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A maintenance driven scheduling cockpit for integrated production and maintenance operation schedule

Advances in Manufacturing 2022年第2期10卷 205-219页

作者： Mario Arena Valentina Di Pasquale Raffaele lannone Salvatore Miranda Stefano Riemma Department of Industrial Engineering University of SalernoFiscianoSAItaly

The production and maintenance functions have objectives that are often in contrast and it is essential for management to ensure that their activities are carried out synergistically,to ensure the maximum efficiency of the production plant as well as the minimization of management *** current evolution of ICT technologies and maintenance strategies in the industrial field is making possible a greater integration between production and *** work addresses this challenge by combining theknowledge of the data collected from physical assets for predictive maintenance management with the possibility of dynamic simulate the future behaviour of the manufacturing system through a digital twin for optimal management of maintenance *** paper,indeed,presents a supporting digital cockpit for production and maintenance integrated *** proposes an innovative approach to manage health data from machines being in any production system and provides support to compare the information about their remaining useful life(RUL)with the respective production *** maintenancedriven schedulingcockpit(MDSC)offers,indeed,a supporting decision tool for the maintenance strategy to be implemented that can help production and maintenance managers in the optimal scheduling of preventive maintenance interventions based on RUL *** simulation is performed by varying the production schedule with the maintenance tasks involvement;opportune decisions are taken evaluating the total costs related to the simulated strategy and the impact on the production schedule.

关键词： Industry 4.0-Maintenance task Production schedule Predictive maintenance integrated plan

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Insights into the Social Determinants of Health in Older Adults

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Journal of Biomedical Science and Engineering 2022年第11期15卷 261-268页

作者： Felipe P. Perez Carmen A. Perez Magali N. Chumbiauca Department of Medicine Division of General Internal Medicine and Geriatrics Indiana University School of Medicine Indianapolis IN USA School of Social Work Indiana University Indianapolis IN USA Richard L. Roudebush Veterans Affairs Medical Center Home Based Primary Care Indianapolis IN USA

In this paper, we review the social determinants of health in older adults and their complex interrelationship with medical diseases. Also, we provide recommendations to address these determinants in the integrated healthcare plan. The social determinants in older adults and its influence in health outcomes have been studied for decades. There is solid evidence for the interrelationship between social factors and the health of individuals and populations;however, these studies are unable to define their complex interrelatedness. Health is quite variable and depends on multiple biological and social factors such as genetics, country of origin, migrant status, etc. On the other hand, health status can affect social factors such as job or education. Addressing social determinants of health in the integrated healthcare plan is important for improving health outcomes and decreasing existing disparities in older adult health. We recommend a person-centered approach in which individualized interventions should be adopted by organizations to improve the health status of older adults at the national and global level. Some of our practical recommendations to better address the social determinants of health in clinical practice are EHR documentation strategies, screening tools, and the development of linkages to the world outside of the clinic and health system, including social services, community activities, collaborative work, and roles for insurance companies.

关键词： Social Determinants integrated plan Older Adult Health Personalized Social Services

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