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Alessandro Gobbi Daniele Manerba Renata Mansini Roberto Zanotti 《International Transactions in Operational Research》2023,30(1):8-38
The average age of the population has grown steadily in recent decades along with the number of people suffering from chronic diseases and asking for treatments. Hospital care is expensive and often unsafe, especially for older individuals. This is particularly true during pandemics as the recent SARS-CoV-2. Hospitalization at home has become a valuable alternative to face efficiently a huge increase in treatment requests while guaranteeing a high quality of service and lower risk to fragile patients. This new model of care requires the redefinition of health services organization and the optimization of scarce resources (e.g., available nurses). In this paper, we study a Nurse Routing Problem that tries to find a good balance between hospital costs reduction and the well-being of patients, also considering realistic operational restrictions like maximum working times for the nurses and possible incompatibilities between services jointly provided to the same patient. We first propose a Mixed Integer Linear Programming formulation for the problem and use some valid inequalities to strengthen it. A simple branch-and-cut algorithm is proposed and validated to derive ground benchmarks. In addition, to efficiently solve the problem, we develop an Adaptive Large Neighborhood Search hybridized with a Kernel Search and validate its performance over a large set of different realistic working scenarios. Computational tests show how our matheuristic approach manages to find good solutions in a reasonable amount of time even in the most difficult settings. Finally, some interesting managerial insights are discussed through an economic analysis of the operating context. 相似文献
3.
Fernanda M. Chaves Naira S. Mansano Renata Frazo Jose Donato Jr. 《International journal of molecular sciences》2020,21(23)
Obesity-associated low-grade inflammation favors weight gain, whereas systemic infection frequently leads to anorexia. Thus, inflammatory signals can either induce positive or negative energy balance. In this study, we used whole-cell patch-clamp to investigate the acute effects of three important proinflammatory cytokines, tumor necrosis factor α (TNF-α), interleukin-6, and interleukin-1β (IL-1β) on the membrane excitability of agouti-related peptide (AgRP)- or proopiomelanocortin (POMC)-producing neurons. We found that both TNF-α and IL-1β acutely inhibited the activity of 35–42% of AgRP-producing neurons, whereas very few POMC neurons were depolarized by TNF-α. Interleukin-6 induced no acute changes in the activity of AgRP or POMC neurons. Our findings indicate that the effect of TNF-α and IL-1β, especially on the activity of AgRP-producing neurons, may contribute to inflammation-induced anorexia observed during acute inflammatory conditions. 相似文献
4.
Project work is becoming more and more important in everyday business, as is staffing the right newcomers for the project. Recognizing that not all new project team workers possess equally important specific knowledge, skills and abilities for the success of projects, we draw on project management, human resource management, and organizational socialization literature to develop a framework on how new project team members might be socialized, depending on their strategic value for the project. We specifically draw on the socialization tactics literature and propose how four categories of new employees – Internal specialists, External specialists, External generalists and Internal generalists; based on two dimensions – work task complexity and employment mode, can be socialized more effectively. Implications for theory and practice are discussed as well. 相似文献
5.
Celso M. Ogawa Kurt Faltin Fernando A. Maeda Cristina L. F. Ortolani Renata O. Guar Cristiane A. B. Cardoso Andr L. F. Costa 《Microscopy research and technique》2020,83(8):928-936
This study was undertaken to assess in vivo the corrosion in two commercial nickel–titanium (NiTi) orthodontic archwires removed from the oral cavity of patients using fluoride mouthwashes. Five volunteers took part in this study on the corrosion behavior of two brands of NiTi archwires (3M and AO (brand of archwire)) during use of two mouthwashes with neutral sodium fluoride 1.1%, one with acidulated fluoride 1.1%, and one with placebo and a control group. Each patient used one mouthwash in three different periods of time for 1 min a day for 30 days. The archwires were assessed with scanning electron microscopy and atomic force microscopy for qualitative and quantitative analysis. The values obtained with atomic force microscopy (AFM) were submitted to normality test, two‐way analysis of variance, and Tukey's test at a significance level of 5%. The AFM images showed a gradual qualitative increase in the roughness of both types of wire between the treatments: control < placebo < neutral fluoride < acidulated fluoride. The arithmetic average of the roughness and root mean square of the roughness were similar. As for 3M archwires, only the acidulated fluoride group differed statistically from the others. As for AO archwires, the control and placebo groups did not differ from each other, but differed from the other fluoride treatments. The group using neutral fluoride also differed significantly from the acidulated fluoride group. 3M archwires were not affected by daily oral challenges. AO archwires were not affected by daily oral challenges either; their association with fluoride, either neutral or acidulated, increased their roughness. 相似文献
6.
Amanda Broska da Cruz Deniz Renata Bachmann Guimarães Valt Maria José Jerônimo de Santana Ponte Haroldo de Araújo Ponte 《化学工程与技术》2020,43(7):1393-1401
Transport phenomena are investigated which are involved in the electrokinetic remediation process used for removing vanadium from deactivated catalysts from oil catalytic cracking that are currently allotted to cement plants and class-I landfills. Variables such as the concentration of electrolyte, electric potential, and applied electric current were evaluated in order to determine the effects produced by electroosmosis, diffusion, hydraulic gradient, and electromigration on the removal of vanadium from the catalyst. It was observed that migration is the most relevant phenomenon in the remediation tests, and for the best remediation condition, the migratory flow accounted for about 87 % of the vanadium removal. 相似文献
7.
Adriano do Nascimento Simões Samara Lopes de Almeida Cristine Vanz Borges Kelem Silva Fonseca Aurélio Paes Barros Júnior José Ricardo Tavares de Albuquerque Camila Renata Corrêa Igor Otavio Minatel Maria Aparecida dos Santos Morais Marla Silvia Diamante Giuseppina Pace Pereira Lima 《Journal of Food Biochemistry》2020,44(8):e13322
8.
Alessia DAloia Federica Arrigoni Renata Tisi Alessandro Palmioli Michela Ceriani Valentina Artusa Cristina Airoldi Giuseppe Zampella Barbara Costa Laura Cipolla 《International journal of molecular sciences》2020,21(23)
Palmitoylethanolamide (PEA) belongs to the class of N-acylethanolamine and is an endogenous lipid potentially useful in a wide range of therapeutic areas; products containing PEA are licensed for use in humans as a nutraceutical, a food supplement, or food for medical purposes for its analgesic and anti-inflammatory properties demonstrating efficacy and tolerability. However, the exogenously administered PEA is rapidly inactivated; in this process, fatty acid amide hydrolase (FAAH) plays a key role both in hepatic metabolism and in intracellular degradation. So, the aim of the present study was the design and synthesis of PEA analogues that are more resistant to FAAH-mediated hydrolysis. A small library of PEA analogues was designed and tested by molecular docking and density functional theory calculations to find the more stable analogue. The computational investigation identified RePEA as the best candidate in terms of both synthetic accessibility and metabolic stability to FAAH-mediated hydrolysis. The selected compound was synthesized and assayed ex vivo to monitor FAAH-mediated hydrolysis and to confirm its anti-inflammatory properties. 1H-NMR spectroscopy performed on membrane samples containing FAAH in integral membrane protein demonstrated that RePEA is not processed by FAAH, in contrast with PEA. Moreover, RePEA retains PEA’s ability to inhibit LPS-induced cytokine release in both murine N9 microglial cells and human PMA-THP-1 cells. 相似文献
9.
Vanessa Modelski Schatkoski Thaís Larissa do Amaral Montanheiro Beatriz Rossi Canuto de Menezes Raissa Monteiro Pereira Karla Faquine Rodrigues Renata Guimarães Ribas Diego Morais da Silva Gilmar Patrocínio Thim 《Ceramics International》2021,47(3):2999-3012
Studies related to biomaterials that stimulate the repair of living tissue have increased considerably, improving the quality of many people's lives that require surgery due to traumatic accidents, bone diseases, bone defects, and reconstructions. Among these biomaterials, bioceramics and bioactive glasses (BGs) have proved to be suitable for coating materials, cement, scaffolds, and nanoparticles, once they present good biocompatibility and degradability, able to generate osteoconduction on the surrounding tissue. However, the role of biomaterials in hard tissue engineering is not restricted to a structural replacement or for guiding tissue regeneration. Nowadays, it is expected that biomaterials develop a multifunctional role when implanted, orchestrating the process of tissue regeneration and providing to the body the capacity to heal itself. In this way, the incorporation of specific metal ions in bioceramics and BGs structure, including magnesium, silver, strontium, lithium, copper, iron, zinc, cobalt, and manganese are currently receiving enhanced interest as biomaterials for biomedical applications. When an ion is incorporated into the bioceramic structure, a new category of material is created, which has several unique properties that overcome the disadvantages of primitive material and favors its use in different biomedical applications. The doping can enhance handling properties, angiogenic and osteogenic performance, and antimicrobial activity. Therefore, this review aims to summarize the effect of selected metal ion dopants into bioceramics and silicate-based BGs in bone tissue engineering. Furthermore, new applications for doped bioceramics and BGs are highlighted, including cancer treatment and drug delivery. 相似文献
10.
Matthew Thomas Ferreira Juliano Andreoli Miyake Renata Nascimento Gomes Fbio Feitoza Pollyana Bulgarelli Stevannato Andrew Silva da Cunha Fernanda de Oliveira Serachi Alexandros Theodoros Panagopoulos Alison Colquhoun 《International journal of molecular sciences》2021,22(9)
Prostaglandin E2 (PGE2) is known to increase glioblastoma (GBM) cell proliferation and migration while cyclooxygenase (COX) inhibition decreases proliferation and migration. The present study investigated the effects of COX inhibitors and PGE2 receptor antagonists on GBM cell biology. Cells were grown with inhibitors and dose response, viable cell counting, flow cytometry, cell migration, gene expression, Western blotting, and gelatin zymography studies were performed. The stimulatory effects of PGE2 and the inhibitory effects of ibuprofen (IBP) were confirmed in GBM cells. The EP2 and EP4 receptors were identified as important mediators of the actions of PGE2 in GBM cells. The concomitant inhibition of EP2 and EP4 caused a significant decrease in cell migration which was not reverted by exogenous PGE2. In T98G cells exogenous PGE2 increased latent MMP2 gelatinolytic activity. The inhibition of COX1 or COX2 caused significant alterations in MMP2 expression and gelatinolytic activity in GBM cells. These findings provide further evidence for the importance of PGE2 signalling through the EP2 and the EP4 receptor in the control of GBM cell biology. They also support the hypothesis that a relationship exists between COX1 and MMP2 in GBM cells which merits further investigation as a novel therapeutic target for drug development. 相似文献