350 research outputs found
Examination of the effects of language and cultural barriers on Spanish-speaking patients in health settings as observed by medical Spanish interpreters
This study aimed to investigate how the Spanish language and culture affects treatment, access to healthcare and perceptions of medical visits within the Hispanic population. This was examined through the viewpoint of medical Spanish interpreters in the Harrisonburg community. Quantitative data served to provide descriptive statistics regarding these interpreters, while qualitative data was used to gather data about themes and subthemes that were developed regarding this topic. Language was found to not be a significant barrier, but culture did have a significant affect. It was found that these barriers affected access to care because of lack of information, education levels and insurance. Hispanic patients usually go to medical clinics for emergencies, which was related to lack of information about the medical system in the United States. Interpreters were available for patients to use and easy to access, and it was perceived that interpretation plays an important role in the healthcare of the Hispanic population
MDCC: Multi-Data Center Consistency
Replicating data across multiple data centers not only allows moving the data
closer to the user and, thus, reduces latency for applications, but also
increases the availability in the event of a data center failure. Therefore, it
is not surprising that companies like Google, Yahoo, and Netflix already
replicate user data across geographically different regions.
However, replication across data centers is expensive. Inter-data center
network delays are in the hundreds of milliseconds and vary significantly.
Synchronous wide-area replication is therefore considered to be unfeasible with
strong consistency and current solutions either settle for asynchronous
replication which implies the risk of losing data in the event of failures,
restrict consistency to small partitions, or give up consistency entirely. With
MDCC (Multi-Data Center Consistency), we describe the first optimistic commit
protocol, that does not require a master or partitioning, and is strongly
consistent at a cost similar to eventually consistent protocols. MDCC can
commit transactions in a single round-trip across data centers in the normal
operational case. We further propose a new programming model which empowers the
application developer to handle longer and unpredictable latencies caused by
inter-data center communication. Our evaluation using the TPC-W benchmark with
MDCC deployed across 5 geographically diverse data centers shows that MDCC is
able to achieve throughput and latency similar to eventually consistent quorum
protocols and that MDCC is able to sustain a data center outage without a
significant impact on response times while guaranteeing strong consistency
A Cost-based Optimizer for Gradient Descent Optimization
As the use of machine learning (ML) permeates into diverse application
domains, there is an urgent need to support a declarative framework for ML.
Ideally, a user will specify an ML task in a high-level and easy-to-use
language and the framework will invoke the appropriate algorithms and system
configurations to execute it. An important observation towards designing such a
framework is that many ML tasks can be expressed as mathematical optimization
problems, which take a specific form. Furthermore, these optimization problems
can be efficiently solved using variations of the gradient descent (GD)
algorithm. Thus, to decouple a user specification of an ML task from its
execution, a key component is a GD optimizer. We propose a cost-based GD
optimizer that selects the best GD plan for a given ML task. To build our
optimizer, we introduce a set of abstract operators for expressing GD
algorithms and propose a novel approach to estimate the number of iterations a
GD algorithm requires to converge. Extensive experiments on real and synthetic
datasets show that our optimizer not only chooses the best GD plan but also
allows for optimizations that achieve orders of magnitude performance speed-up.Comment: Accepted at SIGMOD 201
MLI: An API for Distributed Machine Learning
MLI is an Application Programming Interface designed to address the
challenges of building Machine Learn- ing algorithms in a distributed setting
based on data-centric computing. Its primary goal is to simplify the
development of high-performance, scalable, distributed algorithms. Our initial
results show that, relative to existing systems, this interface can be used to
build distributed implementations of a wide variety of common Machine Learning
algorithms with minimal complexity and highly competitive performance and
scalability
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