83 research outputs found

    Telemedicine in a Tertiary Care Hospital in South India- a Thirteen Year Review

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    Sri Ramachandra Hospital’s telemedicine centre located in Chennai, South India, has been providing telemedicine services since 2001. This centre has grown in its use from providing tele-consultation to the three sub-centres of the hospital to expanding its reach to 19 rural centres and six hospitals. While in the initial years ISDN lines were predominantly used, the scope of practice widened to include rural areas with VSAT connectivity which was provided by the Indian Space Research Organisation. Today most of the tele-consultations are via IP connectivity. A hybrid model of using both store and forward (asynchronous) as well as real time (synchronous) tele-consultations and evaluations is practiced. Since November 2001 until December 2014, 21,565 tele-consultations were provided, wherein, 80% of the consultations were in super specialties like endocrinology, dermatology, neurology and nephrology. Further, tele-technology was used to strengthen Continuing Medical Education (CME) and so far 1900 CME programmes have been conducted. In 2009, CMEs and tele-consultations were extended to countries of the African Union through the Pan-African Network provided by the Government of India. The uniqueness of this centre lies in its scope of practice with respect to its revenue model, doctor-to-doctor consultation, and involvement in disaster management. Not only is the telemedicine centre used for clinical applications but also for continuing education and research. This article describes the functioning and activities of the Sri Ramachandra Telemedicine centre

    A parametricity-based formalization of semi-simplicial and semi-cubical sets

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    Version corresponds to MSCS published version (though with different formatting)Semi-simplicial and semi-cubical sets are commonly defined as presheaves over respectively, the semi-simplex or semi-cube category. Homotopy Type Theory then popularized an alternative definition, where the set of n-simplices or n-cubes are instead regrouped into the families of the fibers over their faces, leading to a characterization we call indexed. Moreover, it is known that semi-simplicial and semi-cubical sets are related to iterated Reynolds parametricity, respectively in its unary and binary variants. We exploit this correspondence to develop an original uniform indexed definition of both augmented semi-simplicial and semi-cubical sets, and fully formalize it in Coq

    A parametricity-based formalization of semi-simplicial and semi-cubical sets

    No full text
    Semi-simplicial and semi-cubical sets are commonly defined as presheaves over respectively, the semi-simplex or semi-cube category. Homotopy Type Theory then popularized an alternative definition, where the set of n-simplices or n-cubes are instead regrouped into the families of the fibers over their faces, leading to a characterization we call indexed. Moreover, it is known that semi-simplicial and semi-cubical sets are related to iterated Reynolds parametricity, respectively in its unary and binary variants. We exploit this correspondence to develop an original uniform indexed definition of both augmented semi-simplicial and semi-cubical sets, and fully formalize it in Coq.Comment: Associated formalization in Coq at https://github.com/artagnon/bona

    The clinic and the community: exploring the role of the designed environment in the creation of social value

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    This study proposes that nonprofit healthcare organizations can function as social entrepreneurs, using the designed environment as a critical resource to address health and wellness issues within the community beyond their usual medical services. By taking this approach, organizations would not only help mitigate social problems within the community but also create incentives for themselves. Operating under a resource-based lens, this study explores whether the designed environment can help in the creation of social value as a means by which nonprofit healthcare organizations (called clinics) can become community resources, offering more than just sources of medical care. Acknowledging the inseparability of space and activity, this practical and exploratory study incorporates principles from environment behavior, strategy management, and social entrepreneurship. The ideologies of Social Design (Sommer R. , 1983) and Social Bricolage (Di Domenico, Haugh, & Tracey, 2010) are used as the basic framework, including areas such as stakeholder participation, a local approach, gender and spatial navigation, theories on everydayness, organizational mission, and resource-based theories. Using pre-determined criteria from literature and preliminary research, two sets of social programs, actively supported by clinics, were chosen for a multiple case study methodology. The case studies were grouped into two themes addressing basic issues of food and shelter. The first theme, healthy eating, was addressed by farmers’ markets; the second theme, programs for low income women, was addressed through homeless shelters, transition homes, and community resource centers. The idea of social value creation was also examined from a cross-cultural perspective, examining one case in detail and several smaller cases from India. Each site was visited in the summer of 2013 through winter of 2014. Data were in the form of interviews with program and clinic personnel, observations, note taking, photographs, and official reports and documents procured from each clinic. QDA Miner 4.1.12 was used as a means for verbal content analysis and visual analysis. Further, a Social Return on Investment (SROI) was conducted on some of the cases using the SROI Network’s Impact Map assessment technique. Findings showed enmeshed environmental and entrepreneurial factors. Visibility, access and seclusion (often at the same time), the location (at micro and city level) incorporated into program planning and structure, importance of organizational mission and partnering with community organizations were some of the major outcomes. Contributions of stakeholders stood out prominently in both content and monetary analysis. The SROI study results showed positive returns to the dollar on every analysis done. The clinics in this study realized several additional benefits in supporting the space-based social programs—low or no cost of building procurement, reduction in emergency room / ambulance services and unnecessary hospitalization, safeguarding tax status, brand recognition, awards, increase in volunteer network (thereby reducing staff cost), and avoiding replication of services available in the community. There is a growing awareness of the unsustainability of the current operational model that most nonprofit clinics adopt. Clinics are constantly struggling with resource deficits along with high costs of uncompensated care and pressure from competing health systems. With increasing federal mandates in the form of laws and income tax regulations for clinics to address the larger wellness issue within the community, this study though exploratory, provides an insight into how adopting a physical resource-based view can be a huge incentive for a clinic to address a pressing social need in its community, in a manner that is not only beneficial to the community but to the clinic as wellSubmission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2017-08-01The student, Aparna Saligrama Ramachandra, accepted the attached license on 2015-07-08 at 21:09.The student, Aparna Saligrama Ramachandra, submitted this Dissertation for approval on 2015-07-08 at 21:42.This Dissertation was approved for publication on 2015-07-14 at 14:55.DSpace SAF Submission Ingestion Package generated from Vireo submission #8385 on 2015-09-29 at 15:05:46Made available in DSpace on 2015-09-29T21:03:08Z (GMT). No. of bitstreams: 3 SALIGRAMARAMACHANDRA-DISSERTATION-2015.pdf: 8491017 bytes, checksum: a4b5d0687f1f87407f0a4015142f65f5 (MD5) Saligrama Ramachandra_Aparna.docx: 37150075 bytes, checksum: 4d5fdc0bb17b6bb147da40eb2dfc289a (MD5) LICENSE.txt: 4225 bytes, checksum: 1169e89bbc111473ffa902b29a86a74a (MD5) Previous issue date: 2015-07-14Embargo set by: Seth Robbins for item 89550 Lift date: 2017-09-29T21:03:28Z Reason: Author requested closed access (OA after 2yrs) in Vireo ETD systemEmbargo set by: Seth Robbins for item 89550 Lift date: 2017-09-29T21:08:35Z Reason: Author requested closed access (OA after 2yrs) in Vireo ETD systemLimited Restriction Lifted for Item 89550 on 2017-09-30T09:15:29Z

    Charge-Transfer CMOS Image Sensors: Device and Radiation Aspects

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    The aim of this thesis was twofold: investigating the effect of ionizing radiation on 4-T CMOS image sensors and the possibility of realizing a CCD like sensor in standard 0.18-?m CMOS technology (for medical applications). Both the aims are complementary; borrowing and lending many aspects of radiation and device physics amongst each other.Electronic InstrumentationElectrical Engineering, Mathematics and Computer Scienc

    Hypoxia_Normoxia_microstructures_3D_projection_videos_8-25-2021.pptx

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    Mouse pulmonary artery microstructure revealed by 2-photon imaging microscopy. Powerpoint with embedded videos.Supplementary Material to Frontiers in Physiology article, " Mechanisms of Hypoxia-Induced Pulmonary Arterial Stiffening in Mice Revealed by a Functional Genetics Assay of Structural, Functional, and Transcriptomic Data." Authors: Manning EP, Ramachandra AB, Schupp JC, Cavinato C, Raredon MSB, Barnthaler T, Cosme C Jr, Singh I, Tellides G, Kaminski N, Humphrey JDcorresponding author: Manning [email protected]</div
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