Patient classification system: An integrated method for measuring nursing intensity and optimizing resource allocation

A patient classification system was developed integrating a patient acuity instrument with a computerized nursing distribution method based on a linear programming model. The system was designed for real-time measurement of patient acuity (workload) and allocation of nursing personnel to optimize the utilization of resources.^ The acuity instrument was a prototype tool with eight categories of patients defined by patient severity and nursing intensity parameters. From this tool, the demand for nursing care was defined in patient points with one point equal to one hour of RN time. Validity and reliability of the instrument was determined as follows: (1) Content validity by a panel of expert nurses; (2) predictive validity through a paired t-test analysis of preshift and postshift categorization of patients; (3) initial reliability by a one month pilot of the instrument in a practice setting; and (4) interrater reliability by the Kappa statistic.^ The nursing distribution system was a linear programming model using a branch and bound technique for obtaining integer solutions. The objective function was to minimize the total number of nursing personnel used by optimally assigning the staff to meet the acuity needs of the units. A penalty weight was used as a coefficient of the objective function variables to define priorities for allocation of staff.^ The demand constraints were requirements to meet the total acuity points needed for each unit and to have a minimum number of RNs on each unit. Supply constraints were: (1) total availability of each type of staff and the value of that staff member (value was determined relative to that type of staff's ability to perform the job function of an RN (i.e., value for eight hours RN = 8 points, LVN = 6 points); (2) number of personnel available for floating between units.^ The capability of the model to assign staff quantitatively and qualitatively equal to the manual method was established by a thirty day comparison. Sensitivity testing demonstrated appropriate adjustment of the optimal solution to changes in penalty coefficients in the objective function and to acuity totals in the demand constraints.^ Further investigation of the model documented: correct adjustment of assignments in response to staff value changes; and cost minimization by an addition of a dollar coefficient to the objective function. ^

Distributed Rate Allocation in Inter-Session Network Coding

In this work, we propose a distributed rate allocation algorithm that minimizes the average decoding delay for multimedia clients in inter-session network coding systems. We consider a scenario where the users are organized in a mesh network and each user requests the content of one of the available sources. We propose a novel distributed algorithm where network users determine the coding operations and the packet rates to be requested from the parent nodes, such that the decoding delay is minimized for all clients. A rate allocation problem is solved by every user, which seeks the rates that minimize the average decoding delay for its children and for itself. Since this optimization problem is a priori non-convex, we introduce the concept of equivalent packet flows, which permits to estimate the expected number of packets that every user needs to collect for decoding. We then decompose our original rate allocation problem into a set of convex subproblems, which are eventually combined to obtain an effective approximate solution to the delay minimization problem. The results demonstrate that the proposed scheme eliminates the bottlenecks and reduces the decoding delay experienced by users with limited bandwidth resources. We validate the performance of our distributed rate allocation algorithm in different video streaming scenarios using the NS-3 network simulator. We show that our system is able to take benefit of inter-session network coding for simultaneous delivery of video sessions in networks with path diversity.

Ocean acidification induces multi-generational decline in copepod naupliar production with possible conflict for reproductive resource allocation

Climate change, including ocean acidification (OA), presents fundamental challenges to marine biodiversity and sustained ecosystem health. We determined reproductive response (measured as naupliar production), cuticle composition and stage specific growth of the copepod Tisbe battagliai over three generations at four pH conditions (pH 7.67, 7.82, 7.95, and 8.06). Naupliar production increased significantly at pH 7.95 compared with pH 8.06 followed by a decline at pH 7.82. Naupliar production at pH 7.67 was higher than pH 7.82. We attribute the increase at pH 7.95 to an initial stress response which was succeeded by a hormesis-like response at pH 7.67. A multi-generational modelling approach predicted a gradual decline in naupliar production over the next 100 years (equivalent to approximately 2430 generations). There was a significant growth reduction (mean length integrated across developmental stage) relative to controls. There was a significant increase in the proportion of carbon relative to oxygen within the cuticle as seawater pH decreased. Changes in growth, cuticle composition and naupliar production strongly suggest that copepods subjected to OA-induced stress preferentially reallocate resources towards maintaining reproductive output at the expense of somatic growth and cuticle composition. These responses may drive shifts in life history strategies that favour smaller brood sizes, females and perhaps later maturing females, with the potential to profoundly destabilise marine trophodynamics.

Counting, scoring and classifying hunger to allocate resources targeted to solve the problem

A proper allocation of resources targeted to solve hunger is essential to optimize the efficacy of actions and maximize results. This requires an adequate measurement and formulation of the problem as, paraphrasing Einstein, the formulation of a problem is essential to reach a solution. Different measurement methods have been designed to count, score, classify and compare hunger at local level and to allow comparisons between different places. However, the alternative methods produce significantly reach different results. These discrepancies make decisions on the targeting of resource allocations difficult. To assist decision makers, a new method taking into account the dimension of hunger and the coping capacities of countries, is proposed enabling to establish both geographical and sectoral priorities for the allocation of resources.

Counting, scoring and classifying hunger to allocate resources targeted to solve the problem

A proper allocation of resources targeted to solve hunger is essential to optimize the efficacy of actions and maximize results. This requires an adequate measurement and formulation of the problem as, paraphrasing Einstein, the formulation of a problem is essential to reach a solution. Different measurement methods have been designed to count, score, classify and compare hunger at local level and to allow comparisons between different places. However, the alternative methods reach significantly different results. These discrepancies make decisions on the targeting of resource allocations difficult. To assist decision makers, a new method taking into account the dimension of hunger and the coping capacities of countries is proposed enabling to establish both geographical and sectoral priorities for the allocation of resources

Carbon allocation in north-western Amazon forests (Colombia)

Los estudios sobre la asignación del carbono en los ecosistemas forestales proporcionan información esencial para la comprensión de las diferencias espaciales y temporales en el ciclo del carbono de tal forma que pueden aportar información a los modelos y, así predecir las posibles respuestas de los bosques a los cambios en el clima. Dentro de este contexto, los bosques Amazónicos desempeñan un papel particularmente importante en el balance global del carbono; no obstante, existen grandes incertidumbres en cuanto a los controles abióticos en las tasas de la producción primaria neta (PPN), la asignación de los productos de la fotosíntesis a los diferentes componentes o compartimentos del ecosistema (aéreo y subterráneo) y, cómo estos componentes de la asignación del carbono responden a eventos climáticos extremos. El objetivo general de esta tesis es analizar los componentes de la asignación del carbono en bosques tropicales maduros sobre suelos contrastantes, que crecen bajo condiciones climáticas similares en dos sitios ubicados en la Amazonia noroccidental (Colombia): el Parque Natural Nacional Amacayacu y la Estación Biológica Zafire. Con este objetivo, realicé mediciones de los componentes de la asignación del carbono (biomasa, productividad primaria neta, y su fraccionamiento) a nivel ecosistémico y de la dinámica forestal (tasas anuales de mortalidad y reclutamiento), a lo largo de ocho años (20042012) en seis parcelas permanentes de 1 hectárea establecidas en cinco tipos de bosques sobre suelos diferentes (arcilloso, franco-arcilloso, franco-arcilloso-arenoso, franco-arenoso y arena-francosa). Toda esta información me permitió abordar preguntas específicas que detallo a continuación. En el Capítulo 2 evalúe la hipótesis de que a medida que aumenta la fertilidad del suelo disminuye la cantidad del carbono asignado a la producción subterránea (raíces finas con diámetro <2 mm). Y para esto, realicé mediciones de la masa y la producción de raíces finas usando dos métodos: (1) el de los cilindros de crecimiento y, (2) el de los cilindros de extracción secuencial. El monitoreo se realizó durante 2.2 años en los bosques con suelos más contrastantes: arcilla y arena-francosa. Encontré diferencias significativas en la masa de raíces finas y su producción entre los bosques y, también con respecto a la profundidad del suelo (010 y 1020 cm). El bosque sobre arena-francosa asignó más carbono a las raíces finas que el bosque sobre arcillas. La producción de raíces finas en el bosque sobre arena-francosa fue dos veces más alta (media ± error estándar = 2.98 ± 0.36 y 3.33 ± 0.69 Mg C ha1 año1, con el método 1 y 2, respectivamente), que para el bosque sobre arcillas, el suelo más fértil (1.51 ± 0.14, método 1, y desde 1.03 ± 0.31 a 1.36 ± 0.23 Mg C ha1 año1, método 2). Del mismo modo, el promedio de la masa de raíces finas fue tres veces mayor en el bosque sobre arena-francosa (5.47 ± 0.17 Mg C ha1) que en el suelo más fértil (de 1.52 ± 0.08 a 1.82 ± 0.09 Mg C ha1). La masa de las raíces finas también mostró un patrón temporal relacionado con la lluvia, mostrando que la producción de raíces finas disminuyó sustancialmente en el período seco del año 2005. Estos resultados sugieren que los recursos del suelo pueden desempeñar un papel importante en los patrones de la asignación del carbono entre los componentes aéreo y subterráneo de los bosques tropicales; y que el suelo no sólo influye en las diferencias en la masa de raíces finas y su producción, sino que también, en conjunto con la lluvia, sobre la estacionalidad de la producción. En el Capítulo 3 estimé y analicé los tres componentes de la asignación del carbono a nivel del ecosistema: la biomasa, la productividad primaria neta PPN, y su fraccionamiento, en los mismos bosques del Capítulo 2 (el bosque sobre arcillas y el bosque sobre arena-francosa). Encontré diferencias significativas en los patrones de la asignación del carbono entre los bosques; el bosque sobre arcillas presentó una mayor biomasa total y aérea, así como una PPN, que el bosque sobre arena-francosa. Sin embargo, la diferencia entre los dos bosques en términos de la productividad primaria neta total fue menor en comparación con las diferencias entre la biomasa total de los bosques, como consecuencia de las diferentes estrategias en la asignación del carbono a los componentes aéreo y subterráneo del bosque. La proporción o fracción de la PPN asignada a la nueva producción de follaje fue relativamente similar entre los dos bosques. Nuestros resultados de los incrementos de la biomasa aérea sugieren una posible compensación entre la asignación del carbono al crecimiento de las raíces finas versus el de la madera, a diferencia de la compensación comúnmente asumida entre la parte aérea y la subterránea en general. A pesar de estas diferencias entre los bosques en términos de los componentes de la asignación del carbono, el índice de área foliar fue relativamente similar entre ellos, lo que sugiere que el índice de área foliar es más un indicador de la PPN total que de la asignación de carbono entre componentes. En el Capítulo 4 evalué la variación espacial y temporal de los componentes de la asignación del carbono y la dinámica forestal de cinco tipos e bosques amazónicos y sus respuestas a fluctuaciones en la precipitación, lo cual es completamente relevante en el ciclo global del carbono y los procesos biogeoquímicos en general. Estas variaciones son así mismo importantes para evaluar los efectos de la sequía o eventos extremos sobre la dinámica natural de los bosques amazónicos. Evalué la variación interanual y la estacionalidad de los componentes de la asignación del carbono y la dinámica forestal durante el periodo 2004−2012, en cinco bosques maduros sobre diferentes suelos (arcilloso, franco-arcilloso, franco-arcilloso-arenoso, franco-arenoso y arena-francosa), todos bajo el mismo régimen local de precipitación en la Amazonia noroccidental (Colombia). Quería examinar sí estos bosques responden de forma similar a las fluctuaciones en la precipitación, tal y como pronostican muchos modelos. Consideré las siguientes preguntas: (i) ¿Existe una correlación entre los componentes de la asignación del carbono y la dinámica forestal con la precipitación? (ii) ¿Existe correlación entre los bosques? (iii) ¿Es el índice de área foliar (LAI) un indicador de las variaciones en la producción aérea o es un reflejo de los cambios en los patrones de la asignación del carbono entre bosques?. En general, la correlación entre los componentes aéreo y subterráneo de la asignación del carbono con la precipitación sugiere que los suelos juegan un papel importante en las diferencias espaciales y temporales de las respuestas de estos bosques a las variaciones en la precipitación. Por un lado, la mayoría de los bosques mostraron que los componentes aéreos de la asignación del carbono son susceptibles a las fluctuaciones en la precipitación; sin embargo, el bosque sobre arena-francosa solamente presentó correlación con la lluvia con el componente subterráneo (raíces finas). Por otra parte, a pesar de que el noroeste Amazónico es considerado sin una estación seca propiamente (definida como <100 mm meses −1), la hojarasca y la masa de raíces finas mostraron una alta variabilidad y estacionalidad, especialmente marcada durante la sequía del 2005. Además, los bosques del grupo de suelos francos mostraron que la hojarasca responde a retrasos en la precipitación, al igual que la masa de raíces finas del bosque sobre arena-francosa. En cuanto a la dinámica forestal, sólo la tasa de mortalidad del bosque sobre arena-francosa estuvo correlacionada con la precipitación (ρ = 0.77, P <0.1). La variabilidad interanual en los incrementos en el tallo y la biomasa de los individuos resalta la importancia de la mortalidad en la variación de los incrementos en la biomasa aérea. Sin embargo, las tasas de mortalidad y las proporciones de individuos muertos por categoría de muerte (en pie, caído de raíz, partido y desaparecido), no mostraron tendencias claras relacionadas con la sequía. Curiosamente, la hojarasca, el incremento en la biomasa aérea y las tasas de reclutamiento mostraron una alta correlación entre los bosques, en particular dentro del grupo de los bosques con suelos francos. Sin embargo, el índice de área foliar estimado para los bosques con suelos más contrastantes (arcilla y arena-francosa), no presentó correlación significativa con la lluvia; no obstante, estuvo muy correlacionado entre bosques; índice de área foliar no reflejó las diferencias en la asignación de los componentes del carbono, y su respuesta a la precipitación en estos bosques. Por último, los bosques estudiados muestran que el noroeste amazónico es susceptible a fenómenos climáticos, contrario a lo propuesto anteriormente debido a la ausencia de una estación seca propiamente dicha. ABSTRACT Studies of carbon allocation in forests provide essential information for understanding spatial and temporal differences in carbon cycling that can inform models and predict possible responses to changes in climate. Amazon forests play a particularly significant role in the global carbon balance, but there are still large uncertainties regarding abiotic controls on the rates of net primary production (NPP) and the allocation of photosynthetic products to different ecosystem components; and how the carbon allocation components of Amazon forests respond to extreme climate events. The overall objective of this thesis is to examine the carbon allocation components in old-growth tropical forests on contrasting soils, and under similar climatic conditions in two sites at the Amacayacu National Natural Park and the Zafire Biological Station, located in the north-western Amazon (Colombia). Measurements of above- and below-ground carbon allocation components (biomass, net primary production, and its partitioning) at the ecosystem level, and dynamics of tree mortality and recruitment were done along eight years (20042012) in six 1-ha plots established in five Amazon forest types on different soils (clay, clay-loam, sandy-clay-loam, sandy-loam and loamy-sand) to address specific questions detailed in the next paragraphs. In Chapter 2, I evaluated the hypothesis that as soil fertility increases the amount of carbon allocated to below-ground production (fine-roots) should decrease. To address this hypothesis the standing crop mass and production of fine-roots (<2 mm) were estimated by two methods: (1) ingrowth cores and, (2) sequential soil coring, during 2.2 years in the most contrasting forests: the clay-soil forest and the loamy-sand forest. We found that the standing crop fine-root mass and its production were significantly different between forests and also between soil depths (0–10 and 10–20 cm). The loamysand forest allocated more carbon to fine-roots than the clay-soil forest, with fine-root production in the loamy-sand forest twice (mean ± standard error = 2.98 ± 0.36 and 3.33 ± 0.69 Mg C ha −1 yr −1, method 1 and 2, respectively) as much as for the more fertile claysoil forest (1.51 ± 0.14, method 1, and from 1.03 ± 0.31 to 1.36 ± 0.23 Mg C ha −1 yr −1, method 2). Similarly, the average of standing crop fine-root mass was three times higher in the loamy-sand forest (5.47 ± 0.17 Mg C ha1) than in the more fertile soil (from 1.52 ± 0.08 a 1.82 ± 0.09 Mg C ha1). The standing crop fine-root mass also showed a temporal pattern related to rainfall, with the production of fine-roots decreasing substantially in the dry period of the year 2005. These results suggest that soil resources may play an important role in patterns of carbon allocation of below-ground components, not only driven the differences in the biomass and its production, but also in the time when it is produced. In Chapter 3, I assessed the three components of stand-level carbon allocation (biomass, NPP, and its partitioning) for the same forests evaluated in Chapter 2 (clay-soil forest and loamy-sand forest). We found differences in carbon allocation patterns between these two forests, showing that the forest on clay-soil had a higher aboveground and total biomass as well as a higher above-ground NPP than the loamy-sand forest. However, differences between the two types of forests in terms of stand-level NPP were smaller, as a consequence of different strategies in the carbon allocation of above- and below-ground components. The proportional allocation of NPP to new foliage production was relatively similar between the two forests. Our results of aboveground biomass increments and fine-root production suggest a possible trade-off between carbon allocation to fine-roots versus wood growth (as it has been reported by other authors), as opposed to the most commonly assumed trade-off between total above- and below-ground production. Despite these differences among forests in terms of carbon allocation components, the leaf area index showed differences between forests like total NPP, suggesting that the leaf area index is more indicative of total NPP than carbon allocation. In Chapter 4, I evaluated the spatial and temporal variation of carbon allocation components and forest dynamics of Amazon forests as well as their responses to climatic fluctuations. I evaluated the intra- and inter-annual variation of carbon allocation components and forest dynamics during the period 2004−2012 in five forests on different soils (clay, clay-loam, sandy-clay-loam, sandy-loam and loamy-sand), but growing under the same local precipitation regime in north-western Amazonia (Colombia). We were interested in examining if these forests respond similarly to rainfall fluctuations as many models predict, considering the following questions: (i) Is there a correlation in carbon allocation components and forest dynamics with precipitation? (ii) Is there a correlation among forests? (iii) Are temporal responses in leaf area index (LAI) indicative of variations of above-ground production or a reflection of changes in carbon allocation patterns among forests?. Overall, the correlation of above- and below-ground carbon allocation components with rainfall suggests that soils play an important role in the spatial and temporal differences of responses of these forests to rainfall fluctuations. On the one hand, most forests showed that the above-ground components are susceptible to rainfall fluctuations; however, there was a forest on loamy-sand that only showed a correlation with the below-ground component (fine-roots). On the other hand, despite the fact that north-western Amazonia is considered without a conspicuous dry season (defined as <100 mm month−1), litterfall and fine-root mass showed high seasonality and variability, particularly marked during the drought of 2005. Additionally, forests of the loam-soil group showed that litterfall respond to time-lags in rainfall as well as and the fine-root mass of the loamy-sand forest. With regard to forest dynamics, only the mortality rate of the loamy-sand forest was significantly correlated with rainfall (77%). The observed inter-annual variability of stem and biomass increments of individuals highlighted the importance of the mortality in the above-ground biomass increment. However, mortality rates and death type proportion did not show clear trends related to droughts. Interestingly, litterfall, above-ground biomass increment and recruitment rates of forests showed high correlation among forests, particularly within the loam-soil forests group. Nonetheless, LAI measured in the most contrasting forests (clay-soil and loamysand) was poorly correlated with rainfall but highly correlated between forests; LAI did not reflect the differences in the carbon allocation components, and their response to rainfall on these forests. Finally, the forests studied highlight that north-western Amazon forests are also susceptible to climate fluctuations, contrary to what has been proposed previously due to their lack of a pronounced dry season.

Strategic Water Resources in Central Asia: in search of a new international legal order. EUCAM Policy Brief No. 14, May 2010

The allocation and use of the water resources of Central Asia is one of the most difficult issues to arise out of the break-up of the Soviet Union. How should the waters of the great Central Asian rivers, the Syr Darya and Amu Darya, be used? To generate much needed hydropower electricity in the mountainous countries in which they arise? Or for irrigation in the energy-rich downstream countries? The aim of this paper is to describe the basic problem and the efforts undertaken both by the Central Asian states and the international community, including the EU, to seek a resolution. It traces recent developments relating to the planned construction of dams, the modification of energy supplies and the periodic issue of increasingly bellicose statements from the capitals of the region. Finally it looks into the challenge for establishing a modern international legal order to govern the region's strategic water resources.

Draft priorities manual : proposals for integration of the priorities & allocation system.

"30 April 1948."

How federal policies affect the allocation of water /

"August 2006."

Evaluation of incremental allocation alternatives for the prevention of significant deterioration in Illinois /

Project no. 10.096.

Lake Michigan water allocation study /

"Project number 1300.013."

Benefits of all work and no play: The relationship between neuroticism and performance as a function of resource allocation

The authors evaluate a model suggesting that the performance of highly neurotic individuals, relative to their stable counterparts, is more strongly influenced by factors relating to the allocation of attentional resources. First, an air traffic control simulation was used to examine the interaction between effort intensity and scores on the Anxiety subscale of Eysenck Personality Profiler Neuroticism in the prediction of task performance. Overall effort intensity enhanced performance for highly anxious individuals more so than for individuals with low anxiety. Second, a longitudinal field study was used to examine the interaction between office busyness and Eysenck Personality Inventory Neuroticism in the prediction of telesales performance. Changes in office busyness were associated with greater performance improvements for highly neurotic individuals compared with less neurotic individuals. These studies suggest that highly neurotic individuals outperform their stable counterparts in a busy work environment or if they are expending a high level of effort.

A complex systems approach to the value of ecological resources

A theory of value sits at the core of every school of economic thought and directs the allocation of resources to competing uses. Ecological resources complicate the modem neoclassical approach to determining value due to their complex nature, considerable non-market values and the difficulty in assigning property rights. Application of the market model through economic valuation only provides analytical solutions based on virtual markets, and neither the demand nor supply-side techniques of valuation can adequately consider the complex set of biophysical and ecological relations that lead to the provision of ecosystem goods and services. This paper sets out a conceptual framework for a complex systems approach to the value of ecological resources. This approach is based on there being both an intrinsic quality of ecological resources and a subjective evaluation by the consumer. Both elements are necessary for economic value. This conceptual framework points the way towards a theory of value that incorporates both elements, so has implications for principles by which ecological resources can be allocated. (c) 2005 Elsevier B.V. All rights reserved.

Optimization of facility location-allocation problem in customer-driven supply chain

This paper develops and applies an integrated multiple criteria decision making approach to optimize the facility location-allocation problem in the contemporary customer-driven supply chain. Unlike the traditional optimization techniques, the proposed approach, combining the analytic hierarchy process (AHP) and the goal programming (GP) model, considers both quantitative and qualitative factors, and also aims at maximizing the benefits of deliverer and customers. In the integrated approach, the AHP is used first to determine the relative importance weightings or priorities of alternative locations with respect to both deliverer oriented and customer oriented criteria. Then, the GP model, incorporating the constraints of system, resource, and AHP priority is formulated to select the best locations for setting up the warehouses without exceeding the limited available resources. In this paper, a real case study is used to demonstrate how the integrated approach can be applied to deal with the facility location-allocation problem, and it is proved that the integrated approach outperforms the traditional costbased approach.