1,240 research outputs found

    Decision-Directed Hybrid RIS Channel Estimation with Minimal Pilot Overhead

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    To reap the benefits of reconfigurable intelligent surfaces (RIS), channel state information (CSI) is generally required. However, CSI acquisition in RIS systems is challenging and often results in very large pilot overhead, especially in unstructured channel environments. Consequently, the RIS channel estimation problem has attracted a lot of interest and also been a subject of intense study in recent years. In this paper, we propose a decision-directed RIS channel estimation framework for general unstructured channel models. The employed RIS contains some hybrid elements that can simultaneously reflect and sense the incoming signal. We show that with the help of the hybrid RIS elements, it is possible to accurately recover the CSI with a pilot overhead proportional to the number of users. Therefore, the proposed framework substantially improves the system spectral efficiency compared to systems with passive RIS arrays since the pilot overhead in passive RIS systems is proportional to the number of RIS elements times the number of users. We also perform a detailed spectral efficiency analysis for both the pilot-directed and decision-directed frameworks. Our analysis takes into account both the channel estimation and data detection errors at both the RIS and the BS. Finally, we present numerous simulation results to verify the accuracy of the analysis as well as to show the benefits of the proposed decision-directed framework.Comment: submitted for journal publication, 13 pages, 7 figure

    DNN-based Detectors for Massive MIMO Systems with Low-Resolution ADCs

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    Low-resolution analog-to-digital converters (ADCs) have been considered as a practical and promising solution for reducing cost and power consumption in massive Multiple-Input-Multiple-Output (MIMO) systems. Unfortunately, low-resolution ADCs significantly distort the received signals, and thus make data detection much more challenging. In this paper, we develop a new deep neural network (DNN) framework for efficient and low-complexity data detection in low-resolution massive MIMO systems. Based on reformulated maximum likelihood detection problems, we propose two model-driven DNN-based detectors, namely OBMNet and FBMNet, for one-bit and few-bit massive MIMO systems, respectively. The proposed OBMNet and FBMNet detectors have unique and simple structures designed for low-resolution MIMO receivers and thus can be efficiently trained and implemented. Numerical results also show that OBMNet and FBMNet significantly outperform existing detection methods.Comment: 6 pages, 8 figures, submitted for publication. arXiv admin note: text overlap with arXiv:2008.0375

    Linear and Deep Neural Network-based Receivers for Massive MIMO Systems with One-Bit ADCs

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    The use of one-bit analog-to-digital converters (ADCs) is a practical solution for reducing cost and power consumption in massive Multiple-Input-Multiple-Output (MIMO) systems. However, the distortion caused by one-bit ADCs makes the data detection task much more challenging. In this paper, we propose a two-stage detection method for massive MIMO systems with one-bit ADCs. In the first stage, we propose several linear receivers based on the Bussgang decomposition, that show significant performance gain over existing linear receivers. Next, we reformulate the maximum-likelihood (ML) detection problem to address its non-robustness. Based on the reformulated ML detection problem, we propose a model-driven deep neural network-based (DNN-based) receiver, whose performance is comparable with an existing support vector machine-based receiver, albeit with a much lower computational complexity. A nearest-neighbor search method is then proposed for the second stage to refine the first stage solution. Unlike existing search methods that typically perform the search over a large candidate set, the proposed search method generates a limited number of most likely candidates and thus limits the search complexity. Numerical results confirm the low complexity, efficiency, and robustness of the proposed two-stage detection method.Comment: 12 pages, 10 figure

    Human papillomavirus-associated oropharyngeal cancer: a new clinical entity

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    The incidence of oropharyngeal cancers is rising worldwide in both nonsmokers and nondrinkers. Epidemiology studies suggest a strong association between human papillomavirus (HPV) 16 infection, changing sexual behavior and cancer development. Despite initial presentation with locally advanced disease and poorly differentiated histology, HPV-associated oropharyngeal carcinoma is associated with a good prognosis because its response to chemotherapy and radiation. Clinicians should be aware of the risk of oropharyngeal cancer in young people to avoid unnecessary delay in diagnosis and treatment. A history of oral sex should be elicited in young patients with enlarged neck nodes and/or tonsillar masse

    A Simple Linear Time Algorithm for Computing a 1-Median on Cactus Graphs

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    We address the problem of finding a 1-median on a cactus graph. The problem has already been solved in linear time by the algorithms of Burkard and Krarup (1998), and Lan and Wang (2000). These algorithms are complicated and need efforts. Hence, we develop in this paper a simpler algorithm. First, we construct a condition for a cycle that contains a 1-median or for a vertex that is indeed a 1-median of the cactus. Based on this condition, we localize the search for deriving a 1-median on the underlying cactus. Complexity analysis shows that the approach runs in linear time

    Randomized controlled trial of artesunate or artemether in Vietnamese adults with severe falciparum malaria

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    <p>Abstract</p> <p>Background</p> <p>Both artemether and artesunate have been shown to be superior to quinine for the treatment of severe falciparum malaria in Southeast Asian adults, although the magnitude of the superiority has been greater for artesunate than artemether. These two artemisinin derivatives had not been compared in a randomized trial.</p> <p>Methods</p> <p>A randomized double blind trial in 370 adults with severe falciparum malaria; 186 received intramuscular artesunate (2.4 mg/kg immediately followed by 1.2 mg/kg at 12 hours then 24 hours then daily) and 184 received intramuscular artemether (3.6 mg per kilogram immediately followed by 1.8 mg per kilogram daily) was conducted in Viet Nam. Both drugs were given for a minimum of 72 hours.</p> <p>Results</p> <p>There were 13 deaths in the artesunate group (7 percent) and 24 in the artemether group (13 percent); P = 0.052; relative risk of death in the patients given artesunate, 0.54; (95 percent confidence interval 0.28-1.02). Parasitaemia declined more rapidly in the artesunate group. Both drugs were very well tolerated.</p> <p>Conclusions</p> <p>Intramuscular artesunate may be superior to intramuscular artemether for the treatment of severe malaria in adults.</p

    Assessment of the Effectiveness of Ich Tam Khang as a Supportive Therapy for Chronic Heart Failure

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    Background: Heart failure is a chronic disease needing lifelong management. Despite the advances that have been made in the treatment of the disease, both the longevity and quality of life for those with chronic heart failure remain impaired. A more effective therapeutic approach with less negative side effects is still needed. In this study, we evaluate Ich Tam Khang (ITK), the poly-ingredient herbal and nutritional preparation with multiple physiological actions, as a supportive therapy for patients with chronic heart failure.Aims of Study: To evaluate the effectiveness and safety of Ich Tam Khang as an adjunctive treatment of chronic heart failure.Methods: A total of 60 patients with chronic congestive heart failure were enrolled in this open label, cross-sectional and prospective study. All patients were treated with a conventional regimen (digoxin, diuretics, angiotensin-converting-enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs), beta blockers) for at least 4 weeks before being divided into two equal groups. In the treated patients with ITK, patients received conventional therapy plus 4 tablets ITK per day added in two divided doses. In the control patients, all patients kept the same conventional regimen without ITK. All patients were followed up for 3 months for clinical and para-clinical outcomes.Result: The symptoms of heart failure (dyspnea, palpitation, peripheral edema, neck vein distention, heptojugular reflex) decreased. Heart rate and blood pressure stabilized during treatment in the treated patients with ITK. Additionally, total cholesterol and HDL-cholesterol normalized in the patients treated with ITK. Most of echocardiography parameters in the ITK treated patients were superior to the control patients. ITK is safe and it has no side effects.Conclusion: ITK as a combination of herbal and nutritional preparation is effective in reducing heart failure symptoms, improving patient's quality of life for the patients with decompensated heart failure and reducing total cholesterol and LDL-C

    Risk Factors for Non-communicable Diseases in Vietnam: A Focus on Pesticides

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    Agent Orange, which was sprayed in southern Vietnam by the American government, was the main source of dioxin exposure in Vietnam. From the early 1990s, agriculture of Vietnam has attained advances under intensive cultivation. Both production and yields per crop has raised significantly at the farm level, but, on the other hand, the quantity of pesticides used in agriculture has been increased in the absence of regulations and good practices. Illegal business of pesticides with false labels, as well as marketing of expired or poor quality products in stores without license are so popular in Vietnam. Misuse and improper use in agriculture in Vietnam has led to a variety of problems, such as environment pollution (including food producing animals) and adverse health impact on animals and humans. Open dumpsites worsen the general scenario. Similar to the environmental exposure, human exposure to DDT in Vietnam was ranked among the highest worldwide, with recognized effects. Exposed communities have to face birth defects, health disorders and non-communicable diseases (NCDs), from metabolic syndrome, asthma, infertility and other reproductive disorders through to diabetes, obesity, cardiovascular and neurodegenerative diseases, and cancer. A common feature of many chronic disorders and NCDs is metabolic disruption: environmental chemical factors disturb cellular homeostasis, thus affecting the ability of the body to restore a functional internal environment. Among these, endocrine disrupting pesticides can interfere with the action of hormones including metabolic hormones, and are likely to represent the main concern for developmentally-induced NCDs. Since pesticides are often persistent and bio-accumulate in the food chain through the living environment of food-producing organisms, this paper discusses relevant aspects of risk assessment, risk communication and risk management
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