Multi-level reputation based recommendation system and method focused on users as opposed to products or web sites. If the duplicate frames are the first set of duplicate frames discovered, then all previous timestamps and all subsequent timestamps from the second capture device are adjusted by the time difference. A securing member having a centrally oriented fastener receiving aperture slidingly extends through apertures in the sidewall of the extending tube. In particular, the present invention provides methods and compositions suitable for treatment of wounds in diabetics, normal patients and surgical patients. Parameters of the computer device are collected, extended with dummy values, and reordered, to form a permuted extended set of parameters, which in turn is used to generate the identifier.