Cost Optimization of Ice Distribution

Two questions regarding minimizing fuel costs while delivering ice along a pre-set route are tackled. The first question is when demand exceeds the load of a single truck, so that a second truck of ice has to be taken to some point of the route for the driver/salesman to continue with that for the rest of the route: Is it better: 1) for the first truck to deliver starting from the costumer nearest to the base, or 2) for the first truck to start the delivery from the last costumer (the most distant from the base)? We show that the second strategy was better for the particular data looked at, and we have the basis of an algorithm for deciding which strategy is the better for a given delivery schedule. The second question concerns how best to modify a regular sales route when an extra delivery has to be made. Again, the basis for an algorithm to decide how to minimize fuel costs is derived

Genetic Basis of Myocarditis: Myth or Reality?

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Complement deposition, C4d, on platelets is associated with vascular events in systemic lupus erythematosus

OBJECTIVE: Complement components, including C4d, can be found on activated platelets, a process associated with vascular disease in SLE. We investigated whether platelet C4d (PC4d) adds additional value to traditional and known lupus-associated risk factors when identifying SLE patients with vascular disease. METHODS: This cross-sectional study included 308 well-characterized SLE patients and 308 matched general population controls. PC4d deposition was analysed using flow cytometry. Values >95% of controls were considered as PC4d positive (+). aPL were determined by Luminex, and the LA test was performed by DRVVT. History of vascular disease (composite and as separate outcomes) was defined at inclusion. RESULTS: SLE patients had increased PC4d deposition as compared with population controls (50 vs 5%, P < 0.0001). PC4d+ positively associated with any vascular events, and separately with venous and cerebrovascular events, and also with all investigated aPL profiles. The association for any vascular event remained statistically significant after adjustment for traditional and SLE-associated risk factors (odds ratio: 2.3, 95% CI: 1.3, 4.3, P = 0.008). Compared with patients negative for both PC4d and LA, patients with double positivity were more likely to have vascular disease (odds ratio: 12.3, 95% CI: 5.4, 29.3; attributable proportion due to interaction 0.8, 95% CI: 0.4, 1.1). CONCLUSION: PC4d+ is associated with vascular events in SLE, independently of traditional and SLE-associated risk factors. Concurrent presence of PC4d and LA seem to interact to further increase the odds for vascular events. Prospective studies should examine whether the aPL/PC4d combination can improve prediction of vascular events in SLE and/or APS