624 research outputs found

    Revisão Compreensiva de Logística Hospitalar: Conceitos e Atividades

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    A logística hospitalar apresenta-se como um conjunto de operações complexas e relevantes para as organizações hospitalares, visto que uma falha na distribuição dos materiais e medicamentos, uma função da logística, pode acarretar um desastre irreparável tanto para os pacientes quanto para o hospital. Apesar disso, as organizações de saúde geralmente subestimam a participação e a contribuição prática da logística no ambiente hospitalar. Ao levar a discussão para o campo da literatura, notou-se que não há um consenso conceitual e de quais são as atividades pertencentes ao escopo da logística hospitalar. Nesse sentido, os objetivos gerais deste trabalho são apresentar as distintas abordagens conceituais da logística hospitalar presentes na literatura e descrever suas atividades, mediante uma revisão sistemática da bibliografia. Seguindo um protocolo de Revisão Bibliográfica Sistemática (RBS), foram levantados preliminarmente 1891 artigos em seis bases de periódicos Pubmed, Embase, Lilacs, Cinahl, Web of Science e Scopus publicados entre 1992 e 2013. Ao final os 25 artigos filtrados dentro dos critérios dessa revisão comprovaram a divergência conceitual da logística hospitalar, pois alguns autores a definem como gestora do fluxo de pacientes, enquanto outros a conceituam como gestora do fluxo de materiais. A inexistência desse consenso também foi constatada quanto às atividades que compõem o escopo operacional da logística hospitalar, visto que há uma variedade de atividades descritas como logística, desde as tradicionais, presentes na literatura de logística industrial, até outras atividades, que envolvem áreas específicas do hospital

    Solving Multi-objective Integer Programs using Convex Preference Cones

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    Esta encuesta tiene dos objetivos: en primer lugar, identificar a los individuos que fueron víctimas de algún tipo de delito y la manera en que ocurrió el mismo. En segundo lugar, medir la eficacia de las distintas autoridades competentes una vez que los individuos denunciaron el delito que sufrieron. Adicionalmente la ENVEI busca indagar las percepciones que los ciudadanos tienen sobre las instituciones de justicia y el estado de derecho en Méxic

    Fuelling the zero-emissions road freight of the future: routing of mobile fuellers

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    The future of zero-emissions road freight is closely tied to the sufficient availability of new and clean fuel options such as electricity and Hydrogen. In goods distribution using Electric Commercial Vehicles (ECVs) and Hydrogen Fuel Cell Vehicles (HFCVs) a major challenge in the transition period would pertain to their limited autonomy and scarce and unevenly distributed refuelling stations. One viable solution to facilitate and speed up the adoption of ECVs/HFCVs by logistics, however, is to get the fuel to the point where it is needed (instead of diverting the route of delivery vehicles to refuelling stations) using "Mobile Fuellers (MFs)". These are mobile battery swapping/recharging vans or mobile Hydrogen fuellers that can travel to a running ECV/HFCV to provide the fuel they require to complete their delivery routes at a rendezvous time and space. In this presentation, new vehicle routing models will be presented for a third party company that provides MF services. In the proposed problem variant, the MF provider company receives routing plans of multiple customer companies and has to design routes for a fleet of capacitated MFs that have to synchronise their routes with the running vehicles to deliver the required amount of fuel on-the-fly. This presentation will discuss and compare several mathematical models based on different business models and collaborative logistics scenarios

    A morphological design and evaluation model for the development of circular facades

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    The current construction industry can be characterized by its linear model of material use resulting in waste with its possible negative impact on the environment and society. As a solution to the inefficient material use of the construction industry, they should strive to a circular model of material use. This can be obtained by the application of the circular economy concept. However, clear guidance on how to apply the circular economy concept in buildings is still to be fully developed. In this research, a Circular Building Framework (CBF) and a Morphological Design and Evaluation Model (MDEM) have been developed for the facade. The CBF forms the starting point of the MDEM by providing a holistic view on all aspects related to the design and functioning of circular buildings. The MDEM forms a first draft to apply two essential principles ‘design for disassembly’ and ‘design for adaptability’ in the development of circular designed facades. In the MDEM two types of conceptual circular facade design solutions are identified making the facade designer aware about the consequences of different design decisions. The application of the MDEM will reclaim the embodied values of facade products by enabling them to enter re-life options at high quality
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