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The North American Spine Society and the Society of Interventional Radiology have pointed to flaws in both studies. And earlier studies, published over 15 years, found major benefits to kyphoplasty and a related procedure called vertebroplasty. "We're missing opportunities for patients to receive a safe and effective treatment that can significantly reduce their pain and disability," said Malamis, an interventional radiologist. The procedures are used to treat vertebral compression fractures in patients with osteoporosis and other conditions that result in brittle bones. In a vertebroplasty, an acrylic cement is injected into a fractured vertebra. In a kyphoplasty, a balloon-tipped catheter first is inserted into the fracture. The balloon is inflated to restore the height and shape of the vertebra before the cement is injected. Neva Nelson, 74, of Naperville, Ill., said a kyphoplasty that Malamis performed in October, 2009, has greatly reduced her pain in a vertebra in her lower back that she fractured after falling on ice. Before her kyphoplasty, Nelson had to sit on cushions. Walking, and especially standing, were painful. "I had to do something," she said. "I could not go on like that." Nelson said that since undergoing her kyphoplasty, "I don't have to worry about my back any more." In the controversial studies, patients were randomly assigned to receive a vertebroplasty or a placebo-like "sham" procedure. In the sham procedure, patients received an injection of anesthetic, but no cement. However, patients in severe pain are reluctant to enroll in a trial where there's a 50 percent chance of receiving a sham treatment. In one of the studies, researchers had to screen 1,813 patients to enroll just 131 subjects. In the other study, only 78 of 219 eligible patients were enrolled. This low enrollment rate raises the possibility that the patients who did enroll were not representative. Patients experience the greatest pain during the first three months after a compression fracture. Thereafter, pain gradually subsides. Thus, a vertebroplasty or kyphoplasty provides the greatest benefit when performed within a week or two of the fracture. But the studies enrolled patients up to 12 months after fractures. In addition to reducing pain and disability, a kyphoplasty can reduce the risk of subsequent fractures by improving the angle and height of the spine. The studies evaluated vertebroplasty alone, and did not include the more innovative and very different kyphoplasty procedure. Malamis suggests the medical community wait for the results of additional studies now underway before passing final judgment on vertebroplasty or kyphoplasty. In the mean time, he notes that Medicare still covers the procedures.

In his new book, "The Double Helix and the Law of Evidence" (Harvard University Press), Kaye focuses on the intersection of science and law, and emphasizes that DNA evidence is merely information. "There's a popular perception that with DNA, you get results," Kaye said. "You're either guilty or innocent, and the DNA speaks the truth. That goes too far. DNA is a tool. Perhaps in many cases it's open and shut, in other cases it's not. There's ambiguity."

One of the book's key themes is that using science in court is hard to do right. "It requires lawyers and judges to understand a lot about the science," Kaye noted. "They don't have to be scientists or technicians, but they do have to know enough to understand what's going on and whether the statements that experts are making are well-founded. The lawyers need to be able to translate that information into a form that a judge or a jury can understand." Kaye also believes that lawyers need to better understand statistics and probability, an area that has traditionally been neglected in law school curricula. His book attempts to close this gap in understanding with several sections on genetic science and probability. The book also contends that scientists, too, have contributed to the false sense of certainty, when they are so often led by either side of one particular case to take an extreme position. Scientists need to approach their role as experts less as partisans and more as defenders of truth. Aiming to be a definitive history of the use of DNA evidence, "The Double Helix and the Law of Evidence" chronicles precedent-setting criminal trials, battles among factions of the scientific community and a multitude of issues with the use of probability and statistics related to DNA. From the Simpson trial to the search for the last Russian Tsar, Kaye tells the story of how DNA science has impacted society. He delves into the history of the application of DNA science and probability within the legal system and depicts its advances and setbacks.

Scanning electron micrograph of the nanofossil Chiasmolithus from about 60 million years ago. This genus arose after the Cretacious Paleogene boundary mass extinction. The size about 8 microns.

The darkness caused by the collision would impair photosynthesis and reduce nannoplankton reproduction. While full darkness did not occur, the effects in the north would have lasted for up to six months. However, with ample sunlight and large amounts of nutrients in the oceans, the populations should have bounced back, even in the North, but they did not. The researchers suggest that toxic metals that where part of the asteroid, heavily contaminated the Northern oceans and were the major factor inhibiting recovery. "Metal loading is a great potential mechanism to delay recovery," said Bralower. "Toxic levels in the parts per billions of copper, nickel, cadmium and iron could have inhibited recovery." On the one hand, the researchers considered an impact scenario causing perpetual winter and ocean acidification to explain the slow recovery, but neither explains the lag between Southern and Northern Hemispheres. Trace metal poisoning, on the other hand, would have been severe near the impact in the Northern Hemisphere. When the high temperature debris from the impact hit the water, copper, chromium, aluminum, mercury and lead would have dissolved into the seawater at likely lethal levels for plankton. Iron, zinc and manganese -- normally micronutrients -- would reach harmful levels shortly after the impact. Other metal sources might be acid-rain leached soils or the effects of wildfires. Metals like these can inhibit reproduction or shell formation. The toxic metals probably exceeded the ability of organic compounds to bind them and remove them from the system. Because nannoplankton are the base of the food chain, larger organisms concentrate any metals found in nannoplankton making the metal poisoning more effective. With the toxic metals remaining in the oceans and the lack of sunlight, the length of time for recovery might increase.

The researchers, led by professor of applied and engineering physics Harold Craighead, made a device just 200 nanometers thick and a few microns long with an oscillating cantilever hanging off one end. (A nanometer is one-billionth of a meter; a micron is one-millionth of a meter.) They identified exactly how to tune its sensitivity -- a breakthrough that could lead to advanced sensing technologies. The experiments detailed online Feb. 8 in Journal of Applied Physics show how these oscillators, which are nanoelectromechanical systems (NEMS), could one day be made into everyday devices by lining up millions of them and treating each cantilever with a certain molecule. "The big purpose is to be able to drive arrays of these things all in direct synchrony," said first author Rob Ilic, a research associate at the Cornell NanoScale Science and Technology Facility. "They can be functionalized with different chemistries and biomolecules to detect various pathogens -- not just one thing."