scholarly journals Cost Analysis of Establishing a Relationship Between a Surgical Program in the US and Vietnam

2012 ◽  
Vol 97 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Quyen D. Chu ◽  
Thu Nguyen ◽  
Phuong Nguyen ◽  
Hung S. Ho

Abstract “Twinning” refers to a constructive partnership between hospitals in developed and developing nations. Such an effort may contribute immensely to capacity building for the developing nation, but one of the reasons given for the lack of sustainability is cost. We share a detailed operating cost analysis of our recent experience with an institution in Vietnam. We were awarded a 1-year $54,000 grant from the Vietnam Education Foundation (VEF) to conduct a live tele-video conferencing course on the “Fundamentals of Clinical Surgery” with Thai Binh Medical University (TBMU). In-country lectures as well as an assessment of the needs at TBMU were performed. Total financial assistance and expenditures were tabulated to assess up-front infrastructure investment and annual cost required to sustain the program. The total amount of direct money ($66,686) and in-kind services ($70,276) was $136,962. The initial infrastructure cost was $41,085, which represented 62% of the direct money received. The annual cost to sustain the program was approximately $11,948. We concluded that the annual cost to maintain a “twinning” program was relatively low, and the efforts to sustain a “twinning” program were financially feasible and worthwhile endeavors. “Twinning” should be a critical part of the surgical humanitarian volunteerism effort.

2021 ◽  
Vol 37 (10) ◽  
pp. 3083-3087
Author(s):  
Rahul Jandial ◽  
Pranay Narang ◽  
Jorge Daniel Brun Aramayo ◽  
Michael Levy

AbstractWith respect to the tremendous deficit in surgical care plaguing developing nations, it is critical that medical outreach models be organized in such a fashion that sustainable advancements can be durably imparted beyond the duration of targeted missions. Using a didactic framework focused on empowering host neurosurgeons with an enhanced surgical skillset, a mission was launched in Managua, Nicaragua, after previous success in Kiev, Ukraine, and Lima, Peru. Unfortunately, the failure to critically assess the internal and external state of affairs of the region’s medical center compromised the outreach mission. Herein lies the visiting team’s lessons from failure and insights on facilitating effective communication with host institutions, circumventing geopolitical instability, and utilizing digital collaboration and video-conferencing tools in the post-COVID-19 era to advance the surgical care of developing regions in a fashion that can be generationally felt.


2020 ◽  
Vol 68 (1) ◽  
pp. 82-100
Author(s):  
Yashwant Kumar Vaid ◽  
Vikram Singh ◽  
Monika Sethi

Finance plays a key role in the growth of developed as well as developing nations. A financially well included society leads to stronger growth. Financial inclusion aims at providing easy and affordable access to financial products and services. The main concern for any developing nation from a growth point of view is advancement of low-income rural population just as much as the high-income population. Taking a note of this, identifying the key determinants that would lead to successful financial inclusion of low-income rural population is equally, if not more, important. The inclusion strategies have to be built around these determinants to promote inclusion and thus, a clear picture of these determinants is a must have for strategy and policy makers. Though the factors may be somewhat similar across the nation, but their significance and impact on financial inclusion varies greatly from one geographical area to other. In line with this, the purpose of this study is to identify the dimensions of successful financial inclusion in the low-income rural segments with special reference to Raipur, Chhattisgarh. The study uses factor analysis to identify the determinants and path analysis to analyse the significance of these factors in financial inclusion.


Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 326-326
Author(s):  
Susan L Hickenbottom ◽  
Kenneth M Langa ◽  
Jeffrey S Kutcher ◽  
Mohammed U Kabeto ◽  
A. M Fendrick ◽  
...  

56 Background: As the US population ages, increased stroke incidence will result in higher stroke-associated costs. While estimates of direct costs exist, little information is available regarding informal caregiving costs for stroke patients. Objective: To determine a nationally representative estimate of the quantity and cost of informal caregiving for elderly stroke patients. Methods: We used data from the first wave (1993) of the Asset and Health Dynamics (AHEAD) Study, a longitudinal study of people over 70 living in the community, to determine average weekly hours of informal caregiving. Multivariate and logistic regression analyses were performed to examine association of stroke and other covariates and assess the probability of receiving informal care. Average annual cost for informal caregiving was calculated. Results: Of the 7443 respondents, 656 (6%) reported a history of stroke. Of those, 375 (57%) reported stroke-related health problems (SRHP). After adjusting for cormorbid conditions, social support and sociodemographics, the proportion of patients receiving informal care increased with stroke severity, and there was a significant association of weekly hours of caregiving with stroke category (p<0.01). Using the mean 1998 wage for a home health aide ($8.20/hr.) as the value for family caregiver time, the expected yearly caregiving cost per stroke ranged from $3500 to $7600, which would result in an annual cost of more than $5.7 billion for stroke-related informal caregiving in the US. Conclusions: The economic burden of informal caregiving following stroke has not been studied previously. Informal caregiving occurs frequently; associated costs are substantial and should be considered when estimating the cost of stroke treatment.


2005 ◽  
Author(s):  
Raymond H. Kramer

Recent experience with the Littoral Combat Ship (LCS), Focused Mission Ship, Ship Structure Committee (SSC) Project SR 1437 and other programs for the US Navy has required the development of structural designs for the unique loads that occur on high speed craft. Using the ABS Rules for Building and Classing High Speed Naval Craft (ABS HSNC) and the DNV Rules for Classification of High Speed, Light Craft and Naval Surface Craft, (DNV HSLC&NSC) the hull girder, slamming and vehicle deck loads required for the design of a US Navy High Speed craft/combatant are reviewed herein. Materials and allowable stresses associated with each of the class society’s rules are summarized along with the required loads and resulting structural modifications for SSC Project SR 1437, which used each of the two rule sets to determine the structural modifications for converting a commercial, high speed ferry into a high speed military transport capable of unrestricted (i.e., open ocean) operation.


1955 ◽  
Author(s):  
HILLER AIRCRAFT CORP PALO ALTO CA

Author(s):  
José Manuel Saiz Alvarez ◽  
Rubén González Crespo

The arrival of Rafael Correa in Ecuador is leading to a structural transformation of the Ecuadorian economy and society with the arrival of e-Government and the introduction of the digital economy in the country. The objective of this chapter is to design a strategy based on entrepreneurship, e-Government, and higher education for creating a digital society in Ecuador (the triple helix strategy). To achieve it, the authors analyse the Ecuadorian's National Plan for Good Living 2013-2017 linked to higher education reforms and the influence of the European-based e-Government policies in Ecuador. The authors finish with some perspectives and the foreseeable impact of a digital society in this developing nation.


Author(s):  
Bahar Emgin

Abstract Peter Müller-Munk Associates, an American industrial design firm, established the Turkish Handicraft Development Office in 1957 in Ankara as part of the US technical assistance program to developing nations. The aim of the program was to improve selected local crafts products in order to make them appealing for the American market. To this end, American designers and local craftspeople produced about 150 prototypes formed by creative combinations of meerschaum, copperware, ceramics, woodwork and basket weaving. When the office was closed in the early 1960s because of its failure to mass-produce the samples, it left behind a lively debate regarding the improvement of craft production and its relation to industrialization and economic growth. This article focuses on these debates to determine the place allocated to design within the discussions of crafts as a socio-economic activity. The article will focus on the reception of the design assistance program among the local actors to answer how Turkish crafts practitioners and officials perceived design, how the emergent concept of design was linked with handicraft and artisanal production, and how it took place as part of the agenda of economic and industrial development.


Author(s):  
Khaled Dahawy

Decisions relating to choice and implementation of computerized accounting systems differ dramatically between developed and developing nations in respect to the cultural, political, economic, and environmental factors. This study aims to assess the implementation of accounting information system in a company in a developing nation; Egypt. The case indicates the importance of the integration of accounting and technology. However, in a developing nation like Egypt, characterized with over population and high unemployment, automation becomes a very sensitive issue. Therefore, there is a need for strong management support and commitment to insure successful implementation. Developing countries, especially Egypt, should direct its companies to increase its dependence on Information Communication Technology (ICT). As the case shows there are many benefits that ICT can offer to the individual companies. If each individual company can become more efficient and effective the whole economy will be better and will be able to utilize scare resources more efficiently and effectively.


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