GP dossier says patients getting "second rate" service

Getting into Gp Training

This is the third edition of the very successful CCrISP course manual written by a multidisciplinary team of surgeons and anaesthetists. The first edition was published in 1999 and the book has been extensively updated for its third edition. However, the original aim of the course continues: that is to encourage trainees to have an understanding of the pathophysiology of critically ill patients...

Dossier – Mineral oil hydrocarbons

Getting it right the second time.

Once a business performs a complex activity well, the parent organization often wants to replicate that success. But doing that is surprisingly difficult, and businesses nearly always fail when they try to reproduce a best practice. The reason? People approaching best-practice replication are overly optimistic and overconfident. They try to perfect an operation that's running nearly flawlessly,...

Courrieu – dossier HDR II

This paper presents an algorithm that allows for encoding probability density functions associated to samples of points of R. The resulting code is a sequence of points of R whose density function approximates that of the set of data points. However, contrarily to sampled data points, code points associated to two different density functions can be matched, which allows to efficiently compare s...

Working Vacation Queue with Second Optional Service and Unreliable Server

An M/M/1 queueing system with second optional service and unreliable server is studied. We consider that the server works at different rate rather than being idle during the vacation period. The customers arrive to the system according to Poisson process with state dependent rates depending upon the server’s status. All customers demand the first essential service whereas only some of them dema...