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Reimagining digital healthcare in India for the new normal

Digital innovation has actually penetrated all elements of life, and in current times, it has actually changed the shipment of health care in brand-new methods. The National Digital Health Mission, introduced by the Government of India, is anticipated to generate a digital transformation for the health sector in the nation, and make it possible for the development of an inclusive community that supports universal health protection.

“” Reimagining health care is vital and is the method forward,”” stated Dr. HS Subramanya, Director, Institute of Bioinformatics and Applied Biotechnology, as he inaugurated the panel conversation on '’Re thinking of digital health care'’ at the Bengaluru Tech Summit 2020. Holistic digital health

Dr. Prashant Mathur, Director, National Centre for Disease Informatics and Research – ICMR, spoke and moderated the panel about how digital health as a principle has actually ended up being the talk of the town, thanks to COVID-19. According to him, digital health is a cultural improvement of health care and is the merging of digital innovations with health care, health, and society. “” It boosts the effectiveness of health care shipment and makes medication more exact and customised,”” he stated.

The existing health care system is afflicted by numerous issues, consisting of the lack of an integrated health system, no district-level electronic database, no individual health records systems and so on. “” The scope of digital health covers throughout avoidance, alleviative and rehab, however the essential chauffeur is information and its collection, management, analytics, and dissemination,”” stated Dr. Prashant.

Prashant stated that digital health is not simply getting rid of paper records, it &#x 2019; s more of a shift from a centre-based technique to a patient-centric technique.

“” Digital health will not change the traditional system however will supplement and match it. To do so effectively, we require cooperation throughout various occupations for a holistic digital health program.”” Telemedicine as a service

Prof. SK Mishra, Head, Department of Endocrine Surgery &&Faculty I/C, SGPGI Telemedicine Programme, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), spoke on how to construct futuristic systems with digital innovations.

“” Telemedicine service is an essential for all health care organisations,”” he stated, including that the beginning of COVID-19 has actually interrupted the health care system around the world and quickly sped up the adoption of telehealth options.

Telehealth has actually shown advantages such as access to care service at any time, any location. Previously, telemedicine platforms focused greatly on innovation. Today, there are basic and economical innovation platforms that empower residents. To determine the worth of telehealth, there are essential efficiency indications such as better client retention, lower claim costs, decreased health center transfers, reduced waiting time for immediate care, to name a few.

“” We require to brand name telehealth throughout the care business. The health care market has actually constantly been sluggish to embrace developments in innovation, however due to COVID, it has actually made this procedure much faster,”” stated Prof. Mishra, including that while brand-new innovations posture obstacles for public health principles, they likewise provide a chance to establish health principles for digital innovations.

Digital improvement of public health

Sunita Nadhamuni, Head, Digital Lifecare, Dell Giving and Social Innovation Dell Technologies, stated that at Dell, they develop innovations that drive human development. As part of their CSR, they have actually created a 10-year job '’ Progress Made Real'’ to advance sustainability, cultivate addition, change lives and support principles. Among the flagship programs under this is Digital Lifecare, where they are dealing with the federal government to enhance the method public health services are provided.

Sunita stated there has actually been a substantial shift in India from contagious to non-communicable illness (NCD) with uncomfortable stats – 1 in 5 experience an NCD, while NCDs trigger 61 percent deaths. In this context, the federal government introduced the NCD program through the health systems, that includes ASHA employees, health employees, main health medical professionals, neighborhood medical professionals, district experts, and tertiary care centres. Dell came on board as an innovation partner for this 3 years back. “” The concept was to establish a detailed tech platform with a suite of applications that will assist the health system provide this program,”” she included.

Dell has actually established applications for each of the 6 individuals – ASHA Mobile App, ANM Tablet App, PHC Doctor Web Portal, CHC/DH Portals, Administrators Portal, and Health Officials Dashboard. These are linked apps on the exact same cloud platform and extremely scalable and easy to use, with accessibility in 10 regional languages. It has actually been presented in 26 states and has 25,000 active users.

“” We think that as soon as systems like these are established in location in the nation, this can result in futuristic improvement in the general public health area,”” stated Sunita.Different designs for various concerns

Prof. Gautam I Menon, Professor, Departments of Physics and Biology, Ashoka University, spoke on the various designs they are dealing with that will assist the battle versus COVID-19.

The 3 designs are: epidemiological compartmental designs called INDSCI-SIM, network designs for screening, and agent-based designs called BharatSim.

The very first design integrates functions to enhance district-wise health care ease of access, and reacts to various age. The 2nd design lets you select the quantum of screening, the screening mix, the level of sensitivity of tests and who to test.

“” The problem in the nation is that the medium-accuracy test is higher-accuracy and economical tests are expensive. This design lets you ask particular concerns to examine what produces great screening,”” stated Prof. Gautam.

The 3rd design is a continuous task with Ashoka University, ThoughtWorks, and a variety of partners around the nation. In BharatSim, each person is simulated as an '’ representative'’ on a computer system. The homes of representatives are picked to match those understood from the district and state-level market research studies consisting of age circulations, sex ratios, population densities and health indications.

&#x 201C; It &#x 2019; s a computational design to mimic representatives, you require networks for representative interactions and you require an artificial population for representatives, &#x 201D; stated Gautam.

Edited by Megha Reddy


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‘A complete disaster’: Fears grow over potential Nevada caucus malfunction

Anxiety is rising over the possibility of another tech-induced meltdown at the Nevada Democratic caucuses on Saturday.

In interviews, three caucus volunteers described serious concerns about rushed preparations for the Feb. 22 election, including insufficient training for a newly-adopted electronic vote-tally system and confusing instructions on how to administer the caucuses. There are also unanswered questions about the security of Internet connections at some 2,000 precinct sites that will transmit results to a central “war room” set up by the Nevada Democratic Party.

Some volunteers who will help run caucuses at precinct locations said they have not been trained on iPads that the party purchased to enter and transmit vote counts. Party officials scrambled to streamline their vote reporting system — settling on Google forms accessible through a saved link on the iPads — after scrapping a pair of apps they’d been planning to use until a similar app caused the fiasco in Iowa two weeks ago.

The volunteers also said the party has not provided sufficient training on how to use the Google form that will compile vote totals, a complicated process in a caucus.

The concerns, which were described on condition of anonymity because the volunteers are not authorized to speak to reporters, come at a perilous moment for the Democratic Party. As the third state on the primary calendar and the first with a significant minority population, Nevada holds huge importance in the nomination contest. The debacle in Iowa cost one state party chairman his job and threatened the standing of the national party chairman, while casting doubts about whether the results from party-run caucuses can be trusted.

Nevada Democratic officials insist they have everything under control. But a repeat of Iowa — or any kind of breakdown — would be disastrous.

Iowa Democratic Party Chair speaks amid confusion over Iowa caucus results

One volunteer who has worked on past caucuses in Nevada said the Google form that will be used to input vote totals wasn’t even mentioned during a training session for precinct chairs late last week.

“We weren’t told at all about it,” the person said.

The iPads weren’t discussed until more than halfway through the presentation, the volunteer said, when someone asked how early vote totals would be added to the totals compiled live at each precinct. The person leading the training said not to worry because the iPads would do the math for them.

“There were old ladies looking at me like, ‘Oh, we’re going to have iPads,’” the volunteer told POLITICO.

After sitting through the two-hour training session, the person predicted the caucus would be a “complete disaster.”

Another volunteer, who will be in a senior position at a caucus site, said that as of Feb. 11 the party had failed to provide updated training sessions for caucus day to many people who’d been preparing to use the now-scrapped apps. Recently, the volunteer did take a refresher course for early voting, but it “diverged significantly” from the initial training. “We were practically starting from scratch,” the volunteer said.

The volunteer received no hands-on training with the iPads before handling one physically for the first time at an early-voting site on Saturday. As a result, the first two hours of early voting were “disastrous,” the person said, as volunteers struggled to get iPads to function properly and connect to the Internet.

Moreover, “There are [Democratic voters] that don’t even know that early voting is happening,” the volunteer said, blaming the party for failing to spread the word adequately. Early voting in Nevada started on Saturday and will continue through the end of the day Tuesday.

The state party said it purchased Google search ads and newspaper ads to inform potential voters of the early voting option.

Another caucus site leader went on CNN Saturday to decry the lack of training on the Google form, calling the process “horrendous.”

Others with more intimate knowledge of the process, including a state party official and a volunteer who has worked the caucuses previously, contend that backup systems are in place in the event of any technical snafus. The two methods of vote-reporting — the Google form and a telephone hotline — will ensure accurate results reach the war room, they said.

The process will break down like this: On caucus day, each precinct chair will be given a party-purchased iPad that will have a link to a Google form — dubbed a “caucus calculator” — saved on it. Pre-loaded on the form will be the early-vote total from that precinct.

The precinct chair will then input vote totals after the first and second votes. Under caucus rules, voters choose their preferred candidate at the outset, known as the first alignment. But if their candidate fails to reach 15 percent, they can switch to a different candidate, or seek to persuade supporters of another candidate who fails to reach 15 percent to help their candidate clear that threshold during the second alignment.

The prompts on the Google form are expected to look similar to how they appear on the physical caucus reporting sheet. When the first and second alignments are completed, the totals will be relayed over the cloud to the Nevada Democratic Party via the Google form, which on the back end appears as a Google spreadsheet.

Separately, the precinct chair or site lead will take the printed caucus reporting sheets — each campaign must sign off on them first — and call the Nevada Democratic Party boiler room via a secure hotline. (Site leads oversee multiple precinct chairs in caucusing at a single large location.)

The chair or site lead will report the results to a “trained operator” at headquarters, and that person will check that the figures match up with those transmitted via the Google form.

In past Nevada caucuses, Excel spreadsheets were used by those in the war room to tabulate phoned-in precinct totals. The party’s familiarity with spreadsheets has given some precinct chairs confidence in using a Google spreadsheet, given their similarity.

If the Google form is inaccessible for any reason, precinct captains will transmit their results solely by phone.

To make the process user-friendly for precinct chairs — whose technological know-how and past experience with the caucus varies — the state party “invited testing from security experts of varying backgrounds, experienced volunteers, first-time precinct chairs and community leaders,” the state party official said.

The official said the Nevada Democratic Party is using the “off-the-shelf” Google technology “in order to limit the possibility of human error” — in other words, providing a backup to people using paper and pen to conduct the math. In theory, the Google form will speed up the reporting process, but it’s unclear whether it will, given that precinct chairs need to be tech-literate to use it.

However, a third volunteer warned that misunderstanding and a lack of training on how to tabulate first and second vote alignments could pose a greater threat to the process than the new tech elements injected into the process.

According to screenshots of manuals provided to precinct chairs, the guidelines do not make clear that a candidate who falls short of the 15 percent viability threshold can get there on the second alignment. They can do so by courting supporters of other candidates who fail to make it in the first round.

The manual provides conflicting information: In one instance, it states that supporters of “non-viable” candidates can “join or form” a viable candidate. But in another instance, the manual implies that supporters of non-viable candidates can only switch to a viable candidate.

“Allow up to 15 minutes for non-viable preference group members to align with their second choice,” the manual reads. “People in non-viable groups can choose not to realign, however they will not be awarded any delegates.”

The Nevada Democratic Party undercut the confidence of at least one Democratic campaign when it sent a callout — circulated on Twitter on Friday — for “technical volunteers” to “pair” with precinct chairs on caucus day.

A state party official said they are recruiting volunteers to “help troubleshoot any issues in real time with our precinct chairs” and that it is typical to recruit volunteers up until the final day before the caucuses.

A senior adviser to that presidential campaign also said it is “not entirely clear” how vote totals from 80 early-voting sites will be allocated to the 2,000 caucus precincts.

Campaigns are expecting an invitation to witness the transmission of early-vote totals to individual precinct sites. “But where it’s going to happen and when it’s going to happen and how it’s going to happen is totally undefined,” the adviser said.

The adviser questioned why the Nevada party was moving forward with the new plan to incorporate Google forms at all in such a compressed time frame.

“The DNC Rules and Bylaws Committee very easily could say we need to know more about this before you’re [able] to go ahead with this,” the adviser said.

The DNC did not directly answer a question whether it had the authority to nix the Nevada Democratic Party’s plan to use Google forms. Instead, the committee said that Nevada took “quick steps to implement their back-up plan” to the scrapped app and that the co-chairs on the DNC’s Rules and Bylaws Committee have “been updated on what is happening in Nevada.”

Wi-Fi is another issue. If a connection at any location fails, the iPads are equipped with 4G cellular service, according to a state party official. That means each of the 2,000 iPads the party bought has a paid cellular subscription.

But questions remain about the security of Wi-Fi being used at each location. The Nevada Democratic Party said it has tested the connections, but it’s unclear whether Internet access at each precinct will be provided via a hotspot or a network provided by the host site, such as a high school.

“There remains an open security issue with their choice of Wi-Fi networking,” said Gregory Miller, co-founder and chief operating officer at OSET Institute, an election technology research organization. Miller, who has decades of experience as a computer scientist and software engineer, raised those concerns based on what he has read in published reports.

“We hope they’re not going to rely on a local building’s services. That would create a nightmare to protect,” he said.

The “least bad option” available, Miller said, “is to use a mobile device as a local hotspot to create their own Wi-Fi network and allow the iPads to attach to it. But the truth is, that’s last minute jerry-rigging with vulnerabilities of its own."

The Nevada Democratic Party did not answer specific questions about what kind of Wi-Fi network would be used at each precinct site other than to say “Wi-Fi will vary by site” and note it has “tested the Wi-Fi at all of our caucus sites” — offering no details on what that testing entailed.

The Nevada Democratic Party initially did not answer questions about what kind of Wi-Fi network would be used at each precinct other than to say “Wi-Fi will vary by site." It later noted that some spots will have hotspots and others will be run through tested networks.

However, after publication of this story, the party said it plans primarily to transmit data from the iPads over 4G cellular networks and only to use Wi-Fi if there are cellular data issues.

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Microsoft cut off this game maker’s revenue stream, so he built his own replacement

Sam Kaufmann has actually been establishing Windows video games for a years, so when Microsoft stated it was cutting advertisement assistance for apps, he needed to rely on his own advertisement network.

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Andrew Yang drops out

Andrew Yang ends his 2020 governmental project

Andrew Yang’’ s unlikely increase in the Democratic primary pertained to an end Tuesday night when the business owner and political newbie revealed he was leaving the race after a frustrating surface in New Hampshire.

“” There belonged of me that believed that we may be able to win this race and get this done this cycle,” ” Yang informed POLITICO in an interview. ““ And so there’s a great deal of frustration, since when you’re objective oriented and you’re a contractor, it’s extremely difficult to pat yourself on the back and state, task well done, if you didn’t win. Reasonably and objectively, I understand that we’ve done something impressive and extraordinary.””

.When a 2nd far-off loss in the very first 2 voting states looked likely, #ppppp> Campaign supervisor Zach Graumman stated that Yang and his consultants started having discussions about ending his quote. Yang, who has actually drifted possibly running once again in 4 years, did not wish to drag it out.

““ If you do not succeed in the very first 2 states you begin taking a look at the mathematics,” ” Graumman stated. “ If there’s no course to triumph, [advancing is] an injustice to both your donors, the Yang Gang, however likewise this motion and the message.””


Yang introduced his long-shot project as an unidentified in politics, the 2nd Democrat to delve into what ended up being the crowdest and most varied field in history. He got approved for arguments however began relegated to the far edge of the phase where lower-polling prospects are positioned.

His signature proposition, providing $1,000 to every grownup to assist them adjust to the impacts of computer system automation, was viewed as a trick initially, however gradually was dealt with seriously by his competitors and a few of the media. Yang, with his non-politician speaking design and eccentric funny bone, drew an unexpected following and online army of donors.

He provided a theory of the existing state of politics that identified him from his challengers. Since automation annihilated the production market and ravaged neighborhoods, Yang argued that Donald Trump ended up being president. Angry and puzzled, they relied on Trump as a break from the politics they considered as accountable for their predicament.

Yang ran for months with nearly no media protection; his breakout began Joe Rogan’’ s popular podcast. Nick Ryan, Yang’’ s project chief, stated nontraditional media was at the center of their technique from the first day.

“” Fortunately we’’ re in an environment where an effective message and a strong online existence sufficed to put you on that phase and enough to switch on 65,000 individuals to believe, this is my man. I’ll provide him a dollar,” ” Ryan stated.


’It wasn ’ t till his project revealed $9.9 million raised in the 3rd quarter of the year that individuals began to take Yang more seriously. He followed that up with an impressive $16.5 million haul the following quarter.

Indeed, Yang’’ s fundraising chops, his dedicated fan base and his increase from no place to lasting longer than sitting guvs and senators to 6th in the surveys was among the most significant surprises of the Democratic primary.

.As soon as citizens weighed in, #ppppp> But the story took a sharp turn. In Iowa, Yang gathered simply 1 percent of the raw vote, and no delegates.

It’’ s up in the air what Yang will do next. He’’ s waffled on running for another workplace in the past, however teased that he’’ ll be around for a long time.

““ I see myself as an issue solver and a patriot and a moms and dad. And the issues are not disappearing. I’m not disappearing. The Americans who are enthusiastic about enhancing our lifestyle are not disappearing. We’ll be here till the issues are fixed,” ” he stated in December.


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