33 research outputs found

    Efficient processor allocation strategies for mesh-connected multicomputers

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    Abstract Efficient processor allocation and job scheduling algorithms are critical if the full computational power of large-scale multicomputers is to be harnessed effectively. Processor allocation is responsible for selecting the set of processors on which parallel jobs are executed, whereas job scheduling is responsible for determining the order in which the jobs are executed. Many processor allocation strategies have been devised for mesh-connected multicomputers and these can be divided into two main categories: contiguous and non-contiguous. In contiguous allocation, jobs are allocated distinct contiguous processor sub-meshes for the duration of their execution. Such a strategy could lead to high processor fragmentation which degrades system performance in terms of, for example, the turnaround time and system utilisation. In non-contiguous allocation, a job can execute on multiple disjoint smaller sub-meshes rather than waiting until a single sub-mesh of the requested size and shape is available. Although non-contiguous allocation increases message contention inside the network, lifting the contiguity condition can reduce processor fragmentation and increase system utilisation. Processor fragmentation can be of two types: internal and external. The former occurs when more processors are allocated to a job than it requires while the latter occurs when there are free processors enough in number to satisfy another job request, but they are not allocated to it because they are not contiguous. A lot of efforts have been devoted to reducing fragmentation, and a number of contiguous allocation strategies have been devised to recognize complete sub-meshes during allocation. Most of these strategies have been suggested for 2D mesh-connected multicomputers. However, although the 3D mesh has been the underlying network topology for a number of important multicomputers, there has been relatively little activity with regard to designing similar strategies for such a network. The very few contiguous allocation strategies suggested for the 3D mesh achieve complete sub-mesh recognition ability only at the expense of a high allocation overhead (i.e., allocation and de-allocation time). Furthermore, the allocation overhead in the existing contiguous strategies often grows with system size. The main challenge is therefore to devise an efficient contiguous allocation strategy that can exhibit good performance (e.g., a low job turnaround time and high system utilisation) with a low allocation overhead. The first part of the research presents a new contiguous allocation strategy, referred to as Turning Busy List (TBL), for 3D mesh-connected multicomputers. The TBL strategy considers only those available free sub-meshes which border from the left of those already allocated sub-meshes or which have their left boundaries aligned with that of the whole mesh network. Moreover TBL uses an efficient scheme to facilitate the detection of such available sub-meshes while maintaining a low allocation overhead. This is achieved through maintaining a list of allocated sub-meshes in order to efficiently determine the processors that can form an allocation sub-mesh for a new allocation request. The new strategy is able to identify a free sub-mesh of the requested size as long as it exists in the mesh. Results from extensive simulations under various operating loads reveal that TBL manages to deliver competitive performance (i.e., low turnaround times and high system utilisation) with a much lower allocation overhead compared to other well-known existing strategies. Most existing non-contiguous allocation strategies that have been suggested for the mesh suffer from several problems that include internal fragmentation, external fragmentation, and message contention inside the network. Furthermore, the allocation of processors to job requests is not based on free contiguous sub-meshes in these existing strategies. The second part of this research proposes a new non-contiguous allocation strategy, referred to as Greedy Available Busy List (GABL) strategy that eliminates both internal and external fragmentation and alleviates the contention in the network. GABL combines the desirable features of both contiguous and non-contiguous allocation strategies as it adopts the contiguous allocation used in our TBL strategy. Moreover, GABL is flexible enough in that it could be applied to either the 2D or 3D mesh. However, for the sake of the present study, the new non-contiguous allocation strategy is discussed for the 2D mesh and compares its performance against that of well-known non-contiguous allocation strategies suggested for this network. One of the desirable features of GABL is that it can maintain a high degree of contiguity between processors compared to the previous allocation strategies. This, in turn, decreases the number of sub-meshes allocated to a job, and thus decreases message distances, resulting in a low inter-processor communication overhead. The performance analysis here indicates that the new proposed strategy has lower turnaround time than the previous non-contiguous allocation strategies for most considered cases. Moreover, in the presence of high message contention due to heavy network traffic, GABL exhibits superior performance in terms of the turnaround time over the previous contiguous and non-contiguous allocation strategies. Furthermore, GABL exhibits a high system utilisation as it manages to eliminate both internal and external fragmentation. The performance of many allocation strategies including the ones suggested above, has been evaluated under the assumption that job execution times follow an exponential distribution. However, many measurement studies have convincingly demonstrated that the execution times of certain computational applications are best characterized by heavy-tailed job execution times; that is, many jobs have short execution times and comparatively few have very long execution times. Motivated by this observation, the final part of this thesis reviews the performance of several contiguous allocation strategies, including TBL, in the context of heavy-tailed distributions. This research is the first to analyze the performance impact of heavy-tailed job execution times on the allocation strategies suggested for mesh-connected multicomputers. The results show that the performance of the contiguous allocation strategies degrades sharply when the distribution of job execution times is heavy-tailed. Further, adopting an appropriate scheduling strategy, such as Shortest-Service-Demand (SSD) as opposed to First-Come-First-Served (FCFS), can significantly reduce the detrimental effects of heavy-tailed distributions. Finally, while the new contiguous allocation strategy (TBL) is as good as the best competitor of the previous contiguous allocation strategies in terms of job turnaround time and system utilisation, it is substantially more efficient in terms of allocation overhead

    Synthesized copper oxide nanoparticles via the green route act as antagonists to pathogenic root-knot nematode, Meloidogyne incognita

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    This investigation explains the green synthesis, characterization and biocontrol potential of copper oxide nanoparticles (CuONPs) against second-stage juveniles (J2s) of root-knot nematode, Meloidogyne incognita infesting chickpea. Mono-disperse, spherical, pure CuONPs were synthesized from Jatropha curcas leaf with particle sizes ranging from 5 to 15 nm in diameter. Antagonistic activities of synthesized CuONPs were studied against Meloidogyne incognita. The highest mortality of J2s was found in the 200 ppm concentration of CuONPs at 24 h of exposure. The exact concentration also showed maximum inhibition of J2s hatching from egg masses after six days of exposure. It was worth noting that 25 ppm concentration was the least effective. The pot experiment showed that CuONPs significantly reduced the root infection caused by M. incognita and enhanced chickpea plants’ growth and physiological attributes (Chlorophyll and carotenoid content). The results depicted when the concentration of CuONPs was increased, J2s mortality rate was also increased. We highlighted the antinematode influence of green synthesized CuONPs. Thus, it will offer an excellent eco-friendly strategy to optimize yield under pathogens attack and provide prospects of green synthesized-based nanoparticles development for pests control. Plants mediated CuONPs will also help in resolving the current toxicity concerns and future challenges in the agriculture

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

    Global economic burden of unmet surgical need for appendicitis

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    Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and92 492 million using approach 1 and 73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and95 004 million using approach 1 and 75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

    Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

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    Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

    Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

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    Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

    Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

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    Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

    A transparent UWB antenna with a 5 to 6 GHz band notch using two split ring resonators

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    A miniaturized thin film transparent ultrawideband (UWB) antenna design with a band notch is presented. A pair of split-ring resonators (SRRs) is placed besides the radiating element to realize the band notch centered at 5.5 GHz. The proposed transparent antenna covers the whole 3.1 to 10.6 GHz UWB frequency band with a notch from 5 to 6 GHz to isolate interferences from wireless local area network (WLAN) and dedicated short-range communication (DSRC) applications. The transparency of this antenna of up to 80% is enabled by the fabrication on a conductive silver coated thin film (AgHT-8). Hence, the proposed transparent antenna is a suitable for UWB home entertainment network (IEEE 1394 over UWB network) for green building applications, where high data rates are required for multimedia transfer. Implementation of the proposed transparent antenna will reduce the space consumption due to its very low thickness and low profile, while at the same time increasing the aesthetic values of the installed wireless system due to its high transparency

    Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

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    Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe
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