Co-innovation: the future of telemedicine in developing countries

Telemedicine which has been widely adopted in developed countries to reach all its citizens irrespective of their location is only being used for education purposes or disaster relief in developing countries. Since developing countries already suffer inadequate healthcare provision especially in remote areas, it would be essential to implement telemedicine practices for daily clinical uses rather than education use. This research argues that to understand the future of telemedicine in developing countries, both well-established technology innovations adoption factors as well as co-innovation factors should be addressed. In the context of healthcare provision, we propose a conceptual framework that integrates the healthcare resources and the organisational affiliations in co-innovation

Nuclear binding energies: Global collective structure and local shell-model correlations

Nuclear binding energies and two-neutron separation energies are analyzed starting from the liquid-drop model and the nuclear shell model in order to describe the global trends of the above observables. We subsequently concentrate on the Interacting Boson Model (IBM) and discuss a new method in order to provide a consistent description of both, ground-state and excited-state properties. We address the artefacts that appear when crossing mid-shell using the IBM formulation and perform detailed numerical calculations for nuclei situated in the 50-82 shell. We also concentrate on local deviations from the above global trends in binding energy and two-neutron separation energies that appear in the neutron-deficient Pb region. We address possible effects on the binding energy, caused by mixing of low-lying $0^{+}$ intruder states into the ground state, using configuration mixing in the IBM framework. We also study ground-state properties using a deformed mean-field approach. Detailed comparisons with recent experimental data in the Pb region are amply discussed.Comment: 69 pages, TeX (ReVTeX). 23 eps figures. 1 table. Modified version. Accepted in Nucl. Phys.

A framework for collaborative innovation to facilitate E-health systems adoption

The promise of telemedicine is great as observed in developed countries. However, its adoption in developing countries has been very slow. Extant literature on healthcare technological innovation indicates that organization collaboration can expedite the adoption of telemedicine especially in developing countries. The Kenyan government approved telemedicine (use of ICT to overcome geographical barriers and increase access to health care services) as a strategic approach of improving healthcare delivery especially in the marginalized areas of the country. However, the adoption of telemedicine is further hindered in developing countries by the fact that the cost of implementing telemedicine technology is deemed to be high and the resources needed are scarce especially in the public sector. This study employed a conceptual research framework to examine organizational factors that may influence organization collaboration in facilitating telemedicine adoption in developing countries. A questionnaire survey was conducted in 50 hospitals located in Eastern Kenya. The findings of this research revealed that Kenyan hospitals may enhance their ability to adopt telemedicine by affiliating with other organizations. Organization affiliation was found to significantly influence organizational resources, organization innovation acceptance, organization innovation capacity, organization agility and collaborative innovation aspects

Fear of exercise and health-related quality of life in patients with an implantable cardioverter defibrillator

Several studies have reported improved survival rates thanks to the use of an implantable cardioverter defibrillator (ICD) in the treatment of patients with life-threatening arrhythmia. However, the effects of the ICD on health-related quality of life (HR-QoL) of these patients are not clear. The aim of this study is to describe HR-QoL and fear of exercise in ICD patients. Eighty-nine ICD patients from the University Hospital in Groningen, the Netherlands, participated in this study. HR-QoL was measured using the Rand-36 and the Quality of Life After Myocardial Infarction Dutch language version questionnaires. Fear of exercise was measured using the Tampa Scale for Kinesiophobia, Dutch version and the Fear Avoidance Beliefs Questionnaire, Dutch version. Association between outcome variables was analysed by linear regression analyses. Study results show that the HR-QoL of patients with ICDs in our study population is significantly worse than that of normal healthy people. Furthermore, fear of exercise is negatively associated with HR-QoL corrected for sex, age and number of years living with an ICD. After implantation of the ICD, patients with a clear fear of exercise should be identified and interventions should be considered in order to increase their HR-QoL

8x14Gb/s ring WDM modulator array with integrated tungsten heaters and Ge monitor photodetectors

An 8x14Gb/s wavelength-division multiplexed Si ring modulator array is presented with uniform channel performance. Tungsten heaters and Ge monitor photodetectors at the ring modulator drop ports are co-integrated to track and control the modulation quality

Static and dynamic characterization of pull-in protected CMOS compatible poly-SiGe grating light valves

status: publishe

Low-voltage Ge avalanche photodetector for highly sensitive 10Gb/s Si photonic receivers

We demonstrate low-voltage germanium waveguide avalanche photodetectors (APD) with gain-bandwidth product of 88GHz. A 7.1dB sensitivity improvement is demonstrated for an APD wire-bonded to a 10Gb/s CMOS transimpedance amplifier, at -6.2V APD bias

Low-voltage waveguide Ge APD based high sensitivity 10 Gb/s Si photonic receiver

We demonstrate low-voltage Ge waveguide avalanche photodetectors (APDs) with gain-bandwidth product over 100GHz. A 5.8dB avalanche sensitivity improvement (1x10(-12) bit error ratio at 10Gb/s) is obtained for the wire-bonded optical receiver at -5.9V APD bias

Ionospheric response to the 2009 sudden stratospheric warming over the equatorial, low, and middle latitudes in the South American sector

The present study investigates the ionospheric total electron content (TEC) and F-layer response in the Southern Hemisphere equatorial, low, and middle latitudes due to major sudden stratospheric warming (SSW) event, which took place during January-February 2009 in the Northern Hemisphere. In this study, using 17 ground-based dual frequency GPS stations and two ionosonde stations spanning latitudes from 2.8°N to 53.8°S, longitudes from 36.7°W to 67.8°W over the South American sector, it is observed that the ionosphere was significantly disturbed by the SSW event from the equator to the midlatitudes. During day of year 26 and 27 at 14:00 UT, the TEC was two times larger than that observed during average quiet days. The vertical TEC at all 17 GPS and two ionosonde stations shows significant deviations lasting for several days after the SSW temperature peak. Using one GPS station located at Rio Grande (53.8°S, 67.8°W, midlatitude South America sector), it is reported for the first time that the midlatitude in the Southern Hemisphere was disturbed by the SSW event in the Northern Hemisphere.Fil: Fagundes, P. R.. Universidade do Vale do Paraíba; BrasilFil: Goncharenko, L. P.. Massachusetts Institute of Technology; Estados UnidosFil: De Abreu, A. J.. Universidade do Vale do Paraíba; BrasilFil: Venkatesh, K.. Universidade do Vale do Paraíba; BrasilFil: Pezzopane, M.. Istituto Nazionale Di Geofisica E Vulcanologia; ItaliaFil: De Jesus, R.. Universidade do Vale do Paraíba; BrasilFil: Gende, Mauricio Alfredo. Universidad Nacional de La Plata. Facultad de Ciencias Astronómicas y Geofísicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Coster, A. J.. Massachusetts Institute of Technology; Estados UnidosFil: Pillat, V. G.. Universidade do Vale do Paraíba; Brasi

SU(4) symmetry in the extended proton-neutron interacting boson model: multiplets and symmetry breaking

The manifestation of $SU(4)$ symmetry within an interacting boson model including particle-like and hole-like $\pi$- and $\nu$-bosons is shown for light nuclei around the Z=N=8 shell. We also present a consistent description of the particle-hole (intruder spin or $I$ spin) multiplets in the Extended Interacting Boson Model (EIBM) and of $\pi$-$\nu$ ($F$ spin) multiplets in the IBM-2 as a breaking of this $SU(4)$ symmetry