Search

Cloud computing is a pattern for delivering ubiquitous and on demand computing resources based on pay-as-you-use financial model. Typically, cloud providers advertise cloud service descriptions in various formats on the Internet. On the other hand, cloud consumers use available search engines (Google and Yahoo) to explore cloud service descriptions and find the adequate service. Unfortunately, general purpose search engines are not designed to provide a small and complete set of results, which makes the process a big challenge. This paper presents a generic-distrusted framework for cloud services marketplace to automate cloud services discovery and selection process, and remove the barriers between service providers and consumers. Additionally, this work implements two instances of generic framework by adopting two different matching algorithms; namely dominant and recessive attributes algorithm borrowed from gene science and semantic similarity algorithm based on unified cloud service ontology. Finally, this paper presents unified cloud services ontology and models the real-life cloud services according to the proposed ontology. To the best of the authors’ knowledge, this is the first attempt to build a cloud services marketplace where cloud providers and cloud consumers can trend cloud services as utilities. In comparison with existing work, semantic approach reduced the execution time by 20% and maintained the same values for all other parameters. On the other hand, dominant and recessive attributes approach reduced the execution time by 57% but showed lower value for recall. [ABSTRACT FROM AUTHOR]

Little is known about the effects of endoscopic balloon dilation (EBD) for strictures of the upper gastrointestinal (UGI) tract in patients with Crohn's disease (CD). We performed a pooled analysis of the efficacy and safety of EBD for UGI CD-associated strictures. We searched Embase, Medline, and the Cochrane library, as well as bibliographies of relevant articles, for cohort studies of adults with CD and strictures of the stomach or duodenum (up to the ligament of Treitz) who underwent EBD through December 2016. We obtained data from 7 international referral centers on 94 patients who underwent 141 EBDs. We performed a patient-level meta-analysis of data from published and unpublished cohort studies to determine mechanical and clinical success. We performed a time-to-event analysis to assess symptom recurrence and need for redilation or surgery. The patients analyzed had strictures of the duodenum (n = 107), stomach (n = 30), or spanning both (n = 4). The rate of technical success for EBD was 100%, with 87% short-term clinical efficacy; major complications arose from 2.9% of all procedures. During a median follow-up period of 23.1 months, 70.5% of patients had a recurrence of symptoms, 59.6% required redilation, and 30.8% required surgical intervention. Patients whose disease was located in the small bowel had a higher risk for symptom recurrence (hazard ratio [HR], 2.1; P =.003). Asian race (HR, 2.8; P <.001) and location of disease in the small bowel (HR, 1.9; P =.004) increased the need for redilation. Prestenotic dilation was a risk factor for needing surgery earlier (HR, 1.9; P =.001). In a meta-analysis, we found EBD for CD-associated strictures of the UGI to be an effective alternative to surgery, with a high rate of short-term technical and clinical success, moderate long-term efficacy, and an acceptable rate of complications. [ABSTRACT FROM AUTHOR]