Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Jul 23, 2013

Monkeying Around with Autism Assessments: Kinect-based game by Vectorform and Kaiser Permanente therapists offers a barrel of possibilities!

"The goal was to build a game that is extremely accessible, non-complex and includes simple mechanics that children with autism can quickly understand to retain their attention, prevent over-stimulation, encourage play, and prevent frustration." -Vectorform "Monkey Business" Team


I recently had the chance to visit the team at Vectorform's Royal Oak (MI) headquarters and experience a demo of one of their newest applications, a Kinect-based game developed to assist in the assessment of children with autism. The game, known as Monkey Business, was designed in collaboration with physical, occupational, and speech therapists from Kaiser Permanente, a large health care service provider in California. The project was supported by Kaiser Permanente's Innovation Fund for Technology group.

I was impressed!

As I watched the demo, it was clear that much time and attention was given to the input of the therapists at Kaiser Permanente. The avatar in the game is a friendly monkey who embodies the mannerisms of a friendly, curious child.  The artwork is visually appealing and not too busy. The sound effects relate to the interaction at hand and provide feedback to the child as they engage in various game-like tasks designed to assess visual-motor, gross motor, and basic receptive language skills.  Another good feature of this application is the simplicity of the screens designed for input of the child's information and viewing data regarding progress.

In my opinion, the Monkey Business assessment game has the potential for use in school settings, and would be enhanced if additional assessment activities are provided in the application.  Expanded activities within the Monkey Business environment could support a range of treatment, education, and related intervention efforts. In addition to supporting assessment and intervention of children with autism, the Monkey Business concept would be especially useful in working with children who have experienced a traumatic brain injury.


Below are screen shots and descriptions of a few activities from the Monkey Business game:

Lily Pad Jumping Test
In the jumping test, the child is asked to jump across a pond, from one lily pad to another.  The child is provided with a set of toy lily pads on the floor.  As the child jumps, the Kinect sensor picks up movement and displays the jumps on the screen in the form of the monkey.























Balance Beam Test
The following screen shot depicts the monkey avatar crossing a stream on a balance beam. The monkey's movements reflect the child's movements across a real balance beam in front of the Kinect sensor and a large screen display.






















Block Building Test
In the block building test, the monkey avatar encourages the child to build a tower of blocks to match the one displayed on the large screen.  The child uses real blocks, placed on a table, to build a tower while the monkey provides encouragements.  Objects other than blocks can be used, as the Kinect sensor is capable of identifying a variety of objects that can be use for building and stacking.






















Clinician Screens
The screens designed for inputting and reviewing data regarding the child are designed with simplicity and ease-of use in mind, as shown in the pictures below:












































In the present version of Monkey Business, a TV remote is used to control the application. It is possible that future versions of Monkey Business could integrated with a Smartwatch to input student information and control the activities in the application.  


Comment: As a school psychologist who works with children, teens, and young adults with autism and other significant disabilities, I know how difficult it can be to conduct assessments using traditional test materials.  If a student has difficulty interacting with unfamiliar adults, has communication challenges, or has motor difficulties, it may not be possible to administer an assessment that generates meaningful or valid results.  Even if the student is capable of completing some of the traditional test tasks, much time and effort is required on the part of the evaluator to sustain their interest, effort, and attention.   

To get a better picture of a student's emerging skills, I use interactive multimedia applications during my assessments of children with autism.  Newer technologies such as interactive whiteboards, larger touch-screen monitors, and tablets have proven to be useful tools in assessment.   A significant drawback to my approach is that it is cobbled together and might be difficult to replicate by other evaluation teams.  I see a growing need for a range of technologically-enhanced tools for assessment, including applications that offer opportunities for playful engagement.  Monkey Business holds potential to fill the bill.

What next?

I'd like to share some stories about the people who make things come to life at Vectorform. During my visit, I learned that they are involved in a number of projects related to health care and are always brainstorming new ways to harness technology for their various clients.  

Over the past several years, I've followed Vectorform's journey as they've jumped off of the desktop and transformed from web-developers to Post-WIMP explorers of natural user interfaces and interaction.  The most recent area of exploration is Google Glass. 

Intrigued by Google Glass?  So am I.  

During my visit to Vectorform, I had a chance to see the world - or rather Vectorform's basement conference room - through Google Glass.  As soon as I put them on I was flooded with ideas, and will expand on my ideas, and those of others, in future posts.

In the meantime, take the time to read an excellent post by Kevin Foreman, Vectorform's Director of Product Vision.  In "The Glass Experience", Kevin provides an in-depth reflection of his experience wearing Google Glass throughout his daily routine.  He also explains the inner workings of the hardware, the strengths and limitations of the Glass system, details about the user interface, the "on-board" accessories, and a few comments about what it is like to be a new Glass-wearing celebrity.


RELATED
Here are just three of the innovators I met during my recent visit to Vectorform, left to right: Jennifer Tonio, Marketing Manager, Kevin Foreman, Director of Product Vision, and Patric Samona, Director of Health Solutions.


















Below are a few links related to the use of games for the assessment and intervention of autism, along with links to information about the use of games and emerging technologies for rehabilitation, health care and health promotion:





Microsoft Kinect and Autism (SlideShare) Susan McCarthy, Little Angel's School 2/09/13


Italian Team Uses the Kinect to Treat Autistic Children Andrea Lorini, Epoch Times, 12/13/12

Microsoft Surface Multi-touch Application for Pediatric Neuropsychology Assessment (Featuring Vectorform) Lynn Marentette, TechPsych Blog, 8/26/09   



Xbox One, Kinect 2.0 and the future of health technology Marcelo Calbucci, Mobihealth News, 5/26/13



Accessible Games for Health and K-12 Education: Lessons from the Classroom (SlideShare) Lynn Marentette, 5/9/08, Games for Health Conference Presentation

Researchers: Microsoft Kinect is a Money-Saving Telemedicine Device Gabriel Perna, Healthcare Informatics, 2/15/13

Lowes, LP., Alfano LN, Yetter BA, Worthen-CHaudhari, L, Hinchman W, Samona P, Flanigan KM, Mendell JR Proof of Concept of the Ability of the Kinect to Quantify Upper Extremity Function in Dystrophinopathy
PLoS Curr. 2013 Mar 14; 5   doi:  10.1371/currents.md.9ab5d872bbb944c6035c9f9bfd314ee2

May 2, 2012

Quick link: Nextgov, "the all-day information resource for federal technology decision makers"

I've been thinking more about interactive data exploration interfaces lately, and what might be needed to support people who do not have technical or mathematical backgrounds.  From time-to-time, I will share information related or somewhat related to this topic.


I came across a link to the Nextgov website in my FB newsfeed and thought I'd bookmark it for future reference. Although the Nextgov is geared for people who work as CIOs in government settings, it contains a lot of interesting food for thought if you happen to be a knowledge junkie or just want to be a a well-informed citizen.  


 Below is a quote from "About Nextgov" page of the website:
"Nextgov is the all-day information resource for federal technology decision makers. Through news, analysis and insights from our award-winning journalists and a nationwide community of expert voices, Nextgov provides the first word on technology and government." 


"Nextgov’s editorial mission is to lead the national discussion about how technology and innovation are transforming the way government agencies serve citizens and perform vital functions. Central to this mission is the exploration of emerging technologies and their potential impact on government. Nextgov contributors include influential thinkers across government, academia and the private sector providing fresh and provocative insights on key federal IT topics."


Nextgov is produced by Government Executive Media Group...."


For your convenience, below are links to various sections of the Nextgov website:
News
CIO Briefing
Emerging Tech
Cloud
Cybersecurity
Mobile
Health
Defense
Big Data


I was disappointed that there wasn't a section about education, so I've some related links below:

RELATED
Big Data - Avalanch? Flood? Tsunami?  What does big data mean for educators?
Evidence Framework for Innovation and Excellence in Education
Karen Cato, Director, Office of Educational Technology, U.S. Dept. of Education


The article contains a link to a draft of a related publication released for public comment:


Enhancing Teaching and Learning Through Educational Data Mining and Learning Analytics: an Issue Brief 
U.S. Department of Education, Office of Educational Technology
April 10, 2012


FYI: The above document was prepared by Marie Bienkowski, Mingyou Feng, and Barbara Means, under the guidance of Karen Cator and Bernadette Adams. A number of experts were interviewed for the report, including Shelby Andrews, Linda Chaput, Michael Freed, Dror Oren, Dave Gutelius, Michael Jahrer, Andreas Toescher, Jeff Murphy, Peter Norvig, Sunil Noronha, Ken Rudin, Steve Ritter, Bror Saxberg, David Niemi, and Chuck Severence.  Others cited in the document include Ryan S.J. d. Baker, Gautam Biswas, John Campbell, Gredg Chung, Alfred Kobsa, Kenneth Koedinger, George Siemens, and Stephanie Teasly


SOMEWHAT RELATED
Nonprofit Data Visualization: a Gallery
Philanthropy:  Connecting the nonprofit world with news, jobs, and ideas
Nicole Wallace, 3/4/12








Apr 22, 2012

Septris: A game to teach about Sepsis, plus resources and links

 According to a fact sheet from the Global Sepsis Alliance, sepsis "remains the primary cause of death from infection despite advances in modern medicine, including vaccines, antibiotics, and intensive care.  Sepsis, which is often misunderstood by the public as "blood-poisoning", is one of the leading cause of death around the world.  Sepsis arises when the body's response to an infection injures its own tissues and organs.  It may lead to shock, multiple organ failure, and death, especially if not recognized early and treated promptly.  Between on third and one half of patients with sepsis die...


...Rapid initiation of simple, timely interventions, including antimicrobials and intravenous fluids can halve the risk of dying. Patients with suspected sepsis should be referred immediately to an appropriate facility...Unfortunately, sepsis is still mostly overlooked and recognized too late"


SEPTRIS, a game about sepsis, was developed by a team of people from Stanford University.   The following article, written by Sara Wykes (Stanford School of Medicine), provides an in-depth account of the story behind the development of a game designed to teach medical professionals about sepsis:  Game on: Stanford develops new tool for teaching doctors to treat sepsis.


Renee Reijo Pera
Credit:  "Dr. Septris"; Septris Screen Shot: Stanford University


Anyone can play Septris for free.  The link is optimize to run nicely on an iPad, iPhone, or Android, but can be accessed on a desktop through Firefox, Chrome, or Safari browsers.  If you are a medical professional and need CME credits, the fee for the certificate of completionis $20.00. The fee was waived for the first 100 users.


RELATED
Septris CME Website (Stanford)
Septris Game
Septris Technical Design & Development Team
Brian Tobin
Jamie Tsui
James Laird
Glenn Zephier


World Sepsis Declaration (pdf)
Sepsis Alliance
Global Sepsis Alliance
Pediatric Sepsis Initiative
STOP Sepsis Collaborative

Note:  Sepsis Awareness is now one of my "causes".  The first World Sepsis Day is September 13, 2012 and I plan to share information about this global health concern from time-to-time, and related to technology in some way.


Below is a picture of my 24-year-old daughter, her husband, and son on Friday, March 31, 2012.   At the time this picture was taken, she felt fine and had just walked about a mile and a half or so on a family stroll. She was in perfect health.  She woke up in the wee hours of April 1st with the signs of an infection, took something for her aches and pains, and went back to bed.



The next day, things were much worse. She didn't know it at the time, but her blood pressure was falling and the signs of sepsis were appearing.  Time was wasted going to an urgent care clinic. Fortunately she was referred to the E.R, where her her symptoms were identified.  She received excellent treatment at Matthews Presbyterian Hospital.  It took several days until she was stable, and she was hospitalized for one week.  Unlike many people who experience sepsis, she did not suffer tissue damage or shutdown of her organs. Her treatment was initiated early enough to prevent this from happening. 


Below is a picture of my daughter as she was beginning to recover.




UPDATE 7/15/12  
My daughter is doing much better, but she experienced a great deal of fatigue for several weeks following her hospitalization


I recently came across an article written in the New York Times, by Jim Dwyer, about Rory Staunton, a 12-year-old boy who died from a strep infection that resulted in a sepsis crisis that went untreated.  Unlike my daughter, Rory was discharged from the ER instead of being admitted for the intensive treatment that my daughter received. When his parents took him back to the hospital, it was too late. He died on April 1, 2012.  My daughter battling sepsis in the hospital in North Carolina on the very same day.


Although I am not a physician, I am sure that Rory's death could have been prevented, based on information in the article as well as information shared by Rory's parents on their website. 


To learn more about Rory's story, read the New York Time's article and a few of the comments. At the time of this update, over 1500 comments were listed on the NYT's website.


An Infection, Unnoticed, Turns Unstoppable
Jim Dwyer, New York Times, 7/11/12

Reaction to Column About a Boy Who Died
Jim Dwyer, New York Times, 7/14/12

Rory Staunton (Website created by Rory's parents)
Rory's sepsis crisis was the result of toxic shock from a Strep A infection.  Sepsis can also be the result of other types of infections. The main thing to know that  is that once sepsis sets in, the patient requires immediate and intensive treatment, guided by an infectious disease specialist.  



Apr 19, 2012

Multimedia: Health Awareness Info and Rap about Sepsis

As some of my readers know, my perfectly healthy daughter was recently hospitalized with sepsis. For that reason, I've taken a temporary detour to gather information and data about sepsis. This summer, I'm considering working on a public awareness information visualization about this topic. 


The following video is a rap created to promote awareness about sepsis and the treatment of sepsis among health care providers. Although the first patient in the video is an elderly man, know that it can strike any age group.





I am happy to say that daughter is now doing well. She was treated relatively early, and unlike many others, she suffered no tissue or organ damage. She survived.


Some of the symptoms of sepsis include fever, hypothermia, a high heart rate (over 90 beats per minute), a fast respiratory rate, low/falling blood pressure, swelling, light headedness, etc. Skip urgent care if you have the signs of sepsis and go immediately to the E.R, tell them your symptoms, especially your blood pressure, heart rate, temp, and any type of infection you might have.  Say that you suspect you have sepsis. The sooner you get treatment, the better your chance of survival. 


More children die of sepsis than from cancer in the United States, and about 40% of all patients diagnosed with severe sepsis do not survive.*


RELATED
Sepsis Alliance
Surviving Sepsis Campaign
Global Sepsis Alliance
Surviving Sepsis: Going Beyond the Guidelines (pdf)

Apr 10, 2012

Update: Daughter's recovery from sepsis, and public awareness video about sepsis

My daughter is recovering from sepsis, which came on suddenly and required a week in the hospital. It was serious, and I am thankful she is getting stronger each day. I will resume regular blogging soon.


I am posting the following video about Sepsis as my effort to promote public awareness about sepsis. I haven't had time to fact-check the information in the video. It is from the Sepsis Alliance website. With awareness, more lives will be saved. 


 


May 8, 2010

Revisiting Razorfish: Emerging Experiences, RockstAR application, and more...

I've written a few posts about Razorfish in the past. What is Razorfish?


"The Razorfish Emerging Experiences team is a dedicated group of highly experienced professionals focused solely on emerging experiences and technologies. "Effective innovation" is our multifaceted approach to concepting and delivering pioneering solutions for our clients."
Razorfish has forged ahead into very interesting-and fun- territory. Here is a video of the RockstAR application. It combines multi-touch technology and augmented reality, utilizing the Razorfish Vision Framework (RVT), integrated with the Razorfish Touch Framework.

RockstAR (Augmented Reality) Experience Demo from Razorfish - Emerging Experiences on Vimeo.


A recent post on the Razorfish Emerging Experiences blog provides a detailed account of the technology that was pulled together to make it happen in the post, The Technology Behind RockstAR. The application is integrated into Twitter and Flickr.
RockstAR
-Razorfish Emerging Experiences Blog
"For the RockstAR experience, we are analyzing each frame coming from an infrared camera to determine if faces are found in the crowd. Once a face is detected, it is assigned a unique ID and tracked. Once receive a lock on the face, we can pass position and size information to the experience where we can augment animations and graphics on top of the color camera feed."


RELATED
One of my previous posts includes a video of the Razorfashion application, which highlights the Razorfish Touch Framework:


Razorfish's Touch Framework "Razorfashion" - A lot like my idea for an in-home FashionMirrorAdvisor...


I'm still hoping to work on my FashionMirrorAdvisor - but with a twist. Now that I have a smartphone, I want to incorporate a mobile app into the concept. Guys probably just wouldn't understand.  (However, something like this would make a nice gift for a guy who is a bit lacking in the fashion department.)


Below is a remix of my previous post


RAZORFISH'S TOUCH FRAMEWORK:  RAZORFASHION - A LOT LIKE MY IDEA FOR AN IN-HOME FASHIONMIRRORADVISOR (5/23/09)


Razorfish recently unveiled the Razorfashion application designed to provide shoppers with an engaging retail experience within the "multi-channel shopping ecosystem". I'm not the "shop to you drop" type of gal, but I can see that this concept could be useful in other situations, after a few tweaks.



As soon as I saw this Razorfish Touch "Fashion" demo video, it touched a nerve. I've been playing around with a similar idea, but for my personal use, in the form of an RFID-enabled system. I'd call it something like "FashionMirrorAdvisor".


Instead of showing skinny fashion models like the Razorfashion application, I'd harness the power of built-in web-cam and mirror my own image on the screen. My mirror would dress me up in the morning when I'm way too foggy to think about matching colors and accessories.
     
My FashionMirrorAdvisor would be my friend. My "smart" friend, since all of my clothes would be RFID-tagged, along with my shoes, jewelry, and other accessories. My make-up, too. It would be a no-brainer. I really could use this application - just ask my husband!


More often than not, most mornings I find myself staring at the clothes in my closet, frozen in time, unable to formulate a fashion thought. I might set my eyes on a favorite blouse, but blank out when I try to think about the rest of the steps I need to pull my look together.
     
I know I can't wear my reddish-pink camisole with my dusty-orange/brown slacks, but at 5:15 A.M., who has the time to think about this little detail? My friend, the TouchFashionMirror would prevent me from making this fashion faux-pas.
     
No problem.
     
My FashionMirrorAdvisor would show me a few outfits, and dress my real-time moving image on the screen. Since she knows all things, she'd show me ONLY the articles of clothing that were clean, since my RFID system would keep up with all of that. It would be much more functional than a "virtual wardrobe" application. I could try out different earrings without having to get them out.
     
If I couldn't find something, the RFID system would take care of this detail. My FashioMirrorAdvisor would know where I misplaced my clothes, accessories, and even my keys, since they would all be tagged. The mirror application would provide me with a nice little map of my house and car, and highlight the location of the item.
     
My FashionMirrorAdvisor would keep track of my laundry, too. This would be a great feature. So if my dirty laundry was piling up, and I wanted to wear outfit X, Y, or Z over the next few days, I'd receive a gentle reminder that I'd need to do some laundry first!


Another practical feature:
     
My FashionMirrorAdvisor would also serve as my health consultant, keeping track of my weight and BMI. This data, along with information gained from the webcam, would be combined so that my advisor would NEVER suggest an outfit that would be too...snug.


I could program the system to provide me with gentle reminders if my weight was an issue. My FashionMirrorAdvisor would show me images of myself "before" and "after", outfits included.

Information about the "after" outfits could be fed to the system from the web-catalogs of my favorite fashion retailers, and once I lost those 10 darned pounds, I'd find a nice parcel delivered to my door. Thanks to my FashionMirrorAdvisor, I know that the outfit would be just right.


UPDATE 5/8/10:  The FashionMirrorAdvisor would be integrated with a mobile app - since I now have a smartphone, this would be quite useful in planning shopping trips centered around the purchase of new clothes, shoes, accessories, and coordinating cosmetics!  I created a little game  that I think would be ideal for this sort of thing, too.   I still want to work on this....someday. Too many ideas, too little time!


ALSO RELATED
From the Razorfish site:
"The Razorfish Emerging Experiences team is a dedicated group of highly experienced professionals focused solely on emerging experiences and technologies. "Effective innovation" is our multifaceted approach to concepting and delivering pioneering solutions for our clients"

"Founded in 2008, Razorfish Emerging Experiences is a cross-functional team composed of strategists, artists, experience designers, and technologists. We’re part of the Razorfish Strategy & Innovation practice led by Shannon Denton. Jonathan Hull is the managing director of the team, Steve Dawson is the technology lead and Luke Hamilton is the creative lead."

Razorfish
Razorfish Emerging Experiences Portfolio
Razorfish Emerging Experiences Blog
Razorfish Emerging Experiences on Vimeo


RELATED 5/8/10
Razorfish Health (Fun music on the home page!)
Razorfish Establishes Cloud Computing Practice
Douglas Quenqua, ClickZ 4/15/10
The Razorfish 5: Five Technologies that Will Change Your Business
Razorfish Whitepapers


If you are looking for a job, you might be interested in the openings at Razorfish. Before applying, take a look at what is expected:
"You dream in digital. You're fluent in the technologies that define our world and passionate about the way they're shaping our future.  You're a communicator. A creator. You understand how the Web connects us, and you want to shape the conversation. You're a restless innovator.  you're not only waiting for the next big idea to happen, you're making it happen.  You're a unique talent, a visionary, an experimenter, and you're looking for an environment that lets you shine. In other words, you're just our type...."


FYI
When I visited the Razorfish website, I noticed that the background appeared to be a live feed of the offices. Since today is Saturday, it makes sense that the only person busy at the office was a custodian. Below is the screenshot: