104 research outputs found

    A multiperiod drayage problem with customer-dependent service periods

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    We investigate a routing problem arising in the domain of drayage operations. to determine mimimum-cost vehicle routes in several periods. We adapt a set-covering model, which is solved either with all feasible routes by an off-the-shelf MIP solver, or by and a Price-and-Branch algorithm in which the pricing problem is a formulated as a collection of shortest path problems in tailor-made auxiliary acyclic networks. We propose a new arc-flow formulation based on the previous auxiliary networks and show that solving it by a MIP solver is usually preferable. Finally, we characterize how possible changes in flexibility levels affect routing costs

    Impatto ambientale dell'attività mineraria in Sardegna: studi mineralogici e geochimici

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    Sardinia is characterized by a large variety of geologic and hydrologic environments, and by a rich wealth of mineral resources, that fueled a millennial history of mining activity. Therefore, it provides an excellent ground for studies of the environmental impact of mining activity. In this communication, we summarize the results of our studies, specifically concerning the deposits of Baccu Locci (polymetallic�Pb,As), Furtei (epithermal Au), Monteponi (Pb-Zn-Ag), and Montevecchio (Pb-Zn-Ag). In abandoned mining districts (Baccu Locci, Monteponi, and Montevecchio), because of a poor management of environmental issues, we observe significant heavy metal contamination. On the other hand, in the active Furtei mine the first four years of exploitation did not cause remarkable changes with respect to pre-mining baseline conditions

    An adaptive guidance meta-heuristic for the vehicle routing problem with splits and clustered backhauls

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    This paper presents the case study of an Italian carrier, Grendi Trasporti Marittimi, which provides freight transportation services by trucks and containers. Its trucks deliver container loads from a port to import customers and collect container loads from export customers to the same port. In this case study, all import customers in a route must be serviced before all export customers, each customer can be visited more than once and containers are never unloaded or reloaded from the truck chassis along any route. We model the problem using an Integer Linear Programming formulation and propose an Adaptive Guidance metaheuristic. Our extensive computational experiments show that the adaptive guidance algorithm is capable of determining good-quality solutions in many instances of practical or potential interest for the carrier within 10 min of computing time, whereas the mathematical formulation often fails to provide the first feasible solution within 3 h of computing time

    Lurasidone in adolescents and adults with schizophrenia: from clinical trials to real-world clinical practice

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    Introduction: Lurasidone is an atypical antipsychotic agent approved in the European Union for the treatment of schizophrenia in adults and adolescents (13-17 years). Clinical trials have shown a generally favorable balance between efficacy and tolerability. Areas covered: This paper provides a review and commentary regarding the use of lurasidone in adults and adolescents with schizophrenia. The available information about efficacy, tolerability, dosing, and switching is analyzed, highlighting the strategies that may be most useful in real-world clinical practice. Virtual case studies, designed based on the authors' clinical experience with real-world patients, are provided. Expert opinion: Lurasidone is efficacious in adolescents and adults in a wide range of symptoms of schizophrenia. Choosing the right dose for each patient and combining lurasidone with other medications is key to treatment success. Lurasidone has proven effective both in adolescents and adults in treating the acute phase of schizophrenia and reducing the risk of relapse. It has shown a relatively favorable tolerability profile, with minimal effects on metabolic parameters and prolactin levels

    Candidate biomarkers from the integration of methylation and gene expression in discordant autistic sibling pairs

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    While the genetics of autism spectrum disorders (ASD) has been intensively studied, resulting in the identification of over 100 putative risk genes, the epigenetics of ASD has received less attention, and results have been inconsistent across studies. We aimed to investigate the contribution of DNA methylation (DNAm) to the risk of ASD and identify candidate biomarkers arising from the interaction of epigenetic mechanisms with genotype, gene expression, and cellular proportions. We performed DNAm differential analysis using whole blood samples from 75 discordant sibling pairs of the Italian Autism Network collection and estimated their cellular composition. We studied the correlation between DNAm and gene expression accounting for the potential effects of different genotypes on DNAm. We showed that the proportion of NK cells was significantly reduced in ASD siblings suggesting an imbalance in their immune system. We identified differentially methylated regions (DMRs) involved in neurogenesis and synaptic organization. Among candidate loci for ASD, we detected a DMR mapping to CLEC11A (neighboring SHANK1) where DNAm and gene expression were significantly and negatively correlated, independently from genotype effects. As reported in previous studies, we confirmed the involvement of immune functions in the pathophysiology of ASD. Notwithstanding the complexity of the disorder, suitable biomarkers such as CLEC11A and its neighbor SHANK1 can be discovered using integrative analyses even with peripheral tissues

    CRISIS AFAR: an international collaborative study of the impact of the COVID-19 pandemic on mental health and service access in youth with autism and neurodevelopmental conditions

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    BackgroundHeterogeneous mental health outcomes during the COVID-19 pandemic are documented in the general population. Such heterogeneity has not been systematically assessed in youth with autism spectrum disorder (ASD) and related neurodevelopmental disorders (NDD). To identify distinct patterns of the pandemic impact and their predictors in ASD/NDD youth, we focused on pandemic-related changes in symptoms and access to services.MethodsUsing a naturalistic observational design, we assessed parent responses on the Coronavirus Health and Impact Survey Initiative (CRISIS) Adapted For Autism and Related neurodevelopmental conditions (AFAR). Cross-sectional AFAR data were aggregated across 14 European and North American sites yielding a clinically well-characterized sample of N = 1275 individuals with ASD/NDD (age = 11.0 ± 3.6 years; n females = 277). To identify subgroups with differential outcomes, we applied hierarchical clustering across eleven variables measuring changes in symptoms and access to services. Then, random forest classification assessed the importance of socio-demographics, pre-pandemic service rates, clinical severity of ASD-associated symptoms, and COVID-19 pandemic experiences/environments in predicting the outcome subgroups.ResultsClustering revealed four subgroups. One subgroup-broad symptom worsening only (20%)-included youth with worsening across a range of symptoms but with service disruptions similar to the average of the aggregate sample. The other three subgroups were, relatively, clinically stable but differed in service access: primarily modified services (23%), primarily lost services (6%), and average services/symptom changes (53%). Distinct combinations of a set of pre-pandemic services, pandemic environment (e.g., COVID-19 new cases, restrictions), experiences (e.g., COVID-19 Worries), and age predicted each outcome subgroup.LimitationsNotable limitations of the study are its cross-sectional nature and focus on the first six months of the pandemic.ConclusionsConcomitantly assessing variation in changes of symptoms and service access during the first phase of the pandemic revealed differential outcome profiles in ASD/NDD youth. Subgroups were characterized by distinct prediction patterns across a set of pre- and pandemic-related experiences/contexts. Results may inform recovery efforts and preparedness in future crises; they also underscore the critical value of international data-sharing and collaborations to address the needs of those most vulnerable in times of crisis

    La numerazione binaria: PITTONUMERI

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    This work displays a new start for the representation of natural number

    An adaptive guidance meta-heuristic for the vehicle routing problem with splits and clustered backhauls

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    This paper presents the case study of an Italian carrier, Grendi Trasporti Marittimi, which provides freight transportation services by trucks and containers. Its trucks deliver container loads from a port to import customers and collect container loads from export customers to the same port. In this case study, all import customers in a route must be serviced before all export customers, each customer can be visited more than once and containers are never unloaded or reloaded from the truck chassis along any route. We model the problem using an Integer Linear Programming formulation and propose an Adaptive Guidance metaheuristic. Our extensive computational experiments show that the adaptive guidance algorithm is capable of determining good-quality solutions in many instances of practical or potential interest for the carrier within 10 min of computing time, whereas the mathematical formulation often fails to provide the first feasible solution within 3 h of computing time
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