Energy Efficient Smart Wireless Sensor Network for Border Monitoring

The main concern of wireless sensor network is the flexibility and the power to execute different control tasks. This paper presents low power flexible controller for an intrusion detection using power gating technique to reduce the static power loss and fuzzy logic controller, the input signals are proceeded from a PIR, an acoustic and magnetic sensors, the output is presented as an alarm to define the kind of the intrusion. The system behavior is simulated using MATALB-SIMULINK

Metastatic rhabdomyosarcoma of the thyroid gland, a case report

The thyroid gland is a known but an unusual site for metastatic tumors from various primary sites. Despite the fact that it is one of the largest vascular organs in the body, clinical and surgical cases have given an incidence of 3 % of secondary malignances of the organ. Nevertheless, thyroid metastases are not an exceptional finding at autopsy, they are encountered in 2 % to 24 % of the patients with malignant neoplasm. Soft tissue sarcomas metastatic to the thyroid are extremely rare as the majority of thyroid metastasis are caused by tumors of the kidneys, lungs, mammary glands, ovaries , and colon or by melanomas. We report a case of 22-years-old woman with right leg rhabdomyosarcoma metastatic to the thyroid gland

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

Background 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

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Energy Efficient Smart Wireless Sensor Network for Border Monitoring

The main concern of wireless sensor network is the flexibility and the power to execute different control tasks. This paper presents low power flexible controller for an intrusion detection using power gating technique to reduce the static power loss and fuzzy logic controller, the input signals are proceeded from a PIR, an acoustic and magnetic sensors, the output is presented as an alarm to define the kind of the intrusion. The system behavior is simulated using MATALB-SIMULINK

Self-Healing of Active Distribution Networks by Accurate Fault Detection, Classification, and Location

The power system self-healing concept needs accurate and reliable fault detection, classification, and location (FDCL). This research proposes a novel and robust FDCL approach for distribution networks (DNs) in proportion to self-healing requirements. The proposed algorithm utilized a discrete wavelet transform (DWT) to decompose the measured current and zero sequence current component of only one terminal (substation) to detect and classify all fault types with the identification of the faulted phase (s). The fault location is achieved by integrating DWT and support vector machine (SVM). The data for training were extracted using DWT and collected, and then SVM was trained to locate the faulted section. The simplicity of the applied approach, ignoring DG’s data that is merged into the system, reduced training data and time, ability to diagnose all fault types, and high accuracy are the most significant contributions. The proposed techniques are tested on IEEE 33 bus DN with two distributed generation (DG) units, which are simulated in MATLAB. The simulation results demonstrate that the proposed methods give more accurate and reliable results for diagnosing the faults (FDCL) of various fault sorts, DN size, and resistance levels

A 0.002‐mm2 8‐bit 1‐MS/s low‐power time‐based DAC (T‐DAC)

Abstract Digital‐to‐analogue converters (DACs) are essential blocks for interfacing the digital environment with the real world. A novel architecture, using a digital‐to‐time converter (DTC) and a time‐to‐voltage converter (TVC), is employed to form a low‐power time‐based DAC (T‐DAC) that fits low‐power low‐speed applications. This novel conversion mixes the digital input code into a digital pulse width modulated (D‐PWM) signal through the DTC circuit, then converts this D‐PWM signal into an analogue voltage through the TVC circuit. This new T‐DAC is not only an energy‐efficient design but also an area‐efficient implementation. Power optimization is achieved by controlling the supply voltage of the TVC circuit with a discontinuous waveform using a low bias current. Moreover, the implementation area is optimized by proposing a new DAC architecture with a coarse‐fine DTC circuit. Post‐layout simulations of the proposed T‐DAC is conducted using industrial hardware‐calibrated 0.13 μm. Complementary metal oxide semiconductor technology with a 1 V supply voltage, 1 MS/s conversion rate, and 0.9 μW power dissipation