CORI: Opening Doors of Opportunity: A Workforce and Public Safety Imperative

Recommends changes in the way the Criminal Offender Record Information (CORI) system is used, and alleviating unnecessary barriers to employment for men and women with criminal histories

Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries.

BACKGROUND:mHealth technologies are proliferating globally to address quality and timeliness of health care delivery by Community Health Workers (CHWs). This study aimed to examine CHW and beneficiaries' perceptions of a new mHealth intervention (Common Application Software [CAS] for CHWs in India. The objectives of the study were to seek perspectives of CHWs and beneficiaries on the uptake of CAS, changes in CHW-beneficiary interactions since the introduction of CAS and potential barriers faced by CHWs in use of CAS. Further, important contextual factors related to CHW-beneficiary interface and dynamics that may have a bearing on CAS have been described. METHODS:A qualitative study was conducted in two states of India (Bihar and Madhya Pradesh) from March-April 2018 with CHWs (n = 32) and beneficiaries (n = 55). All interviews were conducted and recorded in Hindi, transcribed and translated into English, and coded and thematically analysed using Dedoose. FINDINGS:The mHealth intervention was acceptable to the CHWs who felt that CAS improved their status in the communities where they worked. Beneficiaries' views were a mix of positive and negative perceptions. The divergent views between CHWs and beneficiaries surrounding the use and impact of CAS highlight an underlying mistrust, socio-cultural barriers in engagement, and technological barriers in implementation. All these contextual factors can influence the perception and uptake of CAS. CONCLUSIONS:mHealth interventions targeting CHWs and beneficiaries have the potential to improve performance of CHWs, reduce barriers to information and potentially change the behaviors of beneficiaries. While technology is an enabler for CHWs to improve their service delivery, it does not necessarily help overcome social and cultural barriers that impede CHW-beneficiary interactions to bring about improvements in knowledge and health behaviors. Future interventions for CHWs including mHealth interventions should examine contextual factors along with the acceptability, accessibility, and usability by beneficiaries and community members

Evaluation of a cervical cancer surveillance program at a community health center

Background: Cervical cancer is reportedly the easiest gynecologic cancer to prevent, and measures that have the most impact are regular screening and timely follow-up. Although the Papanicolaou (Pap) test used to screen for cervical cancer has been recognized as one of the most valuable clinical preventive service for women, variation in screening and tracking remain a barrier for some women achieving optimal health. Missed opportunities for care in the form of inadequate follow-up is a patient safety and quality of care issue that can be appropriately addressed through implementation of a tool to be used as a component of a cervical cancer surveillance program. Purpose: The purpose of this quality improvement (QI) project was to develop an evidence-based, tracking tool for cervical cytology screening to facilitate surveillance measures in a community health center. Theoretical Framework: The theoretical framework applied was Donebedian’s quality of care framework that incorporates the Structure-Process-Outcome model. Methods: The study was conducted in five phases over a period of 14 months. After permission was granted to implement the study, the tracking tool was developed with input from the mentor. The final two phases consisted of training, implementation, and evaluation of tool’s effectiveness towards improving practice. A survey questionnaire measuring the staff’s opinion of the tool was administered and verbal feedback regarding perception of the tool’s capability to impact clinical practice was collected. Results: Informal surveys were performed by asking stakeholders to share their attitudes and opinions of the surveillance tool. Conclusion: Consistent evidence-based practice among those charged with providing care is paramount to helping patients achieve their best outcome. Surveillance is an internal process and improving surveillance is pivotal to the goal of optimizing outcomes. The findings of the QI project indicate that through the provision of this evidence-based practice, clinical resource, quality of care will be improved. Additionally, the surveillance tool will be incorporated into clinical practice and used as the official method for tracking abnormal cervical cancer screenings, scheduling follow up care, and tracking patients until resolution of cervical pathology

Waiting but not Aging: Optimizing Information Freshness Under the Pull Model

The Age-of-Information is an important metric for investigating the timeliness performance in information-update systems. In this paper, we study the AoI minimization problem under a new Pull model with replication schemes, where a user proactively sends a replicated request to multiple servers to "pull" the information of interest. Interestingly, we find that under this new Pull model, replication schemes capture a novel tradeoff between different values of the AoI across the servers (due to the random updating processes) and different response times across the servers, which can be exploited to minimize the expected AoI at the user's side. Specifically, assuming Poisson updating process for the servers and exponentially distributed response time, we derive a closed-form formula for computing the expected AoI and obtain the optimal number of responses to wait for to minimize the expected AoI. Then, we extend our analysis to the setting where the user aims to maximize the AoI-based utility, which represents the user's satisfaction level with respect to freshness of the received information. Furthermore, we consider a more realistic scenario where the user has no prior knowledge of the system. In this case, we reformulate the utility maximization problem as a stochastic Multi-Armed Bandit problem with side observations and leverage a special linear structure of side observations to design learning algorithms with improved performance guarantees. Finally, we conduct extensive simulations to elucidate our theoretical results and compare the performance of different algorithms. Our findings reveal that under the Pull model, waiting does not necessarily lead to aging; waiting for more than one response can often significantly reduce the AoI and improve the AoI-based utility in most scenarios.Comment: 15 pages. arXiv admin note: substantial text overlap with arXiv:1704.0484

Optimizing the Replication of Multi-Quality Web Applications Using ACO and WoLF

This thesis presents the adaptation of Ant Colony Optimization to a new NP-hard problem involving the replication of multi-quality database-driven web applications (DAs) by a large application service provider (ASP). The ASP must assign DA replicas to its network of heterogeneous servers so that user demand is satisfied and replica update loads are minimized. The algorithm proposed, AntDA, for solving this problem is novel in several respects: ants traverse a bipartite graph in both directions as they construct solutions, pheromone is used for traversing from one side of the bipartite graph to the other and back again, heuristic edge values change as ants construct solutions, and ants may sometimes produce infeasible solutions. Experiments show that AntDA outperforms several other solution methods, but there was room for improvement in the convergence rates of the ants. Therefore, in an attempt to achieve the goals of faster convergence and better solution values for larger problems, AntDA was combined with the variable-step policy hill-climbing algorithm called Win or Learn Fast (WoLF). In experimentation, the addition of this learning algorithm in AntDA provided for faster convergence while outperforming other solution methods

Ubiquitous Semantic Applications

As Semantic Web technology evolves many open areas emerge, which attract more research focus. In addition to quickly expanding Linked Open Data (LOD) cloud, various embeddable metadata formats (e.g. RDFa, microdata) are becoming more common. Corporations are already using existing Web of Data to create new technologies that were not possible before. Watson by IBM an artificial intelligence computer system capable of answering questions posed in natural language can be a great example. On the other hand, ubiquitous devices that have a large number of sensors and integrated devices are becoming increasingly powerful and fully featured computing platforms in our pockets and homes. For many people smartphones and tablet computers have already replaced traditional computers as their window to the Internet and to the Web. Hence, the management and presentation of information that is useful to a user is a main requirement for today’s smartphones. And it is becoming extremely important to provide access to the emerging Web of Data from the ubiquitous devices. In this thesis we investigate how ubiquitous devices can interact with the Semantic Web. We discovered that there are five different approaches for bringing the Semantic Web to ubiquitous devices. We have outlined and discussed in detail existing challenges in implementing this approaches in section 1.2. We have described a conceptual framework for ubiquitous semantic applications in chapter 4. We distinguish three client approaches for accessing semantic data using ubiquitous devices depending on how much of the semantic data processing is performed on the device itself (thin, hybrid and fat clients). These are discussed in chapter 5 along with the solution to every related challenge. Two provider approaches (fat and hybrid) can be distinguished for exposing data from ubiquitous devices on the Semantic Web. These are discussed in chapter 6 along with the solution to every related challenge. We conclude our work with a discussion on each of the contributions of the thesis and propose future work for each of the discussed approach in chapter 7