Facilitating implementation of research evidence (FIRE): A randomised controlled trial and process evaluation of two models of facilitation informed by the promoting action on research implementation in health services (PARIHS) framework

Background: The PARIHS framework proposes that successful implementation of research evidence results from the complex interplay between the evidence to be implemented, the context of implementation and the facilitation processes employed. Facilitation is defined as a role (the facilitator) and a process (facilitation strategies/methods). Empirical evidence comparing different facilitation approaches is limited; this paper reports a trial of two different types of facilitation represented in the PARIHS framework. Methods: A pragmatic cluster randomised controlled trial with embedded process evaluation was undertaken in 24 long-term nursing care settings in four European countries. In each country, sites were randomly allocated to standard dissemination of urinary incontinence guideline recommendations and one of two types of external-internal facilitation, labelled Type A and B. Type A facilitation was a less resource intensive approach, underpinned by improvement methodology; Type B was a more intensive, emancipatory model of facilitation, informed by critical social science. The primary outcome was percentage documented compliance with guideline recommendations. Process evaluation was framed by realist methodology and involved quantitative and qualitative data collection from multiple sources. Findings: Quantitative data were obtained from reviews of 2313 records. Qualitative data included over 332 hours of observations of care; 39 hours observation of facilitation activity; 471 staff interviews; 174 resident interviews; 120 next of kin/carer interviews; and 125 stakeholder interviews. There were no significant differences in the primary outcome between study arms and all study arms improved over time. Process data revealed three core mechanisms that influenced the trajectory of the facilitation intervention: alignment of the facilitation approach to the needs and expectations of the internal facilitator and colleagues; engagement of internal facilitators and staff in attitude and action; and learning over time. Data from external facilitators demonstrated that the facilitation interventions did not work as planned, issues were cumulative and maintenance of fidelity was problematic. Implications for D&I Research: Evaluating an intervention - in this case facilitation - that is fluid and dynamic within the methodology of a randomised controlled trial is complex and challenging. For future studies, we suggest a theoretical approach to fidelity, with a focus on mechanisms, as opposed to dose and intensity of the intervention

Spectrally and Energy Efficient Wireless Communications: Signal and System Design, Mathematical Modelling and Optimisation

This thesis explores engineering studies and designs aiming to meeting the requirements of enhancing capacity and energy efficiency for next generation communication networks. Challenges of spectrum scarcity and energy constraints are addressed and new technologies are proposed, analytically investigated and examined. The thesis commences by reviewing studies on spectrally and energy-efficient techniques, with a special focus on non-orthogonal multicarrier modulation, particularly spectrally efficient frequency division multiplexing (SEFDM). Rigorous theoretical and mathematical modelling studies of SEFDM are presented. Moreover, to address the potential application of SEFDM under the 5th generation new radio (5G NR) heterogeneous numerologies, simulation-based studies of SEFDM coexisting with orthogonal frequency division multiplexing (OFDM) are conducted. New signal formats and corresponding transceiver structure are designed, using a Hilbert transform filter pair for shaping pulses. Detailed modelling and numerical investigations show that the proposed signal doubles spectral efficiency without performance degradation, with studies of two signal formats; uncoded narrow-band internet of things (NB-IoT) signals and unframed turbo coded multi-carrier signals. The thesis also considers using constellation shaping techniques and SEFDM for capacity enhancement in 5G system. Probabilistic shaping for SEFDM is proposed and modelled to show both transmission energy reduction and bandwidth saving with advantageous flexibility for data rate adaptation. Expanding on constellation shaping to improve performance further, a comparative study of multidimensional modulation techniques is carried out. A four-dimensional signal, with better noise immunity is investigated, for which metaheuristic optimisation algorithms are studied, developed, and conducted to optimise bit-to-symbol mapping. Finally, a specially designed machine learning technique for signal and system design in physical layer communications is proposed, utilising the application of autoencoder-based end-to-end learning. Multidimensional signal modulation with multidimensional constellation shaping is proposed and optimised by using machine learning techniques, demonstrating significant improvement in spectral and energy efficiencies

Recognizing Green Skills Through Non-formal Learning

This open access book looks into the roles and practices of small and micro-enterprises in formal and informal economies across seven countries and one territory in terms of how they contribute to environmental and sustainable development and green skills promotion. By taking into account the perspectives in these four sectors, catering, automotive, waste management and polyvinyl chloride production, this book maps environmental green practices in the region, identifying mechanisms used to assess existing skills (i.e. knowledge, skills and competencies), and evaluating the potential for green skills inclusion in recognition, validation and accreditation

Microscopy Conference 2021 (MC 2021) - Proceedings

Das Dokument enthält die Kurzfassungen der Beiträge aller Teilnehmer an der Mikroskopiekonferenz "MC 2021"

Intensional Cyberforensics

This work focuses on the application of intensional logic to cyberforensic analysis and its benefits and difficulties are compared with the finite-state-automata approach. This work extends the use of the intensional programming paradigm to the modeling and implementation of a cyberforensics investigation process with backtracing of event reconstruction, in which evidence is modeled by multidimensional hierarchical contexts, and proofs or disproofs of claims are undertaken in an eductive manner of evaluation. This approach is a practical, context-aware improvement over the finite state automata (FSA) approach we have seen in previous work. As a base implementation language model, we use in this approach a new dialect of the Lucid programming language, called Forensic Lucid, and we focus on defining hierarchical contexts based on intensional logic for the distributed evaluation of cyberforensic expressions. We also augment the work with credibility factors surrounding digital evidence and witness accounts, which have not been previously modeled. The Forensic Lucid programming language, used for this intensional cyberforensic analysis, formally presented through its syntax and operational semantics. In large part, the language is based on its predecessor and codecessor Lucid dialects, such as GIPL, Indexical Lucid, Lucx, Objective Lucid, and JOOIP bound by the underlying intensional programming paradigm.Comment: 412 pages, 94 figures, 18 tables, 19 algorithms and listings; PhD thesis; v2 corrects some typos and refs; also available on Spectrum at http://spectrum.library.concordia.ca/977460

Environmental protection through e-regulation: critical and empirical perspectives using a rule of law analysis

Sometimes the most commonplace and uninteresting tools demand close attention because their mundane nature means that their role is misunderstood. The use of computer technology by government – specifically, by environmental regulators – is one such instance. Information and communications technology (ICT) is increasingly deployed in bureaucratic and regulatory processes throughout the developed world; as in commerce and industry, software code and databases are becoming the invisible ‘glue’ that interconnects the various actors in the regulatory system and weaves an invisible web of control between decision-makers, regulated entities and ordinary citizens. Nonetheless, this topic has received only disconnected academic attention, perhaps because there is little that seems intrinsically interesting about a database. The issues which ICT raises are not always obvious but nonetheless significant if we are to make the best use of these new tools without unwittingly sacrificing important principles. There is now a substantial body of literature on regulation and ICT. However, this focuses on either ‘information’ or ‘communications’, rarely on both together or on the use of ICT for regulation rather than something to be regulated. There are few theoretical or practical perspectives on the role of ICT in environmental regulation. This thesis applies both in combination, developing a values-based, analytical and empirically grounded framework in order to contextualise the use of ICT as a regulatory tool. The ever-increasing deployment of ICT in homes and offices, the built environment and the world at large creates significant opportunities for achieving better environmental outcomes but this new and poorly-understood development also raises questions about the proper operation of the rule of law by an increasingly computerised state. This research explores how the widespread implementation of ICT is altering power relationships in the system of environmental regulation. It asks to what extent this new capability of large-scale information capture leads to more or less control on the part of regulators, whether existing balances and imbalances of power are altered by these new tools (even when they are seen as neutral) and what happens when the ‘glue’ hardens and installed technology makes policy change difficult. The thesis critically reviews the operation of the rule of law in digitised government, the development of ICT in environmental regulation, the role of scientific information in environmental regulation and the use of disclosure as a regulatory tool. It combines theoretical perspectives from sociology, chiefly actor-network theory, with insights from semi-structured interviews with staff in regulatory agencies, non-governmental agencies and regulated entities, to build a thematic network model of how the use of ICT for information-gathering, as a means of control and as a conduit for communications is perceived by practitioners of environmental regulation. It uses this to sketch the contours of a new field of study, ‘e-regulation’, centred around the core values of the rule of law. It places this discussion in the context of a dynamic, networked and globalised social and economic environment. It concludes by discussing how to protect the rule of law in e-government, highlighting current best practice

Computational Transformation of the Public Sphere : Theories and Case Studies

This book is an edited collection of MA research paper on the digital revolution of the public and governance. It covers cyber governance in Finland, and the securitization of cyber security in Finland. It investigates the cases of Brexit, the 2016 US presidental election of Donald Trump, the 2017 presidential election of Volodymyr Zelensky, and Brexit. It examines the environmental concerns of climate change and greenwashing, and the impact of digital communication giving rise to the #MeToo and Incel movements. It considers how digitilization can serve to emancipate women through ride-sharing, and how it leads to the question of robot rights. It considers fake news and algorithmic governance with respect to case studies of the Chinese social credit system, the US FICO credit score, along with Facebook, Twitter, Cambridge Analytica and the European effort to regulate and protect data usage.Non peer reviewe

Computational transformation of the public sphere : theories and case studies

Computational Transformation of the Public Sphere is the organic product of what turned out to be an effective collaboration between MA students and their professor in the Global Politics and Communication program in the Faculty of Social Sciences at the University of Helsinki, in the Fall of 2019. The course, Philosophy of Politics and Communication, is a gateway course into this MA program. As I had been eager to conduct research on the impact of new digital technologies and artificial intelligence (AI) on democratic governance, I saw this course as an opportunity to not only share, but also further develop my knowledge of this topic

Computational Transformation of the Public Sphere: Theories and Cases

This book is an edited collection of original research papers on the digital revolution of the public and governance. It covers cyber governance in Finland, and the securitization of cyber security in Finland. It investigates the cases of Brexit, the 2016 US presidential election of Donald Trump, the 2017 presidential election of Volodymyr Zelensky, and Brexit. It examines the environmental concerns of climate change and greenwashing, and the impact of digital communication giving rise to the #MeToo and Incel movements. It considers how digitilization can serve to emancipate women through ride-sharing, and how it leads to the question of robot rights. It considers fake news and algorithmic governance with respect to case studies of the Chinese social credit system, the US FICO credit score, along with Facebook, Twitter, Cambridge Analytica and the European effort to regulate and protect data usage