Viable medical waste chain network design by considering risk and robustness

2021-10-01
Lotfi, Reza
Kargar, Bahareh
Gharehbaghi, Alireza
Weber, Gerhard-Wilhelm
Medical waste management (MWM) is an important and necessary problem in the COVID-19 situation for treatment staff. When the number of infectious patients grows up, the amount of MWMs increases day by day. We present medical waste chain network design (MWCND) that contains health center (HC), waste segregation (WS), waste purchase contractor (WPC), and landfill. We propose to locate WS to decrease waste and recover them and send them to the WPC. Recovering medical waste like metal and plastic can help the environment and return to the production cycle. Therefore, we proposed a novel viable MWCND by a novel two-stage robust stochastic programming that considers resiliency (flexibility and network complexity) and sustainable (energy and environment) requirements. Therefore, we try to consider risks by conditional value at risk (CVaR) and improve robustness and agility to demand fluctuation and network. We utilize and solve it by GAMS CPLEX solver. The results show that by increasing the conservative coefficient, the confidence level of CVaR and waste recovery coefficient increases cost function and population risk. Moreover, increasing demand and scale of the problem makes to increase the cost function.
ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH

Suggestions

Evaluation of disseminated candidiasis on an experimental animal model: A Fourier transform infrared study
Dogan, Ayca; Ergen, Kivanc; Budak, Fatma; Severcan, Feride (SAGE Publications, 2007-02-01)
Invasive candidiasis, defined as candidemia and disseminated candidiasis, is the most common fungal infection in hospitalized patients. In the current study, we used Fourier transform infrared (FT-IR) spectroscopy as a rapid, non-perturbing technique to investigate the effects of disseminated candidiasis on mouse liver tissues at the molecular level. The results revealed that the infection caused compositional changes in the tissues by decreasing the lipid content and the ratio of the saturated lipids to un...
Understanding the Role of Polymer Surface Nanoscale Topography on Inhibiting Bacteria Adhesion and Growth
Liu, Luting; Ercan, Batur; Sun, Linlin; Ziemer, Katherine S.; Webster, Thomas J. (2016-01-01)
Catheter-associated infections, most of which are caused by microbial biofilms, are still a serious issue in healthcare and are associated with significant morbidity, mortality, and excessive medical costs. Currently, the use of nanostructured materials, especially materials with nano featured topographies, which have more surface area, altered surface energy, enhanced select protein adsorption, and selectively increased desirable cell functions while simultaneously decreasing competitive cell functions, se...
Stem cell based nerve tissue engineering on guided constructs
Yücel, Deniz; Hasırcı, Vasıf Nejat; Department of Biotechnology (2009)
Nerve injury is a serious clinical problem that has a direct impact on the quality of life. Nerve tissue engineering (NTE) is one of the most promising methods in human health care to restore the function of damaged neural tissues. The current state of the art involves the construction of a tissue engineered, nano or micropatterned 3-D nerve tube that has fibers or channels in the inside. The scope of this study is to construct a 3-D, biodegradable nerve tube which consists of an aligned, electrospun mat se...
A deep learning approach to surface reconstruction for surgical navigation during laparoscopic, endoscopic or robotic surgery
Zabardast, Ami; Mumcuoğlu, Ünal Erkan; Department of Medical Informatics (2019)
Minimally invasive surgical procedures utilize technology to provide surgeons with more functionality as well as a better perspective to help them succeed in their tasks and reduce operations risks. Surgeons usually rely on screens and cameras during minimally invasive surgeries such as Laparoscopic, Endoscopic, or Robotic Surgeries. Currently, operating rooms use information from different modalities such as Computer-Aided Tomography and Magnetic Resonance Imaging. However, the information is not integrate...
Attitudes and opinions of people who use medical services about privacy and confidentiality of health information in electronic environment
Özkan, Özlem; Arifoğlu, Ali; Saka, Osman; Department of Medical Informatics (2011)
In health services, it is a necessity to keep the records of the patients. Although paper-based records are commonly used for this aim, they are not as convenient as computerized records. Therefore, many of the health facilities have recently started keeping patients’ health records in electronic databases. However, new questions about confidentiality and privacy of these records were raised with this new system.This study aims to investigate the opinions and attitudes of the people who use the health servi...
Citation Formats
R. Lotfi, B. Kargar, A. Gharehbaghi, and G.-W. Weber, “Viable medical waste chain network design by considering risk and robustness,” ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH, pp. 0–0, 2021, Accessed: 00, 2021. [Online]. Available: https://hdl.handle.net/11511/94168.