Reasons for Elective Surgery Cancellations in a Senegalese Pediatric Surgery Department

Introduction: Cancellation of elective surgery is common in developing countries. This decision is difficult to make as it generates economic and organizational consequences for the healthcare facility and an additional source of stress for patients and their caregivers. This study aimed to analyze the various aspects of this medical problem. Patients and Methods: We conducted a prospective and descriptive study over six months (from January 1st, 2017, to June 30th, 2017) at the pediatric surgery department of Aristide Le Dantec University Teaching Hospital in Senegal. Results: Ninety-one cases were collected. The cancellation rate was 20.8%. Infants were affected in 36.3% of cases. Among anesthesiologists, 83.5% were residents, and 16.5% were specialists. Cancellation in nephroblastoma children with an indication for extended nephrectomy represented 15.4% of cases. Concerning reasons for cancellation, comorbidities, dominated by respiratory infections, accounted for 28.5% of cases, patient absences for 24.2%, and issues related to the anesthesiologist for 17.6%. Cancellations were avoidable in 33% of cases. Patients were responsible for cancellation in 37.4% of cases, the healthcare system in 33%, and medical reasons in 29.7%. Conclusion: Our findings suggest that one-third of cancellations could have been avoided with improvements in the healthcare system. Actions should be taken to reduce the cancellation rate in our context.

Multitap RF Canceller with Single LMS Loop for Adaptive Co-Site Broadband Interference Cancellation

With the development of wireless communication technology,an urgent problem to be solved is co-site broadband interference on independent communication platforms such as satellites,space stations,aircrafts and ships.Also,the problem of strong selfinterference rejection should be solved in the co-time co-frequency full duplex mode which realizes spectrum multiplication in 5G communication technology.In the research of such interference rejection,interference cancellation technology has been applied.In order to reject multipath interference,multitap double LMS(Least Mean Square)loop interference cancellation system is often used for cancelling RF(Radio Frequency)domain interference cancelling.However,more taps will lead to a more complex structure of the cancellation system.A novel tap single LMS loop adaptive interference cancellation system was proposed to improve the system compactness and reduce the cost.In addition,a mathematical model was built for the proposed cancellation system,the correlation function of CP2FSK(Continuous Phase Binary Frequency Shift Keying)signal was derived,and the quantitative relationship was established between the correlation function and the interference signal bandwidth and tap delay differential.The steadystate weights and the expression of the average interference cancellation ratio(ICR)were deduced in the scenes of LOS(Line of Sight)interference with antenna swaying on an independent communication platform and indoor multipath interference.The quantitative relationship was deeply analyzed between the interference cancellation performance and the parameters such as antenna swing,LMS loop gain,and interference signal bandwidth,which was verified by simulation experiment.And the performance of the proposed interference cancellation system was compared with that of the traditional double LMS loop cancellation system.The results showed that the compact single LMS loop cancellation system can achieve an average interference rejection capability comparable to the double LMS loop cancellation system.

Off-Grid Compressed Channel Estimation with Parallel Interference Cancellation for Millimeter Wave Massive MIMO

Millimeter wave(mmWave)massive multiple-input multiple-output(MIMO)plays an important role in the fifth-generation(5G)mobile communications and beyond wireless communication systems owing to its potential of high capacity.However,channel estimation has become very challenging due to the use of massive MIMO antenna array.Fortunately,the mmWave channel has strong sparsity in the spatial angle domain,and the compressed sensing technology can be used to convert the original channel matrix into the sparse matrix of discrete angle grid.Thus the high-dimensional channel matrix estimation is transformed into a sparse recovery problem with greatly reduced computational complexity.However,the path angle in the actual scene appears randomly and is unlikely to be completely located on the quantization angle grid,thus leading to the problem of power leakage.Moreover,multiple paths with the random distribution of angles will bring about serious interpath interference and further deteriorate the performance of channel estimation.To address these off-grid issues,we propose a parallel interference cancellation assisted multi-grid matching pursuit(PIC-MGMP)algorithm in this paper.The proposed algorithm consists of three stages,including coarse estimation,refined estimation,and inter-path cyclic iterative inter-ference cancellation.More specifically,the angular resolution can be improved by locally refining the grid to reduce power leakage,while the inter-path interference is eliminated by parallel interference cancellation(PIC),and the two together improve the estimation accuracy.Simulation results show that compared with the traditional orthogonal matching pursuit(OMP)algorithm,the normalized mean square error(NMSE)of the proposed algorithm decreases by over 14dB in the case of 2 paths.

Iterative Signal Detection Based Soft Interference Cancellation for Satellite-Terrestrial Downlink NOMA Systems

To improve the bit error rate(BER)performance of multi-user signal detection in satelliteterrestrial downlink non-orthogonal multiple access(NOMA)systems,an iterative signal detection algorithm based on soft interference cancellation with optimal power allocation is proposed.Given that power allocation has a significant impact on BER performance,the optimal power allocation is obtained by minimizing the average BER of NOMA users.According to the allocated powers,successive interference cancellation(SIC)between NOMA users is performed in descending power order.For each user,an iterative soft interference cancellation is performed,and soft symbol probabilities are calculated for soft decision.To improve detection accuracy and without increasing the complexity,the aforementioned algorithm is optimized by adding minimum mean square error(MMSE)signal estimation before detection,and in each iteration soft symbol probabilities are utilized for soft-decision of the current user and also for the update of soft interference of the previous user.Simulation results illustrate that the optimized algorithm i.e.MMSE-IDBSIC significantly outperforms joint multi-user detection and SIC detection by 7.57dB and 8.03dB in terms of BER performance.

A deep multimodal fusion and multitasking trajectory prediction model for typhoon trajectory prediction to reduce flight scheduling cancellation

Natural events have had a significant impact on overall flight activity,and the aviation industry plays a vital role in helping society cope with the impact of these events.As one of the most impactful weather typhoon seasons appears and continues,airlines operating in threatened areas and passengers having travel plans during this time period will pay close attention to the development of tropical storms.This paper proposes a deep multimodal fusion and multitasking trajectory prediction model that can improve the reliability of typhoon trajectory prediction and reduce the quantity of flight scheduling cancellation.The deep multimodal fusion module is formed by deep fusion of the feature output by multiple submodal fusion modules,and the multitask generation module uses longitude and latitude as two related tasks for simultaneous prediction.With more dependable data accuracy,problems can be analysed rapidly and more efficiently,enabling better decision-making with a proactive versus reactive posture.When multiple modalities coexist,features can be extracted from them simultaneously to supplement each other’s information.An actual case study,the typhoon Lichma that swept China in 2019,has demonstrated that the algorithm can effectively reduce the number of unnecessary flight cancellations compared to existing flight scheduling and assist the new generation of flight scheduling systems under extreme weather.

Turbo Message Passing Based Burst Interference Cancellation for Data Detection in Massive MIMO-OFDM Systems

This paper investigates the fundamental data detection problem with burst interference in massive multiple-input multiple-output orthogonal frequency division multiplexing(MIMO-OFDM) systems. In particular, burst interference may occur only on data symbols but not on pilot symbols, which means that interference information cannot be premeasured. To cancel the burst interference, we first revisit the uplink multi-user system and develop a matrixform system model, where the covariance pattern and the low-rank property of the interference matrix is discussed. Then, we propose a turbo message passing based burst interference cancellation(TMP-BIC) algorithm to solve the data detection problem, where the constellation information of target data is fully exploited to refine its estimate. Furthermore, in the TMP-BIC algorithm, we design one module to cope with the interference matrix by exploiting its lowrank property. Numerical results demonstrate that the proposed algorithm can effectively mitigate the adverse effects of burst interference and approach the interference-free bound.

On Normalized Least Mean Square Based Interference Cancellation Algorithm for Integrated Sensing and Communication Systems

Integrated sensing and communication(ISAC)technology is a promising candidate for next-generation communication systems.However,severe co-site interference in existing ISAC systems limits the communication and sensing performance,posing significant challenges for ISAC interference management.In this work,we propose a novel interference management scheme based on the normalized least mean square(NLMS)algorithm,which mitigates the impact of co-site interference by reconstructing the interference from the local transmitter and canceling it from the received signal.Simulation results demonstrate that,compared to typical adaptive interference management schemes based on recursive least square(RLS)and stochastic gradient descent(SGD)algorithms,the proposed NLMS algorithm effectively cancels co-site interference and achieves a good balance between computational complexity and convergence performance.

The Effects of Infrastructure Projects on House Prices and Rents:Evidence from the HS2 Extension Cancellation in the UK

This paper uses the HS2 extension cancellation in November 2021 as a quasi-experiment to study its impact on house prices and rents in Leeds.Using a DiD approach on repeat sales and monthly rents,I compare property values near the HS2 station and proposed construction site before and after the announcement.Results show a 3.6%decrease in house prices and a 3.9%decline in rents near the station,while properties near the construction site experienced a 2.4%increase in prices and a 2.1%rise in rents.This is the first paper to analyse the HS2 cancellation effect using panel data methods.

Group-Based Successive Interference Cancellation for Multi-Antenna NOMA System with Error Propagation

Non-orthogonal multiple access(NOMA)is viewed as a key technique to improve the spectrum efficiency and solve the issue of massive connectivity.However,for power domain NOMA,the required overall transmit power should be increased rapidly with the increasing number of users in order to ensure that the signal-to-interference-plus-noise ratio reaches a predefined threshold.In addition,since the successive interference cancellation(SIC)is adopted,the error propagation would become more serious as the order of SIC increases.Aiming at minimizing the total transmit power and satisfying each user’s service requirement,this paper proposes a novel framework with group-based SIC for the deep integration between power domain NOMA and multi-antenna technology.Based on the proposed framework,a joint optimization of power control and equalizer design is investigated to minimize transmit power consumption for uplink multi-antenna NOMA system with error propagations.Based on the relationship between the equalizer and the transmit power coefficients,the original problem is transformed to a transmit power optimization problem,which is further addressed by a parallel iteration algorithm.It is shown by simulations that,in terms of the total power consumption,the proposed scheme outperforms the conventional OMA and the existing cluster-based NOMA schemes.

Frequency-Domain Wideband Acoustic Noise Cancellation System

When building an adaptive noise cancellation system for wideband acoustic signals, one can meet some difficulties in practical implementation of such a system. The major problem is related to the necessity of using real-time signal generation and processing. In this paper the active noise control system which utilizes adaptation in frequency domain is considered. It is shown that the proposed algorithms simplify practical implementation of a noise cancellation system. The results of computer simulations and prototype experiments show the effectiveness of the proposed methods. .

Standardization of apple cancellation test for neglect patients in Korea:An observational study

BACKGROUND Neglect can be divided into two types using apple cancellation test(apple test):Egocentric neglect(EN)and allocentric neglect(AN).However,in South Korea,apple test results and decision criteria are still largely dependent on tests by foreign countries.AIM To establish a new South Korea standard and improve the accuracy of neglect assessment,the apple experiment was standardized in this study.METHODS This study was conducted on 223 healthy subjects for a total of 7 mo from August 2021 to February 2022.Standardization was carried out using the original apple test developed by Bickerton in 2011.In scoring for the apple test,total omission error refers to the number of missed targets(full apple)in the entire test sheet(left,middle,and right area).The score for EN is the difference between the correct number of right area and the correct number of left area(excluding the middle area).For AN,the score is difference between the number of left opening apples and number of right opening apples(including the middle area).Linear regression analysis was used for standardization using the general characteristics of subjects and the results of the apple test.RESULTS The cut-off score,which is the standard value indicating the pathological condition by combining the results of all subjects,is as follows:Total omission error(5),error for EN(2),and error for AN(2).Also,differences in cut-off score according to age were found.CONCLUSION This study will be helpful in facilitating a more accurate differential diagnosis of neglect.

Advanced surface coil layout with intrinsic noise cancellation properties for surface-NMR applications

A recent study demonstrated that in small-scale prepolarized surface nuclear magnetic resonance(SNMR-PP)measurements with a footprint of a few square meters,customized PP switch-off ramps can serve as an efficient excitation mechanism,eliminating the requirement for a conventional oscillating excitation pulse.This approach enables the detection of short relaxation signals from the unsaturated soil zone and can,therefore,be used to directly provide soil moisture and pore geometry information.Because ultimately such small-scale SNMR-PP setups are intended for a mobile application,it is necessary to develop strategies that allow for speedy measurement progress and do not require noise cancellation protocols based on reference stations.Hence,we developed a new concentric figure-of-eight(cFOE)loop layout that combines the direction independence of a circular loop with the intrinsic noise cancellation properties of a classical FOE-loop.This approach significantly decreases the measurement time because suitable signal-to-noise ratios are reached much faster compared to a classical circular loop and will bring us one step further toward fast and non-invasive soil moisture mapping applications.

Practical Considerations for Implementing Adaptive Acoustic Noise Cancellation in Commercial Earbuds

Active noise cancellation has become a prominent feature in contemporary in-ear personal audio devices.However,due to constraints related to component arrangement,power consumption,and manufacturing costs,most commercial products utilize fixed-type controller systems as the basis for their active noise control algorithms.These systems offer robust performance and a straightforward structure,which is achievable with cost-effective digital signal processors.Nonetheless,a major drawback of fixed-type controllers is their inability to adapt to changes in acoustic transfer paths,such as variations in earpiece fitting conditions.Therefore,adaptive-type active noise control systems that employ adaptive digital filters are considered as the alternative.To address the increasing system complexity,design concepts and implementation strategies are discussed with respect to actual hardware limitations.To illustrate these considerations,a case study showcasing the implementation of a filtered-x least mean square-based active noise control algorithm is presented.A commercial evaluation board accommodating a low-cost,fixed-point digital signal processor is used to simplify operation and provide programming access.The earbuds are obtained from a commercial product designed for noise cancellation.This study underscores the importance of addressing hardware constraints when implementing adaptive active noise cancellation,providing valuable insights for real-world applications.

Active Cancelation of Acoustic Noise in Waveguides by Standard Control Task Decision Usage

Cybernetic decision variants were analyzed in order to use for physical task of active noise cancelation. 10 dB mean active noise cancellation is demonstrated in two decades frequency band by usage of cybernetic decision for acoustical duct physical scale model. The used decision was found on minimization of acoustical field power transfer function from the beginning of waveguide to their end.

Ordered successive noise projection cancellation algorithm for dual lattice-reduction-aided MIMO detection

A novel nonlinear multi-input multi-output MIMO detection algorithm is proposed which is referred to as an ordered successive noise projection cancellation OSNPC algorithm. It is capable of improving the computation performance of the MIMO detector with the conventional ordered successive interference cancellation OSIC algorithm. In contrast to the OSIC in which the known interferences in the input signal vector are successively cancelled the OSNPC successively cancels the known noise projections from the decision statistic vector. Analysis indicates that the OSNPC is equivalent to the OSIC in error performance but it has significantly less complexity in computation.Furthermore when the OSNPC is applied to the MIMO detection with the preprocessing of dual lattice reduction DLR the computational complexity of the proposed OSNPC-based DLR-aided detector is further reduced due to the avoidance of the inverse of the reduced basis of the dual lattice in computation compared to that of the OSIC-based one. Simulation results validate the theoretical conclusions with regard to both the performance and complexity of the proposed MIMO detection scheme.

PRINCIPLE AND EXPERIMENTAL DEMONSTRATION OF ADAPTIVE CANCELLATION OF STRUCTURAL VIBRATION IN TIME DOMAIN

This paper presents the principle and critical factors of adaptive cancellation of structural vibration in time domain(ACSV-TD).Digital-analog simulations and model tests are conducted on cancelling forced vibration of a cantilever beam.Filtered-X RLS algorithm is used to get faster convergence speed and stronger adaptability (in comparison with LMS algorithm). The results demonstrate the efficiency and adaptability of the ACSV-TD.

Digital Cancellation Scheme and Hardware Implementation for High-Order Passive Intermodulation Interference Based on Hammerstein Model

Passive intermodulation(PIM)interference urgently needs to be solved in the satellite communication system,owing to degrading the whole performance.Mainstream research contributions to the cancellation method for PIM were focused on the analog domain,however,the PIM distortion cannot be eliminated completely with the approaches.Meanwhile,some researchers attempt to tackle the problem through digital signal processing,nevertheless,the proposed methods were not suitable for the practical satellite communication scenario.In this paper,we present a general scheme for the adaptive feedforward PIM cancellation.High-order PIM signals at baseband are estimated by modeling the PIM distortion with Hammerstein model in the digital domain.Based on the reconstructed PIM signal,we adopt the least mean square algorithm to adaptively mitigate the PIM interference for tracking the variation of PIM.The time and frequency synchronization of PIM are based on the correlation of the peak of received signals with the corresponding reconstructed PIM signal.Practical experimental results show that the scheme can effectively cancel the PIM interference,and achieve an interference suppression gain more than 20dB.

Using LMS Adaptive Filter in Direct Wave Cancellation

The way to use the least-mean-square (LMS) arithmetic to cancel the direct wave for a passive radar system is introduced. The model of the direct wave is deduced. By using the LMS adaptive FIR filter, the software solution for FM passive radar system is developed instead of the hardware consumption of the existent experiment system of passive radar. Further more some simulative results are given. The simulative results indicate that using LMS arithmetic to cancel the direct wave is effective.

Interference Cancellation in Device-to-Device Communications underlying MU-MIMO Cellular Networks

This paper investigates the device-to-device(D2 D) communication underlaying multi-user multi-input multi-output(MU-MIMO) cellular networks. It is assumed that D2 D users reuse the downlink time-frequency resources of cellular links, and the base station(BS) is assumed to be equipped with multiple antennas. We investigate the ergodic achievable sum rate of the system when the interference cancellation(IC) precoding strategy is employed at the BS. The distributions of the received signal-to-interference-plus-noise ratio(SINR) for each link are firstly analyzed, and an exact ergodic achievable sum rate of the whole system with closedform expressions is then derived. Furthermore, we present novel upper and lower bounds with simpler expressions, which are later verified to be fairly close to the Monte-Carlo simulations. All the expressions we presented are suitable for arbitrary network topology and arbitrary number of antennas at BS. Based on the derived bounds, the influence of the antennas at BS on system performance is then analyzed. We reveal that the system performance increases along with the number of antennas at BS in a logarithmic way. The accuracy of our analytical results is validated via comparisons with Monte-Carlo simulations.

Method of moving target detection based on sub-image cancellation for single-antenna airborne synthetic aperture radar

The method of moving target detection based on subimage cancellation for single-antenna airborne SAR is presented. First the subimage is obtained through frequency processing is pointed out. The imaging difference of a stationary objects and moving object in the subimage based on the frequency division is analyzed from the fundamental principle. Then the developed method combines the shear averaging algorithm to focus on the moving target in the subimage, after the clutter suppression and the focusing position in each subimage is obtained. Next the observation model and the relative movement of the moving targets between the subimages estimate the moving targets. The theoretical analysis and simulation results demonstrate that the method is effective and can not only detect the moving targets, but also estimate their motion parameters precisely.