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SUPPORTING THE USE OF RESEARCH EVIDENCE TO INFORM DECISION-MAKING IN CRISIS ZONES / EVIDENCE-INFORMED DECISION-MAKING IN CRISIS ZONESKhalid, Ahmad Firas January 2019 (has links)
Many strategies can be used to support the use of research evidence in decision-making. However, such strategies have been understudied in crisis zones, where decision-making may be particularly complex, many factors may influence decision-makers’ use of research evidence, and professional judgements may be particularly relied upon. Using synthesis and qualitative research methods, this dissertation examines the role of research evidence in crisis zones and strategies to support its use in decision-making.
First, chapter 2 describes a critical interpretive synthesis, which drew upon a broad body of literature around evidence use in crisis zones to develop a new conceptual framework that outlines strategies that leverage the facilitators and address the barriers to evidence use in crisis zones in four systems, namely the political, health, international humanitarian aid, and health research systems. Second, in chapter 3, the focus narrows, and an embedded qualitative case study design was used to gain a deeper understanding into one of the four identified systems, the political system, and specifically the factors that influenced the use of research evidence in the governmental health policy-development processes for Syrian refugees in Lebanon and Ontario. Finally, in chapter 4, a user testing study design was used to zero-in on decision-makers’ experiences with a particular strategy within the health research system, namely an evidence website focused specifically on topics relevant in crisis zones.
This dissertation provides a rich understanding of research evidence use by examining knowledge translation strategies in a setting that has been largely unexplored in the broader KT map: crisis zones. The findings from this thesis point to the need for comprehensive strategies to support evidence use in decision-making that draw upon the existing literature and are adapted for crisis zones, which can occur sequentially or simultaneously within or across the four identified systems. / Thesis / Doctor of Philosophy (PhD) / In humanitarian aid, and specifically in crisis zones, there are many different types of information decision-makers can draw from when making decisions. One specific type of information is research evidence; however, the use of research evidence, and the ways it can inform decision-making in crisis zones, has been understudied. This dissertation addresses this key gap in understanding by: 1) developing a new tool that can help decisions-makers use research evidence to inform their decisions in crisis zones within the political, health, humanitarian aid and health research systems; 2) examining the factors that influence the use of research evidence in the governmental health policy-development processes for Syrian refugees in Lebanon and Ontario; and 3) examining the perspectives of decisions-makers around using one way of supporting the use of research evidence — an evidence website — to support evidence-informed decision-making in crisis zones.
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A comparison of geocoding baselayers for electronic medical record data analysisSeverns, Christopher Ray 16 January 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Identifying spatial and temporal patterns of disease occurrence by mapping the residential locations of affected people can provide information that informs response by public health practitioners and improves understanding in epidemiological research. A common method of locating patients at the individual level is geocoding residential addresses stored in electronic medical records (EMRs) using address matching procedures in a geographic information system (GIS). While the process of geocoding is becoming more common in public health studies, few researchers take the time to examine the effects of using different address databases on match rate and positional accuracy of the geocoded results. This research examined and compared accuracy and match rate resulting from four commonly-used geocoding databases applied to sample of 59,341 subjects residing in and around Marion County/ Indianapolis, IN. The results are intended to inform researchers on the benefits and downsides to their selection of a database to geocode patient addresses in EMRs.
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Reliability of the COntext Assessment for Community Health (COACH) tool when administered on mobile phones versus pen-paper: A comparative study among healthcare staff in Nairobi, Kenya.Cederqvist, Melissa January 2015 (has links)
Aim: To investigate the reliability of the COntext Assessment for Community Health (COACH) tool on mobile phone versus pen-paper in Nairobi, Kenya. Background: One of the barriers to the progress of the MDGs has been the failure of health systems in many LMICs to effectively implement evidence-based interventions As a result of the “know-do” gap, patients do not benefit from advances in healthcare and are exposed to unnecessary risks. Better mapping of context improves implementation by allowing tailoring of strategies and interpretation of knowledge translation. COACH investigates healthcare contexts for LMICs and has only been used on pen-paper. With 5 billion mobile phone users globally, mobile technologies is being recognized as able to play a formal role in health services. Methods: Comparative study with 140 nurses/midwives and doctors in four hospitals in Nairobi. 70 were randomly assigned to mobile phone and pen-paper each. The tool was administered twice with a two week interval and test-retest reliability, internal consistency and interrater reliability were assessed. Findings: Excellent test-retest reliability for both pen-paper and mobile phone (ICC >0.81). 45% (pen-paper) and 34% (mobile phone) moderate agreement between individual questions in round 1 and 2. Acceptable average Cronbach’s alpha (>0.70). Conclusion: Both mobile phone and pen-paper were reliable and feasible for data collection. The findings are a good first step towards using COACH in Kenya. Additional research is needed for individual settings. Using mobile phones could increase healthcare facilities’ accessibility in implementation research, helping to close the “know-do” gap and reach the SDGs.
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Values and symbols: An intercultural analysis of web pages on the InternetMosquera, Aura Constanza 01 January 2004 (has links)
The author examines how a North American commercial Web site developed by Environmental Systems Research Institute serves as a vehicle through which American hegemony and cultural imperialism are propagated to Latin America. The author argues that the content of the web site pages, which contain American cultural symbols and values, may serve to influence or change the values of its Latin American visitors.
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Supprimer les paiements directs des soins en Afrique subsaharienne : débat international, défis de mise en oeuvre et revue réaliste du recours aux soinsRobert, Emilie 01 1900 (has links)
No description available.
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Modeling, monitoring and optimization of discrete event systems using Petri netsYan, Jiaxiang 29 January 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Yan, Jiaxiang. M.S.E.C.E., Purdue University, May 2013. Modeling, Monitoring and Optimization of Discrete Event Systems Using Petri Nets. Major Professor: Lingxi Li. In last decades, the research of discrete event systems (DESs) has attracts more and more attention because of the fast development of intelligent control strategies. Such control measures combine the conventional control strategies with discrete
decision-making processes which simulate human decision-making processes. Due to the scale and complexity of common DESs, the dedicated models, monitoring methods and optimal control strategies for them are necessary. Among various DES models, Petri nets are famous for the advantage in dealing with asynchronous processes. They have been widely applied in intelligent transportation systems (ITS) and communication technology in recent years. With encoding of the Petri net state, we can also
enable fault detection and identification capability in DESs and mitigate potential human
errors. This thesis studies various problems in the context of DESs that can be modeled by Petri nets. In particular, we focus on systematic modeling, asynchronous monitoring and optimal control strategies design of Petri nets. This thesis starts by looking at the systematic modeling of ITS. A microscopic
model of signalized intersection and its two-layer timed Petri net representation is
proposed in this thesis, where the first layer is the representation of the intersection
and the second layer is the representation of the traffic light system. Deterministic and
stochastic transitions are both involved in such Petri net representation. The detailed
operation process of such Petri net representation is stated. The improvement of such Petri net representation is also provided with comparison to previous models. Then we study the asynchronous monitoring of sensor networks. An event sequence reconstruction algorithm for a given sensor network based on asynchronous observations of its state changes is proposed in this thesis. We assume that the sensor network is modeled as a Petri net and the asynchronous observations are in the
form of state (token) changes at different places in the Petri net. More specifically,
the observed sequences of state changes are provided by local sensors and are asynchronous,
i.e., they only contain partial information about the ordering of the state changes that occur. We propose an approach that is able to partition the given net into several subnets and reconstruct the event sequence for each subnet. Then we develop an algorithm that is able to reconstruct the event sequences for the entire net that are consistent with: 1) the asynchronous observations of state changes; 2)
the event sequences of each subnet; and 3) the structure of the given Petri net. We discuss the algorithmic complexity. The final problem studied in this thesis is the optimal design method of Petri net controllers with fault-tolerant ability. In particular, we consider multiple faults detection and identification in Petri nets that have state machine structures (i.e., every transition in the net has only one input place and one output place). We develop the approximation algorithms to design the fault-tolerant Petri net controller which achieves the minimal number of connections with the original controller. A design example for an automated guided vehicle (AGV) system is also provided to illustrate our approaches.
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An exploratory study using the predicate-argument structure to develop methodology for measuring semantic similarity of radiology sentencesNewsom, Eric Tyner 12 November 2013 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / The amount of information produced in the form of electronic free text in healthcare is increasing to levels incapable of being processed by humans for advancement of his/her professional practice. Information extraction (IE) is a sub-field of natural language processing with the goal of data reduction of unstructured free text. Pertinent to IE is an annotated corpus that frames how IE methods should create a logical expression necessary for processing meaning of text. Most annotation approaches seek to maximize meaning and knowledge by chunking sentences into phrases and mapping these phrases to a knowledge source to create a logical expression. However, these studies consistently have problems addressing semantics and none have addressed the issue of semantic similarity (or synonymy) to achieve data reduction. To achieve data reduction, a successful methodology for data reduction is dependent on a framework that can represent currently popular phrasal methods of IE but also fully represent the sentence. This study explores and reports on the benefits, problems, and requirements to using the predicate-argument statement (PAS) as the framework. A convenient sample from a prior study with ten synsets of 100 unique sentences from radiology reports deemed by domain experts to mean the same thing will be the text from which PAS structures are formed.
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An Automated Grid-Based Robotic Alignment System for Pick and Place ApplicationsBearden, Lukas R. 12 1900 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / This thesis proposes an automated grid-based alignment system utilizing lasers and an array of light-detecting photodiodes. The intent is to create an inexpensive and scalable alignment system for pick-and-place robotic systems. The system utilizes the transformation matrix, geometry, and trigonometry to determine the movements to align the robot with a grid-based array of photodiodes.
The alignment system consists of a sending unit utilizing lasers, a receiving module consisting of photodiodes, a data acquisition unit, a computer-based control system, and the robot being aligned. The control system computes the robot movements needed to position the lasers based on the laser positions detected by the photodiodes. A transformation matrix converts movements from the coordinate system of the grid formed by the photodiodes to the coordinate system of the robot. The photodiode grid can detect a single laser spot and move it to any part of the grid, or it can detect up to four laser spots and use their relative positions to determine rotational misalignment of the robot.
Testing the alignment consists of detecting the position of a single laser at individual points in a distinct pattern on the grid array of photodiodes, and running the entire alignment process multiple times starting with different misalignment cases. The first test provides a measure of the position detection accuracy of the system, while the second test demonstrates the alignment accuracy and repeatability of the system.
The system detects the position of a single laser or multiple lasers by using a method similar to a center-of-gravity calculation. The intensity of each photodiode is multiplied by the X-position of that photodiode. The summed result from each photodiode intensity and position product is divided by the summed value of all of the photodiode intensities to get the X-position of the laser. The same thing is done with the Y-values to get the Y-position of the laser. Results show that with this method the system can read a single laser position value with a resolution of 0.1mm, and with a maximum X-error of 2.9mm and Y-error of 2.0mm. It takes approximately 1.5 seconds to process the reading.
The alignment procedure calculates the initial misalignment between the robot and the grid of photodiodes by moving the robot to two distinct points along the robot’s X-axis so that only one laser is over the grid. Using these two detected points, a movement trajectory is generated to move that laser to the X = 0, Y = 0 position on the grid. In the process, this moves the other three lasers over the grid, allowing the system to detect the positions of four lasers and uses the positions to determine the rotational and translational offset needed to align the lasers to the grid of photodiodes. This step is run in a feedback loop to update the adjustment until it is within a permissible error value. The desired result for the complete alignment is a robot manipulator positioning within ±0.5mm along the X and Y-axes. The system shows a maximum error of 0.2mm in the X-direction and 0.5mm in the Y-direction with a run-time of approximately 4 to 5 minutes per alignment. If the permissible error value of the final alignment is tripled the alignment time goes down to 1 to 1.5 minutes and the maximum error goes up to 1.4mm in both the X and Y-directions. The run time of the alignment decreases because the system runs fewer alignment iterations.
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Designing and experimenting with e-DTS 3.0Phadke, Aboli Manas 29 August 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / With the advances in embedded technology and the omnipresence of smartphones,
tracking systems do not need to be confined to a specific tracking environment. By introducing mobile devices into a tracking system, we can leverage their mobility and the
availability of multiple sensors such as camera, Wi-Fi, Bluetooth and Inertial sensors. This thesis proposes to improve the existing tracking systems, enhanced Distributed Tracking System (e-DTS 2.0) [19] and enhanced Distributed Object Tracking System (eDOTS)[26], in the form of e-DTS 3.0 and provides an empirical analysis of these improvements. The enhancements proposed are to introduce Android-based mobile devices into the tracking system, to use multiple sensors on the mobile devices such as the camera, the Wi-Fi and Bluetooth sensors and inertial sensors and to utilize possible resources that may be available in the environment to make the tracking opportunistic. This thesis empirically validates the proposed enhancements through the experiments carried out on a prototype of e-DTS 3.0.
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Solar Micro InverterHegde, Shweta January 2014 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / The existing topologies of solar micro inverter use a number of stages before the DC input voltage can be converted to AC output voltage. These stages may contain one or more power converters. It may also contain a diode rectifier, transformer and filter. The number of active and passive components is very high. In this thesis, the design of a new solar micro inverter is proposed. This new micro inverter consists of a new single switch inverter which is obtained by modifying the already existing single ended primary inductor (SEPIC) DC-DC converter. This new inverter is capable of generating pure sinusoidal waveform from DC input voltage. The design and operation of the new inverter are studied in detail. This new inverter works with a controller to produce any kind of output waveform. The inverter is found to have four different modes of operation. The new inverter is modeled using state space averaging. The system is a fourth order system which is non-linear due to the inherent switching involved in the circuit. The system is linearized around an operating point to study the system as a linear system. The control to output transfer function of the inverter is found to be non-minimum phase. The transfer functions are studied using root locus. From the control perspective, the presence of right half zero makes the design of the controller structure complicated. The PV cell is modeled using the cell equations in MATLAB. A maximum power point tracking (MPPT) technique is implemented to make sure the output power of the PV cell is always maximum which allows full utilization of the power from the PV cell. The perturb and observe (P&O) algorithm is the simplest and is used here. The use of this new inverter eliminates the various stages involved in the conventional solar micro inverter. Simulation and experimental results carried out on the setup validate the proposed structure of inverter.
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