Chapter Energy Efficiency for 5G Multi-Tier Cellular Networks

This chapter provides an introduction to quantifying the energy consumed by software. It is written for computer scientists, software engineers, embedded system developers and programmers who want to understand how to measure the energy consumed by the code they write in order to optimize for energy efficiency. We start with an overview of the electrical foundations of energy measurement and show how these are applied by reviewing the most commonly found energy sensing techniques. This is followed by a brief discussion of the signal processing required to obtain energy consumption data from sensing. We then present two energy measurement systems that are based on sensing techniques. Both can be used to directly measure the energy consumed by software running on embedded systems without the need to modify the hardware. As an alternative, regression-based techniques can be used to infer energy consumption based on monitoring events during program execution using counters monitors offered by the hardware. We introduce the foundations of regression analysis and illustrate how an energy model for an ARM processor can be built using linear regression. In the conclusion, we offer a wider discussion on what should be considered when selecting an energy measurement technique

Energy Efficiency for 5G Multi-Tier Cellular Networks

The heterogeneous cellular network (HCN) is most significant as a key technology for future fifth-generation (5G) wireless networks. The heterogeneous network consists of randomly macrocell base stations (MBSs) overlaid with femtocell base stations (FBSs). Stochastic geometry has been shown to be a very powerful tool to model, analyze, and design networks with random topologies such as wireless ad hoc, sensor networks, and multi-tier cellular networks. HCNs can be energy-efficiently designed by deploying various BSs belonging to different networks, which has drawn significant attention to one of the technologies for future 5G wireless networks. In this chapter, we propose switching off/on systems enabling the BSs in the cellular networks to efficiently consume the power by introducing active/sleep modes, which is able to reduce the interference and power consumption in the MBSs and FBSs on an individual basis as well as improve the energy efficiency of the cellular networks. We formulate the minimization of the power consumption for the MBSs and FBSs as well as an optimization problem to maximize the energy efficiency subject to throughput outage constraints, which can be solved by the Karush-Kuhn-Tucker (KKT) conditions according to the femto tier BS density. We also formulate and compare the coverage probability and the energy efficiency in HCN scenarios with and without coordinated multi-point (CoMP) to avoid coverage holes

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