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Telepresence robots have gained prominence as a novel technological modality for mobile videoconferencing. Although the technology has mass appeal in the realm of telehealth and patient–health provider communication, its integration in community living settings for older adults has not been extensively studied. The aim of this study was to gather the perspectives of residents, trainers and staff at a retirement facility on their experience with a telepresence robot during and following a five-week wellness program.

The study employed semi-structured interviews with ten stakeholders who were involved in the wellness program followed by a qualitative content analysis of the data. The Unified Theory of Acceptance and Use of Technology served as the interview framework to explore the facilitators and barriers to the implementation of the robot.

Independent coding of the data by the study investigators identified discrete as well as interconnected categories among the stakeholders. Residents expressed their changing ideation of the robot, affinity toward the technology, preference for human connection and future value. Perspectives of the trainers, the fellow residents (ambassadors) and staff pertained to their need for increased engagement, growing comfort with the technology, usability challenges and importance of coordination and training.

Older adults' outlook and comfort with telepresence robots improve with continuing exposure to the technology for healthcare and social connectivity needs. However, in-person care is also preferred initially and periodically to engage with their health providers meaningfully and effectively via the robot. To address long term feasibility and usability, the authors propose a hierarchical approach when integrating telepresence robots in community living facilities for older adults. Information technology education, staff training and reliable internet connectivity are the precursors to optimizing the value and perceived usefulness of the technology.

Roger Osayende, a former management consultant, must advise the Ministry of Health of Ektu, a fictional country in Central Africa, on how to implement a new point-of-care diagnostic test for infants with HIV. In Ektu, mothers often transmitted HIV infection to infants during pregnancy, delivery, or breastfeeding due to inadequate resources to invest in prevention efforts. The existing procedure to diagnose infants with HIV required collecting dried blood samples at more than two hundred healthcare facilities around the country and transporting them to a central laboratory in the capital for testing. This process was characterized by significant delays due to long transportation times, batching of samples in transportation and processing in the lab, and concomitant congestion in the lab. This delay resulted in loss to follow-up, that is, lost patients due to mothers not collecting their infants' results. A new point-of-care device was about to be introduced, which would obviate the need for this centralized processing and the resulting diagnostic delay. The key decision under consideration is where to place the devices to maximize their effectiveness.

Understand the importance of making public health decisions based on a data-driven, logical framework   Uncover the link between operational performance of the healthcare system and health outcomes at the population level   Appreciate the relevance of operational decisions in enhancing or diminishing the effectiveness of a medical technology   Use process analysis concepts to characterize various components of delays

“BEFORE the leaves of Autumn fall” we were assured by Mr. Churchill that there might be heavy fighting. They have not fallen yet, although with September, beautiful as it often is, we know the Summer is over and our minds must be occupied most immediately with the war. Libraries may seem to some, even librarians, secondary in this maelstrom but, even if they are, that secondariness is really so important that at this month everyone looks to his own work to see in what ways it may be geared up more fully for its own special contribution. Immediate planning concerns such matters as winter service hours, staffing, the growing wear and tear on stocks, the inadequacy of new book supply, the growing shabbiness of our buildings and our continuing inability to carry on the extension work which was so prominent a feature of many libraries. Frankly, in most towns we are giving a book service, not doing the library work, personal and bibliographical, which every librarian desires to give. To do what is within our limits to the best advantage is, then, the immediate problem.

This paper aims to explore the true sources of innovation that revolutionized two sports industries – skiing and tennis, tracking the flow of ideas and power of technology brokering through the eyes of the innovator, Howard Head.

Using a focal innovation action-set framework, the authors unite heretofore-disparate pieces of information to paint a more complete picture of the innovation and technology brokering process. Primary source material from Head’s patents, personal memoirs and journals and documented correspondence between him, his brother and his colleagues are augmented with secondary source material from periodicals, media excerpts and the academic literature.

Head stands as an exemplar example of a technology broker, both through his serial practice of recombinant innovation and his savvy exploitation of resources. Results discredit the Great Man Theory of Innovation, while emphasizing the importance of exploiting social capital to realize opportunities.

This paper is the first to offer detailed insight into the technology brokering and innovation processes that revolutionized the tennis and skiing industries. It is novel in that it is one of very few papers to challenge the Great Man Theory of Innovation propagated by many textbooks and mass media, explores the process of technology brokering from the broker’s perspective rather than organizationally and uses focal innovation action-set methodology to complement a historical biographical sketch of innovativeness relative to sports equipment and machines.