Ambulance Emergency Response Optimization in Developing Countries

The lack of emergency medical transportation is viewed as the main barrier to the access of emergency medical care in low and middle-income countries (LMICs). In this paper, we present a robust optimization approach to optimize both the location and routing of emergency response vehicles, accounting for uncertainty in travel times and spatial demand characteristic of LMICs. We traveled to Dhaka, Bangladesh, the sixth largest and third most densely populated city in the world, to conduct field research resulting in the collection of two unique datasets that inform our approach. This data is leveraged to develop machine learning methodologies to estimate demand for emergency medical services in a LMIC setting and to predict the travel time between any two locations in the road network for different times of day and days of the week. We combine our robust optimization and machine learning frameworks with real data to provide an in-depth investigation into three policy-related questions. First, we demonstrate that outpost locations optimized for weekday rush hour lead to good performance for all times of day and days of the week. Second, we find that significant improvements in emergency response times can be achieved by re-locating a small number of outposts and that the performance of the current system could be replicated using only 30% of the resources. Lastly, we show that a fleet of small motorcycle-based ambulances has the potential to significantly outperform traditional ambulance vans. In particular, they are able to capture three times more demand while reducing the median response time by 42% due to increased routing flexibility offered by nimble vehicles on a larger road network. Our results provide practical insights for emergency response optimization that can be leveraged by hospital-based and private ambulance providers in Dhaka and other urban centers in LMICs

Centralized versus market-based approaches to mobile task allocation problem: State-of-the-art

Centralized approach has been adopted for finding solutions to resource allocation problems (RAPs) in many real-life applications. On the other hand, market-based approach has been proposed as an alternative to solve the problem due to recent advancement in ICT technologies. In spite of the existence of some efforts to review the pros and cons of each approach in RAPs, the studies cannot be directly applied to specific problem domains like mobile task allocation problem which is characterised with high level of uncertainty on the availability of resources (workers). This paper aims to review existing studies on task allocation problems(TAPs) focusing on those two approaches and their comparison and identify major issues that need to be resolved for comparing the two approaches in mobile task allocation problems. Mobile Task Allocation Problem (MTAP) is defined and its problematic structures are explained in relation with task allocation to mobile workers. Solutions produced by each approach to some applications and variations of MTAP are also discussed and compared. Finally, some future research directions are identified in order to compare both approaches in function of uncertainty emerging from the mobile nature of the MTAP

Depannage and other maintenance strategies for transportation fleets

This paper addresses the problem of designing a depannage service network for freight transportation fleets in order to fill up an evident gap in Operations Management literature. As a matter of fact, breakdowns have a significant impact on service level and an efficient and effective assistance service is needed in order to guarantee competitive advantage. Aiming at laying the foundations for further research on modelling and solving the considered problem, a literature review is performed for identifying analogies with other problems, already approached in the past, and stating the problem. Finally, parameters, decision variables and objective function that should be considered for modelling and solving the problem are proposed, trying to stimulate the discussion on a new research theme and, more specifically, on the integration of decisions at strategic, tactical and operational level into a systemic model

Foggy clouds and cloudy fogs: a real need for coordinated management of fog-to-cloud computing systems

The recent advances in cloud services technology are fueling a plethora of information technology innovation, including networking, storage, and computing. Today, various flavors have evolved of IoT, cloud computing, and so-called fog computing, a concept referring to capabilities of edge devices and users' clients to compute, store, and exchange data among each other and with the cloud. Although the rapid pace of this evolution was not easily foreseeable, today each piece of it facilitates and enables the deployment of what we commonly refer to as a smart scenario, including smart cities, smart transportation, and smart homes. As most current cloud, fog, and network services run simultaneously in each scenario, we observe that we are at the dawn of what may be the next big step in the cloud computing and networking evolution, whereby services might be executed at the network edge, both in parallel and in a coordinated fashion, as well as supported by the unstoppable technology evolution. As edge devices become richer in functionality and smarter, embedding capacities such as storage or processing, as well as new functionalities, such as decision making, data collection, forwarding, and sharing, a real need is emerging for coordinated management of fog-to-cloud (F2C) computing systems. This article introduces a layered F2C architecture, its benefits and strengths, as well as the arising open and research challenges, making the case for the real need for their coordinated management. Our architecture, the illustrative use case presented, and a comparative performance analysis, albeit conceptual, all clearly show the way forward toward a new IoT scenario with a set of existing and unforeseen services provided on highly distributed and dynamic compute, storage, and networking resources, bringing together heterogeneous and commodity edge devices, emerging fogs, as well as conventional clouds.Peer ReviewedPostprint (author's final draft

COMMUNITY SERVICE MANAGEMENT AND PLANNING PROGRAMS IN OKLAHOMA: WHY, WHAT AND HOW DELIVERED

Community/Rural/Urban Development,

TDMP-Reliable Target Driven and Mobility Prediction based Routing Protocol in Complex VANET

Vehicle-to-everything (V2X) communication in the vehicular ad hoc network (VANET), an infrastructure-free mechanism, has emerged as a crucial component in the advanced Intelligent Transport System (ITS) for special information transmission and inter-vehicular communications. One of the main research challenges in VANET is the design and implementation of network routing protocols which manage to trigger V2X communication with the reliable end-to-end connectivity and efficient packet transmission. The organically changing nature of road transport vehicles poses a significant threat to VANET with respect to the accuracy and reliability of packet delivery. Therefore, a position-based routing protocol tends to be the predominant method in VANET as they overcome rapid changes in vehicle movements effectively. However, existing routing protocols have some limitations such as (i) inaccurate in high dynamic network topology, (ii) defective link-state estimation (iii) poor movement prediction in heterogeneous road layouts. In this paper, a target-driven and mobility prediction (TDMP) based routing protocol is therefore developed for high-speed mobility and dynamic topology of vehicles, fluctuant traffic flow and diverse road layouts in VANET. The primary idea in TDMP is that the destination target of a driver is included in the mobility prediction to assist the implementation of the routing protocol. Compared to existing geographic routing protocols which mainly greedily forward the packet to the next-hop based on its current position and partial road layout, TDMP is developed to enhance the packet transmission with the consideration of the estimation of inter-vehicles link status, and the prediction of vehicle positions dynamically in fluctuant mobility and global road layout.Comment: 35 pages,16 Figure

The Effect of Mapping Technology on Fire-Based EMS Response Times in Santa Clara County

The goal of this research is to determine whether map technology and signal preemption technology contribute to lowering fire-based EMS response times in Santa Clara County. The research uses benchmarking among fire departments in Santa Clara County, the Bay Area, and large Western urban fire departments to determine which factors contribute to the success in meeting contracted response times. Findings from this evaluation were used to create recommendations for fire service leadership regarding resource use along the continuum of fire department-based EMS response to 9-1-1 calls for medical service

Optimizing emergency preparedness and resource utilization in mass-casualty incidents

This paper presents a response model for the aftermath of a Mass-Casualty Incident (MCI) that can be used to provide operational guidance for regional emergency planning as well as to evaluate strategic preparedness plans. A mixed integer programming (MIP) formulation is proposed for the combined ambulance dispatching, patient-to-hospital assignment, and treatment ordering problem. T he goal is to allocate effectively the limited resources during the response so as to improve patient outcomes, while the objectives are to minimize the overall response time and the total flow time required to treat all patients, in a hierarchical fashion. The model is solved via exact and MIP-based heuristic solution methods. The applicability of the model and the performance of the new methods are challenged on realistic MCI scenarios. We consider the hypothetical case of a terror attack at the New York Stock Exchange in Lower Manhattan with up to 150 trauma patients. We quantify the impact of capacity-based bottlenecks for both ambulances and available hospital beds. We also explore the trade-off between accessing remote hospitals for demand smoothing versus reduced ambulance transportation times