Category Archives: words
I am an entrepreneur…
Apodyopsis (n.) the act of mentally undressing someone
Wearables meets big data
Some see this as an opportunity to mobilise a peer-to-peer health knowledge commons outside the healthcare system that is filtered through government, hospitals and GPs’ surgeries. This new healthcare system would exist out among the public.
Pioneered by Tedmed’s clinical editor, Wellthcare tries to pinpoint the new kind of value that this people-powered healthcare system would create.
“Wellth” is closer to the idea of wellbeing or wellness than health; it is about supporting “what people want to do, supported by their nano-networks”.
A healthcare system that uses data we collect about ourselves would require these new bodies to make much bigger choices about how NHS trusts procure products and services.
Going back to the ever expanding market for wearable technology – with a potential patient group of 80m, there should be a lot more going on to turn our physiological data in the treasure trove it could be. Forget supermarket reward points and website hits, the really big data only just arrived.
http://www.theguardian.com/science/political-science/2014/jan/27/science-policy
Big data gets physical

At the moment, it’s difficult to retrieve the data these systems collect. Nike only allow software developers access to data produced by people like me so they can create new features for their apps. I cannot go back and interrogate my own data.
Harbouring user data for product development is an extension of part of the search engine or mobile provider business model. When you log in to Gmail while browsing the internet, you give Google data about your individual search behaviour in exchange for more personalised results. Less obviously, when you use the browser on your phone, mobile companies collect (and sell) valuable data about what you are looking for and where you are. The latest iteration of this model is Weve, providing access to data about EE, O2 and Vodafone customers in the UK.
After Friday lunchtime’s outburst, I accepted that I’d never find the cause of my wayward run and quickly got absorbed back into the working day.
But I shouldn’t have.
We talk about the economic and social value of opening up government data about crime numbers or hospital waiting times. But what about the data we’re collecting about our daily lives? This is not just a resource for running geeks to obsess over, it provides otherwise unrecorded details of our daily lives. Sharing data about health has the potential to be an act of generosity and contribution to the public good.
For some areas of healthcare, particularly for type 2 diabetics or those with complex cardiovascular conditions, lifestyle information could make a huge difference to how we understand and treat patients. It could provide the kind of evidence badly needed to make headway in areas where clinical trials aren’t enough.
But it’s not yet easy to make something of this broader value created by fitness apps or soft toys with sensors in them. One person’s data is saved in different ways through different services – making for a messy, distributed dataset.
There is also no clear way to incorporate this into the current healthcare system. Some companies have made strides in that direction. Proteus Digital Health offers a system for monitoring a patient’s medication and physical activity using an iPad app and ingestible pills. This takes some much needed steps towards understanding how people comply with their prescription. At the moment, only 50% of patients suffering from chronic diseases follow their recommended treatment. If Proteus starts to sell information back to the health service, it will take digital health into mainstream healthcare. However,it hasn’t reached that point yet. And it is still a rare example of a company with the regulatory approval to do so. For example, Neurosky’s portable EEG machines, which measure brain activity, make excellent toys. But the company has no intention of certifying its products as medical equipment, given the time and expense it requires.
But does that matter? Neurosky’s wizard-training game Focus Pocus improves a player’s cognitive abilities including memory recall, impulse control, and the ability to concentrate. Some US medical practitioners are now prescribing Focus Pocus. This makes biofeedback therapy to ADHD patients available at home, replacing two to three hospital visits a week. This is going on anyway – outside the mainstream healthcare system.
Some see this as an opportunity to mobilise a peer-to-peer health knowledge commons outside the healthcare system that is filtered through government, hospitals and GPs’ surgeries. This new healthcare system would exist out among the public. Pioneered by Tedmed’s clinical editor, Wellthcare tries to pinpoint the new kind of value that this people-powered healthcare system would create. “Wellth” is closer to the idea of wellbeing or wellness than health; it is about supporting “what people want to do, supported by their nano-networks”. There is the potential for a future where we move from producers of data that is sucked up by companies into producers of data who consciously share it with one another, learn to interpret it and make judgments from it ourselves.
The current healthcare system may evolve to support this kind of change. In the UK, Academic Health Science Networks and Clinical Commissioning Groups provide new structures within the NHS that have the potential to support disruptive innovations. But so far these have led to small, incremental changes. A healthcare system that uses data we collect about ourselves would require these new bodies to make much bigger choices about how NHS trusts procure products and services.
Going back to the ever expanding market for wearable technology – with a potential patient group of 80m, there should be a lot more going on to turn our physiological data in the treasure trove it could be. Forget supermarket reward points and website hits, the really big data only just arrived.
HBO set to do dance-music comedy….
- knob-twisters
- self-oblivious man-children
http://www.theguardian.com/music/shortcuts/2014/jan/26/calvin-harris-irvine-welsh-dance-music-comedy
Remember when you first heard Calvin Harris‘s 2007 hit Acceptable in the 80s and thought to yourself how amazing it would be if Harris wrote a sitcom with Irvine Welsh about electronic dance music? And then remember thinking that the only way that could happen would be if Jay Zand Will Smith agreed to produce it? Well, it’s happening.
HBO – the visionary network behind modern parables The Wire and Boardwalk Empire – has announced it is in the process of developing Higher, a new half-hour comedy series “set in the world of electronic music,” clearly concluding that the next logical step on from crack dealers in Baltimore and bootleggers in prohibition-era Atlantic City is a kid sitting alone in his mum’s house in Romford listening to the same kick drum for hours on end and occasionally going out to buy clothes pegs just to “get out of the house”.
While, on the face of it, this may not seem like the most fecund comedy ground, as DJs ourselves, we are well aware that the world of dance music is a rich tapestry of egomaniacs and self-oblivious man-children that is ripe for mockery. We have tried to mine this particular seam of comedy for a couple of years now, first undermining our peers by retweeting their bitter, mundane gripes on our Twitter account,@DJsComplaining, then drawing on our own hard-won experience to write cutting think pieces about the EDM scene. And we have remained completely, spinelessly anonymous – because sharing a backstage area with a socially impaired knob-twister is often awkward enough even without the added frisson of them knowing you’ve spent 500 words and several days of your life lampooning them in the national press.
Saying that, Harris clearly operates in a different sphere to the likes of us, and while details about which aspects of EDM Higher will focus on are scarce, we can only assume that The Most Highly Paid DJ in the World™’s input to the project will be somewhat influenced by his own lifestyle. Harris probably slaps together his latest chart-topper on his iPad in between sips of ambrosia and bouts of clay-pigeon shooting, occasionally sloping off to wistfully roam his grounds on his gold-plated penny farthing. Let’s hope, then, that the presence of Welsh – a man whose heart remains closer to the gutter – will bring things back down to Earth. Welsh was reared in a different world of dance music altogether: a world of pills and pubs, of minicabs and chilli sauce; a world where ketamine was what you gave a horse and Traktor was what you used to get away from the horse once you’d given it some ketamine.
We don’t know yet quite how these two very different world views will meet on the page, but with Welsh’s keen eye for hallucinatory nightmare and Harris’s renowned comedic prowess, Higher just might be the laugh-a-minute romp that the EDM world has been so desperately waiting for. Perhaps.
Sparkle
JM was looking over my Eisenhower application and said it needed more sparkle. What a great way to think of myself… sparkling!? On to it, thank you.
Hapax Legomenon
http://en.m.wikipedia.org/wiki/Hapax_legomeno
A hapax legomenon (/ˈhæpəks lɨˈɡɒmɨnɒn/ also /ˈhæpæks/ or /ˈheɪpæks/;[1][2] pl. hapax legomena; sometimes abbreviated to hapax, pl. hapaxes) is a word that occurs only once within a context, either in the written record of an entire language, in the works of an author, or in a single text. The term is sometimes incorrectly used to describe a word that occurs in just one of an author’s works, even though it occurs more than once in that work. Hapax legomenon is a transliteration of Greek ἅπαξ λεγόμενον, meaning “(something) said (only) once”.
Cherish
I was reflecting on my time in the Minister’s office over dinner with BN and riffing on the idea that I in no way enjoyed it but nonetheless found it a profound and important thing. BN came back to me with the word that completely encapsulated the idea – that I “cherished” the time. Spot on, thanks.
Industry response to launch of Action on Sugar
increase fibre content (as a bulking agent) instead of reducing portion size – they have half the calories, but are more expensive and less stable.
New word – rheology: the study of the flow of matter, primarily in the liquid state.
Sugar under siege: Reformulation can win the battle, says Barry Callebaut
By Oliver Nieburg+, 09-Jan-2014
Related topics: Carbohydrates and fibers (sugar, starches), Chocolate and confectionery ingredients, Sweeteners (intense, bulk, polyols), Suppliers, R&D, The obesity problem, Health & Wellness, Confectionery
Replacing sugar with fibers in chocolate could be more effective in reducing global sugar consumption than cutting portion sizes, but will come at a cost, according to Barry Callebaut.
Campaign group Action on Sugar was established today with the aim of pressuring manufacturers to reduce sugar in products by 30% over the next four years. Its chairman told ConfectioneryNews that the organization favored cutting sugar by reducing portion sizes rather than substitution.
Portion control: Foolproof plan to cut calories?
Marijke De Brouwer, innovation manager at Barry Callebaut, said that global salt reduction came through reformulation, so why couldn’t sugar?
“Reducing the portion size is rather easy because it’s only playing with the weight, but with portion size you do not reduce the sugar percentage.”
Fibers for positive health impact
She argued that reformulation would have a greater impact and suggested replacing up to 30% of sugar in chocolate with fibers to perform a bulking function.
“It has a positive health impact. Fibers have some functional benefits versus sugar.”
A fiber replacement would help increase global fiber consumption and would also limit calories in a product since sugar is 4 kcal per gram and fibers 2 kcal per gram.
The cost
Asked why the practice of replacing sugar with fibers had not yet been widely adopted by the chocolate industry, De Brouwer said: “It’s because of the price impact.”
Barry Callebaut acknowledged that fibers were more expensive but would not say by how much.
Fibers may also impact processability depending on the application, potentially adding an extra cost to ensure products have the same rheology, taste and texture.
“If you want to guarantee it has 30% less sugar, you need to avoid contamination,” added De Brouwer.
She said that brands could feasibly combine reformulation with portion size reduction to cut sugar.
Health implications
Action on Sugar contends that added sugar in food and drinks is an unnecessary source of calories in the diet that is responsible for rising global obesity. It adds that sugar is linked to other damaging health effects such as type II diabetes.
The World Health Organization (WHO) recommends that no more than 10% of calories in a person’s diet should come from added sugars for optimal health, but The Sunday Times claims to be in possession of a leaked WHO draft document that says the organization is considering cutting its recommendation to 5% in light of fresh scientific research linking sugar to obesity, heart disease and tooth decay.
What’s the reference?
Action on Sugar hopes manufacturers will reduce sugar by 30% in products over the next four years compared to current levels of sugar in that product.
For example, if Mars opted only for portion control, a 51 g Mars bar would become 42 g.
Zeitgebers
Zeitgerbers: Outside time cues that make fine adjustments which mimic the changes in light and dark that take place throughout the year.
SNOOZERS ARE, IN FACT, LOSERS

On a typical workday morning, if you’re like most people, you don’t wake up naturally. Instead, the ring of an alarm clock probably jerks you out of sleep. Depending on when you went to bed, what day of the week it is, and how deeply you were sleeping, you may not understand where you are, or why there’s an infernal chiming sound. Then you throw out your arm and hit the snooze button, silencing the noise for at least a few moments. Just another couple of minutes, you think. Then maybe a few minutes more.
It may seem like you’re giving yourself a few extra minutes to collect your thoughts. But what you’re actually doing is making the wake-up process more difficult and drawn out. If you manage to drift off again, you are likely plunging your brain back into the beginning of the sleep cycle, which is the worst point to be woken up—and the harder we feel it is for us to wake up, the worse we think we’ve slept. (Ian Parker wrote about the development of a new drug for insomnia in the magazine last week.)
One of the consequences of waking up suddenly, and too early, is a phenomenon called sleep inertia. First given a name in 1976, sleep inertia refers to that period between waking and being fully awake when you feel groggy. The more abruptly you are awakened, the more severe the sleep inertia. While we may feel that we wake up quickly enough, transitioning easily between sleep mode and awake mode, the process is in reality far more gradual. Our brain-stem arousal systems (the parts of the brain responsible for basic physiological functioning) are activated almost instantly. But our cortical regions, especially the prefrontal cortex (the part of the brain involved in decision-making and self-control), take longer to come on board.
In those early waking minutes, our memory, reaction time, ability to perform basic mathematical tasks, and alertness and attention all suffer. Even simple tasks, like finding and turning on the light switch, become far more complicated. As a result, our decisions are neither rational nor optimal. In fact, according to Kenneth Wright, a neuroscientist and chronobiology expert, “Cognition is best several hours prior to habitual sleep time, and worst near habitual wake time.” In the grip of sleep inertia, we may well do something we know we shouldn’t. Whether or not to hit the snooze button is just about the first decision we make. Little wonder that it’s not always the optimal one.
Other research has found that sleep inertia can last two hours or longer. In one study that monitored people for three days in a row, the sleep researchers Charles Czeisler and Megan Jewett and their colleagues at Harvard Medical School found that sleep inertia took anywhere from two to four hours to disappear completely. While the participants said they felt awake after two-thirds of an hour, their cognitive faculties didn’t entirely catch up for several hours. Eating breakfast, showering, or turning on all the lights for maximum morning brightness didn’t mitigate the results. No matter what, our brains take far longer than we might expect to get up to speed.
When we do wake up naturally, as on a relaxed weekend morning, we do so based mainly on two factors: the amount of external light and the setting of our internal alarm clock—our circadian rhythm. The internal clock isn’t perfectly correlated with the external one, and so every day, we use outside time cues, called zeitgebers, to make fine adjustments that mimic the changes in light and dark that take place throughout the year.
The difference between one’s actual, socially mandated wake-up time and one’s natural, biologically optimal wake-up time is something that Till Roenneberg, a professor of chronobiology at Ludwig-Maximilians University in Munich, calls “social jetlag.” It’s a measurement not of sleep duration but of sleep timing: Are we sleeping in the windows of time that are best for our bodies? According to Roenneberg’s most recent estimates, based on a database of more than sixty-five thousand people, approximately a third of the population suffers from extreme social jetlag—an average difference of over two hours between their natural waking time and their socially obligated one. Sixty-nine per cent suffer from a milder form, of at least one hour.
Roenneberg and the psychologist Marc Wittmann have found that the chronic mismatch between biological and social sleep time comes at a high cost: alcohol, cigarette, and caffeine use increase—and each hour of social jetlag correlates with a roughly thirty-three per cent greater chance of obesity. “The practice of going to sleep and waking up at ‘unnatural’ times,” Roenneberg says, “could be the most prevalent high-risk behaviour in modern society.” According to Roenneberg, poor sleep timing stresses our system so much that it is one of the reasons that night-shift workers often suffer higher-than-normal rates of cancer, potentially fatal heart conditions, andother chronic disease, like metabolic syndrome and diabetes. Another study, published earlier this year and focussing on medical-school performance, found that sleep timing, more than length or quality, affected how well students performed in class and on their preclinical board exams. It didn’t really matter how long they had slept or whether they saw themselves as morning people or not; what made a difference was when they actually went to bed—and when they woke up. It’s bad to sleep too little; it’s also bad, and maybe even worse, to wake up when it’s dark.
Fortunately, the effects of sleep inertia and social jetlag seem to be reversible. When Wrightasked a group of young adults to embark on a weeklong camping trip, he discovered a striking pattern: before the week was out, the negative sleep patterns that he’d previously observed disappeared. In the days leading up to the trip, he had noted that the subjects’ bodies would begin releasing the sleep hormone melatonin about two hours prior to sleep, around 10:30 P.M.A decrease in the hormone, on the other hand, took place after wake-up, around 8 A.M. After the camping trip, those patterns had changed significantly. Now the melatonin levels increased around sunset—and decreased just after sunrise, an average of fifty minutes before wake-up time. In other words, not only did the time outside, in the absence of artificial light and alarm clocks, make it easier for people to fall asleep, it made it easier for them to wake up: the subjects’ sleep rhythms would start preparing for wake-up just after sunrise, so that by the time they got up, they were far more awake than they would have otherwise been. The sleep inertia was largely gone.
Wright concluded that much of our early morning grogginess is a result of displaced melatonin—of the fact that, under current social-jetlag conditions, the hormone typically dissipates two hours after waking, as opposed to while we’re still asleep. If we could just synchronize our sleep more closely with natural light patterns, it would become far easier to wake up. It wouldn’t be unprecedented. In the early nineteenth century, the United States had a hundred and forty-four separate time zones. Cities set their own local time, typically so that noon would correspond to the moment the sun reached its apex in the sky; when it was noon in Manhattan, it was five till in Philadelphia. But on November 18, 1883, the country settled on four standard time zones; railroads and interstate commerce had made the prior arrangement impractical. By 1884, the entire globe would be divided into twenty-four time zones. Reverting to hyperlocal time zones might seem like it could lead to a terrible loss of productivity. But who knows what could happen if people started work without a two-hour lag, during which their cognitive abilities are only shadows of their full selves?
Theodore Roethke had the right idea when he wrote his famous line “I wake to sleep, and take my waking slow.” We do wake to a sleep of sorts: a state of not-quite-alertness, more akin to a sleepwalker’s unconscious autopilot than the vigilance and care we’d most like to associate with our own thinking. And taking our waking slow, without the jar of an alarm and with the rhythms of light and biology, may be our best defense against the thoughtlessness of a sleep-addled brain, a way to insure that, when we do wake fully, we are making the most of what our minds have to offer.
Maria Konnikova is the author of “Mastermind: How to Think Like Sherlock Holmes.”
Photograph: Keystone-France/Gamma-Keystone/Getty.