allocation problem for n assets is shown to be equivalent to the classical static allocation problem for n2 virtual assets that include lead-lag corrections in positions of TF strategies. The respective roles of asset auto-correlations and inter-asset correlations are investigated in depth for the two-asset case and a sector model. In contrast to the principle of diversification suggesting to treat uncorrelated assets, we show that inter-asset correlations allow one to estimate apparent trends more reliably and to adjust the TF positions more efficiently. If properly accounted for, inter-asset correlations are not deteriorative but beneficial for portfolio management that can open new profit opportunities for trend followers. These concepts are illustrated using daily returns of three highly correlated futures markets: the E-mini S&P 500, Euro Stoxx 50 index, and the US 10-year T-note futures.

Transnational Energy Companies' Investment Allocation Decisions

International Nuclear Information System (INIS)

Osmundsen, Petter; Emhjellen, Magne; Halleraker, Morten

2001-10-01

When making international capital budgeting decisions, energy companies are often faced with capital and organisational constraints. The constraints may be real or management imposed. In addition, when entering into a new country or region the companies will incur fixed new area costs that must be considered before investment approval. The decision problem is therefore not a linear problem where the standard net present value rule applies, but a non-linear problem of selecting the combination of projects with the maximum aggregate net present value. New project investments will therefore be selected based on the size of the net present value (often referred to as financial volume or materiality) compared to the projects' use of capital and scarce personnel and organisational capacity. Consequently, projects with a positive net present value, but with low materiality, may not be approved. The portfolio choice has a parallel to the company's choice of core areas. Instead of complex portfolio models, the companies often apply simpler allocation mechanisms, e.g., combinations of fixed investment budgets and materiality requirements. Analysing petroleum cases, we compare the allocations decisions generated by portfolio models and simpler mechanisms. We also discuss the implications of this capital allocation pattern for governments' design of tax systems and license conditions. (author)

An integrated model for part-operation allocation and investments in CNC technology

NARCIS (Netherlands)

Bokhorst, J.A.C.; Slomp, J.; Suresh, N.

2002-01-01

This study addresses the issue of investment appraisal of new technology, specifically computer numerical control (CNC) machine tools in conjunction with optimal allocation of parts and operations on CNC machines as the investments take place. Part-operation allocation is the allocation of parts and

A trust-based sensor allocation algorithm in cooperative space search problems

Science.gov (United States)

Shen, Dan; Chen, Genshe; Pham, Khanh; Blasch, Erik

2011-06-01

Sensor allocation is an important and challenging problem within the field of multi-agent systems. The sensor allocation problem involves deciding how to assign a number of targets or cells to a set of agents according to some allocation protocol. Generally, in order to make efficient allocations, we need to design mechanisms that consider both the task performers' costs for the service and the associated probability of success (POS). In our problem, the costs are the used sensor resource, and the POS is the target tracking performance. Usually, POS may be perceived differently by different agents because they typically have different standards or means of evaluating the performance of their counterparts (other sensors in the search and tracking problem). Given this, we turn to the notion of trust to capture such subjective perceptions. In our approach, we develop a trust model to construct a novel mechanism that motivates sensor agents to limit their greediness or selfishness. Then we model the sensor allocation optimization problem with trust-in-loop negotiation game and solve it using a sub-game perfect equilibrium. Numerical simulations are performed to demonstrate the trust-based sensor allocation algorithm in cooperative space situation awareness (SSA) search problems.

Allocating application to group of consecutive processors in fault-tolerant deadlock-free routing path defined by routers obeying same rules for path selection

Science.gov (United States)

Leung, Vitus J [Albuquerque, NM; Phillips, Cynthia A [Albuquerque, NM; Bender, Michael A [East Northport, NY; Bunde, David P [Urbana, IL

2009-07-21

In a multiple processor computing apparatus, directional routing restrictions and a logical channel construct permit fault tolerant, deadlock-free routing. Processor allocation can be performed by creating a linear ordering of the processors based on routing rules used for routing communications between the processors. The linear ordering can assume a loop configuration, and bin-packing is applied to this loop configuration. The interconnection of the processors can be conceptualized as a generally rectangular 3-dimensional grid, and the MC allocation algorithm is applied with respect to the 3-dimensional grid.

Optimal Control of Micro Grid Operation Mode Seamless Switching Based on Radau Allocation Method

Science.gov (United States)

Chen, Xiaomin; Wang, Gang

2017-05-01

The seamless switching process of micro grid operation mode directly affects the safety and stability of its operation. According to the switching process from island mode to grid-connected mode of micro grid, we establish a dynamic optimization model based on two grid-connected inverters. We use Radau allocation method to discretize the model, and use Newton iteration method to obtain the optimal solution. Finally, we implement the optimization mode in MATLAB and get the optimal control trajectory of the inverters.

401(k) plan asset allocation, account balances, and loan activity in 1998.

Science.gov (United States)

VanDerhei, J; Holden, S; Quick, C

2000-02-01

The Employee Benefit Research Institute (EBRI) and the Investment Company Institute (ICI) have been collaborating for the past three years to collect data on participants in 401(k) plans. This effort, known as the EBRI/ICI Participant-Directed Retirement Plan Data Collection Project, has obtained data for 401(k) plan participants from certain of EBRI and ICI members serving as plan record keepers and administrators. The report includes 1998 information on 7.9 million active participants in 30,102 plans holding nearly $372 billion in assets. The data include demographic information, annual contributions, plan balances, asset allocation, and loans, and are broadly representative of the universe of 401(k) plans. The database also includes three years of longitudinal information on approximately 3.3 million participants. Key findings include: For all 401(k) participants in the 1998 EBRI/ICI database, almost three-quarters of plan balances are invested directly or indirectly in equity securities. Specifically, 49.8 percent of total plan balances are invested in equity funds, 17.7 percent in company stock, 11.4 percent in guaranteed investment contracts (GICs), 8.4 percent in balanced funds, 6.1 percent in bond funds, 4.7 percent in money funds, and 0.3 percent in other stable value funds. Participant asset allocation varies considerably with age. Younger participants tend to favor equity funds, while older participants are more disposed to invest in GICs and bond funds. On average, participants in their 20s have 62.1 percent of their account balances invested in equity funds, in contrast to 39.8 percent for those in their 60s. Participants in their 20s invest 4.7 percent of their assets in GICs, while those in their 60s invest 20.6 percent. Bond funds, which represent 4.7 percent of the assets of participants in their 20s, amount to 9.0 percent of the assets of participants in their 60s. Investment options offered by 401(k) plans appear to influence asset allocation

Fast Allocation and Deallocation with an Improved Buddy System

DEFF Research Database (Denmark)

Brodal, Gerth Stølting; Demaine, Erik D.; Munro, J. Ian

2005-01-01

We propose several modifications to the binary buddy system for managing dynamic allocation of memory blocks whose sizes are powers of two. The standard buddy system allocates and deallocates blocks in Theta(lg n) time in the worst case (and on an amortized basis), where n is the size of the memo...

Planning and Resource Allocation Management.

Science.gov (United States)

Coleman, Jack W.

1986-01-01

Modern scientific management techniques provide college administrators with valuable planning and resource allocation insights and enhances the decision process. The planning model should incorporate assessment, strategic planning, dynamic and long-term budgeting, operational planning, and feedback and control for actual operations. (MSE)

Cost of schizophrenia: direct costs and use of resources in the State of São Paulo

Directory of Open Access Journals (Sweden)

Leitão Raquel Jales

2006-01-01

Full Text Available OBJECTIVE: To estimate the direct costs of schizophrenia for the public sector. METHODS: A study was carried out in the state of São Paulo, Brazil, during 1998. Data from the medical literature and governmental research bodies were gathered for estimating the total number of schizophrenia patients covered by the Brazilian Unified Health System. A decision tree was built based on an estimated distribution of patients under different types of psychiatric care. Medical charts from public hospitals and outpatient services were used to estimate the resources used over a one-year period. Direct costs were calculated by attributing monetary values for each resource used. RESULTS: Of all patients, 81.5% were covered by the public sector and distributed as follows: 6.0% in psychiatric hospital admissions, 23.0% in outpatient care, and 71.0% without regular treatment. The total direct cost of schizophrenia was US$191,781,327 (2.2% of the total health care expenditure in the state. Of this total, 11.0% was spent on outpatient care and 79.2% went for inpatient care. CONCLUSIONS: Most schizophrenia patients in the state of São Paulo receive no regular treatment. The study findings point out to the importance of investing in research aimed at improving the resource allocation for the treatment of mental disorders in Brazil.

Optimization Case Study: ISR Allocation in the Global Force Management Process

Science.gov (United States)

2016-09-01

assets available to meet the GCC requirements. The Joint Staff, in concert with USSTRATCOM, use many factors to prioritize allocation of assets to...include determining which GCC gets the assets and for how long. The decision influencers recommend a resource allocation solution based on experience...The allocation process illustrated in Figure 1 is the OV-1 diagram from the Joint Staff Global Force Management Enterprise Integration

Direction of the J-Tip of the Guidewire to Decrease the Malposition Rate of an Internal Jugular Vein Catheter

Directory of Open Access Journals (Sweden)

Byeong jun Ahn

2015-11-01

Full Text Available Background We hypothesized that the direction of the J-tip of the guidewire during insertion into the internal jugular vein (IJV might determine its ultimate location. Methods In this study, 300 patients between the ages of 18 and 99 years who required central venous catheterization via IJV in the emergency department enrolled for randomization. IVJ catheterization was successful in 285 of 300 patients. An independent operator randomly prefixed the direction of the J-tip of the guidewire to one of three directions. Based on the direction of the J-tip, patients were allocated into three groups: the J-tip medial-directed group (Group A, the lateral-directed group (Group B, or the downward-directed group (Group C. Postoperative chest radiography was performed on all patients in order to visualize the location of the catheter tip. A catheter is considered malpositioned if it is not located in the superior vena cava or right atrium. Results Of the total malpositioned catheter tips (8 of 285; 2.8%, the majority (5 of 8; 62.5% entered the contralateral subclavian vein, 2 (25.0% were complicated by looping, and 1 (12.5% entered the ipsilateral subclavian vein. According to the direction of the J-tip of the guidewire, the incidence of malpositioning of the catheter tip was 4 of 92 in Group A (4.3%, 4 of 96 in Group B (4.2%, and there were no malpositions in Group C. There were no significant differences among the three groups (p = 0.114. Conclusions The direction of the J-tip of the guidewire had no statistically significant effect on incidence of malpositioned tips.

Male rock sparrows differentially allocate nest defence but not food provisioning to offspring

DEFF Research Database (Denmark)

Matessi, Giuliano; Carmagnani, Cristina; Griggio, Matteo

2009-01-01

for a number of species, while male differential allocation based on female secondary sexual traits has received less attention. Yet females of many species, among birds in particular, are ornamented. We performed a test of male differential allocation based on a female ornament in the rock sparrow (Petronia...... allocation and are in agreement with previous tests of male differential allocation in rock sparrows....

Allocation of Nutrients to Somatic Tissues in Young Ovariectomized Grasshoppers

Science.gov (United States)

Judd, Evan T.; Hatle, John D.; Drewry, Michelle D.; Wessels, Frank J.; Hahn, Daniel A.

2010-01-01

The disposable soma hypothesis predicts that when reproduction is reduced, life span is increased because more nutrients are invested in the soma, increasing somatic repair. Rigorously testing the hypothesis requires tracking nutrients from ingestion to allocation to the soma or to reproduction. Fruit flies on life-extending dietary restriction increase allocation to the soma “relative” to reproduction, suggesting that allocation of nutrients can be associated with extension of life span. Here, we use stable isotopes to track ingested nutrients in ovariectomized grasshoppers during the first oviposition cycle. Previous work has shown that ovariectomy extends life span, but investment of protein in reproduction is not reduced until after the first clutch of eggs is laid. Because ovariectomy does not affect investment in reproduction at this age, the disposable soma hypothesis would predict that ovariectomy should also not affect investment in somatic tissues. We developed grasshopper diets with distinct signatures of 13C and 15N, but that produced equivalent reproductive outputs. These diets are, therefore, appropriate for the reciprocal switches in diet needed for tracking ingested nutrients. Incorporation of stable isotopes into eggs showed that grasshoppers are income breeders, especially for carbon. Allocation to the fat body of nitrogen ingested as adults was slightly increased by ovariectomy; this was our only result that was not consistent with the disposable soma hypothesis. In contrast, ovariectomy did not affect allocation of nitrogen to femoral muscles. Further, allocation of carbon to the fat body or femoral muscles did not appear to be affected by ovariectomy. Total anti-oxidant activities in the hemolymph and femoral muscles were not affected by ovariectomy. These experiments showed that allocation of nutrients was altered little by ovariectomy in young grasshoppers. Additional studies on older individuals are needed to further test the disposable

A Channel Allocation Mechanism for Cellular Networks

Directory of Open Access Journals (Sweden)

Chi-Hua Chen

2017-04-01

Full Text Available In cellular networks, call blocking causes lower customer satisfaction and economic loss. Therefore, the channel allocation for call block avoidance is an important issue. This study proposes a mechanism that considers the real-time traffic information (e.g., traffic flow and vehicle speed and the user behavior (e.g., call inter-arrival time and call holding time to analyze the adaptable number of communication calls in the specific cell for channel allocation. In experiments about call block probabilities (CBP, this study simulated two cases that are the situations of the whole day and traffic accident. The simulation results show that all CBPs in the scenario of whole day are less than 21.5% by using the proposed mechanism, which is better than using the static channel allocation (SCA mechanism. Moreover, all CBPs in the scenario of traffic accidents are less than 16.5% by using the proposed mechanism, which is better than using the SCA mechanism. Therefore, the proposed mechanism can decrease the number of CBPs effectively.

Direct Acting Antivirals in Patients with Chronic Hepatitis C and Down Syndrome

Directory of Open Access Journals (Sweden)

Eric R. Yoo

2016-01-01

Full Text Available Patients with Down syndrome who received blood transfusions, likely in conjunction with cardiothoracic surgery for congenital heart disease and prior to the implementation of blood-donor screening for hepatitis C virus infection, face a substantial risk of acquiring the infection. In the past, interferon-based therapy for chronic hepatitis C infection in patients with Down syndrome was noted to have lower efficacy and potentially higher risk of adverse effects. Recently, the treatment for chronic hepatitis C has been revolutionized with the introduction of interferon-free direct acting antivirals with favorable safety, tolerability, and efficacy profile. Based on our experiences, the newly approved sofosbuvir-based direct acting antiviral therapy is well tolerated and highly efficacious in this subpopulation of hepatitis C virus infected patients with Down syndrome.

Price and welfare effects of emission quota allocation

OpenAIRE

Golombek, Rolf; Kittelsen, Sverre A.C.; Rosendahl, Knut Einar

2011-01-01

Abstracts with downloadable Discussion Papers in PDF are available on the Internet: http://www.ssb.no Abstract: We analyze how different ways of allocating emission quotas may influence the electricity market. Using a large-scale numerical model of the Western European energy market, we show that different allocation mechanisms can have very different effects on the electricity market, even if the total emission target is fixed. This is particularly the case if output-based alloca...

Short-run and long-run dynamics of farm land allocation

DEFF Research Database (Denmark)

Arnberg, Søren; Hansen, Lars Gårn

2012-01-01

This study develops and estimates a dynamic multi-output model of farmers’ land allocation decisions that allows for the gradual adjustment of allocations that can result from crop rotation practices and quasi-fixed capital constraints. Estimation is based on micro-panel data from Danish farmers...... that include acreage, output, and variable input utilization at the crop level. Results indicate that there are substantial differences between the short-run and long-run land allocation behaviour of Danish farmers and that there are substantial differences in the time lags associated with different crops...

Study on the methodology for allocating costs of grid losses

International Nuclear Information System (INIS)

Aalberts, A.; Dekker, G.; Jaarsma, S.; Tieben, B.; Vlug, N.

2011-01-01

The research question in this report: 'Where are grid losses caused and in which (objective) manner can the costs of these grid losses be allocated to the buyers. The key questions answered in the research are: (1) In which locations of the electricity grid are losses caused and what is the volume of these losses?; (2) How are the costs of grid losses allocated to the various groups of end users?; and (3) What are alternative way(s) to allocate the costs of grid losses to the buyers?. [nl

Transcranial direct-current stimulation induced in stroke patients with aphasia: a prospective experimental cohort study

OpenAIRE

Santos,Michele Devido; Gagliardi,Rubens José; Mac-Kay,Ana Paula Machado Goyano; Boggio,Paulo Sergio; Lianza,Roberta; Fregni,Felipe

2013-01-01

CONTEXT AND OBJECTIVE: Previous animal and human studies have shown that transcranial direct current stimulation can induce significant and lasting neuroplasticity and may improve language recovery in patients with aphasia. The objective of the study was to describe a cohort of patients with aphasia after stroke who were treated with transcranial direct current stimulation. DESIGN AND SETTING: Prospective cohort study developed in a public university hospital. METHODS: Nineteen patients with ...

Factors influencing resource allocation decisions and equity in the health system of Ghana.

Science.gov (United States)

Asante, A D; Zwi, A B

2009-05-01

Allocation of financial resources in the health sector is often seen as a formula-driven activity. However, the decision to allocate a certain amount of resources to a particular health jurisdiction or facility may be based on a broader range of factors, sometimes not reflected in the existing resource allocation formula. This study explores the 'other' factors that influence the equity of resource allocation in the health system of Ghana. The extent to which these factors are, or can be, accounted for in the resource allocation process is analysed. An exploratory design focusing on different levels of the health system and diverse stakeholders. Data were gathered through semi-structured qualitative interviews with health authorities at national, regional and district levels, and with donor representatives and local government officials in 2003 and 2004. The availability of human resources for health, local capacity to utilize funds, donor involvement in the health sector, and commitment to promote equity have considerable influence on resource allocation decisions and affect the equity of funding allocations. However, these factors are not accounted for adequately in the resource allocation process. This study highlights the need for a more transparent resource allocation system in Ghana based on needs, and takes into account key issues such as capacity constraints, the inequitable human resource distribution and donor-earmarked funding.

Wide brick tunnel randomization - an unequal allocation procedure that limits the imbalance in treatment totals.

Science.gov (United States)

Kuznetsova, Olga M; Tymofyeyev, Yevgen

2014-04-30

In open-label studies, partial predictability of permuted block randomization provides potential for selection bias. To lessen the selection bias in two-arm studies with equal allocation, a number of allocation procedures that limit the imbalance in treatment totals at a pre-specified level but do not require the exact balance at the ends of the blocks were developed. In studies with unequal allocation, however, the task of designing a randomization procedure that sets a pre-specified limit on imbalance in group totals is not resolved. Existing allocation procedures either do not preserve the allocation ratio at every allocation or do not include all allocation sequences that comply with the pre-specified imbalance threshold. Kuznetsova and Tymofyeyev described the brick tunnel randomization for studies with unequal allocation that preserves the allocation ratio at every step and, in the two-arm case, includes all sequences that satisfy the smallest possible imbalance threshold. This article introduces wide brick tunnel randomization for studies with unequal allocation that allows all allocation sequences with imbalance not exceeding any pre-specified threshold while preserving the allocation ratio at every step. In open-label studies, allowing a larger imbalance in treatment totals lowers selection bias because of the predictability of treatment assignments. The applications of the technique in two-arm and multi-arm open-label studies with unequal allocation are described. Copyright © 2013 John Wiley & Sons, Ltd.

Supportive and palliative care for metastatic breast cancer: resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.

Science.gov (United States)

Cleary, James; Ddungu, Henry; Distelhorst, Sandra R; Ripamonti, Carla; Rodin, Gary M; Bushnaq, Mohammad A; Clegg-Lamptey, Joe N; Connor, Stephen R; Diwani, Msemo B; Eniu, Alexandru; Harford, Joe B; Kumar, Suresh; Rajagopal, M R; Thompson, Beti; Gralow, Julie R; Anderson, Benjamin O

2013-10-01

Many women diagnosed with breast cancer in low- and middle-income countries (LMICs) present with advanced-stage disease. While cure is not a realistic outcome, site-specific interventions, supportive care, and palliative care can achieve meaningful outcomes and improve quality of life. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert international panel identified thirteen key resource recommendations for supportive and palliative care for metastatic breast cancer. The recommendations are presented in three resource-stratified tables: health system resource allocations, resource allocations for organ-based metastatic breast cancer, and resource allocations for palliative care. These tables illustrate how health systems can provide supportive and palliative care services for patients at a basic level of available resources, and incrementally add services as more resources become available. The health systems table includes health professional education, patient and family education, palliative care models, and diagnostic testing. The metastatic disease management table provides recommendations for supportive care for bone, brain, liver, lung, and skin metastases as well as bowel obstruction. The third table includes the palliative care recommendations: pain management, and psychosocial and spiritual aspects of care. The panel considered pain management a priority at a basic level of resource allocation and emphasized the need for morphine to be easily available in LMICs. Regular pain assessments and the proper use of pharmacologic and non-pharmacologic interventions are recommended. Basic-level resources for psychosocial and spiritual aspects of care include health professional and patient and family education, as well as patient support, including community-based peer support. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

[Clinical research progress of direct surgical repair of lumbar spondylolysis in young patients].

Science.gov (United States)

Liu, Haichao; Qian, Jixian

2013-01-01

To review and summarize the surgical techniques and their outcomes for the treatment of lumbar spondylolysis in young patients by direct surgical repair. Both home and abroad literature on the surgical techniques and their outcomes respectively for the treatment of lumbar spondylolysis in young patients by direct surgical repair was reviewed extensively and summarized. Direct surgical repair of lumbar spondylolysis can offer a simple reduction and fixation for the injured vertebra, which is also in accord with normal anatomy and physiology. In this way, normal anatomy of vertebra can be sustained. As reported surgical techniques of direct repair, such as single lag screw, hook screw, cerclage wire, pedicle screw cable, pedicle screw rod, and pedicle screw hook system, they all can provide acceptable results for lumbar spondylolysis in young patients. Furthermore, to comply strictly with the inclusion criteria of surgical management and select the appropriate internal fixation can also contribute to a good effectiveness. Within the various methods of internal fixation, pedicle screw hook system has been widely recognized. Pedicle screw hook system fixation is simple and safe clinically. With the gradual improvement of this method and the development of minimally invasive technologies, it will have broad application prospects.

Costs of task allocation with local feedback: Effects of colony size and extra workers in social insects and other multi-agent systems.

Science.gov (United States)

Radeva, Tsvetomira; Dornhaus, Anna; Lynch, Nancy; Nagpal, Radhika; Su, Hsin-Hao

2017-12-01

Adaptive collective systems are common in biology and beyond. Typically, such systems require a task allocation algorithm: a mechanism or rule-set by which individuals select particular roles. Here we study the performance of such task allocation mechanisms measured in terms of the time for individuals to allocate to tasks. We ask: (1) Is task allocation fundamentally difficult, and thus costly? (2) Does the performance of task allocation mechanisms depend on the number of individuals? And (3) what other parameters may affect their efficiency? We use techniques from distributed computing theory to develop a model of a social insect colony, where workers have to be allocated to a set of tasks; however, our model is generalizable to other systems. We show, first, that the ability of workers to quickly assess demand for work in tasks they are not currently engaged in crucially affects whether task allocation is quickly achieved or not. This indicates that in social insect tasks such as thermoregulation, where temperature may provide a global and near instantaneous stimulus to measure the need for cooling, for example, it should be easy to match the number of workers to the need for work. In other tasks, such as nest repair, it may be impossible for workers not directly at the work site to know that this task needs more workers. We argue that this affects whether task allocation mechanisms are under strong selection. Second, we show that colony size does not affect task allocation performance under our assumptions. This implies that when effects of colony size are found, they are not inherent in the process of task allocation itself, but due to processes not modeled here, such as higher variation in task demand for smaller colonies, benefits of specialized workers, or constant overhead costs. Third, we show that the ratio of the number of available workers to the workload crucially affects performance. Thus, workers in excess of those needed to complete all tasks

Costs of task allocation with local feedback: Effects of colony size and extra workers in social insects and other multi-agent systems.

Directory of Open Access Journals (Sweden)

Tsvetomira Radeva

2017-12-01

Full Text Available Adaptive collective systems are common in biology and beyond. Typically, such systems require a task allocation algorithm: a mechanism or rule-set by which individuals select particular roles. Here we study the performance of such task allocation mechanisms measured in terms of the time for individuals to allocate to tasks. We ask: (1 Is task allocation fundamentally difficult, and thus costly? (2 Does the performance of task allocation mechanisms depend on the number of individuals? And (3 what other parameters may affect their efficiency? We use techniques from distributed computing theory to develop a model of a social insect colony, where workers have to be allocated to a set of tasks; however, our model is generalizable to other systems. We show, first, that the ability of workers to quickly assess demand for work in tasks they are not currently engaged in crucially affects whether task allocation is quickly achieved or not. This indicates that in social insect tasks such as thermoregulation, where temperature may provide a global and near instantaneous stimulus to measure the need for cooling, for example, it should be easy to match the number of workers to the need for work. In other tasks, such as nest repair, it may be impossible for workers not directly at the work site to know that this task needs more workers. We argue that this affects whether task allocation mechanisms are under strong selection. Second, we show that colony size does not affect task allocation performance under our assumptions. This implies that when effects of colony size are found, they are not inherent in the process of task allocation itself, but due to processes not modeled here, such as higher variation in task demand for smaller colonies, benefits of specialized workers, or constant overhead costs. Third, we show that the ratio of the number of available workers to the workload crucially affects performance. Thus, workers in excess of those needed to

A generalized fuzzy credibility-constrained linear fractional programming approach for optimal irrigation water allocation under uncertainty

Science.gov (United States)

Zhang, Chenglong; Guo, Ping

2017-10-01

The vague and fuzzy parametric information is a challenging issue in irrigation water management problems. In response to this problem, a generalized fuzzy credibility-constrained linear fractional programming (GFCCFP) model is developed for optimal irrigation water allocation under uncertainty. The model can be derived from integrating generalized fuzzy credibility-constrained programming (GFCCP) into a linear fractional programming (LFP) optimization framework. Therefore, it can solve ratio optimization problems associated with fuzzy parameters, and examine the variation of results under different credibility levels and weight coefficients of possibility and necessary. It has advantages in: (1) balancing the economic and resources objectives directly; (2) analyzing system efficiency; (3) generating more flexible decision solutions by giving different credibility levels and weight coefficients of possibility and (4) supporting in-depth analysis of the interrelationships among system efficiency, credibility level and weight coefficient. The model is applied to a case study of irrigation water allocation in the middle reaches of Heihe River Basin, northwest China. Therefore, optimal irrigation water allocation solutions from the GFCCFP model can be obtained. Moreover, factorial analysis on the two parameters (i.e. λ and γ) indicates that the weight coefficient is a main factor compared with credibility level for system efficiency. These results can be effective for support reasonable irrigation water resources management and agricultural production.

Output-based allocation as a form of protection for internationally competitive industries

International Nuclear Information System (INIS)

Haites, Erik

2003-12-01

Policies adopted by Annex B Parties to reduce their greenhouse gas (GHG) emissions are likely to increase costs for industries vulnerable to international competition in domestic or export markets. Domestic emissions trading, by enabling the aggregate emissions target to be met at least cost, helps to reduce the adverse impacts on these industries. An output-based allocation of allowances reduces the output decline due to imposition of the emissions trading program relative to a lump-sum (historic) allocation and so helps reduce the adverse impacts on these industries. The effectiveness of an output-based allocation in maintaining production must be assessed empirically because it depends on the characteristics of all of the firms covered by the trading program as well as other factors. Modeling results for a possible emissions trading program for Alberta confirm the expected impacts of an output-based allocation and indicate that the effectiveness varies across industries. While encouraging greater production, an output-based allocation lowers profits relative to a lump-sum allocation and leads to a different distribution of costs. Other policy options for reducing the output decline in industries vulnerable to international competition include lump-sum allocations or auctioned allowances combined with assistance programs for emission reduction actions or a requirement to meet 'world best' emission performance standard. These policy options should be compared with an output-based allocation in terms of effectiveness, total cost and other impacts, before a policy is adopted

The net effect of alternative allocation ratios on recruitment time and trial cost.

Science.gov (United States)

Vozdolska, Ralitza; Sano, Mary; Aisen, Paul; Edland, Steven D

2009-04-01

Increasing the proportion of subjects allocated to the experimental treatment in controlled clinical trials is often advocated as a method of increasing recruitment rates and improving the performance of trials. The presumption is that the higher likelihood of randomization to the experimental treatment will be perceived by potential study enrollees as an added benefit of participation and will increase recruitment rates and speed the completion of trials. However, studies with alternative allocation ratios require a larger sample size to maintain statistical power, which may result in a net increase in time required to complete recruitment and a net increase in total trial cost. To describe the potential net effect of alternative allocation ratios on recruitment time and trial cost. Models of recruitment time and trial cost were developed and used to compare trials with 1:1 allocation to trials with alternative allocation ratios under a range of per subject costs, per day costs, and enrollment rates. In regard to time required to complete recruitment, alternative allocation ratios are net beneficial if the recruitment rate improves by more than about 4% for trials with a 1.5:1 allocation ratio and 12% for trials with a 2:1 allocation ratio. More substantial improvements in recruitment rate, 13 and 47% respectively for scenarios we considered, are required for alternative allocation to be net beneficial in terms of tangible monetary cost. The cost models were developed expressly for trials comparing proportions or means across treatment groups. Using alternative allocation ratio designs to improve recruitment may or may not be time and cost-effective. Using alternative allocation for this purpose should only be considered for trial contexts where there is both clear evidence that the alternative design does improve recruitment rates and the attained time or cost efficiency justifies the added study subject burden implied by a larger sample size.

Age, lighting treatment, feed allocation and feed form influence ...

African Journals Online (AJOL)

During a broiler breeder trial with 3200 Cobb 500 hens, the effects of lighting treatment after 20 weeks' feed allocation and of feed form on the length of time taken to consume the daily allocation of feed were measured. Pullets were reared on 8-hour photoperiods to 20 weeks, then transferred to one of four lighting ...