27 research outputs found
A genetic algorithm for the one-dimensional cutting stock problem with setups
This paper investigates the one-dimensional cutting stock problem considering two conflicting objective functions: minimization of both the number of objects and the number of different cutting patterns used. A new heuristic method based on the concepts of genetic algorithms is proposed to solve the problem. This heuristic is empirically analyzed by solving randomly generated instances and also practical instances from a chemical-fiber company. The computational results show that the method is efficient and obtains positive results when compared to other methods from the literature. © 2014 Brazilian Operations Research Society
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700
The Dalradian rocks of the northern Grampian Highlands of Scotland
The northern Grampian Highlands are dominated by the outcrop of the Grampian Group, together with infolds and structural outliers of Appin Group strata and inliers of pre-Dalradian ‘basement’, consisting of Badenoch Group metasedimentary rocks. The south-eastern limit of this mountainous region corresponds with the regionally continuous Grampian Group-Appin Group boundary, which in the south is marked by a high-strain zone corresponding to the Boundary Slide of some authors. The more arbitrary southern boundary runs north-west from Blair Atholl along the A9 road and then westwards to Fort William.
The Neoproterozoic-age Grampian Group siliciclastic succession accumulated during several transgressive and regressive cycles in multiphase ensialic rift basins. The Badenoch Group constitutes the crystalline floor to those basins and had experienced amphibolite-facies metamorphism, migmatization, gneissification and deformation between c. 840 and 800 Ma, prior to deposition of the Dalradian strata. In contrast, evidence for only 470–450 Ma Caledonian orogenic events is found at higher structural levels in the Grampian and Appin group successions. Locating and understanding the nature of the contact between the basement gneisses and the Dalradian cover sequence has long been a major challenge of Highland geology. Recent research has argued that not only is a rift-basin architecture evident from the patterns of Neoproterozoic stratigraphy, but also that it played a significant role in influencing the geometry of the superimposed Caledonian deformation, with the basin infill buttressed against its margins or intrabasinal ‘highs’.
The GCR sites in this region preserve important evidence of cover-basement relationships, patterns of punctuated deposition, and onlapping sequences. The effects of both pre-Caledonian and Caledonian deformation and metamorphic events are also well represented. Despite the deformation and metamorphism, spectacular sedimentary structures are visible at several of the GCR sites and there is evidence of the earliest recorded glacigenic sediments in the Neoproterozoic rocks of the British Isles