PSM-DMO: power save mode and discontinuous BLE mesh operation

The Bluetooth Low Energy (BLE) mesh profile, standardized by the Bluetooth Special Interest Group (SIG), has an increasing interest in IoT solutions. However, the standard assumes that relay and friend nodes should be continuously scanning the channel awaiting any incoming transmissions. This could be very inefficient in terms of energy consumption, particularly in application scenarios where the backbone of the mesh network cannot be powered and traffic is infrequent. Hence, we present a novel strategy, named PSM-DMO, that minimizes the scan periods and thus, significantly reduces the overall energy consumption of the mesh network. PSM-DMO is defined as a new and optional feature for the currently published BLE mesh specifications, coexists with the standard operation, and is implemented without modifying the core of the specification. The proposal, that ensures the reliability of the mesh operation, can be used in BLE sensor networks that can tolerate a certain transmission delay. PSM-DMO replaces the continuous scan by a periodic but asynchronous polling process whereby the relay and sink nodes interrogate their neighbors about the existence of data to receive or to retransmit through the network. Nodes only go into scan mode during the period of time the mesh network will be involved in the transmission and dissemination. This period is estimated by the node which is the source of data, it is announced to its neighbors and it is propagated consecutively by all the relay nodes until the destination. PSM-DMO allows a theoretical reduction in the energy consumption of relay nodes up to 99.24 %

Experimental Evaluation of Transmitted Signal Distortion Caused by Power Allocation in Inter-Cell Interference Coordination Techniques for LTE/LTE-A and 5G Systems

Error vector magnitude (EVM) and out-of-band emissions are key metrics for evaluating in-band and out-band distortions introduced by all potential non-idealities in the transmitters of wireless systems. As EVM is a measure of the quality of the modulated signal/symbols, LTE/LTE-A and 5G systems specify mandatory EVM requirements in transmission for each modulation scheme. This paper analyzes the influence of the mandatory satisfaction of EVM requirements on the design of radio resource management strategies (RRM) (link adaptation, inter-cell interference coordination), specifically in the downlink (DL). EVM depends on the non-idealities of the transmitter implementations, on the allocated power variations between the subcarriers and on the selected modulations. In the DL of LTE, link adaptation is usually executed by adaptive modulation and coding (AMC) instead of power control, but some flexibility in power allocation remains being used. LTE specifies some limits in the power dynamic ranges depending on the allocated modulation, which ensures the satisfaction of EVM requirements. However, the required recommendations concerning the allowed power dynamic range when inter-cell interference coordination (ICIC) and enhanced ICIC (eICIC) mechanisms (through power coordination) are out of specification, even though the EVM performance should be known to obtain the maximum benefit of these strategies. We perform an experimental characterization of the EVM in the DL under real and widely known ICIC implementation schemes. These studies demonstrate that an accurate analysis of EVM is required. It allows a better adjustment of the design parameters of these strategies, and also allows the redefinition of the main criteria to be considered in the implementation of the scheduler/link adaptation concerning the allocable modulation coding scheme (MCS) in each resource block. © 2013 IEEE

On the use of sniffers for spectrum occupancy measurements of Bluetooth low energy primary channels

The methods usually employed to measure channel occupancy show limitations in the context of Bluetooth Low Energy (BLE) advertisements. We propose and analyze the use of BLE sniffers as light and portable low-cost spectrum occupancy meters to be used in scenarios where real time signal analyzers are not adequate. For the measurement technique to be successful, several low-level effects must be considered. The paper argues about on-air time, receiving blind times due to processing and intra system interference, buffer saturation and frequency anchoring. Hence, a compensation procedure based on collision rate estimation is proposed. Results with the refined method show that occupancies of 40% can be measured with an overestimation error whose percentile 95% is 5 percentage points. This is reduced to 1.9 points when the occupancy is 15%. The sniffers perform in real time and are shown to correctly track short term load variations. The strategy has been successfully used to characterize occupancy in highly variable and loaded scenarios such as subway platforms and a shopping mall. Values up to 25% have been observed, which implies a relevant packet error rate. Hence, the tool can be used to make agile audits and configure the parameters that control communication redundancy in new or existing networks

Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure

Intraventricular conduction defects (IVCDs) can impair prognosis of heart failure (HF), but their specific impact is not well established. This study aimed to analyse the clinical profile and outcomes of HF patients with LBBB, right bundle branch block (RBBB), left anterior fascicular block (LAFB), and no IVCDs. Clinical variables and outcomes after a median follow-up of 21 months were analysed in 1762 patients with chronic HF and LBBB (n = 532), RBBB (n = 134), LAFB (n = 154), and no IVCDs (n = 942). LBBB was associated with more marked LV dilation, depressed LVEF, and mitral valve regurgitation. Patients with RBBB presented overt signs of congestive HF and depressed right ventricular motion. The LAFB group presented intermediate clinical characteristics, and patients with no IVCDs were more often women with less enlarged left ventricles and less depressed LVEF. Death occurred in 332 patients (interannual mortality = 10.8%): cardiovascular in 257, extravascular in 61, and of unknown origin in 14 patients. Cardiac death occurred in 230 (pump failure in 171 and sudden death in 59). An adjusted Cox model showed higher risk of cardiac death and pump failure death in the LBBB and RBBB than in the LAFB and the no IVCD groups. LBBB and RBBB are associated with different clinical profiles and both are independent predictors of increased risk of cardiac death in patients with HF. A more favourable prognosis was observed in patients with LAFB and in those free of IVCDs. Further research in HF patients with RBBB is warranted

The Mexican consensus on fecal incontinence

Fecal incontinence is the involuntary passage or the incapacity to control the release of fecal matter through the anus. It is a condition that significantly impairs quality of life in those that suffer from it, given that it affects body image, self-esteem, and interferes with everyday activities, in turn, favoring social isolation. There are no guidelines or consensus in Mexico on the topic, and so the Asociación Mexicana de Gastroenterología brought together a multidisciplinary group (gastroenterologists, neurogastroenterologists, and surgeons) to carry out the «Mexican consensus on fecal incontinence» and establish useful recommendations for the medical community.The present document presents the formulated recommendations in 35 statements. Fecal incontinence is known to be a frequent entity whose incidence increases as individuals age, but one that is under-recognized. The pathophysiology of incontinence is complex and multifactorial, and in most cases, there is more than one associated risk factor. Even though there is no diagnostic gold standard, the combination of tests that evaluate structure (endoanal ultrasound) and function (anorectal manometry) should be recommended in all cases. Treatment should also be multidisciplinary and general measures and drugs (lidamidine, loperamide) are recommended, as well as non-pharmacologic interventions, such as biofeedback therapy, in selected cases. Likewise, surgical treatment should be offered to selected patients and performed by experts. Resumen: La incontinencia fecal es el paso involuntario o la incapacidad de controlar la descarga de materia fecal a través del ano, siendo una condición que deteriora significativamente la calidad de vida de los sujetos que la padecen, ya que afecta la imagen corporal, la autoestima e interfiere con las actividades cotidianas favoreciendo el aislamiento social. En nuestro país no existe una guía o consenso al respecto, por lo que la Asociación Mexicana de Gastroenterología reunió a un grupo multidisciplinario (gastroenterólogos, neurogastroenterológos y cirujanos), para que realizaran el Consenso mexicano sobre incontinencia fecal y se establecieran recomendaciones de utilidad para la comunidad médica.Las recomendaciones emitidas fueron a través de 35 enunciados que se presentan en este documento. Se reconoce que la incontinencia fecal es una entidad frecuente, y cuya incidencia se incrementa conforme aumenta la edad, sin embargo, es poco reconocida. La fisiopatología de la incontinencia es compleja y multifactorial y en la mayoría de los casos existe más de un factor de riesgo asociado. Respecto al diagnóstico, se considera que, si bien no existe un estándar de oro, la combinación de pruebas que evalúen la estructura (p. ej., ultrasonido endoanal) y la función (manometría anorrectal) se debe de recomendar en todos los casos. El tratamiento debe ser también multidisciplinario, y se recomiendan medidas generales, fármacos (lidamidina, loperamida), y en casos seleccionados intervenciones no farmacológicas como la terapia de biorretroalimentación. De igual manera, el tratamiento quirúrgico debe ofrecerse a los pacientes seleccionados y debe ser brindado por los expertos