2,395 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

    Outdoor Insulation and Gas Insulated Switchgears

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    This book focuses on theoretical and practical developments in the performance of high-voltage transmission line against atmospheric pollution and icing. Modifications using suitable fillers are also pinpointed to improve silicone rubber insulation materials. Very fast transient overvoltage (VFTO) mitigation techniques, along with some suggestions for reliable partial discharge measurements under DC voltage stresses inside gas-insulated switchgears, are addressed. The application of an inductor-based filter for the protective performance of surge arresters against indirect lightning strikes is also discussed

    Post-Growth Geographies: Spatial Relations of Diverse and Alternative Economies

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    Post-Growth Geographies examines the spatial relations of diverse and alternative economies between growth-oriented institutions and multiple socio-ecological crises. The book brings together conceptual and empirical contributions from geography and its neighbouring disciplines and offers different perspectives on the possibilities, demands and critiques of post-growth transformation. Through case studies and interviews, the contributions combine voices from activism, civil society, planning and politics with current theoretical debates on socio-ecological transformation

    Data acquisition filtering focused on optimizing transmission in a LoRaWAN network applied to the WSN forest monitoring system

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    Developing innovative systems and operations to monitor forests and send alerts in dangerous situations, such as fires, has become, over the years, a necessary task to protect forests. In this work, a Wireless Sensor Network (WSN) is employed for forest data acquisition to identify abrupt anomalies when a fire ignition starts. Even though a low-power LoRaWAN network is used, each module still needs to save power as much as possible to avoid periodic maintenance since a current consumption peak happens while sending messages. Moreover, considering the LoRaWAN characteristics, each module should use the bandwidth only when essential. Therefore, four algorithms were tested and calibrated along real and monitored events of a wildfire. The first algorithm is based on the Exponential Smoothing method, Moving Averages techniques are used to define the other two algorithms, and the fourth uses the Least Mean Square. When properly combined, the algorithms can perform a pre-filtering data acquisition before each module uses the LoRaWAN network and, consequently, save energy if there is no necessity to send data. After the validations, using Wildfire Simulation Events (WSE), the developed filter achieves an accuracy rate of 0.73 with 0.5 possible false alerts. These rates do not represent a final warning to firefighters, and a possible improvement can be achieved through cloud-based server algorithms. By comparing the current consumption before and after the proposed implementation, the modules can save almost 53% of their batteries when is no demand to send data. At the same time, the modules can maintain the server informed with a minimum interval of 15 min and recognize abrupt changes in 60 s when fire ignition appears.This work has been supported by SAFe Project through PROMOVE—Fundação La Caixa. The authors are grateful to the Foundation for Science and Technology (FCT, Portugal) for finan cial support through national funds FCT/MCTES (PIDDAC) to CeDRI (UIDB/05757/2020 and UIDP/05757/2020) and SusTEC (LA/P/0007/2021). Thadeu Brito is supported by FCT PhD Grant Reference SFRH/BD/08598/2020, and Beatriz Flamia Azevedo is supported by FCT PhD Grant Reference SFRH/BD/07427/2021.info:eu-repo/semantics/publishedVersio

    Brain Computations and Connectivity [2nd edition]

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    This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read on the Oxford Academic platform and offered as a free PDF download from OUP and selected open access locations. Brain Computations and Connectivity is about how the brain works. In order to understand this, it is essential to know what is computed by different brain systems; and how the computations are performed. The aim of this book is to elucidate what is computed in different brain systems; and to describe current biologically plausible computational approaches and models of how each of these brain systems computes. Understanding the brain in this way has enormous potential for understanding ourselves better in health and in disease. Potential applications of this understanding are to the treatment of the brain in disease; and to artificial intelligence which will benefit from knowledge of how the brain performs many of its extraordinarily impressive functions. This book is pioneering in taking this approach to brain function: to consider what is computed by many of our brain systems; and how it is computed, and updates by much new evidence including the connectivity of the human brain the earlier book: Rolls (2021) Brain Computations: What and How, Oxford University Press. Brain Computations and Connectivity will be of interest to all scientists interested in brain function and how the brain works, whether they are from neuroscience, or from medical sciences including neurology and psychiatry, or from the area of computational science including machine learning and artificial intelligence, or from areas such as theoretical physics

    Enduring Displacement, Enduring Violence: Camps, Closure, and Exile In/After Return (Experiences of Burundian Refugees in Tanzania)

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    “Return home” was the joint message by the Burundian and Tanzanian presidents in 2017, just two years after hundreds of thousands Burundians were recognized as refugees in neighbouring countries, and as more continued to seek refuge or asylum each month. In Tanzania, where refugees are subject to strict encampment, the vast majority of Burundian refugees had previously been refugees at least once before. Many returned to Tanzania less than three years after their prior return to Burundi, which, as camps were closed, had been framed as a “durable solution” to their displacement. This thesis explores the interrelated dynamics of enduring displacement, encampment, and closure, by drawing on life history research with Burundian refugees in two camps in Tanzania (2017-8), as well as semi-structured interviews with government and humanitarian staff, and ethnographic methods. Empirically, this dissertation contributes to knowledge by tracing the diverse prior trajectories of current Burundian refugees, both within and beyond camp boundaries, challenging there-and-back-again geographical imaginary of refuge management. It highlights an understudied but constitutive aspect of camps—their ultimate closures—by recounting refugees’ memories of the violent closure of Mtabila camp, as well as its fearful afterlives and present-presence. The violence of past camp closure is part of the violence of current encampment due to its evocation as a a disciplinary dispositif to “encourage” return, threatening and anticipating future violence. State and humanitarian practices “close” and harden space for those deemed “undesirable,” through forced encampment, camp closures, and coerced or forced return. In so doing, they produce and prolong displacement, in which varied spatio-temporalities of violence endure. Burundian refugees’ life histories thus trace the ways displacement endures, and is endured

    Edge Video Analytics: A Survey on Applications, Systems and Enabling Techniques

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    Video, as a key driver in the global explosion of digital information, can create tremendous benefits for human society. Governments and enterprises are deploying innumerable cameras for a variety of applications, e.g., law enforcement, emergency management, traffic control, and security surveillance, all facilitated by video analytics (VA). This trend is spurred by the rapid advancement of deep learning (DL), which enables more precise models for object classification, detection, and tracking. Meanwhile, with the proliferation of Internet-connected devices, massive amounts of data are generated daily, overwhelming the cloud. Edge computing, an emerging paradigm that moves workloads and services from the network core to the network edge, has been widely recognized as a promising solution. The resulting new intersection, edge video analytics (EVA), begins to attract widespread attention. Nevertheless, only a few loosely-related surveys exist on this topic. The basic concepts of EVA (e.g., definition, architectures) were not fully elucidated due to the rapid development of this domain. To fill these gaps, we provide a comprehensive survey of the recent efforts on EVA. In this paper, we first review the fundamentals of edge computing, followed by an overview of VA. The EVA system and its enabling techniques are discussed next. In addition, we introduce prevalent frameworks and datasets to aid future researchers in the development of EVA systems. Finally, we discuss existing challenges and foresee future research directions. We believe this survey will help readers comprehend the relationship between VA and edge computing, and spark new ideas on EVA.Comment: 31 pages, 13 figure

    Modelling, Monitoring, Control and Optimization for Complex Industrial Processes

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    This reprint includes 22 research papers and an editorial, collected from the Special Issue "Modelling, Monitoring, Control and Optimization for Complex Industrial Processes", highlighting recent research advances and emerging research directions in complex industrial processes. This reprint aims to promote the research field and benefit the readers from both academic communities and industrial sectors

    Bio-inspired Optimization: Algorithm, Analysis and Scope of Application

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    In the last few years, bio-inspired optimization techniques have been widely adopted in fields such as computer science, mathematics, and biology in order to optimize solutions. Bio inspired optimization problems are usually nonlinear and restricted to multiple nonlinear constraints to tackle the problems of the traditional optimization algorithms, the recent trends tend to apply bio-inspired optimization algorithms which represent a promising approach for solving complex optimization problems. This work comprises state-of-art of ten recent bio-inspired algorithms, gap analysis, and its applications namely; Particle swarm optimization (PSO), Genetic Bee Colony (GBC) Algorithm, Fish Swarm Algorithm (FSA), Cat Swarm Optimization (CSO), Whale Optimization Algorithm (WOA), Artificial Algae Algorithm (AAA), Elephant Search Algorithm (ESA), Cuckoo Search Optimization Algorithm (CSOA), Moth flame optimization (MFO), and Grey Wolf Optimization (GWO) algorithm. The previous related works collected from Scopus databases are presented. Also, we explore some key issues in optimization and some applications for further research. We also analyze in-depth discussions on the essence of these algorithms and their connections to self-organization and their applications in different areas of research are presented. As a result, the proposed analysis of these algorithms leads to some key problems that have to be addressed in the future

    A Bibliography of NPS Space Systems Related Student Research, 2013-2022

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    Dudley Knox Library, Naval Postgraduate School.Approved for Public Release; distribution is unlimite
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