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sissij

Flossing and the Art of Scientific Investigation - The New York Times - 1 views

  • the form of definitive randomized controlled trials, the so-called gold standard for scientific research.
  • Yet the notion has taken hold that such expertise is fatally subjective and that only randomized controlled trials provide real knowledge.
  • the evidence-based medicine movement, which placed such trials atop a hierarchy of scientific methods, with expert opinion situated at the bottom.
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  • each of these is valuable in its own way.
  • The cult of randomized controlled trials also neglects a rich body of potential hypotheses.
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    This article talks about the bias within Scientific method. As we learned in TOK, scientific method is very much based on experiments. Definitive randomized controlled trials are the gold standard for scientific research. But as argued in this article, are randomized controlled trials the only source of support that's worth believing? Advise and experience of an expert is also very important. Why can't machine completely replace the role of a doctor? That's because human are able to analysis and evaluate their experience and the patterns they recognize, but machines are only capable to organizing data, they couldn't design a unique prescription that fit with the particular patient. Expert opinion shouldn't be completely neglected and underestimate, since science always needs a leap of imagination that only human, not machines, can generate. --Sissi (1/30/2017)
katherineharron

In race for coronavirus vaccine, hurled insults and the wisdom of Spider-Man - CNN - 0 views

  • Ethicists and physicians are concerned that, amid a desire to put an end to the Covid-19 pandemic, developers of drugs and vaccines have become overly enthusiastic about the chances their products will work.
  • Oxford has recently walked back some of its optimism, but for months, it set a tone that its vaccine was the most promising, without any solid evidence that this was based in fact.
  • Third, one leader in the Oxford team has gone so far as to denigrate other teams trying to get a Covid vaccine on the market, calling their technology "weird" and labeling it as merely "noise." Such name-calling is highly unusual and aggressive among scientists.
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  • "At this point, the Oxford researchers have no idea whether they have something or not," Offit said. "You just get so tired of this 'science by press release.' "
  • There are currently 10 vaccines in human clinical trials worldwide, according to the World Health Organization. Four of the teams are in the United States: Moderna, Pfizer, Inovio and Novavax.
  • Moderna CEO Stéphane Bancel referred to the results as "positive interim Phase 1 data" and that "the Moderna team continues to focus on moving as fast as safely possible to start our pivotal Phase 3 study in July."
  • Moderna is collaborating on its vaccine development with the National Institute of Allergy and Infectious Diseases. Dr. Anthony Fauci, the director of NIAID, said while Moderna's numbers were limited, "it was good news" and he was "cautiously optimistic" about the vaccine.
  • Inovio and Moderna have said they expect their large-scale clinical trials, known as Phase 3 trials, to last around six months. Pfizer hasn't given a timetable for its Phase 3 trial.
  • "I've not seen anyone wrap up a Phase 3 trial in a month to six weeks," said Dr. Saad Omer, a Yale University infectious disease expert who's done clinical trials on polio, pertussis and influenza vaccines. "We need to benchmark this against realistic expectations."
  • "As vaccine researchers like to say, mice lie and monkeys exaggerate," Offit said.
  • One big stumbling block for any vaccine trial is that Covid-19 infection rates in many areas of the world are flattening out or declining.
  • The Oxford vaccine uses what's called an adenovirus vector. Adenoviruses cause the common cold, but in this case, the adenoviruses are weakened and modified to deliver genetic material that codes for a protein from the novel coronavirus. The body then produces that protein and, ideally, develops an immune response to it.
  • "Compared to previous vaccines, this method is more robust, more versatile, and yet, equally efficient," according to the blog, which notes that the Bill & Melinda Gates Foundation invested $53 million in a German biotech company that specializes in RNA vaccines.
  • Inovio's technology uses a brief electrical pulse to deliver plasmids, or small pieces of genetic information, into human cells. Inovio says those cells then produce the vaccine, which leads to an immune response.
  • On April 19, the BBC's Andrew Marr said he asked Gilbert "if it's guaranteed that a workable vaccine can actually be produced."
  • "Nobody can be absolutely sure it's possible. That's why we have to do trials. We have to find out. I think the prospects are very good, but it's clearly not completely certain,"
  • "It certainly worked in monkeys," Oxford's Hill told CNN's Burnett May 15. "That was quite an impressive impact and that was our first try, if you like, with a standard dose, a single dose of vaccine."
  • "I buy that this is a pandemic and we may need to show progress and show steps, and I'm OK with making forecasts if decision makers want that, but do it with a level of uncertainty, because that's what's warranted," said Omer, director of the Yale Institute for Global Health.
  • "Now researchers can't wait to step out to the microphone -- and there are so many microphones out there -- to say, 'I've got it! This looks really good!' " Offit said.
ilanaprincilus06

Half Of The Jury In The Chauvin Trial Is Nonwhite. That's Only Part Of The Story : Live... - 0 views

  • The jury chosen for the trial of former Minneapolis police officer Derek Chauvin, charged with murder in the death of George Floyd, is notable because it is significantly less white than Minneapolis itself.
  • three Black men, one Black woman and two jurors who identify as multiracial.
  • 50% of the panel that will vote on Chauvin's fate will be Black or multiracial.
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  • Hennepin County, where the trial is being held, is only 17% Black or multiracial, while it is 74% white.
  • The jury's racial makeup will assuage some of the concerns that activists and others had expressed as jury selection got underway two weeks ago.
  • An insufficiently diverse jury, they believed, would undercut people's faith in the legitimacy of a trial seen as a critical moment in the racial justice movement that Floyd's killing helped reenergize last spring.
  • Two of the Black men on the jury are not African Americans but, rather, Black immigrants. During questioning, they expressed the kind of moderate views on policing and race relations
  • None of the Black jurors ultimately chosen for the panel spoke extensively about personal experiences with racism or about having had overtly negative interactions with police. Several said they had a healthy respect for law enforcement.
  • The fate of Juror 76 highlighted a tension that often exists in jury selection, especially in cases in which issues of race loom large. The experiences that come with being Black in America are often enough to get jurors struck from a case
  • That did not seem to be the case during jury selection for the Chauvin trial. Several jurors who expressed at least some support for the movement were seated on the jury — a sign of progress, Chakravarti said.
  • On one hand, that the defense would strike people with negative views of police is understandable, given Nelson's responsibility to seat a jury favorable to his client.
  • She said his fate was a reminder that the jury selection process should be reformed to ensure more African Americans have a fair shot to serve on juries."We should start," she wrote, "by recognizing that their lived experiences with racism are not justification to excuse them."
qkirkpatrick

How Will Brain Science Affect The Tsarnaev Trial? | Radio Boston - 0 views

  • Jury selection continues for the second week in the trial of accused Boston Marathon bomber, Dzhokhar Tsarnaev.
  • Later this week, the judge, prosecutors and defense attorneys are expected to question prospective jurors. They will ask about jurors’ backgrounds, their feelings about the death penalty and whether they already have an opinion about Tsarnaev.
  • . Some say brain science is likely to play a role in the trial, because courts are increasingly looking at what neuroscience tells us about adolescence and the developing brain.
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    a radio broadcast talking about how the brain can affect a trial. Connects with how we talked about witnesses and memory.
Javier E

Older Americans Are 'Hooked' on Vitamins - The New York Times - 1 views

  • When she was a young physician, Dr. Martha Gulati noticed that many of her mentors were prescribing vitamin E and folic acid to patients. Preliminary studies in the early 1990s had linked both supplements to a lower risk of heart disease.She urged her father to pop the pills as well: “Dad, you should be on these vitamins, because every cardiologist is taking them or putting their patients on [them],” recalled Dr. Gulati, now chief of cardiology for the University of Arizona College of Medicine-Phoenix
  • But just a few years later, she found herself reversing course, after rigorous clinical trials found neither vitamin E nor folic acid supplements did anything to protect the heart. Even worse, studies linked high-dose vitamin E to a higher risk of heart failure, prostate cancer and death from any cause.
  • More than half of Americans take vitamin supplements, including 68 percent of those age 65 and older, according to a 2013 Gallup poll. Among older adults, 29 percent take four or more supplements of any kind
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  • Often, preliminary studies fuel irrational exuberance about a promising dietary supplement, leading millions of people to buy in to the trend. Many never stop. They continue even though more rigorous studies — which can take many years to complete — almost never find that vitamins prevent disease, and in some cases cause harm
  • There’s no conclusive evidence that dietary supplements prevent chronic disease in the average American, Dr. Manson said. And while a handful of vitamin and mineral studies have had positive results, those findings haven’t been strong enough to recommend supplements to the general American public, she said.
  • The National Institutes of Health has spent more than $2.4 billion since 1999 studying vitamins and minerals. Yet for “all the research we’ve done, we don’t have much to show for it,” said Dr. Barnett Kramer, director of cancer prevention at the National Cancer Institute.
  • A big part of the problem, Dr. Kramer said, could be that much nutrition research has been based on faulty assumptions, including the notion that people need more vitamins and minerals than a typical diet provides; that megadoses are always safe; and that scientists can boil down the benefits of vegetables like broccoli into a daily pill.
  • when researchers tried to deliver the key ingredients of a healthy diet in a capsule, Dr. Kramer said, those efforts nearly always failed.
  • It’s possible that the chemicals in the fruits and vegetables on your plate work together in ways that scientists don’t fully understand — and which can’t be replicated in a table
  • More important, perhaps, is that most Americans get plenty of the essentials, anyway. Although the Western diet has a lot of problems — too much sodium, sugar, saturated fat and calories, in general — it’s not short on vitamins
  • Without even realizing it, someone who eats a typical lunch or breakfast “is essentially eating a multivitamin,”
  • The body naturally regulates the levels of many nutrients, such as vitamin C and many B vitamins, Dr. Kramer said, by excreting what it doesn’t need in urine. He added: “It’s hard to avoid getting the full range of vitamins.”
  • Not all experts agree. Dr. Walter Willett, a professor at the Harvard T.H. Chan School of Public Health, says it’s reasonable to take a daily multivitamin “for insurance.” Dr. Willett said that clinical trials underestimate supplements’ true benefits because they aren’t long enough, often lasting five to 10 years. It could take decades to notice a lower rate of cancer or heart disease in vitamin taker
  • For Charlsa Bentley, 67, keeping up with the latest nutrition research can be frustrating. She stopped taking calcium, for example, after studies found it doesn’t protect against bone fractures. Additional studies suggest that calcium supplements increase the risk of kidney stones and heart disease.
  • People who take vitamins tend to be healthier, wealthier and better educated than those who don’t, Dr. Kramer said. They are probably less likely to succumb to heart disease or cancer, whether they take supplements or not. That can skew research results, making vitamin pills seem more effective than they really are
  • Because folic acid can lower homocysteine levels, researchers once hoped that folic acid supplements would prevent heart attacks and strokes.In a series of clinical trials, folic acid pills lowered homocysteine levels but had no overall benefit for heart disease, Dr. Lichtenstein said
  • When studies of large populations showed that people who eat lots of seafood had fewer heart attacks, many assumed that the benefits came from the omega-3 fatty acids in fish oil, Dr. Lichtenstein said.Rigorous studies have failed to show that fish oil supplements prevent heart attacks
  • But it’s possible the benefits of sardines and salmon have nothing to do with fish oil, Dr. Lichtenstein said. People who have fish for dinner may be healthier as a result of what they don’t eat, such as meatloaf and cheeseburgers.
  • “Eating fish is probably a good thing, but we haven’t been able to show that taking fish oil [supplements] does anything for you,
  • In the tiny amounts provided by fruits and vegetables, beta carotene and similar substances appear to protect the body from a process called oxidation, which damages healthy cells, said Dr. Edgar Miller, a professor of medicine at Johns Hopkins School of Medicine.Experts were shocked when two large, well-designed studies in the 1990s found that beta carotene pills actually increased lung cancer rates.
  • Likewise, a clinical trial published in 2011 found that vitamin E, also an antioxidant, increased the risk of prostate cancer in men by 17 percent
  • “Vitamins are not inert,” said Dr. Eric Klein, a prostate cancer expert at the Cleveland Clinic who led the vitamin E study. “They are biologically active agents. We have to think of them in the same way as drugs. If you take too high a dose of them, they cause side effects.”
  • “We should be responsible physicians,” she said, “and wait for the data.”
peterconnelly

Johnny Depp-Amber Heard Verdict: The Actual Malice of the Trial - The New York Times - 0 views

  • Why did Depp, who had already lost a similar case in Britain, insist on going back to court? A public trial, during which allegations of physical, sexual, emotional and substance abuse against him were sure to be repeated, couldn’t be counted on to restore his reputation. Heard, his ex-wife, was counting on the opposite: that the world would hear, in detail, about the physical torments that led her to describe herself, in the Washington Post op-ed that led to the suit, as “a public figure representing domestic abuse.”
  • The fact that Heard’s partial victory, which involved not Depp’s words but those spoken in 2020 by Adam Waldman, his lawyer at the time, can be spun in that direction shows how such ambiguity served Depp all along.
  • Maybe they were both abusive. Who really knows what happened? The convention of courtroom journalism is to make a scruple of indeterminacy. And so we found ourselves in the familiar land of he said/she said.
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  • But Depp-Heard wasn’t a criminal trial; it was a civil action intended to measure the reputational harm each one claimed the other had done. Which means that it rested less on facts than on sympathies.
  • He isn’t a better actor than Heard, but her conduct on the stand was more harshly criticized in no small part because he’s a more familiar performer, a bigger star who has dwelled for much longer in the glow of public approbation.
Javier E

After the Fact - The New Yorker - 1 views

  • newish is the rhetoric of unreality, the insistence, chiefly by Democrats, that some politicians are incapable of perceiving the truth because they have an epistemological deficit: they no longer believe in evidence, or even in objective reality.
  • the past of proof is strange and, on its uncertain future, much in public life turns. In the end, it comes down to this: the history of truth is cockamamie, and lately it’s been getting cockamamier.
  • . Michael P. Lynch is a philosopher of truth. His fascinating new book, “The Internet of Us: Knowing More and Understanding Less in the Age of Big Data,” begins with a thought experiment: “Imagine a society where smartphones are miniaturized and hooked directly into a person’s brain.” As thought experiments go, this one isn’t much of a stretch. (“Eventually, you’ll have an implant,” Google’s Larry Page has promised, “where if you think about a fact it will just tell you the answer.”) Now imagine that, after living with these implants for generations, people grow to rely on them, to know what they know and forget how people used to learn—by observation, inquiry, and reason. Then picture this: overnight, an environmental disaster destroys so much of the planet’s electronic-communications grid that everyone’s implant crashes. It would be, Lynch says, as if the whole world had suddenly gone blind. There would be no immediate basis on which to establish the truth of a fact. No one would really know anything anymore, because no one would know how to know. I Google, therefore I am not.
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  • In England, the abolition of trial by ordeal led to the adoption of trial by jury for criminal cases. This required a new doctrine of evidence and a new method of inquiry, and led to what the historian Barbara Shapiro has called “the culture of fact”: the idea that an observed or witnessed act or thing—the substance, the matter, of fact—is the basis of truth and the only kind of evidence that’s admissible not only in court but also in other realms where truth is arbitrated. Between the thirteenth century and the nineteenth, the fact spread from law outward to science, history, and journalism.
  • Lynch isn’t terribly interested in how we got here. He begins at the arrival gate. But altering the flight plan would seem to require going back to the gate of departure.
  • Lynch thinks we are frighteningly close to this point: blind to proof, no longer able to know. After all, we’re already no longer able to agree about how to know. (See: climate change, above.)
  • We now only rarely discover facts, Lynch observes; instead, we download them.
  • For the length of the eighteenth century and much of the nineteenth, truth seemed more knowable, but after that it got murkier. Somewhere in the middle of the twentieth century, fundamentalism and postmodernism, the religious right and the academic left, met up: either the only truth is the truth of the divine or there is no truth; for both, empiricism is an error.
  • That epistemological havoc has never ended: much of contemporary discourse and pretty much all of American politics is a dispute over evidence. An American Presidential debate has a lot more in common with trial by combat than with trial by jury,
  • came the Internet. The era of the fact is coming to an end: the place once held by “facts” is being taken over by “data.” This is making for more epistemological mayhem, not least because the collection and weighing of facts require investigation, discernment, and judgment, while the collection and analysis of data are outsourced to machines
  • “Most knowing now is Google-knowing—knowledge acquired online,”
  • Empiricists believed they had deduced a method by which they could discover a universe of truth: impartial, verifiable knowledge. But the movement of judgment from God to man wreaked epistemological havoc.
  • “The Internet didn’t create this problem, but it is exaggerating it,”
  • nothing could be less well settled in the twenty-first century than whether people know what they know from faith or from facts, or whether anything, in the end, can really be said to be fully proved.
  • In his 2012 book, “In Praise of Reason,” Lynch identified three sources of skepticism about reason: the suspicion that all reasoning is rationalization, the idea that science is just another faith, and the notion that objectivity is an illusion. These ideas have a specific intellectual history, and none of them are on the wane.
  • Their consequences, he believes, are dire: “Without a common background of standards against which we measure what counts as a reliable source of information, or a reliable method of inquiry, and what doesn’t, we won’t be able to agree on the facts, let alone values.
  • When we Google-know, Lynch argues, we no longer take responsibility for our own beliefs, and we lack the capacity to see how bits of facts fit into a larger whole
  • Essentially, we forfeit our reason and, in a republic, our citizenship. You can see how this works every time you try to get to the bottom of a story by reading the news on your smartphone.
  • what you see when you Google “Polish workers” is a function of, among other things, your language, your location, and your personal Web history. Reason can’t defend itself. Neither can Google.
  • rump doesn’t reason. He’s a lot like that kid who stole my bat. He wants combat. Cruz’s appeal is to the judgment of God. “Father God, please . . . awaken the body of Christ, that we might pull back from the abyss,” he preached on the campaign trail. Rubio’s appeal is to Google.
  • Is there another appeal? People who care about civil society have two choices: find some epistemic principles other than empiricism on which everyone can agree or else find some method other than reason with which to defend empiricism
  • Lynch suspects that doing the first of these things is not possible, but that the second might be. He thinks the best defense of reason is a common practical and ethical commitment.
  • That, anyway, is what Alexander Hamilton meant in the Federalist Papers, when he explained that the United States is an act of empirical inquiry: “It seems to have been reserved to the people of this country, by their conduct and example, to decide the important question, whether societies of men are really capable or not of establishing good government from reflection and choice, or whether they are forever destined to depend for their political constitutions on accident and force.”
ilanaprincilus06

A Medication-Assisted Treatment For Meth Addiction Shows Promise : Shots - Health News ... - 0 views

  • For the first time, a medication regime has been found effective for some patients with meth addiction in a large, placebo-controlled trial.
  • Unlike opioid addiction, for which medication-assisted treatment is the standard of care, no medication has been approved by the Food and Drug Administration for use with meth.
  • patients in clinics around the U.S. suffering from methamphetamine use disorder were treated for 12 weeks with a combination of medications — naltrexone and bupropion — or placebo.
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  • The treatment helped 13.4% of patients with their addiction, compared with 2.5% of the placebo group.
  • This medication therapy provides another tool for doctors to try with patients.
  • "As we understand the complexity of the human brain, it becomes very much of a magical thinking that one pill will solve the problem of addiction,"
  • The treatment regimen in the trial combined two medications that have been studied separately for treating methamphetamine addiction with limited success.
  • This clinical trial was successful enough that the National Institute on Drug Addiction's Volkow says she expects to move forward toward securing FDA approval.
  • lack of medical treatments for those addicted to meth has complicated efforts to curb demand for the drug.
  • The human cost has been catastrophic. Researchers say overdose deaths linked to meth increased fourfold over the last decade.
  • Even users who don't overdose often experience damage to the heart and other tissues, and can see their lives spiral out of control.
  • "For heroin users, there's methadone, there's suboxone. I just wonder why we haven't researched [treatments for] this drug yet,"
  • "It's about evidence-based care, it's about empathy and it's about survivability,"
sanderk

When Will We Have a Coronavirus Vaccine? | U.S. News - 0 views

  • That investigational vaccine, called mRNA-1273, has been developed by Moderna Therapeutics, and the clinical trial is being conducted at Kaiser Permanente Washington Health Research Institute Vaccine and Treatment Evaluation Unit.
  • "not all potential vaccines will succeed, but there are several viable candidates."
  • "there is still much we don't know about the source of this pandemic and the complexity of this novel virus. So, we understand that one company, one vaccine, one test or one medicine will not be an effective solution to overcoming the tremendous task at hand."
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  • Regulatory review and approval. If a medication or drug is proven safe and effective in clinical trials, the U.S. Food and Drug Administration gets involved to evaluate the vaccine and administer an approval. The International Federation of Pharmaceutical Manufacturers and Associations reports that, typically, 1 in 10 experimental vaccines make it all the way through regulatory approval.
  • Each one of those steps can take years, and a potential vaccine can get stalled indefinitely at any one of them.
  • There's not a whole lot that can be done to speed up the process and still arrive at a safe and effective vaccine. Currently, most medical and public health experts say we're at least 12 to 18 months away from having a usable vaccine against COVID-19.
  • Because of the lengthy timeline associated with vaccine development, nearly three dozen companies and academic institutions around the world are now directing resources towards the search
  • While these new approaches could speed a vaccine to market, it does raise some ethical questions about safety. It's also unclear just yet whether the rush will result in an effective vaccine faster
  • "In the beginning of the process, the research usually involves searching through tons of sources of data to uncover opportunities that may not be so obvious.
  • The trial will assess "safety and antibody production, meaning that testing various doses' safety and whether these doses are producing an immune response. This phase 1 trial is not studying the effectiveness of the vaccine in preventing coronavirus infection. That will come at a later phase of the research,
  • But the sense of urgency surrounding the need for a safe, effective vaccine to prevent COVID-19 is driving public health officials, private pharmaceutical companies and others to work as quickly as they can to find a solution. The sooner these vaccines and other medications can be tested, the sooner we might have a viable vaccine that can halt a global pandemic that shows few signs of slowing on its own. But right now, experts say that it will take at least a year and likely longer before such a vaccine is available
Javier E

New cancer treatment destroys tumours in terminally ill, finds trial | Cancer | The Gua... - 0 views

  • In a landmark trial, a cocktail of immunotherapy medications harnessed patients’ immune systems to kill their own cancer cells and prompted “a positive trend in survival”, according to researchers at the Institute of Cancer Research (ICR), London, and the Royal Marsden NHS foundation trust.
  • Scientists found the combination of nivolumab and ipilimumab medications led to a reduction in the size of tumours in terminally-ill head and neck patients. In some, their cancer vanished altogether, with doctors stunned to find no detectable sign of disease.
  • the immunotherapy treatment also triggered far fewer side-effects compared with the often gruelling nature of “extreme” chemotherapy,
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  • The results from the phase 3 trial, involving almost 1,000 dying head and neck cancer patients, were early and not statistically significant but were still “clinically meaningful”, the ICR said, with some patients living months or years longer and suffering fewer side effects.
  • When the research nurses called to tell me that, after two months, the tumour in my throat had completely disappeared, it was an amazing moment,” said Ambrose. “While there was still disease in my lungs at that point, the effect was staggering.”
peterconnelly

Johnny Depp, Amber Heard trial verdict - CNN - 0 views

  • (CNN)A jury has found both Amber Heard and Johnny Depp liable for defamation in their lawsuits against each other.
  • Depp sued Heard, his ex-wife, for defamation over a 2018 op-ed she wrote for The Washington Post in which she described herself as a "public figure representing domestic abuse." Though Depp was not named in the article, he claims it cost him lucrative acting roles. Heard countersued her ex-husband for defamation over statements Depp's attorney made about her abuse claims.
  • Heard kept her eyes down as the verdict was read. Depp was not present in court, but released a statement that said, in part, "the jury gave me my life back."
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  • "From the very beginning, the goal of bringing this case was to reveal the truth, regardless of the outcome. Speaking the truth was something that I owed to my children and to all those who have remained steadfast in their support of me," he said. "I feel at peace knowing I have finally accomplished that."
  • "The disappointment I feel today is beyond words. I'm heartbroken that the mountain of evidence still was not enough to stand up to the disproportionate power, influence, and sway of my ex-husband," Heard said.
  • In her testimony, Heard said that Depp was verbally and physically abusive during their relationship. She also accused Depp of sexual violence.
  • Depp claimed multiple times on the stand that he has never struck a woman, denied Heard's allegation of sexual battery and called himself a victim of domestic abuse by Heard, which she denies.
  • Heard had notably fewer vocal supporters than Depp in the entertainment business and in and around the courthouse.
kiraagne

Before Kyle Rittenhouse's Murder Trial, a Debate Over Terms Like 'Victim' - The New Yor... - 0 views

  • A judge’s decision that the word “victim” generally could not be used in court to refer to the people shot by Kyle Rittenhouse after protests in Kenosha, Wis., last year drew widespread attention and outrage this week.
  • Mr. Rittenhouse, who has been charged with six criminal counts, including first-degree reckless homicide, first-degree intentional homicide and attempted first-degree intentional homicide in the deaths of two men and the wounding of another, is expected to argue that he fired his gun because he feared for his life.
  • Prosecutors say he was a violent vigilante who illegally possessed the rifle and whose actions resulted in chaos and bloodshed.
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  • This week, as Judge Schroeder ruled on a motion by the prosecution, he also said that he would allow the terms “looters” and “rioters” to be used to refer to the men who were shot
  • The experts said the term “victim” can appear prejudicial in a court of law, heavily influencing a jury by presupposing which people have been wronged.
  • State law in Wisconsin allows a person to fire in self-defense if the shooter “reasonably believes that such force is necessary to prevent imminent death or great bodily harm to himself or herself.”Editors’ PicksTo Save a Swirling Season, Atlanta Turned to Soft ServeThink You Know the 1960s? ‘The Shattering’ Asks You to Think Again.
  • “In a self-defense case, the people who were shot are to some extent on trial,
  • Prosecutors have repeatedly tried to introduce evidence of Mr. Rittenhouse’s associations with the far-right Proud Boys, as well as a cellphone video taken weeks before the shootings in Kenosha in which Mr. Rittenhouse suggested that he wished he had his rifle so he could shoot men leaving a pharmacy. The judge did not allow either as evidence for trial.
  • Thomas Binger, a prosecutor, argued that the judge was creating a “double standard” and said that the words he sought to have prohibited — relating to rioting and other damage — were “as loaded, if not more loaded, than the term ‘victim.’
Javier E

Functional medicine: Is it the future of healthcare or just another wellness trend? - I... - 0 views

  • Functional Medicine is the alternative medicine Bill Clinton credits with giving him his life back after his 2004 quadruple heart by-pass surgery. Its ideology is embraced by Oprah and regularly features on Gwyneth Paltrow's Goop.
  • Developed in 1990 by Dr Jeffrey Bland, who in 1991 set up the Institute of Functional Medicine with his wife Susan, today the field is spearheaded by US best-selling author Dr Mark Hyman, adviser to the Clintons and co-director of the controversial Cleveland Clinic for Functional Medicine.
  • "Functional Medicine is not about a test or a supplement or a particular protocol," he adds. "It's really a new paradigm of disease and how it arises and how to restore health. Within it there are many approaches that are effective, it's not exclusive, it doesn't exclude traditional medications, it includes all modalities depending on what's right for that patient."
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  • Functional Medicine isn't a protected title and a medical qualification isn't a prerequisite to practice. The result is an unregulated and disparate field, with medical doctors, nutritionists, naturopaths and homeopaths among the many practitioners.
  • Some other chronic illnesses the field claims to treat include heart disease, type 2 diabetes, irritable bowel syndrome, ulcerative colitis, depression, anxiety and arthritis
  • ll kinds of different reasons, some might have gluten issues, gut issues, others might have a deficiency causing neurological issues, MS is a symptom."
  • "There are components of Functional Medicine that absolutely lack an evidence base and there are practitioners of what they call Functional Medicine, they charge people for intravenous nutritional injections, they exaggerate claims, and that is professionally inappropriate, unethical and it lacks evidence.
  • On Dr Mark Hyman's view of MS he says, "there are a lot of terms put together there, all of which individually make a lot of sense, but put together in that way they do not.
  • "What does FM actually mean? It means nothing. It's a gift-gallop of words thrown together. It's criticised by advocates of evidence-based medicine because it's giving a veneer of scientific legitimacy to ideas that are considered pseudoscientific. For example, it'll take alternative medicine modalities like homeopathy and then call them 'bio-infusions' or something similar, rebranding it as something that works.
  • "It's a redundant name, real medicine is functional."
  • Next month the third annual Lifestyle and Functional Medical conference will take place in Salthill, Galway on November 3. Last year's event was attended by more than 500 people and featured a keynote address by honorary consultant cardiologist Dr Aseem Malhotra, author of bestselling The Pioppi Diet (which was named one of the top five worst celebrity diets to avoid in 2018 by the British Dietetic Foundation).
  • Dr David Robert Grimes is physicist and visiting fellow of Oxford and QUB. His research into cancer focuses on modelling tumour metabolism and radiation interactions. For Dr Grimes, the lack of definition, or "double-speak" as he puts it, in FM is troubling.
  • As well as the cost of appointments, FM practitioners commonly charge extra for tests. An omega finger prick test is around €100. A vitamin D test can cost upwards of €60, full thyroid panel more than €150 and a gut function test €400. Prices vary between practitioners.
  • "If I, as a GP, engaged in some of these behaviours I would be struck off." Specifically? "If I was recommending treatments that lacked an evidence base, or if I was promoting diagnostic tests which are expensive and lack an evidence base.
  • GPs engage every year in ongoing continuous professional development, I spend my evenings and my weekends outside of working hours attending educational events, small-group learning, large-group learning, engaging in research. This is an accusation that was levelled at the profession 30 years ago and then it was correct, but the profession has caught up…
  • "Obviously promoting wellness and healthy diet is very welcome but going beyond that and stating that certain aspects of 'functional medicine' can lead to reduced inflammation or prevent cancer, we have to be very careful about those claims.
  • Often the outcome of such tests are seemingly 'benign' prescriptions of vitamins or cleanses. However, dietitian Orla Walsh stresses that even these can have potentially harmful effects, especially on "vulnerable" patients, if not prescribed judiciously.
  • FM has five basic principles. 1. We are all genetically and biochemically unique so it treats the individual, not the disease. 2. It's science-based. 3. The body is intelligent and has the capacity for self-regulation. 4. The body has the ability to heal and prevent nearly all the diseases of ageing. 5. Health is not just the absence of disease, but a state of immense vitality.
  • She began her Functional Medicine career while training as a medical doctor and now travels the world working with high-profile clients. Dr McHale charges €425 for an initial consultation and €175 for follow-up appointments. Straightforward lab tests are €250 to €750, for complex cases testing fees can be up to €2,000.
  • "The term [Functional Medicine] tends to be bandied around quite a bit. Other things people say, such as 'functional nutritionist', can be misleading as a term. Many people are Functional Medicine practitioners but don't have any real medical background at all... I think regulation is always probably the best way forward."
  • "There's an awful lot to it in terms of biochemistry and physiology," she says. "You do need to have a very solid and well ingrained bio-chemistry background. A solely clinical background doesn't equip you with the knowledge to read a test.
  • "Evidence-base is the cornerstone of medicine and that has to be maintained. It becomes problematic in this area because you are looking at personalised medicine and that can be very difficult to evidence-base."
  • GP Christine Ritter travelled from England to attend the Galway conference last year with a view to integrating Functional Medicine into her practice.
  • "It was very motivating," she says. "Where it wasn't perhaps as strong was to find the evidence. The Functional Medicine people would say, 'we've done this study and this trial and we've used this supplement that was successful', but they can't show massive research data which might make it difficult to bring it into the mainstream.
  • "I also know the rigorous standard of trials we have in medicine they're not usually that great either, it's often driven by who's behind the trial and who's paying for it.
  • "Every approach that empowers patient to work on their destiny [is beneficial], but you'd have to be mindful that you're not missing any serious conditions."
  • Dr Hyman is working to grow the evidence-base for Functional Medicine worldwide. "The future is looking very bright," he says. "At the Cleveland Centre we're establishing a research base, building educational platforms, fellowships, residency programmes, rotations. We're advancing the field that's spreading across the world. We're seeing in China the development of a programme of Functional Medicine, South Africa, the UK, in London the Cleveland Clinic will hopefully have a Functional Medicine centre."
  • For Dr Mark Murphy regulation is a moot point as it can only apply once the field meets the standards of evidence-based medicine.
  • "Despite well intentioned calls for regulation, complementary and alternative medical therapies cannot be regulated," he says. "Only therapies that possess an evidence-base can enter our standard regulatory processes, including the Irish Medical Council, the Health Products Regulatory Authority and Irish advertising standards. In situations where complementary and alternative therapies develop an evidence base, they are no longer 'complementary and alternative', but in effect they become part of mainstream 'Medicine'.
  • l What are the principles?
  • "There's a huge variation between therapists, some are brilliant and some are okay, and some are ludicrous snake oil salesmen."
  • He is so concerned that patients' health and wealth are being put at risk by alternative therapies that earlier this year he joined Fine Gael TD Kate O'Connell and the Irish Cancer Society in introducing draft legislation earlier this year making it illegal to sell unproven treatments to cancer patients. Violators face jail and heavy fines.
  • Dr Grimes says criticism of variations in the standards of traditional medical research can be fair, however due to the weight of research it is ultimately self-correcting. He adds, "The reality is that good trials are transparent, independent and pre-registered.
  • "My involvement in shaping the Bill came from seeing first-hand the exploitation of patients and their families. Most patients undergoing treatment will take some alternative modalities in conjunction but a significant portion are talked out of their conventional medicine and seduced by false promises
Dunia Tonob

Russia to put dead whistle-blower on trial - Europe - Al Jazeera English - 0 views

  • A whistleblowing Russian lawyer whose death in custody became a symbol of rights abuses and strained relations with the United States will go on posthumous trial in what relatives say is revenge by the Kremlin.
  • The circumstances of his demise led the United States last year to bar entry to Russians accused of involvement in his case or in other rights abuses.
  • "It's inhuman to try a dead man. If I take part in this circus, I become an accomplice to this,"
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  • "It is pure state propaganda because there is no point in trying a dead man."
sissij

Believe It Or Not, Most Published Research Findings Are Probably False | Big Think - 0 views

  • but this has come with the side effect of a toxic combination of confirmation bias and Google, enabling us to easily find a study to support whatever it is that we already believe, without bothering to so much as look at research that might challenge our position
  • Indeed, this is a statement oft-used by fans of pseudoscience who take the claim at face value, without applying the principles behind it to their own evidence.
  • at present, most published findings are likely to be incorrect.
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  • If you use p=0.05 to suggest that you have made a discovery, you will be wrong at least 30 percent of the time.
  • The problem is being tackled head on in the field of psychology which was shaken by the Stapel affair in which one Dutch researcher fabricated data in over 50 fraudulent papers before being detected.
  • a problem know as publication bias or the file drawer problem.
  • The smaller the effect size, the less likely the findings are to be true.
  • The greater the number and the lesser the selection of tested relationships, the less likely the findings are to be true.
  • For scientists, the discussion over how to resolve the problem is rapidly heating up with calls for big changes to how researchers register, conduct, and publish research and a growing chorus from hundreds of global scientific organizations demanding that all clinical trials are published.
  •  
    As we learned in TOK, science is full of uncertainties. And in this article, the author suggests that even the publication of science paper is full of flaws. But the general population often cited science source that's in support of them. However, science findings are full of faults and the possibility is very high for the scientists to make a false claim. Sometimes, not the errors in experiments, but the fabrication of data lead to false scientific papers. And also, there are a lot of patterns behind the publication of false scientific papers.
maddieireland334

HIV drugs should be given at diagnosis, trial suggests - BBC News - 0 views

  •  
    HIV drugs should be given at the moment of diagnosis, according to a major trial that could change the way millions of people are treated. People currently get antiretroviral therapy only when their white blood cell levels drop. But a US-led study has now been cut short as early treatment was so beneficial for patients.
kushnerha

A Placebo Treatment for Pain - The New York Times - 0 views

  • This phenomenon — in which someone feels better after receiving fake treatment — was once dismissed as an illusion. People who are ill often improve regardless of the treatment they receive. But neuroscientists are discovering that in some conditions, including pain, placebos create biological effects similar to those caused by drugs.
  • a key ingredient is expectation: The greater our belief that a treatment will work, the better we’ll respond.
  • Placebo effects in pain are so large, in fact, that drug manufacturers are finding it hard to beat them. Finding ways to minimize placebo effects in trials, for example by screening out those who are most susceptible, is now a big focus for research. But what if instead we seek to harness these effects? Placebos might ruin drug trials, but they also show us a new approach to treating pain.
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  • It is unethical to deceive patients by prescribing fake treatments, of course. But there is evidence that people with some conditions benefit even if they know they are taking placebos. In a 2014 study that followed 459 migraine attacks in 66 patients, honestly labeled placebos provided significantly more pain relief than no treatment, and were nearly half as effective as the painkiller Maxalt.
  • With placebo responses in pain so high — and the risks of drugs so severe — why not prescribe a course of “honest” placebos for those who wish to try it, before proceeding, if necessary, to an active drug?
  • Another option is to employ alternative therapies, which through placebo responses can benefit patients even when there is no physical mode of action.
  • Taking a placebo painkiller dampens activity in pain-related areas of the brain and spinal cord, and triggers the release of endorphins, the natural pain-relieving chemicals that opioid drugs are designed to mimic. Even when we take a real painkiller, a big chunk of its effect is delivered not by any direct chemical action, but by our expectation that the drug will work. Studies show that widely used painkillers like morphine, buprenorphine and tramadol are markedly less effective if we don’t know we’re taking them.
  • Individual attitudes and experiences are important, as are cultural factors. Placebo effects are getting stronger in the United States, for example, though not elsewhere.
  • Likely explanations include a growing cultural belief in the effectiveness of painkillers — a result of direct-to-consumer advertising (illegal in most other countries) and perhaps the fact that so many Americans have taken these drugs in the past.
  • Trials show, for example, that strengthening patients’ positive expectations and reducing their anxiety during a variety of procedures, including minimally invasive surgery, while still being honest, can reduce the dose of painkillers required and cut complications.
  • Placebo studies also reveal the value of social interaction as a treatment for pain. Harvard researchers studied patients in pain from irritable bowel syndrome and found that 44 percent of those given sham acupuncture had adequate relief from their symptoms. If the person who performed the acupuncture was extra supportive and empathetic, however, that figure jumped to 62 percent.
  • Placebos tell us that pain is a complex mix of biological, psychological and social factors. We need to develop better drugs to treat it, but let’s also take more seriously the idea of relieving pain without them.
Javier E

Here's what the government's dietary guidelines should really say - The Washington Post - 0 views

  • If I were writing the dietary guidelines, I would give them a radical overhaul. I’d go so far as to radically overhaul the way we evaluate diet. Here’s why and how.
  • Lately, as scientists try, and fail, to reproduce results, all of science is taking a hard look at funding biases, statistical shenanigans and groupthink. All that criticism, and then some, applies to nutrition.
  • Prominent in the charge to change the way we do science is John Ioannidis, professor of health research and policy at Stanford University. In 2005, he published “Why Most Research Findings Are False” in the journal PLOS Medicin
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  • He came down hard on nutrition in a pull-no-punches 2013 British Medical Journal editorial titled, “Implausible results in human nutrition research,” in which he noted, “Almost every single nutrient imaginable has peer reviewed publications associating it with almost any outcome.”
  • Ioannidis told me that sussing out the connection between diet and health — nutritional epidemiology — is enormously challenging, and “the tools that we’re throwing at the problem are not commensurate with the complexity and difficulty of the problem.” The biggest of those tools is observational research, in which we collect data on what people eat, and track what happens to them.
  • He lists plant-based foods — fruit, veg, whole grains, legumes — but acknowledges that we don’t understand enough to prescribe specific combinations or numbers of servings.
  • funding bias isn’t the only kind. “Fanatical opinions abound in nutrition,” Ioannidis wrote in 2013, and those have bias power too.
  • “Definitive solutions won’t come from another million observational papers or small randomized trials,” reads the subtitle of Ioannidis’s paper. His is a burn-down-the-house ethos.
  • When it comes to actual dietary recommendations, the disagreement is stark. “Ioannidis and others say we have no clue, the science is so bad that we don’t know anything,” Hu told me. “I think that’s completely bogus. We know a lot about the basic elements of a healthy diet.”
  • Give tens of thousands of people that FFQ, and you end up with a ginormous repository of possible correlations. You can zero in on a vitamin, macronutrient or food, and go to town. But not only are you starting with flawed data, you’ve got a zillion possible confounding variables — dietary, demographic, socioeconomic. I’ve heard statisticians call it “noise mining,” and Ioannidis is equally skeptical. “With this type of data, you can get any result you want,” he said. “You can align it to your beliefs.”
  • Big differences in what people eat track with other differences. Heavy plant-eaters are different from, say, heavy meat-eaters in all kinds of ways (income, education, physical activity, BMI). Red meat consumption correlates with increased risk of dying in an accident as much as dying from heart disease. The amount of faith we put in observational studies is a judgment call.
  • I find myself in Ioannidis’s camp. What have we learned, unequivocally enough to build a consensus in the nutrition community, about how diet affects health? Well, trans-fats are bad.
  • Over and over, large population studies get sliced and diced, and it’s all but impossible to figure out what’s signal and what’s noise. Researchers try to do that with controlled trials to test the connections, but those have issues too. They’re expensive, so they’re usually small and short-term. People have trouble sticking to the diet being studied. And scientists are generally looking for what they call “surrogate endpoints,” like increased cholesterol rather than death from heart disease, since it’s impractical to keep a trial going until people die.
  • , what do we do? Hu and Ioannidis actually have similar suggestions. For starters, they both think we should be looking at dietary patterns rather than single foods or nutrients. They also both want to look across the data sets. Ioannidis emphasizes transparency. He wants to open data to the world and analyze all the data sets in the same way to see if “any signals survive.” Hu is more cautious (partly to safeguard confidentiality
  • I have a suggestion. Let’s give up on evidence-based eating. It’s given us nothing but trouble and strife. Our tools can’t find any but the most obvious links between food and health, and we’ve found those already.
  • Instead, let’s acknowledge the uncertainty and eat to hedge against what we don’t know
  • We’ve got two excellent hedges: variety and foods with nutrients intact (which describes such diets as the Mediterranean, touted by researchers). If you severely limit your foods (vegan, keto), you might miss out on something. Ditto if you eat foods with little nutritional value (sugar, refined grains). Oh, and pay attention to the two things we can say with certainty: Keep your weight down, and exercise.
  • I used to say I could tell you everything important about diet in 60 seconds. Over the years, my spiel got shorter and shorter as truisms fell by the wayside, and my confidence waned in a field where we know less, rather than more, over time. I’m down to five seconds now: Eat a wide variety of foods with their nutrients intact, keep your weight down and get some exercise.
caelengrubb

February 2016: 400 Years Ago the Catholic Church Prohibited Copernicanism | Origins: Cu... - 0 views

  • In February-March 1616, the Catholic Church issued a prohibition against the Copernican theory of the earth’s motion.
  • This led later (1633) to the Inquisition trial and condemnation of Galileo Galilei (1564-1642) as a suspected heretic, which generated a controversy that continues to our day.
  • In 1543, Polish astronomer Nicolaus Copernicus (1473-1543) published On the Revolutions of the Heavenly Spheres. This book elaborated the (geokinetic and heliocentric) idea that the earth rotates daily on its own axis and revolves yearly around the sun
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  • Since antiquity, this idea had been considered but rejected in favor of the traditional (geostatic and geocentric) thesis that the earth stands still at the center of the universe.
  • The objections to the geokinetic and heliocentric idea involved astronomical observations, the physics of motion, biblical passages, and epistemological principles (e.g., the reliability of human senses, which reveal a stationary earth)
  • The Inquisition launched an investigation. Galileo’s writings were evaluated and other witnesses interrogated. The charges against Galileo were unsubstantiated. However, the officials started worrying about the status of heliocentrism and consulted a committee of experts.
  • These discoveries did not conclusively prove Copernicanism, but provided new evidence in its favor and refutations of some old objections.
  • Galileo became more explicit in his pursuit of heliocentrism, and this soon got him into trouble.
  • In February-March 1615, one Dominican friar filed a written complaint against him, and another one testified in person in front of the Roman Inquisition. They accused Galileo of heresy, for believing in the earth’s motion, which contradicted Scripture, e.g., the miracle in Joshua 10:12-13.
  • Copernicus did not really refute these objections, but he elaborated a novel and important astronomical argument. Thus, Copernicanism attracted few followers. At first, Galileo himself was not one of them, although he was interested because his new physics enabled him to answer the mechanical objections.
  • On February 24, 1616, the consultants unanimously reported the assessment that heliocentrism was philosophically (i.e., scientifically) false and theologically heretical or at least erroneous.
  • The following day, the Inquisition, presided by Pope Paul V, considered the case. Although it did not endorse the heresy recommendation, it accepted the judgments of scientific falsity and theological error, and decided to prohibit the theory.
  • the Church was going to declare the idea of the earth’s motion false and contrary to Scripture, and so this theory could not be held or defended. Galileo agreed to comply.
  • Without mentioning Galileo, it publicly declared the earth’s motion false and contrary to Scripture. It prohibited the reading of Copernicus’s Revolutions, and banned a book published in 1615 by Paolo Antonio Foscarini; he had argued that the earth’s motion was probably true, and certainly compatible with Scripture.
  • The 1616 condemnation of Copernicanism was bad enough for the relationship between science and religion, but the problems were compounded by Galileo’s trial 17 years later.
  • Galileo kept quiet until 1623, when a new pope was elected, Urban VIII, who was a great admirer of Galileo.
  • The Inquisition summoned him to Rome, and the trial proceedings lasted from April to June 1633. He was found guilty of suspected heresy, for defending the earth’s motion, and thus denying the authority of Scripture.
  • “Suspected heresy” was not as serious a religious crime as “formal heresy,” and so his punishment was not death by being burned at the stake, but rather house arrest and the banning of the Dialogue.
  • The Church’s condemnation of Copernicanism and Galileo became the iconic illustration of the problematic relationship between science and religion.
  • This controversy will probably not end any time soon. This may be seen from Pope Francis’s 2015 encyclical Laudato Si’, with its focus on climate change. Whatever its merits, it could be criticized for having failed to learn, from the Galileo affair, the lesson that the Church should be wary of interfering in scientific matters.
Javier E

Mutated virus may reinfect people already stricken once with covid-19, sparking debate ... - 0 views

  • it appears a vaccine is better than natural infection in protecting people, calling it “a big, strong plug to get vaccinated” and a reality check for people who may have assumed that because they have already been infected, they are immune.
  • In the placebo group of the trial for Novavax’s vaccine, people with prior coronavirus infections appeared just as likely to get sick as people without them, meaning they weren’t fully protected against the B.1.351 variant that has swiftly become dominant in South Africa.
  • “The data really are quite suggestive: The level of immunity that you get from natural infection — either the degree of immunity, the intensity of the immunity or the breadth of immunity — is obviously not enough to protect against infection with the mutant,” Fauci said.
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  • She and others emphasized the apparent lack of severe health repercussions from reinfection — and the lack of evidence that reinfection is common.
  • Nearly 4 percent of people who had a previous infection were reinfected, an almost identical rate to those with no history of infection.
  • “Basically, it’s saying vaccination actually needs to be better than natural immunity. But vaccination is better than natural immunity.”
  • The study backs up recent laboratory data from South African researchers analyzing blood plasma from recovered patients. Nearly half of the plasma samples had no detectable ability to block the variant from infecting cells in a laboratory dish
  • The good news is that vaccine trials from Johnson & Johnson and Novavax show that vaccines can work — even against the B.1.351 variant, and particularly in preventing severe illness.
  • Novavax did not provide a breakdown of mild, moderate and severe cases, but severe cases of covid-19 were rare in the trial, suggesting that reinfection is unlikely to send people to the hospital.
  • “It is not surprising to see reinfection in individuals who are convalescent. And it would not be surprising to see infection in people who are vaccinated, especially a few months out from vaccine,”
  • “The key is not whether people get reinfected, it’s whether they get sick enough to be hospitalized.
  • “If the data holds true, it means we will need to walk the public back on the idea of how close we are to the finish line for ending this pandemic.”
  • Projections created by data scientist Youyang Gu — whose pandemic models have been cited by the Centers for Disease Control and Prevention — suggest that about 65 percent of America’s population will reach immunity by June 1. But built into that 65 percent is roughly 20 percent having immunity from past infections only.
  • In a separate study, scientists at Rockefeller University in New York took blood plasma from people who had been vaccinated and found that vaccine-generated antibodies were largely able to block mutations found on the B.1.351 variant.
  • I think the fact that we … now have data from two vaccines indicating that we can prevent serious disease, even against the new variant, is hopeful,”
  • A future concern needing close monitoring is whether the reformulation of vaccines to keep up with the evolving virus could drive the virus to continue evolving.
  • There is also a concern that subpar immunity could allow new resistant variants to emerge. That possibility, Nussenzweig said, is one reason that people should get both doses of a vaccine, on time.
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