scholarly journals LOCAL EXPERIENCE OF TELEMEDICINE: EXAMPLES OF CASES IN YEMEN

Author(s):  
Abdulrahman A. Ishak ◽  
Abdulrahman M Alhadi ◽  
Hassan A. Al-Shamahy

 Background: The benefits of establishing a web-based telemedicine service in a resource-stressed society, linking health professionals in order to improve the quality and accessibility of healthcare and facilitate a further method of medical education through exchange of knowledge and experiences. Sub-standard communication facilities within a strained medical service across limited sites, combined with an inadequate understanding of the service further reduces provision. The on-going military campaign within the country exacerbates the problems facing medical staff, yet despite the difficult situation in the country there is a drive towards an increase in health facilities. Objective: The aim of this research is to explore one of the first experiences in the use of telemedicine in Yemen by clarifying cases that have benefited from telemedicine and further exploring the potential for development of a network of TM to serve areas which lack sub-specialty services. Methods: We carried out a review of both the first and second phases of our experience of TM services in Yemen. The first phase began in 1997 when we joined a newly established international company based in the USA with several offices in different countries. We got a huge, expensive digitizer that was supposed to transfer medical reports to second opinion sites in USA, UK, Jordan etc. The second phase began a few years later utilizing a free service, namely The Swinfen Charitable Trust, based in the UK; in which 300 cases in the first stage with 1-3 responses and about 80 cases with 5-50 responses and more in the second stage were involved and benefited from TM services. Results: During the study period the process was seen to be generally very useful to patients helping the local doctor to give the correct decision on management and treatment; added to that cases had reduced travel and the specialist advice proved educational for the doctors who received their guidance. Conclusion and recommendation: This study revealed that telemedicine services are generally underutilized in Yemen despite the good results achieved in many of the cases. Technical, administrative, and legal issues should be discussed in Yemen. Factors such as on-going problems with internet connectivity and consequent system reliability must also be considered. Knowing and identifying these factors is vital for considering any future in-depth studies and assessing the appropriate measures to fix the technological problems that face TM in Yemen are an on-going concern.                           Peer Review History: Received 3 January 2021; Revised 11 February; Accepted 1 March, Available online 15 March 2021 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 5.5/10 Average Peer review marks at publication stage: 7.0/10 Reviewer(s) detail: Dr. George Zhu, Tehran University of Medical Sciences, Tehran, Iran, [email protected] Dr. Evren Alğin Yapar, Turkish Medicines and Medical Devices Agency, Turkiye, [email protected] Similar Articles: USE OF COLCHICINE TO COUNTERACT THE STRONG HYPERINFLAMMATORY STATE INDUCED BY SARS-COV-2

2020 ◽  
Vol 30 (6) ◽  
pp. 1176-1180 ◽  
Author(s):  
Thomas Plümper ◽  
Eric Neumayer

Abstract Background Reports from the UK and the USA suggest that coronavirus disease 2019 (COVID-19) predominantly affects poorer neighbourhoods. This article paints a more complex picture by distinguishing between a first and second phase of the pandemic. The initial spread of infections and its correlation with socio-economic factors depends on how the virus first entered a country. The second phase of the pandemic begins when individuals start taking precautionary measures and governments implement lockdowns. In this phase, the spread of the virus depends on the ability of individuals to socially distance themselves, which is to some extent socially stratified. Methods We analyze the geographical distribution of known cumulative cases and fatalities per capita in an ecological analysis across local districts in Germany distinguishing between the first and the second phase of the pandemic. Results In Germany, the virus first entered via individuals returning from skiing in the Alps and other international travel. In this first phase, we find a positive association between the wealth of a district and infection rates and a negative association with indicators of social deprivation. During the second phase and controlling for path dependency, districts with a higher share of university-educated employees record fewer new infections and deaths and richer districts record fewer deaths, districts with a higher unemployment rate record more deaths. Conclusions The social stratification of COVID-19 changes substantively across the two phases of the pandemic in Germany. Only in the second phase and controlling for temporal dependence does COVID-19 predominantly hit poorer districts.


Author(s):  
Thomas Pluemper ◽  
Eric Neumayer

Background Reports from the UK and the USA suggest that COVID-19 predominantly affects poorer individuals and neighbourhoods. This article paints a more complex picture by distinguishing between a first and second phase of the pandemic. The initial spread of infections and its correlation with socio-economic factors largely depends on how the virus first entered a country. The second phase of the pandemic begins when individuals start taking precautionary measures and governments implement lockdowns. In this phase the further spread of the virus depends on the ability of individuals to socially distance themselves, which is to some extent socially stratified. Methods We analyze the geographical distribution of known cases per capita across 401 local districts in Germany, once for infections in the initial phase and for new infections during the second phase. Results In Germany, the virus first entered via individuals returning from skiing in the Alps and other international travel. In this first phase we find a positive association between the wealth of a district and infection rates and a negative association with indicators of social deprivation. During the second phase, richer districts and districts with a higher share of university-educated employees record fewer new infections, whilst the initial safety advantage of more socially deprived districts disappears. Conclusion The social stratification of Covid-19 changes substantively across the two phases of the pandemic in Germany. Only in the second phase does socio-economic advantage turn into a safety advantage. Thus, suggestions that the pandemic predominantly hits the poor needs to be qualified.


2003 ◽  
Vol 53 (2) ◽  
pp. 195-213 ◽  
Author(s):  
K. Majoros

The study introduces a Hungarian economic thinker, István Varga*, whose valuable activity has remained unexplored up to now. He became an economic thinker during the 1920s, in a country that had not long before become independent of Austria. The role played by Austria in the modern economic thinking of that time was a form of competition with the thought adhered to by the UK and the USA. Hungarian economists mainly interpreted and commented on German and Austrian theories, reasons for this being that, for example, the majority of Hungarian economists had studied at German and Austrian universities, while at Hungarian universities principally German and Austrian economic theories were taught. István Varga was familiar not only with contemporary German economics but with the new ideas of Anglo-Saxon economics as well — and he introduced these ideas into Hungarian economic thinking. He lived and worked in turbulent times, and historians have only been able to appreciate his activity in a limited manner. The work of this excellent economist has all but been forgotten, although he was of international stature. After a brief summary of Varga’s profile the study will demonstrate the lasting influence he has had in four areas — namely, business cycle research and national income estimations, the 1946 Hungarian stabilisation program, corporate profit, and consumption economics — and will go on to summarise his most important achievements.


Author(s):  
Marco M. Fontanella ◽  
Giorgio Saraceno ◽  
Ting Lei ◽  
Joshua B. Bederson ◽  
Namkyu You ◽  
...  
Keyword(s):  
The Usa ◽  

2006 ◽  
Vol 1 (2) ◽  
Author(s):  
B.H. MacGillivray ◽  
P.D. Hamilton ◽  
S.E. Hrudey ◽  
L. Reekie ◽  
S.J.T Pollard

Risk analysis in the water utility sector is fast becoming explicit. Here, we describe application of a capability model to benchmark the risk analysis maturity of a sub-sample of eight water utilities from the USA, the UK and Australia. Our analysis codifies risk analysis practice and offers practical guidance as to how utilities may more effectively employ their portfolio of risk analysis techniques for optimal, credible, and defensible decision making.


Author(s):  
Andy Lord

This chapter points to the ‘pluralization of the lifeworld’ involved in globalization as a key context for changing dissenting spiritualities through the twentieth century. These have included a remarkable upsurge in Spirit-movements that fall under categories such as Pentecostal, charismatic, neo-charismatic, ‘renewalist’, and indigenous Churches. Spirit language is not only adaptive to globalized settings, but brings with it eschatological assumptions. New spiritualities emerge to disrupt existing assumptions with prophetic and often critical voices that condemn aspects of the existing culture, state, and church life. This chapter outlines this process of disruption of the mainstream in case studies drawn from the USA, the UK, India, Africa, and Indonesia, where charismaticized Christianity has emerged and grown strongly in often quite resistant broader cultures.


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