Patient-reported outcomes 6 months after enhanced recovery after colorectal surgery.

BackgroundEnhanced recovery after surgery (ERAS) programs have been established as perioperative strategies associated with improved outcomes. However, intermediate and long-term patient-reported outcome data for patients undergoing ERAS interventions remain limited. We utilized an automated telephone survey 6 months post-colorectal surgery from patients who participated in an ERAS program to determine 6-month patient-reported outcomes and associated predictive factors.MethodsWe conducted a prospective observational study, using an automated telephone survey and researcher-administered telephone questionnaire 6 months after patients underwent abdominal colorectal surgery. Six-month significant outcomes were defined by persistent pain, hospital readmission, and patient satisfaction. Patients reporting these outcome variables were compared with patients who met none of these criteria. Additionally, analysis was performed to determine differences between patients that did and did not respond to the 6-month survey. A chi-square test was used to determine any relationship for categorical variables, a two independent sample t test for length of procedure/stay, and a Wilcoxon-Mann-Whitney test for pain scores.ResultsOne hundred fifty-four of 324 patients contacted 6 months after surgery completed the automated telephone survey (47.53%). There was no statistical difference between patient populations completing and not completing the survey. Hospital 6-month readmission was associated with patients with a diagnosis of cancer (P = .049) and with a longer mean length of index procedure (282 vs. 206 minutes, P = .006). Median 6-month pain scores were higher for patients that underwent an open procedure compared to laparoscopic (Z = - 2.06, P = .04).ConclusionsLong-term benefits of an ERAS program were mostly confirmed. Longer procedure time and patients with cancer correlated with an increased likelihood of hospital 6-month readmission, suggesting that perioperative outcomes in complex cancer patients need to be evaluated over a longer time frame. In addition, invasiveness of procedure continues to have a significant effect on pain scores even 6 months later

Inverse Compton Scattering as the Source of Diffuse EUV Emission in the Coma Cluster of Galaxies

We have examined the hypothesis that the majority of the diffuse EUV flux in the Coma cluster is due to inverse Compton scattering of low energy cosmic ray electrons (0.16 < epsilon < 0.31 GeV) against the 3K black-body background. We present data on the two-dimensional spatial distribution of the EUV flux and show that these data provide strong support for a non-thermal origin for the EUV flux. However, we show that this emission cannot be produced by an extrapolation to lower energies of the observed synchrotron radio emitting electrons and an additional component of low energy cosmic ray electrons is required.Comment: 11 pages, 5 figure

5G-Crosshaul: an SDN/NFV control and data plane architecture for the 5G integrated Fronthaul/Backhaul

This paper presents the control and data plane architecture design for a 5G transport solution (5G-Crosshaul) with the aim of integrating the fronthaul and backhaul network segments in a common transport stratum. The control plane relies on the Software-defined networking/Network Functions Virtualization concept to control and orchestrate the different elements of the network (the 5G-Crosshaul control infrastructure). The data plane is based on an mixed optical/packet-based forwarding entity (the 5G-Crosshaul forwarding element) that leverages the benefits of optical passthrough with the statistical multiplexing of packet-based transmission, working on top of a common frame format for both, fronthaul, and backhaul traffic (the 5G-Crosshaul common frame). In addition to the main architecture design, this work includes the impact of providing multi-tenancy support into the architecture of the overall system, in order to share the costs of building and operating the infrastructure among different operators. This architecture opens the 5G transport network as a service for innovative network applications on top (such as multi-tenancy, and resource management), provisioning the required network and IT resources in a flexible, cost-effective, and abstract manner. The proposed design supports the concept of network slicing pushed by the industry for realizing a truly flexible, sharable, and cost-effective future 5G system.This work has been funded by the EU H2020 project “5GCrosshaul: The 5G Integrated fronthaul/backhaul” (grant no. 671598)

5G-crosshaul: an SDN/NFV integrated fronthaul/backhaul transport network architecture

This article proposes an innovative architecture design for a 5G transport solution (dubbed 5G-Crosshaul) targeting the integration of existing and new fronthaul and backhaul technologies and interfaces. At the heart of the proposed design lie an SDN/NFV-based management and orchestration entity (XCI), and an Ethernet-based packet forwarding entity (XFE) supporting various fronthaul and backhaul traffic QoS profiles. The XCI lever-ages widespread architectural frameworks for NFV (ETSI NFV) and SDN (Open Daylight and ONOS). It opens the 5G transport network as a service for innovative network applications on top (e.g., multi-tenancy, resource management), provisioning the required network and IT resources in a flexible, cost-effective, and abstract manner. The proposed design supports the concept of network slicing pushed by the industry for realizing a truly flexible, sharable, and cost-effective future 5G system.This work has been funded by the EU H2020 project “5G- Crosshaul: The 5G Integrated Fronthaul/Backhaul” (Grant no. 671598)

Packet forwarding for heterogeneous technologies for integrated fronthaul/backhaul

Proceeding of: 2016 European Conference on Networks and Communications (EuCNC)To meet the future mobile user demand at a reduced cost, operators are looking at solutions such as C-RAN and different functional splits to decrease the cost of deploying and maintaining cell sites. The use of these technologies forces operators to manage two physically separated networks, one for backhaul and one for fronthaul. To solve this issue, transport networks for 5G will carry both fronthaul and backhaul traffic operating over heterogeneous data plane technologies. Such an integrated fronthaul/backhaul (denoted as 5G-Crosshaul) transport network will be software-controlled to adapt to the fluctuating capacity demand of the new generation air interfaces. Based on a proposed data- and control-plane architecture for 5G-Crosshaul, we propose a frame format common to both fronthaul and backhaul traffic as well as a corresponding abstraction of the forwarding behavior of the network elements. The common frame format and the forwarding abstraction define the information to be exchanged at the southbound interface (SBI) of the 5G-Crosshaul Control Infrastructure (XCI). This paper derives requirements for the SBI from 5G use cases.The authors of this paper have been sponsored in part by the project H2020-ICT-2014-2 “5G-Crosshaul”: The 5G integrated fronthaul/backhaul” (671598

Automating vertical services deployments over the 5GT platform

This article presents a system for 5G networks that makes it possible to meet the diverse needs of vertical industries simultaneously sharing the same physical infrastructure. Orchestration, network slicing, edge computing, and federation are key technologies enabling industry verticals to have their own virtual networks, which might require aggregating transport networking and computing fabric, from the edge up to the core and cloud. Three novel building blocks are defined to meet these challenges in an automated manner: a vertical slicer as the entry point to create services and request slices, a service orchestrator to manage the services and decide their placement and allocation of required resources, and a mobile transport and computing platform virtualizing infrastructure networking and computing resources in an integrated manner. An experimental evaluation of the developed system shows its feasibility and confirms some of the benefits expected

Integrating Fronthaul and Backhaul Networks: Transport Challenges and Feasibility Results

In Press / En PrensaIn addition to CPRI, new functional splits have been defined in 5G creating diverse fronthaul transport bandwidth and latency requirements. These fronthaul requirements shall be fulfilled simultaneously together with the backhaul requirements by an integrated fronthaul and backhaul transport solution. In this paper, we analyze the technical challenges to achieve an integrated transport solution in 5G and propose specific solutions to address these challenges. These solutions have been implemented and verified with commercially available equipment. Our results confirm that an integrated fronthaul and backhaul transport dubbed Crosshaul can meet all the requirements of 5G fronthaul and backhaul in a cost-efficient manner.Special thanks to the 5G-Crosshaul and 5G-TRANSFORMER team, in particular to Jaime Jose Garcia Reinoso, Chenguang Lu, Daniel Cederholm and Jakub Kocur who helped during the experimentation. This work has been partially funded by the EU H2020 project "5G-TRANSFORMER: 5G Mobile Transport Platform for Verticals" (grant no. 761536)

5G-TRANSFORMER: Slicing and Orchestrating Transport Networks for Industry Verticals

This article dives into the design of the next generation Mobile Transport Networks to simultaneously support the needs of various vertical industries with diverse range of networking and computing requirements. Network Slicing has emerged as the most promising approach to address this challenge by enabling per-slice management of virtualized resources. We aim to bring the Network Slicing paradigm into mobile transport networks by provisioning and managing slices tailored to the needs of different vertical industries, specifically: automotive, eHealth and media. Our technical approach is twofold: (i) enabling Vertical Industries to meet their service requirements within customized slices; and (ii) aggregating and federating transport networking and computing fabric, from the edge up to the core and cloud, to create and manage slices throughout a federated virtualized infrastructure. The main focus of the article is on major technical highlights of verticaloriented slicing mechanisms for 5G mobile networks.This work has been partially supported by the EU H2020 5GPPP 5G-TRANSFORMER project (Grant 761536