Doctor’s Warn Against Using ‘My AI’ for Health Support

Snapchat is among the first of popular social media apps to incorporate emerging artificial intelligence (AI) software directly into user interface. The AI feature acts as a chatbot allowing users to ask questions and communicate for advice, planning trips, recipes, and trivia games. However, as the feature is gradually gaining more popularity and scope with new users, an alarming number of teens have begun to turn to the AI chatbot for mental health support, which doctors caution against. 

Many people have questions on the validity, safety, and scope of artificial intelligence invading day-to-day lives. The technology has observed rapid incorporations into mainstream media, employment tasks, and daily utilization over the last decade. As artificial intelligence continues to develop it also raises questions about its utility and user safety. Doctors are beginning to dissect the full potential of AI and are currently in discussions exploring associated benefits and risks. 

What is Artificial Intelligence?

The basic definition of AI is the scientific engineering of intelligent machines that expands beyond computers' ability to understand to bridge the gap between biological observance and human intelligence. Artificial Intelligence inside human technology has been a topic of interest since the 1950s, and has continued to be refined and implemented over the past 70 years. 

The simplest form of AI seeks to combine robust amounts of data enabling a program to engage in problem solving, without human interference. AI algorithms are created to synthesize datasets using machine and deep learning protocols that output predictions and classifications. 

Deep Learning

• Comprised of neural networks

• Predominantly automated extraction from datasets

• “Scalable machine learning”

• AI determines results between data inputs and outputs

Machine Learning

• Requires human intervention or facilitation to extract entire datasets

• Restricted to smaller datasets

• Human observes determine results between data inputs and outputs

A variety of different applications for AI has been developing incorporating both factors of algorithm learning. Some of the most common systems implementing AI include speech recognition, customer service, computer vision, recommendation engines, and automated stock trading. Many aspects of society are beginning to rely on artificial intelligence features to facilitate daily tasks and communications, gradually invading people’s own personal data and online activities. 

The applications of artificial intelligence are continually expanding and recent developments have spurred many doctors into researching potential uses related to patient care as the technology is already aiding X Rays, digital imaging, and hospital management.

Artificial Intelligence in Healthcare

Millions of users across the country are familiar with some form of artificial intelligence in their life, often acting as rollout testers as companies rush to create competitive products for users. The rapid distribution across the internet has made accessing AI tools incredibly easy for average users. These tools are most often being used to develop medical diagnoses, writing assignments, software installation, and so many other tasks. 

Critics of the technology argue large spearheading companies like Microsoft and Google have failed to completely test the safety and validity of the new tools before distributing to the public. Artificial Intelligence has already raised concerns over employment security, privacy violations, misinformation campaigns, and identity theft as even President Biden has advocated for ensuring AI’s safety, and addressing aforementioned risks. Officials agree the technology has the potential to significantly improve lives in medical settings, but only after it can meet new legal responsibility regulations. President Biden and his administration have released an AI Bill of Rights and risk management framework to begin the facilitation of the technology on its pathway to medical utility. 

AI Bill of Rights: To address urgent challenges surrounding artificial intelligence by describing five core protections each American is to be entitled.

1. Safe and Effective Systems

1. Users should be protected from unsafe and ineffective systems. 

2. Algorithmic Discrimination Protections

1. Users should not be subjected to discriminations by algorithms

2. Systems should be used and designed in an equitable manner

3. Data Privacy

1. Users should be protected from abusive data practices by installing protections and agency control governing how data is used and stored. 

4. Notice and Explanation

1. Users must be alerted to the automated system being used and understand its contributions to its uses. 

5. Alternative Options

1. Users must have an opt out option, to be redirected to a person that can consider and remedy problems manually. 

Artificial Intelligence Meets Mental Health

Many doctors agree there are a multitude of uses and potential benefits for supporting mental well being with artificial intelligence, most notably addressing the severe nationwide shortage of active providers. Technological solutions based on AI usage would allow greater accessibility to health professionals by patients, and facilitate ongoing daily treatment plans. Doctor Zachary Grinder, a psychological consultant in California even described how the technology could be used to identify concerning patterns of language and online behavior indicative of underlying mental health conditions. He also described how direct access to mental health communications can normalize the condition and get people connected with appropriate services. 

The caveat to the potential benefits is the interpersonal dependency AI interactions may inadvertently cause in a patient’s life. As the tools continue to advance and expand user applications, some users may begin to rely too heavily on their relationship with the artificial intelligence rather than human connections. Early users to tools released on several media platforms have already described how they tend to use their AI chats when lonely, looking for a ‘quick fix’ to their mental health. 

One of the most significant areas of concern for many doctors is the human-like response style and clinical authority most AI chat bots reply in. This style of dialect can be confusing to younger demographics who may not realize they are not communicating with a person. The clinical authority with which AI provides solutions is also perceived to be accurate by the user, when algorithms operating the AI sometimes fabricate answers. The complications of AI uses reach far beyond mental health vulnerability and the technology is likely to be subjected to many additional regulations as it continues to advance, attempting to limit misinformation and protect users.

OSHA’s Beat the Heat Contest to Further Temperature Hazard Prevention

Every year companies face challenges during the summer related directly to temperature and heat based injuries, with dozens of employees facing death and severe heat related illnesses every year in the United States. Just last year there were almost 2,000 reported injuries and illnesses related to environmental heat. States in the southwestern United States often face average summer temperatures well over 100 degrees Fahrenheit, subjecting construction and other outdoor industries to dangerous conditions. 

Employers all over the country have already started preparing for the start of summer, and the Occupational Safety and Health Administration (OSHA) has developed several educational resources, regulations, and aids to enhance employee safety. Some techniques OSHA has used to help prevent employee related heat injuries while at work include crafting temperature-illness prevention plans, teaching materials, and ensuring workers have access to things like shade and water. This year OSHA has also launched a ‘Beat the Heat’ contest to incentivize and reward industries taking the necessary steps to prevent employee injuries. 

The ‘Beat the Heat’ Contest

The ‘Beat the Heat’ Contest was started by OSHA this year to uncover more resources and further raise awareness of the risks employees and employers will face this summer. For the contest employers will submit any tools and resources they are implementing to contribute to employee education and work safety regarding heat hazards. The purpose of the contents is industry and public awareness related to the dangers of excessive heat exposure, and to motivate all entities to prevent heat illnesses from occurring. 

A panel of OSHA and federal agency workers will form a judgment panel to decide on a winner of the contest. All members of the panel will have some expertise in relevant heat related subject matter and judge based on the how well the submissions:

• Identify heat risk to workers

• Provide informative messages

• Utilize creative communication methods

• Create engagement with employers, employees, and relevant stakeholders to work together forming effective communications concerning the hazardous risks of heat exposure in the workplace. 

• Apply effective communication and message strategies to be accessible and easily understood by all workers, employers, and relevant stakeholders. 

• Consider the geographic significance of the employment industry sector

Award Categories will include:

• Most Innovative

• Most Creative

• Boldest Message

• Best Non-English Submission

• Highlighting Indoor Heat Hazards

• Highlighting Young Workers

The employee industries will have until June 9, 2023 to submit their entries into the contest, and winners will be determined shortly thereafter. 

Heat-Illness Resources and Education

Heat stress is one of the most commonly reported injuries by workers exposed to extreme heat conditions on the job. Heat stress can result in a variety of complications including heat stroke, heat exhaustion, heat cramps, and heat rashes. High temperatures can also increase the risk of workplace accidents by causing sweaty palms, foggy protective eyewear, and disorientation. Another commonly reported injury is a variety of surface burns from the sun, and from contact with metal surfaces left in direct sunlight. 

Many workers and industries have exposed areas of risk when discussing heat related illnesses and injury. Workers at risk of heat stress include industries that contact the outdoors including hot environments including firefighters, bakeries, farmers, construction workers, miners, boiler room technicians, factory employees, and many others. 

These workers are at a much higher risk when they are overweight, over the age of 65, have heart disease, have high blood pressure, or take medications that may be affected by extreme heat exposure. 

Types of Heat Related Illnesses 

• Heat Stroke

• The most serious heat-related illness that occurs when the body can no longer control its temperature. The body’s temperature will continue to rise until the sweating mechanism fails and the body is unable to cool down, causing permanent disability or death if the person is left untreated. 

• Heat Exhaustion

• The body’s response to excessive loss of water and salt, most likely through excessive sweating. This will most commonly affect the elderly and people with underlying health conditions that are working in hot environments. 

• Rhabdomyolysis

• A medical condition associated with heat stress and prolonged physical exertion in high temperatures. Rhabdo causes the rapid breakdown of and death of muscle releasing large quantities of electrolytes and protein into the bloodstream. This condition can result in irregular heart rhythms, seizures, and kidney damage.

• Heat Syncope

• A fainting episode or unusual dizziness often associated with standing too long or sudden elevation changes of the head above the body. Factors that can exacerbate this condition are dehydration and lack of acclimatization. 

• Heat Cramps

• Usually affect individuals who often sweat profusely during physical exertion or strenuous activity. Sweating depletes the body’s salt and moisture levels creating painful muscle cramps, also an indication of the early stages of heat exhaustion.

• Heat Rash

• A skin irritation caused by excessive sweating during high temperatures and humid conditions. 

All of these conditions should be completely addressed by employer heat prevention plans, and all employees should be fully educated about the risks and early symptom signs related to each heat related illness. 

Heat-Illness Prevention Methods

Planning and supervision are two factors that can significantly reduce heat related illness and injury to employees while at work. Employers should develop a written plan to prevent heat-illnesses from happening so employees have the highest level of safety and awareness.

Prevention Plans should include:

• Who will provide daily oversight?

• How will new workers develop heat tolerance?

• Temporary workers may be more susceptible to heat and require closer supervision.

• Workers returning from leave  (more than two weeks) may be at increased risk.

• How will the employer ensure first aid is adequate and the protocol for summoning medical assistance in situations beyond first-aid is effective?

• How will heat stress be measured?

• How to respond to the National Weather Service’ heat advisories?

• How to determine if the total heat stress is hazardous?

• What training will be provided to workers and supervisors?

Heat conditions can change rapidly and must require day-to-day supervision to ensure all the policies and prevention plans effectively do their job to benefit employees. Supervisory individuals at a work site should be responsible for constantly monitoring and implementing employer heat plans as conditions change throughout the day, and ideally the individual should also be on site where the workers are. 

America’s Tornadoes are Evolving

In the last few weeks a flurry of tornadoes devastated many regions in the midwestern United States.These storm cells left scientists and the communities wondering why tornadoes seem to be increasing in frequency, devastation, and expansion across the United States. Peak tornado season lasts between March and June with approximately 70 percent of yearly storm cells being recorded during those months. However, as a warming climate continues to modify atmospheric conditions scientists are observing certain changes in the aspect of tornado patterns and basic formation. 

The 2023 season has already observed five times reported preliminary tornado reports than the average between 1990 and 2010. The month of January alone had an astounding 168 reports of tornado storm cell activities across the United States. 

While it is still too early to definitively relate climate change to increased tornado activities, scientists are able to correlate some adverse side effects to the subtle evolution of tornado size, span, and frequency as they continue to wreak havoc across the United States each year. 

Understanding Tornado Patterns

Tornadoes are a rapidly rotating column of air that extends from a thunderstorm cell system in the atmosphere to the ground. Tornadoes become visible as they form a condensation tunnel of wind that collects water droplets, dust, and debris. Some tornadoes have been recorded with wind speeds of more than 300 miles per hour, completely destroying anything in their path. These storm cells can be some of the most dangerous and destructive weather phenomena, responsible for countless deaths and economic damages each year. 

Tornadoes occur predominantly in the midwestern United States, but other areas of the world that experience them include Argentina, Bangladesh, and various reports on the other continents. The United States records about 1,200 tornadoes every year, however average reports overtime are somewhat inconsistent because official records only date back to 1950 and recording methods have changed overtime. 

The media often refers to an area of the United States known as tornado alley when discussing these deadly storm cells and their typical range across the United States.Although the region is a relatively common for tornado activities, the idea of “tornado alley” can be somewhat misleading.

Tornadoes have been reported in all fifty states, and many violent tornadoes have occurred outside of “tornado alley”. In the cooler months of the year tornadoes are more likely to affect the southeastern states, while the southern central plains regions are more at risk in the warmer months between May and June, and the northern plains during early summer months. 

Environmental Trends Affecting Tornadoes

To understand how environmental conditions may be affecting tornado storm cell development and resulting damages, meteorologists have been researching trends in their parent strom cell development. The scientists have been closely observing how changes in atmospheric humidity, temperature, and jet stream cycles may affect storm cell formation. 

Most tornadoes in the United States form from an uncommon supercell thunderstorm system which requires moist warm air to form close to the ground and a strong wind shear. The system requires a strong vertical wind shear caused by changing wind speeds and direction closer to the ground to draw the warm moisture up into the atmosphere. The air begins to spin cyclonically as it lifts off of the ground and continues to narrow and increase its cyclonic speed as it begins to form a menacing funnel cloud. The funnel and rotating system are the first indication of a potential tornado, but are only classified as such if they actually touch down on the ground. 

Factors Affecting Tornado Patterns 

• Increased heat and humidity in the atmosphere

• Modifications to the jet stream

• Larger and more frequent supercell thunderstorm systems

Since scientific data is fairly limited and inconsistent, scientists cannot definitively identify long term changes in the storm cells over time. They have described that we are currently in an “experimental” phase studying how tornadoes are evolving, and they can only hypothesize what the future will entail. 

The Future of Tornadoes

As warming surface trends, associated with ongoing climate changes, continue scientists have identified possible modifications to the patterns and formation of tornado storm systems as we have observed over the past 70 years. While long term predictions are not possible due to the lack of consistent and historical data, preliminary conclusions and warnings can be formulated. 

Meteorologists have already recorded an increase in the size and frequency of many supercell tornadoes, as damages have continued to surpass millions of dollars in economic losses each year. Continued expansion of industrial and residential development in at-risk regions has contributed to the increased death toll related to tornadoes in the past decades. Another factor is the increasing spread and range the storms are beginning to acquire, as unprepared regions are exposed to the severe risks associated with tornado development. 

Droughts and atmospheric conditions have resulted in fewer deadly tornadoes in states like Texas, Louisiana, Oklahoma, Kansas, South Dakota, Iowa, and Nebraska. A dangerous tornado developed just last month in New Jersey leaving multiple people dead and more continue to appear in states outside the tornado alley region. The southeastern states have a long wind shear that forms the necessary conditions for tornadoes when combined with increased atmospheric temperature and humidity contributed by climate change. The necessary conditions may suggest the range of tornadoes will continue to expand to bordering states previously at a lower risk to these kinds of natural disasters. Meteorologists also suggest supercell thunderstorm formation will likely shift toward later winter and early spring months rather than summer and fall as seasonality is also affected by climate changes. 

There are many uncertainties associated with how and where tornadoes continue to evolve, but scientists are undoubtedly sure there will be continued increases in devastation, loss of life, and economic damages. The United States population has almost doubled since 1950 and increased development across tornado alley and the east coast, suggesting tornadoes are more likely to affect more people than ever before. 

CORE Liability Protections in Workplace Health and Safety

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Science Closer Than Ever to an HIV Cure

Scientists have confirmed that a 5th person has recently been cured from HIV. This patient joins an incredibly small group of people who have participated in treatments that have effectively eliminated HIV from their systems. Experts agree there is still a plethora of work and trials that need to take place before effective forms of large scale distribution can be applied to the more than 30 million people currently living with the disease. 

The news of another person cured from HIV brings hope to infected patients around the world, and suggests we are one step closer to finding a global cure. HIV has been studied rigorously over the past 50 years, leading to various methods to treat and manage symptoms of the disease, significantly extending patient’s lives and preventing pier-to-pier transmission. Much of the current treatment is focused primarily on reducing active viral loads found in a patient’s blood, and preventing HIV from advancing into its life threatening form as AIDS. 

As people afflicted with the disease are able to live longer and prevent further transmission, scientists are able to continue studying the harmful disease, searching for a global solution. More patient trials are scheduled to take place throughout the remainder of this decade as technology and new understanding of how to control the disease continue to advance bringing us one step closer towards a cure.  

History of HIV

HIV, otherwise known as the human immunodeficiency virus, attacks a person’s immune system increasing their likelihood of succumbing to other opportunistic infections and serious illness, effectively killing them. The disease is a lifelong affliction and can be easily transmitted through contact with the bodily fluids of another infected person. 

After contracting HIV a person may experience flu-like symptoms that gradually progress through the three stages of the disease before becoming life threatening. 

• Stage 1 Acute HIV Infection:

• Patient’s have a large quantity of HIV in their blood and are extremely contagious. 

• Patient’s exhibit many persistent flu-like symptoms like fever, sore throat, swollen glands, rash, muscle aches, fatigue. Etc.

• Stage 2 Chronic HIV Infection:

• The asymptomatic HIV infection stage where the disease is still active and producing within the body, but patients will likely not exhibit any symptoms. 

• Without treatment, the stage may continue for a decade or longer.

• Stage 3 Acquired Immunodeficiency Syndrome

• The most severe and life threatening stage of HIV infection.

• Patient’s have high viral load and can easily transmit the disease.

• Patient’s exhibit badly damaged immune systems exposing them to various opportunistic diseases and illnesses. 

• Without HIV treatment, people with AIDS typically only live up to three years after progressing to this stage. 

An HIV diagnosis is not life threatening with adequate treatment, however it is almost always fatal if the disease is left untreated and it advances into its later Stage 3 form as AIDs. There is no cure for HIV or AIDS, however doctors have developed significant advancements in medicine usage to effectively treat the symptoms of HIV, prevent its transmission, and extend the lives of infected people. 

There are currently 38.4 million people living with HIV, all who rely on the aid of modern medicines to remain alive. The disease has been dated back to the early 1800s, thought to originate from an interspecies transmission between chimpanzees and humans.The ape virus origins is thought to have entered human populations after hunters came into contact with the infected meat of a population of chimpanzees in Africa. Over the decades following the initial transfer, the disease spread across Africa and into the rest of the world spreading to the United States of America in the mid to late 1970s. 

How Stem Cells Cured HIV

The first patient ever cured from HIV was a German patient named Timothy Ray Brown in 2009. Timothy Brown was first infected with HIV in 1995 as a student in Berlin, where he successfully controlled his viral loads using medication. However his health took a significant turn for the worse in 2006 after he was diagnosed with leukemia. He was forced to undergo several operations, including a bone marrow transplant using stem cells.

Due to his positive HIV diagnosis, the doctors operated the allogeneic stem cell transplant using stem cells from a donor with the CCR5 gene mutilation which made them resistant to HIV infections. 

Mr. Brown was forced to halt his HIV medications when starting the stem cell treatment, although he continued to get tested for signs of HIV. As doctor’s continued to monitor him, they were unable to find any signs of HIV in his blood or body for the next three years after his transplant. Additional studies were also able to identify decreases in HIV specific blood antibodies indicating the elimination of functional HIV from his system. 

After presenting his patient case at the Conference on Retroviruses and Opportunistic Infections additional patients continued to be cured using the same methods.The other cured patients all underwent similar stem cell therapies to combat various forms of blood cancers. This method of treatment is not realistic over large scales because the human stem cell donors that bear the crucial CCR5 HIV resistant genetic mutation only account for approximately 1% of the global population, and stem cell transplantation is an extreme treatment with a myriad of associated risks.

Working Towards an HIV Cure

HIV is an incredibly complex virus that persistently spreads throughout a person’s body once infected. The disease can exhibit periods of latency while continuing to spread through cells in the body, even while under the medication of antiretrovirals (ARV). The main problem for scientists working towards a cure is finding a way to uncover and specifically target these hidden HIV cells that can unfortunately be reanimated if a patient stops using their medications, leading to reinfection.

The first step scientists are exploring on the road to a cure is to influence the hidden HIV cells to produce recognizable HIV proteins that medicine and the body can identify. Once the cells harboring the HIV are identified, specific drugs may be used to tag these cells for the immune system to exterminate. Patients will be given the treatment while continuously using the ARV medication to ensure healthy cells are protected from infection. 

The biggest problem scientists are facing developing this induce and reduce method, is reactivating the hidden HIV without causing health complications to the subject. However, with many of the world’s top scientists working diligently towards this solution, there have already been advances in types of effective medication for identification. 

The scientists remain optimistic that the world is closer than ever to having a cure for this disease. Moving forward, the studies will progress from laboratories into clinical trials, eventually determining the applications for the rest of the infected population.