Deloitte's smart vision for Houston

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Technology should enhance your quality of life. Art Wager/Getty Images

Cities across the country are in a race to get smart. Imagine a city where infrastructure and citizens are all interconnected by new technologies. Information about traffic, parking, energy use, city services, flooding, and much more is shared widely in open technology platforms. The possibilities are exciting: Smart Cities will collect and disseminate data in ways that should enhance quality of life, sustainability, and economic growth.

Indeed, a sea change is underway. In the past, the workings of a city were managed by the few — i.e., city planners and government officials. Looking ahead, new technology platforms are now enabling the many — i.e., corporations, nonprofits, and individuals — to share data in real time and significantly influence the workings of the city. It is a new era: the crowdsourcing of data coupled with ubiquitous access to useful information. Very smart.

What is a Smart City?
Deloitte, a leading voice in the development of Smart Cities, notes an evolution is underway. In a recent article, "Forces of Change: Smart Cities," Deloitte defines a Smart City 1.0 as "physical assets networked via sensor technology that generate streams of valuable data from 'smart' parking meters, streetlights, and even trash receptacles." But that's just the start. A Smart City 2.0 builds on the interconnection of the city's physical infrastructure, and adds people into the equation: residents, government and business employees, and visitors (see Deloitte's framework for Smart Cities below). Per Deloitte's article, "Smart City 2.0 focuses on enhancing the citizen experience by operating at the intersection of the 3Ds: data, digital, and human-centered design." The opportunity: leverage the collective knowledge of entire communities.

Houston getting smart
Houston is laser-focused on capturing this opportunity. Last March, Mayor Sylvester Turner announced the launch of the Smart City Advisory Council. Amy Chronis, managing partner of Deloitte's Houston office and the chair of the Greater Houston Partnership's (GHP's) Sustainability Advisory Committee, facilitated a workshop with city leaders. Per a GHP article, "the advisory council is charged with engaging community stakeholders, governments, academia and industry to develop a roadmap that will speed the adoption of technology and data-driven practices in the public realm."

Houston's Smart City initiative divides projects into a portfolio of opportunities: transportation, public safety, resiliency and sustainability, and engagement. The scope spans areas such as traffic, security, community life, and flooding. For example, the expanded Houston Intelligent Transportation System (HITS), a network of digital traffic signs, cameras, and more, will "monitor and manage traffic in real-time, improving public transit speed, information sharing and overall reliability." Flood detection sensors and roadway flood warning systems will gather and transmit flood-related data. With increased information, we should experience far fewer surprises on the road.

To move from a Smart City 1.0 to a Smart City 2.0, Houston is tapping into input from a wide swath of the population. In partnership with Microsoft, Houston is using a program "which scrapes data from the internet and social media to recognize trending topics and how they impact citizens' views toward the city" — just one example of giving a new voice to citizens. Also, a 311 chatbot allows citizens to seek city information or request services, while 311 prediction enables the city to better forecast needs and allocate resources smartly. We are headed toward more empowered citizens and a far more responsive city government.

For Houston, the opportunity is particularly large. With a diverse population and large geographic sprawl, Houston is poised to benefit greatly from increased interconnectedness. The city can get more ideas from diverse sources to solve issues, businesses can make smarter investments, residents will secure more ownership of their communities, and visitors will be more well-equipped to enjoy their experiences here. City leadership has grasped the vision. As Mayor Turner stated in a May 2018 address: "We must leap, not stroll into the future. We must sprint, not jog. It will be this city that will be the Smart City of the world."


Graphic courtesy of Deloitte



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About Deloitte
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Rice University lands $18M to revolutionize lymphatic disease detection

fresh funding

An arm of the U.S. Department of Health and Human Services has awarded $18 million to scientists at Rice University for research that has the potential to revolutionize how lymphatic diseases are detected and help increase survivability.

The lymphatic system is the network of vessels all over the body that help eliminate waste, absorb fat and maintain fluid balance. Diseases in this system are often difficult to detect early due to the small size of the vessels and the invasiveness of biopsy testing. Though survival rates of lymph disease have skyrocketed in the United States over the last five years, it still claims around 200,000 people in the country annually.

Early detection of complex lymphatic anomalies (CLAs) and lymphedema is essential in increasing successful treatment rates. That’s where Rice University’s SynthX Center, directed by Han Xiao and Lei Li, an assistant professor of electrical and computer engineering, comes in.

Aided by researchers from Texas Children’s Hospital, Baylor College of Medicine, the University of Texas at Dallas and the University of Texas Southwestern Medical Center, the center is pioneering two technologies: the Visual Imaging System for Tracing and Analyzing Lymphatics with Photoacoustics (VISTA-LYMPH) and Digital Plasmonic Nanobubble Detection for Protein (DIAMOND-P).

Simply put, VISTA-LYMPH uses photoacoustic tomography (PAT), a combination of light and sound, to more accurately map the tiny vessels of the lymphatic system. The process is more effective than diagnostic tools that use only light or sound, independent of one another. The research award is through the Advanced Research Projects Agency for Health (ARPA-H) Lymphatic Imaging, Genomics and pHenotyping Technologies (LIGHT) program, part of the U.S. HHS, which saw the potential of VISTA-LYMPH in animal tests that produced finely detailed diagnostic maps.

“Thanks to ARPA-H’s award, we will build the most advanced PAT system to image the body’s lymphatic network with unprecedented resolution and speed, enabling earlier and more accurate diagnosis,” Li said in a news release.

Meanwhile, DIAMOND-P could replace the older, less exact immunoassay. It uses laser-heated vapors of plasmonic nanoparticles to detect viruses without having to separate or amplify, and at room temperature, greatly simplifying the process. This is an important part of greater diagnosis because even with VISTA-LYMPH’s greater imaging accuracy, many lymphatic diseases still do not appear. Detecting biological markers is still necessary.

According to Rice, the efforts will help address lymphatic disorders, including Gorham-Stout disease, kaposiform lymphangiomatosis and generalized lymphatic anomaly. They also could help manage conditions associated with lymphatic dysfunction, including cancer metastasis, cardiovascular disease and neurodegeneration.

“By validating VISTA-LYMPH and DIAMOND-P in both preclinical and clinical settings, the team aims to establish a comprehensive diagnostic pipeline for lymphatic diseases and potentially beyond,” Xiao added in the release.

The ARPA-H award funds the project for up to five years.

Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.