Distributed coordination of emergency medical service for angioplasty patients

In this paper we study the coordination of Emergency Medical Service (EMS) for patients with acute myocardial infarction with ST-segment elevation (STEMI). This is a health problem with high associated mortality. A “golden standard” treatment for STEMI is angioplasty, which requires a catheterization lab and a highly qualified cardiology team. It should be performed as soon as possible since the delay to treatment worsens the patient’s prognosis. The decrease of the delay is achieved by coordination of EMS, which is especially important in the case of multiple simultaneous patients. Nowadays, this process is based on the First-Come-First-Served (FCFS) principle and it heavily depends on human control and phone communication with high proneness to human error and delays. The objective is, therefore, to automate the EMS coordination while minimizing the time from symptom onset to reperfusion and thus to lower the mortality and morbidity resulting from this disease. In this paper, we present a multi-agent decision-support system for the distributed coordination of EMS focusing on urgent out-of-hospital STEMI patients awaiting angioplasty. The system is also applicable to emergency patients of any pathology needing pre-hospital acute medical care and urgent hospital treatment. The assignment of patients to ambulances and angioplasty-enabled hospitals with cardiology teams is performed via a three-level optimization model. At each level, we find a globally efficient solution by a modification of the distributed relaxation method for the assignment problem called the auction algorithm. The efficiency of the proposed model is demonstrated by simulation experiments.     

Identification and Optimization of the First Highly Selective GLUT1 Inhibitor BAY‐876

Despite the long‐known fact that the facilitative glucose transporter GLUT1 is one of the key players safeguarding the increase in glucose consumption of many tumor entities even under conditions of normal oxygen supply (known as the Warburg effect), only few endeavors have been undertaken to find a GLUT1‐selective small‐molecule inhibitor. Because other transporters of the GLUT1 family are involved in crucial processes, these transporters should not be addressed by such an inhibitor. A high‐throughput screen against a library of ～3 million compounds was performed to find a small molecule with this challenging potency and selectivity profile. The N‐(1H‐pyrazol‐4‐yl)quinoline‐4‐carboxamides were identified as an excellent starting point for further compound optimization. After extensive structure–activity relationship explorations, single‐digit nanomolar inhibitors with a selectivity factor of >100 against GLUT2, GLUT3, and GLUT4 were obtained. The most promising compound, BAY‐876 [N⁴‐[1‐(4‐cyanobenzyl)‐5‐methyl‐3‐(trifluoromethyl)‐1H‐pyrazol‐4‐yl]‐7‐fluoroquinoline‐2,4‐dicarboxamide], showed good metabolic stability in vitro and high oral bioavailability in vivo.     

Design and analysis of an aging‐aware energy management system for islanded grids using mixed‐integer quadratic programming

The rapid increase of renewable energy sources made coordinated control of the distributed and intermittent generation units a more demanded task. Matching demand and supply is particularly challenging in islanded microgrids. In this study, we have demonstrated a mixed‐integer quadratic programming (MIQP) method to achieve efficient use of sources within an islanded microgrid. A unique objective function involving fuel consumption of diesel generator, degradation in a lithium‐ion battery energy storage system, carbon emissions, load shifting, and curtailment of the renewable sources is constructed, and an optimal operating point is pursued using the MIQP approach. A systematic and extensive methodology for building the objective function is given in a sequential and explicit manner with an emphasis on a novel model‐based battery aging formulation. Performance of the designed system and a sensitivity analysis of resulting battery dispatch, diesel generator usage, and storage aging against a range of optimization parameters are presented by considering real‐world specifications of the Semakau Island, an island in the vicinity of Singapore.     

System-specific static code analyses: a case study in the complex embedded systems domain

In this paper, we are exploring the approach to utilize system-specific static analyses of code with the goal to improve software quality for specific software systems. Specialized analyses, tailored for a particular system, make it possible to take advantage of system/domain knowledge that is not available to more generic analyses. Furthermore, analyses can be selected and/or developed in order to best meet the challenges and specific issues of the system at hand. As a result, such analyses can be used as a complement to more generic code analysis tools because they are likely to have a better impact on (business) concerns such as improving certain software quality attributes and reducing certain classes of failures. We present a case study of a large, industrial embedded system, giving examples of what kinds of analyses could be realized and demonstrate the feasibility of implementing such analyses. We synthesize lessons learned based on our case study and provide recommendations on how to realize system-specific analyses and how to get them adopted by industry.     

Thermodynamic and Experimental Investigations of High-Temperature Refractory Corrosion by Molten Slags

Corrosion mechanisms between MgO refractory substrates and FeNi slags were investigated. The FeNi slags taken into consideration represent a simple synthetically mixed slag with specific oxides and a real slag from a ferroalloy producer. The MgO refractory substrates with the specimens of FeNi slag were heated in a hot-stage microscope at 10 K/min from room temperature to three different temperatures 1573 K, 1723 K, and 1923 K (1300 °C, 1450 °C, and 1650 °C). The experiments were carried out under a controlled gas atmosphere that simulates the relevant process conditions. The corrosion mechanisms of each system were followed by scanning electron microscope analyses. The results obtained showed that slag corrosion dominates, with a pronounced partial dissolution of refractory fines forming Mg-silicates of type forsterite. It was also observed that iron oxide present in the slag diffused into the coarse refractory grains forming magnesiowustite. Finally, the results obtained were compared with those predicted by FACTSAGE software to understand the corrosion mechanisms and draw implications for improving the refractory performance and lifetime.     

Archaeological Arsenical Bronzes and Equilibrium in the As-Cu System

Metallurgical and Materials Transactions B - Understanding the effects of impurities, segregation, undercooling, and solidification velocity is necessary to reconstruct prehistoric As-Cu alloy...     

Selecting creep models using Bayesian methods

The development of creep prediction models has been a field of extensive research and many different models have already been proposed. This paper presents an evaluation method of the prediction quality of creep models for specific experimental data. Within the scope of this paper, the model according to Bockhold and the model according to Heidolf are examined. First, the parameters of the models are identified with respect to existing experimental data. This is done using a sampling based approach of Bayesian updating developed by Ba?ant and Chern. In extension to the method by Ba?ant and Chern, the uncertainty coming from inaccurate measurement data is taken into account in the definition of the likelihood function within the updating algorithm. The more inaccurate the measurements are, the more uncertain the estimated model parameters and model prognoses become. The identification is performed for different short- and long-term creep tests. The intension is not to validate these models intensively, but to evaluate their prognoses for the individually tested creep behavior. The results show that the identifiability of the models?? parameters is different for both models and consequently the models prognoses differ in their uncertainties. Second, the models are evaluated using two different strategies: the stochastic model selection according to MacKay, Beck and Yuen based on the Ockham factor, and a comparison of the uncertainties taking into account parameter and model uncertainties. The results of the evaluation of the creep models differ for various experimental tests. Model Heidolf is more flexible and gives a better fit to the data, however, it fails to predict reliable long-term creep deformations using only short-term measurements compared to model Bockhold. Comparing the evaluation methods, the analysis of uncertainties of the creep prognosis proofs to be more stable than the evaluation using the stochastic model selection.