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Simulation Of Surgical Anesthesia Team Configurations, Arnold Reisman, Hamilton Emmons, J.S. Gravenstein, F. J. Staub, Phiroz P. Darukhanavala, Thomas George, C. Lin, John J. Rasmussen Sep 1974

Simulation Of Surgical Anesthesia Team Configurations, Arnold Reisman, Hamilton Emmons, J.S. Gravenstein, F. J. Staub, Phiroz P. Darukhanavala, Thomas George, C. Lin, John J. Rasmussen

Research Reports from the Department of Operations

A research group, comprised of faculty and graduate students from the School of Medicine and from the Department of Operations Research, Case Western Reserve University, investigated ways to alleviate the shortage and maldistribution of surgical anesthesiologists. The three project stages were: survey and detailed analysis of data gathered at the Veteran's Administration Hospital of Cleveland; the construction and validation of a computer simulation model to study with speed, economy and non-human experimentation alternative practice modes; and the establishing of methodology for selecting an optimal anesthesia team configuration. The methodology provides design charts involving trade-offs between alternative personnel configurations and a …


Applications Of Operations Research To A Check Processing System, Joseph A. Svestka Aug 1974

Applications Of Operations Research To A Check Processing System, Joseph A. Svestka

Research Reports from the Department of Operations

The subject of this thesis is the check processing system of a large commercial bank. The scientific method of analysis and synthesis are employed to identify the important aspects of the problem, to define the models, and their inter-relationships. The thesis also includes a discussion of the important aspects of solution implementation and evaluation. The system is neither viewed nor treated as a collection of separate problems but as a coherent set of interactive problems, involving a myriad of constraints, inter-relationships, and sometimes contradictory objectives. The mathematical models employed include the only available (to date) M-salesman traveling salesman algorithm, a …


Minimal Spanning Trees With Ratio Criterion, R. Chandrasekaran Aug 1974

Minimal Spanning Trees With Ratio Criterion, R. Chandrasekaran

Research Reports from the Department of Operations

The minimal spanning tree problem is well known, and efficient algorithms exist for solving this problem. One of these algorithms has been called a "greedy" algorithm by Edmonds, who has also described the full potential of such an algorithm. In this paper, we consider a slightly modified objective function. We show that the greedy algorithm does not work for this modified problem, even if it is modified in a suitable way. First we provide a characterization for an optimal tree, which is an extension of a condition found in [2] for the minimal spanning tree problem. This gives us an …


A Car Pooling Problem, R. Chandrasekaran, S. Subba Rao Jun 1974

A Car Pooling Problem, R. Chandrasekaran, S. Subba Rao

Research Reports from the Department of Operations

There are N persons in an organization who are potential candidates for car pooling. Subjective estimates of (i) the probability that individual, i, breaks the pool he is in on any given day and (ii) the conditional probability that he will take his car to work, given that he has broken his pool on any given day, are available. Breaking or missing the pool occurs when a person is late, or has to go elsewhere or is ill, etc. Thus, missing the pool is a random event. A person's decision to take his own car instead of the pool also …


Optimal Selection Of Students For Awarding Financial Aid, R. Chandrasekaran, S. Subba Rao Jun 1974

Optimal Selection Of Students For Awarding Financial Aid, R. Chandrasekaran, S. Subba Rao

Research Reports from the Department of Operations

Most academic departments in universities are faced with the problem of selecting candidates for awarding limited financial aid. In many institutions, there are two levels of aid: (i) graduate assistantships that pay a larger amount and (ii) tuition fellowships which pay only tuition, and hence a lesser amount. The limitation on available aid makes the problem of selecting the right candidates a difficult and interesting one. Even when aid is given, the event that a student joins a department is only probabilistic, due to competition from other schools. However, it seems realistic to assume that the probability that a student …


A Computer Based Information System For International Tax Planning, Arnold Reisman, Robert Reich Apr 1974

A Computer Based Information System For International Tax Planning, Arnold Reisman, Robert Reich

Research Reports from the Department of Operations

This paper describes a logical framework for the storage and retrieval of tax-related information, about twenty countries, for use in corporate decision making. A hands-on information retrieval system was designed which management can have access to and depend on without the aid of a technical intermediary. This results in a quick and reliable mechanism (via computer terminal) for data retrieval. Once complete and exact, this database will form the foundation for many different models in the area of international business.


Economic Analysis Applied To The Practice Of Dentistry, Arnold Reisman, Hamilton Emmons, Edward J. Green, Keki R. Dadachanji, Shailesh J. Mehta, Susumu Morito Feb 1974

Economic Analysis Applied To The Practice Of Dentistry, Arnold Reisman, Hamilton Emmons, Edward J. Green, Keki R. Dadachanji, Shailesh J. Mehta, Susumu Morito

Research Reports from the Department of Operations

This paper describes one aspect of a general methodology for the management of a dental practice; in general and in particular, of one involving Expanded Duty Dental Auxiliaries. The aspect of concern in this paper centers on the economic analysis of practice management. Thus, the paper presents both an algebraic statement of the economic analysis and a set of forms (similar in format to the International Revenue Service 1040 forms) which can be used to respond to the following questions: (1) Given a patient load and mix, a practice configuration (i.e., the number of operatories and of workers of each …


Computer Simulation Of Scheduling In A Dental Practice Involving Expanded Duty Dental Auxiliaries, Arnold Reisman, Hamilton Emmons, Edward J. Green, Ronald Occhionero, Shailesh J. Mehta, Susumu Morito, Keki R. Dadachanji Feb 1974

Computer Simulation Of Scheduling In A Dental Practice Involving Expanded Duty Dental Auxiliaries, Arnold Reisman, Hamilton Emmons, Edward J. Green, Ronald Occhionero, Shailesh J. Mehta, Susumu Morito, Keki R. Dadachanji

Research Reports from the Department of Operations

This paper discusses computer aided comparisons of performance of alternative policies for patients and workers scheduling in a practice involving expanded duty dental auxiliaries. The comparisons are made in terms of net earnings, total number of patients served, worker utilization etc., using computer based simulation. Pre-determined scheduling is proved to be an efficient method under a wide range of conditions. Construction of the predetermined chart is also described, along with two programs written in FORTRAN IV to construct and then test such charts.


A General Model For Measuring And Analyzing The Risk Of Sustaining Clothing Burn Injuries, Phiroz P. Darukhanavala, Jerome Barancik, Arnold Reisman Feb 1974

A General Model For Measuring And Analyzing The Risk Of Sustaining Clothing Burn Injuries, Phiroz P. Darukhanavala, Jerome Barancik, Arnold Reisman

Research Reports from the Department of Operations

During the past twenty-five years, the etiology and treatment of burn injuries have been widely studied in the United States. A number of these studies have suggested that the type of clothing worn by an individual plays a vital part in determining the extent and severity of a significant percentage of burn injuries. These studies have not adequately defined the criteria necessary to promulgate standards for protection against burn injuries. We believe that an accurate and reliable estimate of relative risk will provide an essential criterion for specifying the level of hazard associated with clothing system pyrolysis. Since clothing is …


Economic And Management Considerations In The Practice Of Team Dentistry, Arnold Reisman, Hamilton Emmons, Shailesh J. Mehta, Keki R. Dadachanji, Edward J. Green, Ronald Occhionero, Susumu Morito Jan 1974

Economic And Management Considerations In The Practice Of Team Dentistry, Arnold Reisman, Hamilton Emmons, Shailesh J. Mehta, Keki R. Dadachanji, Edward J. Green, Ronald Occhionero, Susumu Morito

Research Reports from the Department of Operations

This paper explores the evolving landscape of dentistry, emphasizing the need for management skills and the application of Operations Research (OR) to enhance operational efficiency. With the advent of Expanded Duty Dental Auxiliaries (EDDAs), the complexity of dental practice management has increased, necessitating refined scheduling methods and effective workforce allocation. The collaboration between the School of Dentistry and the Department of Operations Research at Case Western Reserve University highlights the importance of OR in addressing scheduling and cost analysis challenges. The paper also discusses the introduction of forecasting techniques and management games to improve dental education, allowing future practitioners to …


A Multinational Plant Capacity Expansion Planning Model, Emmanuel Constantine Kondylis Jan 1974

A Multinational Plant Capacity Expansion Planning Model, Emmanuel Constantine Kondylis

Research Reports from the Department of Operations

The objective of this research is to develop a systematic procedure for evaluating alternative capacity expansion decisions in a multinational environment when considering explicitly both tangible and intangible factors. A mathematical programming decision model is developed to select those countries and production levels that maximize expected utility, considering all possible alternatives. Consideration of intangible factors in the form of an environmental value is investigated. A regression model predicts the environmental value of a country from a set of fundamental causal factors derived through factor analysis. The environmental value is incorporated into a return on investment index which forms the expected …


A Social System Measurement Model, Allan L. Service Jan 1974

A Social System Measurement Model, Allan L. Service

Research Reports from the Department of Operations

This study examines the challenges and complexities of applying operations research (O.R.) techniques to decision-making in social, political, and human service organizations. Unlike military and industrial systems, these organizations are marked by non-hierarchical structures, qualitative constraints, and the absence of straightforward optimization objectives. The research focuses on developing criterion functions to evaluate the impact of proposed decisions, a critical need for successful O.R. applications. Using the Jewish Community Federation of Cleveland as a case study, a measurement model is developed to quantify throughput, quality, and value within the context of human services systems. The model integrates input, process, and output …


Pops A Program Oriented Planning System For Academic Health Centers, Kenneth Lee Kutina Jan 1974

Pops A Program Oriented Planning System For Academic Health Centers, Kenneth Lee Kutina

Research Reports from the Department of Operations

In recent years, because of the enormous financial pressure under which most universities have found themselves coupled with almost climactic national pressure from the public and politicians alike to increase the supply of physicians, much attention has been focused on the costs and managerial capabilities of the nation's academic health centers. In the cost arena the concern has been the determination of meaningful program costs -- that is, separation to the extent possible of costs associated with the major output programs of research, patient service, and education and within the education area, the separation of the costs of producing M.D.'s …


Anesthesiology Manpower Planning Study Phase Iii - Final Report, Arnold Reisman, F. J. Staub, Hamilton Emmons, Burton V. Dean, Cornelis A. De Kluyver, M. Lin, Thomas George, John J. Rasmussen, Phiroz P. Darukhanavala, J. S. Gravenstein Jan 1974

Anesthesiology Manpower Planning Study Phase Iii - Final Report, Arnold Reisman, F. J. Staub, Hamilton Emmons, Burton V. Dean, Cornelis A. De Kluyver, M. Lin, Thomas George, John J. Rasmussen, Phiroz P. Darukhanavala, J. S. Gravenstein

Research Reports from the Department of Operations

This document outlines the progress and proposed work in a project focused on anesthesia services in Cuyahoga County, Ohio. It includes projections of the demand for anesthesia services and the supply of anesthesiologists up to 1980, using various models such as demand extrapolation, regression models, and expert opinions. The chapter details the classification of anesthesia-related tasks and personnel, the development of a patient condition scale for surgical risk assessment, and the design of optimal anesthesia teams. It also discusses the economic analysis of team configurations, computer simulations of operating room practices, and the use of telemedicine for remote anesthesiologist consultations.


A Preliminary Total Cost Model For Primary Journals, Burton V. Dean Jan 1974

A Preliminary Total Cost Model For Primary Journals, Burton V. Dean

Research Reports from the Department of Operations

This study is concerned with indentifying the principal cost components associated with the production, documentation, and utilization of U.S. Scientific journals. The approach developed in this study is based upon a systems description of the scientific journal as a flow of information from the initial generation of useful knowledge to the preparation of reports and papers, submission to and processing by journals, including production and distribution, and ultimate use by libraries and individuals. Costs of each system component are identified to the extent available in the published literature and within the time and effort available for this study. The study …


Analysis Of Feedback Models Of Higher Education Degree Production, Alfred R. Michenzi Jan 1974

Analysis Of Feedback Models Of Higher Education Degree Production, Alfred R. Michenzi

Research Reports from the Department of Operations

This paper is concerned with the development of optimal solutions to manpower planning problems. The dynamic flow model of the higher educational system as proposed by Reisman and Taft was modified for more tractable computer simulation. The model considered, treats people as the only flow variable. The model follows the flow of people from one educational level to the next and within one level it follows the flow from one sector to the next, (the three sectors considered are students, professionals and faculty sectors). Real population data for the period 1957 through 1968 was used in the simulation. The results …


Simulation Of Obstetrical Anesthesia Team Configurations Managerial Report, Arnold Reisman, W. Cull, Hamilton Emmons, Burton V. Dean, C. Lin, John J. Rasmussen, Phiroz P. Darukhanavala, Thomas George, J. S. Gravenstein Dec 1973

Simulation Of Obstetrical Anesthesia Team Configurations Managerial Report, Arnold Reisman, W. Cull, Hamilton Emmons, Burton V. Dean, C. Lin, John J. Rasmussen, Phiroz P. Darukhanavala, Thomas George, J. S. Gravenstein

Research Reports from the Department of Operations

A research group, comprised of faculty and graduate students from the School of Medicine and from the Department of Operations Research of Case Western Reserve University, investigated ways to alleviate the shortage of anesthesiologists in obstetric practices. The nationwide problem is acknowledged by, and the project was sponsored by the Maternal and Child Health Division of the U.S. Department of Health, Education, and Welfare. The three project stages were: survey and detailed analysis of the existing situation in one region of the United States, the construction and validation of a computer simulation model to study alternative practice modes with speed, …


Survey Of Obstetrical Anesthesiology Practices And Attitudes In Hospitals In Cuyahoga County, Ohio, Arnold Reisman, John J. Rasmussen, W. Cull, Hamilton Emmons, Burton V. Dean, Phiroz P. Darukhanavala, Thomas George, Chien-Hua Lin, J. S. Gravenstein Dec 1973

Survey Of Obstetrical Anesthesiology Practices And Attitudes In Hospitals In Cuyahoga County, Ohio, Arnold Reisman, John J. Rasmussen, W. Cull, Hamilton Emmons, Burton V. Dean, Phiroz P. Darukhanavala, Thomas George, Chien-Hua Lin, J. S. Gravenstein

Research Reports from the Department of Operations

This report presents findings from surveys conducted by the Obstetrical Anesthesia Manpower Planning study, Case Western Reserve University, and the Cleveland Committee on Anesthesiology. The study focused on obstetric anesthesia practices in Cuyahoga County, Ohio, exploring current practices, administrative perceptions of anesthesiologists' assistants, and attitudes of anesthesiologists, obstetricians, and nurse anesthetists regarding their roles in obstetrics. Questionnaires were sent to hospital administrators and anesthesiology department directors at 20 hospitals, gathering insights into professional employability and involvement. Due to a small sample size, nurse anesthetist data was excluded. Responses are analyzed by audience group across four chapters, with a final chapter …


Simulation Of Obstetrical Anesthesia Team Configurations, Arnold Reisman, W. Cull, Hamilton Emmons, Burton V. Dean, C. Lin, John J. Rasmussen, Phiroz P. Darukhanavala, Thomas George, J. S. Gravenstein Dec 1973

Simulation Of Obstetrical Anesthesia Team Configurations, Arnold Reisman, W. Cull, Hamilton Emmons, Burton V. Dean, C. Lin, John J. Rasmussen, Phiroz P. Darukhanavala, Thomas George, J. S. Gravenstein

Research Reports from the Department of Operations

A research group, comprised of faculty and graduate students from the School of Medicine and from the Department of Operations Research of Case Western Reserve University, investigated ways to alleviate the shortage of anesthesiologists in obstetric practices. The nationwide problem is acknowledged by, and the project was sponsored by the Maternal and Child Health Division of the U.S. Department of Health, Education, and Welfare. The three project stages were: survey and detailed analysis of the existing situation in one region of the United States, the construction and validation of a computer simulation model to study alternative practice modes with speed, …


University Parking Demand Study, Michael Baum, Don Begley, Joel Brandon, Burton V. Dean, Clara Gulyas, Keith Kundo, Harsh Manglik, S. Subba Rao, Phyllus Selders, Ram Shankaran, Laura Washington Nov 1973

University Parking Demand Study, Michael Baum, Don Begley, Joel Brandon, Burton V. Dean, Clara Gulyas, Keith Kundo, Harsh Manglik, S. Subba Rao, Phyllus Selders, Ram Shankaran, Laura Washington

Research Reports from the Department of Operations

This report analyzes parking permit and visitor parking demand to assess their impact on future parking facility plans at the University. Using statistical methods to identify trends and the DELPHI Method to estimate future demand, the study also incorporates questionnaire data to determine visitor destinations and compares Case Western Reserve University's parking availability and fees to peer institutions. Recommendations are provided regarding the need for new parking facilities and potential improvements to parking services for the University community


Optimal Design Of Acoustic Sonar Transducer Arrays, Leon S. Lasdon, Allan D. Waren, Dan Suchman Nov 1973

Optimal Design Of Acoustic Sonar Transducer Arrays, Leon S. Lasdon, Allan D. Waren, Dan Suchman

Research Reports from the Department of Operations

A problem in engineering design is formulated and solved as a nonlinear optimization problem. The problem is to design an array of sonar acoustic transducers. Design parameters are the locations of the transducers, and their amplitude shading coefficients and phase delays. The objective is to choose values for these parameters so that the directivity pattern of the array has a narrow main lobe and minimal minor lobe levels. The problem is solved by an interior penalty function method. Results are presented which show significant improvement of the directivity pattern for 2 test problems. A final section discusses the effects varying …


Cost Effectiveness Study Of Two Experimental Programs At A Major Public Hospital, Burton V. Dean, Arnold Reisman, Phiroz P. Darukhanavala, C. Egyhazy Nov 1973

Cost Effectiveness Study Of Two Experimental Programs At A Major Public Hospital, Burton V. Dean, Arnold Reisman, Phiroz P. Darukhanavala, C. Egyhazy

Research Reports from the Department of Operations

This report presents a Cost-Effectiveness Evaluation Study performed at a Major Public Hospital in the Cleveland Area. The purpose of this study was to evaluate two experimental programs instituted in 1973. The cost-effectiveness evaluation model is developed and applied to the two experimental programs - Clinic '68' and Admission. Prior to the development of the model a complete systems description was prepared. The model contains cost and effectiveness factors, which are evaluated individually and combined, according to their relative importance, into a single cost-effectiveness value. This methodology has the characteristic of being transferable to other health care program evaluations. Methods …


Predicting Registered Nurse Labor Turnover, Marylou Kiley, S. Subba Rao Oct 1973

Predicting Registered Nurse Labor Turnover, Marylou Kiley, S. Subba Rao

Research Reports from the Department of Operations

As a result of the study of the length of service of 360 resigned and 360 currently employed registered nurses in a single general hospital in Cleveland, a Markov chain model is developed which predicts on the average the proportion of employees who leave and the proportion of employees who stay over any number of monthly time periods. While the Markov chain is a discrete time Markov process, the model has a time dependent feature. The transition probability matrix can be updated and accuracy will improve. This approach can be easily operationalized given the historical data regarding the total number …


Nonlinear Optimization Using The Generalized Reduced Gradient Method, Leon S. Lasdon, Richard L. Fox, Margery W. Ratner Oct 1973

Nonlinear Optimization Using The Generalized Reduced Gradient Method, Leon S. Lasdon, Richard L. Fox, Margery W. Ratner

Research Reports from the Department of Operations

Generalized Reduced Gradient methods are algorithms for solving nonlinear programs of general structure. This paper discusses the basic principles of GRG, and constructs a specific GRG algorithm. The logic of a computer program implementing this algorithm is presented by means of flow charts and discussion. A numerical example is given to illustrate the functioning of this program.


Market Survey For The Cleveland Zoological Park, Burton V. Dean, Hamilton Emmons, Keki R. Dadachanji Oct 1973

Market Survey For The Cleveland Zoological Park, Burton V. Dean, Hamilton Emmons, Keki R. Dadachanji

Research Reports from the Department of Operations

As Phase I of a market research study of the Cleveland Zoological Park, the socio-economic and demographic characteristics of the zoo visitor, actual and potential, have been investigated during the summer of 1973 through a series of on-site and telephone interviews. Further, the visitors opinions were solicited on various zoo-related subjects. Phase II, planned for 1974, will follow up with a series of controlled experiments and innovations seeking ways to increase both attendance and revenue. The results of Phase I are reported in this paper. The following visitor information has been collected and analyzed: geographic distribution, identity of decision-maker, frequency …


Some Results For A Special Non-Stationary Markov Chain, S. Subba Rao Sep 1973

Some Results For A Special Non-Stationary Markov Chain, S. Subba Rao

Research Reports from the Department of Operations

In this report we consider a nonstationary Markov chain whose transition probabilities vary periodically in time. Such a Markov chain is in between a stationary and completely nonstationary chains. Such chains can be used to model stochastic situations where seasonalities or other such periodic phenomena are present. The structure of the process is examined in terms of the transition probability matrices for each period.


A Method For Screening Student Applications For Award Of Financial Aid, S. Subba Rao, N. Mohan Aug 1973

A Method For Screening Student Applications For Award Of Financial Aid, S. Subba Rao, N. Mohan

Research Reports from the Department of Operations

The objectives of the present study are the following: 1) To study the profile of a student who declined the offer of admission (with or without financial aid). 2) To study the profile of a student who accepted the offer of admission (with or without aid) and joined the Department of Operations Research. 3) To discriminate between the above two types of students in (2) and (3). 4) To suggest how information in (3) can be used to make financial aid awards.


Bimatrix Markovian Decision Processes And Stochastic Ratio Games, Vijaykumar V. Aggarwal Aug 1973

Bimatrix Markovian Decision Processes And Stochastic Ratio Games, Vijaykumar V. Aggarwal

Research Reports from the Department of Operations

Markov decision processes and stochastic games have been considered in this dissertation. An infinite planning horizon is assumed. Both discounted and undiscounted cash flows have been treated. In Markov decision process, a two-dimensional reward structure is considered and the objective criterion is to maximize the rate of return. It has been shown that a pure stationary optimal policy exists, whenever the rewards are finite and, in particular, the investment part of cash flow is positive. In the case of discounted cash flows, the optimal policy depends on the initial state the process is in. Finite algorithms have been proposed to …


A Decision Model Of The Countdown Process, Burton V. Dean Aug 1973

A Decision Model Of The Countdown Process, Burton V. Dean

Research Reports from the Department of Operations

This paper examines two key decision problems in the countdown process: determining which tests and operations should be performed, and establishing their optimal sequence and duration. The authors posit that while potential actions can be enumerated at the start of the countdown, the actual sequence will depend on the system's state during the process. The paper aims to develop a methodology for solving these decision problems, viewing them as an adaptive process. Various modeling approaches are discussed, including game-theoretic models using "trees" to illustrate different countdown strategies, and search theory to find optimal action sequences. The authors also mention considering …


A Counter Example In Location Theory, R. Chandrasekaran Aug 1973

A Counter Example In Location Theory, R. Chandrasekaran

Research Reports from the Department of Operations

This note settles an open question posed in [1] concerning certain location problems. An example is provided to show that some intuitive ideas are not true.