Integrated Planning of Industrial Gas Supply Chains

In this work, we propose a Mixed Integer Linear Programming (MILP) model for optimal planning of industrial gas supply chain, which integrates supply contracts, production scheduling, truck and rail-car scheduling, as well as inventory management under the Vendor Managed Inventory (VMI) paradigm. The objective used here is minimisation of the total operating cost consisting of purchasing of raw material, production, and transportation costs by trucks/rail-cars so as to satisfy customer demands over a given time horizon. The key decisions for production sites include production schedule and purchase schedule of raw material, while the distribution decisions involve customer to plant/depot allocation, quantity transported through rail network, truck delivery amounts, and times. In addition, a relaxation approach is proposed to solve the problem efficiently. An industrial case study is evaluated to illustrate the applicability of the integrated optimisation framework

Hierarchical Approach to Integrated Planning of Industrial Gas Supply Chains

In this article, an optimization-based framework is proposed for integrated production and distribution planning of industrial gas supply chains. The main goal is to minimize the overall cost, which is composed of raw material, product sourced from external suppliers, production, truck, and rail-car costs, while satisfying customer demands. The overall problem is formulated as a mixed-integer linear programming (MILP) model while a two-phase hierarchical solution strategy is developed to solve the resulting optimization problem efficiently. The first phase relies on truck scheduling decisions being relaxed, whereas the second phase solves the original model at reduced space by fixing product allocation as determined by phase one. Finally, an industrial-size case study is used to illustrate the applicability and efficiency of the proposed optimization framework

Sandfly saliva of Lutzomyia ovallesi (Diptera: Psychodidae) as a possible marker for the transmission of Leishmania in Venezuela Andes region

Background & objectives: The saliva of the Phlebotominae is highly immunogenic to the vertebrate host and isa determining factor in the Leishmania infection. The aim of this work was to study the saliva of Lutzomyiaovallesi as a possible risk marker for the transmission of Leishmania.Methods: Two populations of L. ovallesi from different geographical areas and subjected to different environmentalconditions were compared by geometric morphometry of the wings, by protein profile analysis of salivary glandsand by assessing the presence of anti-saliva protein in human sera confronted with laboratory L. ovallesi saliva.Results: The results showed differences in the isometric size and structure of the wings but no allometric effects.Protein profiles of salivary glands of both the L. ovallesi populations studied were found to be similar, based on11 protein bands with molecular weights ranging from 16 to 99 kDa. Anti-saliva antibodies were present inhuman sera, but human sera infected and uninfected with leishmaniasis could not be differentiated.Interpretation & conclusion: We conclude that the saliva of laboratory-reared L. ovallesi is representative ofthat of the wild population. It is suggested to study the presence of anti-saliva antibodies in other species ofsandflies and mosquitoe

Routine care data and the benefits of GLP1 receptor agonists on slowing kidney function decline

Clinical epidemiolog

Listeriolysin O Is Strongly Immunogenic Independently of Its Cytotoxic Activity

The presentation of microbial protein antigens by Major Histocompatibility Complex (MHC) molecules is essential for the development of acquired immunity to infections. However, most biochemical studies of antigen processing and presentation deal with a few relatively inert non-microbial model antigens. The bacterial pore-forming toxin listeriolysin O (LLO) is paradoxical in that it is cytotoxic at nanomolar concentrations as well as being the source of dominant CD4 and CD8 T cell epitopes following infection with Listeria monocytogenes. Here, we examined the relationship of LLO toxicity to its antigenicity and immunogenicity. LLO offered to antigen presenting cells (APC) as a soluble protein, was presented to CD4 T cells at picomolar to femtomolar concentrations- doses 3000–7000-fold lower than free peptide. This presentation required a dose of LLO below the cytotoxic level. Mutations of two key tryptophan residues reduced LLO toxicity by 10–100-fold but had no effect on its presentation to CD4 T cells. Thus there was a clear dissociation between the cytotoxic properties of LLO and its very high antigenicity. Presentation of LLO to CD8 T cells was not as robust as that seen in CD4 T cells, but still occurred in the nanomolar range. APC rapidly bound and internalized LLO, then disrupted endosomal compartments within 4 hours of treatment, allowing endosomal contents to access the cytosol. LLO was also immunogenic after in vivo administration into mice. Our results demonstrate the strength of LLO as an immunogen to both CD4 and CD8 T cells

Effect of Vitamin A, Zinc and multivitamin supplementation on the nutritional status and retinol serum values in school-age children

Micronutrient deficiency or “Hidden Hunger” represents the most widespread form of malnutrition in the world. The aim of this study was to evaluate the effect of supplementation with Vitamin A as a single dose, Zinc and Vitamin A + Zinc on nutritional status, and on serum retinol and zinc levels in schoolchildren. A database total of 80 schoolchildren (girls = 47 and boys = 33) were evaluated about the effect of supplementation with vitamin A (VA), Zinc (Zn) and VA + Zn on nutritional anthropometric status, and on serum retinol and zinc values. Serum retinol concentrations were determined by HPLC, according to Bieri method, considering 30 μg/dL normal VA; serum zinc was analyzed by Flame Atomic Absorption Spectrometry, considering ≥0.72 μg/dL normal zinc and <0.72 μg/dL zinc deficiency (DZn). Data were analyzed using SAS program Statgraphics XVI, and a significant p < 0.05 was considered. The deficiency of the nutritional consumption of zinc was high in the students, contrary to the consumption of vitamin A which was normal. The observed prevalence of DVA was 6.25%, RDVA 23.75% and DZn 97.50%. The isolated or combined supplementation of vitamin A and Zinc contributes to the maintenance of the anthropometric state; however, they are ineffective in the cases of low consumption of these nutrients to reach optimum circulating values

Long-term visit-to-visit variability in hemoglobin A1c and kidney-related outcomes in persons with diabetes

Rationale & Objective: To characterize associations between long-term visit-to-visit variability of hemoglobin A(1c) (HbA(1c)) and risk of adverse kidney outcomes in patients with diabetes.Study Design: Observational study.Setting & Participants: 93,598 adults with diabetes undergoing routine care in Stockholm, Sweden.Exposures and Predictors: Categories of baseline and time-varying HbA(1c) variability score (HVS, the percentage of total HbA(1c) measures that vary by >0.5% [5.5 mmol/mol] during a 3-year window): 0-20%, 21%-40%, 41%-60%, 61%-80%, and 81%-100%, with 0-20% as the reference group.Outcome: Chronic kidney disease (CKD) progression (composite of >50% estimated glomerular filtration rate [eGFR] decline and kidney failure), acute kidney disease (AKI by clinical diagnosis or transient creatinine elevations ac-cording to KDIGO criteria), and worsening of albuminuria.Analytical Approach: Multivariable Cox proportional hazards regression.Results: Compared with persons showing low HbA(1c) variability (HVS 0-20%), any increase in variability was associated with a higher risk of adverse kidney outcomes beyond mean HbA(1c). For example, for patients with a baseline HbA(1c) variability of 81%-100%, the adjusted HR was 1.6 (95% CI, 1.47-1.74) for CKD progression, 1.23 [1.16-1.3] for AKI, and 1.28 [1.21-1.3 6] for worsening of albuminuria. The results were consistent across subgroups (diabetes subtypes, baseline eGFR, or albuminuria categories), in time-varying analyses and in sensitivity analyses including time-weighted average HbA(1c) or alternative metrics of variability.Limitations: Observational study, limitations of claims data, lack of information on diet, body mass index, medication changes, and diabetes duration.Conclusions: Higher long-term visit-to-visit HbA1c variability is consistently associated with the risks of CKD progression, AKI, and worsening of albuminuria.Clinical epidemiolog

Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition andMetabolism (ISRNM)

Protein-energy wasting (PEW), a term proposed by the International Society of Renal Nutrition and Metabolism (ISRNM), refers to the multiple nutritional and catabolic alterations that occur in chronic kidney disease (CKD) and associate with morbidity and mortality. To increase awareness, identify research needs, and provide the basis for future work to understand therapies and consequences of PEW, ISRNM provides this consensus statement of current knowledge on the etiology of PEW syndrome in CKD. Although insufficient food intake (true undernutrition) due to poor appetite and dietary restrictions contribute, other highly prevalent factors are required for the full syndrome to develop. These include uremia-induced alterations such as increased energy expenditure, persistent inflammation, acidosis, and multiple endocrine disorders that render a state of hypermetabolism leading to excess catabolism of muscle and fat. in addition, comorbid conditions associated with CKD, poor physical activity, frailty, and the dialysis procedure per se further contribute to PEW. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc.Abbott NutritionShireAbbot Renal NutritionBaxter HealthcareKarolinska Inst, Div Renal Med, Dept Clin Sci Intervent & Technol, Solna, SwedenUniversidade Federal de São Paulo, Div Nephrol, Dept Med, São Paulo, BrazilVanderbilt Univ, Sch Med, Dept Med, Div Nephrol, Nashville, TN 37212 USAUniv Calif Irvine, Med Ctr, Harold Simmons Ctr, Div Nephrol & Hypertens, Orange, CA USAUniv Calif Davis, Dept Internal Med, Davis, CA 95616 USAUniv Calif Davis, Dept Biochem & Mol Med, Davis, CA 95616 USABaylor Coll Med, Dept Med, Div Nephrol, Houston, TX 77030 USAEmory Univ, Sch Med, Div Renal, Dept Med, Atlanta, GA 30306 USAAtlanta Dept Vet Affairs Med Ctr, Res Serv, Decatur, GA 30033 USAUniv Wurzburg, Div Nephrol, Dept Internal Med, D-97070 Wurzburg, GermanyUniv Hong Kong, Dept Med, Queen Mary Hosp, Hong Kong, Hong Kong, Peoples R ChinaVrije Univ Amsterdam Med Ctr, Dept Nephrol, Amsterdam, NetherlandsUniversidade Federal de São Paulo, Div Nephrol, Dept Med, São Paulo, BrazilWeb of Scienc

Evaluation of enzymatic extract with lipase activity of yarrowia lipolytica. an application of data mining for the food industry wastewater treatment

The object of this research was to obtain the Crude Enzymatic Extract (CEE) of Yarrowia lipolytica ATCC 9773, in the medium of 30% Water of Sales (SW) applying a biologically treatment to three different concentrations yeast inoculum food wastewater, collected from cheese and whey production. It was evaluated the behavior of the inoculum in a suitable medium that stimulates lipids biodegradation. The standard liquid-liquid partition method SM 5520 B was used to quantify fat and oil removal for each concentration of yeast, before treatment and post treatment. The Industrial Fat effluent was characterized by physical chemical patterns, and two treatments were evaluated; Treatment 1 consisted of pH 5.0 and treatment 2 with a pH of 6.5, both with the following characteristics; Concentration of inoculum 8% 12% and 16% at 27Â °C temperature and evaluation time 32Â h. The best results (2.702Â mg/L fat and 83% degradation oil) were found to be pH 5.0, 16% concentration and 27Â °C, BOD5, and COD decreased by 43.07% and 44.35%, respectively during the 32Â h; For pH 6.5, 8% concentration at 32Â h and at room temperature, degraded 2.177Â mg/L fat and oil (67% degradation); The BOD5, and COD decreased by 37.93% and 39.19%, in the same time span. The treatment at pH 5.0 inoculum concentration of 16% was effective in removing 83% of the volume of fats and oil in the effluent, representing a useful tool for the wastewater treatment