Towards an operationalization of test-driven development skills: An industrial empirical study

Abstract Context: The majority of the empirical studies on Test-driven development (TDD) are concerned with verifying or refuting the effectiveness of the technique over a traditional approach, and they tend to neglect whether the subjects possess the necessary skills to apply TDD, though they argue such skills are necessary. Objective: We evaluate a set of minimal, a priori and in process skills necessary to apply TDD. We determine whether variations in external quality (i.e., number of defects) and productivity (i.e., number of features implemented) can be associated with different clusters of the TDD skills? set. Method: We executed a quasi-experiment involving 30 practitioners from industry. We first grouped the participants according to their TDD skills? set (consisting of a priori experience on programming and testing as well as in-process TDD conformance) into three levels (Low-Medium-High) using k-means clustering. We then applied ANOVA to compare the clusters in terms of external quality and productivity, and conducted post-hoc pairwise analysis. Results: We did not observe a statistically significant difference between the clusters either for external software quality ( F ( 2 , 27 = 1.44 , p = . 260 ), or productivity ( F ( 2 , 27 ) = 3.02 , p = . 065 ). However, the analysis of the effect sizes and their confidence intervals shows that the TDD skills? set is a factor that could account for up to 28% of the external quality, and 38% for productivity. Conclusion: We have reason to conclude that focusing on the improvement of TDD skills? set investigated in this study could benefit software developers in improving their baseline productivity and the external quality of the code they produce. However, replications are needed to overcome the issues related with the statistical power of this study. We suggest practical insights for future work to investigate the phenomenon further.hisresearchispartiallysupportedbytheAcademyofFinlandwithdecisionno.:278354,andbyFinnishDistinguishedProfessor(Fi.Di.Pro.) programme, ESEIL

EVALUATION OF A HAEMOSTATIC AGENT IN RABBITS

Topical hemostatic agents are applied locally to areas of injured vascular endothelium to control local bleeding. Ankaferd Blood Stopper (ABS) has gained approval in Turkey and Bosnia-Herzegovina as a topical haemostatic agent for external post-surgical and post-dental surgery bleeding. The safety of topical use of ABS has been demonstrated in numerous in vitro and in vivo animal models, as well as in a clinical Phase I trial in humans. ABS, besides its haemostatic activity, also has in vitro anti-infectious and anti-neoplastic effects. To assess potential detrimental effects of intravenous administration of ABS into intact systemic circulation in a rabbit experimental model, one milliliter of ABS was administered intravenously into the systemic circulation of twelve rabbits which were included in the study via the marginal ear vein. Animals were observed for 1 hr before euthanasia was performed by administering 40 mg of intracardiac suxamethonium chloride. In the event of death (cardiopulmonary arrest) before the end of the planned observation period of 60 minutes, time of death was recorded and histopathological examination of the liver and spleen was commenced. Ten rabbits were alive by the end of the planned observation period, without showing any clear signs of discomfort, whereas two animals died within five minutes after systemic administration of intravenous ABS. Postmortem histopathological examination of the livers and spleens of all animals’ revealed findings consistent with hepatic venous outflow obstruction. Systemic intravascular administration of ABS into intact vascular endothelium should never be performed in any setting. Further experimental and clinical studies on this liquid hemostatic agent should proceed by accepting ABS as purely a topical haemostatic agent, to be applied solely to areas of injured vascular endothelium

An industry experiment on the effects of test-driven development on external quality and productivity

Existing empirical studies on test-driven development (TDD) report different conclusions about its effects on quality and productivity. Very few of those studies are experiments conducted with software professionals in industry. We aim to analyse the effects of TDD on the external quality of the work done and the productivity of developers in an industrial setting. We conducted an experiment with 24 professionals from three different sites of a software organization. We chose a repeated-measures design, and asked subjects to implement TDD and incremental test last development (ITLD) in two simple tasks and a realistic application close to real-life complexity. To analyse our findings, we applied a repeated-measures general linear model procedure and a linear mixed effects procedure. We did not observe a statistical difference between the quality of the work done by subjects in both treatments. We observed that the subjects are more productive when they implement TDD on a simple task compared to ITLD, but the productivity drops significantly when applying TDD to a complex brownfield task. So, the task complexity significantly obscured the effect of TDD. Further evidence is necessary to conclude whether TDD is better or worse than ITLD in terms of external quality and productivity in an industrial setting. We found that experimental factors such as selection of tasks could dominate the findings in TDD studies.This research has been partly funded by Spanish Ministry of Science and Innovation projects TIN2011-23216, the Distinguished Professor Program of Tekes, and the Academy of Finland (Grant Decision No. 260871)

Impact of antimicrobial drug restrictions on doctors' behaviors

Background/aim: Broad-spectrum antibiotics have become available for use only with the approval of infectious disease specialists (IDSs) since 2003 in Turkey. This study aimed to analyze the tendencies of doctors who are not disease specialists (non-IDSs) towards the restriction of antibiotics.Materials and methods: A questionnaire form was prepared, which included a total of 22 questions about the impact of antibiotic restriction (AR) policy, the role of IDSs in the restriction, and the perception of this change in antibiotic consumption. The questionnaire was completed by each participating physician.Results: A total of 1906 specialists from 20 cities in Turkey participated in the study. Of those who participated, 1271 (67.5%) had 5 years of occupational experience in their branch expressed that they followed the antibiotic guidelines more strictly than the JSs (P < 0.05) and 755 of physicians (88%) and 720 of surgeons (84.6%) thought that the AR policy was necessary and useful (P < 0.05).Conclusion: This study indicated that the AR policy was supported by most of the specialists. Physicians supported this restriction policy more so than surgeons did

A combined ULBP2 and SEMA5A expression signature as a prognostic and predictive biomarker for colon cancer

Background: Prognostic biomarkers for cancer have the power to change the course of disease if they add value beyond known prognostic factors, if they can help shape treatment protocols, and if they are reliable. The aim of this study was to identify such biomarkers for colon cancer and to understand the molecular mechanisms leading to prognostic stratifications based on these biomarkers. Methods and Findings: We used an in house R based script (SSAT) for the in silico discovery of stage-independent prognostic biomarkers using two cohorts, GSE17536 and GSE17537, that include 177 and 55 colon cancer patients, respectively. This identified 2 genes, ULBP2 and SEMA5A, which when used jointly, could distinguish patients with distinct prognosis. We validated our findings using a third cohort of 48 patients ex vivo. We find that in all cohorts, a combined ULBP2/SEMA5A classification (SU-GIB) can stratify distinct prognostic sub-groups with hazard ratios that range from 2.4 to 4.5 (p=0.01) when overall- or cancer-specific survival is used as an end-measure, independent of confounding prognostic parameters. In addition, our preliminary analyses suggest SU-GIB is comparable to Oncotype DX colon(®) in predicting recurrence in two different cohorts (HR: 1.5-2; p=0.02). SU-GIB has potential as a companion diagnostic for several drugs including the PI3K/mTOR inhibitor BEZ235, which are suitable for the treatment of patients within the bad prognosis group. We show that tumors from patients with worse prognosis have low EGFR autophosphorylation rates, but high caspase 7 activity, and show upregulation of pro-inflammatory cytokines that relate to a relatively mesenchymal phenotype. Conclusions: We describe two novel genes that can be used to prognosticate colon cancer and suggest approaches by which such tumors can be treated. We also describe molecular characteristics of tumors stratified by the SU-GIB signature. © Ivyspring International Publisher

β1 Integrin Maintains Integrity of the Embryonic Neocortical Stem Cell Niche

IInteractions between laminins and integrin receptors hold neural stem cells in place at the ventricular surface of embryonic brain. Transient disruption leads to abnormal stem cell divisions and permanent cortical malformation

The Adaptive Thermal Comfort Review from the 1920s, the Present, and the Future

The typical method for comfort analysis is the Predicted Mean Vote and Predicted Percentage Dissatisfied (PMV-PPD). However, they present limitations in accommodating the comfort of a disabled and elder group of people, which are the most vulnerable to climate change and energy poverty. The adaptive method can give flexibility and personalisation needed to overcome the problem due to the variability of the people's metabolism, historical and behavioural preferences. Investments to upgrade the indoor environmental quality and building design can then be effectively used and, for the first time, it will be possible to tailor the solutions for these particular groups of people. The adaptive approach uses Artificial Intelligence (AI), where it can introduce the imperfect learning process. Overcoming this, instead of going further for the Explainable AI, the PMV–PPD approach can be used for the learning validation and verification needed for the adaptive setting point and standards

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P &lt; 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P &lt; 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk