451: 13-Year-Old Male With Hyperglycemic Hyperosmolar Syndrome Complicated by Multiorgan System Failure

2020 ◽  
Vol 49 (1) ◽  
pp. 216-216
Author(s):  
Kris Jones ◽  
Igor Areinamo ◽  
Marita Thompson
Author(s):  
A.Yu. Kulakov

Goal. Assess the reliability of a complex technical system with periodic reconfiguration and compare the results obtained a similar system, but without reconfiguration. Materials and methods. In this article uses the method of statistical modeling (Monte Carlo) to assess the reliability of complex system. We using the normal and exponential distribution of failure time for modeling failures of system elements. Reconfiguration algorithm is the algorithm proposed for the attitude and orbit control system of spacecraft. Results. A computer program has been developed for assessing reliability on the basis of a statistical modeling method, which makes it possible to evaluate systems of varying complexity with exponential and normal distribution, as well as with and without periodic reconfiguration. A quantitative estimate of the reliability as a function of the probability of system failure is obtained. Conclusion. It has been demonstrated that a system with reconfiguration has the best reliability characteristics, both in the case of exponential and normal distribution of failures.


1992 ◽  
Vol 26 (5-6) ◽  
pp. 1411-1420 ◽  
Author(s):  
S. H. Choudhury ◽  
S. L. Yu ◽  
Y. Y. Haimes

This paper presents an integrated methodology that allows determining the probability of noncompliance for a given wastewater treatment plant. The methodology applies fault-tree analysis, which uses failure probabilities of individual components, to predict the overall system failure probability. The methodology can be divided into two parts : risk identification and risk quantification. In risk identification, the key components in the system are determined by analyzing the contribution of individual component failures toward system failure (i.e., noncompliance). In risk quantification, a fault-tree model is constructed for the particular system, component failure probabilities are estimated, and the fault-tree model is evaluated to determine the probability of occurrence of the top event (i.e., noncompliance). A list can be developed that ranks critical events on the basis of their contributions to the probability of noncompliance. Such a ranking should assist managers to determine which components require most attention for a better performance of the entire system. A wastewater treatment plant for treating metal-bearing rinse water from an electroplating industry is used as an example to demonstrate the application of this methodology.


Author(s):  
Divesh Garg ◽  
Reena Garg ◽  
Vanita Garg

Background: A briquette machine can be considered very useful in modern times as the need of energy consumption is increasing rapidly. Considering the harm to environment, study of briquette machine is the need of present times. In this paper, the operative unit is considered as briquette machine also known as bio-coal which is used for agroforestry waste. Objective: A single operative unit has been analyzed stochastically. The inspection of breakdown of a unit reveals the feasibility of the unit under the supervision of either ordinary or expert repairmen. Two types of fault are revealed by the repairmen either minor or major fault. Minor faults are repaired immediately by the same repairmen but whenever major fault held, the machine’s fault will be handled by expert person. Method: It is assumed that the repair needs no modification once served. Availability, Mean-time for system failure, and profits are analyzed by utilizing the Regenerative point graphical technique and semi-Markov process. Result: Study reveals that the Mean-time for system failure of the system model go on decreasing as failure rate increase and availability goes on decreasing as failure-rate increase. Moreover, the study shows that the systems profit goes down on increase of Failure-rate. Conclusion: Findings of the study supports the hypothesis that the limits of failure/repair/inspection rate will surely have effective profitability. Moreover, it is found that the utility of scale of operation can easily be derived. The practical importance of biomass briquettes for burning coal or wood is very well appreciated.


2021 ◽  
Vol 1 ◽  
pp. 1023-1032
Author(s):  
Erik Aleksander Veitch ◽  
Thomas Kaland ◽  
Ole Andreas Alsos

AbstractArtificial intelligence is transforming how we interact with vehicles. We examine the case of Maritime Autonomous Surface Ships (MASS), which are emerging as a safer and more effective solution for maritime transportation. Despite the focus on autonomy, humans are predicted to have a central role in MASS operations from a Shore Control Centre (SCC). Here, operators will provide back-up control in the event of system failure. There are signification design challenges with such a system. The most critical is human-system interaction in autonomy (H-SIA). We consider humans as the source of resilience in the system for adapting to unexpected events and managing safety. We ask, can Human-Centred Design (HCD) be used to create resilient interactions between MASS and SCC? Work has been done in resilience engineering for complex systems but has not been extended to H-SIA in transportation. “Resilient interaction design” is relevant as we progress from design to operational phase. We adopted the ISO 9421-210 guideline to structure our HCD approach. The result is an SCC designed for 1 Autonomy Operator (AO). The contribution is a demonstration of how resilient interaction design may lead to safer and more effective H-SIA in transportation.


Societies ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 42
Author(s):  
Paul Miller

Racism in any society is fuelled by a number of factors, often acting independently of each other, or, at times, in concert with each other. On the one hand, anti-racism efforts rely on the alignment of four “system conditions” to stand a chance of successfully engaging and tackling racism. On the other hand, where these “system conditions” are not present, or where they are not in sync, this leads to “system failure”—a situation where racism is writ large in society and in the institutions therein, and where anti-racism efforts are severely hampered. Drawing on evidence from within the education sector and elsewhere in UK society, this paper examines how a lack of alignment between “system conditions” hampers antiracism efforts, and simultaneously reinforces racism in society and in institutions—leading to gridlock or “system failure” around anti-racism.


2021 ◽  
Vol 1 ◽  
pp. 3369-3378
Author(s):  
Stephan Husung ◽  
Christian Weber ◽  
Atif Mahboob ◽  
Sven Kleiner

AbstractModel-Based Systems Engineering (MBSE) is an efficient approach to support product development in order to meet today's challenges. The MBSE approach includes methods and, above all, modelling approaches of the technical system with the aim of continuous use in development. The objective of this paper is to use the potential of the MBSE models and to show the added value of such models on the system level when used as a single source. With this objective, this paper presents a three-step approach to systematically identify and apply meaningful modelling approaches within MBSE, based on the needs during the development process. Furthermore, an FMEA example is included in this paper to elaborate the use of MBSE in the system failure analysis.


Complacency potential is an important measure to avoid performance error, such as neglecting to detect a system failure. This study updates and expands upon Singh, Molloy, and Parasuraman’s 1993 Complacency-Potential Rating Scale (CPRS). We updated and expanded the CPRS questions to include technology commonly used today and how frequently the technology is used. The goal of our study was to update the scale, analyze for factor shifts and internal consistency, and to explore correlations between the individual values for each factor and the frequency of use questions. We hypothesized that the factors would not shift from the original and the revised CPRS’s four subscales. Our research found that the revised CPRS consisted of only three subscales with the following Cronbach’s Alpha values: Confidence: 0.599, Safety/Reliability: 0.534, and Trust: 0.201. Correlations between the subscales and the revised complacency-potential and the frequency of use questions are also discussed.


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