Comparing the performance of the EQ-5D-3L and the EQ-5D-5L in young Portuguese adults

Background Some studies have reported a ceiling effect in EQ-5D-3L, especially in healthy and/or young individuals. Recently, two further levels have been included in its measurement model (EQ-5D-5L). The purposes of this study were (1) to assess the properties of the EQ-5D-5L in comparison with the standard EQ-5D-3L in a sample of young adults, (2) to foreground the importance of collecting qualitative data to confirm, validate or refine the EQ-5D questionnaire items and (3) to raise questions pertaining to the wording in these questionnaire items. Methods The data used came from a sample of respondents aged 30 or under (n = 624). They completed both versions of the EQ-5D, which were compared in terms of feasibility, level of inconsistency and ceiling effect. Agreement between the instruments was assessed using correlation coefficients and Bland-Altman plots. Known-groups validity of the EQ-5D-5L was also assessed using non-parametric tests. The discriminative properties were compared using receiver operating characteristic curves. Finally, four interviews were conducted for retrospective reports to elicit respondents’ understanding and perceptions of the format, instructions, items, and responses. Results Quantitative results show a ceiling effect reduction of 25.3 % and a high level agreement between both indices. Known-groups validity was confirmed for the EQ-5D-5L. Explorative interviews indicated ambiguity and low degree of certainty in regards to conceptualizing differences between levels moderate-slight across three dimensions. Conclusions The EQ-5D-5L performed better than the EQ-5D-3L. However, the explorative interviews demonstrated several limitations in the EQ-5D questionnaire wording and high context-dependent answers point to lack of illnesses’ experience amongst young adults.

IB-DFE receiver techniques for CP-assisted block transmission within DS-CDMA and MC-CDMA systems

MC-CDMA (MultiCarrier Code Division Multiple Access), currently regarded as a promissing multiple access scheme for broadband communications, is known to combine the advantages of an OFDM-based (Orthogonal Frequency Division Multiplexing), CP-assisted (Cyclic Prefix) block transmission with those of CDMA systems. Recently, it was recognised that DS-CDMA (Direct Sequence) implementations can also take advantage of the beneficts of the CP-assisted block transmission approach, therefore enabling an efficient use of FFT-based (Fast Fourier Transform), chip level FDE (Frequency- Domain Equalisation) techniques. In this paper we consider the use of IB-DFE (Iterative Block Decision Feedback Equalisation) FDE techniques within both CP-assisted MC-CDMA systems with frequency-domain spreading and DS-CDMA systems. Our simulation results show that an IB-DFE receiver with moderate complexity is suitable in both cases, with excellent performances that can be close to the single-code matched filter bound (especially for the CP-assisted DSCDMA alternative), even with full code usage.

A frequency-domain receiver for asynchronous systems employing CP-assisted DS-CDMA schemes

In this paper we consider the uplink transmission within CP-assisted (Cyclic Pre¯x) DS-CDMA (Direct Sequence Code Division Multiple Access) systems and we present a frequency-domain MUD (MultiUser Detection) receiver with iterative estimation and compensation of residual frequency errors. The proposed receiver is suitable for broadband wireless systems, with performances that can be close to the single-user MFB (Matched Filter Bound), even for fully loaded systems and/or in the presence of strong interfering signals. The receiver is powerful enough for typical asynchronous scenarios, requiring only a coarse synchronization between users.