Queueing models for appointment-driven systems.

Many service systems are appointment-driven. In such systems, customers make an appointment and join an external queue(also referred to as the “waiting list”). At the appointed date, the customer arrives at the service facility, joins an internal queue and receives service during a service session. After service, the customer leaves the system. Important measures of interest include the size of the waiting list, the waiting time at the service facility and server overtime. These performance measures may support strategic decisionmaking concerning server capacity (e.g. how often, when and for how long should a server be online). We develop an ew model to assess these performance measures. The model is a combination of a vacation queueing system and an appointment system.Queueing system; Appointment system; Vacation model; Overtime; Waiting list;

Modeling a healthcare system as a queueing network:The case of a Belgian hospital.

The performance of health care systems in terms of patient flow times and utilization of critical resources can be assessed through queueing and simulation models. We model the orthopaedic department of the Middelheim hospital (Antwerpen, Belgium) focusing on the impact of outages (preemptive and nonpreemptive outages) on the effective utilization of resources and on the flowtime of patients. Several queueing network solution procedures are developed such as the decomposition and Brownian motion approaches. Simulation is used as a validation tool. We present new approaches to model outages. The model offers a valuable tool to study the trade-off between the capacity structure, sources of variability and patient flow times.Belgium; Brownian motion; Capacity management; Decomposition; Health care; Healthcare; Impact; Model; Models; Performance; Performance measurement; Queueing; Queueing theory; Simulation; Stochastic processes; Structure; Studies; Systems; Time; Tool; Validation; Variability;

Healthcare queueing models.

Healthcare systems differ intrinsically from manufacturing systems. As such, they require a distinct modeling approach. In this article, we show how to construct a queueing model of a general class of healthcare systems. We develop new expressions to assess the impact of service outages and use the resulting model to approximate patient flow times and to evaluate a number of practical applications. We illustrate the devastating impact of service interruptions on patient flow times and show the potential gains obtained by pooling hospital resources. In addition, we present an optimization model to determine the optimal number of patients to be treated during a service session.Operations research; Health care evaluation mechanisms; Organizational efficiency; Management decision support systems; Time management; Queueing theory;

Scheduling Markovian PERT networks with maximum-NPV objective.

We examine project scheduling with net-present-value objective and exponential activity durations, using a continuous-time Markov decision chain. Based on a judicious partitioning of the state space, we achieve a significant performance improvement compared to the existing algorithms.Project scheduling; Net present value; Stochastic activity durations; Exponential distribution;

Extending the production dice game.

The production dice game is a powerful learning exercise focusing on the impact of variability and dependency on throughput and work-in-process inventory of flow lines. In this paper we will extend the basic dice game along the following lines. First, we allow that the operations take place concurrently as opposed to the more traditional way of playing the game sequentially. Second, we allow both starvation and blocking of the line. Third, we consider balanced lines with work stations characterized by different degrees of variability. Fourth, we use different sets of dice in order to represent a wide range of coefficients of variation of the production line. The game can be played manually in a classroom setting, but it is also modelled as an easy-to-use simulation tool.

Fish in the city

Aquaculture is the most recent addition to animal husbandry and it is the fastest growing food production industry. Its contribution to world food security in the 21st century is already significant and it is bound to continue to grow because demand for fish for human consumption is rapidly increasing whereas fish supplies from ocean fisheries are likely to decline. The rapid evolution of aquaculture involved a host of innovations of which many were based on R&D activities by public and private research organizations. Applied R&D tends to be the more effective the better focused it is on specific research problems or opportunities. Among the many possible aquaculture production systems on which aquaculture R&D might focus are recirculation aquaculture systems and in this paper we explore crucial aspects of the potential of urban recirculation aquaculture. Our exploration begins with a vision of recirculation aquaculture production plants located at the fringes of cities of converging economies. Such production systems are distinctly different from conventional urban aquaculture systems based on urban sewage. We scrutinize our vision from four perspectives: (i) the expected demand for aquaculture fish from urban consumers; (ii) cost competitiveness of fish produced at the fringes of cities as compared to fish produced in the rural hinterland; (iii) the potential for integration of urban recirculation aquaculture production into the modern food supply chains that are now emerging in converging economies, and (iv) the ecological footprint of aquaculture production compared to that of chicken production. Based on trends in the growth of urban populations world-wide and trends in demand for fish for food we estimate a total urban demand for aquaculture finfish between 11 and 51 million tons in 2025. We use von Thünen's location theory to provide support for the vision to locate recirculation aquaculture plants not within cities and not in their rural hinterland but on the fringes of cities. Moreover, we argue that tightly controlled recirculation aquaculture production would seem to be particularly well suited for being integrated into modern food supply chains. Finally, we compare the ecological footprint of recirculation aquaculture fish with that of industrially produced chicken and we find that the ecological balance depends on the source of energy used. We conclude our exploratory study with some thoughts on the implication for aquaculture R&D of the potential for recirculation aquaculture located on the fringes of cities in emerging economy countries. --

Stuck in the Adoption Funnel: The Effect of Interruptions in the Adoption Process on Usage

Many firms have introduced Internet-based customer self-service applications such as online payments or brokerage services. Despite high initial sign-up rates, not all customers actually shift their dealings online. We investigate whether the multistage nature of the adoption process (an “adoption funnel”) for such technologies can explain this low take-up. We use exogenous variation in events that possibly interrupt adoption, in the form of vacations and public holidays in different German states, to identify the effect on regular usage of being interrupted earlier in the adoption process. We find that interruptions in the early stages of the adoption process reduce a customer's probability of using the technology regularly. Our results suggest significant cost-saving opportunities from eliminating interruptions in the adoption funnel.NET InstituteLondon Business School. Centre for MarketingMack Center for Managing Technological InnovationDeutsche Forschungsgemeinschaf

Automatic real-time monitoring and assessment of tremor parameters in the upper limb from orientation data

Upper limb tremor is the most prevalent movement disorder and, unfortunately, it is not effectively managed in a large proportion of the patients. Neuroprostheses that stimulate the sensorimotor pathways are one of the most promising alternatives although they are still under development. To enrich the interpretation of data recorded during long-term tremor monitoring and to increase the intelligence of tremor suppression neuroprostheses we need to be aware of the context. Context awareness is a major challenge for neuroprostheses and would allow these devices to react more quickly and appropriately to the changing demands of the user and/or task. Traditionally kinematic features are used to extract context information, with most recently the use of joint angles as highly potential features. In this paper we present two algorithms that enable the robust extraction of joint angle and related features to enable long-term continuous monitoring of tremor with context awareness. First, we describe a novel relative sensor placement identification technique based on orientation data. We focus on relative rather than absolute sensor location, because in many medical applications magnetic and inertial measurement units (MIMU) are used in a chain stretching over adjacent segments, or are always placed on a fixed set of locations. Subsequently we demonstrate how tremor parameters can be extracted from orientation data using an adaptive estimation algorithm. Relative sensor location was detected with an accuracy of 94.12% for the 4 MIMU configuration, and 100% for the 3 MIMU configurations. Kinematic tracking error values with an average deviation of 8% demonstrate our ability to estimate tremor from orientation data. The methods presented in this study constitute an important step toward more user-friendly and context-aware neuroprostheses for tremor suppression and monitoring. © 2014 Lambrecht, Gallego, Rocon and Pons.This work has been funded by the European project NeuroTremor(ICT-2011.5.1-287739)andt he Spanish Consolider project HYPER (CSD2009-00067).Peer Reviewe

Attentional focus on supra-postural tasks affects postural control: Neuromuscular efficiency and sway characteristics

This study is the first in which both performance production and outcome measurements are incorporated for a postural and supra-postural task, to identify the effect of attentional focus (AF) on muscles distal to the primary action. Postural and shoulder muscles are assessed when 21 participants attempt to minimize aiming error on a distal target while being subject to discrete arm perturbations. During each 60s trial random perturbations were delivered to the right arm and subjects were provided different AF instructions: control (no instruction), internal (focus on finger), and external (focus on laser). Providing an instruction improved both postural and supra-postural performance, i.e. COPnet PL decreased F(2,36)=5.259, p\u3c 0.05, PeakMax of laser marker was lower F(2,36)=11.274, p\u3c0.05. However, based on the current results there is no reason to expect that the type (internal, external) of instruction influences the response to a discrete and external perturbation

Fish in the City

Aquaculture is the most recent addition to animal husbandry and it is the fastest growing food production industry. Its contribution to world food security in the 21st century is already significant and it is bound to continue to grow because demand for fish for human consumption is rapidly increasing whereas fish supplies from ocean fisheries are likely to decline. The rapid evolution of aquaculture involved a host of innovations of which many were based on R&D activities by public and private research organizations. Applied R&D tends to be the more effective the better focused it is on specific research problems or opportunities. Among the many possible aquaculture production systems on which aquaculture R&D might focus are recirculation aquaculture systems and in this paper we explore crucial aspects of the potential of urban recirculation aquaculture. Our exploration begins with a vision of recirculation aquaculture production plants located at the fringes of cities of converging economies. Such production systems are distinctly different from conventional urban aquaculture systems based on urban sewage. We scrutinize our vision from four perspectives: (i) the expected demand for aquaculture fish from urban consumers; (ii) cost competitiveness of fish produced at the fringes of cities as compared to fish produced in the rural hinterland; (iii) the potential for integration of urban recirculation aquaculture production into the modern food supply chains that are now emerging in converging economies, and (iv) the ecological footprint of aquaculture production compared to that of chicken production. Based on trends in the growth of urban populations world-wide and trends in demand for fish for food we estimate a total urban demand for aquaculture finfish between 11 and 51 million tons in 2025. We use von Thünen's location theory to provide support for the vision to locate recirculation aquaculture plants not within cities and not in their rural hinterland but on the fringes of cities. Moreover, we argue that tightly controlled recirculation aquaculture production would seem to be particularly well suited for being integrated into modern food supply chains. Finally, we compare the ecological footprint of recirculation aquaculture fish with that of industrially produced chicken and we find that the ecological balance depends on the source of energy used. We conclude our exploratory study with some thoughts on the implication for aquaculture R&D of the potential for recirculation aquaculture located on the fringes of cities in emerging economy countries