The proliferation of the e-commerce market has posed challenges to staff safety, product quality, and operational efficiency, especially for cold chain logistics (CCL). Recently, the logistics of vaccine supply under the worldwide COVID-19 pandemic rearouses public attention and calls for innovative solutions to tackle the challenges remaining in CCL. Accordingly, this study proposes a cyber-physical platform framework applying the Internet of Everything (IoE) and Digital Twin (DT) technologies to promote information integration and provide smart services for different stakeholders in the CCL. In the platform, reams of data are generated, gathered, and leveraged to interconnect and digitalize physical things, people, and processes in cyberspace, paving the way for digital servitization. Deep learning techniques are used for accident identification and indoor localization based on Bluetooth Low Energy (BLE) to actualize real-time staff safety supervision in the cold warehouse. Both algorithms are designed to take advantage of the IoE infrastructure to achieve online self-adapting in response to surrounding evolutions. Besides, with the help of mobile and desktop applications, paperless operation for shipment, remote temperature and humidity (T&H) monitoring, anomaly detection and warning, and customer interaction are enabled. Thus, information traceability and visibility are highly fortified in this way. Finally, a real-life case study is conducted in a pharmaceutical distribution center to demonstrate the feasibility and practicality of the proposed platform and methods. The dedicated hardware and software are developed and deployed on site. As a result, the effectiveness of staff safety management, operational informatization, product quality assurance, and stakeholder loyalty maintenance shows a noticeable improvement. The insights and lessons harvested in this study may spark new ideas for researchers and inspire practitioners to meet similar needs in the industry.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9932793 | PMC |
http://dx.doi.org/10.1016/j.jii.2023.100443 | DOI Listing |
Preclinical Alzheimer's prevention trials require a multi-year commitment from diverse, cognitively unimpaired individuals willing to receive biomarker results of confirmed Alzheimer's pathology and possible ApoE4 status. Participants learn new terms such as ARIA, edema and microhemorrhage and undergo numerous MRI scans for safety monitoring. They take quarterly composite Alzheimer's assessments that are anxiety-provoking and highlight weaknesses which may have been unrecognized in daily life.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
University of New South Wales, Sydney, NSW, Australia.
Background: Behaviour support plans (BSPs) for people in residential aged care (RAC) were mandated nationally in 2019 for those who require, or may require, restrictive practices as part of their care. The legislation aims to reduce and potentially eliminate restrictive practices: long-standing problems of their inappropriate use were highlighted by the Royal Commission into Aged Care Quality and Safety (2018). Many people living with dementia will be impacted: up to 90% experience changed behaviours; 54% of people in RACs have dementia; and approximately 20% experience cognitive decline without a diagnosis.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
NYU Langone Health, New York, NY, USA; James J. Peter's VA Medical Center, Bronx, NY, USA.
Older adults use the emergency department (ED) as an important source of acute medical care, making 20+ million visits annually. Persons living with dementia are twice as likely to use the ED and 1.5 times more likely to have an avoidable visit.
View Article and Find Full Text PDFCrit Care Resusc
December 2024
Department of Intensive Care, The Royal Melbourne Hospital, Melbourne, Australia.
Background: Patients in the intensive care unit (ICU) frequently develop hyperactive delirium, which may be accompanied by behaviour that increases clinical risks to themselves as well as other patients and staff. There is a paucity of evidence to inform the urgent enteral administration of antipsychotic drugs to treat such hyperactive delirium and behavioural disturbances.
Objective: The aim of this study is to test the efficacy and safety of administering enteral olanzapine when compared to quetiapine in critically ill patients with hyperactive delirium.
Can Commun Dis Rep
January 2025
Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Ottawa, ON.
Background: Antimicrobial resistance (AMR) is associated with significant human and financial costs, particularly among vulnerable populations like older adults living in long-term care homes (LTCHs). Urinary tract infection (UTI) is the leading indication for antibiotic use in this population, with some estimates suggesting that up to 70% of these prescriptions may be avoidable.
Objective: The purpose of this study is to develop and test novel behavioural science-informed antimicrobial stewardship (AMS) quality improvement strategies in Canadian LTCHs, which aim to decrease unnecessary testing and treatment for residents who lack the minimum clinical signs and symptoms of UTI.
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