Challenges to generating political prioritization for adolescent sexual and reproductive health in Kenya: A qualitative study.

BackgroundDespite the high burden of adverse adolescent sexual and reproductive health (SRH) outcomes, it has remained a low political priority in Kenya. We examined factors that have shaped the lack of current political prioritization of adolescent SRH service provision.MethodsWe used the Shiffman and Smith policy framework consisting of four categories-actor power, ideas, political contexts, and issue characteristics-to analyse factors that have shaped political prioritization of adolescent SRH. We undertook semi-structured interviews with 14 members of adolescent SRH networks between February and April 2019 at the national level and conducted thematic analysis of the interviews.FindingsSeveral factors hinder the attainment of political priority for adolescent SRH in Kenya. On actor power, the adolescent SRH community was diverse and united in adoption of international norms and policies, but lacked policy entrepreneurs to provide strong leadership, and policy windows were often missed. Regarding ideas, community members lacked consensus on a cohesive public positioning of the problem. On issue characteristics, the perception of adolescents as lacking political power made politicians reluctant to act on the existing data on the severity of adolescent SRH. There was also a lack of consensus on the nature of interventions to be implemented. Pertaining to political contexts, sectoral funding by donors and government treasury brought about tension within the different government ministries resulting in siloed approaches, lack of coordination and overall inefficiency. However, the SRH community has several strengths that augur well for future political support. These include the diverse multi-sectoral background of its members, commitment to improving adolescent SRH, and the potential to link with other health priorities such as maternal health and HIV/AIDS.ConclusionIn order to increase political attention to adolescent SRH in Kenya, there is an urgent need for policy actors to: 1) create a more cohesive community of advocates across sectors, 2) develop a clearer public positioning of adolescent SRH, 3) agree on a set of precise approaches that will resonate with the political system, and 4) identify and nurture policy entrepreneurs to facilitate the coupling of adolescent SRH with potential solutions when windows of opportunity arise

Latent Dirichlet Allocation (LDA) for improving the topic modeling of the official bulletin of the spanish state (BOE)

Since Internet was born most people can access fully free to a lot sources of information. Every day a lot of web pages are created and new content is uploaded and shared. Never in the history the humans has been more informed but also uninformed due the huge amount of information that can be access. When we are looking for something in any search engine the results are too many for reading and filtering one by one. Recommended Systems (RS) was created to help us to discriminate and filter these information according to ours preferences. This contribution analyses the RS of the official agency of publications in Spain (BOE), which is known as "Mi BOE'. The way this RS works was analysed, and all the meta-data of the published documents were analysed in order to know the coverage of the system. The results of our analysis show that more than 89% of the documents cannot be recommended, because they are not well described at the documentary level, some of their key meta-data are empty. So, this contribution proposes a method to label documents automatically based on Latent Dirichlet Allocation (LDA). The results are that using this approach the system could recommend (at a theoretical point of view) more than twice of documents that it now does, 11% vs 23% after applied this approach

WSAmacd handbook 2012-13 PDF edition

The story, syllabus and course information handbook for the MA in Communication Design at Winchester School of Art. www.facebook.com/WSAmac

The effectiveness of Atraumatic Restorative Treatment versus conventional restorative treatment for permanent molars and premolars A critical assessment of existing systematic reviews and report of a new systematic review

Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Available for download at: http://mahara.qmul.ac.uk/view/view.php?id=16447Background: Atraumatic Restorative Treatment (ART) is the removal of caries using hand instruments and restoration of the resulting cavity using an adhesive restorative material. It was designed to restore teeth in communities without access to conventional dental clinics in poorer countries but has come to be used by dentists in the developed world too, as an alternative to conventional restorative treatment. Objectives: 1) to assess the scope and the methodological and reporting quality of existing systematic reviews of the effectiveness of ART compared to conventional restorative treatment; 2) to evaluate the effectiveness of ART compared to conventional treatment in permanent teeth with class I and II cavities. Methods: Searches: 1) for the assessment of existing systematic reviews: Electronic searches were conducted of OVID Medline, OVID Embase, The Cochrane Database of Systematic Reviews (CDSR), the Centre for Reviews and Dissemination (CRD) databases (DARE, NHSEED and HTA), Google Scholar, and the CNKI and CAOD Chinese databases; 2) for the systematic reviews of ART in permanent teeth: the above searches were supplemented by searches of the Cochrane Central Register of Controlled Trials (CENTRAL), LILAC, BBO, IMEAR (WHO Index Medicus for South East Region), WPRIM (WHO Western Pacific Region Index Medicus) and IndMed, Current Controlled Trials, Clinical Trials, OpenSIGLE, IADR conference abstracts and NLM Gateway. Hand searches were conducted of six dental journals known to have reported ART studies. References from retrieved systematic reviews, trials and other related papers were searched for additional reports. Authors were contacted. There were no language restrictions. Selection criteria: 1) for the assessment of existing systematic reviews: systematic reviews that compared ART to conventional treatment for the restoration of dental cavities; 2) for the systematic reviews of ART in permanent teeth: randomised controlled trials that compared ART using any adhesive material to conventional treatment using amalgam or any adhesive material Data collection: 1) for the assessment of existing systematic reviews: Reviews were selected and data was extracted by a single reviewer using a custom made data extraction sheet. Scope was assessed in terms of materials used, teeth and cavity type. Methodological quality was assessed using AMSTAR. Reporting quality was assessed using the PRISMA guidelines; 2) for the systematic reviews of ART in permanent teeth: reports of trials were screened and selected independently by two reviewers and data would have been extracted on a custom made data extraction sheet had there been eligible trials. Results: 1) for the assessment of existing systematic reviews: three systematic reviews were identified. Two of these were restricted to comparing ART with glass-ionomer to conventional treatment with amalgam; two allowed for inclusion of all cavity types in both deciduous and permanent teeth. None was of high methodological quality and reporting quality was good in one of the reviews only; 2) for the systematic reviews of ART in permanent teeth: no eligible trials were identified. Author’s conclusions: 1) existing systematic reviews do not have sufficient scope to allow for the inclusion of potentially eligible trials that would assess ARTs effectiveness and they have been of high to medium risk of bias; 2) it is disappointing that there are no properly conducted randomised controlled trials comparing ART to conventional treatment in class I and II cavities in the permanent dentition

Examination of the Transitioning of the Book from Print to Digital: Inspiration, Possibilities & Application

My principal research question is: what future/s might there be for the book as it shifts away from paper volumes and into an ebook protocol, as regards marginal epistemologies, inclusivity, multiple authors, interdisciplinarity and alternative narratives? My research takes the form of both a thesis and a research-creation EPUB3 ebook. I chose the subject of bees as the content of the book. This subject offered me both an alternative narrative and a way to showcase the capabilities of the EPUB. Working with disciplines of Design, Film and Computer Science, I traced a trajectory through the history of the printed book to the present day finding a natural place for the self-published ebook. The thesis speculates on the genesis of the ebook as a recuperative medium in the evolution of the knowledge commons. It navigates a path toward progressive accessibility standards coexisting with a visual design paradigm

'This Is Real Misery': Experiences of Women Denied Legal Abortion in Tunisia.

Barriers to accessing legal abortion services in Tunisia are increasing, despite a liberal abortion law, and women are often denied wanted legal abortion services. In this paper, we seek to explore the reasons for abortion denial and whether these reasons had a legal or medical basis. We also identify barriers women faced in accessing abortion and make recommendations for improved access to quality abortion care. We recruited women immediately after they had been turned away from legal abortion services at two facilities in Tunis, Tunisia. Thirteen women consented to participate in qualitative interviews two months after they were turned away from the facility. Women were denied abortion care on the day they were recruited due to three main reasons: gestational age, health conditions, and logistical barriers. Nine women ultimately terminated their pregnancies at another facility, and four women carried to term. None of the women attempted illegal abortion services or self-induction. Further research is needed in order to assess abortion denial from the perspective of providers and medical staff

Why do we digitize books instead of knowledge?

Besides text and images, contemporary e-books can include multimedia, interactivity, pronunciation information and text-to-speech ready content. The current EPUB 3 standard provides all the technical solutions necessary for designing and displaying highly functional and content rich e-books, but the implementation is impaired by the e-reader industry, publishers and distributors. Local and global book digitization has been an ongoing process for years, encompassing publications ranging from classical literature to current technical textbooks. Textual expression of knowledge is a remnant of the past but it is still dominant today, even though interactivity and video content are known to significantly enhance the learning process. However, multimedia and interactive content for e-books is not produced because it requires time, technical knowledge and specific tools. Within the current publishing system, authors are expected to produce and design all the content for books on their own, but because of the extreme content diversity, it is unrealistic to expect that they really possess such knowledge and skills. Better collaboration among authors, publishers, distributors, the professional community and the related industry is necessary for knowledge digitization to function