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Sponsored
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But the researchers, who \u003ca href=\"http://science.sciencemag.org/cgi/doi/10.1126/science.aas9315\" target=\"_blank\" rel=\"noopener\">reported their work\u003c/a> Thursday in the journal Science, combined innovations in synthetic biology and microelectronics to create a modular platform that could be adapted to identify a wide range of molecules.\u003c/p>\n\u003cp class=\"danger-zone\">“We want to try to illuminate and provide understanding into areas that are not easily accessible,” said Dr. Timothy Lu, a bioengineer at the Massachusetts Institute of Technology and senior author of the paper.\u003c/p>\n\u003cp class=\"\">The GI tract houses a myriad of metabolites that scientists hope could shed light on what happens in the dark of the digestive system. These molecules could provide clues to when the system gets out of whack, for example, or perhaps open a new way to diagnose disease. But experts lack the tools to probe deep inside, particularly in the parts of the system that are beyond the reach of tools like scopes.\u003c/p>\n\u003cp class=\"\">“A lot of important biology and health-related pathways are happening there, and we don’t have really good technologies to see inside the gut and measure chemicals there,” said Jeff Tabor, a bioengineer at Rice University, who was not involved in the study.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers have been experimenting with engineering bacteria so that they are triggered in some way in the presence of their targeted molecules. But if the bacteria are deployed into the GI tract, they typically can’t signal to people outside what they’ve encountered. It would be like discovering the lost city of Atlantis only to realize you don’t have a way to tell anyone what you found or where you found it.\u003c/p>\n\u003cp>“Getting the data back out is a challenge, so having a convenient, really practical strategy for having the bacteria tell us what they see is important,” Tabor said about the new sensor system. “I think this is a really nice solution for that problem.”\u003c/p>\n\u003cp>The new tool — which the research team has dubbed an ingestible micro-bio-electronic device, or IMBED — tucks the engineered bacteria into wells that are covered by a semipermeable membrane, keeping the bacterial cells inside but welcoming metabolites.\u003c/p>\n\u003cp>If the molecules of choice filter in and meet the bacteria, the bacterial cells produce light that is picked up by photodetectors embedded in a small electrical chip. The electrical system can then shoot the signal out to a smartphone app, like a prospector screaming upon striking oil.[contextly_sidebar id=\"D3dFdFoqEBnMHRAKc3Bvbp848jc9CyDK\"]\u003c/p>\n\u003cp>The device described in the paper is about 10 millimeters by 30 millimeters — about the length of two dimes next to each other — and the researchers, who have filed for a patent on the technology, said they hope to shrink it to about a third of its size for use in people. Experts noted that pills carrying cameras or monitoring temperatures are already in use, so this approach is not that sci-fi.\u003c/p>\n\u003cp>“This has the potential to unlock a wealth of information about the body’s structure and function, its relationship with the environment, and the impact of disease and therapeutic interventions,” Peter Gibson and Rebecca Burgell of Monash University in Australia wrote in \u003ca href=\"http://science.sciencemag.org/cgi/doi/10.1126/science.aat8658\" target=\"_blank\" rel=\"noopener\">an editorial\u003c/a> accompanying the study.\u003c/p>\n\u003cp>As a proof of concept, the researchers showed the system could detect the molecule heme in the GI tracts of pigs in a model of GI bleeding. Within two hours of being deployed, the device was able to distinguish between pigs with modeled GI bleeding and a control group, with 100 percent accuracy.\u003c/p>\n\u003cp>The researchers envision tweaking the bacteria so they can recognize a range of metabolites. The device also has four wells, each with room for about a million bacterial cells, so it might be possible to put different bacterial biosensors in each well to detect different molecules.\u003c/p>\n\u003cp>“We could evolve these living systems to conceivably sense any biological marker,” said Mark Mimee, a graduate student at MIT and lead author of the study.\u003c/p>\n\u003cp>Researchers not involved with the work identified several improvements that are needed for the biosensor to be clinically useful. First, doctors need to be able to track the device so they can tell where exactly in the gut it is when it detects its targeted molecules. The sensor also needs to be able to pick up on the metabolites rapidly so it can send out its signal before it gets shuttled along to another part of the GI tract.\u003c/p>\n\u003cp>Gibson and Burgell, as well as Tabor, also pointed to another challenge: Scientists haven’t nailed down exactly what biomarkers they should be looking for as signposts for different diseases. So beyond honing this 21st century technology, researchers still need to unlock a greater understanding of our much older biology.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://www.statnews.com/2018/04/20/doctors-learn-bad-habits-teaching-hospitals/\" target=\"_blank\" rel=\"noopener\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"MIT scientists have created a swallowable sensor that can detect the presence of molecules that might be signs of disease.","status":"publish","parent":0,"modified":1527263075,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":901},"headData":{"title":"Swallow This: A Sensor That Monitors Gut Health And Beams Results To A Smartphone | KQED","description":"MIT scientists have created a swallowable sensor that can detect the presence of molecules that might be signs of disease.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"442062 https://ww2.kqed.org/futureofyou/?p=442062","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/05/25/swallow-this-a-sensor-that-monitors-gut-health-and-beams-results-to-a-smartphone/","disqusTitle":"Swallow This: A Sensor That Monitors Gut Health And Beams Results To A Smartphone","source":"Health","nprByline":"Andrew Joseph\u003cbr />STAT","path":"/futureofyou/442062/swallow-this-a-sensor-that-monitors-gut-health-and-beams-results-to-a-smartphone","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"danger-zone\">Researchers have devised a new way to get a sneak peek into what’s going on deep in your digestive system, creating a swallowable sensor that, with the help of engineered bacteria and a tiny electrical circuit, can detect the presence of molecules that might be signs of disease and then beam the results to a smartphone app.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp class=\"danger-zone\">The device, which scientists validated in pigs, remains a prototype and needs to be refined before it could be used in people. But the researchers, who \u003ca href=\"http://science.sciencemag.org/cgi/doi/10.1126/science.aas9315\" target=\"_blank\" rel=\"noopener\">reported their work\u003c/a> Thursday in the journal Science, combined innovations in synthetic biology and microelectronics to create a modular platform that could be adapted to identify a wide range of molecules.\u003c/p>\n\u003cp class=\"danger-zone\">“We want to try to illuminate and provide understanding into areas that are not easily accessible,” said Dr. Timothy Lu, a bioengineer at the Massachusetts Institute of Technology and senior author of the paper.\u003c/p>\n\u003cp class=\"\">The GI tract houses a myriad of metabolites that scientists hope could shed light on what happens in the dark of the digestive system. These molecules could provide clues to when the system gets out of whack, for example, or perhaps open a new way to diagnose disease. But experts lack the tools to probe deep inside, particularly in the parts of the system that are beyond the reach of tools like scopes.\u003c/p>\n\u003cp class=\"\">“A lot of important biology and health-related pathways are happening there, and we don’t have really good technologies to see inside the gut and measure chemicals there,” said Jeff Tabor, a bioengineer at Rice University, who was not involved in the study.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers have been experimenting with engineering bacteria so that they are triggered in some way in the presence of their targeted molecules. But if the bacteria are deployed into the GI tract, they typically can’t signal to people outside what they’ve encountered. It would be like discovering the lost city of Atlantis only to realize you don’t have a way to tell anyone what you found or where you found it.\u003c/p>\n\u003cp>“Getting the data back out is a challenge, so having a convenient, really practical strategy for having the bacteria tell us what they see is important,” Tabor said about the new sensor system. “I think this is a really nice solution for that problem.”\u003c/p>\n\u003cp>The new tool — which the research team has dubbed an ingestible micro-bio-electronic device, or IMBED — tucks the engineered bacteria into wells that are covered by a semipermeable membrane, keeping the bacterial cells inside but welcoming metabolites.\u003c/p>\n\u003cp>If the molecules of choice filter in and meet the bacteria, the bacterial cells produce light that is picked up by photodetectors embedded in a small electrical chip. The electrical system can then shoot the signal out to a smartphone app, like a prospector screaming upon striking oil.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The device described in the paper is about 10 millimeters by 30 millimeters — about the length of two dimes next to each other — and the researchers, who have filed for a patent on the technology, said they hope to shrink it to about a third of its size for use in people. Experts noted that pills carrying cameras or monitoring temperatures are already in use, so this approach is not that sci-fi.\u003c/p>\n\u003cp>“This has the potential to unlock a wealth of information about the body’s structure and function, its relationship with the environment, and the impact of disease and therapeutic interventions,” Peter Gibson and Rebecca Burgell of Monash University in Australia wrote in \u003ca href=\"http://science.sciencemag.org/cgi/doi/10.1126/science.aat8658\" target=\"_blank\" rel=\"noopener\">an editorial\u003c/a> accompanying the study.\u003c/p>\n\u003cp>As a proof of concept, the researchers showed the system could detect the molecule heme in the GI tracts of pigs in a model of GI bleeding. Within two hours of being deployed, the device was able to distinguish between pigs with modeled GI bleeding and a control group, with 100 percent accuracy.\u003c/p>\n\u003cp>The researchers envision tweaking the bacteria so they can recognize a range of metabolites. The device also has four wells, each with room for about a million bacterial cells, so it might be possible to put different bacterial biosensors in each well to detect different molecules.\u003c/p>\n\u003cp>“We could evolve these living systems to conceivably sense any biological marker,” said Mark Mimee, a graduate student at MIT and lead author of the study.\u003c/p>\n\u003cp>Researchers not involved with the work identified several improvements that are needed for the biosensor to be clinically useful. First, doctors need to be able to track the device so they can tell where exactly in the gut it is when it detects its targeted molecules. The sensor also needs to be able to pick up on the metabolites rapidly so it can send out its signal before it gets shuttled along to another part of the GI tract.\u003c/p>\n\u003cp>Gibson and Burgell, as well as Tabor, also pointed to another challenge: Scientists haven’t nailed down exactly what biomarkers they should be looking for as signposts for different diseases. So beyond honing this 21st century technology, researchers still need to unlock a greater understanding of our much older biology.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://www.statnews.com/2018/04/20/doctors-learn-bad-habits-teaching-hospitals/\" target=\"_blank\" rel=\"noopener\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442062/swallow-this-a-sensor-that-monitors-gut-health-and-beams-results-to-a-smartphone","authors":["byline_futureofyou_442062"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_689","futureofyou_61","futureofyou_145","futureofyou_35"],"featImg":"futureofyou_442064","label":"source_futureofyou_442062"},"futureofyou_438782":{"type":"posts","id":"futureofyou_438782","meta":{"index":"posts_1591205157","site":"futureofyou","id":"438782","score":null,"sort":[1517252159000]},"guestAuthors":[],"slug":"digital-medicine-may-have-just-hit-the-trough-of-disillusionment","title":"If Digital Health is the Future, the Future is Not Here. Yet.","publishDate":1517252159,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>In 1995, in order to educate its clients on what technology to adopt, the IT consulting firm Gartner \u003ca href=\"https://www.gartner.com/technology/research/methodologies/hype-cycle.jsp\" target=\"_blank\" rel=\"noopener\">released a graph\u003c/a> illustrating the “hype cycle.”\u003c/p>\n\u003cp>The model posits that when a new technology is developed, it creates a frenzy of anticipation, leading to a Peak of Inflated Expectations. \u003ca href=\"https://theconversation.com/fitbits-decline-is-a-reflection-of-the-end-of-the-over-hyped-promise-of-wearables-73823\" target=\"_blank\" rel=\"noopener\">Failing\u003c/a> to live up to its pie-in-the-sky promise, the technology then becomes the butt of \u003ca href=\"https://www.youtube.com/watch?v=9507aK_nBHo&ab_channel=cgmcreative\">jokes and derision\u003c/a> — a Trough of Disillusionment.\u003c/p>\n\u003cfigure id=\"attachment_438726\" class=\"wp-caption aligncenter\" style=\"max-width: 506px\">\u003cimg class=\"wp-image-438726 \" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/gartner-for-marketers-hype-cycle.png\" alt=\"A graph showing the rise, fall, and subsequent rise of new forms of technology\" width=\"506\" height=\"259\">\u003cfigcaption class=\"wp-caption-text\">The Hype Cycle.\u003c/figcaption>\u003c/figure>\n\u003cp>But as it improves, it reaccumulates credibility -- the Slope of Enlightenment. The technology then matures into the mainstream, where the rollercoaster lifecycle finally smooths out along the Plateau of Productivity.\u003c/p>\n\u003cp>And this, says Dr. Robert Wachter, author of \"\u003ca href=\"https://ww2.kqed.org/futureofyou/tag/the-digital-doctor/\">The Digital Doctor\u003c/a>\" and chair of the Department of Medicine at UCSF, “turns out to be a perfect map for digital medicine.”\u003c/p>\n\u003cp>\u003cstrong>Does This Stuff Work? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We’re trying to emphasize this is not the end of wearables. [But] we don’t want to overpromise what these can achieve.'\u003ccite>Dr. Brennan Spiegel, Cedars-Sinai Health Services Research\u003c/cite>\u003c/aside>\n\u003cp>A \u003ca href=\"https://www.nature.com/articles/s41746-017-0002-4\" target=\"_blank\" rel=\"noopener\">meta-analysis\u003c/a> published this month in the journal \u003cem>Digital Medicine\u003c/em> would seem to buttress Wachter’s view. The study, conducted mostly by researchers at Cedars-Sinai Medical Center in Los Angeles, takes a broad look at the effectiveness of wearable sensors. The study looked at 16 randomized controlled trials, published from 2000 to 2016, which researchers assessed to be high quality. To be included in the study, devices had to be non-invasive, wearable, and capable of automatically transmitting data to a web portal or mobile app for review by patients or health providers. Among the devices tested were internet-connected weight scales, blood pressure monitors and activity trackers with text-message reminders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The primary question researchers wanted to answer: Do these wearable biosensors make patients healthier?\u003c/p>\n\u003cp>Not very much, was the conclusion. The analysis found no significant difference in health outcomes like weight or blood pressure between patients who used the devices and those who didn't.\u003c/p>\n\u003cp>The researchers say they were not surprised, and they hope the work will pave the way for better development and use of remote health monitoring.\u003c/p>\n\u003cp>“We’re trying to emphasize this is not the end of wearables,” says co-author Dr. Brennan Spiegel, director of Cedars-Sinai Health Services Research in Los Angeles. “[But] we don’t want to overpromise what these can achieve.”\u003c/p>\n\u003cp>The authors did note some positive effect in certain cases. For instance, \u003ca href=\"http://www.mdpi.com/1424-8220/14/4/6229/htm\">a study\u003c/a> looking at Parkinson’s patients found a positive effect when physical therapy included devices that gave feedback about gaits; and in some trials patients did lose weight.\u003c/p>\n\u003cfigure id=\"attachment_438738\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-438738 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/6905654506_5ac041bada_k-1020x752.jpg\" alt=\"Three joggers near a body of water.\" width=\"640\" height=\"472\">\u003cfigcaption class=\"wp-caption-text\">Wearing an activity tracker does not necessarily lead to more activity.\u003c/figcaption>\u003c/figure>\n\u003cp>“The most successful studies tend to be coupled with some behavioral intervention,” Spiegel says. This added component sometimes took the form of a health coach or cognitive behavioral therapy, in addition to use of the device.\u003c/p>\n\u003cp>That means the greatest hurdles to efficacy in the digital health revolution may not be technical, but human.\u003c/p>\n\u003cp>“What we conclude in the study is that digital health is not a computer science or an engineering science; it’s a social and behavioral science.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Medicine is probably the last field to be touched by technology.'\u003ccite>Dr. Bob Wachter, author of 'The Digital Doctor'\u003c/cite>\u003c/aside>\n\u003cp>Other recently published research, a \u003ca href=\"http://mhealth.jmir.org/2018/1/e23/\" target=\"_blank\" rel=\"noopener\">systematic review\u003c/a> of systematic reviews, focused on mobile health interventions, most frequently involving text messaging. The analysis, published in the\u003cem> Journal of Medical Internet Research mHealth and uHealth\u003c/em>, looked at 371 studies published between 2009 and 2016, comprised of nearly 80,000 patients. The studied interventions included apps to manage chronic disease, increase treatment adherence and modify behavior. The analysis found evidence that mobile health apps helped with a variety of conditions, including symptom improvement in chronic pulmonary disease and heart failure; glycemic control in diabetes patients; and blood pressure in those with hypertension. There was also evidence that text reminders improved adherence to tuberculosis and HIV therapies.\u003c/p>\n\u003cp>[contextly_sidebar id=\"cJJOGi35mjmKyVRrfPXWGXPW5fc4Gdks\"]However, the quality of the evidence for many studies was rated as generally low. Among the more rigorous studies were those that found good evidence for improvement in asthma symptoms, appointment attendance and smoking cessation rates.\u003c/p>\n\u003cp>\u003cstrong>Medicine Needs to do Better. Will Technology Help?\u003c/strong>\u003c/p>\n\u003cp>Wachter ticked off the ways medicine is \"coming up short in what we want from it.\"\u003c/p>\n\u003cp>\"Safety is not very good,\" he says. \"We harm and kill a lot of people because of medical mistakes. People are not very satisfied ... . Access is often quite bad. And the costs are bankrupting local governments, national governments, and businesses and individuals.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'[Investors] wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.'\u003ccite>Melissa Buckley, California Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>And yet, “Medicine is probably the last field to be touched by technology,\" he says. \"Think about how manufacturing, retail, financial services, travel, journalism, pretty much every field has been overtaken by technology.”\u003c/p>\n\u003cp>These manifold inefficiencies present a natural target for technologists, Wachter says.\u003c/p>\n\u003cp>“You have the technology trigger, a massive uptick in expectation. Then, of course, studies like [the one in \u003cem>Digital Medicine\u003c/em>] come out and it leads to a rapid downslope, that Trough of Disillusionment.\"\u003c/p>\n\u003cp>Still, Wachter, as well as many other experts, believe remote sensors, mobile health and tech-enhanced medical services will play an important role in the future of medicine, because there are so many people who need help monitoring chronic disease and guidance on diet and exercise. It’s just too time-consuming and costly to always get these directly from medical professionals, Wachter says.\u003c/p>\n\u003cp>“Right now many people take a half-day off work to go to a 15- minute visit to see the doctor. That’s crazy. How can that be the model over time?”\u003c/p>\n\u003cp>Wachter predicts digital health devices will eventually become as indispensable as smartphones and personal assistants.\u003c/p>\n\u003cp>“That has not happened yet in remote patient monitoring. My suspicion is that over time it probably will, but we have to learn a lot.”\u003c/p>\n\u003cp>Melissa Buckley is director of the Health Innovation Fund for the California Health Care Foundation, which is dedicated to improving health care for low-income state residents. The fund invests in technology and service companies it hopes will help in that mission.\u003c/p>\n\u003cp>Buckley says she’s seen companies only in the last two years try to shorten the hype cycle, which they're doing by becoming more realistic and intentional in the design and deployment of technology. She points out that some of the studies cited in the \u003cem>Digital Health \u003c/em>analysis date back to 2000, when devices were relatively primitive.\u003c/p>\n\u003cp>During the initial phase of excitement over using technology to solve health problems, she says, many investors put money into simple concepts. “They wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.”\u003c/p>\n\u003cp>The field is learning, she believes, to be more attuned to what patients really need.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“But just because [some tool] is digital, we shouldn’t think it will be magically effective.”\u003c/p>\n\n","blocks":[],"excerpt":"Studies of wearable biosensors for patients found they made patients healthier very occasionally, with most interventions showing no benefit over conventional treatment.\r\n","status":"publish","parent":0,"modified":1517528450,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1223},"headData":{"title":"If Digital Health is the Future, the Future is Not Here. Yet. | KQED","description":"Studies of wearable biosensors for patients found they made patients healthier very occasionally, with most interventions showing no benefit over conventional treatment.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"438782 https://ww2.kqed.org/futureofyou/?p=438782","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/01/29/digital-medicine-may-have-just-hit-the-trough-of-disillusionment/","disqusTitle":"If Digital Health is the Future, the Future is Not Here. Yet.","source":"KQED Future of You","path":"/futureofyou/438782/digital-medicine-may-have-just-hit-the-trough-of-disillusionment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 1995, in order to educate its clients on what technology to adopt, the IT consulting firm Gartner \u003ca href=\"https://www.gartner.com/technology/research/methodologies/hype-cycle.jsp\" target=\"_blank\" rel=\"noopener\">released a graph\u003c/a> illustrating the “hype cycle.”\u003c/p>\n\u003cp>The model posits that when a new technology is developed, it creates a frenzy of anticipation, leading to a Peak of Inflated Expectations. \u003ca href=\"https://theconversation.com/fitbits-decline-is-a-reflection-of-the-end-of-the-over-hyped-promise-of-wearables-73823\" target=\"_blank\" rel=\"noopener\">Failing\u003c/a> to live up to its pie-in-the-sky promise, the technology then becomes the butt of \u003ca href=\"https://www.youtube.com/watch?v=9507aK_nBHo&ab_channel=cgmcreative\">jokes and derision\u003c/a> — a Trough of Disillusionment.\u003c/p>\n\u003cfigure id=\"attachment_438726\" class=\"wp-caption aligncenter\" style=\"max-width: 506px\">\u003cimg class=\"wp-image-438726 \" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/gartner-for-marketers-hype-cycle.png\" alt=\"A graph showing the rise, fall, and subsequent rise of new forms of technology\" width=\"506\" height=\"259\">\u003cfigcaption class=\"wp-caption-text\">The Hype Cycle.\u003c/figcaption>\u003c/figure>\n\u003cp>But as it improves, it reaccumulates credibility -- the Slope of Enlightenment. The technology then matures into the mainstream, where the rollercoaster lifecycle finally smooths out along the Plateau of Productivity.\u003c/p>\n\u003cp>And this, says Dr. Robert Wachter, author of \"\u003ca href=\"https://ww2.kqed.org/futureofyou/tag/the-digital-doctor/\">The Digital Doctor\u003c/a>\" and chair of the Department of Medicine at UCSF, “turns out to be a perfect map for digital medicine.”\u003c/p>\n\u003cp>\u003cstrong>Does This Stuff Work? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We’re trying to emphasize this is not the end of wearables. [But] we don’t want to overpromise what these can achieve.'\u003ccite>Dr. Brennan Spiegel, Cedars-Sinai Health Services Research\u003c/cite>\u003c/aside>\n\u003cp>A \u003ca href=\"https://www.nature.com/articles/s41746-017-0002-4\" target=\"_blank\" rel=\"noopener\">meta-analysis\u003c/a> published this month in the journal \u003cem>Digital Medicine\u003c/em> would seem to buttress Wachter’s view. The study, conducted mostly by researchers at Cedars-Sinai Medical Center in Los Angeles, takes a broad look at the effectiveness of wearable sensors. The study looked at 16 randomized controlled trials, published from 2000 to 2016, which researchers assessed to be high quality. To be included in the study, devices had to be non-invasive, wearable, and capable of automatically transmitting data to a web portal or mobile app for review by patients or health providers. Among the devices tested were internet-connected weight scales, blood pressure monitors and activity trackers with text-message reminders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The primary question researchers wanted to answer: Do these wearable biosensors make patients healthier?\u003c/p>\n\u003cp>Not very much, was the conclusion. The analysis found no significant difference in health outcomes like weight or blood pressure between patients who used the devices and those who didn't.\u003c/p>\n\u003cp>The researchers say they were not surprised, and they hope the work will pave the way for better development and use of remote health monitoring.\u003c/p>\n\u003cp>“We’re trying to emphasize this is not the end of wearables,” says co-author Dr. Brennan Spiegel, director of Cedars-Sinai Health Services Research in Los Angeles. “[But] we don’t want to overpromise what these can achieve.”\u003c/p>\n\u003cp>The authors did note some positive effect in certain cases. For instance, \u003ca href=\"http://www.mdpi.com/1424-8220/14/4/6229/htm\">a study\u003c/a> looking at Parkinson’s patients found a positive effect when physical therapy included devices that gave feedback about gaits; and in some trials patients did lose weight.\u003c/p>\n\u003cfigure id=\"attachment_438738\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-438738 size-large\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/6905654506_5ac041bada_k-1020x752.jpg\" alt=\"Three joggers near a body of water.\" width=\"640\" height=\"472\">\u003cfigcaption class=\"wp-caption-text\">Wearing an activity tracker does not necessarily lead to more activity.\u003c/figcaption>\u003c/figure>\n\u003cp>“The most successful studies tend to be coupled with some behavioral intervention,” Spiegel says. This added component sometimes took the form of a health coach or cognitive behavioral therapy, in addition to use of the device.\u003c/p>\n\u003cp>That means the greatest hurdles to efficacy in the digital health revolution may not be technical, but human.\u003c/p>\n\u003cp>“What we conclude in the study is that digital health is not a computer science or an engineering science; it’s a social and behavioral science.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'Medicine is probably the last field to be touched by technology.'\u003ccite>Dr. Bob Wachter, author of 'The Digital Doctor'\u003c/cite>\u003c/aside>\n\u003cp>Other recently published research, a \u003ca href=\"http://mhealth.jmir.org/2018/1/e23/\" target=\"_blank\" rel=\"noopener\">systematic review\u003c/a> of systematic reviews, focused on mobile health interventions, most frequently involving text messaging. The analysis, published in the\u003cem> Journal of Medical Internet Research mHealth and uHealth\u003c/em>, looked at 371 studies published between 2009 and 2016, comprised of nearly 80,000 patients. The studied interventions included apps to manage chronic disease, increase treatment adherence and modify behavior. The analysis found evidence that mobile health apps helped with a variety of conditions, including symptom improvement in chronic pulmonary disease and heart failure; glycemic control in diabetes patients; and blood pressure in those with hypertension. There was also evidence that text reminders improved adherence to tuberculosis and HIV therapies.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>However, the quality of the evidence for many studies was rated as generally low. Among the more rigorous studies were those that found good evidence for improvement in asthma symptoms, appointment attendance and smoking cessation rates.\u003c/p>\n\u003cp>\u003cstrong>Medicine Needs to do Better. Will Technology Help?\u003c/strong>\u003c/p>\n\u003cp>Wachter ticked off the ways medicine is \"coming up short in what we want from it.\"\u003c/p>\n\u003cp>\"Safety is not very good,\" he says. \"We harm and kill a lot of people because of medical mistakes. People are not very satisfied ... . Access is often quite bad. And the costs are bankrupting local governments, national governments, and businesses and individuals.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'[Investors] wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.'\u003ccite>Melissa Buckley, California Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>And yet, “Medicine is probably the last field to be touched by technology,\" he says. \"Think about how manufacturing, retail, financial services, travel, journalism, pretty much every field has been overtaken by technology.”\u003c/p>\n\u003cp>These manifold inefficiencies present a natural target for technologists, Wachter says.\u003c/p>\n\u003cp>“You have the technology trigger, a massive uptick in expectation. Then, of course, studies like [the one in \u003cem>Digital Medicine\u003c/em>] come out and it leads to a rapid downslope, that Trough of Disillusionment.\"\u003c/p>\n\u003cp>Still, Wachter, as well as many other experts, believe remote sensors, mobile health and tech-enhanced medical services will play an important role in the future of medicine, because there are so many people who need help monitoring chronic disease and guidance on diet and exercise. It’s just too time-consuming and costly to always get these directly from medical professionals, Wachter says.\u003c/p>\n\u003cp>“Right now many people take a half-day off work to go to a 15- minute visit to see the doctor. That’s crazy. How can that be the model over time?”\u003c/p>\n\u003cp>Wachter predicts digital health devices will eventually become as indispensable as smartphones and personal assistants.\u003c/p>\n\u003cp>“That has not happened yet in remote patient monitoring. My suspicion is that over time it probably will, but we have to learn a lot.”\u003c/p>\n\u003cp>Melissa Buckley is director of the Health Innovation Fund for the California Health Care Foundation, which is dedicated to improving health care for low-income state residents. The fund invests in technology and service companies it hopes will help in that mission.\u003c/p>\n\u003cp>Buckley says she’s seen companies only in the last two years try to shorten the hype cycle, which they're doing by becoming more realistic and intentional in the design and deployment of technology. She points out that some of the studies cited in the \u003cem>Digital Health \u003c/em>analysis date back to 2000, when devices were relatively primitive.\u003c/p>\n\u003cp>During the initial phase of excitement over using technology to solve health problems, she says, many investors put money into simple concepts. “They wanted a quick win, but now they realize there aren’t a lot of quick wins in health care.”\u003c/p>\n\u003cp>The field is learning, she believes, to be more attuned to what patients really need.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“But just because [some tool] is digital, we shouldn’t think it will be magically effective.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/438782/digital-medicine-may-have-just-hit-the-trough-of-disillusionment","authors":["11088"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1062","futureofyou_73"],"tags":["futureofyou_717","futureofyou_26","futureofyou_1275","futureofyou_80","futureofyou_145","futureofyou_25"],"featImg":"futureofyou_274615","label":"source_futureofyou_438782"},"futureofyou_319192":{"type":"posts","id":"futureofyou_319192","meta":{"index":"posts_1591205157","site":"futureofyou","id":"319192","score":null,"sort":[1484329014000]},"guestAuthors":[],"slug":"wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","title":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study","publishDate":1484329014,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>A next step for smart watches and fitness trackers? Wearable gadgets gave a Stanford University professor an early warning that he was getting sick before he ever felt any symptoms of Lyme disease.\u003c/p>\n\u003cp>Geneticist Michael Snyder never had Lyme's characteristic bulls-eye rash. But a smart watch and other sensors charted changes in Snyder's heart rate and oxygen levels during a family vacation. Eventually a fever struck that led to his diagnosis.\u003c/p>\n\u003cp>Say \"wearables,\" and step-counting fitness trackers spring to mind. It's not clear if they really make a difference in users' health. Now Snyder's team at Stanford is starting to find out, tracking the everyday lives of several dozen volunteers wearing devices that monitor more than mere activity.\u003c/p>\n\u003cp>He envisions one day having wearables that act as a sort of \"check engine\" light indicating it's time to see the doctor.\u003c/p>\n\u003cp>\"One way to look at this is, these are the equivalent of oral thermometers but you're measuring yourself all the time,\" said Snyder, senior author of a report released Thursday on the project.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Among the earliest hints: Changes in people's day-to-day physiology may flag when certain ailments are brewing, from colds to Lyme to Type 2 diabetes, researchers reported in the journal PLOS Biology.\u003c/p>\n\u003cp>Interest in wearable sensors is growing along with efforts to personalize medicine, as scientists learn how to tailor treatments and preventive care to people's genes, environment and lifestyle. The sensors are expected to be a part of the National Institutes of Health's huge \"precision medicine\" study, planned to begin later this year.\u003c/p>\n\u003cp>But a first step is learning what's normal for different people under different conditions.\u003c/p>\n\u003cp>The Stanford team is collecting reams of data — as many as 250,000 daily measurements — from volunteers who wear up to eight activity monitors or other sensors of varying sizes that measure heart rate, blood oxygen, skin temperature, sleep, calories expended, exercise and even exposure to radiation. That's paired with occasional laboratory tests to measure blood chemistry and some genetic information.\u003c/p>\n\u003cp>An initial finding: Blood oxygen levels decrease with rising altitudes during plane flights, in turn triggering fatigue. But toward the end of long flights, oxygen begins rising again, possibly as bodies adapt, the researchers reported.\u003c/p>\n\u003cp>It was that phenomenon that alerted Snyder, the longest-tested participant, \"that something wasn't quite right\" on one of his frequent long flights.\u003c/p>\n\u003cp>Landing in Norway for a family vacation, Snyder noticed his oxygen levels didn't return to normal like they always had before. Plus his heart rate was much higher than normal, which sometimes signals infection.\u003c/p>\n\u003cp>Sure enough, soon a low-grade fever left him dragging. He feared Lyme because two weeks before going abroad, Snyder had helped his brother build a fence in a tick-infested rural area in Massachusetts. He persuaded a Norwegian doctor to prescribe the appropriate antibiotic, and post-vacation testing back home confirmed the diagnosis.\u003c/p>\n\u003cp>Also during the study's first two years, Snyder and several other volunteers had minor cold-like illnesses that began with higher-than-normal readings for heart rate and skin temperature — and correlated with blood tests showing inflammation was on the rise before any sniffling.\u003c/p>\n\u003cp>In addition, the Stanford team detected variations in heart rate patterns that could tell the difference between study participants with what's called insulin resistance — a risk factor for Type 2 diabetes — and healthy people.\u003c/p>\n\u003cp>No, don't try to self-diagnose with your fitness tracker any time soon. The findings in Thursday's report are intriguing but the study is highly experimental, cautioned medical technology specialist Dr. Atul Butte of the University of California, San Francisco, who wasn't involved with the research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This kind of approach is going to help science more than the general public\" until there's better data about what's normal or not, Butte said. \"Remember, the baseline is always in motion. We're always getting older. We're always exposed to things. Just because there's a deviation doesn't mean it's abnormal.\"\u003c/p>\n\n","blocks":[],"excerpt":"A Stanford team is collecting as many as 250,000 daily measurements from volunteers who wear up to eight activity monitors or other sensors. One set of measurements helped diagnose Lyme disease. ","status":"publish","parent":0,"modified":1517014364,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":687},"headData":{"title":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study | KQED","description":"A Stanford team is collecting as many as 250,000 daily measurements from volunteers who wear up to eight activity monitors or other sensors. One set of measurements helped diagnose Lyme disease. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"319192 http://ww2.kqed.org/futureofyou/?p=319192","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/01/13/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study/","disqusTitle":"Wearable Sensors Help Diagnose Lyme Disease in Stanford Study","source":"KQED Future of You","nprByline":"Lauran Neergard\u003cbr />Associated Press","path":"/futureofyou/319192/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A next step for smart watches and fitness trackers? Wearable gadgets gave a Stanford University professor an early warning that he was getting sick before he ever felt any symptoms of Lyme disease.\u003c/p>\n\u003cp>Geneticist Michael Snyder never had Lyme's characteristic bulls-eye rash. But a smart watch and other sensors charted changes in Snyder's heart rate and oxygen levels during a family vacation. Eventually a fever struck that led to his diagnosis.\u003c/p>\n\u003cp>Say \"wearables,\" and step-counting fitness trackers spring to mind. It's not clear if they really make a difference in users' health. Now Snyder's team at Stanford is starting to find out, tracking the everyday lives of several dozen volunteers wearing devices that monitor more than mere activity.\u003c/p>\n\u003cp>He envisions one day having wearables that act as a sort of \"check engine\" light indicating it's time to see the doctor.\u003c/p>\n\u003cp>\"One way to look at this is, these are the equivalent of oral thermometers but you're measuring yourself all the time,\" said Snyder, senior author of a report released Thursday on the project.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Among the earliest hints: Changes in people's day-to-day physiology may flag when certain ailments are brewing, from colds to Lyme to Type 2 diabetes, researchers reported in the journal PLOS Biology.\u003c/p>\n\u003cp>Interest in wearable sensors is growing along with efforts to personalize medicine, as scientists learn how to tailor treatments and preventive care to people's genes, environment and lifestyle. The sensors are expected to be a part of the National Institutes of Health's huge \"precision medicine\" study, planned to begin later this year.\u003c/p>\n\u003cp>But a first step is learning what's normal for different people under different conditions.\u003c/p>\n\u003cp>The Stanford team is collecting reams of data — as many as 250,000 daily measurements — from volunteers who wear up to eight activity monitors or other sensors of varying sizes that measure heart rate, blood oxygen, skin temperature, sleep, calories expended, exercise and even exposure to radiation. That's paired with occasional laboratory tests to measure blood chemistry and some genetic information.\u003c/p>\n\u003cp>An initial finding: Blood oxygen levels decrease with rising altitudes during plane flights, in turn triggering fatigue. But toward the end of long flights, oxygen begins rising again, possibly as bodies adapt, the researchers reported.\u003c/p>\n\u003cp>It was that phenomenon that alerted Snyder, the longest-tested participant, \"that something wasn't quite right\" on one of his frequent long flights.\u003c/p>\n\u003cp>Landing in Norway for a family vacation, Snyder noticed his oxygen levels didn't return to normal like they always had before. Plus his heart rate was much higher than normal, which sometimes signals infection.\u003c/p>\n\u003cp>Sure enough, soon a low-grade fever left him dragging. He feared Lyme because two weeks before going abroad, Snyder had helped his brother build a fence in a tick-infested rural area in Massachusetts. He persuaded a Norwegian doctor to prescribe the appropriate antibiotic, and post-vacation testing back home confirmed the diagnosis.\u003c/p>\n\u003cp>Also during the study's first two years, Snyder and several other volunteers had minor cold-like illnesses that began with higher-than-normal readings for heart rate and skin temperature — and correlated with blood tests showing inflammation was on the rise before any sniffling.\u003c/p>\n\u003cp>In addition, the Stanford team detected variations in heart rate patterns that could tell the difference between study participants with what's called insulin resistance — a risk factor for Type 2 diabetes — and healthy people.\u003c/p>\n\u003cp>No, don't try to self-diagnose with your fitness tracker any time soon. The findings in Thursday's report are intriguing but the study is highly experimental, cautioned medical technology specialist Dr. Atul Butte of the University of California, San Francisco, who wasn't involved with the research.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This kind of approach is going to help science more than the general public\" until there's better data about what's normal or not, Butte said. \"Remember, the baseline is always in motion. We're always getting older. We're always exposed to things. Just because there's a deviation doesn't mean it's abnormal.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/319192/wearable-sensors-help-diagnose-lyme-disease-in-stanford-study","authors":["byline_futureofyou_319192"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_73"],"tags":["futureofyou_80","futureofyou_759","futureofyou_145","futureofyou_25"],"featImg":"futureofyou_319194","label":"source_futureofyou_319192"},"futureofyou_33331":{"type":"posts","id":"futureofyou_33331","meta":{"index":"posts_1591205157","site":"futureofyou","id":"33331","score":null,"sort":[1441213701000]},"guestAuthors":[],"slug":"how-tiny-sensors-are-driving-innovation-in-medicine","title":"How Tiny Sensors Are Driving Innovation in Medicine","publishDate":1441213701,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Dr. David Sretavan sees many patients who have difficulty seeing him.\u003c/p>\n\u003cp>A professor of ophthalmology at the University of California San Francisco, Sretavan treats nerve damage related to glaucoma, a disease that’s the leading cause of irreversible blindness. It affects approximately 70 million people worldwide.\u003c/p>\n\u003cp>Glaucoma is a complex eye disease without a direct cause. Physicians measure pressure inside the eye to assess glaucoma risk. But that pressure normally fluctuates over time and there’s no easy way to measure pressure regularly, especially for elderly patients who often have a hard time making it to his office.\u003c/p>\n\u003cp>Pressure monitors are “fairly crude,” Sretavan says, and require a skilled operator, so it’s not something patients can do at home. Yet without regular measurements, he says, “we’re operating in the dark ages, in terms of information we can use clinically.”\u003c/p>\n\u003cfigure id=\"attachment_33697\" class=\"wp-caption alignright\" style=\"max-width: 487px\">\u003cimg class=\"size-full wp-image-33697\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Sretavanresearch1.jpg\" alt=\"A prototype micro-workstation for nerve fiber surgery.\" width=\"487\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1.jpg 487w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1-400x276.jpg 400w\" sizes=\"(max-width: 487px) 100vw, 487px\">\u003cfigcaption class=\"wp-caption-text\">A prototype micro-workstation for nerve fiber surgery. \u003ccite>(Dr. David Sretavan )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To make measuring pressure easier, Sretavan and teams of researchers at UCSF are trying to make their tools smaller. The team is designing a tiny sensor that reflects light and could possibly be anchored into the tissue of the iris. The result would be ocular pressure measurements that wouldn’t require a trip to the doctor’s office.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sretavan’s ocular sensor is one example of an industry trend that’s driving the convergence of biomedicine and nanotechnology. Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.\u003c/p>\n\u003cp>“I firmly believe that the next 50 years are going to be the stunning revolution of health,” says Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/p>\n\u003cp>Many new sensor technologies are being used to monitor medical issues that were otherwise time-consuming for hospital staff. For example, a team of researchers and bioengineers at UCSF has developed a Band-Aid-like pressure sensor to monitor which patients might be at risk for bed sores. Nurses are able to check patients on a digital health platform that monitors patient vital signs.\u003c/p>\n\u003cp>“Nobody thinks of pressure as a vital sign,\" Lee says, \"but if you have pressure on a body part that leads to huge complication, or in some instances death, why wouldn’t you monitor for it.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“I firmly believe that the next 50 years are going to be the stunning revolution of health.\"\u003cbr>\n\u003ccite>Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/cite>\u003c/aside>\n\u003cp>Other applications for pressure sensors include monitoring the strain put on orthopedic devices, or monitoring the force a child puts on their teeth when wearing a retainer. Plus, Lee adds, a sensor that’s small and robust enough can help a patient avoid the risks associated with surgery.\u003c/p>\n\u003cp>“Pressure’s being monitored invasively in medicine,” he says, “sometimes underneath the skin or body cavity or brain, which is inaccessible and requires invasive surgical measures.”\u003c/p>\n\u003cp>While UCSF professors envision a future for dedicated sensors, a UC San Diego graduate researcher takes a systemic view to the future of biotechnology.\u003c/p>\n\u003cp>“Right now we have all these physical sensors that can monitor heart rate or temperature, but there’s not one single wearable sensor that can monitor several parameters,\" says Amay Bandodkar. “When you want to analyze the entire human body you have to monitor several parameters simultaneously.”\u003c/p>\n\u003cp>Bandodkar also points to several sensor projects for monitoring a specific disease. UCSD researchers have developed \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\">conductive inks\u003c/a> that respond to glucose proteins in the skin, allowing people to monitor glucose non-invasively, for diabetes treatment. Others from Columbia University created a \u003ca href=\"http://www.wired.com/2015/02/hiv-diagnostic-tool/\">smartphone accessory to detect HIV\u003c/a>, using a specialized sensor with biomarkers for the disease.\u003c/p>\n\u003cp>Portable sensors that can be integrated directly onto a mobile devices to track specific illnesses will have a high impact on developing nations, Bandodkar says, where medical professionals and resources are scarce.\u003c/p>\n\u003cp>Specialized \u003ca href=\"http://ne.ucsd.edu/faculty/l7zhang/research.php\">drug delivery systems\u003c/a>—for example, microscopic motors that could travel through the bloodstream—will also play a big role in the future of medicine, Bandodkar says. These systems could travel to a particular location in the body to deliver medicine, for example, to clear plaque deposits in arteries, or control infections by screening proteins in the blood.\u003c/p>\n\u003cp>Although advances in manufacturing and cloud computing have made medical sensors a reality, there are roadblocks to mass adoption.\u003c/p>\n\u003cp>One complication is the collaboration that must happen between industries, says Venkat Rajan, global director of visionary healthcare for analyst firm Frost & Sullivan.\u003c/p>\n\u003cp>“If you’re connecting something through a mobile device,” he says, “you’re having to interact with a telecom company or smartphone manufacture. It’s not necessarily something a lot of healthcare companies have done before.”\u003c/p>\n\u003cp>Also, currently the FDA allows many wearable medical devices to be tested and used in trials, without the official federal seal of approval. A change in that policy could impede progress in the engineering field, says Shuvo Roy, who directs UCSF's Biodesign Laboratory.\u003c/p>\n\u003cp>Nonetheless, Roy and Lee are hopeful about the potential for sensor technologies in medicine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re excited about being able to combine two very disparate fields,” Lee says. “I think there’s a lot of other things we’re going to monitor that people haven’t monitored before.”\u003c/p>\n\n","blocks":[],"excerpt":"Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.","status":"publish","parent":0,"modified":1477274422,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":927},"headData":{"title":"How Tiny Sensors Are Driving Innovation in Medicine | KQED","description":"Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"33331 http://ww2.kqed.org/futureofyou/?p=33331","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/02/how-tiny-sensors-are-driving-innovation-in-medicine/","disqusTitle":"How Tiny Sensors Are Driving Innovation in Medicine","nprByline":"Jessica Lipsky ","path":"/futureofyou/33331/how-tiny-sensors-are-driving-innovation-in-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. David Sretavan sees many patients who have difficulty seeing him.\u003c/p>\n\u003cp>A professor of ophthalmology at the University of California San Francisco, Sretavan treats nerve damage related to glaucoma, a disease that’s the leading cause of irreversible blindness. It affects approximately 70 million people worldwide.\u003c/p>\n\u003cp>Glaucoma is a complex eye disease without a direct cause. Physicians measure pressure inside the eye to assess glaucoma risk. But that pressure normally fluctuates over time and there’s no easy way to measure pressure regularly, especially for elderly patients who often have a hard time making it to his office.\u003c/p>\n\u003cp>Pressure monitors are “fairly crude,” Sretavan says, and require a skilled operator, so it’s not something patients can do at home. Yet without regular measurements, he says, “we’re operating in the dark ages, in terms of information we can use clinically.”\u003c/p>\n\u003cfigure id=\"attachment_33697\" class=\"wp-caption alignright\" style=\"max-width: 487px\">\u003cimg class=\"size-full wp-image-33697\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Sretavanresearch1.jpg\" alt=\"A prototype micro-workstation for nerve fiber surgery.\" width=\"487\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1.jpg 487w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1-400x276.jpg 400w\" sizes=\"(max-width: 487px) 100vw, 487px\">\u003cfigcaption class=\"wp-caption-text\">A prototype micro-workstation for nerve fiber surgery. \u003ccite>(Dr. David Sretavan )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To make measuring pressure easier, Sretavan and teams of researchers at UCSF are trying to make their tools smaller. The team is designing a tiny sensor that reflects light and could possibly be anchored into the tissue of the iris. The result would be ocular pressure measurements that wouldn’t require a trip to the doctor’s office.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sretavan’s ocular sensor is one example of an industry trend that’s driving the convergence of biomedicine and nanotechnology. Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.\u003c/p>\n\u003cp>“I firmly believe that the next 50 years are going to be the stunning revolution of health,” says Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/p>\n\u003cp>Many new sensor technologies are being used to monitor medical issues that were otherwise time-consuming for hospital staff. For example, a team of researchers and bioengineers at UCSF has developed a Band-Aid-like pressure sensor to monitor which patients might be at risk for bed sores. Nurses are able to check patients on a digital health platform that monitors patient vital signs.\u003c/p>\n\u003cp>“Nobody thinks of pressure as a vital sign,\" Lee says, \"but if you have pressure on a body part that leads to huge complication, or in some instances death, why wouldn’t you monitor for it.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“I firmly believe that the next 50 years are going to be the stunning revolution of health.\"\u003cbr>\n\u003ccite>Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/cite>\u003c/aside>\n\u003cp>Other applications for pressure sensors include monitoring the strain put on orthopedic devices, or monitoring the force a child puts on their teeth when wearing a retainer. Plus, Lee adds, a sensor that’s small and robust enough can help a patient avoid the risks associated with surgery.\u003c/p>\n\u003cp>“Pressure’s being monitored invasively in medicine,” he says, “sometimes underneath the skin or body cavity or brain, which is inaccessible and requires invasive surgical measures.”\u003c/p>\n\u003cp>While UCSF professors envision a future for dedicated sensors, a UC San Diego graduate researcher takes a systemic view to the future of biotechnology.\u003c/p>\n\u003cp>“Right now we have all these physical sensors that can monitor heart rate or temperature, but there’s not one single wearable sensor that can monitor several parameters,\" says Amay Bandodkar. “When you want to analyze the entire human body you have to monitor several parameters simultaneously.”\u003c/p>\n\u003cp>Bandodkar also points to several sensor projects for monitoring a specific disease. UCSD researchers have developed \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\">conductive inks\u003c/a> that respond to glucose proteins in the skin, allowing people to monitor glucose non-invasively, for diabetes treatment. Others from Columbia University created a \u003ca href=\"http://www.wired.com/2015/02/hiv-diagnostic-tool/\">smartphone accessory to detect HIV\u003c/a>, using a specialized sensor with biomarkers for the disease.\u003c/p>\n\u003cp>Portable sensors that can be integrated directly onto a mobile devices to track specific illnesses will have a high impact on developing nations, Bandodkar says, where medical professionals and resources are scarce.\u003c/p>\n\u003cp>Specialized \u003ca href=\"http://ne.ucsd.edu/faculty/l7zhang/research.php\">drug delivery systems\u003c/a>—for example, microscopic motors that could travel through the bloodstream—will also play a big role in the future of medicine, Bandodkar says. These systems could travel to a particular location in the body to deliver medicine, for example, to clear plaque deposits in arteries, or control infections by screening proteins in the blood.\u003c/p>\n\u003cp>Although advances in manufacturing and cloud computing have made medical sensors a reality, there are roadblocks to mass adoption.\u003c/p>\n\u003cp>One complication is the collaboration that must happen between industries, says Venkat Rajan, global director of visionary healthcare for analyst firm Frost & Sullivan.\u003c/p>\n\u003cp>“If you’re connecting something through a mobile device,” he says, “you’re having to interact with a telecom company or smartphone manufacture. It’s not necessarily something a lot of healthcare companies have done before.”\u003c/p>\n\u003cp>Also, currently the FDA allows many wearable medical devices to be tested and used in trials, without the official federal seal of approval. A change in that policy could impede progress in the engineering field, says Shuvo Roy, who directs UCSF's Biodesign Laboratory.\u003c/p>\n\u003cp>Nonetheless, Roy and Lee are hopeful about the potential for sensor technologies in medicine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re excited about being able to combine two very disparate fields,” Lee says. “I think there’s a lot of other things we’re going to monitor that people haven’t monitored before.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/33331/how-tiny-sensors-are-driving-innovation-in-medicine","authors":["byline_futureofyou_33331"],"categories":["futureofyou_1062"],"tags":["futureofyou_469","futureofyou_80","futureofyou_145"],"featImg":"futureofyou_33699","label":"futureofyou"},"futureofyou_31009":{"type":"posts","id":"futureofyou_31009","meta":{"index":"posts_1591205157","site":"futureofyou","id":"31009","score":null,"sort":[1441040401000]},"guestAuthors":[],"slug":"this-dental-insurer-wants-to-reward-you-for-flossing","title":"This Dental Insurer Wants to Reward You for Flossing","publishDate":1441040401,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Like most dentists, Shaun Rotenberg, who practices in Columbus, Ohio, sees a full spectrum of patients. Some are hyper-vigilant about flossing and brushing their teeth, while others avoid trips to the dentist like the plague.\u003c/p>\n\u003cp>But until recently, there hasn't been a way to reward the patients who take care of their teeth and are less likely to need costly dental work in the long-term. Dental-related emergency room visits \u003ca href=\"http://healthjournalism.org/blog/2014/04/lack-of-access-to-dental-care-leads-to-expensive-emergency-room-care/\">are on the rise\u003c/a> in the United States, which contributes to health care cost increases.\u003c/p>\n\u003cp>This week, a startup insurance company, in Rotenberg's city of Columbus, called \u003ca href=\"http://www.beam.dental\">Beam Dental \u003c/a>introduced a new nationwide program to reward people for good behavior (if avoiding gum disease, chipped teeth and cavities wasn't reward enough).\u003c/p>\n\u003cp>\"I have dentists in my family, and noticed a real lack of innovation in the industry,\" said Alex Frommeyer, Beam Dental's founder and CEO.\u003c/p>\n\u003cp>Those who sign up to the program through their employer collect \"stars,\" which can be traded in for prizes and incentives, such as cash back. According to Frommeyer, the company may soon offer lower insurance premiums to those who take care of their teeth.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With its insurance product, Beam competes with some of the largest dental plans in the country, including Delta Dental and MetLife. But the team sees plenty of opportunities to reach the \u003ca href=\"http://health.usnews.com/health-news/health-wellness/articles/2015/05/20/no-dental-insurance-dont-wait-for-something-to-go-wrong\">40 percent of Americans\u003c/a> who forgo dental coverage.\u003c/p>\n\u003cp>Frommeyer declined to disclose how much the Beam plan costs, even an average number, as quotes vary from state to state. But he claims it is typically cheaper for employers than other plans due to Beam's lack of bureaucracy, overhead and its focus on software automation.\u003c/p>\n\u003cp>For now, Beam's insurance isn't available for individuals to select through a state or federal exchange.\u003c/p>\n\u003cfigure id=\"attachment_31140\" class=\"wp-caption alignright\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-31140\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg\" alt=\"Beam Dental's team at their offices in Columbus, Ohio.\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8.jpg 768w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Beam Dental's team at their offices in Columbus, Ohio. \u003ccite>(Beam Dental)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But let's be real, most of us have lied to the dentist about how frequently we floss. What's stopping Beam's members from pretending they take care of their teeth in order to access rewards?\u003c/p>\n\u003cp>Well, Beam's first product, its sonic-powered \"smart\" toothbrush and floss, serves as a tracking system of sorts. Its sensors monitor how long you brush your teeth and for how often -- so don't even try to cheat!\u003c/p>\n\u003cp>The brush will then report the data to the Beam iPhone and Android app, which notifies you if you've stopped brushing too early -- dental lore is a full two minutes -- or if you've missed a spot in one of those hard to reach areas.\u003c/p>\n\u003cfigure id=\"attachment_31483\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-31483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg\" alt='The Beam \"smart brush\" collection ' width=\"800\" height=\"537\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1180x793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1920x1290.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-960x645.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Beam \"smart brush\" collection \u003ccite>(Beam )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to Frommeyer, the data is already showing improvements. Two out of three brushing events with the Beam brush are over two minutes, he said, and the average frequency is 1.75 times per day.\u003c/p>\n\u003cp>The smart toothbrush brush costs $5 per person per month, and includes toothpaste, floss and shipments of replacement brush heads. If your employer signs up to Beam, it costs just $3 a month.\u003c/p>\n\u003cp>Shaun Rotenberg, our dentist from Columbus, has recommended the connected-toothbrush to many of his teen and twenty-something patients.\u003c/p>\n\u003cp>\"It's great for my patients who love apps and are glued to a smartphone,\" he said. \"Really I'll try anything that will get my patients to care about their oral hygiene.\"\u003c/p>\n\u003cp>Beam's plan to provide cash back to those who regularly brush their teeth is not unlike new rewards programs from medical insurance companies. \u003ca href=\"https://www.hioscar.com/\">Oscar Health\u003c/a>, a health insurer based in New York, recently partnered with \u003ca href=\"http://misfit.com/?locale=en\">Misfit,\u003c/a> a Bay Area wearables company known for its jewel-like step-tracking devices. Those who stay physically active can get an Amazon $20 gift card.\u003c/p>\n\u003cp>Frommeyer said this kind of approach makes a lot more sense when applied to oral care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Data from an activity tracker, like a Fitbit or Misfit has some impact on your overall health,\" he said. \"But if you're caring for your teeth on a day to day basis, the relative impact is much greater.\"\u003c/p>\n\n","blocks":[],"excerpt":"This week, a Columbus, Ohio-based insurer called Beam Dental introduced a new nationwide program to reward people for good behavior.","status":"publish","parent":0,"modified":1441055491,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":721},"headData":{"title":"This Dental Insurer Wants to Reward You for Flossing | KQED","description":"This week, a Columbus, Ohio-based insurer called Beam Dental introduced a new nationwide program to reward people for good behavior.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"31009 http://ww2.kqed.org/futureofyou/?p=31009","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/31/this-dental-insurer-wants-to-reward-you-for-flossing/","disqusTitle":"This Dental Insurer Wants to Reward You for Flossing","path":"/futureofyou/31009/this-dental-insurer-wants-to-reward-you-for-flossing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Like most dentists, Shaun Rotenberg, who practices in Columbus, Ohio, sees a full spectrum of patients. Some are hyper-vigilant about flossing and brushing their teeth, while others avoid trips to the dentist like the plague.\u003c/p>\n\u003cp>But until recently, there hasn't been a way to reward the patients who take care of their teeth and are less likely to need costly dental work in the long-term. Dental-related emergency room visits \u003ca href=\"http://healthjournalism.org/blog/2014/04/lack-of-access-to-dental-care-leads-to-expensive-emergency-room-care/\">are on the rise\u003c/a> in the United States, which contributes to health care cost increases.\u003c/p>\n\u003cp>This week, a startup insurance company, in Rotenberg's city of Columbus, called \u003ca href=\"http://www.beam.dental\">Beam Dental \u003c/a>introduced a new nationwide program to reward people for good behavior (if avoiding gum disease, chipped teeth and cavities wasn't reward enough).\u003c/p>\n\u003cp>\"I have dentists in my family, and noticed a real lack of innovation in the industry,\" said Alex Frommeyer, Beam Dental's founder and CEO.\u003c/p>\n\u003cp>Those who sign up to the program through their employer collect \"stars,\" which can be traded in for prizes and incentives, such as cash back. According to Frommeyer, the company may soon offer lower insurance premiums to those who take care of their teeth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>With its insurance product, Beam competes with some of the largest dental plans in the country, including Delta Dental and MetLife. But the team sees plenty of opportunities to reach the \u003ca href=\"http://health.usnews.com/health-news/health-wellness/articles/2015/05/20/no-dental-insurance-dont-wait-for-something-to-go-wrong\">40 percent of Americans\u003c/a> who forgo dental coverage.\u003c/p>\n\u003cp>Frommeyer declined to disclose how much the Beam plan costs, even an average number, as quotes vary from state to state. But he claims it is typically cheaper for employers than other plans due to Beam's lack of bureaucracy, overhead and its focus on software automation.\u003c/p>\n\u003cp>For now, Beam's insurance isn't available for individuals to select through a state or federal exchange.\u003c/p>\n\u003cfigure id=\"attachment_31140\" class=\"wp-caption alignright\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-31140\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg\" alt=\"Beam Dental's team at their offices in Columbus, Ohio.\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8.jpg 768w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Beam Dental's team at their offices in Columbus, Ohio. \u003ccite>(Beam Dental)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But let's be real, most of us have lied to the dentist about how frequently we floss. What's stopping Beam's members from pretending they take care of their teeth in order to access rewards?\u003c/p>\n\u003cp>Well, Beam's first product, its sonic-powered \"smart\" toothbrush and floss, serves as a tracking system of sorts. Its sensors monitor how long you brush your teeth and for how often -- so don't even try to cheat!\u003c/p>\n\u003cp>The brush will then report the data to the Beam iPhone and Android app, which notifies you if you've stopped brushing too early -- dental lore is a full two minutes -- or if you've missed a spot in one of those hard to reach areas.\u003c/p>\n\u003cfigure id=\"attachment_31483\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-31483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg\" alt='The Beam \"smart brush\" collection ' width=\"800\" height=\"537\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1180x793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1920x1290.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-960x645.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Beam \"smart brush\" collection \u003ccite>(Beam )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to Frommeyer, the data is already showing improvements. Two out of three brushing events with the Beam brush are over two minutes, he said, and the average frequency is 1.75 times per day.\u003c/p>\n\u003cp>The smart toothbrush brush costs $5 per person per month, and includes toothpaste, floss and shipments of replacement brush heads. If your employer signs up to Beam, it costs just $3 a month.\u003c/p>\n\u003cp>Shaun Rotenberg, our dentist from Columbus, has recommended the connected-toothbrush to many of his teen and twenty-something patients.\u003c/p>\n\u003cp>\"It's great for my patients who love apps and are glued to a smartphone,\" he said. \"Really I'll try anything that will get my patients to care about their oral hygiene.\"\u003c/p>\n\u003cp>Beam's plan to provide cash back to those who regularly brush their teeth is not unlike new rewards programs from medical insurance companies. \u003ca href=\"https://www.hioscar.com/\">Oscar Health\u003c/a>, a health insurer based in New York, recently partnered with \u003ca href=\"http://misfit.com/?locale=en\">Misfit,\u003c/a> a Bay Area wearables company known for its jewel-like step-tracking devices. Those who stay physically active can get an Amazon $20 gift card.\u003c/p>\n\u003cp>Frommeyer said this kind of approach makes a lot more sense when applied to oral care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Data from an activity tracker, like a Fitbit or Misfit has some impact on your overall health,\" he said. \"But if you're caring for your teeth on a day to day basis, the relative impact is much greater.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/31009/this-dental-insurer-wants-to-reward-you-for-flossing","authors":["3252"],"categories":["futureofyou_1"],"tags":["futureofyou_577","futureofyou_80","futureofyou_547","futureofyou_145"],"featImg":"futureofyou_33184","label":"futureofyou"},"futureofyou_1046":{"type":"posts","id":"futureofyou_1046","meta":{"index":"posts_1591205157","site":"futureofyou","id":"1046","score":null,"sort":[1427832211000]},"guestAuthors":[],"slug":"a-glimpse-at-wearable-tech-for-asthma-patients-that-runs-on-body-heat","title":"A Glimpse at Wearable Tech for Asthma Patients That Runs on Body Heat","publishDate":1427832211,"format":"video","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>Imagine wearable sensors that are powered by the heat and motion of your body.\u003c/p>\n\u003cp>Without the limitations of a bulky battery, these tiny and sophisticated sensors could be sewn inside clothing or worn on the wrist. Scientists in North Carolina are working on this new kind of wearable tech right now.\u003c/p>\n\u003cp>The first group of patients that may benefit from such advancements?\u003c/p>\n\u003cp>The over 50 million people in the U.S. that suffer from asthma and other respiratory diseases.\u003c/p>\n\u003cp>A growing area of new technology can detect how the body will react to pollution levels and send an alert to the consumer. \u003ca href=\"http://news.science360.gov/obj/video/cf728860-826c-4199-bfc2-3ca14dfe1fd6/wearable-sensors-monitor-triggers-asthma-more\">A new video from Science360 News\u003c/a> features a National Science Foundation-funded team at North Carolina State University using wearable tech to track vitals, like hydration levels and heart rate. The same devices can also monitor the immediate environment, including the varying presence of gases in the air.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Asthma patients need to constantly worry about potential triggers, from dust mites to smog. The team of researchers and scientists, led by Veena Misra, hope, in the next five to ten years, their wearable technology will provide an \"early warning system\" to these patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This isn't the only wearable technology that is aimed at supporting patients with asthma. Bay Area-based \u003ca href=\"http://propellerhealth.com/\">Propeller Health\u003c/a> has developed a mobile app and sensors that can help people with asthma manage their condition.\u003c/p>\n\n","blocks":[],"excerpt":"A video from Science360 News features a small team at the North Carolina State University that is some \"five to ten years\" away from bringing the new wearable tech to market.","status":"publish","parent":0,"modified":1477283368,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":239},"headData":{"title":"A Glimpse at Wearable Tech for Asthma Patients That Runs on Body Heat | KQED","description":"A video from Science360 News features a small team at the North Carolina State University that is some "five to ten years" away from bringing the new wearable tech to market.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"1046 http://ww2.kqed.org/futureofyou/?p=1046","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/03/31/a-glimpse-at-wearable-tech-for-asthma-patients-that-runs-on-body-heat/","disqusTitle":"A Glimpse at Wearable Tech for Asthma Patients That Runs on Body Heat","videoEmbed":"[youtube=https://youtu.be/MmiP_voM8UQ]","path":"/futureofyou/1046/a-glimpse-at-wearable-tech-for-asthma-patients-that-runs-on-body-heat","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Imagine wearable sensors that are powered by the heat and motion of your body.\u003c/p>\n\u003cp>Without the limitations of a bulky battery, these tiny and sophisticated sensors could be sewn inside clothing or worn on the wrist. Scientists in North Carolina are working on this new kind of wearable tech right now.\u003c/p>\n\u003cp>The first group of patients that may benefit from such advancements?\u003c/p>\n\u003cp>The over 50 million people in the U.S. that suffer from asthma and other respiratory diseases.\u003c/p>\n\u003cp>A growing area of new technology can detect how the body will react to pollution levels and send an alert to the consumer. \u003ca href=\"http://news.science360.gov/obj/video/cf728860-826c-4199-bfc2-3ca14dfe1fd6/wearable-sensors-monitor-triggers-asthma-more\">A new video from Science360 News\u003c/a> features a National Science Foundation-funded team at North Carolina State University using wearable tech to track vitals, like hydration levels and heart rate. The same devices can also monitor the immediate environment, including the varying presence of gases in the air.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Asthma patients need to constantly worry about potential triggers, from dust mites to smog. The team of researchers and scientists, led by Veena Misra, hope, in the next five to ten years, their wearable technology will provide an \"early warning system\" to these patients.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This isn't the only wearable technology that is aimed at supporting patients with asthma. Bay Area-based \u003ca href=\"http://propellerhealth.com/\">Propeller Health\u003c/a> has developed a mobile app and sensors that can help people with asthma manage their condition.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/1046/a-glimpse-at-wearable-tech-for-asthma-patients-that-runs-on-body-heat","authors":["3252"],"programs":["futureofyou_54"],"categories":["futureofyou_1060"],"tags":["futureofyou_147","futureofyou_34","futureofyou_61","futureofyou_146","futureofyou_145","futureofyou_144"],"featImg":"futureofyou_1074","label":"futureofyou_54"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2021/10/ATC_1400.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0018_AmericanSuburb_iTunesTile_01.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/01/OOW_Tile_Final.png","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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