Mortality

Here's a pair of medical terms I have often seen together. One of them I thought I had a moderately good understanding of the meaning, and the other I wasn't really sure exactly what it meant.

As with my previous post in this series, the same comment applies: If a medical doctor happens to read this and notices that I have something wrong, I would be thrilled to get a correction. I'm not a doctor and I'm writing this for other not-doctors; while I'm ok with simplification I don't want to be wrong.

Now, for my pair of terms: mortality is the former; it means how many people die. (Rather appropriate for a Hallowe'en post!) But it's also more than that; it is, specifically, the number of deaths in a given group over a given time period, and what the group and time period is has to be defined. The restrictions make sense, once I stopped to think about it: ultimately, the mortality of humans is 100% - everybody dies of something, at some point. But if you look at the mortality of a disease, or a type of accident, then the group is restricted to the people who have that disease or that injury, and the time is restricted to the time of the study, and the mortality is less than 100%. Something else kills the other people in the study at some other time, not covered by the study.

Acid and oxygen

Acid rock drainage is one of the big environmental problems facing hard rock mines, because it keeps going for decades after the mine is closed and abandoned, poisoning everything downstream with the toxic metals leached from the rock. It's a natural process that occurs wherever rock is exposed to oxygen and water; metal sulphides are oxidized by the oxygen to dissolved metal and sulphuric acid. Exposed rock is eventually consumed until there is little to no unreacted metal or sulphide accessible to oxygen.

However, as the process requires oxygen, it couldn't happen until the earth's atmosphere actually had oxygen in it. I haven't yet found a definitive description of what exactly the earth's atmospheric composition was before the change, but the difference between chemistry with and without oxygen is pretty clear, as oxygen is highly reactive and tends to get into everything. For one, the acid rock drainage I mentioned above. Another indication is the type of iron minerals deposited—with or without oxygen, and how much oxygen. As iron combines very easily with oxygen, if you find an iron deposit without any oxygen there's a good chance no oxygen was available to it at the time it was formed.

Research

I've been following the Science Based Medicine blog for a while now (even though I'm not a doctor) and one of the things I realized is that medical research is a whole lot more complicated than, say, chemistry. In the sort of trials I might do, if you put the same ingredients in a jar, you'll get the same results every time. In medical trials, this isn't the case, because human bodies are a whole lot more complicated than even a jar full of a hundred different chemicals. I sort of already knew this, but some of the articles on SBM have really made this clear to me.

Another thing I realized is that there is a lot of vocabulary around these trials which I only partially understood. So, here is my attempt at explaining this stuff more completely to myself. And, as it says in my sidebar, "I thought I'd share."

(If a medical doctor happens to read this and notices that I have something wrong, I would be thrilled to get a correction. I'm not a doctor and I'm writing this for other not-doctors; while I'm ok with simplification I don't want to be wrong.)

The first one I'm going to cover is clinical trials.

Happy Thanksgiving

I'll be back next week with something. This weekend is for overeating and visiting family, not working and writing.

Simulated Failure

Simulating normal operation is something that's been done for a while now, ever since computers got powerful enough to do it. Once validated, a model of, say, a stirred tank, will let an engineer consider where two liquids being mixed are not mixing properly, or where fragile solids are likely to be broken because the shear is high, and adjust the design accordingly before the manufacturer ever cuts metal.

I started by talking about fluid dynamics simulation because that and chemical reaction simulation are the two aspects I'm most likely to work with. Other simulations which could affect me but are outside of my field are materials and mechanical related - pipe and tank fractures, for example. The stresses and weak points of a piece of equipment are something I have to trust to a mechanical engineer, but I have to think about it at least a bit, because what's inside those tanks and pipes is sometimes hot, sometimes toxic, sometimes corrosive, or other forms of dangerous and undesirable to have present outside the equipment, and I have to know what kind of safety features and procedures I have to put in place, from sensors to detect a small leak to secondary containment to prevent a catastrophic spill from escaping and doing even more damage.