A Quality of Experience-based Recommender System for E-learning Resources

Web services are a rapidly developing and generally acknowledged technology across all areas of management. Independent software systems that can be shared and called from anywhere online. The creation of educational tools (such LMSs, MOOCs, and e-learning) now typically makes use of web services. Having these learning tools readily accessible online is a great method to acquire and disseminate information. The primary objective of this paper is to describe how web services can effectively manage educational resources by leveraging Quality of Experience and to develop an effective E-learning recommender system in the context of web services that help the user choose a course based on his needs in terms of availability, cost, and reputation

Hydrothermal syntheses of tungsten doped TiO 2 and TiO 2 /WO 3 composite using metal oxide precursors for charge storage applications

Synthesis of advanced functional materials through scalable processing routes using greener approaches is essential for process and product sustainability. In this article, syntheses of nanoparticles of titanium dioxide (TiO₂), tungsten trioxide (WO₃), WO₃-doped titanium dioxide (W-TiO₂) and TiO₂/WO₃ composite at hydrothermal conditions using corresponding metal oxide precursors are described. Electrochemical charge storage capabilities of the above materials are measured using cyclic voltammetry, charge-discharge cycling and electrochemical impedance spectroscopy in aqueous KOH electrolyte. The TiO₂ and the WO₃ nanoparticle showed a specific charge (Q) of ∼12 and ∼36 mA h g⁻¹ at a current density of 2 A g⁻¹ in 6 M KOH, respectively. The Q of TiO₂ increased upon W doping up to 25 mA h g−1 for 5 wt% W-TiO2 and the WO₃/TiO₂ composite showed the highest storage capability (Q ∼40 mA h g⁻¹). Changes in the charge storage capabilities of the doped and composite materials have been correlated to materials properties.Bhupender Pal acknowledges the Research & Innovation Department of Universiti Malaysia Pahang (http://ump.edu.my) for award of Postdoctoral Fellowship. This project is funded under Flagship Strategic Leap 3 of Universiti Malaysia Pahang (Grant Number # RDU 172201)

Large Scale Synthesis of Binary Composite Nanowires in the Mn2O3-SnO2 System with Improved Charge Storage Capabilities

Large scale production of electrochemical materials in non-conventional morphologies such as nanowires has been a challenging issue. Besides, functional materials for a given application do not often offer all properties required for ideal performance; therefore, a composite is the most sought remedy. In this paper, we report large scale production of a composite nanowire, viz. Mn2O3-SnO2, and their constituent binary nanowires by a large scale electrospinning pilot plant consisting of 100 needles. Electrochemical characterization of thus produced composite nanowires showed nearly threefold increase in the discharge capacity compared to their single component counterparts: Mn2O3-SnO2 ∼53 mA h g−1 (specific capacitance, CS ∼384 F g−1); Mn2O3 ∼18 mA h g−1 (CS ∼164 F g−1); and SnO2 ∼14 mA h g−1 (CS ∼128 F g−1) at 1 A g−1 in 6 M KOH. The EIS studies showed that the characteristic resistances and time of the composite electrode are appreciably lower than their constituents. Owing to the scalability of the synthesis processes and promising capacitive properties achieved would lead the composite material as a competitive low-cost and high-performance supercapacitor electrode

Treetop: A Shiny-based application and R package for extracting forest information from LiDAR data for ecologists and conservationists

Individual tree detection (ITD) and crown delineation are two of the most relevant methods for extracting detailed and reliable forest information from LiDAR (Light Detection and Ranging) datasets. However, advanced computational skills and specialized knowledge have been normally required to extract forest information from LiDAR.The development of accessible tools for 3D forest characterization can facilitate rapid assessment by stakeholders lacking a remote sensing background, thus fostering the practical use of LiDAR datasets in forest ecology and conservation. This paper introduces the treetop application, an open-source web-based and R package LiDAR analysis tool for extracting forest structural information at the tree level, including cutting-edge analyses of properties related to forest ecology and management.We provide case studies of how treetop can be used for different ecological applications, within various forest ecosystems. Specifically, treetop was employed to assess post-hurricane disturbance in natural temperate forests, forest homogeneity in industrial forest plantations and the spatial distribution of individual trees in a tropical forest.treetop simplifies the extraction of relevant forest information for forest ecologists and conservationists who may use the tool to easily visualize tree positions and sizes, conduct complex analyses and download results including individual tree lists and figures summarizing forest structural properties. Through this open-source approach, treetop can foster the practical use of LiDAR data among forest conservation and management stakeholders and help ecological researchers to further understand the relationships between forest structure and function.The authors thank Nicholas L. Crookston for co‐developing the web‐LiDAR treetop tool, and the two anonymous reviewers for their helpful suggestions on the first version of the manuscript. This study is based on the work supported by the Department of Defence Strategic Environmental Research and Development Program (SERDP) under grants No. RC‐2243, RC19‐1064 and RC20‐1346 and USDA Forest Service (grand No. PRO00031122

Pseudocapacitive charge storage in thin nanobelts

This article reports that extremely thin nanobelts (thickness ~ 10 nm) exhibit pseudocapacitive (PC) charge storage in the asymmetric supercapacitor (ASC) configuration, while show battery-type charge storage in their single electrodes. Two types of nanobelts, viz. NiO–Co3O4 hybrid and spinal-type NiCo2O4, developed by electrospinning technique are used in this work. The charge storage behaviour of the nanobelts is benchmarked against their binary metal oxide nanowires, i.e., NiO and Co3O4, as well as a hybrid of similar chemistry, CuO–Co3O4. The nanobelts have thickness of ~ 10 nm and width ~ 200 nm, whereas the nanowires have diameter of ~ 100 nm. Clear differences in charge storage behaviours are observed in NiO–Co3O4 hybrid nanobelts based ASCs compared to those fabricated using the other materials—the former showed capacitive behaviour whereas the others revealed battery-type discharge behaviour. Origin of pseudocapacitance in nanobelts based ASCs is shown to arise from their nanobelts morphology with thickness less than typical electron diffusion lengths (~ 20 nm). Among all the five type of devices fabricated, the NiO–Co3O4 hybrid ASCs exhibited the highest specific energy, specific power and cycling stability

Hinge/floating craniotomy as an alternative technique for cerebral decompression: a scoping review

Funder: National Institute for Health Research; doi: http://dx.doi.org/10.13039/501100000272Funder: Great Ormond Street Hospital for Children; doi: http://dx.doi.org/10.13039/501100003784Abstract: Hinge craniotomy (HC) is a technique that allows for a degree of decompression whilst retaining the bone flap in situ, in a ‘floating’ or ‘hinged’ fashion. This provides expansion potential for ensuing cerebral oedema whilst obviating the need for cranioplasty in the future. The exact indications, technique and outcomes of this procedure have yet to be determined, but it is likely that HC provides an alternative technique to decompressive craniectomy (DC) in certain contexts. The primary objective was to collate and describe the current evidence base for HC, including perioperative parameters, functional outcomes and complications. The secondary objective was to identify current nomenclature, operative technique and operative decision-making. A scoping review was performed in accordance with the PRISMA-ScR Checklist. Fifteen studies totalling 283 patients (mean age 45.1 and M:F 199:46) were included. There were 12 different terms for HC. The survival rate of the cohort was 74.6% (n = 211). Nine patients (3.2%) required subsequent formal DC. Six studies compared HC to DC following traumatic brain injury (TBI) and stroke, finding at least equivalent control of intracranial pressure (ICP). These studies also reported reduced rates of complications, including infection, in HC compared to DC. We have described the current evidence base of HC. There is no evidence of substantially worse outcomes compared to DC, although no randomised trials were identified. Eventually, a randomised trial will be useful to determine if HC should be offered as first-line treatment when indicated

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Decompressive craniotomy: an international survey of practice.

Funder: National Institute for Health Research; doi: http://dx.doi.org/10.13039/501100000272Funder: University of Cambridge and the Royal College of Surgeons of EnglandBACKGROUND: Traumatic brain injury (TBI) and stroke have devastating consequences and are major global public health issues. For patients that require a cerebral decompression after suffering a TBI or stroke, a decompressive craniectomy (DC) is the most commonly performed operation. However, retrospective non-randomized studies suggest that a decompressive craniotomy (DCO; also known as hinge or floating craniotomy), where a bone flap is replaced but not rigidly fixed, has comparable outcomes to DC. The primary aim of this project was to understand the current extent of usage of DC and DCO for TBI and stroke worldwide. METHOD: A questionnaire was designed and disseminated globally via emailing lists and social media to practicing neurosurgeons between June and November 2019. RESULTS: We received 208 responses from 60 countries [40 low- and middle-income countries (LMICs)]. DC is used more frequently than DCO, however, about one-quarter of respondents are using a DCO in more than 25% of their patients. The three top indications for a DCO were an acute subdural hematoma (ASDH) and a GCS of 9-12, ASDH with contusions and a GCS of 3-8, and ASDH with contusions and a GCS of 9-12. There were 8 DCO techniques used with the majority (60/125) loosely tying sutures to the bone flap. The majority (82%) stated that they were interested in collaborating on a randomized trial of DCO vs. DC. CONCLUSION: Our results show that DCO is a procedure carried out for TBI and stroke, especially in LMICs, and most commonly for an ASDH. The majority of the respondents were interested in collaborating on a is a future randomized trial

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication