The Italian Port System: A Survey on Competitiveness and Development Factors

2009 ◽  
Author(s):  
Enrico Beretta ◽  
Alessandra Dalle Vacche ◽  
Andrea Migliardi
Keyword(s):  
System A ◽  
2015 ◽  
Vol 42 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Michael Tchirikov ◽  
Zhaxybay Zhumadilov ◽  
Andreas Suhartoyo Winarno ◽  
Roland Haase ◽  
Jörg Buchmann

Bacterial infection is one of the main causes of preterm premature rupture of membranes (PPROM) leading to preterm delivery, pulmonary hypoplasia, sepsis and joint deformities. Expectant management, broad-spectrum antibiotics and antenatal corticosteroids are routinely used in this condition with very limited success to prevent bacteremia, chorioamnionitis, funisitis and intra-amniotic infection syndrome. Here, we report a case in which we attempted to treat PPROM at 26+3 weeks of gestation with anhydramnion colonized by multiresistant Klebsiella. A perinatal port system was implanted subcutaneously at 28+0 weeks of gestation, enabling long-term continuous lavage of the amniotic cavity with a hypotonic aqueous composition similar to human amniotic fluid combined with intra-amniotic antibiotic application. The patient gave birth to a preterm female infant at 31+1 weeks without any signs of infection. The girl was discharged with a weight of 2,730 g in very good condition. In the follow-up examinations at 5 months and 1 year of age, there was no apparent neurological disturbance, developmental delay or Klebsiella colonization.


2018 ◽  
Vol 8 (1) ◽  
pp. 60-73 ◽  
Author(s):  
Deepankar Sinha ◽  
Virupaxi Bagodi

India has about 200 ports along its coastline, which is about 7,500 kilometres long. However, none of these ports feature in the world’s top 20. Several studies on port efficiency indicate the need to benchmark the productivity of ports with global standards. Productivity is measured in terms of cargo (in tonnes, or 20-foot equivalent unit, TEU) handled per hour or so. The outcome of enhanced productivity is quicker turnaround time of ships. The productivity of the major Indian ports does not match the global standards. In order to improve their efficiency, the government-managed ports have initiated privatization of their terminals and outsourcing of cargo handling services since 1991. Yet, the ports are lagging behind major ports across the world. A major reason for the inefficiencies of the Indian ports is because of its pricing mechanism and its ability to take proactive decision, especially with regard to capacity enhancement of the terminals. This is so because in major Indian ports, the ship pays for the number of days it stays in the berth. In inefficient ports, ships stay for long duration and as a result the port earns on account of its inefficiencies. These ports fail to recognize the paradox, and as such take corrective action only after ships divert to other ports. Ports projects have long gestation periods. So far, no study encompassing the dimensions port pricing, productivity and efficiency has been undertaken by researchers. In this article we attempt to explore the causes that affect the performance of Indian ports. We present a cause and effect analysis to explain the dynamics arising out of the interactions of productivity, infrastructure, and pricing mechanism of an Indian port system. A system dynamics framework has been used to develop the causal model. Four feedback loops were identified, which explain the governing rules and the paradoxes impacting the performance of Indian ports.


2019 ◽  
Vol 68 (4) ◽  
pp. 47-54
Author(s):  
Natalya V. Kosovtsova ◽  
Tatyana A. Putilova ◽  
Maria V. Pavlichenko ◽  
Tatyana V. Markova

This review article highlights the results of using the variety of methods to prevent premature discharge of amniotic fluid as a complication of minimally invasive intrauterine interventions: the imposition of tissue sealant and amniopatch; amnioinfusion with normal saline, Ringer’s solution or artificial amniotic fluid using a port system. A historical background is given on the application of these correction methods.


Ports 2019 ◽  
2019 ◽  
Author(s):  
Yu (Alan) Zhang ◽  
Rebeca Aguilar ◽  
Gerardo Lazcano
Keyword(s):  
System A ◽  

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