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This paper studies a prediction problem using time series data and machine learning algorithms. The case study is related to the quality control of bumper beams in the automotive industry. These parts are milled during the production process, and the locations of the milled holes are subject to strict tolerance limits. Machine learning models are used to predict the location of milled holes in the next beam. By doing so, tolerance violations are detected at an early stage, and the production flow can be improved. A standard neural network, a long short term memory network (LSTM), and random forest algorithms are implemented and trained with historical data, including a time series of previous product measurements. Experiments indicate that all models have similar predictive capabilities with a slight dominance for the LSTM and random forest. The results show that some holes can be predicted with good quality, and the predictions can be used to improve the quality control process. However, other holes show poor results and support the claim that real data problems are challenged by inappropriate information or a lack of relevant information.

Malakoplakia is an uncommon granulomatous disease that occurs in immunocompromised individuals. It’s thought to be caused by macrophagic bactericidial defect. We report a rare case of breast malakoplakia in a pregnant 35 ears-old woman that mimicked malignancy.

The evaluation of the internship in pediatric orthopedics is based on a clinical examination in the form of ECOS, after the internship period involving all surgical specialties. The validation of the clinical examination test does not necessarily mean that the student has achieved his internship objectives and vice versa. This discrepancy between the evaluation test and the field of the internship prompted us to question the need to establish a formative evaluation method during the clinical internship.Our study is a prospective, evaluative, longitudinal study, from October 2019 until September 2020, in the infantile orthopedics and traumatology department of the "Béchir HAMZA" children's hospital in Tunis. We carried out a formative evaluation using the "Patient Management Problem" (PMP), with two different subjects, one on acute hematogenous osteomyelitis, the other on malignant bone tumors, with a Pre-test and a Post-test for each PMP.We had 18 interns, during the period between October 2019 and September 2020, including 13 who had medical training in Tunisian faculties. The score for the acute osteomyelitis pretest was 14.56 on average, the PMP score was 16.33 on average, with one interne scoring zero. The posttest mean was 18.11 [13.75-20], with a statistically significant difference from the pretest. The pre-test for the bone tumors' PMP had an average of 9.7 [3.75-15], that of PMP was 12.6 [0-20]. There was an improvement in post test scores with an average of 16.45. Comparing the two tests we noticed that the scores for the PMP osteomyelitis were higher than the scores for the PMP bone tumors with a significant difference between the two groups (p = 0.04).The results of this pilot project are encouraging for the establishment of a continuous evaluation by the PMP method, intended for interne during the pediatric orthopedic surgery internship. This method allows learning and formative evaluation of learners by evaluating clinical and therapeutic reasoning.

This paper studies the Feeder Network Design Problem (FNDP), which considers the design of a minimum cost liner shipping network for the transportation of cargo (containers) between a given hub port and a set of feeder ports. In addition to determining the services to operate (i.e., the routes), the FNDP deals with deciding the fleet of vessels to deploy on these services. In contrast to most FNDPs previously studied in the literature, the feeder network can, if found beneficial, be a hub-and-spoke system where cargo can be transshipped at any feeder ports. Thus, we denote our problem as the Feeder Network Design with Optional Transshipment (FND-OT). To solve the FND-OT, we propose a novel adaptive Heuristic with a special data structure for solution representation, which gives significant speed-ups. Furthermore, a new escape algorithm is used to escape from local optima. We show that the adaptive heuristic outperforms an existing solution algorithm in the literature on a set of realistic test instances. We also present results for a new set of instances adapted from a previously published benchmark suite (LINER-LIB) and show that including the possibility of having cargo transshipment in the FNDP can give significant benefits and reduced costs. publishedVersion

Flatfoot is a frequent reason for consultation in pediatric orthopedics. The calcaneal lengthening osteotomy according to the EVANS technique is a therapeutic alternative. The objective of this work was to evaluate the short and medium term clinical and radiological results of calcaneal lengthening osteotomy in children with idiopathic flat foot valgus.This study concerned 12 children and 15 ft treated surgically by calcaneal lengthening osteotomy by an orthopedic surgeon in a pediatric orthopedic surgery center. The evaluation of the results was clinical according AOFAS score and radiological.The deformity was reducible in all of our patients. The mean preoperative AOFAS score was 61, postoperatively 90. The overall result was excellent in 11 cases (11 ft) and good in 4 cases. The postoperative radiological result was close to normal values.Calcaneal lengthening osteotomy is a reliable and recommended technique for the correction of symptomatic idiopathic flatfoot.IV, Case series.

Introduction and importance Most of the time, intramuscular hydatid cysts are secondary. The unusual topographies are a source of diagnostic delay and treatment difficulties. The aim of our case report is to put forward the features of this uncommon presentation and to propose a therapeutic management. Case presentation We report the case of a primary hydatid cyst located in the right lumbar paraspinal muscles in a ten-year-old girl, in good health and without a pathological medical history. The patient presented with a discreet right lumbar swelling of firm consistency, painless and without signs of inflammation. Ultrasound and magnetic resonance imaging suggested the diagnosis of an intramuscular paravertebral hydatid cyst. The hydatid serology was positive. The patient had en-bloc resection of the cyst. He was infected with pus. The histopathological examination confirmed the diagnosis of muscular hydatidosis. Medical treatment was started. Three years after the operation, the MRI confirmed that was no recurrence. Clinical discussion Echinococcus is a parasitic cestode that can infect dogs and other pets and farm animals, with humans as incidental hosts. Muscular hydatid localization, secondary to hematogenous dissemination, is rare, even in endemic countries. The combination of medical treatment with surgery ensures the best condition to avoid recurrence. Conclusion In regions where hydatidosis is endemic, a tumor in any part of the body should be considered a hydatid cyst until proven otherwise., Highlights • In endemic areas, any swelling should suggest hydatid cyst. • A negative hydatid serology does not rule out the diagnosis of hydatid cyst. • The hydatid cyst infection can occur through the hematogenous route. • MRI is efficient for the diagnosis of infected hydatid cyst. • The infection can sterilize the hydatid muscle cyst.