Science.gov

Sample records for multicast congestion control

  1. Reliable on-demand multicast routing with congestion control in wireless ad hoc networks

    NASA Astrophysics Data System (ADS)

    Tang, Ken; Gerla, Mario

    2001-07-01

    In this paper, we address the congestion control multicast routing problem in wireless ad hoc networks through the medium access control (MAC) layer. We first introduce the Broadcast Medium Window (BMW) MAC protocol, which provides reliable delivery to broadcast packets at the MAC layer. We then extend the wireless On-Demand Multicast Routing Protocol (ODMRP) to facilitate congestion control in ad hoc networks using BMW. Through simulation, we show that ODMRP with congestion control adapts well to multicast sources that are aggressive in data transmissions.

  2. Reliable multicast protocol specifications flow control and NACK policy

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.; Whetten, Brian

    1995-01-01

    This appendix presents the flow and congestion control schemes recommended for RMP and a NACK policy based on the whiteboard tool. Because RMP uses a primarily NACK based error detection scheme, there is no direct feedback path through which receivers can signal losses through low buffer space or congestion. Reliable multicast protocols also suffer from the fact that throughput for a multicast group must be divided among the members of the group. This division is usually very dynamic in nature and therefore does not lend itself well to a priori determination. These facts have led the flow and congestion control schemes of RMP to be made completely orthogonal to the protocol specification. This allows several differing schemes to be used in different environments to produce the best results. As a default, a modified sliding window scheme based on previous algorithms are suggested and described below.

  3. A Loss Tolerant Rate Controller for Reliable Multicast

    NASA Technical Reports Server (NTRS)

    Montgomery, Todd

    1997-01-01

    This paper describes the design, specification, and performance of a Loss Tolerant Rate Controller (LTRC) for use in controlling reliable multicast senders. The purpose of this rate controller is not to adapt to congestion (or loss) on a per loss report basis (such as per received negative acknowledgment), but instead to use loss report information and perceived state to decide more prudent courses of action for both the short and long term. The goal of this controller is to be responsive to congestion, but not overly reactive to spurious independent loss. Performance of the controller is verified through simulation results.

  4. Adaptive power-controllable orbital angular momentum (OAM) multicasting

    PubMed Central

    Li, Shuhui; Wang, Jian

    2015-01-01

    We report feedback-assisted adaptive multicasting from a single Gaussian mode to multiple orbital angular momentum (OAM) modes using a single phase-only spatial light modulator loaded with a complex phase pattern. By designing and optimizing the complex phase pattern through the adaptive correction of feedback coefficients, the power of each multicast OAM channel can be arbitrarily controlled. We experimentally demonstrate power-controllable multicasting from a single Gaussian mode to two and six OAM modes with different target power distributions. Equalized power multicasting, “up-down” power multicasting and “ladder” power multicasting are realized in the experiment. The difference between measured power distributions and target power distributions is assessed to be less than 1 dB. Moreover, we demonstrate data-carrying OAM multicasting by employing orthogonal frequency-division multiplexing 64-ary quadrature amplitude modulation (OFDM 64-QAM) signal. The measured bit-error rate curves and observed optical signal-to-noise ratio penalties show favorable operation performance of the proposed adaptive power-controllable OAM multicasting. PMID:25989251

  5. Adaptive power-controllable orbital angular momentum (OAM) multicasting.

    PubMed

    Li, Shuhui; Wang, Jian

    2015-01-01

    We report feedback-assisted adaptive multicasting from a single Gaussian mode to multiple orbital angular momentum (OAM) modes using a single phase-only spatial light modulator loaded with a complex phase pattern. By designing and optimizing the complex phase pattern through the adaptive correction of feedback coefficients, the power of each multicast OAM channel can be arbitrarily controlled. We experimentally demonstrate power-controllable multicasting from a single Gaussian mode to two and six OAM modes with different target power distributions. Equalized power multicasting, "up-down" power multicasting and "ladder" power multicasting are realized in the experiment. The difference between measured power distributions and target power distributions is assessed to be less than 1 dB. Moreover, we demonstrate data-carrying OAM multicasting by employing orthogonal frequency-division multiplexing 64-ary quadrature amplitude modulation (OFDM 64-QAM) signal. The measured bit-error rate curves and observed optical signal-to-noise ratio penalties show favorable operation performance of the proposed adaptive power-controllable OAM multicasting. PMID:25989251

  6. Authenticated IGMP for Controlling Access to Multicast Distribution Tree

    NASA Astrophysics Data System (ADS)

    Park, Chang-Seop; Kang, Hyun-Sun

    A receiver access control scheme is proposed to protect the multicast distribution tree from DoS attack induced by unauthorized use of IGMP, by extending the security-related functionality of IGMP. Based on a specific network and business model adopted for commercial deployment of IP multicast applications, a key management scheme is also presented for bootstrapping the proposed access control as well as accounting and billing for CP (Content Provider), NSP (Network Service Provider), and group members.

  7. A Stateful Multicast Access Control Mechanism for Future Metro-Area-Networks.

    ERIC Educational Resources Information Center

    Sun, Wei-qiang; Li, Jin-sheng; Hong, Pei-lin

    2003-01-01

    Multicasting is a necessity for a broadband metro-area-network; however security problems exist with current multicast protocols. A stateful multicast access control mechanism, based on MAPE, is proposed. The architecture of MAPE is discussed, as well as the states maintained and messages exchanged. The scheme is flexible and scalable. (Author/AEF)

  8. Layered Multicast Encryption of Motion JPEG2000 Code Streams for Flexible Access Control

    NASA Astrophysics Data System (ADS)

    Nakachi, Takayuki; Toyoshima, Kan; Tonomura, Yoshihide; Fujii, Tatsuya

    In this paper, we propose a layered multicast encryption scheme that provides flexible access control to motion JPEG2000 code streams. JPEG2000 generates layered code streams and offers flexible scalability in characteristics such as resolution and SNR. The layered multicast encryption proposal allows a sender to multicast the encrypted JPEG2000 code streams such that only designated groups of users can decrypt the layered code streams. While keeping the layering functionality, the proposed method offers useful properties such as 1) video quality control using only one private key, 2) guaranteed security, and 3) low computational complexity comparable to conventional non-layered encryption. Simulation results show the usefulness of the proposed method.

  9. Performance analysis of reactive congestion control for ATM networks

    NASA Astrophysics Data System (ADS)

    Kawahara, Kenji; Oie, Yuji; Murata, Masayuki; Miyahara, Hideo

    1995-05-01

    In ATM networks, preventive congestion control is widely recognized for efficiently avoiding congestion, and it is implemented by a conjunction of connection admission control and usage parameter control. However, congestion may still occur because of unpredictable statistical fluctuation of traffic sources even when preventive control is performed in the network. In this paper, we study another kind of congestion control, i.e., reactive congestion control, in which each source changes its cell emitting rate adaptively to the traffic load at the switching node (or at the multiplexer). Our intention is that, by incorporating such a congestion control method in ATM networks, more efficient congestion control is established. We develop an analytical model, and carry out an approximate analysis of reactive congestion control algorithm. Numerical results show that the reactive congestion control algorithms are very effective in avoiding congestion and in achieving the statistical gain. Furthermore, the binary congestion control algorithm with pushout mechanism is shown to provide the best performance among the reactive congestion control algorithms treated here.

  10. Congestion control and routing over satellite networks

    NASA Astrophysics Data System (ADS)

    Cao, Jinhua

    Satellite networks and transmissions find their application in fields of computer communications, telephone communications, television broadcasting, transportation, space situational awareness systems and so on. This thesis mainly focuses on two networking issues affecting satellite networking: network congestion control and network routing optimization. Congestion, which leads to long queueing delays, packet losses or both, is a networking problem that has drawn the attention of many researchers. The goal of congestion control mechanisms is to ensure high bandwidth utilization while avoiding network congestion by regulating the rate at which traffic sources inject packets into a network. In this thesis, we propose a stable congestion controller using data-driven, safe switching control theory to improve the dynamic performance of satellite Transmission Control Protocol/Active Queue Management (TCP/AQM) networks. First, the stable region of the Proportional-Integral (PI) parameters for a nominal model is explored. Then, a PI controller, whose parameters are adaptively tuned by switching among members of a given candidate set, using observed plant data, is presented and compared with some classical AQM policy examples, such as Random Early Detection (RED) and fixed PI control. A new cost detectable switching law with an interval cost function switching algorithm, which improves the performance and also saves the computational cost, is developed and compared with a law commonly used in the switching control literature. Finite-gain stability of the system is proved. A fuzzy logic PI controller is incorporated as a special candidate to achieve good performance at all nominal points with the available set of candidate controllers. Simulations are presented to validate the theory. An effocient routing algorithm plays a key role in optimizing network resources. In this thesis, we briefly analyze Low Earth Orbit (LEO) satellite networks, review the Cross Entropy (CE

  11. Dynamic congestion control mechanisms for MPLS networks

    NASA Astrophysics Data System (ADS)

    Holness, Felicia; Phillips, Chris I.

    2001-02-01

    Considerable interest has arisen in congestion control through traffic engineering from the knowledge that although sensible provisioning of the network infrastructure is needed, together with sufficient underlying capacity, these are not sufficient to deliver the Quality of Service required for new applications. This is due to dynamic variations in load. In operational Internet Protocol (IP) networks, it has been difficult to incorporate effective traffic engineering due to the limited capabilities of the IP technology. In principle, Multiprotocol Label Switching (MPLS), which is a connection-oriented label swapping technology, offers new possibilities in addressing the limitations by allowing the operator to use sophisticated traffic control mechanisms. This paper presents a novel scheme to dynamically manage traffic flows through the network by re-balancing streams during periods of congestion. It proposes management-based algorithms that will allow label switched routers within the network to utilize mechanisms within MPLS to indicate when flows are starting to experience frame/packet loss and then to react accordingly. Based upon knowledge of the customer's Service Level Agreement, together with instantaneous flow information, the label edge routers can then instigate changes to the LSP route and circumvent congestion that would hitherto violate the customer contacts.

  12. Signalling and obfuscation for congestion control

    NASA Astrophysics Data System (ADS)

    Mareček, Jakub; Shorten, Robert; Yu, Jia Yuan

    2015-10-01

    We aim to reduce the social cost of congestion in many smart city applications. In our model of congestion, agents interact over limited resources after receiving signals from a central agent that observes the state of congestion in real time. Under natural models of agent populations, we develop new signalling schemes and show that by introducing a non-trivial amount of uncertainty in the signals, we reduce the social cost of congestion, i.e., improve social welfare. The signalling schemes are efficient in terms of both communication and computation, and are consistent with past observations of the congestion. Moreover, the resulting population dynamics converge under reasonable assumptions.

  13. Performance Evaluation of Reliable Multicast Protocol for Checkout and Launch Control Systems

    NASA Technical Reports Server (NTRS)

    Shu, Wei Wennie; Porter, John

    2000-01-01

    The overall objective of this project is to study reliability and performance of Real Time Critical Network (RTCN) for checkout and launch control systems (CLCS). The major tasks include reliability and performance evaluation of Reliable Multicast (RM) package and fault tolerance analysis and design of dual redundant network architecture.

  14. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott; Jennings, Esther; Schoolcraft, Joshua

    2006-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics). Preliminary experimental results show that this congestion control mechanism can protect routers from resource depletion without loss of data.

  15. Adapting End Host Congestion Control for Mobility

    NASA Technical Reports Server (NTRS)

    Eddy, Wesley M.; Swami, Yogesh P.

    2005-01-01

    Network layer mobility allows transport protocols to maintain connection state, despite changes in a node's physical location and point of network connectivity. However, some congestion-controlled transport protocols are not designed to deal with these rapid and potentially significant path changes. In this paper we demonstrate several distinct problems that mobility-induced path changes can create for TCP performance. Our premise is that mobility events indicate path changes that require re-initialization of congestion control state at both connection end points. We present the application of this idea to TCP in the form of a simple solution (the Lightweight Mobility Detection and Response algorithm, that has been proposed in the IETF), and examine its effectiveness. In general, we find that the deficiencies presented are both relatively easily and painlessly fixed using this solution. We also find that this solution has the counter-intuitive property of being both more friendly to competing traffic, and simultaneously more aggressive in utilizing newly available capacity than unmodified TCP.

  16. Integrating concast and multicast communication models

    NASA Astrophysics Data System (ADS)

    Wen, Su; Griffioen, James; Yavatkar, Rajendra

    1998-12-01

    This paper defines a new group communication model called concast communication. Being the counterpart to multicast, concast involves multiple senders transmitting to a single receiver. Concast communication is used in a wide range of applications including collaborative applications, report-in style applications, or just end-to-end acknowledgements in a reliable multicast protocol. This paper explores the issues involved in designing concast communication services. We examine various message combination methods including concatenation, compression, and reduction to reduce the traffic loads imposed on the network and packet implosion at the receiver. Group management operations such as group creation/deletion, joining/leaving, and concast routing are discussed. We also address transmission issues such as reliable delivery, flow control, congestion control, and QoS. We conclude the paper by presenting a concast communication model that we have been developing in the context of TMTP5. The model uses concast communication to implement reliable multicast and it shares concast trees with the multicast group whenever possible to reduce overhead costs.

  17. IPTV multicast with peer-assisted lossy error control

    NASA Astrophysics Data System (ADS)

    Li, Zhi; Zhu, Xiaoqing; Begen, Ali C.; Girod, Bernd

    2010-07-01

    Emerging IPTV technology uses source-specific IP multicast to deliver television programs to end-users. To provide reliable IPTV services over the error-prone DSL access networks, a combination of multicast forward error correction (FEC) and unicast retransmissions is employed to mitigate the impulse noises in DSL links. In existing systems, the retransmission function is provided by the Retransmission Servers sitting at the edge of the core network. In this work, we propose an alternative distributed solution where the burden of packet loss repair is partially shifted to the peer IP set-top boxes. Through Peer-Assisted Repair (PAR) protocol, we demonstrate how the packet repairs can be delivered in a timely, reliable and decentralized manner using the combination of server-peer coordination and redundancy of repairs. We also show that this distributed protocol can be seamlessly integrated with an application-layer source-aware error protection mechanism called forward and retransmitted Systematic Lossy Error Protection (SLEP/SLEPr). Simulations show that this joint PARSLEP/ SLEPr framework not only effectively mitigates the bottleneck experienced by the Retransmission Servers, thus greatly enhancing the scalability of the system, but also efficiently improves the resistance to the impulse noise.

  18. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott C.; Jennings, Esther H.

    2005-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics).

  19. Evaluation of TCP congestion control algorithms.

    SciTech Connect

    Long, Robert Michael

    2003-12-01

    Sandia, Los Alamos, and Lawrence Livermore National Laboratories currently deploy high speed, Wide Area Network links to permit remote access to their Supercomputer systems. The current TCP congestion algorithm does not take full advantage of high delay, large bandwidth environments. This report involves evaluating alternative TCP congestion algorithms and comparing them with the currently used congestion algorithm. The goal was to find if an alternative algorithm could provide higher throughput with minimal impact on existing network traffic. The alternative congestion algorithms used were Scalable TCP and High-Speed TCP. Network lab experiments were run to record the performance of each algorithm under different network configurations. The network configurations used were back-to-back with no delay, back-to-back with a 30ms delay, and two-to-one with a 30ms delay. The performance of each algorithm was then compared to the existing TCP congestion algorithm to determine if an acceptable alternative had been found. Comparisons were made based on throughput, stability, and fairness.

  20. Event-driven approach of layered multicast to network adaptation in RED-based IP networks

    NASA Astrophysics Data System (ADS)

    Nahm, Kitae; Li, Qing; Kuo, C.-C. J.

    2003-11-01

    In this work, we investigate the congestion control problem for layered video multicast in IP networks of active queue management (AQM) using a simple random early detection (RED) queue model. AQM support from networks improves the visual quality of video streaming but makes network adaptation more di+/-cult for existing layered video multicast proticols that use the event-driven timer-based approach. We perform a simplified analysis on the response of the RED algorithm to burst traffic. The analysis shows that the primary problem lies in the weak correlation between the network feedback and the actual network congestion status when the RED queue is driven by burst traffic. Finally, a design guideline of the layered multicast protocol is proposed to overcome this problem.

  1. On-board congestion control for satellite packet switching networks

    NASA Technical Reports Server (NTRS)

    Chu, Pong P.

    1991-01-01

    It is desirable to incorporate packet switching capability on-board for future communication satellites. Because of the statistical nature of packet communication, incoming traffic fluctuates and may cause congestion. Thus, it is necessary to incorporate a congestion control mechanism as part of the on-board processing to smooth and regulate the bursty traffic. Although there are extensive studies on congestion control for both baseband and broadband terrestrial networks, these schemes are not feasible for space based switching networks because of the unique characteristics of satellite link. Here, we propose a new congestion control method for on-board satellite packet switching. This scheme takes into consideration the long propagation delay in satellite link and takes advantage of the the satellite's broadcasting capability. It divides the control between the ground terminals and satellite, but distributes the primary responsibility to ground terminals and only requires minimal hardware resource on-board satellite.

  2. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott; Jennings, Esther; Schoolcraft, Joshua

    2006-01-01

    This presentation highlights communication congestion control in delay-tolerant networks (DTNs). Large-scale future space exploration will offer complex communication challenges that may be best addressed by establishing a network infrastructure. However, current internet techniques for congestion control are not well suited for operation of a network over interplanetary distances. An alternative, delay-tolerant technique for congestion control in a delay-tolerant network is presented. A simple DTN was constructed and an experimental congestion control mechanism was applied. The mechanism appeared to be effective and each router was able to make its bundle acceptance decisions autonomously. Future research will examine more complex topologies and alternative bundle acceptance rules that might enhance performance.

  3. A Scalable Media Multicasting Scheme

    NASA Astrophysics Data System (ADS)

    Youwei, Zhang

    IP multicast has been proved to be unfeasible for deployment, Application Layer Multicast (ALM) Based on end multicast system is practical and more scalable than IP multicast in Internet. In this paper, an ALM protocol called Scalable multicast for High Definition streaming media (SHD) is proposed in which end to end transmission capability is fully cultivated for HD media transmission without increasing much control overhead. Similar to the transmission style of BiTtorrent, hosts only forward part of data piece according to the available bandwidth that improves the usage of bandwidth greatly. On the other hand, some novel strategies are adopted to overcome the disadvantages of BiTtorrent protocol in streaming media transmission. Data transmission between hosts is implemented in many-one transmission style in Hierarchical architecture in most circumstances. Simulations implemented on Internet-like topology indicate that SHD achieves low link stress, end to end latency and stability.

  4. Congestion control of high-speed networks

    NASA Astrophysics Data System (ADS)

    1993-06-01

    We report on four areas of activity in the past six months. These areas include the following: (1) work on the control of integrated video and image traffic, both at the access to a network and within a high-speed network; (2) more general/game theoretic models for flow control in networks; (3) work on fault management for high-speed heterogeneous networks to improve survivability; and (4) work on all-optical (lightwave) networks of the future, designed to take advantage of the enormous bandwidth capability available at optical frequencies.

  5. A reliable multicast for XTP

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Weaver, Alfred C.

    1990-01-01

    Multicast services needed for current distributed applications on LAN's fall generally into one of three categories: datagram, semi-reliable, and reliable. Transport layer multicast datagrams represent unreliable service in which the transmitting context 'fires and forgets'. XTP executes these semantics when the MULTI and NOERR mode bits are both set. Distributing sensor data and other applications in which application-level error recovery strategies are appropriate benefit from the efficiency in multidestination delivery offered by datagram service. Semi-reliable service refers to multicasting in which the control algorithms of the transport layer--error, flow, and rate control--are used in transferring the multicast distribution to the set of receiving contexts, the multicast group. The multicast defined in XTP provides semi-reliable service. Since, under a semi-reliable service, joining a multicast group means listening on the group address and entails no coordination with other members, a semi-reliable facility can be used for communication between a client and a server group as well as true peer-to-peer group communication. Resource location in a LAN is an important application domain. The term 'semi-reliable' refers to the fact that group membership changes go undetected. No attempt is made to assess the current membership of the group at any time--before, during, or after--the data transfer.

  6. RATE-ADJUSTMENT ALGORITHM FOR AGGREGATE TCP CONGESTION CONTROL

    SciTech Connect

    P. TINNAKORNSRISUPHAP, ET AL

    2000-09-01

    The TCP congestion-control mechanism is an algorithm designed to probe the available bandwidth of the network path that TCP packets traverse. However, it is well-known that the TCP congestion-control mechanism does not perform well on networks with a large bandwidth-delay product due to the slow dynamics in adapting its congestion window, especially for short-lived flows. One promising solution to the problem is to aggregate and share the path information among TCP connections that traverse the same bottleneck path, i.e., Aggregate TCP. However, this paper shows via a queueing analysis of a generalized processor-sharing (GPS) queue with regularly-varying service time that a simple aggregation of local TCP connections together into a single aggregate TCP connection can result in a severe performance degradation. To prevent such a degradation, we introduce a rate-adjustment algorithm. Our simulation confirms that by utilizing our rate-adjustment algorithm on aggregate TCP, connections which would normally receive poor service achieve significant performance improvements without penalizing connections which already receive good service.

  7. Autonomous Distributed Congestion Control Scheme in WCDMA Network

    NASA Astrophysics Data System (ADS)

    Ahmad, Hafiz Farooq; Suguri, Hiroki; Choudhary, Muhammad Qaisar; Hassan, Ammar; Liaqat, Ali; Khan, Muhammad Umer

    Wireless technology has become widely popular and an important means of communication. A key issue in delivering wireless services is the problem of congestion which has an adverse impact on the Quality of Service (QoS), especially timeliness. Although a lot of work has been done in the context of RRM (Radio Resource Management), the deliverance of quality service to the end user still remains a challenge. Therefore there is need for a system that provides real-time services to the users through high assurance. We propose an intelligent agent-based approach to guarantee a predefined Service Level Agreement (SLA) with heterogeneous user requirements for appropriate bandwidth allocation in QoS sensitive cellular networks. The proposed system architecture exploits Case Based Reasoning (CBR) technique to handle RRM process of congestion management. The system accomplishes predefined SLA through the use of Retrieval and Adaptation Algorithm based on CBR case library. The proposed intelligent agent architecture gives autonomy to Radio Network Controller (RNC) or Base Station (BS) in accepting, rejecting or buffering a connection request to manage system bandwidth. Instead of simply blocking the connection request as congestion hits the system, different buffering durations are allocated to diverse classes of users based on their SLA. This increases the opportunity of connection establishment and reduces the call blocking rate extensively in changing environment. We carry out simulation of the proposed system that verifies efficient performance for congestion handling. The results also show built-in dynamism of our system to cater for variety of SLA requirements.

  8. WWW media distribution via Hopwise reliable multicast

    SciTech Connect

    Donnelley, J.E.

    1994-12-01

    Repeated access to WWW pages currently makes inefficient use of available network bandwidth. A Distribution Point Model is proposed where large and relatively static sets of pages (e.g. magazines or other such media) are distributed via bulk multicast to LAN distribution points for local access. Some access control issues are discussed. Hopwise Reliable Multicast (HRM) is proposed to simplify reliable multicast of non real time bulk data between LANs. HRM uses TCP for reliability and flow control on a hop by hop basis throughout a multicast distribution tree created by today`s Internet MBone.

  9. Optical multicast system for data center networks.

    PubMed

    Samadi, Payman; Gupta, Varun; Xu, Junjie; Wang, Howard; Zussman, Gil; Bergman, Keren

    2015-08-24

    We present the design and experimental evaluation of an Optical Multicast System for Data Center Networks, a hardware-software system architecture that uniquely integrates passive optical splitters in a hybrid network architecture for faster and simpler delivery of multicast traffic flows. An application-driven control plane manages the integrated optical and electronic switched traffic routing in the data plane layer. The control plane includes a resource allocation algorithm to optimally assign optical splitters to the flows. The hardware architecture is built on a hybrid network with both Electronic Packet Switching (EPS) and Optical Circuit Switching (OCS) networks to aggregate Top-of-Rack switches. The OCS is also the connectivity substrate of splitters to the optical network. The optical multicast system implementation requires only commodity optical components. We built a prototype and developed a simulation environment to evaluate the performance of the system for bulk multicasting. Experimental and numerical results show simultaneous delivery of multicast flows to all receivers with steady throughput. Compared to IP multicast that is the electronic counterpart, optical multicast performs with less protocol complexity and reduced energy consumption. Compared to peer-to-peer multicast methods, it achieves at minimum an order of magnitude higher throughput for flows under 250 MB with significantly less connection overheads. Furthermore, for delivering 20 TB of data containing only 15% multicast flows, it reduces the total delivery energy consumption by 50% and improves latency by 55% compared to a data center with a sole non-blocking EPS network. PMID:26368190

  10. PVM and IP multicast

    SciTech Connect

    Dunigan, T.H.; Hall, K.A.

    1996-12-01

    This report describes a 1994 demonstration implementation of PVM that uses IP multicast. PVM`s one-to-many unicast implementation of its pvm{_}mcast() function is replaced with reliable IP multicast. Performance of PVM using IP multicast over local and wide-area networks is measured and compared with the original unicast implementation. Current limitations of IP multicast are noted.

  11. Comparison of congestion controls for data services on ATM networks

    NASA Astrophysics Data System (ADS)

    Choi, Yonshik; Campbell, Graham

    1999-11-01

    The Internet consists of a network of networks. Internet users and service provides want to provide and receive multiple services. The legacy networks till now have provided narrow bandwidth that has restricted the range of services. Asynchronous Transfer Mode (ATM) can simultaneously deliver multiple services over one network and today ATM has become a component of the Internet. An ATM switch can deliver current Internet data using UBR or ABR services. Unspecified Bit Rate (UBR) using AAL5 is the most common offering these days for data transport. Because UBR does not guarantee any QoS categories and it is a `best effort' service, cell-discarding protocols must coexist. Congestion control is always a host topic for data networks. In data networks many flow mechanisms to resolve network congestion have been proposed. Cell loss is one of the most important and critical categories for traffic management of data networking. We compare the well-known Early Packet Discard for UBR with Quantum Flow Control for ABR services with TCP over ATM. Simulation results are provided that allow a comparison of both techniques.

  12. Issues in designing transport layer multicast facilities

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Weaver, Alfred C.

    1990-01-01

    Multicasting denotes a facility in a communications system for providing efficient delivery from a message's source to some well-defined set of locations using a single logical address. While modem network hardware supports multidestination delivery, first generation Transport Layer protocols (e.g., the DoD Transmission Control Protocol (TCP) (15) and ISO TP-4 (41)) did not anticipate the changes over the past decade in underlying network hardware, transmission speeds, and communication patterns that have enabled and driven the interest in reliable multicast. Much recent research has focused on integrating the underlying hardware multicast capability with the reliable services of Transport Layer protocols. Here, we explore the communication issues surrounding the design of such a reliable multicast mechanism. Approaches and solutions from the literature are discussed, and four experimental Transport Layer protocols that incorporate reliable multicast are examined.

  13. Analysis of random drop for gateway congestion control. M.S. Thesis

    NASA Technical Reports Server (NTRS)

    Hashem, Emam Salaheddin

    1989-01-01

    Lately, the growing demand on the Internet has prompted the need for more effective congestion control policies. Currently No Gateway Policy is used to relieve and signal congestion, which leads to unfair service to the individual users and a degradation of overall network performance. Network simulation was used to illustrate the character of Internet congestion and its causes. A newly proposed gateway congestion control policy, called Random Drop, was considered as a promising solution to the pressing problem. Random Drop relieves resource congestion upon buffer overflow by choosing a random packet from the service queue to be dropped. The random choice should result in a drop distribution proportional to the bandwidth distribution among all contending TCP connections, thus applying the necessary fairness. Nonetheless, the simulation experiments demonstrate several shortcomings with this policy. Because Random Drop is a congestion control policy, which is not applied until congestion has already occurred, it usually results in a high drop rate that hurts too many connections including well-behaved ones. Even though the number of packets dropped is different from one connection to another depending on the buffer utilization upon overflow, the TCP recovery overhead is high enough to neutralize these differences, causing unfair congestion penalties. Besides, the drop distribution itself is an inaccurate representation of the average bandwidth distribution, missing much important information about the bandwidth utilization between buffer overflow events. A modification of Random Drop to do congestion avoidance by applying the policy early was also proposed. Early Random Drop has the advantage of avoiding the high drop rate of buffer overflow. The early application of the policy removes the pressure of congestion relief and allows more accurate signaling of congestion. To be used effectively, algorithms for the dynamic adjustment of the parameters of Early Random Drop

  14. Algorithm and data support of traffic congestion forecasting in the controlled transport

    NASA Astrophysics Data System (ADS)

    Dmitriev, S. V.

    2015-06-01

    The topicality of problem of the traffic congestion forecasting in the logistic systems of product movement highways is considered. The concepts: the controlled territory, the highway occupancy by vehicles, the parking and the controlled territory are introduced. Technical realizabilityof organizing the necessary flow of information on the state of the transport system for its regulation has been marked. Sequence of practical implementation of the solution is given. An algorithm for predicting traffic congestion in the controlled transport system is suggested.

  15. Bifurcation and stability of an improved time-delayed fluid flow model in internet congestion control

    NASA Astrophysics Data System (ADS)

    Liu, Yu-Liang; Zhu, Jie; Luo, Xiao-Shu

    2009-09-01

    Based on the fluid flow time-delayed model proposed by Misra et al in internet congestion control, one modified time-delayed model is presented, where the influence of the communication delay on the router queue length is investigated in detail. The main advantage of the new model is that its stability domain is larger even without an extra controller. By linear stability analysis and numerical simulation, the effectiveness and feasibility of the novel model in internet congestion control are verified.

  16. Point-to-Point Multicast Communications Protocol

    NASA Technical Reports Server (NTRS)

    Byrd, Gregory T.; Nakano, Russell; Delagi, Bruce A.

    1987-01-01

    This paper describes a protocol to support point-to-point interprocessor communications with multicast. Dynamic, cut-through routing with local flow control is used to provide a high-throughput, low-latency communications path between processors. In addition multicast transmissions are available, in which copies of a packet are sent to multiple destinations using common resources as much as possible. Special packet terminators and selective buffering are introduced to avoid a deadlock during multicasts. A simulated implementation of the protocol is also described.

  17. Congestion and flow control in signaling system No. 7: Impacts of intelligent networks and new services

    SciTech Connect

    Zepf, J.; Rufa, G. )

    1994-04-01

    This paper focuses on the transient performance analysis of the congestion and flow control mechanisms in CCITT Signaling System No. 7 (SS7). Special attention is directed to the impacts of the introduction of intelligent services and new applications, e.g., Freephone, credit card services, user-to-user signaling, etc. In particular, we show that signaling traffic characteristics like signaling scenarios or signaling message length as well as end-to-end signaling capabilities have a significant influence on the congestion and flow control and, therefore, on the real-time signaling performance. One important result of our performance studies is that if, e.g., intelligent services are introduced, the SS7 congestion and flow control does not work correctly. To solve this problem, some reinvestigations into these mechanisms would be necessary. Therefore, some approaches, e.g., modification of the Signaling Connection Control Part (SCCP) congestion control, usage of the SCCP relay function, or a redesign of the MTP flow control procedures are discussed in order to guarantee the efficacy of the congestion and flow control mechanisms also in the future. 16 refs.

  18. Dynamic Congestion Control using MDB-Routing Algorithm

    NASA Astrophysics Data System (ADS)

    Anuradha, S.; Raghu Ram, G.

    2014-01-01

    This paper presents high through put routing algorithm. Modified depth Breadth routing algorithm takes a decision in moving forward packet in the next node which will visit to reach its final destination. Load balancing to improve the performance of distributed by processing power of the entire system to smooth out process of very high congestion at individual nodes, by transferring some of the load of heavily loaded nodes to the other nodes for processing. This achieves a 306.53 average time for packet, compared with the DB routing which achieves 316.13 average time for packet. Results shows that the proposed Modified depth Breadth achieves 348 average time when compared to DB routing which gives 548 for 3500 packets on 5 × 5 grid. Further results show that no of dead packets significantly reduced in the case of MDB. This focuses on Routing Network and Tables. These Network tables includes the information used by a routing algorithm to take a decision in moving forward the packet in the next node which will visit to reach its final destination. Load balancing try to improve the performance of a distributed system by processing power of the entire system to smooth out periods of very high congestion at individual nodes, which is done by transferring some of the load of heavily loaded nodes to other nodes for processing.

  19. Adaptive-Compression Based Congestion Control Technique for Wireless Sensor Networks

    PubMed Central

    Lee, Joa-Hyoung; Jung, In-Bum

    2010-01-01

    Congestion in a wireless sensor network causes an increase in the amount of data loss and delays in data transmission. In this paper, we propose a new congestion control technique (ACT, Adaptive Compression-based congestion control Technique) based on an adaptive compression scheme for packet reduction in case of congestion. The compression techniques used in the ACT are Discrete Wavelet Transform (DWT), Adaptive Differential Pulse Code Modulation (ADPCM), and Run-Length Coding (RLC). The ACT first transforms the data from the time domain to the frequency domain, reduces the range of data by using ADPCM, and then reduces the number of packets with the help of RLC before transferring the data to the source node. It introduces the DWT for priority-based congestion control because the DWT classifies the data into four groups with different frequencies. The ACT assigns priorities to these data groups in an inverse proportion to the respective frequencies of the data groups and defines the quantization step size of ADPCM in an inverse proportion to the priorities. RLC generates a smaller number of packets for a data group with a low priority. In the relaying node, the ACT reduces the amount of packets by increasing the quantization step size of ADPCM in case of congestion. Moreover, in order to facilitate the back pressure, the queue is controlled adaptively according to the congestion state. We experimentally demonstrate that the ACT increases the network efficiency and guarantees fairness to sensor nodes, as compared with the existing methods. Moreover, it exhibits a very high ratio of the available data in the sink. PMID:22319280

  20. Input-Output Modeling and Control of the Departure Process of Congested Airports

    NASA Technical Reports Server (NTRS)

    Pujet, Nicolas; Delcaire, Bertrand; Feron, Eric

    2003-01-01

    A simple queueing model of busy airport departure operations is proposed. This model is calibrated and validated using available runway configuration and traffic data. The model is then used to evaluate preliminary control schemes aimed at alleviating departure traffic congestion on the airport surface. The potential impact of these control strategies on direct operating costs, environmental costs and overall delay is quantified and discussed.

  1. Priority Based Congestion Control Dynamic Clustering Protocol in Mobile Wireless Sensor Networks.

    PubMed

    Jayakumari, R Beulah; Senthilkumar, V Jawahar

    2015-01-01

    Wireless sensor network is widely used to monitor natural phenomena because natural disaster has globally increased which causes significant loss of life, economic setback, and social development. Saving energy in a wireless sensor network (WSN) is a critical factor to be considered. The sensor nodes are deployed to sense, compute, and communicate alerts in a WSN which are used to prevent natural hazards. Generally communication consumes more energy than sensing and computing; hence cluster based protocol is preferred. Even with clustering, multiclass traffic creates congested hotspots in the cluster, thereby causing packet loss and delay. In order to conserve energy and to avoid congestion during multiclass traffic a novel Priority Based Congestion Control Dynamic Clustering (PCCDC) protocol is developed. PCCDC is designed with mobile nodes which are organized dynamically into clusters to provide complete coverage and connectivity. PCCDC computes congestion at intra- and intercluster level using linear and binary feedback method. Each mobile node within the cluster has an appropriate queue model for scheduling prioritized packet during congestion without drop or delay. Simulation results have proven that packet drop, control overhead, and end-to-end delay are much lower in PCCDC which in turn significantly increases packet delivery ratio, network lifetime, and residual energy when compared with PASCC protocol. PMID:26504898

  2. Distributive routing and congestion control in wireless multihop ad hoc communication networks

    NASA Astrophysics Data System (ADS)

    Glauche, Ingmar; Krause, Wolfram; Sollacher, Rudolf; Greiner, Martin

    2004-10-01

    Due to their inherent complexity, engineered wireless multihop ad hoc communication networks represent a technological challenge. Having no mastering infrastructure the nodes have to selforganize themselves in such a way that for example network connectivity, good data traffic performance and robustness are guaranteed. In this contribution the focus is on routing and congestion control. First, random data traffic along shortest path routes is studied by simulations as well as theoretical modeling. Measures of congestion like end-to-end time delay and relaxation times are given. A scaling law of the average time delay with respect to network size is revealed and found to depend on the underlying network topology. In the second step, a distributive routing and congestion control is proposed. Each node locally propagates its routing cost estimates and information about its congestion state to its neighbors, which then update their respective cost estimates. This allows for a flexible adaptation of end-to-end routes to the overall congestion state of the network. Compared to shortest-path routing, the critical network load is significantly increased.

  3. Priority Based Congestion Control Dynamic Clustering Protocol in Mobile Wireless Sensor Networks

    PubMed Central

    Beulah Jayakumari, R.; Jawahar Senthilkumar, V.

    2015-01-01

    Wireless sensor network is widely used to monitor natural phenomena because natural disaster has globally increased which causes significant loss of life, economic setback, and social development. Saving energy in a wireless sensor network (WSN) is a critical factor to be considered. The sensor nodes are deployed to sense, compute, and communicate alerts in a WSN which are used to prevent natural hazards. Generally communication consumes more energy than sensing and computing; hence cluster based protocol is preferred. Even with clustering, multiclass traffic creates congested hotspots in the cluster, thereby causing packet loss and delay. In order to conserve energy and to avoid congestion during multiclass traffic a novel Priority Based Congestion Control Dynamic Clustering (PCCDC) protocol is developed. PCCDC is designed with mobile nodes which are organized dynamically into clusters to provide complete coverage and connectivity. PCCDC computes congestion at intra- and intercluster level using linear and binary feedback method. Each mobile node within the cluster has an appropriate queue model for scheduling prioritized packet during congestion without drop or delay. Simulation results have proven that packet drop, control overhead, and end-to-end delay are much lower in PCCDC which in turn significantly increases packet delivery ratio, network lifetime, and residual energy when compared with PASCC protocol. PMID:26504898

  4. Extending ACNET communication types to include multicast semantics

    SciTech Connect

    Neswold, R.; King, C.; /Fermilab

    2009-10-01

    In Fermilab's accelerator control system, multicast communication wasn't properly incorporated into ACNET's transport layer, nor in its programming API. We present some recent work that makes multicasts naturally fit in the ACNET network environment. We also show how these additions provide high-availability for ACNET services.

  5. Infinite horizon optimal impulsive control with applications to Internet congestion control

    NASA Astrophysics Data System (ADS)

    Avrachenkov, Konstantin; Habachi, Oussama; Piunovskiy, Alexey; Zhang, Yi

    2015-04-01

    We investigate infinite-horizon deterministic optimal control problems with both gradual and impulsive controls, where any finitely many impulses are allowed simultaneously. Both discounted and long-run time-average criteria are considered. We establish very general and at the same time natural conditions, under which the dynamic programming approach results in an optimal feedback policy. The established theoretical results are applied to the Internet congestion control, and by solving analytically and nontrivially the underlying optimal control problems, we obtain a simple threshold-based active queue management scheme, which takes into account the main parameters of the transmission control protocols, and improves the fairness among the connections in a given network.

  6. Congestion control and charging for the ABR service category in ATM networks

    NASA Astrophysics Data System (ADS)

    Casals, O.; Blondia, Chris L.; Cerda, Llorenc; Van Houdt, Benny

    1998-10-01

    The available bit service (ABR) is a promising 'best effort' service designed to achieve in ATM networks high efficiency and low cell loss. Since the ATM forum approved a first standard, intensive research has been done about ABR. The aim of this paper is to analyze the main research topics involved in ABR, namely: the evaluation of traffic and congestion control schemes, conformance definition and policing and charging.

  7. Controlling satellite communication system unwanted emissions in congested RF spectrum

    NASA Astrophysics Data System (ADS)

    Olsen, Donald; Heymann, Roger

    2007-09-01

    The International Telecommunication Union (ITU), a United Nations (UN) agency, is the agency that, under an international treaty, sets radio spectrum usage regulations among member nations. Within the United States of America (USA), the organization that sets regulations, coordinates an application for use, and provides authorization for federal government/agency use of the radio frequency (RF) spectrum is the National Telecommunications and Information Administration (NTIA). In this regard, the NTIA defines which RF spectrum is available for federal government use in the USA, and how it is to be used. The NTIA is a component of the United States (U.S.) Department of Commerce of the federal government. The significance of ITU regulations is that ITU approval is required for U.S. federal government/agency permission to use the RF spectrum outside of U.S. boundaries. All member nations have signed a treaty to do so. U.S. federal regulations for federal use of the RF spectrum are found in the Manual of Regulations and Procedures for Federal Radio Frequency Management, and extracts of the manual are found in what is known as the Table of Frequency Allocations. Nonfederal government and private sector use of the RF spectrum within the U.S. is regulated by the Federal Communications Commission (FCC). There is a need to control "unwanted emissions" (defined to include out-of-band emissions, which are those immediately adjacent to the necessary and allocated bandwidth, plus spurious emissions) to preclude interference to all other authorized users. This paper discusses the causes, effects, and mitigation of unwanted RF emissions to systems in adjacent spectra. Digital modulations are widely used in today's satellite communications. Commercial communications sector standards are covered for the most part worldwide by Digital Video Broadcast - Satellite (DVB-S) and digital satellite news gathering (DSNG) evolutions and the second generation of DVB-S (DVB-S2) standard

  8. Controlling satellite communication system unwanted emissions in congested RF spectrum

    NASA Astrophysics Data System (ADS)

    Olsen, Donald; Heymann, Roger

    2007-09-01

    The International Telecommunication Union (ITU), a United Nations (UN) agency, is the agency that, under an international treaty, sets radio spectrum usage regulations among member nations. Within the United States of America (USA), the organization that sets regulations, coordinates an application for use, and provides authorization for federal government/agency use of the radio frequency (RF) spectrum is the National Telecommunications and Information Administration (NTIA). In this regard, the NTIA defines which RF spectrum is available for federal government use in the USA, and how it is to be used. The NTIA is a component of the United States (U.S.) Department of Commerce of the federal government. The significance of ITU regulations is that ITU approval is required for U.S. federal government/agency permission to use the RF spectrum outside of U.S. boundaries. All member nations have signed a treaty to do so. U.S. federal regulations for federal use of the RF spectrum are found in the Manual of Regulations and Procedures for Federal Radio Frequency Management, and extracts of the manual are found in what is known as the Table of Frequency Allocations. Nonfederal government and private sector use of the RF spectrum within the U.S. is regulated by the Federal Communications Commission (FCC). There is a need to control "unwanted emissions" (defined to include out-of-band emissions, which are those immediately adjacent to the necessary and allocated bandwidth, plus spurious emissions) to preclude interference to all other authorized users. This paper discusses the causes, effects, and mitigation of unwanted RF emissions to systems in adjacent spectra. Digital modulations are widely used in today's satellite communications. Commercial communications sector standards are covered for the most part worldwide by Digital Video Broadcast - Satellite (DVB-S) and digital satellite news gathering (DSNG) evolutions and the second generation of DVB-S (DVB-S2) standard

  9. Fast casual multicast

    NASA Technical Reports Server (NTRS)

    Birman, Kenneth; Schiper, Andre; Stephenson, Pat

    1990-01-01

    A new protocol is presented that efficiently implements a reliable, causally ordered multicast primitive and is easily extended into a totally ordered one. Intended for use in the ISIS toolkit, it offers a way to bypass the most costly aspects of ISIS while benefiting from virtual synchrony. The facility scales with bounded overhead. Measured speedups of more than an order of magnitude were obtained when the protocol was implemented within ISIS. One conclusion is that systems such as ISIS can achieve performance competitive with the best existing multicast facilities--a finding contradicting the widespread concern that fault-tolerance may be unacceptably costly.

  10. Multicast traffic grooming in flexible optical WDM networks

    NASA Astrophysics Data System (ADS)

    Patel, Ankitkumar N.; Ji, Philip N.; Jue, Jason P.; Wang, Ting

    2012-12-01

    In Metropolitan Area Networks (MANs), point-to-multipoint applications, such as IPTV, video-on-demand, distance learning, and content distribution, can be efficiently supported through light-tree-based multicastcommunications instead of lightpath-based unicast-communications. The application of multicasting for such traffic is justified by its inherent benefits of reduced control and management overhead and elimination of redundant resource provisioning. Supporting such multicast traffic in Flexible optical WDM (FWDM) networks that can provision light-trees using optimum amount of spectrum within flexible channel spacing leads to higher wavelength and spectral efficiencies compared to the conventional ITU-T fixed grid networks. However, in spite of such flexibility, the residual channel capacity of stranded channels may not be utilized if the network does not offer channels with arbitrary line rates. Additionally, the spectrum allocated to guard bands used to isolate finer granularity channels remains unutilized. These limitations can be addressed by using traffic grooming in which low-rate multicast connections are aggregated and switched over high capacity light-trees. In this paper, we address the multicast traffic grooming problem in FWDM networks, and propose a novel auxiliary graph-based algorithm for the first time. The performance of multicast traffic grooming is evaluated in terms of spectral, cost, and energy efficiencies compared to lightpath-based transparent FWDM networks, lightpathbased traffic grooming-capable FWDM networks, multicast-enabled transparent FWDM networks, and multicast traffic grooming-capable fixed grid networks. Simulation results demonstrate that multicast traffic grooming in FWDM networks not only improves spectral efficiency, but also cost, and energy efficiencies compared to other multicast traffic provisioning approaches of FWDM and fixed grid networks.

  11. Design of proportional-derivative-type state feedback controllers for congestion control of transmission control protocol networks

    NASA Astrophysics Data System (ADS)

    Azadegan, Masoumeh; Beheshti, Mohammad T. H.; Tavassoli, Babak

    2015-07-01

    A new proportional-derivative-type state feedback controller is proposed for congestion control of transmission control protocol (TCP) networks. An analytical TCP model is adopted. In the proposed control scheme, it is possible to efficiently control the TCP traffic using only the queue length at the router without the need to know the TCP window size which is not available locally. The results are presented in terms of delay-dependent linear matrix inequality. The proposed method is verified by simulation examples using NS software, and the effectiveness and superiority of our method over other control schemes, such as the proportional-integral, random early detection and generalised minimum variancemethods, are also shown.

  12. Evaluation of TCP Congestion Control Algorithms on the Windows Vista Platform

    SciTech Connect

    Li, Yee-Ting; /SLAC

    2006-07-07

    CTCP, an innovative TCP congestion control algorithm developed by Microsoft, is evaluated and compared to HSTCP and StandardTCP. Tests were performed on the production Internet from Stanford Linear Accelerator Center (SLAC) to various geographically located hosts to give a broad overview of the performances. We find that certain issues were apparent during testing (not directly related to the congestion control algorithms) which may skew results. With this in mind, we find that CTCP performed similarly to HSTCP across a multitude of different network environments. However, to improve the fairness and to reduce the impact of CTCP upon existing StandardTCP traffic, two areas of further research were investigated. Algorithmic additions to CTCP for burst control to reduce the aggressiveness of its cwnd increments demonstrated beneficial improvements in both fairness and throughput over the original CTCP algorithm. Similarly, {gamma} auto-tuning algorithms were investigated to dynamically adapt CTCP flows to their network conditions for optimal performance. While the effects of these auto-tuning algorithms when used in addition to burst control showed little to no benefit to fairness nor throughput for the limited number of network paths tested, one of the auto-tuning algorithms performed such that there was negligible impact upon StandardTCP. With these improvements, CTCP was found to perform better than HSTCP in terms of fairness and similarly in terms of throughput under the production environments tested.

  13. Congestion Control for a Fair Packet Delivery in WSN: From a Complex System Perspective

    PubMed Central

    2014-01-01

    In this work, we propose that packets travelling across a wireless sensor network (WSN) can be seen as the active agents that make up a complex system, just like a bird flock or a fish school, for instance. From this perspective, the tools and models that have been developed to study this kind of systems have been applied. This is in order to create a distributed congestion control based on a set of simple rules programmed at the nodes of the WSN. Our results show that it is possible to adapt the carried traffic to the network capacity, even under stressing conditions. Also, the network performance shows a smooth degradation when the traffic goes beyond a threshold which is settled by the proposed self-organized control. In contrast, without any control, the network collapses before this threshold. The use of the proposed solution provides an effective strategy to address some of the common problems found in WSN deployment by providing a fair packet delivery. In addition, the network congestion is mitigated using adaptive traffic mechanisms based on a satisfaction parameter assessed by each packet which has impact on the global satisfaction of the traffic carried by the WSN. PMID:25177722

  14. Analysis and Simulation of a Router-Assisted Congestion Control Mechanism

    NASA Astrophysics Data System (ADS)

    Almeida, Antonio

    We present a congestion control algorithm for the Internet and assess its stability. The algorithm has low operation complexity and exercises control over sources without keeping per-flow information. Given the lack of support for explicit-rate feedback in the Internet, we discuss an implementation where feedback is based on explicit binary indications. We assess the stability through a discrete-time model and present simulation results showing the efficacy of the algorithm. The obtained results indicate that when the algorithm is used to control sources that support explicit binary feedback, its stability is not affected and its performance is close to that obtained with sources that support explicit-rate feedback.

  15. On-board closed-loop congestion control for satellite based packet switching networks

    NASA Technical Reports Server (NTRS)

    Chu, Pong P.; Ivancic, William D.; Kim, Heechul

    1993-01-01

    NASA LeRC is currently investigating a satellite architecture that incorporates on-board packet switching capability. Because of the statistical nature of packet switching, arrival traffic may fluctuate and thus it is necessary to integrate congestion control mechanism as part of the on-board processing unit. This study focuses on the closed-loop reactive control. We investigate the impact of the long propagation delay on the performance and propose a scheme to overcome the problem. The scheme uses a global feedback signal to regulate the packet arrival rate of ground stations. In this scheme, the satellite continuously broadcasts the status of its output buffer and the ground stations respond by selectively discarding packets or by tagging the excessive packets as low-priority. The two schemes are evaluated by theoretical queuing analysis and simulation. The former is used to analyze the simplified model and to determine the basic trends and bounds, and the later is used to assess the performance of a more realistic system and to evaluate the effectiveness of more sophisticated control schemes. The results show that the long propagation delay makes the closed-loop congestion control less responsive. The broadcasted information can only be used to extract statistical information. The discarding scheme needs carefully-chosen status information and reduction function, and normally requires a significant amount of ground discarding to reduce the on-board packet loss probability. The tagging scheme is more effective since it tolerates more uncertainties and allows a larger margin of error in status information. It can protect the high-priority packets from excessive loss and fully utilize the downlink bandwidth at the same time.

  16. On-board closed-loop congestion control for satellite based packet switching networks

    NASA Astrophysics Data System (ADS)

    Chu, Pong P.; Ivancic, William D.; Kim, Heechul

    1993-12-01

    NASA LeRC is currently investigating a satellite architecture that incorporates on-board packet switching capability. Because of the statistical nature of packet switching, arrival traffic may fluctuate and thus it is necessary to integrate congestion control mechanism as part of the on-board processing unit. This study focuses on the closed-loop reactive control. We investigate the impact of the long propagation delay on the performance and propose a scheme to overcome the problem. The scheme uses a global feedback signal to regulate the packet arrival rate of ground stations. In this scheme, the satellite continuously broadcasts the status of its output buffer and the ground stations respond by selectively discarding packets or by tagging the excessive packets as low-priority. The two schemes are evaluated by theoretical queuing analysis and simulation. The former is used to analyze the simplified model and to determine the basic trends and bounds, and the later is used to assess the performance of a more realistic system and to evaluate the effectiveness of more sophisticated control schemes. The results show that the long propagation delay makes the closed-loop congestion control less responsive. The broadcasted information can only be used to extract statistical information. The discarding scheme needs carefully-chosen status information and reduction function, and normally requires a significant amount of ground discarding to reduce the on-board packet loss probability. The tagging scheme is more effective since it tolerates more uncertainties and allows a larger margin of error in status information. It can protect the high-priority packets from excessive loss and fully utilize the downlink bandwidth at the same time.

  17. SM_TCP: a new reliable multicast transport protocol for satellite IP networks

    NASA Astrophysics Data System (ADS)

    Liu, Gongliang; Gu, Xuemai; Li, Shizhong

    2005-11-01

    A new reliable multicast transport protocol SM_TCP is proposed for satellite IP networks in this paper. In SM_TCP, the XOR scheme with the aid of on-board buffering and processing is used for error recovery and an optimal retransmission algorithm is designed, which can reduce the recovery time by half of the RTT and minimize the number of retransmissions. In order to avoid the unnecessary decrease of congestion window in the high BER satellite channels, the occupied buffer sizes at bottlenecks are measured in adjusting the congestion window, instead of depending on the packet loss information. The average session rate of TCP sessions and of multicast sessions passing through the satellite are also measured and compared in adjusting the congestion window, which contributes to bandwidth fairness. Analysis and simulation results show fairness with TCP flows and scalability.

  18. Predictive functional control for active queue management in congested TCP/IP networks.

    PubMed

    Bigdeli, N; Haeri, M

    2009-01-01

    Predictive functional control (PFC) as a new active queue management (AQM) method in dynamic TCP networks supporting explicit congestion notification (ECN) is proposed. The ability of the controller in handling system delay along with its simplicity and low computational load makes PFC a privileged AQM method in the high speed networks. Besides, considering the disturbance term (which represents model/process mismatches, external disturbances, and existing noise) in the control formulation adds some level of robustness into the PFC-AQM controller. This is an important and desired property in the control of dynamically-varying computer networks. In this paper, the controller is designed based on a small signal linearized fluid-flow model of the TCP/AQM networks. Then, closed-loop transfer function representation of the system is derived to analyze the robustness with respect to the network and controller parameters. The analytical as well as the packet-level ns-2 simulation results show the out-performance of the developed controller for both queue regulation and resource utilization. Fast response, low queue fluctuations (and consequently low delay jitter), high link utilization, good disturbance rejection, scalability, and low packet marking probability are other features of the developed method with respect to other well-known AQM methods such as RED, PI, and REM which are also simulated for comparison. PMID:18995853

  19. Transportation network policy modeling for congestion and pollution control: A variational inequality approach

    NASA Astrophysics Data System (ADS)

    Ramanujam, Padma

    1999-08-01

    Public concern over the state of the environment has grown over the past decade. All indications are that this concern will continue to influence policy making into the foreseeable future. Road transport is seen as the major contributor to environmental degradation. Transportation planners around the world face the question: cleaner air and/or faster commutes? While individual vehicles can be made more environmentally friendly, the sheer scale of growth in world-wide vehicle numbers is projected to cause significant environmental degradation in the longer run, and in the absence of newer and stricter polices. It is a challenge for governments to find policies that ensure congestion-free metropolitan areas while guaranteeing both critical environmental quality levels and a sufficient infrastructure access to all groups involved. The objective of the dissertation is to provide a mathematical framework to study transportation policy models for the purpose of controlling congestion and pollution. Towards this objective. a series of transportation policy models are developed to study travel behavior and to quantity the reductions in congestion and automobile emissions. The dissertation begins with a brief historical overview of some of the pioneering works in urban transportation economics and later presents the theoretical foundation for the transportation policy models developed. The dissertation introduces single modal and multimodal transportation network policy models that accomplish road pricing with the imposition of goal targets on link loads. as well as, integrated traffic equilibrium models with marketable mobile emission permits. Furthermore, equilibrium conditions are derived for each model, and both qualitative analysis and computational procedures are studied. Finally, the dissertation concludes with a comparative study of the relationship between regulatory pricing models and marketable emission permit transportation models and a discussion on key factors

  20. Research on the multicast mechanism based on physical-layer-impairment awareness model for OpenFlow optical network

    NASA Astrophysics Data System (ADS)

    Bai, Hui-feng; Zhou, Zi-guan; Song, Yan-bin

    2016-05-01

    A physical-layer-impairment (PLI)-awareness based optical multicast mechanism is proposed for OpenFlow controlled optical networks. This proposed approach takes the PLI models including linear and non-linear factors into optical multicast controlled by OpenFlow protocol. Thus, the proposed scheme is able to cover nearly all PLI factors of each optical link and to conduct optical multicast with better communication quality. Simulation results show that the proposed scheme can obtain the better performance of OpenFlow controlled optical multicast services.

  1. Congestive Heart Failure and Diabetes: Balancing Glycemic Control with Heart Failure Improvement

    PubMed Central

    Nasir, Saifullah; Aguilar, David

    2012-01-01

    Diabetes and congestive heart failure (HF) commonly coexist in the same patient, and the presence of diabetes in HF patients is associated with increased adverse events compared to patients without diabetes. Recent guidelines regarding glycemic control stress individualization of glycemic therapy based on patient comorbid conditions and potential adverse effects of medical therapy. This balance in glycemic control may be particularly relevant in patients with diabetes and HF. In this review, we address data regarding the influence that certain HF medications may have on glycemic control. Despite potential modest changes in glycemic control, clinical benefits of proven pharmacologic HF therapies extend to patients with diabetes and HF. In addition, we review potential benefits and challenges associated with commonly used glycemic medications in HF patients. Finally, recent data and controversies on optimal glycemic targets in HF patients are discussed. Given the large number of patients with diabetes and HF and the health burden of these conditions, much needed future work is necessary to define the optimal glycemic treatment in HF patients with diabetes. PMID:23062568

  2. Web Portal for Multicast Delivery Management.

    ERIC Educational Resources Information Center

    Mannaert, H.; De Gruyter, B.; Adriaenssens, P.

    2003-01-01

    Presents a Web portal for multicast communication management, which provides fully automatic service management with integrated provisioning of hardware equipment. Describes the software architecture, the implementation, and the application usage of the Web portal for multicast delivery. (Author/AEF)

  3. Hopf bifurcation and uncontrolled stochastic traffic-induced chaos in an RED-AQM congestion control system

    NASA Astrophysics Data System (ADS)

    Wang, Jun-Song; Yuan, Rui-Xi; Gao, Zhi-Wei; Wang, De-Jin

    2011-09-01

    We study the Hopf bifurcation and the chaos phenomena in a random early detection-based active queue management (RED-AQM) congestion control system with a communication delay. We prove that there is a critical value of the communication delay for the stability of the RED-AQM control system. Furthermore, we show that the system will lose its stability and Hopf bifurcations will occur when the delay exceeds the critical value. When the delay is close to its critical value, we demonstrate that typical chaos patterns may be induced by the uncontrolled stochastic traffic in the RED-AQM control system even if the system is still stable, which reveals a new route to the chaos besides the bifurcation in the network congestion control system. Numerical simulations are given to illustrate the theoretical results.

  4. Multicast Routing of Hierarchical Data

    NASA Technical Reports Server (NTRS)

    Shacham, Nachum

    1992-01-01

    The issue of multicast of broadband, real-time data in a heterogeneous environment, in which the data recipients differ in their reception abilities, is considered. Traditional multicast schemes, which are designed to deliver all the source data to all recipients, offer limited performance in such an environment, since they must either force the source to overcompress its signal or restrict the destination population to those who can receive the full signal. We present an approach for resolving this issue by combining hierarchical source coding techniques, which allow recipients to trade off reception bandwidth for signal quality, and sophisticated routing algorithms that deliver to each destination the maximum possible signal quality. The field of hierarchical coding is briefly surveyed and new multicast routing algorithms are presented. The algorithms are compared in terms of network utilization efficiency, lengths of paths, and the required mechanisms for forwarding packets on the resulting paths.

  5. Network congestion can be controlled: Routing algorithms in optical networks and Ethernets

    SciTech Connect

    Goldberg, L.A.; MacKenzie, P.D.; Greenberg, D.S.

    1997-12-01

    Congestion and contention can greatly reduce the effective performance of an interconnection network. This report gathers together research done under a Laboratory Research and Development Program (LDRD) project at Sandia National Laboratories. The goal of the project was to explore the contention properties of novel optical interconnects. In the process of exploring optical interconnects the project also gained new insights into the use of backoff protocols in the current dominant interconnect technology, Ethernet.

  6. Issues in providing a reliable multicast facility

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Strayer, W. Timothy; Weaver, Alfred C.

    1990-01-01

    Issues involved in point-to-multipoint communication are presented and the literature for proposed solutions and approaches surveyed. Particular attention is focused on the ideas and implementations that align with the requirements of the environment of interest. The attributes of multicast receiver groups that might lead to useful classifications, what the functionality of a management scheme should be, and how the group management module can be implemented are examined. The services that multicasting facilities can offer are presented, followed by mechanisms within the communications protocol that implements these services. The metrics of interest when evaluating a reliable multicast facility are identified and applied to four transport layer protocols that incorporate reliable multicast.

  7. Network connectivity enhancement by exploiting all optical multicast in semiconductor ring laser

    NASA Astrophysics Data System (ADS)

    Siraj, M.; Memon, M. I.; Shoaib, M.; Alshebeili, S.

    2015-03-01

    The use of smart phone and tablet applications will provide the troops for executing, controlling and analyzing sophisticated operations with the commanders providing crucial documents directly to troops wherever and whenever needed. Wireless mesh networks (WMNs) is a cutting edge networking technology which is capable of supporting Joint Tactical radio System (JTRS).WMNs are capable of providing the much needed bandwidth for applications like hand held radios and communication for airborne and ground vehicles. Routing management tasks can be efficiently handled through WMNs through a central command control center. As the spectrum space is congested, cognitive radios are a much welcome technology that will provide much needed bandwidth. They can self-configure themselves, can adapt themselves to the user requirement, provide dynamic spectrum access for minimizing interference and also deliver optimal power output. Sometimes in the indoor environment, there are poor signal issues and reduced coverage. In this paper, a solution utilizing (CR WMNs) over optical network is presented by creating nanocells (PCs) inside the indoor environment. The phenomenon of four-wave mixing (FWM) is exploited to generate all-optical multicast using semiconductor ring laser (SRL). As a result same signal is transmitted at different wavelengths. Every PC is assigned a unique wavelength. By using CR technology in conjunction with PC will not only solve network coverage issue but will provide a good bandwidth to the secondary users.

  8. Digital Multicasting of Multiple Audio Streams

    NASA Technical Reports Server (NTRS)

    Macha, Mitchell; Bullock, John

    2007-01-01

    The Mission Control Center Voice Over Internet Protocol (MCC VOIP) system (see figure) comprises hardware and software that effect simultaneous, nearly real-time transmission of as many as 14 different audio streams to authorized listeners via the MCC intranet and/or the Internet. The original version of the MCC VOIP system was conceived to enable flight-support personnel located in offices outside a spacecraft mission control center to monitor audio loops within the mission control center. Different versions of the MCC VOIP system could be used for a variety of public and commercial purposes - for example, to enable members of the general public to monitor one or more NASA audio streams through their home computers, to enable air-traffic supervisors to monitor communication between airline pilots and air-traffic controllers in training, and to monitor conferences among brokers in a stock exchange. At the transmitting end, the audio-distribution process begins with feeding the audio signals to analog-to-digital converters. The resulting digital streams are sent through the MCC intranet, using a user datagram protocol (UDP), to a server that converts them to encrypted data packets. The encrypted data packets are then routed to the personal computers of authorized users by use of multicasting techniques. The total data-processing load on the portion of the system upstream of and including the encryption server is the total load imposed by all of the audio streams being encoded, regardless of the number of the listeners or the number of streams being monitored concurrently by the listeners. The personal computer of a user authorized to listen is equipped with special- purpose MCC audio-player software. When the user launches the program, the user is prompted to provide identification and a password. In one of two access- control provisions, the program is hard-coded to validate the user s identity and password against a list maintained on a domain-controller computer

  9. Key management approach of multicast

    NASA Astrophysics Data System (ADS)

    Jiang, Zhen; Wang, Xi-lian; Zhang, Hong-ke; Zhang, Li-yong

    2002-09-01

    A key management approach of multicast is provided in this paper. It is based on the approach of assignment key to every group member through key center. In view of some management schemes where members join, leave or are deleted, key service center must distribute new key through unicast another time. The bigger amount of members the greater expenses will be spent. In this paper with member varying their upper key service center still distribute the new keythrough multicast and an ID is assigned to every member to identify their transmission message so as to implement data origin authentication. The essential principle of this approach is distributing a key generator for each member. For example a random number generator depending on certain algorithm can be distributed. And every member needs store a seed table. In this project key can automatically be renewed as time goes by or immediately renewed. Replace unicast by multicast to renew key decrease the spending. It is not only suitable for the key centralized management scheme with fewer members but also for the key separated management scheme with large group members and member frequently changed.

  10. MTP: An atomic multicast transport protocol

    NASA Technical Reports Server (NTRS)

    Freier, Alan O.; Marzullo, Keith

    1990-01-01

    Multicast transport protocol (MTP); a reliable transport protocol that utilizes the multicast strategy of applicable lower layer network architectures is described. In addition to transporting data reliably and efficiently, MTP provides the client synchronization necessary for agreement on the receipt of data and the joining of the group of communicants.

  11. Efficient congestion control scheme for providing QoS to I-VPN

    NASA Astrophysics Data System (ADS)

    De Marco, Martino; Trabucchi, Sara

    1998-12-01

    In this paper we outline an overall network architecture for the Internet Service Providers who want offer an Internet- Virtual Private Network service with QoS guarantees and, at the same time, with a high-level of efficiency in the network resource usage. The proposed approach is based on the negotiation of a service level agreement, which includes the definition of profile of traffic the user is allowed to emit. The ingress nodes perform an adaptive shaping of the user traffic entering the network, driven by a fast congestion notification scheme. In this scenario, the adoption of a service architecture based on a class-of- service concept enables the Internet Service Provider to offer different level of network performance according to the customer needs.

  12. Multicast Reduction Network Source Code

    SciTech Connect

    Lee, G.

    2006-12-19

    MRNet is a software tree-based overlay network developed at the University of Wisconsin, Madison that provides a scalable communication mechanism for parallel tools. MRNet, uses a tree topology of networked processes between a user tool and distributed tool daemons. This tree topology allows scalable multicast communication from the tool to the daemons. The internal nodes of the tree can be used to distribute computation and alalysis on data sent from the tool daemons to the tool. This release covers minor implementation to port this software to the BlueGene/L architecuture and for use with a new implementation of the Dynamic Probe Class Library.

  13. Adaptive live multicast video streaming of SVC with UEP FEC

    NASA Astrophysics Data System (ADS)

    Lev, Avram; Lasry, Amir; Loants, Maoz; Hadar, Ofer

    2014-09-01

    Ideally, video streaming systems should provide the best quality video a user's device can handle without compromising on downloading speed. In this article, an improved video transmission system is presented which dynamically enhances the video quality based on a user's current network state and repairs errors from data lost in the video transmission. The system incorporates three main components: Scalable Video Coding (SVC) with three layers, multicast based on Receiver Layered Multicast (RLM) and an UnEqual Forward Error Correction (FEC) algorithm. The SVC provides an efficient method for providing different levels of video quality, stored as enhancement layers. In the presented system, a proportional-integral-derivative (PID) controller was implemented to dynamically adjust the video quality, adding or subtracting quality layers as appropriate. In addition, an FEC algorithm was added to compensate for data lost in transmission. A two dimensional FEC was used. The FEC algorithm came from the Pro MPEG code of practice #3 release 2. Several bit errors scenarios were tested (step function, cosine wave) with different bandwidth size and error values were simulated. The suggested scheme which includes SVC video encoding with 3 layers over IP Multicast with Unequal FEC algorithm was investigated under different channel conditions, variable bandwidths and different bit error rates. The results indicate improvement of the video quality in terms of PSNR over previous transmission schemes.

  14. Privacy-Sensitive Congestion Charging

    NASA Astrophysics Data System (ADS)

    Beresford, Alastair R.; Davies, Jonathan J.; Harle, Robert K.

    National-scale congestion charging schemes are increasingly viewed as the most viable long-term strategy for controlling congestion and maintaining the viability of the road network. In this paper we challenge the widely held belief that enforceable and economically viable congestion charging schemes require drivers to give up their location privacy to the government. Instead we explore an alternative scheme where privately-owned cars enforce congestion charge payments by using an on-board vehicle unit containing a camera and wireless communications. Our solution prevents centralised tracking of vehicle movements but raises an important issue: should we trust our neighbours with a little personal information in preference to entrusting it all to the government?

  15. Fragmentation-aware service provisioning for advance reservation multicast in SD-EONs.

    PubMed

    Li, Shengru; Lu, Wei; Liu, Xiahe; Zhu, Zuqing

    2015-10-01

    In this paper, we study the service provisioning schemes for dynamic advance reservation (AR) multicast requests in elastic optical networks (EONs). We first propose several algorithms that can handle the service scheduling and routing and spectrum assignment (RSA) of AR multicast requests jointly, including an integrated two-dimensional fragmentation-aware RSA (2D-FMA) that can alleviate the 2D fragmentation caused by light-tree provisioning. Then, we leverage the idea of software-defined EONs (SD-EONs) that utilizes OpenFlow (OF) in the control plane to demonstrate and evaluate the proposed algorithms. Specifically, we build an SD-EON control plane testbed, implement the algorithms in it, and perform control plane experiments on dynamic AR multicast provisioning. The results indicate that 2D-FMA achieves the best blocking performance and provides the shortest average setup delay. PMID:26480094

  16. Digital multi-channel stabilization of four-mode phase-sensitive parametric multicasting.

    PubMed

    Liu, Lan; Tong, Zhi; Wiberg, Andreas O J; Kuo, Bill P P; Myslivets, Evgeny; Alic, Nikola; Radic, Stojan

    2014-07-28

    Stable four-mode phase-sensitive (4MPS) process was investigated as a means to enhance two-pump driven parametric multicasting conversion efficiency (CE) and signal to noise ratio (SNR). Instability of multi-beam, phase sensitive (PS) device that inherently behaves as an interferometer, with output subject to ambient induced fluctuations, was addressed theoretically and experimentally. A new stabilization technique that controls phases of three input waves of the 4MPS multicaster and maximizes CE was developed and described. Stabilization relies on digital phase-locked loop (DPLL) specifically was developed to control pump phases to guarantee stable 4MPS operation that is independent of environmental fluctuations. The technique also controls a single (signal) input phase to optimize the PS-induced improvement of the CE and SNR. The new, continuous-operation DPLL has allowed for fully stabilized PS parametric broadband multicasting, demonstrating CE improvement over 20 signal copies in excess of 10 dB. PMID:25089457

  17. The reliable multicast protocol application programming interface

    NASA Technical Reports Server (NTRS)

    Montgomery , Todd; Whetten, Brian

    1995-01-01

    The Application Programming Interface for the Berkeley/WVU implementation of the Reliable Multicast Protocol is described. This transport layer protocol is implemented as a user library that applications and software buses link against.

  18. WDM Network and Multicasting Protocol Strategies

    PubMed Central

    Zaim, Abdul Halim

    2014-01-01

    Optical technology gains extensive attention and ever increasing improvement because of the huge amount of network traffic caused by the growing number of internet users and their rising demands. However, with wavelength division multiplexing (WDM), it is easier to take the advantage of optical networks and optical burst switching (OBS) and to construct WDM networks with low delay rates and better data transparency these technologies are the best choices. Furthermore, multicasting in WDM is an urgent solution for bandwidth-intensive applications. In the paper, a new multicasting protocol with OBS is proposed. The protocol depends on a leaf initiated structure. The network is composed of source, ingress switches, intermediate switches, edge switches, and client nodes. The performance of the protocol is examined with Just Enough Time (JET) and Just In Time (JIT) reservation protocols. Also, the paper involves most of the recent advances about WDM multicasting in optical networks. WDM multicasting in optical networks is given as three common subtitles: Broadcast and-select networks, wavelength-routed networks, and OBS networks. Also, in the paper, multicast routing protocols are briefly summarized and optical burst switched WDM networks are investigated with the proposed multicast schemes. PMID:24744683

  19. WDM network and multicasting protocol strategies.

    PubMed

    Kirci, Pinar; Zaim, Abdul Halim

    2014-01-01

    Optical technology gains extensive attention and ever increasing improvement because of the huge amount of network traffic caused by the growing number of internet users and their rising demands. However, with wavelength division multiplexing (WDM), it is easier to take the advantage of optical networks and optical burst switching (OBS) and to construct WDM networks with low delay rates and better data transparency these technologies are the best choices. Furthermore, multicasting in WDM is an urgent solution for bandwidth-intensive applications. In the paper, a new multicasting protocol with OBS is proposed. The protocol depends on a leaf initiated structure. The network is composed of source, ingress switches, intermediate switches, edge switches, and client nodes. The performance of the protocol is examined with Just Enough Time (JET) and Just In Time (JIT) reservation protocols. Also, the paper involves most of the recent advances about WDM multicasting in optical networks. WDM multicasting in optical networks is given as three common subtitles: Broadcast and-select networks, wavelength-routed networks, and OBS networks. Also, in the paper, multicast routing protocols are briefly summarized and optical burst switched WDM networks are investigated with the proposed multicast schemes. PMID:24744683

  20. Research on loss recovery of application layer multicast

    NASA Astrophysics Data System (ADS)

    Li, Xinfeng; Shi, Huiling; Niu, Zhenghao; Lei, Wenqing; Chen, Jin

    2014-04-01

    As an alternative of IP Multicast, ALM implements multicast functionality at the application layer instead of the IP layer, which addresses the problem of non-ubiquitous deployment of IP multicast. However, the reliability of ALM is low because dynamic hosts forward the data. This paper analyzes the error and delivery features of ALM trees, and further presents a data loss recovery solution (called HBHLR) for application layer multicast.

  1. Compressed sensing based video multicast

    NASA Astrophysics Data System (ADS)

    Schenkel, Markus B.; Luo, Chong; Frossard, Pascal; Wu, Feng

    2010-07-01

    We propose a new scheme for wireless video multicast based on compressed sensing. It has the property of graceful degradation and, unlike systems adhering to traditional separate coding, it does not suffer from a cliff effect. Compressed sensing is applied to generate measurements of equal importance from a video such that a receiver with a better channel will naturally have more information at hands to reconstruct the content without penalizing others. We experimentally compare different random matrices at the encoder side in terms of their performance for video transmission. We further investigate how properties of natural images can be exploited to improve the reconstruction performance by transmitting a small amount of side information. And we propose a way of exploiting inter-frame correlation by extending only the decoder. Finally we compare our results with a different scheme targeting the same problem with simulations and find competitive results for some channel configurations.

  2. Multicast Reduction Network Source Code

    Energy Science and Technology Software Center (ESTSC)

    2006-12-19

    MRNet is a software tree-based overlay network developed at the University of Wisconsin, Madison that provides a scalable communication mechanism for parallel tools. MRNet, uses a tree topology of networked processes between a user tool and distributed tool daemons. This tree topology allows scalable multicast communication from the tool to the daemons. The internal nodes of the tree can be used to distribute computation and alalysis on data sent from the tool daemons to themore » tool. This release covers minor implementation to port this software to the BlueGene/L architecuture and for use with a new implementation of the Dynamic Probe Class Library.« less

  3. Sleeping and resting respiratory rates in dogs and cats with medically-controlled left-sided congestive heart failure.

    PubMed

    Porciello, F; Rishniw, M; Ljungvall, I; Ferasin, L; Haggstrom, J; Ohad, D G

    2016-01-01

    Sleeping and resting respiratory rates (SRR and RRR, respectively) are commonly used to monitor dogs and cats with left-sided cardiac disease and to identify animals with left-sided congestive heart failure (L-CHF). Dogs and cats with subclinical heart disease have SRRmean values <30 breaths/min. However, little is known about SRR and RRR in dogs and cats with CHF that is well controlled with medical therapy. In this study, SRR and RRR were measured by the owners of 51 dogs and 22 cats with stable, well-controlled CHF. Median canine SRRmean was 20 breaths/min (7-39 breaths/min); eight dogs were ≥25 breaths/min and one dog only was ≥30 breaths/min. Canine SRRmean was unrelated to pulmonary hypertension or diuretic dose. Median feline SRRmean was 20 breaths/min (13-31 breaths/min); four cats were ≥25 breaths/min and only one cat was ≥30 breaths/min. Feline SRRmean was unrelated to diuretic dose. SRR remained stable during collection in both species with little day-to-day variability. The median canine RRRmean was 24 breaths/min (12-44 breaths/min), 17 were ≥25 breaths/min, seven were ≥30 breaths/min, two were >40 breaths/min. Median feline RRRmean was 24 breaths/min (15-45 breaths/min); five cats had RRRmean ≥25 breaths/min; one had ≥30 breaths/min, and two had ≥40 breaths/min. These data suggest that most dogs and cats with CHF that is medically well-controlled and stable have SRRmean and RRRmean <30 breaths/min at home. Clinicians can use these data to help determine how best to control CHF in dogs and cats. PMID:26639825

  4. The multidriver: A reliable multicast service using the Xpress Transfer Protocol

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Fenton, John C.; Weaver, Alfred C.

    1990-01-01

    A reliable multicast facility extends traditional point-to-point virtual circuit reliability to one-to-many communication. Such services can provide more efficient use of network resources, a powerful distributed name binding capability, and reduced latency in multidestination message delivery. These benefits will be especially valuable in real-time environments where reliable multicast can enable new applications and increase the availability and the reliability of data and services. We present a unique multicast service that exploits features in the next-generation, real-time transfer layer protocol, the Xpress Transfer Protocol (XTP). In its reliable mode, the service offers error, flow, and rate-controlled multidestination delivery of arbitrary-sized messages, with provision for the coordination of reliable reverse channels. Performance measurements on a single-segment Proteon ProNET-4 4 Mbps 802.5 token ring with heterogeneous nodes are discussed.

  5. Analyzing and designing of reliable multicast based on FEC in distributed switch

    NASA Astrophysics Data System (ADS)

    Luo, Ting; Yu, Shaohua; Wang, Xueshun

    2008-11-01

    AS businesses become more dependent on IP networks, lots of real-time services are adopted and high availability in networks has become increasingly critical. With the development of carrier grade ethernet, the requirements of high speed metro ethernet device are more urgently. In order to reach the capacity of hundreds of Gbps or Tbps, most of core ethernet switches almost adopted distributed control architecture and large capacity forwarding fabric. When distributed switch works, they always have one CE and many FE. There for, it shows the feature of multicast with one sender and many receivers. It is deserved research for us how to apply reliable multicast to distributed switch inner communication system. In this paper, we present the general architecture of a distributed ethernet switch, focusing on analysis the model of internal communication subsystem. According to its character, a novel reliable multicast communication mechanism based on FEC recovery algorithm has been applied and evaluated in experiment.

  6. A high performance totally ordered multicast protocol

    NASA Technical Reports Server (NTRS)

    Montgomery, Todd; Whetten, Brian; Kaplan, Simon

    1995-01-01

    This paper presents the Reliable Multicast Protocol (RMP). RMP provides a totally ordered, reliable, atomic multicast service on top of an unreliable multicast datagram service such as IP Multicasting. RMP is fully and symmetrically distributed so that no site bears un undue portion of the communication load. RMP provides a wide range of guarantees, from unreliable delivery to totally ordered delivery, to K-resilient, majority resilient, and totally resilient atomic delivery. These QoS guarantees are selectable on a per packet basis. RMP provides many communication options, including virtual synchrony, a publisher/subscriber model of message delivery, an implicit naming service, mutually exclusive handlers for messages, and mutually exclusive locks. It has commonly been held that a large performance penalty must be paid in order to implement total ordering -- RMP discounts this. On SparcStation 10's on a 1250 KB/sec Ethernet, RMP provides totally ordered packet delivery to one destination at 842 KB/sec throughput and with 3.1 ms packet latency. The performance stays roughly constant independent of the number of destinations. For two or more destinations on a LAN, RMP provides higher throughput than any protocol that does not use multicast or broadcast.

  7. Network coding for quantum cooperative multicast

    NASA Astrophysics Data System (ADS)

    Xu, Gang; Chen, Xiu-Bo; Li, Jing; Wang, Cong; Yang, Yi-Xian; Li, Zongpeng

    2015-11-01

    Cooperative communication is starting to attract substantial research attention in quantum information theory. However, given a specific network, it is still unknown whether quantum cooperative communication can be successfully performed. In this paper, we investigate network coding for quantum cooperative multicast (QCM) over the classic butterfly network. A very reasonable definition of QCM is first introduced. It not only perfectly focuses on the basic idea of quantum cooperative communication, but also wonderfully reflects the characteristic of classical multicast over a specific network structure. Next, we design QCM protocol for two-level systems and generalize the protocol into d-dimensional Hilbert space. It is shown that our protocols have significant advantages in terms of resource cost and compatibility with classical multicast. Besides, the success probability, which only depends on the coefficients of the initial quantum states, is carefully analyzed. In particular if the source nodes choose the quantum equatorial states, success probability can reach 1.

  8. Integrated nonlinear interferometer with wavelength multicasting functionality.

    PubMed

    Yang, Weili; Yu, Yu; Zhang, Xinliang

    2016-08-01

    Nonlinear interference based on four wave mixing (FWM) is extremely attractive due to its phase sensitivity. On the other hand, wavelength multicasting, which supports data point-to-multipoint connections, is a key functionality to increase the network efficiency and simplify the transmitter and receiver in the wavelength-division multiplexing systems. We propose and experimentally demonstrate a nonlinear interferometer with wavelength multicasting functionality based on single-stage FWM in an integrated silicon waveguide. With a three-pump and dual-signal input, four phase sensitive idlers are obtained at the interferometer output. For a proof-of-concept application, we further theoretically demonstrate the multicasting logic exclusive-OR (XOR) gate for both intensity and phase modulated signals. The proposed scheme would be potentially applied in various on-chip applications for future optical communication system. PMID:27505786

  9. Delivering Faster Congestion Feedback with the Mark-Front Strategy

    NASA Technical Reports Server (NTRS)

    Liu, Chunlei; Jain, Raj

    2001-01-01

    Computer networks use congestion feedback from the routers and destinations to control the transmission load. Delivering timely congestion feedback is essential to the performance of networks. Reaction to the congestion can be more effective if faster feedback is provided. Current TCP/IP networks use timeout, duplicate Acknowledgement Packets (ACKs) and explicit congestion notification (ECN) to deliver the congestion feedback, each provides a faster feedback than the previous method. In this paper, we propose a markfront strategy that delivers an even faster congestion feedback. With analytical and simulation results, we show that mark-front strategy reduces buffer size requirement, improves link efficiency and provides better fairness among users. Keywords: Explicit Congestion Notification, mark-front, congestion control, buffer size requirement, fairness.

  10. Caching multicast protocol for on-demand video delivery

    NASA Astrophysics Data System (ADS)

    Hua, Kien A.; Tran, Duc A.; Villafane, Roy

    1999-12-01

    Despite advances in networking technology, the limitation of the server bandwidth prevents multimedia applications from taking full advantage of next-generation networks. This constraint sets a hard limit on the number of users the server is able to support simultaneously. To address this bottleneck, we propose a Caching Multicast Protocol (CMP) to leverage the in-network bandwidth. Our solution caches video streams in the routers to facilitate regional services in the immediate future. In other words, the network storage is managed as a huge `video server' to allow the application to scale far beyond the physical limitation of its video server. The tremendous increase in the service bandwidth also enables the system to provide true on-demand services. To assess the effectiveness of this technique, we develop a detailed simulator to compare its performance with that of our earlier scheme called Chaining. The simulation results indicates that CMP is substantially better with many desirable properties as follows: (1) it is optimized to reduce traffic congestion; (2) it uses much less caching space; (3) client workstations are not involved in the caching protocol; (4) it can work on the network layer to leverage modern routers.

  11. Reliable multicasting in the Xpress Transport Protocol

    SciTech Connect

    Atwood, J.W.; Catrina, O.; Fenton, J.; Strayer, W.T.

    1996-12-01

    The Xpress Transport Protocol (XTP) is designed to meet the needs of distributed, real-time, and multimedia systems. This paper describes the genesis of recent improvements to XTP that provide mechanisms for reliable management of multicast groups, and gives details of the mechanisms used.

  12. On the stability and multi-stability of a TCP/RED congestion control model with state-dependent delay and discontinuous marking function

    NASA Astrophysics Data System (ADS)

    Zhang, Shu; Xu, Jian; Chung, Kwok-wai

    2015-05-01

    Random early detection (RED) is an effective algorithm to control the Internet congestion. However, researches on RED parameters are difficult since there are state-dependent delay and discontinuous terms on the right-hand side of the model. We smooth the model by hyperbolic tangent function and reformulate it by a switch function to keep state variables positive. Numerical simulations on the original system validates the reformulated model. The multi-stability phenomenon is observed and some suggestions on the selection of RED parameters are given to enhance the global stability of the model by numerical bifurcation continuation on the reformulated model.

  13. Multicast Routing in Structured Overlays and Hybrid Networks

    NASA Astrophysics Data System (ADS)

    Wählisch, Matthias; Schmidt, Thomas C.

    Key-based routing has enabled efficient group communication on the application or service middleware layer, stimulated by the need of applications to access multicast. These developments follow a continuous debate about network layer multicast that had lasted for about 30 years history of the Internet. The IP host group model today still faces a strongly divergent state of deployment. In this chapter, we first review the key concepts of multicast and broadcast data distribution on structured overlays. Second, we perform a comprehensive theoretical analysis examining the different distribution trees constructed on top of a key-based routing layer. Characteristic performance measures of the multicast approaches are compared in detail and major structural differences are identified. Overlay multicast overcomes deployment problems on the price of a performance penalty. Hybrid approaches, which dynamically combine multicast in overlay and underlay, adaptively optimize group communication. We discuss current schemes along with its integration in common multicast routing protocols in the third part of this chapter. Finally, we reconsider and enhance approaches to a common API for group communication, which serves the requirements of data distribution and maintenance for multicast and broadcast on a middleware abstraction layer, and in particular facilitates hybrid multicast schemes.

  14. Sympathetic reflex control of skeletal muscle blood flow in patients with congestive heart failure: evidence for beta-adrenergic circulatory control

    SciTech Connect

    Kassis, E.; Jacobsen, T.N.; Mogensen, F.; Amtorp, O.

    1986-11-01

    Mechanisms controlling forearm muscle vascular resistance (FMVR) during postural changes were investigated in seven patients with severe congestive heart failure (CHF) and in seven control subjects with unimpaired left ventricular function. Relative brachioradial muscle blood flow was determined by the local /sup 133/Xe-washout technique. Unloading of baroreceptors with use of 45 degree upright tilt was comparably obtained in the patients with CHF and control subjects. Control subjects had substantially increased FMVR and heart rate to maintain arterial pressure whereas patients with CHF had decreased FMVR by 51 +/- 11% and had no increase in heart rate despite a fall in arterial pressure during upright tilt. The autoregulatory and local vasoconstrictor reflex responsiveness during postural changes in forearm vascular pressures were intact in both groups. In the patients with CHF, the left axillary nerve plexus was blocked by local anesthesia. No alterations in forearm vascular pressures were observed. This blockade preserved the local regulation of FMVR but reversed the vasodilator response to upright tilt as FMVR increased by 30 +/- 7% (p less than .02). Blockade of central neural impulses to this limb combined with brachial arterial infusions of phentolamine completely abolished the humoral vasoconstriction in the tilted position. Infusions of propranolol to the contralateral brachial artery that did not affect baseline values of heart rate, arterial pressure, or the local reflex regulation of FMVR reversed the abnormal vasodilator response to upright tilt as FMVR increased by 42 +/- 12% (p less than .02). Despite augmented baseline values, forearm venous but not arterial plasma levels of epinephrine increased in the tilted position, as did arteri rather than venous plasma concentrations of norepinephrine in these patients.

  15. Fault recovery in the reliable multicast protocol

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.; Whetten, Brian

    1995-01-01

    The Reliable Multicast Protocol (RMP) provides a unique, group-based model for distributed programs that need to handle reconfiguration events at the application layer. This model, called membership views, provides an abstraction in which events such as site failures, network partitions, and normal join-leave events are viewed as group reformations. RMP provides access to this model through an application programming interface (API) that notifies an application when a group is reformed as the result of a some event. RMP provides applications with reliable delivery of messages using an underlying IP Multicast (12, 5) media to other group members in a distributed environment even in the case of reformations. A distributed application can use various Quality of Service (QoS) levels provided by RMP to tolerate group reformations. This paper explores the implementation details of the mechanisms in RMP that provide distributed applications with membership view information and fault recovery capabilities.

  16. Lightweight causal and atomic group multicast

    NASA Technical Reports Server (NTRS)

    Birman, Kenneth P.; Schiper, Andre; Stephenson, Pat

    1991-01-01

    The ISIS toolkit is a distributed programming environment based on support for virtually synchronous process groups and group communication. A suite of protocols is presented to support this model. The approach revolves around a multicast primitive, called CBCAST, which implements a fault-tolerant, causally ordered message delivery. This primitive can be used directly or extended into a totally ordered multicast primitive, called ABCAST. It normally delivers messages immediately upon reception, and imposes a space overhead proportional to the size of the groups to which the sender belongs, usually a small number. It is concluded that process groups and group communication can achieve performance and scaling comparable to that of a raw message transport layer. This finding contradicts the widespread concern that this style of distributed computing may be unacceptably costly.

  17. Reliable multicast protocol specifications protocol operations

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd; Whetten, Brian

    1995-01-01

    This appendix contains the complete state tables for Reliable Multicast Protocol (RMP) Normal Operation, Multi-RPC Extensions, Membership Change Extensions, and Reformation Extensions. First the event types are presented. Afterwards, each RMP operation state, normal and extended, is presented individually and its events shown. Events in the RMP specification are one of several things: (1) arriving packets, (2) expired alarms, (3) user events, (4) exceptional conditions.

  18. Evaluation Study of a Broadband Multicasting Service over a Gigabit Ethernet Delivery Network

    NASA Astrophysics Data System (ADS)

    Stergiou, E.; Meletiou, G.; Vasiliadis, D. C.; Rizos, G. E.; Margariti, S. V.

    2008-11-01

    Multicasting networks are usually implemented for delivering audio and video. Consequently, the performance evaluation of a reliable multicasting architecture is useful in active delivery systems. In this paper we analyze and present a broadband multicasting system under an Internet environment using a typical IP multicasting mechanism. The test-bed multicasting scheme was based on both IGMP and MCOP protocols, where a Gigabit Ethernet was used as delivery network at client's segment. The evaluation study provides measurements for the two most significant performance metrics, the required Bandwidth and the Round Trip Time (RTT) of a packet versus the number of multicasting clients over 2.4 Mbps multicasting service rate.

  19. Living on the Edge of Stagnant Water: An Assessment of Environmental Impacts of Construction-Phase Drainage Congestion Along Dhaka City Flood Control Embankment, Bangladesh

    NASA Astrophysics Data System (ADS)

    Rasid, Harun; Mallsk, Azim U.

    1996-01-01

    Environmental impacts of the construction-phase drainage congestion along the Dhaka City Flood Control Embankment were assessed by a pilot questionnaire survey (in 1991) among the target population adjacent to the embankment. The results of the survey indicated that, despite significant alleviation of river flooding, the majority of the respondents experienced a new type of flood problem in the form of stagnant water inside the embankment, immediately following its construction. Not only had this stagnant water flooded and damaged their property, it had exposed them to a number of other environmental problems, such as accumulation of municipal sewage, foul odors, mosquitoes, and growth of water hyacinth. The study found that the respondents’ assessments of these environmental problems differed significantly according to the magnitude of the impact of stagnant water upon two subgroups within the target population. A postsurvey follow-up in 1994 indicated that this problem of drainage congestion had largely been alleviated by completing the construction of a number of drainage regulators. The study concludes by stressing the importance of synchronizing the construction of drainage structures with that of the embankment systems and by underlining policy implications for flood-vulnerable land use adjacent to embankments.

  20. Multi-area layered multicast scheme for MPLS networks

    NASA Astrophysics Data System (ADS)

    Ma, Yajie; Yang, Zongkai; Wang, Yuming; Chen, Jingwen

    2005-02-01

    Multi-protocol label switching (MPLS) is multiprotocols both at layer 2 and layer 3. It is suggested to overcome the shortcomings of performing complex longest prefix matching in layer 3 routing by using short, fixed length labels. The MPLS community has put more effort into the label switching of unicast IP traffic, but less in the MPLS multicast mechanism. The reasons are the higher label consumption, the dynamical mapping of L3 multicast tree to L2 LSPs and the 20-bit shim header which is much fewer than the IPv4 IP header. On the other hand, heterogeneity of node capability degrades total performance of a multicast group. In order to achieve the scalability as well as the heterogeneity in MPLS networks, a novel scheme of MPLS-based Multi-area Layered Multicast Scheme (MALM) is proposed. Unlike the existing schemes which focus on aggregating the multicast stream, we construct the multicast tree based on the virtual topology aggregation. The MPLS area is divided into different sub-areas to form the hierarchical virtual topology and the multicast group is reconstructed into multiple layers according to the node capability. At the same time, the label stack is used to save the label space. For stability of the MALM protocol, a multi-layer protection scheme is also discussed. The experiment results show that the proposed scheme saves label space and decrease the Multicast Forwarding Table in much degree.

  1. Demonstration of optical multicasting using Kerr frequency comb lines.

    PubMed

    Bao, Changjing; Liao, Peicheng; Kordts, Arne; Karpov, Maxim; Pfeiffer, Martin H P; Zhang, Lin; Yan, Yan; Xie, Guodong; Cao, Yinwen; Almaiman, Ahmed; Ziyadi, Morteza; Li, Long; Zhao, Zhe; Mohajerin-Ariaei, Amirhossein; Wilkinson, Steven R; Tur, Moshe; Fejer, Martin M; Kippenberg, Tobias J; Willner, Alan E

    2016-08-15

    We experimentally demonstrate optical multicasting using Kerr frequency combs generated from a Si3N4 microresonator. We obtain Kerr combs in two states with different noise properties by varying the pump wavelength in the resonator and investigate the effect of Kerr combs on multicasting. Seven-fold multicasting of 20 Gbaud quadrature phase-shift-keyed signals and four-fold multicasting of 16-quadrature amplitude modulation signals have been achieved when low-phase-noise combs are input into a periodically poled lithium niobate waveguide. In addition, we find that the wavelength conversion efficiency in the PPLN waveguide for chaotic combs with high noise is similar to that for low-noise combs, while the signal quality of the multicast copy is significantly degraded. PMID:27519112

  2. Bronchovascular role in pulmonary congestion.

    PubMed

    McIlveen, S A

    2000-12-01

    1. A postulated role for the bronchial circulation in the development of pulmonary congestion may be based on recent studies of bronchovascular control. 2. The bronchial circulation is the nutrient blood supply of the conducting airways and, therefore, plays an important role in the function of the bronchial mucosa. Mucosal swelling secondary to elevation of mucosal capillary hydrostatic pressure may decrease airway calibre, increase resistance to airflow and precipitate symptoms of pulmonary congestion. 3. Resting mucosal capillary hydrostatic pressure is relatively constant due to autoregulation of bronchial blood flow and is maintained low by nett bronchovascular constriction due to the dominance of autonomic vasoconstriction over nitric oxidedependent vasodilatation. 4. Bronchial blood flow is also regulated by cardiac afferent reflexes. Stimulation of cardiac vagal and spinal afferents produces vasodilatation and vasoconstriction, respectively. Tonic activity of cardiac spinal afferents probably contributes to the resting autonomic vasoconstriction. 5. Therefore, mild heart failure, which is associated with abnormal cardiovascular reflex function, may decrease cardiac spinal afferent-mediated bronchial vasoconstriction and produce active dilatation due to stimulation of cardiac vagal afferents by excessive myocardial stretch, leading to bronchial mucosal swelling and pulmonary congestion. PMID:11117228

  3. Oral amrinone for the treatment of chronic congestive heart failure: results of a multicenter randomized double-blind and placebo-controlled withdrawal study.

    PubMed

    DiBianco, R; Shabetai, R; Silverman, B D; Leier, C V; Benotti, J R

    1984-11-01

    A placebo-controlled study was employed to evaluate the effects of oral amrinone in patients with congestive heart failure. After a baseline period of at least 4 weeks of standard treatment for refractory congestive heart failure, oral amrinone was added to the treatment regimen of 173 patients. Patients were predominantly male (89%), aged 24 to 76 years (mean 54), with ischemic (52%) or idiopathic (37%) dilated cardiomyopathy, in New York Heart Association functional class II (40%), III (59%) and IV (1%) and having a mean (+/- standard deviation) left ventricular ejection fraction of 25 +/- 15%. Phase 1: After the addition of amrinone (113 +/- 33 mg three times daily), 52 patients (30%) showed a maximal increase in treadmill exercise time exceeding 2 minutes (Naughton protocol), 72 (42%) had a lesser increase, 24 (14%) developed limiting adverse reactions, 20 (12%) died and 5 dropped out of the study. Fifty-two "responders" (30%) who were free of limiting side effects and had a greater than 2 minute increase in exercise time were randomized in double-blind fashion to continued amrinone or switched to placebo (each plus standard treatment) for an additional 12 weeks. Phase 2: Comparison of 31 of these 52 responders who continued to receive amrinone with the remaining 21 randomized to placebo revealed no significant differences in vital signs, indexes of left ventricular size and function, systolic time intervals or maximal exercise time. Continued follow-up study of patients receiving either amrinone or placebo revealed decreases in exercise times of 7 and 10%, respectively (both p less than 0.05 compared with before randomization). Episodes of worsened congestive heart failure severe enough to mandate termination of double-blind treatment were as frequent in patients taking placebo (4[18%] of 21) as in those taking amrinone (4[13%] of 31; p = NS). The average symptom score and functional class of each treatment group remained comparable. Adverse effects such as

  4. A proposed group management scheme for XTP multicast

    NASA Technical Reports Server (NTRS)

    Dempsey, Bert J.; Weaver, Alfred C.

    1990-01-01

    The purpose of a group management scheme is to enable its associated transfer layer protocol to be responsive to user determined reliability requirements for multicasting. Group management (GM) must assist the client process in coordinating multicast group membership, allow the user to express the subset of the multicast group that a particular multicast distribution must reach in order to be successful (reliable), and provide the transfer layer protocol with the group membership information necessary to guarantee delivery to this subset. GM provides services and mechanisms that respond to the need of the client process or process level management protocols to coordinate, modify, and determine attributes of the multicast group, especially membership. XTP GM provides a link between process groups and their multicast groups by maintaining a group membership database that identifies members in a name space understood by the underlying transfer layer protocol. Other attributes of the multicast group useful to both the client process and the data transfer protocol may be stored in the database. Examples include the relative dispersion, most recent update, and default delivery parameters of a group.

  5. Making the Traffic Operations Case for Congestion Pricing: Operational Impacts of Congestion Pricing

    SciTech Connect

    Chin, Shih-Miao; Hu, Patricia S; Davidson, Diane

    2011-02-01

    Congestion begins when an excess of vehicles on a segment of roadway at a given time, resulting in speeds that are significantly slower than normal or 'free flow' speeds. Congestion often means stop-and-go traffic. The transition occurs when vehicle density (the number of vehicles per mile in a lane) exceeds a critical level. Once traffic enters a state of congestion, recovery or time to return to a free-flow state is lengthy; and during the recovery process, delay continues to accumulate. The breakdown in speed and flow greatly impedes the efficient operation of the freeway system, resulting in economic, mobility, environmental and safety problems. Freeways are designed to function as access-controlled highways characterized by uninterrupted traffic flow so references to freeway performance relate primarily to the quality of traffic flow or traffic conditions as experienced by users of the freeway. The maximum flow or capacity of a freeway segment is reached while traffic is moving freely. As a result, freeways are most productive when they carry capacity flows at 60 mph, whereas lower speeds impose freeway delay, resulting in bottlenecks. Bottlenecks may be caused by physical disruptions, such as a reduced number of lanes, a change in grade, or an on-ramp with a short merge lane. This type of bottleneck occurs on a predictable or 'recurrent' basis at the same time of day and same day of week. Recurrent congestion totals 45% of congestion and is primarily from bottlenecks (40%) as well as inadequate signal timing (5%). Nonrecurring bottlenecks result from crashes, work zone disruptions, adverse weather conditions, and special events that create surges in demand and that account for over 55% of experienced congestion. Figure 1.1 shows that nonrecurring congestion is composed of traffic incidents (25%), severe weather (15%), work zones, (10%), and special events (5%). Between 1995 and 2005, the average percentage change in increased peak traveler delay, based on

  6. An Economic Case for End System Multicast

    NASA Astrophysics Data System (ADS)

    Analoui, Morteza; Rezvani, Mohammad Hossein

    This paper presents a non-strategic model for the end-system multicast networks based on the concept of replica exchange economy. We believe that microeconomics is a good candidate to investigate the problem of selfishness of the end-users (peers) in order to maximize the aggregate throughput. In this solution concept, the decisions that a peer might make, does not affect the actions of the other peers at all. The proposed mechanism tunes the price of the service in such a way that general equilibrium holds.

  7. Optimal multicast communication in wormhole-routed torus networks

    SciTech Connect

    Robinson, D.F.; McKinley, P.K.; Cheng, B.H.C.

    1994-12-31

    This paper presents efficient algorithms that implement one-to-many, or multicast, communication in wormhole-routed torus networks. By exploiting the properties of the switching technology and the use of virtual channels, a minimum-time multicast algorithm is presented for n-dimensional torus networks that use deterministic, dimension-ordered routing of unicast messages. The algorithm can deliver a multicast message to m-1 destinations in [log{sub 2}m] message-passing steps, while avoiding contention among the constituent unicast messages. Performance results of a simulation study on torus networks are also given.

  8. Efficient multicast routing in wavelength-division-multiplexing networks with light splitting and wavelength conversion

    NASA Astrophysics Data System (ADS)

    Zheng, Sheng; Tian, Jinwen; Liu, Jian

    2005-04-01

    We propose wavelength-division-multiplexing (WDM) networks with light splitting and wavelength conversion that can efficiently support multicast routing between nodes. Our iterative algorithm analyzes the original multicast routing network by decomposing it into multicast subgroups. These subgroups have the same wavelength, and the individual subgroup is combined to build a multicast tree. From the multicast tree, we can compute efficiently to multicast for short paths. Numerical results obtained for the ARPANET show that our algorithm can greatly reduce the optical blocking probability and the number of required wavelength conversions.

  9. Multilayer multicast key management with threshold cryptography

    NASA Astrophysics Data System (ADS)

    Dexter, Scott D.; Belostotskiy, Roman; Eskicioglu, Ahmet M.

    2004-06-01

    The problem of distributing multimedia securely over the Internet is often viewed as an instance of secure multicast communication, in which multicast messages are protected by a group key shared among the group of clients. One important class of key management schemes makes use of a hierarchical key distribution tree. Constructing a hierarchical tree based on secret shares rather than keys yields a scheme that is both more flexible and provably secure. Both the key-based and share-based hierarchical key distribution tree techniques are designed for managing keys for a single data stream. Recent work shows how redundancies that arise when this scheme is extended to multi-stream (e.g. scalable video) applications may be exploited in the key-based system by viewing the set of clients as a "multi-group". In this paper, we present results from an adaptation of a multi-group key management scheme using threshold cryptography. We describe how the multi-group scheme is adapted to work with secret shares, and compare this scheme with a naíve multi-stream key-management solution by measuring performance across several critical parameters, including tree degree, multi-group size, and number of shares stored at each node.

  10. Multimedia Multicast Based on Multiterminal Source Coding

    NASA Astrophysics Data System (ADS)

    Aghagolzadeh, Ali; Nooshyar, Mahdi; Rabiee, Hamid R.; Mikaili, Elhameh

    Multimedia multicast with two servers based on the multiterminal source coding is studied in some previous researches. Due to the possibility of providing an approach for practical code design for more than two correlated sources in IMTSC/CEO setup, in this paper, the framework of Slepian-Wolf coded quantization is extended and a practical code design is presented for IMTSC/CEO with the number of encoders greater than two. Then the multicast system based on the IMTSC/CEO is applied to the cases with three, four and five servers. Since the underlying code design approach for the IMTSC/CEO problem has the capability of applying to an arbitrary number of active encoders, the proposed MMBMSC method can also be used with an arbitrary number of servers easily. Also, explicit expressions of the expected distortion with an arbitrary number of servers in the MMBMSC system are presented. Experimental results with data, image and video signals show the superiority of our proposed method over the conventional solutions and over the MMBMSC system with two servers.

  11. Horizontal protection for multicast optical virtual private networks

    NASA Astrophysics Data System (ADS)

    Peng, Yunfeng; Long, Keping

    2008-11-01

    New concepts of horizontal protection and half-mesh topology for survivability design in multicast optical virtual private networks are presented. All issues mentioned in this paper are expected to form targets for further investigations.

  12. Mobile Multicast in Hierarchical Proxy Mobile IPV6

    NASA Astrophysics Data System (ADS)

    Hafizah Mohd Aman, Azana; Hashim, Aisha Hassan A.; Mustafa, Amin; Abdullah, Khaizuran

    2013-12-01

    Mobile Internet Protocol Version 6 (MIPv6) environments have been developing very rapidly. Many challenges arise with the fast progress of MIPv6 technologies and its environment. Therefore the importance of improving the existing architecture and operations increases. One of the many challenges which need to be addressed is the need for performance improvement to support mobile multicast. Numerous approaches have been proposed to improve mobile multicast performance. This includes Context Transfer Protocol (CXTP), Hierarchical Mobile IPv6 (HMIPv6), Fast Mobile IPv6 (FMIPv6) and Proxy Mobile IPv6 (PMIPv6). This document describes multicast context transfer in hierarchical proxy mobile IPv6 (H-PMIPv6) to provide better multicasting performance in PMIPv6 domain.

  13. Multicast Services over Structured P2P Networks

    NASA Astrophysics Data System (ADS)

    Manzanares-Lopez, Pilar; Malgosa-Sanahuja, Josemaria; Muñoz-Gea, Juan Pedro; Sanchez-Aarnoutse, Juan Carlos

    IP multicast functionality was defined as an efficient method to transmit datagrams to a group of receivers. However, although a lot of research work has been done in this technology, IP multicast has not spread out over the Internet as much as expected, reducing its use for local environments (i.e., LANs). The peer-to-peer networks paradigm can be used to overcome the IP multicast limitations. In this new scenario (called Application Layer Multicast or ALM), the multicast functionality is changed from network to application layer. Although ALM solution can be classified into unstructured and structured solutions, the last ones are the best option to offer multicast services due to the effectiveness in the discovery nodes, their mathematical definition and the totally decentralized management. In this chapter we are going to offer a tutorial of the main structured ALM solutions, but introducing two novelties with respect to related surveys in the past: first, the systematic description of most representative structured ALM solution in OverSim (one of the most popular p2p simulation frameworks). Second, some simulation comparatives between flooding-based and tree-based structured ALM solution are also presented.

  14. Multicast traffic grooming in WDM networks

    NASA Astrophysics Data System (ADS)

    Kamal, Ahmed E.; Ul-Mustafa, Raza

    2003-10-01

    This paper considers the problem of grooming multicast traffic in WDM networks, with arbitrary mesh topologies. The problem is different from grooming of unicast traffic, since traffic can be delivered to destinations through other destinations in the same set, or through branching points. The paper presents an optimal Integer Linear Programming (ILP) formulation in order to minimize the cost of the network in terms of the number of SONET Add/Drop Multiplexers (ADM). The formulation also minimizes the number of wavelength channels used in the network, and does not allow bifurcation of traffic. Since the ILP formulation is able to solve limited size problems, the paper also introduces a heuristic approach to solve the problem.

  15. IP over optical multicasting for large-scale video delivery

    NASA Astrophysics Data System (ADS)

    Jin, Yaohui; Hu, Weisheng; Sun, Weiqiang; Guo, Wei

    2007-11-01

    In the IPTV systems, multicasting will play a crucial role in the delivery of high-quality video services, which can significantly improve bandwidth efficiency. However, the scalability and the signal quality of current IPTV can barely compete with the existing broadcast digital TV systems since it is difficult to implement large-scale multicasting with end-to-end guaranteed quality of service (QoS) in packet-switched IP network. China 3TNet project aimed to build a high performance broadband trial network to support large-scale concurrent streaming media and interactive multimedia services. The innovative idea of 3TNet is that an automatic switched optical networks (ASON) with the capability of dynamic point-to-multipoint (P2MP) connections replaces the conventional IP multicasting network in the transport core, while the edge remains an IP multicasting network. In this paper, we will introduce the network architecture and discuss challenges in such IP over Optical multicasting for video delivery.

  16. Multicenter, randomized, placebo-controlled, double-blind study of the safety and efficacy of oral delapril in patients with congestive heart failure.

    PubMed

    Circo, A; Platania, F; Mangiameli, S; Putignano, E

    1995-06-16

    A total of 101 patients (67 delapril, 34 placebo) with congestive heart failure, New York Heart Association (NYHA) classes II and III, entered a multicenter, randomized (2:1), double-blind, placebo-controlled study to determine the minimum effective and maximum tolerated doses of delapril. Patients received placebo or increasing doses of delapril. After a 2-week run-in period on placebo, patients were randomly assigned to delapril or placebo. The dose of delapril was 7.5 mg twice daily for 2 weeks, 15 mg twice daily for another 2 weeks, followed by 30 mg twice daily for 4 weeks. The dose was increased only if the patient did not present any symptoms of orthostatic hypotension. If such symptoms developed, the code was broken and an open treatment was continued on the minimum effective dose (delapril group). Patients with symptoms of orthostatic hypotension in the placebo group were withdrawn. At the end of the 8-week treatment, 36 (54.5%) patients in the delapril group completed the study on 30 mg twice daily, 12 (18.2%) on 15 mg twice daily, and 18 (27.3%) on 7.5 mg twice daily. Seven patients on placebo were withdrawn because of insufficient therapeutic response; one patient on delapril was lost to follow-up. There was a significant improvement (p < 0.01) in bicycle ergometric performance involving an increase in the exercise duration and the maximum workload tolerated in those patients completing the study on delapril 30 mg twice daily and those finishing on 15 mg twice daily.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7778529

  17. The Specification-Based Validation of Reliable Multicast Protocol

    NASA Technical Reports Server (NTRS)

    Wu, Yunqing

    1995-01-01

    Reliable Multicast Protocol (RMP) is a communication protocol that provides an atomic, totally ordered, reliable multicast service on top of unreliable IP multicasting. In this report, we develop formal models for RMP using existing automated verification systems, and perform validation on the formal RMP specifications. The validation analysis help identifies some minor specification and design problems. We also use the formal models of RMP to generate a test suite for conformance testing of the implementation. Throughout the process of RMP development, we follow an iterative, interactive approach that emphasizes concurrent and parallel progress of the implementation and verification processes. Through this approach, we incorporate formal techniques into our development process, promote a common understanding for the protocol, increase the reliability of our software, and maintain high fidelity between the specifications of RMP and its implementation.

  18. The Verification-based Analysis of Reliable Multicast Protocol

    NASA Technical Reports Server (NTRS)

    Wu, Yunqing

    1996-01-01

    Reliable Multicast Protocol (RMP) is a communication protocol that provides an atomic, totally ordered, reliable multicast service on top of unreliable IP Multicasting. In this paper, we develop formal models for R.W using existing automatic verification systems, and perform verification-based analysis on the formal RMP specifications. We also use the formal models of RW specifications to generate a test suite for conformance testing of the RMP implementation. Throughout the process of RMP development, we follow an iterative, interactive approach that emphasizes concurrent and parallel progress between the implementation and verification processes. Through this approach, we incorporate formal techniques into our development process, promote a common understanding for the protocol, increase the reliability of our software, and maintain high fidelity between the specifications of RMP and its implementation.

  19. Broadcast/multicast MPEG-2 video over wireless channels using header redundancy FEC strategies

    NASA Astrophysics Data System (ADS)

    Ma, Hairuo; El Zarki, Magda

    1999-01-01

    In this paper, we address the issue of error control in transmitting MPEG-2 encoded video streams over broadband fixed wireless access networks for broadcast or multicast services. Because of the error-prone nature of wireless channels, error control is mandatory when MPEG-2 video streams are transported over wireless access networks to end user. To prevent overloading the reliable wireline networks error control has to be applied locally. FEC is a must for broadcast or multicast services. Because of the important role of MPEG-2 control information in the decoding process, it must be given priority service in the form of excess error protection in order to achieve the desired QoS. In this paper, a header redundancy FEC (HRFEC) strategy is introduced and an implementation of it (type-I HRFEC scheme) is described. The overhead and delay jitter associated with the type-I HRFEC is also estimated. Simulation results on the performance of type-I HRFEC indicates that it improves the reception statistics of MPEG-2 control. As a direct, the quality, measured in terms of objective grade point and PSNR of the reconstructed video sequence, is improved.

  20. VMCast: A VM-Assisted Stability Enhancing Solution for Tree-Based Overlay Multicast

    PubMed Central

    Gu, Weidong; Zhang, Xinchang; Gong, Bin; Zhang, Wei; Wang, Lu

    2015-01-01

    Tree-based overlay multicast is an effective group communication method for media streaming applications. However, a group member’s departure causes all of its descendants to be disconnected from the multicast tree for some time, which results in poor performance. The above problem is difficult to be addressed because overlay multicast tree is intrinsically instable. In this paper, we proposed a novel stability enhancing solution, VMCast, for tree-based overlay multicast. This solution uses two types of on-demand cloud virtual machines (VMs), i.e., multicast VMs (MVMs) and compensation VMs (CVMs). MVMs are used to disseminate the multicast data, whereas CVMs are used to offer streaming compensation. The used VMs in the same cloud datacenter constitute a VM cluster. Each VM cluster is responsible for a service domain (VMSD), and each group member belongs to a specific VMSD. The data source delivers the multicast data to MVMs through a reliable path, and MVMs further disseminate the data to group members along domain overlay multicast trees. The above approach structurally improves the stability of the overlay multicast tree. We further utilized CVM-based streaming compensation to enhance the stability of the data distribution in the VMSDs. VMCast can be used as an extension to existing tree-based overlay multicast solutions, to provide better services for media streaming applications. We applied VMCast to two application instances (i.e., HMTP and HCcast). The results show that it can obviously enhance the stability of the data distribution. PMID:26562152

  1. VMCast: A VM-Assisted Stability Enhancing Solution for Tree-Based Overlay Multicast.

    PubMed

    Gu, Weidong; Zhang, Xinchang; Gong, Bin; Zhang, Wei; Wang, Lu

    2015-01-01

    Tree-based overlay multicast is an effective group communication method for media streaming applications. However, a group member's departure causes all of its descendants to be disconnected from the multicast tree for some time, which results in poor performance. The above problem is difficult to be addressed because overlay multicast tree is intrinsically instable. In this paper, we proposed a novel stability enhancing solution, VMCast, for tree-based overlay multicast. This solution uses two types of on-demand cloud virtual machines (VMs), i.e., multicast VMs (MVMs) and compensation VMs (CVMs). MVMs are used to disseminate the multicast data, whereas CVMs are used to offer streaming compensation. The used VMs in the same cloud datacenter constitute a VM cluster. Each VM cluster is responsible for a service domain (VMSD), and each group member belongs to a specific VMSD. The data source delivers the multicast data to MVMs through a reliable path, and MVMs further disseminate the data to group members along domain overlay multicast trees. The above approach structurally improves the stability of the overlay multicast tree. We further utilized CVM-based streaming compensation to enhance the stability of the data distribution in the VMSDs. VMCast can be used as an extension to existing tree-based overlay multicast solutions, to provide better services for media streaming applications. We applied VMCast to two application instances (i.e., HMTP and HCcast). The results show that it can obviously enhance the stability of the data distribution. PMID:26562152

  2. Optimal software multicast in wormhole-routed multistage networks

    SciTech Connect

    Xu, H.; Gui, Y.D.; Ni, L.M.

    1994-12-31

    Multistage interconnection networks are a popular class of interconnection architecture for constructing scalable parallel computers (SPCs). The focus of this paper is on wormhole routed multistage networks supporting turnaround routing. Existing machines characterized by such a system model include the IBM SP-1, TMC CM-5, and Meiko CS-2. Efficient collective communication among processor nodes is critical to the performance of SPCS. A system-level multicast service, in which the same message is delivered from a source node to an arbitrary number of destination nodes, is fundamental in supporting collective communication primitives including the application-level broadcast, reduction, and barrier synchronization. This paper addresses how to efficiently implement multicast services in wormhole routed multistage networks, in the absence of hardware multicast support, by exploiting the properties of the switching technology. An optimal multicast algorithm is proposed. The results of implementations on a 64-node SP-1 show that the proposed algorithm significantly out performs the application-level broadcast primitives provided by currently existing collective communication libraries including the public domain MPI.

  3. Design, Implementation, and Verification of the Reliable Multicast Protocol. Thesis

    NASA Technical Reports Server (NTRS)

    Montgomery, Todd L.

    1995-01-01

    This document describes the Reliable Multicast Protocol (RMP) design, first implementation, and formal verification. RMP provides a totally ordered, reliable, atomic multicast service on top of an unreliable multicast datagram service. RMP is fully and symmetrically distributed so that no site bears an undue portion of the communications load. RMP provides a wide range of guarantees, from unreliable delivery to totally ordered delivery, to K-resilient, majority resilient, and totally resilient atomic delivery. These guarantees are selectable on a per message basis. RMP provides many communication options, including virtual synchrony, a publisher/subscriber model of message delivery, a client/server model of delivery, mutually exclusive handlers for messages, and mutually exclusive locks. It has been commonly believed that total ordering of messages can only be achieved at great performance expense. RMP discounts this. The first implementation of RMP has been shown to provide high throughput performance on Local Area Networks (LAN). For two or more destinations a single LAN, RMP provides higher throughput than any other protocol that does not use multicast or broadcast technology. The design, implementation, and verification activities of RMP have occurred concurrently. This has allowed the verification to maintain a high fidelity between design model, implementation model, and the verification model. The restrictions of implementation have influenced the design earlier than in normal sequential approaches. The protocol as a whole has matured smoother by the inclusion of several different perspectives into the product development.

  4. WDM Multicast Tree Construction Algorithms and Their Comparative Evaluations

    NASA Astrophysics Data System (ADS)

    Makabe, Tsutomu; Mikoshi, Taiju; Takenaka, Toyofumi

    We propose novel tree construction algorithms for multicast communication in photonic networks. Since multicast communications consume many more link resources than unicast communications, effective algorithms for route selection and wavelength assignment are required. We propose a novel tree construction algorithm, called the Weighted Steiner Tree (WST) algorithm and a variation of the WST algorithm, called the Composite Weighted Steiner Tree (CWST) algorithm. Because these algorithms are based on the Steiner Tree algorithm, link resources among source and destination pairs tend to be commonly used and link utilization ratios are improved. Because of this, these algorithms can accept many more multicast requests than other multicast tree construction algorithms based on the Dijkstra algorithm. However, under certain delay constraints, the blocking characteristics of the proposed Weighted Steiner Tree algorithm deteriorate since some light paths between source and destinations use many hops and cannot satisfy the delay constraint. In order to adapt the approach to the delay-sensitive environments, we have devised the Composite Weighted Steiner Tree algorithm comprising the Weighted Steiner Tree algorithm and the Dijkstra algorithm for use in a delay constrained environment such as an IPTV application. In this paper, we also give the results of simulation experiments which demonstrate the superiority of the proposed Composite Weighted Steiner Tree algorithm compared with the Distributed Minimum Hop Tree (DMHT) algorithm, from the viewpoint of the light-tree request blocking.

  5. Oxygen free radicals and congestive heart failure.

    PubMed Central

    Belch, J J; Bridges, A B; Scott, N; Chopra, M

    1991-01-01

    Plasma lipid peroxides (malondialdehyde) and thiols were measured in 45 patients with congestive heart failure and 45 controls. Malondialdehyde concentrations were significantly higher in the patients with congestive heart failure (median 9.0 nmol/ml interquartile range (IQR) 7.9-10.2) than in the controls (median 7.7 nmol/ml (IQR 6.9-9.2)). Plasma thiols were significantly lower in congestive heart failure (median 420 mumol/l (IQR 379-480)) than in the controls (median 463 mumol/l (IQR 445-525)). There was a significant but weak negative correlation between malondialdehyde and left ventricular ejection fraction (r = -0.35) and a positive correlation between plasma thiols and left ventricular ejection fraction (r = 0.39). This study provides clinical support for experimental data indicating that free radicals may be important in heart failure. It also suggests that the degree of free radical production may be linked to the severity of the disease. PMID:2039668

  6. Pelvic Congestion Syndrome

    PubMed Central

    Durham, Janette D.; Machan, Lindsay

    2013-01-01

    Patients with pelvic congestion syndrome present with otherwise unexplained chronic pelvic pain that has been present for greater than 6 months, and anatomic findings that include pelvic venous insufficiency and pelvic varicosities. It remains an underdiagnosed explanation for pelvic pain in young, premenopausal, usually multiparous females. Symptoms include noncyclical, positional lower back, pelvic and upper thigh pain, dyspareunia, and prolonged postcoital discomfort. Symptoms worsen throughout the day and are exacerbated by activity or prolonged standing. Examination may reveal ovarian tenderness and unusual varicosities—vulvoperineal, posterior thigh, and gluteal. Diagnosis is suspected by clinical history and imaging that demonstrates pelvic varicosities. Venography is usually necessary to confirm ovarian vein reflux, although transvaginal ultrasound may be useful in documenting this finding. Endovascular therapy has been validated by several large patient series with long-term follow-up using standardized pain assessment surveys. Embolization has been shown to be significantly more effective than surgical therapy in improving symptoms in patients who fail hormonal therapy. Although there has been variation in approaches between investigators, the goal is elimination of ovarian vein reflux with or without direct sclerosis of enlarged pelvic varicosities. Symptom reduction is seen in 70 to 90% of the treated females despite technical variation. PMID:24436564

  7. Atrial Fibrillation, Congestive Heart Failure, and the Middle Cerebral Artery.

    PubMed

    Ameriso, S F; Sager, P; Fisher, M

    1992-10-01

    Atrial fibrillation and congestive heart failure are risk factors for ischemic stroke usually attributed to cardiac embolism. To define potential alternative mechanisms, patients with atrial fibrillation and congestive heart failure were investigated by transcranial Doppler. Middle cerebral artery (MCA) blood flow velocities were analyzed in neurologically asymptomatic patients with nonvalvular (n = 10) and valvular (n = 13) atrial fibrillation, patients in normal sinus rhythm with congestive heart failure (n = 13), and control subjects (n = 11). Compared to patients in sinus rhythm with congestive heart failure and to control subjects, patients in both atrial fibrillation groups had significantly greater beat-to-beat variation in peak, mean, and diastolic velocities and in pulsatility index. Peak, mean, and diastolic MCA velocities in patients with atrial fibrillation and those with congestive heart failure were significantly less than those in control subjects. Patients with nonvalvular atrial fibrillation had a higher pulsatility index compared to each of the other three groups. These findings demonstrate substantial nonemboligenic alterations of the intracranial circulation associated with atrial fibrillation and congestive heart failure, and also provide an intracranial hemodynamic profile that may distinguish valvular from nonvalvular atrial fibrillation. PMID:27309151

  8. Auctionable fixed transmission rights for congestion management

    NASA Astrophysics Data System (ADS)

    Alomoush, Muwaffaq Irsheid

    Electric power deregulation has proposed a major change to the regulated utility monopoly. The change manifests the main part of engineers' efforts to reshape three components of today's regulated monopoly: generation, distribution and transmission. In this open access deregulated power market, transmission network plays a major role, and transmission congestion is a major problem that requires further consideration especially when inter-zonal/intra-zonal scheme is implemented. Declaring that engineering studies and experience are the criteria to define zonal boundaries or defining a zone based on the fact that a zone is a densely interconnected area (lake) and paths connecting these densely interconnected areas are inter-zonal lines will render insufficient and fuzzy definitions. Moreover, a congestion problem formulation should take into consideration interactions between intra-zonal and inter-zonal flows and their effects on power systems. In this thesis, we introduce a procedure for minimizing the number of adjustments of preferred schedules to alleviate congestion and apply control schemes to minimize interactions between zones. In addition, we give the zone definition a certain criterion based on the Locational Marginal Price (LMP). This concept will be used to define congestion zonal boundaries and to decide whether any zone should be merged with another zone or split into new zones. The thesis presents a unified scheme that combines zonal and FTR schemes to manage congestion. This combined scheme is utilized with LMPs to define zonal boundaries more appropriately. The presented scheme gains the best features of the FTR scheme, which are providing financial certainty, maximizing the efficient use of the system and making users pay for the actual use of congested paths. LMPs may give an indication of the impact of wheeling transactions, and calculations of and comparisons of LMPs with and without wheeling transactions should be adequate criteria to approve

  9. Application of Epidemiology Model on Complex Networks in Propagation Dynamics of Airspace Congestion.

    PubMed

    Dai, Xiaoxu; Hu, Minghua; Tian, Wen; Xie, Daoyi; Hu, Bin

    2016-01-01

    This paper presents a propagation dynamics model for congestion propagation in complex networks of airspace. It investigates the application of an epidemiology model to complex networks by comparing the similarities and differences between congestion propagation and epidemic transmission. The model developed satisfies the constraints of actual motion in airspace, based on the epidemiology model. Exploiting the constraint that the evolution of congestion cluster in the airspace is always dynamic and heterogeneous, the SIR epidemiology model (one of the classical models in epidemic spreading) with logistic increase is applied to congestion propagation and shown to be more accurate in predicting the evolution of congestion peak than the model based on probability, which is common to predict the congestion propagation. Results from sample data show that the model not only predicts accurately the value and time of congestion peak, but also describes accurately the characteristics of congestion propagation. Then, a numerical study is performed in which it is demonstrated that the structure of the networks have different effects on congestion propagation in airspace. It is shown that in regions with severe congestion, the adjustment of dissipation rate is more significant than propagation rate in controlling the propagation of congestion. PMID:27336405

  10. Application of Epidemiology Model on Complex Networks in Propagation Dynamics of Airspace Congestion

    PubMed Central

    Dai, Xiaoxu; Hu, Minghua; Tian, Wen; Xie, Daoyi; Hu, Bin

    2016-01-01

    This paper presents a propagation dynamics model for congestion propagation in complex networks of airspace. It investigates the application of an epidemiology model to complex networks by comparing the similarities and differences between congestion propagation and epidemic transmission. The model developed satisfies the constraints of actual motion in airspace, based on the epidemiology model. Exploiting the constraint that the evolution of congestion cluster in the airspace is always dynamic and heterogeneous, the SIR epidemiology model (one of the classical models in epidemic spreading) with logistic increase is applied to congestion propagation and shown to be more accurate in predicting the evolution of congestion peak than the model based on probability, which is common to predict the congestion propagation. Results from sample data show that the model not only predicts accurately the value and time of congestion peak, but also describes accurately the characteristics of congestion propagation. Then, a numerical study is performed in which it is demonstrated that the structure of the networks have different effects on congestion propagation in airspace. It is shown that in regions with severe congestion, the adjustment of dissipation rate is more significant than propagation rate in controlling the propagation of congestion. PMID:27336405

  11. High-Performance, Reliable Multicasting: Foundations for Future Internet Groupware Applications

    NASA Technical Reports Server (NTRS)

    Callahan, John; Montgomery, Todd; Whetten, Brian

    1997-01-01

    Network protocols that provide efficient, reliable, and totally-ordered message delivery to large numbers of users will be needed to support many future Internet applications. The Reliable Multicast Protocol (RMP) is implemented on top of IP multicast to facilitate reliable transfer of data for replicated databases and groupware applications that will emerge on the Internet over the next decade. This paper explores some of the basic questions and applications of reliable multicasting in the context of the development and analysis of RMP.

  12. Design of a Multicast Optical Packet Switch Based on Fiber Bragg Grating Technology for Future Networks

    NASA Astrophysics Data System (ADS)

    Cheng, Yuh-Jiuh; Yeh, Tzuoh-Chyau; Cheng, Shyr-Yuan

    2011-09-01

    In this paper, a non-blocking multicast optical packet switch based on fiber Bragg grating technology with optical output buffers is proposed. Only the header of optical packets is converted to electronic signals to control the fiber Bragg grating array of input ports and the packet payloads should be transparently destined to their output ports so that the proposed switch can reduce electronic interfaces as well as the bit rate. The modulation and the format of packet payloads may be non-standard where packet payloads could also include different wavelengths for increasing the volume of traffic. The advantage is obvious: the proposed switch could transport various types of traffic. An easily implemented architecture which can provide multicast services is also presented. An optical output buffer is designed to queue the packets if more than one incoming packet should reach to the same destination output port or including any waiting packets in optical output buffer that will be sent to the output port at a time slot. For preserving service-packet sequencing and fairness of routing sequence, a priority scheme and a round-robin algorithm are adopted at the optical output buffer. The fiber Bragg grating arrays for both input ports and output ports are designed for routing incoming packets using optical code division multiple access technology.

  13. Depression and congestive heart failure.

    PubMed

    Guck, Thomas P; Elsasser, Gary N; Kavan, Michael G; Barone, Eugene J

    2003-01-01

    The prevalence rates of depression in congestive heart failure patients range from 24%-42%. Depression is a graded, independent risk factor for readmission to the hospital, functional decline, and mortality in patients with congestive heart failure. Physicians can assess depression by using the SIG E CAPS + mood mnemonic, or any of a number of easily administered and scored self-report inventories. Cognitive-behavior therapy is the preferred psychological treatment. Cognitive-behavior therapy emphasizes the reciprocal interactions among physiology, environmental events, thoughts, and behaviors, and how these may be altered to produce changes in mood and behavior. Pharmacologically, the selective serotonin reuptake inhibitors are recommended, whereas the tricyclic antidepressants are not recommended for depression in congestive heart failure patients. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment. PMID:12826775

  14. Efficacy of felodipine in chronic congestive heart failure: a placebo controlled haemodynamic study at rest and during exercise and orthostatic stress.

    PubMed

    Kassis, E; Amtorp, O; Waldorff, S; Fritz-Hansen, P

    1987-11-01

    A vascular selective calcium antagonist, felodipine, was evaluated in a randomised, double blind, crossover trial in 18 patients with chronic congestive heart failure of ischaemic cause. Felodipine (10 mg twice daily) or a corresponding placebo was added to conventional treatment. After three weeks haemodynamic function was assessed at rest, during a standard supine leg exercise, and during 45 degrees passive upright tilt. In patients in the supine resting position, felodipine reduced the mean arterial pressure (9%) and systemic vascular resistance (24%) and increased the stroke volume (25%) and cardiac index (23%). The heart rate and right and left ventricular filling pressures were unchanged. During felodipine treatment the standard exercise was accomplished at a similar cardiac index but at a substantially lower heart rate (7%), arterial pressure (10%), systemic vascular resistance (17%), and left ventricular filling pressure (19%), and a higher stroke volume (13%). During both placebo and felodipine administration there were substantial reductions in cardiac filling pressure during upright tilting. Upright tilting during the placebo phase did not increase the heart rate. It also caused a greater fall in systemic vascular resistance while the arterial pulse pressure but not the mean pressure was maintained and the cardiac index and stroke volume increased. The reduced cardiac filling pressures during the felodipine upright tilt were accompanied by reductions in arterial pulse pressure and stroke volume and the patients were able to maintain the mean arterial pressure by an increase in both the heart rate and systemic vascular resistance. Thus three weeks treatment with felodipine improved haemodynamic function at rest and during standard exercise and normalised the baroreflex mediated haemodynamic response in patients with congestive heart failure. The haemodynamic efficacy of the drug in such patients may be associated with a baroreceptor mediated effect as

  15. Group-multicast capable optical virtual private ring with contention avoidance

    NASA Astrophysics Data System (ADS)

    Peng, Yunfeng; Du, Shu; Long, Keping

    2008-11-01

    A ring based optical virtual private network (OVPN) employing contention sensing and avoidance is proposed to deliver multiple-to-multiple group-multicast traffic. The network architecture is presented and its operation principles as well as performance are investigated. The main contribution of this article is the presentation of an innovative group-multicast capable OVPN architecture with technologies available today.

  16. 40-Gb/s FSK modulated WDM-PON with variable-rate multicast overlay.

    PubMed

    Xin, Xiangjun; Liu, Bo; Zhang, Lijia; Yu, Jianjun

    2011-06-20

    This paper proposes a novel conjugate-driven frequency shift keying (FSK) modulated wavelength division multiplexing passive network (WDM-PON) with variable-rate multicast services. Optical orthogonal frequency division multiplexing (OFDM) is adopted for multicast overlay services with different rate requirements. A differential detection is used for the demodulation of FSK signal, which can eliminate the crosstalk from the OFDM signal. A total 40-Gb/s FSK point to point (P2P) signal and 6.3-Gb/s OFDM overlay with three kinds of variable-rate multicast services are experimentally demonstrated. A physical-layer adaptive identification is proposed for the variable-rate multicast services. After 25 km single mode fiber (SMF) transmission, the power penalties of FSK P2P signal and OFDM multicast overlay are 1.3 dB and 1.7 dB respectively. PMID:21716492

  17. "Playboy bunny" sign of congestive heart failure.

    PubMed

    Hokama, Akira; Arakaki, Shingo; Shibata, Daisuke; Maeshiro, Tatsuji; Kinjo, Fukunori; Fujita, Jiro

    2011-11-01

    In emergency, ultrasound has been widely used as a noninvasive and effective examination to evaluate congestive heart failure. We highlight "Playboy Bunny" sign as a reliable marker and an important clue to the diagnosis of passive hepatic congestion, caused by congestive heart failure. PMID:22224133

  18. Simultaneous multichannel wavelength multicasting and XOR logic gate multicasting for three DPSK signals based on four-wave mixing in quantum-dot semiconductor optical amplifier.

    PubMed

    Qin, Jun; Lu, Guo-Wei; Sakamoto, Takahide; Akahane, Kouichi; Yamamoto, Naokatsu; Wang, Danshi; Wang, Cheng; Wang, Hongxiang; Zhang, Min; Kawanishi, Tetsuya; Ji, Yuefeng

    2014-12-01

    In this paper, we experimentally demonstrate simultaneous multichannel wavelength multicasting (MWM) and exclusive-OR logic gate multicasting (XOR-LGM) for three 10Gbps non-return-to-zero differential phase-shift-keying (NRZ-DPSK) signals in quantum-dot semiconductor optical amplifier (QD-SOA) by exploiting the four-wave mixing (FWM) process. No additional pump is needed in the scheme. Through the interaction of the input three 10Gbps DPSK signal lights in QD-SOA, each channel is successfully multicasted to three wavelengths (1-to-3 for each), totally 3-to-9 MWM, and at the same time, three-output XOR-LGM is obtained at three different wavelengths. All the new generated channels are with a power penalty less than 1.2dB at a BER of 10(-9). Degenerate and non-degenerate FWM components are fully used in the experiment for data and logic multicasting. PMID:25606876

  19. Noise performance of phase-insensitive frequency multicasting in parametric mixer with finite dispersion.

    PubMed

    Tong, Zhi; Wiberg, Andreas O J; Myslivets, Evgeny; Huynh, Chris K; Kuo, Bill P P; Alic, Nikola; Radic, Stojan

    2013-07-29

    Noise performance of dual-pump, multi-sideband parametric mixer operated in phase-insensitive mode is investigated theoretically and experimentally. It is shown that, in case when a large number of multicasting idlers are generated, the noise performance is strictly dictated by the dispersion characteristics of the mixer. We find that the sideband noise performance is significantly degraded in anomalous dispersion region permitting nonlinear noise amplification. In contrast, in normal dispersion region, the noise performance converges to the level of four-sideband parametric process, rather than deteriorates with increased sideband creation. Low noise generation mandates precise dispersion-induced phase mismatch among pump and sideband waves in order to control the noise coupling. We measure the noise performance improvement for a many-sideband, multi-stage mixer by incorporating new design technique. PMID:23938638

  20. Programming with process groups: Group and multicast semantics

    NASA Technical Reports Server (NTRS)

    Birman, Kenneth P.; Cooper, Robert; Gleeson, Barry

    1991-01-01

    Process groups are a natural tool for distributed programming and are increasingly important in distributed computing environments. Discussed here is a new architecture that arose from an effort to simplify Isis process group semantics. The findings include a refined notion of how the clients of a group should be treated, what the properties of a multicast primitive should be when systems contain large numbers of overlapping groups, and a new construct called the causality domain. A system based on this architecture is now being implemented in collaboration with the Chorus and Mach projects.

  1. Compensation of a distorted N-fold orbital angular momentum multicasting link using adaptive optics.

    PubMed

    Li, Shuhui; Wang, Jian

    2016-04-01

    By using an adaptive feedback correction technique, we experimentally demonstrate turbulence compensation for free-space four-fold and eight-fold 16-ary quadrature amplitude modulation (16-QAM) carrying orbital angular momentum (OAM) multicasting links. The performance of multicasted OAM beams through emulated atmospheric turbulence and adaptive optics assisted compensation loop is investigated. The experimental results show that the scheme can efficiently compensate for the atmospheric turbulence induced distortions, i.e., reducing power fluctuation of multicasted OAM channels, suppressing inter-channel crosstalk, and improving the bit-error rate (BER) performance. PMID:27192267

  2. Congestion and cascades in payment systems.

    SciTech Connect

    Glass, Robert John, Jr.; Beyeler, Walter Eugene; Soramaki, Kimmo; Bech, Morten Linnemann

    2006-06-01

    We develop a parsimonious model of the interbank payment system to study congestion and the role of liquidity markets in alleviating congestion. The model incorporates an endogenous instruction arrival process, scale-free topology of payments between banks, fixed total liquidity that limits banks' capacity to process arriving instructions, and a global market that distributes liquidity. We find that at low liquidity, the system becomes congested and payment settlement loses correlation with payment instruction arrival, becoming coupled across the network. The onset of congestion is evidently related to the relative values of three characteristic times: the time for banks' net position to return to zero, the time for banks to exhaust their liquidity endowments, and the liquidity market relaxation time. In the congested regime, settlement takes place in cascades having a characteristic size. A global liquidity market substantially diminishes congestion, requiring only a small fraction of the payment-induced liquidity flow to achieve strong beneficial effects.

  3. Traffic congestion and dispersion in Hurricane evacuation

    NASA Astrophysics Data System (ADS)

    Tanaka, Katsunori; Nagatani, Takashi; Hanaura, Hirotoshi

    2007-03-01

    We study the traffic congestion and dispersion of vehicles occurring on a single lane highway in Hurricane evacuation. The traffic congestion depends on both sensitivity and speed of the leading vehicle. When the leading vehicle moves with low speed, the vehicular traffic exhibits the stop and go-wave (oscillating congested traffic) for low sensitivity, while the traffic results in the homogeneous congested traffic for high sensitivity. The traffic dispersion is measured by the time difference between the leading and rear vehicles. The time difference fluctuates highly for the oscillating congestion traffic, while it keeps a constant value for the homogeneous congested traffic. The traffic states in Hurricane evacuation is connected to the phase diagram of conventional traffic.

  4. Abacus switch: a new scalable multicast ATM switch

    NASA Astrophysics Data System (ADS)

    Chao, H. Jonathan; Park, Jin-Soo; Choe, Byeong-Seog

    1995-10-01

    This paper describes a new architecture for a scalable multicast ATM switch from a few tens to thousands of input ports. The switch, called Abacus switch, has a nonblocking memoryless switch fabric followed by small switch modules at the output ports; the switch has input and output buffers. Cell replication, cell routing, output contention resolution, and cell addressing are all performed distributedly in the Abacus switch so that it can be scaled up to thousnads input and output ports. A novel algorithm has been proposed to resolve output port contention while achieving input and output ports. A novel algorithm has been proposed to reolve output port contention while achieving input buffers sharing, fairness among the input ports, and multicast call splitting. The channel grouping concept is also adopted in the switch to reduce the hardware complexity and improve the switch's throughput. The Abacus switch has a regular structure and thus has the advantages of: 1) easy expansion, 2) relaxed synchronization for data and clock signals, and 3) building the switch fabric using existing CMOS technology.

  5. Time slot assignment in TDM multicast switching systems

    NASA Astrophysics Data System (ADS)

    Chen, Wen-Tsuen; Sheu, Pi-Rong; Yu, Jiunn-Hwa

    1994-01-01

    The time slot assignment problem in time-division multiplexed switching systems which can support multicast transmissions is studied. It is shown that this problem is NP-complete, i.e., computationally intractable. Two effective heuristic algorithms are proposed, and computer simulations are also performed to evaluate the performance of both algorithms. The results of the simulations indicate that the solutions generated by these heuristic algorithms are very close to the optimal on the average. In addition, this problem is also examined under a more restrictive condition that the destination sets of any two multicast packets are either identical or disjoint, a situation often encountered in many practical applications. It is proved that this special problem is still NP-complete. Two fast heuristic algorithms are given which can find solutions not greater than twice the optimal solution. Computer simulations for evaluating these two heuristic algorithms are also performed. Experimental results demonstrate that the solutions of the two algorithms are almost equal to the optimal.

  6. Game and Balance Multicast Architecture Algorithms for Sensor Grid

    PubMed Central

    Fan, Qingfeng; Wu, Qiongli; Magoulés, Frèdèric; Xiong, Naixue; Vasilakos, Athanasios V.; He, Yanxiang

    2009-01-01

    We propose a scheme to attain shorter multicast delay and higher efficiency in the data transfer of sensor grid. Our scheme, in one cluster, seeks the central node, calculates the space and the data weight vectors. Then we try to find a new vector composed by linear combination of the two old ones. We use the equal correlation coefficient between the new and old vectors to find the point of game and balance of the space and data factorsbuild a binary simple equation, seek linear parameters, and generate a least weight path tree. We handled the issue from a quantitative way instead of a qualitative way. Based on this idea, we considered the scheme from both the space and data factor, then we built the mathematic model, set up game and balance relationship and finally resolved the linear indexes, according to which we improved the transmission efficiency of sensor grid. Extended simulation results indicate that our scheme attains less average multicast delay and number of links used compared with other well-known existing schemes. PMID:22399992

  7. Verification and validation of a reliable multicast protocol

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.

    1995-01-01

    This paper describes the methods used to specify and implement a complex communications protocol that provides reliable delivery of data in multicast-capable, packet-switching telecommunication networks. The protocol, called the Reliable Multicasting Protocol (RMP), was developed incrementally by two complementary teams using a combination of formal and informal techniques in an attempt to ensure the correctness of the protocol implementation. The first team, called the Design team, initially specified protocol requirements using a variant of SCR requirements tables and implemented a prototype solution. The second team, called the V&V team, developed a state model based on the requirements tables and derived test cases from these tables to exercise the implementation. In a series of iterative steps, the Design team added new functionality to the implementation while the V&V team kept the state model in fidelity with the implementation through testing. Test cases derived from state transition paths in the formal model formed the dialogue between teams during development and served as the vehicles for keeping the model and implementation in fidelity with each other. This paper describes our experiences in developing our process model, details of our approach, and some example problems found during the development of RMP.

  8. Reinforcement learning for congestion-avoidance in packet flow

    NASA Astrophysics Data System (ADS)

    Horiguchi, Tsuyoshi; Hayashi, Keisuke; Tretiakov, Alexei

    2005-04-01

    Occurrence of congestion of packet flow in computer networks is one of the unfavorable problems in packet communication and hence its avoidance should be investigated. We use a neural network model for packet routing control in a computer network proposed in a previous paper by Horiguchi and Ishioka (Physica A 297 (2001) 521). If we assume that the packets are not sent to nodes whose buffers are already full of packets, then we find that traffic congestion occurs when the number of packets in the computer network is larger than some critical value. In order to avoid the congestion, we introduce reinforcement learning for a control parameter in the neural network model. We find that the congestion is avoided by the reinforcement learning and at the same time we have good performance for the throughput. We investigate the packet flow on computer networks of various types of topology such as a regular network, a network with fractal structure, a small-world network, a scale-free network and so on.

  9. Imaging Findings of Congestive Hepatopathy.

    PubMed

    Wells, Michael L; Fenstad, Eric R; Poterucha, Joseph T; Hough, David M; Young, Phillip M; Araoz, Philip A; Ehman, Richard L; Venkatesh, Sudhakar K

    2016-01-01

    Congestive hepatopathy (CH) refers to hepatic abnormalities that result from passive hepatic venous congestion. Prolonged exposure to elevated hepatic venous pressure may lead to liver fibrosis and cirrhosis. Liver dysfunction and corresponding clinical signs and symptoms typically manifest late in the disease process. Recognition of CH at imaging is critical because advanced liver fibrosis may develop before the condition is suspected clinically. Characteristic findings of CH on conventional images include dilatation of the inferior vena cava and hepatic veins; retrograde hepatic venous opacification during the early bolus phase of intravenous contrast material injection; and a predominantly peripheral heterogeneous pattern of hepatic enhancement due to stagnant blood flow. Extensive fibrosis can be seen in chronic or severe cases. Hyperenhancing regenerative nodules that may retain hepatobiliary contrast agents are often present. Magnetic resonance (MR) elastography can show elevated liver stiffness and may be useful in evaluation of fibrosis in CH because it can be incorporated easily into routine cardiac MR imaging. Preliminary experience with MR elastography suggests its future use in initial evaluation of patients suspected of having CH, for monitoring of disease, and for assessment after therapy. To facilitate appropriate workup and treatment, radiologists should be familiar with findings suggestive of CH at radiography, ultrasonography, computed tomography, MR imaging, and MR elastography. In addition, knowledge of underlying pathophysiology, comparative histologic abnormalities, and extrahepatic manifestations is useful to avoid diagnostic pitfalls and suggest appropriate additional diagnostic testing. (©)RSNA, 2016. PMID:27284758

  10. Increased walking variability in elderly persons with congestive heart failure

    NASA Technical Reports Server (NTRS)

    Hausdorff, J. M.; Forman, D. E.; Ladin, Z.; Goldberger, A. L.; Rigney, D. R.; Wei, J. Y.

    1994-01-01

    OBJECTIVES: To determine the effects of congestive heart failure on a person's ability to walk at a steady pace while ambulating at a self-determined rate. SETTING: Beth Israel Hospital, Boston, a primary and tertiary teaching hospital, and a social activity center for elderly adults living in the community. PARTICIPANTS: Eleven elderly subjects (aged 70-93 years) with well compensated congestive heart failure (NY Heart Association class I or II), seven elderly subjects (aged 70-79 years) without congestive heart failure, and 10 healthy young adult subjects (aged 20-30 years). MEASUREMENTS: Subjects walked for 8 minutes on level ground at their own selected walking rate. Footswitches were used to measure the time between steps. Step rate (steps/minute) and step rate variability were calculated for the entire walking period, for 30 seconds during the first minute of the walk, for 30 seconds during the last minute of the walk, and for the 30-second period when each subject's step rate variability was minimal. Group means and 5% and 95% confidence intervals were computed. MAIN RESULTS: All measures of walking variability were significantly increased in the elderly subjects with congestive heart failure, intermediate in the elderly controls, and lowest in the young subjects. There was no overlap between the three groups using the minimal 30-second variability (elderly CHF vs elderly controls: P < 0.001, elderly controls vs young: P < 0.001), and no overlap between elderly subjects with and without congestive heart failure when using the overall variability. For all four measures, there was no overlap in any of the confidence intervals, and all group means were significantly different (P < 0.05).

  11. Congestion in different topologies of traffic networks

    NASA Astrophysics Data System (ADS)

    Wu, J. J.; Gao, Z. Y.; Sun, H. J.; Huang, H. J.

    2006-05-01

    In the present paper, we consider three different types of networks (random, small-world, and scale-free) with dynamic weights and focus on how the characteristic parameters (degree distribution exponent, rewiring probability, and clustering coefficient) affect the degree of congestion and the efficiency. Experiment simulation shows that the scale-free and small-world networks are more prone to suffering from congestion than random ones at low traffic flows, but the scale-free network is more sensitive than the small-world one. Compared with other two topologies, the scale-free network, while its congestion factor rises slowly, can support much more volume of traffic as the traffic flow increases. Results also indicate that for the same value of congestion factor, there may be a different efficiency, which shows that only congestion or efficiency alone cannot evaluate the performance of networks effectively.

  12. A one-shot access scheme for a multicast switch

    NASA Astrophysics Data System (ADS)

    Chen, Xing; Hayes, Jeremiah F.; Ali, M. K. Mehmet

    The capability of handling multipoint connections is essential for many communication needs. Input port queueing along with a contention resolution algorithm is used to resolve output request conflict. A study of the performance of a one-shot access scheme for a multicast packet switch is presented. The analysis is based on an assumption of random traffic, modeled by a Bernoulli process of packet arrival and Bernoulli trials of copy distribution patterns. Input port queueing along with random-selection policy is used to resolve the output request conflict. The primary performance measurement is the packet delay. A key assumption is that all copies of the same packet must be switched in the same slot. This one-shot discipline is easier to implement than one which disperses transmission over several time slots in small or medium size switching. Simulation results agree almost perfectly with the analysis.

  13. Network congestion analysis of gravity generated models

    NASA Astrophysics Data System (ADS)

    Maniadakis, Dimitris; Varoutas, Dimitris

    2014-07-01

    The network topology has lately proved to be critical to the appearance of traffic congestion, with scale-free networks being the less affected at high volumes of traffic. Here, the congestion dynamics are investigated for a class of networks that has experienced a resurgence of interest, the networks based on the gravity model. In addition, supplementary to the standard paradigm of uniform traffic volumes between randomly interacting node pairs, more realistic gravity traffic patterns are used to simulate the flows in the network. Results indicate that depending on the traffic pattern, the networks have different tolerance to congestion. Experiment simulation shows that the topologies created on the basis of the gravity model suffer less from congestion than the random, the scale-free or the Jackson-Rogers ones under both random and gravity traffic patterns. The congestion level is found to be approximately correlated with the network clustering coefficient in the case of random traffic, whereas in the case of gravity traffic such a correlation is not a trivial one. Other basic network properties such as the average shortest path and the diameter are seen to correlate fairly well with the congestion level. Further investigation on the adjustment of the gravity model parameters indicates particular sensitivity to network congestion. This work may have practical implications for designing traffic networks with both reasonable budget and good performance.

  14. Treatment of congestion in upper respiratory diseases

    PubMed Central

    Meltzer, Eli O; Caballero, Fernan; Fromer, Leonard M; Krouse, John H; Scadding, Glenis

    2010-01-01

    Congestion, as a symptom of upper respiratory tract diseases including seasonal and perennial allergic rhinitis, acute and chronic rhinosinusitis, and nasal polyposis, is principally caused by mucosal inflammation. Though effective pharmacotherapy options exist, no agent is universally efficacious; therapeutic decisions must account for individual patient preferences. Oral H1-antihistamines, though effective for the common symptoms of allergic rhinitis, have modest decongestant action, as do leukotriene receptor antagonists. Intranasal antihistamines appear to improve congestion better than oral forms. Topical decongestants reduce congestion associated with allergic rhinitis, but local adverse effects make them unsuitable for long-term use. Oral decongestants show some efficacy against congestion in allergic rhinitis and the common cold, and can be combined with oral antihistamines. Intranasal corticosteroids have broad anti-inflammatory activities, are the most potent long-term pharmacologic treatment of congestion associated with allergic rhinitis, and show some congestion relief in rhinosinusitis and nasal polyposis. Immunotherapy and surgery may be used in some cases refractory to pharmacotherapy. Steps in congestion management include (1) diagnosis of the cause(s), (2) patient education and monitoring, (3) avoidance of environmental triggers where possible, (4) pharmacotherapy, and (5) immunotherapy (for patients with allergic rhinitis) or surgery for patients whose condition is otherwise uncontrolled. PMID:20463825

  15. Asymmetric Directional Multicast for Capillary Machine-to-Machine Using mmWave Communications

    PubMed Central

    Kwon, Jung-Hyok; Kim, Eui-Jik

    2016-01-01

    The huge demand for high data rate machine-to-machine (M2M) services has led to the use of millimeter Wave (mmWave) band communications with support for a multi-Gbps data rate through the use of directional antennas. However, unnecessary sector switching in multicast transmissions with directional antennas results in a long delay, and consequently a low throughput. We propose asymmetric directional multicast (ADM) for capillary M2M to address this problem in mmWave communications. ADM provides asymmetric sectorization that is optimized for the irregular deployment pattern of mulicast group members. In ADM, an M2M gateway builds up asymmetric sectors with a beamwidth of a different size to cover all multicast group members with the minimum number of directional transmissions. The performance of ADM under various simulation environments is evaluated through a comparison with legacy mmWave multicast. The results of the simulation indicate that ADM achieves a better performance in terms of the transmission sectors, the transmission time, and the aggregate throughput when compared with the legacy multicast method. PMID:27077859

  16. Mobility Based Key Management Technique for Multicast Security in Mobile Ad Hoc Networks

    PubMed Central

    Madhusudhanan, B.; Chitra, S.; Rajan, C.

    2015-01-01

    In MANET multicasting, forward and backward secrecy result in increased packet drop rate owing to mobility. Frequent rekeying causes large message overhead which increases energy consumption and end-to-end delay. Particularly, the prevailing group key management techniques cause frequent mobility and disconnections. So there is a need to design a multicast key management technique to overcome these problems. In this paper, we propose the mobility based key management technique for multicast security in MANET. Initially, the nodes are categorized according to their stability index which is estimated based on the link availability and mobility. A multicast tree is constructed such that for every weak node, there is a strong parent node. A session key-based encryption technique is utilized to transmit a multicast data. The rekeying process is performed periodically by the initiator node. The rekeying interval is fixed depending on the node category so that this technique greatly minimizes the rekeying overhead. By simulation results, we show that our proposed approach reduces the packet drop rate and improves the data confidentiality. PMID:25834838

  17. Asymmetric Directional Multicast for Capillary Machine-to-Machine Using mmWave Communications.

    PubMed

    Kwon, Jung-Hyok; Kim, Eui-Jik

    2016-01-01

    The huge demand for high data rate machine-to-machine (M2M) services has led to the use of millimeter Wave (mmWave) band communications with support for a multi-Gbps data rate through the use of directional antennas. However, unnecessary sector switching in multicast transmissions with directional antennas results in a long delay, and consequently a low throughput. We propose asymmetric directional multicast (ADM) for capillary M2M to address this problem in mmWave communications. ADM provides asymmetric sectorization that is optimized for the irregular deployment pattern of mulicast group members. In ADM, an M2M gateway builds up asymmetric sectors with a beamwidth of a different size to cover all multicast group members with the minimum number of directional transmissions. The performance of ADM under various simulation environments is evaluated through a comparison with legacy mmWave multicast. The results of the simulation indicate that ADM achieves a better performance in terms of the transmission sectors, the transmission time, and the aggregate throughput when compared with the legacy multicast method. PMID:27077859

  18. Many-to-many multicast routing schemes under a fixed topology.

    PubMed

    Ding, Wei; Wang, Hongfa; Wei, Xuerui

    2013-01-01

    Many-to-many multicast routing can be extensively applied in computer or communication networks supporting various continuous multimedia applications. The paper focuses on the case where all users share a common communication channel while each user is both a sender and a receiver of messages in multicasting as well as an end user. In this case, the multicast tree appears as a terminal Steiner tree (TeST). The problem of finding a TeST with a quality-of-service (QoS) optimization is frequently NP-hard. However, we discover that it is a good idea to find a many-to-many multicast tree with QoS optimization under a fixed topology. In this paper, we are concerned with three kinds of QoS optimization objectives of multicast tree, that is, the minimum cost, minimum diameter, and maximum reliability. All of three optimization problems are distributed into two types, the centralized and decentralized version. This paper uses the dynamic programming method to devise an exact algorithm, respectively, for the centralized and decentralized versions of each optimization problem. PMID:23589706

  19. Traffic congestion in interconnected complex networks

    NASA Astrophysics Data System (ADS)

    Tan, Fei; Wu, Jiajing; Xia, Yongxiang; Tse, Chi K.

    2014-06-01

    Traffic congestion in isolated complex networks has been investigated extensively over the last decade. Coupled network models have recently been developed to facilitate further understanding of real complex systems. Analysis of traffic congestion in coupled complex networks, however, is still relatively unexplored. In this paper, we try to explore the effect of interconnections on traffic congestion in interconnected Barabási-Albert scale-free networks. We find that assortative coupling can alleviate traffic congestion more readily than disassortative and random coupling when the node processing capacity is allocated based on node usage probability. Furthermore, the optimal coupling probability can be found for assortative coupling. However, three types of coupling preferences achieve similar traffic performance if all nodes share the same processing capacity. We analyze interconnected Internet autonomous-system-level graphs of South Korea and Japan and obtain similar results. Some practical suggestions are presented to optimize such real-world interconnected networks accordingly.

  20. Understanding congested travel in urban areas.

    PubMed

    Çolak, Serdar; Lima, Antonio; González, Marta C

    2016-01-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings. PMID:26978719

  1. Understanding congested travel in urban areas

    PubMed Central

    Çolak, Serdar; Lima, Antonio; González, Marta C.

    2016-01-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings. PMID:26978719

  2. Understanding congested travel in urban areas

    NASA Astrophysics Data System (ADS)

    Çolak, Serdar; Lima, Antonio; González, Marta C.

    2016-03-01

    Rapid urbanization and increasing demand for transportation burdens urban road infrastructures. The interplay of number of vehicles and available road capacity on their routes determines the level of congestion. Although approaches to modify demand and capacity exist, the possible limits of congestion alleviation by only modifying route choices have not been systematically studied. Here we couple the road networks of five diverse cities with the travel demand profiles in the morning peak hour obtained from billions of mobile phone traces to comprehensively analyse urban traffic. We present that a dimensionless ratio of the road supply to the travel demand explains the percentage of time lost in congestion. Finally, we examine congestion relief under a centralized routing scheme with varying levels of awareness of social good and quantify the benefits to show that moderate levels are enough to achieve significant collective travel time savings.

  3. Focus on renal congestion in heart failure

    PubMed Central

    Afsar, Baris; Ortiz, Alberto; Covic, Adrian; Solak, Yalcin; Goldsmith, David; Kanbay, Mehmet

    2016-01-01

    Hospitalizations due to heart failure are increasing steadily despite advances in medicine. Patients hospitalized for worsening heart failure have high mortality in hospital and within the months following discharge. Kidney dysfunction is associated with adverse outcomes in heart failure patients. Recent evidence suggests that both deterioration in kidney function and renal congestion are important prognostic factors in heart failure. Kidney congestion in heart failure results from low cardiac output (forward failure), tubuloglomerular feedback, increased intra-abdominal pressure or increased venous pressure. Regardless of the cause, renal congestion is associated with increased morbidity and mortality in heart failure. The impact on outcomes of renal decongestion strategies that do not compromise renal function should be explored in heart failure. These studies require novel diagnostic markers that identify early renal damage and renal congestion and allow monitoring of treatment responses in order to avoid severe worsening of renal function. In addition, there is an unmet need regarding evidence-based therapeutic management of renal congestion and worsening renal function. In the present review, we summarize the mechanisms, diagnosis, outcomes, prognostic markers and treatment options of renal congestion in heart failure. PMID:26798459

  4. A novel optical path routing network that combines coarse granularity optical multicast with fine granularity add/drop and block

    NASA Astrophysics Data System (ADS)

    Soares, Mauro M.; Mori, Yojiro; Hasegawa, Hiroshi; Sato, Ken-ichi

    2015-01-01

    We propose a novel optical path routing mechanism that combines coarse-granularity optical multicast with fine-granularity add/drop and block. We implement the proposal in an optical cross-connect node with broadcast-and-select functionality that offers high cost-effectiveness since no addition equipment from conventional ROADMs is needed. The proposed method, called branching, enhances the routing capabilities over the original grouped routing networks by enabling wavelength paths to be established through different GRE pipes. We also present a novel path/GRE routing and wavelength/GRE index assignment algorithm that supports the new routing function. Numerical experiments using real network topologies verify the improved routing performance and the superior efficiency of the proposed control algorithm over original GRE-based networks.

  5. Noise performance of phase-insensitive multicasting in multi-stage parametric mixers.

    PubMed

    Huynh, Christopher K; Tong, Zhi; Myslivets, Evgeny; Wiberg, Andreas O J; Adleman, James R; Zlatanovic, Sanja; Jacobs, Everett W; Radic, Stojan

    2013-01-14

    Noise properties of large-count spectral multicasting in a phase-insensitive parametric mixer were investigated. Scalable multicasting was achieved using two-tone continuous-wave seeded mixers capable of generating more than 20 frequency non-degenerate copies. The mixer was constructed using a multistage architecture to simultaneously manage high Figure-of-Merit frequency generation and suppress noise generation. The performance was characterized by measuring the conversion efficiency and noise figure of all signal copies. Minimum noise figure of 8.09dB was measured. Experimental findings confirm that noise of the multicasted signal does not grow linearly with copy count and that it can be suppressed below this limit. PMID:23388973

  6. Wavelength Requirements for a Scalable Multicast Single-Hop Wdm Network

    NASA Astrophysics Data System (ADS)

    Yousif, Rabi W.; Ali, Borhanuddin Mohd; Abdullah, Mohd Khazani; Seman, Kamaruzzaman Bin; Baba, Mohd Dani

    2010-06-01

    In this paper, we present a method for designing a passive optical based single-hop wavelength division multiplexing multicast architecture that can achieve a scalable structure and form the basis of a wavelength efficient single-hop WDM network. The proposed architecture minimizes the number of wavelengths required for efficient multicast service and also minimizes tunability requirement of the transceivers. The network size scalability is achieved by adding transmitters and receivers to the designated groups. We show that the proposed system can accommodate large tuning delays and keeps with suitable throughput when the number of wavelength is equal to the number of nodes. We also show that the design can lead to a scalable structure while minimizing the number of wavelengths and tunability of the transceivers required for an efficient multicast service resulting in an improved system throughput and delay performance.

  7. The specification-based validation of reliable multicast protocol: Problem Report. M.S. Thesis

    NASA Technical Reports Server (NTRS)

    Wu, Yunqing

    1995-01-01

    Reliable Multicast Protocol (RMP) is a communication protocol that provides an atomic, totally ordered, reliable multicast service on top of unreliable IP multicasting. In this report, we develop formal models for RMP using existing automated verification systems, and perform validation on the formal RMP specifications. The validation analysis help identifies some minor specification and design problems. We also use the formal models of RMP to generate a test suite for conformance testing of the implementation. Throughout the process of RMP development, we follow an iterative, interactive approach that emphasizes concurrent and parallel progress of implementation and verification processes. Through this approach, we incorporate formal techniques into our development process, promote a common understanding for the protocol, increase the reliability of our software, and maintain high fidelity between the specifications of RMP and its implementation.

  8. An FEC Adaptive Multicast MAC Protocol for Providing Reliability in WLANs

    NASA Astrophysics Data System (ADS)

    Basalamah, Anas; Sato, Takuro

    For wireless multicast applications like multimedia conferencing, voice over IP and video/audio streaming, a reliable transmission of packets within short delivery delay is needed. Moreover, reliability is crucial to the performance of error intolerant applications like file transfer, distributed computing, chat and whiteboard sharing. Forward Error Correction (FEC) is frequently used in wireless multicast to enhance Packet Error Rate (PER) performance, but cannot assure full reliability unless coupled with Automatic Repeat Request forming what is knows as Hybrid-ARQ. While reliable FEC can be deployed at different levels of the protocol stack, it cannot be deployed on the MAC layer of the unreliable IEEE802.11 WLAN due to its inability to exchange ACKs with multiple recipients. In this paper, we propose a Multicast MAC protocol that enhances WLAN reliability by using Adaptive FEC and study it's performance through mathematical analysis and simulation. Our results show that our protocol can deliver high reliability and throughput performance.

  9. Scalable Multicast Protocols for Overlapped Groups in Broker-Based Sensor Networks

    NASA Astrophysics Data System (ADS)

    Kim, Chayoung; Ahn, Jinho

    In sensor networks, there are lots of overlapped multicast groups because of many subscribers, associated with their potentially varying specific interests, querying every event to sensors/publishers. And gossip based communication protocols are promising as one of potential solutions providing scalability in P(Publish)/ S(Subscribe) paradigm in sensor networks. Moreover, despite the importance of both guaranteeing message delivery order and supporting overlapped multicast groups in sensor or P2P networks, there exist little research works on development of gossip-based protocols to satisfy all these requirements. In this paper, we present two versions of causally ordered delivery guaranteeing protocols for overlapped multicast groups. The one is based on sensor-broker as delegates and the other is based on local views and delegates representing subscriber subgroups. In the sensor-broker based protocol, sensor-broker might lead to make overlapped multicast networks organized by subscriber's interests. The message delivery order has been guaranteed consistently and all multicast messages are delivered to overlapped subscribers using gossip based protocols by sensor-broker. Therefore, these features of the sensor-broker based protocol might be significantly scalable rather than those of the protocols by hierarchical membership list of dedicated groups like traditional committee protocols. And the subscriber-delegate based protocol is much stronger rather than fully decentralized protocols guaranteeing causally ordered delivery based on only local views because the message delivery order has been guaranteed consistently by all corresponding members of the groups including delegates. Therefore, this feature of the subscriber-delegate protocol is a hybrid approach improving the inherent scalability of multicast nature by gossip-based technique in all communications.

  10. All-optical UWB signal generation and multicasting using a nonlinear optical loop mirror.

    PubMed

    Huang, Tianye; Li, Jia; Sun, Junqiang; Chen, Lawrence R

    2011-08-15

    An all-optical scheme for ultra-wideband (UWB) signal generation (positive and negative monocycle and doublet pulses) and multicasting using a nonlinear optical loop mirror (NOLM) is proposed and demonstrated. Five UWB signals (1 monocycle and 4 doublet pulses) are generated simultaneously from a single Gaussian optical pulse. The fractional bandwidths of the monocycle pulses are approximately 100% while those of the doublet pulses range from 100% to 133%. The UWB signals are then modulated using a 2(15)-1 pseudorandom bit sequence (PRBS) and error-free performance for each multicast channel is obtained. PMID:21934951

  11. All-optical UWB signal generation and multicasting using a nonlinear optical loop mirror

    NASA Astrophysics Data System (ADS)

    Huang, Tianye; Li, Jia; Sun, Junqiang; Chen, Lawrence R.

    2011-08-01

    An all-optical scheme for ultra-wideband (UWB) signal generation (positive and negative monocycle and doublet pulses) and multicasting using a nonlinear optical loop mirror (NOLM) is proposed and demonstrated. Five UWB signals (1 monocycle and 4 doublet pulses) are generated simultaneously from a single Gaussian optical pulse. The fractional bandwidths of the monocycle pulses are approximately 100% while those of the doublet pulses range from 100% to 133%. The UWB signals are then modulated using a 215 - 1 pseudorandom bit sequence (PRBS) and error-free performance for each multicast channel is obtained.

  12. Rate allocation protocol using competitive pricing for improving performance of multicast sessions

    NASA Astrophysics Data System (ADS)

    Levy, Zohar; Dolev, Danny

    1998-10-01

    Rate allocation using the Max-Min fairness criterion may highly discriminate against multicast and long unicast sessions and may lead to sever network underutilization. In this paper, we present a solution for rate allocation that is based on competitive pricing. The resultant allocation increases fairness towards multicast sessions and improves network utilization considerably. The solution requires no re-routing of sessions. The economy on which we base our solution is simple enough, enabling its implementation for practical use. We present a distributed asynchronous protocol suitable for the ATM ABR service, which achieves the economy's allocation efficiently and with short convergence time.

  13. Design alternatives for process group membership and multicast

    NASA Technical Reports Server (NTRS)

    Birman, Kenneth P.; Cooper, Robert; Gleeson, Barry

    1991-01-01

    Process groups are a natural tool for distributed programming, and are increasingly important in distributed computing environments. However, there is little agreement on the most appropriate semantics for process group membership and group communication. These issues are of special importance in the Isis system, a toolkit for distributed programming. Isis supports several styles of process group, and a collection of group communication protocols spanning a range of atomicity and ordering properties. This flexibility makes Isis adaptable to a variety of applications, but is also a source of complexity that limits performance. This paper reports on a new architecture that arose from an effort to simplify Isis process group semantics. Our findings include a refined notion of how the clients of a group should be treated, what the properties of a multicast primitive should be when systems contain large numbers of overlapping groups, and a new construct called the casuality domain. As an illustration, we apply the architecture to the problem of converting processes into fault-tolerant process groups in a manner that is 'transparent' to other processes in the system.

  14. Congestion Transition in Air Traffic Networks

    PubMed Central

    Monechi, Bernardo; Servedio, Vito D. P.; Loreto, Vittorio

    2015-01-01

    Air Transportation represents a very interesting example of a complex techno-social system whose importance has considerably grown in time and whose management requires a careful understanding of the subtle interplay between technological infrastructure and human behavior. Despite the competition with other transportation systems, a growth of air traffic is still foreseen in Europe for the next years. The increase of traffic load could bring the current Air Traffic Network above its capacity limits so that safety standards and performances might not be guaranteed anymore. Lacking the possibility of a direct investigation of this scenario, we resort to computer simulations in order to quantify the disruptive potential of an increase in traffic load. To this end we model the Air Transportation system as a complex dynamical network of flights controlled by humans who have to solve potentially dangerous conflicts by redirecting aircraft trajectories. The model is driven and validated through historical data of flight schedules in a European national airspace. While correctly reproducing actual statistics of the Air Transportation system, e.g., the distribution of delays, the model allows for theoretical predictions. Upon an increase of the traffic load injected in the system, the model predicts a transition from a phase in which all conflicts can be successfully resolved, to a phase in which many conflicts cannot be resolved anymore. We highlight how the current flight density of the Air Transportation system is well below the transition, provided that controllers make use of a special re-routing procedure. While the congestion transition displays a universal scaling behavior, its threshold depends on the conflict solving strategy adopted. Finally, the generality of the modeling scheme introduced makes it a flexible general tool to simulate and control Air Transportation systems in realistic and synthetic scenarios. PMID:25993476

  15. Congestion transition in air traffic networks.

    PubMed

    Monechi, Bernardo; Servedio, Vito D P; Loreto, Vittorio

    2015-01-01

    Air Transportation represents a very interesting example of a complex techno-social system whose importance has considerably grown in time and whose management requires a careful understanding of the subtle interplay between technological infrastructure and human behavior. Despite the competition with other transportation systems, a growth of air traffic is still foreseen in Europe for the next years. The increase of traffic load could bring the current Air Traffic Network above its capacity limits so that safety standards and performances might not be guaranteed anymore. Lacking the possibility of a direct investigation of this scenario, we resort to computer simulations in order to quantify the disruptive potential of an increase in traffic load. To this end we model the Air Transportation system as a complex dynamical network of flights controlled by humans who have to solve potentially dangerous conflicts by redirecting aircraft trajectories. The model is driven and validated through historical data of flight schedules in a European national airspace. While correctly reproducing actual statistics of the Air Transportation system, e.g., the distribution of delays, the model allows for theoretical predictions. Upon an increase of the traffic load injected in the system, the model predicts a transition from a phase in which all conflicts can be successfully resolved, to a phase in which many conflicts cannot be resolved anymore. We highlight how the current flight density of the Air Transportation system is well below the transition, provided that controllers make use of a special re-routing procedure. While the congestion transition displays a universal scaling behavior, its threshold depends on the conflict solving strategy adopted. Finally, the generality of the modeling scheme introduced makes it a flexible general tool to simulate and control Air Transportation systems in realistic and synthetic scenarios. PMID:25993476

  16. Limb congestion enhances the synchronization of sympathetic outflow with muscle contraction

    NASA Technical Reports Server (NTRS)

    Mostoufi-Moab, S.; Herr, M. D.; Silber, D. H.; Gray, K. S.; Leuenberger, U. A.; Sinoway, L. I.

    2000-01-01

    In this report, we examined if the synchronization of muscle sympathetic nerve activity (MSNA) with muscle contraction is enhanced by limb congestion. To explore this relationship, we applied signal-averaging techniques to the MSNA signal obtained during short bouts of forearm contraction (2-s contraction/3-s rest cycle) at 40% maximal voluntary contraction for 5 min. We performed this analysis before and after forearm venous congestion; an intervention that augments the autonomic response to sustained static muscle contractions via a local effect on muscle afferents. There was an increased percentage of the MSNA noted during second 2 of the 5-s contraction/rest cycles. The percentage of total MSNA seen during this particular second increased from minute 1 to 5 of contraction and was increased further by limb congestion (control minute 1 = 25.6 +/- 2.0%, minute 5 = 32.8 +/- 2.2%; limb congestion minute 1 = 29.3 +/- 2.1%, minute 5 = 37.8 +/- 3.9%; exercise main effect <0.005; limb congestion main effect P = 0.054). These changes in the distribution of signal-averaged MSNA were seen despite the fact that the mean number of sympathetic discharges did not increase over baseline. We conclude that synchronization of contraction and MSNA is seen during short repetitive bouts of handgrip. The sensitizing effect of contraction time and limb congestion are apparently due to feedback from muscle afferents within the exercising muscle.

  17. Design of On-Chip N-Fold Orbital Angular Momentum Multicasting Using V-Shaped Antenna Array

    PubMed Central

    Du, Jing; Wang, Jian

    2015-01-01

    We design a V-shaped antenna array to realize on-chip multicasting from a single Gaussian beam to four orbital angular momentum (OAM) beams. A pattern search assisted iterative (PSI) algorithm is used to design an optimized continuous phase pattern which is further discretized to generate collinearly superimposed multiple OAM beams. Replacing the designed discrete phase pattern with corresponding V-shaped antennas, on-chip N-fold OAM multicasting is achieved. The designed on-chip 4-fold OAM multicasting exploiting V-shaped antenna array shows favorable operation performance with low crosstalk less than -15 dB. PMID:25951325

  18. Congestive heart failure in the elderly.

    PubMed

    Rengo, F; Acanfora, D; Trojano, L; Furgi, G; Picone, C; Iannuzzi, G L; Vitale, D F; Rengo, C; Ferrara, N

    1996-01-01

    Several aspects of congestive heart failure are discussed in the light of international literature and of recent findings of our group. The annual incidence of heart failure in elderly subjects, aged >or=75y, is 13 to 50/1000, while it is 1.6/1000 in people aged 45-54 y. The prevalence of heart failure is about 3% in subjects aged 45-64% in subjects aged more than 65 y and 10% in subjects aged more than 75 y. These data are confirmed by our population based study in elderly subjects. The etiology of congestive heart failure is similar in elderly and middle-aged patients. However, several anatomo-functional, hormonal and autonomic nervous system changes, typical of congestive heart failure, occur during physiologic ageing processes also. These findings may explain the dramatic evolution of congestive heart failure in elderly patients. Moreover, some features of the elderly - e.g. comorbidity, atypical clinical presentations, loss of autonomy, increased iatrogen risk should be considered. No specific drugs exist for the pharmacologic treatment of heart failure in the elderly, so that the geriatric specificity in the treatment of heart failure can be recognized in the art of drug choice and dosage, to obtain the best results with the least side effects. The multiple etiology of congestive heart failure, the comorbidity, the loss of autonomy and the deterioration of cognitive functions suggest the need for multidimensional approach and continuative intervention in elderly patients with heart disease, and in particular with congestive heart failure. Further studies on disease- and age-related changes are necessary to develop new and more potent strategies to secure 'successful ageing'. PMID:15374141

  19. Broadcast and multicast for customer communications and distribution automation. Final report

    SciTech Connect

    Ennis, G.; Lala, T.K.

    1996-06-01

    This document presents the results of a study undertaken by First Pacific Networks as part of EPRI Project RP-3567-01 regarding the support of broadcast services within the EPRI Utility Communications Architecture (UCA) protocols and the use of such services by UCA applications. This report has focused on the requirements and architectural implications of broadcast within UCA. A subsequent phase of this project is to develop specific recommendations for extending CUA so as to support broadcast. The conclusions of this report are presented in Section 5. The authors summarize the major conclusions as follows: broadcast and multicast support would be very useful within UCA, not only for utility-specific applications but also simply to support the network engineering of a large-scale communications system, in this regard, UCA is no different from other large network systems which have found broadcast and multicast to be of substantial benefit for a variety of system management purposes; the primary architectural impact of broadcast and multicast falls on the UCA network level (which would need to be enhanced) and the UCA application level (which would be the user of broadcast); there is a useful subset of MMS services which could take advantage of broadcast; the UCA network level would need to be enhanced both in the areas of addressing and routing so as to properly support broadcast. A subsequent analysis will be required to define the specific enhancements to UCA required to support broadcast and multicast.

  20. Performance investigation of optical multicast overlay system using orthogonal modulation format

    NASA Astrophysics Data System (ADS)

    Singh, Simranjit; Singh, Sukhbir; Kaur, Ramandeep; Kaler, R. S.

    2015-03-01

    We proposed a bandwidth efficient wavelength division multiplexed-passive optical network (WDM-PON) to simultaneously transmit 60 Gb/s unicast and 10 Gb/s multicast services with 10 Gb/s upstream. The differential phase shift keying (DPSK) multicast signal is superimposed onto multiplexed non-return to zero/polarization shift keying (NRZ/PolSK) orthogonal modulated data signals. Upstream amplitude shift keying (ASK) signals formed without use of any additional light source and superimposed onto received unicast NRZ/PolSK signal before being transmitted back to optical line terminal (OLT). We also investigated the proposed WDM-PON system for variable optical input power, transmission distance of single mode fiber in multicast enable and disable mode. The measured Quality factor for all unicast and multicast signal is in acceptable range (>6). The original contribution of this paper is to propose a bandwidth efficient WDM-PON system that could be projected even in high speed scenario at reduced channel spacing and expected to be more technical viable due to use of optical orthogonal modulation formats.

  1. A Secure Multicast Framework in Large and High-Mobility Network Groups

    NASA Astrophysics Data System (ADS)

    Lee, Jung-San; Chang, Chin-Chen

    With the widespread use of Internet applications such as Teleconference, Pay-TV, Collaborate tasks, and Message services, how to construct and distribute the group session key to all group members securely is becoming and more important. Instead of adopting the point-to-point packet delivery, these emerging applications are based upon the mechanism of multicast communication, which allows the group member to communicate with multi-party efficiently. There are two main issues in the mechanism of multicast communication: Key Distribution and Scalability. The first issue is how to distribute the group session key to all group members securely. The second one is how to maintain the high performance in large network groups. Group members in conventional multicast systems have to keep numerous secret keys in databases, which makes it very inconvenient for them. Furthermore, in case that a member joins or leaves the communication group, many involved participants have to change their own secret keys to preserve the forward secrecy and the backward secrecy. We consequently propose a novel version for providing secure multicast communication in large network groups. Our proposed framework not only preserves the forward secrecy and the backward secrecy but also possesses better performance than existing alternatives. Specifically, simulation results demonstrate that our scheme is suitable for high-mobility environments.

  2. Energy-Efficient Algorithm for Multicasting in Duty-Cycled Sensor Networks.

    PubMed

    Chen, Quan; Cheng, Siyao; Gao, Hong; Li, Jianzhong; Cai, Zhipeng

    2015-01-01

    Multicasting is a fundamental network service for one-to-many communications in wireless sensor networks. However, when the sensor nodes work in an asynchronous duty-cycled way, the sender may need to transmit the same message several times to one group of its neighboring nodes, which complicates the minimum energy multicasting problem. Thus, in this paper, we study the problem of minimum energy multicasting with adjusted power (the MEMAP problem) in the duty-cycled sensor networks, and we prove it to be NP-hard. To solve such a problem, the concept of an auxiliary graph is proposed to integrate the scheduling problem of the transmitting power and transmitting time slot and the constructing problem of the minimum multicast tree in MEMAP, and a greedy algorithm is proposed to construct such a graph. Based on the proposed auxiliary graph, an approximate scheduling and constructing algorithm with an approximation ratio of 4 l n K is proposed, where K is the number of destination nodes. Finally, the theoretical analysis and experimental results verify the efficiency of the proposed algorithm in terms of the energy cost and transmission redundancy. PMID:26690446

  3. Energy-Efficient Algorithm for Multicasting in Duty-Cycled Sensor Networks

    PubMed Central

    Chen, Quan; Cheng, Siyao; Gao, Hong; Li, Jianzhong; Cai, Zhipeng

    2015-01-01

    Multicasting is a fundamental network service for one-to-many communications in wireless sensor networks. However, when the sensor nodes work in an asynchronous duty-cycled way, the sender may need to transmit the same message several times to one group of its neighboring nodes, which complicates the minimum energy multicasting problem. Thus, in this paper, we study the problem of minimum energy multicasting with adjusted power (the MEMAP problem) in the duty-cycled sensor networks, and we prove it to be NP-hard. To solve such a problem, the concept of an auxiliary graph is proposed to integrate the scheduling problem of the transmitting power and transmitting time slot and the constructing problem of the minimum multicast tree in MEMAP, and a greedy algorithm is proposed to construct such a graph. Based on the proposed auxiliary graph, an approximate scheduling and constructing algorithm with an approximation ratio of 4lnK is proposed, where K is the number of destination nodes. Finally, the theoretical analysis and experimental results verify the efficiency of the proposed algorithm in terms of the energy cost and transmission redundancy. PMID:26690446

  4. Congestive Heart Failure and Central Sleep Apnea.

    PubMed

    Sands, Scott A; Owens, Robert L

    2016-03-01

    Congestive heart failure (CHF) is among the most common causes of admission to hospitals in the United States, especially in those over age 65. Few data exist regarding the prevalence CHF of Cheyne-Stokes respiration (CSR) owing to congestive heart failure in the intensive care unit (ICU). Nevertheless, CSR is expected to be highly prevalent among those with CHF. Treatment should focus on the underlying mechanisms by which CHF increases loop gain and promotes unstable breathing. Few data are available to determine prevalence of CSR in the ICU, or how CSR might affect clinical management and weaning from mechanical ventilation. PMID:26972039

  5. Demonstration of obstruction-free data-carrying N-fold Bessel modes multicasting from a single Gaussian mode.

    PubMed

    Zhu, Long; Wang, Jian

    2015-12-01

    By designing and optimizing complex phase pattern combining with axicon phase distribution, we report data multicasting from a single Gaussian mode to multiple Bessel modes using a single phase-only spatial light modulator. Under the obstructed path conditions, obstruction-free data-carrying N-fold Bessel modes multicasting is demonstrated in the experiment. We also experimentally study N-fold multicasting of a 20 Gbit/s quadrature phase-shift keying signal from a single Gaussian mode to multiple Bessel modes and measure the link performance. All the multicasted Bessel modes show relatively low crosstalk from their neighboring modes and achieve a bit-error rate of less than 1e-3. PMID:26625026

  6. Managing congestive heart failure using home telehealth.

    PubMed

    Schneider, Nina M

    2004-10-01

    Congestive heart failure (CHF) is the leading cause of rehospitalization and loss of revenue for home care agencies and hospitals. This article outlines how an agency used telehealth to provide CHF patients quality care and improved outcomes while decreasing the number of skilled home nursing visits and reducing rehospitalization rates to 1.2%. PMID:15486513

  7. Congestive Heart Failure home monitoring pilot study in urban Denver.

    PubMed

    Bakhshi, Saba; Li, Xin; Semenov, Nikolay; Apodaca-Madrid, Jesús; Mahoor, Mohammad H; Newman, Kimberly E; Long, Carlin S; Neuman, Christine

    2011-01-01

    With a growing number of low-income patients developing Congestive Heart Failure in urban Denver, accessible and affordable solutions are needed to provide home management options. A multidisciplinary team evaluated currently available options for telemonitoring and developed a solution for an initial pilot study. This system is currently used in the Denver Metro area (Colorado) for 44 CHF patients. Preliminary results show this approach is effective and has reduced the patients' average length of stay at the hospital compared to historical data and control patients who do not use a remote monitoring system. PMID:22255008

  8. “Playboy Bunny” Sign of Congestive Heart Failure

    PubMed Central

    Hokama, Akira; Arakaki, Shingo; Shibata, Daisuke; Maeshiro, Tatsuji; Kinjo, Fukunori; Fujita, Jiro

    2011-01-01

    In emergency, ultrasound has been widely used as a noninvasive and effective examination to evaluate congestive heart failure. We highlight “Playboy Bunny” sign as a reliable marker and an important clue to the diagnosis of passive hepatic congestion, caused by congestive heart failure. PMID:22224133

  9. Analysis of Aircraft Clusters to Measure Sector-Independent Airspace Congestion

    NASA Technical Reports Server (NTRS)

    Bilimoria, Karl D.; Lee, Hilda Q.

    2005-01-01

    The Distributed Air/Ground Traffic Management (DAG-TM) concept of operations* permits appropriately equipped aircraft to conduct Free Maneuvering operations. These independent aircraft have the freedom to optimize their trajectories in real time according to user preferences; however, they also take on the responsibility to separate themselves from other aircraft while conforming to any local Traffic Flow Management (TFM) constraints imposed by the air traffic service provider (ATSP). Examples of local-TFM constraints include temporal constraints such as a required time of arrival (RTA), as well as spatial constraints such as regions of convective weather, special use airspace, and congested airspace. Under current operations, congested airspace typically refers to a sector(s) that cannot accept additional aircraft due to controller workload limitations; hence Dynamic Density (a metric that is indicative of controller workload) can be used to quantify airspace congestion. However, for Free Maneuvering operations under DAG-TM, an additional metric is needed to quantify the airspace congestion problem from the perspective of independent aircraft. Such a metric would enable the ATSP to prevent independent aircraft from entering any local areas of congestion in which the flight deck based systems and procedures may not be able to ensure separation. This new metric, called Gaggle Density, offers the ATSP a mode of control to regulate normal operations and to ensure safety and stability during rare-normal or off-normal situations (e.g., system failures). It may be difficult to certify Free Maneuvering systems for unrestricted operations, but it may be easier to certify systems and procedures for specified levels of Gaggle Density that could be monitored by the ATSP, and maintained through relatively minor flow-rate (RTA type) restrictions. Since flight deck based separation assurance is airspace independent, the challenge is to measure congestion independent of sector

  10. Improving Explicit Congestion Notification with the Mark-Front Strategy

    NASA Technical Reports Server (NTRS)

    Liu, Chunlei; Jain, Raj

    2001-01-01

    Delivering congestion signals is essential to the performance of networks. Current TCP/IP networks use packet losses to signal congestion. Packet losses not only reduces TCP performance, but also adds large delay. Explicit Congestion Notification (ECN) delivers a faster indication of congestion and has better performance. However, current ECN implementations mark the packet from the tail of the queue. In this paper, we propose the mark-front strategy to send an even faster congestion signal. We show that mark-front strategy reduces buffer size requirement, improves link efficiency and provides better fairness among users. Simulation results that verify our analysis are also presented.

  11. Nitrendipine binding in congestive heart failure due to myocardial infarction

    SciTech Connect

    Dixon, I.M.; Lee, S.L.; Dhalla, N.S. )

    1990-03-01

    Depressed cardiac pump function is the hallmark of congestive heart failure, and it is suspected that decreased influx of Ca2+ into the cardiac cell is responsible for depressed contractile function. Since Ca2+ channels in the sarcolemmal membrane are considered to be an important route for the entry of Ca2+, we examined the status of Ca2+ receptors/channels in failing rat hearts after myocardial infarction of the left ventricular free wall. For this purpose, the left coronary artery was ligated and hearts were examined 4, 8, and 16 weeks later; sham-operated animals served as controls. Hemodynamic assessment revealed decreased total mechanical energy (left ventricular systolic pressure x heart rate), increased left ventricular diastolic pressure, and decreased positive and negative dP/dt in experimental animals at 4, 8, and 16 weeks. Although accumulation of ascites in the abdominal cavity was evident at 4 weeks, other clinical signs of congestive heart failure in experimental rats were evident from the presence of lung congestion and cardiac dilatation at 8 and 16 weeks after induction of myocardial infarction. The density of Ca2+ receptors/channels in crude membranes, as assessed by (3H)nitrendipine binding assay, was found to be decreased in the uninfarcted experimental left ventricle at 8 and 16 weeks; however, no change in the affinity of nitrendipine was evident. A similar depression in the specific binding of another dihydropyridine compound, (3H)PN200-110, was also evident in failing hearts. Brain and skeletal muscle crude membrane preparations, unlike those of the right ventricle and liver, revealed a decrease in Ca2+ receptors/channels density in experimental animals at 16 weeks.

  12. Nonlinear dynamics of congestive heart failure (Invited Paper)

    NASA Astrophysics Data System (ADS)

    Bernjak, Alan; Clarkson, Peter B. M.; McClintock, Peter V. E.; Stefanovska, Aneta

    2005-05-01

    Preliminary results are reported from a research project analysing congestive heart failure in terms a stochastic coupled-oscillator model of the cardiovascular system. Measurements of blood flow by laser Doppler flowmetry (LDF) have been processed by use of the wavelet transform to separate its oscillatory components, which number at least five. Particular attention was concentrated on the frequency content near 0.01 Hz, which is known to be associated with endothelial function. The LDF was carried out in conjunction with iontophoretically administered acetylcholine (ACh) and sodium nitroprusside (SNP) in order to evaluate endothelial reactivity. Measurements were made on 17 congestive heart failure (CHF) patients (a) on first diagnosis, and (b) again several weeks later after their treatment with a β-blocker had been stabilised. The results of these two sets of measurements are being compared with each other, and with data from an age and sex-matched group of healthy controls. It is confirmed that endothelial reactivity is reduced in CHF patients, as compared to healthy controls, and it is found that one effect of the Beta-blocker is to ameliorate the loss of endothelial function in CHF. The implications of these results are discussed.

  13. Can complexity decrease in congestive heart failure?

    NASA Astrophysics Data System (ADS)

    Mukherjee, Sayan; Palit, Sanjay Kumar; Banerjee, Santo; Ariffin, M. R. K.; Rondoni, Lamberto; Bhattacharya, D. K.

    2015-12-01

    The complexity of a signal can be measured by the Recurrence period density entropy (RPDE) from the reconstructed phase space. We have chosen a window based RPDE method for the classification of signals, as RPDE is an average entropic measure of the whole phase space. We have observed the changes in the complexity in cardiac signals of normal healthy person (NHP) and congestive heart failure patients (CHFP). The results show that the cardiac dynamics of a healthy subject is more complex and random compare to the same for a heart failure patient, whose dynamics is more deterministic. We have constructed a general threshold to distinguish the border line between a healthy and a congestive heart failure dynamics. The results may be useful for wide range for physiological and biomedical analysis.

  14. Current Management of Congestive Heart Failure

    PubMed Central

    Lopez, J.F.

    1989-01-01

    Congestive heart failure is still one of the most common causes of death in our society. Treatment should be approached systematically with a set of well-defined objectives, which include rest, a low-sodium diet, inotropic agents, diuretics, and peripheral vasodilators. Patients receiving treatment for congestive heart failure should be examined daily for symptomatic improvement, cardiac signs, and accurate recording of total fluid intake and output. Serum electrolyte levels and chest X-ray films should also be checked intermittently. When using powerful diuretics or vasodilators, the physician should be aware of the risk-benefit ratio because many of these drugs, alone or in combination, may produce undesirable or even fatal side-effects. PMID:20469506

  15. Specification and Design of a Fault Recovery Model for the Reliable Multicast Protocol

    NASA Technical Reports Server (NTRS)

    Montgomery, Todd; Callahan, John R.; Whetten, Brian

    1996-01-01

    The Reliable Multicast Protocol (RMP) provides a unique, group-based model for distributed programs that need to handle reconfiguration events at the application layer. This model, called membership views, provides an abstraction in which events such as site failures, network partitions, and normal join-leave events are viewed as group reformations. RMP provides access to this model through an application programming interface (API) that notifies an application when a group is reformed as the result of a some event. RMP provides applications with reliable delivery of messages using an underlying IP Multicast media to other group members in a distributed environment even in the case of reformations. A distributed application can use various Quality of Service (QoS) levels provided by RMP to tolerate group reformations. This paper explores the implementation details of the mechanisms in RMP that provide distributed applications with membership view information and fault recovery capabilities.

  16. A WDM-OFDM-PON architecture with centralized lightwave and PolSK-modulated multicast overlay.

    PubMed

    Liu, Bo; Xin, Xiangjun; Zhang, Lijia; Yu, Jianjun; Zhang, Qi; Yu, Chongxiu

    2010-02-01

    We propose and demonstrate a novel wavelength-division-multiplexing orthogonal-frequency-division-multiplexing passive-optical-network (WDM-OFDM-PON) architecture with centralized lightwave sources and polarization shift keying (PolSK) multicast overlay. The 10-Gb/s 16QAM-OFDM point to point (P2P) signal, 2.5-Gb/s multicast PolSK signal and 2.5-Gb/s on-off keying (OOK) upstream signal are experimentally demonstrated. After transmission over 25km standard single mode fiber (SMF), 1.5dB crosstalk between the downstream signals is eliminated by employing a low pass electrical filter at the PolSK receiver. The power penalty of the upstream OOK signal at BER of 10(-9) is less than 0.1dB. PMID:20174042

  17. Efficient Transmission of Multicast MAPs in IEEE 802.16e

    NASA Astrophysics Data System (ADS)

    Yeom, Jae-Heung; Lee, Yong-Hwan

    The institute of electrical and electronics engineers (IEEE) 802.16e is designed to support a wide range of applications with various quality of service requirements. Since MAP signaling overhead can unacceptably be large for voice traffic, IEEE 802.16e suggests the use of multicast sub-MAPS whose messages are encoded according to the channel condition. In this case, it is desirable for the base station to properly choose a modulation and coding set associated with the channel condition. In this letter, we consider the use of an adaptive modulation coding scheme for the multicast sub-MAPs without explicit information on the channel condition. The proposed scheme can achieve the same MAP coverage as the broadcast MAP while minimizing the signaling overhead. Simulation results show that when it is applied to voice-over-internet protocol (VoIP) services, the proposed scheme can significantly enhance the VoIP capacity.

  18. MQUAKE multicast software early warning demonstrated for 31 October 2001 Anza Ml5.1 earthquake

    NASA Astrophysics Data System (ADS)

    Eakins, J. A.; Hansen, T.; Vernon, F. L.; Braun, H.

    2003-12-01

    MQUAKE distributes real-time multicast parametric information from individual sensors as well as a summarized location and magnitude based on the data recorded from sensors of the ANZA seismic network with the goal of providing event notification prior to arrival of the actual shock wave at the client's location. The program gathers detection and triggering information from an operational Antelope real-time data collection system and sends them to clients via multicast and unicast UDP packets. Multicast packets are preferred as they allow multiple people to receive event packets in the fastest time possible (however, a unicast mode is available since most IP networks do not support multicast). These packets are decrypted in a client software which then produces a list of triggers/events that will be used in future versions of the code to generate wavefront estimate plots and approximate maximum shock wave travel times based on the client's location and limited current information. This systems works in both a wired and wireless environment, such as HPWREN, the High Performance Wireless Research and Education Network. A real-time example of this system was obtained during the Ml5.1 31 October 2001 earthquake that occurred directly under the ANZA seismic network, approximately 70 km away from an MQUAKE client. The MQUAKE program was able to deliver a warning of a significant "event" 10 seconds after the initial ground motion was recorded and about 4 seconds prior to ground motion reaching the client. An actual event location and magnitude approximation was received 71 seconds after the local ground shaking at the client's location (85 seconds after the event). Had the client been located along the coast of San Diego, they would have had additional warning time prior to the shaking. Clients in San Diego, the closest major metropolitan area to this event, could have received up to 12 seconds of early warning.

  19. Bulk data transfer distributer: a high performance multicast model in ALMA ACS

    NASA Astrophysics Data System (ADS)

    Cirami, R.; Di Marcantonio, P.; Chiozzi, G.; Jeram, B.

    2006-06-01

    A high performance multicast model for the bulk data transfer mechanism in the ALMA (Atacama Large Millimeter Array) Common Software (ACS) is presented. The ALMA astronomical interferometer will consist of at least 50 12-m antennas operating at millimeter wavelength. The whole software infrastructure for ALMA is based on ACS, which is a set of application frameworks built on top of CORBA. To cope with the very strong requirements for the amount of data that needs to be transported by the software communication channels of the ALMA subsystems (a typical output data rate expected from the Correlator is of the order of 64 MB per second) and with the potential CORBA bottleneck due to parameter marshalling/de-marshalling, usage of IIOP protocol, etc., a transfer mechanism based on the ACE/TAO CORBA Audio/Video (A/V) Streaming Service has been developed. The ACS Bulk Data Transfer architecture bypasses the CORBA protocol with an out-of-bound connection for the data streams (transmitting data directly in TCP or UDP format), using at the same time CORBA for handshaking and leveraging the benefits of ACS middleware. Such a mechanism has proven to be capable of high performances, of the order of 800 Mbits per second on a 1Gbit Ethernet network. Besides a point-to-point communication model, the ACS Bulk Data Transfer provides a multicast model. Since the TCP protocol does not support multicasting and all the data must be correctly delivered to all ALMA subsystems, a distributer mechanism has been developed. This paper focuses on the ACS Bulk Data Distributer, which mimics a multicast behaviour managing data dispatching to all receivers willing to get data from the same sender.

  20. Proxy-assisted multicasting of video streams over mobile wireless networks

    NASA Astrophysics Data System (ADS)

    Nguyen, Maggie; Pezeshkmehr, Layla; Moh, Melody

    2005-03-01

    This work addresses the challenge of providing seamless multimedia services to mobile users by proposing a proxy-assisted multicast architecture for delivery of video streams. We propose a hybrid system of streaming proxies, interconnected by an application-layer multicast tree, where each proxy acts as a cluster head to stream out content to its stationary and mobile users. The architecture is based on our previously proposed Enhanced-NICE protocol, which uses an application-layer multicast tree to deliver layered video streams to multiple heterogeneous receivers. We targeted the study on placements of streaming proxies to enable efficient delivery of live and on-demand video, supporting both stationary and mobile users. The simulation results are evaluated and compared with two other baseline scenarios: one with a centralized proxy system serving the entire population and one with mini-proxies each to serve its local users. The simulations are implemented using the J-SIM simulator. The results show that even though proxies in the hybrid scenario experienced a slightly longer delay, they had the lowest drop rate of video content. This finding illustrates the significance of task sharing in multiple proxies. The resulted load balancing among proxies has provided a better video quality delivered to a larger audience.

  1. Elephantiasis Nostras Verrucosa (ENV): a complication of congestive heart failure and obesity.

    PubMed

    Baird, Drew; Bode, David; Akers, Troy; Deyoung, Zachariah

    2010-01-01

    Congestive heart failure (CHF) and obesity are common medical conditions that have many complications and an increasing incidence in the United States. Presented here is a case of a disfiguring skin condition that visually highlights the dermatologic consequences of poorly controlled CHF and obesity. This condition will probably become more common as CHF and obesity increase in the US. PMID:20453188

  2. Proceedings of the ITE's 1987 national conference on strategies to alleviate traffic congestion

    SciTech Connect

    Not Available

    1988-01-01

    These proceedings discuss the papers presented at the conference on the subject of traffic congestion. The topics discussed were: Surveillance control and driver information system; fiber optics for traffic surveillance; solutions to traffic problems; traffic management in Texas; truck operations; traffic engineering; parking standards and requirements; and planning of improving traffic flow on local streets.

  3. Containing air pollution and traffic congestion: Transport policy and the environment in Singapore

    NASA Astrophysics Data System (ADS)

    Chin, Anthony T. H.

    Land transportation remains one of the main contributors of noise and air pollution in urban areas. This is in addition to traffic congestion and accidents which result in the loss of productive activity. While there is a close relationship between traffic volumes and levels of noise and air pollution, transport authorities often assume that solving traffic congestion would reduce noise and air pollutant levels. Tight control over automobile ownership and use in Singapore has contributed in improving traffic flows, travel speeds and air quality. The adoption of internationally accepted standards on automobile emissions and gasoline have been effective in reducing air pollution from motor vehicles. Demand management measures have largely focused on controlling the source of traffic congestion, i.e. private automobile ownership and its use especially within the Central Business District during the day. This paper reviews and analyzes the effectiveness of two measures which are instrumental in controlling congestion and automobile ownership, i.e. road pricing and the vehicle quota scheme (VQS). While these measures have been successful in achieving desired objectives, it has also led to the spreading of traffic externalities to other roads in the network, loss in consumer welfare and rent seeking by automobile traders.

  4. Congestion Measures for Organized Markets in the U.S.

    SciTech Connect

    Fisher, Emily; Eto, Joseph H.

    2013-12-16

    Transmission lines deliver electricity that is generated at power plants to loads. When there is not sufficient transmission capacity to schedule or transport all desired electricity transfers, the transmission system is constrained, and the particular line, flowgate or interface is congested. While it is useful to measure congestion for several reasons—to identify where and how much congestion exists and how this changes over time, to determine whether or what to do about it, and to assess the effectiveness of actions taken—it is challenging to measure congestion in a meaningful and consistent way across markets or over time in the same market. This paper examines current public reporting of congestion measures for organized markets in the U.S., and what these measures can and cannot tell us about congestion across regions or over time in the same region.

  5. Electricity transmission congestion costs: A review of recent reports

    SciTech Connect

    Lesieutre, Bernard C.; Eto, Joseph H.

    2003-10-01

    Recently, independent system operators (ISOs) and others have published reports on the costs of transmission congestion. The magnitude of congestion costs cited in these reports has contributed to the national discussion on the current state of U.S. electricity transmission system and whether it provides an adequate platform for competition in wholesale electricity markets. This report reviews reports of congestion costs and begins to assess their implications for the current national discussion on the importance of the U.S. electricity transmission system for enabling competitive wholesale electricity markets. As a guiding principle, we posit that a more robust electricity system could reduce congestion costs; and thereby, (1) facilitate more vibrant and fair competition in wholesale electricity markets, and (2) enable consumers to seek out the lowest prices for electricity. Yet, examining the details suggests that, sometimes, there will be trade-offs between these goals. Therefore, it is essential to understand who pays, how much, and how do they benefit in evaluating options (both transmission and non-transmission alternatives) to address transmission congestion. To describe the differences among published estimates of congestion costs, we develop and motivate three ways by which transmission congestion costs are calculated in restructured markets. The assessment demonstrates that published transmission congestion costs are not directly comparable because they have been developed to serve different purposes. More importantly, critical information needed to make them more comparable, for example in order to evaluate the impacts of options to relieve congestion, is sometimes not available.

  6. Nutrient dyshomeostasis in congestive heart failure.

    PubMed

    Kamalov, German; Holewinski, Joshua P; Bhattacharya, Syamal K; Ahokas, Robert A; Sun, Yao; Gerling, Ivan C; Weber, Karl T

    2009-07-01

    The clinical syndrome congestive heart failure (CHF) has its origins rooted in a salt-avid state mediated largely by effector hormones of the renin-angiotensin-aldosterone system. In recent years, this cardiorenal perspective of CHF has taken on a broader perspective. One which focuses on a progressive systemic illness, whose major features include the presence of oxidative stress in diverse tissues and elevated circulating levels of proinflammatory cytokines coupled with a wasting of soft tissues and bone. Experimental studies, which simulate chronic renin-angiotensin-aldosterone system activation, and translational studies in patients with salt avidity having decompensated biventricular failure with hepatic and splanchnic congestion have forged a broader understanding of this illness and the important contribution of a dyshomeostasis of Ca2+, Mg2+, Zn2+, Se2+, and vitamins D, B12, and B1. Herein, we review biomarkers indicative of the nutrient imbalance found in CHF and raise the question of a need for a polynutrient supplement in the overall management of CHF. PMID:19593100

  7. Medical management of congestive heart failure.

    PubMed Central

    Arai, A. E.; Greenberg, B. H.

    1990-01-01

    The syndrome of congestive heart failure can result from a variety of cardiac disorders of which left ventricular dysfunction is the most common. The clinical presentation is determined by the interaction between cardiac dysfunction and a series of compensatory mechanisms that are activated throughout the body. Therapy for this disorder is best approached through an understanding of this complex relationship and an appreciation for the influence of preload, afterload, and contractility on cardiac performance. Recent important advances in therapy include the use of combined diuretic therapy, a better understanding of the value of the digitalis glycosides, and evidence that angiotensin-converting enzyme (ACE) inhibitors can relieve symptoms and prolong life. More intensive therapy earlier in the course of congestive heart failure appears to have some clinical benefit. The use of ACE inhibitors during this phase may delay progression of the underlying left ventricular dysfunction. Future therapy will be influenced by the results of ongoing trials that are testing both new agents and expanded indications for drugs that are currently available. PMID:2244376

  8. Respiratory sleep disorders in patients with congestive heart failure

    PubMed Central

    2015-01-01

    Respiratory sleep disorders (RSD) occur in about 40-50% of patients with symptomatic congestive heart failure (CHF). Obstructive sleep apnea (OSA) is considered a cause of CHF, whereas central sleep apnea (CSA) is considered a response to heart failure, perhaps even compensatory. In the setting of heart failure, continuous positive airway pressure (CPAP) has a definite role in treating OSA with improvements in cardiac parameters expected. However in CSA, CPAP is an adjunctive therapy to other standard therapies directed towards the heart failure (pharmacological, device and surgical options). Whether adaptive servo controlled ventilatory support, a variant of CPAP, is beneficial is yet to be proven. Supplemental oxygen therapy should be used with caution in heart failure, in particular, by avoiding hyperoxia as indicated by SpO2 values >95%. PMID:26380758

  9. 14 CFR 137.51 - Operation over congested areas: General.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... 137.51 Section 137.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... AGRICULTURAL AIRCRAFT OPERATIONS Operating Rules § 137.51 Operation over congested areas: General. (a) Notwithstanding part 91 of this chapter, an aircraft may be operated over a congested area at altitudes...

  10. 14 CFR 137.51 - Operation over congested areas: General.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... 137.51 Section 137.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... AGRICULTURAL AIRCRAFT OPERATIONS Operating Rules § 137.51 Operation over congested areas: General. (a) Notwithstanding part 91 of this chapter, an aircraft may be operated over a congested area at altitudes...

  11. 14 CFR 137.51 - Operation over congested areas: General.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... 137.51 Section 137.51 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... AGRICULTURAL AIRCRAFT OPERATIONS Operating Rules § 137.51 Operation over congested areas: General. (a) Notwithstanding part 91 of this chapter, an aircraft may be operated over a congested area at altitudes...

  12. Local debris congestion in the geosynchronous environment with population augmentation

    NASA Astrophysics Data System (ADS)

    Anderson, Paul V.; Schaub, Hanspeter

    2014-02-01

    Forecasting of localized debris congestion in the geostationary (GEO) regime is performed to investigate how frequently near-miss events occur for each of the longitude slots in the GEO ring. The present-day resident space object (RSO) population at GEO is propagated forward in time to determine current debris congestion conditions, and new probability density functions that describe where GEO satellites are inserted into operational orbits are harnessed to assess longitude-dependent congestion in "business-as-usual" launch traffic, with and without re-orbiting at end-of-life. Congestion forecasting for a 50-year period is presented to illustrate the need for appropriately executed mitigation measures in the GEO ring. Results indicate that localized debris congestion will double within 50 years under current 80% re-orbiting success rates.

  13. Silicon-organic hybrid slot waveguide based three-input multicasted optical hexadecimal addition/subtraction

    PubMed Central

    Gui, Chengcheng; Wang, Jian

    2014-01-01

    By exploiting multiple non-degenerate four-wave mixing in a silicon-organic hybrid slot waveguide and 16-ary phase-shift keying signals, we propose and simulate three-input (A, B, C) multicasted 40-Gbaud (160-Gbit/s) optical hexadecimal addition/subtraction (A + B − C, A + C − B, B + C − A, A + B + C, A − B − C, B − A − C). The error vector magnitude (EVM) and dynamic range of signal power are analyzed to evaluate the performance of optical hexadecimal addition/subtraction. PMID:25502618

  14. Implementation of Both High-Speed Transmission and Quality of System for Internet Protocol Multicasting Services

    NASA Astrophysics Data System (ADS)

    Son, Byounghee; Park, Youngchoong; Nahm, Euiseok

    The paper introduces both high-speed transmission and quality of system to offer the Internet services on a HFC (Hybrid Fiber Coaxial) network. This utilizes modulating the phase and the amplitude to the signal of the IPMS (Internet Protocol Multicasting Service). An IP-cable transmitter, IP-cable modem, and IP-cable management servers that support 30-Mbps IPMS on the HFC were developed. The system provides a 21Mbps HDTV transporting stream on a cable TV network. It can sustain a clear screen for a long time.

  15. BlueGene/L Specific Modification to MRNet: Multicast/Reduction Network

    SciTech Connect

    Lee, G. L.; Ahn, D.

    2007-05-21

    MRNet is a software tree-based overlay network developed at the University of Wisconsin, Madison that provides a scalable communication mechanism for parallel tools. MRNet uses a tree topology of networked processes between a user tool and distributed tool daemons. This tree topology allows scalable multicast communication from the tool to the daemons. The internal nodes of the tree can be used to distribute computation and analysis on data sent from the tool daemons to the tool. This release covers modifications that we have made to the Wisconsin implementation to port this software to the BlueGene/L architecture. It also covers some additional files that were created for this port.

  16. New broadcasting protocols for video-on-demand systems in multicast environment

    NASA Astrophysics Data System (ADS)

    Feng, Jian; Poon, Wing-Fai; Lo, Kwok-Tung

    2002-09-01

    In this paper, two new broadcasting protocols are proposed for providing video-on-demand (VoD) services in multicast environment. The two protocols are developed by introducing a new first-segment delivery scheme for the skycraper and staggered protocols. With our approach, the first segment of a video is further divided into a number of small pieces so that customers can download the request data and start watching the video in a shorter time. The results show that the start-up latency for users is greatly reduced when using our new protocols.

  17. Agent Reward Shaping for Alleviating Traffic Congestion

    NASA Technical Reports Server (NTRS)

    Tumer, Kagan; Agogino, Adrian

    2006-01-01

    Traffic congestion problems provide a unique environment to study how multi-agent systems promote desired system level behavior. What is particularly interesting in this class of problems is that no individual action is intrinsically "bad" for the system but that combinations of actions among agents lead to undesirable outcomes, As a consequence, agents need to learn how to coordinate their actions with those of other agents, rather than learn a particular set of "good" actions. This problem is ubiquitous in various traffic problems, including selecting departure times for commuters, routes for airlines, and paths for data routers. In this paper we present a multi-agent approach to two traffic problems, where far each driver, an agent selects the most suitable action using reinforcement learning. The agent rewards are based on concepts from collectives and aim to provide the agents with rewards that are both easy to learn and that if learned, lead to good system level behavior. In the first problem, we study how agents learn the best departure times of drivers in a daily commuting environment and how following those departure times alleviates congestion. In the second problem, we study how agents learn to select desirable routes to improve traffic flow and minimize delays for. all drivers.. In both sets of experiments,. agents using collective-based rewards produced near optimal performance (93-96% of optimal) whereas agents using system rewards (63-68%) barely outperformed random action selection (62-64%) and agents using local rewards (48-72%) performed worse than random in some instances.

  18. Experimental Evaluation of Unicast and Multicast CoAP Group Communication.

    PubMed

    Ishaq, Isam; Hoebeke, Jeroen; Moerman, Ingrid; Demeester, Piet

    2016-01-01

    The Internet of Things (IoT) is expanding rapidly to new domains in which embedded devices play a key role and gradually outnumber traditionally-connected devices. These devices are often constrained in their resources and are thus unable to run standard Internet protocols. The Constrained Application Protocol (CoAP) is a new alternative standard protocol that implements the same principals as the Hypertext Transfer Protocol (HTTP), but is tailored towards constrained devices. In many IoT application domains, devices need to be addressed in groups in addition to being addressable individually. Two main approaches are currently being proposed in the IoT community for CoAP-based group communication. The main difference between the two approaches lies in the underlying communication type: multicast versus unicast. In this article, we experimentally evaluate those two approaches using two wireless sensor testbeds and under different test conditions. We highlight the pros and cons of each of them and propose combining these approaches in a hybrid solution to better suit certain use case requirements. Additionally, we provide a solution for multicast-based group membership management using CoAP. PMID:27455262

  19. Collaborative work during interventional radiological procedures based on a multicast satellite-terrestrial network.

    PubMed

    Gortzis, Lefteris G; Papadopoulos, Homer; Roelofs, Theo A; Rakowsky, Stefan; Karnabatidis, Dimitris; Siablis, Dimitris; Makropoulos, Constantinos; Nikiforidis, George; Graschew, Georgi

    2007-09-01

    Collaboration is a key requirement in several contemporary interventional radiology procedures (IRPs). This work proposes a multicast hybrid satellite system capable of supporting advanced IRP collaboration, and evaluates its feasibility and applicability. Following a detailed IRP requirements study, we have developed a system which supports IRP collaboration through the employment of a hybrid satellite-terrestrial network, a prototype multicast version of wavelet based interactive communication system (WinVicos) application, and a partition aggregation and conditional coding (PACC) wavelet codec. A semistructured questionnaire was also used to receive evaluative feedback from collaborating participants. The departments of interventional radiology of University Hospital of Patras, Greece and of Charite Hospital of Berlin, Germany have been connected on the system. Eight interventional radiologists and a vascular surgeon participated periodically in three satellite-terrestrial "fully collaborative" IRPs (average time 90 min) of high complexity and in four terrestrial educational sessions with great success, evidenced by considerable improving the IRP outcomes (clinical and educational). In case of high complexity, where the simultaneous presence of remote interventional expert and/or surgeon is required, advanced collaboration among staff of geographically dispersed international centers is feasible via integration of existing networking and other technologies. PMID:17912978

  20. Comparative Study of Multicast Protection Algorithms Using Shared Links in 100GET Transport Network

    NASA Astrophysics Data System (ADS)

    Sulaiman, Samer; Haidine, Abdelfattah; Lehnert, Ralf; Tuerk, Stefan

    In recent years new challenges have emerged in the telecommunications market resulting from the increase of network traffic and strong competition. Because of that, service providers feel constrained to replace expensive and complex IP-routers with a cheap and simple solution which guarantees the requested quality of services (QoS) with low cost. One of these solutions is to use the Ethernet technology as a switching layer, which results in using the cheap Ethernet services (E-Line, E-LAN and E-Tree) and to replace the expensive IP-routers. To achieve this migration step, new algorithms that support the available as well as the future services have to be developed. In this paper, we investigate the multicast protection issue. Three multicast protection algorithms based on the shared capacity between primary and backup solutions are proposed and evaluated. The blocking probability is used to evaluate the performance of the proposed algorithms. The sub-path algorithm resulted in a low blocking probability compared with the other algorithms.

  1. On the Relationship between Multicast/Broadcast Throughput and Resource Utilizations in Wireless Mesh Networks

    PubMed Central

    Valaee, Shahrokh

    2013-01-01

    This paper deals with the problem of multicast/broadcast throughput in multi-channel multi-radio wireless mesh networks that suffer from the resource constraints. We provide a formulation to capture the utilization of the network resources and derive analytical relationships for the network's throughput in terms of the node utilization, the channel utilization, and the number of transmissions. Our model relies on the on-demand quality of service multicast/broadcast sessions, where each admitted session creates a unique tree with a specific bandwidth. As an advantage, the derived relationships are independent of the type of tree built for each session and can be used for different protocols. The proposed formulation considers the channel assignment strategy and reflects both the wireless broadcast advantage and the interference constraint. We also offer a comprehensive discussion to evaluate the effects of load-balancing and number of transmissions on the network's throughput. Numerical results confirm the accuracy of the presented analysis. PMID:24348188

  2. Experimental Evaluation of Unicast and Multicast CoAP Group Communication

    PubMed Central

    Ishaq, Isam; Hoebeke, Jeroen; Moerman, Ingrid; Demeester, Piet

    2016-01-01

    The Internet of Things (IoT) is expanding rapidly to new domains in which embedded devices play a key role and gradually outnumber traditionally-connected devices. These devices are often constrained in their resources and are thus unable to run standard Internet protocols. The Constrained Application Protocol (CoAP) is a new alternative standard protocol that implements the same principals as the Hypertext Transfer Protocol (HTTP), but is tailored towards constrained devices. In many IoT application domains, devices need to be addressed in groups in addition to being addressable individually. Two main approaches are currently being proposed in the IoT community for CoAP-based group communication. The main difference between the two approaches lies in the underlying communication type: multicast versus unicast. In this article, we experimentally evaluate those two approaches using two wireless sensor testbeds and under different test conditions. We highlight the pros and cons of each of them and propose combining these approaches in a hybrid solution to better suit certain use case requirements. Additionally, we provide a solution for multicast-based group membership management using CoAP. PMID:27455262

  3. Cerebral blood flow in patients with congestive heart failure treated with captopril

    SciTech Connect

    Paulson, O.B.; Jarden, J.O.; Godtfredsen, J.; Vorstrup, S.

    1984-05-31

    The effect of captopril on cerebral blood flow was studied in five patients with severe congestive heart failure and in five control subjects. Cerebral blood flow was measured by inhalation of /sup 133/xenon and registration of its uptake and washout from the brain by single photon emission computer tomography. In addition, cerebral (internal jugular) venous oxygen tension was determined in the controls. The measurements were made before and 15, 60, and 180 minutes after a single oral dose of captopril (6.25 mg in patients with congestive heart failure and 25 mg in controls). Despite a marked decrease in blood pressure, cerebral blood flow increased slightly in the patients with severe congestive heart failure. When a correction was applied to take account of a change in arterial carbon dioxide tension, however, cerebral blood flow was unchanged after captopril administration even in patients with the greatest decrease in blood pressure, in whom a decrease in cerebral blood flow might have been expected. In the controls, blood pressure was little affected by captopril, whereas a slight, but not statistically significant, decrease in cerebral blood flow was observed. The cerebral venous oxygen tension decreased concomitantly.

  4. Local Debris Congestion in the Geosynchronous Environment with Population Augmentation

    NASA Astrophysics Data System (ADS)

    Anderson, P.; Schaub, H.

    2013-08-01

    Forecasting of localized debris congestion in the geostationary (GEO) ring is performed to investigate how frequently near-miss events occur for every longitude slot at GEO. A parallelized propagation routine is used to propagate the current resident space object (RSO) population at GEO forward in time, and representative augmentation of this population is implemented to simulate congestion in "business-as-usual" launch traffic, with and without mitigation at end-of-life. Congestion forecasting for a 50- year time frame is presented to illustrate the need for both appropriately-executed mitigation and active remediation measures at GEO.

  5. Low-power-penalty wavelength multicasting for 36  Gbit/s 16-QAM coherent optical signals in a silicon waveguide.

    PubMed

    Wang, Xiaoyan; Huang, Lingchen; Gao, Shiming

    2014-12-15

    All-optical wavelength multicasting has been experimentally demonstrated for 36 Gbit/s 16-quadrature amplitude modulation signals based on four-wave mixing processes in a silicon waveguide with multiple pumps. In our experiment, dual pumps are injected together with the signal into the waveguide and nine idlers are generated, involving five wavelength multicasting channels. Coherent detection and advanced digital signal processing are employed, and the recovered constellation diagrams of the multicasting idlers show a root-mean-square error vector magnitude degradation as small as 2.74%. The bit error rate (BER) results are measured for these multicasting idlers, and the power penalties are all lower than 0.96 dB at the BER of 3.8×10(-3) (corresponding to the forward error correction threshold). PMID:25503027

  6. DEVICE CONTROLLER, CAMERA CONTROL

    Energy Science and Technology Software Center (ESTSC)

    1998-07-20

    This is a C++ application that is the server for the cameral control system. Devserv drives serial devices, such as cameras and videoswitchers used in a videoconference, upon request from a client such as the camxfgbfbx ccint program. cc Deverv listens on UPD ports for clients to make network contractions. After a client connects and sends a request to control a device (such as to pan,tilt, or zooma camera or do picture-in-picture with a videoswitcher),more » devserv formats the request into an RS232 message appropriate for the device and sends this message over the serial port to which the device is connected. Devserv then reads the reply from the device from the serial port to which the device is connected. Devserv then reads the reply from the device from the serial port and then formats and sends via multicast a status message. In addition, devserv periodically multicasts status or description messages so that all clients connected to the multicast channel know what devices are supported and their ranges of motion and the current position. The software design employs a class hierarchy such that an abstract base class for devices can be subclassed into classes for various device categories(e.g. sonyevid30, cononvco4, panasonicwjmx50, etc.). which are further subclassed into classes for various device categories. The devices currently supported are the Sony evi-D30, Canon, VCC1, Canon VCC3, and Canon VCC4 cameras and the Panasonic WJ-MX50 videoswitcher. However, developers can extend the class hierarchy to support other devices.« less

  7. DEVICE CONTROLLER, CAMERA CONTROL

    SciTech Connect

    Perry, Marcia

    1998-07-20

    This is a C++ application that is the server for the cameral control system. Devserv drives serial devices, such as cameras and videoswitchers used in a videoconference, upon request from a client such as the camxfgbfbx ccint program. cc Deverv listens on UPD ports for clients to make network contractions. After a client connects and sends a request to control a device (such as to pan,tilt, or zooma camera or do picture-in-picture with a videoswitcher), devserv formats the request into an RS232 message appropriate for the device and sends this message over the serial port to which the device is connected. Devserv then reads the reply from the device from the serial port to which the device is connected. Devserv then reads the reply from the device from the serial port and then formats and sends via multicast a status message. In addition, devserv periodically multicasts status or description messages so that all clients connected to the multicast channel know what devices are supported and their ranges of motion and the current position. The software design employs a class hierarchy such that an abstract base class for devices can be subclassed into classes for various device categories(e.g. sonyevid30, cononvco4, panasonicwjmx50, etc.). which are further subclassed into classes for various device categories. The devices currently supported are the Sony evi-D30, Canon, VCC1, Canon VCC3, and Canon VCC4 cameras and the Panasonic WJ-MX50 videoswitcher. However, developers can extend the class hierarchy to support other devices.

  8. A Hybrid Differential Invasive Weed Algorithm for Congestion Management

    NASA Astrophysics Data System (ADS)

    Basak, Aniruddha; Pal, Siddharth; Pandi, V. Ravikumar; Panigrahi, B. K.; Das, Swagatam

    This work is dedicated to solve the problem of congestion management in restructured power systems. Nowadays we have open access market which pushes the power system operation to their limits for maximum economic benefits but at the same time making the system more susceptible to congestion. In this regard congestion management is absolutely vital. In this paper we try to remove congestion by generation rescheduling where the cost involved in the rescheduling process is minimized. The proposed algorithm is a hybrid of Invasive Weed Optimization (IWO) and Differential Evolution (DE). The resultant hybrid algorithm was applied on standard IEEE 30 bus system and observed to beat existing algorithms like Simple Bacterial foraging (SBF), Genetic Algorithm (GA), Invasive Weed Optimization (IWO), Differential Evolution (DE) and hybrid algorithms like Hybrid Bacterial Foraging and Differential Evolution (HBFDE) and Adaptive Bacterial Foraging with Nelder Mead (ABFNM).

  9. Congestion Induced by the Structure of Multiplex Networks

    NASA Astrophysics Data System (ADS)

    Solé-Ribalta, Albert; Gómez, Sergio; Arenas, Alex

    2016-03-01

    Multiplex networks are representations of multilayer interconnected complex networks where the nodes are the same at every layer. They turn out to be good abstractions of the intricate connectivity of multimodal transportation networks, among other types of complex systems. One of the most important critical phenomena arising in such networks is the emergence of congestion in transportation flows. Here, we prove analytically that the structure of multiplex networks can induce congestion for flows that otherwise would be decongested if the individual layers were not interconnected. We provide explicit equations for the onset of congestion and approximations that allow us to compute this onset from individual descriptors of the individual layers. The observed cooperative phenomenon is reminiscent of Braess' paradox in which adding extra capacity to a network when the moving entities selfishly choose their route can in some cases reduce overall performance. Similarly, in the multiplex structure, the efficiency in transportation can unbalance the transportation loads resulting in unexpected congestion.

  10. 75 FR 22770 - National Electric Transmission Congestion Study

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... is seeking comments on all aspects of the study. The full text of the 2009 Congestion Study is... in each area.\\2\\ \\1\\ See 71 FR 45047 (August 6, 2006). \\2\\ See 72 FR 56992 (October 5, 2007)....

  11. Congestion Induced by the Structure of Multiplex Networks.

    PubMed

    Solé-Ribalta, Albert; Gómez, Sergio; Arenas, Alex

    2016-03-11

    Multiplex networks are representations of multilayer interconnected complex networks where the nodes are the same at every layer. They turn out to be good abstractions of the intricate connectivity of multimodal transportation networks, among other types of complex systems. One of the most important critical phenomena arising in such networks is the emergence of congestion in transportation flows. Here, we prove analytically that the structure of multiplex networks can induce congestion for flows that otherwise would be decongested if the individual layers were not interconnected. We provide explicit equations for the onset of congestion and approximations that allow us to compute this onset from individual descriptors of the individual layers. The observed cooperative phenomenon is reminiscent of Braess' paradox in which adding extra capacity to a network when the moving entities selfishly choose their route can in some cases reduce overall performance. Similarly, in the multiplex structure, the efficiency in transportation can unbalance the transportation loads resulting in unexpected congestion. PMID:27015514

  12. Reducing Traffic Congestions by Introducing CACC-Vehicles on a Multi-Lane Highway Using Agent-Based Approach

    NASA Technical Reports Server (NTRS)

    Arnaout, Georges M.; Bowling, Shannon R.

    2011-01-01

    Traffic congestion is an ongoing problem of great interest to researchers from different areas in academia. With the emerging technology for inter-vehicle communication, vehicles have the ability to exchange information with predecessors by wireless communication. In this paper, we present an agent-based model of traffic congestion and examine the impact of having CACC (Cooperative Adaptive Cruise Control) embedded vehicle(s) on a highway system consisting of 4 traffic lanes without overtaking. In our model, CACC vehicles adapt their acceleration/deceleration according to vehicle-to-vehicle inter-communication. We analyze the average speed of the cars, the shockwaves, and the evolution of traffic congestion throughout the lifecycle of the model. The study identifies how CACC vehicles affect the dynamics of traffic flow on a complex network and reduce the oscillatory behavior (stop and go) resulting from the acceleration/deceleration of the vehicles.

  13. Atrial natriuretic factor binding sites in experimental congestive heart failure

    SciTech Connect

    Bianchi, C.; Thibault, G.; Wrobel-Konrad, E.; De Lean, A.; Genest, J.; Cantin, M. )

    1989-10-01

    A quantitative in vitro autoradiographic study was performed on the aorta, renal glomeruli, and adrenal cortex of cardiomyopathic hamsters in various stages of heart failure and correlated, in some instances, with in vivo autoradiography. The results indicate virtually no correlation between the degree of congestive heart failure and the density of 125I-labeled atrial natriuretic factor ((Ser99, Tyr126)ANF) binding sites (Bmax) in the tissues examined. Whereas the Bmax was increased in the thoracic aorta in moderate and severe heart failure, there were no significant changes in the zona glomerulosa. The renal glomeruli Bmax was lower in mild and moderate heart failure compared with control and severe heart failure. The proportion of ANF B- and C-receptors was also evaluated in sections of the aorta, adrenal, and kidney of control and cardiomyopathic hamsters with severe heart failure. (Arg102, Cys121)ANF (des-(Gln113, Ser114, Gly115, Leu116, Gly117) NH2) (C-ANF) at 10(-6) M displaced approximately 505 of (Ser99, Tyr126)125I-ANF bound in the aorta and renal glomeruli and approximately 20% in the adrenal zona glomerulosa in both series of animals. These results suggest that ANF may exert a buffering effect on the vasoconstriction of heart failure and to a certain extent may inhibit aldosterone secretion. The impairment of renal sodium excretion does not appear to be related to glomerular ANF binding sites at any stage of the disease.

  14. [Congestive heart failure in patients with chronic kidney disease].

    PubMed

    Poskurica, Mileta; Petrović, Dejan

    2014-01-01

    Cardiovascular disorders are the most frequent cause of death (46-60%) among patients with advanced chronic renal failure (CRF), and on dialysis treatment. Uremic cardiomyopathy is the basic pathophysiologic substrate, whereas ischemic heart disease (IHD) and anemia are the most important contributing factors. Associated with well-know risk factors and specific disorders for terminal kidney failure and dialysis, the aforementioned factors instigate congestive heart failure (CHF). Suspected CHF is based on the anamnesis, clinical examination and ECG, while it is confirmed and defined more precisely on the basis of echocardiography and radiology examination. Biohumoral data (BNP, NT-proBNP) are not sufficiently reliable because of specific volemic fluctuation and reduced natural clearance. Therapy approach is similar to the one for the general population: ACEI, ARBs, β-blockers, inotropic drugs and diuretics. Hypervolemia and most of the related symptoms can be kept under control effectively by the isolated or ultrafiltation, in conjunction with dialysis, during the standard bicarbonate hemodialysis or hemodiafiltration. In the same respect peritoneal dialysis is efficient for the control of hypervolemia symptoms, mainly during the first years of its application and in case of the lower NYHA class (II°/III°). In general, heart support therapy, surgical interventions of the myocardium and valve replacement are rarely used in patients on dialysis, whereas revascularization procedures are beneficial for associated IHD. In selected cases the application of cardiac resynchronization and/or implantation of a cardioverter defibrillator are advisable. PMID:25731010

  15. Fluctuation-induced traffic congestion in heterogeneous networks

    NASA Astrophysics Data System (ADS)

    Stepanenko, A. S.; Yurkevich, I. V.; Constantinou, C. C.; Lerner, I. V.

    2012-11-01

    In studies of complex heterogeneous networks, particularly of the Internet, significant attention was paid to analyzing network failures caused by hardware faults or overload, where the network reaction was modeled as rerouting of traffic away from failed or congested elements. Here we model another type of the network reaction to congestion —a sharp reduction of the input traffic rate through congested routes which occurs on much shorter time scales. We consider the onset of congestion in the Internet where local mismatch between demand and capacity results in traffic losses and show that it can be described as a phase transition characterized by strong non-Gaussian loss fluctuations at a mesoscopic time scale. The fluctuations, caused by noise in input traffic, are exacerbated by the heterogeneous nature of the network manifested in a scale-free load distribution. They result in the network strongly overreacting to the first signs of congestion by significantly reducing input traffic along the communication paths where congestion is utterly negligible.

  16. Local empathy provides global minimization of congestion in communication networks

    NASA Astrophysics Data System (ADS)

    Meloni, Sandro; Gómez-Gardeñes, Jesús

    2010-11-01

    We present a mechanism to avoid congestion in complex networks based on a local knowledge of traffic conditions and the ability of routers to self-coordinate their dynamical behavior. In particular, routers make use of local information about traffic conditions to either reject or accept information packets from their neighbors. We show that when nodes are only aware of their own congestion state they self-organize into a hierarchical configuration that delays remarkably the onset of congestion although leading to a sharp first-order-like congestion transition. We also consider the case when nodes are aware of the congestion state of their neighbors. In this case, we show that empathy between nodes is strongly beneficial to the overall performance of the system and it is possible to achieve larger values for the critical load together with a smooth, second-order-like, transition. Finally, we show how local empathy minimize the impact of congestion as much as global minimization. Therefore, here we present an outstanding example of how local dynamical rules can optimize the system’s functioning up to the levels reached using global knowledge.

  17. BlueGene/L Specific Modification to MRNet: Multicast/Reduction Network

    Energy Science and Technology Software Center (ESTSC)

    2007-05-21

    MRNet is a software tree-based overlay network developed at the University of Wisconsin, Madison that provides a scalable communication mechanism for parallel tools. MRNet uses a tree topology of networked processes between a user tool and distributed tool daemons. This tree topology allows scalable multicast communication from the tool to the daemons. The internal nodes of the tree can be used to distribute computation and analysis on data sent from the tool daemons to themore » tool. This release covers modifications that we have made to the Wisconsin implementation to port this software to the BlueGene/L architecture. It also covers some additional files that were created for this port.« less

  18. Context-based user grouping for multi-casting in heterogeneous radio networks

    NASA Astrophysics Data System (ADS)

    Mannweiler, C.; Klein, A.; Schneider, J.; Schotten, H. D.

    2011-08-01

    Along with the rise of sophisticated smartphones and smart spaces, the availability of both static and dynamic context information has steadily been increasing in recent years. Due to the popularity of social networks, these data are complemented by profile information about individual users. Making use of this information by classifying users in wireless networks enables targeted content and advertisement delivery as well as optimizing network resources, in particular bandwidth utilization, by facilitating group-based multi-casting. In this paper, we present the design and implementation of a web service for advanced user classification based on user, network, and environmental context information. The service employs simple and advanced clustering algorithms for forming classes of users. Available service functionalities include group formation, context-aware adaptation, and deletion as well as the exposure of group characteristics. Moreover, the results of a performance evaluation, where the service has been integrated in a simulator modeling user behavior in heterogeneous wireless systems, are presented.

  19. Therapeutic potential of anticytokine therapy in congestive heart failure.

    PubMed

    Aukrust, Pal; Yndestad, Arne; Damås, Jan K; Gullestad, Lars

    2004-01-01

    Accumulating evidence indicates that inflammatory cytokines play a pathogenic role in congestive heart failure (CHF) by influencing heart contractility, inducing hypertrophy, and promoting apoptosis or fibrosis, contributing to the continuous myocardial remodeling process. While several stimuli may be operating such as heat-shock protein, microbial antigen, bacterial lipopolysaccharide, shear and oxidative stress, hypoxia and oxidized low-density lipoprotein (LDL), it seems that the inflammatory response to these stimuli may represent a common final pathogenic pathway in CHF regardless of the initial event. Traditional cardiovascular drugs seem to have little influence on the overall cytokine network, and immunomudulatory therapy has emerged as a possible new treatment modality in CHF. Several animal studies, and some clinical pilot studies, have suggested that down-regulation of inflammatory cytokines may improve cardiac performance. On the other hand, preliminary results from the placebo-controlled studies suggest no effect, or even adverse effect, of antitumor necrosis factor (TNF) therapy on mortality and hospitalization. Although somewhat disappointing, these negative results do not necessarily argue against the 'cytokine hypothesis'. These studies just underscore the difficulties and the challenges in developing treatment modalities that can modulate the cytokine network in CHF patients resulting in anti-inflammatory and beneficial net effects. Further research in this area will have to more precisely identify the most important actors in the immunopathogenesis of CHF in order to develop more specific immunomodulating agents for this disorder. However, at present the beneficial role of anticytokine therapy in patients with CHF remains unproven. PMID:15134469

  20. Preserved Left Ventricular, Systolic Function in Clinical Congestive Heart Failure

    PubMed Central

    Lee, Bang Hun; Kim, Jeong Hyun; Lim, Heon Kil; Lee, Chung Kyun

    1987-01-01

    Although clinical congestive heart failure (CHF) is associated with significant left ventricular (LV) systolic dysfunction, recently it has been recognized that LV diastolic dysfunction also may occur in the absence of abnormal systolic performance. A retrospective study evaluated 23 patients with myocardial infarction and CHF who had undergone multigated blood pool scintigraphy and were found to have normal LV ejection fraction (≥ 50%). Average rapid filling velocity (RFV) and slow filling velocity (SFV) were both significantly reduced in CHF patients (5.1 ± 1.3 unit/s, 2.2 ± 1.4 unit/s respectively) compared with normal control group (3.9 ± 1.2 unit/s, 1.3 ± 0.8 unit/s respectively). Rapid filling time and total diastolic time were also significantly prolonged in CHF patients (p<0.01, p<0.05 respectively). There were no significant changes in heart rate and blood pressure between two groups. Thus, normal systolic LV function is encountered in patients with CHF and it appears to be prudent to evaluate diastolic performance as well for optimal therapeutic strategies for CHF patients. PMID:3154818

  1. Pattern of arrhythmias among Nigerians with congestive heart failure

    PubMed Central

    Ajayi, Olufemi E; Abiodun, Olugbenga O; Akintomide, Anthony O; Adebayo, Rasaaq A; Ogunyemi, Suraj A; Balogun, Michael O; Bamikole, Olaniyi J; Ajibare, Adeola O; Ajayi, Adesuyi A

    2015-01-01

    Background In patients with heart failure, death is often sudden due to life-threatening arrhythmias. This work was carried out to evaluate the pattern of arrhythmias in Nigerians with heart failure. Materials and methods Thirty subjects with congestive heart failure (CHF), 30 subjects with hypertensive heart disease, and 15 normal subjects with no obvious features of heart disease were evaluated with resting and 24-hour electrocardiographic monitoring and transthoracic echocardiography. Data were analyzed with one-way analysis of variance with post hoc Duncan’s analysis, Fisher’s exact test, and linear regression analysis using SPSS version 16. Results CHF subjects had more instances of supraventricular tachycardia (P=0.005), ventricular extrasystoles (P<0.001), bigeminy (P<0.001), trigeminy (P<0.001), couplets (P<0.001), triplets (P<0.001), and nonsustained ventricular tachycardia (VT) (P=0.003) than the other two control groups. They also showed a significantly longer VT duration (4.6±5.6 seconds) compared with the other groups (P<0.001). Linear regression analysis showed a significant direct relationship between VT and the maximum number of ventricular extrasystoles per hour (P=0.001). Conclusion Cardiac arrhythmias are common in subjects with CHF and are more frequent when compared with patients with hypertensive heart disease and normal subjects. PMID:25870514

  2. An approach to verification and validation of a reliable multicasting protocol

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.

    1995-01-01

    This paper describes the process of implementing a complex communications protocol that provides reliable delivery of data in multicast-capable, packet-switching telecommunication networks. The protocol, called the Reliable Multicasting Protocol (RMP), was developed incrementally using a combination of formal and informal techniques in an attempt to ensure the correctness of its implementation. Our development process involved three concurrent activities: (1) the initial construction and incremental enhancement of a formal state model of the protocol machine; (2) the initial coding and incremental enhancement of the implementation; and (3) model-based testing of iterative implementations of the protocol. These activities were carried out by two separate teams: a design team and a V&V team. The design team built the first version of RMP with limited functionality to handle only nominal requirements of data delivery. In a series of iterative steps, the design team added new functionality to the implementation while the V&V team kept the state model in fidelity with the implementation. This was done by generating test cases based on suspected errant or off-nominal behaviors predicted by the current model. If the execution of a test was different between the model and implementation, then the differences helped identify inconsistencies between the model and implementation. The dialogue between both teams drove the co-evolution of the model and implementation. Testing served as the vehicle for keeping the model and implementation in fidelity with each other. This paper describes (1) our experiences in developing our process model; and (2) three example problems found during the development of RMP.

  3. An Approach to Verification and Validation of a Reliable Multicasting Protocol

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.

    1994-01-01

    This paper describes the process of implementing a complex communications protocol that provides reliable delivery of data in multicast-capable, packet-switching telecommunication networks. The protocol, called the Reliable Multicasting Protocol (RMP), was developed incrementally using a combination of formal and informal techniques in an attempt to ensure the correctness of its implementation. Our development process involved three concurrent activities: (1) the initial construction and incremental enhancement of a formal state model of the protocol machine; (2) the initial coding and incremental enhancement of the implementation; and (3) model-based testing of iterative implementations of the protocol. These activities were carried out by two separate teams: a design team and a V&V team. The design team built the first version of RMP with limited functionality to handle only nominal requirements of data delivery. In a series of iterative steps, the design team added new functionality to the implementation while the V&V team kept the state model in fidelity with the implementation. This was done by generating test cases based on suspected errant or offnominal behaviors predicted by the current model. If the execution of a test was different between the model and implementation, then the differences helped identify inconsistencies between the model and implementation. The dialogue between both teams drove the co-evolution of the model and implementation. Testing served as the vehicle for keeping the model and implementation in fidelity with each other. This paper describes (1) our experiences in developing our process model; and (2) three example problems found during the development of RMP.

  4. A Novel Congestion Avoidance Technique for Simultaneous Real-Time Medical Data Transmission.

    PubMed

    Yaakob, Naimah; Khalil, Ibrahim

    2016-03-01

    The use of wireless body sensor networks (WBSN) in medical services aims at providing continuous monitoring of patients' physiological data. However, the scarce resources in WBSN nodes limit their capabilities to cope with massive traffic during multiple, simultaneous data transmissions. This will create a high tendency for congestion, causing severe performance degradation. Congestion may lead to high number of packet loss and unbounded delay which are critical and may lead to wrong diagnosis. This paper, therefore, aims at improving this limitation using a novel congestion avoidance technique to avoid losing real-time and life-critical medical data (e.g., electrocardiogram and electroencephalography) which are vital for diagnosis. The main idea is to integrate the existing rate control scheme of relaxation theory (RT) with a method known as max-min fairness (MMF) to achieve better performance. The MMF can be accomplished using a progressive filling algorithm, which cuts-down excessive sending rates that may overwhelme the limited buffer in WBSN. This paper builds upon our prior study, which provides a preliminary analysis of RT technique in single node. Our current technique integrates the MMF phase to enhance RT performance when the transmission rates exceed certain threshold. Performance evaluation on RT-MMF technique shows remarkable performance improvements, while maintaining the desired quality of service. PMID:26960217

  5. Baroreflex Activation Therapy in Congestive Heart Failure: Novel Findings and Future Insights.

    PubMed

    Grassi, Guido; Brambilla, GianMaria; Pizzalla, Daniela Prata; Seravalle, Gino

    2016-08-01

    Congestive heart failure is characterized by hemodynamic and non-hemodynamic abnormalities, the latter including an activation of the sympathetic influences to the heart and peripheral circulation coupled with an impairment of baroreceptor control of autonomic function. Evidence has been provided that both these alterations are hallmark features of the disease with a specific relevance for the disease progression as well as for the development of life-threatening cardiac arrhythmias. In addition, a number of studies have documented in heart failure the adverse prognostic role of the sympathetic and baroreflex alterations, which both are regarded as major independent determinants of cardiovascular morbidity and mortality. This represents the pathophysiological and clinical background for the use of carotid baroreceptor activation therapy in the treatment of congestive heart failure. Promising data collected in experimental animal models of heart failure have supported the recent performance of pilot small-scale clinical studies, aimed at providing initial information in this area. The results of these studies demonstrated the clinical safety and efficacy of the intervention which has been tested in large-scale clinical studies. The present paper will critically review the background and main results of the published studies designed at defining the clinical impact of baroreflex activation therapy in congestive heart failure patients. Emphasis will be given to the strengths and limitations of such studies, which represent the background for the ongoing clinical trials testing the long-term effects of the device in heart failure patients. PMID:27334011

  6. Quality of congestive heart failure care

    PubMed Central

    Maddocks, Heather; Marshall, J. Neil; Stewart, Moira; Terry, Amanda L.; Cejic, Sonny; Hammond, Jo-Anne; Jordan, John; Chevendra, Vijaya; Denomme, Louisa Bestard; Thind, Amardeep

    2010-01-01

    ABSTRACT OBJECTIVE To study the feasibility of using electronic medical record (EMR) data from the Deliver Primary Healthcare Information (DELPHI) database to measure quality of care for patients with congestive heart failure (CHF) in primary care and to determine the percentage of patients with CHF receiving the recommended care. DESIGN Items listed on the Ontario Ministry of Health and Long-Term Care Heart Failure Patient Care Flow Sheet (CHF flow sheet) were assessed and measured using EMRs of patients diagnosed with CHF between October 1, 2005, and September 30, 2008. SETTING Ten primary health care practices in southwestern Ontario. PARTICIPANTS Four hundred eighty-eight patients who were considered to have CHF because at least 1 of the following was indicated in their EMRs: an International Classification of Diseases billing code for CHF (category 428), an International Classification of Primary Care diagnosis code for heart failure (ie, K77), or “CHF” reported on the problem list. MAIN OUTCOME MEASURES Number of CHF flow sheet items that were measurable using EMR data from the DELPHI database. Percentage of patients with CHF receiving required quality-of-care items since the date of diagnosis. RESULTS The DELPHI database contained information on 60 (65.9%) of the 91 items identified using the CHF flow sheet. The recommended tests and procedures were recorded infrequently: 55.5% of patients with CHF had chest radiographs; 32.6% had electrocardiograms; 32.2% had echocardiograms; 30.5% were prescribed angiotensin-converting enzyme inhibitors; 20.9% were prescribed β-blockers; and 15.8% were prescribed angiotensin II receptor blockers. CONCLUSION Low frequencies of recommended care items for patients with CHF were recorded in the EMR. Physicians explained that CHF care was documented in areas of the EMR that contained patient identifiers, such as the encounter notes, and was therefore not part of the DELPHI database. Extractable information from the EMR

  7. Water and Sodium in Heart Failure: A Spotlight on Congestion

    PubMed Central

    Greene, Stephen J.; Torres, Daniele; Alderman, Michael; Bonventre, Joseph Vincent; Di Pasquale, Pietro; Gargani, Luna; Nohria, Anju; Fonarow, Gregg C.; Vaduganathan, Muthiah; Butler, Javed; Paterna, Salvatore; Stevenson, Lynne Warner; Gheorghiade, Mihai

    2015-01-01

    Despite all available therapies, the rates of hospitalization and death from heart failure (HF) remain unacceptably high. The most common reasons for hospital admission are symptoms related to congestion. During hospitalization, most patients respond well to standard therapy and are discharged with significantly improved symptoms. Post-discharge, many patients receive diligent and frequent follow-up. However, rehospitalization rates remain high. One potential explanation is a persistent failure by clinicians to adequately manage congestion in the outpatient setting. The failure to successfully manage these patients post-discharge may represent an unmet need to improve the way congestion is both recognized and treated. A primary aim of future HF management may be to improve clinical surveillance to prevent and manage chronic fluid overload while simultaneously maximizing the use of evidence-based therapies with proven long-term benefit. Improvement in cardiac function is the ultimate goal and maintenance of a “dry” clinical profile is important to prevent hospital admission and improve prognosis. This paper focuses on methods for monitoring congestion, and strategies for water and sodium management in the context of the complex interplay between the cardiac and renal systems. A rationale for improving recognition and treatment of congestion is also proposed. PMID:24942806

  8. Performance Analysis of Multicast Video Streaming in IEEE 802.11 b/g/n Testbed Environment

    NASA Astrophysics Data System (ADS)

    Kostuch, Aleksander; Gierłowski, Krzysztof; Wozniak, Jozef

    The aim of the work is to analyse capabilities and limitations of different IEEE 802.11 technologies (IEEE 802.11 b/g/n), utilized for both multicast and unicast video streaming transmissions directed to mobile devices. Our preliminary research showed that results obtained with currently popular simulation tools can be drastically different than these possible in real-world environment, so, in order to correctly evaluate performance of video streaming, a simple wireless test-bed infrastructure has been created. The results show a strong dependence of the quality of video streaming on the chosen transmission technology. At the same time there are significant differences in perception quality between multicast (1:n) and unicast (1:1) streams, and also between devices offered by different manufacturers. The overall results seem to demonstrate, that, while multicast support quality in different products is still varied and often requires additional configuration, it is possible to select a WiFi access point model and determine the best system parameters to ensure a good video transfer conditions in terms of acceptable QoP/E (Quality of Perception/Exellence).

  9. Hybrid digital-analog video transmission in wireless multicast and multiple-input multiple-output system

    NASA Astrophysics Data System (ADS)

    Liu, Yu; Lin, Xiaocheng; Fan, Nianfei; Zhang, Lin

    2016-01-01

    Wireless video multicast has become one of the key technologies in wireless applications. But the main challenge of conventional wireless video multicast, i.e., the cliff effect, remains unsolved. To overcome the cliff effect, a hybrid digital-analog (HDA) video transmission framework based on SoftCast, which transmits the digital bitstream with the quantization residuals, is proposed. With an effective power allocation algorithm and appropriate parameter settings, the residual gains can be maximized; meanwhile, the digital bitstream can assure transmission of a basic video to the multicast receiver group. In the multiple-input multiple-output (MIMO) system, since nonuniform noise interference on different antennas can be regarded as the cliff effect problem, ParCast, which is a variation of SoftCast, is also applied to video transmission to solve it. The HDA scheme with corresponding power allocation algorithms is also applied to improve video performance. Simulations show that the proposed HDA scheme can overcome the cliff effect completely with the transmission of residuals. What is more, it outperforms the compared WSVC scheme by more than 2 dB when transmitting under the same bandwidth, and it can further improve performance by nearly 8 dB in MIMO when compared with the ParCast scheme.

  10. Increased plasma levels and blunted effects of brain natriuretic peptide in rats with congestive heart failure.

    PubMed

    Hoffman, A; Grossman, E; Keiser, H R

    1991-07-01

    The hemodynamic and renal effects of brain natriuretic peptide (BNP) were studied in conscious rats with experimental congestive heart failure (CHF) produced by an aortocaval fistula. The peptide had potent hypotensive, diuretic, and natriuretic effects in control rats, all of which were abolished in CHF. Plasma levels of BNP increased time-dependently during the development of CHF, and were more than four-fold higher in sodium retaining rats than in control rats. The data suggest that BNP secretion from the atria is increased in CHF, and that resistance to BNP, in addition to the relative resistance to atrial natriuretic factor, may contribute to sodium retention in CHF. PMID:1831369

  11. An improved SCTP congestion mechanism for supporting differentiated services between SCTP associations

    NASA Astrophysics Data System (ADS)

    Xu, Changbiao; Xian, Yongju; Yang, Shizhong

    2005-11-01

    The stream control transmission protocol (SCTP) will play an important role in the next generation of the Internet. Up to now, there are no literatures about differentiated services for SCTP associations. Regarding the throughput as SCTP criteria to support differentiated services, the differentiated services between SCTP associations can be obtained by introducing the weighted factor to a or b for AIMD(a,b)-based SCTP congestion control. Theoretic analysis and simulation results show that the proposed scheme can achieve well proportional differentiated services for SCTP associations with few additional overheads, and it is easy to regulate the fluctuation of data sending rate or SCTP response to networks.

  12. On the Inefficiency of Equilibria in Linear Bottleneck Congestion Games

    NASA Astrophysics Data System (ADS)

    de Keijzer, Bart; Schäfer, Guido; Telelis, Orestis A.

    We study the inefficiency of equilibrium outcomes in bottleneck congestion games. These games model situations in which strategic players compete for a limited number of facilities. Each player allocates his weight to a (feasible) subset of the facilities with the goal to minimize the maximum (weight-dependent) latency that he experiences on any of these facilities. We derive upper and (asymptotically) matching lower bounds on the (strong) price of anarchy of linear bottleneck congestion games for a natural load balancing social cost objective (i.e., minimize the maximum latency of a facility). We restrict our studies to linear latency functions. Linear bottleneck congestion games still constitute a rich class of games and generalize, for example, load balancing games with identical or uniformly related machines with or without restricted assignments.

  13. Urban traffic congestion; A search for new solutions

    SciTech Connect

    Howie, D. )

    1989-10-01

    Urban traffic congestion will be the major challenge for traffic engineers into the 1990s. Urban communities will not be content to wait passively for traffic authorities to tinker at the edges of the problem; they are likely to demand more effective solutions than are now being delivered. Concerns about growth in urban traffic congestion are widespread in all monitorized countries. Even the United States, with its extensive freeway system, faces major problems in trying to deal with rapidly growing levels of urban traffic congestion. This paper explores the opportunity to apply new and innovative solutions available as a result of advances in technology over recent years. An underlying theme in the paper is that the available technology has outstripped the ability of traffic engineers to deliver creative solutions to traffic problems.

  14. The Influence of Individual Driver Characteristics on Congestion Formation

    NASA Astrophysics Data System (ADS)

    Wang, Lanjun; Zhang, Hao; Meng, Huadong; Wang, Xiqin

    Previous works have pointed out that one of the reasons for the formation of traffic congestion is instability in traffic flow. In this study, we investigate theoretically how the characteristics of individual drivers influence the instability of traffic flow. The discussions are based on the optimal velocity model, which has three parameters related to individual driver characteristics. We specify the mappings between the model parameters and driver characteristics in this study. With linear stability analysis, we obtain a condition for when instability occurs and a constraint about how the model parameters influence the unstable traffic flow. Meanwhile, we also determine how the region of unstable flow densities depends on these parameters. Additionally, the Langevin approach theoretically validates that under the constraint, the macroscopic characteristics of the unstable traffic flow becomes a mixture of free flows and congestions. All of these results imply that both overly aggressive and overly conservative drivers are capable of triggering traffic congestion.

  15. Traffic congestion classification using motion vector statistical features

    NASA Astrophysics Data System (ADS)

    Riaz, Amina; Khan, Shoab A.

    2013-12-01

    Due to the rapid increase in population, one of the major problems faced by the urban areas is traffic congestion. In this paper we propose a method for classifying highway traffic congestion using motion vector statistical properties. Motion vectors are estimated using pyramidal Kanada-Lucas-Tomasi (KLT) tracker algorithm. Then motion vector features are extracted and are used to classify the traffic patterns into three categories: light, medium and heavy. Classification using neural network, on publicly available dataset, shows an accuracy of 95.28%, with robustness to environmental conditions such as variable luminance. Our system provides a more accurate solution to the problem as compared to the systems previously proposed.

  16. Congestion estimation technique in the optical network unit registration process.

    PubMed

    Kim, Geunyong; Yoo, Hark; Lee, Dongsoo; Kim, Youngsun; Lim, Hyuk

    2016-07-01

    We present a congestion estimation technique (CET) to estimate the optical network unit (ONU) registration success ratio for the ONU registration process in passive optical networks. An optical line terminal (OLT) estimates the number of collided ONUs via the proposed scheme during the serial number state. The OLT can obtain congestion level among ONUs to be registered such that this information may be exploited to change the size of a quiet window to decrease the collision probability. We verified the efficiency of the proposed method through simulation and experimental results. PMID:27367066

  17. [Erythropoiesis-stimulating agents in congestive heart failure patients].

    PubMed

    Robles Perez-Monteoliva, Nicolás Roberto; Macías Núñez, Juan Francisco; Herrera Pérez de Villar, Julio

    2014-03-01

    Congestive heart failure is a disease of high incidence and prevalence in the elderly. Anemia is associated with an increased mortality in these patients. This article reviews the cumulated evidence about the use of erythropoiesis-stimulating agents in congestive heart failure patients. Although some improvement in quality of life has been shown, it has not been found any decrement on mortality and, as a result, together with the high drug cost, it is not recommended the use of this kind of drugs in heart failure patients. PMID:24012446

  18. Increasing Intelligence in Inter-Vehicle Communications to Reduce Traffic Congestions: Experiments in Urban and Highway Environments

    PubMed Central

    Filho, Geraldo P. R.; Guidoni, Daniel L.; Pessin, Gustavo; Villas, Leandro A.; Ueyama, Jó

    2016-01-01

    Intelligent Transportation Systems (ITS) rely on Inter-Vehicle Communication (IVC) to streamline the operation of vehicles by managing vehicle traffic, assisting drivers with safety and sharing information, as well as providing appropriate services for passengers. Traffic congestion is an urban mobility problem, which causes stress to drivers and economic losses. In this context, this work proposes a solution for the detection, dissemination and control of congested roads based on inter-vehicle communication, called INCIDEnT. The main goal of the proposed solution is to reduce the average trip time, CO emissions and fuel consumption by allowing motorists to avoid congested roads. The simulation results show that our proposed solution leads to short delays and a low overhead. Moreover, it is efficient with regard to the coverage of the event and the distance to which the information can be propagated. The findings of the investigation show that the proposed solution leads to (i) high hit rate in the classification of the level of congestion, (ii) a reduction in average trip time, (iii) a reduction in fuel consumption, and (iv) reduced CO emissions PMID:27526048

  19. Increasing Intelligence in Inter-Vehicle Communications to Reduce Traffic Congestions: Experiments in Urban and Highway Environments.

    PubMed

    Meneguette, Rodolfo I; Filho, Geraldo P R; Guidoni, Daniel L; Pessin, Gustavo; Villas, Leandro A; Ueyama, Jó

    2016-01-01

    Intelligent Transportation Systems (ITS) rely on Inter-Vehicle Communication (IVC) to streamline the operation of vehicles by managing vehicle traffic, assisting drivers with safety and sharing information, as well as providing appropriate services for passengers. Traffic congestion is an urban mobility problem, which causes stress to drivers and economic losses. In this context, this work proposes a solution for the detection, dissemination and control of congested roads based on inter-vehicle communication, called INCIDEnT. The main goal of the proposed solution is to reduce the average trip time, CO emissions and fuel consumption by allowing motorists to avoid congested roads. The simulation results show that our proposed solution leads to short delays and a low overhead. Moreover, it is efficient with regard to the coverage of the event and the distance to which the information can be propagated. The findings of the investigation show that the proposed solution leads to (i) high hit rate in the classification of the level of congestion, (ii) a reduction in average trip time, (iii) a reduction in fuel consumption, and (iv) reduced CO emissions. PMID:27526048

  20. Sodium and water balance in chronic congestive heart failure.

    PubMed Central

    Cody, R J; Covit, A B; Schaer, G L; Laragh, J H; Sealey, J E; Feldschuh, J

    1986-01-01

    As the characteristics of sodium and water balance in heart failure remain undefined, we evaluated the hemodynamic, metabolic, and hormonal effects of balanced sodium intake in 10 patients with chronic congestive heart failure. We discontinued diuretics to avoid their confounding influence, and all patients received 1 wk of 10 meq and 100 meq balanced sodium intake and controlled free water. Comparing sodium intake of 10 with 100 meq, the following observations were made. There was weight gain (2.0 kg) and increased sodium excretion (11 +/- 3 to 63 +/- 15 meq/24 h), unaccompanied by increase of blood volume. Both renin-angiotensin system and sympathetic nervous system activity were greater during the 10 meq diet, and suppressed with the 100 meq sodium diet. For both diets, plasma renin and urinary aldosterone excretion were correlated with urinary sodium excretion (r = -0.768, r = -0.726, respectively; P less than 0.005). Systemic hemodynamics were minimally changed with increased sodium intake. However, reversal of vasoconstriction by captopril during the 10 meq diet, and its ineffectiveness during the 100 meq diet, indicated a renin-dependent mechanism in the former, and a renin-independent mechanism in the latter diet. There were two subgroups of response to the 100 meq diet: one group (n = 5) achieved neutral balance, while the second (n = 5) avidly retained sodium and water. Renin-angiotensin system activity was significantly higher in the latter group, and the mechanism for differences in sodium excretion for the subgroups could not be identified by blood volume or hemodynamic parameters. Orthostatic hypotension during tilt was greater during the 10 meq sodium diet, and in all cases, related to ineffective hemodynamic and hormonal compensatory responses. PMID:3517066

  1. Pneumoconiosis increases the risk of congestive heart failure

    PubMed Central

    Yen, Chia-Ming; Lin, Cheng-Li; Lin, Ming-Chia; Chen, Huei-Yong; Lu, Nan-Han; Kao, Chia-Hung

    2016-01-01

    Abstract The purpose of the study was to determine the relationship between pneumoconiosis and congestive heart failure (CHF). We collected data from the National Health Insurance Research Database in Taiwan. The study sample comprised 8923 patients with pneumoconiosis and 35,692 nonpneumoconiosis controls enrolled from 2000 to 2011. Patients were followed up until the end of 2011 to evaluate the incidence of CHF. The risk of CHF was analyzed using Cox proportional hazard regression models, and the analysis accounted for factors such as sex, age, comorbidities, and air pollutants (μg/m3). The overall incidence of CHF was higher in the pneumoconiosis cohort (15.7 per 1000 person-y) than in the nonpneumoconiosis cohort (11.2 per 1000 person-y), with a crude hazard ratio (HR) of 1.40 (P < 0.001). The HR for CHF was 1.38-fold greater in the pneumoconiosis cohort than in the nonpneumoconiosis cohort (P < 0.001) after the model was adjusted for age, sex, various comorbidities, and air pollutants (μg/m3). The relative risk for CHF in the sex-specific pneumoconiosis cohort compared with the nonpneumoconiosis cohort was significant for men (adjusted HR = 1.40, 95% confidence interval = 1.21–1.62, P < 0.001). The incidence density rates of CHF increased with age; pneumoconiosis patients had a higher relative risk of CHF for all age group. Patients with pneumoconiosis were at higher risk for developing CHF than patients in the nonpneumoconiosis cohort, particularly in cases with coexisting coronary artery disease, hypertension, and chronic obstructive pulmonary disease. PMID:27336897

  2. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management Systems... for congestion (e.g., level of service); (ii) Identify the causes of congestion; (iii)...

  3. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management Systems... for congestion (e.g., level of service); (ii) Identify the causes of congestion; (iii)...

  4. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.214... document measures for congestion (e.g., level of service); (ii) Identify the causes of congestion;...

  5. An approach to verification and validation of a reliable multicasting protocol: Extended Abstract

    NASA Technical Reports Server (NTRS)

    Callahan, John R.; Montgomery, Todd L.

    1995-01-01

    This paper describes the process of implementing a complex communications protocol that provides reliable delivery of data in multicast-capable, packet-switching telecommunication networks. The protocol, called the Reliable Multicasting Protocol (RMP), was developed incrementally using a combination of formal and informal techniques in an attempt to ensure the correctness of its implementation. Our development process involved three concurrent activities: (1) the initial construction and incremental enhancement of a formal state model of the protocol machine; (2) the initial coding and incremental enhancement of the implementation; and (3) model-based testing of iterative implementations of the protocol. These activities were carried out by two separate teams: a design team and a V&V team. The design team built the first version of RMP with limited functionality to handle only nominal requirements of data delivery. This initial version did not handle off-nominal cases such as network partitions or site failures. Meanwhile, the V&V team concurrently developed a formal model of the requirements using a variant of SCR-based state tables. Based on these requirements tables, the V&V team developed test cases to exercise the implementation. In a series of iterative steps, the design team added new functionality to the implementation while the V&V team kept the state model in fidelity with the implementation. This was done by generating test cases based on suspected errant or off-nominal behaviors predicted by the current model. If the execution of a test in the model and implementation agreed, then the test either found a potential problem or verified a required behavior. However, if the execution of a test was different in the model and implementation, then the differences helped identify inconsistencies between the model and implementation. In either case, the dialogue between both teams drove the co-evolution of the model and implementation. We have found that this

  6. Bottleneck Congestion Games with Logarithmic Price of Anarchy

    NASA Astrophysics Data System (ADS)

    Kannan, Rajgopal; Busch, Costas

    We study bottleneck congestion games where the social cost is determined by the worst congestion on any resource. In the literature, bottleneck games assume player utility costs determined by the worst congested resource in their strategy. However, the Nash equilibria of such games are inefficient since the price of anarchy can be very high and proportional to the number of resources. In order to obtain smaller price of anarchy we introduce exponential bottleneck games, where the utility costs of the players are exponential functions of their congestions. In particular, the delay function for any resource r is M^{C_r}, where C r denotes the number of players that use r, and M is an integer constant. We find that exponential bottleneck games are very efficient and give the following bound on the price of anarchy: O(log|R|), where R is the set of resources. This price of anarchy is tight, since we demonstrate a game with price of anarchy Ω(log|R|). We obtain our tight bounds by using two novel proof techniques: transformation, which we use to convert arbitrary games to simpler games, and expansion, which we use to bound the price of anarchy in a simpler game.

  7. 14 CFR 137.51 - Operation over congested areas: General.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... aircraft must be operated as follows: (i) No person may take off a multiengine airplane over a congested... engine aircraft must be operated as follows: (i) Except for helicopters, no person may take off a loaded... inoperative in the takeoff configuration or 115 percent of the power-off stall speed in the...

  8. Analyzing freeway traffic under congestion: Traffic dynamics approach

    SciTech Connect

    Nam, D.H.; Drew, D.R.

    1998-05-01

    This paper presents an analysis of freeway traffic flows under congestion based on the principle of traffic dynamics, using the example of recurring congestion. Queuing and discharging mechanisms are analyzed using the fundamental concept of conservation of vehicles. These analysis results are applied for reviewing the two conventional macroscopic analysis tools, deterministic queuing analysis and shock-wave analysis. Comparative study results have demonstrated that (1) the two methods are fundamentally different from the traffic modeling point of view; (2) deterministic queuing analysis always underestimates the overall magnitude of delays compared to shock-wave analysis; and (3) the area between the demand and the capacity curves in a queuing diagram is analytically equivalent to total vehicle-hours of travel in congestion as opposed to the widely accepted total vehicle-hours of delay. The study results imply that the guidelines of the 1994 Highway Capacity Manual may result in the underestimation of congestion-related statistics. For the purposes of illustration and verification, a numerical example problem is provided.

  9. Understanding congestion in China's medical market: an incentive structure perspective.

    PubMed

    Sun, Zesheng; Wang, Shuhong; Barnes, Stephen R

    2016-04-01

    Congestion has become one of the most important factors leading to patient dissatisfaction and doctor-patient conflicts in the medical market of China. In this study, we explore the causes and effects of structural congestion in the Chinese medical market from an incentive structure perspective. Our analysis reveals that prior medical system reforms with price regulation in China have induced hospitals to establish incentives for capital-intensive investments, while ignoring human capital, and have driven medical staff and patients to higher-level hospitals, reinforcing an incentive structure in which congestion in higher-level hospitals and idle resources in lower-level hospitals coexist. The existing incentive structure has led to cost increases and degradation of human capital and specific factor effects. Recent reforms to reduce congestion in the Chinese medical market were not effective. Most of them had no impact on and did not involve the existing distorted incentive structure. Future reforms should consider rebalancing expectations for medical quality, free flow of human capital and price regulation reforms to rebuild a new incentive structure. PMID:26185181

  10. Pelvic congestion syndrome: demonstration and diagnosis by helical CT.

    PubMed

    Desimpelaere, J H; Seynaeve, P C; Hagers, Y M; Appel, B J; Mortelmans, L L

    1999-01-01

    Pelvic pain is a common gynaecological complaint, sometimes without any obvious etiology. We report a case of pelvic congestion syndrome, an often overlooked cause of pelvic pain, diagnosed by helical computed tomography. This seems to be an effective and noninvasive imaging modality. PMID:9933685

  11. Teaching Congestive Heart Failure to Doctor of Pharmacy Students.

    ERIC Educational Resources Information Center

    Parker, Robert B.

    1992-01-01

    This paper summarizes a lecture given to pharmacy students that emphasizes the pathophysiologic mechanisms causing congestive heart failure and the effects of drugs on these mechanisms. The approach shows the importance of drug therapy in this disorder and how this knowledge can improve patient care. An appendix provides a case study. (GLR)

  12. All-Optical 1-to-8 Wavelength Multicasting at 20 Gbit/s Exploiting Self-Phase Modulation in Dispersion Flattened Highly Nonlinear Photonic Crystal Fiber

    PubMed Central

    Hui, Zhan-Qiang

    2014-01-01

    All-optical multicasting of performing data routing from single node to multiple destinations in the optical domain is promising for next generation ultrahigh-peed photonic networks. Based on the self-phase modulation in dispersion flattened highly nonlinear photonic crystal fiber and followed spectral filtering, simultaneous 1-to-8 all-optical wavelength multicasting return-to-zero (RZ) signal at 20 Gbit/s with 100 GHz channel spaced is achieved. Wavelength tunable range and dynamic characteristic of proposed wavelength multicasting scheme is further investigated. The results show our designed scheme achieve operation wavelength range of 25 nm, OSNR of 32.01 dB and Q factor of 12.8. Moreover, the scheme has simple structure as well as high tolerance to signal power fluctuation. PMID:24711738

  13. 23 CFR 972.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... LANDS HIGHWAYS FISH AND WILDLIFE SERVICE MANAGEMENT SYSTEMS Fish and Wildlife Service Management Systems § 972.214 Federal lands congestion management system (CMS). (a) For purposes of this section, congestion... 23 Highways 1 2011-04-01 2011-04-01 false Federal lands congestion management system (CMS)....

  14. TCP with source traffic shaping (TCP-STS): an approach for network congestion reduction

    NASA Astrophysics Data System (ADS)

    Elaywe, Ali H.; Kamal, Ahmed E.

    2002-07-01

    The Transmission Control Protocol (TCP), provides flow control functions which are based on the window mechanism. Packet losses are detected by various mechanisms, such as timeouts and duplicate acknowledgements, and are then recovered from using different techniques. A problem that arises with the use of window based mechanisms is that the availability of a large number of credits at the source may cause a source to flood the network with back-to-back packets, which may drive the network into congestion, especially if multiple sources become active at the same time. In this paper we propose a new approach for congestion reduction. The approach works by shaping the traffic at the TCP source, such that the basic TCP flow control mechanism is still preserved, but the packet transmissions are spaced in time in order to prevent a sudden surge of traffic from overflowing the routers' buffers. Simulation results show that this technique can result in an improved network performance, in terms of reduced mean delay, delay variance, and packet dropping ratio.

  15. Congestion Avoidance Testbed Experiments. Volume 2

    NASA Technical Reports Server (NTRS)

    Denny, Barbara A.; Lee, Diane S.; McKenney, Paul E., Sr.; Lee, Danny

    1994-01-01

    DARTnet provides an excellent environment for executing networking experiments. Since the network is private and spans the continental United States, it gives researchers a great opportunity to test network behavior under controlled conditions. However, this opportunity is not available very often, and therefore a support environment for such testing is lacking. To help remedy this situation, part of SRI's effort in this project was devoted to advancing the state of the art in the techniques used for benchmarking network performance. The second objective of SRI's effort in this project was to advance networking technology in the area of traffic control, and to test our ideas on DARTnet, using the tools we developed to improve benchmarking networks. Networks are becoming more common and are being used by more and more people. The applications, such as multimedia conferencing and distributed simulations, are also placing greater demand on the resources the networks provide. Hence, new mechanisms for traffic control must be created to enable their networks to serve the needs of their users. SRI's objective, therefore, was to investigate a new queueing and scheduling approach that will help to meet the needs of a large, diverse user population in a "fair" way.

  16. Iodine-123 metaiodobenzylguanidine imaging of the heart in idiopathic congestive cardiomyopathy and cardiac transplants

    SciTech Connect

    Glowniak, J.V.; Turner, F.E.; Gray, L.L.; Palac, R.T.; Lagunas-Solar, M.C.; Woodward, W.R.

    1989-07-01

    Iodine-123 metaiodobenzylguanidine ((/sup 123/I)MIBG) is a norepinephrine analog which can be used to image the sympathetic innervation of the heart. In this study, cardiac imaging with (/sup 123/I)MIBG was performed in patients with idiopathic congestive cardiomyopathy and compared to normal controls. Initial uptake, half-time of tracer within the heart, and heart to lung ratios were all significantly reduced in patients compared to normals. Uptake in lungs, liver, salivary glands, and spleen was similar in controls and patients with cardiomyopathy indicating that decreased MIBG uptake was not a generalized abnormality in these patients. Iodine-123 MIBG imaging was also performed in cardiac transplant patients to determine cardiac nonneuronal uptake. Uptake in transplants was less than 10% of normals in the first 2 hr and nearly undetectable after 16 hr. The decreased uptake of MIBG suggests cardiac sympathetic nerve dysfunction while the rapid washout of MIBG from the heart suggests increased cardiac sympathetic nerve activity in idiopathic congestive cardiomyopathy.

  17. Vasodilator effects of nebivolol in a rat model of hypertension and a rabbit model of congestive heart failure.

    PubMed

    de Groot, Annemieke A; Mathy, Marie-Jeanne; van Zwieten, Pieter A; Peters, Stephan L M

    2007-07-01

    Both hypertension and congestive heart failure are characterized by a reduced vasodilatory capacity. In both conditions, the impairment of endothelial function is mainly the result of a reduced nitric oxide availability. The highly beta1-selective third-generation adrenoceptor blocker nebivolol displays additional endothelium-dependent vasodilating actions in humans as well as in animal models. In this study, we investigated whether these vasodilating properties of nebivolol are preserved in conditions with endothelial dysfunction. The vasodilatory effects of nebivolol were compared with those of the muscarinic agonist methacholine in isolated aortic rings obtained from spontaneous hypertensive rats and rabbits with experimental heart failure. The methacholine-induced responses were attenuated in aortic rings from both spontaneous hypertensive rats and congestive heart failture rabbits (42+/-6% and 25+/-3% vs. 89+/-3% and 54+/-7% for controls, respectively; P<0.05, n=6-13), indicating an endothelial dysfunction in these preparations. In contrast, nebivolol-induced vasorelaxation remained unaffected in both preparations when compared to control preparations (40+/-12% and 43+/-6% vs. 52+/-8% and 50+/-13% for controls, respectively; P>0.05, n=6-13). These results implicate that the favorable hemodynamic profile of nebivolol may be preserved in patients with hypertension or congestive heart failure despite an impaired endothelial function. PMID:17666916

  18. How congestion shapes cities: from mobility patterns to scaling

    PubMed Central

    Louf, Rémi; Barthelemy, Marc

    2014-01-01

    The recent availability of data for cities has allowed scientists to exhibit scalings which present themselves in the form of a power-law dependence on population of various socio-economical and structural indicators. We propose here a stochastic theory of urban growth which accounts for some of the observed scalings and we confirm these predictions on US and OECD empirical data. In particular, we show that the dependence on population size of the total number of miles driven daily, the total length of the road network, the total traffic delay, the total consumption of gasoline, the quantity of CO2 emitted and the relation between area and population of cities, are all governed by a single parameter which characterizes the sensitivity to congestion. Our results suggest that diseconomies associated with congestion scale superlinearly with population size, implying that –despite polycentrism– cities whose transportation infrastructure rely heavily on traffic sensitive modes are unsustainable. PMID:24990624

  19. Quantitative multiplex CARS spectroscopy in congested spectral regions

    NASA Astrophysics Data System (ADS)

    Müller, Michiel; Rinia, Hilde A.; Bonn, Mischa; Vartiainen, Erik M.; Lisker, Melanie; van Bel, Aart

    2007-02-01

    A novel procedure is developed to describe and reproduce experimental coherent anti-Stokes Raman scattering (CARS) data, with particular emphasis on highly congested spectral regions. The approach - exemplified here with high-quality multiplex CARS data - makes use the maximum entropy method for phase retrieval. The retrieved imaginary part of the nonlinear susceptibility is shown to be equal to the spontaneous Raman spectrum. The phase retrieval procedure does not influence the noise contained in the spectra. The conversion of CARS to Raman data permits a quantitative interpretation of CARS spectra. This novel approach is demonstrated for highly congested multiplex CARS spectra of sucrose, fructose and glucose. This novel procedures enables extraction of vibrational information from multiplex CARS data without the use of a priori information of the sample.

  20. How congestion shapes cities: from mobility patterns to scaling

    NASA Astrophysics Data System (ADS)

    Louf, Rémi; Barthelemy, Marc

    2014-07-01

    The recent availability of data for cities has allowed scientists to exhibit scalings which present themselves in the form of a power-law dependence on population of various socio-economical and structural indicators. We propose here a stochastic theory of urban growth which accounts for some of the observed scalings and we confirm these predictions on US and OECD empirical data. In particular, we show that the dependence on population size of the total number of miles driven daily, the total length of the road network, the total traffic delay, the total consumption of gasoline, the quantity of CO2 emitted and the relation between area and population of cities, are all governed by a single parameter which characterizes the sensitivity to congestion. Our results suggest that diseconomies associated with congestion scale superlinearly with population size, implying that -despite polycentrism- cities whose transportation infrastructure rely heavily on traffic sensitive modes are unsustainable.

  1. Dynamically-induced structures formation in congested magma

    NASA Astrophysics Data System (ADS)

    Petford, N.

    2008-12-01

    Crystal fabrics preserved in igneous rocks offer a glimpse into the magma emplacement process. Detailed field mapping, in combination with AMS studies, seem to provide the best available data for unravelling intrusion architecture on the decimetre scale. However, a full and proper understanding of the fluid dynamics of congested fluid-particle mixtures during shear remains elusive. This is a shame as without recourse to such fundamental understanding, the interpretation of structural field data in the context of magma flow remains problematic. One way to gain insight into the process is to treat flowing magma as a dynamic material with a rheology similar to sheared, congested slurries. The fancy that dense magma equates to a high temperature slurry is an attractive one, and opens up a way to examine the emplacement process that does not rely exclusively on equilibrium thermodynamics as a final explanation of commonly observed igneous structures. Instead, using examples from mafic rocks where cooling has been rapid, the idea is put forward that in high Peclet number suspensions (where particle diffusion is negligible), shearing and non- Newtonian behaviour imparts a rich diversity of structures including layering, grading and flow segregation. Key to understanding the rheology, hence flow dynamics of congested magma, is the particle microstructure, a still poorly known essence of suspension flows. Where magma transport is continental in scale and long lived (e.g. Large Igneous Provinces), rotation of the earth may in theory endow a small but potentially measurable imprint on the preserved flow fabric.

  2. Traffic Congestion Detection System through Connected Vehicles and Big Data.

    PubMed

    Cárdenas-Benítez, Néstor; Aquino-Santos, Raúl; Magaña-Espinoza, Pedro; Aguilar-Velazco, José; Edwards-Block, Arthur; Medina Cass, Aldo

    2016-01-01

    This article discusses the simulation and evaluation of a traffic congestion detection system which combines inter-vehicular communications, fixed roadside infrastructure and infrastructure-to-infrastructure connectivity and big data. The system discussed in this article permits drivers to identify traffic congestion and change their routes accordingly, thus reducing the total emissions of CO₂ and decreasing travel time. This system monitors, processes and stores large amounts of data, which can detect traffic congestion in a precise way by means of a series of algorithms that reduces localized vehicular emission by rerouting vehicles. To simulate and evaluate the proposed system, a big data cluster was developed based on Cassandra, which was used in tandem with the OMNeT++ discreet event network simulator, coupled with the SUMO (Simulation of Urban MObility) traffic simulator and the Veins vehicular network framework. The results validate the efficiency of the traffic detection system and its positive impact in detecting, reporting and rerouting traffic when traffic events occur. PMID:27136548

  3. Predictability of road traffic and congestion in urban areas.

    PubMed

    Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu

    2015-01-01

    Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion. PMID:25849534

  4. Predictability of Road Traffic and Congestion in Urban Areas

    PubMed Central

    Wang, Jingyuan; Mao, Yu; Li, Jing; Xiong, Zhang; Wang, Wen-Xu

    2015-01-01

    Mitigating traffic congestion on urban roads, with paramount importance in urban development and reduction of energy consumption and air pollution, depends on our ability to foresee road usage and traffic conditions pertaining to the collective behavior of drivers, raising a significant question: to what degree is road traffic predictable in urban areas? Here we rely on the precise records of daily vehicle mobility based on GPS positioning device installed in taxis to uncover the potential daily predictability of urban traffic patterns. Using the mapping from the degree of congestion on roads into a time series of symbols and measuring its entropy, we find a relatively high daily predictability of traffic conditions despite the absence of any priori knowledge of drivers' origins and destinations and quite different travel patterns between weekdays and weekends. Moreover, we find a counterintuitive dependence of the predictability on travel speed: the road segment associated with intermediate average travel speed is most difficult to be predicted. We also explore the possibility of recovering the traffic condition of an inaccessible segment from its adjacent segments with respect to limited observability. The highly predictable traffic patterns in spite of the heterogeneity of drivers' behaviors and the variability of their origins and destinations enables development of accurate predictive models for eventually devising practical strategies to mitigate urban road congestion. PMID:25849534

  5. Traffic Congestion Detection System through Connected Vehicles and Big Data

    PubMed Central

    Cárdenas-Benítez, Néstor; Aquino-Santos, Raúl; Magaña-Espinoza, Pedro; Aguilar-Velazco, José; Edwards-Block, Arthur; Medina Cass, Aldo

    2016-01-01

    This article discusses the simulation and evaluation of a traffic congestion detection system which combines inter-vehicular communications, fixed roadside infrastructure and infrastructure-to-infrastructure connectivity and big data. The system discussed in this article permits drivers to identify traffic congestion and change their routes accordingly, thus reducing the total emissions of CO2 and decreasing travel time. This system monitors, processes and stores large amounts of data, which can detect traffic congestion in a precise way by means of a series of algorithms that reduces localized vehicular emission by rerouting vehicles. To simulate and evaluate the proposed system, a big data cluster was developed based on Cassandra, which was used in tandem with the OMNeT++ discreet event network simulator, coupled with the SUMO (Simulation of Urban MObility) traffic simulator and the Veins vehicular network framework. The results validate the efficiency of the traffic detection system and its positive impact in detecting, reporting and rerouting traffic when traffic events occur. PMID:27136548

  6. Factors contributing to the hospitalization of patients with congestive heart failure.

    PubMed Central

    Chin, M H; Goldman, L

    1997-01-01

    OBJECTIVES: This study identifies acute precipitants of hospitalization and evaluates utilization of angiotension-converting enzyme inhibitors in patients admitted with congestive heart failure. METHODS: Cross-sectional chart-review study was done of 435 patients admitted nonelectively from February 1993 to February 1994 to an urban university hospital with a complaint of shortness of breath or fatigue and evidence of congestive heart failure. RESULTS: The most common identifiable abnormalities associated with clinical deterioration prior to admission were acute anginal chest pain (33%), respiratory infection (16%), uncontrolled hypertension with initial systolic blood pressure > or = 180 mm Hg (15%), atrial arrhythmia with heart rate > or = 120 (8%), and noncompliance with medications (15%) or diet (6%); in 34% of patients, no clear cause could be identified. After exclusion of those who were already on a different vasodilator or who had relative contraindications, 18 (32%) of the patients with ejection fractions < or = 0.35 measured prior to admission were not taking an angiotensin-converting enzyme inhibitor on presentation to the hospital. CONCLUSIONS: Interventions to improve compliance, the control of hypertension, and the appropriate use of angiotensin-converting enzyme inhibitors may prevent many hospitalizations of heart-failure patients. PMID:9146445

  7. Design and Implementation of Real-Time Vehicular Camera for Driver Assistance and Traffic Congestion Estimation

    PubMed Central

    Son, Sanghyun; Baek, Yunju

    2015-01-01

    As society has developed, the number of vehicles has increased and road conditions have become complicated, increasing the risk of crashes. Therefore, a service that provides safe vehicle control and various types of information to the driver is urgently needed. In this study, we designed and implemented a real-time traffic information system and a smart camera device for smart driver assistance systems. We selected a commercial device for the smart driver assistance systems, and applied a computer vision algorithm to perform image recognition. For application to the dynamic region of interest, dynamic frame skip methods were implemented to perform parallel processing in order to enable real-time operation. In addition, we designed and implemented a model to estimate congestion by analyzing traffic information. The performance of the proposed method was evaluated using images of a real road environment. We found that the processing time improved by 15.4 times when all the proposed methods were applied in the application. Further, we found experimentally that there was little or no change in the recognition accuracy when the proposed method was applied. Using the traffic congestion estimation model, we also found that the average error rate of the proposed model was 5.3%. PMID:26295230

  8. Design and Implementation of Real-Time Vehicular Camera for Driver Assistance and Traffic Congestion Estimation.

    PubMed

    Son, Sanghyun; Baek, Yunju

    2015-01-01

    As society has developed, the number of vehicles has increased and road conditions have become complicated, increasing the risk of crashes. Therefore, a service that provides safe vehicle control and various types of information to the driver is urgently needed. In this study, we designed and implemented a real-time traffic information system and a smart camera device for smart driver assistance systems. We selected a commercial device for the smart driver assistance systems, and applied a computer vision algorithm to perform image recognition. For application to the dynamic region of interest, dynamic frame skip methods were implemented to perform parallel processing in order to enable real-time operation. In addition, we designed and implemented a model to estimate congestion by analyzing traffic information. The performance of the proposed method was evaluated using images of a real road environment. We found that the processing time improved by 15.4 times when all the proposed methods were applied in the application. Further, we found experimentally that there was little or no change in the recognition accuracy when the proposed method was applied. Using the traffic congestion estimation model, we also found that the average error rate of the proposed model was 5.3%. PMID:26295230

  9. Congestion Prediction Modeling for Quality of Service Improvement in Wireless Sensor Networks

    PubMed Central

    Lee, Ga-Won; Lee, Sung-Young; Huh, Eui-Nam

    2014-01-01

    Information technology (IT) is pushing ahead with drastic reforms of modern life for improvement of human welfare. Objects constitute “Information Networks” through smart, self-regulated information gathering that also recognizes and controls current information states in Wireless Sensor Networks (WSNs). Information observed from sensor networks in real-time is used to increase quality of life (QoL) in various industries and daily life. One of the key challenges of the WSNs is how to achieve lossless data transmission. Although nowadays sensor nodes have enhanced capacities, it is hard to assure lossless and reliable end-to-end data transmission in WSNs due to the unstable wireless links and low hard ware resources to satisfy high quality of service (QoS) requirements. We propose a node and path traffic prediction model to predict and minimize the congestion. This solution includes prediction of packet generation due to network congestion from both periodic and event data generation. Simulation using NS-2 and Matlab is used to demonstrate the effectiveness of the proposed solution. PMID:24784035

  10. Interaction between worsening renal function and persistent congestion in acute decompensated heart failure.

    PubMed

    Wattad, Malak; Darawsha, Wisam; Solomonica, Amir; Hijazi, Maher; Kaplan, Marielle; Makhoul, Badira F; Abassi, Zaid A; Azzam, Zaher S; Aronson, Doron

    2015-04-01

    Worsening renal function (WRF) and congestion are inextricably related pathophysiologically, suggesting that WRF occurring in conjunction with persistent congestion would be associated with worse clinical outcome. We studied the interdependence between WRF and persistent congestion in 762 patients with acute decompensated heart failure (HF). WRF was defined as ≥0.3 mg/dl increase in serum creatinine above baseline at any time during hospitalization and persistent congestion as ≥1 sign of congestion at discharge. The primary end point was all-cause mortality with mean follow-up of 15 ± 9 months. Readmission for HF was a secondary end point. Persistent congestion was more common in patients with WRF than in patients with stable renal function (51.0% vs 26.6%, p <0.0001). Both persistent congestion and persistent WRF were significantly associated with mortality (both p <0.0001). There was a strong interaction (p = 0.003) between persistent WRF and congestion, such that the increased risk for mortality occurred predominantly with both WRF and persistent congestion. The adjusted hazard ratio for mortality in patients with persistent congestion as compared with those without was 4.16 (95% confidence interval [CI] 2.20 to 7.86) in patients with WRF and 1.50 (95% CI 1.16 to 1.93) in patients without WRF. In conclusion, persisted congestion is frequently associated with WRF. We have identified a substantial interaction between persistent congestion and WRF such that congestion portends increased mortality particularly when associated with WRF. PMID:25700802

  11. Pimobendan and its use in treating canine congestive heart failure.

    PubMed

    Bowles, Danielle; Fry, Darren

    2011-11-01

    Pimobendan, a calcium sensitizer and phosphodiesterase III inhibitor, has positive inotropic and vasodilatory properties. Its use in patients with naturally occurring congestive heart failure (CHF) has been studied in a number of blinded, randomized, multicenter clinical trials. It has been shown to improve quality of life, reduce heart insufficiency scores, and increase median survival times for patients with CHF due to dilated cardiomyopathy and myxomatous valvular disease. Although most studies have reported positive findings, some potential adverse effects have also been described. Studies are under way to further evaluate the effects of this novel positive inotrope and vasodilator in canine cardiac disease. PMID:22101450

  12. Improving Congestive Heart Failure Care with a Clinical Decision Unit.

    PubMed

    Carpenter, Jo Ellen; Short, Nancy; Williams, Tracy E; Yandell, Ben; Bowers, Margaret T

    2015-01-01

    Evidence supporting the development of Clinical Decision Units (CDUs) to impact congestive heart failure readmission rates comes from several categories of the literature. In this study, a pre-post design with comparison group was used to evaluate the impact of the CDU. Early changes in clinical and financial outcome indicators are encouraging. Nurse leaders seek ways to improve clinical outcomes while managing the current financially challenging environment. Implementation of a CDU provides many opportunities for nurse leaders to positively impact clinical care and financial performance within their institutions. PMID:26625578

  13. [Echo-color-Doppler in male pelvic congestion syndrome].

    PubMed

    Sarteschi, Lelio Mario; Simi, Stefano; Turchi, Paolo; DeMaria, Maurizio; Morelli, Girolamo

    2002-12-01

    The pelvic congestion syndrome has been widely studied in the female sex, while there are not many publications on the male equivalent. Prostatitis represent the most frequent affections of the genito-urinary male tract that require the urologic consult, but in the majority of the cases the etiology of such affections remains unknown. Some forms of microscopic hematuria or macroscopic hematuria are also cryptogenetic. Varicocelectomy is widely given in the infertile patients, but not always the intervention achieves a recovery of the semen quality. In this work we revisit the anatomy of the pelvic male venous drain and we depict its objective findings with the echo-color-Doppler sonography (ECD). The purpose of the study is to encourage a polycentric uro-andrologic search on large numbers, with the goal of resolve if the ECD pictures of congestion pelvic syndrome could have relation with some "prostatitis syndromes", with some cryptogenetic hematuria and/or with the prognosis of the infertile patients undergone to varicocelectomy. PMID:12508723

  14. Congestive cardiac failure: central role of the arterial blood pressure.

    PubMed Central

    Harris, P

    1987-01-01

    A review of the history of our knowledge and understanding of the peripheral oedema of congestive cardiac failure points to the conclusion that an inability of the heart to maintain the arterial pressure is of central importance in this condition. Although the function of the circulation is to perfuse the tissues, the body monitors the adequacy of its perfusion, not not through metabolic messengers carried from the tissues in the blood stream, but by sensing the arterial pressure; and the mechanisms evoked act to maintain the arterial pressure. In the short term this is achieved by autonomic regulation of the heart and blood vessels; in the longer term the arterial pressure is maintained through an increase in the blood volume by a retention of salt and water by the kidney. To support the latter process, intrinsic renal mechanisms are successively magnified by the renin-angiotensin-aldosterone system and by the activities of the sympathetic system and vasopressin. The natriuretic influence mediated through volume receptors and the release of atrial peptide is overruled by the arterial baroreceptors, so that the body maintains the arterial pressure at the expense of an increase in blood volume. In these ways the syndrome of congestive cardiac failure may be regarded as one which arises when the heart becomes chronically unable to maintain an appropriate arterial pressure without support. PMID:3311096

  15. Quasi-static evolution and congested crowd transport

    NASA Astrophysics Data System (ADS)

    Alexander, Damon; Kim, Inwon; Yao, Yao

    2014-04-01

    We consider the relationship between Hele-Shaw evolution with drift, the porous medium equation with drift, and a congested crowd motion model originally proposed by Maury et al (2010 Math. Models Methods Appl. Sci. 20 1787-821). We first use viscosity solutions to show that the porous medium equation solutions converge to the Hele-Shaw solution as m → ∞ provided the drift potential is strictly subharmonic. Next, using the gradient-flow structure of both the porous medium equation and the crowd motion model, we prove that the porous medium equation solutions also converge to the congested crowd motion as m → ∞. Combining these results lets us deduce that in the case where the initial data to the crowd motion model is given by a patch, or characteristic function, the solution evolves as a patch that is the unique solution to the Hele-Shaw problem. While proving our main results we also obtain a comparison principle for solutions with the minimizing movement scheme based on the Wasserstein metric, of independent interest.

  16. Modeling and simulating for congestion pedestrian evacuation with panic

    NASA Astrophysics Data System (ADS)

    Wang, Jinhuan; Zhang, Lei; Shi, Qiongyu; Yang, Peng; Hu, Xiaoming

    2015-06-01

    A new multi-agent based congestion evacuation model incorporating panic behavior is proposed in this paper for simulating pedestrian evacuation in public places such as a stadium. Different from the existing results, pedestrians in this model are divided into four classes and each pedestrian's status can be either normal, being overtaken, or casualty. The direction of action for each individual is affected by competitive ability, distance to the exits as well as number and density of occupants within the view field of the agent. Our simulations exhibit that during the evacuation process: (1) The agents gather in front of the exits spontaneously and present arched shapes close to the exits. (2) Under the panic state the agents cohere closely and almost do not change the target exit. So other alternative exits are ignored. (3) For the case without obstacle, the casualties under panic increase greatly. But if there are obstacles (chairs), the congestion can be alleviated. Thus the casualties are reduced. (4) If certain exit is partly clogged, the evacuation becomes more efficient when adding a virtual leader. The overall simulation results show that the proposed model can reproduce the real evacuation process in a stadium quite well.

  17. Improving UDP/IP Transmission Without Increasing Congestion

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott

    2006-01-01

    Datagram Retransmission (DGR) is a computer program that, within certain limits, ensures the reception of each datagram transmitted under the User Datagram Protocol/Internet Protocol. [User Datagram Protocol (UDP) is considered unreliable because it does not involve a reliability-ensuring connection-initiation dialogue between sender and receiver. UDP is well suited to issuing of many small messages to many different receivers.] Unlike prior software for ensuring reception of UDP datagrams, DGR does not contribute to network congestion by retransmitting data more frequently as an ever-increasing number of messages and acknowledgements is lost. Instead, DGR does just the opposite: DGR includes an adaptive timeout-interval- computing component that provides maximum opportunity for reception of acknowledgements, minimizing retransmission. By monitoring changes in the rate at which message-transmission transactions are completed, DGR detects changes in the level of congestion and responds by imposing varying degrees of delay on the transmission of new messages. In addition, DGR maximizes throughput by not waiting for acknowledgement of a message before sending the next message. All DGR communication is asynchronous, to maximize efficient utilization of network connections. DGR manages multiple concurrent datagram transmission and acknowledgement conversations.

  18. Congestion phenomena caused by matching pennies in evolutionary games

    NASA Astrophysics Data System (ADS)

    Szabó, György; Szolnoki, Attila

    2015-03-01

    Evolutionary social dilemma games are extended by an additional matching-pennies game that modifies the collected payoffs. In a spatial version players are distributed on a square lattice and interact with their neighbors. First, we show that the matching-pennies game can be considered as the microscopic force of the Red Queen effect that breaks the detailed balance and induces eddies in the microscopic probability currents if the strategy update is analogous to the Glauber dynamics for the kinetic Ising models. The resulting loops in probability current breaks symmetry between the chessboardlike arrangements of strategies via a bottleneck effect occurring along the four-edge loops in the microscopic states. The impact of this congestion is analogous to the application of a staggered magnetic field in the Ising model; that is, the order-disorder critical transition is wiped out by noise. It is illustrated that the congestion induced symmetry breaking can be beneficial for the whole community within a certain region of parameters.

  19. A Bayesian ridge regression analysis of congestion's impact on urban expressway safety.

    PubMed

    Shi, Qi; Abdel-Aty, Mohamed; Lee, Jaeyoung

    2016-03-01

    With the rapid growth of traffic in urban areas, concerns about congestion and traffic safety have been heightened. This study leveraged both Automatic Vehicle Identification (AVI) system and Microwave Vehicle Detection System (MVDS) installed on an expressway in Central Florida to explore how congestion impacts the crash occurrence in urban areas. Multiple congestion measures from the two systems were developed. To ensure more precise estimates of the congestion's effects, the traffic data were aggregated into peak and non-peak hours. Multicollinearity among traffic parameters was examined. The results showed the presence of multicollinearity especially during peak hours. As a response, ridge regression was introduced to cope with this issue. Poisson models with uncorrelated random effects, correlated random effects, and both correlated random effects and random parameters were constructed within the Bayesian framework. It was proven that correlated random effects could significantly enhance model performance. The random parameters model has similar goodness-of-fit compared with the model with only correlated random effects. However, by accounting for the unobserved heterogeneity, more variables were found to be significantly related to crash frequency. The models indicated that congestion increased crash frequency during peak hours while during non-peak hours it was not a major crash contributing factor. Using the random parameter model, the three congestion measures were compared. It was found that all congestion indicators had similar effects while Congestion Index (CI) derived from MVDS data was a better congestion indicator for safety analysis. Also, analyses showed that the segments with higher congestion intensity could not only increase property damage only (PDO) crashes, but also more severe crashes. In addition, the issues regarding the necessity to incorporate specific congestion indicator for congestion's effects on safety and to take care of the

  20. Abnormalities of capillary microarchitecture in a rat model of coronary ischemic congestive heart failure

    PubMed Central

    Chen, Jiqiu; Yaniz-Galende, Elisa; Kagan, Heather J.; Liang, Lifan; Hekmaty, Saboor; Giannarelli, Chiara

    2015-01-01

    The aim of the present study is to explore the role of capillary disorder in coronary ischemic congestive heart failure (CHF). CHF was induced in rats by aortic banding plus ischemia-reperfusion followed by aortic debanding. Coronary arteries were perfused with plastic polymer containing fluorescent dye. Multiple fluorescent images of casted heart sections and scanning electric microscope of coronary vessels were obtained to characterize changes in the heart. Cardiac function was assessed by echocardiography and in vivo hemodynamics. Stenosis was found in all levels of the coronary arteries in CHF. Coronary vasculature volume and capillary density in remote myocardium were significantly increased in CHF compared with control. This occurred largely in microvessels with a diameter of ≤3 μm. Capillaries in CHF had a tortuous structure, while normal capillaries were linear. Capillaries in CHF had inconsistent diameters, with assortments of narrowed and bulged segments. Their surfaces appeared rough, potentially indicating endothelial dysfunction in CHF. Segments of main capillaries between bifurcations were significantly shorter in length in CHF than in control. Transiently increasing preload by injecting 50 μl of 30% NaCl demonstrated that the CHF heart had lower functional reserve; this may be associated with congestion in coronary microcirculation. Ischemic coronary vascular disorder is not limited to the main coronary arteries, as it occurs in arterioles and capillaries. Capillary disorder in CHF included stenosis, deformed structure, proliferation, and roughened surfaces. This disorder in the coronary artery architecture may contribute to the reduction in myocyte contractility in the setting of heart failure. PMID:25659485

  1. The impact of the congestion charging scheme on ambient air pollution concentrations in London

    NASA Astrophysics Data System (ADS)

    Atkinson, R. W.; Barratt, B.; Armstrong, B.; Anderson, H. R.; Beevers, S. D.; Mudway, I. S.; Green, D.; Derwent, R. G.; Wilkinson, P.; Tonne, C.; Kelly, F. J.

    On 17th February 2003, a congestion charging scheme (CCS), operating Monday-Friday, 07:00-18:00, was introduced in central London along with a programme of traffic management measures. We investigated the potential impact of the introduction of the CCS on measured pollutant concentrations (oxides of nitrogen (NO X, NO and NO 2), particles with a median diameter less than 10 microns (PM 10), carbon monoxide (CO) and ozone (O 3)) measured at roadside and background monitoring sites across Greater London. Temporal changes in pollution concentrations within the congestion charging zone were compared to changes, over the same time period, at monitors unlikely to be affected by the CCS (the control zone) and in the boundary zone between the two. Similar analyses were done for CCS hours during weekends (when the CCS was not operating). Based on the single roadside monitor with the CCS Zone, it was not possible to identify any relative changes in pollution concentrations associated with the introduction of the scheme. However, using background monitors, there was good evidence for a decrease in NO and increases in NO 2 and O 3 relative to the control zone. There was little change in background concentrations of NO X. There was also evidence of relative reductions in PM 10 and CO. Similar changes were observed during the same hours in weekends when the scheme was not operating. The causal attribution of these changes to the CCS per se is not appropriate since the scheme was introduced concurrently with other traffic and emissions interventions which might have had a more concentrated effect in central London. This study provides important pointers for study design and data requirements for the evaluation of similar schemes in terms of air quality. It also shows that results may be unexpected and that the overall effect on toxicity may not be entirely favourable.

  2. Congestion at Card and Book Catalogs--A Queuing-Theory Approach

    ERIC Educational Resources Information Center

    Bookstein, Abraham

    1972-01-01

    This paper attempts to analyze the problem of congestion, using a mathematical model shown to be of value in other similar applications. Three criteria of congestion are considered, and it is found that the conclusion one can draw is sensitive to which of these criteria is paramount. (8 references) (Author/NH)

  3. 76 FR 75875 - Plan for Conduct of 2012 Electric Transmission Congestion Study

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... regional workshops and request for written comments in connection with the preparation of a study of electric transmission congestion pursuant to section 216(a)(1) of the Federal Power Act (76 FR 70122). This... for Conduct of 2012 Electric Transmission Congestion Study AGENCY: Office of Electricity Delivery...

  4. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Congestion management process in transportation management areas. 450.320 Section 450.320 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... Programming § 450.320 Congestion management process in transportation management areas. (a) The...

  5. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Congestion management process in transportation management areas. 450.320 Section 450.320 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... Programming § 450.320 Congestion management process in transportation management areas. (a) The...

  6. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Congestion management process in transportation management areas. 450.320 Section 450.320 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... Programming § 450.320 Congestion management process in transportation management areas. (a) The...

  7. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Congestion management process in transportation management areas. 450.320 Section 450.320 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... Programming § 450.320 Congestion management process in transportation management areas. (a) The...

  8. 23 CFR 450.320 - Congestion management process in transportation management areas.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Congestion management process in transportation management areas. 450.320 Section 450.320 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF... Programming § 450.320 Congestion management process in transportation management areas. (a) The...

  9. Traffic Congestion on a University Campus: A Consideration of Unconventional Remedies to Nontraditional Transportation Patterns

    ERIC Educational Resources Information Center

    Kaplan, Dave; Clapper, Thomas

    2007-01-01

    U.S. transportation data suggest that the number of vehicle miles traveled has far surpassed new capacity, resulting in increased traffic congestion in many communities throughout the country. This article reports on traffic congestion around a university campus located within a small town. The mix of trip purposes varies considerably in this…

  10. Changes in hypertension treatment and in congestive heart failure mortality in the United States.

    PubMed

    Yusuf, S; Thom, T; Abbott, R D

    1989-05-01

    The use of antihypertensive agents has increased in recent years and has been more marked among individuals in older age groups (65-74 years) than in middle-aged groups (45-54 years). Because hypertension is a strong risk factor for the development of congestive heart failure, more common use of antihypertensive agents would be expected to reduce the incidence of congestive heart failure. Examination of the national death statistics reveals decreases in congestive heart failure mortality at younger ages with mortality increases at older ages. The reasons for these divergent trends in congestive heart failure mortality in different ages and the apparent inconsistency with respect to the changes in the use of antihypertensive drugs are explored. We speculate that antihypertensive treatment does not completely prevent congestive heart failure but merely postpones its development by several decades. PMID:2490832

  11. Estimation of Congestion in Free Disposal Hull Models Using Data Envelopment Analysis

    PubMed Central

    Abbasi, M.; Jahanshahloo, G. R.; Rostamy-Malkhlifeh, M.; Hosseinzadeh Lotfi, F.

    2014-01-01

    This paper deals with evaluating congestion in free disposal hull (FDH) models. There are several approaches in data envelopment analysis (DEA) literatures which discuss the theory and application of congestion. However, almost all of these approaches considered convex DEA technologies. So, in the case of nonconvex technologies, including FDH technology, this field is almost nil. This paper makes an attempt to fill in this void. To do so, this study provides a pairwise comparisons-based algorithm to evaluate congestion in FDH model. This algorithm identifies the sources of congestion and estimates its amounts. It is also capable of detecting the losses amounts of output due to congestion. The validity of the proposed model is demonstrated using some numerical and empirical examples. PMID:25379531

  12. Estimation of congestion in free disposal hull models using data envelopment analysis.

    PubMed

    Abbasi, M; Jahanshahloo, G R; Rostamy-Malkhlifeh, M; Hosseinzadeh Lotfi, F

    2014-01-01

    This paper deals with evaluating congestion in free disposal hull (FDH) models. There are several approaches in data envelopment analysis (DEA) literatures which discuss the theory and application of congestion. However, almost all of these approaches considered convex DEA technologies. So, in the case of nonconvex technologies, including FDH technology, this field is almost nil. This paper makes an attempt to fill in this void. To do so, this study provides a pairwise comparisons-based algorithm to evaluate congestion in FDH model. This algorithm identifies the sources of congestion and estimates its amounts. It is also capable of detecting the losses amounts of output due to congestion. The validity of the proposed model is demonstrated using some numerical and empirical examples. PMID:25379531

  13. Venous Congestion, Endothelial and Neurohormonal Activation in Acute Decompensated Heart Failure: Cause or Effect?

    PubMed Central

    Colombo, Paolo C.; Doran, Amanda C.; Onat, Duygu; Wong, Ka Yuk; Ahmad, Myra; Sabbah, Hani N.; Demmer, Ryan T.

    2015-01-01

    Venous congestion and endothelial and neurohormonal activation are known to occur in acute decompensated heart failure (ADHF), yet the temporal role of these processes in the pathophysiology of decompensation is not fully understood. Conventional wisdom presumes congestion to be a consequence of worsening cardiovascular function; however, the biomechanically driven effects of venous congestion are biologically plausible contributors to ADHF that remain largely unexplored in vivo. Recent experimental evidence from human models suggests that fluid accumulation and venous congestion are not simply consequences of poor cardiovascular function, but rather are fundamental pro-oxidant, pro-inflammatory, and hemodynamic stimuli that contribute to acute decompensation. The latest advances in the monitoring of volume status using implantable devices allow for the detection of venous congestion before symptoms arise. This may ultimately lead to improved treatment strategies including not only diuretics, but also specific, adjuvant interventions to counteract endothelial and neurohormonal activation during early preclinical decompensation. PMID:25740404

  14. Psychobiology of depression/distress in congestive heart failure

    PubMed Central

    Hassan, Mustafa; Sheps, David S.

    2011-01-01

    Heart failure affects millions of Americans and new diagnosis rates are expected to almost triple over the next 30 years as our population ages. Affective disorders including clinical depression and anxiety are common in patients with congestive heart failure. Furthermore, the presence of these disorders significantly impacts quality of life, medical outcomes, and healthcare service utilization. In recent years, the literature has attempted to describe potential pathophysiologic mechanisms relating affective disorders and psychosocial stress to heart failure. Several potential mechanisms have been proposed including autonomic nervous system dysfunction, inflammation, cardiac arrhythmias, and altered platelet function. These mechanisms are reviewed in this article. Additional novel mechanisms such as mental stress-induced myocardial ischemia are also discussed. PMID:18368481

  15. Complexity in congestive heart failure: A time-frequency approach

    NASA Astrophysics Data System (ADS)

    Banerjee, Santo; Palit, Sanjay K.; Mukherjee, Sayan; Ariffin, MRK; Rondoni, Lamberto

    2016-03-01

    Reconstruction of phase space is an effective method to quantify the dynamics of a signal or a time series. Various phase space reconstruction techniques have been investigated. However, there are some issues on the optimal reconstructions and the best possible choice of the reconstruction parameters. This research introduces the idea of gradient cross recurrence (GCR) and mean gradient cross recurrence density which shows that reconstructions in time frequency domain preserve more information about the dynamics than the optimal reconstructions in time domain. This analysis is further extended to ECG signals of normal and congestive heart failure patients. By using another newly introduced measure—gradient cross recurrence period density entropy, two classes of aforesaid ECG signals can be classified with a proper threshold. This analysis can be applied to quantifying and distinguishing biomedical and other nonlinear signals.

  16. Relation of systemic and local muscle exercise capacity to skeletal muscle characteristics in men with congestive heart failure

    NASA Technical Reports Server (NTRS)

    Massie, B. M.; Simonini, A.; Sahgal, P.; Wells, L.; Dudley, G. A.

    1996-01-01

    OBJECTIVES. The present study was undertaken to further characterize changes in skeletal muscle morphology and histochemistry in congestive heart failure and to determine the relation of these changes to abnormalities of systemic and local muscle exercise capacity. BACKGROUND. Abnormalities of skeletal muscle appear to play a role in the limitation of exercise capacity in congestive heart failure, but information on the changes in muscle morphology and biochemistry and their relation to alterations in muscle function is limited. METHODS. Eighteen men with predominantly mild to moderate congestive heart failure (mean +/- SEM New York Heart Association functional class 2.6 +/- 0.2, ejection fraction 24 +/- 2%) and eight age- and gender-matched sedentary control subjects underwent measurements of peak systemic oxygen consumption (VO2) during cycle ergometry, resistance to fatigue of the quadriceps femoris muscle group and biopsy of the vastus lateralis muscle. RESULTS. Peak VO2 and resistance to fatigue were lower in the patients with heart failure than in control subjects (15.7 +/- 1.2 vs. 25.1 +/- 1.5 ml/min-kg and 63 +/- 2% vs. 85 +/- 3%, respectively, both p < 0.001). Patients had a lower proportion of slow twitch, type I fibers than did control subjects (36 +/- 3% vs. 46 +/- 5%, p = 0.048) and a higher proportion of fast twitch, type IIab fibers (18 +/- 3% vs. 7 +/- 2%, p = 0.004). Fiber cross-sectional area was smaller, and single-fiber succinate dehydrogenase activity, a mitochondrial oxidative marker, was lower in patients (both p < or = 0.034). Likewise, the ratio of average fast twitch to slow twitch fiber cross-sectional area was lower in patients (0.780 +/- 0.06 vs. 1.05 +/- 0.08, p = 0.019). Peak VO2 was strongly related to integrated succinate dehydrogenase activity in patients (r = 0.896, p = 0.001). Peak VO2, resistance to fatigue and strength also correlated significantly with several measures of fiber size, especially of fast twitch fibers, in

  17. Lymphocyte subpopulations and hematologic variables in dogs with congestive heart failure.

    PubMed

    Farabaugh, Andrew E; Freeman, Lisa M; Rush, John E; George, Katherine L

    2004-01-01

    Alterations in lymphocyte subpopulations and in other hematologic variables have been documented in people with heart failure. The purpose of the current study was to compare flow cytometric and hematologic variables in dogs with congestive heart failure (CHF) to healthy controls. CD4+ peripheral blood mononuclear cells (PBMC) and CD8+ lymphocytes were analyzed by flow cytometry, and white blood cell count, platelet count, hematocrit, and hemoglobin were determined by a complete blood count. Twenty-five dogs with CHF (International Small Animal Cardiac Health Council [ISACHC] class 2 [n = 12] and ISACHC class 3a [n = 13]) and 13 healthy controls were enrolled in the study. Compared with the controls, dogs with CHF had markedly lower percentages of CD4+ PBMC, CD8+ lymphocytes, hematocrit, and hemoglobin, but markedly higher leukocytes, neutrophils, and platelets. There were no differences in these variables between dogs with dilated cardiomyopathy (n = 6) and those with chronic valvular disease (n = 19). Dogs in ISACHC class 3a had a markedly lower total lymphocyte number, CD4+ and CD8+ cells, and hematocrit, but markedly higher leukocyte and neutrophil numbers relative to the control group. CD4+ and CD8+ subpopulations and other blood cell variables are altered in dogs with CHF. Future studies to determine possible clinical implications of these changes are warranted. PMID:15320588

  18. Flexible and re-configurable optical three-input XOR logic gate of phase-modulated signals with multicast functionality for potential application in optical physical-layer network coding.

    PubMed

    Lu, Guo-Wei; Qin, Jun; Wang, Hongxiang; Ji, XuYuefeng; Sharif, Gazi Mohammad; Yamaguchi, Shigeru

    2016-02-01

    Optical logic gate, especially exclusive-or (XOR) gate, plays important role in accomplishing photonic computing and various network functionalities in future optical networks. On the other hand, optical multicast is another indispensable functionality to efficiently deliver information in optical networks. In this paper, for the first time, we propose and experimentally demonstrate a flexible optical three-input XOR gate scheme for multiple input phase-modulated signals with a 1-to-2 multicast functionality for each XOR operation using four-wave mixing (FWM) effect in single piece of highly-nonlinear fiber (HNLF). Through FWM in HNLF, all of the possible XOR operations among input signals could be simultaneously realized by sharing a single piece of HNLF. By selecting the obtained XOR components using a followed wavelength selective component, the number of XOR gates and the participant light in XOR operations could be flexibly configured. The re-configurability of the proposed XOR gate and the function integration of the optical logic gate and multicast in single device offer the flexibility in network design and improve the network efficiency. We experimentally demonstrate flexible 3-input XOR gate for four 10-Gbaud binary phase-shift keying signals with a multicast scale of 2. Error-free operations for the obtained XOR results are achieved. Potential application of the integrated XOR and multicast function in network coding is also discussed. PMID:26906806

  19. Quantum random walks on congested lattices and the effect of dephasing

    PubMed Central

    Motes, Keith R.; Gilchrist, Alexei; Rohde, Peter P.

    2016-01-01

    We consider quantum random walks on congested lattices and contrast them to classical random walks. Congestion is modelled on lattices that contain static defects which reverse the walker’s direction. We implement a dephasing process after each step which allows us to smoothly interpolate between classical and quantum random walks as well as study the effect of dephasing on the quantum walk. Our key results show that a quantum walker escapes a finite boundary dramatically faster than a classical walker and that this advantage remains in the presence of heavily congested lattices. PMID:26812924

  20. Recovery of chylous pulmonary congestion in tuberous sclerosis complex-associated lymphangioleiomyomatosis.

    PubMed

    Kinoshita, Yoshiaki; Sakamoto, Atsuhiko; Hidaka, Kouko

    2014-01-01

    Chyloptysis and chylous pulmonary congestion are extremely rare complications of lymphangioleiomyomatosis (LAM). We report a case of a 50-year-old woman with tuberous sclerosis complex-associated LAM, who presented with expectorating milky-white bronchial casts. She was diagnosed with chyloptysis and chylous pulmonary congestion by sputum analysis. Her symptoms and lung infiltration were improved by oral sirolimus therapy; moreover, serum Krebs von den Lungen-6 (KL-6) levels paralleled the symptoms and lung infiltration of these complications. We suggest that serum KL-6 may be a useful monitoring biomarker of chyloptysis and chylous pulmonary congestion in LAM. PMID:25326562

  1. Diagnosis and Treatment of Depression in Patients With Congestive Heart Failure: A Review of the Literature

    PubMed Central

    Stern, Theodore A.; Hebert, Kathy A.; Musselman, Dominique L.

    2013-01-01

    Context: Major depressive disorder (MDD) can be challenging to diagnose in patients with congestive heart failure, who often suffer from fatigue, insomnia, weight changes, and other neurovegetative symptoms that overlap with those of depression. Pathophysiologic mechanisms (eg, inflammation, autonomic nervous system dysfunction, cardiac arrhythmias, and altered platelet function) connect depression and congestive heart failure. Objective: We sought to review the prevalence, diagnosis, neurobiology, and treatment of depression associated with congestive heart failure. Data Sources: A search of all English-language articles between January 2003 and January 2013 was conducted using the search terms congestive heart failure and depression. Study Selection: We found 1,498 article abstracts and 19 articles (meta-analyses, systematic reviews, and original research articles) that were selected for inclusion, as they contained information about our focus on diagnosis, treatment, and pathophysiology of depression associated with congestive heart failure. The search was augmented with manual review of reference lists of articles from the initial search. Articles selected for review were determined by author consensus. Data Extraction: The prevalence, diagnosis, neurobiology, and treatment of depression associated with congestive heart failure were reviewed. Particular attention was paid to the safety, efficacy, and tolerability of antidepressant medications commonly used to treat depression and how their side-effect profiles impact the pathophysiology of congestive heart failure. Drug-drug interactions between antidepressant medications and medications used to treat congestive heart failure were examined. Results: MDD is highly prevalent in patients with congestive heart failure. Moreover, the prevalence and severity of depression correlate with the degree of cardiac dysfunction and development of congestive heart failure. Depression increases the risk of congestive heart

  2. National Ignition Facility (NIF) Control Network Design and Analysis

    SciTech Connect

    Bryant, R M; Carey, R W; Claybourn, R V; Pavel, G; Schaefer, W J

    2001-10-19

    The control network for the National Ignition Facility (NIF) is designed to meet the needs for common object request broker architecture (CORBA) inter-process communication, multicast video transport, device triggering, and general TCP/IP communication within the NIF facility. The network will interconnect approximately 650 systems, including the embedded controllers, front-end processors (FEPs), supervisory systems, and centralized servers involved in operation of the NIF. All systems are networked with Ethernet to serve the majority of communication needs, and asynchronous transfer mode (ATM) is used to transport multicast video and synchronization triggers. CORBA software infra-structure provides location-independent communication services over TCP/IP between the application processes in the 15 supervisory and 300 FEP systems. Video images sampled from 500 video cameras at a 10-Hz frame rate will be multicast using direct ATM Application Programming Interface (API) communication from video FEPs to any selected operator console. The Ethernet and ATM control networks are used to broadcast two types of device triggers for last-second functions in a large number of FEPs, thus eliminating the need for a separate infrastructure for these functions. Analysis, design, modeling, and testing of the NIF network has been performed to provide confidence that the network design will meet NIF control requirements.

  3. Spiritual Peace Predicts 5-Year Mortality in Congestive Heart Failure Patients

    PubMed Central

    Park, Crystal L.; George, Login; Aldwin, Carolyn M.; Choun, Soyoung; Suresh, D. P.; Bliss, Deborah

    2015-01-01

    Objective Spirituality is favorably related to depression, quality of life, hospitalizations, and other important outcomes in congestive heart failure (CHF) patients but has not been examined as a predictor of mortality risk in this population. Given the well-known difficulties in managing CHF, we hypothesized that spirituality would be associated with lower mortality risk, controlling for baseline demographics, functional status, health behaviors, and religiousness. Method Participants were 191 CHF patients (64% male; Mage = 68.6 years, SD = 10.1) who completed a baseline survey and were then followed for five years. Results Nearly one third of the sample (32%) died during the study period. Controlling for demographics and health status, smoking more than doubled the risk of mortality, while alcohol consumption was associated with slightly lower risk of mortality. Importantly, adherence to healthy lifestyle recommendations was associated with halved mortality risk. While both religion and spirituality were associated with better health behaviors at baseline in bivariate analyses, a proportional hazard model showed that only spirituality was significantly associated with reduced mortality risk (by 20%), controlling for demographics, health status, and health behaviors. Conclusions Experiencing spiritual peace, along with adherence to a healthy lifestyle, were better predictors of mortality risk in this sample of CHF patients than were physical health indicators such as functional status and comorbidity. Future research might profitably examine the efficacy of attending to spiritual issues along with standard lifestyle interventions. PMID:26414488

  4. Exercise-induced ventricular arrhythmias in congestive heart failure and role of ACE inhibitors.

    PubMed

    Hasija, P K; Karloopia, S D; Shahi, B N; Chauhan, S S

    1998-02-01

    Ventricular arrhythmias are considered to be related to left ventricular (LV) dysfunction. ACE inhibitors though improve LV function their beneficial role on exercise-induced ventricular arrhythmias is not established. To study the effects of ACE inhibitors on exercise capacity vis-a-vis their role on exercise-induced ventricular arrhythmias, 25 patients of congestive heart failure (CHF) of various etiologies in NYHA Class II and III were subjected to a prospective randomised controlled trial. The control group comprising of 12 patients received conventional treatment (digitalis and diuretics) and the test group was given enalapril/captopril in addition as tolerated. They were followed up for 3 months. Exercise testing on treadmill and monitoring of clinical and biochemical parameters were done at the beginning and end of study in all cases. Ventricular arrhythmias observed during exercise and post-exercise for 10 minutes was analysed using Lown's grading for frequency and severity of ventricular arrhythmia. The mean exercise duration showed significant improvement on ACE inhibitor as compared to the control group (p < 0.05) however there was no significant change in the grades of arrhythmia. Serum electrolytes and other bio-chemical parameter were within normal range. It is concluded that effect of ACE inhibitor on improving functional capacity in CHF is independent of it's any effect on exercise-induced ventricular arrhythmias. PMID:11273109

  5. The effects of congestions tax on air quality and health

    NASA Astrophysics Data System (ADS)

    Johansson, Christer; Burman, Lars; Forsberg, Bertil

    The "Stockholm Trial" involved a road pricing system to improve the air quality and reduce traffic congestion. The test period of the trial was January 3-July 31, 2006. Vehicles travelling into and out of the charge cordon were charged for every passage during weekdays. The amount due varied during the day and was highest during rush hours (20 SEK = 2.2 EUR, maximum 60 SEK per day). Based on measured and modelled changes in road traffic it was estimated that this system resulted in a 15% reduction in total road use within the charged cordon. Total traffic emissions in this area of NO x and PM10 fell by 8.5% and 13%, respectively. Air quality dispersion modelling was applied to assess the effect of the emission reductions on ambient concentrations and population exposure. For the situations with and without the trial, meteorological conditions and other emissions than from road traffic were kept the same. The calculations show that, with a permanent congestion tax system like the Stockholm Trial, the annual average NO x concentrations would be lower by up to 12% along the most densely trafficked streets. PM10 concentrations would be up to 7% lower. The limit values for both PM10 and NO 2 would still be exceeded along the most densely trafficked streets. The total population exposure of NO x in Greater Stockholm (35 × 35 km with 1.44 million people) is estimated to decrease with a rather modest 0.23 μg m -3. However, based on a long-term epidemiological study, that found an increased mortality risk of 8% per 10 μg m -3 NO x, it is estimated that 27 premature deaths would be avoided every year. According to life-table analysis this would correspond to 206 years of life gained over 10 years per 100 000 people following the trial if the effects on exposures would persist. The effect on mortality is attributed to road traffic emissions (likely vehicle exhaust particles); NO x is merely regarded as an indicator of traffic exposure. This is only the tip of the ice

  6. Congestive heart failure with preserved ejection fraction is associated with severely impaired dynamic Starling mechanism

    PubMed Central

    Shibata, Shigeki; Hastings, Jeff L.; Prasad, Anand; Fu, Qi; Bhella, Paul S.; Pacini, Eric; Krainski, Felix; Palmer, M. Dean; Zhang, Rong

    2011-01-01

    Sedentary aging leads to increased cardiovascular stiffening, which can be ameliorated by sufficient amounts of lifelong exercise training. An even more extreme form of cardiovascular stiffening can be seen in heart failure with preserved ejection fraction (HFpEF), which comprises ∼40∼50% of elderly patients diagnosed with congestive heart failure. There are two major interrelated hypotheses proposed to explain heart failure in these patients: 1) increased left ventricular (LV) diastolic stiffness and 2) increased arterial stiffening. The beat-to-beat dynamic Starling mechanism, which is impaired with healthy human aging, reflects the interaction between ventricular and arterial stiffness and thus may provide a link between these two mechanisms underlying HFpEF. Spectral transfer function analysis was applied between beat-to-beat changes in LV end-diastolic pressure (LVEDP; estimated from pulmonary artery diastolic pressure with a right heart catheter) and stroke volume (SV) index. The dynamic Starling mechanism (transfer function gain between LVEDP and the SV index) was impaired in HFpEF patients (n = 10) compared with healthy age-matched controls (n = 12) (HFpEF: 0.23 ± 0.10 ml·m−2·mmHg−1 and control: 0.37 ± 0.11 ml·m−2·mmHg−1, means ± SD, P = 0.008). There was also a markedly increased (3-fold) fluctuation of LV filling pressures (power spectral density of LVEDP) in HFpEF patients, which may predispose to pulmonary edema due to intermittent exposure to higher pulmonary capillary pressure (HFpEF: 12.2 ± 10.4 mmHg2 and control: 3.8 ± 2.9 mmHg2, P = 0.014). An impaired dynamic Starling mechanism, even more extreme than that observed with healthy aging, is associated with marked breath-by-breath LVEDP variability and may reflect advanced ventricular and arterial stiffness in HFpEF, possibly contributing to reduced forward output and pulmonary congestion. PMID:21310890

  7. Cerebral Venous Congestion as Indication for Thrombolytic Treatment

    SciTech Connect

    Tsai, Fong Y. Kostanian, Varoujan; Rivera, Monica; Lee, Kwo-Whie; Chen, Clayton C.; Nguyen, Thong H.

    2007-07-15

    Purpose. To carry out a retrospective analysis of patients with acute dural sinus thrombosis, and the role of cerebral venous congestion in patient management. Methods. Twenty-five patients were identified with the clinical and imaging diagnosis of acute dural sinus thrombosis. The imaging diagnosis was by magnetic resonance (MR) and/or computed tomography (CT) venography. There was a female predominance with a female to male ratio of 1.5 to 1 (16 women, 9 men). The age range was from 19 to 64 years old with an average age of 37 years. The first 10 patients, who ranged in age from 21 to 64 years old (average 37 years), received only anticoagulation therapy with heparin and warfarin for periods ranging from 5 days to 2 months. The remaining 15 patients ranged in age from 19 to 57 years old (average 38 years). They either underwent subsequent thrombectomy after a trial of anticoagulation therapy, or went straight to thrombectomy. These latter 15 patients had initial evidence of cerebral venous congestion, either clinically by severe or worsening symptoms despite anticoagulation therapy, or on initial or subsequent CT or MR imaging. In our experience, the cerebral venous congestion imaging findings included intracranial hemorrhage, a hematoma, or edema. The thrombolytic treatment technique consisted of the advancement of a 6 Fr guiding catheter to the jugular bulb or sigmoid sinus from a transfemoral approach. A microcatheter was then advanced to the proximal portion of the thrombus and then either tissue plasminogen activator (tPA) or urokinase was injected to prevent clot propagation. A balloon catheter was used to perform thrombectomy since the thrombolytic agents can be injected via the inner lumen with an inflated balloon. The inflated balloon helped to keep the venous flow from washing out the thrombolytic agent, thus facilitating the agent's effect. Results. The first 10 patients received only anticoagulation therapy with heparin and warfarin for periods

  8. Decrease of cardiac chaos in congestive heart failure

    NASA Astrophysics Data System (ADS)

    Poon, Chi-Sang; Merrill, Christopher K.

    1997-10-01

    The electrical properties of the mammalian heart undergo many complex transitions in normal and diseased states. It has been proposed that the normal heartbeat may display complex nonlinear dynamics, including deterministic chaos,, and that such cardiac chaos may be a useful physiological marker for the diagnosis and management, of certain heart trouble. However, it is not clear whether the heartbeat series of healthy and diseased hearts are chaotic or stochastic, or whether cardiac chaos represents normal or abnormal behaviour. Here we have used a highly sensitive technique, which is robust to random noise, to detect chaos. We analysed the electrocardiograms from a group of healthy subjects and those with severe congestive heart failure (CHF), a clinical condition associated with a high risk of sudden death. The short-term variations of beat-to-beat interval exhibited strongly and consistently chaotic behaviour in all healthy subjects, but were frequently interrupted by periods of seemingly non-chaotic fluctuations in patients with CHF. Chaotic dynamics in the CHF data, even when discernible, exhibited a high degree of random variability over time, suggesting a weaker form of chaos. These findings suggest that cardiac chaos is prevalent in healthy heart, and a decrease in such chaos may be indicative of CHF.

  9. Optimal information transmission in organizations: search and congestion

    SciTech Connect

    Arenas, A.; Cabrales, A.; Danon, L.; Diaz-Guilera, A.; Guimera, R.; Vega-Redondo, F.

    2008-01-01

    We propose a stylized model of a problem-solving organization whose internal communication structure is given by a fixed network. Problems arrive randomly anywhere in this network and must find their way to their respective specialized solvers by relying on local information alone. The organization handles multiple problems simultaneously. For this reason, the process may be subject to congestion. We provide a characterization of the threshold of collapse of the network and of the stock of floating problems (or average delay) that prevails below that threshold. We build upon this characterization to address a design problem: the determination of what kind of network architecture optimizes performance for any given problem arrival rate. We conclude that, for low arrival rates, the optimal network is very polarized (i.e. star-like or centralized), whereas it is largely homogeneous (or decentralized) for high arrival rates. These observations are in line with a common transformation experienced by information-intensive organizations as their work flow has risen in recent years.

  10. The Role of Congestion in Cardiorenal Syndrome Type 2: New Pathophysiological Insights into an Experimental Model of Heart Failure

    PubMed Central

    Angelini, Annalisa; Castellani, Chiara; Virzì, Grazia Maria; Fedrigo, Marny; Thiene, Gaetano; Valente, Marialuisa; Ronco, Claudio; Vescovo, Giorgio

    2015-01-01

    Background In cardiorenal syndrome type 2 (CRS2), the role of systemic congestion in heart failure (HF) is still obscure. We studied a model of CRS2 [monocrotaline (MCT)-treated rats] secondary to pulmonary hypertension and right ventricular (RV) failure in order to evaluate the contribution of prevalent congestion to the development of kidney injury. Methods Ten animals were treated with MCT for 4 weeks until they developed HF. Eleven animals were taken as controls. Signs of hypertrophy and dilatation of the right ventricle demonstrated the occurrence of HF. Brain natriuretic peptide (BNP), serum creatinine (sCreatinine), both kidney and heart neutrophil gelatinase-associated lipocalin (NGAL), matrix metallopeptidase 9 (MMP9), serum cytokines as well as kidney and heart cell death, as assessed by TUNEL, were studied. Results Rats with HF showed higher BNP levels [chronic HF (CHF) 4.8 ± 0.5 ng/ml; controls 1.5 ± 0.2 ng/ml; p < 0.0001], marked RV hypertrophy and dilatation (RV mass/RV volume: CHF 1.46 ± 0.31, controls 2.41 ± 0.81; p < 0.01) as well as pleural and peritoneal effusions. A significant increase in proinflammatory cytokines and sCreatinine was observed (CHF 3.06 ± 1.3 pg/ml vs. controls 0.54 ± 0.23 pg/ml; p = 0.04). Serum (CHF 562.7 ± 93.34 ng/ml vs. controls 245.3 ± 58.19 ng/ml; p = 0.02) as well as renal and heart tissue NGAL levels [CHF 70,680 ± 4,337 arbitrary units (AU) vs. controls 32,120 ± 4,961 AU; p = 0.001] rose significantly, and they were found to be complexed with MMP9 in CHF rats. A higher number of kidney TUNEL-positive tubular cells was also detected (CHF 114.01 ± 45.93 vs. controls 16.36 ± 11.60 cells/mm2; p = 0.0004). Conclusion In this model of CHF with prevalent congestion, kidney injury is characterized by tubular damage and systemic inflammation. The upregulated NGAL complexed with MMP9 perpetuates the vicious circle of kidney/heart damage by enhancing the enzymatic activity of MMP9 with extracellular matrix degradation

  11. Chance Constrained Input Relaxation to Congestion in Stochastic DEA. An Application to Iranian Hospitals

    PubMed Central

    Kheirollahi, Hooshang; Matin, Behzad Karami; Mahboubi, Mohammad; Alavijeh, Mehdi Mirzaei

    2015-01-01

    This article developed an approached model of congestion, based on relaxed combination of inputs, in stochastic data envelopment analysis (SDEA) with chance constrained programming approaches. Classic data envelopment analysis models with deterministic data have been used by many authors to identify congestion and estimate its levels; however, data envelopment analysis with stochastic data were rarely used to identify congestion. This article used chance constrained programming approaches to replace stochastic models with ‘‘deterministic equivalents”. This substitution leads us to non-linear problems that should be solved. Finally, the proposed method based on relaxed combination of inputs was used to identify congestion input in six Iranian hospital with one input and two outputs in the period of 2009 to 2012. PMID:25946925

  12. Chance Constrained Input Relaxation to Congestion in Stochastic DEA. An Application to Iranian Hospitals.

    PubMed

    Kheirollahi, Hooshang; Matin, Behzad Karami; Mahboubi, Mohammad; Alavijeh, Mehdi Mirzaei

    2015-01-01

    This article developed an approached model of congestion, based on relaxed combination of inputs, in stochastic data envelopment analysis (SDEA) with chance constrained programming approaches. Classic data envelopment analysis models with deterministic data have been used by many authors to identify congestion and estimate its levels; however, data envelopment analysis with stochastic data were rarely used to identify congestion. This article used chance constrained programming approaches to replace stochastic models with "deterministic equivalents". This substitution leads us to non-linear problems that should be solved. Finally, the proposed method based on relaxed combination of inputs was used to identify congestion input in six Iranian hospital with one input and two outputs in the period of 2009 to 2012. PMID:25946925

  13. [Case of congestive heart failure associated with hypereosinophilia developed during antibiotics treatment].

    PubMed

    Sato, Takeo; Hagiwara, Kiyofumi; Matsuno, Hiroaki; Akiyama, Osamu

    2005-10-01

    A 92-year-old man with a history of bronchial asthma and allergic rhinitis received antibiotics for sepsis by methicillin-resistant Staphylococcus aureus and multidrug-resistant Enterococcus gallinarum. During the antibiotics treatment, skin eruptions, liver dysfunction, and hypereosinophilia developed, followed by dyspnea, congestive heart failure, electrocardiographic abnormalities, and diffuse mild myocardial hypokinesis. After the discontinuation of the antibiotics and the administration of steroid, skin eruptions, liver dysfunction, and hypereosinophilia improved parallel with the improvement of the congestive heart failure. Vancomycin hydrochloride and teicoplanin were suspected as the causative drugs on the basis of the treatment course. Although congestive heart failure is rare in the case of drug-induced hypereosinophilia, it is one of life-threatening complications. We describe herein a case of congestive heart failure associated with hypereosinophilia developed during antibiotics treatment, successfully treated with steroid after the discontinuation of the causative drug. PMID:16407668

  14. Sequestration and Microvascular Congestion Are Associated With Coma in Human Cerebral Malaria

    PubMed Central

    Ponsford, Mark J.; Medana, Isabelle M.; Prapansilp, Panote; Hien, Tran Tinh; Lee, Sue J.; Dondorp, Arjen M.; Esiri, Margaret M.; Day, Nicholas P. J.; White, Nicholas J.

    2012-01-01

    The pathogenesis of coma in severe Plasmodium falciparum malaria remains poorly understood. Obstruction of the brain microvasculature because of sequestration of parasitized red blood cells (pRBCs) represents one mechanism that could contribute to coma in cerebral malaria. Quantitative postmortem microscopy of brain sections from Vietnamese adults dying of malaria confirmed that sequestration in the cerebral microvasculature was significantly higher in patients with cerebral malaria (CM; n = 21) than in patients with non-CM (n = 23). Sequestration of pRBCs and CM was also significantly associated with increased microvascular congestion by infected and uninfected erythrocytes. Clinicopathological correlation showed that sequestration and congestion were significantly associated with deeper levels of premortem coma and shorter time to death. Microvascular congestion and sequestration were highly correlated as microscopic findings but were independent predictors of a clinical diagnosis of CM. Increased microvascular congestion accompanies coma in CM, associated with parasite sequestration in the cerebral microvasculature. PMID:22207648

  15. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LANDS HIGHWAYS NATIONAL PARK SERVICE MANAGEMENT SYSTEMS National Park Service Management Systems § 970...: (i) Identify and document measures for congestion (e.g., level of service); (ii) Identify the...

  16. 23 CFR 970.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... LANDS HIGHWAYS NATIONAL PARK SERVICE MANAGEMENT SYSTEMS National Park Service Management Systems § 970...: (i) Identify and document measures for congestion (e.g., level of service); (ii) Identify the...

  17. Computational realizations of the entropy condition in modeling congested traffic flow. Final report

    SciTech Connect

    Bui, D.D.; Nelson, P.; Narasimhan, S.L.

    1992-04-01

    Existing continuum models of traffic flow tend to provide somewhat unrealistic predictions for conditions of congested flow. Previous approaches to modeling congested flow conditions are based on various types of special treatments at the congested freeway sections. Ansorge (Transpn. Res. B, 24B(1990), 133-143) has suggested that such difficulties might be substantially alleviated, even for the simple conservation model of Lighthill and Whitman, if the entropy condition were incorporated into the numerical schemes. In this report the numerical aspects and effects of incorporating the entropy condition in congested traffic flow problems are discussed. Results for simple scenarios involving dissipation of traffic jams suggest that Godnunov's method, which in a numerical technique that incorporates the entropy condition, is more accurate than two alternative methods. Similarly, numerical results for this method, applied to simple model problems involving formation of traffic jams, appear at least as realistic as those obtained from the well-known code of FREFLO.

  18. Acute and long-term renal and metabolic effects of piretanide in congestive cardiac failure.

    PubMed Central

    McNabb, W R; Noormohamed, F H; Lant, A F

    1988-01-01

    1. The renal and metabolic effects of the sulphamoylbenzoic acid diuretic, piretanide, have been studied, under controlled dietary conditions, in 39 patients with congestive cardiac failure. 2. In acute studies, peak saluresis occurred within 4 h of oral piretanide administration; saluresis was complete within 6 h, after which a significant antidiuretic effect was observed. Addition of triamterene, 50 mg, blunted the 0-6 h kaliuretic effect of piretanide. Over 24 h, piretanide, alone, caused insignificant urinary losses of potassium when compared with control. 3. In comparative studies, the piretanide dose-response curve was found to be parallel to that of frusemide over the dose range studied. The 0-6 h saluretic responses of piretanide, 6, 12 and 18 mg, were found to be equivalent to frusemide, 40, 80 and 120 mg respectively. The collective mean ratios of all the saluretic responses to each dose of piretanide with the corresponding dose of frusemide was observed to be 0.99 +/- 0.12, over 0-6 h period, and 0.86 +/- 0.09 over the 24 h period. The relative potency of piretanide, when compared with frusemide was found to be 6.18 (95% confidence limits 4.87-8.33), over the 0-6 h period, and 4.73 (95% confidence limits 3.65-6.14), over 24 h period. 4. In 15 patients in severe cardiac failure, urinary recovery of piretanide, over first 6 h, at the start of treatment was 21.2 +/- 2.1% while efficiency of the diuretic (mmol Na/mg drug) was 47.3 +/- 4.1. Long-term piretanide therapy was continued in the same group for up to and in some cases over 3 years. No other diuretics or potassium supplements were given. Piretanide dosage ranged from 6 to 24 mg day-1 according to clinical need. Plasma potassium fell significantly at 12 and 24 months, though remaining within the normal range. At these same times, significant elevations in both plasma urate and total fasting cholesterol were observed. Two patients developed overt gout on high dose piretanide therapy (24 mg day-1

  19. FACTS Devices Cost Recovery During Congestion Management in Deregulated Electricity Markets

    NASA Astrophysics Data System (ADS)

    Sharma, Ashwani Kumar; Mittapalli, Ram Kumar; Pal, Yash

    2015-07-01

    In future electricity markets, flexible alternating current transmission system (FACTS) devices will play key role for providing ancillary services. Since huge cost is involved for the FACTS devices placement in the power system, the cost invested has to be recovered in their life time for the replacement of these devices. The FACTS devices in future electricity markets can act as an ancillary services provider and have to be remunerated. The main contributions of the paper are: (1) investment recovery of FACTS devices during congestion management such as static VAR compensator and unified power flow controller along with thyristor controlled series compensator using non-linear bid curves, (2) the impact of ZIP load model on the FACTS cost recovery of the devices, (3) the comparison of results obtained without ZIP load model for both pool and hybrid market model, (4) secure bilateral transactions incorporation in hybrid market model. An optimal power flow based approach has been developed for maximizing social welfare including FACTS devices cost. The optimal placement of the FACTS devices have been obtained based on maximum social welfare. The results have been obtained for both pool and hybrid electricity market for IEEE 24-bus RTS.

  20. Hemopexin Prevents Endothelial Damage and Liver Congestion in a Mouse Model of Heme Overload

    PubMed Central

    Vinchi, Francesca; Gastaldi, Stefania; Silengo, Lorenzo; Altruda, Fiorella; Tolosano, Emanuela

    2008-01-01

    Intravascular hemolysis results in the release of massive amounts of hemoglobin and heme into plasma, where they are rapidly bound by haptoglobin and hemopexin, respectively. Data from haptoglobin and hemopexin knockout mice have shown that both proteins protect from renal damage after phenylhydrazine-induced hemolysis, whereas double-mutant mice were especially prone to liver damage. However, the specific role of hemopexin remains elusive because of the difficulty in discriminating between hemoglobin and heme recovery. To study the specific role of hemopexin in intravascular hemolysis, we established a mouse model of heme overload. Under these conditions, both endothelial activation and vascular permeability were significantly higher in hemopexin-null mice compared with wild-type controls. Vascular permeability was particularly altered in the liver, where congestion in the centrolobular area was believed to be associated with oxidative stress and inflammation. Liver damage in hemopexin- null mice may be prevented by induction of heme oxygenase-1 before heme overload. Furthermore, heme-treated hemopexin-null mice exhibited hyperbilirubinemia, prolonged heme oxygenase-1 expression, excessive heme metabolism, and lack of H-ferritin induction in the liver compared with heme-treated wild-type controls. Moreover, these mutant mice metabolize an excess of heme in the kidney. These studies highlight the importance of hemopexin in heme detoxification, thus suggesting that drugs mimicking hemopexin activity might be useful to prevent endothelial damage in patients suffering from hemolytic disorders. PMID:18556779

  1. Reduced distribution and clearance of acetaminophen in patients with congestive heart failure.

    PubMed

    Ochs, H R; Schuppan, U; Greenblatt, D J; Abernethy, D R

    1983-01-01

    Acetaminophen is a widely prescribed analgesic/antipyretic metabolized by hepatic glucuronide and sulfate conjugation. Twelve patients, 30-66 years of age, with stable Class III or IV congestive heart failure (CHF) and 12 healthy controls matched for age, sex, and weight received single 650-mg intravenous doses of acetaminophen. Pharmacokinetic variables were determined from multiple plasma acetaminophen concentrations measured by liquid chromatography during 12 h after the dose. Compared with controls, mean total clearance of acetaminophen was reduced in CHF patients (3.56 vs. 4.59 ml/min/kg, p less than 0.025), indicating reduced biotransformation capacity in this disease. Volume of distribution was also significantly reduced in CHF patients (0.85 vs. 1.02 L/kg, p less than 0.05). Since elimination half-life depends on both volume of distribution and clearance (both of which were reduced), the half-life was similar between groups (2.87 vs. 2.34 h, NS). Thus, hepatic conjugation of acetaminophen is impaired in CHF. The finding may also apply to other drugs biotransformed by conjugation. PMID:6193370

  2. Large-Scale Transportation Network Congestion Evolution Prediction Using Deep Learning Theory

    PubMed Central

    Ma, Xiaolei; Yu, Haiyang; Wang, Yunpeng; Wang, Yinhai

    2015-01-01

    Understanding how congestion at one location can cause ripples throughout large-scale transportation network is vital for transportation researchers and practitioners to pinpoint traffic bottlenecks for congestion mitigation. Traditional studies rely on either mathematical equations or simulation techniques to model traffic congestion dynamics. However, most of the approaches have limitations, largely due to unrealistic assumptions and cumbersome parameter calibration process. With the development of Intelligent Transportation Systems (ITS) and Internet of Things (IoT), transportation data become more and more ubiquitous. This triggers a series of data-driven research to investigate transportation phenomena. Among them, deep learning theory is considered one of the most promising techniques to tackle tremendous high-dimensional data. This study attempts to extend deep learning theory into large-scale transportation network analysis. A deep Restricted Boltzmann Machine and Recurrent Neural Network architecture is utilized to model and predict traffic congestion evolution based on Global Positioning System (GPS) data from taxi. A numerical study in Ningbo, China is conducted to validate the effectiveness and efficiency of the proposed method. Results show that the prediction accuracy can achieve as high as 88% within less than 6 minutes when the model is implemented in a Graphic Processing Unit (GPU)-based parallel computing environment. The predicted congestion evolution patterns can be visualized temporally and spatially through a map-based platform to identify the vulnerable links for proactive congestion mitigation. PMID:25780910

  3. Large-scale transportation network congestion evolution prediction using deep learning theory.

    PubMed

    Ma, Xiaolei; Yu, Haiyang; Wang, Yunpeng; Wang, Yinhai

    2015-01-01

    Understanding how congestion at one location can cause ripples throughout large-scale transportation network is vital for transportation researchers and practitioners to pinpoint traffic bottlenecks for congestion mitigation. Traditional studies rely on either mathematical equations or simulation techniques to model traffic congestion dynamics. However, most of the approaches have limitations, largely due to unrealistic assumptions and cumbersome parameter calibration process. With the development of Intelligent Transportation Systems (ITS) and Internet of Things (IoT), transportation data become more and more ubiquitous. This triggers a series of data-driven research to investigate transportation phenomena. Among them, deep learning theory is considered one of the most promising techniques to tackle tremendous high-dimensional data. This study attempts to extend deep learning theory into large-scale transportation network analysis. A deep Restricted Boltzmann Machine and Recurrent Neural Network architecture is utilized to model and predict traffic congestion evolution based on Global Positioning System (GPS) data from taxi. A numerical study in Ningbo, China is conducted to validate the effectiveness and efficiency of the proposed method. Results show that the prediction accuracy can achieve as high as 88% within less than 6 minutes when the model is implemented in a Graphic Processing Unit (GPU)-based parallel computing environment. The predicted congestion evolution patterns can be visualized temporally and spatially through a map-based platform to identify the vulnerable links for proactive congestion mitigation. PMID:25780910

  4. How Travel Demand Affects Detection of Non-Recurrent Traffic Congestion on Urban Road Networks

    NASA Astrophysics Data System (ADS)

    Anbaroglu, B.; Heydecker, B.; Cheng, T.

    2016-06-01

    Occurrence of non-recurrent traffic congestion hinders the economic activity of a city, as travellers could miss appointments or be late for work or important meetings. Similarly, for shippers, unexpected delays may disrupt just-in-time delivery and manufacturing processes, which could lose them payment. Consequently, research on non-recurrent congestion detection on urban road networks has recently gained attention. By analysing large amounts of traffic data collected on a daily basis, traffic operation centres can improve their methods to detect non-recurrent congestion rapidly and then revise their existing plans to mitigate its effects. Space-time clusters of high link journey time estimates correspond to non-recurrent congestion events. Existing research, however, has not considered the effect of travel demand on the effectiveness of non-recurrent congestion detection methods. Therefore, this paper investigates how travel demand affects detection of non-recurrent traffic congestion detection on urban road networks. Travel demand has been classified into three categories as low, normal and high. The experiments are carried out on London's urban road network, and the results demonstrate the necessity to adjust the relative importance of the component evaluation criteria depending on the travel demand level.

  5. Integer-linear-programing optimization in scalable video multicast with adaptive modulation and coding in wireless networks.

    PubMed

    Lee, Dongyul; Lee, Chaewoo

    2014-01-01

    The advancement in wideband wireless network supports real time services such as IPTV and live video streaming. However, because of the sharing nature of the wireless medium, efficient resource allocation has been studied to achieve a high level of acceptability and proliferation of wireless multimedia. Scalable video coding (SVC) with adaptive modulation and coding (AMC) provides an excellent solution for wireless video streaming. By assigning different modulation and coding schemes (MCSs) to video layers, SVC can provide good video quality to users in good channel conditions and also basic video quality to users in bad channel conditions. For optimal resource allocation, a key issue in applying SVC in the wireless multicast service is how to assign MCSs and the time resources to each SVC layer in the heterogeneous channel condition. We formulate this problem with integer linear programming (ILP) and provide numerical results to show the performance under 802.16 m environment. The result shows that our methodology enhances the overall system throughput compared to an existing algorithm. PMID:25276862

  6. Integer-Linear-Programing Optimization in Scalable Video Multicast with Adaptive Modulation and Coding in Wireless Networks

    PubMed Central

    Lee, Chaewoo

    2014-01-01

    The advancement in wideband wireless network supports real time services such as IPTV and live video streaming. However, because of the sharing nature of the wireless medium, efficient resource allocation has been studied to achieve a high level of acceptability and proliferation of wireless multimedia. Scalable video coding (SVC) with adaptive modulation and coding (AMC) provides an excellent solution for wireless video streaming. By assigning different modulation and coding schemes (MCSs) to video layers, SVC can provide good video quality to users in good channel conditions and also basic video quality to users in bad channel conditions. For optimal resource allocation, a key issue in applying SVC in the wireless multicast service is how to assign MCSs and the time resources to each SVC layer in the heterogeneous channel condition. We formulate this problem with integer linear programming (ILP) and provide numerical results to show the performance under 802.16 m environment. The result shows that our methodology enhances the overall system throughput compared to an existing algorithm. PMID:25276862

  7. Unidata LDM-7: a Hybrid Multicast/unicast System for Highly Efficient and Reliable Real-Time Data Distribution

    NASA Astrophysics Data System (ADS)

    Emmerson, S. R.; Veeraraghavan, M.; Chen, S.; Ji, X.

    2015-12-01

    Results of a pilot deployment of a major new version of the Unidata Local Data Manager (LDM-7) are presented. The Unidata LDM was developed by the University Corporation for Atmospheric Research (UCAR) and comprises a suite of software for the distribution and local processing of data in near real-time. It is widely used in the geoscience community to distribute observational data and model output, most notably as the foundation of the Unidata Internet Data Distribution (IDD) system run by UCAR, but also in private networks operated by NOAA, NASA, USGS, etc. The current version, LDM-6, uses at least one unicast TCP connection per receiving host. With over 900 connections, the bit-rate of total outgoing IDD traffic from UCAR averages approximately 3.0 GHz, with peak data rates exceeding 6.6 GHz. Expected increases in data volume suggest that a more efficient distribution mechanism will be required in the near future. LDM-7 greatly reduces the outgoing bandwidth requirement by incorporating a recently-developed "semi-reliable" IP multicast protocol while retaining the unicast TCP mechanism for reliability. During the summer of 2015, UCAR and the University of Virginia conducted a pilot deployment of the Unidata LDM-7 among U.S. university participants with access to the Internet2 network. Results of this pilot program, along with comparisons to the existing Unidata LDM-6 system, are presented.

  8. Lack of efficacy of low-dose spironolactone as adjunct treatment to conventional congestive heart failure treatment in dogs.

    PubMed

    Schuller, S; Van Israël, N; Vanbelle, S; Clercx, C; McEntee, K

    2011-08-01

    Aldosterone plays an important role in the pathophysiology of heart failure. Aldosterone receptor blockade has been shown to reduce morbidity and mortality in human patients with advanced congestive left ventricular heart failure. This study was designed to assess the efficacy and tolerance of long-term low-dose spironolactone when added to conventional heart failure treatment in dogs with advanced heart failure. Eighteen client-owned dogs with advanced congestive heart failure due to either degenerative valve disease (n=11) or dilated cardiomyopathy (n=7) were included in this prospective, placebo-controlled, double-blinded, randomized clinical study. After initial stabilization including furosemide, angiotensin-converting enzyme inhibitors, pimobendan and digoxin, spironolactone at a median dose of 0.52 mg/kg (range 0.49-0.8 mg/kg) once daily (n=9) or placebo (n=9) was added to the treatment, and the dogs were reassessed 3 and 6 months later. Clinical scoring, echocardiography, electrocardiogram, systolic blood pressure measurement, thoracic radiography, sodium, potassium, urea, creatinine, alanine aminotransferase, aldosterone and aminoterminal atrial natriuretic propeptide were assessed at baseline, 3 and 6 months. Survival times were not significantly different between the two treatment groups. Spironolactone was well tolerated when combined with conventional heart failure treatment. PMID:20950346

  9. Effect of pulsation rest phase duration on teat end congestion.

    PubMed

    Upton, J; Penry, J F; Rasmussen, M D; Thompson, P D; Reinemann, D J

    2016-05-01

    The objective of this study was to quantify the effect of d-phase (rest phase) duration of pulsation on the teat canal cross-sectional area during the period of peak milk flow from bovine teats. A secondary objective was to test if the effect of d-phase duration on teat canal cross-sectional area was influenced by milking system vacuum level, milking phase (b-phase) duration, and liner overpressure. During the d-phase of the pulsation cycle, liner compression facilitates venous flow and removal of fluids accumulated in teat-end tissues. It was hypothesized that a short-duration d-phase would result in congestion of teat-end tissue and a corresponding reduction in the cross-sectional area of the teat canal. A quarter milking device, designed and built at the Milking Research and Instruction Laboratory at the University of Wisconsin-Madison, was used to implement an experiment to test this hypothesis. Pulsator rate and ratios were adjusted to achieve 7 levels of d-phase duration: 50, 100, 150, 175, 200, 250, and 300ms. These 7 d-phase durations were applied during one milking session and were repeated for 2 vacuum levels (40 and 50kPa), 2 milking phase durations (575 and 775ms), and 2 levels of liner overpressure (9.8 and 18kPa). We observed a significant reduction in the estimated cross-sectional area of the teat canal with d-phase durations of 50 and 100ms when compared with d-phase durations of 150, 175, 225, 250, and 300ms. No significant difference was found in the estimated cross-sectional area of the teat canal for d-phase durations from 150 to 300ms. No significant interaction was observed between the effect of d-phase and b-phase durations, vacuum level, or liner overpressure. PMID:26947293

  10. Effects of bucindolol on neurohormonal activation in congestive heart failure

    SciTech Connect

    Eichhorn, E.J.; McGhie, A.L.; Bedotto, J.B.; Corbett, J.R.; Malloy, C.R.; Hatfield, B.A.; Deitchman, D.; Willard, J.E.; Grayburn, P.A. )

    1991-01-01

    To examine the effects of beta-adrenergic blockade on neurohormonal activation in patients with congestive heart failure, 15 men had assessments of hemodynamics and supine peripheral renin and norepinephrine levels before and after 3 months of oral therapy with bucindolol, a nonselective beta antagonist. At baseline, plasma renin activity did not correlate with any hemodynamic parameter. However, norepinephrine levels had a weak correlation with left ventricular end-diastolic pressure (r = 0.74, p less than 0.01), stroke volume index (r = 0.61, p less than 0.02) and pulmonary vascular resistance (r = 0.54, p less than 0.05). Plasma renin decreased with bucindolol therapy, from 11.6 +/- 13.4 to 4.3 +/- 4.1 ng/ml/hour (mean +/- standard deviation; p less than 0.05), whereas plasma norepinephrine was unchanged, from 403 +/- 231 to 408 +/- 217 pg/ml. A wide diversity of the norepinephrine response to bucindolol was observed with reduction of levels in some patients and elevation in others. Although plasma norepinephrine did not decrease, heart rate tended to decrease (from 82 +/- 20 vs 73 +/- 11 min-1, p = 0.059) with beta-adrenergic blockade, suggesting neurohormonal antagonism at the receptor level. No changes in I-123 metaiodobenzylguanidine uptake occurred after bucindolol therapy, suggesting unchanged adrenergic uptake of norepinephrine with beta-blocker therapy. Despite reductions in plasma renin activity and the presence of beta blockade, the response of renin or norepinephrine levels to long-term bucindolol therapy did not predict which patients had improved in hemodynamic status (chi-square = 0.37 for renin, 0.82 for norepinephrine).

  11. Effects of desipramine on norepinephrine clearance in congestive heart failure

    SciTech Connect

    Clemson, B.; Baily, R.G.; Davis, D.; Zelis, R. )

    1990-08-01

    Elevated plasma norepinephrine (NE) in congestive heart failure (CHF) is caused by increased NE spillover and decreased NE clearance. To evaluate the effects of neuronal uptake blockade on NE clearance, we studied NE kinetics during steady-state infusions of (3H)NE, before and after oral desipramine (DMI, 50 mg) in 11 patients with CHF and 8 normal volunteers. Baseline plasma NE was greater in the CHF group (637 +/- 56 vs. 271 +/- 32 pg/ml; P less than 0.001), NE clearance was lower in CHF (1.31 +/- 0.21 vs. 1.94 +/- 0.17 l.min-1.m-2; P = 0.026), and NE spillover was greater in CHF (4.71 +/- 0.78 vs. 3.04 +/- 0.35 nmol.min-1.m-2, P = 0.054). After DMI, plasma NE rose significantly in CHF (778 +/- 67; P = 0.008), and NE clearance decreased further in CHF (0.97 +/- 0.16; P = 0.024), but neither changed in normal subjects. NE spillover did not change in either group. There appears to be an enhanced effect of DMI on NE clearance in CHF patients. Two general mechanisms may be responsible for this finding, an increased concentration of drug, possibly caused by a decreased volume of distribution, and an increased sensitivity of neuronal amine pumps to DMI. Both mechanisms may reflect a more general abnormality of clearance of drugs and hormones related to abnormalities of tissue perfusion in CHF.

  12. Microscopic theory of spatial-temporal congested traffic patterns at highway bottlenecks.

    PubMed

    Kerner, Boris S; Klenov, Sergey L

    2003-09-01

    A microscopic theory of spatial-temporal congested traffic patterns at highway bottlenecks due to on-ramps, merge bottlenecks (a reduction of highway lanes), and off-ramps is presented. The basic postulate of three-phase traffic theory is used, which claims that homogeneous (in space and time) model solutions (steady states) of synchronized flow cover a two dimensional region in the flow-density plane [B. S. Kerner, Phys. Rev. Lett. 81, 3797 (1998); Trans. Res. Rec. 1678, 160 (1999)]. Phase transitions leading to diverse congested patterns, pattern evolution, and pattern nonlinear features have been found. Diagrams of congested patterns, i.e., regions of the pattern emergence dependent on traffic demand, have been derived. Diverse effects of metastability with respect to the pattern formation have been found. The microscopic theory allows us to explain the main empirical pattern features at on-ramps and off-ramps which have recently been found [B. S. Kerner, Phys. Rev. E 65, 046138 (2002)]. (i) Rather than moving jams, synchronized flow first occurs at bottlenecks if the flow rate is slowly increasing. Wide moving jams can spontaneously occur only in synchronized flow. (ii) General patterns (GP) and synchronized flow patterns (SP) can spontaneously emerge at the bottlenecks. There can be the widening SP (WSP), the moving SP (MSP), and the localized SP. (iii) At on-ramps cases of "weak" and "strong" congestion should be distinguished. In contrast to weak congestion, under strong congestion the flow rate in synchronized flow in GP reaches a limit flow rate, the frequency of the moving jam emergence reaches a maximum, i.e., the GP characteristics under strong congestion do not depend on traffic demand. (iv) At the off-ramp GP with weak congestion occur. (v) A study of the pattern formation on a highway with two bottlenecks shows that diverse expanded patterns can occur, which cover both bottlenecks. SP first emerged at the downstream bottleneck can be caught at the

  13. Evaluation of the public health impacts of traffic congestion: a health risk assessment

    PubMed Central

    2010-01-01

    Background Traffic congestion is a significant issue in urban areas in the United States and around the world. Previous analyses have estimated the economic costs of congestion, related to fuel and time wasted, but few have quantified the public health impacts or determined how these impacts compare in magnitude to the economic costs. Moreover, the relative magnitudes of economic and public health impacts of congestion would be expected to vary significantly across urban areas, as a function of road infrastructure, population density, and atmospheric conditions influencing pollutant formation, but this variability has not been explored. Methods In this study, we evaluate the public health impacts of ambient exposures to fine particulate matter (PM2.5) concentrations associated with a business-as-usual scenario of predicted traffic congestion. We evaluate 83 individual urban areas using traffic demand models to estimate the degree of congestion in each area from 2000 to 2030. We link traffic volume and speed data with the MOBILE6 model to characterize emissions of PM2.5 and particle precursors attributable to congestion, and we use a source-receptor matrix to evaluate the impact of these emissions on ambient PM2.5 concentrations. Marginal concentration changes are related to a concentration-response function for mortality, with a value of statistical life approach used to monetize the impacts. Results We estimate that the monetized value of PM2.5-related mortality attributable to congestion in these 83 cities in 2000 was approximately $31 billion (2007 dollars), as compared with a value of time and fuel wasted of $60 billion. In future years, the economic impacts grow (to over $100 billion in 2030) while the public health impacts decrease to $13 billion in 2020 before increasing to $17 billion in 2030, given increasing population and congestion but lower emissions per vehicle. Across cities and years, the public health impacts range from more than an order of

  14. Sustained haemodynamic and clinical effects of captopril in long-term treatment of severe chronic congestive heart failure

    PubMed Central

    Ricci, S.; Zaniol, P.; Teglio, V.; Baraldi, P.; Mattioli, G.

    1982-01-01

    1 The angiotensin-converting-enzyme inhibitor captopril is known to produce beneficial haemodynamic effects in patients with chronic heart failure. 2 Twelve patients with chronic congestive heart failure were conventionally treated with digitalis and diuretic therapy plus oral captopril (75-150 mg/day), and 14 patients were used as a control group. 3 There was no improvement in functional and haemodynamic values in the controls, but the patients treated with captopril showed a significant functional improvement (increase of exercise time and improvement in New York Heart Association functional class), a definitive decrease in systemic vascular resistance (20%), and a significant increase in the cardiac index and ejection fraction (18% and 28% respectively). PMID:6291564

  15. Transcatheter Ovarian Vein Embolization Using Coils for the Treatment of Pelvic Congestion Syndrome

    SciTech Connect

    Kwon, Se Hwan; Oh, Joo Hyeong Ko, Kyung Ran; Park, Ho Chul; Huh, Joo Yup

    2007-07-15

    Purpose. To evaluate the therapeutic effectiveness of ovarian vein embolization using coils for pelvic congestion syndrome (PCS), a common cause of chronic pelvic pain in multiparous women. Methods. Between November 1998 and June 2005, 67 patients were diagnosed with PCS and underwent ovarian vein coil embolization. Through medical records and telephone interviews, the pre-embolization pain level and post-embolization pain control were assessed. In addition, in those cases where pain persisted after embolization or where patients were dissatisfied with the procedure, additional treatments and subsequent changes in pain scores were also analyzed. Evaluation after coil embolization was performed within 3-6 months (n = 3), 6 months to 1 year (n 7), 1-2 years (n = 13), 2-3 years (n = 7), 3-4 years (n = 7), 4-5 years (n 13), or 5-6 years (n = 17). Results. Among a total of 67 patients, 82% (55/67) experienced pain reduction after coil embolization, were satisfied with the procedure, and did not pursue any further treatment. Twelve patients (18%, 12/67) responded that their pain level had not changed, or had become more severe. Among them, 9 patients were treated surgically and the remaining 3 patients remained under continuous drug therapy. Conclusion. Ovarian vein embolization using coils is a safe and effective therapeutic method for treatment of PCS. It is thought that surgical treatment should be considered in cases where embolization proves ineffective.

  16. Optimal timing in screening patients with congestive heart failure and healthy subjects during circadian observation.

    PubMed

    Jong, Tai-Lang; Chang, Ben; Kuo, Cheng-Deng

    2011-02-01

    Congestive heart failure (CHF) is a major medical challenge in developed countries. In order to screen patients with CHF and healthy subjects during circadian observation, accurate judgment and fast response are imperative. In this study, optimal timing during circadian observation via the heart rate variability (HRV) was sought. We tested 29 CHF patients and 54 healthy subjects in the control group from the interbeat interval databases of PhysioBank. By invoking the α1 parameter in detrended fluctuation analysis of HRV, we found that it could be used as an indicator to screen the patients with CHF and subjects in normal sinus rhythm (NSR) under Kruskal-Wallis test. By invoking Fano factor, the optimal timing to screen CHF patients and healthy subjects was found to be from 7 PM to 9 PM during the circadian observation. In addition, this result is robust in a sense that the same result can be achieved by using different ECG recording lengths of 2, 5, 10, … , and 120 min, respectively. Furthermore, a support vector machine was employed to classify CHF and NSR with α1 parameter of a moving half-hour ECG recordings via leave-one-out cross validation. The results showed that the superlative screening performance was obtained in the 7 pm-9 pm period during circadian observation. It is believed that this result of optimal timing will be helpful in the non-invasive monitoring and screening of CHF patients and healthy subjects in the clinical practice. PMID:20953708

  17. Pelvic congestion syndrome and left renal compression syndrome - clinical features and therapeutic approaches.

    PubMed

    Jeanneret, Christina; Beier, Konstantin; von Weymarn, Alexander; Traber, Jürg

    2016-07-01

    Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months. Pain in the left flank and microhaematuria is seen in patients with LRCS. Women with multiple pregnancies are at increased risk of developing varicose vein recurrences with pelvic drainage and ovarian vein reflux after crossectomy and stripping of the great saphenous vein. The therapeutic options are: conservative treatment (medroxyprogesteron) or interventional (coiling of the ovarian vein) or operative treatment (clipping of the ovarian vein). Controlled prospective trials are needed to find the best treatment. PMID:27428495

  18. Ephedrine QoS: An Antidote to Slow, Congested, Bufferless NoCs

    PubMed Central

    Fang, Juan; Yao, Zhicheng; Sui, Xiufeng; Bao, Yungang

    2014-01-01

    Datacenters consolidate diverse applications to improve utilization. However when multiple applications are colocated on such platforms, contention for shared resources like networks-on-chip (NoCs) can degrade the performance of latency-critical online services (high-priority applications). Recently proposed bufferless NoCs (Nychis et al.) have the advantages of requiring less area and power, but they pose challenges in quality-of-service (QoS) support, which usually relies on buffer-based virtual channels (VCs). We propose QBLESS, a QoS-aware bufferless NoC scheme for datacenters. QBLESS consists of two components: a routing mechanism (QBLESS-R) that can substantially reduce flit deflection for high-priority applications and a congestion-control mechanism (QBLESS-CC) that guarantees performance for high-priority applications and improves overall system throughput. We use trace-driven simulation to model a 64-core system, finding that, when compared to BLESS, a previous state-of-the-art bufferless NoC design, QBLESS, improves performance of high-priority applications by an average of 33.2% and reduces network-hops by an average of 42.8%. PMID:25250386

  19. The prevalence of cognitive impairment among African-American patients with congestive heart failure.

    PubMed Central

    Akomolafe, Abimbola; Quarshie, Alexander; Jackson, Patricia; Thomas, Jerome; Deffer, Orlando; Oduwole, Adefisayo; Onwuanyi, Anekwe; Lapu-Bula, Rigobert; Strayhorn, Gregory; Ofili, Elizabeth; Mayberry, Robert

    2005-01-01

    This cross-sectional study sought to determine the prevalence of cognitive impairment among African-American patients with congestive heart failure (CHF). We studied 100 African-American CHF patients (aged 55-87 years) in New York Heart Association classes II-IV, who are enrolled in an ongoing, randomized, controlled trial, evaluating the effectiveness of a telemonitoring intervention to improve access to ambulatory care for heart failure patients. These CHF patients were recruited from an inner-city practice, rural physician practices and an urban physician practice in Atlanta. The Mini-Mental Status Examination (MMSE) was used to measure cognition. Cognitive impairment was defined as a MMSE score of less than 24. The crude prevalence of cognitive impairment was 10% in this population of African Americans with CHF. The results of multivariate logistic regression analysis indicated an increase in odds of cognitive impairment with increasing age [odds ratio (OR) = 1.10 and 95% confidence interval, 1.00-1.20; p=0.042]. There was no significant relationship between cognitive impairment and gender, education status, depression and severity of CHF. This study indicates that cognitive impairment is relatively prevalent among African Americans with CHF, but lower than previously reported among Caucasians with CHF. PMID:15926646

  20. On the Efficiency of the New York Independent System OperatorMarket for Transmission Congestion Contracts

    SciTech Connect

    Siddiqui, Afzal S.; Bartholomew, Emily S.; Marnay, Chris; Oren,Shmuel S.

    2003-04-01

    The physical nature of electricity generation and deliverycreates special problems for the design of efficient markets, notably theneed to manage delivery in real time and the volatile congestion andassociated costs that result. Proposals for the operation of thederegulated electricity industry tend towards one of two paradigms:centralized and decentralized. Transmission congestion management can beimplemented in the more centralized point-to-point approach, a in NewYork state, where derivative transmission congestion contracts (TCCs) aretraded, or in the more decentralized flowgate-based approach. While it iswidely accepted that theoretically TCCs have attractive properties ashedging instruments against congestion cost uncertainty, whetherefficient markets for them can be established in practice has beenquestioned. Based on an empirical analysis of publicly available datafrom years 2000 and 2001, it appears that New York TCCs providedmarketparticipants with a potentially effective hedge against volatilecongestion rents. However, the prices paid for TCCs systematicallydiverged from the resulting congestion rents for distant locations and athigh prices. The price paid for the hedge not being in line with thecongestion rents, i.e. unreasonably high risk premiums are being paid,suggests an inefficient market. The low liquidity of TCC markets and thedeviation of TCC feasibility requirements from actual energy flows arepossible explanations.

  1. Beneficial effects of long-term beta-blockade in congestive cardiomyopathy.

    PubMed Central

    Swedberg, K; Hjalmarson, A; Waagstein, F; Wallentin, I

    1980-01-01

    Twenty-eight patients with heart failure caused by congestive cardiomyopathy, which had been diagnosed according to the criteria of Goodwin and Oakley, were treated with beta-blocking agents for six to 62 months, except for four patients who died within two months. Repeated non-invasive investigations were performed before and during treatment as well as exercise tests and chest x-rays. The echocardiographic and pulse curve findings indicated an improvement in systolic and diastolic myocardial function. The ejection fraction increased from 0.32 +/- 0.02 to 0.42 +/- 0.04, and the third heart sound amplitude and rapid filling wave were significantly reduced. The functional classification improved in 15 patients while in 12 patients it remained unchanged and in one it deteriorated. During follow-up, 10 patients died, most of them suddenly. The mortality was lower than expected in this severely ill group of patients. The beneficial effect of chronic beta-blockade in patients with congestive cardiomyopathy suggests that catecholamines are involved in the pathogenesis of congestive cardiomyopathy, and that patients with congestive cardiomyopathy may have inappropriate sympathetic cardiac stimulation which can be reduced by chronic beta-blockade. It is suggested that beta-receptor blockade should be added to conventional treatment with digitalis and diuretics in all patients with severe myocardial failure caused by congestive cardiomyopathy. PMID:6107090

  2. Utilizing Joint Routing and Capacity Assignment Algorithms to Achieve Inter- and Intra-Group Delay Fairness in Multi-Rate Multicast Wireless Sensor Networks

    PubMed Central

    Lin, Frank Yeong-Sung; Hsiao, Chiu-Han; Lin, Leo Shih-Chang; Wen, Yean-Fu

    2013-01-01

    Recent advance in wireless sensor network (WSN) applications such as the Internet of Things (IoT) have attracted a lot of attention. Sensor nodes have to monitor and cooperatively pass their data, such as temperature, sound, pressure, etc. through the network under constrained physical or environmental conditions. The Quality of Service (QoS) is very sensitive to network delays. When resources are constrained and when the number of receivers increases rapidly, how the sensor network can provide good QoS (measured as end-to-end delay) becomes a very critical problem. In this paper; a solution to the wireless sensor network multicasting problem is proposed in which a mathematical model that provides services to accommodate delay fairness for each subscriber is constructed. Granting equal consideration to both network link capacity assignment and routing strategies for each multicast group guarantees the intra-group and inter-group delay fairness of end-to-end delay. Minimizing delay and achieving fairness is ultimately achieved through the Lagrangean Relaxation method and Subgradient Optimization Technique. Test results indicate that the new system runs with greater effectiveness and efficiency. PMID:23493123

  3. Utilizing joint routing and capacity assignment algorithms to achieve inter- and intra-group delay fairness in multi-rate multicast wireless sensor networks.

    PubMed

    Lin, Frank Yeong-Sung; Hsiao, Chiu-Han; Lin, Leo Shih-Chang; Wen, Yean-Fu

    2013-01-01

    Recent advance in wireless sensor network (WSN) applications such as the Internet of Things (IoT) have attracted a lot of attention. Sensor nodes have to monitor and cooperatively pass their data, such as temperature, sound, pressure, etc. through the network under constrained physical or environmental conditions. The Quality of Service (QoS) is very sensitive to network delays. When resources are constrained and when the number of receivers increases rapidly, how the sensor network can provide good QoS (measured as end-to-end delay) becomes a very critical problem. In this paper; a solution to the wireless sensor network multicasting problem is proposed in which a mathematical model that provides services to accommodate delay fairness for each subscriber is constructed. Granting equal consideration to both network link capacity assignment and routing strategies for each multicast group guarantees the intra-group and inter-group delay fairness of end-to-end delay. Minimizing delay and achieving fairness is ultimately achieved through the Lagrangean Relaxation method and Subgradient Optimization Technique. Test results indicate that the new system runs with greater effectiveness and efficiency. PMID:23493123

  4. Packet Traffic Dynamics Near Onset of Congestion in Data Communication Network Model

    NASA Astrophysics Data System (ADS)

    Lawniczak, A. T.; Tang, X.

    2006-05-01

    The dominant technology of data communication networks is the Packet Switching Network (PSN). It is a complex technology organized as various hierarchical layers according to the International Standard Organization (ISO) Open Systems Interconnect (OSI) Reference Model. The Network Layer of the ISO OSI Reference Model is responsible for delivering packets from their sources to their destinations and for dealing with congestion if it arises in a network. Thus, we focus on this layer and present an abstraction of the Network Layer of the ISO OSI Reference Model. Using this abstraction we investigate how onset of traffic congestion is affected for various routing algorithms by changes in network connection topology. We study how aggregate measures of network performance depend on network connection topology and routing. We explore packets traffic spatio-temporal dynamics near the phase transition point from free flow to congestion for various network connection topologies and routing algorithms. We consider static and adaptive routings. We present selected simulation results.

  5. Analysis of the congestion effects of link failures in wide area networks

    NASA Astrophysics Data System (ADS)

    Tipper, David; Hammond, Joseph L.; Sharma, Sandeep; Khetan, Archana; Balakrishnan, Krishnan; Menon, Sunil

    1994-01-01

    In this paper, we present the results of a study to determine the effects of link failures on the performance of a network in terms of the occurrence of congestion due to traffic restoration after a failure. The network studied is a virtual circuit based packet switched wide area network. A generic queueing framework is developed to study the effect of failures and the subsequent traffic restoration on network performance. In general, the congestion resulting after a failure is a transient phenomenon. Hence, a numerical methods based nonstationary queueing analysis is conducted in order to quantify the effects of failures in terms of the transient behavior of queue lengths and packet loss probabilities. A bounding relationship is developed whereby a network node can determine whether or not congestion will occur as the result of traffic restoration after a failure.

  6. Inflammatory Biomarkers in Refractory Congestive Heart Failure Patients Treated with Peritoneal Dialysis

    PubMed Central

    Kunin, Margarita; Carmon, Vered; Arad, Michael; Levin-Iaina, Nomy; Freimark, Dov; Holtzman, Eli J.; Dinour, Dganit

    2015-01-01

    Proinflammatory cytokines play a pathogenic role in congestive heart failure. In this study, the effect of peritoneal dialysis treatment on inflammatory cytokines levels in refractory congestive heart failure patients was investigated. During the treatment, the patients reached a well-tolerated edema-free state and demonstrated significant improvement in NYHA functional class. Brain natriuretic peptide decreased significantly after 3 months of treatment and remained stable at 6 months. C-reactive protein, a plasma marker of inflammation, decreased significantly following the treatment. Circulating inflammatory cytokines TNF-α and IL-6 decreased significantly after 3 months of peritoneal dialysis treatment and remained low at 6 months. The reduction in circulating inflammatory cytokines levels may be partly responsible for the efficacy of peritoneal dialysis for refractory congestive heart failure. PMID:26539513

  7. Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

    PubMed Central

    Vedel, Isabelle; Khanassov, Vladimir

    2015-01-01

    PURPOSE We aimed to determine the impact of transitional care interventions (TCIs) on acute health service use by patients with congestive heart failure in primary care and to identify the most effective TCIs and their optimal duration. METHODS We conducted a systematic review and meta-analysis of randomized controlled trials, searching the Medline, PsycInfo, EMBASE, and Cochrane Library databases. We performed a meta-analysis to assess the impact of TCI on all-cause hospital readmissions and emergency department (ED) visits. We developed a taxonomy of TCIs based on intensity and assessed the methodologic quality of the trials. We calculated the relative risk (RR) and a 95% confidence interval for each outcome. We conducted a stratified analysis to identify the most effective TCIs and their optimal duration. RESULTS We identified 41 randomized controlled trials. TCIs significantly reduced risks of readmission and ED visits by 8% and 29%, respectively (relative risk = 0.92; 95% CI, 0.87–0.98; P = .006 and relative risk = 0.71; 95% CI, 0.51–0.98; P = .04). High-intensity TCIs (combining home visits with telephone followup, clinic visits, or both) reduced readmission risk regardless of the duration of follow-up. Moderate-intensity TCIs were efficacious if implemented for a longer duration (at least 6 months). In contrast, low-intensity TCIs, entailing only followup in outpatient clinics or telephone follow-up, were not efficacious. CONCLUSIONS Clinicians and managers who implement TCIs in primary care can incorporate these results with their own health care context to determine the optimal balance between intensity and duration of TCIs. High-intensity interventions seem to be the best option. Moderate-intensity interventions implemented for 6 months or longer may be another option. PMID:26553896

  8. The economics of time shared computing: Congestion, user costs and capacity

    NASA Technical Reports Server (NTRS)

    Agnew, C. E.

    1982-01-01

    Time shared systems permit the fixed costs of computing resources to be spread over large numbers of users. However, bottleneck results in the theory of closed queueing networks can be used to show that this economy of scale will be offset by the increased congestion that results as more users are added to the system. If one considers the total costs, including the congestion cost, there is an optimal number of users for a system which equals the saturation value usually used to define system capacity.

  9. Is a red umbilical cord a sign of umbilical venous congestion?: a case report.

    PubMed

    Miyake, Hidehiko; Igarashi, Miwa; Inde, Yusuke; Nakai, Akihito; Suzuki, Shunji; Takeshita, Toshiyuki

    2011-01-01

    Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbilical vein, the red streak of the umbilical cord was caused by venous congestion. Moreover, we considered that the umbilical venous congestion was due to increased resistance in the fetal intra-abdominal umbilical vein, which was associated with the non-reassuring fetal status. PMID:21389648

  10. "Venous congestion" as a cause of subcortical white matter T2 hypointensity on magnetic resonance images.

    PubMed

    Kamble, Jayaprakash Harsha; Parameswaran, Krishnan

    2016-01-01

    Subcortical T2 hypointensity is an uncommon finding seen in very limited conditions such as multiple sclerosis, Sturge-Weber syndrome, and meningitis. Some of the conditions such as moyamoya disease, severe ischemic-anoxic insults, early cortical ischemia, and infarcts are of "arterial origin." We describe two conditions in which "venous congestion" plays a major role in T2 hypointensity - cerebral venous sinus thrombosis (CVST) and dural arteriovenous fistula (dAVF). The third case is a case of meningitis, showing T2 hypointensity as well, and can be explained by the "venous congestion" hypothesis. The same hypothesis can explain few of the other conditions causing subcortical T2 hypointensity. PMID:27570403

  11. Study the mechanical pulmonary changes in patients with congestive heart failure (CHF) by impulse oscillometry

    PubMed Central

    Nourizadeh, Mohammad; Ghelich, Yunose; Amin, Ahmad; Eidani, Esmaeel; Gholampoor, Yousef; Asadmoghadam, Mahsa; Asadinia, Najme

    2013-01-01

    Background Heart failure is one of the most leading cause of death worldwide, but the mechanical characteristics of the pulmonary system in these patients have not been studied enough. The aim of this study was to measure mechanical pulmonary changes in patients with congestive heart failure (CHF) by using impulse oscillometry (IOS), which can obtain data by simpler means and independently from respiratory muscle strength. Materials and methods We assessed 24 CHF patients and 24 controls by spirometry and IOS using the Jaeger IOS system. IOS measures central and peripheral airway resistances (R20, R5) and central and peripheral reactances (X20, X5) using sound waves with different frequencies, which superimposed on the patients respiratory tidal volume and then records reflects. P value < 0.05 was taken to be significant. Results The mean age of patients and controls was 61 ± 10 and 57 ± 7 years, respectively. The mean ejection fraction (EF) was 37 ± 17% for patients and 55 ± 7% for controls. Patients had a lower X5 (−0.20 ± 0.13 vs −0.13 ± 0.07; P < 0.05), forced expiratory volume in 1 second (FEV1; 2.26 ± 0.68 vs 3.09 ± 0.82: P < 0.01 L/min), and forced vital capacity (FVC; 2.55 ± 0.86 vs 3.32 ± 0.87; P < 0.05) compared to the controls. They also had elevated R5: 0.37 ± 0.21 vs 0.27 ± 0.09; P < 0.06). X5 was correlated with spirometric abnormalities (P < 0.05) and was lower in patients than in controls. Conclusion X5 was lower and R5 was higher in patients than in controls. CHF patients can be assessed by IOS more comfortable than by spirometry. IOS can reliably measure peripheral airway resistance in this group of patients. PMID:24027371

  12. Pneumoconiosis increases the risk of congestive heart failure: A nationwide population-based cohort study.

    PubMed

    Yen, Chia-Ming; Lin, Cheng-Li; Lin, Ming-Chia; Chen, Huei-Yong; Lu, Nan-Han; Kao, Chia-Hung

    2016-06-01

    The purpose of the study was to determine the relationship between pneumoconiosis and congestive heart failure (CHF).We collected data from the National Health Insurance Research Database in Taiwan. The study sample comprised 8923 patients with pneumoconiosis and 35,692 nonpneumoconiosis controls enrolled from 2000 to 2011. Patients were followed up until the end of 2011 to evaluate the incidence of CHF. The risk of CHF was analyzed using Cox proportional hazard regression models, and the analysis accounted for factors such as sex, age, comorbidities, and air pollutants (μg/m).The overall incidence of CHF was higher in the pneumoconiosis cohort (15.7 per 1000 person-y) than in the nonpneumoconiosis cohort (11.2 per 1000 person-y), with a crude hazard ratio (HR) of 1.40 (P < 0.001). The HR for CHF was 1.38-fold greater in the pneumoconiosis cohort than in the nonpneumoconiosis cohort (P < 0.001) after the model was adjusted for age, sex, various comorbidities, and air pollutants (μg/m). The relative risk for CHF in the sex-specific pneumoconiosis cohort compared with the nonpneumoconiosis cohort was significant for men (adjusted HR = 1.40, 95% confidence interval = 1.21-1.62, P < 0.001). The incidence density rates of CHF increased with age; pneumoconiosis patients had a higher relative risk of CHF for all age group.Patients with pneumoconiosis were at higher risk for developing CHF than patients in the nonpneumoconiosis cohort, particularly in cases with coexisting coronary artery disease, hypertension, and chronic obstructive pulmonary disease. PMID:27336897

  13. Congestion Mitigation and Air Quality Program. Final Report, September 30, 1999 - March 31, 2001

    SciTech Connect

    Brooks, Amy; Werner, Carol

    2001-05-18

    The Environmental and Energy Study Institute (EESI) developed a database of the alternative fuel projects that are currently funded through the congestion migration and air quality program. The data base provides alternative fuel advocates with the answers to many questions about CMAQ as well as information about successful alternative fuel projects.

  14. Congestion at Card and Book Catalogs--A Queuing Theory Approach.

    ERIC Educational Resources Information Center

    Bookstein, Abraham

    The question of whether a library's catalog should consist of cards arranged in a single alphabetical order (the "dictionary catalog) or be segregated as a separate file is discussed. Development is extended to encompass related problems involved in the creation of a book catalog. A model to study the effects of congestion at the catalog is…

  15. Decisions, Decisions, Decisions: Recreation Site Choice with Expected Congestion and Social Interaction

    ERIC Educational Resources Information Center

    Snipes, Katherine H.

    2009-01-01

    A set of computer-based recreation choice experiments were run to examine the effect of expected congestion and social interactions on the decision making process. MouseTrace is a process-tracing program that recorded individual subject's information acquisitions and provided the necessary information to determine if subjects used attribute-based…

  16. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... for the transportation systems providing access to and within National Forests, as appropriate, that... LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.214... 23 Highways 1 2014-04-01 2014-04-01 false Federal lands congestion management system (CMS)....

  17. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... for the transportation systems providing access to and within National Forests, as appropriate, that... LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.214... 23 Highways 1 2011-04-01 2011-04-01 false Federal lands congestion management system (CMS)....

  18. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... for the transportation systems providing access to and within National Forests, as appropriate, that... LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.214... 23 Highways 1 2012-04-01 2012-04-01 false Federal lands congestion management system (CMS)....

  19. 23 CFR 971.214 - Federal lands congestion management system (CMS).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... for the transportation systems providing access to and within National Forests, as appropriate, that... LANDS HIGHWAYS FOREST SERVICE MANAGEMENT SYSTEMS Forest Highway Program Management Systems § 971.214... 23 Highways 1 2013-04-01 2013-04-01 false Federal lands congestion management system (CMS)....

  20. 23 CFR 973.214 - Indian lands congestion management system (CMS).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Transportation demand management measures; (B) Traffic operational improvements; (C) Public transportation... 23 Highways 1 2010-04-01 2010-04-01 false Indian lands congestion management system (CMS). 973.214... HIGHWAYS MANAGEMENT SYSTEMS PERTAINING TO THE BUREAU OF INDIAN AFFAIRS AND THE INDIAN RESERVATION...

  1. Political and Public Acceptability of Congestion Pricing: Ideology and Self-Interest

    ERIC Educational Resources Information Center

    Harsman, Bjorn; Quigley, John M.

    2010-01-01

    Studies of the "stated preferences" of households generally report public and political opposition by urban commuters to congestion pricing. It is thought that this opposition inhibits or precludes tolls and pricing systems that would enhance efficiency in the use of scarce roadways. This paper analyzes the only case in which road pricing was…

  2. Effect of telemonitoring on re-admission in patients with congestive heart failure.

    PubMed

    Smith, Amy Christine

    2013-01-01

    Interest in telemonitoring interventions to reduce re-admissions in patients with congestive heart failure (CHF) is growing. This critical review of available evidence suggests telemonitoring may reduce CHF-related re-admissions, although a clear impact on all-cause re-admissions remains elusive. PMID:23469498

  3. Devices in heart failure: potential methods for device-based monitoring of congestive heart failure.

    PubMed

    Munir, Shahzeb M; Bogaev, Roberta C; Sobash, Ed; Shankar, K J; Gondi, Sreedevi; Stupin, Igor V; Robertson, Jillian; Brewer, M Alan; Casscells, S Ward; Delgado, Reynolds M; Ahmed, Amany

    2008-01-01

    Congestive heart failure has long been one of the most serious medical conditions in the United States; in fact, in the United States alone, heart failure accounts for 6.5 million days of hospitalization each year. One important goal of heart-failure therapy is to inhibit the progression of congestive heart failure through pharmacologic and device-based therapies. Therefore, there have been efforts to develop device-based therapies aimed at improving cardiac reserve and optimizing pump function to meet metabolic requirements. The course of congestive heart failure is often worsened by other conditions, including new-onset arrhythmias, ischemia and infarction, valvulopathy, decompensation, end-organ damage, and therapeutic refractoriness, that have an impact on outcomes. The onset of such conditions is sometimes heralded by subtle pathophysiologic changes, and the timely identification of these changes may promote the use of preventive measures. Consequently, device-based methods could in the future have an important role in the timely identification of the subtle pathophysiologic changes associated with congestive heart failure. PMID:18612451

  4. Bootstrapping Results of Exercise Therapy and Education for Patients with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Witta, E. Lea; Brubaker, Craig

    2003-01-01

    When studies are conducted over a period of time, the sample size typically decreases. In a study of the effects of exercise therapy and education with recovering congestive heart failure (CHF) patients (Brubaker, Witta, & Angelopoulus, 2003), the sample size decreased from over 40 to 9 participants after an 18-month time span. Although the…

  5. Post-Acute Home Care and Hospital Readmission of Elderly Patients with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Li, Hong; Morrow-Howell, Nancy; Proctor, Enola K.

    2004-01-01

    After inpatient hospitalization, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce…

  6. The Impact of Family Functioning on Caregiver Burden among Caregivers of Veterans with Congestive Heart Failure

    ERIC Educational Resources Information Center

    Moore, Crystal Dea

    2010-01-01

    A cross-sectional study of 76 family caregivers of older veterans with congestive heart failure utilized the McMaster model of family functioning to examine the impact of family functioning variables (problem solving, communication, roles, affective responsiveness, and affective involvement) on caregiver burden dimensions (relationship burden,…

  7. Intestinal venous congestion as a complication of elective silo placement for gastroschisis.

    PubMed

    Ryckman, Jon; Aspirot, Ann; Laberge, Jean-Martin; Shaw, Kenneth

    2009-05-01

    Use of a spring-loaded silastic silo has been advocated as a means of gentle reduction of the herniated bowel, while avoiding the possible complications of primary closure of gastroschisis. We recently encountered intestinal venous congestion during elective silo reduction of gastroschisis. Two babies with gastroschisis were treated postdelivery with a spring-loaded silo placed under the fascial defect and the eviscerated bowel suspended within the silo. Patient #1 had no bowel matting. On day of life 2, the bowel within the silo was noted to be dusky. The silo was removed, and the bowel was indeed congested, but viable. Complete reduction with a modified Bianchi closure was performed at the bedside. Patient #2 had severe matting of the bowel and did not require intubation for silo placement. As daily reductions progressed, the bowel was noted to be congested on day 2. On day 3, removal of the silo revealed frank bowel necrosis with impending perforation. Two-thirds of the small bowel required resection, leaving the child with short bowel. Venous congestion within a silo should be given prompt attention, including removal of the silo, as bowel infarction may result. PMID:19349001

  8. Chronic Pelvic Pain due to Pelvic Congestion Syndrome: The Role of Diagnostic and Interventional Radiology

    SciTech Connect

    Ganeshan, Arul; Upponi, Sara; Hon, Lye-Quen; Uthappa, M. C.; Warakaulle, Dinuke R.; Uberoi, Raman

    2007-11-15

    Chronic pelvic pain (CPP) is a common cause of gynecologic referral. Pelvic congestion syndrome, which is said to occurs due to ovarian vein incompetence, is a recognized cause of CPP. The aim of this paper is to briefly describe the clinical manifestations, and to review the role of diagnostic and interventional radiology in the management of this probably under-diagnosed condition.

  9. Distinguishing congestion from malicious behavior in mobile ad-hoc networks

    NASA Astrophysics Data System (ADS)

    Ding, Jin; Medidi, Sirisha R.

    2004-08-01

    Packet dropping in Mobile Ad-hoc Networks could be a result of wireless link errors, congestion, or malicious packet drop attack. Current techniques for detecting malicious behavior either do not consider congestion in the network or are not able to detect in real time. Further more, they usually work at network layer. In this paper, we propose a TCP-Manet protocol, which reacts to congestion like TCP Reno protocol, and has additional capability to distinguish among congestion, wireless link error, and malicious packet drop attack. It is an end-to-end mechanism that does not require additional modifications to the nodes in the network. Since it is an extension of existing TCP protocol, it is compatible with existing protocols. It works in conjunction with the network layer and an unobtrusive monitor to assist the network in the detection and characterization of the nature of the behavior. Experimental results show that TCP-Manet has the same performance as that of TCP-Reno in wired network, and performs better in wireless ad-hoc networks in terms of throughput while having good detection effectiveness.

  10. Does Expansion Cause Congestion? The Case of the Older British Universities, 1994-2004

    ERIC Educational Resources Information Center

    Flegg, A. T.; Allen, D. O.

    2007-01-01

    This paper examines whether the rapid growth in the number of students in British universities in recent years has led to congestion, in the sense that certain universities' output could have been higher if this expansion had been less rapid. The focus of the paper is on 45 older universities that were in existence prior to 1992. The analysis…

  11. The effects of congested fixtures period on tactical and physical performance in elite football.

    PubMed

    Folgado, Hugo; Duarte, Ricardo; Marques, Pedro; Sampaio, Jaime

    2015-01-01

    The aim of this study was to examine the physical and tactical performances of a professional football team under congested and non-congested fixture periods. Six home matches of an English professional football team were analysed during competitive season (3 matches distancing three days from the previous fixture and 3 matches distancing six or more days from the previous fixture). Players' physical performances were measured by the total distance covered and distance covered at different speed categories. Tactical performances were measured by the percentage of time of players' movement synchronisation of lateral and longitudinal displacements. This variable was calculated considering all the possible pairs of outfield players, for the overall match and at different speed categories. Results showed no differences in the physical performance, although players' spent more time synchronised during the non-congested fixtures compared to congested fixtures, both for lateral (41.26% to 38.51%, ES: -0.3, P < 0.001) and longitudinal displacements (77.22% to 74.48%, ES: -0.5, P < 0.001). These coordination differences were particularly evident at the lower speed categories and in dyads composed by positions that tend to be further apart during the match, typically central and wing positioned players. Tactical performance seems to be affected by fixtures distribution, with players' spending more time synchronised during the non-congested fixtures. As players' cover the same amount of distance at similar intensities in both fixtures distribution, this reduction of synchronisation may be associated with an increased perception of fatigue and consequent adaptation strategies. PMID:25765524

  12. Wind power development in the United States: Effects of policies and electricity transmission congestion

    NASA Astrophysics Data System (ADS)

    Hitaj, Claudia

    In this dissertation, I analyze the drivers of wind power development in the United States as well as the relationship between renewable power plant location and transmission congestion and emissions levels. I first examine the role of government renewable energy incentives and access to the electricity grid on investment in wind power plants across counties from 1998-2007. The results indicate that the federal production tax credit, state-level sales tax credit and production incentives play an important role in promoting wind power. In addition, higher wind power penetration levels can be achieved by bringing more parts of the electricity transmission grid under independent system operator regulation. I conclude that state and federal government policies play a significant role in wind power development both by providing financial support and by improving physical and procedural access to the electricity grid. Second, I examine the effect of renewable power plant location on electricity transmission congestion levels and system-wide emissions levels in a theoretical model and a simulation study. A new renewable plant takes the effect of congestion on its own output into account, but ignores the effect of its marginal contribution to congestion on output from existing plants, which results in curtailment of renewable power. Though pricing congestion removes the externality and reduces curtailment, I find that in the absence of a price on emissions, pricing congestion may in some cases actually increase system-wide emissions. The final part of my dissertation deals with an econometric issue that emerged from the empirical analysis of the drivers of wind power. I study the effect of the degree of censoring on random-effects Tobit estimates in finite sample with a particular focus on severe censoring, when the percentage of uncensored observations reaches 1 to 5 percent. The results show that the Tobit model performs well even at 5 percent uncensored observations

  13. The Physics of Traffic Congestion and Road Pricing in Transportation Planning

    NASA Astrophysics Data System (ADS)

    Levinson, David

    2010-03-01

    This presentation develops congestion theory and congestion pricing theory from its micro- foundations, the interaction of two or more vehicles. Using game theory, with a two- player game it is shown that the emergence of congestion depends on the players' relative valuations of early arrival, late arrival, and journey delay. Congestion pricing can be used as a cooperation mechanism to minimize total costs (if returned to the players). The analysis is then extended to the case of the three- player game, which illustrates congestion as a negative externality imposed on players who do not themselves contribute to it. A multi-agent model of travelers competing to utilize a roadway in time and space is presented. To realize the spillover effect among travelers, N-player games are constructed in which the strategy set includes N+1 strategies. We solve the N-player game (for N = 7) and find Nash equilibria if they exist. This model is compared to the bottleneck model. The results of numerical simulation show that the two models yield identical results in terms of lowest total costs and marginal costs when a social optimum exists. Moving from temporal dynamics to spatial complexity, using consistent agent- based techniques, we model the decision-making processes of users and infrastructure owner/operators to explore the welfare consequence of price competition, capacity choice, and product differentiation on congested transportation networks. Component models include: (1) An agent-based travel demand model wherein each traveler has learning capabilities and unique characteristics (e.g. value of time); (2) Econometric facility provision cost models; and (3) Representations of road authorities making pricing and capacity decisions. Different from small-network equilibrium models in prior literature, this agent- based model is applicable to pricing and investment analyses on large complex networks. The subsequent economic analysis focuses on the source, evolution

  14. Cardiomyopathy and right-sided congestive heart failure in a red-tailed hawk (Buteo jamaicensis).

    PubMed

    Knafo, S Emmanuelle; Rapoport, Gregg; Williams, Jamie; Brainard, Benjamin; Driskell, Elizabeth; Uhl, Elizabeth; Crochik, Sonia; Divers, Stephen J

    2011-03-01

    A 15-year-old female red-tailed hawk (Buteo jamaicensis) was evaluated because of dyspnea, anorexia, and coelomic distension. Diagnostic imaging results confirmed severe coelomic effusion and revealed a markedly dilated right ventricle. The diagnosis was right-sided congestive heart failure. Results of measurements of vitamin E, selenium, lead, zinc, and cardiac troponin levels were normal or nondiagnostic. The hawk was treated with furosemide, antifungal and antimicrobial agents, and supplemental fluids and oxygen, but euthanasia was elected because of the poor prognosis and the practical difficulties associated with intensive case management. To our knowledge, this is the first described case of cardiomyopathy and congestive heart failure in a captive red-tailed hawk. PMID:21657185

  15. Alcohol use and congestive heart failure: incidence, importance, and approaches to improved history taking.

    PubMed

    Skotzko, Christine E; Vrinceanu, Alina; Krueger, Lynnette; Freudenberger, Ronald

    2009-03-01

    Alcohol use, abuse, and dependence have the potential to result in alcoholic cardiomyopathy (ACM). This distinct form of congestive heart failure (CHF) is responsible for 21-36% of all cases of nonischemic dilated cardiomyopathy in Western society. Without complete abstinence, the 4-year mortality for ACM approaches 50%. Therefore, accurate and detailed assessment of alcohol use in congestive heart failure is essential. The prevalence of problematic alcohol use is unrecognized by many clinicians. Clinical assessment of alcohol intake is often reduced to a simple question such as, "Do you drink?" Denial and minimization are hallmarks of alcohol abuse, with many individuals underreporting their use of alcohol. Clinicians can overcome these hurdles by implementing practical history taking measures to improve the accuracy of self-reported alcohol use. The data regarding the dangers of ongoing alcohol use in individuals with ACM make attempts to engage individuals in treatment to support abstinence essential. Suggestions for detailed and accurate assessment are discussed. PMID:18034302

  16. A New Approach to Detect Congestive Heart Failure Using Short-Term Heart Rate Variability Measures

    PubMed Central

    Wang, Qian; Zhou, GuangMin; Wang, Ying; Jiang, Qing

    2014-01-01

    Heart rate variability (HRV) analysis has quantified the functioning of the autonomic regulation of the heart and heart's ability to respond. However, majority of studies on HRV report several differences between patients with congestive heart failure (CHF) and healthy subjects, such as time-domain, frequency domain and nonlinear HRV measures. In the paper, we mainly presented a new approach to detect congestive heart failure (CHF) based on combination support vector machine (SVM) and three nonstandard heart rate variability (HRV) measures (e.g. SUM_TD, SUM_FD and SUM_IE). The CHF classification model was presented by using SVM classifier with the combination SUM_TD and SUM_FD. In the analysis performed, we found that the CHF classification algorithm could obtain the best performance with the CHF classification accuracy, sensitivity and specificity of 100%, 100%, 100%, respectively. PMID:24747432

  17. Nationwide SIP Telephony Network Design to Prevent Congestion Caused by Disaster

    NASA Astrophysics Data System (ADS)

    Satoh, Daisuke; Ashitagawa, Kyoko

    We present a session initiation protocol (SIP) network design for a voice-over-IP network to prevent congestion caused by people calling friends and family after a disaster. The design increases the capacity of SIP servers in a network by using all of the SIP servers equally. It takes advantage of the fact that equipment for voice data packets is different from equipment for signaling packets in SIP networks. Furthermore, the design achieves simple routing on the basis of telephone numbers. We evaluated the performance of our design in preventing congestion through simulation. We showed that the proposed design has roughly 20 times more capacity, which is 57 times the normal load, than the conventional design if a disaster were to occur in Niigata Prefecture struck by the Chuetsu earthquake in 2004.

  18. Congestive hypersplenism: treatment by means of radioembolization of the spleen with Y-90.

    PubMed

    Becker, C D; Rösler, H; Biasiutti, F D; Baer, H U

    1995-04-01

    Radioembolization of the spleen with yttrium-90 was performed in a patient with severe thrombocytopenia attributable to congestive hypersplenism. Follow-up included performance of serial contrast material-enhanced computed tomographic studies for 13 months. Splenic volume decreased from 1,400 to 470 cm3. The platelet count increased to almost normal levels. No complications were observed. Splenic radioembolization merits further investigation in selected patients. PMID:7892465

  19. Circulating concentrations of cardiac proteins indicate the severity of congestive heart failure

    PubMed Central

    Goto, T; Takase, H; Toriyama, T; Sugiura, T; Sato, K; Ueda, R; Dohi, Y

    2003-01-01

    Objective: To test the hypothesis that myocardium specific proteins may be useful markers for evaluating the severity of congestive heart failure. Methods: Serum concentrations of myosin light chain I (MLC-I), heart fatty acid binding protein (H-FABP), creatine kinase isoenzyme MB (CK-MB), and troponin T (TnT) and plasma concentrations of brain natriuretic peptide (BNP) were determined in 48 patients with acute deterioration of congestive heart failure, both before and after effective treatment. Results: Before treatment, MLC-I (mean (SEM) 3.2 (2.2) μg/l), H-FABP (9.0 (3.5) μg/l), TnT (30 (21) ng/l), and BNP (761 (303) ng/l) were higher than the normal reference range, and concentrations of CK-MB (5.4 (2.9) μg/l) were near normal. Treatment of congestive heart failure with conventional medication significantly decreased the concentrations of MLC-I (1.2 (0.3) μg/l, p < 0.0001), H-FABP (6.0 (2.0) μg/l, p < 0.0001), CK-MB (2.9 (1.5) μg/l, p < 0.0001), TnT (9 (1) ng/l, p < 0.001), and BNP (156 (118) ng/l, p < 0.0001). The decreases in H-FABP and CK-MB concentrations after treatment correlated with the decrease in BNP concentrations (p < 0.05). The absolute concentrations of MLC-I, H-FABP, CK-MB, and TnT correlated positively with those of BNP (p < 0.01). Conclusions: These findings suggest that MLC-I, H-FABP, CK-MB, and TnT may be used as reliable markers for the evaluation of the severity of congestive heart failure. PMID:14594884

  20. Long-term captopril therapy in severe refractory congestive heart failure

    PubMed Central

    Steingo, L.; Pocock, W. A.; Flax, H.; Stein, M.; Barlow, J. B.

    1982-01-01

    1 The favourable haemodynamic effects of captopril in patients with congestive heart failure have been reported. 2 We have treated 25 patients with severe chronic congestive heart failure with captopril in doses of 75-450 mg daily. Before entering the study all patients remained in New York Heart Association functional class IV despite high-dose diuretic and vasodilator therapy. 3 Mean cardiothoracic ratio was 60%, and all patients had a shortening fraction of 18% or less on echocardiography (normal 25 to 40%). 4 Five patients died within one month of captopril and five between four and seven months, three of whom had improved to class IIM and one to IIS before death. 5 Of the 15 survivors one was referred for a heart transplant when he had improved to class IIM. The remaining 14 patients were followed for 8-16 months. Ten improved to New York Heart Association class I or IIS and four to class IIM or III. Diuretic requirements were decreased considerably in all 14. Side effects were common but captopril did not have to be withdrawn. Captopril is a highly effective drug in the treatment of patients with congestive heart failure refractory to currently accepted therapy. PMID:6753902

  1. Highly Dynamic and Adaptive Traffic Congestion Avoidance in Real-Time Inspired by Honey Bee Behavior

    NASA Astrophysics Data System (ADS)

    Wedde, Horst F.; Lehnhoff, Sebastian; van Bonn, Bernhard; Bay, Z.; Becker, S.; Böttcher, S.; Brunner, C.; Büscher, A.; Fürst, T.; Lazarescu, A. M.; Rotaru, E.; Senge, S.; Steinbach, B.; Yilmaz, F.; Zimmermann, T.

    Traffic congestions have become a major problem in metropolitan areas world-wide, within and between cities, to an extent where they make driving and transportation times largely unpredictable. Due to the highly dynamic character of congestion building and dissolving this phenomenon appears even to resist a formal treatment. Static approaches, and even more their global management, have proven counterproductive in practice. Given the latest progress in VANET technology and the remarkable commercially driven efforts like in the European C2C consortium, or the VSC Project in the US, allow meanwhile to tackle various aspects of traffic regulation through VANET communication. In this paper we introduce a novel, completely decentralized multi-agent routing algorithm (termed BeeJamA) which we have derived from the foraging behavior of honey bees. It is highly dynamic, adaptive, robust, and scalable, and it allows for both avoiding congestions, and minimizing traveling times to individual destinations. Vehicle guidance is provided well ahead of every intersection, depending on the individual speeds. Thus strict deadlines are imposed on, and respected by, the BeeJamA algorithm. We report on extensive simulation experiments which show the superior performance of BeeJamA over conventional approaches.

  2. A novel distributed model of the heart under normal and congestive heart failure conditions.

    PubMed

    Ravanshadi, Samin; Jahed, Mehran

    2013-04-01

    Conventional models of cardiovascular system frequently lack required detail and focus primarily on the overall relationship between pressure, flow and volume. This study proposes a localized and regional model of the cardiovascular system. It utilizes noninvasive blood flow and pressure seed data and temporal cardiac muscle regional activity to predict the operation of the heart under normal and congestive heart failure conditions. The analysis considers specific regions of the heart, namely, base, mid and apex of left ventricle. The proposed method of parameter estimation for hydraulic electric analogy model is recursive least squares algorithm. Based on simulation results and comparison to clinical data, effect of congestive heart failure in the heart is quantified. Accumulated results for simulated ejection fraction percentage of the apex, mid and base regions of the left ventricle in congestive heart failure condition were 39 ± 6, 36 ± 9 and 38 ± 8, respectively. These results are shown to satisfactorily match those found through clinical measurements. The proposed analytical method can in effect be utilized as a preclinical and predictive tool for high-risk heart patients and candidates for heart transplant, assistive device and total artificial heart. PMID:23637212

  3. Congestive heart failure and converting enzyme inhibition: failure of current prognostic criteria for predicting subsequent renal insufficiency.

    PubMed Central

    Odum, J.; Carson, P.; Russell, G.

    1991-01-01

    Angiotensin-1-converting enzyme inhibitors have an effective and established role in the treatment of patients with congestive heart failure. However, a small number of such patients will subsequently develop renal insufficiency. These patients may be identified prior to, or shortly after, commencement of therapy by recognized criteria. This report describes 4 patients with congestive heart failure who developed severe renal insufficiency secondary to either enalapril or captopril therapy in the absence of any currently recognized predisposing factors. One patient died. PMID:2068028

  4. Gastrointestinal Congestion Dilates the Hepatic Artery Through the P38 MAPK Signal Transduction Pathway During Liver Transplantation.

    PubMed

    Cao, Zhongping; Tang, Xiaowen; Hou, Shike

    2016-01-01

    During the neohepatic stage of liver transplantation, hemodynamics change markedly. The current study aimed to investigate whether gastrointestinal congestion caused by inferior vena cava and hepatic portal vein clamping can dilate the hepatic artery and to determine the associated mechanisms. Ring segments of the hepatic artery were treated with the plasma from gastrointestinal congestion or the superior vena cava. The fractions in gastrointestinal congestion and the superior vena cava plasma were tested, and the effect of these fractions on the tone of the hepatic artery ring was examined. Different signal transduction blockers and different inhibitors were then used to determine the exact signal transduction pathway involved. In addition, endothelial cell structure was observed by transmission electron microscopy after treatment with the gastrointestinal congestion plasma or the superior vena cava plasma. Gastrointestinal congestion plasma contained more inflammatory cytokines than superior vena cava plasma, and these cytokines could cause hepatic artery ring dilatation. A P38 mitogen-activated protein kinase (P38 MAPK) signal transduction pathway blocker and nitric oxide (NO), prostaglandin (PGI2), nuclear factor-κB (NF-κB), and adenosine triphosphate (ATP)-sensitive K (KATP) channel inhibitors were able to significantly reverse the ring tension caused by gastrointestinal congestion plasma. The normal endothelium was also injured by treatment with gastrointestinal congestion plasma. The inflammatory cytokines in gastrointestinal congestion can cause hepatic artery ring dilatation through the P38 MAPK signal transduction pathway, and this phenomenon is also associated with NO, PGI2, NF-κB, and the KATP channel. These inflammatory cytokines can injure endothelial cells in the hepatic artery. PMID:26955003

  5. Pulmonary Vascular Congestion: A Mechanism for Distal Lung Unit Dysfunction in Obesity

    PubMed Central

    Oppenheimer, Beno W.; Berger, Kenneth I.; Ali, Saleem; Segal, Leopoldo N.; Donnino, Robert; Katz, Stuart; Parikh, Manish; Goldring, Roberta M.

    2016-01-01

    Rationale Obesity is characterized by increased systemic and pulmonary blood volumes (pulmonary vascular congestion). Concomitant abnormal alveolar membrane diffusion suggests subclinical interstitial edema. In this setting, functional abnormalities should encompass the entire distal lung including the airways. Objectives We hypothesize that in obesity: 1) pulmonary vascular congestion will affect the distal lung unit with concordant alveolar membrane and distal airway abnormalities; and 2) the degree of pulmonary congestion and membrane dysfunction will relate to the cardiac response. Methods 54 non-smoking obese subjects underwent spirometry, impulse oscillometry (IOS), diffusion capacity (DLCO) with partition into membrane diffusion (DM) and capillary blood volume (VC), and cardiac MRI (n = 24). Alveolar-capillary membrane efficiency was assessed by calculation of DM/VC. Measurements and Main Results Mean age was 45±12 years; mean BMI was 44.8±7 kg/m2. Vital capacity was 88±13% predicted with reduction in functional residual capacity (58±12% predicted). Despite normal DLCO (98±18% predicted), VC was elevated (135±31% predicted) while DM averaged 94±22% predicted. DM/VC varied from 0.4 to 1.4 with high values reflecting recruitment of alveolar membrane and low values indicating alveolar membrane dysfunction. The most abnormal IOS (R5 and X5) occurred in subjects with lowest DM/VC (r2 = 0.31, p<0.001; r2 = 0.34, p<0.001). Cardiac output and index (cardiac output / body surface area) were directly related to DM/VC (r2 = 0.41, p<0.001; r2 = 0.19, p = 0.03). Subjects with lower DM/VC demonstrated a cardiac output that remained in the normal range despite presence of obesity. Conclusions Global dysfunction of the distal lung (alveolar membrane and distal airway) is associated with pulmonary vascular congestion and failure to achieve the high output state of obesity. Pulmonary vascular congestion and consequent fluid transudation and/or alterations in the

  6. Parameter optimization in AQM controller design to support TCP traffic

    NASA Astrophysics Data System (ADS)

    Yang, Wei; Yang, Oliver W.

    2004-09-01

    TCP congestion control mechanism has been widely investigated and deployed on Internet in preventing congestion collapse. We would like to employ modern control theory to specify quantitatively the control performance of the TCP communication system. In this paper, we make use of a commonly used performance index called the Integral of the Square of the Error (ISE), which is a quantitative measure to gauge the performance of a control system. By applying the ISE performance index into the Proportional-plus-Integral controller based on Pole Placement (PI_PP controller) for active queue management (AQM) in IP routers, we can further tune the parameters for the controller to achieve an optimum control minimizing control errors. We have analyzed the dynamic model of the TCP congestion control under this ISE, and used OPNET simulation tool to verify the derived optimized parameters of the controllers.

  7. Embolization of Incompetent Pelvic Veins for the Treatment of Recurrent Varicose Veins in Lower Limbs and Pelvic Congestion Syndrome

    SciTech Connect

    Meneses, Luis Fava, Mario; Diaz, Pia; Andia, Marcelo; Tejos, Cristian; Irarrazabal, Pablo; Uribe, Sergio

    2013-02-15

    We present our experience with embolization of incompetent pelvic veins (IPV) in women with recurrence of varicose veins (VV) in lower limbs, as well as symptoms of pelvic congestion syndrome (PCS), after first surgery. In addition, we evaluated the effects of embolization in decreasing the symptoms of VV before surgery as well as its effects on PCS symptoms. We included 10 women who had consulted a vascular surgeon because of recurrent VV in lower limbs after surgery. All of these patients were included in the study because they also had symptoms of PCS, probably due to IPV. In patients who had confirmed IPV, we performed embolization before a second surgery. VV and PCS were assessed before and at 3 months after embolization (before the second surgery) using a venous clinical severity score (VCSS) and a visual analog pain scale (VAS), respectively. Patients were controlled between 3 and 6 months after embolization. Paired Student t test analysis was used for comparing data before and after embolization. Fifteen vein segments in 10 women were suitable for embolization. There was a significant (p < 0.001) decrease of VCSS after embolization, and recurrence of VV was not detected within a period of 6 months. There was also significant (p < 0.01) relief of chronic pelvic pain related to PCS evaluated using VAS at 3 months after embolization. Embolization decreases the risk of VV recurrence after surgery and also improves PCS symptoms in women with VV in lower limbs and IPV.

  8. The impact of directed choice on the design of preventive healthcare facility network under congestion.

    PubMed

    Vidyarthi, Navneet; Kuzgunkaya, Onur

    2015-12-01

    Preventive healthcare (PH) programs and services aim at reducing the likelihood and severity of potentially life-threatening illness by early detection and prevention. The effectiveness of these programs depends on the participation level and the accessibility of the users to the facilities providing the services. Factors that impact the accessibility include the number, type, and location of the facilities as well as the assignment of the clients to these facilities. In this paper, we study the impact of system-optimal (i.e., directed) choice on the design of the preventive healthcare facility network under congestion. We present a model that simultaneously determines the location and the size of the facilities as well as the allocation of clients to these facilities so as to minimize the weighted sum of the total travel time and the congestion associated with waiting and service delay at the facilities. The problem is set up as a network of spatially distributed M/G/1 queues and formulated as a nonlinear mixed integer program. Using simple transformation of the nonlinear objective function and piecewise linear approximation, we reformulate the problem as a linear model. We present a cutting plane algorithm based exact (-optimal) solution approach. We analyze the tradeoff between travel time and queuing time and its impact on the location and capacity of the facilities as well as the allocation of clients to these facilities under a directed choice policy. We present a case study that deals with locating mammography clinics in Montreal, Canada. The results show that incorporating congestion in the PH facility network design substantially reduces the total time spent by clients. The proposed model allows policy makers to direct clients to facilities in an equitable manner resulting in better accessibility. PMID:24879402

  9. Transport growth in Bangkok: Energy, environment, and traffic congestion. Workshop proceedings

    SciTech Connect

    Philpott, J.

    1995-07-01

    Bangkok, the capital of Thailand, is a physically and economically complexcity with a complicated transport system. With daily traffic congestion averaging 16 hours, the air quality is such that to breathe street level pollution for 8 eight hours is roughly equivalent to smoking nine cigarettes per day. Estimates suggest idling traffic costs up to $1.6 billion annually. Energy use within the transport sector is on a steady rise with an estimated increase in 11 years of two and one half times. Severe health impacts have begun to effect many residents - young children and the elderly being particularly vulnerable. Bangkok`s air quality and congestion problems are far from hopeless. Great potential exists for Bangkok to remedy its transport-related problems. The city has many necessary characteristics that allow an efficient, economical system of transport. For example, its high density level makes the city a prime candidate for an efficient system of mass transit and the multitude and close proximity of shops, street vendors, restaurants, and residential areas is highly conducive to walking and cycling. Technical knowledge and capacity to devise and implement innovative policies and projects to address air quality and congestion problems is plentiful. There is also consensus among Bangkokians that something needs to be done immediately to clear the air and the roads. However, little has been done. This report proposes a new approach to transport planning for Bangkok that integrates consideration of ecological, social, and financial viability in the process of making decisions regarding managing existing infrastructure and investments in new infrastructure. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database.

  10. The effects of dobutamine, propranolol and nitroglycerin on an experimental canine model of congestive heart failure.

    PubMed

    Kamijo, T; Tomaru, T; Miwa, A Y; Nakamura, F; Kido, H; Sugimoto, T; Uchida, Y

    1994-07-01

    A new experimental model of acute congestive heart failure was established in open-chest dogs, and it was employed to examine the effects of dobutamine, propranolol and nitroglycerin. The model was induced by intracoronary administration of saponin, volume loading and intravenous infusion of methoxamine. Left ventricular end-diastolic pressure (LVEDP) increased from 7.9 +/- 0.6 to 24.2 +/- 1.4 mmHg, and aortic blood flow (AoF) decreased from 0.89 +/- 0.06 to 0.53 +/- 0.04 l/min. Systemic vascular resistance (SVR) increased from 9618 +/- 585 to 16492 +/- 1213 dynes.sec/cm5 and right atrial pressure (RAP) increased from 2.5 +/- 0.2 to 4.2 +/- 0.4 mmHg. Furthermore, Vmax decreased from 71.6 +/- 5.1 to 45.8 +/- 2.9 1/sec, and the time constant of left ventricular pressure decay (T) increased from 40.0 +/- 2.6 to 90.2 +/- 7.9 msec. These hemodynamic changes were stable for up to 80 min. Dobutamine improved cardiac function by increasing Vmax and by decreasing T. Consequently, dobutamine increased AoF and decreased LVEDP, while there was no change in SVR. Nitroglycerin reduced LVEDP, SVR and T; increased AoF; and did not change Vmax. Propranolol produced no improvement in the hemodynamics or cardiac function. These results indicate that the present congestive heart failure model is characterized by global left ventricular dysfunction with lowered cardiac output and increased peripheral vascular tone, and it is beneficial for evaluating the pharmacological properties of drugs for acute congestive heart failure. PMID:7799523

  11. Cycle-by-cycle analysis of congested flow at signalized intersections

    SciTech Connect

    Rouphail, N.M. )

    1991-03-01

    The increasing number of traffic signals and traffic signal systems in urban areas in the United States is influencing traffic-flow patterns on roadways. Because of the closer proximity of traffic signals (whether coordinated or not), there are fewer observed variations in traffic flow demand during peak hour, and fewer signals in urban areas now operate in truly isolated mode. This is especially true in the case of heavy demand volumes where upstream signals tend to filter traffic at the signal capacity (that is, at virtually a fixed rate). From the traffic engineer's standpoint, the issues associated with congested flow are quite different from those occurring under normal operation (some would even argue that congestion of gridlock is now considered normal operation). The following questions may be asked: How long will it take to clear the congestion developed during peak period; What maximum overflow queue can be expected; How much improvement can be achieved through better signal coordination The principal tool available to traffic engineers for the analysis of signalized intersections in the United States is the {ital Highway Capacity Manual} (HCM). Yet, none of the issues mentioned above is adequately addressed in the HCM. For example, the HCM method uses a fixed peak period of analysis of 15 minutes for calculating level of service. The HCM method has no mechanism for estimating queues, or for estimating when peak-period queues can be cleared on an approach. Furthermore, signal coordination effects are expressed by a set of progression factors that have a very loose correspondence to signal offsets. More important, all analyses in the 1985 HCM are performed assuming average conditions in 15-minute peak period without considering the cycle-by-cycle variation in flows, queues, and delays. Finally, the level-of-service analysis is limited to situations with no initial queue at the start of the peak period and to volume-to-capacity ratios under 1.20.

  12. Congestive Hepatomegaly

    MedlinePlus

    ... Search Drug Interactions Pill Identifier Commonly searched drugs Aspirin Metformin Warfarin Tramadol Lactulose Ranitidine News & Commentary Recent News Cancer Caregivers Face Difficult Demands Child Health Improves When ...

  13. Effects of a family centered program on perceived social support in patients with congestive heart failure: An interventional study

    PubMed Central

    Shahriari, Mohsen; Alimohammadi, Nasrollah; Ahmadi, Maryam

    2016-01-01

    Background and Objectives: Congestive heart failure is one of the most common cardiovascular diseases that have a progressive and chronic trend and influences individuals’ and their families’ various dimensions. Social support is one of the psychosocial factors that can have a positive effect on individuals’ physical, mental and social status. Despite the existence of evidences, revealing the importance of family's support on patients’ condition, family centered supportive interventions with goal of clinical outcomes improvement have been less conducted among these patients. Therefore, the present study aimed to investigate the effect of family supportive intervention on the level of the support, received among heart failure patients. Materials and Methods: This is a two-group two-stage clinical trial, conducted on 64 patients with cardiac failure, referring to selected educational centers and meeting the inclusion criteria, who were selected through convenient sampling. They were assigned to study (n = 32) and control (n = 32) groups through random allocation. Data were collected by questioning through a two-section medical records questionnaire and were analyzed by SPSS. Results: Results of the study showed that mean scores of received support score were 13.7 (3.8) in the study and 0.8 (2.4) in the control group. Independent t-test showed a significant difference in mean changes of perceived support scores after the intervention between study and control groups (P < 0.001). Conclusions: Based on familial dimension in social support have a positive effect on patients’ perceived support. Nurses, as professional members of health care team, and with an important role in education and care of cardiac failure patients, can support, educate and guide these patients through designing appropriate care plans and educating their family members. PMID:27512698

  14. Heterobilharzia americana infection and congestive heart failure in a llama (Lama glama).

    PubMed

    Corapi, W V; Eden, K B; Edwards, J F; Snowden, K F

    2015-05-01

    The schistosome Heterobilharzia americana infects several mammalian species in the southeastern United States, including horses, but infections have not been reported in camelids. This is a report of H. americana infection in a 6-year-old llama with extensive cardiac pathology and congestive heart failure. Parasite-induced granulomas were widely disseminated and included overwhelming involvement of the lungs and liver. Microscopic lesions in the heart included myofiber degeneration and necrosis, with extensive replacement fibrosis. Polymerase chain reaction amplification and sequencing confirmed the presence of H. americana in the lungs. PMID:24964922

  15. The aerial relay system: An energy-efficient solution to the airport congestion problem

    NASA Technical Reports Server (NTRS)

    Kyser, A. C.

    1980-01-01

    The ability to transfer airline passengers between aircraft in flight, if adequately developed and integrated into the national air transportation system, could provide significant improvements in transportation-system performance, in terms of airport congestion, fuel consumption, and passenger service. The proposed Aerial Relay System concept, which was developed as a means of exploiting inflight transfer, makes use of large 'cruise liner' aircraft which fly continuously along their routes, docking periodically with short-haul feeder aircraft for exchange of payloads. Preliminary vehicle designs for a representative system are described and the operational feasibility of the concept for the United States in the 1990's is discussed.

  16. Hyperthyroidism as a reversible cause of right ventricular overload and congestive heart failure

    PubMed Central

    Di Giovambattista, Raniero

    2008-01-01

    We describe a case of severe congestive heart failure and right ventricular overload associated with overt hyperthyroidism, completely reversed with antithyroid therapy in a few week. It represents a very unusual presentation of overt hyperthyroidism because of the severity of right heart failure. The impressive right ventricular volume overload made mandatory to perform transesophageal echo and angio-TC examination to exclude the coexistence of ASD or anomalous pulmonary venous return. Only a few cases of reversible right heart failure, with or without pulmonary hypertension, have been reported worldwide. In our case the most striking feature has been the normalization of the cardiovascular findings after six weeks of tiamazole therapy. PMID:18549503

  17. A Rare Cause of Crazy-Paving and Mediastinal Lymphadenopathy: Congestive Heart Failure

    PubMed Central

    Senturk, Aysegul; Karalezli, Aysegul; Soyturk, Ayse Nur; Hasanoglu, H. Canan

    2013-01-01

    Crazy-paving sign is a pattern seen on multislice computed tomography images of the lungs. It is characterized by a reticular pattern superimposed on ground-glass opacity. It was first described in the late 1980s in patients with pulmonary alveolar proteinosis, but has now been described in some other diseases of the lung. Enlarged mediastinal lymph nodes can be seen in infectious and specific inflammatory diseases and malignancies. The present report describes a case of a 44-year-old man in whom congestive heart failure presented with a crazy-paving appearance and enlarged lymph nodes of the lungs on the chest computed tomography scan. PMID:24083067

  18. Trapped lung secondary to cardiomegaly in a 78 year-old male with congestive heart failure

    PubMed Central

    Amabile, Amy H.; Moffatt-Bruce, Susan D.; DePhilip, Robert M.

    2016-01-01

    Although the etiologies of both trapped lung and cardiomegaly are well-established, co-presentation of the two conditions, and possible interactions between them, are much rarer. Here we describe the case of 78 year-old male found to have both cardiomegaly and trapped lung, with a cause of death of congestive heart failure and subsequent cardiac arrest. This case prompted consideration of possible interactions between the two conditions. Issues related to decision-making for imaging and clinical interventions are also discussed. PMID:27054087

  19. Trapped lung secondary to cardiomegaly in a 78 year-old male with congestive heart failure.

    PubMed

    Amabile, Amy H; Moffatt-Bruce, Susan D; DePhilip, Robert M

    2016-01-01

    Although the etiologies of both trapped lung and cardiomegaly are well-established, co-presentation of the two conditions, and possible interactions between them, are much rarer. Here we describe the case of 78 year-old male found to have both cardiomegaly and trapped lung, with a cause of death of congestive heart failure and subsequent cardiac arrest. This case prompted consideration of possible interactions between the two conditions. Issues related to decision-making for imaging and clinical interventions are also discussed. PMID:27054087

  20. Venus' nighttime horizontal plasma flow, 'magnetic congestion', and ionospheric hole production

    NASA Technical Reports Server (NTRS)

    Grebowsky, J. M.; Mayr, H. G.; Curtis, S. A.; Taylor, H. A., Jr.

    1983-01-01

    A simple rectilinear, two-dimensional MHD model is used to investigate the effects of field-aligned plasma loss and cooling on a dense plasma convecting across a weak magnetic field, in order to illumine the Venus nighttime phenomena of horizontal plasma flow, magnetic congestion and ionospheric hole production. By parameterizing field-aligned variations and explicitly solving for cross magnetic field variations, it is shown that the abrupt horizontal enhancements of the vertical magnetic field, as well as sudden decreases of the plasma density to very low values (which are characteristic of ionospheric holes), can be produced in the presence of field-aligned losses.

  1. Treatment of feline asthma with ciclosporin in a cat with diabetes mellitus and congestive heart failure.

    PubMed

    Nafe, Laura A; Leach, Stacey B

    2015-12-01

    A 5-year-old domestic shorthair cat that had been previously diagnosed with diabetes mellitus was presented for episodes of coughing and respiratory distress. Diagnostic testing revealed congestive heart failure secondary to hypertrophic cardiomyopathy and concurrent asthma. All clinical signs and eosinophilic airway inflammation resolved with oral ciclosporin while the cat was concurrently receiving medications for treatment of heart failure (furosemide and enalapril). Ciclosporin should be considered for treatment of feline asthma in patients with concurrent diseases (eg, diabetes mellitus, severe heart disease) that may contraindicate use of oral glucocorticoid therapy. PMID:25527351

  2. The economic impact of Medicare Part D on congestive heart failure.

    PubMed

    Dall, Timothy M; Blanchard, Tericke D; Gallo, Paul D; Semilla, April P

    2013-05-01

    Medicare Part D has had important implications for patient outcomes and treatment costs among beneficiaries with congestive heart failure (CHF). This study finds that improved medication adherence associated with expansion of drug coverage under Part D led to nearly $2.6 billion in reductions in medical expenditures annually among beneficiaries diagnosed with CHF and without prior comprehensive drug coverage, of which over $2.3 billion was savings to Medicare. Further improvements in adherence could potentially save Medicare another $1.9 billion annually, generating upwards of $22.4 billion in federal savings over 10 years. PMID:23725537

  3. Multifractal properties of ECG patterns of patients suffering from congestive heart failure

    NASA Astrophysics Data System (ADS)

    Dutta, Srimonti

    2010-12-01

    The multifractal properties of two-channel ECG patterns of patients suffering from severe congestive heart failure (New York Heart Association (NYHA) classes III-IV) are studied and are compared with those for normal healthy people using the multifractal detrended fluctuation analysis methodology. Ivanov et al (1999 Nature 399 461) have studied the multifractality of human heart rate dynamics using the wavelet transformation modulus maxima (WTMM) methodology. But it has been observed by several scientists that multifractal detrended fluctuation analysis (MFDFA) works better than the WTMM method in the detection of monofractal and multifractal characteristics of the data. Galaska et al (2008 Ann. Noninvasive Electrocardiol. 13 155) have observed that MFDFA is more sensitive compared to the WTMM method in the differentiation between multifractal properties of the heart rate in healthy subjects and patients with left ventricular systolic dysfunction. In the present work the variation of two parameters of the multifractal spectrum—its width W (related to the degree of multifractality) and the value of the Hölder exponent α0—for the healthy and congestive heart failure patients is studied. α0 is a measure of the degree of correlation. The degree of multifractality varies appreciably (85-90% C.L.) for the normal and the CHF sets for channel I. For channel II no significant change in the values is observed. The degree of correlation is found to be comparatively high for the normal healthy people compared to those suffering from CHF.

  4. Fourier Analysis Method for Analyzing Highly Congested Mass Spectra of Ion Populations with Repeated Subunits.

    PubMed

    Cleary, Sean P; Thompson, Avery M; Prell, James S

    2016-06-21

    Highly heterogeneous samples that are difficult to resolve chromatographically arise in many contexts, including hetero-oligomeric protein assemblies, chaperone-target and protein-lipid assemblies, and long-chain polymers. Native mass spectrometry has emerged as a powerful tool to probe the stoichiometry and structure of biomolecular ion complexes, including megadalton-sized assemblies and assemblies with dozens of subunits. However, mass spectra of these ions are often highly congested, obfuscating determination of charge state, total mass, or subunit mass with conventional analysis methods. Here, we present a fast Fourier transform-based algorithm that can be used to deconvolve highly congested mass spectra for heterogeneous ion populations with repeated subunits. The method is parameter-free and requires no initial guesses of charge states, total mass, or subunit mass. To demonstrate a range of applications, the method is applied to ubiquitin with multiple adductions of sodium and potassium, single and mixed polymers, and self-assembled native protein-lipid complexes (Nanodiscs). The algorithm facilitates identification of the charge states, subunit mass, and charge-state specific total mass distribution present in the ion population. Results from application of the algorithm to these analytes include the first reported mass spectra and lipid stoichiometries of intact Nanodiscs containing lipid-raft associated sphingomyelin. Advantages to using this method with ion assemblies that have undergone minimal gas-phase collisional "clean-up" to retain native-like stoichiometries are discussed. PMID:27213759

  5. Haemodynamic and neurohumoral response to exercise in patients with congestive heart failure treated with captopril.

    PubMed Central

    Creager, M A; Faxon, D P; Weiner, D A; Ryan, T J

    1985-01-01

    The contribution of the renin-angiotensin system to the cardiovascular response to exercise was studied in 12 patients with congestive heart failure. The haemodynamic effects of captopril were measured at rest and during supine bicycle exercise. After captopril administration, resting systemic vascular resistance fell by 26.6% and mean blood pressure by 16.7% and cardiac index increased by 19.7%. During exercise, captopril decreased systemic vascular resistance by 25.6% and mean blood pressure by 8.2% and increased cardiac index by 24.4%. Pulmonary wedge pressure fell by 25% at rest but was not altered by captopril during exercise. Pretreatment plasma renin activity increased from 13.4(16.0) ng/ml/hr (10.3(12.3) mmol/l/hr) at rest to 20.0(27.8) ng/ml/hr (15.4(21.4) mmol/l/hr) during exercise. Pretreatment plasma noradrenaline concentration increased from 659(433) pg/ml (39(25.6) nmol/l) at rest to 2622(1486) pg/ml during exercise (155(88) nmol/l). Captopril favourably alters systemic vascular resistance and cardiac index during exercise in patients with congestive heart failure. This may reflect inhibition of the increased activity of the renin-angiotensin system during exercise in these patients and a subsequent reduction in systemic vasoconstriction. PMID:3885981

  6. Clinical and haemodynamic responses to captopril and hydralazine in chronic congestive heart failure

    PubMed Central

    Fitzgerald, Desmond J.; O'Callaghan, William G.; O'Malley, Kevin; Horgan, John; O'Brien, Eoin

    1982-01-01

    1 Although many vasodilators are effective in the treatment of severe congestive heart failure, there have been few comparative studies of these drugs. We compared the acute haemodynamic effects of captopril and hydralazine in 11 patients with congestive cardiac failure unresponsive to diuretics and digoxin. Both drugs increased resting cardiac index, although this effect appeared more pronounced for hydralazine (33% v 23%). Captopril reduced pulmonary capillary wedge pressure (-8 mm Hg, p < 0.01) which decreased only slightly on hydralazine. 2 Long-term treatment was then started on the dose found effective during acute administration. Each drug was given for eight weeks. Exercise tolerance improved with both drugs, the increase during the hydralazine phase correlating with the increase in cardiac index at rest (r = 0.75; p < 0.05). Clinical improvement appeared more definite on captopril than on hydralazine, however. This improvement was maintained during the captopril phase only in those patients who had a greater than 25% reduction in pulmonary capillary wedge pressure in the acute study. PMID:6753903

  7. Infantile Hepatic Hemangioendothelioma Associated With Congestive Heart Failure: Two Case Reports With Different Outcomes.

    PubMed

    Wang, Tao; Wang, Yibin; Liang, Yun; Lu, Guoyan

    2015-12-01

    Infantile hepatic hemangioendothelioma (IHH) is rare which can regress spontaneously. Arteriovenous shunts within hemangiomas, however, may result in pulmonary artery hypertension (PAH) and congestive heart failure (CHF).The authors report 2 young infants suffering from multifocal IHH associated with CHF were both treated with glucocorticoid and transcatheter arterial embolization (TAE), but had different outcomes. The PAH decreased immediately and the symptoms of CHF were alleviated after TAE for both of them. For the Tibetan infant, the development was normal with tumor regression by follow-up. For the Han ethnic neonate, PAH increased again in the seventh day with progressive cardiovascular insufficiency. Ultrasound showed a persisting perfusion caused by collateralization around occluded main feeders. Furthermore, a pulmonary infection occurred and ventilation was performed. As a result, the infant died from multiorgan failure caused by CHF and infection.TAE is a treatment of reducing shunting for hemangiomas. Fistula recanalization in multifocal IHH, however, might be an important risk factor affecting the outcome of TAE. TAE should be further evaluated with special attention to anatomy of feeding and draining vessels, and cardiopulmonary conditions. In addition, the patients were susceptible to secondary pulmonary infection because of lung congestion. As well, the infant from the high altitude area showed better adaptability to hypoxia. PMID:26717373

  8. Diagnosis and treatment of congestive heart failure secondary to dilated cardiomyopathy in a hedgehog.

    PubMed

    Delk, K W; Eshar, D; Garcia, E; Harkin, K

    2014-03-01

    A one-year-old African pygmy hedgehog (Atelerix albiventris) was evaluated for severe respiratory distress. Physical examination findings included marked dyspnoea, cyanosis and tachypnoea. Radiographic findings included an enlarged heart and pulmonary oedema, and dilated cardiomyopathy was confirmed via echocardiogram. The patient was treated for congestive heart failure because of dilated cardiomyopathy with furosemide, enalapril, pimobendan and l-carnitine. Within 24 hours of treatment, the pulmonary oedema and cyanosis had resolved. Following discharge, clinical improvement was noted by the owner and echocardiogram confirmed improved fractional shortening. Cardiomyopathy has been reported at post-mortem examination in hedgehogs, but there are no reports of ante-mortem diagnosis and treatment. Performing baseline cardiac assessment in hedgehogs is recommended, and treatment with l-carnitine and pimobendan may improve outcome, as carnitine deficiency is a possible cause of cardiomyopathy in hedgehogs. Successful emergency treatment of congestive heart failure in the hedgehog of this report may be effective for other hedgehogs presented with similar clinical signs. PMID:24372164

  9. Role of endogenous atrial natriuretic factor in acute congestive heart failure.

    PubMed Central

    Lee, M E; Miller, W L; Edwards, B S; Burnett, J C

    1989-01-01

    The current studies were designed to investigate the functional significance of elevated endogenous atrial natriuretic factor (ANF) in acute congestive heart failure (CHF). Integrated cardiorenal and endocrine function were measured in three models of acute low-output congestive heart failure with comparably reduced cardiac output (CO) and mean arterial pressure (MAP). Acute CHF was produced by rapid right ventricular pacing (group I, n = 5) which decreases CO and increases atrial pressures and plasma ANF. In group II, n = 5, thoracic inferior vena caval constriction (TIVCC) was produced to decrease venous return and CO but without increases in atrial pressure or plasma ANF. In group III, n = 5, TIVCC was performed and exogenous ANF infused to achieve plasma concentrations observed in acute CHF. In acute CHF with increases in endogenous ANF, sodium excretion (UNaV), renal blood flow (RBF), plasma renin activity (PRA), and plasma aldosterone (PA) were maintained despite decreases in CO and MAP. In contrast, TIVCC with similar reductions in CO and MAP but without increases in ANF resulted in decreases in UNaV and RBF and increases in PRA and PA. Exogenous administration of ANF in TIVCC to mimic levels in acute CHF prevented sodium retention, renal vasoconstriction, and activation of renin and aldosterone. These studies demonstrate that endogenous ANF serves as an important physiologic volume regulator in acute CHF to maintain sodium excretion and possibly participate in the suppression of activation of the renin-angiotensin-aldosterone system despite the stimulus of arterial hypotension. Images PMID:2531762

  10. Endocardiosis and congestive heart failure in a captive ostrich (Struthio camelus).

    PubMed

    Kubba, M A G; Al-Azreg, S A

    2013-01-01

    A seven-year-old blue-necked male ostrich was found dead after a few days of illness. The animal was living in an open yard of 25 square meters along with three other females. They were given concentrate-rich ration with free access to green leaves and water. Autopsy revealed cardiac enlargement due to left ventricular hypertrophy and right ventricular dilatation. The left aterioventricular valves were irregularly thickened and contracted. The lungs were engorged with blood and the liver had nutmeg appearance. The small intestine showed segmental sub-serosal petechial hemorrhages. Histological examination revealed myxomatous degeneration of the left aterioventricular valves, pulmonary congestion and edema, congestion of periacinar hepatic zone and fatty degeneration of outer zones, renal glomerulosclerosis and arteriosclerosis. The affected parts of the small intestine showed villous atrophy with lacteal distention. The venules in the affected intestinal segment were severely dilated while the arterioles had narrow lumen and irregular wall thickening with hyaline deposition. The current article reports an endocardiosis in ostrich and discusses other vascular disorders. PMID:26623324

  11. Congestion detection of pedestrians using the velocity entropy: A case study of Love Parade 2010 disaster

    NASA Astrophysics Data System (ADS)

    Huang, Lida; Chen, Tao; Wang, Yan; Yuan, Hongyong

    2015-12-01

    Gatherings of large human crowds often result in crowd disasters such as the Love Parade Disaster in Duisburg, Germany on July 24, 2010. To avoid these tragedies, video surveillance and early warning are becoming more and more significant. In this paper, the velocity entropy is first defined as the criterion for congestion detection, which represents the motion magnitude distribution and the motion direction distribution simultaneously. Then the detection method is verified by the simulation data based on AnyLogic software. To test the generalization performance of this method, video recordings of a real-world case, the Love Parade disaster, are also used in the experiments. The velocity histograms of the foreground object in the videos are extracted by the Gaussian Mixture Model (GMM) and optical flow computation. With a sequential change-point detection algorithm, the velocity entropy can be applied to detect congestions of the Love Parade festival. It turned out that without recognizing and tracking individual pedestrian, our method can detect abnormal crowd behaviors in real-time.

  12. Cardiac encephalopathy and congestive heart failure: a hypothesis about the relationship.

    PubMed

    Caplan, Louis R

    2006-01-10

    Many patients with congestive heart failure develop neurologic dysfunction. This may take the form of a cardiac encephalopathy that shares clinical features with other metabolic encephalopathies. The causes are multiple. There is a particular, previously unreported, syndrome that occasionally develops in some patients with congestive heart failure that resembles the findings in patients with normal pressure hydrocephalus. This syndrome is characterized by apathy and abulia with preserved alertness; it is caused by fluid retention within the cranial cavity. The syndrome may also develop in patients with other conditions that cause anasarca, e.g., severe liver or kidney disease or hypoalbuminemia. Because patients with these conditions are often quite ill, it has been difficult to verify the pathophysiologic aspects of the syndrome so that its mechanism must remain a hypothesis that awaits more definitive study in a series of patients. I have not seen this syndrome discussed in any cardiology or neurology texts or reports, and it seems to be completely unknown to cardiologists and neurologists. I have recognized about one patient per year with this syndrome. PMID:16401854

  13. Patient Medication Adherence and Physician Prescribing among Congestive Heart Failure Patients of Yemen.

    PubMed

    Alakhali, K M; Daniel, P S; Noohu, A M; Sirajudeen, S A

    2013-09-01

    Congestive heart failure has been associated with high morbidity and mortality requiring hospitalisation and is further complicated by noncompliance and under prescriptions. We aim to determine medication adherence and percentage deviation among Asians population in general and Yemenis in particular. A cross-sectional, prospective observational study with purposive sampling was conducted at two cardiac outpatient centers in 70 congestive heart failure patients for a period of 3 months. An Arabic translated Morisky 4 item scale assessed the adherence of patients. Deviation in prescribing was determined by chart review. All 70 patients had mean age of 56.6±16 years. Morisky 4 item scale predicted low adherence (n=33; 47.1%) and overall nonadherencerate (n=38; 54.2%) was slightly higher than adherence. Percentage nonadherence versus adherence was high with diuretics (53 vs. 46%) and, digoxin (40 vs. 29%). The adherence percentage of angiotensin receptor blockers (9%) and beta blockers (8%) was low. Diuretics were the most prescribed drugs (n=69; 99%), followed by angiotensin converting enzyme inhibitors (n=51; 73%), cardiac glycoside (n=48; 69%), few patients were on angiotensin receptor blockers (n=8; 11%) and (n=9; 13%) beta blockers. The maximum prescribing rate deviation was seen with angiotensin receptor blockers (-89%) and beta blockers (-87%) followed by nitrates (-77%). Digoxin (-31%) and angiotensin converting enzymes (-27%) deviated comparatively less. Prescribing as well as utilisation rates generally were low resulting in nonachievement of therapeutic goals which could be resolved using multimodel approach. PMID:24403656

  14. Naftopidil improves locomotor activity and urinary frequency in rats with pelvic venous congestion.

    PubMed

    Sugaya, Kimio; Nishijima, Saori; Kadekawa, Katsumi; Ashitomi, Katsuhiro; Ueda, Tomoyuki; Yamamoto, Hideyuki

    2016-01-01

    The α1D/A receptor antagonist, naftopidil, inhibits micturition reflex by acting on various different sites. We examined the effects of naftopidil on bladder activity and changes in the induced urinary frequency using female rats with pelvic venous congestion (PC). Twenty-four female rats were divided into sham, PC, and PC/naftopidil groups. After anesthetizing rats in the PC and PC/naftopidil groups, the bilateral common iliac veins and uterine veins were ligated. Rats in the sham and PC groups were fed a standard diet, while rats in the PC/naftopidil group were fed diets containing 0.04% naftopidil. After 4 weeks of treatment, locomotor activity, urinary nitric oxide metabolites (NOx), continuous cystometry, and plasma monoamine measurements were performed. PC rats exhibited a decrease of locomotor activity, a shorter interval between bladder contractions on continuous cystometry, and decreased urinary NOx and plasma serotonin levels than the sham rats. The PC/naftopidil rats exhibited an increase of locomotor activity, a longer interval between bladder contractions, and increased urinary NOx and plasma serotonin levels. Therefore, naftopidil might improve bladder dysfunction induced by pelvic venous congestion due to several actions in the central nervous system and bladder tissue, as well as acting as an α1 blocker to cause pelvic venous dilation. PMID:27544997

  15. Recompensation of heart and kidney function after treatment with peritoneal dialysis in a case of congestive heart failure.

    PubMed

    Kihm, Lars P; Hankel, Vinzent; Zugck, Christian; Remppis, Andrew; Schwenger, Vedat

    2011-01-01

    We report the case of a 57-year-old woman suffering from congestive heart failure. Due to refractory congestions despite optimised medical treatment, the patient was listed for heart transplantation and peritoneal dialysis was initiated. Peritoneal dialysis led to a significant weight loss, reduction of hyperhydration and extracellular water obtained by bioimpedance measurement, and a significant improvement in clinical and echocardiographic examination. Furthermore, residual kidney function increased during the long-term followup, and subsequently peritoneal dialysis was ceased. Pulmonary artery pressure and left ventricular ejection fraction remained stable and the patient did well. This case demonstrates the possibility of treating hyperhydration due to congestive heart failure with peritoneal dialysis resulting in recompensation of both heart and kidney functions. PMID:22162698

  16. 31P-NMR analysis of congestive heart failure in the SHHF/Mcc-facp rat heart.

    PubMed

    Michael O'Donnell, J; Narayan, P; Bailey, M Q; Abduljalil, A M; Altschuld, R A; McCune, S A; Robitaille, P M

    1998-02-01

    31P-NMR was used to monitor myocardial bioenergetics in compensated and failing SHHF/MCC-fa(cp) (SHF) rat hearts. The SHHF/Mcc-fa(cp) (spontaneous hypertension and heart failure) rat is a relatively new genetic model in which all individuals spontaneously develop congestive heart failure, most during the second year of life. Failing SHF rat hearts displayed a pronounced decrease in resting PCr:ATP ratios (P<0.001), which was explained by a significant (P<0. 0001) drop in total creatine (47.2+/-3.1 nmol/mg protein) v age matched controls (106+/-3 nmol/mg protein). In end stage failure, NMR determined PCr was 2.9+/-0.1 micro mol/g wet weight under basal conditions. In contrast, 6- and 20-month-old controls and compensated SHFs had PCr values of 5.3+/-0.1, and 5.1+/-0.5 and 5. 1+/-0.2 micro mol/g wet weight. Both compensated and failing SHF hearts were metabolically compromised when the rate pressure product (RPP) was increased, as evidenced by an increase in Pi and a drop in PCr. Compensated SHF hearts, however, were able to increase rate pressure products (RRP, mmHg X beats/min) from 44.5+/-1.4 to 66.6+/-3. 4 K with dobutamine infusion, whereas hearts in end-stage failure were able to increase their RPP from baseline values of 27+/-4 K to only 37+/-7 K. The data indicate that a pronounced decline in PCr and total creatine signals the transition from compensatory hypertrophy to decompensation and failure in the SHF rat model of hypertensive cardiomyopathy. PMID:9515000

  17. Changes in derived measures from six-minute walk distance following home-based exercise training in congestive heart failure: A preliminary report.

    PubMed

    Babu, Abraham Samuel; Desai, Charmie V; Maiya, Arun G; Guddattu, Vasudeva; Padmakumar, Ramachandran

    2016-01-01

    The response of derived parameters from six-minute walk distance (6MWD), like 6MW work (6MWW), to exercise training and its correlation with quality of life (QoL) in congestive heart failure (CHF) is not known. A secondary analysis from a randomized controlled trial on 30 patients (23 males; mean age 57.7±10.4 years; mean ejection fraction 31±10%) with CHF in NYHA class I-IV who completed an eight-week home-based exercise training program found a significant improvement in 6MWW (p<0.05), with similar correlations between 6MWD and 6MWW with QoL. 6MWW does not appear to provide additional benefit to 6MWD in cardiac rehabilitation for CHF. PMID:27543478

  18. Measuring outcomes in allergic rhinitis: psychometric characteristics of a Spanish version of the congestion quantifier seven-item test (CQ7)

    PubMed Central

    2011-01-01

    Background No control tools for nasal congestion (NC) are currently available in Spanish. This study aimed to adapt and validate the Congestion Quantifier Seven Item Test (CQ7) for Spain. Methods CQ7 was adapted from English following international guidelines. The instrument was validated in an observational, prospective study in allergic rhinitis patients with NC (N = 166) and a control group without NC (N = 35). Participants completed the CQ7, MOS sleep questionnaire, and a measure of psychological well-being (PGWBI). Clinical data included NC severity rating, acoustic rhinometry, and total symptom score (TSS). Internal consistency was assessed using Cronbach's alpha and test-retest reliability using the intraclass correlation coefficient (ICC). Construct validity was tested by examining correlations with other outcome measures and ability to discriminate between groups classified by NC severity. Sensitivity and specificity were assessed using Area under the Receiver Operating Curve (AUC) and responsiveness over time using effect sizes (ES). Results Cronbach's alpha for the CQ7 was 0.92, and the ICC was 0.81, indicating good reliability. CQ7 correlated most strongly with the TSS (r = 0.60, p < 0.01), the PGWBI general health dimension (r = 0.56, p < 0.01), and the MOS Sleep scale 'sleep short of breath' dimension (r = 0.49, p < 0.01). Correlations with acoustic rhinometry were generally low. The instrument discriminated well between NC severity groups (ES 0.33-2.07) and AUC was 0.93, indicating excellent sensitivity and specificity. The measure was responsive to change (ES = 1.1) in patients reporting improvement in NC. Conclusions The Spanish version of the CQ7 is appropriate for detecting, measuring, and monitoring NC in allergic rhinitis patients. PMID:21392375

  19. Detection and significance of a discrete very low frequency rhythm in RR interval variability in chronic congestive heart failure.

    PubMed

    Ponikowski, P; Chua, T P; Amadi, A A; Piepoli, M; Harrington, D; Volterrani, M; Colombo, R; Mazzuero, G; Giordano, A; Coats, A J

    1996-06-15

    Although in advanced chronic congestive heart failure (CHF) very low frequency (< 0.04 Hz, VLF) oscillations are prominent, the clinical importance and the physiologic basis of these rhythms have not been elucidated. To investigate the physiologic determinants of the VLF rhythms in RR interval variability, we studied 36 patients with stable, moderate to severe CHF (33 men, age: 58 +/- 8 years, ejection fraction 25 +/- 10%, peak oxygen consumption 18.1 +/- 4.6 ml/kg/min) and 12 age- and sex-matched controls using autoregressive spectral analysis of RR interval, blood pressure, and respiratory signals during controlled conditions. We quantified low frequency (LF) (0.04 to 0.15 Hz), high frequency (HF) (0.15 to 0.40 Hz), VLF, and total power (0 to 0.5 Hz), and calculated the coherence between systolic blood pressure and RR interval variability within each band. Peripheral chemosensitivity was assessed by the ventilatory response to hypoxia using transient inhalation of pure nitrogen. The influence of transient inactivation of peripheral chemoreceptors on the VLF rhythm was investigated by exposing 6 patients to hyperoxic (60% oxygen) conditions for 20 minutes. Twenty-three patients (64%) with CHF, but no controls, had a discrete VLF rhythm (0.019 +/- 0.008 Hz) in RR variability. The presence of VLF rhythm was not related to any difference in clinical parameters (etiology, New York Heart Association class, ejection fraction, oxygen uptake) but rather to a different pattern in RR interval and blood pressure variability: lower LF power (2.8 +/- 1.6 ms2 natural logarithm [ln]) compared either to patients without VLF (4.0 +/- 1.3 ms2 ln) or to controls (5.9 +/- 0.7 ms2 ln), higher percentage of power within VLF band (86.3 +/- 8.3% vs 77.5 +/- 7.9% and 61.5 +/- 14.1%) and a markedly impaired coherence between RR interval and systolic blood pressure variability within the LF band (0.26 +/- 0.10 vs 0.42 +/- 0.18 and 0.63 +/- 0.15, in patients with vs without VLF peak and

  20. The impact of congestion charging on vehicle speed and its implications for assessing vehicle emissions

    NASA Astrophysics Data System (ADS)

    Beevers, Sean D.; Carslaw, David C.

    Previous analysis of London's congestion charging scheme (CCS) has shown that changes in vehicle speed are an important factor in reducing vehicle emissions. Therefore, a detailed investigation of network average vehicle speed in both central and inner London has been undertaken using a combination of the non-parametric Wilcoxon sign ranks test and a method for calculating the cumulative difference between mean speeds pre- and post-CCS, or cumulative sum (CUSUM) analysis. Within the charging zone (CZ), the Wilcoxon test has shown that the difference in speed between pre- and post-CCS periods has increased on average by 2.1 km h -1 and that these changes are significant at the p=0.05 level. The CUSUM analysis has provided evidence of the timing of this change in mean speed in the CZ and this agrees well with the introduction of the CCS on the 17 February 2003. In combination, these results provide compelling evidence that the introduction of congestion charging has significantly increased vehicle speed in the CZ and by comparison with the results in inner London, that these changes are not part of a wider trend. To examine one impact of this change we used an instantaneous emissions model, the Vehicle Transient Emissions Simulation Software, to undertake a comparison between the change in vehicle emissions associated with changing driving characteristics, between pre- and post-charging periods, and those associated with a change in average speed. The analysis was limited to three vehicle types: a Euro II LGV, a Euro III diesel car and a Euro IV petrol car, but showed that driving characteristics in central London have a relatively small effect on emissions of NO X and CO 2 compared with the average vehicle speed. However, for PM 10 emissions from the Euro II LGV the opposite was found and for this vehicle the driving characteristics were more important than the average speed in estimating exhaust emissions. For this vehicle, emissions increased between pre- and post

  1. New Results in Magnitude and Sign Correlations in Heartbeat Fluctuations for Healthy Persons and Congestive Heart Failure (CHF) Patients

    NASA Astrophysics Data System (ADS)

    Diosdado, A. Muñoz; Cruz, H. Reyes; Hernández, D. Bueno; Coyt, G. Gálvez; González, J. Arellanes

    2008-08-01

    Heartbeat fluctuations exhibit temporal structure with fractal and nonlinear features that reflect changes in the neuroautonomic control. In this work we have used the detrended fluctuation analysis (DFA) to analyze heartbeat (RR) intervals of 54 healthy subjects and 40 patients with congestive heart failure during 24 hours; we separate time series for sleep and wake phases. We observe long-range correlations in time series of healthy persons and CHF patients. However, the correlations for CHF patients are weaker than the correlations for healthy persons; this fact has been reported by Ashkenazy et al. [1] but with a smaller group of subjects. In time series of CHF patients there is a crossover, it means that the correlations for high and low frequencies are different, but in time series of healthy persons there are not crossovers even if they are sleeping. These crossovers are more pronounced for CHF patients in the sleep phase. We decompose the heartbeat interval time series into magnitude and sign series, we know that these kinds of signals can exhibit different time organization for the magnitude and sign and the magnitude series relates to nonlinear properties of the original time series, while the sign series relates to the linear properties. Magnitude series are long-range correlated, while the sign series are anticorrelated. Newly, the correlations for healthy persons are different that the correlations for CHF patients both for magnitude and sign time series. In the paper of Ashkenazy et al. they proposed the empirical relation: αsign≈1/2(αoriginal+αmagnitude) for the short-range regime (high frequencies), however, we have found a different relation that in our calculations is valid for short and long-range regime: αsign≈1/4(αoriginal+αmagnitude).

  2. Efficacy of enalapril for prevention of congestive heart failure in dogs with myxomatous valve disease and asymptomatic mitral regurgitation.

    PubMed

    Kvart, Clarence; Häggström, Jens; Pedersen, Henrik Duelund; Hansson, Kerstin; Eriksson, Anders; Järvinen, Anna-Kaisa; Tidholm, Anna; Bsenko, Karina; Ahlgren, Erik; Ilves, Mikael; Ablad, Björn; Falk, Torkel; Bjerkfås, Ellen; Gundler, Susanne; Lord, Peter; Wegeland, Gudrun; Adolfsson, Eva; Corfitzen, Jens

    2002-01-01

    We evaluated the long-term effect of early angiotensin-converting enzyme (ACE) inhibition (enalapril maleate) as monotherapy to postpone or prevent congestive heart failure (CHF) in asymptomatic dogs with mitral regurgitation (MR) attributable to myxomatous valvular disease (MVD) in a prospective, randomized, double-blinded, placebo-controlled multicenter trial involving 14 centers in Scandinavia. Two hundred twenty-nine Cavalier King Charles (CKC) Spaniels with MR attributable to MVD but no signs of CHF were randomly allocated to treatment with enalapril 0.25-0.5 mg daily (n = 116) or to placebo groups (n = 113). Each dog was evaluated by physical examination, electrocardiography, and thoracic radiography at entry and every 12 months (+/-30 days). The number of dogs developing heart failure was similar in the treatment and placebo groups (n = 50 [43%] and n = 48 [42%], respectively; P = .99). The estimated means, adjusted for censored observations, for the period from initiation of therapy to heart failure were 1,150 +/- 50 days for dogs in the treatment group and 1,130 +/- 50 days for dogs in the placebo group (P = .85). When absence or presence of cardiomegaly at the entrance of the trial was considered, there were still no differences between the treatment and placebo groups (P = .98 and .51, respectively). Multivariate analysis showed that enalapril had no significant effect on the time from initiation of therapy to heart failure (P = .86). Long-term treatment with enalapril in asymptomatic dogs with MVD and MR did not delay the onset of heart failure regardless of whether or not cardiomegaly was present at initiation of the study. PMID:11822810

  3. Usefulness of verapamil for congestive heart failure associated with abnormal left ventricular diastolic filling and normal left ventricular systolic performance

    SciTech Connect

    Setaro, J.F.; Zaret, B.L.; Schulman, D.S.; Black, H.R.; Soufer, R. )

    1990-10-15

    Normal left ventricular systolic performance with impaired left ventricular diastolic filling may be present in a substantial number of patients with congestive heart failure (CHF). To evaluate the effect of oral verapamil in this subset, 20 men (mean age 68 +/- 5 years) with CHF, intact left ventricular function (ejection fraction greater than 45%) and abnormal diastolic filling (peak filling rate less than 2.5 end-diastolic volumes per second (edv/s)) were studied in a placebo-controlled, double-blind 5-week crossover trial. All patients underwent echocardiography to rule out significant valvular disease, and thallium-201 stress scintigraphy to exclude major active ischemia. Compared to baseline values, verapamil significantly improved exercise capacity by 33% (13.9 +/- 4.3 vs 10.7 +/- 3.4 minutes at baseline) and peak filling rate by 30% (2.29 +/- 0.54 vs 1.85 +/- 0.45 edv/s at baseline) (all p less than 0.05). Placebo values were 12.3 +/- 4.0 minutes and 2.16 +/- 0.48 edv/s, respectively (difference not significant for both). Improvement from baseline in an objective clinico-radiographic heart failure score (scale 0 to 13) was significantly greater with verapamil compared to placebo (median improvement in score: 3 vs 1, p less than 0.01). Mean ejection fraction and systolic blood pressure were unchanged from baseline; diastolic blood pressure and heart rate decreased to a small degree. Verapamil may have therapeutic efficacy in patients with CHF, preserved systolic function and impaired diastolic filling.

  4. Effect of the Diagnosis of Inflammatory Bowel Disease on Risk-Adjusted Mortality in Hospitalized Patients with Acute Myocardial Infarction, Congestive Heart Failure and Pneumonia

    PubMed Central

    Ehrenpreis, Eli D.; Zhou, Ying; Alexoff, Aimee; Melitas, Constantine

    2016-01-01

    Introduction Measurement of mortality in patients with acute myocardial infarction (AMI), congestive heart failure (CHF) and pneumonia (PN) is a high priority since these are common reasons for hospitalization. However, mortality in patients with inflammatory bowel disease (IBD) that are hospitalized for these common medical conditions is unknown. Methods A retrospective review of the 2005–2011 National Inpatient Sample (NIS), (approximately a 20% sample of discharges from community hospitals) was performed. A dataset for all patients with ICD-9-CM codes for primary diagnosis of acute myocardial infarction, pneumonia or congestive heart failure with a co-diagnosis of IBD, Crohn’s disease (CD) or ulcerative colitis (UC). 1:3 propensity score matching between patients with co-diagnosed disease vs. controls was performed. Continuous variables were compared between IBD and controls. Categorical variables were reported as frequency (percentage) and analyzed by Chi-square tests or Fisher’s exact test for co-diagnosed disease vs. control comparisons. Propensity scores were computed through multivariable logistic regression accounting for demographic and hospital factors. In-hospital mortality between the groups was compared. Results Patients with IBD, CD and UC had improved survival after AMI compared to controls. 94/2280 (4.1%) of patients with IBD and AMI died, compared to 251/5460 (5.5%) of controls, p = 0.01. This represents a 25% improved survival in IBD patients that were hospitalized with AMI. There was a 34% improved survival in patients with CD and AMI. There was a trend toward worsening survival in patients with IBD and CHF. Patients with CD and PN had improved survival compared to controls. 87/3362 (2.59%) patients with CD and PN died, compared to 428/10076 (4.25%) of controls, p < .0001. This represents a 39% improved survival in patients with CD that are hospitalized for PN. Conclusion IBD confers a survival benefit for patients hospitalized with AMI. A

  5. Plasma atrial natriuretic peptide and N-terminal pro B-type natriuretic peptide concentrations in dogs with right-sided congestive heart failure

    PubMed Central

    KANNO, Nobuyuki; HORI, Yasutomo; HIDAKA, Yuichi; CHIKAZAWA, Seishiro; KANAI, Kazutaka; HOSHI, Fumio; ITOH, Naoyuki

    2015-01-01

    The clinical utility of plasma natriuretic peptide concentrations in dogs with right-sided congestive heart failure (CHF) remains unclear. We investigated whether plasma levels of atrial natriuretic peptide (ANP) and N-terminal pro B-type natriuretic peptide (NT-proBNP) are useful for assessing the congestive signs of right-sided heart failure in dogs. This retrospective study enrolled 16 healthy dogs and 51 untreated dogs with presence (n=28) or absence (n=23) of right-sided CHF. Medical records of physical examinations, thoracic radiography and echocardiography were reviewed. The plasma concentration of canine ANP was measured with a chemiluminescent enzyme immunoassay. Plasma NT-proBNP concentrations were determined using an enzyme immunoassay. Plasma ANP and NT-proBNP concentrations in dogs with right-sided CHF were significantly higher than in healthy controls and those without right-sided CHF. The plasma NT-proBNP concentration >3,003 pmol/l used to identify right-sided CHF had a sensitivity of 88.5% and specificity of 90.3%. An area under the ROC curve (AUC) was 0.93. The AUC for NT-proBNP was significantly higher than the AUCs for the cardiothoracic ratio, vertebral heart score, ratio of right ventricular end-diastolic internal diameter to body surface area, tricuspid late diastolic flow and ratio of the velocities of tricuspid early to late diastolic flow. These results suggest that plasma ANP and NT-proBNP concentrations increase markedly in dogs with right-sided CHF. Particularly, NT-proBNP is simple and helpful biomarkers to assess the right-sided CHF. PMID:26607133

  6. Innovations in transportation and air quality: Twelve exemplary projects. Congestion mitigation and Air Quality Improvement Program

    SciTech Connect

    1996-07-01

    Since its creation, the Congestion Mitigation and Air Quality Improvement (CMAQ) Program has spurred innovation in the types of programs and projects supported by Federal transportation dollars. The projects mentioned in this brochure show that the CMAQ program has been in the forefront of ISTEA`s effort to revamp the transportation planning process toward an intermodal focus. The CMAQ program is multimodal by design; it is a virtual requirement that new players beyond the highway and transit communities be a part of its implementation. Its success in meeting the congressional mandates of ISTEA is also documented by its unprecendented flexibility and robust spending rates. CMAQ funding needs now compete on an event footing with more traditional transportation programs for congressionally set spending authority.

  7. Macro- and micronutrients in patients with congestive heart failure, particularly African-Americans.

    PubMed

    Newman, Kevin P; Bhattacharya, Syamal K; Munir, Ahmad; Davis, Richard C; Soberman, Judith E; Ramanathan, Kodangudi B

    2007-01-01

    Not all patients with heart failure, defined as a reduced ejection fraction, will have an activation of the RAAS, salt and water retention, or the congestive heart failure (CHF) syndrome. Beyond this cardiorenal perspective, CHF is accompanied by a systemic illness that includes oxidative stress, a proinflammatory phenotype, and a wasting of soft tissues and bone. A dyshomeostasis of calcium, magnesium, zinc, selenium, and vitamin D contribute to the appearance of oxidative stress and to compromised endogenous defenses that combat it. A propensity for hypovitaminosis D, given that melanin is a natural sunscreen, and for secondary hyperparathyroidism in African-Americans make them more susceptible to these systemic manifestations of CHF-a situation which is further threatened by the calcium and magnesium wasting that accompanies the secondary aldosteronism of CHF and the use of loop diuretics. PMID:18078025

  8. Acute haemodynamic effects of ibopamine in patients with severe congestive heart failure.

    PubMed Central

    Ghirardi, P; Brusoni, B; Mangiavacchi, M; Bianco, L; Col, J; Metra, M; Dei Cas, L

    1985-01-01

    Ten patients with congestive heart failure (CHF), in III and IV NYHA Class, were treated orally with a single dose of ibopamine ranging from 1.2-3.3 mg/kg, and were studied using the Swan-Ganz catheter and thermodilution technique. Cardiac index (CI) and stroke volume index (SVI) were increased, and mean pulmonary pressure (PAP), systemic vascular resistances (SVR) were lowered. Ibopamine increased CI (+33%) and SVI (+26%), and decreased PAP (-17%) and SVR (-24%). All changes were statistically significant. The maximum haemodynamic effect occurred 180 min after ibopamine administration. Blood pressure and heart rate were unaffected. Tolerability was good. This study shows that ibopamine when orally administered to human subjects improves cardiac performance and further investigations on its use as a therapeutic agent in the long term treatment of CHF are recommended. PMID:4005102

  9. Effectiveness of carvedilol for congestive heart failure that developed long after modified Fontan operation.

    PubMed

    Ishibashi, Naoko; Park, In-Sam; Takahashi, Yukiko; Nishiyama, Mitsunori; Murakami, Yasue; Mori, Katsuhiko; Mimori, Shigekazu; Ando, Makoto; Takahashi, Yukihiro; Nakanishi, Toshio

    2006-01-01

    We report a case of a patient with severe heart failure after Fontan procedure in whom carvedilol was very effective. A 27-year-old man had intractable congestive heart failure due to severe ventricular dysfunction after Fontan operation. Central venous pressure was elevated to 29 mmHg. A right-to-left shunt was noted across a large collateral vessel between the innominate vein and the pulmonary vein. He was administered carvedilol (initial dose, 2 mg/day; maximum dose, 30 mg/day). Cardiac catheterization performed 1 year after carvedilol administration revealed a decrease in atrial pressure and improvement of ventricular function. He underwent a conversion operation to total cavopulmonary connection (TCPC) and ligation of a collateral vein communicating with the innominate and pulmonary veins. Carvedilol may be a legitimate treatment before TCPC conversion or heart transplantation for the high-risk group of patients with a failed Fontan circulation. PMID:16841268

  10. Mineralocorticoid receptor antagonists as diuretics: Can congestive heart failure learn from liver failure?

    PubMed Central

    Ortiz, Fernando; Radhakrishnan, Jai; Schrier, Robert W.; Colombo, Paolo C.

    2014-01-01

    Despite significant improvements in diagnosis, understanding the pathophysiology and management of the patients with acute decompensated heart failure (ADHF), diuretic resistance, yet to be clearly defined, is a major hurdle. Secondary hyperaldosteronism is a pivotal factor in pathogenesis of sodium retention, refractory congestion in heart failure (HF) as well as diuretic resistance. In patients with decompensated cirrhosis who suffer from ascites, similar pathophysiological complications have been recognized. Administration of natriuretic doses of mineralocorticoid receptor antagonists (MRAs) has been well established in management of cirrhotic patients. However, this strategy in patients with ADHF has not been well studied. This article will discuss the potential use of natriuretic doses of MRAs to overcome the secondary hyperaldosteronism as an alternative diuretic regimen in patients with HF. PMID:25447845

  11. Atrioventricular Dissociation and Congestive Heart Failure in a Ring-Necked Pheasant ( Phasianus colchicus ).

    PubMed

    Kaya, Mehmet; Gacar, Ayhan; Demirci, Beste; Soylu, Sadettin Mehmet; Gulbahar, Mustafa Yavuz

    2015-06-01

    The aim of this clinical report was to describe a case of complete atrioventricular dissociation in a 9-month-old, male ring-necked pheasant ( Phasianus colchicus ). The case was incidentally determined during the evaluation of electrocardiograms recorded from pheasants. There were no observed clinical symptoms in the bird before or after the electrocardiogram. The PR interval varied, and there was no association of the P waves and QRS complexes in the electrocardiogram. Although the ventricular rhythm was regular (130 beats/min), atrial rhythm was irregular (approximately 91 beats/min). Pathological examination showed there was left ventricular hypertrophy with degeneration of the mitral valve of the heart and well-marked congestion in the liver and lung. PMID:26115214

  12. Multi-Detector Row Computed Tomography Findings of Pelvic Congestion Syndrome Caused by Dilated Ovarian Veins

    PubMed Central

    Eren, Suat

    2010-01-01

    Objective: To evaluate the efficacy of multi-detector row CT (MDCT) on pelvic congestion syndrome (PCS), which is often overlooked or poorly visualized with routine imaging examination. Materials and Methods: We evaluated the MDCT features of 40 patients with PCS (mean age, 45 years; range, 29–60 years) using axial, coronal, sagittal, 3D volume-rendered, and Maximum Intensity Projection MIP images. Results: MDCT revealed pelvic varices and ovarian vein dilatations in all patients. Bilateral ovarian vein dilatation was present in 25 patients, and 15 patients had unilateral dilatation. While 12 cases of secondary pelvic varices occurred simultaneously with a retroaortic left renal vein, 10 cases were due solely to a mass obstruction or stenosis of venous structures. Conclusion: MDCT is an effective tool in the evaluation of PCS, and it has more advantages than other imaging modalities. PMID:25610142

  13. Cellular non-specific interstitial pneumonia masquerading as congestive heart failure.

    PubMed

    Saraya, Takeshi; Takata, Saori; Fujiwara, Masachika; Takei, Hidefumi

    2013-01-01

    A 66-year-old woman with a history of myocardial infarction 2 months prior presented to our respiratory department with several days of dry cough and night sweats. Chest X-ray and thoracic CT showed ground glass opacities or consolidation spreading from the hilar area to the peripheral area, suggesting central redistribution. Although neither rales nor abnormal heart sounds were noted, she was tentatively diagnosed with congestive heart failure based on those radiological findings. However, radiographic lung lesions and her symptoms were refractory to intensive diuretic treatment. Thereafter, video-assisted thoracoscopic surgery was performed, resulting in a diagnosis of cellular non-specific interstitial pneumonia (c-NSIP). After initiating treatment with prednisolone, her symptoms and the radiological findings resolved. In patients with NSIP, a radiological central distribution could rarely occur, especially in cases of c-NSIP. No rales were detected because of its paucity of fibrous components in the lung. PMID:24001730

  14. Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure

    PubMed Central

    Millucci, Lia; Ghezzi, Lorenzo; Bernardini, Giulia; Braconi, Daniela; Tanganelli, Piero; Santucci, Annalisa

    2012-01-01

    Atrial natriuretic peptide (ANP), whose amyloid is responsible of isolated atrial amyloidosis (IAA), is known to play an important role in the pathophysiology of congestive heart failure (CHF). We provide here the microscopic examination of atrial biopsies from 36 young (mean 40 years) CHF patients distinguished in idiopathic dilated cardiomyopathy (DC) affected and hypertrophic Cardiomyopathy (HC) affected, endorsing the presumptive association of early CHF with IAA. We utilized a multiple method, using Congo red (CR) staining, CR fluorescence (CRF), and immunohistochemistry to assess the presence of IAA in CHF. Immunostaining showed a moderate deposition of IAA in the atrium surrounding working myocardium with small intracellular deposits. Our findings suggest a monitoring of young CHF cases for the development of IAA. Our study also demonstrated how the concurrent use of immunohistochemistry, CR, and CRF may greatly enhance the detection of low-grade amyloid deposits. PMID:22536133

  15. Prevalence of isolated atrial amyloidosis in young patients affected by congestive heart failure.

    PubMed

    Millucci, Lia; Ghezzi, Lorenzo; Bernardini, Giulia; Braconi, Daniela; Tanganelli, Piero; Santucci, Annalisa

    2012-01-01

    Atrial natriuretic peptide (ANP), whose amyloid is responsible of isolated atrial amyloidosis (IAA), is known to play an important role in the pathophysiology of congestive heart failure (CHF). We provide here the microscopic examination of atrial biopsies from 36 young (mean 40 years) CHF patients distinguished in idiopathic dilated cardiomyopathy (DC) affected and hypertrophic Cardiomyopathy (HC) affected, endorsing the presumptive association of early CHF with IAA. We utilized a multiple method, using Congo red (CR) staining, CR fluorescence (CRF), and immunohistochemistry to assess the presence of IAA in CHF. Immunostaining showed a moderate deposition of IAA in the atrium surrounding working myocardium with small intracellular deposits. Our findings suggest a monitoring of young CHF cases for the development of IAA. Our study also demonstrated how the concurrent use of immunohistochemistry, CR, and CRF may greatly enhance the detection of low-grade amyloid deposits. PMID:22536133

  16. Effect of Cardiac Resynchronization Therapy on Inflammation in Congestive Heart Failure: A Review.

    PubMed

    Lappegård, K T; Bjørnstad, H; Mollnes, T E; Hovland, A

    2015-09-01

    Congestive heart failure is associated with increased levels of several inflammatory mediators, and animal studies have shown that infusion of a number of cytokines can induce heart failure. However, several drugs with proven efficacy in heart failure have failed to affect inflammatory mediators, and anti-inflammatory therapy in heart failure patients has thus far been disappointing. Hence, to what extent heart failure is caused by or responsible for the increased inflammatory burden in the patient is still unclear. Over the past couple of decades, resynchronization therapy with a biventricular pacemaker has emerged as an effective treatment in a subset of heart failure patients, reducing both morbidity and mortality. Such treatment has also been shown to affect the inflammation associated with heart failure. In this study, we review recent data on the association between heart failure and inflammation, and in particular how resynchronization therapy can affect the inflammatory process. PMID:26099323

  17. The Effect of Age upon Care and Outcomes in Patients Hospitalized for Congestive Heart Failure in Alberta, Canada

    ERIC Educational Resources Information Center

    Cujec, Bibiana; Quan, Hude; Jin, Yan; Johnson, David

    2004-01-01

    We describe the age-specific outcomes for patients hospitalized with newly diagnosed congestive heart failure using administrative hospital abstracts from Alberta, Canada, from April 1, 1994, to March 31, 2000. Seniors (aged 65 years and older) constituted about 85 per cent of the 16,162 patients. Both co-morbidity and severity of illness tended…

  18. Rescue of lip switch flap at risk of necrosis due to venous congestion for cleft lip deformity.

    PubMed

    Sugiyama, Madoka; Saijo, Hideto; Kazuto, Hoshi; Takato, Tsuyoshi

    2016-01-01

    In a 21-year-old male with bilateral cleft lip who developed marked venous congestion of a lip switch flap, we returned the grafted flap to the donor site to improve blood circulation of the flap and then re-transplanted it, which prevented flap necrosis. Here, we report the procedure and case. PMID:27583269

  19. Rescue of lip switch flap at risk of necrosis due to venous congestion for cleft lip deformity

    PubMed Central

    Sugiyama, Madoka; Saijo, Hideto; Kazuto, Hoshi; Takato, Tsuyoshi

    2016-01-01

    Abstract In a 21-year-old male with bilateral cleft lip who developed marked venous congestion of a lip switch flap, we returned the grafted flap to the donor site to improve blood circulation of the flap and then re-transplanted it, which prevented flap necrosis. Here, we report the procedure and case. PMID:27583269

  20. Acute and chronic arterial and venous effects of captopril in congestive cardiac failure.

    PubMed Central

    Capewell, S.; Taverner, D.; Hannan, W. J.; Muir, A. L.

    1989-01-01

    OBJECTIVE--To determine whether captopril alters peripheral venous tone in patients with congestive cardiac failure. DESIGN--Open study of patients at start of captopril treatment and three months later. SETTING--A hospital gamma camera laboratory. PATIENTS--16 Men with congestive cardiac failure in New York Heart Association class II or III, aged 57-73. INTERVENTIONS--Patients were initially given 500 micrograms sublingual glyceryl trinitrate followed by 25 mg oral captopril. The study was then repeated after three months' captopril treatment. MAIN OUTCOME MEASURES--Previously validated non-invasive radionuclide techniques were used to measure changes in central haemodynamic variables and peripheral venous volumes in the calf. RESULTS--After 25 mg captopril there were falls in blood pressure and relative systemic vascular resistance and increases in cardiac index and left ventricular ejection fraction. This was accompanied by a 16% increase in peripheral venous volume (95% confidence interval 13.4% to 18.4%, p less than 0.01), which compared with an 11% increase after 500 micrograms glyceryl trinitrate (10% to 12%, p less than 0.01). Eleven patients were restudied after three months' continuous treatment with captopril. The resting venous volume was higher than it had been initially, by about 10%, and increased by a further 8.4% after 25 mg captopril (5.4% to 11.4%, p less than 0.05). CONCLUSIONS--Captopril is an important venodilator. Venous and arterial dilatation are produced short term and during long term treatment. PMID:2508945

  1. When does highway construction to mitigate congestion reduce carbon emissions? A Case Study: The Caldecott Tunnel

    NASA Astrophysics Data System (ADS)

    Thurlow, M. E.; Maness, H.; Wiersema, D. J.; Mcdonald, B. C.; Harley, R.; Fung, I. Y.

    2014-12-01

    The construction of the fourth bore of the Caldecott Tunnel, which connects Oakland and Moraga, CA on State Route 24, was the second largest roadway construction project in California last year with a total cost of $417 million. The objective of the fourth bore was to reduce traffic congestion before the tunnel entrance in the off-peak direction of travel, but the project was a source of conflict between policy makers and environmental and community groups concerned about the air quality and traffic impacts. We analyze the impact of the opening of the fourth bore on CO2 emissions associated with traffic. We made surface observations of CO2from a mobile platform along State Route 24 for several weeks in November 2013 incorporating the period prior to and after the opening of the fourth bore on November 16, 2013. We directly compare bottom-up and top-down approaches to estimate the change in traffic emissions associated with the fourth bore opening. A bottom-up emissions inventory was derived from the high-resolution Performance Measurement System (PeMs) dataset and the Multi-scale Motor Vehicle and Equipment Emissions System (MOVES). The emissions inventory was used to drive a box model as well as a high-resolution regional transport model (the Weather and Regional Forecasting Model). The box model was also used to derive emissions from observations in a basic inversion. We also present an analysis of long-term traffic patterns and consider the potential for compensating changes in behavior that offset the observed emissions reductions on longer timescales. Finally, we examine how the results from the Caldecott study demonstrate the general benefit of using mobile measurements for quantifying environmental impacts of congestion mitigation projects.

  2. Pulmonary Congestion at Rest and Abnormal Ventilation During Exercise in Chronic Systolic Heart Failure

    PubMed Central

    Malfatto, Gabriella; Caravita, Sergio; Giglio, Alessia; Rossi, Jessica; Perego, Giovanni B; Facchini, Mario; Parati, Gianfranco

    2015-01-01

    Background In patients with chronic heart failure, abnormal ventilation at cardiopulmonary testing (expressed by minute ventilation-to-carbon dioxide production, or VE/VCO2 slope, and resting end-tidal CO2 pressure) may derive either from abnormal autonomic or chemoreflex regulation or from lung dysfunction induced by pulmonary congestion. The latter hypothesis is supported by measurement of pulmonary capillary wedge pressure, which cannot be obtained routinely but may be estimated noninvasively by measuring transthoracic conductance (thoracic fluid content 1/kΩ) with impedance cardiography. Methods and Results Preliminarily, in 9 patients undergoing invasive hemodynamics during cardiopulmonary testing, we demonstrated a significant relationship between VE/VCO2 slope and resting end-tidal CO2 pressure with baseline and peak pulmonary capillary wedge pressure. Later, noninvasive hemodynamic evaluation by impedance cardiography was performed before cardiopulmonary testing in 190 patients with chronic systolic heart failure and normal lung function (aged 67±3 years, 71% with ischemia, ejection fraction 32±7%, 69% with implantable cardioverter-defibrillator or cardiac resynchronization therapy). In this group, we determined the relationship between abnormal ventilation (VE/VCO2 slope and resting end-tidal CO2 pressure) and transthoracic conductance. In the whole population, thoracic fluid content values were significantly related to VE/VCO2 slope (R=0.63, P<0.0001) and to resting end-tidal CO2 pressure (R=−0.44, P<0.001). Conclusions In patients with chronic heart failure, abnormal ventilation during exercise may be related in part to pulmonary congestion, as detected by resting baseline impedance cardiography. PMID:25944875

  3. Characterizing Longitude-Dependent Orbital Debris Congestion in the Geosynchronous Orbit Regime

    NASA Astrophysics Data System (ADS)

    Anderson, Paul V.

    The geosynchronous orbit (GEO) is a unique commodity of the satellite industry that is becoming increasingly contaminated with orbital debris, but is heavily populated with high-value assets from the civil, commercial, and defense sectors. The GEO arena is home to hundreds of communications, data transmission, and intelligence satellites collectively insured for an estimated 18.3 billion USD. As the lack of natural cleansing mechanisms at the GEO altitude renders the lifetimes of GEO debris essentially infinite, conjunction and risk assessment must be performed to safeguard operational assets from debris collisions. In this thesis, longitude-dependent debris congestion is characterized by predicting the number of near-miss events per day for every longitude slot at GEO, using custom debris propagation tools and a torus intersection metric. Near-miss events with the present-day debris population are assigned risk levels based on GEO-relative position and speed, and this risk information is used to prioritize the population for debris removal target selection. Long-term projections of debris growth under nominal launch traffic, mitigation practices, and fragmentation events are also discussed, and latitudinal synchronization of the GEO debris population is explained via node variations arising from luni-solar gravity. In addition to characterizing localized debris congestion in the GEO ring, this thesis further investigates the conjunction risk to operational satellites or debris removal systems applying low-thrust propulsion to raise orbit altitude at end-of-life to a super-synchronous disposal orbit. Conjunction risks as a function of thrust level, miss distance, longitude, and semi-major axis are evaluated, and a guidance method for evading conjuncting debris with continuous thrust by means of a thrust heading change via single-shooting is developed.

  4. A modified Glenn shunt reduces venous congestion during acute right ventricular failure due to pulmonary banding: a randomized experimental study

    PubMed Central

    Vikholm, Per; Schiller, Petter; Hellgren, Laila

    2014-01-01

    OBJECTIVES Right ventricular failure after left ventricular assist device implantation is a serious complication with high rates of mortality and morbidity. It has been demonstrated in experimental settings that volume exclusion of the right ventricle with a modified Glenn shunt can improve haemodynamics during ischaemic right ventricular failure. However, the concept of a modified Glenn shunt is dependent on a normal pulmonary vascular resistance, which can limit its use in some patients. The aim of this study was to explore the effects of volume exclusion with a modified Glenn shunt during right ventricular failure due to pulmonary banding, and to study the alterations in genetic expression in the right ventricle due to pressure and volume overload. METHODS Experimental right ventricular failure was induced in pigs (n = 11) through 2 h of pulmonary banding. The pigs were randomized to either treatment with a modified Glenn shunt and pulmonary banding (n = 6) or solely pulmonary banding (n = 5) as a control group. Haemodynamic measurements, blood samples and right ventricular biopsies for genetic analysis were sampled at baseline, at right ventricular failure (i.e. 2 h of pulmonary banding) and 1 h post-right ventricular failure in both groups. RESULTS Right atrial pressure increased from 10 mmHg (9.0–12) to 18 mmHg (16–22) (P < 0.01) and the right ventricular pressure from 31 mmHg (26–35) to 57 mmHg (49–61) (P < 0.01) after pulmonary banding. Subsequent treatment with the modified Glenn shunt resulted in a decrease in right atrial pressure to 13 mmHg (11–14) (P = 0.03). In the control group, right atrial pressure was unchanged at 19 mmHg (16–20) (P = 0.18). At right heart failure, there was an up-regulation of genes associated with heart failure, inflammation, angiogenesis, negative regulation of cell death and proliferation. CONCLUSIONS Volume exclusion with a modified Glenn shunt during right ventricular failure reduced venous congestion compared

  5. The control method for the lattice hydrodynamic model

    NASA Astrophysics Data System (ADS)

    Ge, Hong-Xia; Cui, Yu; Zhu, Ke-Qiang; Cheng, Rong-Jun

    2015-05-01

    The delayed-feedback control method is applied for lattice hydrodynamic model of traffic flow. The linear stability condition with and without control signal are derived through linear and nonlinear analysis. Numerical simulation is carried out and the results confirm that the traffic congested can be suppressed efficiently by considering the control signal.

  6. Cap-and-Trade Modeling and Analysis: Congested Electricity Market Equilibrium

    NASA Astrophysics Data System (ADS)

    Limpaitoon, Tanachai

    analysis of the joint markets in the presence of market power reveals that strategic permit trading can play a vital role in determining economic outcomes in the electricity market. In particular, I find that a firm with more efficient technologies can employ strategic withholding of permits, which allows for its increase in output share in the electricity market at the expense of other less efficient firms. In addition, strategic permit trading can influence patterns of transmission congestion. These results illustrate that market structure and transmission congestion can have a significant impact on the market performance and environmental outcome of the regulation while the interactions of such factors can lead to unintended consequences. The proposed approach is proven useful as a tool for market monitoring purposes in the short run from the perspective of a system operator, whose responsibility has become indirectly intertwined with emission trading regulation.

  7. Voiding dysfunction in patients with nasal congestion treated with pseudoephedrine: a prospective study

    PubMed Central

    Shao, I-Hung; Wu, Chia-Chen; Tseng, Hsiao-Jung; Lee, Ta-Jen; Lin, Yu-Hsiang; Tam, Yuan-Yun

    2016-01-01

    Background Pseudoephedrine is a sympathomimetic drug widely used as a nasal decongestant. However, it can cause adverse effects, such as voiding dysfunction. The risk of voiding dysfunction remains uncertain in patients without subjective voiding problems. Methodology We prospectively enrolled patients with nasal congestion who required treatment with pseudoephedrine from May to August 2015. All patients denied concomitant subjective voiding problem. The International Prostate Symptom Score (IPSS) questionnaire was used to evaluate voiding function before and 1 week after the pseudoephedrine treatment. The results of the IPSS questionnaire were analyzed as the total (IPSS-T), voiding (IPSS-V), storage (IPSS-S), and quality of life due to urinary symptom scores. Results We enrolled 131 males with a mean age of 42.0±14.3 years. The IPSS-T, IPSS-V, and IPSS-S scores slightly increased after the medication (IPSS-T increased from 6.49 to 6.77, IPSS-V from 3.33 to 3.53, and IPSS-S from 3.17 to 3.24). The quality of life due to urinary symptom score nonsignificantly decreased from 2.02 to 1.87. We observed that older age and a higher premedication IPSS-V score yielded significant differences (P<0.05) for subclinical voiding dysfunction and unchanged voiding function. In patients aged ≥50 years, the IPSS-T, IPSS-V, and IPSS-S scores significantly increased after the pseudoephedrine treatment (IPSS-T increased from 9.95 to 11.45, IPSS-V from 5.38 to 6.07, and IPSS-S 4.57 to 5.38), whereas the quality of life due to urinary symptom score nonsignificantly decreased from 2.71 to 2.48 (P=0.057). In patients aged <50 years, all scores did not significantly differ. Conclusion Pseudoephedrine treatment for nasal congestion requires extra precautions in males >50 years, even without subjective voiding symptoms. PMID:27486310

  8. Myocardial Ca-sequestration failure and compensatory increase in Ca-ATPase with congestive cardiomyopathy: kinetic characterization by a homogenate microassay using real-time ratiometric indo-1 spectrofluorometry.

    PubMed

    O'Brien, P J; Shen, H; Weiler, J; Mirsalimi, M; Julian, R

    1991-03-27

    A novel, simple, rapid and reproducible microassay is used for kinetic analysis of Ca-sequestration by homogenates of myocardium of turkeys with furazolidone-induced congestive cardiomyopathy. The assay monitors Ca in real-time using dual-emission ratiometric spectrofluorometry and the Ca-indicator dye indo-1. Using this assay and isolated SR studies we make several novel findings regarding the mechanism of SR failure in furazolidone cardiomyopathy. Qualitative differences in Ca-sequestration were not detected between groups. However, compared to controls the furazolidone treatment resulted in: 1) 50% depression in maximal activities (1.54 +/- 0.36 vs 0.73 +/- 0.12 microM/sec); 2) 2-fold increases in post-sequestration concentrations of ionized Ca (79 +/- 23 vs 141 +/- 13 nmol Ca/L homogenate); 3) 2-fold increases in Ca half-life (415 vs 790 msec); and 4) 25% increased passive Ca-binding capacity of homogenates. The Ca-ATPase specific activity of isolated sarcoplasmic reticulum was 60% increased in congestive cardiomyopathy (543 +/- 140 vs 873 +/- 108 nmol ATP hydrolyzed/min/mg membrane protein) although membrane yield was 20% decreased (0.79 +/- 0.09 vs 0.63 +/- 0.03 mg/g heart). The increased ATPase and decreased Ca-uptake activities in combination with the occurrence of 36% cardiac hypertrophy and 19% decreased body weights resulted in estimates of the relative energy cost to the animal for myocardial Ca transport being 5.5-fold increased with cardiomyopathy (20.5 vs 111 nmol ATP hydrolyzed per microM decrease of sarcoplasmic free Ca/kg body weight). These data indicate that congestive cardiomyopathy is associated with markedly increased permeability of sarcoplasmic reticulum to Ca and compensatorily increased Ca-ATPase activity. Accelerated energy consumption due to the increased energy cost of Ca transport and increased time of myocyte activation are predicted to predispose the myocardium to fatigue and irreversible failure. PMID:1828861

  9. Hemodynamic, renal, and hormonal responses to alpha-human atrial natriuretic peptide in patients with congestive heart failure.

    PubMed

    Saito, H; Ogihara, T; Nakamaru, M; Hara, H; Higaki, J; Rakugi, H; Tateyama, H; Minamino, T; Iinuma, K; Kumahara, Y

    1987-08-01

    Hemodynamic, renal, and hormonal effects of intravenous bolus injection of 50 micrograms synthetic alpha-human atrial natriuretic peptide (alpha-hANP) were studied in eight patients with congestive heart failure. alpha-hANP caused significant reductions in mean blood pressure and systemic vascular resistance. These responses were sustained up to 90 minutes and not accompanied by reflex tachycardia. Cardiac index and stroke volume index increased significantly at 90 minutes and pulmonary capillary wedge pressure, pulmonary arterial pressure, and mean right atrial pressure remained unchanged. Urine volume, urinary sodium excretion, creatinine clearance, and fractional excretion of sodium increased significantly, but fractional excretion of potassium and phosphate did not change. Elevated plasma renin activity, plasma aldosterone, and norepinephrine were suppressed after the injection of alpha-hANP. The bolus injection of this peptide has moderately hypotensive, vasorelaxant, and natriuretic effects in patients with congestive heart failure. PMID:2955995

  10. Assessment of congestive heart failure in chest radiographs. Observer performance with two common film-screen systems.

    PubMed

    Henriksson, L; Sundin, A; Smedby, O; Albrektsson, P

    1990-09-01

    The effect of observer variations and film-screen quality on the diagnosis of congestive heart failure based on chest radiographs was studied in 27 patients. For each patient, two films were exposed, one with the Kodak Lanex Medium system and one with the Agfa MR 400 system. The films were presented to three observers who assessed the presence of congestive heart failure on a three-graded scale. The results showed no significant difference between the two systems but large systematic differences between the observers. There were also differences between the two ratings by the same observer that could not be explained by the film-screen factor. It is concluded that the choice between these two systems is of little importance in view of the interobserver and intraobserver variability that can exist within the same department. PMID:2261292

  11. Wavelet Based Method for Congestive Heart Failure Recognition by Three Confirmation Functions.

    PubMed

    Daqrouq, K; Dobaie, A

    2016-01-01

    An investigation of the electrocardiogram (ECG) signals and arrhythmia characterization by wavelet energy is proposed. This study employs a wavelet based feature extraction method for congestive heart failure (CHF) obtained from the percentage energy (PE) of terminal wavelet packet transform (WPT) subsignals. In addition, the average framing percentage energy (AFE) technique is proposed, termed WAFE. A new classification method is introduced by three confirmation functions. The confirmation methods are based on three concepts: percentage root mean square difference error (PRD), logarithmic difference signal ratio (LDSR), and correlation coefficient (CC). The proposed method showed to be a potential effective discriminator in recognizing such clinical syndrome. ECG signals taken from MIT-BIH arrhythmia dataset and other databases are utilized to analyze different arrhythmias and normal ECGs. Several known methods were studied for comparison. The best recognition rate selection obtained was for WAFE. The recognition performance was accomplished as 92.60% accurate. The Receiver Operating Characteristic curve as a common tool for evaluating the diagnostic accuracy was illustrated, which indicated that the tests are reliable. The performance of the presented system was investigated in additive white Gaussian noise (AWGN) environment, where the recognition rate was 81.48% for 5 dB. PMID:26949412

  12. Environmentally reformed travel habits during the 2006 congestion charge trial in Stockholm--a qualitative study.

    PubMed

    Henriksson, Greger; Hagman, Olle; Andréasson, Håkan

    2011-08-01

    Policy measures that reduce or replace road traffic can improve environmental conditions in most large cities. In Stockholm a congestion charge was introduced during a test period in 2006. This was a full-scale trial that proved to meet its targets by reducing traffic crossing the inner city segment during rush hours by 20%. Emissions of carbon dioxide and particles were also substantially reduced. This study, based on in-depth interviews with 40 inhabitants, analyses how and why new travel habits emerged. The results show that particular, sometimes unexpected, features of everyday life (habits, resources, opportunities, values, etc.) were crucial for adjustment of travel behaviour in relation to the policy instrument. One example was that those accustomed to mixing different modes of transport on a daily basis more easily adapted their travel in the targeted way. On a more general level, the results revealed that the policy measure could actually tip the scales for the individual towards trying out a new behaviour. PMID:21909301

  13. Designing a technology enhanced practice for home nursing care of patients with congestive heart failure.

    PubMed

    Casper, Gail R; Karsh, Ben-Tzion; Or, Calvin K L; Carayon, Pascale; Grenier, Anne-Sophie; Brennan, Patricia F

    2005-01-01

    This paper describes the process we used to design the HeartCare website to support Technology Enhanced Practice (TEP) for home care nurses engaged in providing care for patients with Congestive Heart Failure (CHF). Composed of communication, information, and self-monitoring functions, the HeartCare website is aimed at supporting best practice nursing care for these patients. Its unique focus is professional practice, thus the scope of this project is greater and more abstract than those focusing on a task or set of activities. A modified macroergonomic analysis, design work system analysis, and focus groups utilizing participatory design methodology were undertaken to characterize the nursing practice model. Design of the HeartCare website required synthesizing the extant practice model and the agency's evidence-based heart failure protocols, identifying aspects of practice that could be enhanced by supporting technology, and delineation of functional requirements of the Enhanced HeartCare technology. Validation and refinement of the website and planning for user training activities will be accomplished through a two-stage usability testing strategy. PMID:16779013

  14. Determinants of clinical response and survival in patients with congestive heart failure treated with captopril.

    PubMed

    Creager, M A; Faxon, D P; Halperin, J L; Melidossian, C D; McCabe, C H; Schick, E C; Ryan, T J

    1982-11-01

    The efficacy of chronic ambulatory captopril (CPT) therapy was evaluated over an 18-month period in 36 patients with refractory chronic congestive heart failure (CHF) by cardiac catheterization, treadmill exercise, nuclear scintigraphy, echocardiography, and symptomatology. Clinical improvement to New York Heart Association functional class I or class II was observed in 63% of the patients (20 of 32) after 2 months of treatment; this amelioration of CHF symptoms was sustained in 63% of the patients (10 of 16) at 18 months. Exercise tolerance increased in 64% of the patients (16 of 25) at early follow-up and in 79% (11 of 14) at late follow-up. Univariate analysis revealed that the pre- and post-CPT stroke work indices (SWI) and the post-CPT cardiac index related to favorable long-term clinical response. Fourteen CHF patients (39%) died during the 18-month follow-up. Univariate analysis revealed that the pretreatment SWI, right atrial pressure, plasma norepinephrine concentration, and echocardiographic shortening fraction were significant predictors of mortality. Multivariate analysis indicated that the SWI was the principal determinant of survival: the 18-month cumulative survival rate for CHF patients with a SWI less than 32 gm . m/m2 was 44% compared to 88% when the SWI was greater than 32 gm . m/m2. Thus, CPT results in sustained symptomatic and functional improvements in patients with advanced CHF, but the mortality remains high and is primarily related to the severity of cardiac dysfunction. PMID:6291360

  15. Exploring feasibility of home telemanagement in African Americans with congestive heart failure.

    PubMed

    Finkelstein, Joseph; Cha, Eunme; Dennison, Cheryl R

    2010-01-01

    Existing telemonitoring systems provide limited support in implementing personalized treatment plans. We developed a Home Automated Telemanagement (HAT) system for patients with congestive heart failure (CHF) to provide support in following individualized treatment plans as well as to monitor symptoms, weight changes, and quality of life, while educating the patient on their disease. The system is designed to be placed in the patient's home and to communicate all patient data to a central server implementing real-time clinical decision support. The system questions the patient daily on their condition, monitors their weight, and provides the patient with instant feedback on their condition in the form of a 3-zone CHF action plan. Their medication regimen and suggested actions are determined by their care management team and integrated into the system, keeping a personalized approach to disease management while taking advantage of the technology available. The system is designed to be as simple as possible, making it usable by patients with no prior computer experience. A feasibility assessment in African American patients with CHF and without prior computer experience demonstrated high level of acceptance of the CHF HAT system. PMID:20841744

  16. A sterically congested cis-stilbene and its phosphonium salt precursor.

    PubMed

    Shivaprakash, Shivanna; Reddy, G Chandrasekara; Jasinski, Jerry P; Millikan, Sean P; Duff, Courtney E; Glidewell, Christopher

    2015-06-01

    Triphenyl(2,4,5-trimethoxybenzyl)phosphonium chloride is formed in solvent-free form by the reaction under anhydrous conditions between triphenylphosphane and 2,4,5-trimethoxybenzyl chloride, but when it is crystallized from a mixture of ethyl acetate and chloroform in the presence of air it forms a stoichiometric monohydrate, C28H28O3P(+)·Cl(-)·H2O, (I). The reactions between the anhydrous phosphonium salt and alkoxy-substituted benzaldehydes, using Wittig reactions in the presence of potassium tert-butoxide, provide a series of multiply substituted stilbenes, most of which were assigned the Z configuration on the basis of their NMR spectra. However, no such deduction could be made for the symmetrically substituted (Z)-2,2',4,4',5,5'-hexamethoxystilbene, C20H24O6, (II). Compound (II) does in fact have the Z configuration and the molecular geometry provides evidence for steric congestion around the central double bond; in particular, the central alkene fragment is nonplanar, with a C-C=C-C torsion angle of 7.8 (4)°. In hydrated salt (I), the chloride anions and water molecules are linked by O-H···Cl hydrogen bonds to form C2(1)(4) chains; each cation is linked by C-H···O hydrogen bonds to two different chains, so forming a sheet structure. There are no direction-specific intermolecular interactions in the structure of (II). PMID:26044330

  17. Systematic review of studies on telemonitoring of patients with congestive heart failure: a meta-analysis.

    PubMed

    Clarke, Malcolm; Shah, Anila; Sharma, Urvashi

    2011-01-01

    We conducted a systematic review of large, well-conducted randomised trials designed to evaluate the effectiveness of telemonitoring on patients with congestive heart failure (CHF). Two people reviewed 125 articles independently and selected 13 articles for final review. These studies concerned 3480 patients. The follow-up period of the studies was 3-15 months. Pooled estimate results showed that there was an overall reduction in all-cause mortality (P = 0.02). There was no overall reduction in all-cause hospital admission (P = 0.84), although there was a reduction in CHF hospital admission (P = 0.0004). There was no reduction in all-cause emergency admission (P = 0.67). There was no significant difference in length of stay in hospital, medication adherence or cost. Telemonitoring in conjunction with nurse home visiting and specialist unit support can be effective in the clinical management of patients with CHF and help to improve their quality of life. PMID:21097564

  18. Wavelet Based Method for Congestive Heart Failure Recognition by Three Confirmation Functions

    PubMed Central

    Daqrouq, K.; Dobaie, A.

    2016-01-01

    An investigation of the electrocardiogram (ECG) signals and arrhythmia characterization by wavelet energy is proposed. This study employs a wavelet based feature extraction method for congestive heart failure (CHF) obtained from the percentage energy (PE) of terminal wavelet packet transform (WPT) subsignals. In addition, the average framing percentage energy (AFE) technique is proposed, termed WAFE. A new classification method is introduced by three confirmation functions. The confirmation methods are based on three concepts: percentage root mean square difference error (PRD), logarithmic difference signal ratio (LDSR), and correlation coefficient (CC). The proposed method showed to be a potential effective discriminator in recognizing such clinical syndrome. ECG signals taken from MIT-BIH arrhythmia dataset and other databases are utilized to analyze different arrhythmias and normal ECGs. Several known methods were studied for comparison. The best recognition rate selection obtained was for WAFE. The recognition performance was accomplished as 92.60% accurate. The Receiver Operating Characteristic curve as a common tool for evaluating the diagnostic accuracy was illustrated, which indicated that the tests are reliable. The performance of the presented system was investigated in additive white Gaussian noise (AWGN) environment, where the recognition rate was 81.48% for 5 dB. PMID:26949412

  19. Butyrate protects rat liver against total hepatic ischemia reperfusion injury with bowel congestion.

    PubMed

    Liu, Bin; Qian, Jianmin; Wang, Qingbao; Wang, Fangrui; Ma, Zhenyu; Qiao, Yingli

    2014-01-01

    Hepatic ischemia/reperfusion (I/R) injury is an unavoidable consequence of major liver surgery, especially in liver transplantation with bowel congestion, during which endotoxemia is often evident. The inflammatory response aggravated by endotoxin after I/R contributes to liver dysfunction and failure. The purpose of the present study was to investigate the protective effect of butyrate, a naturally occurring four-carbon fatty acid in the body and a dietary component of foods such as cheese and butter, on hepatic injury complicated by enterogenous endotoxin, as well as to examine the underlying mechanisms involved. SD rats were subjected to a total hepatic ischemia for 30 min after pretreatment with either vehicle or butyrate, followed by 6 h and 24 h of reperfusion. Butyrate preconditioning markedly improved hepatic function and histology, as indicated by reduced transaminase levels and ameliorated tissue pathological changes. The inflammatory factors levels, macrophages activation, TLR4 expression, and neutrophil infiltration in live were attenuated by butyrate. Butyrate also maintained the intestinal barrier structures, reversed the aberrant expression of ZO-1, and decreased the endotoxin translocation. We conclude that butyrate inhibition of endotoxin translocation, macrophages activation, inflammatory factors production, and neutrophil infiltration is involved in the alleviation of total hepatic I/R liver injury in rats. This suggests that butyrate should potentially be utilized in liver transplantation. PMID:25171217

  20. Dopaminergic drugs in congestive heart failure: hemodynamic and neuroendocrine responses to ibopamine, dopamine, and dihydroergotoxine.

    PubMed

    Metra, M; Missale, C; Spano, P F; Cas, L D

    1995-05-01

    Ibopamine has hemodynamic and neurohumoral effects potentially useful for the treatment of congestive heart failure (CHF), but its mechanism of action is not completely clear. To evaluate the role of dopaminergic receptor stimulation in the hemodynamic and neurohumoral activity of ibopamine, we compared the effects of ibopamine, 100 mg orally (p.o.) with those of the dopamine 2, 4, and 6 micrograms/kg/min intravenously (i.v.) and of the DA2 agonist dihydroergotoxine 6 micrograms/kg i.v. in 13 patients with chronic CHF [left ventricular ejection fraction (LVEF) < or = 35%]. All patients underwent right heart Swan-Ganz catheterization with determination of hemodynamic parameters at baseline, after 30 min of infusion of each dose of dopamine (DA) and < or = 6 h after ibopamine and dihydroergotoxine administration. Blood samples for the assessment of plasma renin activity (PRA), aldosterone, norepinephrine (NE), and epinephrine (Epi) were also obtained. Ibopamine induced a peak 21% increase of cardiac index (CI) with a 23 and 25% increase in stroke volume (SV) and stroke work indexes (SWI), respectively, and an 18% reduction in systemic vascular resistance (SVR). Similar changes were observed after DA infused at the doses of 2 and 4 micrograms/kg/min, whereas with the dose of 6 micrograms/kg/min heart rate (HR) increased by 23% and SV index (SVI) did not change further. Dihydroergotoxine administration induced only a significant 9% decrease in mean arterial pressure (MAP), with a 13% reduction in SVR.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7630152

  1. A usability study of a mobile monitoring system for congestive heart failure patients.

    PubMed

    Svagård, I; Austad, H O; Seeberg, T; Vedum, J; Liverud, A; Mathiesen, B M; Keller, B; Bendixen, O C; Osborne, P; Strisland, F

    2014-01-01

    Sensor-based monitoring of congestive heart-failure (CHF) patients living at home can improve quality of care, detect exacerbations of disease at an earlier stage and motivate the patient for better self care. This paper reports on a usability study of the ESUMS system that provides continuous measurements of heart rate, activity, upper body posture and skin temperature via a sensor belt and a smartphone as patient terminal. Five CHF patients were included in the trial, all recently discharged from hospital. The nurses experienced continuous heart rate, activity and posture monitoring as useful and objective tools that helped them in their daily assessment of patient health. They also saw the system as an important educational tool to help patients gain insight into their own condition. Three patients liked that they could have a view of their own physiological and activity data, however the smartphones used in the study turned out to be too complicated for the patients to operate. A smartphone is built to be a multi-purpose device, and this may (conceptually and practically) be incompatible with the patients' demands for ease of use. PMID:25160241

  2. Direct and indirect assessment of skeletal muscle blood flow in chronic congestive heart failure

    SciTech Connect

    LeJemtel, T.H.; Scortichini, D.; Katz, S.

    1988-09-09

    In patients with chronic congestive heart failure (CHF), skeletal muscle blood flow can be measured directly by the continuous thermodilution technique and by the xenon-133 clearance method. The continuous thermodilution technique requires retrograde catheterization of the femoral vein and, thus, cannot be repeated conveniently in patients during evaluation of pharmacologic interventions. The xenon-133 clearance, which requires only an intramuscular injection, allows repeated determination of skeletal muscle blood flow. In patients with severe CHF, a fixed capacity of the skeletal muscle vasculature to dilate appears to limit maximal exercise performance. Moreover, the changes in peak skeletal muscle blood flow noted during long-term administration of captopril, an angiotensin-converting enzyme inhibitor, appears to correlate with the changes in aerobic capacity. In patients with CHF, resting supine deep femoral vein oxygen content can be used as an indirect measurement of resting skeletal muscle blood flow. The absence of a steady state complicates the determination of peak skeletal muscle blood flow reached during graded bicycle or treadmill exercise in patients with chronic CHF. Indirect assessments of skeletal muscle blood flow and metabolism during exercise performed at submaximal work loads are currently developed in patients with chronic CHF.

  3. Reduced Data Dualscale Entropy Analysis of HRV Signals for Improved Congestive Heart Failure Detection

    NASA Astrophysics Data System (ADS)

    Kuntamalla, Srinivas; Lekkala, Ram Gopal Reddy

    2014-10-01

    Heart rate variability (HRV) is an important dynamic variable of the cardiovascular system, which operates on multiple time scales. In this study, Multiscale entropy (MSE) analysis is applied to HRV signals taken from Physiobank to discriminate Congestive Heart Failure (CHF) patients from healthy young and elderly subjects. The discrimination power of the MSE method is decreased as the amount of the data reduces and the lowest amount of the data at which there is a clear discrimination between CHF and normal subjects is found to be 4000 samples. Further, this method failed to discriminate CHF from healthy elderly subjects. In view of this, the Reduced Data Dualscale Entropy Analysis method is proposed to reduce the data size required (as low as 500 samples) for clearly discriminating the CHF patients from young and elderly subjects with only two scales. Further, an easy to interpret index is derived using this new approach for the diagnosis of CHF. This index shows 100 % accuracy and correlates well with the pathophysiology of heart failure.

  4. Environmentally Reformed Travel Habits During the 2006 Congestion Charge Trial in Stockholm—A Qualitative Study

    PubMed Central

    Henriksson, Greger; Hagman, Olle; Andréasson, Håkan

    2011-01-01

    Policy measures that reduce or replace road traffic can improve environmental conditions in most large cities. In Stockholm a congestion charge was introduced during a test period in 2006. This was a full-scale trial that proved to meet its targets by reducing traffic crossing the inner city segment during rush hours by 20%. Emissions of carbon dioxide and particles were also substantially reduced. This study, based on in-depth interviews with 40 inhabitants, analyses how and why new travel habits emerged. The results show that particular, sometimes unexpected, features of everyday life (habits, resources, opportunities, values, etc.) were crucial for adjustment of travel behaviour in relation to the policy instrument. One example was that those accustomed to mixing different modes of transport on a daily basis more easily adapted their travel in the targeted way. On a more general level, the results revealed that the policy measure could actually tip the scales for the individual towards trying out a new behaviour. PMID:21909301

  5. On the Existence of Optimal Taxes for Network Congestion Games with Heterogeneous Users

    NASA Astrophysics Data System (ADS)

    Fotakis, Dimitris; Karakostas, George; Kolliopoulos, Stavros G.

    We consider network congestion games in which a finite number of non-cooperative users select paths. The aim is to mitigate the inefficiency caused by the selfish users by introducing taxes on the network edges. A tax vector is strongly (weakly)-optimal if all (at least one of) the equilibria in the resulting game minimize(s) the total latency. The issue of designing optimal tax vectors for selfish routing games has been studied extensively in the literature. We study for the first time taxation for networks with atomic users which have unsplittable traffic demands and are heterogeneous, i.e., have different sensitivities to taxes. On the positive side, we show the existence of weakly-optimal taxes for single-source network games. On the negative side, we show that the cases of homogeneous and heterogeneous users differ sharply as far as the existence of strongly-optimal taxes is concerned: there are parallel-link games with linear latencies and heterogeneous users that do not admit strongly-optimal taxes.

  6. Pulmonary and urinary clearance of atrial natriuretic factor in acute congestive heart failure in dogs.

    PubMed Central

    Perrella, M A; Margulies, K B; Wei, C M; Aarhus, L L; Heublein, D M; Burnett, J C

    1991-01-01

    Atrial natriuretic factor (ANF) is a peptide hormone of cardiac origin elevated in acute congestive heart failure (CHF), which is degraded by the enzyme neutral endopeptidase 24.11 (NEP). This study was designed to investigate the pulmonary and urinary clearance of ANF before and after the initiation of acute experimental CHF in dogs, and to assess the contribution of enzymatic degradation to these clearances in CHF. This study demonstrated a significant clearance of plasma ANF across the pulmonary circulation at baseline, and a tendency for pulmonary clearance to decrease in CHF (1115 +/- 268 to 498 +/- 173 ml/min, NS). The pulmonary extraction of ANF present at baseline was not altered with acute CHF (36.0 +/- 7.8 to 34.9 +/- 12.1%, NS). NEP inhibition (NEPI) abolished both the clearance and extraction of plasma ANF across the lung in CHF. Similarly, significant urinary clearance of ANF was present at baseline, and in acute CHF the urinary clearance of ANF decreased (0.14 +/- 0.02 to 0.02 +/- 0.01 ml/min, P less than 0.05). NEPI prevented the decrease in the urinary clearance of ANF, and enhanced the renal response to endogenous ANF, independent of further increases in plasma ANF during CHF. This study supports an important role for NEP in the pulmonary and urinary metabolism of endogenous ANF during acute CHF. Images PMID:1850758

  7. Disparities in Patterns of Health Care Travel Among Inpatients Diagnosed With Congestive Heart Failure, Florida, 2011

    PubMed Central

    Xierali, Imam M.

    2015-01-01

    Introduction Congestive heart failure (CHF) is a major public health problem in the United States and is a leading cause of hospitalization in the elderly population. Understanding the health care travel patterns of CHF patients and their underlying cause is important to balance the supply and demand for local hospital resources. This article explores the nonclinical factors that prompt CHF patients to seek distant instead of local hospitalization. Methods Local hospitalization was defined as inpatients staying within hospital service areas, and distant hospitalization was defined as inpatients traveling outside hospital service areas, based on individual hospital discharge data in 2011 generated by a Dartmouth–Swiss hybrid approach. Multiple logistic and linear regression models were used to compare the travel patterns of different groups of inpatients in Florida. Results Black patients, no-charge patients, patients living in large metropolitan areas, and patients with a low socioeconomic status were more likely to seek local hospitalization than were white patients, those who were privately insured, those who lived in rural areas, and those with a high socioeconomic status, respectively. Conclusion Findings indicate that different populations diagnosed with CHF had different travel patterns for hospitalization. Changes or disruptions in local hospital supply could differentially affect different groups in a population. Policy makers could target efforts to CHF patients who are less likely to travel to seek treatment. PMID:26378896

  8. Carotid-radial pulse wave velocity responses following hyperemia in patients with congestive heart failure.

    PubMed

    Liu, Yang; Beck, Andrew; Olaniyi, Olawale; Singh, Sahib B; Shehaj, Fiona; Mann, Ravi-Inder; Hassan, Syed R; Kamran, Haroon; Salciccioli, Louis; Carter, John; Lazar, Jason M

    2014-10-01

    Carotid-radial pulse wave velocity (PWV) normally decreases following hyperemia and is an indicator of vasodilator reserve. This response is impaired in patients with congestive heart failure (CHF). To identify specific factors related to an impaired response, we studied 50 patients (60 ± 14 years, 67% male) with chronic CHF. Baseline PWV was measured using applanation tonometry and repeated 1 minute after release of upper arm occlusion for 5 minutes. Percentage changes (Δ) of PWV were normally distributed and mean ΔPWV was -2.2 ± 15.3%. On univariate analyses, ΔPWV correlated with New York Heart Association class, mean arterial pressure, log brain natriuretic peptide (BNP) levels, and baseline PWV, but not with left ventricular ejection fraction. Multivariate linear regression analysis demonstrated log BNP levels, mean arterial pressure, and baseline PWV (all P < .05) as independent predictors of ΔPWV. Hyperemia increased PWV in 42% of patients. On logistic regression, higher BNP levels and lower baseline PWV were independent predictors of a PWV increase. Higher BNP levels and lower baseline PWV are independent predictors of an abnormal hyperemic PWV response in patients with CHF. Higher BNP levels may reflect abnormal vasodilator reserve. Forty-two percent of heart failure patients showed an increase in PWV following hyperemia, which may reflect more severe arterial vasodilator impairment. PMID:25418489

  9. Efficacy and safety of fixed-dose loratadine/montelukast in seasonal allergic rhinitis: effects on nasal congestion.

    PubMed

    Prenner, Bruce; Anolik, Robert; Danzig, Melvyn; Yao, Ruji

    2009-01-01

    A need exists for safe, effective therapy for the relief of the symptoms of allergic rhinitis (AR) that also consistently relieves nasal congestion, the most common and bothersome symptom. This study was performed to assess efficacy and safety of a once-daily tablet containing 10 mg of loratadine, an antihistamine, and 10 mg of montelukast, a leukotriene antagonist (SCH 445761) versus placebo and pseudoephedrine (PSE; 240 mg once-daily formulation; active comparator). In a multicenter, parallel-group, double-blind, double-dummy, randomized study, 1095 subjects with documented history of seasonal AR and positive skin-prick test to a prevailing aeroallergen were treated for 15 days with fixed-dose combination loratadine/montelukast (L/M), PSE, or placebo. After randomization, subjects rated severity of nasal congestion and measured peak nasal inspiratory flow (PNIF) rate in the morning and evening. The change in quality of life from baseline was also assessed. L/M and PSE were significantly more effective than placebo in alleviating nighttime and daytime nasal congestion and improving PNIF rate, an objective measure of nasal obstruction. There were no significant differences between L/M and PSE for any efficacy analysis including improvement in the quality of life. Subjects treated with L/M experienced a similar incidence of total adverse events versus placebo and a lower incidence of total adverse events (including dizziness, insomnia, jitteriness, nausea, and dry mouth) versus PSE. Nasal decongestant activity of L/M was significantly higher than that of placebo and similar to that of PSE in symptomatic AR subjects. L/M showed a safety profile similar to placebo and was better tolerated than PSE. Thus, L/M offers a safe and efficacious alternative to PSE for the treatment of nasal congestion associated with AR. PMID:19549427

  10. Long- and short-time analysis of heartbeat sequences: Correlation with mortality risk in congestive heart failure patients

    NASA Astrophysics Data System (ADS)

    Allegrini, P.; Balocchi, R.; Chillemi, S.; Grigolini, P.; Hamilton, P.; Maestri, R.; Palatella, L.; Raffaelli, G.

    2003-06-01

    We analyze RR heartbeat sequences with a dynamic model that satisfactorily reproduces both the long- and the short-time statistical properties of heart beating. These properties are expressed quantitatively by means of two significant parameters, the scaling δ concerning the asymptotic effects of long-range correlation, and the quantity 1-π establishing the amount of uncorrelated fluctuations. We find a correlation between the position in the phase space (δ,π) of patients with congestive heart failure and their mortality risk.

  11. Pharmacological evaluation of selective α2c-adrenergic agonists in experimental animal models of nasal congestion.

    PubMed

    Jia, Yanlin; Mingo, Garfield G; Hunter, John C; Lieber, Gissela B; Palamanda, Jairam R; Mei, Hong; Boyce, Christopher W; Koss, Michael C; Yu, Yongxin; Cicmil, Milenko; Hey, John A; McLeod, Robbie L

    2014-04-01

    Nasal congestion is one of the most troublesome symptoms of many upper airways diseases. We characterized the effect of selective α2c-adrenergic agonists in animal models of nasal congestion. In porcine mucosa tissue, compound A and compound B contracted nasal veins with only modest effects on arteries. In in vivo experiments, we examined the nasal decongestant dose-response characteristics, pharmacokinetic/pharmacodynamic relationship, duration of action, potential development of tolerance, and topical efficacy of α2c-adrenergic agonists. Acoustic rhinometry was used to determine nasal cavity dimensions following intranasal compound 48/80 (1%, 75 µl). In feline experiments, compound 48/80 decreased nasal cavity volume and minimum cross-sectional areas by 77% and 40%, respectively. Oral administration of compound A (0.1-3.0 mg/kg), compound B (0.3-5.0 mg/kg), and d-pseudoephedrine (0.3 and 1.0 mg/kg) produced dose-dependent decongestion. Unlike d-pseudoephedrine, compounds A and B did not alter systolic blood pressure. The plasma exposure of compound A to produce a robust decongestion (EC(80)) was 500 nM, which related well to the duration of action of approximately 4.0 hours. No tolerance to the decongestant effect of compound A (1.0 mg/kg p.o.) was observed. To study the topical efficacies of compounds A and B, the drugs were given topically 30 minutes after compound 48/80 (a therapeutic paradigm) where both agents reversed nasal congestion. Finally, nasal-decongestive activity was confirmed in the dog. We demonstrate that α2c-adrenergic agonists behave as nasal decongestants without cardiovascular actions in animal models of upper airway congestion. PMID:24492651

  12. The Current Prevalence of Sleep Disordered Breathing in Congestive Heart Failure Patients Treated with Beta-Blockers

    PubMed Central

    Macdonald, Mary; Fang, James; Pittman, Steven D.; White, David P.; Malhotra, Atul

    2008-01-01

    Study Objectives: Although sleep disordered breathing is thought to be common in patients with systolic heart failure, prior studies are difficult to interpret due to a variety of factors including small sample sizes, referral bias to sleep laboratories among participants, lack of modern medical therapy for congestive heart failure, and the failure to use modern techniques to assess breathing such as nasal pressure. Our objective was to determine the current prevalence of sleep disordered breathing in a state-of-the-art congestive heart failure clinic. Methods: We conducted a prospective study of consecutive patients who visited our heart failure clinic to assess the prevalence of sleep apnea in all eligible patients on maximal medical therapy. We used 4-channel recording equipment and modified Chicago criteria for scoring respiratory events (using heart rate response as a surrogate for arousal from sleep). Results: We observed that among the 108 participants, 61% had some form of sleep disordered breathing (31% central apnea with Cheyne Stokes respiration and 30% obstructive sleep apnea). Sleep disordered breathing was significantly associated with atrial fibrillation (OR = 11.56, p = 0.02) and worse functional heart failure class (OR = 2.77, p = 0.02), after adjusting for male sex, age over 60 years, body mass index, and left ventricular ejection fraction. Conclusions: We conclude that both obstructive and central sleep apnea remain common in congestive heart failure patients despite advances in medical therapy, and that the previously reported high prevalence values are unlikely to be explained by referral bias or participation bias in prior studies. These data have important clinical implications for practitioners providing CHF therapy. Citation: Macdonald M; Fang J; Pittman SD; White DP; Malhotra A. The current prevalence of sleep disordered breathing in congestive heart failure patients treated with beta-blockers. J Clin Sleep Med 2008;4(1):38–42. PMID

  13. Fluid Volume Overload and Congestion in Heart Failure: Time to Reconsider Pathophysiology and How Volume Is Assessed.

    PubMed

    Miller, Wayne L

    2016-08-01

    Volume regulation, assessment, and management remain basic issues in patients with heart failure. The discussion presented here is directed at opening a reassessment of the pathophysiology of congestion in congestive heart failure and the methods by which we determine volume overload status. Peer-reviewed historical and contemporary literatures are reviewed. Volume overload and fluid congestion remain primary issues for patients with chronic heart failure. The pathophysiology is complex, and the simple concept of intravascular fluid accumulation is not adequate. The dynamics of interstitial and intravascular fluid compartment interactions and fluid redistribution from venous splanchnic beds to central pulmonary circulation need to be taken into account in strategies of volume management. Clinical bedside evaluations and right heart hemodynamic assessments can alert clinicians of changes in volume status, but only the quantitative measurement of total blood volume can help identify the heterogeneity in plasma volume and red blood cell mass that are features of volume overload in patients with chronic heart failure and help guide individualized, appropriate therapy-not all volume overload is the same. PMID:27436837

  14. Reasoning the Causality of City Sprawl, Traffic Congestion, and Green Land Disappearance in Taiwan Using the CLD Model

    PubMed Central

    Chen, Mei-Chih; Chang, Kaowen

    2014-01-01

    Many city governments choose to supply more developable land and transportation infrastructure with the hope of attracting people and businesses to their cities. However, like those in Taiwan, major cities worldwide suffer from traffic congestion. This study applies the system thinking logic of the causal loops diagram (CLD) model in the System Dynamics (SD) approach to analyze the issue of traffic congestion and other issues related to roads and land development in Taiwan’s cities. Comparing the characteristics of development trends with yearbook data for 2002 to 2013 for all of Taiwan’s cities, this study explores the developing phenomenon of unlimited city sprawl and identifies the cause and effect relationships in the characteristics of development trends in traffic congestion, high-density population aggregation in cities, land development, and green land disappearance resulting from city sprawl. This study provides conclusions for Taiwan’s cities’ sustainability and development (S&D). When developing S&D policies, during decision making processes concerning city planning and land use management, governments should think with a holistic view of carrying capacity with the assistance of system thinking to clarify the prejudices in favor of the unlimited developing phenomena resulting from city sprawl. PMID:25383609

  15. Nasal congestion in infants and children: a literature review on efficacy and safety of non-pharmacological treatments.

    PubMed

    Chirico, G; Quartarone, G; Mallefet, P

    2014-12-01

    The most common causes of nasal obstruction and runny nose in infants and children are infections, mainly of viral origin, or allergies. In neonates and infants viral upper respiratory tract infections (URTI) are frequently observed during episodes of nasal obstruction. Saline irrigation of the nose is believed to alleviate URTI symptoms by helping to eliminate excess mucus, to reduce congestion and by contributing to improve breathing. Objective of the study was to review the efficacy and safety of non-pharmacological options for the treatment of nasal congestion and its sequelae, in infants and children, with a special focus on hypertonic and isotonic solutions and other medical devices, including nasal aspirators. Available data indicate that nasal symptoms in children with allergic rhinitis or acute sinusitis significantly improved following nasal saline irrigation. The use of medical devices is less documented. Nasal aspiration with a medical device, associated with an isotonic saline solution, during viral rhinitis, has been shown to lower the risk of developing acute otitis media and rhinosinusitis, in comparison with a group treated with physiological saline solution alone. Safety and tolerability have been evaluated and no serious adverse events have been reported. Literature data highlighted the good tolerability. The use of isotonic and hypertonic saline solutions to relief nasal congestion in infants and children is widespread; it is a safe and valuable therapeutic support, and can reduce the use of medications (antihistamines, decongestant, antibiotics, corticosteroids) during the treatment of URTIs. PMID:25336097

  16. Finding the biased-shortest path with minimal congestion in networks via linear-prediction of queue length

    NASA Astrophysics Data System (ADS)

    Shen, Yi; Ren, Gang; Liu, Yang

    2016-06-01

    In this paper, we propose a biased-shortest path method with minimal congestion. In the method, we use linear-prediction to estimate the queue length of nodes, and propose a dynamic accepting probability function for nodes to decide whether accept or reject the incoming packets. The dynamic accepting probability function is based on the idea of homogeneous network flow and is developed to enable nodes to coordinate their queue length to avoid congestion. A path strategy incorporated with the linear-prediction of the queue length and the dynamic accepting probability function of nodes is designed to allow packets to be automatically delivered on un-congested paths with short traveling time. Our method has the advantage of low computation cost because the optimal paths are dynamically self-organized by nodes in the delivering process of packets with local traffic information. We compare our method with the existing methods such as the efficient path method (EPS) and the optimal path method (OPS) on the BA scale-free networks and a real example. The numerical computations show that our method performs best for low network load and has minimum run time due to its low computational cost and local routing scheme.

  17. Tuning RED parameters in satellite networks using control theory

    NASA Astrophysics Data System (ADS)

    Sridharan, Mukundan; Durresi, Arjan; Chellappan, Sriram; Ozbay, Hitay; Jain, Raj

    2003-08-01

    Congestion in the Internet results in wasted bandwidth and also stands in the way of guaranteeing QoS. The effect of congestion is multiplied many fold in Satellite networks, where the resources are very expensive. Thus congestion control has a special significance in the performance of Satellite networks. In today's Internet, congestion control is implemented mostly using some form of the de facto standard, RED. But tuning of parameters in RED has been a major problem throughout. Achieving high throughput with corresponding low delays is the main goal in parameter setting. It is also desired to keep the oscillations in the queue low to reduce jitter, so that the QoS guarantees can be improved. In this paper, we use a previously linearized fluid flow model of TCP-RED to study the performance and stability of the Queue in the router. We use classical control tools like Tracking Error minimization and Delay Margin to study the performance, stability of the system. We use the above-mentioned tools to provide guidelines for setting the parameters in RED, such that the throughput, delay and jitter of the system are optimized. Thus we provide guidelines for optimizing satellite IP networks. We apply our results exclusively for optimizing the performance of satellite networks, where the effects of congestion are much pronounced and need for optimization is much important. We use ns simulator to validate our results to support our analysis.

  18. Congestion Based Mechanism for Route Discovery in a V2I-V2V System Applying Smart Devices and IoT

    PubMed Central

    Parrado, Natalia; Donoso, Yezid

    2015-01-01

    The Internet of Things is a new paradigm in which objects in a specific context can be integrated into traditional communication networks to actively participate in solving a determined problem. The Vehicle-to-Vehicle (V2V) and Vehicle-to-Infrastructure (V2I) technologies are specific cases of IoT and key enablers for Intelligent Transportation Systems (ITS). V2V and V2I have been widely used to solve different problems associated with transportation in cities, in which the most important is traffic congestion. A high percentage of congestion is usually presented by the inappropriate use of resources in vehicular infrastructure. In addition, the integration of traffic congestion in decision making for vehicular traffic is a challenge due to its high dynamic behavior. In this paper, an optimization model over the load balancing in the congestion percentage of the streets is formulated. Later, we explore a fully congestion-oriented route discovery mechanism and we make a proposal on the communication infrastructure that should support it based on V2I and V2V communication. The mechanism is also compared with a modified Dijkstra’s approach that reacts at congestion states. Finally, we compare the results of the efficiency of the vehicle’s trip with the efficiency in the use of the capacity of the vehicular network. PMID:25835185

  19. Congestion based mechanism for route discovery in a V2I-V2V system applying smart devices and IoT.

    PubMed

    Parrado, Natalia; Donoso, Yezid

    2015-01-01

    The Internet of Things is a new paradigm in which objects in a specific context can be integrated into traditional communication networks to actively participate in solving a determined problem. The Vehicle-to-Vehicle (V2V) and Vehicle-to-Infrastructure (V2I) technologies are specific cases of IoT and key enablers for Intelligent Transportation Systems (ITS). V2V and V2I have been widely used to solve different problems associated with transportation in cities, in which the most important is traffic congestion. A high percentage of congestion is usually presented by the inappropriate use of resources in vehicular infrastructure. In addition, the integration of traffic congestion in decision making for vehicular traffic is a challenge due to its high dynamic behavior. In this paper, an optimization model over the load balancing in the congestion percentage of the streets is formulated. Later, we explore a fully congestion-oriented route discovery mechanism and we make a proposal on the communication infrastructure that should support it based on V2I and V2V communication. The mechanism is also compared with a modified Dijkstra's approach that reacts at congestion states. Finally, we compare the results of the efficiency of the vehicle's trip with the efficiency in the use of the capacity of the vehicular network. PMID:25835185

  20. Multicasting mesh AER: a scalable assembly approach for reconfigurable neuromorphic structured AER systems. Application to ConvNets.

    PubMed

    Zamarreno-Ramos, C; Linares-Barranco, A; Serrano-Gotarredona, T; Linares-Barranco, B

    2013-02-01

    This paper presents a modular, scalable approach to assembling hierarchically structured neuromorphic Address Event Representation (AER) systems. The method consists of arranging modules in a 2D mesh, each communicating bidirectionally with all four neighbors. Address events include a module label. Each module includes an AER router which decides how to route address events. Two routing approaches have been proposed, analyzed and tested, using either destination or source module labels. Our analyses reveal that depending on traffic conditions and network topologies either one or the other approach may result in better performance. Experimental results are given after testing the approach using high-end Virtex-6 FPGAs. The approach is proposed for both single and multiple FPGAs, in which case a special bidirectional parallel-serial AER link with flow control is exploited, using the FPGA Rocket-I/O interfaces. Extensive test results are provided exploiting convolution modules of 64 × 64 pixels with kernels with sizes up to 11 × 11, which process real sensory data from a Dynamic Vision Sensor (DVS) retina. One single Virtex-6 FPGA can hold up to 64 of these convolution modules, which is equivalent to a neural network with 262 × 10(3) neurons and almost 32 million synapses. PMID:23853282