Background and objectives: High energy proximal tibia fractures (OTA 41/Schatzker 4/5/6) are comm... more Background and objectives: High energy proximal tibia fractures (OTA 41/Schatzker 4/5/6) are common in motorbike accidents even in semi urban and sub-urban areas. Recommended management involves two stages with conventional Mantra of 'Span-Scan-Plan'. First stage involves temporary knee spanning external xator to prevent or manage impending compartment syndrome. This is followed by CTScan. The second stage is the denitive internal xation. These recommendations are not universally followed due to certain infrastructural and acceptability constraints inuencing decision making. Summary: The study is designed as prospective observational study. It is conducted in a District Hospital setup. An effort to dene and recognise “Impending Compartment Syndrome” is made by developing a clinical criteria based evaluation score. This score was used to monitor fracture related soft tissue changes over the initial period until denitive xation. All patients underwent temporary stabilis...
The paper investigates a M / M ( b , b ) /1 queuing model with bulk service. The server serves th... more The paper investigates a M / M ( b , b ) /1 queuing model with bulk service. The server serves the customers in batches of fixed size b , and the service time is assumed to be exponentially distribution. Customers arrive to the system as a Poisson process and may renege after waiting in the queue for an exponentially distributed time. The reneging of a customer depends on the state of the system. The model is analyzed to find the different measures of effectiveness of the model. The approach adopted is based on embedded Markov chains.
The paper investigates a M/M/1 queuing model with bulk service customers in batches of fixed size... more The paper investigates a M/M/1 queuing model with bulk service customers in batches of fixed size b, and the service time is assumed to be exponentially distribution. Customers arrive to the system as a Poisson process and may renege after waiting in the queue for an exponentially distributed time the system. The model is analyzed to find the different measures of effectiveness of the model approach adopted is based on embedded Markov chains ______________________________
Background and objectives: High energy proximal tibia fractures (OTA 41/Schatzker 4/5/6) are comm... more Background and objectives: High energy proximal tibia fractures (OTA 41/Schatzker 4/5/6) are common in motorbike accidents even in semi urban and sub-urban areas. Recommended management involves two stages with conventional Mantra of 'Span-Scan-Plan'. First stage involves temporary knee spanning external xator to prevent or manage impending compartment syndrome. This is followed by CTScan. The second stage is the denitive internal xation. These recommendations are not universally followed due to certain infrastructural and acceptability constraints inuencing decision making. Summary: The study is designed as prospective observational study. It is conducted in a District Hospital setup. An effort to dene and recognise “Impending Compartment Syndrome” is made by developing a clinical criteria based evaluation score. This score was used to monitor fracture related soft tissue changes over the initial period until denitive xation. All patients underwent temporary stabilis...
The paper investigates a M / M ( b , b ) /1 queuing model with bulk service. The server serves th... more The paper investigates a M / M ( b , b ) /1 queuing model with bulk service. The server serves the customers in batches of fixed size b , and the service time is assumed to be exponentially distribution. Customers arrive to the system as a Poisson process and may renege after waiting in the queue for an exponentially distributed time. The reneging of a customer depends on the state of the system. The model is analyzed to find the different measures of effectiveness of the model. The approach adopted is based on embedded Markov chains.
The paper investigates a M/M/1 queuing model with bulk service customers in batches of fixed size... more The paper investigates a M/M/1 queuing model with bulk service customers in batches of fixed size b, and the service time is assumed to be exponentially distribution. Customers arrive to the system as a Poisson process and may renege after waiting in the queue for an exponentially distributed time the system. The model is analyzed to find the different measures of effectiveness of the model approach adopted is based on embedded Markov chains ______________________________
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