Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

MIRIS: Fast Object Track Queries in Video

© 2020 Association for Computing Machinery. Video databases that enable queries with object-track predicates are useful in many applications. Such queries include selecting objects that move from one region of the camera frame to another (e.g., finding cars that turn right through a junction) and selecting objects with certain speeds (e.g., finding animals that stop to drink water from a lake). Processing such predicates efficiently is challenging because they involve the movement of an object over several video frames. We propose a novel query-driven tracking approach that integrates query processing with object tracking to efficiently process object track queries and address the computational complexity of object detection methods. By processing video at low framerates when possible, but increasing the framerate when needed to ensure high-accuracy on a query, our approach substantially speeds up query execution. We have implemented query-driven tracking in MIRIS, a video query processor, and compare MIRIS against four baselines on a diverse dataset consisting of five sources of video and nine distinct queries. We find that, at the same accuracy, MIRIS accelerates video query processing by 9x on average over the IOU tracker, an overlap-based tracking-by-detection method used in existing video database systems

BeeCluster: drone orchestration via predictive optimization

The rapid development of small aerial drones has enabled numerous drone-based applications, e.g., geographic mapping, air pollution sensing, and search and rescue. To assist the development of these applications, we propose BeeCluster, a drone orchestration system that manages a fleet of drones. BeeCluster provides a virtual drone abstraction that enables developers to express a sequence of geographical sensing tasks, and determines how to map these tasks to the fleet efficiently. BeeCluster's core contribution is predictive optimization, in which an inferred model of the future tasks of the application is used to generate an optimized flight and sensing schedule for the drones that aims to minimize the total expected execution time. We built a prototype of BeeCluster and evaluated it on five real-world case studies with drones in outdoor environments, measuring speedups from 11.6% to 23.9%