Living With Data
Your article “Dying
for Data” [October] provides a good
overview of the general problem but does not
discuss the challenges of data integration that
exist between potentially thousands of data domains.
For standards to be truly useful, all the
applications across every institution need to talk
to each other using the same standard language.
If a nationwide system, let alone a global
system, of “interoperable medical records is to be
realized, it will mean getting every hospital, every
nursing home, every pharmacy, and every one of the
hundreds of thousands of physicians who belong to
solo or small group practices,” as stated in the
article, to adopt a single standard. Yet there are
many standards in the health care industry, and it
is not realistic to expect one national, let alone
global, standard to dominate the market.
Why is this doomed to failure? Because no one
data standard can meet every requirement.
Different organizations and institutions will have
unique needs that no single data structure can
possibly address. Such standards require a very
precise match between source and destination tags.
You cannot make even the smallest change to the
standard vocabulary to meet a particular or unique
requirement that your organization, department,
systems, or processes may have. In essence, there
can be no regional dialects within a standardized
language. This “one size fits all” ultimatum has
not been successfully adopted across other
industries, and if experience is any teacher, it is
not likely to be adopted globally in health care.
The current trend in dealing with
interoperability is to manage it not on a
syntactic but on a semantic level. Called the
Semantic Web, the idea is to capture the shared
meaning expressed by the data between common
processes. The Semantic Web includes protocols
such as RDF and OWL, but also a new protocol
called the Metadata Semantic Language (MSL). It is
this new protocol that is of interest to the
integration problem.
The MSL is formatted as a separate layer to
XML—it is an integration layer, or a metadata
layer. Data structure and metadata naming
conventions are enhanced with a separate layer of
semantic information that encodes the definition
of each element of data, including its relationship
with other elements. Approaches based on the
Semantic Web are the only possible hope of achieving
data interoperability in health care and should have
been discussed at some level in the article.
Steve Perry
Plymouth, Mass.
Your article makes the point that one of the
primary goals of the U.S. National Health
Information Network (or any other national
electronic health care record system) is universal
access—instantaneous and reliable access to health
records for all physicians, hospitals, insurance
companies, and any other health practitioners.
However, the article curiously omits any discussion
about how individuals will access their own
medical records.
In today’s paper-dominated system and in my
experience, access to personal records is at best
a hassle (for example, asking for copies at every
physician visit) and at worst nearly impossible
(getting an electronic copy of a CAT or an MRI
scan, for instance). But a national electronic
system has the potential to make it immensely
easier for individuals to access their own data.
If the National Health Information Network is
to fully achieve all of its benefits, it must
ensure that individuals have complete, reliable, and
secure access to their own medical histories, not
just those who provide health care services.
Michael Lexa
IEEE Member
Houston
On Being Systematic
As to Robert Lucky’s “Unsystematic
Engineering” [Reflections, September], I
believe the need for systems engineering extends
well beyond high-technology engineering. In every
aspect of our complex society, we hear references
to “multidisciplinary activities,” “stake holders,”
“unintended consequences,” “What are our
options?”—all phrases commonly used by systems
engineers. One hears these words used by city
planners, wilderness managers, environmentalists,
highway engineers, and others. Our society abounds
with numerous examples of systems engineering.
San Francisquito Creek courses through
expensive suburban neighborhoods, borders on
Stanford University, separates two counties, and
floods into a low-income area as it enters San
Francisco Bay. It is also a viable creek for salmon.
There is an ongoing effort to develop a plan for
managing the creek that satisfies all these
concerns. I participated in a seminar on restoring
the watersheds of a northern California river
system involving farms, forests, and rural
residential areas. The purpose of the restoration
is to improve the habitat for wild salmon—which
has been compromised by the commercial activities of
our society. We had a lively discussion when I
raised the question of metrics for evaluating the
efficacy of a plan; most participants were
unfamiliar with systems engineering and such
features as metrics.
For sheer complexity, consider planning and
managing the system of transportation in any of
our large metropolitan areas. Perhaps more
manageable is forestry practice. A simple system
would be to decide which is more productive: two
20-acre [8-hectare] clear-cut parcels or one 40-acre
[16-hectare] clear-cut parcel. This list is
endless and endlessly complex.
In 1991, a group of engineers from the
aerospace industries and related industries formed
a society for systems engineering, the International
Council on Systems Engineering, INCOSE. I and a
number of other early contributors tried to interest
INCOSE in these “other” systems. We also tried to
interest the practitioners of these systems in
INCOSE. For a while we had some participants from
the U.S. Department of Agriculture and from other
federal facilities that were diversifying. But it
never came together.
Like Robert Lucky, I realized, for example,
that the young agricultural scientist or engineer
would not find much of a career pursuing systems
engineering in the name of agriculture. There
would be no support from peers and managers for
attending INCOSE conferences to learn about the
practices of systems engineering. It was a foreign
culture to them and foreign to the mainstream of
INCOSE.
Yet I perceive that many professionals in all
these fields believe that there is a real
opportunity and benefit to our society if systems
engineering were to become a widely recognized
discipline applicable to every aspect of public
planning and policy. I suspect, however, that
systems engineering in these other applications
will come to fruition only when our politicians and
high-level policy planners have recognized the need.
Fred Martin
IEEE Senior Member
Philo, Calif.
Ready, Set, Launch
I was disappointed that, in your otherwise
interesting article on Cape Canaveral [Spectral
Lines, October], you were less than open
about the causes of the increased number of
hurricanes inflicting the place.
The article says, “Hurricane-related problems
have become more frequent at Florida’s Kennedy
Space Center in recent years, as the east coast of
the United States transitions from a decades-long
period of historically low storm activity.”
The relationship between anthropogenic climate
change—global warming—and weather-related events
is fully and deeply established in the scientific
literature. Without a rational shadow of doubt,
NASA’s problems with hurricanes are related to
excess carbon dioxide.
I do know that there is, particularly in the
United States, a well-funded and concerted effort
to downplay the importance or the facts of global
warming, but I do hope the IEEE, as a rational and
independent professional organization, is free
from the adverse political pressures that are
sometimes applied to civil servants. It is far too
important to be otherwise.
David Hirst
IEEE Member
Brighton, England
Software-Defined Radio
The concept of software-defined radio [Tools
& Toys, October] is not entirely
new. Using a single piece of hardware for different
electronic circuits can quite easily be
implemented with field-programmable analog arrays.
In fact, FPAAs are well suited for technologies
like the software-defined radio: take an FPAA,
some memory to store the circuit designs for
demodulation, and some digital logic and,
theoretically, you could have a device that performs
as good as the software-defined radio—and one that
is easier to use, as it is all hardware.
There are, of course, some limitations to
FPAAs, like the difficulty to emulate some
important physical behavior of components. However,
improvements to FPAAs occur on a daily basis.
We shall see which technology will be the first
one ready to be adapted by the end-user market.
Software-defined radio developers, you are warned.
Emmanuel Lesser
IEEE Student Member
Antwerp, Belgium
Strongly Attracted
Perhaps the best way of avoiding the issue of a
shallow gene pool [“When
Engineers’ Genes Collide,” IEEE
Spectrum Online, October] is finding a mate who
has “chemistry” with you. By this, I mean not just a
physical attraction but an attraction that goes
deeper and is defined by your own innate needs as
is directed by one’s own genes.
The lack of this ability to “hear” the calling
of one’s genes could be a result of an oversexed
society that views a societal singular image that
is all too stereotypical as more appropriate than
the unique-faceted image that is developed by
encouraging uniqueness and individualism—which is
the key to any species’ survival.
The problem may be truly a social disease,
where society at large is accepting a
commercialized view of who we should be and paying
less attention to the arts and the individualistic
attitude that art inspires. Although I suppose
another argument could be made that this is an
anomaly constant with an evolutionary shift.
Mike Tocher
IEEE Member
Nipomo, Calif.
Fuel Efficiency
In “Stricter
U.S. Gas Standards Stalled” [News,
September], the 5 and 10 percent gasahol numbers
are political numbers. When less than 15 percent
ethanol is mixed with gasoline, fuel economy suffers
and emissions rise. Studies in the 1970s showed
that a mix with 15 to 22 percent ethanol results in
increased fuel economy and reduced emissions.
Meeting the heavy CAFE (corporate average fuel
economy) standards is now readily obtainable in
engines using direct fuel injection. With
carburetors, it was required to mix fuel with air.
Air contains nitrogen, which inhibits combustion.
The formation of nitrogen oxides is endothermic and
reduces the cycle efficiency by up to 30 percent.
Separating nitrogen from the air feedstock is easily
done at the aspiration pressures of an internal
combustion engine.
When excess oxygen is present, complete
combustion becomes possible, resulting in SULEV
(super-ultra-low-emissions vehicle) emissions and
requiring substantially less fuel for the same
output horsepower. The caveat is that elimination of
a catalytic converter and building of a smaller
block results in lower manufacturing costs and,
hence, lower sticker prices for a greener, more
fuel-efficient vehicle, with similar or better performance.
Robert Balch
IEEE Member
Woodland, Calif.
A Quicksand of Clicks
I caught the article about “click fraud”
[“When
Good Clicks Go Bad,” Technically
Speaking, October] in my Google alerts for “direct
navigation.” Don’t know much about the click fraud
problem other than a lot of it is in Russia and
overseas, not in the United States. I can tell you
that most major parking services and the aggregators
(Yahoo and Google) are heavy hitters
when it comes to click fraud. They have spent
millions of dollars setting up parameters to
prevent this type of activity.
The problem of click fraud has been actually
estimated to be less than 5 percent of all
click-throughs, although there is no way of being
sure. One thing is certain: if click fraud were
rampant, Google and Yahoo wouldn’t be making
billions a year in pay-per-click ads.
My purpose for writing, though, is to inform
the author and your readers that “direct
navigation” is not the result of links from “link
farms” and other forced redirects, but from the
simple act of the user typing in the browser
search bar (or URL locater) the exact phrase of the
product/service/info they want, and then adding a
.com, .net, .org, .info, or other extension behind
it. In other words, if you wanted to find out
information on the spinach E-coli problem, you
might want to type in your browser search bar
“produceindustry.com.” (Warning: this author owns
that domain, so you would end up on my parked page.)
Direct navigation, or “browser searching” or
“item surfing,” is the process of using the domain
name itself to find a product, not a way to lure
people through preset links on Web pages. The
process is a very much understood and valuable
procedure in the investment industry, which includes
some powerful players paying high prices for
domains that describe their products and services.
They know people who need wheelchair cushions will
type in “wheelchaircushion.com” (another of this
author’s domains) into their browsers to see what
Web site comes up.
If the domain is owned by a domain speculator,
it will be parked at a parking service that
provides the owner with a free Web page and
advertisers’ links. If visitors click a link to
find out more information on the products they’re
looking for (say, a wheelchair cushion), then the
parking service gets paid by the ad aggregator
(such as Google or Yahoo), and the parking service
splits the revenue with the domain owner (me).
The whole point of legitimate domainers—those
who invest in keyword domains by buying them and
parking them or building them into relevant sites—is
to make money by legal means, so
that they can stay in business, promote their own
products and services, and maybe sell the domain
later to a company that finally “gets it.”
Any company that doesn’t own the keyword
generic domains of the products they sell is not
going to have a great online presence in the next
two years. Most people (and retail buyers) by then
will understand that if they want impact
sprinklers, for instance, probably the most reliable
supplier of impact sprinklers will be the company
that owns “impactsprinkler.com.” They will bypass
the search engine mess and just type that domain
directly into their browser bar to see what comes
up. That will be the quickest way for Internet
users to find what they want.
Stephen Douglas
Manhattan Beach, Calif.
Terms of Appointment
The article “What’s Up, Postdoc?” [Careers,
September] states that “British academics hold
fixed-term appointments and are reevaluated at the
end of the term, which can lead to their losing
their positions.” This is not true. What is true,
as stated in the article, is that tenure was
abolished in UK universities during the reforms of
the 1980s.
As a result, most UK academic positions may be
terminated by either side on, say, three months’
notice, typically to take effect at the end of a
semester (to try to prevent a faculty member from
leaving courses in disarray). There may also be a
probationary period of a few years, typically three.
Details vary by institution.
Nevertheless, the usual expectation for most
faculty members is to continue in their positions
indefinitely unless transgression or dire
performance forces them out.
Also, the lecturer grade in the UK (roughly
equivalent to assistant professor in the United
States in terms of seniority, responsibilities, and
performance expectations) is formally regarded as
a “career grade,” with many lecturers staying in
that grade for much more than the six years that
would be normal for a U.S. assistant professor,
because, for whatever reason, they are not
promoted to senior lecturer (roughly equivalent to
U.S. associate professor).
Regular faculty appraisals (frequency varies
among institutions) were introduced in UK
universities as a result of salary reforms in the
1990s, and in some cases have been used as a basis
for removing certain people.
Perhaps that is what your author was thinking
of, but appraisals are a long way from fixed-term
contracts. There are also some fixed-term faculty
positions available in special circumstances, such
as to fill a temporary vacancy caused by a regular
academic being awarded a sabbatical or a multiyear
fellowship, but these are not the norm.
Postdoc research-only appointments—much more
common in the UK than in the United States in the
EE field—are almost all fixed-term but are not
regarded as faculty positions and usually carry no
teaching or supervisory duties. A UK postdoc
position is a typical stepping-stone between a Ph.D.
and a faculty appointment.
Clive Woods
IEEE Senior Member
Baton Rouge, La.
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