BACKGROUND The Omnibus Budget Reconciliation Act of 1990 offered the promise that prospective drug utilization review (pDUR) systems would improve the quality of drug prescribing and patient drug use. There is little evidence that this promise has been fulfilled. To the contrary, there is growing evidence that suboptimal use of drugs (in terms of preventable drug-related morbidity) is at least ...

The usage of the cloud computing services is increasing rapidly across all the domains, thereby inducing the cloud service providers to increase their underlying cloud resource capacity. If service providers keep on increasing the capacity, it may not be an optimal utilization of resources. Since one of the main characteristics of cloud is optimal utilization of resources, we provide an analysi...

Background. Timely pulmonary function testing is crucial to improving diagnosis and treatment of pulmonary diseases. Perceptions of poor access at an academic pulmonary function laboratory prompted analysis of system demand and capacity to identify factors contributing to poor access. Methods. Surveys and interviews identified stakeholder perspectives on operational processes and access challen...

I the electronics industry and others, original equipment manufacturers (OEMs) are selling their production facilities to contract manufacturers (CMs). The CMs achieve high capacity utilization through pooling (supplying many different OEMs). Meanwhile, the OEMs focus on innovation: research and development, product design, and marketing. We examine how this change in industry structure affects...

CONTEXT Retrospective drug utilization review is required of all state Medicaid programs and is performed by most private-sector prescription programs. However, it has not been shown to improve clinical outcomes or reduce the rate of potential prescribing errors, known as "exceptions." OBJECTIVE To look for an effect of retrospective drug utilization review on the rate of exceptions and of cl...

Fertilizer plant waste carbon slurry has been investigated after some processing as an adsorbent for the removal of dyes and phenols using columns. The results show that the carbonaceous adsorbent prepared from carbon slurry being porous and having appreciable surface area (380 m2/g) can remove dyes both cationic (meldola blue, methylene blue, chrysoidine G, crystal violet) as well a...

Not only is the operating plan the basis of organizing marshalling station's operation, but it is also used to analyze in detail the capacity utilization of each facility in marshalling station. In this paper, a long-term operating plan is optimized mainly for capacity utilization analysis. Firstly, a model is developed to minimize railcars' average staying time with the constraints of minimum ...

In the present paper, we have planned the deployment of passive, active and splitting optical devices employed in passive optical network (PON) standards such as giga-passive optical networks (GPON), broadband passive optical network (BPON) and Ethernet passive optical network (EPON) has been modeled and investigated over wide range of the affecting parameters. The utilization of the transport ...