Success At Cleveland Clinic And The Future Of Healthcare

Cleveland, Ohio, USA – June 17, 2017: Daytime view of Cleveland Clinic main campus entrance reflecting pool near University Circle photo credit: GettyGETTY

Healthcare is being transformed with new alignments of medical personnel, digitalization and personalization, focus on prevention and internationalization, according to Cleveland Clinic CEO Tom Mihaljevic. Cleveland Clinic is leading the way in a number of these areas. I interviewed Tom on The CEO Show, and he outlined some of the key features that have earned top-ratings for Cleveland Clinic and his vision of the future of healthcare.

Cleveland Clinic is an international healthcare provider employing 60,000 caregivers. The majority of its hospitals are around the City of Cleveland, Ohio, and they have hospitals in southeast Florida, Las Vegas, Toronto and Abu Dhabi in the United Arab Emirates. They are now building a hospital in London.

I asked Tom what sets Cleveland Cleveland apart as it earns its top ratings in clinical care and outcomes year after year.

“The most important differentiator for Cleveland Clinic, in our belief, is in our model of care. Cleveland Clinic is organized in such a way that we work as teams,” Mihaljevic said.

He said that every patient who goes to Cleveland Clinic is taken care of by a team of providers that have complimentary qualifications. “As a team, we can best address oftentimes very, very complex issues in healthcare.”

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He added, “We’re very focused not only on quality of care but also the experience of care. We believe that patient experience is an important part of recovery and healing process, and this combination of quality patient experience and teamwork is what differentiates Cleveland Clinic from very many other providers in the field.”

“One more differentiating feature is that Cleveland Clinic, since its inception almost 100 years ago, has a salaried physician model. So we do not incentivize our providers on anything other than the quality and experience of care that they provide.”

Robotics

Cleveland Clinic has been at the forefront of robotic surgery, particularly in cardiac care, and Mihaljevic said that the robotic surgery that is done at Cleveland Clinic is becoming a standard of care for other diseases too. Earlier in his career Mihaljevic was a heart surgeon specializing in robotics.

“What robotics does is it allows us to enter any part of the body through tiny incisions, reducing the invasiveness of the surgery,” he said. “The other big attributes of robotics is that the instruments that we use are much more precise …. But a third and a very exciting potential opportunity in robotic surgery, in general, lies in the fact that we could perform the operations at a distance.”

“It’s easy to envision that we should be able to offer surgical services by having a surgeon in one part of the world and a patient in another part of the world.”

Value-based care

The second half of the interview focused on the future of healthcare in general.

Mihaljevic said that 80% of human health is influenced by social determinants of health such as access to good nutrition, education, economic disparities, quality of living, and availability of social services, and only 20% through the quality of an actual healthcare provider.

“Every individual and every society is looking to get greater value from healthcare, meaning higher quality with lower cost. And that can only be accomplished if we focus, not only on treating patients when they are ill, but also on helping them maintain their health … and focus on their wellness and well-being and prevention.”

“Value-based care … is something that will positively transform healthcare in the United States.”

More transformation

The Cleveland Clinic CEO said, “When we speak about healthcare over the next decade, I believe that there are going to be several really important trends that we will be shaping. The first is transformational trends in the way that healthcare is being delivered. I think that the healthcare of the future is going to be primarily team-based healthcare. I think that our patients will rightfully expect that their care will be delivered through the coordinated efforts of a number of different individuals with complementary qualifications.”

“The second big trend that we’re going to see,” Mihaljevic said, “is the increased penetration of digital platforms in healthcare. I believe that about 50%, maybe even 75% of current of current visits to primary care physicians and family practices will probably be delivered … through a tele-medicine platform.”

“And the last big trend that I believe that we’re going to see here in the United States is a stronger movement towards value-based care.”

“On the international front, I believe that we’re going to see a greater internationalization of healthcare, meaning that the large healthcare providers from the United States will look to broaden their presence in international markets, and I also do believe that here domestically, we’re going to see a greater agglomeration of our healthcare providers … in a larger system.”

[“source=forbes”]

Now and always! Chennai Super Kings’ 10-year challenge featuring MS Dhoni is winning the internet – WATCH

Chennai Super Kings joined the bandwagon of the viral 10-year Challenge on Thursday and shared a video of their theme song ‘whistle podu’ featuring MS Dhoni.

Chennai Super Kings 10-year challenge

Chennai Super Kings rocked the 10-year challenge   |  Photo Credit: Twitter

The 10-year challenge is taking social media by a storm and the latest to join the bandwagon is Indian Premier League franchise Chennai Super Kings. One of the most popular IPL teams, CSK enjoys a massive fan base across the country, thanks to their talismanic captain MS Dhoni. The reigning IPL champions on Thursday shared their own version of the 10-year challenge with a video of their theme son ‘whistle podu,’ featuring Dhoni.

CSK returned to the IPL fold last year after serving a suspension for two years in a spot-fixing case. The franchise along with Rajasthan Royals were banned from taking part in the tournament. However, CSK made a roaring return to the competition with Dhoni at the helm of affairs. They went on to bag their third title beating Sunrisers Hyderabad in the final.

“Social media challenge fads come and go. But this…is us. Now…and always. #WhistlePodu turns 10. #10YearChallenge,” wrote Chennai Super Kings on Twitter sharing the 2009 and the latest version of whistle podu song.

Embedded video

Chennai Super Kings

@ChennaiIPL

Social media challenge fads come and go. But this…is us. Now…and always. #WhistlePodu turns 10. 🦁💛 #10YearChallenge

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CSK ahead of the IPL 2019 player auction retained a core group of players including the likes of Suresh Raina, Dhoni, Ravindra Jadeja and Dwayne Bravo among others. They let go off just three players in total, two domestic – Kanishk Seth and Kshitiz Sharma, one international – Mark Wood. While Mitchell Santner took Wood’s spot in the squad, CSK roped in pacer Mohit Sharma and batsman Ruturaj Gaikwad for next season.

While skipper Dhoni rolled back years and played a key role in CSK’s title-winning run with his best last season, the team had a lot of positives from their campaign last season with the likes of Shane Watson, Ambati Rayudu and Lungi Ngidi playing significant roles in the title triumph. CSK will be looking to repeat the feat of winning consecutive titles for the second time in the history of the tournament having won it twice in 2010 and 2011.

[“source=timesnownews”]

Internet growth hits 3-year low

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The growth of new internet connections fell 21.58 percent year-on-year to 1.09 crore in 2018, a three-year low.

Industry insiders blamed the fall on the restriction imposed on digital services ahead of the national polls, as the sector lost 11.18 lakh active mobile connections in the last two months of 2018.

This was the first time the internet industry in Bangladesh has observed a negative growth for two consecutive months.

If the restriction had not been there, internet use would have continued growing keeping pace with the economy, industry people said.

The number of active mobile connections also fell by 0.03 percent to 15.69 crore in December from the previous month.

Only Grameenphone posted positive growth in the last month of 2018, while the market share of the three other operators shrunk.

As of December, there were 9.13 crore active internet connections, of which 8.55 crore was mobile internet, 57.35 lakh broadband and the rest WiMax, according to data from the Bangladesh Telecommunication Regulatory Commission.

Since its launch in February 2018, the country now has 1.17 crore fourth generation (4G) mobile internet users.

[“source=thedailystar.net”]

Unsold real estate inventory hits 2-year low in fourth quarter of 2018

Unsold real estate inventory hits 2-year low in fourth quarter of 2018

Despite all headwinds including the liquidity crisis in 2018, housing sales rose by 18 percent and new launches by 33 percent across the top 7 cities compared to 2017. Residential inventory overhang reduced to a year-low from 47 months in Q4 2017 to 33 months in Q4 2018 across the top 7 cities.

The Demonetisation effect in late 2016 had pushed up unsold inventory to 47 months in Q4 2017 from 40 months in Q4 2016. An inventory overhang of 18-24 months signifies a fairly healthy market.

“Having absorbed a lot of the impact of various structural changes, the Indian real estate sector seemed poised to grow from the previous year,” says Anuj Puri, chairman – ANAROCK Property Consultants.

“However, the issue of stalled projects and liquidity crisis continued to confound the housing sector in 2018, though it continued its transition into a relatively more transparent and end-user driven market. End-users accelerated growth while investors shifted focus towards alternate asset classes such as commercial, retail and warehousing, which did fairly well during the year.”

“Builders very extremely cautious about launching projects to align supply with the existing buyer demand. This helped sales pick up momentum in 2018. Simultaneously, builders reduced the average property sizes to align their offerings with the highly-incentivized affordable housing bracket. The affordable segment spearheaded residential growth in 2018.”

2018 New Launch Tracker

The top 7 cities recorded new unit launches of around 1,95,300 units in 2018 against 1,46,860 units in 2017. The affordable segment comprised the lion’s share at 40 percent. Major cities contributing to 2018 new unit launches included MMR, NCR, Pune, and Bengaluru, together accounting for 74 percent new supply.

  • Bengaluru saw about 34,880 units launched in 2018 – a whopping 91 percent increase from 2017. More than 80 percent new supply added was in sub Rs. 80 lakhs budget segment.
  • MMR added about 59,930 units in 2018, a yearly increase of 12 percent over the preceding year. About 40 percent new supply was added in the affordable segment.
  • Chennai added new supply of 15,680 units in 2018 compared to 7,940 units in 2017 – a massive rise of 98 percent. About 49 percent new supply was added in the affordable segment.
  • Pune added 24,430 units in 2018, a significant increase of 29 percent over 2017. More than 90 percent new supply was added in sub Rs. 80 lakhs budget segment, out of which 52 percent comprised of affordable projects.
  • Hyderabad added 17,290 units in 2018, a significant increase of 43 percent over 2017. About 58 percent new supply was added in the budget segment of Rs. 40- 80 lakhs in 2018.
  • NCR added about 26,010 units in 2018, a yearly increase of 17 percent over previous year. about 47 percent new supply catered to the affordable segment.
  • Kolkata added about 17,290 units in 2018, a significant increase of 25 percent over 2017.
  • About 73 percent new supply was added in affordable segment.

The GST Debacle Haunted 2018 – GST on under-construction properties was a major hurdle in 2018, dissuading buyers from purchasing properties that fell under its gambit. The twin issues of stalled/delayed projects and financial stress within residential real estate augmented interest for ready to-move-in properties with most buyers preferring to buy what they can see.

Shrinking Flat Sizes – Builders submitted to consumer demand and offered more property options in the affordable segment, along with an overall reduction in average property sizes across segments, to fit the affordability quotient. At the pan-India level, average property sizes in 2018 shrunk to 1,160 sq. ft. from 1,260 in 2017. Surprisingly, Bengaluru saw maximum decline of 13 percent in average property sizes in 2018, followed by MMR and Kolkata with 11 percent each. On a two-year basis,the decline in housing sizes was nearly 23 percent in most key cities, except in Chennai and Bengaluru.

Sales Exceeded New Supply – Another significant trend witnessed is that housing sales numbers have exceeded new launch supply consecutively in 2018. Prior to 2017, sales numbers were far lower than new launch supply. This definitely indicates that the market is managing to shed unsold stock.

In the first three quarters of 2018, sales numbers rose q-o-q, but Q4 saw a mere 4 percent rise as against Q3 2018. Sales growth was essentially marred by the NBFC crisis in the last quarter of 2018.

Consolidation via mergers and acquisitions dominated all sectors including residential during the year, completely redefining the definition of ‘financial health’ among players. This trend will continue in 2019 as well.

2018 Housing Sales Tracker

Around 2,48,310 units were sold in 2018 with NCR, MMR, Bengaluru and Pune together accounting for 82 percent of the sales.

  • Bengaluru recorded the highest jump in sales in 2018 as compared to other top cities. City sales increased by 33 percent – from 43,130 units in 2017 to 57,540 units in 2018 due to buoyant commercial activity and realistic property prices dictated by endusers.
  • NCR housing sales increased by 18 percent – from 37,610 units in 2017 to 44,300 units in 2018. Despite rising sales, the region continues to grapple with the issue of stalled/delayed projects.
  • Pune sales rose by 12 percent – from 30,730 units in 2017 to 34,460 units in 2018.
  • MMR sales rose by 17 percent – from 56,970 units in 2017 to 66,440 units in 2018 – the highest number of units sold in 2018.
  • Chennai sales declined by 17 percent over the previous year and was recorded at 11,340 units in 2018.
  • Hyderabad sales significantly increased by 16 percent over the previous year with 18,630 units sold in 2018.
  • Kolkata saw about 15,600 units sold – a yearly increase by 21 percent over 2017.

Overall Unsold Inventory till Q4 2018

Unsold inventory declined by nearly 7 percent – from 7.26 lakh units in Q4 2017 to 6.73 lakh units in Q4 2018 and 14 percent from 7.90 lakh units in Q4 2016. An uptick in the traction of ready-to-move-in and nearing-completion properties helped developers clear their existing stock.

Price Movement

Residential property prices across the top 7 cities increased by a mere 1-2 percent in Q4 2018 when compared to the previous year Q4 2017 – except Chennai, where prices decreased by 1 percent and Kolkata, where they remained stagnant.

Outlook 2019

Despite the numbers suggesting a positive outlook for 2018, the picture may not be as rosy in at least the first half of 2019. The liquidity crisis – further aggravated by the NBFC issue – has caused mayhem in the industry and early 2019 will continue to see its spill-over effect.

Even while various reforms strove to eliminate unscrupulous players from the real estate ecosystem, the issue of stalled projects needs to be seriously addressed by the Government, or else the recovery of the residential sector will remain compromised.

If developers continue to focus squarely on their core business, remain customer-centric and launch the right products at the right prices in 2019, the residential segment will gain traction. Else, the sector will have to solely rely on petty sops offered by the Government to intermittently boost sales.

[“source=cnbctv18”]

Top 10 Ways Internet Of Things And Blockchain Strengthen Supply Chains

ISTOCK

  • The majority of enterprises are prioritizing their blockchain pilots that concentrate on supply chains improvements (53%) and the Internet of Things (51%) according to Deloitte’s latest blockchain survey.
  • By 2023, blockchain will support the global movement and tracking of $2T of goods and services annually based on a recent Gartner
  • By 2020, Discrete Manufacturing, Transportation & Logistics and Utilities industries are projected to spend $40B each on IoT platforms, systems, and services.
  • The Supply Chain Management enterprise software market is growing from $12.2B in 2017 to $20.4B in 2022, achieving a 10.7% Compound Annual Growth Rate (CAGR) according to Gartner’s latest market forecast.
  • Of the many blockchain and IoT Proof of Concept (POC) pilots running today, track-and-trace shows the most significant potential of moving into production.

Combining blockchain’s distributed ledger framework with the Internet of Things’ (IoT) proven real-time monitoring and tracking capability is redefining supply chains. Blockchain shows potential for increasing the speed, scale, and visibility of supply chains, eliminating counterfeit-goods transactions while also improving batching, routing and inventory control. Blockchain’s shared, distributed ledger architecture is becoming a growth catalyst for IoT’s adoption and commercial use in organizations.

Blockchain and IoT are defining the future of supply chains based on the initial success of Proof of Concept (POC) pilots focused on the logistics, storage and track-and-trace areas of supply chains across manufacturing. Supply-chain centric pilots are the most popular today, with enterprises looking at how they can get more value out of IoT using blockchain. One CIO told me recently his company deliberately spins up several POCs at once, adding “they’re our proving grounds, we’re pushing blockchain and IoT’s limits to see if they can solve our most challenging supply chain problems and we’re learning a tremendous amount.” The senior management team at the manufacturer says the pilots are worth it if they can find a way to increase inventory turns just 10% using blockchain and IoT. They’re also running Proof of Concept pilots to optimize batching, routing and delivery of goods, reduce fraud costs, and increase track-and-trace accuracy and speed. Of the many pilots in progress, track-and-trace shows the greatest potential to move into production today.

The following are the top 10 ways IoT and blockchain are defining the future of supply chains:

  • Combining IoT’s real-time monitoring support with blockchain’s shared distributed ledger strengthens track-and-trace accuracy and scale, leading to improvements across supply chains. Improving track-and-trace reduces the need for buffer stock by providing real-time visibility of inventory levels and shipments. Urgent orders can also be expedited and rerouted, minimizing disruptions to production schedules and customer shipments.  The combination of blockchain and IoT sensors is showing potential to revolutionize food supply chains, where sensors are used to track freshness, quality, and safety of perishable foods.  The multiplicative effects of combining IoT and blockchain to improve track-and-traceability are shown in the context of the following table from the Boston Consulting Group. Please click on the graphic to expand for easier reading.

SOURCE: BOSTON CONSULTING GROUP, PAIRING BLOCKCHAIN WITH IOT TO CUT SUPPLY CHAIN COSTS, DECEMBER 18, 2018

  • Improving inventory management and reducing bank fees for letters of credit by combining blockchain and IoT show potential to deliver cost savings. A recent study by Boston Consulting Group, Pairing Blockchain with IoT to Cut Supply Chain Costs, completed a hypothetical analysis of how much a $1B electronics equipment company implementing blockchain-as-a-service, a decentralized track-and-trace application, and 30 nodes that share among key supply chain stakeholders could save. The study found that the electronics equipment company could save up to $6M a year or .6% of annual sales. A summary of the business case is shown here:

SOURCE: BOSTON CONSULTING GROUP, PAIRING BLOCKCHAIN WITH IOT TO CUT SUPPLY CHAIN COSTS, DECEMBER 18, 2018

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  • Combining blockchain and IoT is providing the pharmaceutical and healthcare industry with stronger serialization techniques, reducing counterfeit drugs and medical products. Pharmaceutical serialization is the process of assigning a unique identity (e.g., a serial number) to each sealable unit, which is then linked to critical information about the product’s origin, batch number, and expiration date. According to the World Health Organization (WHO) approximately 1 million people each year die from counterfeit drugs, 50% of pharmaceutical products sold through rogue websites are considered fake, and up to 30% of pharmaceutical products sold in emerging markets are counterfeit according to a recent study by DHL Research. DHL and Accenture are finalizing a blockchain-based track-and-trace serialization prototype comprising a global network of nodes across six geographies. The system comprehensively documents each step that a pharmaceutical product takes on its way to the store shelf and eventually the consumer. The following graphic illustrates the workflow.

DHL TREND RESEARCH, BLOCKCHAIN IN RESEARCH, PERSPECTIVES ON THE UPCOMING IMPACT OF BLOCKCHAIN TECHNOLOGY AND USE CASES FOR THE LOGISTICS INDUSTRY (PDF, 28 PP., NO OPT-IN)

  • Improving distribution and logistics, tracking asset maintenance, improving product quality, preventing counterfeit products and enabling digital marketplaces are the use cases Capgemini predicts blockchain will have the greatest impact. IoT’s potential contribution in each of these five use case areas continues to accelerate as real-time monitoring dominates manufacturing. Tracking provenace, contracts management, digital threads, and trade financing also show potential for high adoption. The following graphic illustrates blockchain use cases in the supply chain.

CAPGEMINI RESEARCH INSTITUTE, DOES BLOCKCHAIN HOLD THE KEY TO A NEW AGE OF SUPPLY CHAIN TRANSPARENCY AND TRUST?, 2018 (PDF, 32 PP., NO OPT-IN)

  • Combining blockchain and IoT is enabling manufacturers to pursue and excel at digital twin initiatives across their value chains. A digital twin is a dynamic, digital representation of a physical asset which enables companies to track its past, current and future performance throughout the asset’s lifecycle. The asset, for example, a vehicle or spare part, sends performance data and events directly to its digital twin, even as it moves from the hands of the manufacturer to the dealer and ultimately the new owner. Blockchain can be used to securely document everything related to the asset and IoT provides the real-time monitoring and updates. Microsoft and VISEO are partnering to use blockchain to connect each new vehicle’s maintenance events to the vehicle’s digital twin. The graphic below illustrates how digital twins streamline additive manufacturing.

DELOITTE UNIVERSITY PRESS, 3D OPPORTUNITY FOR BLOCKCHAIN ADDITIVE MANUFACTURING LINKS THE DIGITAL THREAD, 2018 (PDF, 20 PP, NO OPT-IN)

  • 54% of suppliers and 51% of customers are expecting the organizations they do business with to take a leadership position on blockchain and IoT. The majority of suppliers and customers expect the manufacturers, suppliers, and vendors they do business with to take a leadership position on these two emerging technologies and define a vision with them in it. Deloitte’s excellent study, Breaking Blockchain Open, Deloitte’s 2018 Global Blockchain Survey, provides insights into how supplier and customer expectations are a factor in driving blockchain and IoT adoption, further helping to shape the future of supply chains.

DELOITTE, BREAKING BLOCKCHAIN OPEN, DELOITTE’S 2018 GLOBAL BLOCKCHAIN SURVEY, 2018.

  • Consumer products and manufacturing lead adoption of blockchain today, followed by life sciences according to the latest Deloitte estimates. IoT adoption is flourishing in manufacturing, transportation & logistics and utilities. By 2020, each of these industries is projected to spend $40B each on IoT platforms, systems, and services. The following graphic compares blockchain adoption levels by industry. Given how dependent manufacturers are on supply chains, the high adoption rates for blockchain and IoT make sense. Please click on the graphic to expand for easier reading.

DELOITTE, BREAKING BLOCKCHAIN OPEN, DELOITTE’S 2018 GLOBAL BLOCKCHAIN SURVEY, 2018.

  • 32% of enterprises are adopting blockchain to gain greater speed compared to existing systems, and 28% believe blockchain will open up new business models and revenue sources. The majority of manufacturers, transportation & logistics and utilities companies have real-time monitoring running on their shop floors and across their production facilities today. Many are transitioning from Wi-Fi enabled monitoring to IoT, which creates a real-time data stream that blockchain ledgers categorize and track to provide greater track-and-trace speed and accuracy. A recent Capgemini survey found that 76% of manufacturers also plan to have a product-as-a-service strategy to drive revenue in less than two years.

DELOITTE, BREAKING BLOCKCHAIN OPEN, DELOITTE’S 2018 GLOBAL BLOCKCHAIN SURVEY, 2018.

  • Blockchain has the potential to deliver between $80B and $110B in value across seven strategic financial sectors when supported by IoT, redefining their supply chains in the process. McKinsey completed an extensive analysis of over 60 viable use case for blockchain in financial services where IoT would provide greater visibility across transactions. The combination of technologies has the potential to deliver over $100B in value.

MCKINSEY, BLOCKCHAIN TECHNOLOGY IN THE INSURANCE SECTOR

  • Reducing product waste and perishable foods’ product margins while increasing traceability is attainable by combining blockchain and IoT. IBM’s Food Trust uses blockchain technology to create greater accountability, traceability, and visibility in supply chains. It’s the only consortium of its kind that connects growers, processors, distributors, and retailers through a permissioned, permanent and shared record of food system data. Partners include Carrefour, Dole, Driscoll’s, Golden State Foods, McCormick and Co., McLane Co., Nestlé, ShopRite parent Wakefern Food Corp.,  grocery group purchasing organization Topco Associates  The Kroger Co., Tyson Foods, Unilever and Walmart. An example of the Food Trust’s traceability application is shown below:

HTTPS://WWW.IBM.COM/BLOCKCHAIN/SOLUTIONS/FOOD-TRUST

Additional Research:

Abdel-Basset, M., Manogaran, G., & Mohamed, M. (2018). Internet of Things (IoT) and its impact on supply chain: A framework for building smart, secure and efficient systems. Future Generation Computer Systems86, 614–628.

Boston Consulting Group, Pairing Blockchain with IoT to Cut Supply Chain Costs, By Zia Yusuf, Akash Bhatia, Usama Gill, Maciej Kranz, Michelle Fleury, and Anoop Nannra. December 18, 2018

Capgemini Research Institute, Does blockchain hold the key to a new age of supply chain transparency and trust?, 2018 (PDF, 32 pp., no opt-in)

DHL Trend Research, Blockchain In Research,  Perspectives on the upcoming impact of blockchain technology and use cases for the logistics industry (PDF, 28 pp., no opt-in)

Deloitte, Breaking Blockchain Open, Deloitte’s 2018 Global Blockchain Survey,48 pp., PDF, no opt-in. Summary available here.

Deloitte, Continuous Interconnected Supply Chain, Using Blockchain & Internet-of-Things in supply chain traceability (PDF, 24 pp., no opt-in)

Deloitte University Press,  3D opportunity for blockchain Additive manufacturing links the digital thread, 2018 (PDF, 20 pp, no opt-in)

EBN, How IoT, AI, & Blockchain Empower Tomorrow’s Autonomous Supply Chain, June 18, 2018

Forbes, How Blockchain Can Improve Manufacturing In 2019, October 28, 2018.

Forbes, 10 Charts That Will Challenge Your Perspective Of IoT’s Growth, June 6, 2018

Gettens, D., Jauffred, F., & Steeneck, D. W. (2016). IoT Can Drive Big Savings in the Post-Sales Supply Chain. MIT Sloan Management Review, 60(2), 19–21. Accessible on the MIT Sloan Management Review site here.

Jagtap, S., & Rahimifard, S. (2019). Unlocking the potential of the internet of things to improve resource efficiency in food supply chains. Springer International Publishing© Springer Nature Switzerland AG.

McKinsey & Company, Blockchain beyond the hype: What is the strategic business value?, June, 2018

McKinsey & Company, Blockchain Technology in the Insurance Sector,Quarterly meeting of the Federal Advisory Committee on Insurance (FACI) Jan 5, 2017

McKinsey & Company, The IoT as a growth driver, By Markus Berger-De Leon, Thomas Reinbacher, and Dominik Wee. March 2018

McKinsey & Company, How digital manufacturing can escape ‘pilot purgatory’,  by Andreas Behrendt, Richard Kelly, Raphael Rettig, and Sebastian Stoffregen. July 2018

Miller, D. (2018). Blockchain and the Internet of Things in the Industrial Sector. IT Professional20(3), 15-18.

PwC, Global Blockchain Survey, 2018.

Queiroz, M. M., & Wamba, S. F. (2019). Blockchain adoption challenges in supply chain: An empirical investigation of the main drivers in India and the USA. International Journal of Information Management46, 70-82.

Reyna, A., Martín, C., Chen, J., Soler, E., & Díaz, M. (2018). On blockchain and its integration with IoT. Challenges and opportunities. Future Generation Computer Systems88, 173–190

Smith, K. J., & Dhillon, G. (2019). Supply Chain Virtualization: Facilitating Agent Trust Utilizing Blockchain Technology. In Revisiting Supply Chain Risk (pp. 299-311). Springer, Cham.

Tu, M., Lim, M. K., & Yang, M.-F. (2018). IoT-based production logistics and supply chain system – Part 1. Industrial Management & Data Systems118(1), 65–95.

Tu, M., K. Lim, M., & Yang, M.-F. (2018). IoT-based production logistics and supply chain system – Part 2. Industrial Management & Data Systems118(1), 96–125.

[“source=forbes”]

Fashion blogger behind ‘Saggy Boobs Matter’ campaign leaves some Radio 4 listeners baffled with ‘PC’ jargon such as ‘gender non-binary’ and ‘feminine energy’

She’s the politically correct fashion blogger from Peckham who has won thousands of followers with her ‘Saggy Boobs Matter’ campaign.

But listeners to Radio 4’s Today show were left scratching their heads in bemusement when Chidera Eggerue took over as guest editor yesterday.

The welter of incomprehensible jargon had some wondering if the makers of the flagship BBC news show had ‘gone mad’.

In one segment, rapper Jordan Stephens from the group Rizzle Kicks spoke about the notion of ‘toxic masculinity’.

Fashion blogger Chidera Eggerue, who has won thousands of followers with her 'Saggy Boobs Matter' campaign, left listeners scratching their heads when she took over as guest editor of Radio 4's Today

Fashion blogger Chidera Eggerue, who has won thousands of followers with her ‘Saggy Boobs Matter’ campaign, left listeners scratching their heads when she took over as guest editor of Radio 4’s Today

He said: ‘I use the term because for me it infers masculinity in its true self is not toxic, I think there’s just an energy that’s carried with it – a hyper- masculinity if you will – you’ve got to balance it out. I think it becomes toxic when it becomes fragile, when it lacks feminine energy.’

One listener tweeted: ‘Turned on, heard ‘toxicity of men’ and turned off again. Turned on again half an hour later and heard someone talking about male female body images… turned off again. Who edits this rollicks?’

Another wrote: ‘I have no idea what he has just said – heard the words but can’t interpret at all – lost me.’

‘Non-binary artist’ Travis Alabanza was also interviewed on the show – with Ms Eggerue, 24, insisting on sitting in to ‘represent physical safety to Travis and solidarity’.

Alabanza told presenter Martha Kearney: ‘People that haven’t existed as male and female have been here for thousands of years.’

One Twitter user, Catholic cleric Raymond Blake, simply asked: ‘Has BBC Radio 4 Today gone mad this morning?’

The incomprehensible jargon left some wondering if the makers of the flagship BBC news show had 'gone mad'

The incomprehensible jargon left some wondering if the makers of the flagship BBC news show had ‘gone mad’

And another exclaimed: ‘The #loonyleft indoctrination machine is in full whirr trying to make men feel ashamed for being men. Of course, the BBC is the mouthpiece as usual. Beyond time funding for this awful institution was pulled.’

Ms Eggerue calls her blog The Slumflower and has adopted the phrase ‘Saggy Boobs Matter’ in her campaign for greater tolerance for all body shapes.

Feminist campaigner Julie Bindel said: ‘Some phrases used in the Today programme, such as ‘gender non-binary’ and ‘feminine energy’ are incomprehensible, posh middle-class versions of phrases I and other feminists have been using for decades.

When we say ‘refusing to accept sexist stereotypes’, a phrase everyone understands, the kids say ‘non-binary’.

All ‘feminine energy’ means is ‘rejecting the idea that men are always macho’.

The language of today is elitist and pointless, and neither funny nor clever.’

In August, figures revealed the Today programme had lost more than 800,000 listeners and its editor Sarah Sands, who took on the role last year, was criticised for making the show too soft.

Earlier this month, The Mail on Sunday reported on the backlash by Radio 4 listeners over the amount of airtime devoted to transgender issues on Woman’s Hour.

A BBC spokesman said: ‘It is a well-established tradition for the Today programme to have a range of guest editors with diverse experiences who bring their own ideas and perspectives to programmes over the festive period.

‘They work closely with the regular programme team to ensure the material meets the BBC’s editorial guidelines.’

[“source=dailymail.co.uk”]

Meet the People, Trends, and Products That Will Rule Fashion in 2019

“Markle Sparkle” Is the New Rihanna Effect

Image result for Meet the People, Trends, and Products That Will Rule Fashion in 2019

No one could ever replace our queen, Rihanna, but a literal duchess comes close. Meghan Markle’s marriage to Prince Harry, where she wore an elegant Givenchy dress designed by Clare Waight Keller, turned the American actress into instant fashion royalty. What she wears has the potential to sell out instantly, turn a niche brand into a major one, and influence shoppers across the world. She’s one of fashion’s most impactful international figures—and one of its most-Googled, too. The Duchess uses her powers wisely, supporting sustainable companies like Everlane and Stella McCartney, as well as small companies like Rothy’s and Scanlan Theodore. Expect the Markle Mania to continue with full fervor in 2019 when the Duchess welcomes her first child with the Prince.

Philo’s Friends Are the New Philo—Maybe

It won’t be easy to fill the Phoebe Philo–shaped hole in our heart, but plenty will try. Following the designer’s departure from Celine, many alums of her atelier have scattered across the industry, building small communities in the spirit of #oldceline along the way. Her onetime designer director, Daniel Lee, landed at Bottega Veneta, where he brought an eye for material and minimalism to his debut Pre-Fall collection that will be recognizable to any Philophile. At Maison Kitsuné, Philo alum Yuni Ahn will bring her own take on Philophilia, launching at men’s fashion week in Paris on January 18.

Red Carpet Ruffles Are the New Social Media Sequins

Just when you thought nothing could kill the trend toward revealing, body-conscious clothing, along comes a Marc Jacobs collection (for Spring 2019) of gigantic sorbet-color ruffles. It seemed improbable that A-listers would trade their slinky little things for the likes of a lemon jumpsuit with a ruffle the size of Canada across the chest, but then out came Laura Harrier at Art Basel in that very look. She was followed by Tessa Thompson is a similar yellow frock, Vanessa Hudgens in coral, and Ariana Grande in lilac. These fabulous frocks are the new statement-making solution for women who want to make an entrance without showing too much skin.

We may never be fully free of chunky dad shoes, at least if Demna Gvasalia has his way. But a slew of European designers are evolving the ugly sneaker trend into something even stranger: ugly sandals. At Jil Sander, Luke and Lucie Meier sent their models out in platform flip-flops at least six inches high; Julien Dossena’s sandals at Paco Rabanne were a mere two to four inches by comparison. At Marine Serre, rubber babouches complemented couture-shaped gowns, while Versace had an elegant, in a way, take on both trends: an ugly sneaker-sandal hybrid combo with a white platform sole. Birkenstocks, your move.

[“source-“vogue”]

The Roadmap For Quality Healthcare In Rural India Through Technology

The combined technology-backed efforts will confer complete physical, mental, and social well-being with the best-in-class healthcare facilities for everyone irrespective of geographical and demographical diversities.

India despite being the world’s 7th largest nation has been spending merely 1.3% of the national GDP on healthcare, which is way less than 6% of the global average. As per the 2011 national census 68.86% people residing in rural areas still don’t have access to quality healthcare. This population pool is devoid of sufficient ambulatory, clinical, and hospital care facilities. However, Under ‘Ayushman Bharat National Health Protection Mission’ (ABNHPM) – 2018, the Indian Government has brought ICT at the forefront of Indian healthcare system. Telemedicine and Telehealth are creating a safe, effective, efficient, patient-centered and timely health management system.

Information and Communications Technology (ICT) is enabling the transition of healthcare sector from a sporadic institutional delivery system to community-based preventive care based on information systems.Long-distance clinical care, health-related education, and Electronic Health Records (EHRs) are going to be at the center of healthcare evolution in Rural India.

The need of Telemedicine

In spite of having a considerate increase in the medical staff and doctors, Rural Indian healthcare system is still facing challenges to attract and retain the expert medical practitioners. Another challenge which has become Achilles’ heel for the Indian rural healthcare is lack of Investment and Infrastructure. The continuous efforts of dealing with substantial issues at various fronts in healthcare services aren’t proving successful.

The need of the hour is to join the global movement for Technology Enabled Care (TEC) and re-strategize the healthcare growth model on Public-Private Partnership. Telemedicine has become an important tool in offering doctor consultation in remote location with convenience. This is facilitating regular health monitoring, management of chronic diseases, and post-operative follow-ups.

EHRs helping in healthcare evolution

ICT and EHRs can together result in the improvisation of quality, safe and efficient healthcare delivery system. The newer advancements in the field of genomics, pharmacogenomics, molecular diagnostics, targeted therapies, regenerative medicine, and information based calculative medicine can play a major role in driving the future of Indian healthcare, especially in rural areas.

Today, the communication industry has evolved and India boasts of nearly 1 billion smartphone users in the country. The widespread network of existing smartphones can be used to build an inclusive IoT (Internet of Things) network to create comprehensive EMRs for rural patients. These EMRs can record information on patients’ health issues, lifestyle and habits as well. Furthermore, these can also be utilized to monitor medication reaction and adherence, eventually to build precision medicine.

Quality Training for Quality Treatment

Another issue of specialized medical training can also be resolved through ICT, AI (Artificial Intelligence), and VR (Virtual Reality). Training for emergency situations can be simulated through VR to train medical staff and equip them with cloud-based advanced equipment to record patient’s vitals and relay to remote doctors for expert investigation. This can efficiently resolve the issues arising because of lack of doctor-population ratio and proper infrastructure in remote rural areas.

The Future of Rural Healthcare Technology

As per NITI Aayog, the National Health Stack (NHS) is a visionary digital framework with a holistic approach to support healthcare across the nation. The recent NHS study has also aimed for Digital Health Records for all citizens by 2022 to leverage all benefits of telemedicine and E-health for Indian citizens.

On one hand, the Indian government under ‘Ayushman Bharat’ program has taken up the path of Sustainable Development Goals (SDGs) derived under the United Nations’ – ‘Agenda: 2030’ through various national schemes and policies. And, on the other hand, many private players have also entered the healthcare sector facilitating a virtual connection between patients and remote doctors through cloud-based technology.

Our VBRI Group is devoted in providing healthcare at home that will help the patients from rural areas with all healthcare requirements within a uniform infrastructure where the patients will have the full faith to get cured without any struggle. These smart healthcare infrastructures arerelated to mass medicine with the combination of Internet of thing (IoT), Artificial Intelligence (AI) and nanotechnology.VBRI is workingwith their motto of “committed to excellence”to provide higher quality healthcare to millions of patients for living healthier longer lives and with the dedication of serving the common people of Indiaand providing themaccurate treatment at their home with a minimal charge.

The combined technology-backed efforts will confer complete physical, mental, and social well-being with the best-in-class healthcare facilities for everyone irrespective of geographical and demographical diversities.

Disclaimer: The views expressed in the article above are those of the authors’ and do not necessarily represent or reflect the views of this publishing house. Unless otherwise noted, the author is writing in his/her personal capacity. They are not intended and should not be thought to represent official ideas, attitudes, or policies of any agency or institution.

[“source=businessworld”]

Get a taste of authentic Marwari and Sindhi cuisines at a food trail in Kolkata’s Burrabazar

The mention of Burrabazar conjures up vision of narrow streets lined with old unkempt buildings, never ending jostling crowds, porters carrying goods on their heads and cubby hole shaped offices of wholesalers of everything from textile to pharmaceuticals. But not even the most imaginative would think that this trading hub of Kolkata — that evolved through the eighteenth to nineteenth century — can represent a delightful map of culinary treats. However, that is exactly what Breakfree Trails is claiming we will find, when we trek though these serpentine roads.
Sweets at Ambika Bhujiawala in Burrabazar area

“Just like the mercantile history of this area, which is probably the oldest wholesale market of the city, the food in and around here has also evolved and changed in the course of time, acquiring a unique characteristic of its own,” says Amitabha Gupota, one of the city’s renowned food and travel writers, who will conduct the food walk with a motley crowd of ten gastronomes this Sunday.

 “The most interesting part is the discovery of the evolution of a community through signature street foods in this area, where Sindhis and Marwaris settled in late nineteenth centuries after a section of them migrated to Kolkata,” explains Amitabha.

The walk aims at taking the food lovers through a culinary journey covering one-and-a-half kilometre, that eill be sprinkled with history trivia.

Gathias at Ambika Bhujiawala

The walk will start around 11 in the morning, from Satyanarayan Park, a landmark in Burrabazar area with a tea in a khullar (clay pot) from the famous Bapu tea. “The Marwaris don’t like their tea light. They love it with loads of milk, infused with spices like cardamom, cinnamon and saffron. The one that Bapu Tea offers is near authentic,” adds Amitabha.

Badri ki Kachori at Burrabazar

Most of the food stalls and eateries dotting Burrabazar are very old with no exact record of their establishment. Bapu tea is one such renowned tea stall selling tea and other popular Marwari and Gujarati snacks. This will be followed by some Sindhi delicacies including aloo tikki (shallow fried spiced mashed potato) and mirchi pakoda (big chilli stuffed with choicest of spices) at Tiwari, another famous snacking shop in the area. The walkers will also be given a taste of the various authentic Marwari and Gujarati kachoris including piyaz kachori and small club kachodis and Gujarati burgers called Daboli at Ambika Bhujiawala.

Pedhas at Kaligodam area in Burrabazar

There will be a sumptuous lunch at one of the typical Gujarati Basas (pice hotels), crowding the area, where authentic Gujarati thalis including veg dishes and papads will be served. The guests will also get to sample the famous Sindhi breakfast, Daal Pakwan and thandais. Daal Pakwan is a typical Sindhi breakfast consisting of deep friend flour fritters, which are crispy and like biscuits in texture, served with freshly cooked pulses and a chutney with a hint of tamarind. Kandoi Sweets in Burrabazar serves one of the best Pakwans..

Sweets in Kaligodam

Those with a sweet tooth will be impressed by the Malai Roll and Rabri served at the old shop called Jadab Milk supply. The Malai roll and the rabri do not have any artificial sweetener or sugar in it, mentions Amitabha, adding that the five kilos of rabri is made by boiling the milk for nearly two hours. The Malai roll made with dry cream of milk wrapped in kheer tastes heavenly. The ghevars or disc shaped sweet cakes made with flour n sugar syrup, which are associated with peach fruit festival in Rajasthan will also be a part of the itinerary. There will also be kulfis from the famous Gopal Babu’s shop on MG Road for those with a love for ice cream.

[“source=indulgexpress”]

Police seeking DNA of male staff at health-care facility where woman in vegetative state gave birth

Police investigators are seeking DNA samples from male staff members at a private care facility in Arizona where a woman in a vegetative state gave birth to a child, the company said Tuesday.

Hacienda HealthCare said in a statement that Phoenix police investigators served a search warrant for the samples. “As a company, we welcome this development in the ongoing police investigation,” the company said.

The announcement came a day after the company’s CEO resigned following reports that the woman, left in a persistent vegetative state for nearly a decade after a near-drowning, had given birth.

The birth — and the sexual assault of a vulnerable individual that must have preceded it — has cast a harsh glare on conditions at a nonprofit organization that bills itself as a leading provider of health care for Phoenix’s medically fragile.

The woman’s universe consisted mostly of a room at a Phoenix Hacienda HealthCare facility, where she received round-the-clock care.

When she went into labor a few days after Christmas, her caretakers were flummoxed. “From what I’ve been told, she was moaning,” an unidentified source told Phoenix CBS affiliate KPHO. “And they didn’t know what was wrong with her. … None of the staff were aware that she was pregnant until she was pretty much giving birth.”

On Dec. 29, with help from one of the facility’s nurses, the patient gave birth to a healthy baby boy, KPHO reported.

Phoenix police did not immediately respond to a request Tuesday to confirm the search warrant for the DNA samples. It is unclear whether any employees have responded to the police’s request.

Hacienda HealthCare, which has 40 programs that serve more than 2,500 people a year in Arizona, said in a statement Monday that the company’s CEO, Bill Timmons, resigned.

Hacienda “will accept nothing less than a full accounting of this absolutely horrifying situation, an unprecedented case that has devastated everyone involved, from the victim and her family to Hacienda staff at every level of our organization,” Gary Orman, a member of Hacienda’s board of directors, said in the statement.

No one has been arrested in connection with the incident, and it’s unclear whether police have identified any suspects. In Arizona, sexually assaulting a vulnerable adult is a felony.

Karina Cesena told Phoenix independent news station KTVK that she is sleeping in her 22-year-old daughter’s room at the facility until the assailant is found.

Cesena’s daughter has a traumatic brain injury that causes hundreds of seizures a day.

“I do not [know if my daughter was victimized], but I do ask her, and she can answer yes or no,” Cesena told the news station. “She is not able to walk or talk yet, but she does understand.”

About Hacienda HealthCare, Cesena said: “Trust has been broken. Trust has definitely been broken.”

Other family members of patients told the news station that they’d noticed more security guards and a new protocol requiring male staffers to be accompanied by female staffers if they go into a female patient’s room.

[She spent 14 years caring for a granddaughter with cerebral palsy. Then she shot her, police say.]

On Tuesday, the San Carlos Apache Tribe said the 29-year-old woman is a member, according to a statement provided to 12 News.

“On behalf of the Tribe, I am deeply shocked and horrified at the treatment of one of our members,” tribe Chairman Terry Rambler said in the statement. “It is my hope that justice will be served.”

Arizona Gov. Doug Ducey’s office released a statement saying the reports are “deeply troubling.”

In addition to working with police, state officials are “reevaluating the state’s contract and regulatory authority as it relates to this facility and have been working closely with state agencies to ensure all necessary safety measures are in place,” Patrick Ptak, a spokesman for Ducey (R), said in a statement.

The state’s Department of Economic Security dispatched a team to conduct health and safety checks at the facility, and the Department of Health Services has beefed up safety measures: more staff, increased monitoring and stronger security.

Hacienda HealthCare was founded five decades ago. It was then called Hacienda de los Angeles, or “the dwelling of the angels.” Hacienda HealthCare over time became the umbrella for several programs in the Phoenix area that treat chronically ill infants, children and adults.

There have been reports of patient mistreatment. For example, an investigation in 2013 found that a staff member had made “inappropriate, sexual statements” about four clients. The staff member remarked that one client with intellectual disabilities had been placed in a sexual position. The worker had also been observed watching clients touch themselves. The alleged incidents weren’t reported to the facility’s administrators until a month after they occurred.

That staff member was ultimately terminated, but the state found that the facility “failed to ensure clients … were treated with dignity.”

[“source=washingtonpost”]