179 research outputs found

    Using Simulated Annealing to Solve the Daily Drayage Problem with Hard Time Windows

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    Drayage is the stage of the intermodal transport that deals with transport of freight on trucks among the intermodal terminal, and customers and suppliers that are located in its hinterland. This work proposes an algorithm based on simulated annealing heuristics to solve the operations of drayage. This algorithm has been used to solve battery problems, demonstrating the validity and suitability of its results, which were compared with exact method

    Troponin elevation pattern and subsequent cardiac and non-cardiac outcomes: Implementing the Fourth Universal Definition of Myocardial Infarction and high-sensitivity troponin at a population level

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    Background: The Fourth Universal Definition of Myocardial Infarction (MI) differentiates MI from myocardial injury. We characterised the temporal course of cardiac and non-cardiac outcomes associated with MI, acute and chronic myocardial injury. Methods: We included all patients presenting to public emergency departments in South Australia between June 2011–Sept 2019. Episodes of care (EOCs) were classified into 5 groups based on high-sensitivity troponin-T (hs-cTnT) and diagnostic codes: 1) Acute MI [rise/fall in hs-cTnT and primary diagnosis of acute coronary syndrome], 2) Acute myocardial injury with coronary artery disease (CAD) [rise/fall in hs-cTnT and diagnosis of CAD], 3) Acute myocardial injury without CAD [rise/fall in hs-cTnT without diagnosis of CAD], 4) Chronic myocardial injury [elevated hs-cTnT without rise/fall], and 5) No myocardial injury. Multivariable flexible parametric models were used to characterize the temporal hazard of death, MI, heart failure (HF), and ventricular arrhythmia. Results: 372,310 EOCs (218,878 individuals) were included: acute MI (19,052 [5.12%]), acute myocardial injury with CAD (6,928 [1.86%]), acute myocardial injury without CAD (32,231 [8.66%]), chronic myocardial injury (55,056 [14.79%]), and no myocardial injury (259,043 [69.58%]). We observed an early hazard of MI and HF after acute MI and acute myocardial injury with CAD. In contrast, subsequent MI risk was lower and more constant in patients with acute injury without CAD or chronic injury. All patterns of myocardial injury were associated with significantly higher risk of all-cause mortality and ventricular arrhythmia. Conclusions: Different patterns of myocardial injury were associated with divergent profiles of subsequent cardiac and non-cardiac risk. The therapeutic approach and modifiability of such excess risks require further research

    Solid-state-concentration effects on the optical absorption and emission of poly(p-phenylene vinylene)-related materials

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    We present measurements of the optical absorption and emission properties of poly(p-phenylene vinylene) (PPV)-related materials focusing on the differences between molecules isolated by dispersion in an inert host and concentrated molecular films. Optical absorption spectra, photoluminescence (PL) spectra, PL efficiency, and time-resolved PL spectra of dilute blends of PPV oligomers with 2-5 phenylene-phenyl rings are compared with those of dense oligomer and polymer films. In dilute oligomer-poly(methyl methacrylate) (PMMA) blends with high PL efficiency, the PL decay is exponential, independent of both temperature and oligomer length. This implies that the fundamental radiative lifetime of PPV oligomers is essentially independent of oligomer length. Concentrated spin-cast oligomer films and polymers have a faster and strongly temperature-dependent PL decay that approaches that of the dilute oligomer results at low temperature. The differences in PL decay correspond to changes in PL efficiency. The efficiency of the oligomer-PMMA blend is high and only weakly temperature dependent, whereas that of concentrated films is lower and strongly temperature dependent, decreasing by more than a factor of 3 from 10 to 350 K. The quenching of the PL efficiency in concentrated films is due to migration to extrinsic, impurity related centers as opposed to an intrinsic intermolecular recombination process. The PL spectrum of a dilute oligomer blend redshifts substantially, both as the excitation energy is decreased and as the emission time increases. This spectral redshift is due to disorder-induced site-to-site variation and not to diffusion to lower-energy sites. In contrast, no spectral shift with excitation energy or emission time was observed for dense oligomer films

    user centered design approaches and methods for p5 ehealth

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    As seen throughout this book, eHealth informed by P5 approach gives full recognition to patients' contexts, needs, desires, and personal characteristics. These aspects should not only be considered as cornerstones for technology evaluation, but as fundamental guidelines for design in the first place. This relates to User-Centered Design, that is, any technology/service design where final users influence how the design itself takes place. In other words, eHealth development should be based on research data gathered among final users about their needs and contexts of use, in order to be specifically tailored on final users even before the realization of low-level prototypes. This methodological contribution presents a critical presentation, description, and evaluation of research tools to be employed not to evaluate technology's results and effectiveness, but the specific characteristics of users in order to orient design and development. Such an approach should be considered the "gold standard" of P5 eHealth solutions
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