Respondent*s awareness on various health impacts of exposure to air pollution in Oslo, Norway

Master in Social Sciences - 201

A Linearized Analog Microwave Photonic link with an Eliminated Even-order Distortions

International audienceAn improved linearized analog microwave photonic link (AMPL) with significant multioctave bandwidth performance is experimentally presented. The proposed AMPL configuration is based on a double dual-parallel Mach-Zehnder modulator and a differential balanced photodetector (BPD). Explicitly, a gallium arsenide (GaAs)-based modulators are used as opposed to the commonly known lithium niobate (LiNbO3) modulators, due to its robustness in the harsh environment. The system configuration is designed to process a carrier suppressed double-sideband signal through the link, and then at the receiver, a carrier suppressed double-sideband signal is combined with an unmodulated optical carrier, which is transmitted through a polarization maintained (PM) optical fiber. In our experiment, only PM-based optical components are used for better system stability. The developed theoretical model of the proposed system illustrates the elimination of even-order distortions and a high suppression to the third-order intermodulation distortions at the BPD. Consequently, the fundamental signal to interference ratio of 60 dB was experimentally achieved. Furthermore, experimental results, simultaneously, demonstrate a significant increase of second-order spurious-free dynamic range and third-order spurious-free dynamic range by 19.5 and 3.1dB, respectively, compared to the previously reported AMPL performances based on polarization multiplexing dual-parallel Mach-Zehnder modulator. To the best of our knowledge, this is the highest dynamic range AMPL system performance deploying GaAs electro-optic modulator which has most significant capabilities in managing RF signals and exhibits excessive performance in harsh operating environment in terms of thermal stability, power-handling, radiation resistance and longevity for aerospace, defense, and satellite-to-ground downlink communication system applications

Optimisation of dispersion compensating in a long-haul fibre for RF transmission of up to 100Gbit/s by using RZ and NRZ formats

With the recent data rate increase it is very challenging to build a fibre optic network that would enable a high data rate transmission over a long haul distance. The signal suffers large degradation over a certain distance due to distortion by the nonlinear effects of the optical fibres. In particular, transmission of high data rates over existing fibre optic systems, while keeping the cost low, avoiding an increase of the system’s complexity and the usage of expensive devices, would be a very challenging task. In this paper, we address this problem by increasing the transmission distance in the fibre optic links for up to 2500km. We have used Standard Single Mode Fibre (SSMF) and Dispersion Compensation Fibre (DCF), where DCF is used as a loss compensator in Radio-Over-Fibre (RoF) systems. A mixture combination of the pre, post and symmetrical fibre compensation schemes were developed to overcome the dispersion in the fibre. We have found that in order to achieve high RF over fibre optic system performance for high data rates and long transmission, there is a requirement to upgrade the optical configuration scheme in a proportional way, by raising the length of the fibre span, compensation span and amplification. We have reported optimised RF over fibre configuration schemes that would have a great impact on reducing the cost, reducing the system’s complexity and avoiding usage of expensive devices, in order to achieve high data rate transmission over existing fibre optic systems

Microwave photonic downconversion with improved conversion efficiency and SFDR

In this paper, we report a novel approach of microwave frequency downconversion with improved conversion efficiency and high dynamic range, using two different configuration schemes. The first proposed scheme is designed by using a dual-parallel dual-drive Mach-Zehnder modulator and the second one using dual-parallel dual-phase modulator. The radio frequency (RF) message signal and the local oscillator (LO) signal are feeding these two parallel connected modulators. By using a tight control of the system parameters, we have reported an effective optical carrier suppression, resulting in high conversion efficiency. We show that when the link is amplified, the relation between m{\mathrm {LO}} and m{\mathrm {RF}} plays a vital role and gives a high value of conversion efficiency, where key parameters lead to the LO and RF modulators modulation index. The conversion efficiency is improved by 5.72 dBm, compared with previously published work using DP-MZM, and 28.4 dBm, compared with the cascaded connected modulator. An experimental demonstration of a proof of concept is also carried out where the intermediate frequency to noise ratio of 69.5 dB is reported

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Blind Overnight: A Case of Fulminant Idiopathic Intracranial Hypertension

Idiopathic Intracranial Hypertension (IIH) is a syndrome seen predominantly in obese women of reproductive age group, characterized by signs and symptoms of increased intracranial pressure due to an unknown cause. Some individuals have a more malignant form of disease called fulminant idiopathic intracranial hypertension with rapid worsening of symptoms over days. We report a case of 33year-old obese female (BMI 36.9) who presented with a severe headache and blurred vision for one week, found to have idiopathic intracranial hypertension with rapid worsening of symptoms suggestive of a fulminant course of disease. She was managed with prompt surgical intervention. In patients with fulminant idiopathic intracranial hypertension, surgery such as cerebrospinal fluid shunting or optic nerve sheath fenestration should not be delayed to prevent vision loss

Testing the moderating role of trade openness on the environmental Kuznets curve hypothesis: a novel approach

We explore the moderating role of trade openness (TO) by gauging its main and interaction effects on the economic growth and environmental quality nexus. In this direction, we implement a novel approach by using three different measures of pollution emissions (CO2–CH4–PM2.5) in the environmental Kuznets curve hypothesis and applying a structural equation modelling methodology to 115 countries, grouped into low-, middle- and high-income countries, spanning the period 1992–2018. The evidence suggests that energy consumption has a positive impact on CO2 emissions for all income panels whilst the moderating effect of TO appears to be a key degrading factor of environmental quality in low- and middle-income countries. In addition, TO’s interaction with GDP growth is found to negatively affect environmental quality across all income groups. Given that global economies are on the verge of returning to pre-pandemic levels of industrial operations along with emissions in the wake of the failure of COP26 and that COVID-19 has reminded the world the urgency of developing sustainable approaches in fostering ‘green economic growth’ models; a host of policy measures are proposed in support of this whilst their likely implications are discussed with reference to different income level countries