Health-care district management information system plan: Review of operations analysis activities during calendar year 1975 and plan for continued research and analysis activities

Operations research activities developed to identify the information required to manage both the efficiency and effectiveness of the Veterans Administration (VA) health services as these services relate to individual patient care are reported. The clinical concerns and management functions that determine this information requirement are discussed conceptually. Investigations of existing VA data for useful management information are recorded, and a diagnostic index is provided. The age-specific characteristics of diseases and lengths of stay are explored, and recommendations for future analysis activities are articulated. The effect of the introduction of new technology to health care is also discussed

A self-managing infrastructure for ad-hoc situation determination

Automatically determining the situation of an ad-hoc group of people and devices within a smart environment is a significant challenge in pervasive computing systems. Current approaches often rely on an environment expert to correlate the situations that occur with the available sensor data, while other machine learning based approaches require long training periods before the system can be used. This paper presents a novel approach to situation determination that attempts to overcome these issues by providing a reusable library of general situation specifications that can be easily extended to create new specific situations, and immediately deployed without the need of an environment expert. The architecture of an accompanying situation determination infrastructure is provided, which autonomously optimises and repairs itself in reaction to changes or failures in the environment

The Impact of a Regulatory Intervention on Resident-Centered Nursing Home Care: Rhode Island's Individualized Care Pilot

Evaluates a pilot project to promote resident-centered care through activities integrated with recertification inspections, including visits from a nonregulatory entity, and its impact on understanding, consideration, and implementation of practices

A general purpose programming framework for ubiquitous computing environments

It is important to note that the need to support ad-hoc and potentially mobile arrangements of devices in ubiquitous environments does not fit well within the traditional client/server architecture. We believe peer-to-peer communication offers a preferable alternative due to its decentralised nature, removing dependence on individual nodes. However, this choice adds to the complexity of the developers task. In this paper, we describe a two-tiered approach to address this problem: A lower tier employing peer-to-peer interactions for managing the network infrastructure and an upper tier providing a mobile agent based programming framework. The result is a general purpose framework for developing ubiquitous applications and services, where the underlying complexity is hidden from the developer. This paper discusses our on-going work; presenting our design decisions, features supported by our framework, and some of the challenges still to be addressed in a complex programming environment

Mobile object location discovery in unpredictable environments

Emerging mobile and ubiquitous computing environments present hard challenges to software engineering. The use of mobile code has been suggested as a natural fit for simplifing software development for these environments. However, the task of discovering mobile code location becomes a problem in unpredictable environments when using existing strategies, designed with fixed and relatively stable networks in mind. This paper introduces AMOS, a mobile code platform augmented with a structured overlay network. We demonstrate how the location discovery strategy of AMOS has better reliability and scalability properties than existing approaches, with minimal communication overhead. Finally, we demonstrate how AMOS can provide autonomous distribution of effort fairly throughout a network using probabilistic methods that requires no global knowledge of host capabilities

Chemokine-induced secretion of gelatinase B in primary human monocytes

Chemokines help control normal leukocyte trafficking as well as their infiltration into tissues during acute and chronic inflammation. Matrix metalloproteinases (MMPs) help support the extravasation and infiltration of leukocytes through limited proteolysis of basement membranes and matrix material. The effect of the chemokines RANTES/CCL5, MCP-1/CCL and SDF-1 /CXCL12 on secretion of the matrix metalloproteinase B and its endogenous inhibitor TIMP-1 was studied. RANTES/CCL5 and SDF-1/CXCL12 were found to induce MMP-9 secretion in primary human monocytes while TIMP-1 secretion was not affected. RANTES/CCL5 effects were mediated through CCR1 because the CCR1 antagonist BX471 was found to effectively block RANTES/CCL5-induced MMP-9 secretion

Development of anlytical techniques for hydrocarbons in mineral aggregates quarterly status report no. 4, jul. - sep. 1964

Chemical analysis of rock and meteorite samples for hydrocarbon conten

A digital simulation of message traffic for natural disaster warning communications satellite

Various types of weather communications are required to alert industries and the general public about the impending occurrence of tornados, hurricanes, snowstorms, floods, etc. A natural disaster warning satellite system has been proposed for meeting the communications requirements of the National Oceanic and Atmospheric Administration. Message traffic for a communications satellite was simulated with a digital computer in order to determine the number of communications channels to meet system requirements. Poisson inputs are used for arrivals and an exponential distribution is used for service