Geriatric Telemedicine: Background and Evidence for Telemedicine as a Way to Address the Challenges of Geriatrics

Objectives The global population of elderly people is increasing at a remarkable rate, which may be expected to continue for some time. Older patients require more care, and with the current model of care delivery, the costs may be expected to rise, although higher cost is unsustainable. For this reason, a new pattern of practice is needed. Telemedicine will be presented as a highly effective and necessary tool in geriatrics. Methods This review will present some of the background and evidence for telemedicine as a way to address the challenges of geriatrics through geriatric telemedicine. Some of the evidence for the value of telemedicine as a tool for physicians and healthcare systems is presented. Results Telemedicine offers many means to address the problems of geriatric care in creative ways. The use of electronic medicine, telecommunications, and information management has now found its way into the very fabric of health care. The use of telemedicine is a fait accompli in much of the world, and it continues to have an increasing role deeply imbedded in our electronic practices coupled with social media. Conclusions The evidence for successful incorporation of telemedicine into practice is abundant and continues to accrue. This is a great opportunity for medical practice to evolve to new levels of engagement with patients and new levels of attainment in terms of quality care

Changes in Children’s Cognitive Development at the Start of School in England 2001 – 2008

Since 1997, England has seen massive changes in the Early Years including the introduction of an early childhood curriculum, free pre-school education for three-year-olds and local programmes for disadvantaged communities. Many of these initiatives took time to introduce and become established. Beginning in 2001, and each year thereafter until 2008, the authors collected consistent data from thousands of children when they started school at the age of four on a range of variables, chosen because they are good predictors of later success. These included vocabulary, early reading and early mathematics. Children from the same set of 472 state primary schools in England were assessed each year. This paper contributes to the existing studies of educational trends over time by examining the extent to which children's scores on these measures changed over that period; in general, they were found to have remained stable

Clinical aspects of telemedicine

Communication among physicians is an essential in order to combine our experiences for the elucidation and application of new knowledge and for the accurate and uniform application of established medical practice. This communication requires an adequate understanding of the culture of the patient and the social context of disease and indeed the culture of the physician. Malnutrition in Bangladesh means caloric insufficiency, and a program to lower cholesterol would be impertinent, while a program to enhance the nutrition of patients in Texas by an international effort to import more grain would be ludicrous. In the same vein a public health effort to combat alcoholic cirrhosis in Mecca would be as silly as a program to increase fiber in the diet of the Bantu. Clinical communication must acknowledge the culture of the issue at hand and the differences in the experiential base of the physicians. Not only do geography and culture affect the potential differences in the experiential bases, but the world utilizes very different traditions of education and science in training physicians. We are influenced by the diseases we treat, and learn to look for the expected at least as much as we are attentive to the unexpected. A physician in Siberia would be much more likely to recognize frostbite than one from Buenos Aires, and the Argentine doctor would much more likely consider Chaga's Disease to explain abdominal pain than a colleague in Zurich. Beyond these obvious issues in communication among physicians we must deal with the many languages and idioms used in the world. An overview of using Telemedicine SpaceBridge after the earthquake in the Republic of Armenia in 1988 is presented

ECONOMICS OF SWINE CROSSBREEDING SYSTEMS

Livestock Production/Industries,

Absolute effects of schooling as a reference for the interpretation of educational intervention effects

Knowledge of the absolute effects of schooling provides a useful reference for the interpretation of the effectiveness of educational interventions. We use discontinuities in test scores between the oldest pupils in one birth cohort and the youngest in the next to assess the absolute effects of schooling. Our study includes 90 % of all pupils in year-groups 4–6 of primary education (ages 7–10) in Northern Ireland. Assignment to year-groups is strictly determined by date of birth in Northern Ireland. This creates a situation which parallels randomized controlled experimentation. The findings support the view that the guidelines suggested by Cohen (in 1969) may be overly ambitious when evaluating the effectiveness of educational interventions

Model synthesis

Three-dimensional models are extensively used in nearly all types of computer graphics applications. The demand for 3D models is large and growing. However, despite extensive work in modeling for over four decades, model generation remains a labor-intensive and difficult process even with the best available tools. We present a new procedural modeling technique called model synthesis that is designed to generate many classes of objects. Model synthesis is inspired by developments in texture synthesis. Model synthesis is designed to automatically generate a large model that resembles a small example model provided by the user. Every small part of the generated model is identical to a small part of the example model. By altering the example model, a wide variety of objects can be produced. We present several different model synthesis algorithms and analyze their strengths and weaknesses. Discrete model synthesis generates models built out of small building blocks or model pieces. Continuous model synthesis generates models on set of parallel planes. We also show how to incorporate several additional user-defined constraints to control the large-scale structure of the model, to control how the objects are distributed, and to generate symmetric models. The generality of the approach will be demonstrated by showing many models produced using each approach including cities, landscapes, spaceships, and castles. The models contain hundreds of thousands of model pieces and are generated in only a few minutes

Minding the Terrazzo Gap between Athletes and Nonathletes: Representativeness, Integration, and Academic Performance at the U.S. Air Force Academy

The tension between focusing on collegiate athletic or academic performance has persisted for decades. A recent study finds that recruited athletes in college athletic programs underperform academically, earning lower grades than predicted. It postulates that increased representativeness and integration efforts will enhance the academic value of college athletes’ experience. The U.S. Air Force Academy system presents a natural experiment of whether such efforts can affect student-athlete academic performance. In this setting, we find that student-athletes perform comparably to nonathletes after controlling for predicted academic performance

Trends in Cholera Epidemiology

Codeço and Coelho discuss a new study on cholera modeling that helps us to better explain the observed epidemic pattern of the disease