Sparse Reconstruction-based Detection of Spatial Dimension Holes in Cognitive Radio Networks

In this paper, we investigate a spectrum sensing algorithm for detecting spatial dimension holes in Multiple Inputs Multiple Outputs (MIMO) transmissions for OFDM systems using Compressive Sensing (CS) tools. This extends the energy detector to allow for detecting transmission opportunities even if the band is already energy filled. We show that the task described above is not performed efficiently by regular MIMO decoders (such as MMSE decoder) due to possible sparsity in the transmit signal. Since CS reconstruction tools take into account the sparsity order of the signal, they are more efficient in detecting the activity of the users. Building on successful activity detection by the CS detector, we show that the use of a CS-aided MMSE decoders yields better performance rather than using either CS-based or MMSE decoders separately. Simulations are conducted to verify the gains from using CS detector for Primary user activity detection and the performance gain in using CS-aided MMSE decoders for decoding the PU information for future relaying.Comment: accepted for PIMRC 201

On Spatial Multiplexing Using Reconfigurable Intelligent Surfaces

We consider an uplink multi-user scenario and investigate the use of reconfigurable intelligent surfaces (RIS) to optimize spatial multiplexing performance when a linear receiver is used. We study two different formulations of the problem, namely maximizing the effective rank and maximizing the minimum singular value of the RIS-augmented channel. We employ gradient-based optimization to solve the two problems and compare the solutions in terms of the sum-rate achievable when a linear receiver is used. Our results show that the proposed criteria can be used to optimize the RIS to obtain effective channels with favorable properties and drastically improve performance even when the propagation through the RIS contributes a small fraction of the received power.Comment: 5 pages, 4 figures, accepted for publication in IEEE Wireless Communications Letter

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

A spatial incremental relaying-based user transparent ARQ protocol

[abstract not available

Maximizing dirty-paper coding rate of RIS-assisted multi-user MIMO broadcast channels

We consider a downlink multi-user scenario and investigate the use of reconfigurable intelligent surfaces (RISs) to maximize the dirty-paper-coding (DPC) sum rate of the RIS-assisted broadcast channel. Different from prior works, which maximize the rate achievable by linear precoders, we assume a capacity-achieving DPC scheme is employed at the transmitter and optimize the transmit covariances and RIS reflection coefficients to directly maximize the sum capacity of the broadcast channel. We propose an optimization algorithm that iteratively alternates between optimizing the transmit covariances using convex optimization and the RIS reflection coefficients using Riemannian manifold optimization. Our results show that the proposed technique can be used to effectively improve the sum capacity in a variety of scenarios compared to benchmark schemes

Effective and Promising Strategy in Management of Tomato Root-Knot Nematodes by <i>Trichoderma</i> <i>harzianum</i> and Arbuscular Mycorrhizae

The ecosystem is considerably affected due to the extensive use of chemical pesticides and fertilizers. As an alternative strategy, this study aimed to assess the biocontrol potential of the bioagents arbuscular mycorrhizal fungi and plant growth-promoting Trichoderma harzianum MZ025966 against tomato root-knot nematodes (Meloidogyne javanica). T. harzianum showed a great potentiality to produce indole acetic acid (IAA) (12.11 ± 2.12 μg/mL) and exhibited a noticeable activity of ammonification. Furthermore, T. harzianum revealed protease and lipase enzymatic activity of 28.36 ± 2.82 U/mL and 12.30 ± 0.31 U/mL, respectively, which may illustrate the control mechanism of nematode eggs and juveniles. As in mycorrhizal and/or T. harzianum inoculated tomato plants, the penetration rates of nematodes, as well as the number of juveniles, females, egg mass, and galls were significantly reduced. The lowest number of juveniles was observed in the case of either single mycorrhizal inoculation (45%) or in combination with T. harzianum (55%). The enzymatic activity of glutathione peroxidase and catalase was enhanced in tomato plants inoculated with the bioagents to overcome the negative impact of nematode parasitism. Our results proved that the application of biocontrol agents not only reduced the nematode population and penetration rate but also improved the plant growth, increased the nutritional elemental content and stimulated the plant’s systematic resistance

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