935 resultados para Orbital elements


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UANL

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UANL

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UANL

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UANL

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UANL

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UANL

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Les pédiatres intensivistes ont plusieurs éléments disponibles pour guider leurs décisions par rapport à la ventilation mécanique. Par contre, aucune étude prospective ne décrit les éléments auxquels les intensivistes se réfèrent pour modifier les paramètres du respirateur. Objectifs : Décrire la pratique actuelle de la modification des paramètres du respirateur aux soins intensifs du CHU Sainte-Justine, un hôpital pédiatrique tertiaire. Hypothèse : 80% des modifications des paramètres du respirateur influant sur l’épuration du CO2 sont liées à l’analyse de la PCO2 ou du pH et 80% des modifications des paramètres d’oxygénation sont liés à l’analyse de l’oxymétrie de pouls. Méthodes : En se servant d’un logiciel de recueil de données, les soignants ont enregistré un critère de décision primaire et tous les critères de décision secondaires menant à chaque modification de paramètre du respirateur au moment même de la modification. Résultats : Parmi les 194 modifications des paramètres du respirateur influant sur l’épuration du CO2, faites chez vingts patients, 42.3% ±7.0% avaient pour critère primaire la PCO2 ou le pH sanguin. Parmi les 41 modifications de la pression expiratoire positive et les 813 modifications de la fraction d’oxygène inspirée, 34.1% ±14.5% et 84.5% ±2.5% avaient pour critère primaire l’oxymétrie de pouls, respectivement. Conclusion : Les médecins surestiment le rôle de la PCO2 et du pH sanguins et sousestiment le rôle d’autres critères de décision dans la gestion de la ventilation mécanique. L’amélioration de notre compréhension de la pratique courante devrait aider à l’éboration des systèmes d’aide à la décision clinique en assistance respiratoire.

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Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

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Queueing system in which arriving customers who find all servers and waiting positions (if any) occupied many retry for service after a period of time are retrial queues or queues with repeated attempts. This study deals with two objectives one is to introduce orbital search in retrial queueing models which allows to minimize the idle time of the server. If the holding costs and cost of using the search of customers will be introduced, the results we obtained can be used for the optimal tuning of the parameters of the search mechanism. The second one is to provide insight of the link between the corresponding retrial queue and the classical queue. At the end we observe that when the search probability Pj = 1 for all j, the model reduces to the classical queue and when Pj = 0 for all j, the model becomes the retrial queue. It discusses the performance evaluation of single-server retrial queue. It was determined by using Poisson process. Then it discuss the structure of the busy period and its analysis interms of Laplace transforms and also provides a direct method of evaluation for the first and second moments of the busy period. Then it discusses the M/ PH/1 retrial queue with disaster to the unit in service and orbital search, and a multi-server retrial queueing model (MAP/M/c) with search of customers from the orbit. MAP is convenient tool to model both renewal and non-renewal arrivals. Finally the present model deals with back and forth movement between classical queue and retrial queue. In this model when orbit size increases, retrial rate also correspondingly increases thereby reducing the idle time of the server between services

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Rare earth elements have occupied an important role in marine geochemical research, particularly as used in the format of REE abundance patterns to describe the geochemical pathways in marine sedimentation and authigenesis. This study concentrates on the distribution pattern of Rare earth elements in the sediments, behavior of Eu and Ce with respect to their occurrence in multiple oxidation states. It also concentrate the depth wise variation of sediment REEs from near shore areas (30m) to deeper depths 200m) in the Arabian Sea. It includes the downcore variation of REEs and other trace elements in the sediment cores and a comparison between the REE distributions of Arabian Sea sediment with the sediments of Andaman Sea. The study gives a general introduction regarding the importance of RRE studies, its occurrence and abundance, electronic configuration, lanthanide contraction, oxidations states and REE supply to the ocean, seawater and sediments.