This paper presents a novel Call Admission Control (CAC) scheme which adopts the neural network approach, namely Minimal Resource Allocation Network (MRAN) and its extended version EMRAN. Though the current focus is on the Call Admission Control (CAC) for Asynchronous Transfer Mode (ATM) networks, the scheme is applicable to most high-speed networks. As there is a need for accurate estimation of the required bandwidth for different services, the proposed scheme can offer a simple design procedure and provide a better control in fulfilling the Quality of Service (QoS) requirements. MRAN and EMRAN are on-line learning algorithms to facilitate efficient admission control in different traffic environments. Simulation results show that the proposed CAC schemes are more efficient than the two conventional CAC approaches, the Peak Bandwidth Allocation scheme and the Cell Loss Ratio (CLR) upperbound formula scheme. The prediction precision and computational time of MRAN and EMRAN algorithms are also investigated. Both MRAN and EMRAN algorithms yield similar performance results, but the EMRAN algorithm has less computational load.
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http://dx.doi.org/10.1142/S0129065703001571 | DOI Listing |
Open Forum Infect Dis
January 2025
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Background: We investigated hospitalized carbapenem-resistant Enterobacterales (CRE) and extended-spectrum β-lactamase-producing Enterobacterales (ESBL-E) cases with and without COVID-19, as identified through Emerging Infections Program surveillance in 10 sites from 2020 to 2022.
Methods: We defined a CRE case as the first isolation of , complex, , , , or resistant to any carbapenem. We defined an ESBL-E case as the first isolation of , , or resistant to any third-generation cephalosporin and nonresistant to all carbapenems tested.
Geroscience
January 2025
Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Individuals who suffer a major burn injury are at higher risk of developing a range of age-associated diseases prematurely leading to an increase in mortality in adult and juvenile burn injury survivors. One possible explanation is that injury is accelerating the biological ageing process. To test this hypothesis, we analysed DNA methylation in peripheral blood mononuclear cells from adult burn-injured patients (> 5%TBSA) upon admission to hospital and 6 months later, to calculate an epigenetic clock value which can be used to determine biological age.
View Article and Find Full Text PDFJ Cardiovasc Pharmacol
November 2024
Kunming Medical University Affiliated Yan'an Hospital Intensive Care Unit, Kunming City, Yunnan Province, China. 650051.
This study aimed to explore the relationship between the changes in early degradation products of polysaccharide coatings (such as hyaluronic acid (HA), syndecan-1 (SDC-1), and heparan sulfate (HS)) and the development of organ dysfunction in sepsis patients. We conducted a retrospective analysis on 140 sepsis patients admitted from January 2021 to June 2022, who formed the study group; 100 healthy individuals who underwent health checks during the same period were included as the control group. The study found that the expression levels of HA, SDC-1, and HS upon admission and within 24 hours of admission in sepsis patients, as well as the early change rates, were positively correlated with organ dysfunction (P < 0.
View Article and Find Full Text PDFCrit Care
January 2025
Center of Clinical Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China.
Despite intensive clinical and scientific efforts, the mortality rate of sepsis remains high due to the lack of precise biomarkers for patient stratification and therapeutic guidance. Interleukin 40 (IL-40), a novel cytokine with immune regulatory functions in human diseases, was elevated at admission in two independent cohorts of patients with sepsis. High levels of secreted IL-40 in septic patients were positively correlated with PCT, CRP, lactate (LDH), and Sequential Organ Failure Assessment (SOFA) scores, in which IL-40 levels were used to stratify the early death of critically ill patients with sepsis.
View Article and Find Full Text PDFEpidemics
December 2024
Department of Biostatistics and Epidemiology, University of Massachusetts, Amherst, MA, United States.
Over the last ten years, the US Centers for Disease Control and Prevention (CDC) has organized an annual influenza forecasting challenge with the motivation that accurate probabilistic forecasts could improve situational awareness and yield more effective public health actions. Starting with the 2021/22 influenza season, the forecasting targets for this challenge have been based on hospital admissions reported in the CDC's National Healthcare Safety Network (NHSN) surveillance system. Reporting of influenza hospital admissions through NHSN began within the last few years, and as such only a limited amount of historical data are available for this target signal.
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