Evolutionary strategy based improved motion estimation technique for H.264 video coding

In this paper we propose an improved motion estimation algorithm based on evolutionary strategy (ES) for H.264 video codec applied to video. The proposed technique works in a parallel local search for macroblocks. For this purpose (mu+lambda) ES is used with an initial population of heuristically and randomly generated motion vectors. Experimental results show that the proposed scheme can reduce the computational complexity up to 50% of the motion estimation algorithm used in the H.264 reference codec at the same picture quality. Therefore, the proposed algorithm provides a significant improvement in motion estimation in the H.264 video codec

Decoding-complexity-aware HEVC encoding using a complexity–rate–distortion model

The energy consumption of Consumer Electronic (CE) devices during media playback is inexorably linked to the computational complexity of decoding compressed video. Reducing a CE device's the energy consumption is therefore becoming ever more challenging with the increasing video resolutions and the complexity of the video coding algorithms. To this end, this paper proposes a framework that alters the video bit stream to reduce the decoding complexity and simultaneously limits the impact on the coding efficiency. In this context, this paper (i) first performs an analysis to determine the trade-off between the decoding complexity, video quality and bit rate with respect to a reference decoder implementation on a General Purpose Processor (GPP) architecture. Thereafter, (ii) a novel generic decoding complexity-aware video coding algorithm is proposed to generate decoding complexity-rate-distortion optimized High Efficiency Video Coding (HEVC) bit streams. The experimental results reveal that the bit streams generated by the proposed algorithm achieve 29.43% and 13.22% decoding complexity reductions for a similar video quality with minimal coding efficiency impact compared to the state-of-the-art approaches when applied to the HM16.0 and openHEVC decoder implementations, respectively. In addition, analysis of the energy consumption behavior for the same scenarios reveal up to 20% energy consumption reductions while achieving a similar video quality to that of HM 16.0 encoded HEVC bit streams

Extrinsic information modification in the turbo decoder by exploiting source redundancies for HEVC video transmitted over a mobile channel

An iterative turbo decoder-based cross layer error recovery scheme for compressed video is presented in this paper. The soft information exchanged between two convolutional decoders is reinforced both by channel coded parity and video compression syntactical information. An algorithm to identify the video frame boundaries in corrupted compressed sequences is formulated. This paper continues to propose algorithms to deduce the correct values for selected fields in the compressed stream. Modifying the turbo extrinsic information using these corrections acts as reinforcements in the turbo decoding iterative process. The optimal number of turbo iterations suitable for the proposed system model is derived using EXIT charts. Simulation results reveal that a transmission power saving of 2.28% can be achieved using the proposed methodology. Contrary to typical joint cross layer decoding schemes, the additional resource requirement is minimal, since the proposed decoding cycle does not involve the decompression function

Content-adaptive feature-based CU size prediction for fast low-delay video encoding in HEVC

Determining the best partitioning structure of a Coding Tree Unit (CTU) is one of the most time consuming operations in HEVC encoding. Specifically, it is the evaluation of the quadtree hierarchy using the Rate-Distortion (RD) optimization that has the most significant impact on the encoding time, especially in the cases of High Definition (HD) and Ultra High Definition (UHD) videos. In order to expedite the encoding for low delay applications, this paper proposes a Coding Unit (CU) size selection and encoding algorithm for inter-prediction in the HEVC. To this end, it describes (i) two CU classification models based on Inter N×N mode motion features and RD cost thresholds to predict the CU split decision, (ii) an online training scheme for dynamic content adaptation, (iii) a motion vector reuse mechanism to expedite the motion estimation process, and finally introduces (iv) a computational complexity to coding efficiency trade-off process to enable flexible control of the algorithm. The experimental results reveal that the proposed algorithm achieves a consistent average encoding time performance ranging from 55% - 58% and 57%-61% with average Bjøntegaard Delta Bit Rate (BDBR) increases of 1.93% – 2.26% and 2.14% – 2.33% compared to the HEVC 16.0 reference software for the low delay P and low delay B configurations, respectively, across a wide range of content types and bit rates

Optimized resource distribution for interactive TV applications

This paper proposes a novel resource optimization scheme for cloud-based interactive television applications that are increasingly believed to be the future of television broadcasting and media consumption, in general. The varying distribution of groups of users and the need for on-the-fly media processing inherent to this type of application necessitates a mechanism to efficiently allocate the resources at both a content and network level. A heuristic solution is proposed in order to (a) generate end-to-end delay bound multicast trees for individual groups of users and (b) co-locate multiple multicast trees, such that a minimum group quality metric can be satisfied. The performance of the proposed heuristic solution is evaluated in terms of the serving probability (i.e., the resource utilization efficiency) and execution time of the resource allocation decision making process. It is shown that improvements in the serving probability of up to 50%, in comparison with existing resource allocation schemes, and several orders of magnitude reduction of the execution time, in comparison to the linear programming approach to solving the optimization problem, can be achieved

End user video quality prediction and coding parameters selection at the encoder for robust HEVC video transmission

Along with the rapid increase in the availability for high quality video formats such as HD (High Definition), UHD (Ultra HD) and HDR (High Dynamic Range), a huge demand for data rates during their transmission has become inevitable. Consequently, the role of video compression techniques has become crucially important in the process of mitigating the data rate requirements. Even though the latest video codec HEVC (High Efficiency Video Coding) has succeeded in significantly reducing the data rate compared to its immediate predecessor H.264/AVC (Advanced Video Coding), the HEVC coded videos in the meantime have become even more vulnerable to network impairments. Therefore, it is equally important to assess the consumers’ perceived quality degradation prior to transmitting HEVC coded videos over an error prone network, and to include error resilient features so as to minimize the adverse effects those impairments. To this end, this paper proposes a probabilistic model which accurately predicts the overall distortion of the decoded video at the encoder followed by an accurate QP-λ relationship which can be used in the RDO (Rate Distortion Optimization) process. During the derivation process of the probabilistic model, the impacts from the motion vectors, the pixels in the reference frames and the clipping operations are accounted and consequently the model is capable of minimizing the prediction error as low as 3.11% whereas the state-of-the-art methods can’t reach below 20.08% under identical conditions. Furthermore, the enhanced RDO process has resulted in 21.41%- 43.59% improvement in the BD-rate compared to the state-of-the-art error resilient algorithms

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone