Double-Blind Trials Are Not the Only Source of Sound Knowledge

(p. 1) . . . while all doctors agree about the importance of gauging the quality of evidence, many feel that a hierarchy of methods is simplistic. As the doctor Mark Tonelli has argued, distinct forms of knowledge can’t be judged by the same standards: what a patient prefers on the basis of personal experience; what a doctor thinks on the basis of clinical experience; and what clinical research has discovered — each of these is valuable in its own way. While scientists concur that randomized trials are ideal for evaluating the average effects of treatments, such precision isn’t necessary when the benefits are obvious or clear from other data.
Clinical expertise and rigorous evaluation also differ in their utility at different stages of scientific inquiry. For discovery and explanation, as the clinical epidemiologist Jan Vandenbroucke has argued, practitioners’ instincts, observations and case studies are most useful, whereas randomized controlled trials are least useful. Expertise and systematic evaluation are partners, not rivals.
Distrusting expertise makes it easy to confuse an absence of randomized evaluations with an absence of knowledge. And this leads to the false belief that knowledge of what works in social policy, education or fighting terrorism can come only from randomized evaluations. But by that logic (as a spoof scientific article claimed), we don’t know if parachutes really work because we have no randomized controlled trials of them.

For the full commentary, see:
PAGAN KENNEDY. “The Thin Gene.” The New York Times, SundayReview Section (Sun., NOV. 27, 2016): 1 & 6.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date NOV. 25, 2016.)

The academic article calling for double-blind randomized trials to establish the efficacy of parachutes, is:
Smith, Gordon C. S., and Jill P. Pell. “Parachute Use to Prevent Death and Major Trauma Related to Gravitational Challenge: Systematic Review of Randomised Controlled Trials.” BMJ 327, no. 7429 (Dec. 18, 2003): 1459-61.

Science Can Learn Much from Outliers “Who Are Naturally Different”

(p. 1) Abby Solomon suffers from a one-in-a-billion genetic syndrome: After just about an hour without food, she begins to starve. She sleeps in snatches. In her dreams she gorges on French fries. But as soon as she wakes up and nibbles a few bites, she feels full, so she ends up consuming very few calories. At 5 feet 10 inches tall, she weighs 99 pounds.
Now 21 years old, she is one of the few people in the world to survive into adulthood with neonatal progeroid syndrome, a condition that results from damage to the FBN1 gene.
. . .
(p. 6) Dr. Chopra told me that, as far as medical science is concerned, Abby Solomon is worth thousands of the rest of us.
. . .
“Nothing comes close to starting with people who are naturally different,” he said. This is why he searches out patients at the extreme ends of the spectrum — those who are wired to weigh 80 pounds or 380 pounds. He said, “We have the opportunity to help a bigger swath of humanity when we learn from these outliers.”
In 2013, after hearing about Ms. Solomon’s unusual condition from another patient, he asked her to visit his clinic. Ms. Solomon warned him that she would be able to carry on a conversation for only 15 minutes before she needed to snack on chips or a cookie. That remark inspired a revelation. Dr. Chopra realized that “she had to eat small, sugary meals all day to stay alive, because her body was constantly running out of glucose,” he said.
The clue led Dr. Chopra and his colleagues to their discovery of the blood-sugar-regulating hormone, which they named asprosin. Ms. Solomon’s natural asprosin deficiency keeps her on the brink of starvation, but Dr. Chopra’s hope is that an artificial compound that blocks asprosin could be used as a treatment for obesity. He and his team have already tested such a compound on mice, and found that it can reverse insulin resistance and weight gain.

For the full commentary, see:
PAGAN KENNEDY. “The Thin Gene.” The New York Times, SundayReview Section (Sun., NOV. 27, 2016): 1 & 6.
(Note: ellipses added.)
(Note: the online version of the commentary has the date NOV. 25, 2016.)

Not All Old Ideas Should Be Recycled

(p. C16) “What is true in the consumer tech industry is true in science and other fields of thinking,” Mr. Poole elaborates. “The story of human understanding is not a gradual, stately accumulation of facts” but rather “a wild roller-coaster ride full of loops and switchbacks.”
Horses, for example, are once again being used in warfare in the Middle East. Vinyl records are back after losing out to digital CDs and internet streaming. Leeches, whose use was once considered a barbaric medieval practice, are now an FDA-approved “medical device” for cleaning wounds. Bicycles are making a comeback as a popular and efficient means of moving about in large, crowded cities. Blimps are starting to compete with helicopters for moving heavy cargo.
. . .
To understand this process of rediscovery–“old is the new new”–we need to abandon the myth of progress as something that results from a rejection of all that is old.
Still, not all old ideas will return reconfigured into new and useful ones, and it is here where readers may find room for disagreement, despite Mr. Poole’s many caveats.
. . .
That there are many unsolved mysteries in science does not always mean that we should turn to the past for insight. Sometimes–usually, in fact–the bad ideas rejected by science belong in the graveyard. Phlogiston, miasma, spontaneous generation, the luminiferous aether–wrong, wrong, wrong and wrong.
Nevertheless, those notions–and many others that Mr. Poole surveys in this thought-provoking book–were wrong in ways that led scientists toward a better understanding, and the middle chapters of “Rethink” elegantly recount these stories. Going forward, Mr. Poole ends by suggesting that we adopt a “view from tomorrow” in which we “try to consider an idea free of the moral weight that attaches to it in particular historical circumstances” and that “we could try to get into the habit of deferring judgments about ideas more generally” in order to keep an open mind. On the flip side, skeptics should not rush to dismiss a consensus idea as wrong just because consensus science is not always right. Most of today’s ideas gained consensus in the first place for a very good reason: evidence. Do you know what we call alternative science with evidence? Science.

For the full review, see:

MICHAEL SHERMER. “Everything Old Is New Again.” The Wall Street Journal (Sat., December 10, 2016): C16.

(Note: ellipses added.)
(Note: the online version of the review has the date Dec. 9, 2016, and has the title “Electric Cars Are Old News.”)

The book under review, is:
Poole, Steven. Rethink: The Surprising History of New Ideas. New York: Scribner, 2016.

“Celebration of Big Data” Becomes “Funeral”

(p. B8) DENVER — At the governor’s mansion here on Friday [November 11, 2016], past the columned entryway and the French chandeliers, Emmy Ruiz placed a hand on the shoulder of a fellow Hillary Clinton operative. “It’s like we’re at a funeral,” said Ms. Ruiz, dressed — perhaps coincidentally — in black.
Just days after Donald J. Trump’s surprise presidential victory, the nation’s professional political forecasters and persuaders — the pollsters, the ad creators, the campaign strategists — gathered in Denver for their annual convention. It was supposed to be a celebration of big data and strategic wizardry for a multibillion-dollar industry that has spent nearly a century packaging political candidates.
Instead, the conference of the International Association of Political Consultants felt like a therapy session for a business in psychological free fall.

For the full story, see:
JULIE TURKEWITZ. “At Conference, Political Consultants Wonder Where They Went Wrong.” The New York Times (Tues., NOV. 15, 2016): B8.
(Note: bracketed date added.)
(Note: the online version of the story has the date NOV. 14, 2016.)

Most Novels Portray Businessmen as Either Foolish or Evil

(p. 8) The last book that made you furious?
Al Gore’s “An Inconvenient Truth.” It uses all the tricks of a fire-and-brimstone preacher to sell a message of despair and pessimism based on a really shaky, selective and biased understanding of the science of climate change.

Your favorite antihero or villain?
Harry Potter’s uncle, Vernon Dursley — a much misunderstood man who stands for all the businessmen that novelists have denigrated, while living off the wealth they created. I am being a bit facetious, but I did use to enjoy pointing out to my children that businessmen only ever appear in fiction as foolish or evil or both, when clearly they generally do the world enormous good.

If you could require the president to read one book, what would it be?
The prime minister? “The Hockey Stick Illusion,” by Andrew Montford. It’s a great piece of detective work on a key scientific blunder, based around the work of Steve McIntyre and Ross McKitrick, and it forensically dismantles the mistakes that led to people believing they had at last found evidence that current climate change is unprecedented in rate or scale in this millennium. It may yet prove to be so in the future, but it is not so yet.

Disappointing, overrated, just not good: What book did you feel you were supposed to like, and didn’t?
Easy. The Bible. Not even the fine translations of William Tyndale, largely adopted by King James’s committee without sufficient acknowledgment, can conceal the grim tedium of this messy compilation of second-rate tribal legends and outrageous bigotry.

For the full interview, see:
SIMON PARKIN. “By the Book: Matt Ridley.” The New York Times Book Review (Sun., OCT. 18, 2015): 8.
(Note: the online version of the interview has the date OCT. 15, 2015, and has the title “Matt Ridley: By the Book.” The online version has added questions and answers, that were left out of the published version. The passages quoted above, were in both versions, except for those on recommended presidential reading, which only appeared in the online version.)

Ridley has a courageous and illuminating discussion of environmental issues, in:
Ridley, Matt. The Rational Optimist: How Prosperity Evolves. New York: Harper, 2010.

Gates Foundation Funding “Second Green Revolution”

(p. A12) URBANA, Ill. — A decade ago, agricultural scientists at the University of Illinois suggested a bold approach to improve the food supply: tinker with photosynthesis, the chemical reaction powering nearly all life on Earth.
The idea was greeted skeptically in scientific circles and ignored by funding agencies. But one outfit with deep pockets, the Bill and Melinda Gates Foundation, eventually paid attention, hoping the research might help alleviate global poverty.
Now, after several years of work funded by the foundation, the scientists are reporting a remarkable result.
Using genetic engineering techniques to alter photosynthesis, they increased the productivity of a test plant — tobacco — by as much as 20 percent, they said Thursday[November 17, 2016] in a study published by the journal Science. That is a huge number, given that plant breeders struggle to eke out gains of 1 or 2 percent with more conventional approaches.
The scientists have no interest in increasing the production of tobacco; their plan is to try the same alterations in food crops, and one of the leaders of the work believes production gains of 50 percent or more may ultimately be achievable. If that prediction is borne out in further research — it could take a decade, if not longer, to know for sure — the result might be nothing less than a transformation of global agriculture.
. . .
“We’re here because we want to alleviate poverty,” said Katherine Kahn, the officer at the Gates Foundation overseeing the grant for the Illinois research. “What is it (p. A24) the farmers need, and how can we help them get there?”
One of the leaders of the research, Stephen P. Long, a crop scientist who holds appointments at the University of Illinois at Urbana-Champaign and at Lancaster University in England, emphasized in an interview that a long road lay ahead before any results from the work might reach farmers’ fields.
But Dr. Long is also convinced that genetic engineering could ultimately lead to what he called a “second Green Revolution” that would produce huge gains in food production, like the original Green Revolution of the 1960s and 1970s, which transferred advanced agricultural techniques to some developing countries and led to reductions in world hunger.
. . .
The work is, in part, an effort to secure the food supply against the possible effects of future climate change. If rising global temperatures cut the production of food, human society could be destabilized, but more efficient crop plants could potentially make the food system more resilient, Dr. Long said.

For the full story, see:
JUSTIN GILLIS. “Taking Aim at Hunger, By Altering Plant Genes.” The New York Times (Fri., NOV. 18, 2016): A12 & A24.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the story has the date NOV. 17, 2016, and has the title “With an Eye on Hunger, Scientists See Promise in Genetic Tinkering of Plants.”)

The Science article co-authored by Long, that is mentioned above, is:
Kromdijk, Johannes, Katarzyna Głowacka, Lauriebeth Leonelli, Stéphane T. Gabilly, Masakazu Iwai, Krishna K. Niyogi, and Stephen P. Long. “Improving Photosynthesis and Crop Productivity by Accelerating Recovery from Photoprotection.” Science 354, no. 6314 (Nov. 18, 2016): 857-61.

Rat Ticklers Find Ticklishness Has Deep Evolutionary Roots

(p. A12) As Michael Brecht and Shimpei Ishiyama of the Bernstein Center for Computational Neuroscience in Berlin point out in their report, tickling raises many questions. We don’t know why it evolved, what purpose it might serve and why only certain body parts are ticklish. And what about that disappointing and confounding truth that all children and scientists must grapple with: You can’t tickle yourself.
The researchers were also inspired by earlier studies. ” ‘Laughing’ Rats and the Evolutionary Antecedents of Human Joy?” published in 2003 in Physiology & Behavior, reported that rats would emit ultrasonic calls when tickled. Ultrasound is too high for humans to pick up.
. . .
The scientists found that tickling and play, which involved chasing a researcher’s hand, both caused the same ultrasonic calls and the same brain cells to be active. The scientists also stimulated those cells electrically, without any tickling or play, and got the same calls.
And they found that you can’t tickle rats when they are not in a good mood, something that is also true of people.
. . .
And the similarity of tickling in rats and humans is, Dr. Brecht said, “amazing.” They even have similar areas that are susceptible for unknown reasons, including the soles of their hind feet, but not of their forepaws.
That similarity suggests that tickling is evolutionarily very ancient, going back to the roots of touch as a way to form social bonds in the ancestors of rats and humans.
“Maybe,” Dr. Brecht speculated, “ticklishness is a trick of the brain to make animals or humans play or interact in a fun way.”

For the full story, see:

JAMES GORMAN. “When Tickled, Rats Giggle and Leap, Researchers Find.” The New York Times (Fri., NOV. 11, 2016): A12.

(Note: ellipses added.)
(Note: the online version of the story has the date NOV. 10, 2016, and has the title “Oh, for the Joy of a Tickled Rat.”)

Ishiyama and Becht’s recent report, discussed above, is:
Ishiyama, S., and M. Brecht. “Neural Correlates of Ticklishness in the Rat Somatosensory Cortex.” Science 354, no. 6313 (Nov. 11, 2016): 757-60.

The earlier paper mentioned above, is:
Panksepp, Jaak, and Jeff Burgdorf. “”Laughing” Rats and the Evolutionary Antecedents of Human Joy?” Physiology & Behavior 79, no. 3 (Aug. 2003): 533-47.

Another paper in this line of research, is:
Rygula, Rafal, Helena Pluta, and Piotr Popik. “Laughing Rats Are Optimistic.” PLoS ONE 7, no. 12 (Dec. 2012): 1-6.

Never Say Die

(p. A7) LONDON — During the last months of her life, a terminally ill 14-year-old British girl made a final wish. Instead of being buried, she asked to be frozen so that she could be “woken up” in the future when a cure was found — even if that was hundreds of years later.
“I want to have this chance,” the teenager wrote in a letter to a judge asking that she be cryogenically preserved. She died on Oct. 17 from a rare form of cancer. “I don’t want to be buried underground,” she wrote.
The girl’s parents, who are divorced, disagreed about the procedure. The teenager had asked the court to designate that her mother, who supported her daughter’s wishes, should decide how to handle her remains.
The judge, Peter Jackson, ruled in her favor. Local news reports said he was impressed by the “valiant way in which she was facing her predicament.” He said she had chosen the most basic preservation option, which costs about £37,000, or nearly $46,000, an amount reportedly raised by her grandparents.
“I want to live and live longer and I think that in the future they might find a cure for my cancer and wake me up,” the teenager wrote in her letter to the judge. Local reports said she had told a relative: “I’m dying, but I’m going to come back again in 200 years.”
. . .
“The scientific theory underlying cryonics is speculative and controversial, and there is considerable debate about its ethical implications,” the judge said in a statement.
“On the other hand, cryopreservation, the preservation of cells and tissues by freezing, is now a well-known process in certain branches of medicine, for example the preservation of sperm and embryos as part of fertility treatment,” the statement said. “Cryonics is cryopreservation taken to its extreme.”
Zoe Fleetwood, the girl’s lawyer, said her client had called Judge Jackson a “hero” after being told of the court’s decision shortly before her death. “By Oct. 6, the girl knew that her wishes were going to be followed,” Ms. Fleetwood told BBC Radio 4. “That gave her great comfort.”

For the full story, see:
KIMIKO DE FREYTAS-TAMURA. “Wish of Girl, 14, to Be Frozen, Is Granted by British Judge.” The New York Times (Sat., NOV. 19, 2016): A7.
(Note: ellipsis added.)
(Note: the online version of the story has the date NOV. 18, 2016, and has the title “Last Wish of Dying Girl, 14, to Be Frozen, Is Granted by Judge.”)

Laws to Protect “Endangered” Species “Lag Far Behind Scientific Research”

(p. A19) The first large study of North American wolf genomes has found that there is only one species on the continent: the gray wolf. Two other purported species, the Eastern wolf and the red wolf, are mixes of gray wolf and coyote DNA, the scientists behind the study concluded.
The finding, announced Wednesday, highlights the shortcomings of laws intended to protect endangered species, as such laws lag far behind scientific research into the evolution of species.
The gray wolf and red wolf were listed as endangered in the lower 48 states under the Endangered Species Act in the 1970s and remain protected today, to the periodic consternation of ranchers and agricultural interests.

For the full story, see:
Zimmer, Carl. “The One and Only Wolf Species of North America.” The New York Times (Thurs., JULY 28, 2016): A19.
(Note: ellipses added.)
(Note: the online version of the commentary has the date JULY 27, 2016, and has the title “MATTER; DNA Study Reveals the One and Only Wolf Species in North America.”)

“Giving Peas a Chance”

(p. C1) Thank heavens Gregor Mendel was a lousy priest. Had he shown even the faintest aptitude for oratory or ministering to the poor, he might never have determined the basic laws of heredity. But bumbling he was, and he made a rotten university student to boot; his failures drove him straight to his room, where he bred mice in secret. The experiment scandalized his superiors.
“A monk coaxing mice to (p. C4) mate to understand heredity was a little too risqué, even for the Augustinians,” writes Siddhartha Mukherjee in “The Gene: An Intimate History.” So Mendel switched — auspiciously, historically — to pea plants. The abbot in charge, writes the author, acquiesced this time, “giving peas a chance.”
Love Dr. Mukherjee, love his puns. They’re everywhere. I warn you now.
. . .
Many of the same qualities that made “The Emperor of All Maladies” so pleasurable are in full bloom in “The Gene.” The book is compassionate, tautly synthesized, packed with unfamiliar details about familiar people.
. . .
But there are also crucial differences. Cancer is the troll that scratches and thumps beneath the floorboards of our consciousness, if it hasn’t already beaten its way into the room. The subject immediately commands our attention; it’s almost impossible to deny, and not to hear, the emotional clang of its appeal. In Dr. Mukherjee’s skilled hands, the story of this frightening disease became a page-turner. He explained its history, politics and cunning biological underpinnings; he traced the evolving and often gruesome logic underlying cancer treatment.
And in the middle of it all, agonizing over treatment protocols and watching his patients struggle with tremendous existential and physical pain, was the author himself.
There are far fewer psychological stakes in reading about the history of genetics. “The Gene” is more pedagogical than dramatic; as often as not, the stars of this story are molecules, not humans.
. . .
But any book about the history of something as elemental and miraculous as the gene is bound, at least indirectly, to tell the story of innovation itself. “The Gene” is filled with scientists who dreamed in breathtakingly lateral leaps.
Erwin Schrödinger in particular was one visionary cat: In 1944, he hazarded a guess about the molecular nature of the gene and decided it had to be a strand of code scribbled along the chromosome — which pretty much sums up the essence of DNA.

For the full review, see:
JENNIFER SENIOR. “Books of The Times; In Molecular Pursuit of the Genetic Code.” The New York Times (Mon., MAY 9, 2016): C1 & C4.
(Note: ellipses added.)
(Note: the online version of the review has the date MAY 8, 2016, and has the title “Books of The Times; Review: Siddhartha Mukherjee’s ‘The Gene,’ a Molecular Pursuit of the Self.”)

The book under review, is:
Mukherjee, Siddhartha. The Gene: An Intimate History. New York: Scribner, 2016.

Dogs Know More than We Knew

(p. A14) Dr. Andics, who studies language and behavior in dogs and humans, along with Adam Miklosi and several other colleagues, reported in a paper to be published in this week’s issue of the journal Science that different parts of dogs’ brains respond to the meaning of a word, and to how the word is said, much as human brains do.
. . .
A trainer spoke words in Hungarian — common words of praise used by dog owners like “good boy,” “super” and “well done.” The trainer also tried neutral words like “however” and “nevertheless.” Both the praise words and neutral words were offered in positive and neutral tones.
The positive words spoken in a positive tone prompted strong activity in the brain’s reward centers. All the other conditions resulted in significantly less action, and all at the same level.
. . .
In terms of evolution of language, the results suggest that the capacity to process meaning and emotion in different parts of the brain and tie them together is not uniquely human. This ability had already evolved in non-primates long before humans began to talk.

For the full story, see:
JAMES GORMAN. “For Dogs, It’s What You Say and Also How You Say It.” The New York Times (Tues., AUG. 30, 2016): A14.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the story has the date AUG. 29, 2016, and has the title “With Dogs, It’s What You Say — and How You Say It.”)

The scientific article on canine cognition, mentioned above, is:
Andics, A., A. Gábor, M. Gácsi, T. Faragó, D. Szabó, and Á Miklósi. “Neural Mechanisms for Lexical Processing in Dogs.” Science 353, no. 6303 (Sept. 2, 2016): 1030-32.