Product forms as a solution base for queueing systems

A class of queueing networks has a product-form solution. It is interesting to investigate which queueing systems have solutions in the form of linear combinations of product forms. In this paper it is investigated when the equilibrium distribution of one or two-dimensional Markovian queueing systems can be written as linear combination of products of powers. Also some cases with extra supplementary variables are investigated

Evaluation of a new sonic anemometer for routine monitoring and emergency response applications

Recently, several new sonic anemometers have become available for routine wind measurements. Sonic anemometers avoid many problems associated with the traditional rotating anemometer and vane sets- inertia of moving parts, bearing wear, contamination from dust and ice, frequent maintenance. Without a starting threshold, the sonic anemometer also produces more accurate measurements of wind direction and sigma theta at very low wind speeds. We illustrate these advantages by comparing 20 days of observations from a new sonic anemometer with data from existing cup and vane sensors at the 10-m level of Lawrence Livermore National Laboratory`s meteorological tower

Game theory for computer games design

Designing and developing computer games can be a complex activity that may involve professionals from a variety of disciplines. In this article, we examine the use of game theory for supporting the design of game play within the different sections of a computer game, and demonstrate its application in practice via adapted high-level decision trees for modelling the flow in game play and payoff matrices for modelling skill or challenge levels

The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is not appropriate for withholding surgery in high-risk patients with aortic stenosis: a retrospective cohort study

<p>Abstract</p> <p>Background</p> <p>The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is a widely used risk assessment tool in patients with severe aortic stenosis to determine operability and to select patients for alternative therapies such as transcatheter aortic valve implantation. The objective of this study was to determine the accuracy of the EuroSCORE in predicting mortality following aortic valve replacement (AVR).</p> <p>Methods</p> <p>The logistic EuroSCORE was determined for all consecutive patients that underwent conventional AVR between 1995 and 2005 at our institution. Provincial Vital Statistics were used to determine all-cause mortality. The accuracy of the prognostic risk prediction provided by logistic EuroSCORE was assessed by comparing observed and expected operative mortality.</p> <p>Results</p> <p>During the study period, a total of 1,421 patients underwent AVR including 237 patients (16.7%) that had a logistic EuroSCORE > 20. Among these patients, the mean predicted operative mortality was 38.7% (SD = 18.1). The actual mortality of these patients was significantly lower than that predicted by EuroSCORE (11.4% vs. 38.7%, observed/expected ratio 0.29, 95% CI 0.15–0.52, P < 0.05). The EuroSCORE overestimated mortality within all strata of predicted risk. Although medium-term mortality is significantly higher among patients with EuroSCORE > 20 (log rank P = 0.0001), approximately 60% are alive at five years.</p> <p>Conclusion</p> <p>Actual operative mortality in patients undergoing AVR is significantly lower than that predicted by the logistic EuroSCORE. Additionally, medium-term survival following AVR is acceptable in high-risk patients with EuroSCORE > 20. More accurate risk prediction models are needed for risk-stratifying patients with severe aortic stenosis.</p

Intraaortic Balloon Pump Counterpulsation and Cerebral Autoregulation: an observational study

The use of Intra-aortic counterpulsation is a well established supportive therapy for patients in cardiac failure or after cardiac surgery. Blood pressure variations induced by counterpulsation are transmitted to the cerebral arteries, challenging cerebral autoregulatory mechanisms in order to maintain a stable cerebral blood flow. This study aims to assess the effects on cerebral autoregulation and variability of cerebral blood flow due to intra-aortic balloon pump and inflation ratio weaning