The role of communication practices in the strengthening of counter networks: Case experiences from the health care sector of Mozambique

In this article we provide a theoretically informed empirical analysis of the introduction and use of information and communication technology (ICT) within the primary health care (PHC) sector of Mozambique. The theoretical lens for this analysis is developed from Manuel Castells' (1996, 1997, 2001) ideas on the network society and counter domination. These ideas help us to conceptualize the communicative action required to strengthen the PHC sector as a “counter network,” which has the normative aim to strengthen the health information system (HIS) as a key strategy to improve health care delivery. Taking an informational perspective, the role of communication is highlighted as playing an important constitutive basis in the strengthening of this network. These conceptual ideas are applied to the empirical analysis of an ongoing project (the Health Information Systems Programme or HISP), and to analyze some key constraints and strategies for strengthening these networks. This study makes key contributions to both the theoretical and practical domains of HIS in developing countries. © 2005 Wiley Periodicals, Inc.     

Locomotion techniques for robotic colonoscopy.

Colonoscopy has become a routine procedure in many hospitals all over the world for colon cancer diagnosis. This review article discusses the work done by researchers in the quest to automate the colonoscopy procedure. In vitro and in vivo experimentation have been carried out to prove the possibilities of a robot crawling along a patient's colon, treating polyps as they are encountered. Locomotion is an essential part of robotic colonoscopy. The robot must be able to propel itself from the anus right up to the cecum without damaging the colon walls. The challenge is to design a robust locomotion technique that is able to advance through the stretchable, slippery, and mobile colon, which is always in its collapsed stage, in three-dimensional orientation. The authors believe that in the future, conventional colonoscopy will be revolutionized, giving way to robotics to assist doctors in colonoscope manipulation and performing therapeutic procedures and leaving doctors to concentrate on the diagnostic aspect of the procedure, which would encourage mass screening as more patients can be evaluated per session.     

Technical advances and experimental devices for enteroscopy

Enteroscopy remains the procedure in the gastrointestinal tract that is most inaccessible to endoscopy, and technical limitations severely impair the ability to advance and examine the small bowel reliably or completely. Push-type enteroscopy not only suffers limitations owing to looping in the stomach, but is intrinsically associated with increasing loss of transmission of force to the tip and consequent failure of advancement. Development is this area has been slow, partly owing to the limited clinical need compared with upper gastrointestinal endoscopy, and colonoscopy and consequent financial limitations imposed on further development. Practical and useful technical advances have been made, especially in push-type as well as sonde-type enteroscopy. These are reviewed briefly and are covered in other articles elsewhere in this issue.     

Testing and calculating a two-chamber plasma furnace for processing of radioactive wastes

A two-chamber plasma furnace has been tested and the advantages of the processing of radioactive wastes with the use of plasma-thermal technologies have been demonstrated. A model of a plasma furnace for processing of low-and medium-activity radioactive wastes formed in the process of operation of atomic-power and nuclear-industry plants has been developed. The thermal parameters of such a furnace have been calculated. __________ Translated from Inzhenerno-Fizicheskii Zhurnal, Vol. 81, No. 3, pp. 569–576, May–June, 2008.     

Transport processes in the mixing of inhomogeneous gas streams

The equation of the laminar boundary layer is used to analyze the where mixing of two plane oncoming (or parallel) streams of inhomogeneous compressible gases.     

Critically classifying: UK e-government website benchmarking and the recasting of the citizen as customer

In recent years, discussion of the provision of government services has paid particular attention to notions of customer choice and improved service delivery. However, there appears to be marked shift in the relationship between the citizen and the state moving from government being responsive to the needs of citizens to viewing citizens explicitly as customers. This paper argues that this change is being accelerated by government use of techniques like benchmarking, which have been widely used in the private sector. To illustrate this point, the paper focuses on the adoption of website benchmarking techniques by the public sector. The paper argues that the essence of these benchmarking technologies, a process comprised of both finding and producing truth, is fundamentally based on the act of classifying and draws on Martin Heidegger's etymological enquiry to reinterpret classification as a dynamic movement towards order that both creates and obfuscates truth. In so doing, it demonstrates how Heidegger's seminal ideas can be adapted for critical social research by showing that technology is more than an instrument as it has epistemic implications for what counts as truth. This stance is used as the basis for understanding empirical work reporting on a UK government website benchmarking project. Our analysis identifies the means involved in producing the classifications inherent in such benchmarking projects and relates these to the more general move that is recasting the relationship between the citizen and the state, and increasingly blurring the boundaries between the state and the private sector. Recent developments in other attempts by the UK government to use private-sector technologies and approaches indicate ways in which this move might be challenged.     

Load-Balancing Schemes for High-Throughput Distributed Fault-Tolerant Servers

Clusters of workstations, connected by a fast network, are emerging as a viable architecture for building high-throughput fault-tolerant servers. This type of architecture is more scalable and more cost-effective than a tightly coupled multiprocessor and may achieve as good a throughput. Two of the most important issues that a designer of such clustered servers must consider in order for the system to meet its fault-tolerance and throughput goals are the load-balancing scheme and the fault-tolerance scheme that the system will use. This paper explores several combinations of such fault-tolerance and load-balancing schemes and compares their impact on the maximum throughout achievable by the system, and on its survivability. In particular, we show that a fault-tolerance scheme may have an effect on the throughput of the system, while a load-balancing scheme may affect the ability of the system to override failures. We study the scalability of the different schemes under different loads and failure conditions. Our simulations take into consideration the overhead of each scheme, the network contention, and the resource loads.     

The role of identity in health information systems development: A case analysis from Mozambique

There is a need to look beyond the immediate process of implementation of computerized information systems to understand the broader social context in which the information and communication technology is being implemented. Using an interpretive approach to the implementation of a computerized health information system in a rural district in Mozambique we reconstruct an important aspect of this context from our interviews and observations—how the process of collective identity formation and information systems implementation are interconnected. Using this understanding of collective identity, we emphasize the importance of communication and shared meanings in developing and extending the primary health care network and in the successful implementation of a computerized health information system. © 2005 Wiley Periodicals, Inc.