112 research outputs found

    Parametric general quasi variational inequalities

    Get PDF
    In this paper, we prove that the general quasi variational inequalities are equivalent to the fixed point problem using the projection technique. We use this equivalent formulation to study the sensitivity analysis of the general quasi variational inequality. Our approach is very simple. Several special cases are also discussed

    Some aspects of variational inequalities

    Get PDF
    AbstractIn this paper we provide an account of some of the fundamental aspects of variational inequalities with major emphasis on the theory of existence, uniqueness, computational properties, various generalizations, sensitivity analysis and their applications. We also propose some open problems with sufficient information and references, so that someone may attempt solution(s) in his/her area of special interest. We also include some new results, which we have recently obtained

    Error estimates for the finite element solutions of variational inequalities

    Get PDF
    For piecewise linear approximation of variational inequalities associated with the mildly nonlinear elliptic boundary value problems having auxiliary constraint conditions, we prove that the error estimate for u−uh in the W1,2-norm is of order h

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

    Get PDF
    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
    corecore