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The purpose of this paper is to evaluate the performance on standardizing appointment slot length in a primary care clinic to understand the impact of providers’ preferences and practice differences.

The treatment time data were collected for each provider. There were six patient types: emergency/urgent care (ER/UC), follow-up patient (FU), new patient, office visit (OV), physical exam, and well-child care. Simulation model was developed to capture patient flow and measure patient wait time, provider idle time, cost, overtime, finish time, and the number of patients scheduled. Four scheduling scenarios were compared: scheduled all patients at 20 minutes; scheduled ER/UC, FU, OV at 20 minutes and others at 40 minutes; scheduled patient types on individual provider preference; and scheduled patient types on combined provider preference.

Standardized scheduling among providers increase cost by 57 per cent, patient wait time by 83 per cent, provider idle time by five minutes per patient, overtime by 22 minutes, finish time by 30 minutes, and decrease patient access to care by approximately 11 per cent. An individualized scheduling approach could save as much as 14 per cent on cost and schedule 1.5 more patients. The combined preference method could save about 8 per cent while the number of patients scheduled remained the same.

The challenge is to actually disseminate the findings to medical providers and adjust scheduling systems accordingly.

This paper concluded standardization of providers’ clinic preference and practice negatively impact clinic service quality and access to care.

The Equal Pay Act 1970 (which came into operation on 29 December 1975) provides for an “equality clause” to be written into all contracts of employment. S.1(2) (a) of the 1970 Act (which has been amended by the Sex Discrimination Act 1975) provides:

DURING some courses on production and management problems at the T.U.C. Training College job evaluation and merit rating were discussed. The notes used for that purpose form the basis of a booklet which the Trades Union Congress has published at 1s. 6d. Its purpose is to equip trade union representatives with an outline of the systems most widely used.

Construction projects generate large volumes of data which can be used for better management of projects. In this paper, key project data is manually extracted from project site meeting minutes. Knowledge discovery technologies are then used to predict the final project duration of active projects.

Project planning and effective leadership/governance were identified from literature as the most significant factors that impact the duration of projects. These factors were hence considered as the main features for a data mining process. Items supporting these factors were extracted from site meeting minutes to create a database of 27 civil engineering projects executed over the last ten years. Data mining algorithms were used to predict from this data whether or not an active project will be completed on time.

The research showed that information from project site meetings can be used to predict final project duration of active projects with accuracy of above 80% when using random forest algorithms from Orange and RapidMiner data mining applications. The value of data to predict project duration from project site meeting minutes is demonstrated but it only becomes practically useable if the format of minutes is suitably standardised.

Some of the data mining algorithms provided accuracies of above 80% in predicting final project duration and proved the value of project data from site meeting minutes. The random forest algorithms are particularly suited to this type of data. The factors with the highest impact on the prediction of the project duration are those related to the progress of the project.

This study for the first time shows that data from site meeting minutes of past and current projects can be used to make accurate predictions of final project duration of active projects and serve as a project management tool to activate remedial measures.

To clarify the physiological and psychological effects of deep breathing, the effects of extreme prolongation of expiration breathing (Okinaga) were investigated using electroencephalogram (EEG) and electrocardiogram (ECG). Participants were five male Okinaga practitioners in their 50s and 60s. Participants performed Okinaga for 31 minutes while continuous EEG and ECG measurements were taken. After 16 minutes of Okinaga, and until the end of the session, the percentages of theta and alpha 2 waves were significantly higher than at baseline. After 20 minutes, and until the end of the session, the percentage of beta waves was significantly lower than at baseline. The high frequency component of heart rate variability was significantly lower after 12 minutes of Okinaga and lasted until 23 minutes. The low frequency/high frequency ratio was significantly lower after 18 minutes of Okinaga and until the end of the session. Okinaga produced relaxation, suggesting that deep breathing may relieve anxiety. However, study limitations include potential ambiguity in the interpretation of the low frequency/high frequency ratio, the small sample, and the fact that EEG was measured only on the forehead.

Most of the industrial buildings which are designed to moderate loads are constructed using light gauge cold-formed steel (CFS) sections. Residual mechanical properties of CFS sections exposed to elevated temperature need to be investigated as it is necessary to predict the deterioration of elements to avoid failure of the structure or its elements. Also, it would be helpful to decide whether the structural elements need to be replaced or reused. The use of fire-resistant coatings in steel structures significantly reduces the cost of repairing structural elements and also the probability of collapse. This study investigates the effect of fire-resistant coating on post-fire residual mechanical properties of E350 steel grade.

In this study, an attempt has been made to evaluate the residual mechanical properties of E350 steel. A tensile coupon test was performed for the extracted specimens from the exposed CFS section to determine the mechanical properties. Four different fire-resistant coatings were selected and the sections were coated and heated as per ISO 834 fire temperature curve in the transient state for time durations of 30 minutes (821°C), 60 minutes (925°C), 90 minutes (986°C), and 120 minutes (1,029°C). After the exposure, all the coupon specimens were cooled by either ambient conditions (natural air) or water spraying before conducting the tension test on these specimens.

At 30 min exposure, the reduction in yield and ultimate strength of heated specimens was about 20 and 25% for air and water-cooled specimens compared with reference specimens. Specimens coated with vermiculite and perlite exhibited higher residual mechanical property up to 60 minutes than other coated specimens for both cooling conditions. Generally, water-cooled specimens had shown higher strength loss than air-cooled specimens. Specimens coated with vermiculite and perlite showed an excellent performance than other specimens coated with zinc and gypsum for all heating durations.

As CFS structures are widely used in construction practices, it is crucial to study the mechanical properties of CFS under post-fire conditions. This investigation provides detailed information about the physical and mechanical characteristics of E350 steel coated with different types of fire protection materials after exposure to elevated temperatures. An attempt has been made to improve the residual properties of CFS using the appropriate coatings. The outcome of the present study may enable the practicing engineers to select the appropriate coating for protecting and enhancing the service life of CFS structures under extreme fire conditions.

BECAUSE productivity means profitability it is the aim of any manufacturing organization. Too often productivity is thought to be the same thing as increased production. In reality it is very different. The way to increase production is fairly obvious. More machinery is obtained, larger quantities of raw materials are purchased and more workers are engaged. If, for example, these three essentials are doubled production should be twice as much. Production has increased, but if it has not succeeded in lowering the price of whatever is being manufactured what has been gained?

The purpose of this paper is to show the implementation of customer profitability analysis (CPA) using time‐driven activity‐based costing (TDABC), in a Turkish hotel.

A case study was conducted in a four‐star hotel with 100‐room capacity in the Çukurova region of Turkey. Interviews, direct observations, and documentation collection were used to collect the data.

The results showed that some of the customer segments which were found unprofitable under the conventional ABC method were determined profitable using TDABC. The case study also revealed the cost of idle resources devoted for front office, housekeeping, food preparation, and marketing activities.

Only a single hotel operating in Turkey is examined in this paper. Further research should focus on implementing CPA using TDABC in other hotels in Turkey and abroad.

Based on the results of the study, the hotel management is better able to understand profitability of different customer segments and implement appropriate strategies. Moreover, the time equations of TDABC are considered to provide hotel management with an opportunity to better balance the capacities supplied in departments.

There is limited research relating to profitability analysis in service companies in general and in the hotel industry in particular. Therefore, this paper is unique in the sense that it analyzes the use of TDABC systems for CPA within a real case hotel.

Describes flow‐shop scheduling problems and an interactive graphical flow‐shop manufacturing scheduling system (FSMS) developed to handle any number of jobs and machines. Outlines the methodical approach of using scheduling tools, such as lower bound, automatic generation of near‐optimal system sequences and schedule optimization in which the user is guided in determining optimal sequence, to cut scheduling time and make the scheduling system flexible. Outputs are in the form of Gantt charts. The graphical capability can be a very useful tool for decision makers such as production and operations managers who often encounter many day‐to‐day scheduling problems and challenges.

TECHNOLOGICAL progress is a scythe which cuts ever deeper swathes in the familiar fields of the world's industrial and commercial life. It finds its justification in words like productivity, competition, modernization and similar emotive terms. This is no matter of tired waves seeking a painful inch to gain, but a flood tide sweeping forward with irresistible momentum despite Canute's command or Mrs Partington's mop.