On the Use of Allen’s Interval Algebra in the Coordination of Resource Consumption by Transactional Business Processes

This paper presents an approach to coordinate the consumption of resources by transactional business processes. Resources are associated with consumption properties known as unlimited, limited, limited-but-extensible, shareable, and non-shareable restricting their availabilities at consumption-time. And, processes are associated with transactional properties known as pivot, retriable, and compensatable restricting their execution outcomes in term of either success or failure. To consider the intrinsic characteristics of both consumption properties and transactional properties when coordinating resource consumption by processes, the approach adopts Allen’s interval algebra through different time-interval relations like before, overlaps, and during to set up the coordination, which should lead to a free-of-conflict consumption. A system demonstrating the technical doability of the approach based on a case study about loan application business-process and a real dataset is presented in the paper, as well

Classification of MRI brain tumors based on registration preprocessing and deep belief networks

In recent years, augmented reality has emerged as an emerging technology with huge potential in image-guided surgery, and in particular, its application in brain tumor surgery seems promising. Augmented reality can be divided into two parts: hardware and software. Further, artificial intelligence, and deep learning in particular, have attracted great interest from researchers in the medical field, especially for the diagnosis of brain tumors. In this paper, we focus on the software part of an augmented reality scenario. The main objective of this study was to develop a classification technique based on a deep belief network (DBN) and a softmax classifier to (1) distinguish a benign brain tumor from a malignant one by exploiting the spatial heterogeneity of cancer tumors and homologous anatomical structures, and (2) extract the brain tumor features. In this work, we developed three steps to explain our classification method. In the first step, a global affine transformation is preprocessed for registration to obtain the same or similar results for different locations (voxels, ROI). In the next step, an unsupervised DBN with unlabeled features is used for the learning process. The discriminative subsets of features obtained in the first two steps serve as input to the classifier and are used in the third step for evaluation by a hybrid system combining the DBN and a softmax classifier. For the evaluation, we used data from Harvard Medical School to train the DBN with softmax regression. The model performed well in the classification phase, achieving an improved accuracy of 97.2%

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

An Approach-Based on Allen’s Interval Algebra to Provision Resources for Disrupted Business Processes

This paper presents an approach that provisions resources to a set of business processes’ tasks for consumption at run-time. However, it happens that these tasks are disrupted by other urgent tasks that require immediate resource provisioning. Besides resources’ consumption properties like limited and shareable, and tasks’ transactional properties like pivot and retriable, disruptions make tasks suspend their ongoing execution, so they release their resources to the disrupting tasks that now need to be executed. These resources were initially assigned to what is now referred to as disrupted tasks. To consider the intrinsic characteristics of the consumption properties, transactional properties, and disruptions when resources are provisioned to disrupted/disrupting tasks, the approach adopts Allen’s interval algebra to ensure a free-of-conflict consumption of resources. A system demonstrating the technical doability of the approach based on a case study about loan applications and a real dataset is presented in the paper, as well

Male gender and prematurity are risk factors for incarceration in pediatric inguinal hernia: A study of 922 children

Objectives: The purpose of this study was to document clinical features of inguinal hernia (IH) in the pediatric population. It provides data to evaluate associated risk factors of incarcerated hernia, its recurrence as well as the occurrence of contralateral metachronous hernia. Materials and Methods: We report a retrospective analytic study including 922 children presenting with IH and operated from 2010 to 2013 in our pediatric surgery department. Results: We managed 143 girls (16%) and 779 boys (84%). The mean age was 2 years; the right side was predominantly affected (66.8%, n = 616). Incarcerated hernia was documented in 16% of cases with an incidence of 33% in neonates. The incarceration occurrence was 15.5% in males versus 2.09% in females. The surgical repair was done according to Forgue technique. Postoperatively, four cases of hernia recurrence were documented, and contralateral metachronous hernia was reported in 33 children with 7.7% females versus 2.8% males. Forty-five percent of them were infants. The mean follow-up period was 4 years. We think that incarceration can be related to several risk factors such as feminine gender, prematurity, and the initial left side surgical repair of the hernia. Conclusion: IH occurs mainly in male infants. Prematurity and male gender were identified as risk factors of incarceration. Contralateral metachronous hernia was reported, especially in female infants and after a left side surgical repair of the hernia