The Impact of RDMA on Agreement

Remote Direct Memory Access (RDMA) is becoming widely available in data centers. This technology allows a process to directly read and write the memory of a remote host, with a mechanism to control access permissions. In this paper, we study the fundamental power of these capabilities. We consider the well-known problem of achieving consensus despite failures, and find that RDMA can improve the inherent trade-off in distributed computing between failure resilience and performance. Specifically, we show that RDMA allows algorithms that simultaneously achieve high resilience and high performance, while traditional algorithms had to choose one or another. With Byzantine failures, we give an algorithm that only requires $n \geq 2f_P + 1$ processes (where $f_P$ is the maximum number of faulty processes) and decides in two (network) delays in common executions. With crash failures, we give an algorithm that only requires $n \geq f_P + 1$ processes and also decides in two delays. Both algorithms tolerate a minority of memory failures inherent to RDMA, and they provide safety in asynchronous systems and liveness with standard additional assumptions.Comment: Full version of PODC'19 paper, strengthened broadcast algorith

Brief Announcement: Black-Box Concurrent Data Structures for NUMA Architectures

Recent work introduced a method to automatically produce concurrent data structures for NUMA architectures. We present a summary of that work

Hillview:A trillion-cell spreadsheet for big data

Hillview is a distributed spreadsheet for browsing very large datasets that cannot be handled by a single machine. As a spreadsheet, Hillview provides a high degree of interactivity that permits data analysts to explore information quickly along many dimensions while switching visualizations on a whim. To provide the required responsiveness, Hillview introduces visualization sketches, or vizketches, as a simple idea to produce compact data visualizations. Vizketches combine algorithmic techniques for data summarization with computer graphics principles for efficient rendering. While simple, vizketches are effective at scaling the spreadsheet by parallelizing computation, reducing communication, providing progressive visualizations, and offering precise accuracy guarantees. Using Hillview running on eight servers, we can navigate and visualize datasets of tens of billions of rows and trillions of cells, much beyond the published capabilities of competing systems

DINOMO: An Elastic, Scalable, High-Performance Key-Value Store for Disaggregated Persistent Memory (Extended Version)

We present Dinomo, a novel key-value store for disaggregated persistent memory (DPM). Dinomo is the first key-value store for DPM that simultaneously achieves high common-case performance, scalability, and lightweight online reconfiguration. We observe that previously proposed key-value stores for DPM had architectural limitations that prevent them from achieving all three goals simultaneously. Dinomo uses a novel combination of techniques such as ownership partitioning, disaggregated adaptive caching, selective replication, and lock-free and log-free indexing to achieve these goals. Compared to a state-of-the-art DPM key-value store, Dinomo achieves at least 3.8x better throughput on various workloads at scale and higher scalability, while providing fast reconfiguration.Comment: This is an extended version of the full paper to appear in PVLDB 15.13 (VLDB 2023

Frugal Byzantine Computing

Traditional techniques for handling Byzantine failures are expensive: digital signatures are too costly, while using 3f+1 replicas is uneconomical (f denotes the maximum number of Byzantine processes). We seek algorithms that reduce the number of replicas to 2f+1 and minimize the number of signatures. While the first goal can be achieved in the message-and-memory model, accomplishing the second goal simultaneously is challenging. We first address this challenge for the problem of broadcasting messages reliably. We study two variants of this problem, Consistent Broadcast and Reliable Broadcast, typically considered very close. Perhaps surprisingly, we establish a separation between them in terms of signatures required. In particular, we show that Consistent Broadcast requires at least 1 signature in some execution, while Reliable Broadcast requires O(n) signatures in some execution. We present matching upper bounds for both primitives within constant factors. We then turn to the problem of consensus and argue that this separation matters for solving consensus with Byzantine failures: we present a practical consensus algorithm that uses Consistent Broadcast as its main communication primitive. This algorithm works for n = 2f+1 and avoids signatures in the common case - properties that have not been simultaneously achieved previously. Overall, our work approaches Byzantine computing in a frugal manner and motivates the use of Consistent Broadcast - rather than Reliable Broadcast - as a key primitive for reaching agreement

Transaction Chains: Achieving Serializability with Low Latency in Geo-distributed Storage Systems. In:

Abstract Currently, users of geo-distributed storage systems face a hard choice between having serializable transactions with high latency, or limited or no transactions with low latency. We show that it is possible to obtain both serializable transactions and low latency, under two conditions. First, transactions are known ahead of time, permitting an a priori static analysis of conflicts. Second, transactions are structured as transaction chains consisting of a sequence of hops, each hop modifying data at one server. To demonstrate this idea, we built Lynx, a geo-distributed storage system that offers transaction chains, secondary indexes, materialized join views, and geo-replication. Lynx uses static analysis to determine if each hop can execute separately while preserving serializability-if so, a client needs wait only for the first hop to complete, which occurs quickly. To evaluate Lynx, we built three applications: an auction service, a Twitter-like microblogging site and a social networking site. These applications successfully use chains to achieve low latency operation and good throughput

Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Background Achieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). Measuring effective coverage at the health-system level is important for understanding whether health services are aligned with countries' health profiles and are of sufficient quality to produce health gains for populations of all ages. Methods Based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we assessed UHC effective coverage for 204 countries and territories from 1990 to 2019. Drawing from a measurement framework developed through WHO's GPW13 consultation, we mapped 23 effective coverage indicators to a matrix representing health service types (eg, promotion, prevention, and treatment) and five population-age groups spanning from reproductive and newborn to older adults (≥65 years). Effective coverage indicators were based on intervention coverage or outcome-based measures such as mortality-to-incidence ratios to approximate access to quality care; outcome-based measures were transformed to values on a scale of 0–100 based on the 2·5th and 97·5th percentile of location-year values. We constructed the UHC effective coverage index by weighting each effective coverage indicator relative to its associated potential health gains, as measured by disability-adjusted life-years for each location-year and population-age group. For three tests of validity (content, known-groups, and convergent), UHC effective coverage index performance was generally better than that of other UHC service coverage indices from WHO (ie, the current metric for SDG indicator 3.8.1 on UHC service coverage), the World Bank, and GBD 2017. We quantified frontiers of UHC effective coverage performance on the basis of pooled health spending per capita, representing UHC effective coverage index levels achieved in 2019 relative to country-level government health spending, prepaid private expenditures, and development assistance for health. To assess current trajectories towards the GPW13 UHC billion target—1 billion more people benefiting from UHC by 2023—we estimated additional population equivalents with UHC effective coverage from 2018 to 2023. Findings Globally, performance on the UHC effective coverage index improved from 45·8 (95% uncertainty interval 44·2–47·5) in 1990 to 60·3 (58·7–61·9) in 2019, yet country-level UHC effective coverage in 2019 still spanned from 95 or higher in Japan and Iceland to lower than 25 in Somalia and the Central African Republic. Since 2010, sub-Saharan Africa showed accelerated gains on the UHC effective coverage index (at an average increase of 2·6% [1·9–3·3] per year up to 2019); by contrast, most other GBD super-regions had slowed rates of progress in 2010–2019 relative to 1990–2010. Many countries showed lagging performance on effective coverage indicators for non-communicable diseases relative to those for communicable diseases and maternal and child health, despite non-communicable diseases accounting for a greater proportion of potential health gains in 2019, suggesting that many health systems are not keeping pace with the rising non-communicable disease burden and associated population health needs. In 2019, the UHC effective coverage index was associated with pooled health spending per capita (r=0·79), although countries across the development spectrum had much lower UHC effective coverage than is potentially achievable relative to their health spending. Under maximum efficiency of translating health spending into UHC effective coverage performance, countries would need to reach $1398 pooled health spending per capita (US$ adjusted for purchasing power parity) in order to achieve 80 on the UHC effective coverage index. From 2018 to 2023, an estimated 388·9 million (358·6–421·3) more population equivalents would have UHC effective coverage, falling well short of the GPW13 target of 1 billion more people benefiting from UHC during this time. Current projections point to an estimated 3·1 billion (3·0–3·2) population equivalents still lacking UHC effective coverage in 2023, with nearly a third (968·1 million [903·5–1040·3]) residing in south Asia. Interpretation The present study demonstrates the utility of measuring effective coverage and its role in supporting improved health outcomes for all people—the ultimate goal of UHC and its achievement. Global ambitions to accelerate progress on UHC service coverage are increasingly unlikely unless concerted action on non-communicable diseases occurs and countries can better translate health spending into improved performance. Focusing on effective coverage and accounting for the world's evolving health needs lays the groundwork for better understanding how close—or how far—all populations are in benefiting from UHC

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