SPECTRUM SENSING AND COOPERATION IN COGNITIVE-OFDM BASED WIRELESS COMMUNICATIONS NETWORKS

The world has witnessed the development of many wireless systems and applications. In addition to the large number of existing devices, such development of new and advanced wireless systems increases rapidly the demand for more radio spectrum. The radio spectrum is a limited natural resource; however, it has been observed that it is not efficiently utilized. Consequently, different dynamic spectrum access techniques have been proposed as solutions for such an inefficient use of the spectrum. Cognitive Radio (CR) is a promising intelligent technology that can identify the unoccupied portions of spectrum and opportunistically uses those portions with satisfyingly high capacity and low interference to the primary users (i.e., licensed users). The CR can be distinguished from the classical radio systems mainly by its awareness about its surrounding radio frequency environment. The spectrum sensing task is the main key for such awareness. Due to many advantages, Orthogonal Frequency Division Multiplexing system (OFDM) has been proposed as a potential candidate for the CR‟s physical layer. Additionally, the Fast Fourier Transform (FFT) in an OFDM receiver supports the performance of a wide band spectrum analysis. Multitaper spectrum estimation method (MTM) is a non-coherent promising spectrum sensing technique. It tolerates problems related to bad biasing and large variance of power estimates. This thesis focuses, generally, on the local, multi antenna based, and global cooperative spectrum sensing techniques at physical layer in OFDM-based CR systems. It starts with an investigation on the performance of using MTM and MTM with singular value decomposition in CR networks using simulation. The Optimal MTM parameters are then found. The optimal MTM based detector theoretical formulae are derived. Different optimal and suboptimal multi antenna based spectrum sensing techniques are proposed to improve the local spectrum sensing performance. Finally, a new concept of cooperative spectrum sensing is introduced, and new strategies are proposed to optimize the hard cooperative spectrum sensing in CR networks. The MTM performance is controlled by the half time bandwidth product and number of tapers. In this thesis, such parameters have been optimized using Monte Carlo simulation. The binary hypothesis test, here, is developed to ensure that the effect of choosing optimum MTM parameters is based upon performance evaluation. The results show how these optimal parameters give the highest performance with minimum complexity when MTM is used locally at CR. The optimal MTM based detector has been derived using Neyman-Pearson criterion. That includes probabilities of detection, false alarm and misses detection approximate derivations in different wireless environments. The threshold and number of sensed samples controlling is based on this theoretical work. In order to improve the local spectrum sensing performance at each CR, in the CR network, multi antenna spectrum sensing techniques are proposed using MTM and MTM with singular value decomposition in this thesis. The statistical theoretical formulae of the proposed techniques are derived including the different probabilities. ii The proposed techniques include optimal, that requires prior information about the primary user signal, and two suboptimal multi antenna spectrum sensing techniques having similar performances with different computation complexity; these do not need prior information about the primary user signalling. The work here includes derivations for the periodogram multi antenna case. Finally, in hard cooperative spectrum sensing, the cooperation optimization is necessary to improve the overall performance, and/or minimize the number of data to be sent to the main CR-base station. In this thesis, a new optimization method based on optimizing the number of locally sensed samples at each CR is proposed with two different strategies. Furthermore, the different factors that affect the hard cooperative spectrum sensing optimization are investigated and analysed and a new cooperation scheme in spectrum sensing, the master node, is proposed.Ministry of Interior-Kingdom of Saudi Arabi

Clinical practice: Swallowing problems in cerebral palsy

Cerebral palsy (CP) is the most common physical disability in early childhood. The worldwide prevalence of CP is approximately 2–2.5 per 1,000 live births. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the developing brain. Children with CP can have swallowing problems with severe drooling as one of the consequences. Malnutrition and recurrent aspiration pneumonia can increase the risk of morbidity and mortality. Early attention should be given to dysphagia and excessive drooling and their substantial contribution to the burden of a child with CP and his/her family. This review displays the important functional and anatomical issues related to swallowing problems in children with CP based on relevant literature and expert opinion. Furthermore, based on our experience, we describe a plan for approach of investigation and treatment of swallowing problems in cerebral palsy

Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990-2010: A Systematic Review of Epidemiological Studies

The prevalence of atopic eczema has been found to have increased greatly in some parts of the world. Building on a systematic review of global disease trends in asthma, our objective was to study trends in incidence and prevalence of atopic eczema. Disease trends are important for health service planning and for generating hypotheses regarding the aetiology of chronic disorders. We conducted a systematic search for high quality reports of cohort, repeated cross-sectional and routine healthcare database-based studies in seven electronic databases. Studies were required to report on at least two measures of the incidence and/or prevalence of atopic eczema between 1990 and 2010 and needed to use comparable methods at all assessment points. We retrieved 2,464 citations, from which we included 69 reports. Assessing global trends was complicated by the use of a range of outcome measures across studies and possible changes in diagnostic criteria over time. Notwithstanding these difficulties, there was evidence suggesting that the prevalence of atopic eczema was increasing in Africa, eastern Asia, western Europe and parts of northern Europe (i.e. the UK). No clear trends were identified in other regions. There was inadequate study coverage worldwide, particularly for repeated measures of atopic eczema incidence. Further epidemiological work is needed to investigate trends in what is now one of the most common long-term disorders globally. A range of relevant measures of incidence and prevalence, careful use of definitions and description of diagnostic criteria, improved study design, more comprehensive reporting and appropriate interpretation of these data are all essential to ensure that this important field of epidemiological enquiry progresses in a scientifically robust manner

A Tailored, Bundle Care Intervention Strategy to Reduce Cardiac Mortality During the Hajj: A Population-Based, Before and After Study.

Hajj is the largest human gathering with over 2 million people. We evaluated the effect of bundle care intervention on mortality. A population-based, before and after study compared the effect of an intervention on mortality. The intervention included recruitment of cardiac team, introducing 24/7 catheterization service, cardiac coordination, standardized cardiac care pathways, and establishment of an effective transportation system. Cardiac mortality accounted for about 52% of all in-hospital deaths before intervention in 2009. This decreased significantly to 43.3%, 32.5%, and 19.7% in 2009, 2010, and 2011, respectively. In-hospital mortality of acute coronary syndromes was 4.7%, 4.6%, and 3.0%, in the years 2009, 2010, and 2011, respectively. Mortality due to other causes remained largely unaffected. There was no significant change in the national mortality due to cardiac causes over the same period provided a reassurance that the observed improvement in in-hospital acute coronary syndrome mortality was not due to overall improvement in health care. The numbers of cardiac catheterization procedures increased 3-fold and cardiac surgical procedures increased 5-fold between 2009 and 2011. In this study, we found that an evidence-based intensive bundle care intervention substantially reduced the cardiac mortality among the pilgrims assembling for Hajj in Makkah

Coronary sinus injuries during retrograde continuous normothermic blood cardioplegia

Injuries to the coronary sinus during cardioplegic arrest are rare but potentially lethal. We herein present case reports of injuries to the coronary sinus occurring during retrograde continuous normothermic blood cardioplegia, and emphasize preventive measures and treatment