7,428 research outputs found

    Small newborns in post-conflict Northern Uganda: Burden and interventions for improved outcomes

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    Introduction: A small newborn can be the result of either a low birthweight (LBW), or a preterm birth (PB), or both. LBW can be due to either a preterm appropriate-for gestational-age (preterm-AGA), or a term small-for-gestational age (term-SGA) or intrauterine growth restriction (IUGR). An IUGR is a limited in-utero foetal growth rates or foetal weight < 10th percentile. Small newborns have an increased risk of dying, particularly in low-resource settings. We set out to assess the burden, the modifiable risk factors and health outcomes of small newborns in the post-conflict Northern Ugandan district of Lira. In addition, we studied the use of video-debriefing when training health staff in Helping Babies Breathe. Subjects and methods: In 2018-19, we conducted a community-based cohort study on 1556 mother-infant dyads, nested within a cluster randomized trial. In our cohort study, we estimated the incidence and risk factors for LBW and PB and the association of LBW with severe outcomes. We explored the prevalence of and factors associated with neonatal hypoglycaemia, as well as any association between neonatal death and hypoglycaemia. In addition, we conducted a cluster randomized trial to compare Helping Babies Breathe (HBB) training in combination with video debriefing to the traditional HBB training alone on the attainment and retention of health worker neonatal resuscitation competency. Results: The incidence of LBW and PB in our cohort was lower than the global estimates, 7.3% and 5.0%, respectively. Intermittent preventive treatment for malaria was associated with a reduced risk of LBW. HIV infection was associated with an increased risk of both LBW and PB, while maternal formal education (schooling) of ≥7 years was associated with a reduced risk of LBW and PB. The proportions of neonatal deaths were many-folds higher among LBW infants compared to their non-LBW counterparts. The proportion of neonatal deaths among LBW was 103/1000 live births compared to 5/1000 among the non-LBW. The prevalence of neonatal hypoglycaemia in our cohort was 2.5%. LBW and PB each independently were associated with an increased risk of neonatal hypoglycaemia. Neonatal hypoglycaemia was associated with an increased risk of hospitalisation and severe outcomes. We demonstrated that neonatal resuscitation training with video debriefing, improved competence attainment and retention among health workers, compared to traditional HBB training alone. Conclusion: In northern Uganda, small infants still have a many-fold higher risk of dying compared to normal infants. In addition, small infants are also at more risk of neonatal hypoglycaemia compared to normal infants. Efforts are needed to secure essential newborn care, should we reach the target of Sustainable Development Goal number 3.2 of reducing infant mortality to less than 12/1000 live births by 2030

    The place where curses are manufactured : four poets of the Vietnam War

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    The Vietnam War was unique among American wars. To pinpoint its uniqueness, it was necessary to look for a non-American voice that would enable me to articulate its distinctiveness and explore the American character as observed by an Asian. Takeshi Kaiko proved to be most helpful. From his novel, Into a Black Sun, I was able to establish a working pair of 'bookends' from which to approach the poetry of Walter McDonald, Bruce Weigl, Basil T. Paquet and Steve Mason. Chapter One is devoted to those seemingly mismatched 'bookends,' Walt Whitman and General William C. Westmoreland, and their respective anthropocentric and technocentric visions of progress and the peculiarly American concept of the "open road" as they manifest themselves in Vietnam. In Chapter, Two, I analyze the war poems of Walter McDonald. As a pilot, writing primarily about flying, his poetry manifests General Westmoreland's technocentric vision of the 'road' as determined by and manifest through technology. Chapter Three focuses on the poems of Bruce Weigl. The poems analyzed portray the literal and metaphorical descent from the technocentric, 'numbed' distance of aerial warfare to the world of ground warfare, and the initiation of a 'fucking new guy,' who discovers the contours of the self's interior through a set of experiences that lead from from aerial insertion into the jungle to the degradation of burning human feces. Chapter Four, devoted to the thirteen poems of Basil T. Paquet, focuses on the continuation of the descent begun in Chapter Two. In his capacity as a medic, Paquet's entire body of poems details his quotidian tasks which entail tending the maimed, the mortally wounded and the dead. The final chapter deals with Steve Mason's JohnnY's Song, and his depiction of the plight of Vietnam veterans back in "The World" who are still trapped inside the interior landscape of their individual "ghettoes" of the soul created by their war-time experiences

    The Adirondack Chronology

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    The Adirondack Chronology is intended to be a useful resource for researchers and others interested in the Adirondacks and Adirondack history.https://digitalworks.union.edu/arlpublications/1000/thumbnail.jp

    Industrial Robotics for Advanced Machining

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    This work presents a literature review of the current state of robotic machining with industrial machining robots, primarily those with 6-axis end effectors and serial link (anthropomorphic) construction. Various disadvantages of robotic machining in industry are presented, as well as the methods applied to mitigate them and discussions of their effects. From this review, the methods of dynamic modelling, stability prediction and configuration control are selected for application to the task of optimisation of a robotic machining cell for drilling operations. Matrix Structural Analysis (MSA) and methods developed by Klimchik et al. are used for compliance modelling, stability prediction methods developed by Altintas et al. and machining stability lobe prediction are then applied to a robotic drilling process, as explored by Mousavi et al. This optimisation method is applied using the measured and estimated properties of an ABB IRB 6640 robot and results are presented in comparison with previous experimentation with the physical robot, and analytical stability predictions from the same cutting parameters with Cutpro software. Results are discussed in the concluding chapters, as well as discontinued parts of the project and suggestions for future work

    Hunting Wildlife in the Tropics and Subtropics

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    The hunting of wild animals for their meat has been a crucial activity in the evolution of humans. It continues to be an essential source of food and a generator of income for millions of Indigenous and rural communities worldwide. Conservationists rightly fear that excessive hunting of many animal species will cause their demise, as has already happened throughout the Anthropocene. Many species of large mammals and birds have been decimated or annihilated due to overhunting by humans. If such pressures continue, many other species will meet the same fate. Equally, if the use of wildlife resources is to continue by those who depend on it, sustainable practices must be implemented. These communities need to remain or become custodians of the wildlife resources within their lands, for their own well-being as well as for biodiversity in general. This title is also available via Open Access on Cambridge Core

    The geographies of care and training in the development of assistance dog partnerships

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    Human-assistance-dog partnerships form a significant phenomena that have been overlooked in both animal geographies and disability geographies. By focusing on one Assistance Dogs UK (ADUK) charity, ‘Dog A.I.D’., a charity that helps physically disabled and chronically ill people to train their own pets to be assistance dogs, I detail the intimate entangled lifeworlds that humans and dogs occupy. In doing so, I also dialogue between the sub-disciplinary fields of animal geographies and disability geographies, by exploring two broad thematic areas – embodiment and care. As such, this thesis examines the geographies of assistance dog partnership, the care and training practices involved, the benefits and challenges of sharing a lifeworld with a different species, and the changing relationship from a human-pet bond to a human-assistance-dog partnership. Drawing on lived experience and representations of assistance dog partnerships gathered through qualitative (and quantitative) research methods, including a survey, semi-structured interviews (face-to-face, online, and telephone), video ethnography, and magazine analysis, I contribute to research on the assistance dog partnerships and growing debates around the more-than-human nature of care. The ethnomethodological approach to exploring how training occurs between disabled human and assistance dog is also noteworthy as it centres the lively experiences of practice at work between species. The thesis is organised around interconnected themes: the intimate worlds of assistance dog partnerships, working bodies, and caring relations. These thematics allow for a geographical interpretation into the governance, spatial organisation, and representations of dog assistance partnerships. I also explore the training cultures of Dog A.I.D. whilst also spotlighting the lived experiences of training through the early stages of ‘socialisation’, ‘familiarisation’, ‘life skills training’, through to ‘task work’. Finally, the thesis focuses on the practices of care that characterise the assistance dog partnership, showing how care is provided and received by both human and nonhuman. I pay attention to the complex potentiality of the partnership, illustrating how dogs are trained to assist, but also how dogs appear to embody lively, agentic, moments of care. The thesis contributes original work which speaks to animal and disability geographies and attends to the multiple geographies of care-full cross-species lives

    Gendered spaces in contemporary Irish poetry

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    The thrust of this thesis is summarized by the following questions: How does contemporary Irish poetry migrate from traditional conceptions of identity drawn on by the cultural nationalism of the Irish Literary Revival, and what effects does this have on understanding gendered and national identity formation? Chapters are on the following: Seamus Heaney, Tom Paulin, Paul Muldoon, MedbhMcGuckian, Eavan Boland and Sara Berkeley. These poets are chosen for discussion since their work most effectively engages with the relationship between woman and nation, the representation of gendered national identity, and the importance of feminist and post-colonial theorization. Focusing on poetry worth and South of the border from the last fifteen years, the thesis asks how a younger generation of poets provide a response to nationality which is significantly different from their predecessors. The thesis is composed of three parts: the first understand how the male poets depart from conventional conceptions of the nation with reference to post-colonial theorization; the second explores how feminist theorization informs readings of how the female poets respond to the nation; the final part investigates migration in the poetry and problematizes this in terms of post-nationalism. Discussing the issue of deterritorialization in Irish poetry, the thesis notice how as the poets attempt to take flight from the mythologies of nationhood, they undermine the monoliths of gendered and national identity inscribed within Irish political discourse, which is typified at a representative level by the figure of Mother Ireland or Cathleen Ni Houlihan. Investigating the ways in which gender and nation, and the body and space are reinscribed by the poets, the thesis argues that their poetry challenges authentic conceptions of Irish identity and the nation-state, so as to loosen the legacy of a colonial and nationalist inheritance

    Three decades of statistical pattern recognition paradigm for SHM of bridges

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    This is the author accepted manuscript. The final version is available from SAGE Publications via the DOI in this recordBridges play a crucial role in modern societies, regardless of their culture, geographical location, or economic development. The safest, economical, and most resilient bridges are those that are well managed and maintained. In the last three decades, structural health monitoring (SHM) has been a promising tool in management activities of bridges as potentially it permits one to perform condition assessment to reduce uncertainty in the planning and designing of maintenance activities as well as to increase the service performance and safety of operation. The general idea has been the transformation of massive data obtained from monitoring systems and numerical models into meaningful information. To deal with large amounts of data and perform the damage identification automatically, SHM has been cast in the context of the statistical pattern recognition (SPR) paradigm, where machine learning plays an important role. Meanwhile, recent technologies have unveiled alternative sensing opportunities and new perspectives to manage and observe the response of bridges, but it is widely recognized that bridge SHM is not yet fully capable of producing reliable global information on the presence of damage. While there have been multiple review studies published on SHM and vibration-based structural damage detection for wider scopes, there have not been so many reviews on SHM of bridges in the context of the SPR paradigm. Besides, some of those reviews become obsolete quite fast, and they are usually biased towards applications falling outside of bridge engineering. Therefore, the main goal of this article is to summarize the concept of SHM and point out key developments in research and applications of the SPR paradigm observed in bridges in the last three decades, including developments in sensing technology and data analysis, and to identify current and future trends to promote more coordinated and interdisciplinary research in the SHM of bridges

    Wildlife wars in an age of changing climate and social change: Assessing the social and ecological dimensions of Human Wildlife Conflict and Conservation Initiatives in the Rangelands of Kenya

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    Human wildlife conflict is an on-going global problem that is threatening the existence of iconic species of wildlife like Elephants and the big cats. It is also a human rights issue as it threatens the livelihoods of the many people who in most cases have been structurally marginalized and vulnerable. It is not wise to think that human wildlife conflict will disappear by itself. A lot of work has gone into trying to understand the problem and how to solve it. However, most of the efforts target local area challenges with short-term solutions that are not based on an understanding of landscape level processes and global issues like climate change. Driven by our long-term experience of working community based natural resources management and knowledge of the global issues, we sought to understand the human dimension of human-wildlife dynamics and particularly the conflict affecting pastoralists that is occasioned by predation of their livestock by lions and other big cats. We used mixed methods to examine theoretical assumptions that have been put forward on human wildlife conflict and link human wildlife conflict (predation events) to climate change dynamics. Using focus group discussions, we collected both qualitative and quantitative data, which we analysed qualitatively and statistically. The quantitative findings were validated and explained better by use of qualitative data collected from three communities living in the larger southern Kenya rangelands landscape. The aim of this thesis was to (1) Establish the link between human wildlife conflicts and climate (rainfall) over seasons within a year and annual time scales. (2) Establish what motivates the pastoralists to kill lions (3) Assess how perceptions of people living with the big cats change over time and (4) Review the role of communities and multi-level governance biodiversity conservation. The findings from this research show that community members value the ecosystem services and goods they receive from nature. While the challenges associated with climate change (drought) are likely to increase the prevalence of human wildlife conflict, the pastoralists are more tolerant to the wildlife when there is proper compensation or consolation. The results also show that the Maasai only kill lions when they are certain the lion is the culprit animal that caused the loss of their livestock, not indiscriminately. Our comparison of the results over a period of ten years show that the community members' attitudes, behaviour, and perceptions of wildlife changed over time and across regions as a result of a change in the climate factors and the attitude of the conservation authorities. Compensation programs and other forms of incentives to the pastoralists or local people for living with wildlife would go a long way in ensuring tolerance and co-existence with wildlife. With co-existence, any negative interactions between people and wildlife is overshadowed by the benefits and therefore less and less of human wildlife conflict. Our results also show that governance of natural resources and local institutions, rules and norms on wildlife and natural resources conservation are important pillars in mitigating human wildlife conflict. This research also shows that while people are affected as individuals, actions to minimize the challenges are better decided on and actioned at a community level. Community conservancies with a functional governance system may be the basis for sustainable rangelands, wildlife, and livelihoods. Actions at a wider landscape are likely to have better results than local level, short-term, and poorly resourced interventions
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