4,839 research outputs found

    Modelo de estratégia e coordenação genérico para sistemas multi-agente

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    Estágio realizado na Universidade de Aveiro e orientado pelo Prof. Doutor Jose Nuno Panelas Nunes LauTese de mestrado integrado. Engenharia Electrotécnica e de Computadores. Faculdade de Engenharia. Universidade do Porto. 200

    Risk, rescue and emergency services: The changing spatialities of Mountain Rescue Teams in England and Wales

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    This paper considers the role of the emergency services in society and, in particular, their role in controlling, mitigating and resolving risk. Using a network approach, Mountain Rescue Teams are studied in order to examine how people, agencies, animals, technology and knowledge are deployed to resolve emergencies. The paper traces the changing nature of risk in rural places and the impact of state regulation on the deployment, spatialities and practices of the emergency services. In doing so, it argues that greater attention should be paid to the emergency services by geographers. © 2009 Elsevier Ltd. All rights reserved

    Integrating artificial neural networks, simulation and optimisation techniques in improving public emergency ambulance preparedness for heterogeneous regions under stochastic environments.

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    Doctoral Degree. University of KwaZulu-Natal, Pietermaritzburg.The Bulawayo Emergency Medical Services (BEMS) department continues to rely on judgemental methods with limited use of historical data for future predictions, strategic, tactical and operational level decision making. The rural to urban migration trend has seen the sprouting of new residential areas, and this has put pressure to the limited health, housing and education resources. It is expected that as population increases, there is subsequent increase in demand for public emergency services. However, public emergency ambulance demand trends has been decreasing in Bulawayo over the years. This trend is a sign of limited capacity of the service rather than demand itself. The situation demanded for consolidated efforts across all sectors including research, to restore confidence among residents, reduce health risk and loss of lives. The key objective was to develop a framework that would assist in integrating forecasting, simulation and optimisation techniques for ambulance deployment to predefined locations with heterogeneous demand patterns under stochastic environments, using multiple performance indicators. Secondary data from the Bulawayo Municipality archives from 2010 to 2018 was used for model building and validation. A combination of methods based on mathematics, statistics, operations research and computer science were used for data analysis, model building, sensitivity analysis and numerical experiments. Results indicate that feed forward neural network (FFNN) models are superior to traditional SARIMA models in predicting ambulance demand, over a short-term forecasting horizon. The FFNN model is more inclined to value estimation as compared to SARIMA model, which is directional as depicted by the linear pattern over time. An ANN model with a 7-(4)-1 architecture was selected to forecast 2019 public emergency ambulance demand (PEAD). Peak PEAD is expected in January, March, September and December whilst lower demand is expected for April, June and July 2019. Simulation models developed mimicked the prevailing levels of service for BEMS with six(6) operational ambulances. However. the average response times were well above 15 minutes, with significantly high average queuing times and number of ambulances queuing for service. These performance outcomes were highly undesirable as they pose a great threat to human based outcomes of safety and satisfaction with regards to service delivery. Optimisation for simulation was conducted by simultaneously minimising the average response time and average queuing time, while maximising throughput ratios. Increasing the number of ambulances influenced the average response time below a certain threshold, beyond this threshold, the average response time remained constant rather than decreasing gradually. Ambulance utilisation inversely varied to increase in the feet size. Numerical experiments revealed that reducing the response time results in the reduction in number of ambulances required for optimal ambulance deployment. It is imperative to simultaneously consider multiple performance indicators in ambulance deployment as it balances resource allocation and capacity utilisation, while avoiding idleness of essential equipment and human resources. Management should lobby for de-congestion and resurfacing of old and dilapidated roads to increase access and speed when responding to emergency calls. Future research should investigate the influence of varying service time on optimum deployment plans and consider operational costs, wages and other budgetary constraints that influence the allocation of critical but scarce resources such as personnel, equipment and emergency ambulance response vehicles

    Dynamic coordination in fleet management systems: Toward smart cyber fleets

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    Fleet management systems are commonly used to coordinate mobility and delivery services in a broad variety of domains. However, their traditional top-down control architecture becomes a bottleneck in open and dynamic environments, where scalability, proactiveness, and autonomy are becoming key factors for their success. Here, the authors present an abstract event-based architecture for fleet management systems that supports tailoring dynamic control regimes for coordinating fleet vehicles, and illustrate it for the case of medical emergency management. Then, they go one step ahead in the transition toward automatic or driverless fleets, by conceiving fleet management systems in terms of cyber-physical systems, and putting forward the notion of cyber fleets. © 2014 IEEE.This work has been partially supported by the Spanish Ministry of Economy and Competitiveness through the projects “Agreement Technologies” (grant CSD2007-0022; CONSOLIDER-INGENIO 2010), “intelligent Human-Agent Societies” (grant TIN2012-36586-C03-02), and “Smart Delivery” (grant RTC-2014-1850-4).Peer Reviewe

    A review of the healthcare-management (modeling) literature published at Manufacturing and Service Operations Management

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    Healthcare systems throughout the world are under pressure to widen access, improve efficiency and quality of care, and reduce inequity. Achieving these conflicting goals requires innovative approaches, utilizing new technologies, data analytics, and process improvements. The operations management community has taken on this challenge: more than 10% of articles published in M&SOM in the period from 2009 to 2018 has developed analytical models that aim to inform healthcare operational decisions and improve medical decision-making. This article presents a review of the research published in M&SOM on healthcare management since its inception 20 years ago and reflects on opportunities for further research
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