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Low-cost ultrasound for moms, babies

first_imgJeremy Wallis demonstrates how Umbiflow works. Unlike conventional equipment, Umbiflow doesn’t require a specialist to operate it and interpret the results. The device can easily be used by nursing sisters, midwives and general practitioners in mobile, rural and low-resource primary health care settings. (Image: Wilma den Hartigh) Umbiflow makes it possible to perform umbilical blood flow assessments at primary health care clinics, removing the need to always refer patients to specialists. The entire device is powered off a notebook laptop or a windows tablet. Results are generated in real time, displayed on a screen and printed immediately using a small printer connected to the notebook. The graph is divided into three sections – green, yellow and red – with each colour determining the type of action required. Green indicates good blood flow with no cause for concern, but foetuses that fall within the red zone will be referred to secondary health care providers. (Images: Jeremy Wallis) MEDIA CONTACTS • Jeremy Wallis   CSIR  +27 12 841 3512 RELATED ARTICLES • Traditional midwives back in fashion • Taking the risk out of giving birth • South Africa leads in mHealth • Top prize for local TB researchers Wilma den HartighResearchers from the Council for Scientific and Industrial Research (CSIR) and the Medical Research Council have developed a low-cost Doppler ultrasound device, known as Umbiflow, which will improve primary health care services for pregnant women.Doppler ultrasound equipment is an important tool used worldwide to determine foetal health and the intention with Umbiflow is to increase its impact.Using sound waves, it measures blood flow in the umbilical cord to determine if a foetus is small for gestational age (SGA) and sick, which usually occurs if the placenta is not providing enough blood flow to maintain the foetus on the standard growth curve.In the public healthcare system, women usually only undergo blood flow measurement using ultrasound technology if a pregnancy is considered high risk, and then only through a referral to a secondary health care provider or specialist.Now a group of researchers have taken conventional, and expensive, ultrasound technology and customised it in such a way that more pregnant women in South Africa can benefit from it.Jeremy Wallis, manager of the sensor science and technology competence area at the CSIR, says Umbiflow makes it possible to perform umbilical blood flow assessments at primary health care clinics, removing the need to always refer patients to specialists.Improving ante-natal careConventional ultrasound units are out of reach for the majority of primary care facilities in the country as they can only be operated by specialists, and have historically cost anything between R200 000 (US$22 500) and R1.5-million ($169 000).The new low-cost device is an ideal solution for ensuring that highly specialised technology is made available to every South African woman.Currently primary health care practitioners make use of tape measures to determine fundal height, measured from the mother’s pubic bone to the top of the uterus, to see if a foetus is SGA.Wallis says this technique can correctly identify SGA foetuses – typically 10 in every 100 cases – but the method can’t differentiate if a foetus is SGA yet healthy, or SGA and sick.“Umbiflow can do this,” he says.The technological intervention can also help the Department of Health meet its priorities to decrease child mortality (South Africa is 164th out of 220 countries); and improve the efficiency and effectiveness of the healthcare system.An article in ScienceScope, a publication of the CSIR, suggests that the mortality rate of sick-SGA foetuses can be reduced by about 38%, compared to a health care system that does not have access to Doppler ultrasound.The benefits of Umbiflow can also help to meet Millennium Development Goals, in particular to reduce the mortality rate of children under five by two thirds by 2015 and achieve universal access to reproductive healthcare.How will it improve the current health care offering?Wallis says Umbiflow will improve the quality and efficiency of ante-natal care by lowering the costs associated with Doppler measurements, and reducing the need to refer patients.By ensuring that every clinic has an Umbiflow device, patient loads at secondary level will be reduced.“With a typical provincial hospital doing several thousand such Doppler measurements per year, there is room for significantly reducing this figure for those cases linked specifically to the SGA condition,” he explains.He says a large number of pregnant women referred to secondary care for a Doppler ultrasound measurements are actually referred back to primary level for continued antenatal care, as many patients are found to have healthy-SGA foetuses.Umbiflow aims to reduce this number of referrals.“It could save the public healthcare system a lot of money, and increase the comfort of patients,” he says.If such equipment is available at clinics, it will reduce the inconvenience of referrals such as booking days off work, arranging costly transport and waiting in queues.Wallis says the benefits of Doppler measurements are well documented. According to the American Journal of Obstetrics and Gynaecology, there is a 44% reduction in hospital admissions, 20% less induced labour and the number of caesarean sections for foetal distress declines by 52%.Technology made accessibleThe device has been tested widely on thousands of patients, and the results show Umbiflow is as accurate as conventional, more expensive Doppler ultrasound equipment.But unlike conventional equipment, the Umbiflow doesn’t require a specialist to operate it and interpret the results. The device can easily be used by nursing sisters, midwives and general practitioners in mobile, rural and low-resource primary health care settings.“The technology is accessible and this is what makes it great,” Wallis says, and operators require very little training compared to, for instance, an imaging ultrasound.The handheld transducer plugs into a USB port, and the entire device is powered off a notebook laptop or a windows tablet. Results are generated in real time, displayed on a screen and printed immediately using a small printer connected to the notebook.The graph displaying the results is divided into three sections – green, yellow and red – with each colour determining the type of action required. Green indicates good blood flow with no cause for concern, but foetuses that fall within the red zone will be referred to secondary health care providers.The Umbiflow logs all results using cloud computing principles and 3G Internet connectivity. Wallis explains that this is important as it allows the developers to pick up any problems with the machine, such as quality or operator error.Exporting the productWallis says there is a market for Umbiflow beyond the public healthcare system in South Africa, such as mobile midwives who travel to patients.“In Holland a third of all births are at home and that country has a huge contingent of mobile midwives, so there is a market for it in first world countries too,” he says.In South Africa and worldwide the device can also be used by general practitioners who are based in small towns.The development team hopes to commercialise the technology in the next two years.last_img read more

What Everyone Wants And How You Can Get It

first_imgEveryone wants to win their dream client’s business, but very few want to pick up the phone and call them. Even fewer want to nurture the relationship, professionally persisting over time. Very few will do what is necessary to move their dream clients from the “dream” list to the “client” list.Everyone wants to beat their competitors and win their prospective client’s business, but no one wants to ask for all the commitments that would give them a competitive advantage. They want to win without doing the hard work of creating colossal, differentiated value. Only the true professionals embrace the “ask” and “control the process,” doing what it takes to serve their clients and to win.Everyone wants to win a deal without having to negotiate with their prospective client and without having to discount their offering. They’d rather negotiate with their own company to reduce their pricing. Only a small fraction take the time, or put forth the effort, to learn to justify the delta between their price and their competitor’s.Everyone wants to win deals faster, but almost none want to slow down to speed things up. The mark of the professional is that they increase the quality of what they do by being meticulous and precise in everything they do, wasting not a single motion, and in doing so, compress time.Everyone wants to be a trusted advisor, but few want to do the work of building trust by having a presence, making and keeping commitments, and demonstrating that they care. Far fewer want to do the reading, listening, and studying required to have the advice necessary to be any sort of advisor. Those who build trust and build their business acumen distinguish themselves, and having done so, occupy the position of trusted advisor.Everyone wants what they want, but few are willing to pay the price to get it.Some want someone else to do the work and give them what they want, feeling a sense of entitlement. They become bitter. Many wait, longing for luck to intervene on their behalf and deliver a miracle. They become disappointed. Still more take half measures, stopping short of what is necessary to produce the result they want. They become frustrated.Those who get what they want do the work.last_img read more

LaVar Ball on Lonzo’s debut: ‘His worst game ever’

first_imgDon’t miss out on the latest news and information. MOST READ He was also a little slow to react on defense, including when Brice Johnson made a quick spin past him for a dunk. The Clippers posted the highlight on their Twitter account, calling it a “pretty baller move.”That’s the kind of target that LaVar’s antics have painted on his son’s back. And it’s much bigger than the purple No. 2 under his name.“Tough game. We didn’t get the job done,” Lonzo Ball said. “I need to be better.”Scouts do wonder how that unorthodox shooting stroke will translate to the NBA game. What is not up for debate is the Lakers’ return to must-see status with the pass-first point guard on the trigger and his carnival barker father on the mic.While LaVar Ball has dropped hints that he could tone down the bombastic comments and unending marketing of his Big Baller Brand apparel that turned him into an internet villain of sorts during Lonzo’s lone season at UCLA, he was totally in character for his son’s debut.ADVERTISEMENT Lacson: SEA Games fund put in foundation like ‘Napoles case’ Ethel Booba on hotel’s clarification that ‘kikiam’ is ‘chicken sausage’: ‘Kung di pa pansinin, baka isipin nila ok lang’ Robredo: True leaders perform well despite having ‘uninspiring’ boss PLAY LIST 02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City01:07Trump talks impeachment while meeting NCAA athletes02:49World-class track facilities installed at NCC for SEA Games LATEST STORIES LAS VEGAS, NV – JULY 07: LaVar Ball, father of Lonzo Ball #2 of the Los Angeles Lakers, jokes with fans at halftime of a 2017 Summer League game between the Lakers and the Los Angeles Clippers at the Thomas & Mack Center on July 7, 2017 in Las Vegas, Nevada. The Clippers won 96-93 in overtime. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using this photograph, User is consenting to the terms and conditions of the Getty Images License Agreement. Ethan Miller/Getty Images/AFPLAS VEGAS — It took basketball prospect Lonzo Ball 20 seconds to get a near-capacity crowd off its feet in his first summer league game.Just like LaVar taught him.ADVERTISEMENT NCAA’s best honored as 93rd season opens LOOK: Jane De Leon meets fellow ‘Darna’ Marian Riveracenter_img Nikki Valdez rushes self to ER due to respiratory tract infection Pagasa: Kammuri now a typhoon, may enter PAR by weekend China furious as Trump signs bills in support of Hong Kong “The Lakers fans are coming and my boy is gonna bring ’em out,” LaVar Ball crowed at halftime. “Because there’s excitement for the game. It’s entertainment. That boy is going to entertain. He’s been doing it all his life.”Sports Related Videospowered by AdSparcRead Next Pagasa: Kammuri now a typhoon, may enter PAR by weekend Another vape smoker nabbed in Lucena Ball’s highly anticipated Los Angeles Lakers debut on Friday night started with a flourish on a perfectly timed lob pass to Brandon Ingram. But that was one of the few bright spots for a player Magic Johnson has dubbed as the new face of the Lakers in a 96-93 overtime loss to the Los Angeles Clippers.The No. 2 overall draft pick scored just five points and missed 13 of his 15 shots, to the disappointment of a near-capacity crowd that came out to see him. Leave it to his father to sum up the night with some of his trademark straight talk.FEATURED STORIESSPORTSSEA Games: Biñan football stadium stands out in preparedness, completionSPORTSPrivate companies step in to help SEA Games hostingSPORTSWin or don’t eat: the Philippines’ poverty-driven, world-beating pool stars“He don’t be discouraged because that’s the worst he can do,” LaVar Ball said. “He can’t go but up. And he still kept them in the game playing his worst game ever. That’s what I like about it.”LAS VEGAS, NV – JULY 07: Lonzo Ball #2 of the Los Angeles Lakers brings the ball up the court against the Los Angeles Clippers during the 2017 Summer League at the Thomas & Mack Center on July 7, 2017 in Las Vegas, Nevada. The Clippers won 96-93 in overtime. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using this photograph, User is consenting to the terms and conditions of the Getty Images License Agreement. Ethan Miller/Getty Images/AFPLonzo Ball was 1 for 11 from 3-point range, including a bad miss from well beyond the line — the kind of daring pull-up the Ball family is known for — with 1:16 to play in regulation. View commentslast_img read more

2018 TOWN ELECTION See This Saturdays Ballot

first_imgWILMINGTON, MA — Below is the ballot voters will see when they go to the polls this Saturday, April 28 to vote in Wilmington’s Annual Town Election.Please note that the ballot on Saturday will not have the word “Absentee” on top. Thank you to the Town Clerk for providing this ballot.Like Wilmington Apple on Facebook.  Follow Wilmington Apple on Twitter. Subscribe to Wilmington Apple’s daily email newsletter HERE.  Got a comment, question, photo, press release, or news tip? Email wilmingtonapple@gmail.com.Share this:TwitterFacebookLike this:Like Loading… RelatedTOWN ELECTION UPDATE: Ballot Is Set With Contested Races For Selectmen, School Committee & Town ModeratorIn “Government”TOWN ELECTION UPDATE: Ballot Is Set — 9 Candidates For 3 Selectmen Seats Spread Over 2 RacesIn “Government”TOWN ELECTION UPDATE: Ballot Is Set; Contested Races For School Committee & SelectmenIn “Government”last_img read more

Stayzilla cofounder Yogendra Vasupal gets bail after 28 days

first_imgStayzilla team hosted on its website.Stayzilla websiteStazyilla co-founder and CEO Yogenda Vasupal is out on bail, after having spent 28 days in jail in connection with an alleged case of cheating an advertisement agency.  The bail was granted by the Madras High Court.”The accused is granted bail on a condition to deposit Rs 40 lakh to the account of the crime number in the Magistrate court,” Justice S. Baskaran said in his order, according to the Hindu.Vasupal was jailed on March 14 in connection with a complaint filed by Jigsaw Advertising for alleged default of payments worth Rs1.70 crore.Started in 2005 as Inasra.com and rebranded as Stayzilla in 2010, the online platform for hosting and booking homestays was in the news for temporarily shutting down operations.Vasupal’s arrest came to light, when on the evening of March 14, another founder and CFO of the start-up Sachit Singhi, wrote a frantic email to investors, including Avnish Bajaj and Rajinder Balaraman of Matrix Partners, and Anup Gupta and K G Subramanian of Nexus Venture Partners that Vasupal was missing. His arrest caused unease among the start-up community in India, prompting about 73 founders to write to union home minister Rajnath Singh on March 20, seeking his intervention in the matter.Karnataka minister for IT Priyank Kharge also spoke to concerned officials in Tamil Nadu about the issue.Stayzilla has raised $33.5 million from Nexus, Matrix, Indian Angel Network, Vertexperts Consulting, Splice Capital and InnoVen Capital.last_img read more

State Bank of India moots plan to abolish debit cards

first_imgState Bank of India (SBI) Chairman Rajnish Kumar attends a news conference in Mumbai, India, November 23, 2017.ReutersThe country’s biggest lender, State Bank of India (SBI) is planning to eliminate ubiquitous debit cards from the banking system. State-owned SBI, which is servicing around one-fifth of the population, has ambitious plans in the coming years to promote digital payment and takedown plastic cards, despite the huge dependency on debit cards. Speaking at the annual Fibac, SBI chairman Rajnish Kumar said, “It is our wish to eliminate the debit cards, and am sure we can eliminate them.” He further added that there are around 90 crore debit cards in India and over 3 crore are people using credit cards. Kumar highlighted digital solutions like SBI’s own ‘YONO’ platform as a way for achieving a debit card-less country.YONO (You Only Need One) is an integrated digital banking platform offered by SBI. YONO is an app for both Android and iOS and enables users to access a variety of financial and other services such as taxi bookings, online shopping or medical bill payments. The platform was launched in November 2017 by the then Finance minister, Arun Jaitley. A State Bank of India branch in Mumbai.REUTERS/Shailesh AndradeKumar said YONO allows a user to withdraw cash at the ATMs and can be used at a merchant establishment to make payments without having a card. He further said the bank has already rolled 68,000 ‘YONO cashpoints’ and is under the process of adding further 1 million cashpoints in next one and a half years.Once the system is in place, the necessity to have a card will be eliminated automatically. Moreover, YONO can also be used to take credit, making it a digital credit card that can be carried anywhere. He also underlined QR code payments as another alternative for debit cards. However, YONO is prone to issues like website failure. Last month, YONO went down across all platforms, causing major inconvenience to its users.last_img read more

Road crash kills college student among 2

first_imgTwo men, including a college student, were killed and seven others were injured when a motorcycle hit an auto-rickshaw at Atukura of Baniachang upazila in Habiganj on Tuesday night, reports UNB.The deceased were Mukhles Mia of Puranbagh village, and Shakil Mia.Shakil is a student of Brindaban Government College in Habiganj.The accident took place when a motorbike hit an auto-rickshaw, leaving nine people injured, said Masuk Ali, officer-in-charge of Sadar Police Station.The injured were taken to a local hospital where two of them succumbed to death, he added.last_img read more

First Annual Blessing of the Bicycles

first_imgThe Blessing of the Bicycles is scheduled to occur on May 7 at 11 a.m. at the Church of Ascension & St. Agnes, 1217 Massachusetts Ave NW. The church is holding the blessing to show its support for cycling in D.C. For more information, call the church at 202-347-8161.last_img

Skull tower and skull rack offer evidence of Aztec human sacrifice in

first_img Citation: Skull tower and skull rack offer evidence of Aztec human sacrifice in early Mexico City (2018, June 28) retrieved 18 August 2019 from https://phys.org/news/2018-06-skull-tower-rack-evidence-aztec.html A team of researchers has uncovered what they describe as a skull rack—a basketball court length wall of skulls with poles passed through them—in Mexico City. Lizzie Wade, with ScienceMag, outlines the work being done by a team from Mexico’s National Institute of Anthropology and History. This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. © 2018 Phys.org Journal information: Science Mexico finds ‘main’ skull rack at Aztec temple complex More information: Lizzie Wade. Feeding the gods: Hundreds of skulls reveal massive scale of human sacrifice in Aztec capital, Science (2018). DOI: 10.1126/science.aau5404 Explore further Three years ago, the researchers uncovered what has been described as a skull tower—a circular tower built using skulls held together with mortar. The tower was found to be part of a trophy rack area that more recently, the researchers found, includes a skull rack.The skull rack was found to be approximately 35 meters in length and approximately five meters high. It once consisted of wood posts at either end with smaller posts spaced every few meters between them. Wooden poles stretched horizontally between the posts. It would have looked like a high wooden fence. But it was used instead to hold human skulls—each had holes bored on either side to allow for sliding them onto a pole, like beads on an abacus. The wood was decayed, of course, but evidence found at the site allowed the team to piece together the original structure, along with the skulls. The researchers note that such a rack was believed to exist due to writings by Spanish explorers—they called it the tzompantli.The researchers believe both the tower and rack were part of human sacrifice rituals, carried out to preserve the Aztec way of life. The dig site is located at Tenochtitlan, the center of an Aztec civilization, in a part of what is now modern Mexico City. The Mexica people lived there from approximately the 14th to the 16th centuries. When Spanish explorers arrived, they found the native people and their practices barbaric and knocked down many of their structures and covered over others. Credit: 1587 Aztec Manuscript, The Codex Tovar/Wikimedia Commons As the excavations have continued, the team has been finding clues regarding the makeup of the entire area, which is believed to have been a temple. They now believe that the skull tower has a twin nearby, but have yet to find it. They plan to continue excavating and to further study the skulls and other artifacts to learn more about the culture of the people who lived there, including those who were sacrificed.last_img read more