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Preference based scheduling for medical residents and interns at the University of Virginia 弗吉尼亚大学住院医师和实习生的偏好调度
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549503
K. Ryan, S. Pruksaritanon, A. Reber, P. Aman, K. P. White, M. Smith, Sung Nam Hwang
At the University of Virginia (UVa) Hospital, medical residents and interns serve month-long rotations through different medical specialties. The competing considerations governing the annual assignment and scheduling of rotations are complex, including hospital staffing requirements, individual preferences for specialties and holidays, breadth of exposure, and externally imposed regulations on duty hours. In this paper, we describe the development of a fully-integrated software system that relieves the chief resident in internal medicine from the difficult and time-consuming task of manual schedule preparation. The system features online data collection, storage, and retrieval and incorporates Gurobi linear solver for optimal schedule generation. The system has been demonstrated to yield schedules that are at least as good as (and often superior to) those developed manually, at an annual savings of more than two-hundred hours of professional time. With minor customization, the system could be applied to hospitals across the country, potentially saving millions of dollars, improving the quality of both graduate medical education and overall patient care.
在弗吉尼亚大学(UVa)医院,住院医生和实习生在不同的医学专业进行为期一个月的轮岗。支配年度分配和轮换安排的相互竞争的考虑因素是复杂的,包括医院人员配备要求、个人对专业和假期的偏好、接触的广度以及外部强加的值班时间规定。在本文中,我们描述了一个完全集成的软件系统的开发,该系统将内科总住院医师从手工准备时间表的困难和耗时的任务中解脱出来。该系统具有在线数据收集、存储和检索的特点,并结合了Gurobi线性求解器,用于最优调度生成。该系统已被证明产生的时间表至少与手工制定的时间表一样好(并且通常优于),每年节省200多个小时的专业时间。只要稍加定制,这套系统就可以应用到全国各地的医院,有可能节省数百万美元,提高研究生医学教育和整体病人护理的质量。
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引用次数: 3
Risk analysis of hurricane disruptions on workforce and interdependent regional sectors 飓风对劳动力和相互依赖的区域部门造成破坏的风险分析
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549491
Rehman Akhtar, Joost R. Santos
In today's society, infrastructure and economic systems have become more complex and highly coupled. Natural disasters, such as hurricanes, have the potential to cause physical disruptions to an infrastructure system (e.g., a damaged highway), which consequently affects workforce availability. Workforce disruptions in the aftermath of a hurricane can adversely impact regional economic productivity as workforce contributes significantly in the production of commodities and delivery of services. Furthermore, the recovery process is further exacerbated by the inherent interdependencies among economic sectors, which give rise to direct and indirect economic losses in the affected regional economy. This paper investigates the effects of reduced workforce levels on the production outputs of industry sectors in the aftermath of a hurricane. The risk-based framework in this research allows the decomposition of risk assessment and risk management processes to address risk-related questions pertaining to hurricane scenarios. This paper develops a workforce recovery model to assess workforce disruption scenarios in the aftermath of a hurricane. This is accomplished by accounting regional data and historical scenarios associated with the formulation of the workforce disruption model. The process includes translating workforce absenteeism into production losses, noting that workforce absenteeism can affect the quality and availability of products and services provided by the industry sectors. The extended methodology is capable of identifying critical workforce sectors on the basis of two metrics: (i) inoperability, which measures the “normalized loss” of each sector as a proportion of its total production output; and (ii) economic loss, which measures the monetary worth of the reduced production of an industry sector. The enhancements to the DIIM formulation are incorporated into a decision support tool and then applied to a case study to implement various hurricane scenarios for the Commonwealth of Virginia. The objective of the case study is to illustrate the impacts of different hurricane categories on Virginia's workforce availability and its cascading effects to the regional economy. Furthermore, the identification of such critical sectors supports the decision-making process by narrowing the focus on sectors that incur the greatest production losses due to workforce unavailability. Given the uncertainty involved in modeling the reductions in workforce availability, this research offers a risk-based framework that can guide the process of assessing and managing hurricane impacts on regional interdependent systems.
在当今社会,基础设施和经济系统变得更加复杂和高度耦合。自然灾害,如飓风,有可能对基础设施系统造成物理破坏(例如,损坏的高速公路),从而影响劳动力的可用性。飓风后的劳动力中断可能对区域经济生产力产生不利影响,因为劳动力在商品生产和服务提供方面发挥着重要作用。此外,各经济部门之间固有的相互依存关系进一步加剧了复苏进程,这给受影响的区域经济造成了直接和间接的经济损失。本文研究了飓风后劳动力水平降低对工业部门生产产出的影响。本研究基于风险的框架允许对风险评估和风险管理过程进行分解,以解决与飓风情景有关的风险相关问题。本文开发了一个劳动力恢复模型来评估飓风后劳动力中断的情景。这是通过计算与劳动力中断模型的制定相关的区域数据和历史情景来完成的。这一过程包括将劳动力缺勤转化为生产损失,并指出劳动力缺勤会影响工业部门提供的产品和服务的质量和可用性。扩展的方法能够根据两个指标确定关键的劳动力部门:(i)不可操作性,衡量每个部门的“正常损失”占其总产量的比例;(ii)经济损失,衡量一个工业部门减少生产的货币价值。对DIIM公式的改进被纳入决策支持工具,然后应用于案例研究,以实现弗吉尼亚州的各种飓风情景。案例研究的目的是说明不同飓风类别对弗吉尼亚州劳动力可用性的影响及其对区域经济的级联效应。此外,对这些关键部门的识别有助于决策过程,因为它缩小了对那些由于缺乏劳动力而造成最大生产损失的部门的关注范围。考虑到劳动力可用性减少建模的不确定性,本研究提供了一个基于风险的框架,可以指导评估和管理飓风对区域相互依存系统影响的过程。
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引用次数: 7
Effective design and operation of disassembly and renovation work areas 有效的设计和操作拆卸和翻新工作区域
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549516
S. AlMusallam, N. McGinness, F. Mello, J. Teav
The market of used and renovated parts offers quality components purchased for extending the life of heavy-duty trucks. Dex Truck Parts of Floyd, Virginia disassembles Class-8 (gross weight of ≥33000 lb.) trucks for salvaged parts and desires to expand the current operations as well as enter the business of parts renovation. Disassembly of heavy-duty trucks involves teardown to base components, and often down more to parts level. Renovation of parts involves inspection and, if needed, repair of fit, form, and function with the goal of extending their lifetime. This paper describes a thorough investigation of Dex's current methods, used to develop design recommendations that satisfy the need for efficient flows and high productivity. The recommendations included the base requirements necessary to satisfy the client's needs of 500 annual trucks disassembles and renovation of parts. The design process incorporated modeling and analysis of the disassembly and renovation work areas in the presence of uncertainty. Flexibility of the layout was important due to the uncertain conditions of incoming trucks. This paper provided Dex Truck Parts with the following results: (i) process map of renovation and precedence diagram of truck disassembly, (ii) layout of disassembly and renovation work areas, (iii) list of tools and material handling devices for both operations, and (iv) thorough evaluation of the final proposed design. These deliverables are provided to the client to facilitate the planned expansion of the business.
二手和翻新零件市场提供优质的部件,以延长重型卡车的使用寿命。Dex Truck Parts of Floyd, Virginia为回收零件拆卸8级(总重≥33000磅)卡车,并希望扩大现有业务并进入零件翻新业务。重型卡车的拆卸涉及到基本部件的拆卸,通常更深入到零件层面。零件的翻新包括检查,如果需要,还包括对配合、形状和功能的修复,目的是延长零件的使用寿命。本文描述了对Dex当前方法的彻底调查,用于开发满足高效流程和高生产率需求的设计建议。这些建议包括满足客户每年500辆卡车拆解和零件翻新的基本要求。设计过程中对存在不确定性的拆卸和改造工作区域进行了建模和分析。由于进站卡车的不确定条件,布局的灵活性非常重要。本文为Dex Truck Parts提供了以下结果:(1)改造流程图和卡车拆卸优先图,(2)拆卸和改造工作区域布局,(3)两种操作的工具和物料搬运设备清单,(4)对最终建议设计的全面评估。向客户提供这些可交付成果是为了促进计划中的业务扩展。
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引用次数: 1
Risk analysis of Unmanned Aerial Vehicle hijacking and methods of its detection 无人机劫持风险分析及检测方法
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549509
M. S. Faughnan, B. J. Hourican, G. Macdonald, M. Srivastava, J. Wright, Y. Haimes, E. Andrijcic, Zhenyu Guo, J. White
The Federal Aviation Administration (FAA) is in the process of integrating Unmanned Aerial Vehicles (UAVs) into the National Airspace System (NAS) through the Next Generation Air Transportation System (NextGen). A critical component of integrating UAVs into the NAS is the timely identification and mitigation of cyber attacks that could overtake control of a UAV, without the UAV operator's knowledge of a security breach. In an effort to address this risk, this paper aims to achieve two objectives: (i) identify risks of cyber attacks on a UAV and (ii) create a methodology through which UAV operators are informed of such a security breach. The results of this study are intended to support the MITRE Corporation's efforts to identify and control risks associated with UAV integration into the NAS. To achieve the first objective the Capstone team utilized established risk assessment methodologies to identify risk scenarios and filter those scenarios into a manageable list. To achieve the second objective the team developed a methodology that measures the UAV velocity through two on-board systems and any significant difference in the two measures indicates a potential security breach. The team designed and performed an experiment using car movement to simulate UAV flight and performed statistical analysis on the results of the experiment. This contributed to a framework for determining a detection threshold for an alarm system to indicate a UAV may have been hijacked. The threshold accounts for a minimum difference between the two calculations of the velocity data and the duration of time in which this difference occurs, which can be calibrated to minimize Type I (false positive) and Type II (false negative) errors. The recommendation to the MITRE Corporation will contribute to the ongoing efforts to securely integrate UAVs into the NAS.
美国联邦航空管理局(FAA)正在通过下一代航空运输系统(NextGen)将无人机(uav)集成到国家空域系统(NAS)中。将无人机集成到NAS的一个关键组成部分是及时识别和缓解可能超过无人机控制的网络攻击,而无人机操作员不知道安全漏洞。为了解决这一风险,本文旨在实现两个目标:(i)识别无人机网络攻击的风险;(ii)创建一种方法,通过该方法,无人机操作员可以获知此类安全漏洞。该研究的结果旨在支持MITRE公司识别和控制与无人机集成到NAS相关的风险。为了实现第一个目标,Capstone团队利用已建立的风险评估方法来识别风险场景,并将这些场景过滤成可管理的列表。为了实现第二个目标,该团队开发了一种方法,通过两个机载系统测量无人机速度,两种测量方法的任何显著差异都表明存在潜在的安全漏洞。团队设计并进行了利用汽车运动模拟无人机飞行的实验,并对实验结果进行了统计分析。这有助于确定警报系统检测阈值的框架,以指示无人机可能已被劫持。阈值解释了两次速度数据计算之间的最小差异以及这种差异发生的持续时间,可以对其进行校准,以尽量减少第一类(假阳性)和第二类(假阴性)误差。向MITRE公司提出的建议将有助于将无人机安全地集成到NAS中。
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引用次数: 48
Input-output modeling with stochastic extensions: An application to an influenza pandemic scenario 具有随机扩展的输入-输出建模:在流感大流行情景中的应用
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549508
A. El Haimar, J. Santos
Disasters such as influenza pandemics can disrupt the operations of interdependent infrastructure and economic sectors, and consequently lead to significant economic losses. The magnitude of such consequences depends on the type, size, and activity of the economic sector. Moreover, the magnitude of such consequences depends on the degree of interdependencies between the economic sectors. This paper presents a simulation and analysis of the impacts of such a disaster on the economic sectors in a given region. We introduce a stochastic simulation model based on the dynamic inoperability input-output model (DIIM) to model the cascading effects of a disruptive event in the U.S. National Capital Region (NCR). The analysis conducted in this work is based on the 2009 H1N1 pandemic data. Two metrics were used to assess the impacts of the influenza pandemic on sectors: (i) inoperability, which is a measure of the percentage gap between the as-planned output and the actual output, and (ii) economic loss, which is a measure of the monetary value of the degraded output. The inoperability and economic loss metrics generate two different rankings of the economic sectors. Findings show that most of the critical sectors in terms of inoperability are sectors that are related to hospitals and healthcare-related providers. On the other hand, most of the sectors that are critically ranked in terms of economic loss are sectors with significant production outputs in the NCR region such as federal government agencies. Therefore, policy recommendations relating to potential mitigation and recovery strategies should take into account the balance between the inoperability and economic loss metrics.
流感大流行等灾害可破坏相互依存的基础设施和经济部门的运作,从而造成重大经济损失。这种后果的严重程度取决于经济部门的类型、规模和活动。此外,这种后果的严重程度取决于经济部门之间相互依赖的程度。本文模拟和分析了这种灾害对特定地区经济部门的影响。本文引入了一个基于动态不可操作性投入产出模型(DIIM)的随机模拟模型来模拟美国国家首都地区(NCR)破坏性事件的级联效应。在这项工作中进行的分析是基于2009年H1N1大流行数据。用于评估流感大流行对各部门影响的两个指标是:(i)不可操作性,这是衡量计划产出与实际产出之间百分比差距的指标;(ii)经济损失,这是衡量降低产出的货币价值的指标。不可操作性和经济损失指标产生了两种不同的经济部门排名。调查结果表明,就不可操作性而言,大多数关键部门都是与医院和医疗保健相关提供者相关的部门。另一方面,在经济损失方面排名靠前的大多数部门都是NCR地区具有重要生产产出的部门,如联邦政府机构。因此,有关潜在缓解和恢复战略的政策建议应考虑到不可操作性和经济损失指标之间的平衡。
{"title":"Input-output modeling with stochastic extensions: An application to an influenza pandemic scenario","authors":"A. El Haimar, J. Santos","doi":"10.1109/SIEDS.2013.6549508","DOIUrl":"https://doi.org/10.1109/SIEDS.2013.6549508","url":null,"abstract":"Disasters such as influenza pandemics can disrupt the operations of interdependent infrastructure and economic sectors, and consequently lead to significant economic losses. The magnitude of such consequences depends on the type, size, and activity of the economic sector. Moreover, the magnitude of such consequences depends on the degree of interdependencies between the economic sectors. This paper presents a simulation and analysis of the impacts of such a disaster on the economic sectors in a given region. We introduce a stochastic simulation model based on the dynamic inoperability input-output model (DIIM) to model the cascading effects of a disruptive event in the U.S. National Capital Region (NCR). The analysis conducted in this work is based on the 2009 H1N1 pandemic data. Two metrics were used to assess the impacts of the influenza pandemic on sectors: (i) inoperability, which is a measure of the percentage gap between the as-planned output and the actual output, and (ii) economic loss, which is a measure of the monetary value of the degraded output. The inoperability and economic loss metrics generate two different rankings of the economic sectors. Findings show that most of the critical sectors in terms of inoperability are sectors that are related to hospitals and healthcare-related providers. On the other hand, most of the sectors that are critically ranked in terms of economic loss are sectors with significant production outputs in the NCR region such as federal government agencies. Therefore, policy recommendations relating to potential mitigation and recovery strategies should take into account the balance between the inoperability and economic loss metrics.","PeriodicalId":145808,"journal":{"name":"2013 IEEE Systems and Information Engineering Design Symposium","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126788232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating preparedness and resilience initiatives for distressed populations vulnerable to disasters in Rio de Janeiro, Brazil 评估在巴西里约热内卢为易受灾害影响的贫困人口提供的准备和复原力举措
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549494
Bernardo K. Bittencourt, M. P. Cannabrava, T. K. Del Rosario, M. Hamilton, M. Kampmann, J. McGrath, B. B. Ribeiro, J. O. Gomes, J. Lambert
Floods and landslides have caused devastation and high mortality rates in favela populations in Brazil in recent years. Public agencies of Brazil have increased efforts to improve emergency management. This paper describes an effort using systems analysis and cognitive engineering to improve the design and implementation of mobile command centers for resilience of favela populations vulnerable to natural and man-made disasters in Rio de Janeiro. The effort is described in four parts: (i) Requirements analysis for emergency management with a focus on the populations of favelas, (ii) Exercises with favela populations for projecting future behaviors in emergencies, (iii) Testing of agency priorities for sensitivity to the behaviors of the distressed populations, (iv) Refinement of system designs for on-site disaster response and resilience. The results of the effort include: new systems engineering requirements related to the special needs of distressed populations in the favelas; insights to the various behaviors of children, teenagers, and adults related to the efficacy of emergency management initiatives; and refinements to the conceptual design of several technologies including mobile command and control platforms for disaster resilience. The lessons learned apply generally to situations where emergency management must address the needs and behaviors of vulnerable populations in the aftermath of disasters.
近年来,洪水和山体滑坡给巴西的贫民窟人口造成了破坏和高死亡率。巴西的公共机构加大了改进应急管理的努力。本文描述了利用系统分析和认知工程来改进机动指挥中心的设计和实施,以提高巴西里约热内卢易受自然和人为灾害影响的贫民窟人口的复原力。这项工作分为四个部分:(一)以贫民窟人口为重点的紧急情况管理需求分析;(二)与贫民窟人口一起进行演习,以预测未来在紧急情况下的行为;(三)测试机构对贫困人口行为的敏感性的优先事项;(四)改进现场救灾和复原力的系统设计。努力的结果包括:与贫民窟贫困人口的特殊需要有关的新系统工程要求;洞察儿童、青少年和成人的各种行为与应急管理举措的有效性相关;并改进了几种技术的概念设计,包括用于抗灾的移动指挥和控制平台。所吸取的经验教训一般适用于紧急情况管理必须处理灾后脆弱人口的需要和行为的情况。
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引用次数: 7
Design to improve the productivity and execution of gravity surveys 旨在提高重力调查的生产力和执行力
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549515
E. Demick, K. Luukkonen, S. Nonis, Y. Zhylenko
The National Oceanic and Atmospheric Administration (NOAA) is responsible for conducting gravity surveys which are used to measure the variations in the pull of gravity of the earth's surface. Gravity surveys are vital for the country's safety (e.g. creation of flood plain maps and evacuation routes) and the economy (e.g. used for detecting petroleum and natural gas). The current set of gravity measurements known as the North American Vertical Datum of 1988 (NAVD 88') are outdated and lack complete coverage of the United States and its territories (e.g. Alaska has minimal data coverage). To improve accuracy, NOAA has begun a new survey, named GRAV-D, to combine existing ground (high definition) and satellite data (low definition) along with new aerial data (taken from aircraft) to establish the new datum. There is a complex logistical process in conducting the aerial surveys that are subject to large uncertainties due to weather, vehicle and personnel availability, and equipment failures. This paper describes the design of a logistics process to reduce the variation in the standard survey block from 24.59 to 15.11 days/survey. This is required to meet a Congressional mandate stipulating that the survey be completed by 2022. Analysis of factors affecting the completion of block surveys indicates high variability in aircraft maintenance, equipment repair, and weather related delays. Analysis using a decisionsupport tool designed to assist planners in managing the process by identifying elements that contribute to schedule risk, and advising mitigating strategies, indicates improved contingency planning through: (i) additional spares, (ii) additional support personnel, (iii) weather forecasting, and (iv) improved coordination among contractors would significantly reduce delays in the execution of the plans.
美国国家海洋和大气管理局(NOAA)负责进行重力调查,用于测量地球表面引力的变化。重力测量对国家的安全(例如创建洪泛平原地图和疏散路线)和经济(例如用于探测石油和天然气)至关重要。目前的一套重力测量被称为1988年北美垂直基准面(NAVD 88’)是过时的,缺乏对美国及其领土的完整覆盖(例如阿拉斯加的数据覆盖最小)。为了提高精度,NOAA开始了一项名为gravd的新调查,将现有的地面(高清晰度)和卫星数据(低清晰度)以及新的航空数据(从飞机上获取)结合起来,建立新的基准。由于天气、车辆和人员的可用性以及设备故障,进行空中调查有一个复杂的后勤过程,受到很大的不确定性的影响。本文描述了一个物流流程的设计,以减少标准测量块的变化,从24.59天到15.11天/次测量。这是为了满足国会的要求,即在2022年之前完成这项调查。对影响块测量完成的因素的分析表明,飞机维修、设备修理和与天气有关的延误的变化很大。使用决策支持工具进行分析,旨在通过识别导致进度风险的因素来帮助规划者管理过程,并建议减轻策略,表明通过以下方式改进应急计划:(i)增加备件,(ii)增加支持人员,(iii)天气预报,(iv)改善承包商之间的协调,将大大减少计划执行的延误。
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引用次数: 1
Mission effectiveness quantification and assessment of Micro Autonomous Systems and Technologies 微自主系统与技术的任务效能量化与评估
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549514
Zohaib T. Mian, D. Mavris
Micro Autonomous Systems and Technologies (MAST) is an Army Research Laboratory (ARL) sponsored project based on a consortium of revolutionary academic and industrial research institutions working together to develop new technologies in the field of microelectronics, autonomy, micromechanics, and integration. The overarching goal of the MAST consortium is to develop autonomous, multifunctional, and collaborative ensembles of microsystems to enhance small unit tactical situational awareness in urban and complex terrain, providing real-time intelligence at the squad level. Technologists are trying to understand the impacts of developing state-of-the-art technologies on the MAST systems while the operators are trying to define strategies and tactics on how to use these systems. These two different perspectives create an integration gap that not only results in a major requirements disconnect, representing the difference of perspectives between soldiers and the researchers, but also demonstrates the lack of quantified means to assess the technology metrics in terms of mission requirements. An multidisciplinary framework, built on a technical approach of simultaneous application of decomposition and re-composition approaches, is implemented to provide a structured and traceable method for quantifying mission effectiveness of MAST System of Microsystems (SoMs). An Interior Building Reconnaissance mission scenario, based on a physical test site at Joppa, MD, was analyzed using the framework. Results demonstrated minimum required technology metrics for reasonable mission level performance of SoMs. Comparison with current state of the art provided quantitative technology attribute gaps.
微自主系统与技术(MAST)是美国陆军研究实验室(ARL)赞助的一个项目,该项目基于一个由革命性学术和工业研究机构组成的联盟,共同开发微电子、自主、微力学和集成领域的新技术。MAST联合体的总体目标是开发自主、多功能和协作的微系统集合体,以增强城市和复杂地形中的小单位战术态势感知能力,提供班级实时情报。技术人员正在努力了解发展最先进的技术对MAST系统的影响,而运营商则试图确定如何使用这些系统的策略和战术。这两种不同的观点造成了集成差距,不仅导致主要需求脱节,代表了士兵和研究人员之间的观点差异,而且还表明缺乏根据任务需求评估技术指标的量化手段。基于同时应用分解和重组方法的技术方法,实现了多学科框架,为量化MAST微系统(SoMs)的任务有效性提供了结构化和可追溯的方法。使用该框架分析了基于马里兰州约帕物理试验场的室内建筑侦察任务场景。结果显示了som合理任务级性能所需的最低技术指标。与当前技术水平的比较提供了定量的属性差距。
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引用次数: 2
Data integration in the Albemarle-Charlottesville Regional Jail: A systems engineering approach to support Evidence-based decision making 阿尔伯马尔-夏洛茨维尔地区监狱的数据集成:支持循证决策的系统工程方法
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549498
Blair B. Anstaett, A. Coulson, D. Kerr, N. Park, M. Smith, K. P. White
The criminal justice system in the greater Albemarle-Charlottesville area faces a number of challenges common to many communities, including frequent overcrowding at the regional jail and data systems that obstruct analysis needed to identify causes of and remedies for overcrowding. The Community Criminal Justice Board (CCJB) would like to make evidence-based decisions, but doing so requires analysis that existing data systems do not support. Evidence-based decision making, enabled through the data integration effort described in this paper, can lead to a safer and more cost-effective criminal justice system in the Charlottesville community. This paper discusses several implementation issues within the Charlottesville justice system and the integration of extracts from existing databases into a single database that can support evidence-based decision making. The two major challenges in designing and implementing a functional analysis database are 1) lack of a universal identifier to track offenders throughout the criminal justice system and 2) absence of essential data fields necessary to answer important program related questions. The paper includes discussion of a detailed architecture of a proposed system through which data can be extracted from various databases associated with the Albemarle-Charlottesville criminal justice system. This will demonstrate how, with the use of a universal identifier, these data can be aggregated from the various databases and used for evidence-based decision making in the criminal justice system.
大阿尔伯马尔-夏洛茨维尔地区的刑事司法系统面临着许多社区共同面临的挑战,包括地区监狱经常人满为患,数据系统阻碍了确定人满为患的原因和补救措施所需的分析。社区刑事司法委员会(CCJB)希望做出基于证据的决定,但这样做需要现有数据系统不支持的分析。基于证据的决策,通过本文所述的数据整合工作,可以在夏洛茨维尔社区建立一个更安全、更具成本效益的刑事司法系统。本文讨论了夏洛茨维尔司法系统中的几个实施问题,以及将现有数据库的摘录整合到一个可以支持循证决策的单一数据库中。设计和实现功能分析数据库的两个主要挑战是:1)缺乏在整个刑事司法系统中跟踪罪犯的通用标识符;2)缺乏回答重要项目相关问题所需的基本数据字段。本文讨论了拟议系统的详细架构,通过该系统可以从与阿尔伯马尔-夏洛茨维尔刑事司法系统相关的各种数据库中提取数据。这将演示如何通过使用通用标识符,从各种数据库汇总这些数据,并将其用于刑事司法系统的循证决策。
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引用次数: 2
Field testing of a smartphone application for the pre-hospital transmission of electrocardiogram images 院前传送心电图图像的智能手机应用程序的现场测试
Pub Date : 2013-04-26 DOI: 10.1109/SIEDS.2013.6549506
T. G. Ellington, M. C. Foley, K. Wagner, S. Fowler, K. A. McKenna, J. K. Seal, S. Trivedi, Rui Zhang, D. R. Burt, S. Patek
Heart attacks are a significant cause of death in the United States. In the case of an S-T segment-elevation myocardial infarction (STEMI), there is a direct correlation between time to treatment and patient outcome; earlier treatment is superior. The transmission of pre-hospital ECG images allows earlier activation of the STEMI treatment process as a doctor can diagnosis a STEMI by examining the electrocardiogram (ECG) image before the patient is actually present at the treatment facility. Currently, EMS personnel use expensive proprietary systems to transmit the ECG images from EMS to the accepting center, but this is a costly solution. This paper describes the optimization and testing of an iPhone application (app) that transmits the ECG image via technology that is significantly less expensive than existing commercial systems. To date, testing has revealed that the current version of the app outperforms image transmission compared to emailed (large file size) photos. The next step is comparative testing against commercially available systems. The results from this comparative testing will provide quantitative evidence of the efficacy and reliability of this low cost innovation compared to a much more expensive proprietary system.
在美国,心脏病是导致死亡的一个重要原因。在S-T段抬高型心肌梗死(STEMI)的情况下,治疗时间与患者预后之间存在直接相关性;越早治疗越好。院前心电图图像的传输允许更早地激活STEMI治疗过程,因为医生可以在患者实际出现在治疗设施之前通过检查心电图(ECG)图像来诊断STEMI。目前,EMS人员使用昂贵的专有系统将心电图图像从EMS传输到接收中心,但这是一个昂贵的解决方案。本文描述了一个iPhone应用程序(app)的优化和测试,该应用程序通过比现有商业系统便宜得多的技术传输心电图像。到目前为止,测试表明,与电子邮件(大文件大小)照片相比,当前版本的应用程序的图像传输性能要好。下一步是与商用系统进行比较测试。对比测试的结果将为这种低成本创新与昂贵的专有系统相比的有效性和可靠性提供定量证据。
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引用次数: 1
期刊
2013 IEEE Systems and Information Engineering Design Symposium
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