Cover -- Half Title -- Title -- Copyright -- Contents -- List of Illustrations and Tables -- Acknowledgments -- A Note on Terminology -- Introduction -- CHAPTER 1. Antebellum Natchez: The Place in Which They Stepped -- CHAPTER 2. Stepping Lively amid Their Shadows: The Single White Women of Antebellum Natchez -- CHAPTER 3. Stepping Out on Their Own: The Divorcing Women of Antebellum Natchez -- CHAPTER 4. Stepping Beyond Their Husbands' Graves: The Widows of Antebellum Natchez -- CHAPTER 5. Stepping Lively in Place: The Free-Black, Not-Married Women of Antebellum Natchez
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INTRODUCTION: Maternal and neonatal mortality remains high in many low- and middle-income countries (LMIC). Availability and use of mobile phones is increasing rapidly with 90% of persons in developing countries having a mobile-cellular subscription. Mobile health (mHealth) interventions have been proposed as effective solutions to improve maternal and neonatal health. This systematic review assessed the effect of mHealth interventions that support pregnant women during the antenatal, birth and postnatal period in LMIC. METHODS: The review was registered with Prospero (CRD42014010292). Six databases were searched from June 2014-April 2015, accompanied by grey literature search using pre-defined search terms linked to pregnant women in LMIC and mHealth. Quality of articles was assessed with an adapted Cochrane Risk of Bias Tool. Because of heterogeneity in outcomes, settings and study designs a narrative synthesis of quantitative results of intervention studies on maternal outcomes, neonatal outcomes, service utilization, and healthy pregnancy education was conducted. Qualitative and quantitative results were synthesized with a strengths, weaknesses, opportunities, and threats analysis. RESULTS: In total, 3777 articles were found, of which 27 studies were included: twelve intervention studies and fifteen descriptive studies. mHealth interventions targeted at pregnant women increased maternal and neonatal service utilization shown through increased antenatal care attendance, facility-service utilization, skilled attendance at birth, and vaccination rates. Few articles assessed the effect on maternal or neonatal health outcomes, with inconsistent results. CONCLUSION: mHealth interventions may be effective solutions to improve maternal and neonatal service utilization. Further studies assessing mHealth's impact on maternal and neonatal outcomes are recommended. The emerging trend of strong experimental research designs with randomized controlled trials, combined with feasibility research, government involvement and integration of mHealth interventions into the healthcare system is encouraging and can pave the way to improved decision making on best practice implementation of mHealth interventions.
Quantitative models are crucial to almost every area of ecosystem science. They provide a logical structure that guides and informs empirical observations of ecosystem processes. They play a particularly crucial role in synthesizing and integrating our understanding of the immense diversity of ecosystem structure and function. Increasingly, models are being called on to predict the effects of human actions on natural ecosystems. Despite the widespread use of models, there exists intense debate within the field over a wide range of practical and philosophical issues pertaining to quantitative modeling. This book--which grew out of a gathering of leading experts at the ninth Cary Conference--explores those issues. The book opens with an overview of the status and role of modeling in ecosystem science, including perspectives on the long-running debate over the appropriate level of complexity in models. This is followed by eight chapters that address the critical issue of evaluating ecosystem models, including methods of addressing uncertainty. Next come several case studies of the role of models in environmental policy and management. A section on the future of modeling in ecosystem science focuses on increasing the use of modeling in undergraduate education and the modeling skills of professionals within the field. The benefits and limitations of predictive (versus observational) models are also considered in detail. Written by stellar contributors, this book grants access to the state of the art and science of ecosystem modeling
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