Quotulatiousness

November 17, 2009

British health care becomes more equal

Filed under: Britain, Bureaucracy, Health — Tags: — Nicholas @ 12:41

. . . as even celebrities have to wait their turn for a doctor’s care, screaming in pain for hours:

“The racecourse doctor did a good job at the racecourse and gave me as much morphine as she could, but when I got to the hospital I was basically hysterical with pain and they wouldn’t give me any more painkillers.

“The race was at 2.20, and half past midnight was the first time that I saw a doctor. The leg was broken in two places, and the bone had come out through the skin. I’m usually fairly numb with injuries, but this time I was in so much pain that I was just saying, ‘knock me out, knock me out’. Still they wouldn’t give me any painkillers, and they said they would operate in the morning. There were people coming in with twisted ankles getting treated while I’m screaming next door, and they’re basically telling me to wait my turn.”

After a successful operation the following day, Crosse’s ankle swelled as he had not been told to keep it raised. “They came down and asked me why I didn’t have it up and I said no one had told me to,” Crosse says. “I had a very bad night again without enough painkillers to quieten me.”

After two days, Crosse says, he decided that enough was enough. “I thought, I’m getting out of here whatever happens. They told me they would get me an ambulance [to a hospital in Swindon] but they kept me hanging on all day and at 7pm told me I’d have to wait until the morning. I went on the internet and looked up a private ambulance. Basically I had to book my own ambulance to get out of there.”

I’m sure the government will swiftly move to address the issue Crosse raises here — by banning private bookings of ambulances.

November 11, 2009

The only surprise is that it’d only be 33%

Filed under: Cancon, Economics, Health — Tags: , , — Nicholas @ 08:22

Alison Martin summarizes a survey of Quebec workers which found (among other things) that 33% of men would show up for work even if they or a family member had H1N1:

According to a poll of Quebec workers, many employees in Quebec would still show up for work even if they had the H1N1 flu virus.

Close to one-quarter of respondents to the poll conducted in September 2009 on behalf of the Ordre des conseillers en ressources humaines agréés said that they would still go to work even if they or a member of their household had the H1N1 flu virus. This attitude is even more prevalent among men, with one in three (33%) reporting that they still intended to go to work if they or a relative caught the virus.

Close to 60 per cent of respondents said that they show up for work even when they really aren’t feeling well.

“We’ve already noted that employees in Quebec tend to show up at work even when they’re ill. They don’t seem to be sufficiently aware of the risks of such behaviour, which in the end benefits neither the employee nor the employer, and definitely should be stopped,” explained Florent Francoeur, CHRP, Ordre president and CEO.

The question was clearly worded to elicit the most newsworthy headline: it’d be an odd family if everyone stayed home if even one person in the family was ill . . . and a family with limited long-term employment prospects. Private sector employers tend not to have the same kind of generous sick time provision that public sector employees get, so employees don’t tend to take as much sick time as civil servants.

For many workers, if they don’t show up for work, they don’t get paid. This is especially true at lower income levels, where missing a few days pay can be a severe economic dislocation.

November 10, 2009

Your backyard: red in tooth and claw

Filed under: Environment — Tags: — Nicholas @ 08:53

Stephen Malaga looks at half-baked suggestions for suburban backyards:

Environmental groups’ view of the animal world sometimes resembles Disney’s Bambi, with owls and rabbits mingling peacefully and Man lurking as the only predator, aided by his evil servant the hunting dog. A good example is the National Wildlife Federation, which wants to reintroduce wild animals into the suburban and urban enclaves from which development has expelled them by encouraging homeowners to develop “healthy and sustainable wildlife habitats” on their properties. The NWF has even produced a television program — Backyard Habitat, shown on Animal Planet — in which experts advise homeowners in places like Chicago about how to attract animals with plants they can feed on, freshwater, and places of cover like high grasses. The show especially likes to visit families with small children, emphasizing that such habitats can teach kids about wild animals.

But somehow missing from the program is one of Nature’s basic principles: the idea that hunters and the hunted evolve together. My own New Jersey backyard, a rich feeding environment that draws small herbivores with its tasty plants, dense underbrush, and drinking sources, illustrates how a residential habitat gradually becomes a killing field — in our case, one where stray cats battle over hunting turf, predatory birds dive to scoop up breakfast, and my wife and I scramble to clean up carcasses before our daughter sees them.

November 9, 2009

Coffee and the placebo effect

Filed under: Food, Health, Science — Tags: , , — Nicholas @ 13:45

Neuroskeptic reports on some interesting results from a coffee study:

The authors took 60 coffee-loving volunteers and gave them either placebo decaffeinated coffee, or coffee containing 280 mg caffeine. That’s quite a lot, roughly equivalent to three normal cups. 30 minutes later, they attempted a difficult button-pressing task requiring concentration and sustained effort, plus a task involving mashing buttons as fast as possible for a minute.

The catch was that the experimenters lied to the volunteers. Everyone was told that they were getting real coffee. Half of them were told that the coffee would enhance their performance on the tasks, while the other half were told it would impair it. If the placebo effect was at work, these misleading instructions should have affected how the volunteers felt and acted.

Several interesting things happened. First, the caffeine enhanced performance on the cognitive tasks — it wasn’t just a placebo effect. Bear in mind, though, that these people were all regular coffee drinkers who hadn’t drunk any caffeine that day. The benefit could have been a reversal of caffeine withdrawl symptoms.

H/T to Tyler Cowen for the link.

November 3, 2009

“Like Soylent Green, medicine is made of people”

Filed under: Health, Science — Tags: , , — Nicholas @ 13:04

Colby Cosh on the paradoxical nature of the public’s view of medicine:

We’re conditioned to think of “medicine” as a single, coherent planned enterprise, if not a conspiracy, and we often fear and despise it — until we decide we need it. At which point it cannot possibly move fast enough to please us. Like the state or the church, medicine is an impersonal abstraction, but one that seems to have common priorities and intentions, significant powers and one voice. Rationalists and believers in progress invoke it; nutcases and conspiracists resist it.

In a way, both are paying tribute to a fiction, much like Christians and Satanists. In real life, there is no pope or president of medicine, no temple where it can be consulted, no medical mandate of heaven. The emerging vaccine debacle, though mercifully likely to have fairly limited public-health consequences, reveals the terrible truth. Like Soylent Green, medicine is made of people. Not just doctors, but administrators, industrialists, economists and politicians — none of them angels, and none with an angel’s ability to predict mass behaviour, perceive and weigh risk, or foresee the judgment of future history.

[. . .]

People have always been prone to weird beliefs, but now there is a medium that compounds those beliefs, allows them to coalesce into a historical counter-narrative and unites their holders like never before. For the first time, there are people who seem not just weird, but positively, thoroughgoingly “weird-ist.” Try spelunking amidst the Internet detritus of the anti-vaccine movement. There is no philosophical reason that strange beliefs about vaccination should correlate with fringe beliefs about UFOs, reptilian elites, 9/11 “truth,” JFK, the world ending in 2012 you name it. Yet the correlation is real, and not hard to confirm.

Challenge to human gene patents allowed to proceed

Filed under: Law, Science — Tags: , , , , — Nicholas @ 08:25

A judge has allowed an ACLU challenge to two human gene patents to go to court:

The first-of-its-kind lawsuit by the American Civil Liberties Union and the Public Patent Foundation at the Benjamin Cardozo School of Law claims that the patents violate free speech by restricting research.

U.S. District Judge Robert W. Sweet of New York, in ruling that the case may proceed to trial, noted that the litigation might open the door to challenges of a host of other patented genes. About one-fifth of the human genome is covered under patent applications and claims.

Sweet wrote:

The challenges to the patents-in-suit raise questions of difficult legal dimensions concerning constitutional protections over the information that serves as our genetic identities and the need to adopt policies that promote scientific innovation and biomedical research. The widespread use of gene sequence information as the foundation for biomedical research means that resolution of these issues will have far-reaching implications, not only for gene-based health care and the health of millions of women facing the specter of breast cancer, but also for the future course of biomedical research.

The case against the patent office and patent-holder Myriad Genetics of Salt Lake City is the first to challenge a patented gene under a civil rights allegation — in this case the First Amendment.

October 29, 2009

Property overgrown? Send in the goats

Filed under: Bureaucracy, Economics, Environment — Tags: — Nicholas @ 07:48

Mark Frauenfelder looks at an old-fashioned way to cut back the undergrowth — rent a flock of goats:

GOOD reports on the Seattle-based Rent-a-Ruminant organization that hires out goats to people who want to clear brush on their property.

[R]ather than spending tons of money and time on diesel-powered machines, filing the proper permits, and administering dangerous herbicides, the Seattle-based Rent-a-Ruminant organization will loan your a team of 100 goats for all your brush-clearing needs — all at a very modest rates. As Serious Eats explains, the benefits of goats are numerous: they eat just about anything, they can work on uneven ground, you don’t need permits to use them, and they can clear a quarter-acre in about three days.

October 28, 2009

Updated “powers of ten” visual aid

Filed under: Science — Tags: — Nicholas @ 18:05

Use the slider at the bottom to dive down, down, down.

H/T to Felicia Day for the link.

October 27, 2009

Statistical measurements are important

Filed under: Bureaucracy, Health — Tags: , — Nicholas @ 07:52

So why, especially right now, have the US government’s key players in the public health arena stopped counting swine flu cases?

Part of the mystery comes from a federal government in such a tizzy to spread its vaccine and declare “national emergencies” that it doesn’t think it’s necessary to keep counting. Via CBS News:

In late July, the CDC abruptly advised states to stop testing for H1N1 flu, and stopped counting individual cases. The rationale given for the CDC guidance to forego testing and tracking individual cases was: why waste resources testing for H1N1 flu when the government has already confirmed there’s an epidemic?

Given that regular seasonal flu causes thousands of deaths annually, you’d think it would be good statistical discipline to count the cases of H1N1 separately, both the gauge the severity of the disease and to chart the effectiveness of the vaccination program. Lumping seasonal flu and “flu-like symptoms” together with H1N1 seems a big step backward from normal public health practice.

October 26, 2009

A partial answer about increasing body weight

Filed under: Economics, Food, Health — Tags: , — Nicholas @ 00:20

Here are some useful images that help to explain why North Americans have been getting heavier over the last few decades:

Over the past few decades, portion sizes of everything from muffins to sandwiches have grown considerably. Unfortunately, America’s waistbands have reacted accordingly. In the 1970s, around 47 percent of Americans were overweight or obese; now 66 percent of us are. In addition, the number of just obese people has doubled, from 15 percent of our population to 30 percent.

While increased sizes haven’t been the sole contributor to our obesity epidemic, large quantities of cheap food have distorted our perceptions of what a typical meal is supposed to look like. These portion comparisons, adapted from the National Heart, Lung, and Blood Institute’s (NHLBI) Portion Distortion Quiz, give a visual representation of what sizes used to be compared to what they are today.

Pizza_then_and_now
Bagels_then_and_now

H/T to John Scalzi for the link.

October 23, 2009

Check your homework, says the dog

Filed under: Economics, Environment, Humour — Tags: , , — Nicholas @ 12:12

Brenda and Robert Vale recently published Eat the Dog: The real guide to sustainable living, where they made the case that your pets are a greater environmental burden than a typical SUV. Cocoa the dog begs to differ, having checked their math:

Conclusion

0.61 hectares to feed the soulless Toyota Land Cruiser.

0.062 hectares to feed your best friend.

That’s 10 times as much for the Land Cruiser than for me. I could have sworn the professors said the dog required twice as much land as the Land Cruiser. They were only off by a factor of 20.

Bad professors, BAD. Don’t make me rub your nose in it.

October 16, 2009

Careful with those compact fluorescent bulbs

Filed under: Australia, Environment, Technology — Tags: , — Nicholas @ 12:43

Andrew Bolt wonders why the Australian government — which has banned the sale of old-fashioned incandescent light bulbs — is not being more pro-active about handling and disposing of the replacement compact fluorescents:

Tens of thousands of Australians will next month be forced to buy these new greenhouse-friendly CFLs without the Government warning them that, unlike normal light bulbs, they contain mercury and are dangerous when broken. What’s more, they shouldn’t just be thrown out with the rubbish.

How many consumers know this?

How many of them have looked up the Environment Department’s website to find what its bureaucrats falsely describe as the “simple and straightforward” precautions to take against poisoning should one of these lamps smash:

– Open nearby windows and doors to allow the room to ventilate for 15 minutes before cleaning up the broken lamp. Do not leave on any air conditioning or heating equipment which could recirculate mercury vapours back into the room.

– Do not use a vacuum cleaner or broom on hard surfaces because this can spread the contents of the lamp and contaminate the cleaner. Instead scoop up broken material (e.g. using stiff paper or cardboard), if possible into a glass container which can be sealed with a metal lid.

– Use disposable rubber gloves rather than bare hands.

– Use a disposable brush to carefully sweep up the pieces.

– Use sticky tape and/or a damp cloth to wipe up any remaining glass fragments and/or powders.

– On carpets or fabrics, carefully remove as much glass and/or powdered material using a scoop and sticky tape; if vacuuming of the surface is needed to remove residual material, ensure that the vacuum bag is discarded or the canister is wiped thoroughly clean.

– Dispose of cleanup equipment (i.e. gloves, brush, damp paper) and sealed containers containing pieces of the broken lamp in your outside rubbish bin – never in your recycling bin.

– While not all of the recommended cleanup and disposal equipment described above may be available (particularly a suitably sealed glass container), it is important to emphasise that the transfer of the broken CFL and clean-up materials to an outside rubbish bin (preferably sealed) as soon as possible is the most effective way of reducing potential contamination of the indoor environment.

“Simple and straightforward”? Peter Garrett’s department not only deceives you about global warming, but about the ease of this useful “fix”.

It doesn’t take a lot of imagination to foresee a lot of lawsuits down the road, as the majority of folks who need to change lightbulbs won’t have read these instructions, and will try to handle them the same as the ordinary light bulbs they’ve used forever.

Friday links of possible interest

Filed under: Britain, Football, Health, Humour, Religion, Technology — Tags: , , , , , , — Nicholas @ 12:25

The Science of Scams

Filed under: Science — Tags: , , — Nicholas @ 12:06

H/T to Boing Boing.

October 14, 2009

Neuter NASA to save manned space exploration?

Filed under: Economics, Space, Technology — Tags: , , — Nicholas @ 12:14

Gregg Easterbrook, to be polite, isn’t a fan of NASA’s big-budget plans:

Soon, Barack Obama must make a decision on whether to continue funding NASA’s daffy plan to build a Motel 6 on the moon. The president will be put on the spot when the final report of a space commission [. . .] is delivered. Rumor is that in keeping with the tradition of Washington commissions, the report will contain extremely vague language about sweeping reform; then cite every item on every wish list of every interest group with a finger in this pie; then recommend nothing specific, so as to offend no interest group; then close with a call for higher subsidies. NASA is not one of the core missions of government, and spends only one-half of 1 percent of the federal budget, so space waste is relatively minor in the scheme of things. But if public policy can’t get this right, what can it get right?

Right now NASA’s budget is $18 billion annually, and the quarter or so spent on science — planetary probes, telescopes that scan the far universe — is going very well. The rest of NASA is a mess. The agency has just thrown $100 billion of your money down the drain on the space station, which has no scientific achievement and no known purpose other than keeping checks in the mail to favored contractors and congressional districts. The station is such a white elephant the current plan is to “deorbit” the thing in 2016. “Deorbit” is polite for “make it burn up in the atmosphere.” So after spending $100 billion to build a space station, we’ll destroy it. Your tax dollars at play!

Since 2004, NASA has said its next goal is a manned outpost on the moon, as a stepping-stone to manned travel to Mars. There’s nothing a person could do on the airless, lifeless lunar surface that a tele-robot operated from a Houston office building could not do at a fraction of the price and risk. And the moon has nothing to do with Mars. Any Mars-bound mission will leave directly from low-Earth orbit to the Red Planet: stopping at the moon, then blasting off again, would consume the mission’s fuel to accomplish nothing. Though NASA has been studying moon-base and Mars-mission proposals for five years, the agency refuses to give a cost estimate — a sure sign the plans cannot pass a giggle test. Considering the space station price was $100 billion for a limited facility that was not accelerated to the speed necessary to reach the moon — speed means fuel which means higher price — even a Spartan moon base easily could cost several hundred billion dollars. For what? Why, for “economic expansion”! Today, no one is interested in economic expansion at Earth’s poles, which are far more amenable to life than the moon, have copious resources, and can be reached at one-ten thousandth the cost of reaching the moon.

There’s a lot more, buried in the middle of his weekly “Tuesday Morning Quarterback” column at ESPN.com. The numbers for manned exploration of Mars aren’t encouraging, either.

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