A Configurable Transport Layer for CAF

The message-driven nature of actors lays a foundation for developing scalable and distributed software. While the actor itself has been thoroughly modeled, the message passing layer lacks a common definition. Properties and guarantees of message exchange often shift with implementations and contexts. This adds complexity to the development process, limits portability, and removes transparency from distributed actor systems. In this work, we examine actor communication, focusing on the implementation and runtime costs of reliable and ordered delivery. Both guarantees are often based on TCP for remote messaging, which mixes network transport with the semantics of messaging. However, the choice of transport may follow different constraints and is often governed by deployment. As a first step towards re-architecting actor-to-actor communication, we decouple the messaging guarantees from the transport protocol. We validate our approach by redesigning the network stack of the C++ Actor Framework (CAF) so that it allows to combine an arbitrary transport protocol with additional functions for remote messaging. An evaluation quantifies the cost of composability and the impact of individual layers on the entire stack

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

Pluginizing QUIC

Application requirements evolve over time and the underlying protocols need to adapt. Most transport protocols evolve by negotiating protocol extensions during the handshake. Experience with TCP shows that this leads to delays of several years or more to widely deploy standardized extensions. In this paper, we revisit the extensibility paradigm of transport protocols. We base our work on QUIC, a new transport protocol that encrypts most of the header and all the payload of packets, which makes it almost immune to middlebox interference. We propose Pluginized QUIC (PQUIC), a framework that enables QUIC clients and servers to dynamically exchange protocol plugins that extend the protocol on a per-connection basis. These plugins can be transparently reviewed by external verifiers and hosts can refuse non-certified plugins. Furthermore, the protocol plugins run inside an environment that monitors their execution and stops malicious plugins. We demonstrate the modularity of our proposal by implementing and evaluating very different plugins ranging from connection monitoring to multipath or Forward Erasure Correction. Our results show that plugins achieve expected behavior with acceptable overhead. We also show that these plugins can be combined to add their functionalities to a PQUIC connection