The effect of sustainable and smart planning framework on urban logistics and mobility

Urban planning and design have witnessed an exceptional transformation following the rapid development of information and communication technologies (ICTs). This new era paved the way for the rise of new technical concepts and methods in urban planning where human-computer interaction is at the centre of interest. However, despite this fast evolution, there remains a significant research gap that needs to be addressed. It is essential for urban planners and designers to keep pace with technological advancements while simultaneously securing environment-friendly outcomes and fostering environmental sustainability. In this context, our work focuses on the challenges encountered by urban designers as they seek to transition toward smart, sustainable industrialized cities. Of a special concern is the inclusion of mobility, logistics features and digitalization of city supply chain management, where we consider the management pf physical, information and financial flows in modern urban areas

The effect of sustainable and smart planning framework on urban logistics and mobility

Urban planning and design have witnessed an exceptional transformation following the rapid development of information and communication technologies (ICTs). This new era paved the way for the rise of new technical concepts and methods in urban planning where human-computer interaction is at the centre of interest. However, despite this fast evolution, there remains a significant research gap that needs to be addressed. It is essential for urban planners and designers to keep pace with technological advancements while simultaneously securing environment-friendly outcomes and fostering environmental sustainability. In this context, our work focuses on the challenges encountered by urban designers as they seek to transition toward smart, sustainable industrialized cities. Of a special concern is the inclusion of mobility, logistics features and digitalization of city supply chain management, where we consider the management pf physical, information and financial flows in modern urban areas

Le Traitement D'image Dans Les Mems : Outil Essentiel Dans La Caractérisation Sans Contacts Des Microsystèmes

International audienceLe Traitement D'image Dans Les Mems : Outil Essentiel Dans La Caractérisation Sans Contacts Des Microsystème

Etude de Comportement Dynamique des Micropoutres MEMS : Simulation par FEM Sous COMSOL et ANSYS Multiphysiques

National audienceEtude de Comportement Dynamique des Micropoutres MEMS : Simulation par FEM Sous COMSOL et ANSYS Multiphysique

La Modélisation par Eléments Finis Comme Outil Essentiel dans la Caractérisation des Structures MEMS : Application aux Microponts

International audienceLa Modélisation par Eléments Finis Comme Outil Essentiel dans la Caractérisation des Structures MEMS : Application aux Micropont

Health status after invasive or conservative care in coronary and advanced kidney disease

BACKGROUND In the ISCHEMIA-CKD trial, the primary analysis showed no significant difference in the risk of death or myocardial infarction with initial angiography and revascularization plus guideline-based medical therapy (invasive strategy) as compared with guideline-based medical therapy alone (conservative strategy) in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease (an estimated glomerular filtration rate of <30 ml per minute per 1.73 m2 or receipt of dialysis). A secondary objective of the trial was to assess angina-related health status. METHODS We assessed health status with the Seattle Angina Questionnaire (SAQ) before randomization and at 1.5, 3, and 6 months and every 6 months thereafter. The primary outcome of this analysis was the SAQ Summary score (ranging from 0 to 100, with higher scores indicating less frequent angina and better function and quality of life). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate the treatment effect with the invasive strategy. RESULTS Health status was assessed in 705 of 777 participants. Nearly half the participants (49%) had had no angina during the month before randomization. At 3 months, the estimated mean difference between the invasive-strategy group and the conservative-strategy group in the SAQ Summary score was 2.1 points (95% credible interval, 120.4 to 4.6), a result that favored the invasive strategy. The mean difference in score at 3 months was largest among participants with daily or weekly angina at baseline (10.1 points; 95% credible interval, 0.0 to 19.9), smaller among those with monthly angina at baseline (2.2 points; 95% credible interval, 122.0 to 6.2), and nearly absent among those without angina at baseline (0.6 points; 95% credible interval, 121.9 to 3.3). By 6 months, the between-group difference in the overall trial population was attenuated (0.5 points; 95% credible interval, 122.2 to 3.4). CONCLUSIONS Participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease did not have substantial or sustained benefits with regard to angina-related health status with an initially invasive strategy as compared with a conservative strategy

Management of coronary disease in patients with advanced kidney disease

BACKGROUND Clinical trials that have assessed the effect of revascularization in patients with stable coronary disease have routinely excluded those with advanced chronic kidney disease. METHODS We randomly assigned 777 patients with advanced kidney disease and moderate or severe ischemia on stress testing to be treated with an initial invasive strategy consisting of coronary angiography and revascularization (if appropriate) added to medical therapy or an initial conservative strategy consisting of medical therapy alone and angiography reserved for those in whom medical therapy had failed. The primary outcome was a composite of death or nonfatal myocardial infarction. A key secondary outcome was a composite of death, nonfatal myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. RESULTS At a median follow-up of 2.2 years, a primary outcome event had occurred in 123 patients in the invasive-strategy group and in 129 patients in the conservative-strategy group (estimated 3-year event rate, 36.4% vs. 36.7%; adjusted hazard ratio, 1.01; 95% confidence interval [CI], 0.79 to 1.29; P=0.95). Results for the key secondary outcome were similar (38.5% vs. 39.7%; hazard ratio, 1.01; 95% CI, 0.79 to 1.29). The invasive strategy was associated with a higher incidence of stroke than the conservative strategy (hazard ratio, 3.76; 95% CI, 1.52 to 9.32; P=0.004) and with a higher incidence of death or initiation of dialysis (hazard ratio, 1.48; 95% CI, 1.04 to 2.11; P=0.03). CONCLUSIONS Among patients with stable coronary disease, advanced chronic kidney disease, and moderate or severe ischemia, we did not find evidence that an initial invasive strategy, as compared with an initial conservative strategy, reduced the risk of death or nonfatal myocardial infarction