Applying a set-based parametric design method to structural design of bridges

Set-based design has been widely applied in manufacturing and product development, as it allows to consider a large number of alternatives during the design process. The design process in civil engineering projects may benefit from this alternative design approach, however its applicability in this field remains unexplored. The purpose of this study is to investigate the potential of applying a set-based parametric design method to the structural design of bridges. The method developed here combines set-based design, parametric design, finite element analysis and multi-criteria decision analysis. The developed method is applied to two existing bridges considering two sustainability criteria in the evaluation of the alternatives: material cost and carbon dioxide (CO2) equivalent emissions. Preliminary results indicate that the method leads to bridges that are more efficient with regard to the selected sustainability criteria

Impact of cardiovascular risk factors on the consumption of resources in Primary Care according to Clinical Risk Groups

[ES] Objetivo Analizar en el contexto de una Zona Básica de Salud (ZBS) la prevalencia de los factores de riesgo cardiovascular (FRCV) y el impacto que generan en la morbilidad y el consumo de recursos sanitarios en la población estratificada según el sistema Clinical Risk Groups (CRG) en Atención Primaria (AP), con la finalidad de identificar la población con multimorbilidad para aplicar medidas preventivas, así como aquella que genera más carga asistencial y necesidades sociales. Diseño Estudio observacional, de corte transversal y ámbito poblacional para una ZBS durante el año 2013. Emplazamiento Departamento de salud de Castellón, Comunidad Valenciana (CV). Incluye asistencia ambulatoria en AP y especializada. Participantes Todos los ciudadanos dados de alta en el Sistema de Información Poblacional (SIP), N = 32.667. Mediciones Del sistema informatizado Abucasis obtuvimos las variables demográficas, clínicas y de consumo de recursos sanitarios. Consideramos la prevalencia de los FRCV a partir de la presencia o ausencia de los códigos diagnósticos CIE.9.MC. Se analizó la relación de los FRCV con los 9 estados de salud CRG, y se realizó un análisis predictivo con el modelo de regresión logística para evaluar la capacidad explicativa de cada variable. Además se obtuvo mediante regresión multivariante un modelo explicativo del gasto farmaceútico ambulatorio. Resultados La población del estado de salud CRG 4 en adelante tenía multimorbilidad. Los estados de salud CRG 7 y CRG 6 tienen mayor prevalencia de FRCV. Fue predictivo que a mayor morbilidad, mayor consumo de recursos, mediante OR superiores a la media, p < 0,05 e intervalos de confianza del 95%. Se observó que un 59,8% del gasto farmacéutico ambulatorio quedaba explicado por el sistema CRG y todos los FRCV (p < 0,05 y R2 corregido = 0,598). En cuanto al efecto de los FRCV sobre los estados de salud CRG, hubo asociación significativa (p < 0,05) para la alteración de la glucemia, dislipidemia e HTA en todos los estados CRG. Conclusiones El estudio de los FRCV en una población estratificada mediante el sistema CRG identifica y predice dónde se genera mayor impacto en la morbilidad y consumo de recursos sanitarios. Nos permite conocer los grupos de pacientes en quienes desarrollar estrategias de prevención y cronicidad. A nivel de la práctica clínica se aporta un nuevo concepto de multimorbilidad, definido a partir del estado de salud CRG 4 en adelante.[EN] Objective To analyze the prevalence of Cardiovascular Risk Factors (CVRF) in the context of a Basic Health Area and the impact they generate on morbidity and consumption of healthcare resources in the stratified population according to the Clinical System Risk Groups (CRG) in Primary Care, with the purpose of identifying the population with multimorbidity to apply preventive measures, as well as the one that generates the highest care burden and social needs. Design Observational, cross-sectional and population-based study for a basic health area during 2013. Location Department of Health 2 (Castellón), Comunidad Valenciana (CV). Includes outpatient care in Primary Care and specialized. Participants All citizens registered in the Population Information System, N = 32,667. Measurements From the computerized system Abucasis we obtained the demographic, clinical and consumption variables of health resources. We consider the prevalence of CVRF based on the presence or absence of the ICD.9.MC diagnostic codes. The relationship of the CVRF with the 9 CRG health states was analyzed and a predictive analysis was performed with the logistic regression model to evaluate the explanatory capacity of each variable. In addition, an explanatory model of ambulatory pharmaceutical expenditure was obtained through multivariate regression. Results The population of health status CRG 4 and above had multimorbidity. The CRG 7 and 6 health states have a higher prevalence of CVRF; it was predictive that the higher the morbidity, the greater the consumption of resources through OR above the mean, p < 0.05 and the 95% confidence intervals. It was observed that 59.8% of ambulatory pharmaceutical expenditure was explained by the CRG system and all the CVRF (p < 0.05 and R2 corrected = 0.598). Regarding the effect of the CVRF on the CRG health states, there was a significant association (p < 0.05) for the alteration of blood glucose, dyslipidemia and HBP in all the CRG states. Conclusions The study of CVRF in a stratified population using the CRG system identifies and predicts where the greatest impact on morbidity and consumption of healthcare resources is generated. It allows us to know the groups of patients where to develop prevention and chronicity strategies. At the level of clinical practice, a new concept of multimorbidity is provided, defined from the state of health CRG 4 and above.Millá-Perseguer, M.; Guadalajara Olmeda, MN.; Vivas-Consuelo, D. (2019). Impacto de los factores de riesgo cardiovascular en el consumo de recursos en Atención Primaria según los Grupos de Riesgo Clínico. Atención Primaria. 51(4):218-229. https://doi.org/10.1016/j.aprim.2017.11.008S21822951

Manejo Multidisciplinario del Adenocarcinoma de Páncreas: Guía de Práctica Clínica AUNA

Introduction: This article provides recommendations for the Multidisciplinary Management of Pancreatic Adenocarcinoma in the RED AUNA. Methods: A systematic search of clinical practice guidelines (CPG) similar to topics of interest was developed, it was assessed with the AGREE II instrument, a list of questions was elaborated under the PICO structure, a de novo search was carried out prioritizing reviews systematic with or without meta-analysis, followed by primary studies, the elaboration of the evidence tables and the evaluation of the global quality for the outcomes of the clinical questions was carried out following the GRADE methodology. Results: 5 PICO questions corresponding to initial management and systemic management were formulated with 18 recommendations regarding the most effective method for pathological diagnosis, biliary drainage and the most effective and safe systemic treatment in the neoadjuvant, adjuvant and metastatic setting. Conclusions: This article summarizes the methodology and evidence-based recommendations of the CPG for the multidisciplinary management of pancreatic adenocarcinoma of the AUNA Clinic Network.Introducción: Este artículo brinda recomendaciones para el Manejo Multidisciplinario del Adenocarcinoma de Páncreas en la RED AUNA. Métodos: Se desarrolló una búsqueda sistemática de guías de práctica clínica (GPC) similares al tópico de interés, se valoró con el instrumento AGREE II, se elaboró un listado de preguntas bajo la estructura PICO, se realizó una búsqueda de novo priorizando revisiones sistemáticas con o sin meta-análisis, seguida de estudios primarios, la elaboración de las tablas de evidencia y la evaluación de la calidad global para los desenlaces de las preguntas clínicas se realizó siguiendo la metodología GRADE. Resultados: Se formularon 5 preguntas PICO correspondientes al manejo inicial y manejo sistémico con 18 recomendaciones respecto al método más efectivo para el diagnóstico patológico, el drenaje biliar y el tratamiento sistémico más efectivo y seguro en el escenario neoadyuvante, adyuvante y metastásico. Conclusiones: El presente artículo resume la metodología y las recomendaciones basadas en evidencia de la GPC para el manejo multidisciplinario del Adenocarcinoma de páncreas de la Red de Clínicas AUNA

Automatic structural design by a set-based parametric design method

Modern structural design faces new challenges, such as addressing the needs of several stakeholders and satisfying the criteria for achieving sustainability. The traditional design process does not allow resolution of these challenges. The purpose of this project was to investigate the applicability of a Set-Based Parametric Design method to the structural design process of bridges. The focus was on the early design stage, in which the design team evaluates design alternatives against a chosen set of criteria. The main challenge in this stage of design is that the process should be cost- and time-effective while allowing comparison of the different alternatives and their evaluation in terms of the different design criteria. Certainly, structural design is often performed by a discussion between the different stakeholders involved in this process, i.e. the client, contractor, and engineering team. An evaluation of alternatives against criteria requires a more detailed design, which is contradictory to the early design stage when information is scarce. The selected approach was to develop a script that can generate information for decision-making, automate the structural design process, perform common routine design tasks, and control the numerical analysis. The method combined Set-Based Design, Parametric Design, Finite Element Analysis and Multi-Criteria Decision Analysis. Three existing bridges were selected to demonstrate the applicability of the developed method. The method was successfully applied and it was observed that it resulted in bridges that were more efficient in terms of material costs and carbon dioxide equivalent emissions compared with existing bridges. By delaying the decisions and developing the sets of alternatives, various alternatives can be assessed and evaluated, in the design stage, against different sustainability criteria

Taller de Proyecto II - SI646 - 202102

Descripción: El curso de especialidad de Taller de Proyecto II, de las carreras de Ciencias de la Computación (CC), Ingeniería de Software (ISW) e Ingeniería de Sistemas de Información (ISI), es de carácter teórico-práctico y está dirigido a los estudiantes del décimo ciclo. El curso busca desarrollar las competencias generales de comunicación oral y escrita, manejo de la información, ciudadanía y pensamiento innovador. Para CC, las competencias específicas que se desarrollan en el curso son: trabajo en equipos multidisciplinarios, responsabilidad ética y profesional, comunicación efectiva, análisis del impacto de la solución de ingeniería, necesidad de aprendizaje de por vida, aplicación de fundamentos matemáticos, diseño y construcción de sistemas complejos. Propósito: Este curso es importante dentro de la formación de los estudiantes pues permite la aplicación directa de todos los conocimientos adquiridos en ciclos anteriores; es el segundo taller a través de los cuales los estudiantes conjuntamente con los profesores involucrados en los cursos realizan el desarrollo de un Proyecto Profesional final. El taller se desarrolla bajo la aplicación de trabajos por roles. Los estudiantes desempeñan una serie de roles para el análisis, diseño, implementación y producción de un sistema de información que permite ejemplificar muy cercano a la realidad, el trabajo profesional que desarrollarán los futuros egresados. Contribuye con el desarrollo de las competencias generales de comunicación oral, pensamiento crítico, razonamiento cuantitativo, pensamiento innovador a nivel de logro 3 y ciudadanía a nivel de logro 2. Así como las competencias específicas (3) Comunicacicón Efectiva; (4) Responsabilidad ética y profesional; (5) Trabajo en equipos multidisciplinarios; (6) Aprendizaje contínuo y autónomo para la carrera de Ciencias de la Computación. Así como las competencias específicas (3) Comunicacicón Efectiva; (4) Responsabilidad ética y profesional; (5) Trabajo en equipos multidisciplinarios; (6) Análisis y emisión de conclusiones; (7) Aprendizaje contínuo y autónomo para las carreras de Ingeniería de Sistemas de Información e Ingeniería de Software

Performance of the ALICE Electromagnetic Calorimeter

International audienceThe performance of the electromagnetic calorimeter of theALICE experiment during operation in 2010–2018 at the Large HadronCollider is presented. After a short introduction into the design,readout, and trigger capabilities of the detector, the proceduresfor data taking, reconstruction, and validation are explained. Themethods used for the calibration and various derived corrections arepresented in detail. Subsequently, the capabilities of thecalorimeter to reconstruct and measure photons, light mesons,electrons and jets are discussed. The performance of thecalorimeter is illustrated mainly with data obtained with test beamsat the Proton Synchrotron and Super Proton Synchrotron or inproton-proton collisions at √s = 13 TeV, and compared tosimulations

Performance of the ALICE Electromagnetic Calorimeter

The performance of the electromagnetic calorimeter of the ALICE experiment during operation in 2010-2018 at the Large Hadron Collider is presented. After a short introduction into the design, readout, and trigger capabilities of the detector, the procedures for data taking, reconstruction, and validation are explained. The methods used for the calibration and various derived corrections are presented in detail. Subsequently, the capabilities of the calorimeter to reconstruct and measure photons, light mesons, electrons and jets are discussed. The performance of the calorimeter is illustrated mainly with data obtained with test beams at the Proton Synchrotron and Super Proton Synchrotron or in proton-proton collisions at s = 13 TeV, and compared to simulations