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2014年2月15日 星期六

谷哥眼鏡產品策略 - 雲端加值服務 ( Google Glass Goes Into Cloud Value Added Service )

谷哥眼鏡 有望成紐約警方辦案利器

為了提升警員辦案效率,紐約市警局( NYPD )可望採購谷哥(Google Project Glass )眼鏡作為辦案工具。

一名紐約市警局高階警官向科技網站VentureBeat透露,已經取得數副谷歌眼鏡,也正在測試能否協助警方執行勤務,特別是能否協助巡邏員警盤查嫌犯時,迅速比對資料庫的罪犯資料,或是在問話時讀取嫌犯犯罪紀錄。

不過,谷歌則發布新聞稿否認將與紐約市警局合作,但表示紐約市警局應該是透過「谷歌眼鏡探索者計畫」( Google Glass Explorer Program)購入谷歌眼鏡。谷哥表示,任何年滿18歲的美國居民,只要提出申請,並獲得谷歌同意後,就能以每副1500美元價格購入谷歌眼鏡。

對於科技網站報導,紐約市警方不願回應。

Startups see healthy future for Google Glass in medicine ( 谷哥眼鏡雲端加值的醫療應用 )

Among the tech elite, Google Glass is a sleek symbol of minimalist, futuristic cool.But several startups see deeper potential in Glass: the ability to heal wounds and save lives.

Pristine in Austin, Texas makes the app EyeSight, which enables physicians and nurses to transmit live video and audio of wound patients from Glass to authorized computers, smartphones and tablets. After months of a pilot program at UC Irvine, the startup said this week it will soon roll out the technology at outpatient wound care clinics operated by Wound Care Advantage in Southern California.

"We're really using this primarily as a tool, to help people connect where it was either not possible or practical before," said Kyle Samani, CEO of Pristine, which started last spring in Austin, Texas. "If, for whatever reason, the doctor is not physically here, we'll find the next best way to get him here."

For decades, telemedicine has been slowly working its way into the doctor's office in the form of desktops, laptops, digital cameras, tablets and other gadgets. Now comes Glass, which Google plans to make available to the public this year. And Pristine isn't the only company seeking to capitalize on the device's Wi-Fi, Bluetooth, camera and voice activation in the medical world.

Augmedix, founded by two former Stanford University students, is working on a system that would roughly translate information from Glass' audiovisual stream directly into a patient's medical record. Healium, co-founded by a Mill Valley doctor, is also developing an app that would let doctors share patient information through Glass.

Linking patients, experts

In Pristine's case, a nurse will use Glass to stream a video of a patient's wound to a doctor, who will then decide whether he or she should examine the injury in person, said Mike Comer, CEO of Wound Care Advantage. The company operates or helps run wound care clinics in hospitals, which involves providing equipment and hiring and training personnel to deal with chronic injuries.

"It's a way for us to bring experts to patients very quickly, very seamlessly," Comer said.

Chronic wounds, a market worth $25 billion, offer a particularly promising opportunity for Glass because patients need constant monitoring and outpatient care. About 6.5 million patients in the United States suffer from the condition, according to the National Institutes of Health. These wounds, such as diabetic ulcers and venous ulcers, can take more than six weeks to heal.

Since October, Pristine has been testing EyeSight through a pilot program with surgeons and anesthesiologists at UC Irvine.

Dr. Leslie Garson, one of the anesthesiologists, said Glass has proved useful during the 15 or so surgeries he has worked on so far, especially because he often monitors two or even three surgeries simultaneously.

"A resident could have Google Glass on, they could be looking at a monitor, and I could have a tablet down the hall and could see exactly what they're seeing," he said. "They can send me an alert - 'Take a look at this,' 'Is this something I should be concerned about?' "

Still, Glass, like any new technology, has skeptics.

San Jose doctor skeptical

Dr. Peter Schubart, director of the Wound Care Clinic at O'Connor Hospital in San Jose, doesn't see a great advantage in Glass. Schubart and his staff constantly take digital photographs of wounds and upload them to the electronic medical record system. It takes all of 20 seconds, he said. He also wonders if insurers and Medicare will still compensate him if he determined, by way of Glass, that a patient didn't require in-person treatment. Under health care reform, Samani said insurers will increasingly pay for quality of care instead of the standard fee-for-service model.

Consumer advocates have also raised concerns that hackers might steal sensitive patient information. To allay those fears, Pristine executives say the company offers the only commercially available Glass software that complies with the federal government's strict rules on patient privacy. EyeSight's encrypted video stream is strictly live, Samani said.

"Videos are not being saved, not even for a microsecond," he said. "We don't want anyone to feel the world is watching."

Over the long term, Pristine plans to bring Glass into intensive-care units, emergency rooms and ambulances. Samani wouldn't disclose how much it costs for hospitals to sign up but believes Glass offers plenty of opportunities in health care. Over the next month, wound care centers of three hospitals, including the University of Southern California's Verdugo Hills Hospital, will use the device.

Even Schubart, the skeptic, said he will keep an open mind about the new technology.

"I've learned to never say never," he said.

The NYPD Is Testing Google Glass ( 谷哥眼鏡雲端加值的美國警察 )

According to a report by VentureBeat, The New York City Police Department is currently investigating how useful Google Glass could be in the fight against the city's crime.

It's claimed that the department recently took delivery of several pairs of Google's smart glasses. "We signed up, got a few pairs of the Google glasses, and we're trying them out, seeing if they have any value in investigations, mostly for patrol purposes," a New York City law enforcement official told VentureBeat. "We're looking at them, you know, seeing how they work."

If it's true, it's no real surprise. Last summer, a federal judge ruled that New York City's "stop-and-frisk" violated the rights of minorities in the city. In her recommendations accompanying the ruling, Judge Shira Scheindlin ordered the NYPD to test wearable cameras in five precincts where the controversial search tactic was used. Google Glass could fill that role perfectly.

A Google employeetold VentureBeat that the company hadn't been working with the NYPD, and said that the law enforcement agency had "likely acquired the glasses through the Google Glass Explorer program." That will have involved the typical application and subsequent ponying up of $1,500 per pair.

Of course, whether each and every NYPD cop should be toting a camera on their face remains to be seen. Evidence from experiments in other parts of the country suggest cameras encourage police to behave better, as well as protecting them from fraudulent reports of abuse. Critics—including Mayor Mike Bloomberg—argue the data they collect will create an enforcement nightmare. What do you guys think?

Google Glass Eyed for Wearable Soldier Gear ( 谷哥眼鏡雲端加值的美軍 )

Army officials have been after a way to outfit soldiers with wearable computers for years, but have repeatedly failed to find a system that both delivers information coherently and avoids impairing troops’ perception of the battlefield.

The military’s notoriously Byzantine process by which it develops and adopts technology may not be entirely to blame, engineers that bridge both government and commercial technology spheres tell National Defense.

While parts of the military suffer from an “institutional rejection of innovation,” even in the swifter commercial sector wearable computers have generally been failures until recent advances, said John Clark, chief innovation officer for Thermopylae Sciences and Technology.

Based in Arlington, Va., Thermopylae specializes in taking commercially available technologies and converting them to military and government use.

“For years, people have been trying to make wearable computing happen, but to be honest … they have all been terrible,” Clark says.

The Army found that out the hard way during several efforts to create a wearable situational awareness and computing system for soldiers. So far, the service has nothing to show for its efforts.

“But there has been some really cool innovation that has happened in late 2012, early 2013,” Clark said. “How can we take those emergent technologies, and make them implementable and affordable for government and commercial clients?”

The most notable entry recently into the mobile-computing market is Google Glass, about 1,500 of which are in the hands of testers like Clark. Other companies, including a startup called Oculus VR, have developed or are in the process of bringing to market similar wearable computing devices.

While Glass was not developed for military applications, its importance is the awareness the device brings to the possibility of ubiquitous mobile computing, Clark said.

“For all the work Google has put into it, there is no real desire to take [Glass] and apply it directly to a military mission,” he said. “This is a consumer product. But because of what Google has done … there will be other similar models that are perhaps ruggedized that can apply directly to [special operations forces]. Or, it will inspire people to integrate the technology into riflescopes or night vision goggles.”

The point of Google Glass is to develop a revolutionary method of interacting with technology — to figure out the optimum way to deliver information and have the user digest it without distraction. Currently, the system performs only rudimentary tasks like sending text messages, taking photos and video and receiving news and social media alerts. Eventually, Glass or an evolutionary version will allow more sophisticated applications.

Instead of a pair of glasses or a monocle with a heads-up display, Glass positions a small prism over the upper right corner of the wearer’s right eye. The user can either slide a finger along the arm of the device or speak directly to it to perform a number of tasks like reading email or taking photos. The prism becomes transparent and is all but unnoticeable when not in use. There are no lenses or screens over the eyes, so the wearer can naturally hold a conversation or walk, unobstructed, even when the screen is activated.

The technology has gained the attention of scientists and engineers who develop and purchase equipment for the special operations community. However, concerns were expressed in May at the Special Operations Forces Industry Conference that Google Glass in its current form could harm operators’ eyesight. Attention is being paid to what Google is doing with Glass, but extensive human trials will be necessary before a special operations sniper wears a pair on the battlefield, SOF officials said.

Raytheon is marketing  a wearable joint tactical air controller system that allows ground forces to tag elements in the environment using a helmet-mounted monocle that covers the whole eye but is see-through. That system consists of a chest-mounted computer, the monocle and a smartphone worn on the wrist or elsewhere. It allows a soldier to call in an air strike on a target simply by viewing it through the eyepiece and clicking the phone’s screen.

Though only recently unveiled at the 2013 Paris Air Show, Raytheon’s Advanced Warfighter Awareness for Real-time Engagement (AWARE) system resembles similar concepts the Army has tested to provide computing and communication capabilities to soldiers.

Future Force Warrior, developed in conjunction with the now-defunct Future Combat Systems, sought to create a lightweight, integrated mobile computing system for soldiers. It was one in a series of “network-centric” infantry combat projects the military undertook during the past decade. Others included the Soldier Integrated Protective Ensemble and Land Warrior. The latter was canceled in 2007, then resurrected the following year under the name Nett Warrior. The program is designed to use both commercial, off-the-shelf technologies and existing military gear to extend communications and command and control to individual troops.

When the Army attached smartphones to rifleman radios and gave them to troops during a 2011 network integration evaluation, soldiers said they were receiving too much information.

“There’s no need for me to have this,” Army Pvt. David Kramlich said then of the Joint Battle Command-Platform (JBC-P) Handheld. He said troops of his rank don’t need to be overloaded with information that is used to make command decisions.

The JBC-P provides GPS and voice communications. It can be used to plan missions, receive sensor feeds, mark buildings and rooms that have been cleared, communicate via text message and track friendly and enemy forces, much like Raytheon’s AWARE system.

Nett Warrior is a similar system that began years ago as a weighty suite of wearable computers that has since been shrunk down to individual phones and tablets carried in pouches or pockets.

Consensus among soldiers and their leaders at the NIE was that not every soldier needs Nett Warrior and that systems that require soldiers to consult a smartphone in battle are distracting.

With Glass, Google is trying to arrive at how users can access information without having to look down at a separate screen. Test wearers like Clark and his brother, Thermopylae President A.J. Clark, are helping the company figure out how to deliver information through the device and what applications are most useful.

“We need to make sure these applications work in a wearable environment,” A.J. Clark said. “A smartphone is one construct, a laptop is another. Wearable is taking it to a new dimension.”

“Google provides a very strong foundational layer. They invest tons of resources to make these technologies stronger and keep up with the edge of technology,” he added. “We are at the application level and then at the end, the government gets the added value of all that investment through the strata.”

分析
  • 谷哥眼鏡 Google Glass 加速往雲端應用發展讓 Google 生意模式產生新的創新;
  • 谷哥眼鏡 Google Glass 雲端加值服務之產品策略將使 Google 未來在雲端服務產值提高;
  • 智能穿載式雲端應用將成為雲端加值服務之趨勢;
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2014年1月19日 星期日

醫學的前景?應用程序、智能穿載、微型感測器、基因工程、奈米醫療、微型機器人等技術將大放異彩 ( Future medical? Apps, smart wearable, micro sensors, genetic engineering, nano-medicine, nano-robotics and other technologies will shine )

Daniel Kraft is a physician-scientist, inventor and innovator. He chairs the FutureMed program at Singularity University, exploring the impact and potential of rapidly developing technologies as applied to health and medicine. ( 在馬斯特里赫特TED上,丹尼爾.卡夫特快速地展望了未來幾年的醫學革新。未來醫學將因設備、測試和應用程序的推陳出新讓病患能立即獲得診斷資訊。)

幾年前 當我參加TED長灘會議的時候 我遇見了哈里特。 我們之前在網路上就遇到過 不是你們想的那種遇見方式。 其實我們遇見是因為我們都認識琳達.埃維 她是最早的線上私人基因組公司的創始人之一。 因為琳達知道我們兩人的基因訊息 所以她發現我們兩個都有一種罕見的線粒體DNA 叫做單倍體基因型 K1a 1b 1a 這說明了我們是遠親。 其實我們和冰人奧茲也有血緣關係 所以,奧茲、哈裏特和我算是親戚。 因為現在大家都使用臉書,我們當然也設立了自己的臉書群組。 我們歡迎你們加入。 隔年當我在TED會議上遇到哈里特時 她早就已經上網訂做了我們自己的快樂單倍體T恤。 為什麼我要告訴你們這件事呢? 這和我們未來的健康又有什麼關係呢?

我和哈裏特相遇的過程其實充分地說明了一件事 那就是跨學科的研究、突飛猛進的科技 正影響我們將來的身心健康—— 這些研究和科技包含了低成本的基因分析 有能力運用功能強大的生物信息學 以及網路和社會網絡之間的關聯。 今天我想談的就是我們應該了解這些指數科技。 我們的思考經常是直線的。 但是你想像一下,如果你有一片蓮花葉子 而且它每天都分裂一次 兩片,四片,八片,十六片 15天後你就有三萬兩千片葉子。 那一個月後你認為會有多少葉子?答案是10億。 所以如果我們開始學著「次方性思考」 我們就可以讓我們身邊所有的科技有所不同。 許多這些科技,就我醫生的角色和想創新的人來說, 是我們真的能用來改變我們未來的健康以及保健發展 解決我們現今在保健發展遇到的主要難題 例如說保健制度的巨額成本

老年人口 沒能非常有效地運用資訊、整合保健制度 還有採用創新技術時 過程也經常是困難重重。 我們能做的一件重要的事,這我們今天也剛談了一些 就是把這條曲線向左移。 我們把大多數金錢花費在生命階段的最後百分之二十。 如果我們將錢花在保健制度和我們自身的健康管理中 透過科技親自參予這些系統運作和管理 將曲線向左移、改善我們的健康,那會怎樣呢? 我最喜歡的科技是「次方科技」 我們大家現在都在使用這種科技了。 想想看,這些科技現在正突飛猛進。 打個比方,iPhone4已經是這樣了 想像一下iPhone8的功能會有多強大。 我對這項技術已經有一些心得。 我在矽谷一家辛格蘭若堤大學的醫學部門工作 我們會在每個夏天從全世界找來一百個傑出的學生 研究這些關於醫學,生物科技 人工智能,機器人技術,納米技術,空間技術的整合科技, 解決跨學科訓練的問題 並利用這些技術來影響還沒有實現的重大目標。

我們也有七天的執行計畫。 接下來的幾個月是「未來醫學」 這個計畫能協助跨學科訓練並將技術運用到醫學上。 我剛提到了手機。 這些手機擁有超過兩萬個不同的應用程序 甚至英國還設計了一種應用程式 你可以把一片小晶片連上你的 iPhone,然後在晶片上小便 看看你是不是得了性病。 我不知道我會不會試,不過是有這樣的程式可以用。 還有其他的應用程式能讓手機有診斷功能。 例如說如果你有糖尿病 你可以用iPhone來測量血脂 然後把數據發給你的醫師

所以你和醫生都能更了解你的血糖狀況。 讓我們看看整合科技是如何應用在保健用途上。 讓我們從速度開始。 我們都知道,就如摩爾定律所說的 電腦運作的速度越來越快了。 所以我們能夠運用它們來做更多事。 電腦的能力越來越接近人腦的能力 很多情況下甚至超越了人腦。 但我認為電腦的速度對成像技術的好處最大。 這種用非常高畫素即時地呈現身體內部的技術 進步真的是越來越驚人。 我們正在綜合多種技術, PET掃描、CT掃描和分子診斷 來發現和尋找所在位置不同的東西。 你現在看到的是今天MRI掃描技術以極高畫素重建的馬克.霍頓希的頭像 他是TED醫學會議的管理者。 現在我們可以以前所未有的的像素和能力來看大腦內部

從根本上學會如何重建、甚至重新設計、或是逆向設計大腦 因此我們能更了解病變,疾病和治療方法。 我們能用fMRI即時來觀察大腦內部。 通過理解這些過程和聯繫 我們能夠瞭解藥物和冥想所帶來的影響 改善個人化治療、提高功效 例如說,更符合個人需求、更有效的精神藥物。 fMR用的掃描器現在變得更小更輕便,也不像過去那樣昂貴。 從這些掃描器得到的數據實在太多 很快地會造成很大的問題。 現在的掃描佔用了800本書的空間或者20G。 幾年後的掃描將會佔用1T或者800000本書的空間。 我們該如何去利用這些信息呢? 讓我們從自己的例子說起吧。我不會問這裡誰做過結腸檢查, 但是如果你大於50歲,那麼該是你檢查結腸的時候了。 你怎麼避開結腸鏡的尖端呢? 現在有一種虛擬的結腸鏡檢查。 比較這兩張圖,作為放射科醫生 你可以檢查你病人結腸的內部 藉由人工智慧的協助 找出可能受傷的部位,就像你在這裡所看到的損傷。 我們以前可能會錯過這種損傷,但是藉由在放射科中用人工智能 我們能找到我們以前沒發現的損傷。

這可能會讓以前不願做結腸檢查的人願意檢查。 這是一個診療方式轉變的例子。 我們正朝向一個生物醫學、信息技術和無線網路的整合時代 而且我會說是「整合機動式」時代,也就是數位醫學的時代。 所以甚至我的聽診器都是數位的。 當然,它有個應用程序。 我們正走向《星際奇航記》裡出現的那個「影音分析儀」的時代。 這種手持超音波儀器正超越而且取代聽診器。 這種儀器過去的價位是十萬英鎊或幾十萬美元 現在只要大約五千美元 我就能買得起這樣一個功能強大的診斷儀器。 我們正把這個裝置和電子醫療記錄結合起來 在美國,電子化醫療紀錄仍然少於百分之二十。 我想在荷蘭應該高於百分之八十。 但是我們現在轉到結合醫療數據, 把數據電子化, 如此我們就能整合資訊。 現在作為一名醫生,不論在哪裡

透過這些移動設備,我就能得到病人的數據。 當然,我們正處在iPad,甚至iPad2的時代。 就在上個月美國食品藥品管理局首度通過的應用程序 證實可以讓放射科醫生直接在這些設備上讀數據。 所以肯定的是,現今的醫生,包括我自己 已經完全離不開這些設備了。 正如你們大約一個月前所看到的 來自IBM的華生在益智節目「危險邊緣」中擊敗了兩位冠軍。 因此我要你們想像當我們在幾年內開始採用雲端資訊 並真正有了人工智慧醫生連接到我們的大腦 我們做的決定和診斷會和過去全然不同。 你們現在在很多情況下已經不需要去看醫生了。 只有大約百分之二十的狀況下醫生才會用到手來做診療。 我們正處在虛擬診療的時代 從使用Skype到American Well來做線上看病

到思科研製的非常精密的健康診斷系統。 這種和你的醫師的互動能力是有別於以往的。 現在因為有這些設備我們的能力更是提高了。 這是我的朋友傑西卡傳給我的她頭部裂傷的圖片 所以她不用來急診室,我能通過看照片來診斷。 或許我們能利用現今的遊戲技術 比如微軟Kinect來進行診斷。 例如在診斷中風時, 用簡單的移動偵測儀器和幾百元的設備就可以進行檢測。 我們現在實際上能用機器人來看病。 如果我是一名血液病專家 可以用這台RP7到另一家診所或醫院看診。 這種能提升診療效率的整套工具其實現在在家就找的到。 所以想像一下,我們已經擁有無線網路體重計。 你可以站在體重計上 你可以把你的體重用Tweet告訴你的朋友,他們能幫你保持身材。 我們有無線網絡血壓器。 我們正在整合這所有的技術。 所以我們不用戴這些雜七雜八的裝置,而是可以把他們變成一個貼片。 這是我在史丹福的一個同事發明的iRhythm。 它完全取代了先前的技術,而且價格低很多,效率更好。 現在我們正處於自我量化的時代。 人們可以買幾百元的裝置

像這個小FitBit。 我可以量化我的步數和我的卡路里消耗。 我可以每天都從這些數據了解一些事情。 我可以把數據和朋友,醫生分享。 現在有一種手錶可以測量你的心律,叫Zeo睡眠偵測器。 它能讓你使用這些資訊對自身的健康更了解。 當我們開始整合這些資訊 我們就會更知道用它做什麼,更了解我們的病狀和身心健康。 現在甚至有一種鏡子可以測量你的脈搏率。 我認為,在未來,我們衣服裡會有可以穿戴的裝置 全天候檢測我們的身體。 就像我們現在車裏的OnStar系統, 紅燈會亮起,雖然它不會說「去檢查引擎」 但它會說去「檢查你的身體」 回家好好照顧自己。 也許幾年後

你照鏡子時鏡子會幫你看病。 家裡有小孩的 你會想要這種會幫你的無線尿布吧... 我想你不需要這麼多資訊。 但是這一天會來的。 今天我們已經聽了很多新技術和技術整合。 我認為有些技術會使我們和病人更接近 有更多時間表達我們對病人的關懷。 這些技術能夠提供這樣的幫助。 我們談到了一些能幫助患者的科技 那麼科技如何幫助醫生呢? 我們正處在「超強化外科醫生」的時代。 他們能進入身體內部 用機器人做手術,這現在已經可以做到了。 這種水平即使是短短五年前都不太可能達到的。

現在這種技術還因為多重影像技術,例如「增像技術」得到提升。 所以醫生能通過他們的鏡頭看到患者的內部 看腫瘤在哪裡,血管在哪裡。 除此之外,「決策支持」這個技術也可以和「機器手術」做整合。 例如說,在紐約的醫生可以幫阿姆茲特丹的醫生。 我們正在步入一個叫做NOTES的真正無疤手術的時代。 機器內窺鏡能穿過胃部切除膽囊 不會留下疤痕,過程也是機器化的。 這是即將被採用的技術。 基本上是一種無疤手術 拜機器化手術之賜。 除了控制機器手,我們還能控制其他東西嗎? 對於身障人士,那些半身不遂的人 有一種能讓人腦和電腦互動的技術叫做BCI。 在四肢癱瘓者的大腦皮層運動區植入晶片 他們就能控制滑鼠指標、輪椅或者機器手臂。 這些晶片現在做得越來越小

越來越多患者體內都能夠放入這種晶片。 這種技術仍在臨床階段,但想像一下 當我們將這些技術結合令人驚歎的仿生學假肢 像卡門院長和他的同事設計的DEKA手臂 有17種不同的移動方式和靈活度 能使失去肢體的人比以前更靈巧。 我們實際上真正進入到了可穿的機器人時代。 如果你手腳完好,但是你得了中風 你可以穿這些假肢。 或者假如你下半身癱瘓,像我在巴克力仿生物公司拜訪的朋友們 他們發明了eLEGS。 我上週拍了這段影片。 影片中這位半身癱瘓的人因為穿上這些仿生裝備正在走路。 如果不穿這些盔甲,他完全得依賴輪椅。 這些機器裝備現在還在發展初期。 我認為藉由這些技術 我們能改變對殘疾的定義 在某些情況下甚至能將「殘疾」轉變成「超能」。 這是艾米.馬林斯,她在小時候就失去了雙腿。 這是休.赫爾,麻省理工的教授 他也在一次攀岩事故中失去了雙腿。 現在他們通過修復手術可以比正常人爬得更好,動得更快 用不同的方式游泳。 再說說其他的整合科技吧。 很明顯地,肥胖趨勢朝著錯誤的方向快速發展 包括肥胖症造成的支出也是越來越龐大。 但是醫學儀器卻有種越做越迷你的趨勢。

例如說,我們可以用這種電子藥丸來做一趟「奇幻航行」。 你可以吞下這個麻雀雖小卻五臟俱全的裝置。 當它通過你的消化道時 能在消化道裡拍照,並且進行診斷和治療。 我們還做了更小的微型機器人 他們能自動通過你的消化系統 用一種更溫和的方式來做外科醫師做不到的事。 有時這些裝置會在你的消化系統內自行組裝 從而提升使用價值。 在心臟儀器方面,起搏器越來越容易植入 因此不需要訓練一位介入性心臟科醫師來植入這些儀器。 你可以用移動裝置再次的無線遙控這些儀器。 所以你可以去任何地方而不影響對儀器的遠程遙控。 我們甚至還要把它做得更小。 這是一個Medtrinic製作的樣品,比一分錢還小。

另外,我們能將人工視網膜放到眼球後面 使盲人回復視力。 雖然這還在早期實驗階段,但成功的機率是很大的。 這些將會是革命性的改變。 或著對我們這些視力正常的人 有了這些輔助生活的隱形眼鏡會怎樣? 我們現在有藍牙、無線網絡,可以將圖像投射到你的眼睛。 如果你維持飲食有困難 這些額外的圖像也許能提醒你食物裡有多少卡路里。 如果病理學家能把他們的手機當做顯微鏡使用 把資料傳回主機,進行更好的診斷,這會是怎樣的局面呢? 實際上,現在整個實驗醫學界的情況已經完全改變了。 我們現在能利用微流體 像斯坦福大學的史提夫. 奎克做的這片晶片。 微流體技術能取代整個實驗室的技術員。 把它放在晶片上 它能在世界上任何地方的照護站同時做上千個檢測。

這些技術對農村和醫療不發達的地方會非常有幫助。 它能把上千元的檢測成本縮減到幾分錢 而且在任何的照護站都能做。 如果我們沿著這條「微科技之路」再稍微往前走一點 我們就會進入奈米醫學時代。 奈米科技讓我們能將儀器做的超級迷你 迷你到我們可以設計紅血球細胞 或者設計微型機器人來檢測我們的血液或免疫系統 或者甚至清除動脈裏的血栓。 再來說到成本大減價這一點。 不是我們通常在醫學時代裡想到的那種 而是過去10MB就要3400元的硬碟現在變得非常的便宜。 在基因組學裏 十年前我們花了十億美元才發現第一組基因組 現在基本上找出基因組的成變成一千美元

也許今後一兩年就只要一百美元。 我們能用一百元換來的基因組做什麼呢? 很快的我們能用這些基因組來做數以百萬種的檢測。 當我們集中這些基因組資訊的時候,事情就變得很有意思了。 我們會開始進入了真正的個人化的醫學時代 在正確的時間為正確的人做正確的藥 而不是像現在這樣,給每個人同樣的藥 有點像是胡亂開藥似的 開給對病人沒用的藥。 很多不同的公司正在努力利用這些方法。 我來舉一個簡單的例子,還是來自「23和我」的例子。 我的數據顯示我已經到了會得視網膜斑點退化的危險期 這是會導致失明的疾病。 但是如果我把同樣的數據上傳到deCODEme 我還能看到我得到第二型糖尿病的風險有多高。 我得第二型糖尿病的風險幾乎高於標準值兩倍了。 所以我可能會開始注意我在午飯休息時間吃了多少甜點。

因此這種診斷也許會改變我的行為。 利用我對基因藥理學的知識 我的基因如何控制,我的藥物作用是什麼,甚麼可以滿足我的需求 這些都將變得越來越重要 一旦人們和患者有了這些資訊 就能提升藥物劑量和藥物選擇的品質。 所以不是只有基因重要 我們的習慣和環境都很重要。 上次你的醫生問你住在哪裡是什麼時侯? 在風土醫學裡 你住在哪裡,你接觸過什麼對你的健康有極大的影響。 我們能抓住這些信息。 因此基因組學,蛋白組學,環境, 所有這些數據都湧向我們和可憐的醫生。 我們該如何管理它? 我們正在進入系統醫學或者系統生物學時代 也就是說我們能開始整合這些資訊。 例如,做檢測時可以在我們的血液中發現一萬個生物標記 透過觀察這些標記 我們能看到這些小標記

讓我們更早發現疾病。 這個領域的創始人李.胡德稱這種方法為P4醫學。 我們將能預測我們可能會得甚麼病。 我們能預防,這種預防性可以針對個人需求。 更重要的是,每個人都能夠參予其中。 透過一些如「Patients Like Me」這樣的網站 或是使用微軟HealthVault或谷歌健康軟體來管理你的數據, 病人能利用這些方法參予預防診斷過程 這點會變得越來越重要。 再來我要以「品質」來作為結束。 我們的治療會更好、更有效。 現在高血壓大部分是通過吃藥來治療。 如果我們用一種新裝置 麻醉調節血壓的神經血管 一次就能治好高血壓。 這新裝置已經能做到這種治療了。 再一、兩年內應該就可以上市。

還有更有目標性的癌症療法。 我是腫瘤科醫生 我必須說大多數我們開的藥其實是毒藥。 我們斯坦福和其他地方發現 我們能找到癌症幹細胞 就是可能引起癌症復發的細胞。 如果你把癌症看成是一個種子 我們通常能除掉這些種子。 它看似萎縮,但經常又長回來。 所以我們瞄準的目標是錯誤的。 癌症幹細胞依然存在 腫瘤能在幾個月後或幾年後再長出來。 我們現在學會了鑒定癌症幹細胞

將它們設為長期治療的目標。 我們正在進入個人化腫瘤學時代 我們有能力會整、利用這些資訊 有能力分析腫瘤 為每一個患者量身制做出一套有效的雞尾酒式療法。 最後我要說的是再生醫學。 我對幹細胞研究很多 胚胎幹細胞再生能力特別強。 我們體內也遍佈成體的幹細胞。 我們把這些幹細胞運用在骨髓移植領域。 就在去年傑龍做了第一次嘗試 他用人類的胚胎幹細胞治療脊髓神經傷害。 雖然仍在實驗階段,但有進展。 我們在臨床實驗運用成體幹細胞大概有十五年了 用它來治療許多不同的疾病,尤其是心血管病。 我們取出自己的骨髓細胞治療心臟病病人 病人心臟病發後用了我們自己的骨髓細胞 我們發現病人的心臟功能改蓋,而且活得更好。 我發明了一種叫MarrowMiner的裝置 它能用比較溫和的方式來收集骨髓。 美國食品藥物管制局已經核准這個裝置 預期將會在這一兩年內上市。 希望你們能喜歡這個發明 它能沿著患者的脊椎移除患者的骨髓

以前需要穿刺兩百次,現在只要局部麻醉後作一次穿刺就可以。 但是現在幹細胞治療是朝什麼方向發展呢? 想一下,你身體裡每一個細胞都有同樣的DNA 這在你還是一個胚胎的時候就有了。 我們現在能重新構造你的皮膚細胞 讓它就像一個多功能的胚胎幹細胞 利用這個技術能治療同一個患者的多個器官 製造你個人的幹細胞线。 我認為這將開啟個人幹細胞庫的新時代 把你的心血管細胞、肌肉細胞、神經細胞存在冷凍櫃裡 在你將來需要的時候使用。 我們現在用這所有的細胞工程技術來整合這些資訊。 為3D器官影像列印整合技術 用細胞代替墨水來重建一個3D器官。 這是未來發展的方向,現在我們還在發展初期。 但我認為,就整合科技來說 這是最好的一個例子。 所以在結束的時候,我想說說現在的技術趨勢 以及這些趨勢對健康和醫學會有怎樣的巨大影響。 我們正進入微型化、分散化、個人化的時代。 我認為如果我們能開始思考如何了解、利用這些技術 透過集中這些技術 我們就能讓病患對疾病更了解 讓醫生更有能力,讓人們更健康 而且能夠防患於未然。 因為作為醫生我知道,如果某人在患病初期來看我

我會很高興,因為通常我們可以治好他們的病。 但是他們經常來得太晚,例如可能到了癌症三或四期才來。 所以通過利用這些整合技術 我認為我們可以進入一個新時代 我稱之為「零期醫學」的時代。 作為一名癌症醫生,我期待失業。 非常感謝。 謝謝,謝謝。 鞠躬,鞠躬。


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2014年1月18日 星期六

全球物聯網未來將啟動“工業物聯網” - 更將推向與人類互通全智物聯網( Welcome to the age of "internet Of Things" - A huge information system with predictive, sensing, understanding your speaking and from industrial internet to a future of information system can communicate with us )

The Chief Economist at General Electric, Marco Annunziata is a financial virtuoso with a passion for technology. His vision is "Machines increasingly communicate among themselves and with people. Mobile devices allow round-the-clock interconnectivity. Computers crunch terabytes of data. Such innovations have convinced economists from GE’s Marco Annunziata to Erik Brynjolfsson of MIT that the stage is set for a wave of productivity gains to rival the 10-year Internet boom that began in 1995." ( GE Marco Annunziata 預見未來 " 越來越多的機器之間及與人溝通。移動設備允許二十四小時的互聯互通。" 將延生『工業網際網路』),我更進一步預測人類將在 30 年形成『能與人類及機器互通全智互聯網』,網際網路及雲端智能就像空氣及我們心靈隨時跟我們及我們隨身機器做智能溝通;

Einstein said that "I never think about the future — it comes soon enough."

And he was right, of course. So today, I'm here to ask you to think of how the future is happening now. Over the past 200 years, the world has experienced two major waves of innovation. First, the Industrial Revolution brought us machines and factories, railways, electricity, air travel, and our lives have never been the same. Then the Internet revolution brought us computing power, data networks, unprecedented access to information and communication, and our lives have never been the same. ( 在過去的200年來,世界經歷了創新的兩大波。首先,工業革命給我們帶來的機器和工廠,鐵路,電力,航空旅行,讓我們的生活產生改變。那麼互聯網革命給我們帶來的計算能力,數據網絡,前所未有的獲取信息和溝通,讓我們的生活大改變 )

Now we are experiencing another metamorphic change: the industrial Internet. It brings together intelligent machines, advanced analytic, and the creativity of people at work. It's the marriage of minds and machines. And our lives will never be the same. ( 現在,我們正在經歷另一種巨烈質變化:工業互聯網。它匯集了智能機,先進的分析,以及人們在工作中的創造力。它是一種結合機器和人的思想。讓我們的生活和過去不一樣。)

In my current role, I see up close how technology is beginning to transform industrial sectors that play a huge role in our economy and in our lives: energy, aviation, transportation, health care. For an economist, this is highly unusual, and it's extremely exciting, because this is a transformation as powerful as the Industrial Revolution and more, and before the Industrial Revolution, there was no economic growth to speak of.

So what is this industrial Internet? Industrial machines are being equipped with a growing number of electronic sensors that allow them to see, hear, feel a lot more than ever before, generating prodigious amounts of data. Increasingly sophisticated analytic then sift through the data, providing insights that allow us to operate the machines in entirely new ways, a lot more efficiently. And not just individual machines, but fleets of locomotives, airplanes, entire systems like power grids, hospitals. It is asset optimization and system optimization. Of course, electronic sensors have been around for some time, but something has changed: a sharp decline in the cost of sensors and, thanks to advances in cloud computing, a rapid decrease in the cost of storing and processing data.


So we are moving to a world where the machines we work with are not just intelligent; they are brilliant. They are self-aware, they are predictive, reactive and social. It's jet engines, locomotives, gas turbines, medical devices, communicating seamlessly with each other and with us. It's a world where information itself becomes intelligent and comes to us automatically when we need it without having to look for it. We are beginning to deploy throughout the industrial system embedded virtualization, multi-core processor technology, advanced cloud-based communications, a new software-defined machine infrastructure which allows machine functionality to become virtualized in software, decoupling machine software from hardware, and allowing us to remotely and automatically monitor, manage and upgrade industrial assets. ( 因此,我們正在向一個世界裡,我們一起工作的機器不只是聰明,他們是輝煌的。它們有自我意識,它們能預測,它們據有反應性和社群性。)

Why does any of this matter at all? Well first of all, it's already allowing us to shift towards preventive, condition-based maintenance, which means fixing machines just before they break, without wasting time servicing them on a fixed schedule. And this, in turn, is pushing us towards zero unplanned downtime, which means there will be no more power outages, no more flight delays.

So let me give you a few examples of how these brilliant machines work, and some of the examples may seem trivial, some are clearly more profound, but all of them are going to have a very powerful impact.

Let's start with aviation. Today, 10 percent of all flights cancellations and delays are due to unscheduled maintenance events. Something goes wrong unexpectedly. This results in eight billion dollars in costs for the airline industry globally every year, not to mention the impact on all of us: stress, inconvenience, missed meetings as we sit helplessly in an airport terminal. So how can the industrial Internet help here? We've developed a preventive maintenance system which can be installed on any aircraft. It's self-learning and able to predict issues that a human operator would miss. The aircraft, while in flight, will communicate with technicians on the ground. By the time it lands, they will already know if anything needs to be serviced. Just in the U.S., a system like this can prevent over 60,000 delays and cancellations every year, helping seven million passengers get to their destinations on time.


Or take healthcare. Today, nurses spend an average of 21 minutes per shift looking for medical equipment. That seems trivial, but it's less time spent caring for patients. St. Luke's Medical Center in Houston, Texas, which has deployed industrial Internet technology to electronically monitor and MRIs to be analyzed in the cloud, developing better analytics at a lower cost. Imagine a patient who has suffered a severe trauma, and needs the attention of several specialists: a neurologist, a cardiologist, an orthopedic surgeon. If all of them can have instantaneous and simultaneous access to scans and images as they are taken, they will be able to deliver better healthcare faster. So all of this translates into better health outcomes, but it can also deliver substantial economic benefits. Just a one-percent reduction in existing inefficiencies could yield savings of over 60 billion dollars to the healthcare industry worldwide, and that is just a drop in the sea compared to what we need to do to make healthcare affordable on a sustainable basis.

connect patients, staff and medical equipment, has reduced bed turnaround times by nearly one hour. If you need surgery, one hour matters. It means more patients can be treated, more lives can be saved. Another medical center, in Washington state, is piloting an application that allows medical images from city scanners and

Similar advances are happening in energy, including renewable energy. Wind farms equipped with new remote monitorings and diagnostics that allow wind turbines to talk to each other and adjust the pitch of their blades in a coordinated way, depending on how the wind is blowing, can now produce electricity at a cost of less than five cents per kilowatt/hour. Ten years ago, that cost was 30 cents, six times as much. ( 類似的進步都發生在能源,包括可再生能源。配備了新的遙監控和診斷,使風力渦輪機相互交談並調整其葉片的槳距以協調的方式風力發電場,這取決於如何風在吹,現在可以產生電力在不到5美分成本每千瓦/小時。十年前,即成本為30美分,六倍之多。)

The list goes on, and it will grow fast, because industrial data are now growing exponentially. By 2020, they will account for over 50 percent of all digital information.

But this is not just about data, so let me switch gears and tell you how this is impacting already the jobs we do every day, because this new wave of innovation is bringing about new tools and applications that will allow us to collaborate in a smarter and faster way, making our jobs not just more efficient but more rewarding. Imagine a field engineer arriving at the wind farm with a handheld device telling her which turbines need servicing. She already has all the spare parts, because the problems were diagnosed in advanced. And if she faces an unexpected issue, the same handheld device will allow her to communicate with colleagues at the service center, let them see what she sees, transmit data that they can run through diagnostics, and they can stream videos that will guide her, step by step, through whatever complex procedure is needed to get the machines back up and running. And their interaction gets documented and stored in a searchable database.

Let's stop and think about this for a minute, because this is a very important point. This new wave of innovation is fundamentally changing the way we work. And I know that many of you will be concerned about the impact that innovation might have on jobs. Unemployment is already high, and there is always a fear that innovation will destroy jobs. And innovation is disruptive. But let me stress two things here. First, we've already lived through mechanization of agriculture, automation of industry, and employment has gone up, because innovation is fundamentally about growth. It makes products more affordable. It creates new demand, new jobs. Second, there is a concern that in the future, there will only be room for engineers, data scientists, and other highly-specialized workers. And believe me, as an economist, I am also scared. But think about it: Just as a child can easily figure out how to operate an iPad, so a new generation of mobile and intuitive industrial applications will make life easier for workers of all skill levels. The worker of the future will be more like Iron Man than the Charlie Chaplin of "Modern Times." And to be sure, new high-skilled jobs will be created: mechanical digital engineers who understand both the machines and the data; managers who understand their industry and the analytic and can reorganize the business to take full advantage of the technology. ( 這種新的創新浪潮正在從根本上改變我們的工作方式。我知道你們很多人會關注創新可能對就業的影響。失業率已經很高了,而且總有一種恐懼,創新將損害就業。創新是顛覆性的。但我想強調兩件事。首先,我們已經通過農業,工業自動化機械化生活,就業有所回升,因為創新是從根本上對增長。它使產品更加實惠。它創造了新的需求,新的就業機會。其次,有人擔心,在未來,只會有餘地工程師,數據科學家和其他高度專業化的工作人員。相信我,作為一個經濟學家,我也害怕。但仔細想想:就像一個孩子可以很容易地計算出如何操作一台iPad ,所以新一代的移動和直觀的工業應用將使生活更容易為所有技能水平的工人。未來的工人會更喜歡鋼鐵俠比的查理·卓別林“摩登時代”。並且可以肯定,新的高技能職位是:機械數字工程師誰了解雙方的機器和數據;誰了解他們的行業和分析,並可以重組業務,以充分利用該技術的管理人員。)

But now let's take a step back. Let's look at the big picture. There are people who argue that today's innovation is all about social media and silly games, with nowhere near the transformational power of the Industrial Revolution. They say that all the growth-enhancing innovations are behind us. And every time I hear this, I can't help thinking that even back in the Stone Age, there must have been a group of cavemen sitting around a fire one day looking very grumpy, and looking disapprovingly at another group of cavemen rolling a stone wheel up and down a hill, and saying to each other, "Yeah, this wheel thing, cool toy, sure, but compared to fire, it will have no impact. The big discoveries are all behind us." (Laughter)

This technological revolution is as inspiring and transformational as anything we have ever seen. Human creativity and innovation have always propelled us forward. They've created jobs. They've raised living standards. They've made our lives healthier and more rewarding. And the new wave of innovation which is beginning to sweep through industry is no different. In the U.S. alone, the industrial Internet could raise average income by 25 to 40 percent over the next 15 years, boosting growth to rates we haven't seen in a long time, and adding between 10 and 15 trillion dollars to global GDP. That is the size of the entire U.S. economy today.

But this is not a foregone conclusion. We are just at the beginning of this transformation, and there will be barriers to break, obstacles to overcome. We will need to invest in the new technologies. We will need to adapt organizations and managerial practices. We will need a robust cybersecurity approach that protects sensitive information and intellectual property and safeguards critical infrastructure from cyberattacks. And the education system will need to evolve to ensure students are equipped with the right skills. It's not going to be easy, but it is going to be worth it. The economic challenges facing us are hard, but when I walk the factory floor, and I see how humans and brilliant machines are becoming interconnected, and I see the difference this makes in a hospital, in an airport, in a power generation plant, I'm not just optimistic, I'm enthusiastic. This new technological revolution is upon us.

註: 根據分析之資料



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