Raja Jasti’s Blog - Renaissance Thinking

October 6, 2009

personalized health advice and counseling

Filed under: Technology — Tags: — Raja @ 10:16 am

Keas, a new healthcare startup, wants to provide personalized health programs to consumers based on their personal health records (PHR).

A New Web Tool Devoted to Your Health
 

 The national health care debate right now is all about giving more people affordable access to doctors and hospitals. Yet the vast majority of health care decisions — 80 percent or more, experts say — are really made by individuals, instead of medical professionals, whether choices are about diet and exercise or ways of managing chronic conditions like diabetes and heart disease.

The national health care debate right now is all about giving more people affordable access to doctors and hospitals. Yet the vast majority of health care decisions — 80 percent or more, experts say — are really made by individuals, instead of medical professionals, whether choices are about diet and exercise or ways of managing chronic conditions like diabetes and heart disease.

The long-term answer to improving the health of the nation’s population and curbing costs, experts agree, is to help people make smarter decisions day in and day out about their own health. And the most powerful potential tool in the march toward intelligent consumerism in health care may be the Web.

That is why on Tuesday, a start-up company led by Adam Bosworth, former head of the Google Health team, plans to become the newest entrant to the online consumer health business.

Already, surveys show that a majority of adults in America routinely scour the Internet for health information. Doctors joke that the standard second opinion of diagnosis and treatment has become a patient’s Google search, with the results printed out and brought to the doctor’s office.

But the Web is still mainly a vast trove of generalized health information. The ideal, health experts say, would be to combine personal data with health information to deliver tailored health plans for individuals. That is what Mr. Bosworth and his San Francisco-based company, Keas (pronounced KEE-ahs) Inc., mean to do.

Using the Keas system, for example, a person with Type 2 diabetes might receive reminders, advice on diet and exercise, questions and prompts presented on the Web site or delivered by e-mail or text messages — all personalized for the person’s age, gender, weight and other health conditions.

Although success is far from certain, Keas has some big partners, including Google Health and Microsoft HealthVault.

Health technology experts say Keas is at the forefront of the effort to combine advanced Web and database technologies so it can personalize health education. The promise, they say, is a big step forward for online health tools, and could help accelerate their adoption — much as the spreadsheet program helped kick-start the personal computer industry back in the early 1980s.

“This is the next generation of applications for online health care,” said Dr. David C. Kibbe, a health technology expert and senior adviser to the American Academy of Family Physicians, who is also a member of the Keas advisory board.

This idea has tremendous potential particularly in countries like India where the doctor to patient ratios are very low. If this technology can be used to bring personalized healthcare to people that do not have easy access to doctors it can make a huge difference in people’s lives.

Youtube Premium

Filed under: Internet, Media — Raja @ 9:52 am

Google CEO Schmidt says they paid $1B premium for Youtube.

Since 2006, many observers have scratched their head over what prompted Google to pay $1.65 billion for the video site YouTube. We’re now a little closer to the answer.

The blockbuster acquisition for the 18-month-old start-up played a large role in sending valuations in the tech sector skyrocketing. Although YouTube made little revenue, the all-stock transaction gave Google control of a company many believed would change the face of mass entertainment. It also led to criticism from skeptics who thought that Google would never get its money back.

Google has revealed little about how it decided to pay $1.65 billion but CEO Eric Schmidt said under oath last spring that he was willing to pay a premium–a big one–for YouTube. Leading up to the acquisition, Schmidt told Google’s board of directors that his estimate of YouTube’s worth was somewhere between $600 million and $700 million, according to court records reviewed by CNET.

Schmidt had his reasons for asking his board to OK an offer of $1 billion more than what he thought the site was worth. The CEO made the comments during a deposition he gave in May as part of the copyright lawsuit Viacom filed against Google and YouTube in 2007. In short, he believed that Google had to offer that much, or competitors, presumably Microsoft or Yahoo, would walk away with the increasingly popular video site.

“This is a company with very little revenue,” Schmidt said while being questioned by Stuart Jay Baskin, a Viacom attorney. “(YouTube was) growing quickly with user adoption, growing much faster than Google Video, which was the product that Google had. And they had indicated to us that they would be sold, and we believed that there would be a competing offer–because of who Google was–paying much more than they were worth…We ultimately concluded that $1.65 billion included a premium for moving quickly and making sure that we could participate in the user success in YouTube.”

This tells you how badly Google wanted to make sure Youtube didn’t fall into Miscrosoft’s hands.

October 5, 2009

Essense of Hollywood Film Script Writing

Filed under: Personal — Raja @ 12:01 pm

Sramana Mitra interviewed Robert McKee, a well known hollywood script writing guru from USC, where she asks him about the philosophy of storytelling. He does an excellent job of summarizing the essence of hollywood script writing technique followed by most of the writers.

SM: Can you synthesize your philosophy of storytelling in brief for the reader?

RM: I will do my best. I get asked that question all the time. Reducing story down to its simplest underlying element, it is the underlying form of all stories everywhere. A story begins when an event, which is caused either by human decision or random coincidence, radically upsets the balance of forces in a character’s life. This event causes the character to need to restore the balance of life, and to do that the protagonist character will conceive the object of desire.

An object of desire can be anything imaginable. It is what the protagonist feels they need to put life back into balance. It can be something physical. In a crime story it might be a dead villain. It could be something like a happy marriage. It could be something metaphysical like the meaning for life. The protagonist then goes off into their world into their own heart and soul as human beings and into the various dimensions of their existence seeking their object of desire, trying to restore the equilibrium of life.

As they do this, they will struggle against forces of antagonism that will arise from their own inner natures, from their personal relationships with other human beings or from the physical environment. Forces of antagonism will rise up and try to block them from achieving their object of desire. They will struggle towards that and may or may not achieve it. The story may or may not end up with a satisfying balance of life for the protagonist.

To go even further, we could reduce it down to five fundamental elements of any event. The protagonists desire to restore life’s equilibrium, the object of desire the protagonist either consciously or subconsciously believes is the key to life’s balance, the protagonist’s constant struggle to achieve that object of desire, and the forces of antagonism from all of their aspects of life to prevent them from doing that. It is really very simple universal form.

I have been called on occasion from people all over the world who have asked me that exact question. I get professors and teachers of philosophy asking that question after reading my book because they think that there is some profound philosophy. I am always touched when people think that there are profound implications of life.

Mobile web ecosystem

Filed under: Mobile, Technology, Trends — Raja @ 11:55 am

I see signs of mobile web ecosystem coming into its own. For the mobile web to take off it needs all the building blocks that internet and the pc web has that makes it a thriving ecosystem.

There are two new product announcements this week that address these buildng blocks.

One is from google announcing new imprived ad units for their adsense for mobile service.

Today, we’re excited to announce a new feature for our AdSense mobile publishers that enables them to serve text and image ads on their sites — specifically on these high-end smartphones. This helps mobile publishers earn revenue and fund more mobile-specific sites and web content.

The other is from amazon bringing their 1-click payments to the mobile.

Amazon today released a series of APIs as part of its new Amazon Mobile Payments Service that allow developers to build mobile payments into their applications, and to tie them to Amazon’s 1-Click payment option. For developers this gives them a way to let consumers buy things on their mobile phones without going through an arduous credit card entry process. This is a big move for Amazon as it brings it into direct competition with PayPal’s mobile checkout offering, as well as newer platforms such as iTunes and Google’s Checkout service.

October 4, 2009

Yahoo Ad on Times of India front page

Filed under: India, Internet, Media — Raja @ 10:16 pm

Yahoo buys the front page ad on Times of India, India’s largest english newspaper.

India’s largest English-language newspaper, the Times of India, has an interesting print edition front page today – a huge yellow advertisement for Yahoo’s It’s You campaign first announced last month. You can view the print version here.

The newspaper’s circulation as of 2008 was 3.14 million, making it the largest selling English-language daily newspaper (here’s the whole list). Yahoo already has a large presence in India, reaching 26 million of the 35 million online Indians (according to Comscore, August 2009).

It seems like newpaper ads are pretty popular in India. Google advertises its search in India newspapers. Newspaper ads in India must be good value for money.

October 3, 2009

Telemedicine

Filed under: Internet, Mobile, Technology, Trends — Tags: — Raja @ 6:00 pm

Yahoo has a nice article on telemedicine.

SATURDAY, Oct. 3 (HealthDay News) — Imagine that you see a new mole and don’t like the looks of it so you take a picture of it using your cell phone and e-mail it to your family doctor for an opinion.

Or perhaps you have heart disease and take your blood pressure using a cuff that automatically uploads the data to your cardiologist’s computer for review.

Using electronic communications equipment to transmit medical information for consultation or examination — known as telemedicine — has come a long way from its beginnings as a means for rural areas to have access via teleconferencing to top-flight specialists.

In fact, technology has advanced to the point that telemedicine is beginning to blur into the normal daily routine of a doctor, said Dr. Jason Mitchell, assistant director for the Center for Health Information Technology of the American Academy of Family Physicians.

“Someday we won’t even consider it telemedicine anymore,” Mitchell said. “It’ll just be part of the way we practice medicine.”

And evidence is mounting that telemedicine can play a positive role in health care. A study in the journal Stroke found that the use of teleconferencing and the transmission of CT brain scans is beneficial to the initial treatment of stroke victims, later assessment of the amount of brain damage they’ve received and the rehabilitation they will go through during their long-term recuperation.

Some new ways of practicing medicine already taking place that could be considered telemedicine include:

  • Ambulances transmitting EKG data to the hospital they’re en route to
  • Automated pill counters that transmit data that lets doctors know whether medications are being taken as prescribed
  • Teleconferences to bring in specialists for consultation in such fields as dermatology, neonatal care, surgery and psychotherapists
  • Electronic scales for heart patients that trigger an alert to a nurse if the patient’s weight increases dramatically

“One of the best early indicators for impending hospitalization for patients with congestive heart failure is an increase in body weight,” said Dr. Lee H. Schwamm, vice chairman of the neurology department and director of TeleStroke & Acute Stroke Services at Massachusetts General Hospital in Boston and an associate professor of neurology at Harvard Medical School.

Schwamm describes such examples of telemedicine as “low-hanging fruit,” easily done to great advantage for both the patient and the doctors involved.

Telemedicine could be a boon to preventative medicine, Mitchell and Schwamm said, giving doctors access to detailed data that would allow them to diagnose problems early. For example, data from the scales or the blood pressure cuff could give doctors a chance to get someone in for treatment before a heart attack or stroke occurs.

“It would identify for us when a patient should be seen rather than relying on the patient for that judgment,” Schwamm said. “In my mind, that’s the real promise.”

Telemedicine also could provide tremendous cost savings. People might not have to take time off from work and drive to see their doctor to have a question or concern addressed. And people with serious illnesses might not have to travel hundreds or thousands of miles for a consultant’s opinion. “It’s expensive and inefficient to move people around when many visits require minimal care,” Schwamm said.

I agree that telemedicine will just be medicine as the use of mobile and electronic technoligies becomes integrated into healthcare.

October 1, 2009

Beyond Voice

Filed under: Mobile, Trends — Raja @ 3:15 pm

A friend forwarded (thanks Ram) this article from the Economist that has a special report on telecoms in the emerging markets looking to tap into the data services for innovation and growth.

 I’m not selling for that

IN A field just outside the village of Bumwambu in eastern Uganda, surrounded by banana trees and cassava, with chickens running between the mud-brick houses, Frederick Makawa is thinking about tomatoes. It is late June and the rainy season is coming to an end. Tomatoes are a valuable cash crop during the coming dry season and Mr Makawa wants to plant his seedlings as soon as possible. But Uganda’s traditional growing seasons are shifting, so he is worried about droughts or flash floods that could destroy his crop. Michael Gizamba, a local village-phone operator, offers to help using Farmer’s Friend, an agricultural-information service. He sends a text message to ask for a seasonal weather forecast for the region. Before long a reply arrives to say that normal, moderate rainfall is expected during July. Mr Makawa decides to plant his tomatoes.

Farmer’s Friend is one of a range of phone-based services launched in June by MTN, Google and the Grameen Foundation’s “Application Laboratory”, or AppLab. As well as disseminating advice in agriculture, provided by the Busoga Rural Open Source and Development Initiative, the new services also provide health and market information. The Clinic Finder service points people to nearby clinics, and the Health Tips service explains the symptoms of common diseases.

Lastly there is Google Trader, a text-based system that matches buyers and sellers of agricultural produce and commodities. Sellers send a message to say where they are and what they have to offer, which will be available to potential buyers within 30km for seven days. Mr Makawa says his father used the service to look for a buyer for some pigs, which he sold to pay school fees. These services cost 110 shillings ($0.05) a time, the same as a standard text message, except for Google Trader, which costs double that. In their first five weeks the services received a total of more than 1m queries.

A web of sorts

“There is a big shift from holding a phone to your ear to holding it in your hand,” says David Edelstein of the Grameen Foundation. “It opens the door to information services. It’s not the web, but it’s a web of services that can be offered on mobile devices.” As with the Village Phone project, Grameen is trying to establish a model that can be scaled up and replicated in other countries. Offering agricultural and health information is more difficult than offering a phone service, however, because such information must be localised and must take cultural differences into account. The answer is to work closely with local partners, says Mr Edelstein. Grameen is also experimenting with the idea of “community knowledge workers”—local people who can help others get access to mobile services, reading, translating and explaining text messages where necessary, just as village-phone operators provide access to basic communications.

Trading up

Grameen’s collaboration with MTN and Google in Uganda is just one of dozens of services across the developing world that offer agricultural, market and health information via mobile phones. In India, for example, farmers can sign up for Reuters Market Lite, a text-based service that is available in parts of India. Its 125,000 users pay 200 rupees ($4.20) for a three-month subscription, which provides them with local weather and price information four or five times a day. Many farmers say that their profits have gone up as a result.

Tata Consultancy Services, an Indian operator, offers a service called mKrishi which is similar to Farmer’s Friend, allowing farmers to send queries and receive personalised advice. “The rural population is willing to pay substantial subscription fees to get this information multiple times a day,” says Kunal Bajaj of BDA. There have been lots of pilot schemes in the past, he says, but commercial offerings are now beginning to gain ground.

Nokia, the world’s largest handset-maker, launched its own information service, Nokia Life Tools, in India in June. In addition to education and entertainment, it provides agricultural information, such as prices, weather data and farming tips, that can be called up from special menus on some Nokia handsets. The basic service costs 30 rupees a month, and a premium service which provides detailed local crop prices in ten states is available at twice that price. “It is in its early stages, but it has resonated extremely well with its target audience,” says Olli-Pekka Kallasvuo, Nokia’s chief executive.

Services to help farmers have been most widely adopted in China, where China Mobile offers a service called Nong Xin Tong in conjunction with the agriculture ministry, as part of its push into rural areas. It has already signed up 50m users and is aiming for 100m within three years. The service provides news, weather information and details of farming-related government policies.

China Mobile also runs a website, 12582.com, that sends farmers information about planting techniques, pest management and market prices. The service, which costs two yuan ($0.30) a month, sends out 13m text messages a day and has over 40m users. There are dozens of other examples across the developing world. TradeNet, launched in Ghana in 2005, now links buyers and sellers of agricultural products in nine African countries; CellBazaar provides a text-based classified-ads service in Bangladesh.

Mobile phones are also being used in health care. One-way text alerts, sent to everyone in a particular area, can be used to raise awareness of HIV; sending daily text messages to patients can help them remember to take their drugs for tuberculosis or HIV. Mobile phones can be used to gather health information in the field faster and more accurately than paper records and help with the management of drug stocks. Camera-phones are used to send pictures to remote specialists for diagnosis.

Mobile data (particularly SMS) services can be huge in emerging markets provided the telcos don’t get greedy and keep the costs high. Telcos’ overhead costs for SMS are almost zero. SMS revenues are pure margin. There is no reason for SMS costs to be prohibitively high except for greed. Low SMS costs are key for the mobile data ecosystem in the developing countries to develop and thrive. I heard that SMS costs are pretty high in africa. India has low SMS costs but some tecos are starting to charge ridiculous interconnect fees that is threatening to kill the  nascent SMS information services market.

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