Logistics and decision chains in disaster management; Floods in Austria / Case simulation: Krems-Mautern an der Donau

The main purpose of this final master thesis is to analyse the analysis of the chain of decisions concerning a disaster situation as well as its consequences. Furthermore, the logistical issues concerning resource distribution in case of a flooding event are investigated. A particular disaster event situated in Lower Austria is used, due to the fact that the final master thesis is developed in Austria. Concerning this main objective, the study begins at an international level, where cooperation and coordination of several organizations are studied, to focus afterwards on Austrian organization. A case study is conducted to compare practice and guidelines regarding the main decision chains. In addition to this, a hypothetical situation is generated in terms of deciding and finding out which the best logistical decision is as far as it concerns the satisfaction of the population. The main objective is to reduce the number of unsatisfied customers to the minimum and to guarantee the minimum stocks to the local distribution centres. This operation is restricted to a limited governmental budget. Therefore, it is necessary to explain all the cooperating and coordinating organizations involved in a disaster situation. The simulation and subsequent conclusions are carried out with the simulation software AnyLogic. The simulation problem has not only the restriction of the available budget bounded to the supplying chain, but also technical (resources, trucks) constraints. The main objective is to minimize the number of unsatisfied people in the area. The final master thesis is developed with the collaboration of the BOKU University (University of Natural Resources and Life Science) of Vienna, in particular with the Institute of Production and Logistics. In contrast to the first theoretical part, the simulation offers a very wide range of possibilities to model different scenarios. It is a very dynamic and interesting procedure, capable itself to give important results. In this final master thesis, four different scenarios are simulated, implying each of them different constraints. In each of the scenarios the total demand of each store is given as well as the number of total satisfied customers and units in stock. Furthermore, the results obtained are very useful to get quite an exact approach to the real situation of a flood. In addition to this, technical parameters like the needed stock to satisfy the demand or the optimal number of trucks to ship stock are established. All the results are compared within different graphics and charts, finding out the best solution in each simulated scenario. In summary, and due to the lack of studies around this topic, this document becomes very interesting and a useful tool to start within the study of natural hazards.Ingeniería IndustrialIndustria Ingeniaritz

Luxación traumática del tendón del tibial posterior asociada a rotura completa del ligamento deltoideo.

Objetivo: La luxación traumática del tendón del tibial posterior (TTP) en el tobillo es una pato - logía infrecuente. El diagnóstico en la fase aguda no es la norma, produciendo cuadros de dolor crónico en la zona media del tobillo que dan lugar a un diagnóstico en la fase crónica. El objetivo es presentar un caso clínico de luxación de TTP asociado a una rotura completa del ligamento deltoideo tratado en la fase aguda. Material y Método: Paciente de 48 años de edad, que tras accidente de motocicleta sufrió una luxación del TTP asociado con rotura completa del ligamento deltoideo. Se realizó sutura directa de las lesiones e inmovilización con yeso durante 6 semanas. Posteriormente estuvo en tratamiento rehabilitador. Resultados: El resultado funcional del paciente fue excelente para todas las actividades personales. Conclusiones: El diagnóstico temprano de esta pa - tología es fundamental para evitar retardos en el tratamiento y posibles repercusiones funcionales en el tobillo y arquitectura del pie.Purpose: Traumatic dislocation of the posterior tibial tendon (PTT) of the ankle is a very rare lesion. It is not common to make the diagnosis during the acute phase. The dalay in diagnosis generates chronic pain symptoms in the middle part of the ankle; it is in the chronic phase when diagnosis is usually made. The aim of the study is to present a case of PTT dislocation associated to a complete tear of the deltoid ligament, which was treated in the acute phase. Material and Method: A 48-year old patient had a PTT dislocation associated to a complete tear of the deltoid ligament, due to a motorcycle accident. Direct suture of the lesions and cast immobi - lization for six weeks was conducted. Afterwards, the patient completed treatment with rehabilitation techniques. Results: Definitive functional outcome was excellent for all normal life activities. Conclusions: T he diagnosis of the posterior tibial tendon dislocation during the acute phase is mandatory to minimize delay in treatment and functional sequels in the ankle and foot architecture

Sinus pilonidal interdigital: una rara enfermedad profesional

Se presenta un caso de sinus pilonidal interdigital de mano de un paciente varón de 27 años de edad y de profesión peluquero, que consultó por presentar secreción y exposición de pelos por orificio fistuloso en segundo espacio interdigital. El tratamiento consistió en la exéresis en cuña de la lesión y cierre directo de la herida quirúrgica. No hubo alteraciones en el periodo postoperatorio. Actualmente, tras 10 años de evolución, el paciente sigue desarrollando su profesión sin haber presentado ninguna recidiva de la lesión y realiza una vida personal sin problemas.We report a case of interdigital pilonidal sinus of the hand of a male patient of 27 years-old and a professional hairdresser, who consulted for a discharge and exposure of hairs fistula second web space of hand. Treatment consisted of wedge excision of the lesion and direct closure of the surgical wound. There were no changes in the postoperative period. Today, after 10 years of evolution, the patient continues to develop their profession without having presented any recurrence of the injury and makes a personal life without problems

Construction of admissible linear orders for interval-valued Atanassov intuitionistic fuzzy sets with an application to decision making

In this work we introduce a method for constructing linear orders between pairs of intervals by using aggregation functions. We adapt this method to the case of interval-valued Atanassov intuitionistic fuzzy sets and we apply these sets and the considered orders to a decision making problem.The work has been supported by projects TIN2013-40765-P and MTM2012-37894-C02-02 of the Spanish Ministry of Science and the Research Services of the Universidad Publica de Navarra

Aprendizaje significativo por investigación: propuesta alternativa-Significant learning research: alternative proposal

Este trabajo forma parte de los desarrollos del grupo de investigación RAMPA de la Institución Universitaria Centro de Estudios Superiores María Goretti, que trabaja la línea de investigación energías renovables con la temática de variables meteorológicas. El estudio se centra en aplicar un modelo de enseñanza-aprendizaje denominado aprendizaje significativo por investigación, cuyo objetivo principal es que los estudiante aprendan a través del diseño la gestión y la evaluación de proyectos pedagógicos trasversales desarrollados a partir del esquema semilleros de investigación con una aplicación de aprendizaje basado en proyectos y enfocados dentro de un proceso investigativo de este grupo de investigación

Obstructive Sleep Apnoea Syndrome, Endothelial Function and Markers of Endothelialization. Changes after CPAP

Study objectives This study tries to assess the endothelial function in vivo using flow-mediated dilatation (FMD) and several biomarkers of endothelium formation/restoration and damage in patients with obstructive sleep apnoea (OSA) syndrome at baseline and after three months with CPAP therapy. Design Observational study, before and after CPAP therapy. Setting and Patients We studied 30 patients with apnoea/hypopnoea index (AHI) > 15/h that were compared with themselves after three months of CPAP therapy. FMD was assessed non-invasively in vivo using the Laser-Doppler flowmetry. Circulating cell-free DNA (cf-DNA) and microparticles (MPs) were measured as markers of endothelial damage and the vascular endothelial growth factor (VEGF) was determined as a marker of endothelial restoration process. Measurements and results After three month with CPAP, FMD significantly increased (1072.26 +/- 483.21 vs. 1604.38 +/- 915.69 PU, p<0.005) cf-DNA and MPs significantly decreased (187.93 +/- 115.81 vs. 121.28 +/- 78.98 pg/ml, p<0.01, and 69.60 +/- 62.60 vs. 39.82 +/- 22.14 U/mu L, p<0.05, respectively) and VEGF levels increased (585.02 +/- 246.06 vs. 641.11 +/- 212.69 pg/ml, p<0.05). These changes were higher in patients with more severe disease. There was a relationship between markers of damage (r = -0.53, p< 0.005) but not between markers of damage and restoration, thus suggesting that both types of markers should be measured together. Conclusions CPAP therapy improves FMD. This improvement may be related to an increase of endothelial restoration process and a decrease of endothelial damage