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      • Simulating the behavior of patients who leave a public hospital emergency department without being seen by a physician: a cellular automaton and agent-based framework

        Yousefi, Milad,Yousefi, Moslem,Fogliatto, F.S.,Ferreira, R.P.M.,Kim, J.H. Associação Brasileira de Divulga&cce 2018 Brazilian journal of medical and biological resear Vol.51 No.3

        <P>The objective of this study was to develop an agent based modeling (ABM) framework to simulate the behavior of patients who leave a public hospital emergency department (ED) without being seen (LWBS). In doing so, the study complements computer modeling and cellular automata (CA) techniques to simulate the behavior of patients in an ED. After verifying and validating the model by comparing it with data from a real case study, the significance of four preventive policies including increasing number of triage nurses, fast-track treatment, increasing the waiting room capacity and reducing treatment time were investigated by utilizing ordinary least squares regression. After applying the preventing policies in ED, an average of 42.14% reduction in the number of patients who leave without being seen and 6.05% reduction in the average length of stay (LOS) of patients was reported. This study is the first to apply CA in an ED simulation. Comparing the average LOS before and after applying CA with actual times from emergency department information system showed an 11% improvement. The simulation results indicated that the most effective approach to reduce the rate of LWBS is applying fast-track treatment. The ABM approach represents a flexible tool that can be constructed to reflect any given environment. It is also a support system for decision-makers to assess the relative impact of control strategies.</P>

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        Assessment of turbulent heat flux models for URANS simulations of turbulent buoyant flows in ROCOM tests

        Wei Zonglan,Ničeno Bojan,Puragliesi Riccardo,Fogliatto Ezequiel 한국원자력학회 2022 Nuclear Engineering and Technology Vol.54 No.11

        Turbulent mixing in buoyant flows is an essential mechanism involved in many scenarios related to nuclear safety in nuclear power plants. Comprehensive understanding and accurate predictions of turbulent buoyant flows in the reactor are of crucial importance, due to the function of mitigating the potential detrimental consequences during postulated accidents. The present study uses URANS methodology to investigate the buoyancy-influenced flows in the reactor pressure vessel under the main steam line break accident scenarios. With a particular focus on the influence of turbulent heat flux closure models, various combinations of two turbulence models and three turbulent heat flux models are utilized for the numerical simulations of three ROCOM tests which have different characteristic features in terms of the flow rate and fluid density difference between loops. The simulation results are compared with experimental measurements of the so-called mixing scalar in the downcomer and at the core inlet. The study shows that the anisotropic turbulent heat flux models are able to improve the accuracy of the predictions under conditions of strong buoyancy whilst in the weak buoyancy case, a major role is played by the selected turbulence models with essentially a negligible influence of the turbulent heat flux closure models

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