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vendredi 5 août 2016

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Chaque jour, et parfois plusieurs fois par jour, je modifier le réglage Feed Nouvelles sur mon application Facebook Mobile récente. Je fais cela parce que je préfère voir les mises à jour d'état générés par les gens que je suis amis avec dans l'ordre chronologique dans lequel ils ont été créés, plutôt que de laisser Facebook décider ce qui est assez pour être en haut de la file d'attente.

Facebook doesn soins que je l'ai toujours fait ma nette préférence pour les années. iphone 5 reconditionné Facebook remet régulièrement la valeur par défaut à son propre réglage préféré, dans lequel un algorithme mystérieux qui décide des mises à jour sont dignes de mon attention immédiate. Mais je sois damné si je vais laisser Mark Zuckerberg imposer ses valeurs sur moi. Donc, à chaque fois, je le changer en arrière. Et chaque fois que je me demande: Pourquoi ai-je mis en place avec cela? Est-il un autre outil que j'utilise régulièrement à partir de laquelle j'accepter un tel comportement odieux?

Facebook occupe une place unique dans la culture contemporaine. Il est au cœur de l'univers émergent des médias et une partie de la vie quotidienne pour plus d'un milliard de personnes à travers le monde. Il est sans aucun doute de transformation: Nous communiquons les uns avec les autres différemment à l'âge de Facebook. Et nous exposons des informations beaucoup plus personnelle sur nous-mêmes pour le public que jamais auparavant. Mais, curieusement, la société semble inspirer remarquablement peu d'enthousiasme marque directe, au moins par rapport à ses concurrents technologie béhémoth Apple, Google et Amazon.

Même s'il y a de bonnes raisons de se méfier et de peur de la façon dont Apple et Amazon et Google sont en train de refaire notre économie et de la société, les entreprises inspirent aussi une véritable fandom pour la qualité même de leurs services. Contemplant un ensemble de résultats de recherche incroyablement utiles, ou un paquet à votre porte, ou un nouvel iPhone, il est hors des limites de se sentir affection réelle pour l'entreprise responsable. Non, avec Facebook. Nous allons à Facebook parce que là où nos amis et la famille sont. Le réseau social rappelle de Microsoft dans les années 1990: tout conquérir, et pourtant largement ressentie. Nous acceptons Facebook énorme présence dans nos vies parce qu'il n'y a pas d'autre option. Mais ce doesn signifie que nous devons l'aimer.

La raison pour laquelle nous don d'amour ou de confiance Facebook est directement relié à la manière irritante dans lequel Facebook passe en permanence la Nouvelles RSS par défaut. l'ordre du jour Facebook exige de forcer ses utilisateurs sur le chemin qui profite mieux Facebook. Ceci est particulièrement évident de la société longue histoire de modifier unilatéralement ses paramètres de confidentialité par défaut afin de rendre les informations utilisateur plus accessibles aux annonceurs, et sa poussée constante pour mettre ses utilisateurs en endosseurs de marque à leur insu.

Même si notre grogne ou le litige en recours collectif préposé n'a jamais atteint le genre de masse critique nécessaire pour menacer Facebook primauté, il reste toujours là, un fond de mécontentement mouvante qui met relation Facebook avec ses propres utilisateurs dans une classe remarquablement peu enviable de sa propre . Il est une chose étonnante, le fait que nous avons donné plus tellement de nos vies dans les mains d'une société que nous avons aucune raison particulière de faire confiance.

Juste à temps pour Facebook 10e anniversaire le mardi, la société a publié Paper, une application de lecture nouvelles. Les évaluateurs ont salué l'arrivée avec des cris de ravissement, et après quelques minutes de jeu avec elle, je compris pourquoi. En plus de l'écoulement du produit par vos amis, vous pouvez maintenant intégrer une variété de flux supplémentaires de nouvelles d'actualité: Pop Life, Score, Flavor Naviguer via balayages et les robinets des œuvres comme un rêve, et tout cela semble vraiment, vraiment bon. Le papier est une réalisation impressionnante, une preuve supplémentaire prouvant Facebook est déterminé à être passerelle tout le monde, pas seulement à ce que vos amis sont jusqu'à, mais à l'ensemble de l'univers des médias.

Mais est-ce ce que nous voulons de Facebook? Une passerelle vers le monde plus large des médias avec Facebook comme le conservateur? Comme je me connais papier, il est devenu clair pour moi à ce que la société a été doublement vers le bas sur l'aspect unique de Facebook, je trouve le plus irritant: mon manque de contrôle sur ce que je vois. Dans le document il n'y a pas de réglage récente, période. Si vous choisissez le mode de papier, limitant votre Nouvelles RSS pour les éléments partagés par vos amis, vous obtenez ce que Facebook décide que vous devriez obtenir. Et vous pouvez le prendre ou à laisser.

Je comprends Facebook but ici. Mark Zuckerberg a clairement qu'il veut Facebook pour être mieux journal personnalisé dans le monde. Idéalement, ce journal serait dominé par lots de qualité hiqh, un bon contenu d'apparence, au lieu d'un flux ininterrompu de selfies et les titres viraux upworthy et étrange humour Internet. Le papier est conçu pour tenir cette promesse; Le papier est évidemment l'avenir Facebook préférerait: toute la surface lisse, pas de grain méchant.

Steve Jobs a certainement eu une vision de l'avenir qu'il était déterminé à imposer sur le marché, et la plupart d'entre nous l'applaudir pour cela. Mais il y d'une manière très profonde dans laquelle le client vient d'abord pour déterminer comment les produits Apple sont conçus différent de ce que Facebook délivre. Jobs but était la perfection. Facebook objectif est de maximiser les recettes publicitaires. Amazon et Google ont fondé leur succès sur la prestation exactement ce que le client veut. La réalisation de cette promesse est de savoir comment ils maintiennent la fidélité des utilisateurs dans un monde volage. Mais Facebook doesn à se soucier de la fidélité des utilisateurs, parce que ce sera un énorme tracas à reproduire la communauté que Facebook a permis nulle part ailleurs. De la même manière que la part de Microsoft de 90 pour cent du marché du système d'exploitation dans les années 1990 signifiait que l'entreprise pourrait forcer toutes sortes d'autres conneries sur nous que nous ne voulions pas envie ou besoin, Facebook est activé par son immense serrure dans le pouvoir de poursuivre des objectifs qui don correspond à ce que ses utilisateurs veulent ou ont besoin nécessairement.

Et si important, parce que s'il y a une chose que je veux sortir de ma porte d'entrée du plus grand univers des médias, un sentiment de confiance. Pourquoi suis-je vois ce mélange particulier de technologie nouvelles dans mes nouvelles RSS? Pourquoi didn je vois que la dernière mise à jour de ma sœur? Je donne le New York Times le bénéfice du doute (la plupart du temps) de décider ce dignes d'intérêt et ce pas, et je toujours intéressé à ce que mes amis veulent partager, mais je ne vois pas pourquoi je devrais mettre toute foi dans Facebook jugement de nouvelles, que ce soit algorithmiquement généré, ou organisée par les humains réels que Facebook aurait embauche pour gérer le flux de nouvelles de papier.

Mais pour des raisons à la fois personnelles et professionnelles, je, comme des millions d'autres personnes vont sans aucun doute continuer à vérifier Facebook sans cesse, et de continuer à le remplir avec mon propre flux constant de mises à jour. iphone 5 reconditionné Mais il y une leçon ici que Facebook devrait porter une attention particulière à. Dans les années 1990, il était courant de penser à Microsoft comme Borg, et blague qui était futile. puis, tout d'un coup, la résistance wasn inutile après tout, et l'échec de Microsoft pour générer toute loyauté intrinsèque ou affection est devenue une responsabilité évidente dans un marché avec plusieurs concurrents. Facebook est assis assez à la fin de sa première décennie, mais qui sait ce qui pourrait arriver dans les 10 prochaines années.

mardi 26 juillet 2016

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When Anna McCollister Slipp was diagnosed with Type 1 diabetes in 1985, she was in a constant battle with the unknown. Her blood glucose levels could fluctuate dramatically   and unpredictably   due to stress, lack of sleep, even being stuck in traffic. These days, McCollister Slipp feels more in control. She wears an insulin pump that can be adjusted quickly to compensate for eating or exercise, a continuous glucose monitor with a sensor embedded in her abdomen so she can see immediately what stressors cause her readings to jump, a standard glucose meter that she uses to take readings seven times a day, and a Bluetooth enabled blood pressure monitor. iphone 6 plus replacement screen A digital scale tracks her weight, hydration level and percentage of body fat; and activity trackers monitor her exercise and sleep. A smartphone collects the key data on blood pressure and the readings from her digital scale and activity devices, so she can see how one factor influences another and adjust her behavior or medications accordingly. "I'm the chief executive of my own health," she says, "and digital technology gives me a way to do that job much more precisely."

McCollister Slipp, who co founded the health data analysis company Galileo Analytics after working in health care communications and public affairs, is on the leading edge of what Scripps Health cardiologist Eric Topol calls "the biggest shake up in the history of medicine"   an era in which patients will employ sophisticated diagnostic and monitoring technology on themselves, increasingly using the smartphones in their pockets. Because the cost of treating chronic illnesses and their complications represents some 75 percent of the nation's estimated $2.8 trillion annual health care bill, according to the Centers for Disease Control and Prevention, inexpensive tools that effectively manage conditions such as diabetes and heart disease could have a major impact not only on health, but also on the budget. "I prescribe apps more often than drugs these days," Topol says.

But a significant number of smartphone applications and attachments now assist with medical monitoring. They can record basic heart readings (iStethoscope, for instance, uses the microphone to listen to heart sounds) and blood oxygen levels, and take a picture of the inside of the ear so that a remote doctor can tell whether there's an infection. Several apps record users' sleep cycles by measuring how much they move around during the night. Propeller Health recently got a green light from the Food and Drug Administration for an asthma inhaler system that syncs with a smartphone to store data on symptoms and medication usage, compares a person's usage with his or her baseline and clinical guidelines, and alerts parents or a health care provider when trouble is brewing. AliveCor sells an electrocardiogram attachment that converts electrical impulses from a user's fingertips into ultrasound signals transmitted to a smartphone's microphone, so people with heart problems can check their heart rhythms when they feel an irregularity. They can email the electrocardiogram tracing to their physician for immediate feedback on what they should do, rather than simply rush to the emergency room.

More innovations are on the way. The Swiss company Qloudlab has patented a technology that lets patients put a drop of blood on special film on their phone to measure coagulation   vital information for people who take blood thinners. Apple's new Health app for iOS 8 will display and track heart rate, calories burned, sleep, blood sugar and other health indicators, and its new HealthKit tool will allow data from other developers' apps and devices to feed into the Health app. The company is widely expected to introduce a smartwatch this fall. On the horizon, too, are drug patches that release medication based on biometric readings taken by the patches, and sensors that go into the bloodstream and pick up the first signs of cancer or a heart attack, transmitting the information to a computer or smartphone.

The common theme? Better health outcomes with less need to see the doctor. Danny Sands, a primary care physician at Boston's Beth Israel Deaconess Medical Center who also consults on the intersection of information technology and health care, believes that it makes no sense to have a chronically ill patient visit an office three or four times a year and make crucial medical decisions based on those scraps of data. iphone 6 plus replacement screen "We need to gather information in an ongoing way," Sands says. "Frequent small touches make the difference, whether they're through devices, email, text messages or videoconferencing."

It works for Kenneth Treleani, 68, a patient of Topol's in Irvine, California. He sends his blood pressure readings to his iPhone four to six times a day, using an iHealth blood pressure cuff, and transmits his readings via an app to Topol's office every two to three weeks. "I can let him know where I am with my blood pressure program without having to get in the car to drive down to see him," Treleani says. More to the point, Topol has used the information to tweak Treleani's medication and get his systolic pressure down from 175 to the 130s.

And in the face of an impending shortage of primary care physicians, these technologies can stretch that supply while also improving care, says Douglas Wood, medical director of the Center for Innovation at the Mayo Clinic. For example, a care team could track blood sugar readings transmitted by a diabetes patient and be in touch immediately upon spotting a problem, keeping the patient out of the hospital and free of complications. "We can help people make better decisions when they are dealing with multiple chronic conditions and multiple options," he says, noting that home monitoring and other technologies help Mayo physicians care for four times the number of patients they could otherwise handle, and the patients are more satisfied. At Montefiore Medical Center in New York City, thousands of patients with diabetes and congestive heart failure are overseen by case managers who check recent test results, track data uploaded from monitoring equipment and, if they spot a problem, call the patient right away.

Several obstacles stand in the way of the mobile revolution, however. Two big ones: inconsistent data standards and a system of paying for care still favoring office visits. McCollister Slipp is drowning in data from her many gadgets but can't yet put it all together into a complete picture. Some of her apps store information only in her phone, with no way to export it to her computer or to send it to her doctor. "It's critical to have this information all in one place so that you can understand patterns," she says.

As for payment, providers still generally are compensated for the number of services they provide, rather than for keeping their patients well, says Farzad Mostashari, former national coordinator for health information technology at the Department of Health and Human Services and now a visiting fellow at the Brookings Institution. "You can monitor your heart 24/7 and send me your EKG strip whenever you feel funny? I don't get paid for that," he says, articulating a familiar refrain in the medical community.