In this paper, a meta-heuristic method, the Bat Algorithm, based on the echolocation behavior of bats is used to determine the optimum service rate of a queue problem. A finite buffer M/M/1 queue with N policy, multiple working vacations and Bernoulli schedule vacation interruption is considered. Under the two customers' impatient situations, balking and reneging, the...

BACKGROUND Ventilator-associated pneumonia (VAP) is a common side effect in patients who receive intravenous sedation infusion. In routine care, after starting sedation infusion for patients who receive mechanical ventilation, interruption of sedation starts without protocol. This study aimed to evaluate the effect of daily sedation vacation protocol on the incidence of VAP in mechanically vent...

Consider an M/M/1 retrial queue with collisions and working vacation interruption under N-policy. We use a quasi birth and death process to describe the considered system and derive a condition for the stability of the model. Using the matrix-analytic method, we obtain the stationary probability distribution and some performance measures. Furthermore, we prove the conditional stochastic decompo...

Abstract Daily sedation interruption or vacation is a strategy for neurological evaluation, respiratory mechanics, cardiac stability, and eventual weaning to extubation. However, its application has safety aspects such as pulmonary, cardiac, complications. A protocol-driven in the medical intensive care helps with reduction length of stay increase ventilator-free days.1,2 The same approach can ...

In this paper we consider M[X]/G(a, b)/1 queueing system with accessible service, server breakdown without interruption, multiple vacation and closedown time. The service rule is as follows: the server starts service only when a minimum number of customers ′a′ is available in the queue and the maximum service capacity is ′b′ units such that late entries are allowed to join a service batch, with...