Clinical Policies and Procedures for Critical Care Transport during a Respiratory Pandemic

The severe acute respiratory syndrome coronavirus disease-2 (SARS-CoV-2) pandemic of 2020-2021 created unprecedented challenges for clinicians in critical care transport (CCT). These CCT services had to rapidly adjust their clinical approaches to evolving patient demographics, a preponderance of respiratory failure, and transport utilization stratagem. Organizations had to develop and implement new protocols and guidelines in rapid succession, often without the education and training that would have been involved pre-coronavirus disease 2019 (COVID-19). These changes were complicated by the need to protect crew members as well as to optimize patient care. Clinical initiatives included developing an awake proning transport protocol and a protocol to transport intubated proned patients. One service developed a protocol for helmet ventilation to minimize aerosolization risks for patients on noninvasive positive pressure ventilation (NIPPV). While these clinical protocols were developed specifically for COVID-19, the growth in practice will enhance the care of patients with other causes of respiratory failure. Additionally, these processes will apply to future respiratory epidemics and pandemics.

An Effective Transmission Scheme Based on Early Congestion Detection for Information-Centric Network

As one of the candidates for future network architecture, Information-Centric Networking (ICN) has revolutionized the manner of content retrieval by transforming the communication mode from host-centric to information-centric. Unlike a traditional TCP/IP network, ICN uses a location-independent name to identify content and takes a receiver-driven model to retrieve the content. Moreover, ICN routers not only perform a forwarding function but also act as content providers due to pervasive in-network caching. The network traffic is more complicated and routers are more prone to congestion. These distinguished characteristics pose new challenges to ICN transmission control mechanism. In this paper, we propose an effective transmission scheme by combining the receiver-driven transport protocol and the router-driven congestion detection mechanism. We first outline the process of content retrieval and transmission in an IP-compatible ICN architecture and propose a practical receiver-driven transport protocol. Then, we present an early congestion detection mechanism applied on ICN routers based on an improved Active Queue Management (AQM) algorithm and design a receiver-driven congestion control algorithm. Finally, experiment results show that the proposed transmission scheme can maintain high bandwidth utilization and significantly reduce transmission delay and packet loss rate.

A Systematic Approach to Formal Analysis of QUIC Handshake Protocol Using Symbolic Model Checking

As a newly proposed secure transport protocol, QUIC aims to improve the transport performance of HTTPS traffic and enable rapid deployment and evolution of transport mechanisms. QUIC is currently in the IETF standardization process and will potentially carry a significant portion of Internet traffic in the emerging future. An important safety goal of QUIC protocol is to provide effective data service for users. To aim this safety requirement, we propose a formal analysis method to analyze the safety of QUIC handshake protocol by using model checker SPIN and cryptographic protocol verifier ProVerif. Our analysis shows the counterexamples to safety properties, which reveal a design flaw in the current protocol specification. To this end, we also propose and verify a possible fix that is able to mitigate these flaws.

Performansi Software Defined Network Controller Pada Streaming Video Menggunakan Real-time Transport Protocol

Computer network conditions that are dynamic and also complex make network operators often make mistakes in the configuration of a network device. However, these mistakes can be resolved by the emergence of a centralized programming approach which is now known as Software Defined Network (SDN). In addition, with the development of information technology, several services in computer networks also grabbed a lot of attention from the world, such as video streaming services. A video streaming service that is so massive is capable of having an impact on data traffic on computer networks. In SDN networks, controllers are a core component of this architecture. Currently, many different types of SDN controllers can be used, however, choosing a controller in an SDN network must be an important concern. This is related to the performance of the SDN controller which is a requirement for SDN network development. This research will analyze the performance of the video streaming service using the Real-time Transport Protocol (RTP) streaming protocol in testing two SDN controllers, namely Pox and Opendaylight. Based on the tests that have been carried out, it produces Quality of Service (QoS) values in the form of throughput, delay, and jitter. The Pox controller excels in the value of QoS delay and throughput. As for the jitter value, both Pox and Opendaylight controllers have good indexes.