Improving physiotherapy care for children with Cystic Fibrosis

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Microsoft Future Decoded Project Fizzyo Improving physiotherapy care for children with Cystic Fibrosis Eleanor Main

Transcript of Improving physiotherapy care for children with Cystic Fibrosis

Page 1: Improving physiotherapy care for children with Cystic Fibrosis

Microsoft Future Decoded

Project FizzyoImproving

physiotherapy care for children with

Cystic Fibrosis

Eleanor Main

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Incremental improvement in Survival with

Treatment InnovationA

ge (

year

s)

Pancreatic Enzymes

antistaphylococcal antibioticsantipseudomonal antibiotics

rhDNaseInhaled Tobramycin

Airway clearance

0

5

1015

20

25

30

35

40

1st pathologicdescription

CF geneidentified

Discoveryof high salt

in sweat

Sweat chloridetest developed

1st successfulpregnancy

Azithromycin

HTS

AZLITIP

Colobreathe

Ivacaftor

Bronchitol

Inhaled colistin

Neonatalscreening

Mist tents

Centre care

PrecisionMedicine for CF

NPD andCl transport

RCTs

Airway clearance

Slide from

Prof. Stuart

Elborn with

thanks

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70 years of Physiotherapy for CF

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Airway clearance methods

ACBT

Autogenic

Drainage

Acapella

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We still don’t know

• What’s the best airway clearance technique?

• How often do you need to do it, and for how long?

• What happens if you don’t do it

• What will make these treatments easier to do regularly?

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• How best to simplify the treatment burden of people with CF?

• Which therapies delay or prevent progression of lung disease in early life in people with CF?

• How best to motivate, support and use technologies help people with CF improve and sustain adherence to treatment?

• Can exercise replace chest physiotherapy for people with CF?

Top 10 Research Priorities for CF 2017

https://youtu.be/0mFtdEOyWt4

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80% of healthcare

data is unstructured

Most data in

healthcare is stored in

printed form

Is big data the answer? “Smart devices, mobile &

big data will revolutionise

healthcare”

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BBC2

Science

Series -

Big Life

Fix

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Creative Collaboration

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Enables students to enhance

their training through real-world

problem-solving projects as part

of their degree

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Home use: 16 months

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• Breath

• count

• pressure

• length

• Treatment

• count

• length

• profile and time

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• Heart Rate every 5

seconds

• Footsteps per minute

Fitbit Alta HR

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DRIVE

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AnalytiXagility Digital Research Environment Workspaces

Hospital DataPIMS, OMNI, EPIC

Data Wrangling

• Data Table Editor• Harmonization

Analytical Tools

• ‘One-click’ Analytics• R / SQL

Collaboration

• Commenting• Messaging• Notifications

Audit

• Access / usage• Authentication

Apps/Outputs

• Results• Interactive

Colla

bo

rativ

e W

ork

sp

ace

ObserverResearcherAdministrator

Apps

Collaborative Services

Audit

Analytical Tools

Data Wrangling

Admin

Your DataLocal data files

Web Access

Use

r Inte

rface

Security and Identity Management (Role)

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Clinical Data

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Lung function data

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Trial design

With or without:

FeedbackGamesHome use: 16 months

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Home use: 16 months

22 recruited

so far

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Thank You

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Thank You

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Emma Raywood

Kunal Kapoor

Helen Douglas

Lee Stott

Greg Saul

Haiyan Zhang

John Booth

Tim Kuzhagaliyev

Nils Correvon

Dean Mohamedally

Fraser Black

Dr Yun Fu

Simon Jackson

Steven Hailes

Diana Yazdanfar

Tiernan Watson

Neil Sebire

Anita Ramanan

Mason Cusack

Harriet Shannon

Thank YouGeoff Hughes

Olga Liakhovich

Tobias Edwards

Sifang Du

Tianhao Wu

Vikash Panjiyar

Vladislav Repinskiy

Xiaolong Chen

Yi Zhong

Yiyun Lu

Yong Hyun Cho

Yusi Zhou

Yuting Deng

Zhengxian Fan

Zhichao Wang

Ziad Al Halabi

Ziyang Dong

Ziying Cheng

John Wilkie

Gene Stein

Jinxin Lin

Krzysztof Kozinski

Luming Ji

Mabel Chan

Manuel Cretin

Marcin Praski

Maria Iacobici

Matt Clayton

Max Louis Bertfield

Mostafa Osama Ibrahim

Nithin Anand

Oliver Vecchini

Petros Xenofontos

Pooja Sridhar

Rui Chen

Ryo Mochizuki

Seunghoi Kim

Ryan White

Christian Robles

Kristjana Popovski

Stephanie Marker

Jude Pullen

Ka Hei Suen

Vicky Coxhead

Ahmed Khaled Elherazy

Aleksei Rozhnov

Andrea Nabil Belahouane

Andres Rojas Jaramillo

Anthony Cheng

Anton Hristov

Anton Morozov

Bo Xi Isaac Lee

Cameron Mory

Cao Khanh Nguyen

Conner Lukes

Cosmin Vladianu

David Pourquery Gonzalez

Colin Wallis

Michael Woollard

Alan Bannon

Aidan Laverty

Charlie Dawson

Blair Butterworth

Claudia Posso

Ammani Prasad

Sarah Rand

Ben Margetts

Matthew Jenkins

Stephen MacLeod

Clyde Hoskin

Jamie Bankhead

Luke O'Brien

Adam Finch

Sam Gainty

Connie Reid

Angus Connor

Natassa Spiridou

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Eleanor MainProfessor of Physiotherapy

Email: Twitter:

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– Download the AI Report at http://aka.ms/UKAIreport

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– Try technology out with on-demand labs and expert help

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