TEDWomen 2017
Nadine Hachach-Haram: How augmented reality could change the future of surgery
Nadine Hachach-Haram: Kako proširena stvarnost može promijeniti budućnost kirurgije
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Ako idete pod nož, želite da najbolji kirurški tim surađuje na vašoj operaciji, bez obzira na to gdje se oni nalazili. Kirurgica i poduzetnica Nadine Hachach-Haram razvija tehnologiju koja pomaže kirurzima da operiraju zajedno, da obučavaju jedni druge novim tehnikama, iako se pritom nalaze na udaljenim lokacijama koristeći niskobudžetne alate proširene stvarnosti. Pogledajte kako tehnologija djeluje uživo kad se Hachach-Haram sa svog govora u New Orleansu preko svog laptopa pridruži kirurgu u Minnesoti u operaciji koljena. "Čudesne stvari mogu se postići pomoću jednostavnih, svakodnevnih stvari koje uzimamo zdravo za gotovo", tvrdi Hachach-Haram. (Upozorenje: govor sadrži videosnimke prave operacije.)
Nadine Hachach-Haram - Surgeon, entrepreneur
The co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world. Full bio
The co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world. Full bio
Double-click the English transcript below to play the video.
00:12
According to the theories
of human social development,
of human social development,
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Prema teorijama o
ljudskom društvenom razvoju,
ljudskom društvenom razvoju,
00:15
we're now living
through the fourth great epoch
through the fourth great epoch
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mi se upravo nalazimo
u četvrtoj velikoj epohi
u četvrtoj velikoj epohi
00:17
of technological advancement,
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tehnološkog napretka,
00:20
the Information Age.
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Informacijskom dobu.
00:22
Connectivity through digital technology
is a modern miracle.
is a modern miracle.
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Povezanost putem digitalne
tehnologije moderno je čudo.
tehnologije moderno je čudo.
00:25
We can say it has broken down barriers
of time and space which separate people,
of time and space which separate people,
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Možemo reći da je uklonilo prepreke
vremena i prostora koje razdvajaju ljude
vremena i prostora koje razdvajaju ljude
00:31
and it's created a condition for an age
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i stvorilo uvjet za doba,
00:32
where information, ideas
can be shared freely.
can be shared freely.
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u kojem se informacije i ideje
mogu slobodno dijeliti.
mogu slobodno dijeliti.
00:37
But are these great accomplishments
in digital technology
in digital technology
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Međutim, jesu li ova
postignuća u digitalnoj tehnologiji
postignuća u digitalnoj tehnologiji
00:40
really the endgame
in terms of what can be achieved?
in terms of what can be achieved?
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uistinu strop u smislu
onoga što se može postići?
onoga što se može postići?
00:43
I don't think so,
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Ne bih rekla,
00:45
and today I'd like to share with you
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i danas bih htjela podijeliti s vama
00:46
how I believe digital technology
can take us to even greater heights.
can take us to even greater heights.
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kako nas digitalna tehnologija
može odvesti u još veće visine.
može odvesti u još veće visine.
00:51
I'm a surgeon by profession,
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Po profesiji sam kirurg,
00:53
and as I stand here today
talking to all of you,
talking to all of you,
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i u ovom trenutku, dok vam
ja držim ovaj govor,
ja držim ovaj govor,
00:56
five billion people around the world
lack access to safe surgical care.
lack access to safe surgical care.
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pet milijardi osoba u svijetu
nema pristup sigurnoj kirurškoj skrbi.
nema pristup sigurnoj kirurškoj skrbi.
01:00
Five billion people.
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Pet milijardi osoba.
01:03
That's 70 percent
of the world's population,
of the world's population,
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To je 70 % svjetskog stanovništva,
01:05
who according to the WHO's
Lancet Commission
Lancet Commission
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koji prema studiji SZO-e
u časopisu Lancet,
u časopisu Lancet,
01:08
can't even access
simple surgical procedures
simple surgical procedures
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nema pristup ni
jednostavnim kirurškim postupcima
jednostavnim kirurškim postupcima
01:11
as and when they need them.
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gdje i kada ih treba.
01:13
Let's zoom in on Sierra Leone,
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Fokusirajmo se na Sijeru Leone.
01:15
a country of six million people,
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Zemlju od šest milijuna stanovnika,
01:18
where a recent study showed
that there are only 10 qualified surgeons.
that there are only 10 qualified surgeons.
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gdje, po nedavnoj studiji, postoji
svega deset kvalificiranih kirurga.
svega deset kvalificiranih kirurga.
01:22
That's one surgeon
for every 600,000 people.
for every 600,000 people.
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To znači 600.000 ljudi po kirurgu.
01:26
The numbers are staggering,
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Brojke su zabrinjavajuće,
01:28
and we don't even need to look that far.
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ali čak ni ne moramo gledati tako daleko.
01:31
If we look around us here in the US,
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Ako pogledamo ovdje u SAD-u,
01:33
a recent study reported that we need
an extra 100,000 surgeons by 2030
an extra 100,000 surgeons by 2030
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nedavna studija nam kaže da ćemo
trebati dodatnih 100.000 kirurga do 2030.
trebati dodatnih 100.000 kirurga do 2030.
01:38
to just keep up with the demand
for routine surgical procedures.
for routine surgical procedures.
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Samo u svrhu zadovoljavanja zahtjeva
za rutinskim kirurškim zahvatima.
za rutinskim kirurškim zahvatima.
01:42
At the rate that we're going,
we won't be meeting those numbers.
we won't be meeting those numbers.
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Brzinom kojom se trenutno krećemo,
nećemo uspjeti postići te brojke.
nećemo uspjeti postići te brojke.
01:47
As a surgeon, this is
a global issue that bothers me.
a global issue that bothers me.
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Kao kirurg, to je globalni
problem koji me zabrinjava.
problem koji me zabrinjava.
01:50
It bothers me a lot,
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Muči me to jako,
01:51
because I've seen firsthand
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jer sam iz prve ruke vidjela
01:53
how lack of access
to safe and affordable healthcare
to safe and affordable healthcare
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kako nedostatak pristupa
sigurnom i pristupačnom zdravstvu
sigurnom i pristupačnom zdravstvu
01:56
can blight the lives of ordinary people.
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može upropastiti živote običnih ljudi.
01:58
If you're a patient
that needs an operation
that needs an operation
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Ako ste vi pacijent
kojem je potrebna operacija,
kojem je potrebna operacija,
02:01
and there isn't a surgeon available,
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a nema dostupnog kirurga,
02:02
you're left with some
really difficult choices:
really difficult choices:
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ostaju vam
stvarno teški izbori:
stvarno teški izbori:
02:05
to wait, to travel,
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čekati, putovati
02:09
or not to have an operation at all.
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ili uopće se ne podvrgnuti operaciji.
02:12
So what's the answer?
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Dakle, što učiniti?
02:15
Well, part of you are carrying
some of that solution with you today:
some of that solution with you today:
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E pa, neki od vas imaju dio
rješenja sa sobom danas:
rješenja sa sobom danas:
02:19
a smartphone, a tablet, a computer.
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pametni telefon, tablet, računalo.
02:23
Because for me,
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Jer, za mene,
02:24
digital communications technology
has the power to do so much more
has the power to do so much more
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tehnologija digitalnih komunikacija
ima moć činiti puno više,
ima moć činiti puno više,
02:28
than just to allow us to shop online,
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nego da nam samo
omogućava online kupovinu,
omogućava online kupovinu,
02:30
to connect through social media platforms
and to stay up to date.
and to stay up to date.
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povezanost putem društvenih medija
i da ostanemo ukorak s novostima.
i da ostanemo ukorak s novostima.
02:34
It has the power to help us solve
some of the key issues that we face,
some of the key issues that we face,
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Ima moć pomoći nam da riješimo neke od
ključnih problema s kojima smo suočeni,
ključnih problema s kojima smo suočeni,
02:39
like lack of access
to vital surgical services.
to vital surgical services.
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poput nedostatka pristupačnosti
ključnih kirurških usluga.
ključnih kirurških usluga.
02:42
And today I'd like to share with you
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Danas bih htjela podijeliti s vama
primjer toga kako ćemo
to moći učiniti mogućim.
to moći učiniti mogućim.
02:44
an example of how I think
we can make that possible.
we can make that possible.
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02:47
The history of surgery
is filled with breakthroughs
is filled with breakthroughs
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Povijest kirurgije puna je proboja
02:49
in how science and technology
was able to help the surgeons of the day
was able to help the surgeons of the day
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gdje su znanost i tehnologija
mogle pomoći tadašnjim kirurzima
mogle pomoći tadašnjim kirurzima
da se suoče sa svojim najvećim izazovima.
02:53
face their greatest challenges.
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02:54
If we go back several hundred years,
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Ako se vratimo u prošlost
par stotina godina,
par stotina godina,
02:56
an understanding of microbiology
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shvaćanje mikrobiologije
02:58
led to the development
of antiseptic techniques,
of antiseptic techniques,
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dovelo je do razvoja
antiseptičkih tehnika,
antiseptičkih tehnika,
koje su imale veliku ulogu u osiguravanju
03:00
which played a big role in making sure
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03:02
patients were able
to stay alive postsurgery.
to stay alive postsurgery.
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da pacijenti ostanu
živi nakon operacije.
živi nakon operacije.
03:05
Fast-forward a few hundred years
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Premotajmo par stotina godina
03:06
and we developed
keyhole or arthroscopic surgery,
keyhole or arthroscopic surgery,
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i razvili smo artroskopsku kirurgiju,
03:09
which combines video technology
and precision instruments
and precision instruments
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koja spaja video tehnologiju
i precizne instrumente
i precizne instrumente
03:12
to make surgery less invasive.
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kako bi učinila
kirurgiju manje invazivnom.
kirurgiju manje invazivnom.
03:15
And more recently, a lot of you
will be aware of robotic surgery,
will be aware of robotic surgery,
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Od nedavno, većina vas
bit će upoznata s robotskom kirurgijom
bit će upoznata s robotskom kirurgijom
03:19
and what robotics brings to surgery
is much like modern automated machinery,
is much like modern automated machinery,
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i da je ono što robotika pridonosi
kirurgiji poput moderne automatizacije;
kirurgiji poput moderne automatizacije;
03:23
ultraprecision,
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vrlo visoka preciznost.
03:25
the ability to carry out procedures
at the tiniest scales
at the tiniest scales
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Sposobnost obavljanja
zahvata u sićušnim dimenzijama,
zahvata u sićušnim dimenzijama,
03:29
with a degree of accuracy
that even surpasses the human hand.
that even surpasses the human hand.
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ali sa stupnjem preciznosti
koji nadilazi ljudsku ruku.
koji nadilazi ljudsku ruku.
03:34
But robotic surgery also introduced
something else to surgery:
something else to surgery:
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Međutim, robotska kirurgija je
također uvela još nešto u kirurgiju:
također uvela još nešto u kirurgiju:
03:38
the idea that a surgeon
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ideju da kirurg
03:39
doesn't actually have to be standing
at the patient's bedside to deliver care,
at the patient's bedside to deliver care,
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ne mora fizički stajati nad pacijentovim
krevetom da bi mu obavljao zahvat,
krevetom da bi mu obavljao zahvat,
03:44
that he could be looking at a screen
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nego da bi mogao promatrati kroz ekran
03:46
and instructing a robot
through a computer.
through a computer.
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i davati naredbe robotu putem računala.
03:49
We call this remote surgery.
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To nazivamo telekirurgijom.
03:54
It is incumbent on us
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Trenutni nam je zadatak
03:56
to find solutions that solve these answers
in a cost-effective and scalable way,
in a cost-effective and scalable way,
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naći rješenja za ove odgovore na cjenovno
učinkovit i svjetski primjenjiv način,
učinkovit i svjetski primjenjiv način,
04:01
so that everyone, no matter
where they are in the world,
where they are in the world,
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tako da svi, bez obzira na to
gdje se nalazili na svijetu,
gdje se nalazili na svijetu,
04:03
can have these problems addressed.
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mogu dobiti rješenja za svoje probleme.
04:06
So what if I told you
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Dakle, što kad bih vam rekla
da vam zapravo nije potreban
robot od milijun dolara
robot od milijun dolara
04:08
that you didn't really need
a million-dollar robot
a million-dollar robot
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04:10
to provide remote surgery?
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da biste pružali telekirurgiju?
04:12
That all you needed
was a phone, a tablet, or a computer,
was a phone, a tablet, or a computer,
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Sve što bi vam trebalo je
mobitel, tablet ili računalo,
mobitel, tablet ili računalo,
04:17
an internet connection,
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internetska veza,
04:19
a confident colleague on the ground
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samouvjeren kolega na lokaciji
04:21
and one magic ingredient:
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i jedan magični sastojak:
04:24
an augmented reality
collaboration software.
collaboration software.
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softver za suradnju
putem proširene stvarnosti.
putem proširene stvarnosti.
Uporabom ovog softvera za
suradnju putem proširene stvarnosti,
suradnju putem proširene stvarnosti,
04:28
Using this augmented reality
collaboration software,
collaboration software,
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04:30
an expert surgeon
can now virtually transport himself
can now virtually transport himself
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stručni kirurg može se
virtualno teleportirati
virtualno teleportirati
04:33
into any clinical setting
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na bilo kakvo kliničko okruženje,
04:35
simply by using his phone
or tablet or computer,
or tablet or computer,
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jednostavno koristeći svoj
mobitel, tablet ili računalo
mobitel, tablet ili računalo
04:38
and he can visually and practically
interact in an operation
interact in an operation
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i može vizualno i praktično
sudjelovati u operaciji,
sudjelovati u operaciji,
04:41
from start to finish,
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od početka do kraja,
04:43
guiding and mentoring a local doctor
through the procedure step by step.
through the procedure step by step.
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vodeći i mentorirajući liječnika na
lokaciji korak po korak kroz zahvat.
lokaciji korak po korak kroz zahvat.
04:47
Well, enough of me telling you about it.
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Dobro, dosta o samom pričanju o tome.
04:50
I'd now like to show you.
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Htjela bih vam pokazati sad.
04:54
We're now going to go live
to Dr. Marc Tompkins,
to Dr. Marc Tompkins,
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Pridružujemo se uživo
dr. Marcu Tompkinsu,
dr. Marcu Tompkinsu,
04:57
an orthopedic surgeon
at the University of Minnesota.
at the University of Minnesota.
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ortopedskom kirurgu na
Sveučilištu u Minnesoti.
Sveučilištu u Minnesoti.
05:01
He's going to perform
an arthroscopic surgery for us,
an arthroscopic surgery for us,
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On će obaviti jednu
artroskopsku operaciju za nas,
artroskopsku operaciju za nas,
05:04
a keyhole surgery of the knee,
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operaciju koljena kroz mali rez.
05:06
and I'd like to disclose
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Htjela bih priopćiti
05:08
that this patient has consented
to having their operation streamed.
to having their operation streamed.
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da je pacijent dao pristanak
za prijenos njegove operacije.
za prijenos njegove operacije.
05:14
I'd also like to point out
that in the interest of time,
that in the interest of time,
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Htjela bih također istaknuti
da, s vremenom na umu,
da, s vremenom na umu,
05:16
we're just going to go
through the first steps,
through the first steps,
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ćemo proći samo kroz prvih par koraka;
05:18
marking up the patient
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obilježavanje pacijenta
05:20
and just identifying
a few key anatomical landmarks.
a few key anatomical landmarks.
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i identificiranje nekoliko
ključnih anatomskih oznaka.
ključnih anatomskih oznaka.
05:24
Hello, Dr. Tompkins, can you hear me?
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Halo, dr. Tompkinse, čujete li me?
05:28
Dr. Mark Tompkins: Good morning, Nadine.
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Dr. Tompkins: Dobro jutro, Nadine.
05:30
Nadine Hachach-Haram:
Everyone from TED says hello.
Everyone from TED says hello.
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Nadine Hachach-Haram:
Svi iz TED-a kažu bok.
Svi iz TED-a kažu bok.
05:32
Audience: Hi.
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Publika: Bok.
05:36
NHH: Alright, Dr. Tompkins,
let's get started.
let's get started.
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NHH: Dobro, dr. Tompkins, možemo početi.
05:38
So let's start with our incisions
and where we're going to make these,
and where we're going to make these,
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Počnimo s rezovima
i gdje ćemo ih napraviti,
i gdje ćemo ih napraviti,
05:41
on either side of the patellar tendon.
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na obje strane patelarne tetive.
05:43
So if you can make
your incisions there and there,
your incisions there and there,
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Dakle, ako biste mogli učiniti
svoje rezove ovdje i ovdje,
svoje rezove ovdje i ovdje,
05:47
that should hopefully
get us into the knee.
get us into the knee.
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to bi nas trebalo uvesti u koljeno.
05:51
MT: All right, I'm going in.
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MT: U redu, ulazim.
05:53
NHH: Great.
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NHH: Odlično.
05:57
So we're just getting
inside the joint now.
inside the joint now.
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Upravo ulazimo unutar zgloba.
06:02
So why don't we go around
and have a quick look at the meniscus.
and have a quick look at the meniscus.
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Zašto ne bismo pošli
i bacili pogled na meniskus.
i bacili pogled na meniskus.
06:07
MT: Perfect.
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MT: Savršeno.
06:11
NHH: Great, so we can see there's
a small tear there on the meniscus,
a small tear there on the meniscus,
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NHH: Odlično, sad možemo vidjeti
da postoji manji rascjep na meniskusu,
da postoji manji rascjep na meniskusu,
06:15
but otherwise it looks alright.
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ali inače izgleda u redu.
06:18
And if you turn
and head to this direction,
and head to this direction,
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A ako se okrenete i
pođete u ovom smjeru,
pođete u ovom smjeru,
06:21
follow my finger,
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pratite moj prst,
06:22
let's have a quick look
at the ACL and the PCL.
at the ACL and the PCL.
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bacimo pogled na prednji
i stražnji križni ligament.
i stražnji križni ligament.
06:26
That's your ACL there,
that looks quite healthy,
that looks quite healthy,
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To vam je stražnji,
taj izgleda zdravo.
taj izgleda zdravo.
06:29
no problems there.
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Tu nema problema.
06:31
So we've just identified
that small meniscus tear there,
that small meniscus tear there,
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Dakle, upravo smo prepoznali
manji rascjep meniskusa ovdje,
manji rascjep meniskusa ovdje,
06:34
but otherwise the fluid
around the joint looks OK as well.
around the joint looks OK as well.
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ali inače tekućina oko
zgloba izgleda O.K. također.
zgloba izgleda O.K. također.
06:38
All right, thank you very much,
Dr. Tompkins. Thank you for your time.
Dr. Tompkins. Thank you for your time.
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U redu, hvala vam lijepa,
dr. Tompkins. Hvala na vašem vremenu.
dr. Tompkins. Hvala na vašem vremenu.
06:42
I'll let you continue.
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Dopustit ću vam da nastavite.
06:43
Have a good day. Bye.
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Želim vam ugodan dan. 'Đenja.
06:46
(Applause)
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(Pljesak)
Dakle, nadam se da sam
kroz ovu jednostavnu demonstraciju
kroz ovu jednostavnu demonstraciju
06:54
So I hope through
this simple demonstration
this simple demonstration
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06:56
I was able to illustrate to you
just how powerful this technology can be.
just how powerful this technology can be.
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uspjela prikazati vam koliko
moćna ova tehnologija može biti.
moćna ova tehnologija može biti.
07:00
And I'd like to point out
that I wasn't using any special equipment,
that I wasn't using any special equipment,
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Htjela bih istaknuti da nisam
koristila nikakvu posebnu opremu,
koristila nikakvu posebnu opremu,
07:04
just my laptop and a really simple webcam.
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samo svoj laptop i običnu web kameru.
Toliko smo naviknuti na
korištenje digitalne tehnologije
korištenje digitalne tehnologije
07:06
We're so used to using digital technology
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07:08
to communicate through voice
and text and video,
and text and video,
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za komunikaciju putem
poziva, poruke i videa,
poziva, poruke i videa,
07:11
but augmented reality
can do something so much deeper.
can do something so much deeper.
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ali proširena stvarnost
može učiniti nešto puno značajnije.
može učiniti nešto puno značajnije.
Ono dopušta dvjema osobama
da virtualno komuniciraju
da virtualno komuniciraju
07:15
It allows two people to virtually interact
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07:17
in a way that mimics
how they would collaborate in person.
how they would collaborate in person.
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na način koji imitira
kako bi one surađivale uživo.
kako bi one surađivale uživo.
07:21
Being able to show someone
what you want to do,
what you want to do,
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Biti u mogućnosti
pokazati što želiš učiniti,
pokazati što želiš učiniti,
07:23
to illustrate and demonstrate and gesture,
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prikazati, pokazati i gestikulirati,
07:25
is so much more powerful
than just telling them.
than just telling them.
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puno je moćnije nego
samo im govoriti.
samo im govoriti.
07:28
And it can make
for such a great learning tool,
for such a great learning tool,
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I može poslužiti
kao sjajan alat za učenje,
kao sjajan alat za učenje,
07:31
because we learn better
through direct experience.
through direct experience.
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jer učimo bolje kroz izravno iskustvo.
07:34
So how is this making
a difference around the world?
a difference around the world?
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Dakle, kako ovo čini razliku u svijetu?
07:36
Well, back in my teaching hospital,
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U mojoj sveučilišnoj bolnici,
07:38
we've been using this to support
local district general hospitals
local district general hospitals
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koristimo ovu tehnologiju za
podržavanje okružnih općih bolnica
podržavanje okružnih općih bolnica
07:41
and providing skin cancer surgery
and trauma treatment.
and trauma treatment.
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te pružanje operacije raka
kože i liječenje trauma.
kože i liječenje trauma.
07:44
Now, patients can access
care at a local level.
care at a local level.
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Pacijenti sada imaju pristup
njezi na lokalnoj razini.
njezi na lokalnoj razini.
07:48
This reduces their travel time,
improves their access,
improves their access,
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Ona smanjuje vrijeme potrebno
za prijevoz, poboljšava pristupačnost
za prijevoz, poboljšava pristupačnost
07:51
and saves money.
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i štedi novac.
Počeli smo uviđati njezinu korisnost i
u tretiranju rana s medicinskim sestrama
u tretiranju rana s medicinskim sestrama
07:53
We've even started seeing its use
in wound care management with nurses
in wound care management with nurses
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07:57
and in outpatient management.
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i u ambulantnom liječenju.
07:58
Most recently, and quite exciting,
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Nedavno, i dosta uzbudljivo,
08:00
it was used in supporting a surgeon
through a cancer removal of a kidney.
through a cancer removal of a kidney.
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koristila se kao potpora kirurgu za
operaciju odstranjivanja raka bubrega.
operaciju odstranjivanja raka bubrega.
08:06
And I'd like to just share with you
a very quick video here.
a very quick video here.
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Htjela bih sada podijeliti
jedan kratak video s vama.
jedan kratak video s vama.
08:09
I apologize for some
of the gruesome views.
of the gruesome views.
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Ispričavam se zbog možda jezivih slika.
08:14
(Video) Doctor 1: OK. Show me again.
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(Video) Doktor 1: U redu.
Pokaži mi još jednom.
Pokaži mi još jednom.
08:17
Doctor 2: If you see here,
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Doktor 2: Ako pogledaš ovdje,
08:19
that's the upper part,
the most outer part of your tumor.
the most outer part of your tumor.
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to je gornji dio, vanjski dio tumora.
08:23
Doctor 1: Yes.
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Doktor 1: Da.
08:25
Doctor 2: So it's
three centimeters deep,
three centimeters deep,
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Doktor 2: Dakle, dubok je tri cm,
08:28
so this should be three centimeters.
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tako da bi ovo trebalo biti tri cm.
08:30
Doctor 1: Yes, yes.
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Doktor 1: Da, da.
08:32
Doctor 2: OK,
so you need to get a 3.5 margin.
so you need to get a 3.5 margin.
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Doktor 2: O.K., dakle, treba biti
margina od 3,5 cm.
margina od 3,5 cm.
08:37
Doctor 1: I'm going to show you anyway
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Doktor 1: Svejedno ću ti pokazati,
08:39
and tell me what you think about it.
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a ti mi reci što misliš o tome.
08:42
NHH: We're also seeing the use
of this technology at a global scale,
of this technology at a global scale,
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NHH: Također uviđamo korisnost
ove tehnologije i na svjetskoj razini.
ove tehnologije i na svjetskoj razini.
08:46
and one of the most
heartwarming stories I can recall
heartwarming stories I can recall
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Jedna od najohrabrujućih
priča koje se mogu sjetiti
priča koje se mogu sjetiti
08:48
is from the town of Trujillo
in the north of Lima in Peru,
in the north of Lima in Peru,
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dolazi iz grada Trujillo
u sjevernoj Limi u Peruu,
u sjevernoj Limi u Peruu,
08:52
where this technology
was used to support the provision
was used to support the provision
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gdje se ova tehnologija
koristila kao potpora za pružanje
koristila kao potpora za pružanje
08:55
of cleft lip and palate
surgery to children,
surgery to children,
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operacije rascjepa usna i nepca za djecu,
08:58
children from poor backgrounds who
didn't have access to health insurance.
didn't have access to health insurance.
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koja potječu iz siromašnih obitelji i
nemaju pristup zdravstvenom osiguranju.
nemaju pristup zdravstvenom osiguranju.
09:02
And in this town, there was
a hospital with one surgeon
a hospital with one surgeon
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U tom gradu, postoji
bolnica s jednom kirurgicom
bolnica s jednom kirurgicom
09:05
working hard to provide this care,
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koja marljivo radi kako bi pružala njegu,
09:06
Dr. Soraya.
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dr. Soraya.
Dr. Soraya se mučila
držati korak s količinom potražnje
držati korak s količinom potražnje
09:08
Now, Dr. Soraya was struggling
under the sheer demand
under the sheer demand
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09:11
of her local population,
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u njezinom lokalnom stanovništvu
09:12
as well as the fact that she wasn't
specifically trained in this procedure.
specifically trained in this procedure.
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i također s činjenicom da nije imala
specijalističku obuku za taj zahvat.
specijalističku obuku za taj zahvat.
09:16
And so, with the help of a charity,
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I tako, uz pomoć dobrotvorne udruge,
09:18
we were able to connect her
with a cleft surgeon in California,
with a cleft surgeon in California,
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mogli smo ju spojiti sa specijalistom
za rascjep usne iz Kalifornije
za rascjep usne iz Kalifornije
09:21
and using this technology, he was able
to guide her and her colleagues
to guide her and her colleagues
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i koristeći ovu tehnologiju,
mogao je voditi nju i njezine kolege
mogao je voditi nju i njezine kolege
09:25
through the procedure step by step,
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kroz operaciju korak po korak.
09:26
guiding them, training them
and teaching them.
and teaching them.
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Voditi ih, obučavati i podučiti.
09:28
Within a few months,
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U nekoliko mjeseci,
09:30
they were able to perform
30 percent more operations
30 percent more operations
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bili su sposobni obavljati
30 % više operacija
30 % više operacija
09:32
with less and less complications.
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sa sve manje komplikacija.
09:34
And now Dr. Soraya and her team
can perform these operations
can perform these operations
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Sada su dr. Soraya i njezin tim
sposobni obavljati ove operacije
sposobni obavljati ove operacije
09:38
independently, competently
and confidently.
and confidently.
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samostalno, stručno i samopouzdano.
09:42
And I remember one quote
from a mother who said,
from a mother who said,
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Sjećam se izjave jedne
majke koja je rekla:
majke koja je rekla:
09:44
"This technology
gave my daughter her smile."
gave my daughter her smile."
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"Ova tehnologija je dala
mojoj kćerki njezin osmijeh".
mojoj kćerki njezin osmijeh".
09:48
For me, this is the real power
of this technology.
of this technology.
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Za mene, to je prava moć ove tehnologije.
09:51
The beauty is that it breaks boundaries.
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Njezina je ljepota što razbija barijere.
09:54
It transcends all
technological difficulties.
technological difficulties.
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Prelazi sve tehnološke poteškoće.
09:58
It connects people.
It democratizes access.
It democratizes access.
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Povezuje ljude.
Demokatizira pristupačnost.
Demokatizira pristupačnost.
10:02
Wi-Fi and mobile technology
are growing rapidly,
are growing rapidly,
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Wi-Fi i mobilna
tehnologija ubrzano rastu,
tehnologija ubrzano rastu,
10:04
and they should play a role
in boosting surgical provision.
in boosting surgical provision.
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stoga bi trebali igrati ulogu
u poboljšavanju pružanja kirurgije.
u poboljšavanju pružanja kirurgije.
10:07
We've even seen it used in conflict zones
where there's considerable risk
where there's considerable risk
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Vidjeli smo da se tehnologija koristi i u
područjima sukoba, gdje postoji rizik
područjima sukoba, gdje postoji rizik
10:10
in getting specialist surgeons
to certain locations.
to certain locations.
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u dovođenju kirurga
specijalista do određenih lokacija.
specijalista do određenih lokacija.
10:13
In a world where
there are more mobile devices
there are more mobile devices
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U svijetu u kojem
postoji više mobilnih uređaja
postoji više mobilnih uređaja
10:16
than there are human beings,
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nego ljudi,
10:18
it truly has a global reach.
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ono uistinu ima svjetski doseg.
Naravno, još uvijek
nismo dovoljno uznapredovali
nismo dovoljno uznapredovali
10:20
Of course, we've still got a long way
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10:22
before we can solve the problem
of getting surgery to five billion people,
of getting surgery to five billion people,
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da bismo riješili problem nedostupnosti
kirurgije za pet milijardi osoba
kirurgije za pet milijardi osoba
10:26
and unfortunately,
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i, nažalost,
10:27
some people still
don't have access to internet.
don't have access to internet.
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neke osobe još uvijek nemaju
pristup internetu.
pristup internetu.
10:30
But things are rapidly moving
in the right direction.
in the right direction.
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Ali stvari se ubrzano
kreću u pravom smjeru.
kreću u pravom smjeru.
10:34
The potential for change is there.
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Potencijal za promjenu postoji.
10:36
My team and I are growing
our global footprint,
our global footprint,
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Moj tim i ja povećavamo
svoj otisak na svjetskoj razini,
svoj otisak na svjetskoj razini,
10:39
and we're starting to see
the potential of this technology.
the potential of this technology.
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te tek počinjemo uviđati
mogućnosti ove tehnologije.
mogućnosti ove tehnologije.
10:44
Through digital technology,
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Kroz digitalnu tehnologiju,
10:46
through simple, everyday devices
that we take for granted,
that we take for granted,
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kroz jednostavne, svakodnevne
uređaje koje uzimamo zdravo za gotovo,
uređaje koje uzimamo zdravo za gotovo,
10:49
through devices of the future,
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kroz uređaje budućnosti,
10:51
we can really do miraculous things.
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možemo učiniti uistinu čudesne stvari.
10:54
Thank you.
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Hvala vam.
10:55
(Applause)
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(Pljesak)
ABOUT THE SPEAKER
Nadine Hachach-Haram - Surgeon, entrepreneurThe co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world.
Why you should listen
Dr. Nadine Hachach-Haram is a surgeon, lecturer and clinical entrepreneur. She drew on her passion for innovation, education and global surgery to co-found Proximie, an augmented reality platform that allows doctors to virtually transport themselves into any operating room, anywhere in the world, to visually and practically interact in an operation from start to finish. From marking up a patient to providing real-time virtual presence in assisting and instructing on an operation, Proximie aims to provide safe, accessible and cost-effective surgery to every patient around the world. Dubbed the "future of surgery" by CNN, Proximie has gone from strength to strength and won multiple awards as well as being the main focus of the Foreign Press Association Science Story of the Year. It aims to revolutionize the delivery and education of healthcare by reducing the cost of that delivery while providing improved quality to the end patient, ensuring that every patient gets the best care, the first time, every time.
Nadine Hachach-Haram | Speaker | TED.com