Vehicle routing problems with drones equipped with multi-package payload compartments

The vehicle routing problem with drones (VRP-D) consists of designing combined truck-drone routes and schedules to serve a set of customers with specific requests and time constraints. In this paper, VRP-D is extended to include a fleet of drones equipped with multi-package payload compartments to serve more customers on a single trip. Moreover, a drone can return to a truck, different from the one from which it started, to swap its depleted battery and/or to pick up more packages. This problem, denoted as VRP-D equipped with multi-package payload compartments (VRP-D-MC), aims to maximize total profit. In this work, an adaptive multi-start simulated annealing (AMS-SA) metaheuristic algorithm is proposed to efficiently solve this problem. Experimental results show that the proposed algorithm outperforms the current state-of-the-art algorithms for VRP-D in terms of solution quality. Extensive analyses have been conducted to provide managerial insights. The analyses carried out show (i) the benefits of using drones equipped with different compartment configurations, (ii) the incremental total profit obtainable using a combined truck-drone fleet rather than a fleet of trucks, (iii) the benefit of swapping drone battery while picking up the items to deliver, and (iv) the impact of the packages load on the consumption energy of battery drone. It is also demonstrated that the different intensification and diversification mechanisms adopted improve the convergence of the traditional SA

Interferometric control of absorption in thin plasmonic metamaterials: General two port theory and broadband operation

In order to extend the Coherent Perfect Absorption (CPA) phenomenology to broadband operation, the interferometric control of absorption is investigated in two-port systems without port permutation symmetry. Starting from the two-port theory of CPA treated within the Scattering Matrix formalism, we demonstrate that for all linear two-port systems with reciprocity the absorption is represented by an ellipse as function of the relative phase and intensity of the two input beams, and it is uniquely determined by the device single-beam reflectance and transmittance, and by the dephasing of the output beams. The basic properties of the phenomenon in systems without port permutation symmetry show that CPA conditions can still be found in such asymmetric devices, while the asymmetry can be beneficial for broadband operation. As experimental proof, we performed transmission measurements on a metal-semiconductor metamaterial, employing a Mach-Zehnder interferometer. The experimental results clearly evidence the elliptical feature of absorption and trace a route towards broadband operation

Short-term effects of air pollution on cardiovascular hospitalizations in the pisan longitudinal study

Air pollution effects on cardiovascular hospitalizations in small urban/suburban areas have been scantly investigated. Such effects were assessed among the participants in the analytical epidemiological survey carried out in Pisa and Cascina, Tuscany, Italy (2009-2011). Cardiovascular hospitalizations from 1585 subjects were followed up (2011-2015). Daily mean pollutant concentrations were estimated through random forests at 1 km (particulate matter: PM10, 2011-2015; PM2.5, 2013-2015) and 200 m (PM10, PM2.5, NO2, O3, 2013-2015) resolutions. Exposure effects were estimated using the case-crossover design and conditional logistic regression (odds ratio-OR-and 95% confidence interval-CI-for 10 μg/m3 increase; lag 0-6). During the period 2011-2015 (137 hospitalizations), a significant effect at lag 0 was observed for PM10 (OR = 1.137, CI: 1.023-1.264) at 1 km resolution. During the period 2013-2015 (69 hospitalizations), significant effects at lag 0 were observed for PM10 (OR = 1.268, CI: 1.085-1.483) and PM2.5 (OR = 1.273, CI: 1.053-1.540) at 1 km resolution, as well as for PM10 (OR = 1.365, CI: 1.103-1.690), PM2.5 (OR = 1.264, CI: 1.006-1.589) and NO2 (OR = 1.477, CI: 1.058-2.061) at 200 m resolution; significant effects were observed up to lag 2. Larger ORs were observed in males and in subjects reporting pre-existent cardiovascular/respiratory diseases. Combining analytical and routine epidemiological data with high-resolution pollutant estimates provides new insights on acute cardiovascular effects in the general population and in potentially susceptible subgroups living in small urban/suburban areas

Dynamic Collection Scheduling Using Remote Asset Monitoring: Case Study in the UK Charity Sector

Remote sensing technology is now coming onto the market in the waste collection sector. This technology allows waste and recycling receptacles to report their fill levels at regular intervals. This reporting enables collection schedules to be optimized dynamically to meet true servicing needs in a better way and so reduce transport costs and ensure that visits to clients are made in a timely fashion. This paper describes a real-life logistics problem faced by a leading UK charity that services its textile and book donation banks and its high street stores by using a common fleet of vehicles with various carrying capacities. Use of a common fleet gives rise to a vehicle routing problem in which visits to stores are on fixed days of the week with time window constraints and visits to banks (fitted with remote fill-monitoring technology) are made in a timely fashion so that the banks do not become full before collection. A tabu search algorithm was developed to provide vehicle routes for the next day of operation on the basis of the maximization of profit. A longer look-ahead period was not considered because donation rates to banks are highly variable. The algorithm included parameters that specified the minimum fill level (e.g., 50%) required to allow a visit to a bank and a penalty function used to encourage visits to banks that are becoming full. The results showed that the algorithm significantly reduced visits to banks and increased profit by up to 2.4%, with the best performance obtained when the donation rates were more variable

Plasma levels of oxidative stress markers, before and after BoNT/A Treatment, in chronic migraine

The pathophysiological mechanisms of migraine transformation are debated. Modifications of plasma oxidative stress biomarkers have been described in chronic migraine. OnabotulintoxinA (BoNT/A) treatment, approved for chronic migraine prophylaxis, possibly reduces pain neurotransmitters release and oxidative stress products. Aims of our study were to investigate differences in the levels of selected plasmatic oxidative stress biomarkers (Advanced Oxidation Protein Products (AOPP), Ferric Reducing Antioxidant Power (FRAP), Thiolic Groups (SH)) comparing chronic migraineurs (CM) and healthy controls (HC). We also explored possible clinical and biochemical modifications in the CM group after six months of treatment with BoNT/A. At the baseline, we found higher values of AOPP (p < 0.001), and lower values of SH (p < 0.001) and FRAP (p = 0.005) in the CM group. At the six-month follow-up we found a reduction of AOPP (p < 0.001) and an increase of FRAP (p < 0.001) and SH (p = 0.023) within the CM group. BoNT/A treatment improved migraine symptoms in the CM group. We confirmed previous reports of imbalanced antioxidant mechanisms in chronic migraine showing lower antioxidant capacities in patients than controls. BoNT/A improved the levels of plasma oxidative stress biomarkers and confirmed its role as an effective prophylactic treatment for CM. Other studies should investigate the potential antioxidant properties of BoNT/A treatment

Magneto-optic transmittance modulation observed in a hybrid graphene-split ring resonator terahertz metasurface

By placing a material in close vicinity of a resonant optical element, its intrinsic optical response can be tuned, possibly to a wide extent. Here, we show that a graphene monolayer, spaced a few tenths of nanometers from a split ring resonator metasurface, exhibits a magneto-optical response which is strongly influenced by the presence of the metasurface itself. This hybrid system holds promises in view of thin optical modulators, polarization rotators, and nonreciprocal devices, in the technologically relevant terahertz spectral range. Moreover, it could be chosen as the playground for investigating the cavity electrodynamics of Dirac fermions in the quantum regime.The work was supported in part by the European Union Graphene Flagship under grant agreement n° 604391.This is the author accepted manuscript. The final version is available from AIP via http://dx.doi.org/10.1063/1.493170

Critical rationalism and macrosociology of globalisation

This thesis employs Critical Rationalism—an inter-subjective theory of rationality originated in Karl Popper’s conjectural theory of knowledge— in order to develop a new macrosociology of globalisation. It describes contemporary globalisation as the formation of a liberal globality through which the centrality of the Hobbesian struggle for political power has been superseded with the Lockean competition for economic interests. But the thesis argues that liberal globalisation suffers from fundamental societal deficits due to a global organisation of people based on economic competition rather than rational dialogue and social cooperation. The central question of thesis therefore is that ‘how emerging utilitarian-based liberal globality can be transformed into a global society of free and equal citizens?’ The thesis argues that people’s potential access to critical rationality enables them to agree upon one set of globally shared values concerning the equality of people and people-centric global institutions, which are required for creating a global society of free and equal citizens. Through its macrosociological analysis the thesis addresses the question of how such a system of globally shared values can operate as the cultural driving force of a radical global institutional change from the Lockean logic of economic competition to the Kantian logic of dialogue and social cooperation. The thesis concludes that intellectuals can employ the ideal-type of an open global society of free and equal persons in order to persuade global social movements to work for realising such a fundamental global institutional change towards a just and free global society.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Prescriptive adherence to GINA guidelines and asthma control: An Italian cross sectional study in general practice

Background: Although general practitioners (GPs) are frequently the first healthcare professionals whom asthma patients refer to for their symptoms, few studies have explored the extent of adherence to guidelines for asthma management based on data provided directly by GPs. Aims of the present study were to assess drug prescriptions for asthma by GPs and to evaluate prescriptive adherence to GINA guidelines (GL) and its relationship with disease control in real life. Methods: 995 asthmatic patients (45% males, mean age 43.3 ± 17.7 yrs) were enrolled by 107 Italian GPs distributed throughout the country. Data on diagnosis, disease severity, prescribed anti-asthmatic drugs and control were collected through questionnaires filled out by GPs taking into consideration the 2009 GINA Guidelines. Data on drug use and chronic sinusitis, nasal polyposis, chronic bronchitis, emphysema were reported by patients through a self-administered questionnaire. Results: The large majority of patients were classified by GPs as having intermittent (48.4%) or mild persistent asthma (25.3%); 61% had co-morbid allergic rhinitis (AR). The prevalent therapeutic regimen used by patients was a combination of inhaled corticosteroids (ICS) plus long-acting β2-agonists (LABA) (54.1%), even in the intermittent/mild persistent group. ICS as mono-therapy or in combination with other drugs but LABA, was the second most frequently adopted treatment (14.4%). In general, the GPs adherence to GL treatment indications was 28.8%, with a significant association with a good asthma control (OR 1.85, 95% CI 1.18–2.92). On the other hand, comorbidity (OR 0.52, 95% CI 0.32–0.84), moderate (0.44, 0.28–0.69) and severe (0.06, 0.02–0.20) persistent asthma showed significant negative effects on asthma control. Conclusions: Our results show that over-treatment of intermittent/mild persistent asthma is frequent in the GPs setting while therapeutic regimens are more appropriately applied for moderate/severe asthma. In general, we found low adherence to GINA GL treatment recommendations even if its relevance in asthma control was confirmed

COVID-19 in patients with hematologic disorders undergoing therapy: perspective of a large referral hematology center in Rome

Introduction: Patients with cancer may be more susceptible to and have higher morbidity and mortality rates from COVID-19 than the general population, while epidemiologic data specifically addressed to hematologic patients are limited. To investigate whether patients with hematologic diseases undergoing therapy are at increased risk for acquiring SARS CoV-2 infection compared to the general population, a retrospective study was carried out at a referral hematologic center in Rome, Italy, during the period of the greatest epidemic spread (March 8 to May 14, 2020). Methods: All adult and pediatric patients with a diagnosis of a neoplastic or a nonneoplastic hematologic disease who underwent treatment (chemotherapy or immunosuppressive or supportive therapy) during the study period or in the previous 6 months were considered. The prevalence of COVID-19 in the overall outpatient and inpatient population undergoing hematologic treatment compared to that of the general population was analyzed. The measures taken to manage patients during the epidemic period are described. Results: Overall, 2,513 patients with hematological diseases were considered. Out of 243 (9.7%) patients who were screened for SARS CoV-2, three of 119 (2.5%) outpatients with fever or respiratory symptoms and none of 124 asymptomatic patients were diagnosed with COVID-19. Three further patients were diagnosed with COVID-19 and managed in other hospitals in Rome. As of May 14, 2020, the prevalence of COVID-19 in our hematologic population accounted for 0.24% (95% CI 0.23-0.25; 6 of 2,513 patients: 1 case in every 419 patients) as compared to 0.12% (7,280 of 5,879,082 residents; 1 case in every 807 residents) in the general population (p = 0.14). Three of 6 patients diagnosed with COVID-19 required critical care and 2 died while still positive for SARS CoV-2. Out of 225 healthcare providers on duty at our Institution during the study period, 2 (0.9%) symptomatic cases were diagnosed with COVID-19. Conclusion: In our experience, the prevalence of COVID-19 in hematologic patients, mainly affected by malignancies, was not significantly higher compared to that of the general population. Definition of adapted strategies for healthcare services, while continuing to administer the standard hematologic treatments, represents the crucial challenge for the management of hematologic diseases in the COVID-19 era