Simplified follow-up after medical abortion using a low-sensitivity urinary pregnancy test and a pictorial instruction sheet in Rajasthan, India : study protocol and intervention adaptation of a randomised control trial

The World Health Organisation suggests that simplification of the medical abortion regime will contribute to an increased acceptability of medical abortion, among women as well as providers. It is expected that a home-based follow-up after a medical abortion will increase the willingness to opt for medical abortion as well as decrease the workload and service costs in the clinic. Trial design The study is a randomised, controlled, non-superiority trial . Methods Women screened to participate in the study are those with unwanted pregnancies and gestational ages equal to or less than nine weeks. Eligible women randomised to the home-based assessment group will use a low-sensitivity pregnancy test and a pictorial instruction sheet at home, while the women in the clinic follow-up group will return to the clinic for routine follow-up carried out by a doctor. The primary objective of the study is to evaluate the effectiveness of home-based assessment using a low-sensitivity pregnancy test and a pictorial instruction sheet 10-14 days after an early medical abortion. Providers or research assistants will not be blinded during outcome assessment. To ensure feasibility of the self-assessment intervention an adaption phase took place at the selected study sites before study initiation. This was to optimise and tailor-make the intervention and the study procedures and resulted in the development of the pictorial instruction sheet for how to use the low-sensitivity pregnancy test and the danger signs after a medical abortion. Discussion In this paper, we will describe the study protocol for a randomised control trial investigating the efficacy of simplified follow-up in terms of home-based assessment, 10-14 days after a medical abortion. Moreover, a description of the adaptation phase is included for a better understanding of the implementation of the intervention in a setting where literacy is low and the road-connections are poor. Trial registration: Clinicaltrials.gov NCT01827995. Registered 04 May 2013

Solving the Vehicle Routing Problem with Genetic ALgorithm and Simulated Annealing

This Thesis Work will concentrate on a very interesting problem, the Vehicle Routing Problem (VRP). In this problem, customers or cities have to be visited and packages have to be transported to each of them, starting from a basis point on the map. The goal is to solve the transportation problem, to be able to deliver the packages-on time for the customers,-enough package for each Customer,-using the available resources- and – of course - to be so effective as it is possible.Although this problem seems to be very easy to solve with a small number of cities or customers, it is not. In this problem the algorithm have to face with several constraints, for example opening hours, package delivery times, truck capacities, etc. This makes this problem a so called Multi Constraint Optimization Problem (MCOP). What’s more, this problem is intractable with current amount of computational power which is available for most of us. As the number of customers grow, the calculations to be done grows exponential fast, because all constraints have to be solved for each customers and it should not be forgotten that the goal is to find a solution, what is best enough, before the time for the calculation is up. This problem is introduced in the first chapter: form its basics, the Traveling Salesman Problem, using some theoretical and mathematical background it is shown, why is it so hard to optimize this problem, and although it is so hard, and there is no best algorithm known for huge number of customers, why is it a worth to deal with it. Just think about a huge transportation company with ten thousands of trucks, millions of customers: how much money could be saved if we would know the optimal path for all our packages.Although there is no best algorithm is known for this kind of optimization problems, we are trying to give an acceptable solution for it in the second and third chapter, where two algorithms are described: the Genetic Algorithm and the Simulated Annealing. Both of them are based on obtaining the processes of nature and material science. These algorithms will hardly ever be able to find the best solution for the problem, but they are able to give a very good solution in special cases within acceptable calculation time.In these chapters (2nd and 3rd) the Genetic Algorithm and Simulated Annealing is described in details, from their basis in the “real world” through their terminology and finally the basic implementation of them. The work will put a stress on the limits of these algorithms, their advantages and disadvantages, and also the comparison of them to each other.Finally, after all of these theories are shown, a simulation will be executed on an artificial environment of the VRP, with both Simulated Annealing and Genetic Algorithm. They will both solve the same problem in the same environment and are going to be compared to each other. The environment and the implementation are also described here, so as the test results obtained.Finally the possible improvements of these algorithms are discussed, and the work will try to answer the “big” question, “Which algorithm is better?”, if this question even exists.

Sociologin, hybriderna och den sociala verkligheten : exemplet kärnavfall

Sociology, hybrids and social reality: the case of nuclear waste The continuing technological transformation of nature means that sociology’s traditional vision of a sharp divide between nature and society is becoming ever harder to defend. Starting from Bruno Latour’s critique of modernity, and Nikolas Rose’s explorations of political power beyond the state, this article presents a framework for analysing the expanding wealth of hybrids of nature and society surrounding us today, and the problems of government they pose. These hybrids confront us with the need to rethink sociology’s conception of ‘the social’. With Latour’s help, the interplay of nature and society can be understood as subject to technical mediation, opening the way for studies of the varying arrangements through which different configurations of nature and society are produced. Rather than alternative social constructions of nature, what sociologists should be at pains to analyse and question are different programmes and strategies for bringing together natural and social forces in durable combinations. In the article, the geological disposal of nuclear waste serves as a useful example for exploring the fruitfulness of the analytical framework put forward. This complex undertaking constitutes just one component in a larger field of technoscientific endeavour that has irrevocably transformed nature while simultaneously re-making society. Addressing this case, we seek to reveal the promise of a sociology that does not bound ‘the social’ in advance, but rather makes the co-production of technology and society one of its most important objects of study.

Applikationsövervakning : Dess möjliga bidrag till en verksamhet

Applikationsövervakning är en term för att i realtid övervaka applikationer och kunna upptäcka fel innan slutanvändaren märker av ett problem. Med övervakning av applikationer menas inte bara den enskilda programvaran utan allt som rör applikationen i fråga. Trafikverkets önskemål är att leverera en hög kvalité i sina applikationer. I nuläget har utvecklare ingen eller dålig insyn i hur en applikation levererar i en skarp miljö efter att de lämnat över ansvaret till drift. För att kunna hålla en bra kvalité i sina applikationer så vill de undersöka hur applikationsövervakning kan hjälpa till att se behov av ändringar i applikationer innan större problem uppstår. I en fallstudie bestående av intervjuer och dokumentstudier kommer genom användning av situationsbaserad FA/SIMM nuvarande arbetssätt fångas. Samt fånga mål och problem som uttrycks i verksamheten kring utveckling & förvaltning och drift av applikationer. Dessa kommer sedan analyseras för att undersöka på vilket sätt applikationsövervakning skulle hjälpa utvecklare & förvaltare, men även driftspersonal i deras arbete. Resultatet av detta visar att de problem och mål som tas upp dels är organisatoriska i sin natur och arbetssättet DevOps framhålls som en möjlig lösning. Även att applikationsövervakning de facto skulle kunna bidra till en ökad kvalité i applikationerna genom att tillföra en möjlighet att arbeta mer proaktivt.