Producing the internet and development: an ethnography of internet café use in Accra, Ghana

The United Nation's World Summit on the Information Society (WSIS), that took place between 2003 and 2005, elevated the 'information society' to the level of 'gender equality' 'environmental sustainability' and 'human rights' as one of the central Development tropes of our time. The concept of the network has come to figure heavily in the political discourse of both developed and developing nations and transnational agencies. These organizations employ statistics, academic theories, popular wisdom, and utopian visions shaped by Western experiences to extrapolate an expected impact of new technologies on the developing world. However, to date there has been very little on-the-ground research on the diffusion and appropriation of these technologies as it is taking place in developing nations and how this might challenge and reorient the expectations of traditional Development perspectives. This thesis seeks to provide such a response drawing on the experiences of Internet café users in Accra, the capital city of Ghana where an estimated 500 to 1000 of these small businesses were in operation. Departing from the categories and hierarchies favoured within Development circles, my approach is to look holistically at the way the Internet was produced as a meaningful and useful tool through the practices of users. The practices that defined the Internet in Accra encompassed not only individual activities at the computer interface, but also other formal and informal, collective and everyday rituals such as story-telling, religious practices, and play and socializing among youth. A similar production process was observable in the activities of the Development experts and government officials who arrived in Accra in February 2005 to discuss the role of networking technologies in socio-economic development at the WSIS Africa regional conference. The activities of both groups reconstituted the Internet, Development and the relationship between the two, but along very divergent pathways

Student and Faculty Views of Important Elements of Teaching in Associate Level Allied Health Programs

Teaching requires constant adapting, and need to continually reflect, and be ready to make changes when teaching elements may not prove effective. The purpose of this study was to examine faculty and student views of effective elements of teaching in an associate level allied health program. Surveys were collected from associate degree seeking allied health students and full-time faculty currently employed at a technical college in the northeastern region of the state of Georgia. The results showed a high confidence level with little to no difference in mean confidence levels between faculty and student responses on 15 Likert-scaled questions. Two open-ended questions showed little difference as well with faculty and students having similar responses when asked their preferred teaching/learning method. Results of this study will help to improve educational instruction for allied health programs

Producing the internet and development : an ethnography of internet café use in Accra, Ghana

The United Nation's World Summit on the Information Society (WSIS), that took place between 2003 and 2005, elevated the 'information society' to the level of 'gender equality' 'environmental sustainability' and 'human rights' as one of the central Development tropes of our time. The concept of the network has come to figure heavily in the political discourse of both developed and developing nations and transnational agencies. These organizations employ statistics, academic theories, popular wisdom, and utopian visions shaped by Western experiences to extrapolate an expected impact of new technologies on the developing world. However, to date there has been very little on-the-ground research on the diffusion and appropriation of these technologies as it is taking place in developing nations and how this might challenge and reorient the expectations of traditional Development perspectives. This thesis seeks to provide such a response drawing on the experiences of Internet café users in Accra, the capital city of Ghana where an estimated 500 to 1000 of these small businesses were in operation. Departing from the categories and hierarchies favoured within Development circles, my approach is to look holistically at the way the Internet was produced as a meaningful and useful tool through the practices of users. The practices that defined the Internet in Accra encompassed not only individual activities at the computer interface, but also other formal and informal, collective and everyday rituals such as story-telling, religious practices, and play and socializing among youth. A similar production process was observable in the activities of the Development experts and government officials who arrived in Accra in February 2005 to discuss the role of networking technologies in socio-economic development at the WSIS Africa regional conference. The activities of both groups reconstituted the Internet, Development and the relationship between the two, but along very divergent pathways.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Implementation of a Single-Patient-Use Airway Taping Product in the Operating Room

BACKGROUND: Anesthesia providers use adhesive tape to secure advanced airway devices. Rolls of adhesive tape serve as reservoirs for pathogens. Rolls of tape do not have instructions on how they are to be reused, cannot be disinfected, and should not be repurposed. The re-use of rolls of tape poses a risk to patient safety. LOCAL PROBLEM: The project facility was an academic medical center in the Southeast region of the United States. The facility does not have taping practice guidelines in place. Rolls of tape are handled without gloves, used by several providers, placed on multiple patients’ faces, and stored in areas that are not routinely cleaned. The purpose of this evidence-based practice quality improvement project was to implement a single-patient-use taping product for anesthesia providers to utilize when securing advanced airways. The AIM was: After six weeks of implementation of a single-patient-use taping product in the main operating rooms of the facility, 60% of providers will report satisfaction and compliance with the new taping product. METHODS: The Evidence-Based Practice Improvement model was used to outline this project. The measured outcomes were anesthesia provider satisfaction and compliance with the single-patient-use taping product, which was evaluated by a questionnaire. INTERVENTIONS: A single-patient-use taping product was distributed to anesthesia providers to secure advanced airway devices perioperatively. Providers then completed a questionnaire designed to assess their satisfaction and compliance with the product. RESULTS: The project AIM for satisfaction and compliance were met as 61% of anesthesia providers agreed that they would continue using the product if available, and 61% of providers were satisfied with the product. CONCLUSIONS: Anesthesia providers were satisfied and compliant with the product. Incorporating a single-patient-use product aligns with accrediting agencies’ strategic goals and priorities and allows anesthesia providers to increase patient safety. To sustain product use, the facility would need to continue to purchase the product at non-educational pricing

Preliminary characterization of IL32 in basal-like/triple negative compared to other types of breast cell lines and tissues

BACKGROUND: Triple negative breast cancer (TNBC) and often basal-like cancers are defined as negative for estrogen receptor, progesterone receptor and Her2 gene expression. Over the past few years an incredible amount of data has been generated defining the molecular characteristics of both cancers. The aim of these studies is to better understand the cancers and identify genes and molecular pathways that might be useful as targeted therapies. In an attempt to contribute to the understanding of basal-like/TNBC, we examined the Gene Expression Omnibus (GEO) public datasets in search of genes that might define basal-like/TNBC. The Il32 gene was identified as a candidate. FINDINGS: Analysis of several GEO datasets showed differential expression of IL32 in patient samples previously designated as basal and/or TNBC compared to normal and luminal breast samples. As validation of the GEO results, RNA and protein expression levels were examined using MCF7 and MDA MB231 cell lines and tissue microarrays (TMAs). IL32 gene expression levels were higher in MDA MB231 compared to MCF7. Analysis of TMAs showed 42% of TNBC tissues and 25% of the non-TNBC were positive for IL32, while non-malignant patient samples and all but one hyperplastic tissue sample demonstrated lower levels of IL32 protein expression. CONCLUSION: Data obtained from several publically available GEO datasets showed overexpression of IL32 gene in basal-like/TNBC samples compared to normal and luminal samples. In support of these data, analysis of TMA clinical samples demonstrated a particular pattern of IL32 differential expression. Considered together, these data suggest IL32 is a candidate suitable for further study

Responsibility as professional leadership and decision making: Interviews with non-medical Responsible Clinicians

Background Responsible Clinicians are professionals who are primarily accountable for the care and treatment of patients detained under the Mental Health Act, 1983 in England and Wales. The role has only been taken up by under 100 nurses and psychologists since 2007. The aim of this study was to explore the experiences of non-medical Responsible Clinicians, to inform our understanding of interprofessional dynamics and professional identity in contemporary mental healthcare. Methods A qualitative study comprising thematic analysis of interviews with twelve non-medical Responsible Clinicians. Results A major theme of ‘Interpretations of responsibility’ emerged, with two sub themes: ‘Responsibility as leadership ‘and ‘Responsibility as decision making’. Taking on the role had implications beyond the care of specific patients. Participants saw themselves as having the power to shape their team and service whilst exercising their authority to make difficult decisions about risk and restrictions. Conclusions More widespread adoption of the non-medical Responsible Clinician role should not be seen solely as a solution to workforce shortages or lack of opportunities for professional advancement. Consultant nurses and psychologists who take on this role are seising the opportunity to steer service developments more widely, influencing team dynamics and perceptions of accountability

An ethanolic extract of artemisia scoparia inhibits lipolysis in vivo and has antilipolytic effects on murine adipocytes in vitro

© 2018, American Physiological Society. All rights reserved. An ethanolic extract of Artemisia scoparia (SCO) has metabolically favorable effects on adipocyte development and function in vitro and in vivo. In diet-induced obese mice, SCO supplementation significantly reduced fasting glucose and insulin levels. Given the importance of adipocyte lipolysis in metabolic health, we hypothesized that SCO modulates lipolysis in vitro and in vivo. Free fatty acids and glycerol were measured in the sera of mice fed a high-fat diet with or without SCO supplementation. In cultured 3T3-L1 adipocytes, the effects of SCO on lipolysis were assessed by measuring glycerol and free fatty acid release. Microarray analysis, qPCR, and immunoblotting were used to assess gene expression and protein abundance. We found that SCO supplementation of a high-fat diet in mice substantially reduces circulating glycerol and free fatty acid levels, and we observed a cell-autonomous effect of SCO to significantly attenuate tumor necrosis factor-α (TNFα)-induced lipolysis in cultured adipocytes. Although several prolipolytic and antilipolytic genes were identified by microarray analysis of subcutaneous and visceral adipose tissue from SCO-fed mice, regulation of these genes did not consistently correlate with SCO’s ability to reduce lipolytic metabolites in sera or cell culture media. However, in the presence of TNFα in cultured adipocytes, SCO induced antilipolytic changes in phosphorylation of hormone-sensitive lipase and perilipin. Together, these data suggest that the antilipolytic effects of SCO on adipose tissue play a role in the ability of this botanical extract to improve whole body metabolic parameters and support its use as a dietary supplement to promote metabolic resiliency

Recommendations on simple but transformative diversity, equity, and inclusion measures in Heliophysics over the next decade

It is well established that, in order to perform at their peak ability, a person must feel accepted, safe, and valued at work. Therefore, it is imperative to bring Diversity, Equity, and Inclusion (DEI) efforts to the forefront of Heliophysics over the next decade and well beyond. This position paper outlines three specific recommendations to make the Heliophysics community more diverse, equitable, and inclusive by improving the accessibility and accountability. These recommendations are: performing consistent collection and analysis of demographic data across different agencies, reimagining undergraduate Heliophysics internships using the SOARS® model, and providing conference funding for DEI speakers whose expertise lies outside the field of Heliophysics. These targeted recommendations have a well-documented positive impact, are simple to implement, and follow other scientific communities’ recent recommendations for making the science, technology, engineering, and mathematics fields more diverse, equitable, and inclusive