Autonomic care platform for optimizing query performance

Background: As the amount of information in electronic health care systems increases, data operations get more complicated and time-consuming. Intensive Care platforms require a timely processing of data retrievals to guarantee the continuous display of recent data of patients. Physicians and nurses rely on this data for their decision making. Manual optimization of query executions has become difficult to handle due to the increased amount of queries across multiple sources. Hence, a more automated management is necessary to increase the performance of database queries. The autonomic computing paradigm promises an approach in which the system adapts itself and acts as self-managing entity, thereby limiting human interventions and taking actions. Despite the usage of autonomic control loops in network and software systems, this approach has not been applied so far for health information systems. Methods: We extend the COSARA architecture, an infection surveillance and antibiotic management service platform for the Intensive Care Unit (ICU), with self-managed components to increase the performance of data retrievals. We used real-life ICU COSARA queries to analyse slow performance and measure the impact of optimizations. Each day more than 2 million COSARA queries are executed. Three control loops, which monitor the executions and take action, have been proposed: reactive, deliberative and reflective control loops. We focus on improvements of the execution time of microbiology queries directly related to the visual displays of patients' data on the bedside screens. Results: The results show that autonomic control loops are beneficial for the optimizations in the data executions in the ICU. The application of reactive control loop results in a reduction of 8.61% of the average execution time of microbiology results. The combined application of the reactive and deliberative control loop results in an average query time reduction of 10.92% and the combination of reactive, deliberative and reflective control loops provides a reduction of 13.04%. Conclusions: We found that by controlled reduction of queries' executions the performance for the end-user can be improved. The implementation of autonomic control loops in an existing health platform, COSARA, has a positive effect on the timely data visualization for the physician and nurse

SLA-Oriented Resource Provisioning for Cloud Computing: Challenges, Architecture, and Solutions

Cloud computing systems promise to offer subscription-oriented, enterprise-quality computing services to users worldwide. With the increased demand for delivering services to a large number of users, they need to offer differentiated services to users and meet their quality expectations. Existing resource management systems in data centers are yet to support Service Level Agreement (SLA)-oriented resource allocation, and thus need to be enhanced to realize cloud computing and utility computing. In addition, no work has been done to collectively incorporate customer-driven service management, computational risk management, and autonomic resource management into a market-based resource management system to target the rapidly changing enterprise requirements of Cloud computing. This paper presents vision, challenges, and architectural elements of SLA-oriented resource management. The proposed architecture supports integration of marketbased provisioning policies and virtualisation technologies for flexible allocation of resources to applications. The performance results obtained from our working prototype system shows the feasibility and effectiveness of SLA-based resource provisioning in Clouds.Comment: 10 pages, 7 figures, Conference Keynote Paper: 2011 IEEE International Conference on Cloud and Service Computing (CSC 2011, IEEE Press, USA), Hong Kong, China, December 12-14, 201

A Conceptual Framework for Adapation

This paper presents a white-box conceptual framework for adaptation that promotes a neat separation of the adaptation logic from the application logic through a clear identification of control data and their role in the adaptation logic. The framework provides an original perspective from which we survey archetypal approaches to (self-)adaptation ranging from programming languages and paradigms, to computational models, to engineering solutions