Waldbrände sind leider jenseits vom Süden Europas auch im Zentrum von Europa ein Bestandteil der täglichen Gefahren geworden. Vor 50 Jahren waren die seltenen heißen Sommer die große Gefahr. Seit einiger Zeit bemerken wir öfter heiße Sommerwochen, die die Wälder austrocknen und leicht entzündlich machen. Jetzt haben wir die noch frühere Sommersaison nicht nur im Süden, sondern auch im mittleren Europa. Neben den Bränden in der Lausitz in Deutschland, kämpfen Feuerwehrleute öfter in den französischen nördlicheren Waldregionen mit Bränden. Eine Nachricht, wie die zum Brand Anfang Juni im „Forêt Fontainebleau“, sollte uns klar machen, da brennt unserer europäisches ökologisches und kulturelles Erbe. Jeder hat die brennende Kathedrale „Notre Dame de Paris“ noch in Erinnerung. Da war Klimawandel nicht die Ursache. Bei den Waldbränden sieht das anders aus. Das Ergebnis ist das gleiche. Die Vernichtung unseres kulturellen Erbes schreitet voran ohne Prävention. Das ist eine zentrale Aufgabe. Nicht erst in der Zukunft. Prävention verlangt Handeln, Planen und Implementieren schon heute. Das ist ein riesiges Qualifizierungsprogramm nötig. Es umfasst die Sensibilisierung für die allgegenwärtigen Gefahren genauso, wie das Schulen allfälliger Einsätze von professionellen und freiwilligen Helfenden. Gefahr erkannt, heißt leider nicht schon Gefahr gebannt. Da gibt es viele Zwischenschritte, die geprobt sein wollen, damit ein effektiver Einsatz gelingen kann. Es bleibt viel zu tun, packen wir’s endlich an. (Artikel in La Marne 7.6.2023 S.6) 
Eyes
So-called deep learning algorithms can assist us in lots of routine tasks. Their applications seem to be spreading more rapidly than we commonly believe. The recent paper published in “Lancet Digit Health 2023; 5: e257–64” shows the relevance for medical screening again. Beyond skin or breast cancer, digital images have for years or decades been subject to studies using deep learning algorithms to early detection of cancer and other diseases. Now Google has published an additional potential application of algorithmic learning that assists in diagnosing blood sugar levels among others. For diabetes scanning photographs of the external eye with professional equipment (Zeiss Cirrus Photo 600) was used in the study, but the outlook hints already at the potential for most recent smartphone cameras to also be able to capture images of even better resolutions.
Just like measuring our weight and muscles as a weekly routine on scales, we shall have a more scientific look at our selfies soon. Spotting early onsets of several diseases will become a normal feature.
Early adopters of the new technology and screening potential of the smartphones might live even longer. Reminders to adopt or keep a healthy life style will be all around us. In some cultures, it is deeply offensive to look straight into the eyes of another person. We always knew that our eyes might tell a lot about us. Beyond mental health, they tell a lot about physical health, too.
Artists have always told us fascinating stories about eyes or how and what they see with their eyes. Scientists confirm that there is a lot of information in the eyes. (Image extract from MAD Paris, Picasso, Schiaparelli). 
2P2R
2 Pinot 2 Riesling. That could be the long version of 2P2R. However, this far from (politically) correct. The not-joking scientific medical journal “The Lancet” (Vol.401 Nr 10391) has next to the article on “Laughter is the best medicine” coping with trauma, the serious matter of how best to deal with pandemics. Remember 2P2R as the important lesson from the pandemic. Prevention, preparedness, response, and recovery (2P2R) are key. And don’t forget about primary health care or essential (medical and other) workers. This is, in short, the message from Arush Lal and Nina Schwalbe (Paper Link). Lots of social topics involved in this correspondence from the authors. Prevention is a big issue and, as in the health system, fighting continuously for sufficient resources. Prevention is in most cases less costly than curing a disease. Preparedness has direct costs. Masks and ventilators need to be produced, stored and monitored in their functionalities. Response has to be immediate, masks in China a important but do not allow us to respond fast to local emergencies. Recovery can be long and costly as well, just as we learn from Long-COVID patients.
Now we need to define properly what is included in primary health care. Medical doctors, nurses and technicians of hospitals have to reach patients and hospitals in pandemics or need child care, food etc. and, maybe, also laughter to avoid trauma. Remember 2P2R, but best in company with your loved ones, but not on your own. 
Himalaya
In May 2023 we commemorate the 70th anniversary of the first claiming of the Mount Everest in the Himalaya region of Nepal. Since then, the tourism to reach the highest mountain and have your photo taken there, has become a kind of over-tourism. Spectacular memories and images lead to persons taking unprecedented risks for a bit of fame. 30 persons have died on such expeditions. It is a bit more exclusive than running a marathon of 42,125 km, but even there occasional deaths are part of the race.
Nepal needs the foreign currency to build and rebuild the country. After resources have created the wealth of nations, it is tourist attractions that favour accumulation of wealth. Beware of over-exploiting nature in this respect. The consequences and costs are non-negligable. Climate change does not stop in front of tourist attractions. Some routes in mountains are already more dangerous due to melting of what we named wrongly permanently frozen areas (permafrost). Using virtual reality should allow us rapidly to experience the splendour of the highland Himalaya peaks and climbing. In the meantime enjoy some momo (Himalaya dish) rather than making preparations or training for the next top mountain. It is the images of the area that count, not us in front of the mountains or seemingly endless space. Images and photos taken can help us over the urge to visit this spectacular area ourselves. The planet will need us being satisfied this way, just like watching photos or movies rather than demanding to live in a splendid surrounding or building (castle). My home is my castle and my imagination is my travel book. 
Birds
The study published in PNAS in May 2023 is demonstrating the loss in bio-diversity with respect to birds over last few decades. Our economic growth has caused considerable costs. Some of these costs we shall never be able to make up again. Species gone for ever, we should care. Measuring the loss is a first step in calculating the negative impact our economic growth models have already caused. Time to stop, repair and reverse as much as we still can. It is not fair to next generations to destroy a large amount of bio-diversity now and leave the exploited planet to “no-future generations”. A good documentation of the losses (radio-france-LINK) allows us to pin down who is most responsible for the losses. Agro-industry with the heavy use of pesticides is well known for the huge negative impact it has on bird populations and us as well. It is not only a European issue, but rather a world-wide issue. However, starting at home is a huge step to practice agriculture differently. Most of this is known for some time. It is the implementation of the necessary policies where powerful lobbying is successful to carry on as usual. Thinking “Beyond growth” delivers many useful perspectives and solutions to these problems. 
Flaneur
Der bürgerliche Flaneur wird kritisch hinterfragt und erweitert erörtert im Festival DRiFT in Berlin. Das passt doch gut zu dem nötigen WALK und WALKING, welches uns schon alleine aus gesundheitlichen Aspekten von Nöten ist. Die subversive Form als kollektives Wandern, gefährlicher historisch waren die Märsche auf Rom von Mussolini, friedlicher Gandhi, aber beeindruckend erfolgreich. Ostermärche kennen wir noch als Beispiel dieser kollektiven Form des gemeinsamen Gehens und Erkundens, oder doch Beeinflussung oder gar Eroberung.
Die Idee ist alt, die Ansätze in unserer Zeit bleiben eine Herausforderung. Protestmärsche kennen viele Organisationen gerade aus den nicht-regierungs Organisationen (NGOs) und den Gewerkschaften. Präsenz zeigen und seine Meinung äußern, wenn sie nicht genügend Gehör oder Widerhall findet, gehört zum demokratischen Kanon. Eine entsprechende Wiederbelebung und Stadtteilerkundung als “Psycho-geografie” hat historische Wurzeln in Paris und Frankreich. Räumliches Vorstellungsvermögen und Orientierung ist eine Qualifikation, die messbar ist. Eine Stadt erlaufen bildet eine kognitive Landkarte der Straßen und Umgebung. Mal schwer, mal einfach, aber fast immer irgendwie anders. 
Mobil
Mobilität geht heute schon anders als für meine Generation oder vorherige Generationen. Selbst wenn Autos noch für viele in den Vorstädten und auf dem Land schwer verzichtbar sind, ist der Stadtverkehr im Wandel. Erst die Teslas, die einen scheinbar unaufhaltsamen Aufstieg als relativ saubere Alternative zu den Verbrennern darstellen und jetzt der Quantum aus Bolivien, wie der Wall Street Journal am 27.4.2023 berichtet. Sehr klein, noch ohne Heizung, gemütliche Stadtgeschwindigkeit als Maximum und knapp 100 km Reichweite für 3 mittlere Personen plus Chihuahua oder Dackel für gerade mal 7.500$. Das kosten 2 gute, flotte E-Bikes auch, nur werden die noch schneller geklaut als damit gefahren wird.
Für viele Städter sollte der elektrische Einkaufswagen genügen, dieser steht ja sowieso die meiste Zeit. Kleine Ausflüge ins Umland unternimmt der Städter eher selten, vielleicht noch zum Sport in jüngeren Jahren. Fernreisen werden meistens anders bestritten. Bus und Bahn bieten wieder wachsende Reichweiten, wenn es sein muss nachts. Hier kann weniger groß (auf 4 Rädern) wieder zu mehr Beweglichkeit führen, egal ob als Eigentum oder besser noch als Sharing-Variante. Von den großen Reichweiten mit Fußwegen in deutschen Städten sind wir noch weit entfernt. Das wird sich hoffentlich bald ändern. Bis dahin drehen wir Runden in kleinen Parks und verkehrsberuhigten Ecken. Wem es draußen mit dem Fahrrad zu gefährlich, kalt oder nass ist muss auf den Heimtrainer umsteigen. Mal sehen wie lange es noch dauert bis sich kollektive Vernunft durchsetzt. Verhaltensänderungen sind bekanntlich schwer und dauern wegen Rückschlägen lange. Wir bleiben dran am Thema der nachhaltigen Mobilität, 
um unserer (Enkel-)Kinder willen. 
Polypharmacy
Each specialist treats a person or patient in her/his field of competence to the best of current knowledge. Well, marketing of pharmaceutical products is also a field of special competence. Medical doctors and pharmacists are largely competent intermediaries between the world of medical and pharmaceutical research, commercial interests and patients. As persons age, so-called multimorbidity is creeping into the daily life of many persons. After a certain age (75+), depending on country of residence to some extent, we all become patients. Although the basic problem has been known since the phenomenal rise of the pharmaceutical industry, little research is devoted to patients receiving multiple treatments with medical prescriptions from several specialists. In addition, we know there is a rather severe issue with compliance to prescriptions, for example, taking antibiotics for the whole prescribed period, to name just one. The interactions between several prescriptions and molecules administered to patients are very difficult to monitor and scientific tests of those are expensive and no pharmaceutical company really has an interest in such studies that might further add to the already long list of potential side effects. However, the study published by Daunt et al. (2023) reiterates the warnings that treatment of multimorbidity can have unwanted side-effects we do not really know about. General practitioners will have to take on the role for medical stewardship for their patients. Monitoring a patient’s digestion of a combination of medications becomes a prime role as of the age of 75, the paper specifies. Whereas a common believe tells us, taking more, will help more, the “daunting” truth might be, less can be more. (Source: Daunt, R., Curtin, D., & O’Mahony, D. (2023). Polypharmacy stewardship: A novel approach to tackle a major public health crisis. The Lancet Healthy Longevity. https://doi.org/10.1016/S2666-7568(23)00036-3. 
Immune system
A brief review of the press on the coronavirus 3 years after its first appearance shows that we have learned to live with it. Everyone has found the personal way to balance exposure to risk and protection against infection. Long-term consequences are severe for pupils. Many lost friendships, were lonely at home and accumulated missing out on peer advice or effective teaching.
Overall, strengthening of the immune system is another more complex issue. Some people swear by masks and others keep washing hands, or both. More rare is the vaccination approach against COVID-19. The evolving virus seems to adapt to a seasonal pattern as the influenza had done decades ago. The term seasonal greetings nowadays has an additional flavor to it. We have come out of the 3rd year of the pandemic reasonably well. Preparing for the next winter is left to the scientists to study the ever new variants arising, probably in parts of the world where winter is just beginning. Working on our immune system’s strength, however, is up to us. Happy Walking and cold Showering. 
2 real newspapers, 3rd one “Pastiche” exposé à la BnF, Paris April 2023.
Walk after Work
Walking after work is a kind of medicine. Blood pressure calms down about 30 minutes after the walk. Light exposure contributes to higher melatonin levels, which lets us sleep better. Oxygene and humidity purify the office and street dust we inhale during the day. It is largely free of charge for everybody and just needs some appropriate clothing. A rainbow is nice to admire, but it does come with some rain somewhere between the sun, you and the rainbow. The oak trees are admirable kind of trees. In spring they appear like sculptures with numerous branches out of branches. The big one on the photo below has a diameter of 125 cm, pretty senior to the others around. A flowery finish complements the walk after work in spring. As variant of the folk saying, I would suggest: Visiting your favourite tree every day keeps the doctor away. Of course I like my doctor, too.
Walking
Yes, walking again. It is so nice, if there are a few roads blocked for car and bus traffic in central cities. Walking the city becomes a marvellous experience. On Easter Sunday 2023 the Champs-Élysée is great because strolling down the avenue without paying attention to road traffic offers an even better view on the surroundings. Why don’t more cities dare to lock out cars to facilitate pedestrian circulation and reduce air pollution at the same time. No problem to reach more than the WHO recommended 10.000 steps/day on such a sunny day in Paris. Inside the Louvre, another chance to achieve new records in mileage by foot. 
Corbusier
Le Corbusier (1887-1965) chose his artist’s name instead of his lengthy original name of Charles-Édouard Jeanneret at the age of 33 (in 1920) after having moved from Switzerland to Paris in 1917. He established a theory of modern architecture often summarised in his 5 major principles of modern architecture: 1. Pilotis as grid of pillars, 2. freeing ground floor design, 3. more open facades, 4. windows stretch horizontally, 5. garden, terrace on the roof. All these principles allow a more healthy living environment due to more light, less humidity in buildings and ease of circulation. The house Le Corbusier designed features surprising effects of light and lightness of living. “Les maisons La Roche et Jeanneret” date from 1923 and was completed in 1925. These purists Villas breathe thanks to the impression of abundant empty spaces despite relatively small surfaces. One Villa is designed for a small family, the second for a single person (Raoul La Roche) with a collection of paintings to be exposed in a small gallery. The focus on essentials of living, health, light, water, air and art combine to a relaxing and inspiring atmosphere. Despite many of his convictions to build affordable housing for many people, which received mixed success, his “maisons bourgeoises” in Paris and elsewhere remain masterpieces beyond the 1920s and the 20th century. Le Corbusier was concerned about tuberculosis. Today the corona-crisis has reached comparable health concerns. Architecture might react to the latter crisis in re-considering the lessons from the former. Relaxing in a Le Corbusier Chaise longue and meditating in front of a Picasso, Braque or Léger painting is indeed more than a little bit elitist. But copies of such images or your very own slide show or museum VR-clip in this surrounding make this experience more affordable and compatible with living arrangements for millions of people of the middle class as well.
Architecture
Architecture is all around us. However, we rarely consider the build environment as “conditioning” feature of our life. Architecture is contributing extensively to our perception of “social space” (Bourdieu). Inner cities, suburbs or spacious residential areas have diverse impacts on our perception of, for example, security, modernity, health or sanitary sensations. The corona-crisis has made it clear to most people that a healthy environment is a very essential part of our perception of comfort. Here the psycho-social perception of living and/or working space enters into the co-creation of housing people. Technology is a big driver of change in housing, urban spaces and rural imagination. In order to avoid corona infections a new culture of working from home for the masses become a health-driven imperative. Payment without contact, home delivery of meals, food, books, medicine have changed the living style of many people. Too little movement for our bodies has caused another silent pandemic of obesity. Enough reasons to rethink architecture from a sociological perspective on it. This probably starts with speaking of architecture as architectures. By this we mean to think of architecture from its social origins, functions, impacts and perceptions. Great historical examples of architects have implicitly or explicitly formulated a social theory of architecture or space as the basis of their “concrete” realisations. The sociology of professions of architects and the many construction-related professions needs empirical foundation beyond the cliché of socialisation as artist versus technician. Still recent forms of participatory democracy as part of urban and rural planning as well as realisations. Participatory individual or community housing are likely to stay with us. People want to get involved in co-creating their living and working space as their social environment. Architecture as social process and specific layer of the network society will be the new mantra. It has always been there, implicitly. Up to us to strengthen the social discourse on architecture. 
Feuer im Wald
Das sogenannte grüne Lunge kann immer öfter ihre wichtige Funktion der Klimaregulation nicht mehr wahrnehmen. Waldbrände begleiten den Klimawandel. Bereits 2018 gab es ein großes Feuer im Wald bei Paris. Im “forêt de Sénart” in der Nähe der Städte Montgeron, Yerres und Brunoy (nahe Paris) hat sich der Wald seit dem Feuer im Hitzejahr 2018 noch nicht erholt. Geld für Reparatur der Schäden fehlt und so lässt die notwendige Aufforstung auf sich warten. Der Verlust der Biodiversität durch den Brand lässt sich schwer bemessen. Brandrodung, gängige Praxis im Amazonasgebiet, hinterlässt auch bei uns mehrere ungewollte Folgewirkungen. Die Bewirtschaftung des Waldes hat die Schäden abgeschrieben, aber Zukunftsinvestitionen lassen auf sich warten. So heizt sich die Region Ile de France eben weiter auf und Millionen Käufer von Klimaanlagen. Die befördern in naher Zukunft das Wirtschaftswachstum, aber beschleunigen den Klimawandel. Wir wissen, dass es so nicht weitergehen darf. Nur der Wille, wirklich etwas daran zu ändern, fehlt an vielen Orten. Weiterso, wenn es kein Weiterso geben darf, ist die Schizophrenie unseres und des letzten Jahrhunderts. Lernen im und vom Wald ist nötig. Das ist unsere Lebensgrundlage. 
Pressure
Pressure or stress, in most humans, contributes to higher blood pressure. Sources for pressure are manifold and that is the basic problem. As it is hard to identify the major sources of high blood pressure, we often use a summary term “life style” in order to avoid shaming particular substances, (tabaco, red meat, alcohol to name just a few). Among life style elements is the daily rush to work and back home or bringing children to school and home again. Work itself is a major contributor as well. Leisure activities are not free of pressure in order to perform at a person’s best. As in many health topics, the balance does the trick. This is common knowledge beyond the Asian world as in their health philosophy of Yin and Yang. The Western world is proud to have the best and highest availability of medical treatment and hospitals for their populations, accepting some inequality in access nevertheless. For countries with less means for curative practices they have no choice and have to focus on preventive strategies (Lancet Study Link). Rural China, therefore, is a good case to study access and willingness to apply western medical type treatment of high blood pressure is too expensive and just not available in sufficient numbers. The good news is, with a preventive programme based on nurses rather than medical doctors the prevention of high blood pressure works reasonably well. Community health workers are therefore a cost-effective alternative in reducing blood pressure. Sitting is the new smoking, and driving around in a car rather than walking or cycling are health risks, even if the car or the chair is a very nice one.
Menschen
Im Bundesarchiv in Berlin sind einige Fotos zu einer Variante der Vermessung von Menschen ausgestellt. Nicht nur in den Kolonialregionen wurden Menschen zu rassenideologischen Studien vermessen. Die Kurzbeschreibung dazu und die 2 Bilder reichen, um diese scheinbar wissenschaftliche Praxis zu dokumentieren. Zurecht wird auf den Skandal mit der weiteren Verwendung dieser Daten bis 1981 hingewiesen. Es gab Kontinuitäten von Wissenschaft die heute noch erschrecken lassen. Kritischer Umgang mit jeglicher Art von Daten gehört zu dem Curriculum guter wissenschaftlicher Praxis. Diese darf nicht vor ethischen Fragen Halt machen, auch wenn das die weitere Verwendung der Information blockiert. Der Kinofilm “Der vermessene Mensch” hat dafür erneut sensibilisiert. Ethnologen und Ärzte wurden vielfach in den Dienst von Ideologien gestellt oder haben sie willentlich vorangetrieben, oftmals aus persönlichen Beweggründen. Skandale in und um Archive gehören zur Weltgeschichte, wie die geschichtliche Erkenntnis selbst. Mediale Verbreitung und Bestätigung von Klischees werden schon lange verurteilt, aber mit wenig Erfolg, wie der Deutschlandfunk Kultur selbst berichtet (Link Sendung Fazit). Die Kitas und Schulen haben ihre Hausaufgaben ebenfalls schlecht gemacht (Link). Wo ein Wille ist, ist meistens auch ein Weg, aber wenn der Wille fehlt aufgrund von Stereotypen wird sich wenig ändern.
Monitor SDGs
The advantage of the goal-setting at the U.N. is definately that the progress or regress can be monitored. To do this, a definition for each goal in words is presented, which has to be translated in all languages. Some notions are subject to conceptual issues. Poverty, for example, in an individualistic society needs to be defined at an individual level. In societies where women and dependent children or elderly persons are part of one household, the household is the unit of definition. After the conceptual clarification the measurement of a set of indicators needs to be identified. How do we measure poverty? Here the focus is either on absolute poverty (lump sum of money available) or relative poverty (relative to others in society). Stability of poverty, poverty as transitional or access to poverty relief programmes as well as charity organisations in a country will play a role here. No simple answers and comparisons here. Timeliness of data is another issue. Data and sampling are costly in itself, therefore not every year the measurement is repeated to gauge progress or regress.
I take account of the SDGs in my own work in the form that the 17 SDGs of the U.N. are part of my work as well. In consulting practice it is a frequent task to check for example a larger enterprise on its contribution to the implementation of SDGs locally, nationally or globally. To start a reflection phase of my blog entries I just used the “search function” of the webpage and entered the first 6 SDGs in English and German to check, whether my webpage is SDG-proof. The result shown below in simple frequencies. Education and Learning come out as top scores. Other areas show fewer entries. In some goals, like gender, the keywords to check for are more diverse and return less precise results. This opens the conceptual box again. The notions summarised under a SDG goal might be numerous or singular – which leads to a bias in results. “Bildung” in German finds also “Weiterbildung” = further or continuous education at the same time, not the English term education. Subtle differences, but potentially huge effects. Overall, an interesting exercise to analyse my/your own mind and business practice. Focused attention versus broad coverage of SDGs, each has its strength and weaknesses. Goal 17 to strengthen the means of implementation and global partnership may build just on many more organisations doing their SDG-homework. Name, Measure, Improve – that is the action. SDGs in Blog1-6
Repair 2
Ever since the visit to the exhibition “Care, Repair, Heal” at the Martin Gropiusbau in Berlin the image of flying protheses rests with me. Repairing the human body is feasible in many fantastic ways. The inner wounds, however, are less visible and sometimes hurting even more. In recognition of the thousands of victims again in the Russian war on Ukraine’s territory and the atrocities causes by mines to injure humans, we have to assist in caring, repairing and healing. This has not changed since the Great War or the Nazi-induced mass murder and mutilations. Humanity is unable to bann such landmines despite international conventions trying to achieve this.
The strong image produced by the protheses as clouds in the sky (Kadar Attia) remind us of the lasting effects of war. Images we had associated with the mutilated soldiers and civilians of the 2nd world war, many still around us in the 60s or 70s, are coming back to Europe. Writing about the 20th century, Aurélien Bellanger described in words a similar traumatising vision of flying protheses in his story of the lonely poet and philosopher. We cannot repair history, but we can work towards reducing useless additional suffering. It is part of the absurdities of our world that technology has created masterpieces to assist us and reduce suffering, but at the same time technology is applied to create the worst suffering as well. Rather than thinking of this relationship as 2 sides of the same coin, I prefer to hope for dialectic evolution towards a better synthesis solution using enforceable international law. Yes, I still have a dream! … 
Construction
Construction as an industrial sector was growing strongly in the last decade. Corona crises, supply chain disruptions have slowed growth in the last two years, but the sector was still growing in terms of employment. The topic of skill and employee shortages hardened from year to year. In March 2023 the sector has more time to reflect on the somehow rapid, if not sometimes chaotic growth of the previous decade. The macro-economic scenario has changed now. Following on supply chain disruptions, we saw the high inflation rates of raw materials. The war of Russia against Ukraine caused energy prices to soar and eventually come down again. Latest worry is the increase in interest rates to finance construction projects of public, private and the business sector.
The whole sector is known for its economic role of forerunner of economic cycles, up or down. So, what are the prospects? Not so rosy, as the experts explain for example on the expert forum of the Belgian construction forum. The official from the Belgian National Bank announced a rather bleak outlook for the sector. New construction is stalling, but the renovation of buildings, especially for the purpose of reducing energy consumption is still strong and growing. Long-term reduction of emissions keeps the sector busy, thanks to the EU green deal in my opinion. The public, private and business investments in buildings all keep growth from turning negative. 2 big worries remain: (1) skill shortages and the lack of employees signalled in job openings in the sector is high and still rising; (2) the scarcity of women employed in the sector is still trailing most other sectors. Most companies have seen earnings grow over the last decade, sufficient time to build up reserves for the tougher quarters to come. Skill shortages and gender biases are harder to overcome. The Construction Forum in Brussels addressed both topics and tries to convince employers and the younger generation. Construction companies have to work on their male-dominated image was one of the take home messages Hélène de Troostemberg, the Director of Build Up pronounced.
It is not certainly not enough to have a woman as moderator of a panel and an all-female singers group accompanying the presentations. Women as architects, technicians and builders will make the sector even more attractive for the next generation of men as well. Aging of employees in the sector is another tough issue waiting for innovative solutions. Digitalisation of every step in the value chain is an additional necessary step. The leadership and trade unions in the sector are well aware of these facts. Maybe next year women engineers will pilot the robotics demonstration rather than being in charge of building a nice atmosphere with their songs. I must admit I liked the intro song to the Forum: “We build this city on rock ‘n role”, but I am less sure whether rock ‘n role will solve the gender and recruiting issue of the sector. However, naming and framing the problem(s) is already part of the solution.
Spring2023
Spring has sprung, a little bit early in 2023. On the 16th of March in the vicinity of Paris, where Caillebotte designed his impressionist garden. It is still 4 weeks until Easter. The spring flowers will hardly survive until then. Hence, we prepare for an early summer, nice because of less heating, but the vegetation is suffering in the region due to the lack of rain. Hay fever for millions of persons will start early this year as well. The damages from a fire in the nearby forest “Sénart” from 2018 have still not really disappeared. It is expensive and needs a lot of workers, equipment and knowhow to avoid the same old mistakes of planting mono-cultures of trees again. When will they ever learn, when will they ever learn.
Patient
The pandorra’s box is wide open. With ChatGPT applications the discussion has started to use it for more medical applications. As for much research having assistants to support you in routine tasks in your research is a standard procedure. Now the medical profession is also discussing the use of ChatGPT for the boring and time-consuming task to draft reports. The first study, published in the Lancet Digital Health, evaluates in a preliminary form the patient-sensitive form of communication between clinics and patients. Beyond chatbots, which organise information from calling persons, the obvious application is the use of ChatGPT to draft patient clinic letters. The example in the study is the skin cancer reporting. Lengthy reporting back to patients of lots of “hot and cold spots” might be done by AI with sufficient reliability. All depends on the correctness of the data base, the screening and samples taken. The communication between clinic and patient can then focus on other issues. ChatGPT just like neuroflash has its strength in being able to control for the “level” of the language. In addition to the choice of the output language it is possible to use, as it is required in the U.S., an average understanding level of patients. In other words, easy language rather than medical expert language is an option or even a requirement. Anecdotal evidence and the PISA for adults studies show how difficult it can be to talk the same language even if you talk the same language. There is ample scope for improvement and ChatGPT or neuroflash for German applications of AI are prime candidates to fill this gap in clinic patient communication. Considering that our mobile phones (can) do already most of the scanning of skin cancer dots and AI is used in pre-scanning the images and recommends to consult medical expertise, the next step to improve health delivery seems feasible. Whereas the statistical analysis explains 62% of “median humanness”, the score of 37% of explained variance of median correctness is a surprise as the basis of the model to explain deviation from correctness should be as low as possible. Medical data, like many other data, is not simply binary. The way forward is most likely relying on a “human-in-the-loop” approach for some time. A limited human input might reassure many patients as well.
Source: Stephen R Ali, Thomas D Dobbs, Hayley A Hutchings, Iain S Whitaker (2003). Using ChatGPT to write patient clinic letters. Lancet Digit Health 2023 https://doi.org/10.1016/S2589-7500(23)00048-1 
Fukushima 12
12 Jahre nach der Kernschmelze im Atomkraftwerk der technologiebegeisterten Japaner stellt sich immer noch die Frage nach der Entsorgung der verstrahlten Reste und Kühlwassers. Laut eines Berichts und den veröffentlichten Bildern zu dem Kernkraftwerk Fukushima staunen wir über das weite verseuchte Umfeld und die riesigen Lagerstätten für den verstrahlten Abfall. Geothermie, Wasserkraft, Windkraft und Solarenergie könnten auf der Fläche sicherlich riesige Mengen von nachhaltigem Strom produzieren. Das hatte bis vor 13 Jahren niemand denken oder aussprechen dürfen. Heute nach 18.000 Toten und vielen Folgeschäden durch Krebs und geschädigtes Erbgut wird der Unsinn weitergehen. Da sind sehr starke Interessen am Werk, denen es nicht um Menschenleben geht. Atomkraft, koste es was es wolle. Die Einleitung eines Teils des verseuchten Wassers ins Meer ist wohl bereits erfolgt. Noch mehr wird folgen müssen. Über die Fische als Teil der Nahrungskette werden Menschen dann mehr Radioaktivität aufnehmen. Das war schon so mit den Pilzen nach Tschernobyl. Fukushima bleibt ein abschreckendes Beispiel weltweit, da helfen jetzt zum 12. Jahrestag ein paar Solarzellen als Trostpflaster wenig. (Bilder aus ARD Tagesschau 11.3.2023. Auch bei uns ist es leider schmal Glück gewesen, dass nichts Schlimmeres passiert ist (Link Radiobeitrag DLF 2023-4-17)
Aphorismen L3
“Was für Aussichten würden wir bekommen, wenn wir unser Kapital von Wahrheiten einmal von demjenigen entblößen könnten, was ihnen nicht sowohl wesentlich ist, als vielmehr aus der öfteren Wiederholung zuwächst.“ (Lichtenberg S. 50). Die Wiederholung ist eine starke Lernmethode. Sie wird seit Jahrtausenden erfolgreich eingesetzt. Alle Religionen bedienen sich am liebsten täglich dieser Methode, um sich der Treue der Anbetenden zu vergewissern. Der Glaube im Glauben ist: Oft genug wiederholt ist gut verinnerlicht. Dabei bleibt ein Glaube ein Glaube, selbst bei ständiger Wiederholung. Lediglich so manchem Mensch erscheint durch regelmäßiges Wiederholen die Botschaft als verinnerlichte Selbstverständlichkeit. Wahrscheinlich ist es beruhigender, sich nicht täglich zu fragen, ob das 1x,2x,3x mal tägliche Einmassieren von Chemikalien auf Zähne und Zahnfleisch wirklich nachhaltig gesundheitsfördernd ist. Alleine dem Markt wollen wir das Thema nun auch nicht überantworten. Warten wir weiterhin auf die nächste entblößende, hoffentlich wirklich unabhängige, wissenschaftliche Studie dazu. Mit den Pestiziden in der Ernährung hat das bekanntlich nur sehr bedingt funktioniert. Wie schön, dass alle Jahre wieder Frühling kommt und die finsteren Tage hinter uns lässt. Wiederholungen lassen Routinen entstehen, die uns das ständige Hinterfragen ersparen. Rasch gehen wir über Fragen von Kindern hinweg: Muss ich heute in die Schule gehen? Dabei ist Hinterfragen von Wiederholungen ein wichtiges Lernen, dem Mitläufertum entgegen zu wirken. 
Alkoholismus
Alkohol ist eine Droge, da Alkohol abhängig machen kann. Die Bewusstseinsveränderungen können beachtliche bis extreme Ausmaße erreichen. Das wissen wir alle und zwar seit Jahrhunderten. Mäßigung bei Rauschmitteln ist nötig, aber schwer erlernbar. Etwas Genuss ist gesellschaftlich nicht nur toleriert, sondern gewollt zur Förderung der Geselligkeit. Zu viel Genuss beeinträchtigt meistens andere und wird dann zu einer schwierigen Problematik. Ärztinnen, Psychologinnen und andere Heilberufe stehen oft hilflos, wie auch das nahe familiäre Umfeld, vor dieser Situation. Selbst neuere Studien weisen darauf hin, dass die Versorgung dieser Patienten (UK), bestenfalls in der Hälfte der Fälle als gut einzustufen ist. Die Studie zu Großbritannien beschreibt gleichfalls die Krankheitsgeschichte und -versorgung als „eskalierende Tragödie“. Für die meisten anderen Länder liegen keine wirklich guten Daten vor, die weder einen Handlungsbedarf noch auf einen gesellschaftlichen Gestaltungswillen hindeuten würden.
Die Radiosendung zum Thema „Umgang mit Alkoholkranken“ und die Initiative von Sänger Max Mutzke, „Kindern suchtkranker Eltern eine Stimme geben“ beschreibt eindrücklich die generationsübergreifende Bedeutung von Alkoholkrankheit. Alkohol ist eben nicht nur das Problem der betroffenen Person. Ein ganzes Umfeld ist betroffen. Das Problem wächst sich meistens aus zu einer Problematik für das weitere familiäre Umfeld, Freundeskreise und ArbeitskollegInnen. Es ist erstaunlich, dass wir seit Jahrhunderten keinen anderen Umgang mit alkoholbasierten Rauschmitteln gefunden haben, als alles erlaubt oder alles verboten, außer der Altersbegrenzung für Kinder und beim Autofahren. Der Maler Bruegel sah das wohl ähnlich. Den St. Martinswein kann sich heute jeder im Laden um die Ecke selbst kaufen. Mäßigung im Umgang mit Drogen ist nach wie vor ein schwieriger Lernprozess, für Einzelne (Jordaens – Der König drinkt!), wie für die Gesellschaft. ( fast betrunkenes Video Alko VLC Bruegel MRBA Bruxelles.jpg zur Bildexploration).
Ukraine Reynders
Short Video on extract of speech by Commissioner Reynders at the opening of the exhibition on Ukraine Resilience despite the atrocities of Russian Agression commited in Bucha. www.RememberBucha.eu
Click on the this Link: Ukraine Reynders 24-2-2023
