Recommendation system using feature extraction and pattern recognition in clinical care systems

Significant impact of the covid-19 pandemic on methane emissions evaluated by comprehensive statistical analysis of satellite data

The COVID-19 pandemic has significantly influenced various aspects of society, including environmental factors such as methane emissions. This study investigates the changes in methane concentrations in Seoul, South Korea, from 2019 to 2023, using TROPOMI satellite data and rigorous statistical analyses. The normality of the sample data is first assessed using the Shapiro-Wilk (S-W) and Kolmogorov-Smirnov (K-S) tests, indicating that the data can be considered to come from a normal distribution. The S-W test demonstrated superior discriminative power (highest statistical power: 0.8668) compared to the K-S test (highest statistical power: 0.4002), confirming the validity of parametric tests for our data. The S-W test shows better discriminative power than the K-S test in terms of sensitivity to departures from normality, particularly for small sample sizes. Based on this confirmation, parametric tests such as analysis of variance (ANOVA) and post-hoc tests (Bonferroni correction, Tukey's HSD, Scheffe's method) are employed to identify significant differences in methane levels across different years. The ANOVA results show a statistically significant difference in methane concentrations across years (p-value: 2.02 × 10 - 13 , F-value: 26.572). Post-hoc analyses reveal no significant difference in methane concentrations between 2019 and 2020 (p-values: Bonferroni - 0.1045, Tukey's HSD - 0.397, Scheffe's - 0.1045), and no significant difference between 2020 and 2021 (p-values: Bonferroni - 0.917, Tukey's HSD - 0.840, Scheffe's - 0.917). However, a significant increase in methane levels is observed from 2022 to 2023 (p-values: Bonferroni - 0.0001, Tukey's HSD - 0.0002, Scheffe's - 0.0001), correlating with the "new normal" policy implemented in South Korea starting in November 2021 and effectively from the beginning of 2022. This suggests that changes in industrial activities and transportation patterns due to the "new normal" have contributed to higher methane emissions. Student's t-test and Welch's t-test were used to validate the ANOVA results. Permutation tests showed no significant difference between 2019 and 2020 (test statistic: -0.0096, p-values: 0.1191 for Student's and 0.1156 for Welch's). However, a significant difference was found between 2022 and 2023 (test statistic: -0.0172, p-value: 0.0001), confirming ANOVA results that indicated increased methane levels post-pandemic. This study provides a robust quantitative assessment of the pandemic's impact on methane levels and sets a methodological statistical approach for future research in the environmental research community.

Sub-clustering based recommendation system for stroke patient: Identification of a specific drug class for a given patient

Stroke is one of the leading causes of death worldwide. Previous studies have explored machine learning techniques for early detection of stroke patients using content-based recommendation systems. However, these models often struggle with timely detection of medications, which can be critical for patient management and decision-making regarding the prescription of new drugs. In this study, we developed a content-based recommendation model using three machine learning algorithms: Gaussian Mixture Model (GMM), Affinity Propagation (AP), and K-Nearest Neighbors (KNN), to aid Healthcare Professionals (HCP) in quickly detecting medications based on the symptoms of a patient with stroke. Our model focused on three classes of drugs: antihypertensive, anticoagulant, and fibrate. Each machine learning algorithm was used to accomplish specific tasks, thereby reducing the partial search space, computational cost, and accurately detecting a primary drug class without loss of precision and accuracy. Our proposed model, called CRGANNC (Clustering Recommendation Gaussian Affinity Nearest Neighbors Classifier), effectively addresses the sparsity and scalability issues faced by content-based recommendation models. The CRGANNC model dynamically partition clusters into sub-clusters with variable numbers based on the group, and can diagnose healthy, sick, and at-risk patients, and recommend drugs to the HCP. In addition to our analysis, we developed a semi-artificial dataset with new features such as weakness, dizziness, headache, nausea, and vomiting, using a pipeline. This dataset serves as a valuable resource for researchers in the sensitive domain of stroke, providing a starting point for building and testing models when real data is often restricted. Our work not only contributes to the development of predictive models for stroke but also establishes a framework for creating similar datasets in other sensitive domains, accelerating research efforts and improving patient care. Our experiments were conducted on our dataset consisting of 9691 patient records, with 1206 records for stroke attacks and 8485 healthy patients. The CRGANNC model achieved an average precision of 0.98, recall of 0.95 and F1-score of 0.96 across all three drugs classes. Furthermore, our model demonstrated significant improvement in computational efficiency compared to existing content-based recommendation models, reducing the processing time by 25.80% . This results indicate the effectiveness of our model in accurately detecting medications for stroke patients based on their symptoms.

Interpretable Machine Learning for Personalized Medical Recommendations: A LIME-Based Approach

Chronic diseases are increasingly major threats to older persons, seriously affecting their physical health and well-being. Hospitals have accumulated a wealth of health-related data, including patients' test reports, treatment histories, and diagnostic records, to better understand patients' health, safety, and disease progression. Extracting relevant information from this data enables physicians to provide personalized patient-treatment recommendations. While collaborative filtering techniques and classical algorithms such as naive Bayes, logistic regression, and decision trees have had notable success in health-recommendation systems, most current systems primarily inform users of their likely preferences without providing explanations. This paper proposes an approach of deep learning with a local interpretable model-agnostic explanations (LIME)-based interpretable recommendation system to solve this problem. Specifically, we apply the proposed approach to two chronic diseases common in older adults: heart disease and diabetes. After data preprocessing, we use six deep-learning algorithms to form interpretations. In the heart-disease data set, the actual model recommendation of multi-layer perceptron and gradient-boosting algorithm differs from the local model's recommendation of LIME, which can be used as its approximate prediction. From the feature importance of these two algorithms, it can be seen that the CholCheck, GenHith, and HighBP features are the most important for predicting heart disease. In the diabetes data set, the actual model predictions of the multi-layer perceptron and logistic-regression algorithm were little different from the local model's prediction of LIME, which can be used as its approximate recommendation. Moreover, from the feature importance of the two algorithms, it can be seen that the three features of glucose, BMI, and age were the most important for predicting heart disease. Next, LIME is used to determine the importance of each feature that affected the results of the calculated model. Subsequently, we present the contribution coefficients of these features to the final recommendation. By analyzing the impact of different patient characteristics on the recommendations, our proposed system elucidates the underlying reasons behind these recommendations and enhances patient trust. This approach has important implications for medical recommendation systems and encourages informed decision-making in healthcare.

Development of an Evidence-Based Conceptual Model of the Health Care Sector Under Digital Transformation: Integrative Review

BACKGROUND

Digital transformation is currently one of the most influential developments. It is fundamentally changing consumers' expectations and behaviors, challenging traditional firms, and disrupting numerous markets. Recent discussions in the health care sector tend to assess the influence of technological implications but neglect other factors needed for a holistic view on the digital transformation. This calls for a reevaluation of the current state of digital transformation in health care. Consequently, there is a need for a holistic view on the complex interdependencies of digital transformation in the health care sector.

OBJECTIVE

This study aimed to examine the effects of digital transformation on the health care sector. This is accomplished by providing a conceptual model of the health care sector under digital transformation.

METHODS

First, the most essential stakeholders in the health care sector were identified by a scoping review and grounded theory approach. Second, the effects on these stakeholders were assessed. PubMed, Web of Science, and Dimensions were searched for relevant studies. On the basis of an integrative review and grounded theory methodology, the relevant academic literature was systematized and quantitatively and qualitatively analyzed to evaluate the impact on the value creation of, and the relationships among, the stakeholders. Third, the findings were synthesized into a conceptual model of the health care sector under digital transformation.

RESULTS

A total of 2505 records were identified from the database search; of these, 140 (5.59%) were included and analyzed. The results revealed that providers of medical treatments, patients, governing institutions, and payers are the most essential stakeholders in the health care sector. As for the individual stakeholders, patients are experiencing a technology-enabled growth of influence in the sector. Providers are becoming increasingly dependent on intermediaries for essential parts of the value creation and patient interaction. Payers are expected to try to increase their influence on intermediaries to exploit the enormous amounts of data while seeing their business models be challenged by emerging technologies. Governing institutions regulating the health care sector are increasingly facing challenges from new entrants in the sector. Intermediaries increasingly interconnect all these stakeholders, which in turn drives new ways of value creation. These collaborative efforts have led to the establishment of a virtually integrated health care ecosystem.

CONCLUSIONS

The conceptual model provides a novel and evidence-based perspective on the interrelations among actors in the health care sector, indicating that individual stakeholders need to recognize their role in the system. The model can be the basis of further evaluations of strategic actions of actors and their effects on other actors or the health care ecosystem itself.

Improved LSTM-based deep learning model for COVID-19 prediction using optimized approach

Individuals in any country are badly impacted both economically and physically whenever an epidemic of infectious illnesses breaks out. A novel coronavirus strain was responsible for the outbreak of the coronavirus sickness in 2019. Corona Virus Disease 2019 (COVID-19) is the name that the World Health Organization (WHO) officially gave to the pneumonia that was caused by the novel coronavirus on February 11, 2020. The use of models that are informed by machine learning is currently a major focus of study in the field of improved forecasting. By displaying annual trends, forecasting models can be of use in performing impact assessments of potential outcomes. In this paper, proposed forecast models consisting of time series models such as long short-term memory (LSTM), bidirectional long short-term memory (Bi-LSTM), generalized regression unit (GRU), and dense-LSTM have been evaluated for time series prediction of confirmed cases, deaths, and recoveries in 12 major countries that have been affected by COVID-19. Tensorflow1.0 was used for programming. Indices known as mean absolute error (MAE), root means square error (RMSE), Median Absolute Error (MEDAE) and r2 score are utilized in the process of evaluating the performance of models. We presented various ways to time-series forecasting by making use of LSTM models (LSTM, BiLSTM), and we compared these proposed methods to other machine learning models to evaluate the performance of the models. Our study suggests that LSTM based models are among the most advanced models to forecast time series data.

A GAN-based method for 3D lung tumor reconstruction boosted by a knowledge transfer approach

Three-dimensional (3D) image reconstruction of tumors has been one of the most effective techniques for accurately visualizing tumor structures and treatment with high resolution, which requires a set of two-dimensional medical images such as CT slices. In this paper we propose a novel method based on generative adversarial networks (GANs) for 3D lung tumor reconstruction by CT images. The proposed method consists of three stages: lung segmentation, tumor segmentation and 3D lung tumor reconstruction. Lung and tumor segmentation are performed using snake optimization and Gustafson-Kessel (GK) clustering. In the 3D reconstruction part first, features are extracted using the pre-trained VGG model from the tumors that detected in 2D CT slices. Then, a sequence of extracted features is fed into an LSTM to output compressed features. Finally, the compressed feature is used as input for GAN, where the generator is responsible for high-level reconstructing the 3D image of the lung tumor. The main novelty of this paper is the use of GAN to reconstruct a 3D lung tumor model for the first time, to the best of our knowledge. Also, we used knowledge transfer to extract features from 2D images to speed up the training process. The results obtained from the proposed model on the LUNA dataset showed better results than state of the art. According to HD and ED metrics, the proposed method has the lowest values ​​of 3.02 and 1.06, respectively, as compared to those of other methods. The experimental results show that the proposed method performs better than previous similar methods and it is useful to help practitioners in the treatment process.

Automatic lung disease classification from the chest X-ray images using hybrid deep learning algorithm

The chest X-ray images provide vital information about the congestion cost-effectively. We propose a novel Hybrid Deep Learning Algorithm (HDLA) framework for automatic lung disease classification from chest X-ray images. The model consists of steps including pre-processing of chest X-ray images, automatic feature extraction, and detection. In a pre-processing step, our goal is to improve the quality of raw chest X-ray images using the combination of optimal filtering without data loss. The robust Convolutional Neural Network (CNN) is proposed using the pre-trained model for automatic lung feature extraction. We employed the 2D CNN model for the optimum feature extraction in minimum time and space requirements. The proposed 2D CNN model ensures robust feature learning with highly efficient 1D feature estimation from the input pre-processed image. As the extracted 1D features have suffered from significant scale variations, we optimized them using min-max scaling. We classify the CNN features using the different machine learning classifiers such as AdaBoost, Support Vector Machine (SVM), Random Forest (RM), Backpropagation Neural Network (BNN), and Deep Neural Network (DNN). The experimental results claim that the proposed model improves the overall accuracy by 3.1% and reduces the computational complexity by 16.91% compared to state-of-the-art methods.

Deep Learning with Graph Convolutional Networks: An Overview and Latest Applications in Computational Intelligence

Convolutional neural networks (CNNs) have received widespread attention due to their powerful modeling capabilities and have been successfully applied in natural language processing, image recognition, and other fields. On the other hand, traditional CNN can only deal with Euclidean spatial data. In contrast, many real-life scenarios, such as transportation networks, social networks, reference networks, and so on, exist in graph data. The creation of graph convolution operators and graph pooling is at the heart of migrating CNN to graph data analysis and processing. With the advancement of the Internet and technology, graph convolution network (GCN), as an innovative technology in artificial intelligence (AI), has received more and more attention. GCN has been widely used in different fields such as image processing, intelligent recommender system, knowledge-based graph, and other areas due to their excellent characteristics in processing non-European spatial data. At the same time, communication networks have also embraced AI technology in recent years, and AI serves as the brain of the future network and realizes the comprehensive intelligence of the future grid. Many complex communication network problems can be abstracted as graph-based optimization problems and solved by GCN, thus overcoming the limitations of traditional methods. This survey briefly describes the definition of graph-based machine learning, introduces different types of graph networks, summarizes the application of GCN in various research fields, analyzes the research status, and gives the future research direction.

BVFLEMR: an integrated federated learning and blockchain technology for cloud-based medical records recommendation system

Blockchain is the latest boon in the world which handles mainly banking and finance. The blockchain is also used in the healthcare management system for effective maintenance of electronic health and medical records. The technology ensures security, privacy, and immutability. Federated Learning is a revolutionary learning technique in deep learning, which supports learning from the distributed environment. This work proposes a framework by integrating the blockchain and Federated Deep Learning in order to provide a tailored recommendation system. The work focuses on two modules of blockchain-based storage for electronic health records, where the blockchain uses a Hyperledger fabric and is capable of continuously monitoring and tracking the updates in the Electronic Health Records in the cloud server. In the second module, LightGBM and N-Gram models are used in the collaborative learning module to recommend a tailored treatment for the patient’s cloud-based database after analyzing the EHR. The work shows good accuracy. Several metrics like precision, recall, and F1 scores are measured showing its effective utilization in the cloud database security.

Consumer usage behavior of internet-based services (IBS) in Pakistan during COVID-19 crisis from the perspective of technology acceptance model

This study aims to explore the factors that affect consumers' behavior in adaptation and use of internet-based services (IBS) during the COVID-19 crisis. In this study, technology acceptance model (TAM) was applied to predict the behavioral intention of active social media users among the Pakistan population based on the revised model of the TAM model. And the data of external factors facilitating conditions (FC), social impact (SI), and task technology fit (TTF) were collected from active social media users of Pakistan by using structured questionnaires. After performing Pearson's correlation and linear regression on the collected data, findings have shown that the outcome variable, i.e., behavioral intention, exhibited significant correlation with all variables except for perceived ease of use (PEoU). Further analysis revealed mixed results wherein FC and TTF can make a significant influence on perceived usefulness (PU) and PEoU, respectively. In addition, PU can significantly affect attitude (ATT) towards the use of IBS while the use of IBS has been affected by behavioral INT during the outbreak of COVID-19 in Pakistan.

Detection of Diabetic Retinopathy using Convolutional Neural Networks for Feature Extraction and Classification (DRFEC)

Diabetic Retinopathy (DR) is caused as a result of Diabetes Mellitus which causes development of various retinal abrasions in the human retina. These lesions cause hindrance in vision and in severe cases, DR can lead to blindness. DR is observed amongst 80% of patients who have been diagnosed from prolonged diabetes for a period of 10-15 years. The manual process of periodic DR diagnosis and detection for necessary treatment, is time consuming and unreliable due to unavailability of resources and expert opinion. Therefore, computerized diagnostic systems which use Deep Learning (DL) Convolutional Neural Network (CNN) architectures, are proposed to learn DR patterns from fundus images and identify the severity of the disease. This paper proposes a comprehensive model using 26 state-of-the-art DL networks to assess and evaluate their performance, and which contribute for deep feature extraction and image classification of DR fundus images. In the proposed model, ResNet50 has shown highest overfitting in comparison to Inception V3, which has shown lowest overfitting when trained using the Kaggle's EyePACS fundus image dataset. EfficientNetB4 is the most optimal, efficient and reliable DL algorithm in detection of DR, followed by InceptionResNetV2, NasNetLarge and DenseNet169. EfficientNetB4 has achieved a training accuracy of 99.37% and the highest validation accuracy of 79.11%. DenseNet201 has achieved the highest training accuracy of 99.58% and a validation accuracy of 76.80% which is less than the top-4 best performing models.

Dress-up: deep neural framework for image-based human appearance transfer

The fashion industry is at the brink of radical transformation. The emergence of Artificial Intelligence (AI) in fashion applications creates many opportunities for this industry and make fashion a better space for everyone. Interesting to this matter, we proposed a virtual try-on interface to stimulate consumers purchase intentions and facilitate their online buying decision process. Thus, we present, in this paper, our flexible person generation system for virtual try-on that aiming to treat the task of human appearance transfer across images while preserving texture details and structural coherence of the generated outfit. This challenging task has drawn increasing attention and made huge development of intelligent fashion applications. However, it requires different challenges, especially in the case of a wide divergences between the source and target images. To solve this problem, we proposed a flexible person generation framework called Dress-up to treat the 2D virtual try-on task. Dress-up is an end-to-end generation pipeline with three modules based on the task of image-to-image translation aiming to sequentially interchange garments between images, and produce dressing effects not achievable by existing works. The core idea of our solution is to explicitly encode the body pose and the target clothes by a pre-processing module based on the semantic segmentation process. Then, a conditional adversarial network is implemented to generate target segmentation feeding respectively, to the alignment and translation networks to generate the final output results. The novelty of this work lies in realizing the appearance transfer across images with high quality by reconstructing garments on a person in different orders and looks from simlpy semantic maps and 2D images without using 3D modeling. Our system can produce dressing effects and provide significant results over the state-of-the-art methods on the widely used DeepFashion dataset. Extensive evaluations show that Dress-up outperforms other recent methods in terms of output quality, and handles a wide range of editing functions for which there is no direct supervision. Different types of results were computed to verify the performance of our proposed framework and show that the robustness and effectiveness are high by utilizing our method.

Double chain system for online and offline medical data sharing private and consortium blockchain: A system design study

With the informatization development and digital construction in the healthcare industry, electronic medical records and Internet medicine facilitate people's medical treatment. However, the current data storage method has the risk of data loss, leakage, and tampering, and can't support extensive and secure sharing of medical data. To realize effective and secure medical data storage and sharing among offline medical institutions and Internet medicine platforms, this study used a combined private blockchain and consortium blockchain to design a medical blockchain double-chain system (MBDS). This system can store encrypted medical data in distributed storage mode and systematically integrate the medical data of patients in offline medical institutions and Internet medicine platforms, to achieve equality, credibility, and data sharing among participating nodes. The MBDS system constructed in this study incorporated Internet medicine care services into the current healthcare system and provided new solutions and practical guidance for the future development of collaborative medical care. This study helped to solve the problems of medical data interconnection and resource sharing, improve the efficiency and effect of disease diagnosis, alleviate the contradiction between doctors and patients, and facilitate personal health management. This study has substantial theoretical and practical implications for the research and application of medical data storage and sharing.

Optimization of Patient Health Management Mechanism Under Intelligent Medical Information System

The establishment of a scientific and complete intelligent medical information analysis application model is of great significance to promote the application of intelligent medical information. Aiming at the deficiencies of Artificial Fish School Algorithm (AFSA) in iterative convergence speed, low optimization accuracy, and Particle Swarm Optimization (PSO) algorithm easily falling into local extremes, this paper combines AFSA and PSO algorithms. We use the fast local convergence ability of the PSO algorithm to overcome the shortcomings of the AFSA algorithm’s low solution accuracy and slow convergence speed. In the classification stage, we try to apply machine learning technology to classify the labeled feature vectors, evaluate and analyze the performance of these two machine learning algorithms in intelligent medical diagnosis auxiliary applications, and use today’s popular deep learning classification methods (i.e., intelligently optimized text classification model) and machine learning classification method to compare the classification effect, evaluate and analyze the applicability of the classification model in the auxiliary application of intelligent medical diagnosis. The experimental results show that the accuracy rate of applying the machine learning method to the judgment of the type of disease reaches more than 90%, which is fully in line with the disease judgment of the patient.

AI-based object detection latest trends in remote sensing, multimedia and agriculture applications

Object detection is a vital research direction in machine vision and deep learning. The object detection technique based on deep understanding has achieved tremendous progress in feature extraction, image representation, classification, and recognition in recent years, due to this rapid growth of deep learning theory and technology. Scholars have proposed a series of methods for the object detection algorithm as well as improvements in data processing, network structure, loss function, and so on. In this paper, we introduce the characteristics of standard datasets and critical parameters of performance index evaluation, as well as the network structure and implementation methods of two-stage, single-stage, and other improved algorithms that are compared and analyzed. The latest improvement ideas of typical object detection algorithms based on deep learning are discussed and reached, from data enhancement, a priori box selection, network model construction, prediction box selection, and loss calculation. Finally, combined with the existing challenges, the future research direction of typical object detection algorithms is surveyed.

Feature-based multi-criteria recommendation system using a weighted approach with ranking correlation

With the increase of online businesses, recommendation algorithms are being researched a lot to facilitate the process of using the existing information. Such multi-criteria recommendation (MCRS) helps a lot the end-users to attain the required results of interest having different selective criteria – such as combinations of implicit and explicit interest indicators in the form of ranking or rankings on different matched dimensions. Current approaches typically use label correlation, by assuming that the label correlations are shared by all objects. In real-world tasks, however, different sources of information have different features. Recommendation systems are more effective if being used for making a recommendation using multiple criteria of decisions by using the correlation between the features and items content (content-based approach) or finding a similar user rating to get targeted results (Collaborative filtering). To combine these two filterings in the multicriteria model, we proposed a features-based fb-knn multi-criteria hybrid recommendation algorithm approach for getting the recommendation of the items by using multicriteria features of items and integrating those with the correlated items found in similar datasets. Ranks were assigned to each decision and then weights were computed for each decision by using the standard deviation of items to get the nearest result. For evaluation, we tested the proposed algorithm on different datasets having multiple features of information. The results demonstrate that proposed fb-knn is efficient in different types of datasets.

Designing a reference architecture for health information systems

Background

Healthcare relies on health information systems (HISs) to support the care and receive reimbursement for the care provided. Healthcare providers experience many problems with their HISs due to improper architecture design. To support the design of a proper HIS architecture, a reference architecture (RA) can be used that meets the various stakeholder concerns of HISs. Therefore, the objective of this study is to develop and analyze an RA following well-established architecture design methods.

Methods

Domain analysis was performed to scope and model the domain of HISs. For the architecture design, we applied the views and beyond approach and designed the RA’s views based on the stakeholders and features from the domain analysis. We evaluated the RA with a case study.

Results

We derived the following four architecture views for HISs: The context diagram, decomposition view, layered view, and deployment view. Each view shows the architecture of the HIS from a different angle, suitable for various stakeholders. Based on a Japanese hospital information system study, we applied the RA and derived the application architecture.

Conclusion

We demonstrated that the methods of the software architecture design community could be used in the healthcare domain effectively and showed the applicability of the RA.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12911-021-01570-2.

Hybrid LSTM Self-Attention Mechanism Model for Forecasting the Reform of Scientific Research in Morocco

Education is the cultivation of people to promote and guarantee the development of society. Education reforms can play a vital role in the development of a country. However, it is crucial to continually monitor the educational model's performance by forecasting the outcome's progress. Machine learning-based models are currently a hot topic in improving the forecasting research area. Forecasting models can help to analyse the impact of future outcomes by showing yearly trends. For this study, we developed a hybrid, forecasting time-series model by long short-term memory (LSTM) network and self-attention mechanism (SAM) to monitor Morocco's educational reform. We analysed six universities' performance and provided a prediction model to evaluate the best-performing university's performance after implementing the latest reform, i.e., from 2015-2030. We forecasted the six universities' research outcomes and tested our proposed methodology's accuracy against other time-series models. Results show that our model performs better for predicting research outcomes. The percentage increase in university performance after nine years is discussed to help predict the best-performing university. Our proposed algorithm accuracy and performance are better than other algorithms like LSTM and RNN.

Sustainable Higher Education Reform Quality Assessment Using SWOT Analysis with Integration of AHP and Entropy Models: A Case Study of Morocco

Sustainable development goals (SDG) involve not only environmental issues but also economic, social, and cultural concerns. Higher education plays a key role in promoting sustainable development initiatives and in empowering people to change their thinking and to strive for a sustainable future. However, the main issue that needs to be presently resolved is how leaders, teachers, and students in higher education can achieve sustainable development in their system vision, mission and values, strategic plans, and organizational culture. Morocco is a country with a long history of higher education and has continuous reforms for sustainable development. In the process of responding to the wave of globalization, the Moroccan government has begun to formulate a higher education reform plan to maintain its competitiveness and achieve the SDG standards. Therefore, this study is focused on the quality of the higher education system through which the sustainability of higher education reform can be implemented. With this in mind, an organized approach that involved a questionnaire using the SWOT (strengths, weaknesses, opportunities, and threats) decision-making model with integration of analytic hierarchy process (AHP) and Entropy method was developed. The questionnaires were filled out by the experts, staff, and students of the higher education system (universities) to obtain the important key factors for the SWOT analysis. The AHP was used for the qualitative analysis of the weights of the SWOT factors, while the Entropy method was applied for the objective analysis of the number of different weight attributes. After integration of AHP with Entropy, the finalized variables were ranked; these results are more reliable and realistic to decision-makers. Finally, the SWOT matrix was established based on the questionnaire assessment and the AHP with Entropy weights to help implement the higher education reform policy and to monitor the quality of the current education system. The results also indicate that higher education reform must incorporate many changes, including effective budget planning, skilled experts, internationalization, improved and expanded infrastructure, reformed study curriculum, and latest training.

Enhanced hotel recommendation method addressing the deviation between overall rating and detailed criteria ratings on Tripadvisor.com

User rating information on multiple predefined aspects gathered by hotel recommendation systems generally shows a deviation between the overall rating and detailed criteria ratings. In this study, to address this deviation, we proposed a novel hotel recommendation method that clusters users with different preferences into different groups using the K-means algorithm. Moreover, we allocated weights to different criteria and obtained a comprehensive score. A case study on actual data from Tripadvisor.com showed that compared with three other models, our proposed model demonstrated a more impressive performance. This research can offer advantages to hotel service providers and customers in terms of decision making.