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Now, we've talked about augmenting the patient. | 现在我们在某种程度上谈过了与患者的增进交流。 那与医生的增进交流呢？ | en-zh-cn |
How about augmenting the physician? | 你可以穿這些假肢。 | en-zh-tw |
We're now in the era of super-enabling the surgeon, who can now go into the body and do robotic surgery, which is here today, at a level that was not really possible even five years ago. | que pode agora entrar no corpo e fazer coisas com cirurgia robótica, que está aqui hoje, a um nível que não era realmente possível há cinco anos atrás. | en-pt-br |
And now this is being augmented with further layers of technology, like augmented reality. | Agora isto está sendo suplementado com mais camadas de tecnologia como a realidade aumentada. | en-pt-br |
So the surgeon can see inside the patient, through their lens, where the tumor is, where the blood vessels are. | Então o cirurgião pode ver dentro do paciente, através das suas lentes, onde o está o tumor, onde estão os vasos sanguineos. | en-pt-br |
This can be integrated with decision support. | Thông tin này sẽ hỗ trợ ra quyết định. Một bác sĩ ở New York có thể giúp bác sĩ tại Amsterdam. | en-vi |
And we're entering an era of truly scarless surgery called NOTES, where the robotic endoscope can come out the stomach and pull out that gallbladder, all in a scarless way and robotically. | 我们正处在一个 叫做NOTES的真正无疤手术时代， 机器人的内窥镜能穿过胃部 切除胆囊 全程都是机器人化无疤方式。 | en-zh-cn |
This is called NOTES, and it's coming -- basically scarless surgery, as mediated by robotic surgery. | Ονομάζεται NOTES, κι έρχεται -χειρουργική επέμβαση χωρίς ουλές, μέσω της ρομποτικής χειρουργικής. | en-el |
Now, how about controlling other elements? | Co z kontrolowaniem innych elementów? | en-pl |
For those who have disabilities -- the paraplegic, there's the brain-computer interface, or BCI, where chips have been put on the motor cortex of completely quadriplegic patients, and they can control a cursor or a wheelchair or, potentially, a robotic arm. | Para los que tienen discapacidades -los parapléjicos- está la era de la Interacción Cerebro Computadora, o BCI (siglas en inglés, NT) con el implante de chips en la corteza motora de pacientes completamente tetrapléjicos de modo que pueden controlar un cursor, o una silla de ruedas o, eventualmente, un brazo robótico. Estos dispositivos son cada vez más pequeños | en-es |
These devices are getting smaller and going into more and more of these patients. | и достигат до все повече и повече от тези пациенти. Все още е в клинични изпитвания, но представете си, когато ще можем да ги свържем, | en-bg |
Still in clinical trials, but imagine when we can connect these, for example, to the amazing bionic limb, such as the DEKA Arm, built by Dean Kamen and colleagues, which has 17 degrees of motion and freedom, and can allow the person who's lost a limb to have much higher dexterity or control than they've had in the past. | például, a bámulatos bionikus végtagokkal, mint a DEKA Kar, amit Dean Kamen és kollégái építettek meg, amelynek 17 szabadsági foka van és lehetővé teszi az embernek aki elvesztette egy végtagját a sokkal magasabb szintű ügyességet vagy irányítást ami a múltban valaha is volt. | en-hu |
So we're really entering the era of wearable robotics, actually. | 另外，我們能將人工視網膜放到眼球後面 | en-zh-tw |
If you haven't lost a limb but had a stroke, you can wear these augmented limbs. | se você não perdeu um membro - você teve um ataque do coração, por exemplo - você pode usar estes membros aumentados. | en-pt-br |
Or if you're a paraplegic -- I've visited the folks at Berkeley Bionics -- they've developed eLEGS. | O se siete paraplegici -- per esempio sono andato a trovare i ragazzi di Berkley Bionics -- hanno sviluppato eLEGS. | en-it |
I took this video last week. | Έβγαλα αυτό το βίντεο την περασμένη εβδομάδα. | en-el |
Here's a paraplegic patient, walking by strapping on these exoskeletons. | Iată un pacient paraplegic care chiar merge, atașând aceste exoschelete. | en-ro |
He's otherwise completely wheelchair-bound. | En caso contrario, depende por completo de la silla de rueda. | en-es |
This is the early era of wearable robotics. | Ez a hordozható robottechnika korai szakasza. | en-hu |
And by leveraging these sorts of technologies, we're going to change the definition of disability to, in some cases, be superability, or super-enabling. | Νομίζω ότι αξιοποιώντας αυτά τα είδη των τεχνολογιών, θα αλλάξουμε τον ορισμό της αναπηρίας σε ορισμένες περιπτώσεις να είναι υπέρ-ικανότητα ή υπέρ-δυνατότητα. | en-el |
This is Aimee Mullins, who lost her lower limbs as a young child, and Hugh Herr, who's a professor at MIT, who lost his limbs in a climbing accident. | こちらは子供の頃に両下肢を無くした エイミー・マリンズと 登山事故で両下肢を無くした MIT 教授のヒュー・ハーです | en-ja |
And now both of them can climb better, move faster, swim differently with their prosthetics than us normal-abled persons. | 把它放在晶片上 它能在世界上任何地方的照護站同時做上千個檢測。 | en-zh-tw |
How about other exponentials? | Kako je z drugimi hitro naraščajočimi trendi? | en-sl |
Clearly the obesity trend is exponentially going in the wrong direction, including with huge costs. | kéo theo chi phí khổng lồ. Xu thế trong y học là tối thiểu cấp số nhân. | en-vi |
A few examples: we're now in the era of "Fantastic Voyage," the iPill. | Een paar voorbeelden: we zijn nu in het tijdperk van de "Fantastic Voyage", de iPill. | en-nl |
You can swallow this completely integrated device. | Je kan dit volledig geïntegreerde apparaat inslikken. | en-nl |
It can take pictures of your GI system, help diagnose and treat as it moves through your GI tract. | 이걸로 소화기 계통의 사진을 찍을 수 있으며, 위장관을 따라 이동하는 동안 진단과 처치를 도울 수 있습니다. | en-ko |
We get into even smaller micro-robots that will eventually, autonomously, move through your system, and be able to do things surgeons can't do in a much less invasive manner. | 우리는 훨씬 더 작은 마이크로 로봇이 궁극적으로 신체 기관을 따라 독자적으로 이동하며 외과의사가 할 수 없는 일을 훨씬 덜 침습적인 방법으로 해내는 수준까지 왔습니다. 때로는 이러한 로봇이 소화 기관 내에서 자가 조립하여 | en-ko |
Sometimes these might self-assemble in your GI system, and be augmented in that reality. | și să existe în acea realitate. | en-ro |
On the cardiac side, pacemakers are getting smaller and much easier to place, so no need to train an interventional cardiologist to place them. | 也許今後一兩年就只要一百美元。 我們能用一百元換來的基因組做什麼呢？ 很快的我們能用這些基因組來做數以百萬種的檢測。 | en-zh-tw |
And they'll be wirelessly telemetered to your mobile devices, so you can go places and be monitored remotely. | Et là encore ils vont être télémétrés sans fil pour vos appareils mobiles, pour que vous puissiez vous balader et être surveillé à distance. | en-fr |
These are shrinking even further. | Estes estão a encolher ainda mais. | en-pt |
This one is in prototyping by Medtronic; it's smaller than a penny. | Aqui está um em fase de protótipo da Medtronic que é mais pequeno que um cêntimo. | en-pt |
Artificial retinas, the ability to put arrays on the back of the eyeball and allow the blind to see -- also in early trials, but moving into the future. | Kunstmatige netvliezen, de mogelijkheid om deze systemen op de achterkant van de oogbol te plaatsen en een blinde laten zien. Nogmaals, in het beginstadium, maar op komst. | en-nl |
These are going to be game-changing. | Isto será uma mudança no jogo. | en-pt-br |
Or for those of us who are sighted, how about having the assisted-living contact lens? | O per a aquells que tenim problemes en la vista, com seria tenir unes lents de contacte que ens ajudessin sempre? | en-ca |
Bluetooth, Wi-Fi available -- beams back images to your eye. | BlueTooth, WiFi so na voljo - teleportirajo žarke nazaj na oko. | en-sl |
(Laughter) Now, if you have trouble maintaining your diet, it might help to have some extra imagery to remind you how many calories are going to be coming at you. | Agora se você tem problemas em manter sua dieta poderia ajudar ter algumas imagens extras para lembra-lo de quantas calorias você está ingerindo. | en-pt-br |
How about enabling the pathologist to use their cell phone to see at a microscopic level and to lumber that data back to the cloud and make better diagnostics? | Τι λέτε για την δυνατότητα του παθολόγου να χρησιμοποιήσει και πάλι το κινητό του για να δεί σε μικροσκοπικό επίπεδο και να βάλει τα δεδομένα πίσω στο «νέφος» και να κάνει καλύτερη διάγνωση; | en-el |
In fact, the whole era of laboratory medicine is completely changing. | De facto, toda a era de medicina de laboratório está a mudar completamente. Podemos agora potenciar os microfluídos, | en-pt |
We can now leverage microfluidics, like this chip made by Steve Quake at Stanford. | wie zum Beispiel dieser Chip von Steve Quake aus Stanford. | en-de |
Microfluidics can replace an entire lab of technicians; put it on a chip, enable thousands of tests at the point of care, anywhere in the world. | Mikrofluidyki mogą zastąpić całe laboratorium techników. Umieszczenie tego na czipie pozwala na wykonanie tysięcy testów w miejscu świadczenia opieki medycznej, gdziekolwiek na świecie. I to naprawdę pozwoli na zastosowanie technologii | en-pl |
This will really leverage technology to the rural and the underserved and enable what used to be thousand-dollar tests to be done for pennies, and at the point of care. | per als que viuen en el camp i per als desatesos i facilitarà que els tests que costaven milers de dòlars es facin per uns centaus i al lloc d'atenció. Si seguim aquest senderet una mica més, | en-ca |
If we go down the small pathway a little bit further, we're entering the era of nanomedicine, the ability to make devices super-small, to the point where we can design red blood cells or microrobots that monitor our blood system or immune system, or even those that might clear out the clots from our arteries. | treten wir ein in die Ära der Nanomedizin, die die Fähigkeit hat, so winzige Geräte zu bauen, dass wir zum Beispiel rote Blutkörperchen entwerfen können oder Mikro-Roboter, die unseren Blutkreislauf oder Immunsystem überwachen können oder sogar solche, die Blutgerinnsel aus unseren Arterien entfernen könnten. | en-de |
Now how about exponentially cheaper? | Vậy tại sao chúng lại ngày càng rẻ? Không liên quan lắm tới y học, | en-vi |
Not something we usually think about in the era of medicine, but hard disks used to be 3,400 dollars for 10 megabytes -- exponentially cheaper. | 而是10MB硬盘过去3400美元--指数便宜。 在基因组学， | en-zh-cn |
In genomics now, the genome cost about a billion dollars about 10 years ago, when the first one came out. | genom kosztował około miliarda dolarów około 10 lat temu, kiedy został zsekwencjonowany po raz pierwszy. | en-pl |
We're now approaching essentially a $1,000 genome, probably next year. | 多分来年には実質1000ドルになります | en-ja |
And in two years, a $100 genome. | Τι θα κάνουμε με τα γονιδιώματα των εκατό δολαρίων; | en-el |
Soon we'll have millions of these tests available. | Скоро ще имаме налични милиони от тези тестове. | en-bg |
Then it gets interesting, when we start to crowd-source that information, and enter the era of true personalized medicine: the right drug for the right person at the right time, instead of what we're doing now, which is the same drug for everybody, blockbuster drug medications, which don't work for the individual. | その情報をクラウドソーシングし始めると 興味深くなってきます 私たちは真の個別化医学の時代に突入します 特定の個人には効果のないベストセラー薬を 誰にでも同じように処方している 現状とは異なり 個人に最適な薬を 正しいタイミングで投与できるようになります | en-ja |
Many different companies are working on leveraging these approaches. | Zahlreiche Unternehmen arbeiten bereits daran, diese Methode zu unterstützen. | en-de |
I'll show you a simple example, from 23andMe again. | سأريكم أيضا مثالا بسيطا من 23andMe مرة أخرى. تشير بياناتي إلى أنني على مستوى خطورة متوسط | en-ar |
My data indicates I've got about average risk for developing macular degeneration, a kind of blindness. | Moji podatki kažejo, da imam povprečno tveganje za razvoj procesa degeneracije makule, neke vrste slepote. | en-sl |
But if I take that same data, upload it to deCODEme, I can look at my risk for type 2 diabetes; I'm at almost twice the risk. | Dar dacă iau aceleași date și le încarc pe deCODEme, mă pot uita la ce risc există şi dezvolt diabet de tipul 2. A crescut de două ori riscul de a dezvolta diabet de tipul 2. | en-ro |
I might want to watch how much dessert I have at lunch, for example. | Hoeveel dessert heb ik graag bij mijn lunch? | en-nl |
It might change my behavior. | S-ar putea să-mi schimb comportamentul. | en-ro |
Leveraging my knowledge of my pharmacogenomics: how my genes modulate, what my drugs do and what doses I need will become increasingly important, and once in the hands of individuals and patients, will make better drug dosing and selection available. | Farmakogenomik ile ilgili bilgimi artırmak -- genlerimin nasıl çalıştığını, ilaçların bana ne yaptığını ve hangi doza ihtiyacım olduğunu bilmek gittikçe daha önemli olacak. Bireyler ve hastalar bu bilgiye sahip olduklarında daha iyi ilaç seçimi ve doz ayarlaması mümkün olacak. | en-tr |
So again, it's not just genes, it's multiple details -- our habits, our environmental exposures. | Nogmaals, het gaat niet alleen om genen, meerdere details zoals onze gewoonten, onze blootstelling aan het milieu spelen een rol. | en-nl |
When was the last time your doctor asked where you've lived? | Doktorunuz size en son ne zaman nerede yaşadığınızı sordu? | en-tr |
Geomedicine: where you live, what you've been exposed to, can dramatically affect your health. | Geomedicina: unde ai locuit, la ce ai fost expus pot să-ți afecteze dramatic sănătatea. Putem lua acea informație. | en-ro |
We can capture that information. | Итак, геномика, протеомика, окружающая среда — вся эта информация | en-ru |
Genomics, proteomics, the environment -- all this data streaming at us individually and as physicians: How do we manage it? | 우리 주변에서 연속적으로 처리되는 이 모든 데이터를 개인적으로나 의사로서 어떻게 관리해야 할까요? 우리는 지금 이러한 모든 정보의 통합을 시작할 수 있는 | en-ko |
We're now entering the era of systems medicine, systems biology, where we can start to integrate all this information. | on podem començar a integrar tota aquesta informació. I estudiant els models, per exemple, en la nostra sang | en-ca |
And by looking at the patterns, for example, in our blood, of 10,000 biomarkers in a single test, we can look at patterns and detect disease at a much earlier stage. | 一个测试中有10000个生物标记， 我们能看这些小的式样 在非常早期发现疾病。 | en-zh-cn |
This is called by Lee Hood, the father of the field, P4 Medicine. | Αυτό ονομάστηκε από τον Λη Χουντ, τον πατέρα του χώρου αυτού, ιατρική P4. | en-el |
We'll be predictive and know what you're likely to have. | We gaan kunnen voorspellen (Predict) welke ziekte je gaat krijgen. | en-nl |
We can be preventative; that prevention can be personalized. | Lahko smo preventivni; preventiva je lahko personalizirana; | en-sl |
More importantly, it'll be increasingly participatory. | e ancora più importante, diventerà sempre più partecipativa. | en-it |
Through websites like PatientsLikeMe or managing your data on Microsoft HealthVault or Google Health, leveraging this together in participatory ways will be increasingly important. | من خلال مواقع مثل "مرضى مثلي" Patients like Me أو إدارة البيانات الخاصة بك على مايكروسوفت HealthVault أو غوغل الصحة Google Health، الاستفادة من هذه الوسائل التشاركية سوف تصبح ذات أهمية متزايدة. إذن، سأنهي عرضي بمفهوم "الأفضل المستمر". | en-ar |
We'd like to get therapies better and more effective. | نرغب في الحصول على علاجات أفضل وأكثر فعالية. اليوم يعالج مرض ارتفاع ضغط الدم غالبا عن طريق الحبوب. | en-ar |
Today we treat high blood pressure mostly with pills. | Ama yeni bir cihaz olsa ve | en-tr |
What if we take a new device, knock out the nerve vessels that help mediate blood pressure, and in a single therapy, basically cure hypertension? | 혈압을 조절하는 데 도움이 되는 신경 혈관을 뚫어 한 번의 처치로 고혈압을 치료하면 어떻겠습니까. | en-ko |
This is a new device doing essentially that. | To jest nowe urządzenie, które to robi. | en-pl |
It should be on the market in a year or two. | سيكون متوفرا في السوق خلال سنة أو اثنتين. | en-ar |
How about more targeted therapies for cancer? | Co z bardziej ukierunkowanymi terapiami raka? Jestem onkologiem | en-pl |
I'm an oncologist and know that most of what we give is essentially poison. | et je dois dire que la plupart de ce que nous donnons est en fait du poison. | en-fr |
We learned at Stanford and other places that we can discover cancer stem cells, the ones that seem to be really responsible for disease relapse. | Научихме от Станфърд и от други места, че можем да открием стволовите клетки на рака, тези, които изглежда са наистина отговорни за повтарянето на заболяването. | en-bg |
So if you think of cancer as a weed, we often can whack the weed away and it seems to shrink, but it often comes back. | אז אם אתם חושבים על סרטן כעל עשב שוטה, אנחנו יכולים לנקש את העשב השוטה. נדמה שהוא מתכווץ, אבל לרוב הוא חוזר שוב. כך שאנחנו תוקפים את המטרה הלא נכונה. | en-he |
The cancer stem cells remain, and the tumor can return months or years later. | الخلايا الجذعية السرطانية، تبقى، فيعود الورم بعد شهور أو سنة بعدها. | en-ar |
We're now learning to identify the cancer stem cells and identify those as targets and go for the long-term cure. | Most tanuljuk, hogy hogyan ismerhetjük fel a rák őssejteket és azonosítsuk azokat mint célpont, és elérjük a hosszútávú gyógyulást. | en-hu |
We're entering the era of personalized oncology, the ability to leverage all of this data together, analyze the tumor and come up with a real, specific cocktail for the individual patient. | 我們就能讓病患對疾病更了解 讓醫生更有能力，讓人們更健康 而且能夠防患於未然。 因為作為醫生我知道，如果某人在患病初期來看我 | en-zh-tw |
I'll close with regenerative medicine. | Maintenant, je vais conclure avec la médecine régénérative. J'ai étudié beaucoup de choses sur les cellules souches - | en-fr |
Embryonic stem cells are particularly powerful. | özellikle embriyonik kök hücreleri çok güçlüler. | en-tr |
We have adult stem cells throughout our body; we use those in bone marrow transplantation. | 우리는 몸 전체에 성인 줄기 세포도 갖고 있습니다. 저희는 그러한 줄기 세포를 제 골수 이식 분야에 사용합니다. Geron사에서는 바로 지난 해 | en-ko |
Geron, last year, started the first trial using human embryonic stem cells to treat spinal cord injuries. | لاستخدام الخلايا الجذعية الجنينية البشرية لعلاج الحبل الشوكي. | en-ar |
Still a phase I trial, but evolving. | Ainda a primeira fase da experiência, mas evoluindo. | en-pt-br |
We've been using adult stem cells in clinical trials for about 15 years to approach a whole range of topics, particularly cardiovascular disease. | Utilizziamo cellule staminali adulte nei test clinici da 15 anni per tutta una serie di problemi, in particolare nelle malattie cardiovascolari. | en-it |
If we take our own bone marrow cells and treat a patient with a heart attack, we can see much improved heart function and better survival using our own bone marrow derived cells after a heart attack. | Bierzemy własne komórki szpiku kostnego i leczymy pacjenta z zawałem serca, możemy zaobserwować znaczną poprawę funkcji serca i większy odsetek przeżyć po zawale, dzięki użyciu komórek szpiku kostnego. | en-pl |
I invented a device called the MarrowMiner, a much less invasive way for harvesting bone marrow. | Eu inventei um aparelho chamado Minerador da Medula, um meio menos invasivo para coletar a medula óssea. Ele esta agora sendo aprovado pela FDA, | en-pt-br |
It's now been FDA approved; hopefully on the market in the next year. | mam nadzieję, że pojawi się na rynku w przyszłym roku. | en-pl |
Hopefully you can appreciate the device going through the patient's body removing bone marrow, not with 200 punctures, but with a single puncture, under local anesthesia. | Ας ελπίσουμε ότι μπορείτε να εκτιμήσετε τη συσκευή εκεί κάμπτοντας μέσα στο σώμα του ασθενούς και αφαιρώντας μυελό των οστών του, αντί για 200 παρακεντήσεις, με μία μόνο παρακέντηση με τοπική αναισθησία. Αλλά πού πάει πραγματικά η θεραπεία με τα βλαστοκύτταρα; | en-el |
Where is stem-cell therapy going? | אם תחשבו על זה, לכל תא בגופכם יש את אותו ד.נ.א. | en-he |
If you think about it, every cell in your body has the same DNA you had when you were an embryo. | aynen sizin embriyo halinizde olduğu gibi. | en-tr |
We can now reprogram your skin cells to actually act like a pluripotent embryonic stem cell and utilize those, potentially, to treat multiple organs in the same patient, making personalized stem cell lines. | Ahora podemos reprogramar células de la piel para que actúen como células madre embrionarias pluripotentes y usarlas potencialmente para tratar múltiples órganos en el mismo paciente creando sus propias líneas de células madre personalizadas. Y creo que el almacenamiento de las propias células madre marcará una era | en-es |
I think there'll be a new era of your own stem cell banking to have in the freezer your own cardiac cells, myocytes and neural cells to use them in the future, should you need them. | in dem Sie Ihre eigenen Herzzellen, Myozyten und Neuronen im Gefrierschrank für alle Fälle aufbewahren. | en-de |
We're integrating this now with a whole era of cellular engineering, and integrating exponential technologies for essentially 3D organ printing, replacing the ink with cells, and essentially building and reconstructing a 3D organ. | 我们现在集成这些技术作为一整个细胞工程学时代。 集成指数技术 对于3D器官复制-- 用细胞替代墨水 最终重建一个3D器官。 | en-zh-cn |
That's where things are heading. | To w tym kierunku zmierzamy; wciąż jesteśmy na początku drogi. | en-pl |
Still very early days, but I think, as integration of exponential technologies, this is the example. | Ama bana göre hızlı gelişen teknolojilerin birleştirilmesine ilişkin iyi bir örnek. Sonuçta, teknolojik akımların sağlık ve tıp alanında | en-tr |
So in closing, as you think about technology trends and how to impact health and medicine, we're entering an era of miniaturization, decentralization and personalization. | i quin impacte tindran en la salut i la medicina, caminem cap a una època de miniaturització, descentralització i personalització. | en-ca |
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