Skip to main content

Home/ New Media Ethics 2009 course/ Group items tagged Drugs

Rss Feed Group items tagged

Weiye Loh

Times Higher Education - Unconventional thinkers or recklessly dangerous minds? - 0 views

  • The origin of Aids denialism lies with one man. Peter Duesberg has spent the whole of his academic career at the University of California, Berkeley. In the 1970s he performed groundbreaking work that helped show how mutated genes cause cancer, an insight that earned him a well-deserved international reputation.
  • in the early 1980s, something changed. Duesberg attempted to refute his own theories, claiming that it was not mutated genes but rather environmental toxins that are cancer's true cause. He dismissed the studies of other researchers who had furthered his original work. Then, in 1987, he published a paper that extended his new train of thought to Aids.
  • Initially many scientists were open to Duesberg's ideas. But as evidence linking HIV to Aids mounted - crucially the observation that ARVs brought Aids sufferers who were on the brink of death back to life - the vast majority concluded that the debate was over. Nonetheless, Duesberg persisted with his arguments, and in doing so attracted a cabal of supporters
  • ...12 more annotations...
  • In 1999, denialism secured its highest-profile advocate: Thabo Mbeki, who was then president of South Africa. Having studied denialist literature, Mbeki decided that the consensus on Aids sounded too much like a "biblical absolute truth" that couldn't be questioned. The following year he set up a panel of advisers, nearly half of whom were Aids denialists, including Duesberg. The resultant health policies cut funding for clinics distributing ARVs, withheld donor medication and blocked international aid grants. Meanwhile, Mbeki's health minister, Manto Tshabalala-Msimang, promoted the use of alternative Aids remedies, such as beetroot and garlic.
  • In 2007, Nicoli Nattrass, an economist and director of the Aids and Society Research Unit at the University of Cape Town, estimated that, between 1999 and 2007, Mbeki's Aids denialist policies led to more than 340,000 premature deaths. Later, scientists Max Essex, Pride Chigwedere and other colleagues at the Harvard School of Public Health arrived at a similar figure.
  • "I don't think it's hyperbole to say the (Mbeki regime's) Aids policies do not fall short of a crime against humanity," says Kalichman. "The science behind these medications was irrefutable, and yet they chose to buy into pseudoscience and withhold life-prolonging, if not life-saving, medications from the population. I just don't think there's any question that it should be looked into and investigated."
  • In fairness, there was a reason to have faint doubts about HIV treatment in the early days of Mbeki's rule.
  • some individual cases had raised questions about their reliability on mass rollout. In 2002, for example, Sarah Hlalele, a South African HIV patient and activist from a settlement background, died from "lactic acidosis", a side-effect of her drugs combination. Today doctors know enough about mixing ARVs not to make the same mistake, but at the time her death terrified the medical community.
  • any trial would be futile because of the uncertainties over ARVs that existed during Mbeki's tenure and the fact that others in Mbeki's government went along with his views (although they have since renounced them). "Mbeki was wrong, but propositions we had established then weren't as incontestably established as they are now ... So I think these calls (for genocide charges or criminal trials) are misguided, and I think they're a sideshow, and I don't support them."
  • Regardless of the culpability of politicians, the question remains whether scientists themselves should be allowed to promote views that go wildly against the mainstream consensus. The history of science is littered with offbeat ideas that were ridiculed by the scientific communities of the time. Most of these ideas missed the textbooks and went straight into the waste-paper basket, but a few - continental drift, the germ basis of disease or the Earth's orbit around the Sun, for instance - ultimately proved to be worth more than the paper they were written on. In science, many would argue, freedom of expression is too important to throw away.
  • Such an issue is engulfing the Elsevier journal Medical Hypotheses. Last year the journal, which is not peer reviewed, published a paper by Duesberg and others claiming that the South African Aids death-toll estimates were inflated, while reiterating the argument that there is "no proof that HIV causes Aids". That prompted several Aids scientists to complain to Elsevier, which responded by retracting the paper and asking the journal's editor, Bruce Charlton, to implement a system of peer review. Having refused to change the editorial policy, Charlton faces the sack
  • There are people who would like the journal to keep its current format and continue accepting controversial papers, but for Aids scientists, Duesberg's paper was a step too far. Although it was deleted from both the journal's website and the Medline database, its existence elsewhere on the internet drove Chigwedere and Essex to publish a peer-reviewed rebuttal earlier this year in AIDS and Behavior, lest any readers be "hoodwinked" into thinking there was genuine debate about the causes of Aids.
  • Duesberg believes he is being "censored", although he has found other outlets. In 1991, he helped form "The Group for the Scientific Reappraisal of the HIV/Aids Hypothesis" - now called Rethinking Aids, or simply The Group - to publicise denialist information. Backed by his Berkeley credentials, he regularly promotes his views in media articles and films. Meanwhile, his closest collaborator, David Rasnick, tells "anyone who asks" that "HIV drugs do more harm than good".
  • "Is academic freedom such a precious concept that scientists can hide behind it while betraying the public so blatantly?" asked John Moore, an Aids scientist at Cornell University, on a South African health news website last year. Moore suggested that universities could put in place a "post-tenure review" system to ensure that their researchers act within accepted bounds of scientific practice. "When the facts are so solidly against views that kill people, there must be a price to pay," he added.
  • Now it seems Duesberg may have to pay that price since it emerged last month that his withdrawn paper has led to an investigation at Berkeley for misconduct. Yet for many in the field, chasing fellow scientists comes second to dealing with the Aids pandemic.
  •  
    6 May 2010 Aids denialism is estimated to have killed many thousands. Jon Cartwright asks if scientists should be held accountable, while overleaf Bruce Charlton defends his decision to publish the work of an Aids sceptic, which sparked a row that has led to his being sacked and his journal abandoning its raison d'etre: presenting controversial ideas for scientific debate
Weiye Loh

Rationally Speaking: The problem of replicability in science - 0 views

  • The problem of replicability in science from xkcdby Massimo Pigliucci
  • In recent months much has been written about the apparent fact that a surprising, indeed disturbing, number of scientific findings cannot be replicated, or when replicated the effect size turns out to be much smaller than previously thought.
  • Arguably, the recent streak of articles on this topic began with one penned by David Freedman in The Atlantic, and provocatively entitled “Lies, Damned Lies, and Medical Science.” In it, the major character was John Ioannidis, the author of some influential meta-studies about the low degree of replicability and high number of technical flaws in a significant portion of published papers in the biomedical literature.
  • ...18 more annotations...
  • As Freedman put it in The Atlantic: “80 percent of non-randomized studies (by far the most common type) turn out to be wrong, as do 25 percent of supposedly gold-standard randomized trials, and as much as 10 percent of the platinum-standard large randomized trials.” Ioannidis himself was quoted uttering some sobering words for the medical community (and the public at large): “Science is a noble endeavor, but it’s also a low-yield endeavor. I’m not sure that more than a very small percentage of medical research is ever likely to lead to major improvements in clinical outcomes and quality of life. We should be very comfortable with that fact.”
  • Julia and I actually addressed this topic during a Rationally Speaking podcast, featuring as guest our friend Steve Novella, of Skeptics’ Guide to the Universe and Science-Based Medicine fame. But while Steve did quibble with the tone of the Atlantic article, he agreed that Ioannidis’ results are well known and accepted by the medical research community. Steve did point out that it should not be surprising that results get better and better as one moves toward more stringent protocols like large randomized trials, but it seems to me that one should be surprised (actually, appalled) by the fact that even there the percentage of flawed studies is high — not to mention the fact that most studies are in fact neither large nor properly randomized.
  • The second big recent blow to public perception of the reliability of scientific results is an article published in The New Yorker by Jonah Lehrer, entitled “The truth wears off.” Lehrer also mentions Ioannidis, but the bulk of his essay is about findings in psychiatry, psychology and evolutionary biology (and even in research on the paranormal!).
  • In these disciplines there are now several documented cases of results that were initially spectacularly positive — for instance the effects of second generation antipsychotic drugs, or the hypothesized relationship between a male’s body symmetry and the quality of his genes — that turned out to be increasingly difficult to replicate over time, with the original effect sizes being cut down dramatically, or even disappearing altogether.
  • As Lehrer concludes at the end of his article: “Such anomalies demonstrate the slipperiness of empiricism. Although many scientific ideas generate conflicting results and suffer from falling effect sizes, they continue to get cited in the textbooks and drive standard medical practice. Why? Because these ideas seem true. Because they make sense. Because we can’t bear to let them go. And this is why the decline effect is so troubling.”
  • None of this should actually be particularly surprising to any practicing scientist. If you have spent a significant time of your life in labs and reading the technical literature, you will appreciate the difficulties posed by empirical research, not to mention a number of issues such as the fact that few scientists ever actually bother to replicate someone else’s results, for the simple reason that there is no Nobel (or even funded grant, or tenured position) waiting for the guy who arrived second.
  • n the midst of this I was directed by a tweet by my colleague Neil deGrasse Tyson (who has also appeared on the RS podcast, though in a different context) to a recent ABC News article penned by John Allen Paulos, which meant to explain the decline effect in science.
  • Paulos’ article is indeed concise and on the mark (though several of the explanations he proposes were already brought up in both the Atlantic and New Yorker essays), but it doesn’t really make things much better.
  • Paulos suggests that one explanation for the decline effect is the well known statistical phenomenon of the regression toward the mean. This phenomenon is responsible, among other things, for a fair number of superstitions: you’ve probably heard of some athletes’ and other celebrities’ fear of being featured on the cover of a magazine after a particularly impressive series of accomplishments, because this brings “bad luck,” meaning that the following year one will not be able to repeat the performance at the same level. This is actually true, not because of magical reasons, but simply as a result of the regression to the mean: extraordinary performances are the result of a large number of factors that have to line up just right for the spectacular result to be achieved. The statistical chances of such an alignment to repeat itself are low, so inevitably next year’s performance will likely be below par. Paulos correctly argues that this also explains some of the decline effect of scientific results: the first discovery might have been the result of a number of factors that are unlikely to repeat themselves in exactly the same way, thus reducing the effect size when the study is replicated.
  • nother major determinant of the unreliability of scientific results mentioned by Paulos is the well know problem of publication bias: crudely put, science journals (particularly the high-profile ones, like Nature and Science) are interested only in positive, spectacular, “sexy” results. Which creates a powerful filter against negative, or marginally significant results. What you see in science journals, in other words, isn’t a statistically representative sample of scientific results, but a highly biased one, in favor of positive outcomes. No wonder that when people try to repeat the feat they often come up empty handed.
  • A third cause for the problem, not mentioned by Paulos but addressed in the New Yorker article, is the selective reporting of results by scientists themselves. This is essentially the same phenomenon as the publication bias, except that this time it is scientists themselves, not editors and reviewers, who don’t bother to submit for publication results that are either negative or not strongly conclusive. Again, the outcome is that what we see in the literature isn’t all the science that we ought to see. And it’s no good to argue that it is the “best” science, because the quality of scientific research is measured by the appropriateness of the experimental protocols (including the use of large samples) and of the data analyses — not by whether the results happen to confirm the scientist’s favorite theory.
  • The conclusion of all this is not, of course, that we should throw the baby (science) out with the bath water (bad or unreliable results). But scientists should also be under no illusion that these are rare anomalies that do not affect scientific research at large. Too much emphasis is being put on the “publish or perish” culture of modern academia, with the result that graduate students are explicitly instructed to go for the SPU’s — Smallest Publishable Units — when they have to decide how much of their work to submit to a journal. That way they maximize the number of their publications, which maximizes the chances of landing a postdoc position, and then a tenure track one, and then of getting grants funded, and finally of getting tenure. The result is that, according to statistics published by Nature, it turns out that about ⅓ of published studies is never cited (not to mention replicated!).
  • “Scientists these days tend to keep up the polite fiction that all science is equal. Except for the work of the misguided opponent whose arguments we happen to be refuting at the time, we speak as though every scientist’s field and methods of study are as good as every other scientist’s, and perhaps a little better. This keeps us all cordial when it comes to recommending each other for government grants. ... We speak piously of taking measurements and making small studies that will ‘add another brick to the temple of science.’ Most such bricks lie around the brickyard.”
    • Weiye Loh
       
      Written by John Platt in a "Science" article published in 1964
  • Most damning of all, however, is the potential effect that all of this may have on science’s already dubious reputation with the general public (think evolution-creation, vaccine-autism, or climate change)
  • “If we don’t tell the public about these problems, then we’re no better than non-scientists who falsely claim they can heal. If the drugs don’t work and we’re not sure how to treat something, why should we claim differently? Some fear that there may be less funding because we stop claiming we can prove we have miraculous treatments. But if we can’t really provide those miracles, how long will we be able to fool the public anyway? The scientific enterprise is probably the most fantastic achievement in human history, but that doesn’t mean we have a right to overstate what we’re accomplishing.”
  • Joseph T. Lapp said... But is any of this new for science? Perhaps science has operated this way all along, full of fits and starts, mostly duds. How do we know that this isn't the optimal way for science to operate?My issues are with the understanding of science that high school graduates have, and with the reporting of science.
    • Weiye Loh
       
      It's the media at fault again.
  • What seems to have emerged in recent decades is a change in the institutional setting that got science advancing spectacularly since the establishment of the Royal Society. Flaws in the system such as corporate funded research, pal-review instead of peer-review, publication bias, science entangled with policy advocacy, and suchlike, may be distorting the environment, making it less suitable for the production of good science, especially in some fields.
  • Remedies should exist, but they should evolve rather than being imposed on a reluctant sociological-economic science establishment driven by powerful motives such as professional advance or funding. After all, who or what would have the authority to impose those rules, other than the scientific establishment itself?
Weiye Loh

A Data State of Mind | Think Quarterly - 0 views

  • Rosling has maintained a fact-based worldview – an understanding of how global health trends act as a signifier for economic development based on hard data. Today, he argues, countries and corporations alike need to adopt that same data-driven understanding of the world if they are to make sense of the changes we are experiencing in this new century, and the opportunities and challenges that lie ahead.
  • the world has changed so much, what people need isn’t more data but a new mindset. They need a new storage system that can handle this new information. But what I have found over the years is that the CEOs of the biggest companies are actually those that already have the most fact-based worldview, more so than in media, academia or politics. Those CEOs that haven’t grasped the reality of the world have already failed in business. If they don’t understand what is happening in terms of potential new markets in the Middle East, Africa and so on, they are out. So the bigger and more international the organisation, the more fact-based the CEO’s worldview is likely to be. The problem is that they are slow in getting their organisation to follow.
  • Companies as a whole are stuck in the rut of an old mindset. They think in outworn categories and follow habits and assumptions that are not, or only rarely, based on fact.
  • ...10 more annotations...
  • For instance, in terms of education levels, we no longer live in a world that is divided into the West and the rest; our world today stretches from Canada to Yemen with all the other countries somewhere in between. There’s a broad spectrum of levels
  • even when people act within a fact-based worldview, they are used to talking with sterile figures. They are used to standing on a podium, clicking through slide shows in PowerPoint rather than interacting with their presentation. The problem is that companies have a strict separation between their IT department, where datasets are produced, and the design department, so hardly any presenters are proficient in both. Yet this is what we need. Getting people used to talking with animated data is, to my mind, a literacy project.
  • What’s important today is not just financial data but child mortality rates, the number of children per women, education levels, etc. In the world today, it’s not money that drags people into modern times, it’s people that drag money into modern times.
  • I can demonstrate human resources successes in Asia through health being improved, family size decreasing and then education levels increasing. That makes sense: when more children survive, parents accept that there is less need for multiple births, and they can afford to put their children through school. So Pfizer have moved their research and development of drugs to Asia, where there are brilliant young people who are amazing at developing drugs. It’s realising this kind of change that’s important.
  • The problem isn’t that specialised companies lack the data they need, it’s that they don’t go and look for it, they don’t understand how to handle it.
  • What is so strong with animation is that it provides that mindset shift in market segmentation. We can see where there are highly developed countries with a good economy and a healthy and well-educated staff.
  • At the moment, I’m quarrelling with Sweden’s Minister of Foreign Affairs. He says that the West has to make sure its lead over the rest of the world doesn’t erode. This is a completely wrong attitude. Western Europe and other high-income countries have to integrate themselves into the world in the same way big companies are doing. They have to look at the advantages, resources and markets that exist in different places around the world.
  • And some organisations aren’t willing to share their data, even though it would be a win-win situation for everybody and we would do much better in tackling the problems we need to tackle. Last April, the World Bank caved in and finally embraced an open data policy, but the OECD uses tax money to compile data and then sells it in a monopolistic way. The Chinese Statistical Bureau provides data more easily than the OECD. The richest countries in the world don’t have the vision to change.
  • ‘database hugging disorder’
  • we have to instil a clear division of labour between those who provide the datasets – like the World Bank, the World Health Organisation or companies themselves – those who provide new technologies to access or process them, like Google or Microsoft, and those who ‘play’ with them and give data meaning. It’s like a great concert: you need a Mozart or a Chopin to write wonderful music, then you need the instruments and finally the musicians.
Weiye Loh

Science-Based Medicine » Skepticism versus nihilism about cancer and science-... - 0 views

  • I’m a John Ioannidis convert, and I accept that there is a lot of medical literature that is erroneous. (Just search for Dr. Ioannidis’ last name on this blog, and you’ll find copious posts praising him and discussing his work.) In fact, as I’ve pointed out, most medical researchers instinctively know that most new scientific findings will not hold up to scrutiny, which is why we rarely accept the results of a single study, except in unusual circumstances, as being enough to change practice. I also have pointed out many times that this is not necessarily a bad thing. Replication is key to verification of scientific findings, and more often than not provocative scientific findings are not replicated. Does that mean they shouldn’t be published?
  • As for pseudoscience, I’m half tempted to agree with Dr. Spector, but just not in the way he thinks. Unfortunately, over the last 20 years or so, there has been an increasing amount of pseudoscience in the medical literature in the form of “complementary and alternative medicine” (CAM) studies of highly improbable remedies or even virtually impossible ones (i.e., homeopathy). However, that does not appear to be what Dr. Spector is talking about, which is why I looked up his references. The second reference is to an SI article from 2009 entitled Science and Pseudoscience in Adult Nutrition Research and Practice. There, and only there, did I find out just what it is that Dr. Spector apparently means by “pseudoscience”: By pseudoscience, I mean the use of inappropriate methods that frequently yield wrong or misleading answers for the type of question asked. In nutrition research, such methods also often misuse statistical evaluations.
  • Dr. Spector doesn’t really know the difference between inadequately rigorous science and pseudoscience! Now, don’t get me wrong. I know that it’s not always easy to distinguish science from pseudoscience, especially at the fringes, but in general bad science has to go a lot further than Dr. Spector thinks to merit the the term “pseudoscience.” It is clear (to me, at least) from his articles that Dr. Spector throws around the term “pseudoscience” around rather more loosely than he should, using it as a pejorative for any clinical science less rigorous than a randomized, double-blind, placebo-controlled trial that meets FDA standards for approval of a drug (his pharma background coming to the fore, no doubt). Pseudoscience, Dr. Spector. You keep using that word. I do not think it means what you think it means. Indeed, I almost get the impression from his articles that Dr. Spector views any study that doesn’t reach FDA-level standards for drug approval to be pseudoscience.
  • ...4 more annotations...
  • Medical science, when it works well, tends to progress from basic science, to small pilot studies, to larger randomized studies, and then–only then–to those big, rigorous, insanely expensive randomized, double-blind, placebo-controlled trials. Dr. Spector mentions hierarchies of evidence, but he seems to fall into a false dichotomy, namely that if it’s not Level I evidence, it’s crap. The problem is, as Mark pointed out, in medicine we often don’t have Level I evidence for many questions. Indeed, for some questions, we will never have Level I evidence. Clinical medicine involves making decisions in the midst of uncertainty, sometimes extreme uncertainty.
  • Dr. Spector then proceeds to paint a picture of reckless physicians proceeding on crappy studies to pump women full of hormones. Actually, it was more than a bit more complicated on than that. That was the time when I was in my medical training, and I remember the discussions we had regarding the strength (or lack thereof) of the epidemiological data and the lack of good RCTs looking at HRT. I also remember that nothing works as well to relieve menopausal symptoms as HRT, an observation we have been reminded of again since 2003, which is the year when the first big study came out implicating HRT in increasing the risk of breast cancer (more later).
  • I found a rather fascinating editorial in the New England Journal of Medicine from more than 20 years ago that discussed the state of the evidence back then with regard to estrogen and breast cancer: Evidence that estrogen increases the risk of breast cancer has been surprisingly difficult to obtain. Clinical and epidemiologic studies and studies in animals strongly suggest that endogenous estrogen plays a part in causing breast cancer. If so, exogenous estrogen should be a potent promoter of breast cancer. Although more than 20 case–control and prospective studies of the relation of breast cancer and noncontraceptive estrogen use have failed to demonstrate the expected association, relatively few women in these studies used estrogen for extended periods. Studies of the use of diethylstilbestrol and oral contraceptives suggest that a long exposure or latency may be necessary to show any association between hormone use and breast cancer. In the Swedish study, only six years of follow-up was needed to demonstrate an increased risk of breast cancer with the postmenopausal use of estradiol. It should be noted, however, that half the women in the subgroup that provided detailed data on the duration of hormone use had taken estrogen for many years before their base-line prescription status was defined. The duration of estrogen exposure in these women before the diagnosis of breast cancer was probably seriously underestimated; a short latency cannot be attributed to estradiol on the basis of these data. Other recent studies of the use of noncontraceptive estrogen suggest a slightly increased risk of breast cancer after 15 to 20 years’ use.
  • even now, the evidence is conflicting regarding HRT and breast cancer, with the preponderance of evidence suggesting that mixed HRT (estrogen and progestin) significantly increases the risk of breast cancer, while estrogen-alone HRT very well might not increase the risk of breast cancer at all or (more likely) only very little. Indeed, I was just at a conference all day Saturday where data demonstrating this very point were discussed by one of the speakers. None of this stops Dr. Spector from categorically labeling estrogen as a “carcinogen that causes breast cancers that kill women.” Maybe. Maybe not. It’s actually not that clear. The problem, of course, is that, consistent with the first primary reports of WHI results, the preponderance of evidence finding health risks due to HRT have indicted the combined progestin/estrogen combinations as unsafe.
Weiye Loh

Don't dumb me down | Science | The Guardian - 0 views

  • Science stories usually fall into three families: wacky stories, scare stories and "breakthrough" stories.
  • these stories are invariably written by the science correspondents, and hotly followed, to universal jubilation, with comment pieces, by humanities graduates, on how bonkers and irrelevant scientists are.
  • A close relative of the wacky story is the paradoxical health story. Every Christmas and Easter, regular as clockwork, you can read that chocolate is good for you (www.badscience.net/?p=67), just like red wine is, and with the same monotonous regularity
  • ...19 more annotations...
  • At the other end of the spectrum, scare stories are - of course - a stalwart of media science. Based on minimal evidence and expanded with poor understanding of its significance, they help perform the most crucial function for the media, which is selling you, the reader, to their advertisers. The MMR disaster was a fantasy entirely of the media's making (www.badscience.net/?p=23), which failed to go away. In fact the Daily Mail is still publishing hysterical anti-immunisation stories, including one calling the pneumococcus vaccine a "triple jab", presumably because they misunderstood that the meningitis, pneumonia, and septicaemia it protects against are all caused by the same pneumococcus bacteria (www.badscience.net/?p=118).
  • people periodically come up to me and say, isn't it funny how that Wakefield MMR paper turned out to be Bad Science after all? And I say: no. The paper always was and still remains a perfectly good small case series report, but it was systematically misrepresented as being more than that, by media that are incapable of interpreting and reporting scientific data.
  • Once journalists get their teeth into what they think is a scare story, trivial increases in risk are presented, often out of context, but always using one single way of expressing risk, the "relative risk increase", that makes the danger appear disproportionately large (www.badscience.net/?p=8).
  • he media obsession with "new breakthroughs": a more subtly destructive category of science story. It's quite understandable that newspapers should feel it's their job to write about new stuff. But in the aggregate, these stories sell the idea that science, and indeed the whole empirical world view, is only about tenuous, new, hotly-contested data
  • Articles about robustly-supported emerging themes and ideas would be more stimulating, of course, than most single experimental results, and these themes are, most people would agree, the real developments in science. But they emerge over months and several bits of evidence, not single rejiggable press releases. Often, a front page science story will emerge from a press release alone, and the formal academic paper may never appear, or appear much later, and then not even show what the press reports claimed it would (www.badscience.net/?p=159).
  • there was an interesting essay in the journal PLoS Medicine, about how most brand new research findings will turn out to be false (www.tinyurl.com/ceq33). It predictably generated a small flurry of ecstatic pieces from humanities graduates in the media, along the lines of science is made-up, self-aggrandising, hegemony-maintaining, transient fad nonsense; and this is the perfect example of the parody hypothesis that we'll see later. Scientists know how to read a paper. That's what they do for a living: read papers, pick them apart, pull out what's good and bad.
  • Scientists never said that tenuous small new findings were important headline news - journalists did.
  • there is no useful information in most science stories. A piece in the Independent on Sunday from January 11 2004 suggested that mail-order Viagra is a rip-off because it does not contain the "correct form" of the drug. I don't use the stuff, but there were 1,147 words in that piece. Just tell me: was it a different salt, a different preparation, a different isomer, a related molecule, a completely different drug? No idea. No room for that one bit of information.
  • Remember all those stories about the danger of mobile phones? I was on holiday at the time, and not looking things up obsessively on PubMed; but off in the sunshine I must have read 15 newspaper articles on the subject. Not one told me what the experiment flagging up the danger was. What was the exposure, the measured outcome, was it human or animal data? Figures? Anything? Nothing. I've never bothered to look it up for myself, and so I'm still as much in the dark as you.
  • Because papers think you won't understand the "science bit", all stories involving science must be dumbed down, leaving pieces without enough content to stimulate the only people who are actually going to read them - that is, the people who know a bit about science.
  • Compare this with the book review section, in any newspaper. The more obscure references to Russian novelists and French philosophers you can bang in, the better writer everyone thinks you are. Nobody dumbs down the finance pages.
  • Statistics are what causes the most fear for reporters, and so they are usually just edited out, with interesting consequences. Because science isn't about something being true or not true: that's a humanities graduate parody. It's about the error bar, statistical significance, it's about how reliable and valid the experiment was, it's about coming to a verdict, about a hypothesis, on the back of lots of bits of evidence.
  • science journalists somehow don't understand the difference between the evidence and the hypothesis. The Times's health editor Nigel Hawkes recently covered an experiment which showed that having younger siblings was associated with a lower incidence of multiple sclerosis. MS is caused by the immune system turning on the body. "This is more likely to happen if a child at a key stage of development is not exposed to infections from younger siblings, says the study." That's what Hawkes said. Wrong! That's the "Hygiene Hypothesis", that's not what the study showed: the study just found that having younger siblings seemed to be somewhat protective against MS: it didn't say, couldn't say, what the mechanism was, like whether it happened through greater exposure to infections. He confused evidence with hypothesis (www.badscience.net/?p=112), and he is a "science communicator".
  • how do the media work around their inability to deliver scientific evidence? They use authority figures, the very antithesis of what science is about, as if they were priests, or politicians, or parent figures. "Scientists today said ... scientists revealed ... scientists warned." And if they want balance, you'll get two scientists disagreeing, although with no explanation of why (an approach at its most dangerous with the myth that scientists were "divided" over the safety of MMR). One scientist will "reveal" something, and then another will "challenge" it
  • The danger of authority figure coverage, in the absence of real evidence, is that it leaves the field wide open for questionable authority figures to waltz in. Gillian McKeith, Andrew Wakefield, Kevin Warwick and the rest can all get a whole lot further, in an environment where their authority is taken as read, because their reasoning and evidence is rarely publicly examined.
  • it also reinforces the humanities graduate journalists' parody of science, for which we now have all the ingredients: science is about groundless, incomprehensible, didactic truth statements from scientists, who themselves are socially powerful, arbitrary, unelected authority figures. They are detached from reality: they do work that is either wacky, or dangerous, but either way, everything in science is tenuous, contradictory and, most ridiculously, "hard to understand".
  • This misrepresentation of science is a direct descendant of the reaction, in the Romantic movement, against the birth of science and empiricism more than 200 years ago; it's exactly the same paranoid fantasy as Mary Shelley's Frankenstein, only not as well written. We say descendant, but of course, the humanities haven't really moved forward at all, except to invent cultural relativism, which exists largely as a pooh-pooh reaction against science. And humanities graduates in the media, who suspect themselves to be intellectuals, desperately need to reinforce the idea that science is nonsense: because they've denied themselves access to the most significant developments in the history of western thought for 200 years, and secretly, deep down, they're angry with themselves over that.
  • had a good spirited row with an eminent science journalist, who kept telling me that scientists needed to face up to the fact that they had to get better at communicating to a lay audience. She is a humanities graduate. "Since you describe yourself as a science communicator," I would invariably say, to the sound of derisory laughter: "isn't that your job?" But no, for there is a popular and grand idea about, that scientific ignorance is a useful tool: if even they can understand it, they think to themselves, the reader will. What kind of a communicator does that make you?
  • Science is done by scientists, who write it up. Then a press release is written by a non-scientist, who runs it by their non-scientist boss, who then sends it to journalists without a science education who try to convey difficult new ideas to an audience of either lay people, or more likely - since they'll be the ones interested in reading the stuff - people who know their way around a t-test a lot better than any of these intermediaries. Finally, it's edited by a whole team of people who don't understand it. You can be sure that at least one person in any given "science communication" chain is just juggling words about on a page, without having the first clue what they mean, pretending they've got a proper job, their pens all lined up neatly on the desk.
Weiye Loh

flaneurose: The KK Chemo Misdosage Incident - 0 views

  • Labelling the pump that dispenses in ml/hr in a different color from the pump that dispenses in ml/day would be an obvious remedy that would have addressed the KK incident. It's the common-sensical solution that anyone can think of.
  • Sometimes, design flaws like that really do occur because engineers can't see the wood for the trees.
  • But sometimes the team is aware of these issues and highlights them to management, but the manufacturer still proceeds as before. Why is that? Because in addition to design principles, one must be mindful that there are always business considerations at play as well. Manufacturing two (or more) separate designs for pumps incurs greater costs, eliminates the ability to standardize across pumps, increases holding inventory, and overall increases complexity of business and manufacturing processes, and decreases economies of scale. All this naturally reduces profitability.It's not just pumps. Even medicines are typically sold in identical-looking vials with identically colored vial caps, with only the text on the vial labels differentiating them in both drug type and concentration. You can imagine what kinds of accidents can potentially happen there.
  • ...2 more annotations...
  • Legally, the manufacturer has clearly labelled on the pump (in text) the appropriate dosing regime, or for a medicine vial, the type of drug and concentration. The manufacturer has hence fulfilled its duty. Therefore, if there are any mistakes in dosing, the liability for the error lies with the hospital and not the manufacturer of the product. The victim of such a dosing error can be said to be an "externalized cost"; the beneficiaries of the victim's suffering are the manufacturer, who enjoys greater profitability, the hospital, which enjoys greater cost-savings, and the public, who save on healthcare. Is it ethical of the manufacturer, to "pass on" liability to the hospital? To make it difficult (or at least not easy) for the hospital to administer the right dosage? Maybe the manufacturer is at fault, but IMHO, it's very hard to say.
  • When a chemo incident like the one that happened in KK occurs, there are cries of public remonstration, and the pendulum may swing the other way. Hospitals might make the decision to purchase more expensive and better designed pumps (that is, if they are available). Then years down the road, when a bureaucrat (or a management consultant) with an eye to trim costs looks through the hospital purchasing orders, they may make the suggestion that $XXX could be saved by buying the generic version of such-and-such a product, instead of the more expensive version. And they would not be wrong, just...myopic.Then the cycle starts again.Sometimes it's not only about human factors. It could be about policy, or human nature, or business fundamentals, or just the plain old, dysfunctional way the world works.
    • Weiye Loh
       
      Interesting article. Explains clearly why our 'ethical' considerations is always only limited to a particular context and specific considerations. 
Weiye Loh

The Great Organ Bazaar - Susanne Lundin - Project Syndicate - 0 views

  • All of this Internet activity is but the tip of the iceberg of a new and growing global human-tissue economy. Indeed, the World Health Organization (WHO) has estimated that about 10% of organ transplants around the world stem from purely commercial transactions.
  • Trade in organs follows a clear, geographically linked pattern: people from rich countries buy the organs, and people in poor countries sell them. In my research on organ trafficking, I have entered some of these shadow markets, where body parts from the poor, war victims, and prisoners are commodities, bought or stolen for transplant into affluent ill people.
  • Organ trafficking depends on several factors. One is people in distress. They are economically or socially disadvantaged, or live in war-torn societies with prevalent crime and a thriving black market. On the demand side are people who are in danger of dying unless they receive an organ transplant. Additionally, there are organ brokers who arrange the deals between sellers and buyers.
  • ...2 more annotations...
  • Trade in humans and their bodies is not a new phenomenon, but today’s businesses are historically unique, because they require advanced biomedicine, as well as ideas and values that enhance the trade in organs. Western medicine starts from the view that human illness and death are failures to be combated. It is within this conceptual climate – the dream of the regenerative body – that transplantation technology develops and demand for biological replacement parts grows.
  • In an era of transplants on demand, there is no way around this dilemma. The biological imperatives that guide the priority system of transplant waiting lists are easily transformed into economic values. As always where demand exceeds supply, people may not accept waiting their turn – and other countries and other peoples’ bodies give them the alternative they seek.
  •  
    The Web site 88DB.com Philippines is an active online portal that allows service providers and consumers to find and interact with each other. Naoval, an Indonesian man with "AB blood type, no drugs and no alcohol," wants to sell his kidney. Another man says, "I am a Filipino. I am willing to sell my kidney for my wife. She has breast cancer and I can't afford her medications." Then there is Enrique, who is "willing to donate my kidney for an exchange. 21 years old and healthy." Other offers of this type could, just a few years ago, be found at www.liver4you.org, which promised kidneys for $80,000-$110,000. The costs of the operation, including the fees of the surgeons - licensed in the United States, Great Britain, or the Philippines - would be included in the price.
Weiye Loh

Reclaiming the Imagination - Opinionator Blog - NYTimes.com - 1 views

  • Why did humans evolve the capacity to imagine alternatives to reality? Was story-telling in prehistoric times like the peacock’s tail, of no direct practical use but a good way of attracting a mate? It kept Scheherazade Scheherazade alive through those one thousand and one nights — in the story.
  • imagining turns out to be much more reality-directed than the stereotype implies.
  • A reality-directed faculty of imagination has clear survival value. By enabling you to imagine all sorts of scenarios, it alerts you to dangers and opportunities.
  • ...2 more annotations...
  • Constraining imagination by knowledge does not make it redundant. We rarely know an explicit formula that tells us what to do in a complex situation. We have to work out what to do by thinking through the possibilities in ways that are simultaneously imaginative and realistic, and not less imaginative when more realistic. Knowledge, far from limiting imagination, enables it to serve its central function.
  • we can borrow a distinction from the philosophy of science, between contexts of discovery and contexts of justification. In the context of discovery, we get ideas, no matter how — dreams or drugs will do. Then, in the context of justification, we assemble objective evidence to determine whether the ideas are correct. On this picture, standards of rationality apply only to the context of justification, not to the context of discovery. Those who downplay the cognitive role of the imagination restrict it to the context of discovery, excluding it from the context of justification. But they are wrong. Imagination plays a vital role in justifying ideas as well as generating them in the first place.
  •  
    Reclaiming the Imagination By TIMOTHY WILLIAMSON
Weiye Loh

Singapore M.D.: Whose "health" is it anyway? - 0 views

  • leaving aside the fact that from the figures given by Prof Feng, about 80 per cent of obese people are NOT "perfectly healthy with normal cholesterol and blood sugar", and 70 per cent of people who die suddenly of heart attacks ARE obese (see my take on the 'fat but fit' argument here), and that Prof Feng has written in a previous letter of obesity being "a serious medical problem and [that] studies in the United States show that obesity will be the No. 1 public health problem and cause of death in five years' time", I am amused by Prof Feng's definition of good health as "not a number... [but] a sense of well-being physically, mentally, socially and spiritually".
  • much of what we do in "medicine" today is about numbers. Your "weight, body mass index, how often you jog or the number of kilometres you run", your "cholesterol and blood sugar", your smoking, alcohol intake, exercise, sexual behaviour, diet and family history are all quantified and studied, because they give us an idea of your risk for certain diseases. Our interventions, pharmacological or otherwise, aim to modify or reduce these risks. These are numbers that translate to concrete events in real-life.You may argue that one can have bad risk factors and still have a sense of "physical, mental, social and spiritual well-being", in which case you don't need a doctor or drugs to make you feel better - but that doesn't mean you are not going to die of a heart attack at 40 either.
  • The problem with using the term "well-being" in defining something as important as healthcare or medicine, is that it is a vague term (a weasel word, I like to call it) that allows quacks to ply their trade, and for people to medicalise their problems of living - and that is something Prof Feng disapproved of, isn't it?Do I have a better definition for "health"? Well, not yet - but I certainly don't think my job is only about giving people "a sense of well-being".
  •  
    Whose "health" is it anyway? Friday, July 30, 2010 Posted by admin at 12:37 PM | The problem with us doctors is, we can't quite make up our minds on what constitute "health" or "real medicine".
Weiye Loh

takchek (读书 ): How Nature selects manuscripts for publication - 0 views

  • the explanation's pretty weak on the statistics given that it is a scientific journal. Drug Monkey and writedit have more on commentary about this particular editorial.
  • Good science, bad science, and whether it will lead to publication or not all rests on the decision of the editor. The gatekeeper.
  • do you know that Watson and Crick's landmark 1953 paper on the structure of DNA in the journal was not sent out for peer review at all?The reasons, as stated by Nature's Emeritus Editor John Maddox were:First, the Crick and Watson paper could not have been refereed: its correctness is self-evident. No referee working in the field (Linus Pauling?) could have kept his mouth shut once he saw the structure. Second, it would have been entirely consistent with my predecessor L. J. F. Brimble's way of working that Bragg's commendation should have counted as a referee's approval.
  • ...1 more annotation...
  • The whole business of scientific publishing is murky and sometimes who you know counts more than what you know in order to get your foot into the 'club'. Even Maddox alluded to the existence of such an 'exclusive' club:Brimble, who used to "take luncheon" at the Athenaeum in London most days, preferred to carry a bundle of manuscripts with him in the pocket of his greatcoat and pass them round among his chums "taking coffee" in the drawing-room after lunch. I set up a more systematic way of doing the job when I became editor in April 1966.
  •  
    How Nature selects manuscripts for publication Nature actually devoted an editorial (doi:10.1038/463850a) explaining its publication process.
Weiye Loh

Valerie Plame, YES! Wikileaks, NO! - English pravda.ru - 0 views

  • n my recent article Ward Churchill: The Lie Lives On (Pravda.Ru, 11/29/2010), I discussed the following realities about America's legal "system": it is duplicitous and corrupt; it will go to any extremes to insulate from prosecution, and in many cases civil liability, persons whose crimes facilitate this duplicity and corruption; it has abdicated its responsibility to serve as a "check-and-balance" against the other two branches of government, and has instead been transformed into a weapon exploited by the wealthy, the corporations, and the politically connected to defend their criminality, conceal their corruption and promote their economic interests
  • it is now evident that Barack Obama, who entered the White House with optimistic messages of change and hope, is just as complicit in, and manipulative of, the legal "system's" duplicity and corruption as was his predecessor George W. Bush.
  • the Obama administration has refused to prosecute former Attorney General John Ashcroft for abusing the "material witness" statute; refused to prosecute Ashcroft's successor (and suspected perjurer) Alberto Gonzales for his role in the politically motivated firing of nine federal prosecutors; refused to prosecute Justice Department authors of the now infamous "torture memos," like John Yoo and Jay Bybee; and, more recently, refused to prosecute former CIA official Jose Rodriquez Jr. for destroying tapes that purportedly showed CIA agents torturing detainees.
  • ...11 more annotations...
  • thanks to Wikileaks, the world has been enlightened to the fact that the Obama administration not only refused to prosecute these individuals itself, it also exerted pressure on the governments of Germany and Spain not to prosecute, or even indict, any of the torturers or war criminals from the Bush dictatorship.
  • we see many right-wing commentators demanding that Assange be hunted down, with some even calling for his murder, on the grounds that he may have endangered lives by releasing confidential government documents. Yet, for the right-wing, this apparently was not a concern when the late columnist Robert Novak "outed" CIA agent Valerie Plame after her husband Joseph Wilson authored an OP-ED piece in The New York Times criticizing the motivations for waging war against Iraq. Even though there was evidence of involvement within the highest echelons of the Bush dictatorship, only one person, Lewis "Scooter" Libby, was indicted and convicted of "outing" Plame to Novak. And, despite the fact that this "outing" potentially endangered the lives of Plame's overseas contacts, Bush commuted Libby's thirty-month prison sentence, calling it "excessive."
  • Why the disparity? The answer is simple: The Plame "outing" served the interests of the military-industrial complex and helped to conceal the Bush dictatorship's lies, tortures and war crimes, while Wikileaks not only exposed such evils, but also revealed how Obama's administration, and Obama himself, are little more than "snake oil" merchants pontificating about government accountability while undermining it at every turn.
  • When the United States Constitution was being created, a conflict emerged between delegates who wanted a strong federal government (the Federalists) and those who wanted a weak federal government (the anti-Federalists). Although the Federalists won the day, one of the most distinguished anti-Federalists, George Mason, refused to sign the new Constitution, sacrificing in the process, some historians say, a revered place amongst America's founding fathers. Two of Mason's concerns were that the Constitution did not contain a Bill of Rights, and that the presidential pardon powers would allow corrupt presidents to pardon people who had committed crimes on presidential orders.
  • Mason's concerns about the abuse of the pardon powers were eventually proven right when Gerald Ford pardoned Richard Nixon, when Ronald Reagan pardoned FBI agents convicted of authorizing illegal break-ins, and when George H.W. Bush pardoned six individuals involved in the Iran-Contra Affair.
  • Mason was also proven right after the Federalists realized that the States would not ratify the Constitution unless a Bill of Rights was added. But this was done begrudgingly, as demonstrated by America's second president, Federalist John Adams, who essentially destroyed the right to freedom of speech via the Alien and Sedition Acts, which made it a crime to say, write or publish anything critical of the United States government.
  • Most criminals break laws that others have created, and people who assist in exposing or apprehending them are usually lauded as heroes. But with the "espionage" acts, the criminals themselves have actually created laws to conceal their crimes, and exploit these laws to penalize people who expose them.
  • The problem with America's system of government is that it has become too easy, and too convenient, to simply stamp "classified" on documents that reveal acts of government corruption, cover-up, mendacity and malfeasance, or to withhold them "in the interest of national security." Given this web of secrecy, is it any wonder why so many Americans are still skeptical about the "official" versions of the John F. Kennedy or Martin Luther King Jr. assassinations, or the events surrounding the attacks of September 11, 2001?
  • I want to believe that the Wikileaks documents will change America for the better. But what undoubtedly will happen is a repetition of the past: those who expose government crimes and cover-ups will be prosecuted or branded as criminals; new laws will be passed to silence dissent; new Liebermans will arise to intimidate the corporate-controlled media; and new ways will be found to conceal the truth.
  • What Wikileaks has done is make people understand why so many Americans are politically apathetic and content to lose themselves in one or more of the addictions American culture offers, be it drugs, alcohol, the Internet, video games, celebrity gossip, text-messaging-in essence anything that serves to divert attention from the harshness of reality.
  • the evils committed by those in power can be suffocating, and the sense of powerlessness that erupts from being aware of these evils can be paralyzing, especially when accentuated by the knowledge that government evildoers almost always get away with their crimes
Weiye Loh

'Scrapers' Dig Deep for Data on the Web - WSJ.com - 0 views

  • website PatientsLikeMe.com noticed suspicious activity on its "Mood" discussion board. There, people exchange highly personal stories about their emotional disorders, ranging from bipolar disease to a desire to cut themselves. It was a break-in. A new member of the site, using sophisticated software, was "scraping," or copying, every single message off PatientsLikeMe's private online forums.
  • PatientsLikeMe managed to block and identify the intruder: Nielsen Co., the privately held New York media-research firm. Nielsen monitors online "buzz" for clients, including major drug makers, which buy data gleaned from the Web to get insight from consumers about their products, Nielsen says.
  • The market for personal data about Internet users is booming, and in the vanguard is the practice of "scraping." Firms offer to harvest online conversations and collect personal details from social-networking sites, résumé sites and online forums where people might discuss their lives. The emerging business of web scraping provides some of the raw material for a rapidly expanding data economy. Marketers spent $7.8 billion on online and offline data in 2009, according to the New York management consulting firm Winterberry Group LLC. Spending on data from online sources is set to more than double, to $840 million in 2012 from $410 million in 2009.
  • ...6 more annotations...
  • The Wall Street Journal's examination of scraping—a trade that involves personal information as well as many other types of data—is part of the newspaper's investigation into the business of tracking people's activities online and selling details about their behavior and personal interests.
  • Some companies collect personal information for detailed background reports on individuals, such as email addresses, cell numbers, photographs and posts on social-network sites. Others offer what are known as listening services, which monitor in real time hundreds or thousands of news sources, blogs and websites to see what people are saying about specific products or topics.
  • One such service is offered by Dow Jones & Co., publisher of the Journal. Dow Jones collects data from the Web—which may include personal information contained in news articles and blog postings—that help corporate clients monitor how they are portrayed. It says it doesn't gather information from password-protected parts of sites.
  • The competition for data is fierce. PatientsLikeMe also sells data about its users. PatientsLikeMe says the data it sells is anonymized, no names attached.
  • Nielsen spokesman Matt Anchin says the company's reports to its clients include publicly available information gleaned from the Internet, "so if someone decides to share personally identifiable information, it could be included."
  • Internet users often have little recourse if personally identifiable data is scraped: There is no national law requiring data companies to let people remove or change information about themselves, though some firms let users remove their profiles under certain circumstances.
  •  
    he market for personal data about Internet users is booming, and in the vanguard is the practice of "scraping." Firms offer to harvest online conversations and collect personal details from social-networking sites, résumé sites and online forums where people might discuss their lives.
Weiye Loh

Roger Pielke Jr.'s Blog: IPCC and Conflicts of Interest - 0 views

  • Last year the InterAcademy Council recommended that The IPCC should develop and adopt a rigorous conflict of interest policy that applies to all individuals directly involved in the preparation of IPCC reports
  •   Now we get treated to sights like the following: . . . Steve Sawyer, who contributed a chapter to an upcoming Intergovernmental Panel on Climate Change (IPCC) special report on managing climate disasters, which will be published in May. . . According to Sawyer, the forthcoming IPCC report will reveal that carbon emissions from nuclear power facilities clock up between 100 and 200 grams of carbon emissions per kilowatt hour (kWh). 'Clean' gas emits around 350 grams of carbon per kilowatt hour.    But wind turbines emit no carbon when producing electricity. One life-cycle assessment of the Vestas V90-3.0MW onshore turbine – which includes the manufacture of components – found that even here, only 4.64 grams of CO2 per kWh were created. "Nuclear power is generally the most expensive, complicated and dangerous means ever devised by human beings to boil water," Sawyer said, summing up the anti-nuclear argument. "Why anyone would want to use it to generate electricity is beyond me, unless they were interested - as most European states were in the early days of nuclear history - in what comes out the other end, which is fissionable material for nuclear weapons," he added.Who is this IPCC author Steve Sawyer you might wonder?  He is the Secretary General of the Global Wind Energy Council, an advocacy group for wind energy with a strong anti-nuclear stance, as Sawyer's comments indicate. He also spent 30 years as a top official for Greenpeace.
  • the spectacle of an IPCC author with a clear conflict of interest writing part of the report and then using that same report in his political advocacy just does not look good. If the IPCC were recommending drug safety standards and an author happened to be a top official at a company benefitting from the recommendations, the issues here would be obvious and unacceptable. The IPCC however plays by different rules.
  • ...1 more annotation...
  • UPDATE: I AM INFORMED THAT THE MATERIAL REPORTED BY EURACTIV AND REPRODUCED BELOW IS COMPREHENSIVELY WRONG.  APPARENTLY MR. SAWYER IS NOT A CONTRIBUTOR TO THE IPCC AND THE REPORT DOES NOT DISCUSS NUCLEAR POWER.  I HAVE UPDATED THIS POST ACCORDINGLY. THE EURACTIV NEWS STORY POSTED UP YESTERDAY REMAINS IN ERROR.
Weiye Loh

gladwell dot com - something borrowed - 0 views

  • Intellectual-property doctrine isn't a straightforward application of the ethical principle "Thou shalt not steal." At its core is the notion that there are certain situations where you can steal. The protections of copyright, for instance, are time-limited; once something passes into the public domain, anyone can copy it without restriction. Or suppose that you invented a cure for breast cancer in your basement lab. Any patent you received would protect your intellectual property for twenty years, but after that anyone could take your invention.
  • You get an initial monopoly on your creation because we want to provide economic incentives for people to invent things like cancer drugs. But everyone gets to steal your breast-cancer cure—after a decent interval—because it is also in society's interest to let as many people as possible copy your invention; only then can others learn from it, and build on it, and come up with better and cheaper alternatives. This balance between the protecting and the limiting of intellectual property
  • Stanford law professor Lawrence Lessig argues in his new book "Free Culture": In ordinary language, to call a copyright a "property" right is a bit misleading, for the property of copyright is an odd kind of property. . . . I understand what I am taking when I take the picnic table you put in your backyard. I am taking a thing, the picnic table, and after I take it, you don't have it. But what am I taking when I take the good idea you had to put a picnic table in the backyard—by, for example, going to Sears, buying a table, and putting it in my backyard? What is the thing that I am taking then? The point is not just about the thingness of picnic tables versus ideas, though that is an important difference. The point instead is that in the ordinary case—indeed, in practically every case except for a narrow range of exceptions—ideas released to the world are free. I don't take anything from you when I copy the way you dress—though I might seem weird if I do it every day. . . . Instead, as Thomas Jefferson said (and this is especially true when I copy the way someone dresses), "He who receives an idea from me, receives instruction himself without lessening mine; as he who lights his taper at mine, receives light without darkening me."
  • ...5 more annotations...
  • Lessig argues that, when it comes to drawing this line between private interests and public interests in intellectual property, the courts and Congress have, in recent years, swung much too far in the direction of private interests.
  • We could have sat in his living room playing at musical genealogy for hours. Did the examples upset him? Of course not, because he knew enough about music to know that these patterns of influence—cribbing, tweaking, transforming—were at the very heart of the creative process.
  • True, copying could go too far. There were times when one artist was simply replicating the work of another, and to let that pass inhibited true creativity. But it was equally dangerous to be overly vigilant in policing creative expression, because if Led Zeppelin hadn't been free to mine the blues for inspiration we wouldn't have got "Whole Lotta Love," and if Kurt Cobain couldn't listen to "More Than a Feeling" and pick out and transform the part he really liked we wouldn't have "Smells Like Teen Spirit"—and, in the evolution of rock, "Smells Like Teen Spirit" was a real step forward from "More Than a Feeling." A successful music executive has to understand the distinction between borrowing that is transformative and borrowing that is merely derivative, and that distinction, I realized, was what was missing from the discussion of Bryony Lavery's borrowings. Yes, she had copied my work. But no one was asking why she had copied it, or what she had copied, or whether her copying served some larger purpose.
  • It also matters how Lavery chose to use my words. Borrowing crosses the line when it is used for a derivative work. It's one thing if you're writing a history of the Kennedys, like Doris Kearns Goodwin, and borrow, without attribution, from another history of the Kennedys. But Lavery wasn't writing another profile of Dorothy Lewis. She was writing a play about something entirely new—about what would happen if a mother met the man who killed her daughter. And she used my descriptions of Lewis's work and the outline of Lewis's life as a building block in making that confrontation plausible.
  • this is the second problem with plagiarism. It is not merely extremist. It has also become disconnected from the broader question of what does and does not inhibit creativity. We accept the right of one writer to engage in a full-scale knockoff of another—think how many serial-killer novels have been cloned from "The Silence of the Lambs." Yet, when Kathy Acker incorporated parts of a Harold Robbins sex scene verbatim in a satiric novel, she was denounced as a plagiarist (and threatened with a lawsuit)
  •  
    Under copyright law, what matters is not that you copied someone else's work. What matters is what you copied, and how much you copied.
Weiye Loh

Royal Society launches study on openness in science | Royal Society - 0 views

  • Science as a public enterprise: opening up scientific information will look at how scientific information should best be managed to improve the quality of research and build public trust.
  • “Science has always been about open debate. But incidents such as the UEA email leaks have prompted the Royal Society to look at how open science really is.  With the advent of the Internet, the public now expect a greater degree of transparency. The impact of science on people’s lives, and the implications of scientific assessments for society and the economy are now so great that  people won’t just believe scientists when they say “trust me, I’m an expert.” It is not just scientists who want to be able to see inside scientific datasets, to see how robust they are and ask difficult questions about their implications. Science has to adapt.”
  • The study will look at questions such as: What are the benefits and risks of openly sharing scientific data? How does the rise of the blogosphere change scientific research? What responsibility should scientists, their institutions and the funders of research have for open data? How do we make information more accessible and who will pay to do it? Should privately funded scientists be held to the same standards as those who are publicly funded? How do we balance openness against intellectual property rights and in the case of medical information how do protect patient confidentiality?  Will the same rules apply to scientists across the world?
  • ...1 more annotation...
  • “Different scientific disciplines share their information very differently.  The human genome project was incredibly open in how data were shared. But in biomedical science you also have drug trials conducted where no results are made public.” 
Weiye Loh

The Epidemic of Mental Illness: Why? by Marcia Angell | The New York Review of Books - 0 views

  • Is the prevalence of mental illness really that high and still climbing? Particularly if these disorders are biologically determined and not a result of environmental influences, is it plausible to suppose that such an increase is real? Or are we learning to recognize and diagnose mental disorders that were always there? On the other hand, are we simply expanding the criteria for mental illness so that nearly everyone has one? And what about the drugs that are now the mainstay of treatment? Do they work? If they do, shouldn’t we expect the prevalence of mental illness to be declining, not rising?
  • after Prozac came to market in 1987 and was intensively promoted as a corrective for a deficiency of serotonin in the brain. The number of people treated for depression tripled in the following ten years, and about 10 percent of Americans over age six now take antidepressants.
  •  
    It seems that Americans are in the midst of a raging epidemic of mental illness, at least as judged by the increase in the numbers treated for it. The tally of those who are so disabled by mental disorders that they qualify for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) increased nearly two and a half times between 1987 and 2007-from one in 184 Americans to one in seventy-six. For children, the rise is even more startling-a thirty-five-fold increase in the same two decades. Mental illness is now the leading cause of disability in children, well ahead of physical disabilities like cerebral palsy or Down syndrome, for which the federal programs were created.
Weiye Loh

TODAYonline | World | Off-the-shelf body parts? - 0 views

  • LONDON - Scientific advances including techniques allowing patients to grow new joints inside their own bodies will allow the elderly to remain active well beyond their 100th birthdays, researchers claim. British scientists are working on a system which should allow the elderly to buy body parts "off the shelf" and even regenerate their own damaged joints and hearts. Their ultimate aim is to fix up the body with customised replacement parts grown to order. They have already carried out human trials on heart valves which are still working four years after they were transplanted. At the University of Leeds, Britain's biggest bioengineering unit and the world leader in artificial joint replacement research is coordinating a project that aims to give people 50 active years after the age of 50."It is the rise of the bionic pensioner," said Professor Christina Doyle, whose company is working with the university to develop the new technologies. "The idea is when something wears out, your surgeon can buy a replacement off the shelf or, more accurately, in a bag."The university is spending £50 million ($114 million) over the next five years on the new project. The main thrust of the research centres on a method of tissue and medical engineering which the university is at the forefront of developing. Led by the immunologist Professor Eileen Ingham, they are pioneering a technique of stripping the living cells from donor human and animal parts, leaving just the collagen or elastin "scaffold" of the tissue. These "biological shells", which could be for knee, ankle or hip ligaments, as well as blood vessels and heart valves, are then transplanted into the patient whose own body then invades them replacing the removed cells with their own. The technique, which could be available within five years, effectively removes the need for anti-rejection drugs. It is similar to the recently developed system of using stem cells to regrow organs outside the body, but costs about a tenth of the price.
Weiye Loh

A Brief Primer on Criminal Statistics « Canada « Skeptic North - 0 views

  • Occurrences of crime are properly expressed as the number of incidences per 100,000 people. Total numbers are not informative on their own and it is very easy to manipulate an argument by cherry picking between a total number and a rate.  Beware of claims about crime that use raw incidence numbers. When a change in whole incidence numbers is observed, this might not have any bearing on crime levels at all, because levels of crime are dependent on population.
  • Whole Numbers versus Rates
  • Reliability Not every criminal statistic is equally reliable. Even though we have measures of incidences of crimes across types and subtypes, not every one of these statistics samples the actual incidence of these crimes in the same way. Indeed, very few measure the total incidences very reliably at all. The crime rates that you are most likely to encounter capture only crimes known and substantiated by police. These numbers are vulnerable to variances in how crimes become known and verified by police in the first place. Crimes very often go unreported or undiscovered. Some crimes are more likely to go unreported than others (such as sexual assaults and drug possession), and some crimes are more difficult to substantiate as having occurred than others.
  • ...9 more annotations...
  • Complicating matters further is the fact that these reporting patterns vary over time and are reflected in observed trends.   So, when a change in the police reported crime rate is observed from year to year or across a span of time we may be observing a “real” change, we may be observing a change in how these crimes come to the attention of police, or we may be seeing a mixture of both.
  • Generally, the most reliable criminal statistic is the homicide rate – it’s very difficult, though not impossible, to miss a dead body. In fact, homicides in Canada are counted in the year that they become known to police and not in the year that they occurred.  Our most reliable number is very, very close, but not infallible.
  • Crimes known to the police nearly always under measure the true incidence of crime, so other measures are needed to better complete our understanding. The reported crimes measure is reported every year to Statistics Canada from data that makes up the Uniform Crime Reporting Survey. This is a very rich data set that measures police data very accurately but tells us nothing about unreported crime.
  • We do have some data on unreported crime available. Victims are interviewed (after self-identifying) via the General Social Survey. The survey is conducted every five years
  • This measure captures information in eight crime categories both reported, and not reported to police. It has its own set of interpretation problems and pathways to misuse. The survey relies on self-reporting, so the accuracy of the information will be open to errors due to faulty memories, willingness to report, recording errors etc.
  • From the last data set available, self-identified victims did not report 69% of violent victimizations (sexual assault, robbery and physical assault), 62% of household victimizations (break and enter, motor vehicle/parts theft, household property theft and vandalism), and 71% of personal property theft victimizations.
  • while people generally understand that crimes go unreported and unknown to police, they tend to be surprised and perhaps even shocked at the actual amounts that get unreported. These numbers sound scary. However, the most common reasons reported by victims of violent and household crime for not reporting were: believing the incident was not important enough (68%) believing the police couldn’t do anything about the incident (59%), and stating that the incident was dealt with in another way (42%).
  • Also, note that the survey indicated that 82% of violent incidents did not result in injuries to the victims. Do claims that we should do something about all this hidden crime make sense in light of what this crime looks like in the limited way we can understand it? How could you be reasonably certain that whatever intervention proposed would in fact reduce the actual amount of crime and not just reduce the amount that goes unreported?
  • Data is collected at all levels of the crime continuum with differing levels of accuracy and applicability. This is nicely reflected in the concept of “the crime funnel”. All criminal incidents that are ever committed are at the opening of the funnel. There is “loss” all along the way to the bottom where only a small sample of incidences become known with charges laid, prosecuted successfully and responded to by the justice system.  What goes into the top levels of the funnel affects what we can know at any other point later.
Weiye Loh

More Than 1 Billion People Are Hungry in the World - By Abhijit Banerjee and Esther Duf... - 0 views

  • We were starting to feel very bad for him and his family, when we noticed the TV and other high-tech gadgets. Why had he bought all these things if he felt the family did not have enough to eat? He laughed, and said, "Oh, but television is more important than food!"
  • For many in the West, poverty is almost synonymous with hunger. Indeed, the announcement by the United Nations Food and Agriculture Organization in 2009 that more than 1 billion people are suffering from hunger grabbed headlines in a way that any number of World Bank estimates of how many poor people live on less than a dollar a day never did. COMMENTS (7) SHARE: Twitter   Reddit   Buzz   More... But is it really true? Are there really more than a billion people going to bed hungry each night?
  • unfortunately, this is not always the world as the experts view it. All too many of them still promote sweeping, ideological solutions to problems that defy one-size-fits-all answers, arguing over foreign aid, for example, while the facts on the ground bear little resemblance to the fierce policy battles they wage.
  • ...9 more annotations...
  • Jeffrey Sachs, an advisor to the United Nations and director of Columbia University's Earth Institute, is one such expert. In books and countless speeches and television appearances, he has argued that poor countries are poor because they are hot, infertile, malaria-infested, and often landlocked; these factors, however, make it hard for them to be productive without an initial large investment to help them deal with such endemic problems. But they cannot pay for the investments precisely because they are poor -- they are in what economists call a "poverty trap." Until something is done about these problems, neither free markets nor democracy will do very much for them.
  • But then there are others, equally vocal, who believe that all of Sachs's answers are wrong. William Easterly, who battles Sachs from New York University at the other end of Manhattan, has become one of the most influential aid critics in his books, The Elusive Quest for Growth and The White Man's Burden. Dambisa Moyo, an economist who worked at Goldman Sachs and the World Bank, has joined her voice to Easterly's with her recent book, Dead Aid. Both argue that aid does more bad than good. It prevents people from searching for their own solutions, while corrupting and undermining local institutions and creating a self-perpetuating lobby of aid agencies.
  • The best bet for poor countries, they argue, is to rely on one simple idea: When markets are free and the incentives are right, people can find ways to solve their problems. They do not need handouts from foreigners or their own governments.
  • According to Easterly, there is no such thing as a poverty trap.
  • To find out whether there are in fact poverty traps, and, if so, where they are and how to help the poor get out of them, we need to better understand the concrete problems they face. Some aid programs help more than others, but which ones? Finding out required us to step out of the office and look more carefully at the world. In 2003, we founded what became the Abdul Latif Jameel Poverty Action Lab, or J-PAL. A key part of our mission is to research by using randomized control trials -- similar to experiments used in medicine to test the effectiveness of a drug -- to understand what works and what doesn't in the real-world fight against poverty. In practical terms, that meant we'd have to start understanding how the poor really live their lives.
  • Take, for example, Pak Solhin, who lives in a small village in West Java, Indonesia. He once explained to us exactly how a poverty trap worked. His parents used to have a bit of land, but they also had 13 children and had to build so many houses for each of them and their families that there was no land left for cultivation. Pak Solhin had been working as a casual agricultural worker, which paid up to 10,000 rupiah per day (about $2) for work in the fields. A recent hike in fertilizer and fuel prices, however, had forced farmers to economize. The local farmers decided not to cut wages, Pak Solhin told us, but to stop hiring workers instead. As a result, in the two months before we met him in 2008, he had not found a single day of agricultural labor. He was too weak for the most physical work, too inexperienced for more skilled labor, and, at 40, too old to be an apprentice. No one would hire him.
  • Pak Solhin, his wife, and their three children took drastic steps to survive. His wife left for Jakarta, some 80 miles away, where she found a job as a maid. But she did not earn enough to feed the children. The oldest son, a good student, dropped out of school at 12 and started as an apprentice on a construction site. The two younger children were sent to live with their grandparents. Pak Solhin himself survived on the roughly 9 pounds of subsidized rice he got every week from the government and on fish he caught at a nearby lake. His brother fed him once in a while. In the week before we last spoke with him, he had eaten two meals a day for four days, and just one for the other three.
  • Pak Solhin appeared to be out of options, and he clearly attributed his problem to a lack of food. As he saw it, farmers weren't interested in hiring him because they feared they couldn't pay him enough to avoid starvation; and if he was starving, he would be useless in the field. What he described was the classic nutrition-based poverty trap, as it is known in the academic world. The idea is simple: The human body needs a certain number of calories just to survive. So when someone is very poor, all the food he or she can afford is barely enough to allow for going through the motions of living and earning the meager income used to buy that food. But as people get richer, they can buy more food and that extra food goes into building strength, allowing people to produce much more than they need to eat merely to stay alive. This creates a link between income today and income tomorrow: The very poor earn less than they need to be able to do significant work, but those who have enough to eat can work even more. There's the poverty trap: The poor get poorer, and the rich get richer and eat even better, and get stronger and even richer, and the gap keeps increasing.
  • But though Pak Solhin's explanation of how someone might get trapped in starvation was perfectly logical, there was something vaguely troubling about his narrative. We met him not in war-infested Sudan or in a flooded area of Bangladesh, but in a village in prosperous Java, where, even after the increase in food prices in 2007 and 2008, there was clearly plenty of food available and a basic meal did not cost much. He was still eating enough to survive; why wouldn't someone be willing to offer him the extra bit of nutrition that would make him productive in return for a full day's work? More generally, although a hunger-based poverty trap is certainly a logical possibility, is it really relevant for most poor people today? What's the best way, if any, for the world to help?
‹ Previous 21 - 40 of 41 Next ›
Showing 20 items per page