11 research outputs found
Automating Spacecraft Analysis: The Era of Ontological Modeling & Simulation
Verification by analysis is a predicted compliance of a design to imposed requirements. The levels of performance specified by performance requirements can be related to Technical Performance Measures (TPM) in a Model-Based Systems Engineering (MBSE) environment, but engineers performing verification by analysis are not commonly versed in professional Systems Engineering (SE) techniques or modeling languages such as SysML. As the formal application of Systems Engineering (SE) results in a diminution of time, effort, and money for large-scale projects, enabling technical engineers performing verification by analysis to contribute to MBSE improvements in the course of their daily work is financially incentivized. Ontologies applied to technical analysis methodologies are shown to improve the quality of verification by analysis activities while adhering to professional organization standards such as the International Council on Systems Engineering (INCOSE) SE Handbook and the National Aeronautics and Space Administration (NASA) standard 7009A: Standard for Models and Simulations
HPV genotypes and cervical intraepithelial neoplasia in a multiethnic cohort in the southeastern USA
Epidemiology and prevention of human papillomavirus and cervical cancer in sub-Saharan Africa: a comprehensive review.
OBJECTIVES: To identify the gaps of knowledge and highlight the challenges and opportunities for controlling cervical cancer in sub-Saharan Africa (SSA). METHODS: A comprehensive review of peer-reviewed literature to summarize the epidemiological data on human papillomavirus (HPV) and invasive cervical cancer (ICC) by HIV status, to review feasible and effective cervical screening strategies, and to identify barriers in the introduction of HPV vaccination in SSA. RESULTS: ICC incidence in SSA is one of the highest in the world with an age-standardized incidence rate of 31.0 per 100,000 women. The prevalence of HPV16/18, the two vaccine preventable-types, among women with ICC, does not appear to differ by HIV status on a small case series. However, there are limited data on the role of HIV in the natural history of HPV infection in SSA. Cervical screening coverage ranges from 2.0% to 20.2% in urban areas and 0.4% to 14.0% in rural areas. There are few large scale initiatives to introduce population-based screening using cytology, visual inspection or HPV testing. Only one vaccine safety and immunogenicity study is being conducted in Senegal and Tanzania. Few data are available on vaccine acceptability, health systems preparedness and vaccine cost-effectiveness and long-term impact. CONCLUSIONS: Additional data are needed to strengthen ICC as a public health priority to introduce, implement and sustain effective cervical cancer control in Africa