74 research outputs found

    Dynamic interactive learning systems

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    Design Models for Interactive Learning Systems: Students\u27 Attitude towards E-Learning Interactions

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    One of the main objectives of educational research in the area of e-learning is the optimisation of instructional designs to maximise learning opportunities that can be offered through different types of learning interactions for different types of learners. Designing an effective learning system requires looking at several variables and considerations. This paper reviews related literature and looks at theories and models linking technology to learning. The paper concludes with a compiled list of possible factors that may influence students’ attitude towards the use of technology for learning as well as related interactivity design guidelines

    Information systems for interactive learning: Design perspective

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    This paper aims to present and discuss educational issues and relevant research to universities and colleges in the Arabian Gulf Region. This include cultural, students’ learning preferences and the use of information and communication technology. It particularly focuses on interactive learning through the consideration of learning styles. It explores the sequential-global learning styles profile of undergraduate students as part of a continuous research in Information Systems design with a particular focus on the design of Interactive Learning Systems (ILSs). A study to examine the learning style profile of undergraduate students in a cohort of Management Information Systems at a UAE university has been conducted, and a discussion and recommendations on how these findings can be reflected on the design of ILSs are provided

    STR-864: PROPOSED STRUT-AND-TIE MODEL FOR CONCRETE DEEP BEAMS REINFORCED WITH FRP BARS

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    A compiled database of 53 tests of FRP-reinforced concrete deep beams with shear span–depth ratios of less than two was used to evaluate the strut-and-tie models (STM) provided in ACI 318 (2014), CSA S806 (2012), CEB-fib (1999), and JSCE (2007). All provisions were found to be inadequate in calculating the capacity of FRP-reinforced deep beams due to inherent shortcomings in each provision. Hence, a new STM-based procedure for FRP-reinforced deep beams was proposed. The new model incorporates the effect of shear span–depth ratio (a/d), concrete compressive strength (fc’), and tensile strain in the adjoining tie (ε1). The contribution of the web reinforcement on the strut efficiency factor was found to be insignificant. The new model was capable of predicting the ultimate capacity of the compiled FRP-reinforced concrete deep beams with satisfactory conservatism

    Seroprevalence of hepatitis A antibodies among children in a Saudi community

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    ObjectiveTo determine the current seroprevalence of antibodies against hepatitis A virus in selected group of children aged 1-6 years in Northern borders region, Saudi Arabia, and to identify risk factors for infection.MethodsA cross-sectional sero-epidemiological study of 950 children who attended 10 randomly selected primary health care centers (5 urban and 5 rural) was done. Parents of all children were subjected to a questionnaire including sociodemographic and housing environmental data. The determination of anti-HAV antibodies was carried out by ELISA-test.ResultsThe prevalence of HAV-IgG was 33.8% overall, 35.5% among males and 32.0% among females with no statistically significant difference. Multivariate logistic regression analysis revealed that increasing age, rural residence, non Saudi nationality, and non availability of safe municipal water source were the most important independent predictors for HAV seropositivity in the studied children.ConclusionsThere is a clear decrease in hepatitis A prevalence in the studied children particularly in urban areas and indicates that a transition may be underway to intermediate endemicity and possible shift of the risk to the adult age with increased morbidity. So, we recommend including Hepatitis A in the schedule of routine childhood vaccinations

    Identifying The Role of Project Management in Sustainable Refurbishment of Heritage Buildings

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    Cultural heritage is considered one of the major valuable resources that improve the quality of life. Therefore, protecting as well as enhancing its value through applying sustainable refurbishment process is a major challenge that needs to be properly managed. The problem is although there are a number of studies that are concerned with sustainable refurbishment, cultural heritage refurbishment management and its impact on reducing the probability of demolition remain under researched. In 2018, the UNESCO stated that 58% of the global cultural heritage buildings got demolished over the past 18 years. Moreover, in the same year, a research paper stated that there is a gap between urban development and cultural heritage conservation. Therefore, the purpose of this study is concerned with identifying the role of sustainable refurbishment management in reducing the probability of applying heritage demolishing principles that lead to facing the risk of demolition heritage buildings. In this regard, qualitative and quantities methods were used in this paper to gather secondary data (from of literature review), and preliminary data (from case studies of cultural heritage projects, and survey). Results of this paper identified the mutual relation between sustainable refurbishment principles, their relation to heritage value, and the impact of this relation on demolition principles in the form of extant literature and case studies

    siRNA blocking of mammalian target of rapamycin (mTOR) attenuates pathology in annonacin-induced tauopathy in mice

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    Tauopathy is a pathological hallmark of many neurodegenerative diseases. It is characterized by abnormal aggregates of pathological phosphotau and somatodendritic redistribution. One suggested strategy for treating tauopathy is to stimulate autophagy, hence, getting rid of these pathological protein aggregates. One key controller of autophagy is mTOR. Since stimulation of mTOR leads to inhibition of autophagy, inhibitors of mTOR will cause stimulation of autophagy process. In this report, tauopathy was induced in mice using annonacin. Blocking of mTOR was achieved through stereotaxic injection of siRNA against mTOR. The behavioral and immunohistochemical evaluation revealed the development of tauopathy model as proven by deterioration of behavioral performance in open field test and significant tau aggregates in annonacin-treated mice. Blocking of mTOR revealed significant clearance of tau aggregates in the injected side; however, tau expression was not affected by mTOR blockage

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    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

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    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
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