Anticipatory Buffer Control and Quality Selection for Wireless Video Streaming

Video streaming is in high demand by mobile users, as recent studies indicate. In cellular networks, however, the unreliable wireless channel leads to two major problems. Poor channel states degrade video quality and interrupt the playback when a user cannot sufficiently fill its local playout buffer: buffer underruns occur. In contrast to that, good channel conditions cause common greedy buffering schemes to pile up very long buffers. Such over-buffering wastes expensive wireless channel capacity. To keep buffering in balance, we employ a novel approach. Assuming that we can predict data rates, we plan the quality and download time of the video segments ahead. This anticipatory scheduling avoids buffer underruns by downloading a large number of segments before a channel outage occurs, without wasting wireless capacity by excessive buffering. We formalize this approach as an optimization problem and derive practical heuristics for segmented video streaming protocols (e.g., HLS or MPEG DASH). Simulation results and testbed measurements show that our solution essentially eliminates playback interruptions without significantly decreasing video quality

Empfehlungen zur Diagnostik und Therapie oberer Halswirbelsäulenverletzungen: Axisringfrakturen

In a consensus process with four sessions in 2017, the working group "upper cervical spine" of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures", taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Traumatic spondylolysis of C2 may include potential discoligamentous instability C2/3. The primary aim of the diagnostic process is to detect the injury and to determine potential disco-ligamentous instability C2/3. For classification purposes, the Josten classification or the modified Effendi classification may be used. The Canadian C-spine rule is recommended for clinical screening for C-spine injuries. CT is the preferred imaging modality and an MRI is needed to determine the integrity of the discoligamentous complex C2/3. Conservative treatment is appropriate in case of stable fractures with intact C2/3 motion segment (Josten type 2 and 2). Patients should be closely monitored, in order to detect secondary dislocation as early as possible. Surgical treatment is recommended in cases of primary severe fracture dislocation or discoligamentous instability C2/3 (Josten 3 and 4) and/or secondary fracture dislocation. Anterior cervical decompression and fusion (ACDF) C2/3 is the treatment of choice. However, in case of facet joint luxation C2/3 with looked facet (Josten 4), a primary posterior approach may be necessary