Abstract-Base station (BS) sleeping in cellular networks has emerged as a promising solution for more energy efficient communications, concomitant with lowering the network carbon footprint. Switching off specific BS entirely however, can lead to coverage holes and severe performance degradation. To avoid coverage holes, the transmit power of neighbouring BS must be commensurately increased, which can cause higher interference to other cell users. Recently a BS-RS (relay station) switching model has been proposed where the BS changes operating mode to a RS during off-peak periods rather than being completely turned off. This paper presents a traffic-aware and traffic-andinterference aware switching strategy for both the BS sleeping and BS-RS switching paradigms, which dynamically establishes the conditions for a BS to alter its working mode. The switching is based upon a dynamic traffic threshold allied with the received BS interference level. Analysis corroborates both new algorithms significantly improve network energy efficiency, while upholding the requisite quality of service provision.

Background Diaphragm muscle atrophy during mechanical ventilation begins within 24 h and progresses rapidly with significant clinical consequences. Electrical stimulation of the phrenic nerves using invasive electrodes has shown promise in maintaining diaphragm condition by inducing intermittent diaphragm muscle contraction. However, the widespread application of these methods may be limited by their risks as well as the technical and environmental requirements of placement and care. Non‐invasive stimulation would offer a valuable alternative method to maintain diaphragm health while overcoming these limitations. Methods We applied non‐invasive electrical stimulation to the phrenic nerve in the neck in healthy volunteers. Respiratory pressure and flow, diaphragm electromyography and mechanomyography, and ultrasound visualization were used to assess the diaphragmatic response to stimulation. The electrode positions and stimulation parameters were systematically varied in order to investigate the influence of these parameters on the ability to induce diaphragm contraction with non‐invasive stimulation. Results We demonstrate that non‐invasive capture of the phrenic nerve is feasible using surface electrodes without the application of pressure, and characterize the stimulation parameters required to achieve therapeutic diaphragm contractions in healthy volunteers. We show that an optimal electrode position for phrenic nerve capture can be identified and that this position does not vary as head orientation is changed. The stimulation parameters required to produce a diaphragm response at this site are characterized and we show that burst stimulation above the activation threshold reliably produces diaphragm contractions sufficient to drive an inspired volume of over 600 ml, indicating the ability to produce significant diaphragmatic work using non‐invasive stimulation. Conclusion This opens the possibility of non‐invasive systems, requiring minimal specialist skills to set up, for maintaining diaphragm function in the intensive care setting.

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