Investigation of forces affecting dust particle alignment in cross polarization

This paper implicitly discusses method of using dual orthogonal polarizations to optimally conserve frequency spectrum. This has, in the recent time, received considerable interest in the field of electromagnetic wave propagation in sand and dust storms. The realization of a dual-polarized system is thus 1imited by degree of cross polar discrimination (XPD) that can be achieved between the two orthogna1 channels. Cross polarization discrimination is a parameter widely used to quantify the effects of polarization interference. Aside from non-sphericity of falling dust particles, dust induced microwave cross polarization has been attributed to tendency of the particles to align in a particular direction. This paper investigates and identifies important forces acting on the alignment which are inputs to the cross polarization discrimination evaluation. The method adopted involves the use of reliable measure of turbulence shear, inertial torque and Brownian motion effects. The result obtained shows the influence of the relevant forces on the alignment of the dust particles. Inertial torque becomes a domineering force for systematic alignment at some particle size range

Prediction of rain-induced cross polarization at millimeter wave bands in guinea

Microwave communication systems are planned to utilize orthogonal polarization. Two independent information channels of the same frequency band sent over a single link to make an optimum use of the frequency spectrum. However, above 10 GHz, the amount of rain aloft can severely degrade the performance of both satellite and terrestrial links, especially in tropical regions, at millimetre wave bands. This paper evaluates the differential attenuation and differential phase shift for the prediction of cross polarization discrimination using a 10-year rain data recorded in Conakry, Guinea. The drop size distribution (DSD) was computed using Marshall and Palmer (MP) model

Review an assessment of electromagnetic wave propagation in sand and dust storms at microwave and millimeter wave band - part II

Suspended particles in the atmosphere during sand and dust storms have numerous consequences on electromagnetic wave propagation in arid regions. The electromagnetic wave signal may suffer attenuation and cross polarization upon encounter with the suspended particles. However, meager information has hitherto been reported about effect of storms on the telecommunication systems operating in such regions. This paper presents a survey of current understanding of the electromagnetic wave propagation in sand and dust storms. A review of the literature covering electromagnetic scattering theory and applications is given. The review describes the principle of approach and technology adopted for the investigation highlighting both strengths and drawbacks. Detailed parametric assessment of the effects of storms on wave propagation as it concerns signal attenuation and cross polarization is also carried out. The results demonstrate that most authors have calculated the attenuation effect, revealing that it is not very significant unless very high suspended dust densities are assumed (i.e., during severe sand and dust storms). A few papers indicate the possibility of more significant cross polarisation. The obvious gap in knowledge of this field is finally also clearly established

Development of an empirical dust storm attenuation prediction model for microwave links in arid area – a proposed framework

Wireless communication service providers are currently facing challenges due to the congested frequencies spectrum which has imposed the use of higher and higher frequencies. However, higher frequency bands are more sensitive to weather condition and the microwave signal attenuation due to atmospheric particles increases rapidly at higher frequency bands. Consequently dust storms and other phenomena cause signal attenuation which can limit the performance of wireless communication systems for the frequencies above 10GHz in arid area. The paper aim is to show that real dust storm is a complex phenomena which is difficult to be described by the theoretical physical or mathematical models. An empirical dust storm prediction model based on the long term statistical observations of dust storm properties and its corresponding microwave signal levels will be a step forward to provide microwave link designers with a precise tool to rely on. This paper has proposed a research framework to collect necessary data from Khartoum, Sudan and develop an empirical attenuation prediction model

Analysis of long term tropospheric scintillation from Ku-band satellite link in tropical climate

Scintillation is the rapid signal fluctuations of amplitude and phase of a radiowave which can cause signal lossin the transmission path with time. Other propagation factors that contribute to the signal fluctuations must be omitted before using the raw data for scintillation studies. Scintillation occurs continuously whether it is under clear sky condition or raining. Therefore, during raining event, the scintillation data will be accompanied by the signal level attenuation caused by the rain. Hence, attention must be given when analyzing scintillation data during raining event. This paper presents the data analysis of the tropospheric scintillation for earth to satellite link at Ku-band. Eight months (May 2011 till December 2011) data were collected and were analyzed to see the effect of tropospheric scintillation during morning, midday, evening and midnight. In this paper, the scintillation data were analyzed during clear sky condition. Any spurious signals caused by other propagation factors were eliminated accordingly. The experimental data were collected using 2.4 m dish antenna through MEASAT 3 at 10.982 GHz. The elevation angle of the dish antenna is stationed at 77.5°. The findings show that scintillation amplitude during midday is highest if compared to morning, evening and midnight. During midnight, the scintillation amplitudes drop significantly

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020