A SmartInsoles Cyber-Physical System (CPS) is designed and implemented for the purpose of measuring gait parameters of multiple users in a restriction-free environment. This CPS comprises a master software installed on a computer and numerous multi-sensory health devices in the form of smart insoles. Each of these insoles contains 12 Force-Sensitive Resistor (FSR) sensors, an Inertial Measurement Unit (IMU), a WiFi-enabled microcontroller and a battery to power all components. A validation pilot study was completed in collaboration with the Interdisciplinary School of Health Sciences at the University of Ottawa by performing 150 trials on 15 healthy subjects. Each subject performed 10 walks on the Tekscan Strideway gait mat system, while simultaneously wearing the designed SmartInsoles CPS. Spatiotemporal data for over 450 unique steps were collected by both systems. These data were analyzed carefully, and a thorough comparison was performed between the results from the two systems. Seven parameters were analyzed in this study: stride time, stance time, swing time, double support time, step time, cadence and gait time. Detailed results in the form of tables, scatterplots, histograms and Bland-Altman graphs were generated. Analysis of the results shows high agreement between the values of the two systems and suggests high accuracy of the implemented CPS as a multi-device, multi-sensory system for gait measurement and analysis.
Managed retreat presents a dilemma for at-risk communities, and the planning practitioners and decisionmakers working to address natural hazard and climate change risks. The dilemma boils down to the countervailing imperatives of moving out of harm’s way versus retaining ties to community and place. While there are growing calls for its use, managed retreat remains challenging in practice—across diverse settings. The approach has been tested with varied success in a number of countries, but significant uncertainties remain, such as regarding who ‘manages’ it, when and how it should occur, at whose cost, and to where? Drawing upon a case study of managed retreat in New Zealand, this research uncovers intersecting and compounding arenas of uncertainty regarding the approach, responsibilities, legality, funding, politics and logistics of managed retreat. Where uncertainty is present in one domain, it spreads into others creating a cascading series of political, personal and professional risks that impact trust in science and authority and affect people’s lives and risk exposure. In revealing these mutually dependent dimensions of uncertainty, we argue there is merit in refocusing attention away from policy deficits, barrier approaches or technical assessments as a means to provide ‘certainty’, to instead focus on the relations between forms of knowledge and coordinating interactions between the diverse arenas: scientific, governance, financial, political and socio-cultural; otherwise uncertainty can spread like a contagion, making inaction more likely.
BackgroundAdolescents in Tanzania require health services that respond to their sexual and reproductive health – and other – needs and are delivered in a friendly and nonjudgemental manner. Systematizing and expanding the reach of quality adolescent friendly health service provision is part of the Tanzanian Ministry of Health and Social Welfare's (MOHSW) multi-component strategy to promote and safeguard the health of adolescents.ObjectiveWe set out to identify the progress made by the MOHSW in achieving the objective it had set in its National Adolescent Health and Development Strategy: 2002–2006, to systematize and extend the reach of Adolescent Friendly Health Services (AFHS) in the country.MethodsWe reviewed plans and reports from the MOHSW and journal articles on AFHS. This was supplemented with several of the authors’ experiences of working to make health services in Tanzania adolescent friendly.ResultsThe MOHSW identified four key problems with what was being done to make health services adolescent friendly in the country – firstly, it was not fully aware of the various efforts under way; secondly, there was no standardized definition of AFHS; thirdly, it had received reports that the quality of the AFHS being provided by some organizations was poor; and fourthly, only small numbers of adolescents were being reached by the efforts that were under way. The MOHSW responded to these problems by mapping existing services, developing a standardized definition of AFHS, charting out what needed to be done to improve their quality and expand their coverage, and integrating AFHS within wider policy and strategy documents and programmatic measurement instruments. It has also taken important preparatory steps to stimulate and support implementation.ConclusionThe MOHSW is aware that the focus of the effort must now shift from the national to the regional, council and local levels. The onus is on regional and council health management teams as well as health facility managers to take the steps needed to ensure that all adolescents in the country obtain the sexual and reproductive health (SRH) services they need, delivered in a friendly and non-judgemental manner. But they cannot do this without substantial and ongoing support.
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