14 research outputs found

    New CFAR algorithm and circuit development for radar receiver

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    Automatic target detection radar requires adaptive thresholding achieved by the Constant False Alarm Rate (CFAR) circuit to control the false alarm caused by variations in the background clutter. This thesis deal with the problem that happened when an abrupt variation in background clutter merged with a multi-interfering target, and when the clutter cloud itself centered with multi-interfering targets. To detect targets in such environments, it needs a robust CFAR algorithm that excises the target spikes and clutter edges from the CFAR window to give the best possible estimation of the noise background. The Maximum Spike Subtraction MSS-CFAR family that uses two lock circuits to find two maximum spikes in the CFAR window that subtracted from sample summing to make better background noise estimation that used to construct an adaptive threshold. The MSS-CFAR family is MSS-CA�CFAR, MSS-GO-CFAR, and MSS-SO-CFAR, MSS-CFAR family in addition to two core algorithms were studied which are cell averaged CA-CFAR family that includes the greatest of GO-CFAR and smallest of SO-CFAR and ordered statistics OS-CFAR family that include greatest of ordered statistics OSGO-CFAR and the smallest of ordered statistics OSSO-CFAR. All these algorithms are simulated using MATLAB and applied them to three different clutter models that represent different environment cases. The CA-CFAR family failed to handle models two and three also OS-CFAR family except for OS-CFAR that handle all models successfully. For the MSS-CFAR family, MSS-CA-CFAR could handle all models successfully, and comparing with OS-CFAR, the MSS-CA-CFAR need less hardware and processing time because it did not need a sorting process that is essential for OS-CFAR. Therefore, the MSS-CA-CFAR is chosen to implement by practical digital circuit and there is another important feature in the MSS-CFAR algorithm that is parallel processing since the spike selection process is done at the same time with summing of samples process that makes this algorithm much less in processing time from any other algorithm using the same environment. The last MATLAB test for MSS-CA- vi CFAR with a spiky exponential model shown in Table 4.3 in chapter four shows clearly that MSS-CA-CFAR detects nine targets from ten that means the efficiency of detection of the proposed method is 90%. The field-programmable gate array FPGA chip that is used to implement the MSS-CA-CFAR algorithm needs only three signals from the radar receiver to match with the receiver circuit correctly which are time base clock signal period reset trigger signal and the pulse duration time

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study