A Neighbor Coverage-Based Probabilistic Rebroadcast for Reducing Routing Overhead in Mobile Ad Hoc Networks Using Cluster Scheme

Due to high mobility of nodes in mobile ad hoc networks (MANETs), there exist frequent link breakages which lead to frequent path failures and route discoveries. The overhead of a route discovery cannot be neglected. In a route discovery, broadcasting is a fundamental and effective data dissemination mechanism, where a mobile node blindly rebroadcasts the first received route request packets unless it has a route to the destination, and thus it causes the broadcast storm problem. In this paper, we propose a neighbor coverage-based probabilistic rebroadcast protocol for reducing routing overhead in MANETs. In order to effectively exploit the neighbor coverage knowledge, we propose a novel rebroadcast delay to determine the rebroadcast order, and then we can obtain the more accurate additional coverage ratio by sensing neighbor coverage knowledge. We also define a connectivity factor to provide the node density adaptation. By combining the additional coverage ratio and connectivity factor, we set a reasonable rebroadcast probability. Our approach combines the advantages of the neighbor coverage knowledge and the probabilistic mechanism, which can significantly decrease the number of retransmissions so as to reduce the routing overhead, and can also improve the routing performance

Effects of Lateral Ligament Sectioning on the Stability of the Ankle and Subtalar Joint

Patients with subtalar joint instability are often diagnosed with ankle instability. Only after a prolonged period of time in which a patient does not improve after treatment for ankle instability is subtalar joint instability considered. To develop a clinically relevant method to diagnose subtalar joint instability, the kinematics of the simulated unstable subtalar joint were examined. A 6 degree-of-freedom positioning and loading device was developed. Plantarflexion/dorsiflexion, inversion/eversion, and internal/external rotation were applied individually or as coupled motions along with an anterior/posterior drawer. Kinematic data were collected from sensors attached to the calcaneus, talus, and tibia by keeping all the ligaments intact, and by serially sectioning anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), cervical ligament, and talocalceneal interosseous ligament. Kinematic results were reported using Euler angles. The ATFL and CFL contributed talocrural instability, similar to previous studies. The interosseous ligament was the greatest contributor to subtalar joint stability. The hindfoot motion (calcaneus relative to tibia) showed significant increases in motion when the ankle and/or subtalar joint was made to be unstable. Therefore, it is difficult to diagnose subtalar joint instability on physical examination alone. (C) 2011 Orthopaedic Research Society

On chiral symmetry breaking by external magnetic fields in QED3_3

A recent result of Gusynin, Miransky and Shovkovy concerning chiral symmetry breaking by a constant external magnetic field in parity-invariant three-dimensional QED is generalised to the case of inhomogeneous fields by relating the phenomenon to the zero modes of the Dirac equation. Virtual photon radiative corrections and four-dimensional QED are briefly discussed.Comment: 10 page Revtex file. Minor corrections, mainly in the discussion leading upto Eqs.(10,11) and the references. Version to be publishe

Baseline ultrasound and clinical correlates in children with cystic fibrosis.

Objective: To investigate the relationship between abdominal ultrasound (US) findings and demographic, historical and clinical features in children with CF. Study design: Children age 3-12 years with CF without known cirrhosis, were enrolled in a prospective, multi-center study of US to predict hepatic fibrosis. Consensus US patterns were assigned by 3 radiologists as normal, heterogeneous, homogeneous, or cirrhosis. Data were derived from direct collection and U.S. or Toronto CF registries. Chi-square or ANOVA were used to compare variables among US groups and between normal and abnormal. Logistic regression was used to study risk factors for having abnormal US. Results: Findings in 719 subjects were normal (n=590, 82.1%), heterogeneous (64, 8.9%), homogeneous (41, 5.7%), and cirrhosis (24, 3.3%). Cirrhosis (p=0.0004), homogeneous (p<0.0001) and heterogeneous (p=0.03) were older than normal. More males were heterogeneous (p=0.001). More heterogeneous (15.0%, p=0.009) and cirrhosis (25.0%, p=0.005) ha

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries