Strategies for improving a long-established terminal’s performance: a simulation study of a Turkish container terminal

Due to a long-lasting increase in global trade, only interrupted by the late-2000s economic crisis, container traffic has grown dramatically. As a result, new terminals have opened and existing terminals face much higher container handling than before. In order to meet these challenges, one of the biggest container terminals in Turkey has begun to reconsider its terminal operations and to achieve improvements of its overall logistics performance. Because the factors impacting the terminal’s performance are highly interrelated, a simulation model was developed to analyze the terminal operations, to identify potential bottleneck resources and to highlight directions for the future development of the configuration and the operational control system. For a long-established terminal like the one considered in this study the options for improving the overall performance are limited by the geographical dimensions and by the existing terminal equipment. By use of the simulation model the terminal operations are evaluated under different workload scenarios and alternative configurations are tested in order to support strategic decisions on the terminal’s development.     

Role of Contrast Media on Oxidative Stress, Ca2+ Signaling and Apoptosis in Kidney

Contrast media (CM)-induced nephropathy is a common cause of iatrogenic acute renal failure. The aim of the present review was to discuss the mechanisms and risk factors of CM, to summarize the controlled studies evaluating measures for prevention and to conclude with evidence-based strategies for prevention. A review of the relevant literature and results from recent clinical studies as well as critical analyses of published systematic reviews used MEDLINE and the Science Citation Index. The cytotoxicity induced by CM leads to apoptosis and death of endothelial and tubular cells and may be initiated by cell membrane damage together with reactive oxygen species (ROS) and inflammation. Cell damage may be aggravated by factors such as tissue hypoxia, properties of individual CM such as ionic strength, high osmolarity and/or viscosity. Clinical studies indeed support this possibility, suggesting a protective effect of ROS scavenging with the administration of N-acetylcysteine, ascorbic acid erdosteine, glutathione and bicarbonate infusion. The interaction between extracellular Ca²⁺, which plays a central role in intercellular contacts and production of ROS, and the in vitro toxicity of CM was also reviewed. The current review addresses the role of oxidative stress in the pathogenesis of CM in the kidney as well as current and potential novel treatment modalities for the prevention of neutrophil activation and CM-induced kidney degeneration in patients. ROS production through CM-induced renal hypoxia may exert direct tubular and vascular endothelial injury. Preventive strategies via antioxidant supplementation include inhibition of ROS generation or scavenging.