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Big Data, Small Data
- 1. big data, small data: the future of sensing in health and sustainability eric c. larson | eclarson.com Assistant Professor Computer Science and Engineering
- 3. easy to get
- 4. hard to get easy to get
- 5. application hard to get easy to get
- 6. application application hard to get easy to get
- 7. data
- 9. data you
- 13. small data in health and sustainability
- 14. small data in health and sustainability sensing you
- 15. small data in health and sustainability sensing sensing you stakeholders you
- 17. sustainability and water lake mead 1983
- 18. lake mead 2011
- 19. lake mead 2011
- 22. $2,994.83
- 26. eco-feedback Geographic Comparisons Dashboards Metaphorical Unit Designs Recommendations
- 27. eco-feedback Geographic Comparisons Dashboards Metaphorical Unit Designs Recommendations
- 28. types of eco-feedback Annual % Savings 20% 20% 15% 12% 10% 6.8% 5% 8.4% 9.2% 3.8% 0% Enhanced 1 Billing Web 2 Based Daily 3 Feedback Realtime 4 Feedback Appliance Appliance Level 5 Untitled 1 + Personalized Level Feedback Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
- 29. types of eco-feedback Annual % Savings 20% 20% 15% aggregate 12% 10% 6.8% 5% 8.4% 9.2% 3.8% 0% Enhanced 1 Billing Web 2 Based Daily 3 Feedback Realtime 4 Feedback Appliance Appliance Level 5 Untitled 1 + Personalized Level Feedback Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
- 30. types of eco-feedback Annual % Savings 20% disaggregated 20% 15% aggregate 12% 10% 6.8% 5% 8.4% 9.2% 3.8% 0% Enhanced 1 Billing Web 2 Based Daily 3 Feedback Realtime 4 Feedback Appliance Appliance Level 5 Untitled 1 + Personalized Level Feedback Based on 36 studies between 1995-2010. Summarized by Ehrhardt-Matinez et al. >20% reduction: Gardner et al. (2008) and Laitner et al. (2009)
- 32. on average, a consumer can save 15-25%
- 37. bathroom usage
- 38. leaky flapper valve bathroom usage
- 44. mobile health
- 45. m health
- 46. iPhone 9 M Now with iColon. > slide to unlock
- 47. the promise of mhealth:
- 48. the promise of mhealth: revolutionize medicine
- 49. the promise of mhealth: revolutionize medicine eliminate doctor visits
- 50. the promise of mhealth: revolutionize medicine eliminate doctor visits remote / automatic diagnosis
- 51. the promise of mhealth: revolutionize medicine eliminate doctor visits remote / automatic diagnosis equalize developing countries
- 52. the promise of mhealth: revolutionize medicine eliminate doctor visits remote / automatic diagnosis equalize developing countries
- 53. the promise of mhealth: revolutionize medicine eliminate doctor visits remote / automatic diagnosis equalize developing countries
- 54. heart rate zombie run fitness trainer stress check current mhealth glucose buddy
- 55. heart rate stress check zombie run current mhealth 43,000 apps for health on the app store fitness trainer glucose buddy
- 56. heart rate stress check zombie run current mhealth 43,000 apps for health on the app store 96% are for calorie counting & exercise fitness trainer glucose buddy
- 57. heart rate stress check zombie run current mhealth 43,000 apps for health on the app store 96% are for calorie counting & exercise 4% are remote monitoring fitness trainer glucose buddy
- 58. heart rate stress check zombie run current mhealth 43,000 apps for health on the app store 96% are for calorie counting & exercise 4% are remote monitoring ~100 are cleared by the FDA fitness trainer glucose buddy
- 60. consider physician’s needs connecting with patient
- 61. consider physician’s needs connecting with patient tracking baselines
- 62. consider physician’s needs connecting with patient tracking baselines personalized trending data
- 63. consider physician’s needs connecting with patient tracking baselines personalized trending data managing chronic disease
- 64. consider physician’s needs connecting with patient tracking baselines personalized trending data managing chronic disease 30% of all US healthcare spending is on chronic disease
- 65. mhealth and chronic disease management
- 66. mhealth and chronic disease management compliance? cost? doctor patient? data reliability?
- 68. compliance
- 69. compliance
- 71. phone as a sensor baseline sensor quantity
- 72. phone as a sensor baseline embedded sensors sensor quantity
- 73. phone as a sensor baseline embedded sensors sensor estimated quantity processing
- 75. accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones proximity sensor capacitive sensor gps motorized actuator wireless antenna (s)
- 76. compliance++; cost--; dr_pat *= 10; accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones proximity sensor capacitive sensor gps motorized actuator wireless antenna (s)
- 77. accelerometer gyroscope magnetometer /compass dual camera / flash 1+ microphones compliance++; proximity sensor cost--; capacitive sensor dr_pat *= 10; gps motorized actuator data reliability? wireless antenna (s)
- 78. what can the mobile phone sense with clinical accuracy?
- 79. what can the mobile phone sense with clinical accuracy? which chronic diseases should be targeted first?
- 83. spirometry
- 84. spirometry standard of care for:
- 85. spirometry standard of care for: asthma COPD post-transplant breathing cystic fibrosis
- 86. home spirometry
- 87. home spirometry ! faster detection rapid recovery trending
- 88. challenges with home spirometry high cost barrier patient compliance less coaching limited integration
- 92. SpiroSmart availability cost portability more effective coaching interface integrated uploading
- 93. Using SpiroSmart
- 94. SpiroSmart
- 95. SpiroSmart
- 96. within ~5-7% of a real spirometer phone app doctor visit
- 97. appropriate for trending and screening
- 99. global health non-profit patient and doctors
- 100. global health non-profit patient and doctors pharmaceutical drug trials
- 101. currently undergoing FDA 510k device approval diagnostic deployment in India started in January
- 102. other applications in health? mhealth and newborns?
- 117. 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
- 118. Method Accuracy Disadvantages TSB Gold standard (r=1.0) Painful, costly, inconvenient, delayed Accurate (r= 0.75 -0.93) Meter = $7000 tips $5 unavailable in most physician offices TcB Visual assessment (provider or parent) not accurate (r= 0.36 - 0.7), underestimates severity No standardization lighting, pigmentation
- 119. bilirubin level in blood blood draw jaundice level
- 121. bilirubin level in blood blood draw estimated jaundice level yellowness camera processing
- 123. bilicam
- 124. bilicam correlates with TSB at 0.84 TcB correlates anywhere from 0.71 to 0.9
- 125. 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
- 126. the future of mHealth?
- 127. the future of mHealth? • new sensors will be integrated into phones
- 128. the future of mHealth? • new sensors will be integrated into phones • health sensing and mobile phone manufacturing will become highly intertwined
- 129. 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”
- 130. 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”
- 131. 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
- 132. 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
- 133. 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
- 134. what app makes a phone a medical device?
- 135. what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor
- 136. what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone
- 137. what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone apps that display, transfer, store, medical device data
- 138. what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone apps that display, transfer, store, medical device data apps that interact with electronic health records or simple health data
- 139. m ay be ye s ye s ye s what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone apps that display, transfer, store, medical device data apps that interact with electronic health records or simple health data
- 140. m ay be ye s ye s ye s what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone apps that display, transfer, store, medical device data apps that interact with electronic health records or simple health data psychiatry, medical dosing, symptom logs, general fitness apps…
- 141. m ay be m ay be ye s ye s ye s what app makes a phone a medical device? apps that transform a phone or connect to a medical sensor apps that control a device through a phone apps that display, transfer, store, medical device data apps that interact with electronic health records or simple health data psychiatry, medical dosing, symptom logs, general fitness apps…
- 142. what app makes a phone a medical device? we will see?
- 143. some approved apps
- 144. some approved apps
- 145. some approved apps
- 146. some approved apps
- 147. some approved apps
- 148. my take
- 149. eclarson.com eclarson@lyle.smu.edu > slide to unlock @ec_larson Thank You!
- 150. big data, small data: the future of sensing in health and sustainability eclarson.com eclarson@lyle.smu.edu > slide to unlock @ec_larson collaborators: ! Joseph Camp Shwetak Patel Jim Stout, MD Jim Taylor, MD Margaret Rosenfeld, MD Gaetano Boriello Mayank Goel Lilian DeGreef Thank You! eric c. larson | eclarson.com Assistant Professor Computer Science and Engineering
- 151. big data, small data: the future of sensing in health and sustainability eclarson.com eclarson@lyle.smu.edu @ec_larson collaborators: ! Joseph Camp Shwetak Patel Jim Stout, MD Jim Taylor, MD Margaret Rosenfeld, MD Gaetano Boriello Mayank Goel Lilian DeGreef Thank You! eric c. larson | eclarson.com Assistant Professor Computer Science and Engineering