scholarly journals The Casualty Stabilization–Transportation Problem in a Large-Scale Disaster

2022 ◽  
Vol 14 (2) ◽  
pp. 621
Author(s):  
Andrés Bronfman ◽  
Diego Beneventti G. ◽  
Pamela P. Alvarez ◽  
Samantha Reid ◽  
Germán Paredes-Belmar
Keyword(s):  
Transportation Problem ◽  
Large Scale ◽  
Medical Center ◽  
Critical Factors ◽  
Earthquake Scenarios ◽  
Medical Centers ◽  
Vital Functions ◽  
Critical Patients ◽  
Time Required ◽  
The City

We address the problem of picking up, stabilizing, and transporting casualties in response to mass-injury disasters. Our proposed methodology establishes the itinerary for collecting, on-site stabilization, and transporting victims considering capacitated vehicles and medical care centers. Unlike previous works, we minimize the time required to achieve on-site stabilization of each victim according to his age and level of severity of the injuries for their subsequent transfer to specialized medical centers. Thus, more critical patients will be the first to be stabilized, maximizing their chances of survival. In our methodology, the victims’ age, the injuries’ severity level, and their deterioration over time are considered critical factors in prioritizing care for each victim. We tested our approach using simulated earthquake scenarios in the city of Iquique, Chile, with multiple injuries. The results show that explicitly considering the on-site stabilization of the vital functions of the prioritized victims as an objective, before their transfer to a specialized medical center, allows treating and stabilizing patients earlier than with traditional objectives.

scholarly journals Theoretical substantiation of the layout decisions of station complexes of the underground of medium depth (up to 40 m) in the engineering and geological conditions of Saint Petersburg

2019 ◽  
Vol 6 (3) ◽  
Author(s):  
Alexander Ledyaev ◽  
Dmitry Boytsov ◽  
Natalia Ledyaeva
Keyword(s):  
Large Scale ◽  
Transport Infrastructure ◽  
Underground Structures ◽  
Vast Number ◽  
Theoretical Substantiation ◽  
Geological Conditions ◽  
Peripheral Areas ◽  
Time Required ◽  
Water Saturated ◽  
The City

The development of a modern city and the increase in the occupied territory also involves the improvement of its transport infrastructure. In accordance with the sectoral scheme of development of the subway of St. Petersburg and the current backlog of its implementation requires a new approach to the implementation of the plan for the construction of the subway network. This article proposes the concept of space-planning, structural and construction solutions for metro stations of the ring line, as well as for the peripheral areas of the city. Over the past 10 years, there has been a rapid increase in population and active high-rise development of all areas of the city, increasing congestion of both urban and suburban roads, which leads to inefficiency of public and individual transport. For a long time there has been a problem of unloading the existing subway lines and exceeding the uncovered areas by available types of urban passenger transport, the main of which is the subway. To meet the needs of the population in comfortable transportation with minimal time required a large-scale approach to the implementation of the long-term plan for the development of the subway. Engineering-geological conditions of St. Petersburg are characterized by great complexity in the design and construction of underground structures. Water-saturated unstable sandy-clay soils, often of a belt structure, serve as the host medium for the objects of the underground of small and medium depth. The thickness of Quaternary deposits within the city has a large difference of absolute marks and is characterized by great heterogeneity. Relatively favorable conditions for the construction of underground structures are the layers of Cambrian clays, the full capacity of which varies from 12–20 m to 95–126 m relative to the earth’s surface. The root soils are characterized by sufficient density and uniformity with low water flows and moisture, which led to the deep laying of the vast number of station complexes and distillation tunnels of the St. Petersburg metro.

Marital Disharmony among Working Couples in Metropolitan Life: an In-depth Study in Kolkata City

2019 ◽  
Vol 8 (8) ◽  
pp. 72-85
Author(s):  
Nilanjana Ghoshal ◽  
Mst Tania Parveen ◽  
Dr Asraful Alam
Keyword(s):  
Functional Method ◽  
Modern Times ◽  
Metropolitan Cities ◽  
Urban India ◽  
Depth Study ◽  
Working Couples ◽  
Set Up ◽  
Time Required ◽  
The City ◽  
Opposite Gender

In India, traditionally and from time immemorial, marriage has always been a sacred bond for people of this country. The aim of this study is to explain a socially sanctioned sex relationship involving people of two opposite gender whose relationship is expected to endure beyond time required for gestation. The functional method of the study has been set up on the field-based observation to find out the reasons behind rising of marital disharmony among working couples. But the problem is initially in modern times the concept of marriage is gradually taking a different turn between couples. Hence the focus of this paper is to study the various factors giving rise to marital disharmonies among working couples in urban India and how these discords can be solved so that couples can lead a happy harmonious married life ahead. Survey has been done in the city of Kolkata taking people from various walks of life. As Kolkata is one of the major Metropolitan cities of India it was easier to find people belonging to different professions. The result of this study is every marriage brings challenges in life. Maximum working couples are losing attachment with each other as they have lack of time for each other. Bringing work at home, sharing of parenthood, indifference towards each other, lack of adjustments are the causes for which level of disharmony is increasing.

Assessment of indicators of nervous and emotional stress in medical center personnel depending on the characteristics of their professional activity

2020 ◽  
Vol 60 (10) ◽  
pp. 650-657
Author(s):  
Irina V. Fedotova ◽  
Tatyana N. Vasilyeva ◽  
Tatyana V. Blinova ◽  
Irina A. Umnyagina ◽  
Yuliya V. Lyapina ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Emotional Stress ◽  
Functional State ◽  
Working Conditions ◽  
Medical Staff ◽  
Medical Center ◽  
The Body ◽  
Office Workers ◽  
Glutathione System ◽  
Medical Centers

Introduction. Digital technologies are actively used in the work of specialists of medical centers of various profiles, which causes the impact on employees of a number of professional factors that determine the characteristics of their work. The aim of the study is to evaluate the influence of professional factors on the functional state of the employees' body and the glutathione system as an objective indicator of stress based on the analysis of the subjective perception of the medical center employees of the specifics of working with personal computers and psychophysiological testing. Materials and methods. The study involved 109 specialists of medical centers (25 ophthalmologists, 31 representatives of the secondary medical staff - nurses and paramedics, 53 office employees). The anonymous survey concerned the assessment of working conditions and their impact on the functional state of the body of the respondents. Performance and stress tolerance indicators were evaluated using three standard questionnaires. The study of 66 subjects' levels of glutathione in the blood: total, reduced, oxidized and the ratio of reduced and oxidized - was used to analyze the relationship of the neuro-emotional nature of labor with the reaction of oxidative stress. Statistical processing of the obtained data was carried out using traditional methods of variation statistics and calculating the value of the odds ratio (OR) with a 95% confidence interval (CI). Results. The survey revealed a significant proportion of people in all groups of respondents who constantly use computer technology in their work. Describing the quality of the processed information, doctors more than representatives of other groups note its complexity, importance, negative emotional color, a high degree of responsibility and tension. Doctors more often than average medical staff and office workers associate the manifestation of fatigue with an uncomfortable state of the visual organ, nervous system, and musculoskeletal system. The subjects showed reduced performance and stress tolerance with the most pronounced negative trends in the group of doctors. Changes in the glutathione system were detected, indicating the presence of oxidative stress in 40% of ophthalmologists and office workers, and in half of nurses. Conclusions. The work of specialists of medical centers of various profiles in accordance with their assessment is characterized by high nervous and emotional stress, due to the need to process a significant amount of complex and important professionally significant information. Subjectively noted by respondents the influence of working conditions on the functional state of the body is confirmed by indicators of the glutathione system, which can be used as indicators of nervous and emotional stress.

CONCEPT OF THE IMPROVEMENT OF A KEY PUBLIC SPACE (USING THE EXAMPLE OF «ALLEY OF ARCHITECTS», VORONEZH)

2020 ◽  
pp. 97-109
Author(s):  
С. Л. Подвальный ◽  
О. А. Сотникова ◽  
Я. А. Золотухина
Keyword(s):  
Urban Environment ◽  
Public Space ◽  
Large Scale ◽  
Economic Value ◽  
Ecological Condition ◽  
Territory Design ◽  
Definition Of ◽  
The City ◽  
Modern Technologies ◽  
Intensive Growth

Постановка задачи. В настоящее время формирование современной комфортной городской среды приобретает особое социально-экономическое значение и выдвигается в число приоритетных государственных масштабных программ. В связи с этим необходимо разработать концепцию благоустройства ключевого общественного пространства, а именно: определить основные и сопутствующие функции данной территории, создать эскизное предложение проекта благоустройства с учетом всех необходимых норм и стандартов, внедрить современные технологии. Результаты. Выполнен эскизный дизайн-проект «Аллеи архитекторов» по ул. Орджоникидзе г. Воронеж, включающий в себя основные элементы по зонированию территории, проектированию акцентных объектов и внедрению инновационных технологий «умного города», позволяющих повысить уровень комфорта горожан. Выводы. Благоустройство населенных мест приобретает особое значение в условиях дискомфорта среды. С выполнением комплекса мероприятий, направленных на благоустройство, и с внедрением современных технологий значительно улучшается экологическое состояние, внешний облик города. Оздоровление и модернизация среды, которая окружает человека в городе, благотворно влияет на психофизическое состояние, что особенно важно в период интенсивного роста городов. Statement of the problem. Currently the formation of the modern comfortable urban environment is gaining a special social and economic value and moving forward in the priorities of state large-scale programs. The purpose of development of the concept of improvement of public space is definition of the main and accompanying functions of this territory, design of the outline offer of the project of improvement considering all necessary norms and standards and implementation of modern technologies. Results. The conceptual project of “Alley of Architects” includes the basic elements of territory zoning, design of accent objects and implementation of technologies of a “smart-city”. These elements allow one to increase the level of comfort of inhabitants. Conclusions. Improvement of the inhabited places is of particular importance in the conditions of discomfort of the environment. Carrying out a complex of the actions directed to gardening and improvement, introducing modern technologies, the ecological condition, the physical appearance of the city considerably improves. Improvement and modernization of the environment which surrounds the person in the city influences a psychophysical state well that especially important during intensive growth of the cities.

ENSURING THE PEDESTRIAN’S SAFETY DESIGN OF URBAN STREET CROSSWALKS

2019 ◽  
pp. 103-110
Author(s):  
Dmitriy Nemchinov
Keyword(s):  
Traffic Flow ◽  
Minimum Distance ◽  
Travel Speed ◽  
Vehicle Speed ◽  
Urban Street ◽  
Safety Design ◽  
Positive Practices ◽  
Time Required ◽  
Pedestrian Crossing ◽  
The City

The article presents an analysis of positive practices for ensuring the safety of pedestrians at the inter-section of the city streets carriageway, as well as a description of some innovations of regulatory and tech-nical documents, including an increased number of cases when a safety island can be arranged at a pedestri-an crossing. requirements for providing visibility at a pedestrian crossing to determine the minimum distance of visibility at a pedestrian crossing based on the time required pedestrians for crossing the roadway, recommended options for using ground unregulated pedestrian crossings on trapezoidal artificial irregularities according to GOST R 52605; traffic flow) and Z-shaped (also in the direction of the traffic flow), the requirements for the size of the securi-ty island have been established to allow put bicycle inside of safety island, a recommended set of measures to reduce the vehicle speed and describes the types of activities and describes a method of their application, describes methods zones device with reduced travel speed - residential and school zones, set requirements for turboroundabouts and methods of their design.

scholarly journals Statistical and machine learning models for optimizing energy in parallel applications

2019 ◽  
Vol 33 (6) ◽  
pp. 1079-1097 ◽  
Author(s):  
Mark Endrei ◽  
Chao Jin ◽  
Minh Ngoc Dinh ◽  
David Abramson ◽  
Heidi Poxon ◽  
...  
Keyword(s):  
Machine Learning ◽  
Energy Efficiency ◽  
High Performance ◽  
Large Scale ◽  
Energy Use ◽  
Parallel Applications ◽  
Learning Models ◽  
Trade Off ◽  
Time Required ◽  
Machine Learning Models

Rising power costs and constraints are driving a growing focus on the energy efficiency of high performance computing systems. The unique characteristics of a particular system and workload and their effect on performance and energy efficiency are typically difficult for application users to assess and to control. Settings for optimum performance and energy efficiency can also diverge, so we need to identify trade-off options that guide a suitable balance between energy use and performance. We present statistical and machine learning models that only require a small number of runs to make accurate Pareto-optimal trade-off predictions using parameters that users can control. We study model training and validation using several parallel kernels and more complex workloads, including Algebraic Multigrid (AMG), Large-scale Atomic Molecular Massively Parallel Simulator, and Livermore Unstructured Lagrangian Explicit Shock Hydrodynamics. We demonstrate that we can train the models using as few as 12 runs, with prediction error of less than 10%. Our AMG results identify trade-off options that provide up to 45% improvement in energy efficiency for around 10% performance loss. We reduce the sample measurement time required for AMG by 90%, from 13 h to 74 min.

scholarly journals Liquid materials for biomedical research: a highly IT-integrated and automated biobanking solution

2019 ◽  
Vol 43 (6) ◽  
pp. 347-354 ◽  
Author(s):  
Daniela Popp ◽  
Romanus Diekmann ◽  
Lutz Binder ◽  
Abdul R. Asif ◽  
Sara Y. Nussbeck
Keyword(s):  
Life Cycle ◽  
Medical Center ◽  
Research Results ◽  
Long Term Storage ◽  
Medical Centers ◽  
It Systems ◽  
Complete Life Cycle ◽  
The University ◽  
Term Storage

Abstract Various information technology (IT) infrastructures for biobanking, networks of biobanks and biomaterial management are described in the literature. As pre-analytical variables play a major role in the downstream interpretation of clinical as well as research results, their documentation is essential. A description for mainly automated documentation of the complete life-cycle of each biospecimen is lacking so far. Here, the example taken is from the University Medical Center Göttingen (UMG), where the workflow of liquid biomaterials is standardized between the central laboratory and the central biobank. The workflow of liquid biomaterials from sample withdrawal to long-term storage in a biobank was analyzed. Essential data such as time and temperature for processing and freezing can be automatically collected. The proposed solution involves only one major interface between the main IT systems of the laboratory and the biobank. It is key to talk to all the involved stakeholders to ensure a functional and accepted solution. Although IT components differ widely between clinics, the proposed way of documenting the complete life-cycle of each biospecimen can be transferred to other university medical centers. The complete documentation of the life-cycle of each biospecimen ensures a good interpretability of downstream routine as well as research results.

scholarly journals Urban Policies and Large Projects in Central City Areas: The Example of Madrid (Spain)

Urban Science ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 42
Author(s):  
Dolores Brandis García
Keyword(s):  
Urban Planning ◽  
20Th Century ◽  
Large Scale ◽  
Central City ◽  
Global Market ◽  
Late 20Th Century ◽  
Public And Private ◽  
Urban Policies ◽  
Starting Point ◽  
The City

Since the late 20th century major, European cities have exhibited large projects driven by neoliberal urban planning policies whose aim is to enhance their position on the global market. By locating these projects in central city areas, they also heighten and reinforce their privileged situation within the city as a whole, thus contributing to deepening the centre–periphery rift. The starting point for this study is the significance and scope of large projects in metropolitan cities’ urban planning agendas since the final decade of the 20th century. The aim of this article is to demonstrate the correlation between the various opposing conservative and progressive urban policies, and the projects put forward, for the city of Madrid. A study of documentary sources and the strategies deployed by public and private agents are interpreted in the light of a process during which the city has had a succession of alternating governments defending opposing urban development models. This analysis allows us to conclude that the predominant large-scale projects proposed under conservative policies have contributed to deepening the centre–periphery rift appreciated in the city.

scholarly journals The COVID Army: Experiences from the Deployment of Non-Hospitalist Physician Volunteers during the 2020 COVID Pandemic

2021 ◽  
pp. 1-15
Author(s):  
Kevin Hauck ◽  
Katherine Hochman ◽  
Mark Pochapin ◽  
Sondra Zabar ◽  
Jeffrey A Wilhite ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Medical Center ◽  
The United States ◽  
Lessons Learned ◽  
Front Line ◽  
Clinical Leadership ◽  
Team Members ◽  
Medical Centers ◽  
Hospitalist Physician

Abstract Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

scholarly journals Amalgamation of cloud-based colonoscopy videos with patient-level metadata to facilitate large-scale machine learning

2021 ◽  
Vol 09 (02) ◽  
pp. E233-E238
Author(s):  
Rajesh N. Keswani ◽  
Daniel Byrd ◽  
Florencia Garcia Vicente ◽  
J. Alex Heller ◽  
Matthew Klug ◽  
...  
Keyword(s):  
Machine Learning ◽  
Large Scale ◽  
Medical Center ◽  
Academic Medical Center ◽  
Procedure Time ◽  
Image Capture ◽  
Common Procedure ◽  
Patient Level Data ◽  
Patient Level ◽  
Level Data

Abstract Background and study aims Storage of full-length endoscopic procedures is becoming increasingly popular. To facilitate large-scale machine learning (ML) focused on clinical outcomes, these videos must be merged with the patient-level data in the electronic health record (EHR). Our aim was to present a method of accurately linking patient-level EHR data with cloud stored colonoscopy videos. Methods This study was conducted at a single academic medical center. Most procedure videos are automatically uploaded to the cloud server but are identified only by procedure time and procedure room. We developed and then tested an algorithm to match recorded videos with corresponding exams in the EHR based upon procedure time and room and subsequently extract frames of interest. Results Among 28,611 total colonoscopies performed over the study period, 21,170 colonoscopy videos in 20,420 unique patients (54.2 % male, median age 58) were matched to EHR data. Of 100 randomly sampled videos, appropriate matching was manually confirmed in all. In total, these videos represented 489,721 minutes of colonoscopy performed by 50 endoscopists (median 214 colonoscopies per endoscopist). The most common procedure indications were polyp screening (47.3 %), surveillance (28.9 %) and inflammatory bowel disease (9.4 %). From these videos, we extracted procedure highlights (identified by image capture; mean 8.5 per colonoscopy) and surrounding frames. Conclusions We report the successful merging of a large database of endoscopy videos stored with limited identifiers to rich patient-level data in a highly accurate manner. This technique facilitates the development of ML algorithms based upon relevant patient outcomes.

Sign in / Sign up

Export Citation Format

Share Document