Search Results (498)

A cloud-based interactive application (CIA) is an application running in the cloud with stringent interactivity requirements, such as remote desktop and cloud gaming. These services have experienced a surge in usage, primarily due to the adoption of new remote work practices during the pandemic and the emergence of entertainment schemes similar to cloud gaming platforms. Evaluating the quality of experience (QoE) in these applications requires specific metrics, including interactivity time, responsiveness, and the assessment of video- and audio-quality degradation. Despite existing studies that evaluate QoE and compare features of general cloud applications, systematic research into QoE for CIAs is lacking. Previous surveys often narrow their focus, overlooking a comprehensive assessment. They touch on QoE in broader contexts but fall short in detailed metric analysis. Some emphasise areas like mobile cloud computing, omitting CIA-specific nuances. This paper offers a comprehensive survey of QoE measurement techniques in CIAs, providing a taxonomy of input metrics, strategies, and evaluation architectures. State-of-the-art proposals are assessed, enabling a comparative analysis of their strengths and weaknesses and identifying future research directions. Full article

“Smart city” refers to a modern solution to organizing a city’s services, using cloud technologies to collect and evaluate large amounts of data, including data from camera systems. Smart city management covers several areas that can be implemented separately, but only their combination can realize the overall desired smart city function. One of the core areas of smart city automation is smart city transport. Transportation is a crucial system in any city, and this is why it needs to be monitored. The primary objective of this publication is to generate top-notch 4K UHD video sequences that are solely dedicated to showcasing smart cities and their transportation systems. The resulting comprehensive database will be made accessible to all professionals in the field, who can utilize it for extensive research purposes. Additionally, all the reference video sequences will be transcoded into various quality settings by altering critical parameters like the resolution, compression standard, and bit rate. The ultimate aim is to determine the best combination of video parameters and their respective settings based on the measured values. This in-depth evaluation will ensure that each video sequence is of the highest quality and provides an unparalleled experience for the service providers offering the service. The video sequences captured will be analyzed for quality assessments in smart cities or smart transport technologies. The database will also include objective and subjective ratings, along with information about the dynamics determined by spatial and temporal information. This will enable a comparison of the subjective evaluation of a selected sample of our respondents with the work of other researchers, who may evaluate it with a different sample of evaluators. The assumption of our future research is to predict the subjective quality based on the type of sequence determined by its dynamicity. Full article

There are more than 13,000 new cases of cervical cancer each year in the United States and approximately 245,000 survivors. External beam radiation and brachytherapy are the front-line treatment modalities, and 60% of patients develop vaginal damage and constriction, i.e., stenosis of the vaginal vault, greatly impeding sexual function. The incidence of vaginal stenosis (VS) following radiotherapy (RT) for anorectal cancer is 80%. VS causes serious quality of life (QoL) and psychological issues, and while standard treatment using self-administered plastic dilators is effective, acceptance and compliance are often insufficient. Based on published patient preferences, we have pursued the design of a soft inflatable dilator for treating radiotherapy-induced vaginal stenosis (VS). The critical component of the novel device is the dilator balloon wall material, which must be compliant yet able to exert therapeutic lateral force levels. We selected a commercially available silicone elastomer and characterized its stress–strain characteristics and hyperelastic properties. These parameters were quantified using uniaxial tensile testing and digital image correlation (DIC). Dilator inflation versus internal pressure was modeled and experimentally validated in order to characterize design parameters, particularly the dilator wall thickness. Our data suggest that an inflatable silicone elastomer-based vaginal dilator warrants further development in the context of a commercially available, well-tolerated, and effective device for the graded, controlled clinical management of radiotherapy-induced VS. Full article

The aim of the present study was to investigate adverse effects of head injury, neck trauma, and chronic noise exposure on the complaint profile in people with Ménière’s disease (MD). The study used a retrospective design. Register data of 912 patients with MD from the Finnish Ménière Federation database were studied. The data comprised case histories of traumatic brain injury (TBI), neck trauma and occupational noise exposure, MD specific complaints, impact related questions, and the E-Qol health-related quality of life instrument. TBI was classified based on mild, moderate, and severe categories of transient loss of consciousness (TLoC). The mean age of the participants was 60.2 years, the mean duration of the disease was 12.6 years, and 78.7% were females. Logistic regression analysis, linear correlation, and pairwise comparisons were used in evaluating the associations. 19.2% of the participants with MD had a history of TBI. The phenotype of participants with TBI was associated with frequent vestibular drop attacks (VDA), presyncope, headache-associated vertigo, and a reduction in the E-QoL. Logistic regression analysis explained the variability of mild TBI in 6.8%. A history of neck trauma was present in 10.8% of the participants. Neck trauma associated with vertigo (NTwV) was seen in 47 and not associated with vertigo in 52 participants. The phenotype of NTwV was associated with balance problems, VDA, physical strain-induced vertigo, and hyperacusia. Logistic regression analysis explained 8.7% of the variability of the complaint profile. Occupational noise exposure was recorded in 25.4% of the participants and correlated with the greater impact of tinnitus, hyperacusis, and hearing loss. Neither the frequency, duration, or severity of vertigo or nausea were significantly different between the baseline group and the TBI, NTwV, or noise-exposure groups. The results indicate that TBI and NTwV are common among MD patients and may cause a confounder effect. Full article

The prevalence of adverse reactions to foodstuffs (ARFS), such as food allergy (FA) and food intolerance (FI), has been increasing worldwide during the past decades. Currently, strict food allergen avoidance is the principal recommended treatment of ARFS. However, individuals with ARFS following elimination diets have shown crucial micronutrient deficiencies. There is an emerging necessity for an effective ARFS strategy which may help mitigate the nutritional deficiency problem. To develop a strategy for the management of ARFS including a food allergen-specific substitutive diet (FASSD) together with the evaluation of the clinical picture, food consumption, food-allergen profile and quality of life (QoL) in adults with ARFS. The interest of this study is focused on current growing public health problems: FA and FI. The following measurements will be considered: (1) informed consent and inclusion/exclusion criteria forms; (2) symptomatology, food consumption and dietary intake: PSIMP-ARFSQ-10 and FBFC-ARFSQ-18 validated ARFS-specific questionnaires and a 24 h dietary recall interview; (3) immunology: food-allergen profile (IgE and IgG₄ antibodies against 82 common Mediterranean food and beverages) using HELIA^® Helmed line immunoassay analyzer (Aesku.Diagnostics, Wendelsheim, Germany); (4) enzymatic activity: lactose and fructose breath test using Cerascreen^® hydrogen and methane detector kit (Cerascreen GmbH, Schwerin, Germany); (5) QoL aspects: SF-12 and FAQLQ-AF validated questionnaires; (6) six-month FASSD intervention; (7) repetition of measurements from 1 to 6; (8) adjustment of the FASSD. The six-month FASSD was designed for adults aged 18 to 70 years according to individual immunological and enzymatic results. Substitutive foodstuffs were chosen using BEDCA, USDA and NCCDB food composition databases reference tables when they represented the same nutritional value as the foodstuff with positive IgE and IgG₄ reaction (≥3.5 kU_A/L). Particular attention was paid to vitamin A, D, E, C, folate, B1, B2, B3, B6, B12, calcium, iron, potassium, magnesium, sodium, phosphorus, iodine, selenium and zinc when choosing the substitutive foodstuffs. The FASSD was developed as a proposed tool to improve health and QoL of adults with symptoms associated with ARFS. Full article

Addressing the inadequacy of medical facilities in rural communities and the high number of patients affected by ailments that need to be treated immediately is of prime importance for all countries. The various recent healthcare emergency situations bring out the importance of telemedicine and demand rapid transportation of patients to nearby hospitals with available resources to provide the required medical care. Many current healthcare facilities and ambulances are not equipped to provide real-time risk assessment for each patient and dynamically provide the required medical interventions. This work proposes an IoT-based mobile medical edge (IM²E) node to be integrated with wearable and portable devices for the continuous monitoring of emergency patients transported via ambulances and it delves deeper into the existing challenges, such as (a) a lack of a simplified patient risk scoring system, (b) the need for architecture that enables seamless communication for dynamically varying QoS requirements, and (c)the need for context-aware knowledge regarding the effect of end-to-end delay and the packet loss ratio (PLR) on the real-time monitoring of health risks in emergency patients. The proposed work builds a data path selection model to identify the most effective path through which to route the data packets in an effective manner. The signal-to-noise interference ratio and the fading in the path are chosen to analyze the suitable path for data transmission. Full article

Introduction: Surgical management of gastric adenocarcinoma can have a drastic impact on a patient’s quality of life (QoL). There is high variability among surgeons’ preferences for the type of resection and reconstructive method. Peri-operative and cancer-specific outcomes remain equivalent between the different approaches. Therefore, postoperative quality of life can be viewed as a deciding factor for the surgical approach. The goal of this study was to interrogate patient QoL using patient-reported outcomes (PROs) following gastrectomy for gastric cancer. Methods: This systematic review was registered at Prospero and followed PRISMA guidelines. Medline, Embase, and Scopus were used to perform a literature search on 18 January 2020. A set of selection criteria and the data extraction sheet were predefined. Covidence (Melbourne, Australia) software was used; two reviewers (P.C.V. and E.J.) independently reviewed the articles, and a third resolved conflicts (A.B.F.). Results: The search yielded 1446 studies; 308 articles underwent full-text review. Ultimately, 28 studies were included for qualitative analysis, including 4630 patients. Significant heterogeneity existed between the studies. Geography was predominately East Asian (22/28 articles). While all aspects of quality of life were found to be affected by a gastrectomy, most functional or symptom-specific measures reached baseline by 6–12 months. The most significant ongoing symptoms were reflux, diarrhoea, and nausea/vomiting. Discussion: Generally, patients who undergo a gastrectomy return to baseline QoL by one year, regardless of the type of surgery or reconstruction. A subtotal distal gastrectomy is preferred when proper oncologic margins can be obtained. Additionally, no one form of reconstruction following gastrectomy is statistically preferred over another. However, for subtotal distal gastrectomy, there was a trend toward Roux-en-Y reconstruction as superior to abating reflux. Full article

The development of new telecommunication services requires the implementation of advanced technologies and the next generations of networks. Currently, the Long-Term Evolution (LTE) is a widely used standard. On the other hand, more and more mobile network operators (MNOs) are implementing the fifth-generation (5G) New Radio standard in their networks. It allows for increasing throughput, spectral, and energy efficiency and maximizing coverage, while reducing latency. The effectiveness of the introduced changes is measured by assessing the quality of service (QoS) in mobile networks. The paper presents the result evaluation of the QoS measurement campaign carried out using the drive test method in an urban area for four MNOs. We analyze the data transmission scenario, which is the basis of most modern telecommunications services. The result comparison provides an assessment of the 5G service implementation advancement by MNOs. In this analysis, we consider many QoS metrics (e.g., session time, throughput, and round-trip time) and parameters defining the radio signal quality (i.e., reference signal received power, signal-to-interference-plus-noise ratio). Our work also included searching for relationships between these parameters, using a correlation analysis. It allows for the selection of uncorrelated parameters to assess the quality of network, i.e., MNO evaluation, in terms of the provided QoS. Full article

While current video quality assessment research predominantly revolves around resolutions of 4 K and beyond, targeted at ultra high-definition (UHD) displays, effective video quality for mobile video streaming remains primarily within the range of 480 p to 1080 p. In this study, we conducted a comparative analysis of the quality of experience (QoE) for widely implemented video codecs on mobile devices, specifically Advanced Video Coding (AVC), its successor High-Efficiency Video Coding (HEVC), and Google’s VP9. Our choice of 720 p video sequences from a newly developed database, all with identical bitrates, aimed to maintain a manageable subjective assessment duration, capped at 35–40 min. To mimic real-time network conditions, we generated stimuli by streaming original video clips over a controlled emulated setup, subjecting them to eight different packet-loss scenarios. We evaluated the quality and structural similarity of the distorted video clips using objective metrics, including the Video Quality Metric (VQM), Peak Signal-to-Noise Ratio (PSNR), Video Multi-Method Assessment Fusion (VMAF), and Multi-Scale Structural Similarity Index (MS-SSIM). Subsequently, we collected subjective ratings through a custom mobile application developed for Android devices. Our findings revealed that VMAF accurately represented the degradation in video quality compared to other metrics. Moreover, in most cases, HEVC exhibited an advantage over both AVC and VP9 under low packet-loss scenarios. However, it is noteworthy that in our test cases, AVC outperformed HEVC and VP9 in scenarios with high packet loss, based on both subjective and objective assessments. Our observations further indicate that user preferences for the presented content contributed to video quality ratings, emphasizing the importance of additional factors that influence the perceived video quality of end users. Full article

Due to the proliferation of video data in Internet of Things (IoT) systems, in order to reduce the data burden, most social media platforms typically employ downsampling to reduce the resolution of high-resolution (HR) videos before video coding. Consequently, the loss of detail and the introduction of additional artifacts seriously compromise the quality of experience (QoE). Recently, the task of compressive video super-resolution (CVSR) has garnered significant attention, aiming to simultaneously eliminate compression artifacts and enhance the resolution of compressed videos. In this paper, we propose an edge-oriented compressed video super-resolution network (EOCVSR), which focuses on reconstructing higher-quality details, to effectively address the CVSR task. Firstly, we devised a motion-guided alignment module (MGAM) to achieve precise bi-direction motion compensation in a multi-scale manner. Secondly, we introduced an edge-oriented recurrent block (EORB) to reconstruct edge information by combining the merits of explicit and implicit edge extraction. In addition, benefiting from the recurrent structure, the receptive field of EOCVSR can be enhanced and the features can be effectively refined without introducing additional parameters. Extensive experiments conducted on benchmark datasets demonstrate that our method surpasses the performance of state-of-the-art (SOTA) approaches in both quantitative and qualitative evaluations. Our approach can provide users with high-quality and cost-effective HR videos by integrating with sensors and codecs. Full article

Reconfigurable intelligent surface-aided communication systems have been intensively investigated to improve capacity, coverage, and energy efficiency via optimal controlling of phase shifts for passive reflecting elements. However, there are few studies on cooperative transmission incorporating RIS in TDMA systems, because RIS reflects all the incident signals, and it inadvertently leads to a boost in interference signals. In this paper, we propose RIS-assisted cooperative time-division multiple access, in which the required SINR of all users is guaranteed as much as possible by opportunistic use of RIS for cooperative transmission. The proposed scheme’s primary function is that some time slots, i.e., cooperative time slots, serve a pair of users, i.e., a strong- and a weak-channel-conditioned user, using RIS. To support this functionality, we propose scheduling for non-cooperative and cooperative time slots, user pairing for scheduled cooperative time slots, and transmit beamforming vector design for the pair of UEs in each cooperative time slot. The simulation and numerical results demonstrate that the proposed scheme guarantees QoS for all UE as much as possible and minimizes the remaining required capacity indicating the amount of capacity that was not achieved compared with the required capacity. Full article

Self-management can improve clinical and psychosocial outcomes in cancer survivors. Which intervention characteristics and components are beneficial is unclear, hindering implementation into practice. We systematically searched six databases from inception to 17 November 2021 for studies evaluating self-management interventions for adult cancer survivors post-treatment. Independent reviewers screened for eligibility. Data extraction included population and study characteristics, intervention characteristics (TIDieR) and components (PRISMS), (associations with) quality of life (QoL), self-efficacy, and economic outcomes. Study quality was appraised, and narrative synthesis was conducted. We identified 53 papers reporting 32 interventions. Studies had varying quality. They were most often randomised controlled trials (n = 20), targeted at survivors of breast (n = 10), prostate (n = 7), or mixed cancers (n = 11). Intervention characteristics (e.g., provider, location) varied considerably. On average, five (range 1–10) self-management components were delivered, mostly “Information about condition and its management” (n = 26). Twenty-two studies reported significant QoL improvements (6 also reported significant self-efficacy improvements); these were associated most consistently with combined individual and group delivery. Economic evaluations were limited and inconclusive. Self-management interventions showed promise for improving QoL, but study quality was variable, with substantial heterogeneity in intervention characteristics and components. By identifying what to adapt from existing interventions, these findings can inform development and implementation of self-management interventions in cancer. Full article

In recent years, the concept of quality of life (QoL) has gained significant importance within health care and clinical research, e.g., as in patient-reported outcomes. In gestational diabetes mellitus (GDM) care, enhancing QoL through reasonable interventions is considered equally important as achieving metabolic control and preventing complications in the treatment process, leading to the suggestion that QoL assessment should be implemented as a clinical standard in GDM care. Although a considerable number of questionnaires for the measurement of general as well as health-related and diabetes-specific QoL are frequently used in GDM research, a validated QoL questionnaire tailored to women with GDM does not exist in German-speaking countries. To develop and test such an instrument, we plan to conduct the following steps: (a) translate the Persian questionnaire GDMQ-36, the only GDM-specific questionnaire to date; (b) conduct expert ratings as well as pretests featuring cognitive debriefings and structured interviews with women suffering from GDM for evaluating comprehensibility, face and content validity; (c) pilot and validate the preliminary questionnaire in terms of testing its psychometric performance (e.g., via confirmatory factor analysis). The resulting GDM-specific questionnaire will facilitate a broader perspective of the pregnant women’s expectations, needs, impairments, and burdens related to their disease, and its treatment. This enables physicians and other health professionals to establish an individualized treatment plan and to provide customized information, support, and psychological counseling, which helps to optimize the provided care. Full article

Many applications suitable for multicast transmission, such as video conferencing and live e-commerce, demand high Quality of Service (QoS) and require data delivery to be completed within specified delay constraints. Some methods have been proposed for constructing delay-constrained multicast routing based on network state. However, obtaining precise network latency can be challenging, resulting in inaccuracies in delay-constrained routing calculations and, ultimately, the inability to meet application requirements. Additionally, many methods engage in an indiscriminate exploration of potential paths in the network, causing significant message processing overhead. This paper proposes an Information-Centric Networking (ICN)-based approach for delay-constrained multicast routing. Our method dynamically constructs multicast paths from tree nodes to receivers based on real-time path status detection during the join message propagation phase. Additionally, we present a method for acquiring neighborhood state information to facilitate real-time routing decisions. To curtail indiscriminate path exploration, our approach uses the ICN Name Resolution System (NRS) to obtain and select potential optimal tree nodes. For this purpose, we design a multicast service registration and resolution mechanism using the ICN Name Resolution System (NRS). Simulation results indicate that our approach exhibits a higher success ratio and concurrently incurs lower message processing overhead than some other methods, particularly in situations with stringent delay constraints. Full article

A three-dimensional (3D) video is a special video representation with an artificial stereoscopic vision effect that increases the depth perception of the viewers. The quality of a 3D video is generally measured based on the similarity to stereoscopic vision obtained with the human vision system (HVS). The reason for the usage of these high-cost and time-consuming subjective tests is due to the lack of an objective video Quality of Experience (QoE) evaluation method that models the HVS. In this paper, we propose a hybrid 3D-video QoE evaluation method based on spatial resolution associated with depth cues (i.e., motion information, blurriness, retinal-image size, and convergence). The proposed method successfully models the HVS by considering the 3D video parameters that directly affect depth perception, which is the most important element of stereoscopic vision. Experimental results show that the measurement of the 3D-video QoE by the proposed hybrid method outperforms the widely used existing methods. It is also found that the proposed method has a high correlation with the HVS. Consequently, the results suggest that the proposed hybrid method can be conveniently utilized for the 3D-video QoE evaluation, especially in real-time applications. Full article