The Permanente Journal/ Summer 2005/ Volume 9 No. 3 Carol Evans, RNP, MS, MA, has worked for ten years as the geriatric nurse practitioner member of the skilled nursing facility team in the Diablo Service Area in the KP Northern California Region. She also practices on a half-time basis in the Neurology Department at KP Hayward as a Parkinson’s disease specialist. E-mail: [email protected]. ...

Capacitated p-median problem (CPMP) is a well-known facility-location problem, in which p capacitated facility points are selected to satisfy n demand points in such a way that the total assigned demand to each facility does not exceed its capacity. Minimizing the total sum of distances between each demand point and its nearest facility point is the objective of the problem. Developing an effic...

Purpose To identify approaches, enablers, barriers and outcomes of facility stillbirth neonatal death audit in low-income middle-income countries (LMICs). Data sources We searched MEDLINE, CINAHL Complete, Academic Search Index, Science Citation Complementary index Global health electronic databases. Study selection Studies were considered eligible when reporting the facility-based LMICs. extra...

Case Presentation A 66-year-old white woman with a 24-year history of SLE presented to our institution with decompensated heart failure. She had no cardiac history until 8 weeks before admission, when she presented to an outside hospital for new-onset heart failure. Other significant medical history included gout, dyslipidemia, hypertension, and SLE first diagnosed in 1986 complicated by World ...

In the oil and gas industry, the pipeline is a major component in the transmission and distribution process of oil and gas. Oil and gas distribution process sometimes performed past the pipeline across the various types of environmental conditions. Therefore, in the transmission and distribution process of oil and gas, a pipeline should operate safely so that it does not harm the surrounding en...

The Kennedy Terminal Ulcer (KTU) is an unavoidable skin breakdown or skin failure that occurs as part of the dying process. Research is limited but the literature suggests that KTUs are typically pear-shaped, red/yellow/black, similar in appearance to an abrasion, and tend to occur suddenly in the sacral/coccygeal region not long before death. In this case study, one resident of a long-term car...

There are many browsers available for internet surfing and user has options to choose anyone providing the maximum facility. Every browser has popularity and limitations. The popularity is related to number of users who prefer a browser over others. Similarly, the limitation relates to excess delay in searching websites, which is browser failure. The browser sharing is a phenomenon which relate...

The failure rate analysis of brake assemblies of a commercial airplane, i.e., Boeing 737, is analyzed using the artificial neural network and Weibull regression models. One-layered feed-forward back-propagation algorithm for artificial neural network whereas three parameters model for Weibull are used for the analysis. Three years of data are used for model building and validation. The results ...

We study the optimal integrated production/inventory policy in a two-echelon supply chain with one manufacturer and one retailer. The manufacturer produces items in her production facility and keeps the Þnished goods in inventory. The manufacturer’s production facility deteriorates with usage and is subject to failure. Under the assumption that the manufacturer has on-line access to the retaile...

| In this paper, we address the problem of network survivability by presenting a uniied approach where the wide-area circuit-switched teletraac network and the underlying transmission facility network are considered simultaneously. We assume the backbone circuit-switched teletraac network to be nonhierarchical with dynamic call routing capabilities. The transmission facility network is consider...