Balneology 4.0 Impact of the Emerging Digital Technologies in the Balneology activities

1. Balneology 4.0Impact of theEmerging Digital Technologiesin the Balneology activities Batumi – October 2018 Prof. Massimo Boaron FEMTEC Technical Commission

2. Why new IT technologies ? • Why we should be so interested • in IT technology ? • Not simply because of smart technologies to be proud of, like our last model of smartphones! Our goals are: • a Effective services • a Lower costs • There are many emerging IT technologies helping to do that. The real problem is … • there are more technologies • than people able to exploit them!

3. Emerging IT applications in Balneology • Today the Information Technology has a huge impact in all activities. • But if we search “IT technologies in Balneology” the Google result is nearly NOTHING! • What does it mean? • Are IT applications in Balneology not interesting? • NO! It’s just a … • lack of innovation in Balneology!

4. Now let’s see the 3 core components of the Balneology: Health Wellness Tourism In these fields we can find out many advanced applications! The three souls of the Balneology Wellness Tourism Health

5. IT opens new opportunities • The new IT applications in the medical sector are: • User-friendly and less invasive alower skills • Cost effective a important savings • So IT gives the opportunity for proposing new and better medical services. • But that requires: • New Communication/Marketing strategies e.g. chatbots and “smart” CRM system • New business models with new services e.g. preventive medical care • More services = more visibility & more business

6. Natural Language Artificial Intelligence Virtual & Augmented Reality IoT Internet of Things Big Data Robotics The main ITC technologies for new services • These technologies offer new smart and profitable services to the Health, Wellness & Tourism sectors. • Let’s see some examples.

7. Robotics, VR and AI forrehabilitation • Hunova - Robotic support for orthopedic, neurological, geriatric rehabilitation. Physician predefines the movements, sensors read and control force and position. • Niurion = VR interactive scenarios with videogame-like exercises. • Wearable inertial sensors capture the body movements interacting with virtual objects. • VR involves the patient to follow therapeutic path and its AI based software evaluates the results.

8. Niurion VR scenarios

9. 3D & AR applications to wellness • Naked captures 3D images of the patient’s body, using the Intel scanning technology. • It tracks the trend of weight and volumetric body fat during the wellness care period.

10. 2a - IoT hand held devices • IoT applications are based on: • sensors collecting physical data and • local or remote processing and storing units • Hand held, wearable and internal IoT devices support new monitoring and analysis applications. • An hand held simple solutions is AdhereTech a pill bottle that reminds patients to take their pills. • A very advanced device is Gene-Radar: it analyzes body fluids to detect DNA genetic fingerprints of biological organisms: in less than 1 hour makes analysis that usually require many days.

11. 2b - IoT wearable devices • Devices embedded in glasses, watches, jewels, rings, bands, patches to get and share body parameters with physicians in real time: ECG, temperature, heart rate, respiratory rate, activity, skin data (hydration, dryness, redness, melanin), … Examples: Qardio Core, Motiv, Mio Slice, S-Skin.

12. 2c - IoT internal devices • Proteus - An ingestible chip controls taking drugs at due time and tracks the drug effects. A patch gets the chip data and transmits them to a tablet. • PillCam – A micro-camera allows upper endoscopy or colonoscopy. Present goals: improving the power source to make it smaller and increase the working life inside the body.

13. 2d - IoT under skin devices • Miniaturized units can be implanted under-skin: • To release drugs over long periods of time. • To control heart disorders sending data to doctor for up to 5 years without affecting the user life. • To detect tumour cells (CTCs) or infections (malaria, ebola, ...) at an early stage: these applications are based on liquid biopsy chips with antibodies attached to carbon nanotubes

14. 3 - AI and Big Data • AI applications are replacing many human activities including learning, reasoning, planning, problem solving, perception, mobility, manipulation, etc. • Their training can be based both on big-data or real world interaction (like humans). • AI performs better than humans in: • Analysing very quickly huge data sets, like images, sounds, videos, trends, etc. • Detecting patterns where we can see only noise • Managing digital sensors and systems • AI applied to medical activities improves security, diagnostic results, and care effectiveness.

15. Possible AI applications to Balneology • AI = time saving, lowers costs, better services • CRM and Marketing systems (OTA like) • Organisation support: optimizing resource exploitation, patients’ data management, … • Diagnoses support, data and images analysis to identify critical situations (body postures, skin diseases, body parameters, ...) • Care planning support, suggesting physical exercises, best thermal locations, diets for aesthetic or health problems, … • Specific applications on clinical investigations, e.g. well-being of thermal clusters populations surveys on climate-health relationship, …

16. AI examples in the Medical Field • IBM Watson was trained with huge image archives to detect tumours and heart diseases. • A Stanford University AI application improves healthcare support, detecting critical situations of seniors living alone. • Babylon (UK), a disease prevention and diagnosis service with (150.000 users): it getssymptomsfrom patients’ voice, identify the illness using their medical data and its DB, and suggests what to do. • Molly, a virtual nurse, monitors patient’s chronic illness condition, follows up treatments, and controls remote monitoring devices. • Babylon and Molly user interaction is based on AI+NLP voice understanding technologies.

17. 4 - Natural Language Processing • Chatbots are the main NLP applications: simple apps can give predefined answers, while AI based NLP apps give smart voice and message services. • Chatbots will support over 85% of customer interactions by 2020 (Gartner Group). • They can be very useful in Balneology providing: • Help desk services, i.e. answer to customers’ inquiries, suggest suitable services/locations, … • Medical services: collect patients’ information, make initial screenings, give useful advices, support many repetitive activities, … • Chatbot costs are between 10.000 $ and 300.000 $ depending on complexity and smartness.

18. CONCLUSION: A PROPOSAL • Many applications of new IT technologies are just software. Therefore, when developed, they can be cloned without extra costs. • That can suggest a strategic FEMTEC initiative: • to plan and develop common applications, sharing costs among interested members • This approach will result in making available • smart IT applications to all Femtec members • at less than 5% of the real cost ! • Thanks for your attention