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Trends: Demand exceeds supply in the health care industry

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The ratio of population to geography is always an estimated cause for both the pros and cons of living in the Arrowhead. Low-density people can be very attractive for an adventurous lifestyle, but they have no interest in accessing health care. Health care is one of the major industries of Arrowhead region’, and as per the Department of Employment and Economic Development’s 2018 Local Workforce Regional Profile report, nursing assistants and personal care aides belong to the top occupations in demand.

The labor force of northeastern Minnesota is expected to decline over the next decade. At the same time seeing an aging population, the tight labor market for health-related workers is worsening across the board.

The difference of home health care professionals and personal care attendants is an ever-widening gap which has no apparent solutions in sight, and it is told by Teri Fritsma Mogen, a Minnesota Department of Health senior workforce analyst. According to Teri, it should be a major fret for the trickle-down effect it will have.

“If you don’t have enough home health workers to allow people to age in place, older folks will have to move to nurse homes or assisted living and that just moves the workforce shortage to another area,” she added.

There is the highest necessity of particular mental health care providers in Rural northeastern Minnesota. As per Fritsma Mogen, mainly alcohol and drug counselors and licensed mental health therapists, are needed.

“Including Duluth for alcohol and drug counselors the region has the second highest ratio in the state, and if you take Duluth out of that equation the ration is through the roof with 8,000 people to everyone drug and alcohol counselor with the average in the metro roughly 2,000 to one,” Fritsma Mogen said.

Threatening that Telehealth, the provision of healthcare distantly by the help of telecommunications technology, is not a “magic bullet,” Fritsma Mogen thinks that new legislation authorization extended reimbursement for telehealth has begun to help ease some of the need.

In 2015 the Minnesota legislature passed the Telemedicine Act, raising the list of specialized persons entitled to bill for telemedicine practices, including physicians, nurse midwives, clinical nurse specialists, dentists, and psychologists. The Telemedicine Act got the effect at the beginning of 2016, with some provisions not fully ready till 2017.

Anderson said, “Meeting remotely with clients is especially important in rural areas of the region where mental health providers are less accessible.”

She said video conferencing technology is also helping to fill a vital gap for public health nurses. Providing Direct Observed Therapy (DOT) via video conferencing is helping a lot in checking patients’ taking oral medication for treatment of tuberculosis. has fulfilled some need efficiently.

“One example of this in our region was public health staff time and travel savings of 2.5 hours per day by using (video) conferencing with a patient who lived in a remote area of the county,” Anderson told.

In the Region 3 Adult Mental Health Initiative Area, numerous counties are represented: St. Louis, Lake, Cook, Carlton, and Koochiching, which consists of 23 percent of the state’s land and contains only 6 percent of the population. This geographical area also signifies an area where health challenges like depression exceed any other major health issues two to one.

Although working on increasing videoconferencing for mental health treatment over the last six years, Lee is irritated with the slow progress of the system is taking hold. He said that technology is the same, but the attitudes are slow to change and thus small legal and technical obstacles can take a long time to take-over.

He added, “The trend is for different agencies such as, schools, jails and treatment facilities, to develop their own telehealth systems. To overcome logistics of not being able to communicate smoothly across agencies, an interoperable system, like Vidyo, should be universally adopted.”

One area in Carlton County being conducted successfully has integrated mental health treatment in the jail premises, where accessing mental health care professional by video is much more competent. Transferring a prisoner from jail, with serious mental health issues, to a psychiatrist is not easy. Therefore, there is a requirement of at least one deputy to accompany them. Simultaneously, local mental health care providers are forced to fill canceled appointment slots.

“It didn’t take a rocket scientist to figure out that we could fill no-shows and cancellations for psych appointments easily without leaving the jail via tele psychiatry,” Lee said.

County jails in Carlton, Koochiching and Lake counties, Northeast Regional Corrections Center and Arrowhead Juvenile Detention Center have all been executing some type of video conferencing for mental health treatment. But, Lee said many IT and legal problems should be cleared to make it occurred.

“I think the biggest problem is that we are so regimented in our separate professional silos and this approach doesn’t work in isolation, so we have to be open to working with community partners in new ways to solve this chronic mental health problem,” he said.

Another tech tool being used extensively by patients across most area health care systems is an entrance to get health records, observe lab results and send and receive no urgent messages from providers.

Dr. Michael Whitcomb, Essentia’s chief medical informatics officer, calculates around 40 percent of clinic patients access their patient portal, a system which has been up and running for about six years.

“Patients love to send messages through the patient portal instead of the old-fashioned phone call that can take days of phone tag,” Whitcomb said.

Though getting medical care online is not a new idea, but it has some problems for which it was unsuccessful initially after launching. Today, Essentia is getting greater success with E-Visits using a different platform.

Now, restricted to about 30 relatively basic conditions, patients connect online to E-Visit web page where they have to fill out a short form by means of a branching logic interview format. Here the patients can get replies from a doctor or nurse within an hour, and they can also get any required prescriptions sent directly to the pharmacy of the virtual patient’s choice.

Whitcomb said, “Not only is the demand by patients for immediate care with online access being met, but E-visits also decrease access problems in our ER and urgent care.”

He also told that several thousand patients have accessed the online doctor visits in the past year, and they expect to increase services to include more conditions.

“The consumer is changing their expectations for online convenience instead of going to a brick-and-mortar facility,” Whitcomb said. “The exciting thing is that technology exists where we can maintain a high quality of care.”

Maureen Ideker, senior advisor for telehealth at Essentia, told that they have a telehealth presence in all the hospitals, clinics and nursing homes all over northeastern Minnesota and northwestern Wisconsin. Additionally, they have contacts in 10 different hospital services, 30 outpatient clinic specialty consultants and they have consulted around 5,000 patients through the telehealth system last year.

Telestroke is the biggest hospital program of Essentia with its emergency departments all through the region and all connected to St. Mary’s in Duluth. Telestroke gets the stroke specialists active on a case from the beginning as the neurology specialists mainly located in Duluth, and rapid involvement of the extreme importance with the common condition.

The extended telepresence through discharge pharmacy consultations at St. Mary’s is also a time saver for the patient and the hospital.

“Discharges from the hospital in Duluth with virtual pharmacy counseling is at about 500 visits per month, saving valuable time by having a pharmacy technician bring an electronic tablet to the patient’s bedside,” Ideker added.

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Great Learning launches new programs in DevOps and Full Stack Development

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  • Full Stack Developers and DevOps Engineers amongst the top emerging jobs in India
  • 20000+ openings for Full Stack Developers and 4500+ for DevOps Engineers
  • Top hirers include Accenture, Cognizant, TCS, Tech Mahindra, Infosys and Samsung
  • Starting salaries for Full Stack developers and DevOps Engineers goes up to Rs. 9 lacs
  • Full Stack Development program is blended, with both classroom and online components
  • DevOps Engineer Certificate Program is a structured online program with weekend mentorship sessions

New Delhi, March 12, 2019: Great Learning, India’s leading Edtech company announced the launch of two new programs – Full Stack Development and DevOps Engineer Certificate Program.

Currently, India has 20000+ job openings for Full Stack Developers and 4500+ for DevOps Engineers. The starting salaries for professionals proficient in these areas is often Rs. 9 Lacs per annum or more.

 

Full Stack Development Program (20 weeks)

According to a report by LinkedIn, Software developer  is the No 1. Trending job in India with Full Stack Developers being one of the most in-demand roles in India.  The Full Stack Development program, offered by Great Learning, is 6 month program where students can learn from expert faculty and develop expertise by working on practical lab sessions. The Program will be offered in two convenient formats – one a ‘bootcamp’ style classroom program, and the other a blend of online learning with weekend mentorship sessions – to suit the different learning needs of college graduates and working professionals alike. The program is designed to help students master Front end development with  HTML,CSS, JavaScript, React and Back-end development with Java Spring & Hibernate, and SQL – skills which leading technology companies like Cognizant and Flipkart are seeking.

The program enables practical learning by replicating a Production development atmosphere through pair programming labs, hackathons and periodic code reviews with senior Tech Leads  and software architects from leading companies. By the end of the Program, learners will be able to build their own full stack applications enabling them to become Production Ready developers. The Full Stack program is offered with placement assistance by Great Learning through its career services program – GL Excelerate. As part of GL Excelerate, learners get exclusive access to career fairs and opportunities with leading organizations, 1-1 career mentoring from industry experts, interview preparation workshops and guidance on resume building.

Currently, the classroom variant of the program is available in Bangalore and soon will be launched in Chennai and Hyderabad as well. Students can enroll for the program by filling this registration form.

 

DevOps Engineer Certificate Program (3 months, Fully Online, 150+ hours)

According to LinkedIn’s 33 Most Recruited Roles of 2018 report, DevOps Engineer is the most recruited job on LinkedIn globally in 2018. Great Learning’s DevOps Engineer Certificate Program is a 3-month structured online program with weekend mentorship sessions to help students become proficient in understanding and working with AWS (Amazon Web Services), Containers, Cloud Native and On-Premises DevOps, Infrastructure as Code, Python Scripting and more. The program comprises of 40+ hours of expert instructional content and 150+ hours of overall learning. The programs provide an opportunity for students to get personalized mentorship from DevOps practitioners who have worked with the leading organizations like Dell, SAP, Cisco, Walmart Labs, Infosys and FIS. Students will also be able to attend a live online session each weekend to clarify their conceptual doubts, ask questions and discuss use cases with industry practitioners. Students can enroll for the program by filling this registration form.

Harish Subramanian, Director –  Great Learning said, “Skills in DevOps and Full Stack Development are in high demand today across all types of technology companies. Our programs delve deeply into both the topics and are designed to enable learning by doing. The hands-on approach that the programs offer, and the access to Full stack developers and DevOps professionals gives learners exposure to the challenges they’ll face in these jobs right from the start of the program, and ensures they are job ready by the time they complete their program.”

 

About Great Learning

 Great Learning is an Ed-Tech company that offers programs in career critical competencies such as Analytics, Data Science, Big Data, Machine Learning, Artificial Intelligence, Cloud Computing & Deep Learning and more. Over 5000 professionals have taken Great Learning programs and it has already delivered 4 million hours of learning. The company is on a mission to make professionals proficient and future ready. Great Learning programs are offered in multiple modes such as Weekend classroom learning with online resources; online videos with weekly personalised mentorship sessions. and boot-camp full-time programs. The offline classroom sessions happen through Great Learning centers that are present in Gurgaon, Bangalore, Hyderabad, Pune, Chennai, and Mumbai.

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Indian steel firms seek higher duties on imports as prices drop

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Indian steel firms are putting pressure on the government to impose higher duties on imports as trade disputes and a global economic slowdown divert surplus Asian steel stocks to India, industry executives and government sources said.

Local producers are suffering from the double whammy of a rise in cheap imports and low domestic steel prices, which threatens to wipeout the healthy profits made in the past couple of years.

The steel companies have approached the ministry multiple times over the past few months, alleging China, Japan, South Korea and Vietnam are dumping various grades of low-cost steel into the Indian market and stealing market share as a result, three government sources said. Top four steelmakers – JSW Steel Ltd, Tata Steel Ltd, Jindal Steel and Power Ltd and state-owned Steel Authority of India Ltd – who together control over 45 per cent of country’s total steel production, are the key companies who have complained, the sources said.

The ministry has given various indications that some measures might be taken, the sources added. However, they are more likely to be non-tariff measures as India has already suffered defeat in a dispute with Japan at the World Trade Organisation (WTO) on charges that New Delhi unfairly imposed import duties in 2016 to safeguard its steel industry. The WTO upheld Japan’s complaint in November but India is planning to appeal.

India’s steel minister Chaudhary Birender Singh told Reuters earlier this month that the government wants to expand the quality control regime to all steel products very soon. Imports of various grades of steel into India rose by around 8 per cent in the April-December 2018 period, compared with a year earlier, government data showed. During the same period, exports from India fell by more than 17 per cent, making the country a net importer of steel, mainly because the US, one of India’s biggest markets, imposed additional duties last year on steel coming from some Asian countries, including India.

The government is also considering imposing higher duties on the import of iron ore, a key raw material, to help state-owned miner NMDC Ltd, the sources said. While this could hurt JSW Steel, other steel majors have their own captive iron ore mines which shields them from price volatility.

Abhyuday Jindal, managing director of Jindal Stainless, the country’s largest stainless-steel producer, said the company had asked the government review import duty on raw materials, as well as the impact of free trade agreements with the likes of Japan, South Korea and southeast Asian countries.

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Ten Big Global Challenges Technology Could Solve

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Edison said on innovation in technology that – big problems correspond to even bigger opportunities. Referring a famous Canadian Ice Hockey player, Wayne Gretzky, who had scored many hits in his time, “the trick is not to skate where the puck is, but to skate where the puck is going.” Today, technology performs a major role in solving a wide range of problems. It may be building a business or solving social problems and in this way, it can impact business all over the world. Here are the major challenges that can be solved by technology.

Carbon appropriation

Rising of global temperature is a major threat for everyone. Reducing greenhouse gas emissions cannot alone sufficient to check an increase in global temperatures. Removal of carbon dioxide from the atmosphere can anyway help to reduce the temperature. But, it would be really expensive. Currently, many startups are searching for ways of recycling carbon dioxide into products, like synthetic fuels, carbon fiber, polymers, and concrete. It may somehow helpful, but we require the cheapest way to completely store the billions of tons of carbon dioxide and as a result, we might successfully pull carbon dioxide out of the atmosphere.

Grid-scale energy storage

Different renewable energy sources like wind and solar are becoming discounted and governments in different countries are deploying them widely. But they fail to generate electricity when the sun’s not shining or wind isn’t blowing. Still, then, some countries are trying to generate some amount of energy by which they can deviate from secure sources like coal and natural gas. The cost of building enough batteries is too much to provide backup to total networks for the days when renewable generation standards would be excessive. Many scientists and startups are trying to build up cheaper forms of grid-scale storage that can persist for longer periods, including flow batteries or tanks of molten salt. However, we urgently need a cheaper and more competent way to store vast amounts of electricity.

Universal flu vaccine

Pandemic flu is a rare worldwide spread deadly disease. It is caused by a virus and spreads all over the world. People with lack of immunity get affected by this new influenza. In the 1918 pandemic of H1N1 flu about 50 million people died and in the 1957-’58 around a million people died in pandemics. More recently, half a million died in a 2009 return of H1N1. The decrease in death tolls is due to the milder strains. We should not take this disease casually as these viruses may reproduce too quickly for any tailor-made vaccine to effectively fight it. Therefore, a common flu vaccine that confined not only against the relatively less harmful variants rather against a catastrophic once-in-a-century epidemic is a critical public health challenge.

Ocean clean-up

There are a large number of tiny pieces of plastic, called “micro-plastics” are now floating all over the world’s oceans. The major source of this waste is bags or straws which have been broken up over time. It’s deadly for birds, fish, and humans. According to researchers, the effects on both human health and the environment will be intense, and it may take centuries to clean up the hundreds of millions of tons of plastic from the oceans which have been accumulated over the decades. As pollution is widespread, it’s difficult to clean up. When there are prototype methods for undertaking the massive oceanic garbage patches, we are helpless in cleaning coasts, seas, and waterways.

Dementia treatment

Dementia or Alzheimer’s is getting quite common worldwide. Above one in 10 Americans at the age of 65 suffer from Alzheimer’s. And around a third of those are of 85 years old or more than that. Till the date, Alzheimer’s has not been understood completely, as definite diagnoses can be done only after death, and even then, doctors show the distinction between Alzheimer’s and other forms of dementia. With advances in neuroscience and genetics are providing more insight. That understanding is offering clues to slow or even shut down the disturbing effects of the condition.

Energy-efficient desalination

The quantity of salt water on earth is about 50 times as there is fresh water. The increase in the world’s population and climate change increase droughts and the call for fresh water is going to develop more. Israel is getting most of its household water from the sea by making the world’s biggest reverse-osmosis desalination facilities. But this method requires too much energy to be practical worldwide. New types of membranes, electrochemical techniques may be valuable to make salty water useful for irrigation. Similarly, the use of adaptation technologies to create drinking water from the ocean ought to be the main concern.

Embodied AI

A video of Atlas, showing the jumping up steps of robot like a commando, designed by Boston Dynamics, swept the internet. This came only two years after AlphaGo challenged the world’s best Go player. Atlas can’t play Go (it is embodied, but not intelligent), and AlphaGo can’t run (it’s intelligent, in its own way, but lacks a body). So what happens if you put AlphaGo’s mind in Atlas’s body? According to so many researchers, real artificial intelligence may depend on a skill to share internal computational processes to actual things in the physical world. Additionally, an AI would obtain that ability by learning to work together with the physical world as people and animals do.

Secure driverless car

Till the date, independent vehicles have been used for millions of miles on public roads. Pilot programs for release and taxi services are in progress in places like the suburbs of Phoenix. But driverless cars have not been ready to capture roads in common. They are not working properly in disordered traffic, and in weather conditions like snow and fog. If they can be finished consistently safe, they might let an extensive reimagining of transportation. Traffic jams might be abolished, and cities could be altered as parking lots and these may give way to new developments. Especially, if self-driving cars extensively deployed, are likely to eradicate most of the 1.25 million yearly deaths caused by traffic accidents.

Earthquake prediction

Earthquake is one of the devastating natural calamities in which over 100,000 people died in the 2010 Haiti earthquake, and the 2004 Indian Ocean tsunami—prompted by one of the most powerful earthquakes ever recorded and it had killed around a quarter of a million people in Indonesia, Sri Lanka, India, and elsewhere. We are able to predict hurricanes days much in advance, but we are helpless in predicting earthquakes. Predicting earthquakes with some self-assurance would let the planners discover some long-lasting solutions. Even a few hours’ before a warning can help people to leave unsafe areas, and millions of lives can be saved.

Brain decoding

Our brains stay deep obscurity to neuroscientists. All the things we think and remember, and all our movements, must in some way be coded in the billions of neurons in our heads. Here everyone wants to know that code. There are so many unknowns and puzzles in perceptive, by which our brains store and exchange our thoughts. Breaking in that code may lead to mental disorders like schizophrenia and autism. It might allow us to pick up direct boundaries which communicate straight from our brains to computers, or even to other people. This is life-changing progress for people who are paralyzed by injury or degenerative disease.

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