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1.
West J Emerg Med ; 24(5): 823-830, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37788021

RESUMO

Introduction:Effective out-of-hospital administration of naloxone in opioid overdoses is dependent on timely arrival of naloxone. Delays in emergency medical services (EMS) response time could potentially be overcome with drones to deliver naloxone efficiently to the scene for bystander use. Our objective was to evaluate a mathematical optimization simulation for geographical placement of drone bases in reducing response time to opioid overdose. Methods: Using retrospective data from a single EMS system from January 2016-February 2019, we created a geospatial drone-network model based on current technological specifications and potential base locations. Genetic optimization was then used to maximize county coverage by drones and the number of overdoses covered per drone base. From this model, we identified base locations that minimize response time and the number of drone bases required. Results: In a drone network model with 2,327 opioid overdoses, as the number of modeled drone bases increased the calculated response time decreased. In a geospatially optimized drone network with four drone bases, response time compared to ambulance arrival was reduced by 4 minutes 38 seconds and covered 64.2% of the county. Conclusion: In our analysis we found that in a mathematical model for geospatial optimization, implementing four drone bases could reduce response time of 9-1-1 calls for opioid overdoses. Therefore, drones could theoretically improve time to naloxone delivery.


Assuntos
Overdose de Drogas , Overdose de Opiáceos , Humanos , Estudos Retrospectivos , Dispositivos Aéreos não Tripulados , Naloxona/uso terapêutico
2.
Sci Prog ; 103(3): 36850420938555, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32730125

RESUMO

To improve the reliability and accuracy of dynamic machine in design process, high precision and efficiency of numerical computation is essential means to identify dynamic characteristics of mechanical system. In this paper, a new computation approach is introduced to improve accuracy and efficiency of computation for coupling vibrating system. The proposed method is a combination of piecewise constant method and Laplace transformation, which is simply called as Piecewise-Laplace method. In the solving process of the proposed method, the dynamic system is first sliced by a series of continuous segments to reserve physical attribute of the original system; Laplace transformation is employed to separate coupling variables in segment system, and solutions of system in complex domain can be determined; then, considering reverse Laplace transformation and residues theorem, solution in time domain can be obtained; finally, semi-analytical solution of system is given based on continuity condition. Through comparison of numerical computation, it can be found that precision and efficiency of numerical results with the Piecewise-Laplace method is better than Runge-Kutta method within same time step. If a high-accuracy solution is required, the Piecewise-Laplace method is more suitable than Runge-Kutta method.

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