A Novel Hybrid Optimization With Ensemble Constraint Handling Approach for the Optimal Materialized Views

The datawarehouse is extremely challenging to work with, as doing so necessitates a significant investment of both time and space. As a result, it is essential to enable rapid data processing in order to cut down on the amount of time needed to respond to queries that are sent to the warehouse. To effectively solve this problem, one of the significant approaches that should be taken is to take the view of materialization. It is extremely unlikely that all of the views that can be derived from the data will ever be materialized. As a result, view subsets need to be selected intelligently in order to enable rapid data processing for queries coming from a variety of locations. The Materialized view selection problem is addressed by the model that has been proposed. The model is based on the ensemble constraint handling techniques (ECHT). In order to optimize the problem, we must take into account the constraints, which include the self-adaptive penalty, the Epsilon ()-parameter, and the stochastic ranking. For the purpose of making a quicker and more accurate selection of queries from the data warehouse, the proposed model includes the implementation of an innovative algorithm known as the constrained hybrid Ebola with COATI optimization (CHECO) algorithm. For the purpose of computing the best possible fitness, the goals of "processing cost of the query," "response cost," and "maintenance cost" are each defined. The top views are selected by the CHECO algorithm based on whether or not the defined fitness requirements are met. In the final step of the process, the proposed model is compared to the models already in use in order to validate the performance improvement in terms of a variety of performance metrics

MHLM Majority Voting Based Hybrid Learning Model for Multi-Document Summarization

Text summarization from multiple documents is an active research area in the current scenario as the data in the World Wide Web (WWW) is found in abundance. The text summarization process is time-consuming and hectic for the users to retrieve the relevant contents from this mass collection of the data. Numerous techniques have been proposed to provide the relevant information to the users in the form of the summary. Accordingly, this article presents the majority voting based hybrid learning model (MHLM) for multi-document summarization. First, the multiple documents are subjected to pre-processing, and the features, such as title-based, sentence length, numerical data and TF-IDF features are extracted for all the individual sentences of the document. Then, the feature set is sent to the proposed MHLM classifier, which includes the Support Vector Machine (SVM), K-Nearest Neighbors (KNN), and Neural Network (NN) classifiers for evaluating the significance of the sentences present in the document. These classifiers provide the significance scores based on four features extracted from the sentences in the document. Then, the majority voting model decides the significant texts based on the significance scores and develops the summary for the user and thereby, reduces the redundancy, increasing the quality of the summary similar to the original document. The experiment performed with the DUC 2002 data set is used to analyze the effectiveness of the proposed MHLM that attains the precision and recall at a rate of 0.94, f-measure at a rate of 0.93, and ROUGE-1 at a rate of 0.6324.</jats:p

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

Critical care admission following elective surgery was not associated with survival benefit:prospective analysis of data from 27 countries

Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10–5.21]; p &lt; 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery