Educational Leadership: A New Trend that Society Needs

AbstractThis paper aims to highlight early and contemporary ideas on educational leadership from an Islamic perspective. It started with the definition of the term. Educational leadership in this context could be the process of guiding and influencing the members of the organization so that they will display initiative and love for the work that they do as a kind of worship towards achieving the common objectives of the organization. Educational leadership roles have been discussed in this paper. These are the visionary leader, the servant leader, the leader as a guide, the influential leader and the educative leader. The paper discussed also the styles of educational leadership that include brotherhood, collaborative, Shuratic or consultative and supportive leadership

Rate-Accuracy Trade-Off In Video Classification With Deep Convolutional Neural Networks

Advanced video classification systems decode video frames to derive the necessary texture and motion representations for ingestion and analysis by spatio-temporal deep convolutional neural networks (CNNs). However, when considering visual Internet-of-Things applications, surveillance systems and semantic crawlers of large video repositories, the video capture and the CNN-based semantic analysis parts do not tend to be co-located. This necessitates the transport of compressed video over networks and incurs significant overhead in bandwidth and energy consumption, thereby significantly undermining the deployment potential of such systems. In this paper, we investigate the trade-off between the encoding bitrate and the achievable accuracy of CNN-based video classification models that directly ingest AVC/H.264 and HEVC encoded videos. Instead of retaining entire compressed video bitstreams and applying complex optical flow calculations prior to CNN processing, we only retain motion vector and select texture information at significantly-reduced bitrates and apply no additional processing prior to CNN ingestion. Based on three CNN architectures and two action recognition datasets, we achieve 11%-94% saving in bitrate with marginal effect on classification accuracy. A model-based selection between multiple CNNs increases these savings further, to the point where, if up to 7% loss of accuracy can be tolerated, video classification can take place with as little as 3 kbps for the transport of the required compressed video information to the system implementing the CNN models

The Practicing Degree of Leadership Skills by School Principals in the Green line in Palestine in Light of Learning Organization and Organizational Culture

Abstract: The purpose of this study was to reveal the elementary teachers\u27 practicing degree of leadership skills from the perspectives of teachers themselves within the green line in Palestine, in light of learning organization and organizational culture. To achieve this aim, the researchers prepared two instruments; the first is a questionnaire composed of (52) items to find out the practicing degree of leadership skills from the perspectives of teachers themselves. It consisted of four domains. The second is a questionnaire including (34) items to find out the learning organization and organizational culture’s degree of implementation from the perspectives of teachers. The study sample was (230) teachers. The study results and findings revealed that the elementary teachers\u27 practicing degree of leadership skills from the perspectives of teachers was high overall. The skills were as follows: Personal skills, administrative skills, perceptive skills, and humanitarian social skills respectively. It revealed also that there were no statistical differences among the means of the elementary teachers\u27 practicing degree of leadership skills from the perspectives of teachers due to the variables of gender, academic rank, experience, and school. Elementary school implementation of learning organization and organizational culture from the perspectives of teachers was high. Moreover, there was a positive correlation between practicing leadership skills along with other domains and school implementation of learning organization and organizational culture from the perspectives of teachers. Key Words: Leadership Skills, School Principals, Green Line, Learning Organization, and Organizational Cultur

Intellectual Efficiency of Primary School Principals in the North within the Green Line and its Relationship to Emotional Intelligence الكفاءة الفكرية لدى مديري المدارس الابتدائية في الشمال داخل الخط الأخضر وعلاقتها بالذكاء الوجداني

Abstract: The study aimed to identify the relationship between intellectual efficiency and emotional intelligence among primary school principals in the North within the Green Line from teachers\u27 point of view. The study sample consisted of (460) primary school teachers. To achieve the study objectives, descriptive survey methodology was used. The results showed that the level of intellectual efficiency among primary school principals was high from teachers\u27 point of view, while emotional intelligence was moderate. The results revealed statistically significant differences in intellectual efficiency level among primary school principals due to qualification, in favor of Bachelor degree, while there were no statistically significant differences due to gender and experience. Also the results revealed statistically significant differences in emotional intelligence level among primary school principals due to qualification, in favor of Bachelor degree, while there were no statistically significant differences due to gender and experience. It was found that there was a statistically significant positive relationship between intellectual efficiency and emotional intelligence among primary school principals from teachers\u27 point of view. ملخص: هدفت الدراسة تعرف مستوى الكفاءة الفكرية وعلاقتها بالذكاء الوجداني لدى مديري المدارس الابتدائية في الشمال داخل الخط الأخضر من وجهة نظر المعلمين. تكونت عينة الدراسة من (460) معلماً ومعلمة من معلمي المدارس الابتدائية. ولتحقيق أهداف الدراسة، استُخدِمَ المنهج الوصفي المسحي الارتباطي بالاعتماد على الاستبانة. تمثلت أبرز النتائج التي توصلت إليها الدراسة في وجود مستوى مرتفع من الكفاءة الفكرية لدى مديري المدارس الابتدائية في الشمال داخل الخط الأخضر من وجهة نظر المعلمين، في حين أن الذكاء الوجداني كان متوسطاً. وأظهرت النتائج وجود فروق في مستوى الكفاءة الفكرية لدى مديري المدارس الابتدائية تعزى لمتغير المستوى التعليمي، لصالح البكالوريوس، في حين لم تظهر أي فروق تعزى لمتغيري الجنس والخبرة. وتبين وجود فروق في مستوى الذكاء الاجتماعي لدى مديري المدارس الابتدائية تعزى لمتغير المستوى التعليمي، لصالح البكالوريوس، في حين لم تكن هناك فروق تعزى لمتغيري الجنس والخبرة. وتبينَّ وجود علاقة ارتباطية إيجابية دالة احصائياً بين الكفاءة الفكرية والذكاء الوجداني من وجهة نظر المعلمين

Scalable H.264 Wireless Video Transmission over MIMO-OFDM Channels

Abstract. A cross-layer optimization scheme is proposed for scalable video transmission over wireless Multiple Input Multiple Output Orthogonal Frequency Division Multiplexing (MIMO-OFDM) systems. The scalable video coding (SVC) extension of H.264/AVC is used for video source coding. The proposed cross-layer optimization scheme jointly optimizes application layer parameters and physical layer parameters. The objective is to minimize the expected video distortion at the receiver. Two methods have been developed for the estimation of video distortion at the receiver, which is essential for the cross-layer optimization. In addition, two different priority mappings of the SVC scalable layers are considered. Experimental results are provided and conclusions are drawn

Comparison of non-invasive to invasive oxygenation ratios for diagnosing acute respiratory distress syndrome following coronary artery bypass graft surgery: a prospective derivation-validation cohort study

Objective: To determine if non-invasive oxygenation indices, namely peripheral capillary oxygen saturation (SpO2)/ fraction of inspired oxygen (Fi O2) and partial pressure of alveolar oxygen (PAO2)/Fi O2 may be used as effective surrogates for the partial pressure of arterial oxygen (PaO2)/Fi O2. Also, to determine the SpO2/Fi O2 and PAO2/Fi O2 values that correspond to PaO2/Fi O2 thresholds for identifying acute respiratory distress syndrome (ARDS) in patients following coronary artery bypass graft (CABG) surgery. Methods: A prospective derivation-validation cohort study in the Open-Heart ICU of an academic teaching hospital. Recorded variables included patient demographics, ventilator settings, chest radiograph results, and SPO2, PaO2, PAO2, SaO2, and Fi O2. Linear regression modeling was used to quantify the relationship between indices. Receiver operating characteristic (ROC) curves were used to determine the sensitivity and specificity of the threshold values. Results: One-hundred seventy-five patients were enrolled in the derivation cohort, and 358 in the validation cohort. The SPO2/Fi O2 and PAO2/Fi O2 ratios could be predicted well from PaO2/Fi O2, described by the linear regression models SPO2/Fi O2 = 71.149 + 0.8PF and PAO2/Fi O2 = 38.098 + 2.312PF, respectively. According to the linear regression equation, a PaO2/Fi O2 ratio of 300 equaled an SPO2/Fi O2 ratio of 311 (R2 0.857, F 1035.742, < 0.0001) and a PAO2/Fi O2 ratio of 732 (R2 0.576, F 234.887, < 0.0001). The SPO2/Fi O2 threshold of 311 had 90% sensitivity, 80% specificity, LR+ 4.50, LR- 0.13, PPV 98, and NPV 42.1 for the diagnosis of mild ARDS. The PAO2/Fi O2 threshold of 732 had 86% sensitivity, 90% specificity, LR+ 8.45, LR- 0.16, PPV 98.9, and NPV 36 for the diagnosis of mild ARDS. SPO2/ Fi O2 had excellent discrimination ability for mild ARDS (AUC ± SE = 0.92 ± 0.017; 95% CI 0.889 to 0.947) as did PAO2/ Fi O2 (AUC ± SE = 0.915 ± 0.018; 95% CI 0.881 to0.942). Conclusions: PaO2 and SaO2 correlated in the diagnosis of ARDS, with a PaO2/Fi O2 of 300 correlating to an SPO2/ Fi O2 of 311 (Sensitivity 90%, Specificity 80%). The SPO2/ Fi O2 ratio may allow for early real-time rapid identification of ARDS, while decreasing the cost, phlebotomy, blood loss, pain, skin breaks, and vascular punctures associated with serial arterial blood gas measurements

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

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

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

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe