Such an alarming statement has not been challenged---in fact it is even more widely accepted today. Indeed, throughout wealthy countries (Organisation for Economic Cooperation and Development) we hear the same kind of systemic problems: • many doctors are disgruntled, overworked and professionally unsatisfied; • nurses are restless and in short supply; • popular demands for more health spending...

The group abstraction is a crucial element in the support provided by middleware platforms. Application areas such as CSCW, dependable systems or media dissemination can take advantage of groups to facilitate the communication and management of the several end-points participating in the application. Although there have been proposals for the provision of groups in CORBA and other middleware pl...

The biomedical literature is increasing rapidly, but most information retrieval systems for biomedicine are not what we really expect. In general, users suffer from exactly specifying what they want to the information retrieval systems, thereby getting back unsatisfied results from these systems. In this paper, we proposed PubMed Smarter that improves the effectiveness of information retrieval ...

To solve many-objective routing problems, this paper generalizes the Multi-Objective Ant Colony System (MOACS) algorithm, a well-known Multi-Objective Ant Colony Optimization (MOACO) metaheuristic proposed in 2003. This Generalized MOACS algorithm is used to solve a Split-Delivery/Mixed-Fleet Vehicle Routing Problem (SD/MFVRP) under different constraints, resulting from the mathematical modelli...

Outcome Compliance was estimated by physician and parents and scored poorly in 5.5%, fair in 30.8%, and good in 61% (Unknown 2%). Progressive alterations in shape by adding pads to increase lordosis at the TL joint and bending the sternal support backward were done a mean of 5.1 times by the orthotist. No skin sores were reported. 58.2% and 26.4% were respectively satisfied or very satisfied wi...

Heterogeneous servers, in manufacturing and service systems, may have different speeds and different quality levels for the provided service or good. For a two-server queueing model, we formulate the routing problem of minimizing a weighted sum of the expected time in the system and the throughput of unsatisfied customers. Using a Markov decision process approach, we prove that the optimal rout...

We discuss the problem of providing a security architecture for global sensing applications which are distributed in nature and which allow for a variety of different sensing tasks. We propose to make use of data security policies tagged to data or resources generating, processing, or consuming data on a sensing device. These policies are used to feed an automated information flow analysis proc...

PurposeThis report aims to describe the surgical technique of using a reversed distal clavicle locking plate achieve fixation across sternoclavicular (SC) joint, and functional pain outcomes operative treatment medial fracture non-union. We hypothesized that this would facilitate bony healing improve function in patients with clavicular non-union.ResultsAge at time surgery ranged from 37-71 yea...

The observations of hour-glass sector zoning from four selected clinopyroxenes in undersaturated lavas best fit a model in which the sector zoning is formed due to a structural requirement in a growth direction normal to {IOO} where a high concentration of silicate units, required to build the silicate chains, is unsatisfied. In these sectors AI substitutes for Si, the charge balance being main...

In this paper a two level supply chain system is studied, in which the final demand is assumed to be fuzzy with triangular membership function. The inventory control policy of (r,Q) is followed for this system and unsatisfied demand is assumed to be back ordered. The objective is to minimize the total cost of the system, including ordering, holding and shortage costs. The model happens to be a ...