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小額贊助支持本節目： https://open.firstory.me/user/cl81kivnk00dn01wffhwxdg2s 留言告訴我你對這一集的想法： https://open.firstory.me/user/cl81kivnk00dn01wffhwxdg2s/comments ------------------------------- 活動資訊 ------------------------------- 「社會人核心英語」有聲書課程連結：https://15minsengcafe.pse.is/554esm ------------------------------- 15Mins.Today 相關連結 ------------------------------- 歡迎針對這一集留言你的想法： https://open.firstory.me/user/cl81kivnk00dn01wffhwxdg2s/comments 官方網站：www.15mins.today 加入Clubhouse直播室：https://15minsengcafe.pse.is/46hm8k 訂閱YouTube頻道：https://15minsengcafe.pse.is/3rhuuy 主題投稿/意見回覆 : ask15mins@gmail.com 商業合作/贊助來信：15minstoday@gmail.com ------------------------------- 以下有此單集搭配文稿喔～ ------------------------------- Topic: Apple Feels the Sting From an Oscar Slap Apple has a Will Smith problem. 蘋果有個威爾史密斯的麻煩。 Smith is the star of “Emancipation,” a film set during the Civil War era that Apple envisioned as a surefire Oscar contender when it wrapped filming earlier this year. But that was before Smith strode onto the stage at the Academy Awards in March and slapped comedian Chris Rock, who had made a joke about Smith's wife, Jada Pinkett Smith. 史密斯是「解放」（暫譯）的主角，這部設定於南北戰爭期間的電影今年初拍攝殺青時，蘋果視為奧斯卡必勝參賽者，但那是在3月的奧斯卡頒獎典禮前。史密斯在典禮時走上舞台，掌摑喜劇演員克里斯洛克，因為他開了史密斯妻子、潔達蘋姬史密斯的玩笑。 Will Smith, who also won best actor that night, has since surrendered his membership in the Academy of Motion Picture Arts & Sciences and has been banned from attending any Academy-related events, including the Oscar telecast, for the next decade. 威爾史密斯那晚贏得最佳男主角獎，那之後他退回美國影藝學院會員資格，且被禁止未來十年參加所有學院相關活動，包括奧斯卡獎。 Now Apple finds itself left with a $120 million unreleased awards-style movie featuring a star no longer welcome at the biggest award show of them all and a big question: Can the film, even if it succeeds artistically, overcome the baggage that now accompanies Smith? 現在蘋果發現，它花1.2億美元拍攝這部符合奧斯卡得獎風格的未上映電影，片中明星在這個最大獎項會場卻已不再受歡迎。一個很大問題是：即使在藝術上成功了，這部電影如今能夠克服史密斯帶來的包袱嗎？ According to three people involved with the film who spoke on condition of anonymity to discuss the company's planning, there have been discussions inside Apple to release “Emancipation” by the end of the year, which would make it eligible for awards consideration. Variety reported in May, however, that the film's release would be pushed into 2023. 要求匿名談論蘋果公司計畫的三名參與電影人士說，蘋果內部曾討論在今年底前上映「解放」，好讓電影符合獎項考慮資格。然而，「綜藝」雜誌5月報導，電影上映可能推遲到2023年。 When asked for this article how and when it planned to release “Emancipation,” Apple declined to comment. 當被問到計畫如何及何時上映「解放」時，蘋果拒絕置評。 “Emancipation,” directed by Antoine Fuqua (“Training Day”) and with a script by William Collage, is based on the true story of a slave known as “Whipped Peter,”who joined the Union Army while still in the South. 「解放」由「震撼教育」導演安東尼法奎執導，編劇為比爾克爾吉，根據一名叫做「鞭傷彼得」的奴隸，在南方加入聯邦軍的真實故事改編。 Apple set up a general audience test screening of “Emancipation” in Chicago earlier this year, according to three people with knowledge of the event who spoke on condition of anonymity because they were not permitted to discuss it publicly. They said it generated an overwhelmingly positive reaction, specifically for Smith's performance, which one of the people called “volcanic.” Audience members, during the after-screening feedback, said they were not turned off by Smith's recent public behavior. 根據三名知曉活動、但不被允許公開談論此事而匿名的人士表示，蘋果今年初在芝加哥進行一場針對一般大眾的「解放」試映。他們說，電影得到驚人的正面反應，特別是史密斯的演技，有人形容為「有如火山爆發」。在試映結束後的觀眾回饋中，有人說他們不會因為史密斯最近的公開行為而討厭他。 Smith largely disappeared from public view following the Oscars. But in July, he released a video on his YouTube channel in which he said he was “deeply remorseful” for his behavior and apologized directly to Rock and his family. 奧斯卡獎典禮後，史密斯幾乎自公眾目光中消失。但他7月在自己的YouTube頻道上傳一段影片，表示對自己的行為「深感悔恨」，並直接向洛克及其家人道歉。 Next Article Topic: Apple's Eye-Catching New Home Disrupts Silicon Valley Things change when a spaceship comes to town. Tourists stroll by, whipping out their iPhones to get a photo. New businesses move in. And real estate prices go up even more. 當太空船來到城裡，許多事情都變了。遊客在這裡流連，迅速拿出iPhone拍照。新商家進駐。房地產價格漲得更高。 Apple's new home in Cupertino — the centerpiece being a $5 billion, four-story, 2.8 million-square-foot ring that can be seen from space and that locals call the spaceship — is still getting some final touches, and employees have just started to trickle in. The full squadron, about 12,000 people, will arrive in several months. But the development of the headquarters, a 175-acre area officially called Apple Park, has already helped transform the surrounding area. 蘋果公司在加州古柏迪諾市的新家——核心是耗資50億美元（合台幣約1500億元），面積280萬平方英尺（約7萬9000坪）的4層樓環狀建物，能從太空中看到，當地人稱為太空船——仍處在最後裝修階段，員工才剛開始陸續遷入。總計1萬2000人將在數月內入駐。 不過，蘋果新總部修建已推動周邊地區的變化。新總部占地175英畝（約21萬坪），正式名稱是蘋果園區。 In Sunnyvale, a town just across the street, 95 development projects are in the planning stages. The city manager, Deanna J. Santana, said she had never seen such action before. In Cupertino, a Main Street Cupertino living and dining complex opened in early 2016. This downtown enclave includes the Lofts, a 120-unit apartment community opening this fall; small shops; and numerous restaurants and cafes. Other local businesses are also gearing up in anticipation. A Residence Inn at Main Street Cupertino, expected to open in September, has been slightly customized to meet the needs of Apple employees. Guests will have access to Macs and high-speed internet connections, said Mark Lynn, a partner with Sand Hill Hotel Management, which operates the hotel and consulted with Apple about what its employees need at a hotel. 在蘋果園區對街的桑尼維爾市，有95個開發案正規劃中。市經理迪安娜．桑塔納說，她未曾見過這樣的發展。在古柏迪諾，居住和餐飲綜合建築「古柏迪諾大街」在2016年初開幕。這個商業區包括有120戶公寓的社區Lofts，將於今秋推出；還有小商店、大量的餐廳和咖啡館。 其他本地企業也滿懷期待在做準備。古柏迪諾大街一間長住型飯店預計9月開幕，飯店稍微調整過，以滿足蘋果員工的需求。經營飯店的沙丘飯店管理公司向蘋果諮詢過其員工對飯店有什麼需求，公司合夥人林恩說，飯店客人有麥金塔電腦和高速網路可用。 “All the things we have, lined up with what they needed,” Lynn said. “They will represent a large part of our business.” Tech companies are nothing new for Cupertino. Apple has called the city home for decades, and Hewlett-Packard had a campus in Apple's new spot, employing 9,000 people. The surrounding towns have been remade as well in the last decade, as giant tech companies have transformed Silicon Valley's real estate into some of the most expensive in the country. 林恩說：「我們所有事物都配合蘋果員工的需求，他們會在我們業務中占很大比重。」 對古柏迪諾而言，科技公司並不新鮮。蘋果把這個城市當成家已有數十年，而蘋果新總部所在地曾是惠普一個雇用9000人的園區。過去10年，古柏迪諾周遭城鎮的風貌也翻新了，因為科技巨頭已使矽谷轉變為全美房地產最貴的地方之一。 But city officials and residents say this project is like nothing they've seen before. It is even bringing tourists. Onlookers snap pictures of the spaceship from the streets. TV helicopters circle above. Amateur photographers ask residents if they can stand on driveways to operate their drones, hoping to get a closer look at Apple Park. “I just say, ‘Hey, go ahead,'” said Ron Nielsen, who lives in Birdland, a Sunnyvale neighborhood across the street from the spaceship. “Why not?” 但城市官員和居民說，蘋果園區跟他們看過的其他開發案不一樣。園區甚至帶來了遊客。 遊客在街頭拍攝太空船的照片。電視台的直升機在它上方盤旋。業餘攝影師問居民可否站在他們的私家車道上操作無人機，以便更近一點看看蘋果園區。 尼爾森住在桑尼維爾市伯德蘭德地區，就在太空船對街，他說：「我就說，『好啊，行』，為什麼不可以呢？」 Source: https://paper.udn.com/udnpaper/POH0067/315730/web/ Next Article Topic: New Apple Watch heralds ‘smart healthcare' revolution for aging societies The new model iPhone was released mid-last month to a somewhat muted reaction from the market. However, at the same event Apple Inc also released an updated Apple Watch, called the Apple Watch Series 4, which showed that the company is working furiously behind the scenes to break into a new field, as it quietly builds an eco-system around “smart healthcare.” Due to the importance of safeguarding human life, the entry threshold into the healthcare market is high, but the potential rewards are significant. As humans live longer, we are becoming ever more reliant on technology and artificial intelligence as a means to look after our health. 新款iPhone在上個月中發表，市場反應是無甚驚奇。不過從同場發表的Apple Watch，可看出蘋果已在另一個領域鴨子划水，悄悄建起了生態系「智慧醫療」。因為人命關天，這是一個門檻極高的市場，但商機也很大，尤其在人類壽命愈來愈長的未來，勢必仰賴更多科技和人工智慧來照顧我們的健康。 The definition of “smart healthcare” is extremely broad. Starting with the da Vinci surgical robot, already on the market for over a decade, the area now includes specialist fields such as the automatic transfer of patient blood pressure monitoring data to hospitals and AI-assisted artificial gene synthesis (gene printing), which is able to rapidly compile DNA sequences and produce biopharmaceuticals. While attending a discussion forum by the Industrial Technology Research Institute in Taiwan last month, major pharmaceutical company Merck & Co predicted that revenue from AI-related health care alone — which currently stands at about US$600 million — will grow to around US$20 billion by 2026. Furthermore, AI constitutes just one small piece of the overall smart healthcare market. 智慧醫療的定義廣泛，從問世十幾年的達文西手術機器人、將數據自動回傳醫院的血壓機、到基因合成學借助AI及機器學習，能快速編寫DNA序列，製造生物藥劑來治療疾病等等。國際大藥廠默克上個月來台出席工研院產業創新論壇時就估計，目前光是與AI相關的醫療保健產值，全球約六億美元，二零二六年將達兩百億美元；而AI不過是智慧醫療的一小塊領域。 Humanity is on the cusp of an imminent medical care crisis. According to US research, there is a positive correlation between the patient-to-nurse ratio and patient mortality rate: For every additional patient that a nurse has to care for, the 30-day mortality rate for hospitalized patients increases by 7 percent. 人類面臨的醫療窘境，已迫在眉睫。美國研究指出，每位護理師照顧的病人數，和病人死亡率呈現正相關：護理師每多照顧一名病人，病人住院三十天的死亡風險增加百分之七。 As a result of various background factors, “smart healthcare” will be an unstoppable force in the future. As such, global manufacturers, whether involved in communications, machinery, pharmaceuticals or consumer technology, are all getting involved, and Apple naturally wants to claim a piece of the pie for itself. At last month's launch of the updated Apple Watch, Apple revealed that the device now supports a heart rate monitor and wrist sensor and represents a significant step forward for the wearable device. Previously, the watch was only able to record a wearer's heart rate, but the technology has been upgraded so that Apple Watch can now monitor a user's heart condition in a way that provides real medical value. 在種種背景下，智慧醫療是必然之勢；因此全球廠商不論其專長是通訊、機械、製藥或3C，都在積極投入，蘋果當然也不缺席。上個月發表的Apple Watch，能支援心律檢測及手腕感應，這讓穿戴裝置邁進了一大步，從以往只能記錄心跳幾下，升級到可監測具有醫療價值的心律狀況。 In addition to the above new hardware functionality, Apple is also building a health eco-system. Last year, Apple embarked on a partnership with Stanford University Medical Center to found the Apple Heart Study program, which uses Apple Watch to collect large amounts of data on heart rate activity from volunteers. This year Apple has signed agreements with more than 90 hospitals across the US so that patients can use their mobile phones to access their own medical records, making it possible for users to bring their medical history with them wherever they go. If the results are successful, it may well create a snowball effect and spread to other medical institutions. 蘋果不只推出上述的硬體新功能，也在建構生態系。去年它和史丹佛醫學中心合作啟動「Apple Heart Study」計畫，透過Apple Watch收集自願者的心律大數據。今年又與全美逾九十家醫院簽約，病人可透過手機看到自己的醫療紀錄，落實病歷帶著走。若成效良好，未來很可能產生滾雪球效應，擴及更多醫療機構。 Source article: http://www.taipeitimes.com/News/lang/archives/2018/10/09/2003701979/2

歡迎留言告訴我們你對這一集的想法： https://open.firstory.me/user/cl81kivnk00dn01wffhwxdg2s/comments Topic: Apple Feels the Sting From an Oscar Slap Apple has a Will Smith problem. 蘋果有個威爾史密斯的麻煩。 Smith is the star of “Emancipation,” a film set during the Civil War era that Apple envisioned as a surefire Oscar contender when it wrapped filming earlier this year. But that was before Smith strode onto the stage at the Academy Awards in March and slapped comedian Chris Rock, who had made a joke about Smith's wife, Jada Pinkett Smith. 史密斯是「解放」（暫譯）的主角，這部設定於南北戰爭期間的電影今年初拍攝殺青時，蘋果視為奧斯卡必勝參賽者，但那是在3月的奧斯卡頒獎典禮前。史密斯在典禮時走上舞台，掌摑喜劇演員克里斯洛克，因為他開了史密斯妻子、潔達蘋姬史密斯的玩笑。 Will Smith, who also won best actor that night, has since surrendered his membership in the Academy of Motion Picture Arts & Sciences and has been banned from attending any Academy-related events, including the Oscar telecast, for the next decade. 威爾史密斯那晚贏得最佳男主角獎，那之後他退回美國影藝學院會員資格，且被禁止未來十年參加所有學院相關活動，包括奧斯卡獎。 Now Apple finds itself left with a $120 million unreleased awards-style movie featuring a star no longer welcome at the biggest award show of them all and a big question: Can the film, even if it succeeds artistically, overcome the baggage that now accompanies Smith? 現在蘋果發現，它花1.2億美元拍攝這部符合奧斯卡得獎風格的未上映電影，片中明星在這個最大獎項會場卻已不再受歡迎。一個很大問題是：即使在藝術上成功了，這部電影如今能夠克服史密斯帶來的包袱嗎？ According to three people involved with the film who spoke on condition of anonymity to discuss the company's planning, there have been discussions inside Apple to release “Emancipation” by the end of the year, which would make it eligible for awards consideration. Variety reported in May, however, that the film's release would be pushed into 2023. 要求匿名談論蘋果公司計畫的三名參與電影人士說，蘋果內部曾討論在今年底前上映「解放」，好讓電影符合獎項考慮資格。然而，「綜藝」雜誌5月報導，電影上映可能推遲到2023年。 When asked for this article how and when it planned to release “Emancipation,” Apple declined to comment. 當被問到計畫如何及何時上映「解放」時，蘋果拒絕置評。 “Emancipation,” directed by Antoine Fuqua (“Training Day”) and with a script by William Collage, is based on the true story of a slave known as “Whipped Peter,”who joined the Union Army while still in the South. 「解放」由「震撼教育」導演安東尼法奎執導，編劇為比爾克爾吉，根據一名叫做「鞭傷彼得」的奴隸，在南方加入聯邦軍的真實故事改編。 Apple set up a general audience test screening of “Emancipation” in Chicago earlier this year, according to three people with knowledge of the event who spoke on condition of anonymity because they were not permitted to discuss it publicly. They said it generated an overwhelmingly positive reaction, specifically for Smith's performance, which one of the people called “volcanic.” Audience members, during the after-screening feedback, said they were not turned off by Smith's recent public behavior. 根據三名知曉活動、但不被允許公開談論此事而匿名的人士表示，蘋果今年初在芝加哥進行一場針對一般大眾的「解放」試映。他們說，電影得到驚人的正面反應，特別是史密斯的演技，有人形容為「有如火山爆發」。在試映結束後的觀眾回饋中，有人說他們不會因為史密斯最近的公開行為而討厭他。 Smith largely disappeared from public view following the Oscars. But in July, he released a video on his YouTube channel in which he said he was “deeply remorseful” for his behavior and apologized directly to Rock and his family. 奧斯卡獎典禮後，史密斯幾乎自公眾目光中消失。但他7月在自己的YouTube頻道上傳一段影片，表示對自己的行為「深感悔恨」，並直接向洛克及其家人道歉。 Next Article Topic: Apple's Eye-Catching New Home Disrupts Silicon Valley Things change when a spaceship comes to town. Tourists stroll by, whipping out their iPhones to get a photo. New businesses move in. And real estate prices go up even more. 當太空船來到城裡，許多事情都變了。遊客在這裡流連，迅速拿出iPhone拍照。新商家進駐。房地產價格漲得更高。 Apple's new home in Cupertino — the centerpiece being a $5 billion, four-story, 2.8 million-square-foot ring that can be seen from space and that locals call the spaceship — is still getting some final touches, and employees have just started to trickle in. The full squadron, about 12,000 people, will arrive in several months. But the development of the headquarters, a 175-acre area officially called Apple Park, has already helped transform the surrounding area. 蘋果公司在加州古柏迪諾市的新家——核心是耗資50億美元（合台幣約1500億元），面積280萬平方英尺（約7萬9000坪）的4層樓環狀建物，能從太空中看到，當地人稱為太空船——仍處在最後裝修階段，員工才剛開始陸續遷入。總計1萬2000人將在數月內入駐。 不過，蘋果新總部修建已推動周邊地區的變化。新總部占地175英畝（約21萬坪），正式名稱是蘋果園區。 In Sunnyvale, a town just across the street, 95 development projects are in the planning stages. The city manager, Deanna J. Santana, said she had never seen such action before. In Cupertino, a Main Street Cupertino living and dining complex opened in early 2016. This downtown enclave includes the Lofts, a 120-unit apartment community opening this fall; small shops; and numerous restaurants and cafes. Other local businesses are also gearing up in anticipation. A Residence Inn at Main Street Cupertino, expected to open in September, has been slightly customized to meet the needs of Apple employees. Guests will have access to Macs and high-speed internet connections, said Mark Lynn, a partner with Sand Hill Hotel Management, which operates the hotel and consulted with Apple about what its employees need at a hotel. 在蘋果園區對街的桑尼維爾市，有95個開發案正規劃中。市經理迪安娜．桑塔納說，她未曾見過這樣的發展。在古柏迪諾，居住和餐飲綜合建築「古柏迪諾大街」在2016年初開幕。這個商業區包括有120戶公寓的社區Lofts，將於今秋推出；還有小商店、大量的餐廳和咖啡館。 其他本地企業也滿懷期待在做準備。古柏迪諾大街一間長住型飯店預計9月開幕，飯店稍微調整過，以滿足蘋果員工的需求。經營飯店的沙丘飯店管理公司向蘋果諮詢過其員工對飯店有什麼需求，公司合夥人林恩說，飯店客人有麥金塔電腦和高速網路可用。 “All the things we have, lined up with what they needed,” Lynn said. “They will represent a large part of our business.” Tech companies are nothing new for Cupertino. Apple has called the city home for decades, and Hewlett-Packard had a campus in Apple's new spot, employing 9,000 people. The surrounding towns have been remade as well in the last decade, as giant tech companies have transformed Silicon Valley's real estate into some of the most expensive in the country. 林恩說：「我們所有事物都配合蘋果員工的需求，他們會在我們業務中占很大比重。」 對古柏迪諾而言，科技公司並不新鮮。蘋果把這個城市當成家已有數十年，而蘋果新總部所在地曾是惠普一個雇用9000人的園區。過去10年，古柏迪諾周遭城鎮的風貌也翻新了，因為科技巨頭已使矽谷轉變為全美房地產最貴的地方之一。 But city officials and residents say this project is like nothing they've seen before. It is even bringing tourists. Onlookers snap pictures of the spaceship from the streets. TV helicopters circle above. Amateur photographers ask residents if they can stand on driveways to operate their drones, hoping to get a closer look at Apple Park. “I just say, ‘Hey, go ahead,'” said Ron Nielsen, who lives in Birdland, a Sunnyvale neighborhood across the street from the spaceship. “Why not?” 但城市官員和居民說，蘋果園區跟他們看過的其他開發案不一樣。園區甚至帶來了遊客。 遊客在街頭拍攝太空船的照片。電視台的直升機在它上方盤旋。業餘攝影師問居民可否站在他們的私家車道上操作無人機，以便更近一點看看蘋果園區。 尼爾森住在桑尼維爾市伯德蘭德地區，就在太空船對街，他說：「我就說，『好啊，行』，為什麼不可以呢？」 Source: https://paper.udn.com/udnpaper/POH0067/315730/web/ Next Article Topic: New Apple Watch heralds ‘smart healthcare' revolution for aging societies The new model iPhone was released mid-last month to a somewhat muted reaction from the market. However, at the same event Apple Inc also released an updated Apple Watch, called the Apple Watch Series 4, which showed that the company is working furiously behind the scenes to break into a new field, as it quietly builds an eco-system around “smart healthcare.” Due to the importance of safeguarding human life, the entry threshold into the healthcare market is high, but the potential rewards are significant. As humans live longer, we are becoming ever more reliant on technology and artificial intelligence as a means to look after our health. 新款iPhone在上個月中發表，市場反應是無甚驚奇。不過從同場發表的Apple Watch，可看出蘋果已在另一個領域鴨子划水，悄悄建起了生態系「智慧醫療」。因為人命關天，這是一個門檻極高的市場，但商機也很大，尤其在人類壽命愈來愈長的未來，勢必仰賴更多科技和人工智慧來照顧我們的健康。 The definition of “smart healthcare” is extremely broad. Starting with the da Vinci surgical robot, already on the market for over a decade, the area now includes specialist fields such as the automatic transfer of patient blood pressure monitoring data to hospitals and AI-assisted artificial gene synthesis (gene printing), which is able to rapidly compile DNA sequences and produce biopharmaceuticals. While attending a discussion forum by the Industrial Technology Research Institute in Taiwan last month, major pharmaceutical company Merck & Co predicted that revenue from AI-related health care alone — which currently stands at about US$600 million — will grow to around US$20 billion by 2026. Furthermore, AI constitutes just one small piece of the overall smart healthcare market. 智慧醫療的定義廣泛，從問世十幾年的達文西手術機器人、將數據自動回傳醫院的血壓機、到基因合成學借助AI及機器學習，能快速編寫DNA序列，製造生物藥劑來治療疾病等等。國際大藥廠默克上個月來台出席工研院產業創新論壇時就估計，目前光是與AI相關的醫療保健產值，全球約六億美元，二零二六年將達兩百億美元；而AI不過是智慧醫療的一小塊領域。 Humanity is on the cusp of an imminent medical care crisis. According to US research, there is a positive correlation between the patient-to-nurse ratio and patient mortality rate: For every additional patient that a nurse has to care for, the 30-day mortality rate for hospitalized patients increases by 7 percent. 人類面臨的醫療窘境，已迫在眉睫。美國研究指出，每位護理師照顧的病人數，和病人死亡率呈現正相關：護理師每多照顧一名病人，病人住院三十天的死亡風險增加百分之七。 As a result of various background factors, “smart healthcare” will be an unstoppable force in the future. As such, global manufacturers, whether involved in communications, machinery, pharmaceuticals or consumer technology, are all getting involved, and Apple naturally wants to claim a piece of the pie for itself. At last month's launch of the updated Apple Watch, Apple revealed that the device now supports a heart rate monitor and wrist sensor and represents a significant step forward for the wearable device. Previously, the watch was only able to record a wearer's heart rate, but the technology has been upgraded so that Apple Watch can now monitor a user's heart condition in a way that provides real medical value. 在種種背景下，智慧醫療是必然之勢；因此全球廠商不論其專長是通訊、機械、製藥或3C，都在積極投入，蘋果當然也不缺席。上個月發表的Apple Watch，能支援心律檢測及手腕感應，這讓穿戴裝置邁進了一大步，從以往只能記錄心跳幾下，升級到可監測具有醫療價值的心律狀況。 In addition to the above new hardware functionality, Apple is also building a health eco-system. Last year, Apple embarked on a partnership with Stanford University Medical Center to found the Apple Heart Study program, which uses Apple Watch to collect large amounts of data on heart rate activity from volunteers. This year Apple has signed agreements with more than 90 hospitals across the US so that patients can use their mobile phones to access their own medical records, making it possible for users to bring their medical history with them wherever they go. If the results are successful, it may well create a snowball effect and spread to other medical institutions. 蘋果不只推出上述的硬體新功能，也在建構生態系。去年它和史丹佛醫學中心合作啟動「Apple Heart Study」計畫，透過Apple Watch收集自願者的心律大數據。今年又與全美逾九十家醫院簽約，病人可透過手機看到自己的醫療紀錄，落實病歷帶著走。若成效良好，未來很可能產生滾雪球效應，擴及更多醫療機構。 Source article: http://www.taipeitimes.com/News/lang/archives/2018/10/09/2003701979/2 Powered by Firstory Hosting

Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the Journal and its editors. We're your cohosts. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center, and Duke National University of Singapore. And... Dr. Peder Myhre: I'm Dr. Peder Myhre from Akershus University Hospital, and University of Oslo in Norway. Dr. Carolyn Lam: Peder, I'm so excited about our future discussion. It's about a very important topic of detecting atrial fibrillation in the population using wearable devices. It talks about the Fitbit Heart Study. So exciting, but we're going to keep the audience waiting a bit, because we're going to talk about some other things in the issue. And I would love to start with this now. We know that fulminant myocarditis presentation is a rare and severe presentation of myocarditis. But, what is its natural history, and clinical features associated with poor outcomes? Peder, what do you think? Dr. Peder Myhre: Oh, that's a great question. We really don't know, because prior studies have been relatively small and selected. So Carolyn, let me know. Dr. Carolyn Lam: You're absolutely right. But today's paper from Professor Saito, from Nara Medical University in Japan and colleagues, is the largest nationwide cohort study of patients with histologically proven fulminant myocarditis presentation. They study 344 patients, hospitalized with histologically proven myocarditis, who underwent catecholamine and/or mechanical support from 235 cardiovascular training hospitals across Japan, between 2012 and 2017, and here's what they found. Over a median follow up of 600 days, the accumulative risk of death or heart transplantation at 90 days was 29%. So, really high. These were the risk factors associated with a higher risk of death or heart transplantation, and they were non-sinus rhythm, older age, ventricular tachyarrhythmia, lower left ventricular ejection fraction. Severe histological damage was also associated with a worse 90 day outcome in lymphocytic myocarditis. Cool, huh? Dr. Peder Myhre: Oh wow. That was some really solid data. And now Carolyn, I'm going to take us over to the world of preclinical science. And the next paper entitled at “APIC Associated De Novo Purine Synthesis is Critically Involved in Proliferative Arterial Disease” by Yuqing Huo from Augusta University in Georgia. Dr. Carolyn Lam: Cool. Dr. Peder Myhre: And as you know, Carolyn, vascular smooth muscle cells are extremely important in vascular health. They're located in the medial layers of arteries, and normally exhibit a contractile phenotype that contributes to the regulation of blood vessel tone, blood flow distribution, and blood pressure in normal mature blood vessels. And in response to disease processes, the vascular smooth muscle cells are switched to an activated synthetic and proliferative phenotype, that contribute to the development of a variety of arterial diseases, including atherosclerosis, in-stent restenosis, and bypass graft occlusion. And nucleotides that we are familiar with, such as ATP and GTP, are essential for a large number of biological processes in cells, including proliferation. And Carolyn, the previous studies have demonstrated that de novo synthesis of purine is a critical pathway for nucleotide synthesis. And in this study, the authors assessed the role of de novo synthesis of purine in vascular smooth muscle cells by using knockout mice. Dr. Carolyn Lam: Oh, that was beautifully explained. Thanks, Peder. So what did they find? Dr. Peder Myhre: So the authors found that the de novo purine synthesis was increased in proliferative vascular smooth muscle cells. Moreover, they identified an important enzyme in the process called A-P-I-C, APIC. Which was observed in the neointima of the injured vessels, and atherosclerotic lesions in both mice and humans. Finally, they showed that in a mouse model with knocked out APIC, the atherosclerosis and arterial restenosis was attenuated. Dr. Carolyn Lam: Cool. So tell us what the clinical implications are. Dr. Peder Myhre: So these findings provide novel insights into the reprogramming of purine metabolism underlying vascular smooth muscle cells proliferation in the development of arterial disease. And that targeting APIC may be a promising therapeutic approach to combat arterial diseases. So Carolyn, please tell me about your next paper. Dr. Carolyn Lam: Ah, thanks, Peder. Well, back to the clinical world, this time, talking about arrhythmogenic right ventricular cardiomyopathy. We know that is characterized by progressive cardiomyocyte loss and fibro fatty replacement. And we know that patients with this a ARVC are at risk for life-threatening ventricular arrhythmias and sudden cardiac death. The placement of an ICD is a crucial component of ARVC management. But arrhythmic risk stratification and the selection of the optimal candidates for ICD, especially for primary prevention of sudden cardiac death, has, of course, been challenging. As background, a ventricular arrhythmia risk calculator, in patients without previous sustained ventricular arrhythmias, has been proposed, and includes seven clinical variables derived from non-invasive tests that are routinely performed in these patients. However, the possibility of integrating additional parameters, such as ventricular tachycardia inducibility on programmed ventricular stimulation, with this risk calculator, has been suggested, but not conclusively investigated in a large cohort. And so, here comes corresponding author, Dr. Cadrin-Tourigny, from Montreal Heart Institute and colleagues, who studied 288 patients with a definite ARVC diagnosis, no history of ventricular arrhythmias at diagnosis, and programmed ventricular stimulation performed at baseline. And these patients were identified from six international ARVC registries. Dr. Peder Myhre: Oh wow. So we're talking risk stratification for patients with ARVC. Such an interesting topic, Carolyn. So please tell me, what did they find? Dr. Carolyn Lam: So, programmed ventricular stimulation significantly improved risk stratification, above and beyond the calculator predicted risk of ventricular arrhythmias, in a primary prevention cohort of patients with ARVC. And this was mainly for patients considered to be at low and intermediate risk by the clinical risk calculator. If negative, its high negative predictive value of 93% in low and intermediate risk patients, may support the decision to forego ICD use in some patients. So, programmed ventricular stimulation results may be applied to the non-invasive ARVC risk calculator, in a two step approach to facilitate personalized decision making for ICD in such patients. Dr. Peder Myhre: Thank you, Carolyn. That was a great summary and a great paper. So we're going to move in to see what else is in the mail bag, Carolyn. Dr. Carolyn Lam: You bet. There's a letter by Dr. Agirbasli regarding the article, “Coronary Artery and Cardiac Disease in Patients with Type Two Myocardial Infarction, A Prospective Cohort Study,” and this, followed by a response by Dr. Chapman. There's an ECG Challenge by Dr. [Jingnan] Han, entitled, “Tachycardia Associated with Pacing.” From our own Molly Robbins, we have highlights from the Circulation Family of Journals. And she covers the experience with stereotactic radio ablation and electrical storm, reported in Circulation: Arrhythmia and Electrophysiology. The impact of accessibility to primary care on hypertension awareness and control is reported in Circulation: CV Quality and Outcomes. There's an analysis of lifestyle factors and their impact on the risk of heart failure by background genetic risk, and that's in Circulation: Heart Failure. There's a deep learning model of PET scans and coronary flow reserve reported in Circulation: CV Imaging. And finally, OCT based measurement of stent expansion and associations with outcomes are presented in Circulation: CV Interventions. A lot. Dr. Peder Myhre: Yeah, and there's more, Carolyn. In this issue, there is an extensive Frontiers review by the AF-SCREEN International Collaboration, entitled, “Consumer LED Screening for Atrial Fibrillation.” There is also a Research Letter by corresponding author Qi Fu, from University of Texas Southwestern Medical Center entitled, “Neuro Cardiovascular Dysregulation During Orthostasis in Women with Posttraumatic Stress Disorder.” And finally, a Research Letter by Pankaj Arora from University of Alabama entitled, “Mechanical Circulatory Support Devices Among Patients with Familial Dilated Cardiomyopathy, Insights from the INTERMACS.” Dr. Carolyn Lam: That's awesome, Peder. Thank you. Now let's go onto our feature discussion on atrial fibrillation detection and the Fitbit Heart Study, shall we? Today's feature discussion is about the Fitbit Heart Study, and none other than the first and corresponding author Dr. Steven Lubitz, from Massachusetts General Hospital in Boston to join us today. Steve, welcome. Congratulations. Am I right to say, this is the largest study of its kind to look at the detection of atrial fibrillation using wearable devices? Dr. Steven Lubitz: Thanks for having me, Carolyn. And that's right, this is. Dr. Carolyn Lam: Oh my gosh. Okay. Tell us all about it, what you did, what you found. Dr. Steven Lubitz: Well, thanks, Carolyn. So as we know, undiagnosed atrial fibrillation is a potential hazard that can cause strokes. And if we can identify people who have undiagnosed atrial fibrillation early, we may be able to prevent strokes. In addition, undiagnosed atrial fibrillation may be associated with additional morbidity, which can be addressed through a number of different ways, if we can detect atrial fibrillation. Obviously, the challenge is to detect atrial fibrillation. We also know that people are increasingly wearing devices that have sensors on them, specifically using photoplethysmography technology, which can detect the pulse rate. Software algorithms can now be developed, that can assess that pulse rate for regularity or irregularity. But they really need to be assessed and validated, to minimize the potential for false positives, which can have obviously, downstream adverse consequences of their own, if atrial fibrillation is incorrectly identified or diagnosed as a result. As I was mentioning, we developed this novel software algorithm with frequent overlapping photoplethysmography, post tachogram sampling, which is unique. And then we tested the algorithm's positive predictive value for undiagnosed AFib in a large scale remote clinical trial, using a range of Fitbit wearable fitness trackers and smart watches. It was a remote trial, so participants were invited. These were people who already had a Fitbit account, they were invited to participate. And in span of just a few months, in the middle of the pandemic, over 455,000 people signed up to participate in the study. And so, big thank you to all of the participants in the study. Dr. Carolyn Lam: Wow, that is big. And what did you find? Dr. Steven Lubitz: So of the 455, over 455,000 participants that enrolled, over 4,000, had an irregular heart rhythm detection and received a notification. And after inviting those participants to attend a telehealth visit, and at that telehealth visit, the telehealth provider confirmed eligibility criteria, confirmed that they didn't have preexisting atrial fibrillation, for example, and a variety of other inclusion/exclusion criteria. They were mailed a one week ECG patch, that they applied themselves, and then returned that ECG patch. So in the end, after those exclusions, in participants that returned analyzable patches, 1057 participants were included in this ECG monitoring analytic cohort, of whom, 340 had atrial fibrillation during that ECG patch monitoring period. The primary endpoint of the study was the positive predictive value of irregular heart rhythm detection that occurred during the ECG patch monitoring period. So a participant had to have an irregular heart rhythm detection to get notified that they were eligible to meet with a telehealth provider and receive an ECG patch monitor. And then, they had to have another irregular heart rhythm detection during ECG patch monitor wear. So the primary outcome was the positive predictive value of the first irregular heart rhythm detection for concurrent atrial fibrillation that occurred during ECG patch monitoring. Dr. Carolyn Lam: Okay. Cool. So many questions here, but maybe you should tell us the results first. Dr. Steven Lubitz: Sure. So the primary endpoint, the positive predictive value of the IHRD during ECG patch monitoring was 98.2% in the overall cohort. And it was similar between men and women, and those aged 65 or older, or those aged less than 65. And I should mention that, in this study, about 13% of participants enrolled in this study overall, were above the age of 65. Dr. Carolyn Lam: And you included more women than in prior similar studies. Right, Steve? Dr. Steven Lubitz: Yeah. Dr. Carolyn Lam: I was going to congratulate you for that. Dr. Steven Lubitz: Yeah, that's right. That's right. We're very excited to see that. Dr. Carolyn Lam: Okay, so that's cool. Wow. A positive predictive value of 92%. So couple of things here with- Dr. Steven Lubitz: 98. Dr. Carolyn Lam: Sorry, 98%. That's right. Wow. Okay. Now with this AFib detection, it's always about duration. Right? And what do you call a positive alert? Could you maybe elaborate a bit about that here? Dr. Steven Lubitz: Sure. So I think this is an important point. A few points. One, the algorithm is designed. This particular algorithm requires at least 30 minutes of an irregular pulse to be detected, in order for a detection to occur. Which means that, this is unlikely to be detecting trivial amounts of atrial fibrillation. And indeed, that's what we observed. We observed that the median burden of atrial fibrillation was 7% among those who had AFib on the ECG patch monitor. We observed that the median longest episode of atrial fibrillation was seven hours. And just by way of comparison, in other studies in which ECG patch monitors have been distributed to people without this irregular pulse pre-screening, the burden is usually on the order of only a couple of percent, tops. So this, by nature, these types of algorithms, and this algorithm specifically, probably enriches for individuals who have a higher burden of atrial fibrillation. Meaning that, if these detections occur, then it's probably not detecting trivial amounts of atrial fibrillation. Dr. Carolyn Lam: Right. And a lot of it seems to send a very clear message that this study, and perhaps even the algorithm, is designed to be specific. Right? So that duration, as well as what you used as the outcome. How much price do you pay in terms of sensitivity? Do you know what I mean? Since we optimized for specificity, am I right to say that? Dr. Steven Lubitz: Sure, that's a great point. The algorithm is really optimized for specificity, as you mentioned. And although we didn't specifically calculate the sensitivity of the algorithm, in a secondary analysis, we examined the sensitivity of an IHRD during that ECG patch monitoring period, to detect any AFib that was documented on the ECG patch monitor, and it was about 67%. So we know that we probably don't detect some atrial fibrillation. Largely, that's a function of this technology at the moment. It's very difficult to assess the pulse rate during periods of activity in motion. So a lot of these algorithms, and this algorithm in particular, doesn't operate during periods of motion. The accelerometers and the devices can tell the algorithm that motion is occurring, and then the algorithm won't operate on that information at that time. So a lot of this has to do with limitations of the technology at the moment. Dr. Carolyn Lam: Ah. So the detection probably occurs best at rest or at night. Dr. Steven Lubitz: That's exactly right. And we encourage participants to wear their devices at nighttime during the study. Dr. Carolyn Lam: Oh, cool. And then of course, I suppose a question you'd anticipate, I mean, we know about the Apple Heart Study, we know about the  watch study, and how does this compare? How is this technology different, and the results? Dr. Steven Lubitz: Essentially, one of the most remarkable things about these studies is that, it appears that this pulse rhythm pre-screening really enriches substantially for people who have atrial fibrillation. So for example, in the Fitbit Heart Study, we observed that about 32% of people who had an irregular heart rhythm detection and then returned an ECG patch monitor, had AFib on it. And by comparison, in the Apple Heart Study, that number was about exactly the same, just over 30% or so. So when we further compare this pre-screening type approach to confirming atrial fibrillation, using an ECG patch monitor, with other approaches in which say, elderly individuals were mailed ECG patch monitors to screen for atrial fibrillation, we usually only see detection in the order of four to 5% of people. So this irregular pulse based pre-screening markedly enriches for atrial fibrillation. And we also know, this is only a one week ECG patch monitor, and if we monitor people longer than one week, we're likely to detect more atrial fibrillation, since this is often paroxysmal atrial fibrillation that we're detecting. So there are a lot of similarities, and I think the point is that, these types of consumer electronic devices are going to be great tools for identifying undiagnosed atrial fibrillation in the community. I think we have a lot of challenges ahead of us, in terms of figuring out how to integrate that information into our routine healthcare workflow, and counseling consumers and users of these types of technology on exactly what they should be doing when they do get an alert. And then also, counseling providers on how to act on these findings, what they mean and how accurate the technology is. Dr. Carolyn Lam: Yeah. And I appreciated a sentence in your manuscript that talks of, what are our society guidelines going to say? If you could look into a crystal ball now, Steve, based on what you found, what would you advise both patients and clinicians, if you don't mind? Dr. Steven Lubitz: Well, I think that, in short, if a clinician is alerted by a patient, that they received in a regular heart rhythm detection on their device, in short, I would say, don't blow it off. Take it seriously. Because the odds are, that it does represent an abnormality, and the odds are that that abnormality is atrial fibrillation. And given the potential adverse consequences of undiagnosed atrial fibrillation, there's a real opportunity to intervene, and prevent morbidity in the patient. And then, if you're a consumer who happens to have one of these devices, and you've turned on this feature, and hopefully you have, if you do have an alert, don't blow it off. Contact a provider. Because it may very well mean that you have an irregular heart rhythm that merits attention, and could be addressed to prevent downstream consequences and morbidity for you. Dr. Carolyn Lam: Nice. And keep your Fitbit on at night. Dr. Steven Lubitz: Yes. And if you do want to maximize the utility of these algorithms that use photoplethysmography, probably wearing them at nighttime will maximize the sensitivity, or utility of the devices and algorithms. Dr. Carolyn Lam: Aw, that's just great. What nice take home messages. Thank you so much, Steve, for publishing this really unique and important study in Circulation. So audience, you heard it right here on Circulation on the Run. From me, Greg, and Peder, please do tune in again next week. Speaker 4: This program is copyright of the American Heart Association 2022. The opinions expressed by speakers in this podcast are their own, and not necessarily those of the editors, or of the American Heart Association. For more, please visit ahajournals.org.

Alles wird bequemer: Der tägliche Gesungheitscheck kommt von einer intelligenten Toilette und der Smartwatch. Und keiner muss sich Adressen merken.

#174 - Apple Heart Study: uso de smartwatch para identificar FA by Cardiopapers

What have you seen and experienced in cardiac safety in 2019?Cardiac safety is typically seen as a very stable area. However, in 2019, there was a lot of evolution as sponsors began to look for ways to reduce patient burden and find real-world cardiac evidence. Enter wearables: advancements in these convenient devices have made it possible to track patients’ health and the safety and efficacy of therapies at home, as in Stanford Medicine’s Apple Heart Study. This trend also reflects the shift toward home-based monitoring, which was reflected in the FDA’s new guidance on ABPM.What do you anticipate happening in the industry in 2020 and beyond?It’s become clear that passive health monitoring is the future of clinical trials. Technology will allow sponsors to collect data while the patient goes about their everyday lives, without requiring them to remember to wear or charge a device, even one they already use. Advancements in science and technology are making it possible to monitoring patient health at home in ways that are increasingly less intrusive, deviceless, and home-based. These developments will continue beyond 2020. In the next year, we also anticipate a huge shift toward virtual trials, and the evolution of wearables as they become less exploratory and instead primary and secondary endpoints in clinical trials.

L’innovation est une fois de plus à l’honneur avec des avancées en chirurgie robotisée, de la gestion automatisée du diabète, et même des neurones artificiels qui se comportent comme les neurones biologiques. Nous parlons aussi de ce qui fait la tendance de l’innovation dans le domaine de la santé, en nous appuyant sur l’intelligence artificielle, et ce que font les GAFA, avec nos regards critiques ! Nous parlons également de la prise en charge de ces enjeux par les États, et de ce qu’ils prennent peut-être pas encore suffisamment en charge comme les problèmes de cybersécurité ! Nouveau flux : Santé Numérique, regroupant les émissions de Tech Santé ! Bionic man

Big trials presented at AHA 2019!! We have two interviews and we discuss ISCHEMIA, ISCHEMIA CKD, COLCOT, ORION-10, BETonMACE, AVR in asymptomatic very severe AS, GALILEO, DAPA-HF, and the Apple Heart study. Listen, Like, Subscribe and don't forget to give us a Rating!!

Lots of cardiology to discuss this week with the Apple Heart and COLCOT studies, both published in the New England Journal of Medicine. We also talk about the 3 Wishes Project, the net clinical benefit of oral anticoagulation with aging over 75, the benefits of non-pharmaceutical treatment of agitation, and getting blood cultures before you give antibiotics. Music from https://filmmusic.io"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)License: CC BY (http://creativecommons.org/licenses/by/4.0/)

According to the Apple site, it states that "Apple worked with the Food and Drug Administration (FDA) for a number of years to receive De Novo classification for the ECG app and the irregular heart rhythm notification, making the features available over the counter." Apple also states that "The irregular rhythm notification feature was recently studied in the Apple Heart Study. With over 400,000 participation".  You might be asking the question as it pertains to SmartWatches. It is a technology that is available today to Monitor and tracks your health and wellness. Perhaps for the better... if you are inactive. Or on the flip side if you're too active how much stress are you putting in yourself. Or how much sleep are you getting? Because all these things can also affect your heart. Correct me if I'm wrong. Please Follow this podcast Minimalisttech.news IG: minimalist_t3 Twitter: DaveLara_WD --- Support this podcast: https://anchor.fm/minimalisttechnews/support

Roxana Mehran talks with David Albert, Bray Patrick-Lake, Renato Lopes, and Deepak Bhatt about wearable devices and what’s ahead.

La fusillade de Christchurch met une nouvelle fois en lumière les déviances de nos plateformes et le problème, probablement insoluble, de modération qu’elles occasionnent. Réagissez à l’émission en commentaires sur techcafe.fr Discutez avec nous et entre vous sur Telegram Soutenez Tech Café sur Patreon Sick Sad World La fusillade de Christchurch ou le terrorisme 2.0. L’échec des plateformes internet à contenir la viralité des contenus violents. Et l’outrance de certains média traditionnels... La Nouvelle Zélande a bloqué au niveau DNS. Et elle demande des comptes. Suite à l’attentat, reddit vire watchpeopledie. Avant c’était pas un problème ? La modération sur internet : solution nécessaire à un problème impossible ? Ostrich Inc : une extension Chrome pour cacher les commentaires haineux. Facebook lance une IA qui détecte le revenge porn. IA toujours une solution ? Dura lex sed lex Les IA d’IBM s’entrainent sur Flickr. Comme… tous le monde ? Payer le métro avec sa face en Chine ? Serait-ce le moment d’une régulation ? Spotify porte plainte contre Apple pour abus de position dominante. Apple perd une bataille face à Qualcomm… qui lui doit 1 milliard. An Apple a day keeps the doctor away ? Retour mitigé sur l’Apple Heart Study. Ouvertures des GDC et GTC Stadia de Google. Unity, Cry Engine, le raytracing pour tous le monde finalement ? Début de la GTC : NVIDIA montre un “Illustrator on demand” à la GTC. NVIDIA lance sa réponse a Coral. Toyota adopte NVIDIA Drive Constellation. En bref Test de bus autonome en Angleterre. Snap lancerait sa propre plateforme de jeux. VR la sortie ? Facebook travaille sur des avatars photoréalistes. Le HP Reverb, un casque de luxe pour les Pro. Des “nouveaux iPad” et “nouveaux AirPods”. Plus que 3 appareils pour la version gratuite de Dropbox. Tinder n’utilise plus de score Elo. La Model Y : Tesla se lance dans le SUV compact. La concurrence sera rude... Bonus GPP : Traduction en ligne avec DeepL. Guillaume : Les sites de recherche pas au point... Participants : Guillaume Poggiaspalla Présenté par Guillaume Vendé  

In this special episode of Eagle's Eye View, Dr. Peter Block and Dr. Deepak Bhatt discuss highlights from Day 1 of ACC.19, including the Apple Heart Study, PIONEER-HF: Initiation of Angiotensin-Neprilysin Inhibition After Acute Decompensated HF, Hopeful Heart: Blended Collaborative Care For Treating HF and Comorbid Depression, and CODIACS-QoL: Depression Screening After ACS.

Articles of Interest Links: AdhereTech - https://www.mobihealthnews.com/content/adheretech-raises-growth-equity-round-scale-improve-smart-pill-bottle-based-adherence Pear Therapeutics reSET-O FDA Clearance - https://www.mobihealthnews.com/content/pears-digital-therapeutic-reset-o-fda-cleared-treat-opioid-use-disorder Beddit Apple Launch - https://www.mobihealthnews.com/content/fcc-document-suggests-apple-may-launch-new-beddit-device POPS! Diabetes clearance - https://www.mobihealthnews.com/content/pops-diabetes-care-scores-510k-connected-glucose-monitoring-system Remote Patient Monitoring - https://www.mobihealthnews.com/content/big-changes-are-coming-medicare-reimbursement-connected-health Pillsy subscription service - https://www.mobihealthnews.com/content/smart-pill-bottle-cap-company-launches-supplement-subscription-service Alto raises $50 Million - https://www.mobihealthnews.com/content/altos-digital-pharmacy-prescription-delivery-service-closes-50m-round FDA Opioid Challenge Winners - https://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHInnovation/ucm609082.htm FDA Digital Health Action Plan - https://www.fda.gov/downloads/MedicalDevices/DigitalHealth/UCM568735.pdf Tabula Rasa acquires DoseMe - https://www.mobihealthnews.com/content/tabula-rasa-healthcare-acquires-fellow-medication-safety-platform-doseme ResMed acquires Propeller for $225 Million - https://www.mobihealthnews.com/content/resmed-acquires-digital-respiratory-health-company-propeller-health Pharmacy Gig Economy - https://www.mobihealthnews.com/content/aspen-rxhealth-gets-9m-create-gig-economy-pharmacists Novo Nordisk Smart Insulin Pens - https://diatribe.org/novopen-6-and-novopen-echo-plus-connected-insulin-pens-launch-early-2019?utm_source=facebook&utm_medium=organic&fbclid=IwAR1QO9e-lfY0G173XNhitGhUs1AT0xv-XyYeyuVtmDh9KXC18UgUHlxUH9A Research Articles of Interest: Interventions to Improve Medication Adherence: A Review - https://www.ncbi.nlm.nih.gov/pubmed/30561486 Machine learning for predicting psychotic relapse at 2 years in schizophrenia in the national FACE-SZ cohort - https://www.ncbi.nlm.nih.gov/pubmed/30552914 What is an appropriate level of evidence for a digital health intervention? - https://www.ncbi.nlm.nih.gov/pubmed/30545779 Continuous Temperature-Monitoring Socks for Home Use in Patients With Diabetes: Observational Study - https://www.ncbi.nlm.nih.gov/pubmed/30559091 Smartphone apps for insomnia: examining existing apps' usability and adherence to evidence-based principles for insomnia management - https://www.ncbi.nlm.nih.gov/pubmed/30590862 Use of a Digital Medication Management System for Effective Assessment and Enhancement of Patient Adherence to Therapy (ReX): Feasibility Study - https://humanfactors.jmir.org/2018/4/e10128/ Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study - https://www.ncbi.nlm.nih.gov/pubmed/30392584 A Digital Language Divide? The Relationship between Internet Medication Refills and Medication Adherence among Limited English Proficient (LEP) Patients - https://www.ncbi.nlm.nih.gov/pubmed/29600351 Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health - https://www.ncbi.nlm.nih.gov/pubmed/29501431 See omnystudio.com/listener for privacy information.

Articles of Interest Links: AdhereTech - https://www.mobihealthnews.com/content/adheretech-raises-growth-equity-round-scale-improve-smart-pill-bottle-based-adherence Pear Therapeutics reSET-O FDA Clearance - https://www.mobihealthnews.com/content/pears-digital-therapeutic-reset-o-fda-cleared-treat-opioid-use-disorder Beddit Apple Launch - https://www.mobihealthnews.com/content/fcc-document-suggests-apple-may-launch-new-beddit-device POPS! Diabetes clearance - https://www.mobihealthnews.com/content/pops-diabetes-care-scores-510k-connected-glucose-monitoring-system Remote Patient Monitoring - https://www.mobihealthnews.com/content/big-changes-are-coming-medicare-reimbursement-connected-health Pillsy subscription service - https://www.mobihealthnews.com/content/smart-pill-bottle-cap-company-launches-supplement-subscription-service Alto raises $50 Million - https://www.mobihealthnews.com/content/altos-digital-pharmacy-prescription-delivery-service-closes-50m-round FDA Opioid Challenge Winners - https://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHInnovation/ucm609082.htm FDA Digital Health Action Plan - https://www.fda.gov/downloads/MedicalDevices/DigitalHealth/UCM568735.pdf Tabula Rasa acquires DoseMe - https://www.mobihealthnews.com/content/tabula-rasa-healthcare-acquires-fellow-medication-safety-platform-doseme ResMed acquires Propeller for $225 Million - https://www.mobihealthnews.com/content/resmed-acquires-digital-respiratory-health-company-propeller-health Pharmacy Gig Economy - https://www.mobihealthnews.com/content/aspen-rxhealth-gets-9m-create-gig-economy-pharmacists Novo Nordisk Smart Insulin Pens - https://diatribe.org/novopen-6-and-novopen-echo-plus-connected-insulin-pens-launch-early-2019?utm_source=facebook&utm_medium=organic&fbclid=IwAR1QO9e-lfY0G173XNhitGhUs1AT0xv-XyYeyuVtmDh9KXC18UgUHlxUH9A Research Articles of Interest: Interventions to Improve Medication Adherence: A Review - https://www.ncbi.nlm.nih.gov/pubmed/30561486 Machine learning for predicting psychotic relapse at 2 years in schizophrenia in the national FACE-SZ cohort - https://www.ncbi.nlm.nih.gov/pubmed/30552914 What is an appropriate level of evidence for a digital health intervention? - https://www.ncbi.nlm.nih.gov/pubmed/30545779 Continuous Temperature-Monitoring Socks for Home Use in Patients With Diabetes: Observational Study - https://www.ncbi.nlm.nih.gov/pubmed/30559091 Smartphone apps for insomnia: examining existing apps' usability and adherence to evidence-based principles for insomnia management - https://www.ncbi.nlm.nih.gov/pubmed/30590862 Use of a Digital Medication Management System for Effective Assessment and Enhancement of Patient Adherence to Therapy (ReX): Feasibility Study - https://humanfactors.jmir.org/2018/4/e10128/ Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study - https://www.ncbi.nlm.nih.gov/pubmed/30392584 A Digital Language Divide? The Relationship between Internet Medication Refills and Medication Adherence among Limited English Proficient (LEP) Patients - https://www.ncbi.nlm.nih.gov/pubmed/29600351 Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health - https://www.ncbi.nlm.nih.gov/pubmed/29501431 See omnystudio.com/listener for privacy information.

Last November, Apple Watch owners began receiving recruitment emails from Apple. The company was looking for owners of its smartwatch to participate in the Apple Heart Study—a Stanford-led investigation into the wearable's ability to sense irregular heart rhythms. Joining was simple: Install an app and wear your watch.

Many people use health and fitness apps to set exercise and dietary goals, but these apps can also help diagnose and manage heart conditions.  Dr. Allen Taylor, Chief of Cardiology at the MedStar Heart and Vascular Institute, discusses the evolving role of health and fitness apps in heart care.   TRANSCRIPT Intro: MedStar Washington Hospital Center presents Medical Intel where our healthcare team shares health and wellness insights and gives you the inside story on advances in medicine. Host: Thank you for joining us today, we’re talking with Dr. Allen J. Taylor, Chief of Cardiology at MedStar Heart and Vascular Institute and MedStar Washington Hospital Center. Today we’re talking about the future of wearables as they relate to heart health. In 2017, Apple launched the Apple Heart Study App which is intended to pair with the Apple Watch’s heart rate sensor to notify patients of irregular heart rhythm activity. This is a next step in technology that may help patients and cardiologists monitor and manage heart conditions outside the clinical setting as well as an opportunity to develop more personalized treatment plans based on a continuous flow of data. Dr. Taylor, how do the cardiologists at MedStar Washington Hospital Center currently use data from smartphone or device apps to help patients achieve better heart health? Dr. Taylor: These apps are really the way of the future, aren’t they? Everyone has a smartphone, everyone is tied to their digital life, and so we’re using this in several different ways. The first way is to simply monitor fitness. And the second way is to, in fact, monitor illness. So, for instance for monitoring fitness, you’ve seen people who may have little step monitors or activity monitors that they wear on their wrist as part of a phone or as part of a separate app. And those can be used to set goals or daily targets and really motivate activity. And I think they’re really quite useful. And we can use them to help set fitness goals - how many steps a patient should take or how much activity time they should have. The second way we’re using these is, in fact, to monitor illness. And this is something, I think, that’s really very exciting. This could include things like monitoring heart rhythms, monitoring patient’s fluid status if they have weak heart muscles, or using it to monitor important numbers like blood pressure through wired applications. And, in terms of the heart rhythm, you know, we have patients that are currently monitoring their abnormal heart rhythms using their iPhones and detecting when they’re in or out of certain abnormal heart rhythms like atrial fibrillation, or monitoring for changes in heart rate that might signify or indicate an abnormal heart rhythm. In today’s pacemakers, they’re all wired with these special apps to monitor fluid status. So, even before patients can feel the effects of rising or fluid retention, they can get a warning from their pacemaker to tell them that they’re retaining fluid. And with blood pressure being such an important number these days, trying to get everyone to optimal blood pressure below 130 over 80, we’re finding that those home blood pressure monitoring is more important than even the numbers we get in the clinic. We really rely on patients monitoring their blood pressure because their most accurate blood pressure is the one in their home, the one they live with day-to-day. Not the one that when they come to the clinic every 6-months or every 12-months. And now these blood pressure cuffs are connected by Bluetooth to phones, and we get a nice record of what their home blood pressures have been. It’s very helpful to monitoring and tailoring therapy to get the right level of blood pressure control. So, we use these devices not just to monitor and set fitness goals but really to truly monitor illness. Host: What concerns do you have regarding the use of apps for heart health care? Dr. Taylor: You know, as we move into this digital age, we are all just aware of having our digital lives out there and exposed, and there’s definitely a balance of risk and benefit. For instance, we’re using remote monitoring for pacemaker devices and it creates convenience and we think better outcomes. But there is risk entailed. And so, we’ve got to acknowledge and identify the risk and do all we can to mitigate it. You know, HIPPA or that privacy act that relates to health information, tells us that privacy is very important. And as our digital lives are increasing, so comes more risk with those opportunities. A few things I would advise, though. The first is to make sure that when patients are communicating with their healthcare providers, they’re using secure portals. There can be a lot of sensitive information which can be sent across public means of communication and so use those secure portals to communicate. People should always be careful with their own devices—update the software, make sure the security patches are in place and be careful with the apps you’re downloading to make sure that they’re truly secure. And then lastly, it’ll be heartening, I think, for folks to know that device manufacturers are aware of this. And they’re learning and are increasingly attentive to the risks of their apps or devices for hacking and data breaches. And so, security there is something which they’re helping with, as well. And in the end, I think, it will be a shared responsibility of all of us individuals to have our devices secure, the devices we’re given to be, have optimal security and the healthcare providers for interacting with to respect that data and to manage it in a secure as possible way. But I think, in the end, we see the tremendous opportunity before us to leverage this digital age for better health and the risks, I think we can understand, and it will all work together to make everything as safe as possible. Host: What do you think the future holds as far as using medically-centered apps, such as the Apple Heart Study app, to provide ongoing patient care outside the cardiologist’s office? Dr. Taylor: Yeah, I think the potential is, I won’t say limitless, but I think it’s enormous. Promises for diagnosis, for example, linking this data to portals so we can see what patients are doing, see their activity levels, see what’s happening to their fluid status if they have heart failure, their heart rate status if they have heart rhythm problems, and really, to track their success. Personalized coaching is really out there with these devices. For example, there's devices that will give personalized coaching on diet, if you’re importing your diet, what you’re taking in, or setting exercise targets and encouraging and coaching. And lastly, in heart rhythm problems we’re seeing really great applications, for atrial fibrillation for example, for detecting atrial fibrillation. And when we detect atrial fibrillation, we’re treating patients differently. We’re using blood thinners and proper treatments to prevent problems from occurring. So, I think really the promise is on not just diagnosis of heart problems but the management of heart problems. Because, let’s face it, you go to a doctor twice a year. And there’s a lot of time when other stuff is happening, and it really provides a more complete picture of what’s happening to folks as they live their lives. So, these apps have an important opportunity for us to really give us a full picture of our health lives and also connect it to make better diagnoses and to get the right treatments. Host: Why is MedStar Washington Hospital Center the best place to find technological innovations in heart health care? Dr. Taylor: MedStar’s truly committed to innovations. So much so, we have an institute for innovations called MI2, the MedStar Institute for Innovation. And, in fact, they themselves are developing apps to help patients take better care of themselves and to help us take better care of them. Always seeking ways to leverage our modern digital world for, you know, better and more efficient care. So, I think it’s an exciting time. I think all of us, we’re all people too. We have these same devices, use fitness monitors, and it’s exciting to talk to patients about this to encourage them to use these devices or to use them in different ways. Or, to tell them what’s out there, for fitness, for diagnosing heart rhythm problems or for monitoring their care. So, it’s an exciting time of empowerment in healthcare. And these apps, and this new digital world we live in, are helping with that. Host: Could you share some success stories from your patient population? Dr. Taylor: Oh, I have so many success stories from this digital world, provide a few ideas. One, I have a patient who really diagnosed his own atrial fibrillation. And he was monitoring when it was occurring and found that it was, he was very accurate in detection and, he then was so proactive, he sought out and found the types of treatments that he wanted. And, once he had those treatments in place, he monitored how successful it was and it turned out to be very successful. So, he really found and treated his atrial fibrillation through a digital app. I have another patient that I recently saw, and she came to me and she said, “You know, I’m really working on getting more fit. And I think I am. But when I start to exercise I notice all of a sudden my heart rate is 150.” And she said, “Here, let me show you.” And she brought out her phone, and she showed me her heart rate graph while she was exercising. And, lo and behold, at occasional times during her exercise, her heart rate jumped to 150 and stayed there, in a very unusual way. And, in fact, that made the diagnosis of an abnormal heart rhythm, that we were able to successfully treat with a very simple medication and she’s doing much better. And now she’s monitoring if she’s having any recurrences and she is not. And then, I’ll give a third example of an app that’s called Image Share that let’s doctors use their smartphones to rapidly transmit data in a secure way about heart attack patients to decrease the time to treatment, and that’s an app to increase communication among healthcare professionals in the crisis of taking care of a heart attack. So, some really, really good success stories - really empowered patients, knowledgeable patients, and then apps in a health system to really lead to more efficient and better outcomes. Host: Thanks for joining us today Dr. Taylor Conclusion: Thanks for listening to Medical Intel with MedStar Washington Hospital Center. Find more podcasts from our healthcare team by visiting medstarwashington.org/podcast or subscribing in iTunes or iHeartRadio.

This week we follow up on iTunes on Windows, UIViewPropertyAnimator, iPhone 7 microphone issues, Countdown To WWDC, and the first pedestrian death by Uber's self-driving car. We discuss the 20th Anniversary of the iMac, the call for Apple Heart Study, Lobe's use of Core ML, and Apple cracking down on location sharing. We also cover the Microsoft Build 2018 and Google I/O 2018 keynotes. Picks: Vapor 3, Dealing With Dates, Frinkiac.com Photo: Apple

Tii 0463 - iOS 11.4 Beta 3 and 4 and we're in the money. Give us a call - 1-206-666-6364 Send us an email - todayinios@gmail.com   Links Mentioned in this Episode: Today's Sponsor - Molekule.com - Promo Code = tii Today's Sponsor - Storyworth.com/tii  Today in iOS - Alexa Skill Apple Q2 2018 Results - Earnings Call Transcript Apple pops on earnings beat, strong guidance Apple: Just Good Enough Apple's Earnings: Here Is The Most Important Metric Why was iPhone X so successful Soft sales? The iPhone X was the best-selling smartphone Bloomberg: "I'm sorry I criticized you, Apple. You win." Apple R&D spending continues to grow iOS 11.4 beta 3 for iPhone and iPad Apple Seeds Fourth Beta of iOS 11.4 Apple Seeds Third Beta of watchOS 4.3.1 Apple Seeds Third Beta of tvOS 11.4 Apple Pay Expands in US, Australia, Taiwan iPhone 7 mic failing after iOS 11.3 update? iPhone's Market Share Grew Slightly Last Quarter Apple's iPad Continue To Dominate Global Tablet Market iPad Recorded Highest Market Share in First Quarter Since 2014 Apple Says AirPods Are 'Incredibly Popular' Apple giving Texture for Windows the boot Apple to Shut Down Texture App for Windows Apple doing rear camera repairs for iPhone X Face ID issues Apple Heart Study ramps up with new solicitations Apple support document fine print suggests HomePod 2018 iPhones Won't Come Bundled Adapter iPhone X Plus said to be iPhone 8 Plus size Apple isn’t very good at hiding its 5G modem development HomePod likely gaining Calendar support alongside iOS 11.4 Apple took 8 days to give me the data it had collected on me Apple invites you to apply for one of 400 free places Microsoft debuts 'Your Phone' app     Apps Mentioned in this Episode: Tii free App Garageband Over  

Another manic Monday, with AAPL zipping to a new high close. We have info about that and a lot more for you in today's Apple World Today News Update Podcast: Apple is soliciting Apple Watch owners to join in on the Apple Heart Study being done in partnership with Stanford Medicine The iMac turned 20 yesterday. The all-in-one is credited with beginning the turnaround in Apple's fortunes iOS 13 rumors are beginning to seep out, and we haven't yet heard what's going to be in iOS 12 During trading today, Apple hit $187.67 per share. Warren Buffett would love to own all of Apple's stock... --- Support this podcast: https://anchor.fm/tangible-tech/support

Mike, Elisa, Melissa discuss Orbi Mesh Routers, Apple Watch, Apple Heart Study

Mike, Elisa, Melissa discuss Orbi Mesh Routers, Apple Watch, Apple Heart Study

A Computação Vestível é uma proposta de aproveitar o corpo como origem e destino da interação. Os dispositivos são pequenos o suficiente para não causar desconforto e oferecem aplicativos específicos para processar dados contextuais gerados à partir do corpo de referência. As interfaces da Computação Vestível não exigem atenção total e podem inclusive ser operadas com a visão periférica ou com outros sentidos, como o tato. A Computação Vestível oferece a oportunidade de experiências de alteridade que transformam hábitos e pensamentos.Slides Áudio Computação vestível e interações com o corpo consciente [MP3] 1h 43min Transcrição O ábaco em formato de anel utilizado entre os séculos XVII e XIX na China é considerado o precursor mais antigo da Computação Vestível. Suas contas eram tão pequenas que, para manuseá-lo, era necessário um objeto pontiagudo. Isso não era um problema para as usuárias da época, mulheres educadas que tinham à disposição diversos grampos de cabelo. O ábaco era tanto um símbolo de distinção quanto uma ferramenta prática no comércio. Embora seja possível realizar cálculos com o ábaco, ele ainda não permitia computar dados. Em 1975, a miniaturização dos eletrônicos permitiu encaixar uma calculadora dentro de um relógio. A primeira empresa a lançar um relógio calculadora foi a Time Computer, com o modelo Pulsar. A tela era feita de LED e gastava tanta bateria que só mostrava as horas quando se apertava no botão "Pulsar". Este botão era o único que podia ser apertado sem a ajuda de um objeto pontiagudo. Tal como o ábaco, o Pulsar aproveitava a disposição de canetas nos bolsos dos homens de negócios que podiam comprá-las. Os relógios calculadora se tornaram mais complexos, porém, nenhum deles permitia computar dados, por isso são precursores da Computação Vestível. A capacidade de programar algoritmos e computar dados em objetos vestíveis toma corpo a partir dos anos 1990, quando o paradigma de Computação Pessoal se consolida. Pesquisadores de diversas Universidades experimentaram maneiras de computar cada vez mais relevantes ao cotidiano. O grupo Borg Lab do MIT (que depois viria a se chamar Wearable Computing), desenvolveu uma série de computadores vestíveis que aproveitavam dados como a localização do usuário, o campo de visão, batimentos cardíacos para guardar ou prover informações contextuais. Eles fizeram isso também para demonstrar que alguns conceitos trabalhados na ficção científica, como o do ciborgue, já era possível com a tecnologia da época. Um detalhe interessante é a combinação bizarra entre dispositivos estrambóticos e as vestimentas casuais da época. MindMesh é uma capa de circuitos instalada permanentemente sobre o crânio que se comunica com eletrodos implantados dentro do cérebro. É possível plugar diferentes acessórios a essa capa, como por exemplo, câmeras e dispositivos de memória artificial que podem interagir diretamente com o cérebro humano. Steve Mann iniciou esse projeto em 2012 com a intenção de ajudar deficientes visuais a enxergar ou pacientes de Alzheimer a recuperar sua memória. O protótipo ainda não é funcional, mas levanta por si só uma série de questionamentos. Quem duvida da viabilidade do MindMesh, precisa conhecer os diversos projetos que Mann desenvolveu no passado que hoje já foram incorporados ao arsenal de tecnologias do cotidiano. O EyeTap, por exemplo, é um óculos digital que Steve Mann criou em 1999 e que serviu de base para o Google Glass, lançado em 2012. Em 2012, poucos meses antes do lançamento do Google Glass, Steve Mann foi barrado em um restaurante do McDonalds em Paris. O gerente pediu que Mann retirasse o seu óculos digital, porém, Mann mostrou-lhe um documento do seu médico recomendando o uso do dispositivo. Embora Mann tenha explicado que o dispositivo estava preso à sua cabeça, o gerente do McDonalds tentou retirar o óculos à força. Apesar dos danos causados ao dispositivo, a foto do momento desconfortável ficou gravada. O Google Glass não chegou a ser lançado para o público em geral. De 2012 a 2015, a empresa vendeu o produto a desenvolvedores interessados em experimentar a tecnologia. Embora o produto tenha atraído o interesse de muitos desenvolvedores, acabou recebendo muitas críticas e reclamações dos não-usuários, ou seja, as pessoas que interagiam com esses desenvolvedores e se sentiam desconfortáveis com a presença de um dispositivo que permitia gravação não autorizada de seus rostos. Este foi um dos diversos problemas apresentados pelo Google Glass devido à falta de consideração pelo corpo do usuário e pelos não-usuários. O Apple Watch lançado em 2015, pelo contrário, tomou o corpo do usuário como uma fonte constante de dados. Equipado com sensores biométricos e algoritmos de detecção de atividade física, o Apple Watch propôs auxiliar na mudança de hábitos pouco saudáveis, como o sedentarismo. O aplicativo Activity mostra a quantidade de tempo gasto pelo usuário na posição sentada, em pé ou andando dentro do período de um dia. Caso não haja muito movimento, o aplicativo dispara notificações convidando o usuário a se mexer. Caso haja movimento, as notificações atuam com reforço positivo. Apple Watch também levou em consideração que a apresentação do corpo em público está sujeita a tendências de moda. Os relógios, assim como os óculos, são considerados acessórios importantes na moda e devem combinar com as vestimentas. A forma do Apple Watch é básica, visando um maior número de combinações possíveis. Além disso, é possível escolher diferentes estilos visuais para o mostrador do relógio. O alumínio escovado brilha menos do que materiais como prata e ouro, que costumam ser usados em relógios de luxo, porém, ainda demonstra esmero na produção. Apple Watch levou em consideração que acessórios corporais são símbolos de status social. A maior parte das pessoas que vi usando um Apple Watch eram executivos ou gerentes de grandes empresas. O relógio digital comunica que esse tipo de pessoa está atualizada com o que há de mais moderno em termos de tecnologia. Por outro lado, também demonstra que a pessoa é muito ocupada e precisa estar atenta a fluxos de informação o tempo todo. Na foto, Peter Murdoch, magnata estadunidense, exibe seu Apple Watch com orgulho. Talvez o maior fator de sucesso do Apple Watch tenha sido a promessa de incentivar a atividade física do usuário, visando, com isso promover a perda de peso. Nesta foto, usuários compartilham suas conquistas na perda de peso após utilizar o Apple Watch por alguns meses. Conclui-se que o Apple Watch levou em consideração o sentimento de insatisfação com o corpo característico de nossa cultura. Apple Watch levou também em consideração os ritmos da interação corporificada, ou seja, a interação entre pessoas que leva em consideração o corpo delas, como por exemplo, uma conversa face-a-face. Nessas ocasiões, o usuário pode ler notificações com um golpe de vista e leve torção do pulso, o que é menos intrusivo para uma conversa do que sacar um smartphone do bolso. Existe também um botão de fácil acesso para desligar tais notificações ("não perturbe"). O corpo humano é um objeto de interesse científico, em particular, da Medicina. A Apple levou em consideração o interesse da Medicina sobre as variedades de corpos humanos e lançou em parceria com a Universidade de Stanford um aplicativo chamado Apple Heart Study para participantes voluntários cederem dados de batimentos cardíaco. É a primeira vez que se realiza um estudo sobre arritmia cardíaca com uma amostragem tão grande. A Computação Vestível (e o Apple Watch) surgiram a partir do momento em que pesquisadores da Interação Humano Computador abandonaram a visão cognitivista do corpo, que considera o corpo um mero suporte para a mente. Nesta visão, o corpo não contribui para o pensamento e pode inclusive atrapalhar o pensamento com emoções inoportunas. As interfaces computacionais construídas à partir dessa visão aproveitam apenas o pensamento lógico e abstrato do usuário, tratando a saúde e ergonomia do corpo como secundárias. No fundo, o corpo é tratado como uma coisa nojenta ou até mesmo asquerosa que deve ser superada pela singularidade tecnológica. Um filme que mostra o conflito de superar as emoções do corpo é Videodrome (1983), de David Cronenberg. Através de uma estética gore, o filme demonstra que a televisão não é só veículo de informações, mas também e principalmente um veículo para afetos corporais. A visão que inspira o desenvolvimento da Computação Vestível é conhecida como encarnada. Nesta visão, a mente não seria um fenômeno transcendental magnífico, mas sim um produto da carne humana. Existiria, então, um continuum entre o que acontece no cérebro e o que acontece nos demais órgãos do corpo humano. A postura corporal, os gestos, as condições físicas e o estado de saúde seriam fundamentais para o pensamento humano, tanto quanto a atividade neuronal. Esse corpo encarnado possui, também uma relação ativa em relação ao ambiente, modificando o que não convém. Uma vez que no ambiente existem outros corpos e o ambiente é compartilhado, a capacidade de agir do corpo acaba sendo objeto de disputas políticas sobre o que pode ou não pode ser feito. Essa visão encarnada do corpo é apresentada por David Cronenberg em um filme mais recente, ExistenZ (1999). Neste filme, a protagonista se conecta a um mundo virtual através de um órgão biológico externo. Cronenberg demonstra que a tecnologia já não pode mais ser considerada como um mal que adentrou nossos corpos, mas como parte constitutiva e fundamental do mesmo. As condições que impulsionam o desenvolvimento da Computação Vestível são diversas. Em primeiro lugar, existe a questão ergonômica. Conforme nossas atividades cotidianas se tornam dependentes de computadores, menos conforto e mobilidade saudável temos à disposição. O uso do computador por longas horas de uso está associado a diversas doenças ligadas ao sedentarismo. Embora existam recomendações sobre como utilizar o computador de maneira saudável, o modo de interação cognitivista desestimula a atividade física. Além da questão ergonômica, existe a limitação de conhecimentos que podem ser expressos através de computadores. Pesquisadores de diferentes áreas já demonstraram que o corpo humano possui diversos conhecimentos tácitos que são extremamente difíceis de expressar e computar pelo modo cognitivista de interação. Por exemplo, o conhecimento sobre como amarrar calçados. É extremamente difícil descrever em palavras esta operação para uma criança, mas é fácil colocá-la no colo e utilizar o corpo diretamente para ensiná-la. Pois assim torna-se possível utilizar gestos sutis para demonstrar como realizar a operação. Como este, existem diversos conhecimentos fundamentais à cultura humana que não podem ser computados devido à limitações das interfaces computacionais. O computador praticamente só utiliza o sentido da visão para comunicar informações. Embora a quantidade de informações que podem ser adquiridas pelo canal visual seja maior do que por outros canais, não há nenhuma vantagem em termos de qualidade. Com frequência, a quantidade de informações prejudica a qualidade da compreensão, gerando mais confusão e distração do que conhecimento. Na ânsia de aproveitar a capacidade informacional do canal visual, computadores acabam exigindo atenção demais para serem operados. As pessoas costumam ficar completamente focadas no computador e distraídas para tudo o mais que está ao seu redor, inclusive, e principalmente, seu próprio corpo. Um dos principais problemas de postura no uso do computador deve-se ao costume das pessoas ignorarem as dores de acomodação que servem para estimular sua mudança sua postura. A Computação Vestível tenta superar estes problemas trazendo o computador para perto do corpo. Os dispositivos são pequenos o suficiente para não causar desconforto e oferecem aplicativos específicos para processar dados contextuais gerados à partir do corpo de referência. As interfaces da Computação Vestível não exigem atenção total e podem inclusive ser operadas com a visão periférica ou com outros sentidos, como o tato. A Computação Vestível ainda está na sua infância, porém, acredita-se que o desenvolvimento de algumas tecnologias recentes pode contribuir para um desenvolvimento rápido de funcionalidades. Essas novas tecnologias conseguem processar dados contextuais e inferir informações relevantes mais rapidamente do que era possível anteriormente. A consultoria Callaghan Innovation identificou em 2017 três áreas estratégicas para vestíveis: Saúde, Trabalho e Lazer. Na Saúde é possível observar uma mudança no comportamento dos pacientes, que estão cada vez mais ativos na busca por informação sobre suas condições de saúde e também na automedicação, com todos os perigos que isso traz. O website Patients Like Me permite que pacientes compartilhem que remédios estão tomando e os sintomas que estão sentindo. Acompanhando a mudança, os serviços de saúde estão buscando oferecer cada vez mais soluções que dispensem a visita ao hospital ou clínica, como o homecare e a Medicina Preventiva. No Trabalho, existe uma tendência de normalizar a vigilância do trabalhador para medir sua performance ou analisar suas ações. O fim da privacidade é compensado pelo aumento da segurança e produtividade. A geração e utilização de informações contextuais para organização do trabalho eficiente está se tornando uma justificativa suficiente para basicamente qualquer mudança nas relações de trabalho. A polícia de Washington DC realizou em 2017 um experimento para verificar se policiais portando câmeras iriam tratar melhor os cidadãos do que aqueles que não estavam portando o dispositivo. O resultado foi negativo. Os policiais com câmera receberam o mesmo número de reclamações que os que não portavam as câmeras. Já no Lazer, existe uma preocupação muito grande em transformar momentos ociosos em momentos de lazer. Qualquer espera ociosa precisa ser preenchida por um jogo ou distração divertida. A gamificação aparece como uma maneira de misturar Lazer com Trabalho e até mesmo com Saúde. Nem mesmo as crianças ficam de fora da tendência. O Leap Band é um vestível que incentiva crianças a fazer exercícios físicos através de um personagem virtual. Embora não garanta resultados para perder peso, o Leap Band seduz pais preocupados com o alarmante crescimento da obesidade infantil criada, em partes, pelo sedentarismo dos computadores e videogames. Essas tendências estão provocando diversas respostas da sociedade. Um movimento peculiar chamado Quantified Self defende que, se as pessoas tiverem controle e acesso a dados gerados à partir de seu corpo, a vigilância é inofensiva. Os ativistas desse movimento acreditam que ter mais dados à disposição pode levar à decisões melhores informadas e um conhecimento maior acerca do próprio corpo. Um pioneiro deste movimento é Nicholas Felton, que de 2004 a 2014 publicou um relatório anual sobre sua vida pessoal contendo dados sobre as pessoas com quem ele interagia, o tipo de atividade que ele se dedicava e as alterações nos dados biométricos. Na última edição do Feltron Annual Report há tentativas de compreender correlações entre os ritmos biológicos. Nicholas Felton publicou na App Store junto com colegas o aplicativo que permitia o registro de dados sobre sua vida, o Reporter App. Com esse aplicativo, qualquer pessoa pode agora compilar um relatório anual com estatísticas sobre seu comportamento. O aplicativo oferece a possibilidade de customizar o tipo de dados coletado e, com isso, gerar novos insights sobre o comportamento. Uma crítica levantada ao movimento Quantified Self é que a coleta de dados estaria também interferindo sobre os ritmos biológicos. Uma pesquisa realizada por Baron et al (2017) descobriu que alguns pacientes com distúrbio do sono que utilizam aplicativos rastreadores de sono (sleep trackers) sentem tanta ansiedade que acabam dormindo menos do que os que utilizam métodos analógicos de mensuração do sono. A mensuração de dados acaba, portanto, gerando um ciclo vicioso de dependência da tecnologia para o sono. Observando o crescimento do interesse pelo corpo no Design de Interação, tenho trabalhado juntamente com meu colega Rodrigo Gonzatto numa visão encarnada chamada corpo consciente. Esse termo foi inicialmente proposto por Paulo Freire para designar uma pessoa que está consciente de seus condicionamentos e liberdades. Na disciplina Design de Interação, que ministramos juntos no Curso de Design Digital da PUCPR, nós propomos aos estudantes desenvolver projetos à partir da conscientização das opressões que eles estão sujeitos no cotidiano. Numa das atividades, pedimos aos estudantes que registrassem as pressões vividas no período de uma semana. Ao final de cada dia, eles criavam um modelo com massa de modelar expressando a pressão e guardavam no organizador de remédios. Ao final da semana, os modelos foram comparados e discutidos para encontrar padrões. Na disciplina Design de Interação, mostramos projetos de vestíveis que tratam o corpo não só como uma fonte de dados, mas como um maneira de existir na sociedade. O capuz para pessoas que não gostam de ser espiadas enquanto usam o computador criado por Joe Malia em 2004 é um exemplo paradigmático. Aqui a pessoa restringe seu campo de visão para garantir sua privacidade na utilização do computador. Indiretamente, o capuz comunica a relação íntima entre corpo e computador, uma relação que existe mesmo que a pessoa não vista o capuz. O capuz exagera a restrição do campo de visão e individualização resultante do uso intensivo da Computação Pessoal. Esse projeto pode ser considerado um exemplo de Design Crítico, ou seja, um projeto com foco na crítica social e reflexão. Um projeto mais recente que levanta condicionamentos contemporâneos é o Embodied Suffering, um conjunto de luvas eletrônicas que permitem sentir a ansiedade que uma outra pessoa sente. Ao final da interação, os dados biométricos são impressos em 3D em um objeto que deve ser trocado entre os usuários, funcionando como uma espécie de souvenir daquele momento. O projeto foi desenvolvido por Fernando Obieta, Gabriel Bach e Nadine Prigann no curso de Embodied Interaction da Universidade de Artes de Zurique em 2017. Numa linha similar, Ava Aghakouchak e Maria Paneta desenvolveram uma série de vestíveis chamada Sarotis. Cada vestível é composto por um soft robot feito de silicone que enche de ar ou líquido e transmite uma sensação suave de toque à pele humana. Os vestíveis exploram maneiras de perceber dados computacionais através do tato. Uma aplicação de Sarotis é uma navegação tátil por espaços virtuais para deficientes visuais, que podem perceber distâncias virtuais através do toque suave dos robôs. No Brasil, vestíveis assim podem parecer estranhos, porém, em 2011, o Orkut fez uma campanha sobre um brinco que esquentava quando outras pessoas acessam o perfil do usuário. O Earkut, como foi chamado, era um projeto fictício, uma brincadeira de primeiro de abril, porém, despertou o interesse de milhares de pessoas. Há alguns anos antes, minha estudante de Design da Unisul Jordana Schulka já havia criado um vestível muito parecido, que na época chamamos de Brinco do Orkut. Uma diferença fundamental é que o brinco iria esquentar quando o nome da pessoa fosse mencionada nos recados dos amigos, realizando na prática a crença popular de que a orelha esquenta quando outras pessoas falam de você por trás. Em 2016, Caroline Nohama e Erik Kato desenvolveram como parte de seu TCC em Design Digital da PUCPR uma jaqueta com LEDs para ciclistas. O ciclista levantava o braço indicando conversão e a jaqueta brilhava do lado correspondente. Para criar essa função, os estudantes utilizaram um método chamado Fantasia Guiada e para prototipar a jaqueta, utilizaram a placa Arduino. Uma técnica que utilizamos com nossos estudantes para criar interações com o corpo consciente é o Bodystorming do Oprimido. Trata-se de uma mistura de Bodystorming (técnica de criação de interações que utiliza o corpo) com Teatro do Oprimido (que contribui para a conscientização de condicionamentos e liberdades do corpo). Os estudantes improvisam a interação utilizando seus corpos como tecnologias. Na foto temos uma estudante representando o algoritmo de correção de operações embutido dentro do óculos de realidade aumentada de um operário numa fábrica de equipamentos eletrônicos. O Bodystorming do Oprimido serve para investigar a dimensão humana (e opressiva) da interação que passaria desapercebida numa interface cognitivista. Na prática de projeto, a corporeidade e alteridade da interação podem ser consideradas através de alguns formatos muito simples de projeto, como o storyboard. Contar uma história com figuras humanas, ambientes e tecnologias permite desenvolver cenários com detalhamento suficiente sobre o corpo. No projeto especulativo Nike Golf, Peter Lew criou um cenário em que um jogador de golf pode analizar a precisão de suas tacadas utilizando um Apple Watch no pulso e um iPhone num tripé. Existem diversas relações espaciais importantes que a presença do corpo e das tecnologias físicas traz para o cenário. Storyboards não precisam ser bem desenhados, entretanto, para serem efetivos em seu propósito. Existem diversas ferramentas de desenho assistido que permite criar storyboards sem nenhuma habilidade de desenho, como o storyboardthat.com No exemplo da imagem, o cenário demonstra a relevância do Apple Watch no momento em que a pessoa se desconecta do computador, como por exemplo, quando vai ao banheiro. No Brasil, temos uma tradição que valeria à pena ser recuperada para criar interações: a Fotonovela. Ao invés de utilizar desenhos, são utilizadas fotos e balões de quadrinhos. A fotonovela permite que o corpo fale de maneira mais explícita até do que o desenho, exibindo nuances importantes como a sensualidade, postura, orientação e outros. Cenários de Computação Vestível que se propõem a oferecer experiências de alteridade podem ser projetadas através de fotonovelas, aproveitando-se da tradição brasileira de transformar o corpo em imagem. Observando a história do Design de Interação, cheguei à conclusão de que toda interação sempre surge de um corpo humano e sempre afeta outro corpo humano, mesmo que o afeto não seja síncrono ou proporcional. Sendo assim, o corpo humano deve sempre ser levado em consideração, mesmo quando não se tratar de um projeto de Computação Vestível. A Computação Vestível tem o potencial de deixar esse aspecto de interação mais visível e efetivo, porém, o afeto pode ser até mais sutil do que nos projetos da Cute Circuit, uma butique de wearables que propõe interações afetivas. A Hug Shirt (2002) é uma camisa que transmite abraços à distância: ela sente o toque de uma pessoa e imprime força sobre o corpo da outra pessoa conectada. O abraço também pode ser mútuo. A Computação Vestível deve, na minha opinião, proporcionar experiências de alteridade para as pessoas que interagem. Alteridade significa deixar ser transformado pelo outro, que pode, inclusive, ser a própria pessoa, porém, vista por uma perspectiva diferente. Um projeto de vestível que aplica esse princípio de maneira magistral é o Intimacy 2.0, do Studio Roosegaarde. Trata-se de um conjunto de roupas que se tornam transparentes na medida em que a pessoa interage mais nas redes sociais, revelando seu corpo físico através do corpo virtual. Made with Keynote Extractor.Comente este post

Your App Lady Show Notes Series 1 Episode 2 Welcome to Episode Number 1 a part of series number 2, all about apps that I use everyday. Today on the podcast, I will talk about one of my favorite apps.  But first, here is a little tech news for you. Tech News:  Apple Heart Study from the verge.com. This study is with the Apple Watch. You have to have the Apple Watch that was released second. The first Apple Watch won’t work with the study. I may need to get a new Watch!!! “Late last month, Apple launched a new study in partnership with Stanford University, one of many studies the company has embarked on since the device’s 2015 launch, that will track Apple Watch users’ heart rhythms for irregularity. This type of data collection can be done with the current model’s heart rate monitor, but more advanced forms of tracking and testing, like EKGs, would require all new hardware and software. On the same day, the Federal Drug Administration cleared the Apple Watch’s first medical device accessory, an EKG reader built into a watch strap from medical device company AliveCor. Down the line, it seems like Apple wants as much of this technology built into the watch as possible, contingent only on what is actually feasible given current hardware and software constraints.” Studies are also being done for detecting seizures, mental health issues etc. Read more at https://www.theverge.com/2017/12/21/16806656/apple-watch-ekg-heart-monitor-future-models-development App: Voxer by Voxer Pro LLC The Voxer app is like a walkie talkie. You must have WiFi or cellular but otherwise there is a free version. Voxer is great for conversation without the need for the person to be there at the moment  It’s like a monologue. You can send the voice message and then later the other person can respond back to you. You can also send text, photo and video over Voxer. The Voxer messages are encrypted end to end Voxer is available for iPhone, Android and web. I use the free version. There is a paid version that is $3.99 and includes more features like transcription and the ability to recall a message. Voxer has been key to my productivity and support in my business. My admin and I use Voxer for quick and easy communication. Because this is our primary method of communication, we are able to go back and read or listen to messages as needed. I also use Voxer to communicate with my business coach, mentors and business friends. I am able to send them questions, messages and wins and they can respond when it is convenient. This keeps the communication functional without interrupting them when they are working. Find out more about Voxer at https://www.voxer.com. Tech Tip: The tech tip today is how to save your battery power.  On the iPhone or iPad, save your battery power by turning on “Low Power Mode”. Here are the steps to turn on “Low Power Mode”: Go to the Settings icon Click on Battery Look at Low Power Mode - make sure this is switched on and you see green. Thanks for listening to Your App Lady today! Please follow me on Twitter, Instagram and Facebook at Your App Lady. My website is www.yourapplady.com and you can also connect with me on LinkedIn at Betsy Walling Furler. Please share my podcast with your friends! Please join my email newsletter by clicking here.   Voice over work by John Swasey 

Mel reflects on the workouts produced during 2017, as well as the release of the Eyes-Free Fitness App.Jennifer Kern and Mel talk about the new foam roller workout. You can purchase a foam roller from a variety of places including Amazon.If you would like to contact Jennifer directly, you can visit her website.Lisa talks about the new Apple Heart Study and how those who have an Apple Watch can enroll.You can comment on our Facebook page, follow us on Twitter, or subscribe to our informative chat list.

Apple finally confirmed all the circulating rumours by announcing the iPhone X, iPhone 8 and iPhone 8 Plus, Apple Watch Series 3 and 4K Apple TV. Face ID, Portrait Lighting, Dual Optical Image Stabilisation and Apple Heart Study were some of our favourite features. The pricing was not one of them. The MacMen run down all of the details for you.