Power to the Patient

By Catherine
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By Catherine Bolgar

Senior Patient Having Consultation With Doctor In Office

The explosion of chronic diseases threatens to be a major health issue in coming years, especially with the baby boomers entering old age. Getting patients to participate in, and assume responsibility for their own care, is key to keeping health care costs in line. In 2050, the number of people older than 60 is expected to reach 2 billion.

Indeed, health budgets are under pressure in all countries, causing a rethink of how to structure the way it’s delivered and paid for. For example, both the U.S. and U.K. are moving toward value-based or outcome-based care, with incentives for providers to coordinate care and improve quality of care, rather than payment based on the number of procedures done.

“The key word is going to be patient engagement,” says Felipe Lobelo, associate professor of global health at Emory University in Atlanta. “That means not just taking care of someone who’s sick, but also preventing someone from getting sick in the first place. The health-care system is going to be more proactive in working with people to make healthy choices.”

Doctor and patientOne study found that having a voice in decision-making led patients to better adhere to treatment, with better outcomes. Another found that patients who used online systems to see test results, manage their medication list and exchange secure messages with their providers felt more in control of their own care and were more satisfied.

“The bigger challenge is what to do to keep patients well,” says Phil Koczan, chief clinical information officer at UCL Partners, a health-science partnership linking higher education and National Health Service (NHS) members in the U.K.

The difficulty is how to identify those patients, many of whom don’t see a doctor on a regular basis, and how to change their behavior.”

Five key behaviors are related to avoiding chronic disease—never smoking, regular physical activity, no or moderate alcohol consumption, normal weight and enough sleep. In a recent study, only 6% of Americans do all five.

While physicians try to offer advice and support to people with risky behaviors, “it’s quite difficult and time-consuming, and resources are limited to offer that sort of support,” Dr. Koczan says. “But there’s a lot of benefit if we can get it right.”

Wearable devices and mobile applications can help—if patients stick with them. A device “doesn’t say how to change eating habits or how to change exercise habits. It’s not personalized enough,” says Vibhanshu Abhishek, assistant professor of information systems at Carnegie Mellon University in Pittsburgh. “Devices need to get more personalized and give specific recommendations based on current behavior. Just walking 10,000 steps isn’t enough. It has to give goals and specific instructions to individuals—if I ate a big lunch, then here’s how much more I need to work out today.”

Devices are most useful “when the intervention is tailored to the patient,” agrees Dr. Lobelo. For each patient, “it needs to be tweaked. It’s a never-ending series of projects and applications, not one universal solution.”

Another aspect of prevention involves keeping patients with diseases or chronic conditions from becoming sicker. Most patients with chronic conditions are at home, not hospitalized, so no doctor or health professional regularly observes whether they follow the recommendations they’ve been given, Dr. Abhishek says. “Mobile apps provide an opportunity to collect this information in a cost-effective manner on a continuous basis. Using algorithms or health-identification tools, a doctor can figure out whether a treatment is working. It hasn’t been possible to do this in a generalized way because data collection has been so expensive. In the future we can say treatment A works for this type of patient, and treatment B works for this other type of patient, based on the data from mobile devices.”

Measuring the pulseA number of online platforms offer information and support for self-care by patients with different diseases. The University of Pittsburgh developed iMHere, a mobile health platform to empower chronic-disease patients for self-care under a clinician’s guidance. For example, iMHere aims to help spina bifida patients avoid secondary complications, such as skin problems and urinary tract infections, through remote monitoring, with clinicians sending patients customized treatment plans. Other programs aim to help cancer patients manage their care, such as managing the accumulation of lymph fluid after breast cancer treatment.

Health systems are going to be more proactive in working with people to make healthy choices,” Dr. Lobelo says. “Including patients—that’s the center of the whole thing. We want to encourage people to self-measure and use the data to improve their health. An active dialog needs to happen.”


Catherine Bolgar is a former managing editor of The Wall Street Journal Europe, now working as a freelance writer and editor with WSJ. Custom Studios in EMEA. For more from Catherine Bolgar, along with other industry experts, join the Future Realities discussion on LinkedIn.

Photos courtesy of iStock

The Underestimated Role of Simulation in Architecture, Engineering and Construction

By Deepak DATYE
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clicktotweetClick to Tweet: The Underestimated
Role of Simulation in #AEC

Have you heard of hyper-loops, undersea hotels, and made-to-order 3D-printed buildings? These were just concepts a few years ago, but are reality now.


These structures need to be designed for either transporting people through natural surroundings, protecting them from natural surroundings, or allowing them to interact with natural surroundings. The commonalities that underlay these structures consist of intricate linkages between product, nature, and life.

In fact, the original charter of the Institution of Civil Engineers describes the civil engineering profession as “the art of directing the great sources of power in nature for the use and convenience of man”, and herein underlies the role of product, nature and life.

So we need to think about product, nature, and life together not only to allow for creating innovative designs, but also to provide optimal functionality, ensure safety, and safeguard sustainability, for ecological well-being. Product, nature, and life, hence, need to play a conjoined role during planning for large engineering projects such as city developments, large transportation projects, as well as dam and irrigation works.

How can we include nature and life – and by life we mean human life – in the design process of an architectural structure?

clicktotweetClick to Tweet: Simulation helps us consider nature
& human life in the #architectural #design process

This will need to be done through realistic simulations that take into account precise geometry and material properties, realistic representations of physical and natural processes, and rational predictions of experiences by people.

Representing products as they are has become fairly widespread and well understood. Engineers are able to create a detailed geometrical representation of the product, be it a doubly curved concrete superstructure, a curved Plexiglas window on an undersea hotel structure, sound absorbing acoustic panels inside auditoriums, or roof tiles and linings in railroad tunnels.

The key however to understand how an entire structure will behave in real life is to accurately represent the material properties it’s composed of, including the response behavior of the material to changes in stress and temperature over time, and material degradation due to interactions with humans and natural surroundings.

Contours of displacement in a segmented box girder bridge

Contours of displacement in a segmented box girder bridge

Loads, both external as well as internally generated, need to be taken into account together with externally applied disturbances, such as those during earthquakes.

The geometry, material characteristics, and the driving forces of loads and prescribed disturbances, need to be combined and solved in order to obtain a structural response that the experiencer then perceives. The more information on the complete system that one is able to take into account, the better will the structural response prediction be.

The complete system will then include the structure, foundations, rock or soil surrounding the foundations, wind, thermal inputs such as heat loading, and of course gravity.

Additionally, scenarios such as explosion loading, etc. will also need to be considered for assessing structural behavior during or subsequent to any of such contingencies.

Contact interactions, impact loading, construction and demolition sequences, retrofitting scenarios and options, and responses to seismic excitation can be evaluated.

This is what simulation brings to the table and the value companies reap from it—the ability to virtually understand everything about the behavior and impact of a building, a bridge, or a dam, before having to physically build them.

Looking at the bigger picture, the 3DEXPERIENCE Platform from Dassault Systèmes is uniquely positioned to allow users to leverage these capabilities in a single framework. It combines and integrates leading technologies from SIMULIA for realistic simulation, CATIA for accurate 3D representation of structures, GEOVIA for precise description of geo-stratification, and BIOVIA for the understanding of material behaviors starting at the atomistic level.

It will enable one to not only model buildings, but also their behaviors, including the way they interact with nature, the way nature interacts with them, and their impact on people, from the micro to the macro scale.

Transport of pollutants in a city due to wind. Here we see streamlines of the pollutants and how they get affected by the presence of the buildings.

Transport of pollutants in a city due to wind. Here we see streamlines of the pollutants and how they get affected by the presence of the buildings.

Speaking of macro scale, we see the emergence of the need for cities to model their entire infrastructure for planning purposes, including systems of buildings and equipment along with all the physical and web-enabled inter-connections linking them.

A unique effort is being undertaken at Dassault Systèmes to address these challenges through 3DEXPERIENCE City. As an example, a digital representation of the nation-city of Singapore is now being constructed and once completed can be used for planning purposes and to study “what-if” scenarios. It can be helpful for investigating the implications of certain decisions made by city government agencies, and to plan and channel urban growth.

These are exciting times for comprehensive simulation technologies to connect product, nature, and life in the AEC industry.

clicktotweetClick to Tweet: Exciting times for comprehensive simulation
tech to connect product, nature & life in #AEC @3DSAEC

Related Resources

Collaborative, Industrialized Construction – Industry Solution Experiences from Dassault Systèmes


SIMULIA for realistic simulation

Originally published on 3ds.com/simulate

Bell Helicopter Removed The Clutter And Noise With ENOVIA

By Matthew
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Read what Bell Helicopter has to say about their ENOVIA experience and with it, how they took on their PLM challenges and succeeded by:

  • Reducing non-value add tasks
  • Improved on reusing existing data
  • Improved enterprise-wide collaboration

ENOVIA has provided us the ability to manage the configuration of our products as well as the changes

Access, read and download the Bell Helicopter case study inside our ENOVIA Community on 3DSwYm at this blog post





This case study of Bell Helicopter is based on an August 2016 survey of ENOVIA customers by TechValidate, a 3rd-party research service.

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