Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Май 22, 2024
Background
The
hospital
supply
chain
has
revealed
increasing
vulnerabilities
and
disruptions
in
the
wake
of
COVID-19
pandemic,
threatening
healthcare
services
patient
safety.
resilience
chains
emerged
as
a
paramount
concern
within
system.
However,
there
is
lack
systematic
research
to
develop
an
instrument
tailored
industry
that
both
valid
reliable
for
measuring
resilience.
Therefore,
this
study
aims
construct
validate
comprehensive
scale
assessing
resilience,
based
on
dynamic
capability
theory.
Methods
This
followed
rigorous
development
steps,
starting
with
literature
review
15
semi-structured
interviews
generate
initial
items.
These
items
were
then
refined
through
expert
panel
feedback
three
rounds
Delphi
studies.
Using
data
from
387
hospitals
Province
S,
mainland
China,
underwent
testing
validation
using
structural
equation
modeling.
To
ensure
most
effective
model,
five
alternative
models
examined
determine
suitable
parsimonious
model.
Results
produced
26-item
captures
dimensions
line
theory:
anticipation,
adaptation,
response,
recovery,
learning,
all
showing
satisfactory
consistency,
reliability
validity.
Conclusion
multi-dimensional
offers
managers
valuable
tool
identify
areas
needing
attention
improvement,
benchmark
against
their
counterparts,
ultimately
strengthen
unexpected
risks.
IEEE Transactions on Nanotechnology,
Год журнала:
2024,
Номер
23, С. 293 - 298
Опубликована: Янв. 1, 2024
Associative
memory
(AM)
is
a
subcategory
of
neural
networks
(NNs)
inspired
by
human
memory.
Over
time,
the
need
to
process
complex
tasks
has
increased,
leading
development
intelligent
processors.
Most
NN
circuits
have
been
implemented
using
complementary
metal-oxide-semiconductor
(CMOS)
technologies.
However,
some
adverse
effects
become
more
apparent
with
scaling
transistors.
Several
emerging
technologies,
such
as
magnetic
tunnel
junctions
(MTJ)
and
carbon
nanotube
field-effect
transistors
(CNTFET),
introduced
address
these
issues.
This
paper
proposes
novel,
robust
AM
design
based
on
CNTFETs
MTJs.
The
use
MTJs
in
proposed
motivated
their
reliable
reconfigurability
nonvolatility.
Moreover,
overcome
limitations
conventional
CMOS
technology.
main
goal
method
increase
voltage
swing
synapse
output,
reducing
impact
variations
increasing
accuracy.
Simulation
results
indicate
that
offers
up
50%
fewer
recall
attempts
at
least
15%
9%
lower
average
static
energy
consumption
than
state-of-the-art
counterparts.
Supply Chain Analytics,
Год журнала:
2023,
Номер
3, С. 100022 - 100022
Опубликована: Июнь 16, 2023
Mass
vaccination
programs
should
employ
effective
strategies
to
design
a
resilient
vaccine
supply
chain
for
immunizing
populations
quickly
and
efficiently.
The
need
more
flexible
responsive
is
highlighted
during
the
pandemic,
where
authorities
are
required
effectively
execute
distribution.
Our
study
proposes
scientifically
driven
approach
identify
suitable
distribution,
enhancing
effectiveness
of
mass
vaccination.
We
propose
two-stage
identifying
best
strategy
that
supports
faster
rollouts,
reducing
infections
deaths
pandemic.
optimize
distribution
network
under
both
using
Mixed
Integer
Programming
(MIP)
four
disruption
scenarios
in
first
stage.
Second,
we
have
used
systems
dynamics
simulation
Susceptible-Exposed-Infectious-Recovered
(SEIR)
model
pandemics
impact
In
all
scenarios,
Lean
less
costly,
Agile
reduces
lead
time
rollout.
show
achieving
cost-saving
or
lead-time
saving
either
becomes
increasingly
difficult
when
severity
disruptions
at
storage
increases.
suggests
novel
methodology
determines
most
which
minimizes
several
scenarios.
decision-makers
can
appropriate
delivery
densely
populated
developing
regions,
proposed
framework
compares
strategies'
on
design.
IEEE Access,
Год журнала:
2024,
Номер
12, С. 107984 - 107999
Опубликована: Янв. 1, 2024
The
significance
of
resiliency,
reliability,
and
equity
in
the
pharmaceutical
supply
chain
is
often
overlooked
but
becomes
evident
wake
disastrous
events.
Disruptive
incidents
underscore
critical
importance
these
concepts,
necessitating
development
innovative
frameworks
to
effectively
address
challenges
that
emerge
their
aftermath.
This
paper
introduces
a
framework
specifically
designed
issues
arising
from
disruptions
within
chain.
A
novel
mixed-integer
nonlinear
programming
(MINLP)
model
proposed
formulate
encompasses
distribution
both
cold
non-cold
pharmaceuticals
vaccines.
abundance
diverse
vaccines,
each
with
its
distinct
characteristics,
presents
formidable
planning
obstacle.
noteworthy
contribution
this
study
lies
innovatively
applying
AI-driven
methodologies
chain,
employing
five
pioneering
unsupervised
learning
algorithms
for
improved
inventory
management
control.
model's
uncertainty
addressed
through
an
joint
chance
constraint
(JCC)
formulation.
By
JCC,
ensures
high
level
reliability
satisfying
uncertain
patient
demands.
MINLP
formulation
JCCs
significant
computational
complexities
intractability.
To
alleviate
issues,
state-of-the-art
reformulation
are
provided
transform
into
equivalent
linear
form.
results
indicate
efficiency
techniques
illustrate
capabilities
concerns.
Modelling—International Open Access Journal of Modelling in Engineering Science,
Год журнала:
2024,
Номер
5(4), С. 2001 - 2039
Опубликована: Дек. 12, 2024
Efficient
management
of
hospital
evacuations
and
pharmaceutical
supply
chains
is
a
critical
challenge
in
modern
healthcare,
particularly
during
emergencies.
This
study
addresses
these
challenges
by
proposing
novel
bi-objective
optimization
framework.
The
model
integrates
Mixed-Integer
Linear
Programming
(MILP)
approach
with
advanced
machine
learning
techniques
to
simultaneously
minimize
total
costs
maximize
patient
satisfaction.
A
key
contribution
the
incorporation
Gated
Recurrent
Unit
(GRU)
neural
network
for
accurate
drug
demand
forecasting,
enabling
dynamic
resource
allocation
crisis
scenarios.
also
accounts
two
distinct
destinations—receiving
hospitals
temporary
care
centers
(TCCs)—and
includes
specialized
chain
prevent
medicine
shortages.
To
enhance
system
robustness,
probabilistic
patterns
disruption
risks
are
considered,
ensuring
reliability.
solution
methodology
combines
Grasshopper
Optimization
Algorithm
(GOA)
ɛ-constraint
method,
efficiently
addressing
multi-objective
nature
problem.
Results
demonstrate
significant
improvements
cost
reduction,
allocation,
service
levels,
highlighting
model’s
practical
applicability
real-world
research
provides
valuable
insights
optimizing
healthcare
logistics
events,
contributing
both
operational
efficiency
welfare.
Vaccines,
Год журнала:
2023,
Номер
12(1), С. 24 - 24
Опубликована: Дек. 25, 2023
Health
emergencies
caused
by
epidemic-prone
pathogens
(EPPs)
have
increased
exponentially
in
recent
decades.
Although
vaccines
proven
beneficial,
they
are
unavailable
for
many
pathogens.
Furthermore,
achieving
timely
and
equitable
access
to
against
EPPs
is
not
trivial.
It
requires
decision-makers
capture
numerous
interrelated
factors
across
temporal
spatial
scales,
with
significant
uncertainties,
variability,
delays,
feedback
loops
that
give
rise
dynamic
unexpected
behavior.
Therefore,
despite
progress
filling
R&D
gaps,
the
path
licensure
long-term
viability
of
continues
be
unclear.
This
paper
presents
a
quantitative
system
dynamics
modeling
framework
evaluate
sustainability
vaccine
supply
under
different
vaccination
strategies.
Data
from
both
literature
50
expert
interviews
used
model
demand
prototypical
Ebolavirus
Zaire
(EBOV)
vaccine.
Specifically,
case
study
evaluates
associated
proactive
ahead
an
outbreak
similar
magnitude
as
2018–2020
epidemic
North
Kivu,
Democratic
Republic
Congo.
The
scenarios
presented
demonstrate
how
uncertainties
(e.g.,
duration
vaccine-induced
protection)
design
criteria
priority
geographies
groups,
target
coverage,
frequency
boosters)
lead
important
tradeoffs
policy
aims,
public
health
outcomes,
feasibility
technical,
operational,
financial).
With
sufficient
context
data,
provides
foundation
apply
broad
range
additional
ability
identify
leverage
points
preparedness
offers
directions
further
research.
Canadian Journal of Civil Engineering,
Год журнала:
2024,
Номер
51(6), С. 616 - 639
Опубликована: Фев. 5, 2024
This
research
examines
the
spatial
and
temporal
shift
in
collision
hotspots
caused
by
COVID-19
pandemic,
considering
different
severities.
The
Getis-Ord
statistic
was
utilized
to
create
models
generate
map
outputs
for
2019
2020.
Two
distinct
approaches
were
employed:
using
a
census
tract
shapefile
(provided)
creating
fishnet
polygons
measuring
500
m
m.
Results
showed
fewer
outside
Edmonton's
central
core,
while
fatal
collisions
concentrated
close
core.
intriguing
finding
suggests
that
restrictions
led
more
aggressive
driving
behaviour
near
centre,
contributing
rise
numbers.
study
found
significant
reduction
traffic
April
2020,
with
58%
decrease
compared
previous
year.
highlights
pandemic's
impact
on
road
safety,
emphasizing
importance
of
reducing
volume
advocating
control
strategies,
multi-modal
planning,
efficient
pricing
strategies
within
Vision
Zero
improved
safety.