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  • 26/01/2017

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    Pancreatic cancer

    “books of the type written by the current hotshot Op-Ed writer at the New York Times may get some hype at publication time, manufactured or spontaneous, but their five year survival is generally inferior to that of pancreatic cancer.”

    Nassim Taleb Numbers matter: the Lindy effect at work.

  • 25/01/2017

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    We can’t work it out.

    There are many worthwhile insights on show in the THE interview with the Nobel physicist Saul Perlmutter, ‘You can’t order up a breakthrough’. But this caught me eye:

    “I think for students it’s never too early…to realise that they should be helping…to figure out the world together, not just learning the received facts and the things we already know,” he says. “We find ourselves looking at a world where I don’t think almost any of the problems I see today would worry me, if we knew how to work together and how to think through problems together in a rational way that wove together fears and needs with a rational understanding of the world…Maybe one of the best ways into that is to start teaching.” (emphasis mine)

    I think this is the kernel of the problem we face, and the trite “we need more STEM’ or ‘teach all students to code’, is missing the key issue. We are, as has been said before, a ‘civilisation that is face to face with its own implications”.

  • 24/01/2017

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    Scratch any cynic and you will find a disappointed idealist

    I am often accused of being too cynical. Events in 2016 have not dissuaded me that my approach was not the right one. But I like this quote, which is new to me:

    As George Carlin said: “Scratch any cynic and you will find a disappointed idealist.” Guilty as charged: I was an idealist and remain one, well, sort of. Tim Wu interviewed by John Naughton

    Tim Wu’s last book, “The Big Switch: The Rise and Fall of Information Empires”, was magisterial, and of interest to anybody interested in education, tech and the web. His latest, has not been published in the UK yet, but tracks the relation between attention and advertising (‘The Attention Merchants’). In the interview Naughton reprises one of Herb Simon’s great insights:

    The cue for his new book, The Attention Merchants, is an observation the Nobel prize-winning economist Herbert Simon made in 1971. “In an information-rich world,” Simon wrote, “the wealth of information means a dearth of something else: a scarcity of whatever it is that information consumes. What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention and a need to allocate that attention efficiently among the overabundance of information sources that might consume it.”

    Anybody who looks at how students want to learn, and the fractured landscape of content and ‘learning behaviour’, needs to think hard about this topic.

  • 23/01/2017

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    The technocratic delusion

    “This may upset some of my students at MIT, but one of my concerns is that it’s been a predominantly male gang of kids, mostly white, who are building the core computer science around AI, and they’re more comfortable talking to computers than to human beings. A lot of them feel that if they could just make that science-fiction, generalized AI, we wouldn’t have to worry about all the messy stuff like politics and society. They think machines will just figure it all out for us.”

    Joi Ito, Director of the MIT Media Lab

    (Via John Naughton)

    Or as I quoted Steven Weinberg in a paper with the title, “The Problem with Academic Medicine: Engineering Our Way into and out of the Mess”

    “My advice is to go for the messes—that’s where the action is.”

  • 20/01/2017

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    Policymakers should not act like scientists?

    In June 2016, data released by the UK’s Office for National Statistics revealed that there had been 52,400 more deaths in the year following June 2015 compared with the same period a year before; an annual rise of 9%. These rises in mortality rates are unprecedented in post-war times. In England and Wales, the increase was almost entirely in the population aged over 55 years, predominantly in those aged over 75, and was largely attributed to dementia and Alzheimer’s disease, with influenza being suggested as a minor contributory factor. It was mostly those with long-term care needs who were dying earlier.

    In addition, in late 2016, official data was released for Scotland showing no rise in life expectancy for men and women for the first time in 160 years.

    These are two quotes from an article in yet another new journal, Nature Human Behaviour. The title of the piece, ‘Policymakers should not act like scientists’, is worth thinking over. There is always a bias built into ‘tests of departure from..’ and those who control the funding, can control what counts as legitimate evidence. And the null hypothesis of the ‘classical statistical paradigm’ is not appropriate for many types of problems. From somewhere, I remember a comment from Paul Jannsen along the lines of, ‘in those days the idea of obviousness still existed’. As we saw last week,  in the debate about the NHS, in the mouths of politicians a handful can mean upwards of 10,000. As is often misquoted: the plural of anecdote is data.

  • 19/01/2017

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    Enclosing not so much the commons, but space itself.

    I first became ware of the importance of intellectual property law and custom after reading James Boyle’s ‘Shamans, Software and Spleens’. I had been completely unaware of how important the institution of private intellectual property was, and how destructive it frequently was of human advance. Of course, it was not meant to be this way. Boyle’s book is dense but funny, and he lambasts the contradictions in copyright law, the tortured logic in the bizarre attempts to explain why blackmail and insider trading are illegal, and the craziness that surrounded patenting DNA and what you can do with my spleen once you once removed it. As Cory Doctorow commented, about another of Boyle’s books, ‘Bound by Law’, “Copyright, a system that is meant to promote creativity, has been hijacked by a few industrial players and perverted. Today copyright is as likely to suppress new creativity as it is to protect it.” It was reading Boyle that led me to write an essay in the Lancet on how the ease or difficulty of assigning IPR distorted medical advance.

    But this takes the ticket, I am quoting from Stephen Downes commenting on this:

    This is a funny story with a surprise inside. The funny part is the artwork: an artist created glass blocks exactly the dimensions of a FedEx box and then shipped them in those boxes, producing unique art out of the cracks and breakage that resulted. The surprise is that it turns out that Fed Ex has corporate ownership over that space. “There’s a copyright designating the design of each FedEx box, but there’s also the corporate ownership over that very shape. It’s a proprietary volume of space, distinct from the design of the box.” Now I’m afraid I might accidentally violate FedEx’s ownership over that specific shape should I decide to, I don’t know, create my own mailing box.

    Not so much enclosing the commons, but space itself.

  • 18/01/2017

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    What to advise: which specialty for me?

    This is an absolutely terrific article about ‘Choosing a specialty’. It focuses on psychiatry and the particularly problems that effect psychiatry but contains many powerful insights that most medics will recognise even if you have not expressed them. Many will not admit to them, and the medical schools will look the other way.

    When you ask me whether you should enter psychiatry, your question also becomes whether I would go into psychiatry once again, knowing what I know now. Most people will tell you to enter their profession for that reason. They are justifying their own decisions. Their reply to you is a means of reassuring themselves.

    You should ask yourself: Is your main purpose in choosing this line of work to make a living? If it is, then you should know it is, and don’t put too much effort or care into worrying about the work. It isn’t your main purpose in life. Your main purpose in life could be your marriage, or your children, or your larger family. Or it could be another activity other than your main paid work, such as writing, or art, or music, or faith.

    The it gets into the DSM….

  • 17/01/2017

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    Tim Wu quote

    Tim Wu: ‘The internet is like the classic story of the party that went sour’

  • 16/01/2017

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    ’Doubling boomers’ and the problem of scale

    From an article in Nature describing how the US biomedical workforce has changed over recent times.

    Our analysis of IPUMS-USA data reveals a cohort that entered the laboratory workforce as NIH funding grew from US$13.7 billion in 1998 to $28.1 billion in 2004. These ‘doubling boomers’ arguably suffered most as funds subsequently decreased (when adjusted for inflation). In 2004, there were nearly 26,000 individuals under 40 with PhDs working as biomedical scientists. By 2011, there were nearly 36,000. Over this period, the number of faculty jobs did not increase. Indeed, the number of openings expected as a result of academics retiring has declined since 1995, when federal law made it illegal for universities to mandate retirement at age 65 (ref. 3).

    …….

    The work environment that this cohort faces is unlike anything seen before, despite previous booms and busts4. Today in the United States, four out of five PhD biomedical researchers work outside academia — a record high (see ‘Lab labour’). They earn, on average, almost $30,000 more a year than their academic counterparts, and feel less pressure to produce scientific publications.

    There are some obvious points. The doubling was crazy at the time (some of us said that, then), and even more so in hindsight. Universities rushed for the gold, with little wider thought. Second, careers are the ‘long now’ and getting longer. Personal investment relies on a certain degree of continuity and stability, and there will be a hangover, that the universities will now have to deal with. Finally, the obsession with growth by universities is dangerous. Haldane’s essay, ‘On being the right size’ comes to mind. Scaling matters, as does thinking about long term rather than short term success.

  • 14/01/2017

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    More medic collective nouns.

    After my earlier post, Alun a dentist and advisor to dentists reminded my of a few more and some now ones”

    • a brace of orthodontists
    • a sleep of anaesthetists
    • a shrink of psychiatrists
    • a clot of…..
    • a cut of…..

    This stops here….

    Except that the Economist (14/1/2017) offers some additional ones (beyond a “distutility of…”)
    – a quandary of economists
    – a befuddlement of economists
    – and my favourite: a surplus of economists

    Which all leaves me a a little discombobulated.