Importance of cardiac rehabilitation in rural and remote areas of Australia

Author(s):  
Patricia Field ◽  
Richard C. Franklin ◽  
Ruth Barker ◽  
Ian Ring ◽  
Peter Leggat ◽  
...  
2021 ◽  
Vol 28 (12) ◽  
pp. 1-13
Author(s):  
Patricia E Field ◽  
Richard C Franklin ◽  
Ruth Barker ◽  
Ian Ring ◽  
Peter Leggat ◽  
...  

Background/Aims Heart disease is the largest single cause of death and contributes to poor quality of life and high healthcare costs in Australia. There are higher rates of heart disease in rural and remote areas, with the highest rates in Aboriginal and Torres Strait Islander people. Cardiac rehabilitation is known to improve health outcomes for people with heart disease but referral rates remain low (30.2% overall and 46% following acute coronary syndrome) in Australia. Further, access to cardiac rehabilitation in rural and remote areas is affected by there being few centre-based services, and poor use of home-based services. The aim of this protocol is to investigate: (i) understanding of cardiac rehabilitation by health staff, community leaders and community participants discharged from hospital following treatment for heart disease; (ii) access and support for cardiac rehabilitation in rural and remote areas via health service availability in each community. Methods A qualitative case study methodology, using an interpretive descriptive framework, will be used together with content analysis that will encompass identification of themes through a deductive/inductive process. Conclusions To improve access to services and health outcomes in rural and remote areas, a strong evidence base is essential. To achieve this, as well as having appropriate methodology, it is necessary to build relationships and trust with local communities and healthcare providers. This research protocol describes a qualitative community-based case study, together with processes to build sound relationships required for effective data collection through semi-structured interviews or focus groups. Each step of the pre-research planning data collection and analysis is described in detail for the guidance of future researchers.


Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1627
Author(s):  
Giovanni Battista Gaggero ◽  
Mario Marchese ◽  
Aya Moheddine ◽  
Fabio Patrone

The way of generating and distributing energy throughout the electrical grid to all users is evolving. The concept of Smart Grid (SG) took place to enhance the management of the electrical grid infrastructure and its functionalities from the traditional system to an improved one. To measure the energy consumption of the users is one of these functionalities that, in some countries, has already evolved from a periodical manual consumption reading to a more frequent and automatic one, leading to the concept of Smart Metering (SM). Technology improvement could be applied to the SM systems to allow, on one hand, a more efficient way to collect the energy consumption data of each user, and, on the other hand, a better distribution of the available energy through the infrastructure. Widespread communication solutions based on existing telecommunication infrastructures instead of using ad-hoc ones can be exploited for this purpose. In this paper, we recall the basic elements and the evolution of the SM network architecture focusing on how it could further improve in the near future. We report the main technologies and protocols which can be exploited for the data exchange throughout the infrastructure and the pros and cons of each solution. Finally, we propose an innovative solution as a possible evolution of the SM system. This solution is based on a set of Internet of Things (IoT) communication technologies called Low Power Wide Area Network (LPWAN) which could be employed to improve the performance of the currently used technologies and provide additional functionalities. We also propose the employment of Unmanned Aerial Vehicles (UAVs) to periodically collect energy consumption data, with evident advantages especially if employed in rural and remote areas. We show some preliminary performance results which allow assessing the feasibility of the proposed approach.


2013 ◽  
Vol 19 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Monica Casey ◽  
Patrick S. Hayes ◽  
David Heaney ◽  
Lee Dowie ◽  
Gearoid ÓLaighin ◽  
...  

2021 ◽  
Vol 3 (6) ◽  
Author(s):  
Wilber Akatuhurira ◽  
Peter Tumutegyereize ◽  
Isaac Oluk ◽  
Emmanuel Baidhe ◽  
Julia Kigozi ◽  
...  

Abstract Traditional grain cleaning methods are labor-intensive, time-consuming, and yet very inefficient. The use of available mechanical seed cleaners is widely limited since they are expensive to own, operate, and maintain. A Pedal Operated Seed Cleaner (PoS-Cleaner) was developed and its performance evaluated. Appropriate engineering principles and methodologies were used in the sizing and construction of the machine. The cleaner consists of a bicycle-like pedaling system, hopper, a centrifugal fan, and three cleaning sieves which include two inside interlocking sieves (one sieve fixed and the other adjustable); whose meshes can be adjusted to be larger than the size of the unclean seeds by longitudinally translating the second sieve to achieve the appropriate seed size. This allows trapping of impurities larger than the seeds. Cleaning rates of 576.5 kg/h, 375.8 kg/h, and 377.4 kg/h for maize, beans, and groundnuts were obtained respectively. Maize, beans, and groundnuts had their highest cleaning efficiencies of 95.09%, 87.61%, and 81.67% at inner sieve sizes of 13 mm, 16 mm and 10 mm respectively, pedaling speed of 60 rpm. The PoS-Cleaner presents a more viable cleaning option for smallholder farmers in rural and remote areas with no access to the national grid, therefore producing high-quality seeds. This will eventually facilitate agricultural value addition and increase individual family incomes in Uganda. Article highlights A pedal operated multi-seed cleaner was developed. Achieved 5 times higher seed cleaning rates compared to traditional cleaning technologies. Attained higher separation efficiencies of seed and externalities compared to traditional technologies.


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