3,066 research outputs found

    Modeling and Evaluating of Business Revenue Models under Different Product Life Cycles Using System Dynamics Simulation

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    Business revenue modelling is one of the important aspects of enterprise planning to create values for enterprises. In this study, we construct a system dynamics simulation model to evaluate various business revenue models applied to e-platforms. Machining tools industry is investigated as a case study. Products with different life cycles are examined as applying different business models. Computational experiments are conducted and results are discussed. Specific research issues/contributions of the study include: 1. To propose four effective business revenue models in such an industry. 2. To evaluate the proposed business revenue models as well as their advantages/disadvantages by a system dynamics simulation. 3. To address managerial implications of these business revenue models to the industry. As a conclusion to our research, we show that: (i) Firms with products under growth or mature stage of life cycle adopt/switch appropriate business revenue models conforming to their requirements in different stages and result in high performance outcomes than those remaining in a single business revenue model. (ii) Business revenue models represented by causal loops of system dynamics and examined by system simulation can capture not only steady states but transient states of business activities. By taking advantages of the proposed approach, managers can thus efficiently make right decisions for reducing time and cost

    Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: an exploratory survey study in four USA hospitals

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    <p>Abstract</p> <p>Background</p> <p>Little research has been done on patient call light use and staff response time, which were found to be associated with inpatient falls and satisfaction. Nurses' perspectives may moderate or mediate the aforementioned relationships. This exploratory study intended to understand staff's perspectives about call lights, staff responsiveness, and the reasons for and the nature of call light use. It also explored differences among hospitals and identified significant predictors of the nature of call light use.</p> <p>Methods</p> <p>This cross-sectional, multihospital survey study was conducted from September 2008 to January 2009 in four hospitals located in the Midwestern region of the United States. A brief survey was used. All 2309 licensed and unlicensed nursing staff members who provide direct patient care in 27 adult care units were invited to participate. A total of 808 completed surveys were retrieved for an overall response rate of 35%. The SPSS 16.0 Window version was used. Descriptive and binary logistic regression analyses were conducted.</p> <p>Results</p> <p>The primary reasons for patient-initiated calls were for toileting assistance, pain medication, and intravenous problems. Toileting assistance was the leading reason. Each staff responded to 6 to 7 calls per hour and a call was answered within 4 minutes (estimated). 49% of staff perceived that patient-initiated calls mattered to patient safety. 77% agreed that that these calls were meaningful. 52% thought that these calls required the attention of nursing staff. 53% thought that answering calls prevented them from doing the critical aspects of their role. Staff's perceptions about the nature of calls varied across hospitals. Junior staff tended to overlook the importance of answering calls. A nurse participant tended to perceive calls as more likely requiring nursing staff's attention than a nurse aide participant.</p> <p>Conclusions</p> <p>If answering calls was a high priority among nursing tasks, staff would perceive calls as being important, requiring nursing staff's attention, and being meaningful. Therefore, answering calls should not be perceived as preventing staff from doing the critical aspects of their role. Additional efforts are necessary to reach the ideal or even a reasonable level of patient safety-first practice in current hospital environments.</p

    The contribution of staff call light response time to fall and injurious fall rates: an exploratory study in four US hospitals using archived hospital data

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    Abstract Background Fall prevention programs for hospitalized patients have had limited success, and the effect of programs on decreasing total falls and fall-related injuries is still inconclusive. This exploratory multi-hospital study examined the unique contribution of call light response time to predicting total fall rates and injurious fall rates in inpatient acute care settings. The conceptual model was based on Donabedian's framework of structure, process, and health-care outcomes. The covariates included the hospital, unit type, total nursing hours per patient-day (HPPDs), percentage of the total nursing HPPDs supplied by registered nurses, percentage of patients aged 65 years or older, average case mix index, percentage of patients with altered mental status, percentage of patients with hearing problems, and call light use rate per patient-day. Methods We analyzed data from 28 units from 4 Michigan hospitals, using archived data and chart reviews from January 2004 to May 2009. The patient care unit-month, defined as data aggregated by month for each patient care unit, was the unit of analysis (N = 1063). Hierarchical multiple regression analyses were used. Results Faster call light response time was associated with lower total fall and injurious fall rates. Units with a higher call light use rate had lower total fall and injurious fall rates. A higher percentage of productive nursing hours provided by registered nurses was associated with lower total fall and injurious fall rates. A higher percentage of patients with altered mental status was associated with a higher total fall rate but not a higher injurious fall rate. Units with a higher percentage of patients aged 65 years or older had lower injurious fall rates. Conclusions Faster call light response time appeared to contribute to lower total fall and injurious fall rates, after controlling for the covariates. For practical relevance, hospital and nursing executives should consider strategizing fall and injurious fall prevention efforts by aiming for a decrease in staff response time to call lights. Monitoring call light response time on a regular basis is recommended and could be incorporated into evidence-based practice guidelines for fall prevention.http://deepblue.lib.umich.edu/bitstream/2027.42/112579/1/12913_2011_Article_2004.pd

    Remarks on NonHamiltonian Statistical Mechanics: Lyapunov Exponents and Phase-Space Dimensionality Loss

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    The dissipation associated with nonequilibrium flow processes is reflected by the formation of strange attractor distributions in phase space. The information dimension of these attractors is less than that of the equilibrium phase space, corresponding to the extreme rarity of nonequilibrium states. Here we take advantage of a simple model for heat conduction to demonstrate that the nonequilibrium dimensionality loss can definitely exceed the number of phase-space dimensions required to thermostat an otherwise Hamiltonian system.Comment: 5 pages, 2 figures, minor typos correcte

    Electromagnetic Field Effect and Analysis of Composite Structure

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    The electromagnetic and thermal response of composites subjected to magnetic fields is simulated by solving Maxwell and heat transfer equations simultaneously. The developed analysis accounts for the anisotropic nature of the electrical and thermal properties in three dimensions. A finite element code is developed to predict the response of composite structures subjected to transient magnetic fields. The analysis has been validated against a closed form solution and applied to simulate the induction heating process of composite cylinders. The developed analysis can be applied to the design of modern electrical weapons and used to simulate composite manufacturing processes such as induction cure.Center for Electromechanic

    Influence of realistic parameters on state-of-the-art LWFA experiments

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    We examine the influence of non-ideal plasma-density and non-Gaussian transverse laser-intensity profiles in the laser wakefield accelerator analytically and numerically. We find that the characteristic amplitude and scale length of longitudinal density fluctuations impacts on the final energies achieved by electron bunches. Conditions that minimize the role of the longitudinal plasma density fluctuations are found. The influence of higher order Laguerre-Gaussian laser pulses is also investigated. We find that higher order laser modes typically lead to lower energy gains. Certain combinations of higher order modes may, however, lead to higher electron energy gains.Comment: 16 pages, 6 figures; Accepted for publication in Plasma Physics and Controlled Fusio

    Exploring quantum phase transitions by the cross derivative of the ground state energy

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    In this work, the cross derivative of the Gibbs free energy, initially proposed for phase transitions in classical spin models [Phys. Rev. B 101, 165123 (2020)], is extended for quantum systems. We take the spin-1 XXZ chain with anisotropies as an example to demonstrate its effectiveness and convenience for the Gaussian-type quantum phase transitions therein. These higher-order transitions are very challenging to determine by conventional methods. From the cross derivative with respect to the two anisotropic strengths, a single valley structure is observed clearly in each system size. The finite-size extrapolation of the valley depth shows a perfect logarithmic divergence, signaling the onset of a phase transition. Meanwhile, the critical point and the critical exponent for the correlation length are obtained by a power-law fitting of the valley location in each size. The results are well consistent with the best estimations in the literature. Its application to other quantum systems with continuous phase transitions is also discussed briefly.Comment: 7 pages, 7 figure

    Three-dimensional structure of Rubella virus factories

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    AbstractViral factories are complex structures in the infected cell where viruses compartmentalize their life cycle. Rubella virus (RUBV) assembles factories by recruitment of rough endoplasmic reticulum (RER), mitochondria and Golgi around modified lysosomes known as cytopathic vacuoles or CPVs. These organelles contain active replication complexes that transfer replicated RNA to assembly sites in Golgi membranes. We have studied the structure of RUBV factory in three dimensions by electron tomography and freeze-fracture. CPVs contain stacked membranes, rigid sheets, small vesicles and large vacuoles. These membranes are interconnected and in communication with the endocytic pathway since they incorporate endocytosed BSA-gold. RER and CPVs are coupled through protein bridges and closely apposed membranes. Golgi vesicles attach to the CPVs but no tight contacts with mitochondria were detected. Immunogold labelling confirmed that the mitochondrial protein p32 is an abundant component around and inside CPVs where it could play important roles in factory activities
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