Traffic classification and prediction, and fast uplink grant allocation for machine type communications via support vector machines and long short-term memory

Abstract. The current random access (RA) allocation techniques suffer from congestion and high signaling overhead while serving machine type communication (MTC) applications. Therefore, 3GPP has introduced the need to use fast uplink grant (FUG) allocation. This thesis proposes a novel FUG allocation based on support vector machine (SVM) and long short-term memory (LSTM). First, MTC devices are prioritized using SVM classifier. Second, LSTM architecture is used to predict activation time of each device. Both results are used to achieve an efficient resource scheduler in terms of the average latency and total throughput. Furthermore, a set of correction techniques is introduced to overcome the classification and prediction errors. The Coupled Markov Modulated Poisson Process (CMMPP) traffic model is applied to compare the proposed FUG allocation to other existing allocation techniques. In addition, an extended traffic model based CMMPP is used to evaluate the proposed algorithm in a more dense network. Our simulation results show the proposed model outperforms the existing RA allocation schemes by achieving the highest throughput and the lowest access delay when serving the target massive and critical MTC applications

LoRaWAN-enabled Smart Campus: The Dataset and a People Counter Use Case

IoT has a significant role in the smart campus. This paper presents a detailed description of the Smart Campus dataset based on LoRaWAN. LoRaWAN is an emerging technology that enables serving hundreds of IoT devices. First, we describe the LoRa network that connects the devices to the server. Afterward, we analyze the missing transmissions and propose a k-nearest neighbor solution to handle the missing values. Then, we predict future readings using a long short-term memory (LSTM). Finally, as one example application, we build a deep neural network to predict the number of people inside a room based on the selected sensor's readings. Our results show that our model achieves an accuracy of $95 \: \%$ in predicting the number of people. Moreover, the dataset is openly available and described in detail, which is opportunity for exploration of other features and applications

Age Minimization in Massive IoT via UAV Swarm: A Multi-agent Reinforcement Learning Approach

In many massive IoT communication scenarios, the IoT devices require coverage from dynamic units that can move close to the IoT devices and reduce the uplink energy consumption. A robust solution is to deploy a large number of UAVs (UAV swarm) to provide coverage and a better line of sight (LoS) for the IoT network. However, the study of these massive IoT scenarios with a massive number of serving units leads to high dimensional problems with high complexity. In this paper, we apply multi-agent deep reinforcement learning to address the high-dimensional problem that results from deploying a swarm of UAVs to collect fresh information from IoT devices. The target is to minimize the overall age of information in the IoT network. The results reveal that both cooperative and partially cooperative multi-agent deep reinforcement learning approaches are able to outperform the high-complexity centralized deep reinforcement learning approach, which stands helpless in large-scale networks

A Learning-Based Trajectory Planning of Multiple UAVs for AoI Minimization in IoT Networks

Many emerging Internet of Things (IoT) applications rely on information collected by sensor nodes where the freshness of information is an important criterion. \textit{Age of Information} (AoI) is a metric that quantifies information timeliness, i.e., the freshness of the received information or status update. This work considers a setup of deployed sensors in an IoT network, where multiple unmanned aerial vehicles (UAVs) serve as mobile relay nodes between the sensors and the base station. We formulate an optimization problem to jointly plan the UAVs' trajectory, while minimizing the AoI of the received messages. This ensures that the received information at the base station is as fresh as possible. The complex optimization problem is efficiently solved using a deep reinforcement learning (DRL) algorithm. In particular, we propose a deep Q-network, which works as a function approximation to estimate the state-action value function. The proposed scheme is quick to converge and results in a lower AoI than the random walk scheme. Our proposed algorithm reduces the average age by approximately $25\%$ and requires down to $50\%$ less energy when compared to the baseline scheme

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

Traffic Learning and Proactive UAV Trajectory Planning for Data Uplink in Markovian IoT Models

The age of information (AoI) is used to measure the freshness of the data. In IoT networks, the traditional resource management schemes rely on a message exchange between the devices and the base station (BS) before communication which causes high AoI, high energy consumption, and low reliability. Unmanned aerial vehicles (UAVs) as flying BSs have many advantages in minimizing the AoI, energy-saving, and throughput improvement. In this paper, we present a novel learning-based framework that estimates the traffic arrival of IoT devices based on Markovian events. The learning proceeds to optimize the trajectory of multiple UAVs and their scheduling policy. First, the BS predicts the future traffic of the devices. We compare two traffic predictors: 1) the forward algorithm (FA) and 2) the long short-term memory (LSTM). Afterward, we propose a deep reinforcement learning (DRL) approach to optimize the optimal policy of each UAV. Finally, we manipulate the optimum reward function for the proposed DRL approach. Simulation results show that the proposed algorithm outperforms the random-walk (RW) baseline model regarding the AoI, scheduling accuracy, and transmission power

A learning-based fast uplink grant for massive IoT via support vector machines and long short-term memory

Abstract The current random access (RA) allocation techniques suffer from congestion and high signaling overhead while serving massive machine type communication (mMTC) applications. To this end, 3GPP introduced the need to use fast uplink grant (FUG) allocation in order to reduce latency and increase reliability for smart internet-of-things (IoT) applications with strict QoS constraints. We propose a novel FUG allocation based on support vector machine (SVM), First, MTC devices are prioritized using SVM classifier. Second, LSTM architecture is used for traffic prediction and correction techniques to overcome prediction errors. Both results are used to achieve an efficient resource scheduler in terms of the average latency and total throughput. A Coupled Markov Modulated Poisson Process (CMMPP) traffic model with mixed alarm and regular traffic is applied to compare the proposed FUG allocation to other existing allocation techniques. In addition, an extended traffic model based CMMPP is used to evaluate the proposed algorithm in a more dense network. We test the proposed scheme using real-time measurement data collected from the Numenta Anomaly Benchmark (NAB) database. Our simulation results show the proposed model outperforms the existing RA allocation schemes by achieving the highest throughput and the lowest access delay of the order of 1 ms by achieving prediction accuracy of 98 % when serving the target massive and critical MTC applications with a limited number of resources

Traffic prediction and fast uplink for hidden Markov IoT models

Abstract In this work, we present a novel traffic prediction and fast uplink (FU) framework for IoT networks controlled by binary Markovian events. First, we apply the forward algorithm with hidden Markov models (HMMs) in order to schedule the available resources to the devices with maximum likelihood activation probabilities via the FU grant. In addition, we evaluate the regret metric as the number of wasted transmission slots to evaluate the performance of the prediction. Next, we formulate a fairness optimization problem to minimize the Age of Information (AoI) while keeping the regret as minimum as possible. Finally, we propose an iterative algorithm to estimate the model hyperparameters (activation probabilities) in a real-time application and apply an online-learning version of the proposed traffic prediction scheme. Simulation results show that the proposed algorithms outperform baseline models, such as time-division multiple access (TDMA) and grant-free (GF) random-access in terms of regret, the efficiency of system usage, and AoI