Using metaheuristics to improve the placement of multi-controllers in software-defined networking enabled clouds

SDN is a model that separates the control and the data levels in an arrangement to enhance capability to program and configure the network in a more agile and efficient manner. Multiple controller modules have been used in the SDN engineering to empower programmable and adaptable configurations such as improving scalability and reliability. The distance and time calculations and other performance measures have to be considered in solving the Multi-Controller Position Problem (MCPP). This paper investigates the use of metaheuristic algorithms to build an MCPP mathematical model. Both the symmetric Harmony Search (HS) modelling and the Particle Swarm Optimization (PSO) algorithm are considered in this respect. Thus, our hybrid approach is proposed and known as Harmony Search with Particle Swarm Optimization (HSPSO) is applied and we compared the extracted results with the state-of-the-art techniques in the previous literature. Besides the development of the mathematical model, a simulation study has been done considering the relevant parameters including the link distance description and the access time between the SDN entities. The console simulation uses NetBeans with CloudsimSDN procedure files in the SDN-based cloud environment

Global economic burden of unmet surgical need for appendicitis

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 $92 492 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 $95 004 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