Distributed Sum-Rate Maximization of Cellular Communications with Multiple Reconfigurable Intelligent Surfaces

The technology of Reconfigurable Intelligent Surfaces (RISs) has lately attracted considerable interest from both academia and industry as a low-cost solution for coverage extension and signal propagation control. In this paper, we study the downlink of a multi-cell wideband communication system comprising single-antenna Base Stations (BSs) and their associated single-antenna users, as well as multiple passive RISs. We assume that each BS controls a separate RIS and performs Orthogonal Frequency Division Multiplexing (OFDM) transmissions. Differently from various previous works where the RIS unit elements are considered as frequency-flat phase shifters, we model them as Lorentzian resonators and present a joint design of the BSs' power allocation, as well as the phase profiles of the multiple RISs, targeting the sum-rate maximization of the multi-cell system. We formulate a challenging distributed nonconvex optimization problem, which is solved via successive concave approximation. The distributed implementation of the proposed design is discussed, and the presented simulation results showcase the interplay of the various system parameters on the sum rate, verifying the performance boosting role of RISs.Comment: 5 pages, 1 figure. Presented in IEEE SPAWC 202

Power Minimizing MEC Offloading with QoS Constraints over RIS-Empowered Communications

This work lies at the intersection of two cutting edge technologies envisioned to proliferate in future 6G wireless systems: Multi-access Edge Computing (MEC) and Reconfigurable Intelligent Surfaces (RISs). While the former will bring a powerful information technology environment at the wireless edge, the latter will enhance communication performance, thanks to the possibility of adapting wireless propagation as per end users' convenience, according to specific service requirements. We propose a joint optimization of radio, computing, and wireless environment reconfiguration through an RIS, with the goal of enabling low power computation offloading services with reliability guarantees. Going beyond previous works on this topic, multi-carrier frequency selective RIS elements' responses and wireless channels are considered. This opens new challenges in RIS optimization, accounting for frequency dependent RIS response profiles, which strongly affect RIS-aided wireless links and, as a consequence, MEC service performance. We formulate an optimization problem accounting for short and long-term constraints involving device transmit power allocation across multiple subcarriers and local computing resources, as well as RIS reconfiguration parameters according to a recently developed Lorentzian model. Besides a theoretical optimization framework, numerical results show the effectiveness of the proposed method in enabling low power reliable computation offloading over RIS-aided frequency selective channels.Comment: IEEE GLOBECOM 202

Extra-intestinal malignancies in inflammatory bowel disease: Results of the 3rd ECCO Pathogenesis Scientific Workshop (III)

AbstractThe incidence of lymphoproliferative disorders (LD) is increasing in developed countries. Patients with inflammatory bowel disease (IBD) exposed to thiopurines are at additional risk of three specific forms of LD: Epstein-Barr-Virus-related post-transplant like LD, hepato-splenic T-cell lymphoma and post-mononucleosis lymphoproliferation. The risk of the two latter forms of LD can be reduced when considering specific immunosuppressive strategies in young males. It is still unclear whether the risk of uterine cervix abnormalities is increased in IBD women, irrespective of the use of immunosuppressants. Given the excess risk demonstrated in various other contexts of immunosuppression, it is currently recommended that all women with IBD, particularly those receiving immunosuppressants, strictly adhere to a screening program of cervical surveillance and undergo vaccination against HPV, when appropriate. Patients with IBD receiving immunosuppressants are at increased risk of skin cancers. The risk of non-melanoma skin cancer is notably increased in patients receiving thiopurines. Recent data suggest that the risk of melanoma is mildly increased in patients exposed to anti-TNF therapy. All IBD patients should adhere to a program of sun protection and dermatological surveillance, whose details should take into account the other non-IBD-related risk factors

European evidence based consensus for endoscopy in inflammatory bowel disease

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ECCO topical review : refractory inflammatory bowel disease

Inflammatory bowel disease is a chronic disease with variable degrees of extent, severity, and activity. A proportion of patients will have disease that is refractory to licensed therapies, resulting in significant impairment in quality of life. The treatment of these patients involves a systematic approach by the entire multidisciplinary team, with particular consideration given to medical options including unlicensed therapies, surgical interventions, and dietetic and psychological support. The purpose of this review is to guide clinicians through this process and provide an accurate summary of the available evidence for different strategies.peer-reviewe

The FLASH project: using lightning data to better understand and predict flash floods

The FLASH project was implemented from 2006 to 2010 underthe EU FP6 framework. The project focused on using lightning observations to better understand and predict convective storms that result in flash floods. As part of the project 23 case studies of flash floods in the Mediterranean region were examined. For the analysis of these storms lightning data from the ZEUS network were used together with satellite derived rainfall estimates in orderto understand the storm development and electrification. In addition, these case studies were simulated using mesoscale meteorological models to better understand the meteorological and synoptic conditions leading up to these intense storms. As part of this project tools for short term predictions (nowcasts) of intenseconvection across the Mediterranean and Europe, and long term forecasts (a few days) of the likelihood of intense convection were developed. The project also focused on educationaloutreach through our website http://flashproject.orgsupplying real time lightning observations, real time experimental nowcasts, forecasts and educational materials. While flash floods and intense thunderstorms cannot be preventedas the climate changes, long-range regional lightning networks can supply valuable data, in realtime, for warningend-users and stakeholders of imminent intense rainfall and possible flash floods

Postoperative peri-axillary seroma following axillary artery cannulation for surgical treatment of acute type A aortic dissection

The arterial cannulation site for optimal tissue perfusion and cerebral protection during cardiopulmonary bypass (CPB) for surgical treatment of acute type A aortic dissection remains controversial. Right axillary artery cannulation confers significant advantages, because it provides antegrade arterial perfusion during cardiopulmonary bypass, and allows continuous antegrade cerebral perfusion during hypothermic circulatory arrest, thereby minimizing global cerebral ischemia. However, right axillary artery cannulation has been associated with serious complications, including problems with systemic perfusion during cardiopulmonary bypass, problems with postoperative patency of the artery due to stenosis, thrombosis or dissection, and brachial plexus injury. We herein present the case of a 36-year-old Caucasian man with known Marfan syndrome and acute type A aortic dissection, who had direct right axillary artery cannulation for surgery of the ascending aorta. Postoperatively, the patient developed an axillary perigraft seroma. As this complication has, not, to our knowledge, been reported before in cardiothoracic surgery, we describe this unusual complication and discuss conservative and surgical treatment options

Transauricular embolization of the rabbit coronary artery for experimental myocardial infarction: comparison of a minimally invasive closed-chest model with open-chest surgery

<p>Abstract</p> <p>Introduction</p> <p>To date, most animal studies of myocardial ischemia have used open-chest models with direct surgical coronary artery ligation. We aimed to develop a novel, percutaneous, minimally-invasive, closed-chest model of experimental myocardial infarction (EMI) in the New Zealand White rabbit and compare it with the standard open-chest surgical model in order to minimize local and systemic side-effects of major surgery.</p> <p>Methods</p> <p>New Zealand White rabbits were handled in conformity with the "Guide for the Care and Use of Laboratory Animals" and underwent EMI under intravenous anesthesia. Group A underwent EMI with an open-chest method involving surgical tracheostomy, a mini median sternotomy incision and left anterior descending (LAD) coronary artery ligation with a plain suture, whereas Group B underwent EMI with a closed-chest method involving fluoroscopy-guided percutaneous transauricular intra-arterial access, superselective LAD catheterization and distal coronary embolization with a micro-coil. Electrocardiography (ECG), cardiac enzymes and transcatheter left ventricular end-diastolic pressure (LVEDP) measurements were recorded. Surviving animals were euthanized after 4 weeks and the hearts were harvested for Hematoxylin-eosin and Masson-trichrome staining.</p> <p>Results</p> <p>In total, 38 subjects underwent EMI with a surgical (n = 17) or endovascular (n = 21) approach. ST-segment elevation (1.90 ± 0.71 mm) occurred sharply after surgical LAD ligation compared to progressive ST elevation (2.01 ± 0.84 mm;p = 0.68) within 15-20 min after LAD micro-coil embolization. Increase of troponin and other cardiac enzymes, abnormal ischemic Q waves and LVEDP changes were recorded in both groups without any significant differences (p > 0.05). Infarct area was similar in both models (0.86 ± 0.35 cm in the surgical group vs. 0.92 ± 0.54 cm in the percutaneous group;p = 0.68).</p> <p>Conclusion</p> <p>The proposed model of transauricular coronary coil embolization avoids thoracotomy and major surgery and may be an equally reliable and reproducible platform for the experimental study of myocardial ischemia.</p