4 research outputs found

    Smart Campus: An Experimental Performance Comparison of Collaborative and Cooperative Schemes for Wireless Sensor Network

    No full text
    Presently, the Internet of Things (IoT) concept involves a scattered collection of different multipurpose sensor networks that capture information, which is further processed and used in applications such as smart cities. These networks can send large amounts of information in a fairly efficient but insecure wireless environment. Energy consumption is a key aspect of sensor networks since most of the time, they are battery powered and placed in not easily accessible locations. Therefore, and regardless of the final application, wireless sensor networks require a careful energy consumption analysis that allows selection of the best operating protocol and energy optimization scheme. In this paper, a set of performance metrics is defined to objectively compare different kinds of protocols. Four of the most popular IoT protocols are selected: Zigbee, LoRa, Bluethooth, and WiFi. To test and compare their performance, multiple sensors are placed at different points of a university campus to create a network that can accurately simulate a smart city. Finally, the network is analyzed in detail using two different schemes: collaborative and cooperative

    Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

    No full text
    Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)
    corecore