TYPE-I ASSEMBLY LINE BALANCING WITH WORKLOAD SMOOTHING

Balancing the assembly lines plays an important role in increasing the productivity of the manufacturing systems. Depending on the objectives, there are various types of this problem. In this study, a Type-1 assembly line balancing problem is considered. It is known that the distribution of workload and equal distribution of idle time in station balancing is important for worker motivation and ergonomics. Once the number of stations is minimized, which is the primary objective in solving a Type-1 problem, the optimum solution found should be analyzed in terms of the smoothness index. Otherwise, the idle time can be distributed unevenly to the stations. Hence, one of the classical problems in assembly line balancing literature, Sawyer problem, is considered in this study. Firstly, the problem is solved via integer programming with Gurobi in Python. In the second stage, the line was smoothed via two techniques including the classical one and the proposed min-max approach. Different cycle times are tested and a comparison is provided for the two techniques

Stężenia adropiny i albuminy modyfikowanej niedokrwieniem w surowicy w zależności od występowania zespołu policystycznych jajników i wartości BMI

Introduction: The aim of this study was to evaluate the effects of polycystic ovary syndrome (PCOS) and body mass index (BMI) on serum adropin and ischemia modified albumin (IMA) levels. Materials and methods: This prospective cross-sectional study was performed with a total of 120 women [group1; non-PCOS = 60 (BMI < 25 = 30, BMI ≥25 = 30) and group 2; PCOS = 60 (BMI < 25 = 30, BMI ≥25 = 30)]. Blood samples were collected between the third and fifth days of the women’s menstrual cycles after a night of fasting. Results: There were no differences between the groups in relation to age, basal follicle stimulating hormone, estradiol, thyroid stimulating hormone, prolactin, high-density lipoprotein cholesterol, total testosterone, dehydroepiandrosterone sulfate levels, systolic and diastolic blood pressures. A significant difference was found in basal luteinizing hormone, fasting glucose, insulin, homeostatic model assessment of insulin resistance, total cholesterol, low-density lipoprotein cholesterol, triglycerides, free testosterone levels, waist-to-hip ratios and the Ferriman-Gallwey scores between the PCOS and non-PCOS patients in the lean and overweight groups (p < 0.05). The serum adropin levels in the lean PCOS group were lower than in the lean non-PCOS group (p < 0.05) and were lower in the overweight PCOS group than in the overweight non-PCOS group (p < 0.05). There was also a statistically significant difference in serum IMA levels in the PCOS group than in the non-PCOS group in both the lean and overweight groups (p < 0.05). Conclusions: Although serum adropin levels were significantly decreased in the PCOS group, IMA levels increased. Further studies are needed to determine the effects of adropin and IMA in women with PCOS and to use a new marker to monitorize treatment outcomes. Wstęp: Badanie przeprowadzono w celu oceny wpływu zespołu policystycznych jajników (polycystic ovary syndrome, PCOS) i wskaźnika masy ciała (body mass index, BMI) na surowicze stężenia adropiny i albumin modyfikowanej niedokrwieniem (ischemia modified albumin, IMA). Materiał i metody: To prospektywne badanie przekrojowe obejmowało 120 kobiet [grupa 1: osoby bez PCOS — n= 60 (BMI &lt; 25 — n= 30; BMI ≥ 25 — n = 30) oraz grupa 2: osoby z PCOS — n= 60 (BMI &lt; 25 — n= 30, BMI ≥ 25 —n = 30)]. Próbki krwi pobierano między trzecim a piątym dniem cyklu menstruacyjnego badanych kobiet, rano na czczo. Wyniki: Grupy nie różniły się pod względem wieku, podstawowego stężenia hormonu folikulotropowego, stężeń estradiolu, tyreotropiny, prolaktyny, cholesterol frakcji HDL, testosteronu całkowitego i siarczanu dehydroepiandrosteronu ani skurczowego i rozkurczowego ciśnienia tętniczego. Stwierdzono natomiast istotne różnice między grupą z PCOS i bez PCOS w podgrupach osób szczupłych i otyłych w zakresie podstawowego stężenia hormonu luteinizującego, glikemii na czczo, wskaźnika insulinooporności w modelu homeostazy, stężeń cholesterolu całkowitego, cholesterolu frakcji LDL, triglicerydów i wolnego testosteronu, a także wskaźnika talia-biodra oraz oceny w skali Ferrimana-Gallweya (P &lt; 0,05). Stężenia adropiny w osoczu były niższe w grupie szczupłych kobiet z PCOS niż u szczupłych osób niechorujących na PCOS (P &lt; 0,05) oraz były niższe u otyłych osób z PCOS niż u otyłych osób z grupy bez PCOS (P &lt; 0,05). Stwierdzono również statystycznie istotną różnice w stężeniach IMA w surowicy między kobietami z PCOS i bez PCOS, zarówno w podgrupie osób szczupłych, jak i otyłych (P &lt; 0,05). Wnioski: Mimo że surowicze stężenia adropiny były istotnie niższe w grupie z PCOS, stężenia IMA były podwyższone w tej grupie badanych. Konieczne są dalsze badania w celu określenia wpływu adropiny i IMA u kobiet z PCOS i stosowanie nowych wskaźników do monitorowania efektów leczenia

The relationship between Chlamydophila pneumoniae IgG titer and coronary atherosclerosis

Background: The role of Chlamydophila pneumoniae (CP) in the progression of atherosclerosis is controversial. Also no sufficient angiographic study is available about the impact of CP infection on severity and intensity of coronary atherosclerosis. We investigated the relation between CP IgG antibody titers and severity and intensity of coronary atherosclerosis Methods: The study population consisted of 516 consecutive patients who underwent a coronary angiography. The group included 353 patients who had coronary artery disease; a control group included 163 subjects with angiographically proven normal coronary arteries. Chlamydophila pneumoniae IgG antibody titers were measured by an enzyme immunoassay method in all patients. Gensini scores and extent scores were used to evaluate the angiographic extent and severity of atherosclerosis. Results: The mean value of IgG antibody titer was 44.3 &#177; 28.8 IU/mL in the patients and 39.8 &#177; 27.4 IU/mL in the control group (p = 0.14). There was no statistically significant correlation between the Gensini scores, extent scores and CP IgG titers (Gensini score: r = +0.103, p = 0.07, extent score: r = +0.110, p = 0.31). When we grouped the patients as high (> 50 IU/mL) and low (< 50 IU/mL) IgG antibody titers, the number of diseased coronary arteries was higher in patients with high IgG antibody titers (respectively: 2.6 &#177; 1.1 vs. 2.2 &#177; 0.8, p = 0.01). While the Gensini score was significantly higher in patients with high IgG antibody titers (7.5 &#177; 4.0 vs. 6.17 &#177; 4.0, p = 0.01), the extent score did not change with IgG titers (29.8 &#177; 15.9 vs. 25.8 &#177; 15.4, p = 0.08). Conclusions: In our study, we investigated the relation between CP infection and coronary atherosclerosis and found that CP IgG antibody titers are associated with the severity of coronary stenosis at higher antibody levels. However, there is no association between CP antibody titers and clinical presentation of coronary artery disease. We suggest that CP has limited effect on coronary atherosclerosis. (Cardiol J 2008; 15: 245-251

An extended mixed-integer programming formulation and dynamic cut generation approach for the stochastic lot sizing problem

We present an extended mixed-integer programming formulation of the stochastic lot-sizing problem for the static-dynamic uncertainty strategy. The proposed formulation is significantly more time efficient as compared to existing formulations in the literature and it can handle variants of the stochastic lot-sizing problem characterized by penalty costs and service level constraints, as well as backorders and lost sales. Also, besides being capable of working with a predefined piecewise linear approximation of the cost function-as is the case in earlier formulations-it has the functionality of finding an optimal cost solution with an arbitrary level of precision by means of a novel dynamic cut generation approach

Effect of carvedilol on silent anthracycline-induced cardiotoxicity assessed by strain imaging: A prospective randomized controlled study with six-month follow-up

Background: The use of antracycline (ANT) in breast cancer has been associated with adverse cardiac events. Two-dimensional (2D) strain imaging (SI) can provide a more sensitive measure of altered left ventricular (LV) systolic function. We aimed to evaluate the preventive effect of carvedilol administration assessed by SI in a patient with breast cancer treated with ANT.Methods: Patients receiving ANT were randomly assigned to the carvedilol- or placebo-receiving group. Each received an echocardiographic examination with conventional 2D echocardiography, pulsed tissue Doppler, and 2D SI prior to and 6 months post ANT treatment.Results: During the 6-month follow-up period there were no patient deaths or interrupted chemotherapy treatments due to doxorubicin-induced cardiotoxicity. Both left ventricular ejection fraction (LVEF) and fractional shortening (FS) were within normal limits for all patients before and after ANT therapy. EF, FS and LV dimensions were measured using M-mode echocardiography and found to be similar in both groups before and after ANT therapy. The mean EF, FS, and LV echocardiograph baseline and control dimensions were similar in both groups after 6 months. Though baseline SI parameters were similar between the groups, there was a significant decrease in LV basal septal and basal lateral peak systolic strain in the control group compared to the carvedilol group.Conclusions: These results indicate that carvedilol has a protective effect against the cardiotoxicity induced by ANT.

Changes in Serum Natriuretic Peptide Levels after Percutaneous Closure of Small to Moderate Ventricular Septal Defects

Background. B-type natriuretic peptide has been shown to be a very sensitive and specific marker of heart failure. In this study, we aimed to investigate the effect of percutaneous closure of ventricular septal defects with Amplatzer septal occluders on brain natriuretic peptide levels. Methods. Between 2008 and 2011, 23 patients underwent successfully percutaneous ventricular septal defect closure in 4 cardiology centers. Brain natriuretic peptide levels were measured in nine patients (4 male, mean ages were 25.3 ± 14.3) who underwent percutaneous closure with Amplatzer occluders for membranous or muscular ventricular septal defects were enrolled in the study. Brain natriuretic peptide levels were measured one day before and one month after the closure. Patients were evaluated clinically and by echocardiography one month after the procedure. Results. Percutaneous closures of ventricular septal defects were successfully performed in all patients. There was not any significant adverse event in patients group during followup. Decrease in brain natriuretic peptide levels after closure were statistically significant (97.3 ± 78.6 versus 26.8 ± 15.6, P = 0.013). Conclusion. Brain Natriuretic Peptide levels are elevated in patients with ventricular septal defects as compared to controls. Percutaneous closure of Ventricular Septal Defect with Amplatzer occluders decreases the BNP levels

Stress fracture of bilateral tibial metaphysis due to ceremonial march training: a case report

Stress fractures are caused by repetitive microtraumas that occur during unusual or increased activities. Clinical suspicion is essential for the diagnosis. A twenty-years old soldier was presented with bilateral knee pain and restriction of knee movements after a period of training for ceremonial march. Although plain X-rays were normal, scintigraphy and MRI revealed stress fractures at metaphyseal region of both tibias. History of a patient presenting with persisting joint or bone pain after an unusual repetitive activity should be delicately inquired. Typical history, although pain might be localized to unusual sites, should raise the suspicion of a stress fracture

Characterization of greater middle eastern genetic variation for enhanced disease gene discovery

The Greater Middle East (GME) has been a central hub of human migration and population admixture. The tradition of consanguinity, variably practiced in the Persian Gulf region, North Africa, and Central Asia1-3, has resulted in an elevated burden of recessive disease4. Here we generated a whole-exome GME variome from 1,111 unrelated subjects. We detected substantial diversity and admixture in continental and subregional populations, corresponding to several ancient founder populations with little evidence of bottlenecks. Measured consanguinity rates were an order of magnitude above those in other sampled populations, and the GME population exhibited an increased burden of runs of homozygosity (ROHs) but showed no evidence for reduced burden of deleterious variation due to classically theorized ‘genetic purging’. Applying this database to unsolved recessive conditions in the GME population reduced the number of potential disease-causing variants by four- to sevenfold. These results show variegated genetic architecture in GME populations and support future human genetic discoveries in Mendelian and population genetics

Violences sexuelles intrafamiliale sur mineur, particularité sur l'île de la Réunion, une revue de la littérature

Les violences sexuelles intrafamiliales sur mineur constituent des situations fréquemment rencontrées dans la pratique clinique. Il s’agit d’un sujet très délicat à la fois pour les jeunes patients qui peinent à en parler, mais aussi pour les professionnels qui peuvent manquer de connaissances et de formations. Un sujet de plus en plus médiatisé au carrefour de plusieurs disciplines qui amènent à s’interroger sur le rôle du pédopsychiatre. De fait, j’ai été confronté à ces difficultés lors de mes stages d’interne et me suis alors demandé comment dépister ces violences. Quelles sont les stratégies de prise en charge à établir afin d’accompagner au mieux ces patients victimes de violences sexuelles ? Sur l’ile de la Réunion, on recense plus de cas de violences sexuelles sur mineur comparé à l’Hexagone. Dans cette thèse, il s’agit donc de comprendre qu’elles sont les raisons pouvant expliquer un tel décalage. Au moyen d’une revue de la littérature, nous allons nous intéresser à l’état des connaissances concernant les violences sexuelles intrafamiliales sur les enfants. La dernière partie sera réservée à l’étude du cas de l’île de la Réunion. Très peu d’enfants parlent des violences qu’ils ont subis. Ces violences ont souvent des conséquences dramatiques sur le plan psychique et social. Les professionnels au contact des enfants ne sont pas suffisamment formés et les interventions de l’appareil social judiciaire sont souvent mal vécues par les victimes. Cette problématique est encore plus flagrante à la Réunion où les taux sont bien plus élevés qu'en métropole. Les raisons les plus évidentes semblent se retrouver dans le caractère insulaire du territoire, l'héritage colonial expliquant en partie la place singulière du père dans l’éducation des enfants, la sacralisation de la famille, avec une proximité et une promiscuité entre les générations, un contrôle social plus marquée chez les filles ainsi qu’un taux d’alcoolisme élevé. Dans ce domaine de santé publique, deux axes d’action sont à envisager. D’une part, la prévention au moyen de campagnes de prévention spécifique à cette question des violences sexuelles sur les enfants associées à une éducation à la vie sexuelle et affective. D’une autre part, la formation continue et spécifique des professionnels au contact des enfants, incluant ainsi les pédopsychiatres. Enfin, au vu de la spécificité du traumatisme et dans un souci de prise en charge globale, la collaboration étroite de tous les intervenants, médicaux, sociaux et judiciaires, est primordiale