Understanding the pregnancy experiences of female sex workers (FSWs), especially in the context of high rates of HIV and sexually transmitted infections (STIs), is essential to tailoring services to meet their needs. This study explores FSWs' experiences with intended pregnancy and access to antenatal care and HIV testing in two regions of Tanzania. Thirty in‐depth interviews and three focus group discussions were conducted. FSWs sought to become pregnant to gain respect as mothers, to avoid stigma, and/or to solidify relationships, sometimes posing risks to their own and their partners' health. Pregnant FSWs generally sought antenatal care (ANC) services but rarely disclosed their occupation, complicating provision of appropriate care. Accessing ANC services presented particular challenges, with health care workers sometimes denying all clinic services to women who were not accompanied by husbands. Several participants reported being denied care until delivery. The difficulties participants reported in accessing health care services as both sex workers and unmarried women have potential social and health consequences in light of the high levels of HIV and STIs among FSWs in sub‐Saharan Africa.
In the field of HIV prevention, there is renewed interest in operations research (OR) within an implementation science framework. The ultimate goal of such studies is to generate new knowledge that can inform local programmes and policies, thus improving access, quality, efficiency and effectiveness. Using four case studies from the USAID‐funded Research to Prevention (R2P) project, we highlight the strategic use of OR and the impact it can have on shaping the focus and content of HIV prevention programming across geographic and epidemic settings and populations. These case studies, which include experiences from several sub‐Saharan African countries and the Caribbean, emphasize four unique ways that R2P projects utilized OR to stimulate change in a given context, including: (1) translating findings from clinical trials to real‐world settings; (2) adapting promising structural interventions to a new context; (3) tailoring effective interventions to underserved populations; and (4) prioritizing key populations within a national response to HIV. Carefully crafted OR can bridge the common gap that exists between research‐generated knowledge and field‐based practice, lead to substantial, real‐world changes in national policies and programmes, and strengthen local organizations and the use of data to be more responsive to a given topic or population, ultimately supporting a locally tailored HIV response.
IntroductionThe Ontario Brain Institute (OBI) is a provincially funded, not-for-profit organization that accelerates discovery and innovation, benefiting both patients and the economy (Stuss, 2014). OBI has established a large-scale neuroinformatics platform - Brain-CODE - to support the collection, storage, federation, sharing, and analysis of different data types across several brain disorders (Behan et al., 2023; Vaccarino et al., 2018). A privacy preserving record linkage protocol was developed to allow for the linkage of research data at Brain-CODE with health administrative data holdings at the Institute for Clinical Evaluative Sciences (ICES) (Gee et al., 2018). Objective and ApproachThe methodology related to an ongoing crosswalk linkage between OBI and ICES, to allow for more seamless integration between the respective data holdings, has been previously presented (Behan et al., 2020). This methodology has since been operationalized leading to the establishment of an ongoing crosswalk linkage that is updated on an annual basis. ResultsSince the initial development of this ongoing crosswalk, two updates have been successfully completed leading to the linkage of over 7,000 study participants between the two platforms. This has led to a more efficient utilization of human and computational resources, compared to earlier data linkage projects completed on a project-by-project basis. Analysis projects in the areas of neurodegeneration, concussion, and neurodevelopmental disorders have already leveraged this crosswalk linkage process. Conclusions/ImplicationsThe establishment of this ongoing crosswalk linkage has supported a more streamlined approach of data linkage activities between OBI and ICES allowing for enhanced neuroscience-focused research activities.
Metal hydrides are known as a potential efficient, low-risk option for high-density hydrogen storage since the late 1970s. In this paper, the present status and the future perspectives of the use of metal hydrides for hydrogen storage are discussed. Since the early 1990s, interstitial metal hydrides are known as base materials for Ni – metal hydride rechargeable batteries. For hydrogen storage, metal hydride systems have been developed in the 2010s [1] for use in emergency or backup power units, i. e. for stationary applications. With the development and completion of the first submarines of the U212 A series by HDW (now Thyssen Krupp Marine Systems) in 2003 and its export class U214 in 2004, the use of metal hydrides for hydrogen storage in mobile applications has been established, with new application fields coming into focus. In the last decades, a huge number of new intermetallic and partially covalent hydrogen absorbing compounds has been identified and partly more, partly less extensively characterized. In addition, based on the thermodynamic properties of metal hydrides, this class of materials gives the opportunity to develop a new hydrogen compression technology. They allow the direct conversion from thermal energy into the compression of hydrogen gas without the need of any moving parts. Such compressors have been developed and are nowadays commercially available for pressures up to 200 bar. Metal hydride based compressors for higher pressures are under development. Moreover, storage systems consisting of the combination of metal hydrides and high-pressure vessels have been proposed as a realistic solution for on-board hydrogen storage on fuel cell vehicles. In the frame of the "Hydrogen Storage Systems for Mobile and Stationary Applications" Group in the International Energy Agency (IEA) Hydrogen Task 32 "Hydrogen-based energy storage" different compounds have been and will be scaled-up in the near future and tested in the range of 500 g to several hundred kg for use in hydrogen storage applications ; The research for the lab-scale compressor is part of the activities of SCCER HaE, which is financially supported by Innosuisse - Swiss Innovation Agency . The authors thank the Alexander von Humboldt Foundation in the frame of the post-doctoral fellowship of Dr. J. Puszkiel (No. 1187279 STP ) as well as the European Union for their funding of projects STORHY (contract Nr. SES6-CT-2004-502667 , FP6-2002-Energy-1, 6.1.3.2.2), NESSHY (contract Nr. 518271 , FP6-2004-Energy-3, 6.1.3.2.2) and the EU Horizon 2020 /RISE project HYDRIDE4MOBILITY. Financial support from the S02 and KP8 S05), the European Union's Seventh Framework Programme ( FP7/2007e2013 ) for the Fuel Cells and Hydrogen Joint Technology Initiative under grant agreement no. 256653 (SSH2S), from the European Fuel Cells and Hydrogen Joint Undertaking in the framework of BOR4STORE (Grant agreement no. 303428 ), from the Australian Research Council for grants LP120101848 , LP150100730 , and LE0989180 , The Innovation Fund Denmark (project HyFill-Fast), DST within Hydrogen South Africa/HySA programme (projects KP3 National Research Foundation/NRF of South Africa , incentive funding grant number 109092 and the Research Council of Norway (project 285147 ) is thankfully acknowledged