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- Holguín-Veras, J., et al.
(author)
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The New York city off-hour delivery program: A business and community-friendly sustainability program
- 2018
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In: Interfaces. - : Institute for Operations Research and the Management Sciences (INFORMS). - 0092-2102 .- 1526-551X. ; 48:1, s. 70-86
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Journal article (peer-reviewed)abstract
- The New York City Off-Hour Delivery (NYC OHD) program is the work of a private-public-academic partnership - A collaborative effort of leading private-sector groups and companies, public-sector agencies led by the New York City Department of Transportation, and research partners led by Rensselaer Polytechnic Institute. The efforts of this partnership have induced more than 400 commercial establishments in NYC to accept OHD without supervision. The economic benefits are considerable: The carriers have reduced operational costs and parking fines by 45 percent; the receivers enjoy more reliable deliveries, enabling them to reduce inventory levels; the truck drivers have less stress, shorter work hours, and easier deliveries and parking; the delivery trucks produce 55-67 percent less emissions than they would during regular-hour deliveries, for a net reduction of 2.5 million tons of CO2 per year; and citizens' quality of life increases as a result of reduced conflicts between delivery trucks, cars, bicycles, and pedestrians, and through the use of low-noise delivery practices and technologies that minimize the impacts of noise. The total economic benefits exceed $20 million per year. The success of the OHD program is due largely to the policy design at its core, made possible with the behavioral microsimulation. This unique optimization-simulation system incorporates the research conducted into an operations research/management science tool that assesses the effectiveness of alternative policy designs. This enabled the successful implementation of the project within the most complex urban environment in the United States.
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- Gonzalez-Calderon, Carlos A., et al.
(author)
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Characterization and analysis of metropolitan freight patterns in Medellin, Colombia
- 2018
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In: European Transport Research Review. - : Springer Science and Business Media LLC. - 1867-0717 .- 1866-8887. ; 10:2
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Journal article (peer-reviewed)abstract
- This paper seeks to pilot test a novel way to collect freight and service activity data and analyze the collected data in the metropolitan area of Medellin, Colombia. This research collects data using a multi-layer and multi-actor approach that includes surveys to receivers, suppliers, carriers, and truck drivers. The data are used by the authors to describe the overall freight patterns in the area of study and to show lessons learned. The data collection resulted in 2947 establishments (4.4% of the total establishments in the city), a cordon survey of 2950 commercial vehicles (17% of the total vehicle volume) accessing the urban area, and carrier interviews to ten companies and 130 truck drivers. The results indicate that a total of 33,274 metric tons/day enter the study area, 35,240 tons/day leave the area; while 7000 tons/day are distributed in the study area. In terms of freight trips, 6600 trips/day enter the study zone and 6600 trips/day leave it. The data collection effort enabled the analyses of freight generation patterns. The freight surveys used in the study complement each other, and provided a good depiction of the freight movements in urban areas. It was found that in the Medellin Metropolitan Area, freight-intensive sector establishments generates, on average, significantly more cargo (freight attraction plus production) than the service-intensive sectors. The analyses of the surveys allow the decision makers to understand the nature of the cargo and the generation patterns in different type of establishments. This characterization of the freight patterns is vital for the forecasting of the behavior of the cargo and it is the main input to perform freight demand modeling for city planning, especially for developing countries, where there are too many budget constraints.
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- Holguin-Veras, Jose, et al.
(author)
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A Multiclass Tour Flow Model and Its Role in Multiclass Freight Tour Synthesis
- 2020
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In: Transportation Science. - : Institute for Operations Research and the Management Sciences (INFORMS). - 0041-1655 .- 1526-5447. ; 54:3, s. 631-650
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Journal article (peer-reviewed)abstract
- This paper summarizes the research conducted by the authors concerning the development of an analytical freight demand model that explicitly considers freight pickup and delivery flows by industry sector, the multiclass tour flow model (MC-TFM). The mathematical properties of the resultant model are investigated, including the convexity of the optimization model, the interconnection between the MC-TFM and the family of gravity models, and the MC-TFM's elasticities. The MC-TFM is then integrated into a multiclass freight tour synthesis model (MC-FTS) that is capable of inferring freight tour demand on the basis of secondary data such as traffic counts and estimates of freight trip generation by industry sector. The ability of the resulting MC-FTS is tested by means of numerical experiments involving test cases.
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- Holguin-Veras, José, et al.
(author)
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Importance and Potential Applications of Freight and Service Activity Models
- 2018
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In: City Logistics 1: New Opportunities and Challenges / edited by Eiichi Taniguchi, Russell G. Thompson.. - London & New York : Wiley-ISTE. - 9781786302052 ; , s. 45-63
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Book chapter (peer-reviewed)abstract
- This chapter aims to raise awareness about the importance of the specific consideration of the needs of Freight and Service Activity (FSA) in transportation planning and management efforts. It also aims to exemplify the potential application of establishment‐level FSA models to support these efforts. FSA encompasses a wide range of activities performed at commercial establishments. The freight side of FSA represents the pick‐up and delivery activity associated with the production and consumption of supplies. The chapter provides a summary of key features of urban economies and their relation to FSA. It briefly describes the data and approach used to estimate FSA models. The chapter summarizes the chief findings of the research. FSA models have multiple practical applications. This is possible because the establishment‐level nature of these models allows them to be used at various levels of geography, ranging from the state/metropolitan level to local analyses at the building level.
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- Manzano-Nuñez, R., et al.
(author)
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Use of REBOA in the universe of magical realism : A real-world review
- 2022
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In: Colombian Journal of Anesthesiology. - : Sociedad Colombiana de Anestesiologia y Reanimacion. - 2256-2087 .- 2422-0248. ; 50:1
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Research review (peer-reviewed)abstract
- While reading the novella "Chronicle of a Death Foretold" by the Colombian Nobel Laureate Gabriel García-Marquez, we were surprised to realize that the injuries sustained by the main character could have been successfully treated had he received modern trauma care in which REBOA may have been considered. This is a discussion of Mr. Nasar's murder to explore whether he could have been saved by deploying REBOA as a surgical adjunct to bleeding control and resuscitation. In reading García-Marquez's novel we noted the events that unfolded at the time of Santiago Nasar's murder. To contextualize the claim that Mr. Nasar could have survived, had his injuries been treated with REBOA, we explored and illustrated what could have done differently and why. On the day of his death, Mr. Nasar sustained multiple penetrating stab wounds. Although he received multiple stab wounds to his torso, the book describes seven potentially fatal injuries, resulting in hollow viscus, solid viscus, and major vascular injuries. We provided a practical description of the clinical and surgical management algorithm we would have followed in Mr. Nasar's case. This algorithm included the REBOA deployment for hemorrhage control and resuscitation. The use of REBOA as part of the surgical procedures performed could have saved Mr. Nasar's life. Based on our current knowledge about REBOA in trauma surgery, we claim that its use, coupled with appropriate surgical care for hemorrhage control, could have saved Santiago Nasar's life, and thus prevent a death foretold. © 2022 Lippincott Williams and Wilkins. All rights reserved.
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- Ordoñez, Carlos A., et al.
(author)
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Critical systolic blood pressure threshold for endovascular aortic occlusion : A multinational analysis to determine when to place a REBOA
- 2024
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In: Journal of Trauma and Acute Care Surgery. - : Lippincott Williams & Wilkins. - 2163-0755 .- 2163-0763. ; 96:2, s. 247-255
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Journal article (peer-reviewed)abstract
- BACKGROUND: Systolic blood pressure (SBP) is a potential indicator that could guide when to use a resuscitative endovascular balloon occlusion of the aorta (REBOA) in trauma patients with life-threatening injuries. This study aims to determine the optimal SBP threshold for REBOA placement by analyzing the association between SBP pre-REBOA and 24-hour mortality in severely injured hemodynamically unstable trauma patients.METHODS: We performed a pooled analysis of the Aortic Balloon Occlusion (ABO) trauma and AORTA registries. These databases record the details related to the use of REBOA and include data from 14 countries worldwide. We included patients who had suffered penetrating and/or blunt trauma. Patients who arrived at the hospital with a SBP pre-REBOA of 0 mm Hg and remained at 0 mm Hg after balloon inflation were excluded. We evaluated the impact that SBP pre-REBOA had on the probability of death in the first 24 hours.RESULTS: A total of 1107 patients underwent endovascular aortic occlusion, of these, 848 met inclusion criteria. The median age was 44 years [IQR, 27-59 years] and 643(76%) were male. The median injury severity score was 34 [IQR, 25-45]. The median SBP pre-REBOA was 65 mm Hg [IQR: 49-88 mm Hg]. Mortality at 24-hours was reported in 279 (32%) patients. Math modelling shows that predicted probabilities of the primary outcome increased steadily in SBP pre-REBOA below 100 mm Hg. Multivariable mixed-effects analysis shows that when SBP pre-REBOA was lower than 60 mm Hg, the risk of death was more than 50% (relative risk, 1.5; 95%CI, 1.17-1.92; P = .001).DISCUSSION: In patients who do not respond to initial resuscitation, the use of REBOA in SBP's between 60- and 80-mm Hg may be a useful tool in resuscitation efforts before further decompensation or complete cardiovascular collapse. The findings from our study are clinically important as a first step in identifying candidates for REBOA.STUDY TYPE: Observational Study. LEVEL OF EVIDENCE: Level IV.
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- Ordoñez, Carlos A., et al.
(author)
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REBOA as a New Damage Control Component in Hemodynamically Unstable Noncompressible Torso Hemorrhage Patients
- 2020
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In: Colombia Médica. - : Corporacion Editora Medica del Valle. - 0120-8322 .- 1657-9534. ; 51:4
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Journal article (peer-reviewed)abstract
- Noncompressible torso hemorrhage is one of the leading causes of preventable death worldwide. An efficient and appropriate evaluation of the trauma patient with ongoing hemorrhage is essential to avoid the development of the lethal diamond (hypothermia, coagulopathy, hypocalcemia, and acidosis). Currently, the initial management strategies include permissive hypotension, hemostatic resuscitation, and damage control surgery. However, recent advances in technology have opened the doors to a wide variety of endovascular techniques that achieve these goals with minimal morbidity and limited access. An example of such advances has been the introduction of the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), which has received great interest among trauma surgeons around the world due to its potential and versatility in areas such as trauma, gynecology & obstetrics and gastroenterology. This article aims to describe the experience earned in the use of REBOA in noncompressible torso hemorrhage patients. Our results show that REBOA can be used as a new component in the damage control resuscitation of the severely injured trauma patient. To this end, we propose two new deployment algorithms for hemodynamically unstable noncompressible torso hemorrhage patients: one for blunt and another for penetrating trauma. We acknowledge that REBOA has its limitations, which include a steep learning curve, its inherent cost and availability. Although to reach the best outcomes with this new technology, it must be used in the right way, by the right surgeon with the right training and to the right patient.
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