Performance Enhancement Using NOMA-MIMO for 5G Networks

The integration of MIMO and NOMA technologies addresses key challenges in 5G and beyond, such as connectivity, latency, and dependability. However, resolving these issues, especially in MIMO-enabled 5G networks, required additional research. This involved optimizing parameters like bit error rate, downlink spectrum efficiency, average capacity rate, and uplink transmission outage probability. The model employed Quadrature Phase Shift Keying modulation on selected frequency channels, accommodating diverse user characteristics. Evaluation showed that MIMO-NOMA significantly improved bit error rate and transmitting power for the best user in download transmission. For uplink transmission, there was an increase in the average capacity rate and a decrease in outage probability for the best user. Closed-form formulas for various parameters in both downlink and uplink NOMA, with and without MIMO, were derived. Overall, adopting MIMO-NOMA led to a remarkable performance improvement for all users, even in challenging conditions like interference or fading channels

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Aerobic bacteria isolated from internal lesions of camels at Tambool slaughterhouse

Objective: This cross-sectional study was conducted from January to June 2013 to estimate the prevalence of internal lesions in slaughtered camels at Tambool slaughterhouse and to identify the aerobic bacteria colonizing these lesions. Material and methods: A total of 280 carcasses of camels were thoroughly inspected during post-mortem examination and samples were collected from internal lesions and cultured onto different culture media. Isolated bacteria had undergone testing of several biochemical activities for species identification and susceptibility to certain antibiotics. Results: Internal lesions were detected in 25.0% (95% CI of ±5.07) of the carcasses and were observed in the lungs, liver and heart. Statistical association analyses showed that origin, sex, breed, and body condition were related to detection of lesions. A number of 179 isolates of aerobic bacteria belonging to 9 genera were grown and included Staphylococcus species (32.0%), Escherichia coli (26.0%), Streptococcus species (18.0%), Corynebacterium species (5.0%), and Bacillus species, Salmonella species, Pseudomonus species, and Klebsiella species; each of them 4.0%, and Shigella species (2%). Drug susceptibility testing showed that chloramphenicol was the most effective antibiotic against Staphylococcus species, Corynebacterium species, and Bacillus species, while penicillin g 10 was more effective against Streptococcus species. Ciprofloxacin 5 µg and ampicllin/sulpactum 20 µg were effective against E. coli, Salmonella species, Klebsiella species, Shigella species, and Pseudomonas species. Conclusion: It can be concluded that internal lesions are prevalent in camels slaughtered at Tambool slaughterhouse and many species of bacteria were colonizing these lesions, hence, evaluating the economic magnitude of internal lesions resulting in partial and/or total condemnation of organs is warranted. [J Adv Vet Anim Res 2017; 4(1.000): 22-31

Aerobic bacteria and fungi from skin lesions of fish in Khartoum state

Objective: This cross-sectional study was conducted from April to July 2014 in Khartoum state, the Sudan, to investigate aerobic bacteria and fungi of skin lesions of fish in 3 different areas in Khartoum. Material and methods: A total of 50 samples were collected from the skin lesions of different types of fish including Synodontis species (n=17), Tilapia niloticus (n=15), Labeo niloticus (n=10), Hydrocynus species (n=4), and Clarias species (n=4). Liquid, semi-solid, and solid culture media like nutrient broth, blood agar, MacConkey agar, sabouraud dextrose agar (SDA), and Simmons citrate medium were used for the isolation and identification of bacteria and fungi. Besides, Gram staining and biochemical characterization were also conducted. Results: Culturing of the collected samples revealed growth of bacteria from all (100%), and growth of fungi could be found from 32% samples. A number of 188 bacteria were isolated, mainly Staphylococcus species, Bacillus species, Aeromonas species, Pseudomonas species, and Vibrio species. Besides, 16 fungi could be identified containing Aspergillus niger, A. flavus, A. fumigatus, and Phycomycete. Conclusion: Fishes with skin lesions are harboring many pathogenic bacteria and fungi and may act as a source of zoonotic infections and can transmit several pathogens to workers in fish industry and consumers. Therefore, thorough and strict routine inspection of fish is recommended to ensure safety and that there are no serious risks to consumers. [J Adv Vet Anim Res 2016; 3(4.000): 375-385

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population