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HOW MACHINE LEARNING IN HEALTHCARE IS CHANGING LIVES?

Home » BPO Insights » How Machine Learning in Healthcare is Changing Lives?

 * March 22, 2024
 * 6:00 pm
 * BPO Insights
 * Healthcare Outsourcing



TABLE OF CONTENTS





Machine learning is revolutionizing the healthcare industry and bringing about
transformative changes in the lives of individuals around the world. With its
ability to analyze vast amounts of data and make accurate predictions, Machine
Learning In Healthcare, including within Healthcare BPOs, is enabling healthcare
professionals to provide personalized care, improve diagnostics, and enhance
treatment outcomes. This technological advancement has the potential to
revolutionize healthcare delivery, making it more efficient, accessible, and
patient-centric. In this article, we will explore how machine learning is
reshaping the healthcare landscape and positively impacting the lives of people.


WHAT IS MACHINE LEARNING IN HEALTH CARE?



> Machine learning in healthcare refers to the application of machine learning
> algorithms and techniques to analyze and interpret healthcare data, with the
> goal of improving patient care, diagnosis, treatment, and overall healthcare
> outcomes. It involves using computational models to automatically learn
> patterns, make predictions, and generate insights from large and complex
> healthcare datasets.

Machine learning algorithms can process and analyze various types of healthcare
data, including electronic health records (EHRs), medical imaging data, genomic
data, wearable device data, and health sensor data. These algorithms are trained
on historical data, where they learn patterns and relationships, and then apply
that knowledge to make predictions or provide decision support in real-time.

The applications of machine learning in healthcare are wide-ranging. Machine
Learning In Healthcare has the potential to enhance clinical decision-making,
improve patient outcomes, and increase operational efficiency. However, it is
important to address challenges such as data quality, privacy and security
concerns, algorithm interpretability, and ethical considerations to ensure the
reliable and responsible application of machine learning in healthcare settings.

Distinguishing Machine Learning from Deep Learning in Healthcare:

It is essential to differentiate between machine learning and deep learning when
discussing their applications in healthcare. Machine learning encompasses a
broad range of techniques that enable computers to learn from data and make
predictions or decisions. Deep learning, on the other hand, is a subset of
machine learning that uses artificial neural networks to process and analyze
complex data.

Deep learning has shown tremendous potential in healthcare, particularly in
tasks that involve large-scale image and text analysis. For example, deep
learning models have been used to analyze medical images, such as mammograms or
retinal scans, to detect abnormalities with high accuracy. Deep learning
techniques have also been applied to natural language processing tasks, such as
mining patient records or medical literature for valuable insights.


ADVANTAGES OF INTEGRATING MACHINE LEARNING INTO HEALTHCARE SYSTEMS




APPLICATIONS OF MACHINE LEARNING IN HEALTHCARE

DIAGNOSTIC SUPPORT

Diagnostic support is one of the most promising applications of Machine Learning
In Healthcare. Medical imaging plays a crucial role in the diagnosis of various
diseases and conditions, and machine learning algorithms have shown remarkable
capabilities in analyzing these images to aid healthcare professionals.

Traditionally, radiologists and other healthcare providers visually inspect
medical images to identify abnormalities and make diagnostic interpretations.
However, this process can be time-consuming and subjective, leading to potential
errors or missed diagnoses. Machine learning algorithms, on the other hand, can
rapidly process vast amounts of image data and detect subtle patterns or
anomalies that may not be apparent to the human eye.

By training on large datasets of labeled medical images, machine learning
algorithms can learn to recognize specific features associated with different
diseases. This enables them to accurately identify abnormalities and provide
valuable insights to healthcare professionals. For example, in the case of
X-rays, machine-learning algorithms can assist in the detection of fractures,
lung nodules, and other abnormalities.

In the context of more complex imaging techniques like CT scans and MRIs,
machine learning algorithms can help identify early signs of diseases such as
tumors, cardiovascular conditions, and neurological disorders. By analyzing
patterns and structural changes in the images, these algorithms can provide
valuable information that aids in early detection and timely intervention,
ultimately improving patient outcomes.

Moreover, machine learning algorithms can be used to analyze longitudinal
imaging data, tracking changes over time and helping healthcare professionals
monitor disease progression and treatment effectiveness. This longitudinal
analysis can provide valuable insights into disease dynamics and guide treatment
decisions.

The integration of machine learning algorithms into diagnostic workflows has the
potential to significantly enhance diagnostic accuracy, reduce the likelihood of
missed diagnoses, and improve patient outcomes. However, it is important to note
that machine learning algorithms should not replace the expertise of healthcare
professionals. Instead, they serve as a valuable tool to augment their
diagnostic capabilities, provide additional insights, and support clinical
decision-making.

As machine learning algorithms continue to be refined and trained on
increasingly diverse and comprehensive datasets, their diagnostic support
capabilities are expected to improve further. This holds great promise for the
future of healthcare, where the combination of human expertise and machine
learning algorithms can lead to more accurate, efficient, and personalized
diagnoses, ultimately changing lives for the better.

PERSONALIZED MEDICINE

Personalized medicine, also known as precision medicine, is a rapidly evolving
field in healthcare that aims to tailor medical interventions to individual
patients based on their unique characteristics. Machine learning plays a vital
role in advancing personalized medicine by leveraging patient data to generate
insights and predictions that guide personalized treatment plans.

One of the key challenges in healthcare is that patients differ in their
responses to treatments due to various factors such as genetic makeup, lifestyle
choices, environmental influences, and underlying health conditions.
Personalized medicine recognizes this variability and seeks to optimize
treatment outcomes by tailoring interventions to individual patients.

Machine Learning In Healthcare algorithms can analyze vast amounts of patient
data, including medical records, genetic information, lifestyle factors, and
treatment outcomes, to identify patterns and associations that may not be
apparent through traditional statistical methods. By identifying relevant
features and relationships within the data, machine learning algorithms can
generate predictive models that assist healthcare professionals in making
personalized treatment decisions.

For example, in the field of oncology, machine learning algorithms can analyze
genetic profiles of tumors, along with patient-specific information, to predict
the likelihood of treatment response and guide the selection of targeted
therapies. These algorithms can identify genetic mutations or biomarkers
associated with specific cancer types and recommend treatment options that are
more likely to be effective for individual patients.

Machine Learning In Healthcare can also be applied to optimize the dosage and
administration of medications. By considering individual patient
characteristics, such as age, weight, metabolism, and genetic variations,
machine learning algorithms can predict drug responses and help determine
optimal dosages to maximize therapeutic efficacy while minimizing adverse
effects.

Furthermore, machine learning algorithms can analyze real-time data from
wearable devices, such as fitness trackers or smartwatches, to monitor patient
health and provide personalized recommendations for disease prevention,
lifestyle modifications, and adherence to treatment plans. This continuous
monitoring and feedback can empower patients to actively participate in their
healthcare and make informed decisions about their well-being.

The integration of machine learning in personalized medicine has the potential
to revolutionize healthcare by improving treatment outcomes, reducing adverse
effects, and optimizing resource allocation. By leveraging patient-specific data
and predictive models, healthcare professionals can design targeted
interventions that have a higher likelihood of success.

However, it is important to address challenges related to data privacy,
security, and ethical considerations when implementing personalized medicine
approaches with machine learning. Ensuring patient confidentiality,
transparency, and fairness in algorithm development and deployment are crucial
to maintaining trust and ethical standards in healthcare.

As machine learning algorithms continue to evolve and are trained on more
diverse and comprehensive datasets, the potential for personalized medicine to
positively impact patient care will only increase.

PREDICTIVE ANALYTICS

Predictive analytics, powered by machine learning algorithms, is revolutionizing
healthcare by enabling healthcare providers to anticipate and mitigate potential
health risks for individual patients. By analyzing diverse patient data,
including medical records, genetic information, lifestyle factors, and
environmental influences, machine learning algorithms can identify patterns and
associations that can be used to predict the likelihood of developing specific
conditions or complications.

Traditionally, healthcare has been focused on reactive care, where interventions
are made after the onset of symptoms or when diseases have progressed. However,
with the advent of predictive analytics, healthcare providers can shift towards
a proactive approach, where potential health risks can be identified and
addressed before they manifest clinically.

Machine Learning In Healthcare algorithms can analyze large datasets of patient
information, including demographic data, medical history, laboratory results,
and diagnostic data, to identify risk factors and patterns that are indicative
of potential health problems. By learning from historical data, these algorithms
can develop predictive models that estimate the probability of an individual
developing specific diseases or complications within a given timeframe.

For example, in the context of chronic diseases such as diabetes or
cardiovascular conditions, machine learning algorithms can analyze patient data
to identify individuals who are at a higher risk of developing these conditions.
By considering factors such as age, body mass index, blood pressure, cholesterol
levels, and genetic predispositions, these algorithms can generate risk scores
that help healthcare providers prioritize preventive interventions and lifestyle
modifications for high-risk individuals.

Predictive analytics can also be applied to hospital settings to identify
patients who are at risk of developing complications during their hospital stay.
By analyzing real-time patient data, including vital signs, laboratory results,
and clinical notes, machine learning algorithms can generate early warning
systems that alert healthcare providers to potential adverse events, such as
sepsis or respiratory failure. This allows for timely interventions and improved
patient outcomes.

Furthermore, Machine Learning In Healthcare algorithms can analyze
population-level data to predict disease outbreaks, identify trends, and inform
public health interventions. By analyzing data from various sources, such as
electronic health records, social media, and environmental sensors, these
algorithms can detect patterns and signals that indicate the emergence or spread
of infectious diseases. This information can assist public health authorities in
implementing timely interventions, such as targeted vaccination campaigns or
public awareness initiatives.

The integration of predictive analytics in healthcare has the potential to
transform the way diseases are prevented, managed, and treated. By identifying
individuals at high risk of developing specific conditions or complications,
healthcare providers can implement preventive measures, such as lifestyle
modifications, early screenings, or targeted interventions, to improve patient
outcomes and reduce healthcare costs.

However, it is important to address challenges associated with predictive
analytics, such as data quality, interoperability, and ethical considerations.
Ensuring the accuracy, reliability, and privacy of patient data is crucial to
maintaining the trust of patients and healthcare providers. Additionally,
efforts should be made to mitigate bias and ensure fairness in algorithm
development and deployment.

DRUG DISCOVERY

The drug discovery process is a complex and time-consuming endeavor that
involves identifying and developing new compounds for the treatment of various
diseases. Historically, this process has heavily relied on trial and error,
making it costly and inefficient. However, Machine Learning In Healthcare is
revolutionizing drug discovery by leveraging advanced algorithms to analyze
large datasets and accelerate the identification of potential drug candidates.

Machine learning algorithms can analyze vast amounts of biological and chemical
data, including genomic information, protein structures, and molecular
interactions, to identify patterns and correlations that may not be readily
apparent to human researchers. By learning from historical data and training on
known drug-target interactions, these algorithms can generate predictive models
that prioritize potential drug candidates based on their likelihood of success.

One of the areas where machine learning has made significant contributions to
drug discovery is virtual screening. Virtual screening involves the
computational analysis of large compound libraries to identify molecules that
have the potential to interact with a specific target, such as a disease-related
protein. Machine learning algorithms can efficiently analyze the chemical
properties, structural features, and binding affinities of millions of compounds
and prioritize those with the highest probability of being effective drug
candidates.

Additionally, Machine Learning In Healthcare algorithms can aid in the
optimization of lead compounds by predicting their efficacy, safety profiles,
and potential side effects. By analyzing the structure-activity relationships of
known compounds and their biological effects, these algorithms can suggest
modifications to enhance potency, selectivity, and pharmacokinetic properties,
thus guiding medicinal chemists in the design and synthesis of new compounds.

Furthermore, Machine Learning In Healthcare can facilitate the repurposing of
existing drugs for new indications. By analyzing large-scale datasets that
encompass drug properties, disease characteristics, and patient data, machine
learning algorithms can identify potential drug candidates that may have
therapeutic effects on different diseases. This approach can significantly
reduce the time and cost associated with traditional drug development processes.

Machine learning is also playing a crucial role in personalized medicine by
enabling the identification of drug-response biomarkers. By analyzing patient
data, including genetic information, clinical parameters, and treatment
outcomes, machine learning algorithms can identify patterns that correlate with
individual responses to specific drugs. This information can guide healthcare
providers in selecting the most effective treatments for individual patients,
leading to improved therapeutic outcomes.

The integration of machine learning in the drug discovery process has the
potential to transform the pharmaceutical industry by accelerating the
development of new drugs and therapies. By leveraging the power of computational
analysis and predictive modeling, machine learning can significantly reduce the
time and cost required to bring new drugs to market. This not only benefits
patients by providing them with more effective treatments but also enables
pharmaceutical companies to optimize their research and development efforts.

However, it is important to acknowledge the challenges associated with machine
learning in drug discovery, such as the availability and quality of data, the
interpretability of algorithmic predictions, and the need for experimental
validation. Collaboration between computational scientists, medicinal chemists,
and biologists is crucial to ensure the successful integration of machine
learning algorithms into the drug development pipeline.

REMOTE MONITORING AND TELEHEALTH

Leveraging the power of machine learning algorithms, healthcare providers can
now tap into the vast pool of real-time patient data generated by wearable
devices and other remote monitoring tools. This technological advancement
facilitates a paradigm shift in healthcare delivery by enabling remote patient
monitoring, facilitating early detection of health issues, and empowering the
provision of virtual healthcare services.

Consequently, this not only expands access to care, particularly in underserved
areas, but also enhances patient convenience by minimizing the need for physical
appointments while ensuring proactive healthcare management.


IMPLICATIONS OF MACHINE LEARNING IN HEALTHCARE

ENHANCED EFFICIENCY

The integration of Machine Learning In Healthcare promises significant
efficiency gains. By automating routine tasks and administrative processes, it
frees up time for professionals to focus on patient care.

For instance, machine learning can automate data entry into electronic health
records, streamline appointment scheduling, billing, and insurance verification,
and optimize resource allocation based on patient data.

These advancements not only reduce errors but also improve overall efficiency
and resource utilization. Moreover, machine learning aids clinical
decision-making by providing evidence-based recommendations, leading to better
patient outcomes. While ensuring ethical and privacy considerations, the
integration of machine learning continues to revolutionize healthcare, enhancing
efficiency and ultimately improving patient care.

IMPROVED PATIENT OUTCOMES

Through its capability to deliver prompt and precise diagnoses, craft
personalized treatment regimens, and offer predictive analytics, machine
learning stands poised to revolutionize patient outcomes.

This transformative technology empowers patients with the advantages of early
disease detection, interventions customized to their specific needs, and
therapies that are not only more potent but also better suited to their
individual health profiles. Consequently, the integration of Machine Learning In
Healthcare promises to usher in a new era of improved health outcomes and
heightened quality of life for patients worldwide.

DATA PRIVACY AND SECURITY

The integration of Machine Learning In Healthcare sector has prompted growing
apprehensions surrounding data privacy and security. Given that machine learning
algorithms necessitate extensive pools of patient data for effective operation,
it becomes imperative to implement stringent safeguards to shield sensitive
information and uphold the sanctity of patient confidentiality.

This underscores the critical importance of establishing robust measures and
frameworks aimed at fortifying data privacy and security protocols within
healthcare systems, thereby engendering trust and confidence among both patients
and healthcare practitioners alike.

ETHICAL CONSIDERATIONS

Ethical considerations play a paramount role in the realm of machine learning,
demanding meticulous adherence to guidelines that safeguard against bias,
discrimination, and unjust treatment. The imperative lies in upholding
transparency, accountability, and fairness throughout the entire lifecycle of
development and deployment of machine learning models.

Such measures are indispensable not only for fostering public trust but also for
cultivating a healthcare landscape that is truly equitable and devoid of
disparities.


EXAMPLES OF MACHINE LEARNING APPLICATIONS IN HEALTHCARE




NOVO NORDISK

Founded: 1923

Location: Bagsværd, Denmark

Machine learning finds extensive application in the healthcare sector through
the efforts of Novo Nordisk, a leading global pharmaceutical company dedicated
to improving the quality of life for individuals grappling with severe chronic
conditions. Among its various strategic undertakings, Novo Nordisk’s Modelling
and Predictive Technologies department stands out for its utilization of
cutting-edge machine learning algorithms and advanced technologies. By
harnessing the power of these tools, the department endeavors to automate
complex cognitive tasks that were traditionally executed by human experts. This
concerted effort not only streamlines drug development processes but also
ensures their efficacy, thereby synergizing with Novo Nordisk’s overarching
mission of advancing healthcare solutions for the benefit of patients worldwide.


LINUS HEALTH

Founded: 2019

Location: Boston, Massachusetts

Linus Health, a forward-thinking digital health firm, stands at the forefront of
innovation in healthcare by harnessing the power of machine learning to
revolutionize the screening methods for early detection of Alzheimer’s disease
and other degenerative neurological disorders. Through the integration of
advanced cognitive function assessments and continuous brain health monitoring,
the company employs artificial intelligence to meticulously analyze vast amounts
of data, enabling the delivery of precise and refined diagnostic outcomes. This
pioneering approach not only enhances the accuracy and efficiency of diagnosis
but also holds the potential to significantly improve patient outcomes and
quality of life.


MICROSOFT

Founded: 1975

Location: Redmond, Washington

Microsoft‘s Project InnerEye represents a groundbreaking fusion of cutting-edge
machine learning and sophisticated computer vision methodologies,
revolutionizing the analysis of 3D radiological scans by discerning with
unparalleled precision between tumors and healthy tissue. By harnessing the
power of these advanced technologies, medical professionals are empowered to
undertake intricate tasks like radiotherapy planning and surgical preparation
with unprecedented accuracy and efficiency, thereby significantly enhancing
patient care and treatment outcomes.

The intricate interplay between machine learning algorithms and computer vision
techniques enables Project InnerEye to navigate the complexities of medical
imaging data, extracting invaluable insights that pave the way for more informed
decision-making in clinical settings. Through its relentless pursuit of
innovation, Microsoft endeavors to redefine the landscape of healthcare by
delivering personalized medical solutions tailored to the unique needs of each
individual patient.

With a commitment to pushing the boundaries of possibility, Microsoft’s Project
InnerEye represents a transformative leap forward in the field of medical
imaging, offering a glimpse into the future of precision medicine where
AI-driven methodologies seamlessly integrate with traditional healthcare
practices to elevate standards of care and improve patient outcomes on a global
scale.


TEMPUS AI

Founded: 2015

Location: Chicago, Illinois

Tempus leverages machine learning in healthcare by focusing on revolutionizing
cancer research. Through the aggregation of extensive medical and clinical data,
Tempus endeavors to provide tailored treatments for patients. Utilizing
AI-driven algorithms, Tempus analyzes its vast data repository to facilitate
genomic profiling, match patients with suitable clinical trials, identify
diagnostic biomarkers, and support academic research in the field.


TEBRA

Founded: 2022

Location: Corona del Mar, California

Tebra‘s Kareo product revolutionizes the healthcare landscape by harnessing the
power of machine learning, seamlessly integrating it into a sophisticated
cloud-based clinical and business management platform meticulously crafted to
cater to the unique demands of independent practices. With Kareo, organizations
are empowered to effortlessly migrate vast troves of patient health and
financial data, facilitating the seamless management of records and streamlining
transaction processing with unparalleled efficiency and accuracy.

Beyond mere data management, Kareo goes above and beyond, seamlessly integrating
cutting-edge AI technology to automate routine tasks that once bogged down
practitioners, thereby liberating valuable time and resources. By intelligently
leveraging AI, Kareo not only reduces the administrative burdens placed on
healthcare professionals but also significantly curtails operational expenses,
fostering a more streamlined and cost-effective approach to healthcare
management.


PATHAI

Founded: 2016

Location: Boston, Massachusetts

PathAI harnesses the power of machine learning within the healthcare sector,
deploying cutting-edge technology to support pathologists in rendering swifter
and more accurate diagnoses. In addition to aiding in diagnosis, the company
offers a suite of AI-driven tools designed to streamline patient data
aggregation, sample analysis, and the optimization of myriad tasks inherent to
clinical trials and the drug development continuum. Facilitated by a
collaborative ecosystem involving biopharmaceutical entities, laboratories, and
medical practitioners, PathAI is equipped with the requisite resources to
advance patient care through the delivery of refined treatment modalities.


CIOX HEALTH

Founded: 1976

Location: Alpharetta, Georgia

Ciox Health leverages advanced machine learning algorithms integrated into its
healthcare operations via the innovative Datavant Switchboard platform. This
cutting-edge technology streamlines the process of accessing crucial patient
data, empowering healthcare professionals with expedited access to vital
information. By harnessing the capabilities of the Datavant Switchboard
platform, organizations can customize and fine-tune personalized controls,
allowing staff to efficiently request specific data types tailored to individual
patient needs.

Moreover, Ciox Health places paramount importance on maintaining strict
adherence to privacy compliance regulations. With a steadfast commitment to
safeguarding the confidentiality and integrity of patients’ electronic health
records, Ciox Health ensures that stringent security measures are in place to
protect sensitive medical information. Through robust encryption protocols,
access controls, and comprehensive auditing mechanisms, Ciox Health establishes
a fortified barrier against unauthorized access or breaches, thus upholding the
highest standards of data security and privacy within the healthcare ecosystem.


BETA BIONICS

Founded: 2015

Location: Boston, Massachusetts

Leveraging the power of machine learning within the realm of healthcare, Beta
Bionics proudly unveils the iLet, a groundbreaking wearable “bionic” pancreas
engineered to revolutionize the management of diabetes for patients. This
cutting-edge device represents a significant leap forward in diabetes care,
offering a seamless integration of advanced technology and medical science to
alleviate the burdensome daily challenges faced by individuals managing this
chronic condition.

By harnessing the capabilities of continuous blood sugar monitoring, the iLet
provides unparalleled support, particularly beneficial for those living with
Type 1 diabetes, effectively liberating them from the relentless task of
constantly monitoring their glucose levels. With its innovative approach, Beta
Bionics aims to empower patients with newfound freedom and peace of mind,
ushering in a new era of personalized, efficient diabetes management.


SUBTLE MEDICAL

Founded: 2017

Location: Menlo Park, California

Subtle Medical pioneers the integration of cutting-edge AI, machine learning,
and deep learning technologies within the healthcare sector, revolutionizing
medical imaging practices. At the forefront of its innovation stands SubtleMR,
the company’s flagship product designed to redefine the standards of image
clarity and precision in vital anatomical regions including the head, neck,
abdomen, and breast.

By harnessing the advanced algorithms embedded within SubtleMR, image noise is
significantly reduced, unveiling unparalleled clarity and detail, thereby
empowering radiologists to make more accurate diagnoses efficiently. This
breakthrough not only elevates the quality of medical imaging but also optimizes
radiologists’ workflow, facilitating swift and precise patient care. Through
Subtle Medical’s relentless commitment to innovation, the boundaries of medical
imaging are continuously pushed, promising enhanced diagnostic capabilities and
improved patient outcomes.


THE ROLE OF MACHINE LEARNING IN HEALTHCARE: COMPLEMENTING OR REPLACING DOCTORS?



Machine learning plays a significant role in healthcare by aiding doctors and
complementing their expertise rather than replacing them entirely. While machine
learning algorithms have made great strides in performing specific tasks like
image recognition, diagnosis, and treatment recommendations, they are not
capable of entirely replacing the skills and knowledge of doctors.

Despite these advancements, it’s important to note that machine learning
algorithms have limitations. They rely on the quality and representativeness of
the data they are trained on, and they may struggle with interpreting complex or
rare cases. Additionally, human oversight and collaboration are crucial to
ensure the ethical use of machine learning algorithms and to make informed
decisions based on their outputs.

Machine learning has the potential to greatly enhance healthcare by
complementing doctors’ expertise. By leveraging the power of algorithms to
analyze data and identify patterns, machine learning can improve diagnosis,
treatment planning, and patient outcomes. However, the human touch, critical
thinking, and clinical judgment of healthcare professionals remain irreplaceable
in providing comprehensive and compassionate care to patients.

In conclusion, the integration of Machine Learning In Healthcare is
significantly changing lives for the better. Through its applications in
diagnostics, treatment planning, drug discovery, and personalized medicine,
machine learning is enhancing the accuracy and effectiveness of healthcare
interventions. By leveraging the power of data analysis and predictive modeling,
healthcare providers can offer personalized care, identify early warning signs,
and tailor treatments to individual patients, ultimately leading to improved
outcomes and better quality of life.

As machine learning continues to advance, it holds the promise of addressing
some of the most complex challenges in healthcare and transforming the way we
prevent, diagnose, and treat diseases. With ongoing research and collaboration
between technology experts and healthcare professionals, the potential for
machine learning to revolutionize healthcare and positively impact lives is
immense, offering hope for a healthier and brighter future.

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WHAT WE DO
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CONTACT US
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 * Ree Tower
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   Ho Chi Minh City, Viet Nam

Philippines
 * 15R, Avenir Building
   Archbishop Reyes Ave Lahug
   Cebu City, Philippines

USA
 * 5900 Balcones Drive
   #10422 Austin, Texas 78731

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