Extending an open-source real-time operating system with hierarchical scheduling

Hierarchical scheduling frameworks (HSFs) have been devised to support the integration of independently developed and analyzed subsystems. This paper presents an efficient, modular and extendible design for enhancing a real-time operating system with periodic tasks, two-level fixed-priority HSF based on the idling periodic and deferrable servers, and virtual timers. It relies on Relative Timed Event Queues (RELTEQ), a timed event management component targeted at embedded operating systems, which supports long event interarrival time, long lifetime of the event queue, no drift and low overhead. It minimizes the overhead in terms of processor and memory usage, limits the interference of inactive servers on system level, and minimizes the necessary modifications of the underlying operating system. The proposed design was implemented and evaluated within the µC/OS-II real-time operating system used by our industrial and academic partners

Virtual timers in hierarchical real-time systems

Hierarchical scheduling frameworks (HSFs) provide means for composing complex real-time systems from welldefined subsystems. This paper describes an approach to provide hierarchically scheduled real-time applications with virtual event timers, motivated by the need for integrating priority processing applications in an HSF. Specifically, the paper proposes a technique to minimize the overhead of event handling in HSFs and outlines a simple implementation

Cardiac outcome in classic infantile Pompe disease after 13\xe2\x80\xafyears of treatment with recombinant human acid alpha-glucosidase

Background: Cardiac failure is the main cause of death in untreated classic infantile Pompe disease, an inheritable metabolic myopathy characterized by progressive hypertrophic cardiomyopathy. Since the introduction of enzyme replacement therapy (ERT), survival has increased significantly due to reduced cardiac hypertrophy and improved cardiac function. However, little is known about ERT\'s long-term effects on the heart. Methods: Fourteen patients were included in this prospective study. Cardiac dimensions, function, conduction and rhythm disturbances were evaluated at baseline and at regular intervals thereafter. Results: Treatment duration ranged from 1.1 to 13.9 years (median 4.8 years). At baseline, all patients had increased left ventricular mass index (LVMI) (median LVMI 226 g/m2, range 98 to 599 g/m2, Z-score median 7, range 2.4\xe2\x80\x9312.4). During the first four weeks, LVMI continued to increase in six patients. Normalization of LVMI was observed in 13 patients (median 30 weeks; range 3 to 660 weeks). After clinical deterioration, LVMI increased again slightly in one patient. At baseline, PR interval was shortened in all patients; it normalized in only three. A delta-wave pattern on ECG was seen in six patients and resulted in documented periods of supraventricular tachycardias (SVTs) in three patients, two of whom required medication and/or ablation. One patient had severe bradycardia (35 beats/min). Conclusion: This study shows that ERT significantly reduced LVMI, and sustained this effect over a period of 13.9 years. The risk for rhythm disturbances remains. Regular cardiac evaluations should be continued, also after initially good response to ERT

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Multiplexing real-time timed events

This paper presents the design and implementation of RELTEQ, a timed event management algorithm based on relative event times, supporting long event interarrival time, long lifetime of the event queue, no drift and low overhead. It is targeted at embedded operating systems. RELTEQ has been conceived to replace and improve the existing timed event management approach in µC/OS II, a real-time operating system used by one of our industrial partners. Experimental results confirm a lower overhead of the proposed method in terms of processor requirements compared to the existing approach

Extending an open-source real-time operating system with hierarchical scheduling

Hierarchical scheduling frameworks (HSFs) have been devised to support the integration of independently developed and analyzed subsystems. This paper presents an efficient, modular and extendible design for enhancing a real-time operating system with periodic tasks, two-level fixed-priority HSF based on the idling periodic and deferrable servers, and virtual timers. It relies on Relative Timed Event Queues (RELTEQ), a timed event management component targeted at embedded operating systems, which supports long event interarrival time, long lifetime of the event queue, no drift and low overhead. It minimizes the overhead in terms of processor and memory usage, limits the interference of inactive servers on system level, and minimizes the necessary modifications of the underlying operating system. The proposed design was implemented and evaluated within the µC/OS-II real-time operating system used by our industrial and academic partners