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In this paper, we present an extended evaluation of a course recommender system designed to support students who struggle in the first semesters of their studies and are at risk of dropping out. The system, which was developed in earlier work using a student-centered design, is based on the explainable k-nearest neighbor algorithm and recommends a set of courses that have been passed by the majority of successful neighbors, that is, students who graduated from the study program. In terms of the number of recommended courses, we found a discrepancy between the number of courses that struggling students are recommended to take and the actual number of courses they take. This indicates that there may be an alternative path that these students could consider. However, the recommended courses align well with the courses taken by students who successfully graduated. This suggests that even students who are performing well could still benefit from the course recommender system designed for at-risk students. In the present work, we investigate a second type of success--a specific minimum number of courses passed--and compare the results with our first approach from previous work. With the second type, the information about success might be already available after one semester instead of after graduation which allows faster growth of the database and faster response to curricular changes. The evaluation of three different study programs in terms of dropout risk reduction and recommendation quality suggests that course recommendations based on students passing at least three courses in the following semester can be an alternative to guide students on a successful path.

Background: In cardiology, cardiac output (CO) is an important parameter for assessing cardiac function. While invasive thermodilution procedures are the gold standard for CO assessment, transthoracic Doppler echocardiography (TTE) has become the established method for routine CO assessment in daily clinical practice. However, a demand persists for non-invasive approaches, including oscillometric pulse wave analysis (PWA), to enhance the accuracy of CO estimation, reduce complications associated with invasive procedures, and facilitate its application in non-intensive care settings. Here, we aimed to compare the TTE and oscillometric PWA algorithm Antares for a non-invasive estimation of CO. Methods: Non-invasive CO data obtained by two-dimensional TTE were compared with those from an oscillometric blood pressure device (custo med GmbH, Ottobrunn, Germany) using the integrated algorithm Antares (Redwave Medical GmbH, Jena, Germany). In total, 59 patients undergoing elective cardiac catheterization for clinical reasons (71±10 years old, 76% males) were included. Agreement between both CO measures were assessed by Bland-Altman analysis, Student's t-test, and Pearson correlations. Results: The mean difference in CO was 0.04 ± 1.03 l/min (95% confidence interval for the mean difference: -0.23 to 0.30 l/min) for the overall group, with lower and upper limits of agreement at -1.98 and 2.05 l/min, respectively. There was no statistically significant difference in means between both CO measures (P = 0.785). Statistically significant correlations between TTE and Antares CO were observed in the entire cohort (r = 0.705, P<0.001) as well as in female (r = 0.802, P<0.001) and male patients (r = 0.669, P<0.001). Conclusions: The oscillometric PWA algorithm Antares and established TTE for a non-invasive estimation of CO are highly correlated in male and female patients, with no statistically significant difference between both approaches. Future validation studies of the Antares CO are necessary before a clinical application can be considered. [ABSTRACT FROM AUTHOR]

Background: Staffing ratios in nursing homes vary among the federal states of Germany, but there are no rational grounds for these variations. In a previous study, a new instrument for the standardized calculation of staffing requirements in nursing homes was developed (Algorithm1.0). The development was based on a new empirical data collection method that derives actual and target values for the time and number of care interventions provided. Algorithm1.0 found an increased requirement of 36% of staff in German nursing homes. Based on these results, the German legislature has commissioned a model program to trial and evaluate a complex intervention comprising increased staffing combined with strategies for organizational development. Methods: The mixed-methods study consists of (i) developing a concept for restructuring the work organization, (ii) the application of this concept combined with increased staffing in 10 nursing homes (complex intervention), and the further development of the concept using a participatory and iterative formal evaluation process. The intervention consists of (a) quantitative measures of increased staffing based on a calculation using Algorithm1.0 and (b) qualitative measures regarding organizational development. The intervention will be conducted over one year. The effects of the intervention on job satisfaction and quality of care will be evaluated in (iii) a comprehensive prospective, controlled summative evaluation. The results will be compared with ten matched nursing homes as a control group. Finally, (iv) prototypical concepts for qualification-oriented work organization, a strategy for the national rollout, and the further development of Algorithm1.0 into Algorithm 2.0 will be derived. Discussion: In Germany, there is an ongoing dynamic legislation process regarding further developing the long-term care sector. The study, which is the subject of the study protocol presented here, generates an evidence-based strategy for the staffing requirements for nursing homes. Ethics and dissemination. This study was approved by the Ethics Committee of the German Association of Nursing Science (Deutsche Gesellschaft für Pflegewissenschaft) on 02.08.2023 (amended on 20.09.2023). Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals. Trial registration number: German Clinical Trails Register DRKS00031773 (Date of registration 09.11.2023). [ABSTRACT FROM AUTHOR]

Context: YOLO (You Look Only Once) is an algorithm based on deep neural networks with real-time object detection capabilities. This state-of-the-art technology is widely available, mainly due to its speed and precision. Since its conception, YOLO has been applied to detect and recognize traffic signs, pedestrians, traffic lights, vehicles, and so on. Objective: The goal of this research is to systematically analyze the YOLO object detection algorithm, applied to traffic sign detection and recognition systems, from five relevant aspects of this technology: applications, datasets, metrics, hardware, and challenges. Method: This study performs a systematic literature review (SLR) of studies on traffic sign detection and recognition using YOLO published in the years 2016–2022. Results: The search found 115 primary studies relevant to the goal of this research. After analyzing these investigations, the following relevant results were obtained. The most common applications of YOLO in this field are vehicular security and intelligent and autonomous vehicles. The majority of the sign datasets used to train, test, and validate YOLO-based systems are publicly available, with an emphasis on datasets from Germany and China. It has also been discovered that most works present sophisticated detection, classification, and processing speed metrics for traffic sign detection and recognition systems by using the different versions of YOLO. In addition, the most popular desktop data processing hardwares are Nvidia RTX 2080 and Titan Tesla V100 and, in the case of embedded or mobile GPU platforms, Jetson Xavier NX. Finally, seven relevant challenges that these systems face when operating in real road conditions have been identified. With this in mind, research has been reclassified to address these challenges in each case. Conclusions: This SLR is the most relevant and current work in the field of technology development applied to the detection and recognition of traffic signs using YOLO. In addition, insights are provided about future work that could be conducted to improve the field. [ABSTRACT FROM AUTHOR]