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Keywords = cognitive radar

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11 pages, 1005 KiB  
Article
OTFS Radar Waveform Design Based on Information Theory
by Qilong Miao, Ling Kuang, Ge Zhang and Yu Shao
Entropy 2025, 27(2), 211; https://doi.org/10.3390/e27020211 - 17 Feb 2025
Viewed by 231
Abstract
In this work, we consider the waveform design for radar systems based on orthogonal time–frequency space (OTFS). The conditional mutual information (CMI), chosen as a promising metric for assessing the radar cognitive capability, serves as the criterion for OTFS waveform design. After formulating [...] Read more.
In this work, we consider the waveform design for radar systems based on orthogonal time–frequency space (OTFS). The conditional mutual information (CMI), chosen as a promising metric for assessing the radar cognitive capability, serves as the criterion for OTFS waveform design. After formulating the OTFS waveform design problem based on maximizing CMI, we propose an equivalent waveform processing approach by minimizing the autocorrelation sidelobes and cross-correlations (ASaCC) of the OTFS transmitting matrix. Simulation results demonstrate that superior performance in target information extraction is achieved by the optimized OTFS waveforms compared to random waveforms. Full article
(This article belongs to the Section Information Theory, Probability and Statistics)
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27 pages, 3817 KiB  
Article
Multi-Function Working Mode Recognition Based on Multi-Feature Joint Learning
by Lei Liu, Minghua Wu, Dongyang Cheng and Wei Wang
Remote Sens. 2025, 17(3), 521; https://doi.org/10.3390/rs17030521 - 3 Feb 2025
Viewed by 440
Abstract
With advancements in phased array and cognitive technologies, the adaptability of modern multifunction radars (MFRs) has significantly improved, enabling greater flexibility in waveform parameters and beam scheduling. However, these enhancements have made it increasingly difficult to establish fixed relationships between working modes using [...] Read more.
With advancements in phased array and cognitive technologies, the adaptability of modern multifunction radars (MFRs) has significantly improved, enabling greater flexibility in waveform parameters and beam scheduling. However, these enhancements have made it increasingly difficult to establish fixed relationships between working modes using traditional radar recognition methods. Furthermore, conventional approaches often exhibit limited robustness and computational efficiency in complex or noisy environments. To address these challenges, this paper proposes a joint learning framework based on a hybrid model combining convolutional neural networks (CNNs) and Transformers for MFR working mode recognition. This hybrid model leverages the local convolution operations of the CNN module to extract local characters from radar pulse sequences, capturing the dynamic patterns of radar waveforms across different modes. Simultaneously, the multi-head attention mechanism in the Transformer module models long-range dependencies within the sequences, capturing the “semantic information” of waveform scheduling intrinsic to MFR behavior. By integrating characters across multiple levels, the hybrid model effectively recognizes MFR working modes. This study used the data of the Mercury MFR for modeling and simulation, and proved through a large number of experiments that the proposed hybrid model can achieve robust and reliable identification of advanced MFR working modes even in complex electromagnetic environments. Full article
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22 pages, 3181 KiB  
Article
Use of Eye-Tracking Technology to Determine Differences Between Perceptual and Actual Navigational Performance
by Igor Petrović and Srđan Vujičić
J. Mar. Sci. Eng. 2025, 13(2), 247; https://doi.org/10.3390/jmse13020247 - 28 Jan 2025
Viewed by 469
Abstract
This study uses eye-tracking technology (ETT) to investigate discrepancies between seafarers’ perceived and actual performance during simulated maritime operations. The primary objective is to explore how misperceptions regarding the use of navigational tools—such as visual observation, radar, and ECDIS—may contribute to discrepancies in [...] Read more.
This study uses eye-tracking technology (ETT) to investigate discrepancies between seafarers’ perceived and actual performance during simulated maritime operations. The primary objective is to explore how misperceptions regarding the use of navigational tools—such as visual observation, radar, and ECDIS—may contribute to discrepancies in situational awareness, which is critical for safe navigation. By comparing participants’ self-reported perceptions with objective data recorded by ETT, the study highlights cognitive biases that influence navigational decision-making. Data were collected from a simulation scenario involving 32 seafarers with varying levels of maritime experience. The results reveal that participants tend to overestimate their reliance on visual observation and ECDIS, while underestimating their use of radar. These discrepancies may affect decision-making processes and could contribute to an inaccurate perception of situational awareness, although further research is needed to fully establish their direct impact on actual navigational performance. Additionally, the application of ETT identifies differences in the navigational strategies between more and less experienced seafarers, offering insights that could inform the development of training programs aimed at improving situational awareness. Statistical analyses, including Analysis of Variance (ANOVA) and Kruskal–Wallis tests, were conducted to assess the influence of demographic factors on performance. These findings suggest that ETT can be a valuable tool for identifying perceptual biases, potentially improving decision-making and enhancing training for real-world navigational tasks. Full article
(This article belongs to the Special Issue Advances in Navigability and Mooring (2nd Edition))
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15 pages, 3237 KiB  
Article
Height Measurement Method for Meter-Wave Multiple Input Multiple Output Radar Based on Transmitted Signals and Receive Filter Design
by Cong Qin, Qin Zhang, Guimei Zheng, Xiaolong Fu and He Zheng
Sensors 2025, 25(2), 478; https://doi.org/10.3390/s25020478 - 15 Jan 2025
Viewed by 474
Abstract
To address the issue of low-elevation target height measurement in the Multiple Input Multiple Output (MIMO) radar, this paper proposes a height measurement method for meter-wave MIMO radar based on transmitted signals and receive filter design, integrating beamforming technology and cognitive processing methods. [...] Read more.
To address the issue of low-elevation target height measurement in the Multiple Input Multiple Output (MIMO) radar, this paper proposes a height measurement method for meter-wave MIMO radar based on transmitted signals and receive filter design, integrating beamforming technology and cognitive processing methods. According to the characteristics of beamforming technology forming nulls at interference locations, we assume that the direct wave and reflected wave act as interference signals and hypothesize a direction for a hypothetical target. Then, the data received are processed to obtain the height of low-elevation-angle targets using a cognitive approach that jointly optimizes the transmitted signal and receive filter. Firstly, a signal model for the meter-wave MIMO radar based on the transmit weight matrix is established under low-elevation scenarios. Secondly, the signal model is analyzed and transformed. Thirdly, the beamforming algorithm that jointly optimizes the transmitted signals and receive filter is derived and analyzed. The algorithm maximizes the output Signal-to-Interference-plus-Noise ratio (SINR) of the receiver by designing the transmit weight matrix and receive filter. The optimization problem based on the SINR criterion is non-convex and difficult to solve. We transformed it into two sub-optimization problems and approximated the optimal solution through an alternating iteration algorithm. Finally, the proposed height measurement algorithm is compared with the Generalized Multiple Signal Classification (GMUSIC) and Maximum Likelihood (ML) height measurement algorithms. Simulation results show that the proposed algorithm can realize the height measurement of low-elevation targets. Compared to the GMUSIC and ML algorithms, it demonstrates superior performance in terms of computational complexity and multi-target elevation estimation. Full article
(This article belongs to the Section Radar Sensors)
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36 pages, 3744 KiB  
Review
A Review of Cognitive Control: Advancement, Definition, Framework, and Prospect
by Zhenfei Liu and Xunhe Yin
Actuators 2025, 14(1), 32; https://doi.org/10.3390/act14010032 - 15 Jan 2025
Viewed by 752
Abstract
The operational environments of engineering systems are becoming increasingly complex and require automatic control systems to be more intelligent. Cognitive control extends the domain of intelligent control, whereby cognitive science theories are applied to guide the design of automatic control systems to make [...] Read more.
The operational environments of engineering systems are becoming increasingly complex and require automatic control systems to be more intelligent. Cognitive control extends the domain of intelligent control, whereby cognitive science theories are applied to guide the design of automatic control systems to make them conform to the human cognition paradigm and behave like a real person, hence improving physical systems performance. Cognitive control has been investigated in several fields, but a comprehensive review covering all these fields has yet to be provided in any paper. This paper first presents a review of cognitive control development and related works. Then, the relationship between cognitive control and cognitive science is analyzed, based on which the definition and framework of cognitive control are summarized from the perspective of automation and control. Cognitive control is then compared with similar concepts, such as cognitive radio and cognitive radar, and similar control methods, such as intelligent control, robust control, and adaptive control. Finally, the main issues, research directions, and development prospects are discussed. We expect that this paper will contribute to the development of cognitive control. Full article
(This article belongs to the Section Control Systems)
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19 pages, 2372 KiB  
Article
Cognitive FDA-MIMO Radar Network’s Transmit Element Selection Algorithm for Target Tracking in a Complex Interference Scenario
by Yingfei Yan, Haihong Tao, Jingjing Guo and Biao Yang
Remote Sens. 2025, 17(1), 59; https://doi.org/10.3390/rs17010059 - 27 Dec 2024
Viewed by 404
Abstract
In the future, radar will encounter a more intricate and ever-changing electromagnetic interference environment. Consequently, one crucial trajectory for radar system evolution is the incorporation of network and cognition capabilities to meet these emerging challenges. The traditional frequency diversity array multiple-input multiple-output (FDA-MIMO) [...] Read more.
In the future, radar will encounter a more intricate and ever-changing electromagnetic interference environment. Consequently, one crucial trajectory for radar system evolution is the incorporation of network and cognition capabilities to meet these emerging challenges. The traditional frequency diversity array multiple-input multiple-output (FDA-MIMO) radar is rendered ineffective due to occurrences of frequency spectrum interference and main-lobe deceptive interference with arbitrary time delays. Therefore, a cognitive FDA-MIMO radar network (CFDA-MIMORN) transmit element selection algorithm is introduced. At first, the target is discriminated from the false targets. The Kalman filter is used to track the target, then available information is used to infer the target’s position in the next time step. The finite transmit elements of the radar network are organized to enhance tracking performance, especially in the presence of frequency spectrum interferences. The numerical simulations demonstrate that the proposed CFDA-MIMORN can effectively discriminate the true target from false targets, and optimize the allocation of transmit elements to avoid interferences, resulting in improved tracking accuracy. Full article
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24 pages, 8214 KiB  
Article
Research on Sea Clutter Simulation Method Based on Deep Cognition of Characteristic Parameters
by Peng Zeng, Yushi Zhang, Xiaoyun Xia, Jinpeng Zhang, Pengbo Du, Zhiheng Hua and Shuhan Li
Remote Sens. 2024, 16(24), 4741; https://doi.org/10.3390/rs16244741 - 19 Dec 2024
Viewed by 620
Abstract
The development of radar systems requires extensive testing. However, field experiments are costly and time-consuming. Sea clutter simulation is of great significance for evaluating radar system detection performance. Traditional clutter simulation methods are unable to achieve clutter simulation based on the description of [...] Read more.
The development of radar systems requires extensive testing. However, field experiments are costly and time-consuming. Sea clutter simulation is of great significance for evaluating radar system detection performance. Traditional clutter simulation methods are unable to achieve clutter simulation based on the description of environmental parameters, which leads to a certain gap from practical applications. Therefore, this paper proposes a sea clutter simulation method based on the deep cognition of characteristic parameters. Firstly, the proposed method innovatively constructs a shared multi-task neural network, which compensates for the lack of integrated prediction of multi-dimensional characteristic parameters of sea clutter. Furthermore, based on the predicted clutter characteristic parameters combined with the spatial–temporal correlated K-distribution clutter simulation method, and considering the modulation of radar antenna patterns, the whole process of end-to-end simulation from measurement condition parameters to clutter data is accomplished for the first time. Finally, four metrics are cited for a comprehensive evaluation of the simulated clutter data. Based on the experimental results using measured data, the data simulated by this method have a correlation of over 93% in statistical characteristics with the measured data. The results demonstrate that this method can achieve the accurate simulation of sea clutter data based on measured condition parameters. Full article
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22 pages, 7658 KiB  
Article
Emotion Recognition in a Closed-Cabin Environment: An Exploratory Study Using Millimeter-Wave Radar and Respiration Signals
by Hanyu Wang, Dengkai Chen, Sen Gu, Yao Zhou, Jianghao Xiao, Yiwei Sun, Jianhua Sun, Yuexin Huang, Xian Zhang and Hao Fan
Appl. Sci. 2024, 14(22), 10561; https://doi.org/10.3390/app142210561 - 15 Nov 2024
Viewed by 811
Abstract
In the field of psychology and cognition within closed cabins, noncontact vital sign detection holds significant potential as it can enhance the user’s experience by utilizing objective measurements to assess emotions, making the process more sustainable and easier to deploy. To evaluate the [...] Read more.
In the field of psychology and cognition within closed cabins, noncontact vital sign detection holds significant potential as it can enhance the user’s experience by utilizing objective measurements to assess emotions, making the process more sustainable and easier to deploy. To evaluate the capability of noncontact methods for emotion recognition in closed spaces, such as submarines, this study proposes an emotion recognition method that employs a millimeter-wave radar to capture respiration signals and uses a machine-learning framework for emotion classification. Respiration signals were collected while the participants watched videos designed to elicit different emotions. An automatic sparse encoder was used to extract features from respiration signals, and two support vector machines were employed for emotion classification. The proposed method was experimentally validated using the FaceReader software, which is based on audiovisual signals, and achieved an emotion classification accuracy of 68.21%, indicating the feasibility and effectiveness of using respiration signals to recognize and assess the emotional states of individuals in closed cabins. Full article
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18 pages, 982 KiB  
Review
Remote Sensing and GIS in Natural Resource Management: Comparing Tools and Emphasizing the Importance of In-Situ Data
by Sanjeev Sharma, Justin O. Beslity, Lindsey Rustad, Lacy J. Shelby, Peter T. Manos, Puskar Khanal, Andrew B. Reinmann and Churamani Khanal
Remote Sens. 2024, 16(22), 4161; https://doi.org/10.3390/rs16224161 - 8 Nov 2024
Cited by 2 | Viewed by 4992
Abstract
Remote sensing (RS) and Geographic Information Systems (GISs) provide significant opportunities for monitoring and managing natural resources across various temporal, spectral, and spatial resolutions. There is a critical need for natural resource managers to understand the expanding capabilities of image sources, analysis techniques, [...] Read more.
Remote sensing (RS) and Geographic Information Systems (GISs) provide significant opportunities for monitoring and managing natural resources across various temporal, spectral, and spatial resolutions. There is a critical need for natural resource managers to understand the expanding capabilities of image sources, analysis techniques, and in situ validation methods. This article reviews key image analysis tools in natural resource management, highlighting their unique strengths across diverse applications such as agriculture, forestry, water resources, soil management, and natural hazard monitoring. Google Earth Engine (GEE), a cloud-based platform introduced in 2010, stands out for its vast geospatial data catalog and scalability, making it ideal for global-scale analysis and algorithm development. ENVI, known for advanced multi- and hyperspectral image processing, excels in vegetation monitoring, environmental analysis, and feature extraction. ERDAS IMAGINE specializes in radar data analysis and LiDAR processing, offering robust classification and terrain analysis capabilities. Global Mapper is recognized for its versatility, supporting over 300 data formats and excelling in 3D visualization and point cloud processing, especially in UAV applications. eCognition leverages object-based image analysis (OBIA) to enhance classification accuracy by grouping pixels into meaningful objects, making it effective in environmental monitoring and urban planning. Lastly, QGIS integrates these remote sensing tools with powerful spatial analysis functions, supporting decision-making in sustainable resource management. Together, these tools when paired with in situ data provide comprehensive solutions for managing and analyzing natural resources across scales. Full article
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30 pages, 6439 KiB  
Article
Adaptive Multi-Function Radar Temporal Behavior Analysis
by Zhenjia Xu, Qingsong Zhou, Zhihui Li, Jialong Qian, Yi Ding, Qinxian Chen and Qiyun Xu
Remote Sens. 2024, 16(22), 4131; https://doi.org/10.3390/rs16224131 - 6 Nov 2024
Viewed by 1126
Abstract
The performance of radar mode recognition has been significantly enhanced by the various architectures of deep learning networks. However, these approaches often rely on supervised learning and are susceptible to overfitting on the same dataset. As a transitional phase towards Cognitive Multi-Functional Radar [...] Read more.
The performance of radar mode recognition has been significantly enhanced by the various architectures of deep learning networks. However, these approaches often rely on supervised learning and are susceptible to overfitting on the same dataset. As a transitional phase towards Cognitive Multi-Functional Radar (CMFR), Adaptive Multi-Function Radar (AMFR) possesses the capability to emit identical waveform signals across different working modes and states for task completion, with dynamically adjustable waveform parameters that adapt based on scene information. From a reconnaissance perspective, the valid signals received exhibit sparsity and localization in the time series. To address this challenge, we have redefined the reconnaissance-focused research priorities for radar systems to emphasize behavior analysis instead of pattern recognition. Based on our initial comprehensive digital system simulation model of a radar, we conducted reconnaissance and analysis from the perspective of the reconnaissance side, integrating both radar and reconnaissance aspects into environmental simulations to analyze radar behavior under realistic scenarios. Within the system, waveform parameters on the radar side vary according to unified rules, while resource management and task scheduling switch based on operational mechanisms. The target in the reconnaissance side maneuvers following authentic behavioral patterns while adjusting the electromagnetic space complexity in the environmental aspect as required. The simulation results indicate that temporal annotations in signal flow data play a crucial role in behavioral analysis from a reconnaissance perspective. This provides valuable insights for future radar behavior analysis incorporating temporal correlations and sequential dependencies. Full article
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20 pages, 584 KiB  
Article
Cognitive Radar Waveform Selection for Low-Altitude Maneuvering-Target Tracking: A Robust Information-Aided Fusion Method
by Xiang Feng, Ping Sun, Lu Zhang, Guangle Jia, Jun Wang and Zhiquan Zhou
Remote Sens. 2024, 16(21), 3951; https://doi.org/10.3390/rs16213951 - 23 Oct 2024
Viewed by 1055
Abstract
In this paper, we introduce an innovative interacting multiple-criterion selection (IMCS) idea to design the optimal radar waveform, aimingto reduce tracking error and enhance tracking performance. This method integrates the multiple-hypothesis tracking (MHT) and Rao–Blackwellized particle filter (RBPF) algorithms to tackle maneuvering First-Person-View [...] Read more.
In this paper, we introduce an innovative interacting multiple-criterion selection (IMCS) idea to design the optimal radar waveform, aimingto reduce tracking error and enhance tracking performance. This method integrates the multiple-hypothesis tracking (MHT) and Rao–Blackwellized particle filter (RBPF) algorithms to tackle maneuvering First-Person-View (FPV) drones in a three-dimensional low-altitude cluttered environment. A complex hybrid model, combining linear and nonlinear states, is constructed to describe the high maneuverability of the target. Based on the interacting multiple model (IMM) framework, our proposed IMCS method employs several waveform selection criteria as models and determines the optimal criterion with the highest probability to select waveform parameters. The simulation results indicate that the MHT–RBPF algorithm, using the IMCS method for adaptive parameter selection, exhibits high accuracy and robustness in tracking a low-altitude maneuvering target, resulting in lower root mean square error (RMSE) compared with fixed- or single-waveform selection mechanisms. Full article
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21 pages, 1727 KiB  
Article
Flight Plan Optimisation of Unmanned Aerial Vehicles with Minimised Radar Observability Using Action Shaping Proximal Policy Optimisation
by Ahmed Moazzam Ali, Adolfo Perrusquía, Weisi Guo and Antonios Tsourdos
Drones 2024, 8(10), 546; https://doi.org/10.3390/drones8100546 - 1 Oct 2024
Cited by 3 | Viewed by 1252
Abstract
The increasing use of unmanned aerial vehicles (UAVs) is overwhelming air traffic controllers for the safe management of flights. There is a growing need for sophisticated path-planning techniques that can balance mission objectives with the imperative to minimise radar exposure and reduce the [...] Read more.
The increasing use of unmanned aerial vehicles (UAVs) is overwhelming air traffic controllers for the safe management of flights. There is a growing need for sophisticated path-planning techniques that can balance mission objectives with the imperative to minimise radar exposure and reduce the cognitive burden of air traffic controllers. This paper addresses this challenge by developing an innovative path-planning methodology based on an action-shaping Proximal Policy Optimisation (PPO) algorithm to enhance UAV navigation in radar-dense environments. The key idea is to equip UAVs, including future stealth variants, with the capability to navigate safely and effectively, ensuring their operational viability in congested radar environments. An action-shaping mechanism is proposed to optimise the path of the UAV and accelerate the convergence of the overall algorithm. Simulation studies are conducted in environments with different numbers of radars and detection capabilities. The results showcase the advantages of the proposed approach and key research directions in this field. Full article
(This article belongs to the Collection Drones for Security and Defense Applications)
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13 pages, 1634 KiB  
Article
The Effect of Time Display Format on Cognitive Performance of Integrated Meteorological Radar Information
by Bo Liu, Yunhe Wang and Yongxin Li
Behav. Sci. 2024, 14(9), 847; https://doi.org/10.3390/bs14090847 - 20 Sep 2024
Viewed by 1002
Abstract
A proper time display format is essential for pilots to understand integrated meteorological radar information, thereby making informed flying decisions and steering clear of hazardous weather. Previous studies on time display format supported the advantages of digital format, while some studies found that [...] Read more.
A proper time display format is essential for pilots to understand integrated meteorological radar information, thereby making informed flying decisions and steering clear of hazardous weather. Previous studies on time display format supported the advantages of digital format, while some studies found that analog clock format is superior to digital format. This study explored the effect of time display format on the cognitive performance of integrated meteorological radar information through two experiments. Experiment 1 first examined the effects of digital and analog clock displays on the timing of individual processing advance or delay changes in a general scenario. Then, Experiment 2 was conducted in a simulated flight scenario to investigate the advantages and disadvantages of digital and analog clock display in delay time processing with and without time pressure. The results showed the following: (1) Analog clock has more advantages than digital display format in processing the varying time difference. (2) Whether with or without time pressure, analog clock is more conducive to individual cognition of integrated meteorological radar information than digital time display. (3) The length of delay time is an important factor affecting individual time cognition, and it can also affect the cognition of radar information. The longer the delay time, the more difficult it is to identify the time and understand the information. These findings provide a certain reference for the design of the integrated meteorological radar information display interface. Full article
(This article belongs to the Section Cognition)
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20 pages, 9655 KiB  
Article
Dynamic RCS Modeling and Aspect Angle Analysis for Highly Maneuverable UAVs
by Kerem Sen, Sinan Aksimsek and Ali Kara
Aerospace 2024, 11(9), 775; https://doi.org/10.3390/aerospace11090775 - 20 Sep 2024
Viewed by 1540
Abstract
Unmanned aerial vehicles (UAVs) are increasingly significant in modern warfare due to their versatility and capacity to perform high-risk missions without risking human lives. Beyond surveillance and reconnaissance, UAVs with jet propulsion and engagement capabilities are set to play roles similar to conventional [...] Read more.
Unmanned aerial vehicles (UAVs) are increasingly significant in modern warfare due to their versatility and capacity to perform high-risk missions without risking human lives. Beyond surveillance and reconnaissance, UAVs with jet propulsion and engagement capabilities are set to play roles similar to conventional jets. In various scenarios, military aircraft, drones, and UAVs face multiple threats while ground radar systems continuously monitor their positions. The interaction between these aerial platforms and radars causes temporal fluctuations in scattered echo power due to changes in aspect angle, impacting radar tracking accuracy. This study utilizes the potential radar cross-section (RCS) dynamics of an aircraft throughout its flight, using ground radar as a reference. Key factors influencing RCS include time, frequency, polarization, incident angle, physical geometry, and surface material, with a focus on the complex scattering geometry of the aircraft. The research evaluates the monostatic RCS case and examines the impact of attitude variations on RCS scintillation. Here, we present dynamic RCS modeling by examining the influence of flight dynamics on the RCS fluctuations of a UAV-sized aircraft. Dynamic RCS modeling is essential in creating a robust framework for operational analysis and developing effective countermeasure strategies, such as advanced active decoys. Especially in the cognitive radar concept, aircraft will desperately need more dynamic and adaptive active decoys. A methodology for calculating target aspect angles is proposed, using the aircraft’s attitude and spherical position relative to the radar system. A realistic 6DoF (6 degrees of freedom) flight data time series generated by a commercial flight simulator is used to derive aircraft-to-radar aspect angles. By estimating aspect angles for a simulated complex flight trajectory, RCS scintillation throughout the flight is characterized. The study highlights the importance of maneuver parameters such as roll and pitch on the RCS measured at the radar by comparing datasets with and without these parameters. Significant differences were found, with a 32.44% difference in RCS data between full maneuver and no roll and pitch changes. Finally, proposed future research directions and insights are discussed. Full article
(This article belongs to the Section Aeronautics)
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11 pages, 655 KiB  
Article
Real-World Adherence to a Delirium Screening Test Administered by Nurses and Medical Staff during Routine Patient Care
by Rashad Soboh, Meital Rotfeld, Sharon Gino-Moor, Nizar Jiries, Shira Ginsberg and Ron Oliven
Brain Sci. 2024, 14(9), 862; https://doi.org/10.3390/brainsci14090862 - 27 Aug 2024
Viewed by 972
Abstract
Delirium is often the first symptom of incipient acute illness or complications and must therefore be detected promptly. Nevertheless, routine screening for delirium in acute care hospital wards is often inadequate. We recently implemented a simple, user-friendly delirium screening test (RMA) that can [...] Read more.
Delirium is often the first symptom of incipient acute illness or complications and must therefore be detected promptly. Nevertheless, routine screening for delirium in acute care hospital wards is often inadequate. We recently implemented a simple, user-friendly delirium screening test (RMA) that can be administered during ward rounds and routine nursing care. The test was found to be non-inferior to 4AT in terms of sensitivity and specificity. However, the dominant factors to take into account when assessing the performance of a test added to the routine work of busy acute care hospital wards are ease of administration, real-life amenability and the ability of the staff to adhere to testing requirements. In this study, we evaluated the prevalence of daily RMA tests that were not administered as scheduled and the impact of these omissions on the overall real-world performance of RMA. Using point-in-time assessments of 4AT by an external rater, we found that complete RMA was administered in 88.8% of the days. Physicians omitted significantly more tests than nurses, but their results were more specific for delirium. Omissions reduced the sensitivity and specificity of RMA for delirium (compared to 4AT) from 90.7% to 81.7%, and from 99.2% to 87.8%, respectively. Ideally, the number of omitted RMA tests should be minimized. However, if over 85% of the daily quota of complete tests are administered, the sensitivity and specificity of RMA for diagnosing delirium as soon as it appears remain at acceptable levels. Full article
(This article belongs to the Section Neurorehabilitation)
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