Category: health

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Hands-on AI

The use of AI in translation and to streamline texts and preparation of communication has become a common experience. The applications in medical fields are less well known. Scans and checking of skin cancer could be a game changer for many who live far away from the next medical doctor. AI assisted brain surgery is another issue, but a very specialized application. The interface of AI and robotics might be another game changer as such applications where you train the robot with for example weight lifting and transportation charges can contribute to alleviate human skeletons. Handheld devices can guide the robot and data from sensors will complement the learning of the tasks through assistance from AI. Applications are manifold and we have not even seen the most promising ones. The application potential in warfare are particularly troublesome as humans do not necessarily enter into the concern of AI-assisted weaponry. In the social sphere trust is a crucial behavioral and ethical concern. These issues AI can only learn from us. Any attempts to do without human input and control is doomed to fail. We are not indispensable yet, we are simply turning more and more into responsible, supervisory roles. 

(Image: Acatech exhibition with hands-on AI applications, Berlin in collaboration with IQZ and DTM, German museum of technology.)

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More eCooking

Cooking powered by electricity rather than fossil fuels like gas is an efficient and smart solution. Through the daily cooking activities over the course of a year the savings due to eCooking add up quite a bit. Even compared to an ordinary electric stove the eCooking by induction technology saves almost an additional 10+ percentage of energy as you heat the pot or pan directly rather than an in-between metallic element, which stores heat even after you have switched it off already for a while. In private kitchens the induction option is straightforward. In professional settings the change to induction eCooking needs careful planning. The health aspect of no burnt gas emissions in the kitchen is, however, a strong argument in favor of eCooking as well.
If we apply this logic to low-income countries and cooking in schools or other institutions as well as companies, the environmental and economic benefits add up quickly. In rural areas where no electricity grid is available or stable enough, the decentralized provision of electricity through for example solar energy creates a cost-effective alternative. In urban areas with high levels of various kinds of pollution the “clean” alternative could make a considerable difference as well.
The eCooking evidence is another pillar of the “all electric society” of the 21st century.
(Image: Rirkrit Tiravanija, untitled (Café Deutschland) and extract from “Freiheit kann man nicht simulieren“, Berlin Martin Gropius Bau, 2024-2025)

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Suicide Prevention

The annual mortality statistics and special reports on suicidal tendencies are a tough reading. OECD Statistics give a at least an approximate, comparative perspective. Reporting routines and medical confirmation of a suicide or suicidal behavior still vary quite a bit between countries. Nevertheless, the usually reported incidents per 100.000 persons remain rather abstract.
Absolute numbers speak a clear language. For example in Germany there were about 10.300 recorded suicides in 2023, France had to mourn about 9200 in 2022. To put the size of the problem in perspective it is helpful to know that in Germany all other not aging related causes of death like traffic accidents, drugs or murder make up for around 7.000 deaths per year. The targeting of resources and prevention efforts on these vulnerable people seems inevitable. However, we see only limited additional efforts to curb the problem.
A more detailed analysis of the frequencies reveals the gender and age differences. More men commit suicides and older (very old) people have higher risks. The oldest age group of men is most at risk.
Since the Covid-19 pandemic young women show rising trends in many countries again of suicidal attempts and self-inflicted wounds. Despite a continuing effort of research (Links) there is no single cause to explain the occurrences.
As a working hypothesis, which awaits empirical tests, I would look into societal factors that stigmatize persons who are made to believe or feel like they are beyond the normal spectrum of society. The lack of acceptance of diversity concerning gender, age, ethnicity, body shapes or mental states like anxiety. Poverty might cause immense distress and suffering. Large shifts in wealth in both directions cause additional risks.
It seems as if our minds and society are constantly in a kind of „regression towards the mean“ posing challenges to those furthest away from the average or perceived norms. Percentile ranks or percentile scores are commonly used to express a person’s position in a frequency distribution. For example you are better/lower than 90% of persons of your age group. Such statements might cause further distress for persons. However, summarising across several (psychological) measurements, they may yield encouraging indications as well. Actual and perceived positions in such percentile ranks add another “social risk” as perceived positions may govern behavior.

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Blue Sky

In the period of romanticism the associations with a blue sky were very different from today. Getting out into the sun was a kind of privilege for the “leisure class”, of people who could afford to enjoy time outside for boating, walking or other pleasures. In our technology-driven 21st century the associations with Blue Sky are more like a technically enhanced view through for example “Windows” at the news and opinion platform or “Bluesky”.
Several scientific websites that report data on blue skies and air quality more generally across the world report indicators like ozone values O3, sun intensity, micro particles 2.5µm and 10µm, Nitrogen Dioxid NO2 to name the mostly quoted indicators. Hence, just enjoying the blue sky outside isn’t the same as it was before. People working outside in the sun or at times of a blue sky but with high air pollution levels are incurring severe medium-term health risks. The Ozon layers at very high altitudes protect our skin and eyes against high UV-radiation, but O3 on the ground is tough for eyes and lungs.
Technology has come with many blessings, but the negative effects on a global scale become also more evident. Getting used to a particular lifestyle, which produces lots of emissions of aggressive fine particles will make it more difficult to just simply enjoy a blue sky.
In consideration of all these background data with regional variations, we surely need an AI-system which we can ask for advice, whether we should go outside and enjoy the blue sky with or without respiratory mask.
Romanticism has led us all the way to Californication and dangerous enshittification of the air that surrounds us. Youth and the next generations will have very different associations with Blue Sky than we have the chance to, at least, have had.

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Mindmap Me

Tools like artificial intelligence allow all sorts of transformations and depictions. The photo editing tools are widespread and particularly popular among the young users. My own transformative exercises, latest with www.bairbe.me, have yielded interesting insights, well worth an intergenerational playmate. For the guys there is the www.yobrick.com version for brick gamers.
The App “Canvas” allowed me to delve deeper into my own mind by giving instructions of how to create an image of the structure of the blog entries on this webpage. Of course, it is not (yet) a real AI-generated content map, but it is only a matter of time until such tools will exist. After all, this would be just an arranged and rearranged list of contents using the hyperlink structure of the texts as well.
For the time being, I derive my own structure of the blog entries by topics, categories and tags including the hyperlinks or internal referrals. Interlinkages are mostly stated explicitly. However, there are many implicit links, which are obvious to some, but not others. AI-systems could use occurrences of words,  synonyms and antonyms . Colors in addition to bubble sizes and (in)direct lines may complement such mindmaps. This can help to reveal another, additional layer to connections between categories or tags. The Ai-generated image shown below was created with the APP Canvas as a first approximation and AI-augmented test version in form of abstract images).
Next steps on the way to understand human intelligence and, maybe, augment it with a next generation AI-system would use a colored-3D version of such a mindmap and use the chronological evolution of the blog posts in a kind of evolutionary animation. This should allow us to go beyond the usual psychological classification of fluid and crystallized intelligence. We might come to grips what it means to be “in a Paris state of mind” or when hallucinations become overwhelming.

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Existence as Eggsistence

Artists have their own ways of hallucinating. They don’t need an AI to generate ideas beyond the normal, even allowing for 2 standard deviations off the usual. As a result of the thorny question about your existence, Ram Katzir came up with the impressive statement about his „eggsistence“ being subjected to a squeezed experience. Ever increasing shares of the labor force would subscribe to this statement about the modern workplace. Each turn of the screw risks to crack up the egg‘s shell. Rather focus on the egg, try to get a grip on the screw. There are thousands if not millions who crack up under the excessive pressure of economic and political circumstances. The new platforms of food, grocery and parcel delivery at home have become the latest example of AI-assisted and algorithmicly managed screws. What is driving your eggsistence. It is about time to  ask fundamental questions again. (Image: Eggsistence, by Ram Katzir 2021 in Brussels, Galilas Collection Belgium)

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Holocaust Remembrance

The 80th anniversary of the liberation of the concentration camp Auschwitz-Birkenau marks a very special kind of remembrance. As the number of survivors of Nazi-terror and genocide is shrinking the testimony of survivors is becoming more rare and more precious. According to the “Jerusalem Post” on 2025-1-28 (p. 9) the number of survivors that came back to the site of horrific crime has shrunk from 300 ten years ago to 50 in 2025. The strength and courage to continue to testify amidst having reached 90+ or even 100+ years of age is a “living memorial” of its own kind.
Many television stations across Europe have followed the example set by this special Holocaust remembrance day and focused equally on recorded testimonies or additional live interviews of survivors. Please keep repeating these testimonies to confront people with the outcome of Nazi-terror in Europe. The choice this year was a courageous one. Instead of speeches of sorrow and lip service to fight antisemitism by acting politicians, the focus on the testimony of survivors in public, on TV and to large audiences will encourage others to continue to give testimonial of these horrors.
(Image: extract of Pressreader newspaper titles 2025-1-27)

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Synthetic opioids

Across the globe there are many tough lessons to be learned about synthetic opioids. These psychoactive substances fall under special legislation and can only be used with medical prescriptions. The strength of these substances is usually compared to heroin and the risk of addiction to these substances is very high.
A recent paper in International Review of the Armed Forces Medical Services (2024) has highlighted also “the abuse of the synthetic opioid U-47700” at times of military conflict. The power of these drugs to suppress the feeling of pain is helpful for medical operations. The abuse, however, may consist in the use of the drug to “keep fighting whilst pain is suppressed”. Such use of synthetic opioids increases the risk for addition and the fatal consequences of overdoses. The reporting of such occurrences in a specialized medical journal is an important warning against the conscious and willingness to abuse the drugs for war purposes.
The finding reminds us of the abuse that was already widely spread during the Nazi led 2nd World War (“Der totale Rausch“). The addictive potential was experiences even after the war time in terms of active combat was over. The costs to society of such abuse as well as use of supply chains of provision of opioids during peace times remain a problem for many years after the war. After a war, the war on drug abuse continues. Fighting addiction is a lengthy and painful process.

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Defence Spending

As in research there are many dual use products, which can be part of defence spending. Robotics in production or rockets to launch satellites for telecommunication are such examples. Much less known to the public is the amount of military spending that goes into medical developments that benefit both the military as well as the civil population. Countries build a whole ecosystem round the provision of medical services for defence purposes , which consists not only of a sufficient number of qualified persons, but also companies that provide specialised products. Most of them have civil applications as well after minor adaptations.
Oxygen provision was a prominent example of a product that has civil and military uses in treatment of respiratory infections or contaminations. A mobile transportable operation table is another element of daily rescue services as well as potential use in situations of conflict, just like anesthesia machines. An increase in spending on such infrastructure and the necessary long-term training of persons operating and maintaining these medical applications take time and considerable financial resources.
The current debate in Europe and NATO neglects the considerable time delays in production and provision of the equipment. Research on “Skill Needs in OECD countries” has shown the substantial delays between sudden skill needs and the time to train high-skilled persons.
The International Review of the Armed forces Medical Services is a journal dedicated to publish up-to-date information on needs of medical products and persons trained to use them in special emergencies. The need to safe lives in extreme and dangerous conditions needs preparation of thousands of specialists. Of course we hope that such an incidence will not happen. The persons and material have an obvious potential to serve the civilian population in more peaceful times as well. The unfortunate “hog cycle” in skill provision is not a problem for dual use products or services.
(Image: edited extract of a mobile operation table)

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Obesity Revised

The scientific paper on a revised definition of obesity was produced by the special Commission on Obesity. It appeared in The Lancet Diabetes & Endocrinology in 2025-1. The previously common practice by medical doctors was to classify person in the obesity category based mainly on the simple calculation of the body mass index (BMI = weight/height²). A BMI  > 30 put persons into the obese category and stigma.
Since the Covid-19 society-wide testing experience, we are all familiar what it means if you get misclassified and have to live with the consequences (exclusion from work or events etc.). The simplifying and summarizing BMI calculation and classification has also produced many wrong classifications. For example, persons with a lot of muscles (just watch this at any fitness studio) will have a high weight relative to their body height², but they are likely to be more healthy than many other light weight, but seriously stressed persons.
In empirical test theory such cases are the so-called false positive cases, i.e. classified as obese, but not a medical problem at all. Medical doctors and health insurances should not finance special treatments for these persons, which foregoes treatment of other more needy persons.
With new expensive drugs on the market to treat obesity it is even more important to test with more precision the normal, pre-clinical and clinical status of obesity. Fatty tissue or muscles, that is the relevant question. Fatty tissue in muscles is the next level testing issue.