An integrated model for mechatronic products in agile manufacturing system

Reviewing the evolutionary trend of the models used in design and development of mechatronic products reveals the necessity for integration of the design characteristics and requirements in various engineering fields. Such products should agilely embrace rapid, persistent and complex requirements in competitive environments. This research aims to develop an integrated model for designing and developing mechatronic products within the context of agile production system. The study tries to eliminate unnecessary stages of design and simulation of products and increase the number of tested ideas. This suggests a distinction between product innovation and product improvement cycles and thus makes employing a pre-active approach to responding possible. Since the term “mechatronic products” is often used interchangeably with “robots”, one of the most commonly used types of them, i.e. tracer robot is considered as the statistical population for the proposed study. By choosing experimental (laboratory) research method, two categories of tracer robots are created: the tracer robots based on the V-model as the only integrated existing model and the robots based on the W-model as the model proposed by this study with a sample size of 35 sets in each group. The results indicate that both method provide acceptable validity although one model seems to perform better than the other one

A new Bi– level production-routing-inventory model for a medicine supply chain under uncertainty

This research presents a new bi-level bi-objective production-routing-inventory model for a medi-cine supply chain. In this case, the production is executed by multi-separated producers in a multi-production line for different kinds of medicines which will be saved in stores for delivering to cus-tomers. The capacitated vehicle routing problem is considered in designing a distribution system from stores to customers. The goal of this model is to make a suitable trade-off between the customer satisfaction and the budget cost. This problem has been formulated in a bi-level form where the first objective function is the minimization of the budget during the scheduled time and the second one is the minimization of the shortage amount associated with the lost sale of medicine demands delivering to drug stores. Uncertainty is considered as a nature of the main parameters of the problem. Then the robust approach was used to handle the associated uncertainty of related parameters and the resulted problem is solved by Benders decomposition algorithm. The results indi-cate that the model make an improvement in medicine supply chain

Outcome-Based Validity and Reliability Assessment of Raters Regarding the Admission Triage Level in the Emergency Department: a Cross-Sectional Study

Introduction: Emergency department (ED) is usually the first line of healthcare supply to patients in non-urgent to critical situations and, if necessary, provides hospital admission. A dynamic system to evaluate patients and allocate priorities is necessary. Such a structure that facilitates patients’ flow in the ED is termed triage. Objective: This study was conducted to investigate the validity and reliability of implementation of Emergency Severity Index (ESI) system version 4 by triage nurses in an overcrowded referral hospital with more than 80000 patient admissions per year and an average emergency department occupancy rate of more than 80%. Method: This prospective cross-sectional study was conducted in a tertiary care teaching hospital and trauma center with an emergency medicine residency program. Seven participating expert nurses were asked to assess the ESI level of patients in 30 written scenarios twice within a three-week interval to evaluate the inter-rater and intra-rater reliability. Patients were randomly selected to participate in the study, and the triage level assigned by the nurses was compared with that by the emergency physicians. Finally, based on the patients’ charts, an expert panel evaluated the validity of the triage level. Results: During the study period, 527 patients with mean age of 54 ± 7 years, including 253 (48%) women and 274 (52%) men, were assessed by seven trained triage nurses. The degree of retrograde agreement between the collaborated expert panel’s evaluation and the actual triage scales by the nurses and physicians for all 5 levels was excellent, with the Cohen’s weighted kappa being 0.966 (CI 0.985–0.946, p < 0.001) and 0.813 (CI 0.856–0.769, p<0.001), respectively. The intra-rater reliability was 0.94 (p < 0.0001), and the inter-rater reliability for all the nurses was in perfect agreement with the test result (Cohen’s weighted kappa were as follows: 0.919, 0.956, 0.911, 0.955, 0.860, 0.956, and 0.868; p < 0.001). Conclusion: The study findings showed that there was perfect reliability and, overall, almost perfect validity for the triage performed by the studied nurses

Outcome-Based Validity and Reliability Assessment of Raters Regarding the Admission Triage Level in the Emergency Department: a Cross-Sectional Study

Introduction: Emergency department (ED) is usually the first line of healthcare supply to patients in non-urgent to critical situations and, if necessary, provides hospital admission. A dynamic system to evaluate patients and allocate priorities is necessary. Such a structure that facilitates patients’ flow in the ED is termed triage. Objective: This study was conducted to investigate the validity and reliability of implementation of Emergency Severity Index (ESI) system version 4 by triage nurses in an overcrowded referral hospital with more than 80000 patient admissions per year and an average emergency department occupancy rate of more than 80%. Method: This prospective cross-sectional study was conducted in a tertiary care teaching hospital and trauma center with an emergency medicine residency program. Seven participating expert nurses were asked to assess the ESI level of patients in 30 written scenarios twice within a three-week interval to evaluate the inter-rater and intra-rater reliability. Patients were randomly selected to participate in the study, and the triage level assigned by the nurses was compared with that by the emergency physicians. Finally, based on the patients’ charts, an expert panel evaluated the validity of the triage level. Results: During the study period, 527 patients with mean age of 54 ± 7 years, including 253 (48%) women and 274 (52%) men, were assessed by seven trained triage nurses. The degree of retrograde agreement between the collaborated expert panel’s evaluation and the actual triage scales by the nurses and physicians for all 5 levels was excellent, with the Cohen’s weighted kappa being 0.966 (CI 0.985–0.946, p < 0.001) and 0.813 (CI 0.856–0.769, p<0.001), respectively. The intra-rater reliability was 0.94 (p < 0.0001), and the inter-rater reliability for all the nurses was in perfect agreement with the test result (Cohen’s weighted kappa were as follows: 0.919, 0.956, 0.911, 0.955, 0.860, 0.956, and 0.868; p < 0.001). Conclusion: The study findings showed that there was perfect reliability and, overall, almost perfect validity for the triage performed by the studied nurses

A 24-year-old Female Traumatic Patient Following a Car Accident

A healthy 24-year-old female presented at the emergency department (ED) after a car accident with ambulance while injured severely after the bus got run over her lower limb. As the trauma team was activated, her primary survey was started: Ac (Airway and cervical collar): She was awake and could talk. Cervical collar was fixed, oxygenation with face mask was started. B (Breathing): Her chest rising was symmetrical without any laceration or abrasion. Chest auscultation was clear and there was no tenderness or crepitation on palpation. No tracheal shift was found. She had normal respiratory rate and O2 saturation of 94% at ambient air. C (Circulation): Two large bore IV lines were inserted and blood samples were obtained. Her vital signs were BP = 60/40 mmHg, PR = 130/min, RR = 12. E-FAST was performed which was negative for free fluid in abdomen, pelvis and thorax, tamponade, and hemopneumothorax. Her pelvis was unstable on examination and pelvic wrapping was performed with sheath. IV fluid therapy with normal saline was started followed by 3 units of packed RBC transfusion. More pack cells and FFP were also requested. D (Disability): She had Glasgow coma scale of 15/15 with normal size and reactive pupil. No neurologic deficit was found except disability of lower extremities due to crush injury. E (Exposure): She had no midline spinal tenderness with normal sphincter anal tone, but there was a laceration in the perineum which extended to the vagina. Portable chest and pelvic x-ray as an adjutant to primary survey were performed which showed type C pelvic fracture. On her secondary survey, she had abrasion on her scalp, 1.5 cm laceration on her right tibia, deformity of her right thigh, and laceration in her genitalia with some vaginal bleeding. Direct pressure was applied and all lacerations were packed. According to negative e-FAST and pelvic fracture and shock, since the angiography was not available, it was decided to fix the pelvis with external fixator in the operation room. After the fixation, and because shock persisted, operative pelvic packing was undertaken. Unfortunately, she suffered cardiorespiratory arrest in the operating room and died

Developing a chaotic pattern of dynamic Hazmat routing problem

The present paper proposes an iterative procedure based on chaos theory on dynamic risk definition to determine the best route for transporting hazardous materials (Hazmat). In the case of possible natural disasters, the safety of roads may be seriously affected. So the main objective of this paper is to simultaneously improve the travel time and risk to satisfy the local and national authorities in the transportation network. Based on the proposed procedure, four important risk components including accident information, population, environment, and infrastructure aspects have been presented under linguistic variables. Furthermore, the extent analysis method was utilized to convert them to crisp values. To apply the proposed procedure, a road network that consists of fifty nine nodes and eighty two-way edges with a pre-specified affected area has been considered. The results indicate that applying the dynamic risk is more appropriate than having a constant risk. The application of the proposed model indicates that, while chaotic variables depend on the initial conditions, the most frequent path will remain independent. The points that would help authorities to come to the better decision when they are dealing with Hazmat transportation route selection

Utilizing TOPSIS intensified with adjustment similarity factor to determine price of technology

Technology transfer has been a very frequent activity in the industrial world nowadays. Technology valuation, and in particular technology pricing, has played a considerable role in these transactions, in spite of a huge amount of limitations in the pricing methodologies applied. Making a sound, traceable and reliable means for applying the price evaluation procedure, seems as a technological requirement to be traced for. The objective of delivering this paper is to introduce a new numerical technology pricing method to provide the two transacting parties a unique compromised price. A three-dimensional model for technology pricing is proposed and The TOPSPS algorithm has been utilized to select the most similar technologies to the intended one and the constructed scoring system is applied to calculate the final technology price accordingly

Defining Psychological Factors of Cycling in Tehran City

Studying active transportation (walking or cycling) is widespread in American and European research. Studies which include latent variables (LV) are growing to identify the exact results of determining the strategies to increase the utility of active transportation (AT). LVs help us conduct more accurate research. LVs are defined as psychological factors such as feeling safe while you ride at night, and thus they are not subjective and hard to understand, but very important to consider in order to increase the utility of using AT modes. In the present paper, most of the previous studies on cycling were reviewed. Different variables, including subjective and LVs, were included to maximize using the bicycle utility and introduced to have better sight for future researchers to deal with modeling AT mode choice. This study applied the latent class analysis to a sample of 345 survey respondents in Tehran, the capital city of Iran, exploring the variables affecting cycling behavior and a confirmatory factor analysis, and a structural equation modeling (SEM) was developed. Results show the importance of having a ‘will’ for using a bicycle, especially in difficult situations, and in view of cultural barriers that affect women cyclists

Decentralized supply chain network design: monopoly, duopoly and oligopoly competitions under uncertainty

Abstract This paper presents the competitive supply chain network design problem in which $$n$$ n decentralized supply chains simultaneously enter the market with no existing rival chain, shape their networks and set wholesale and retail prices in competitive mode. The customer demand is elastic and price dependent, customer utility function is based on the Hoteling model and the chains produce identical or highly substitutable products. We construct a solution algorithm based on bi-level programming and possibility theory. In the proposed bi-level model, the inner part sets the prices based on simultaneous extra- and Stackleberg intra- chains competitions, and the outer part shapes the networks in cooperative competitions. Finally, we use a real-word study to discuss the effect of the different structures of the competitors on the equilibrium solution. Moreover, sensitivity analyses are conducted and managerial insights are offered

Defining Psychological Factors of Cycling in Tehran City

Studying active transportation (walking or cycling) is widespread in American and European research. Studies which include latent variables (LV) are growing to identify the exact results of determining the strategies to increase the utility of active transportation (AT). LVs help us conduct more accurate research. LVs are defined as psychological factors such as feeling safe while you ride at night, and thus they are not subjective and hard to understand, but very important to consider in order to increase the utility of using AT modes. In the present paper, most of the previous studies on cycling were reviewed. Different variables, including subjective and LVs, were included to maximize using the bicycle utility and introduced to have better sight for future researchers to deal with modeling AT mode choice. This study applied the latent class analysis to a sample of 345 survey respondents in Tehran, the capital city of Iran, exploring the variables affecting cycling behavior and a confirmatory factor analysis, and a structural equation modeling (SEM) was developed. Results show the importance of having a ‘will’ for using a bicycle, especially in difficult situations, and in view of cultural barriers that affect women cyclists