The Effectiveness of Using a Cognitive Style-based Chatbot in Developing Science Concepts and Critical Thinking Skills among Preparatory School Pupils

The research investigated the effectiveness of using a cognitive style-based chatbot in developing science concepts and critical thinking skills among preparatory school pupils. To achieve the aim of the research, the researchers applied the two groups' quasi-experimental design and utilized three instruments as follows;1) Budner scale to measure the tolerance of ambiguity; 2) Science concepts achievement test developed by the researchers and implemented before and after applying a cognitive style-based chatbot; 3) The critical thinking skills test developed by the researchers to identify four critical thinking skills required for grade 8 level and implemented before and after applying a cognitive style-based chatbot. The participants were chosen randomly from eighth-graders (N=50) at HOIS (Hurghada Official International School), Red Sea Governorate, Egypt. The researchers divided participants into two experimental groups of 25 pupils (EGA) and (EGB) according to their cognitive style as tolerant or intolerant of ambiguity. Quantitative results showed the significant mean differences between the scores of participants at level (0.005 ≥) in the pre-post testing procedures in favor of the post-testing for both dependent variables (science concept and critical thinking skills). Results indicated the positive impact of utilizing a cognitive style-based chatbot in developing science concepts and critical thinking skills for preparatory school pupils. So, the researchers recommended employing chatbots in learning science for their high effectiveness in developing science concepts and critical thinking skills among preparatory school pupils in Egypt

Prediction of the intention to use a smartwatch : a comparative approach using machine learning and partial least squares structural equation modeling

This study makes use of a cohesive yet innovative research model to identify the determinants of the adoption of smart watches using constructs from the Technology Acceptance Model (TAM) and constructs of smartwatches, including effectiveness, content richness, and personal innovativeness. The chief objective of the study was to encourage the use of smartwatches for medical purposes so that the role of doctors can be made more effective and to facilitate access to patient records. Our conceptual framework highlights the association of TAM constructs (i.e., perceived usefulness and perceived ease of use) with the content richness, the construct of user satisfaction, and innovativeness. To measure the effectiveness of the smartwatch, an external factor based on the flow theory was added, which emphasizes the control over the smartwatch and the degree of involvement. The study employs data from 385 respondents involved in the field of medicine, such as doctors, patients, and nurses. The data were gathered through a survey and used for evaluation of the research model using partial least squares structural equation modeling (PLS-SEM) and machine learning (ML) models. The significance and performance of factors impacting THE adoption of smartwatches were also identified using Importance-Performance Map Analysis (IPMA). User satisfaction is the most important predictor of intention to adopt a medical smartwatch according to the ML and IPMA analyses. The fitting of the structural equation model to the sample showed a high dependence of user satisfaction on perceived usefulness and perceived ease of use. Furthermore, two critical factors, innovativeness and content richness, are demonstrated to enhance perceived usefulness. However, one should consider that perceived usefulness or behavioral intention could not be determined based on perceived ease of use. In general, the findings suggest that smartwatch usage could become critically important in the medical field as a mediator that allows doctors, patients, and other users to access essential information

Pomegranate peel as a natural antioxidant boosts bucks' fertility under Egyptian summer conditions

[EN] Exposure of male rabbits to heat stress during summer adversely affects their fertility, leading to major production losses. A total of 16 male rabbits were randomly divided into 4 experimental groups exposed to temperatures ranging from a high of 30.3 to a low of 27.3 °C. Animals from first to fourth groups were fed diets containing 0, 1.5, 3.0, or 4.5% pomegranate peel (PP) to evaluate the ability of PP feeding to enhance bucks¿ reproductive status. Pomegranate peel treatments significantly increased ejaculate volume by 19, 18 and 12%, increased seminal plasma fructose by 7, 18, and 24%, improved sperm motility by 28, 34 and 49%, increased sperm total output by 37, 69 and 102% and reduced dead sperm by 24, 32 and 64% with diets containing 1.5, 3.0 and 4.5% of PP compared to the heat stressed control animals. Seminal plasma total lipids, cholesterol and triglycerides increased while alkaline phosphatase decreased with PP treatments. Seminal plasma total antioxidant capacity increased to reach 126, 143 and 191% with diets containing 1.5, 3.0 and 4.5% of PP, while lipid peroxide (malondialdehyde) levels decreased significantly to reach around 54% of the heat stressed bucks¿ value with the three PP dietary doses used. It was concluded that supplementations of PP in the diet of bucks during summer season in Egypt can improve their semen characteristics, probably due to their antioxidant actions.Zeweil, HS.; Elnagar, S.; Zahran, SM.; Ahmed, MH.; El-gindy, Y. (2013). Pomegranate peel as a natural antioxidant boosts bucks' fertility under Egyptian summer conditions. World Rabbit Science. 21(1):33-39. doi:10.4995/wrs.2013.1209.SWORD333921

Development of new thiazolidine-2,4-dione hybrids as aldose reductase inhibitors endowed with antihyperglycaemic activity: design, synthesis, biological investigations, and in silico insights

This research study describes the development of new small molecules based on 2,4-thiazolidinedione (2,4-TZD) and their aldose reductase (AR) inhibitory activities. The synthesis of 17 new derivatives of 2,4-TZDs hybrids was feasible by incorporating two known bioactive scaffolds, benzothiazole heterocycle, and nitro phenacyl moiety. The most active hybrid (8b) was found to inhibit AR in a non-competitive manner (0.16 µM), as confirmed by kinetic studies and molecular docking simulations. Furthermore, the in vivo experiments demonstrated that compound 8b had a significant hypoglycaemic effect in mice with hyperglycaemia induced by streptozotocin. Fifty milligrams per kilogram dose of 8b produced a marked decrease in blood glucose concentration, and a lower dose of 5 mg/kg demonstrated a noticeable antihyperglycaemic effect. These outcomes suggested that compound 8b may be used as a promising therapeutic agent for the treatment of diabetic complications

Sub-population analysis based on temporal features of high content images

Background: High content screening techniques are increasingly used to understand the regulation and progression of cell motility. The demand of new platforms, coupled with availability of terabytes of data has challenged the traditional technique of identifying cell populations by manual methods and resulted in development of high-dimensional analytical methods. Results: In this paper, we present sub-populations analysis of cells at the tissue level by using dynamic features of the cells. We used active contour without edges for segmentation of cells, which preserves the cell morphology, and autoregressive modeling to model cell trajectories. The sub-populations were obtained by clustering static, dynamic and a combination of both features. We were able to identify three unique sub-populations in combined clustering. Conclusion: We report a novel method to identify sub-populations using kinetic features and demonstrate that these features improve sub-population analysis at the tissue level. These advances will facilitate the application of high content screening data analysis to new and complex biological problems.Computation and Systems Biology Programme of Singapore--Massachusetts Institute of Technology Allianc

Resilient cooling strategies – A critical review and qualitative assessment

The global effects of climate change will increase the frequency and intensity of extreme events such as heatwaves and power outages, which have consequences for buildings and their cooling systems. Buildings and their cooling systems should be designed and operated to be resilient under such events to protect occupants from potentially dangerous indoor thermal conditions. This study performed a critical review on the state-of-the-art of cooling strategies, with special attention to their performance under heatwaves and power outages. We proposed a definition of resilient cooling and described four criteria for resilience—absorptive capacity, adaptive capacity, restorative capacity, and recovery speed —and used them to qualitatively evaluate the resilience of each strategy. The literature review and qualitative analyses show that to attain resilient cooling, the four resilience criteria should be considered in the design phase of a building or during the planning of retrofits. The building and relevant cooling system characteristics should be considered simultaneously to withstand extreme events. A combination of strategies with different resilience capacities, such as a passive envelope strategy coupled with a low-energy space-cooling solution, may be needed to obtain resilient cooling. Finally, a further direction for a quantitative assessment approach has been pointed out

Postoperative outcomes in oesophagectomy with trainee involvement

BACKGROUND: The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study was to determine the impact of trainee involvement in oesophagectomy on postoperative outcomes in an international multicentre setting. METHODS: Data from the multicentre Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were analysed, which comprised prospectively collected data from patients undergoing oesophagectomy for oesophageal cancer between April 2018 and December 2018. Procedures were grouped by the level of trainee involvement, and univariable and multivariable analyses were performed to compare patient outcomes across groups. RESULTS: Of 2232 oesophagectomies from 137 centres in 41 countries, trainees were involved in 29.1 per cent of them (n = 650), performing only the abdominal phase in 230, only the chest and/or neck phases in 130, and all phases in 315 procedures. For procedures with a chest anastomosis, those with trainee involvement had similar 90-day mortality, complication and reoperation rates to consultant-performed oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively), while anastomotic leak rates were significantly lower in the trainee groups (P = 0.030). Procedures with a neck anastomosis had equivalent complication, anastomotic leak, and reoperation rates (P = 0.150, P = 0.430, and P = 0.632, respectively) in trainee-involved versus consultant-performed oesophagectomies, with significantly lower 90-day mortality in the trainee groups (P = 0.005). CONCLUSION: Trainee involvement was not found to be associated with significantly inferior postoperative outcomes for selected patients undergoing oesophagectomy. The results support continued supervised trainee involvement in oesophageal cancer surgery

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised