smart aging - skkucihe.skku.edu/download/smart_aging-skku_2016_pdf.pdf2000 2005 2010 2015 2020 2025...
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SMART AGING
Il-Yeol Song, Ph.D.
College of Computing & Informatics
Drexel University
Philadelphia, PA 19104
USA
Feb 2016
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Il-Yeol Song, Ph.D. | 23/3/2016
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Il-Yeol Song, Ph.D. | 33/3/2016
Source: http://reports.helpage.org/global-agewatch-index-2015-insight-report.pdf
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Il-Yeol Song, Ph.D. | 43/3/2016
Source: http://news.donga.com/3/all/20150909/73532692/1
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Contents
• Smart Aging Needs
• Smart Aging Scope
• Components of Smart Aging Technologies
• Smart Aging Projects– NIH-Funded Projects, Google
– European Projects
– MIT AgeLab
– Wearable Sensors and Systems for Elderly
– Drexel University Projects
• Suggestions
Il-Yeol Song, Ph.D. | 53/3/2016
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Smart Aging
• Concepts for Mitigating the Effects of
Aging
• Improvement of elderly people’s life by
managing various healthcare challenges by
intelligently utilizing biomedical,
computing, and communication
technologies
Il-Yeol Song, Ph.D. | 63/3/2016
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Korean Demographic Data
• Korea will have a larger population aged 60 or over much
rapidly than most other countries (2012 UN Data)– In Korea, 25% by 2022; 33% by 2034; 42% by 2050
– In US, 25% by 2027; 27% by 2050
– World average, 15% by 2025; 22% by 2050
Il-Yeol Song, Ph.D. | 73/3/2016
Source: UN, retrieved from http://data.un.org/Data.aspx?q=aged+over+60&d=PopDiv&f=variableID%3a33
0
5
10
15
20
25
30
35
40
45
2000 2005 2010 2015 2020 2025 2030 2035 2040 2045 2050
Percentage aged 60 or over
World Average United States of America Repblic of Korea
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Average Life Span in 2050
In 2050, the average life span
will be 130 years old
(유엔미래보고서 2050, 박영숙. 제롬글렌, 2016)
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Il-Yeol Song, Ph.D.
• Costs in 2050 would be 6.6 times larger than the costs in 2015.
• About one-third of that increase can be attributed to the direct impact of the population over the age of 65.
3/3/2016
Aging populations and Economics Consequences(IMS Institute, 2014)
3/3/2016 | 9
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Il-Yeol Song, Ph.D.
75% of healthcare costs are
spent on
preventable chronic diseases!(Center for Disease Control & Prevention, 2009)
3/3/2016
Aging Populations and Economics Consequences
3/3/2016 | 10
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Il-Yeol Song, Ph.D.3/3/2016
Big Data Analytics for Healthcare Cost Reduction
3/3/2016 | 11
(The Age of Data-Driven Medicine, Across Technology, http://pivotal.io/agile/white-paper/the-age-of-data-driven-medicine )
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Korean Medical Data
• Doctors in Korea consult the largest #patients in the world– 2.2 doctors per 1000 people
• The consultation time for patient by doctor is the shortest
Il-Yeol Song, Ph.D. | 123/3/2016
Source:http://www.slideshare.net/aimheart/jpg-16962441
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Why Smart Aging?
• Aged Society
– High medical cost
– Reduction of productive population
– Low economic development crisis
• Big data technology: the 4th paradigm
– Digital healthcare technology: data generation in 24*365
– BD brings revolution to healthcare paradigm and approaches
• Medical Paradigm shift
– From treatment to prevention
– Personalized medicine trend
– Patients are partners of doctors
Il-Yeol Song, Ph.D. | 133/3/2016
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AdaptingMedical Care
Promoting Independence
ReducingEffects of Aging
Smart Aging
Il-Yeol Song, Ph.D. 3/3/2016
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AdaptingMedical Care
Promoting Independence
ReducingEffects of Aging
Smart Aging Areas of Concern
Living
Environment
Mental
Capabilities
Physical Well
Being
Societal
Experience
Il-Yeol Song, Ph.D. 3/3/2016
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Smart Aging Technology Focus
Adapting
Medical Care
Promoting
Independence
Reducing
Effects of Aging
Medical Systems
& Devices
Information
Technology
Bio-TechnologyRobotics
Il-Yeol Song, Ph.D. 3/3/2016 | 16
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Smart Aging
Adapting
Medical Care
• Disease prevention &
prediction
• Access to medical IT
• Wearable sensors
• Genetic technologies
• Personalized medicine
• Bio-signal interface
• Brain-computer
interface
Promoting
Independence
• Systems for the home
• Robotics
• IT personal assistant
• Remote monitoring &
alerting
• Transportation syst.
• Medication adherence
• Self management
• End of life care
Reducing
Effect of Aging
• Sustaining cognitive
capability
– Mental health
– Pharmaceuticals
– Community systems
• Physical capability
– Life styles
– Medical suit
• Medical devices
• Health literacy
Il-Yeol Song, Ph.D. 3/3/2016 | 17
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Categories of Smart Aging Projects
• Smart aging at the individual level (home, work)
• Smart aging in the community
• Smart aging at the national level
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Components of Smart Aging Technologies
(1) Wearable devices
(2) Mobile health care
(3) Medical & Healthcare Informatics
(4) Big Data & Data Science
(5) Human Factors & Cognitive Acceptance
Il-Yeol Song, Ph.D. | 193/3/2016
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WEARABLE SENSORS
| 20Il-Yeol Song, Ph.D. 3/3/2016
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Components of Smart Aging Technologies
Il-Yeol Song, Ph.D. | 213/3/2016
Wearable devices Mobile applications
Big Data Generation Layer
EHR and Healthcare data
Monitoring
Alerting
Big Data Analysis Layer
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Contents
• Smart Aging Needs
• Smart Aging Scope
• Components of Smart Aging Technologies
• Smart Aging Projects– NIH-Funded Projects, Google
– European Projects
– MIT AgeLab
– Wearable Sensors and Systems for Elderly
– Drexel University Projects
• Suggestions
Il-Yeol Song, Ph.D. | 223/3/2016
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Research Centers & Institutes on Aging
Il-Yeol Song, Ph.D. | 233/3/2016
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NIH-funded Research Centers on Aging • Two new centers
– Brandeis University, Boston Roybal Center
– Johns Hopkins University, Johns Hopkins Roybal Center
• Existing 11 centers– University of Alabama at Birmingham, Roybal Center for Translational Research on Aging and
Mobility
– Weill Medical College of Cornell University, Cornell Roybal Center
– National Bureau of Economic Research, Behavior Change in Health and Saving
– Oregon Health & Science University, Oregon Roybal Center for Translational Research on Aging
– Princeton University, Princeton Center for Translational Research on Aging
– University of Illinois at Chicago, Midwest Roybal Center for Health Promotion and Translation
– University of Pennsylvania, Penn Roybal Center on Behavioral Economics and Health
– University of Southern California, Roybal Center for Health Decision Making and Financial Independence in Old Age
– University of Southern California, Roybal Center for Health Policy Simulation
– University of Washington, Northwest Roybal Center
– Yale University, New Haven, Center for Study of Networks and Well-Being
Il-Yeol Song, Ph.D. | 243/3/2016
Source: http://www.nih.gov/news/health/nov2014/nia-12.htm
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Strategic Directions of NIH Projects
• Understand aging process and its impact on the prevention,
progression, and prognosis of disease and disability.
• Understand the effects of behavioral, psychological, and social
factors in aging
• Improve well-being and independence of adults as they age
• Support the infrastructure and resources for quality research.
• Disseminate information to the public, medical and scientific
communities, and policy makers
Il-Yeol Song, Ph.D. | 253/3/2016
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TAME
• Targeting Aging with Metformin
– Diabetic medicine
• Einstein Hospital project funded by AFAR (American Federation for Aging Research)
• Testing a medicine that extends human’s life by 40% and reduce risks associated from aging
• FDA approved 3000 human volunteers
• A new paradigm in aging research
– An effort of using a medicine against aging, instead of cancer, heart disease or Alzheimer
| 26Il-Yeol Song, Ph.D. 3/3/2016
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GOOGLE’S CALICO
• In 2013, Google founded Calico, focusing on aging and age-related diseases.
• Announced a $1.5bn partnership with pharmaceutical company, AbbVie, to accelerate the discovery, development and commercialization of age-related conditions such as neurodegeneration and cancer.
| 27
Source: http://www.ft.com/cms/s/041e8e66-5503-11e4-b616-00144feab7de,Authorised=false.html?_i_location=http%3A%2F%2Fwww.ft.com%2Fcms%2Fs%2F0%2F041e8e66-5503-11e4-b616-00144feab7de.html&_i_referer=http%3A%2F%2Fbionicly.com%2F8-examples-google-moving-digital-health%2F#axzz3HnLsEOni
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GOOGLE’S VERILY
• A spinoff from Google[X]
• Focused on using technology to better understand health,
as well as prevent, detect, and manage disease.
• Understand diseases at a personal level
• https://verily.com/
| 28Il-Yeol Song, Ph.D. 3/3/2016
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GOOGLE’S SMART CONTACT LENS
Google X is developing a smart contact lens for people with diabetes
Partnering a pharmaceutical company, Novartis.
Measures blood sugar levels directly from the tear fluid and transmits the data to a mobile device.
| 29
Source: http://www.forbes.com/sites/leoking/2014/07/15/google-smart-contact-lens-focuses-on-healthcare-billions/
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GOOGLE LIFTWARE
Liftware uses stabilizing technology to prevent spilling for
people with hand tremor or Parkinson’s disease
Can be connected to spoon and fork
| 30
Source: https://www.liftware.com/
Il-Yeol Song, Ph.D. 3/3/2016
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FUJITSU SMART CANE
For the elderly, to track location, heart rate, and temperature. It even send email alerts if it thinks the user has fallen down.
| 31
Source: http://www.pcmag.com/article2/0,2817,2416129,00.asp
Il-Yeol Song, Ph.D. 3/3/2016
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EAR-O-SMART (EARRING)
The world's first smart earring which can monitor your heart rate, calories, and activity level.
Ear-o-smart connects to your smartphone and allows you to monitor a wide range of fitness data
| 32
Source: http://earosmart.com/
Il-Yeol Song, Ph.D. 3/3/2016
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POCKETECG IN EUROPEAN EHEALTH PROJECT
• A next generation mobile arythmia diagnostic system with complete statistics.
• Automatically interprets the ECG in real-time and streams all annotations and the full-disclosure signal to a monitoring center
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http://ehealthmonitor.eu
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INTERNET COMMUNITY ’50PLUSNET’(HTTP://50PLUSPARTIJ.NL/ ; NETHERLANDS)
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Source: https://www.50plusnet.nl/?pagina=41
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LATER LIFE (WWW.LATERLIFE.COM; UK)
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Source: http://www.connectinlaterlife.eu/
Il-Yeol Song, Ph.D. 3/3/2016
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COMPUTERIA(WWW.MYCOMPUTERIA.EU/)
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Source: www.mycomputeria.eu
Il-Yeol Song, Ph.D. 3/3/2016
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HEALTHY NUTRITION IN OLD AGE(WWW.HEALTHPROELDERLY.COM; SLOVENIA)
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Source: http://www.healthproelderly.com/
Il-Yeol Song, Ph.D. 3/3/2016
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MIT AgeLab• AwareCar: help elderly drive safely
– Uses on-board eye-tracking cameras to measure the effects of fatigue and distraction
– Sensors measure heart and breathing rates.
Il-Yeol Song, Ph.D. | 383/3/2016
Source: http://agelab.mit.edu/awarecar
Source: http://www.ft.com/intl/cms/s/2/1fed1eee-b34b-11e0-9af2-00144feabdc0.html
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MIT AgeLab• Smart Trash Can: to keep track of usages by elderly
– Uses RFID antennas to tag objects in a kitchen.
– Senses when items have been used or thrown out – letting distant family members or
caregivers look out for unusual eating behaviors.
Il-Yeol Song, Ph.D. | 393/3/2016
Source: http://www.ft.com/intl/cms/s/2/1fed1eee-b34b-11e0-9af2-00144feabdc0.html
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MIT AgeLab• AGNES (Age Gain Now Empathy System):
- A suit to experiment what it feels like to age
- Feels visual, flexibility, dexterity and strength of a person in their mid-70s.
Il-Yeol Song, Ph.D. | 403/3/2016
Source: http://agelab.mit.edu/agnes-age-gain-now-empathy-system
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MIT AgeLab• AGNES(Age Gain Now
Empathy System)
• Video link: (1.31)
https://www.youtube.com/watch?v=czuww9r
p5f4
Il-Yeol Song, Ph.D. | 413/3/2016
Source: http://agelab.mit.edu/agnes-age-gain-now-empathy-system
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3D PRINTING
| 42
Source: http://www.mhealthtalk.com/moores-law-and-the-future-of-healthcare/
Il-Yeol Song, Ph.D. 3/3/2016
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BRAIN-COMPUTER INTERFACE
| 43
Source: http://www.mhealthtalk.com/moores-law-and-the-future-of-healthcare/
Il-Yeol Song, Ph.D. 3/3/2016
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LIVELY
A home monitoring and alerting system using sensors and wearable watch
One button call for emergency help, alert medication; senses unusual behaviors to family by phone/email/text; data stored in a cloud.
| 44
Source: http://mylively.com
Il-Yeol Song, Ph.D. 3/3/2016
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“IMAIRUMO HI”
A monitoring aid system in Japan.
A platform using robot technologies of fall detection
sensors and external communication functions, which are
useful for nursing care at private homes.
| 45
Source: http://robotcare.jp/
Il-Yeol Song, Ph.D. 3/3/2016
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Il-Yeol Song, Ph.D. 46
• Wize Mirror (being developed)
– Being developed by a consortium of 7 EU countries, with EU funding.
– Wize Mirror can give you a check-up each time you visit the bathroom
– Uses scanners, cameras and sensors to measure the user's health level
– Can measure heart rate, changes in weight and facial expressions
– In one minute, Wize Mirror can give users a rating and advice for the day
3/3/2016
Smart Mirror
Source: http://www.dailymail.co.uk/sciencetech/article-3176110/Mirror-mirror-wall-s-HEALTHIEST-one-Smart-gadget-uses-scanners-sensors-spot-early-signs-
disease.html
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Il-Yeol Song, Ph.D. 47
• LG U+ Magic Mirror
– Around $811 (999,000 won).
– Analyzes your skin and gives you tips about how to fix your beauty
issues.
– Analyzes your pores and wrinkles using high-definition cameras.
3/3/2016
Smart Mirror
Source: http://www.digitaltrends.com/home/lg-u-created-a-skin-diagnosing-lte-magic-mirror/#/3
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Il-Yeol Song, Ph.D. 48
• Samsung Mirror OLED
– Samsung Display plans to produce Mirror OLED display panels.
– It is a digital viewing platform to help consumers vividly see themselves
wearing the necklaces and earrings without actually wearing them.
– This augmented reality program will be created when Samsung’s Media
Player is integrated with Intel’s Real Sense Solution
3/3/2016
Smart Mirror
Source: http://www.businesskorea.co.kr/english/news/ict/11264-magic-mirrors-samsung-display-hurries-mass-produce-mirror-oleds
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Il-Yeol Song, Ph.D. 49
• Custom-built
– Developed by Max Braun (Software Engineer at Google)
– Work-in-progress
3/3/2016
Smart Mirror
Source: https://medium.com/@maxbraun/my-bathroom-mirror-is-smarter-than-yours-94b21c6671ba#.1yqrbvmnb
Time & DateNews HeadlinesWeather
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1. Smart aging with Watson
2. Mobile App to Watson for chronic disease self-management
3. Incorporating preferences for healthy aging
4. Care coordination training, process support, and evaluation
5. Digital colleagues for smart aging
6. Shima Seiki Haute Wearable Sensor Lab for Knit-based wearable sensors using 3-D computerized knitting systems
7. Many other bio-medical projects……..
3/3/2016
Drexel University Projects
Il-Yeol Song, Ph.D. 3/3/2016 | 50
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Watson
Il-Yeol Song, Ph.D. | 513/3/2016
Source: http://www.mhealthtalk.com/moores-law-and-the-future-of-healthcare/
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Smart Aging with Watson
Il-Yeol Song, Ph.D. 3/3/2016 | 52
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Use Cases of Watson for Smart Aging
Il-Yeol Song, Ph.D. 3/3/2016 | 53
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MOBILE APPS TO WATSON(PI: DR. XIA LIN)
| 54Il-Yeol Song, Ph.D. 3/3/2016
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Opportunities for Incorporating
Preferences in Healthy Aging(PI: Dr. Paulina Sockolow )
• Independent: can people be nudged toward healthier choices?
– Early detection of declining good habits (e.g., nutrition, sleeping, keeping active)
– Early intervention to suggest healthier alternatives
– How to incorporate preferences in insurances, treatments, social services, activities, etc.
55Il-Yeol Song, Ph.D. 3/3/2016
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Care coordination training, process
support, and evaluation(PI: Dr. Ellen Bass)
Wohlauer, M., Arora, V., Horwitz, L.I., Bass, E.J., Mahar, S., & Philibert, I. (2012). The patient handoff: A comprehensive curricular blueprint for resident education to improve continuity of care. Academic
Medicine, 87(4), 411–418.
DeVoge, J.M., Bass, E.J., Atia, M, Bond, M., Waggoner-Fountain, L., & Borowitz, S.M. (2009). The development of a web-based resident sign-out training program. 2009 IEEE International Conference on
Systems, Man, and Cybernetics. October 11-14, 2009, San Antonio, TX.
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Digital Colleagues for Smart Aging(PI: Dr. Patrice Tremoulet)
• Goal: Keep aging workforce engaged even when faced with
physical and/or cognitive limitations. (personal work
assistant, personal health coach, expert colleague)
• Approach: Wearable and environmental sensors feed an
intelligent Digital Colleagues that recommends
accommodations and strategies.
| 57Il-Yeol Song, Ph.D. 3/3/2016
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Shima Seiki Haute Wearable Sensor Lab(Director: Dr. Genevieve Dion)
• Develop Knit-based wearable sensors using 3-D computerized knitting systems
• Demo: http://www.drexel.edu/excite/research/shimaSeiki/
| 58Il-Yeol Song, Ph.D. 3/3/2016
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Il-Yeol Song, Ph.D.
Med-Pod:
• A home-hospital with various sensors, medical devices,
and 3D printers that produces/receives medicines
• Possibly remote operations
3/3/2016
Ultimate Futuristic Smart Health Device
| 593/3/2016
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Il-Yeol Song, Ph.D.
Tricorder:
3/3/2016
Ultimate Futuristic Smart Health Device
| 603/3/2016
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Il-Yeol Song, Ph.D.
1. Ease of use
Ease of control, intuitive display,
Multi-interaction mode (voice, text)
2. Privacy, security, and control
3. Affordability
4. Design/UX: stylish, attractive to younger people or older
people?
5. Lovability
6. Architecture
7. Features and Functions
3/3/2016
Evaluation of Smart Aging Devices
| 613/3/2016
Source: http://www.digitalistmag.com/industries/healthcare/criteria-iot-smart-aging-devices-03164708
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Il-Yeol Song, Ph.D.
1. A sense of urgency
2. Development of a silver economy and community
3. Technology-based innovations with human factors
4. Revision/agreement of privacy law on data, use of wearable
device,
5. Adoption of prevention and diagnosis technology
6. Funding innovation for healthy aging technologies
7. Utilization of existing services/technologies
8. Focusing on our strengths
9. Support convergence (ICT+Bio+Nano+Neuro+Genetics)
10. Strategic collaboration: government, business, academia,
technology for R&D as well as and Education
3/3/2016
Suggestions
| 623/3/2016
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Take Actions
Il-Yeol Song, Ph.D. | 633/3/2016