RetiVue (United States)

Purpose The sugar industry is always pressured to be suitable and enhance its operational effectiveness. Digital twin (DT) has the potential to transform this industry. However, the lack of industry-specific key performance indicator (KPI) frameworks makes it challenging to implement them. This study provides a hierarchical KPI model for DT adoption in the sugar sector, interconnecting the United Nations' sustainable development goals (SDGs). Design/methodology/approach It has two phases: the first is an intense literature review, which identifies 24 relevant KPIs for DT adoption and sets the procedure for expert validation. Second, hierarchical relationships were identified through interpretive structural modeling (ISM) and MICMAC was used to classify KPIs based on driving and reliant power. The developed framework has several dimensions: technology, environmental, strategic, operational, financial and security. Findings Operational and environmental KPIs relate to important factors; however, environmental, social and governance (ESG) tracking, stakeholder satisfaction, governance, social and environmental factors, and reduction of defects were also critical outcomes. Key drivers came after technological studies, such as integrating old legacy systems, data integration and return on investment, or digital investment. The KPI hierarchy establishes the structural relationship that ensures DT investments align with sustainability goals, including cutting carbon emissions, maximizing resource usage and reducing water consumption. Research limitations/implications Likewise, earlier studies, the existing paper is also not free from limitations. We consulted experts from emerging economies like India to develop ISM modeling and collect data. However, the experts' opinions may change from country to country, impacting results. Also, the proposed research is applicable in the sugar sector. Originality/value Developing the DT adoption KPIs in the sugar sector using ISM and MICMAC is a unique contribution of this research. In addition, all KPI frameworks are also interconnected with the United Nations sustainability goals.

<div class="section abstract"><div class="htmlview paragraph">Two wheeler is important and essential transportation mode in many of the countries across the globe. Designing a motorcycle with better riding comfort and minimal vibration are thus a major challenge for engineers now a day. Engine and road excitations are two source of vibration acting on motor bike or scooter both. These vibrations are transmitted to the chassis, sub chassis, aesthetic parts and then to the rider and pillion. Unwanted vibrations will create discomfort to the rider/pillion and produce noise. Hence, these need to be minimized. This study is focus on diagnosis and control of output vibration response of sub chassis/aesthetic parts due to engine unbalanced excitation force. There are numerous parameter of motor bike/scooter that governs the vibration response of sub chassis/aesthetic parts. Engine unbalanced inertia force characteristics and their transmission to rider and pillion has been studied and reported here. Environmental benefit demands for a complete noise, vibration and harshness (NVH) refinement for lesser pollution especially that of an engine, chassis, sub chassis and aesthetic parts. The objective of current study is to develop an analytical approach to predict output vibration response of sub chassis/ aesthetic parts in isolation of engine and chassis as they are mostly common from mass production model. Semi implicit procedure based on simulation and testing has been developed. Developed procedure is well supported mathematically and validated through physical testing measurement.</div></div>

O cardioversor, as bombas de infusão e o ventilador mecânico em um pronto atendimento de urgência e emergência, são equipamentos imprescindíveis para o atendimento ao paciente com agravo e tendo risco iminente de morte. Por este motivo, a preocupação dos profissionais no ambiente supracitado é para que entendam e consigam ter destreza ao mexer nos aparelhos sempre que necessário, pois, em geral, são atendimentos que demandam rapidez e precisão na assistência. OBJETIVOS: Relatar a experiência quanto a realização de manuais de instrução que foquem nas dificuldades dos profissionais do Pronto Atendimento, para o uso do cardioversor, bomba de infusão e ventilador mecânico com a intenção de auxiliar os funcionários de um Pronto Atendimento Municipal do sul do país. RELATO DE EXPERIÊNCIA: Trata-se de um relato de experiência acerca da elaboração de manuais de instrução, realizado no primeiro semestre de 2022, criados por enfermeiras residentes do Programa de Residência Profissional em Enfermagem Urgência-Trauma da Universidade Franciscana (UFN). O público-alvo foram os funcionários de enfermagem do Pronto Atendimento. A formulação do material referente ao uso correto do cardioversor, bomba de infusão e ventilador mecânico deu-se, primeiramente por meio da elaboração de um manual de instruções sobre o uso de cada um dos aparelhos, contendo imagens ilustrativas demonstrando suas respectivas funções e os erros mais comuns, os quais posteriormente foram impressos e plastificados para que fossem expostos no serviço. DISCUSSÃO: Durante o processo foi possível observar que o grupo de funcionários se mostraram receptivos à iniciativa, além de exporem inúmeras dúvidas quanto ao uso e as funções dos aparelhos. Portanto, foi imprescindível que o manual fossem elaborados de forma clara e com imagens ilustrativas, para que pudesse auxiliar na rotina assistencial dos colaboradores da enfermagem, assim, melhorando o atendimento aos pacientes que ali chegaram necessitando de suporte. CONCLUSÃO: Conclui-se que a iniciativa foi essencial para a promoção da atualização dos profissionais da enfermagem, pois permitiu o esclarecimento de dúvidas acerca do uso de equipamentos de uso frequente no dia a dia de um Pronto Atendimento Municipal, contribuindo para a eficácia e a excelência da assistência aos usuários do serviço de saúde. Palavras-chave: Cardioversor, Bomba de infusão, Ventilador mecânico, Pronto atendimento, Urgência e emergência.

Muito prevalente no Brasil, em especial nas regiões Norte e Nordeste, a anemia falciforme é uma patologia hereditária autossômica recessiva que acomete predominantemente afrodescendentes e possui manifestações clínicas variáveis, sendo a dor um dos sintomas mais referidos pelos portadores e principal motivo dos internamentos desta condição hematológica. A dor falcêmica ultrapassa a limitação física, comprometendo também os âmbitos sociais, psíquicos, laborais e econômicos daqueles que convivem com ela. A caracterização inexata desse sintoma, muitas vezes, dificulta a compreensão para o planejamento adequado do cuidado, trazendo prejuízos significativos no resultado da terapêutica e, consequentemente, na qualidade de vida do paciente. Sendo assim, tal estudo tem como objetivo compreender como a dor da anemia falciforme interfere biopsicossocialmente no cotidiano da classe trabalhadora que a possui. A metodologia utilizada é a revisão de literatura, através da análise de 21 artigos extraídos das bases de dados Medline, Pubmed e Scielo. Os resultados encontrados demonstram que o preconceito, a debilidade física, a piora nos sintomas de depressão, ansiedade e abuso de álcool, o desemprego, o estresse e a dificuldade de enfretamento da doença, são fatores consecutivos deste sintoma e das suas crises.

La anomalía de Uhl es una cardiopatía infrecuente que se caracteriza por un ventrículo derecho de paredes delgadas y que está dilatado, esto por la ausencia de miocardio. La hipótesis es que sucede por una alteración en el desarrollo embrionario y una apoptosis del miocardio en el ventrículo derecho. Se presenta con falla cardiaca. El diagnóstico definitivo se determina por anatomía patológica; no obstante, los hallazgos ecocardiográficos y de resonancia magnética nos permiten el acercamiento diagnóstico. No existe un tratamiento estándar por lo que inicialmente es médico y sintomático. Las opciones quirúrgicas incluyen, desde procedimientos paliativos hasta el trasplante cardiaco; sin embargo, el pronóstico es incierto. Presentamos el caso de un lactante con disnea y diaforesis.

The number of obese people around the world is increasing alarmingly and a sedentary lifestyle is one of the causes. This work aims to plan a weekly group mentoring, which will be carried out through the Google Meet digital platform. The research justifies the fact that it was identified a difficulty for individuals to create the habit and institute physical activity in their daily routine.. The lack of time, incentive and motivation are the main barriers encountered. In view of this problem, a group intervention was proposed, in the mentoring format, lasting 04 (four) months, in which participants will be able to share their experiences and difficulties during the weekly meetings, as well as participate in lectures with a professional from the physical education area. At the end of the experiment, it is expected that everyone has understood that the motivational factor has a great relevance to keep them focused within the project of instituting physical activity as part of their routine. The application of this work will help people look for a way to stay motivated to exercise, as this new lifestyle significantly reduces the health risks related to obesity, also contributing to weight control and loss, decreased anxiety. and improved self-esteem.

The culture of t Muslim county has passed through a number of stages of perfection in its spiritual ascent. Among these stages, the tari-kat (doctrine) of tasawwuf (Sufism) holds a special place, which is con-sidered important in a person's improvement to the status of ikhsan. It is well known that the tarikat of tasawwuf is the path of piety, and the path begins with purification of the soul. This stage in the spiritual development of the region began to be reflected in the arts. As a result, Sufi literature emerged. Sufi views began to take the center stage in literature from the 12th century onwards. The writers of that period mastered the science of tasawwuf thoroughly, and this reflected in their lifestyle and way of life. The works written by them and which have survived the present day also verify this idea. The subject of Isra and Mi‘raj has a special significance in Sufi literature. Many writers have devoted special chapters in their works. In general, the prose and poetry devoted to the events of Isra and Mi‘raj are an integral part of Sufi literature. This article is devoted to the analysis of the motives that underlie the Turkic traditions. It examines the reasons for writing mi‘rajnames in Turkic literature, their structure, and the motifs introduced the basis of reliable sources.

Num mundo altamente desenvolvido a nível tecnológico, os sistemas computacionais desempenham um papel fundamental.Utilizados em diversos contextos, os computadores são utilizados por todas as pessoas, quer para realizarem tarefas banaiscomo

The main goal of this work is to present an approach to teaching linear systems that, as a motivation, makes use of some puzzles that are popular on Facebook, and then to present a geometric point of view of systems of 3 equations and 3 unknowns having Geogebra as a tool.