The purpose of this work is to present a developed three-axes rotation algorithm improve the solving methodology for relaxed 3L-CVRP (Three-Dimensional Capacitated Vehicle Routing Problem). Although there are reported works on approaches that consider product optimize load capacity, three axes has not been thoroughly studied. In aspect, explicitly explores and its impact capacity optimization. ...

DC-DC converters are essential in the interconnection of photovoltaic (PV) systems and that operate at different voltages, frequencies, powers, such as smart grids. Due to energy transition, therefore need for high efficiency PV grids, there is a great challenge develop with highest possible efficiency. Therefore, this paper an isolated converter easy implementation developed, comparison other ...

BACKGROUND There is conflicting evidence as to whether patients with chronic disease value hypothetical health states differently from individuals who have not experienced any long-lasting diseases. Furthermore, most studies regarding this issue have been conducted in western countries, with only one conducted in Asia. We aimed to evaluate possible systematic differences in the valuation of Eur...

Unplanned hospital readmission can lead to excess economic burden among patients with mPDAC. This study aimed describe the frequency of 30-day mPDAC who received systemic treatment. retrospective observational utilized IBM MarketScan Commercial and Medicare supplemental claims databases. Data were analyzed for adult diagnosed treatment between January 2015 March 2020 experienced a admission dur...

Abstract Given automated order systems, detailed characteristics of items and vehicles enable the planning deliveries including more efficient safer loading distribution vehicles. Many vehicle routing approaches ignore complex constraints. This paper focuses on comprehensive evaluation constraints in context combined Capacitated Vehicle Routing Problem 3D Loading (3L-CVRP) its extension with ti...

Repeat if i 6 = m .For each set of entries (e.g. M i (a, b) = S ab , and M i (b, a) = S ba), allocate an appropriate number of nodes shared among those concepts in the entries, and subtract the same number of nodes from each of the node pools established for the related entries of the next lower numbered matrix .i= i+1 Here related entries mean entries consisting of a set of concepts that is a ...

BACKGROUND Two commonly performed surgical interventions are available for severe (grade II-IV) haemorrhoids; traditional excisional surgery and stapled haemorrhoidopexy. Uncertainty exists as to which is most effective. The eTHoS trial was designed to establish the clinical effectiveness and cost-effectiveness of stapled haemorrhoidopexy compared with traditional excisional surgery. METHODS ...