| 1. |
- Dixit, Abhishek, et al.
(författare)
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Protection strategies for Next Generation Passive Optical Networks-2
- 2014
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Ingår i: 2014 INTERNATIONAL CONFERENCE ON OPTICAL NETWORK DESIGN AND MODELING. - : IEEE. ; , s. 13-18
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Konferensbidrag (refereegranskat)abstract
- Next Generation Passive Optical Networks-2 (NGPON2) are being considered to upgrade the current PON technology to meet the ever increasing bandwidth requirements of the end users while optimizing the network operators' investment. Reliability performance of NG-PON2 is very important due to the extended reach and, consequently, large number of served customers per PON segment. On the other hand, the use of more complex and hence more failure prone components than in the current PON systems may degrade reliability performance of the network. Thus designing reliable NG-PON2 architectures is of a paramount importance. Moreover, for appropriately evaluating network reliability performance, new models are required. For example, the commonly used reliability parameter, i.e., connection availability, defined as the percentage of time for which a connection remains operable, doesn't reflect the network wide reliability performance. The network operators are often more concerned about a single failure affecting a large number of customers than many uncorrelated failures disconnecting fewer customers while leading to the same average failure time. With this view, we introduce a new parameter for reliability performance evaluation, referred to as the failure impact. In this paper, we propose several reliable architectures for two important NGPON2 candidates: wavelength division multiplexed (WDM) PON and time and wavelength division multiplexed (TWDM) PON. Furthermore, we evaluate protection coverage, availability, failure impact and cost of the proposed schemes in order to identify the most efficient protection architecture.
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| 2. |
- Huijben, Jilske A., et al.
(författare)
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Use and impact of high intensity treatments in patients with traumatic brain injury across Europe : a CENTER-TBI analysis
- 2021
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Ingår i: Critical Care. - : BioMed Central (BMC). - 1364-8535 .- 1466-609X. ; 25:1
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To study variation in, and clinical impact of high Therapy Intensity Level (TIL) treatments for elevated intracranial pressure (ICP) in patients with traumatic brain injury (TBI) across European Intensive Care Units (ICUs).METHODS: We studied high TIL treatments (metabolic suppression, hypothermia (< 35 °C), intensive hyperventilation (PaCO2 < 4 kPa), and secondary decompressive craniectomy) in patients receiving ICP monitoring in the ICU stratum of the CENTER-TBI study. A random effect logistic regression model was used to determine between-centre variation in their use. A propensity score-matched model was used to study the impact on outcome (6-months Glasgow Outcome Score-extended (GOSE)), whilst adjusting for case-mix severity, signs of brain herniation on imaging, and ICP.RESULTS: 313 of 758 patients from 52 European centres (41%) received at least one high TIL treatment with significant variation between centres (median odds ratio = 2.26). Patients often transiently received high TIL therapies without escalation from lower tier treatments. 38% of patients with high TIL treatment had favourable outcomes (GOSE ≥ 5). The use of high TIL treatment was not significantly associated with worse outcome (285 matched pairs, OR 1.4, 95% CI [1.0-2.0]). However, a sensitivity analysis excluding high TIL treatments at day 1 or use of metabolic suppression at any day did reveal a statistically significant association with worse outcome.CONCLUSION: Substantial between-centre variation in use of high TIL treatments for TBI was found and treatment escalation to higher TIL treatments were often not preceded by more conventional lower TIL treatments. The significant association between high TIL treatments after day 1 and worse outcomes may reflect aggressive use or unmeasured confounders or inappropriate escalation strategies.TAKE HOME MESSAGE: Substantial variation was found in the use of highly intensive ICP-lowering treatments across European ICUs and a stepwise escalation strategy from lower to higher intensity level therapy is often lacking. Further research is necessary to study the impact of high therapy intensity treatments.TRIAL REGISTRATION: The core study was registered with ClinicalTrials.gov, number NCT02210221, registered 08/06/2014, https://clinicaltrials.gov/ct2/show/NCT02210221?id=NCT02210221&draw=1&rank=1 and with Resource Identification Portal (RRID: SCR_015582).
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| 3. |
- Mahloo, Mozhgan, et al.
(författare)
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Toward Reliable Hybrid WDM/TDM Passive Optical Networks
- 2014
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Ingår i: IEEE Communications Magazine. - 0163-6804 .- 1558-1896. ; 52:2, s. S14-S23
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Tidskriftsartikel (refereegranskat)abstract
- Individual users and enterprises are increasingly relying on the access to internet services and cannot accept long interruption time as easily as before. Moreover, the main characteristics of next generation optical access (NGOA) networks, such as long reach and a large number of users per feeder line, turn the network reliability to an important design parameter to offer uninterrupted service delivery. In this regard, protection mechanisms become one of the crucial aspects that need to be considered in the design process of access networks. On the other hand, it should be noted that not all users can afford to pay a high extra cost for protection; hence, it is important to provide resilience in a cost-efficient way. A PON combining WDM and TDM technologies, referred to as hybrid WDM/TDM PON or HPON, is one of the most promising candidates for NGOA networks due to its ability to serve a large number of subscribers and offer high capacity per user. For these reasons, in this article, we propose HPON architecture offering different degrees of resilience depending on the user profiles (i.e., partial and full protection for residential and business access, respectively). Also, the investment cost of providing resilience for the proposed schemes is investigated considering various protection upgrade road maps. Our results confirm that protecting the shared part of network with a large number of users is required in order to keep the failure impact at an acceptable level, with less than 5 percent increase of investment cost compared to the unprotected case. Meanwhile, the proposed end-to-end protection for business users considerably reduces the risk of service interruption for this type of demanding user without a need to duplicate the deployment cost of an unprotected connection. Furthermore, a sensitivity analysis is performed to investigate the impact of changes in business user percentage and protection upgrade time on the deployment cost. The results may be used as advice on cost-efficient deployment of reliable fiber access networks.
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