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#435070 5 Breakthroughs Coming Soon in Augmented ...

Convergence is accelerating disruption… everywhere! Exponential technologies are colliding into each other, reinventing products, services, and industries.

In this third installment of my Convergence Catalyzer series, I’ll be synthesizing key insights from my annual entrepreneurs’ mastermind event, Abundance 360. This five-blog series looks at 3D printing, artificial intelligence, VR/AR, energy and transportation, and blockchain.

Today, let’s dive into virtual and augmented reality.

Today’s most prominent tech giants are leaping onto the VR/AR scene, each driving forward new and upcoming product lines. Think: Microsoft’s HoloLens, Facebook’s Oculus, Amazon’s Sumerian, and Google’s Cardboard (Apple plans to release a headset by 2021).

And as plummeting prices meet exponential advancements in VR/AR hardware, this burgeoning disruptor is on its way out of the early adopters’ market and into the majority of consumers’ homes.

My good friend Philip Rosedale is my go-to expert on AR/VR and one of the foremost creators of today’s most cutting-edge virtual worlds. After creating the virtual civilization Second Life in 2013, now populated by almost 1 million active users, Philip went on to co-found High Fidelity, which explores the future of next-generation shared VR.

In just the next five years, he predicts five emerging trends will take hold, together disrupting major players and birthing new ones.

Let’s dive in…

Top 5 Predictions for VR/AR Breakthroughs (2019-2024)
“If you think you kind of understand what’s going on with that tech today, you probably don’t,” says Philip. “We’re still in the middle of landing the airplane of all these new devices.”

(1) Transition from PC-based to standalone mobile VR devices

Historically, VR devices have relied on PC connections, usually involving wires and clunky hardware that restrict a user’s field of motion. However, as VR enters the dematerialization stage, we are about to witness the rapid rise of a standalone and highly mobile VR experience economy.

Oculus Go, the leading standalone mobile VR device on the market, requires only a mobile app for setup and can be transported anywhere with WiFi.

With a consumer audience in mind, the 32GB headset is priced at $200 and shares an app ecosystem with Samsung’s Gear VR. While Google Daydream are also standalone VR devices, they require a docked mobile phone instead of the built-in screen of Oculus Go.

In the AR space, Lenovo’s standalone Microsoft’s HoloLens 2 leads the way in providing tetherless experiences.

Freeing headsets from the constraints of heavy hardware will make VR/AR increasingly interactive and transportable, a seamless add-on whenever, wherever. Within a matter of years, it may be as simple as carrying lightweight VR goggles wherever you go and throwing them on at a moment’s notice.

(2) Wide field-of-view AR displays

Microsoft’s HoloLens 2 leads the AR industry in headset comfort and display quality. The most significant issue with their prior version was the limited rectangular field of view (FOV).

By implementing laser technology to create a microelectromechanical systems (MEMS) display, however, HoloLens 2 can position waveguides in front of users’ eyes, directed by mirrors. Subsequently enlarging images can be accomplished by shifting the angles of these mirrors. Coupled with a 47 pixel per degree resolution, HoloLens 2 has now doubled its predecessor’s FOV. Microsoft anticipates the release of its headset by the end of this year at a $3,500 price point, first targeting businesses and eventually rolling it out to consumers.

Magic Leap provides a similar FOV but with lower resolution than the HoloLens 2. The Meta 2 boasts an even wider 90-degree FOV, but requires a cable attachment. The race to achieve the natural human 120-degree horizontal FOV continues.

“The technology to expand the field of view is going to make those devices much more usable by giving you bigger than a small box to look through,” Rosedale explains.

(3) Mapping of real world to enable persistent AR ‘mirror worlds’

‘Mirror worlds’ are alternative dimensions of reality that can blanket a physical space. While seated in your office, the floor beneath you could dissolve into a calm lake and each desk into a sailboat. In the classroom, mirror worlds would convert pencils into magic wands and tabletops into touch screens.

Pokémon Go provides an introductory glimpse into the mirror world concept and its massive potential to unite people in real action.

To create these mirror worlds, AR headsets must precisely understand the architecture of the surrounding world. Rosedale predicts the scanning accuracy of devices will improve rapidly over the next five years to make these alternate dimensions possible.

(4) 5G mobile devices reduce latency to imperceptible levels

Verizon has already launched 5G networks in Minneapolis and Chicago, compatible with the Moto Z3. Sprint plans to follow with its own 5G launch in May. Samsung, LG, Huawei, and ZTE have all announced upcoming 5G devices.

“5G is rolling out this year and it’s going to materially affect particularly my work, which is making you feel like you’re talking to somebody else directly face to face,” explains Rosedale. “5G is critical because currently the cell devices impose too much delay, so it doesn’t feel real to talk to somebody face to face on these devices.”

To operate seamlessly from anywhere on the planet, standalone VR/AR devices will require a strong 5G network. Enhancing real-time connectivity in VR/AR will transform the communication methods of tomorrow.

(5) Eye-tracking and facial expressions built in for full natural communication

Companies like Pupil Labs and Tobii provide eye tracking hardware add-ons and software to VR/AR headsets. This technology allows for foveated rendering, which renders a given scene in high resolution only in the fovea region, while the peripheral regions appear in lower resolution, conserving processing power.

As seen in the HoloLens 2, eye tracking can also be used to identify users and customize lens widths to provide a comfortable, personalized experience for each individual.

According to Rosedale, “The fundamental opportunity for both VR and AR is to improve human communication.” He points out that current VR/AR headsets miss many of the subtle yet important aspects of communication. Eye movements and microexpressions provide valuable insight into a user’s emotions and desires.

Coupled with emotion-detecting AI software, such as Affectiva, VR/AR devices might soon convey much more richly textured and expressive interactions between any two people, transcending physical boundaries and even language gaps.

Final Thoughts
As these promising trends begin to transform the market, VR/AR will undoubtedly revolutionize our lives… possibly to the point at which our virtual worlds become just as consequential and enriching as our physical world.

A boon for next-gen education, VR/AR will empower youth and adults alike with holistic learning that incorporates social, emotional, and creative components through visceral experiences, storytelling, and simulation. Traveling to another time, manipulating the insides of a cell, or even designing a new city will become daily phenomena of tomorrow’s classrooms.

In real estate, buyers will increasingly make decisions through virtual tours. Corporate offices might evolve into spaces that only exist in ‘mirror worlds’ or grow virtual duplicates for remote workers.

In healthcare, accuracy of diagnosis will skyrocket, while surgeons gain access to digital aids as they conduct life-saving procedures. Or take manufacturing, wherein training and assembly will become exponentially more efficient as visual cues guide complex tasks.

In the mere matter of a decade, VR and AR will unlock limitless applications for new and converging industries. And as virtual worlds converge with AI, 3D printing, computing advancements and beyond, today’s experience economies will explode in scale and scope. Prepare yourself for the exciting disruption ahead!

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Posted in Human Robots

#435046 The Challenge of Abundance: Boredom, ...

As technology continues to progress, the possibility of an abundant future seems more likely. Artificial intelligence is expected to drive down the cost of labor, infrastructure, and transport. Alternative energy systems are reducing the cost of a wide variety of goods. Poverty rates are falling around the world as more people are able to make a living, and resources that were once inaccessible to millions are becoming widely available.

But such a life presents fuel for the most common complaint against abundance: if robots take all the jobs, basic income provides us livable welfare for doing nothing, and healthcare is a guarantee free of charge, then what is the point of our lives? What would motivate us to work and excel if there are no real risks or rewards? If everything is simply given to us, how would we feel like we’ve ever earned anything?

Time has proven that humans inherently yearn to overcome challenges—in fact, this very desire likely exists as the root of most technological innovation. And the idea that struggling makes us stronger isn’t just anecdotal, it’s scientifically validated.

For instance, kids who use anti-bacterial soaps and sanitizers too often tend to develop weak immune systems, causing them to get sick more frequently and more severely. People who work out purposely suffer through torn muscles so that after a few days of healing their muscles are stronger. And when patients visit a psychologist to handle a fear that is derailing their lives, one of the most common treatments is exposure therapy: a slow increase of exposure to the suffering so that the patient gets stronger and braver each time, able to take on an incrementally more potent manifestation of their fears.

Different Kinds of Struggle
It’s not hard to understand why people might fear an abundant future as a terribly mundane one. But there is one crucial mistake made in this assumption, and it was well summarized by Indian mystic and author Sadhguru, who said during a recent talk at Google:

Stomach empty, only one problem. Stomach full—one hundred problems; because what we refer to as human really begins only after survival is taken care of.

This idea is backed up by Maslow’s hierarchy of needs, which was first presented in his 1943 paper “A Theory of Human Motivation.” Maslow shows the steps required to build to higher and higher levels of the human experience. Not surprisingly, the first two levels deal with physiological needs and the need for safety—in other words, with the body. You need to have food, water, and sleep, or you die. After that, you need to be protected from threats, from the elements, from dangerous people, and from disease and pain.

Maslow’s Hierarchy of Needs. Photo by Wikimedia User:Factoryjoe / CC BY-SA 3.0
The beauty of these first two levels is that they’re clear-cut problems with clear-cut solutions: if you’re hungry, then you eat; if you’re thirsty, then you drink; if you’re tired, then you sleep.

But what about the next tiers of the hierarchy? What of love and belonging, of self-esteem and self-actualization? If we’re lonely, can we just summon up an authentic friend or lover? If we feel neglected by society, can we demand it validate us? If we feel discouraged and disappointed in ourselves, can we simply dial up some confidence and self-esteem?

Of course not, and that’s because these psychological needs are nebulous; they don’t contain clear problems with clear solutions. They involve the external world and other people, and are complicated by the infinite flavors of nuance and compromise that are required to navigate human relationships and personal meaning.

These psychological difficulties are where we grow our personalities, outlooks, and beliefs. The truly defining characteristics of a person are dictated not by the physical situations they were forced into—like birth, socioeconomic class, or physical ailment—but instead by the things they choose. So a future of abundance helps to free us from the physical limitations so that we can truly commit to a life of purpose and meaning, rather than just feel like survival is our purpose.

The Greatest Challenge
And that’s the plot twist. This challenge to come to grips with our own individuality and freedom could actually be the greatest challenge our species has ever faced. Can you imagine waking up every day with infinite possibility? Every choice you make says no to the rest of reality, and so every decision carries with it truly life-defining purpose and meaning. That sounds overwhelming. And that’s probably because in our current socio-economic systems, it is.

Studies have shown that people in wealthier nations tend to experience more anxiety and depression. Ron Kessler, professor of health care policy at Harvard and World Health Organization (WHO) researcher, summarized his findings of global mental health by saying, “When you’re literally trying to survive, who has time for depression? Americans, on the other hand, many of whom lead relatively comfortable lives, blow other nations away in the depression factor, leading some to suggest that depression is a ‘luxury disorder.’”

This might explain why America scores in the top rankings for the most depressed and anxious country on the planet. We surpassed our survival needs, and instead became depressed because our jobs and relationships don’t fulfill our expectations for the next three levels of Maslow’s hierarchy (belonging, esteem, and self-actualization).

But a future of abundance would mean we’d have to deal with these levels. This is the challenge for the future; this is what keeps things from being mundane.

As a society, we would be forced to come to grips with our emotional intelligence, to reckon with philosophy rather than simply contemplate it. Nearly every person you meet will be passionately on their own customized life journey, not following a routine simply because of financial limitations. Such a world seems far more vibrant and interesting than one where most wander sleep-deprived and numb while attempting to survive the rat race.

We can already see the forceful hand of this paradigm shift as self-driving cars become ubiquitous. For example, consider the famous psychological and philosophical “trolley problem.” In this thought experiment, a person sees a trolley car heading towards five people on the train tracks; they see a lever that will allow them to switch the trolley car to a track that instead only has one person on it. Do you switch the lever and have a hand in killing one person, or do you let fate continue and kill five people instead?

For the longest time, this was just an interesting quandary to consider. But now, massive corporations have to have an answer, so they can program their self-driving cars with the ability to choose between hitting a kid who runs into the road or swerving into an oncoming car carrying a family of five. When companies need philosophers to make business decisions, it’s a good sign of what’s to come.

Luckily, it’s possible this forceful reckoning with philosophy and our own consciousness may be exactly what humanity needs. Perhaps our great failure as a species has been a result of advanced cognition still trapped in the first two levels of Maslow’s hierarchy due to a long history of scarcity.

As suggested in the opening scenes in 2001: A Space Odyssey, our ape-like proclivity for violence has long stayed the same while the technology we fight with and live amongst has progressed. So while well-off Americans may have comfortable lives, they still know they live in a system where there is no safety net, where a single tragic failure could still mean hunger and homelessness. And because of this, that evolutionarily hard-wired neurotic part of our brain that fears for our survival has never been able to fully relax, and so that anxiety and depression that come with too much freedom but not enough security stays ever present.

Not only might this shift in consciousness help liberate humanity, but it may be vital if we’re to survive our future creations as well. Whatever values we hold dear as a species are the ones we will imbue into the sentient robots we create. If machine learning is going to take its guidance from humanity, we need to level up humanity’s emotional maturity.

While the physical struggles of the future may indeed fall to the wayside amongst abundance, it’s unlikely to become a mundane world; instead, it will become a vibrant culture where each individual is striving against the most important struggle that affects all of us: the challenge to find inner peace, to find fulfillment, to build meaningful relationships, and ultimately, the challenge to find ourselves.

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Posted in Human Robots

#435023 Inflatable Robot Astronauts and How to ...

The typical cultural image of a robot—as a steel, chrome, humanoid bucket of bolts—is often far from the reality of cutting-edge robotics research. There are difficulties, both social and technological, in realizing the image of a robot from science fiction—let alone one that can actually help around the house. Often, it’s simply the case that great expense in producing a humanoid robot that can perform dozens of tasks quite badly is less appropriate than producing some other design that’s optimized to a specific situation.

A team of scientists from Brigham Young University has received funding from NASA to investigate an inflatable robot called, improbably, King Louie. The robot was developed by Pneubotics, who have a long track record in the world of soft robotics.

In space, weight is at a premium. The world watched in awe and amusement when Commander Chris Hadfield sang “Space Oddity” from the International Space Station—but launching that guitar into space likely cost around $100,000. A good price for launching payload into outer space is on the order of $10,000 per pound ($22,000/kg).

For that price, it would cost a cool $1.7 million to launch Boston Dynamics’ famous ATLAS robot to the International Space Station, and its bulk would be inconvenient in the cramped living quarters available. By contrast, an inflatable robot like King Louie is substantially lighter and can simply be deflated and folded away when not in use. The robot can be manufactured from cheap, lightweight, and flexible materials, and minor damage is easy to repair.

Inflatable Robots Under Pressure
The concept of inflatable robots is not new: indeed, earlier prototypes of King Louie were exhibited back in 2013 at Google I/O’s After Hours, flailing away at each other in a boxing ring. Sparks might fly in fights between traditional robots, but the aim here was to demonstrate that the robots are passively safe: the soft, inflatable figures won’t accidentally smash delicate items when moving around.

Health and safety regulations form part of the reason why robots don’t work alongside humans more often, but soft robots would be far safer to use in healthcare or around children (whose first instinct, according to BYU’s promotional video, is either to hug or punch King Louie.) It’s also much harder to have nightmarish fantasies about robotic domination with these friendlier softbots: Terminator would’ve been a much shorter franchise if Skynet’s droids were inflatable.

Robotic exoskeletons are increasingly used for physical rehabilitation therapies, as well as for industrial purposes. As countries like Japan seek to care for their aging populations with robots and alleviate the burden on nurses, who suffer from some of the highest rates of back injuries of any profession, soft robots will become increasingly attractive for use in healthcare.

Precision and Proprioception
The main issue is one of control. Rigid, metallic robots may be more expensive and more dangerous, but the simple fact of their rigidity makes it easier to map out and control the precise motions of each of the robot’s limbs, digits, and actuators. Individual motors attached to these rigid robots can allow for a great many degrees of freedom—individual directions in which parts of the robot can move—and precision control.

For example, ATLAS has 28 degrees of freedom, while Shadow’s dexterous robot hand alone has 20. This is much harder to do with an inflatable robot, for precisely the same reasons that make it safer. Without hard and rigid bones, other methods of control must be used.

In the case of King Louie, the robot is made up of many expandable air chambers. An air-compressor changes the pressure levels in these air chambers, allowing them to expand and contract. This harks back to some of the earliest pneumatic automata. Pairs of chambers act antagonistically, like muscles, such that when one chamber “tenses,” another relaxes—allowing King Louie to have, for example, four degrees of freedom in each of its arms.

The robot is also surprisingly strong. Professor Killpack, who works at BYU on the project, estimates that its payload is comparable to other humanoid robots on the market, like Rethink Robotics’ Baxter (RIP).

Proprioception, that sixth sense that allows us to map out and control our own bodies and muscles in fine detail, is being enhanced for a wider range of soft, flexible robots with the use of machine learning algorithms connected to input from a whole host of sensors on the robot’s body.

Part of the reason this is so complicated with soft, flexible robots is that the shape and “map” of the robot’s body can change; that’s the whole point. But this means that every time King Louie is inflated, its body is a slightly different shape; when it becomes deformed, for example due to picking up objects, the shape changes again, and the complex ways in which the fabric can twist and bend are far more difficult to model and sense than the behavior of the rigid metal of King Louie’s hard counterparts. When you’re looking for precision, seemingly-small changes can be the difference between successfully holding an object or dropping it.

Learning to Move
Researchers at BYU are therefore spending a great deal of time on how to control the soft-bot enough to make it comparably useful. One method involves the commercial tracking technology used in the Vive VR system: by moving the game controller, which provides a constant feedback to the robot’s arm, you can control its position. Since the tracking software provides an estimate of the robot’s joint angles and continues to provide feedback until the arm is correctly aligned, this type of feedback method is likely to work regardless of small changes to the robot’s shape.

The other technologies the researchers are looking into for their softbot include arrays of flexible, tactile sensors to place on the softbot’s skin, and minimizing the complex cross-talk between these arrays to get coherent information about the robot’s environment. As with some of the new proprioception research, the project is looking into neural networks as a means of modeling the complicated dynamics—the motion and response to forces—of the softbot. This method relies on large amounts of observational data, mapping how the robot is inflated and how it moves, rather than explicitly understanding and solving the equations that govern its motion—which hopefully means the methods can work even as the robot changes.

There’s still a long way to go before soft and inflatable robots can be controlled sufficiently well to perform all the tasks they might be used for. Ultimately, no one robotic design is likely to be perfect for any situation.

Nevertheless, research like this gives us hope that one day, inflatable robots could be useful tools, or even companions, at which point the advertising slogans write themselves: Don’t let them down, and they won’t let you down!

Image Credit: Brigham Young University. Continue reading

Posted in Human Robots

#434792 Extending Human Longevity With ...

Lizards can regrow entire limbs. Flatworms, starfish, and sea cucumbers regrow entire bodies. Sharks constantly replace lost teeth, often growing over 20,000 teeth throughout their lifetimes. How can we translate these near-superpowers to humans?

The answer: through the cutting-edge innovations of regenerative medicine.

While big data and artificial intelligence transform how we practice medicine and invent new treatments, regenerative medicine is about replenishing, replacing, and rejuvenating our physical bodies.

In Part 5 of this blog series on Longevity and Vitality, I detail three of the regenerative technologies working together to fully augment our vital human organs.

Replenish: Stem cells, the regenerative engine of the body
Replace: Organ regeneration and bioprinting
Rejuvenate: Young blood and parabiosis

Let’s dive in.

Replenish: Stem Cells – The Regenerative Engine of the Body
Stem cells are undifferentiated cells that can transform into specialized cells such as heart, neurons, liver, lung, skin and so on, and can also divide to produce more stem cells.

In a child or young adult, these stem cells are in large supply, acting as a built-in repair system. They are often summoned to the site of damage or inflammation to repair and restore normal function.

But as we age, our supply of stem cells begins to diminish as much as 100- to 10,000-fold in different tissues and organs. In addition, stem cells undergo genetic mutations, which reduce their quality and effectiveness at renovating and repairing your body.

Imagine your stem cells as a team of repairmen in your newly constructed mansion. When the mansion is new and the repairmen are young, they can fix everything perfectly. But as the repairmen age and reduce in number, your mansion eventually goes into disrepair and finally crumbles.

What if you could restore and rejuvenate your stem cell population?

One option to accomplish this restoration and rejuvenation is to extract and concentrate your own autologous adult stem cells from places like your adipose (or fat) tissue or bone marrow.

These stem cells, however, are fewer in number and have undergone mutations (depending on your age) from their original ‘software code.’ Many scientists and physicians now prefer an alternative source, obtaining stem cells from the placenta or umbilical cord, the leftovers of birth.

These stem cells, available in large supply and expressing the undamaged software of a newborn, can be injected into joints or administered intravenously to rejuvenate and revitalize.

Think of these stem cells as chemical factories generating vital growth factors that can help to reduce inflammation, fight autoimmune disease, increase muscle mass, repair joints, and even revitalize skin and grow hair.

Over the last decade, the number of publications per year on stem cell-related research has increased 40x, and the stem cell market is expected to increase to $297 billion by 2022.

Rising research and development initiatives to develop therapeutic options for chronic diseases and growing demand for regenerative treatment options are the most significant drivers of this budding industry.

Biologists led by Kohji Nishida at Osaka University in Japan have discovered a new way to nurture and grow the tissues that make up the human eyeball. The scientists are able to grow retinas, corneas, the eye’s lens, and more, using only a small sample of adult skin.

In a Stanford study, seven of 18 stroke victims who agreed to stem cell treatments showed remarkable motor function improvements. This treatment could work for other neurodegenerative conditions such as Alzheimer’s, Parkinson’s, and ALS.

Doctors from the USC Neurorestoration Center and Keck Medicine of USC injected stem cells into the damaged cervical spine of a recently paralyzed 21-year-old man. Three months later, he showed dramatic improvement in sensation and movement of both arms.

In 2019, doctors in the U.K. cured a patient with HIV for the second time ever thanks to the efficacy of stem cells. After giving the cancer patient (who also had HIV) an allogeneic haematopoietic (e.g. blood) stem cell treatment for his Hodgkin’s lymphoma, the patient went into long-term HIV remission—18 months and counting at the time of the study’s publication.

Replace: Organ Regeneration and 3D Printing
Every 10 minutes, someone is added to the US organ transplant waiting list, totaling over 113,000 people waiting for replacement organs as of January 2019.

Countless more people in need of ‘spare parts’ never make it onto the waiting list. And on average, 20 people die each day while waiting for a transplant.

As a result, 35 percent of all US deaths (~900,000 people) could be prevented or delayed with access to organ replacements.

The excessive demand for donated organs will only intensify as technologies like self-driving cars make the world safer, given that many organ donors result from auto and motorcycle accidents. Safer vehicles mean less accidents and donations.

Clearly, replacement and regenerative medicine represent a massive opportunity.

Organ Entrepreneurs
Enter United Therapeutics CEO, Dr. Martine Rothblatt. A one-time aerospace entrepreneur (she was the founder of Sirius Satellite Radio), Rothblatt changed careers in the 1990s after her daughter developed a rare lung disease.

Her moonshot today is to create an industry of replacement organs. With an initial focus on diseases of the lung, Rothblatt set out to create replacement lungs. To accomplish this goal, her company United Therapeutics has pursued a number of technologies in parallel.

3D Printing Lungs
In 2017, United teamed up with one of the world’s largest 3D printing companies, 3D Systems, to build a collagen bioprinter and is paying another company, 3Scan, to slice up lungs and create detailed maps of their interior.

This 3D Systems bioprinter now operates according to a method called stereolithography. A UV laser flickers through a shallow pool of collagen doped with photosensitive molecules. Wherever the laser lingers, the collagen cures and becomes solid.

Gradually, the object being printed is lowered and new layers are added. The printer can currently lay down collagen at a resolution of around 20 micrometers, but will need to achieve resolution of a micrometer in size to make the lung functional.

Once a collagen lung scaffold has been printed, the next step is to infuse it with human cells, a process called recellularization.

The goal here is to use stem cells that grow on scaffolding and differentiate, ultimately providing the proper functionality. Early evidence indicates this approach can work.

In 2018, Harvard University experimental surgeon Harald Ott reported that he pumped billions of human cells (from umbilical cords and diced lungs) into a pig lung stripped of its own cells. When Ott’s team reconnected it to a pig’s circulation, the resulting organ showed rudimentary function.

Humanizing Pig Lungs
Another of Rothblatt’s organ manufacturing strategies is called xenotransplantation, the idea of transplanting an animal’s organs into humans who need a replacement.

Given the fact that adult pig organs are similar in size and shape to those of humans, United Therapeutics has focused on genetically engineering pigs to allow humans to use their organs. “It’s actually not rocket science,” said Rothblatt in her 2015 TED talk. “It’s editing one gene after another.”

To accomplish this goal, United Therapeutics made a series of investments in companies such as Revivicor Inc. and Synthetic Genomics Inc., and signed large funding agreements with the University of Maryland, University of Alabama, and New York Presbyterian/Columbia University Medical Center to create xenotransplantation programs for new hearts, kidneys, and lungs, respectively. Rothblatt hopes to see human translation in three to four years.

In preparation for that day, United Therapeutics owns a 132-acre property in Research Triangle Park and built a 275,000-square-foot medical laboratory that will ultimately have the capability to annually produce up to 1,000 sets of healthy pig lungs—known as xenolungs—from genetically engineered pigs.

Lung Ex Vivo Perfusion Systems
Beyond 3D printing and genetically engineering pig lungs, Rothblatt has already begun implementing a third near-term approach to improve the supply of lungs across the US.

Only about 30 percent of potential donor lungs meet transplant criteria in the first place; of those, only about 85 percent of those are usable once they arrive at the surgery center. As a result, nearly 75 percent of possible lungs never make it to the recipient in need.

What if these lungs could be rejuvenated? This concept informs Dr. Rothblatt’s next approach.

In 2016, United Therapeutics invested $41.8 million in TransMedics Inc., an Andover, Massachusetts company that develops ex vivo perfusion systems for donor lungs, hearts, and kidneys.

The XVIVO Perfusion System takes marginal-quality lungs that initially failed to meet transplantation standard-of-care criteria and perfuses and ventilates them at normothermic conditions, providing an opportunity for surgeons to reassess transplant suitability.

Rejuvenate Young Blood and Parabiosis
In HBO’s parody of the Bay Area tech community, Silicon Valley, one of the episodes (Season 4, Episode 5) is named “The Blood Boy.”

In this installment, tech billionaire Gavin Belson (Matt Ross) is meeting with Richard Hendricks (Thomas Middleditch) and his team, speaking about the future of the decentralized internet. A young, muscled twenty-something disrupts the meeting when he rolls in a transfusion stand and silently hooks an intravenous connection between himself and Belson.

Belson then introduces the newcomer as his “transfusion associate” and begins to explain the science of parabiosis: “Regular transfusions of the blood of a younger physically fit donor can significantly retard the aging process.”

While the sitcom is fiction, that science has merit, and the scenario portrayed in the episode is already happening today.

On the first point, research at Stanford and Harvard has demonstrated that older animals, when transfused with the blood of young animals, experience regeneration across many tissues and organs.

The opposite is also true: young animals, when transfused with the blood of older animals, experience accelerated aging. But capitalizing on this virtual fountain of youth has been tricky.

Ambrosia
One company, a San Francisco-based startup called Ambrosia, recently commenced one of the trials on parabiosis. Their protocol is simple: Healthy participants aged 35 and older get a transfusion of blood plasma from donors under 25, and researchers monitor their blood over the next two years for molecular indicators of health and aging.

Ambrosia’s founder Jesse Karmazin became interested in launching a company around parabiosis after seeing impressive data from animals and studies conducted abroad in humans: In one trial after another, subjects experience a reversal of aging symptoms across every major organ system. “The effects seem to be almost permanent,” he said. “It’s almost like there’s a resetting of gene expression.”

Infusing your own cord blood stem cells as you age may have tremendous longevity benefits. Following an FDA press release in February 2019, Ambrosia halted its consumer-facing treatment after several months of operation.

Understandably, the FDA raised concerns about the practice of parabiosis because to date, there is a marked lack of clinical data to support the treatment’s effectiveness.

Elevian
On the other end of the reputability spectrum is a startup called Elevian, spun out of Harvard University. Elevian is approaching longevity with a careful, scientifically validated strategy. (Full Disclosure: I am both an advisor to and investor in Elevian.)

CEO Mark Allen, MD, is joined by a dozen MDs and Ph.Ds out of Harvard. Elevian’s scientific founders started the company after identifying specific circulating factors that may be responsible for the “young blood” effect.

One example: A naturally occurring molecule known as “growth differentiation factor 11,” or GDF11, when injected into aged mice, reproduces many of the regenerative effects of young blood, regenerating heart, brain, muscles, lungs, and kidneys.

More specifically, GDF11 supplementation reduces age-related cardiac hypertrophy, accelerates skeletal muscle repair, improves exercise capacity, improves brain function and cerebral blood flow, and improves metabolism.

Elevian is developing a number of therapeutics that regulate GDF11 and other circulating factors. The goal is to restore our body’s natural regenerative capacity, which Elevian believes can address some of the root causes of age-associated disease with the promise of reversing or preventing many aging-related diseases and extending the healthy lifespan.

Conclusion
In 1992, futurist Leland Kaiser coined the term “regenerative medicine”:

“A new branch of medicine will develop that attempts to change the course of chronic disease and in many instances will regenerate tired and failing organ systems.”

Since then, the powerful regenerative medicine industry has grown exponentially, and this rapid growth is anticipated to continue.

A dramatic extension of the human healthspan is just over the horizon. Soon, we’ll all have the regenerative superpowers previously relegated to a handful of animals and comic books.

What new opportunities open up when anybody, anywhere, and at anytime can regenerate, replenish, and replace entire organs and metabolic systems on command?

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Posted in Human Robots

#434767 7 Non-Obvious Trends Shaping the Future

When you think of trends that might be shaping the future, the first things that come to mind probably have something to do with technology: Robots taking over jobs. Artificial intelligence advancing and proliferating. 5G making everything faster, connected cities making everything easier, data making everything more targeted.

Technology is undoubtedly changing the way we live, and will continue to do so—probably at an accelerating rate—in the near and far future. But there are other trends impacting the course of our lives and societies, too. They’re less obvious, and some have nothing to do with technology.

For the past nine years, entrepreneur and author Rohit Bhargava has read hundreds of articles across all types of publications, tagged and categorized them by topic, funneled frequent topics into broader trends, analyzed those trends, narrowed them down to the most significant ones, and published a book about them as part of his ‘Non-Obvious’ series. He defines a trend as “a unique curated observation of the accelerating present.”

In an encore session at South by Southwest last week (his initial talk couldn’t fit hundreds of people who wanted to attend, so a re-do was scheduled), Bhargava shared details of his creative process, why it’s hard to think non-obviously, the most important trends of this year, and how to make sure they don’t get the best of you.

Thinking Differently
“Non-obvious thinking is seeing the world in a way other people don’t see it,” Bhargava said. “The secret is curating your ideas.” Curation collects ideas and presents them in a meaningful way; museum curators, for example, decide which works of art to include in an exhibit and how to present them.

For his own curation process, Bhargava uses what he calls the haystack method. Rather than searching for a needle in a haystack, he gathers ‘hay’ (ideas and stories) then uses them to locate and define a ‘needle’ (a trend). “If you spend enough time gathering information, you can put the needle into the middle of the haystack,” he said.

A big part of gathering information is looking for it in places you wouldn’t normally think to look. In his case, that means that on top of reading what everyone else reads—the New York Times, the Washington Post, the Economist—he also buys publications like Modern Farmer, Teen Vogue, and Ink magazine. “It’s like stepping into someone else’s world who’s not like me,” he said. “That’s impossible to do online because everything is personalized.”

Three common barriers make non-obvious thinking hard.

The first is unquestioned assumptions, which are facts or habits we think will never change. When James Dyson first invented the bagless vacuum, he wanted to sell the license to it, but no one believed people would want to spend more money up front on a vacuum then not have to buy bags. The success of Dyson’s business today shows how mistaken that assumption—that people wouldn’t adapt to a product that, at the end of the day, was far more sensible—turned out to be. “Making the wrong basic assumptions can doom you,” Bhargava said.

The second barrier to thinking differently is constant disruption. “Everything is changing as industries blend together,” Bhargava said. “The speed of change makes everyone want everything, all the time, and people expect the impossible.” We’ve come to expect every alternative to be presented to us in every moment, but in many cases this doesn’t serve us well; we’re surrounded by noise and have trouble discerning what’s valuable and authentic.

This ties into the third barrier, which Bhargava calls the believability crisis. “Constant sensationalism makes people skeptical about everything,” he said. With the advent of fake news and technology like deepfakes, we’re in a post-truth, post-fact era, and are in a constant battle to discern what’s real from what’s not.

2019 Trends
Bhargava’s efforts to see past these barriers and curate information yielded 15 trends he believes are currently shaping the future. He shared seven of them, along with thoughts on how to stay ahead of the curve.

Retro Trust
We tend to trust things we have a history with. “People like nostalgic experiences,” Bhargava said. With tech moving as fast as it is, old things are quickly getting replaced by shinier, newer, often more complex things. But not everyone’s jumping on board—and some who’ve been on board are choosing to jump off in favor of what worked for them in the past.

“We’re turning back to vinyl records and film cameras, deliberately downgrading to phones that only text and call,” Bhargava said. In a period of too much change too fast, people are craving familiarity and dependability. To capitalize on that sentiment, entrepreneurs should seek out opportunities for collaboration—how can you build a product that’s new, but feels reliable and familiar?

Muddled Masculinity
Women have increasingly taken on more leadership roles, advanced in the workplace, now own more homes than men, and have higher college graduation rates. That’s all great for us ladies—but not so great for men or, perhaps more generally, for the concept of masculinity.

“Female empowerment is causing confusion about what it means to be a man today,” Bhargava said. “Men don’t know what to do—should they say something? Would that make them an asshole? Should they keep quiet? Would that make them an asshole?”

By encouraging the non-conforming, we can help take some weight off the traditional gender roles, and their corresponding divisions and pressures.

Innovation Envy
Innovation has become an over-used word, to the point that it’s thrown onto ideas and actions that aren’t really innovative at all. “We innovate by looking at someone else and doing the same,” Bhargava said. If an employee brings a radical idea to someone in a leadership role, in many companies the leadership will say they need a case study before implementing the radical idea—but if it’s already been done, it’s not innovative. “With most innovation what ends up happening is not spectacular failure, but irrelevance,” Bhargava said.

He suggests that rather than being on the defensive, companies should play offense with innovation, and when it doesn’t work “fail as if no one’s watching” (often, no one will be).

Artificial Influence
Thanks to social media and other technologies, there are a growing number of fabricated things that, despite not being real, influence how we think. “15 percent of all Twitter accounts may be fake, and there are 60 million fake Facebook accounts,” Bhargava said. There are virtual influencers and even virtual performers.

“Don’t hide the artificial ingredients,” Bhargava advised. “Some people are going to pretend it’s all real. We have to be ethical.” The creators of fabrications meant to influence the way people think, or the products they buy, or the decisions they make, should make it crystal-clear that there aren’t living, breathing people behind the avatars.

Enterprise Empathy
Another reaction to the fast pace of change these days—and the fast pace of life, for that matter—is that empathy is regaining value and even becoming a driver of innovation. Companies are searching for ways to give people a sense of reassurance. The Tesco grocery brand in the UK has a “relaxed lane” for those who don’t want to feel rushed as they check out. Starbucks opened a “signing store” in Washington DC, and most of its regular customers have learned some sign language.

“Use empathy as a principle to help yourself stand out,” Bhargava said. Besides being a good business strategy, “made with empathy” will ideally promote, well, more empathy, a quality there’s often a shortage of.

Robot Renaissance
From automating factory jobs to flipping burgers to cleaning our floors, robots have firmly taken their place in our day-to-day lives—and they’re not going away anytime soon. “There are more situations with robots than ever before,” Bhargava said. “They’re exploring underwater. They’re concierges at hotels.”

The robot revolution feels intimidating. But Bhargava suggests embracing robots with more curiosity than concern. While they may replace some tasks we don’t want replaced, they’ll also be hugely helpful in multiple contexts, from elderly care to dangerous manual tasks.

Back-storytelling
Similar to retro trust and enterprise empathy, organizations have started to tell their brand’s story to gain customer loyalty. “Stories give us meaning, and meaning is what we need in order to be able to put the pieces together,” Bhargava said. “Stories give us a way of understanding the world.”

Finding the story behind your business, brand, or even yourself, and sharing it openly, can help you connect with people, be they customers, coworkers, or friends.

Tech’s Ripple Effects
While it may not overtly sound like it, most of the trends Bhargava identified for 2019 are tied to technology, and are in fact a sort of backlash against it. Tech has made us question who to trust, how to innovate, what’s real and what’s fake, how to make the best decisions, and even what it is that makes us human.

By being aware of these trends, sharing them, and having conversations about them, we’ll help shape the way tech continues to be built, and thus the way it impacts us down the road.

Image Credit: Rohit Bhargava by Brian Smale Continue reading

Posted in Human Robots