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  • Open Access

    ARTICLE

    Learning-Based Metaheuristic Approach for Home Healthcare Optimization Problem

    Mariem Belhor1,2,3, Adnen El-Amraoui1,*, Abderrazak Jemai2, François Delmotte1

    Computer Systems Science and Engineering, Vol.45, No.1, pp. 1-19, 2023, DOI:10.32604/csse.2023.029058 - 16 August 2022

    Abstract This research focuses on the home health care optimization problem that involves staff routing and scheduling problems. The considered problem is an extension of multiple travelling salesman problem. It consists of finding the shortest path for a set of caregivers visiting a set of patients at their homes in order to perform various tasks during a given horizon. Thus, a mixed-integer linear programming model is proposed to minimize the overall service time performed by all caregivers while respecting the workload balancing constraint. Nevertheless, when the time horizon become large, practical-sized instances become very difficult to More >

  • Open Access

    ARTICLE

    First 100 cases at a low volume prostate brachytherapy institution: learning curve and the importance of continuous quality improvement

    Nathan A. Bockholt1, Eric M. DeRoo1, Kenneth G. Nepple1, Joseph M. Modrick2, Mark C. Smith2, Bernard Fallon1, A. Curtis Hass2, Chad R. Tracy1, James A. Brown1

    Canadian Journal of Urology, Vol.20, No.5, pp. 6907-6912, 2013

    Abstract Introduction: We report the first 100 patients who underwent prostate brachytherapy as monotherapy with 125I at an institution with moderate volume radical prostatectomy but low volume brachytherapy (< 2 cases per month). Learning curve and quality improvement was assessed by way of achieving prescription dose targets.
    Materials and methods: From May 2002 to August 2006, 100 patients underwent prostate 125I brachytherapy monotherapy via preplanned approach. Preoperative planned dose to 100% of prostate gland (D100) was 145 Gy and postoperative confirmed dose was assessed by computed tomography. The cohort was divided into quartiles and recurrence was assessed using… More >

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