Causal Benefit Model

In the field of medicine we move more and more towards precision medicine. Previously, the term of personalized medicine was used which suggested to a certain degree that a personalization might be feasible. The budget constraints have forced us to change the term to avoid unrealistic, untenable promises. In the field of cardiology scientific advances advocate to shift from a risk-based model of treatment to a causal benefit model. (Kohli-Lynch et al. 2024 Link). Long-term benefits of a treatment are more promising, if the treatment addresses the causal mechanisms at work. It is wide spread practice to deal with general risk profiles as guidelines as the precision medicine based on a causal benefit model is far more laborious since to search the causal mechanism at work requires additional testing of hypotheses. This becomes immediately clear if genetic causes enter into consideration. Nevertheless, medical research advances more and more in this direction. Genetic testing has been shown to be useful in analyzing and treating issues like sudden cardiac arrest (in survivors). We are somehow aware that genetics may play a role here, but we shall need a lot of additional studies to make the causal benefit model a feasible option for widespread applications. Targeting research in this field will offer new avenues for precision medicine in the 2020s.

Korallenriff

Kinder verstehen direkt, dass es sich lohnt, Korallenriffe zu erhalten. Plastikmüll in den Meeren gefährdet die Korallenriffe und die bunte Vielfalt an Fischen, die darin leben. Ein kleines Theaterstück dazu von Kathrin Brunner begeistert Kinder, weil es sie erleben lässt, wie einfach Lösungen aussehen können. Den großen Leuten zeigen, wie traurig die Welt aussieht ohne die farbenfrohe Pracht der bunten Fische, wird sie schon zu Veränderungen bringen. Das Theaterstück und Buch dazu wurde am 16.3.2024 im FEZ in Berlin aufgeführt. Das Figurenspiel mit überleitendem Refrain, das vom Publikum gleichsam der Promenade in den „Bildern einer Ausstellung“ (Mussorgsky) mitgesungen haben, bildete jeweils eine gelungene emotionale Überleitung und Aufmerksamkeitspause. Wir wünschen uns noch viele kleine und große Besuchende für diese Aufführungen. Die Kinder werden es uns schon lehren, den blauen Planeten noch zu retten.

Corruption Watch

There is a persistent need to watch carefully whether corruption is involved in political as well as economic deals. Transparency Watch is doing a great job in reporting on corruption cases. In democracy we can talk openly about corruption but in authoritarian regimes it is life-threatening for yourself to talk and report on corruption. The case in Europe around the network of Eva Kaili continues to make headlines due to the ruthless abuse of rules the European Parliament. (Link to Le Soir, image below, 2024) The close monitoring of activities and lobbying of powerful industrial interests targeted on parliamentary candidates and officials will continue to be essential for the survival of democracy. The organization „Abgeordnetenwatch.de“ is doing just this. Investigative journalism needs to complement the work of NGOs in this field. Thanks to these efforts it has become much harder to cover up corruption. Only if the risk to be found out is a credible threat corruption can be contained. Let us watch out carefully and probably with the assistance of AI to uncover early any attempts of corruption.

Clip „Le Soir“ 2024-2-28 p.1

Opportunity Costs

Skiing in winter is a pleasure that has become more elitist. The downhill skiing has always been an expensive sport, but affordable school holidays gave the sport a more accessible touch. The cheaper version of long distance skiing or skating on larger trails involves much more endurance. The report of the French Cour des Comptes in 2024 questions the sense of the huge investment that is still devoted to save the pleasure of the few. Instead of investment to the benefit of the many this investment could put the money to a more sustainable, socially and ecological productive purpose. Installations could be used all year round rather than in the few weeks at best months with snow. It is remarkable that the court has highlighted this kind opportunity costs of such installations. Instead of investing in soon to be obsolete infrastructure at lower altitudes like water reservoirs and water canons, this money could already start the eventually necessary transition process. Each € spend is not only lost for the transition but might create additional environmental liabilities and damage. From economists it is to be expected that they mention competition in their arguments. Not all stations os skiing will survive. Put more dramatically, in the process of closing skiing at lower and middle level altitude, competition intensifies of who can survive. Public funds should not be misused in this endeavor. Lobbying is strong and political incumbents tend to favor the merit and legacy of digging for the white gold. Change of mind sets, investment narratives and decisions is tough. From much downhill skiing we might soon remember only the downward slope before the healthy aspects of climbing a slope takes the upper hand.

Satellites

Every now and again satellites make headlines. In international politics the “Sputnik moment” of 1957 was such a key defining moment. Russia sending a satellite into space set off a massive investment programme in the United States to counter a potential threat from Russia coming from space. In 2024 we discuss again the next ratcheting up of in a race of armament threatening the earth from space. Russia is believed to enable satellites to carry a nuclear bomb that would orbit around the earth and could lead to mass destruction of satellites that nowadays enable navigation, communication and monitoring what is happening on earth.
As beyond the state-owned satellite networks there has been a private satellite network that assisted Ukraine to defend itself against the Russian aggression, we probably are about to witness the extension of warfare on earth into space. In addition to the so-called cyberwar, which threatens computer-based systems with viruses, ransomware or break-downs, we may face new kinds of threats. We shall have to consider this as part of modern warfare.
Since the late 1960s there exists an international agreement not to use space for nuclear arms. However, Russia does no longer seem to respect its commitment to this. A further escalation of the war of Russia in Ukraine with “conventional” weapons carries the risk to set off another arms race including the earths orbit. This is no science-fiction or whistle blowing, but based on a high-level report and press coverage by the New York Times on 2024-2-17 (Link).
The outrageous implication of such a massive explosion in space is that its implications of the globe on parts of the world and people not being a party in the war will suffer most likely as much as the opposed nations. The food shortages due to Russia’s aggression caused people in Africa to suffer or even die of hunger. Satellite outages of a massive scale will have severe consequences as well.
Information and communication systems have proven to be determining the outcome of a war. This has been one lesson of more than two hundred years of studying military strategies since Clausewitz. Space and satellites have apparently not contributed to improve the understanding of each other, but only the communication within the respective communication bubbles. Maybe artists can help us to overcome the danger of escalation. (Image: “Afrogalactica” by Kapwani Kiwanga 2011: calogue of exhibition “The length of the horizon” Wolfsburg and Copenhagen 2023).

Forced Labor 2024

Thanks to the ILO we have recent data on forced labor across the globe. At the time when the EU struggles to tighten the rules on decent supply chains, it is important to draw attention to the already reversed trend that worldwide forced labor is on the rise again. According to latest report by the ILO 27.6 million women, men and children were in forced labor at any day of the year 2021. This is even about 10% more than 5 years before in 2016. The fact sheet from ILO highlights the region that are practicing it the most but mentions at the same time that no region in the world has completely wiped out this criminal activity. Despite the SDGs containing a goal to eradicate forced labor by 2025 for children there is little hope that this will be reached. Controlling supply chains of the rich countries could be an important factor in identifying the states or companies which built their production model on forced labor. The fight against this practice is an enduring challenge. We cannot allow to shun away from the thorny issue. The price for labor is only one argument in the reasons for the persistence of forced labor, migration is also a force at work. This asks for specific solutions to country-specific or sector-specific problems. It is a global responsibility but needs partnerships across continents to reach better outcomes in the interests of humanity. Some countries like Germany have a historical debt to invest more than others.

ILO recommendations 2024-1

Timeless Values

The declaration of human rights is more than 200 years old. However, the need to stand up for the defense of these rights needs many people to act accordingly. Political parties and courts are not strong enough to be the only defendants of democracy and human values. Solidarity across generations is another part of the struggle to defend democracy. In addition to the broad movement of “Omas gegen rechts”, the age distribution has been further enlarged with the “Uromas gegen rechts”. This most likely the generation with first hand life experiences from Nazi Germany and they should have reached an enlightened view of the horrors caused by the Nazi-regime. Unfortunately there are still some who continue to be prisoners in a fascist “brown” cage of mischievous memories. The great grandmother who was present at the demonstration was clear in her statement to stand up against right-wing extremism. (Image: With the permission of the lady I am happy to have evidence of the presence of super-agers at the demonstration in Berlin).

Berlin 2024-2-3. Demonstration

Fighting Fascists

On february 3rd 2024 Berlin has seen the Parliament (Bundestag in the old Reichstag building) surrounded by young and old to raise their voice against the rise of right wing extremism in Germany. The broad alliance against extremism finds grassroots support from a very broad and diverse community. 1700 organizations have joined forces to send a strong signal that they are ready to act against the inhuman propaganda and persistent hate speech. The creativity to express the discontent in clear messages is impressive. Civil society is showing that diversity offers multiple benefits to find new ways to unite people. Great that European flags and balloons in Ukrainian colors where present as well. A movement of solidarity was felt with these people and that provides a strong message for the months ahead with so many elections taking place at the local, regional, national and European levels.

Berlin 2024-2-3

Postmodernism

The grand narratives of the modern world, like modernism itself, are under serious criticism. Deconstruction of the modern way of thinking has become philosophical mainstream. Economics as a science is in the middle of the behavioural shift and changing or at least complementing its narratives. Sociology has embraced postmodern thinking in theoretical as well as empirical forms (Mirchandani, 2005). The empirical measurement focuses a lot on the groups and people who hold postmodern beliefs and values. The discussion in the social and literary sciences continue. In the arts reading on modernism and postmodernism is a must in order to understand much of contemporary art or art from the 19th and 20th century.
Bookstores in art galleries that cover long spells of history can make surprising links between historical periods of art. Books of postmodernism appear next to books on romanticism. A lot of the ideation of postmodernism rejoins romantic depiction about nature, re-naturalizing or the emotional connotations of wildlife, isolated places and stillness.
On the other hand, we are confronted with the brutal world of war, drugs and crime. Classical warfare and strategies are back in Europe with tanks and rockets killing like in previous wars. The Russian empire of a specific version of modernism strikes back as if it were to stop the postmodern turn of the 21st century. Neo-fascism tries to build on the losers of the transitions to the socio-ecological economy and society. There are manifold backlashes of modernism, but the postmodern world is under continuous construction, most of in our mindsets.

Memory Struggle

The struggle of memory is also the memory of a struggle. The exhibition in the Palais Populaire in Berlin doesn’t leave spectators untouched. It is a struggle to recover memories which were attempted to be eradicated. This is the univeral message of this exhibition. The colonial past and crimes are part of the struggles of artists from these cultures to re-establish their rights to their own views, traditions and memories. Grass and plants may cover the shelled soil and people, but traces or mortars are often left behind. Light from different angles needs to be shed on these places to reveal the shadows of the wounds. The atrocities and exploitation linked to colonialism and imperialism keeps us struggling with those memories. Just before we jump to the conclusion that it is a memory of a past struggle, we are reminded that consequences are still haunting the present and with the Russian aggression in Ukraine we have to realize the fight against imperialism continues in the 21st century. Thanks for memorable moments and impressions in view of a global arts and history experience. (Image of art work installation by Sammy Boloji, untitled 2018, exhibition Palais Populaire, Deutsche Bank foundation)

Sammy Boloji, untitled 2018 exhibition Berlin 2024

Throne

In continental Europe some people say they are going to sit on their throne for a while if they are going to the toilet. Previous furniture built for that purpose almost resembled a throne. Nowadays the comfort has increased and most households have an excellent WLAN connection in the tiny place, automatic ventilation and heating comfort. Linked to the throne, the issue of the smart home comes back into our mind. Besides the increased comfort we generate abundant amounts of data. Sensors of all kinds can track lots of information that may reveal quite intimate details which we did not intend to share. The movement pattern of mounting your throne might be easily identifiable by your smartphone. Such data could be added to assess your health status in your dedicated health app. Anonymized data could give early warnings about a local outbreak of diarrhea. Do we want this? Probably not. In countries where thousands die from diarrhea, probably yes. It is a matter of balancing the pros and cons. Health data are thought to be particularly sensitive information about us. It certainly is the new luxury to keep your health data private. Even if you measure and capture a lot of information in your smart home, make sure your smart home is sufficiently secure. For the benefit of all of us.

DTM Berlin 2024-1

Renewables

Renewable energy has reached for the 1sr time a share of more than 50% in Spain and Germany in 2023. This is an astonishing milestone in the energy transition of both countries. For Spain a report from Red Energy Espanola attributes the Spanish success story to the expansion of mainly wind energy (Link). The increase of renewable energy in Germany is due to a more rapid expansion of solar energy (Link). In any case a continued expansion of both forms of renewables allows to reduce the share of fossil fuel even more rapidly than previously estimated. Good news for the planet particularly to phase out energy from coal due to its highly polluting side effect. Countries with faster trajectories shall serve as examples that it is feasible to manage the energy transition also for large countries. Political instability might be a price worth paying considering the positive effects for future generations. Managing the transition in a just way which means to assist poorer households, ensures the respect of social policy targets at the same time. With this in mind the energy transition can be perceived by all as an opportunity rather than a threat to their welfare and wellbeing.

Sleeping

Sleep is a process. That is why it is best to talk of sleeping rather than sleep. There exists abundant research on sleep and more and more acknowledge the process-like characteristics of sleep. The medical literature deals a lot with sleep apnoea, which constitutes a serious health condition. Time use surveys establish links between daily activities and sleeping for example. The social context is another influence on sleeping. Friends and family co-determine sleeping patterns as well. The latest better understood impact on sleeping depends on the use of technological devices before and during sleeping. Smart phones reveal themselves as not so smart if it comes to the quality of your sleep. At least this the result of the study on „bedtime technology use on sleep quality and excessive daytime sleepiness“. It yet another field in which technology is slowly creeping under our skin and we have to learn how to handle negative side effects before they endanger our physical as well as mental health. Bedtime routines or reading without a screen before falling asleep appears to be a worthwhile way to improve sleeping. Worth trying out again and again.

POSSE

for a German speaking audience POSSE stands for a farsical popular drama of the 18th and 19th centuries. Nowadays POSSE has particularly in the English speaking world a completely different meaning. POSSE is short for Publish on your Own Site, Syndicate Everywhere. In other words publish your own creative work, text, tech or melody on your own website first before spreading the content on other platforms. By this strategy you make sure your content stays your content even if a platform like eXitTwitter disappears or the hype has passed like with facebook. And if at any point in time you decide the whole internet is a farce, you will be able to edit the content from your own webpage as a book or audio version as an edited volume. Do not make yourself a modern slave of tobacco, drugs, alcohol or platforms for whom you create (mostly unpaid) content they use to sell advertisements with huge untaxed profits. With POSSE you can make an end to this farce. We still rely on search engines like QWANT, Ecosia, duckduckgo or Mozilla’s Firefox, to name a few less well known web searching tools. They ensure that other people find your webpage beyond the elephant in the room called Google.

Examples of search engines of the internet

Styles are a Changing

We all have our very own style. Even if you believe you have no style, then this will be your style. Of course, styles are changing continuously and fast fashion tries to make us believe we even ought to change as frequently as possible. Just find your style no matter of age and gender. Yes we can. Young designers test new materials and cuts to make new impressions. As science is progressing with new fibers that imitate the apparently light fur of polar bears, new designs will become feasible and enrich the list of potential fibers in clothing. In addition to seamless 3D knitting the new fiber allows to replace down with light fiber. Going out into the cold will be fun again. Want more of this, visit Fashion in Action! (Image from empty space designers webpage 2023-12-24 Berk and Julien).

Pathology

The definition of disease, illness or disability are a matter of details of definitions. Mostly it is left entirely to medical professionals to define the limits of what shall be considered a disease or not. Pathology is the scientific discipline dealing with this difficult task. As in the scientific endeavor it is honorable to crown your research by finding or defining a new disease not necessarily finding a treatment for it, we have learned about new diseases at regular intervals. Attention deficit syndrome also known as hyperactivity is such an example. Many pupils have received treatments and some made splendid progress in their education due to early recognition of their condition as well as abilities. However, some children have received treatment with questionable diagnostic evidence or just to be able to fit into our modern ways of organizing our schools. We might frame this as a process of “to pathologise” persons or whole groups in society.

The American definition of what constitutes a higher than normal blood pressure or colesterol deviates from the one applied in many European countries so that sometimes the double amount of people should receive medical attention and treatment. From this it becomes more evident that even within the field of pathology there is a societal dimension to it. The “dry january” addresses the pathology of alcohol addiction. Smoking falls into a similar category but no smoke free month has been suggested yet. While it has become normal to overuse antibiotics we shouldn’t reproduce the same mistakes with other medications. We simply need a broader discourse about pathology and the societal origins and implications of it. From the Roman times we have amphitheaters and sacred buildings that we value today. Few sanatoria have survived but a few Roman baths as a preventative approach have survived in the British city of Bath or in the German city of Trier, both quite far from Rome. We should sometimes think more carefully before defining a disease. Not all are pathological. If it seems difficult to stem against the trend of “pathologising”. The ensuing overload of the medical system in consequence is a serious issue. The medical system will degenerate into a system to manage waiting queues with absurd, unequal and unnecessary adverse outcomes. Therefore, sociologists consider the pathologising of societies as just another kind of pathology.

Infrastructure

For some societies and cities it is a continuous question of how much resources we should invest in infrastructure. Access to funding is a major concern. The calculation of the viability of the project needs careful examination and evaluation. Societies have very different kinds of preferences and, interestingly, about time horizons for their deliberations.

There are examples that have been built to last a century and lasted 2000 years. Other worst scenario examples are built for just one World Expo and torn down afterwards. The Eiffel tower is such an example of the latter kind, but it lasted longer than 100 years by now. We should be thinking more about time horizons as it remains an often overlooked part of investment in infrastructure. The oldest city in Germany has many buildings from the Roman occupation that still characterize the city’s architecture. This remains an important economic factor for the city of Trier as an attractive location for tourists throughout the year. Only wars or negligence may cause severe deterioration if infrastructure has been built with an emphasis on its lasting value. The narrow-minded investment in downhill skiing like in the Swiss Alps is at best expected to last 20 years. For trees to grow there again it will take 50+ years. Sustainable investment will be viable and vital in many respects. High interest rates force us to recalibrate our societal and private s again. Taking into account a longer time frame for investment we indirectly build infrastructure that should last longer. Moving beyond short-termism is necessary, particularly in the field of investment in infrastructure.

Trier 2023-12

Nachhaltigkeitskonzept

Ein Nachhaltigkeitskonzept gehört zum Bauen mittlerweile wie das Gelbe zum Ei. Die Einreichungen zum Realisierungswettbewerb eines Portals für das Deutsche Technik Museum Berlin hatten entsprechende Anforderungen zu erfüllen. Für ein Technik Museum können dazu die Anforderungen schon etwas höher sein und die oft geforderte „Technologieoffenheit“ oder die Diskussion darüber zumindest andeuten. Der Anerkennungspreis ging an ein Konsortium für die Einreichung 1110, die eine klare Übersicht ihres Nachhaltigkeitskonzepts vorstellten (siehe Auszug Image unten, Foto aus der Ausstellung 2023-12). Nachwachsende Baustoffe gehören zum Repertoire. Gleichzeitig sollte die Erhaltung oder gar Förderung der Biodiversität Teil der nachhaltigen Konzeption sein. Innerstädtisch ist die Rückumwandlung der Versiegelung der Böden eine wichtige gesundheitsfördernde Bauweise. Kühlung in den aufgeheizten Städten ist durch Grünflächen und Beschattung zu erreichen. Tolle Architekten sind das, die den Mut aufbringen den Stachel in die Wunde zu legen. Die Anwohnenden und Besuchenden würden es den Verantwortlichen jahrzehntelang danken.
Das sind längst keine abgefahrenen grünen Ideen oder Träumereien mehr. Paris hat es schon längst vor gemacht. Ganz nah beim Eiffelturm ist das „Musée du Quai Branly –  Jacques Chirac“ das als Neubau mit Garten vom konservativen Präsidenten Jacques Chirac eine grüne Naturoase mitten im Herzen Paris hat bauen lassen. Es ist immer noch eine Art Geheimtipp für Pariser in den zu warmen Sommermonaten. Berlin könnte wie mit der vom Pyramiden-Architekten Pei geplanten Eingangshalle vom Deutschen Historischen Museum mal wieder mit einem Nachhaltigkeitskonzept mit Paris gleichziehen. Gemeinsam können wir auch nachhaltig. Mit der vom Menschen und seiner Technik verursachten Erderwärmung haben die nachfolgenden Generationen noch lange genug zu kämpfen. Mehr Nachhaltigkeitskonzepte braucht die Technik. Das ist die wirkliche Herausforderung des 21. Jahrhunderts.

Selfie Museum

We have learned that games are not only played for fun. So-called serious games have found their way into health applications where we might learn while playing a game of how to integrate more walking into our life in the city. While walking after work I happened to pass the Selfie Museum in Zagreb. In fact despite carrying the name of museum it is more an assembly of scenarios in which you can realize many selfies in different settings that have been prepared for that purpose. Hence your production of photo shooting with yourself as the major character is facilitated and you no longer have to spend a lot of time on the setups. Call it a museum and you’ll have more visibility and visitors.

Styles of selfies have changed and shooting very short videos to post on tiktok is of course easy there. A real threat to huge and expensive cinema studios considering the enormous reach some of these selfies can reach. It is a bit like a theatre with multiple stages for everybody to use at moderate costs. Before long we shall come to realize the potential for many more interested in theatre to become actors and directors themselves. Democratize the world of theatre is the new social dimension here. Test yourself in another profession through playful interaction. Test and learn about other competencies. We are in the middle of the next wave of “gameification” previously reserved to people ready to accept higher risks of likely failure. The young can now take their parents to the museum and show off their culture and skills. Intergenerational learning has a new aspect as well. The sociology of the virtual has another phenomenon to evaluate.

Zahgreb 2023-12 Selfie museum

Chrysanthemum

We all know Chrysanthemum as the flowers of the autumn season. For Christians the Chrysanthemum is popular to decorate the graveyards around all saints day or reformation day. But also in the commemoration of armistice day of the Great War 14-18 flowers to remember that last a little bit are widely spread throughout Europe. But climate change and a prolonged summer season threatens these traditions. It is not uncommon to spot even a few roses here and there. It may well be the one and only “last rose” in other places.

Maybe we have to reconsider our concepts of seasons and planting cycles. Less use of tap water, but rain water recovery instead will help us get through droughts and a prolonged summer. Let’s see what changes we shall live through in autumn and winter. Chrysanthemum in winter, Chrysanthemum for Christmas is strange idea. Maybe that is what we should expect from now on.

11.11.2023 Ile de France

Selfie 3D

Wir meinen gerne die heutigen Gewohnheiten, wie die ständigen Selbstbildnisse seien eine Erscheinung des 21. Jahrhunderts. Weit gefehlt. Wer es sich früher schon leisten konnte, hat sich malen lassen. Photographen haben später diesen Markt übernommen. Aber eben auch Kunstschaffende haben seit langer Zeit ihr Selbstbildnis gezeichnet, gemalt und in Stein oder Gips geformt. Selfies sind daher eher die Demokratisierung der Möglichkeiten, sich selbst zu inszenieren. Eben sich so zu portraitieren, wie sie oder er sich selbst sieht, sehen möchte oder gesehen werden möchte. Es ist daher weniger ein narzisstischer Charakterzug die Antriebsfeder, sondern für die meisten Menschen steht ein Teilen, eine Form der Interaktion mit anderen im Vordergrund. Die portraitierte Person ist da, auch wenn sie gerade nicht da ist.
Diese Intention haben Herrschende jahrtausendelang genutzt und sich Mausoleen und Pyramiden errichten lassen. Gut, dass diese Praxis weit in den Hintergrund getreten ist. Heute regeln wir bereits unseren digitalen Nachlass in Ergänzung zu unserer analogen Hinterlassenschaft. Für viele werden dabei, ganze Sammlungen von vielfältigen Selbstbildnissen zu verwalten sein. Die 3D-Ausdrucke unserer Gesichtscanns samt mehr oder weniger noch vorhandener Haarpracht kommen dann in eine eigens vorbereitete Vitrine. Selbstverständlich gehören die MRTs und sonstige Scanns von ZahnärztInnen auch in die Sammlung. 3D ist schon ein guter Anfang auf der Interaktionsreise mittels Selbstbildnis. 4D Realisationen, wie Yoko Ono mit ihrem Cut Piece 1967 kamen dann später. (Photos from Friedrichwerderschen Museumskirche, Berlin 2023 Austellung Ideal und Form, li: Schadow Selbstbildnis, mi: von Kahle, re: Rauch).