#free healthcare but i have to wait. like in real life (regarding one condition i had until i reached a certain age)

[silvermeww]

things that are short term that i'm not into:

stomach hurty. it does not like this stupid mocha

less than 30 mins til next class

it's bio. it's going to suck

and i JUST finished that annoying lab report that makes no sense whatsoever (i hate bacteria so much. why. i also hate evolution, which one of my professors pronounces it as eeveelution and i had to stop myself from laughing)

in the library there is a massive bug flying around

i've been stuck here since 7:30

i only slept for 5 hours

okay i've already finished the class at this point and dang my stomach feels worse. what did i drink, knock-off mocha?? poison?? i never felt this bad drinking something in a long, long while (if ever)

never trust cafes in uni again. back to the vending machine rip

much more interesting things about pokemon that i'm going though:

after trying out pokerogue a week or so ago, i'm somehow more than halfway the whole thing. for my first pokemon-adjacent game (well, more fanmade than anything), i'm doing decently well. yeah i cheat by restarting before i die but i'm pretty sure everyone does at this point lol.

it's actually interesting that most of my opponents (as gym leaders/bad guys) are unova/kalos respectively. where is my character and why are they inbetween these two regions??

it's so much more funnier when you know that at least half my team is weak to fire. i don't know how they're surviving. team flare keeps bringing out fire types and i hate that my first gym leader was chili aka his monkey that knows incinerate. + i 'basically' died so many times to xerosic aka one (out of TWO??) of his vilillon know hurricane that somehow smashs my team and one (again out of two) of his malamar knows superpower = all but two of my team is hella weak to that move.

even more funnier that i keep oneshotting wild pokemon that i want to get. talonflame? mimikyu (which always survives the first attack but dies in the next no matter what i do)? that stupid manetric (that i found twice at least??) that oneshots ME if i give it a chance and try to catch it when it has like 5 hp left?

i feel like the game knows what xy does to me because right after surviving another flare grunt i face LYSANDRE?? of all people?? i was so lucky that i healed them all up as much as my saved up money would allow bc hrngg i hate that 7 foot man. so many deaths between him and xerosic. hate this french guys fr (the scientist is still the worst though. all he does is reinforce my fear of vilillon and malamar)

i love how i managed to sweep a whole area with my magnezone. it was a fairy cave with a bunch of fairy + water types. flash cannon + zap cannon go brr

talking about magnezone, i keep forgetting that discharge will mess up anyone else on my team in a double battle (kept killing my poor squawkabilly whose a beast with aerial ace but sucks in defence + weavile who is weak to say too many things to be alive rn and yet still tanks with triple axel and rock smash). kind of the same issue as my previous ace rillaboom, who fell from his pedestal due to wood hammer and its stupid recoil damage (i replaced it dw but he’s still very behind compared to the rest of my team). this game is really teaching me about how moves work and their viability in games as opposed to anime

im pretty sure that fairy cave took me to johto cause all of a sudden i got pryce. why?? and his mr ryme (which is female?? also wow hello gen 8 with my gen 2 gym leader) knows double kick aka i'm DEAD pls

anyways weavile carries my team along with magnezone, squawkabilly is largely backup if i'm stuck with fighting types (plus any pesky grass and bug), my comfort furret that used to be my real comfort sentret hold sucker punch and echoed voice just in case but is really just There lol, persian i used to really rely on when it had fake out + feint but power gem is super useful (and i hold hope that i can use pay day in excess in the future), and rillaboom has knock off (used to be really useful) and is mostly there to smash through water types. i did not choose this team, this team chose me at this point heh

honestly not doing this for competitive stuff so i don't have any qualms about refreshing the page before the game puts me at the start again, but where does everyone get their legendaries?? and how on earth did i oneshot my rival's shiny rayquaza with triple axel HELP

all in all, pretty good progress. rn around 160?? middle of nowhere. giving me major mezase vibes with the fact that i have no idea where i am. my rival is confounded as i am about oneshotting his recent team with weavil, only my bird is female, and somehow all of those fire-type moves and pokemon are just gone. and i never knew how awesome sturdy can be until my magenezone is just,, living after an earthquake. with 1 hp. and oneshots that abomasnow afterwards with flash cannon. anyways everyone should give them so much love especially since i raised it from a wee magnemite with, like, thunderwave or smth. it literally only had status moves at the start.

also how come all of my rare eggs are just starters?? in the game where all starters are already avaliable from the start?? + one shiny sneasel but AFTER i already have my main one. btw does anyone care for 3 torchics lol

[letoscrawls]

What are your Extremely Italian Opinions? Anything from politics to pasta, drop some hot takes

mmmmm good question! even though i'm not a proud italian as i'm very critical of this country and i'd love to live abroad in the future, i do have typical italian opinions that i'm ready to die for. I’m sure these will be mainly about food, but let’s see:

-say whatever you want, but italian food is the best food in the entire world, not only it’s healthy but it’s also delicious and no nation can compare :) no you can’t change my mind :) every time i watch Ratatouille i cringe so bad at the beginning when they say that French cuisine is known to be the best in the world??? that’s so false and i don’t even find it funny, we italians take food so seriously and if you dare criticize something about our food we take it very personal, yes, IT IS THAT DEEP.

-idk if it's a take but i find it funny that we don't use ice that much?? like i was so shocked to learn that smoothies are made WITH ICE?? we almost never use it, we definitely don't put it in coffee and we have this strange belief that ice gives you stomachache, especially if you want to take a bath, we usually wait two or three hours before taking a bath after a meal, especially if there's ice in it somewhere lol i think it's a typical Italian Grandma Advice but we all follow it religiously. Even though i know it's bizarre i can't help but wait at least two hours after my meal before having any kind of contact with water

-No one dubs movies and cartoons like italians. Our voice actors are superior (but the italian Rebels dub is terrible, don’t watch Rebels in italian, everyone sounds very bad except for Thrawn, surprisingly his voice better than the original and i've already talked about this in my ig stories some time ago haha) and i often watch shows and movies in italian even tho it's "trendy" nowadays to watch everything in english. Tbh i think that  a country with a strong tradition of voice acting shouldn't neglect it in favor of the original language, just because something was made in english it doesn't make it better. For example, the prequel trilogy is insanely better in italian, while i love Hayden's performance as Anakin i think that sometimes...it lacks emotion? the italian dub makes up for those parts, i couldn't understand why international fans used to despise the PT so much at first, especially the acting. There isn't one single character in the prequels that sounds bad, really. Same thing goes for Disney classics, i find them 100% funnier in italian (the most memorable example is Emperor's New Groove, the main characters are voiced by some of the funniest comedians we have, they all did an amazing job), even tho some characters are voiced by celebrities who don't do voice acting on a regular basis the result is always phenomenal. Honorable mention to the Genie in Aladdin who is voiced by Gigi Proietti, an actor and comedian of immesurable talent who passed away a few days ago, his performance is on the same level of Robin Williams' imo. So yeah, i'm a huge fan of italian voice acting in case you didn't notice

-regarding politics, lots of people here say that we have the "best democracy in the world" or something like that.........eh, i highly doubt it. I hate this country because there is no meritocracy, you're most likely to succeed if you have good connections or a powerful family. The worst part is that this applies to EVERYTHING and it's terrible. Also there's a big imbalance between North Italy and South Italy, so it's hard to succeed and have access to a good education if you're born in the South and you're poor. And it's a shame. I was lucky enough to live near a very good university so i pay for taxes and nothing else, but only those who are born in wealthy families in the south can afford university in the north as universities in the south are not that good in general. it's really a shame bc south italy is freaking beautiful but the government doesn't spend the same amount of time, energy and money and that's also one of the reasons crime rates are so high there. truly every single issue in Italy could be resolved by funding our education system but most politicians don't give a flying fuck about it and it shows :/

-University in italy is considered a privilege, something that people do because they are too lazy to go to work and get "a real job". we have one of the lowest rates of student getting a degree in europe and yet a lot of people are expected to be jobless for years after graduating uni. it's crazy. there is no respect or consideration for university students since you're not obliged by law to attend one but it's your choice. university professors are terrible, they act like we don't have a personal life and in most cases will make everything so hard that you'll need to take an exam even 15 times before passing it. a friend of mine who is a prodigy in Math attended a really good university in Switzerland and he told me that you can take exams a max of 3 times there but you usually don't need to because they are much easier to pass?? also exams are so hard to pass, my degree is a living hell, you have to take multiple tests, do projects and assignments to pass one freaking exam, while the entire world has the paper system, so you basically write a paper and then the teacher grades it and guess what??? YOU LEARN STUFF ANYWAY. i hate that university in italy takes so much years, tears and mental energy to finish and this leads me to my next point

-healthcare. Italy has one of the best healthcare systems in the world because, well, it's free! You have some kind of bills to pay, but they are not as expensive as in the US, the country got a huge debt at some point in the 60s/70s (i guess??) to afford free healthcare but it was really worth it!! HOWEVER, i think it's pointless to have free healthcare for literally anything besides mental health. sadly, mental health is a tough topic here, if you suffer from a mental illness you're considered crazy, an attention seeker, incapable of being a normal citizen and stuff like that. therapists are super expensive and only wealthy people can afford them. personally, i can't afford one and i would love to since i suffer from anxiety and maybe other things (but i guess i'll never know since my country doesn't give a fuck lmao). and university students are most likely to have mental health issues due to the terrible conditions we live in, yet society ignores us, this results in very high suicide rates among students in their twenties. i honestly hate it so fucking much, especially because studying psychology is considered "easy" and you'll probably be jobless after your degree. psychologists are doctors, they deserve to be paid like any other doctor because they save lives, for real.

So uhm this was supposed to be funny but ended being very critical hahahaha

[mobappdevelopmentcompany]

IoT-powered Healthcare Solutions: Redefining the Medical Industry!

IoT (Internet of Things) is one of those technological marvels of the modern era that has digitally transformed the Healthcare sector by introducing smart healthcare apps. These healthcare IoT applications have helped the medical industry to overcome the existent roadblocks and limitations in its functioning. IoT App Development Companies have empowered the practitioners, patients, and service providers to unfold new horizons.  This has resulted in simplified access to medical facilities through remote communication and reduced mortality rate on account of avant-garde treatment methodologies. Needless to say, the rate of adoption of IoT App Solutions has sky-rocketed and an upward demand curve has been observed.

Take a look at this interesting statistical data released by Statistica, indicating the estimated size of the IoT Healthcare market (in billion US $) between 2016 and 2025.

Fortune Business Insights predicts that the IoT in Healthcare market size will soar up to USD 176.82 Billion by the end of 2026.

In this blog, I have penned down how IoT in Healthcare has revolutionized the fundamental tenets of this domain and the immense benefits of IoT Application Development

reaped by the patients, doctors, and service providers unanimously.

IoT in a nutshell

Internet of Things comprises of a network of devices and software applications, interconnected via computer networks and wireless communication channels. This ingenious eco-system is meant for collecting and sharing real-time data. Data is stored in cloud platforms and can be remotely accessed by authorized users from any part of the globe. IoT in Healthcare has worked wonders in domains like telehealth, mHealth, telemedicine, etc. Let’s dive into some of the use cases in the healthcare domain.

Popular Use cases of IoT Applications in Healthcare

Remote patient Diagnoses and Observation

IoT empowered solutions record the necessary health parameters to facilitate remote patient diagnoses and monitoring. This is one of the important features of IoT in telemedicine apps.

Doctor-patient consultations take place through live audio and video call, and other advanced communication channels, without the need for patients to pay a visit to the hospital. IoT powered external devices such as digital stethoscopes, oximeters, etc are being used by patients during digital telemedicine consultations.

IoT activity monitoring devices such as heart rate monitoring cuffs, glucometers, pulse meters, etc. used by the patients enable the doctors to remotely observe the health of elderly patients and those with chronic conditions. The data obtained from these devices aid the physicians to identify the correct course of treatment for patients.

Mobile Health and Wellness 

IoT mobile app development has elevated wellness to a completely new level. Wearables like Apple watches, Fitbits, etc transmit patient’s vital health parameters through Bluetooth, Wifi, GPRS Networks and display the results in the smartphones. This proves immensely beneficial in keeping a track of the body vitals and other wellness parameters such as sleep patterns, body temperature, heart rate, blood sugar level, activity tracking, etc. and providing real-time data to the patient, their doctors, and caregivers. For example, a Holter monitor device is a wearable that tracks abnormalities in a patient’s heartbeat. This helps in timely preventive care. Click here to gain more insights on wearable technology.

IoT powered ingestible devices 

These ingenious ingestible sensors available in the form of pills can be swallowed and it remains inside the human body and stay at a particular spot and sends data to mobile applications. The sensors embedded inside these pills detect drug doses taken and missed by the patient. Some of these pills have an in-built camera that provides visibility of the internal organs. Thus, ingestible devices prevent life-threatening conditions.

Emergency handling 

IoT facilitates the accurate collection of patient data in case of medical emergencies and transmission of this data in real-time to the Emergency Response medical staff. This allows the ER staff to stay prepared while the patient is being brought to the hospital and no time is wasted after the patient’s arrival.

Aiding surgeries 

IoT powered tools and applications provide handy assistance during surgeries and in handling post-surgery care. The IoT sensors accumulate data, transmit it, and analyze the same, resulting in finding out even the tiniest problem, and thereby preventing surgical complications. 

Efficient Tracking of Patients, Staff, and Inventory 

Smart IoT healthcare solutions contribute in the following ways:

Wireless ID cards for staff and patients enhance security, effectively manage admissions, and simplify staff management.

RFID tags are used to track patients such as babies and elderly patients with Alzheimer's disease and even staff members in case of urgency.

IoT integrates with Real-time location systems (RTLS) to manage the assets of healthcare enterprises. It employs BLE (Bluetooth Low Energy) and iBeacon to track supplies in the operating rooms and inventory.

Virtual Monitoring of medical equipment 

The contemporary healthcare services require avant-garde software and hardware equipment and their continuous monitoring, to prevent them from system failures and cyber-attacks. IoT powered solutions virtually monitor them and provide alerts to the medical staff if some anomaly is detected.

Managing Pharmacy 

Managing the drugs in a hospital and transferring the same safely to storage facilities is a herculean task with chances of errors. Pharmacies managed by IoT application enable faster delivery of medicines and takes care of drug-preservation issues while transfer.  

Handling insurance procedures 

Insurance companies leverage IoT devices to validate claims and detect fraudulent practices with the help of the data captured by these devices. Such devices also enhance the transparency between insurance providers and customers regarding processes like pricing, underwriting, handling claims, and assessing risks.

Architecting an IoT Environment in healthcare

Steps to be followed by Digital healthcare service providers for the implementation of IoT are as follows:

Deploying devices possessing sensors, monitors, actuators, camera systems, actuators, and detectors to accumulate data.

Conversion of received data to the digital format and store the same in a data center.

Managing and analyzing the medical data with the help of data analytics based on which the correct course of action is decided.

Key Advantages of IoT powered Healthcare IT services

Easy access to healthcare facilities 

Remote doctor monitoring and consultation facilities make healthcare and wellness easily accessible to patients with less mobility, the ones residing in remote areas with no hospitals nearby, and the super-busy professionals who hardly find time to visit the clinic. Moreover, the patients have a plethora of options at their disposal while choosing doctors.

Misdiagnosis of diseases 

IoT system with the help of computer vision, sensors can collect data from several IoT devices and leverages advanced analytics enabling providers to know the course of the disease and thus avoid the wrong diagnosis of diseases. Faster and error-free diagnoses of diseases, continuous patient monitoring, and proactive treatment methodologies are some of the major gains for patients opting for digital healthcare services.

Lesser negligence and better adherence to treatment plans 

Thanks to the IoT healthcare monitoring solutions encourage patients to stick to their treatment procedures and help the doctors to stay informed about the patient’s condition without much ado.

Operational Flexibility 

Online diagnoses with the help of IoT Mobile apps allows doctors to enjoy flexible schedules without having to visit the clinic in case of non-emergencies.

Lesser crowd in hospital spaces 

Digitally smart healthcare centers can do away with over-crowded waiting rooms, and as such can manage with lesser spaces and fewer administrative staff. Furthermore, the chances of healthcare staff getting infected with contagious diseases lessen.

Cost-efficiency 

IoT healthcare solutions enable doctors to scale up the patient count by diagnosing more patients in a day.

On account of digital real-time consultation and monitoring, patients save on the cost by avoiding unnecessary hospital visits, longer hospital stays, and readmissions.

Augments Brand value

Implementing IoT powered smart solutions and motivating the patients to adopt these technologies enhances the brand value of a company and provides them a competitive edge over others and improves overall patient satisfaction too. 

Final Verdict 

IoT in Healthcare has redefined healthcare services altogether by opening up a wide range of convenient options for patients, practitioners, and healthcare service providers. It’s high time that the healthcare operators incorporate IoT healthcare solutions in their practice operations if they would like to make a mark in today’s dynamic and competitive market. 

With this, we come to the end of this write-up.

To know more about our core technologies, refer to links below 

React Native App Development Company

Angular App Development Company

Ionic App Development Company

Blockchain App Development

[strawberry-milktea]

(1) I don't know if you've struggled with this before but have you ever wondered how you could use your talents in a career that would help others and do God's work? I'm at a difficult point in my life right now. I think what I'm best at is languages. I was raised bilingual in Spanish and English, and majored in Asian Studies with a concentration in Japanese language. I mostly use the first two languages (Spanish with my family, and English because I live in the USA).

(2) My dream was to get a job after graduation where I’d be able to use Japanese since I was super passionate about it. Things didn’t go as planned because I don’t live in an area with many Japanese speakers. I tried looking into things like internships outside my state and country, but then… some bad things happened. First, I had to undergo surgery for a condition I didn’t even know I had. It was a very scary experience, and I feel like a lot of my emotional problems stem from it.    (3) Then, my grandma was diagnosed with breast cancer, and had to undergo two surgeries. She also has severe Alzheimer’s and can’t do many things on her own. I’m her main caretaker since my parents can’t give up their jobs, and I don’t work, so my mom puts me in charge of her while my parents are at work. A lot of other difficult things happened. I don’t have friends because everyone moved on, got jobs elsewhere, got married, etc. while I’m just at home the majority of the time.(4) I get debilitating panic attacks, and there have been times when I’ve not wanted to live anymore because I feel so sad and useless. I feel like at one point, people had high hopes for me, and then I disappointed everyone. It’s been about four years since I took my last Japanese class. Even though my online friends come to me for help with translating things like manga dialogue or Jpop lyrics, I don’t know if my Japanese is even good enough to use for something like a real job anymore.            (5) Also, some medications I was put on to keep my health under control make me light-headed as a side effect, so I sometimes feel slower and more brain-foggy than I was when I was taking classes. I’ve lost confidence in my learning abilities compared to how fast I would learn stuff before. I feel like I’ve been so stagnant these past few years. And it’s hard when I don’t have a support system of friends. I love God. I put a lot of faith in God, I pray every day, and I know He cares about me.    (6, last message) But I still feel lost. I haven’t had luck with finding a job, even part-time jobs that have nothing to do with Japanese. It’s hard. It’s just tough convincing myself that I haven’t messed up, and that there still might be hope for me. I’m sorry if I’m bothering you but I was wondering if maybe you could give me suggestions on how I could possibly start fixing myself so that I can be of more use to God. Also, prayers for me and my family would be appreciated. Thank you so much.      —Hi there,You aren’t bothering me! I apologize for taking so long to respond to this. First thing I want to address in this message is you say it’s hard convincing yourself that you haven’t messed up.. Why do you feel your career going differently than planned is a result of you messing up? You couldn’t help that there were not any job opportunities in your area and that you needed surgery that set you back in terms of looking for jobs.. Generally speaking, being unemployed and searching in the job market is a tough spot for anyone to be in, regardless of which career it is. The job market has been difficult for quite sometime now.. I remember when I was between jobs, it was hard to just get an interview and a chance to prove myself, so the idea of actually getting the job can feel very discouraging nowadays. This isn’t your fault.. people who are qualified for jobs have difficulty finding them simply because the job market is saturated and there is competition. A lot of times, people know someone on the inside who puts a good word in for them and that’s how they get their foot in the door. You shouldn’t feel like it’s your fault that it’s been difficult to find work. Honestly, find comfort in the fact that you are certainly not alone in this struggle. I have definitely struggled with wondering how God could use me for His work in the career I went to college for. Like I mentioned above, there was a period of time I was out of work because the job I had been promised for after graduation fell through due to budget cuts. During the period when I was between jobs, there was a long stretch of time where I wasn’t getting any interviews and I fell into a very negative mindset. I was feeling angry with myself and completely discouraged, wanting to give up on the career I worked so many years for. The enemy was really doing a number on me during that time and I kept telling myself, “This is useless, I don’t even understand how He could use a career in healthcare to spiritually help people. I wasted all those years in college on something I can’t even find a job for and won’t even help people spiritually and give me chances to do His work.” But in His timing (and there was a good period of waiting I had to do), He opened the right doors for me and once He did, things fell into place effortlessly. I saw clearer how every door I tried to force open in my own will didn’t open because He had a reason. He wanted me a certain place in the time He set for it, and the ones I was trying to push for in my own power weren’t it. And in hindsight, I realized He was protecting me - because I later found out one of the places I had been interviewed for and thought was a serious possibility was a really unhealthy work environment that I would have been very unhappy in. Instead, when He opened the doors, I ended up in work environment where I could truly flourish and learn. I have coworkers who are caring and teach me what they know and in turn, I teach the people who come after me what I learn. I’ve built my confidence and became more independent in my job, in ways I never thought were possible because I trusted Him to do the work in me where I was unsure and scared. I came to realize that you don’t have to work in a church to be able to do His work. It brings me joy to show my coworkers love and help them when they need it. I know how much it means to me when people help me when I’m overwhelmed by a large workload or am facing something that is confusing to me, so I’m more than happy to return that favor. I hope when I show them that care and love coming from my heart, that they can see Christ’s love in me. I’ve learned that you can show Christ’s love by being there for people when they feel comfortable enough to open up to you during a quiet moment at work about something going on in their personal lives. I show love for the patients I’m playing a role in helping during their time of medical need by treating them as I would my own family. And I wouldn’t have ever thought ahead of time that it was possible at work, but He has opened opportunities for me to witness for Christ by sharing His Word with a coworker I befriended who opened up to me about emotional pains and regrets he has been dealing with for many years. I’ve written down quite a bit of scripture for him and even got to give him a Bible. This experience taught me that He has work for us in any setting, even settings we may think are the least likely.I understand that there are many factors that pose challenges for you in your situation, but always remember that all things are possible with Christ. Your mom has likely put you in charge of taking care of your grandmother since you are still out of work, but I am guessing that if you were to find a job, she would work with you to make arrangements so that you can start putting your career in motion? If you are concerned about your grandmother having proper care when you find a job, I would suggest to definitely talk with your mom about this. Regarding the panic attacks, I can only imagine how upsetting that must be to deal with, but it doesn’t mean you won’t be able to find and hold a job.. same applies to your loss of confidence in learning abilities. It’s very easy to be fearful that you can’t do it when you haven’t done something for a long time. I’ve been there, I know that scary feeling. But once you get into the routine of a new job, you will see it’s not as frightening as you think it is. Your confidence will grow with each passing day as you see yourself doing what you thought was impossible. Find peace in the fact that panic attacks and lack of confidence are not too big for our God to handle. Trust that He can and will carry you through this!I hope reading about my experience encourages you with the truth that God can and will provide opportunities at your future job for you to do His work.. even while you are waiting to find a job, you are still doing His work by taking care of your grandmother. Taking care of a sick person is something that requires a lot of dedication, love, and sacrifice. It’s not an easy job and is definitely not something that everyone is cut out for. It’s honestly very admirable that you are able to do this! So don’t lose sight of that.I will pray for you and your family.. Don’t lose hope and seek Him for guidance as to what steps you should take next. I hope this has been helpful to you and if there’s anything else you want to talk about, please feel free to message me!

[xwwaqdyd-blog]

Insurance for a car?

Insurance for a car?

how much would car insurance for a 99 s10 blazer when im 18 and not have full coverage and also have a car crash ? and one ticket for rolling stop its going to be most likely to be over 500 dollar a month right ? and a male

BEST ANSWER: Try this site where you can compare free quotes :insurecheap.us

SOURCES:

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[ynsespoir]

Changing Trends in the Healthcare Industry

As we ring in the new year, looking back, 2018 was a big year for healthcare and healthcare technology. Digital health companies secured over $7.5bn in investment in 2018. The healthcare industry, in particular, had been adopting trends at a slow and steady pace. Over the past few years, significant changes have been made where several companies are found redefining the term digital transformation. In the following post, I will shed some light on a few healthcare trends that I see coming in 2019.

Gone are the days when experts used to gaze into the crystal ball to identify which tech is going to make an impact in the future. In the present scenario, talking to industry insiders, tracking their trends are some of the most tried and tested ways to conduct predictions for multiple industries vertical and the healthcare sector is no exception!

Stay Ahead Of the Curve

With the dawn of 2019, the entire nation seems to be vying to improve the life expectancy rate.  Some of us are already using personal health products like FitBit and Apple Watch to proactively monitor our physical activity. Is 2019 the year we shift our focus from physical activity to what’s going on inside the body. I personally see digital transformations as a stepping stone that might lead us to a bright future. Now many of you have this misconception that digitalization is all about buying new technologies and latest tools. No! It’s way beyond! It’s all about changing the operational process in the healthcare sector and making it more automatic and efficient.

Now, do you think an x-ray gives the exact picture? Of course not! There are certain areas which are distorted while certain areas are unnecessarily highlighted. And have you ever wondered why it happens? Simple professionals are looking more into 2D images, and we can definitely consider that almost all the surgeries that were conducted in the past were merely based on assumptions and guesswork. But not anymore! With technology advancement and innovations like 3D bioprinting, it becomes possible to understand the organs and their positioning in alarming clarity and in three-dimensional terms.

It may quite interest you to know that last year, successful separation of conjoined twins become possible. One of the twins relied on the other one’s heart to filter out impurities. They were attached from the lower part of their chest to their belly buttons. With the help of 3D bioprinting technology, they could operate virtually before doing it for real. They were successfully separated. The doctors wore Google like virtual reality glasses and explored a three-dimensional model of the twin’s hearts and explored the infants’ anatomy in minor detail. They blew up the 3D image of the infants’ anatomy before deciding on the right way to do the procedure.

Healthcare Technology Advancements

For healthcare professionals, quality always matters! And technology has proved its worth so, time and again. Today healthcare services has been elevated to such levels that were deemed impossible until some time ago. According to World Health Statistics 2015, a child born in 2013, has a life expectancy that’s seven years more than a child born 25 years earlier”. If I recall certain remarkable milestones, EMR- Electronic Medical Records used to make a huge impact a decade ago, and now it has become an ordinary element. Today, telemedicine, IoT, wearables, robots are setting up trends.

Enhancing user experience is the key. With the rising medical costs- patients are actively seeking alternatives for such costly treatments. Patients today are expecting to have a convenient and seamless experience that includes everything from accessing information to making informed decisions and having their questions answered through both online and over the phone.

I am sure you will agree with me on the fact that diseases affect the quality of life- and millions of people are getting affected because of these diseases at a global scale. Technology has improved the patients’ health and their quality of life; affecting the global economy.

The electronic health record– After creating big strides in the centralization and efficiency of patient information, these EHRs can also be used as a data and population health tool for the future. Today data is what we’re making decisions off of, that’s going to change and improve outcomes of the consistency of medicine delivered.

mHealth– As the name suggests, Mobile Health acts as a freeing healthcare device that enables physicians and patients alike to check on healthcare processes on-the-go. Slowly and steadily the trend became more prominent and prevalent due to which smartphones and tablets allowed healthcare providers to more freely access and sent information. At present, Physicians and service providers can use mHealth tools for orders, documentation and simply to reach more information when with patients.

Portal technology– With the years passing by, patients have started becoming their own kind of players in the industry. With the help of portal tech, people (physicians and patients) can easily access medical records and interact online. Due to which patients become more closely involved and better educated about their care.

Remote monitoring tools– In the year 2013, patients all across the globe started using home monitoring solutions. As a result, unnecessary costs and visits to a physician’s office got reduced. Patients were monitored at home. According to professionals, it’s basically allowing other people to monitor your health for you. It may sound invasive but is great for patients with severe and chronic illnesses.

What’s in the Future?

Digital transformation seems to have touched everything, including patient registration, smart diagnosis, self-care tools and a lot more. For many of us, the entire healthcare sector seems to be something which is magical; value-based care and filled with positive outcomes. Further below I would like to mention a few trends that will continue to have a significant impact on the healthcare industry: take a look!

IoT & Clod computing

 Image Source: Udemy

Gone are the days when professionals use to sit on a desk all day long and file papers regarding a patient’s health records, test results, etc. Even digital records are stored on the cloud instead of the offline storage- hard drives. Due to which medical professionals, as well as patients, can easily access health records. Good news is that “the agonizing wait time” of patients and their loved ones for test results has completely abolished. Besides, offer second opinions and better, advanced treatment options are other benefits offered by the tech.

Telemedicine

Telemedicine or ‘telehealth are one of the terms which refer to video consultations between medical experts or interactions between doctors and their patients. As a result, professionals now can view scans, assess diagnostic reports, monitor symptoms and physical progression of a medical condition on a remote basis. Which also means a patient can easily consult professional without even meeting him or her in person. Development in telemedicine has resulted in saving the travelling time for the doctors and their patients, less crowded clinics and waiting rooms, also more streamlined medical front desk operations.

Artificial Intelligence

Artificial intelligence (A.I.) as tech has struggled to gain footholds in other niches and it seems like it is finding its place in the world of cloud computing the rosy future is about to hit! Healthcare industry is witnessing how this tech helps in speed up and improve diagnostic procedures, create innovative solutions which aids well in early treatment approaches. The AI-based diagnostic device has the capability to identify conditions such as diabetic retinopathy. This is done by scanning the retina which is already a reality and professionals requires to make sure that it has been found to be highly accurate. Several radiotherapists and oncologists are seen using Artificial Intelligence to speed up processes, increase accuracy and reduce costs.

Chabot featuring AI-based message and voice systems to deal with patient queries and save money. In addition to this, these bots can assist with several tedious tasks such as filling prescriptions, making appointments and billing processes. In pharmaceutical R&D, algorithms can test biological or chemical interactions safely and on an accurate basis. This definitely speeds up the process of drugs reaching the markets resulting in effectively saving lives. In the upcoming years, more and more specialists will be found applying AI to diagnostic and treatment procedures.

Robot

Complicated surgeries performed by a robot was next to impossible a decade ago. But see today’s sci-fi innovation in healthcare has given a ray of hope. Robotic equipment performing high precision, minimally invasive procedures is a reality today.

Additionally, robots are helping to deliver medical supplements, medications, and diets specifically tailored for individual patients. Human presence is no longer required as robots can monitor the vital signs of a patient, and call for human intervention when necessary. Right from assisting with surgeries to disinfecting patient rooms, reduce human exposure to possible contagion. It may quite interest you to know that you can even perform tedious tasks such as taking blood samples without having to prick the skin repeatedly to find a vein. The robot can accurately identify the blood vessel and make the extraction quickly, causing less pain. Experts predict that the use of robots in the medical field is set to shoot up in 2019.

The Internet of Medical Things (IoMT)

Much applicable to healthcare, IoT (internet of Medical Things) brings healthcare tech, telemedicine, apps, and wearables. In the present scenario, experts are found tracking and helping prevent chronic illnesses with the use of wearable EKG/ ECG, blood pressure, temperature, and glucose level monitors. According to several reports, most of the healthcare operations have adopted IoMT and IoT devices.

Blockchain and Data Science

I am sure you must have come across the term blockchain that uses secure shared digital data using a peer-to-peer system and can integrate easily and effectively into the healthcare sector.  This absolutely means data and healthcare information becomes more portable accessible while remaining secure and appropriately complying with industry standards. In the present state, data science provides healthcare professionals with valuable information and analyses to help formulate treatments. Whether you wish to gather information about patient-drug interactions, patient-environment outcomes, and technology has proven its existence by assisting procedures in and delivering least expected times.

Professionals now can easily identify and address regional trends or epidemics ethnic predispositions and genetic vulnerabilities to predict and control the disease. One can definitely expect mainstreaming and standardization of these technologies in times to come.

Wearables

A sudden increase has been observed in the use of wearable devices. Whether you wish to go through a local grocery store or dispensary, to measure blood pressure or weight, wearable apps provide significant assistance. It might even interest you to know your smart phone with mobile healthcare applications can perform DIY blood tests, ECGs, record temperatures and heartbeats.

The automation in this particular sector has made several impossible things possible such as sending automatic prompts to the patients about when is the correct time to check their weight, sugar, oxygen level or pulse. After the proper checkup is done, patients can enter the results in the portals especially designed for the patients. Even the real-time result transmission has become a reality. Now, with a little pro-activeness and no labor, patients can minimize the risk of bigger diseases like heart stroke, lungs failure, etc.

Final Verdict

If you are in the healthcare industry, I am sure you must have started using digital technology to make the lives of your patients better. In addition to this, it can provide an experience that levels the playing field so that consumers feel more and more empowered and more connected to products and services you are offering.

Most of the technologies mentioned above are used across the globe. Their adoption and mainstreaming in this space, in particular, is supposed to increase. One can witnesses how more and more such applications are seamlessly integrating into preventive medicine to improve overall well-being in times to come. This might lead to new surgical and pharmaceutical treatments and genetic engineering to create solutions and cures for conditions which were thought to be untreatable in the past. Several experts predict that at least now, healthcare providers can feel the satisfaction of creating effective, lasting and customized solutions for the utmost care of their valuable patients. So that’s all for now! Keep watching the space to know more regarding the same.

from Health Care Technology – ReferralMD http://bit.ly/2AJmS01 via IFTTT Changing Trends in the Healthcare Industry Health Care Technology from topofbestone http://bit.ly/2M6VqOe via IFTTT

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How IoT has ushered in a wave of success in Healthcare Services?

IoT (Internet of Things) is one of those technological marvels of the modern era that has digitally transformed the Healthcare sector and has helped it to overcome the existent roadblocks and limitations in its functioning. IoT Healthcare Solutions has empowered the practitioners, patients, and service providers to unfold new horizons; resulting in simplified access to medical facilities through remote communication and reduced mortality rate on account of avant-garde treatment methodologies. Needless to say, the rate of adoption of IoT App Solutions has sky-rocketed and an upward demand curve has been observed.

Take a look at this interesting statistical data released by Statistica,indicating the estimated size of the IoT Healthcare market (in billion US $) between 2016 and 2025.

Fortune Business Insights predicts that the IoT in Healthcare market size will soar up to USD 176.82 Billion by the end of 2026.

In this blog, I have penned down how IoT in Healthcare has revolutionized the fundamental tenets of this domain and its immense benefits reaped by the patients, doctors, and service providers unanimously.  

IoT in a nutshell

Internet of Things comprises of a network of devices and software applications, interconnected via computer networks and wireless communication channels. This ingenious eco-system is meant for collecting and sharing real-time data. Data is stored in cloud platforms and can be remotely accessed by authorized users from any part of the globe. IoT in Healthcare enables remote patient monitoring and works wonders in domains like telehealth, mHealth, telemedicine, etc. Let’s dive into some of the use cases in the healthcare domain.

Popular Use cases of IoT in Healthcare

Remote patient Diagnoses and Observation

IoT empowered solutions record the necessary health parameters to facilitate remote patient diagnoses and monitoring. This is one of the commonest applications of IoT in telemedicine apps. 

Doctor-patient consultations take place through live audio and video call, and other advanced communication channels, without the need for patients to pay a visit to the hospital. IoT powered external devices such as digital stethoscopes, oximeters, etc are being used by patients during digital telemedicine consultations. 

IoT activity monitors such as heart rate monitoring cuffs, glucometers, pulse meters, used by the patients enable the doctors to remotely observe the health of elderly patients and those with chronic conditions. The data obtained from these devices aid the physicians to identify the correct course of treatment for patients. 

Mobile Healthand Wellness  

Wearables like Apple watches, Fitbits, etc transmit patient’s vital health parameters through Bluetooth and display the results in the smartphones. This proves immensely beneficial in keeping a track of the body vitals and other wellness parameters such as sleep patterns, body temperature, heart rate, blood sugar level, activity tracking, etc. and providing real-time data to the patient, their doctors, and caregivers. For example, a Holter monitor device is a wearable that tracks abnormalities in a patient’s heartbeat. This helps in timely preventive care. 

IoT powered ingestible devices 

These ingenious ingestible sensors available in the form of pills can be swallowed and it remains inside the human body and stay at a particular spot and sends data to mobile applications. The sensors embedded inside these pills detect drug doses taken and missed by the patient. Some of these pills have an in-built camera that provides visibility of the internal organs. Thus, Ingestible devices prevent life-threatening conditions. 

Emergency handling 

IoT facilitates the accurate collection of patient data in case of medical emergencies and transmission of this data in real-time to the Emergency Response medical staff. This allows the ER staff to stay prepared while the patient is being brought to the hospital and no time is wasted after the patient’s arrival. 

Aiding surgeries 

IoT powered tools and applications provide handy assistance during surgeries and in handling post-surgery care. The IoT sensors accumulate data, transmit it, and analyze the same, resulting in finding out even the tiniest complication, and thereby preventing surgical complications.  

Efficient Tracking of Patients, Staff, and Inventory 

Smart IoT healthcare solutions contribute in the following ways: 

Wireless ID cards for staff and patients enhance security, effectively manage admissions, and simplify staff management.

RFID tags are used to track patients such as babies and elderly patients with Alzheimer's disease and even staff members in case of urgency.

IoT integrates with Real-time location systems (RTLS) to manage the assets of healthcare enterprises. It employs BLE(Bluetooth Low Energy) and iBeacon to track supplies in the operating rooms and inventory. 

Virtual Monitoring of medical equipment 

The contemporary healthcare services require avant-garde software and hardware equipment and their continuous monitoring, to prevent them from system failures and cyber-attacks. IoT powered solutions virtually monitor them and provide alerts to the medical staff if some anomaly is detected. 

Managing Pharmacy 

Managing the drugs in a hospital and transferring the same safely to storage facilities is a Herculean task with chances of errors. Pharmacies managed by IoT application enable faster delivery of medicines and takes care of drug-preservation issues while transfer.   

Handling insurance procedures 

Insurance companies leverage IoT devices to validate claims and detect fraudulent practices with the help of the data captured by these devices. Such devices also enhance the transparency between insurance providers and customers regarding processes like pricing, underwriting, handling claims, and assessing risks.

Architecting an IoT Environment in healthcare

Steps to be followed by Digital healthcare service providers for the implementation of IoT are as follows:

Deploying devices possessing sensors, monitors, actuators, camera systems, actuators, and detectors to accumulate data.

Conversion of received data to the digital format and store the same in a data center.

Managing and analyzing the medical data with the help of data analytics based on which the correct course of action is decided.     

Key Advantages of IoT powered Healthcare IT services

Easy access to healthcare facilities 

Remote doctor monitoring and consultation facilities make healthcare and wellness easily accessible to patients with less mobility, the ones residing in remote areas with no hospitals nearby, and the super-busy professionals who hardly find time to visit the clinic. Moreover, the patients have a plethora of options at their disposal while choosing doctors. 

Misdiagnosis of diseases 

IoT system with the help of computer vision, sensors can collect data from several IoT devices and leverages advanced analytics enabling providers to know the course of the disease and thus avoid the wrong diagnosis of diseases. Faster and error-free diagnoses of diseases, continuous patient monitoring, and proactive treatment methodologies are some of the major gains for patients opting for digital healthcare services. 

Lesser negligence and better adherence to treatment plans 

Thanks to the IoT healthcare monitoring solutions encourage patients to stick to their treatment procedures and help the doctors to stay informed about the patient’s condition without much ado. 

Operational Flexibility 

Online diagnoses allows doctors to enjoy flexible schedules without having to visit the clinic in case of non-emergencies. 

Lesser crowd in hospital spaces 

Digitally smart healthcare centers can do away with over-crowded waiting rooms, and as such can manage with lesser spaces and fewer administrative staff. Furthermore, the chances of healthcare staff getting infected with contagious diseases lessen. 

Cost-efficiency 

IoT healthcare solutions enable doctors to scale up the patient count by diagnosing more patients in a day.

On account of digital real-time consultation and monitoring, patients save on the cost by avoiding unnecessary hospital visits, longer hospital stays, and readmissions.

Augments Brand value

Implementing IoT powered smart solutions and motivating the patients to adopt these technologies enhances the brand value of a company and provides them a competitive edge over others and improves overall patient satisfaction too.

Final Verdict

IoT in Healthcare has redefined healthcare services altogether by opening up a wide range of convenient options for patients, practitioners, and healthcare service providers. It’s high time that the healthcare operators incorporate IoT healthcare solutions in their practice operations if they would like to make a mark in today’s dynamic and competitive market. 

With this, we come to the end of this article. We hope this blog was helpful. Do comment and let us know your thoughts.

For any other queries, mail us at sales.enquiry@biz4solutions.com!

[askajjay]

What is Artificial intelligence (AI)?

Artificial intelligence (AI) is an area of computer science that emphasizes the creation of intelligent machines that work and react like humans. Some of the activities computers with artificial intelligence are designed for include:

Speech recognition

Learning

Planning

Problem-solving

With the development of the electronic computer in 1941 and the stored program computer in 1949, the conditions for research in artificial intelligence (AI) were given. Still, the observation of a link between human intelligence and machines was not widely observed until the late 1950s. 

A discovery that influenced much of the early development of AI was made by Norbert Wiener. He was one of the first to theorize that all intelligent behavior was the result of feedback mechanisms. Mechanisms that could possibly be simulated by machines. A further step towards the development of modern AI was the creation of The Logic Theorist. Designed by Newell and Simon in 1955 it may be considered the first AI program.

The person who finally coined the term artificial intelligence and is regarded as the father of AI is John McCarthy. In 1956 he organized a conference "The Dartmouth summer research project on artificial intelligence" to draw the talent and expertise of others interested in machine intelligence for a month of brainstorming. In the following years, AI research centers began forming at the Carnegie Mellon University, as well as the Massachusetts Institute of Technology (MIT) and new challenges, were faced: 1) the creation of systems that could efficiently solve problems by limiting the search and 2) the construction of systems that could learn by themselves.

Artificial intelligence is a branch of computer science that aims to create intelligent machines. It has become an essential part of the technology industry.

Research associated with artificial intelligence is highly technical and specialized. The core problems of artificial intelligence include programming computers for certain traits such as:

Knowledge

Reasoning

Problem-solving

Perception

Learning

Planning

Ability to manipulate and move objects

Knowledge engineering is a core part of AI research.

Machines can often act and react like humans only if they have abundant information relating to the world. Artificial intelligence must have access to objects, categories, properties, and relations between all of them to implement knowledge engineering. Initiating common sense, reasoning and problem-solving power in machines is a difficult and tedious task.

Machine learning is also a core part of AI.

Learning without any kind of supervision requires the ability to identify patterns in streams of inputs, whereas learning with adequate supervision involves classification and numerical regressions. Classification determines the category an object belongs to and regression deals with obtaining a set of numerical input or output examples, thereby discovering functions enabling the generation of suitable outputs from respective inputs. Mathematical analysis of machine learning algorithms and their performance is a well-defined branch of theoretical computer science often referred to as computational learning theory.

Machine perception deals with the capability to use sensory inputs to deduce the different aspects of the world, while computer vision is the power to analyze visual inputs with a few sub-problems such as facial, object and gesture recognition.

Robotics is also a major field related to AI.

Robots require intelligence to handle tasks such as object manipulation and navigation, along with sub-problems of localization, motion planning, and mapping.

What is the Importance of Artificial Intelligence?

Artificial Intelligence becomes an important part of our daily life. Our life is changed by AI because this technology is used in a wide area of day to day services.

The introduction of AI brings the idea of the error-free world. This technology will slowly introduce in all the sector to reduce human effort and give accurate and faster result.

AI Used in Bank and Financial System

Banks are using AI technology to handle numerous activities in the bank. They handle work like financial operations, Money investing in stocks, Managing different properties and much more. Using AI to handle this activity beat a human in trading challenges. Using AI in the bank helps the bank to handle their customer and give them a quick solution.

Use of AI in Medical Science

AI technology changes the face of medical science. There is a number of areas in which AI is used and give incredible value. In medical science, AI is used to create a virtual personal health-care assistant. They are used for research and analytics. Even Healthcare bots are also introduced to give customer support.

Manufacturing Industries

Today in most of the big manufacturing company AI are mostly used in the production unit. They are used as a robot who give a different shape to an object, who displace an object from one place to another, they are used as a convey belt and much more.

If they are used in the management system also. They are used to keep the records of the employee. They are used to extract correct data for decision making of the company. Using AI in the big industry help them to complete their task in time and helps business to get proper leads generation.

Role of AI in Air Transport

One of the most systematic transport is air transport. And without AI air transport can’t survive. A machine which is used in the plans for performing different functions is run on the basis of AI. All most all the activity which performed to control air transportation is based on AI technologies. There are different software designed on the AI platform to give better flight to passengers and feel free from the danger.

AI role in Gaming Zone

Computer and TV games got more development and updates in their fields. There was a time when “Super Mario” was considered as the best game. But nowadays there are different gaming bots are introduced and you don’t have to wait for other to play with yours. Bot are developed who will play with you.

What Contributes to AI?

Artificial intelligence is a science and technology based on disciplines such as Computer Science, Biology, Psychology, Linguistics, Mathematics, and Engineering. A major thrust of AI is in the development of computer functions associated with human intelligence, such as reasoning, learning, and problem-solving.

Out of the following areas, one or multiple areas can contribute to building an intelligent system.

What is AI Technique?

In the real world, the knowledge has some unwelcomed properties −

Its volume is huge, next to unimaginable.

It is not well-organized or well-formatted.

It keeps changing constantly.

AI Technique is a manner to organize and use knowledge efficiently in such a way that −

It should be perceivable by the people who provide it.

It should be easily modifiable to correct errors.

It should be useful in many situations though it is incomplete or inaccurate.

AI techniques elevate the speed of execution of the complex program it is equipped with.

Goals of AI

To Create Expert Systems − The systems which exhibit intelligent behavior, learn, demonstrate, explain, and advice its users.

To Implement Human Intelligence in Machines − Creating systems that understand, think, learn, and behave like humans.

Today, Artificial Intelligence is a very popular subject that is widely discussed in the technology and business circles. Many experts and industry analysts argue that AI or machine learning is the future – but if we look around, we are convinced that it’s not the future – it is the present.

With the advancement in technology, we are already connected to AI in one way or the other – whether it is Siri, Watson or Alexa. Yes, the technology is in its initial phase and more and more companies are investing resources in machine learning, indicating a robust growth in AI products and apps in the near future.

The following statistics will give you an idea of growth!

– In 2014, more than $300 million was invested in AI startups, showing an increase of 300%, compared to the previous year (Bloomberg)

– By 2018, 6 billion connected devices will proactively ask for support. (Gartner)

– By the end of 2018, “customer digital assistants” will recognize customers by face and voice across channels and partners (Gartner)

– Artificial intelligence will replace 16% of American jobs by the end of the decade (Forrester)

– 15% of Apple phone owners’ users use Siri’s voice recognition capabilities. (BGR)

Unlike general perception, artificial intelligence is not limited to just IT or technology industry; instead, it is being extensively used in other areas such as medical, business, education, law, and manufacturing.

In the following, we are listing down 9 very intelligent AI solutions that we are using today, marketing machine learning as a present thing – not the future.

1. Siri

Siri is one of the most popular personal assistant offered by Apple in iPhone and iPad. The friendly female voice-activated assistant interacts with the user on a daily routine. She assists us to find information, get directions, send messages, make voice calls, open applications and add events to the calendar.

Siri uses machine-learning technology in order to get smarter and capable-to-understand natural language questions and requests. It is surely one of the most iconic examples of machine learning abilities of gadgets.

Alexa vs. Google Assistant vs. Siri: Google Widens Its Lead

As if managing our interpersonal relationships weren't already challenging enough in this digital day and age, now we have to worry about talking to artificial people as well. The rise of virtual assistants has been surprisingly swift, and the market hasn't slowed down yet.

2. Tesla

Not only smartphones but automobiles are also shifting towards Artificial Intelligence. Tesla is something you are missing if you are a car geek. This is one of the best automobiles available until now. The car has not only been able to achieve many accolades but also features like self-driving, predictive capabilities, and absolute technological innovation.

If you are a technology geek and dreamt of owning a car like shown in Hollywood movies, Tesla is one you need in your garage. The car is getting smarter day by day through over the air updates.

3. Cogito

Cogito originally co-founded by Dr. Sandy and Joshua is one of the best examples of the behavioral version to improve the intelligence of customer support representatives, currently on the market. The company is a synthesis of machine learning and behavioral science to enhance customer collaboration for phone professionals.

Cogito is applicable to millions of voice calls that take place on a daily basis. The AI solution analyzes the human voice and provides real-time guidance to enhance behavior.

4. Netflix

Netflix needs no introduction – it is a widely popular content-on-demand service that uses predictive technology to offer recommendations on the basis of consumers’ reaction, interests, choices, and behavior. The technology examines from a number of records to recommend movies based on your previous liking and reactions.

It is turning more intelligent with each passing year. The only the drawback of this technology is that small movie go unnoticed while big films grow and propagate on the platform. But as I wrote earlier, it is still improving and learning to be more intelligent.

5. Pandora

Pandora is one of the most popular and highly demanded tech solutions that exist. It is also called the DNA of music. Depending on 400 musical characteristics, the team of expert musicians individually analyzes the song. The system is also good at recommending the track record for recommending songs that would never get noticed, despite people’s liking.

6. Nest (Google)

The nest was one of the most famous and successful artificial intelligence startups and it was acquired by Google in 2014 for $3.2 billion. The Nest Learning Thermostat uses behavioral algorithms to save energy based on your behavior and schedule.

It employs a very intelligent machine learning process that learns the temperature you like and programs itself in about a week. Moreover, it will automatically turn off to save energy, if nobody is at home.

In fact, it is a combination of both – artificial intelligence as well as Bluetooth low-energy because some components of this solution will use BLE services and solutions.

7. Boxever

Boxever is a company that heavily relies on machine learning to enhance the customer experience in the travel industry and conveys micro-moments or experiences that can please the customers.

Boxover significantly improves customer engagement through machine learning and Artificial Intelligence to rule the playing field, helping customers to find new ways and make memorable journeys.

8. Flying Drones

The flying drones are already shipping products to customers home – though on a test mode. They indicate a powerful machine learning system that can translate the environment into a 3D model through sensors and video cameras.

The sensors and cameras are able to notice the position of the drones in the room by attaching them to the ceiling. Trajectory generation algorithm guides the drone on how and where to move. Using a Wi-Fi system, we can control the drones and use them for specific purposes – product delivery, video-making, or news reporting.

9. Echo

Echo was launched by Amazon, which is getting smarter and adding new features. It is a revolutionary product that can help you to search the web for information, schedule appointments, shop, control lights, switches, thermostats, answers questions, reads audiobooks, reports traffic and weather, gives info on local businesses, provides sports scores and schedules, and more using the Alexa Voice Service.

Conclusion:

Artificial intelligence (AI) technology becomes the part of everyone’s life. From small to big work everyone is using AI to generate leads and remove the work pressure. These technologies are so advanced that you don’t have to write code for every activity. They understand the motion of work automatically.

[fitnesswomenshealth-blog]

Your health hero: The surgeon who fought for women

New Post has been published on https://cialiscom.org/your-health-hero-the-surgeon-who-fought-for-women.html

Your health hero: The surgeon who fought for women

As Sohier Elneil begun her healthcare training, her father had a person distinct piece of advice for his daughter: ‘Do a little something to help women’, he urged.

Were he even now alive these days he would definitely be bursting with pride, for she has not only lived up to his expectations, she ought to absolutely have significantly exceeded them.

And it’s in recognition of just how significantly she’s done for women of all ages that last night she was awarded the Day by day Mail’s Wellbeing Hero award, at a gala evening attended by the Key Minister Theresa May possibly, Matt Hancock, the Secretary of Condition for Overall health, Professor Jane Cummings, Main Nursing Officer for England, and other primary figures from throughout the NHS.

NHS Health and fitness Heroes finalists: Winner Sohier Elniel (seated) with runners-up Dr Susan Walker-Day, Mr Yakub Vali, Mr John Gaunt and Miss Amy Semper 

As the Mail reports nowadays, British ladies currently rank 18th out of 28 European countries for daily life expectancy since of the wellness struggles they experience.

But Skip Elneil has used her career executing all she can to challenge the painful realities guiding figures like individuals — for she is the surgeon who was well prepared to listen when women of all ages began to complain that the pressure-totally free vaginal tape that experienced been surgically inserted to assist with incontinence or prolapse had still left them in crippling pain.

Even though quite a few others inside the professional medical profession turned a blind eye, telling females the dilemma was ‘all in their mind’, ‘Suzy’, as she is acknowledged to her clients, listened — and decided to look into.

She was just one of the initial to great a way to remove the mesh — a complicated and tough operation that consists of painstakingly eradicating little shards of the tape which, in some situations, will have disintegrated into numerous pieces, just about every embedding deeply into the patient’s interior tissue.

This perform has been on top rated of her position as a entire-time expert urogynaecological surgeon at University Faculty London Medical center, specialising in dealing with women’s challenges such as prolapse and incontinence.

Pass up Elneil usually operates late at night time and is effective most weekends — she also hasn’t experienced a holiday in four several years — just to make herself obtainable for the numerous women who look for her support.

One particular affected person explained desperately getting in contact with her for assist and Skip Elneil responding by email the future working day — on Boxing Working day.

Dr Elneil is a complete-time expert urogynaecol-ogical surgeon at University Higher education London Clinic, specialising in dealing with women’s difficulties these as prolapse and incontinence

She feels that she must, as she describes: ‘The numbers of gals seeking to see me are overpowering. I’m making an attempt my most effective to completely transform lives, but sometimes when I work I experience bereft mainly because when I see what has happened to a female I know just how a lot she have to have been suffering. I have observed females who are in so substantially pain as a consequence of their tape they really feel suicidal.’

This kind of is the influence this impressive surgeon has experienced on her patients’ life that when the Every day Mail released their hunt for the 2018 Health Hero of the yr, it was not just her sufferers from throughout the British isles who inundated us with letters and e-mails in praise of her perform, it was also their husbands.

‘Miss Elneil is the initial specialist to really assist my wife,’ wrote one particular. ‘She is the most skilled, compassionate, superb, caring consultant I have ever achieved. She operates tirelessly to assistance so lots of women who have been mutilated by mesh and they really feel like their lifestyle has arrive to an conclusion. She’s an angel.’

In a phrase that was recurring time and all over again, one client said: ‘She was the only surgeon who listened to me right after many years of striving to get assist for mesh pain.’

Retired accountant Lynne Sharman was particularly fulsome in her praise. ‘I simply cannot thank her adequate for what she has performed for me’ suggests Lynne, 62, who life in Reading.

‘She has this air of serene and tranquility. I never consider she at any time sleeps as she has so a great deal to do but if she is drained she does not enable it present.’

Behind every wonderful lady! Her partner, a attorney and childhood buddy, is a tower of guidance

Miss Elneil is obviously touched by the reaction from her individuals. ‘I get some charming cards. Remarkable letters from women thanking me,’ she says.

Nonetheless she’s has also captivated a very diverse response from in her very own occupation, sometimes dealing with outright hostility from those who thought she was incorrect to increase the issue of the tape in the initial place.

Carl Hengan, a professor of evidence-based medication at Oxford College, suggests: ‘It’s incredibly tricky to stand firm when you’re likely in opposition to a swathe of colleagues, who’ve applied several ruses to undermine her — I’m absolutely sure it hurts. But it does not cease her.’

Miss out on Elneil herself says there was by no means any issue of offering up. ‘There was resistance, and some persons imagined “if we overlook her she could go away” but I wasn’t ready to do that,’ she says with a glint in her eye.

 The figures of females wanting to see me are too much to handle. I have witnessed women of all ages who are in so significantly ache as a consequence of their tape they really feel suicidal

Inevitably, her motivation and complicated do the job load have come at some value to her property everyday living. But her husband, a lawyer and a childhood good friend, has been a tower of help.

‘We are fortunate in that we have a large amount of input from family and pals, and a lot of aid,’ she suggests. She has attempted to consider a single working day off at weekends — but with a entire general checklist as effectively as further conditions of tape removal — and her motivation to making certain she trains other surgeons, to make sure she palms in excess of her competencies — there is barely time to breathe.

And then, of training course, there is the research — final year, for illustration, she co-authored a report for the 1st time identifying the amount of difficulties amid women of all ages presented the mesh.

As vindication of her individuals and her function — and the Mail’s very long-managing campaign on this problem — the NHS not long ago introduced it would halt the use of the mesh for incontinence.

But everyone who thinks Skip Elneil has attained all she wants to achieve would be mistaken — there are however numerous girls who require their tape removed, and which is not all.

‘I would like us to stay in a globe where by gals experience risk-free, wherever they sense they can speak to anybody about their wellbeing fears and not be dismissed,’ she states.

‘I’d like to improve that — I have passed the age barrier of 50 and I have so much extra to do, and now so minimal time to do it.’

GP WHO Offers Spherical-THE-CLOCK Care

For 23 years, Bournemouth GP Dr Susan Walker-Day has provided the clients at her practice enviable continuity of treatment.

She’s always prided herself on becoming an outdated-fashioned relatives medical professional, one particular who is aware her clients well.

But the mother of five genuinely goes previously mentioned and beyond — performing dwelling visits on her times off and all through lunch breaks, collecting patients’ prescriptions for them if they’re unwell and by itself, and from time to time providing the medicines late at night time.

The runners-up: Dr Susan Walker-Day, Mr Yakub Vali, Mr John Gaunt and Skip Amy Semper

Even although she’s on holiday getaway she’ll ring with exam benefits so, she says, sufferers aren’t still left waiting and ‘worrying’. Her colleagues say she’s normally at function prior to they arrive, and leaves soon after them.

When Lezzette Hession’s mom Kim was identified with terminal most cancers in 2015, Dr Walker-Day ‘never designed her appear into the medical procedures, she generally frequented her at residence — even if it was immediately after her other rounds had finished’.

‘I’ll never forget about that on one situation as Mum grew weaker, the health care provider completed perform late at 9pm and then drove to our dwelling. She was such a ease and comfort to my mom in her previous weeks, browsing any time we rang. I’ve by no means regarded any individual so caring,’ suggests Lezzette.

All this additional operate even though also looking following her personal household, including her disabled 20-calendar year-old daughter, who has Rett syndrome, a scarce neurological situation which affects mind advancement.

For lots of several years Dr Walker-Day, 54, chaired the Rett Uk Charity, campaigning for expert clinics, running household weekends for those influenced, fundraising and supporting publish the Rett care rules.

A report for the Care High-quality Fee explained her perform on Rett as ‘outstanding’.

Susan determined to develop into a health practitioner aged eight right after breaking her leg and looking at clinic personnel at operate — successful a position at grammar school, she became the initially in her relatives to go to college.

To her people, such as Ian Jones, who nominated her, she is a real-existence Superwoman.

‘After 25 heart assaults and three strokes, I’m certain Dr Walker-Day is the rationale I’m nonetheless below,’ claims Ian, a retired educational facilities examinations officer. ‘I don’t know wherever she receives the amazing power from. She’s a GP in a million.’

DEMENTIA CARER IS ‘SIMPLY THE BEST’

At AN age when some others could possibly be easing again a bit, John Gaunt, 89, spends two days a 7 days as a volunteer on a dementia ward at the Royal Cost-free London NHS Foundation Believe in.

It’s demanding perform, requiring ability and kindness which John dispenses by the bucketload, blended with a devotion and electricity that make him distinctive, say his colleagues — and it is why they nominated him for the Overall health Hero awards.

They described how John goes to wonderful lengths to address each individual affected person as an unique, thoroughly studying their qualifications to pull out information and facts that could assistance him provide back again reminiscences and connect with that person.

Then, with a characteristic wave of his palms, he will get to operate, listening and conversing, singing, even dancing — whatever it can take to place sufferers at simplicity.

‘His charisma and appeal certainly brighten up the ward,’ says Danielle Wilde, who potential customers dementia care on the ward.

‘John is just one of the most attention-grabbing and energetic colleagues I have ever labored with and the team look forward to his visits as considerably as the patients do.’

‘He’s simply just the greatest,’ provides Richard Scarth, who oversees the Royal Cost-free Charity’s 900 volunteers. ‘I get much more favourable responses about John than any individual.’

John comes promptly for his shift at 9am and though he must clock off at 1pm is, inspite of his age, often continue to functioning late into the afternoon.

‘I’m not heading to sprint off property just since my change is more than,’ he states. ‘I go when I experience I have done what I can with my patients.’ Officially he operates two times a week — but at times ends up working extra.

John, who misplaced his spouse Betty to Parkinson’s and most cancers in 2000, was encouraged to grow to be a volunteer just after visiting the healthcare facility for radiotherapy for his prostate cancer four decades ago. ‘I still left it as well long, so they just cannot get rid of it,’ he suggests, matter-of-factly.

‘When I went in for my procedure I observed a signal asking for volunteers and assumed, “I could do that”.’

The retired illustrator applied to operate his own stationery business, and provides: ‘When I was in company I would go home asking myself “why do I do this?” — but now I leave figuring out I’ve aided make a true distinction. It’s the most effective factor I have ever done.’

NURSE WHO’S A ROCK FOR HER Clients

There is evidently some thing exclusive about Amy Semper, the nurse who walked for 3 hours in the snow to get to do the job, did a double shift — 24 hours in all throughout that unexpected emergency — then walked home again.

Her colleagues and individuals don’t need to be informed how devoted Amy is to her work.

As effectively as individuals snowbound times very last wintertime, they know about the double shifts she does when the unit is shorter-staffed (she would fairly perform a double than allow people to be place at hazard, say her colleagues), and the more several hours soon after function she devotes to conversing with clients or catching up on admin she’s delayed executing to spend time with them.

In some cases she has to be informed she must go dwelling.

And then there are the basic but type gestures: no birthday is forgotten, with Amy generally arranging a cake for clients or employees, frequently baking it herself.

And her job is not an easy just one, for Amy is a ward manager on a safe psychological overall health device, a ‘difficult environment’, as Jocelyn White, a senior supervisor at the Lincolnshire psychological wellness device in which Amy functions, describes it.

But 12 months following calendar year, Amy, who is 27, has forsaken Christmas with her very own shut-knit household to devote the working day at the unit, arriving early to get ready festive treats.

She also usually takes people for property visits to see their loved ones (for some this can be for the 1st time in years). ‘She served make me aspect of my household once again,’ states one particular grateful affected person. Another said simply: ‘Amy has modified my lifestyle.’

When requested about her willingness to go the extra mile Amy claims: ‘People want to truly feel supported, and which is what I want to do — I want to be their rock although they are likely by means of this poor time, and I will do whatever I have to do to assist them through.’

‘And it definitely pays dividends — just one of my ex-patients is training to be a vet,’ she states with satisfaction.

CLEANER WITH A Coronary heart OF GOLD

how a lot Yakub Vali, 53, usually means to sufferers and staff members can be observed from the scores of thank you playing cards the father of a few has at the residence he shares with wife Maimuna, 53.

Some of the writing may well be shaky, but the gratitude and enjoy is clear.

As Yvonne Jeanes, the direct physiotherapist at the specialist stroke unit at Royal Preston Clinic in

Lancashire in which he operates, clarifies: ‘Yakub is these kinds of a stunning individual — the overall ward, individuals and staff, just like him. I can not explain to you the distinction that he helps make.’

This substantially-loved determine isn’t a medic, a nurse or a physio, but a cleaner.

That he’s very good at the do the job he’s employed to do is immediately obvious when you arrive on the ward.

‘Families normally comment on how clear it is,’ states Yvonne — without a doubt he’s credited with participating in a critical job in assisting lower an infection premiums on the ward.

‘When Yakub’s on holiday break it requires three people today to do his job, and the ward even now doesn’t search as superior,’ adds Yvonne, ‘Yakub just never ever stops.’

But he’s even extra distinguished by the way he performs his unofficial obligations. Yakub, who moved to the Uk aged 16 from a smaller village in India and has hardly ever had a working day off sick in 13 years, starts his 7am change by checking on just about every individual to see if they require everything.

He’s frequently on the glimpse-out for patients, fetching unlimited cups of tea, or contacting for a nurse if a person just cannot access their buzzer.

‘Recently, a woman who was recovering from hip surgical treatment fell in the middle of the ward — Yakub was cleansing a table and in some way attained her and caught her with lightning reflexes,’ states Yvonne.

‘He saved her from an additional critical hip fracture and in doing so, potentially saved her lifetime.’

When people are discharged, he tends to make it his responsibility to wave them off — and his daughter says that when he comes house at night time, Yakub talks non-cease about the sufferers and how they progressed, who still left the ward, who is performing nicely or everyone he is fearful about.

To the employees, he is another pair of arms who is a critical aspect of the group, and frequently functions as physio assistant, getting clients by their arm to help them wander, and encouraging them all the way.

At Xmas, Yakub comes at the ward with chocolates and sweets for patients and employees alike.

‘He is the most conscientious, courteous, humble and helpful member of employees on the ward,’ says Yvonne. ‘He is definitely our hero!’

Additional reporting: AMANDA CABLE

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[addictionrecoveryassistance]

Addiction Treatment For Physicians

Contents

Fewer than 20% screen for

Complete forty continuing education

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Doctors and nurses

Providence Treatment provides effective addiction treatment for Physicians and Doctors, and assists in meeting the requirements of their licensing board.

Jun 22, 2016 … After four or five of his patients died from opioid overdoses in one month, Craig Smith, a family doctor in Bridgton, Maine, realized he couldn't wait for someone else to offer addiction treatment.

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care physicians routinely question patients regarding alcohol abuse, and fewer than 20% screen for potential drug abuse.9 Only a small minority of physicians feel they have a basic knowledge concerning the diagnosis and treatment of substance abuse.8. Diagnosing substance abuse in a physician is even more difficult …

Dr Gregory Skipper, medical director of Promises Professionals Treatment Program, explains why doctors become addicted and, once …

– Beginning with the initial licensure period, every licensee, as a condition for renewal of his or her license, shall complete forty continuing education hours.

By Gregory Skipper, MD, Medical Director, Promises Professionals Treatment Program Why do we physicians become addicted? And, once addicted, why are we likely to deny a problem exists and unlikely to seek help …

The Drug Addiction Treatment Act of 2000 (DATA 2000), Title XXXV, Section 3502 of the Children's Health Act, permits physicians who meet certain qualifications to treat opioid addiction with Schedule III, IV, and V narcotic medications that have been specifically approved by the Food and Drug Administration for that …

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May 13, 2016 … “Research shows that poor training in the care of patients with addiction relates to low confidence among physicians in their ability or competence to treat such patients, negative attitudes toward patients with addiction, pessimism about the effectiveness of treatment, and low rates of implementation of …

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Contributing factors. The causes of physician addiction are not fully understood, although it appears that many factors can contribute to the development of this disorder.

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Dr Gregory Skipper, medical director of Promises Professionals Treatment Program, explains why doctors become addicted and, once …

Suboxone is an effective tool in the treatment of addiction. Medication-assisted treatment programs (MATs) use Suboxone to both alleviate withdrawal symptoms and drug cravings and to discourage drug abuse. Only certain qualified doctors can prescribe …

Dec 13, 2016 … There's a heated discussion going on among the country's primary care physicians, addiction specialists and everyone else involved in addiction treatment and funding. A recent article in STATNews raises the question that's getting so much discussion: Should primary care doctors be involved in treating …

Doctors work in highly stressful jobs and often struggle with addiction to drugs, alcohol or other types of addiction. But they may be reluctant to seek

Providence Treatment provides effective addiction treatment for Physicians and Doctors, and assists in meeting the requirements of their licensing board.

High hopes for buprenorphine, an effective treatment for opioid addiction, have been tempered by a messy reality: health complications and deaths, unscrupulous doctors and a reputation as a street drug.

Under the Drug Addiction Treatment Act of 2000 (DATA 2000), qualified physicians may apply for waivers to treat opioid dependency with approved buprenorphine products in any settings in which they are qualified to practice, including an office, community hospital, health department, or correctional facility.

Ask About Our Addiction Treatment for Physicians. The road to lifelong recovery for yourself or for a physician in your life is just a phone call away. At Providence Treatment, we’ll help you mainstream your addiction treatment and meet the requirements of your licensing board. To learn more, call 484-445-4145. Recent Posts. Tips to Manage …

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Dr Gregory Skipper, medical director of Promises Professionals Treatment Program, explains why doctors become addicted and, once …

CASAColumbia surveyed a nationally representative sample of 648 primary care physicians and a patient sample of 510 adults currently receiving treatment for substance abuse in 10 facilities in California, Illinois, new york and minnesota. The surveys were conducted in the spring and summer of 1999. To inform the …

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The post Addiction Treatment For Physicians appeared first on A.R.T. Group.

[samanthasroberts]

‘We are the forgotten people’: the anguish of Australia’s ‘invisible’ asylum seekers

Nearly 29,000 asylum seekers are in Australia on temporary bridging visas. These people may be free from detention but with many denied education, healthcare and the right to work they remain locked in desperate poverty and with no idea what their futures hold. A Guardian Australia investigation

Life and death on a bridging visa

July nights were freezing. The barbecue, though, was warm, a bulwark against the cold of the descending dark.

Balan, a Tamil asylum seeker, had turned his mind already to the night ahead. He knew he could not afford to run a heater. He and his housemates needed to watch every dollar and winter was the hardest time. The last electricity bill had run to hundreds of dollars they didnt have.

Quietly, as the shared meal came to an end, Balan gathered up the coals from the barbecue in a tin and carried them to his room. There he slept on the floor, next to the coals as they burned down. To keep the heat in, he closed the door behind him.

As he slept, the room filled with carbon monoxide.

In the morning, Balans brother, worried by his failure to appear for breakfast, pushed open the door. Balan had obviously realised at some point in the night that he needed to get out. He had made it halfway to the door before he collapsed.

The coals were still warm. But Balan was dead, killed by carbon monoxide poisoning.

The privation that contributed to Balans death didnt occur in the straitened circumstance of a refugee camp, or on the borderlands of a war-torn region.

It happened in Sydney, to a man living legally in Australia on a bridging visa.

Afghan asylum seeker Farid in a park next to his house in western Sydney. He says he dreams of one day being allowed to visit his family, who live in Iran as refugees. Photograph: Abdul Karim Hekmat

Today nearly 29,000 people live in Australia on a temporary permit to reside in the country known as a bridging visa E (BVE). Yet they are the invisible. They live in the shadows, on the fringes of Australian society.

Bridging visa E is for people who have at some stage been judged to have been unlawfully in Australia. Typically they are granted to asylum seekers who have arrived by boat and have made claims for refugee protection. Balan was one of these, having fled the continuing and brutal persecution of the Tamil minority in post-civil war Sri Lanka.

BVEs can be valid for 28 days or up to three years. Hundreds of people have lived on rolling visas, one temporary solution after another, for more than five years.

Many cannot access healthcare somewhere around a third have no right to Australias publicly funded Medicare despite the fact that they may carry physical and mental scars from their homelands, their journeys and their initial incarceration under Australias policy of mandatory detention.

Sorry, your browser is unable to play this video.

We have been forced into isolation: life on a bridging visa

Many cannot legally work. The immigration department declined to answer the Guardians questions about how many bridging visa holders have the right to seek employment. But information from community organisations who work with asylum seekers found only about two-thirds of bridging visa holders have work rights despite a parliamentary deal more than a year ago that they all be granted the right to earn a living.

Those without work rights are reliant on limited government welfare, the benevolence of friends and charity, or risking their liberty taking cash-in-hand jobs in the underground economy.

A black market job offers some financial respite but leaves bridging visa holders vulnerable to exploitation by employers who may underpay them or refuse to pay them at all and threaten to ring immigration if they complain.

Delays caused by immigration department cutbacks, massive staff turnover rates and more-than-occasional bouts of bureaucratic incompetence mean asylum seekers often spend months waiting for new bridging visas to be granted months spent living in the shadowlands of no income, no support and no healthcare: no legal right to be in the country.

Parliament heard in February that at least 1,400 people are in this position in Australia right now.

Several BVE holders report having to quit jobs because the looming expiration of their visas means they can no longer work legally.

Indeed they say they face exploitation at every step: from real estate agents who charge exorbitant penalties for late rents to salesmen who charge usurious rates of credit on white goods.

And their progression to substantive visas has been hampered by government cuts to legal services. In 2014 the government removed access for BVE holders to immigration advice. Asylum seekers have been left to navigate the byzantine process of applying for substantive visas on their own, negotiating complex forms in English for many their third or fourth language.

As a final imposition, bridging visa holders are required to live under a punitive code of behaviour that not only proscribes criminal activity already outlawed by statute but prohibits them from engaging in undefined disruptive activities that are inconsiderate [or] disrespectful.

The prohibitions exist over and above the laws of the land but they require no charge to be laid, no evidence, no proof.

One bridging visa holder has been incarcerated for more than two years for drinking a beer on a train.

For all of the heat and light over Australias immigration policies, BVE holders are the forgotten. Freed from the bonds of detention, they are, supposedly, the fortunate. Often their lives only puncture the public consciousness when they end.

In the early hours of the morning of 27 October 2015, an Iranian asylum seeker, Reza Alizadeh, hanged himself in a public stairwell at Brisbane airport. He had lived on a succession of bridging visas since 2013.

In the same month an Afghan, Khodayar Amini, set himself on fire while on a video call with two refugee advocates. He said he feared being detained again.

In June, Raza, another Afghan, jumped in front of a Perth train. He was living on a bridging visa and had been interviewed by police a day earlier.

In October 2014, a 29-year-old Tamil, Leo Seemanpillai, set himself on fire outside his house. He suffered burns to 90% of his body and died in hospital.

And in February of that year, Rezene Mebrahta Engeda drowned himself in the Maribyrnong river, reportedly out of concern he was about to be deported back to Eritrea.

But those violent tragedies are the visible exceptions to the invisible rule. Tens of thousands of others on bridging visas are trapped in a dispiriting cycle of hardscrabble survival.

During a six-month investigation, the Guardian met dozens of people living in Australia on bridging visas. Over shared meals, while travelling, as they worked or relaxed, the men and women spoke almost uniformly of the endless uncertainty of their existences, the grinding poverty of their circumstances, their separation from family and community, and their difficulties finding work or education to restart interrupted lives.

Dawood, an Afghan asylum seeker on a BVE, cannot travel to see his family, or be reunited with them in Australia. He has not seen his daughter since she was three months old. She asked him if he would be home for her fifth birthday:

My wife is crying over the phone and asking me, When you come, when you come? I say, come next month, come next season, or come next year but four and a half years passes like that. You know, you cant lie to your child, she is little. I want to be besides her, to celebrate her birthday like every other father. What I am going to do? They keep us in this situation. I will miss many more birthdays.

Ali Sadaat, an Iranian teenager who was on a BVE, has been detained for two years and is now being held indefinitely on Christmas Island for drinking a beer on a train:

I dont want to be without freedom. Pray for me. This is real. I cant see light at the end of the tunnel.

Shams was barred from school in Australia after one week because he had turned 18. No longer a minor BVE holder, he was no longer eligible to attend secondary school:

I was very disappointed. I went home and cried for many days. I had no work rights, no study rights. I sat all day at home either thinking or crying. Nothing to do.

Haleema, an Afghan Hazara, says she cant afford to feed or clothe her children properly:

I cant buy fruit. I just buy second-hand fruit, the rotten ones [that] no one buy. If I buy rice, I cant buy bread. Most of the time I give potato to my children. I cant buy anything else. I cant buy shoes and uniforms for my children going to school.

A Tamil asylum seeker, speaking on condition on anonymity, fears being re-detained or deported:

We are scared to go and meet the government. We are scared they will take us and deport us. We know that has happened to people we know. People go for a meeting with the department and they just never come back.

These are the voices of those rarely heard, the stories of those holding together an existence amid the shifting sands of a capricious regime: a unsparing present before an uncertain future.

Many in their situation are afraid to speak out. Doing so, they fear, will damage their claim to refugee status or lead to them being taken into detention. Others speak only on condition of anonymity, fearful that talking publicly will be viewed as a breach of the code of behaviour they regard as an oppression.

Every bridging visa holder knows of someone who went for a routine interview with the department and never came home, taken in for detention not only indefinite and capricious but unchallengeable.

We are the forgotten people, one BVE holder says on a late-night outer-suburban train. Everywhere here is heaven, he says, gesturing out the window to the warmly lit houses outside. But we live in hell and no one sees, so no one cares.

Asylum seeker Zaman chooses a quiet corner in his crowded share house to speak to his wife and daughter in Afghanistan. Photograph: Abdul Karim Hekmat

Lives in limbo

After Balans death, his friends tell the Guardian the tragedy was a reminder to them all of the fragility of their existence in Australia.

The fear of death came too close, one says. Things like that could happen to us here and we have no family. No one to watch out for us. If something happens, no one can help us.

But they understand, too, how his death happened: his desire to save money, to stretch every dollar, is one they understand acutely.

There is never enough, one man says quietly. He relies on the generosity of charities and friends in often only marginally better situations than his. I feel ashamed because I want to support myself but I cant.

Bridging visa holders say they are vulnerable to exploitation. A three-bedroom apartment the Guardian visits has six BVE holders living in it. Paint peels from the walls and the security screens lean dispiritingly from the windows but its residents are happy to have this place. Houses, they say, are hard to find. With no references or rent history, applications from bridging visa holders go to the bottom of the pile, even if they have the backing of a community organisation or a charity.

The men who live here feel their hold on their home is precarious. They say if they are a single day late with their rent they are charged penalties that have run into the hundreds of dollars or risk eviction yet they see themselves as fortunate.

Hundreds of bridging visa holders sleep rough or couchsurf, prevailing as long as they can on friends and other BVE holders momentarily more fortunate. It happens at this flat. There are only three people supposed to be here but many many more stay, one asylum seeker says. All the time, extra people.

At another household, asylum seekers say they were sold white goods on credit with huge interest repayments they didnt properly understand. The repayments continue still, even though the washing machine they bought has long since stopped working. They dont have the money to fix it.

The Rev Dr John Jegasothy, a former Tamil refugee and now an Australian citizen, says life on a bridging visa is enforced penury and a poverty made worse because of its interminable nature. People spend years eking out an existence, Jegasothy says, wasting the best working and studying years of their lives, not knowing whether theyll suddenly be deported, finally granted a visa, or simply held longer still in the fraught limbo of the bridging visa loop.

They are treated as second-class people,Jegasothy says. They dont know what will happen to them and they suffer in silence, because they are invisible to the rest of Australia.

For those with children, the privations of the bridging visa regime are compounded.

Haleema, an Afghan Hazara, fled to Australia with her family in 2012 after years as a refugee in Iran where she faced constant threat of arrest, persecution and deportation, and where her two sons could not go to school.

She said her only thoughts of Australia were of finding a safe home for her sons. We thought if we go somewhere else we can be safe but our life is the same as before when we were in Iran: we live in constant fear.

I cant sleep at night. I dont know what happen in the future, if we will be sent back or stay here.

Haleema told the Guardian her children suffered because of the financial strictures of life on a bridging visa. Most of my money go to rent. I have only $100 left [each week] and its not enough, she says.

I sometimes cant buy milk and bread for the house. I cant buy fruit. I just buy second-hand fruit, the rotten ones [that] no one buy. If I buy rice, I cant buy bread.

Most of the time I give potato to my children. I cant buy anything else. I cant buy shoes and uniforms for my children going to school.

On the Newtown doorstep of Sydneys Asylum Seeker Centre, about 35 new people arrive every week, seeking all manner of assistance: from the immediate urgent medical attention, a roof over their heads and a bed for the night, food or clothing to the progressive help with the labyrinthine visa application process, legal advice, aid finding work or a home to lease.

Sixty per cent of those who present at the centre are homeless or at risk of becoming homeless. Some may have spent a night outdoors, in a hostel, or a whole family may have been living in one room, says the centres chief executive, Frances Rush. But when their money runs out they have no alternative but to seek help and so they come to charities such as the centre.

Our immediate priority is to make sure they have somewhere to sleep that night, food to eat and provide them with urgent medical care if needed. Once we have them in a stable situation, we can then assess what their longer term needs are.

The first days on a bridging visa are often the most difficult, Rush says. About 60% of those assisted by the centre are not boat arrivals but came by plane to Australia.

Many have suffered horrendous experiences which forced them to flee for their safety. They have had to leave their whole identity behind: their culture, family, friends and work or career. On top of this they have had to endure the physical journey which in itself can be very traumatic and dangerous.

So while they may feel safe when they arrive, applying for protection and getting back on their feet in a strange land is also a long and complicated process.

The Guardian put a series of questions to the Department of Immigration and Border Protection and its minister asking about the number of BVE holders, their circumstances and the conditions applied to them. Both refused to answer in detail. The ministers office provided a statement:

Labors border failures allowed more than 50,000 illegal maritime arrivals to flood into Australia over six years, which placed unprecedented pressure on the system. Labors no advantage policy introduced in 2012 effectively froze illegal maritime arrival processing. Labors mess the legacy caseload of 30,000 unprocessed illegal arrivals was left to the Coalition government to deal with.

More than 23,000 bridging visas were granted in 2015, most with no restrictions on work. BVE holders generally have access to Medicare. Labor further compounded processing of the illegal maritime arrival caseload by opposing legislation for temporary protection visas (TPVs) and safe haven enterprise visas (Shevs) until the end of 2014. Processing could only begin mid last year several thousand applications for TPVs and SHEVs are now being processed.

Dutton has said the legacy caseload could take a decade to process.

Other organisations are concerned less with which party is in power but with the manifestation of the bridging visa regime itself.

The UN high commissioner for refugees found, in a report three years ago, that those on bridging visas without work rights in Australia are unable to meet their basic needs and are living in a state of destitution.

Bridging visa holders had poor housing and went without essential items such as beds or refrigerators: An income below the poverty line has led to an overwhelming reliance on community organisations for food, clothing and furniture. Being reliant on income support and not being permitted to work is, for many, felt as shameful and demoralising.

The lives of asylum seekers in the community are largely characterised by uncertainty about their futures and the processing of their claims, and the impact of constant policy changes.

This year Gillian Triggs, the president of the Australian Human Rights Commission, said the holding of people for years on a succession of bridging visas was a very significant breach of basic human rights.

Really, [it is] a failure to respect their right to claim the status of a refugee, she said. Its easy to demean people who dont yet have that status and we hold them for many many years without having determined their position.

Unable to sleep, Farid calls his family overseas. He is comforted by hearing his elderly mothers voice but feels sad when she asks: When will you come home to see me? Photograph: Abdul Karim Hekmat

Strangers to their families

In a weather-beaten house in a quiet suburb of western Sydney, five men sit in silence. Dark brown curtains veil the three large windows, and a television, coated in thick dust, is switched off in a corner. No one speaks. One man, his face lit by the glow of his phone, stares at the screen in front of him. The others sit in silence, one holding his head in his hands.

From the kitchen, the quiet clank of cooking can be heard. It is the turn of Farid, a lean man of quick, precise movements, to prepare their meal. Into the silence of the main room he walks, carrying a pot and the smell of lamb and spices fills the air.

Ready, he says, placing the pot on a mat in the middle of the floor, following this with an immediate apology. He says he meant to cook curry: it turned into shurba, an Afghan soup, because his mind was elsewhere and he poured in too much water.

This is what happens, when your family is not here, your mind is everywhere. The others burst into the laughter of immediate forgiveness. Their silence broken, they creep forward to sit cross-legged before the food. They begin to eat and, finally, to speak.

Farid has eyes that stare from deep within their sockets. He speaks reluctantly and uncertainly. He has been displaced from his homeland for more years than he can easily remember.

An Afghan, he lived for years as a refugee in Iran, where he was harassed and beaten by authorities because of his illegal status. He was regularly arrested and deported back to Afghanistan at that time under the control of the Taliban before he would be forced to flee again. Finally he sought somewhere more permanent: sanctuary in Australia.

But life in Australia has not brought stability. After years on a bridging visa he is still waiting to know whether he will be accepted as a refugee. His mother is elderly and she has fallen ill, but he says he cannot visit her: she is in a country he is not a citizen of nor permitted to enter. And a bridging visa does not allow a person to leave Australia and return.

Four Hazara asylum seekers sit down to a meal of qabuli palaw with fresh Afghan bread. Photograph: Abdul Karim Hekmat

My mother is crying over the phone, Please come to see me. I want to see my son one last time.

Reza is an ethnic Hazara who fled central Afghanistan for Australia in 2012. He arrived by boat in September, just after the 13 August cut-off that re-established offshore processing. He was sent to Nauru, where he spent 15 months in detention, before landing in Sydney on a bridging visa over two years ago.

The 31-year-old fled Afghanistan after surviving a bomb blast in Kabul. He lifts his trouser leg to reveal a long, jagged scar on his left ankle. His only child, a son, was two when he left. The boy is now six. Reza says he never imagined he would not see him for four years.

He pulls a phone from his shirt pocket and flicks through the images of the boy on its screen, his face briefly lighting up at seeing his sons smiling face.

I miss him so much. I want to hug him but how hard this is. Reza wipes a tear from his eye and puts the phone away.

Everything in life has a phase, he says, gazing at the floor. Ive missed a big part of my sons childhood. I miss his smile. I miss his playfulness. I missed how much he grew in four years.

The joy of raising a child is when they are little; you play with him. When he grows up he will find his own way in the world.

Those living in Australia on bridging visas say they feel trapped in a cycle of temporary solutions, with no prospect of seeing family members again or being able to sponsor their relatives to Australia.

Zaman has not seen his wife and son for four years. He worries his son will not recognise him if he ever sees him again. And he doesnt know what relationship they could have after so long apart. For how long, we wait? For how long, be uncertain?

There is nothing more comfort than having your family besides you, he says. If we were not desperate, I would not come this way [by boat]. Its very dangerous and it required a lot of courage.

Compounding the concerns of many about their separation is fear for the safety of their families. Many of the Hazara in Australia have family still living in volatile parts of Afghanistan, where the Taliban are dangerously resurgent. Last year was the deadliest year for the Hazara minority in Afghanistan since the overthrow of the Taliban in 2001.

Asylum seekers from that country monitor local media obsessively and say they are alarmed by regular reports of Hazara being dragged from buses at roadblocks and put to death at the side of the road. In November seven Hazaras were killed on a roadside in southern Afghanistan, including a seven-year-old girl whose throat was slit by wire.

I also have a seven-year-old daughter, Rauf tells the Guardian. He comes from Damurda in Ghazni, the same village as those slain. I wonder, If they cant spare a child, how could they spare anyone?

The situation is similarly chaotic along Pakistans north-western frontier. Thousands of Hazara, exiled from Afghanistan, live in two fortified suburbs in Quetta, where the ethnic minority is regularly targeted by bomb attacks.

An Iranian asylum seeker living in Melbourne with her child, who was born in Australia. The mother has been suffering trauma as a result of her boat journey to Australia and her uncertain situation on a bridging visa. A psychologist has diagnosed her as having post-traumatic stress disorder. Photograph: Abdul Karim Hekmat

One Hazara asylum seeker in Sydney, who declines to give his name, says he is so worried about his children going to school in Quetta that he calls twice a day; once in the morning before they leave for class and again every evening to know they have returned safely.

Dawood worked as an interpreter for a foreign non-governmental organisation in Afghanistan. His involvement with the west attracted the attention of the Taliban and they threatened to kill him. He arrived in Australia in June 2012 two months before the 13 August cut-off.

He was in Wickham Point detention centre near Darwin when the new no advantage rule came in. He says he remembers an immigration department representative that day announcing to about 400 asylum seekers: The new law does not apply to you. No matter what happens to the government, you will be given a permanent visa.

Four years after he arrived in Australia, and two and a half years since his interview to determine his refugee status, Dawood has had no news on his visa. Usually it takes about six months or a year to get an answer, they accept you or not. I have been waiting two and a half years, for no answer.

I believe a great injustice was done to me. They lied to us.

Dawoods daughter was three months old when he left Kabul. He speaks to her on the phone almost every day. She has been asking if he will come home next month for her fifth birthday.

I lied to her, I said I will come, he says, rubbing his unshaven chin. Thats what happens now, I am lying to my family all these years. My wife is crying over the phone and asking me, When you come, when you come? I say, come next month, come next season or come next year but four and a half years passed like that.

You know, you cant lie to your child, she is little. I want to be besides her, to celebrate her birthday like every other father, he says, choking back tears. What I am going to do? They keep us in this situation.

When Dawood arrived, asylum seekers whose claims for refugee status were upheld were granted permanent protection visas, entitling holders to be reunited with their families.

But after his case had been stagnant for two and a half years a legislative change pushed through parliament with the support of the crossbench in December 2014 reinstated temporary protection visas and created safe haven enterprise visas.

If Dawoods claim for protection is ultimately accepted that is, if Australia agrees he has a well-founded fear of persecution in his homeland and cannot be returned there he will have a visa for another three or five years but with no right to be reunited with his family. He does not know when he will see his wife and daughter again. He does not know if he ever will.

I will miss many more birthdays.

Two years detention for drinking a beer

Nothing moves outside the Yongah Hill detention centre. Only the heat shimmering across the scrubby land breaks the stillness. Even inside the centre, secreted in bushland 90km north-east of Perth, people seemed compelled to a timid inaction.

In the visitors room, conversations are conducted in hushed tones, barely above a whisper. Friends, partners and advocates sit with detainees, leaning their heads close to listen. Through a double-glazed window in an adjacent room, a sullen security guard in khaki watches over all.

On the wall hangs a picture: a crude drawing of a heart, with two arrows through it. The caption is strangely incongruous: My heart is opening wider. Love people being around me.

On the wall opposite, a poster bears the logo of Australian Human Rights Commission. In several languages, including English, it reads: People should be treated fairly in immigration detention centres.

Ali, a 19-year-old Hazara asylum seeker, prays in his home in western Sydney. He finished high school last year but cant afford to the fees to study as an international student at university or Tafe. Before coming to Australia, he lived as a refugee in Iran where he had no right to education. Photograph: Abdul Karim Hekmat

Sarwar is one of those in this immigration detention centre. He says he has not been treated fairly.

The 37-year-old Sri Lankan Muslim arrived in Australia by boat in 2012, fleeing the sectarian violence that continues to benight the country. After a brief period in detention, Sarwar was released into the community in 2013 on a bridging visa.

But now, back in detention, he holds in his hands his file the frayed, fat paper trail that everybody caught within Australias immigration system accumulates.

Sarwar is anxious to show one piece of paper in particular: a report from a doctor that reads: This man is in significant distress due to his visa not being approved for two years.

The next paper he proffers demonstrates why he is here, in Yongah Hill detention centre, with no prospect of release. His file says he is being detained for public threat to suicide; security issue and suicidal threats; working illegally as a farmer. According to an incident report: He called immigration to threaten to kill himself.

No charges have been laid against Sarwar, nor will there be. According to his file there is no investigation ongoing into his actions. Still he remains in detention. He denies any wrongdoing. I am a Muslim, I never do the wrong thing. Do not like illegal money.

He says he only told the immigration department when he called: For two days, I drink only water. I am starving, better kill myself.

I have no money, no work rights, he says.

Sarwar tells the Guardian he has two daughters and a son in Sri Lanka. No money, they starve, they no go to school.

Through tears, he says he has been detained for eight months already, while i

Source: http://allofbeer.com/2017/09/17/we-are-the-forgotten-people-the-anguish-of-australias-invisible-asylum-seekers/

from All of Beer https://allofbeer.wordpress.com/2017/09/17/we-are-the-forgotten-people-the-anguish-of-australias-invisible-asylum-seekers/

[allofbeercom]

‘We are the forgotten people’: the anguish of Australia’s ‘invisible’ asylum seekers

Nearly 29,000 asylum seekers are in Australia on temporary bridging visas. These people may be free from detention but with many denied education, healthcare and the right to work they remain locked in desperate poverty and with no idea what their futures hold. A Guardian Australia investigation

Life and death on a bridging visa

July nights were freezing. The barbecue, though, was warm, a bulwark against the cold of the descending dark.

Balan, a Tamil asylum seeker, had turned his mind already to the night ahead. He knew he could not afford to run a heater. He and his housemates needed to watch every dollar and winter was the hardest time. The last electricity bill had run to hundreds of dollars they didnt have.

Quietly, as the shared meal came to an end, Balan gathered up the coals from the barbecue in a tin and carried them to his room. There he slept on the floor, next to the coals as they burned down. To keep the heat in, he closed the door behind him.

As he slept, the room filled with carbon monoxide.

In the morning, Balans brother, worried by his failure to appear for breakfast, pushed open the door. Balan had obviously realised at some point in the night that he needed to get out. He had made it halfway to the door before he collapsed.

The coals were still warm. But Balan was dead, killed by carbon monoxide poisoning.

The privation that contributed to Balans death didnt occur in the straitened circumstance of a refugee camp, or on the borderlands of a war-torn region.

It happened in Sydney, to a man living legally in Australia on a bridging visa.

Afghan asylum seeker Farid in a park next to his house in western Sydney. He says he dreams of one day being allowed to visit his family, who live in Iran as refugees. Photograph: Abdul Karim Hekmat

Today nearly 29,000 people live in Australia on a temporary permit to reside in the country known as a bridging visa E (BVE). Yet they are the invisible. They live in the shadows, on the fringes of Australian society.

Bridging visa E is for people who have at some stage been judged to have been unlawfully in Australia. Typically they are granted to asylum seekers who have arrived by boat and have made claims for refugee protection. Balan was one of these, having fled the continuing and brutal persecution of the Tamil minority in post-civil war Sri Lanka.

BVEs can be valid for 28 days or up to three years. Hundreds of people have lived on rolling visas, one temporary solution after another, for more than five years.

Many cannot access healthcare somewhere around a third have no right to Australias publicly funded Medicare despite the fact that they may carry physical and mental scars from their homelands, their journeys and their initial incarceration under Australias policy of mandatory detention.

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We have been forced into isolation: life on a bridging visa

Many cannot legally work. The immigration department declined to answer the Guardians questions about how many bridging visa holders have the right to seek employment. But information from community organisations who work with asylum seekers found only about two-thirds of bridging visa holders have work rights despite a parliamentary deal more than a year ago that they all be granted the right to earn a living.

Those without work rights are reliant on limited government welfare, the benevolence of friends and charity, or risking their liberty taking cash-in-hand jobs in the underground economy.

A black market job offers some financial respite but leaves bridging visa holders vulnerable to exploitation by employers who may underpay them or refuse to pay them at all and threaten to ring immigration if they complain.

Delays caused by immigration department cutbacks, massive staff turnover rates and more-than-occasional bouts of bureaucratic incompetence mean asylum seekers often spend months waiting for new bridging visas to be granted months spent living in the shadowlands of no income, no support and no healthcare: no legal right to be in the country.

Parliament heard in February that at least 1,400 people are in this position in Australia right now.

Several BVE holders report having to quit jobs because the looming expiration of their visas means they can no longer work legally.

Indeed they say they face exploitation at every step: from real estate agents who charge exorbitant penalties for late rents to salesmen who charge usurious rates of credit on white goods.

And their progression to substantive visas has been hampered by government cuts to legal services. In 2014 the government removed access for BVE holders to immigration advice. Asylum seekers have been left to navigate the byzantine process of applying for substantive visas on their own, negotiating complex forms in English for many their third or fourth language.

As a final imposition, bridging visa holders are required to live under a punitive code of behaviour that not only proscribes criminal activity already outlawed by statute but prohibits them from engaging in undefined disruptive activities that are inconsiderate [or] disrespectful.

The prohibitions exist over and above the laws of the land but they require no charge to be laid, no evidence, no proof.

One bridging visa holder has been incarcerated for more than two years for drinking a beer on a train.

For all of the heat and light over Australias immigration policies, BVE holders are the forgotten. Freed from the bonds of detention, they are, supposedly, the fortunate. Often their lives only puncture the public consciousness when they end.

In the early hours of the morning of 27 October 2015, an Iranian asylum seeker, Reza Alizadeh, hanged himself in a public stairwell at Brisbane airport. He had lived on a succession of bridging visas since 2013.

In the same month an Afghan, Khodayar Amini, set himself on fire while on a video call with two refugee advocates. He said he feared being detained again.

In June, Raza, another Afghan, jumped in front of a Perth train. He was living on a bridging visa and had been interviewed by police a day earlier.

In October 2014, a 29-year-old Tamil, Leo Seemanpillai, set himself on fire outside his house. He suffered burns to 90% of his body and died in hospital.

And in February of that year, Rezene Mebrahta Engeda drowned himself in the Maribyrnong river, reportedly out of concern he was about to be deported back to Eritrea.

But those violent tragedies are the visible exceptions to the invisible rule. Tens of thousands of others on bridging visas are trapped in a dispiriting cycle of hardscrabble survival.

During a six-month investigation, the Guardian met dozens of people living in Australia on bridging visas. Over shared meals, while travelling, as they worked or relaxed, the men and women spoke almost uniformly of the endless uncertainty of their existences, the grinding poverty of their circumstances, their separation from family and community, and their difficulties finding work or education to restart interrupted lives.

Dawood, an Afghan asylum seeker on a BVE, cannot travel to see his family, or be reunited with them in Australia. He has not seen his daughter since she was three months old. She asked him if he would be home for her fifth birthday:

My wife is crying over the phone and asking me, When you come, when you come? I say, come next month, come next season, or come next year but four and a half years passes like that. You know, you cant lie to your child, she is little. I want to be besides her, to celebrate her birthday like every other father. What I am going to do? They keep us in this situation. I will miss many more birthdays.

Ali Sadaat, an Iranian teenager who was on a BVE, has been detained for two years and is now being held indefinitely on Christmas Island for drinking a beer on a train:

I dont want to be without freedom. Pray for me. This is real. I cant see light at the end of the tunnel.

Shams was barred from school in Australia after one week because he had turned 18. No longer a minor BVE holder, he was no longer eligible to attend secondary school:

I was very disappointed. I went home and cried for many days. I had no work rights, no study rights. I sat all day at home either thinking or crying. Nothing to do.

Haleema, an Afghan Hazara, says she cant afford to feed or clothe her children properly:

I cant buy fruit. I just buy second-hand fruit, the rotten ones [that] no one buy. If I buy rice, I cant buy bread. Most of the time I give potato to my children. I cant buy anything else. I cant buy shoes and uniforms for my children going to school.

A Tamil asylum seeker, speaking on condition on anonymity, fears being re-detained or deported:

We are scared to go and meet the government. We are scared they will take us and deport us. We know that has happened to people we know. People go for a meeting with the department and they just never come back.

These are the voices of those rarely heard, the stories of those holding together an existence amid the shifting sands of a capricious regime: a unsparing present before an uncertain future.

Many in their situation are afraid to speak out. Doing so, they fear, will damage their claim to refugee status or lead to them being taken into detention. Others speak only on condition of anonymity, fearful that talking publicly will be viewed as a breach of the code of behaviour they regard as an oppression.

Every bridging visa holder knows of someone who went for a routine interview with the department and never came home, taken in for detention not only indefinite and capricious but unchallengeable.

We are the forgotten people, one BVE holder says on a late-night outer-suburban train. Everywhere here is heaven, he says, gesturing out the window to the warmly lit houses outside. But we live in hell and no one sees, so no one cares.

Asylum seeker Zaman chooses a quiet corner in his crowded share house to speak to his wife and daughter in Afghanistan. Photograph: Abdul Karim Hekmat

Lives in limbo

After Balans death, his friends tell the Guardian the tragedy was a reminder to them all of the fragility of their existence in Australia.

The fear of death came too close, one says. Things like that could happen to us here and we have no family. No one to watch out for us. If something happens, no one can help us.

But they understand, too, how his death happened: his desire to save money, to stretch every dollar, is one they understand acutely.

There is never enough, one man says quietly. He relies on the generosity of charities and friends in often only marginally better situations than his. I feel ashamed because I want to support myself but I cant.

Bridging visa holders say they are vulnerable to exploitation. A three-bedroom apartment the Guardian visits has six BVE holders living in it. Paint peels from the walls and the security screens lean dispiritingly from the windows but its residents are happy to have this place. Houses, they say, are hard to find. With no references or rent history, applications from bridging visa holders go to the bottom of the pile, even if they have the backing of a community organisation or a charity.

The men who live here feel their hold on their home is precarious. They say if they are a single day late with their rent they are charged penalties that have run into the hundreds of dollars or risk eviction yet they see themselves as fortunate.

Hundreds of bridging visa holders sleep rough or couchsurf, prevailing as long as they can on friends and other BVE holders momentarily more fortunate. It happens at this flat. There are only three people supposed to be here but many many more stay, one asylum seeker says. All the time, extra people.

At another household, asylum seekers say they were sold white goods on credit with huge interest repayments they didnt properly understand. The repayments continue still, even though the washing machine they bought has long since stopped working. They dont have the money to fix it.

The Rev Dr John Jegasothy, a former Tamil refugee and now an Australian citizen, says life on a bridging visa is enforced penury and a poverty made worse because of its interminable nature. People spend years eking out an existence, Jegasothy says, wasting the best working and studying years of their lives, not knowing whether theyll suddenly be deported, finally granted a visa, or simply held longer still in the fraught limbo of the bridging visa loop.

They are treated as second-class people,Jegasothy says. They dont know what will happen to them and they suffer in silence, because they are invisible to the rest of Australia.

For those with children, the privations of the bridging visa regime are compounded.

Haleema, an Afghan Hazara, fled to Australia with her family in 2012 after years as a refugee in Iran where she faced constant threat of arrest, persecution and deportation, and where her two sons could not go to school.

She said her only thoughts of Australia were of finding a safe home for her sons. We thought if we go somewhere else we can be safe but our life is the same as before when we were in Iran: we live in constant fear.

I cant sleep at night. I dont know what happen in the future, if we will be sent back or stay here.

Haleema told the Guardian her children suffered because of the financial strictures of life on a bridging visa. Most of my money go to rent. I have only $100 left [each week] and its not enough, she says.

I sometimes cant buy milk and bread for the house. I cant buy fruit. I just buy second-hand fruit, the rotten ones [that] no one buy. If I buy rice, I cant buy bread.

Most of the time I give potato to my children. I cant buy anything else. I cant buy shoes and uniforms for my children going to school.

On the Newtown doorstep of Sydneys Asylum Seeker Centre, about 35 new people arrive every week, seeking all manner of assistance: from the immediate urgent medical attention, a roof over their heads and a bed for the night, food or clothing to the progressive help with the labyrinthine visa application process, legal advice, aid finding work or a home to lease.

Sixty per cent of those who present at the centre are homeless or at risk of becoming homeless. Some may have spent a night outdoors, in a hostel, or a whole family may have been living in one room, says the centres chief executive, Frances Rush. But when their money runs out they have no alternative but to seek help and so they come to charities such as the centre.

Our immediate priority is to make sure they have somewhere to sleep that night, food to eat and provide them with urgent medical care if needed. Once we have them in a stable situation, we can then assess what their longer term needs are.

The first days on a bridging visa are often the most difficult, Rush says. About 60% of those assisted by the centre are not boat arrivals but came by plane to Australia.

Many have suffered horrendous experiences which forced them to flee for their safety. They have had to leave their whole identity behind: their culture, family, friends and work or career. On top of this they have had to endure the physical journey which in itself can be very traumatic and dangerous.

So while they may feel safe when they arrive, applying for protection and getting back on their feet in a strange land is also a long and complicated process.

The Guardian put a series of questions to the Department of Immigration and Border Protection and its minister asking about the number of BVE holders, their circumstances and the conditions applied to them. Both refused to answer in detail. The ministers office provided a statement:

Labors border failures allowed more than 50,000 illegal maritime arrivals to flood into Australia over six years, which placed unprecedented pressure on the system. Labors no advantage policy introduced in 2012 effectively froze illegal maritime arrival processing. Labors mess the legacy caseload of 30,000 unprocessed illegal arrivals was left to the Coalition government to deal with.

More than 23,000 bridging visas were granted in 2015, most with no restrictions on work. BVE holders generally have access to Medicare. Labor further compounded processing of the illegal maritime arrival caseload by opposing legislation for temporary protection visas (TPVs) and safe haven enterprise visas (Shevs) until the end of 2014. Processing could only begin mid last year several thousand applications for TPVs and SHEVs are now being processed.

Dutton has said the legacy caseload could take a decade to process.

Other organisations are concerned less with which party is in power but with the manifestation of the bridging visa regime itself.

The UN high commissioner for refugees found, in a report three years ago, that those on bridging visas without work rights in Australia are unable to meet their basic needs and are living in a state of destitution.

Bridging visa holders had poor housing and went without essential items such as beds or refrigerators: An income below the poverty line has led to an overwhelming reliance on community organisations for food, clothing and furniture. Being reliant on income support and not being permitted to work is, for many, felt as shameful and demoralising.

The lives of asylum seekers in the community are largely characterised by uncertainty about their futures and the processing of their claims, and the impact of constant policy changes.

This year Gillian Triggs, the president of the Australian Human Rights Commission, said the holding of people for years on a succession of bridging visas was a very significant breach of basic human rights.

Really, [it is] a failure to respect their right to claim the status of a refugee, she said. Its easy to demean people who dont yet have that status and we hold them for many many years without having determined their position.

Unable to sleep, Farid calls his family overseas. He is comforted by hearing his elderly mothers voice but feels sad when she asks: When will you come home to see me? Photograph: Abdul Karim Hekmat

Strangers to their families

In a weather-beaten house in a quiet suburb of western Sydney, five men sit in silence. Dark brown curtains veil the three large windows, and a television, coated in thick dust, is switched off in a corner. No one speaks. One man, his face lit by the glow of his phone, stares at the screen in front of him. The others sit in silence, one holding his head in his hands.

From the kitchen, the quiet clank of cooking can be heard. It is the turn of Farid, a lean man of quick, precise movements, to prepare their meal. Into the silence of the main room he walks, carrying a pot and the smell of lamb and spices fills the air.

Ready, he says, placing the pot on a mat in the middle of the floor, following this with an immediate apology. He says he meant to cook curry: it turned into shurba, an Afghan soup, because his mind was elsewhere and he poured in too much water.

This is what happens, when your family is not here, your mind is everywhere. The others burst into the laughter of immediate forgiveness. Their silence broken, they creep forward to sit cross-legged before the food. They begin to eat and, finally, to speak.

Farid has eyes that stare from deep within their sockets. He speaks reluctantly and uncertainly. He has been displaced from his homeland for more years than he can easily remember.

An Afghan, he lived for years as a refugee in Iran, where he was harassed and beaten by authorities because of his illegal status. He was regularly arrested and deported back to Afghanistan at that time under the control of the Taliban before he would be forced to flee again. Finally he sought somewhere more permanent: sanctuary in Australia.

But life in Australia has not brought stability. After years on a bridging visa he is still waiting to know whether he will be accepted as a refugee. His mother is elderly and she has fallen ill, but he says he cannot visit her: she is in a country he is not a citizen of nor permitted to enter. And a bridging visa does not allow a person to leave Australia and return.

Four Hazara asylum seekers sit down to a meal of qabuli palaw with fresh Afghan bread. Photograph: Abdul Karim Hekmat

My mother is crying over the phone, Please come to see me. I want to see my son one last time.

Reza is an ethnic Hazara who fled central Afghanistan for Australia in 2012. He arrived by boat in September, just after the 13 August cut-off that re-established offshore processing. He was sent to Nauru, where he spent 15 months in detention, before landing in Sydney on a bridging visa over two years ago.

The 31-year-old fled Afghanistan after surviving a bomb blast in Kabul. He lifts his trouser leg to reveal a long, jagged scar on his left ankle. His only child, a son, was two when he left. The boy is now six. Reza says he never imagined he would not see him for four years.

He pulls a phone from his shirt pocket and flicks through the images of the boy on its screen, his face briefly lighting up at seeing his sons smiling face.

I miss him so much. I want to hug him but how hard this is. Reza wipes a tear from his eye and puts the phone away.

Everything in life has a phase, he says, gazing at the floor. Ive missed a big part of my sons childhood. I miss his smile. I miss his playfulness. I missed how much he grew in four years.

The joy of raising a child is when they are little; you play with him. When he grows up he will find his own way in the world.

Those living in Australia on bridging visas say they feel trapped in a cycle of temporary solutions, with no prospect of seeing family members again or being able to sponsor their relatives to Australia.

Zaman has not seen his wife and son for four years. He worries his son will not recognise him if he ever sees him again. And he doesnt know what relationship they could have after so long apart. For how long, we wait? For how long, be uncertain?

There is nothing more comfort than having your family besides you, he says. If we were not desperate, I would not come this way [by boat]. Its very dangerous and it required a lot of courage.

Compounding the concerns of many about their separation is fear for the safety of their families. Many of the Hazara in Australia have family still living in volatile parts of Afghanistan, where the Taliban are dangerously resurgent. Last year was the deadliest year for the Hazara minority in Afghanistan since the overthrow of the Taliban in 2001.

Asylum seekers from that country monitor local media obsessively and say they are alarmed by regular reports of Hazara being dragged from buses at roadblocks and put to death at the side of the road. In November seven Hazaras were killed on a roadside in southern Afghanistan, including a seven-year-old girl whose throat was slit by wire.

I also have a seven-year-old daughter, Rauf tells the Guardian. He comes from Damurda in Ghazni, the same village as those slain. I wonder, If they cant spare a child, how could they spare anyone?

The situation is similarly chaotic along Pakistans north-western frontier. Thousands of Hazara, exiled from Afghanistan, live in two fortified suburbs in Quetta, where the ethnic minority is regularly targeted by bomb attacks.

An Iranian asylum seeker living in Melbourne with her child, who was born in Australia. The mother has been suffering trauma as a result of her boat journey to Australia and her uncertain situation on a bridging visa. A psychologist has diagnosed her as having post-traumatic stress disorder. Photograph: Abdul Karim Hekmat

One Hazara asylum seeker in Sydney, who declines to give his name, says he is so worried about his children going to school in Quetta that he calls twice a day; once in the morning before they leave for class and again every evening to know they have returned safely.

Dawood worked as an interpreter for a foreign non-governmental organisation in Afghanistan. His involvement with the west attracted the attention of the Taliban and they threatened to kill him. He arrived in Australia in June 2012 two months before the 13 August cut-off.

He was in Wickham Point detention centre near Darwin when the new no advantage rule came in. He says he remembers an immigration department representative that day announcing to about 400 asylum seekers: The new law does not apply to you. No matter what happens to the government, you will be given a permanent visa.

Four years after he arrived in Australia, and two and a half years since his interview to determine his refugee status, Dawood has had no news on his visa. Usually it takes about six months or a year to get an answer, they accept you or not. I have been waiting two and a half years, for no answer.

I believe a great injustice was done to me. They lied to us.

Dawoods daughter was three months old when he left Kabul. He speaks to her on the phone almost every day. She has been asking if he will come home next month for her fifth birthday.

I lied to her, I said I will come, he says, rubbing his unshaven chin. Thats what happens now, I am lying to my family all these years. My wife is crying over the phone and asking me, When you come, when you come? I say, come next month, come next season or come next year but four and a half years passed like that.

You know, you cant lie to your child, she is little. I want to be besides her, to celebrate her birthday like every other father, he says, choking back tears. What I am going to do? They keep us in this situation.

When Dawood arrived, asylum seekers whose claims for refugee status were upheld were granted permanent protection visas, entitling holders to be reunited with their families.

But after his case had been stagnant for two and a half years a legislative change pushed through parliament with the support of the crossbench in December 2014 reinstated temporary protection visas and created safe haven enterprise visas.

If Dawoods claim for protection is ultimately accepted that is, if Australia agrees he has a well-founded fear of persecution in his homeland and cannot be returned there he will have a visa for another three or five years but with no right to be reunited with his family. He does not know when he will see his wife and daughter again. He does not know if he ever will.

I will miss many more birthdays.

Two years detention for drinking a beer

Nothing moves outside the Yongah Hill detention centre. Only the heat shimmering across the scrubby land breaks the stillness. Even inside the centre, secreted in bushland 90km north-east of Perth, people seemed compelled to a timid inaction.

In the visitors room, conversations are conducted in hushed tones, barely above a whisper. Friends, partners and advocates sit with detainees, leaning their heads close to listen. Through a double-glazed window in an adjacent room, a sullen security guard in khaki watches over all.

On the wall hangs a picture: a crude drawing of a heart, with two arrows through it. The caption is strangely incongruous: My heart is opening wider. Love people being around me.

On the wall opposite, a poster bears the logo of Australian Human Rights Commission. In several languages, including English, it reads: People should be treated fairly in immigration detention centres.

Ali, a 19-year-old Hazara asylum seeker, prays in his home in western Sydney. He finished high school last year but cant afford to the fees to study as an international student at university or Tafe. Before coming to Australia, he lived as a refugee in Iran where he had no right to education. Photograph: Abdul Karim Hekmat

Sarwar is one of those in this immigration detention centre. He says he has not been treated fairly.

The 37-year-old Sri Lankan Muslim arrived in Australia by boat in 2012, fleeing the sectarian violence that continues to benight the country. After a brief period in detention, Sarwar was released into the community in 2013 on a bridging visa.

But now, back in detention, he holds in his hands his file the frayed, fat paper trail that everybody caught within Australias immigration system accumulates.

Sarwar is anxious to show one piece of paper in particular: a report from a doctor that reads: This man is in significant distress due to his visa not being approved for two years.

The next paper he proffers demonstrates why he is here, in Yongah Hill detention centre, with no prospect of release. His file says he is being detained for public threat to suicide; security issue and suicidal threats; working illegally as a farmer. According to an incident report: He called immigration to threaten to kill himself.

No charges have been laid against Sarwar, nor will there be. According to his file there is no investigation ongoing into his actions. Still he remains in detention. He denies any wrongdoing. I am a Muslim, I never do the wrong thing. Do not like illegal money.

He says he only told the immigration department when he called: For two days, I drink only water. I am starving, better kill myself.

I have no money, no work rights, he says.

Sarwar tells the Guardian he has two daughters and a son in Sri Lanka. No money, they starve, they no go to school.

Through tears, he says he has been detained for eight months already, while i

from All Of Beer http://allofbeer.com/2017/09/17/we-are-the-forgotten-people-the-anguish-of-australias-invisible-asylum-seekers/