Peter van Manen: How can Formula 1 racing help ... babies?

Translator: Alisa Xholi Reviewer: Iris Xholi

Motor racing is a funny old business.

Garat me makina jane nje biznes i vjeter dhe i kendshem.

We make a new car every year,

Ne krijojme nje makine te re cdo vit,

and then we spend the rest of the season

dhe pastaj e kalojme pjesen tjeter te sezonit

trying to understand what it is we've built

duke u perpjekur te kuptojme se c'kemi ndertuar

to make it better, to make it faster.

per ta bere me te mire, per ta bere me te shpejte.

And then the next year, we start again.

Dhe pastaj vitin tjeter, rifillojme perseri.

Now, the car you see in front of you is quite complicated.

Kjo makine qe shikoni eshte disi e komplikuar.

The chassis is made up of about 11,000 components,

Shasia eshte krijuar me rreth 11.000 komponenente,

the engine another 6,000,

motorri me 6.000 te tjera,

the electronics about eight and a half thousand.

pjesa elektronike me rreth tete mije e 500.

So there's about 25,000 things there that can go wrong.

Pra, ka rreth 25.000 gjera aty qe mund te shkojne keq.

So motor racing is very much about attention to detail.

Pra garat me makina jane pak a shume kujdesi ndaj detajeve.

The other thing about Formula 1 in particular

Pjesa tjeter e Formula 1 ne vecanti

is we're always changing the car.

eshte se perhere e ndryshojme makinen.

We're always trying to make it faster.

Perhere perpiqemi ta bejme me te shpejte.

So every two weeks, we will be making

Pra cdo dy jave, ne do jemi duke krijuar

about 5,000 new components to fit to the car.

rreth 5.000 komponente te rinj qe ti pershtaten makines.

Five to 10 percent of the race car

Pese ne 10 perqind te makines garuese

will be different every two weeks of the year.

do jete ndryshe cdo dy jave te vitit.

So how do we do that?

Pra si e bejme kete?

Well, we start our life with the racing car.

Ne e fillojme jeten tone me makinen garuese.

We have a lot of sensors on the car to measure things.

Kemi shume sensore ne makine per te matur gjerat.

On the race car in front of you here

Ne kete makine garuese para jush

there are about 120 sensors when it goes into a race.

ka rreth 120 sensor kur ajo shkon per nje gare.

It's measuring all sorts of things around the car.

Masin gjithcka rreth makines.

That data is logged. We're logging about

Te dhenat jane te regjistruara. Regjistrojme rreth

500 different parameters within the data systems,

500 parametra te ndryshme ne sistemin e te dhenave,

about 13,000 health parameters and events

rreth 13.000 parametra shendetesore dhe ngjarje

to say when things are not working the way they should do,

per te treguar kur gjerat nuk shkojne ashtu sic duhet,

and we're sending that data back to the garage

dhe i dergojme te dhenat pas ne garazh

using telemetry at a rate of two to four megabits per second.

duke perdorur telemetrine ne shkallen dy deri kater megabit per sekond.

So during a two-hour race, each car will be sending

Pra cdo gare dy oreshe, cdo makine do dergoje

750 million numbers.

750 milion numra.

That's twice as many numbers as words that each of us

Kjo eshte dyfishi i numrave te fjaleve qe secili nga ne perdor

speaks in a lifetime.

per te folur gjate gjithe jetes se tij.

It's a huge amount of data.

Eshte nje sasi e madhe te dhenash.

But it's not enough just to have data and measure it.

Por te pasurit vec te dhena dhe matje nuk mjafton.

You need to be able to do something with it.

Duhet te jesh i afte te besh dicka me te.

So we've spent a lot of time and effort

Pra kemi shpenzuar shume kohe dhe mund

in turning the data into stories

per ti kthyer te dhenat ne histori

to be able to tell, what's the state of the engine,

per te qene te afte te tregojme se cila eshte situata e motorit,

how are the tires degrading,

si po degradojne gomat,

what's the situation with fuel consumption?

cila eshte situata me konsumin e karburantit?

So all of this is taking data

Keto jane te dhena te marra

and turning it into knowledge that we can act upon.

dhe te kthyera ne njohuri per te vepruar me pas.

Okay, so let's have a look at a little bit of data.

Ne rregull, le ti hedhim nje sy disa te dhenave.

Let's pick a bit of data from

Le te marim disa te dhena nga

another three-month-old patient.

nje pacient tre-muajsh.

This is a child, and what you're seeing here is real data,

Ky eshte nje femije, dhe ajo cka shikoni ketu jane te dhena te verteta,

and on the far right-hand side,

dhe ne fundin e anes se krahut te djathte,

where everything starts getting a little bit catastrophic,

aty ku gjithcka fillon te behet disi katastrofike,

that is the patient going into cardiac arrest.

e cila eshte qe ky pacient eshte nen arrest kardiak.

It was deemed to be an unpredictable event.

Mendohet se ishte nje ngjarje e paparishikueshme.

This was a heart attack that no one could see coming.

Ky ishte nje infarkt i zemres ku asnje nuk e priti.

But when we look at the information there,

Por kur shohim informacionin ketu,

we can see that things are starting to become

mund te shohim se gjerat po fillojne te behen

a little fuzzy about five minutes or so before the cardiac arrest.

disi te turbulla per rreth pese minuta para arrestit kardiak.

We can see small changes

Mund te shohim ndryshime te vogla

in things like the heart rate moving.

ne gjera si levizja e rrahjes se zemres.

These were all undetected by normal thresholds

Keto ishin te padallueshme nga pragjet normale

which would be applied to data.

te cilat mund te aplikoheshin ne te dhena.

So the question is, why couldn't we see it?

Pra pyetja eshte, pse nuk mund ta shikonim?

Was this a predictable event?

Ishte kjo nje ngjarje e parashikueshme?

Can we look more at the patterns in the data

Mund te shohim me shume ne strukturen e te dhenave

to be able to do things better?

per te mundur ti bejme gjerat me mire?

So this is a child,

Pra ky eshte nje femije,

about the same age as the racing car on stage,

ne te njejten moshe sa nje makine garuese ne skene

three months old.

tre muajsh.

It's a patient with a heart problem.

Eshte nje pacient me nje problem kardiak.

Now, when you look at some of the data on the screen above,

Nese mund te shikoni disa te dhena ne monitorin e mesiperm,

things like heart rate, pulse, oxygen, respiration rates,

gjera si ritmi kardiak, pulsi, oksigjeni, ritmi i frymemarrjes,

they're all unusual for a normal child,

jane te gjitha te pazakonte per nje femije normal,

but they're quite normal for the child there,

por jane shume normale per kete femije ketu,

and so one of the challenges you have in health care is,

dhe nje nga sfidat qe keni ne kujdesin ndaj shendetit eshte,

how can I look at the patient in front of me,

si mund ta shoh pacientin para meje,

have something which is specific for her,

te kete dicka qe eshte specifike per ate,

and be able to detect when things start to change,

dhe te mundem te zbuloj kur gjerat fillojne te ndryshojne,

when things start to deteriorate?

kur gjerat fillojne te perkeqesohen?

Because like a racing car, any patient,

Sepse ashtu si nje makine garuese, cdo pacient,

when things start to go bad, you have a short time

kur gjerat fillojne te shkojne keq, ke nje kohe te shkurter

to make a difference.

per te bere ndryshimin.

So what we did is we took a data system

Pra ajo cka beme ishte, morem nje sistem te dhenash

which we run every two weeks of the year in Formula 1

te cilen e perdorim cdo dy jave te vitit ne Formula 1

and we installed it on the hospital computers

dhe e instaluam ne kompjuterat e spitalit

at Birmingham Children's Hospital.

ne Spitalin e Femijeve te Birmingham.

We streamed data from the bedside instruments

I morem te dhenat nga aparatet ne ane te krevatit

in their pediatric intensive care

ne pavionin e kujdesit intensiv pediatrik

so that we could both look at the data in real time

ne menyre qe te shikonim te dhenat ne kohe reale

and, more importantly, to store the data

dhe, me e rendesishmja, te ruanim te dhenat

so that we could start to learn from it.

ne menyre qe te fillonim te mesonim nga ato.

And then, we applied an application on top

Me pas, aplikuam nje aplikacion mbi to

which would allow us to tease out the patterns in the data

i cili do na lejonte te nxirrnim strukturat ne te dhenat

in real time so we could see what was happening,

ne kohe reale ne menyre qe te shikonim cka po ndodhte,

so we could determine when things started to change.

qe te percaktonim nisjen e ndryshimit te gjerave.

Now, in motor racing, we're all a little bit ambitious,

Ne garat me makina, ne jemi disi ambicioz,

audacious, a little bit arrogant sometimes,

guximtar, pak arrogant disa here,

so we decided we would also look at the children

dhe keshtu vendosem qe te shikonim dhe tek femijet

as they were being transported to intensive care.

ndersa po transportoheshin ne kujdesin intesiv.

Why should we wait until they arrived in the hospital

Pse te prisnim deri sa ata te mberrinin ne spital

before we started to look?

para se te fillonim shikimin?

And so we installed a real-time link

Dhe per kete instaluam nje lidhje ne kohe reale

between the ambulance and the hospital,

mes ambulances dhe spitalit,

just using normal 3G telephony to send that data

duke perdorur thjesht telefoni 3G per te derguar te dhenat

so that the ambulance became an extra bed

ne menyre qe ambulanca te behej nje krevat shtese

in intensive care.

ne kujdesin intesiv.

And then we started looking at the data.

Dhe me pas filluam te shikonim te dhenat.

So the wiggly lines at the top, all the colors,

Linjat e dredhuar ketu lart, te gjitha ngjyrat,

this is the normal sort of data you would see on a monitor --

keto jane tipi i te dhenave normale qe do shikonin ne nje monitor--

heart rate, pulse, oxygen within the blood,

ritmi kardiak, pulsi, oksigjen ne gjak

and respiration.

dhe frymemarrja.

The lines on the bottom, the blue and the red,

Linjat ne fund, blu-ja dhe e kuq-ja,

these are the interesting ones.

jane ato interesantet.

The red line is showing an automated version

Linja e kuqe tregon nje version automatizes

of the early warning score

te pikave fillestare paralajmeruese

that Birmingham Children's Hospital were already running.

te cilat Spitali i Femijeve Birmingham po perdorte fillimisht.

Po e perdornin qe prej 2008,

They'd been running that since 2008,

and already have stopped cardiac arrests

dhe kishin ndaluar arreste kardiake

and distress within the hospital.

dhe shqetesime brenda spitalit.

The blue line is an indication

Linja blu eshte nje tregues

of when patterns start to change,

se kur struktura fillon te ndryshoje

and immediately, before we even started

dhe menjehere, para se ne te fillonim

putting in clinical interpretation,

duke i vendosur ne interpretim klinik,

we can see that the data is speaking to us.

mund te shohim se te dhenat po flasin me ne.

It's telling us that something is going wrong.

Na tregojne se dicka po shkon gabim.

The plot with the red and the green blobs,

Subjekti me pikat e kuqe dhe jeshile,

this is plotting different components

kjo tregon komponente te ndryshem

of the data against each other.

nga te dhenat kundrejt njera tjetres.

The green is us learning what is normal for that child.

Jeshilja jemi ne duke mesuar cka eshte normale per ate femije.

We call it the cloud of normality.

Ne e quajme reja e normalitetit.

And when things start to change,

Dhe kur gjerat fillojne te ndryshojne,

when conditions start to deteriorate,

kur kushtet fillojne te perkeqesohen,

we move into the red line.

ne kalojme ne linjen e kuqe.

There's no rocket science here.

Nuk ka shkence raketash ketu.

It is displaying data that exists already in a different way,

Tregon te dhena qe ekzistojne ne nje menyre ndryshe,

to amplify it, to provide cues to the doctors,

per ta plotesuar ate, per te ti dhene sugjerime mjekeve,

to the nurses, so they can see what's happening.

infermiereve, qe te shohin cka po ndodh.

In the same way that a good racing driver

Ne te njejten menyre qe nje shofer i mire garash

relies on cues to decide when to apply the brakes,

mbeshtetet ne te dhenat per te percaktuar se kur duhet te perdori frenat,

when to turn into a corner,

kur te marre kthesen,

we need to help our physicians and our nurses

duhet te ndihmojne mjeket dhe infermieret tane

to see when things are starting to go wrong.

per te pare gjerat kur fillojne te shkojne keq.

So we have a very ambitious program.

Pra kemi nje program shume ambicioz.

We think that the race is on to do something differently.

Mendojme se gara eshte per te bere dicka ndryshe.

We are thinking big. It's the right thing to do.

Ne mendojme ne shkalle te gjere. Eshte gjeja e duhur per te bere.

We have an approach which, if it's successful,

Kemi nje rruge e cila, nese eshte e sukseshme,

there's no reason why it should stay within a hospital.

nuk ka arsye pse duhet te qendroje brenda spitalit.

Mund te dali jashte mureve.

It can go beyond the walls.

With wireless connectivity these days,

Me lidhjen jo kabllor te ketyre diteve,

there is no reason why patients, doctors and nurses

nuk ka arsye pse pacientet, mjeket dhe infermieret

always have to be in the same place

duhet gjithmone te jene ne te njejtin vend

at the same time.

ne te njejten kohe.

And meanwhile, we'll take our little three-month-old baby,

Dhe nderkohe, ne do marrim foshnjen tone tre muajshe

keep taking it to the track, keeping it safe,

duke e mbajtur ne gjurme, duke e mbajtur te sigurte

and making it faster and better.

dhe ta bejme me te shpejte dhe me te mire.

Thank you very much.

Ju faleminderit shume.

(Applause)

(Duartrokitje)