36 research outputs found

    Co-production as an emerging methodology for developing school-based health interventions with students aged 11-16: Systematic review of intervention types, theories and processes and thematic synthesis of stakeholders’ experiences

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    Co-production affords an intervention’s target population the opportunity to participate in intervention theory decision-making during the development process. This addresses the over-reliance on developing interventions through academic theories which can be devoid of contextual understanding and result in challenges to implementing school-based health programmes. There is an emergent empirical literature on co-producing school-based health interventions, but an understanding of appropriate theoretical types and processes and stakeholders’ experiences is lacking. Through the conduct of a systematic review, this study seeks to understand the types and underlying theories and processes for co-production in school-based health interventions with students aged 11–16. A thematic synthesis explored stakeholders’ experiences of the different types of co-production. A systematic search of five electronic bibliographic databases, citation tracking of included studies, and consultation with an expert international panel were employed. Of 27,433 unique papers, 30 papers representing 22 studies were retained to describe types, and 23 papers of 18 studies used to synthesise stakeholders’ experiences. Three types were identified: external, individual-level, and system-level capacity-building. Whilst this review showed variability in co-production types, stakeholders involved and processes, shared functions were identified. Students’, school staff, facilitators’ and researchers’ experiences in terms of acceptability, feasibility and undertaking decision-making are discussed. Recommendations for conceptualising and reporting co-production and process evaluations of co-produced school-based health interventions are highlighted

    Evaluating deep learning architecture and data assimilation for improving water temperature forecasts at unmonitored locations

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    Deep learning (DL) models are increasingly used to forecast water quality variables for use in decision making. Ingesting recent observations of the forecasted variable has been shown to greatly increase model performance at monitored locations; however, observations are not collected at all locations, and methods are not yet well developed for DL models for optimally ingesting recent observations from other sites to inform focal sites. In this paper, we evaluate two different DL model structures, a long short-term memory neural network (LSTM) and a recurrent graph convolutional neural network (RGCN), both with and without data assimilation for forecasting daily maximum stream temperature 7 days into the future at monitored and unmonitored locations in a 70-segment stream network. All our DL models performed well when forecasting stream temperature as the root mean squared error (RMSE) across all models ranged from 2.03 to 2.11°C for 1-day lead times in the validation period, with substantially better performance at gaged locations (RMSE = 1.45–1.52°C) compared to ungaged locations (RMSE = 3.18–3.27°C). Forecast uncertainty characterization was near-perfect for gaged locations but all DL models were overconfident (i.e., uncertainty bounds too narrow) for ungaged locations. Our results show that the RGCN with data assimilation performed best for ungaged locations and especially at higher temperatures (>18°C) which is important for management decisions in our study location. This indicates that the networked model structure and data assimilation techniques may help borrow information from nearby monitored sites to improve forecasts at unmonitored locations. Results from this study can help guide DL modeling decisions when forecasting other important environmental variables

    An Open, Large-Scale, Collaborative Effort to Estimate the Reproducibility of Psychological Science

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    Reproducibility is a defining feature of science. However, because of strong incentives for innovation and weak incentives for confirmation, direct replication is rarely practiced or published. The Reproducibility Project is an open, large-scale, collaborative effort to systematically examine the rate and predictors of reproducibility in psychological science. So far, 72 volunteer researchers from 41 institutions have organized to openly and transparently replicate studies published in three prominent psychological journals in 2008. Multiple methods will be used to evaluate the findings, calculate an empirical rate of replication, and investigate factors that predict reproducibility. Whatever the result, a better understanding of reproducibility will ultimately improve confidence in scientific methodology and findings

    Developing a Series of AI Challenges for the United States Department of the Air Force

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    Through a series of federal initiatives and orders, the U.S. Government has been making a concerted effort to ensure American leadership in AI. These broad strategy documents have influenced organizations such as the United States Department of the Air Force (DAF). The DAF-MIT AI Accelerator is an initiative between the DAF and MIT to bridge the gap between AI researchers and DAF mission requirements. Several projects supported by the DAF-MIT AI Accelerator are developing public challenge problems that address numerous Federal AI research priorities. These challenges target priorities by making large, AI-ready datasets publicly available, incentivizing open-source solutions, and creating a demand signal for dual use technologies that can stimulate further research. In this article, we describe these public challenges being developed and how their application contributes to scientific advances

    Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

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    BACKGROUND: Measurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary measures to monitor such changes in population health: disability-adjusted life-years (DALYs) and healthy life expectancy (HALE). We used these measures to track trends and benchmark progress compared with expected trends on the basis of the Socio-demographic Index (SDI). METHODS: We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2016. We calculated DALYs by summing years of life lost and years of life lived with disability for each location, age group, sex, and year. We estimated HALE using age-specific death rates and years of life lived with disability per capita. We explored how DALYs and HALE differed from expected trends when compared with the SDI: the geometric mean of income per person, educational attainment in the population older than age 15 years, and total fertility rate. FINDINGS: The highest globally observed HALE at birth for both women and men was in Singapore, at 75·2 years (95% uncertainty interval 71·9-78·6) for females and 72·0 years (68·8-75·1) for males. The lowest for females was in the Central African Republic (45·6 years [42·0-49·5]) and for males was in Lesotho (41·5 years [39·0-44·0]). From 1990 to 2016, global HALE increased by an average of 6·24 years (5·97-6·48) for both sexes combined. Global HALE increased by 6·04 years (5·74-6·27) for males and 6·49 years (6·08-6·77) for females, whereas HALE at age 65 years increased by 1·78 years (1·61-1·93) for males and 1·96 years (1·69-2·13) for females. Total global DALYs remained largely unchanged from 1990 to 2016 (-2·3% [-5·9 to 0·9]), with decreases in communicable, maternal, neonatal, and nutritional (CMNN) disease DALYs offset by increased DALYs due to non-communicable diseases (NCDs). The exemplars, calculated as the five lowest ratios of observed to expected age-standardised DALY rates in 2016, were Nicaragua, Costa Rica, the Maldives, Peru, and Israel. The leading three causes of DALYs globally were ischaemic heart disease, cerebrovascular disease, and lower respiratory infections, comprising 16·1% of all DALYs. Total DALYs and age-standardised DALY rates due to most CMNN causes decreased from 1990 to 2016. Conversely, the total DALY burden rose for most NCDs; however, age-standardised DALY rates due to NCDs declined globally. INTERPRETATION: At a global level, DALYs and HALE continue to show improvements. At the same time, we observe that many populations are facing growing functional health loss. Rising SDI was associated with increases in cumulative years of life lived with disability and decreases in CMNN DALYs offset by increased NCD DALYs. Relative compression of morbidity highlights the importance of continued health interventions, which has changed in most locations in pace with the gross domestic product per person, education, and family planning. The analysis of DALYs and HALE and their relationship to SDI represents a robust framework with which to benchmark location-specific health performance. Country-specific drivers of disease burden, particularly for causes with higher-than-expected DALYs, should inform health policies, health system improvement initiatives, targeted prevention efforts, and development assistance for health, including financial and research investments for all countries, regardless of their level of sociodemographic development. The presence of countries that substantially outperform others suggests the need for increased scrutiny for proven examples of best practices, which can help to extend gains, whereas the presence of underperforming countries suggests the need for devotion of extra attention to health systems that need more robust support. FUNDING: Bill & Melinda Gates Foundation

    Robust estimation of bacterial cell count from optical density

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    Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals <1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

    Contractual Considerations for Complying with Environmental Requirements: Lessons Learned using a Case Study Approach

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    Due to the raised environmental awareness nowadays, new construction projects-especially those in sensitive areas-must comply with numerous and strict environmental regulations. In fact, it is estimated that the value of issued penalties for non-complying with environmental regulations is $237 million in 2015 alone. Relevant literature discusses issues in environmental management and hazard minimization extensively; yet it falls short in investigating environmental regulation from a contractual angle, i.e., detailing the rights and obligations of the associated stakeholders as related to environmental permits and regulations. This paper aims at providing insights into how construction contracts are impacted by environmental regulation and permitting. The first step was reviewing federal and local U.S. environmental compliance requirements. The second step was analyzing contractual provisions of the San Francisco-Oakland New Bay Bridge project as a representative case study that involved rigorous environmental requirements which were clearly reflected in the associated contractual provisions. Throughout these steps, the authors developed: (1) an extensive checklist formed of 95 questions under 11 categories that assists parties in drafting contractual provisions related to environmental regulations and permitting, and (2) a preliminary transaction cost theory framework for assisting owners in making organizational decisions related to environmental compliance. This study provides better means for owners and contractors entering into projects of critical environmental conditions to efficiently understand and draft the special provisions related to environmental compliance. Eventually, this will lead to decreasing the number of environmental disputes and penalties resulting from poor contract drafting and administration

    Evaluation of breed-dependent differences in the innate immune responses of Holstein and Jersey cows to Staphylococcus aureus intramammary infection

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    Mastitis is one of the most prevalent diseases of cattle. Various studies have reported breed-dependent differences in the risk for developing this disease. Among two major breeds, Jersey cows have been identified as having a lower prevalence of mastitis than Holstein cows. It is well established that the nature of the initial innate immune response to infection influences the ability of the host to clear harmful bacterial pathogens. Whether differences in the innate immune response to intramammary infections explain, in part, the differential prevalence of mastitis in Holstein and Jersey cows remains unknown. The objective of the current study was to evaluate several parameters of the innate immune response of Holstein and Jersey cows to intramammary infection with Staphylococcus aureus, a common mastitis-inducing pathogen. To control for non-breed related factors that could influence these parameters, all cows were of the same parity, in similar stages of milk production, housed and managed under identical conditions, and experimentally infected and sampled in parallel. The following parameters of the innate immune response were evaluated: acute phase protein synthesis of serum amyloid A and lipopolysaccharide-binding protein; total and differential circulating white blood cell counts; milk somatic cell counts; mammary vascular permeability; milk N-acetyl-beta-D-glucosaminidase (NAGase) activity; and production of the cytokines, interferon (IFN)-gamma, interleukin (IL)-12, tumour growth factor(TGF)-alpha, and TGF-beta 1. The temporal response of all of these parameters following infection was similar between Holstein and Jersey cows. Further, with the exception of changes in circulating neutrophils and NAGase activity, the overall magnitude of these parameters were also comparable. Together, these data demonstrate that the innate immune response of Holstein and Jersey cows to Staph. aureus intramammary infection remains highly conserved despite previously reported differences in mastitis prevalence, as well as genotypic and phenotypic traits, that exist between the two breeds

    Contractual Implications of Environmental Compliance Requirements in Construction Projects

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    Environmental compliance requirements are becoming more important in today\u27s construction industry due to the increasing number of environmental regulations imposed on many projects as well as the encroachment of various projects on environmentally sensitive areas. In 2015, the estimated total administrative and judicial penalties for environmental noncompliances in the United States was $237 million. To this end, various research efforts have investigated interrelated issues, including environmental impact assessment, environmental performance, and developing environmental practices on construction sites to minimize environmental hazards and comply with regulations. However, to date, there have been very limited studies examining the contractual framework detailing the rights and obligations of contractors and owners as related to environmental permits and regulations. The goal of this research is to provide contract administration guidelines related to the implications of environmental regulations and permitting in construction projects. This study used a multistep interdependent research methodology that involved (1) analyzing contractual provisions of the San Francisco-Oakland New Bay Bridge (SFONBB) as a representative project that involved rigorous environmental requirements in a sensitive area that were clearly reflected in the associated contractual provisions; (2) extracting the learned contractual lessons from the SFONBB project and recommendations that highlight the conditions that should be carefully considered in similar future projects; and (3) developing an extensive checklist to be used by the associated parties in drafting contractual provisions relevant to environmental regulations and permitting. Outcomes of this research will support stakeholders associated with construction projects - that have critical environmental conditions - with the knowledge required to better understand and draft the special contractual considerations associated with these types of projects. Ultimately, this study aims to play a positive role in minimizing environmental disputes caused by poor contract administration
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