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Diabetes mellitus represents a group of metabolic disorders of varying etiologies that are all characterized by hyperglycemia (i.e., high blood sugar levels). Across all subtypes of diabetes, this chronic hyperglycemia is associated with acute symptoms as well as a variety of serious long-term medical complications, including retinopathy, peripheral and autonomic neuropathies, nephropathy, and cardiovascular disease. Diabetes is the leading cause of blindness, amputations, and kidney transplants. Diabetes occurs in approximately 15.7 million people in the United States, with 5.4 million of these persons undiagnosed and approximately 800,000 additional new cases diagnosed per year (Centers for Disease Control and Prevention [CDC], 1998). Importantly, recent research indicates that the prevalence of diabetes continues to increase rapidly in the United States, rising by 33% between 1990 and 1998 (Mokdad et al., 2000). These authors suggest that diabetes will become even more common in subsequent years because of the increasing prevalence of obesity. Diabetes is more frequent in the elderly and certain racial and ethnic groups (e.g., African Americans, Hispanic/Latino Americans, American Indians) and is the seventh leading cause of death in the United States (CDC, 1998). The annual costs of diabetes, including both direct medical costs and indirect costs due to disability, work loss, and premature mortality, were estimated to be $98 billion in 1997 (American Diabetes Association [ADA], 1998). Because of its increasing prevalence, disease burden on the individual, and economic costs to the nation,



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SIGCOMM Symposium on Communications Architectures and Protocols, San Francisco, September 1993, pp 85 95 V Chikarmane, C Williamson, R Bunt, and W Mackrell, Multicast support for mobile hosts using Mobile IP: Design issues and proposed approach, ACM/Baltzer Journal on Mobile Networks and Applications (MONET), 3, No4, pages 365 379, 1998 C L Williamson, T G Harrison, W L Mackrell, and R B Bunt, Performance evaluation of the MoM mobile multicast protocol, ACM/Baltzer Journal on Mobile Networks and Applications (MONET), 3, 2, 189 201, 1998 H-S Shin, Y-J Suh, and D-H Kwon, Multicast routing protocol by multicast agent in mobile networks, in Proceedings of the 2000 International Conference on Parallel Processing, Toronto, August 2000, pp 271 278 C-C Chiang, M Gerla, and L Zhang, Tree multicast strategies in mobile, multihop wireless networks, ACM/Baltzer Journal on Mobile Networks and Applications (MONET), 4, 3, 193 207, 1999 C.





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For RF applications, the wire bond pad can in uence the RF circuit performance Both the inductance and capacitance of the bond pad in uence the impedance of the RF network The wire bond itself introduces a series inductance The bond pad introduces an inductive shunt component and a capacitor shunt to the chip substrate The inductance of the RF bond pad can be reduced by the introduction of thick interlevel dielectric (ILD) lms, conductive eld shields, and insulators regions in the chip substrate With the construction of inductors, thick ILD lms are introduced to provide high quality factor (Q) inductors Using semiconductor interconnect metal lms, slotted eld plates are placed under RF bond pads to reduce eddy currents in the chip substrate Additionally, trench structures [eg.

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, shallow trench isolation (STI), trench isolation (TI), and deep trench (DT isolation)] are formed in a mesh to prevent the ow of substrate eddy currents For the RF network, the capacitance of the RF bond pad introduces a shunt capacitance term With the introduction of a RF ESD network, such as an ESD diode network, or a grounded gate n-channel MOSFET, the capacitance of the RF bond pad and the ESD network are an additive shunt capacitance term to the RF circuit The capacitance load of the components can be expressed as follows: Cload Cwirebond Cbondpad CESD Cckt As the capacitance load of the bond pad and the ESD network are additive, in order to reduce the total capacitance load on the RF network, it is advantageous to reduce the capacitance of the bond pad structure.

-C Chiang, M Gerla, and L Zhang, Shared tree wireless network multicast, in Proceedings of the Sixth International Conference on Computer Communications and Networks, 1997, pp 28 33 C-C Chiang and M Gerla, Routing and multicast in multihop, mobile wireless networks, in Proceedings of the IEEE International Conference on Universal Personal Communications (ICUPC 97), 1997, pp 28 33 C-C Chiang, M Gerla, and L Zhang, Adaptive shared tree multicast in mobile wireless networks, Proceedings of Globecom 98, Sydney, Australia, November 1998, pp 193 207 E Royer and C E Perkins, Multicast operation of the ad-hoc on-demand distance vector routing protocol, in Proceedings of the 5th Annual ACM/IEEE Annual Conference on Mobile Computing and Networking, Seattle, August 1999, pp 207 218 S H Bae, S-J Lee, W Su, and M.

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