Travel Time to Radiation Oncology Facilities in the United States and the Influence of Certificate of Need Policies

2021 ◽  
Vol 109 (2) ◽  
pp. 344-351
Author(s):  
Joshua N. Herb ◽  
Rachael T. Wolff ◽  
Philip M. McDaniel ◽  
G. Mark Holmes ◽  
Trevor J. Royce ◽  
...  
2016 ◽  
Vol 96 (2) ◽  
pp. E394-E395
Author(s):  
H.Y. Pan ◽  
B.G. Haffty ◽  
B. Falit ◽  
T.A. Buchholz ◽  
L.D. Wilson ◽  
...  

1963 ◽  
Vol 16 (4) ◽  
pp. 389-398

In 1960 Hanssen and James described to the Institute a system developed and used by the United States Hydrographic Office for selecting the optimum track for transoceanic crossings by applying long-range predictions of winds, waves and currents to a knowledge of how the routed vessel reacts to these variables. The paper (Journal, 13, 253) described how, over a period of two years, an average reduction in travel time of 14 hours was achieved over 1000 optimum routes.In the present papers, presented at an Institute meeting held in London on 19 April, Captain Wepster of the Holland-America Line first of all goes into the benefits which effective ship routing offers the ship operator and then describes the results of the experimental routing programme undertaken by his Company in association with the Royal Netherlands Meteorological Institute. Mr. Verploegh of that Institute then discusses the programme from the forecaster's point of view.


Author(s):  
Marina Moskalenko ◽  
Jennifer Zaccone ◽  
Cheryl A. Fiscelli ◽  
Jennifer Wieworka ◽  
Roberta Anderson ◽  
...  

1960 ◽  
Vol 13 (3) ◽  
pp. 253-272 ◽  
Author(s):  
George L. Hanssen ◽  
Richard W. James

The paper describes the system developed and used by the United States Hydrographic Office for selecting the optimum track for transoceanic crossings by applying long-range predictions of wind, waves and currents to a knowledge of how the routed vessel reacts to these variables. Over a period of two years, over 1000 optimum ship routes were provided to one authority, with an average reduction in travel time of 14 hours.


1976 ◽  
Vol 6 (4) ◽  
pp. 557-580 ◽  
Author(s):  
Louise B. Russell

Increases in the real resources used in hospital care have been an important cause behind rising hospital costs in the United States. Many of these resources have taken the form of new hospital technologies, and this paper begins by reviewing the trends in adoption of new hospital technologies over the years 1950–1974. The resource requirements, costs, and to the extent possible the patient benefits, of two of these technologies are then discussed in more detail: intensive care, a widespread facility with many variations, has been a major contributor to hospital costs; radiotherapy has been characterized by a succession of competing technologies. Regulatory efforts such as certificate-of-need reviews would be more effective if they viewed hospitals as flexible collections of such technologies—with the costs and patient benefits of each to be weighed separately—rather than primarily in terms of numbers of beds. A national center to collect information on the separate technological functions of hospitals and make it available to interested groups would make a useful contribution to hospital regulation.


1968 ◽  
Vol 58 (6) ◽  
pp. 1849-1877 ◽  
Author(s):  
Ramesh Chander ◽  
L. E. Alsop ◽  
Jack Oliver

ABSTRACT Using the shear-coupled PL wave hypothesis of Oliver as a basis, a method is developed for computing synthetic long-period seismograms between the onset of the initial S-type body phase and the beginning of surface waves. Comparison of observed and synthetic siesmograms shows that this hypothesis can explain, in considerable detail, most of the waves with periods greater than about 20 sec recorded during this interval. The synthetic seismograms are computed easily on a small digital computer; they resemble the observed seismograms much more closely than the synthetic seismograms obtained through the superposition of normal modes of the Earth that have been reported in the literature. The synthesis of shear-coupled PL waves depends on a precise knowledge of the phase-velocity curve of the PL wave and travel-time curves of shear waves. Hence, in principle, if one of these quantities is well-known the other can be determined by this method. Phase-velocity curves of the PL wave are determined for the Baltic shield, the Russian platform, the Canadian shield, the United States, and the western North-Atlantic ocean, on the assumption that J-B travel-time curves of shear waves apply to these areas. These dispersion curves show the type of variations to be expected on the basis of the current knowledge of the crustal structures in these areas. Examples are presented to show that J-B travel-times of shear waves along paths between Kenai Peninsula, Alaska and Palisades, equatorial mid-Atlantic ridge and Palisades, and Kurile Islands and Uppsala need to be revised. Shear-wave travel-time curves that are not unique for reasons explained in the study but that give synthetic seismograms in agreement with the observed seismograms were obtained. The new S curves are compared with the J-B travel-time curves for S; and they all predict S waves to arrive later than the time given by J-B tables for epicentral distances smaller than about 30°. The new S curve for the Alaska to Palisades path appears to agree with one of the branches of a multi-branched S curve proposed recently by Ibrahim and Nuttli for the ‘average United States’ insofar as travel-times are concerned, but there are some differences in the slopes of the two curves.


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