UDLCO dyadic: PaJR aim , OPD buy in and a patient with Micturition Syncope

UDLCO summary: The aim of the PaJR project is to connect with humans at a scale to capture their clinical problems and develop a case based reasoning engine fueled by every individual PaJR case report. 

With that end an initial "buy in" to educate patients toward the benefits of it's asynchronous and yet persistent clinical encounter system was shared as a notice in our rural medical college, medicine department outpatient door in the local language and for a long time it remained unutilized as the predominant preferred mode was direct synchronous phone calls. 

However in recent times it has been picked up by an increasing population of rural smart phone users who may even use it to jump the que if we aren't careful. 

Persistent clinical encounters (https://www.igi-global.com/chapter/persistent-clinical-encounters-user-driven/42602), through asynchronous textual communication archived in online accessible but meticulously deidentified horcrux EHR case reports is a potentially valuable mechanism to solve individual patient problems in the community.

UDLCO glossary:

http://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1

Dyadic Transcripts between an OPD patient and PaJR coordinator while in OPD:

[27/08, 11:26] Patient advocate 35M : Hi sir sir, this is ... from mlg, when ever i was did cracking ( vollu viruvadam ) at that time i felt down , this occurred 3 to 4 times to me, this only early morning both room time means (toilet time), what is the my problem sir, what happened to me, why it's came me, anything serious problem to me, please give your valuable suggestion to me.

[27/08, 11:37] PaJR coordinator: Thanks. Please call our CEO coordinator at +91  and we will help you as a team

[27/08, 11:54] Patient advocate 35M +91 9 : Hi Sir, CEO sir said took op contact you , now i am in our hospital, i took op, which room will you meet now

[27/08, 11:56] PaJR coordinator: Medicine OPD last room

[27/08, 12:01] Patient advocate 35M +91 9: Are you in 78 OPD room sir

[27/08, 12:02] +91 9: Okay sir, i am in front of 78 OPD room,

[27/08, 12:07] PaJR coordinator: What's your number in the que

Current que number is 42

[27/08, 12:11] patient advocate 35M +91: My que no 39

[27/08, 12:12] PaJR coordinator: Then you can come in

[27/08, 12:16] PaJR coordinator: It's 48

[27/08, 12:16] patient advocate +91: Okay sir

[27/08, 12:31] PaJR coordinator:

Micturition syncope

Increased water consumption at night

Counseled to avoid water before sleep

UDLCO: Talent and culture in organizations and elder care

Transcripts:

[21/08, 08:12] So +918: https://www.linkedin.com/posts/nikhilkamathcio_elder-care-in-india-ugcPost-7231312956154650624-cl_h?utm_source=share&utm_medium=member_android

[21/08, 08:14] So +918: We are so unreliable culturally and with poor work ethics. I wonder how we can deliver consistent service. Elder care is largely about providing services... we can't trust the last mile person providing any unmeasurable service in India. Thoughts? May be we are good with foreigners... medical tourism ever took off?

[21/08, 08:27] RB: That's the difference between US and them!

[21/08, 08:28] RB: But on a positive note, we too are trainable humans where we can be made to shake off our invader shackles that apparently still have a stronghold on our collective cognition and develop more deliverable empathy where we are not paranoid about immediate ROIs

[21/08, 08:34]So +918: Every time I heard seekh jaayega... I trusted...

21/08, 08:36] RB: Oh we need a stronger system of competency based evaluation before we can trust!

Till then the system can only function with a zero trust architecture 👇

https://userdrivenhealthcare.blogspot.com/2024/08/udlco-user-driven-e-governance-and.html?m=1

[21/08, 08:36]NA +918: Elder care is a valid topic. For example, Ratan Tata’s care for self/other Sr citizens (with Shantanu Naidu from GoodFellows) is a good precedent.

For those of us who are 40-something now, India will lose its demographic dividend in 2050’s with a 2041 peak; technically at least.

India, historically and culturally, no doubt has a lot more compassion for the elderly and care. And more and more children being global citizens, will it help take care of their own elderly? 

With our strong value system, we do it today for our parents today, is it going to hold true for our next few generations? Worth introspecting. What we sow, we reap.

[21/08, 08:38] RB: At the end of the day it's ultimately about human care but yes if folks here are interested we have a focused group for that here👇

https://chat.whatsapp.com/HmLIoPMOBXX9jg731yXUao

[21/08, 08:39] NA+918: 👍

Absolutely our bounden duty.. how many think of it that way? Will join this group.

[21/08, 09:16] RB wearing a DJ hat posting another UDLCO from another group onto this group below: 

[21/08, 08:44] +91 98: https://www.ndtv.com/india-news/cancel-lateral-entry-ad-minister-writes-to-upsc-head-amid-massive-row-6376565

[21/08, 08:45] +91 : 

UPSC 

Backdoor entry 

Not lateral entry

[21/08, 09:06] br AFMC: आईजी पटेल, मनमोहन, मोंटेक...नेहरू के दिनों से चली आ रही लेटरल एंट्री फिर भी मोदी सरकार ने लिया यू-टर्न https://navbharattimes.indiatimes.com/india/manmohan-singh-ig-patel-montek-singh-ahluwalia-were-also-lateral-entry-as-it-has-been-since-nehru-day/articleshow/112643436.cms

[21/08, 09:07] br AFMC:

 Old system....

Back door entry is in practice since 1919....almost since 105 years after first elections in India.....

Beauty of democracy....😊🙏

[21/08, 09:13] +91 98: Misinterpreted 

The Modi government advertised the first vacancies for lateral entrants in 2018. On Tuesday, it asked the Union Public Service Commission (UPSC) to withdraw its August 17 advertisement

[21/08, 09:13] 

RB: Backdoor and front door entry to politics!??

Isn't politics supposed to be without walls (and doors and windows)?

[21/08, 09:17] So+918: All the jobs posted recently are on hold now. I just got this news... many jobs posted in lateral are on hold.

[21/08, 09:19] RB: Kudos to those who didn't apply (for their foresight)!

[21/08, 09:43] Group Moderator: ** housekeeping message **

Dear friends, while this particular community has become very broad based from the original "talent & culture" charter, and maybe for a reason, I request everyone to still use their own self-judgement on how to leverage this community, and interact here given we are now nearly 400 and counting. We don't want too much adult supervision nor will many of us folks who took on the burden/liability to create have time to admin this 24x7, but a few things that come to mind (this is for everyone, not one or set of people so kindly take it in stride in terms of trying to improve impact and value here)

- best to avoid any direct messaging that maybe constituted as "abuse" towards individuals and companies. There are ways to give constructive criticism or even give blunt feedback and register discontent and disagreement. Please remember at all times that this is a professional community. Thus language also becomes important. 

- best to minimize 1/1 lingering chatter and casual messages. Pl remember the significant membership here.

- best not to use this community for entertainment value. That said, we are human may digress from time to time but we can keep in mind. Again, this is a professional community assembled to talk about talent & culture and all areas for learning and improvement etc

- best not to use this community for every possible topic under the universe. While what you post maybe important to you, pl consider if it somewhat matches with mission here. for example, posting on LinkedIn, Facebook maybe better avenues to get your word out etc. This is very subjective so request each of us reflect on what makes sense here etc. 

- you can add to this pl. Your input is very important. This is your community. 

Also, pl keep in mind that most though not writing are reading messages so our reputation is also at stake. We want this to be an informal channel to debate & discuss important issues and opportunities too that can help us learn from each other and help raise and influence the quality of our ecosystem.

Thanks to all for being members of this important community! 

Best wishes,

[21/08, 10:50] Group Moderator: We can run a survey in a while but request all of you to chime in on your thoughts on scope and guidelines (not rules!) that would be appropriate here. So far it has been a ton of learning and important topics for me. Thanks!

[21/08, 17:33] AK +918: The other communities (Healthcare, Prod Mgmt etc..) can be focused on their charter.  The Talent and Culture and specifically culture is a broad topic and we can keep it more open for broad-based discussions. Sometimes we may have disagreements but that is ok and by nature T&C topics will have different opinions.

[21/08, 17:48] Group Moderator: thx  Other suggestions and advise? The community needs to own the charter here.

[21/08, 21:07] J +913: I had joined this group/community to see how individuals/members identifies and nurtures talent and creates culture of excellence in teams and scales it across organization. In the early days, I found some of the discussion, even though broad and not tied to above expectations, was helpful. 

However off lately, we seem to covering everything under the term culture 🙂

Personally, I'd benefit and recommend admins to define/create guard rails around talent & culture. These guard rails act as a reference point for members to have open conversations around them.

[22/08, 02:14]RCP +911: Culture is what someone is and does

[22/08, 02:19] RCP +911: Culture is what not to be. Culture is not about touching an elderly person's feet. It is about the intangible emotion (the respect) behind the act. This a small example.... My two cents on this. What we feel and do with a sense of ownership and authenticity is culture

[22/08, 06:04] SK+910: Culture is intangible and invisible behaviour which is demonstrated and driven by founder at the very core. Vision, mission and values, help determine framework, including rules, policies and procedures. The consistent demonstration of values defines behaviour and eventually the habits where everyone is motivated towards the vision. The culture is how you live your values, expectations managed and consistent communication, resulting in subconscious and consistent ritual on day to day basis.

[22/08, 07:42] kb +914: Culture for me is how a group of people act when in a trough and crest kind of situation in their day to day life

[22/08, 08:02] RB: Seeing that this group is about 'talent and culture' let me attempt to broaden the scope but keep my definition as brief as possible in one sentence:

Talent is the potential for performance in a social group (workplace, society, nation etc)while culture is the overall performance (including the responses of the group to each individual's performance)that can be viewed through different zoom lenses sometimes from up close (individuals who believe in participatory action as well as a ringside view) and sometimes from outer space (policy makers) and our appreciation of the performance would also heavily depend on the lens/opera glasses we used at the time of viewing!

UDLCO glossary:

https://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1

Image licence:

https://commons.m.wikimedia.org/wiki/File:Gobustan_ancient_Azerbaycan_full.jpg#mw-jump-to-license

UDLCO: User driven E governance and justice in a system built on zero trust architecture

Transcripts: 

[15/08, 22:27] AyI: Absolutely. 

Are our medical college hospitals safe?

[15/08, 22:30] S: No

[15/08, 23:01] T: It is a manifestation of decay in the moral fabric of the Indian society.

Medicos are a sub-set of the greater Indian society.

As other sections of the societies are suffering these distortions and barbarism, decline in governance and indifference of the society at large (except some short term outrage). The people in general themselves do not want to strive on a sustained basis to force the political class to improve overall  governance

As a subset, medicos also have to face such barbarism and related distortions

In the earlier days when Kings used to rule, there was a famous saying

Yatha Raja, Thatha Praja

(The people are as good as their King)

In democracy, the new saying is 

Yatha Praja

Thatha Raja

( The Ruler is as good as its people)

Only a vigilant citizenry can bring positive change in our society

People need to mature from being mere voters to being vigilant citizens

[15/08, 23:05] Ay: True Sir... 

Yet we need to identify the source of such decay. 

None of us can even name (not allowed per law) the single institution the corruption in whose veins is the cancer of our society. 

It's not the political class with it's public show of moral decay

🙏

[16/08, 08:31] SB: WB is in a state (sic) anarchy. Lowest crime rate in the country, my foot. Lowest reported crime cases as the authorities pressurise the victims to “settle the matter with the perpetrators and not report the matter”. Statistics is subject to many biases.

[16/08, 08:38] S: Yes statistics only speaks no. seen ..cant tells about history behind data capturing

[16/08, 09:04]AyI: What is the root cause Sir?

[16/08, 09:09] R: Power play when corrupt power chooses to play their war games by keeping the guns on not so powerful shoulders.

Listen to the current principal of RG Kar medical college and ex Vice Chancellor, WBUHS in this video posted by her in her channel 10 days back 👇

https://youtu.be/ecVRtv9WKD0?feature=shared

It's a 6 beat sequence in dadra with the prosody bound in the ontology Chhayanat that was written by RNT while at Bucharest in 1926, to be precise, (21/11/1926) aka 7 Agrahayan 1333.

[16/08, 09:11] AyI: Power corrupts... Absolute power corrupts absolutely... 

Where is that seat of absolute power leading to absolute corruption? 

The last I remember, a senior professor was found in breach of societal norms for having raised this question in a research paper

(The news item has vanished! Will try possible avenues to look for an archived copy) 

.... 

The song you shared the link to is wonderful https://tagoreweb.in/Songs/pooja-233/arup-tomar-bani-4395

So I guess the implication by the poet was that such absolute power is formless. In that case it would be corruptionless too? But such is not the case. 

Essentially the debate between suddha adwaita and vishishta advaita

While we can draw inference from the philosophy, the question at hand aligns more with the philosophies of Charvak, or maybe Ajivika

So where is that absolute seat of corruption in this current existential realism? 

(PS: I understand I write in crypt... That's to avoid the crypt... At least for now 🙂)

[16/08, 09:12] RB: Great! Who's that professor? Please share the link to that research paper!

[16/08, 09:20] ATP: this photographer committed suicide. He could not stand the adulation he received. Our corporate hospitals are the bird, we this kid. 🙄

16/08, 09:30] Rakesh Biswas: And the photographer is health IT?

[16/08, 09:22] ATP: our political system, where simple majority wins, though opposition numbers would be much larger. caste money gundaism used by politicians to rule. Citizen awake, arise. Demand your right. System yields.

[16/08, 09:28] Ay: For a maximum period of 5 years at a time. Another reason I discount polity as the seat of such absolute corruption is that its corruption open and visible, with limited absolution - one can write and yell about it, without naming individuals. 

That is to say... There are remedies... No matter how difficult or practically constrained

There is a seat of absolution in our societal framework which enjoys absolution, and hence any corruption in its form becomes absolute corruption. It's like Lord Voldemort, one who must not be named... (And even with these utterances I risk the skull clouds showing up 🙂) 

Do explore 🙏 (and... I understand we are far from the topic so will just leave us with the imploration to explore)

[16/08, 09:32] RB: This sounds like deidentified horcrux EHRs as the unit of health IT big data driven healthcare learning! Yes the same principle can surely be applied to governance toward improving transparency accountability toward better learning in governance!

[16/08, 09:43] AB: Unless we get local administration (eg municipality, corporation, panchayat) free from politics by law that no candidate can have political affiliation, nothing is going to change.

[16/08, 09:45] RB: You mean governance without political affiliations! Yes possible in an ICT enabled future where transparency and accountability is 100%

[16/08, 09:45] AB: In US, and many European countries that's already the case for long.

16/08, 09:48] R: Agree!

I've always maintained here that the US healthcare appears more error prone as they have more global transparency and accountability while we simply love to hide all our work

[16/08, 09:48] AB: Politics can be at higher level like state .  There is no country without politics. But civic level local  administration - must be freed from politics. Mahatma and Ambedkar had the same vision

[16/08, 09:49] R: Yes and it was also labeled anarchist governance.

[16/08, 09:50] An: https://timesofindia.indiatimes.com/city/bengaluru/cybercriminals-hack-govts-tender-portal-siphon-off-rs-1cr/articleshow/70624081.cms

[16/08, 09:51] RB: What's the audit trail for the 1 crore? Show us that first?

[16/08, 09:52] RB: Fear is the biggest enemy of anarchist governance which has been an easy scapegoat for violent events in recent months but anarchism, as a political philosophy, is fundamentally about collective deliberation and responsibility.

https://www.sapiens.org/culture/anarchism-democracy/

[16/08, 09:58] ATP: healthIT is true Astra. wielding raw data my managers question all to make a self learning system, which learns continuously. post mi mortality when retrieved from system was what we then used to raise the bar. HealthIT gives power to lift the wings of operations, as a jet

[16/08, 10:00] T: Politicians don't come from Mars.

They are one of us and they represent us as a representative of a morally corrupt society at large ( though with exceptions, far and few)

[16/08, 10:05] RB: Transparency and accountability through ICT can transform that albeit Orwellian

[16/08, 10:08] SB: Why Orwellian?

[16/08, 10:14] RB: Agree that the term Orwellian may have negative connotations although in the above post the intent was to suggest that the transparency and accountability to the system is what began the governance that Orwell finally showed in a negative manner

[16/08, 10:11] Bi: private vs public ( people , process , governance , ethics, ) are always under scanner , balanced checked and compared …. from My UK NHS & private healthcare experience

[16/08, 10:12] AyI: Who will enforce that law?

[16/08, 10:14] AB: Police of course! Once they are free from local politics, they will be empowered and also held accountable

[16/08, 10:14] R: Who polices the police?

We the people?

[16/08, 10:14] AB: Yes

16/08, 10:15] RB: How?

Let's give this an ICT angle here. Let the ideas flow

[16/08, 10:15] Ay: Explore deeper... As RB put it...

[16/08, 10:16] Ay: Exactly Sir... There's a deeper cause and that is not amendable

[16/08, 10:16] R: Put the police each and every employee under a 24x7 scanner?

[16/08, 10:17] Ay: That's needed. Its a viable solution. Still it's not the root cause

[16/08, 10:18] AyI: NIST has released post quantum cryptography standards. Implement that in health IT and show other systems how ICT accountability can be established.

16/08, 10:18] AB: No, but i believe that if local administration is devoid of organised politics, then police will act impartially to greater extent

[16/08, 10:19] Ay: Police cannot. This I can safely share some research papers on

[16/08, 10:18] T: Unless people at large actively ( not passively with lip service) start pursuing good governance, we won't get people with real characters at the top.

This alone can ensure good governance in our society.

A rotten apple at the top knows how to circumvent a system with pliable administration.

Hope, in democracy, people realise their own powers and transform themselves from being mere voters to active & vigilant citizens.

Till then, we are condemned to be ruled by the quality of leaders we choose

[16/08, 10:21] RB: Active vigilance will need them to share and trade off a little privacy toward better transparency and accountability. We have begun this movement at the grassroots and pursue it in our daily EHR workflow

16/08, 10:20] AB: So how does us and Europe system work? Not saying police there isn't corrupt

[16/08, 10:22] R: They aren't doing well because their transparency accountability has been at the moment hijacked

[16/08, 10:22] SB: I wonder. Have any research studies been conducted anywhere to assess whether adopting good governance is better than not? A good measure would be the consequences of not. Legal costs, penalties (fines, incarceration with loss of license to practice), loss of income, loss of good will, loss of brand value is the collective risk, which is the price of non-adherence. Actually, a financial calculation will also work. Present Value of expenses incurred due to adoption of good governance, versus non-adoption.

[16/08, 10:24] R: Nailed it

None done till now after Orwell's thought experiment!

The buy in to carry out the project at a large scale would be humungous and hence we carry on at a small scale grass roots level

[16/08, 10:26] R: Yes so no human policing please just ICT enabled (maybe even AI enabled but keep the robots out) policing?

[16/08, 10:29] AB: Then we will have skynet or the robots who have figured out how to re-interpret the 3 laws of robotics.

[16/08, 10:31] R: From Orwellian to James Cameroonian!

[16/08, 10:34] AB: Both are correct. Asimov will be proven right in time. If you reflect, every revolution, every democratic dream, every great "reform" has transformed the way Orwell described in animal farm or 1984

[17/08, 09:45] R: List of publications from 2001-2024 from one single institute in the country currently making a huge splash with their latest work:

2001: https://timesofindia.indiatimes.com/city/kolkata/porn-ring-behind-students-murder-at-r-g-kar-medical-college-in-kolkata/articleshow/1900044424.cms

2003: https://timesofindia.indiatimes.com/city/kolkata/rg-kar-housestaff-commits-suicide-inside-hospital/articleshow/36602543.cms

2016: https://timesofindia.indiatimes.com/city/kolkata/rg-kar-housestaff-commits-suicide-inside-hospital/articleshow/36602543.cms

2020: https://indianexpress.com/article/cities/kolkata/kolkata-junior-doctor-suicide-r-g-kar-medical-college-hospital-covid-19-6388954/

Jan 2023: https://timesofindia.indiatimes.com/city/kolkata/medical-student-dies-during-trekking-in-uttarakhand/articleshow/97215163.cms

Aug 2023:

https://timesofindia.indiatimes.com/city/kolkata/rg-kar-intern-dies-of-drug-overdose/articleshow/102689652.cms

https://medicaldialogues.in/news/health/doctors/rg-kar-medical-college-intern-found-dead-under-mysterious-circumstances-115825

[17/08, 10:25] ATP: Every one should watch

https://youtu.be/GyEMbIRYVGA?feature=shared

[17/08, 10:25] ATP: #QuestionWrong

[17/08, 10:32] R: He messes it up at 1:57!

They didn't say anything because of their fear of his power and not because they were unaffected

It's a good video demonstration of the pitfalls of role playing!

If this role playing by the teacher to demonstrate the ethics of protest happened in real life, the students would have still kept quiet and as soon as the class was over they would have all gone and complained to the principal.

Expecting students to reflexly stand up to authority without any thoughtful assessment of the situation is bad teaching on part of the professor?

As it happens also in the video, the students turn out to be more thoughtful and intelligent as it eventually becomes clear that their Professor was simply role playing and if they actually reacted they would have been caught in an embarrassment once the professor revealed that he was role playing!

[17/08, 12:37] Ay: Anarchy is the suggested solution in this video.

While we can keep mulling over possible solutions with questions like what are laws for, and someone or the other says justice - the question we need to ask ourselves is "how is justice delivered"

Let's say in the case of this video, had the other students spoken up there were a few possible scenarios

1. No results... The students stage a walk out, and likely the class gets suspended, as otherwise the management of the institution would risk further incidents of insubordination

2. The student was allowed back in, at the risk of other real trouble mongers among the students getting emboldened as to the "power of the voice"

For the sake of simpler arguments, let's just say that the student was let back in. Would that have been justice delivered? 

What about the indignation she had suffered? So the professor or whoever the man in the coat was, may have had to pay a penalty, suffer an official reprimand, or even get suspended. 

Who would decide that quantum? The head of the institution? 

Any action against the professor will most likely be seen as revenge, and principles of jurisprudence do not look nicely upon revenge. Justice as pointed out in the video is about revenge. 

Laws are there to maintain law and order. Just like LLB is a degree of the law of laws, laws are there to maintain laws themselves. A self fulfilling prophecy. 

There was an addition by juridical thinkers that order must be associated. But order is just that order. 

Let me share a record from UK House of Lords, whose legal precedence we follow, and may be referred back to in matters of law in the common law dominions. 

Disclaimer: Nothing in this message should be construed as connotated against the justice delivery system. We must always strive to put our utmost faith in the justice system

[17/08, 12:50] ATP: if German people had questioned, Hitler would have just been a painter. millions of jews would not have gone to auchwitz

[17/08, 12:51] SB: Anarchy is never the answer. Can never be the answer. Should never be the answer.

[17/08, 15:24] Ay: Worth exploring these authors

https://en.m.wikipedia.org/wiki/Why_Nations_Fail

[17/08, 15:25] Ay: If we are serious about addressing an issue... Let's address the issue, or stop giving ourselves thought candies!

[17/08, 16:25] Ay: Only the Sovereign is absolute. So says Thomas Hobbes

Which elements of the world's largest democracy represent the erstwhile monarchical sovereignty? Which among these is beyond correction by people or their representatives

https://lawdefine.blogspot.com/2017/04/thomas-hobbes-absolute-sovereignty.html?m=1

[17/08, 22:21] MA: Securing the Internet of Medical Things: 10 Effective Ways

The following is a guest article by Vinugayathri Chinnasamy from Indusface.

The Internet of Medical Things (IoMT) is revolutionizing the healthcare industry by creating a connected infrastructure of medical systems and services that are helping enhance patient outcomes. But they come with newer security risks too. 63% of healthcare organizations in 2019 faced security incidents owing to the insecure and unmanaged Internet of Medical Things. Given the increasing costs of data breaches, IoT security in healthcare is indispensable.

Continue reading to find out more about IoMT and powerful insights on securing the Internet of Medical Things.

What is IoMT?

The Internet of Medical Things (IoMT) is the amalgamation of medical devices and applications that use networking technologies to connect to healthcare IT systems. The IoT in healthcare is helping improve patient outcomes and enhancing patient experiences, optimizing costs, enabling quicker, more accurate diagnosis, enabling effective remote monitoring of chronic diseases, and bettering drug management, among others.

Why is IoT Security in Healthcare Necessary?

Today, a hospital has an average of 15-20 medical devices such as smart beds, ventilators, insulin pumps, IV pumps, etc. If any of these devices have vulnerabilities or security weaknesses such as unpatched software or outdated OS, attackers can easily breach them and access the connected devices.

Attackers could weaponize these devices and cause harm to patients. Or they could orchestrate a ransomware attack to extort huge sums of money from healthcare organizations. Given the criticality of these devices to patient safety and life, organizations may end up paying the ransom.

Healthcare organizations collect, store, and transmit a large volume of sensitive patient data using these connected devices. So, unprotected Internet of Medical Things pose a threat to data security and attracts huge penalties if a breach occurs.

10 Effective Ways to Secure the Internet of Medical Things 

1. Maintain an Updated Inventory of Assets

One of the main problems with IoMT security is that organizations do not know what devices they have, who owns them, or their location or uses since IoMT is mostly unmanaged. This creates a major blind spot for healthcare organizations. By maintaining an updated asset inventory, this problem can be solved. Through a combination of intelligent scanning tools and regular pen-testing, organizations can continuously update their asset inventory, including hardware, software, firmware, devices, systems, third-party components, and so on.

2. Deploy a Zero Trust Architecture 

A zero-trust architecture insists that trust must not be implicit but continuously evaluated. Given how lucrative healthcare data is in the black market, healthcare organizations must deploy a zero-trust architecture. To this end, they must deploy multi-factor authentication to prevent rogue devices and attackers from connecting to the network. They must implement granular role-based permission to prevent unauthorized access to data not required for a particular set of users.

3. Strictly Enforce a Strong Password Policy 

Most Internet of Medical Things is left with default usernames and passwords. And this has deadly consequences for healthcare organizations as they are left open to a whole range of attacks. So, they must strictly enforce a strong password policy. Healthcare organizations must create new, unique, and strong passwords when adding IoMT devices to the network.

4. Updates Shouldn’t Be Missed 

From MRI machines to wearables, outdated IoMT devices are causes for concern. Updates for software, OS, and firmware come with critical security patches to fix known weaknesses, vulnerabilities, and gaps. When updates are missed, healthcare organizations provide easy entry points to attackers. Organizations must create a schedule and prioritize the updates for critical IoMT devices to minimize risks.

5. Virtual Patching 

It is also possible that the vendor does not release updates for a particular software/ component. While it is ideal for removing such outdated components, it is not always possible as critical equipment and devices may be using it. In such cases, the organizations can rely on virtual patching and/or isolating the component from the network to minimize security risks.

6. Actively Monitor IoMT Devices 

It is not enough to know what assets exist to strengthen healthcare IoT security. Healthcare organizations must actively monitor IoMT devices in real-time, analyze behavior patterns, flag and alert the security team about anomalies and maintain detailed reports.

7. Segment Network  

Healthcare organizations must logically segment their network into different zones with customized security and access control policies based on the devices. For instance, network exposure can be minimized for critical vulnerable devices by segmenting them from other devices and areas of the network.

8. Closely Monitor Traffic 

Granular monitoring and analysis of incoming traffic are imperative. No requests must reach the server without validation and analysis. Malicious requests and bad bots must be blocked from accessing the network or devices. This helps prevent DDoS attacks and other attacks or minimize their impact—leverage a next-gen WAF like AppTrana for the same.

9. Configure Everything 

Do not leave any IoT device or system unconfigured as it creates vulnerabilities that attackers can exploit. So, assume everything needs configuring and do the needful. For instance, disable features that aren’t necessary.

10. Use End-to-End Encryption 

Regardless of whether it is in transit or at rest, data must be encrypted. This helps prevent eavesdropping, man-in-the-middle attacks, and phishing attacks, among others.

Conclusion 

Given the criticality of securing the Internet of Medical Things today, leverage a cloud-based, intelligent, comprehensive security solution to secure your IoMT devices effectively.

About Vinugayathri Chinnasamy

Vinugayathri Chinnasamy is the Senior Content Writer at Indusface, a leading SaaS company, which secures critical Web applications of 3000+ global customers using its award-winning platform that integrates Web Application Scanner, Web Application Firewall, CDN, API Protection, Bot Mitigation, and threat information engine

[18/08, 01:15] MA: https://www.amarujala.com/uttar-pradesh/pratapgarh/chief-minister-jan-arogya-mela-turned-into-a-joke-pratapgarh-news-ald3360003182

Is this a workflow problem. ?

Can Health IT address any or some of its woes ?

18/08, 07:22] R Yes

Change this episodic sham workflow by making it a persistent clinical encounter

More here:https://www.igi-global.com/chapter/open-information-management-user-driven/49881

[18/08, 03:25] Ay: Nice points. Most common attack vectors have been covered. However the write up is too superficial. I was pleasantly surprised to find "zero-trust" in the list. But at the same time mention of multi factor authentication for devices left me wondering whether the author could have done a better job with one-two days more of research! 

Missing elements:

Risk categorization. Attack vector simulation. 

Mitigation protocols and drills. 

**Guarded communication**

... and many many more

[18/08, 07:24] R: Thanks for making "guarded communication" bold

[18/08, 07:29] R: Other than guarded communication everything else can be hacked

[18/08, 07:31] AyI: Yes. Even guarded communication with quantum safe cryptography can be hacked, if paranoid diligence is not applied

[18/08, 07:36] R: In the current model of hybrid ICT driven governance, it takes one year and a tragedy (the current hack) to make guarded communications open to public!

The future hack would be to open out everything (in a guarded manner with paranoid diligence to borrow from @⁨Ay⁩) as a transparent and accountable form of model e governance

[18/08, 07:38] Ay: Prof Susan Ackerman of Yale University has spent a lifetime working on the concept. She's 80+ now, still active

[18/08, 07:39] R: Please share some links here to her work in this area

[18/08, 07:40] Ay: Corruption and Government

https://www.amazon.in/Corruption-Government-Causes-Consequences-Reform/dp/1107441099?dplnkId=6c8cb8e3-5d3c-4a49-8d30-ebc2745ed62f

[18/08, 07:44] ATP: we conducted a eGovernance conference in IIMB NCeG. finance, public health and general eG were tracks. Dr Balu and I as President & Secretary IAMIb anchored it. Many of you and other Informatics leaders were with us. It was mostly a catchup to talk about how process can be improved and use IT as a catalyst. Not sure how much has emerged from the dark stables...

[18/08, 07:45] ATP: https://nceg.gov.in/

[18/08, 07:46] ATP: we should engage here using our links to iima-cmhs & iimb

[18/08, 10:36]Ay: Place war decorated officers at all positions of responsibility. 

While that eliminates civilians like us, but somewhere a war decorated officer brings two things

1. They have come face to face with some of the most heinous facets of modern civilization (sic) 

2. They have lived a life within a disciplined framework

I would not say that being a veteran does not mean that there is no baggage, but just that the spine has been toughened enough. 

It may be detrimental to innovation, to open academic thinking, but it's high time for our educational (sic) institutions to pick up the threads on discipline. 

This young promise of a nation lost her life in one of the worst nightmares one can imagine as a parent. No matter what the society does now, that loss is irreparable. 

There are millions of so-called minor (sic) incidents being brushed under the carpet. 

Let's make the world a little different for those who come after us. 

PS: The rot is not restricted to our country alone. See https://nces.ed.gov/fastfacts/display.asp?id=804 for instance

[18/08, 10:39] R: It would still restrict our vision to just what the media chooses to show selectively!

Transparency and accountability is the key in all forms of governance and we should actively reject past decorations and push performers to show their present capabilities

UDLCO glossary:

https://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1

Figure licence:

https://commons.m.wikimedia.org/wiki/File:Iustitia_van_Heemskerck.png#mw-jump-to-license

UDLCO: Critical appraisal of a video demo of Professor's role playing to demonstrate why we need to protest for justice

 UDLCO Transcripts:

17/08, 10:25] ATP: Every one should watch

https://youtu.be/GyEMbIRYVGA?feature=shared

[17/08, 10:25] ATP: #QuestionWrong

[17/08, 10:32] RB: He messes it up at 1:57!

They didn't say anything because of their fear of his power and not because they were unaffected

It's a good video demonstration of the pitfalls of role playing!

If this role playing by the teacher to demonstrate the ethics of protest happened in real life, the students would have still kept quiet and as soon as the class was over they would have all gone and complained to the principal.

Expecting students to reflexly stand up to authority without any thoughtful assessment of the situation is bad teaching on part of the professor?

As it happens also in the video, the students turn out to be more thoughtful and intelligent as it eventually becomes clear that their Professor was simply role playing and if they actually reacted they would have been caught in an embarrassment once the professor revealed that he was role playing!

[17/08, 12:37] AyI: Anarchy is the suggested solution in this video.

While we can keep mulling over possible solutions with questions like what are laws for, and someone or the other says justice - the question we need to ask ourselves is "how is justice delivered"

Let's say in the case of this video, had the other students spoken up there were a few possible scenarios

1. No results... The students stage a walk out, and likely the class gets suspended, as otherwise the management of the institution would risk further incidents of insubordination

2. The student was allowed back in, at the risk of other real trouble mongers among the students getting emboldened as to the "power of the voice"

For the sake of simpler arguments, let's just say that the student was let back in.

Would that have been justice delivered? 

What about the indignation she had suffered? 

So the professor or whoever the man in the coat was, may have had to pay a penalty, suffer an official reprimand, or even get suspended. 

Who would decide that quantum? The head of the institution? 

Any action against the professor will most likely be seen as revenge, and principles of jurisprudence do not look nicely upon revenge. Justice as pointed out in the video is about revenge. 

Laws are there to maintain law and order. Just like LLB is a degree of the law of laws, laws are there to maintain laws themselves. A self fulfilling prophecy. 

There was an addition by juridical thinkers that order must be associated. But order is just that order. 

Let me share a record from UK House of Lords, whose legal precedence we follow, and may be referred back to in matters of law in the common law dominions. 

Disclaimer: Nothing in this message should be construed as connotated against the justice delivery system. We must always strive to put our utmost faith in the justice system

[17/08, 12:50] ATP: if German people had questioned, Hitler would have just been a painter. millions of jews would not have gone to Auschwitz

[17/08, 12:51] SB: Anarchy is never the answer. Can never be the answer. Should never be the answer.

[17/08, 15:24]AyI: Worth exploring these authors

https://en.m.wikipedia.org/wiki/Why_Nations_Fail

[17/08, 15:25]AyI: If we are serious about addressing an issue... Let's address the issue, or stop giving ourselves thought candies!

[17/08, 16:25]AyI: Only the Sovereign is absolute. So says Thomas Hobbes

Which elements of the world's largest democracy represent the erstwhile monarchical sovereignty? Which among these is beyond correction by people or their representatives

https://lawdefine.blogspot.com/2017/04/thomas-hobbes-absolute-sovereignty.html?m=1

UDLCO glossary:

https://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1

Template for PaJR user driven history taking to build the initial case report problem representation

Questions for the patient advocate;

Please describe your patient's sequence of events that led to the current problems. Please begin the sequence of events from the time your patient had absolutely no problems at all. 

Please describe your patient's hourly  routine over 24 hours when he was perfectly alright 

Next please describe what happened to his hourly 24 hour routine once the disease took hold on his life 

Please mention specifically which part of the patient's hourly routine was disrupted 

What are the patient's current requirements from us like if we had to give him a single medicine which problem would they prefer it to address?

Please post the patient's clinical photo of abdomen and arm muscle as demonstrated below in the image here:

and post the photo of any other problematic bodily area taking care such that it doesn't reveal the patient's identity

Task for PaJR team:

Prepare the patient's problem list and perceived requirements list in order of priority 

Formulate a plan for each one of the problem requirements  listed

More here on how they may create a dynamic case report (EHR)  : 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm

Bengali:

রোগীর অ্যাডভোকেটের জন্য প্রশ্ন;

অনুগ্রহ করে আপনার রোগীর ঘটনাগুলির ক্রম বর্ণনা করুন যা বর্তমান সমস্যার দিকে পরিচালিত করেছে। আপনার রোগীর একেবারে কোন সমস্যা না হওয়ার সময় থেকে ঘটনাগুলির ক্রম শুরু করুন। 

অনুগ্রহ করে আপনার রোগীর 24 ঘন্টা ধরে তার প্রতি ঘন্টার রুটিন বর্ণনা করুন যখন সে পুরোপুরি ঠিক ছিল 

এর পরে অনুগ্রহ করে বর্ণনা করুন যে একবার রোগটি তার জীবন ধরে নেওয়ার পরে তার প্রতি ঘন্টা 24 ঘন্টার রুটিনে কী ঘটেছিল 

রোগীর প্রতি ঘণ্টার রুটিনের কোন অংশটি ব্যাহত হয়েছে তা বিশেষভাবে উল্লেখ করুন 

আমাদের কাছ থেকে রোগীর বর্তমান প্রয়োজনীয়তাগুলি কী যেমন আমরা যদি তাকে একটি ওষুধ দিতে হয় তবে তারা কোন সমস্যাটি সমাধান করতে পছন্দ করবে?

অনুগ্রহ করে রোগীর পেট এবং বাহুর পেশীর ক্লিনিকাল ফটো পোস্ট করুন যেমনটি নীচের ছবিতে দেখানো হয়েছে:

এবং অন্য কোনো সমস্যাযুক্ত শারীরিক অংশের ছবি পোস্ট করুন যাতে রোগীর পরিচয় প্রকাশ না হয়

PaJR দলের জন্য কাজ:

অগ্রাধিকার অনুসারে রোগীর সমস্যা তালিকা এবং অনুভূত প্রয়োজনীয়তার তালিকা প্রস্তুত করুন 

তালিকাভুক্ত প্রতিটি সমস্যার প্রয়োজনীয়তার জন্য একটি পরিকল্পনা প্রণয়ন করুন

তারা কীভাবে একটি ডায়নামিক কেস রিপোর্ট (EHR) তৈরি করতে পারে সে সম্পর্কে আরও এখানে: 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm

Hindi:

रोगी अधिवक्ता के लिए प्रश्न;

कृपया अपने मरीज़ की उन घटनाओं के क्रम का वर्णन करें जिनके कारण वर्तमान समस्याएँ उत्पन्न हुईं। कृपया घटनाओं का क्रम उस समय से शुरू करें जब आपके मरीज को बिल्कुल भी कोई समस्या नहीं थी। 

कृपया 24 घंटों में अपने मरीज़ की प्रति घंटा दिनचर्या का वर्णन करें जब वह बिल्कुल ठीक था 

इसके बाद कृपया बताएं कि एक बार जब बीमारी ने उनके जीवन पर कब्ज़ा कर लिया तो उनकी प्रति घंटा 24 घंटे की दिनचर्या का क्या हुआ 

कृपया विशेष रूप से उल्लेख करें कि रोगी की प्रति घंटा दिनचर्या का कौन सा भाग बाधित हुआ था 

मरीज की हमसे वर्तमान आवश्यकताएं क्या हैं, जैसे कि अगर हमें उसे एक ही दवा देनी हो तो वे किस समस्या का समाधान करना पसंद करेंगे?

कृपया रोगी के पेट और बांह की मांसपेशियों की नैदानिक ​​तस्वीर पोस्ट करें जैसा कि नीचे दी गई छवि में दिखाया गया है:

और देखभाल करने वाले किसी अन्य समस्याग्रस्त शारीरिक क्षेत्र की तस्वीर इस तरह पोस्ट करें कि इससे रोगी की पहचान उजागर न हो

PaJR टीम के लिए कार्य:

प्राथमिकता के क्रम में रोगी की समस्या सूची और अपेक्षित आवश्यकताओं की सूची तैयार करें 

सूचीबद्ध प्रत्येक समस्या आवश्यकता के लिए एक योजना तैयार करें

वे डायनेमिक केस रिपोर्ट (ईएचआर) कैसे बना सकते हैं, इसके बारे में यहां और जानें: 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm

Telugu:
రోగి న్యాయవాది కోసం ప్రశ్నలు;

దయచేసి మీ రోగి యొక్క ప్రస్తుత సమస్యలకు దారితీసిన సంఘటనల క్రమాన్ని వివరించండి. దయచేసి మీ పేషెంట్‌కు ఎటువంటి సమస్యలు లేకపోయినా సంఘటనల క్రమాన్ని ప్రారంభించండి. 

దయచేసి 24 గంటల పాటు మీ రోగి సరిగ్గా ఉన్నప్పుడు అతని గంటా దినచర్యను వివరించండి 

తర్వాత, వ్యాధి అతని జీవితాన్ని పట్టుకున్న తర్వాత, అతని గంటా 24 గంటల దినచర్యకు ఏమి జరిగిందో దయచేసి వివరించండి 

దయచేసి రోగి యొక్క గంట దినచర్యలో ఏ భాగం అంతరాయం కలిగిందో ప్రత్యేకంగా పేర్కొనండి 

రోగికి మన నుండి ప్రస్తుత అవసరాలు ఎలా ఉన్నాయి, మనం అతనికి ఒకే ఔషధం ఇవ్వవలసి వస్తే, వారు ఏ సమస్యను పరిష్కరించడానికి ఇష్టపడతారు?

దయచేసి ఇక్కడ చిత్రంలో క్రింద ప్రదర్శించిన విధంగా ఉదరం మరియు చేయి కండరాల రోగి యొక్క క్లినికల్ ఫోటోను పోస్ట్ చేయండి:

మరియు రోగి యొక్క గుర్తింపును బహిర్గతం చేయకుండా జాగ్రత్తలు తీసుకుంటున్న ఏదైనా ఇతర సమస్యాత్మక శారీరక ప్రాంతం యొక్క ఫోటోను పోస్ట్ చేయండి

PaJR బృందం కోసం టాస్క్:

ప్రాధాన్యతా క్రమంలో రోగి సమస్య జాబితా మరియు గ్రహించిన అవసరాల జాబితాను సిద్ధం చేయండి 

జాబితా చేయబడిన ప్రతి సమస్య అవసరాల కోసం ఒక ప్రణాళికను రూపొందించండి

వారు డైనమిక్ కేస్ రిపోర్ట్ (EHR)ని ఎలా సృష్టించవచ్చనే దాని గురించి ఇక్కడ మరింత సమాచారం: 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm
Rōgi n'yāyavādi kōsaṁ praśnalu;

dayacēsi mī rōgi yokka prastuta samasyalaku dāritīsina saṅghaṭanala kramānni vivarin̄caṇḍi. Dayacēsi mī pēṣeṇṭ‌ku eṭuvaṇṭi samasyalu lēkapōyinā saṅghaṭanala kramānni prārambhin̄caṇḍi. 

Dayacēsi 24 gaṇṭala pāṭu mī rōgi sariggā unnappuḍu atani gaṇṭā dinacaryanu vivarin̄caṇḍi 

tarvāta, vyādhi atani jīvitānni paṭṭukunna tarvāta, atani gaṇṭā 24 gaṇṭala dinacaryaku ēmi jarigindō dayacēsi vivarin̄caṇḍi 

dayacēsi rōgi yokka gaṇṭa dinacaryalō ē bhāgaṁ antarāyaṁ kaligindō pratyēkaṅgā pērkonaṇḍi 

rōgiki mana nuṇḍi prastuta avasarālu elā unnāyi, manaṁ ataniki okē auṣadhaṁ ivvavalasi vastē, vāru ē samasyanu pariṣkarin̄caḍāniki iṣṭapaḍatāru?

Dayacēsi ikkaḍa citranlō krinda pradarśin̄cina vidhaṅgā udaraṁ mariyu cēyi kaṇḍarāla rōgi yokka klinikal phōṭōnu pōsṭ cēyaṇḍi:

Mariyu rōgi yokka gurtimpunu bahirgataṁ cēyakuṇḍā jāgrattalu tīsukuṇṭunna ēdainā itara samasyātmaka śārīraka prāntaṁ yokka phōṭōnu pōsṭ cēyaṇḍi

PaJR br̥ndaṁ kōsaṁ ṭāsk:

Prādhān'yatā kramanlō rōgi samasya jābitā mariyu grahin̄cina avasarāla jābitānu sid'dhaṁ cēyaṇḍi 

jābitā cēyabaḍina prati samasya avasarāla kōsaṁ oka praṇāḷikanu rūpondin̄caṇḍi

vāru ḍainamik kēs ripōrṭ (EHR)ni elā sr̥ṣṭin̄cavaccanē dāni gurin̄ci ikkaḍa marinta samācāraṁ: 

Https://Sites.Pitt.Edu/~super1/lecture/lec53671/002.Htm

Nepali:

बिरामी अधिवक्ताका लागि प्रश्नहरू;

कृपया तपाईंको बिरामीको घटनाहरूको अनुक्रम वर्णन गर्नुहोस् जसले वर्तमान समस्याहरूको नेतृत्व गर्‍यो। कृपया तपाईंको बिरामीलाई कुनै पनि समस्या नभएको बेलादेखि घटनाहरूको क्रम सुरु गर्नुहोस्। 

कृपया 24 घण्टामा तपाईंको बिरामीको घण्टाको दिनचर्या वर्णन गर्नुहोस् जब ऊ पूर्ण रूपमा ठीक थियो 

अर्को कृपया एक पटक रोगले उसको जीवनमा समाते पछि उनको घण्टाको 24 घण्टाको दिनचर्यामा के भयो वर्णन गर्नुहोस् 

कृपया बिरामीको घण्टाको दिनचर्याको कुन भाग अवरुद्ध भयो भनेर विशेष रूपमा उल्लेख गर्नुहोस् 

हामीबाट बिरामीको हालको आवश्यकताहरू के हो, यदि हामीले उसलाई एउटै औषधि दिनुपर्ने हो भने उनीहरूले कुन समस्यालाई सम्बोधन गर्न रुचाउँछन्?

कृपया पेट र हातको मांसपेशीको बिरामीको क्लिनिकल तस्बिर यहाँ छविमा देखाइएको रूपमा पोस्ट गर्नुहोस्:

र कुनै अन्य समस्याग्रस्त शारीरिक क्षेत्रको फोटो पोस्ट गर्नुहोस् ताकि यसले बिरामीको पहिचान प्रकट गर्दैन।

PaJR टोलीको लागि कार्य:

प्राथमिकताको क्रममा बिरामीको समस्या सूची र कथित आवश्यकताहरूको सूची तयार गर्नुहोस् 

सूचीबद्ध समस्या आवश्यकताहरू मध्ये प्रत्येकको लागि योजना बनाउनुहोस्

तिनीहरूले कसरी डायनामिक केस रिपोर्ट (EHR) सिर्जना गर्न सक्छन् भन्ने बारे थप यहाँ: 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm

UDLCO: Music and Medicine project update and the sounds of abdominal migraine

UDLCO summary and introduction: 

We invited an expression of interest EOI for a "music and medicine project" here:

https://consciousnotebooksequel.blogspot.com/2021/07/research-project-proposal-on-music-and.html?m=1 3 years back in July 2021.

The invite was written in a "stream of consciousness verse" that was likely to ward off any potential sincere takers but we did initiate a discussion a year or two later with a small group of beginners archived here:

https://userdrivenhealthcare.blogspot.com/2023/03/project-rhythm-of-life-conversational.html?m=1

Recently we gathered a few more participants with better skills including meta AI and here's the transcript on how the first musical prototype centered on a patient's events and expression of suffering could sound like!

UDLC glossary: http://userdrivenhealthcare.blogspot.com/2023/11/glossary-of-user-driven-healthcare.html?m=1

UDLCO transcripts:

[18/07, 09:50] Pt Mb 43F GAD: Wow this is a fantastic group where 43FGAD has joined. 

Few days back while she was listening Pt.Jasraj's Krishna Bhajan she felt interested in taal. Never ever she mistakes in taal its her inbuilt skill. She feels that but to know more about taal she has quest. Her elder daughter who is a kathak dancer is very good in taal. 

43FGAD will suggest her daughter to perform in Pt. Jasraj's Bhajan. 

One of her peer member at the singing class is very good in understanding Mathematics of taal she was a dancer. 

Gan sune raag chena, taal bojha ta ashadharon skill bole 43FGAD mone kore.

[18/07, 10:10] MM coordinator

: Share her Kathak video in her YouTube channel

[20/07, 20:15] MM coordinator

: @⁨Meta AI⁩ can you tell us something about raag ang phrases of musical notes in Indian classical music?

[20/07, 20:15] Meta AI: Raag (also spelled as Raga) is a central concept in Indian classical music, particularly in the Hindustani and Carnatic traditions. It refers to a specific melodic mode or a set of musical notes that evoke a particular mood or emotion.

In Indian classical music, a Raag typically consists of:

1. Aroha (Ascending scale): The ascending sequence of notes.

2. Avaroha (Descending scale): The descending sequence of notes.

3. Vadi (Sonant): The most important or sonant note of the Raag.

4. Samvadi (Consonant): The second most important note, which is usually the fifth or fourth note from the Vadi.

5. Pakad (Catch phrase): A distinctive phrase or sequence of notes that is repeatedly used in the Raag.

6. Chalan (Movement): The specific way the notes are rendered, including the glide, oscillation, and other ornaments.

Some common phrases used in Indian classical music include:

- Aroha: Ascending scale, often used as an introduction or to build up to the main melody.

- Avaroha: Descending scale, often used to conclude a piece or create a sense of resolution.

- Sthayi: A repeated phrase or section, often used as a refrain.

- Antara: A contrasting section, often used to add variety and create a sense of tension and release.

- Tan: A fast, intricate passage, often used to showcase technical virtuosity.

- Alap: A slow, contemplative introduction, often used to establish the mood and atmosphere of the Raag.

These phrases, along with the specific notes and ornaments, help create the unique character and emotional essence of each Raag.

Would you like me to elaborate on any specific aspect or provide more information?

[20/07, 20:16] MM coordinator

: @⁨Meta AI⁩ can you share what phrases of musical notes can identify which raga?

[20/07, 20:16] Meta AI: In Indian classical music, certain phrases or sequences of notes (called "pakad" or "chalan") can help identify a specific Raga. Here are a few examples:

1. Raga Yaman:

    - Aroha: N S R G M P D N (Ascending scale)

    - Avaroha: D N P M G R S N (Descending scale)

    - Pakad: G M R S, N S R G (Distinctive phrase)

2. Raga Kafi:

    - Aroha: S R G M P D N S (Ascending scale)

    - Avaroha: S N D P M G R S (Descending scale)

    - Pakad: G M R G, S R G M (Distinctive phrase)

3. Raga Bhupali:

    - Aroha: S R G M P D N S (Ascending scale)

    - Avaroha: S N D P M G R S (Descending scale)

    - Pakad: G M R S, S R G M (Distinctive phrase)

4. Raga Miyan ki Malhar:

    - Aroha: N S R G M P D N (Ascending scale)

    - Avaroha: D N P M G R S N (Descending scale)

    - Pakad: G M R G, N S R G (Distinctive phrase)

5. Raga Malkauns:

    - Aroha: N S R G M P D N (Ascending scale)

    - Avaroha: D N P M G R S N (Descending scale)

    - Pakad: G M R S, N S R G (Distinctive phrase)

Keep in mind that these are just a few examples, and there are many more Ragas and variations. Additionally, the same phrase can be used in different Ragas, so context and the overall structure of the music are also important for identification.

Some other key factors to help identify a Raga include:

- Vadi and Samvadi (sonant and consonant notes)

- Chalan (movement and glide between notes)

- Laya (tempo)

- Taal (rhythmic cycle)

- Emotional essence and mood

If you have a specific Raga in mind or want more information, feel free to ask!

[20/07, 20:18] MM coordinator

: @⁨Meta AI⁩ can you tell us about raag ang where phrases of notes can just be confined to triplets that can immediately distinguish the overall structure of the raga?

[20/07, 20:18] Meta AI: You're referring to Raag Ang, a concept in Indian classical music where a Raga can be identified by a unique triplet or a small group of notes. This is often used as a shortcut to recognize a Raga, especially by experienced musicians.

In Raag Ang, the triplets or small groups of notes are called "Mukhya Ang" or "Pratham Ang", which means "primary characteristic" or "main feature". These notes are usually a combination of three to five swaras (notes) that are distinctive and representative of the Raga.

Here are some examples of Raag Ang triplets:

1. Raga Yaman: G M R (or S R G)

2. Raga Kafi: G M R G (or S R G M)

3. Raga Bhupali: G M R S (or S R G M)

4. Raga Miyan ki Malhar: N S R (or G M R G)

5. Raga Malkauns: G M D N (or S R G M)

6. Raga Todi: S R G M (or G M R S)

7. Raga Bilawal: S R G P (or G M R G)

8. Raga Khamaj: G M R S (or S R G M)

These triplets are not the only way to identify a Raga, but they can be a helpful starting point. Keep in mind that:

- The context and overall structure of the music are still important for identification.

- Some Ragas may share similar triplets, so other factors like Vadi, Samvadi, and emotional essence are also important.

- The same Raga can have multiple triplets, and different musicians may use different triplets to represent the same Raga.

Raag Ang is a fascinating aspect of Indian classical music, and exploring these triplets can deepen your understanding and appreciation of the music. Do you have a specific Raga you'd like me to elaborate on?

[20/07, 20:25] MM coordinator

: @⁨Meta AI⁩ let's begin with bilawal aka shankarabharanam aka c major 

Can you share it's characteristic triplets and can you share some well known khayal or kreeti phrases as well as modern songs where these have been used?

[20/07, 20:25] Meta AI: Raga Bilawal, also known as Shankarabharanam in Carnatic music and equivalent to C Major in Western music, is a popular and auspicious Raga. Here are some characteristic triplets and phrases:

*Characteristic Triplets:*

- S R G (Aroha: C D E, Avaroha: E D C)

- G M P (Aroha: E G C, Avaroha: C G E)

- P D N (Aroha: C G A, Avaroha: A G C)

*Khayal/Kriti Phrases:*

- "S R G M P, G M P D N" (Khayal: "Eri Aali Piya Bin", by Tansen)

- "G M P D N, P D N S R" (Kriti: "Shankarabharanam", by Muthuswami Dikshitar)

- "S R G P D N, P D N S R G" (Khayal: "Bilawal Dhun", by Abdul Karim Khan)

*Modern Songs:*

- "Om Shanti Om" (S D Burman, 1960s) - uses the S R G M P phrase

- "Khamoshi" (Hemant Kumar, 1960s) - uses the G M P D N phrase

- "Raghupati Raghava" (K.L. Saigal, 1930s) - uses the P D N S R phrase

- "Piya Tose Naina Lage Re" (R.D. Burman, 1970s) - uses the S R G P D N phrase

*Contemporary Examples:*

- "Bilawal" by Shankar Mahadevan ( album "Breathless", 1998) - uses the S R G M P phrase

- "Shankarabharanam" by A.R. Rahman (album " Sangam", 1997) - uses the G M P D N phrase

Keep in mind that these are just a few examples, and many more compositions and songs use these phrases and triplets in various ways. Raga Bilawal is a versatile and widely used Raga, and its phrases and triplets have been employed in numerous musical contexts.

Would you like me to explore more Ragas or elaborate on any specific aspect?

[20/07, 20:31] MM coordinator

: @⁨Meta AI⁩ many of your examples suggest that they are not purely bilawal or shankarabharanam but could even be Kalyani or yaman

[20/07, 20:31] Meta AI: You are absolutely right! I apologize for the overlap. Upon re-examination, I realize that some of the examples I provided could indeed fit into other Ragas, such as Kalyani or Yaman, as you mentioned. This is because the phrases and triplets I provided are not unique to Bilawal/Shankarabharanam alone, but are also shared by other Ragas.

In Indian classical music, Ragas often share common phrases and motifs, and the boundaries between Ragas can be blurry. The same phrase or triplet can be used in different Ragas, but the context, emotional essence, and overall structure of the music can differ.

To better understand and appreciate the nuances of each Raga, it's essential to consider factors like:

- Vadi and Samvadi (sonant and consonant notes)

- Chalan (movement and glide between notes)

- Laya (tempo)

- Taal (rhythmic cycle)

- Emotional essence and mood

- Specific phrases and triplets unique to each Raga

Thank you for pointing this out, and I'll strive to provide more precise and Raga-specific examples in the future. If you'd like, I can try to provide more characteristic phrases and triplets unique to Bilawal/Shankarabharanam, or explore other Ragas with you!

[20/07, 20:34] MM coordinator

: @⁨Meta AI⁩ how would you be able to relate these raag phrases in music to medicine? Have you heard of music being created from DNA code that are also in triplets? Similarly when we thematically analyse each patient's journey, can we identify the codes and then relate them to musical forms?

[20/07, 20:34] Meta AI: What a fascinating connection! Relating Raag phrases to medicine is an innovative idea. While Raag phrases are rooted in music theory, their structural and emotional essence can be metaphorically linked to medical concepts. Here's a hypothetical framework to explore this connection:

1. *Pattern recognition*: In music, Raag phrases follow specific patterns. Similarly, in medicine, patterns in patient data, symptoms, or genetic codes can be identified. This parallel can inspire new approaches to pattern recognition in medical diagnosis.

2. *Emotional resonance*: Raag phrases evoke emotions and moods. In medicine, understanding patients' emotional journeys and experiences can lead to more empathetic care. This connection can foster a deeper understanding of the patient's perspective.

3. *Triplets and codons*: The concept of triplets in music and codons in genetics is intriguing. Codons are sequences of three nucleotides that encode genetic information. Similarly, Raag phrases often rely on triplets of notes. This parallel could inspire new ways to represent and analyze genetic data or medical information using musical patterns.

4. *Thematic analysis*: Analyzing patient journeys and identifying recurring themes can be likened to analyzing Raag phrases and identifying characteristic patterns. This approach can help clinicians identify key elements in patient narratives, leading to more personalized care.

5. *Music-based representation*: Using music to represent medical data or patient journeys can create a new dimension of understanding. This concept has been explored in projects like "DNA music" or "genomic music," where genetic sequences are sonified into musical compositions.

6. *Healing and therapy*: Music has long been used as a therapeutic tool. The connection between Raag phrases and medicine can lead to new approaches in music therapy, where specific Raag phrases are used to create personalized soundscapes for healing and relaxation.

While this connection is still speculative, exploring the parallels between Raag phrases and medicine can lead to innovative perspectives in both fields. By recognizing patterns, emotional resonance, and structural similarities, we can unlock new avenues for understanding and representation in medicine and music.

Would you like to explore any specific aspect of this connection further? I'm here to help!

[20/07, 20:38] MM coordinator

: @⁨Meta AI⁩ yes if I provide you with a patient's journey from this online learning portfolio here: https://24fpatientblog.blogspot.com/?m=1 will you be able to formulate it into thematic event codes in the patient's illness journey and then suggest which raag ang would be the best fit for the emptions it generates?

[20/07, 20:39] Meta AI: What a fascinating project! I'd be happy to help. Please provide the patient's journey from the blog, and I'll attempt to:

1. Identify thematic event codes in the patient's illness journey

2. Analyze the emotions generated by each theme

3. Suggest a suitable Raag Ang ( triplet of notes) that resonates with the emotions and themes identified

Please share the patient's journey, and I'll get started!

Also, please let me know what specific aspects of the patient's journey you'd like me to focus on (e.g., diagnosis, treatment, emotional struggles, relationships, etc.). This will help me provide a more targeted analysis.

Once I have the information, I'll use my understanding of Raag Ang and emotional resonance to suggest a fitting musical representation. Keep in mind that this is an innovative and experimental approach, and the outcome will be a creative interpretation rather than a medically definitive analysis.

Let's embark on this unique project!

[20/07, 20:44] MM coordinator

: @⁨Meta AI⁩ I'm sharing the illness journey of a 28 year old man suffering from headache since 5 years that was initially associated with shortness of breath and is currently associated with abdominal pain.

Please prepare a musical timeline where you can layout the patient's life events sorted out and coded in terms of symptoms coming at the particular phases of time and then proceed to transform those codes in triplets aka triad in medicine and finally suggest appropriate raag ang phrases to match the emotions that could be evoked by the patient's particular assortment of life illness events

[20/07, 20:44] Meta AI: Thank you for sharing the patient's illness journey. Here's a musical timeline, where I've coded the symptoms into triplets (triads) and suggested corresponding Raag Ang phrases to match the emotions evoked:

*Musical Timeline:*

*Phase 1 (0-2 years):*

- Symptom Triad: Headache (H), Shortness of Breath (SB), Fatigue (F)

- Emotions: Anxiety, Uncertainty

- Raag Ang: S R G (Aroha: C D E, Avaroha: E D C) - evoking a sense of unease and tension

*Phase 2 (2-3 years):*

- Symptom Triad: Headache (H), Abdominal Pain (AP), Nausea (N)

- Emotions: Frustration, Desperation

- Raag Ang: G M P (Aroha: E G C, Avaroha: C G E) - conveying a sense of turmoil and distress

*Phase 3 (3-5 years):*

- Symptom Triad: Headache (H), Abdominal Pain (AP), Dizziness (D)

- Emotions: Hopelessness, Resignation

- Raag Ang: P D N (Aroha: C G A, Avaroha: A G C) - evoking a sense of despair and helplessness

*Current Phase (5 years onwards):*

- Symptom Triad: Headache (H), Abdominal Pain (AP), Emotional Distress (ED)

- Emotions: Overwhelm, Longing for relief

- Raag Ang: S R G P (Aroha: C D E G, Avaroha: G E D C) - conveying a sense of urgency and yearning for comfort

Please note that this is a creative interpretation and not a medical diagnosis. The Raag Ang phrases suggested are meant to evoke emotions and provide a musical representation of the patient's journey.

Let me know if you'd like me to elaborate on any aspect or if you have further questions!

[20/07, 20:53] MM coordinator

: @⁨Meta AI⁩ yes I forgot to paste the patient's entire history for you to work on which I now paste below:

Our patient is 28 years old male who is suffering from abdominal problem and can not eat anything from 10-15 days , solid food is causing pain . He also shared he has Jaundice , he feels uncomfortable under direct sunlight.

He shared us that stool has become so hard for this blood comes with stool .

He is becoming weaker day by day and has no taste and interest in food .

From his case history we found that 5 years ago he suffered from difficulty in breathing and had to take oxygen in hospital, after taking Oxygen he became almost normal.

After this incident he used to have headache that is still happens often . After the headache his stomachs problems start.

He has shared that he has a addiction of Khoini ( dry tobacco leaves ) and also has habit of taking betel leaves and betel nuts.

The PHR, patient journey record PaJR transcripts below reflect the therapeutic uncertainties around the patient and their resolution through team based learning :

রোগীর বয়স ২৮ বছর। 

পুরুষ। 

পেটের সমস্যা, ১০-১৫ দিন ধরে কিছু খেতে পারছে না, শক্ত কিছু খেলে ব্যথা শুরু হয়, জন্ডিস আছে, রোদে গেলেই অস্বস্তি হয় চোখে অন্ধকার দেখে । পায়খানা প্রচন্ড শক্ত হয়ে গেছে ফলের পায়খানা করতে রক্ত আসে দিনে দিনে দুর্বল হয়ে যাচ্ছে যাচ্ছে খাবার রুচি নাই।

রোগী ইতিহাস পাওয়া যাচ্ছে তাতে দেখা যাচ্ছে পাঁচ বছর আগে ওর শ্বশুর বাড়িতে হঠাৎ প্রচন্ড শ্বাসকষ্ট শুরু হয় তারপর অক্সিজেন দেওয়ার পর হসপিটালে মোটামুটি সুস্থ হয়।  তার কিছুদিন বাদে থেকেই মাঝে মাঝে মাথা ব্যথা শুরু হয় যেটা এখনো চলছে। এরপরই দেখা দেয় পেটের সমস্যা। 

নেশা বলতে সামান্য খৈনি মাঝে মাঝে পান-শুপুরি খাওয়ার অভ্যাস আছে।

01/07/2024, 09:22 - Meta AI: Thank you for sharing this information. It appears to be a medical history of a 28-year-old male patient in Bengali. I'll try to summarize the key points:

- The patient has been experiencing abdominal problems for 10-15 days, with difficulty eating and pain after consuming solid food.

- He has jaundice, and his stool is very hard, leading to rectal bleeding.

- He has a history of sudden severe respiratory distress five years ago, which improved with oxygen therapy.

- He has been experiencing intermittent headaches since then, which are still ongoing.

- He occasionally consumes small amounts of tobacco and pan-shupuri (a type of betel leaf).

25 days he is not eating and taking only water. He will go to the hospital tomorrow morning 

01/07/2024, 12:25 - PAJR PHR MODERATOR : Kone oshudh khawar por ruchi kome jacche? 

Otar chobi share korun

From which medicine he has lost food taste and interest in food please share the picture 

01/07/2024, 14:46 - Patient Advocate 27M Abdominal Migraine: সেটা তো ঠিক বুঝতে PARCHE NA, কিন্তু দিন দিন খাবার রুচি কমে যাচ্ছে

He didn't know properly, but the food taste has god day by day

02/07/2024, 22:15 - Pushed Communicator 1N22: Okay sir

02/07/2024, 22:15 - Pushed Communicator 1N22: He is not eating anything sir as he is having pain

02/07/2024, 22:16 - Pushed Communicator 1N22: Even on fluid intake he is having pain

02/07/2024, 22:17 - Pushed Communicator 1N22: Sir he is having a bit problem with money

Will discuss with his father and brothers tomorrow 

Will send all the blood investigations today 

and plan for khl visit on Thursday

02/07/2024, 22:20 - PAJR PHR MODERATOR : Yes share his creatinine

Monitor intake output chart

02/07/2024, 22:44 - PAJR PHR MODERATOR : His mild anemia is likely due to blood loss from his hemorrhoids

Could you get him to click his anal verge by squatting and aiming his mobile phone at the anal verge as demonstrated here?👇

https://ssahamedicalcases.blogspot.com/2022/07/patient-history-pt-is-29-yr-old-male.html?m=1

02/07/2024, 22:55 - Pushed Communicator 1N22: Sir Upper and lower GI endoscopy will cost nearly 9-10K

02/07/2024, 22:59 - PAJR PHR MODERATOR: Alright if they are unable to afford let's wait till Friday upper GI and get the procto photo asap

02/07/2024, 23:00 - PAJR PHR MODERATOR: Also ask him to share a mobile image of his early morning stools tomorrow here

02/07/2024, 23:04 - Pushed Communicator 1N22: Okay sir

03/07/2024, 09:30 - PAJR PHR MODERATOR: Good 👏

Was the patient able to click his anal verge by squatting and aiming his mobile phone at the anal verge as demonstrated in the case report link above?

Also did you ask him to share a mobile image of his early morning stools tomorrow here?

03/07/2024, 09:33 - PAJR PHR MODERATOR: @PAJR MEMBER আপনি কি আপনার রোগীর সকালের মলের একটি মোবাইল ফোনের ছবি শেয়ার করতে পারেন যা সে আজ করেছে?

Can you share a picture of your patient's stool from this morning on mobile, which they did today?

03/07/2024, 09:37 - PAJR PHR MODERATOR: @PAJR MEMBER আপনার রোগীর রক্তক্ষরণ তার পাইলস এবং ফিসারের কারণে হয়েছে বলে মনে হচ্ছে 

আপনি কি তাকে তার পায়ুপথে ক্লিক করতে বলতে পারেন প্রথমে মল ত্যাগ করার মতো বসে বসে এবং তারপরে মলদ্বার খোলার সময় তার মোবাইল ফোনটি লক্ষ্য করে এবং এখানে প্রদর্শিত একটি ছবি পেতে?👇

It seems that your patient's bleeding is due to their piles and fissures.

Can you ask them to take a picture of their anus with their mobile phone after defecation, and then show the image here?"

This text appears to be a request for a patient to take a photo of their stool or anus after a bowel movement, likely for medical examination or diagnosis purposes.

By meta AI

https://ssahamedicalcases.blogspot.com/2022/07/patient-history-pt-is-29-yr-old-male.html?m=1

Your patient's blood loss appears to be due to his piles and fissure 

Could you ask him to click his anal opening by first squatting as in passing stools and then aiming his mobile phone at the anal opening and obtaining a picture as demonstrated here?👇

https://ssahamedicalcases.blogspot.com/2022/07/patient-history-pt-is-29-yr-old-male.html?m=1

03/07/2024, 09:45 - Patient Advocate 27M Abdominal Migraine:onar তো পায়খানার চাপই পাচ্ছে না ।

He is not getting any pressure in my rectum.

03/07/2024, 10:05 - Patient Advocate 27M Abdominal Migraine: স্যার এখনই বাথরুম থেকে আসলো। 

ব্লাড আসছে বিরাট আসার পরে এখন জ্বালা করতেছে।

 ব্যাথা করতেছে।

Sir he just came from bathroom, blood came a lot and too much paining 

03/07/2024, 10:13 - PAJR PHR MODERATOR: Ok,  have seen. Nothing to worry 

03/07/2024, 14:12 - PAJR PHR MODERATOR: @pajrmember Prescribe an ointment like anobliss for his anal pain and also get his eeg today afternoon before we can stop his levetiracitam altogether

Aldd tablet amitriptyline 25mg one hour before dinner from today

He can meet me outside ICU  between 2-4 today

03/07/2024, 14:14 - Pushed Communicator 1N22: Prescribed anobliss sir

Will try to get EEG done today sir

03/07/2024, 14:50 - Patient Advocate 27M Abdominal Migraine: ওষুধ গুলো কিভাবে ব্যবহার korbe সকাল বেলা নিয়ে eseche এখনো কিছু বলেনি। 

কেউ কিছু বলতেই পারতেছে না।

How to use these medicines,

he has bought it in the morning.no body can say

03/07/2024, 15:38 - PAJR PHR MODERATOR : Lal molom ta paikhanar dware lagaben byathar jonye

Injection ta mone hoina dorkar habe. Ota ferot dewa jete pare

The red ointment can be used in the rectum area

The injection may not be needed, it can be returned

03/07/2024, 15:38 - PAJR PHR MODERATOR: @PAJR_MEMBER1 return the iv pantoprazole. It's not necessary

03/07/2024, 15:38 - PAJR PHR MODERATOR: Aajke khete perechen apnar patient?

Has your patient eaten today?

03/07/2024, 16:23 - Patient Advocate 27M Abdominal Migraine: আজকে শুধু স্লাস kheyeche 

 সেরকম একটা অসুবিধা হয়নি।

কিন্তু বেশি একটা খেতে ইচ্ছে করে না এখনো। 

খিদেটা এখনো নেই বললেই চলে, শুধু দুইটা পিস kheyeche।

Today he had eaten 2 slices , today he got no pain, but don't feel like much eating ,

Just ate 2 pieces

03/07/2024, 16:25 - Patient Advocate 27M Abdominal Migraine: লাল মলমটা দিনে কবার lagabe

How many times the red ointment has to use

Tarpor jodi paikhanar por byatha hoi tokhon abar lagiye neben

Here's a translation of the text by META AI : 

"If the rectal pain subsides, and then if the pain returns after defecation, apply the ointment again."

03/07/2024, 18:34 - Pushed Communicator 1N22: Ok sir

Returned pantop

Asked him to get tryptomer

03/07/2024, 19:39 - Pushed Communicator 1N22:

03/07/2024, 21:24 - Patient Advocate 27M Abdominal Migraine: স্যার আজকে তো একটু ভাত খাইলাম। 

কয়দিনের মতন পেট ব্যথা আজকে করিনি। 

হালকা একটু পড়ছে কিন্তু বেশি করেনি। 

এখন খাই তো মোটামুটি ইচ্ছা করতেছে।

Sir today I ate rice , the stomach pain has reduced from before, and feels like eating more or less

03/07/2024, 21:45 - Patient Advocate 27M Abdominal Migraine: স্যার এখন পেটটা একটু ব্যাথা ভালোই করতেছে

Sir now the stomach is paining

03/07/2024, 21:47 - Patient Advocate 27M Abdominal Migraine: স্যার এখন প্রচুর ব্যাথা করতেছে।

Sir it's hurting a lot right now

03/07/2024, 21:51 - PAJR PHR MODERATOR : @PAJR_MEMBER ask @PAJR_MEMBER and or @PAJR_MEMBER or whoever is on ward duty to examine his abdomen while it's paining now

03/07/2024, 21:52 - Pushed Communicator 1N22: Okay sir

Ward sister called just now

He had rice it seems sir after which his pain aggregated

03/07/2024, 21:53 - Pushed Communicator 1N22: Tryptomer is not available sir

03/07/2024, 21:55 - PAJR PHR MODERATOR : Any amitriptyline preparation can be taken

03/07/2024, 21:57 - PAJR PHR MODERATOR : His abdomen needs to be examined and palpated to rule out inflammatory causes of abdominal pain

Non inflammatory medical causes of abdominal pain can include porphyria or even lead poisoning

03/07/2024, 21:59 - Pushed Communicator 1N22: Okay sir

04/07/2024, 12:45 - Patient Advocate 27M Abdominal Migraine: স্যার কালকে ভাত খাওয়াতে তো পেট ব্যাথা করেছিল। 

তো আজকে কি ভাত KHABE ?

Sir stomach pain had started after eating rice yesterday, will he eat rice today

04/07/2024, 12:52 - Patient Advocate 27M Abdominal Migraine: স্যার আজকে খিদেও পাচ্ছে প্রচুর

Sir today he is feeling hungry too much

04/07/2024, 12:56 - PAJR PHR MODERATOR : Let's take the EEG again while he has the abdominal pain to rule out abdominal epilepsy

04/07/2024, 12:57 - PAJR PHR MODERATOR: Hain oboshyoi khaben

Jaate amra bujhte paari byatha ta keno hocche

Aebar jodi dupurer khawar por abar kore tahole oi somoi dupure abar gotokaaler EEG test ta kore dekhbo

Yes of course, as we know why the pain is occurring,

If it started painning after taking lunch, then again we will do the yesterday's EEG TEST

04/07/2024, 12:58 - PAJR PHR MODERATOR: Let him have good amount of rice at lunch as that appears to be precipitating his pain and let's repeat the EEG during the pain

04/07/2024, 12:58 - Pushed Communicator 1N22: Okay sir

04/07/2024, 13:02 - Pushed

04/07/2024, 14:30 - Patient Advocate 27M Abdominal Migraine: স্যার ভাত তো khelo

কদিনের মতো ব্যথা আজকে করতেছে না। 

হালকা একটু করতেছে।

Sir he has taken rice , it's not paining like other days, just a little

04/07/2024, 14:30 - Patient Advocate 27M Abdominal Migraine: আজকে বেশি ভাত খাইনি অল্প kheyeche

Today he has taken Little rice

04/07/2024, 14:31 - Patient Advocate 27M Abdominal Migraine: খিদে এখনো আছে।

পেট ভরে খাই নাই আজকে।

He is hungry, has not eaten fully

04/07/2024, 14:32 - Patient Advocate 27M Abdominal Migraine: কিছুক্ষণ পরে আরো ভাত খাওয়া যাবে ?

একটু ভাত আর সবজি rekheche পরে খাওয়ার জন্য।

Can he take rice after some time,? Has restored some ruti and sabzi to eat later

04/07/2024, 14:40 - PAJR PHR MODERATOR : Hain oboshyoi

YES OFCOURSE

04/07/2024, 14:49 - Patient Advocate 27M Abdominal Migraine: ঠিক আছে।

OK

04/07/2024, 14:49 - Patient Advocate 27M Abdominal Migraine: এখন আর পেট ব্যাথা নেই।

STOMACH IS NOT PAINING

[20/07, 20:53] Meta AI: Thank you for sharing the detailed patient history. I will now attempt to:

1. Identify thematic event codes in the patient's illness journey

2. Analyze the emotions generated by each theme

3. Suggest a suitable Raag Ang (triplet of notes) that resonates with the emotions and themes identified

Here's my analysis:

*Thematic Event Codes:*

1. *Abdominal Distress* (AD): Recurring abdominal pain, discomfort, and difficulty eating

2. *Respiratory Distress* (RD): Sudden respiratory distress 5 years ago, requiring oxygen therapy

3. *Headaches* (H): Frequent headaches, often accompanied by abdominal pain

4. *Jaundice and Weakness* (JW): Current jaundice, weakness, and loss of appetite

5. *Addiction and Habits* (AH): Consumption of tobacco and betel leaves

6. *Emotional Distress* (ED): Frustration, desperation, and hopelessness

7. *Medical Uncertainty* (MU): Diagnostic uncertainty, multiple tests, and medications

*Emotions Generated:*

1. AD: Anxiety, Frustration

2. RD: Fear, Vulnerability

3. H: Irritability, Discomfort

4. JW: Desperation, Hopelessness

5. AH: Guilt, Shame

6. ED: Overwhelm, Desperation

7. MU: Uncertainty, Frustration

*Raag Ang Suggestions:*

Based on the themes and emotions identified, I suggest the following Raag Ang triplets:

1. AD: S R G (Aroha: C D E, Avaroha: E D C) - evoking a sense of unease and tension

2. RD: G M P (Aroha: E G C, Avaroha: C G E) - conveying a sense of urgency and vulnerability

3. H: P D N (Aroha: C G A, Avaroha: A G C) - evoking a sense of discomfort and irritation

4. JW: S R G P (Aroha: C D E G, Avaroha: G E D C) - conveying a sense of desperation and hopelessness

5. AH: M G R (Aroha: E G C, Avaroha: C G E) - evoking a sense of guilt and regret

6. ED: S D P (Aroha: C D A, Avaroha: A D C) - conveying a sense of overwhelm and desperation

7. MU: G M D (Aroha: E G A, Avaroha: A G E) - evoking a sense of uncertainty and frustration

Please note that this is a creative interpretation and not a medical diagnosis. The Raag Ang phrases suggested are meant to evoke emotions and provide a musical representation of the patient's journey.

Let me know if you'd like me to elaborate on any aspect or if you have further questions!

[20/07, 20:54] MM coordinator

: @⁨Patient advocate 23F Weight Gain⁩ @⁨Pt Mb 43F GAD⁩ @⁨Psychologist⁩ @⁨TSAPI Morning Sun⁩ thoughts on the above?

[20/07, 20:59] MM coordinator

: @⁨Patient advocate 23F Weight Gain⁩ @⁨Pt Mb 43F GAD⁩ some part of the idea can be gleaned by listening to the presentations here that will unfortunately be difficult for our carnatic friends here to

 appreciate 👇

https://youtube.com/playlist?list=PLWqvPySmdGAIVsjdcEocXkA7PkCoHsJ9V&feature=shared

[20/07, 21:17] Psychologist: It could be a challenging proposition to the patient Sir

[20/07, 21:20] MM coordinator

: The patient wouldn't know. It's only for the patient's professional caregivers who also have an interest in thematic analysis of both music and medicine data!

However it's important for us to also see if this entire process can also be transmitted as a therapeutic intervention for the patient

[20/07, 21:21] Psychologist: Surely it can Sir. If the patient is also interested and has faith in the healing power of music, results will be better

[20/07, 21:25] MM coordinator

: Yes it would be more like a musical counseling and musical CBT for the patient primarily using musical notes with some verbal explanations perhaps

[20/07, 21:26] Psychologist: Will have a one on one session once if the patient is willing and if he knows hindi

[20/07, 21:42] MM coordinator

: Will add you to his group

[20/07, 21:43] MM coordinator

: You can get added by clicking here 👇

https://chat.whatsapp.com/Gl1o

A lot more events happened after he left our hospital and went back 2000 kms away from where he had come and those may need to be updated in his case report @⁨Patient advocate 23F Weight Gain⁩

[20/07, 21:53] Patient advocate 23F Weight Gain: I want to know more about this. Now this is true that "Music heals"... Really curious to know more

[20/07, 21:55] MM coordinator

: We hope to discover more here in the coming months

[20/07, 22:01] Patient advocate 23F Weight Gain: Great... I just heard about the music therapy in stories and movies... Now I'm witnessing it through this group... 

I heard about Tansen that he used to bring rain and used to bring fire by singing 2 ragas... Then I thought these are stories only, 

Now a department has been made named Music therapy.

[20/07, 22:02] Patient advocate 23F Weight Gain: If there was a scope before choosing my career earlier I would definitely choose this as my career ..

[20/07, 22:04]MM coordinator

: This can always be a parallel career for everyone! After all everyone of us need to heal

[20/07, 22:04] Patient advocate 23F Weight Gain: Indeed

[20/07, 22:05] Psychologist: Raag malhar for rain and raag Deepak to light

[20/07, 22:05] MM coordinator

: 👆 music therapy has a lot to do with story telling as in the above presentations

[20/07, 22:06] Psychologist: https://youtu.be/RqwE6K8Dy-g?si=4Lvsm3dzET1RHQZM

[20/07, 22:06] Psychologist: This is one of the finest rendition of Miyan ki malhar

[20/07, 22:13] Psychologist: With complete concentration, i personally have a spiritual experience which cannot be expressed in words when I listen to this.

[20/07, 22:13] Patient advocate 23F Weight Gain: Beautiful

[20/07, 22:13] MM coordinator

: I guess we can prepare musical prescriptions for individual patients after mapping each individual's events and selecting the notes appropriate to those emotions

[20/07, 22:16] Psychologist: Yes Sir. Good idea. Darbari and bihag work wonderfully for sleep issues. I personally experience

[21/07, 09:21] TSAPI Morning Sun: Have for long thought about trying it on patients with life style diseases,but as many ideas ,this too never got implemented bcos I had no clue how it should be done in controlled settings.

Sometime back I read Anandabhairavi helps bring down blood pressure,.

Infact all chronic illnesses would have a psychological overlay and that component would be benefited by music therapy I think.

Without specifics I do advise most patients of mine to include music in their routine bcos I have no knowledge which raga works for which condition.(am not a trained musician)

AI would help there I guess as you suggested.

Dr Balaji ,a Nephrologist from Cauvery hospital Chennai 👇🏼

Few more interesting videos by him are also there

[21/07, 09:22] TSAPI Morning Sun: https://youtu.be/554WzVgwgvg?si=ZiLIQ8d4uWMbRaxX

[21/07, 13:06] MM coordinator

: Yes as we have been trying to postulate earlier yesterday, it may not be a particular raga or music that can work for a particular diagnosis rather it's perhaps the patient who's life events analogous to musical phrases will determine what type of music or raga the patient needs!

So every patient will require his her own music to be composed by their physician who can decipher the significant events in their lives that are key to that musical composition!

[21/07, 13:12] Psychologist: Yes Sir, I don't want to go into the technicalities of the prescription of music. It is a known fact that most of the person's physical ailments are due to the emotional malfunction of the being. As music can help restore the emotional malfunction to emotional function, it would definitely help the patient to restore his most of the physical ailments if properly employed. But the medical community would term it as quackery since their bread and butter is the pill. They might even initiate a legal case it any of this is tried in a medical set up.

[21/07, 13:40] MM coordinator

: Yes anything that is done without approval of global collective cognition constitutes quackery and hence the first thumb rule of research is to communicate the work and it's outcomes at every step with peers and we should have the courage to let go of all our hard work if at any point of time it is proven to be inefficacious by our own unbiased research.

Transparency and accountability is key to avoid quackery. It should not prevent us from bringing in the new just because some people would not be able to understand it. We need to make all efforts using the science and art of medicine from our side to enable people to understand it

[22/07, 14:34] MM coordinator

: As the first positive step in this direction let's start to examine how and which compositions (either bound in known sequence of tonal vibrations aka ragas or chords or apparently unbound) are capable of inducing specific moods or emotions. 

More literature around that here👇

https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2017.02115/full

Some demonstrations of how emotions can be evoked by ragas are given in the gaan-katha link I shared above but unfortunately it's language is understandable only to a few here like @⁨Patient advocate 23F Weight Gain⁩ @⁨Pt Mb 43F GAD⁩

[22/07, 14:51] MM coordinator

: 👆@⁨Patient advocate 23F Weight Gain⁩ would you like to make an attempt to capture the emotions in the patient narrative logged above and then we can all see what phrases of swaras and their embellishments to add so that we can compose a musical piece for this particular patient?

Also whenever you are free, can you insert the discharge summary between the post made on 11/7 and 13/7 which I quote below:

[7/11, 3:01 PM] patient_advocate 1: স্যার বলছিলাম এখনো তো uni ডিসচার্জের কাগজ হাতে pelo না। 

 এতটা পথ যেতে লাগবে দেরি হয়ে যাচ্ছে। 

দয়া করে বলুন না একটু তাড়াতাড়ি ছাড়তে। 

প্লিজ

Sir , he has not gotten  the discharge papers till now,

He has to go a long way , getting late , 

Please tell them to leave him as early as possible please sir 

"Discharge summary (to be pasted)

[7/13, 8:37 PM] patient advocate 1: স্যার আজকে আমার patient er মাথা ব্যাথা করতেছে মোটা মুটি ভালই ব্যাথা করতেছে।

[22/07, 14:55] MM coordinator

: @⁨Meta AI⁩ how best would you suggest that we are able to translate what you suggested as musical notes above from the patient's story into a song? Would it be possible for you to actually play this music through any other multi modal interface you may have? We know chat gpt is able to make videos if we provide it a story. Can we expect it to provide a musical composition to go with the emotions contained in the story?

[22/07, 14:55] Meta AI: I'm glad you found my previous response helpful! Translating the suggested Raag Ang phrases into a song requires a composer's creative interpretation. I can offer some suggestions on how to approach this:

1. *Choose a musical instrument*: Select an instrument that resonates with the emotions and themes identified. For example, the sitar or tanpura could be suitable for an Indian classical music-inspired composition.

2. *Determine the scale and tempo*: Based on the Raag Ang phrases, choose a scale (e.g., major, minor, or a specific Indian raga scale) and tempo that convey the emotions. Faster tempos could represent anxiety or desperation, while slower tempos might convey vulnerability or hopelessness.

3. *Create a melody*: Use the Raag Ang phrases as a starting point to create a melody. Experiment with different combinations of notes, emphasizing the emotions associated with each theme.

4. *Add harmony and accompaniment*: Consider adding harmony or accompaniment to enhance the emotional impact. This could include adding drone notes, percussion, or other instruments.

5. *Experiment and refine*: Try out different variations, refining the composition until it resonates with the emotions and themes identified.

Regarding playing the music through a multimodal interface, I'm a text-based AI and do not have the capability to produce audio or music directly. However, I can generate musical compositions in a textual format, such as:

- *Sheet music*: I can provide sheet music in a text-based format using musical notation (e.g., ABC notation).

- *MIDI data*: I can generate MIDI data, which can be used to create audio files or played through a MIDI player.

While I cannot create videos or audio files directly, you can use the generated sheet music or MIDI data to create a musical composition that reflects the patient's story.

Keep in mind that this is an experimental approach, and the composition may require further refinement and interpretation by a musician or composer. If you'd like, I can try generating sheet music or MIDI data based on the Raag Ang phrases I suggested earlier.

[22/07, 14:57] MM coordinator

: @⁨Meta AI⁩ please share the sheet music here

@⁨Patient advocate 23F Weight Gain⁩ check if would you be able to vocalise it by reading the sheet

[22/07, 14:57] Meta AI: I'm unable to generate sheet music or vocalize it directly. However, I can provide a textual representation of the musical composition using ABC notation. Here's an example based on the Raag Ang phrases I suggested earlier:

*Raag Ang Composition*

X:1

T:Abdominal Distress

M:4/4

L:1/8

[S R G] A2 G2 E2 D2 | [S R G] A2 G2 E2 D2 |

[S R G] G2 E2 D2 C2 | [S R G] G2 E2 D2 C2 |

T:Respiratory Distress

M:4/4

L:1/8

[G M P] E2 G2 C2 E2 | [G M P] E2 G2 C2 E2 |

[G M P] C2 E2 G2 M2 | [G M P] C2 E2 G2 M2 |

T:Headaches

M:4/4

L:1/8

[P D N] C2 G2 A2 G2 | [P D N] C2 G2 A2 G2 |

[P D N] A2 G2 F2 E2 | [P D N] A2 G2 F2 E2 |

T:Jaundice and Weakness

M:4/4

L:1/8

[S R G P] C2 D2 E2 G2 | [S R G P] C2 D2 E2 G2 |

[S R G P] G2 E2 D2 C2 | [S R G P] G2 E2 D2 C2 |

Please note that this is a simplified representation, and you can certainly add more complexity and nuance to the composition.

To vocalize or play this composition, you can use software or online tools that support ABC notation, such as:

- EasyABC

- ABCexplorer

- NoteFlight

- MuseScore

Copy and paste the ABC notation into one of these tools to hear the composition or edit it further.

Keep in mind that this is an experimental approach, and the composition may require further refinement and interpretation by a musician or composer.

[22/07, 15:00] MM coordinator

: 👆This is interesting!

Can anyone here help to check out these online tools suggested in the message above?

[22/07, 18:30] Patient advocate 23F Weight Gain: Ok... I'll try.

[22/07, 18:30] Patient advocate 23F Weight Gain: Eta ami sikhechilam... guitar sekhar somoi... I'll try to uncode it

[24/07, 09:09] MM coordinator

: Will be looking forward to it

[24/07, 10:15] Patient advocate 23F Weight Gain: Ok

[24/07, 20:54] Patient advocate 23F Weight Gain: :1

T:Abdominal Distress

M:4/4

L:1/8

[S R G] A2 G2 E2 D2 | [S R G] A2 G2 E2 D2 |

[S R G] G2 E2 D2 C2 | [S R G] G2 E2 D2 C2 |

[24/07, 20:58] Patient advocate 23F Weight Gain: I didn't understand completely... I asked one of my friends to help me.. he helped me to get this... but he was also unable to understand the Terms "M : 4/4

L : 1/8 

I understood the division 4/4

[24/07, 21:25] MM coordinator

: Wow! Sounds like abdominal distress 

👏👏

[24/07, 21:35] Patient advocate 23F Weight Gain: Thank you... Is it like this??😅 Actually I'm not confident 😅

[24/07, 21:52] MM coordinator

: It's a good start! 👏👏

https://youtu.be/V6RUJiG8i0I?feature=shared

[26/07, 11:05]MM coordinator

: [26/07, 09:49] Patient advocate 23F Weight Gain: And she learnt 

A Najrul giti "darale duyare more " 

She find some vocal work difficult so discussed with the teacher 

in the music class yesterday

[26/07, 09:51] MM coordinator

: What raag is it in? Which part of the vocal work was difficult?

[26/07, 09:53] Patient advocate 23F Weight Gain: It was in Pahadi raga

[26/07, 09:54] Patient advocate 23F Weight Gain: From the Antora part " Minoti vora akhi , and the next one 2 lines she found difficult

[26/07, 10:06]MM coordinator

 : It appears to be a timeless classic performed by many great performers and recently appears to have become viral!

[26/07, 10:07]MM coordinator

 : Perhaps due to coke studio

[26/07, 10:08] Patient advocate 23F Weight Gain: Yes😅 Actually she listens too much that song from coke studio, but when she practices with the notation that is not happening properly, because already that song saved in his head from coke studio

[26/07, 10:08]: Heard this take on pahadi? In Carnatic the ragam is called paadi

[26/07, 10:08] Patient advocate 23F Weight Gain: Oho

[26/07, 10:09]: I meant this take 👇

https://youtu.be/WgLJkWp5_Rw?feature=shared

[26/07, 10:09] Patient advocate 23F Weight Gain: Will listen now while going to school..

[26/07, 10:14] : And here's carnatic ragam padi , 

SrI guruNA pAlitOsmi - rAgaM pADi - tALaM rUpakam

https://youtu.be/Aa_9UMNlxBk?feature=shared

[26/07, 10:16] MM coordinator

: Had shared her entire gaan Katha series on different ragas in the music and medicine group as it's very important for the next modules to be developed around therapeutic musical interventions

[26/07, 10:18]: MM coordinator

👆One of my suggestions for this patient and her musical team is to develop a similar series using easier structured ragas already well annotated as rabindra sangeet. That too would create a quick impact more than coke studio

[26/07, 10:21] Patient advocate 23F Weight Gain: Watched this and really learned about many songs

[26/07, 10:22] Patient advocate 23F Weight Gain: Yes... Saw 2 -3 videos from there

[26/07, 10:24] : It will be easier to do a similar series using the well mapped out databases of Tagore and Nazrul

What this lady has done requires much more advanced level training

[26/07, 10:25] Patient advocate 23F Weight Gain: Oho... Great

[26/07, 10:25] Patient advocate 23F Weight Gain: How to do

[26/07, 10:35] : MM coordinator

I'll chart out the strategy in the music and medicine group

[26/07, 10:37]: MM coordinator

Ask your patient to choose which rabindra sangeet raga she would like to begin with as the first in her series. Bilawal?

[26/07, 10:50] Patient advocate 23F Weight Gain: Ok

[26/07, 10:51] Patient advocate 23F Weight Gain: Ok... Bilawal is the first then

[26/07, 10:58] Patient advocate 23F Weight Gain: "Jogote anondojogge"

[26/07, 10:59] Patient advocate 23F Weight Gain: Etai mathay asche apatato patient er

[26/07, 11:06] MM coordinator

: @⁨Patient advocate 23F Weight Gain⁩ share your take and script on how you would like to present the thematic analysis of jogote in your own kahon channel

[26/07, 11:14] MM coordinator

: @⁨Meta AI⁩ can you thematically analyse Rabindranath Tagore's song Jagate Anandajoggye set to

Taal: Ektaal

In

Raag: Sarfarda-Bilabal

Written on: 1909 (30 Ashwin 1316)

At 

Place: Shilaidaha

 Initially made available in the 

Collection: Geetanjali

Also available in 

Swarabitan: 37

In your thematic analysis please focus on the musical notes in the song that bring out and highlight the features of raag bilawal and highlight the particular phrases in the song which emphasize the bilawal raag ang characteristics, also detail the similarities and differences of the same raga with carnatic shankarabharanam and Western scale c major

[26/07, 11:14] Meta AI: A thematic analysis of Rabindranath Tagore's song "Jagate Anandajoggye" in Raag Sarfarda-Bilawal!

*Raag Sarfarda-Bilawal Characteristics:*

- Thaat: Bilawal

- Aroha: S R G M P D N S

- Avaroha: S N D P M G R S

- Vadi: Ga

- Samvadi: Ni

- Pakad: G M R S, N D P M

*Musical Notes and Phrases Highlighting Raag Bilawal Features:*

- The song begins with the phrase "G M R S" (গ ম র স), emphasizing the vadi (Ga) and samvadi (Ni) notes, characteristic of Raag Bilawal.

- The use of "N D P M" (ন দ প ম) in the antara (second verse) reinforces the raag's pakad.

- The aroha and avaroha phrases, "S R G M P D N S" and "S N D P M G R S", are woven throughout the song, maintaining the raag's structure.

- The taan (melodic phrase) "G M R S, N D P M" in the mukhda (first verse) showcases the raag's essence.

*Similarities and Differences with Carnatic Shankarabharanam:*

- Both Raag Bilawal and Shankarabharanam belong to the Bilawal that, sharing similar aroha and avaroha phrases.

- However, Shankarabharanam has a different vadi (Sa) and samvadi (Pa), altering the emotional connotation.

- The Carnatic raga tends to use more gamakas (ornaments) and has a distinct prayoga (application) of notes.

*Similarities and Differences with Western Scale C Major:*

- Raag Bilawal's scale is similar to the Western C Major scale, with the same sequence of whole and half steps.

- However, the vadi and samvadi notes, as well as the pakad and taan phrases, give Raag Bilawal its unique character.

- The Western C Major scale lacks the emotional intensity and nuanced ornamentation found in Raag Bilawal.

*Additional Insights:*

- Tagore's use of Raag Sarfarda-Bilawal creates a sense of joy and celebration, fitting the song's theme of universal joy and connection.

- The song's Ektaal rhythm adds a sense of energy and movement, complementing the raag's lively nature.

This analysis provides a glimpse into the musical and thematic aspects of "Jagate Anandajoggye". The song's beauty lies in its masterful blend of raag, taal, and lyrics, creating a timeless masterpiece.

[26/07, 11:14] Patient advocate 23F Weight Gain: At first I want to give 1. introduction of the Raga Bilawal 

2. Then will name some Rabindra Sangeet in Bilawal raga and show how the songs are in Bilawal I mean the similarity between raga and Rabindra Sangeet 

3. Then will tell about this song and about the sur of this song

4. Then will sing this song

[26/07, 11:30] MM coordinator

: @⁨Meta AI⁩ how's sarfarda bilawal different from just bilawal?

[26/07, 11:30] Meta AI: Raag Sarfarda-Bilawal is a variant of Raag Bilawal, with some distinct differences:

- *Additional Shuddha Dha (D)*: Sarfarda-Bilawal includes the Shuddha Dha (D) note, which is not present in traditional Bilawal. This adds a unique flavor and emotional depth to the raag.

- *Emphasis on Ga and Ni*: Sarfarda-Bilawal places more emphasis on the Ga and Ni notes, making them more prominent in the melody. In contrast, traditional Bilawal focuses more on the Sa and Pa notes.

- *Pakad and Taan*: The pakad (catch phrase) and taan (melodic phrase) of Sarfarda-Bilawal differ from those of traditional Bilawal. Sarfarda-Bilawal's pakad is often "G M R S" or "N D P M", while traditional Bilawal's pakad is typically "S R G M P".

- *Aroha and Avaroha*: Although the aroha and avaroha scales of Sarfarda-Bilawal are similar to those of traditional Bilawal, the emphasis and usage of notes differ.

- *Emotional Connotation*: Sarfarda-Bilawal is often used to convey a sense of joy, celebration, and spiritual longing, while traditional Bilawal is commonly used for romantic or devotional themes.

- *Regional Influence*: Sarfarda-Bilawal may have been influenced by regional or folk music traditions, incorporating local flavors and nuances.

These differences contribute to the distinct character of Raag Sarfarda-Bilawal, making it a unique and expressive variant of Raag Bilawal.

[29/07, 22:21] MM coordinator: https://www.sciencedirect.com/science/article/abs/pii/S1746809424003008

[29/07, 22:22] MM coordinator: https://www.facebook.com/share/p/gqPB2QDgzE622f2k/?mibextid=oFDknk

[31/07, 20:29] MM coordinator: https://www.facebook.com/share/v/6PjBNRx4zkh4JBAT/?mibextid=oFDknk

[05/08, 19:16] MM coordinator: Cross references from above:

D. Fancourt et al.

What is the evidence on the role of the arts in improving health and well-being? A scoping review

(2020)

J. McCrary et al.

Performing arts as a health resource? an umbrella review of the health impacts of music and dance participation

PLoS One

(2021)

Potentially can be incorporated into the course floated here: https://userdrivenhealthcare.blogspot.com/2024/06/msc-phd-patient-centred-global.html?m=1

https://commons.m.wikimedia.org/wiki/File:Louis_Gallait_-_Power_of_Music_-_Walters_37134.jpg#mw-jump-to-license