The Quadratic Assignment Problem : Some New Result and Generalization

The Quadratic assignment problem is a combinatorial problem ofdeciding the placement of facilities in specified locations in such a wayas to minimize an function expressed in terms of distances betweenlocations and flows between facilities. The approach presented in thispaper is to treat is as a large quadratic programming problem withinteger resfictions on the variables. The integer requirements areinitially relaxed, and the nearest feasible solutions in then sought.schemes for accomplishing this are described, and their applicability tomore general problems is discussed

Discriminator-based adversarial networks for knowledge graph completion

Knowledge graphs (KGs) inherently lack reasoning ability which limits their effectiveness for tasks such as question-answering and query expansion. KG embedding (KGE) is a predominant approach where proximity between relations and entities in the embedding space is used for reasoning over KGs. Most existing KGE approaches use structural information of triplets and disregard contextual information which could be crucial to learning long-term relations between entities. Moreover, KGE approaches mostly use discriminative models which require both positive and negative samples to learn a decision boundary. KGs, by contrast, contain only positive samples, necessitating that negative samples are generated by replacing the head/tail of predicates with randomly-chosen entities. They are thus usually irrational and easily discriminable from positive samples, which can prevent the learning of sufficiently robust classifiers. To address the shortcomings, we propose to learn contextualized KGE using pretrained adversarial networks. We assume multi-hop relational paths(mh-RPs) as textual sequences for competitively learning discriminator-based KGE against the negative mh-RP generator. We use a pre-trained ELECTRA model and feed it with relational paths. We employ a generator to corrupt randomly-chosen entities with plausible alternatives and a discriminator to predict whether an entity is corrupted or not. We perform experiments on multiple benchmark knowledge graphs and the results show that our proposed KG-ELECTRA model outperforms BERT in link prediction

Negative refraction metamaterial with low loss property at millimeter wave spectrum

The design of the millimetre-wave (MMW) metamaterials (MMs) unit cell operates at 28 GHz is presented and numerically investigated. The proposed structure composed of a modified split ring resonator (MSRR) printed on both sides of the substrate layer. Popular MM structures such as S-shape, G-shape, and Ω-shape are adjusted to operate at the 28 GHz for comparison purpose. MSRR achieves a wide bandwidth of 1.1 GHz in comparison with its counterparts at the resonance frequency. Moreover, the proposed structure presents very low losses by providing the highest transmission coefficient, S21, at the corresponding frequency region. The radiation loss is substantially suppressed and the negativity of the constitutive parameters of the proposed MM structure is maintained. By applying the principle of the electromagnetically induced transparency (EIT) phenomenon, the MSRR unit cell induces opposite currents on both sides of the substrate which leads to cancelling out the scattering fields and suppresses the radiation loss. The constitutive parameters of the MM structures are retrieved using well-known retrieval algorithm. The proposed structure can be used to enhance the performance of fifth-generation (5G) antenna such as the gain and bandwidth

Domestication of <i>Avena magna</i> Murphy et Terrell: a wild tetraploid oat species endemic of Morocco

Avena magna Murphy et Terrell (2n = 4x = 28), a tetraploid oat species endemic of Morocco, has a high groat protein content (more than 20%), good resistance to diseases and good adaptability to the Mediterranean edaphic and climate conditions. Moreover, this taxon is morphologically similar to the hexaploid oat species A. sativa and promising for interspecific crosses with A. sativa in order to transfer the domestication syndrome into it. Four hybridization cycles employing four accessions of A. magna and five Moroccan hexaploid oat cultivars of A. sativa were accomplished to domesticate A. magna. Morphological characterization and cytogenetic analysis of derivative hybrid seeds were made to determine their ploidy level and select the seeds with 2n = 28. The overall combinations yielded 81 hybrid plants with 2n varying from 28 to 29, with 58% having 2n = 28, and pollen fertility over 85%. However, 27 hybrids yielded a seed set ranging from 20 to 80%. Selected hybrid plants were subjected to pedigree selection in the field until they reached the 8th generation and assessed for agronomic performance. Three domesticated lines of tetraploid oat A. magna were selected for their good disease resistance. Analysis of groat protein content in the selected hybrids using the Kjeldahl method showed that it was 2 to 3% higher than in their parents

MgFe[sub]2O[sub]4/CNTs nanocomposite : synthesis, characterization, and photocatalytic activity

Magnesium ferrite is a visible light absorber, and when combined with multiwall carbon nanotubes (MWCNTs), it can lead to low electron–hole recombination rates, thus improving its photocatalytic activity. In this work, a novel MgFe2O4/CNTs nanocomposite catalyst has been synthesized via anchoring MgFe2O4 nanoparticles onto MWCNTs surface by a sol–gel and microwave-assisted route. The prepared catalyst was characterized by X-ray diffraction, Fourier-transform infrared spectroscopy, scanning and transmission electron microscopy, energy-dispersive X-ray analysis and vibrating scanning magnetometry. MgFe2O4 nanoparticles showed a cubic inverse spinel ferrite structure, while MgFe2O4/CNTs nanohybrids showed combinations of both structures. Morphology studies including Brunauer–Emmett–Teller (BET) analysis confirmed a 40 m2 g−1 specific surface area with narrow mesoporous size distribution for the MgFe2O4/CNTs nanocomposite. The photocatalytic performance of the new catalyst was assessed by photodegradation of methylene blue (MB). The experimental results demonstrated that MgFe2O4/CNTs exhibited strong photocatalytic activity, catalysing the photooxidation of about 98% of MB in 25 min under sunlight

Development of a quality indicator set to measure and improve quality of ICU care in low- and middle-income countries

PURPOSE: To develop a set of actionable quality indicators for critical care suitable for use in low- or middle-income countries (LMICs). METHODS: A list of 84 candidate indicators compiled from a previous literature review and stakeholder recommendations were categorised into three domains (foundation, process, and quality impact). An expert panel (EP) representing stakeholders from critical care and allied specialties in multiple low-, middle-, and high-income countries was convened. In rounds one and two of the Delphi exercise, the EP appraised (Likert scale 1–5) each indicator for validity, feasibility; in round three sensitivity to change, and reliability were additionally appraised. Potential barriers and facilitators to implementation of the quality indicators were also reported in this round. Median score and interquartile range (IQR) were used to determine consensus; indicators with consensus disagreement (median < 4, IQR ≤ 1) were removed, and indicators with consensus agreement (median ≥ 4, IQR ≤ 1) or no consensus were retained. In round four, indicators were prioritised based on their ability to impact cost of care to the provider and recipient, staff well-being, patient safety, and patient-centred outcomes. RESULTS: Seventy-one experts from 30 countries (n = 45, 63%, representing critical care) selected 57 indicators to assess quality of care in intensive care unit (ICU) in LMICs: 16 foundation, 27 process, and 14 quality impact indicators after round three. Round 4 resulted in 14 prioritised indicators. Fifty-seven respondents reported barriers and facilitators, of which electronic registry-embedded data collection was the biggest perceived facilitator to implementation (n = 54/57, 95%) Concerns over burden of data collection (n = 53/57, 93%) and variations in definition (n = 45/57, 79%) were perceived as the greatest barrier to implementation. CONCLUSION: This consensus exercise provides a common set of indicators to support benchmarking and quality improvement programs for critical care populations in LMICs

Developing a core outcome set for fistulising perianal Crohn's disease

OBJECTIVE: Lack of standardised outcomes hampers effective analysis and comparison of data when comparing treatments in fistulising perianal Crohn's disease (pCD). Development of a standardised set of outcomes would resolve these issues. This study provides the definitive core outcome set (COS) for fistulising pCD. DESIGN: Candidate outcomes were generated through a systematic review and patient interviews. Consensus was established via a three-round Delphi process using a 9-point Likert scale based on how important they felt it was in determining treatment success culminating in a final consensus meeting. Stakeholders were recruited nationally and grouped into three panels (surgeons and radiologists, gastroenterologists and IBD specialist nurses, and patients). Participants received feedback fromtheir panel(in the second round) andall participants(in the third round) to allow refinement of their scores. RESULTS: A total of 295 outcomes were identified from systematic reviews and interviews that were categorised into 92 domains. 187 stakeholders (response rate 78.5%) prioritised 49 outcomes through a three-round Delphi study.The final consensus meeting of 41 experts and patients generated agreement on an eight domain COS. The COS comprised three patient-reported outcome domains (quality of life, incontinence and a combined score of patient priorities) and five clinician-reported outcome domains (perianal disease activity, development of new perianal abscess/sepsis, new/recurrent fistula, unplanned surgery and faecal diversion). CONCLUSION: A fistulising pCD COS has been produced by all key stakeholders. Application of the COS will reduce heterogeneity in outcome reporting, thereby facilitating more meaningful comparisons between treatments, data synthesis and ultimately benefit patient care

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p&lt;0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p&lt;0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

Incisional hernia following colorectal cancer surgery according to suture technique: Hughes Abdominal Repair Randomized Trial (HART).

BACKGROUND: Incisional hernias cause morbidity and may require further surgery. HART (Hughes Abdominal Repair Trial) assessed the effect of an alternative suture method on the incidence of incisional hernia following colorectal cancer surgery. METHODS: A pragmatic multicentre single-blind RCT allocated patients undergoing midline incision for colorectal cancer to either Hughes closure (double far-near-near-far sutures of 1 nylon suture at 2-cm intervals along the fascia combined with conventional mass closure) or the surgeon's standard closure. The primary outcome was the incidence of incisional hernia at 1 year assessed by clinical examination. An intention-to-treat analysis was performed. RESULTS: Between August 2014 and February 2018, 802 patients were randomized to either Hughes closure (401) or the standard mass closure group (401). At 1 year after surgery, 672 patients (83.7 per cent) were included in the primary outcome analysis; 50 of 339 patients (14.8 per cent) in the Hughes group and 57 of 333 (17.1 per cent) in the standard closure group had incisional hernia (OR 0.84, 95 per cent c.i. 0.55 to 1.27; P = 0.402). At 2 years, 78 patients (28.7 per cent) in the Hughes repair group and 84 (31.8 per cent) in the standard closure group had incisional hernia (OR 0.86, 0.59 to 1.25; P = 0.429). Adverse events were similar in the two groups, apart from the rate of surgical-site infection, which was higher in the Hughes group (13.2 versus 7.7 per cent; OR 1.82, 1.14 to 2.91; P = 0.011). CONCLUSION: The incidence of incisional hernia after colorectal cancer surgery is high. There was no statistical difference in incidence between Hughes closure and mass closure at 1 or 2 years. REGISTRATION NUMBER: ISRCTN25616490 (http://www.controlled-trials.com)