Bi‐Criteria Scheduling of Surgical Services for an Outpatient Procedure Center

Uncertainty in the duration of surgical procedures can cause long patient wait times, poor utilization of resources, and high overtime costs. We compare several heuristics for scheduling an Outpatient Procedure Center. First, a discrete event simulation model is used to evaluate how 12 different sequencing and patient appointment time‐setting heuristics perform with respect to the competing criteria of expected patient waiting time and expected surgical suite overtime for a single day compared with current practice. Second, a bi‐criteria genetic algorithm (GA) is used to determine if better solutions can be obtained for this single day scheduling problem. Third, we investigate the efficacy of the bi‐criteria GA when surgeries are allowed to be moved to other days. We present numerical experiments based on real data from a large health care provider. Our analysis provides insight into the best scheduling heuristics, and the trade‐off between patient and health care provider‐based criteria. Finally, we summarize several important managerial insights based on our findings.     

An integrated environmental risk assessment framework for coal-fired power plants: A fuzzy logic approach

This study quantifies the environmental risk of a coal-fired thermal power plant during operation by using environmental monitoring data, site surveys, and documented evidence. The following criteria are assessed: emissions (CO, SO₂, NO_x, PM₁₀), impact on aquatic ecosystem (fish protection at cooling water intake and cooling water discharge temperature), and waste management (fly ash and bottom ash). Fuzzy sets were defined for each criterion, taking environmental regulatory context as an expert judgment. A survey was conducted with multiple stakeholders to determine the relative importance of risk factors. The survey results showed that the most concerned risks are SO₂ and NO_x emissions. The proposed method estimates the risk of each environmental criterion separately and then accumulates them into an environmental risk index (ERI). Accordingly, we assessed the Catalagzi coal-fired power plant, which has been in operation on the Black Sea coast in northwestern Turkey. For this case study, the ERI resulted in a value of 0.78 (on a scale of 0–1), showing high environmental risk to the facility. Moreover, the applicability of the proposed framework was tested in several existing coal-fired power plants using simultaneous measurements. All studied coal-fired power plants in Turkey have unacceptable pollutants (PM₁₀, SO₂, and NO_x) concentration levels indicating high health risk potential. The application of the integrated environmental risk assessment framework showed that new environmental regulations are needed in Turkey to specify more strict emission limits and to monitor CO₂, fine particulate matter emissions, cooling water discharge, and fish protection at cooling water intake.     

WebQuests and Web 2.0 Screen Design

This study compared the designs of a traditional style WebQuest and a Web 2.0 style WebQuest in terms of their effectiveness as a teaching tool. The sample included 104 university sophomore students. Students were randomly assigned to two groups, with one group using the traditional style WebQuest and the other used the Web 2.0 style WebQuest. Data were collected (a) using a test developed by the author and (b) by conducting unstructured interviews. The results showed that the mean score of the students using the Web 2.0 style WebQuest was significantly higher than the traditional style WebQuest group on a test measuring the understanding of the WebQuest content. Furthermore, interview results indicated that while students from both groups enjoyed the activity, the responses from the Web 2.0 style group were more positive.     

Comparing clusterings and numbers of clusters by aggregation of calibrated clustering validity indexes

Statistics and Computing - A key issue in cluster analysis is the choice of an appropriate clustering method and the determination of the best number of clusters. Different clusterings are optimal...