107 research outputs found

    Resilient Cloud-based Replication with Low Latency

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    Existing approaches to tolerate Byzantine faults in geo-replicated environments require systems to execute complex agreement protocols over wide-area links and consequently are often associated with high response times. In this paper we address this problem with Spider, a resilient replication architecture for geo-distributed systems that leverages the availability characteristics of today's public-cloud infrastructures to minimize complexity and reduce latency. Spider models a system as a collection of loosely coupled replica groups whose members are hosted in different cloud-provided fault domains (i.e., availability zones) of the same geographic region. This structural organization makes it possible to achieve low response times by placing replica groups in close proximity to clients while still enabling the replicas of a group to interact over short-distance links. To handle the inter-group communication necessary for strong consistency Spider uses a reliable group-to-group message channel with first-in-first-out semantics and built-in flow control that significantly simplifies system design.Comment: 25 pages, extended version of Middleware 2020 pape

    Cross-cultural validation of the Health Care Provider HIV/AIDS Stigma Scale (HPASS) in China

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    The study aimed to validate the Health Care Provider HIV/AIDS Stigma Scale among medical staff in China. The validation was conducted in four steps from March to December 2017: translation and back-translation; content validity test with six experts; test–retest reliability testing with 63 medical staff with 2 weeks interval; and structural validation with 349 medical staff from 52 hospitals with a convenience sample,using exploratory factor analysis,including principal component analysis and varimax rotation. The scale content validity index average was 0.88, while for test–retest reliability, the ICC was 0.87. Three factors of “discrimination”, “prejudice” and “stereotype” with 16 items were extracted and explained 59.61% variance. The Cronbach’s alpha value for the total scale was of 0.88, and for the three factors, the values were 0.89, 0.86 and 0.74, respectively. The discrimination factor showed identical means between Canadian medical students and Chinese medical staff, while the prejudice and stereotype factors had higher mean scores in the Chinese sample. The three-factor structure of Health Care Provider HIV/AIDS Stigma Scale was confirmed in Chinese medical staff with a simpler solution. This could provide a basis for trans-cultural application and comparison

    Dynamic response and limit analysis of buried gas pipeline under ground consolidation load

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    Currently, the significant dynamic plastic deformation of a buried gas pipeline frequently occurs due to the ground construction process that acts as a direct threat to the operation security of a buried gas transmission system. In this study, the pipe-soil interaction structure under a dynamic consolidation load, such as high energy dynamic compaction load, was considered as a non-conservative system in the work. Two parts of structure dissipation energy were introduced into the Lagrange function, and the elastoplastic dynamic equations of a non-conservative system based on the Hamilton Variation Principle (HVP) and the finite element (FE) theory were established. Implicit solution schemes were proposed based on the dynamic equations, and a steel weight-soil-buried pipeline finite element model was developed by performing a dynamic analysis in the LS-DYNA software with an explicit format. Vivid impact responses of an underground pipeline associated with the buried depth, wall thickness, and tamping energy were simulated. The plastic failure criterion of high toughness pipeline steel indicates that treated pipeline buried depth, wall thickness, and tamping energy corresponded to the generalized loads, and limit state of a specific case. So, they were recognized via the relationship of generalized load in relation to the total strain of pipelines. This was performed by using tangent intersection criteria, two elastic slope criteria, and zero curvature criteria. Additionally, the von Mises yield stress criterion was also applied as a traditional approach. The study potentially offers significant references on the quantitative pre-evaluation of a buried gas pipeline that poses as a threat due to the occurrence of third-party damage such as extreme strong ground interference

    Activated IL-23/IL-17 pathway closely correlates with increased Foxp3 expression in livers of chronic hepatitis B patients

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    <p>Abstract</p> <p>Background</p> <p>Foxp3 protein plays a critical role in mediating the inflammatory response and can inhibit the proinflammatory IL-23/IL-17 pathway. However, the molecular interplay of Foxp3 and the IL-23/IL-17 pathway in patients with chronic hepatitis B (CHB) remains unclear. To this end, we analyzed the expression patterns of Foxp3- and IL-23/IL-17 pathway-related proinflammatory cytokines in 39 patients with acute-on-chronic liver failure, 71 patients with CHB and 32 healthy controls.</p> <p>Results</p> <p>Foxp3 expression was found to be elevated in and mainly expressed by the CD4<sup>+ </sup>T cell sub-population of peripheral blood mononuclear cells and liver tissues of patients with hepatitis B. The intrahepatic expression of Foxp3 strongly correlated with the copies of HBV DNA and the concentration of surface antigen, HBsAg. IL-23/IL-17 pathway-related proinflammatory cytokines were also found to be significantly increased in patients' liver tissues, as compared to healthy controls. Moreover, Foxp3 expression was strikingly correlated with the production of these cytokines in liver tissues of CHB patients.</p> <p>Conclusions</p> <p>The closely-correlated increase of Foxp3 and IL-23/IL-17 pathway activity in HBV-infected livers suggests that the proinflammatory IL-23/IL-17 pathway had not been effectively suppressed by the host immune machinery, such as Treg (Foxp3) cells. Constitutive activation of the IL-23/17 pathway, thus, may support the chronic hepatitis B state.</p

    Effects of Telbivudine Treatment on the Circulating CD4+ T-Cell Subpopulations in Chronic Hepatitis B Patients

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    CD4+ T cells serve as master regulators of the adaptive immune response to HBV. However, CD4+ T-cell subsets are heterogeneous, and it remains unknown how the antiviral agents affect the different CD4+ T cell subtypes. To this end, the expressions of signature transcription factors and cytokines of CD4+ T-cell subtypes were examined in hepatitis B patients before and after treatment with telbivudine. Results showed that, upon the rapid HBV copy decrease induced by telbivudine treatment, the frequencies and related cytokines of Th17 and Treg cells were dramatically decreased, while those for Th2 cells were dramatically increased. No obvious changes were observed in Th1 cell frequencies; although, IFN-γ expression was upregulated in response to telbivudine treatment, suggesting another cell source of IFN-γ in CHB patients. Statistical analyses indicated that Th17 and Tr1 (a Treg subtype) cells were the most sensitive subpopulations of the peripheral blood CD4+ T cells to telbivudine treatment over 52 weeks. Thus, Th17 and Tr1 cells may represent a suitable and effective predictor of responsiveness during telbivudine therapy. These findings not only improve our understanding of hepatitis pathogenesis but also can aid in future development of appropriate therapeutic strategies to control viral hepatitis

    State-machine replication for planet-scale systems

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    Online applications now routinely replicate their data at multiple sites around the world. In this paper we present Atlas, the first state-machine replication protocol tailored for such planet-scale systems. Atlas does not rely on a distinguished leader, so clients enjoy the same quality of service independently of their geographical locations. Furthermore, client-perceived latency improves as we add sites closer to clients. To achieve this, Atlas minimizes the size of its quorums using an observation that concurrent data center failures are rare. It also processes a high percentage of accesses in a single round trip, even when these conflict. We experimentally demonstrate that Atlas consistently outperforms state-of-The-Art protocols in planet-scale scenarios. In particular, Atlas is up to two times faster than Flexible Paxos with identical failure assumptions, and more than doubles the performance of Egalitarian Paxos in the YCSB benchmark.H2020 - Horizon 2020 Framework Programme(825184

    Hermes: a Fast, Fault-Tolerant and Linearizable Replication Protocol

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    Today's datacenter applications are underpinned by datastores that are responsible for providing availability, consistency, and performance. For high availability in the presence of failures, these datastores replicate data across several nodes. This is accomplished with the help of a reliable replication protocol that is responsible for maintaining the replicas strongly-consistent even when faults occur. Strong consistency is preferred to weaker consistency models that cannot guarantee an intuitive behavior for the clients. Furthermore, to accommodate high demand at real-time latencies, datastores must deliver high throughput and low latency. This work introduces Hermes, a broadcast-based reliable replication protocol for in-memory datastores that provides both high throughput and low latency by enabling local reads and fully-concurrent fast writes at all replicas. Hermes couples logical timestamps with cache-coherence-inspired invalidations to guarantee linearizability, avoid write serialization at a centralized ordering point, resolve write conflicts locally at each replica (hence ensuring that writes never abort) and provide fault-tolerance via replayable writes. Our implementation of Hermes over an RDMA-enabled reliable datastore with five replicas shows that Hermes consistently achieves higher throughput than state-of-the-art RDMA-based reliable protocols (ZAB and CRAQ) across all write ratios while also significantly reducing tail latency. At 5% writes, the tail latency of Hermes is 3.6X lower than that of CRAQ and ZAB.Comment: Accepted in ASPLOS 202

    Large meta-analysis of genome-wide association studies identifies five loci for lean body mass

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    Lean body mass, consisting mostly of skeletal muscle, is important for healthy aging. We performed a genome-wide association study for whole body (20 cohorts of European ancestry with n = 38,292) and appendicular (arms and legs) lean body mass (n = 28,330) measured using dual energy X-ray absorptiometry or bioelectrical impedance analysis, adjusted for sex, age, height, and fat mass. Twenty-one single-nucleotide polymorphisms were significantly associated with lean body mass either genome wide (p < 5 x 10(-8)) or suggestively genome wide (p < 2.3 x 10(-6)). Replication in 63,475 (47,227 of European ancestry) individuals from 33 cohorts for whole body lean body mass and in 45,090 (42,360 of European ancestry) subjects from 25 cohorts for appendicular lean body mass was successful for five single-nucleotide polymorphisms in/ near HSD17B11, VCAN, ADAMTSL3, IRS1, and FTO for total lean body mass and for three single-nucleotide polymorphisms in/ near VCAN, ADAMTSL3, and IRS1 for appendicular lean body mass. Our findings provide new insight into the genetics of lean body mass
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