Ethnic entrepreneurs and online home-based businesses

Objectives The study considers how online home-based businesses offer opportunities for ethnic entrepreneurs to ‘break out’ of the traditional highly competitive and low margin sectors they are often associated with. Prior Work Previous studies have found a positive association between ethnic minorities high levels of entrepreneurship (Levie, 2007) and between home computer use and entrepreneurship in ethnic groups (Fairlie, 2006). Despite these associations, no previous studies have explored the formation of home-based or other online businesses by ethnic entrepreneurs. This study seeks to address this gap by exploring how online home-based businesses provide opportunities for ethnic entrepreneurs to form and operate businesses outside traditional sectors (Rath, 2002; Kloosterman, 2010). Approach The study adopts mixed embeddedness (Kloosterman et al, 1999) as a theoretical lens to guide interviews with 22 ethnic entrepreneurs who have started online home-based businesses in the UK. All interviews are recorded, fully transcribed and analysed by thematic coding using NVivo software. Results Our findings suggest two distinct groups of online home-based business ventures. The first consist of mainly entrepreneurs who have good IT qualifications and are using the internet to leverage these, such as running web design or networking businesses or selling computer hardware online. The second group had no IT expertise and saw the web as an opportunity to start a business based on retailing, design skills or other interests. The informants were emphatic that the unique characteristics offered by an online home-based business were instrumental in their decision and ability to form a business. We use the findings of the study to argue that the theory of mixed embeddedness should include notions of choice and agency by ethnic entrepreneurs and also that the entrepreneurs are not only subject to social, economic and institutional forces, but that their actions can positively influence these forces. Implications The findings suggest that online home-based businesses can offer new opportunities to ethnic entrepreneurs that allow them to move beyond being the passive subjects of social, economic and institutional forces. Value The study is of benefit to ethnic entrepreneurs seeking to start new ventures and provides a valuable evidence base for wider social debates about the role and contribution of ethnic groups to the economic and social fabric of the UK. The research also has important policy implications, for example, the efficacy and sustainability of entrepreneurship visas

Palliative home-based technology from a practitioner's perspective: benefits and disadvantages

This critical review paper explores the concept of palliative home-based technology from a practitioner's perspective. The aim of the critical review was to scope information available from published and unpublished research on the current state of palliative home-based technology, practitioner-focused perspectives, patient-focused perspectives, quality of life, and the implications for clinical practice. Published and unpublished studies were included. An example of one UK patient-centered home-based technology is explored as an exemplar. The evidence suggests that despite the challenges, there are numerous examples of good practice in relation to palliative home-based technology. Improvements in technology mean that telehealth has much to offer people being cared for at home with palliative needs. However, some of the evaluative evidence is limited, and further rigor is needed when evaluating future technology-based solutions innovations

The Role of Entrepreneur-Venture Fit in Online Home-based Entrepreneurship: A Systematic Literature Review

Home-based businesses and their founders represent an important, but under-researched facet of entrepreneurship. Far from being small, hobby-businesses with little economic impact, home-based business make significant contribution to national economies in terms of both turnover and employment. Online home-based businesses have been recognised as an important and distinct sector of the home-based business domain, offering unique opportunity for innovation and business diversity. The paper presents a systematic literature review of extant research on online home-based entrepreneurs and their businesses. The findings of the review are structured and discussed using the theoretical lens of entrepreneur-venture fit. Use of this lens allows the study to bring coherence to previously fragmented extant studies, providing a basis for future research in this domain. The study also develops a novel model of entrepreneur-venture fit in the specific case of online home-based businesses. This allows us to suggest five positive interactions between entrepreneurial and venture characteristics. It also allows us to suggest a number of previously unidentified negative interactions, which may result in entrepreneurs becoming ‘locked-in’ and suffering multiple sources of stress

Sustainable Home Based Enterprise: Criteria Toward the Concept Case Study: Kampung Sate, Ponorogo, Indonesia

Home based enterprise is one of the forms of effort of people in order to gain economic prosperity by using their homes as the place to work. This condition is easy seen in most developing countries, including Indonesia. Home based enterprise appears as a solution for low-middle income household to gain economic prosperity. Kampung Sate is one of home based enterprise village in Ponorogo which is evolved years. In this Kampung, the people still use traditional equipments to conduct their economic activities. The houses are modified into workshop to conduct their economic activities. From primary survey it can be seen that the inhabitants pay less attention to their house condition. The other important thing related to productive house is the impact of the production activities toward the environment. Nowadays environmental issues become important because sustainable development can not be achieved if the community does not care about the impact of a given activity on the environment. Therefore, this research is expected to give overviews regarding the criteria of sustainable home based enterprise concept in Kampung Sate, Ponorogo. Those criteria can be used to determine the sustainable concept toward the built environment in productive housing

Home-based physical therapy with an interactive computer vision system

In this paper, we present ExerciseCheck. ExerciseCheck is an interactive computer vision system that is sufficiently modular to work with different sources of human pose estimates, i.e., estimates from deep or traditional models that interpret RGB or RGB-D camera input. In a pilot study, we first compare the pose estimates produced by four deep models based on RGB input with those of the MS Kinect based on RGB-D data. The results indicate a performance gap that required us to choose the MS Kinect when we tested ExerciseCheck with Parkinson’s disease patients in their homes. ExerciseCheck is capable of customizing exercises, capturing exercise information, evaluating patient performance, providing therapeutic feedback to the patient and the therapist, checking the progress of the user over the course of the physical therapy, and supporting the patient throughout this period. We conclude that ExerciseCheck is a user-friendly computer vision application that can assist patients by providing motivation and guidance to ensure correct execution of the required exercises. Our results also suggest that while there has been considerable progress in the field of pose estimation using deep learning, current deep learning models are not fully ready to replace RGB-D sensors, especially when the exercises involved are complex, and the patient population being accounted for has to be carefully tracked for its “active range of motion.”Published versio

HOME-BASED ENTERPRISES: IMPLICATIONS FOR HOUSING AND URBAN PLANNING IN NIGERIA

There is increasing recognition of the role home-based enterprises (HBEs) play in the socioeconomic development of cities in developing countries. However, there appears to be a limited understanding of how housing designers and urban planners can provide support for HBEs in developing countries to help ensure their survival. Data derived from two separate surveys of 160 and 517 households in the urban areas of the states of Osun and Ogun, Nigeria, were used to examine the prevalence of HBEs and how housing providers and urban planners can respond to urban residents’ need for HBEs. The findings show that, despite the differences in educational and cultural capital that generally result in distinct differences in domestic practices, the use of domestic dwellings for small-scale commercial activities remains a prevailing component of housing in the study area. The HBEs in this study were predominantly small-scale retail businesses found in dwellings occupied by mostly low- and average-income households. The study explored the implications of HBEs for housing and urban planning and concluded that an integrated approach involving the use of design and planning strategies by housing designers and urban planners is needed to integrate HBEs with domestic spaces while mitigating their potential negative effects on the environment, economy, and societ

Home-based versus clinic-based care for patients starting antiretroviral therapy with low CD4⁺ cell counts: findings from a cluster-randomized trial.

OBJECTIVES: African health services have shortages of clinical staff. We showed previously, in a cluster-randomized trial, that a home-based strategy using trained lay-workers is as effective as a clinic-based strategy. It is not known whether home-based care is suitable for patients with advanced HIV disease. METHODS: The trial was conducted in Jinja, Uganda. One thousand, four hundred and fifty-three adults initiating ART between February 2005 and January 2009 were randomized to receive either home-based care or routine clinic-based care, and followed up for about 3 years. Trained lay workers, supervised by clinical staff based in a clinic, delivered the home-based care. In this sub-analysis, we compared survival between the two strategies for those who presented with CD4⁺ cell count less than 50 cells/μl and those who presented with higher CD4⁺ cell counts. We used Kaplan-Meier methods and Poisson regression. RESULTS: Four hundred and forty four of 1453 (31%) participants had baseline CD4⁺ cell count less than 50 cells/μl. Overall, 110 (25%) deaths occurred among participants with baseline CD4⁺ cell count less than 50  cells/μl and 87 (9%) in those with higher CD4⁺ cell count. Among participants with CD4 cell count less than 50  cells/μl, mortality rates were similar for the home and facility-based arms; adjusted mortality rate ratio 0.80 [95% confidence interval (CI) 0.53-1.18] compared with 1.22 (95% CI 0.78-1.89) for those who presented with higher CD4⁺ cell count. CONCLUSION: HIV home-based care, with lay workers playing a major role in the delivery of care including providing monthly adherence support, leads to similar survival rates as clinic-based care even among patients who present with very low CD4⁺ cell count. This emphasises the critical role of adherence to antiretroviral therapy

Who Receives Home-Based Perinatal Palliative Care: Experience from Poland

The current literature suggests that perinatal palliative care (PPC) programs should be comprehensive, initiated early, and integrative. So far there have been very few publications on the subject of home-based PC of newborns and neonates. Most publications focus on hospital-based care, mainly in the neonatal intensive care units. Objective. To describe the neonates and infants who received home-based palliative care in Lodz Region between 2005 and 2011. Methods. A retrospective review ofmedical records. Results. 53 neonates and infants were admitted to a home hospice in Lodz Region between 2005 and 2011. In general, they are a growing group of patients referred to palliative care. Congenital diseases (41%) were the primary diagnoses; out of 53 patients 16 died, 20 were discharged home, and 17 stayed under hospice care until 2011. The most common cause of death (56%) was cardiac insufficiency. Neurological symptoms (72%) and dysphagia (58%) were the most common clinical problems.The majority of children (45%) had a feeding tube inserted and were oxygen dependent (45%); 39 families received psychological care and 31 social supports. Conclusions. For terminally ill neonates and infants, perinatal palliative care is an option which improves the quality of their lives and provides the family with an opportunity to say goodby

Home-based tuberculosis contact investigation in Uganda: a household randomised trial.

IntroductionThe World Health Organization (WHO) recommends household tuberculosis (TB) contact investigation in low-income countries, but most contacts do not complete a full clinical and laboratory evaluation.MethodsWe performed a randomised trial of home-based, SMS-facilitated, household TB contact investigation in Kampala, Uganda. Community health workers (CHWs) visited homes of index patients with pulmonary TB to screen household contacts for TB. Entire households were randomly allocated to clinic (standard-of-care) or home (intervention) evaluation. In the intervention arm, CHWs offered HIV testing to adults; collected sputum from symptomatic contacts and persons living with HIV (PLWHs) if ≥5 years; and transported sputum for microbiologic testing. CHWs referred PLWHs, children <5 years, and anyone unable to complete sputum testing to clinic. Sputum testing results and/or follow-up instructions were returned by automated SMS texts. The primary outcome was completion of a full TB evaluation within 14 days; secondary outcomes were TB and HIV diagnoses and treatments among screened contacts.ResultsThere were 471 contacts of 190 index patients allocated to the intervention and 448 contacts of 182 index patients allocated to the standard-of-care. CHWs identified 190/471 (40%) intervention and 213/448 (48%) standard-of-care contacts requiring TB evaluation. In the intervention arm, CHWs obtained sputum from 35/91 (39%) of sputum-eligible contacts and SMSs were sent to 95/190 (50%). Completion of TB evaluation in the intervention and standard-of-care arms at 14 days (14% versus 15%; difference -1%, 95% CI -9% to 7%, p=0.81) and yields of confirmed TB (1.5% versus 1.1%, p=0.62) and new HIV (2.0% versus 1.8%, p=0.90) diagnoses were similar.ConclusionsHome-based, SMS-facilitated evaluation did not improve completion or yield of household TB contact investigation, likely due to challenges delivering the intervention components