SMART AGING - SKKUcihe.skku.edu/download/Smart_Aging-SKKU_2016_PDF.pdf2000 2005 2010 2015 2020 2025...

SMART AGING

Il-Yeol Song, Ph.D.

College of Computing & Informatics

Drexel University

Philadelphia, PA 19104

USA

Feb 2016

Il-Yeol Song, Ph.D. | 23/3/2016


Source: http://reports.helpage.org/global-agewatch-index-2015-insight-report.pdf


Source: http://news.donga.com/3/all/20150909/73532692/1

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


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


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


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

Average Life Span in 2050

In 2050, the average life span

will be 130 years old

(유엔미래보고서 2050, 박영숙. 제롬글렌, 2016)


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)

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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

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 )

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


Source:http://www.slideshare.net/aimheart/jpg-16962441

http://www.slideshare.net/aimheart/jpg-16962441

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


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AdaptingMedical Care

Promoting Independence

ReducingEffects of Aging

Smart Aging

Il-Yeol Song, Ph.D. 3/3/2016

| 15

AdaptingMedical Care

Promoting Independence

ReducingEffects of Aging

Smart Aging Areas of Concern

Living

Environment

Mental

Capabilities

Physical Well

Being

Societal

Experience


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

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

Categories of Smart Aging Projects

• Smart aging at the individual level (home, work)

• Smart aging in the community

• Smart aging at the national level


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


WEARABLE SENSORS

| 20Il-Yeol Song, Ph.D. 3/3/2016

Components of Smart Aging Technologies


Wearable devices Mobile applications

Big Data Generation Layer

EHR and Healthcare data

Monitoring

Alerting

Big Data Analysis Layer

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


Research Centers & Institutes on Aging


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


Source: http://www.nih.gov/news/health/nov2014/nia-12.htm

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


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


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.

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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


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/


https://verily.com/

https://verily.com/

https://verily.com/

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.

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Source: http://www.forbes.com/sites/leoking/2014/07/15/google-smart-contact-lens-focuses-on-healthcare-billions/


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

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Source: https://www.liftware.com/


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


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

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Source: http://earosmart.com/


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


INTERNET COMMUNITY ’50PLUSNET’(HTTP://50PLUSPARTIJ.NL/ ; NETHERLANDS)

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Source: https://www.50plusnet.nl/?pagina=41


http://50pluspartij.nl/

LATER LIFE (WWW.LATERLIFE.COM; UK)

| 35

Source: http://www.connectinlaterlife.eu/


http://www.laterlife.com/

COMPUTERIA(WWW.MYCOMPUTERIA.EU/)

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Source: www.mycomputeria.eu


HEALTHY NUTRITION IN OLD AGE(WWW.HEALTHPROELDERLY.COM; SLOVENIA)

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Source: http://www.healthproelderly.com/


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.


Source: http://agelab.mit.edu/awarecar

Source: http://www.ft.com/intl/cms/s/2/1fed1eee-b34b-11e0-9af2-00144feabdc0.html

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.


Source: http://www.ft.com/intl/cms/s/2/1fed1eee-b34b-11e0-9af2-00144feabdc0.html

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.


Source: http://agelab.mit.edu/agnes-age-gain-now-empathy-system

MIT AgeLab• AGNES(Age Gain Now

Empathy System)

• Video link: (1.31)

https://www.youtube.com/watch?v=czuww9r

p5f4


Source: http://agelab.mit.edu/agnes-age-gain-now-empathy-system

https://www.youtube.com/watch?v=czuww9rp5f4

3D PRINTING

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Source: http://www.mhealthtalk.com/moores-law-and-the-future-of-healthcare/


BRAIN-COMPUTER INTERFACE

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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.

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Source: http://mylively.com


“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. 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

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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


• 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.

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Smart Mirror

Source: http://www.digitaltrends.com/home/lg-u-created-a-skin-diagnosing-lte-magic-mirror/#/3


• 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


• 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

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

Watson



Smart Aging with Watson

Il-Yeol Song, Ph.D. 3/3/2016 | 52

Use Cases of Watson for Smart Aging

Il-Yeol Song, Ph.D. 3/3/2016 | 53

MOBILE APPS TO WATSON(PI: DR. XIA LIN)


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

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.


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.


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/


http://www.drexel.edu/excite/research/shimaSeiki/

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

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Ultimate Futuristic Smart Health Device

| 593/3/2016

Il-Yeol Song, Ph.D.

Tricorder:

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Ultimate Futuristic Smart Health Device

| 603/3/2016

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

http://www.digitalistmag.com/industries/healthcare/criteria-iot-smart-aging-devices-03164708

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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