Role of Telemedicine in Guiding Rural Emergent Neurosurgical Care

2021 ◽  
pp. 120-129
Author(s):  
M. Omar Chohan ◽  
Martina Stippler ◽  
Susy Salvo Wendt ◽  
Howard Yonas

Teleneurosurgery can play a vital role in the care of patients in hospitals and community health settings where neurosurgical expertise is not available. The combination of audiovisual interaction of a neurosurgeon with the emergency physician, the patient and the patient’s family, combined with an intense education program delivered to the originating site care team, has greatly enhanced the appropriate triage of patients in community hospitals. The result is better patient care, improved patient and family satisfaction, cost savings, and the retention of patients within the local community care system, as well as the improved sustainability of the wider health delivery system. To succeed, start-up financial support is often needed to provide the required technical elements and 24/7 neurosurgical availability.

2020 ◽  
Vol 40 (1) ◽  
pp. 1-16
Author(s):  
Vivienne Dunstan

McIntyre, in his seminal work on Scottish franchise courts, argues that these courts were in decline in this period, and of little relevance to their local population. 1 But was that really the case? This paper explores that question, using a particularly rich set of local court records. By analysing the functions and significance of one particular court it assesses the role of this one court within its local area, and considers whether it really was in decline at this time, or if it continued to perform a vital role in its local community. The period studied is the mid to late seventeenth century, a period of considerable upheaval in Scottish life, that has attracted considerable attention from scholars, though often less on the experiences of local communities and people.


2021 ◽  
Vol 13 (11) ◽  
pp. 6009
Author(s):  
Se-Kyoung Choi ◽  
Sangyun Han ◽  
Kyu-Tae Kwak

What kind of capacity is needed to improve the performance of start-ups? How effective are government support policies in improving start-up performance? Start-ups are critical firm group for ensuring the prospective and sustainable growth of an economy, and thus many countries’ governments have established support policies and they are likely to engage more widely in forward-looking political support activities to ensure further growth and expansion. In this paper, the effect of innovation capabilities and government support policies on start-up performance is examined. We used an unbalanced panel data analysis with a random effect generalized least squares. We investigated the effect of government support policies on 4368 Korean start-ups. The findings indicated that technology and knowledge capabilities had positive effects on the sales performance of start-ups, and government financial support positively affected the relationship between knowledge capability and firm performance. However, when government financial support increased, marketing capability was negatively associated with firm performance. These results demonstrate the significant role of government financial support, including its crowding in but also its crowding out effect. Practical implications: To be more effective, governments should employ innovation-driven entrepreneurship policy approaches to support start-ups. To improve their performance, start-ups need to increase their technology and knowledge capabilities. This study extends recent efforts to understand more fully the effect of government support policies on start-ups differing in their technology, knowledge, and marketing capabilities.


Author(s):  
Sebastian Stoermer ◽  
Jan Selmer ◽  
Jakob Lauring

Despite the vital role that trailing partners play for successful expatriation, we still know very little about what actually causes partners to thrive and integrate effectively into the new cultural context. However, as indications have emerged that the personality of partners could be key to a favorable acculturation trajectory, we set out to explore this further. More specifically, we assess the role of expatriate partners’ dispositional affectivity, that is, positive and negative affectivity. We examine this in relation to internal acculturation (in the form of interaction and general adjustment) and external acculturation (in the form of local community embeddedness and intentions to stay or to return home). Drawing on the data of 123 trailing partners, full support was found for three out of four hypotheses regarding the effects of positive affectivity. Further, a marginally significant negative association was identified for the relationship between positive affectivity and repatriation intentions. For negative affectivity, two hypotheses were met. Interestingly, no significant influence of negative affectivity on community embeddedness was found. The association between negative affectivity and interaction adjustment was marginally significant indicating some tentative support. In sum, this study corroborates that dispositional affectivity is an overall important concept to explain trailing partners’ acculturation. However, the role of positive and negative affectivity seems to vary along the different proxies of internal and external acculturation.


2017 ◽  
Vol 34 (1) ◽  
pp. 48-76
Author(s):  
Suvobrata Sarkar

From as early as the 1880s until today, electrical power has served as a useful medium for ushering an urban industrial era throughout the world. This article examines the process of electrification in a colonial setting—Calcutta, the capital of British India till 1911. Access to electricity depended upon economics and technological advances, as well as a combination of local community and regional characteristics such as location, landscape, demographics, politics and culture. Western techno-scientific discourse occupied an extremely important place in the colonization of India. It is known that Western technology and ideas manipulated various technological projects in the colony, including electrification. Was there something unique about Calcutta and its plan that led to the electrification of a colonial metropolis almost simultaneously with other Western industrial nations? By the middle of the twentieth century, electricity, with its elaborate infrastructure of wires, generation stations and poles, emerged as the industrial era’s most prominent symbol of progress in Calcutta. The Calcutta Electric Supply Corporation Ltd (CESC), with its head office in London, played the most vital role, debating and resolving various technical questions, such as load factor, fuel sources, operating generation stations and electricity supply to industry, traction and population centres. This article, based on extensive archival research, shows how, despite colonial derivatives, the resulting electrical systems were locally initiated and customized to the needs and characteristics of the region.


1992 ◽  
Vol 7 (6) ◽  
pp. 251-257 ◽  
Author(s):  
D Sarantidis ◽  
V Kladouchos ◽  
J Tripodianakis ◽  
R Giel ◽  
P Munk-Jorgensen

SummaryWe have attempted to evaluate quantitative changes in the mental health delivery system in Greece, dictated by a fiveyear program to reform psychiatric care. By the end of the program, a number of psychiatric units in general hospitals, as well as community mental health centres, had been created, while the number of beds in psychiatric hospitals have been significantly reduced. Mental health services have become more accessible to the population, and served more patients. However, not all the objectives of the program have been met. Only about half of the initially proposed number of beds in the psychiatric units in general hospitals have been actually developed. The catchment area, a basic pre-requisite of the program, has not been put into effect. Finally, the noticeable trend towards a restriction of the role of psychiatric hospitals did not coincide with the development of adequate new services.


1988 ◽  
Vol 59 (2) ◽  
pp. 83-87
Author(s):  
Bruce Lubotsky Levin ◽  
Robert M. Friedman ◽  
Jack Zusman

2019 ◽  
Vol 27 (1) ◽  
pp. 221-250
Author(s):  
Mohamad Iwan Fitriani ◽  
Nazar Naamy

Although Lombok of West Nusa Tenggara has gained an excellent international reputation for its halal tourism (2015-2018), tourism in the region is not without obstacles. Several elements of the Sasak-Lombok community, for instance, still refuse the concept of halal tourism because it is likely to cause harm to conventional tourism. This article will examine potentials, challenges, and the role of Islamic education in halal tourism in Lombok. It employs a descriptive-qualitative approach, where data collection is obtained from focus group discussions, in-depth interviews, document analysis, and media reporting. Meanwhile, data validity testing is carried out with the triangulation technique. After a profound analysis, this research found that: (1) the potentials for halal tourism in Lombok are made of its natural beauty, cultural distinctiveness, and tradition of the local community predominated by Muslims; (2) the challenges of halal tourism in Lombok include two things: a) conceptual challenges that deal with the absence of terms representing the desires of all parties, and b) practical problems that deal with economic, environmental, social, and cultural matters; (3) Islamic education—as a value, activity, or institution—plays a vital role in disseminating representative concepts for halal tourism acceptable to all parties, i.e. the local community, tourism actors, and government. This acceptance is one of the keys to the successful development of halal tourism in Lombok.


2018 ◽  
Vol 28 (6) ◽  
pp. 39-48
Author(s):  
Katarzyna Sieradzka ◽  
Lidia Kaliszczak

Start-up enterprises play a vital role in the knowledge economy, commonly acting as links between invention and innovation. Their development depends on an efficient start-up ecosystem including institutional environment. It comprises such classic institutions as business incubators, accelerators, technology parks, centres of technology transfer as well as increasingly popular forms of support like: mentoring, industry meetings, competitions, and hackathons. This paper is intended to analyse and evaluate non-financial support, mainly knowledge and business contacts (networking), in development of start-up enterprises in Poland.


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