1,103 research outputs found

    Non-linear generation of acoustic noise in the IAR spacecraft

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    The requirement to produce high level acoustic noise fields with increasing accuracy in environmental test facilities dictates that a more precise understanding is required of the factors controlling nonlinear noise generation. Details are given of various nonlinear effects found in acoustic performance data taken from the IAR Spacecraft Acoustic Chamber. This type of data has enabled the IAR to test large spacecraft to relatively tight acoustic tolerances over a wide frequency range using manually set controls. An analog random noise automatic control system was available and modified to provide automatic selection of the chamber's spectral sound pressure levels. The automatic control system when used to complete a typical qualification test appeared to equal the accuracy of the manual system and had the added advantage that parallel spectra could be easily achieved during preset tests

    Resilience: Accounting for the Noncomputable

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    Plans to solve complex environmental problems should always consider the role of surprise. Nevertheless, there is a tendency to emphasize known computable aspects of a problem while neglecting aspects that are unknown and failing to ask questions about them. The tendency to ignore the noncomputable can be countered by considering a wide range of perspectives, encouraging transparency with regard to conflicting viewpoints, stimulating a diversity of models, and managing for the emergence of new syntheses that reorganize fragmentary knowledg

    On some aspects of the noise propagation from supersonic aircraft

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    The noise problem associated with an aircraft flying at supersonic speeds is shown to depend primarily on the shock wave pattern formed by the aircraft. The noise intensity received by a ground observer from a supersonic aircraft flying at high as well as low altitudes, is shown to be high although it is of a transient nature. Continues

    Ogres, monsters, and demons in the oral narratives of Africa: Dodo, the Hausa example

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    African Studies Center Papers in the African Humanities No. 3

    An annotated bibliography of Southern Bantu praise poetry

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    African Studies Center Papers in the African Humanities No. 2

    Improving access to emergency contraception pills through strengthening service delivery and demand generation: A systematic review of current evidence in low and middle-income countries

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    © 2014 Dawson et al. Objectives: Emergency contraception pills (ECP) are among the 13 essential commodities in the framework for action established by the UN Commission on Life-Saving Commodities for Women and Children. Despite having been on the market for nearly 20 years, a number of barriers still limit women's access to ECP in low- and middle-income countries (LMIC) including limited consumer knowledge and poor availability. This paper reports the results of a review to synthesise the current evidence on service delivery strategies to improve access to ECP.Methods: A narrative synthesis methodology was used to examine peer reviewed research literature (2003 to 2013) from diverse methodological traditions to provide critical insights into strategies to improve access from a service delivery perspective. The studies were appraised using established scoring systems and the findings of included papers thematically analysed and patterns mapped across all findings using concept mapping.Findings: Ten papers were included in the review. Despite limited research of adequate quality, promising strategies to improve access were identified including: advance provision of ECP; task shifting and sharing; intersectoral collaboration for sexual assault; m-health for information provision; and scale up through national family planning programs.Conclusion: There are a number of gaps in the research concerning service delivery and ECP in LMIC. These include a lack of knowledge concerning private/commercial sector contributions to improving access, the needs of vulnerable groups of women, approaches to enhancing intersectoral collaboration, evidence for social marketing models and investment cases for ECP

    Workforce interventions to improve access to emergency contraception pills: A systematic review of current evidence in low- and middle-income countries and recommendations for improving performance Health systems and services in low and middle income settings

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    © 2015 Dawson et al.; licensee BioMed Central. Background: Emergency contraceptive pills (ECP) are one of the 13 essential commodities addressed by the UN Commission on Life-Saving Commodities for Women and Children. Although ECP have been available for 20 years, a number of barriers still limit women's access ECP in low and middle-income countries (LMIC). The workforce who prescribe or dispense ECP are diverse reflecting the varied contexts where ECP are available across the health, commercial and justice sectors and in the community. No reviews currently exist that examine the roles and experiences of the workforce that provide ECP in LMIC. Method: We present a narrative synthesis of research to: identify provider factors that facilitate and constraint access to ECP; assess the effectiveness of associated interventions and; explore associated health system issues in LMIC. A search of bibliographic databases, meta-indexes and websites was undertaken to retrieve peer reviewed and grey literature. Literature was screened and identified documents examined to appraise quality. Results: Thirty-seven documents were included in the review. Studies focused on formal health workers revealing knowledge gaps concerning the role of private sector and non-health providers who increasingly provide ECP. Data from the findings section in the documents were coded under 4 themes: provider knowledge; provider attitudes and beliefs; provider practice and provider training. The analysis revealed provider knowledge gaps, less than favourable attitudes and practice issues. The findings provide limited insight into products prescribed and/or dispensed, the frequency of provision, and information and advice offered to consumers. Pre and in-service training needs were noted. Conclusion: As the provision of ECPs shifts from the clinic-based health sector to increasing provision by the private sector, the limited understanding of provider performance and the practice gaps revealed in this review highlight the need to further examine provider performance to inform the development of appropriate workforce interventions. A standardized approach to assessing performance using agreed outcomes measures may serve to ensure a systematic way forward that is inclusive of the diverse workforce that deliver ECP. Recommendations are outlined to enhance the performance of providers to improve access to ECP. A framework is offered to help guide this process with indicators
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