scholarly journals Patient Mix Optimization in Admission Planning under Multitype Patients and Priority Constraints

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Jialing Li ◽  
Li Luo ◽  
Guiju Zhu

Hospital beds are one of the most critical medical resources. Large hospitals in China have caused bed utilization rates to exceed 100% due to long-term extra beds. To alleviate the contradiction between the supply of high-quality medical resources and the demand for hospitalization, in this paper, we address the decision of choosing a case mix for a respiratory medicine department. We aim to generate an optimal admission plan of elective patients with the stochastic length of stay and different resource consumption. We assume that we can classify elective patients according to their registration information before admission. We formulated a general integer programming model considering heterogeneous patients and introducing patient priority constraints. The mathematical model is used to generate a scientific and reasonable admission planning, determining the best admission mix for multitype patients in a period. Compared with model II that does not consider priority constraints, model I proposed in this paper is better in terms of admissions and revenue. The proposed model I can adjust the priority parameters to meet the optimal output under different goals and scenarios. The daily admission planning for each type of patient obtained by model I can be used to assist the patient admission management in large general hospitals.

Author(s):  
Olga Mikhaylovna Tikhonova ◽  
Alexander Fedorovich Rezchikov ◽  
Vladimir Andreevich Ivashchenko ◽  
Vadim Alekseevich Kushnikov

The paper presents the system of predicting the indicators of accreditation of technical universities based on J. Forrester mechanism of system dynamics. According to analysis of cause-and-effect relationships between selected variables of the system (indicators of accreditation of the university) there was built the oriented graph. The complex of mathematical models developed to control the quality of training engineers in Russian higher educational institutions is based on this graph. The article presents an algorithm for constructing a model using one of the simulated variables as an example. The model is a system of non-linear differential equations, the modelling characteristics of the educational process being determined according to the solution of this system. The proposed algorithm for calculating these indicators is based on the system dynamics model and the regression model. The mathematical model is constructed on the basis of the model of system dynamics, which is further tested for compliance with real data using the regression model. The regression model is built on the available statistical data accumulated during the period of the university's work. The proposed approach is aimed at solving complex problems of managing the educational process in universities. The structure of the proposed model repeats the structure of cause-effect relationships in the system, and also provides the person responsible for managing quality control with the ability to quickly and adequately assess the performance of the system.


Author(s):  
Hassan Jalili ◽  
Pierluigi Siano

Abstract Demand response programs are useful options in reducing electricity price, congestion relief, load shifting, peak clipping, valley filling and resource adequacy from the system operator’s viewpoint. For this purpose, many models of these programs have been developed. However, the availability of these resources has not been properly modeled in demand response models making them not practical for long-term studies such as in the resource adequacy problem where considering the providers’ responding uncertainties is necessary for long-term studies. In this paper, a model considering providers’ unavailability for unforced demand response programs has been developed. Temperature changes, equipment failures, simultaneous implementation of demand side management resources, popular TV programs and family visits are the main reasons that may affect the availability of the demand response providers to fulfill their commitments. The effectiveness of the proposed model has been demonstrated by numerical simulation.


Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3615
Author(s):  
Adelaide Cerveira ◽  
Eduardo J. Solteiro Pires ◽  
José Baptista

Green energy has become a media issue due to climate changes, and consequently, the population has become more aware of pollution. Wind farms are an essential energy production alternative to fossil energy. The incentive to produce wind energy was a government policy some decades ago to decrease carbon emissions. In recent decades, wind farms were formed by a substation and a couple of turbines. Nowadays, wind farms are designed with hundreds of turbines requiring more than one substation. This paper formulates an integer linear programming model to design wind farms’ cable layout with several turbines. The proposed model obtains the optimal solution considering different cable types, infrastructure costs, and energy losses. An additional constraint was considered to limit the number of cables that cross a walkway, i.e., the number of connections between a set of wind turbines and the remaining wind farm. Furthermore, considering a discrete set of possible turbine locations, the model allows identifying those that should be present in the optimal solution, thereby addressing the optimal location of the substation(s) in the wind farm. The paper illustrates solutions and the associated costs of two wind farms, with up to 102 turbines and three substations in the optimal solution, selected among sixteen possible places. The optimal solutions are obtained in a short time.


2021 ◽  
Vol 9 (2) ◽  
pp. 118
Author(s):  
Xinqing Zhuang ◽  
Keliang Yan ◽  
Pan Gao ◽  
Yihua Liu

Anchor dragging is a major threat to the structural integrity of submarine pipelines. A mathematical model in which the mechanical model of chain and the bearing model of anchor were coupled together. Based on the associated flow rule, an incremental procedure was proposed to solve the spatial state of anchor until it reaches the ultimate embedding depth. With an indirect measurement method for the anchor trajectory, a model test system was established. The mathematical model was validated against some model tests, and the effects of two parameters were studied. It was found that both the ultimate embedding depth of a dragging anchor and the distance it takes to reach the ultimate depth increase with the shank-fluke pivot angle, but decrease as the undrained shear strength of clay increases. The proposed model is supposed to be useful for the embedding depth calculation and guiding the design of the pipeline burial depth.


Electronics ◽  
2021 ◽  
Vol 10 (15) ◽  
pp. 1843
Author(s):  
Jelena Vlaović ◽  
Snježana Rimac-Drlje ◽  
Drago Žagar

A standard called MPEG Dynamic Adaptive Streaming over HTTP (MPEG DASH) ensures the interoperability between different streaming services and the highest possible video quality in changing network conditions. The solutions described in the available literature that focus on video segmentation are mostly proprietary, use a high amount of computational power, lack the methodology, model notation, information needed for reproduction, or do not consider the spatial and temporal activity of video sequences. This paper presents a new model for selecting optimal parameters and number of representations for video encoding and segmentation, based on a measure of the spatial and temporal activity of the video content. The model was developed for the H.264 encoder, using Structural Similarity Index Measure (SSIM) objective metrics as well as Spatial Information (SI) and Temporal Information (TI) as measures of video spatial and temporal activity. The methodology that we used to develop the mathematical model is also presented in detail so that it can be applied to adapt the mathematical model to another type of an encoder or a set of encoding parameters. The efficiency of the segmentation made by the proposed model was tested using the Basic Adaptation algorithm (BAA) and Segment Aware Rate Adaptation (SARA) algorithm as well as two different network scenarios. In comparison to the segmentation available in the relevant literature, the segmentation based on the proposed model obtains better SSIM values in 92% of cases and subjective testing showed that it achieves better results in 83.3% of cases.


2021 ◽  
Vol 3 (4) ◽  
Author(s):  
Jianlei Zhang ◽  
Yukun Zeng ◽  
Binil Starly

AbstractData-driven approaches for machine tool wear diagnosis and prognosis are gaining attention in the past few years. The goal of our study is to advance the adaptability, flexibility, prediction performance, and prediction horizon for online monitoring and prediction. This paper proposes the use of a recent deep learning method, based on Gated Recurrent Neural Network architecture, including Long Short Term Memory (LSTM), which try to captures long-term dependencies than regular Recurrent Neural Network method for modeling sequential data, and also the mechanism to realize the online diagnosis and prognosis and remaining useful life (RUL) prediction with indirect measurement collected during the manufacturing process. Existing models are usually tool-specific and can hardly be generalized to other scenarios such as for different tools or operating environments. Different from current methods, the proposed model requires no prior knowledge about the system and thus can be generalized to different scenarios and machine tools. With inherent memory units, the proposed model can also capture long-term dependencies while learning from sequential data such as those collected by condition monitoring sensors, which means it can be accommodated to machine tools with varying life and increase the prediction performance. To prove the validity of the proposed approach, we conducted multiple experiments on a milling machine cutting tool and applied the model for online diagnosis and RUL prediction. Without loss of generality, we incorporate a system transition function and system observation function into the neural net and trained it with signal data from a minimally intrusive vibration sensor. The experiment results showed that our LSTM-based model achieved the best overall accuracy among other methods, with a minimal Mean Square Error (MSE) for tool wear prediction and RUL prediction respectively.


2021 ◽  
Vol 13 (3) ◽  
pp. 1190
Author(s):  
Gang Ren ◽  
Xiaohan Wang ◽  
Jiaxin Cai ◽  
Shujuan Guo

The integrated allocation and scheduling of handling resources are crucial problems in the railway container terminal (RCT). We investigate the integrated optimization problem for handling resources of the crane area, dual-gantry crane (GC), and internal trucks (ITs). A creative handling scheme is proposed to reduce the long-distance, full-loaded movement of GCs by making use of the advantages of ITs. Based on this scheme, we propose a flexible crossing crane area to balance the workload of dual-GC. Decomposing the integrated problem into four sub-problems, a multi-objective mixed-integer programming model (MIP) is developed. By analyzing the characteristic of the integrated problem, a three-layer hybrid heuristic algorithm (TLHHA) incorporating heuristic rule (HR), elite co-evolution genetic algorithm (ECEGA), greedy rule (GR), and simulated annealing (SA) is designed for solving the problem. Numerical experiments were conducted to verify the effectiveness of the proposed model and algorithm. The results show that the proposed algorithm has excellent searching ability, and the simultaneous optimization scheme could ensure the requirements for efficiency, effectiveness, and energy-saving, as well as the balance rate of dual-GC.


2006 ◽  
Vol 45 (03) ◽  
pp. 240-245 ◽  
Author(s):  
A. Shabo

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.


2016 ◽  
Vol 10 (10) ◽  
pp. 133
Author(s):  
Mohammad Ali Nasiri Khalili ◽  
Mostafa Kafaei Razavi ◽  
Morteza Kafaee Razavi

Items supplies planning of a logistic system is one of the major issue in operations research. In this article the aim is to determine how much of each item per month from each supplier logistics system requirements must be provided. To do this, a novel multi objective mixed integer programming mathematical model is offered for the first time. Since in logistics system, delivery on time is very important, the first objective is minimization of time in delivery on time costs (including lack and maintenance costs) and the cost of purchasing logistics system. The second objective function is minimization of the transportation supplier costs. Solving the mathematical model shows how to use the Multiple Objective Decision Making (MODM) can provide the ensuring policy and transportation logistics needed items. This model is solved with CPLEX and computational results show the effectiveness of the proposed model.


2021 ◽  
pp. 0734242X2110039
Author(s):  
Elham Shadkam

Today, reverse logistics (RL) is one of the main activities of supply chain management that covers all physical activities associated with return products (such as collection, recovery, recycling and destruction). In this regard, the designing and proper implementation of RL, in addition to increasing the level of customer satisfaction, reduces inventory and transportation costs. In this paper, in order to minimize the costs associated with fixed costs, material flow costs, and the costs of building potential centres, a complex integer linear programming model for an integrated direct logistics and RL network design is presented. Due to the outbreak of the ongoing global coronavirus pandemic (COVID-19) at the beginning of 2020 and the consequent increase in medical waste, the need for an inverse logistics system to manage waste is strongly felt. Also, due to the worldwide vaccination in the near future, this waste will increase even more and careful management must be done in this regard. For this purpose, the proposed RL model in the field of COVID-19 waste management and especially vaccine waste has been designed. The network consists of three parts – factory, consumers’ and recycling centres – each of which has different sub-parts. Finally, the proposed model is solved using the cuckoo optimization algorithm, which is one of the newest and most powerful meta-heuristic algorithms, and the computational results are presented along with its sensitivity analysis.


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