Posts tagged ‘app’

November 5, 2018

I Can’t Wait for Grocery Delivery!

I can’t wait for grocery delivery! Creating and testing gluten-free recipes means I can never shop at just one store. I’d rather spend my time in the kitchen than traveling to and from the grocery or walking through the aisles. Building a favorites list online will allow me to spend a minimum amount of time shopping and get all of the basics delivered right to my door. I love that idea!
carts
In preparation for the eventuality of grocery delivery, I’ve been clicking and picking up. My primary concern before I began was the quality of produce. Even when I do the shopping, it’s frequently difficult to find high quality, fresh produce in our local stores. Nonetheless, I decided to dive in.

Of course I can have nonperishables shipped from Amazon any time. I’ve previously purchased things like paper towels and G.H. Cretors popcorn from them. I didn’t enjoy the experience of having to fill a pantry box in order to get free shipping. I hated the way the items were packaged when they arrived. And I had to make sure someone was available to check my porch so the boxes didn’t disappear. That’s not the experience I’m looking for.

Subscriptions work well for some items like coffee. In fact, Jim’s Organic just started a subscription service. I signed up the minute I got an email announcing subscription availability. But coffee is something on which I can easily gauge my usage. I’m not as methodical about my consumption of paper towels or cereal.

In my market, there are two stores that offer click and pick-up service – Kroger and Wal-Mart. I chose Wal-Mart because they have a plan for $10 delivery in the near future. Each time I order from the site, I build familiarity with the product selection and add to my favorites list.

Downloading the app means I don’t have to call upon arrival. Once I receive a notice that the order is ready, I check in from my phone when I’m on the way. When I arrive, the store is notified and brings out the order.

This means that I’m allowing the app to track my location. This can be a privacy concern. If so, there’s an option to receive notification via email, drive to the store location, and call the number listed on a sign found in each parking spot in the pick-up area.
produce
Last week I added sugar snap peas to a pickup order. That evening, I popped the package open, washed a few and ate them raw. I was pleasantly surprised! The peas were crunchy, tender, and sweet. They were the freshest, tastiest produce I’ve had all year. That worry I had about the quality of produce is beginning to wane.

I’m attending a film festival out of town. There’s nothing in my refrigerator at home besides butter, jelly, and pickle relish. This week will be the perfect time to add more produce to an order and see if the peas were a fluke. I hope not. A pattern of reliably fresh produce and the deal will be sealed! Online grocery shopping will become a regular thing for me.

When grocery delivery begins…score!!! I really can’t wait!

http://www.cooking2thrive.com/blog/what-makes-a-grocery-store-great/

Disclosure of Material Connection: I have not received any compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: “Guides Concerning the Use of Endorsements and Testimonials in Advertising.”
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July 16, 2018

Here’s an Idea for an App

brainHere’s an idea for an app: Wouldn’t it be great if there were a smartphone app that could scan my tummy & tell me why it’s hurting? Is it a stomach virus, gluten exposure, FODMAP related, lactose intolerance, corn intolerance, salmonella, too much guar gum or carrageenan, natamycin, not enough fiber, too much fiber, the frequency of meals, or the fact that my sister is coming to visit? I’m willing to do whatever it takes to make it stop hurting. The problem is, it’s often difficult to determine what that is.

I was recently part of a team that reviewed a pilot research grant for a study of the effectiveness of an app vs traditional treatment. While we ultimately chose not to fund that particular grant, I see great possibilities in the future of apps to assist healthcare professionals with diagnosis and treatment of disease and chronic conditions, the physical manifestations of trauma, and mental health issues in general.

While the human element offers insight that may be missed by technology, it also brings inherent bias and inconsistency. In the 1960s, the Oregon Research Institute set out to study how experts rendered judgments. Lew Goldberg, a psychologist, developed a case study in which researchers gathered a group of radiologists and asked them how they determined from a stomach X-ray whether a patient had cancer.

The doctors indicated that there were seven major cues that they looked for. In an effort to create an algorithm that would mimic the decision making of doctors, the researchers created a simple algorithm in which the likelihood of malignancy depended on the seven cues the doctors had mentioned, all equally weighted.

Researchers then presented the doctors with X-rays from 96 different individual stomach ulcers and asked them to rate each one on a seven-point scale from definitely malignant to definitely benign. Without disclosing what they were doing, the researchers showed the doctors each ulcer twice with the duplicates mixed in randomly so that the radiologists wouldn’t notice the duplication.

All data were transferred to punch cards and sent to UCLA for computer analysis. When UCLA sent back the analyzed data, it became clear that this simple computer model was surprisingly good at predicting the doctors’ diagnoses. Even more surprising, the data showed that the diagnoses were all over the place. In spite of the fact that they were trained experts, the radiologists didn’t agree with each other. In fact, they often didn’t agree with themselves. Every single doctor had sometimes contradicted his own diagnosis when given a duplicate X-ray.

The researchers also found that clinical psychologists and psychiatrists deciding whether it was safe to release a patient from a psychiatric hospital wildly differed from each other in their determinations. Further, those with the least training were just as accurate in their judgments as those with more training.

The Oregon researchers then tested the hypothesis that the simple computer model they had designed might be better than doctors at diagnosing cancer. Turns out, the algorithm outperformed even the single best doctor in the group of doctors being studied.

What Goldberg came to realize was that doctors had a good theory of the cues to look for in diagnosing cancer, but in practice they did not stick to their own ideas of how to best diagnose. They tended to weigh things differently. As a result, they were less accurate than a computer model.

Given our current reliance on experts to diagnose, this research isn’t particularly reassuring; however, it does bode well for the inclusion of artificial intelligence in diagnostic procedures. That’s right, just the sort of technology that could be deployed by an app on my handheld device.
floating apps
Here’s an idea for an app

A decade ago, I attended the Game Developers Conference in Austin, Texas. There were sessions on massively multiplayer online (MMO) games, animation for video games, avatar development, and artificial intelligence in video games. I remember thinking as I sat through one of the sessions – the highest and best use of characters in a game who can learn from conflict would be to develop “games” or tools for families to learn to resolve conflict and improve communication.

If I create an avatar that behaves like me at first, but learns better ways to navigate specific situations, I can learn to improve my game, i.e., my life. With the distance of “playing” myself, I gain perspective. I still think there’s great potential for emotional and social growth applications.

Here’s an idea for an app

A couple of months ago, I spoke to the Trauma Institute & Child Trauma Institute in Northampton, MA about a new progressive counting method used to treat PTSD and the effects of childhood trauma. Essentially, the patient verbalizes their first chronological memory of trauma while the therapist counts. This process continues until the distress associated with that memory is resolved. Then the patient moves on to the next distressing memory and repeats the process.

I’m sure it’s a little more complicated than that, but my first thought was – I wonder if you can make a phone count out loud? If so, it seems like a lot of this could be done with a smartphone. Maybe you’d do a couple of sessions with a practitioner at the beginning and periodically thereafter, but the rest could be done in the safety and comfort of your own home. We need an app for that.

Well researched and well designed apps have the potential to propel us forward. Whether or not they include my ideas, I’m excited about their incorporation into medical and mental health practices.

http://www.ori.org/scientists/lewis_goldberg

http://www.ori.org/

http://psycnet.apa.org/record/1970-12828-001

http://michaellewiswrites.com/#top

http://www.childtrauma.com/

http://www.gdconf.com/

http://www.cooking2thrive.com/blog/make-it-easier-to-stick-to-your-eating-plan/