big data, small data
DESCRIPTION
The future of sensing in sustainability and healthTRANSCRIPT
eric c. larson | eclarson.com
big data, small data:
Assistant Professor Computer Science and Engineering
the future of sensing in health and sustainability
easy to get
easy to gethard to get
easy to get
application
hard to get
easy to get
application
application
hard to get
data
data knowledge=
data you
data you
personalization
data you
personalization
feedback
health and sustainability
health and sustainabilitysmall data in
health and sustainability
sensing
you
small data in
health and sustainability
sensing
you
sensing
you
stakeholders
small data in
sustainability and water
lake mead 1983
sustainability and water
lake mead 2011
lake mead 2011
$2,994.83
eco-feedback
Geographic Comparisons Dashboards
Metaphorical Unit Designs Recommendations
eco-feedback
Geographic Comparisons Dashboards
Metaphorical Unit Designs Recommendations
0%
5%
10%
15%
20%
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20%
12%9.2%8.4%
6.8%
3.8%
Enhanced Billing
Web Based
Daily Feedback
Realtime Feedback
Appliance Level + Personalized
Feedback
Annu
al %
Sav
ings
Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
Appliance Level
types of eco-feedback
0%
5%
10%
15%
20%
1 2 3 4 5 Untitled 1
20%
12%9.2%8.4%
6.8%
3.8%
Enhanced Billing
Web Based
Daily Feedback
Realtime Feedback
Appliance Level + Personalized
Feedback
Annu
al %
Sav
ings
Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
Appliance Level
types of eco-feedback
aggregate
0%
5%
10%
15%
20%
1 2 3 4 5 Untitled 1
20%
12%9.2%8.4%
6.8%
3.8%
Enhanced Billing
Web Based
Daily Feedback
Realtime Feedback
Appliance Level + Personalized
Feedback
Annu
al %
Sav
ings
Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
Appliance Level
types of eco-feedback
aggregate
disaggregated
on average, a consumer can save 15-25%
bathroom usage
bathroom usage
leaky flapper valve
healthmobile
healthm
MiPhone 9 Now with iColon.
> slide to unlock
the promise of mhealth:
the promise of mhealth:
revolutionize medicine
the promise of mhealth:
revolutionize medicineeliminate doctor visits
the promise of mhealth:
revolutionize medicineeliminate doctor visitsremote / automatic diagnosis
the promise of mhealth:
revolutionize medicineeliminate doctor visitsremote / automatic diagnosisequalize developing countries
the promise of mhealth:
revolutionize medicineeliminate doctor visitsremote / automatic diagnosisequalize developing countries
the promise of mhealth:
revolutionize medicineeliminate doctor visitsremote / automatic diagnosisequalize developing countries
stress check
glucose buddyfitness trainer
heart rate
zombie run current mhealth
stress check
glucose buddyfitness trainer
heart rate
zombie run current mhealth43,000 apps for health on the app store
stress check
glucose buddyfitness trainer
heart rate
zombie run current mhealth43,000 apps for health on the app store 96% are for calorie counting & exercise
stress check
glucose buddyfitness trainer
heart rate
zombie run current mhealth43,000 apps for health on the app store 96% are for calorie counting & exercise4% are remote monitoring
stress check
glucose buddyfitness trainer
heart rate
zombie run current mhealth43,000 apps for health on the app store 96% are for calorie counting & exercise4% are remote monitoring~100 are cleared by the FDA
consider physician’s needs
consider physician’s needsconnecting with patient
consider physician’s needsconnecting with patient tracking baselines
consider physician’s needsconnecting with patient tracking baselinespersonalized trending data
consider physician’s needsconnecting with patient tracking baselinespersonalized trending datamanaging chronic disease
consider physician’s needsconnecting with patient tracking baselinespersonalized trending datamanaging chronic disease
30% of all US healthcare spending is on chronic disease
mhealth and chronic disease management
mhealth and chronic disease management
compliance?cost?
doctor patient?data reliability?
compliance
compliance
baseline quantitysensor
phone as a sensorbaseline quantitysensor
phone as a sensorbaseline quantitysensor
embedded sensors
phone as a sensorbaseline quantitysensor
embedded sensors processing
estimated
accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones proximity sensor capacitive sensor gps motorized actuator wireless antenna (s)
accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones proximity sensor capacitive sensor gps motorized actuator wireless antenna (s)
compliance++;cost--;dr_pat *= 10;
accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones proximity sensor capacitive sensor gps motorized actuator wireless antenna (s)
compliance++;cost--;dr_pat *= 10;
data reliability?
what can the mobile phone sense with clinical accuracy?
what can the mobile phone sense with clinical accuracy?
which chronic diseases should be targeted first?
spirometry testing
flow
volume
volum
e
time
flow
volume
volum
e
time
spirometry testing
flow
volume
volum
e
time
spirometry testing
spirometry
standard of care for:
spirometry
standard of care for: asthma COPD post-transplant breathing cystic fibrosis
spirometry
home spirometry
home spirometry
!
faster detection rapid recovery
trending
home spirometry
high cost barrier patient compliance
less coaching limited integration
challenges with
flow rate volume
lung functionairflow sensor
flow rate volume
lung functionairflow sensor
sound pressure microphone
flow rate volume
lung functionairflow sensor
sound pressure microphone processing
estimated
SpiroSmart
availability cost portability more effective coaching interface integrated uploading
Using SpiroSmart
SpiroSmart
SpiroSmart
within ~5-7% of a real spirometer
phone app doctor visit
appropriate for trending and screening
global health non-profit
global health non-profit
patient and doctors
global health non-profit
patient and doctors pharmaceutical drug trials
currently undergoing FDA 510k device approval
diagnostic deployment in India started in January
mhealth and newborns?
other applications in health?
neonatal jaundice in the US
kernicterus: 21
hazardous jaundice: 1158
extreme jaundice: 2,317
severe jaundice: 35,000
phototherapy: 290,000
visible jaundice: 3.5 million
births/year: 4.1 million
Method Accuracy Disadvantages
TSB Gold standard (r=1.0)
Painful, costly, inconvenient, delayed
TcBAccurate
(r= 0.75 -0.93) Meter = $7000
tips $5 unavailable in most
physician offices
Visual assessment (provider or parent)
not accurate (r= 0.36 - 0.7), underestimates
severity
No standardization lighting, pigmentation
bilirubin level in blood
jaundice levelblood draw
bilirubin level in blood
jaundice levelblood draw
yellowness camera
bilirubin level in blood
jaundice levelblood draw
yellowness camera processing
estimated
bilicam
bilicam
correlates with TSB at 0.84TcB correlates anywhere from 0.71 to 0.9
mobile apps are poised to take over the market
nokia x-challenge:grand prize: mobile device that monitors vitals signs can diagnose 10 of 15 diseases
the future of mHealth?
• new sensors will be integrated into phonesthe future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined
the future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined• FDA will have a big say in how quickly phones can
be built and pushed out, and what apps are “OK”
the future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined• FDA will have a big say in how quickly phones can
be built and pushed out, and what apps are “OK”
the future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined• FDA will have a big say in how quickly phones can
be built and pushed out, and what apps are “OK”
• FDA sanctioned validity study
the future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined• FDA will have a big say in how quickly phones can
be built and pushed out, and what apps are “OK”
• FDA sanctioned validity study
• four melanoma apps
the future of mHealth?
• new sensors will be integrated into phones• health sensing and mobile phone manufacturing
will become highly intertwined• FDA will have a big say in how quickly phones can
be built and pushed out, and what apps are “OK”
• FDA sanctioned validity study
• four melanoma apps• 30% of cancerous moles
classified as benign
the future of mHealth?
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensor
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensorapps that control a device through a phone
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensorapps that control a device through a phoneapps that display, transfer, store, medical device data
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensorapps that control a device through a phoneapps that display, transfer, store, medical device dataapps that interact with electronic health records or simple health data
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensorapps that control a device through a phoneapps that display, transfer, store, medical device dataapps that interact with electronic health records or simple health data
yesyes
yesmayb
e
what app makes a phone a medical device?
apps that transform a phone or connect to a medical sensorapps that control a device through a phoneapps that display, transfer, store, medical device dataapps that interact with electronic health records or simple health data
yesyes
yesmayb
e
what app makes a phone a medical device?
psychiatry, medical dosing, symptom logs, general fitness apps…
apps that transform a phone or connect to a medical sensorapps that control a device through a phoneapps that display, transfer, store, medical device dataapps that interact with electronic health records or simple health data
yesyes
yesmayb
e
what app makes a phone a medical device?
psychiatry, medical dosing, symptom logs, general fitness apps… mayb
e
what app makes a phone a medical device?
we will see?
some approved apps
some approved apps
some approved apps
some approved apps
some approved apps
my take
eclarson.com [email protected] @ec_larson> slide to unlock
Thank You!> slide to unlock
eric c. larson | eclarson.com
eclarson.com [email protected] @ec_larson> slide to unlock
Assistant Professor Computer Science and Engineering
collaborators: !Joseph Camp Shwetak Patel Jim Stout, MD Jim Taylor, MD Margaret Rosenfeld, MD Gaetano Boriello Mayank Goel Lilian DeGreef
big data, small data:the future of sensing in
health and sustainability
Thank You!
eric c. larson | eclarson.com
eclarson.com [email protected] @ec_larson
Assistant Professor Computer Science and Engineering
collaborators: !Joseph Camp Shwetak Patel Jim Stout, MD Jim Taylor, MD Margaret Rosenfeld, MD Gaetano Boriello Mayank Goel Lilian DeGreef
big data, small data:the future of sensing in
health and sustainability
Thank You!