Category Archives: Uncategorized

Research Suggests Healthcare Workers Could Balk At Treating Ebola Patients

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Given the current and developing situation in Dallas, where two health workers have become infected with Ebola while caring for a patient, it is reasonable to ask if health workers might decide to call in sick for a few months until this whole highly infectious often fatal disease thing blows over. Daniel Barnett, of the Department of Environmental Health Sciences at the Johns Hopkins Bloomberg School of Public Health, has looked into health workers’ unwillingness to report to work when there is a potential for infectious-disease transmission to themselves and their family members.

The health workers I know tend to run into burning buildings or jump into frozen lakes and such to rescue people, so I can’t see that happening. Apparently it has been an issue in Spain and in West Africa. I can’t explain Spain, but things are so dismal in West Africa that it is not at all unexpected. But what about in the US?

So far there doesn’t seem to be an issue according to Barnett’s research, but he cautions that continued willingness to work with Ebola patients here is not assured. In an earlier study, Barnett and colleagues found that one-third of workers at a large U.S. urban medical center would be unwilling to respond to a severe infectious disease outbreak.

“An individual’s personal perception of the importance of his or her work during the response phase and his or her sense of confidence in performing this role effectively, are among the most powerful determinants of willingness to respond,” notes Dr. Barnett. “Our research also suggests that familiarizing health responders with laws and policies designed to protect their wellbeing in an emergent infectious disease event is important for bolstering response willingness,” Barnett adds.

Barnet notes that for training to be effective it must provide clear guidance on infection control protocols and instill a clear understanding of outbreak response duties. I asked him about the domestic side of this, about training of health workers regarding in relation to thier behavior or decision making when they are off duty. This seems to have arisen as an issue with the second Ebola-infected worker in Dallas, who took an air flight after starting a fever (if reports are accurate) and before diagnosis as having the disease.

“Preparedness and response trainings on emergent infectious diseases need to cover not only work-related protocols,” he told me, “but also address behavioral elements outside of the healthcare setting in the interest of public health. To date, there’s essentially been no research or ‘environmental scan’ on the extent to which such trainings actually encompass behaviors and practices outside of the health care workplace. However, this type of training on precautionary measures outside the workplace is essential. It needs to be imbedded into trainings and harmonized across healthcare institutions to ensure consistency.”


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For a few lucky teachers, an adventure of a lifetime

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From the NCSE:

The National Center for Science Education is pleased to accept applications for its inaugural class of Grand Canyon Teacher Scholars. Lucky teachers will be given an all-expenses-paid seat on NCSE’s annual Grand Canyon expedition, an eight-day voyage through some of the world’s most greatest geological wonders. It’s an opportunity of a lifetime, giving deserving teachers a hard-earned vacation and an incomparable learning experience.

For over a dozen years, NCSE has chartered a raft trip through Grand Canyon, with staffers Steve Newton and Josh Rosenau currently taking the lead in the unique and tongue-in-cheek “two model” tour of the canyon’s geological history. Rafters descend through the strata, considering the hundreds of millions of years revealed on the canyon’s walls, and examine how creationists try to explain that same evidence, and why such efforts are doomed to fail.

“The Grand Canyon is the best geology classroom in the world,” explains Steve Newton, a programs and policy director at NCSE and a geology professor at the College of Marin. “There’s no better way to see deep time and explore the processes that shape our Earth than to raft down the Colorado River as it cuts down through the eons, past the Great Unconformity, to rocks almost half the age of the Earth.”

“Any teacher would be lucky to be chosen for this scholarship,” added Rosenau. “Aside from the wonders of the canyon and the inspired presentations Steve and I prepare, the great joy of the NCSE expedition is the mix of scientists, scholars, and brilliant polymaths who join us. The winning teachers will have a chance to learn from a lot of brilliant people, and bringing more teachers into the campfire conversations will enrich all of our experiences.”

“We all want to find ways to honor the amazing work science teachers do, and I’m glad NCSE has this opportunity,” explained NCSE executive director Ann Reid. “It’ll be exciting to see all the applicants, and to give everyone a chance to help give teachers this spectacular reward.” Teachers are encouraged to apply now (the deadline is January 5, 2015), and anyone interesting in helping teachers have this experience can contribute to the scholarship fund..


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Apply for a Teacher Scholarship to Raft the Canyon with NCSE

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Apply for an all-expenses-paid eight-day raft trip down the Grand Canyon with the National Center for Science Education! Winners will receive free airfare, lodging before and after the trip, and the trip of a lifetime, exploring the wonders of Grand Canyon with a team of scientists, educators, and science fans. The application form is at the bottom of the page, but please review this information on eligibility, requirements, and what to expect from the trip before submitting an application.

Apply here


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The Methane Bomb Thing Isn't Really A Thing (Global Warming)

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Peter Sinclair has done some nice work to clarify the famous Methane Bomb thing.

Briefly, the Methane Bomb is where methane trapped on the floor of the Arctic ocean gets out in large quantities because it is warm. This makes more warming. So, more of this Methane comes out, causing it to get warmer, then this cycle keeps up for a while and in short order civilization collapses and we all die.

It turns out that the science DOES NOT SUPPORT A METHANE BOMB OR ANYTHING LIKE THAT. It just doesn’t. Unfortunately this has become a point of contention among people who are truly, seriously, concerned about climate change. It is a little like Ebola. If you take Ebola seriously and are approproately afraid of it, it seems, you are required to believe that it has already “gone airborne” and civilization will end and we will all die (Ebola has not gone airborne and will not go airborne). With Methane, if you truly love the planet then you are required to believe in the Methane Bomb. Even if it isn’t for real. And, it isn’t for real.

Dr. Carolyn Ruppel is one of the senior scientists who study Arctic Methane (and bottom-of-the-ocean Methane in general). In two videos put together by Peter Sinclair, she goes into significant detail about this problem.

Calling the Methane Bomb Squad
Methane Bomb Squad Part 2 – Dr Aradhna Tripati on Undersea Methane
Methane Bomb Squad Part 3: Dr. Carolyn Ruppel on Siberian Shelves

This is the end of the old Arctic Methane discussion and the beginning of the new discussion.


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How to turn Apple Spotlight on and off

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I hardly ever use spotlight. It is a search tool that is “well designed” meaning it looks pretty. Pretty search tools aren’t worth much. I need to be able to go from simple dumb search to complex detailed search, drill down, change parameters. If all I needed was a list of files or directories with a string in them, I’d probably already know where the damn thing is. I want to find a file that didn’t show up that way, that I don’t remember the name of, but that I know I made last weekend and it had the word “meteor” in it but it could have been spelled wrong and I cant remember if it was a spreadsheet or a text file but it was probably on a certain external hard drive. Chances are Spotlight is not going to handle that.

But, spotlight is great at doing something else. Using system resources. Did you ever have your computer slow down and act like the processor was brain dead and it had no memory over the period of an hour or two while you were using very few apps and doing nothing complicated? Chances are that was Spotlight indexing everything on your computer. Which you will never use. Because who uses Spotlight?

Well, OK, sometimes you want Spotlight, so maybe having that index is a good thing. But when you are trying to get some work done and Spotlight is interfering and shows no sign of letting up, then the sane thing to do is to kill it. You can unkill it later.

I found this here. To kill Spotlight in Mavericks or large cat versions of OSX, you go to the command line (terminal) and type in this (or copy and paste it!), for Mavericks and Mountain Lion:

sudo launchctl unload -w /System/Library/LaunchDaemons/com.apple.metadata.mds.plist

To make it come back to life again, you command your computer thusly:

sudo launchctl load -w /System/Library/LaunchDaemons/com.apple.metadata.mds.plist

For Snow Leopard use this method.

IF Spotlight has been annoying you, one strategy is to turn it off while you don’t need it, then later, when you are planning to go do something else for a few hours, turn it back on so it does its job while you are not around.

There should be a way to give Spotlight lower level access to the CPU so it stays more in the background. And, at the same time, to give the apps you want to be always responsive a higher priority. I’ve not explored that for this operating system. There are reasons to think, though, that this would not work well for certain important tasks. Any suggestions?


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How to be properly scared about climate change: A talk by Greg Laden

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Monday, the 20th, I’ll be in Saint Cloud. More information here.

Details:

On October 20,2014 the Central Minnesota Freethinkers are proud to present a program by Greg Laden, noted writer about climate change, evolution, science education and more at National Geographic, Science Blogs and other venues. His presentation will be held at the Unitarian Universalist Fellowship Hall in St. Cloud at 7:00. The admission is free and the program is open to all who wish to attend.

While trained as a biological anthropologist and archeologist and having research experience at many locations in the United States and in the Congo and South Africa, and, having taught at several colleges and universities, today he mostly engages in climate change related science communication.

He will explore the most current research about climate change, framed in the context of time. Global warming is often spoken of as something to worry about in the future. Different people may express concern about different things, or perhaps even a studied lack of concern about some of the effects of climate change. Much of this depends on the time frame of expected changes. For example, no one doubts that the vast majority of glacial ice on the North and South poles is doomed, but when will it melt? A common conversation item these days is the civilization-ending species-extincting “Methane Gun.” Is that a real concern?

In this discussion he’ll explore the time frame of climate change, look at the most extreme scenarios that people are talking about today, and evaluate them. Bring your favorite scare story and we can work out whether or not we should be scared, by how much, and when!


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Adding a third party keyboard in iOS 8

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One of the great things about Apple is that they maintain tight control over the hardware/system/software triad that bad design can’t creep into your digital life and ruin your day. One of the bad things about Apple is that they maintain tight control over the hardware/system/software triad so you can’t always have what you want. If you’ve been wanting one of those great keyboard replacements that, maybe, your spouse has been using all along on her android, you can have it now on your iPad or iPhone after you upgrade to iOS 8

Go buy Swiftkey or Swype or whatever from the App store. Then go to settings, general, keyboard. There, you can select a new keyboard. You may have an option to “allow full access” … do that.

There you go.


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Liveblogging CDC Ebola Briefing October 14th

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Live blogging.

Dr. Tom Frieden talking.

Don’t say “hand in glove!”

What the are doing in Dallas:

1) Site manager on the site in Dallas every hour of the day, checking protective gear use.

2) Enhanced training, including by experienced nurses with Ebola experience.

3) Limit number of care staff so they can be more expert.

Have been hearing concern from health care workers everywhere, working to minimize concerns.

Working to prepare all nurses and docs in all ER’s to ID Ebola, asking “where have you been in the past month/21 days”

Infections more likely to spread from someone not diagnosed.

Establish CDC response team to arrive within hours to any site where Ebola pops up. Equipment, management, expertise. I think most people thought they already had that but I guess not. They’ll assist in all aspects.

Also, for training, ramping up webinars, etc.

DALLAS CONTACT STATUS

Nurse remains in stable condition. Not severely ill now.

Index had 48 contacts, past 14 days, 2/3rds of risk period, highest risk period passed, decreasing likely that they will develop.

For the nurse only one contact. (because of active monitoring and not messing up)

Since nurse developed infection, possible other people who cared for Index patient could have been exposed… they are not in the 48.

ID’s 76 individuals in that group, all will be monitored daily for fever.

Relates his personal experience with thinking he might have Ebola; acknowledges freak out effect.

Now Dr. David Lakey, commissioner, TX dept of state health service.

14 days since first US case diagnosed.

Visited hosp. yesterday, visited CDC and state epi team, local health dept, and two emory nurses (brought in for training, checking system)

Reiterates 48 contacts past critical period.

One Patient 2 contact no symptoms.

Watching Nurses dog, the dog is fine.

Everyone remain calm. We’ll quickly announce any Ebola+ results. Those with self monitoring are all now on active monitoring.

QUESTOINS

NYT: How many of 76 were health care workers. Answer: all of them, all care takers for Index. (48 outside contacts, 76 or more possible in hosp contacts with him or his blood. still looking for more of those contacts)

ABC: Once a patient at some hosp is diagnosed, why not transfer them to a better facility. Ans: They might be.

NBC: Nurse had been certified in crit care 2 months ago. Is that enough experience. Ans: May not have mattered, we don’t normally treat Ebola (paraphrasing). Wish we had our response team we later thought of in place first. But from now on we’ll do that.

PHONE Question: CNBC: are you concerned about health care workers being concerned that they won’t come to work. Ans: we are concerned about htat, and about patients avoiding hospitals or clinics. We are trying to spread more knowledge about what to not worry about while at the same time doing a better safer job.

PHONE CNN. Clarify the 48 are unlikely to get Ebola. Ans: Yes, most cases would have happened by now, 21 days is on the safe side.

Newsweek: What has CDC learned from W. Africa from orgs like Doctors without borders. Ans: We work closely with them. African environment and US environment are different.

PHONE: CBS Dallas: Have you identified the breach in protocol. Ans: No. We review everything that occurred, nurse has helped a lot with this. We don’t always know what happened. Asks Lakey if he has ifo. Lakey: Have not identified a specific error. Looking closely.

So they don’t know. SO maybe there wasn’t one!

TIME: you wonder if you should have sent a team originally. Why? Ans: We did send a team, epis, to help with tracing, etc. We could have in retrospect sent a bigger more robust team and been more involved with hospital. Ebola is unfamiliar. Hospitals may even do unsafe things like using extra layers of protective equipment.

Phone question: inre 4 hospticals specialized with biocontainment. Why are there only four of them. If you transferred a patient there, how would it happen. Ans: The hosp with specialized facilities were created for totally unknown much scarier diseases that don’t exist yet. Ebola isn’t that bad if you do it right. Transporting is easy.

UNS: Some recover, some die, why? ans: We are not sure. Being healthy going in is better. Standard care makes a huge diff, doubles survivorship. Fluid balance. Also experimental treatments may or may not help.

Last question: Atlanta jour. cont: To what degree has team been sent at emory, has that become the model. Ans: Nebraska and emory have sound protocols, some are on site in Dallas.

Asks Lakey if he has concluding remarks. He says some stuff about how they are doing everything they can do.

Frieden final remarks:

1 we are focusing on supporting patient and hosp. in Dallas with robust expert team.

2 icreasing education and info to health care workers around the us

2.5 making a team to go anywhere needed within hours if there is another case.

3 working on contact tracing.

That concludes this liveblogging. Thank you very much you may return to your homes.


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Science Online Died. Why?

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Science Online was an amazing annual unconference that started a few years back and grew and became part of the reshaping of public communication about science. This year, the people running the conference started out with the plan to move the conference to a new venue, Atlanta, and last week abruptly announced that the conference would not happen and the ScienceOnline organization would be shut down. Those who paid the registration fee would be refunded.

A few science writers and bloggers are writing about how great ScienceOnline was and how much it will be missed, and some are providing a few comments about why it had ended. I won’t bore you extensive thoughts about how great the conference was (a little at the end). I’ve written about that before, and since I did not attend the last two, I’m not really in a position to extol its wonderfulness at this point. Besides if you are reading this you surely already know what ScieneOnline was and how great it was.

I would like to know, however, why the project shut down. This is not morbid curiosity. ScienceOnline was a big, vibrant, powerful, a meaningful thing in my profession, and its sudden and unexpected (to me, anyway) demise can’t pass without some analysis. If All the Scientists one Friday morning got an email saying the American Association for the Advancement of Science would stop publishing Science Magazine and shut down all operations by Saturday, they wouldn’t just say “Oh, that was nice while it lasted. Oh well.” They would be compelled to discover why an organization central to their profession would shut down. Well, the demise of ScienceOnline is like that, but a couple of orders of magnitude smaller. Frankly I find the lack of serious consideration as to why ScienceOnline shut down in the few posts that mention it to be odd. Spooky even. Happy Halloween.

Here are my random thoughts on the matter.

ScienceOnline was growing, and there was no significant event or change in the nature of the science communication community that would suggest that such a successful project would not be able to continue. I think it is reasonable to say that it should have continued and it should not have shut down.

There have been suggestions that ScienceOnline was ruined by Bora Zivkovic, the former principle of the operation. Bora was accused, tried, and convicted of inappropriate behavior and forced to resign. The nature of that inappropriate behavior is up in the air, in the sense that people have labeled it with various legally meaningful terms that don’t actually apply, questions have been raised in the same venue as some of the accusations about the veracity of those accusations, and the entire exercise was riddled with posturing, hard feelings, look-at-me-too antics, and a certain amount of bullying, variously coming from some of the dramatic protagonists working from many different angles. There is a Standard Line that goes with the Bora Saga, and within a few weeks of the breaking of that story (almost one year ago, I believe) every one knew the Standard Line. At that point you eitherr towed it faithfully, objected to it anonymously, because questioning it openly felt like it would lead to your own trial and conviction. That was a mess, but I don’t think it had anything directly to do with ScienceOnline closing, because one entire conference happened AFTER that event, and after all, despite the always entertaining ability for so many professionals who operate on the internet to act like middle school students, in the end, most people eventually pull on their big kid pants and get real. Two years after a person involved in a conference leaves the process, the conference can move on.

There have also been suggestions that ScienceOnline was ruined by so-called “Feminazis” who had gone after Bora or used that problem as a means to do their evil work. This suggestion has been made to my knowledge only sarcastically, with the indication that “oh, any minute now the MRA’s (Mens Rights Activists) will be accusing the feminazis of bla bla bla….” I mention this here only so I don’t have to insert it later in an Updated version of this post, because I am perfectly confident the accusation will be made if it hasn’t been already. This possibility is just as absurd of an explanation as the aforementioned “Bora Ruined It” hypothesis. It requires no more consideration. It has been brought to my attention that some have read this paragraph as a suggestion by me that “feminazis” ruined the conference. Clearly, I am saying a) that didn’t happen, b) the idea is out there and c) the idea is stupid. Which is what I said. But now I said it again. AND DON’T USE THAT WORD FEMINAZI

There are two material differences between ScienceOnline 2015 and the previous conferences. One is the venue. The conference has always been held in the Research Triangle, and Scio 2015 would be held in Atlanta. Maybe everybody hates Atlanta. Maybe the Triangle offered a unique palatial charm not to be found many other places. I’m sure that latter aspect is true, but I find it hard to believe that this would cause ScienceOnline to tranmogrify form the “Un Conference” to the “NoWay Conference.”

The second material difference is the registration fee, which I think had gone up to something like $400 (it may have been less than $200 a few years ago). Also, the student price was something like 20 dollars off that, which I regarded as cynical when I first saw it. This could be a real effect.

I have heard that most of the sponsorship dropped out. Some have said this is because they were mad at Bora, but that seems incredibly unlikely for a number of reasons, including his total lack of involvement in the conference. I would like to know why so many sponsors dropped out and what the impact of that was. It may have contributed to the very high registration fee. These two things together may have been a problem.

I also heard that while in previous years there was typically a long waiting list to get into the conference to begin with, this years the number of attendees was way down, far lower than the expected amount (in the 200’s range instead of over 400?). I’d like to see the exact numbers on this. This could be a cause of the failure of the organization and conference; if 200 people fail to give you $200, that’s a lot of moola you didn’t get. Or it could be an effect. All those people who don’t like Atlanta, didn’t want to miss the Charm of the Triangle, and didn’t want to spend twice what they spent in a previous year opted out. Or maybe they were just still mad a Bora and needed to be in a snit, or maybe they were mad at the Bora Haters and needed to be in a snit. Hard to say. My guess is that the price drove a lot of people away.

Added: I’m being told that last year’s conference sucked. I had also heard t was great. But the fact that some people think it sucked matters.

There is one major effect which feels to me like the most likely reason. I may get the following bit a bit wrong in detail, simply because I don’t know all the details, but my understanding is that Karyn Traphagen, Anton Zuiker, an Bora Zivkovic were the three driving elements in prior versions of Science Online (not counting last year) along with a few others. Bora was the most visible face, having been a community organizer de facto or professionally on the Science Internet for years. The three of them made Science Online out of nothing, crafted it, expanded it, made it an incredible success. Then they were no longer involved. Then it shut down. One could hypothesize that the new organizers, and I have no idea who they ended up being, simply killed ScienceOnline because they didn’t know what they were doing. I suppose that question should be asked, but I have no reason to think it. But I do know that a rather amazing, perhaps even unlikely, kind of event was generated by a handful of people, most visible Bora, with Karyn and Anton very much engaged, and it may be that the magic worked only for them. What that magic was I can’t say. Maybe this moment in time … the moment when ScienceOnline 2015 was cancelled, happened every year but Bora, Anton and Karyn simply trudged past that and made it happen anyway. Maybe at this point in time there was always a shortage of interest by the online community but then the Three Conferenceoteers got in every body’s face and made them excited about the upcoming event. Maybe the project always lost its sponsors at this point, but then Bora, Anton and Karyn would show up on their doorsteps, begging or dressed in funny kitten suites or doing whatever they needed to do to bring them back in the fold. This does not imply a lack of will or ability on the part of the organizers that shut down the conference, but rather, an amazing ability that probably grew and developed every year as the project projected, on the part of the original organizers, that was lost when they were lost.

Keep in mind that the transition wasn’t smooth, as I remember. Last year’s conference was still going to happen on the grounds of momentum alone, Bora left, and pretty quickly his compatriots did as well, staying involved for various lengths of time. A smooth transition over a few years of the major players is quite doable. A wholesale housecleaning is dangerous.

For my part, I appreciated ScienceOnline and I’d like to retroactively thank Bora, Anton and Karyn, and others who may have been involved, for making that amazing thing happen. It was inclusive across several dimensions (gender, age, ethnocultural identity, professional level, nature of field). It included art and science. It was unconferencey (though for me that was less of a draw, I’ve been attending unconference style conferences for some time). It had the Charm of the Triangle. It was not in Atlanta! It was a good conference. Thank you three for making that happen. It is a shame to see the project end.

(Quick note added: I now see Karyn is still very much involved but Anton as an advisor. Perhaps it was more Bora originally if my theory of losing the founders as having been important is correct.)

See this discussion.

Added: This is a good run down of possible reasons for the demise of Science Online. I haven’t seen anyone looking for “the cause” (I think most people in this community are beyond thinking so simplistically, we are science communicators and scientists after all) but most of the other points are worth checking out.


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