Differential Diagnosis

Dean Jenkins - random blog - stuff to share.

Leaked NHS Improvement figures suggest January was worst month for NHS in 13 years - Hospital Dr

Leaked NHS Improvement figures suggest January was worst month for NHS in 13 years - Hospital Dr

Responding to social media posts with pictures of a cute hedgehog in a hat.When you see a post and don't quite know what...

Responding to social media posts with pictures of a cute hedgehog in a hat.

When you see a post and don't quite know what to say then perhaps the only option is to respond with a picture of a hedgehog in a hat. After all isn't that why the internet was invented?

First of all the social media machine can not use any of your text to gauge sentiment, or views, or other such big data nonsense. Secondly it acts as cognitive dissonance to the echo chamber.

I think I shall add words (or even code) to the images to see if that has any additional effect. Happy belated hedgehog day.

Patient-Reported Symptoms May Be Left Out of EMRs: By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William...

Patient-Reported Symptoms May Be Left Out of EMRs: By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

"Patient-reported symptoms may fail to make it into a practice's electronic medical record (EMR), according to a study in JAMA … NEJM Journal Watch."

It is challenging to capture all the complexity of the real clinical world in an electronic record. An EMR is a tool for clinicians to care for their oatients not a rigid compliance mechanism for foolhardy narrow "quality improvenents", billing, or management-led performance monitoring. Designers of EMRs need to include clinical stuff at everybstage of the design. Better still get clinicians to design them.

VC predictions 2017 – Earlybird’s view: Personal insights on the future of tech, business and venture capital.

VC predictions 2017 – Earlybird’s view: Personal insights on the future of tech, business and venture capital.

Customer Feedback Surveys Considered Harmful

Customer Feedback Surveys Considered Harmful

Lighting Up Lingshed: A Remote Village in the Himalayas Gets Lights and Internet Access

Lighting Up Lingshed: A Remote Village in the Himalayas Gets Lights and Internet Access

The future of advertising is ‘fewer, better ads’: "By giving away stuff for free for so long, we’ve created an ad...

The future of advertising is ‘fewer, better ads’: "By giving away stuff for free for so long, we’ve created an ad economy that is bigger than it should be," Deep Focus CEO Ian Schafer says.

I specialise in the psychology of torture, so I know the truth behind Trump's waterboarding claims: In a recent television...

I specialise in the psychology of torture, so I know the truth behind Trump's waterboarding claims: In a recent television interview, President Trump stated that in order to “keep our country safe”, he intends to “fight fire with fire”, and if that includes using waterboarding and other forms of torture then so be it. Trump revealed that he had taken advice at the highest level of US intelligence, apparently asking them: “Does torture work?” with them apparently replying: “Yes.”

Higher ed social media platform taps instructional design firm | University Business Magazine

Higher ed social media platform taps instructional design firm | University Business Magazine

If it wants British businesses to do well, the British Government should stop Brexit: “I’m from the government and I’m...

If it wants British businesses to do well, the British Government should stop Brexit: “I’m from the government and I’m here to help.” Ronald Reagan said these were the nine most terrifying words in the English language. It was a joke, but for a quarter of a century British ministers took Reagan’s quip seriously. Successive Conservative administrations subscribed to the philosophy that the Government’s economic responsibility was limited to controlling public spending and cutting taxes. For Labour, the only real difference was that it favoured more redistribution.

Paramedics spend 500,000 hours outside busy A&Es, say auditors: Ambulance trusts breaching call response targets and struggling...

Paramedics spend 500,000 hours outside busy A&Es, say auditors: Ambulance trusts breaching call response targets and struggling to recruit and retain staff, National Audit Office finds

Health inequality research offers UK wake-up call - BBC News: Research shows that health inequality is blighting children's...

Health inequality research offers UK wake-up call - BBC News: Research shows that health inequality is blighting children's lives, but the gap between rich and poor is making it hard to remedy the problem.

Campaign to adopt Wales' organ donation law in England - BBC News: A campaign for Wales' organ donation laws to be adopted...

Campaign to adopt Wales' organ donation law in England - BBC News: A campaign for Wales' organ donation laws to be adopted in England is launched by a mother whose daughter needed a transplant.

Deep learning network as good as medics at identifying skin cancers. "While there are still many visual tasks where humans...

Deep learning network as good as medics at identifying skin cancers.

"While there are still many visual tasks where humans perform better than computers, computers are catching up. Part of the reason for computers' progress has been the development of what are called "deep neural networks," which chain together multiple layers of analysis. These have significantly boosted computers' performance in a variety of visual challenges."

China, already dominant in supercomputers, shoots for an exascale prototype in 2017 - ExtremeTech: China is working on a...

China, already dominant in supercomputers, shoots for an exascale prototype in 2017 - ExtremeTech: China is working on a prototype exascale (1,000-petaflop) system that it aims to complete by the end of this year, according to state media.

Paradigm change and an explanation of science as a social construct. Review of Khun's "The Structure of Scientific Revolutions".I've...

Paradigm change and an explanation of science as a social construct. Review of Khun's "The Structure of Scientific Revolutions".

I've been meaning to read this for sometime and it was worth it. The 50th anniversary edition has an excellent introduction by Ian Hacking which invites you to ask questions of the relevance of Khun's work to science today.


Brexit and Trump explained and how (liberal) globalists have probably got it wrong. "When and Why Nationalism Beats Globalism:...

Brexit and Trump explained and how (liberal) globalists have probably got it wrong.

"When and Why Nationalism Beats Globalism: And how moral psychology can help explain and reduce tensions between the two. ...

... globalists often support high levels of immigration and reductions in national sovereignty; they tend to see transnational entities such as the European Union as being morally superior to nation-states; and they vilify the nationalists and their patriotism as “racism pure and simple.” These actions press the “normative threat” button in the minds of those who are predisposed to authoritarianism, and these actions can drive status quo conservatives to join authoritarians in fighting back against the globalists and their universalistic projects.

If this argument is correct, then it leads to a clear set of policy prescriptions for globalists. First and foremost: Think carefully about the way your country handles immigration and try to manage it in a way that is less likely to provoke an authoritarian reaction. Pay attention to three key variables: the percentage of foreign-born residents at any given time, the degree of moral difference of each incoming group, and the degree of assimilation being achieved by each group’s children."

How Iceland Got Teens to Say No to Drugs: Curfews, sports, and understanding kids’ brain chemistry have all helped dramatically...

How Iceland Got Teens to Say No to Drugs: Curfews, sports, and understanding kids’ brain chemistry have all helped dramatically curb substance abuse in the country.

Association of Body Mass Index with DNA Methylation and Gene Expression in Blood Cells and Relations to Cardiometabolic...

Association of Body Mass Index with DNA Methylation and Gene Expression in Blood Cells and Relations to Cardiometabolic Disease: A Mendelian Randomization Approach Michael M. Mendelson. Riccardo E. Marioni. Roby Joehanes. Chunyu Liu. Åsa K. Hedman. Stella Aslibekyan. Ellen W. Demerath. Weihua Guan. Degui Zhi. Chen Yao. Tianxiao Huan. Christine Willinger. Brian Chen. Paul Courchesne. Michael Multhaup. Marguerite R. Irvin. Ariella Cohain. Eric E. Schadt. Megan L. Grove. Jan Bressler. Kari North. Johan Sundström. Stefan Gustafsson. Sonia Shah. Allan F. McRae. Sarah E. Harris. Jude Gibson. Paul Redmond. Janie Corley. Lee Murphy. John M. Starr. Erica Kleinbrink. Leonard Lipovich. Peter M. Visscher. Naomi R. Wray. Ronald M. Krauss. Daniele Fallin. Andrew Feinberg. Devin M. Absher. Myriam Fornage. James S. Pankow. Lars Lind. Caroline Fox. Erik Ingelsson. Donna K. Arnett. Eric Boerwinkle. Liming Liang. Daniel Levy. Ian J. Deary. PLOS Medicine.

Calorie restriction diet extends life of monkeys by years: Macaques on permanent diets live significantly longer – the...

Calorie restriction diet extends life of monkeys by years: Macaques on permanent diets live significantly longer – the equivalent of nine years in people. But is the detailed meal planning and loss of libido worth it?