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This work focuses on a particular node of the intermodal chain of transportation, i.e. the maritime port area that represents the link between rail and sea transportation modes. Since this exchange node of the chain has not been addressed much yet, the aim of the present study is to provide a description of the process of rail operations in port area, to give an overview of the optimization challenges and to review the existing literature on it. The purpose of the paper is to attract the researchers attention on this particular intermodal node, where there is room for improvements.

Dense facial landmark detection is one of the key elements of face processing pipeline. It is used in virtual face reenactment, emotion recognition, driver status tracking, etc. Early approaches were suitable for facial landmark detection in controlled environments only, which is clearly insufficient. Neural networks have shown an astonishing qualitative improvement for in-the-wild face landmark detection problem, and are now being studied by many researchers in the field. Numerous bright ideas are proposed, often complimentary to each other. However, exploration of the whole volume of novel approaches is quite challenging. Therefore, we present this survey, where we summarize state-of-the-art algorithms into categories, provide a comparison of recently introduced in-the-wild datasets (e.g., 300W, AFLW, COFW, WFLW) that contain images with large pose, face occlusion, taken in unconstrained conditions. In addition to quality, applications require fast inference, and preferably on mobile devices. Hence, we include information about algorithm inference speed both on desktop and mobile hardware, which is rarely studied. Importantly, we highlight problems of algorithms, their applications, vulnerabilities, and briefly touch on established methods. We hope that the reader will find many novel ideas, will see how the algorithms are used in applications, which will enable further research., La detección de puntos de referenda faciales densos es uno de los elementos clave del proceso de procesamiento de rostros. Se utiliza en la anünación de rostros virtuales, el reconocüniento de emociones, el seguimiento del estado del conductor, etc. Los prüneros enfoques eran adecuados para la detección de puntos de referencia faciales solo en entornos controlados, lo que claramente es insuficiente. Las redes neuronales han mostrado una asombrosa mejora cualitativa para el problema de detección de puntos de referencia faciales en condiciones del mundo real, y ahora están siendo estudiadas por muchos investigadores en el campo. Se proponen numerosas ideas brillantes, a menudo complementarias. Sin embargo, la exploración de todo el volumen de enfoques novedosos es bastante desafiante. Por lo tanto, presentamos esta encuesta, donde resumimos los algoritmos de última generación en categorías, brindamos una comparación de los conjuntos de datos introducidos recientemente (por ejemplo, 300W, AFLW, COFW, WFLW) que contienen imágenes con pose grande, oclusión facial, tomadas en condiciones sin restricciones. Además de calidad, las aplicaciones requieren una inferencia rápida y preferentemente en dispositivos móviles. Por lo tanto, incluimos información sobre la velocidad de inferencia de algoritmos tanto en hardware de escritorio como móvil, que rara vez se estudia. Es importante destacar que destacamos los problemas de los algoritmos, sus aplicaciones, vulnerabilidades y mencionamos brevemente los métodos establecidos. Esperamos que el lector encuentre muchas ideas novedosas, vea cómo se utilizan los algoritmos en las aplicaciones, lo que permitirá futuras investigaciones., Facultad de Informática

Purpose The purposes of the study are to outline the complexity of diagnosing internal herniation after Roux-en-Y gastric bypass (RYGB) surgery and to investigate the added value of computed tomography angiography (CTA) for diagnosing internal herniation. Materials and Methods A cadaver study was performed to investigate the manifestations of internal hernias and mesenteric vascularization. Furthermore, a prospective, ethics approved study with retrospective interpretation was conducted. Ten patients, clinically suspected for internal herniation, were prospectively included. After informed consent was obtained, these subjects underwent abdominal CT examination, including additional arterial phase CTA. All subjects underwent diagnostic laparoscopy for suspected internal herniation. The CTA was used to create a 3D reconstruction of the mesenteric arteries and surgical staples (3D CTA). The 3D CTA was interpreted, taking into account the presence and type of internal hernia that was found upon laparoscopy. Results Cadaveric analysis demonstrated the complexity of internal herniation. It also confirmed the expected changes in vascular structure and surgical staple arrangement in the presence of internal herniation. 3D CTA studies of the subjects with active internal hernias demonstrated remarkable differences when compared to control 3D CTA studies. The blood supply of herniated intestinal limbs in particular showed abnormal trajectories. Additionally, enteroenterostomy staple lines had migrated or altered orientation. Conclusion 3D CTA is a promising technique for diagnosing active internal hernias. Our findings suggest that for diagnosing internal hernias, focus should probably shift from routine abdominal CT examination towards the 3D assessment of the mesenteric vasculature and surgical staples. Electronic supplementary material The online version of this article (10.1007/s11695-018-3121-3) contains supplementary material, which is available to authorized users.

Healthcare professionals are confronted with specific work-related demands that influence work-family relations and might indirectly affect the quality of healthcare. This paper seeks to provide an overview of the current state of research on this topic of relevance to health services research. The overview may serve as a starting point for modifying structures in the healthcare system (especially in rural regions) with the aim of improving work-family compatibility.A systematic national and international literature search was conducted in terms of a scoping review. The following criteria/contents to be covered in publications were defined: work-family compatibility; work-family interface and work-family conflict in employees working in healthcare; healthcare professions in rural areas and links with work-family issues; interventions to improve work-family compatibility. 145 publications were included in the overview.The available literature focuses on physicians and nursing staff while publications on other professions are largely lacking. The methodological quality of existing studies is mostly low, including a lack of meta-analyses. Several studies document dissatisfaction in physicians and nursing staff regarding reconciliation of work and family life. Only few intervention studies were found that seek to improve work-life compatibility; few of them focus on employees in healthcare. There are also deficits with respect to linking work-family issues with aspects of healthcare in rural areas.There is a shortage of systematic national and international research regarding work-family compatibility, especially when it comes to the evaluation of interventions. The overview provides starting points for improving work-family compatibility in healthcare.Beschäftigte im Gesundheitswesen sind mit besonderen beruflichen Rahmenbedingungen und Anforderungen konfrontiert, die sich auf das Verhältnis von Familie und Arbeit/Beruf auswirken können und mittelbar auch die Qualität der Gesundheitsversorgung beeinflussen. Ziel des vorliegenden Beitrags ist es, einen Überblick über den Forschungsstand zu diesem Thema zu geben. Dieser ist für die Versorgungsforschung von Relevanz. Er kann als Ausgangspunkt dafür dienen, Strukturen im Gesundheitswesen (auch in ländlichen Regionen) dahingehend zu verändern, dass sie eine bessere Vereinbarkeit von Familie und Beruf ermöglichen.Es wurde eine systematische nationale und internationale Literaturrecherche in Form eines Scoping Review durchgeführt, um den aktuellen Forschungsstand zur Vereinbarkeit von Familie und Gesundheitsberuf zu dokumentieren. Als inhaltliche Suchkriterien wurden definiert: Vereinbarkeit von Beruf und Familie (allgemein); Vereinbarkeitserleben und -konflikte bei Gesundheitsberufen; Vereinbarkeit von Familie und Gesundheitsberuf im ländlichen Raum; Interventionsansätze zur Förderung der Vereinbarkeit von Beruf und Familie. Im Ergebnis eines mehrstufigen Selektionsprozesses wurden 145 Publikationen in die inhaltliche Auswertung einbezogen.Die dokumentierte Literatur bezieht sich schwerpunktmäßig auf die Berufsgruppen Ärzte und beruflich Pflegende, für andere Berufsgruppen liegen kaum Arbeiten vor. Die methodische Qualität der Studien ist meist niedrig, Metaanalysen liegen nicht vor. Mehrere Arbeiten dokumentieren eine Unzufriedenheit bei Ärzten und beruflich Pflegenden bzgl. Möglichkeiten der Vereinbarkeit von Familie und Beruf. Es konnten nur wenige Interventionsstudien zur Förderung der Vereinbarkeit von Familie und Beruf gefunden werden, diese sind wiederum nur teilweise spezifisch auf Gesundheitsberufe ausgerichtet. Defizite bestehen zudem hinsichtlich der Vernetzung mit Fragen der Verbesserung der Gesundheitsversorgung in ländlichen Gebieten.Zur Thematik „Vereinbarkeit von Familie und Gesundheitsberuf“ existiert national wie international nur wenig systematische Forschung. Insbesondere zur Evaluation von Maßnahmen bestehen Defizite. Der Literaturüberblick ermöglicht die Ableitung von Ansatzpunkten, um eine Verbesserung der Vereinbarkeit von Familie und Beruf zu erreichen.

Publications of articles with physical literacy as a topic have increased dramatically since the beginning of 2000s. The aim of this paper is to, through an explorative literature overview with an inductive approach, analyze frequent, and significant themes in published peer reviewed articles, with a focus on physical literacy. The database EBSCO has been used with the identifiers “physical literacy” and “physical literacy and evidence”. Furthermore ICSSPE Bulletin's special issue on physical literacy has been included in the overview. The findings have resulted in three key themes: assumptions of the concept physical literacy and its educative role, sports development and physical literacy, and assessment and physical literacy. Future studies are needed to examine if the advocated pedagogical strategies based on the concept physical literacy have led to a re-organized and revitalized school subject. There is also an existing critique towards making physical literacy an idealistic neutral concept or synonym with fundamental movement skills or sports talent identification. The role of higher education emerges as crucial for the next step of the development of the scientific framework as this involves how physical literacy will be socially configured, nurtured, and embodied in practice.

Inbound and outbound containers are temporarily stored in the storage yard at container terminals. A combination of container demand increase and storage yard capacity scarcity create complex operational challenges for storage yard managers. This paper presents an in-depth overview of storage yard operations, including the material handling equipment used, and highlights current industry trends and developments. A classification scheme for storage yard operations is proposed and used to classify scientific journal papers published between 2004 and 2012. The paper also discusses and challenges the current operational paradigms on storage yard operations. Lastly, the paper identifies new avenues for academic research based on current trends and developments in the container terminal industry. (C) 2013 Elsevier B.V. All rights reserved.

Reported cutoffs for childhood thyrotropin (TSH) and free thyroxine (fT4) reference ranges vary widely, and knowledge on the determinants of childhood thyroid function is sparse. This study aimed to summarize the existing studies on thyroid function reference ranges in children. Furthermore, the objective was to investigate the determinants of childhood TSH and fT4 concentration in a population based-prospective cohort.First, to identify studies on childhood thyroid reference ranges, The National Library of Medicine's PubMed, Embase, Ovid Medline, Web of Science, and Google Scholar databases were systematically searched. Second, in a non-selected sample of 4273 children (median age 6.0 years, range 4.9-9.1 years) from the cohort, the associations of age, sex, anthropometric characteristics, ethnicity, maternal education, and time and season at venipuncture were studied with TSH and fT4 concentrations. The study also investigated to what extent between-individual variations in the determinants of TSH and fT4 could influence the calculation of reference ranges.Published reference ranges for TSH and fT4 differ per age range and within age ranges (cutoffs low TSH: 0.13 to1 mIU/L; high TSH: 2.36 to10 mIU/L; low fT4: 7.0 to10 pmol/L; high fT4: 15.5 to30 pmol/L). In the present cohort, weight, sex, and ethnicity were determinants of TSH (p ≤ 0.03) and fT4 concentrations (p ≤ 0.01), and height and time at venipuncture were determinants of TSH only (p 0.0001). The between-individual variation depending on clinical determinants for TSH ranged between 0.64 and 0.96 mIU/L (total population 0.87 mIU/L) for the lower limit and 4.30 and 5.62 mIU/L (total population 5.20 mIU/L) for the upper limit, whereas for fT4, the lower limit ranged between 13.6 and 14.2 pmol/L (total population 13.8 pmol/L) and the upper limit ranged between 20.2 and 23.0 pmol/L (total population 20.8 pmol/L).Considerable differences exist in the reported reference ranges for childhood TSH and fT4 across and within age ranges and assays. The present cohort shows only a minimal association between TSH and fT4, suggesting that the hypothalamus-pituitary-thyroid axis remains unaffected by thyroid interfering factors. Various determinants of TSH and fT4 in children were identified, which accounted for a considerable variation of reference range cutoffs.

This chapter takes on three tasks: (1) to survey the study of economic competence as it appears in economic literature; (2) to give a meaningful and operational definition of economic competence as one of the factors contributing to macroeconomic growth; and (3) to suggest a methodology — pursued in greater depth elsewhere — to generalize and link economic competence, as defined at the micro (firm, individual) level, to macroeconomic growth through simulation on the micro-based macroeconomic Model of the Swedish Economic System (MOSES). By introducing knowledge in the micro setting of firm organizational competence, we arrive at a very different interpretation measured at the macro industry level from that of standard neoclassical theory.

Heart rate variability (HRV) corresponds to the adaptation of the heart to any stimulus. In fact, among the pathologies affecting HRV the most, there are the cardiovascular diseases and depressive disorders, which are associated with high medical cost in Western societies. Consequently, HRV is now widely used as an index of health. In order to better understand how this adaptation takes place, it is necessary to examine which factors directly influence HRV, whether they have a physiological or environmental origin. The primary objective of this research is therefore to conduct a literature review in order to get a comprehensive overview of the subject. The system of these factors affecting HRV can be divided into the following five categories: physiological and pathological factors, environmental factors, lifestyle factors, non-modifiable factors and effects. The direct interrelationships between these factors and HRV can be regrouped into an influence diagram. This diagram can therefore serve as a basis to improve daily clinical practice as well as help design even more precise research protocols.