This article describes EvergreenHealth’s processes and lessons learned as it evolved toward centralized continuous monitoring of SpO 2 of patients on opioids. The main focus of this report is how EvergreenHealth implemented the first phase of its initiative, which included centralized continuous monitoring of postoperative patients on opioids (regardless of the route of administration) who yiel...

Lightning is an important cause of weather-related morbidity and mortality and is often underrated. There has been an increase in the proportion of casualties occurring during outdoor sport and recreational activities over recent years. However, in Australia, there is a deficiency in recommendations for lightning safety at sporting events. Organisers of sporting events should have a lightning s...

In this paper, slewing maneuver of a flexible spacecraft with large angle of rotation is considered and assuming structural frequency uncertainties a robust minimum-time optimal control law is developed. Considering typical bang-bang control commands with multiple symmetrical switches, a parameter optimization procedure is introduced to find the control forces/torques. The constrained minimizat...

Abstract Background Obstructive Sleep Apnoea (OSA) is common yet often undiagnosed in older people as symptoms of fatigue and poor sleep are non-specific. OSA screening tools also lack validity patients. This study aims to review the clinical presentation, use treatment adherence people. Methods A retrospective cohort patients >65 years attending a tertiary clinic who underwent polysomno...

Studies focusing on subjective assessment of risk obstructive sleep apnea in general population are sparse. The purpose this cross- sectional study was to assess the a visiting dental Out Patient Department. Three hundred consenting participants between age group 18-65yrs reporting OPD were enrolled study. Polysomnography is gold standard diagnosis OSA, however, due cost and elaborate procedure...

in this paper, an integration of improve particle swarm optimization (ipso) incombination with successive quadratic programming (sqp) so called ipso-sqpalgorithm is proposed to solve time optimal bang-bang control problems. theprocedure is found not sensitive to the initial guess of the solution. due to randomselection in the first stage of the search process, the chance of converging to theglo...

A constrained version of the Big Bang-Big Crunch algorithm for the efficient solution of the optimal reservoir operation problems is proposed in this paper. Big Bang-Big Crunch (BB-BC) algorithm is a new meta-heuristic population-based algorithm that relies on one of the theories of the evolution of universe namely, the Big Bang and Big Crunch theory. An improved formulation of the algorithm na...