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By Michelle Quinn
As the COVID-19 pandemic threatens to overwhelm doctors and hospitals throughout the country, medical technology firms and health centers are trying to gain “situational awareness” — giving doctors what they need to know about the sick patients filling emergency rooms.
For doctors and staff, “it’s really hard to know what sorts of patients are coming,” said Warren Ratliff, the chief executive of MDmetrix, a software firm that provides analysis of health care inside hospitals.
The staff “can see they’re backing up,” he said. But they have few tools to compare patients showing up today with those admitted yesterday, or to show what treatments might be working on certain groups of patients, he added.
A frustrated doctor
MDmetrix was created by a doctor frustrated that he couldn’t analyze data across patients. With electronic medical records, which have been in use in the U.S. for years, mostly for tracking and billing, physicians typically view one patient’s record at a time.
Enter medical technology firms like MDmetrix, which offer information dashboards and apps so that doctors and hospitals can look for trends and insights across patient outcomes. The technology pulls data from patients’ electronic medical records.
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As they deal with the patients in front of them, hospitals and doctors are struggling to answer what may seem like simple questions, Ratliff said. How many ventilators are being used? Is low oxygen an indicator of COVID-19? Has anyone followed up on patients who were tested and sent home?
The demand for information extends to whether there are different treatments for different groups, he said.
Different patients, different treatments
“Is there a difference in the treatment between smokers or nonsmokers?” Ratliff said. “In a couple of years, an after-action report will come out. But that’s way too late if you’re fighting a battle right now.”
With the push of a button, clinicians and hospital administrators get MDmetrix’s COVID-19 dashboard of charts and graphs that they can view to improve patient care. The information is a real-time snapshot of “whether treatment protocol A is working better than protocol B for any subset of patients,” Ratliff said.
As for privacy concerns, data pulled from patient records is stripped of its identity and aggregated, complying with health care privacy laws, Ratliff said.
MDmetrix is being used at the University of Washington Medical Center and Harborview Medical Center, both in Seattle. The company is providing its “COVID-19 Mission Control” software for free to hospitals and medical centers.
Leveraging the electronic health record
A recent paper in the Journal of American Medical Informatics Association outlined efforts at the University of California San Diego Health to quickly build new dashboards based on electronic health records to manage the growing crisis. The authors conclusion: Electronic health records “should be leveraged to their full potential.”
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Over the past several years, there’s been an explosion of technology tools to analyze and aggregate data drawn from electronic health records, said Julia Adler-Milstein, an associate professor of medicine at the University of California-San Francisco. But the COVID-19 pandemic is pushing hospitals and companies to find ways – sometimes in just days – to analyze data and get critical information to decision-makers.
“This has been a pressure test,” she said. “How can we get cuts of our data for the new disease?”
Figuring out trends inside a hospital is also the work of TransformativeMed, an electronic record-keeping application that tracks a patient as he or she moves through the hospital. It is being used at the University of Washington Medical Center and Harborview Medical Center; MedStar Health in the Washington, D.C., area; and VCU Health Center in Richmond, Virginia.
Tracking a patient — from symptoms, lab results and treatments — can help a hospital understand how a disease is progressing through a community, how effective treatments are and what isn’t working, said Dr. Rodrigo Martinez, chief clinical officer at TransformativeMed and an ear, nose and throat doctor.
A generational opportunity
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The battle against COVID-19 could be a once-in-a-generation opportunity to greatly improve the health care system, he said. The social distancing requirements will boost telehealth, with patients and their health care providers likely to appreciate how much can be accomplished through video chat, he said. 3-D printing, which is being used to repair and create ventilators, will help the medical supply chain. And home lab tests will also likely grow.
Also Read- Life in Wuhan After Coronavirus Outbreak
Add to the list companies such as TransformativeMed and MDmetrix, which are finding trends in patients’ electronic health records.
“It’s not that we are creating new technologies,” Martinez said. “We’ve had technologies waiting in the wings, waiting for the opportunity to be applied.” (VOA)
By Siddhi Jain
The author who named the book after her twin sons -- Puhor and Niyor -- is a parent who has seen and heard the tales of ridicule and discrimination suffered by many in India and beyond. She says the book is an artistic illustration for kids that details how different families can live and coexist. Whether it's children with two dads or two moms, children with a single dad or single mom, and even multiracial family units, Borthakur's book teaches love, understanding, and compassion towards unconventional families.
Beyond race, gender, color, and ethnicity which have formed the bases for discrimination since the beginning of time, this book aims to bring to light a largely ignored issue. For so long, single parents have been treated like a taboo without any attempt to understand their situations; no one really cares how or why one's marriage ended but just wants to treat single parents as villains simply for choosing happiness and loving their children.
Homosexual parents, a relatively new family system, is another form that has suffered hate and discrimination for many years. Pritisha emphasizes the need to understand that diversity in people and family is what makes the world beautiful and colourful. 'Puhor and Niyor's Mural of Family Stories' is a firm but compassionate statement against all forms of discrimination on the bases of sexual identity, gender, race, and even differences in background
'Puhor and Niyor's Mural of Family Stories' is a firm but compassionate statement against all forms of discrimination on the bases of sexual identity, gender, race and even differences in background. | Photo by Ben Wicks on Unsplash
Written for a global audience, the book is targeted at kids between the ages of five and 10, the reason it is embellished with colourful images of families of different types is to appeal to children's sense of sight and drive home the message at the same time. Borthakur believes children are the best place to start because the ages between five and 10 are the most formative, where little ones pick up habits, beliefs and perceptions.
The Guwahati-born author says, "With this book, I'm not trying to take away the job of parents in forming habits, I simply want to do my part as a parent. It is important that we impart the right values in our kids in a bid to build a better, more inclusive and tolerant global society that is fair to everyone." The author's first attempt at a book was an Assamese poetry 'Anubhav', published in 2010.
Set to be published under the label of Author's Channel, the book is like an adventure; a journey into uncharted territories, untouched subjects and matters long ignored. In her words. "The book takes a critical stand in defense of people in society who have had to undergo severe emotional torture for no cause of theirs. It is a terrible conception to think such people any less of a human just for being different," says publisher Aruna Naidu. By September 30, this title, priced at Rs 299, will be available online and in offline bookstores. (IANS/ MBI)
Keywords: Book, children, Guwahati, Puhor and Niyor's Mural of Family Stories, moral, story, kids, discrimination, equality
If you feel that clean and well-groomed hands are just an essential prerequisite for women, you might like to think twice. Men should equally pay attention to their hands because our hand houses 1,500 bacteria living on each square centimeter of its skin. You can easily assume what havoc it can create in our body because in India we have the culture of eating with our hands and spaces beneath nails can become breeding heaven for germs. Moreover, clean and maintained hands boost confidence in their daily life activities. Therefore, it's important to keep your hands clean irrespective of your gender by washing or sanitizing at regular intervals. And, to keep them groomed, you don't have to visit a salon.
Rajesh U Pandya, Managing Director, KAI India, gives easy and completely doable tips to follow at home:
* Refrain from harsh soaps: You should be mindful of the soap you are using to wash your hands. Your soap can have a moisturizing element in it like aloe vera or shea butter. Ensure that you're washing your hands with normal water as hot water can make your hand's skin dry and scaly.
You should be mindful of the soap you are using to wash your hands. | Photo by Aurélia Dubois on Unsplash
* Clip your nails regularly: Make use of your personal nail clipper to cut your nails. After cutting your nails at a comfortable length also file them using a nail filer. Never share your nail care clipper as the germs can get transferred to your loved ones. Also, don't forget to use grime remover to remove hidden germs in corners and beneath nails. Also, you may like to file your nails to have a smooth finish.
* Good quality Nail Clipper: Do not use a rusted or chromium coated nail clipper as it might be harmful to skin and might cause dangerous bacterial infections.
* Stop the habit of nail chewing: Sometimes anxiety or extreme boredom can lead to chewing of nails. This habit only makes your nails uneven and ugly. Sometimes, our unclean nail folds give rise to viral, bacterial or fungal infections, which in turn can make us sick if we chew our nails.
Make use of your personal nail clipper to cut your nails. | Pixabay
* Exfoliate your hands: Similar to the way you exfoliate your face; your hands also need it. It helps to keep the dry skin at bay and keep your hands soft. You can buy a scrub or make one at home using brown sugar and olive oil. After scrubbing, you need to massage your hands with moisturizer.
Similar to the way you exfoliate your face; your hands also need it. It helps to keep the dry skin at bay and keep your hands soft. | Wikipedia
* Don't use your nails as tools: Always keep in mind that your nails are like jewels. Never use them to pry things open such as pop cans, removing keys from the ring, opening letters, or scraping off labels. This results in unnecessary breakage of nails, making your hands look dirty.
Never use your nails to pry things open such as pop cans, removing keys from the ring, opening letters or scraping off labels. | Photo by Sammy Williams on Unsplash
* Be aware of nail or cuticle inflammation or redness: If there are any signs of infection, disinfect the skin as soon as possible with an anti-bacterial or anti-fungal ointment.
(Article originally written by N.Lothungbeni Humtsoe) (IANS/ MBI)
Keywords: Nails, groom, hand, exfoliate, chew, nail clipper, bite, cuticle
Bitcoin has become an essential crypto asset in modern portfolios and investment funds. The confidence generated in this cryptocurrency will depend a lot on the diversification that companies make in their balance sheets in Bitcoin and the increase of institutional investors that allocate a percentage of their funds in this crypto. American fund manager Cathie Wood makes some interesting predictions, both in the rise that the Bitcoin price will experience in the next 5 years, suggesting these institutional investors allocate 5% of their funds; this will help leverage the Bitcoin market.
Bitcoin will grow by a tenfold
Bitcoin is projected to grow by 10 times its current value in five years, i.e., it could reach $500,000. Of course, this will require companies to invest in cryptocurrencies. This makes it necessary to increase the weight of Bitcoin on balance sheets through investments. One of the investment gurus who supports this prediction is Catherine Wood. Contrarily, Ray Dalio, despite being clear that relying on cash is not a good strategy, views Bitcoin with suspicion, although he calls for its investment. This behavior is due to the actions of governments against the cryptocurrency market.
If something is undoubted is the vertiginous increase that cryptocurrencies have had in general, they have risen more than 60% so far this year. So, even when some governments are trying to regulate cryptocurrencies, they will fail. This attempt to regulate will end up triggering even more cryptos, especially Bitcoin, which is the oldest and most solid of that market.
Bitcoin, is the oldest and most solid of the market. | Photo by Executium on Unsplash
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The current Bitcoin price means is time to buy:
The current price of bitcoin invites you to buy, and perhaps it would be foolhardy not to. In either case, bitcoin will always represent money. Maybe some external factors generate some misgivings, but if you refuse to invest in cryptocurrencies, you are basically denying the near future, it would be as if you didn't have a cell phone or internet.
In India, more and more people are becoming convinced of the benefits of holding some Bitcoin. This can be clearly seen in the rapid increase in the number of new accounts at crypto exchanges such as WazirX and CoinDCX.
ALSO READ: How can you trade in Bitcoin in India?
Bitcoin, despite its fluctuations, represents an excellent financial strategy. The support users give is significant. The same cannot be said of the FIAT currencies, which have lost value and support, showing how fragile they are, being subjected to a constant devaluation. As long as confidence in cryptos grows, the foundations will continue to be laid to maintain their rise and to be able to continue making transactions. We know this by previous experience, as has happened with Ether, thanks mainly to the growing activity of Defi and NFT, i.e. decentralized finance and non-fungible tokens.
Remember that when you invest in Bitcoin, you can do it by buying or trading. When you want to make these transactions do it in a secure Exchange, study your finances to invest, manage the risk, and learn to manage your portfolio efficiently.