Suchergebnisse

Inequalities with respect to the distribution of societal resources can predispose people to vulnerability, which has led to a growing concern across America. The Federal Government has taken a leadership role and has launched several initiatives to combat health inequalities experienced by vulnerable populations. The National Institute of Health and all of its institutes, including the National Institute of Nursing Research, have written strategic plans to reduce, and ultimately, eliminate such health disparities. Nursing research has been conducted in the setting of vulnerable populations; several theoretical models for studying vulnerability have been created; and interventional studies designed to reduce health disparities have been implemented. This introduction includes the following: (a) a definition of the concept of vulnerability and health disparities; (b) a discussion of the conceptual models of vulnerability and health disparity and their applications; (c) a description of the impact of federal funding on vulnerable populations research; (d) a synopsis of the contributions made by nurse researchers in the field of vulnerable populations research; and (e) an overview of the volume.

Recent interest in ethical AI has brought a slew of values, including fairness, into conversations about technology design. Research in the area of algorithmic fairness tends to be rooted in questions of distribution that can be subject to precise formalism and technical implementation. We seek to expand this conversation to include the experiences of people subject to algorithmic classification and decision-making. By examining tweets about the "Twitter algorithm" we consider the wide range of concerns and desires Twitter users express. We find a concern with fairness (narrowly construed) is present, particularly in the ways users complain that the platform enacts a political bias against conservatives. However, we find another important category of concern, evident in attempts to exert control over the algorithm. Twitter users who seek control do so for a variety of reasons, many well justified. We argue for the need for better and clearer definitions of what constitutes legitimate and illegitimate control over algorithmic processes and to consider support for users who wish to enact their own collective choices.

Advanced Internet services increasingly rely on many components to implement their functionality. These composite services have three important features: they are expensive to deploy, components need to be placed intelligently close to the users to improve quality of experience and they will potentially consume significant amounts of bandwidth. This paper presents Triptych, a multi-objective optimisation framework that tries to optimise according these three dimensions to help the three main stakeholders in the Internet ecosystem: users, application providers and network providers. Triptych implements evolutionary computation approaches for this complex problem, which simultaneously optimise service deployment costs, latency-based user utility and network congestion. These algorithms provide possible operating points, bringing important tools for network managements and resource allocation. A large set of simulations under different scenarios are provided to validate the algorithms. ; This work has been supported by the US Army Research Laboratory and the UK Ministry of Defence (agreement number W911NF-16-3-0001) and has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 761699 (5G-MEDIA). ...

Development of a global HIV vaccine will require enrollment of a large number of adults and adolescents in clinical trials. Involvement of homeless young adults in these trials will be particularly important because they often practice high-risk behaviors and are disproportionately infected by HIV. This qualitative study explores factors that might affect future participation of homeless 18- to 24-year-olds of diverse racial/ethnic backgrounds in HIV vaccine trials (HIVVTs). Twenty males and females attended focus groups. Participants expressed concern about seroconversion, the trustworthiness of the researchers and/or government agencies conducting trials, vaccine side effects, and possible negative behavior change as a result of being vaccinated. Understanding the personal perspectives of high-risk young adults will enable researchers to tailor protocols to their individual needs and cultural values and, in so doing, potentially enhance willingness to participate in HIVVTs.

Owing to a change in the Australian government's paradigm to increase the nations' presence in space, Australian universities and government organisations schedule affordable, routine in-space missions using nano-satellites with off-the-shelf payloads combined with special-purpose scientific instrumentation. However, due to small characteristic lengths in nano-satellites, thin flexible mechanisms such as deployable sun sails or antennas get proportionally larger. Together with higher mass and packaging restrictions, the stability behaviour of these fragile structures poses a significant problem for the spacecraft's overall stability and attitude control owing to both changing environmental loads and internal micro-vibrational disturbances.Here, the vibration modes of a deployable tape spring HF antenna are investigated and characterised by means of a sensitivity study. Especially torsional modes appear very sensitive to small load changes and imperfections in the material. Using a global variance-based sensitivity study it is shown that reducing thickness and density imperfections can control certain buckling modes. Various laminates in the form of uni- and bi-directional nylon and glass-fibre re-enforced scotch tapes as well as Kapton tape are experimentally tested, applied to either the full or the partial antenna. Partially laminating the antenna structure with a double layer of bi-directional glass-fibre re-enforced Scotch and Kapton tape provides highest stability and good damping properties, especially for torsional modes without compromising packaging and weight too much.

We conducted Community-Based Participatory Research (CBPR), using a qualitative focus group design, to assess factors that might impact participation of high-risk impoverished adults in future HIV Vaccine Trials (HIVVTs). The participants were 40 homeless and low-income adults recruited from subsidized apartments and homeless shelters in Los Angeles. Findings revealed that the participants expressed both concerns and interest in future HIVVTs. Concerns centered on the impact of the vaccine on their physical health, the possibility of seroconverting and its associated stigma. While distrust of the government was pervasive, the participants were interested in receiving more information about the vaccine from the researchers. They also wished to have their voices heard by the researchers early in the design of the vaccines. Motivating factors were also discovered, and included altruism, compensation and access to care. Perception that risk behaviors might increase among some as a result of participation in a future HIVVT was likewise revealed. Implications of the study reveal that while impoverished populations are interested in participating in future HIVVTs, the researchers must address concerns early on. Moreover, the importance of ongoing education and counseling to warn about hazards of engaging in risky behavior while participating in a future HIVVT was critical. © Taylor & Francis Ltd.

An international team of scientists from government agencies and universities in the United States, U.S. Virgin Islands (USVI), Trinidad & Tobago, the Republic of Cape Verde, and the Republic of Mali (West Africa) is working together to elucidate the role Saharan dust may play in the degradation of Caribbean ecosystems. The first step has been to identify and quantify the persistent organic pollutants (POPs), trace metals, and viable microorganisms in the atmosphere in dust source areas of West Africa, and in dust episodes at downwind sites in the eastern Atlantic (Cape Verde) and the Caribbean (USVI and Trinidad & Tobago). Preliminary findings show that air samples from Mali contain a greater number of pesticides, polychlorinated biphenyls (PCBs) and polycyclic aromatic hydrocarbons (PAHs) and in higher concentrations than the Caribbean sites. Overall, POP concentrations were similar in USVI and Trinidad samples. Trace metal concentrations were found to be similar to crustal composition with slight enrichment of lead in Mali. To date, hundreds of cultureable microorganisms have been identified from Mali, Cape Verde, USVI, and Trinidad air samples. The sea fan pathogen, Aspergillus sydowii, has been identified in soil from Mali and in air samples from dust events in the Caribbean. We have shown that air samples from a dust-source region contain orders of magnitude more cultureable microorganisms per volume than air samples from dust events in the Caribbean, which in turn contain 3-to 4-fold more cultureable microbes than during non-dust conditions. Rev. Biol. Trop. 54 (Suppl. 3): 9-21. Epub 2007 Jan. 15. ; Un grupo internacional de agencias gubernamentales y universidades de los Estados Unidos, las Islas Vírgenes (EUA), Trinidad y Tobago, la República de Cabo Verde y la República de Mali (África Oeste), está trabajando en conjunto para elucidar el papel que el polvo del Sahara puede estar jugando en el deterioro de los ecosistemas caribeños. El primer paso ha sido identificar y cuantificar los ...

The National Beef Quality Audit (NBQA) is conducted every 5 yr and was most recently again conducted in 2016. Face-to-face interviews gauged progress in quality associated with live cattle production using procedures first utilized in NBQA 2011. The 2016 NBQA was the first in which interviews concerning fed steers and heifers were combined with an audit of market cow and bull beef. Face-to-face interviews were designed to illicit definitions for beef quality, estimate willingness to pay (WTP) for quality attributes, establish relative importance rankings for important quality factors, and assess images, strengths, weaknesses, potential threats, and shifting trends in the beef industry since the 2011 audit. Individuals making purchasing decisions in 5 market sectors of the steer/heifer and cow/bull beef supply chain were interviewed, including packers (n = 36), retailers (including large and small supermarket companies and warehouse food sales companies; n = 35), food service operators (including quick-serve, full-service, and institutional establishments; n = 29), further processors (n = 64), and peripherally-related government and trade organizations (GTO; n = 30). Face-to-face interviews were conducted between January and November of 2016 using a designed dynamic routing system. Definitions (as described by interviewees) for 7 pre-determined quality factors, including: (1) How and where the cattle were raised, (2) Lean, fat, and bone, (3) Weight and size, (4) Visual characteristics, (5) Food safety, (6) Eating satisfaction, and (7) Cattle genetics were recorded verbatim and categorized into similar responses for analysis. Compared to NBQA-2011, a higher percentage of companies were willing to pay premiums for guaranteed quality attributes, but overall were willing to pay lower average premiums than the companies interviewed in 2011. Food safety had the highest share of preference among all interviewees, generating a double-digit advantage over any other quality factor. The 2 beef industries have an overall ...