The present work aims at the comprehensive application of stochastic and optimization tools with the support of Information and Communication Technologies (ICT) through a case study in a logistics process for electronic goods; simulation and Response Surface Methodology (RSM) are applied for this purpose. The problem to be evaluated is to define an optimal distribution cost for products shipped to wholesale customers located in different cities in Mexico from a manufacturing plant in Tijuana, Mexico. The factors under study are the product allocation for each distribution center, finished good inventory level and on time deliveries, which are supposed to be significant to get the objective. The methodology applied for this problem considers the design of a discrete event simulation model to represent virtually the real life of logistics process, which is considered a complex system due to different activities are interrelated to carry it out. This model is used to execute the different experiments proposed by the RSM. The results obtained from simulation model were analyzed with the RSM to define the mathematical model that allows identifying the parameters of the factors in order to optimize the process. The findings prove how the ICT facilitate the application of stochastic tools with the purpose of process optimization.

The shift towards lean production is gradually replacing traditional mass production, and lean accounting is also being mentioned to evaluate operational efficiency based on the lean philosophy, eliminating waste, and simplifying direct cost aggregation along the value stream to improve productivity, distribution, quality, and service. This study aims to evaluate the impact of various factors on the adoption of lean accounting in Vietnamese garment firms, based on data collected from 242 survey questionnaires completed by managers and accountants of Vietnamese garment firms. Through Cronbach's Alpha test, EFA test, and multiple regression analysis to verify and forecast information, eight determinants affecting the adoption of Lean Accounting in Vietnamese garment firms are arranged in descending order of influence, including Leadership, Size, Cost of implementation, Resources, Accounting department, Education and training, Culture, and Competitive pressure. Based on the findings, recommendations are proposed to management businesses and agencies to address shortcomings in the process of applying lean accounting, contributing to making it one of the most effective tools in promoting product development and continuous improvement, enhancing quality and production efficiency.

Objectives: To analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. These projects now form part of the daily routine in the surgical process. The economic impact on the hospital's surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over € 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC) and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from zero. After being carefully thought through and designed, changes were carried out and subsequently analysed.

The current rapidly changing and highly competitive market has put companies under a great pressure not only to be successful, but also to sustain their success into the future. In addition, in recent years, companies have become more aware of the fact that it is no longer enough to take care of economic aspects, being crucial to also take care of environmental and social aspects in order to actually succeed and lead in the current and future markets. In this context, companies are urged to move towards more innovative manufacturing practices that maintain a healthy balance among economic, environmental and social performances, which are the three pillars of the sustainability performance. To give some insight into this issue, a Systematic Literature Review (SLR) is conducted in this paper regarding the current trends in the field, doing special focus on the link between lean-green manufacturing and the different sustainability aspects. The SLR concluded that lean and green implementations as stand-alone systems are usually not enough to ensure the required balance between the three pillars of sustainability, suggesting further combining them into a single approach. Researchers expect to achieve further improvements in the sustainability performance moving towards the next level of sustainability.

Raw material logistics reflects an important aspect of global trade. Raw materials form an essential basis for society, for daily life, and range from apples to zinc. This paper addresses the analysis and optimization of supply chains of raw materials in terms of their economic viability and their sustainability. Type representatives are chosen according to annual transported quantities. Hard coal represents bulk goods, aluminum primary raw materials with medium quantities, and rare earths primary raw materials with small quantities. Their respective supply chains are analyzed and subsequently possible strategies and methods and their application are discussed. The paper shows for the first time that the selection and application of optimization priorities (e.g. profitability or sustainability) depends on the primary raw material and its integration into global production chains.

The implementation of green logistics can reduce the increasingly serious environmental damage and improve the operating efficiency of logistics enterprises. In this paper, through quantitative calculation of logistics negative external costs, including traffic accidents, atmospheric pollution, noise pollution, and pollution caused by packaging, we build accounting standards to calculate the negative external cost of logistics enterprises that mainly generate pollution from transportation and packaging. Then, assuming the impetus provided by government implementing incentive mechanisms in a free market economy, we establish a ‘Logistics Negative External Cost Internalizing’ model, which quantitatively analyzes the relationships among freight rate, freight volume, investment of enterprise for implementing green logistics, and the subsidy given by government, under the comparison of the two modes ‘enterprise operates first’ and ‘government subsidizes first’. The results show that the introduction of ‘government subsidizes first’ incentive mechanism and increasing freight rate are helpful in promoting the process of logistics market greening.

NUMMI was one of the most analyzed case studies in terms of joint ventures, management dysfunction, and international globalization. NUMMI is an acronym for New United Motor Manufacturing, Inc. This manufacturer was a joint venture between automotive US titan GM and Toyota of Japan. GM wanted to further monetize its Fremont factory, but also had limited opportunities during a US economical recession. Toyota wanted to expand manufacturing operations in the US for the very first time, creating an intriguing collaborative partnership between the two. However, various problems lead to dysfunction through cultural, organizational, or managerial differences. This case study is analyzed through its historical analogical scope, ultimately leading to hypothesizing remediation through an ethical data-driven and total quality management (TQM) approach.

With the emergence of Advance Logistics, the logistics industry has witnessed significant advancements, leading to a greater reliance on intelligent technologies. These technologies play a crucial role in gathering and transmitting logistics data, but they also introduce security and privacy risks to logistics management systems. The sharing of customer-sensitive information among stakeholders for efficient operations becomes vulnerable to unauthorized access, thus compromising privacy. This, amongst others, is a critical problem that needs to be addressed. The unique features of a cryptographic hash function, including immutability, efficient verification, and anonymity, make it a transformative technology that has the potential to address the mentioned challenges in various sectors. This disruptive technology offers solutions by ensuring data integrity, enabling quick verification, and preserving privacy. The findings suggest that employing Cryptographic Hash Functions to share customer data among logistics partners offers robust protection against cyber-attacks. The proposed system guarantees asset security, and as demonstrated by the case study evaluation, exhibits strong resilience in safeguarding against various security and privacy threats. Although this study is significant, it does have limitations. One of these limitations is the considerable overlap between logistics research and supply chain management (SCM). While our focus was on logistics tasks, we did not extensively delve into the broader context of SCM

Abstract: Objective: analyze the effectiveness of the implementation of the Lean Healthcare sys-tem at the emergency room of the Clinical Hospital of the Federal University of Uberlândia (HC-UFU), based on a comparison of hospital indicators obtained over the three phases corre-sponding to the period of one year before the implementation (T1), the year during the imple-mentation (T2) and one year after implementation (T3). Material and Methods: this is applied research, classified as a case study, exploratory, descriptive that is developed in stages. Based herein on the search for hospital indicators, as occurred in the implementation process of Lean in Emergencies at the HC-UFU and a description of the implemented Lean system. Results and Discussions: during the period where it was possible to collect data relevant to the NEDOCS and LOS indicators, the motivation of the teams grew, but with a notable tension between municipal management and hospital management. It was found that, despite the fluctuations, the patient length of stay in the Emergency Room remained high. Noteworthy here is that with the excep-tion of the variable of female deaths before 24 hours of hospitalization, all other variables showed percentage increases before and after the intervention. Conclusion: the methodology followed for the implementation of Lean in Emergencies in the emergency sector of the hospital did not produce an improvement in hospital indicators.

The construction industry is one of the most fatal industries, so it is important to pay more attention to safety solutions. Even though work-related accidents are known as major waste in construction projects, little attention has been paid so far to incorporating safety into the lean construction framework. In this research, lean construction theory is reviewed through the lens of safety. That being so, the identified challenges in previous research on improving safety in construction projects are categorized and those related to the concept of lean project delivery are introduced. Then, the principles of the lean construction framework are explained and the relevant changes for incorporating safety into the framework are introduced and discussed. It is expected that this hybrid model would further enrich the lean construction framework. The careful attention of project executives to this model may improve the safety situation in construction projects.

In the area of health, namely hospitals, we can agree that the intrinsic need to have multidisciplinary teams, highly specialized and indispensable resources leads us to a degree of complexity that requires, daily, the best performance, not running away from the logistics area to the rule. The centralization of resources, namely distribution warehouses, emerges as a challenge and possible solution for health institutions to respond in the best possible way to their main purpose: to put the right material in the right place at the right price in the right time space. As regards the advantages of this type of organization, there are several authors who argues that the need for human resources training, ease of coordination and the use of economies of scale are the main advantage. As far as the disadvantages are concerned, there is no special agreement on them, there are disparate factors from author to author, such as: routine, centralization, objectives or operation costs.

Project logistics is one of the specific logistics operations. Compared to other logistics operations, it needs more efficient planning and engineering applications in each operational process. On the other hand, each project logistics operation can be defined as tailor-made operations, since it has no similarity with other operations. Consequently, each project logistics operation should be planned and carried out according to its own conditions and parameters. This study focuses on the simulation of project logistics operations under the light of computerized applications from start to finish of the logistics operation. In this study, transportation operations of 600 tons of autoclave from the Petkim port to the Gördes building site were selected as a case study.

Background: Poor patient flow can lead to adverse outcomes for patients and organisational inefficiency. Many hospitals have addressed suboptimal patient flow by increasing resourcing, such as bed stock and staffing, however, this is an unsustainable approach. In determining the nature of poor patient flow issues, it is important to collect data from healthcare professionals who manage patient flow on a daily basis. Doing so provides insights into the current state of patient flow management in its entirety, whilst also helping with the development of sustainable solutions.; Methods: Thirteen semi-structured interviews were conducted with clinicians who were directly involved with patient flow at a tertiary care centre in Tasmania, Australia. Results: Through a thematic analysis method, four major themes were developed: managing patient flow, communication for decisions, tools as enablers and barriers and increasing complexity. Conclusions: The findings of this study provide great insights into patient flow issues, with potential solutions identified to address them.

Stemming from the urgency of the actual situation, commercial banks need an effective credit risk management tool to limit risks. The authors went to survey, study and propose a set of factors affecting the ability of debt repayment of individual customers and conducting surveys. The topic uses data sets including 240 observation samples. Using the SPSS software to clean data and run the model based on Maddala's Binary logistics regression published in 1984 to find out the impact of each individual element of customers affecting their ability to repay such debts. Come on. The authors also specify the order of influence of each factor determining the ability to repay individual customers, thereby helping bank managers have a better visual view to make decisions for borrowing accurately, limiting risks.

This article purposed to examine the impact of integration between Lean accounting (LA) tools & Just in Time (JIT) technique on Cost Reduction (CR) in modern manufacturing environment in Saudi establishments, these two variable moderated by Ethical Standards (ESs). A quantitative methodology was used for realizing the study objectives and answering study questions, the main tool exercised for producing the incipient data was a fully-structured questionnaire with closed ended questions, which was designed and passed around online among a selected sample of (109) managers and accountants in Saudi manufacturing firms. Descriptive and deductive statistics adopted to derive the findings, wherefore the compiled responses analyzed by SPSS & AMOS and the results showed that there is direct and indirect effect of LA tools & JIT technique on CR in Saudi industrial companies, especially when using ESs. These findings could provide decision makers in Saudi manufacturing companies with the acuity of adopting both methods in a combined way to maximize the profits of these firms. The results of this study also suggest that the application of LA tools & JIT technique has a positive effect on the promotion of sustainable manufacture and consequent achievement of high sustainable performance.

This article presents the integration of lean 6S methodologies and hazard analysis and critical control points (HACCP) in the food production sector. Through the study, it is seen that non-food industrial production is not very different from that of food and, in many cases, it assimilates protocols and ideas that are already working in the food industry; Such is the case of risk analysis, critical control points or hygiene, which are part of the food production protocol and, increasingly, of the industry in general. After the integrative analysis, the article proposes a common lean 6S - HACCP model, which can be used both in food production and in non-food industrial production.

With an increasing demand for quality of care and lower costs, hospitals are looking for industry-based methods to improve efficiency in their processes. This study aims to reduce waste in a public hospital in Mexico by improving the medical supply process for the operating room. To this end, a lean healthcare (LH) implementation following the DMAIC approach (Define-Measure-Analyze-Improve-Control) is carried out. We analyze the value stream of the supply process, including main surgical procedures and their related medical supplies, and identify different causes of inefficiency, which are evaluated and controlled through different tools, including a value stream map, Kanban, and the 5S program. As a result, five types of waste were reduced. Over-processing requests were reduced by 15.3%, defective identification numbers were reduced by 46.5%, redundant processing was improved by 94.8%, near 2.8% of the unnecessary inventory was reduced, and transportation waste was reduced by up to 16.7%. Finally, the lead-time for the main supplies was reduced by 33 days. This work demonstrates that LH and DMAIC are effective in reducing waste and are highly conducive to improving sustainability in healthcare processes. Moreover, it provides practical insights for practitioners regarding the implementation of LH in public hospitals in developing countries.

Defects are considered one of the wastes in manufacturing systems that negatively affect the delivery times, cost and quality of products leading to manufacturing companies facing a critical situation with the customers and to not comply with the IPC-A-610E standard for the acceptability of electronic components. This is the case is a manufacturing company located in Tijuana, Mexico. Due to an increasing demand on the products manufactured by this company, several defects have been detected in the welding process of electronic boards, as well as in the components named Thru-Holes. It is for this reason that this paper presents a lean manufacturing application case study. The objective of this research is to reduce at least 20% the defects generated during the welding process. In addition, it is intended to increase 20% the capacity of 3 double production lines where electronic boards are processed. As method, the PDCA cycle, is applied. The Pareto charts and the flowchart are used as support tools. As results, defects decreased 65%, 79% and 77% in three analyzed product models. As conclusion, the PDCA cycle, the Pareto charts, and the flowchart are excellent quality tools that help decrease the number of defective components.

Modernizing the retail sector is essential to societal progress toward creating a smart city. The retail sector is crucial to the development of a smart city because of its adaptability and capacity for innovation. However, due to their perishability, supermarkets throw away a lot of fruits and vegetables. This article discusses the design of a sub-optimal process for processing sorted fruits using a reverse logistics approach, demonstrating how productivity can be increased despite constraints on processing capacity. This paper presents the results of a case study conducted in a Qatari supermarket that offers a variety of regular fruit processing techniques. In order to maximize output and cut down on waste, this project aimed to develop a reverse logistics system for imperfect fruit.

Strategic management sets the direction of a company for several years ahead. Managers and business owners who create strategy must anticipate and have the ability to see systemically—the paper deals with creating a logistics strategy for a company operating in the industrial sector. The first section summarises the theoretical background for strategy and logistics and current trends affecting logistics processes. The second chapter analyses the current state of the art in logistics strategy development and summarizes its problem areas. The central part of the paper is the proposal of a methodology for logistics strategy development in the industrial area by a progressive approach. The methodology is divided into 5 phases - preparatory, analytical, formulation, implementation, and evaluation and control phases. The methodology is partially validated. The created variants of the logistics strategy include the introduction of such elements that will lead to the gradual development of the Industry 4.0 trend in the given company. This is mainly the first variant called "automation," which includes the introduction of an automatic tractor for material import, the introduction of an automatic system for transport and storage of work in progress, and the introduction of a new logistics information system that will make greater use of already established barcodes (transparency, data in real-time).

In this article we propose an application of humanitarian logistics theory to build a supportive framework for economic reactivation and pandemic management based on province vulnerability against COVID-19. The main research question is: which factors are related to COVID-19 mortality between Peruvian provinces? We conduct a spatial regression analysis to explore which factors determines the differences in COVID-19 cumulative mortality rates for 189 Peruvian provinces up to December 2020. The most vulnerable provinces are characterized by having low outcomes of long-run poverty and high population density. Low poverty means a high economic activity that leads to more deaths of COVID-19. There is a lack of supply of a set of relief goods defined as Pandemic Response and Recovery Supportive Goods and Services (PRRSGS). These goods must be delivered in order to mitigate the risk associated to COVID-19. A supportive framework for economic reactivation can be built based on regression results and a delivery strategy can be discussed according to the spatial patterns that we found for mortality rates.

Product Development Process is widely known among industry and automobile companies. With the advance of technology and the need to improve product efficiency, many companies have been applying Lean Thinking principles. Their benefits lead those companies to implement their concepts and tools, like Value Stream Design in Indirect Areas, Obeya, Just-in-time (JIT) which is based on the production control system developed and implemented by Toyota. This article describes the case study of the implementation of Lean Product & Process Development (LPPD) on the current Product Development Process (PDP) in an automotive company. The PDP was created by the organization and adapted from Advanced Product Quality Planning (APQP). The main findings were a Value Stream Design model of an improved PDP as a useful and successfully contribution for the company. These improvements reduced the product development lead time from 700 days to 369 days. The process efficiency increased from 68% to 85%. The communication and transparency between the cross-functional team (CFT) was improved and show promise for achieving a successful launch of new products.

This manuscript explores the significance of continuous improvement in software development and digital product management, highlighting its role in addressing challenges and achieving superior results in today's dynamic business landscape. Drawing on Lean Thinking and Agile principles, the paper emphasizes the importance of customer focus, multidisciplinary collaboration, respect for people, inspection and adaptation, experimentation, incremental delivery, and continuous feedback in driving continuous improvement. It identifies key problems associated with the lack of continuous improvement, including quality issues, stagnation, inefficiency, lack of learning, lack of participation and collaboration, and lack of adaptability. To overcome these challenges, the paper proposes a solution that leverages agile events and interactions, such as sprint retrospectives and daily scrum meetings, and introduces a "kaizen board" as a visual tool to manage and monitor the continuous improvement process. The manuscript highlights the benefits of continuous improvement in terms of quality enhancement, efficiency gains, improved customer satisfaction, and adaptability to change. It stresses the need for fostering a culture of learning and constant adaptation, and provides insights on applying continuous improvement across different dimensions: product, process, team, and culture. The paper concludes by emphasizing the significance of commitment and active participation from all team members for achieving sustainable progress and success in digital transformation efforts.

Patients with lean NAFLD make up an increasing subset of liver diseases. The association between lean NAFLD and feutin-A, which serves as a hepatokine and adipokine, has never been examined. Our study aimed to explore the association of serum fetuin-A among lean and nonlean patients. The study comprised 606 adults from the community, stratified into lean or nonlean (BMI </≥ 24 kg/m2) and NAFLD or non-NAFLD (scoring of ultrasonographic fatty liver indicator, US-FLI ≥ 2/<2). Multivariate logistic regression analyses were performed to estimate the odds ratio of having NAFLD among the tertiles of fetuin-A after adjustment. The least square means were computed by general linear models to estimate marginal means of the serum fetuin-A concentrations in relation to the NAFLD groups. The OR of having NAFLD for the highest versus the lowest tertile of fetuin-A was 2.62 (95% CI: 1.72-3.98; P for trend<0.001). Stratifying by BMI, the OR of having lean NAFLD for the highest versus the lowest tertile of fetuin-A was 2.09 (95% CI: 1.09-3.98; P for trend 0.026), while nonlean NAFLD had no significant association with the fetuin-A gradient after adjustments. Fetuin-A was positively associated with lean NAFLD after adjusting for central obesity and insulin resistance.

The lean supply chain of construction engineering projects is to achieve the maximum satisfaction of the owners' needs in order to effectively achieve the goal of supply chain management. This paper explores an effective method of lean supply chain cost management for construction engineering projects with target cost management, so that each participating unit on the supply chain node can fully utilizes its core competencies to minimize internal consumption and waste, and achieve the optimal overall efficiency of the supply chain. According to the requirements of the goal planning theory of the construction project company, establish a lean supply chain cost planning system for the construction project, realize the basic model of the lean supply chain cost management of the construction project, and set the target cost from the lean project of the construction project. The technical decomposition is established by the process of cost decomposition and cost pressure transmission and sub-target cost planning.

The last-mile logistics in cities have become an indispensable part of the urban logistics system. This study aims to explore the effective selection of last-mile logistics nodes to enhance the efficiency of logistics distribution, strengthen the corporate distribution image, and further reduce corporate operating costs and alleviate urban traffic congestion. This paper proposes a clustering-based approach to identify urban logistics nodes from the perspective of geographic information fusion. This method comprehensively considers several key indicators, including the coverage, balance, and urban traffic conditions of logistics distribution. Additionally, we employed a greedy algorithm to identify secondary nodes around primary nodes, thus constructing an effective nodal network. To verify the practicality of this model, we conducted an empirical simulation study using the logistics demand and traffic conditions in the Xianlin District of Nanjing. This research not only identified the locations of primary and secondary logistics nodes but also provided a new perspective for constructing the urban last-mile logistics system, enriching the academic research related to logistics node construction. The results of this study are of significant theoretical and practical importance for optimizing urban logistics networks, enhancing logistics efficiency, and promoting the improvement of urban traffic conditions.

Purpose of review The forest industry has deployed ICTs to improve productivity of forest supply chains. In this sense, digitalization of data flows significantly impacts wood supply chains, from forest to mills, which must react flexibly to market fluctuations of forest products. The goal of this study was to conduct a literature review on data flow implementations in management systems of wood supply chains and to evaluate their applicability in supply chains to analyze the opportunities for improving them in practice. Recent findings We utilized the ScienceDirect database, Scopus and Web of Science in order to document data flows in systems and actual applications. Due to ongoing outsourcing, the wood procurement chains, and the wood supply chains were identified in the forest industry. Several different technologies can be implemented also in wood supply chains to digitalize the data flow depending on the specific needs of organizations. In this regard, digitalization of Big Data causes significant changes in elements of supply models that should be integrated and standardized in the optimization and simulation systems. Summary A modelling guide is suggested for accurate dynamic solution of problems of forest logistics. Then, the opportunities in digitalization for connecting different data flows, technologies, and stakeholders are discussed thoroughly. We conclude that data-driven dynamic optimization, and locally implemented digitalization contributes to wood supply modeling in the establishment of standards for cloud-based platforms at time-related and sequential measures which will ensure successful forest logistics through the planning and the monitoring of wood supply chains.

Since the global request for freight transportation is continuously increasing to face the requirements of the modern economy, 5G infrastructures and companion technologies are becoming essential to support the digital transformation in logistics and transportation, in particular for their capability to allow data collection through a multitude of different sources across the supply chain, improving the connectivity and making more effective the secure and reliable data sharing. The objective of this work is to assess the penetration and implementation levels of innovative technologies to optimize port operations, by interviewing a set of actors and stakeholders directly involved in the logistics chain of ports.

Road freight transportation is a key function of modern societies. At the same time, road freight transportation accounts for significant emissions. To reach the UN sustainability goals, sustainable road freight transportation is key. Digitalization, including automation, digitized information, and AI provide opportunities to improve efficiency, reduce costs, and increase service levels in road freight transportation. Digitalization may also radically change the business ecosystem in the sector. In this paper, the question “How will digitalization change the road freight transportation landscape?” is addressed by developing four different future scenarios, using Sweden as a case study. For each of the four scenarios the impacts on the road freight transportation sector are investigated, and opportunities and barriers to reach a sustainable transportation system in each of the scenarios are discussed. In all scenarios an increase in vehicle kilometers travelled is predicted, and in three of the four scenarios significant increases of recycling and urban freight flows are predicted. The scenario development process highlighted how there are important uncertainties in the development of the society that will be highly important for the development of the digitized freight transportation landscape. One example is the sustainability paradigm, which was identified as a strategic uncertainty.

With the growing trend of urbanization and the growing number of people migrating to cities, the demand for the development and construction of new buildings as well as the infrastructure has risen, meaning that the construction industry must adapt to the trends. The growing demands with shorter deadlines for an industry already known for high costs and not delivering on time means that productivity must be increased without increasing the cost. The solution for this might lie in the application of the Lean philosophy to the construction industry. This paper analyses the application of the Lean philosophy in order to increase the productivity in the airport construction site. The paper highlights the potential for enhancing productivity in construction workplaces by concurrently fostering continuous improvement and sustainability through the implementation of the A3 methodology and Lean principles, resulting in waste reduction and increased value.

The move to lean construction is a lengthy process that may call into question established ways of construction management delivery. The objective of this article is to help businesses take the first step on this route by introducing a few lean manufacturing techniques and practices that may be used on projects over the next few weeks. Although the construction industry has come a long way since its start, the essential technology to change it has not yet found a home. The digital switch has now entered the construction industry to boost production. Artificial intelligence (AI) is a discipline of computer science described as the potential of machines to mimic intelligent human behavior by modelling traditionally complicated problems using human-inspired techniques. Due to its complexity, AI distinguishes itself from lower degrees of digitalization. The complexity of artificial intelligence involves the formation of new circumstances for human collaboration and trust. This dissertation investigates the application of artificial intelligence and the suitable interaction between humans and AI-based technologies. This study attempts to shed light on how the construction industry may close the gap between the potential and actual benefits of artificial intelligence deployment. Comparing the prospective benefits of AI implementation to the present benefits and challenges of AI deployment in the construction industry revealed the disparity.

As a new logistics system, Physical Internet (PI) provides a solution to cope with the continuous rise of urban logistics demand by exploring same-level and cross-level paths and flattening. This research suggests a PI-based urban logistics distribution cost minimization model based on the examination of the primary elements influencing PI distribution, intending to maintain the logistic transportation process' integrity. This proposed model enhances the flexibility of goods operation and reduces the global cost of logistics distribution using the interconnected and open PI logistics distribution mode. The experimental results show that the distribution cost of the PI logistics model is significantly better than that of a traditional logistics model. The elastic and cost advantages relatively grow as the infrastructure for distribution scales up and the interruptions from emergencies occur.

This study emphasizes the necessity of introducing a blockchain-based joint logistics system to strengthen the competency of medical supply chain management (SCM) and tries to develop a healthcare supply chain management (HSCM) competency measurement item through an analytic hierarchy process. The variables needed for using blockchain-based joint logistics are the performance expectations, effort expectations, promotion conditions, and social impact of the UTAUT model, and the HSCM competency results in increased reliability and transparency, enhanced SCM, and enhanced scalability. Word cloud results, analyzing the most important considerations to realize work efficiency among medical industry-related agencies, mentioned numerous words, including sudden situations, delivery, technology trust, information sharing, effectiveness, urgency, etc. This might imply the need to establish a system that can respond immediately to emergency situations during holidays. It could also suggest the importance of real-time information sharing to increase the efficiency of inventory management. Therefore, there is a need of a business model that can increase the visibility of real-time medical SCM through big data analysis. By analyzing the importance of securing reliability based on the blockchain technology in the establishment of a supply chain network for HSCM competency, we reveal that joint logistics can be achieved and synergistic effects can be created by implementing the integrated database to secure HSCM competency. Strengthening partnerships, such as joint logistics, will eventually lead to HSCM competency. In particular, HSCM should seek ways to upgrade its competitive capabilities through big data analysis based on the establishment of a joint logistics system.

Logistics plays an important role in globalized companies and contributes to the development of foreign trade. A large number of external conditions, such as recession and inflation, affect logistics. Therefore, managers should find ways to improve operational performance, enabling them to increase efficiency while considering environmental sustainability due to the industry’s large scale of energy consumption. Based on data collected from the financial reports of top global logistics companies, this study uses a DEA model to calculate corporate efficiency by implementing a Grey forecasting approach to forecast future sustainability values. Consequently, the study addresses the problem of how to enhance operational performance while accounting for the impact of external conditions. This research can help logistics companies develop operation strategies in the future that will enhance their competitiveness vis-à-vis rivals in a time of global economic volatility.

Currently, conventional spark-ignition engines face challenges in meeting the ever-growing demands of customers and increasingly stringent regulations regarding pollutant emissions. A combination of innovative strategies and carbon-neutral fuels is deemed necessary in order to further reduce fuel consumption and minimize engine emissions. The present work aims to assess the performance of combustion strategies using low-carbon content fuel, such as methanol M100, ignited by a plasma-assisted igniter (PAI) under ultra-lean conditions. The experimental campaign is conducted on a single-cylinder research engine at different engine speeds and low loads, moving up to the engine lean stable limits. To determine the benefits brought by the proposed strategy, referred to as M100-PAI, the obtained outcomes are compared with the ones obtained using market gasoline E5 ignited by the PAI system and conventional spark. The synergy between M100 (methanol) and Plasma Assisted Ignition (PAI) in internal combustion engines yielded notable benefits. This combination significantly improved combustion stability if compared to the other combinations tested, by extending the lean stable limit to λ=2.0, reducing cycle-to-cycle variability, and facilitating faster flame front acceleration, resulting in enhanced homogeneity. These enhancements, obtained with the combination M100-PAI, contributed to higher fuel efficiency showing a 10% efficiency gain over the combination E5-gasoline spark ignition.

Hydrogen fuel is gaining particular attention in internal combustion engines. In addition to zero-carbon emissions, major advantages relate to its combustion characteristics, which allow significant increase in thermal efficiency under ultra-lean operation and with very low NOx levels. The ignition system is one of the main technology enablers, as it determines the capability to control ultra-lean operations, avoid backfire phenomena, or reduce the risks of abnormal combustions. The latter results from the hydrogen low ignition energy and it is associated with factors like high-temperature residuals, hot spots, and irregular spark plug discharge. ACIS gen 2-Barrier Discharge Igniter excels in accelerating the initial flame growth speed by the generation of non-equilibrium low-temperature plasma, strong ignition promoter for the combined action of kinetic and thermal effects. Moreover, its volumetric discharge facilitates combustion initiation on a wide region, in contrast to the localized ignition of traditional spark systems. In this work we present for the first time, to the best of our knowledge, experimental results showing the performance of a hydrogen engine with a low-temperature plasma discharge. Tests were conducted on a single-cylinder research engine, achieving ultra-lean conditions with cycle-to-cycle variability results below 2.5%. The analysis indicates that the H2 - BDI combined solution is capable of accelerating the evolution of the flame front compared to traditional spark plugs, leading to a significant reduction in the cycle-to-cycle variability. A meticulous adjustment of the BDI control parameters further enhances igniter performance and contributes to a deeper understanding of the innovative approach proposed in this study.

The strong competition in the automotive industry has required manufacturers to implement lean production, both with methods and techniques specific to Industry 4.0. At the same time, universities must provide graduates with specific skills for applying these new production methods and techniques. In this context, a Lean Learning Factory was developed in the Pitesti University Center, which allows students to learn, experiment, and research, in an environment similar to that of enterprises, the new Lean Manufacturing methods and techniques, and Industry 4.0. The research presented in this study had as its objective identifying the minimum number of repetitions necessary to train operators who serve two differently organized workstations, one classic, the other including digital techniques, but on which the same assembly operation is performed. Several indicators were considered in the analysis, such as the number of errors, the number of stops, the effective duration of the work cycle, and the percentage ratio between the standard duration of cyclical activities and the effective duration of the work cycle. The evolution of these indicators was mathematically modelled by regression functions, using the least squares method. The obtained results also highlight the usefulness of applying the DOJO method as a Lean manufacturing-specific learning technique and the efficiency of implementing digital techniques in work organization.

This study investigates the critical success factors (CSFs) of Lean Six Sigma (LSS) implementation and their impact on organizational growth in Nigerian enterprises. The objectives were to identify crucial CSFs for successful LSS deployment and assess their significance in achieving organizational growth. A mixed-method approach was used, including literature analysis, expert judgments, and a survey of 130 participants from various industries. The survey questionnaire employed a 5-point Likert scale to collect data on LSS CSFs and implementation success metrics. Structural equation modeling (SEM) with SmartPLS 4.0 analyzed the data, revealing that LSS CSFs significantly contribute (up to 39.2 percent) to the success of LSS implementations. The study identified 12 critical LSS CSFs, categorized into workers, business, and management, each influencing LSS implementation. Recommendations include creating a supportive environment, providing comprehensive training, and prioritizing continuous improvement efforts for successful LSS deployment. Future research possibilities include longitudinal studies, sector-specific analyses, and qualitative investigations to deepen understanding and enhance LSS implementation outcomes. In conclusion, successful LSS implementation empowers Nigerian organizations with improved productivity, waste reduction, and sustainable production systems, leading to overall growth and success.

This paper aims to propose improvements for plastic waste management in Salvador – the Brazilian third most populated metropolis – via Partial Least Squares Structural Equation Modeling (PLS-SEM). All indicators, constructs, and hypotheses regarding collection, sorting, recycling, and disposal in the proposed PLS model were derived from the literature review, and the dependence of the performance construct on efficiency, effectiveness, municipality's socioeconomic aspects and municipality infrastructure is evaluated. Academic and practitioner publics were surveyed, and after analysis in both SmartPLS and RStudio software, suggestions for improvement regarding plastics recycling rate, market maturity, and infrastructural aspects for optimized reverse logistics were made. Since almost double the minimum number of respondents answered the survey questionnaire and the PLS-SEM statistics showed that the modeling presents consistency, the discussion is relevant. The model can and will evolve, but examples of suggested improvement are the installation of Deposit-Return Systems (DRS) in parks, streets, and avenues for increasing selective collection and the direct purchasing of waste from residents by municipal administration, compensating them with vouchers for food. The model can be a basis for other cities worldwide sharing analogous characteristics. By considering it, organizations can contribute to both reduced Greenhouse Gas (GHG) emissions and reduced terrestrial pollution.

The increase in online orders following the COVID-19 pandemic has heightened consumer ex-pectations regarding prompt deliveries. However, this phenomenon has subsequently triggered a substantial increase in the number of vehicles navigating through urban areas, highly affecting the overall quality of life within cities. Capitalizing on the complexities posed by urban logistics, this paper proposes an innovative digital business model for logistics services. In this context, we introduce “Urban Logistics as a Service (ULaaS), platform”, a concept rooted in the principals of circular economy and harnessed through the application of the Canvas methodology. The con-ceptual framework outlines the ULaaS ecosystem and explores potential user-functionality com-binations. The proposed platform serves as both an on-demand service provider and a control hub for stakeholders such as traffic authorities, policymakers, logistics providers, carriers, and shippers. This platform streamlines citywide logistics to enhance movement efficiency, ease congestion, and reduce emissions. The ULaaS concept was validated through analysis of data collected from interviews in the unique social context of Campinas City, Brazil. The key value-generating mod-ules within the ULaaS ecosystem include parking reservations, shared warehousing, e-commerce deliveries, and comprehensive logistics solutions. However, implementing Urban Logistics as a Service has challenges. These include defining public and private sector roles, creating effective pricing models, and fairly distributing respon-sibilities among service providers. The paper also elucidates various monetization models and required investments, crucial for fostering potential private sector involvement.

In the context of economic development and international economic integration, the logistics industry in Vietnam is developing to meet the market demand for the transportation of goods; thus, many logistics enterprises have been formulated and grown up in recent years. This research aims to measure the efficiency of logistics enterprises and recommend a feasible solution to improve their future performance by integrating the Super Slacked-based Measure model (Super-SBM) in Data Envelopment Analysis and Fuzzy Analytic Hierarchy Processes (Fuzzy AHP) in multi-criteria decision-making. The super-SBM model was utilized to conduct the efficiency scores of logistics enterprises from 2016 to 2022 based on calculating the ratio between input and output variables; the empirical result determined each enterprise's effectiveness and ineffectiveness. Next, the Fuzzy AHP method evaluated and ranked criteria that directly impacted the operational process of logistics enterprises based on experts' opinions; the examined result suggested a feasible direction to improve their business efficiency in the future. The proposed hybrid models are a helpful solution for efficiency determination and development direction for logistics enterprises. An overall picture of the logistics enterprises was also drawn to describe their operational business process.

Today, maritime transport is responsible for moving approximately 80 percent of the volume of world trade, which has favored Colombia, which, due to its geographical position, has managed to become one of the most competitive and dynamic economies in the world. South America. For this reason, this investigation is carried out in a port of their country, with the aim of identifying and analyzing restrictions or critical points that may cause delays in the unloading of goods, these would also cause delays in the loading of vehicles. To do this, it began with a diagnosis of the current situation through interviews with the operational personnel of the port, then a simulated model was designed in the ARENA software, in which it was observed that the weighing activities are where the queues were formed, this will cause a delay in the download. As possible solutions, it is recommended to senior management that a proper verification of the operation of the weighing equipment be carried out in order to unload goods more quickly. In addition, a replacement weighing equipment must be purchased. With this change, it would be possible to reduce inefficiencies or cost overruns caused by download delays, which are reducing the fluidity of the goods and the competitiveness of the organization

Logistics Engineering has transcended over the decades into an approach for competitive benefits in organisational performance and logistics efficiency. Most industries are recognising that significant savings are available to companies that are able to ordinate and improve within their logistics operations. Companies today face great challenges because the successful supply of many products and services needs to the effective integration of logistics activities across a prolongation supply chain and an increasing geographical separation. Moreover, logistics integration approach involves both internal integration for an ordinated, unified process as well as relationships to react flexibly, changeability, and responsibility to customer's demands. In this study, by using of Fuzzy Vikor (F-Vikor), the best combination of RIR was selected and RIR Locating was done. The main aim of this paper is survey and design of the integrated operational logistics network (IOLN) and also, a proposed IOLN to integration of the Iran Khodro Co Supply Network.

Proper management of water is a challenge for every individual but especially for companies. Nowadays also legislation obliges companies to clean the wastewater before being discharged into municipal public sewer especially if they use some chemicals or oily elements in their production process. Construction of the wastewater cleaner depends directly on the way of pollution, the amount of contaminated water and the energy demand of the cleaning process. The paper deals with the construction of the wastewater cleaner, which is based on the technology of electro-flotation for the treatment of water contaminated with disperse colorants. The experimental work as well as the modelling using the statistical methods proved the suitability of the chosen technology. Also, each colour combination requires a specific time period for the water treatment. The authors determined the time interval for cleaning the wastewater that was polluted with yellow colour to 33 minutes. Finally, the wastewater cleaner that is based on the electro-flotation technology was included in the company’s reverse logistics system.

The construction sector is considered as a major consumer of virgin materials and contributor to waste generation. Therefore, it is essential to rethink current waste management practices, for example, by applying circular economy principles to building demolition, such as deconstruction. Deconstruction involves dismantling a building with the aim of maintaining the highest possible value for its materials and maximize their recovery potential. This study aims to guide the construction sector towards deconstruction to support its efforts to transform itself toward a more sustainable industry. It focuses on a regional case study in the province of Québec (Canada) presenting five buildings to be deconstructed. First, the study presents the outcomes of our analysis of the current situation. Second, it identifies the issues and obstacles encountered and proposes avenues to improve the current process based on solutions identified in the literature and the recommendations of the manager, the contractor involved in the deconstruction process, as well as experts in the construction industry. Finally, it proposes an improved deconstruction process. Our research approach is inspired from Lean thinking and follows Action Research methodology.

This research describes a detailed analysis in the enactment of a Lean Tool, the Last Planner System during pandemic period which helps in optimizing the resources for better coordination among all stakeholders in pandemic period. LPS as it is known, focusses on minimizing the factors such as uncertainties, barriers and variability to make construction projects more flexible for better project management. These include variations and deviations, supervision, delays in approvals, change resistance, subcontractor dedication which are all related to various stakeholders in the project. Following that, a Design Science Research technique is used to evaluate the effect of applying LPS in buildings. An action strategy is being used to attain this goal, and four case studies were being documented which were concerned in the implementation of LPS in the building of the Boy's Hostel, Research Scholar Quarters, Faculty Housing, and Girls' Hostel at Chennai, Tamilnadu, India. Data was gathered by observation of site activities, interviews, documentation analysis, and a questionnaire survey and grouped into various factors. While adopting the LPS tool in the research the factors affecting the implementation were found in the covid-19 pandemic period. Further these factors were anlayzed, measured, ranked and validated for adopting in projects.

This article explores the important role of traditional shipyards in the global maritime industry, covering aspects of construction, repair, and maintenance. With the advent of faster manufacturing techniques, traditional shipyards face important challenges such as planning errors, coordination problems, delivery delays, and underutilization of technology, which results in high costs, reduced productivity, and prolonged projects. The application of Manufacturing Cycle Efficiency (MCE) emerged as an important solution to significantly increase production efficiency. MCE empowers shipyards to deal effectively with waste, bottlenecks, and disruptions, thereby increasing performance, competitiveness, and profitability. Using a comprehensive approach that uses both qualitative and quantitative methods, including field surveys, and in-depth interviews in the traditional shipyards industry, this research identifies Non-Value-Added (NVA) processes, conducts process mapping, and calculates MCE. The findings reported in this article underscore the significant wastage in the production process, indicating an urgent need for improvement, given the current average MCE value of 67.08%, indicating considerable room for improvement. This article provides innovative perspectives on optimizing the traditional shipyards industry through production cycle efficiencies while offering actionable recommendations. Key focus areas include integrating management systems, adopting advanced technologies, and implementing sustainable strategies to improve MCE, especially by reducing non-value-added time wastage, such as inspection and storage. By implementing strategies that optimize production, minimize waste, and overcome the challenges of global competition, this research contributes to improving MCE. In conclusion, this study is an invaluable guide for industry stakeholders, enabling them to enhance their competitiveness and adapt effectively to a dynamic business environment.

Glycated hemoglobin (HbA1c) is used to assess glycemic control in Type 1 diabetes (DM1) patients. Apolipoproteins play an essential role in DM1 pathophysiology and may be associated with complications, as well as HbA1c. This cross-sectional observational study consisting of 81 children and adolescents of both sexes diagnosed with DM1 investigated the relationship between body fat distribution and lean mass with HbA1C and apolipoprotein values analyzing biochemical and body composition measurements. Shapiro-Wilk test with Lilliefors correction, non-parametric Mann-Whitney test, and others were used with a significance level of 5%. The sample had a diagnosis time of 4.32 years and high blood glucose levels (mean 178.19 mg/dL) and HbA1c (mean 8.57%). Subjects also had a moderate level of adiposity, as indicated by arm and thigh fat areas. The study also found significant differences in the distribution of patients concerning levels of apolipoproteins A and B, with a smaller proportion of patients having undesirable levels. Finally, the study found a significant difference in the distribution of patients with estimated cardiovascular risk based on the ApoB/ApoA-1 ratio. Conclusively, visceral fat in children and adolescents with DM1 may increase the risk of DM1 long-term complications owing to its association with elevated HbA1C and apolipoprotein values.

Background: Although National Licensing Examinations (NLEs) may be a costly process, they can predict better performance for many following years. The current licensing requirements will not entail and new requirements will be requested. Therefore, this study suggests a framework for the development of the Medical Licensing Exam by exploring the opinions of Egyptian medical practitioners and educators regarding the exam format and criteria. Objective and methods: to describe the needed steps to develop the EMLE through a two-phase exploratory mixed-method study that had been conducted among the Egyptian medical sectors: medical practitioners and educators. Results: There were 50 clinical and academic educators shared in the online discussion about EMLE development. Then, a survey was carried out on 266 participants with various working places in which 198 of the participants were staff in the Higher Education Ministry and 68 physicians in the Ministry of Health. The input from both had contributed to the development of the following framework that is divided into two main sections; the Exam Logistics and the Exam Set up. The exam Logistics included the exam committee, prerequisites for the exam, the admission criteria and fees, and the validity of the license. While the Exam Set up included exam setting, structure, standard-setting, pass marks and reset policy. Conclusion: A Multidisciplinary team resources for the exam setting. Fairness and objectivity were highlighted through several factors; development of the exam blueprint, types of assessment methods, post-exam analysis, and standard-setting. Finally, the reset policy, fees, and validity of the license were recommended with a student-centered perspective that was suggested for the exam committee.

Access to food systems is essential to sustain urban life. In this paper, we discuss the differences concerning accessibility levels to food systems among potential consumers in Belo Horizonte, Brazil. The goal was to characterize spatial mismatches regarding food opportunities and identify suitable areas for sustainable food mile solutions, such as non-motorized home delivery and purchase trips. For this, we have spatially related: (i) the population concentration; (ii) the income of households; and (iii) accessibility measures considering both the spatial structure of food retailers and the distance between households and stores, considering the food mile. We have then used spatial statistics and spatial analysis methods to determine the spatial pattern of variables and the cumulative opportunity measure for households. There is great spatial differentiation regarding the accessibility levels of food retailers and the results can be considered to support the development of policy and land use regulation that can stimulate non-motorized and collaborative delivery as an effective last-mile solution.

Logistics in urban areas are currently suffering a radical transformation due to increasingly population concentration and the massive use of cars as the preferred transport mode. These issues have resulted in higher pollution levels in urban environments and traffic congestion impacting the world globally. Facilitating the use of sustainable transport modes is widely regarded as a necessity to cope with these adverse effects on citizens’ life quality. Hence, some regions, as the European Union, are encouraging bus transport firms to make their business models more environmentally and socially sustainable. The aim of this research is thus to explore how practices adopted by urban bus companies can improve cities’ sustainability. With this in mind, a combined Importance Performance Analysis (IPA)-Analytic Hierarchy Process (AHP) method was applied. In this way, both environmental and social sustainability effects of developed practices were represented through hierarchical structures separately. Subsequently, importance and performance ratings of practices in each sustainability dimension were estimated, and thus two IPA grids were generated. These grids support managers in the establishment of more effective action plans to improve logistics sustainability in cities. Findings also provide guidance to governments on the practices that should be promoted in future urban mobility plans.

Autonomic dysfunction is an increasingly recognised complication in chronic neurological conditions such as Parkinson’s disease , and other medical conditions, including diabetes mellitus, chronic fatigue syndrome, postural tachycardia syndrome with and without Ehlers-Danlos syndrome, fibromyalgia and recently Long Covid. Despite laboratory-based tests to evaluate normal and abnormal autonomic function, there are no home-based tests to record neuro-cardiovascular autonomic responses to common stimuli in daily life that are dependent on the normal functioning of the autonomic nervous system. We have developed an adapted blood pressure/heart Autonomic Profile (aAP) that can be used by an individual independently and repeatedly in a domiciliary setting to determine the physiological and symptomatic response to standing, food, and physical and mental (cognitive, emotional) activities. The aAP aids separating autonomic failure (often irreversible) from autonomic dysfunction. This helps the individual and attending healthcare professional understand the relationship between symptoms and common triggers in daily life and informs on self-management in debilitating conditions such as the postural tachycardia syndrome (PoTS) and Long Covid.

The recent growing attention to energy saving and environmental protection issues has brought to attention the possibility of exploiting syngas from gasification of biomass and coal for the firing of industrial plants included the so called Integrated Gasification Combined Cycle ones. In order to improve the knowledge about the employ of syngas in lean premixed turbulent flames, a large scale swirl stabilized gas-turbine burner has been operated with a simplified model of H₂ enriched syngas from coal gasification. The experimental campaign has been performed at atmospheric pressure with operating conditions derived from scaling the real gas turbines ones. The results are here reported and consist of OH-PLIF measurements carried out at decreasing air equivalence ratio conditions and are analysed together with the mean aerodynamic characterisation of the burner flowfield in isothermal condition. The OH concentration distributions have been analysed statistically in order to obtain information about the location of the most reactive zones and an algorithm has been applied to the data in order to identify the flame fronts. In addition, the flame front locations have been successively interpreted statistically in order to obtain information about their main features and about their dependence on the air to fuel ratio behaviour.

Abstract: The recent growing attention to energy saving and environmental protection issues has brought to attention the possibility of exploiting syngas from gasification of biomass and coal for the firing of industrial plants included the so called Integrated Gasification Combined Cycle ones. In order to acquire a detailed knowledge about the behaviour of lean turbulent premixed flames, the present work resent the results of an experimental characterisation of a prototypical gas turbine burner operated at atmospheric pressure at condition scaled from real gas turbines ones. The results here presented derive from OH-PLIF measurements carried out at decreasing air equivalence ratio conditions and are analysed together with a mean aerodynamic characterisation of the burner operating in isothermal condition. The OH concentration distributions have been analysed statistically in order to obtain information about the location of the most reactive zones and an algorithm has been applied to the data sets in order to identify the flame fronts. In addition, the flame front locations have been successively interpreted statistically in order to obtain information about their main features and about their dependence on the air to fuel ratio behaviour.

Sustainable Humanitarian logistics is gaining attention due to increased disasters. It involves various operations to support people's survival efforts. Key characteristics include unpredictable demand, sudden large demand volumes, high stakes in delivery timeliness, and limited resources. However, the complexity and unpredictability of disaster scenarios necessitate robust and adaptable performance measurement models to evaluate the effectiveness of sustainable humanitarian relief logistics (SHRL). This study proposes a novel performance measurement model for sustainable humanitarian logistics and supply chains that integrates the Fuzzy Delphi Method (FDM) and Fuzzy Decision-Making Trial and Evaluation Laboratory (Fuzzy-DEMATEL) method. In this research, using 115 articles focused on sustainable humanitarian logistics and supply chains, crisis management, and humanitarian aid, this research identified 25 key performance indicators (KPIs) in the initial phase. Following the implementation of FDM, 19 KPIs were identified as crucial for further analysis. These KPIs were then divided into four distinct categories: "Quality," "Accountability," "Operational Excellence," and "Sustainability". Initially, FDM is utilized to reach a consensus among experts concerning KPIs for humanitarian logistics and supply chains. By incorporating the inherent uncertainty and vagueness in expert judgments, FDM refines the list of key performance indicators that reflect the real-life conditions and constraints in disaster operations. Finally, the fuzzy DEMATEL approach was used to analyze interrelationships among factors, identifying cause-and-effect behavior and ranking them, forming a robust theoretical framework. The study concludes with the development of a comprehensive performance measurement model that facilitates the strategic planning and operational assessment of humanitarian organization operations. The integration of FDM and fuzzy DEMATEL methods offers multiple perspectives for decision-making and helps stakeholders identify critical areas for improvement. Based on the acquired results, the KPIs attached to the Quality (P1) aspect of the proposed framework have gained significant importance and main cause in the cause-and-effect relationship which impacts and is helpful to improve the performance of humanitarian organizations in all phases of disaster management. The KPIs prompt delivery (D1), and delivery accuracy (D2) are more significant, while capacity building and training (D19) and delivery compliance (D15) are least significant in SHRL scenarios. This research is expected to support humanitarian organizations in enhancing their capabilities, thereby improving the effectiveness and efficiency of aid delivery in disaster-stricken areas.

Logistics industry has been found to be among the key sources of carbon emission. In Vietnam logistics industry, there is a considerable difference between the number of foreign and Vietnamese firms as well as the proportion of markets that they are taking. This study is to research the low-carbon emission measures conducted by domestic and foreign invested logistics service providers (LSPs) and compare the results of the two groups. Both qualitative and quantitative approaches are applied. Literatures in relevant fields are reviewed and expert opinions are taken for structuring a questionnaire which was later distributed to 279 LSPs, with 166 returned and 159 being valid for data calculation. The results imply that there are differences in extension of applications of low-carbon practices between foreign and domestic firms. Except for transport mode switch and energy-saving lighting, the other practices witness that adoption levels of foreign LSPs are higher than their counterparts, which is possibly thanks to their global operation, more comfortable capital resources and awareness level of green initiative necessity. In conclusion, a comparison between the application conducted by foreign-invested firms and domestic ones, which has not been investigated before, was made.

Purpose, This research aimed to examine the effect of green logistics (GL) and green human resource management (GHRM) on the performance of environmentally friendly manufacturing industries oriented towards sustainable development of organizations (SDO) through the role of sustainable production (SP) as a mediating variable. Methodology, A quantitative approach was employed through a standardized questionnaire to obtain data from 110 manufacturing industries in Indonesia that implemented environmentally friendly practices. Advanced statistical techniques, such as Structural Equation Modeling (SEM) and data analysis using Smart PLS (Partial Least Square) version 4 were utilized to analyze the collected data. Findings, The results showed that the model supported the statistical significance of all seven hypotheses and confirmed the direct and mediating effects of GL, GHRM, and SP on SDO. Practical implications, This research added critical insights into the theory and practice of GL and GHRM to realize SDO through the role of SP as a mediator in environmentally friendly manufacturing industries. Originality, This research contributd to the existing literature by adding to the effect of SP mediation on the relationship of GL and GHRM on SDO. There was no previous research that discussed the important role of SP mediation in influencing the relationship between GL and GHRM on SDO.

In this paper, a two-stage stochastic programming modelling is proposed to design a multi-period, multistage, and single-commodity integrated forward/reverse logistics network design problem under uncertainty. The problem involves both strategic and tactical decision levels. The first stage deals with strategic decisions, which are the number, capacity, and location of forward and reverse facilities. At the second stage tactical decisions such as base stock level as an inventory policy is determined. The generic introduced model consists of suppliers, manufactures, and distribution centers in forward logistic and collection centers, remanufactures, redistribution, and disposal centers in reverse logistic. The strength of proposed model is its applicability to various industries. The problem is formulated as a mixed-integer linear programming model and is solved by using Benders’ Decomposition (BD) approach. In order to accelerate the Benders’ decomposition, a number of valid inequalities are added to the master problem. The proposed accelerated BD is evaluated through small-, medium-, and large-sized test problems. Numerical results reveal that proposed solution algorithm increases convergence of lower bound and upper bound of BD and is able to reach an acceptable optimality gap in a convenient CPU time.

Over the past few decades, the quantity of construction waste has steadily risen in tandem with the expansion of construction activities and the rapid pace of development and urbanization. This problem is rooted in the practice of delivering materials to construction sites without totally using them for their intended purpose. The primary aim of the JIT tactic is to ensure that the precise materials required for production are available at the precise location, exact time, and appropriate quantity, thereby facilitating timely production. Presently, the use of ready-mix concrete is the most typical instance of a just-in-time construction process Developed countries have benefitted immensely from the use. However, the reverse is the case in developing countries like Nigeria, where indigenous contractors still employ traditional in-situ concreting even when faced with restrictive site space. This study focuses on investigating Ready-mix concrete, to project its immense benefits and effectiveness in minimizing lean construction waste. A survey research design and case study were adopted for this study, with the population being the management staff of construction firms in Lagos State, Nigeria. The questionnaire was used to collect data and the targeted respondents were purposively selected from the population. A total number of 112 questionnaires were administered with a response rate of 51%. Percentage, mean, standard deviation, and ANOVA were used to analyze the data. The mean value is above 3 on a Likert Scale of 5, while faster construction speed and uniform quality of concrete are the topmost benefits derived from adopting Ready-mix Concrete in Nigeria. The Case study also revealed the effectiveness of Ready-mix concrete in minimizing the two lean construction wastes that were examined, namely; waste of overproduction and waste of waiting. It is recommended Just-in-Time technique should be extended to other construction materials aside from concrete to improve waste minimization through the adoption of an overall JIT policy for the construction process.

Lean is one of the systematic approach to achieve higher value for organizations through eliminate non-value-added activities. It is an integrated set of tools, techniques, and principles designed to optimize cost, quality and delivery while improving safety. In Vietnam, industry waste management and treatment has become serious issue. The aim of this research is to present the effective of Lean application for industrial wastes collecting and delivery improvement. Through a case study, this paper showed the way of Lean tools and principles applied for wastes management and treatment such as Value Stream Mapping, Pull system, Visual Control, and Andon.... to get benefit on both economic and environment. In addition, the results introduced a good experience for Vietnamese enterprises in cost saving and sustainable development in waste management.

Unmanned aerial vehicle (UAV), or drone is recognized for its potential to improve efficiency and address last-mile delivery issues. As a result, there has been a lot of activity in recent years in the field of drone scheduling and routing. Unlike the vehicle routing problem, drone route design is difficult due to several operational characteristics, such as speed optimization, multitrip operation, and energy consumption estimation. On the one hand, drone energy consumption is a complex nonlinear function of both speed and payload in practice. On the other hand, the high operating speed of drones can significantly curtail the drone range, thereby limiting the efficiency of drone delivery systems. Most of the existing drone delivery models either assume constant drone speed or do not consider the effect of drone speed and parcel weight on energy consumption, leading to costly or energy-infeasible routes. This paper addresses the trade-off between speed and flight range in a multi-trip drone routing problem with variable flight speeds (DRP-VFS), in which a team of homogeneous drones is employed for delivery services. We propose a new model to particularly consider energy constraints using a nonlinear energy consumption model and treat drone speeds as decision variables so that various drone speeds can be adopted in applications. The DRP-VFS is initially formulated as mixed-integer linear programming (MILP) to minimize total energy consumption. To solve large-scale instances, we propose a three-phase adaptive large neighborhood search (ALNS) algorithm. The experimental results demonstrate that suboptimal solutions can be found effectively in practical scenarios using the proposed method. Furthermore, results indicate that operating drones at variable speeds leads to about 21% of energy savings compared to fixed speeds, boasting advantages in cost-savings and range extensions.

We do this research to investigate the relationship between renewable energy, public health expenditure, logistics performance indices, and economic and environmental sustainability in the ASEAN member states, through the analysis of a panel data from 2007 to 2017. The study used secondary data, which is downloaded from the World Bank Website and employs SEM (Structural Equation Modelling) model for testing hypothesis. The results show that the usage of renewable energy in logistical operations would enhance the environmental and economic performance in terms of mitigating carbon emissions and greenhouse gas emissions. While, public health expenditure and environmental performance is negatively correlated, which confirms that greater environmental sustainability with lower carbon emissions and greenhouse gases will improve human health and economic growth. Moreover, greater public health expenditure and poor environmental performance has negative effect on economic growth, inefficiency and low productivity of labor slowdown to the economic activities. For another side, the usage of renewable energy and the adoption of green practices in international logistics will develop the environmental sustainability, establish better image of a country and attract foreign direct investment inflows, and also minimize carbon emissions and public health expenditure, spurring sustainable economic growth with better export opportunities in pro-environmental countries.

The Last Planner System (LPS) aims to enhance planning reliability by reducing variability in construction processes. While LPS applications have been explored in construction and detailed design, its application in architectural design remains underrepresented due to its abstract nature. This study addresses this gap by proposing an LPS framework tailored for architectural design, utilizing LPS metrics to assess planning reliability. Key issues hindering formal planning methods' implementation are identified, and relevant LPS principles are aligned with these challenges, culminating in a conceptual LPS model designed for architectural projects. Building upon the conceptual model, an implementation model is then developed and put into practice within an architectural design company in the United States, resulting in measured improvements in planning reliability and responsiveness. Additionally, it unveils hidden challenges associated with emerging tasks, guiding future design process enhancements. This study demonstrates how tracking design planning performance with LPS metrics can promote LPS adoption in architectural design, offering a benchmark for necessary interventions to achieve desired performance in architectural design.

Nowadays, consumers have growing expectations for healthier and higher-quality food, and sustainable food choices are also taking on an increasingly central role. This paper assesses the environmental loads and energy resources of vegan, semi-vegetarian, and traditional restaurant soups and main dishes, focusing on preparation and cooking phases based on the life cycle assessment. The optimal menu samples were selected based on statistical methods. Mann-Whitney and Krus-kal-Wallis tests were applied to investigate restaurant products' distribution and carbon footprint. Based on the results, the preparation phases have a more significant impact. The environmental loads for the life cycle of vegan and semi-vegetarian menus are lower. Furthermore, a sustainability assessment model was developed by integrating lean and life cycle assessment approaches called "GreenCycLEAN." Research results are helpful for the sustainability of catering establishments.

The main purpose of this research is to use “DMAIC” and “DMADV” framework of six sigma to reduce cost of projects, increase yields, improve performance and reduce defects. This study conclude that the sigma level of cement bag production in four production lines is “4.7 DPMO” values of 710 and the possibility of defects per unit of 11 possibilities this situation was handled by using six sigma. Any business or industry run only to satisfy customer and increase their profits, this can be attained as development of quality product..For the ranking of newly established universities the certification of those institutes is very important and also a critical process. For this process we used Lean six sigma approach that can identify the wastes that affect this process.Six sigma can be applied to any work field such as education, power optimization and other types of industries Six sigma “DMAIC” approach is also used for the testing of EDA tools that occurs due to the complex coding or configurations, flows and platforms they support. To improve the process quality of SDLC it’s necessary to remove the defects of system in advance along with thorough valuation of size and it also makes project accordant with real time environment

In response to growing industrial demands, necessitated by larger ships and increased cargo volumes, many port authorities worldwide are undertaking a significant expansion of their infrastructure to increase their capacity. Significant expansion raises challenges such as potential congestion and environmental concerns, especially for port located in urban area as the case study explored in this paper. To address these issues, the study employs a combination of scenario analysis developed in collaboration with the port authority and logistic system simulation. This approach assesses the capacity of existing access gates to handle the increased trucking traffic and optimizes the unloading process of construction trucks at a new terminal. Key findings suggest that while the current gate capacities are adequate, optimizing unloading times at the new terminal is critical to prevent road congestion in urban area before the gate and reduce negative impacts such as sound and atmospheric pollution. The study advocates for an appointment system during peak hours to manage traffic flow effectively and underscores the importance of collaboration between the city and port authorities in managing truck traffic to mitigate congestion on the city side. Nonetheless, the study recognizes certain constraints, including the incomplete evaluation of the influence of intermodal transport on truck traffic. Furthermore, the study emphasizes the need for future research to consider the correlation between vehicle numbers and service levels, aiming to effectively adjust the time in the system.

In recent years, many cities throughout the world are facing the impact of last-mile logistics and the resulting rise in urban traffic and pollution: effects on the environment have been curbed by these dynamics. Urban traffic has a considerable impact in terms of noise emissions, road safety and air pollution: hence, both public and private parties shall undertake innovative solutions for reducing the negative effects of last-mile logistics and improving their operational effectiveness. This study aims to provide a systematic literature review on environmentally sustainable last-mile logistics. The main contributions of this paper are as follows: (1) exploring and analysing the existing literature on last-mile logistics, with a focus on various types of sustainable measures implemented by companies, governments (mainly local) and supra-national institutions; (2) clustering existing studies into five categories (i.e., agents’ preference and choices, shared logistics, stakeholders, studies on vehicles, and policy and decisions) clarifying the implications of the public economics analysis; (3) identifying the gaps and limitations of the existing literature and proposing potential issues for future research insights. The review of the literature reveals that the majority of recent studies have been based on engineering and urban planning approaches. Costs and benefits of last-mile logistics are researched with a public economics focus, gathering details from the different papers, starting from the business studies to the technology-oriented ones. This study aims at detecting the different topics and policies discussed in the literature and suggests how to incorporate them in creating new measures and policies or revamping current ones. Although the initial corpus was 583, only 108 papers were ultimately chosen for the review, since public economics studies were not thoroughly explored: following the results of this work, the topic has significant scope for further study.

The novel coronavirus pneumonia epidemic is still raging around the world. Therefore, during the period of a global pandemic, maintaining the normal circulation of medicine and health fields is the key to fight against the epidemic. This paper based on relevant data such as the export volume of cross-border e-commerce in Hangzhou, China from 2015 to 2019, the article uses system dynamics modeling to explore the impact of overseas warehouse services on cross-border e-commerce export transactions. Studies have shown that the introduction of overseas warehouses has significantly improved customer satisfaction and improved the quality of cross-border logistics services, which has a positive impact on cross-border e-commerce export transactions. Through sensitivity analysis, it can be seen that under the same conditions, the efficiency of customs clearance has the greatest impact on overseas warehouse services. Therefore, when allocating various investments in overseas warehouses, you can favor the customs clearance process to enhance the competitiveness of the cross-border e-commerce market and provide a feasible experience for healthcare supplies export from cross-border e-commerce.

As e-commerce services and Internet technology have rapidly developed in recent years, many services and applications integrating these technologies can now be completed online. These commercial activities include online auctions, online ticketing and online payments. The client shops from the store online, andthe store delivers the goods to the client. The goods can be divided into digital products without entities, as well as actual entities. If it is a physical product, the store will deliver the package to the client through itslogistics. However, there have been many cases of switched goods purchased by clients in recent years. Earlier, some scholars proposed a security mechanism with a subliminal channel for E-cash and digital content. Only the sender and the receiver would know that the secret information was hidden in the signature. So the privacy of this subliminal message couldbe ensured. We apply this concept to the logistics environment to design secure logistics architecture with subliminal messages. The client can check the subliminal message of the received package, and know whether the package has been switched by malicious people. In addition, the proposed scheme also applies sensor technology;the client can check the GPS location, the temperature and humidity at any time during the delivery process. So intelligent logisticswouldthereby be achieved. This paper proposes an intelligent and secure package sensoring logistics system based on a subliminal channel. The proposed architecture uses the related mechanisms tosolve the problems of a logistics system, including how to achieve mutual authentication, data integrity, anti-switch package, package location and status tracing, resisting replay attacks, forward and backward secrecy, and non-repudiation issues.

The degree of collaboration among supply chain partners and the structure of the network are important determinants of the level of satisfaction customers derive from the products or services. However, the effects of these dimensions on customer satisfaction at the downstream section of the supply chain remain under-researched in Nigeria. This study precisely examined the effects of collaboration and supply chain design on customers’ satisfaction at the downstream end of the chain using Ekiti State as study area. The study employed descriptive survey design with the use of structured Likert scale questionnaire administered to 381 retailers of noodles in Ekiti State. The research hypotheses were analysed using simple linear regression as statistical technique with the aid of SPSS version 22.0. At the end of the study, it was observed that both collaboration and supply chain design were significant predictors of customers’ satisfaction of instant noodles in Ekiti State. However, collaboration among supply chain partners emerged as stronger determinant of customers’ satisfaction than supply chain design. The study concludes that these two practices of supply chain management are highly important criteria any manufacturing firm especially in the noodles industry must pay close attention to in order to satisfy her consumers.

Initial water content significantly affects the efficiency of soil stabilization. In this study, the effects of initial water content on the compressibility, strength, microstructure and composition of a lean clay soil stabilized by compound calcium-based stabilizer were investigated by static compaction test, unconfined compression test, optical microscope observations, environment scanning electron microscopy, energy dispersive X-ray spectroscopy and X-ray diffraction spectroscopy. The results indicate that as the initial water content increases in the range studied, both the compaction energy and the maximum compaction force decrease linearly and there are less soil aggregates or agglomerations, and smaller proportion of large pores in the compacted mixture structure. In addition, for specimens cured with or without external water supply and under different compaction degrees, the variation law of the unconfined compressive strength with initial water content is different and the highest strength value is obtained at various initial water contents. With the increase of initial water content, the percentage of oxygen element tends to increase in the reaction products of the calcium-based stabilizer, whereas the crystalline mineral of the soil did not change obviously.

Bioenergy with carbon capture and sequestration (BECCS) is one strategy to remove CO2 from the atmosphere. To assess the potential scale and cost of CO2 sequestration from BECCS in the US, this analysis models carbon efficiencies and costs of biomass production, delivery, power generation, and CO2 capture and sequestration in saline formations. The analysis includes two biomass supply scenarios (near-term and long-term), two biomass logistics scenarios (conventional and pelletized), two generation technologies (pulverized combustion and integrated gasification combined cycle), and three cost accounting scenarios (gross cost, net cost after electricity revenues, and net cost after electricity revenues with avoided emissions from conventional power generation). Results show cost Mg-1 CO2 as a function of CO2 sequestered (simulating capture up to 90% of total CO2 sequestration potential) and associated spatial distribution of resources and generation locations for the array of scenario options. Under a near-term scenario using 222 million Mg yr-1 of biomass, up to 196 million Mg CO2 can be sequestered at scenario-average costs ranging from $60 to $158 Mg 1 CO2; under a long-term scenario using 823 million Mg yr-1 of biomass, up to 727 million Mg CO2 yr 1 can be sequestered at scenario-average costs ranging from $32 to $242 Mg-1 CO2. These costs are largely influenced by cost accounting scenario, and the CO2 sequestration potential may be reduced if future competing demand reduces resource availability. Results suggest there are multiple feedstock-logistics-generation pathways toward CO2 drawdown that could be incrementally trialed and monitored for environmental sustainability effects. Interactive visualization of results is available at [final link to be determined].

The mathematical modelling of reverse logistics inventory systems ignores that returned items may arrive out of sequence, i.e. with different number of remanufacturing times. Moreover, such modelling assumes that the retuned items may retain the same quality upon recovery regardless of how many times they have been previously remanufactured. This paper develops a new mathematical expression of the percentage of retuned items that can be remanufactured a finite number of times. The proposed expression is modelled as a function of the expected number of times an item can be remanufactured on its life cycle and the number of times an item can be technologically (or optimally) remanufactured based on its quality upon recovery. The model developed in this paper considers joint production and remanufacturing options. The return rate is a varying demand dependent rate, which is a decision variable with demand, product deterioration, manufacturing and remanufacturing rates being arbitrary functions of time. The model considers the initial inventory of returned items in the mathematical formulation, which enables decision makers to adjust all functions and input parameters for subsequent cycles. Illustrative examples indicate that dependent purchasing price of recovery items and the incorporation of remanufacturing investment cost significantly impact on the optimal remanufacturing policy.

Cold chain logistics of Agricultural Products demand forecasting can provide the scientific basis for the country to formulate logistics strategy, which further promotes the development of social economy and the improvement of living standards in China. In this paper, a new mathematical combined model is proposed to Agricultural Products Demand. Shandong, one of a China’s province, serves as the main producer and distributor of agricultural products. Based on the index system created from multiple related factors influencing cold chain logistics demand of agricultural products in Shandong, this paper employs principal component analysis to reduce the dimension of various indexes and predicts principal components with time series. Thereafter, multiple linear regression model and neural network model were constructed to forecast the cold chain logistics demand of agricultural products in Shandong, and their combined forecast models were compared. What's more, the paper provides insight for reference and decision-making concerning the development of cold chain logistics industry of agricultural products in Shandong province.

Asians are known to more likely than Westerners develop fatty liver and lifestyle-related diseases despite their weight. However, the relationship between fat accumulation and lifestyle-related diseases in non-obese Asians is unknown. Therefore, this study aimed to analyze visceral fat and hepatic fat in participants with a normal body mass index (BMI) and examine their characteristics during a medical checkup. This cross-sectional study was conducted on 663 of 1,142 patients who underwent abdominal ultrasonography and who had an alcohol intake (converted to ethanol) of <30 g/day for males and <20 g/day for females and a BMI of <25 kg/m2 during a health checkup. Participants were classified into four groups: group A, visceral fat accumulation (VFA) (−) and fatty liver (FL) (−) (n = 549); group B, VFA (+) and FL(−) (n = 32); group C, VFA (−) and FL (+) (n = 58); and group D, VFA (+) and FL (+) (n = 24). The frequencies of lifestyle-related disease complications, liver function tests, and liver fibrosis were evaluated among the four groups. Compared with group A (control), groups B, C, and D had higher number of males; BMI; abdominal circumference, ALT, AST, γ-GTP, triglyceride, uric acid, fasting blood sugar levels; and incidence of hyperlipidemia. Groups C and D had higher ALT, HbA1c, cholinesterase, and triglyceride levels; FIB4 index; and number of patients with diabetes mellitus (DM) than groups A and B; however, there was no difference between groups A and B. FL is a risk factor of DM and liver fibrosis in non-obese Japanese individuals; however, VFA only is not a risk factor of DM and liver fibrosis.

The importance of the national security of supply has been emphasized in recent years due to the COVID-19 pandemic and changes in operating environments. Thanks to autonomy and resiliency in fuel procurement, organizations with decentralized energy plants may be able to quickly adapt to the changing needs of society. The main aim of this study was to increase the sustainability of a Finnish CHP plant's wood procurement by determining the company's profitable wood procurement region while keeping the forests renewable. The income received from the sale of energy and the costs incurred from the procurement of wood were collected from the ERP system as input data for the developed DSS. The environmental sustainability of wood procurement was assessed by considering the additional costs caused through the EEAP mechanism if the carbon sink of the forest worsened due to wood procurement in the area. The supply chains were compared so that the CHP plant managers could adopt the best energy wood value chains. The results showed that updating the procurement strategy would be necessary. The CHP plant managers should purchase energy wood from a larger procurement area than the current one and focus on roadside purchases of wood. The Techno-Economic Wood Payment Ability Model was a useful part of the DSS to guide wood buyers toward sustainable wood procurement by increasing the share of renewable forests.

: One of the challenges facing operations management is the design, choice and imple-mentation of action plans adapted to the magnitude of the deviations of the variables of an industrial process. Making conscious and quick decisions is crucial to achieving im-provements in productivity. This will be achieved if the organization's internal and external communication model is strategically designed, considering specific cultural factors and the symmetry or asymmetry required in the communication model. However, how do we organize ourselves and through what channels do we communicate within a production process to generate Big Data that combines data from technologies and the perception, comprehension and projection of experienced humans? Our purpose is to create an operations management model that facilitates the incorporation of technology, allows a prompt response to failures, and promotes the sustainability of processes, without losing sight of its alignment with the organizational strategy. The developed model was implemented in an operations management team, following the guidelines of an action researcher methodology. This resulted in the design of an operations management model and a detailed methodology for its implementation, achieving sig-nificant improvements in the metrics of the current process, making it a success story.

Experimental quantification of retention factors related to post-fire strength as well as post-fire ductility of intentionally selected stainless steel grades applied in construction is the objective of research presented here. These steel grades are characterized by a two-phase austenitic-ferritic microstructure of the duplex type. In this context two mutually corresponding chromium-nickel-molybdenum steel grades have been subjected to analysis, namely X2CrNiMoN22-5-3 steel belonging to the standard duplex group (DSS 22% Cr) and X2CrMnNiN21-5-1 steel belonging to the lean duplex group (LDSS). The similarities and differences in the mechanical properties exhibited by these steel grades after effective cooling, following more or less prolonged simulated fire action conforming to several development scenarios, have been identified and indicated. The resistance of given steel grade to permanent structural changes induced by the heating program proved to be the critical factor determining these properties and resulting in many cases in increased susceptibility to brittle fracture.

Lung transplantation offers patients with end stage lung disease an opportunity for a better quality of life, but with limited organ availability it is paramount that selected patients have the best opportunity for successful outcomes. Nutrition plays a central role in post-surgical outcomes and historically, body mass index (BMI) has been used as the de facto method of assessing a lung transplant candidate’s nutritional status. Here we review the historical origins of BMI in lung transplantation, summarize the current BMI literature, and review studies of alternative/complementary body composition assessment tools, including lean psoas area, creatinine-height index, leptin, and dual x-ray absorptometry. These body composition measures quantify lean body mass versus fat mass and may provide a more comprehensive analysis of a patient’s nutritional state than BMI alone.

Transportation tasks in nursing are common and shorten the time for direct patient care in times of nursing shortage and an aging society. There is a lack of research on transportation needs, with most studies focusing on overall nursing task analysis without a deeper analysis of transportation tasks. In July and September 2023, we conducted weekly observations of nurses to assess clinical transportation needs. We aim to understand the economic impact and the methods nurses use for transportation tasks. We conducted a participant observation using a standardized app-based form over a seven-day observation period in two rural clinics. N=1,830 transports were made by nurses and examined by descriptive analysis. Non-medical supplies account for 27.05 % (n=495) of all transports, followed by medical supplies at 17.32 % (n=317), pharmacotherapy at 14.10 % (n=258) and other other categories like meals or drinks contributing 12.68 % (n=232). Most transports had a factual transport time of under a minute, with patient transport and lab samples displaying more variability. In total, 77.15 % of all transports were made by hand. Requirements to collect items or connect transports with patient care were included in 5 % of all transports. Our economic evaluation spotlighted meals as the most costly transport, with 9,596.16€ p.a. in the observed clinics. Budget-friendly robots would amortize over one year by transporting meals. We support understanding nurses’ transportation needs via further research on assistive robots to validate our findings and determine the feasibility of transport robots.

NASA mission systems proposals are often compared using an equivalent system mass (ESM) framework wherein all elements of technology to deliver an effect- its components, operations and logistics of delivery- are converted to effective masses since this has a known cost scale in space operations. To date, ESM methods and the tools for system comparison have not considered complexities wherein systems that serve a mission span multiple transit and operations stages, such as would be required to support a crewed mission to Mars, and thus do not account for the different mass equivalency factors operational during each period and the inter-dependencies of the costs across the mission. Further, ESM does not account well for the differential reliabilities of the underlying technologies. Less reliability should incur an equivalent mass cost for technologies that might otherwise provide a mass advantage. We introduce an extensions to ESM to address these limitations and show that it provides a direct method for analyzing, optimizing and comparing different mission systems. We demonstrate our extended ESM (xESM) calculation with crop production technologies -- an aspect of the developing offworld biomanufacturing suite -- since it represents a case with strong coupling among stages of the mission and a relatively high-risk profile.

Integrating triple bottom line (TBL) goals into supply chains (SCs) is a challenging task which necessitates the careful coordination of numerous stakeholders’ individual interests. Recent technological advancements can impact TBL sustainability by changing the design, structure and management of modern SCs. Blockchain technology enables immutable data records and facilitates a shared data view along the supply chain. The Physical Internet (PI) is an overarching framework that can be applied to create a layered and comprehensive view of the SC. In this conceptual paper I define and combine these technologies and derive several high-level research areas and research questions to investigate adoption, management as well as structural SC issues. I suggest a theory-based research agenda for the years to come that exploits the strengths of rigorous academic research, while remaining relevant for the industry. Furthermore, I suggest various well-established theories to tackle the respective research questions and provide specific directions for future research.

‘Inner mitochondrial membrane peptidase 2 like’ (IMMP2L) is a nuclear encoded mitochondrial peptidase that has been conserved through evolutionary history as has its target enzyme ‘mitochondrial glycerol phosphate dehydrogenase 2’ (GPD2). IMMP2L is known to cleave the mitochondrial transit peptide from GPD2 and another nuclear encoded mitochondrial respiratory related protein cytochrome C1 (CYC1). However, it is not known whether IMMP2L peptidase activates or alters the activity or respiratory related functions of GPD2 or CYC1. Previous investigations found compelling evidence of behavioural change in the Immp2lKD-/- KO mouse and in this study EchoMRI analysis found that many organs of the Immp2lKD-/- KO mouse were smaller and that the KO mouse had significantly less lean mass and overall body weight compared with wildtype littermates (p&lt;0.05). Moreover, all of the organs analysed from the Immp2lKD-/- KO had lower relative levels of mitochondrial reactive oxygen species (mitoROS). The kidneys of the Immp2lKD-/- KO mouse displayed the greatest decrease in mitoROS levels that were over 50% less compared with wildtype litter mates. Mitochondrial respiration was also lower in the kidney of the Immp2lKD-/- KO mouse compared with other tissues when using succinate as the respiratory substrate, whereas respiration was similar to wildtype when glutamate was used as substrate. When glycerol-3-phosphate (G3P) was used as the substrate for Gpd2 we observed ~20% and ~7% respective decreases in respiration in female and male Immp2lKD-/- KO mice over time. Together these findings suggest that the respiratory related functions of mGpd2 and Cyc1 have been compromised to different degrees in different tissues in the Immp2lKD-/- KO mouse. Structural analyses using AlphaFold2-Multimer further predicted that the interaction between Cyc1 and mitochondrial encoded cytochrome b (Cyb) in Complex III had been altered as had the homodimeric structure of the mGpd2 enzyme within the inner mitochondrial membrane of the Immp2lKD-/- KO mouse. mGpd2 functions as an integral component of the glycerol phosphate shuttle (GPS) which positively regulates both mitochondrial respiration and glycolysis. Interestingly, we found that nonmitochondrial respiration (NMR) was also dramatically lowered in the Immp2lKD-/- KO mouse. Primary mouse embryonic fibroblast (MEF) cell lines derived from the Immp2lKD-/- KO mouse displayed a ~27% decrease in total respiration comprised of a ~50% decrease in NMR and a ~12% decrease in total mitochondrial respiration where the latter was consistent with the decreases in substrate specific mitochondrial respiration reported here. This study is the first to report the role of Immp2l in enhancing Gpd2 structure and function, mitochondrial respiration, nonmitochondrial respiration, organ size and homeostasis.

Background: Obesity among pregnant women is common, and their offspring are predisposed to obesity, insulin resistance, and diabetes. Circulating metabolites that are related to insulin resistance and are associated with this decreased tissue-specific uptake are unknown. Here, we assessed metabolite profiles in elderly women and who were either female offspring from obese mothers (OOM) or offspring of lean mothers (OLM). Metabolic changes were tested for associations with metrics for insulin resistance. Methods: 37 elderly women were separated into an elderly offspring from obese mothers (OOM; n = 17) and elderly offspring from lean/normal weight mothers (OLM; n = 20) groups. We measured plasma metabolites using 1H-NMR and also insulin-dependent tissue specific glucose uptake in skeletal muscle were assessed. Associations were made between metabolites and glucose uptake. Results: Compared to the OLM group, we found that the 22:6 docosahexaenoic acid percentage of the total long chain n-3 fatty acids (DHA/FA) was significantly lower in OOM (P = 0.015). DHA/FA associated significantly to skeletal muscle GU (P = 0.031) and M-value in the OLM group only (P = 0.050). Conclusions: DHA/FA is associated with insulin-dependent skeletal muscle glucose uptake and that this association is significantly weakened in the offspring of obese mothers.

Carbon footprint mitigation actions have become a key issue for companies involved in urban freight transport. The electrification of the delivery fleets is one of the crucial sustainable actions carried out. To this end, it is necessary to explore several fleet renewal strategies over a finite planning horizon evaluating different types of electric powertrains for light commercial vehicles. The primary goal of this purpose-built analysis is to assist and boost the fleet managers' decisions when transitioning to alternative-fuelled vans, intending to maximize cost savings and reduce greenhouse gas emissions inventory. The model presented in this work is a Multi-Objective Linear Programming hybrid analysis taking into account the vehicle and energy supply infrastructure costs and the emissions reported in each inventory scope following the Greenhouse Gas Protocol sustainability guidelines. From this perspective, the conducted research offers a novel approximation to fleet management problems enabling a break-down cost analysis and an evaluation of the annual emissions company report. The comprehensive numerical simulations carried out over different study scenarios in Spain demonstrate that the optimization approach does not only show effective fleet renewal strategies but also identifies critical factors that impact the fleet's competitiveness, offering valuable insights for fleet managers and policymakers to meet carbon footprint reductions in a cost-effectively way.

The burgeoning field of Urban Air Mobility (UAM) promises transformative solutions to urban transportation challenges, with the potential to revolutionize cargo logistics in metropolitan areas. This research investigates the role of tiltrotor technology as a pivotal enabler of seamless UAM integration for efficient cargo transportation within urban environments. The study delves into the existing challenges within UAM, such as infrastructure limitations and the need for adaptable aerial vehicles that can navigate confined spaces while maintaining payload capacity. Tiltrotor Unmanned Aerial Vehicles (UAVs) are examined as a solution to these challenges due to their unique capabilities, combining vertical takeoff and landing (VTOL) with efficient forward flight. This research evaluates the potential of tiltrotor UAVs for urban cargo transportation, focusing on their operational efficiency, safety, and economic viability. Furthermore, the study explores the potential impact of tiltrotor technology on urban cargo logistics, considering factors such as reduced congestion, shorter delivery times, and environmentally sustainable operations. Real-world case studies and practical implementation strategies are discussed, shedding light on the importance of integration of tiltrotor UAVs into existing cargo transportation networks.The findings of this research underscore the transformative potential of tiltrotor technology in enhancing UAM for cargo transportation within urban areas. The study contributes valuable insights to the ongoing discourse on UAM integration and lays the groundwork for future developments in autonomous aerial cargo delivery systems.

: E-commerce sales surge represents a huge challenge for urban freight transport. Parcel lockers constitute a valid solution for addressing the challenges home deliveries imply. In fact, eliminating courier-consumer contact (also relevant for health-related issues, as made evident by COVID19 pandemic) and delivering in few predefined places might help coping with missed deliveries substantially. Furthermore, this option enables consolidated shipping and reducing delivery trip costs. This paper analyses and compares consumers’ preferences for alternative collection strategies. It investigates home delivery vs parcel locker use and forecasts their future market shares. This is performed based on both customers’ socio-economic variables and attributes characterising these alternative logistic fulfilment strategies. The case study considered rests upon a stated preference survey deployed in the city of Rome. The investigation specifically targets young people (i.e., population under 30 years) since they represent early adopters. Discrete choice models allow both quantifying the monetary value of parcel lockers attributes (i.e., willingness to pay measures) and estimating the potential demand for this innovative delivery scheme. Results show that distance and accessibility are the main choice determinants. Furthermore, there is an overall high propensity to adopt parcel lockers. This research can support policymakers when implementing such solutions.

Goals: To use visual logistics for interpreting COVID-19 molecular and rapid antigen test (RAgT) performance, determine prevalence boundaries where risk exceeds expectations, and evaluate benefits of recursive testing along home, community, and emergency spatial care paths. Methods: Mathematica/open access software helped graph relationships, compare performance patterns, and perform recursive computations. Results: Tiered sensitivity/specificity comprise: T1) 90%/95%; T2) 95%/97.5%; and T3) 100%/≥99%, respectively. In emergency medicine, median RAgT performance peaks at 13.2% prevalence, then falls below T1, generating risky prevalence boundaries. RAgTs in pediatric ERs/EDs parallel this pattern with asymptomatic worse than symptomatic performance. In communities, RAgTs display large uncertainty with median prevalence boundary of 14.8% for 1/20 missed diagnoses, and at prevalence >33.3-36.9% risk 10% false omissions for symptomatic subjects. Recursive testing improves home RAgT performance. Home molecular tests elevate performance above T1, but lack adequate validation. Conclusions: Widespread RAgT availability encourages self-testing. Asymptomatic RAgT and PCR-based saliva testing present the highest chance of missed diagnoses. Home testing twice, once just before mingling, and molecular-based self-testing help avoid false omissions. Community and ER/ED RAgTs can identify contagiousness in low prevalence (<22%). Real-world trials of performance, cost-effectiveness, and public health impact could identify home molecular diagnostics as the optimal diagnostic portal.

Urban areas are centres of business and innovation. Freight transport is indispensable for the proper functioning of any modern urban society. Urban areas can’t function without an appropriate freight transport system, due to the need to replenish stocks of food and other goods in retail shops. The complexity of the decisions concerning implementation of measures to improve the movement of goods in the city requires tools designed to support this process. The purpose of this article is to introduce the possibility of applying the Analytic Hierarchy Process (AHP) as well as the Decision Making Trial and Evaluation Laboratory Method (DEMATEL) in choosing a set of measures and in analysing in the field of distribution logistics, which will help to solve the delivery problems and streamline the cargo flows in Szczecin, in the context of sustainable development.