flexible reconfiguration of avs rs operations for improved integration with manufacturing processes

Abstract The improvements in connectivity and data availability enable to fully integrate all the components of a production system. Manufacturing processes are frequently reconfigured over time, due to changes in lot sizes, process parameters and product customization. Despite this, warehousing operations are often disregarded: usually, automation systems for warehouses are set-up during the installation and their management is hardly ever reviewed. As a consequence, the manufacturing process is adapted to the capabilities of the warehousing system, rather than the other way round. To overcome this issue, this paper aims to propose a method capable to support an easy reconfiguration of warehousing operations based on the current state of the manufacturing process. The method is applied to an Autonomous Vehicle Storage and Retrieval Systems (AVS/RS), one of the most recent and promising automation technologies for warehouses. The proposed approach is based on both discrete-event simulation and analytical techniques and is applied to a real case of an Italian company

Risk factors associated with the occurrence of autoimmune diseases in adult coeliac patients

Objectives. Autoimmune diseases (AD) may be associated with coeliac disease (CD), but specific risk factors have been poorly investigated. The aim of this study was to assess the spectrum of AD and its specific risk factors associated in a series of adult coeliac patients. Materials and Methods. We performed a single-center case-control study including adult newly diagnosed CD patients. To evaluate the risk factors of the association between AD and CD, 341 coeliac patients included were categorized on the basis of AD presence: 91 cases with at least one AD and 250 controls without AD were compared for clinical, serological, and histological features. Eighty-seven cases were age-gender-matched with 87 controls. Results. Among 341 CD patients, 26.6% of CD patients had at least one AD. Endocrine and dermatological diseases were the most prevalent AD encountered: autoimmune thyroiditis was present in 48.4% of cases, psoriasis in 17.6%, and type I diabetes and dermatitis herpetiformis in 11%, respectively. At logistic regression, factors associated with AD were a positive 1st-degree family history of AD (OR 3.7, 95% CI 1.93–7), a body mass index ≥ 25 kg/m2 at CD diagnosis (OR 2.95%, CI 1.1–3.8), and long standing presentation signs/symptoms before CD diagnosis (>10 years) (OR 2.1, 95% CI 1.1–3.7). Analysis on age-gender-matched patients confirmed these results. Conclusions. CD patients with family history of AD, overweight at CD diagnosis, and a delay of CD diagnosis had an increased risk of having another AD. The benefit of CD screening in these specific subsets of patients with AD awaits further investigation

Brain Mass and Encephalization Quotients in the Domestic Industrial Pig (Sus scrofa)

open6siIn the present study we examined the brain of fetal, newborn, and adult pigs raised for meat production. The fresh and formalin-fixed weights of the brain have been recorded and used, together with body weight, to calculate the Encephalization Quotient (EQ). The weight of the cerebellum has been used to calculate the Cerebellar Quotient (CQ). The results have been discussed together with analogue data obtained in other terrestrial Cetartiodactyla (including the domestic bovine, sheep, goat, and camel), domesticated Carnivora, Proboscidata, and Primates. Our study, based on a relatively large experimental series, corrects former observations present in the literature based on smaller samples, and emphasizes that the domestic pig has a small brain relative to its body size (EQ = 0.38 for adults), possibly due to factors linked to the necessity of meat production and improved body weight. Comparison with other terrestrial Cetartiodactyla indicates a similar trend for all domesticated species.openMinervini, Serena; Accogli, Gianluca; Pirone, Andrea; Graïc, Jean-Marie; Cozzi, Bruno; Desantis, SalvatoreMinervini, Serena; Accogli, Gianluca; Pirone, Andrea; Graic, JEAN-MARIE; Cozzi, Bruno; Desantis, Salvator

Upper gastrointestinal symptoms in autoimmune gastritis. A cross-sectional study

Autoimmune gastritis is often suspected for its hematologic findings, and rarely the diagnosis is made for the presence of gastrointestinal symptoms. Aims of this cross-sectional study were to assess in a large cohort of patients affected by autoimmune gastritis the occurrence and the pattern of gastrointestinal symptoms and to evaluate whether symptomatic patients are characterized by specific clinical features. Gastrointestinal symptoms of 379 consecutive autoimmune gastritis patients were systematically assessed and classified following Rome III Criteria. Association between symptoms and anemia pattern, positivity to gastric autoantibodies, Helicobacter pylori infection, and concomitant autoimmune disease were evaluated. In total, 70.2% of patients were female, median age 55 years (range 17-83). Pernicious anemia (53.6%), iron deficiency anemia (34.8%), gastric autoantibodies (68.8%), and autoimmune disorders (41.7%) were present. However, 56.7% of patients complained of gastrointestinal symptoms, 69.8% of them had exclusively upper symptoms, 15.8% only lower and 14.4% concomitant upper and lower symptoms. Dyspepsia, subtype postprandial distress syndrome was the most represented, being present in 60.2% of symptomatic patients. Univariate and multivariate analyses showed that age <55 years (OR 1.6 [CI:1-2.5]), absence of smoking habit (OR 2.2 [CI:1.2-4]), and absence of anemia (OR 3.1 [CI:1.5-6.4]) were independent factors associated to dyspepsia. Autoimmune gastritis is associated in almost 60% of cases with gastrointestinal symptoms, in particular dyspepsia. Dyspepsia is strictly related to younger age, no smoking, and absence of anemia. © 2017 the Author(s). Published by Wolters Kluwer Health, Inc

The Prediction of Thermal Loads in Building by Means of the EN ISO 13790 Dynamic Model: A Comparison with TRNSYS☆

Abstract The heating and cooling requirements in buildings are primarily dependent on weather conditions and on the physical and geometrical characteristics of the envelope, and secondly on occupant behaviour. Likewise, regarding the electrical loads, in the presence of multi-generation systems that employ also renewable sources, the prediction of heating and cooling load profiles allows a better planning of the production units, with consequent economic benefits. Furthermore, in a future scenario of Smart Grids, a coordinated production of heating and cooling plants with adjacent systems could be achieved. In order to assess the best operational conditions, an estimate of heating and cooling needs is required in home automation systems to minimize or to rationalize the consumption of primary fossil sources, especially in the presence of a district thermal network. Heating and cooling demands in buildings can be determined by simplified calculation models, which must provide consistent results with those obtainable by more sophisticated commercial software, which are difficult to interface in these automation systems. Therefore, the dynamic model 5R1C described in the standard EN ISO 13790 that employs 6 parameters (5 resistances and 1 capacitor) was tested. This model is simple, requires limited computational times and can be implemented with common programming language. The 5R1C model, in function of the envelope characteristics, determines heating and cooling loads of buildings taking into account the effects linked to thermal inertia. Furthermore, if appropriately predicted climate data are provided, the expected load profiles can be obtained. In order to determine advantages, limitations and accuracy of the 5R1C model, a comparison with the TRNSYS software for three different types of buildings was conducted

Communicating the uncertainty of synthetic indicators: a reassessment of the HDI ranking

Composite indicators convert information about different facets of a given phenomenon into a single figure. Unavoidably, the “conversion process” involves a high level of arbitrariness, which, in general, makes the results not robust. The approach to composite indicators used in this paper aims at mitigating this problem and makes final users more aware of the unavoidable uncertainty of the results (e.g. rankings) based on a given composite. We illustrate our approach by applying it to the Human Development Index

Supervised Physical Therapy and Polymyositis/Dermatomyositis—A Systematic Review of the Literature

Objective: to find the most up-to-date evidence of the effectiveness and safety of supervised physical therapy in polymyositis/dermatomyositis patients. Methods: a systematic review of the literature in the main scientific databases was carried out. We searched for randomized controlled trials concerning supervised physical therapy and polymyositis/dermatomyositis. The PICOS method was used for the formulation of the clinical query. Methodological quality and the level of evidence of the included studies were assessed using the modified Jadad scale and the Oxford Centre for Evidence-Based Medicine Levels of Evidence guide, respectively. Results: a total of 2591 articles were found. By applying the inclusion/exclusion criteria, six randomized controlled clinical trials were admitted to the final phase of the review. The compared approaches concerned supervised exercise programs based on strategies of muscle strengthening or aerobic work. Following these exercises, an increase in the maximum rate of oxygen consumption, a decrease in creatine phosphokinase levels, an enhancement in the patient&rsquo;s aerobic performance and an improvement in the quality of life indexes were registered. The methodological quality of the included studies ranged from 3 to 4.5. All the studies were classified as presenting an evidence level of 2b. Conclusions: supervised physical therapy in polymyositis/dermatomyositis is an effective, safe and free-of-contraindications tool to be used both in the acute and in the established phases of the pathology. However, further and higher-quality studies are necessary to confirm those findings, to clarify the timing of exercise delivery and to guide the choice towards different types of muscle contraction exercises

Rehabilitation management of Pompe disease, from childhood trough adulthood: A systematic review of the literature

Pompe disease (PD) is a rare neuromuscular disorder caused by a deficiency of the enzyme acid alpha-glucosidase. There are three forms of PD depending on the age at onset and clinical severity. PD causes involvement of different organ systems, such as the heart, musculoskeletal system, and respiratory system. As of today, enzymere placement therapy represents the main therapeutic tool for PD. Rehabilitation is an integral part of a multidisciplinary approach to this pathology. The goal of the present review is to find scientific evidence for the rehabilitative approach to PD, with respect to both the infantile- and adult-onset forms. A systematic literature review was made using the following databases: Pubmed, Pedro, Cochrane Library, EDS Base Index, Trip, and Cinhal. Randomized controlled trials or cohort studies with a sample population of at least six subjects were retrieved. The PICO method was used to formulate the clinical query. The search resulted in 1665 articles. Of these, four cohort studies were subjected to the final phase of the review. Three studies regarded inspiratory muscle training with a threshold, while the fourth study analyzed the effectiveness of therapeutic, aerobic, and reinforcement exercises. Inspiratory muscle training with a threshold increases the pressures generated during inhalation. Aerobic exercise is capable of increasing patients’ muscular endurance and performance. To date, however, rehabilitative treatment for patients with PD has no validation in evidence-based medicine. Further studies, possibly with a larger sample size and higher quality are necessary to confirm the effectiveness of rehabilitation in patients with PD