Communication Network Design and Evaluation Using Shadow Prices.

We use shadow prices to measure the rate of change of performance functions of a communications network with respect to incremental changes in one or more of the design parameters such as capacity, anticipated demand, reservation levels, routing proportions, etc. The ability to evaluate such shadow prices allows us to introduce designs that optimize network performance according to network-wide criteria. We present models for the evaluation of shadow prices for different cases of networks: single-rate circuit-switched networks, wireless networks, multi-rate circuit-switched networks. For these cases, we demonstrate the wide applicability of shadow price methods. We formulate the new and very useful notion of sum capacity that can be used to compare different adaptive routing schemes, we can determine the actual pricing of calls to reflect their effect on the entire network, we trade off new call blocking with the forced termination of calls due to handoff drops in wireless networks, we dimension networks to achieve a prescribed set of new call and handoff blocking probabilities, we determine the tradeoffs between calls of different rates in multi-rate networks. We also point out problems of current interest which can be addressed by the shadow price framework and outline a brief methodology

Semi-blind Channel Estimation and Data Detection for Multi-cell Massive MIMO Systems on Time-Varying Channels

We study the problem of semi-blind channel estimation and symbol detection in the uplink of multi-cell massive MIMO systems with spatially correlated time-varying channels. An algorithm based on expectation propagation (EP) is developed to iteratively approximate the joint a posteriori distribution of the unknown channel matrix and the transmitted data symbols with a distribution from an exponential family. This distribution is then used for direct estimation of the channel matrix and detection of data symbols. A modified version of the popular Kalman filtering algorithm referred to as KF-M emerges from our EP derivation and it is used to initialize the EP-based algorithm. Performance of the Kalman smoothing algorithm followed by KF-M is also examined. Simulation results demonstrate that channel estimation error and the symbol error rate (SER) of the semi-blind KF-M, KS-M, and EP-based algorithms improve with the increase in the number of base station antennas and the length of the transmitted frame. It is shown that the EP-based algorithm significantly outperforms KF-M and KS-M algorithms in channel estimation and symbol detection. Finally, our results show that when applied to time-varying channels, these algorithms outperform the algorithms that are developed for block-fading channel models.Comment: 28 pages, 13 figures, Submitted to IEEE Trans. on Vehicular Technolog

A Secure Trust Model Based on Fuzzy Logic in Vehicular Ad Hoc Networks With Fog Computing

In vehicular ad hoc networks (VANETs), trust establishment among vehicles is important to secure integrity and reliability of applications. In general, trust and reliability help vehicles to collect correct and credible information from surrounding vehicles. On top of that, a secure trust model can deal with uncertainties and risk taking from unreliable information in vehicular environments. However, inaccurate, incomplete, and imprecise information collected by vehicles as well as movable/immovable obstacles have interrupting effects on VANET. In this paper, a fuzzy trust model based on experience and plausibility is proposed to secure the vehicular network. The proposed trust model executes a series of security checks to ensure the correctness of the information received from authorized vehicles. Moreover, fog nodes are adopted as a facility to evaluate the level of accuracy of event's location. The analyses show that the proposed solution not only detects malicious attackers and faulty nodes, but also overcomes the uncertainty and imprecision of data in vehicular networks in both line of sight and non-line of sight environments

Game Theory-Based Cooperation for Underwater Acoustic Sensor Networks: Taxonomy, Review, Research Challenges and Directions.

Exploring and monitoring the underwater world using underwater sensors is drawing a lot of attention these days. In this field cooperation between acoustic sensor nodes has been a critical problem due to the challenging features such as acoustic channel failure (sound signal), long propagation delay of acoustic signal, limited bandwidth and loss of connectivity. There are several proposed methods to improve cooperation between the nodes by incorporating information/game theory in the node's cooperation. However, there is a need to classify the existing works and demonstrate their performance in addressing the cooperation issue. In this paper, we have conducted a review to investigate various factors affecting cooperation in underwater acoustic sensor networks. We study various cooperation techniques used for underwater acoustic sensor networks from different perspectives, with a concentration on communication reliability, energy consumption, and security and present a taxonomy for underwater cooperation. Moreover, we further review how the game theory can be applied to make the nodes cooperate with each other. We further analyze different cooperative game methods, where their performance on different metrics is compared. Finally, open issues and future research direction in underwater acoustic sensor networks are highlighted

Evolution of Indoor Positioning Technologies: A Survey

Indoor positioning systems (IPS) use sensors and communication technologies to locate objects in indoor environments. IPS are attracting scientific and enterprise interest because there is a big market opportunity for applying these technologies. There are many previous surveys on indoor positioning systems; however, most of them lack a solid classification scheme that would structurally map a wide field such as IPS, or omit several key technologies or have a limited perspective; finally, surveys rapidly become obsolete in an area as dynamic as IPS. The goal of this paper is to provide a technological perspective of indoor positioning systems, comprising a wide range of technologies and approaches. Further, we classify the existing approaches in a structure in order to guide the review and discussion of the different approaches. Finally, we present a comparison of indoor positioning approaches and present the evolution and trends that we foresee

Enhancing the Performance of Energy Harvesting Sensor Networks for Environmental Monitoring Applications

Fast development in hardware miniaturization and massive production of sensors make them cost efficient and vastly available to be used in various applications in our daily life more specially in environment monitoring applications. However, energy consumption is still one of the barriers slowing down the development of several applications. Slow development in battery technology, makes energy harvesting (EH) as a prime candidate to eliminate the sensor’s energy barrier. EH sensors can be the solution to enabling future applications that would be extremely costly using conventional battery-powered sensors. In this paper, we analyze the performance improvement and evaluation of EH sensors in various situations. A network model is developed to allow us to examine different scenarios. We borrow a clustering concept, as a proven method to improve energy efficiency in conventional sensor network and brought it to EH sensor networks to study its effect on the performance of the network in different scenarios. Moreover, a dynamic and distributed transmission power management for sensors is proposed and evaluated in both networks, with and without clustering, to study the effect of power balancing on the network end-to-end performance. The simulation results indicate that, by using clustering and transmission power adjustment, the power consumption can be distributed in the network more efficiently, which result in improving the network performance in terms of a packet delivery ratio by 20%, 10% higher network lifetime by having more alive nodes and also achieving lower delay by reducing the hop-count

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Statistical Evaluation of the Positioning Error in Sequential Localization Techniques for Sensor Networks

In wireless sensor networks (WSN) localization of the nodes is relevant, especially for the task of identification of events that occur in the environment being monitored. Thus, positioning of the sensors is essential to satisfy such task. In WSN, sensors use techniques for self-localization based on some reference or anchor nodes (AN) that know their own position in advance. These ANs are fusion centers or nodes with more processing power. Assuming that the number of ANs given in the network is N, we carry out the localization algorithm to position sensors sequentially using those N ANs. Now, when a sensor has been localized, it becomes a new AN, and now, other sensors will use N + 1 ANs, this is repeated until all the sensors in the network have been localized. In this sequential localization algorithm, the positioning error (difference between true and estimated position) increases as the sensor to be located is farther away from the group of original ANs in the network. This error becomes critical when propagation issues such as multipath propagation and shadowing in indoor environments are considered. In this paper, we characterize statistically positioning error in WSN for one-dimensional indoor environments when sensors are deployed randomly. We also evaluate the performance of the localization algorithm and determine correcting factors based on the statistical characterization to minimize positioning error. We present results from simulations and measurements in an indoor environment