Levelled bed occupancy and controlled waiting lists using Master surgical schedules

Scheduling surgical patients is one of the complex organizational tasks hospitals face daily. Master surgical scheduling is one way to optimize utilization of scarce resources and to create a more predictable outflow from the operating room towards subsequent hospital departments. The paper addresses two aims. First, we investigate the effect of the length of the planning horizon and other planning parameters in a master surgical scheduling approach on patients ́ waiting time, schedule stability and hospital efficiency. Second, the master surgical scheduling approach is compared with a standard operating room planning approach on levelled bed occupancy. The assignment of patients to a master surgical schedule is carefully described. Using real case data from a regional hospital i

A search for pulsars in subdwarf B binary systems and discovery of giant-pulse emitting PSR J0533-4524

Binary millisecond pulsars (MSPs) provide several opportunities for research of fundamental physics. However, finding them can be challenging. Several subdwarf B (sdB) binary systems with possible neutron star companions have been identified, allowing us to perform a targeted search for MSPs within these systems. Six sdBs with companions in the neutron star mass range, as determined from their optical light curves, were observed with the Green Bank and Westerbork radio telescopes. The data were searched for periodic signals as well as single pulses. No radio pulsations from sdB systems were detected, down to an average sensitivity limit of 0.11 mJy. We did, however, discover a pulsar in the field of sdB HE0532-4503. Follow-up observations with the Giant Metrewave Radio Telescope showed that this pulsar, J0533-4524, is not spatially coincident with the sdB system. The pulsar has a relatively low magnetic field but still emits giant pulses. We place an upper limit of three to the number of radio pulsars in the six sdB systems. The non-detections may be explained by a combination of the MSP beaming fraction, luminosity, and a recycling fraction <0.5. Alternatively, the assumption of co-rotation between the MSP and sdB may break down, which implies the systems are more edge-on than previously thought. This would shift the predicted companion masses into the white dwarf range. It would also explain the relative lack of edge-on sdB systems with massive companions.Comment: 12 pages, 8 figures. Accepted for publication in MNRA

Detection of Bursts from FRB 121102 with the Effelsberg 100-m Radio Telescope at 5 GHz and the Role of Scintillation

FRB 121102, the only repeating fast radio burst (FRB) known to date, was discovered at 1.4 GHz and shortly after the discovery of its repeating nature, detected up to 2.4 GHz. Here we present three bursts detected with the 100-m Effelsberg radio telescope at 4.85 GHz. All three bursts exhibited frequency structure on broad and narrow frequency scales. Using an autocorrelation function analysis, we measured a characteristic bandwidth of the small-scale structure of 6.4$\pm$1.6 MHz, which is consistent with the diffractive scintillation bandwidth for this line of sight through the Galactic interstellar medium (ISM) predicted by the NE2001 model. These were the only detections in a campaign totaling 22 hours in 10 observing epochs spanning five months. The observed burst detection rate within this observation was inconsistent with a Poisson process with a constant average occurrence rate; three bursts arrived in the final 0.3 hr of a 2 hr observation on 2016 August 20. We therefore observed a change in the rate of detectable bursts during this observation, and we argue that boosting by diffractive interstellar scintillations may have played a role in the detectability. Understanding whether changes in the detection rate of bursts from FRB 121102 observed at other radio frequencies and epochs are also a product of propagation effects, such as scintillation boosting by the Galactic ISM or plasma lensing in the host galaxy, or an intrinsic property of the burst emission will require further observations.Comment: Accepted to ApJ. Minor typos correcte

A fast radio burst with a low dispersion measure

Fast radio bursts (FRBs) are millisecond pulses of radio emission of seemingly extragalactic origin. More than 50 FRBs have now been detected, with only one seen to repeat. Here we present a new FRB discovery, FRB 110214, which was detected in the high latitude portion of the High Time Resolution Universe South survey at the Parkes telescope. FRB 110214 has one of the lowest dispersion measures of any known FRB (DM = 168.9$\pm$0.5 pc cm$^{-3}$), and was detected in two beams of the Parkes multi-beam receiver. A triangulation of the burst origin on the sky identified three possible regions in the beam pattern where it may have originated, all in sidelobes of the primary detection beam. Depending on the true location of the burst the intrinsic fluence is estimated to fall in the range of 50 -- 2000 Jy ms, making FRB 110214 one of the highest-fluence FRBs detected with the Parkes telescope. No repeating pulses were seen in almost 100 hours of follow-up observations with the Parkes telescope down to a limiting fluence of 0.3 Jy ms for a 2-ms pulse. Similar low-DM, ultra-bright FRBs may be detected in telescope sidelobes in the future, making careful modeling of multi-beam instrument beam patterns of utmost importance for upcoming FRB surveys.Comment: 8 pages, 3 figures, accepted for publication in MNRA

Behavioral determinants as predictors of return to work after long-term sickness absence: an application of the theory of planned behavior

Background The aim of this prospective, longitudinal cohort study was to analyze the association between the three behavioral determinants of the theory of planned behavior (TPB) model-attitude, subjective norm and self-efficacy-and the time to return-to-work (RTW) in employees on long-term sick leave. Methods The study was based on a sample of 926 employees on sickness absence (maximum duration of 12 weeks). The employees filled out a baseline questionnaire and were subsequently followed until the tenth month after listing sick. The TPB-determinants were measured at baseline. Work attitude was measured with a Dutch language version of the Work Involvement Scale. Subjective norm was measured with a self-structured scale reflecting a person's perception of social support and social pressure. Self-efficacy was measured with the three subscales of a standardised Dutch version of the general self-efficacy scale (ALCOS): willingness to expend effort in completing the behavior, persistence in the face of adversity, and willingness to initiate behavior. Cox proportional hazards regression analyses were used to identify behavioral determinants of the time to RTW. Results Median time to RTW was 160 days. In the univariate analysis, all potential prognostic factors were significantly associated (P < 0.15) with time to RTW: work attitude, social support, and the three subscales of self-efficacy. The final multivariate model with time to RTW as the predicted outcome included work attitude, social support and willingness to expend effort in completing the behavior as significant predictive factors. Conclusions This prospective, longitudinal cohort-study showed that work attitude, social support and willingness to expend effort in completing the behavior are significantly associated with a shorter time to RTW in employees on long-term sickness absence. This provides suggestive evidence for the relevance of behavioral characteristics in the prediction of duration of sickness absence. It may be a promising approach to address the behavioral determinants in the development of interventions focusing on RTW in employees on long-term sick leave

The Apertif Surveys:The First Six Months

Apertif is a new phased-array feed for the Westerbork Synthesis Radio Telescope (WSRT), greatly increasing its field of view and turning it into a natural survey instrument. In July 2019, the Apertif legacy surveys commenced; these are a time-domain survey and a two-tiered imaging survey, with a shallow and medium-deep component. The time-domain survey searches for new (millisecond) pulsars and fast radio bursts (FRBs). The imaging surveys provide neutral hydrogen (HI), radio continuum and polarization data products. With a bandwidth of 300 MHz, Apertif can detect HI out to a redshift of 0.26. The key science goals to be accomplished by Apertif include localization of FRBs (including real-time public alerts), the role of environment and interaction on galaxy properties and gas removal, finding the smallest galaxies, connecting cold gas to AGN, understanding the faint radio population, and studying magnetic fields in galaxies. After a proprietary period, survey data products will be publicly available through the Apertif Long Term Archive (ALTA, https://alta.astron.nl). I will review the progress of the surveys and present the first results from the Apertif surveys, including highlighting the currently available public data