Looking at dating websites is all in a day’s work.
We've talked about search engines customizing your results according to what you seem to usually like at work (and here on the blog), so when I heard a very brief mention of a "new" dating website called Junebug this morning on NPR, I thought I should mention it.
It was a really quick story - quick enough that they didn't even list it on their website as something on the show! The story explained Junebug as a dating site that works with a similar algorithm that google and amazon use. They get you go answer some questions, just like every other dating site, but they also track the profiles you look at, extract the "most important" pieces of information from that profile, and find others with the same characteristics to suggest to you.
I'm no expert in online dating sites - not since I found my boyfriend on okcupid two years ago, anyway - but this seems more sophisticated than the usual, "fill these questions out and we'll find people who answered those questions similarly and match you" kind of thing. It's also more robust than simply asking, "Do you think opposites attract?" and then adjusting the results to find your mortal enemies online and pair you with them.
Naturally, there are disclaimers all over the about section about how it takes a while to get a good feel for who Junebug thinks you'd like, but I think that just like every other recommender system it will become very good at figuring out what you find attractive in people.
I'd tell you to to ask the lady in the story who met her husband on the website, but I couldn't find it anywhere on NPR's site. Reference fail!
Filter bubbles–What price personalization?
You know those recommendations you get from your favorite websites? A few come to mind--books from Borders, music from Pandora, just about anything from eBay? Sometimes they're spot on, sometimes not. I couldn't have been more surprised when I opened an email a few months ago, and the very first recommended item from Amazon.com was a walker. I didn't know whether to laugh or take offense. I'm no spring chicken, but seriously, a walker!! The thought did cross my mind...nah, there's no way Amazon could possibly know that bilateral knee replacements are common in my family.
Fast forward to a tweet by @susannahfox referencing a blog post by Ethan Zuckerman Eli Pariser on Filter Bubbles. Personally, I like filters. Filters get rid of the noise and allow me quicker access to what's relevant to me. When I search "Cocco's" at home around dinnertime, the first thing I see is the phone number to our local pizza shop. I never questioned who decided that's what I should see. I just took this convenience for granted. After all, what's wrong with personalization? One size doesn't fit all--a lesson learned in the 70s when someone got the bright idea that all women could be accommodated with the one-size-fits-all dress. It never entered my head that evil forces could be at work, and I might someday be all alone in my very personalized filter bubble. This may be okay if I could still have my pizza. But according to the article, it seems more likely that I would end up with the walker. Apparently, these filters are invisible. I don't choose the filter, it chooses me. I can't turn it off. This is good to know. At least now I can amuse myself by trying to trick the filters. I'll worry about this for a few weeks, then it will be something new. A while back it was personalized medicine. I figured there was the danger that no one would develop therapies tailored for me based on my genetics. If they did, I probably couldn't afford them. Eventually me and others like me would die out. Sadly now it's more likely that I'll waste away alone in my filter bubble with only a walker for comfort.
First International mHealth Networking Conference (I was there!)
Last week (February 3-4, 2010) I attended the mHealth Networking Conference in DC. Sponsored by mHealth Initiative Inc (mHI), the conference was focused around the use of emerging mobile technologies to improve healthcare delivery. Here are a few themes to give you a flavor: iPhones/mobile phones/Android phones, emailing your doctor, bringing evidence to practice via electronic alerts for patients and physicians, home health monitoring, real-time everything, connectivity, usability, patient literacy, technologies for chronic care management and geriatrics.) The full program seems to still be available, and relevant Twitter posts (e.g., for the #mHealth hash tag) are also available.
Throughout the conference I met a mixture of providers (physicians, nurses, PAs, etc), insurance company representatives, techies/code crunchers, expert patients, and informatics researchers. In fact, according to the mHI, there were about 300 attendees - not too bad for a first shot! Note: A second conference is planned for September 8-9 in San Diego (perhaps they'll provide an option for joining remotely?)
One of the biggest take-home messages I got from the conference is that smart phone technologies won't necessarily solve problems for patients who won't or can't use them (e.g., geriatric patients who may not be able to see small lettering). Usability and design issues again rear their heads in healthcare. We need to attack these issues as a "net", tackling many simultaneously so that when convergence occurs, quality improvement is what emerges.
I also wanted to mention that it was especially interesting to see Adam Bosworth, formerly of Google, present on his new venture Keas, which has the following laudable mission:
To help you understand what your health data means and how you can use it to be as healthy as possible.
Keas is in Beta right now - check it out! (And consider this question: How might healthcare change if the act of interpreting results of diagnostic tests and deciding next steps in treatment is done by a company like Keas?)
Is increased regulation in the Internet’s future?
I was tempted to answer the question posed in the subject line with a simple, definitive "yes", but I realized I should probably elaborate a bit - after all, "yes" isn't much of a blog post.
The concept of identity has been intimately linked to the Internet since its beginnings - after all, computers have identities, users have identities, and all have to be managed as part of the Web. We choose usernames and passwords and use them to manage our online identities; but a lack of a pervasive standardized identity management system like Microsoft's .net software (a la Identity 2.0) enables users to hide behind a layer of anonymity. MrKewlD00D22 isn't afraid to speak his mind on the discussion board of his favorite science magazine, even if he is painfully shy in person. PunkRockGrrl87 and MackDaddy00 chat online each day, but their real-life counterparts have never met.
However, as the lines between reality and virtual reality become more blurry, it seems identity is more of a sticky situation. Take for example the recent, very unfortunate story of a mother pretending to be a teenage boy on Myspace for the sole purpose of harassing one of her daughter's female classmates, which ultimately ended in the 13-year-old girl's suicide. The mother had been facing up to 20 years in prison for conspiracy charges, but the conspiracy charges were thrown out and she now faces 1 year in jail and $300,000 fines for 3 misdemeanors. This situation brings to light all sorts of regulatory issues around the Internet. For example, if one is to be held personally accountable to the Terms of Service on a site, then somehow their online identity must contain meaning that links to their real life. And how many "teeth" do the Terms of Service have in terms of the law? Do the same rules apply online as they do in real life?
These are important questions, and are becoming even more important as future generations engage with and build upon the giant information monstrodome that is the Internet. Frankly, I think the time for more regulation with regard to identity (and information veracity) is far past its due date.
1100100101001111100000101111101000101 = Learning
Mammographs Eyeballed by Computers
I read in the New England Journal of Medicine that in many European countries, it is standard for two people to
read mammogram films as opposed to having just one person read them as it is
practiced in the United States. Having two people read the films obviously
increases the chance that something that should be looked at will be caught.
However, this can be a time and resource-consuming process. In the New England
Journal of Medicine, I saw an article from a group of scientists who wondered
if there might be a way to use computers to read the films as a second set of
“eyes” instead of another person. If so, can it be as accurate as
two sets of human eyeballs?
This study found that the cancer-detection rate (people with
definite cancer) was about the same with one person reading with
computer aid and with two people reading the films. However, the recall rate
(people with suspicious masses that could be cancer) was significantly
higher in the single person with computer aid group. I see an up-side and a
down-side to these findings. The up-side: Using one person as opposed to two
frees up time and resources to read more mammogram films. The down-side: The
recall rate is higher, meaning that many people who have benign tumors may be
being called back for further testing. This probably uses more time and
resources than having two people initially read the scans.
It’s very easy to connect this research with
computer-assisted projects like our own item parsing pilot, Lucy, or with our
interest in the field of computer simulations in general. Even when results
like these seem to break even, it’s important that people are doing this
kind of research. We’ll never figure out what technology works best
without people experimenting in this field.
For those who are interested in the science-y numbers, check out the article in the New England Journal of Medicine 2008 Oct 16;359(16):1675-84. Epub 2008 Oct 1.
Google’s new browser
Google released its new web browser "Chrome" today--a project that has been in the making for more than a year. Chrome is designed to be fast and simple to use. Apparently, another design goal was to assure that Google would have control over how well its web-based applications perform, by creating a browser that runs today's complex web applications and future web applications with ease. I don't really have a deep understanding of the technology behind Chrome, for that you'll have to rely on the comic book developed by comic artist and writer Scott McCloud to introduce the general public to Chrome's inner workings.
I downloaded Chrome and started using it in seconds--not minutes. The last time I downloaded a new version of Internet Explorer, it got lost and I had to reboot and download it all over again. Then I had to reboot again. So, I'm off to a good start. It was really simple to import my bookmarks, and explanations for some of the features I hadn't experienced in a browser before were pretty straightforward, although some of the video links were broken (that's why it's beta!).
After browsing for a bit, each time I opened a new tab, it was populated with my most recent searches and bookmarks.. One really neat feature was the dynamic tabs. You just click and drag a tab if you want to view the site in its own window. There is also an option to open an incognito tab, and none of the history, cookies, or downloads from that session will be recorded. When you download a file, the file seems to float to the bottom of the page, where you can then drag it wherever you want, instead of searching all over the place for your downloaded file. Another feature treats some web applications like computer applications. For example, Gmail can be launched from a desktop shortcut in its own window, without the address bar and other tools it does not need.
Download it, give it a try.
Wii Surgery Skills Tested

We've spent some time exploring possibilities of the WiiMote for simulation in health care. This article talks about a study that revealed a 50% performance boost for trainees using the Wii.
A mental model for mashed potatoes?
In the most recent edition of Edge, Chris Anderson suggests that perhaps the "data deluge" will make the scientific method obsolete. That is, in an age where data comes by the petabyte, perhaps mental models and hypotheses can be abandoned and analyzing information for correlations is enough. I'm not a strict follower of the scientific method, so I don't feel that I can make a strong point either way. However, I am reminded of the mashup craze. In creating a mashup, people don't necessarily have a strong model going in; in many cases they just throw data together and see what happens. This "on the fly" experimentation is possible because of computers and applications that enable it. Intuitively, I would say that reality falls somewhere in the middle. We might create a mental model (e.g., a recipe) for the perfect mashed potatoes, or we might throw a bunch of potatoes and spices in a pot and see what happens. And both approaches are probably important.
Who lives and who dies; who succeeds and who does not
A new computer system can predict which death row prisoners will live and which will be executed - with chilling accuracy. The US executes only a small proportion of the people it sentences to death; 53 of 3228 in 2006, and until now, no clear patterns were evident to researchers about which inmates end up paying with their lives and which do not. By inputting data about the fates of 1000 death row inmates from 1973 through 2002, criminologists and computer scientists were able to train an artificial neural network (ANN) to predict the fates of an additional 300 inmates with greater than 90% accuracy. From this experiment, they learned that gender was the most significant factor linked to executions, as women are rarely executed. Race, although apparently a huge factor in death sentence rates, is not an important factor when it comes to actual executions. The most significant factor is educational level, particularly the number of years spent in high school. According to an article in New Scientist, "This finding confirms that being executed is not about what you've done, but more about your ability to defend yourself."
I'm thinking that I would not want to be on death row surrounded by college graduates. Researchers have also used ANNs to predict the likelihood that paroled juveniles will reoffend and to identify students most likely to drop out of college. I'm also thinking that predicting success would certainly be a more cheerful task for researchers. Wouldn't it be great to know whether or not you are likely to succeed in your chosen career path before you invest your energy, your heart, and your money? Would dire predictions of an ANN be enough to stop some people from pursuing their dreams? What effect would knowing the outcome have on the journey?


