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1 – 3 of 3Shibaji Gupta and Arup Chakraborty
India has over half a million diabetics, with many others at risk. The Indian Diabetes Risk Score (IDRS) is a simple and validated tool used for mass screening of diabetes…
Abstract
Purpose
India has over half a million diabetics, with many others at risk. The Indian Diabetes Risk Score (IDRS) is a simple and validated tool used for mass screening of diabetes mellitus type 2 at the community level. This study assessed the vulnerability of developing diabetes in adults of a rural community of West Bengal using the IDRS and finds out the relationship of the risk of developing diabetes with socioclinical variables.
Design/methodology/approach
Multi-stage sampling was employed to select one eligible nondiabetic adult from selected families residing in the rural field practice area of a medical college in West Bengal. They were interviewed with a predesigned and pretested data collection schedule and examined.
Findings
Among 197 participants, 83.8% were female, 51.8% were illiterate and 57.4% came from Class IV of Prasad's socioeconomic scale. Of participants, 22.8% had existing known morbidities, and 23.9% had some form of substance addiction. In total, 46.8% of the participants on whom the IDRS could be applied (n = 175) were at high risk of developing diabetes (Score = 60). Gender and existing comorbidities significantly predicted a high risk of diabetes.
Originality/value
A large proportion of the Indian population yet to be diagnosed with diabetes are at a high risk of having the disease. Early detection of the disease can help curtail its complications and reduce its clinical, social and economic burden. Mass screening tools like the IDRS thus become a very important tool in India's attempts to fight diabetes.
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This paper analyzes how information systems (IS) can serve as tools of neo-colonial control in offshore outsourcing of research and development work. It draws on critical work…
Abstract
Purpose
This paper analyzes how information systems (IS) can serve as tools of neo-colonial control in offshore outsourcing of research and development work. It draws on critical work examining business and knowledge process outsourcing.
Design/methodology/approach
The paper reports an empirical study of how laboratory information management systems (LIMS) shape offshore outsourcing practices involving Western client firms and Indian contract research organizations (CROs) in the pharmaceutical industry. The study adopted a multi-actor perspective, involving interviews with representatives of Western clients, Indian CROs, system validation auditors, and software vendors. The analysis was iterative and interpretative, guided by postcolonial sensitivity to themes of power and control.
Findings
The study found that LIMS act as tools of neo-colonial control at three levels. As Western clients specify particular brands of LIMS, they create a hierarchy among local CROs and impact the development of the local LIMS industry. At inter-organizational level, LIMS shape relationships by allowing remote, real-time and retrospective surveillance of CROs’ work. At individual level, the ability of LIMS to support micro-modularizing of research leads to routinization of scientific discovery, negatively impacting scientists’ work satisfaction.
Originality/value
By examining multiple actors’ perceptions of IS, this paper looks beyond the rhetoric of system efficiency characteristic of most international business research. As it explores dynamics of power and control surrounding IS, it also questions the proposition that outsourcing of high-end work will move emerging economies upstream in the value chain.
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Md. Nazmul Haque, Mustafa Saroar, Md. Abdul Fattah, Syed Riad Morshed and Nuzhat Fatema
This paper aims to assess the progress in the provision of basic services in urban slums in Bangladesh during the transition period of millennium development goals (MDGs) to…
Abstract
Purpose
This paper aims to assess the progress in the provision of basic services in urban slums in Bangladesh during the transition period of millennium development goals (MDGs) to sustainable development goals (SDGs).
Design/methodology/approach
The study used a mixed method of research. The empirical part of the research was conducted in three Blocks of Rupsha slum in Khulna city. Randomly selected 120 households were interviewed through a structured questionnaire; three focus group discussion sessions (FGDs) were also conducted. Progress in the slum residents’ access to basic services during the transition from MDGs to SDGs is tacked based on primary data. The User Satisfaction Index (USI) and Network Analysis tools in ArcGIS are used to identify the gaps in service provision.
Findings
Findings show that a very significant proportion of families (56.67%) encounter an acute level of difficulties to gain smooth access to water services. About 89% of respondents have only access to a common or shared toilet facility where one common toilet is used by 20–25 persons. About 31% of families are unable to send their children to primary school even after four years of the adoption of SDGs. Achievements in most indicators of basic services in the slum are in general lower than the national level. Moreover, there exists spatial variability within the same slum. After four years of the transition from MDGs to SDGs, most of the services are poorly satisfying the residents of the Rupsha slum, and water service provision is in worse condition. The findings of this study have unveiled that while achievement in target areas is appreciable at the macro level, at the micro-level; however, good achievement in the provision of few basic services in the low-income settlement is more rhetoric than reality. Therefore, a lot more work needs to be done during the SDG phase to give the slum residents a decent quality of life as they have missed the MDGs’ train.
Originality/value
Study single-out works need to be done during the SDGs phase to give the slum residents a decent quality of life as they have missed the MDGs’ train.
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