11 research outputs found

    A Joint Power, Delay and Rate Optimization Model for Secondary Users in Cognitive Radio Sensor Networks

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    To maximize the limited spectrum among primary users and cognitive Internet of Things (IoT) users as we save the limited power and energy resources available, there is a need to optimize network resources. Whereas it is quite complex to study the impact of transmission rate, transmission power or transmission delay alone, the complexity is aggravated by the simultaneous consideration of all these three variables jointly in addition to a channel selection variable, since it creates a non-convex problem. Our objective is to jointly optimize the three major variables; transmission power, rate and delay under constraints of Bit Error Rate (BER), interference and other channel limitations. We analyze how total power, rate and delay vary with packet size, network size, BER and interference. The resulting problem is solved using a branch-and-cut polyhedral approach. For simulation of results, we use MATLAB together with the state-of-the-art BARON software. It is observed that an increase in packet size generally leads to an increase in total rate, total power and total transmission delay. It is also observed that increasing the number of secondary users on the channel generally leads to an increased power, delay and rate

    Short-term effect of field application of biochar on cation exchange capacity, pH, and electrical conductivity of sandy and clay loam temperate soils

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    Biochar soil amendment is known to improve soil chemical properties. Synchronized addition of biochar and mineral fertilizer nitrogen (N) could increase agronomic benefits and remedy the adverse environmental impact of fertilizer N. The objective of this study was to compare the short-term effect of a synchronized addition of biochar and fertilizer N (NB) with sole N fertilizer (NF) on cation exchange capacity (CEC), pH, and electrical conductivity (EC). We hypothesized that mixing biochar with inorganic N would improve the CEC, pH, and EC of sandy soils. Soil samples were taken at the end of the cropping season of 2018 and 2019 from Efaw and Lake Carl Blackwell (LCB), OK, USA following maize (Zea mays L.) grain harvest. The study had ten treatments and used a randomized complete block design with three replications. Biochar and N rates were 5, 10, and 15 t·ha−1, and 50, 100, and 150 kg·N·ha−1, respectively. Overall, results indicated significant improvement in CEC and pH under NB. At Efaw, CEC and pH were greater with NB by 4%, than NF while EC was lower with NB by 5%. At LCB, CEC, pH, and EC values with NB increased by 16%, 3%, and 7%, respectively compared to NF. Averaged across experimental sites, CEC, pH, and EC increased with NB by 10%, 4%, and 1%, respectively compared to NF. Significant responses of CEC to biochar addition were observed on coarse soil texture (p < 0.05). Alongside increasing the retention of nutrient cations, the significant increase in pH (p < 0.05) suggest that synchronized application of biochar and inorganic N could alleviate soil acidity. In the future, the amount of N fertilizer used in sandy soils may reduce under biochar application

    Biochar Applied with Inorganic Nitrogen Improves Soil Carbon, Nitrate and Ammonium Content of a Sandy Loam Temperate Soil

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    Biochar is suggested to improve soil properties. However, its combination with inorganic nitrogen (N) fertilizer in temperate soils is not well understood. This study compared the effect of fertilizer N-biochar-combinations (NBC) and fertilizer-N (FN) on total soil N (TSN), soil organic carbon (SOC), soil nitrate (NO3−–N), and ammonium (NH4+–N). Soil samples were taken from experiments at Efaw and Lake Carl Blackwell (LCB), Oklahoma, USA with ten treatments consisting of three N rates (50, 100, and 150 kg N ha−1) and three biochar rates (5, 10, and 15 t ha−1). Results at Efaw showed greater TSN and SOC under NBC compared to FN by 3 and 21%, respectively. No percentage difference was observed for NH4+–N while NO3−–N was lower by 7%. At LCB, TSN, SOC, NO3−–N, and NH4+–N were higher under NBC by 5, 18, 24, and 10%, respectively, compared to FN. Whereas application of biochar improved SOC at both sites, NO3−–N and NH4+–N were only significant at LCB site with a sandy loam soil but not at Efaw with silty clay loam. Therefore, biochar applied in combination with inorganic N can improve N availability with potential to increase crop N uptake on coarse textured soils

    Microbial Translocation Does Not Drive Immune Activation in Ugandan Children Infected With HIV

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    International audienc

    High Rate of HIV Resuppression After Viral Failure on First-line Antiretroviral Therapy in the Absence of Switch to Second-line Therapy

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    Diminishing benefits of urban living for children and adolescents’ growth and development

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    Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified

    The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

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    © 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

    Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

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    Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

    Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

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    This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London
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