Calibration of a SuperDARN Radar Antenna by means of a Satellite Beacon

This dissertation reports on the investigation to determine which orbits, ionospheric conditions and seasons of the year that will facilitate the reception of the high frequency (HF) beacon signal from the 1 U CubeSat ZACUBE 1 by the SuperDARN HF radar in Antarctica, and by the HF direction-finding (DF) systems in both Pretoria and Hermanus. The primary objective of the HF beacon on ZACUBE 1 is to provide a continuous radio signal to calibrate and verify the elevation-resolving algorithm of the SuperDARN HF Radar antenna at SANAE IV in Antarctica. The signal will also be used to characterise the beam pattern of this and other HF radar antennas in the SuperDARN network, and to characterise the ionosphere over the Earth’s polar region. A secondary objective of the HF beacon on the satellite is to measure the ionospheric total electron content (TEC) by using either measurements of the carrier phase delays or of the Faraday rotation of the signal. An orbit analysis was done for the CubeSat using parameters for an orbit at an altitude of 600 km and inclination angles of 97.8° and 65°. To account for the propagation effects of the radio wave at 14.099 MHz, the IRI-2007 model and the Chapman layer model were used to define the ionosphere. A ray tracing algorithm written in MATLAB was used to simulate the ray paths. To evaluate the results, a documented ray tracing algorithm known as Haselgrove ray tracing was used. The results obtained show that for an orbit at an inclination above 70° and altitude of 600 km, a number of rays actually traverse the ionosphere and reach the receivers during most of the year for a sufficient period of time during every pass. The least refraction is experienced during winter, therefore it is the best time for the calibration of the radar antenna. The results indicate that the objectives of the CubeSat mission should be achieved

System design of the MeerKAT L - band 3D radar for monitoring near earth objects

This thesis investigates the current knowledge of small space debris (diameter less than 10 cm) and potentially hazardous asteroids (PHA) by the use of radar systems. It clearly identifies the challenges involved in detecting and tracking of small space debris and PHAs. The most significant challenges include: difficulty in tracking small space debris due to orbital instability and reduced radar cross-section (RCS), errors in some existing data sets, the lack of dedicated or contributing instruments in the Southern Hemisphere, and the large cost involved in building a high-performance radar for this purpose. This thesis investigates the cooperative use of the KAT-7 (7 antennas) and MeerKAT (64 antennas) radio telescope receivers in a radar system to improve monitoring of small debris and PHAs was investigated using theory and simulations, as a cost-effective solution. Parameters for a low cost and high-performance radar were chosen, based on the receiver digital back-end. Data from such radars will be used to add to existing catalogues thereby creating a constantly updated database of near Earth objects and bridging the data gap that is currently being filled by mathematical models. Based on literature and system requirements, quasi-monostatic, bistatic, multistatic, single input multiple output (SIMO) radar configurations were proposed for radio telescope arrays in detecting, tracking and imaging small space debris in the low Earth orbit (LEO) and PHAs. The maximum dwell time possible for the radar geometry was found to be 30 seconds, with coherent integration limitations of 2 ms and 121 ms for accelerating and non-accelerating targets, respectively. The multistatic and SIMO radar configurations showed sufficient detection (SNR 13 dB) for small debris and quasi-monostatic configuration for PHAs. Radar detection, tracking and imaging (ISAR) simulations were compared to theory and ambiguities in range and Doppler were compensated for. The main contribution made by this work is a system design for a high performance, cost effective 3D radar that uses the KAT-7 and MeerKAT radio telescope receivers in a commensal manner. Comparing theory and simulations, the SNR improvement, dwell time increase, tracking and imaging capabilities, for small debris and PHAs compared to existing assets, was illustrated. Since the MeerKAT radio telescope is a precursor for the SKA Africa, extrapolating the capabilities of the MeerKAT radar to the SKA radar implies that it would be the most sensitive and high performing contributor to space situational awareness, upon its completion. From this feasibility study, the MeerKAT 3D distributed radar will be able to detect debris of diameter less than 10 cm at altitudes between 700 km to 900 km, and PHAs, with a range resolution of 15 m, a minimum SNR of 14 dB for 152 pulses for a coherent integration time of 2.02 ms. The target range (derived from the two way delay), velocity (from Doppler frequency) and direction will be measured within an accuracy of: 2.116 m, 15.519 m/s, 0.083° (single antenna), respectively. The range, velocity accuracies and SNR affect orbit prediction accuracy by 0.021 minutes for orbit period and 0.0057° for orbit inclination. The multistatic radar was found to be the most suitable and computationally efficient configuration compared to the bistatic and SIMO configurations, and beamforming should be implemented as required by specific target geometry

A meta-analysis of the efficacy of preoperative surgical safety checklists to improve perioperative outcomes

Background. Meta-analyses of the implementation of a surgical safety checklist (SSC) in observational studies have shown a significant decrease in mortality and surgical complications.Objective. To determine the efficacy of the SSC using data from randomised controlled trials (RCTs).Methods. This meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered with PROSPERO (CRD42015017546). A comprehensive search of six databases was conducted using the OvidSP search engine.Results. Four hundred and sixty-four citations revealed three eligible trials conducted in tertiary hospitals and a community hospital, with a total of 6 060 patients. All trials had allocation concealment bias and a lack of blinding of participants and personnel. A single trial that contributed 5 295 of the 6 060 patients to the meta-analysis had no detection, attrition or reporting biases. The SSC was associated with significantly decreased mortality (risk ratio (RR) 0.59, 95% confidence interval (CI) 0.42 - 0.85; p=0.0004; I2=0%) and surgical complications (RR 0.64, 95% CI 0.57 - 0.71; p<0.00001; I2=0%). The efficacy of the SSC on specific surgical complications was as follows: respiratory complications RR 0.59, 95% CI 0.21 - 1.70; p=0.33, cardiac complications RR 0.74, 95% CI 0.28 - 1.95; p=0.54, infectious complications RR 0.61, 95% CI 0.29 - 1.27; p=0.18, and perioperative bleeding RR 0.36, 95% CI 0.23 - 0.56; p<0.00001.Conclusions. There is sufficient RCT evidence to suggest that SSCs decrease hospital mortality and surgical outcomes in tertiary and community hospitals. However, randomised evidence of the efficacy of the SSC at rural hospital level is absent

The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications

Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. Methods: ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. Results: The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. Conclusions: This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran

Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.

BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa