Transcripts For DW Close Up 20221213

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assistance from computer technology these days. we're not talking about any kind of super powers but valuable tools. reward nathan over us. we don't want to get rid of specialist eye doctor is wanting. we want to empower them. we want to give them better equipment and make them better ophthalmologist, who can treat patients more effectively. they see artificial intelligence as a big opportunity. one that can take medicine into completely new dimensions. but some fear, a i as the collapse of 50, i can completely understand that i, i, applications can make people wary. so what does artificial intelligence mean for medicine? how can it help to improve people's lives? mean cornelia nixa hasn't been living in this small apartment in northern berlin for long. the 63 year old had never imagined that she would move home again until fight sent her family's life upside down. her daughter and it's a suffered a stroke shortly after the birth of her 2nd child. since then, she's been unable to move or communicate. the name of her condition is locked in syndrome. it has changed everything. on here you can see how pretty my daughter is . as she was pregnant there you can tell her daughter needs round the clock care. her son in law and grand children are on their own, cornelia and it's a is trying to do what she can to support the young family. it's been 2 years now since that fateful day. she had gone longer. she suffered brain hemorrhaging ho and a stroke of demons else. and the someone from the neighbourhood said that they must have spent about half an hour. resuscitating her in the ambulance and con long canal in it, sir, it's only left with memories. her daughter, a psychology graduate, was a happy, fun, loving person. now her family can only guess what she's feel the canons she can't talk. if she moves like this, you can tell something isn't right and a little less, but you are helpless. so i will, you can't do anything really. him can irish slum. several times a week. cornelia knits a helps her son in law with the household and with the children. so they at least get a bit of normality. and kinda like the children are suffering because they are without a mother. the girl is growing up without a mom. oh, the couple had just built their own home. when anna had a stroke, her husband niccolini, keifer of was suddenly left to deal with everything on his own. well yeah, koya i was, everything's open. ah, ah, hello. hi there, i'm here now. it's finished up the 37 year old i t specialist often works from home . after his wife's stroke. he tried to care for her time, but it was too much for him in the children now days and a need so lives in a care hon. her condition and then the separation from her has placed a great strain on them. in ccr loans as the 1st year was very difficult. m, i'm in the meantime, we've come to terms with it to some extent and that i think it must number 4 and we've got our routine set now facility, we visit her once or twice a week together on as i mild ward of sam, idaho. but in the care home to communication remains the biggest problem i visited on on wednesday. mm. that was and she was quiet at 1st, but then she started crying. i think she still has versatile pain. she visited on her family and nursing care personnel can only guess how and anita is feeling recognizing the needs of locked in syndrome sufferers and looking after them. 247 is a strenuous business of facility media. and with you, i've tried to work out a code with her language blends in let us lo, blank stands for yes. and to blanks for know as irish from when you can, you can call that proper communication is my, my biggest wish would be that this were somehow possible. again, legally sh. yeah. i mean, the families hopes arresting on research being carried out at berlin shower at a hospital, nikolai and a kieffer of contacted scientists. they a few weeks ago, colorado than, than she'd been off to see do for her. i came across a video by the professor 1000 that i think it was a tenix talk where he showed what progress was being made in the treatment of stroke. patients in the 2 gulf, like my biggest goal would be re establishing some form of communication to student and then communicate skills vague. ah, the death of the income making this drain come true, is what professor saw yos could are hopes to achieve with his research. the neurotechnology specialist is working on solutions the could help patients like an it said to communicate again using artificial intelligence and the communication between brain and computer. to put it simply the human thinks and the computer acts . i'm fearless as to videos, it's my goal to improve condition. and so as many people as possible can benefit from this technology and see the quality of life improve. and i won't let the set back slow me down of an upcoming neurotechnology, which connects our nervous system with computers. ames to help people like and it's, i have a new life at berlin chart, a hospital. they have already been successful tests with patients who are partly paralyzed. guido shultz, i used to work as a painter. 2 years ago he was diagnosed with a brain tumor during an operation, a blood vessel burst in his brain. since then, he's been paralyzed on his left side. as of the 20100 nisha, i can't actively open or closed my hand. think so good on this. i also can't even do it in my thoughts with him or the thought awesome. when we're healthy, we don't give it a 2nd thought, you don't, we just make a movement. and now i really have to try to do something and it's not easy. moe, and sunny's all to day, guido should say his testing whether he might be able to use his hand better by using a so called hand exoskeleton. the wearable technology is controlled by his thoughts yuki, just down here and asking, were you doing this? so we can reorganize the brain and this reorganization should have a favourable effect on restoring function, easy dashed it from till the organ he's reorganized. it sounds as if everything here is jumbled up and we'll have to be sorted again. was it only or not? and the idea is that uninjured parts of the brain will take over the functions of the affected areas together with the exoskeleton. guido is given a cap that can read his electrical brain signals. when the patient thinks about moving his hand, the computer recognizes that impulse and saves it, comparing it with the signals that his brain emits when he's not actively thinking . the computer is only able to learn because of the information that was taught to it by human programmers. they have fit it with algorithms and commands that help it increasingly better understand when guido short so wants to move his hand like right now. the program understands what to do with the bottle is now bernoulli in my hand. with a good come on the i see the moment he has a healthy person. you can't imagine it, but it's crazy. you want to close your hand and it just happens us. it's a bit spooky. that is still this is mike. something from science fiction science fiction. the prototype is still being tested machine that can read your thoughts. that sounds frightening and is the source of much public debate . many people are critical of artificial intelligence. these are fundamental against me. in my opinion, this form of intelligence cannot be compared with human intelligence. we're talking about computers that have been programmed to follow certain rules. if we raise awareness about how these systems actually function, it will become clear to everyone that they are not intelligent at all. they don't possess intelligence in the way we humans do until again some the dimension. professor circuit, i would like his research to help people in extremely difficult situations, such as an a nits are trapped in her own body or kito shelter, who is paralyzed on one side as a, as an annuity, to which these are the exoskeleton has stimulated. my hand mill, so that gives me hope that it might improve clinical force. i can imagine that if you train it over a longer period of time that it will return to life annoyingly so that's what we hope for right, that it will get back to normal. well, the 1st over stop signal. now, lou here on the outskirts of the austrian capital is where oscar slammer landlady with his wife. hi de marie, the retiree suffers from h related macular degeneration or am day. it can lead to a severe loss of vision as you go into my, by the way, sort of i did also resna mission. fluid is collecting in his eyes and is slowly destroying his eye sight. now, does it answer the worst case scenario? doesn't bear thinking about, are still organization them. it would mean that i would have to fundamentally change my life. i recently hadn't done completely understood, understood. mm hm. oh, oscar shamela has worn glasses since he was a child. but one day, all of a sudden his vision started to deteriorate and 3 on 3 years ago, i really started to notice that my eyesight was failing office. he did an am sl green test. that isn't this man. this test involves taking a piece of paper with a grid them and ok, so and covering one eye at a time. and for the you look at it and see whether all the lines are running parallel ups or whether they look wavy. ah, this is a, does it say a wavy? it's a clear sign that something is wrong with the problem is that if it isn't treated quickly, it can lead to a loss of vision and that is awful, not the upper sixty's there. what's awful about the disease is that many patients suffer an extreme loss of vision. even if they do get treatment. oscar sama hopes to avoid that by going for regular checkups at vienna, general hospital. and patience like oscar sam allowed regularly get a drug injected directly into their eyes. but it's unpleasant and doesn't work well for every one line. thus saith imprint, that looks good. awesome. how many injections as the patient already had? the hot in the he's already had 12 children who are using magnification, the doctor can get only a rough idea of any changes to the retina. but it's hard to tell how far the disease has progressed from these white areas which makes treatment difficult. and it's hard to know what dosage would be required when merced as a fair in every one to carry out as many of these injections as necessary. but as few as possible, each injection into the eye hurts and carries the risk of infection to come in. the medication is also expensive and efficient, fits in, it contains small, specially produced quantities of anti bodies, and patients get these injections for the rest of their life. neighbor guy says that it's important that we do that as economically as possible, which means it also costs a $1000.00 euros per injection. that's why the doctors in vienna want to take a closer look at. osgood slammed his eyes. an imaging procedure is used to give a cross section view of the eye and retina. it let's, the doctor's better assess the extent of the disease. gosti had a rental, i was raised there, he's in it's a retina, is very sensitive to see. it consist purely of nerve cells which should not be interfered with and isn't far in this case, fluid is gathering under the retina, which is lifting it up a paper. but the procedure doesn't reveal exactly how much fluid has gathered there . so professor schmid effort decided to design a program that can do just that. it was fed with the data of many other patients with the same condition. and it can tell exactly how much fluid pulls under the retina in blue here. the program allows osgood slammer treatment to be talent that this is gung, knowing how this treatment works has given me a whole different perspective on things. personally, i feel much more reassured, we get, gave miss. so miss. so if we can take a seat, hoards a messenger from city, we've measured $45.00 nanometers us is. that's roughly what it was last time, so we won't have to treat you today. the size here, mr. ben, this. brandon? hi, thank you. thanks for the informational, this is lindsey, it's good to know these possibilities are now available, is included curtain and get the effect unequal. central con, it's a big vision for the future. the owners will, on this, on this, i exam only takes fractions of a 2nd time that are what didn't, it's not invasive is reasonably priced and can be performed anywhere and assessed with the health of artificial intelligence again. so i was given it to me and it can replace many other invasive procedures with women as 8. so come i, i can potentially make diagnostic detective work easier. keep medical costs down, and most importantly, reduce human suffering. in berlin. an it's a has come to spend 2 hours at home with her family professors so could as team has come to try out a new communication system with them. oh ha. my stock men owned dinosaurs. i mean, since his stroke and, and it's a has been suffering from blocked in syndrome. she can't move her body. but she is fully conscious and can hear everything yet. she cannot communicate, you know, with the doctor wants to change that with the help of a, i must the ice the wish. this, what we would like to achieve is to create an interface which is based on bodily signals that are very easy to control systems and whether the aim is that and in it . so will be able to learn how to communicate using eye movements that the young woman's condition is different day to day. sometimes she's just not up to it going on like that. uh huh. and i was on that. are you in pain again? so i said, oh, i don't know whether to touch her or not. who's my se? well, she's crying, maybe she's in pain, but we don't really know lest matter. our business at it quickly becomes apparent that and in it's a won't managed to take part in the test to day. but the family to needs to learn. the system said that they will be able to work with anna independently. it's the 1st step on a long journey buffet. it's using this, we're down. and what we're seeing now is the simplest form of test, with which we can try to restore communication in locked in syndrome with blinking or eye movements only the well. the principle is that the computer learns sit in eye movements and carries out commands associated with them. for example, turning a light on or off. when convenient love this now turns off and then on. it's on an but it's not as simple as it looks like to work it. you have to be able to move your eyes both vertically and horizontally. and init sir can only do that now and again. and it takes a lot of effort, but persist him. nevertheless, off as the 1st glimmer of hub to the family. thanks, christine curtis. craig, and i think we'll manage it. let's get in. oh, we'll continue practicing within kernan and even without us and that. but also we have to take into account that unas condition also varies widely. rather, it depends on how much concentration she can muster to day her concentration is at its limit. the 2 hour visit is over before and it's a can try out the system herself. oh oh oh on it's time for us to go back now in the next few weeks and months professor so could as team will keep on trying. it's drawn out process, but every one is hoping that and, and it's and her family will learn to communicate with one another again. in s and university hospital in western germany, lilly lawman has come for an important check. up 4 weeks ago, her son thomas donated half his liver to his mum saving her life were not missed of half of shipment. and i was asked, and of course i said yes, because your parents also give you a lot aiden's on his all part of being a parent is also about sacrifice. wonder i was asked then i thought, oh yes, just do it. most of us are formal fish and i had man actually for the course along the way start having doubt, zoe. if you asked my doing the right thing, when am i doing to my son? something could go wrong and as can help with the other n o at s and university hospital, more than a 100 organ, transplants to carried out each year as a so called smart hospital. it also works with artificial intelligence in the transplant center, computer science experts and doctors like professor utsa chillik and dr. felix ninja worked together. calculating the size of the liver correctly is vital for transplant success. the c t scan creates a multi layered image of the organ. the doctor then marks the liver tissue. it's not a very exact procedure. artificial intelligence can scrutinize each image more closely, you deserve above the eye. i basically ensures that a human doesn't have to draw anything by hand yet i fished, it can determine the difference between liberty, shoe and other tissue on every single layer of it was of this was how the i calculated the exact location of tolmas lumens live up his mother was given exactly half a mistake in the calculation could have been fatal lives. i know these of you mean as an extreme dish dish baby kenzie added off knowing these measurements as critical ama with us. we can't open her up and say, oh it's too small and so are up again. had that really shouldn't happen. that's why it's extremely important for us to ensure that the calculation is exactly righty. which was my vitally important ass hot. yeah, that's why doctrine ends and made one manual drawing based on his observation and done, and then one with the help of artificial intelligence matuse at a conclusion into against fulfill your plan. you did the same for my son to little exactly for if we humans want it to be as precise as the eye and we'd probably need to invest not just half an hour, but an hour and a half or so get some. luckily with a i, you can do it in seconds. these all in sequin. now, when this all gone so clean and examination that's considerably faster and more precise. it offers a better chance that the valuable organ will not be rejected. you know, as, as the ad i did, the never works really, really well. and the doctor operating on me told me to take good care of it. uh huh . as mother and son can look ahead again with optimism, they're not concerned about having their data stored centrally in the hospital. since we're, i'm as good as olive, i'm happy for them to have the data model. if something happened, they'd be able to act immediately. yet critics often cite dash or privacy issues as one of the reasons for skepticism about artificial intelligence. but research data is always anonymized. oliver, esther is in charge of tracking the eyes development. in this case, the program is learning how to potentially distinguish between healthy and sick liver cells. as was movers in nicholas, it's possible to observe the development process and see what progress has being made during training. a mom was the discount. you have to imagine it is like an ongoing program. you have to be able to see how good it is at every stage of the training. what is the actor? and yet artificial intelligence is only as good as the data it's supplied with. and the people programming it was high because it is called artificial intelligence, but it is completely artificial and there is nothing intelligent about it. so being able to react intelligently to when you challenge that something that way humans can do, and i can't humans are intelligent machines are precise and quick mod medicine is making the most of these combined strengths professor so could as team at berlin chart. i hospital has been visiting anna nits of the months now to develop a new form of communication for her. with some success, she is starting to express herself with i'm movements with message is as the home on 1st you see her blinking normally. and then she makes a definite eye movement to switch on the light at their 1st success, a tiny one, but one that's encouraging for all concerned. what is your design? is the hot. i would say she has made progress, but progress is slow. and while some expectations often filled up as onto vase learning, processes need time is a down of what's i said, the powerful tight to make progress easier, more efficient and less exhausting. the research is a now trying out a new type of sensor. these so called quantum sensors measure the magnetic fields about the skull. very precisely. they would mean that patients like and in it so would no longer need to make tiring eye movements to be able to communicate with. so i missed him. there was a system like this would enable ms. nixa to clearly communicate what might be causing her discomfort. and on the other hand, to organize her personal care in the past, for example, to communicate whether she wants to sit up or lie on her side. she missed her off as i to needed at present, the system can only be used in a laboratory setting. i left her sons of, i'd ya, i here in berlin, the i specialists are also developing the ais learning process at the same time. in real time, the programs of combing through the huge quantities of darcia produce, showing the measurements. they're looking for passions. that's how they learn to distinguish between a person's brain signals. that ability is key to artificial intelligence. as a, let's this key to say i am out of the ultimately it's always about the interaction between humans and technology. so if i best and improving this interaction, so you no longer notice where one starts and the other stops. that's monday. it's about combining these powers so that people with restricted movement can move again mitchum with all putting this at their disposal so they can manage everyday life like everyone else v. m, you dot and a mench m. i talked to i. com. ah, and, and it's, and her family professors so could as research could mean an enormous step forward making their lives a bit easier. and introducing a bit of normality is the this as i see it as the only chance to help us know who will help to help my wife. what am i not all to hell from the home? the see if we hope that science makes swiftly progress, and so a lot of people can be helped in engine alcohol. my daughter is not the only one effected. there are no doubt quite a few people like her val. it's not just a few isolated individuals who are special intelligence can help to improve health care by improving diagnostic procedures and cutting costs. but blind enthusiasm is just as misplaced as blind distrust if it can help us to reduce suffering. we shouldn't be afraid of using ai with ah, ah, our data is like a gold mine. ah, how can you protect it properly and cover your online tracks? disappear and occasionally this is a great warning to the rest of the world. our civil liberties are eroding in front of our eyes. 15 minutes on d, w. eco, india. how can a country's economy grow in harmony with people and the environment? when there are doers? who look at the bigger picture? india, a country that faces many challenges and whose people are striving to create a sustainable future clever projects from europe and india eco, india. 90 minutes on d w. ah ah ah, this is dw news live from berlin, allegations of corruption and bribery reaching from could towards the leaders of the european parliament. make no mistake, the european parliament, their colleagues is under attack. european democracy is under.

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