Patriot

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	Patriot by Alexei Navalny

Source: Various

NOT 'Nanny State': Protection & assurance of the quality of nutrition

The Government needs a plan to fix our broken food system and turn the tide on the public health emergency

24 October 2024

The House of Lords Food, Diet and Obesity Committee demands that the Government should develop a comprehensive, integrated long-term new strategy to fix our food system, underpinned by a new legislative framework. This is the key conclusion of the Committee’s report, ‘Recipe for health: a plan to fix our broken food system’.

Chair's comments

Baroness Walmsley, Chair of the Food, Diet and Obesity Committee, said:

“Food should be a pleasure and contribute to our health and wellbeing, but it is making too many people ill. Something must be going wrong if almost two in five children are leaving primary school with overweight or obesity and so many people are finding it hard to feed healthy food to their families. That is why we took a root and branch look at the food system and analysed what had gone wrong over the past few decades.

“Over the last 30 years successive governments have failed to reduce obesity rates, despite hundreds of policy initiatives. This failure is largely due to policies that focused on personal choice and responsibility out of misguided fears of the ‘nanny state’. Both the Government and the food industry must take responsibility for what has gone wrong and take urgent steps to put it right.

“We hope, given the recent comments from the Prime Minister, Lord Darzi and the Secretary of State for Health, that there is now an appetite to shift towards prevention of ill health. We urge the Government to look favourably on our plan to fix our broken food system and accept that not only is it cost-effective, but that it would lead to a lot less human misery.”

[My emphasis] 

About time! Real action please.

DO NOT DILUTE TO TASTE!

individual

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INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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Personal responsibility Educational determinants Health literacy My choices Role model Internal - Extrinsic motivation The life chances I am afforded impact my 'health career'.	Environmental/Physical determinants  Ultra Processed Foods Smoking Food & Nutrition Impacts of Obesity Child development Nutritional value of foods
Social determinants public (mental) health information Family economics Social values Sustainable Living	Political determinants 'Nanny State' (political rhetoric) Lobbying - (Food) Industry Business ethics Food poverty Advertising regulation Cost to Government, NHS, Society Security

Spiritual determinants: Values of society, governments, citizens, business . . .

Previously:

Jones P, Wirnitzer K. Hodges’ model: the Sustainable Development Goals and public health – universal health coverage demands a universal framework. BMJ Nutrition, Prevention & Health 2022;5: https://nutrition.bmj.com/content/5/2/358

'nutrition' on W2tQ

https://x.com/search?q=%40h2cm%20%27nanny%20state%27&src=typed_query&f=live

Gambling?

RCN: Are you an internationally educated RCN Member?

Please tell us about your experience so we can campaign for change on issues you care about the most!

We are keen to hear from *all* members, including HCAs and students, so please share this with your networks.

https://surveys.rcn.org.uk/s/IEQ1BS/

This survey closes at 11:59pm on 3 November 2024.

Thank you

Case formulation - Theory and Practice

 Still sorting papers, I've discovered copies of slides from the COPE course University of Manchester on Case Formulation by John McGovern.

An original purpose for Hodges' model is to help bridge the theory-practice gap.

The slides include -

• content: ingredients - preliminary formulation
• a means of understanding an individual's problems and distress in line with cognitive behavioural theory
• hypothesis to explain acquisition, and maintenance of problem
• not piecemeal

ROLE OF CASE FORMULATIONS

Bridge between theory and practice

a flexible tool for guidance

an explanatory framework to share with the patient

How types of formulation can be related to situations (Hodges' model is situated) - inference chain.

Comprehensive formulation - reflects the template that supports data gathering

inc. core beliefs - conditional beliefs

Questions for Preliminary Formulation

Main Ingredients - includes social support/relationships/employment/finances

(so this touches on determinants)

Choosing Treatment Targets

group exercise and summary

Register for Free! AI for One Health and Planetary Health: Where Are We?

Friday 8 November, 9:30am GMT – onwards

BCS, The Chartered Institute for IT, Ground Floor, 25 Copthall Avenue, London EC2R 7BP

Join BCS SGAI in London for an engaging full-day event featuring a line up of exciting talks. Attendees will have the opportunity to participate in a hands-on tutorial on low-code/no-code AI and Certificates of Attendance will be provided.

* Speakers & Agenda
https://www.bcs.org/events-calendar/2024/november/ai-for-one-health-and-planetary-health-where-are-we-artificial-intelligence-sg/

* Invitation for Free Registration
https://ArtificialIntelligence081124.eventbrite.co.uk

100% Discount Code: AIHealth24Committee

--------------------------------

Hope to see you there - in London 6th-9th November.

Book received: 'Handbook on the Ethics of Artificial Intelligence'

Many thanks to Edward Elgar Publishing for a review copy of this book which arrived today:

Edited by David J. Gunkel, Professor of Communication, Northern Illinois University, US, and Professor of Applied Ethics, Łazarski University, Poland

Publication Date: 2024 ISBN: 978 1 80392 671 1 Extent: 336 pp

This engaging Handbook identifies and critically examines the moral opportunities and challenges typically attributed to artificial intelligence. It provides a comprehensive overview and examination of the most pressing and urgent problems with this technology by drawing on a wide range of analytical methods, traditions, and approaches.

This is timely, prior to next month's event on AI and Planetary Health, about which news to follow shortly, especially if you are based near London and southern England.

I also can't believe it is 34 years since publication of the following case study:

Davies, M. and Owen, K. ‘Complex uncertain decisions: medical diagnosis’, Case Study 10 in Expert System Opportunities from the DTI’s Research Technology Initiative, HMSO 1990.

Ethics in AI 2024 :: Expert Systems 1990

Consultation: CHANGE NHS

 
Our NHS is broken, but not beaten. Together we can fix it.    [ c/o https://change.nhs.uk/en-GB/ ]

The NHS has been there for us for over 76 years. But to make sure the NHS is here for the next 76 years, doing all it can to support the health of everyone, we need your help.

We want to have the biggest ever conversation about the future of the NHS.

It doesn’t matter whether you have a lot or a little to say. Your views, experiences and ideas will shape a new 10 Year Health Plan for England. 

This is open to everyone. If you are a member of the public or someone who works in health and care in England, 'Start Here', to tell us how the NHS needs to change.

If you are contributing as a representative of an organisation, complete the organisation questionnaire. This is an early opportunity to share your insights as we begin an extensive programme of engagement to develop the 10 Year Health Plan. 

If you register your email address, we will stay in touch to seek your views as the 10 Year Health Plan develops.

'change' in Hodges' model

The NHS and people's health is more than 

a machine, more than a mechanistic thing 

that if broken can be fixed.

By definition you cannot be 'inclusive'
if you do not achieve balance
with the humanistic; and the
values of humanity and
 the spiritual as per context.

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purposes person-centredness personalised care experiences continuity mental state; mental health attitudes - mindset expectations (public education) my health literacy (all of them: education)	processes (care inc. 'writing' records, 'gates' access) demographically-driven care  define 'success' - metrics - data utilise evidence peak CO2 peak obesity physical health: chronological age - pathological age encourage self-care to support sustainability
social care social attitudes child support - support for families proven practices that delivers community as resource community: homes for living in - not profiting from Public involvement:  #NHSCHANGE #CHANGENHS Protect / Create green spaces for outdoor play	funding, finance, budgets, economics POLICY: FROM: National ill-Health Service TO: National Health Service  long-termism E3^ for all the literacies address: food quality,  air, water, noise, litter SOCIO-tech approach to applied technology Teach Hodges' model to teens, and prisoners as part of PSHE and rehab programmes

E3^ education, education, education - by literacies we include: information, emotional, media, finance, spiritual, cultural, scientific, religious, climate...

'delivers' includes: improved care experiences, integrated care (related to all the domains), patient, carer, public safety, cost effectiveness, research questions, accurate - valid reporting.

All health disciplines / professionals, social care, and APPGs ... share a common model - a conceptual framework for critical thinking and reflective practice.

Call for focus group participants: the records of adopted and care-experienced people -

– additional retention guidance for
record-keepers and care professionals

Could you help update retention guidance for record-keepers and care professionals by joining a focus group in November?

Care-experienced and adopted people, archivists & records managers and social workers are invited to participate in an online focus group to shape updated and detailed improvements in retaining care-experienced and adopted people’s records in England and Wales. This has been identified as a critical need by many recent reports including IICSA.

We recently published Guidance on the Records of Adopted and Care-Experienced People (Feb 2024) which sets out best practice, to improve consistency across England and Wales. We are a participative and inclusionary project led by members of the Chief Archivists in Local Government Group (CALGG), independent consultants and academics and professionals working in the records management, data protection and access to records fields, in the charitable and local government sectors. Some of our project members are adopted or care-experienced people.

Focus groups will take place on

Weds 13 Nov 11am-12.30

Mon 18 Nov 2-3.30pm

Thurs 28 Nov 2-3.30pm.

We will meet on Zoom: you will be able to join in your web browser, no zoom account or desktop app/licence is required.

Further information

The Guidance is aimed at people responsible for creating, managing, and providing access to care and adoption records. It includes the viewpoints of care-experienced people and adopted people to give practitioners a greater understanding of their experiences, needs and the challenges they face. The Guidance highlights that all organisations should have an up-to-date policy covering all records relating to children, young people and their families, together with procedures and plans to implement the policy including up-to-date retention schedules. Retention schedules recommend how long to keep different types of records. Each record type should have a retention period based on best practice, legislation, business need or a combination of these. Schedules also include how and when the retention period is triggered, and what should happen at the end of the period: typically either confidential destruction, or being kept permanently.

A retention period of [at] least 125 years from date of birth for case files and preferably 150 years as exemplary practice is recommended in the Guidance. However it also recommends the permanent preservation of these records with an option for people to opt out in the case of their own records.

These recommendations are made because many care-experienced or adopted people reconstruct their personal histories by turning to the records created about them by social workers and care providers. Thousands of requests to view records for this purpose are made each year in England and Wales. The records – a “paper self” - have significant impacts on a care-experienced person throughout their life. However, accessing records is often difficult, both practically and emotionally, and can be traumatic and dehumanizing. Records have been kept inconsistently across the public, private, and voluntary care sectors, affecting outcomes for individuals. Across England and Wales the records of adopted and care-experienced people who are formally classified as ‘looked-after people’ should be kept for 100 and 75 years respectively, but there are no permanent preservation protections for records in law. Moreover, some care-experienced people are omitted from the requirement for records to be retained. In addition, there are now many records sitting in digital systems which do not have a proper data migration/preservation strategy.

My Source: To view the list archives go to: https://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=RECORDS-MANAGEMENT-UK 

Nobel Peace Prize 2024

'The Norwegian Nobel Committee has decided to award the Nobel Peace Prize for 2024 to the Japanese organisation Nihon Hidankyo. This grassroots movement of atomic bomb survivors from Hiroshima and Nagasaki, also known as Hibakusha, is receiving the Peace Prize for its efforts to achieve a world free of nuclear weapons and for demonstrating through witness testimony that nuclear weapons must never be used again.

In response to the atomic bomb attacks of August 1945, a global movement arose whose members have worked tirelessly to raise awareness about the catastrophic humanitarian consequences of using nuclear weapons. Gradually, a powerful international norm developed, stigmatising the use of nuclear weapons as morally unacceptable. This norm has become known as “the nuclear taboo”.

The testimony of the Hibakusha – the survivors of Hiroshima and Nagasaki – is unique in this larger context. ...'

Press release. NobelPrize.org. Nobel Prize Outreach AB 2024. Sat. 19 Oct 2024. <https://www.nobelprize.org/prizes/peace/2024/press-release/>

Previously: Nobel Prize :: peace

1989 SHADES OF GREY, Computer Aided Learning program, BBC Micro. Simulation of nuclear weapons, Based on Fanchi, J. Local effects of nuclear weapons, BYTE, Volume 11. Issue 13. Dec., pp. 143–155. Computer Aided Learning program, BBC Micro, published by Open Software Limited.
https://hodges-model.blogspot.com/2024/03/jones-publications-list.html

HC@AIxIA: AI&Health Seminar - OCTOBER 21 AI in PCNSL: a diagnostic and therapeutic journey

Dear Madam/Sir,

This is to officially announce the NINTH seminar of the "AI & Health" series as hosted by HC@AIxIA, i.e., the "Artificial Intelligence for Healthcare" working group of the Italian Association for Artificial Intelligence.

*** Save the date: 21 OCTOBER 2024. ***

We hope you will attend and participate in the discussion on the relevant topics that will be presented and by our speakers. Feel free to share this with those potentially interested.

Please find some details below, and a poster attached. All directions for participating are available at https://aixia.it/en/gruppi/hc/.

== Are you interested in Joining the group? ==
Please head to https://aixia.it/en/gruppi/hc/ fo find out how. Do not hesitate to contact us at hc-aixia@googlegroups.com for any information or clarification.

Thank you for your interest in the AI & Health seminar series and the HC@AIxIA working group, and see you soon!

Sincerely,
Francesco Calimeri, Mauro Dragoni, Fabio Stella
(coordinators of the HC@AIxIA working group)
Link to participate: https://unimib.webex.com/unimib/j.php?MTID=m447969fc152aadf2062314114be484a6


2024 October 21 - 4:30PM CET
Teresa Calimeri, Senior Staff Physician Lymphoma Unit, IRCCS San Raffale Hospital (Milan, Italy)
- joint with Nicoletta Anzalone, Head of the Neuroradiology Unit of Advanced Vascular Imaging, IRCCS San Raffale Hospital, Milan, Italy, and Michela Destito, Department of Experimental and Clinical Medicine, University “Magna Graecia” of Catanzaro, Catanzaro, Italy).

Title: AI in PCNSL: a diagnostic and therapeutic journey

Abstract: The integration of Artificial Intelligence (AI) in the field of oncology represents one of the most significant challenges of the near future. Recent studies indicate that radiomic features can assist radiologists in addressing diagnostic and prognostic healthcare challenges, potentially ushering in a new era of personalized medicine. In this seminar, we will discuss our experience with primary central nervous system lymphoma (PCNSL) as a case study. Initially, we will delineate the constraints of the current diagnostic and prognostic tools. Subsequently, we will illustrate the application of a radiomics-based machine learning model and a deep learning (DL) approach to enhance the precision of outcome prediction. Furthermore, we will present our ideas on the possible application of these models in the treatment path of patients, along with the potential integration of a composite genetic and radiomic (radiogenomics) risk-adapted strategy. This strategy could be studied, validated, and routinely used during PCNSL treatment. Through case studies and recent research findings, this seminar aims to provide a comprehensive overview of the current state and future potential of AI in PCNSL management. (joint work with Nicoletta Anzalone, Head of the Neuroradiology Unit of Advanced Vascular Imaging, IRCCS San Raffale Hospital, Milan, Italy, and Michela Destito, Department of Experimental and Clinical Medicine, University “Magna Graecia” of Catanzaro, Catanzaro, Italy).

Short Bio: Teresa Calimeri, MD PhD, works in the Lymphoma Unit of the IRCCS San Raffaele Hospital, Milan, Italy as a senior staff physician and she has been recently identified as the clinical coordinator of the Disease Unit Lymphoma. Dr. Calimeri’s personal research focus includes the molecular characterization of primary and secondary CNS lymphomas along with the applications of circulating tumor DNA (ctDNA) as a biomarker of diagnosis, treatment response and disease prognosis. Dr. Calimeri has also recently promoted and launched a collaboration with biomedical and informatic engineers with the aim to apply radiomic and deep learning approaches for the studies of lymphoid malignancies. Moreover, she is deeply involved in the clinical management of indolent and aggressive lymphomas. She spent part of her PhD in Molecular Oncology at The Jerome Lipper Multiple Myeloma Center at Dana-Farber Cancer Institute & Harvard Medical School in Boston. In 2017, she also completed a II Level Master course in the diagnosis and therapy of Lymphomas at the University of Udine sponsored by the Fondazione Italiana Linfomi. She is member of both European and International PCNSL Collaborative Group (EPCG and IPCG). She is actively involved in the projects of the Fondazione Italiana Linfomi (FIL) and International Extranodal Lymphoma Study Group (IELSG).

Flyer: https://drive.google.com/open?id=1-ID-xWhRren5dUs5msqeMgv5QJOj_-92&usp=drive_fs