Deployment Characteristics Research Articles

A meta-analysis of randomised controlled trials comparing optical coherence tomography-guided against angiography-guided revascularisation

Abstract Optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) offers more in-depth assessment of plaque morphology, vessel sizing and post-PCI stent deployment characteristics than angiography guidance alone. Previous studies have demonstrated superiority of OCT-guided compared to angiography-guided PCI in stent implantation and expansion, with no difference in safety outcomes. Despite this, adoption of OCT-guided PCI remains low in clinical practice due to its increased procedural time, larger contrast volume, and added cost. Two large multicentre international randomised controlled trials (RCTs) were recently published. We therefore aimed to perform an up-to-date meta-analysis of RCTs comparing OCT-guided revascularisation against angiography-guided revascularisation on hard clinical outcomes. A comprehensive search of PubMed/MEDLINE and Ovid/Embase was performed, of which only RCTs were included. Two authors identified relevant articles and extracted the data independently. Any disagreements were resolved by a third author. Clinical outcome data was extracted from each study and then pooled to determine the overall risk ratio (RR) and confidence interval (CI) collectively. This was calculated with random-effects model using the Mantel-Haenszel method. All reported P values are two-sided, with significance set at P<0.05. A total of ten RCTs involving a total of 5062 patients were included. After an average follow-up of 20 months, there was no significant difference in the trial-defined composite endpoint between OCT-guided versus angiography guided revascularisation [6.8% versus 7.9%, RR 0.85, 95% CI (0.69 to 1.03), P=0.10, heterogeneity (I2)=0%]. There was also no significant difference in cardiac death [1.0% versus 1.6%, RR 0.61, 95% CI (0.36 to 1.02), P=0.06, heterogeneity (I2)=0%, Figure 1a], myocardial infarction [3.2% versus 3.7%, RR 0.86, 95% CI (0.65 to 1.15), P=0.31, I2=0%, Figure 1b] and target lesion or vessel repeat revascularisation [3.8% versus 4.1%, RR 0.95, 95% CI (0.72 to 1.25), P=0.70, I2=0%, Figure 1c] between the two arms. However, the OCT-guided revascularisation arm was associated with a significantly lower rate of stent thrombosis [0.8% versus 1.5%, RR 0.57, 95% CI (0.33 to 0.97), P=0.04, I2=0%, Figure 1d] than the angiography-guided revascularisation arm. The number-needed-to-treat (NNT) by OCT-guided revascularisation to reduce one additional stent thrombosis event was 143. In conclusion, our findings show the use of OCT-guided revascularisation led to a significant reduction in stent thrombosis compared to angiography-guided revascularisation, but there was no difference in cardiac death, myocardial infarction and repeat revascularisation. The NNT for stent thrombosis was 143 patients. Further research is needed to identity those subgroups most likely to benefit from OCT-guided revascularisation before it can be more widely adopted to significantly impact on clinical care.

Association of deployment characteristics and exposures with persistent ill health among 1990-1991 Gulf War veterans in the VA Million Veteran Program

BackgroundVeterans of the 1990–1991 Gulf War have experienced excess health problems, most prominently the multisymptom condition Gulf War illness (GWI). The Department of Veterans Affairs (VA) Cooperative Studies Program #2006 “Genomics of Gulf War Illness in Veterans” project was established to address important questions concerning pathobiological and genetic aspects of GWI. The current study evaluated patterns of chronic ill health/GWI in the VA Million Veteran Program (MVP) Gulf War veteran cohort in relation to wartime exposures and key features of deployment, 27–30 years after Gulf War service.MethodsMVP participants who served in the 1990–1991 Gulf War completed the MVP Gulf War Era Survey in 2018–2020. Survey responses provided detailed information on veterans’ health, Gulf War exposures, and deployment time periods and locations. Analyses determined associations of three defined GWI/ill health outcomes with Gulf War deployment characteristics and exposures.ResultsThe final cohort included 14,103 veterans; demographic and military characteristics of the sample were similar to the full population of U.S. 1990–1991 Gulf War veterans. Overall, a substantial number of veterans experienced chronic ill health, as indicated by three defined outcomes: 49% reported their health as fair or poor, 31% met Centers for Disease Control and Prevention criteria for severe GWI, and 20% had been diagnosed with GWI by a healthcare provider. Health outcomes varied consistently with veterans’ demographic and military characteristics, and with exposures during deployment. All outcomes were most prevalent among youngest veterans (< 50 years), Army and Marine Corps veterans, enlisted personnel (vs. officers), veterans located in Iraq and/or Kuwait for at least 7 days, and veterans who remained in theater from January/February 1991 through the summer of 1991. In multivariable models, GWI/ill health was most strongly associated with three exposures: chemical/biological warfare agents, taking pyridostigmine bromide pills, and use of skin pesticides.ConclusionsResults from this large cohort indicate that GWI/chronic ill health continues to affect a large proportion of Gulf War veterans in patterns associated with 1990-1991 Gulf War deployment and exposures. Findings establish a foundation for comprehensive evaluation of genetic factors and deployment exposures in relation to GWI risk and pathobiology.

Smart tubular hinge with multi-environment adaptability for rapid elastic and gentle shape memory deployment

Smart deployable structures are a crucial solution for reducing spacecraft weight and enhancing rocket space utilization. Traditional deployable structures based on composite materials can only achieve either elastic deployment or shape memory deployment, failing to meet multi-condition, high-intelligence requirements. In this work, we developed a tubular hinge with dual-deformation deployability. For rapid deployment needs, the hinge can be deformed at room temperature and achieve quick elastic deployment within 0.3 s at room or low temperatures. For autonomous fixation and slow deployment, the hinge can be fixed at high temperatures and achieve a gentle shape memory deployment within 100 s. More significantly, the hinge exhibits excellent environmental stability, maintaining superior deployable characteristics even after exposure to high and low-temperature environments and long-term folding. This hinge has been used to the deployment of solar panels and solar sails.

Acute gastrointestinal symptoms associated with oil spill exposures among U.S. coast guard responders to the Deepwater Horizon oil spill

PurposeResearch investigating gastrointestinal (GI) symptoms from oil spill-related exposures is sparse. We evaluated prevalent GI symptoms among U.S. Coast Guard responders deployed to the Deepwater Horizon oil spill cleanup. MethodsCrude oil (via skin contact, inhalation, or ingestion routes), combined crude oil/oil dispersant exposures, other deployment exposures, deployment characteristics, demographics, and acute GI symptoms during deployment (i.e., nausea/vomiting, diarrhea, stomach pain, and constipation) were ascertained cross-sectionally via a post-deployment survey (median time between deployment end and survey completion 185 days) (N = 4885). Log-binomial regression analyses were employed to calculate prevalence ratios (PRs) and 95 % confidence intervals (CI). Effect modification was evaluated. ResultsIn adjusted models, responders in the highest (versus lowest) tertile of self-reported degree of skin contact to crude oil were more than twice as likely to report nausea/vomiting (PR=2.45; 95 %CI, 1.85–3.23), diarrhea (PR=2.40; 95 %CI, 2.00–2.88), stomach pain (PR=2.51; 95 %CI, 2.01–3.12), and constipation (PR=2.21; 95 %CI, 1.70–2.89). Tests for trend were statistically significant (p < 0.05). Results were similar for crude oil exposure via inhalation and ingestion. Higher PRs for all symptoms were found with combined crude oil/dispersant exposure than with crude oil exposure alone. ConclusionsThese results indicate positive associations between self-reported crude oil and combined crude oil/oil dispersant exposures and acute GI symptoms.

Holistic approach for selecting chatbot development tools: combining AHP and TOPSIS methodologies

ABSTRACT The proliferation of chatbot development tools presents a significant challenge in identifying the most suitable ones for specific needs. This study addresses this issue by integrating the Analytic Hierarchy Process (AHP) and the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) to create a comprehensive methodology for selecting chatbot development tools. The study aims to provide a transparent, objective decision-making framework by evaluating tools across multiple dimensions including deployment characteristics, input processing capabilities, dialogue management, response generation, and economic considerations. Utilizing AHP for criteria weighting and TOPSIS for ranking alternatives, the methodology systematically evaluates various tools to identify the optimal choice. Key findings highlight the strengths and weaknesses of different tools, offering insights that guide developers and organizations in choosing the most suitable chatbot development tool aligned with their specific needs and strategic goals. The implications of this methodology are significant, enhancing decision-making processes within technological tool selection and contributing to the fields of artificial intelligence and automated systems development.

Characteristics of Global Rapid Response Team Deployers and Deployment, United States, 2019-2022.

The Centers for Disease Control and Prevention's (CDC's) Global Rapid Response Team (GRRT) was created in 2015 to efficiently deploy multidisciplinary CDC experts outside the United States for public health emergencies. The COVID-19 pandemic dramatically increased the need for domestic public health responders. This study aimed to follow up on previously published data to describe the GRRT surge staffing model during the height of the COVID-19 response. We conducted descriptive analyses to assess GRRT deployment characteristics during April 1, 2019-March 31, 2022, and characteristics of responders rostered in 2021 and 2022. We analyzed data on response events, remote versus in-person work, and international versus domestic deployment location. We also examined the number of responders on call per month, language proficiency, and technical skills. During the study period, 1725 deployments were registered, accounting for 82 058 person-days deployed. Of all person-days deployed during the study period, 82% were related to COVID-19. Eighty-seven percent of all person-days deployed were domestic. Virtual deployments that were not in person accounted for 51% of deployments registered, yet these resulted in 67% of person-days deployed. The median deployment duration was 31 days. We found a median of 79 surge responders on call each month. Among 608 responders rostered in 2021 and 2022, 35% self-reported proficiency in a second language. Epidemiology was the most common technical skill (38%). GRRT transitioned to primarily remote, domestic deployments to support the COVID-19 pandemic response. The GRRT model demonstrates how response structure shifted to address the global health threat of a pandemic.

Characteristics of deploying longitudinal folding wings with compound actuation

A mechanism has been developed to achieve rapid deployment of longitudinally folding wings by utilizing compound actuation from the firing powder and the compressive spring. A theoretical model based on rigid-body dynamics was first proposed to study the deployment characteristics of longitudinal folding wings under compound-driven effects. Subsequently, deployment experiments were conducted using a prototype to validate the theoretical model. It was observed that the folding wings are deployed in 11 ms. Further parametric analysis indicates that the mass of both the propellant and the locking rod has a positive effect on the deploying velocity. However, the angular moment of inertia of folding wings has a negative effect on the initial angular velocity. This work can be helpful for designing the folding wing structures of missiles and aircrafts.

Expanding the family of plane-symmetric 6R deployable polygon mechanisms by systematically exploring the layout of R-joint axes

In this paper, the impact of parameter variations on the deployable motion characteristics, mobility, input singularity, and deploying/folding performance of plane-symmetric Bricard mechanisms is studied. Firstly, two classes of revolute pair axes used to construct deployable polygon mechanisms (DGMs) are reviewed, and their value ranges are further refined. Secondly, all possible axes arrangement schemes for plane-symmetric 6R DGMs are presented for the first time. Then, an improved schematic synthesis method is proposed, which can be used to design all plane-symmetric 6R DGMs that belong to the plane-symmetric Bricard mechanisms. Thirdly, the improved design method is applied to create a series of single-degree-of-freedom plane-symmetric 6R DGMs. Then, feasible domain searches are performed, and some of them are prototyped. Subsequently, the input singularity of plane-symmetric 6R DGMs is analyzed. Finally, two deploying/folding performance indices are proposed to evaluate the performance of plane-symmetric 6R DGMs with different fully deployed and fully folded states based on actual application scenarios. This work expands the variety and quantity of DGMs, which will also advance the development of robotics, mechanical metamaterials, and kirigami mechanisms.

Multimode Design and Analysis of an Integrated Leg-Arm Quadruped Robot with Deployable Characteristics

To improve locomotion and operation integration, this paper presents an integrated leg-arm quadruped robot (ILQR) that has a reconfigurable joint. First, the reconfigurable joint is designed and assembled at the end of the leg-arm chain. When the robot performs a task, reconfigurable configuration and mode switching can be achieved using this joint. In contrast from traditional quadruped robots, this robot can stack in a designated area to optimize the occupied volume in a nonworking state. Kinematics modeling and dynamics modeling are established to evaluate the mechanical properties for multiple modes. All working modes of the robot are classified, which can be defined as deployable mode, locomotion mode and operation mode. Based on the stability margin and mechanical modeling, switching analysis and evaluation between each mode is carried out. Finally, the prototype experimental results verify the function realization and switching stability of multimode and provide a design method to integrate and perform multimode for quadruped robots with deployable characteristics.

Novel constant-height deployable mechanisms with only revolute joints and constructed deployable ring trusses for satellite mesh reflector antennas

Deployable mechanisms play an increasingly crucial role in aerospace, yet their design still faces challenges: 1) The folded height increases while its deployed height decreases, which is not conducive to improving the folding performance; 2) Compared with revolute joints, prismatic joints have relatively weak reliability in complex space environments. To address the above challenges, novel constant-height deployable mechanisms with only revolute joints are proposed in this paper. The deployable mechanisms exhibit one degree of freedom, enabling them to attain modular expansion. Subsequently, the mobility properties of these deployable mechanisms are substantiated through screw theory. Assembly strategies for constant-height deployable mechanisms are proposed, and deployable ring trusses are further constructed to provide support structures for satellite mesh reflector antennas. The kinematics are analyzed to investigate the deployable characteristics of the proposed deployable mechanisms and ring trusses. The prototypes of a deployable mechanism and a ring truss are established to validate the designed deployable mechanisms. This work contributes novel types of deployable mechanisms with potential advantages, aiming to function as valuable references for the design and analysis of deployable trusses.

Full-Duplex Unmanned Aerial Vehicle Communications for Cellular Spectral Efficiency Enhancement Utilizing Device-to-Device Underlaying Structure

Unmanned aerial vehicle (UAV) communications have gained recognition as a promising technology due to their unique characteristics of rapid deployment and flexible configuration. Meanwhile, device-to-device (D2D) and full-duplex (FD) technologies have emerged as promising methods for enhancing spectral efficiency and offloading traffic. One significant advantage of UAVs is their ability to partition suitable D2D pairs to increase cell capacity. In this paper, we present a novel network model in which UAVs are considered D2D pairs underlaying cellular networks, integrating FD into the communication links between UAVs to improve spectral efficiency. We then investigate a resource allocation problem for the proposed FD-UAV D2D underlaying structure model, with the objective of maximizing the system’s sum rate. Specifically, the UAVs in our model operate in full-duplex mode as D2D users (DUs), allowing the reuse of both the uplink and downlink subcarrier resources of cellular users (CUs). This optimization challenge is formulated as a mixed-integer nonlinear programming problem, known for its NP-hard and intractable nature. To address this issue, we propose a heuristic algorithm (HA) that decomposes the problem into two steps: power allocation and user pairing. The optimal power allocation is solved as a nonlinear programming problem by searching among a finite set, while the user pairing problem is addressed using the Kuhn–Munkres algorithm. The numerical results indicate that our proposed FD-MaxSumCell-HA (full-duplex UAVs maximizing the cell sum rate with a heuristic algorithm) scheme for FD-UAV D2D underlaying models outperforms HD-UAV underlaying cellular networks, with improved access rates for UAVs in FD-MaxSumCell-HA compared to HD-UAV networks.

The Million Veteran Program 1990-1991 Gulf War Era Survey: An Evaluation of Veteran Response, Characteristics, and Representativeness of the Gulf War Era Veteran Population.

To address gaps in understanding the pathophysiology of Gulf War Illness (GWI), the VA Million Veteran Program (MVP) developed and implemented a survey to MVP enrollees who served in the U.S. military during the 1990-1991 Persian Gulf War (GW). Eligible Veterans were invited via mail to complete a survey assessing health conditions as well as GW-specific deployment characteristics and exposures. We evaluated the representativeness of this GW-era cohort relative to the broader population by comparing demographic, military, and health characteristics between respondents and non-respondents, as well as with all GW-era Veterans who have used Veterans Health Administration (VHA) services and the full population of U.S. GW-deployed Veterans. A total of 109,976 MVP GW-era Veterans were invited to participate and 45,270 (41%) returned a completed survey. Respondents were 84% male, 72% White, 8% Hispanic, with a mean age of 61.6 years (SD = 8.5). Respondents were more likely to be older, White, married, better educated, slightly healthier, and have higher socioeconomic status than non-respondents, but reported similar medical conditions and comparable health status. Although generally similar to all GW-era Veterans using VHA services and the full population of U.S. GW Veterans, respondents included higher proportions of women and military officers, and were slightly older. In conclusion, sample characteristics of the MVP GW-era cohort can be considered generally representative of the broader GW-era Veteran population. The sample represents the largest research cohort of GW-era Veterans established to date and provides a uniquely valuable resource for conducting in-depth studies to evaluate health conditions affecting 1990-1991 GW-era Veterans.

Dynamical reverse folding and residual gas expansion models of flexible thin films

To examine the folding and deployment characteristics of flexible thin film structures in a vacuum environment, a dynamic reverse folding method based on the target structure and an inflation-based deployment method based on the residual gas expansion are proposed. The dynamic characteristics of the flexible thin film structure during the folding process are characterized using the finite element method. Further, the residual gas is used to inflate and unfold the folded structure, and the response characteristics of gas pressure and film volume are obtained. Compared with the thin film unfolding test in a vacuum tank, for a spherical thin film of the same size, under the action of residual gas at 0.05 MPa, when unfolding for 0.34 s, the unfolded volume of the thin film is obtained to be approximately 0.0367 m3, reaching 90.2% of the total unfolded volume of the spherical film in the experiment. Overall, the proposed methods can serve as a design reference for the analysis and optimization of flexible thin films.

Deployment dynamics of thick panel Miura-origami

Origami and kirigami folding methods applied to deployable structures have been investigated in many studies, and most of them use approximately zero-thickness materials to follow the paper-folding movement. However, the rigidity and thickness of materials cannot be neglected in aerospace engineering applications, resulting in different kinematic and dynamic characteristics of deployment. This work deals with the deployment dynamics of a typical thick panel Miura origami (Miura-ori). The kinematics of the Miura-ori unit and array are discussed considering the tessellated extension of the Miura-ori pattern, which can be described by the recursively relative movement. Based on the Lagrange's equation, the dynamic equation is determined by generalized force and potential energy. Furthermore, prototypes for Miura-ori unit and array are fabricated, respectively. To measure the dynamic behaviours during deployment, a gravity compensation apparatus is designed and constructed, which can effectively reduce the gravity effect of Miura-ori prototypes. The comparison of the numerical and experimental results validates our dynamic model. Our work provides a recursive dynamic modelling method and experiment apparatus for analysing and testing the deploying dynamic behaviours of tessellated thick-panel origami deployable structures, and the findings can be developed in the other thick-panel origami and kirigami concepts of actual engineering applications in the future.

57 Olfaction in Veterans with a History of Deployment-Related Mild Traumatic Brain Injury

Objective:Olfaction is a critical sensory function and changes in the ability to detect smells could affect quality of life by diminishing appreciation of food, drink, and other aroma-based experiences, increase danger of hazardous exposures, and cause a loss of employment. Additionally, decrements in olfaction have been related to onset of some neurodegenerative conditions. Olfactory impairments in military populations are highly prevalent and often attributed to the long-term effects of mild traumatic brain injury (mTBI) and chronic psychiatric disorders. The main goal of this investigation was to examine olfactory function in a cohort of combat veterans using a quantitative smell test.Participants and Methods:Participants underwent a neurological examination using a revised version of the Neurological Outcome Scale for Traumatic Brain Injury. Olfactory function was examined using a set of essential oil vials with common odors. Based on the number of correctly identified odors, the following grading system was employed: no deficit; mild; moderate; severe deficit; and absence of smell detection. All study assessments were performed prior to March of 2020 (onset of COVID-19 pandemic). In addition, participants completed performance validity testing (PVT) and screening for ongoing substance misuse using the Alcohol Use Disorders Identification Test and Drug Abuse Screening Test-10. Lifetime history of brain injury, combat-related extracranial injuries, and deployment characteristics were assessed using structured interview. All available medical records were reviewed.Results:Participants were 38 veterans with a deployment-related mTBI who passed the PVT and did not have ongoing substance misuse issues. Olfactory examination revealed normosmia in 20 participants and various degrees of deficit in 18 (11= mild; 4=moderate; and 3=severe). The groups did not differ in demographics, post-injury interval, or current clinical (non-psychiatric) conditions. Participants with hyposmia frequently reported being exposed to a higher number of blasts and being positioned closer to the nearest primary blast, and more often endorsed a period of loss of consciousness after the most serious mTBI. In addition, they more often reported tympanic membrane perforation, extracranial injuries, and histories of both blast and blunt force mTBI. Comorbid diagnoses of posttraumatic stress disorder (PTSD), depression, chronic headaches, and pain were more common among these participants as well.Conclusions:Several blast exposure and specific injury-related characteristics increase the likelihood of long-term olfactory impairments, comorbid psychiatric conditions, and chronic pain among veterans with a history of deployment-related mTBI. Notably, none of the participants with hyposmia had a clinical diagnosis of olfactory dysfunction or were receiving service-connected disability for a loss of sense of smell at the time of their assessment. Multidisciplinary rehabilitation care provided to combat veterans with history of mTBI and/or PTSD should include olfactory examination using both quantitative and qualitative smell tests, education regarding the adversities related to loss of smell, management of current psychiatric symptoms, and follow-up assessments. The lack of a comparison group without a history of mTBI and the small sample size were the main limitations of this investigation.

Optimized scheduling study of user side energy storage in cloud energy storage model.

With the new round of power system reform, energy storage, as a part of power system frequency regulation and peaking, is an indispensable part of the reform. Among them, user-side small energy storage devices have the advantages of small size, flexible use and convenient application, but present decentralized characteristics in space. Therefore, the optimal allocation of small energy storage resources and the reduction of operating costs are urgent problems to be solved. In this study, the author introduced the concept of cloud energy storage and proposed a system architecture and operational model based on the deployment characteristics of user-side energy storage devices. Additionally, a cluster scheduling matching strategy was designed for small energy storage devices in cloud energy storage mode, utilizing dynamic information of power demand, real-time quotations, and supply at the load side. Subsequently, numerical analysis was conducted to verify that the proposed operational mode and optimal scheduling scheme ensured the maximum absorption of renewable energy, improved the utilization rate of energy storage resources at the user side, and contributed to peak shaving and load leveling in the power grid. The model put forward in this study represents a valuable exploration for new scenarios in energy storage application.

Harnessing the path-dependent bistability of non-prismatic foldable truss modules for self-lockability

Deployable structures, including origami-inspired and truss-based designs, offer innovative solutions for portable structural systems across various disciplines, with origami structures providing larger folding ratios but limited stiffness, and truss-based structures offering higher strength and stiffness at the expense of folding ratio. The existing technologies for earth-based deployable structures have inherent limitations in terms of stiffness and packaging efficiency. To address these limitations, there is a need to enhance the longitudinal stiffness while maintaining optimal packaging efficiency, enabling the utilization of these structures as high-capacity towers for multiple earth-based applications. This study presents a novel design of a self-lockable non-prismatic foldable truss module that offers high-end structural performance while simultaneously maintaining optimal packaging efficiency. The proposed module exhibits two distinct modes of motion: the folding/deployment mode and the operational loading mode. The mathematical models for both modes are presented to investigate respective motion characteristics followed by a novel algorithm to calculate the folding ratio of physical model. Parametric studies are conducted to comprehensively characterize various folding deployment characteristics, folding ratio and load carrying capacity of the SLFT module while considering different design parameters. Moreover, a physical model of a SLFT module is developed to demonstrate its compression behavior under symmetric and unsymmetrical loading conditions experimentally.

An Efficient Path Planning Method for the Unmanned Aerial Vehicle in Highway Inspection Scenarios

Unmanned aerial vehicles (UAVs) have received widespread attention due to their flexible deployment characteristics. Automated airports equipped with UAVs are expected to become important equipment for improving quality and reducing costs in many inspection scenarios. This paper focuses on the automated inspection business of UAVs dispatched by automated airports in highway scenarios. On the basis of considering the shape of highway curves, inspection targets, and the energy consumption characteristics of UAVs, planning the flight parameters of UAVs is of great significance for ensuring the effectiveness of the inspection process. This paper first sets the inspection path points for the UAV based on highway curves, and then proposes an efficient heuristic method for the nonlinear non-convex parameter optimization problem, through which the parameters of the UAV’s inspection altitude, hovering altitude, and flight speed are planned. Simulation and analysis show that the proposed method possesses good parameter planning efficiency. By combining several existing trajectory planning methods, e.g., the traversal method, the deep Q-network based method, and the genetic method, it can be concluded that the proposed method in this paper has better overall planning performance including planning efficiency and inspection effectiveness.

Arithmetic Optimization AOMDV Routing Protocol for FANETs.

Flying ad hoc networks (FANETs), composed of small unmanned aerial vehicles (UAVs), possess characteristics of flexibility, cost-effectiveness, and rapid deployment, rendering them highly attractive for a wide range of civilian and military applications. FANETs are special mobile ad hoc networks (MANETs), FANETs have the characteristics of faster network topology changes and limited energy. Existing reactive routing protocols are unsuitable for the highly dynamic and limited energy of FANETs. For the lithium battery-powered UAV, flight endurance lasts from half an hour to two hours. The fast-moving UAV not only affects the packet delivery rate, average throughput, and end-to-end delay but also shortens the flight endurance. Therefore, research is urgently needed into a high-performance routing protocol with high energy efficiency. In this paper, we propose a novel routing protocol called AO-AOMDV, which utilizes arithmetic optimization (AO) to enhance the ad hoc on-demand multi-path distance vector (AOMDV) routing protocol. The AO-AOMDV utilizes a fitness function to calculate the fitness value of multiple paths and employs arithmetic optimization for selecting the optimal route for routing selection. Our experiments were conducted using NS3 with three evaluation metrics: the packet delivery ratio, network lifetime, and average end-to-end delay. We compare this algorithm to routing protocols including AOMDV and AODV. The results indicate that the proposed AO-AOMDV attained a higher packet delivery ratio, network lifetime, and lower average end-to-end delay.

Titratable partial aortic occlusion: Extending Zone I endovascular occlusion times.

Extending the time to definitive hemorrhage control in non-compressible torso hemorrhage (NCTH) is of particular importance in the battlefield where transfer times are prolonged and NCTH remains the leading cause of death. While REBOA is widely practiced as an initial adjunct for the management of NCTH, concerns for ischemic complications after 30 minutes of compete aortic occlusion deters many from Zone 1 deployment. We hypothesize that extended zone 1 occlusion times will be enabled by novel purpose built devices that allow for titratable partial aortic occlusion. This is a cross sectional analysis describing pREBOA-PRO zone 1 deployment characteristics at 7 level-1 trauma centers in the US and Canada (March 30, 2021 and June 30, 2022). In order to compare patterns of zone 1 aortic occlusion, the AORTA registry was utilized. Data was limited to adult patients who underwent successful occlusion in zone 1 (2013-2022). One hundred twenty-two patients pREBOA-PRO patients were included. Most catheters were deployed in zone 1 (73% n = 89) with a median zone 1 total occlusion time of 40 minutes (IQR 25-74). A sequence of complete followed by partial occlusion was used in 42% (n = 37) of zone 1 occlusion patients; a median of 76% (IQR 60-87%) of total occlusion time was partial occlusion in this group. As was seen in the prospectively collected data, longer median total occlusion times were observed in the titratable occlusion group in AORTA compared to the complete occlusion group. Longer zone 1 aortic occlusion times seen with titratable aortic occlusion catheters appear to be driven by the feasibility of controlled partial occlusion. The ability to extend safe aortic occlusion times may have significant impact to combat casualty care where exsanguination from non-compressible torso hemorrhage is the leading source of potentially preventable deaths. Level IV evidence.