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Killexams : BlackBerry Supporting test success - BingNews https://killexams.com/pass4sure/exam-detail/BCP-220 Search results Killexams : BlackBerry Supporting test success - BingNews https://killexams.com/pass4sure/exam-detail/BCP-220 https://killexams.com/exam_list/BlackBerry Killexams : UNL researchers work to make berry more mainstream No result found, try new keyword!The company is known as A+ Berries, it’s focused on using Aronia berries, tasked by the American Aronia Berry Association to increase the value of the product across the board. Tue, 09 Aug 2022 14:07:08 -0500 en-us text/html https://www.msn.com/en-us/health/wellness/unl-researchers-work-to-make-berry-more-mainstream/ar-AA10uPNH Killexams : 2019 Talent

Rocco DiSpirito is a healthy lifestyle crusader, James Beard award-winning chef, and highly acclaimed author of thirteen books, including five New York Times bestsellers. His new cookbook, Rocco's Healthy + Delicious, debuted October 17, 2017, and features more than 200 mostly plant-based recipes for everyday life. He is recognized for his inspiring weight loss journey and has dedicated his life to proving that healthy and delicious are not mutually exclusive.

Driven to help people eat nutritious real food, he founded The Pound a Day Diet meal delivery service where he cooks for and coaches clients to achieve their best health. DiSpirito prepares fresh, delicious meals made right in his New York City kitchen and delivers to clients all over the country. Using only the best, local, natural and organic ingredients, he creates one-of-a-kind menus and personalized programs designed to help customers reach their weight loss and total health goals.

In 2016, DiSpirito made healthy choices more accessible than ever when he launched a plant-based, all-natural product line, Rocco's Healthy + Delicious. What began with Rocco's Organic Protein Powder Plus has since grown into a collection of better-for-you snacks and meals including chocolate bars, trail mix, Rocco's hazelnut spread, organic high-protein shakes, shake powder and more.

In September 2017, he was hailed the champion of the hit series Guy's Grocery Games: Superstars on Food Network where he won $40,000 for charity, playing on behalf of HealthCorps. As a national TV personality, DiSpirito currently stars and executive produces Now Eat This! with Rocco DiSpirito, airing on Z Living. He guided life-changing transformations as the Healthy Food Coach on ABC's Extreme Weight Loss, hosted the cooking competition show Restaurant Divided on Food Network and starred in Rocco's Dinner Party on Bravo. In 2012, he founded his production house, Savory Place Media. Its first project, Now Eat This! Italy, for AOL Originals became an instant Top 10 series garnering millions of views.

DiSpirito sits at the head of the table as a pioneer of the healthy and delicious movement. When he embraced healthy cooking over a decade ago, he also committed to empowering young people to make better food choices. To that end, he serves as an Ambassador for HealthCorps where he regularly visits schools across the country, performs cooking demonstrations and encourages thousands of youth to build healthier habits. In 2017, Dr. Mehmet Oz, HealthCorps Chairman, presented DiSpirito with the organization's highest honor, the Golden Heart Award.

Advocating on behalf of food security and obesity issues has been one of the most rewarding experiences of DiSpirito's life. As an Entertainment Council member for Feeding America, DiSpirito frequently serves guests at food banks throughout New York City. He actively volunteers with Wellness in the Schools (WITS) and gave the commencement address at the John V. Lindsay Wildcat Academy. He is hailed as an inspiring health expert and is often called upon to speak at events, such as the Partnership for a Healthier America summit in Washington, D.C.

DiSpirito's love of food began at a young age, learning from Mama who could make magnificent dishes using only a handful of real foods. His passion for cooking led him to study at the Culinary Institute of America and Boston University. By the time he turned 20 years old, he was working in the kitchens of legendary chefs around the globe. He was named Food & Wine magazine's "Best New Chef,” People magazine's "Sexiest Chef” and was the first chef to appear on Gourmet magazine's cover as "America's Most Exciting Young Chef.” His 3-Star restaurant Union Pacific was a New York City culinary landmark for many years.

He lives in New York City and enjoys bicycling and participating in triathlons.

Wed, 25 May 2022 19:14:00 -0500 en text/html https://www.foodandwine.com/promo/events/aspen-classic/talent
Killexams : Surgically Implanted Bluetooth Devices Don’t Help Would-Be test Cheats

A pair of would-be test cheats were caught red-handed at the Mahatma Gandhi Memorial Medical College in Indore, India, as they tried to use Bluetooth devices surgically implanted in their ears for a bit of unauthorised exam-time help.

It’s a news story that’s flashed around the world and like most readers we’re somewhat fascinated by the lengths to which they seem to have been prepared to go, but it’s left us with a few unanswered questions. The news reports all have no information about the devices used, and beyond the sensationalism of the story we’re left wondering what the practicalities might be.

Implanting anything is a risky and painful business, and while we’ve seen Bluetooth headphones and headsets of all shapes and sizes it’s hardly as though they’re readily available in a medically safe and sterile product. Either there’s a substantial rat to be smelled, or the device in question differs slightly from what the headlines would lead us to expect.

Miniature Bluetooth headphones were all the rage in the last decade, so now the pages of Amazon and AliExpress are bulging with high-tech devices to stuff in your ear canals. They’re tiny, but it’s worth thinking for a minute what tiny means in this context. A while back we took a look at cheap Chinese ear cameras as microscopes, and pulling out the review model for a quick measure we find that the business end which is a snug fit in an ear canal is 5.5 mm wide. It’s small in the scheme of USB cameras, but in the context of subcutaneous implants it’s huge. There are members of our community with an interest in embedable RFID tags, by contrast these tags are a fraction of a millimetre in diameter and are suitable for implantation using a hypodermic syringe.

Thus we are ready to smell a rat rather than take at face value the headline’s assertion that a Bluetooth earpiece was embedded complete with LiPo battery and enclosure. We think that anyone with one of those shoved under their skin would be not an effective test candidate, suffering as they would be from significant pain and probably a nasty infection.

We are guessing that a far more likely source of this story is an implant that doesn’t involve any Bluetooth at all. A bone conduction hearing aid implant is a small magnetic device that is attached to the bone behind the ear, which vibrates in response to a magnetic field and transmits the resulting sound to the receptors of the inner ear via the bone itself. A search on miniature in-ear devices reveals a category of so-called “spy” products in which an induction coil is worn around the neck with a pocket amplifier, and we’re guessing that one of this type of devices might be the culprit. This leaves us significantly curious as to how the crafty pair were rumbled; did they blast Barry Manilow through a large induction coil, we wonder?

If you’re someone with expertise in these matters, perhaps even a user of an inductive hearing aid implant, we would like to hear your views in the comments.

Header: Internet Archive Book Images, No restrictions.

Tue, 12 Jul 2022 12:00:00 -0500 Jenny List en-US text/html https://hackaday.com/2022/02/25/surgically-implanted-bluetooth-devices-dont-help-would-be-exam-cheats/
Killexams : The $50 Ham: Getting Your Ticket Punched

Today we start a new series dedicated to amateur radio for cheapskates. Ham radio has a reputation as a “rich old guy” hobby, a reputation that it probably deserves to some degree. Pick up a glossy catalog from DX Engineering or cruise their website, and you’ll see that getting into the latest and greatest gear is not an exercise for the financially challenged. And thus the image persists of the latest retiree, long past the expense and time required to raise a family and suddenly with time on his hands, gleefully adding just one more piece of expensive gear to an already well-appointed ham shack to “chew the rag” with his “OMs”.

Not a $50 ham. W9EVT’s shack. Source: QRZ.com

As I pointed out a few years back in “My Beef With Ham Radio”, I’m an inactive ham. My main reason for not practicing is that I’m not a fan of talking to strangers, but there’s a financial component to my reticence as well – it’s hard to spend a lot of money on gear when you don’t have a lot to talk about. I suspect that there are a lot of would-be hams out there who are turned off from the hobby by its perceived expense, and perhaps a few like me who are on the mic-shy side.

This series is aimed at dispelling the myth that one needs buckets of money to be a ham, and that jawboning is the only thing one does on the air. Each installment will feature a project that will move you further along your ham journey that can be completed for no more than $50 or so. Wherever possible, I’ll be building the project or testing the activity myself so I can pursue my own goal of actually using my license for a change.

(A shout-out to Robert for suggesting this series, and for graciously allowing me to run with his idea.)

Getting Your Ticket

The licensing of amateur radio stations in the United States goes all the way back to 1912. (I’m concentrating on US laws and customs regarding the amateur radio service simply because that’s where I live; please feel free to chip in on the comments section about differences in other countries.) Anyone who wants to operate on the bands reserved for the amateur radio service has to be licensed by the Federal Communication Commission. Unlicensed individuals are free – and encouraged – to listen in on the bands, but if you don’t have a license, you can’t transmit. And trust me, the local hams, with know-how, equipment, and all the time in the world, will find you, resulting in an unpleasant encounter with the FCC.

There’s really no reason not to get a license anyway. This will be among the cheapest parts of a ham’s journey, and perhaps even free. To earn a license you’ll need to pass a written exam, but before taking the plunge you’ll need to know a little about the classes of amateur radio licenses, and the privileges they bestow.

The current entry-level license class in the US is called Technician class; the old Novice class was eliminated in 2000, along with the Morse code requirement for all classes. Technicians have privileges to operate mainly on the upper frequencies, primarily on the 2-meter (144 MHz) and 70-cm (420 MHz) bands in phone mode, which means voice transmissions. Technicians also have access to small slices of the 10-meter band using data modes, and small sections of 15-, 40-, and 80-meters if they learn Morse or use a computer to send and receive it. This limits the Technician to mainly local communications, but there’s plenty to do and loads to learn on these bands.

The band plan for US hams. Note that Technicians only have phone (voice) privileges on 10 meters and below; the long haul bands are off limits unless you use Morse. Source: ARRL.org

Practice, Practice, Practice

Even with all the limitations, a Technician license still offers access to a lot of spectrum and serves as the gateway to the next two classes, General and Extra. Everyone has to start with a Technician license, which requires passing a 35-question multiple choice examination. The test is standardized with questions selected from a fixed pool, with courses ranging from knowing FCC Part 97 rules to basic electronics and RF theory. The test is pretty easy, especially for anyone with a background in electronics. In fact, many complete newbies come to test sessions after having run through enough online practice tests to see every possible pool question and pass the test without understanding a thing about radios or electronics. There are lively debates over whether that’s a good thing or not – personally, I’m not a fan of it – but it is what it is; the Technician test is dead easy.

Your investment in a Technician license will be minimal, and mostly consists of the time it takes to study. Online practice tests – I recommend the tests on QRZ.com – are free to take as many times as you need to. Some ham clubs offer local classes aimed at helping you to prepare, and those generally charge only a nominal fee. There are even one-day intensive “ham cram” sessions where you’re guided through all the material and take the test at the end of the day.

Typical test session. Calculators are allowed, but no smartphones, please. Source: Tri-County Amateur Radio Club

Exam sessions are run by Volunteer test Coordinators (VECs) Volunteer Examiners (VEs), hams who have special training in administering and grading exams. They too charge only a nominal fee – I think I paid $15 – and may even waive the fee under certain circumstances. There are also occasional special events like the annual Field Day, where hams set up tents and booths in public places as an outreach to the public, where exams are often administered for free.

Honestly, getting your Technician license is about as low impact as the amateur radio hobby gets. Once you can consistently pass practice tests online, the genuine test is a breeze. Exams are graded on the spot so you’ll know instantly how you did, and you can even take the next test for no extra charge if you’re ready. deliver it a shot even if you haven’t studied – I nearly passed my Extra test going in cold after I aced my General.

Next Time

In the next installment I’ll start discussing what the newly minted Technician can do with his or her license. It may seem like a pipe dream to get on the air for less than $50, but it’s surprising what’s available these days, and you’ll find that fifty dollars can go a long way toward making your first contact.

Sun, 03 Jul 2022 12:00:00 -0500 Dan Maloney en-US text/html https://hackaday.com/2019/03/08/the-50-ham-getting-your-ticket-punched/
Killexams : In Calgary, a drinks scene with a twist: Women are making a mark in an industry traditionally dominated by men

A “Dragons’ Den” star who heads up a massive beer, wine and spirits empire. The only female master distiller in the province. And a production manager at the 2021 Canadian Brewery of the Year.

Alberta’s drinks scene is livelier than ever, and women from the Calgary area are front and centre, as I discover on a latest visit where I meet a few of the prominent women making a mark in jobs traditionally dominated by men.

An hour’s drive south of Calgary, in the bucolic town of Turner Valley, Winnipeg-born, Scotland-raised Caitlin Quinn is the master distiller at Eau Claire Distillery, the first boutique distillery in Alberta.

Quinn initially studied chemistry, but quickly realized it wouldn’t lead to the kind of career she wanted. So she enrolled at Heriot-Watt University in Edinburgh, where she earned a master’s degree in brewing and distilling.

“At the end of the day, distilling is still chemistry,” she tells me, with a smile. “But you get to drink what you make.”

Quinn hadn’t planned on moving back to Canada. But shortly before graduating, she read that Eau Claire co-founder David Farran was looking for a master distiller and applied.

“I got the job offer the day I walked into my last exam,” she says. “I came here in 2015 and told myself I’d deliver it a year. But I haven’t left. I love the sun and the blue skies.”

Since then, Eau Claire has grown from a small roadside shack to a major operation. They make a variety of products, including gin, vodka and whisky, as well as canned and bottled cocktails.

“There are so many more opportunities here for women and younger people,” compared to Scotland, explains Quinn as we chat in the Eau Claire speakeasy bar, next to the tasting room. “There you work 50 years, train an apprentice, and then they take over. It’s much easier to make your mark here.”

Quinn says people are a bit shocked when she tells them she’s the master distiller. “Not in a bad way — they just don’t expect it.”

The next day I drive a few minutes north of downtown Calgary to meet Manjit Minhas, co-founder and CEO of Minhas Breweries, Distilleries and Wineries. She’s also been a regular on “Dragons’ Den” for eight years, so she’s seen a thing or two. Maybe three.

“There’s definitely a breaking of the norm” in Alberta, she tells me. “We like to chart new paths, and I think Calgary is very entrepreneurial.”

The Minhas Breweries story is quite astonishing. She and her younger brother, Ravinder, started in the spirits business in 1999 with Mountain Crest Liquors Inc. She was 19, he was 18.

They began with a distillery in Kentucky and soon branched out to other countries, including Mexico and Barbados, making rum, rye, gin, vodka and blended scotch.

In 2002, they started Mountain Crest Brewing Company. Four years later they bought the Joseph Huber Brewing Company in Monroe, Wisc., and renamed it Minhas Craft Brewery.

They branched out into the wine business a few years ago with Dragon’s Tears wines, and also have an award-winning restaurant in north Calgary called Pizza Brew, with pizza, sandwiches and snacks.

A look at the shelves lining Pizza Brew reveals a vast number of Minas brands, including Blarney’s Irish cream liqueur, Punjabi Club rye whisky, Lazy Mutt beer and Artingstall’s (a London dry gin they make in conjunction with Hollywood director Paul Feig). They also produce white-label liquors for the likes of Costco and Sam’s Club.

“People sometimes say to me, ‘I’ve never tried your products,’” Minhas tells me. “I say, ‘Yes, you have — you just didn’t know it.’”

My last boozy stop in Calgary is the Establishment Brewing Company, headed up by production manager Natasha Peiskar. The Establishment was named Brewery of the Year at the 2021 Canadian Brewing Awards, just a few months after she arrived.

We demo a flight of beers, including a hazy New England pale ale called Afternoon Delight, with a crisp bouquet and a nice bite from the Citra hops. We also try a purple-coloured blackberry sour with vanilla called Jam Rock, and a Berliner Weisse beer.

A lot of research goes into producing a new beer, Peiskar says. “We have an extremely collaborative team. And we talk to other brewers to find out how they do things.”

Still, it’s an industry dominated by men. And that can lead to trouble. “There’s definitely some microaggression,” she tells me. “Well, maybe not micro.” Peiskar recalls showing an employee how to use a forklift and hearing someone yell out, “Who let the boss’s wife drive the forklift?”

Peiskar hopes her brewing success will act as a catalyst for other women. “I want to inspire them to be the greatest and deliver them a smoother path. That would be a dream for me.”

Peiskar is also president and co-founder of the Pink Boots Society Canada, a non-profit organization that assists women in the fermented and alcoholic beverage industry.

If you want to support women in the food and beverage business but don’t drink alcohol, Dalia Kohen is someone you’ll want to know.

For years, Kohen ran a vegetarian restaurant (yes, they have them in Calgary) called the Coup. But she wanted a change and left to try her hand at non-alcoholic cocktails, which she recently launched under the label Wild Folk, carried at select restaurants and breweries/distilleries across Alberta.

It took considerable time and experimentation to come up with the right recipes. Asked if there were any duds along the way, Kohen laughs. “I made my friends and my sister try all sorts of them,” she said. “My friends were always nice, but my family was truthful. They said a couple weren’t very good.”

She tells me some companies toss sugar in a can and add just a few ingredients. But, as a vegetarian chef, Kohen learned long ago the importance of layering flavours. She uses rinds, roots and herbs in her Wild Folk mocktails, which include a vermouth-inspired spritz and a non-alcoholic negroni.

Inventive beers, tasty spirits, zero-proof cocktails and influential women. If you’re looking for a fascinating drinks scene, Calgary’s got you covered.

Writer Jim Byers travelled as a guest of Tourism Calgary, which did not review or approve this article.

Fri, 29 Jul 2022 14:52:00 -0500 en text/html https://www.toronto.com/life/in-calgary-a-drinks-scene-with-a-twist-women-are-making-a-mark-in-an/article_09423d3f-b7e4-5fbe-9424-4bdda6365902.html
Killexams : Remote Office Visibility boosts application performance as well as end-user experience No result found, try new keyword!This new system will support retaining existing employees and attracting new talent. In the new business model, employees depend on remote access to services hosted by corporate networks ... Wed, 20 Jul 2022 12:00:00 -0500 text/html https://www.ciol.com/remote-office-visibility-boosts-application-performance-well-end-user-experience/ Killexams : 10 Best mobile App development companies in Bangalore

Bangalore is called the "Silicon Valley of India." Its increasingly-known status as the Indian IT center signals the direction it’s headed in. Career-wise, IT businesses employ nearly 45% of the 2.5 million available IT professionals in Bangalore. Additionally, the city provides predictions for the nation's outstanding export growth in the information technology sector.

Businesses increasingly rely on mobile applications to expand their customer base and provide efficient products and services. To respond to this phenomenon, Bangalore saw the emergence of numerous mobile app development firms that updated their technological capabilities to serve their clients better.

Due to the enormous and ever-increasing demand in the mobile development industry, designing convenient apps for iOS and Android has become the existing trend. The need for high-quality mobile apps has increased, as have customer expectations. To survive the heightened expectations, Bangalore's top mobile development companies tend to utilize significantly advanced cutting-edge technologies to enhance their services.

Selecting the best development firm for your next project may put quite a bit of strain on your shoulders. Therefore, there are some key concepts for you to consider before choosing the mobile app developers you’re going to be working with. We advise you to:

  • Investigate their portfolio.
  • Verify their ratings.
  • Look at their case studies.

As per the current state of the market, here are the best mobile app development companies in Bangalore:

A dynamic web solutions provider, eFlair excels at designing, creating, and marketing websites and mobile applications. It is one of the finest mobile app development companies in Bangalore and has rated as the best mobile application developer in India by leading publications consistently. They have a diverse portfolio of successful high-end projects and can provide the highest level of customer satisfaction. They have flexible working hours, which enables them to accommodate your schedule.

Eflair is a one-stop-shop for all your mobile development needs, from planning and all the way to coding and successful marketing. They provide a fluid working environment with regularly scheduled meetings, strategic workflow management, a personal approach to client interactions, proper QA, regular bug testing, timely deployments of functioning prototypes, and ROI updates.
They are a team of highly skilled professionals who understand how to create exceptional apps that meet your business needs. Their dedicated team ensures that all tasks are completed on time and within budget. You can get a live demo of their work before hiring them for any project. They are one of the top mobile development companies in Bangalore that offer 24/7 support and are available to address your concerns or queries anytime.

Cost Per Hour

$20 - $49

Min. Project Amount

$5000 - $100000

Mistral solutions

Mistral offers end-to-end services for product development and implementation. It specializes in technology design and system engineering. Their embedded Android software development experts have in-depth knowledge of the Linux Kernel, Android Runtime, JNI, Android SDK, Android HAL, framework APIs, development tools, testing processes, and ways to either minimize potential issues or avoid them altogether.

Mistral has over 20 years of operational expertise in these fields. Their build-to-spec engineering expertise allows them to provide specialized solutions across various industries and for various applications, including aerospace, defense, wearable electronics, home automation, industrial automation, infotainment, medical electronics, and assistive technology. They are one of the best android app development companies in Bangalore you can rely on to get things done properly and on time.

Cost Per Hour

$51 - $100

Min. Project Amount

$50001 - $100000

Extentia

Extentia is an experienced company that has been in the industry for over ten years. They have worked with a diverse range of customers, including Fortune 500 companies. Their qualifications and expertise make them one of the best mobile app development companies in Bangalore.

They are highly experienced in the field of mobile development, enabling them to provide professional solutions that are in line with your business needs, however strict and particular they may be. The company is known for its exceptional customer service, making it an ideal choice for all your unrealized IT projects. In fact, they provide a full suite of IT services and solutions.

Cost Per Hour

$26 - $50

Min. Project Amount:

$5001 - $10000

Brill Mindz

One of the best custom software development and web development services comes from BrillMindz, widely considered as one of the top mobile app development companies in India. Their 200+ developers are trained and experienced to serve enterprises, individuals, and small businesses worldwide by providing creative, approachable, and reliable IT solutions. They create specialized Android and iOS apps using cutting-edge technologies that are interactive, user-friendly, and feature-rich for different mobile gadgets, tablets, and other devices.

Their team offers a full range of digital services, including conception, design, development, testing, marketing, and maintenance, all topped off with ongoing support.

In the last eight years, they have successfully completed over a thousand projects across all key sectors and market segments. They are a reliable Android app development company in Bangalore that you can consider hiring for your next project.

Cost Per Hour

Up to $25

Min. Project Amount

Less than $5000

RapidValue Solutions Inc

In industries like retail, education, healthcare, pharmaceuticals, logistics, financial institutions, manufacturing, media, and entertainment, the requirements are quite strict, and RapidValue is considered a global leader in providing digital transformation services to businesses of all kinds. They expedite time-to-market and can jointly develop the next digital experience that exceeds your wildest expectations by utilizing agile techniques, reusable assets, and deep technology expertise.

Strategy, UX design, application engineering, integration, enterprise system enablement, testing, and support & maintenance are just a few services they provide, targeting mobile, omnichannel, cloud, and IoT development.

RapidValue provides cutting-edge solutions in-line with the strict requirements of various Fortune 500 and Fortune 1000 organizations, multinational companies, and innovative start-ups. Having worked on 600+ diverse projects with 150+ customers worldwide, RapidValue has unrivaled expertise serving LinkedIn, Facebook, Yahoo, General Electric, eBay, Citrix, and other high-profile clients. It is one of the most trustworthy website and app development companies in Bangalore.

Cost Per Hour

$26 - $50

Min. Project Amount

$10001 - $25000

Indglobal

Indglobal is a multi-award-winning software development business with a significant regional presence in Dubai, United Arab Emirates. They have ten years of experience providing various online solutions tailored to the specific requirements of multiple markets and industries, giving them great exposure and a great pool of expertise to draw from.

Their services include software development, ERP, Odoo, e-commerce, mobile apps, digital marketing, and digital transformation. Additionally, their products have received numerous honors and awards.

Cost Per Hour

$26 - $50

Min. Project Amount

$10001 - $25000

Fusion informatics

Fusion Informatics is a Quality Mark Award-winning and ISO 9001:2015 Certified Company. Since its establishment in 2000, it has worked with 5000+ business clients and 1000+ mobile apps. This includes Bosch, Lenovo, Bharat Petroleum, Reliance, Othaim, WorkerAppz, and other companies of high acclaim.

They provide a wide range of services, such as Business Process Automation solutions & services, IoT, Blockchain, Cloud computing, iOS/iPhone apps, Android apps, and Artificial Intelligence, Data Science, Machine Learning, and Enterprise Mobile App Development. Based on its project portfolio, this is a dependable mobile development company in Bangalore.

Hourly Rates:

Up to $25

Min. Project amount:

$5001 - $10000

Terralogic Inc

As a reputable software development firm, Terralogic is dedicated to providing clients with software and mobile apps that enhance their operations. Since its inception in 2008, Terralogic has produced countless applications for small and large businesses alike. Their development team focuses on creating IT solutions that are tailored around their clients’ exact needs.

Their services are based on the latest tools and technology, including IoT, data science, and cloud computing. They offer UI/UX Design, Software Development, Mobile App Development firms, Cloud Services, Expert IT Solutions, Secure Blockchain Technology Implementation, and other services.

Hourly Rates:

$26 - $50

Min. Project amount:

$5001 - $10000

Travjury Software Pvt. Ltd.

Founded in 2018, Travjury is a full-stack software development company in Bengaluru. They assign a focus group to each program layer, from strong data processing to fluidly responsive displays. Their staff consists of seasoned experts who have completed numerous projects for various customers.

Product Engineering, Web Services (API), Saas & Cloud, Web Applications, Blockchain Applications, Progressive Web Apps, Website Design, and Digital Marketing are some of their strongest areas of expertise.

Cost Per Hour

Up to $25

Min. Project Amount

Less than $5000

Black Turtle Diginovation Pvt

They are a niche consulting firm with extensive industry knowledge across all verticals. When working diligently to meet the needs of their clients, they are no strangers to implementing automated solutions. Forming long-lasting partnerships with companies, startups, and entrepreneurs, they are dedicated to bringing their cutting-edge ideas to life.

Their team provides various services like enterprise application development, web and desktop application development, native and hybrid mobile app development, and digital consultancy to start-ups and budding entrepreneurs.

Hourly Rates:

Up to $25

Min. Project amount:

Less than - $5000


Types of mobile applications


If we divide mobile apps into three categories based on the way they’re coded, these would be:

  • Native applications that are designed only for a single platform or OS.
  • Web apps are mobile-friendly versions of websites that may be viewed on any mobile device or operating system because they are delivered through a mobile browser.
  • Hybrid apps combine features from native and online applications, however, they are contained within native programs that can have their icons or be downloaded from an app store.


What does the mobile app development process entail?

Developing a mobile app involves multiple steps that take it all the way from a concept phase to a polished product, packed full of features that bring value to the end-user.

1. Planning and conceptualizing: This is the first step in the app development process. It involves information gathering through various methods, including market research to see what the competition is doing as well as interviewing the clients to set a better vision for it and its design goals. In this step, the objective is to determine the feasibility of the app’s initial idea by researching and double-checking whether there’s a market need for it.

2. Prototyping: This is where we take a concept, create a minimum viable product built around it, and test to see whether it functions in practice. Notice the emphasis is on ‘minimum viable’. This means functionality takes precedence over form - worrying about user friendliness and overall design is something that comes later. Think of it as testing out a technical concept. A good example is verifying whether it’s possible to connect functionality X to a third party service Y, what the best approach is, and whether there are any issues that surface along the way.

3. User Interface design: This is an essential part of any mobile app development project as it ties up the app’s functionality to an interactive interface, all while trying to execute it in as user-friendly manner as possible. To accomplish this goal, we need to ask ourselves whether we understand the optimal user flow, the element hierarchy, etc. If there are similar apps in the marketplace, what makes some of them feel intuitive and others clunky? The objective here isn’t to reinvent the wheel; it’s to model the overall user experience after the very best examples out there.

4. Development: This is where the developer starts coding the final version of the app using various technologies such as HTML5, CSS3, and JavaScript. If deemed necessary or beneficial, certain frameworks can be used such as PhoneGap or the Ionic framework. The objective here is to make the best possible version of the app that’s based on the fully-functioning mockup, but with polished graphics, spotless code, optimized UI and UX, and so forth.

5. Testing: This step involves testing your application on various different devices such as Android, iOS, Windows Phone 8, and Blackberry 10. The idea is to see how it behaves on different resolutions and devices to iron out any glitches or display inconsistencies. If there are any bugs, it’s essential to resolve them prior to deploying the app. To optimize the process even further, a skilled app developer will prepare a streamlined set of test cases to run through and see whether the app passes them or not. This comes in handy when implementing additional functionality, at which point it’s necessary to re-run all the tests to see if anything breaks.

6. Deployment: This step involves uploading your app to Apple App Store or Google Play Store for users to get it and install it to their devices. Every single time you decide to release a new version of the app, you will have to repeat this step one more time and pass the review and approval process. To ensure the highest chance of success, your developer should have ironed out all the bugs and display inconsistencies in one of the previous steps.

7. Maintenance & Updates: This is an ongoing task where you need to update your mobile app periodically to stay up-to-date with the latest trends and technologies as well as make sure it’s secure. To avoid falling behind your competitors, it’s important to take your users’ feedback into consideration and implement the features they’re requesting and address any issues they might be complaining about. The best mobile development companies will keep a watchful eye on this and make sure your app stays compliant and performs well long after its initial release.


Why do we need a mobile app for our business?

Nowadays, almost everyone carries a smart device in their back-pocket. As data shows, roughly 50% of all online traffic now comes from mobile devices, meaning that optimizing for mobile is no longer a choice - it’s a necessity. In addition, to ensure a native user experience and greater market coverage, many businesses decide to have their own mobile app developed.

  • To Strengthen the communication with your customers. Food delivery chains are a great example of a business that clearly benefits from having its own mobile app, and it’s just one example of many. In this case, the app is an extension of their offerings, allowing a hungry buyer to order a tasty meal in as little as a couple of screen taps.
  • To increase brand awareness. Merely the act of publishing your app on one of the official marketplaces helps a great deal with how well people are acquainted with your brand. As you grow and solidify it, this will help you get new customers through the door.
  • To market your business. An app also serves as a marketing channel for your business. In fact, you can incorporate push notifications and distribute exclusive deals and offers straight from your app to increase customer retention without doing much heavy lifting.
  • To stand out from the competition. If most of your competitors have an app, there’s probably a good reason for this. See how you can make yours better and outshine your competition.
  • To Strengthen customer engagement. Do your customers often need additional help and support? Make it easy for them to get in touch with you, even if it’s to voice their complaints. Keep in mind that responding to them will not only make them feel understood and heard, it’s also a goldmine of information you can use to polish up your products and services.

Benefits of having a mobile app

The following are some of the benefits that you can get from having a mobile app:

  • It is an effective way to engage with your customers: It helps in generating more leads and sales for your business. The users will be able to interact with the company regularly, which will help them stay in the loop with the latest updates and developments.
  • It is an effective way to promote the business: This will help increase your company's brand awareness and can also be used as a marketing tool for promoting new products or services.
  • It helps you gain access to data: An app can be used to collect essential usage statistics and other valuable insights from your users. This makes it a useful framework for analyzing the performance of your business, and it can also be used as a marketing tool for generating more leads and sales.
  • It facilitates the communication between you and your customers: Depending on the industry you’re operating in, effective communication with your customers can either make or break your business.
  • It can be used to reward customer loyalty: Whenever your customers buy from you, thank them by sending them a coupon they can use on their next purchase. Based on their purchase history, you can also send them personalized product recommendations.
  • It facilitates problem resolution: In case your customers run into a problem, make it as easy as possible for them to get in touch with your customer service and support department.


How to build successful mobile apps?

The following are some of the tips that you need to follow for your mobile app to be successful:

  • Make sure that the design and functionality of your mobile app are accessible but not too simple. You should know how many steps a user must go through before accessing all required features. Make sure that there is no information redundancy and make it clear which information can be accessed at any time.
  • Ensure that all the content, including images, videos, etc., is of the highest quality. The user interface should be as seamless and easy to use as possible. The mobile app is supposed to provide an excellent experience for every user, so make sure that it does not get in their way at any time.
  • Focus on the essentials. To do so, you need to ask yourself what is the main purpose of your app and what functionality can be classified as secondary in the hierarchy of importance? Does the app serve its intended purpose or does it confuse the user by having too many features while the important ones are buried in the background?
  • Testing, testing, testing. To ensure the app is as robust as possible, try to push it to its limits and intentionally do ridiculous things to see if anything breaks.
  • Decide on the most fitting revenue model. Is the app mainly intended to help grow your brand or do you think you could explore other monetization models such as displaying ads?
  • Learn from your competitors. In the world of app development, the great thing is that you don’t necessarily need to learn from your own mistakes. Instead, see in what areas your competitors’ apps are strong and model after their success. You can also check the feedback their users have left them and use it as a springboard for making your app better than theirs.


The technical approaches to mobile app software development

There are several technical approaches that you can take when it comes to developing mobile apps. The most important thing is to choose the right direction that is fitting for your business, as one choice might not be suitable for everyone's needs:

The ASP programming language: This is the oldest and most common way to create apps using Microsoft Visual Studio. NET. It provides a lot of flexibility in terms of designing user interfaces. Through forms authentication options like SSL or HTTPS, your app can have strong security features. The ASP programming language is good for creating several forms of web applications.

The most common approach to mobile app development using the ASP programming language consists of developing a website with all the functionalities you require for your project and then adding an HTML5 Mobile Apps template. This way, you can access many tools and features of Visual Studio 2012 and various extensions for mobile platforms such as Android or iOS.

You will have to select the right development tools and utilize their functionalities. This can be very time-consuming, especially if you have no programming or web application development knowledge.

Visual Studio Express 2013 for Android: Visual Studio Express is an IDE that works with HTML5 and Android applications. Developing mobile apps using this approach is suitable if your business only has a few products or services. This tool also gives you access to the Visual Studio Marketplace, where you can find various extensions that will help you develop your project efficiently.

You also need to know different development tools such as PhoneGap, which allows creating native applications for iOS and Android platforms, along with Cordova, which is a tool that will help you build hybrid mobile apps using HTML5.

Several tools can help create your mobile app, including PhoneGap, Appcelerator, or Titanium Mobile Tools. These tools come integrated into Visual Studio 2012 (or 2013), so they are part of the Visual Studio development environment. When developing your project using this technology, you don’t necessarily need to use any other technology alongside it.

The main difference between these three tools is that in PhoneGap you can access a wide range of APIs and frameworks, while Titanium Mobile Tools can only work with HTML5-based applications. Appcelerator has an extensive library of plugins that allow developers to quickly create mobile apps using third-party APIs or integrate existing ones.

These are the primary tools for creating your mobile app using Visual Studio. You should make sure you choose the ones specific to your needs because this will help save you time and help you create a better app.


What is a brief mobile app testing plan?

The following are the steps for mobile application testing:

Step 1: Identify the Mobile Application: This step involves identifying the mobile application, including its version number and platform.

Step 2: Identify the Mobile Application's Functionality: This step involves identifying how the mobile application works. This includes identifying the features, functions, and processes.

Step 3: Identify the Mobile Application's Security: This step involves identifying the security vulnerabilities in a mobile application.

Step 4: Test for Functionality Issues: This step involves testing the functionality of a mobile application.

Step 5: Test for Security Issues: This step involves testing the security vulnerabilities of a mobile application. It is important to remember that security testing is not the same as vulnerability scanning.

Step 6: Test for Compatibility Issues: This step involves identifying compatibility issues between a mobile application and its platform.

Step 7: Test for Performance Issues: This step involves testing for performance issues such as page load time, data access speed, and databases.

Step 8: Test for Unexpected Behavior Issues: This step involves identifying any unexpected mobile application behaviors. These include crashes and errors when a mobile application is being used.

Step 9: Test for Intermittent Issues: This step involves testing whether the mobile application works properly when it runs intermittently and what happens during such periods.

After completing these steps, a mobile application security testing plan can be concluded.

-FAQs

1. Which is the best mobile app development company in Bangalore

Out of all the options, eFlair Webtech is the best place to start if you want to get your app made as efficiently as possible and have an experienced professional guide you through the process. They are an android app development and mobile application development company from Bangalore, India. If you don't know what type of app you should be building, they can advise you on the matter as well.

2. How do I hire mobile app developers in Bangalore?

To hire mobile app developers in Bangalore, you can approach the companies that offer mobile application development services. You should be careful while hiring a mobile app developer because many people claim to be experts and may not deliver what they promise. Therefore, you should always check a company’s portfolio and customer reviews before inking the deal.

You can also seek help with your project via online freelancing platforms such as Upwork or Freelancer, where you can find many mobile app developers looking for work worldwide. It makes sense to choose a company that offers both design and development services so you won’t have to look for them separately.

3. Will mobile app development companies work in my time zone?

Most mobile app development companies work with clients from all around the world. Some companies may work in your time zone, but either way, most will develop the apps and make changes according to your specific requirements as soon as they can.

If the project requires more work or customization, you should discuss this with your company, and they will figure out a way to coordinate according to your time zone.

4. How much will it cost to develop a mobile application?

This is a commonly-asked question, and the answer depends on numerous factors, including the scope of the project, the features requested, whether you’re agreeing to an hourly or project-based pricing, and the country where your chosen mobile development company operates.

In case you are looking for an app that can fit your budget, choosing the first mobile development company you run across can be a substantial and unnecessary risk. Instead, you should get in touch with multiple mobile app developers, tell them your specifications, and have them send you a quote.

The good news is, the top mobile development companies in Bangalore won’t charge an arm and a like while still being able to code and design professionally-looking apps.

You should also inquire about their pricing to get an idea of how much it will cost per hour or day (depending on which type of project). Learn from mistakes made by others and do some research online to discover the best companies, which will also help you determine the approximate price range to develop an app with your intended functionality.

5. How much time will it take to develop a mobile application in Bangalore?

This depends on the app you plan to build and how much customization it needs in design and development. You can check online forums where other users have shared their experiences with different companies they hired. You can also ask your chosen app developer to deliver you a rough estimate. Statistically speaking, on average, it takes anywhere from 3 to 9 months to develop a professional mobile app.

Suppose you are planning to hire a team of developers. In that case, comparing them will be even more critical as they have different responsibilities and thus may take longer to complete the project (some may take less time than others, but their speed can also depend on their skill level, availability, and level of expertise).

6. What are the three most important things to consider when developing a mobile app?

To build a unique app, you should go with the kind of companies that have worked on similar projects before. This will help them understand what kind of features your app needs and also help them deliver you a rough estimate about the costs involved so that you can plan accordingly. There are three most important things that you should consider while developing a mobile app:

1) The features of the application

2) The design of the application, and

3) How it will be used by your customers.

7. How often should I update my app?

Updating your app attracts more users as they learn about new features, bugs fixed, and other improvements made by the developers. This will let your potential users know that you’re serious about keeping your app up to date and thus deliver them a solid reason to get it and install it on their device.

It helps in increasing user engagement as they will be able to learn more about your app, how it works and what makes it different from the other ones. It helps increase user retention as users won’t have to worry about installing an app that could turn out to be a cyber security liability on their device.

So unless there is some specific reason why you are not planning to update your app regularly, as a general rule of thumb, you should do so at least once every four weeks.

8. How will my app be submitted to the stores?

When you develop an application, it will be submitted to the stores after testing and after it has been approved by a team of experts. The app can also be submitted to the stores if your company has a partnership with them.

Suppose your app does something unique or new. In that case, do not submit it under any existing app store category as the chances of it being rejected are high because the suggestion may be insufficient.

However, if your app falls under an existing class or category, make sure it has more features than any other app in that particular category. This will help your app become popular among the users even before the launch itself, thereby ensuring stable interest in it for the foreseeable future.

9. How should I measure the success of my app?

There are a lot of ways to measure the success of your app. The most common way is through downloads and revenue generated. But there are other metrics that you can use as well.

  • Number of users who have downloaded your app from the store.
  • Number of people who have installed your app on their device (this will deliver you an idea about how many times they used it).
  • Number of active users per day or week (this will help you understand if there is any kind of retention issue).
  • Number of people who have rated your app (this will deliver you an idea about how many people are using it).

10. How should I test my app?

Before you upload the app to Google Play or Apple App Store, you must thoroughly test your application. Doing this will help you fix potential bugs and tell you how well your app performs on different devices and networks.

For small projects, it's okay if a complete section of testing is left out. However, for larger applications, it is recommended to run a thorough test of specific features.

To ensure the best results, test with all possible hardware configurations (e.g., try out your app on different screen sizes, using 2G, 3G, or WiFi network). Test with all possible network configurations (e.g., try out your app on devices that are not connected to the internet).

Final thoughts:

It is important to remember that app testing tools are not perfect and can only help you find bugs in your apps. They will never be able to replace the need for manual testing, but if you want to save time, money, and effort, then these tools are a good idea.

To build a successful app, you need to have a good idea of what the app will do, how it will work, and what features it will have. It is also essential to sketch an idea of what the app will do on a conceptual level, which will make it easier to envision the product in its final form.

The good news is, you don’t have to do any of this on your own! The top mobile development companies in Bangalore will take the burden off your shoulders, so you can have a professional app made even if you don’t consider yourself tech-savvy. As long as you go with one of our recommendations, it’s hard to go wrong!

Disclaimer: This article is a paid publication and does not have journalistic/editorial involvement of Hindustan Times. Hindustan Times does not endorse/subscribe to the content(s) of the article/advertisement and/or view(s) expressed herein. Hindustan Times shall not in any manner, be responsible and/or liable in any manner whatsoever for all that is stated in the article and/or also with regard to the view(s), opinion(s), announcement(s), declaration(s), affirmation(s) etc., stated/featured in the same.

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OMAHA -- As high school students, Camila Delgado Garcia and Joerdy Flores-Garcia both were interested in health care careers. 

So the Omaha youths signed up for a health and wellness internship offered by the Latino Center of the Midlands and CHI Health. Their internships helped them decide what they wanted to do.

Both became certified nursing assistants through the program, which covered their costs. Both will be freshmen at the University of Nebraska at Omaha this fall and have their sights on becoming dental hygienists. Garcia-Flores plans to apply to work through college at CHI Health to help cover expenses.

Incoming UNO freshman Camila Delgado Garcia's opportunity for a health career started with an internship program offered by Latino Center of the Midlands in Omaha. Already a certified nursing assistant, she wants to become a dental hygienist. 

Delgado Garcia said a lot of careers are available in health care that people don't know about. "If you don't like one, there's hundreds more that go into it," she said. 

The program is one of a growing number of initiatives in Nebraska aimed at helping attract and connect young people to health care careers. The larger goal: Grow the state's health care workforce.

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Even before the COVID-19 pandemic, the state had long-running shortages of many types of health care professionals. The pandemic has exacerbated those shortages, causing some health care workers to retire early or leave the profession. Others left for more lucrative traveling medical jobs. Hospitals, long-term care facilities and home health and hospice outlets all have struggled to maintain adequate staff. 

Jeremy Nordquist, president of the Nebraska Hospital Association, said hospitals still are seeing a staff vacancy rate of somewhere between 10% and 15%, with some as high as 20%. Some larger systems still rely on a significant number of traveling medical professionals. 

On the positive side, he said, some travelers are starting to return to their former employers. Rates charged by medical staffing agencies for travelers have begun to inch down. Anecdotal reports from large systems also indicate that some retired nurses are reassessing the impact of inflation on their finances and returning to the job.

But just as worker shortages have helped drive wage increases in other industries, employers in the health care sector also are seeing increased labor costs. Many hospitals and nursing homes have increased wages and offered bonuses to recruit and retain staff. They also have had to pay more for travelers to fill needed positions.

Those higher costs, combined with inflation, increased medication costs and other expenses are putting pressure on the bottom lines of hospitals, nursing homes and home health and hospice providers.

Reimbursements from Medicare and Medicaid, which make up 60% to 70% of a typical hospital's revenue, are set to increase only slightly, Nordquist said. But internal surveys of members indicate that labor costs for hospitals were up nearly 20% over the past two years, while supplies were up 15%, utilities 8% and medication 30% to 40%. Those numbers align closely with a national report prepared earlier this year by the Kaufman Hall consulting firm.

"It's a tough situation right now," Nordquist said. "We thought COVID would be the worst of the worst and we'd all be able to catch our breath ... But hospitals are in a real tough spot now financially, and it's going to take some creative work to pull our way out of this. The big driving piece of it really is the limited workforce and the costs needed to keep up with workforce costs." 

Many of the state's hospitals are trying different models to make nursing in particular more attractive and bring people back in. Meanwhile, health systems and health colleges are stepping up efforts to recruit young people to fill the pipeline, including offering more scholarships.

State lawmakers earlier this year put a share of the state's federal COVID relief dollars toward initiatives to bolster the health care workforce. The Legislature allocated $5 million to help rural health care providers pay off college loans, $5 million to provide scholarships for nursing students and $60 million for a rural health complex on the University of Nebraska at Kearney campus, a joint project with the University of Nebraska Medical Center. Also included was $60 million for capital projects at community colleges to grow the state's workforce, including in health care.

Those efforts are important, Nordquist said, because the state will face a tremendous demographic challenge over the next 10 years as practitioners in the baby boom bracket retire.  

According to the Nebraska Center for Nursing, Nebraska will face a shortage of 5,435 nurses by 2025.

A health care workforce report by UNMC, based on 2021 data, indicates that the number of nurse practitioners in the state had increased significantly and the number of pharmacists increased modestly since 2020.

However, rural areas of the state still lack needed health care professionals, including physicians. Nicole Carritt, director of the UNMC Office of Rural Health Initiatives, said the report doesn't capture the full impact of the pandemic. She said shortages have been exacerbated since the data was collected.

UNMC has two long-running, successful pathway programs in collaboration with UNK and state colleges focused on bolstering the rural health workforce, Carritt said. Studies show recruiting students from rural and underserved areas and training them close to those communities increases the likelihood that they will practice there.

Nordquist said the Legislature is conducting an interim study under a measure introduced by Sen. Terrell McKinney, who represents part of North Omaha, to look at ways to grow and diversify Nebraska's health care workforce.

The hospital association, he said, also is considering ways to collaborate with nursing schools to make sure they don't lose applicants. The goal would be to make sure that applicants who are turned down by one nursing college are provided information about other programs or are enrolled in a program where they can earn an associate's degree. 

Selene Espinoza, a surgical assistant with CHI Health, said she got involved in the Latino Center/CHI program last year when it added the CNA certification option. She wanted to make sure Latino students were exposed to health care settings and could see people like themselves in those workplaces.

Selene Espinoza, a surgical assistant with CHI Health, said she wanted to make sure Latino students could see people like themselves in health care settings, so she got involved in a Latino Center/CHI Health program last year.

She talks them through the training required for various careers, from CNAs to physicians, as well as their earning potential. She takes them on tours of hospitals and clinics, where they meet health professionals, don gowns and gloves and get their hands on equipment, including a surgical robot.

Espinoza moved to the United States from Mexico as a preteen. As a student at Omaha Bryan High School, Espinoza said she didn't think a career in health care was possible because of language and financial barriers. Her parents hadn't gotten a higher education and didn't know the U.S. education system. But she was exposed to career options in a program through CHI Midlands. She now serves on the hospital's community board and is a member of the Douglas County Board of Health.

"I feel like I've walked the path and can do a little bit of guidance," Espinoza said, noting that the pandemic also highlighted the need for health care workers who could speak patients' languages and understand their cultures.

Ricky Solis, a UNO junior who joined the program this year, had thought to one day work for an international health organization. But he has shifted his focus to local public health after working for the Central Public Health District in Grand Island during the pandemic and for the Latino Center/CHI program. 

"I'm working on the stuff I've studied in college," he said.

Bolstering the existing workforce

While the staffing crunch for hospitals has eased since the last pandemic peak, hospitals still are busy, in part because they're catching up with delayed care. 

Sue Nuss, chief nursing officer at Nebraska Medicine, said the health system had 450 employees out with COVID at the peak of the omicron surge in January and February. Both that and the number of patients ill with COVID have decreased significantly, although COVID continues to sideline some employees. 

Since then, the health system, like many others, has increased compensation packages for bedside nurses. Like other health systems, Nebraska Medicine still employs travelers, although Nuss said it has fewer than at the pandemic peak. It also added 130 nursing school graduates and 90 nurse residents this spring.

But with projections indicating that the number of nurses never will be adequate, Nuss said, the health system is trying out different care team models. It has brought licensed practical nurses back to inpatient units, a role it had eliminated years ago, and also has some paramedics working in those units. 

Rather than having one nurse alone oversee four or five patients, for instance, that nurse might instead cover eight or nine patients with the help of an LPN, nursing assistant and paramedic, Nuss said. While stretching nurse-to-patient ratios can impact quality of care, having a team allows nurses to delegate some tasks. By working together, a team may be able to care for more patients.

Selene Espinoza (left), a surgical assistant with CHI Health, instructs students in a hands-on surgery workshop. They are taking part in a health internship that CHI Health offers with the Latino Center of the Midlands. 

Tim Plante, chief nursing officer for CHI Health, said that health system also has focused on incentivizing nurses who have stayed and working to get new ones in the field.

A number of health care workers who left to travel have started to return, he said. So far, 100 practitioners, from nurses to respiratory therapists, have joined the health system's new internal travel pool. Some have come from across the country.

CHI Health also is trying several new programs aimed at increasing job flexibility, Plante said. Under a weekend option, instead of working every third weekend, the local standard, a nurse could work every weekend or every other weekend in exchange for additional pay. That option works for a lot of nurses with families who want to arrange child care around their shifts.

The health system also is incentivizing nurses to learn new skills and work in different areas — say, the intensive care unit in addition to labor and delivery — and to work in different metro-area hospitals. 

CHI Health also has two pilot programs that involve bringing pharmacists and occupational therapists onto floors to help nurses with tasks such as administering complex IV medications and helping patients with strength training. 

Russ Gronewold, president and CEO of Lincoln-based Bryan Health, said the system is down to 470 open positions from a peak of 550 during the last pandemic surge. It's also down to 110 travelers of all types from a high of 170. 

In the short term, Bryan has adjusted wages, offered retention bonuses and restored team-building activities such as company picnics and zoo nights. Health system officials are trying to figure out how to accommodate workers' desire for flexibility, which has increased as wages have increased. 

The health system also has started an internal traveler pool, Gronewold said, and has been able to get some employees who had been traveling elsewhere to commit to moving among Bryan's hospitals in Lincoln, Grand Island, Kearney and Central City.

Gronewold said he also sees a role for more technology. Bryan is using artificial intelligence to extend staff in some areas, including working with a Lincoln software firm to monitor patients at risk of falling with 3D cameras and a fall-predicting algorithm. That has freed about 30 people a day who otherwise would be sitting with patients.

Other systems monitor incoming test results and alert nurses if interventions are needed right away and pre-sort lab results and CT scanner images to help practitioners pick up on any problems more quickly.

"These are things that make their job more efficient, but it doesn't replace the person who does the job," Gronewold said. 

Ivan Mitchell, CEO of Great Plains Health in North Platte, said his hospital also is bringing back LPNs, medical assistants, certified nursing assistants and paramedics.

If a task doesn't have to be done by a nurse, he said, "we're having it be done by someone else." The same generally goes for physicians. 

Mitchell and Gronewold said Nebraska practice standards required some professionals to perform tasks that could be done by others with lesser training. Making such changes would require legislation, and hospital officials are discussing the idea with state lawmakers.  

"There are no projections that suggest it's going to be anything but a long-term issue," Gronewold said of the shortages. "Simply increasing the folks going to nursing school by 10% or 20%, that still doesn't even address 50% of the shortage. We have to come up with other programs, of how do we use technology, how do we use other individuals." 

Great Plains has taken a different approach to recruiting. Mitchell said the health system began recruiting nurses from the Caribbean, the Philippines and other nations after he arrived more than six years ago. The nurses all have passed the certification exams that allow them to practice. Since 2018, the hospital has employed about 175 international recruits.

Many move on after their three-year contracts run out, Mitchell said. But some stay. And while they're in North Platte, their children go to school there. They pay rent and shop in the community. If they move elsewhere in the U.S., they remain part of the larger pool of health care workers.

Nursing home challenges

Meanwhile, both nursing homes and home health and hospice outlets face workforce and financial challenges of their own. A side effect, Mitchell said, is increased length of stay for patients in hospitals because nursing homes don't have the staff to take them. Some nursing homes have closed. 

Jalene Carpenter, president and CEO of the Nebraska Health Care Association, said a lot of nursing homes still are ending up in outbreak status due to COVID, meaning a single resident or employee has tested positive. Some employees have left due to requirements for testing and protective gear, which are stricter than in other industries.

A survey of 759 nursing home providers in mid-May by the American Health Care Association indicated that 98% of homes are having difficulty hiring staff. In addition, 73% are concerned about having to close their facilities over staffing woes.

In Nebraska, home operators have not only raised wages but also are looking at other strategies to grow their workforce, Carpenter said. At the national level, the association recently advocated for shortening the wait time for people in the country who are on certain visas to be eligible to work.

Still relatively new to the industry is an online labor platform for long-term care facilities called KARE, which is in place in Omaha and Lincoln. It works a bit like an Uber program for staffing and is "seeing incredible success," Carpenter said. 

With KARE, facilities can post available shifts, and caregivers interested in work can select the ones that work for them — say, a four-hour shift on a Tuesday. Employers, rather than staffing agencies, set the wages. If the employer likes the worker, they can offer to hire the person. 

"Those are the things that deliver me hope," Carpenter said. "Innovation comes from times of crisis, and we are seeing (people) coming up with new and innovative things."

Janet Seelhoff, executive director of the Nebraska Association for Home Healthcare and Hospice, said agencies are having to turn away patient referrals because they can't staff enough nurses and aides. That comes in the face of growing demand for such services.

"Need is greater than it's ever been," she said, "but at the same time, there are challenges in staffing." Costs have gone up with inflation, and home health and hospice agencies can't compete with the hiring bonuses and benefit packages hospitals and other health care settings are offering. 

Building the pipeline

Meanwhile, the push continues to get more people into the health care pipeline, with the help of a host of programs, scholarships and loan repayment programs. Colleges and universities continue to reach out across the state to build programs in more locations.

Deb Carlson, president of Nebraska Methodist College, said the pandemic could have scared people away from the field, but it hasn't. 

"People are saying they want to go into health care because they want to make a difference, they want to make an impact," she said, acknowledging that publicity about salary increases and loan payback programs also have helped spur interest. For those who don't want to work directly with patients, plenty of careers are available that aren't at the bedside.

Joerdy Flores-Garcia (left) tries his hand at maneuvering a surgical camera. He is participating in a health internship offered by CHI Health and the Latino Center of the Midlands.

Employers now are focused on how they can get students in the system even before they have degrees and are offering tuition assistance to help them continue their education once they're in the door, Carlson said.  

Nebraska Methodist College, for instance, offers a free student nursing assistant program that allows people 16 and older to study to become nursing assistants at Methodist Hospital and get paid, on-the-job training with a two-year work commitment. The college also began offering its first full-ride scholarships last year for traditional bachelor's of nursing students. 

Carlson said the college also is doing more to reach out to minority communities and has a free master's program for existing minority providers who want to go into nursing education, which also is a shortage area.

People who earn degrees in health care have no trouble finding jobs, she said. This year, for the first time, even junior nursing students were being hired.

Gronewold said Bryan is automatically offering jobs to junior nursing students at Bryan College of Health Sciences. The health system also is offering more tuition reimbursement for employees seeking additional education and just rolled out a program covering half the tuition for the children of employees who have been with the system for three years, as long as they stay with the system.

Over the course of the next few years, said Dr. Bo Dunlay, dean of Creighton University's medical school, Creighton will increase the number of graduating physicians from 600 to 1,000. The university also has created two physician assistant programs that eventually will add at least 100 practitioners to the workforce each year. The university also accelerated bachelor of nursing programs in Phoenix and Grand Island.

"It's created an opportunity for growth," he said of the expansion. "But the important thing is we've got clinical partners there whose missions are aligned with ours, and that's what makes it so successful."

Sun, 10 Jul 2022 01:02:00 -0500 en text/html https://kearneyhub.com/exclusive/health-matters/watch-now-health-care-sector-in-nebraska-works-to-rebuild-bolster-workforce/article_96c3a4b5-d84e-598c-b596-cefc23dac94b.html
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