scholarly journals A Teleneuropsychology Consultation Service Model for Children with Neurodevelopmental and Acquired Disorders Residing in Rural State Regions

2020 ◽  
Vol 35 (8) ◽  
pp. 1196-1203
Author(s):  
Andrea R Sherwood ◽  
Beatriz MacDonald
Keyword(s):  
Rural Areas ◽  
Local Community ◽  
Neuropsychological Testing ◽  
Pilot Project ◽  
Sociocultural Factors ◽  
Service Model ◽  
Consultation Service ◽  
Testing Procedures ◽  
Course Of Action ◽  
Consultation Model

Abstract Objective Accessing neuropsychological services, which are often centralized in urban regions, poses unique challenges to children and families in rural regions. In 2017, urban neuropsychologists and a pediatrician practicing in a rural region of New Mexico started to develop a teleneuropsychology (TeleNP) consultation service model to efficiently triage and determine a clinical course of action. This pilot project, aimed at expanding clinical access to specialized pediatric services in rural areas, evolved over the course of 2 years prior to the coronavirus disease 2019 pandemic. Method Providers earned the trust of the local community, gained understanding of pertinent sociocultural factors, and acquired knowledge of the clinical and educational concerns for the children residing in the rural community. The application of a culturally informed approach that highlights the importance of community participation and collaboration steered the decision to implement a TeleNP consultation model. By widening access to neuropsychology, this service helped to determine whether neuropsychological testing procedures were medically indicated. Results We summarize the distinct processes that needed to occur at each location to support the implementation of telemedicine. We propose a clinical service decision tree with specific criteria to help guide providers on how to triage cases in order to increase access to specialized healthcare. Conclusion The success of implementing a TeleNP consultation service hinges upon ongoing care coordination between providers, clerical staff, patients, and families with clear goals and expectations, maintenance of legal and ethical standards, and development of specific administrative and clinical processes supporting the use of TeleNP.

Biotelemetry and Computer Analysis of Electrocardiograms

1969 ◽  
Vol 08 (03) ◽  
pp. 120-127 ◽  
Author(s):  
P. R. Amlinger
Keyword(s):  
Computer Analysis ◽  
Rural Areas ◽  
Applied Research ◽  
Research Effort ◽  
Pilot Project ◽  
Modern Medicine ◽  
Modern Technology ◽  
Long Distance ◽  
Regional Medical ◽  
Medical Program

Routine transmission of electrocardiograms and their computer interpretation via long-distance telephone lines has been proven feasible in the Automated Electrocardiogram Project of the Missouri Regional Medical Program. Though this Pilot Project — the first on a state-wide basis — is still viewed as an applied research effort rather than a service, such biotelemetry is rapidly gaining acceptance as a medium to bring modern medicine, through modern technology, to urban and remote rural areas as well, where it is most needed.The computer executes all the wave measuraments and calculations with incredible speed. It takes over a most boring, repetitive part of the physician’s work. However, it can only follow the instructions of the diagnostic program, compiled by expert cardiologists. Thus, it is an ever-ready, never-tiring servant for the physician and his patients.

Child Psychiatric Consultation Service to Community Agencies: A Collaborative Approach Involving Three Community Agencies

1997 ◽  
Vol 42 (6) ◽  
pp. 656-658 ◽  
Author(s):  
Arthur Froese ◽  
Patrice Dwyer-Sepic ◽  
Kevin Parker
Keyword(s):  
Rural Areas ◽  
Early Experience ◽  
Collaborative Approach ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Safety Issues ◽  
Community Agencies ◽  
Child Psychiatric ◽  
Effective Training ◽  
Management Issues

Objective: To report the early experience of a multiagency child psychiatric consultation service. Method: The program is described, and the demographic characteristics of clients referred to the consultation program over the first 25 months of operation are presented. Referrals were examined for demographics and the questions consultees wanted to have answered. Results: In 59 of 100 consultations, physical and/or sexual abuse was proved or highly suspected. In 82 of the 100 cases, consultees had questions pertaining to management issues. Questions related to diagnostic issues numbered 62, and there were 45 questions about safety issues. Conclusion: Effective psychiatric consultations services to rural areas can be established. Once established, the questions of consultees can provide an effective training ground for future community-oriented child psychiatrists.

scholarly journals Doctors' experience of a bespoke physician consultation service: cross-sectional investigation

2011 ◽  
Vol 35 (6) ◽  
pp. 206-212 ◽  
Author(s):  
Maja Meerten ◽  
Julia Bland ◽  
Samantha R. Gross ◽  
Antony I. Garelick
Keyword(s):  
Self Report ◽  
Consultation Service ◽  
Cross Sectional ◽  
Specialist Services ◽  
Before And After ◽  
Consultation Model ◽  
Evaluation Outcome ◽  
Cross Sectional Design ◽  
Case Note Review

Aims and methodOur aim was to follow-up on a cohort of self-referred doctors who attended MedNet. We used a two-point cross-sectional design. Measures included three standardised self-report questionnaires administered before and after consultation. Doctors were also asked to complete a service user questionnaire, and data regarding engagement and onward referrals were gathered through case-note review.ResultsA statistically significant improvement in scores on all three questionnaires was found after intervention; however, scores on one subscale, the risk domain of the Clinical Outcomes in Routine Evaluation – Outcome Measure, did not change significantly. Of the doctors at no risk of suicide at intake, nearly two-thirds (n = 41/70, 59%) were sufficiently helped by the consultations provided to not need further treatment. Of the doctors at some risk of suicide at intake, two-thirds (n = 34/51, 67%) did need an onward referral. Only one doctor required hospital admission, an outcome that suggests the approach used is containing and clinically responsive.Clinical implicationsThis paper highlights the efficacy, need and importance of specialist services for doctors in difficulty. We found that the bespoke consultation model provided at MedNet is valued highly by the doctors as service users.

scholarly journals Screening for type 2 diabetes in the Iranian national programme: a preliminary report

2003 ◽  
Vol 9 (5-6) ◽  
pp. 1122-1127 ◽  
Author(s):  
F. Azizi ◽  
M. M. Guoya ◽  
P. Vazirian ◽  
P. Dolatshati ◽  
S. Habbibian
Keyword(s):  
Type 2 Diabetes ◽  
Rural Areas ◽  
Control Strategies ◽  
Pilot Project ◽  
National Programme ◽  
Large Cities ◽  
Islamic Republic Of Iran ◽  
Heavy Burden ◽  
And Control

Diabetes mellitus is a significant threat to public health. It is estimated that more than 1.5 million people with diabetes live in the Islamic Republic of Iran. We report on the preliminary results of the national programme for the prevention & control of type 2 diabetes which began in 1996. The pilot project has so far been instituted in 17 provinces. Of 595 717 people aged 30 years and over, 247 518 were classed as at risk and 3.6% had diabetes, 4.3% of women and 2.6% of men. Diabetes prevalence varied from 1.3% in rural areas to 14.5% in large cities. Early detection and control strategies are aimed at diminishing the heavy burden of diabetes

scholarly journals Increasing the socio-cultural influence of immovable cultural heritage on local communities – the case of historic residential buildings in Wielkopolska used as hotels

2020 ◽  
Vol 32 (4) ◽  
pp. 43-57
Author(s):  
Zdzisława Elżbieta Niemczewska
Keyword(s):  
Cultural Heritage ◽  
Rural Areas ◽  
Local Community ◽  
Residential Buildings ◽  
Local Communities ◽  
Historic Buildings ◽  
Cultural Impact ◽  
Local Authorities ◽  
Property Owners ◽  
Cultural Functions

The article presents results of a study of how immovable cultural heritage used for commercial purposes of tourism affects local communities. The study is based on data collected in direct interviews with property owners and representatives of local authorities and a questionnaire survey of local residents concerning sixteen historic buildings used as hotels, which are located in rural areas of Wielkopolskie province. It was found that the provision of additional, free cultural functions for local communities by property owners and/or local authorities exerts a greater socio-cultural impact and contributes to local, sustainable development. Based on the results of the study, it can be concluded that when historic buildings of this kind are used for commercial purposes it is important to ensure that they are part of the cultural experience not only for hotel guests but also for the local community. In this way, entire communities can appreciate their local cultural heritage (socio-cultural impact), which in turn strengthens cultural sustainability.

scholarly journals Strategi Pengembangan Usaha Kecil Menengah (UKM) Kreatif Pedesaan di Kabupaten Sleman studi Kasus Subsektor Industri Kerajinan Anyaman Mendong

2018 ◽  
Author(s):  
Kristiana Sri Utami ◽  
Nany Noor Kurniyati
Keyword(s):  
Value Chain ◽  
Rural Areas ◽  
Local Community ◽  
Swot Analysis ◽  
Small And Medium Enterprises ◽  
Creative Industries ◽  
Culture Heritage ◽  
Design Production ◽  
Medium Enterprises

Creative industries including its subsector handicraft, is very potential to be developed, because Indonesia is rich in culture heritage. Creative industries is largely related to a group of micro , small and medium enterprises which are mostly located in rural areas . Industry has entered the era of globalization which is rapidly developed, so that the role of UKM (small&medium enterprises) in handicraft as a part of the creative industries to achieve welfare society should be developed. The appropriate strategic planning will spur the development of this industry. Mendong craft is one of the creative industry subsector that exists in Sleman. Methods of analysis is using value chain and SWOT analysis. From the data, it is found that mendong craft is a cultured asset that deserve to be developed. Mendong, as the material for the weaved craft is an abundant local natural asset, but a lack of interest from the local community to develop this industry brings less quantity of product that is produced. This craft is still less touched so that it has limitation in creation/ design, production,commerlialization, and distribution. The reality is that the entrepreneurs are afraid to enter the global marked caused by anxiousness about the inability to fulfill demanded quantity.

Analysis of socio-economic conditions for rural development

2021 ◽  
pp. 69-79
Author(s):  
M. G. Lescheva ◽  
T. N. Steklova ◽  
A. S. Khusainova
Keyword(s):  
Rural Areas ◽  
Household Income ◽  
Local Community ◽  
Living Conditions ◽  
Economic Conditions ◽  
Rural Settlements ◽  
Private Business ◽  
State Support ◽  
Support Measures ◽  
The City

The article is devoted to the analysis of the results of observing the living conditions of the rural population, assessing the scale and effectiveness of state support measures aimed at the development of rural territories. The development of engineering infrastructure (gasification and water supply), provision of improved housing, accessibility of means of communication, educational and medical services in rural areas was considered. A comparative assessment of the level and structure of household income in the city and the countryside has been carried out. Living conditions have been identified as factors in the deterioration of the socio-economic situation in rural settlements. The directions of improvement of socio-economic conditions of development of rural territories, which involves increase of state support financing within the framework of federal targeted projects and programs, increase of interest of private business and activity of the local community, have been defined.

Pengenalan Potensi Kawasan Sebagai Pondasi Pembangunan Pusat Pendidikan Berbasis Komunitas Lokal Pedesaan

2021 ◽  
Vol 6 (2) ◽  
pp. 67
Author(s):  
Adhi Surya Perdana ◽  
Budi Rahardjo ◽  
Ikha Amalia Ikhsani ◽  
Miftahul Ilmi
Keyword(s):  
Rural Areas ◽  
Local Community ◽  
Animal Husbandry ◽  
Sampling Technique ◽  
Youth Organizations ◽  
Community Based ◽  
Community Based Education ◽  
Cultural Conditions ◽  
Ex Post ◽  
Ex Post Facto

Social, economic, institutional, and cultural conditions become the basis of education and provide benefits for science to formulate the introduction of regional potential, regional designations, program development carried out by villages, and routine activities (learning, research, and community service) by students and lecturers of the Faculty of Agriculture Tidar University which has an interest in developing Sidorejo Village, Bandongan District. The research objective is to create an embryonic center for local community-based education in strengthening rural areas that are progressing efficiently, effectively, and sustainably as a form of university connectivity with the local community. This research focuses on identifying the area's potential in a careful village, with a qualitative research method using an ex post facto comparative clause through a social, ethnographic approach. The research was conducted using a purposive sampling technique consisting of village officials, community leaders, youth organizations, family empowerment and welfare, arts and culture actors, business actors, and planning faculty development planners as many as 20 respondents. The results of the study are in the form of identification findings that can be used as objects of community social mapping projections, needs, essential potential, human resource capabilities, institutions, local culture, infrastructure, economy, natural resources, and agriculture to design rural areas to become centers of local community-based education in strengthening, developing and tri dharma of higher education in the fields of agriculture, plantation, animal husbandry, fisheries, and social entrepreneurship.

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