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Ulgueira and view over the Atlantic

6 Jul

Summer holiday 2018 – fly to Lisboa and rent a house in Ulgueira. Here´s a brief report and some suggestions.

 

 

We´re about an hour west of Lisboa, in the countryside in the tiniest of villages. The village is very very quiet, and immaculate. Many of the houses are summer residences, and the village seems almost deserted now in early July. The whole area is very quiet, even the beaches, with the exception of the tourist attractions: Lisboa, Sintra, even Cabo de Roca, the westernmost point on the European continent. It´s walking distance from our house, so we walked there. In the photo above, it´s dusk and quite cold, but all the more scenic.

The house is fabulous. Spacious, well kitted out, and made of beautiful materials. Just look at the tiled floor.

We try out the different beaches. Praia das Macas has a large pool, seawater and all. We were about the only guests on this particular day!

Praia do Guincho is “the best” and also wildest, and must be very crowded at peak season. When we were there, it was very roomy indeed.

Sintra is very fascinating. It´s good to read up on it before going – we didn´t. It´s good to avoid walking up to the palaces, since there is a lot of traffic on the one-way lane. We walked up … a Tuk-Tuk might be a good choice. Also try the railway from Praia das Macas; it´s a museum piece, but it works.

It´s worth taking a trip to the Santuário do Peninha, a few kms away from Ulgueira. The view from up there is excellent.

Food. In Malveira there is a well-stocked Spar supermarket, it has all you need, and a pharmacy across the road. As for restaurants, we tried Tamariz in Estoril – very erratic service, but lovely spot, and very stylish. At the opposite end of the scale, Sisudo in Almocageme. Highly recommended. Same goes for Adega do Coelho. Very authentic.

Do walk towards the beach and clifftops. Just go straight ahead and you can´t really miss it. The scenery is magnificent, and the sheer drops vertigo-inducing. Small kids – best held by the hand. We saw a fisherman fishing directly from the cliff-top into the sea 100 metres below.

Lisboa – fascinating and still unspoilt, but mass tourism is changing it fast. Lots of traffic…

And finally, the Portuguese. Very very friendly and excellent English. Hats off.

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en ubehagelig sannhet

6 Apr

Kader krysser hele byen fra øst til vest på banen. Utenfor står trærne mai-grønne.

På Bekkestua går han av. Sender SMS-en, og noen minutter senere stopper Audien rett bortenfor. Kader hopper inn, og de ruller mykt avsted. “har du med deg”? Selvsagt. De kjører noen minutter. Russebussen står på en gårdsplass. Bassen dunker, pappaguttene henger, sitter og ligger. Kader går rett inn i bussen, og rett etter går han ut igjen. I lommelykten fra Clahs Olsson som han har gitt fra seg er det kokain for 5 lapper. Han er lettet. Nå er det i orden, gutta har ikke mer på ham nå.

To dager senere er pistolen hans. Med de siste 5 har han nok til å handle. Albaneren som kjenner noen som kjenner noen har gjemt den på avtalt sted, og han pakker den ut med en lett skjelving. Browning 9mm, 20 skudd. Den er tung, pakket inn i oljet stoff, lukter våpenolje. Kader øver seg på å lade magasinet, sette det i, ta ladegrep. Hver gang legger han sluttstykket mykt tilbake, intet skudd er løsnet.

Ismail møter ham som avtalt. Tror vel at han er boss fortsatt. Det er lyse kvelder, de finner et halvmørkt sted bortenfor blokkene. Kader trekker Browningen og peker den mot magen til Ismail. Du bløffer – ikke kødd med meg, sier Ismail. Du ligger unna meg fra nå av, svarer Kader. Ismail går et skritt mot ham; han trykker instinktivt på avtrekkeren der fingeren ligger klar. Sikringen er av.

Kulen kutter Ismails bukaorta tvers av, og han forblør på to-tre minutter.

A patient-centric health record

29 Dec

It´s not too late, even if Google has discontinued its offering and the status of MS Healthvault is a bit hazy, especially in Norway.

It´s not too early, either. Patience is running out.

The health record (pasientjournal) is a document which serves the needs of the health care professional (HCP). That´s how it came to be, and that´s how it is described in law. When you provide health care, you have to keep a record. It serves both to document your actions and deliberations, and to communicate with the next HCP. It is to a far lesser degree intended for the eyes of the patient. Let´s fast forward to today. While you´re sitting in the waiting room you´re googling the latest info, and most of the time, you are up to speed on the disease and your outlook. The world has changed.

But the health record (including lab results, images etc) are still kept and controlled by the health service. In Norway, where the public purse pays for most, but not all health care, the public sector creates solutions that serve to move records between HCPs, without involving the patient. The newish “kjernejournal” does little to change this. If a major piece of information is missing, you cannot add it without involving your GP.

What´s more, or worse, if you get treated by a private HCP, or abroad, you cannot add information. If you then observe, as most will, that the right hand (AHUS) has no idea what the left hand (OUS) is doing, you have to bridge the gap yourself by acting as a kind of paper-based records service: you carry with you a bunch of print-outs to make sure the different actors are coordinated. You are your own best doctor, patient-coordinator, etc etc. If you have kids: repeat.

The solution is to create a personal health record which is controlled by the patient. Sounds like MS Healthvault, really, and I must find out what the snag is with that.

More likely than not, the rub lies with the law:  you cannot collect information about a person´s health just like that. You need a legal grounding; for instance that you are offering health services as an authorised HCP; in short, you´re a doctor.

So how can someone who´s not offering health services (not-a-doctor) collect health information legally? I do not know yet, but I suspect the key lies with encrypting the data at rest. I will argue that a collection of random 1s and 0s are not health information.
Let´s put the burden of proof on our opponents: give them a few megabytes of encrypted data and make them prove that it is health data. If they can´t, how can they argue that is IS health data?

So here´s the proposal. The architecture comprises three parts:

  • Client
  • Security Provider
  • Health Record Provider

The Client is any application, web or “app” or otherwise. The Security Provider controls who and what gets access to information; this in turn is determined by the user, who may delegate access to others. Further, the Security Provider manages encryption keys. These are used to unlock the information stored by the Health Record Provider. The latter entity is legally separate from the Security Provider, and stores encrypted data that happen to be about a person´s health. The Health Record Provider does not have access to the encryption keys until these are provided by the Security Provider. The Health Record Provider has logic to store incoming information and to transform information for display and export. This means that any information being treated must be decrypted on-the-fly, and exist in-memory in clear-text. As soon as the session ends, the memory is purged and no personal information is available to the Health Record Provider or any of its staff. A sine-qua-non requirement in this context is the requirement that the Health Record Provider never persists the keys it receives from the Security Provider. The key will most likely be symmetric. We could envisage using a number of keys, of course.

Another sticky detail is the fine-grained authorisation of access. This function entails storing information about information, which is in itself information. In order to solve this, the metadata about a given role´s access must in itself be encrypted. One way to solve this would be to associate a given role with a specific key. The couple (role, key)  must be managed by the security provider and stored by it. When a given role is authenticated and routed to the Health Record Provider, the key will unlock metadata such as “Physio record”, and this will in turn be used to filter the information that is stored. In order to avoid having to decrypt the entire record, an index will be stored as part of the metadata, pointing to the relevant parts of the record. An important detail to solve is how to update the index when new information is added to the record, since this might require access to the “Physio”-key and all other keys.

In order to avoid “tapping” of data from the Health Record Provider, the code that this entity runs must be audited and signed, and only the signed code must be possible to run. The auditing must be carried out by a trusted third party, like DNV-GL or similar.

On might argue that this introduces a fourth element in the architecture, namely the software provider. The role of this entity is to provide software that is guaranteed to be “leak-proof”. Beyond this, it must be possible to guard against scanning of the memory of the application.

A lot of tech is required. At the end of the day, the importance of this system lies in its ability to treat information of many kinds, index it (one patient at a time; index must be encrypted also) and make it available in a very granular form to clients. As an example I may want to share my data about my foot with my physio, but not the rest of my record, and to allow the physio to upload relevant information about the treatment. I may also decide that I want to store some biological parameters in the solution and make these, but only these, available to researchers or to a commercial party.

Why go to all this trouble? Chiefly because today´s health service can only scale if we make the patient autonomous, and replace service by self-service, like the banks have done.

Gjer ein annan mann ei beine

23 Aug

Han kom or fjellet, skulde heim,
fekk føring ifrå Osa
ut til Øydvinstó.
Og han var raust og baud betal.

Men Osamannen
var ikkje fal:

Eg vil betala;
eg kan ikkje nå deg
med ei beine att.

So gjer ein annan mann
ei beine då,
sa Osamannen,
og skauv ifrå.

Olav H Hauge

Beine: tjeneste. Øydvinstó er en plass i Hardangerfjorden.

Sirolo Numana Loreto Recanati 2017

27 Jul

This summer we went to Sirolo and stayed in www.lanticomulino.it .

Sirolo is a small town or village about 20kms south of Ancona. What makes Sirolo and Numana interesting, is nature itself. South of Ancona a mountain rises to about 570m along the coast, known as the natural reserve of “Conero” . At the southern end of this natural reserve are the villages of Sirolo and Numana – and then the coast is flat again. What this means is that for a short while you get a very different, and much more interesting, coastline, with white cliffs falling straight to the sea, and a very narrow beach strip below, sometimes only reachable via the sea itself. Essentially, the scope for tourism is limited by the the narrow beaches and the lack of big hotels, so the area is never crowded, and the tourists are mainly Italians. Numana has a breakwater, so you can swim also on windy days.

The picture below is taken from a boat, and shows a beach which can only be reached by sea.

cof

Whenever you want to get to the beach, you have to descend a steep road or track; but there are also public buses and in some places a “navetta” or shuttle-service, often in the shape of a white-painted Land Rover. Once you get there, you will find the usual Italian set-up: part of the beach is public, part of it private, and there you pay 15-20 Euros/day for a couple of sunbeds and a parasole. The sea is blue and transparent and warm.

In both Sirolo and Numana there are excellent restaurants specialising in fish. Our marks go to “La Taverna”, for its menu and friendly staff.

Then maybe you get into your hire car and drive to some of the medieval towns sitting on hill-tops in the immediate vicinity.

Recanati is famous for being the birthplace of Giacomo Leopardi, and also the place where he lived many years and wrote many of his poems – or at least, whence he drew inspiration for his poems. To get maximum benefit from Recanati, it helps to be familiar with Italian and with Leopardi….  the local Leopardi museum is a bit on the quaint side, but does contain his death-mask and the only portrait said to bear his likeness. You can visit the garden which is the key place in his (lovely) “L´Infinito”, the famous isolated hill (quest´ermo colle), but frankly, it´s a bit of a mess, a dilapidated garden. The view of the surrounding landscape is great, though, and that´s what inspired Giacomo. You can also visit his house, and the 20.000 volume library his father created.

Loreto is a place of pilgrimage. You will be absolutely astonished to find a huge monastery and a big basilica there, as a well as a busy trade in Catholic paraphernalia.

It´s an awe-inspiring place. It makes you feel small, and it makes you think, or even feel, all the suffering and longing that people have placed at the feet of the Madonna over the centuries.

The photo below shows the entrance to the basilica´s raison d´être, the sacred house. Well worth a visit in the afternoon, when you´re tired of the beach.

cof

Here´s what I believe to be the German chapel in the same basilica:

hdr

Summing up: a very good place for an adult get-away. Ancona is reachable by train from Venice in 3 hours or so.

Musikkliste

11 Jul

Her er liste over noe musikk jeg har et forhold til og anbefaler. Det handler kun om meg. Spotify-lenker der det trengs.

Titler med “fnutter” er enkeltsanger, ellers er det hele albumet.

Opera: (her ble det mye Puccini…)
Tosca: “Va Tosca” og “Lucevan le stelle”
Gianni Schicchi: “O mio babbino caro”
Turandot: “Nessun dorma” og “Non piangere Liú”

Klassisk:
Brahms
: Ein Deutsches Requiem, Otto Klemperer, Elisabeth Schwarzkopf, Fischer-Dieskau:

Bach: “Ehre sei dir, Gott, gesungen” fra Juleoratoriet: Peter Schreier og Rundfunkchor Leipzig.
(https://open.spotify.com/track/5tHU8QNYy0epHrH27VuFlz) (denne lenken funker ikke 100%, bla ned til del 5, No. 43 Ehre sei dir, Gott, gesungen)

Mozart: “Die königin der nacht”, f.eks. med Elisabeth Norberg-Schulz
(https://open.spotify.com/track/38gwrE0xxk2M9fx0mF6nu0) (spor 13)

Frank Martin: “Messe pour double choeur”. Dette er genial musikk.
https://open.spotify.com/track/6y3FlEUVwicL5DRI4YN0nL , f.eks. later til å være en OK innspilling! (Peter Dijkstra)

Grieg: Peer Gynt-suiten og “Fire salmer”

Pop og jazz og sånn
Miles Davis: Kind of blue og “Time after Time”, Sketches of Spain
Dire Straits: “Down to the waterline”,”Telegraph Road” og “Making Movies”
Pink Floyd: The Dark side of the moon, “Another Brick in the Wall ptII”, The Final Cut
Steely Dan: Aja og Gaucho (begge album)
Joni Mitchell: Hele hennes produksjon. Kun ett album?: Hejira. Eller Blue. Én låt? “A case of you” eller “Both sides now”
Bob Dylan: Infidels, og “Blind Willie McTell”, Live at Budokan
Neil Young: Harvest, Weld (live)
Bruce Springsteen: “The River”, “Factory”, “The promised land”, “Youngstown”, “Thunder Road”, “The Promised Land”, “Candy´s room”, “Independence day”, osv
Lillebjørn Nilsen: “Gategutt”, “God natt kjære Oslo”
Francesco de Gregori: “Rimmel”, “La leva calcistica del 68”, “Viaggi e miraggi”
U2: Under a blood red sky
Joy Division “Love will tear us apart”
Amy Winehouse “Back to black”
Elton John “Your song”, “Goodbye yellow brick road”
Michael Jackson “Beat it”
Whitney Houston “I will always love you”
Johnny Cash “Folsom prison blues” og “Sunday morning coming down”
Joan Baez “Prison trilogy”
Rickie Lee Jones “Chuck E´s in love”
The Beatles
David Bowie “Ashes to ashes” og “Space Oddity” og “Let´s dance”
Abba “The winner takes it all” og “Slipping through my fingers” og “Dancing Queen”
Queen “Bohemian Rhapsody”
“Alfonsin y el mar”, eks. https://open.spotify.com/track/2ed6hjsLkwjvXqe73olQCN
A-ha “Hunting high and low”
Nirvana “Smells like teen spirit”
Cock Robin “Just around the corner” – en av de beste popsangene, ever!
Maggie Reilly “Every time we touch”
Randy Crawford “You might need somebody”
Grover Washington Jr “Winelight”
George Duke “Prelude” fra Guardian of the Light (https://open.spotify.com/track/2Km6Z0cMr55jxVPcvOEm9m) samt “Reach out” fra samme album
Quincy JonesThe Dude (hele albumet)
Manu Dibango “Emma” med Salif Keita (hurra for Spotify!!) (https://open.spotify.com/track/1ltlkrZ2qV3JlCbdXNUa3N)
Marillion: “Kayleigh” ( og albumet den kommer fra )

 

Asics Super-Gel J33 / DS Trainer 23

27 Jun

*update June 2018: I find the DS Trainer 23 is a good replacement*

So Asics, you´ve discontinued this great shoe. Not good. I had to spend a lot of time in different shops. Loplabbet, where I got them, were no help at all. My request was simple: get me a replacement for these shoes. I switched to forefoot about 7 years ago and I have completed two half-marathons since then.

In the end, I was recommended Nike Lunartempo 2 at Oslo Sportslager. They share some characteristics, like a flat broad front, low drop, and moderate cushioning, key features I was looking for. I don´t like the squishy feel of the Nike foam, but here the sole is so thin it´s not an issue. In general I prefer the feel of ASICS, and will never forget my first pair, the Gel Lyte III, the one they made 25 years ago…

Summing up, the Nikes are nice, they suit me, and when you want to go fast, they are happy to join you. gel-super-j33