title: Usability and feasibility of PreventS-MD webapp for stroke prevention.

authors: Feigin, Valery L.

subjects: Epidemiology

abstract: BACKGROUND: Most strokes and cardiovascular diseases (CVDs) are potentially preventable if their risk factors are identified and well controlled. Digital platforms, such as the PreventS-MD webapp (PreventS-MD) may aid health care professionals (HCPs) in assessing and managing risk factors and promoting lifestyle changes for their patients. 
METHODS: This is a mixed methods cross-sectional 2-phase survey using a largely positivist (quantitative and qualitative) framework. During phase 1, a prototype of PreventS-MD was tested internationally by 59 of 69 consenting HCPs of different backgrounds, age, sex, working experience and specialities using hypothetical data. Collected comments/suggestions from the study HCPs in phase 1 were reviewed and implemented. In phase 2, a near-final version of PreventS-MD was developed and tested by 58 of 72 consenting HCPs using both hypothetical and real patient (n=10) data. Qualitative semi-structured interviews with real patients (n=10) were conducted, and 1-month adherence to the preventative recommendations was assessed by self-reporting. The four System Usability Scale (SUS) groups of scores (0-50 unacceptable; 51-68 poor, 68-80.3 good; >80.3 excellent) were used to determine usability of PreventS-MD. 
FINDINGS: 99 HCPs from 27 countries (45% from low- to middle-income countries) participated in the study, out of whom 10 HCPs were involved in the development of PreventS before the study, and therefore were not involved in the survey. Of the remaining 89 HCPs 69 consented to the first phase of the survey, out of whom 59 completed the first phase of the survey (response rate 86%) and 58 HCPs completed the second phase of the survey (response rate 84%). The SUS scores supported good usability of the prototype (mean score=80.2; 95% CI [77.0-84.0]) and excellent usability of the final version of PreventS-MD (mean score=81.7; 95%CI [79.1-84.3]) in the field. Scores were not affected by the age, sex, working experience or speciality of the HCPs. One month follow-up of the patients confirmed the high level of satisfaction/acceptability of PreventS-MD and (100%) adherence to the recommendations. 
INTERPRETATION: The PreventS-MD webapp has a high level of usability, feasibility and satisfaction by HCPs and individuals at risk of stroke/CVD. Individuals at risk of stroke/CVD demonstrated a high level of confidence and motivation in following and adhering to preventative recommendations generated by PreventS-MD.

text: Usability and feasibility of PreventS-MD webapp for stroke prevention. BACKGROUND: Most strokes and cardiovascular diseases (CVDs) are potentially preventable if their risk factors are identified and well controlled. Digital platforms, such as the PreventS-MD webapp (PreventS-MD) may aid health care professionals (HCPs) in assessing and managing risk factors and promoting lifestyle changes for their patients. 
METHODS: This is a mixed methods cross-sectional 2-phase survey using a largely positivist (quantitative and qualitative) framework. During phase 1, a prototype of PreventS-MD was tested internationally by 59 of 69 consenting HCPs of different backgrounds, age, sex, working experience and specialities using hypothetical data. Collected comments/suggestions from the study HCPs in phase 1 were reviewed and implemented. In phase 2, a near-final version of PreventS-MD was developed and tested by 58 of 72 consenting HCPs using both hypothetical and real patient (n=10) data. Qualitative semi-structured interviews with real patients (n=10) were conducted, and 1-month adherence to the preventative recommendations was assessed by self-reporting. The four System Usability Scale (SUS) groups of scores (0-50 unacceptable; 51-68 poor, 68-80.3 good; >80.3 excellent) were used to determine usability of PreventS-MD. 
FINDINGS: 99 HCPs from 27 countries (45% from low- to middle-income countries) participated in the study, out of whom 10 HCPs were involved in the development of PreventS before the study, and therefore were not involved in the survey. Of the remaining 89 HCPs 69 consented to the first phase of the survey, out of whom 59 completed the first phase of the survey (response rate 86%) and 58 HCPs completed the second phase of the survey (response rate 84%). The SUS scores supported good usability of the prototype (mean score=80.2; 95% CI [77.0-84.0]) and excellent usability of the final version of PreventS-MD (mean score=81.7; 95%CI [79.1-84.3]) in the field. Scores were not affected by the age, sex, working experience or speciality of the HCPs. One month follow-up of the patients confirmed the high level of satisfaction/acceptability of PreventS-MD and (100%) adherence to the recommendations. 
INTERPRETATION: The PreventS-MD webapp has a high level of usability, feasibility and satisfaction by HCPs and individuals at risk of stroke/CVD. Individuals at risk of stroke/CVD demonstrated a high level of confidence and motivation in following and adhering to preventative recommendations generated by PreventS-MD.

year: 2023-07-24

title: Failure resilience and traffic engineering for multi-controller software defined networking

authors: Zaicu, Nicu Florin

abstract: This thesis explores and proposes solutions to address the challenges faced by Multi-Controller SDN (MCSDN) systems when deploying TE optimisation on WANs. Despite the interest from the research community, existing MCSDN systems present limitations. For example, TE optimisation systems are computationally complex, have high consistency requirements, and need network-wide state to operate. Because of such requirements, MCSDN systems can encounter performance overheads and state consistency problems when implementing TE. Moreover, performance and consistency problems are more prominent when deploying the system on WANs as these network types have higher inter-device latency, delaying state propagation.

Unlike existing literature, this thesis presents several design choices that address all four challenges affecting MCSDN systems (scalability, consistency, resilience, and coordination). We use the presented design choices to build Helix, a hierarchical MCSDN system. Helix provides better scalability, performance and failure resilience compared to existing MCSDN systems by sharing minimal state between controllers, offloading operations closer to the data plane and deploying lightweight tasks.

A challenge that we faced when building Helix was that existing TE algorithms did not meet Helix's design choices. This thesis presents a new CSPF-based TE algorithm that needs minimal state to operate and supports offloading inter-area TE to local controllers, fulfilling Helix's requirements. Helix's TE algorithm provides better performance and forwarding stability, addressing 1.6x more congestion while performing up to 29x fewer path modifications than the other algorithms evaluated in our experiments.

While MCSDN literature has explored evaluating different aspects of system performance, there is a lack of readily available tools and concrete testing methodologies. To this end, this thesis provides concrete testing methodologies and tools readily available to the MCSDN community to evaluate the data plane failure resilience, control plane failure resilience, and TE optimisation performance of MCSDN systems.

text: Failure resilience and traffic engineering for multi-controller software defined networking This thesis explores and proposes solutions to address the challenges faced by Multi-Controller SDN (MCSDN) systems when deploying TE optimisation on WANs. Despite the interest from the research community, existing MCSDN systems present limitations. For example, TE optimisation systems are computationally complex, have high consistency requirements, and need network-wide state to operate. Because of such requirements, MCSDN systems can encounter performance overheads and state consistency problems when implementing TE. Moreover, performance and consistency problems are more prominent when deploying the system on WANs as these network types have higher inter-device latency, delaying state propagation.

Unlike existing literature, this thesis presents several design choices that address all four challenges affecting MCSDN systems (scalability, consistency, resilience, and coordination). We use the presented design choices to build Helix, a hierarchical MCSDN system. Helix provides better scalability, performance and failure resilience compared to existing MCSDN systems by sharing minimal state between controllers, offloading operations closer to the data plane and deploying lightweight tasks.

A challenge that we faced when building Helix was that existing TE algorithms did not meet Helix's design choices. This thesis presents a new CSPF-based TE algorithm that needs minimal state to operate and supports offloading inter-area TE to local controllers, fulfilling Helix's requirements. Helix's TE algorithm provides better performance and forwarding stability, addressing 1.6x more congestion while performing up to 29x fewer path modifications than the other algorithms evaluated in our experiments.

While MCSDN literature has explored evaluating different aspects of system performance, there is a lack of readily available tools and concrete testing methodologies. To this end, this thesis provides concrete testing methodologies and tools readily available to the MCSDN community to evaluate the data plane failure resilience, control plane failure resilience, and TE optimisation performance of MCSDN systems.

year: 2022

title: E kui Rāwinia

authors: Maxwell, Te Kahautu

subjects: Waiata tangi

abstract: He waiata tangi tēnei mō Rāwinia Te Kani he uri nō Te Whakatōhea.  I whānau mai a Rāwinia ki roto o Ngāti Rua he hapū nō Te Whakatōhea, i pakeke mai ia ki roto o Ngāti Rua ki Ōmarumutu, ā, i kuraina ia ki reira.  He wahine rongonui a Rāwinia ki roto o Tūranga i moe ia i a Tokorua Te Kani he ariki nō roto o Tūranga.  Hoi anō he wahine haka a Rāwinia he kuia tāngia ki te moko kauae me te tautoko i ngā mokopū wānanga puta i te motu.  He waiata tangi tēnei mōna nā tana iwi a Te Whakatōhea.

text: E kui Rāwinia He waiata tangi tēnei mō Rāwinia Te Kani he uri nō Te Whakatōhea.  I whānau mai a Rāwinia ki roto o Ngāti Rua he hapū nō Te Whakatōhea, i pakeke mai ia ki roto o Ngāti Rua ki Ōmarumutu, ā, i kuraina ia ki reira.  He wahine rongonui a Rāwinia ki roto o Tūranga i moe ia i a Tokorua Te Kani he ariki nō roto o Tūranga.  Hoi anō he wahine haka a Rāwinia he kuia tāngia ki te moko kauae me te tautoko i ngā mokopū wānanga puta i te motu.  He waiata tangi tēnei mōna nā tana iwi a Te Whakatōhea.

year: 2016