ISP-friendly Peer-assisted On-demand Streaming of Long Duration Content in BBC iPlayer

In search of scalable solutions, CDNs are exploring P2P support. However, the benefits of peer assistance can be limited by various obstacle factors such as ISP friendliness - requiring peers to be within the same ISP, bitrate stratification - the need to match peers with others needing similar bitrate, and partial participation - some peers choosing not to redistribute content. This work relates potential gains from peer assistance to the average number of users in a swarm, its capacity, and empirically studies the effects of these obstacle factors at scale, using a month-long trace of over 2 million users in London accessing BBC shows online. Results indicate that even when P2P swarms are localised within ISPs, up to 88% of traffic can be saved. Surprisingly, bitrate stratification results in 2 large sub-swarms and does not significantly affect savings. However, partial participation, and the need for a minimum swarm size do affect gains. We investigate improvements to gain from increasing content availability through two well-studied techniques: content bundling - combining multiple items to increase availability, and historical caching of previously watched items. Bundling proves ineffective as increased server traffic from larger bundles outweighs benefits of availability, but simple caching can considerably boost traffic gains from peer assistance.Comment: In Proceedings of IEEE INFOCOM 201

Serving children: the impact of poverty on children's experiences of services

This study arose from the identification of a gap in knowledge and corresponding need for the development of a better contemporary understanding of children's experiences of poverty. Focusing on children aged 10 - 14 years, the study aimed to provide a perspective on the lives of children and young people affected by poverty in Scotland through comparing the experiences of children living in poverty with those more economically advantaged

CHORUS Deliverable 2.1: State of the Art on Multimedia Search Engines

Based on the information provided by European projects and national initiatives related to multimedia search as well as domains experts that participated in the CHORUS Think-thanks and workshops, this document reports on the state of the art related to multimedia content search from, a technical, and socio-economic perspective. The technical perspective includes an up to date view on content based indexing and retrieval technologies, multimedia search in the context of mobile devices and peer-to-peer networks, and an overview of current evaluation and benchmark inititiatives to measure the performance of multimedia search engines. From a socio-economic perspective we inventorize the impact and legal consequences of these technical advances and point out future directions of research

Sexual and reproductive health and human rights of women living with HIV

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138378/1/jia20834-sup-0001.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138378/2/jia20834.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138378/3/jia20834-sup-0002.pd

The Association between Use of Online Social Networks to Find Sex Partners and Sexually Transmitted Infection Diagnosis among Young Men Who Have Sex with Men and Transgender Women Living with HIV.

We conducted a cross-sectional analysis of baseline data from the Adolescent Trials Network for HIV/AIDS Interventions to examine the association between the use of social media sites to find sex partners and recent diagnosis of sexually transmitted infections (STIs) among 13- to 24-year-old men who have sex with men and transgender women living with HIV. We used linear regression to determine the relationship between the number of STIs and the number of social media sites used to find sex partners with each type of sex act included in the analysis. Secondary analyses substituted frequency of social media site use for number of social media sites. Among 741 participants, for every 1 social media account used to find sex partners, there was a 2.53% (95% confidence interval: 0.28-5.54) increase in STIs. This association was mediated through condomless receptive anal intercourse or condomless insertive anal intercourse but not barrierless oral intercourse. Similar but attenuated associations were found when frequency of social media site use was substituted for number of social media sites. Future research should examine innovative interventions on these social media sites with respect for its users

Self-sampling kits to increase HIV testing among black Africans in the UK: the HAUS mixed-methods study

Background: Timely diagnosis of human immunodeficiency virus (HIV) enables access to antiretroviral treatment, which reduces mortality, morbidity and further transmission in people living with HIV. In the UK, late diagnosis among black African people persists. Novel methods to enhance HIV testing in this population are needed. / Objectives: To develop a self-sampling kit (SSK) intervention to increase HIV testing among black Africans, using existing community and health-care settings (stage 1) and to assess the feasibility for a Phase III evaluation (stage 2). / Design: A two-stage, mixed-methods design. Stage 1 involved a systematic literature review, focus groups and interviews with key stakeholders and black Africans. Data obtained provided the theoretical base for intervention development and operationalisation. Stage 2 was a prospective, non-randomised study of a provider-initiated, HIV SSK distribution intervention targeted at black Africans. The intervention was assessed for cost-effectiveness. A process evaluation explored feasibility, acceptability and fidelity. / Setting: Twelve general practices and three community settings in London. / Main outcome measure: HIV SSK return rate. / Results: Stage 1 – the systematic review revealed support for HIV SSKs, but with scant evidence on their use and clinical effectiveness among black Africans. Although the qualitative findings supported SSK distribution in settings already used by black Africans, concerns were raised about the complexity of the SSK and the acceptability of targeting. These findings were used to develop a theoretically informed intervention. Stage 2 – of the 349 eligible people approached, 125 (35.8%) agreed to participate. Data from 119 were included in the analysis; 54.5% (65/119) of those who took a kit returned a sample; 83.1% of tests returned were HIV negative; and 16.9% were not processed, because of insufficient samples. Process evaluation showed the time pressures of the research process to be a significant barrier to feasibility. Other major barriers were difficulties with the SSK itself and ethnic targeting in general practice settings. The convenience and privacy associated with the SSK were described as beneficial aspects, and those who used the kit mostly found the intervention to be acceptable. Research governance delays prevented implementation in Glasgow. / Limitations: Owing to the study failing to recruit adequate numbers (the intended sample was 1200 participants), we were unable to evaluate the clinical effectiveness of SSKs in increasing HIV testing in black African people. No samples were reactive, so we were unable to assess pathways to confirmatory testing and linkage to care. / Conclusions: Our findings indicate that, although aspects of the intervention were acceptable, ethnic targeting and the SSK itself were problematic, and scale-up of the intervention to a Phase III trial was not feasible. The preliminary economic model suggests that, for the acceptance rate and test return seen in the trial, the SSK is potentially a cost-effective way to identify new infections of HIV. / Future work: Sexual and public health services are increasingly utilising self-sampling technologies. However, alternative, user-friendly SSKs that meet user and provider preferences and UK regulatory requirements are needed, and additional research is required to understand clinical effectiveness and cost-effectiveness for black African communities. / Study registration: This study is registered as PROSPERO CRD42014010698 and Integrated Research Application System project identification 184223. / Funding: The National Institute for Health Research Health Technology Assessment programme and the BHA for Equality in Health and Social Care

“And the next day, you are in charge”: policy recommendations stemming from a qualitative investigation into the professional development of early career peer support specialists in Kentucky.

Over the last twenty years, the peer support segment of the behavioral health workforce has grown rapidly. However, few researchers have studied the effects on individuals from transitioning into the role. Likewise, there is limited research examining the professional development process of early career peer support specialists. To begin to fill these gaps in the literature, I conducted a qualitative research study examining workforce development experiences of peer support specialists in Kentucky. This dissertation reports on its findings and includes a policy paper with recommendations for improving policy and practice. Chapter one offers an introduction to the peer support workforce literature and summarizes the dissertation. Chapter two provides a literature review on training and supervision within the behavioral health workforce. Chapter three reports on a qualitative study which explored the social process of transitioning from being a patient in care to becoming a peer support working in the treatment field. Constructivist grounded theory informed the study design, with its methods applied in conducting and analyzing in-depth interviews with the sample of 23 certified peer support specialists entering the field within the last three years. Study findings showed during the patient to peer support transition, individuals experienced a significant period of adjustment before accepting their new identity. Soon after joining the behavioral health workforce, participants became consumed by their work to the point their personal recovery was at risk. They saw training and supervision as insufficient in preparing them for the day-to-day realities of the peer support role. After time in the field, they successfully transitioned into their peer support identity. In doing so, they created role boundaries and sought support from outside the workplace to reduce their risk of relapse. Chapter four reports on the 23 peer support workers’ early career training and supervision experiences. It describes how their professional development was affected by these workplace experiences, with findings showing there was a wide range of training and supervision experiences among participants. Organizations lacked standards for best practices in their training and supervision. The content, methods, and time allocated for these activities varied from agency to agency. Most individuals in the study believed their training and supervision was insufficient, that still had knowledge and skills deficits in one or more areas relevant to their position. Participants employed various strategies in filling these perceived gaps, including consulting with their 12-step sponsor, applying an approach learned in their own treatment, and researching the issue on the internet. They were least likely to bring up needing more training on a topic during supervision. Chapter five is a policy paper providing the rationale and recommendations for amending existing Kentucky regulations governing its certified peer support workforce. Chapter six contains a summary of research findings and recommendations for future work