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Another benefit to robotic-assisted surgery especially in the cath lab is decreased physician exposure to radiation (http://www.dicardiology.com/article/reducing-physician-radiation-dose-robotics; also some information on radiation risks for ICs http://www.acc.org/latest-in-cardiology/articles/2015/12/31/10/12/radiation-safety-for-the-interventional-cardiologist). Robotic systems can also address orthopedic issues which are becoming common among ICs from standing and wearing lead aprons all day. Physician health and safety are an increasingly important topic as physicians weigh long-term career longevity and workplace safety.
Great summary and critical analysis. I really liked the point you made about sending out teams to dispatch to rural areas as I could see this as driving adaptability and efficiency of use. With approximately 80M females in Bangladesh (http://countrymeters.info/en/Bangladesh), it would be important to increase the access to internet-enable mobile phones. Nonetheless, I am a little concerned about the reaction of the community to a Maya Apa “wolfpack” and if the local female population would be open to meeting given the taboo nature of the topics. Perhaps Maya Apa could implement a similar system as ITC eChoupal with a centralized local leader capable of connecting others to the platform. This could have the potential to be more discrete both between Maya Apa and the community (only requiring Maya Apa contact with one community member) and within the community (system could be aligned among existing community relationships) while still improving access to the platform and efficiency of extracting value from the platform.
Fantastic title and great topic! Devices such as this are so exciting and revolutionary. I wonder how this device may be used in monitoring and management of other types of diseases, either as-is or with slight modifications. I agree with the analysis and benefits you outlined above; I just want to explore some of the potential concerns. I would be curious to understand how SJM facilitates the interrogation of the device data and transfer to the physician under secure, private mechanisms. I also wonder how other factors critical to CHF assessment when adjusting medications are incorporated into the system. Lastly although not unique to this device and management system, how can patient compliance be encouraged and ensured both in terms of participating in virtual follow-up but also in implementing the agreed upon medication adjustments. Perhaps the alternative (potential disease progression) is sufficient motivation. I hope to see great strides and improvements in the management of advanced CHF in the future and movement to addressing earlier stages of CHF.
Very interesting post. I appreciate how you covered the digital transformation of the classroom. Additional evidence of the digital transformation of HBS is on the case preparation side with the use of multimedia cases such as Threadless in TOM, Bridgewater in LEAD, and Siemens in FRC. I wonder how the learning objectives and outcomes are enhanced or weakened with these modules, and if there will be a shift in the future to increasing the proportion of digital cases. An upside to the multimedia case is that the videos and interviews can provide considerably more context than the written case.
This is really neat and something I had not heard of previously, so thanks for sharing. I really wonder, to Anton’s point, what Wheelys can do to operate in colder climates or in areas where solar and wind power are not available to be harnessed in large quantities? Is this scaleable to all geographies? Perhaps in these locations, as the “Day with Wheelys” described, they can operate indoors at malls, train stations, etc. It could be possible to partner with specific business and wheel around lobby to lobby. I’m also wondering if they offer espresso-based drinks such as lattes, mochas, etc. in order to truly compete with Starbucks.
I really enjoyed your post, thank you for covering an enlightening topic. I have seen a cork tree before, and they are pretty neat. I agree with your point about building an infrastructure to recycle corks. I found a website listing cork recycling collection centers with a couple in the Boston area: https://recork.org/locations and apparently Whole Foods http://www.wholefoodsmarket.com/blog/whole-story/small-steps-add-recycling-cork-reharvest. Perhaps there needs to be more efforts in promoting cork collection rather than throwing out or holding corks for Pinterest projects that never get finished. There would need to be an educational component to sort between the synthetic corks mentioned above and real corks.
Very interesting post. In addition to some of the political concerns raised by commenters above, I wonder what some of the implications to the local environment by opening this route could be as the route becomes more popular. Very clearly, the local environment in this area has already been harmed as the ice cap melts opening up the route in the first place, but how can introducing ships further amplify the impact to the local land, water, atmosphere, animals, and plants? I found this journal article (http://www.sciencedirect.com/science/article/pii/S2405535214000096) which states some of the main areas to control and watch out for are ship collisions and emissions. I wonder what processes can be used to avoid ship collisions and if there are any special considerations in this area compared to other passages throughout the world? How do you balance some of the potential environmental risks to this localized area with the overall gains in curbing climate change with the decreased distances ships would travel?
Thanks for the insights!! Having frequented 2 of the 3 wineries you mentioned, I hope more wineries in the area follow similar trends in order to ensure long-term viability and enjoyability for all. I understand that the amount of “minimal optimal water” can be measured, but I wonder how this relates to the several-year drought CA is experiencing. Are there long-term damages to the vine with this type of approach if used over several consecutive seasons? What happens to the vines as the groundwater levels in CA decrease as the drought persists– are the vines pulling water from the groundwater reservoirs (here’s an article describing the trend: http://news.nationalgeographic.com/news/2014/08/140819-groundwater-california-drought-aquifers-hidden-crisis/)? I have heard of the similar thought that letting the vines “suffer” could make the vines and grapes stronger in the end in the documentary “A Year in Burgundy”. It’s not necessarily focused on climate change effects but is a fun watch if you’re interested in the wine industry.
Very insightful & really enjoyed the post and topic. I just moved from SF/Sonoma Valley area which is full of these amazing wineries. I would be interested to see more on the breakdown of water usage across different crops as I always thought of almonds consuming a much higher proportion of overall water in the state of CA. I would also be curious to see how, like some other commenters suggested, the new irrigation system impacts the quality and taste of the wine. Here is some additional support over the effects of climate change on the wine industry, with a twist on the particular benefits Europe may see: http://www.npr.org/sections/thesalt/2016/03/21/470872883/an-upside-to-climate-change-better-french-wine. The article suggests, as you stated, that the global winemaking map may be re-drawn as wineries move to higher altitudes or latitudes as a response to climate change.