Conclusion:Early mobilization protocols can be implemented in ICUs after adequate addressing of potential barriers that can face healthcare workers, prepare the ICU environment with equipment and trained personnel.
This paper presents an adaptive controller for load-frequency control of power systems. The proposed controller compared with a conventional PID controllers tuned by genetic algorithm technique, Water Cycle (WCA) Optimization. MATLAB /SIMULINK had used to make a digital simulation. . The overshoots and settling times with the proposed Genetic-(WCA) controller are better than the outputs of the conventional PID controllers.
Percutaneous dilatational tracheostomy (PDT) is routinely performed by bronchoscopy guided technique in the intensive care unit. Recently, ultrasound has become a potentially useful tool for PDT to reduce procedure-related complications. The aim of this study is to evaluate the safety and the efficacy of real time ultrasound guided PDT compared to bronchoscopy-guided PDT in critically ill patients. Methods: Randomized controlled trial, done from March 2017 to March 2019 .30 patients were eligible;15 were assigned to bronchoscopy guided PDT and the other 15 were assigned to ultrasound (us) guided PDT. Conclusion: Ultrasound guided PDT can be used to decrease complications during the procedure with comparable results with bronchoscope.
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