Coronavirus: Data needed quicker to target local outbreaks, say doctors

The call from doctors follows a lockdown in Leicester, amid a rise in Covid-19 cases.

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Coronavirus: Calls for government to plan public inquiry

The NHS ombudsman asks government to listen to patient complaints in order to learn from mistakes.

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Period poverty: Rise in free sanitary products needed in lockdown

Women unable to buy sanitary products have used newspaper or pillow cases instead, one charity says.

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Goal Traps

The end of a calendar quarter and the start of a new one is a great time to set fresh goals for the next 90-days.

In Conscious Growth Club we go through a 5-step quarterly planning process each quarter, whereby our members review their recent progress and then set and share their goals for the coming quarter. As part of this process, I host a live Zoom call to review the goals that members have set and to highlight best practices and potential pitfalls. The intention is to help members set goals they’re more likely to achieve.

We just did one of those calls this morning. I find them motivating and inspiring because they unearth a lot of insights into how we set worthwhile goals and make real progress, one quarter at a time. It’s especially rewarding to watch members improving in this area each time they go through the process. Some have made impressive strides in the past year, getting a lot more clarity about what actually inspires them and what doesn’t. We pay a lot of attention to the relationship between goals and actual results, and that’s a big part of what we explore on these calls.

During these calls, I like to point out some best practices as well as traps to avoid. I thought a nice topic for today’s blog post would be to share some of those tricky traps to avoid, which can reduce the effectiveness of goal setting. This is really just scratching the surface because today’s call was 3 hours long, so we really go into a lot of depth in CGC, but I’ll aim to share some of the less obvious yet still important items instead of those you’ve likely encountered elsewhere.

Deferred Decisions

A goal is a decision and a commitment. Setting goals can be uncomfortable because you’re narrowing your options and tightening your focus, and it’s common to try to keep your options open by pretending to commit. A common way to water down your goals is by defining a goal as a decision to be made and thereby not really committing yourself.

A telltale sign that you’re doing this is your goal includes words like define, decide, identify, figure out, determine, research, etc. Your framing is that your goal is really to make a decision instead of to implement a decision. But if you don’t know what result you’re trying to achieve, you haven’t really set a goal yet.

It’s fine to research a decision if you really need to do that first. But is your research in service to an end result, or are you just waffling and delaying because you feel uncomfortable – and calling it research?

If people can set a goal to go to Mars and then do the research along the way, what’s your excuse for needing to do the research before you’ve committed to a result? Your destination can still be reasonably clear even before the research is done. That takes courage, so be courageous, decide, and commit.

I recommend making the decision when you do your goal setting. That’s part of what setting a goal is about. Make your choice then and there. Don’t punt your decision into the future, or you’ll end up doing that every quarter. Declare the results you intend to achieve before the quarter begins.

If you choose wrong, you’ll find out soon enough, and you can choose a different goal if it’s really that bad. Or keep the same goal, and plot a different course to it. But it’s usually better to start making progress towards one clear target that may not be the best choice, and then change course while you’re in motion, than to keep your target definition unclear to begin with.

Head-Based Goals

While it’s good to set goals that are rational and sensible, recognize that motivation is emotional in nature. You don’t actually have to pursue any goals for rational reasons. Logic alone can’t even say that your survival matters. So goals that are too head-based tend to be weak in terms of their motivational effect.

Head-based goals look great on a screen, and that’s usually where they’ll remain till you abandon them.

Goals need an emotional context to be motivating. It really helps if you associate a sense of meaning, purpose, character transformation, or story progression with your goals. Otherwise you’re likely to remain stuck in your head when you think about acting on a goal, running yourself in circles and not really progressing towards a worthwhile result.

Numbers goals are a common issue here, like making a certain amount of money or hitting a particular exercise target. If there’s no emotional context to the numbers, they may be demotivating instead of motivating. Some numbers may feel significant to you – perhaps earning $10K per month feel coolers than earning $8K per month – but often such goals are better defined from the heart side rather than the head side.

You can still hit your financial targets if you come at them from a story-based angle, and doing so will probably be more fun too. Picture Apple explaining what you can do on one of their new devices, putting the numbers in context and sharing why they matter: This speed means you can now edit 4K videos, and isn’t that super duper cool?

Remember the marketing campaign for the original iPod? Do you remember how much storage it had? What I remember is: 1000 songs in your pocket. Isn’t that a better context for the number than saying it has 5GB of storage?

It’s wise to do the same for your own numbers. Otherwise the numbers probably won’t give you a strong enough reason to care.

You can do this for exercise goals too. Running for 60 minutes each morning is nice, but I find it more meaningful to know that I can run a loop around the nearest casino and back home again because it’s a meaningfully bigger loop that I used to run. Or I can run to a particular park and say hi to a half dozen rabbits I’ll usually see there. Running to the rabbit park and back is a more emotional way to define a goal than running for an hour.

If you’re going to bother with numerical goals, make damned well sure to give them an emotionally meaningful context. That will significantly increase your likelihood of success.

Some processes of goal achievement are more heart-aligned than others too. Your destination may feel emotionally inspiring, but if the process to get there is dreadfully dull, you’ll likely have trouble with consistency.

The actual emotion linked to your goal isn’t that important, as long as it’s meaningful for you and gets your heart in the game. Some people love the energy of edgy or risky goals. Others prefer playful goals. And still others like linking their goals to social connections, so pursuing their goals involves deepening their relationships. What matters is that you feel something that stirs you to act. That something is emotional.

Splatter Goals

Usually people don’t do so well with splatter goals, where it looks like a random list created by throwing darts at a dartboard. Such lists might include a health goal, a social goal, a career goal, a financial goal, and a lifestyle goal. But they may not mesh well together or support each other. It looks like someone just picked a random token goal for each area of life.

Instead of trying to splatter your energy in multiple directions, consider a hub and spoke model for goal setting. Have one clear central goal for your quarter (the hub) and a few more related goals that support and enhance that hub goal. This is especially useful when you’re working towards a transition like a career, relationship, or lifestyle change.

Trying to make too many unrelated changes in a quarter will likely dilute your focus. But if you know there’s just one central goal to accomplish, and getting that done is the key result that matters to you, arrange your goals to keep your eyes on that prize. You know that your priority is to keep moving towards that goal each day. If that’s all you get done during the whole quarter, it will likely be a memorable and worthwhile quarter.

Suppose your hub goal is to quit your job and start a new business. Then your spoke goals may include doing setup projects for your new business idea, exercising daily to help burn off stress, wrapping up projects at your job, training your replacement, finding a mentor, etc. That can be a lot to pack into a quarter already, so it’s probably not helpful to pile on other goals like building your dating skills or learning a musical instrument. Just focus on the big transition. When that’s done then consider other goals.

The “Big System” Goal

One final problem I’ll share is when you set a goal to plan and implement your “big system” for radically upgrading some part of your life – usually your workflow, your finances, or your business processes.

People rarely succeed with this approach because it’s too much change all at once. Many won’t even be able to implement their systems for a day, let alone a week, a month, or longer.

While a calendar quarter may seem like a long time, it’s actually pretty short and can blow by faster than you expect. It’s so easy to bite off way too much, especially when it comes to habit changes, and those “big system” goals tend to disguise a lot of smaller changes that will likely take way longer than one more calendar quarter to effectively install.

Instead of trying to transform so many habits at once, pick just 2-3 small habits to change first, maybe even just one. Land a beachhead with a 5-minute or 10-minute change in your day. Do that for at least 30 days first. Once you get it established, and it feels like you don’t need much discipline to maintain the habit, then you can build it out more.

Otherwise if you’re trying to change many parts of your day to fit into some beautifully designed system, you’ll probably find that you never get any sort of implementation to stick. Training yourself to implement that whole system and to be consistent with it will probably take more than a year, so bite off small pieces each quarter, work them into habits, and only add more when you’re able to be strongly consistent with the few pieces you’ve added so far.

Realize that the game of life is long. A year or two isn’t so bad for making a long-term improvement that could serve you well for decades. It’s worth the time to build the foundation one piece at a time.

I hope you found these goal traps insightful. Setting well-formed goals is a skill that takes years of practice to develop proficiency, so please be patient with yourself. Keep practicing this skill one quarter at a time, and study the relationship between the goals you set and the actual results you experience, so you can keep improving year by year.

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Health24.com | Stubbed your toe? Only real swear words help dull the pain

  • Swearing to cope with pain is a very common thing
  • In tests, substituting other words for real swear words did not have the same effect 
  • It may be the emotional connection to our childhood that give swear words their ‘power’

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Ouch! Many of us swear when we get hurt, and a new study shows it actually does help.

Turns out that swearing can significantly increase your pain tolerance – but only if you use real swear words, and not G-rated versions that mimic them, British researchers report.

For the study, 92 volunteers held their hands in an ice bath. To assess their pain threshold, researchers timed how long it took them to begin to feel pain, and their pain tolerance was determined by how long they were able to keep their hands in the freezing water.

Each participant did the experiment four times. In random order, they were instructed to repeat either actual expletives or the fake swear words “twizpipe” and “fouch”.

Benefits linked to childhood

Using actual swear words increased their pain tolerance by 33%, while the fake swear words did little to help people cope. The findings were recently published in the journal Frontiers in Psychology.

“This is the first study to assess whether novel ‘swear’ words have any pain-relieving effects. They didn’t, even though they were rated as being funny and emotion-arousing,” said lead author Richard Stephens, a senior lecturer in psychology at Keele University in the United Kingdom.

“This new finding confirms that it’s not the surface properties of swear words, such as how they sound, that underlie the beneficial effects of swearing, but something much deeper, probably linked back to childhood as we learn swear words growing up,” he said in a university news release.

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A cosmic mystery: ESO telescope captures the disappearance of a massive star

Using the European Southern Observatory’s Very Large Telescope (VLT), astronomers have discovered the absence of an unstable massive star in a dwarf galaxy. Scientists think this could indicate that the star became less bright and partially obscured by dust. An alternative explanation is that the star collapsed into a black hole without producing a supernova. “If true,” says team leader and PhD student Andrew Allan of Trinity College Dublin, Ireland, “this would be the first direct detection of such a monster star ending its life in this manner.”

Between 2001 and 2011, various teams of astronomers studied the mysterious massive star, located in the Kinman Dwarf galaxy, and their observations indicated it was in a late stage of its evolution. Allan and his collaborators in Ireland, Chile and the US wanted to find out more about how very massive stars end their lives, and the object in the Kinman Dwarf seemed like the perfect target. But when they pointed ESO’s VLT to the distant galaxy in 2019, they could no longer find the telltale signatures of the star. “Instead, we were surprised to find out that the star had disappeared!” says Allan, who led a study of the star published today in Monthly Notices of the Royal Astronomical Society.

Located some 75 million light-years away in the constellation of Aquarius, the Kinman Dwarf galaxy is too far away for astronomers to see its individual stars, but they can detect the signatures of some of them. From 2001 to 2011, the light from the galaxy consistently showed evidence that it hosted a ‘luminous blue variable’ star some 2.5 million times brighter than the Sun. Stars of this type are unstable, showing occasional dramatic shifts in their spectra and brightness. Even with those shifts, luminous blue variables leave specific traces scientists can identify, but they were absent from the data the team collected in 2019, leaving them to wonder what had happened to the star. “It would be highly unusual for such a massive star to disappear without producing a bright supernova explosion,” says Allan.

The group first turned the ESPRESSO instrument toward the star in August 2019, using the VLT’s four 8-metre telescopes simultaneously. But they were unable to find the signs that previously pointed to the presence of the luminous star. A few months later, the group tried the X-shooter instrument, also on ESO’s VLT, and again found no traces of the star.

“We may have detected one of the most massive stars of the local Universe going gently into the night,” says team-member Jose Groh, also of Trinity College Dublin. “Our discovery would not have been made without using the powerful ESO 8-metre telescopes, their unique instrumentation, and the prompt access to those capabilities following the recent agreement of Ireland to join ESO.” Ireland became an ESO member state in September 2018.

The team then turned to older data collected using X-shooter and the UVES instrument on ESO’s VLT, located in the Chilean Atacama Desert, and telescopes elsewhere.”The ESO Science Archive Facility enabled us to find and use data of the same object obtained in 2002 and 2009,” says Andrea Mehner, a staff astronomer at ESO in Chile who participated in the study. “The comparison of the 2002 high-resolution UVES spectra with our observations obtained in 2019 with ESO’s newest high-resolution spectrograph ESPRESSO was especially revealing, from both an astronomical and an instrumentation point of view.”

The old data indicated that the star in the Kinman Dwarf could have been undergoing a strong outburst period that likely ended sometime after 2011. Luminous blue variable stars such as this one are prone to experiencing giant outbursts over the course of their life, causing the stars’ rate of mass loss to spike and their luminosity to increase dramatically.

Based on their observations and models, the astronomers have suggested two explanations for the star’s disappearance and lack of a supernova, related to this possible outburst. The outburst may have resulted in the luminous blue variable being transformed into a less luminous star, which could also be partly hidden by dust. Alternatively, the team says the star may have collapsed into a black hole, without producing a supernova explosion. This would be a rare event: our current understanding of how massive stars die points to most of them ending their lives in a supernova.

Future studies are needed to confirm what fate befell this star. Planned to begin operations in 2025, ESO’s Extremely Large Telescope (ELT) will be capable of resolving stars in distant galaxies such as the Kinman Dwarf, helping to solve cosmic mysteries such as this one.

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Materials provided by ESO. Note: Content may be edited for style and length.

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Implants: Can special coatings reduce complications after implant surgery?

New coatings on implants could help make them more compatible. Researchers at the Martin Luther University Halle-Wittenberg (MLU) have developed a new method of applying anti-inflammatory substances to implants in order to inhibit undesirable inflammatory reactions in the body. Their study was recently published in the International Journal of Molecular Sciences.

Implants, such as pacemakers or insulin pumps, are a regular part of modern medicine. However, it is not uncommon for complications to arise after implantation. The immune system identifies the implant as a foreign body and attempts to remove it. “This is actually a completely natural and useful reaction by the immune system,” says Professor Thomas Groth, a biophysicist at MLU. It helps to heal wounds and kills harmful pathogens. If this reaction does not subside on its own after a few weeks, it can lead to chronic inflammation and more serious complications. “The immune system attracts various cells that try to isolate or remove the foreign entity. These include macrophages, a type of phagocyte, and other types of white blood cells and connective tissue cells,” explains Groth. Implants can become encapsulated by connective tissue, which can be very painful for those affected. In addition, the implant is no longer able to function properly. Drugs that suppress the immune response in a systemic manner are often used to treat chronic inflammation, but may have undesired side effects.

Thomas Groth’s team was looking for a simple way to modify the immune system’s response to an implant in advance. “This is kind of tricky, because we obviously do not want to completely turn off the immune system as its processes are vital for healing wounds and killing pathogens. So, in fact we only wanted to modulate it,” says the researcher. To do this, his team developed a new coating for implants that contains anti-inflammatory substances. For their new study, the team used two substances that are already known to have an anti-inflammatory effect: heparin and hyaluronic acid.

In the laboratory, the scientists treated a surface with the two substances by applying a layer that was only a few nanometres thick. “The layer is so thin that it does not affect how the implant functions. However, it must contain enough active substance to control the reaction of the immune system until the inflammatory reaction has subsided,” adds Groth. In cell experiments, the researchers observed how the two substances were absorbed by the macrophages, thereby reducing inflammation in the cell cultures. The untreated cells showed clear signs of a pronounced inflammatory reaction. This is because the active substances inside the macrophages interfere with a specific signalling pathway that is crucial for the immune response and cell death. “Both heparin and hyaluronic acid prevent the release of certain pro-inflammatory messenger substances. Heparin is even more effective because it can be absorbed by macrophage cells,” Groth concludes.

So far, the researchers have only tested the method on model surfaces and in cell cultures. Further studies on real implants and in model organisms are to follow.

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Materials provided by Martin-Luther-Universität Halle-Wittenberg. Note: Content may be edited for style and length.

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Could your computer please be more polite? Thank you

PITTSBURGH–In a tense time when a pandemic rages, politicians wrangle for votes and protesters demand racial justice, a little politeness and courtesy go a long way. Now researchers at Carnegie Mellon University have developed an automated method for making communications more polite.

Specifically, the method takes nonpolite directives or requests — those that use either impolite or neutral language — and restructures them or adds words to make them more well-mannered. “Send me the data,” for instance, might become “Could you please send me the data?”

The researchers will present their study on politeness transfer at the Association for Computational Linguistics annual meeting, which will be held virtually beginning July 5.

The idea of transferring a style or sentiment from one communication to another — turning negative statements positive, for instance — is something language technologists have been doing for some time. Shrimai Prabhumoye, a Ph.D. student in CMU’s Language Technologies Institute (LTI), said performing politeness transfer has long been a goal.

“It is extremely relevant for some applications, such as if you want to make your emails or chatbot sound more polite or if you’re writing a blog,” she said. “But we could never find the right data to perform this task.”

She and LTI master’s students Aman Madaan, Amrith Setlur and Tanmay Parekh solved that problem by generating a dataset of 1.39 million sentences labeled for politeness, which they used for their experiments.

The source of these sentences might seem surprising. They were derived from emails exchanged by employees of Enron, a Texas-based energy company that, until its demise in 2001, was better known for corporate fraud and corruption than for social niceties. But half a million corporate emails became public as a result of lawsuits surrounding Enron’s fraud scandal and subsequently have been used as a dataset for a variety of research projects.

But even with a dataset, the researchers were challenged simply to define politeness.

“It’s not just about using words such as ‘please’ and ‘thank you,'” Prabhumoye said. Sometimes, it means making language a bit less direct, so that instead of saying “you should do X,” the sentence becomes something like “let us do X.”

And politeness varies from one culture to the next. It’s common for native North Americans to use “please” in requests to close friends, but in Arab culture it would be considered awkward, if not rude. For their study, the CMU researchers restricted their work to speakers of North American English in a formal setting.

The politeness dataset was analyzed to determine the frequency and distribution of words in the polite and nonpolite sentences. Then the team developed a “tag and generate” pipeline to perform politeness transfers. First, impolite or nonpolite words or phrases are tagged and then a text generator replaces each tagged item. The system takes care not to change the meaning of the sentence.

“It’s not just about cleaning up swear words,” Prabhumoye said of the process. Initially, the system had a tendency to simply add words to sentences, such as “please” or “sorry.” If “Please help me” was considered polite, the system considered “Please please please help me” even more polite.

But over time the scoring system became more realistic and the changes became subtler. First person singular pronouns, such as I, me and mine, were replaced by first person plural pronouns, such as we, us and our. And rather than position “please” at the beginning of the sentence, the system learned to insert it within the sentence: “Could you please send me the file?”

Prabhumoye said the researchers have released their labeled dataset for use by other researchers, hoping to encourage them to further study politeness.

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In addition to the students, the study’s co-authors included several professors from the LTI and the Machine Learning Department — Barnabas Poczos, Graham Neubig, Yiming Yang, Ruslan Salakhutdinov and Alan Black. The Air Force Research Laboratory, Office of Naval Research, National Science Foundation, Apple and NVIDIA supported this research.

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Leicester lockdown tightened as coronavirus cases rise

The local lockdown means non-essential shops are shut and schools will close for most pupils in the city.

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Health24.com | Medical pot may help many battle insomnia, pain and stress

  • Most of the states in America have legalised the use of dagga for recreational and medicinal purposes 
  • Users of medicinal marijuana claim that it lessens pain, makes them sleep better and reduces their anxiety
  • Users are, however, advised to be cautious, as there’s evidence that dagga can interact with certain medications

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More and more US states are allowing marijuana to be taken as medicine, and a new study suggests that users do indeed feel better.

In a survey of nearly 1 300 people with chronic health conditions, researchers found that those using “medicinal cannabis” reported less pain, better sleep and reduced anxiety.

They also tended to use fewer prescription medications and were less likely to have been to the hospital recently.

A majority of US states have made marijuana legal for medical or recreational use, and studies have looked at whether those laws are linked to increased marijuana use, car accidents or emergency room visits.

Popularity explosion

But little research has examined the impact of legalisation on the people who use medicinal cannabis, said senior study author Ryan Vandrey, an associate professor of psychiatry and behavioural sciences at Johns Hopkins University School of Medicine in Baltimore.

The finding that cannabis users felt better than non-users is not necessarily surprising, according to Vandrey. But it’s important to demonstrate it in a study, he said.

The results do not prove, however, that medicinal cannabis is effective. It’s also unclear whether certain products were linked to particular benefits.

Medicinal cannabis included not only formulations of THC – the chemical behind marijuana’s “high” – but also cannabidiol, or CBD, which does not create a high. Fifty-eight percent of users were taking “CBD-dominant” oils, tinctures and other products.

CBD has exploded in popularity across the United States in recent years, and is marketed in everything from oils and capsules to cookies and coffee. The purported benefits are also wide-ranging, and include relief from chronic pain, anxiety and insomnia.

But nearly all of those claims are untested, said Richard Miller, a professor of pharmacology at Northwestern University Feinberg School of Medicine in Chicago.

Taken for thousands of years

CBD has been shown to improve certain rare seizure disorders, he noted. In 2018, the US Food and Drug Administration approved Epidiolex – a purified, pharmaceutical-grade CBD – for those conditions.

“But all of the other 10 000 things CBD is supposed to do? We have no idea,” Miller said. “I think the vast majority of it is b.s.”

That said, cannabis clearly does have some medicinal use, according to Miller.

“With respect to humanity’s experience with cannabis,” he said, “people have taken it medicinally for thousands of years.” It was only in the last century that marijuana prohibition took hold – making those years “the anomaly”, Miller said.

The new findings, published recently in the journal Cannabis and Cannabinoid Research, are based on responses from 808 cannabis users and 468 “controls”. All had chronic health conditions – most often neurological disorders such as multiple sclerosis or epilepsy; chronic pain; or psychiatric conditions such as depression or anxiety.

All were seeking information from a non-profit on medical marijuana use; people in the control group were not using cannabis but were considering it.

Fewer prescription medications

Overall, the study found, cannabis users scored a little lower on standard scales rating pain severity and anxiety and depression. They also reported better sleep quality.

More striking, Vandrey said, was the fact that cannabis users needed less health care: They were 46% less likely to have been hospitalised in the prior month, and 39% less likely to have visited an ER. And in their day-to-day lives, they tended to use fewer prescription medications – an average of 14% fewer.

Jane Allen, an analyst with the research institute RTI International in North Carolina, called the study’s recruitment strategy a limitation. Since participants consulted the non-profit, they likely had “positive perceptions” about cannabis from the start, she said.

“The study would be stronger and less susceptible to bias if recruitment had been through a cannabis-neutral channel,” Allen said.

To Vandrey, the findings highlight the need for researchers to dig deeper into medicinal cannabis. Studies need to look, for example, at individual health conditions and the effects of a given CBD or THC product, he said.

“If we’re going to legalise cannabis to be used as medicine,” Vandrey said, “then we need to better understand how to use it as medicine.”

Miller agreed. He said the new findings “add to the flow of data” that medicinal cannabis has benefits – but the specifics remain unclear.

‘Talk to your doctor’

The study also found that only 27% of cannabis users said they were doing so under a doctor’s recommendation.

That’s concerning, according to Vandrey. “So who is recommending it to them?” he said. “And are their doctors aware they’re using it?”

For one, he noted, there’s increasing evidence that cannabinoids can interact with certain medications.

Vandrey suggested that if people are interested in using cannabis for medical reasons, they talk to their doctor. And do the research: “See if there’s evidence of safety and efficacy for your health condition,” he said.

Image credit: iStock

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