scholarly journals A Framework for Delivering m-Health Excellence

Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg

Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery, and is one, if not the significant, contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (a) access, as in caring for anyone, anytime, anywhere, (b) quality, delivered by offering world-class care and establishing integrated information repositories, and (c) value, which is created by providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact on the other and are all necessary to meet the key challenges facing healthcare organizations today.

2011 ◽  
pp. 1773-1787 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg

Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (1) access – caring for anyone, anytime, anywhere; (2) quality – offering worldclass care and establishing integrated information repositories; and (3) value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare, namely, m-health, appears to offer a way for healthcare delivery to revolutionize itself. This chapter serves to outline an example of adopting mobile commerce within the healthcare industry, namely, in the area of a wireless medical record. In particular, it discusses an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in today’s competitive and costly healthcare environment as well as meet all the necessary regulatory requirements. The lessons learnt from these case study data should be of interest to both practitioners and researchers since they will outline realistic and feasible solutions to enable hospitals to incorporate a wireless/m-commerce solution as well as highlighting key areas for further research in this important area of high-quality, effective, and efficient healthcare management.


Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg

Medical science has made revolutionary changes in the past decades. Contemporaneously however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare deliver and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies (or the value propostion); namely, 1. access - caring for anyone, anytime, anywhere; 2. quality – offering world class care and establishing integrated information repositories; and 3. value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact on the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare; namely, m-health appears to offer a way for healthcare delivery to revolutionize itself. However, little if anything has been written regarding how to achieve excellence in m-health. This chapter serves to address this major void by presenting an integrative framework for achieving m-health, developed through the analysis of longitudinal applied research conducted by INET in conjunction with academe. After presenting this framework and discussing its key inputs we then illustrate how the mapping of case data to the model enable the attainment of a successful m-health application to ensue and the benefits of adopting such a methodology.


2011 ◽  
pp. 187-204 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg

Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies, namely, (1) access – caring for anyone, anytime, anywhere; (2) quality – offering world-class care and establishing integrated information repositories; and (3) value – providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact the other and all are necessary to meet the key challenges facing healthcare organizations today. The application of mobile commerce to healthcare, namely, m-health, appears to offer a way for healthcare delivery to revolutionize itself. This chapter serves to outline an example of adopting mobile commerce within the healthcare industry, namely, in the area of a wireless medical record. In particular, itdiscusses an appropriate, feasible mobile solution to enable hospitals operate effectively and efficiently in today’s competitive and costly healthcare environment as well as meet all the necessary regulatory requirements. The lessons learnt from these case study data should be of interest to both practitioners and researchers since they will outline realistic and feasible solutions to enable hospitals to incorporate a wireless/m-commerce solution as well as highlighting key areas for further research in this important area of high-quality, effective, and efficient healthcare management.


2014 ◽  
Vol 13 (4) ◽  
pp. 484-487 ◽  
Author(s):  
Vikas Mishra ◽  
Suresh Jain ◽  
Jehangir Sorabjee

Hemiballismus-hemichorea is an uncommon disorder. In the past, patients developing hemiballismus and hemichorea were considered to have poor prognosis with high morbidity and even mortality at times. While majority of patients of hemiballismus go into spontaneous remission, some severe cases require prolonged treatment. We here describe two such cases of which one presented to us with post stroke hemiballismus, unresponsive to monotherapy and the other was an HIV positive patient with unresponsive hemichorea secondary to CNS toxoplasmosis. Both these patients responded well when combination therapy was instituted and had normal recovery. DOI: http://dx.doi.org/10.3329/bjms.v13i4.17536 Bangladesh Journal of Medical Science Vol.13(4) 2014 p.484-487


2021 ◽  
Vol 69 (5 Zeszyt specjalny) ◽  
pp. 85-104
Author(s):  
Danuta Kowalska

This article aims to show the picture of the plague as created by Piotr Umiastowski in his medical treatise entitled Nauka o morowym powietrzu na czwory księgi przełożona from 1591. It discusses the synonymy connected with the names of illnesses, the features of the plague and its symptoms, the origins of the epidemic, as well as the ways illness can be perceived in metaphorical terms. The analyses are intended to show the past methods of conceptualising an illness, which was, on the one hand, determined by the medical science of sixteenth century, and, on the other, by the idea of illness as preserved in colloquial language. The research also points to chosen linguistic devices which form the image of an illness, in particular the evaluative lexicon and given stylistic devices that perform the artistic functions of language (comparison, metaphor, epithets).


Author(s):  
K. T. Tokuyasu

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).


Author(s):  
Prakash Rao

Image shifts in out-of-focus dark field images have been used in the past to determine, for example, epitaxial relationships in thin films. A recent extension of the use of dark field image shifts has been to out-of-focus images in conjunction with stereoviewing to produce an artificial stereo image effect. The technique, called through-focus dark field electron microscopy or 2-1/2D microscopy, basically involves obtaining two beam-tilted dark field images such that one is slightly over-focus and the other slightly under-focus, followed by examination of the two images through a conventional stereoviewer. The elevation differences so produced are usually unrelated to object positions in the thin foil and no specimen tilting is required.In order to produce this artificial stereo effect for the purpose of phase separation and identification, it is first necessary to select a region of the diffraction pattern containing more than just one discrete spot, with the objective aperture.


2010 ◽  
Vol 51 (1-2) ◽  
pp. 215-224
Author(s):  
Alexander Carpenter

This paper explores Arnold Schoenberg’s curious ambivalence towards Haydn. Schoenberg recognized Haydn as an important figure in the German serious music tradition, but never closely examined or clearly articulated Haydn’s influence and import on his own musical style and ethos, as he did with many other major composers. This paper argues that Schoenberg failed to explicitly recognize Haydn as a major influence because he saw Haydn as he saw himself, namely as a somewhat ungainly, paradoxical figure, with one foot in the past and one in the future. In his voluminous writings on music, Haydn is mentioned by Schoenberg far less frequently than Bach, Mozart, or Beethoven, and his music appears rarely as examples in Schoenberg’s theoretical texts. When Schoenberg does talk about Haydn’s music, he invokes — with tacit negativity — its accessibility, counterpoising it with more recondite music, such as Beethoven’s, or his own. On the other hand, Schoenberg also praises Haydn for his complex, irregular phrasing and harmonic exploration. Haydn thus appears in Schoenberg’s writings as a figure invested with ambivalence: a key member of the First Viennese triumvirate, but at the same time he is curiously phantasmal, and is accorded a peripheral place in Schoenberg’s version of the canon and his own musical genealogy.


2018 ◽  
Vol 47 (2) ◽  
Author(s):  
Kempe Ronald Hope

Countries with positive per capita real growth are characterised by positive national savings—including government savings, increases in government investment, and strong increases in private savings and investment. On the other hand, countries with negative per capita real growth tend to be characterised by declines in savings and investment. During the past several decades, Kenya’s emerging economy has undergone many changes and economic performance has been epitomised by periods of stability, decline, or unevenness. This article discusses and analyses the record of economic performance and public finance in Kenya during the period 1960‒2010, as well as policies and other factors that have influenced that record in this emerging economy. 


2020 ◽  
Author(s):  
Anaí Floriano Vasconcelos ◽  
Ademir Paceli Barbassa

Sustainable urban stormwater management (SUSM) is essential to urban sustainability. However, barriers to adopting it are observed even in places where SUSM is more widespread. Recent studies have evaluated strategies for overcoming some types of barriers. However, any study has systematically analyzed the strategies available for overcoming the most common barriers, contributing to widely adopting SUSM. Thus, this article aimed to provide a literature review on these strategies. Sixty-six documents were evaluated, resulting in eight solution strategies, detailed by 81 implementation measures, which were critically analyzed. The interrelationships among the solution strategies and their applicability to overcome the SUSM-related barriers were evaluated. This analysis showed that the solution strategies are interdependent, so it would be inefficient to adopt the strategies in isolation. On the other hand, adopting a strategy can help overcome several barriers, also enhancing other strategies, and consequently contributing to the global scenario of effective SUSM adoption. The availability of this systematized information helps break through common barriers and optimizing efforts to adopt SUSM where it is incipient.


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