ObjectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs.Design, settings, participants and outcomesThis cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors.ResultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).ConclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep–wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

Cognitive radio (CR) enables spectrum sharing by allowing new unlicensed services from secondary users to operate in pre-allocated bands in an opportunistic manner. TV white space (TVWS) is a portion of the spectrum in ultra-high frequency (UHF) and very-high frequency bands, which is not utilised by primary users in specific time and location. It is envisaged that more spectrum will be available after digital switchover (DSO) TV transmission replaces the current analogue system. Recently, the regulators in the USA and in the UK have given approval for companies to operate new communication systems with the capability of utilising TVWS spectrum. This paper provides a comprehensive overview of the CR technology and quantifies the TVWS status in Malaysia to expose the spectrum reuse opportunities for future secondary user deployment. Taking the 18 major cities in Malaysia into consideration, we find that all seven TV stations utilise from two to seven of the UHF channels. In our analysis, three usage scenarios were considered, where the utilisation of the 40 UHF channels is full, half and a third. For each case, it was discovered that TVWS was 82.5%, 65% and 46.1%, which can be opportunistically utilised by CR users.

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