CLOSE
Original image
iStock

Medical Error May Be America’s Third Leading Cause of Death

Original image
iStock

Here's something we didn't see coming: According to The Washington Post, researchers estimate that medical error is our nation’s third leading cause of death, following cancer and heart disease. We say “estimate,” because they don’t know for sure; the U.S. doesn’t keep track of deaths by medical error. The researchers published their report in the British Medical Journal this week.

The words “medical error” encompass many things, from giving a patient too much medication to leaving a surgical sponge inside someone’s body. “While many errors are non-consequential, an error can end the life of someone with a long life expectancy or accelerate an imminent death,” the authors write. 

They describe the case of a young woman who received an organ transplant and was on the path to recovery when she began feeling unwell. She returned to the hospital, where staff performed a number of unnecessary and invasive tests. During one test, a needle grazed her liver, which led to a pseudoaneurysm, which killed her. The hospital listed her cause of death as “cardiovascular.”

The most commonly cited assessment of national death-by-medical-error data was conducted by the Institute of Medicine nearly 20 years ago in 1999. That report estimated that between 44,000 and 98,000 Americans were dying from medical errors every year. Even as that report was being drafted, other scientists argued that the numbers were much higher. 

Co-authors and Johns Hopkins University of Medicine researchers Martin Makary and Michael Daniel used data from these reports and many others to estimate the percent of hospital patients who died due to medical errors. They then applied that percentage to the number of people admitted to hospitals in 2013 and learned that between 210,000 to 400,000 of those people would have experienced fatal medical errors. 

And those are just the people in the hospital. There have been no studies examining the rate of medical error deaths at home, at doctor’s offices, or in nursing homes and other residential treatment facilities. The absence of this data is not just problematic; it’s also unscientific. 

“Sound scientific methods, beginning with an assessment of the problem, are critical to approaching any health threat to patients,” the authors write. “The problem of medical error should not be exempt from this scientific approach.”

Still, they recognize that doctors, nurses, and other practitioners are human, and that, like all of us, they will make mistakes. They write, “Although we cannot eliminate human error, we can better measure the problem to design safer systems mitigating its frequency, visibility, and consequences.”

[h/t The Washington Post]

Original image
iStock // Ekaterina Minaeva
technology
arrow
Man Buys Two Metric Tons of LEGO Bricks; Sorts Them Via Machine Learning
May 21, 2017
Original image
iStock // Ekaterina Minaeva

Jacques Mattheij made a small, but awesome, mistake. He went on eBay one evening and bid on a bunch of bulk LEGO brick auctions, then went to sleep. Upon waking, he discovered that he was the high bidder on many, and was now the proud owner of two tons of LEGO bricks. (This is about 4400 pounds.) He wrote, "[L]esson 1: if you win almost all bids you are bidding too high."

Mattheij had noticed that bulk, unsorted bricks sell for something like €10/kilogram, whereas sets are roughly €40/kg and rare parts go for up to €100/kg. Much of the value of the bricks is in their sorting. If he could reduce the entropy of these bins of unsorted bricks, he could make a tidy profit. While many people do this work by hand, the problem is enormous—just the kind of challenge for a computer. Mattheij writes:

There are 38000+ shapes and there are 100+ possible shades of color (you can roughly tell how old someone is by asking them what lego colors they remember from their youth).

In the following months, Mattheij built a proof-of-concept sorting system using, of course, LEGO. He broke the problem down into a series of sub-problems (including "feeding LEGO reliably from a hopper is surprisingly hard," one of those facts of nature that will stymie even the best system design). After tinkering with the prototype at length, he expanded the system to a surprisingly complex system of conveyer belts (powered by a home treadmill), various pieces of cabinetry, and "copious quantities of crazy glue."

Here's a video showing the current system running at low speed:

The key part of the system was running the bricks past a camera paired with a computer running a neural net-based image classifier. That allows the computer (when sufficiently trained on brick images) to recognize bricks and thus categorize them by color, shape, or other parameters. Remember that as bricks pass by, they can be in any orientation, can be dirty, can even be stuck to other pieces. So having a flexible software system is key to recognizing—in a fraction of a second—what a given brick is, in order to sort it out. When a match is found, a jet of compressed air pops the piece off the conveyer belt and into a waiting bin.

After much experimentation, Mattheij rewrote the software (several times in fact) to accomplish a variety of basic tasks. At its core, the system takes images from a webcam and feeds them to a neural network to do the classification. Of course, the neural net needs to be "trained" by showing it lots of images, and telling it what those images represent. Mattheij's breakthrough was allowing the machine to effectively train itself, with guidance: Running pieces through allows the system to take its own photos, make a guess, and build on that guess. As long as Mattheij corrects the incorrect guesses, he ends up with a decent (and self-reinforcing) corpus of training data. As the machine continues running, it can rack up more training, allowing it to recognize a broad variety of pieces on the fly.

Here's another video, focusing on how the pieces move on conveyer belts (running at slow speed so puny humans can follow). You can also see the air jets in action:

In an email interview, Mattheij told Mental Floss that the system currently sorts LEGO bricks into more than 50 categories. It can also be run in a color-sorting mode to bin the parts across 12 color groups. (Thus at present you'd likely do a two-pass sort on the bricks: once for shape, then a separate pass for color.) He continues to refine the system, with a focus on making its recognition abilities faster. At some point down the line, he plans to make the software portion open source. You're on your own as far as building conveyer belts, bins, and so forth.

Check out Mattheij's writeup in two parts for more information. It starts with an overview of the story, followed up with a deep dive on the software. He's also tweeting about the project (among other things). And if you look around a bit, you'll find bulk LEGO brick auctions online—it's definitely a thing!

Original image
Nick Briggs/Comic Relief
entertainment
arrow
What Happened to Jamie and Aurelia From Love Actually?
May 26, 2017
Original image
Nick Briggs/Comic Relief

Fans of the romantic-comedy Love Actually recently got a bonus reunion in the form of Red Nose Day Actually, a short charity special that gave audiences a peek at where their favorite characters ended up almost 15 years later.

One of the most improbable pairings from the original film was between Jamie (Colin Firth) and Aurelia (Lúcia Moniz), who fell in love despite almost no shared vocabulary. Jamie is English, and Aurelia is Portuguese, and they know just enough of each other’s native tongues for Jamie to propose and Aurelia to accept.

A decade and a half on, they have both improved their knowledge of each other’s languages—if not perfectly, in Jamie’s case. But apparently, their love is much stronger than his grasp on Portuguese grammar, because they’ve got three bilingual kids and another on the way. (And still enjoy having important romantic moments in the car.)

In 2015, Love Actually script editor Emma Freud revealed via Twitter what happened between Karen and Harry (Emma Thompson and Alan Rickman, who passed away last year). Most of the other couples get happy endings in the short—even if Hugh Grant's character hasn't gotten any better at dancing.

[h/t TV Guide]

SECTIONS
BIG QUESTIONS
BIG QUESTIONS
WEATHER WATCH
BE THE CHANGE
JOB SECRETS
QUIZZES
WORLD WAR 1
SMART SHOPPING
STONES, BONES, & WRECKS
#TBT
THE PRESIDENTS
WORDS
RETROBITUARIES