17 research outputs found

    Determining Optimal Machine Replacement Events with Periodic Inspection Intervals

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    This research will examine the optimal maintenance and replacement policies for a generic machine with periodic inspection intervals. The considered reliability models consist of a single machine that can fail during operation or else may be found to be inoperative during regularly-scheduled maintenance inspections. A distinction will be made between spontaneously-occurring failures during operation and those that are discovered during inspections. Since the elapsed time between inspections is constant, the resulting stochastic reliability process becomes non-Markovian, and thus a Semi-Markov Decision Process (SMDP) framework must be employed in order to determine the cost-optimal stationary policy consisting of repair and replace decisions and inspection intervals. Using the methodology developed here, a system controller will be able to readily develop an inspection-based strategy to optimize the overall costs of maintaining systems with a variety of failure characteristics over a finite time horizo

    Nutrition rehabilitation of undernourished children utilizing Spiruline and Misola

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    BACKGROUND: Malnutrition constitutes a public health problem throughout the world and particularly in developing countries. AIMS: The objective of the study is to assess the impact of an elementary integrator composed of Spiruline (Spirulina platensis) and Misola (millet, soja, peanut) produced at the Centre Medical St Camille (CMSC) of Ouagadougou, Burkina Faso, on the nutritional status of undernourished children. MATERIALS AND METHODS: 550 undernourished children of less than 5 years old were enrolled in this study, 455 showed severe marasma, 57 marasma of medium severity and 38 kwashiorkor plus marasma. We divided the children randomly into four groups: 170 were given Misola (731 ± 7 kcal/day), 170 were given Spiruline plus traditional meals (748 ± 6 kcal/day), 170 were given Spiruline plus Misola (767 ± 5 kcal/day). Forty children received only traditional meals (722 ± 8 kcal/day) and functioned as the control group. The duration of this study was eight weeks. RESULTS AND DISCUSSION: Anthropometrics and haematological parameters allowed us to appreciate both the nutritional and biological evolution of these children. The rehabilitation with Spiruline plus Misola (this association gave an energy intake of 767 ± 5 kcal/day with a protein assumption of 33.3 ± 1.2 g a day), both greater than Misola or Spiruline alone, seems to correct weight loss more quickly. CONCLUSION: Our results indicate that Misola, Spiruline plus traditional meals or Spiruline plus Misola are all a good food supplement for undernourished children, but the rehabilitation by Spiruline plus Misola seems synergically favour the nutrition rehabilitation better than the simple addition of protein and energy intake

    Images in Anesthesiology: Pyloric Stenosis

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