scholarly journals Adaptation and collaborative CLTS pathways: Experiential learning from mistakes and iterative changes for success

2021 ◽  
Author(s):  
Benbella Dektar
Keyword(s):  
Rural Communities ◽  
Experiential Learning ◽  
Feedback Loops ◽  
Point Of View ◽  
Social Settings ◽  
Learning Labs ◽  
Community Based Organization ◽  
Implementation Experience ◽  
Innovative Approaches

Abstract BackgroundThis paper draws learnings and successes based on field implementation experience spanning four years (2016–2019) of implementing CLTS by Prince of Peace Orphans and Widows Vision, a community-based organization located in Kaberamaido district in eastern Uganda.MethodsThe study aimed to document, disseminate and inform from an evidence-based point of view how adaptation and collaborative engagements triggers learning from mistakes to inform iterative changes from improvements and success.This is a descriptive paper that used project documents review based on field implementation experience. Existing project reports were synthesised, collated and curated for evidence. Data were drawn from project reports and records to inform narratives in writing. Implementation of the project was executed in homogenous rural communities occupied by people of the same dialect, cultural and social settings.ResultsWe note that success in CLTS implementation can hardly be achieved by merely following prescriptions in handbooks and guidelines but rather by devising innovative community engagement and other participatory and community-driven techniques that foster adaptive management, promote ownership, and buy-in.Having learned from our failures, we used data to inform decisions and transformatively deviated from traditional CLTS implementation and introduced high impact and innovative approaches such as the use of CLTS helpdesks and Situation room, the Pamoja approach, learning labs and iterative feedback loops, innovatively tackling slippage and carefully introducing the follow-up mandona approach. These enhanced experiential learning and ultimately resulted in sustained sanitation behaviour.ConclusionsThe CLTS approach as outlined in the handbook needs to be flexibly adapted to address contextual needs. Reflective and learning sessions reinforced with routine feedback loops from implementers and beneficiaries yields tremendous results, propagates experiential learning, and ultimately results in a transformative deviation from undesirable to desired sanitation behaviours. These innovative approaches once carefully blended have proved to be sustainable, are adaptable and can work in an even larger scale and in a variety of contexts.

scholarly journals Adaptation and Collaborative CLTS Pathways: Experiential Learning from Mistakes and Iterative Changes for Success

2021 ◽  
Author(s):  
Benbella Dektar
Keyword(s):  
Rural Communities ◽  
Experiential Learning ◽  
Feedback Loops ◽  
Point Of View ◽  
Social Settings ◽  
Learning Labs ◽  
Community Based Organization ◽  
Implementation Experience ◽  
Innovative Approaches

Background This paper draws learnings and successes based on field implementation experience spanning four years (2016–2019) of implementing CLTS by Prince of Peace Orphans and Widows Vision, a community-based organization located in Kaberamaido district in eastern Uganda. Methods The study aimed to document, disseminate and inform from an evidence-based point of view how adaptation and collaborative engagements triggers learning from mistakes to inform iterative changes from improvements and success.This is a descriptive paper that used project documents review based on field implementation experience. Existing project reports were synthesised, collated and curated for evidence. Data were drawn from project reports and records to inform narratives in writing. Implementation of the project was executed in homogenous rural communities occupied by people of the same dialect, cultural and social settings. Results We note that success in CLTS implementation can hardly be achieved by merely following prescriptions in handbooks and guidelines but rather by devising innovative community engagement and other participatory and community-driven techniques that foster adaptive management, promote ownership, and buy-in.Having learned from our failures, we used data to inform decisions and transformatively deviated from traditional CLTS implementation and introduced high impact and innovative approaches such as the use of CLTS helpdesks and Situation room, the Pamoja approach, learning labs and iterative feedback loops, innovatively tackling slippage and carefully introducing the follow-up mandona approach. These enhanced experiential learning and ultimately resulted in sustained sanitation behaviour. Conclusions The CLTS approach as outlined in the handbook needs to be flexibly adapted to address contextual needs. Reflective and learning sessions reinforced with routine feedback loops from implementers and beneficiaries yields tremendous results, propagates experiential learning, and ultimately results in a transformative deviation from undesirable to desired sanitation behaviours. These innovative approaches once carefully blended have proved to be sustainable, are adaptable and can work in an even larger scale and in a variety of contexts.

Circulating matrix metaloproteinases as biomarkers in colorectalcancer

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Colorectal Cancer ◽  
Tumor Markers ◽  
Point Of View ◽  
Tissue Inhibitors ◽  
Natural Tissue

The aim of this research is to offer comprehensive point of view related to perspective tumor markers called matrix metaloproteinases and their natural tissue inhibitors. Those markers are potentially useable mainly in postoperative follow-up in patients with colorectal cancer.

Innovative approaches reaching underserved and rural communities to improve epilepsy care: A review of the methodology of the Connectors Project

2019 ◽  
Vol 90 ◽  
pp. 273-283 ◽  
Author(s):  
Steven Owens ◽  
Joseph I. Sirven ◽  
Patricia O. Shafer ◽  
Jesse Fishman ◽  
Imane Wild ◽  
...  
Keyword(s):  
Rural Communities ◽  
Innovative Approaches

scholarly journals The crisis of European spatial development policy

2005 ◽  
Vol 85 (2) ◽  
pp. 111-118 ◽  
Author(s):  
Dejan Djordjevic ◽  
Tijana Dabovic
Keyword(s):  
European Union ◽  
Development Policy ◽  
Spatial Development ◽  
Point Of View ◽  
The European Union ◽  
Specific Point ◽  
Policy Document ◽  
Spatial Policy ◽  
Development Perspective

Although the European Union has no formal authority in the area of spatial policy, in sectoral policies can have a clear spatial impact. In this sense it conducts a de facto - and usually uncoordinated - form of spatial policy. An informal policy document produced six years ago sought to remedy this by offering an embryonic form of European spatial policy: the European Spatial Development Perspective (ESDP). So far, no follow-up has been produced. Is this because the current document is sufficient for addressing Europe's spatial issues or because interest in this endeavor has waned? Or are we simply in a period of transition towards a new ESDP? This brief review deals with those dilemmas, from a specific point of view of the observers, both curious and worried.

scholarly journals Detection of eye contact with deep neural networks is as accurate as human experts

2020 ◽  
Author(s):  
Eunji Chong ◽  
Elysha Clark-Whitney ◽  
Audrey Southerland ◽  
Elizabeth Stubbs ◽  
Chanel Miller ◽  
...  
Keyword(s):  
Neural Network ◽  
Eye Contact ◽  
Autism Spectrum ◽  
Point Of View ◽  
Gaze Behavior ◽  
Equivalence Tests ◽  
Social Settings ◽  
Automated Coding ◽  
Primary Means ◽  
And Performance

Eye contact is among the most primary means of social communication that humans use from the first months of life. Quantification of eye contact is valuable in various scenarios as a part of the analysis of social roles, communication skills, and medical screening. Estimating a subject's looking direction from video is a challenging task, but eye contact can be effectively captured by a wearable point-of-view camera which provides a unique viewpoint as a result of its configuration. While moments of eye contact from this viewpoint can be hand coded, such process tends to be laborious and subjective. In this work, we developed the first deep neural network model to automatically detect eye contact in egocentric video with accuracy equivalent to that of human experts. We trained a deep convolutional neural network using a dataset of 4,339,879 annotated images, consisting of 103 subjects with diverse demographic backgrounds. 57 have a diagnosis of Autism Spectrum Disorder. The network achieves overall precision 0.936 and recall 0.943 on 18 set-aside validation subjects, and performance is on par with 10 trained human coders with a mean precision 0.918 and recall 0.946. This result passes class equivalence tests in Cohen’s kappa scores (equivalence boundary of 0.025, p < .005), demonstrating that deep learning model can produce automated coding with a level of reliability comparable to human coders. The presented method will be instrumental in analyzing gaze behavior in naturalistic social settings by serving as a scalable, objective, and accessible tool for clinicians and researchers.

scholarly journals Rurification of Religion. Foci and Suggrundaria at the Roman Vicus of Falacrinae (Cittareale, Rieti, Italy)

2021 ◽  
pp. 131-171
Author(s):  
Valentino Gasparini
Keyword(s):  
Rural Communities ◽  
Local Community ◽  
Archaic Period ◽  
Point Of View ◽  
Late Neolithic ◽  
Religious Traditions ◽  
North East ◽  
Urban Patterns ◽  
Urban Contexts ◽  
Over Time

The results of the archaeological exploration of the Roman vicus of Falacrinae, placed in the Upper Sabina 78 miles north-east of Rome, represent excellent first-hand material for testing the concept of “rurification” of religion.  The frequentation of the area goes back over time at least to the late Neolithic, but it is only in the Archaic period that a temple was built, soon converting itself into a sort of pole of attraction of the local community. After the Roman conquest (290 BCE), an entire village gradually arose around the monument. 129 sacrificial foci, dated between the late 3rd and the second half of the 1st cent. BCE (probably linked with the festivals of the Feriae Sementivae, Paganalia or Compitalia), and few burials (suggrundaria) belonging to perinatal foetuses of 30/40 weeks of gestation, dated during the 2nd and the first half of the 1st cent. BCE, are the most intriguing ritual practices that the excavations have been able to identify. The analysis of these practices encourages to conclude that the local rural communities: 1) adopted group-styles of religious grouping significantly different from those taking place in urban contexts; 2) could strongly modify hierarchies and rituals performed in the cities; 3) cannot necessarily be considered as “deviant” from the normative point of view; 4) could easily negotiate between local religious traditions and urban patterns.

Lactulose in the Management of Constipation: A Current Review

1992 ◽  
Vol 26 (10) ◽  
pp. 1277-1282 ◽  
Author(s):  
Theresa V. Kot ◽  
Ngaire A. Pettit-Young
Keyword(s):  
Clinical Trials ◽  
Adverse Effects ◽  
Clinical Studies ◽  
Data Extraction ◽  
Point Of View ◽  
Data Synthesis ◽  
Study Selection ◽  
Beneficial Response ◽  
A Current

OBJECTIVE: To review the current published clinical studies evaluating the clinical efficacy and safety of lactulose compared with other laxatives or placebo. Adverse effects associated with lactulose are also reported. DATA SOURCES: Information was retrieved by searching the MEDLINE and EMBASE databases for clinical trials, abstracts, conference proceedings, and review articles dealing with lactulose. STUDY SELECTION: Emphasis was placed on clinical trials where lactulose was compared with other laxatives or placebo in patient populations where the diagnosis of constipation was reasonably established. DATA EXTRACTION: The methodology and results from clinical studies were evaluated. Assessment of the studies was made based on diagnosis of constipation, prior management of patients, follow-up of patients, dosage, and adverse effects. DATA SYNTHESIS: Clinical trials in geriatric patients, terminally ill patients, children, and normal and constipated subjects were reviewed. In most instances, lactulose was compared with a placebo, without incorporating the current education on dietary techniques for improving defecation. CONCLUSIONS: Generally, clinical trials have demonstrated a beneficial response compared with placebo, although sometimes that response has been only marginally better, from a clinical point of view.

The Third Bosporus Bridge monitoring

2019 ◽  
Author(s):  
Thierry Delémont ◽  
Michel Virlogeux ◽  
Laurent Gaudry ◽  
Samet Seyhan ◽  
Alp Yagcioglu ◽  
...  
Keyword(s):  
Zero Point ◽  
Hybrid Structure ◽  
Point Of View ◽  
Stay Cable ◽  
International Context ◽  
Bridge Monitoring ◽  
The Third ◽  
Main Cables ◽  
Real Challenge

<p>Designing a world record span bridge is not the ultimate goal. Making it last and following it up so that it persists more than 100 years is the real challenge.</p> <p>Thus, after having designed the Third Bosporus Bridge, the Designer participates in the follow-up of the structure by setting up an adequate monitoring.</p> <p>Monitoring calibrating and interpreting is now the best way to ensure the sustainability of an exceptional structure. As everyone knows, the third Bosporus bridge is an hybrid structure, both suspended and stay cable bridge, a main span of 1408m and pylons of 323m. But what about monitoring?</p> <ul> <li>What is the monitoring to put in place? On pylons, deck, main cables, hangers or stays and supports?</li> <li>How to calibrate this monitoring to have a true zero point?</li> <li>How often and under what events do you save it and interpret it? So many questions that an engineer today has to ask himself.</li> </ul> <p>T-engineering wants to share both his point of view on this subject and his wonderful experience, mixing technical challenges and international context.</p>

Nasal Reconstruction of a Frontonasal Dysplasia via Septal L-Strut Reconstruction Using Costal Cartilage

2021 ◽  
pp. 105566562110366
Author(s):  
Yong Bae Kim ◽  
Seung Min Nam ◽  
Eun Soo Park ◽  
Chang Yong Choi ◽  
Han Gyu Cha ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
General Anesthesia ◽  
Retrospective Review ◽  
Costal Cartilage ◽  
Point Of View ◽  
Nasal Reconstruction ◽  
Open Rhinoplasty ◽  
Frontonasal Dysplasia ◽  
Congenital Condition

Objective Frontonasal dysplasia (FND) is a rare congenital condition. Its major features include hypertelorism, a large and bifid nasal tip, and a broad nasal root. We present our technique of septal L-strut reconstruction using costal cartilage. Design Retrospective review from June 2008 and August 2017. Methods Under general anesthesia, 6 patients with FND underwent septal reconstruction using costal cartilage via open rhinoplasty. We reconstructed the nasal and septal cartilaginous framework by placing columellar struts and cantilever-type grafts. Results The patients ranged in age from 6 to 13 years old. All were female. The follow-up period ranged from 8 months to 2 years; we encountered no postoperative complications (infection, nasal obstruction, or recurrence). All patients were satisfied with their nasal appearance. Conclusions Although the results were not entirely satisfactory from an esthetic point of view, we found that FND can be treated via septal reconstruction with costal cartilage and that the clinical outcomes are reliable and satisfactory. Our approach is a useful option for FND patients.

eHealth in cardiac rehabilitation

2020 ◽  
pp. 171-176
Author(s):  
Ines Frederix ◽  
Paul Dendale
Keyword(s):  
Cardiac Rehabilitation ◽  
Progress Monitoring ◽  
Care Delivery ◽  
Cost Effective ◽  
Daily Practice ◽  
Point Of View ◽  
Successful Implementation ◽  
Sustained Delivery ◽  
Definition Of

TeleCR is an innovative and (cost-)effective preventive care delivery strategy that can overcome the challenges associated with traditional centre-based cardiac rehabilitation (CR). This chapter describes how it can be implemented in daily practice. From an organizational point of view, it implies a shift in traditional and operational workflows and reorganization of the (non-)human resources for care delivery. The establishment of a well-coordinated tele-team, the definition of clear goals, profound progress monitoring and follow-up, and the creation of an environment that promotes sustained delivery of teleCR are paramount. Tackling the current legal and technological challenges is another prerequisite for successful implementation.

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