11,293 research outputs found

    UMSL Bulletin 2023-2024

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    The 2023-2024 Bulletin and Course Catalog for the University of Missouri St. Louis.https://irl.umsl.edu/bulletin/1088/thumbnail.jp

    A Multi-level Analysis on Implementation of Low-Cost IVF in Sub-Saharan Africa: A Case Study of Uganda.

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    Introduction: Globally, infertility is a major reproductive disease that affects an estimated 186 million people worldwide. In Sub-Saharan Africa, the burden of infertility is considerably high, affecting one in every four couples of reproductive age. Furthermore, infertility in this context has severe psychosocial, emotional, economic and health consequences. Absence of affordable fertility services in Sub-Saharan Africa has been justified by overpopulation and limited resources, resulting in inequitable access to infertility treatment compared to developed countries. Therefore, low-cost IVF (LCIVF) initiatives have been developed to simplify IVF-related treatment, reduce costs, and improve access to treatment for individuals in low-resource contexts. However, there is a gap between the development of LCIVF initiatives and their implementation in Sub-Saharan Africa. Uganda is the first country in East and Central Africa to undergo implementation of LCIVF initiatives within its public health system at Mulago Women’s Hospital. Methods: This was an exploratory, qualitative, single, case study conducted at Mulago Women’s Hospital in Kampala, Uganda. The objective of this study was to explore how LCIVF initiatives have been implemented within the public health system of Uganda at the macro-, meso- and micro-level. Primary qualitative data was collected using semi-structured interviews, hospital observations informal conversations, and document review. Using purposive and snowball sampling, a total of twenty-three key informants were interviewed including government officials, clinicians (doctors, nurses, technicians), hospital management, implementers, patient advocacy representatives, private sector practitioners, international organizational representatives, educational institution, and professional medical associations. Sources of secondary data included government and non-government reports, hospital records, organizational briefs, and press outputs. Using a multi-level data analysis approach, this study undertook a hybrid inductive/deductive thematic analysis, with the deductive analysis guided by the Consolidated Framework for Implementation Research (CFIR). Findings: Factors facilitating implementation included international recognition of infertility as a reproductive disease, strong political advocacy and oversight, patient needs & advocacy, government funding, inter-organizational collaboration, tension to change, competition in the private sector, intervention adaptability & trialability, relative priority, motivation &advocacy of fertility providers and specialist training. While barriers included scarcity of embryologists, intervention complexity, insufficient knowledge, evidence strength & quality of intervention, inadequate leadership engagement & hospital autonomy, poor public knowledge, limited engagement with traditional, cultural, and religious leaders, lack of salary incentives and concerns of revenue loss associated with low-cost options. Research contributions: This study contributes to knowledge of factors salient to implementation of LCIVF initiatives in a Sub-Saharan context. Effective implementation of these initiatives requires (1) sustained political support and favourable policy & legislation, (2) public sensitization and engagement of traditional, cultural, and religious leaders (3) strengthening local innovation and capacity building of fertility health workers, in particular embryologists (4) sustained implementor leadership engagement and inter-organizational collaboration and (5) proven clinical evidence and utilization of LCIVF initiatives in innovator countries. It also adds to the literature on the applicability of the CFIR framework in explaining factors that influence successful implementation in developing countries and offer opportunities for comparisons across studies

    Improving diagnostic procedures for epilepsy through automated recording and analysis of patients’ history

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    Transient loss of consciousness (TLOC) is a time-limited state of profound cognitive impairment characterised by amnesia, abnormal motor control, loss of responsiveness, a short duration and complete recovery. Most instances of TLOC are caused by one of three health conditions: epilepsy, functional (dissociative) seizures (FDS), or syncope. There is often a delay before the correct diagnosis is made and 10-20% of individuals initially receive an incorrect diagnosis. Clinical decision tools based on the endorsement of TLOC symptom lists have been limited to distinguishing between two causes of TLOC. The Initial Paroxysmal Event Profile (iPEP) has shown promise but was demonstrated to have greater accuracy in distinguishing between syncope and epilepsy or FDS than between epilepsy and FDS. The objective of this thesis was to investigate whether interactional, linguistic, and communicative differences in how people with epilepsy and people with FDS describe their experiences of TLOC can improve the predictive performance of the iPEP. An online web application was designed that collected information about TLOC symptoms and medical history from patients and witnesses using a binary questionnaire and verbal interaction with a virtual agent. We explored potential methods of automatically detecting these communicative differences, whether the differences were present during an interaction with a VA, to what extent these automatically detectable communicative differences improve the performance of the iPEP, and the acceptability of the application from the perspective of patients and witnesses. The two feature sets that were applied to previous doctor-patient interactions, features designed to measure formulation effort or detect semantic differences between the two groups, were able to predict the diagnosis with an accuracy of 71% and 81%, respectively. Individuals with epilepsy or FDS provided descriptions of TLOC to the VA that were qualitatively like those observed in previous research. Both feature sets were effective predictors of the diagnosis when applied to the web application recordings (85.7% and 85.7%). Overall, the accuracy of machine learning models trained for the threeway classification between epilepsy, FDS, and syncope using the iPEP responses from patients that were collected through the web application was worse than the performance observed in previous research (65.8% vs 78.3%), but the performance was increased by the inclusion of features extracted from the spoken descriptions on TLOC (85.5%). Finally, most participants who provided feedback reported that the online application was acceptable. These findings suggest that it is feasible to differentiate between people with epilepsy and people with FDS using an automated analysis of spoken seizure descriptions. Furthermore, incorporating these features into a clinical decision tool for TLOC can improve the predictive performance by improving the differential diagnosis between these two health conditions. Future research should use the feedback to improve the design of the application and increase perceived acceptability of the approach

    Raising Critical Consciousness in Engineering Education: A Critical Exploration of Transformative Possibilities in Engineering Education and Research

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    This thesis represents a critical exploration of the opportunities, challenges, and barriers to enacting social justice via the engineering curriculum. Through an ethnographic case study of a British engineering for sustainable development course, I illuminate tensions and contradictions of attempts to “do good” while “doing engineering” in a higher education setting. This work is couched within critical and anti-colonial theoretical frames. Through critical and reflexive analysis, I illustrate attempts of participants to innovate in engineering education toward a counter-hegemonic engineering practice, and highlight transformative possibilities, as well as barriers. This case illustrates how the structures that formed modern engineering continue to shape engineering higher education, restraining attempts to transform engineering training for social good.A central question that has driven this work has been: Is it possible to cultivate a more socially just form of engineering practice through engineering higher education? The function of asking this question has been to interrogate a core assumption in engineering education research – that with the right blend of educational interventions, we can make strides towards social justice. My intent in interrogating this assumption is not to be nihilistic per se. I believe it is entirely possible that engineering could potentially be wielded for just cause and consequence. However, if we do not critically examine our core assumptions around this issue, we may also miss out on the possibility that socially just engineering is not achievable, at least in the way we are currently approaching it or in the current context within which it exists.An examination of this topic is already underway in the US context. However, it is under-explored in a British context. Given the different historical trajectories of engineering and engineering in higher education between these two contexts, a closer look at the British context is warranted

    Automated Mapping of Adaptive App GUIs from Phones to TVs

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    With the increasing interconnection of smart devices, users often desire to adopt the same app on quite different devices for identical tasks, such as watching the same movies on both their smartphones and TV. However, the significant differences in screen size, aspect ratio, and interaction styles make it challenging to adapt Graphical User Interfaces (GUIs) across these devices. Although there are millions of apps available on Google Play, only a few thousand are designed to support smart TV displays. Existing techniques to map a mobile app GUI to a TV either adopt a responsive design, which struggles to bridge the substantial gap between phone and TV or use mirror apps for improved video display, which requires hardware support and extra engineering efforts. Instead of developing another app for supporting TVs, we propose a semi-automated approach to generate corresponding adaptive TV GUIs, given the phone GUIs as the input. Based on our empirical study of GUI pairs for TV and phone in existing apps, we synthesize a list of rules for grouping and classifying phone GUIs, converting them to TV GUIs, and generating dynamic TV layouts and source code for the TV display. Our tool is not only beneficial to developers but also to GUI designers, who can further customize the generated GUIs for their TV app development. An evaluation and user study demonstrate the accuracy of our generated GUIs and the usefulness of our tool.Comment: 30 pages, 15 figure

    Visual Programming Paradigm for Organizations in Multi-Agent Systems

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    Over the past few years, due to a fast digitalization process, business activities witnessed the adoption of new technologies, such as Multi-Agent Systems, to increase the autonomy of their activities. However, the complexity of these technologies often hinders the capability of domain experts, who do not possess coding skills, to exploit them directly. To take advantage of these individuals' expertise in their field, the idea of a user-friendly and accessible Integrated Development Environment arose. Indeed, efforts have already been made to develop a block-based visual programming language for software agents. Although the latter project represents a huge step forward, it does not provide a solution for addressing complex, real-world use cases where interactions and coordination among single entities are crucial. To address this problem, Multi-Agent Oriented Programming introduces organization as a first-class abstraction for designing and implementing Multi-Agent Systems. Therefore, this thesis aims to provide a solution allowing users to impose an organization on top of the agents easily. Since ease of use and intuitiveness remain the key points for this project, users will be able to define organizations through visual language and an intuitive development environment

    Improving approaches to material inventory management in construction industry in the UK

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    Materials used in construction constitute a major proportion of the total cost of construction projects. An important factor of great concern that adversely affects construction projects is the location and tracking of materials, which normally come in bulk with minimal identification. There is inadequate integration of modern wireless technologies (such as Radio Frequency Identification (RFID), Personal Digital Assistant (PDA) or Just-in-Time (JIT)) into project management systems for easier and faster materials management and tracking and to overcome human error. This research focuses on improving approaches to material inventory management in the UK construction industry through the formulation of RFID-based materials management tracking process system with projects. Existing literature review identified many challenges/problems in material inventory management on construction projects, such as supply delays, shortages, price fluctuations, wastage and damage, and insufficient storage space. Six construction projects were selected as exploratory case studies and cross-case analysis was used to investigate approaches to material inventory management practices: problems, implementation of ICT, and the potential for using emerging wireless technologies and systems (such as RFID and PDA) for materials tracking. Findings showed that there were similar problems of storage constraints and logistics with most of the construction projects. The synthesis of good practices required the implementation of RFID-facilitated construction management of materials tracking system to make material handling easier, quicker, more efficient and less paperwork. There was also a recommendation to implement Information and Communication Technology (ICT) tools to integrate plant, labour and materials into one system. The findings from the cases studies and the literature review were used to formulate a process for real-time material tracking using Radio Frequency Identification (RFID) that can improve material inventory management in the UK construction industry. Testing and validation undertaken assisted in formulating a process that can be useful, functional and acceptable for a possible process system’s development. Finally, research achievements/contributions to knowledge, and limitations were discussed and some suggestions for further research were outlined

    An IoT architecture for decision support system in precision livestock

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    Sustainable animal production is a primary goal of technological development in the livestock industry. However, it is crucial to master the livestock environment due to the susceptibility of animals to variables such as temperature and humidity, which can cause illness, production losses, and discomfort. Thus, livestock production systems require monitoring, reasoning, and mitigating unwanted conditions with automated actions. The principal contribution of this study is the introduction of a self-adaptive architecture named e-Livestock to handle animal production decisions. Two case studies were conducted involving a system derived from the e-Livestock architecture, encompassing a Compost Barn production system - an environment and technology where bovine milk production occurs. The outcomes demonstrate the effectiveness of e-Livestock in three key aspects: (i) abstraction of disruptive technologies based on the Internet of Things (IoT) and Artificial Intelligence and their incorporation into a single architecture specific to the livestock domain, (ii) support for the reuse and derivation of an adaptive self-architecture to support the engineering of a decision support system for the livestock subdomain, and (iii) support for empirical studies in a real smart farm to facilitate future technology transfer to the industry. Therefore, our research’s main contribution is developing an architecture combining machine learning techniques and ontology to support more complex decisions when considering a large volume of data generated on farms. The results revealed that the e-Livestock architecture could support monitoring, reasoning, forecasting, and automated actions in a milk production/Compost Barn environment.Na indústria pecuária, a produção animal sustentável é o principal objetivo do desenvolvimento tecnológico. Porém, é fundamental manter boas condições no ambiente devido à suscetibilidade dos animais a variáveis como temperatura e umidade, que podem causar doenças, perdas de produção e desconforto. Assim, os sistemas de produção pecuária requerem monitoramento, controle e mitigação das condições indesejadas através de ações automatizadas. A principal contribuição deste estudo é a introdução de uma arquitetura auto-adaptativa denominada e-Livestock para apoiar as decisões relacionadas à produção animal. Foram conduzidos dois estudos de caso, envolvendo a arquitetura e-Livestock, que foi utilizada no sistema de produção Compost Barn - ambiente e tecnologia onde ocorre a produção de gado leiteiro. Os resultados demonstraram a utilidade do e-Livestock para avaliar três aspectos principais: (i) abstração de tecnologias disruptivas baseadas em Internet das Coisas (IoT) e Inteligência Artificial, e sua incorporação em uma arquitetura única, específica para o domínio da pecuária, (ii) suporte para a reutilização e derivação de uma arquitetura auto-adaptativa para apoiar o desenvolvimento de uma aplicação de apoio à decisão para o subdomínio da pecuária e (iii) suporte para estudos empíricos em uma fazenda inteligente real para facilitar a transferência de tecnologia para a indústria. Portanto, a principal contribuição dessa pesquisa é o desenvolvimento de uma arquitetura combinando técnicas de machine learning e ontologia para apoiar decisões mais complexas ao considerar um grande volume de dados gerados nas fazendas. Os resultados revelaram que a arquitetura e-Livestock pode apoiar monitoramento, controle, previsão e ações automatizadas em um ambiente de produção de leite/Compost Barn.CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superio

    Augmented Behavioral Annotation Tools, with Application to Multimodal Datasets and Models: A Systematic Review

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    Annotation tools are an essential component in the creation of datasets for machine learning purposes. Annotation tools have evolved greatly since the turn of the century, and now commonly include collaborative features to divide labor efficiently, as well as automation employed to amplify human efforts. Recent developments in machine learning models, such as Transformers, allow for training upon very large and sophisticated multimodal datasets and enable generalization across domains of knowledge. These models also herald an increasing emphasis on prompt engineering to provide qualitative fine-tuning upon the model itself, adding a novel emerging layer of direct machine learning annotation. These capabilities enable machine intelligence to recognize, predict, and emulate human behavior with much greater accuracy and nuance, a noted shortfall of which have contributed to algorithmic injustice in previous techniques. However, the scale and complexity of training data required for multimodal models presents engineering challenges. Best practices for conducting annotation for large multimodal models in the most safe and ethical, yet efficient, manner have not been established. This paper presents a systematic literature review of crowd and machine learning augmented behavioral annotation methods to distill practices that may have value in multimodal implementations, cross-correlated across disciplines. Research questions were defined to provide an overview of the evolution of augmented behavioral annotation tools in the past, in relation to the present state of the art. (Contains five figures and four tables)
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