A compact UWB monopole antenna with penta band notched characteristics

A modified rectangular monopole ultra-wideband (UWB) antenna with penta notched frequency bands is presented. An inverted U shaped and slanted U-shaped on the radiating patch are inserted to achieve WiMAX and ARN bands rejection respectively, two mirrored summation Σ-shaped and four mirrored 5-shaped slots are inserted on the partial ground to achieve WLAN and X-band bands rejection respectively, finally rectangular shaped slot with partially open on the feed is inserted to achieve ITU-8 band rejection. The proposed antenna which was simulated has a compact size 30×35×1.6 m3. It is operated with impedance bandwidth 2.8-10.6 GHz at |S11| < −10 dB, that supported UWB bandwidth with filtering the five narrowbands that avoid the possible interference with them. The simulated resonant frequency for notched filters received 3.55, 4.55, 5.53, 7.45, 8.16 GHZ, for WiMAX, ARN, WLAN, X-Band, ITU-8 respectively. The proposed antenna is suitable for wireless communication such as mobile communication and internet of everything (IoE). Throughout this paper, CST-EM software package was used for the design implementation. Surface current distributions for all notched filters were investigated and shown that it is concentrated around the feeding point and the inserted notched slots proving that there is no radiation to the space due to maximum stored electromagnetic energy around each investigated notch slot, proving that the slots play a role of a quarter wavelength transformer which generates for each notched band, maximum gain, and radiation pattern are also investigated

Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: results of an international multi-centre study

Introduction: Increased mortality has been demonstrated in older adults with coronavirus disease 2019 (COVID-19), but the effect of frailty has been unclear. Methods: This multi-centre cohort study involved patients aged 18 years and older hospitalised with COVID-19, using routinely collected data. We used Cox regression analysis to assess the impact of age, frailty and delirium on the risk of inpatient mortality, adjusting for sex, illness severity, inflammation and co-morbidities. We used ordinal logistic regression analysis to assess the impact of age, Clinical Frailty Scale (CFS) and delirium on risk of increased care requirements on discharge, adjusting for the same variables. Results: Data from 5,711 patients from 55 hospitals in 12 countries were included (median age 74, interquartile range [IQR] 54–83; 55.2% male). The risk of death increased independently with increasing age (>80 versus 18–49: hazard ratio [HR] 3.57, confidence interval [CI] 2.54–5.02), frailty (CFS 8 versus 1–3: HR 3.03, CI 2.29–4.00) inflammation, renal disease, cardiovascular disease and cancer, but not delirium. Age, frailty (CFS 7 versus 1–3: odds ratio 7.00, CI 5.27–9.32), delirium, dementia and mental health diagnoses were all associated with increased risk of higher care needs on discharge. The likelihood of adverse outcomes increased across all grades of CFS from 4 to 9. Conclusion: Age and frailty are independently associated with adverse outcomes in COVID-19. Risk of increased care needs was also increased in survivors of COVID-19 with frailty or older age.</p