Can requirements be creative? Experiences with an enhanced air space management system

Requirements engineering is a creative process in which stakeholders work together to create ideas for new software systems that are eventually expressed as requirements. This paper reports a workshop that integrated creativity techniques with different types of use case and system context modeling to discover stakeholder requirements for EASM, a future air space management software system to enable the more effective, longer-term planning of UK and European airspace use. The workshop was successful in that it provided a range of outputs that were later assessed for their novelty and usefulness in the final specification of the EASM software. The paper describes the workshop structure, gives examples of outputs from it, and uses these results to answer 2 research questions about the utility of creativity techniques and workshops that had not been answered in previous research

Vitamin D: the role of the sunshine vitamin

The importance of vitamin D in physical disorders has been well documented. Deficiency in this vitamin is associated with a wide range of physical and mental disorders that include, heart problems, hypertension, stroke, diabetes, various cancers, and asthma. In mental health vitamin D deficiency is associated with schizophrenia, depression, anxiety, Alzheimer’s disease among others. Risk factors for vitamin D deficiency include darker skin, lack of adequate sun exposure, autoimmune diseases, influenza, old age and the use of certain medicines like anticonvulsants. Vitamin D is likely to play an important role in the management and prevention of various mental health problems. In particular, adequate vitamin D during the perinatal stage is likely to impact positively on the long term mental health of a person

Ecosystem services bundles:challenges and opportunities for implementation and further research

Background : the concept of ‘ecosystem services bundles’, i.e. ecosystem services that repeatedly appear together across space and/or time, has been developed and refined as part of an integrated approach to assess interactions between ecosystem services. Nevertheless, published evidence of actual use of bundles in decision-making is lacking. In the light of this gap, a review of what bundle approaches have shown and what they can bring to decision-making is timely. Method : we conducted two separate systematic reviews. The first one addressed emerging issues within what we identify as the diverse utilisation and definition of the concept of ‘bundle’ in the literature. The second one focused on papers dealing with bundles as sets of consistently associated services. Review Synthesis : the review first highlights that the confusion surrounding the term ‘bundle’ in ecosystem services literature threatens to weaken the potential for analysis of bundles to inform decision-making. Then, thanks to the review of peer-reviewed papers that detect bundles as sets of consistently associated services, we analyse the diversity of methodological choices and we detail the interactions observed between different ecosystem services across the literature. We also show that landscape features, socio-economic conditions and institutional factors are all potential drivers for the occurrence of specific bundles in a landscape. Discussion : overall, it appears that the analysis of bundles provides an opportunity to enhance policy effectiveness. Nevertheless, the methodological challenges linked to the identification and interpretation of bundles call for careful and reflective study designs. We anticipate that this review will lead to a better understanding by scientists and practitioners of the potential for bundle studies to inform decision-making

Two decades of successes and failures in controlling the transmission of HIV through injecting drug use in England and Wales, 1990 to 2011

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Antiretroviral Therapy outcomes among adolescents and youth in rural Zimbabwe

Around 2 million adolescents and 3 million youth are estimated to be living with HIV worldwide. Antiretroviral outcomes for this group appear to be worse compared to adults. We report antiretroviral therapy outcomes from a rural setting in Zimbabwe among patients aged 10-30 years who were initiated on ART between 2005 and 2008. The cohort was stratified into four age groups: 10-15 (young adolescents) 15.1-19 years (adolescents), 19.1-24 years (young adults) and 24.1-29.9 years (older adults). Survival analysis was used to estimate rates of deaths and loss to follow-up stratified by age group. Endpoints were time from ART initiation to death or loss to follow-up. Follow-up of patients on continuous therapy was censored at date of transfer, or study end (31 December 2008). Sex-adjusted Cox proportional hazards models were used to estimate hazard ratios for different age groups. 898 patients were included in the analysis; median duration on ART was 468 days. The risk of death were highest in adults compared to young adolescents (aHR 2.25, 95%CI 1.17-4.35). Young adults and adolescents had a 2-3 times higher risk of loss to follow-up compared to young adolescents. When estimating the risk of attrition combining loss to follow-up and death, young adults had the highest risk (aHR 2.70, 95%CI 1.62-4.52). This study highlights the need for adapted adherence support and service delivery models for both adolescents and young adults

The challenge of integrated water resource management for improved rural livelihoods: Managing risk, mitigating drought and improving water productivity in the water scarce Limpopo Basin

The Challenge of Integrated Water Resource Management for Improved Rural Livelihoods: Managing Risk, Mitigating Drought and Improving Water Productivity in the Water Scarce Limpopo Basin: Integrated Water Resources Management (IWRM) is a systems approach to water management, based on the principle of managing the full water cycle. It is required, not only to balance water for food and nature, but also to unlock paths to sustainable development. A global hotspot area in terms of water for food and improved livelihoods is in the poverty stricken rural areas of water scarce semi-arid tropics, such as in the Limpopo basin. The improvement in resilience that the IWRM approach can impart to rural livelihood systems has been shown by a series of case studies in the Limpopo Basin

Observation of strong Kondo like features and co-tunnelling in superparamagnetic GdCl3 filled 1D nanomagnets

Filling of carbon nanotubes has been tailored over years to modify the exceptional properties of the 1-dimensional conductor for magnetic property based applications. Hence, such a system exploits the spin and charge property of the electron, analogous to a quantum conductor coupled to magnetic impurities, which poses an interesting scenario for the study of Kondo physics and related phenomena. We report on the electronic transport properties of MWNTs filled with GdCl3 nanomagnets, which clearly show the co-existence of Kondo correlation and cotunelling within the superparamagnetic limit. The Fermi liquid description of the Kondo effect and the interpolation scheme are fitted to the resistance-temperature dependence yielding the onset of the Kondo scattering temperature and a Kondo temperature for this nanocomposite, respectively. Cotunneling of conduction electrons interfering with a Kondo type interaction has been verified from the exponential decay of the intensity of the fano shaped nonzero bias anomalous conductance peaks, which also show strong resonant features observed only in GdCl3 filled MWNT devices. Hence, these features are explained in terms of magnetic coherence and spin-flip effects along with the competition between the Kondo effect and co-tunneling. This study raises a new possibility of tailoring magnetic interactions for spintronic applications in carbon nanotube systems

Introduction of syphilis point-of-care tests, from pilot study to national programme implementation in Zambia: A qualitative study of healthcare workers' perspectives on testing, training and quality assurance

Syphilis affects 1.4 million pregnant women globally each year. Maternal syphilis causes congenital syphilis in over half of affected pregnancies, leading to early foetal loss, pregnancy complications, stillbirth and neonatal death. Syphilis is under-diagnosed in pregnant women. Point-of-care rapid syphilis tests (RST) allow for same-day treatment and address logistical barriers to testing encountered with standard Rapid Plasma Reagin testing. Recent literature emphasises successful introduction of new health technologies requires healthcare worker (HCW) acceptance, effective training, quality monitoring and robust health systems. Following a successful pilot, the Zambian Ministry of Health (MoH) adopted RST into policy, integrating them into prevention of mother-to-child transmission of HIV clinics in four underserved Zambian districts. We compare HCW experiences, including challenges encountered in scaling up from a highly supported NGO-led pilot to a large-scale MoH-led national programme. Questionnaires were administered through structured interviews of 16 HCWs in two pilot districts and 24 HCWs in two different rollout districts. Supplementary data were gathered via stakeholder interviews, clinic registers and supervisory visits. Using a conceptual framework adapted from health technology literature, we explored RST acceptance and usability. Quantitative data were analysed using descriptive statistics. Key themes in qualitative data were explored using template analysis. Overall, HCWs accepted RST as learnable, suitable, effective tools to improve antenatal services, which were usable in diverse clinical settings. Changes in training, supervision and quality monitoring models between pilot and rollout may have influenced rollout HCW acceptance and compromised testing quality. While quality monitoring was integrated into national policy and training, implementation was limited during rollout despite financial support and mentorship. We illustrate that new health technology pilot research can rapidly translate into policy change and scale-up. However, training, supervision and quality assurance models should be reviewed and strengthened as rollout of the Zambian RST programme continues. © 2015, Public Library of Science. All rights reserved. This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication

Dynamics of FitzHugh-Nagumo excitable systems with delayed coupling

Small lattices of $N$ nearest neighbor coupled excitable FitzHugh-Nagumo systems, with time-delayed coupling are studied, and compared with systems of FitzHugh-Nagumo oscillators with the same delayed coupling. Bifurcations of equilibria in N=2 case are studied analytically, and it is then numerically confirmed that the same bifurcations are relevant for the dynamics in the case $N>2$. Bifurcations found include inverse and direct Hopf and fold limit cycle bifurcations. Typical dynamics for different small time-lags and coupling intensities could be excitable with a single globally stable equilibrium, asymptotic oscillatory with symmetric limit cycle, bi-stable with stable equilibrium and a symmetric limit cycle, and again coherent oscillatory but non-symmetric and phase-shifted. For an intermediate range of time-lags inverse sub-critical Hopf and fold limit cycle bifurcations lead to the phenomenon of oscillator death. The phenomenon does not occur in the case of FitzHugh-Nagumo oscillators with the same type of coupling.Comment: accepted by Phys.Rev.