Pulled in or pushed out : understanding the complexities of motivation for alternative therapies use in Ghana

The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the a posteriori inductive reduction model to derive broad themes and subthemes. The “pull factors”—perceived benefits in TRM use vis-à-vis the “push factors”—perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the “pull factors,” viz.—personal health beliefs, desire to take control of one’s health, perceived efficacy, and safety of various modalities of TRM—were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana

A new comparative approach to macroeconomic modeling and policy analysis

In the aftermath of the global financial crisis, the state of macroeconomic modeling and the use of macroeconomic models in policy analysis has come under heavy criticism. Macroeconomists in academia and policy institutions have been blamed for relying too much on a particular class of macroeconomic models. This paper proposes a comparative approach to macroeconomic policy analysis that is open to competing modeling paradigms. Macroeconomic model comparison projects have helped produce some very influential insights such as the Taylor rule. However, they have been infrequent and costly, because they require the input of many teams of researchers and multiple meetings to obtain a limited set of comparative findings. This paper provides a new approach that enables individual researchers to conduct model comparisons easily, frequently, at low cost and on a large scale. Using this approach a model archive is built that includes many well-known empirically estimated models that may be used for quantitative analysis of monetary and fiscal stabilization policies. A computational platform is created that allows straightforward comparisons of models’ implications. Its application is illustrated by comparing different monetary and fiscal policies across selected models. Researchers can easily include new models in the data base and compare the effects of novel extensions to established benchmarks thereby fostering a comparative instead of insular approach to model development

A Taxonomy of Self-configuring Service Discovery Systems

We analyze the fundamental concepts and issues in service discovery. This analysis places service discovery in the context of distributed systems by describing service discovery as a third generation naming system. We also describe the essential architectures and the functionalities in service discovery. We then proceed to show how service discovery fits into a system, by characterizing operational aspects. Subsequently, we describe how existing state of the art performs service discovery, in relation to the operational aspects and functionalities, and identify areas for improvement

Many-Task Computing and Blue Waters

This report discusses many-task computing (MTC) generically and in the context of the proposed Blue Waters systems, which is planned to be the largest NSF-funded supercomputer when it begins production use in 2012. The aim of this report is to inform the BW project about MTC, including understanding aspects of MTC applications that can be used to characterize the domain and understanding the implications of these aspects to middleware and policies. Many MTC applications do not neatly fit the stereotypes of high-performance computing (HPC) or high-throughput computing (HTC) applications. Like HTC applications, by definition MTC applications are structured as graphs of discrete tasks, with explicit input and output dependencies forming the graph edges. However, MTC applications have significant features that distinguish them from typical HTC applications. In particular, different engineering constraints for hardware and software must be met in order to support these applications. HTC applications have traditionally run on platforms such as grids and clusters, through either workflow systems or parallel programming systems. MTC applications, in contrast, will often demand a short time to solution, may be communication intensive or data intensive, and may comprise very short tasks. Therefore, hardware and software for MTC must be engineered to support the additional communication and I/O and must minimize task dispatch overheads. The hardware of large-scale HPC systems, with its high degree of parallelism and support for intensive communication, is well suited for MTC applications. However, HPC systems often lack a dynamic resource-provisioning feature, are not ideal for task communication via the file system, and have an I/O system that is not optimized for MTC-style applications. Hence, additional software support is likely to be required to gain full benefit from the HPC hardware

Named data networking for efficient IoT-based disaster management in a smart campus

Disasters are uncertain occasions that can impose a drastic impact on human life and building infrastructures. Information and Communication Technology (ICT) plays a vital role in coping with such situations by enabling and integrating multiple technological resources to develop Disaster Management Systems (DMSs). In this context, a majority of the existing DMSs use networking architectures based upon the Internet Protocol (IP) focusing on location-dependent communications. However, IP-based communications face the limitations of inefficient bandwidth utilization, high processing, data security, and excessive memory intake. To address these issues, Named Data Networking (NDN) has emerged as a promising communication paradigm, which is based on the Information-Centric Networking (ICN) architecture. An NDN is among the self-organizing communication networks that reduces the complexity of networking systems in addition to provide content security. Given this, many NDN-based DMSs have been proposed. The problem with the existing NDN-based DMS is that they use a PULL-based mechanism that ultimately results in higher delay and more energy consumption. In order to cater for time-critical scenarios, emergence-driven network engineering communication and computation models are required. In this paper, a novel DMS is proposed, i.e., Named Data Networking Disaster Management (NDN-DM), where a producer forwards a fire alert message to neighbouring consumers. This makes the nodes converge according to the disaster situation in a more efficient and secure way. Furthermore, we consider a fire scenario in a university campus and mobile nodes in the campus collaborate with each other to manage the fire situation. The proposed framework has been mathematically modeled and formally proved using timed automata-based transition systems and a real-time model checker, respectively. Additionally, the evaluation of the proposed NDM-DM has been performed using NS2. The results prove that the proposed scheme has reduced the end-to-end delay up from 2% to 10% and minimized up to 20% energy consumption, as energy improved from 3% to 20% compared with a state-of-the-art NDN-based DMS

The Supply of Surgeons and the Demand for Operations

This paper presents a multi-equation multivariate analysis of differences in the supply of surgeons and the demand for operations across geographical areas of the United States in 1963 and 1970. The results provide considerable support for the hypothesis that surgeons shift the demand for operations. Other things equal, a 10 percent increase in the surgeon/population ratio results in about a 3 percent increase in per capita utilization. Moreover, differences in supply seem to have a perverse effect on fees, raising them when the surgeon/population ratio increases. Surgeon supply is in part determined by factors unrelated to demand, especially by the attractiveness of the area as a place to live.