Using Discrete Event Simulation (DES) to manage theatre operations in healthcare: An audit-based case study

This paper discusses the application of Discrete Event Simulation (DES) in modelling the complex relationship between patient types, case-mix and operating theatre allocation in a large National Health Service (NHS) Trust in London. The simulation model that was constructed described the main features of nine theatres, focusing on operational processes and patient throughput times. The model was used to test three scenarios of case-mix and to demonstrate the potential of using simulation modelling as a cost effective method for understanding the issues of healthcare operations management and the role of simulation techniques in problem solving. The results indicated that removing all day cases will reduce patient throughput by 23.3% and the utilization of the orthopaedic theatre in particular by 6.5%. This represents a case example of how DES can be used by healthcare managers to inform decision making. © 2008 IEEE.

Temporal behaviour of marine landing in Karnataka 2. Seasonal patterns

Seasonal patterns of 21 fisheries in Karnataka (after isolation from time-series components) are presented. Depending on the pattern of seasonal fluctuation in landings, 19 fisheries have been grouped into five patterns, A, B, C, D and E. Ribbon fishes and 'other clupeids' did not exhibit any significant seasonal pattern. Pattern A with highest landings in the 4th quarter (October to December), followed by the 1, 2 and 3 quarters, is the most common in 10 species/groups (comprising 78% of the total landings). Harmonic analysis has been carried out using the seasonal indices.

On the arrival time, waiting time to unload, unloading time and waiting time for departure for purse seiners at Mangalore landing centre

Fifty four purse-seine boats at Mangalore landing centre were observed during different stages of unloading fish catch. It was found that a boat takes 75% of the berthing time to unload an average quantity of 2.4 tons of fish. Further, unloading period and catch were found to be directly related where it was estimated that 5 to 7 minutes are spent in unloading about half a ton of fish to a nearby tempo by employing 9 ± 2 laborers.

Mud crab hatchery and nursery operations

A brief account is given of mud crab (Scylla spp) farming activities in the Philippines. The expanding market for mud crab is the cause of intensified collection of wild juveniles. To counter the threat to wild population and ensure the sustainability of mud crab farming, there is a need to produce juveniles in hatcheries. Hatchery and nursery operations, and investment costs/returns are outlined.

Economic impacts of globalisation at the district, landing site and sub-sector enterprise levels on Lakes Kyoga, Albert and Victoria

The Globalisation and fish utilisation and marketing study is a collaboration between the Fisheries Resources Research Institute (FIRRI) and the Mike Dillon Associates Limited , with funding from the Department for International Development (DFID) of the Government of the United Kingdom. The study is designed to examine the impact of the development of the export fishery on the fish producers, processors, traders and consumers in the artisanal fishery in Uganda. FIRRI 's role is to collect field data relating to the livelihoods of artisanal fish producers, processors, traders and consumers. in particular data relating to income and revenue flow. The initial focus is on the eccnomic structure of fish landing sites. The purpose of this paper is to review the progress in implementation of the project and present the interim findings for discussion. During the first quarter, namely April to June, 2002, work was carried out on Lakes Kyoga and Albert and a report produced. During the second quarter, July to September, 2002, Lake Victoria was covered. In both phases, the focus has been on the economic structure of fish landings.

Tools for Assessing the Responsiveness of Existing Production Operations

A set of audit tools is being prepared for assessing the response capability of a production operation, as part of an EPSRC1 funded investigation into improving the responsiveness of manufacturing production systems. These tools are based on the idea that the ability to respond is linked to i) the nature of the disturbances or changes requiring a response, ii) their impact on production goals and iii) the decision processes which initiate system responses to disturbances.

Managing global network operations along the engineering value chain

Purpose: This paper aims to improve understanding of how to manage global network operations from an engineering perspective. Design/methodology/approach: This research adopted a theory building approach based on case studies. Grounded in the existing literature, the theoretical framework was refined and enriched through nine in-depth case studies in the industry sectors of aerospace, automotives, defence and electrics and electronics. Findings: This paper demonstrates the main value creation mechanisms of global network operations along the engineering value chain. Typical organisational features to support the value creation mechanisms are captured, and the key issues in engineering network design and operations are presented with an overall framework. Practical implications: Evidenced by a series of pilot applications, outputs of this research can help companies to improve the performance of their current engineering networks and design new engineering networks to better support their global businesses and customers in a systematic way. Originality/value: Issues about the design and operations of global engineering networks (GEN) are poorly understood in the existing literature in contrast to their apparent importance in value creation and realisation. To address this knowledge gap, this paper introduces the concept of engineering value chain to highlight the potential of a value chain approach to the exploration of engineering activities in a complex business context. At the same time, it develops an overall framework for managing GEN along the engineering value chain. This improves our understanding of engineering in industrial value chains and extends the theoretical understanding of GEN through integrating the engineering network theories and the value chain concepts. © Emerald Group Publishing Limited.