The House of the Fish: Collaborative Coral Reef Awareness Project on Nosy Be

The purpose of this project was to initiate a place-based coral reef education project, with the ultimate goal of improved localized conservation efforts in the face of growing global threats. Three principal groups that interact with coral reefs on Nosy Be were interviewed: fishers, tourist guides, and conservationists. Research was conducted on the biology of coral reefs, and on the most prominent threats facing coral reefs in the Indian Ocean and around Nosy Be. Information and direct quotes from interviews, and the results of research, were incorporated into a photographic journal entitled In the House of the Fish or An-tragno ny Laoko. The journal was written in English and translated into Malagasy and distributed to fishers and tourist guides on Nosy Be. The photo journal aimed to be collaborative, focusing on existing local stories and knowledge regarding coral reefs. The goal was to inspire conservation by reminding target groups of existing personal connections to, and efforts to protect, an ecosystem in danger

“We’re Never Trapped by Power”: A Plurality of Feminist Resistance in Octavia Butler’s Dawn

Women writers use the feminist dystopian genre as a way to resist gender-based oppression in complex ways. To do so, women writers must first construct bleak worlds that subjugate their female characters before they can craft ways for these characters to resist. This article specifically examines Octavia Butler’s novel, Dawn, because the central female character finds ways to resist through working within the system in order to work against it. Even though she cannot overthrow the government or escape, she exercises substantial resistance through her body, voice, and intelligence. Butler ultimately demonstrates that women are able to resist from the margins in complex ways, which prompts real-world women readers to fight and resist gender-based oppression in their own societies

Ethical considerations for integrating multimodal computer perception and neurotechnology

BackgroundArtificial intelligence (AI)-based computer perception technologies (e.g., digital phenotyping and affective computing) promise to transform clinical approaches to personalized care in psychiatry and beyond by offering more objective measures of emotional states and behavior, enabling precision treatment, diagnosis, and symptom monitoring. At the same time, passive and continuous nature by which they often collect data from patients in non-clinical settings raises ethical issues related to privacy and self-determination. Little is known about how such concerns may be exacerbated by the integration of neural data, as parallel advances in computer perception, AI, and neurotechnology enable new insights into subjective states. Here, we present findings from a multi-site NCATS-funded study of ethical considerations for translating computer perception into clinical care and contextualize them within the neuroethics and neurorights literatures.MethodsWe conducted qualitative interviews with patients (n = 20), caregivers (n = 20), clinicians (n = 12), developers (n = 12), and clinician developers (n = 2) regarding their perspective toward using PC in clinical care. Transcripts were analyzed in MAXQDA using Thematic Content Analysis.ResultsStakeholder groups voiced concerns related to (1) perceived invasiveness of passive and continuous data collection in private settings; (2) data protection and security and the potential for negative downstream/future impacts on patients of unintended disclosure; and (3) ethical issues related to patients’ limited versus hyper awareness of passive and continuous data collection and monitoring. Clinicians and developers highlighted that these concerns may be exacerbated by the integration of neural data with other computer perception data.DiscussionOur findings suggest that the integration of neurotechnologies with existing computer perception technologies raises novel concerns around dignity-related and other harms (e.g., stigma, discrimination) that stem from data security threats and the growing potential for reidentification of sensitive data. Further, our findings suggest that patients’ awareness and preoccupation with feeling monitored via computer sensors ranges from hypo- to hyper-awareness, with either extreme accompanied by ethical concerns (consent vs. anxiety and preoccupation). These results highlight the need for systematic research into how best to implement these technologies into clinical care in ways that reduce disruption, maximize patient benefits, and mitigate long-term risks associated with the passive collection of sensitive emotional, behavioral and neural data

The Malaria Testing and Treatment Market in Kinshasa, Democratic Republic of the Congo, 2013

Background The Democratic Republic of Congo (DRC) is one of the two most leading contributors to the global burden of disease due to malaria. This paper describes the malaria testing and treatment market in the nation’s capital province of Kinshasa, including availability of malaria testing and treatment and relative anti-malarial market share for the public and private sector. Methods A malaria medicine outlet survey was conducted in Kinshasa province in 2013. Stratified multi-staged sampling was used to select areas for the survey. Within sampled areas, all outlets with the potential to sell or distribute anti-malarials in the public and private sector were screened for eligibility. Among outlets with anti-malarials or malaria rapid diagnostic tests (RDT) in stock, a full audit of all available products was conducted. Information collected included product information (e.g. active ingredients, brand name), amount reportedly distributed to patients in the past week, and retail price. Results In total, 3364 outlets were screened for inclusion across Kinshasa and 1118 outlets were eligible for the study. Among all screened outlets in the private sector only about one in ten (12.1%) were stocking quality-assured Artemisinin-based Combination Therapy (ACT) medicines. Among all screened public sector facilities, 24.5% had both confirmatory testing and quality-assured ACT available, and 20.2% had sulfadoxine-pyrimethamine (SP) available for intermittent preventive therapy during pregnancy (IPTp). The private sector distributed the majority of anti-malarials in Kinshasa (96.7%), typically through drug stores (89.1% of the total anti-malarial market). Non-artemisinin therapies were the most commonly distributed anti-malarial (50.1% of the total market), followed by non quality-assured ACT medicines (38.5%). The median price of an adult quality-assured ACT was $6.59, and more expensive than non quality-assured ACT ($3.71) and SP ($0.44). Confirmatory testing was largely not available in the private sector (1.1%). Conclusions While the vast majority of anti-malarial medicines distributed to patients in Kinshasa province are sold within the private sector, availability of malaria testing and appropriate treatment for malaria is alarmingly low. There is a critical need to improve access to confirmatory testing and quality-assured ACT in the private sector. Widespread availability and distribution of non quality-assured ACT and non-artemisinin therapies must be addressed to ensure effective malaria case management

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Integrating Dataverse and Archivematica for Research Data Preservation - iPRES 2019 Amsterdam

Scholars Portal sponsored Artefactual Systems Inc. to develop the ability for the preservation processing application Archivematica to receive packages from Dataverse, a popular repository platform for uploading, curating, and accessing research data. The integration was released as part of Archivematica 1.8 in November 2018. This paper situates the integration project in the broader context of research data preservation; describes the scope and history of the project and the features and functionalities of the current release; and concludes with a discussion of the potential for future developments to meet additional use cases, service models and preservation approaches for research data