Fungal keratitis

Sonal S TuliUniversity of Florida, Gainesville, FL, USA  Clinical question: What is the most appropriate management of fungal keratitis?Results: Traditionally, topical Natamycin is the most commonly used medication for filamentous fungi while Amphotericin B is most commonly used for yeast. Voriconazole is rapidly becoming the drug of choice for all fungal keratitis because of its wide spectrum of coverage and increased penetration into the cornea.Implementation: Repeated debridement of the ulcer is recommended for the penetration of topical medications. While small, peripheral ulcers may be treated in the community, larger or central ulcers, especially if associated with signs suggestive of anterior chamber penetration should be referred to a tertiary center. Prolonged therapy for approximately four weeks is usually necessary.Keywords: fungal keratitis, keratomycosis, antifungal medications, debridemen

SplitPlace: AI augmented splitting and placement of large-scale neural networks in mobile edge environments

In recent years, deep learning models have become ubiquitous in industry and academia alike. Deep neural networks can solve some of the most complex pattern-recognition problems today, but come with the price of massive compute and memory requirements. This makes the problem of deploying such large-scale neural networks challenging in resource-constrained mobile edge computing platforms, specifically in mission-critical domains like surveillance and healthcare. To solve this, a promising solution is to split resource-hungry neural networks into lightweight disjoint smaller components for pipelined distributed processing. At present, there are two main approaches to do this: semantic and layer-wise splitting. The former partitions a neural network into parallel disjoint models that produce a part of the result, whereas the latter partitions into sequential models that produce intermediate results. However, there is no intelligent algorithm that decides which splitting strategy to use and places such modular splits to edge nodes for optimal performance. To combat this, this work proposes a novel AI-driven online policy, SplitPlace, that uses Multi-Armed-Bandits to intelligently decide between layer and semantic splitting strategies based on the input task's service deadline demands. SplitPlace places such neural network split fragments on mobile edge devices using decision-aware reinforcement learning for efficient and scalable computing. Moreover, SplitPlace fine-tunes its placement engine to adapt to volatile environments. Our experiments on physical mobile-edge environments with real-world workloads show that SplitPlace can significantly improve the state-of-the-art in terms of average response time, deadline violation rate, inference accuracy, and total reward by up to 46, 69, 3 and 12 percent respectively

CILP: Co-simulation based imitation learner for dynamic resource provisioning in cloud computing environments

Intelligent Virtual Machine (VM) provisioning is central to cost and resource efficient computation in cloud computing environments. As bootstrapping VMs is time-consuming, a key challenge for latency-critical tasks is to predict future workload demands to provision VMs proactively. However, existing AI-based solutions tend to not holistically consider all crucial aspects such as provisioning overheads, heterogeneous VM costs and Quality of Service (QoS) of the cloud system. To address this, we propose a novel method, called CILP, that formulates the VM provisioning problem as two sub-problems of prediction and optimization, where the provisioning plan is optimized based on predicted workload demands. CILP leverages a neural network as a surrogate model to predict future workload demands with a co-simulated digital-twin of the infrastructure to compute QoS scores. We extend the neural network to also act as an imitation learner that dynamically decides the optimal VM provisioning plan. A transformer based neural model reduces training and inference overheads while our novel two-phase decision making loop facilitates in making informed provisioning decisions. Crucially, we address limitations of prior work by including resource utilization, deployment costs and provisioning overheads to inform the provisioning decisions in our imitation learning framework. Experiments with three public benchmarks demonstrate that CILP gives up to 22% higher resource utilization, 14% higher QoS scores and 44% lower execution costs compared to the current online and offline optimization based state-of-the-art methods

MetaNet: automated dynamic selection of scheduling policies in cloud environments

Task scheduling is a well-studied problem in the context of optimizing the Quality of Service (QoS) of cloud computing environments. In order to sustain the rapid growth of computational demands, one of the most important QoS metrics for cloud schedulers is the execution cost. In this regard, several data-driven deep neural networks (DNNs) based schedulers have been proposed in recent years to allow scalable and efficient resource management in dynamic workload settings. However, optimal scheduling frequently relies on sophisticated DNNs with high computational needs implying higher execution costs. Further, even in non-stationary environments, sophisticated schedulers might not always be required and we could briefly rely on low-cost schedulers in the interest of cost-efficiency. Therefore, this work aims to solve the non-trivial meta problem of online dynamic selection of a scheduling policy using a surrogate model called MetaNet. Unlike traditional solutions with a fixed scheduling policy, MetaNet on-the-fly chooses a scheduler from a large set of DNN based methods to optimize task scheduling and execution costs in tandem. Compared to state-of-the-art DNN schedulers, this allows for improvement in execution costs, energy consumption, response time and service level agreement violations by up to 11, 43, 8 and 13 percent, respectively

SimTune: bridging the simulator reality gap for resource management in edge-cloud computing

Industries and services are undergoing an Internet of Things centric transformation globally, giving rise to an explosion of multi-modal data generated each second. This, with the requirement of low-latency result delivery, has led to the ubiquitous adoption of edge and cloud computing paradigms. Edge computing follows the data gravity principle, wherein the computational devices move closer to the end-users to minimize data transfer and communication times. However, large-scale computation has exacerbated the problem of efficient resource management in hybrid edge-cloud platforms. In this regard, data-driven models such as deep neural networks (DNNs) have gained popularity to give rise to the notion of edge intelligence. However, DNNs face significant problems of data saturation when fed volatile data. Data saturation is when providing more data does not translate to improvements in performance. To address this issue, prior work has leveraged coupled simulators that, akin to digital twins, generate out-of-distribution training data alleviating the data-saturation problem. However, simulators face the reality-gap problem, which is the inaccuracy in the emulation of real computational infrastructure due to the abstractions in such simulators. To combat this, we develop a framework, SimTune, that tackles this challenge by leveraging a low-fidelity surrogate model of the high-fidelity simulator to update the parameters of the latter, so to increase the simulation accuracy. This further helps co-simulated methods to generalize to edge-cloud configurations for which human encoded parameters are not known apriori. Experiments comparing SimTune against state-of-the-art data-driven resource management solutions on a real edge-cloud platform demonstrate that simulator tuning can improve quality of service metrics such as energy consumption and response time by up to 14.7% and 7.6% respectively