Sustainability in a supply chain is a demand on the one hand and a challenge on the other. It is necessary to balance between these dimensions in order to fulfill the purpose of the supply chain. Therefore, in the first phase—i.e., in procurement—it is necessary to take into account its sustainability. In this paper, a sustainable supplier was selected respecting all three aspects of sustainability. The evaluation was carried out on the basis of a total of 21 criteria arranged into two levels and three groups. A new Interval Rough SAW (simple additive weighting) method, which represents a contribution to the treatment of problems belonging to the multi-criteria decision-making (MCDM), was developed. The integration of interval rough numbers with the SAW method was completed. In addition, the full consistency method (FUCOM) was applied to determine the weights of the criteria. The integrated FUCOM-Interval Rough SAW model enables treatment of multi-criteria problems while reducing subjectivity to the lowest possible level and eliminating uncertainties and ambiguities. The results obtained were determined throughout a sensitivity analysis consisting of a change in the weight of the criteria and the influence of dynamic matrices on the change in ranks. In addition, Spearman’s rank correlation coefficient (SCC) was calculated to confirm the stability of the previously obtained results.

Cardiopulmonary resuscitation (CPR) is a collection of interventions performed to provide oxygenation and circulation to the body during cardiac arrest. Our current modern-day approach to this process stemmed from the work of a handful of doctors in the 1950s and has now evolved into the process that will be discussed further here. The most widely accepted guidelines in North America are those produced by the American Heart Association (AHA). These are published every 5 years, after the International Liaison Committee on Resuscitation (ILCOR) meeting.

Interactions between autonomous vehicles (AV) and pedestrians remain an ongoing area of research within the AutoUI community and beyond. Given the challenge of conducting studies to understand and prototype these interactions, we propose a combined full-day workshop and tutorial on how to conduct field experiments and controlled experiments using Wizard-of-Oz (WoZ) protocols. We will discuss strengths and weaknesses of these approaches based on practical experiences and describe challenges we have faced. After diving into the intricacies of different experiment designs, we will encourage participants to engage in hands-on exercises that will explore new ways to answer future research questions.

Radar sensors have been used for active safety in cars for many years. An ongoing research project explores how radar sensors and technology common in automotive vehicles can be transferred for use on bicycles. Workshops have been used to generate ideas. A bicycle simulator is planned to be used for test and evaluation. Tests on a test track has been used to simulate high-risk scenarios. This paper describes the design process of this project, with focus on the user interface. High-risk scenarios and requirements are identified, followed by identified design challenges and design activities, including evaluation. Ideas for a dual HMI approach, directed towards the bicyclist and towards surrounding traffic are presented.

Geiges Andreas1, Paola Yanguas Parra1, Marina Andrijevic1,2, William Hare1, Alexander Nauels1, Peter Pfleiderer1,2,3, Michiel Schaeffer1,4, and Carl-Friedrich Schleussner1,2,3 1Climate Analytics, 10961 Berlin, Germany 2IRITHESys, Humboldt University, 10117 Berlin, Germany 3Potsdam Institute for Climate Impact Research, 14473 Potsdam, Germany 4Department of Environmental Sciences, Wageningen University and Research Centre, 6700 AA Wageningen, The Netherlands

OBJECTIVES Cone beam computed tomography (CBCT) in dentistry and maxillofacial surgery is a widely used imaging method for the assessment of various maxillofacial and dental pathological conditions. The objective of this study was to summarize the results of a multinational retrospective-prospective study that focused on patient exposure in this modality. METHODS The study included 27 CBCT units and 325 adult and paediatric patients, in total. Data on patients, clinical indications, technical parameters of exposure, patient dose indicator, or, alternatively, dose to phantom were collected. The dose indicator used was air kerma-area product, PKA. RESULTS In most scanners operators are offered with a variety of options regarding technical parameters, especially the field-of-view (FOV) size. The median and the third quartile value of PKA for adult patients in 14 different facilities were 820 mGy cm² and 1000 mGy cm² (interquartile range, IQR = 1058 mGy cm²), and 653 mGy cm² and 740 mGy cm² (IQR = 1,179 mGy cm²) for children, as reported by four different institutions. Phantom dose data were reported from 15 institutions, and median PKA ranged from 125 mGy cm² to 1951 mGy cm². Median PKA values varied by more than a tenfold between institutions, mainly due to differences in imaging protocol used, in particular FOV and tube current-exposure time product. CONCLUSIONS The results emphasize the need for a cautious approach to using dental CBCT. Imaging only when the clinical indications are clear, accompanied with the appropriate radiographic techniques and the optimum imaging protocol, will help reduce radiation dose to patients.

Background Morbidity and mortality attributed to prescription opioids are a crisis in the US and spreading globally. Sex differences related to these conditions have not been adequately assessed. Methods Through our community engagement program, data on demographics, health status, and substance use, including prescription opioids (e.g., Vicodin®, Oxycodone), were collected from community members in Florida (primarily North Central Florida) during a health needs assessment. Participants over 18 years of age were classified by opioid use: past 30-day, lifetime but not past 30-day, or no lifetime prescription opioid use. Descriptive statistics and chi-square tests were calculated, and multinomial logistic regression was used to calculate adjusted odds ratios (aOR; CI). Analyses were conducted for men and women separately to examine sex specific effects. Results Among 9,221 community members assessed, the mean age was 45 years, 60% were female, and 58% were black. Respondents who endorsed past 30-day use and lifetime use were more likely to be female. Prescription sedative use was the strongest risk factor for past 30-day (aOR= 3.96; 95% CI, 3.35–4.68) and lifetime (aOR= 2.67; 95% CI, 2.34–3.04) prescription opioid use, regardless of sex. Other factors including marijuana use and history of cancer were significantly associated with prescription opioid use; they varied by sex. Conclusions The risk factors identified in this community sample provide additional information not accounted for by national studies. Future examinations of the consequences of concomitant opioid and sedative use, especially among women, are needed.

Objective − To present a rare case of osteoid osteoma of the metacarpal bone and to emphasize the importance of correlation of radiological analysis with anamnestic data and clinical findings. Case Report − We reported the case of osteoid osteoma of the metacarpal bone in a 14-year old girl. The patient, a volleyball player, presented with pain in the left hand. At first, nonsteroidal anti-inflammatory drugs relieved the pain but over the time it became more intense and was accompanied with swelling. On the basis of magnetic resonance imaging (MRI), the case was misdiagnosed as a status post-fracture of three metacarpal bones. After inappropriate treatment with physical therapy, the patient’s condition worsened, thus multiple laboratory tests and radiology imaging techniques were performed to achieve the right diagnosis. Diagnosis of osteoid osteoma was finally made by CTscan and appropriate treatment by surgical ablation was performed. Conclusion − Osteoid osteoma rarely occurs in metacarpal bones. Physicians should be aware of the atypical clinical presentation of this benign lesion in the metacarpal bones.

Fault passage indicators (FPIs) and fault locators (FLs) are employed in modern distribution networks in order to enhance the process of fault localization, thus resulting in reduction of interruption time and improving the reliability of power supply. In this paper, a novel probabilistic techno-economic optimization method is proposed for determining the number and positions of FPIs that lead to maximum reduction of interruptiontime and investment costs in medium voltage (MV) distribution networks with and without FLs. The proposed method is basedon a probabilistic non-sequential Monte Carlo simulation model of the real network, which is a proper compromise between complicated sequential simulation models and too simplified analytical models. The main goal of the method is to obtain maximum improvement of the network reliability indices while using the minimum number of FPIs. The method is tested on a combinedurban/rural MV distribution network in Bosnia and Herzegovina and results are thoroughly discussed.

The aim of this review is to discuss the local experience of Tuzla’s hospital staff and the knowledge needed to become a Baby-Friendly Hospital (BFH). We also discuss the risks of formula feeding. While breast milk is the natural modality of infant feeding, in Tuzla Canton, the rate of exclusive breastfeeding in the first 6 months of life is only 12%. During the war of 1992-1995, which was the worst European atrocity since World War II and the worst set of events in the recent history of Bosnia-Herzegovina, we had the opportunity to learn more about the impact of breastfeeding on child health from Chloe Fisher, a renowned clinical specialist on infant feeding. The United Nation Children’s Fund (UNICEF) and the World Health Organisation (WHO) held several seminars, about recommended practices and procedures needed to become a BFH. As a result, the Maternity Hospital was certified as a BFH in 2004 and has been operating with this status since then. While our Maternity Hospital and other related departments provided services and care of infants, many infant formula companies donated milk and organized conferences and other paediatric events to promote infant formula. This and other obstacles resulted in the fact that currently only 3 out of 7 mothers in our neonatology department breastfeed, and only 1 baby out of 7 is exclusively breastfed. Conclusion – Transforming a hospital in Baby-Friendly means, amongst other things, all professionals must provide breastfeeding management to ensure a long-term breastfeeding policy. The current low breastfeeding rate in our hospitals is the result of inconsistent policies in achieving long-term goals in breastfeeding practices.