6,337 research outputs found

    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

    Cyber Conflict and Just War Theory

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    Resilience and food security in a food systems context

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    This open access book compiles a series of chapters written by internationally recognized experts known for their in-depth but critical views on questions of resilience and food security. The book assesses rigorously and critically the contribution of the concept of resilience in advancing our understanding and ability to design and implement development interventions in relation to food security and humanitarian crises. For this, the book departs from the narrow beaten tracks of agriculture and trade, which have influenced the mainstream debate on food security for nearly 60 years, and adopts instead a wider, more holistic perspective, framed around food systems. The foundation for this new approach is the recognition that in the current post-globalization era, the food and nutritional security of the world’s population no longer depends just on the performance of agriculture and policies on trade, but rather on the capacity of the entire (food) system to produce, process, transport and distribute safe, affordable and nutritious food for all, in ways that remain environmentally sustainable. In that context, adopting a food system perspective provides a more appropriate frame as it incites to broaden the conventional thinking and to acknowledge the systemic nature of the different processes and actors involved. This book is written for a large audience, from academics to policymakers, students to practitioners

    Serving to secure "Global Korea": Gender, mobility, and flight attendant labor migrants

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    This dissertation is an ethnography of mobility and modernity in contemporary South Korea (the Republic of Korea) following neoliberal restructuring precipitated by the Asian Financial Crisis (1997). It focuses on how comparative “service,” “security,” and “safety” fashioned “Global Korea”: an ongoing state-sponsored project aimed at promoting the economic, political, and cultural maturation of South Korea from a once notoriously inhospitable, “backward” country (hujin’guk) to a now welcoming, “advanced country” (sŏnjin’guk). Through physical embodiments of the culturally-specific idiom of “superior” service (sŏbisŭ), I argue that aspiring, current, and former Korean flight attendants have driven the production and maintenance of this national project. More broadly, as a driver of this national project, this occupation has emerged out of the country’s own aspirational flights from an earlier history of authoritarian rule, labor violence, and xenophobia. Against the backdrop of the Korean state’s aggressive neoliberal restructuring, globalization efforts, and current “Hell Chosun” (Helchosŏn) economy, a group of largely academically and/or class disadvantaged young women have been able secure individualized modes of pleasure, self-fulfillment, and class advancement via what I deem “service mobilities.” Service mobilities refers to the participation of mostly women in a traditionally devalued but growing sector of the global labor market, the “pink collar” economy centered around “feminine” care labor. Korean female flight attendants share labor skills resembling those of other foreign labor migrants (chiefly from the “Global South”), who perform care work deemed less desirable. Yet, Korean female flight attendants elude the stigmatizing, classed, and racialized category of “labor migrant.” Moreover, within the context of South Korea’s unique history of rapid modernization, the flight attendant occupation also commands considerable social prestige. Based on ethnographic and archival research on aspiring, current, and former Korean flight attendants, this dissertation asks how these unique care laborers negotiate a metaphorical and literal series of sustained border crossings and inspections between Korean flight attendants’ contingent status as lowly care-laboring migrants, on the one hand, and ostensibly glamorous, globetrotting elites, on the other. This study contends the following: first, the flight attendant occupation in South Korea represents new politics of pleasure and pain in contemporary East Asia. Second, Korean female flight attendants’ enactments of soft, sanitized, and glamorous (hwaryŏhada) service help to purify South Korea’s less savory past. In so doing, Korean flight attendants reconstitute the historical role of female laborers as burden bearers and caretakers of the Korean state.U of I OnlyAuthor submitted a 2-year U of I restriction extension request

    Aerial Network Assistance Systems for Post-Disaster Scenarios : Topology Monitoring and Communication Support in Infrastructure-Independent Networks

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    Communication anytime and anywhere is necessary for our modern society to function. However, the critical network infrastructure quickly fails in the face of a disaster and leaves the affected population without means of communication. This lack can be overcome by smartphone-based emergency communication systems, based on infrastructure-independent networks like Delay-Tolerant Networks (DTNs). DTNs, however, suffer from short device-to-device link distances and, thus, require multi-hop routing or data ferries between disjunct parts of the network. In disaster scenarios, this fragmentation is particularly severe because of the highly clustered human mobility behavior. Nevertheless, aerial communication support systems can connect local network clusters by utilizing Unmanned Aerial Vehicles (UAVs) as data ferries. To facilitate situation-aware and adaptive communication support, knowledge of the network topology, the identification of missing communication links, and the constant reassessment of dynamic disasters are required. These requirements are usually neglected, despite existing approaches to aerial monitoring systems capable of detecting devices and networks. In this dissertation, we, therefore, facilitate the coexistence of aerial topology monitoring and communications support mechanisms in an autonomous Aerial Network Assistance System for infrastructure-independent networks as our first contribution. To enable system adaptations to unknown and dynamic disaster situations, our second contribution addresses the collection, processing, and utilization of topology information. For one thing, we introduce cooperative monitoring approaches to include the DTN in the monitoring process. Furthermore, we apply novel approaches for data aggregation and network cluster estimation to facilitate the continuous assessment of topology information and an appropriate system adaptation. Based on this, we introduce an adaptive topology-aware routing approach to reroute UAVs and increase the coverage of disconnected nodes outside clusters. We generalize our contributions by integrating them into a simulation framework, creating an evaluation platform for autonomous aerial systems as our third contribution. We further increase the expressiveness of our aerial system evaluation, by adding movement models for multicopter aircraft combined with power consumption models based on real-world measurements. Additionally, we improve the disaster simulation by generalizing civilian disaster mobility based on a real-world field test. With a prototypical system implementation, we extensively evaluate our contributions and show the significant benefits of cooperative monitoring and topology-aware routing, respectively. We highlight the importance of continuous and integrated topology monitoring for aerial communications support and demonstrate its necessity for an adaptive and long-term disaster deployment. In conclusion, the contributions of this dissertation enable the usage of autonomous Aerial Network Assistance Systems and their adaptability in dynamic disaster scenarios

    Machine learning enabled millimeter wave cellular system and beyond

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    Millimeter-wave (mmWave) communication with advantages of abundant bandwidth and immunity to interference has been deemed a promising technology for the next generation network and beyond. With the help of mmWave, the requirements envisioned of the future mobile network could be met, such as addressing the massive growth required in coverage, capacity as well as traffic, providing a better quality of service and experience to users, supporting ultra-high data rates and reliability, and ensuring ultra-low latency. However, due to the characteristics of mmWave, such as short transmission distance, high sensitivity to the blockage, and large propagation path loss, there are some challenges for mmWave cellular network design. In this context, to enjoy the benefits from the mmWave networks, the architecture of next generation cellular network will be more complex. With a more complex network, it comes more complex problems. The plethora of possibilities makes planning and managing a complex network system more difficult. Specifically, to provide better Quality of Service and Quality of Experience for users in the such network, how to provide efficient and effective handover for mobile users is important. The probability of handover trigger will significantly increase in the next generation network, due to the dense small cell deployment. Since the resources in the base station (BS) is limited, the handover management will be a great challenge. Further, to generate the maximum transmission rate for the users, Line-of-sight (LOS) channel would be the main transmission channel. However, due to the characteristics of mmWave and the complexity of the environment, LOS channel is not feasible always. Non-line-of-sight channel should be explored and used as the backup link to serve the users. With all the problems trending to be complex and nonlinear, and the data traffic dramatically increasing, the conventional method is not effective and efficiency any more. In this case, how to solve the problems in the most efficient manner becomes important. Therefore, some new concepts, as well as novel technologies, require to be explored. Among them, one promising solution is the utilization of machine learning (ML) in the mmWave cellular network. On the one hand, with the aid of ML approaches, the network could learn from the mobile data and it allows the system to use adaptable strategies while avoiding unnecessary human intervention. On the other hand, when ML is integrated in the network, the complexity and workload could be reduced, meanwhile, the huge number of devices and data could be efficiently managed. Therefore, in this thesis, different ML techniques that assist in optimizing different areas in the mmWave cellular network are explored, in terms of non-line-of-sight (NLOS) beam tracking, handover management, and beam management. To be specific, first of all, a procedure to predict the angle of arrival (AOA) and angle of departure (AOD) both in azimuth and elevation in non-line-of-sight mmWave communications based on a deep neural network is proposed. Moreover, along with the AOA and AOD prediction, a trajectory prediction is employed based on the dynamic window approach (DWA). The simulation scenario is built with ray tracing technology and generate data. Based on the generated data, there are two deep neural networks (DNNs) to predict AOA/AOD in the azimuth (AAOA/AAOD) and AOA/AOD in the elevation (EAOA/EAOD). Furthermore, under an assumption that the UE mobility and the precise location is unknown, UE trajectory is predicted and input into the trained DNNs as a parameter to predict the AAOA/AAOD and EAOA/EAOD to show the performance under a realistic assumption. The robustness of both procedures is evaluated in the presence of errors and conclude that DNN is a promising tool to predict AOA and AOD in a NLOS scenario. Second, a novel handover scheme is designed aiming to optimize the overall system throughput and the total system delay while guaranteeing the quality of service (QoS) of each user equipment (UE). Specifically, the proposed handover scheme called O-MAPPO integrates the reinforcement learning (RL) algorithm and optimization theory. An RL algorithm known as multi-agent proximal policy optimization (MAPPO) plays a role in determining handover trigger conditions. Further, an optimization problem is proposed in conjunction with MAPPO to select the target base station and determine beam selection. It aims to evaluate and optimize the system performance of total throughput and delay while guaranteeing the QoS of each UE after the handover decision is made. Third, a multi-agent RL-based beam management scheme is proposed, where multiagent deep deterministic policy gradient (MADDPG) is applied on each small-cell base station (SCBS) to maximize the system throughput while guaranteeing the quality of service. With MADDPG, smart beam management methods can serve the UEs more efficiently and accurately. Specifically, the mobility of UEs causes the dynamic changes of the network environment, the MADDPG algorithm learns the experience of these changes. Based on that, the beam management in the SCBS is optimized according the reward or penalty when severing different UEs. The approach could improve the overall system throughput and delay performance compared with traditional beam management methods. The works presented in this thesis demonstrate the potentiality of ML when addressing the problem from the mmWave cellular network. Moreover, it provides specific solutions for optimizing NLOS beam tracking, handover management and beam management. For NLOS beam tracking part, simulation results show that the prediction errors of the AOA and AOD can be maintained within an acceptable range of ±2. Further, when it comes to the handover optimization part, the numerical results show the system throughput and delay are improved by 10% and 25%, respectively, when compared with two typical RL algorithms, Deep Deterministic Policy Gradient (DDPG) and Deep Q-learning (DQL). Lastly, when it considers the intelligent beam management part, numerical results reveal the convergence performance of the MADDPG and the superiority in improving the system throughput compared with other typical RL algorithms and the traditional beam management method

    CITIES: Energetic Efficiency, Sustainability; Infrastructures, Energy and the Environment; Mobility and IoT; Governance and Citizenship

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    This book collects important contributions on smart cities. This book was created in collaboration with the ICSC-CITIES2020, held in San José (Costa Rica) in 2020. This book collects articles on: energetic efficiency and sustainability; infrastructures, energy and the environment; mobility and IoT; governance and citizenship

    Transitioning to Quality Education

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    Transitioning to Quality Education focuses on the fourth UN Sustainable Development Goal. According to SDG 4, every learner should acquire the knowledge and skills needed to promote sustainable development (UN 2015, 17). Thus, the aim of sustainability education is to foster learners to be creative and responsible global citizens, who critically reflect on the ideas of sustainable development and the values that underlie them, and take responsible actions for sustainable development (UNESCO 2017). Sustainability is strongly connected to attitudes and values, therefore, applications of sustainability are complicated. Quality education requires teachers to have competences, knowledge, and skills to be able to plan and carry out meaningful education and teaching in sustainability. The aim of Transitioning to Quality Education is to provide versatile experiences and new knowledge on the cognitive, affective, and social issues that are important for promoting sustainable development in formal and non-formal education. Transitioning to Quality Education is part of MDPI's new Open Access book series Transitioning to Sustainability. With this series, MDPI pursues environmentally and socially relevant research which contributes to efforts toward a sustainable world. Transitioning to Sustainability aims to add to the conversation about regional and global sustainable development according to the 17 SDGs. Set to be published in 2020/2021, the book series is intended to reach beyond disciplinary, even academic boundaries
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