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ACCIDENT & EMERGENCY


technologies that power Amazon Alexa. Novo Nordisk and Glooko’s


Cornerstones4Care powered by the Glooko app (C4C app) and Roche’s app, mySugr, also help people to more effectively manage their diabetes. Sanofi and Voluntis’ app focuses on digital insulin titration solutions, which will help type 2 diabetes (T2D) patients on basal insulin improve their self-management. In order to help improve the identification


of AF, AliveCor’s platform, Kardia Pro, incorporates artificial intelligence (AI), while BioSig Technologies – in partnership with the Mayo Clinic – is developing the PURE EP cardiac signal acquisition and display platform to assist with the diagnosis and treatment of complex arrhythmias. The American Heart Association (AHA) teamed up with IBM Watson Health, the cognitive system division of IBM Corporation. AHA’s science-based metrics and health assessments will be combined with IBM’s cognitive analytics and the system will be delivered on Welltok’s health optimisation app platform.


Google’s former life-science arm, Verily, has


initiated Project Baseline, a study with 10,000 participants to gain a better understanding of the physical and biochemical predisposition to various illnesses. The company will be using its proprietary technology, a sensor-based smart watch designed to capture a huge volume of data. Participants will be wearing this watch on a daily basis and will also have their whole genomes sequenced and various


biospecimens taken. Their behaviour, including social media activity, will also be monitored. MannKind and OneDrop are collaborating


on the A-ONE study, a randomized controlled trial investigating the use of Afrezza (inhaled technosphere insulin) with an integrated digital diabetes care platform that could potentially deliver improved health outcomes in a more cost-effective way compared to standards of care. Treatment adherence and cardiovascular lifestyle changes are key to secondary prevention in patients with myocardial infarction (MI). AstraZeneca and Scientific Med AB are collaborating on the SUPPORT study to evaluate the potential of mobile- phone-based interactive patient support tools to improve adherence regarding drug treatment and lifestyle modifications in patients diagnosed with MI.


CVMD digital health technology


Innovative digital health technology will provide invaluable patient information and insights that could improve individualised patient care while reducing healthcare cost; however, effective adoption and implementation of digital health technologies is key to success. Attributes of ideal digital health technology in CVMD include: unobtrusive monitoring systems that deliver useful and meaningful data that impact patient management, combining data analytics with AI for improved diagnosis and treatment plans, user-friendly technologies with easy-to-interpret data, and


cost-effective technologies that support management, lifestyle modification, and patient compliance. Kovalcsik added: ‘‘The ability to reduce hospital admissions and mortality in patients with CV disease and/or patients with implanted cardiac devices, and the capability to recognise and proactively prevent CV and metabolic diseases, could mean a better quality of life for these patients and reduced healthcare cost in the CVMD space.’’


What of the future?


Josh Hughes recently wrote about the legal implications of driverless car technology upon the personal injury world. He concluded that, regardless of the benefits of the technology, unless parents are willing to let their children travel in driverless cars, it wouldn’t get off the ground.


“In much the same way, AI use in medicine will be restricted unless the medical profession and patients trust it,” he observed. “Part of this is ensuring that a victim has a clear path of redress when things go wrong. “In obtaining this trust, the industry – including those tasked with regulating, testing and monitoring service delivery – will need to work closely with those pioneering AI. Done properly, technological advancement is likely to benefit doctors and patients alike.” A geneticist John Bell told the BBC: “At the NHS, about £2.2 billion is being used for pathology. In fact, 50% may be possible to save. AI may be the NHS’ saviour.” CSJ


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