Critical path scheduling : a preliminary literature search /

Includes index.

Critical path scheduling : a preliminary literature search /

Includes index.

Tempo de implantação de sistemas ERP: análise da influência de fatores e aplicação de técnicas de gerenciamento de projetos

Freqüentemente, a implantação de sistemas ERP é complexa e demorada, requerendo, em alguns casos, três ou quatro anos. em geral, um sistema ERP divide-se em módulos cujas implantações são feitas em vários estágios. Um problema sério é que os prazos para a implantação desses módulos são críticos e raramente são cumpridos. Esses atrasos geram insatisfação dos clientes, pois resultam em custos adicionais não previstos. A implantação de sistemas ERP depende de vários fatores, alguns dos quais têm muita influência nos prazos de implantação. Considera-se neste trabalho a técnica de planejamento de experimentos para a determinação dos principais fatores. Além disso, são usados métodos de caminhos críticos para a identificação das atividades que requerem mais investimentos para que haja redução no tempo total de implantação do projeto.

O risco do custo e do tempo no escanamento de projetos

Dissertação apresentada ao Instituto Politécnico do Porto para obtenção do Grau de Mestre em Logística Orientada por: Prof. Dr. Pedro Godinho

Planeamento da construção repetitiva e não repetitiva – Caso de estudo comparativo

O planeamento da construção tem sido considerado como uma mera burocracia e utilizado essencialmente como uma orientação temporal do desenvolvimento da obra, que se reflete, frequentes vezes, na utilização inadequada das técnicas de planeamento. Com esta dissertação pretende-se oferecer uma nova perspectiva sobre as técnicas e softwares de planeamento e a sua melhor utilização. Contudo, focalizando-se mais nos métodos CPM e LOB, efetua-se o seu planeamento nos softwares Microsoft Project e CCS- Candy respetivamente. Inicia-se este trabalho com uma breve descrição acerca do estado da arte das metodologias e softwares de planeamento da construção. Seguidamente efetua-se a demonstração do planeamento de dois casos de estudo, sendo o primeiro caso de estudo referente ao planeamento da construção de uma ponte com recurso ao Microsoft Project. Realiza-se o cálculo dos rendimentos, dimensionamentos das equipas de trabalho e análise dos diagramas de planeamento fornecido pelo Microsoft Project. No segundo caso de estudo, demonstra-se o planeamento da estrutura de dois edifícios no software CCS - Candy. Efetua-se igualmente o cálculo dos rendimentos, dimensionamento das equipas de trabalho e análise, essencialmente, do Gráfico Espaço/Tempo (LOB). Após a realização do planeamento dos dois casos de estudo, realiza-se uma pequena comparação das duas metodologias, CPM e LOB, referenciando as vantagens e desvantagens da sua utilização no planeamento de obras, seguido de uma breve conclusão. Termina-se esta dissertação com a apresentação das conclusões gerais e das propostas para trabalhos futuros.

Planeamento de uma estrada utilizando CCS Candy - Caso de estudo

O tema desta dissertação foi escolhido tendo em consideração a crescente necessidade de planeamento de empreitadas de construção de estradas, sendo um dos objetivos desta dissertação o de oferecer uma visão global do processo de planeamento da construção de uma estrada, focado apenas no fator tempo, recorrendo a ferramentas informáticas e utilizando um caso de estudo de uma estrada real e já construída. Inicialmente, faz-se uma breve descrição dos métodos de planeamento mais aplicados em planeamentos de projetos, bem como dos softwares a utilizar neste trabalho. De seguida, descreve-se o caso de estudo, indicando as suas características principais. Partindo-se deste caso real, com base no estudo do Projeto de Execução, determinam-se as atividades, as suas relações e dependências, definem-se equipas e frentes de trabalho e determinam-se os respetivos rendimentos. Após a obtenção dos rendimentos de todas as atividades, elabora-se o planeamento da estrada, focado apenas no fator tempo, recorrendo ao diagrama de Gantt e ao diagrama espaço-tempo, utilizando para isso softwares de referência no mercado, o Microsoft Project e o CCS Candy. Por fim, são apresentadas algumas das principais diferenças entre as duas ferramentas informáticas aplicadas, as conclusões gerais, assim como uma proposta de desenvolvimento futuro.

Determinação de caminhos k-críticos em redes PERT

Neste trabalho, apresenta-se um estudo sobre os principais métodos para identificar os caminhos de maior duração em redes PERT, denominados na literatura de caminhos k-críticos (quando k = 1, tem-se o caminho mais longo, conhecido tradicionalmente por caminho crítico; quando k = 2, tem-se o segundo caminho mais longo, e assim sucessivamente). São discutidos três algoritmos apresentados na literatura e propõe-se um novo procedimento, denominado algoritmo da folga mínima, que apresenta algumas vantagens sobre os anteriores. O comportamento do algoritmo da folga mínima, quando aplicado a redes PERT, é verificado por meio de simulação.

A hybrid method for large-scale short-term scheduling of make-and-pack production processes

Due to the ongoing trend towards increased product variety, fast-moving consumer goods such as food and beverages, pharmaceuticals, and chemicals are typically manufactured through so-called make-and-pack processes. These processes consist of a make stage, a pack stage, and intermediate storage facilities that decouple these two stages. In operations scheduling, complex technological constraints must be considered, e.g., non-identical parallel processing units, sequence-dependent changeovers, batch splitting, no-wait restrictions, material transfer times, minimum storage times, and finite storage capacity. The short-term scheduling problem is to compute a production schedule such that a given demand for products is fulfilled, all technological constraints are met, and the production makespan is minimised. A production schedule typically comprises 500–1500 operations. Due to the problem size and complexity of the technological constraints, the performance of known mixed-integer linear programming (MILP) formulations and heuristic approaches is often insufficient. We present a hybrid method consisting of three phases. First, the set of operations is divided into several subsets. Second, these subsets are iteratively scheduled using a generic and flexible MILP formulation. Third, a novel critical path-based improvement procedure is applied to the resulting schedule. We develop several strategies for the integration of the MILP model into this heuristic framework. Using these strategies, high-quality feasible solutions to large-scale instances can be obtained within reasonable CPU times using standard optimisation software. We have applied the proposed hybrid method to a set of industrial problem instances and found that the method outperforms state-of-the-art methods.

Successful Endomyocardial Biopsy Guided by Transthoracic Two-Dimensional Echocardiography

Introduction. Two-dimensional (2-D) echocardiography is an excellent alternative method to perform endomyocardial biopsies (EB) in special situations, mainly when the patient is in a critical state and cannot go to the catheterization laboratory or when there are contraindications to the use of fluoroscopy as in the pregnancy. Objective. This single-center experience analyzed the last 25 years use of an EB technique guided by echocardiography realized at the bedside on critical patients. Methods. From 1985 to 2010, we performed 76 EB guided by 2-D echocardiography on 59 patients, among whom 38 (64.4%) were critically ill with examinations at the bedside; among 10 (16.9%) subjects, the procedure was carried out simultaneously with fluoroscopy for safety`s sake during the learning period. In addition, 8 (13.6%) were unavailable for fluoroscopy, and 3 (5.1%) required a hybrid method due to an intracardiac tumor. Results. The main adverse effects included local pain (n = 4, 5.6%); difficult out successful puncture due to previous biopsies (n = 4, 5.6%); local hematoma without major consequences (n = 3, 4.2%); failed but ultimately successful puncture on the first try due to previous biopsies or (n = 3, 4.2%); obesity and immediate postoperative period with impossibility to pass the bioptome into the right ventricle; however 2 days later the procedure was repeated successfully by echocardiography (n = 1, 1.4%). All myocardial specimens displayed suitable size. There were no undesirable extraction effects on the tricuspid valve tissue. In this series, there was no case of death, hemopericardium, or other major complication as a direct consequence of the biopsy. Conclusion. 2-D echocardiography is a special feature to guide EB is mainly in critically ill patients because it can be performed at the bedside without additional risk or disadvantages of fluoroscopy. The hybrid method associating 2-D echocardiography and fluoroscopy allows the procedure in different situations such as intracardiac tumor cases.

Use of antibiotics in pediatric intensive care and potential savings.

OBJECTIVE: Minimizing unwarranted prescription of antibiotics remains an important objective. Because of the heterogeneity between units regarding patient mix and other characteristics, site-specific targets for reduction must be identified. Here we present a model to address the issue by means of an observational cohort study. SETTING: A tertiary, multidisciplinary, neonatal, and pediatric intensive care unit of a university teaching hospital. PATIENTS: All newborns and children present in the unit (n = 456) between September 1998 and March 1999. Reasons for admission included postoperative care after cardiac surgery, major neonatal or pediatric surgery, severe trauma, and medical conditions requiring critical care. METHODS: Daily recording of antibiotics given and of indications for initiation. After discontinuation, each treatment episode was assessed as to the presence or absence of infection. RESULTS: Of the 456 patients 258 (56.6%) received systemic antibiotics, amounting to 1815 exposure days (54.6%) during 3322 hospitalization days. Of these, 512 (28%) were prescribed as prophylaxis and 1303 for suspected infection. Treatment for suspected ventilator-associated pneumonia accounted for 616 (47%) of 1303 treatment days and suspected sepsis for 255 days (20%). Patients were classified as having no infection or viral infection during 552 (40%) treatment days. The average weekly exposure rate in the unit varied considerably during the 29-week study period (range: 40-77/100 hospitalization days). Patient characteristics did not explain this variation. CONCLUSION: In this unit the largest reduction in antibiotic treatment would result from measures assisting suspected ventilator-associated pneumonia to be ruled out and from curtailing extended prophylaxis.

Metabolic effects of parenteral nutrition enriched with n-3 polyunsaturated fatty acids in critically ill patients

BACKGROUND & AIMS: n-3 fatty acids are expected to downregulate the inflammatory responses, and hence may decrease insulin resistance. On the other hand, n-3 fatty acid supplementation has been reported to increase glycemia in type 2 diabetes. We therefore assessed the effect of n-3 fatty acids delivered with parenteral nutrition on glucose metabolism in surgical intensive care patients. METHODS: Twenty-four surgical intensive care patients were randomized to receive parenteral nutrition providing 1.25 times their fasting energy expenditure, with 0.25 g of either an n-3 fatty acid enriched-or a soy bean-lipid emulsion. Energy metabolism, glucose production, gluconeogenesis and hepatic de novo lipogenesis were evaluated after 4 days. RESULTS: Total energy expenditure was significantly lower in patients receiving n-3 fatty acids (0.015+/-0.001 vs. 0.019+/-0.001 kcal/kg/min with soy bean lipids (P<0.05)). Glucose oxidation, lipid oxidation, glucose production, gluconeogenesis, hepatic de novo lipogenesis, plasma glucose, insulin and glucagon concentrations did not differ (all P>0.05) in the 2 groups. CONCLUSIONS: n-3 fatty acids were well tolerated in this group of severely ill patients. They decreased total energy expenditure without adverse metabolic effects.

Glucose control after severe brain injury.

PURPOSE OF REVIEW: A substantial body of evidence supports the use of intensive insulin therapy in general critical care practice, particularly in surgical intensive care unit patients. The impact of intensive insulin therapy on the outcome of critically ill neurological patients, however, is still controversial. While avoidance of hyperglycemia is recommended in neurointensive care, no recommendations exist regarding the optimal target for systemic glucose control after severe brain injury. RECENT FINDINGS: An increase in brain metabolic demand leading to a deficiency in cerebral extracellular glucose has been observed in critically ill neurological patients and correlates with poor outcome. In this setting, a reduction of systemic glucose below 6 mmol/l with exogenous insulin has been found to exacerbate brain metabolic distress. Recent studies have confirmed these findings while showing intensive insulin therapy to have no substantial benefit on the outcome of critically ill neurological patients. SUMMARY: Questions persist regarding the optimal target for glucose control after severe brain injury. Further studies are needed to analyze the impact of intensive insulin therapy on brain glucose metabolism and outcome of critically ill neurological patients. According to the available evidence, a less restrictive target for systemic glucose control (6-10 mmol/l) may be more appropriate.

Parenteral nutrition in the intensive care unit: cautious use improves outcome.

Critical illness is characterised by nutritional and metabolic disorders, resulting in increased muscle catabolism, fat-free mass loss, and hyperglycaemia. The objective of the nutritional support is to limit fat-free mass loss, which has negative consequences on clinical outcome and recovery. Early enteral nutrition is recommended by current guidelines as the first choice feeding route in ICU patients. However, enteral nutrition alone is frequently associated with insufficient coverage of the energy requirements, and subsequently energy deficit is correlated to worsened clinical outcome. Controlled trials have demonstrated that, in case of failure or contraindications to full enteral nutrition, parenteral nutrition administration on top of insufficient enteral nutrition within the first four days after admission could improve the clinical outcome, and may attenuate fat-free mass loss. Parenteral nutrition is cautious if all-in-one solutions are used, glycaemia controlled, and overnutrition avoided. Conversely, the systematic use of parenteral nutrition in the ICU patients without clear indication is not recommended during the first 48 hours. Specific methods, such as thigh ultra-sound imaging, 3rd lumbar vertebra-targeted computerised tomography and bioimpedance electrical analysis, may be helpful in the future to monitor fat-free mass during the ICU stay. Clinical studies are warranted to demonstrate whether an optimal nutritional management during the ICU stay promotes muscle mass and function, the recovery after critical illness and reduces the overall costs.