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The number of people evaluated for signs of stroke at the US hospitals has dropped by nearly 40 per cent during the COVID-19 pandemic, finds a study led by Indian-origin researchers.
The researchers from Washington University School of Medicine in St Louis analysed stroke evaluations at more than 800 hospitals across 49 states and the District of Columbia. The findings, published in the New England Journal of Medicine, are a troubling indication that many people who experience strokes may not be seeking potentially life-saving medical care.
“Our stroke team has maintained the full capacity to provide emergency stroke treatment at all times, even during the height of the pandemic,” said study lead author Akash Kansagra, Assistant Professor at Washington University. “Nevertheless, we have seen a smaller number of stroke patients coming to the hospital and some patients arriving at the hospital after a considerable delay,” Kansagra added.
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Nearly 800,000 people in the US experience a stroke every year. It is the fifth leading cause of death and the leading cause of long-term disability. Worried by the low numbers of stroke patients being evaluated at Barnes-Jewish Hospital and hearing similar reports from colleagues at other institutions, Kansagra – along with co-authors Manu Goyal, and statistician Scott Hamilton – set out to determine how pervasive the problem was.
When patients arrive at a hospital and are showing signs of a stroke, they often get a brain scan so doctors can identify what kind of stroke has occurred and choose the most effective treatment. Many hospitals, including Barnes-Jewish Hospital, use software known as RAPID to analyse such brain scans.
For the findings, the research team assessed how often the software was used in February, before the pandemic, and during a two-week period from March 26 to April 8, when much of the country was under shelter-in-place orders.
In total, the software was used for 231,753 patients at 856 hospitals representing the district of Columbia and all 50 states except New Hampshire. During February, the software was used for an average of 1.18 patients per day per hospital. During the pandemic period, software use per hospital averaged 0.72 patients per day, a drop of 39 per cent.
According to the study, it is not limited to just hospitals in urban settings or rural communities, small hospitals or large hospitals. It is not just the old or the young or the people with minor strokes who aren’t showing up. Even patients with really severe strokes are seeking care at reduced rates. “I suspect we are witnessing a combination of patients being reluctant to seek care out of fear that they might contract COVID-19, and the effects of social distancing,” Kansagra said.
Even during a pandemic, it is critically important for people who may be experiencing a stroke to receive care immediately, Kansagra said. The risk of delaying care for a stroke is much greater than the risk of contracting COVID-19, the researchers noted. (IANS)
Meta-owned WhatsApp on Monday announced an incubator programme in India that will select 10 organisations and help them build digital solutions to tackle critical health issues.
Called the WhatsApp Incubator Programme (WIP), the initiative aims to facilitate positive and measurable health outcomes at scale by leveraging the WhatsApp Business Platform.
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"During the pandemic we have seen several innovative use cases of the WhatsApp Business Platform by government organisations, civic actors, city administrations and many more NGOs, both large and small, across sectors and locations," said Abhijit Bose, Head of WhatsApp India.
The selected organisations will also be provided with technical support in order to design, prototype and pilot their health use cases.Unsplash
Also Read : The story behind Whatsapp
"We hope the WhatsApp Incubator Programme brings forth more such innovative and unique solutions that will help solve India's healthcare needs," he said in a statement.
The selected organizations will also be provided with technical support in order to design, prototype and pilot their health use cases.
The company said that participating organizations get the opportunity to be mentored by industry experts, access on-ground ecosystems, receive support with impact measurement guidance, and a chance to network with funders to scale their use cases.
The programme, for which applications are open till December 24, is being administered by Quicksand Design Studio, WhatsApp said. (IANS/SP)
(Keywords : Whatsapp, incubator, organizations, digital, health, business, pandemic, innovative, technical)
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By D.C. Pathak
Advent of Biden Presidency with its resonating calls of 'America is back', 'we will repair our alliances' and 'will engage with the world once again' on one hand and the rise of President Xi Jinping with a stronger hold on China after the Plenary session of the 19th Central Committee of CPC, on the other, have got strategic analysts to examine if a new Cold War was already on the horizon.
India has to define its stand and negotiate its international policy keeping in view the nation's best interests of the long run. Sino- Pak military alliance that chiefly worked against India, natural friendship between the two largest democracies of the world and the need for a rapid advancement of our Defence capabilities, are the major paradigms that should determine India's approach to both development and security.
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Xi Jinping is implementing a two- fold strategy of seeking the economic route to becoming the second superpower and pursuing 'Sinicisation of Marxism' to define the future of Communist China. In a huge give and take between the Godless dictatorship of China and the fundamentalist regime of Pakistan, the former has invested on CPEC located on the territory of PoK ceded by Pakistan to China in the face of the Indian protests and got an opening into the Muslim world where sympathy for Islamic radicals has been on the rise.
Pakistan is close to the pro- US group led by Saudi Arabia and yet has a good equation with Islamic radical organizations represented by Taliban. With one leg in the camp of 'revivalists' -- Pakistan -- it mediated between the US and the Taliban on Afghanistan -- would be in a position to assure the Chinese that the Cold War game of the West using Pak-Afghan region to 'radicalise' Muslims of Xinjiang and other parts of China, would not be allowed. The axis of the two principal adversaries of India has become very active after the Indian Parliament scrapped Article 370 of the Constitution in August 2019 and converted J&K and Ladakh into union territories. India had successfully evolved a strategy of dealing with both China and Pakistan together.
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It needs to be recalled that China drew the best lessons from the demise of the USSR -- it could clearly see that the Soviet regime had become an oligarchy that ignored the internal economic decline because of which it was not able to sustain the war in Afghanistan. This led Deng Xiaoping to adopt the policy of opening the Chinese market to the world in a controlled fashion and thus initiate a process of faster economic growth on which China has not looked back. China has become the second biggest global economy by investing in markets abroad and accessing technological knowledge wherever it was available -- including the research work of the US universities where it established 'Chairs' to reach out to the same.
Xi Jinping combines the persona of Deng and Mao Zedong and while consolidating Chinese economy further, he has reverted to the concept of supremacy of the Communist Party of China as the symbol of Marxism. This has helped him, among other things, to keep his leadership going on the strength of ideology and project it as something that was free of any personal vested interest. The recent conference of the Central Committee of CPC credited Xi Jinping with achievement of the first Centennial goal of making China a 'moderately prosperous society' by 2021 -- the hundredth year of the party's existence and acknowledged his pledge to make China a 'great modern Socialist country' by 2049 -- the second centennial mission marking the completion of hundred years since Mao Zedong declared the establishment of the People's Republic of China. By highlighting the importance of 'ideology' and 'line', Xi Jinping has identified himself with the Party so completely that his leadership can not be easily challenged by any dissenters.
Under Xi Jinping, China is progressing economically and also politically extending its influence in the world taking care to buy time for its mission and somewhere following the doctrine of winning a war without a battle. It is joining multilateral platforms to create a non- combatant image, inducing economic dependence of other smaller nations on it through its Belt & Road Initiative (BRI) and forging bilateral alliances and pacts to further its geo- political advancement.
Pakistan is close to the pro- US group led by Saudi Arabia and yet has a good equation with Islamic radical organizations represented by Taliban.Unsplash
Sino- Pak strategic alliance -- an illustration of this multi-prong objective of China -- is a cause for great concern for India. China knows it can not change the Western systems and is not in a hurry to challenge the global economic order -- it is exploring alternate approaches of invading others economically and doing it successfully. As far as territorial expansion was concerned Xi's China adheres to its known 'two steps forward one step backward' strategy -- which is salami slicing of sorts -- that was in evidence on LAC as also in the Indo-Pacific. India has suitably responded to these moves on land as well as on sea by undertaking a matching military build up and actively joining in Quad, respectively.
Some analysts have perceptively noted that President Xi Jinping has embarked on a larger than life mission of surpassing Mao Zedong in building China as the dominant power of the world -- matching the place it once occupied in its civilizational history. His new strategy of bringing all 'under one heaven' compels a recall of the description the Chinese Emperor once enjoyed as the 'son of heaven'. It is remarkable that a Communist dictatorship carrying the stamp of Marxism today is deriving strength from the country's civilisational roots. This reflects the desire for world domination -- the Emperor of China expected 'tribute' from other countries as protection money.
Xi's China is also working on fail -- safe alliances -- using its economic hold as in the case of Pakistan. The defence expenditure of China has been on the rise -- in comparison to India it rose from a near parity in the Nineties to more than three times of India's defence budget, as at present. China's move forward is neither transactional nor transformational but a strategy of continuum -- steady in pace and direction --attempted on a good understanding of the global 'space' on land ,sea and air. Geo- politically China is now in the frame so far as the emerging scene of the world getting divided between two superpowers, was concerned.
The defence expenditure of China has been on the rise -- in comparison to India.Unsplash
India has set in motion a well- considered strategy of handling the economic and security challenges emanating from this situation. There was never any doubt that the US and India must together anchor the collective effort of the democratic world to counter the threat from the Communist dictatorships on one hand and that from Islamic extremists on the other.
The policy of the Modi government to have bilateral relations on the basis of mutuality of interests in the economic and security spheres has been very successful. India is enlarging the ambit of friendships with European democracies, Australia, Japan and Israel -- including association with Quad -- to promote collective security against these dangers. As a nation with a voice in the global matters pertaining to war and peace, India is working for self-reliance in the area of defence and building military strength to take on any aggressive move of the PLA on the LAC and punish Pakistan for any provocation from across the LOC.
India has maintained close friendship with Russia which has -- apart from defence deals with India -- been on the same page on the vital issues of Afghanistan and radicalization. It is the policy of mutuality of security interests in Afghanistan that has made India work in collaboration with Iran, notwithstanding the conflicts that this country had with the US and Israel. Indian diplomacy has worked hard to keep the Western powers convinced of the legitimacy of India's policy towards all these other countries.
Finally, there is an added challenge on the internal security front because of the intent of the China-Pak combine to instigate acts of terror, insurgency and sectarian discord in India in an attempt to destabilize this country. A new dimension of the domestic scene of India is the rise of civil society forums which in collusion with anti-India lobbies abroad and elements hostile to the Modi government at home, play politics by proxy on issues ranging from Kashmir to Northeast and from safety of Dalits and minorities to poverty alleviation. Fortunately, we are getting adequate Intelligence to draw a line between genuine protests and sponsored agitations.
(The writer is a former Director of Intelligence Bureau; the views expressed are personal)
(Keywords : president, prime minister, Biden, Xi Jinping, Narendra Modi, China, America, India, Pakistan, military, alliance, defence, challenge, concern, security, dominant, power, history. )
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Smartphone companies which have strong consumer pull now face most of the reputation issues caused by infringement of their brands in the digital space, according to a new report.
There are three main techniques pertaining to brand infringement —fake gratification, fake presence and fake representation.
According to Faisal Kawoosa, founder and chief analyst, Techarc, as digital becomes mainstream and brands increase their D2C (direct-to-consumer) engagements, they need to proactively police the digital space to hunt for any infringement cases.
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"The first thing brands need to do is to come out of denial mode and create a common synergy between marketing, ecommerce, IT and digital teams," he said in the Brand Reputation Index (BRIX) report.
In fake gratification, scammers infringe any brand's identity by offering fake coupons, rewards, schemes, and discounts. This is the easiest trap for consumers who are searching for best deals when they decide about buying a smartphone of their interest.
fraudsters create fake profiles on popular social networking applicationsUnsplash
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In the fake presence technique, fraudsters create fake profiles on popular social networking applications and allure audiences which want to genuinely engage with the brand. In many instances, fake gratifications are routed through such accounts to entice people looking for smartphones deals.
"Fake representation is the severest level of infringement where scammers create a fake website, app or a marketplace. Using typo-squatting techniques, fraudsters create very similar websites, apps and marketplaces and then direct users on such sites to engage which could be used for data theft to financial frauds," the report noted.(IANS/PR)
(Keywords: Smartphone, Brands)