A comprehensive cost performance analysis for a QoS-based scheme in network mobility (NEMO)

By shifting the portability task away from a mobile network node and onto a mobile router, the NEMO BS protocol has been given the green light to run by the Internet Engineering Task Force (IETF) working group. It is not effective to anticipate the mobility of each node in a train, bus, or ship individually. Hence, it would be reasonable to hire a Mobile Router (MR) that collectively handles the mobility of the entire mobile network. The NEMO BS protocol encourages efficient mobility for groups. Devices on a mobile network do not recognize the mobility of their network. Uninterrupted Internet connectivity is still given to mobile network nodes (i.e. the devices) despite the fact that the network’s connection point is shifted on the Internet. The NBS solution has severe performance limitations (e.g. triangular routing and signalling cost). To address the aforementioned issues, the Diff-FH NEMO pattern has formerly been proposed. This article built a methodology to evaluate signalling costs for major Diff-FH NEMO entities. For verification, the effectiveness of the proposed scheme Diff-FH NEMO is measured against that of the industrystandard NEMO BS protocol and the MIPv6-based Route Optimization (MIRON) scheme. Many important indicators, such as the length of time a user spends in a subnet and the total number of hops, are used to compare the signalling cost to (DiffServ Mobile Router (DMRs)

A QoS awareness scheme sustaining seamless handover for network mobility

Objectives: This article proposes a new scheme known as (Diff-FH NEMO) to enhance seamless handover for the users within network mobility. Methods/Analysis: The proposed scheme adapts the method of Fast Hierarchical Mobile IPv6 (FHMIPv6) to shrink binding locality signaling issues. Furthermore, it exploits DiffServ depiction to pull off silky delivery of real time trafficking in heterogeneous network mobility. Network Simulator (NS-2) tool version 2.28 and analytical analysis are utilized to implement and assess the performance of the proposed scheme. Findings: Network Mobility (NEMO) basic support protocol (RFC 3963) endorsed by Internet Engineering Task Force (IETF) to enlarge the maneuver of Mobile IPv6 for better unremitting Internet connectivity to the users of mobile network. Here the protocol swaps mobility task function from mobile nodes to NEMO’ router. In mobility network the router is identified as Mobile Router (MR), which executes location update with its Home Agent (HA) to launch a bi-directional tunnel between the HA and MR. NEMO is premeditated with explication so that network mobility is transparent to the nodes in order to ease location update signaling that could happen by each Mobile Network Node (MNN). Yet, delays in data delivery and higher overhead

An adaptive diffserv approach to support QOS in network mobility nemo environment

Network Mobility Basic Support (NEMO BS) protocol (RFC 3963) is an extension of Mobile IPv6. The NEMO BS embraced by IETF working group to permit any node in the portable network to be accessible to the Internet despite the fact the network itself is roaming. This protocol likewise Mobile IPv6 doesn’t deliver any kind of Quality of Service (QoS) guarantees to its clients. It can barely offer the same level of services (i.e. Best-Effort) to all the users without obligation to the application’s needs. This propositions a challenge to real-time applications that demand a precise level of QoS pledge. The Differentiated Services has recently come to be the most widely used QoS support technology in IP networks due to its relative simplicity and scalability benefits. This paper proposes a new scheme to provide QoS to mobile network nodes within NEMO context. The proposed scheme intends to reduce handover latency for the users of MNN as well as alleviates packet losses. The feasibility of the proposed enhancement is assessed by measuring its performance against the native NEMO BS standard protocol using NS-2 simulator. The obtained results in the simulation study have demonstrated that the proposed scheme outperforms the standard NEMO BS protocol

Development of a Secured Vehicle Spot Detection System Using GSM

The number of vehicles stolen is increasing annually. The alarm system for vehicles is commonly used to expose the burglars publicly to make a scene. If the vehicle owner is far away, it will be hard to distinguish the threat to the vehicle from the intruder. To deter such crime, there should be a safer protection mechanism for vehicles around the globe. Moreover, overcrowd parking lot problems have always been an issue. Nevertheless, it became even worse with the progressing urbanization and population expansion. Anyone may have experienced that moment of panic when you realize you have no idea where you parked your vehicle. Note that, the keyless remote control of vehicles has a short-range radio transmitter. It usually can reach up 5–20 meters. Therefore, this paper develops a proposed system that is used for detecting vehicle location using Global System for Mobile Communications (GSM). It is basically capable to switch ON and OFF vehicle alarm system to detect the location of the vehicle in a crowded area. PIC microcontroller that has been embedded in the system programmed using C language. The intelligent proposed system also designs to enhance the security feature for the transportation era. The proposed system offers better service and cost-effective for the vehicle owners

An adaptive diffserv approach to support QoS in network mobility NEMO environment

Network Mobility Basic Support (NEMO BS) protocol (RFC 3963) is an extension of Mobile IPv6. The NEMO BS embraced by IETF working group to permit any node in the portable network to be accessible to the Internet despite the fact the network itself is roaming. This protocol likewise Mobile IPv6 doesn't deliver any kind of Quality of Service (QoS) guarantees to its clients. It can barely offer the same level of services (i.e. Best-Effort) to all the users without obligation to the application's needs. This propositions a challenge to real-time applications that demand a precise level of QoS pledge. The Differentiated Services has recently come to be the most widely used QoS support technology in IP networks due to its relative simplicity and scalability benefits. This paper proposes a new scheme to provide QoS to mobile network nodes within NEMO context. The proposed scheme intends to reduce handover latency for the users of MNN as well as alleviates packet losses. The feasibility of the proposed enhancement is assessed by measuring its performance against the native NEMO BS standard protocol using NS-2 simulator. The obtained results in the simulation study have demonstrated that the proposed scheme outperforms the standard NEMO BS protocol

Performance comparison of (Diff-FH NEMO) scheme in IPv6-based network mobility

Quality of Service (QoS) is defined as the capability of network elements (e.g. application, host and router) to provide some sort of assurance and service differentiation for consistent network data delivery. Recently, Internet Engineering Task Force (IETF) has introduced Network Mobility Basic Support (NEMO BS) protocol (RFC 3963) to address the challenges of the entire network mobility (such as the movements of trains, buses, ships and aircrafts). However, NEMO BS is designed without QoS support in mind. Similar to MIPv6, it can hardly offer same level of services (i.e. Best-Effort) to all the users without obligation to the applications needs. This poses a problem to real-time applications that required certain level of QoS commitment. Moreover, delays in data delivery, packet loss and higher signaling overheads are likely to transpire because of suboptimal routing and multiple encapsulations of data packets. Incorporating QoS with mobility support seems to be needed to fulfill the necessity of users in mobile network. This paper proposes a new scheme that deploys Differentiated Service (DiffServ) QoS-based model to achieve smooth delivery of real-time traffic in heterogeneous mobile networks. Furthermore, the proposed scheme uses the mechanisms of Fast Hierarchical Mobile IPv6 (FHMIPv6) to reduce location update signaling issues, since the MR doesn’t concern about local and global movement. It also conquers the weakness of NEMO inefficient routing by utilizing the methodology of MIPv6 route optimization to bypass the HA and catering optimal path. The feasibility of the proposed scheme is evaluated using Network Simulator (NS-2). The performance of proposed scheme is benchmarked with the standard NEMO basic support protocol. Eventually, the obtained results reflect that the proposed scheme outperforms the standard NEMO BS protocol by diminishing the handover latency

Development of a Secured Vehicle Spot Detection System Using GSM

The number of vehicles stolen is increasing annually. The alarm system for vehicles is commonly used to expose the burglars publicly to make a scene. If the vehicle owner is far away, it will be hard to distinguish the threat to the vehicle from the intruder. To deter such crime, there should be a safer protection mechanism for vehicles around the globe. Moreover, overcrowd parking lot problems have always been an issue. Nevertheless, it became even worse with the progressing urbanization and population expansion. Anyone may have experienced that moment of panic when you realize you have no idea where you parked your vehicle. Note that, the keyless remote control of vehicles has a short-range radio transmitter. It usually can reach up 5–20 meters. Therefore, this paper develops a proposed system that is used for detecting vehicle location using Global System for Mobile Communications (GSM). It is basically capable to switch ON and OFF vehicle alarm system to detect the location of the vehicle in a crowded area. PIC microcontroller that has been embedded in the system programmed using C language. The intelligent proposed system also designs to enhance the security feature for the transportation era. The proposed system offers better service and cost-effective for the vehicle owners

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research