Intelligent and interactive web-based tutoring system in engineering education : reviews, perspectives and development

Due to the rapid growth of the use of computers and increasing use of the Internet in education a large number of Web-based educational applications have been developed and implemented. However, very few of them are pedagogically intelligent and interactive for learning purposes. The Web-based intelligent learning has become more effective in the past decade due to increasing use of the Internet ineducation. A literature search indicates that there is a lack of relevant comprehensive research concerning the efficiency of computer-assisted instructions used in engineering education. The main focus of the research described in this chapter is on the comprehensive review of design and development of the Web-based authoring tool for an Intelligent Tutoring System in engineering education. The chapter outlines and discusses important issues of the development of intelligent Tutoring System (ITS) in engineering education with an example of the development of a Web-Based Computer-Assisted Tutorials and Laboratory Procedures (WCALP)

Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis

Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien–Dindo Grades III–V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49–2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46–0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease