Hygiene and Sanitation Software: An Overview of Approaches

A review of the state of the art in methods and techniques for sanitation and hygiene behaviour change, and other non-hardware aspects of sanitation programming. Includes introductory text and detailed entries on more than 20 approaches and techniques, with key references, summary information on effectiveness and implementation and an assessment of when different approaches should be used

Exploring the use of social media for teacher professional learning

This study sought to find out how social media can be used to leverage teacher professional learning. It adopted a designed-based research approach with a pre-intervention, an intervention and a post-intervention phase. There were four different types of data sources analyzed: questionnaires, an online survey, and interviews with administrators and TPL providers. In addition, the contributions and activities of teachers on social media platforms were examined. Data suggest that while social media is currently being used in TPL its affordances are not fully exploited. WhatsApp is the most used social media in TPL. Findings suggest that when teachers are oriented in the use of social media in TPL they are easily able to access materials, create materials, respond to activities, communicate and establish communities of learning. Furthermore, because teachers already know how to use social media they easily accept it, can personalize it for their use, and become more amenable to independent learning. Social media and specifically WhatsApp proved to be a useful tool because it was cheap to use, had the capacity to include many teachers from different places and allowed one to embed multiple social media application

Effects of a novel, transdiagnostic, hybrid ecological momentary intervention for improving resilience in youth (EMIcompass):Protocol for an exploratory randomized controlled Trial

BACKGROUND: Most mental disorders first emerge in youth and, in their early stages, surface as subthreshold expressions of symptoms comprising a transdiagnostic phenotype of psychosis, mania, depression, and anxiety. Elevated stress reactivity is one of the most widely studied mechanisms underlying psychotic and affective mental health problems. Thus, targeting stress reactivity in youth is a promising indicated and translational preventive strategy for adverse mental health outcomes that could develop later in life and for improving resilience. Compassion-focused interventions offer a wide range of innovative therapeutic techniques that are particularly amenable to being implemented as ecological momentary interventions (EMIs), a specific type of mobile health intervention, to enable youth to access interventions in a given moment and context in daily life. This approach may bridge the current gap in youth mental health care. OBJECTIVE: This study aims to investigate the clinical feasibility, candidate underlying mechanisms, and initial signals of the efficacy of a novel, transdiagnostic, hybrid EMI for improving resilience to stress in youth—EMIcompass. METHODS: In an exploratory randomized controlled trial, youth aged between 14 and 25 years with current distress, a broad Clinical High At-Risk Mental State, or the first episode of a severe mental disorder will be randomly allocated to the EMIcompass intervention (ie, EMI plus face-to-face training sessions) in addition to treatment as usual or a control condition of treatment as usual only. Primary (stress reactivity) and secondary candidate mechanisms (resilience, interpersonal sensitivity, threat anticipation, negative affective appraisals, and momentary physiological markers of stress reactivity), as well as primary (psychological distress) and secondary outcomes (primary psychiatric symptoms and general psychopathology), will be assessed at baseline, postintervention, and at the 4-week follow-up. RESULTS: The first enrollment was in August 2019, and as of May 2021, enrollment and randomization was completed (N=92). We expect data collection to be completed by August 2021. CONCLUSIONS: This study is the first to establish feasibility, evidence on underlying mechanisms, and preliminary signals of the efficacy of a compassion-focused EMI in youth. If successful, a confirmatory randomized controlled trial will be warranted. Overall, our approach has the potential to significantly advance preventive interventions in youth mental health provision. TRIAL REGISTRATION: German Clinical Trials Register DRKS00017265; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017265 INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/2746

Scenarios for the development of smart grids in the UK: literature review

Smart grids are expected to play a central role in any transition to a low-carbon energy future, and much research is currently underway on practically every area of smart grids. However, it is evident that even basic aspects such as theoretical and operational definitions, are yet to be agreed upon and be clearly defined. Some aspects (efficient management of supply, including intermittent supply, two-way communication between the producer and user of electricity, use of IT technology to respond to and manage demand, and ensuring safe and secure electricity distribution) are more commonly accepted than others (such as smart meters) in defining what comprises a smart grid. It is clear that smart grid developments enjoy political and financial support both at UK and EU levels, and from the majority of related industries. The reasons for this vary and include the hope that smart grids will facilitate the achievement of carbon reduction targets, create new employment opportunities, and reduce costs relevant to energy generation (fewer power stations) and distribution (fewer losses and better stability). However, smart grid development depends on additional factors, beyond the energy industry. These relate to issues of public acceptability of relevant technologies and associated risks (e.g. data safety, privacy, cyber security), pricing, competition, and regulation; implying the involvement of a wide range of players such as the industry, regulators and consumers. The above constitute a complex set of variables and actors, and interactions between them. In order to best explore ways of possible deployment of smart grids, the use of scenarios is most adequate, as they can incorporate several parameters and variables into a coherent storyline. Scenarios have been previously used in the context of smart grids, but have traditionally focused on factors such as economic growth or policy evolution. Important additional socio-technical aspects of smart grids emerge from the literature review in this report and therefore need to be incorporated in our scenarios. These can be grouped into four (interlinked) main categories: supply side aspects, demand side aspects, policy and regulation, and technical aspects.

Growth Of Fluorine Doped Zinc Oxide Nanostructures For Ultra-Violet Photodetector Using Modified Chemical Bath-Hydrothermal Method

The main aim of this research work was the use of modified chemical bath- hydrothermal method for the synthesis of undoped and fluorine doped zinc oxide (FZnO) for ultra-violet (UV) photodetector (PD) application. The effect of fluorine (F) concentration in ZnO properties was investigated on Si substrate, which resulted in enhancement of the crystal quality, optical and electrical properties of ZnO at low F concentration. Subsequently, UV metal-semiconductor-metal (MSM) PD was fabricated based on the undoped ZnO and optimized FZnO. When compared to an undoped ZnO device, the photodetection properties of the optimized FZnO device were enhanced appreciably using the UV-light of 395 nm. The value of photocurrent, responsivity, sensitivity, detectivity, rise time and fall time of the undoped ZnO device were 3.61 μA, 0.22 A/W, 9.7 x103%, 2.2 x1019 Jones, 1.9 s and 1.7 s, respectively. The parameters for the FZnO device on the other hand, were increased to 10.52 μA, 0.66 A/W, 1.1x105%, 1.3x1010 Jones, 90 ms and 110 ms, respectively. Hence, FZnO nanorod (NRs) synthesized using modified hydrothermal method revealed outstanding findings which could be extremely beneficial in the design and manufacture of inexpensive UV MSM PD devices for a variety of optoelectronic applications. In addition

Intrinsic degradation factors of perovskite semiconductors in optoelectronic devices

Semiconductors have had a monumental impact on our society, being at the heart of every electronic device in our daily lives. Undoubtedly, they have changed the world beyond anything that could have been imagined before them. Otherwise, we would be using computers like a monster of a machine, weighing more than 30 tons and consuming several kilowatts of electrical power that when it is turned on, the lights in a few cities would be dimmed. Among all other semiconductor materials, so-called hybrid organic-inorganic perovskites have drawn a great deal of attention in the last decade due to dramatic strides in power conversion efficiencies (PCEs) as photoabsorbers in solar cells. Their similarities to gold standards of crystalline silicon have carried them to be some of the most intensely researched semiconductors by producing a plethora of optoelectronic devices. However, despite their versatility, there are several hurdles, holding their further improvement back. In this thesis, intrinsic properties of this family of materials and their limitations are profoundly investigated and solutions are provided for further developments. In the first part of this thesis, a performance difference in the current-voltage scans of solar cells, so-called anomalous hysteresis, is unveiled. This phenomenon emerges from a combination of ion migration and charge recombination at the charge transport layer-perovskite interface and hampers the device performance severely. It is found that deep trap states at the interface likely trigger charge accumulation due to the Fermi level offset of SnOx from the perovskite, which in turn leads to enhanced charge recombination, causing a higher degree of hysteresis in solar cells. It is suggested that if the band alignment between the perovskite absorber and the SnOx layer is improved, the resulting device excels due to greatly reduced hysteresis and much better performance. Charge transport characteristics and their limiting factors are of utmost importance in photovoltaic devices in order to extract the charges efficiently. The charge carrier mobilities in CH3NH3PbI3 thin films extracted from lateral time-of-flight measurements are found to be 6 cm2/Vs, whereas similar measurements performed on a solar cell architecture, i.e. in the vertical direction, show effective mobilities that are reduced by 3 orders of magnitude. By varying the thickness of the charge extraction layers, it is revealed that the limiting factors of the charge carrier transport time in working devices are the electron and hole transport layers rather than the perovskite material itself. In chapters 5 and 6, the versatility of perovskite semiconductors was extended by synthesizing both hybrid and all-inorganic perovskite nanocrystals (NCs) with compositional engineering. It is found that exchanging cation and mixing halide ions in the perovskite structure not only altered their charge recombination rates as well as photoluminescence spectra but also the photoluminescence quantum yield (PLQY). The implementation of mixed halide systems into lighting devices, so-called light-emitting electrochemical cells (LECs), revealed another major intrinsic concern of perovskites: halide segregation, forming bromide- and iodide-rich phases upon application of voltage in the devices. However, this problem was tackled by adding the salt KCF3SO3 in the active layer of LECs with mixed halide NCs. This addition not only suppresses the halide segregation by further stabilization of the perovskite lattice with potassium ions but also improves the brightness of the devices with low injection voltage. In the last part of thesis, four-terminal perovskite/CIGS tandem solar cells were presented. In order to boost the efficiency of the CIGS bottom-cell in tandem configuration, the transparency of the top-cell is of paramount importance. Thus, wide-band perovskite top-cells with different transparent conductive oxides used for both substrates and back electrodes were investigated, revealing that the transparency of the substrate is more critical than the back electrode’s transmittance to increase the performance of CIGS solar cells. Additionally, the reason of low voltage output in the top-cell is attributed to the halide segregation caused by application of voltage and illumination, where the formation of bromide- and iodide-rich phases was demonstrated by X-ray diffraction measurements. Finally, methods to improve the performance of perovskite top-cells were suggested as an outlook

A self-management programme to reduce falls and improve safe mobility in people with secondary progressive MS: the BRiMS feasibility RCT

This is the final version, also available from NIHR journals library via the DOI in this record.Abstract Background Balance, mobility impairments and falls are common problems for people with multiple sclerosis (MS). Our ongoing research has led to the development of Balance Right in MS (BRiMS), a 13-week home- and group-based exercise and education programme intended to improve balance and encourage safer mobility. Objective This feasibility trial aimed to obtain the necessary data and operational experience to finalise the planning of a future definitive multicentre randomised controlled trial. Design Randomised controlled feasibility trial. Participants were block randomised 1 : 1. Researcher-blinded assessments were scheduled at baseline and at 15 and 27 weeks post randomisation. As is appropriate in a feasibility trial, statistical analyses were descriptive rather than involving formal/inferential comparisons. The qualitative elements utilised template analysis as the chosen analytical framework. Setting Four sites across the UK. Participants Eligibility criteria included having a diagnosis of secondary progressive MS, an Expanded Disability Status Scale (EDSS) score of between ≥ 4.0 and ≤ 7.0 points and a self-report of two or more falls in the preceding 6 months. Interventions Intervention – manualised 13-week education and exercise programme (BRiMS) plus usual care. Comparator – usual care alone. Main outcome measures Trial feasibility, proposed outcomes for the definitive trial (including impact of MS, mobility, quality of life and falls), feasibility of the BRiMS programme (via process evaluation) and economic data. Results A total of 56 participants (mean age 59.7 years, standard deviation 9.7 years; 66% female; median EDSS score of 6.0 points, interquartile range 6.0–6.5 points) were recruited in 5 months; 30 were block randomised to the intervention group. The demographic and clinical data were broadly comparable at baseline; however, the intervention group scored worse on the majority of baseline outcome measures. Eleven participants (19.6%) withdrew or were lost to follow-up. Worsening of MS-related symptoms unrelated to the trial was the most common reason (n = 5) for withdrawal. Potential primary and secondary outcomes and economic data had completion rates of > 98% for all those assessed. However, the overall return rate for the patient-reported falls diary was 62%. After adjusting for baseline score, the differences between the groups (intervention compared with usual care) at week 27 for the potential primary outcomes were MS Walking Scale (12-item) version 2 –7.7 [95% confidence interval (CI) –17.2 to 1.8], MS Impact Scale (29-item) version 2 (MSIS-29vs2) physical 0.6 (95% CI –7.8 to 9) and MSIS-29vs2 psychological –0.4 (95% CI –9.9 to 9) (negative score indicates improvement). After the removal of one outlier, a total of 715 falls were self-reported over the 27-week trial period, with substantial variation between individuals (range 0–93 falls). Of these 715 falls, 101 (14%) were reported as injurious. Qualitative feedback indicated that trial processes and participant burden were acceptable, and participants highlighted physical and behavioural changes that they perceived to result from undertaking BRiMS. Engagement varied, influenced by a range of condition- and context-related factors. Suggestions to improve the utility and accessibility of BRiMS were highlighted. Conclusions The results suggest that the trial procedures are feasible and acceptable, and retention, programme engagement and outcome completion rates were sufficient to satisfy the a priori progression criteria. Challenges were experienced in some areas of data collection, such as completion of daily diaries.National Institute for Health Research (NIHR

Improving quality of care and outcome at very preterm birth: the Preterm Birth research programme, including the Cord pilot RCT

BACKGROUND:Being born very premature (i.e. before 32 weeks’ gestation) has an impact on survival and quality of life. Improving care at birth may improve outcomes and parents’ experiences. OBJECTIVES:To improve the quality of care and outcomes following very preterm birth. DESIGN:We used mixed methods, including a James Lind Alliance prioritisation, a systematic review, a framework synthesis, a comparative review, qualitative studies, development of a questionnaire tool and a medical device (a neonatal resuscitation trolley), a survey of practice, a randomised trial and a protocol for a prospective meta-analysis using individual participant data. SETTING:For the prioritisation, this included people affected by preterm birth and health-care practitioners in the UK relevant to preterm birth. The qualitative work on preterm birth and the development of the questionnaire involved parents of infants born at three maternity hospitals in southern England. The medical device was developed at Liverpool Women’s Hospital. The survey of practice involved UK neonatal units. The randomised trial was conducted at eight UK tertiary maternity hospitals. PARTICIPANTS:For prioritisation, 26 organisations and 386 individuals; for the interviews and questionnaire tool, 32 mothers and seven fathers who had a baby born before 32 weeks’ gestation for interviews evaluating the trolley, 30 people who had experienced it being used at the birth of their baby (19 mothers, 10 partners and 1 grandmother) and 20 clinicians who were present when it was being used; for the trial, 261 women expected to have a live birth before 32 weeks’ gestation, and their 276 babies. INTERVENTIONS:Providing neonatal care at very preterm birth beside the mother, and with the umbilical cord intact; timing of cord clamping at very preterm birth. MAIN OUTCOME MEASURES:Research priorities for preterm birth; feasibility and acceptability of the trolley; feasibility of a randomised trial, death and intraventricular haemorrhage. REVIEW METHODS:Systematic review of Cochrane reviews (umbrella review); framework synthesis of ethics aspects of consent, with conceptual framework to inform selection criteria for empirical and analytical studies. The comparative review included studies using a questionnaire to assess satisfaction with care during childbirth, and provided psychometric information. RESULTS:Our prioritisation identified 104 research topics for preterm birth, with the top 30 ranked. An ethnographic analysis of decision-making during this process suggested ways that it might be improved. Qualitative interviews with parents about their experiences of very preterm birth identified two differences with term births: the importance of the staff appearing calm and of staff taking control. Following a comparative review, this led to the development of a questionnaire to assess parents’ views of care during very preterm birth. A systematic overview summarised evidence for delivery room neonatal care and revealed significant evidence gaps. The framework synthesis explored ethics issues in consent for trials involving sick or preterm infants, concluding that no existing process is ideal and identifying three important gaps. This led to the development of a two-stage consent pathway (oral assent followed by written consent), subsequently evaluated in our randomised trial. Our survey of practice for care at the time of birth showed variation in approaches to cord clamping, and that no hospitals were providing neonatal care with the cord intact. We showed that neonatal care could be provided beside the mother using either the mobile neonatal resuscitation trolley we developed or existing equipment. Qualitative interviews suggested that neonatal care beside the mother is valued by parents and acceptable to clinicians. Our pilot randomised trial compared cord clamping after 2 minutes and initial neonatal care, if needed, with the cord intact, with clamping within 20 seconds and initial neonatal care after clamping. This study demonstrated feasibility of a large UK randomised trial. Of 135 infants allocated to cord clamping ≥ 2 minutes, 7 (5.2%) died and, of 135 allocated to cord clamping ≤ 20 seconds, 15 (11.1%) died (risk difference –5.9%, 95% confidence interval –12.4% to 0.6%). Of live births, 43 out of 134 (32%) allocated to cord clamping ≥ 2 minutes had intraventricular haemorrhage compared with 47 out of 132 (36%) allocated to cord clamping ≤ 20 seconds (risk difference –3.5%, 95% CI –14.9% to 7.8%). LIMITATIONS:Small sample for the qualitative interviews about preterm birth, single-centre evaluation of neonatal care beside the mother, and a pilot trial. CONCLUSIONS:Our programme of research has improved understanding of parent experiences of very preterm birth, and informed clinical guidelines and the research agenda. Our two-stage consent pathway is recommended for intrapartum clinical research trials. Our pilot trial will contribute to the individual participant data meta-analysis, results of which will guide design of future trials. FUTURE WORK:Research in preterm birth should take account of the top priorities. Further evaluation of neonatal care beside the mother is merited, and future trial of alternative policies for management of cord clamping should take account of the meta-analysis. STUDY REGISTRATION:This study is registered as PROSPERO CRD42012003038 and CRD42013004405. In addition, Current Controlled Trials ISRCTN21456601. FUNDING:This project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research; Vol. 7, No. 8. See the NIHR Journals Library website for further project information

Process of change in organisations through eHealth: 2nd International eHealth Symposium 2010, Stuttgart, Germany, June 7 - 8, 2010 ; Proceedings edited by Stefan Kirn

Foreword: On behalf of the Organizing Committee, it is my pleasure to welcome you to Hohenheim, Stuttgart for the 2nd International eHealth Symposium which is themed 'Process of change in organisations through eHealth'. Starting with the inaugural event in 2009, which took place in Turku, Finland, we want to implement a tradition of international eHealth symposia. The presentations and associated papers in this proceedings give a current and representative outline of technical options, application potentials, usability, acceptance and potential for optimization in health care by ICT. We are pleased to present a high-quality program. This year we convey a unique opportunity for academic researchers and industry practitioners to report their state-of-the-art research findings in the domain of eHealth. The symposium aims to foster the international community by gathering experts from various countries such as Australia, Great Britain, Finland and Germany. A first step is done by this symposium which considers this interaction and delivers an insight into current advances made and open research questions. The organizers would like to take the opportunity to thank all the people which made the Symposium possible. We are pleased if both attendance to the 2nd International eHealth Symposium 2010 and reading of this proceedings give you answers to urging questions, a basis for critical discussions, references on interesting tasks and stimulations for new approaches. Table of Contents: Martin Sedlmayr, Andreas Becker, Hans-Ulrich Prokosch, Christian Flügel, Fritz Meier: OPAL Health - A Smart Object Network for Hospital Logistics // Rajeev K. Bali, M. Chris Gribbons, Vikraman Baskaran, Raouf NG Naguib: Perspectives on E-Health: the human touch // Falk Zwicker, Torsten Eymann: Why RFID projects in hospitals (necessarily) fail. Lesson from comparative studies // Nilmin Wickramasinghe, F. Moghimi, J. Schaffer: Designing an intelligent risk detection framework using knowledge discovery techniques to improve efficiency and accuracy of healthcare care decision making // Volker Viktor, Heiko Schellhorn: In search of an appropriate service model for telehealth in Germany // Simone Schillings, Julia Fernandes: Towards a reference model for telemedicine // Reima Suomi: Towards rewards awareness in health care information systems // Manuel Zwicker, Jürgen Seitz, Nilmini Wickramasingh: Adaptions for e-kiosk systems to develop barrier-free terminals for handicapped persons --