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Approaches to Improving Nursing Handoffs in Surgical Wards
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作者 Katherine S. Blondon Frederic Ehrler +2 位作者 Sandrine Le Godais Jean-Yves Wojtasikiewicz Charline Couderc 《Open Journal of Nursing》 2017年第9期1034-1043,共10页
Objective: To propose approaches to improve nursing handoffs for surgical patients, including standardization. Background: Handoffs, or the transfer of accountability and patient information, can generate potential ri... Objective: To propose approaches to improve nursing handoffs for surgical patients, including standardization. Background: Handoffs, or the transfer of accountability and patient information, can generate potential risks for patient safety. Standardization has been proposed to help improve handoffs. Methods: After observing 333 nursing handoffs in the surgical wards of our institution, we conducted a thematic content analysis, comparing and contrasting the observations. Results: Handoff processes, including the use of support tools, varied among the observations. Common themes in the handoff content suggested possibilities of standardization. About half of the 51 interruptions occurring during the observed handoffs were by healthcare professionals. Conclusions: Standardization to improve handoffs should address both the content and the process. Interruptions were common and should be avoided whenever possible. Future studies should also consider the use of mobile applications to support handoffs and clinical documentation. 展开更多
关键词 NURSING handoffs HANDOVER NURSING Sign-Out Shift Report BEDSIDE HANDOFF
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Energy-Efficient Target Channel Sequence Design for Spectrum Handoffs in Cognitive Radio Networks 被引量:1
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作者 Xiaolong Yang Xuezhi Tan 《China Communications》 SCIE CSCD 2017年第5期207-217,共11页
Cognitive radio is considered as an efficient way to improve the spectrum efficiency. As one of its key technologies,spectrum handoff can guarantee the transmission continuity of secondary users(SUs). In this paper,we... Cognitive radio is considered as an efficient way to improve the spectrum efficiency. As one of its key technologies,spectrum handoff can guarantee the transmission continuity of secondary users(SUs). In this paper,we address a new and more generalized spectrum handoff problem in cognitive radio networks(CRNs),by considering simultaneously energy efficiency,multiple spectrum handoffs and multiple channels. Furthermore,effects of the primary users'(PUs')arrival and service rate on the target channel sequence selection are also considered. In order to obtain the energy-efficient target channel sequence,we firstly analyze the energy consumption and the number of delivered bits per hertz in the spectrum handoff process,and formulate a ratio-type energy efficiency optimization problem,which can be transformed into a parametric problem by utilizing fractional programming. Then,we propose an algorithm combining dynamic programming with bisection(DPB)algorithm to solve the energy efficiency optimization problem. Our simulation results verify that the designed target channel sequence has better performance than the existing algorithms in terms of energy efficiency. 展开更多
关键词 energy efficiency spectrum handoff: fractional programming cognitive radio networks
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Patient handoffs in surgery: Successes, failures and room for improvement
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作者 David H Ballard Navdeep S Samra F Dean Griffen 《World Journal of Surgical Procedures》 2016年第1期8-12,共5页
Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been describe... Patient handoffs are transitions where communication failures may lead to errors in patient care.Face-toface handoffs are preferred,however may not always be feasible.Different models and strategies have been described,yet there are few experimental studies.Expanding the problem,the on-call surgeon may be responsible for many patients,few or none that they admitted.Effective handoffs improve the quality of care and result in fewer errors.Herein we review different models of patient handoffs,comment on common pitfalls,and suggest areas for new research. 展开更多
关键词 PATIENT HANDOFF COMMUNICATION PATIENT handover PATIENT care FACE-TO-FACE COMMUNICATION Check OUT Sign OUT
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Intelligent Vertical Handoffs between Heterogeneous Communication Networks 被引量:3
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作者 ZHANG Qi WANG Yi-hong +2 位作者 VICTOR O. K. WANG Ying ZHANG Ping 《The Journal of China Universities of Posts and Telecommunications》 EI CSCD 2005年第2期20-25,共6页
This paper proposes an intelligent vertical handoff algorithm to maintain an ongoing call between a cellular mobile network and a Wireless Local Area Network (WLAN), based on the Received Signal Strength (RSS) thr... This paper proposes an intelligent vertical handoff algorithm to maintain an ongoing call between a cellular mobile network and a Wireless Local Area Network (WLAN), based on the Received Signal Strength (RSS) threshold and an adaptive RSS hysteresis generated by fuzzy logic. In addition, the proposed algorithm accounts for the WLAN traffic loading and the direction of movement and speed of the Mobile Station (MS). Simulation results indicate that the proposed algorithm offers better system performance in terms of number of handoffs and probability of call dropping. 展开更多
关键词 heterogeneous networks vertical handoff fuzzy logic system
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VHO Algorithm for Heterogeneous Networks of UAV-Hangar Cluster Based on GA Optimization and Edge Computing
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作者 Siliang Chen Dongri Shan Yansheng Niu 《Computers, Materials & Continua》 2025年第12期5263-5286,共24页
With the increasing deployment of Unmanned Aerial Vehicle-Hangar(UAV-H)clusters in dynamic environments such as disaster response and precision agriculture,existing networking schemes often struggle with adaptability ... With the increasing deployment of Unmanned Aerial Vehicle-Hangar(UAV-H)clusters in dynamic environments such as disaster response and precision agriculture,existing networking schemes often struggle with adaptability to complex scenarios,while traditional Vertical Handoff(VHO)algorithms fail to fully address the unique challenges of UAV-H systems,including high-speed mobility and limited computational resources.To bridge this gap,this paper proposes a heterogeneous network architecture integrating 5th Generation Mobile Communication Technology(5G)cellular networks and self-organizing mesh networks for UAV-H clusters,accompanied by a novel VHO algorithm.The proposed algorithm leverages Multi-Attribute Decision-Making(MADM)theory combined with Genetic Algorithm(GA)optimization,incorporating edge computing to enable real-time decision-making and offload computational tasks efficiently.By constructing a utility function through attribute and weight matrices,the algorithm ensures UAV-H clusters dynamically select the optimal network access with the highest utility value.Simulation results demonstrate that the proposed method reduces network handoff times by 26.13%compared to the Decision Tree VHO(DT-VHO),effectively mitigating the ping-pong effect,and enhancing total system throughput by 19.99%under the same conditions.In terms of handoff delay,it outperforms the Artificial Neural Network VHO(ANN-VHO),significantly improving the Quality of Service(QoS).Finally,real-world hardware platform experiments validate the algorithm’s feasibility and superior performance in practical UAV-H cluster operations.This work provides a robust solution for seamless network connectivity in high-mobility UAV clusters,offering critical support for emerging applications requiring reliable and efficient wireless communication. 展开更多
关键词 Vertical handoff heterogeneous networks genetic algorithm multiple-attribute decision-making unmanned aerial vehicle edge computing
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基于内容交换的Web Cache集群实现技术 被引量:2
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作者 古志民 王柳华 马俊昌 《北京理工大学学报》 EI CAS CSCD 北大核心 2005年第8期710-713,共4页
采用商用PC集群实现基于内容交换的WebCache服务系统.集群前端的Layer-7交换机接收客户请求,并用HTTP请求头等信息进行基于内容的负载分配,然后转交给相应后端节点进行处理;通过TCPhandoff方式使得后端直接应答客户;后端ARP特殊处理避... 采用商用PC集群实现基于内容交换的WebCache服务系统.集群前端的Layer-7交换机接收客户请求,并用HTTP请求头等信息进行基于内容的负载分配,然后转交给相应后端节点进行处理;通过TCPhandoff方式使得后端直接应答客户;后端ARP特殊处理避免了繁琐的内核编译问题.试验结果表明,该集群的性能价格比较高,对不可缓存对象的处理大约节省40%的响应时间. 展开更多
关键词 Web缓存集群 基于内容交换 TCP HANDOFF
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Analysis of cumulative handoff delay for graded secondary users in cognitive radio networks
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作者 Zhang Lei 张雷 +2 位作者 宋铁成 吴名 胡静 《Journal of Southeast University(English Edition)》 EI CAS 2013年第2期111-117,共7页
According to the fact that the secondary users' delay requirements for data transmission are not unitary in cognitive radio networks, the secondary users are divided into two classes, denoted by SU1 and SU2, respecti... According to the fact that the secondary users' delay requirements for data transmission are not unitary in cognitive radio networks, the secondary users are divided into two classes, denoted by SU1 and SU2, respectively. It is assumed that SU1 has a higher priority to occupy the primary users' unutilized channels than SU2. A preemptive resume priority M/G/1 queuing network is used to model the multiple spectrum handoffs processing. By using a state transition probability matrix and a cost matrix, the average cumulative delays of SU1 and SU2 are calculated, respectively. Numerical results show that the more the primary user's traffic load, the more rapidly the SU2's cumulative handoff delay grows. Compared with the networks where secondary users are unitary, the lower the SUI's arrival rate, the more obviously both SUI's and SU2's handoff delays decrease. The admission access regions limited by the maximum tolerable delay can also facilitate the design of admission control rules for graded secondary users. 展开更多
关键词 cognitive radio network graded secondary users multiple spectrum handoffs cumulative handoff delay admission access region
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一个采用TCP Handoff技术的基于内容调度系统 被引量:2
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作者 范开钦 金海 +1 位作者 邹晓辉 储杰 《计算机工程与科学》 CSCD 2004年第5期11-14,共4页
针对传统的Web调度系统普遍存在可扩展性差、系统开销大等种种缺陷 ,我们研究了一种新的基于内容调度系统。该系统在Linux内核TCP/IP层实现 ,主要采用了TCPHandoff、报文捎带等技术。本文详细阐述了基于内容调度系统的设计原理和实现过... 针对传统的Web调度系统普遍存在可扩展性差、系统开销大等种种缺陷 ,我们研究了一种新的基于内容调度系统。该系统在Linux内核TCP/IP层实现 ,主要采用了TCPHandoff、报文捎带等技术。本文详细阐述了基于内容调度系统的设计原理和实现过程。实验表明 。 展开更多
关键词 TCP Handoff技术 内容调度系统 报文捎带技术 HTTP协议 TCP传递技术 WebBench4.1
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异构网络中基于马尔可夫过程的区分业务无线资源管理研究 被引量:2
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作者 余雪勇 姬国庆 朱洪波 《南京邮电大学学报(自然科学版)》 北大核心 2014年第2期48-56,共9页
文中提出了一种基于UTMS蜂窝网络和WLAN异构网络的协同无线资源管理算法。该算法的关键参数包括业务类型、用户终端移动性和位置信息等,协同地利用异构网络中的资源,并同时能保证业务的QoS和业务成本的最小化。通过马尔可夫模型分析了... 文中提出了一种基于UTMS蜂窝网络和WLAN异构网络的协同无线资源管理算法。该算法的关键参数包括业务类型、用户终端移动性和位置信息等,协同地利用异构网络中的资源,并同时能保证业务的QoS和业务成本的最小化。通过马尔可夫模型分析了算法的有效性。仿真结果表明,在不同的移动性和网络负荷条件下,文中算法能够明显降低不必要的垂直切换到达率,提供稳定的通信,并有效地提高了系统吞吐量。 展开更多
关键词 异构无线网络 无线资源管理 垂直切换 马尔可夫链 heterogeneous wireless networks (HWNs) vertical HANDOFF (VHO)
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Analysis of handoff in distributed mobile communications system based on remote antenna unit selection 被引量:1
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作者 蒋占军 潘文 +1 位作者 赵新胜 尤肖虎 《Journal of Southeast University(English Edition)》 EI CAS 2007年第2期156-161,共6页
A remote antenna unit (RAU) selection model is presented, and two kinds of handoffs, intra-cell handoff (HO) and inter-cell HO, are defined in distributed mobile communications systems (DAS). After that, an inte... A remote antenna unit (RAU) selection model is presented, and two kinds of handoffs, intra-cell handoff (HO) and inter-cell HO, are defined in distributed mobile communications systems (DAS). After that, an inter-cell HO model is proposed, in which the average power of the active set (AS) is used to predict the position of the mobile station (MS). The total power of the AS and the handoff set (HOS) are utilized to determine whether an inter-cell HO is necessary. Furthermore, the relationship between HO parameters and performance metrics is studied in detail based on RAU selection. Simulation results show that both the intra-cell HO and the inter-cell HO can achieve oerfect performance by aoprooriate settings of HO parameters. 展开更多
关键词 distributed mobile communications system HANDOFF generalized cell remote antenna unit selection
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Web服务器集群中TCP Handoff技术及其实现 被引量:1
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作者 李波 李双庆 程代杰 《计算机工程与应用》 CSCD 北大核心 2004年第14期109-110,119,共3页
在传统的Web服务器集群系统中,前端分发器由于通过的数据量太大容易形成瓶颈,进而影响系统的整体性能。该文利用TCPHandoff技术,分散了通过前端分发器的绝大部分网络流量,解决了Web服务器集群中前端分发器的瓶颈问题。通过在Linux环境... 在传统的Web服务器集群系统中,前端分发器由于通过的数据量太大容易形成瓶颈,进而影响系统的整体性能。该文利用TCPHandoff技术,分散了通过前端分发器的绝大部分网络流量,解决了Web服务器集群中前端分发器的瓶颈问题。通过在Linux环境下的原型系统实现和实验数据分析,证明了该技术的有效性。 展开更多
关键词 WEB服务器集群 HANDOFF 分发器
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A packet loss avoidance handoff scheme
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作者 余旭涛 王霄峻 毕光国 《Journal of Southeast University(English Edition)》 EI CAS 2003年第3期212-215,共4页
The basic mobile IP protocol is simple but only suitable for wide area and low speed networks. In this paper, we propose a novel micro-mobile IP handoff scheme, that is the packet loss avoidance handoff scheme. By usi... The basic mobile IP protocol is simple but only suitable for wide area and low speed networks. In this paper, we propose a novel micro-mobile IP handoff scheme, that is the packet loss avoidance handoff scheme. By using an additional cache at the base station and distinguishing packets with packet IDs, the proposed scheme minimizes the number of lost packets during handoff. Network architecture and detailed handoff procedures are given. We also analyze the cache size at the base station, the associated network load with the handoff procedure, and the handoff delay. The scheme is investigated by computer simulations. Simulation results show that the proposed scheme is suitable for environments with fast mobility and frequent handoff. 展开更多
关键词 HANDOFF mobile IP DOMAIN analysis and handoff delay packet loss
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业务选择网关的连接模型研究
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作者 丁振国 张恒新 《微计算机信息》 北大核心 2007年第24期95-97,共3页
业务选择网关是随着Internet和网络个性化服务的发展应运而生的。本文通过对基于请求内容分配机制的主要技术之一TCP Handoff技术的分析介绍,提出了一种不同于传统的业务选择网关请求连接和实现的模型。利用TCP handoff技术能将客户请... 业务选择网关是随着Internet和网络个性化服务的发展应运而生的。本文通过对基于请求内容分配机制的主要技术之一TCP Handoff技术的分析介绍,提出了一种不同于传统的业务选择网关请求连接和实现的模型。利用TCP handoff技术能将客户请求的响应结果直接返回客户端,消除了由业务选择网关节点而引起的网络通信瓶颈,从而可以显著提高整个服务系统的吞吐率,使整体性能得到极大的改善。 展开更多
关键词 业务选择网关 TCP HANDOFF LINUX
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Station based fast handoff solution for IEEE 802.11 b/g wireless LANs 被引量:4
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作者 倪维国 董永强 夏勤 《Journal of Southeast University(English Edition)》 EI CAS 2008年第2期149-154,共6页
Real-time applications are sensitive to conditions such as transmission delay and jittering. To cut down on the influence generated by the WLAN handoff process, three parts of WLAN (wireless local area networks) han... Real-time applications are sensitive to conditions such as transmission delay and jittering. To cut down on the influence generated by the WLAN handoff process, three parts of WLAN (wireless local area networks) handoff: handoff triggering, access point selection and the fast handoff algorithm are investigated. A fast handoff solution totally based on the station is proposed and it is composed of three parts: a handoff triggering mechanism based on dynamic threshold adjustment; an AP selection criterion based on probe delay; a fast handoff algorithm with differentiated channel selection and a dynamic cache. The station based solution is independent with AP's collaboration and avoids any changes in the IEEE 802. l l protocol. It is robust and has very good extensibility. Through tests and evaluation in a hotspot WLAN, the solution effectively reduces handoff latency and user experience of real-time applications is enhanced. 展开更多
关键词 IEEE 802. 11 WLAN fast handoff
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Capacity-Power Consumption and Energy-Efficiency Evaluation of Green Wireless Networks 被引量:6
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作者 Zhu Jinkang 《China Communications》 SCIE CSCD 2012年第2期13-21,共9页
In this paper,we discuss in detail the basic issue of green design and consider an energy efficiency function as the metric to evaluate green cellular networks.Specifically,we investigate the transmit power required f... In this paper,we discuss in detail the basic issue of green design and consider an energy efficiency function as the metric to evaluate green cellular networks.Specifically,we investigate the transmit power required for an expected transmission capacity and propose a capacity-power formula based on the energy conservation and the Shannon capacity theorem.Two novel definitions of cell interference depth and handoff dynamic model are introduced and the corresponding expression of energy efficiency function is derived.Numerical results show that the energy efficiency function is closely correlated with the transmitted/received power required and the cell radius.Our work provides a useful basis for research and evaluation on green design and technology of cellular networks. 展开更多
关键词 capacity-power formula cell interfer-ence depth handoff dynamic model energy-effi-ciency function energy saving evaluation greenwireless communications
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Cognitive Radios: A Survey On Spectrum Sensing, Security and Spectrum Handoff 被引量:5
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作者 Vishakha Ramani Sanjay K.Sharma 《China Communications》 SCIE CSCD 2017年第11期185-208,共24页
Pervasive wireless computing and communication have created an ever-increasing demand for more radio spectrum. Since, most of the spectrum is underutilized, it motivated the introduction of the concept of cognitive ra... Pervasive wireless computing and communication have created an ever-increasing demand for more radio spectrum. Since, most of the spectrum is underutilized, it motivated the introduction of the concept of cognitive radios, a dynamic spectrum access enabling technology. The first stage of cognitive radio is to sense the environment and determine which parts of the spectrum are available. This is achieved through spectrum sensing. However, spectrum sensing poses the most fundamental challenge in cognitive radios. Moreover, cognitive radios suffer from many vulnerabilities and the security attacks can severely degrade the performance of cognitive radios. This paper surveys state-of-theart research on spectrum sensing and security threats in cognitive radios. Lastly, we also consider the analysis of issues related to spectrum handoffs in cognitive radios. 展开更多
关键词 cogntive radio spectrum sesning SECURITY spectrum handoff
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An Optimized Vertical Handoff Algorithm Based on Markov Process in Vehicle Heterogeneous Network 被引量:4
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作者 MA Bin DENG Hong +1 位作者 XIE Xianzhong LIAO Xiaofeng 《China Communications》 SCIE CSCD 2015年第4期106-116,共11页
In order to solve the problem the existing vertical handoff algorithms of vehicle heterogeneous wireless network do not consider the diversification of network's status, an optimized vertical handoff algorithm bas... In order to solve the problem the existing vertical handoff algorithms of vehicle heterogeneous wireless network do not consider the diversification of network's status, an optimized vertical handoff algorithm based on markov process is proposed and discussed in this paper. This algorithm takes into account that the status transformation of available network will affect the quality of service(Qo S) of vehicle terminal's communication service. Firstly, Markov process is used to predict the transformation of wireless network's status after the decision via transition probability. Then the weights of evaluating parameters will be determined by fuzzy logic method. Finally, by comparing the total incomes of each wireless network, including handoff decision incomes, handoff execution incomes and communication service incomes after handoff, the optimal network to handoff will be selected. Simulation results show that: the algorithm proposed, compared to the existing algorithm, is able to receive a higher level of load balancing and effectively improves the average blocking rate, packet loss rate and ping-pang effect. 展开更多
关键词 vehicle heterogeneous network vertical handoff markov process fuzzy logic multi-attribute decision
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A QoS-aware vertical handoff algorithm based on predictive network information 被引量:3
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作者 郭云松 谭冠政 +1 位作者 A.S.M.LIBDA 马丽强 《Journal of Central South University》 SCIE EI CAS 2012年第8期2187-2193,共7页
In converged heterogeneous wireless networks, vertical handoff is an important issue in radio resource management and occurs when an end user switches from one network to another (e.g., from wireless local area netwo... In converged heterogeneous wireless networks, vertical handoff is an important issue in radio resource management and occurs when an end user switches from one network to another (e.g., from wireless local area network to wideband code division multiple access). Efficient vertical handoff should allocate network resources efficiently and maintain good quality of service (QoS) for the end users. The objective of this work is to determine conditions under which vertical handoff can be performed. The channel usage situation of each access network is formulated as a birth-death process with the objective of predicting the avaliable bandwidth and the blocking probability. A reward function is used to capture the network bandwidth and the blocking probability is expressed as a cost function. An end user will access the certain network which maximizes the total function defined as the combination of the reward fimction and the cost function. Simulation results show that the proposed algorithm can significantly improve the network performance, including higher bandwidth for end users and lower new call blocking and handoff call blocking probability for networks. 展开更多
关键词 heterogeneous wireless network vertical handoff quality of service (QoS) birth-death process
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A Novel Handoff Algorithm for Hierarchical Cellular Networks 被引量:2
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作者 Xiaorong Zhu Mengrong Li +1 位作者 Wenchao Xia Hongbo Zhu 《China Communications》 SCIE CSCD 2016年第8期136-147,共12页
In this paper, we propose a novel speed and service-sensitive handoff algorithm and analytical model for hierarchical cellular networks.First, we use the Gauss-Markov mobility model to predict the speeds of mobile sta... In this paper, we propose a novel speed and service-sensitive handoff algorithm and analytical model for hierarchical cellular networks.First, we use the Gauss-Markov mobility model to predict the speeds of mobile stations, and divide mobile stations into three classes based on the predicted speeds: fast, medium-speed, and slow.Then, according to the mobility classification,network conditions, and service types, mobile stations will be handoff to the proper target networks prior to the deterioration of the currently operating channel. We further develop an analytical model to evaluate the performance of such a hierarchical system with different speed classes and service types. Simulations and analytical results show that the proposed handoff algorithm can significantly improve the network performance in terms of the handoff failure probability, unnecessary handoff probability, and network throughput, comparing with the traditional algorithms. 展开更多
关键词 Hierarchical cellular networks handoff algorithm Gauss-Markov mobility model analytical model
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A Novel Vertical Handoff Algorithm with Dynamic Weights in Wireless Heterogeneous Networks 被引量:2
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作者 Liu Xia Zhao Fangming Jiang Lingge 《China Communications》 SCIE CSCD 2010年第5期70-76,共7页
In order to enhance the quality of vertical handoff in an overlay wireless network, multiple attributes are taken into account when optimizing the vertical handoff decision including user-based and network-based QoS f... In order to enhance the quality of vertical handoff in an overlay wireless network, multiple attributes are taken into account when optimizing the vertical handoff decision including user-based and network-based QoS factors. In this paper, we develop a novel vertical handoff algorithm in an integrated 3G cellular and Wireless LAN networks. The proposed algorithm can adjust the weight of each QoS attribute dynamically as the networks change, trace the network condition and choose the optimal access point at transient regions. Simulation results show that this algorithm is able to provide accurate handoff decision, resulting in small unnecessary handoff numbers, good performance of throughput and handoff delay in heterogeneous environments. 展开更多
关键词 vertical handoff multiple attrbute dynamic weight heterogeneous networks
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