Automatic guided vehicles are widely used in various types of warehouses including the automated container terminals.This paper provides a decision framework for port managers to design and schedule automatic guided v...Automatic guided vehicles are widely used in various types of warehouses including the automated container terminals.This paper provides a decision framework for port managers to design and schedule automatic guided vehicle routing plans under time-varying traffic conditions.A large number of computational experiments on a grid graph are conducted to validate the efficiency of the proposed decision framework.We also proposed one efficient queueing rule in automatic guided vehicle routing scheduling.Although the complexity of the problem is high,computational results show that our proposed decision framework can provide high quality solutions within a relatively short computation time.展开更多
Congestions are becoming a significant issue with an increasing number of occurrences in distribution networks due to the growing penetration of distributed generation and the expected development of electric mobility...Congestions are becoming a significant issue with an increasing number of occurrences in distribution networks due to the growing penetration of distributed generation and the expected development of electric mobility.Fair congestion management(CM)policies and prices require proper indices of congested areas and contributions of customer to congestions.This paper presents spatial and temporal indices for rapidly recognizing the seriousness of congestions from the perspectives of both magnitude violation and duration to prioritize the affected areas where CM procedures should be primarily activated.Besides,indices are presented which describe the contributions of customers to the congestions.Simulation tests on IEEE 123-bus and Australian 23-bus low-voltage distribution test feeders illustrate the calculation and capabilities of the proposed indices in balanced and unbalanced systems.展开更多
The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted...The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted that venous congestion is an important clinical feature worthy of investigation.Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy.Renal dysfunction could trigger or worsen fluid overload in heart disease,and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases.Fluid overload and venous congestion,including renal venous hypertension,are major determinants of acute and chronic renal dysfunction arising in heart disease.Organ congestion from venous hypertension could be involved in the development of organ injury in several clinical situations,such as critical diseases,congestive heart failure,and chronic kidney disease.Ultrasonography and abnormal Doppler flow patterns diagnose clinically significant systemic venous congestion.Cardiologists and nephrologists might use this valuable,noninvasive,bedside diagnostic tool to establish fluid status and guide clinical choices.展开更多
The traffic within data centers exhibits bursts and unpredictable patterns.This rapid growth in network traffic has two consequences:it surpasses the inherent capacity of the network’s link bandwidth and creates an i...The traffic within data centers exhibits bursts and unpredictable patterns.This rapid growth in network traffic has two consequences:it surpasses the inherent capacity of the network’s link bandwidth and creates an imbalanced network load.Consequently,persistent overload situations eventually result in network congestion.The Software Defined Network(SDN)technology is employed in data centers as a network architecture to enhance performance.This paper introduces an adaptive congestion control strategy,named DA-DCTCP,for SDN-based Data Centers.It incorporates Explicit Congestion Notification(ECN)and Round-Trip Time(RTT)to establish congestion awareness and an ECN marking model.To mitigate incorrect congestion caused by abrupt flows,an appropriate ECN marking is selected based on the queue length and its growth slope,and the congestion window(CWND)is adjusted by calculating RTT.Simultaneously,the marking threshold for queue length is continuously adapted using the current queue length of the switch as a parameter to accommodate changes in data centers.The evaluation conducted through Mininet simulations demonstrates that DA-DCTCP yields advantages in terms of throughput,flow completion time(FCT),latency,and resistance against packet loss.These benefits contribute to reducing data center congestion,enhancing the stability of data transmission,and improving throughput.展开更多
Emerging long-range industrial IoT applications(e.g.,remote patient monitoring)have increasingly higher requirements for global deterministic delay.Although many existing methods have built deterministic networks in s...Emerging long-range industrial IoT applications(e.g.,remote patient monitoring)have increasingly higher requirements for global deterministic delay.Although many existing methods have built deterministic networks in small-scale networks through centralized computing and resource reservation,they cannot be applied on a global scale.The emerging mega-constellations enable new opportunities for realizing deterministic delay globally.As one constellation(e.g.,Starlink)might be managed by a single operator(e.g.,SpaceX),packets can be routed within deterministic number of hops.Moreover,the path diversity brought by the highly symmetrical network structure in mega-constellations can help to construct a congestion free network by routing.This paper leverages these unique characteristics of mega-constellations to avoid the traditional network congestion caused by multiple inputs and single output,and to determine the routing hops,and thus realizing a global deterministic network(DETSPACE).The model based on the 2D Markov chain theoretically verifies the correctness of DETSPACE.The effectiveness of DETSPACE in different traffic load con-ditions is also verified by extensive simulations.展开更多
This editorial discusses the manuscript by Di Maria et al,published in the recent issue of the World Journal of Cardiology.We here focus on the still elusive pathophysiological mechanisms underlying cardio-renal syndr...This editorial discusses the manuscript by Di Maria et al,published in the recent issue of the World Journal of Cardiology.We here focus on the still elusive pathophysiological mechanisms underlying cardio-renal syndrome(CRS),despite its high prevalence and the substantial worsening of both kidney function and heart failure.While the measure of right atrial pressure through right cardiac catheterization remains the most accurate albeit invasive and costly procedure,integrating bedside ultrasound into diagnostic protocols may substantially enhance the staging of venous congestion and guide therapeutic decisions.In particular,with the assessment of Doppler patterns across multiple venous districts,the Venous Excess Ultrasound(VExUS)score improves the management of fluid overload and provides insight into the underlying factors contributing to cardio-renal interactions.Integrating specific echocardiographic parameters,particularly those concerning the right heart,may thus improve the VExUS score sensitivity,offering perspective into the nuanced comprehension of cardio-renal dynamics.A multidisciplinary approach that consistently incorporates the use of ultrasound is emerging as a promising advance in the understanding and management of CRS.展开更多
In this editorial we comment on the article by Kuwahara et al,published in the recent issue of the World Journal of Cardiology.In this interesting paper,the authors showed a correlation between portal vein pulsatility...In this editorial we comment on the article by Kuwahara et al,published in the recent issue of the World Journal of Cardiology.In this interesting paper,the authors showed a correlation between portal vein pulsatility ratio,examined by bedside ultrasonography,and prognosis of hospitalized patients with acute heart failure.Systemic congestion is being notoriously underdetected in the acutely ill population with conventional methods like clinical examination,biomarkers,central venous pressure estimation and X-rays.However,congestion should be a key therapeutic target due to its deleterious effects to end organ function and subsequently patient prognosis.Doppler flow assessment of the abdominal veins is gaining popularity worldwide,as a valuable tool in estimating comprehensively congestion and giving a further insight into hemodynamics and patient management.展开更多
Traffic in today’s cities is a serious problem that increases travel times,negatively affects the environment,and drains financial resources.This study presents an Artificial Intelligence(AI)augmentedMobile Ad Hoc Ne...Traffic in today’s cities is a serious problem that increases travel times,negatively affects the environment,and drains financial resources.This study presents an Artificial Intelligence(AI)augmentedMobile Ad Hoc Networks(MANETs)based real-time prediction paradigm for urban traffic challenges.MANETs are wireless networks that are based on mobile devices and may self-organize.The distributed nature of MANETs and the power of AI approaches are leveraged in this framework to provide reliable and timely traffic congestion forecasts.This study suggests a unique Chaotic Spatial Fuzzy Polynomial Neural Network(CSFPNN)technique to assess real-time data acquired from various sources within theMANETs.The framework uses the proposed approach to learn from the data and create predictionmodels to detect possible traffic problems and their severity in real time.Real-time traffic prediction allows for proactive actions like resource allocation,dynamic route advice,and traffic signal optimization to reduce congestion.The framework supports effective decision-making,decreases travel time,lowers fuel use,and enhances overall urban mobility by giving timely information to pedestrians,drivers,and urban planners.Extensive simulations and real-world datasets are used to test the proposed framework’s prediction accuracy,responsiveness,and scalability.Experimental results show that the suggested framework successfully anticipates urban traffic issues in real-time,enables proactive traffic management,and aids in creating smarter,more sustainable cities.展开更多
This paper is based on the author’s 20+ years of experience treating patients with congestive heart failure (CHF) as a cardiologist. In the 20+ years, 64 patients were treated, including both with reduced and preserv...This paper is based on the author’s 20+ years of experience treating patients with congestive heart failure (CHF) as a cardiologist. In the 20+ years, 64 patients were treated, including both with reduced and preserved left ventricular function. Most patients had a 4 - 5 days hospitalization in their first admission with one readmission (1.6%) over seven years. This paper will help us understand the physiology and pathophysiology of congestive heart failure, especially how to use beta blockers and diuretics. It will shorten the length of hospitalization and lower the readmission rate and cost of CHF treatment. This paper will help us to open another research direction for CHF.展开更多
This article delves into the intricate challenges of acute kidney injury(AKI)in cirrhosis,a condition fraught with high morbidity and mortality.The complexities arise from distinguishing between various causes of AKI,...This article delves into the intricate challenges of acute kidney injury(AKI)in cirrhosis,a condition fraught with high morbidity and mortality.The complexities arise from distinguishing between various causes of AKI,particularly hemodynamic AKI,in cirrhotic patients,who experience hemodynamic changes due to portal hypertension.The term"hepatocardiorenal syndrome"is introduced to encapsulate the intricate interplay among the liver,heart,and kidneys.The narrative emphasizes the often-overlooked aspect of cardiac function in AKI assessments in cirrhosis,unveiling the prevalence of cirrhotic cardiomyopathy marked by impaired diastolic function.The conventional empiric approach involving volume expansion and vasopressors for hepatorenal syndrome is critically analyzed,highlighting potential risks and variable patient responses.We advocate for a nuanced algorithm for AKI evaluation in cirrhosis,prominently featuring point-of-care ultrasonography(POCUS).POCUS applications encompass assessing fluid tolerance,detecting venous congestion,and evaluating cardiac function.展开更多
Point-of-care ultrasonography(POCUS),particularly venous excess ultrasound(VExUS)is emerging as a valuable bedside tool to gain real-time hemodynamic insights.This modality,derived from hepatic vein,portal vein,and in...Point-of-care ultrasonography(POCUS),particularly venous excess ultrasound(VExUS)is emerging as a valuable bedside tool to gain real-time hemodynamic insights.This modality,derived from hepatic vein,portal vein,and intrarenal vessel Doppler patterns,offers a scoring system for dynamic venous congestion assessment.Such an assessment can be crucial in effective management of patients with heart failure exacerbation.It facilitates diagnosis,quantification of congestion,prognostication,and monitoring the efficacy of decongestive therapy.As such,it can effectively help to manage cardiorenal syndromes in various clinical settings.Extended or eVExUS explores additional veins,potentially broadening its applications.While VExUS demonstrates promising outcomes,challenges persist,particularly in cases involving renal and liver parenchymal disease,arrhythmias,and situations of pressure and volume overload overlap.Proficiency in utilizing spectral Doppler is pivotal for clinicians to effectively employ this tool.Hence,the integration of POCUS,especially advanced applications like VExUS,into routine clinical practice necessitates enhanced training across medical specialties.展开更多
With a surge in the university’s student and staff population, parking problems and congestion have rapidly intensified. The recent inclusion of women drivers, particularly during official working hours, has exacerba...With a surge in the university’s student and staff population, parking problems and congestion have rapidly intensified. The recent inclusion of women drivers, particularly during official working hours, has exacerbated these challenges. This pressing issue underscores the critical necessity for a structured approach to managing university entries and overseeing parking at the gates. The proposed smart parking management system aims to address these concerns by introducing a design concept that restricts unauthorized access and provides exclusive parking privileges to authorized users. Through image processing, the system identifies available parking spaces, relaying real-time information to users via a mobile application. This comprehensive solution also generates detailed reports (daily, weekly, and monthly), aiding university safety authorities in future gate management decisions.展开更多
Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influenc...Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influence of educating patients on these portals’ functionality on clinical outcomes, such as all-cause readmission rates, remains underexplored. Objective: This research proposal tested the hypothesis that educating a subset of patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF), on how to effectively access and utilize the functionality of web-based patient portals can reduce all-cause readmission rates. Methods: We performed a prospective, quasi-experimental study at Bon Secours St. Mary’s Hospital in Richmond, Virginia, USA;dividing participants into an intervention group, receiving education about accessing and navigating “My Chart”, the Bon Secours Web based portal, and a control group, receiving standard care. We then compared 30-day readmission rates, patient engagement, and self-management behaviors between the groups. Data was analyzed using statistical tests to assess the intervention’s impact. Results: We projected that educated patients will exhibit lower readmission rates, improved engagement, and better self-management. The results of the study showed that there was a significant decrease in 30-day readmissions in the intervention group in comparison with the control group (22.7% and 40.9%, respectively). This reduction of 18. 2% of readmissions evaluated here for a trial of meaningful clinical effect is statistically insignificant (p = 0. 184). The practical significance of the intervention is considered small-to-moderate (Cramer V = 0. 20) suggesting that the observed difference has a potential clinical importance even though the difference was not statistically significant. Conclusion: These results imply that the proposed educational intervention might have a positive impact on readmissions;nonetheless, the patient’s characteristics that make him or her capable of readmission cannot be changed and are assessed by the RoR (Risk of Readmission) score. The potential impact of the intervention may be offset, in part, by these baseline risk factors. The study’s power may be limited by sample size, potentially affecting the detection of significant differences. Future studies with larger, multi-center samples and longer follow-up periods are recommended to confirm these findings.展开更多
In the last five years,there has been a V-shaped recovery in the number of papers on congestion control algorithms on the Internet.In this paper,congestion problems on the Internet are discussed,such as congestion col...In the last five years,there has been a V-shaped recovery in the number of papers on congestion control algorithms on the Internet.In this paper,congestion problems on the Internet are discussed,such as congestion collapse and bufferbloat from the perspective of the necessity of congestion control algorithms.The typical congestion control algorithms are introduced,and the research areas and methods of congestion control algorithms are described.Recent research trends and future prospects of congestion control algorithms are also presented.展开更多
Seoul Metro is Seoul’s leading metro company, transporting up to 3 billion people annually. However, future ridership is expected to plummet due to an aging and shrinking population with one of the fastest declining ...Seoul Metro is Seoul’s leading metro company, transporting up to 3 billion people annually. However, future ridership is expected to plummet due to an aging and shrinking population with one of the fastest declining total fertility rates in the world. The COVID-19 pandemic in 2019 accelerated this phenomenon. On the contrary, the e-commerce and home delivery industries have developed significantly since COVID-19. Seoul’s current logistics infrastructure cannot handle it. Under the inflection point of declining passenger transportation demand and increasing urban logistics demand, urban rail operators need new growth engines. Therefore, it is necessary to consider the introduction of an UULS (underground urban logistics system) that transports parcels instead of passengers through urban railways. If the UULS becomes a reality, it can be expected to secure scarce logistics land in cities, protect the environment and prevent traffic congestion by operating eco-friendly mass urban transportation, and acquire new revenue sources for urban rail operators. The UULS’s B/C ratio is 1.32. The sensitivity analysis shows that the ratio is above 1 in most cases where the unit cost of transportation is not significantly reduced.展开更多
Adaptability and dynamicity are special properties of social insects derived from the decentralized behavior of the insects. Authors have come up with designs for software solution that can regulate traffic congestion...Adaptability and dynamicity are special properties of social insects derived from the decentralized behavior of the insects. Authors have come up with designs for software solution that can regulate traffic congestion in a network transportation environment. The effectiveness of various researches on traffic management has been verified through appropriate metrics. Most of the traffic management systems are centered on using sensors, visual monitoring and neural networks to check for available parking space with the aim of informing drivers beforehand to prevent traffic congestion. There has been limited research on solving ongoing traffic congestion in congestion prone areas like car park with any of the common methods mentioned. This study focus however is on a motor park, as a highly congested area when it comes to traffic. The car park has two entrance gate and three exit gates which is divided into three Isle of parking lot where cars can park. An ant colony optimization algorithm (ACO) was developed as an effective management system for controlling navigation and vehicular traffic congestion problems when cars exit a motor park. The ACO based on the nature and movement of the natural ants, simulates the movement of cars out of the car park through their nearest choice exit. A car park simulation was also used for the mathematical computation of the pheromone. The system was implemented using SIMD because of its dual parallelization ability. The result showed about 95% increase on the number of vehicles that left the motor park in one second. A clear indication that pheromones are large determinants of the shortest route to take as cars followed the closest exit to them. Future researchers may consider monitoring a centralized tally system for cars coming into the park through a censored gate being.展开更多
In the next few years traffic will happen most of the time.This was triggered by the growing rate of vehicles against the road capacity which is not balance.All the time the congestion in the city of Semarang has been...In the next few years traffic will happen most of the time.This was triggered by the growing rate of vehicles against the road capacity which is not balance.All the time the congestion in the city of Semarang has been occurred at peak hours.Congestion also occurred in between Teuku Umar and Setia Budi road Jatingaleh because of a plot intersection(Kesatrian intersection,PLN intersection and Jatingaleh intersection)with the Toll Road.Jatingaleh is located in the southern city of Semarang which is a central meeting point between the upper and lower Semarang where the vehicle flows in through a combination of local current and regional traffic,and the flow of vehicles coming in and out from highway.The main cause of the problems that occurred in the area of Jatingaleh is due to the numbers of vehicles movement that occurs at the intersections.With the above issues,it is necessary to analyse the existing conditions and look into some solutions.Before carrying out an analysis a field surveys at peak hours for example morning(06:00 to 08:00 am)and for the afternoon(04:00 to 06:00 pm)should be conducted,then the number of vehicles is counted manually with“short-breakcounting”according to types of vehicles.From the analysis we found that the degree of saturation(DS)is 1.61 between Teuku Umar and Setia Budi road during the morning peak hours and 1.56 during the afternoon peak hours.This means that the capacity of the existing road is no longer able to accommodate the traffic flow.One of the solutions for the congestion that occurs at the intersection of Jatingaleh is to apply the efficiency of the intersection that is not in a plot with a Fly over,Underpass and the combination of Fly Over-Underpass.Base on the flow reduction calculation with 3 comparative modeling it shows that the Fly Over is the most technically efficient to be applied in this research.展开更多
This paper addresses the challenge of integrating priority passage for emergency vehicles with optimal intersection control in modern urban traffic. It proposes an innovative strategy based on deep learning to enable ...This paper addresses the challenge of integrating priority passage for emergency vehicles with optimal intersection control in modern urban traffic. It proposes an innovative strategy based on deep learning to enable emergency vehicles to pass through intersections efficiently and safely. The research aims to develop a deep learning model that utilizes intersection violation monitoring cameras to identify emergency vehicles in real time. This system adjusts traffic signals to ensure the rapid passage of emergency vehicles while simultaneously optimizing the overall efficiency of the traffic system. In this study, OpenCV is used in combination with Convolutional Neural Networks (CNN) and Recurrent Neural Networks (RNN) to jointly complete complex image processing and analysis tasks, to realize the purpose of fast travel of emergency vehicles. At the end of this study, the principle of the You Only Look Once (YOLO) algorithm can be used to design a website and a mobile phone application (app) to enable private vehicles with emergency needs to realize emergency passage through the application, which is also of great significance to improve the overall level of urban traffic management, reduce traffic congestion and promote the development of related technologies.展开更多
An efficient parallel global router using random optimization that is independent of net ordering is proposed.Parallel approaches are described and strategies guaranteeing the routing quality are discussed.The wire le...An efficient parallel global router using random optimization that is independent of net ordering is proposed.Parallel approaches are described and strategies guaranteeing the routing quality are discussed.The wire length model is implemented on multiprocessor,which enables the algorithm to approach feasibility of large scale problems.Timing driven model on multiprocessor and wire length model on distributed processors are also presented.The parallel algorithm greatly reduces the run time of routing.The experimental results show good speedups with no degradation of the routing quality.展开更多
To alleviate the resulting increase in energy consumption and emissions and other issues caused by the traffic congestion ahead of the expressway toll station, a novel traffic flowcontrol method is put forward based o...To alleviate the resulting increase in energy consumption and emissions and other issues caused by the traffic congestion ahead of the expressway toll station, a novel traffic flowcontrol method is put forward based on the environment-friendly conception. The technical thinking of inducing the slowly moving traffic into a batch pass is determined based on the conclusion of the research, traffic flowtheory and traffic sensing detection technology. The model of stop times is established and the parameters of the system are optimized in accordance with the principle of minimizing the fuel consumption. The optimal location selection of traffic control lights and Detector 2 for queue of different lengths at toll stations are calculated based on the model. Finally, the effect of the congestion flowcontrol system is verified via the Paramics simulation system. The result shows that the control system is capable of reducing90% of fuel consumption for vehicles going through toll stations.展开更多
文摘Automatic guided vehicles are widely used in various types of warehouses including the automated container terminals.This paper provides a decision framework for port managers to design and schedule automatic guided vehicle routing plans under time-varying traffic conditions.A large number of computational experiments on a grid graph are conducted to validate the efficiency of the proposed decision framework.We also proposed one efficient queueing rule in automatic guided vehicle routing scheduling.Although the complexity of the problem is high,computational results show that our proposed decision framework can provide high quality solutions within a relatively short computation time.
文摘Congestions are becoming a significant issue with an increasing number of occurrences in distribution networks due to the growing penetration of distributed generation and the expected development of electric mobility.Fair congestion management(CM)policies and prices require proper indices of congested areas and contributions of customer to congestions.This paper presents spatial and temporal indices for rapidly recognizing the seriousness of congestions from the perspectives of both magnitude violation and duration to prioritize the affected areas where CM procedures should be primarily activated.Besides,indices are presented which describe the contributions of customers to the congestions.Simulation tests on IEEE 123-bus and Australian 23-bus low-voltage distribution test feeders illustrate the calculation and capabilities of the proposed indices in balanced and unbalanced systems.
文摘The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted that venous congestion is an important clinical feature worthy of investigation.Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy.Renal dysfunction could trigger or worsen fluid overload in heart disease,and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases.Fluid overload and venous congestion,including renal venous hypertension,are major determinants of acute and chronic renal dysfunction arising in heart disease.Organ congestion from venous hypertension could be involved in the development of organ injury in several clinical situations,such as critical diseases,congestive heart failure,and chronic kidney disease.Ultrasonography and abnormal Doppler flow patterns diagnose clinically significant systemic venous congestion.Cardiologists and nephrologists might use this valuable,noninvasive,bedside diagnostic tool to establish fluid status and guide clinical choices.
基金supported by the National Key R&D Program of China(No.2021YFB2700800)the GHfund B(No.202302024490).
文摘The traffic within data centers exhibits bursts and unpredictable patterns.This rapid growth in network traffic has two consequences:it surpasses the inherent capacity of the network’s link bandwidth and creates an imbalanced network load.Consequently,persistent overload situations eventually result in network congestion.The Software Defined Network(SDN)technology is employed in data centers as a network architecture to enhance performance.This paper introduces an adaptive congestion control strategy,named DA-DCTCP,for SDN-based Data Centers.It incorporates Explicit Congestion Notification(ECN)and Round-Trip Time(RTT)to establish congestion awareness and an ECN marking model.To mitigate incorrect congestion caused by abrupt flows,an appropriate ECN marking is selected based on the queue length and its growth slope,and the congestion window(CWND)is adjusted by calculating RTT.Simultaneously,the marking threshold for queue length is continuously adapted using the current queue length of the switch as a parameter to accommodate changes in data centers.The evaluation conducted through Mininet simulations demonstrates that DA-DCTCP yields advantages in terms of throughput,flow completion time(FCT),latency,and resistance against packet loss.These benefits contribute to reducing data center congestion,enhancing the stability of data transmission,and improving throughput.
基金This work is supported by National Key Research and Development Plan of China(2022YFB3105204).
文摘Emerging long-range industrial IoT applications(e.g.,remote patient monitoring)have increasingly higher requirements for global deterministic delay.Although many existing methods have built deterministic networks in small-scale networks through centralized computing and resource reservation,they cannot be applied on a global scale.The emerging mega-constellations enable new opportunities for realizing deterministic delay globally.As one constellation(e.g.,Starlink)might be managed by a single operator(e.g.,SpaceX),packets can be routed within deterministic number of hops.Moreover,the path diversity brought by the highly symmetrical network structure in mega-constellations can help to construct a congestion free network by routing.This paper leverages these unique characteristics of mega-constellations to avoid the traditional network congestion caused by multiple inputs and single output,and to determine the routing hops,and thus realizing a global deterministic network(DETSPACE).The model based on the 2D Markov chain theoretically verifies the correctness of DETSPACE.The effectiveness of DETSPACE in different traffic load con-ditions is also verified by extensive simulations.
文摘This editorial discusses the manuscript by Di Maria et al,published in the recent issue of the World Journal of Cardiology.We here focus on the still elusive pathophysiological mechanisms underlying cardio-renal syndrome(CRS),despite its high prevalence and the substantial worsening of both kidney function and heart failure.While the measure of right atrial pressure through right cardiac catheterization remains the most accurate albeit invasive and costly procedure,integrating bedside ultrasound into diagnostic protocols may substantially enhance the staging of venous congestion and guide therapeutic decisions.In particular,with the assessment of Doppler patterns across multiple venous districts,the Venous Excess Ultrasound(VExUS)score improves the management of fluid overload and provides insight into the underlying factors contributing to cardio-renal interactions.Integrating specific echocardiographic parameters,particularly those concerning the right heart,may thus improve the VExUS score sensitivity,offering perspective into the nuanced comprehension of cardio-renal dynamics.A multidisciplinary approach that consistently incorporates the use of ultrasound is emerging as a promising advance in the understanding and management of CRS.
文摘In this editorial we comment on the article by Kuwahara et al,published in the recent issue of the World Journal of Cardiology.In this interesting paper,the authors showed a correlation between portal vein pulsatility ratio,examined by bedside ultrasonography,and prognosis of hospitalized patients with acute heart failure.Systemic congestion is being notoriously underdetected in the acutely ill population with conventional methods like clinical examination,biomarkers,central venous pressure estimation and X-rays.However,congestion should be a key therapeutic target due to its deleterious effects to end organ function and subsequently patient prognosis.Doppler flow assessment of the abdominal veins is gaining popularity worldwide,as a valuable tool in estimating comprehensively congestion and giving a further insight into hemodynamics and patient management.
基金the Deanship of Scientific Research at Majmaah University for supporting this work under Project No.R-2024-1008.
文摘Traffic in today’s cities is a serious problem that increases travel times,negatively affects the environment,and drains financial resources.This study presents an Artificial Intelligence(AI)augmentedMobile Ad Hoc Networks(MANETs)based real-time prediction paradigm for urban traffic challenges.MANETs are wireless networks that are based on mobile devices and may self-organize.The distributed nature of MANETs and the power of AI approaches are leveraged in this framework to provide reliable and timely traffic congestion forecasts.This study suggests a unique Chaotic Spatial Fuzzy Polynomial Neural Network(CSFPNN)technique to assess real-time data acquired from various sources within theMANETs.The framework uses the proposed approach to learn from the data and create predictionmodels to detect possible traffic problems and their severity in real time.Real-time traffic prediction allows for proactive actions like resource allocation,dynamic route advice,and traffic signal optimization to reduce congestion.The framework supports effective decision-making,decreases travel time,lowers fuel use,and enhances overall urban mobility by giving timely information to pedestrians,drivers,and urban planners.Extensive simulations and real-world datasets are used to test the proposed framework’s prediction accuracy,responsiveness,and scalability.Experimental results show that the suggested framework successfully anticipates urban traffic issues in real-time,enables proactive traffic management,and aids in creating smarter,more sustainable cities.
文摘This paper is based on the author’s 20+ years of experience treating patients with congestive heart failure (CHF) as a cardiologist. In the 20+ years, 64 patients were treated, including both with reduced and preserved left ventricular function. Most patients had a 4 - 5 days hospitalization in their first admission with one readmission (1.6%) over seven years. This paper will help us understand the physiology and pathophysiology of congestive heart failure, especially how to use beta blockers and diuretics. It will shorten the length of hospitalization and lower the readmission rate and cost of CHF treatment. This paper will help us to open another research direction for CHF.
基金Supported by Research funding from KidneyCure and the American Society of Nephrology’s William and Sandra Bennett Clinical Scholars Grant(to Abhilash Koratala).
文摘This article delves into the intricate challenges of acute kidney injury(AKI)in cirrhosis,a condition fraught with high morbidity and mortality.The complexities arise from distinguishing between various causes of AKI,particularly hemodynamic AKI,in cirrhotic patients,who experience hemodynamic changes due to portal hypertension.The term"hepatocardiorenal syndrome"is introduced to encapsulate the intricate interplay among the liver,heart,and kidneys.The narrative emphasizes the often-overlooked aspect of cardiac function in AKI assessments in cirrhosis,unveiling the prevalence of cirrhotic cardiomyopathy marked by impaired diastolic function.The conventional empiric approach involving volume expansion and vasopressors for hepatorenal syndrome is critically analyzed,highlighting potential risks and variable patient responses.We advocate for a nuanced algorithm for AKI evaluation in cirrhosis,prominently featuring point-of-care ultrasonography(POCUS).POCUS applications encompass assessing fluid tolerance,detecting venous congestion,and evaluating cardiac function.
文摘Point-of-care ultrasonography(POCUS),particularly venous excess ultrasound(VExUS)is emerging as a valuable bedside tool to gain real-time hemodynamic insights.This modality,derived from hepatic vein,portal vein,and intrarenal vessel Doppler patterns,offers a scoring system for dynamic venous congestion assessment.Such an assessment can be crucial in effective management of patients with heart failure exacerbation.It facilitates diagnosis,quantification of congestion,prognostication,and monitoring the efficacy of decongestive therapy.As such,it can effectively help to manage cardiorenal syndromes in various clinical settings.Extended or eVExUS explores additional veins,potentially broadening its applications.While VExUS demonstrates promising outcomes,challenges persist,particularly in cases involving renal and liver parenchymal disease,arrhythmias,and situations of pressure and volume overload overlap.Proficiency in utilizing spectral Doppler is pivotal for clinicians to effectively employ this tool.Hence,the integration of POCUS,especially advanced applications like VExUS,into routine clinical practice necessitates enhanced training across medical specialties.
文摘With a surge in the university’s student and staff population, parking problems and congestion have rapidly intensified. The recent inclusion of women drivers, particularly during official working hours, has exacerbated these challenges. This pressing issue underscores the critical necessity for a structured approach to managing university entries and overseeing parking at the gates. The proposed smart parking management system aims to address these concerns by introducing a design concept that restricts unauthorized access and provides exclusive parking privileges to authorized users. Through image processing, the system identifies available parking spaces, relaying real-time information to users via a mobile application. This comprehensive solution also generates detailed reports (daily, weekly, and monthly), aiding university safety authorities in future gate management decisions.
文摘Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influence of educating patients on these portals’ functionality on clinical outcomes, such as all-cause readmission rates, remains underexplored. Objective: This research proposal tested the hypothesis that educating a subset of patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF), on how to effectively access and utilize the functionality of web-based patient portals can reduce all-cause readmission rates. Methods: We performed a prospective, quasi-experimental study at Bon Secours St. Mary’s Hospital in Richmond, Virginia, USA;dividing participants into an intervention group, receiving education about accessing and navigating “My Chart”, the Bon Secours Web based portal, and a control group, receiving standard care. We then compared 30-day readmission rates, patient engagement, and self-management behaviors between the groups. Data was analyzed using statistical tests to assess the intervention’s impact. Results: We projected that educated patients will exhibit lower readmission rates, improved engagement, and better self-management. The results of the study showed that there was a significant decrease in 30-day readmissions in the intervention group in comparison with the control group (22.7% and 40.9%, respectively). This reduction of 18. 2% of readmissions evaluated here for a trial of meaningful clinical effect is statistically insignificant (p = 0. 184). The practical significance of the intervention is considered small-to-moderate (Cramer V = 0. 20) suggesting that the observed difference has a potential clinical importance even though the difference was not statistically significant. Conclusion: These results imply that the proposed educational intervention might have a positive impact on readmissions;nonetheless, the patient’s characteristics that make him or her capable of readmission cannot be changed and are assessed by the RoR (Risk of Readmission) score. The potential impact of the intervention may be offset, in part, by these baseline risk factors. The study’s power may be limited by sample size, potentially affecting the detection of significant differences. Future studies with larger, multi-center samples and longer follow-up periods are recommended to confirm these findings.
基金supported by JSPS Grants-in-Aid for Scientific Research JP20K11786 and JP21KK0202.
文摘In the last five years,there has been a V-shaped recovery in the number of papers on congestion control algorithms on the Internet.In this paper,congestion problems on the Internet are discussed,such as congestion collapse and bufferbloat from the perspective of the necessity of congestion control algorithms.The typical congestion control algorithms are introduced,and the research areas and methods of congestion control algorithms are described.Recent research trends and future prospects of congestion control algorithms are also presented.
基金the Ministry of Land,Infrastructure and Transport and Korea Agency for Infrastructure Technology Advancement(22HCLP-C163194-02)。
文摘Seoul Metro is Seoul’s leading metro company, transporting up to 3 billion people annually. However, future ridership is expected to plummet due to an aging and shrinking population with one of the fastest declining total fertility rates in the world. The COVID-19 pandemic in 2019 accelerated this phenomenon. On the contrary, the e-commerce and home delivery industries have developed significantly since COVID-19. Seoul’s current logistics infrastructure cannot handle it. Under the inflection point of declining passenger transportation demand and increasing urban logistics demand, urban rail operators need new growth engines. Therefore, it is necessary to consider the introduction of an UULS (underground urban logistics system) that transports parcels instead of passengers through urban railways. If the UULS becomes a reality, it can be expected to secure scarce logistics land in cities, protect the environment and prevent traffic congestion by operating eco-friendly mass urban transportation, and acquire new revenue sources for urban rail operators. The UULS’s B/C ratio is 1.32. The sensitivity analysis shows that the ratio is above 1 in most cases where the unit cost of transportation is not significantly reduced.
文摘Adaptability and dynamicity are special properties of social insects derived from the decentralized behavior of the insects. Authors have come up with designs for software solution that can regulate traffic congestion in a network transportation environment. The effectiveness of various researches on traffic management has been verified through appropriate metrics. Most of the traffic management systems are centered on using sensors, visual monitoring and neural networks to check for available parking space with the aim of informing drivers beforehand to prevent traffic congestion. There has been limited research on solving ongoing traffic congestion in congestion prone areas like car park with any of the common methods mentioned. This study focus however is on a motor park, as a highly congested area when it comes to traffic. The car park has two entrance gate and three exit gates which is divided into three Isle of parking lot where cars can park. An ant colony optimization algorithm (ACO) was developed as an effective management system for controlling navigation and vehicular traffic congestion problems when cars exit a motor park. The ACO based on the nature and movement of the natural ants, simulates the movement of cars out of the car park through their nearest choice exit. A car park simulation was also used for the mathematical computation of the pheromone. The system was implemented using SIMD because of its dual parallelization ability. The result showed about 95% increase on the number of vehicles that left the motor park in one second. A clear indication that pheromones are large determinants of the shortest route to take as cars followed the closest exit to them. Future researchers may consider monitoring a centralized tally system for cars coming into the park through a censored gate being.
文摘In the next few years traffic will happen most of the time.This was triggered by the growing rate of vehicles against the road capacity which is not balance.All the time the congestion in the city of Semarang has been occurred at peak hours.Congestion also occurred in between Teuku Umar and Setia Budi road Jatingaleh because of a plot intersection(Kesatrian intersection,PLN intersection and Jatingaleh intersection)with the Toll Road.Jatingaleh is located in the southern city of Semarang which is a central meeting point between the upper and lower Semarang where the vehicle flows in through a combination of local current and regional traffic,and the flow of vehicles coming in and out from highway.The main cause of the problems that occurred in the area of Jatingaleh is due to the numbers of vehicles movement that occurs at the intersections.With the above issues,it is necessary to analyse the existing conditions and look into some solutions.Before carrying out an analysis a field surveys at peak hours for example morning(06:00 to 08:00 am)and for the afternoon(04:00 to 06:00 pm)should be conducted,then the number of vehicles is counted manually with“short-breakcounting”according to types of vehicles.From the analysis we found that the degree of saturation(DS)is 1.61 between Teuku Umar and Setia Budi road during the morning peak hours and 1.56 during the afternoon peak hours.This means that the capacity of the existing road is no longer able to accommodate the traffic flow.One of the solutions for the congestion that occurs at the intersection of Jatingaleh is to apply the efficiency of the intersection that is not in a plot with a Fly over,Underpass and the combination of Fly Over-Underpass.Base on the flow reduction calculation with 3 comparative modeling it shows that the Fly Over is the most technically efficient to be applied in this research.
文摘This paper addresses the challenge of integrating priority passage for emergency vehicles with optimal intersection control in modern urban traffic. It proposes an innovative strategy based on deep learning to enable emergency vehicles to pass through intersections efficiently and safely. The research aims to develop a deep learning model that utilizes intersection violation monitoring cameras to identify emergency vehicles in real time. This system adjusts traffic signals to ensure the rapid passage of emergency vehicles while simultaneously optimizing the overall efficiency of the traffic system. In this study, OpenCV is used in combination with Convolutional Neural Networks (CNN) and Recurrent Neural Networks (RNN) to jointly complete complex image processing and analysis tasks, to realize the purpose of fast travel of emergency vehicles. At the end of this study, the principle of the You Only Look Once (YOLO) algorithm can be used to design a website and a mobile phone application (app) to enable private vehicles with emergency needs to realize emergency passage through the application, which is also of great significance to improve the overall level of urban traffic management, reduce traffic congestion and promote the development of related technologies.
文摘An efficient parallel global router using random optimization that is independent of net ordering is proposed.Parallel approaches are described and strategies guaranteeing the routing quality are discussed.The wire length model is implemented on multiprocessor,which enables the algorithm to approach feasibility of large scale problems.Timing driven model on multiprocessor and wire length model on distributed processors are also presented.The parallel algorithm greatly reduces the run time of routing.The experimental results show good speedups with no degradation of the routing quality.
基金The Natural Science Foundation of Hebei Province(No.E2013202228)the Science and Technology Planning Project of the Department of Transportation of Hebei Province(No.R070245)
文摘To alleviate the resulting increase in energy consumption and emissions and other issues caused by the traffic congestion ahead of the expressway toll station, a novel traffic flowcontrol method is put forward based on the environment-friendly conception. The technical thinking of inducing the slowly moving traffic into a batch pass is determined based on the conclusion of the research, traffic flowtheory and traffic sensing detection technology. The model of stop times is established and the parameters of the system are optimized in accordance with the principle of minimizing the fuel consumption. The optimal location selection of traffic control lights and Detector 2 for queue of different lengths at toll stations are calculated based on the model. Finally, the effect of the congestion flowcontrol system is verified via the Paramics simulation system. The result shows that the control system is capable of reducing90% of fuel consumption for vehicles going through toll stations.