Mixing methodologies to enhance the implementation of healthcare operational research

Healthcare Operational Research (OR) has had limited success in achieving a sufficient level of stakeholder acceptance to lead to implementation of results. This research study is aimed at combining OR methodologies to achieve greater acceptance of results for organizational change. Patient flow delays in the Paediatric intensive care unit (PICU) at Children's Hospital of Wisconsin were identified using case studies. Patient flow was modelled using hard OR (simulation) using case study findings, with active stakeholder participation, and enhanced with outcomes research. Outcomes research allowed achieving greater clinical relevance of OR findings. Results from hard OR, particularly for politically sensitive issues, were persuasive but inadequate to result in change. Soft OR (cognitive mapping) was used to identify new issues and enhance results. Consequently, the planned PICU expansion was deferred, and resources focused on improving staffing strategies identified independently from both hard and soft OR. These findings suggest that: (1) Outcomes research can play a unique role to enhance results in healthcare OR. (2) After obtaining a holistic understanding of the system using hard and soft OR, stakeholders are willing to implement results from each independently, supporting the development of a common form of knowledge, which is consistent with Mixed-Mode Modelling. (3) Hard OR, enhanced with outcomes research, with active stakeholder participation, and combined with soft OR, results in greater acceptance and sustained organizational change.     

Acute Triangulations of Flat Mobius Strips

In this paper we investigate the acute triangulations of flat Mobius strips. We find out that we can always triangulate a flat Mobius strip with at most nine acute triangles, and sometimes (but not always) that many triangles are really needed.     

Measurability criteria for fuzzy random vectors

Fuzzy random vector is a measurable map from a probability space to a collection of fuzzy vectors. Our aim in this paper is to discuss the measurability criteria for fuzzy random vectors, and show that under mild assumption, the measurability criteria for upper semicontinuous fuzzy random vectors can be expressed in several different but equivalent formulations. Finally, applying the obtained results, we resolve an open problem about the relationship between fuzzy random vectors and fuzzy random variables.     

Implicit difference approximation for the two-dimensional space-time fractional diffusion equation

In this paper, we consider a two-dimensional fractional spacetime diffusion equation (2DFSTDE) on a finite domain. We examine an implicit difference approximation to solve the 2DFSTDE. Stability and convergence of the method are discussed. Some numerical examples are presented to show the application of the present technique.     

Mode equation and its solution for dielectric waveguide with parabolic cross-section

The mode equation for the dielectric waveguide with parabolic cross-section is derived using both the effective index method and WKB theory, and the expression of the mode propagation constant or effective index is solved directly from this mode equation, so that the mode-propagation properties of this kind of waveguide can be analysed conveniently with comparative accuracy.     

Coupled Thermo-Hydro-Mechanical and Chemical Analysis of Expansive Clay Subjected to Heating and Hydration

A fully coupled formulation combining reactive transport and an existing thermo-hydro-mechanical (THM) code is presented. Special attention has been given to phenomena likely to be encountered in clay barriers used as part of containment systems of nuclear waste. The types of processes considered include hydrolysis, complex formation, oxidation/reduction reactions, acid/base reactions, precipitation/dissolution of minerals and cation exchange. Both kinetically-controlled and equilibrium-controlled reactions have been incorporated. The total analytical concentrations (including precipitated minerals) are adopted as basic transport variables and chemical equilibrium is achieved by minimizing Gibbs Free Energy. The formulation has been incorporated in a general purpose computer code capable of performing numerical analysis of engineering problems. A validation exercise concerning a laboratory experiment involving the heating and hydration of an expansive compacted clay is described.     

Second order evolution equations with time-dependent subdifferentials

We study an abstract second order nonlinear evolution equation in a real Hilbert space. We consider time-dependent convex functions and their subdifferentials operating on the first derivative of the unknown function. Introducing appropriate assumptions on the convex functions and other data, we prove the existence and uniqueness of a strong solution, and give some applications of the abstract theorem to hyperbolic variational inequalities with time-dependent constraints.      

A side-coupled photonic crystal filter with sidelobe suppression

This paper presents the theoretical model and the optimization method to suppress the sidelobes of side-coupled photonic crystal filters. Numerical verification shows a good agreement between the theoretical method and the finite-difference time-domain simulation, but the theoretic method does not involve the time-consuming computation. The theoretical method also presents a better physical image for choosing the critical parameters, such as the quality factor, phase shift and the number of resonators. Based on the theoretical model, two optimization methods (chirp and cascading) are proposed to deeply suppress the sidelobes. They also show more flexibility in controlling the bandwidth and steepness of the roll-off in the filter. PACS 42.70.Qs