Remote and rural surgery

2021 ◽  
pp. 869-890
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
General Hospitals ◽  
Delivery Of Care ◽  
Surgical Practice ◽  
Surgical Services ◽  
Rural Surgery ◽  
Intractable Problem ◽  
To Receive ◽  
And Training

This chapter describes remote and rural surgery. For many years, surgeons working in remote and isolated areas have failed to receive the recognition they deserve. Anyone living in a remote and rural area will know of lives saved and diseases cured by locally based surgeons. Delivery of surgical services to remote and rural areas remains an intractable problem in many countries. Recently, the Royal College of Surgeons of Edinburgh has published a report titled ‘Standards informing delivery of care in rural surgery’ (2016); it provides explanations of how surgical services can be provided to remote and rural communities in a safe and appropriate manner. The chapter then looks at rural surgical practice; rural general hospitals; care pathways; and the recruitment, retention, and training of rural surgeons.

scholarly journals The Dilemmas of Rural Planning and Planners in Oyo State, Nigeria

2020 ◽  
Vol 47 (47) ◽  
pp. 75-93
Author(s):  
Ayobami Abayomi Popoola ◽  
Hangwelani Hope Magidimisha
Keyword(s):  
Rural Communities ◽  
Local Government ◽  
Urban Development ◽  
Capacity Building ◽  
Rural Areas ◽  
Primary Data ◽  
Rural Planning ◽  
Global Literature ◽  
Depth Interviews ◽  
And Training

AbstractThe focus on urban planning continues to flood the global literature. However, there is continued silence and neglect with regard to rural planning. The study examined the state of rural planning in Oyo State, Nigeria. Primary data was sourced using structured questionnaires and in-depth interviews. Questionnaires were administered to two hundred and fifty (250) rural households in six (6) rural local government areas (LGAs) of Oyo State. It was revealed that rural areas remain neglected and behind in planning activities. A majority of respondents believe that no planning takes place in the rural communities in which they reside. The study concludes that improved communication on planning issues between the tiers of the bureau of physical planning and urban development offices remains the route to effective planning. Improved capacity building (expertise) and training are suggested for rural planners. It is also suggested that understanding the local culture is important in contributing towards effective and responsive rural planning.

'The Only Place to Do This is in Town': Experiences Of Rural–Urban Migration in Northern Karamoja, Uganda

2020 ◽  
Vol 24 (1) ◽  
pp. 32-55
Author(s):  
Elizabeth Stites
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Ad Hoc ◽  
Rural Livelihoods ◽  
Urban Life ◽  
Urban Migration ◽  
Household Level ◽  
Migratory Patterns ◽  
The Cost ◽  
To Receive

Towns in northern Karamoja, Uganda, are growing due to an expanding commercial sector, shifts in livestock-based rural livelihoods, and the economic and social appeal of urban life. This article presents qualitative data from 83 individual migrants to Abim, Kaabong and Kotido, the three largest towns in northern Karamoja. The research aimed to better understand the factors behind migration, the livelihood strategies pursued by those moving to towns and the opportunities and challenges associated with urban life. The data show that the majority of respondents in urban centres retained links to their rural communities: these connections allowed migrants to access key assets such as land, social networks and food, and allowed rural residents to receive remittances and other forms of support. Those who were not able to maintain ties to their rural homes or families were frequently the most vulnerable; most were widowed or abandoned women. Reasons for migration included household-level shocks, such as the loss of livestock or the death of a family member, as well as food insecurity or 'hunger'. Towns are attractive destinations because of their economic opportunities and potential for a better life. However, many respondents struggled with the cost of living in towns and worked multiple ad hoc and low-skilled jobs in order to get by. While rural linkages were important for populations in both areas, most respondents did not envision returning to their rural areas. Urban planning and services have not kept pace with migratory patterns.

scholarly journals Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

2012 ◽  
Vol 2 ◽  
pp. 37 ◽  
Author(s):  
Michael G. Kawooya
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Rural Areas ◽  
Urban Areas ◽  
Plain Radiography ◽  
Sub Saharan Africa ◽  
Training Interventions ◽  
For Profit ◽  
Sub Saharan ◽  
And Training

The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR) training in Sub-Saharan Africa (SSA). Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10–13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP), private-not-for profit (PNFP), local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.

Innovative Use of ICT in Namibia for Nationhood

2013 ◽  
pp. 205-216
Author(s):  
Tutaleni I. Asino ◽  
Hilary Wilder ◽  
Sharmila Pixy Ferris
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Cell Phone ◽  
Political Leaders ◽  
Communications Technologies ◽  
History Of ◽  
National Newspaper ◽  
Landline Telephone ◽  
To Receive

Namibia was under colonizing and apartheid rule for more than a century. In 1990, the country declared its independence, and since that time, great strides have been made in linking its rural communities into a national communications Grid that was previously inaccessible to them, often leapfrogging traditional landline telephone technologies with universal cell phone service. In addition, one newspaper, The Namibian, has been innovatively using newer communications technologies to maintain its historic role of nation-building. This chapter showcases how SMS via cell phone and a traditional national newspaper has a sense of national identity that transcends geographic distances and a legacy of economic/political barriers. The cell phone messages made it possible for the rural communities who have been left out of discussion relating to issues of development to be included. Although the study unveiled 11% of their participation as opposed to 30% of the rural populace, this is a step forward bearing in mind that the rural areas have a history of being passively involved in everything that is being done. They have been, and continue to some great extent to be content to receive decisions made for them by outsiders including political leaders. Mobile phones have come as empowerment for them. Like the old slogan, “information is power,” this chapter illustrates that the lives of some rural area dwellers have improved a result of a technological gadget, the mobile phone.

scholarly journals Vocational Education and Training in Rural Zimbabwe: Attitudes and Opinions of Students, Teachers and Education Inspectors: The Case of Murewa District

2016 ◽  
Vol 7 (3) ◽  
pp. 12-29
Author(s):  
Tapiwa Emmanuel Katsande
Keyword(s):  
Developing Countries ◽  
Rural Communities ◽  
Education Reform ◽  
Vocational Education ◽  
Rural Areas ◽  
Vocational Education And Training ◽  
Policy Makers ◽  
Teachers And Students ◽  
And Training

The 2008 global economic crisis has seen young people’s career and employment prospects dwindle, particularly for those based in rural areas. Governments in both industrialised and developing countries are considering vocational education reform to meet nations’ employment and economic needs. Despite renewed interest in VET, the sentiments of students and teachers remain largely unexplored. This study investigated the views and attitudes of students, teachers and education inspectors towards VET in rural Zimbabwe. The findings revealed divergent views. It emerged that most students did not necessarily have negative views of VET, but they were put off by the low status, lack of choice and the lacklustre delivery of VET. Teachers and students alike were sceptical about the role of VET in securing employment. This study will contribute to the on-going review of Zimbabwe’s education system and will inform school managers and policy makers on curriculum development and culture change in rural communities and schools.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

scholarly journals Tackling Rural Health, Energy, … and Technological Issues All at Once: A Call for a Global Interdisciplinary Platform for Strengthening Rural Setting Amid the COVID-19 Pandemic

Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 16
Author(s):  
Farshad Amiraslani
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Rural Areas ◽  
Rural Setting ◽  
Global Challenges ◽  
Rural Settings ◽  
Research Studies

The recent COVID-19 pandemic has revealed flaws in rural settings where most people live without the necessary tools, income, and knowledge to tackle such unprecedented global challenges. Here, I argue that despite the research studies conducted on rural areas, these have not solved rising rural issues, notably poverty and illiteracy. I propound a global institute to be formed by governments that provides a platform for empowering rural communities through better training, skills, and competencies. Such global endeavour will ensure the remaining rural communities withstand future pandemics if they occur.

scholarly journals Solid Biomass Energy Potential as a Development Opportunity for Rural Communities

Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3398
Author(s):  
Mariusz Jerzy Stolarski ◽  
Paweł Dudziec ◽  
Michał Krzyżaniak ◽  
Ewelina Olba-Zięty
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Renewable Energy Sources ◽  
Biomass Energy ◽  
Energy Sources ◽  
Energy Potential ◽  
Development Opportunity ◽  
Biomass Resources ◽  
Administrative Units ◽  
Solid Biomass

Conventional energy sources often do not fully satisfy the needs of a modern economy, especially given the climate changes associated with them. These issues should be addressed by diversification of energy generation, including the development of renewable energy sources (RES). Solid biomass will play a major part in the process in Poland. The function of rural areas, along with a well-developed agricultural and forest economy sector, will be a key aspect in this as these areas are suitable for solid biomass acquisition in various ways. This study aimed to determine the solid biomass energy potential in the commune of Goworowo to illustrate the potential in the smallest administrative units of Poland. This research determined the environmental and natural conditions in the commune, which helped to identify the crucial usable solid biomass resources. The total energy potential of solid biomass resources in the commune of Goworowo amounted to 97,672 GJ y−1. The highest potential was accumulated in straw surplus (37,288 GJ y−1) and the lowest was in wood from roadside maintenance (113 GJ y−1). This study showed that rural areas could soon play a significant role in obtaining solid biomass, and individual communes could become spaces for the diversification of energy feedstock.

scholarly journals Moving beyond Limitations: Designing the Helpdys App for Children with Dyslexia in Rural Areas

2021 ◽  
Vol 13 (13) ◽  
pp. 7081
Author(s):  
Andres Larco ◽  
Jorge Carrillo ◽  
Nelson Chicaiza ◽  
Cesar Yanez ◽  
Sergio Luján-Mora
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Rating Scale ◽  
Language Disorder ◽  
Educational Games ◽  
Mobile App ◽  
Literacy Skills ◽  
Full Potential ◽  
Positive Contribution ◽  
Self Confidence

Dyslexia is a relatively common language disorder which is generally ignored in rural communities. It hinders children’s learning processes and, in some cases, is the cause of dropouts or violence in schools. The present work strives to create a web and mobile app as a preliminary step towards the diagnosis and treatment of dyslexic children. Apps providing didactic educational games and activities improve literacy skills for students with reading disabilities. The current work incorporates user experience and prototyping to fulfill app requirements. The authors evaluated the apps with the Mobile App Rating Scale (MARS) tool to assess engagement, functionality, aesthetics, and information. The app’s improvements were immediately implemented and tested in the “Escuela Linea Equinoccial” (Ecuador) school, proving its utility for future use in the education system. The app can be a valuable tool for children with dyslexia to progress successfully through school, raising their self-confidence and, thereby, helping them reach their full potential as adults able to make a positive contribution to society.

scholarly journals Evaluation of Community Resilience in Rural China—Taking Licheng Subdistrict, Guangzhou as an Example

2021 ◽  
Vol 18 (11) ◽  
pp. 5827
Author(s):  
Jianhong Fan ◽  
You Mo ◽  
Yunnan Cai ◽  
Yabo Zhao ◽  
Dongchen Su
Keyword(s):  
Spatial Distribution ◽  
Rural Communities ◽  
Rural Areas ◽  
Urban Areas ◽  
Rural China ◽  
Social Resilience ◽  
Learning Abilities ◽  
The Sustainable Development ◽  
Guangzhou City ◽  
Local Sustainability

Resilience of rural communities is becoming increasingly important to contemporary society. In this study we used a quantitative method to measure the resilience regulating ability of rural communities close to urban areas—in Licheng Subdistrict, Guangzhou City, China. The main results are as follows: (1) Rural systems close to urban areas display superior adapting and learning abilities and have a stronger overall resilience strength, the spatial distribution of which is characterized by dispersion in whole and aggregation in part; (2) the resilience of most rural economic subsystems can reach moderate or higher levels with apparent spatial agglomeration, whilst the ecological subsystem resilience and social resilience are generally weaker; the spatial distribution of the former shows a greater regional difference while the latter is in a layered layout; (3) some strategies such as rebuilding a stable ecological pattern, making use of urban resources and cultivating rural subjectivity are proposed on this basis, in order to promote the sustainable development of rural areas and realize rural revitalization. This work also gives suggestion for the creation of appropriate and effective resilience standards specifically targeted for rural community-aiming to achieve the delivery of local sustainability goals.

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