5,279 research outputs found
The Social and Vocational Value and Outcomes of the New South Wales School Infrastructure Traineeship Program (ITP) for Trainees
This Report presents the findings of research conducted to measure the social and vocational value and outcomes of the Infrastructure Traineeship Program (ITP) for trainees and to provide evidence that can be used:
● to advocate for the future directions for the program considered within a broader context of the contribution this program may make to delivering on New South Wales (NSW) Government’s 10 Point Commitment to the construction sector, providing better employment outcomes for young people, women, and young people from regional areas to work near home.
● to demonstrate the challenges and opportunities that the ITP affords in providing a pathway to young people, including First Nations young people, into a career in infrastructure referencing the NSW Treasury’s framework and outcomes to support First Nations economic wellbeing and prosperity
Development cooperation for health: reviewing a dynamic concept in a complex global aid environment
The 4th High Level Forum on Aid Effectiveness, held in Busan, South Korea in November 2011 again promised an opportunity for a "new consensus on development cooperation" to emerge. This paper reviews the recent evolution of the concept of coordination for development assistance in health as the basis from which to understand current discourses. The paper reviews peer-reviewed scientific literature and relevant 'grey' literature, revisiting landmark publications and influential authors, examining the transitions in the conceptualisation of coordination, and the related changes in development assistance. Four distinct transitions in the understanding, orientation and application of coordination have been identified: coordination within the sector, involving geographical zoning, sub-sector specialisation, donor consortia, project co-financing, sector aid, harmonisation of procedures, ear-marked budgetary support, donor agency reform and inter-agency intelligence gathering; sector-wide coordination, expressed particularly through the Sector-Wide Approach; coordination across sectors at national level, expressed in the evolution of Poverty Strategy Reduction Papers and the national monitoring of the Millennium Development Goals; and, most recently, global-level coordination, embodied in the Paris Principles, and the emergence of agencies such as the International Health Partnerships Plus. The transitions are largely but not strictly chronological, and each draws on earlier elements, in ways that are redefined in the new context. With the increasing complexity of both the territory of global health and its governance, and increasing stakeholders and networks, current imaginings of coordination are again being challenged. The High Level Forum in Busan may have been successful in recognising a much more complex landscape for development than previously conceived, but the challenges to coordination remain
Panel 4 (Session A): OEM, Simulation, & Training Support
A mainstream function of NTAS is to serve as a quasi-trade show for collegiate and flight academy providers, updating them each year on the latest in equipment and training support; often focusing on time-critical support; as we did most recently on ADS-B Out implementation in 2015. Panelists are asked to present new aircraft features & capabilities, progress on ADS-B update for both new and retrofit application from NTAS 2015, new & novel equipment and administrative applications, and training support for ADS-B in academic, tablet, computer, and simulation delivery
Antimicrobial agents for the treatment of enteric fever chronic carriage: A systematic review
Background
Chronic carriage of S. Typhi or S. Paratyphi is an important source of enteric fever transmission. Existing guidance and treatment options for this condition are limited. This systematic review aims to assess the evidence concerning the efficacy of different antimicrobials in treating enteric fever chronic carriage.
Methods
We searched major bibliographic databases using relevant keywords between 1946 and September 2021. We included all interventional studies that included patients with confirmed enteric fever chronic carriage and deployed an antimicrobial that remains in clinical practice today. Case reports and case series of under 10 patients were excluded. Two reviewers screened abstracts, selected articles for final inclusion and quality-assessed the included studies for risk of bias. Extracted data was analysed, with pooling of data and eradication rates for each antimicrobial calculated. As only one randomised controlled trial was identified, no meta-analysis was performed.
Results
Of the 593 papers identified by the initial search, a total of eight studies met the inclusion criteria and were included in the systematic review. Evidence was identified for the use of fluoroquinolones and amoxicillin/ampicillin in the treatment for enteric fever chronic carriage. Fluoroquinolones were superior to amoxicillin/ampicillin with 92% of patients achieving eradication after one antimicrobial course compared to 68% (p = 0.02). The quality of included studies was poor, and all were carried out before 1990.
Conclusion
This review identified fluoroquinolones and amoxicillin/ampicillin as treatment options for enteric fever chronic carriage, with fluoroquinolones the more effective option. However, this evidence pre-dates rises in antimicrobial resistance in enteric fever and therefore the significance of these findings to today’s practice is unclear. Further research is needed to investigate whether these antimicrobials remain appropriate treatment options or whether alternative interventions are more effective
Quasi-periodic Propagating Signals in the Solar Corona: The Signature of Magnetoacoustic Waves or High-Velocity Upflows?
Since the discovery of quasi-periodic propagating oscillations with periods
of order three to ten minutes in coronal loops with TRACE and EIT (later with
EUVI and EIS), they have been almost universally interpreted as evidence for
propagating slow-mode magnetoacoustic (MA) waves in the low-beta coronal
environment. We show that this interpretation is not unique. We focus instead
on the ubiquitous faint upflows, associated with blue asymmetries of spectral
line profiles in footpoint regions of coronal loops, and as faint disturbances
propagating along coronal loops in EUV/XR imaging timeseries. The two scenarios
are difficult to differentiate using only imaging data, but careful analysis of
spectral line profiles indicates that faint upflows are likely responsible for
some of the observed quasi-periodic oscillatory signals in the corona. We show
that EIS measurements of intensity and velocity oscillations in coronal lines
(previously interpreted as direct evidence for propagating waves) are actually
accompanied by significant oscillations in the line width that are driven by a
quasi-periodically varying component of emission in the blue wing of the line.
The faint blue-shifted emission component quasi-periodically modulates the peak
intensity and line-centroid of a single Gaussian fit to the profile with the
same small amplitudes (respectively a few percent of background intensity, and
a few km/s) used to infer the presence of MA waves. Our results indicate that a
significant fraction of the quasi-periodicities observed with coronal imagers
and spectrographs, previously interpreted as propagating MA waves, are caused
by these upflows. The different physical cause for coronal oscillations would
significantly impact the prospects of successful coronal seismology using
propagating disturbances in coronal loops.Comment: To appear Astrophysical Journal. 14 pages, 13 color figures, 4
movies. High resolution figures and online supporting movies are available at
http://tinyurl.com/29s7c4
No frugal innovation without frugal evaluation: the Global IDEAL Sub-Framework
Objective: The Global IDEAL Sub-Framework Study aimed to combine the intended effects of the 2009/2019 IDEAL (Idea, Development, Exploration, Assessment, Long-term study) Framework recommendations on evaluating surgical innovation with the vision outlined by the 2015 Lancet Commission on Global Surgery to provide recommendations for evaluating surgical innovation in low-resource environments. Design: A mixture of methods including an online global survey and semistructured interviews (SSIs). Quantitative data were summarized with descriptive statistics and qualitative data were analyzed using the Framework Method. Participants: Surgeons and surgical researchers from any country. Main outcome measures: Findings were used to suggest the nature of adaptations to the IDEAL Framework to address the particular problems of evaluation in low-resource settings. Results: The online survey yielded 66 responses representing experience from 40 countries, and nine individual SSIs were conducted. Most respondents (n=49; 74.2%) had experience evaluating surgical technologies across a range of life cycle stages. Innovation was most frequently adopted based on colleague recommendation or clinical evaluation in other countries. Four themes emerged, centered around: frugal innovation in technological development; evaluating the same technology/innovation in different contexts; additional methodologies important in evaluation of surgical innovation in low/middle-income countries; and support for low-income country researchers along the evaluation pathway. Conclusions: The Global IDEAL Sub-Framework provides suggestions for modified IDEAL recommendations aimed at dealing with the special problems found in this setting. These will require validation in a stakeholder consensus forum, and qualitative assessment in pilot studies. From assisting researchers with identification of the correct evaluation stage, to providing context-specific recommendations relevant to the whole evaluation pathway, this process will aim to develop a comprehensive and applicable set of guidance that will benefit surgical innovation and patients globally
Numerical simulations with a first order BSSN formulation of Einstein's field equations
We present a new fully first order strongly hyperbolic representation of the
BSSN formulation of Einstein's equations with optional constraint damping
terms. We describe the characteristic fields of the system, discuss its
hyperbolicity properties, and present two numerical implementations and
simulations: one using finite differences, adaptive mesh refinement and in
particular binary black holes, and another one using the discontinuous Galerkin
method in spherical symmetry. The results of this paper constitute a first step
in an effort to combine the robustness of BSSN evolutions with very high
accuracy numerical techniques, such as spectral collocation multi-domain or
discontinuous Galerkin methods.Comment: To appear in Physical Review
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