Regional Solutions for Rural and Urban Challenges

The complex and dynamic nature of rural–urban interactions tests the capacity of existing governance structures to address pressing regional challenges. There have been decades of efforts to employ regional mechanisms that embrace cross-functional and cross-jurisdiction approaches, ranging from formal authorities to collaborations of local governments and civic organizations to more informal networks. As these have sought to wrestle with issues of limited technical and fiscal capacity and of fragmentation of structures, policies, and resources, they have been challenged by concerns about the loss of local autonomy as they pursue regional collective action. However, with growing concern about rural–urban dissonance and divides, regional collaboration may offer a powerful and intentional way of addressing rural–urban disparities. This article explores how issues of governance, collaboration, and regional imbalances and inequities are being addressed by innovative regional efforts to improve outcomes for everyone, rural and urban

Clinicians must participate in the development of multimodal AI

Multimodal artificial intelligence (AI) is a powerful new technological advance, capable of simultaneously learning from diverse data types, such as text, images, video, and audio. Because clinical decisions are usually based on information from multiple sources, multimodal AI has the potential to significantly improve clinical practice. However, unlike most developed multimodal AI workflows, clinical medicine is both a dynamic and interventional process in which the clinician continually learns about the patient's health and acts accordingly as data is collected. In this article we argue that multimodal clinical AI must be fully attuned to the particular challenges and constraints of the clinic, and clinician involvement is needed throughout development—not just at clinical deployment. We propose ways that clinician involvement can add value at each stage of the multimodal AI development pipeline, and argue for the establishment of actively managed multidisciplinary communities to work collaboratively towards the shared goal of improving the health of all

Company giving in Europe A survey of different approaches to Community involvement by companies in each of the member states of the European Community with case studies of good practice

12.50Available from British Library Document Supply Centre- DSC:q92/00781(Company) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo