Fast evaluation of appointment schedules for outpatients in health care

We consider the problem of evaluating an appointment schedule for outpatients in a hospital. Given a fixed-length session during which a physician sees K patients, each patient has to be given an appointment time during this session in advance. When a patient arrives on its appointment, the consultations of the previous patients are either already finished or are still going on, which respectively means that the physician has been standing idle or that the patient has to wait, both of which are undesirable. Optimising a schedule according to performance criteria such as patient waiting times, physician idle times, session overtime, etc. usually requires a heuristic search method involving a huge number of repeated schedule evaluations. Hence, the aim of our evaluation approach is to obtain accurate predictions as fast as possible, i.e. at a very low computational cost. This is achieved by (1) using Lindley's recursion to allow for explicit expressions and (2) choosing a discrete-time (slotted) setting to make those expression easy to compute. We assume general, possibly distinct, distributions for the patient's consultation times, which allows us to account for multiple treatment types, as well as patient no-shows. The moments of waiting and idle times are obtained. For each slot, we also calculate the moments of waiting and idle time of an additional patient, should it be appointed to that slot. As we demonstrate, a graphical representation of these quantities can be used to assist a sequential scheduling strategy, as often used in practice

The influence of CO adsorption on the surface composition of cobalt/palladium alloys

AM is grateful for funding from SASOL Technology UK Ltd (PhD studentship); JG is grateful for the award of a fellowship from the Knut and Alice Wallenberg Foundation. TEJ and AGT acknowledge EPSRC funding of postdoctoral research (EP/E047580/1). The MEIS facility was funded via EPSRC grant EP/E003370/1.Segregation induced by the adsorption of gas phase species can strongly influence the composition of bimetallic surfaces and can therefore play an important role in influencing heterogeneous catalytic reactions. The addition of palladium to cobalt catalysts has been shown to promote Fischer Tropsch catalysis. We investigate the adsorption of CO onto bimetallic CoPd surfaces on Pd{111} using a combination of reflection absorption infrared spectroscopy and medium energy ion scattering. The vibrational frequency of adsorbed CO provides crucial information on the adsorption sites adopted by CO and medium energy ion scattering probes the surface composition before and after CO exposure. We show that cobalt segregation is induced by CO adsorption and rationalise these observations in terms of the strength of adsorption of CO in various surface adsorption sites.PostprintPeer reviewe

Defining the molecular pathology of pancreatic body and tail adenocarcinom

Background: Pancreatic ductal adenocarcinoma (PDAC) remains a dismal disease, with very little improvement in survival over the past 50 years. Recent large-scale genomic studies have improved understanding of the genomic and transcriptomic landscape of the disease, yet very little is known about molecular heterogeneity according to tumour location in the pancreas; body and tail PDACs especially tend to have a significantly worse prognosis. The aim was to investigate the molecular differences between PDAC of the head and those of the body and tail of the pancreas. Methods: Detailed correlative analysis of clinicopathological variables, including tumour location, genomic and transcriptomic data, was performed using the Australian Pancreatic Cancer Genome Initiative (APGI) cohort, part of the International Cancer Genome Consortium study. Results: Clinicopathological data were available for 518 patients recruited to the APGI, of whom 421 underwent genomic analyses; 179 of these patients underwent whole-genome and 96 RNA sequencing. Patients with tumours of the body and tail had significantly worse survival than those with pancreatic head tumours (12·1 versus 22·0 months; P = 0·001). Location in the body and tail was associated with the squamous subtype of PDAC. Body and tail PDACs enriched for gene programmes involved in tumour invasion and epithelial-to-mesenchymal transition, as well as features of poor antitumour immune response. Whether this is due to a molecular predisposition from the outset, or reflects a later time point on the tumour molecular clock, requires further investigation using well designed prospective studies in pancreatic cancer. Conclusion: PDACs of the body and tail demonstrate aggressive tumour biology that may explain worse clinical outcomes

Lesbian and bisexual women's human rights, sexual rights and sexual citizenship: negotiating sexual health in England.

Lesbian and bisexual women's sexual health is neglected in much Government policy and practice in England and Wales. This paper examines lesbian and bisexual women's negotiation of sexual health, drawing on findings from a small research project. Themes explored include invisibility and lack of information, influences on decision-making and sexual activities and experiences of services and barriers to sexual healthcare. Key issues of importance in this respect are homophobic and heterosexist social contexts. Drawing on understandings of lesbian, gay and bisexual human rights, sexual rights and sexual citizenship, it is argued that these are useful lenses through which to examine and address lesbian and bisexual women's sexual health and related inequalities

Salinity tolerance of diapausing eggs of freshwater zooplankton

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73091/1/j.1365-2427.2004.01185.x.pd

Crystallization of the ordered vortex phase in high temperature superconductors

The Landau-Khalatnikov time-dependent equation is applied to describe the crystallization process of the ordered vortex lattice in high temperature superconductors after a sudden application of a magnetic field. Dynamic coexistence of a stable ordered phase and an unstable disordered phase, with a sharp interface between them, is demonstrated. The transformation to the equilibrium ordered state proceeds by movement of this interface from the sample center toward its edge. The theoretical analysis dictates specific conditions for the creation of a propagating interface, and provides the time scale for this process.Comment: 8 pages and 3 figures; to be published in Phys. Rev. B (Rapid Communications section

Exceptionally Slow Rise in Differential Reflectivity Spectra of Excitons in GaN: Effect of Excitation-induced Dephasing

Femtosecond pump-probe (PP) differential reflectivity spectroscopy (DRS) and four-wave mixing (FWM) experiments were performed simultaneously to study the initial temporal dynamics of the exciton line-shapes in GaN epilayers. Beats between the A-B excitons were found \textit{only for positive time delay} in both PP and FWM experiments. The rise time at negative time delay for the differential reflection spectra was much slower than the FWM signal or PP differential transmission spectroscopy (DTS) at the exciton resonance. A numerical solution of a six band semiconductor Bloch equation model including nonlinearities at the Hartree-Fock level shows that this slow rise in the DRS results from excitation induced dephasing (EID), that is, the strong density dependence of the dephasing time which changes with the laser excitation energy.Comment: 8 figure

Differential Cross Section for Higgs Boson Production Including All-Orders Soft Gluon Resummation

The transverse momentum $Q_T$ distribution is computed for inclusive Higgs boson production at the energy of the CERN Large Hadron Collider. We focus on the dominant gluon-gluon subprocess in perturbative quantum chromodynamics and incorporate contributions from the quark-gluon and quark-antiquark channels. Using an impact-parameter $b$-space formalism, we include all-orders resummation of large logarithms associated with emission of soft gluons. Our resummed results merge smoothly at large $Q_T$ with the fixed-order expectations in perturbative quantum chromodynamics, as they should, with no need for a matching procedure. They show a high degree of stability with respect to variation of parameters associated with the non-perturbative input at low $Q_T$. We provide distributions $d\sigma/dy dQ_T$ for Higgs boson masses from $M_Z$ to 200 GeV. The average transverse momentum at zero rapidity $y$ grows approximately linearly with mass of the Higgs boson over the range $M_Z < m_h \simeq 0.18 m_h + 18$~GeV. We provide analogous results for $Z$ boson production, for which we compute $\simeq 25$ GeV. The harder transverse momentum distribution for the Higgs boson arises because there is more soft gluon radiation in Higgs boson production than in $Z$ production.Comment: 42 pages, latex, 26 figures. All figures replaced. Some changes in wording. Published in Phys. Rev. D67, 034026 (2003

Uma metodologia de avaliação de desempenho de sistemas Peer-To-Peer baseados em tabelas Hash Distribuídas

Resumo: As tabelas hash distribuídas (DHTs, distributed hash tables) são redes par-a-par (P2P, peer-to-peer) estruturadas que permitem a inserção de dados indexados por chaves. Elas são compostas por um conjunto de participantes (nodos ou pares) dinâmicos sem o controle de uma autoridade central. As DHTs tornaram-se populares ao longo da última década e hoje possuem diversas aplicações, algumas contendo milhões de nodos espalhados ao redor do planeta. Existe uma grande quantidade de DHTs, as quais podem possuir várias implementações e serem configuradas através de diversos parâmetros. Entretanto, não há um consenso sobre a melhor maneira de avaliar o desempenho de uma DHT, o que dificulta a comparação entre o grande número de DHTs existentes e, consequentemente, a escolha da DHT ideal para cada sistema. Esta dissertação apresenta uma revisão de trabalhos que propõem metodologias de avaliação de desempenho de DHTs e de trabalhos que simplesmente avaliam desempenho de DHTs, sem propor metodologias. Com base nesta revisão uma nova metodologia de avaliação de desempenho de DHTs é proposta. Esta metodologia define um conjunto de testes de desempenho composto por métricas e cargas de trabalho. Estas métricas e cargas de trabalho são baseadas nos pontos em comum encontrados nos diversos trabalhos estudados. A metodologia apresentada define também um modelo para a execução de avaliações de desempenho de DHTs composto por três entidades: mestre, controlador e nodo. Este trabalho apresenta também a ferramenta Dhtperf, que além de implementar a metodologia proposta permite facilmente a definição de novas métricas e cargas de trabalho. Esta ferramenta foi utilizada para realizar avalia- ções de desempenho de diversas DHTs existentes em dois ambientes distintos, validando a metodologia proposta. Os resultados obtidos nas avaliações realizadas são apresentados e discutidos