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Wednesday 16 August 2017

Dr. Ruchi V Dass elected Royal Society of Medicine Overseas Fellow

Popular Health Technology Author and Founder, HealthCursor Consulting Group Dr. Ruchi V Dass elected Royal Society of Medicine Honorary Fellow in the United Kingdom. (Photo courtesy of Ruchi Dass)

Joining some of the elite names among scientists and physicians, Health Technology Author and Business Icon Ruchi Dass has been elected as a fellow of The Royal Society of Medicine in the United Kingdom.

Dass is a renowned Physician and has worked with development organisation across the world driving technology driven public health initiatives. She is the Founder of the consulting group HealthCursor, and Author of several journals, including her upcoming book on “Big Data in Healthcare” with Springer.

Dr Dass wrote a book on “Innovations in Healthcare” that was unveiled by the Honourable President of India Mr. Pranab Mukherjee in 2013. Dr. Ruchi Dass was listed amongst Most Powerful and Influential leaders in IT by Information week in 2013 and also received INTEROP’s “Women leader” recognition by Facebook CEO.



“Telemedicine includes a wide and growing variety of electronic medical information and the ways that it is exchanged. From smartphone technology to virtual patient visits, from rural locations to new military applications, telemedicine is poised to assist physicians in the task of providing excellence in patient care.,” she said.

“I am proud to have been a small part of the advances we have made in the area of using advanced Cognitive and Digital Technology in Healthcare.” Dr Dass mentioned.



Each year, an elite group of physicians or scientists is elected to The Royal Society of Medicine following nomination and committee review; former fellows include Charles Darwin, Louis Pasteur, Edward Jenner and Sigmund Freud. Elected fellows of the Royal Society are comparable to members of the Institute of Medicine in the United States.

Dass lives in India and amongst her other affiliations are the WHO’s PMNCH forum volunteer, Member HIMSS Innovation Community (Las Vegas), ICT4D member, the IPIHD Innovators (World Economic Forum) and the Indian Dental Association.

-----------------------excerpt from Telegraph

Tuesday 7 February 2017

Blockchain, Predictive Analytics and Healthcare

Episode-of-care payment and comprehensive care payment systems can help providers prevent health problems; avoid the occurrence of acute episodes among individuals who have health conditions; prevent poor outcomes during major acute episodes, such as infections, complications, and hospital readmissions; and reduce the costs of successful treatment.

Using cryptography to keep exchanges secure, blockchain provides a decentralised database, or “digital ledger”, of transactions that everyone on the network can see. This network is essentially a chain of computers that must all approve an exchange before it can be verified and recorded.

Learn more about the use of Blockchain in healthcare here:




It is distributed. Means it is de- centralised. Nobody is an owner.

It is public. Everyone can see it.

Things that have happened are time stamped, recorded and coded.

It is persistent. As far as everyone is participating, it is for forever.

SECURITY AND PRIVACY are built into the system as well. (On the internet the problem was that TCPIP is not built in for identity or encryption.

Smart contracts are built in- which means once a transaction is made automatically the laws of the contract are applied and executed. Value, data and money can be moved now.

For example, if everyone in a conference room has a spreadsheet of no. of shirts they own and they share it. The data miners after every 10 seconds will find out the new shirts added, shorts deleted, ownership of shirts changed, etc..

The miners will then publish this to everyone holding a ledger who participated in the blockchain. This is called block of work chained to the initial block and hence blockchain- that is why it is persistent, and you get a running, consistent account of things that is time stamped, verified by everyone, virtually un-hackable because no one can reverse it.

And this is the reason why for Bitcoins, financial services it is an important technology because this is why you wait for 3 days for your cheque to get cleared. Right!

INDIA- The Growth Engine

The economy minister, Shaktikanta Das, has given his prediction of India's GDP growth for the coming 2017 - 2018 fiscal year. He says that it will be upwards of 7% and there's not any reason to doubt him.

The Gross Domestic Product (GDP) in India expanded 1.80 percent in the third quarter of 2016 over the previous quarter. GDP Growth Rate in India averaged 1.67 percent from 1996 until 2016, reaching an all-time high of 5.80 percent in the second quarter of 2009.Here are stats related to some popular markets:



The only potential fly in the ointment any of us can see for India's economic growth is the effects of demonetization, and whatever they are they are now--it has happened, and it has gone. Macroeconomic conditions are such that the government is providing a modest boost to the economy with a smallish budget deficit. Inflation is not negligible, but it does appear under control. Much to most of the growth is domestic and not affected all that much by the global lassitude in growth.

Ongoing efforts to restructure bank balance sheets to revive lending and reduce excessive leverage at large corporations is setting the stage for a recovery in investment spending likely to drive growth higher in FY2017.Healthcare has become one of India’s largest sectors - both in terms of revenue and employment. The Indian wellness industry was estimated at close to Rs85,000 crore in the financial year 2014-15 and is expected to grow at a compounded annual growth rate (CAGR) of nearly 12% for the next five years. The industry can achieve about Rs1.5 trillion by FY20, according to a recent report by Ficci and EY.

In India, we will see a radical consolidation in the healthcare industry owing to several scenarios. Mega-corporations will have the advantage over mom-and-pop shows. I assume that apart from the government, three-four large players, some of them international giants, will dominate 80% of the market.

The sheer size of our country will attract investment in healthcare infrastructure, divided between increasing the reach and deployment of technology. High-end communication technologies, devices and platforms will form the backbone of effective range. Analytics and big data will be the direction setters for the way patients are treated, medically or otherwise.I am reasonably sure that the practices of medical professionals will be largely institutionalised owing to super-specialization. The design of current set-ups like hospitals will see a sea change. In all probability, they will become diagnostic and treatment stations, while recuperation will be shifted to homes.

The India Conference is one of the largest student-run conferences focusing on India in the USA. It is hosted by the Harvard Business School and Harvard Kennedy School by the graduate students of Harvard University.

In 2017, India Conference will be celebrating our 14th anniversary. The conference will bring together business leaders, entertainment professionals, government officials, philanthropists, and many other leaders to engage in a conversation about India’s path to global leadership. Our 2016 conference had over 1000 attendees and was a resounding success.

Learn more from experts at India conference about Union budget measures, infrastructure, arts, technology growth, rural economy, new businesses, global synergies and demonetization. Refer to the agenda here and register.

Sources:

ADB-https://www.adb.org/countries/india/economy#tabs-0-2

Forbes: http://www.forbes.com/sites/timworstall/2017/02/04/indias-gdp-growth-for-fiscal-2017-to-be-upwards-of-7-shaktikanta-das/#1f0f379e653b

News Livemint- http://www.livemint.com/Politics/H50PvO2qmDaapNgNN6KWZM/India-in-10-years-Healthcare-sector-will-see-radical-consol.html

Friday 3 February 2017

Human Factors in Healthcare

Stare in the middle of the image below..as you move your eyes around you will see black dots flashing. now you know that there is no flashing possible here but it tricks your brain.




Human eyes could be easier to trick than you might think.A Japanese professor, Kokichi Sugihara, created sculptures that trick the mind to see the impossible. He was the winner of the Best Illusion of the Year Contest in 2010 and 2nd place in 2016.

Like when that thing goes there, isn't it supposed to go over there and not over there? Shouldn't the little balls be rolling to the right instead of the left? How did that thing do the thing? Huh?!

Check out some of Sugihara's best brain-bending illusions:


Conformational Bias Illusions occur when brain tries to make sense out of conflicting information based on his/her experience.

Human sight is falliable and images can easily be misread leading to errors in processing information. For practising Physicians as well, we have seen such conformational bias.

When a new piece of information is presented which is not in tandom and consistent with someone's current mental model, there are chances that it will be disregarded.

Let us think of a mental model including the three units in Patient management-

Experience-- Expectation---Briefing

My cousin got admitted in the Emergency department Saturday night and the duty doctor made a presumptive diagnosis. The next day this diagnosis was handed over to the head of the department as a part of patient's history. The Physician here adopted the briefing, experience and expectation of the Emergency department Physician to his mental model and prescribed medication- possibly got blinded to realise a differing picture.

That is why in Psychology of Healthcare, a shared mental model design is necessary. There are a lot of factors that can influence situation awareness. Mental model sharing includes:

1. members of the team holding the least possible/least consistent mental model as their approach to avoid underestimation, conditioned thinking and oversight.
2. Effective communication between all team members
3. active monitoring of team memener actions, understanding, data processed/evidence available through the senses
-also for patient, equipment, summary, documentation and instruments.

Schizophrenia 

The important principle to understand is that our perceptions are not the same thing as stimuli that are picked up by our sensory receptors. Think of hallucinations in individuals experiencing mental illness like schizophrenia.

Hallucinations are involuntary and can occur in the absence of an external stimuli. That means a person sees or hear something that is not there. In the neuroimaging studies, sientists have gathered information around normal and abnormal conciousness and unconcious brains states.

Brain can pretty much create its own realities and illusions. That means brain can respond differently to external and internal stimulus.

In the 19th century, Dr. E. Babbit, M.D. proved that colored light was capable of healing through the effect on the autonomic nerve fibers in the skin and via the nerves from the eye to the brain. Dr. Spitler proved in the 1930’s that psychiatric illnesses could be cured or improved by using a visual colored light source. It is now known that there are at least four effects from light. These are:

1. The optic nerve to the pituitary gland, temporal lobe, and occipital lobe of the brain. This information affects the conscious part of the brain without interpretation.

2. A second nerve bundle from the retina to the hypothalamus, which is a major control area for both the sympathetic and parasympathetic nerves. Dr. Fritz Hollwich, M.D. has shown that color affects neurotransmitter and hormone levels in the brain and spinal cord, which in turn affect the rest of metabolism and biochemistry.

3. This path goes from the retina to the midbrain, and then to the superior cervical ganglion to the brainstem and then to the pineal gland. This area controls, among other things, our circadian (sleep/wake) cycle.

4. The last is a direct effect of the light upon particles that travel in the lymph, blood, and nerves. Researchers at the University of Vienna found that albumin is one of the particles able to be charged by light. It is then able to deliver this charge to tissues at distant locations (tissues) in the body.

Watch Dr. Paul McHugh talking on How a Psychiatrist Approaches the Illusion of Technique in Health Care Delivery Today

There are several brain tricking /training exercises available. I leave you with few of these here:

How many figures can you see?
















How many planks are there?











Is this a duck looking left or a bunny looking right?











Are the horizontal lines straight?
















How many legs does this elephant have?














Comments welcome.

Tuesday 17 January 2017

Dr. Ruchi Dass to speak at Harvard Business School- India Conference, Boston


Meet Team India at the Harvard Business School and Harvard Kennedy School as they discuss business opportunities under the theme

INDIA - THE GLOBAL GROWTH ENGINE, FEBRUARY 11-12, 2017



INDIA - THE GLOBAL GROWTH ENGINE
FEBRUARY 11-12, 2017

More on http://indiaconference.com/2017/speakers/
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