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    A data generator for covid-19 patients’ care requirements inside hospitals

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    [EN] A Spanish version of the article is provided (see section before references). This paper presents the generation of a plausible data set related to the needs of COVID-19 patients with severe or critical symptoms. Possible illness’ stages were proposed within the context of medical knowledge as of January 2021. The parameters chosen in this data set were customized to fit the population data of the Valencia region (Spain) with approximately 2.5 million inhabitants. They were based on the evolution of the pandemic between September 2020 and March 2021, a period that included two complete waves of the pandemic. Contrary to expectation and despite the European and national transparency laws (BOE-A2013-12887, 2013; European Parliament and Council of the European Union, 2019), the actual COVID-19 pandemic-related data, at least in Spain, took considerable time to be updated and made available (usually a week or more). Moreover, some relevant data necessary to develop and validate hospital bed management models were not publicly accessible. This was either because these data were not collected, because public agencies failed to make them public (despite having them indexed in their databases), the data were processed within indicators and not shown as raw data, or they simply published the data in a format that was difficult to process (e.g., PDF image documents versus CSV tables). Despite the potential of hospital information systems, there were still data that were not adequately captured within these systems. Moreover, the data collected in a hospital depends on the strategies and practices specific to that hospital or health system. This limits the generalization of "real" data, and it encourages working with "realistic" or plausible data that are clean of interactions with local variables or decisions (Gunal, 2012; Marin-Garcia et al., 2020). Besides, one can parameterize the model and define the data structure that would be necessary to run the model without delaying till the real data become available. Conversely, plausible data sets can be generated from publicly available information and, later, when real data become available, the accuracy of the model can be evaluated (Garcia-Sabater and Maheut, 2021). This work opens lines of future research, both theoretical and practical. From a theoretical point of view, it would be interesting to develop machine learning tools that, by analyzing specific data samples in real hospitals, can identify the parameters necessary for the automatic prototyping of generators adapted to each hospital. Regarding the lines of research applied, it is evident that the formalism proposed for the generation of sound patients is not limited to patients affected by SARS-CoV-2 infection. The generation of heterogeneous patients can represent the needs of a specific population and serve as a basis for studying complex health service delivery systems.[ES] En este trabajo se presenta cómo se ha generado un conjunto de datos verosímiles relacionados con las necesidades de pacientes covid-19 con síntomas severe or critical. Se considerarán las etapas posibles con los conocimientos médicos a fecha de enero de 2021. Los parámetros elegidos en este data set están personalizados para adecuarse a los valores poblacionales de la región de Valencia (Spain), unos 2.5 Millones de habitantes y la evolución de la pandemia entre los meses de septiembre 2020 y marzo 2021, un periodo de tiempo que contemple dos olas completas de pandemia.En contra de lo que cabría esperar, a pesar de la ley de transparencia europea y nacional (BOE-A-2013-12887, 2013; Parlamento Europeo y del Consejo de la Unión Europea, 2019), los datos reales relacionados con la pandemia covid-19, al menos en España, tardan mucho en actualizarse y estar disponibles (normalmente una semana o más días). Además, algunos datos relevantes para trabajar los modelos de gestión de camas de hospital no están accesibles públicamente. Bien porque no se hayan recogido esos datos, o porque los organismos públicos no los ofrecen (a pesar de tenerlos indexados en sus bases de datos), o los ofrecen camuflados en indicadores procesados y no muestran los datos en bruto, o simplemente los publican en un formato de difícil reutilización (por ejemplo, en documentos PDF en lugar de en tablas CSV). A pesar de que los sistemas de información de los hospitales son bastante potentes, siguen existiendo datos que ni siquiera están recogidos adecuadamente en el sistema de información de salud.Por otra parte, los datos recogidos en un hospital dependen de las estrategias y practicas propias de ese hospital o sistema de salud. Este efecto limita la generalización de los datos “reales” y es necesario trabajar con datos “realistas” o verosímiles que están limpios de interacciones con variables o decisiones locales (Gunal, 2012; Marin-Garcia et al., 2020). Por un lado, se puede parametrizar el modelo y definir la estructura de datos que sería necesaria para ejecutar el modelo con datos reales. Por otro lado, se pueden generar conjuntos de datos verosímiles a partir de la información pública disponible y, posteriormente, cuando se disponga de los datos reales evaluar la bondad del modelo (Garcia-Sabater & Maheut, 2021).Marin-Garcia, JA.; Ruiz, A.; Julien, M.; Garcia-Sabater, JP. (2021). A data generator for covid-19 patients’ care requirements inside hospitals. WPOM-Working Papers on Operations Management. 12(1):76-115. https://doi.org/10.4995/wpom.1533276115121Alexander, G. L. (2007). The nurse-patient trajectory framework. Medinfo. MEDINFO, 12(Pt 2), 910- 914.Belciug, S., Bejinariu, S. I., & Costin, H. (2020). An artificial immune system approach for a multicompartment queuing model for improving medical resources and inpatient bed occupancy in pandemics. 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P., Ruiz, A., Maheut, J., & Garcia-Sabater, J. J. (2020). Operations Management at the service of health care management: Example of a proposal for action research to plan and schedule health resources in scenarios derived from the COVID-19 outbreak. Journal of Industrial Engineering and Management, 13(2), 213. https://doi.org/10.3926/jiem.3190Marin-Garcia, J. A., Vidal-Carreras, P. I., Garcia Sabater, J. J., & Escribano-Martinez, J. (2019). Protocol: Value Stream Maping in Healthcare. A systematic literature review. WPOM-Working Papers on Operations Management, 10(2), 36. https://doi.org/10.4995/wpom.v10i2.12297Ministerio De Sanidad, Servicios Sociales e Igualdad. (2017). Hábitos de Vida Informe Anual del Sistema Nacional de salud 2016 (INFORMES,). MINISTERIO DE SANIDAD, SERVICIOS SOCIALES E IGUALDAD.Mun, J. (2008). Appendix C. Understanding and Choosing the Right Probability Distributions. 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    Scoping Review of Kaizen and Green Practices: State of the Art and Future Directions

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    ABSTRACT: Given the importance that environmental management is acquiring, the main aim of this work is to know what the state of the field kaizen and green practices is at present. A systematic narrative review is conducted in accordance with the PRISMA Statement. Two databases (Web of Science and Scopus) were searched. Finally, after applying the defined inclusion and exclusion criteria, 19 documents were analyzed. Based on the results, it might be concluded that, despite the growing interest in the relationship between kaizen and green practices, this is a topic in the early stages of development, with a clear predominance of case studies. It is, therefore, necessary to develop more research on this kaizen and green issue as improving environmental management is undeniably becoming a must in today's competitive environment. For instance, more research is needed on the application of kaizen tools as results obtained so far seem not to be conclusive. Additionally, more academic and rigorous studies should be developed on this topic as many of the analyzed papers seem to be clearly created for dissemination among practitioners, some of them lacking the traditional academic structure and scientific method during their development

    Updated comparison of age estimates from paired calcified structures from Atlantic bluefin tuna

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    In this paper we present an updated comparison of age estimates from otoliths and spines from the same specimen, with the intention to analyze whether it is possible to use both structures in obtaining age-length keys for this species. The agreement between otolith and spine age estimates was good for bluefin tuna younger than 14 years old with less than one year difference. Tests of symmetry showed the asymmetrical distribution of ages. However no significant differences were found between the growth parameters estimated from both paired hard parts. It is suggested using both structures readings for constructing agelength keys for bluefin tuna younger than 14 years.En prensa0,000

    Operations Management at the service of health care management: Example of a proposal for action research to plan and schedule health resources in scenarios derived from the COVID-19 outbreak

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    [EN] With this work, we intend to promote research on the application of Operations Management tools in order to assist with decision-making in health crisis situations. During the first six weeks of the COVID-19 crisis in Spain, we have contacted a large number of hospital and health department managers in the Valencian Community and other regions of Spain. The result is that very few, at least when contact was made and at the time of writing this article, had consulted staff members in the Operations Management area for advice on this situation, and they are quite reluctant to do so. This is in spite of the fact that some medical sources also consider this crisis to be one of resources, not merely a medical crisis. Our opinion is that Operations Management can make a useful and valuable contribution to anticipate and improve the management of scarce resources, even in times of crisis. If those responsible for public health or heads of hospitals do not see this usefulness, then there is a huge gap between research and practice in Operations Management and what is transmitted to the healthcare sector. Our aim is to help reduce this gap.Marin-Garcia, JA.; García Sabater, JP.; Ruiz, A.; Maheut, J.; García Sabater, JJ. (2020). Operations Management at the service of health care management: Example of a proposal for action research to plan and schedule health resources in scenarios derived from the COVID-19 outbreak. Journal of Industrial Engineering and Management. 13(2):213-227. https://doi.org/10.3926/jiem.3190S21322713

    Fibre enrichment of cookies to mitigate acrylamide formation and gastrointestinal bioaccessibility

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    Acrylamide (AA) is a food contaminant with serious health effects. In this work, the addition of dietary fibre was proposed to mitigate AA in cookies and to reduce bioaccesibility in the gastrointestinal trac. The analytical methodology applied for AA quantification was based on solid-liquid extraction (SLE) followed by gas chromatography (GC) coupled to mass spectrometry (MS). Preliminar results with commercial dietary fibres, such as k-carrageenan, arabinogalactan and pectin, indicated that the highest reduction of AA could be obtained with the addition of 5 g of pectin/100 g of flour to cookies recipe. Thus, different sources of pectin were evaluated: commercial pectin (CP) and three apple pomaces (dehydrated apple pomace (DP), sugar removed lyophilized apple pomace (SRL) and sugar removed lyophilized and powdered apple pomace (SRLP)). The highest AA mitigation was obtained with SRL and SRLP (62% and 48% of inhibition). After in vitro digestion, all sources of dietary fibres provided the lowest bioaccessibility results (1346%) compared with control (>63%). (c) 2023 The Author

    Unequal effects of the national lockdown on mental and social health in Italy

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    With the exception of a few countries that chose a different approach, the worldwide reaction to the COVID-19 pandemic was a (longer or shorter) period of national lockdown. While the economic consequences of shutting down national economies were immediately evident, the sociopsychiatric implications of the social confinement of the entire population remain hidden and not fully understood. Italy has been the first European country to be severely impacted by the COVID-19 pandemic, to which it responded through strict lockdown measurements. The results of a timely survey on mental and social health, carried out by students and teachers of a middle school in Rome, might help identify the most vulnerable groups of the population. This evidence could be crucial in conceiving and enacting targeted public health policies to mitigate the consequences of the pandemic on mental health and to prevent intolerance to containment measures in some population segments, which could hamper worldwide efforts in the fight against COVID-19

    Promoting prosocial behaviour among Colombian adolescents: the evaluation of a universal school-based program using a multi-informant perspective

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    The present study evaluated the efficacy of an Italian school-based intervention programme adapted in three Colombian sites (Medellín, Manizales, and Santa Marta) in promoting prosocial behaviour among adolescents. Using a pre-test-post-test design with a multi-informant approach, the present study assessed 451 students (Mage = 12.77, SD = 1.06) of the intervention group and 428 students (Mage = 12.64, SD = 1.01) by using self-report and peer rating measures of prosocial behaviour. After establishing the measurement invariance across time and informants, a latent difference score model showed the positive effect of the intervention programme in improving prosocial behaviour evaluated by peers (Cohen’s d = .379) among Colombian adolescents, across all three sites. Implications of the study will be discussed

    Full configuration interaction calculation of BeH adiabatic states

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    An all-electron full configuration interaction (FCI) calculation of the adiabatic potential energy curves of some of the lower states of BeH molecule is presented. A moderately large ANO basis set of atomic natural orbitals (ANO) augmented with Rydberg functions has been used in order to describe the valence and Rydberg states and their interactions. The Rydberg set of ANOs has been placed on the Be at all bond distances. So, the basis set can be described as 4s3p2d1f/3s2p1d(Be/H)+4s4p2d(Be). The dipole moments of several states and transition dipole strengths from the ground state are also reported as a function of the RBe–H distance. The position and the number of states involved in several avoided crossings present in this system have been discussed. Spectroscopic parameters have been calculated from a number of the vibrational states that result from the adiabatic curves except for some states in which this would be completely nonsense, as it is the case for the very distorted curves of the 3s and 3p math states or the double-well potential of the 4p math state. The so-called “D complex” at 54 050 cm−1 (185.0 nm) is resolved into the three 3d substates (math,math,math). A diexcited valence state is calculated as the lowest state of math symmetry and its spectroscopic parameters are reported, as well as those of the 2 math (4d) state The adiabatic curve of the 4 math state shows a swallow well at large distances (around 4.1 Å) as a result of an avoided crossing with the 3 math state. The probability that some vibrational levels of this well could be populated is discussed within an approached Landau–Zerner model and is found to be high. No evidence is found of the E(4sσ) math state in the region of the “D complex”. Instead, the spectroscopic properties obtained from the (4sσ) 6 math adiabatic curve of the present work seem to agree with those of the experimental F(4pσ) math state. The FCI calculations provide benchmark results for other correlation models for the open-shell BeH system and evidence both the limitations and capabilities of the basis [email protected] [email protected]

    Observation of Z production in proton-lead collisions at LHCb

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    The first observation of Z boson production in proton-lead collisions at a centreof-mass energy per proton-nucleon pair of √ sNN = 5 TeV is presented. The data sample corresponds to an integrated luminosity of 1.6 nb−1 collected with the LHCb detector. The Z candidates are reconstructed from pairs of oppositely charged muons with pseudorapidities between 2.0 and 4.5 and transverse momenta above 20 GeV/c. The invariant dimuon mass is restricted to the range 60 − 120 GeV/c2 . The Z production cross-section is measured to be σZ→µ+µ− (fwd) = 13.5 +5.4 −4.0 (stat.) ± 1.2(syst.) nb in the direction of the proton beam and σZ→µ+µ− (bwd) = 10.7 +8.4 −5.1 (stat.) ± 1.0(syst.) nb in the direction of the lead beam, where the first uncertainty is statistical and the second systematic
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