Global∑os® (GlobalEOS)
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Global∑os® (GlobalEOS)
Designing innovative global healthcare programs and mechanisms by way of strategic administrative, management, HIT and concierge services
Curated by Brian Altonen
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Large pixeled contour globe | Geographically based Economic data (G-Econ)

Large pixeled contour globe | Geographically based Economic data (G-Econ) | Global∑os® (GlobalEOS) |

This is a 3D global mapping project produced by GEcon at Yale University.  Another education setting that developed 3D mapping, for crime statistics, is Sonoma College fifteen years ago (1999).  

Brian Altonens insight:

For examples, see


My ScoopIt! page:;


The work (thesis) by the leaders in this field from Sonoma college is at;


and a site devoted to my version of this technology . . . 


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Antibiotic resistance could be 'next pandemic,' CDC says

Antibiotic resistance could be 'next pandemic,' CDC says | Global∑os® (GlobalEOS) |
Antibiotic-resistant bacteria and diseases originating in hospitals are a growing concern, the CDC says.
Brian Altonens insight:
I can understand why some agencies want to be slow about accepting change that is common sense to the general population. The development of penicillin resistant strains fifty years ago should have more than just hinted about in this game we are playing with microbe evolution. Add to this the development of highly pathogenic versions of E. coli bearing vibrio toxin and clostridium difficile infecting the hospitals and it appears as though the enemy, in the long run, has time and nature in its favor. But as Ebola is now demonstrating to us, talk alone and published claims and rhetoric are just popular press. They provide no proof that anything has been done. The signing of checks alone will not eliminate deadly strains of viruses, anthrax, or any other perfect pathogen. Establishing more aggressive human and international activities are more likely to work. Or is that asking too much? Are the US's Katrina response (lack there of due to government decision) and the current Ebola response (no need to comment) prime examples of worldwide health practice behaviors in general? After fifty years, it is safe to say, Antibiotic resistance really is the least of our worries. (And is only an attempt to divert attention.). Such a hindsight view is no excuse for being this far behind in experience, technology and producing successful interventions.
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Ebola Survivor Shunned as a "Zombie" - A Culturally Bound impression of her Healing

Ebola Survivor Shunned as a "Zombie" - A Culturally Bound impression of her Healing | Global∑os® (GlobalEOS) |
Jamila got a cold reception when she returned home after 12 days in an isolation ward battling the Ebola virus in her hometown of Conakry, Guinea’s capital.
Though she survived, Jamila was fired from her job as a philosophy teacher because her school feared she would infect her students, the 24-year-old said in an interview on July 3. She spoke on condition that her surname wasn’t published because she doesn’t want to be recognized as someone who has had the disease.



Ebola Survivor Shunned as a Zombie Joins Fight Against Disease
(Bloomberg 07/17/14)
- See more at:

Brian Altonens insight:

People have forever been guilty of stereotyping diseases.    These stereotyping practices are what help to define CULTURALLY-BOUND DISEASE.


In Nathaniel Hawthorn's The Scarlet Letter, Hester Prynne is given her symbolic 'A' to wear for a child she bore out of wedlock.  


Epileptics are visited by the devil (many cultures), or some past human spirit (American Indian).  Lepers bear whatever evil that society wants to associate with them.  


In each of these cases, these culturally linked prejudices define the sick person as either an outcast who lives in the countryside, or an individual who remains stranded at home due to some disability, a life on welfare, and the resulting low socioeconomic status that he/she experiences.


But because Jamila is now in a better state of health, she bears new "evils" that get assigned to her culturally, due to African beliefs, and whether she beliefs in the same or not.  


But she is hopefully the first of others who will likely survive this wave of Ebola.  That is more outcasts than Africa really needs.  


From the article title we are told that her survival is most likely equated with the spirit of Kongo, Nzambi (source for the word "Zombie").  With such a label, her culture assigns its cultural values to healing experience.  It is not the "miraculous recovery" from Ebola that Christian missionaries hoped it would be.  To a mystic, her recovery is "blessed" or due to  a higher power.  To the right women, it symbolizes self empowerment. 


For every culture, there is a impression of why healings take place.  It is natural for all cultures to apply myths and legend to their interpretations of events.   But we interpret ehr healing differently in "western medicine", based on our own cultural paradigm--in "western medicine", we say that Jamila survived because Ebola mortality is not 100%.


More pages on this new CULTURALLY-BOUND social issue with Ebola:


    Feeling The Heat, Burning The Suits: Reporting On Ebola From Sierra Leone by MARC SILVER
July 17, 2014 2:00 PM ET


    I survived Ebola, but villagers shunned me.  updated 8:08 AM EDT, Thu July 10, 2014 ;

    Ebola Survivor Shunned as a Zombie Joins Fight Against Virus By Pauline Bax   July 17, 2014 11:51 AM EDT ;


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Graphic: The ebola epidemic

Graphic: The ebola epidemic | Global∑os® (GlobalEOS) |
One of the world's deadliest diseases, the ebola virus is currently sweeping the African continent, which is experiencing its worst outbreak ever
Brian Altonens insight:

This chart is really worth checking out.

Brian Altonen's curator insight, July 28, 2014 10:41 AM

Background on this growing problem.  Published earlier as well.

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10 Pseudo-Science Theories We'd Like to See Retired Forever

10 Pseudo-Science Theories We'd Like to See Retired Forever | Global∑os® (GlobalEOS) |
Pseudo-science theories are a little like puppies. They're fun, fluffy things to talk about, and most of the time they're harmless. Sometimes, however, they get big, mean, aggressive, and have to be put down. Here are a few pseudo-science theories that need the Old Yeller treatment.
Brian Altonens insight:

Occasionally these really biased writings come out.  


    Harvard professors perhaps don't believe any longer in what they promoted nationally about phrenology in the early 1800s.  But then again, they redefined it to turn it into physical anthropology as well, and used it to develop a way to evaluate criminal behavior and psychology.


    Homeopathy is alive and true in allopathy, in South America, Eastern Europe, Great Britain and the US.  

   More important and popular items like astrology and palmistry are not covered by the author for some reason.  Is there some favoritism there?


  Today's podiatrists are actually individuals converted from Chiropods to scientists around 1890-1900, the Chiropractors initiated as a force field philosophy in the 1880s-1890s, Iowa; they now use of there theories to promote their practice as a scientific based philosophy.


   Every now and then medical journals publish articles touting the palmistry of mental health and schizophrenics (merged life-heart lines).  And various pop culture MDs keep the remaining specialties discussed in this article alive.


   Only Number 8, the Autism-Vaccine item noted in this article is truly correct.


  But need I say, this is only my conclusion/"opinion".

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Could Ebola Spread to the United States?

Could Ebola Spread to the United States? | Global∑os® (GlobalEOS) |

African-U.S. Disease patterns, from NPHG (the National Population Health Grid mapping project)

Brian Altonens insight:

We COULD, or is it SHOULD, already have the answer to this question!


   No doubt the CDC, NIH and WHO have some of the best people and tools in use to evaluate this potential epidemic problem.  


   At the public health level, if no such programs are in place regionally or within urban-metropolitan regions, the hubs of international commerce and travel, it is probably way too late to get anything started for this season.  When asked how long it takes for me to establish a workstation from scratch, my guestimates based on experience are several weeks to, unfortunately, up to a year to develop and test, assuming the agency has a fairly poor infrastructure in place.


    The infrastructure requirements for mapping a serious disease migration like that of Ebola requires more than just a basic demographics, transportation, and overall health patterns geographic information systems.  Ecological data has to be completely included with this Integrative Disease Management (IDM) geographic information system.  I favor phytoecological mapping due to correlations that can be drawn between vegetation regions and host-vector patterns.  The skills of Pavlovski and Voronov of the Russian fields of study in human ecology, macroecology and disease geography drew together some of the most important ideas in spatial zoonotic disease patterns that have yet to be made a part of a daily system in most U.S. surveillance systems (see ;).  


   The essential skills of mapping required for preparing for Ebola or any other in-migrating disease pattern, requires a complete and extensive review of these natural events, both in the natural setting and within the human ecological setting.  Studies of lyme and west nile in the U.S. for example, using NLCDs, remote sensing and climate analyses, show these techniques could provide important insights into certain types of disease patterns.  The mapping of all of the rare to infrequent zoonotic disease patterns for the U.S. (like some of those pictured above), yellow fever  ( ;), the distribution of diseases that logically came in by airline such as internationally induced elevation sickness ( ;), and something as seemingly unrelated as hurricanes and tornadoes, produce findings that can be applied this work as well.  [See sections of my extensive Pacific NW coverage as well-- ].  Could it enter via Mexico?  Another disease evolved natural to that region could provide us with insights into how extensive in-migration travel is for the U.S. ( ; ).


   At one point I produced a series of international migration maps using two types of formulas, one focused on the basic migration patterns ecologically and environmentally defined, the other inclusive of diseases from other countries that are primarily people related, not necessarily vector or animal related.  The latter provided insights into how people travel from Africa (and other main regions or continents)  to the US, and probably who upon arrival had to be assessed for something they may have brought in with them (recognizing "rule outs" as an important part of claims related behaviors in EMR is important to know).


   My NPHG 3D map video on Ebola demonstrates the "rule out" effect in the claims contained in EMR:


   More of this In-migration Disease series of NPHG videos, using several unique areal and grid mapping algorithms I developed, is at:



    So, at the risk of repeating myself too much, I recommend the following:


   The Latitude and Longitude of Ebola.  



    Current Ebola Outbreak Is Now The Worst In History And 'Totally Out Of Control'. ; ;     

   . . . and concerning dozens more vectored and non vectored diseases out of Africa, such as Chikungunya: ;    

   The behavior of such a disease were it to come in through Chicago like MERS did: ;    

And "the methods to my madness":


   But if you don't want to listen to me, see:


   'outbreak' at Tumblr.     


   Mapping Ebola's Deadly Spread (Huffington Post).


       Brief General History of Ebola.




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FBI Probing Missing Virus at Biolab

FBI Probing Missing Virus at Biolab | Global∑os® (GlobalEOS) |
FBI will investigate the Texas biolab where a deadly virus went missing, according to the Centers for Disease Control and Prevention.
Brian Altonens insight:

A missing biolab specimen?  


Probably not they say.  


But this issue makes a point about safety and national security, and the proper handling and disposal of biological research materials.


This is a potential bioterrorist attack weapon.  It may also be spread by rodents.  Neighborhood biolabs--how safe are they?


For all of the Ebola ABC News links go to:

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Jenny McCarthy's Dangerous Views on Vaccination

Jenny McCarthy's Dangerous Views on Vaccination | Global∑os® (GlobalEOS) |
McCarthy has spent much of the past ten years campaigning against vaccines—which are the most effective instruments of public health in human history, aside from clean water.
Brian Altonens insight:

Good old pop culture is at work here.  


   The herd theory's fault is based on the assumption of compliance and population support for a philosophy or ideology.  


   Not everyone or thing in a herd follows the leader(s) over a cliff (believers in the ability of leaders to herd masses).      [For the reason for my obtuse reference see "Dinosaur Lessons / Dinosaur Tumble", at



   Other pages on this social craze are:


   Julia Loffe's "I've Got Whooping Cough. Thanks a Lot, Jenny McCarthy."   




David Ropiek's "Inside the mind of worry."



   And the "Antivaxxers"  at ;   

(an archived site) .


.   This anti-vax movement has rudimentary philosophical (maybe even simple religious) underpinnings that remind me of the anti-cadaver teaching eras of the 1790s (NYC) and 1840s (midwest), and the antitransfusion, antitransplant, and antisurgery movements of 1900-1910.  

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Factory Farmed Chicken - Campylobacter, meet Salmonella and E. coli

Factory Farmed Chicken - Campylobacter, meet Salmonella and E. coli | Global∑os® (GlobalEOS) |

Factory farming has done much to impact the United States food industries and public health system.  


How would it impact there developing countries, where sanitation is not up to par with U.S.D.A. standards?

Brian Altonens insight:

We traditionally are a sanitation minded society.  We like to wash and scrub everything we come in contact with, especially whatever we plan to eat.


Several decades ago it was proposed that this is the cause for childhood leukemia.  This theory states that the lack of exposure to common immunogens during critical childhood growth makes for a weaker immune system, which later may be taken advantage of leading to clusters of childhood leukemia cases. ( My essay on "the benzene theory", the history of "cancer", leukemia and spatial mapping is at )


Whatever the case, the conversion of farmed animals to factory animals sheds a different light on how animal disease has now become important to better understanding human population health.  

The epidemiological transition process impacting the United States  is different from the traditional teachings for epidemiological transition.  A more accurate way to review epidemiological transition is as a combination of time and place related events in health history.  The geographic rendering of this theory is more detailed and precise than the traditional form of epi transition theory most of us rely upon.


This geographical sequent occupancy theory was first presented as an alternative way to view and interpret changes in society in my 2000 thesis on Oregon Trail "cholera" at (review), and (the thesis itself).


More extensive coverage of epi transition and sequent occupancy is at ,  and


Few medical geographers and historical epidemiologists realize that this sequent occupancy philosophy popularized during at the turn of the century by Derwent Whittlesey ( ) was first proposed by the infamous Benjamin Rush at a meeting in England, the article of which I posted in its entirety at




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Time’s New Cover Nails It

Time’s New Cover Nails It | Global∑os® (GlobalEOS) |
This butter story will melt your heart. We deserve our money back! We've all been misled! How dare they publish such errors!? In the medical writings that is.
Brian Altonens insight:
Sometimes in medicine, we are right only because we convince ourselves we are right. A Hypothesis ("under thesis") is basically a speculation, one that is just less than a theory. The anti-butter movement stems from a 1970s hypothesis written before anything about prostaglandins and prostacyclins were well known, and years before the LDL to HDL lipoprotein theory came about. This is akin to the famous tale "The Emperor Wears No Clothes". The solution--a dose of strychnos as a nerve tonic. Oh wait a minute that theory was changed too.
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Cory Booker for Senate | Net Neutrality

Cory Booker for Senate | Net Neutrality | Global∑os® (GlobalEOS) |
Poverty impacts the types of products we can afford, the value of care we receive, and quite soon it could impact how much we and our children are capable of learning.
Brian Altonens insight:
Imagine all those great TV ads now streaming to the schools' computers, and preferences for web pages that you didn't want your kids to see. Internet providers controlling what we will most likely see, and what we will not. In China, government control is the problem. In the US it could become corporate control, and a government not willing or brave enough to prevent this form of segregation in our education system.
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Why Innovation In Health Care Is So Hard

Why Innovation In Health Care Is So Hard | Global∑os® (GlobalEOS) |

When you say you are "innovative" and professed in "new thought", what does it take to be different?

Brian Altonens insight:

How can we tell is a company is resistant to change, against innovation?


One of the chief signs of this is when a company desires your assistance,  but is unwilling to experience something new or different.


Throughout an interview you were entitled with, if it continues to profess it has all of the mechanisms and methods  in place, what it means to say is it just needs you in order to take the next step.  


The innovation theory model states that non-innovative companies make up as much as 90 to 95% of any industry.  If this model is true, then 5 to 10% of what is out there are "innovative", or at least like to think they are.  


In reality, this number is closer to something like 3% or less, for only a select few innovators are really willing to take on the adaptive strategy required for this process.    


By far the most common mistruth published out there is the statement a company makes by calling itself innovative, when in reality it is not.  These companies are searching for change, but fear the recommendations you might make to meet this desire.     So if during an interview, you say something that makes an interviewer turn to standard forms of questioning, rote questioning with pre-anticipated answering routines, you know that all they want and need to hear for the best answers is not what you were about to tell them.  You therefore know that they are close minded, unwilling to adapt to the new, unwilling to try anything different.  At least when it comes to being innovative.  



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UPDATED – Map of the Day: State Decisions on Administration’s Policy on Coverage Extensions | AHIP Coverage

UPDATED – Map of the Day: State Decisions on Administration’s Policy on Coverage Extensions | AHIP Coverage | Global∑os® (GlobalEOS) |

Quite recently, the November 2013 map of the American Health Insurance Plans (AHIP) was updated to demonstrate the status of healthcare insurance nationwide at the state level.  We might have expected changes to be demonstrated for the past six months.  Instead, no advancements and no progress have been made in the past year. 

Brian Altonens insight:

Experiencing a delay in obtaining needed care is as much an institutional problem as it is a national population health problem.  


At the personal or patient level, we often view this as a problem of non-commitment.  At the institutional level, the interpretation has to be the same.


Applying Prochaska's Transtheoretical Model for evaluating human behavior to the behavior of health insurance companies [management], we see excellent examples of "Contemplation" and even "Preparation" (give them the benefit of the doubt), but few if any great examples of "Action" related activities.  It is too early for any of them to demonstrate success in "Maintenance" (three years of statistically significant qualitative and quantitative improvement).


This means producing a "healthy program" by these agencies is still months to years away; it's like trying to get your highest risk patient to stop smoking.  This state of progress we are in according to the AHIP map also tells us that whatever great changes the companies had in mind for marketing their programs, are also months to years away from demonstrating any fruition or proof of efficacy, at administrative, clinical or patient level.

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DR Congo's insect cuisine: nutritious and delicious

DR Congo's insect cuisine: nutritious and delicious | Global∑os® (GlobalEOS) |

Diets have always been an indicator for lifespan and living potentials in the "Western world".  However, this western-centered interpretation to food and health is about to change again drastically due to genetically engineered foodcrops, environmental factors that influence our exposure to chemicals as part of our daily intake of "natural" foodstuffs, and the experimentation with some of the least satisfying sources for nutrients in most western societies.  

Brian Altonens insight:

From the world of entomophagy - the art of eating insects.


Those sushi-like frogs, chocolate-covered cockroaches, and seared Porcupine Fish filets rich in TTX make me wonder - what ever happened to the JFK diet?  Or better yet, that perfectly made other form of white meat, literally, known as pressed "ribs"  (at least in shape).


How to turn insects into a gourmet meal is really where we may have to go with this.  


Chapulines from Mexico, casu marzu sheep cheese (with worms/maggots) from Sardinia, crickets and palm worm larvae from Thailand, grasshoppers, mealworms, etc., don't really do it for me.


Then again, at least it's not "Soylent Green" yet.  

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India Just Did What Millions of Americans Wish the U.S. Government Would Do

India Just Did What Millions of Americans Wish the U.S. Government Would Do | Global∑os® (GlobalEOS) |
India's National Pharmaceutical Pricing Authority levies a game-changing decision this past week meant to improve access to branded medications. Find out how this action could both help and hurt India's citizens, and why it would be nearly impossible to implement in the United States. - Sean Williams - Health Care
Brian Altonens insight:

Perhaps it is time for our corporate and government leaders to go back to the classroom . . . .


We could be dropping again in popular opinion.  India stands by its decision to not honor the ridiculously high prices that international drug companies assign to some medications, such as 1,000 dollars for a supply in one country, and 25,000 in another.      


This India court ruling is in favor of the patient when it comes to cost.  So what next . . . are we US citizens going to be forced to pick up for that lost revenue, by more price changes ! ! ! !

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Chilling new details on cold-storage smallpox

Chilling new details on cold-storage smallpox | Global∑os® (GlobalEOS) |
Just hours after members of Congress grilled the director of the Centers for Disease Control and Prevention about his agency's mistakes with anthrax
Brian Altonens insight:
Like the small pox itself, this story could ultimately take on a life of its own. . . For students enrolled in Bioterrorism 101: .
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As Asian-American population grows in Orange County, California, so do needs

As Asian-American population grows in Orange County, California, so do needs | Global∑os® (GlobalEOS) |
Member-supported public radio for Southern California. Award-winning local news and cultural programming alongside the best of NPR.
Brian Altonens insight:

What you need to do to stay healthy and what you need to do to get better form a core part of any health belief system practiced by people of the same cultural background and tradition.  When two countries come together, there is often some disagreement as to how to stay healthy, and what is indeed truly "unhealthy".


This country first dealt with this  when the different native tribes collided with each other for eons, and when the Inuit met up with the Cree and Montagnais-naskapi.  the same events happened when Vikings met up with the Mi'kmaq, the Beothuk with the Russians, and the numerous North American tribes with the many colonists started to explore and settler.  We often like to merge all of these philosophies into some large stew of healing beliefs.  But in fact each were very different.  Only the Mahicans believed in the power of the north side of a tree bark for healing, the Iroquois in the role of the False Mask, the Great Lakes and Plains Indians in the mediwiwin (shaking tent).  At just the right age some Inuit experience Pibloktoq, which for a while we termed "Arctic hysteria", another time a type of epilepsy, and today either "false epilepsy " or some sort of psychiatric change, because these are diagnoses we have an ICD for (even ICD 10 unfortunately). 


Each culture has its particular culturally-bound and culturally-linked "ailments" or health-related events.  Western cultures are no different.  Fortunately, ICD-10 has made major changes allowing for many culturally bound conditions to be diagnoses in the EMR system [for examples, see Sociocultural and Health, ]


So which cultural medicines will impact traditional allopathic health care first?


We have the longest allopathic history of interculturalism with the Asians probably,  who we couldn't fully and successfully argue against the medical practices of throughout the nineteenth century.  Now Asian medicine is definitely here to remain a part of western allopathic allowance and insurance coverage (at least the coverage of acupuncture and its similars.)    


So what other cultural methods will be allowed at some point in health insurance companies?  The less they accept these changes, the less support they will get from their consumers.


The large migration of Central and South Americans, and Caribbean people add to the complexity of this situation.  We barely touch upon the surface of this problem through the use of medical anthropologists.  These specialists may learn a lot but do little to improve upon the actual care processes and health insurance dilemmas at hand.  A traditional healer might still be required, with services received in exchange for cash or trade, most certainly not insurance coverage.  The Finns still practice cupping, mostly on their own.  Some Hispanics still practice their traditional versions of hot-cold philosophy and therapy, something western MDs pay very little attention to.


Medical requirements for the treatment of people in other cultures requires more than just a focus on underserved communities that speak in one or more foreign languages.  We currently focus on just two topics when it comes to providing services for other cultures--foreign language competency and the most deadly or quality of life changing diseases they can suffer such as diabetes, hyperlipidemia, urban asthma or morbid obesity.  


The key to effective, culturally-managed care, is to implement a program that captures all four levels of disease, medical condition or health condition types:  culturally-bound, culturally-linked, culturally-related, and in-migration (biological, microorganismal) diseases.


CULTURALLY-BOUND - exist mostly due to cultural belief systems and the behavioral psychological experiences attached to the event in question, examples Hawaiian takotsubo ("broken heart syndrome"), Inuit pibloktoq, Asian amok and Hispanic diablo.


CULTURALLY-LINKED - exist due to sociocultural actions and beliefs, but also due to some physiological and genetic components tied to the ailment, such as African cardiomyopathy or Hawaiian moya moya.


CULTURALLY-RELATED - what we commonly cover with managed care, for example. underrepresented programs for Africans with heart disease, smoking habits, or diabetes.


IN-MIGRATION-LINKED - due to traditions, with physical etiology often lost due to removal to the U.S., such as African eye disease, chiclero's ulcer, nutritional goiter.


Culturally-bound are still often best treated by the true experts, in traditional medicine.


Culturally-linked benefit from the merging of these two traditions (western and non-western).


Culturally-related also require the merging of two traditions for the best services to be provided.


In-migration-linked is where our greatest cultural barriers are. For example, the way different culture view or interpret the same disease pattern, such as the recent Ebola.


My coverage of cultural medicine in managed care is on the following pages:  


Applying Culture to Managed Care Metrics -


Cultural Metrics, Part 1 -


Cultural Metrics, Part 2 -


Cultural Metrics, Part 3 -


See also:


Socioculture and Health, Part 1 -


Culturally-bound syndromes, Part 2 -



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Meet the new Andromeda Strain - - A New Flu Strain Created For Research Leaves The Human Immune System Completely Defenseless

Meet the new Andromeda Strain - - A New Flu Strain Created For Research Leaves The Human Immune System Completely Defenseless | Global∑os® (GlobalEOS) |

"Yoshihiro Kawaoka of the University of Wisconsin-Madison has genetically manipulated the 2009 strain of pandemic flu in order for it to “escape” the control of the immune system’s neutralising antibodies, effectively making the human population defenceless against its reemergence."

Read more:


Nothing like signs of progress in some of our riskiest medical science labs.  


The author says: "It's contained — but some scientists have concerns."  

Brian Altonens insight:

Here's to the logic of science and of scientists, at a regular university run medical research facility.  


   The researcher, along with the university and/or medical institution funding this work, have probably also filed a patent on this invention.


   This would make the scientist and the university accountable for any loss of control of this strain in the future; its a security risk in terms of potential bioterrorist testing or use.  I hope sufficient security has been put in place.


   The important thing to note is that this 'flu bug' is non-fatal, and is associated with some of the common seasonal flus we experience each year during flu season.  


   However, strains as basic as E. Coli and Shigella have also managed to defy our expectations when it comes to genetic change.  The passage of genetic materials and remarkable changes in viral genotypes due to time, numbers and "attempts" to evolve (perhaps too humanistic there), make it possible for the genotype changes to ensue.  Similar remarkable acts in nature have occurred, providing us with everything from the more deadly strains El Tor and the like, to unique forms of HIV and Rocky Mountain prion.   

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SURVEY(s) - Managed Care applications for Spatial Surveillance and Interventions Planning

SURVEY(s) - Managed Care applications for Spatial Surveillance and Interventions Planning | Global∑os® (GlobalEOS) |

GIS applications are perhaps still a decade away from effective implementation.  


Students who wish to impact this field and healthcare field workers who are interested in advancing the IT part of their profession are encourage to review my most recent survey developed "Managed Care and GIS."  


Your participation would of course be appreciated.  


Old survey link:



New Managed Care survey link:  


Students are especially invited to explore the second survey, the examples of its use being demonstrated, and the related HIPAA and HIT concerns.

Brian Altonens insight:

*********  GIS and Managed Care Survey   **********


    Survey Link: ;       .


   One of the hardest things to do in healthcare is to get employees in the system to buy into new designs and new thinking.  


    Fortunately the practice of writing protocols exist, without this process required and in place, new methods of treatment or practice could become overutilized, underutilized, mishandled, applied to the wrongs sets of patients, or even worse, cause significant side effects, quality of life changes, or reduced patient size.


    Rules are never liked by clinicians and professionals.  This is why agencies and special groups recommend specific protocols for such things as immunizations, cancer screening, blood testing, and genetics research or testing. 


    This review of implementing a new technology as a part of U.S. managed care focuses on the potential applications of GIS methods in improving your decision making process and increasing the savings generated by your program.  


   This survey reviews  the processes associated with and the potential engagement of healthcare staff in the implementation of this process.  It also reviews some of the most sensitive issues in U.S. healthcare that exist in today's managed care systems being developed, serving and meeting the needs of rich multicultural settings.


   Typical scenarios applicable to GIS at the administrative and clinical level are provided for review in this survey.  For many questions, there is no right or wrong, just an attempt to determine where future barriers might exist.  I also have to admit upfront that this survey is not conservative in its information gathering processes; some questions allow for open ended responses--so you can express your opinions.


   Those who engage in this work, and who have the most potential of impacting managed care in general, needless to say, are often student and interns.  Busy lives tend to make it difficult for active workers in their field to provide the insights we need to improve their system.   But hopefully some professionals in the healthcare field will make their opinions and share with us their level of preparedness regarding the changes about to happen over the next decade.  


   In terms of long term care for our healthcare system, I see students and fresh graduates best prepared to the next generation of medical GIS and spatial epidemiology work, which this survey is meant to document.  But this survey is designed to benefit employees willing to learn as well, and to document the barriers that exist with generating a more spatial analytically minded managed care system. 

Brian Altonen's curator insight, June 23, 2014 3:19 PM

About a year ago I posted and promoted a survey I developed on the use of GIS in the healthcare market setting and workplace.  It was targeted towards health insurance companies, PBMs, teaching hospital settings, and a variety of quality improvement devoted health administration programs and healthcare administrators. 


    This survey is still open and accessible at  


    I am especially grateful to the recent responses I received from a posting I left about this survey recently.


    A new survey has just been posted in Survey Monkey at  


    It focuses more on the manage care aspects and related clinical applications of this new surveillance tool.  In particular, this survey addresses topics not yet reviewed adequately by healthcare administrators and analysts with regard to the potentials GIS offers to our healthcare system.  Numerous applications and examples of how you cane apply GIS to a managed care, HMO or PPO program are provided in part of this 30+ question survey. 


    This new survey is part of an ongoing series of steps I am taking in preparation for the dissertation work required of the program I am in.  It is meant to provide participants with insights into developing and interpreting medical GIS and internally produced episurveillance maps, and the variety or moral and legal issues related to this new surveillance, care management approach.


    This survey by the way, has not undergone human subjects review scrutiny; so it is only a prototype, geared more towards those truly interested in medical GIS and especially students wishing to become part of this next generation of IT in the healthcare world.


    Thanks again to those who have already participated in these ventures.



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Proof that outsourcing is bad for your health: American company sells (_fitb_) products in spite of fatalities

Proof that outsourcing is bad for your health:  American company sells  (_fitb_) products in spite of fatalities | Global∑os® (GlobalEOS) |
Costco is under fire from dog lovers for continuing to sell pet jerky treats from China, despite being warned by an owner whose veterinarian believes treats purchased there killed her Yorkshire terrier puppy.
Brian Altonens insight:

It's true.  


To be a good researcher you have to "know your patients".  Right?  In the public health community this means to be a good researcher you have to "know your population"?


That's what it takes to be a "good researcher."  To be a GREAT RESEARCHER you have to know your people, know your population, know your services, and know your data.


Short-cutting prevents us from "knowing" our data like the experts we all want to be.


Shortcutting is what happens whenever you outsource something. 


Outsourcing means that either you don't know exactly how to solve the problem, or don't want to spend the time to learn or to think about the process of getting to an answer.  This means you "trust" everything to whom you outsource to.  That means you are trusting people's health and lives to outsiders, who really don't know the people you are responsible for.


Outsourcing is great for saving money and laying the bricks needed to build a foundation of knowledge for you.  It saves you time, and yes, in terms of manpower in the US versus out of the US, it saves you money too.


But outsourcing does not provide a better service than the original company can.  Outsourcing does not provide the best results with the best knowledge base experience and insights.  The more your job setting relies upon outsourcing, the less knowledge it has of its data, and the more it relies upon others to explain what the heck was just demonstrated using that new report about last month's data.


Outsourcing could very well make the health care system less responsible for its poorest outcomes, like those fatal doses that were missed the year before or the misapplication of a new protocol or procedure.  Outsourced data is produced by expert programmers and even analysts, but not the expert clinicians serving a particular patient.  Outlier patients could die due to outsourcing managers lacking the knowledge needed to determine when there a disaster about to happen.


When important responsibilities are outsourced, we fail to provide adequate protection of our customers back here at home with regard to the best quality healthcare.  We can never be certain the industries we engage in this process are providing us the best, most accurate results, performed in the right manner, unless we ourselves are there overseeing this process from the beginning.  


Outsourcing is currently the reason for a number of animals' deaths due to poorly supervised external manufactories.  Potentials for the same errors have been demonstrated for baby food (fortunately it never left the country), and neuromusculotoxic, hematotoxic di-tryptophan-contaminated bioengineered tryptophan tablets back in 1991.  That's more than 20 years ago that we've depended upon products made and information developed outside the high quality expectations of US healthcare settings and manufactories.  


Too much outsourcing means we lose control and no longer bear the truest knowledge borne by original data sources.  Too much outsourcing means our quality of care has been reduced, if not jeopardized at times.  Too much of this means we are also not taking responsible for the services we provide, or the mistakes we are making.  It gives us a way to write off our "errors" to other places, other companies and people.  


They are not the experts, we are, or at least we were, before outsourcing took over the healthcare industry.

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9 Animated Maps That Will Change The Way You See The World | Business Insider - Yahoo Screen

9 Animated Maps That Will Change The Way You See The World | Business Insider - Yahoo Screen | Global∑os® (GlobalEOS) |
The United States is 3.719 million square miles while Africa is 11.72 million square miles. The U.S. can fit inside Russia two times, and Russia can fit inside Africa two times.

Sometimes it's difficult to understand how large a country is based on square miles alone. Utilizing these nine maps, we've put countries and continents in a unique geographical perspective.
Brian Altonens insight:

The trend is to producing more effective data mining and modeling technique for presenting results.  


The advantage to using maps to present your results is that they are more efficient methods for presenting what are normally tabulated data.


Efficiency in time is at times more important than just amount or degree of accomplishments made.  Corporations that do not use multidimensional analytics and information processing techniques are behind the time.    


You cannot be efficient with time, when you are behind the time.  


This is a lesson that most corporate settings still need to learn. 

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No One Applauds This Woman Because They’re Too Creeped Out At Themselves To Put Their Hands Together | The Unknown But Not Hidden

No One Applauds This Woman Because They’re Too Creeped Out At Themselves To Put Their Hands Together | The Unknown But Not Hidden | Global∑os® (GlobalEOS) |
"Veal is Veal" -- "well, I don't eat veal because of how it is produced. What meanness and cruelty is involved", I hear my wife say. But I will eat chicken (in spite of that right wing bone broken due to how the machines handled them during the slaughter.), I am also okay with "farm fresh" eggs (according to the label). This presentation by Kate Cooper is very enchanting . . . at first. By the end, she brilliantly exposes us to "corporate truths" about the food industry in her video -- 'The Unknown Brutal secrets of Food Marketing'.
Brian Altonens insight:
This particular presentation is worth presenting with a public health perspective. In this presentation on food practices and farming by developed nations, Kate Cooper explains to the listeners how the "POWER OF WILLFUL IGNORANCE" enables us to purchase many of our foods, without feeling the guilt that could be attached to each and every item we buy due to their processing techniques. The fact that one could be reading this right now, and decide to click elsewhere, is illustrative of what Cooper is telling us about our behaviors. In public health, we behave the same way for other things too, like making the improvements that need to be made to make a healthcare plan work, or how to prevent infibulation from becoming a national cosmetic surgical practice, or the fact that our theories about cardiac disease were not as perfect as we thought, for quite some time, or the fact that we cannot stop certain mental health conditions and epilepsy from happening because we rely on the wrong paradigms. Harrison's 'Principles of Internal Medicine' is not printed in gold letters on a rare papyrus; it is not a sacred text. When it comes to certain health matters, we are still in the Contemplative state according to Prochasky. As stated by Kate Cooper, when ignoring the need for change, we are behaving as though we are ignorant and uneducated in things we should know. This then helps justify why we do nothing about them. This video is at
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Ameri/k/a v3.0

Ameri/k/a v3.0 | Global∑os® (GlobalEOS) |

Meetups, Rangedays, Comradery!

Find everything you need to know about local ranges, gun stores, in-the-woods locations in your area, and even your own store, shanty, or otherwise secured location if you are so inclined.

To post your location, all you need to provide is your ZIP code information, to serve as an approximate identification of where you are.  

Brian Altonens insight:

Fresh from Zee Maps.  


Anything to do with guns in the world., as businesses and internet viewers are now telling each other.


There is of course some bias in this map of global behaviors.  For one thing, people in the U.S. have  easier access  . . . . not just to the internet.

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Full Show: What the 1% Don't Want Us to Know | Moyers & Company |

Full Show: What the 1% Don't Want Us to Know | Moyers & Company | | Global∑os® (GlobalEOS) |
Economist Paul Krugman explains how the United States is becoming an oligarchy - the very system our founders revolted against.
Brian Altonens insight:

More on the richest 1% in this country.  A typical politics and economics homework assignment for the best HCA programs.


In health insurance companies, when funding is a concern, human capital is poorly evaluated, if at all, by more than 90% of the companies.  In the remaining 10%, 70% (7% for totum) represent inadequately use of human capital.  That leaves just 3% or less of the human potential being fairly distributed within a corporate system.


Human capital and wealth, behavior quite similarly.  The only difference is, human capital can explore and practice its potentials in other business settings.  Capital is locked in the system that has accumulated it.  


For health care, this means that financial successes will not result in many benefits at the human capital level.  Employees are not adequately rewarded for their accomplishments, achievements and financial successes.  The company benefits primarily from these outcomes, at the expense of generating further loss in human capital.


The incredible mismatch here is that the best human capital is not in the same business setting as the most successful capital bearers in industry.  The beneficiaries of these successes according to the author interviewed in this presentation have inherited their wealth, not earned it.  This new generation of capitalists will further the unequal distributions that already exist in the U.S. healthcare system.  

As as student one has to wonder--is this all educationally designed and based propaganda?  


The lack of significant change within an industry is a sign that your company is in fact losing its human capital, with its growth defining the rates at which capital growth are ensuing at the expense of previous employees.  Inherited capitalism promotes social inequality, and is the reason for the middle class becoming a new part of the lowest quality of life portion of this population--the lower class.  


The rising cost in health insurance can be better managed based  how we redistribute the finances accrued for managing population health.  It is up to just a few leaders in each business to enable these changes to happen.  Inherited capitalists, however, never learned this lesson in American wealth.  

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Another Philadelphia student dies at a public school with no nurse

Another Philadelphia student dies at a public school with no nurse | Global∑os® (GlobalEOS) |
A Philadelphia public school student died after falling ill at a school where no nurse was on duty. Because of deep cuts the district has eliminated 100 nurses.
Brian Altonens insight:
Sometimes the lessons we teach our kids at school aren't in the textbooks. They are simply part of adult behavior. Philadelphia school district leaders and teachers get an 'F' in Health Education and Prevention.
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