Pain management is a critical international health issue. The Eugene McDermott Center for Pain Management at The University of Texas Southwestern Medical Center conducted a two-stage interdisciplinary pain management program that considers a wide variety of treatments. Prior to treatment (beginning of Stage 1), an evaluation records the patient's pain characteristics, medical history and related health parameters. A treatment regime is then determined. At the midpoint of the program (beginning of Stage 2), an evaluation is conducted to determine if an adjustment in the treatment should be made. A final evaluation is conducted at the end of the program to assess final outcomes. We structure this decision-making process using dynamic programming (DP) to generate adaptive treatment strategies for this two-stage program. An approximate DP solution method is employed in which state transition models are constructed empirically based on data from the pain management program, and the future value function is approximated using state space discretization based on a Latin hypercube design and artificial neural networks. The optimization seeks for treatment plans that minimize treatment dosage and pain levels simultaneously.
The treatment of missing data has become a mandatory step for performing valid data analysis in most scientific research fields. In fact, researchers have found that dealing with missing data avoids misleading data analysis and improves the quality and power of the research results [1]. According to the authors in [2,3], the missing values in a data set could be missing completely at random (MCAR), missing at random (MAR), or missing not at random (MNAR), a categorization that should be taken into consideration to deal with the problem of missing data. The number of observations, the types of variables, and the percentage of missing values in a
Aircraft deicing/anti-icing fluids (ADFs) are applied to remove and prevent icing on aircraft during taxi and takeoff. The Dallas-Fort Worth (DFW) International Airport uses deicing pads for deicing activities that collect and contain the spent deicing fluids for proper treatment or disposal. Local waterways receive ADF as “drip and shear” during the aircraft taxi on the runway and then takeoff. The glycol-based ADF serves as a nutrient for bacteria that grow exponentially, deplete dissolved oxygen (DO) from receiving waterways, and subsequently kill aquatic life. In this paper, we present a data-driven discrete-event simulation modeling process developed in collaboration with DFW Airport to assess aircraft assignment strategies to deicing pad locations by monitoring impact on DO. Our process consists of the following phases: (1) Data Collection, (2) Probability Distribution Modeling, and (3) State Transition Modeling. Both Phases (2) and (3) utilized data mining approaches, including treed regression and variable selection via false discovery rate. Detailed implementation of these phases is described for the DFW Airport case study, and the DFW Airport deicing activities simulation tool framework is presented. The actual data and simulation results were compared in terms of the DO levels in airport receiving waterways to verify the model validity after implementing the proposed model for DFW. Thus, the proposed model can be implemented by airports to control and minimize the adverse environmental effects resulting from deicing activities by optimizing the aircraft assignment to the pad locations.
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