Gross Motor Interventions Support Play Engagement in Children with Developmental Delays: An Evidence-Based Practice Project

The overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care

A Survey on the Contributions of Software-Defined Networking to Traffic Engineering

Since the appearance of OpenFlow back in 2008, software-defined networking (SDN) has gained momentum. Although there are some discrepancies between the standards developing organizations working with SDN about what SDN is and how it is defined, they all outline traffic engineering (TE) as a key application. One of the most common objectives of TE is the congestion minimization, where techniques such as traffic splitting among multiple paths or advanced reservation systems are used. In such a scenario, this manuscript surveys the role of a comprehensive list of SDN protocols in TE solutions, in order to assess how these protocols can benefit TE. The SDN protocols have been categorized using the SDN architecture proposed by the open networking foundation, which differentiates among data-controller plane interfaces, application-controller plane interfaces, and management interfaces, in order to state how the interface type in which they operate influences TE. In addition, the impact of the SDN protocols on TE has been evaluated by comparing them with the path computation element (PCE)-based architecture. The PCE-based architecture has been selected to measure the impact of SDN on TE because it is the most novel TE architecture until the date, and because it already defines a set of metrics to measure the performance of TE solutions. We conclude that using the three types of interfaces simultaneously will result in more powerful and enhanced TE solutions, since they benefit TE in complementary ways.European Commission through the Horizon 2020 Research and Innovation Programme (GN4) under Grant 691567 Spanish Ministry of Economy and Competitiveness under the Secure Deployment of Services Over SDN and NFV-based Networks Project S&NSEC under Grant TEC2013-47960-C4-3-

A systematic review of correlates of sedentary behaviour in adults aged 18–65 years: a socio-ecological approach

Background: Recent research shows that sedentary behaviour is associated with adverse cardio-metabolic consequences even among those considered sufficiently physically active. In order to successfully develop interventions to address this unhealthy behaviour, factors that influence sedentariness need to be identified and fully understood. The aim of this review is to identify individual, social, environmental, and policy-related determinants or correlates of sedentary behaviours among adults aged 18-65 years. Methods: PubMed, Embase, CINAHL, PsycINFO and Web of Science were searched for articles published between January 2000 and September 2015. The search strategy was based on four key elements and their synonyms: (a) sedentary behaviour (b) correlates (c) types of sedentary behaviours (d) types of correlates. Articles were included if information relating to sedentary behaviour in adults (18-65 years) was reported. Studies on samples selected by disease were excluded. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42014009823). Results: 74 original studies were identified out of 4041: 71 observational, two qualitative and one experimental study. Sedentary behaviour was primarily measured as self-reported screen leisure time and total sitting time. In 15 studies, objectively measured total sedentary time was reported: accelerometry (n = 14) and heart rate (n = 1). Individual level factors such as age, physical activity levels, body mass index, socio-economic status and mood were all significantly correlated with sedentariness. A trend towards increased amounts of leisure screen time was identified in those married or cohabiting while having children resulted in less total sitting time. Several environmental correlates were identified including proximity of green space, neighbourhood walkability and safety and weather. Conclusions: Results provide further evidence relating to several already recognised individual level factors and preliminary evidence relating to social and environmental factors that should be further investigated. Most studies relied upon cross-sectional design limiting causal inference and the heterogeneity of the sedentary measures prevented direct comparison of findings. Future research necessitates longitudinal study designs, exploration of policy-related factors, further exploration of environmental factors, analysis of inter-relationships between identified factors and better classification of sedentary behaviour domains

Sensory Based Interventions for Children with Autism Spectrum Disorder: An Evidence-Based Practice Project

The overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care

SARS-CoV-2 recurrence and probable reinfection: outcome of a descriptive surveillance in a Nigerian tertiary hospital

Background: The reports of SARS-CoV-2 reinfection have increased. This stimulates the need for surveillance in diverse populations to establish the extent of reinfections and the challenges to diagnosis.Methods: A retrospective descriptive survey aimed at identifying probable SARS-CoV-2 reinfections using established criteria and proposed definitions was performed at a tertiary hospital in South-South, Nigeria.Results: The study found two cases for evaluation of reinfection. One case was identified as probable reinfection, pending the outcome of gene sequencing, while the second case was categorized as recurrence. The limited access to routine genetic sequencing for confirmation of reinfection was identified as a key challenge.Conclusions: Probable SARS-CoV-2 reinfections occur in Nigeria. Systematic surveillance of SARS-CoV-2 testing at the state and country-level is advocated to have a more accurate estimate of the burden of reinfections in the country. Access to genetic sequencing should be scaled up in Nigeria.

Social determinants and maternal exposure to intimate partner violence of obstetric patients with severe maternal morbidity in the intensive care unit: a systematic review protocol

Introduction: Maternal mortality is a potentially preventable public health issue. Maternal morbidity is increasingly of interest to aid the reduction of maternal mortality. Obstetric patients admitted to the intensive care unit (ICU) are an important part of the global burden of maternal morbidity. Social determinants influence health outcomes of pregnant women. Additionally, intimate partner violence has a great negative impact on women's health and pregnancy outcome. However, little is known about the contextual and social aspects of obstetric patients treated in the ICU. This study aimed to conduct a systematic review of the social determinants and exposure to intimate partner violence of obstetric patients admitted to an ICU. Methods and analysis: A systematic search will be conducted in MEDLINE, CINAHL, ProQuest, LILACS and SciELO from 2000 to 2016. Studies published in English and Spanish will be identified in relation to data reporting on social determinants of health and/or exposure to intimate partner violence of obstetric women, treated in the ICU during pregnancy, childbirth or within 42 days of the end of pregnancy. Two reviewers will independently screen for study eligibility and data extraction. Risk of bias and assessment of the quality of the included studies will be performed by using the Critical Appraisal Skills Programme (CASP) checklist. Data will be analysed and summarised using a narrative description of the available evidence across studies. This systematic review protocol will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. Ethics and dissemination: Since this systematic review will be based on published studies, ethical approval is not required. Findings will be presented at La Trobe University, in Conferences and Congresses, and published in a peer-reviewed journal

Relationship between socioeconomic status and HIV in women of reproductive age in Free State and Western Cape Provinces of South Africa

Includes bibliographical references.Health outcomes generally improve with increasing socio-economic status [SES]. This is referred to as the socioeconomic gradient in health. With regard to HIV, this gradient has been observed to conform to this general pattern and is consistent in developed countries but not in sub-Saharan African [SSA] countries. In SSA, observed patterns include; direct, inverse, lack of association and, dynamic association where the relationship changes over time. In general, literature shows that the relationship between SES as measured by education or asset quintiles and HIV changed from a direct association in early phases of the HIV epidemic to an inverse association in mature epidemics in majority of countries in SSA. In this study, we used a combination of measures of SES including education, assets, employment status and type of occupation to investigate the association between SES and HIV prevalence using data from a study that evaluated effectiveness of prevention of mother to child transmission of HIV program in Western Cape and Free State Provinces of South Africa

BIM-Based method for the verification of building code compliance

Urban planning is a valuable tool for growth control and city development, both to maintain the local urban identity and provide life quality for inhabitants. To regulate it, local governments have defined standards for a proper city’s growth through municipal and detailed urban plans. Such instruments identify a set of rules which constructions and buildings must fulfil for a careful and smooth integration within the urban areas. New projects are required to comply with such rules, and designers must adapt and guarantee that their projects fulfil all the local urban requirements. However, the verification process of construction projects is still a manual procedure and often a time-consuming process, with high possibilities for inaccurate measures. Thus, this paper aims to streamline the verification procedure of construction projects’ code compliance to enhance project design efficiency and save designers time. To do so, the Building Information Modelling (BIM) method will be used through the Dynamo programming software. By creating a Dynamo routine to check the building code and urban plan compliance from Brazilian municipalities, specific BIM models will be automatically analysed to detect and evaluate if it is according to local urban legislation. Results have provided a real-time decision support tool, where designers can assess if their buildings are complying with local urban codes at any time of the design stage, making it easy to innovate and integrate innovative design options, as well as to precisely communicate their buildings’ code compliance. Such a method can also support municipality authorities to verify project compliance, reducing assessment and calculation errors, as well as the required time and bureaucracy for project appraisal.This research was funded by the Portuguese Foundation for Science and Technology, through the Regional Operation Programme of North (Grant number SFRH/BD/145735/2019)