Archiving scientific data

We present an archiving technique for hierarchical data with key structure. Our approach is based on the notion of timestamps whereby an element appearing in multiple versions of the database is stored only once along with a compact description of versions in which it appears. The basic idea of timestamping was discovered by Driscoll et. al. in the context of persistent data structures where one wishes to track the sequences of changes made to a data structure. We extend this idea to develop an archiving tool for XML data that is capable of providing meaningful change descriptions and can also efficiently support a variety of basic functions concerning the evolution of data such as retrieval of any specific version from the archive and querying the temporal history of any element. This is in contrast to diff-based approaches where such operations may require undoing a large number of changes or significant reasoning with the deltas. Surprisingly, our archiving technique does not incur any significant space overhead when contrasted with other approaches. Our experimental results support this and also show that the compacted archive file interacts well with other compression techniques. Finally, another useful property of our approach is that the resulting archive is also in XML and hence can directly leverage existing XML tools

Distributed Caching for Processing Raw Arrays

As applications continue to generate multi-dimensional data at exponentially increasing rates, fast analytics to extract meaningful results is becoming extremely important. The database community has developed array databases that alleviate this problem through a series of techniques. In-situ mechanisms provide direct access to raw data in the original format---without loading and partitioning. Parallel processing scales to the largest datasets. In-memory caching reduces latency when the same data are accessed across a workload of queries. However, we are not aware of any work on distributed caching of multi-dimensional raw arrays. In this paper, we introduce a distributed framework for cost-based caching of multi-dimensional arrays in native format. Given a set of files that contain portions of an array and an online query workload, the framework computes an effective caching plan in two stages. First, the plan identifies the cells to be cached locally from each of the input files by continuously refining an evolving R-tree index. In the second stage, an optimal assignment of cells to nodes that collocates dependent cells in order to minimize the overall data transfer is determined. We design cache eviction and placement heuristic algorithms that consider the historical query workload. A thorough experimental evaluation over two real datasets in three file formats confirms the superiority - by as much as two orders of magnitude - of the proposed framework over existing techniques in terms of cache overhead and workload execution time

DAMIA: a data mashup fabric for intranet applications

Damia is a lightweight enterprise data integration service where line of business users can create and catalog high value data feeds for consumption by situational applications. Damia is inspired by the Web 2.0 mashup phenomenon. It consists of (1) a browserbased user-interface that allows for the specification of data mashups as data flow graphs using a set of operators, (2) a server with an execution engine, as well as (3) APIs for searching, debugging, executing and managing mashups. Damia offers a framework and functionality for dynamic entity resolution, streaming and other higher value features particularly important in the enterprise domain. Damia is currently in perpetual beta in the IBM Intranet. In this demonstration, we showcase the creation and execution of several enterprise data mashups, thereby illustrating the architecture and features of the overall Damia system

Normal goniometric values to guide decision-making in lower-extremity rotational problems using support vector machine techniques

Torsional analysis of the lower extremities has become an integral part of the decisionmaking process in treating neuromuscular problems. Solid knowledge of normal development of torsional relationships is essential for treating musculoskeletal problems. As a prerequisite, a normal reference, meaning an objective and quantitative standard of measurement, must be available for comparison prior to making a suitable decision. The aim of this paper is to update normal goniometric values that could be used as a reference for clinical analysis and to discover unknown compensatory mechanisms between the involved segments. A systematic and coherent database made from almost 900 measurements of different parameters has been studied using a process of support vector data description (SVDD) to achieve our outlined targets. The aim is to produce updated decision-making support for clinicians working in the biomechanical exploration of the lower extremities.This work has been supported by project IDAWAS, DPI2009-11591, of the Direccion General de Investigacion of the Ministerio de Ciencia e Innovacion of Spain, and ACOMP2011/188 of the Conselleria de Educacio of the Generalitat Valenciana.Bru-Juanes, J.; Bru-Lázaro, J.; Herrera Fernández, AM.; Izquierdo Sebastián, J. (2013). Normal goniometric values to guide decision-making in lower-extremity rotational problems using support vector machine techniques. Mathematical and Computer Modelling. 57(7-8):1780-1787. https://doi.org/10.1016/j.mcm.2011.11.049S17801787577-

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

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised