Women and the Men Who Oppress Them: Ideologies and Protests of Redstockings, New York Radical Feminists, and Cell 16.

The American civil rights movement created a ready environment in which exploited people protested their social status and demanded change. Among the forefront, women contended against their male oppressors and demanded autonomy. Ultimately, however, women disagreed amongst themselves regarding the severity of their oppression and the ideal route to implement change. Thereafter, radical feminism became a strong force within the women\u27s liberation movement. Group members denied that capitalism oppressed women, and countered that women\u27s status as a sex-class remained the essential component in their subjugation. To obtain true freedom, women had to reject the deeply ingrained social expectations. As radical feminists, Redstockings, New York Radical Feminists, and Cell 16 shared the goal of female freedom, but the process of acquiring freedom remained unique to each group. Nevertheless, although they focused on distinct issues, they each identified men as the source of female oppression and offered legitimate alternatives to social expectations

Social Accountability and Legal Empowerment for Quality Maternal Health Care

Unacceptably high rates of maternal morbidity and mortality affect the Global North and the Global South. Among many challenges, policy-makers and researchers cite concerns about quality of care, respectful maternity care, and implementation of evidence-based strategies and national guidelines at the frontlines of the health system. Informal payments are one concern that cut across these three challenges; they represent poor quality care; they are often experienced as disrespect by patients; and, health care worker demands for such payments by definition conflict with national policy. Social accountability and legal empowerment are two approaches that are increasingly used to address quality of care concerns in maternal health and poor implementation at the frontlines of the health system. This dissertation is comprised of three chapters (papers), all of which focus on these challenges in maternal health in low and middle income countries (LMICs). They apply concepts and methods from health policy and systems research (HPSR) to undertake theoretically-informed analyses that straddle two fields: (1) accountability, and, (2) global maternal health. The first chapter is a critical interpretive synthesis that summarizes the evidence base on the prevalence, drivers, and impact of informal payments in maternal health care; critically interrogates the paradigms that are used to describe informal payments; and, finally, synthesizes the policy and funding debates directly related to informal payments. The paper finds that though assessing the true prevalence of informal payments is difficult given measurement challenges, quantitative and qualitative studies have identified widespread informal payments in health care in many low and middle income countries in Asia, Africa, and Latin America. Studies and conceptual papers identified both proximate, immediate drivers of informal payments, as well as broader systemic causes. These causes include norms of gift giving, health workforce scarcity, inadequate health systems financing, the extent of formal user fees, structural adjustment and the marketization of health care, and patient willingness to pay for better care. Similarly, there are both proximate and distal impacts, including on household finances, patient satisfaction and demand for health care, and provider morale. Despite the ground level relevance of informal payments, they are generally not adequately addressed in global policy frameworks and strategies, or in standard metrics of health system performance. Though this absence does not necessarily imply lack of financial or other attention to informal payments, it makes inattention more likely, and regardless, represents a notable silence. Informal payments have been studied and addressed from a variety of different perspectives, including anti-corruption, ethnographic and other in-depth qualitative approaches, and econometric modeling. Synthesizing data from these and other paradigms illustrates the value of an inter-disciplinary approach. Each lens adds value and has blind spots. These attributes in turn affect the solutions proposed. The paper concludes that the same tacit, hidden attributes that make informal payments hard to measure also make them hard to discuss and address. A multi-disciplinary health systems approach that leverages and integrates positivist, interpretivist, and constructivist tools of social science research can lead to better insight and policy critiques. The second chapter is a descriptive case study of a social accountability project seeking to decrease health provider demands that women make informal payments in Uttar Pradesh (UP), India. Women in UP are often asked to make informal payments for maternal health care services that the central or state government has mandated to be free. The chapter is a descriptive, contextualized case study of a social accountability project undertaken by SAHAYOG, an NGO based in UP. The study methods included document review; interviews and focus group discussions of program implementers, governmental stakeholders, and community activists; and participant observation in health facilities. The study found that SAHAYOG adapted their strategy over time to engender greater empowerment and satisfaction among program participants, as well as greater impact on the health system. Participants gained resources and agency; they learned about their entitlements, had access to mechanisms for complaints, and, despite risk of retaliation, many felt capable of demanding their rights in a variety of fora. However, only program participants seemed able to avoid making informal payments to the health sector; they largely were unable to effect this change for women in the community at large. Several features of the micro and macro context shaped the trajectory of SAHAYOG’s efforts, including caste dynamics, provider commitment to ending informal payments, the embeddedness of informal payments in the health system, human resource scarcity, the overlapping private interests of pharmaceutical companies and providers, and the level of regional development. Though changes were manifest in certain health facilities, as a group, providers did not necessarily embraced the notion of low caste, tribal, or Muslim women as citizens with entitlements, especially in the context of free government services for childbirth. SAHAYOG assumed a supremely difficult task. Project strategy changes may have made the task somewhat less difficult, but given the population making the rights claims and the rights they were claiming, widespread changes in demands for informal payments may require a much larger and stronger coalition. The third paper is an explanatory case study of a hybrid legal empowerment and social accountability effort led by the Mozambican NGO, Namati Moçambique. Established in 2013, Namati Moçambique runs a multi—pronged health paralegal and policy advocacy program that employs community paralegals as Health Advocates and trains Village Health Committees (VHCs). The study sought to uncover how the program affected the relationship between citizens and the health sector, how the health sector and citizens responded, and what role contextual factors played. The case study had two components: 1) a retrospective review of 24 cases 2) qualitative investigation of the Namati program and program context. The cases came from a total of 6 sites in 3 districts. Program implementers, clients, Village Health Committee (VHC) members, and health providers were interviewed or participated in focus groups as part of the research. The study found that though they are unable to address some deeply embedded national challenges, Health Advocates successfully solved a variety of cases affecting poor Mozambicans in both urban and rural areas. Health Advocates took a variety of steps to resolve these cases, some of which entailed interactions with multiple levels of the government. We identified three key mechanisms, or underlying processes of change that Namati’s work engendered, including: bolstered administrative capacity within the health sector, reduced transaction and political costs for health providers, and provider fear of administrative sanction. In addition to case resolution, stakeholders highlighted individual satisfaction at having one’s complaint remedied and individual empowerment among clients and Health Advocates as stemming from the project. Health Advocates and VHCs developed functional working relationships with providers, in part because they addressed issues that providers felt were important, and engendered community satisfaction with the Health Advocate, and ultimately, trust in the health system. The case resolution focus of legal empowerment brought procedural teeth, helping to ensure that new relationships result in immediate improvements, thus instigating a circle of relationship building and health system improvements

Occupational therapy in early intervention: a family-centered approach.

This article describes a framework for occupational therapy service provision in early intervention settings and presents pilot data aimed at examining the framework\u27s effectiveness. The Family-Centered Framework for Early Intervention is a synthesis of concepts from the Model of Human Occupation (Kielhofner & Burke, 1980) and from the literature on play. It encompasses a systematic, holistic approach that considers the child and the family within the context of their life environments. In this framework, play is used both as an evaluative tool and as an intervention modality that addresses the volition, habituation, and performance of the child and family as well as the strengths and weaknesses of the environment. Play is also used as a primary measure of competence and change. This framework may be useful in defining occupational therapy roles for the early intervention population

Adaptive end-to-end optimization of mobile video streaming using QoS negotiation

Video streaming over wireless links is a non-trivial problem due to the large and frequent changes in the quality of the underlying radio channel combined with latency constraints. We believe that every layer in a mobile system must be prepared to adapt its behavior to its environment. Thus layers must be capable of operating in multiple modes; each mode will show a different quality and resource usage. Selecting the right mode of operation requires exchange of information between interacting layers. For example, selecting the best channel coding requires information about the quality of the channel (capacity, bit-error-rate) as well as the requirements (latency, reliability) of the compressed video stream generated by the source encoder. In this paper we study the application of our generic QoS negotiation scheme to a specific configuration for mobile video transmission. We describe the results of experiments studying the overall effectiveness, stability, and dynamics of adaptation of our distributed optimization approach

Quantum Drag Forces on a Sphere Moving Through a Rarefied Gas

As an application of quantum fluid mechanics, we consider the drag force exerted on a sphere by an ultra-dilute gas. Quantum mechanical diffraction scattering theory enters in that regime wherein the mean free path of a molecule in the gas is large compared with the sphere radius. The drag force is computed in a model specified by the ``sticking fraction'' of events in which a gaseous molecule is adsorbed by the spherical surface. Classical inelastic scattering theory is shown to be inadequate for physically reasonable sticking fraction values. The quantum mechanical scattering drag force is exhibited theoretically and compared with experimental data.Comment: 5 pages no figure

Thomas-Fermi Calculations of Atoms and Matter in Magnetic Neutron Stars II: Finite Temperature Effects

We present numerical calculations of the equation of state for dense matter in high magnetic fields, using a temperature dependent Thomas-Fermi theory with a magnetic field that takes all Landau levels into account. Free energies for atoms and matter are also calculated as well as profiles of the electron density as a function of distance from the atomic nucleus for representative values of the magnetic field strength, total matter density, and temperature. The Landau shell structure, which is so prominent in cold dense matter in high magnetic fields, is still clearly present at finite temperature as long as it is less than approximately one tenth of the cyclotron energy. This structure is reflected in an oscillatory behaviour of the equation of state and other thermodynamic properties of dense matter and hence also in profiles of the density and pressure as functions of depth in the surface layers of magnetic neutron stars. These oscillations are completely smoothed out by thermal effects at temperatures of the order of the cyclotron energy or higher.Comment: 37 pages, 17 figures included, submitted to Ap

Adsorption of colloidal particles in the presence of external field

We present a new class of sequential adsorption models in which the adsorbing particles reach the surface following an inclined direction (shadow models). Capillary electrophoresis, adsorption in the presence of a shear or on an inclined substrate are physical manifestations of these models. Numerical simulations are carried out to show how the new adsorption mechanisms are responsible for the formation of more ordered adsorbed layers and have important implications in the kinetics, in particular modifying the jamming limit.Comment: LaTex file, 3 figures available upon request, to appear in Phys.Rev.Let

Deformation behavior of gold/copper multilayer systems

Two sets of Au/Cu multilayers with a total thickness of 2 µm were deposited with magnetron sputtering onto Si/SiO2 with an individual layer thickness of 250 nm and 25 nm. Subsets of the samples were treated with rapid thermal annealing (RTA) at temperatures of 300°C and 400°C for 60 s each to allow inter-diffusion and alloying at the Au/Cu interfaces. The mechanical behavior was evaluated by nanoindentation with a Vickers indenter at maximum loads of 20 mN to 500 mN. Cross sections of the nanoindentations were prepared by focused ion beam technique to investigate the deformation phenomena of the multilayer structure by scanning electron microscopy. In comparison of both, the 25 nm and the 250 nm structure, respectiveley, the latter shows a delamination near the indenter edge normal vector to the substrate surface, whereas the thin layers show buckling and shear banding as deformation mechanisms and no delamination occurs. The Martens hardness HM determined at a depth of 10 % of the total multilayer thickness increases from 1.8 GPa to 2.2 GPa with the annealing at 300°C for the 250 nm layers and to 2.9 GPa with the reduction of the layer thickness to 25 nm. X-ray diffraction patterns reveal a strong texture in \u3c111\u3e direction normal to the substrate surface and the formation of a Au-Cu solid solution phase during annealing. The decrease in individual layer thickness leads to a classic increase of the Martens hardness due to dislocation pile-up and a significant change in deformation behavior from dislocation plasticity to shear banding, which Li et al. [1] describe as buckling-assisted grain boundary sliding. After annealing, a notable increase of the hardness is observed for the 250 nm layers, while for the 25 nm layers it does not change significantly. Subsequent TEM investigations shall provide information on the processes in the layers and at the layer interfaces. Please click Additional Files below to see the full abstract