Towards a Theory of “Use” in the Autonomous Things

The way users perceive and use information system artefacts has been mainly studied from the notion of behavioural believes, cognitive efforts, and deliberate use (e.g., clicking or scrolling) by human actors to produce certain outcomes. The autonomous things, however, do not require deliberate cognitive processes and physical actions to operate. Hence, the existing notions of logical and deliberate use by human actors to produce certain outcomes warrant a revisit. Consequently, drawing on the theories of consciousness and technology adoption, we proposed the notions of conscious use in the context of autonomous things. We argue that unlike the manually operated technologies and systems, the “use” of an autonomous artefact is a state of a user’s consciousness rather than a logical, deliberate cognitive, or somatic activity. A fully autonomous artefact is consciously perceived by users anticipating their needs (through sensory information and situational awareness) without requiring any cognitive efforts, instructions, and physical contact to produce the desired outcomes

Acceptance-Promoting Practice Framework for Online Collaborative Learning and EdTech in Formal Education: a Thematic Analysis of Literature

This exploratory quantitative study seeks to identify (a) the e-learning practices that can improve the acceptance of online collaborative learning (OCL) and the associated EdTech in formal learning contexts and (b) the characteristics or features of such EdTech. A systematic review was conducted combined with a thematic analysis of literature (i.e., 42 journal articles relevant to OCL that was published from 2001 to 2020 from Scopus database), the findings of which not only attained all research objectives with the proposed the acceptance-promoting practice framework for OCL and EdTech (APPFOE) in formal education (see Figure 7), but also identified the challenges that OCL learners generally confront. The proposed APPFOE reveals a number of practices in three main themes (viz., teacher presence, OCL EdTech, and learners’ control over learning) that can handle those challenges and promote the acceptance of OCL and the associated EdTech in light of the extended unified theory of acceptance and use of technology model. The implications for positive social change include the potential to guide educators in their class interactions, aid policymakers with their alignment of resources, assist EdTech professionals and entrepreneurs in their product development, and contribute to the growing body of academic knowledge in some respects, hence lay out the basis for some future research

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

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

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

Mortality of emergency abdominal surgery in high-, middle- and low-income countries

Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression. Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days. Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Music Oh my Music : A Network Perspective on Online Music Listening Behaviour

The success of online music platforms depends on the strength of the recommendation systems (RSs) that employ users’ interaction data to offer customised music listening experiences. Traditional recommendation systems, however, assume users are independent actors and identically distributed, ignoring social interactions or connections among users and the role of the Network Effect (NE). In this study, leveraging the social network theory and utilising the attributes of an online music platform, we investigate the impact of network effect on the patterns of music listening. As a result, we propose a new approach for measuring the network effect (Universal Network Effect) as a function of the structure of the network, data-driven learning, and improvements realised with Artificial Intelligence (AI), to scrutinize network effect at both individual and whole network level. The everevolving approach to network effect measurement enables us to further the study to determine the changes in user behaviour

Engine oil based generalized brinkman-type nano-liquid with molybdenum disulphide nanoparticles of spherical shape: Atangana-Baleanu fractional model

© 2017 Wiley Periodicals, Inc. The impact of magnetic field on Engine Oil based generalized Brinkman-type nanofluid over an oscillating vertical plate embedded in a porous medium is studied. Molybdenum Disulphide (MoS2) nanoparticles of spherical shape are suspended in Engine Oil, taken as conventional base fluid. Effect of thermal radiation in energy equation is also considered. A generalized model of Brinkman-type fluid is considered with newly introduced fractional derivatives known as Atangana-Baleanu Derivative (ABD) in the presence of heat transfer due to convection. Exact solution of the problem is determined by means of the Laplace transform. Expressions for velocity and temperature are obtained in terms of Mittag-Leffler and General Wright function. The effects of various pertinent parameters on velocity are portrayed and discussed graphically. Numerical results of rate of heat transfer are computed in tabular form. Which showed that increasing values of volume fraction and Prandtl number increase rate of heat transfer

Methodological research on partial least squares structural equation modeling (PLS-SEM) An analysis based on social network approaches

Purpose The purpose of this paper is to explore the knowledge infrastructure of methodological research on partial least squares structural equation modeling (PLS-SEM) from a network point of view. The analysis involves the structures of authors, institutions, countries and co-citation networks, and discloses trending developments in the field. Design/methodology/approach Based on bibliometric data downloaded from the Web of Science, the authors apply various social network analysis (SNA) and visualization tools to examine the structure of knowledge networks of the PLS-SEM domain. Specifically, the authors investigate the PLS-SEM knowledge network by analyzing 84 methodological studies published in 39 journals by 145 authors from 106 institutions. Findings The analysis reveals that specific authors dominate the network, whereas most authors work in isolated groups, loosely connected to the network's focal authors. Besides presenting the results of a country level analysis, the research also identifies journals that play a key role in disseminating knowledge in the network. Finally, a burst detection analysis indicates that method comparisons and extensions, for example, to estimate common factor model data or to leverage PLS-SEM's predictive capabilities, feature prominently in recent research. Originality/value Addressing the limitations of prior systematic literature reviews on the PLS-SEM method, this is the first study to apply SNA to reveal the interrelated structures and properties of PLS-SEM's research domain