245,623 research outputs found
Officer Ray Mix in front of car
No full textOfficer Ray Mix in police uniform standing in front of a car. Ray Mix was Harry Mix\u27s dad. Courtesy of Colleen Mix
A multilevel integrative approach to hospital case mix and capacity planning.
No full textHospital case mix and capacity planning involves the decision making both on patient volumes that can be taken care of at a hospital and on resource requirements and capacity management. In this research, to advance both the hospital resource efficiency and the health care service level, a multilevel integrative approach to the planning problem is proposed on the basis of mathematical programming modeling and simulation analysis. It consists of three stages, namely the case mix planning phase, the master surgery scheduling phase and the operational performance evaluation phase. At the case mix planning phase, a hospital is assumed to choose the optimal patient mix and volume that can bring the maximum overall financial contribution under the given resource capacity. Then, in order to improve the patient service level potentially, the total expected bed shortage due to the variable length of stay of patients is minimized through reallocating the bed capacity and building balanced master surgery schedules at the master surgery scheduling phase. After that, the performance evaluation is carried out at the operational stage through simulation analysis, and a few effective operational policies are suggested and analyzed to enhance the trade-offs between resource efficiency and service level. The three stages are interacting and are combined in an iterative way to make sound decisions both on the patient case mix and on the resource allocation.Health care; Case mix and capacity planning; Master surgery schedule; Multilevel; Resource efficiency; Service level;
A multi-phase study of contemporary policy and practice in determining nursing skill mix in acute hospitals in Ireland.
No full textThe profession of nursing has undergone significant changes in Ireland in the last decade, within the wider health service reform context. Determining the optimal nursing skill mix for acute hospitals is perceived as important to ensure the efficient use of the nursing workforce in the provision of safe and high quality care. However, the term nursing skill mix, though widely used, is contested, and practices to determine skill mix in acute hospitals in Ireland are poorly understood.
The aim of the study was to examine contemporary policy and practice in determining optimal nursing skill mix in acute hospitals in Ireland. The objectives were to analyse current policy approaches used to determine skill mix nationally and internationally, to examine how the term nursing skill mix is understood and used by managers and policy makers in Ireland and to explore nursing roles in contemporary practice.
A review of national and international policy was undertaken highlighting that despite increasing interest nationally and internationally in various approaches to determining optimal nursing skill mix that there is little evidence base for or standardisation of approaches.
Following this, semi-structured interviews with 54 nursing managers and policy makers were conducted to explore different perspectives on how nursing skill mix is understood and determined in acute hospitals in Ireland.
Themes identified in this study relate to the diversity of influences on skill mix; nursing role ambiguities and inconsistencies in nursing skill mix practices. Results from the quantitative analysis of closed-ended questions confirmed a lack of clarity of who is involved in determining nursing skill mix, the various influential factors and the main principles associated with determining nursing skill mix.
The key conclusions of this study relate to the subjective-objective paradox between the complexity of everyday clinical practice settings and the objective methods proposed to determine skill mix and the macro-micro disconnect of methods and approaches across policy makers and nurse managers. There is a need to integrate the macro-micro and subjective-objective tensions in the development of skill mix policy and practice for nursing in Ireland. Adopting effective skill mix practices will facilitate the effective implementation of key healthcare reforms that optimally utilise the nursing workforce
What is Financial Mix?
No full textFinancial Mix is a complicated crypto buying and selling era that assists customers to carry out trades at the cryptocurrency marketplace. This era is predicated on indicators emitted from the Financial Mix cryptocurrency marketplace to carry out trades at the customers behalf. It is likewise stated to present customers a aggressive benefit in opposition to different investors via way of means of predicting marketplace traits earlier than they happen.
https://www.financialmix.net/
https://www.facebook.com/financialmix
https://www.instagram.com/financialmixapp/
https://www.youtube.com/channel/UCCiQzyDutfREzRjcRIIj9eQ
https://twitter.com/FinancialMix
https://www.pinterest.com/financialmixapp
The Effect of Neighbourhood Housing Tenure Mix on Labour Market Outcomes: A Longitudinal Perspective
No full textThis paper investigates the effect of different levels of neighbourhood housing tenure mix on transitions from unemployment to employment and the probability of staying in employment for those with a job. We used individual level data from the Scottish Longitudinal Study (SLS), a 5.3% sample of the Scottish population, covering a 10 year period. We found a strong negative correlation between living in deprived neighbourhoods and labour market outcomes (getting or keeping a job). We found a small, but significant, positive correlation between living in mixed tenure (40-80% social housing) streets and transitions from unemployment to employment. In the conclusion we discuss the extent to which we think these results can be interpreted as 'neighbourhood effects' or selection effects.tenure mix, neighbourhood effects, labour market transitions, deprivation, longitudinal data, Scotland
Validation of the New Mix Design Process for Cold In-Place Rehabilitation Using Foamed Asphalt, 2007
No full textAsphalt pavement recycling has grown dramatically over the last few years as a viable
technology to rehabilitate existing asphalt pavements. Iowa's current Cold In-place
Recycling (CIR) practice utilizes a generic recipe specification to define the
characteristics of the CIR mixture. As CIR continues to evolve, the desire to place
CIR mixture with specific engineering properties requires the use of a mix design
process. A new mix design procedure was developed for Cold In-place Recycling
using foamed asphalt (CIR-foam) in consideration of its predicted field performance.
The new laboratory mix design process was validated against various Reclaimed
Asphalt Pavement (RAP) materials to determine its consistency over a wide range of
RAP materials available throughout Iowa. The performance tests, which include
dynamic modulus test, dynamic creep test and raveling test, were conducted to
evaluate the consistency of a new CIR-foam mix design process to ensure reliable
mixture performance over a wide range of traffic and climatic conditions. The “lab
designed” CIR will allow the pavement designer to take the properties of the CIR into
account when determining the overlay thickness
Is Financial Mix any reasonable?
No full textFinancial Mix is one of the pleasant frameworks of today. The vehiclemobile purchasing and selling foundation of Financial Mix works by means of algorithmic bots withinside the crypto commercial center and rakes in flourishing income for the financial backers. The robots of the digital money purchasing and selling stage open and close to the purchasing and offering positions at a disturbing speed to remove income sooner than the expense of the crypto effects or unfamiliar trade monetary standards plunges in esteem. The simple and perfect purchasing and selling procedure is one of the intentions why the unfamiliar trade and crypto purchasing and selling machine of Financial Mix is well known all through the globe.
https://www.financialmix.net/
https://www.facebook.com/financialmix
https://www.instagram.com/financialmixapp/
https://www.youtube.com/channel/UCCiQzyDutfREzRjcRIIj9eQ
https://twitter.com/FinancialMix
https://www.pinterest.com/financialmixapp
Knowledge management : a learning mix perspective
No full textHow can an organization define policy for managing its knowledge ? In this article, an integrative model is proposed : the Learning Mix. It consists of 4 interacting facets: Information Technology, Learning Structure, Knowledge Portfolio and Learning Identity.knowledge management; learning; learning model
The influence of recycled asphalt pavement on 20mm binder course mix performance
No full textPaper presented at the 3rd National Symposium on Bridge and Infrastructure Research in Ireland, Dublin, 2006 and at ICAP (International Conference on Asphalt Pavements) conference Quebec, Canada, 2006This paper presents the results of ongoing research on the mechanical performance of a 20mm binder course asphalt pavement mix incorporating recycled asphalt pavement (RAP). A series of binder course mixes were designed containing varying percentages of RAP. A mix made only from virgin material was selected as the control mix for the investigation. The effect of introducing RAP into the binder course mix was evaluated through a series of laboratory tests
including the Marshall Test, Indirect Tensile Stiffness Modulus Test, Indirect Tensile Fatigue Test and Water Sensitivity Test. A Circular Wheel Track (CWT) was developed in order to study the dynamic effects of a rolling wheel travelling over an asphalt pavement. The CWT was commissioned within a temperature controlled room along with a customised Data Acquisition
(DAQ) system. The system involves the testing of rectangular slabs and allows for the investigation of the dynamic tensile strain. The dynamic tensile strain is digitally recorded and the loading effect assessed. The laboratory tests have shown that the introduction of RAP to the binder course mix resulted in an improvement in all mechanical properties. This was also observed in the dynamic tensile strain test.Other funderEnterprise Ireland (ATRP)Conference website no longer available. Conference organiser's website - http://www.bcri.ie/site/view/33/. DG 06/07/10
ti ke SB. 23/7/1
The Fleet Size and Mix vehicle Routing Problem with backhauls: Formulation and Set partitioning-based heuristics
No full textIn this paper we present a new variant of the classical Vehicle Routing Problem – the Fleet Size and Mix Vehicle Routing Problem with Backhauls (FSMVRPB). An ILP formulation of the FSMVRPB is presented. Optimal solutions for small size instances are produced and upper and lower bounds are generated for larger ones. In this paper we also propose a Set Partitioning Problem (SPP) based heuristic. Three frameworks are developed and tested on a set of new FSMVRPB data instances which we generated. Computational results are presented which can be used for future benchmarking
- …
