Venous Doppler flow patterns,venous congestion,heart disease and renal dysfunction:A complex liaison

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.

Research on Multi-modal In-Vehicle Intelligent Personal Assistant Design

Intelligent personal assistants play a pivotal role in in-vehicle systems,significantly enhancing life efficiency,driving safety,and decision-making support.In this study,the multi-modal design elements of intelligent personal assistants within the context of visual,auditory,and somatosensory interactions with drivers were discussed.Their impact on the driver’s psychological state through various modes such as visual imagery,voice interaction,and gesture interaction were explored.The study also introduced innovative designs for in-vehicle intelligent personal assistants,incorporating design principles such as driver-centricity,prioritizing passenger safety,and utilizing timely feedback as a criterion.Additionally,the study employed design methods like driver behavior research and driving situation analysis to enhance the emotional connection between drivers and their vehicles,ultimately improving driver satisfaction and trust.

Ultrasound unveiling:Decoding venous congestion in heart failure for precision management of fluid status

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.

Portal vein pulsatility:An important sonographic tool assessment of systemic congestion for critical ill patients

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.

An Effective Optimization Algorithm for Ant Colony Vehicular Congestion Management

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.

Congestion Control Algorithms for the Internet-A Secondary Publication

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.

Research of Fly over as a Solution to Congestion of Intersection Junction(Case Study:Jalan Jatingaleh Semarang)

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.

URBAN TRANSIT ASSIGNMENT MODEL BASED ON AUGMENTED NETWORK WITH IN-VEHICLE CONGESTION AND TRANSFER CONGESTION

This paper presents an augmented network model to represent urban transit system.Through such network model,the urban transit assignment problem can be easily modeled like a generalized traffic network.Simultaneously,the feasible route in such augmented transit network is then defined in accordance with the passengers＇ behaviors.The passengers＇ travel costs including walking time,waiting time,in-vehicle time and transfer time are formulated while the congestions at stations and the congestions in transit vehicles are all taken into account.On the base of these,an equilibrium model for urban transit assignment problem is presented and an improved shortest path method based algorithm is also proposed to solve it.Finally,a numerical example is provided to illustrate our approach.

A novel intrusion detection model for the CAN bus packet of in-vehicle network based on attention mechanism and autoencoder

The attacks on in-vehicle Controller Area Network(CAN)bus messages severely disrupt normal communication between vehicles.Therefore,researches on intrusion detection models for CAN have positive business value for vehicle security,and the intrusion detection technology for CAN bus messages can effectively protect the invehicle network from unlawful attacks.Previous machine learning-based models are unable to effectively identify intrusive abnormal messages due to their inherent shortcomings.Hence,to address the shortcomings of the previous machine learning-based intrusion detection technique,we propose a novel method using Attention Mechanism and AutoEncoder for Intrusion Detection(AMAEID).The AMAEID model first converts the raw hexadecimal message data into binary format to obtain better input.Then the AMAEID model encodes and decodes the binary message data using a multi-layer denoising autoencoder model to obtain a hidden feature representation that can represent the potential features behind the message data at a deeper level.Finally,the AMAEID model uses the attention mechanism and the fully connected layer network to infer whether the message is an abnormal message or not.The experimental results with three evaluation metrics on a real in-vehicle CAN bus message dataset outperform some traditional machine learning algorithms,demonstrating the effectiveness of the AMAEID model.

Recent Trends of In-Vehicle Time Sensitive Networking Technologies, Applications and Challenges

With the vigorous development of automobile industry,in-vehicle network is also constantly upgraded to meet data transmission requirements of emerging applications.The main transmission requirements are low latency and certainty especially for autonomous driving.Time sensitive networking(TSN)based on Ethernet gives a possible solution to these requirements.Previous surveys usually investigated TSN from a general perspective,which referred to TSN of various application fields.In this paper,we focus on the application of TSN to the in-vehicle networks.For in-vehicle networks,we discuss all related TSN standards specified by IEEE 802.1 work group up to now.We further overview and analyze recent literature on various aspects of TSN for automotive applications,including synchronization,resource reservation,scheduling,certainty,software and hardware.Application scenarios of TSN for in-vehicle networks are analyzed one by one.Since TSN of in-vehicle network is still at a very initial stage,this paper also gives insights on open issues,future research directions and possible solutions.

QoS-Aware Congestion Control with Online Learning

In emerging applications such as industrial control and autonomous driving,end-to-end deterministic quality of service(QoS)transmission guarantee has become an urgent problem to be solved.Internet congestion control algorithms are essential to the performance of applications.However,existing congestion control schemes follow the best-effort principle of data transmission without the perception of application QoS requirements.To enable data delivery within application QoS constraints,we leverage an online learning mechanism to design Crimson,a novel congestion control algorithm in which each sender continuously observes the gap between current performance and pre-defined QoS.Crimson can change rates adaptively that satisfy application QoS requirements as a result.Across many emulation environments and real-world experiments,our proposed scheme can efficiently balance the different trade-offs between throughput,delay and loss rate.Crimson also achieves consistent performance over a wide range of QoS constraints under diverse network scenarios.

Coupled CUBIC Congestion Control for MPTCP in Broadband Networks

Recently,multipath transmission control protocol(MPTCP)was standardized so that data can be transmitted through multiple paths to utilize all available path bandwidths.However,when high-speed long-distance networks are included in MPTCP paths,the traffic transmission performance of MPTCP is severely deteriorated,especially in case the multiple paths’characteristics are heavily asymmetric.In order to alleviate this problem,we propose a“Coupled CUBIC congestion control”that adopts TCP CUBIC on a large bandwidth-delay product(BDP)path in a linked increase manner for maintaining fairness with an ordinary TCP traversing the same bottleneck path.To verify the performance excellence of the proposed algorithm,we implemented the Coupled CUBIC Congestion Control into Linux kernels by modifying the legacy MPTCP linked-increases algorithm(LIA)congestion control source code.We constructed asymmetric heterogeneous network testbeds mixed with large and small BDP paths and compared the performances of LIA and Coupled CUBIC by experiments.Experimental results show that the proposed Coupled CUBIC utilizes almost over 80%of the bandwidth resource in the high BDP path,while the LIA utilizes only less than 20%of the bandwidth for the same path.It was confirmed that the resource utilization and traffic transmission performance have been greatly improved by using the proposed Coupled CUBIC in high-speed multipath networks,as well as maintaining MPTCP fairness with competing single-path CUBIC or Reno TCP flows.

Reducing congestion and emissions via roadside unit deployment under mixed traffic flow

It is expected that for a long time the future road trafc will be composed of both regular vehicles(RVs)and connected autonomous vehicles(CAVs).As a vehicle-to-infrastructure technology dedicated to facilitating CAV under the mixed trafc fow,roadside units(RSUs)can also improve the quality of information received by CAVs,thereby infuencing the routing behavior of CAV users.This paper explores the possibility of leveraging the RSU deployment to afect the route choices of both CAVs and RVs and the adoption rate of CAVs so as to reduce the network congestion and emissions.To this end,we frst establish a logit-based stochastic user equilibrium model to capture drivers’route choice and vehicle type choice behaviors provided the RSU deployment plan is given.Particularly,CAV users’perception error can be reduced by higher CAV penetration and denser RSUs deployed on the road due to the improved information quality.With the established equilibrium model,the RSU deployment problem is then formulated as a mathematical program with equilibrium constraints.An active-set algorithm is presented to solve the deployment problem efciently.Numerical results suggest that an optimal RSU deployment plan can efectively drive the system towards one with lower network delay and emissions.

Efficient Routing Protocol with Localization Based Priority&Congestion Control for UWSN

The nodes in the sensor network have a wide range of uses,particularly on under-sea links that are skilled for detecting,handling as well as management.The underwater wireless sensor networks support collecting pollution data,mine survey,oceanographic information collection,aided navigation,strategic surveillance,and collection of ocean samples using detectors that are submerged inwater.Localization,congestion routing,and prioritizing the traffic is the major issue in an underwater sensor network.Our scheme differentiates the different types of traffic and gives every type of traffic its requirements which is considered regarding network resource.Minimization of localization error using the proposed angle-based forwarding scheme is explained in this paper.We choose the shortest path to the destination using the fitness function which is calculated based on fault ratio,dispatching of packets,power,and distance among the nodes.This work contemplates congestion conscious forwarding using hard stage and soft stage schemes which reduce the congestion by monitoring the status of the energy and buffer of the nodes and controlling the traffic.The study with the use of the ns3 simulator demonstrated that a given algorithm accomplishes superior performance for loss of packet,delay of latency,and power utilization than the existing algorithms.

Data Center Traffic Scheduling Strategy for Minimization Congestion and Quality of Service Guaranteeing

According to Cisco’s Internet Report 2020 white paper,there will be 29.3 billion connected devices worldwide by 2023,up from 18.4 billion in 2018.5G connections will generate nearly three times more traffic than 4G connections.While bringing a boom to the network,it also presents unprecedented challenges in terms of flow forwarding decisions.The path assignment mechanism used in traditional traffic schedulingmethods tends to cause local network congestion caused by the concentration of elephant flows,resulting in unbalanced network load and degraded quality of service.Using the centralized control of software-defined networks,this study proposes a data center traffic scheduling strategy for minimization congestion and quality of service guaranteeing(MCQG).The ideal transmission path is selected for data flows while considering the network congestion rate and quality of service.Different traffic scheduling strategies are used according to the characteristics of different service types in data centers.Reroute scheduling for elephant flows that tend to cause local congestion.The path evaluation function is formed by the maximum link utilization on the path,the number of elephant flows and the time delay,and the fast merit-seeking capability of the sparrow search algorithm is used to find the path with the lowest actual link overhead as the rerouting path for the elephant flows.It is used to reduce the possibility of local network congestion occurrence.Equal cost multi-path(ECMP)protocols with faster response time are used to schedulemouse flows with shorter duration.Used to guarantee the quality of service of the network.To achieve isolated transmission of various types of data streams.The experimental results show that the proposed strategy has higher throughput,better network load balancing,and better robustness compared to ECMP under different traffic models.In addition,because it can fully utilize the resources in the network,MCQG also outperforms another traffic scheduling strategy that does rerouting for elephant flows(namely Hedera).Compared withECMPandHedera,MCQGimproves average throughput by 11.73%and 4.29%,and normalized total throughput by 6.74%and 2.64%,respectively;MCQG improves link utilization by 23.25%and 15.07%;in addition,the average round-trip delay and packet loss rate fluctuate significantly less than the two compared strategies.

Congestion Control Using In-Network Telemetry for Lossless Datacenters

In the Ethernet lossless Data Center Networks (DCNs) deployedwith Priority-based Flow Control (PFC), the head-of-line blocking problemis still difficult to prevent due to PFC triggering under burst trafficscenarios even with the existing congestion control solutions. To addressthe head-of-line blocking problem of PFC, we propose a new congestioncontrol mechanism. The key point of Congestion Control Using In-NetworkTelemetry for Lossless Datacenters (ICC) is to use In-Network Telemetry(INT) technology to obtain comprehensive congestion information, which isthen fed back to the sender to adjust the sending rate timely and accurately.It is possible to control congestion in time, converge to the target rate quickly,and maintain a near-zero queue length at the switch when using ICC. Weconducted Network Simulator-3 (NS-3) simulation experiments to test theICC’s performance. When compared to Congestion Control for Large-ScaleRDMA Deployments (DCQCN), TIMELY: RTT-based Congestion Controlfor the Datacenter (TIMELY), and Re-architecting Congestion Managementin Lossless Ethernet (PCN), ICC effectively reduces PFC pause messages andFlow Completion Time (FCT) by 47%, 56%, 34%, and 15.3×, 14.8×, and11.2×, respectively.

Congestive Heart Failure: Treatment of Symptoms or Causes

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.

A Fast and Efficient Global Router for Congestion Optimization

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.

An environment-friendly control method for congestion flow ahead of expressway toll stations

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.

Analyses of unified congestion measures for interrupted traffic flow on urban roads

To study the congestion of interrupted flow on urban roads, a comprehensive evaluation method is proposed. First, based on the results of correlation analysis between different parameters of interrupted flow, the traffic parameters of interrupted traffic flow are divided into two categories： the basic parameters and the operation parameters. Polynomial regression is used to formulize the nonlinear relationships between the basic parameters and the operation parameters. Then, the congestion model incorporating both operational and volume characteristics of traffic flow is proposed. The inputs of the model are the basic parameters, while the output is a dimensionless index value between 0 and 1. Finally, the proposed methods are compared with existing evaluation measures of congestion. Results show that the proposed indices can capture the variation of both the basic parameters and the operation parameters, which is more balanced compared with the existing evaluation measures.