Fear of a Black femme: The existential conundrum of embodying a Black femme identity while being a professor of Black, queer, and feminist studies

Although a Black femme identity has been defined and embodied by many as an identity with Black feminist roots and revolutionary potentials, Black femmes are still rendered hypervisible and invisible through racist and heteronormative politics. Similarly, embodying a Black femme identity as a professor in academia often engenders these same pretenses of hypervisibility and invisibility. This essay explores what this existential conundrum has been for me as both a Black femme and professor of Black queer and feminist studies, while illuminating the mix of forces within academia that have attempted to stifle my chosen sexual identity and gendered performance.

The visibility of scientific misconduct: A review of the literature on retracted journal articles

Retractions of scientific articles are becoming the most relevant institution for making sense of scientific misconduct. An increasing number of retracted articles, mainly attributed to misconduct, is currently providing a new empirical basis for research about scientific misconduct. This article reviews the relevant research literature from an interdisciplinary context. Furthermore, the results from these studies are contextualized sociologically by asking how scientific misconduct is made visible through retractions. This study treats retractions as an emerging institution that renders scientific misconduct visible, thus, following up on the sociology of deviance and its focus on visibility. The article shows that retractions, by highlighting individual cases of misconduct and general policies for preventing misconduct while obscuring the actors and processes through which retractions are effected, produce highly fragmented patterns of visibility. These patterns resemble the bifurcation in current justice systems.

The Cultural Functions and Social Potential of Queer Monuments: A Preliminary Inventory and Analysis

Public monuments function as cultural agents, reifying dominant public narratives or fostering change. Either way, their representation of people and events intervene in public discourse and contribute to cultural, economic, political, and social environments. Queer monuments, defined here as heritage sites that honor gender and sexual minorities, represent communities that have often been excised in dominant public narratives. This article provides a preliminary global inventory of queer monuments and describes three of their major functions: (1) to provide visibility and reduce stigma; (2) to educate the public on the abuse and attempted extermination of gender and sexual minorities; and (3) to stimulate public debate and discourse about gender and sexual minority rights. This still rare type of monument is growing more common and prompting more active and equitable representations in public space. Queer monuments have the potential of lessening stigma and improving the lives of sexual and gender minorities.

Graphic health warnings and their best position on waterpipes: A cross-sectional survey of expert and public opinion

INTRODUCTION

Our aim was to assess the visibility and efficiency of graphic health warnings (GHWs) on waterpipe tobacco packs (WTPs) and to explore other more effective places to display them for better impact. We also evaluated the visibility of GHWs when placed on the waterpipe device.

METHODS

We conducted 3 cross-sectional study phases using face-to-face survey questionnaires in 2014-2015. Phase I surveyed 31 tobacco control experts, while Phase II surveyed 700 participants and Phase III surveyed 348 from the public in Cairo, Egypt.

RESULTS

Approximately half of the experts and participants in Phases II and III thought that GHWs on WTPs are not adequately visible, and 68.9% and 79.6% in Phases II and III, respectively, suggested posting warnings also in other places. About one-third of experts and 69.1% of Phase II participants suggested posting GHWs inside cafés or in public places, while 46.9% of Phase III participants favored placing them on waterpipes. After viewing our suggested positions on a waterpipe, all experts, 80.6% of participants in Phase II, and 81.6% in Phase III acknowledged that GHWs would be more visible there. The mouthpiece was the location selected most often across all phases (31.1% in Phase I, 35.6% in Phase II and 36.3% in Phase III). Lung and throat cancers were similarly effective in raising participants’ concern about waterpipe smoking health risks (24.7%).

CONCLUSIONS

This is the first population-based study to explore the best location to place GHWs on waterpipes. Policymakers should consider enacting a regulatory framework for placing GHWs on waterpipe devices.

The Relationship of PM Variation with Visibility and Mixing-Layer Height under Hazy/Foggy Conditions in the Multi-Cities of Northeast China

The variations of visibility, PM-mass concentration and mixing-layer height (MLH) in four major urban/industry regions (Shenyang, Anshan, Benxi and Fushun) of central Liaoning in Northeast China are evaluated from 2009 to 2012 to characterize their dynamic effect on air pollution. The annual mean visibilities are about 13.7 ± 7.8, 13.5 ± 6.5, 12.8 ± 6.1 and 11.5 ± 6.8 km in Shenyang, Anshan, Benxi and Fushun, respectively. The pollution load (PM × MLH) shows a weaker vertical diffusion in Anshan, with a higher PM concentration near the surface. High concentrations of fine-mode particles may be partially attributed to the biomass-burning emissions from September in Liaoning Province and surrounding regions in Northeast China as well as the coal burning during the heating period with lower MLH in winter. The visibility on non-hazy fog days is about 2.5-3.0 times higher than that on hazy and foggy days. The fine-particle concentrations of PM_2.5 and PM_1.0 on hazy and foggy days are ~1.8-1.9 times and ~1.5 times higher than those on non-hazy foggy days. The MLH declined more severely during fog pollution than in haze pollution. The results of this study can provide useful information to better recognize the effects of vertical pollutant diffusion on air quality in the multi-cities of central Liaoning Province in Northeast China.

Output-Sensitive Filtering of Streaming Volume Data

Real-time volume data acquisition poses substantial challenges for the traditional visualization pipeline where data enhancement is typically seen as a pre-processing step. In the case of 4D ultrasound data, for instance, costly processing operations to reduce noise and to remove artefacts need to be executed for every frame. To enable the use of high-quality filtering operations in such scenarios, we propose an output-sensitive approach to the visualization of streaming volume data. Our method evaluates the potential contribution of all voxels to the final image, allowing us to skip expensive processing operations that have little or no effect on the visualization. As filtering operations modify the data values which may affect the visibility, our main contribution is a fast scheme to predict their maximum effect on the final image. Our approach prioritizes filtering of voxels with high contribution to the final visualization based on a maximal permissible error per pixel. With zero permissible error, the optimized filtering will yield a result that is identical to filtering of the entire volume. We provide a thorough technical evaluation of the approach and demonstrate it on several typical scenarios that require on-the-fly processing.

Cutaneous head and neck melanoma (CHNM): A population-based study of the prognostic impact of tumor location

BACKGROUND

Most studies of cutaneous head and neck melanomas (CHNM) have reported poorer survival in CHNM compared with other sites, especially on the scalp/neck.

OBJECTIVE

We sought to compare patient and tumor characteristics between CHNM and cutaneous trunk and extremity melanomas and between CHNM locations (face/ear vs scalp/neck, anterior vs posterior), and to study prognostic factors in patients with CHNM.

METHODS

We studied all CHNM (n = 1074) from 8120 cases of cutaneous melanomas diagnosed in Norway in 2008 to 2012.

RESULTS

Compared with cutaneous trunk and extremity melanomas, CHNM were more frequently found in men, more often nodular and lentigo maligna cutaneous melanomas, and diagnosed at higher T stage (P ≤ .01). CHNM located on posterior sites were diagnosed at significantly higher T stage, and were significantly more often diagnosed with ulceration and at more advanced stage compared with CHNM located on anterior sites (P < .001). T stage and clinical stage were the only significant prognostic factors for melanoma-specific and overall death in the multivariable analysis (P < .001).

LIMITATIONS

Low number of cases and the relatively high frequency of missing values are limitations.

CONCLUSION

More advanced CHNM were diagnosed on posterior compared with anterior locations, but location was not a significant prognostic factor for cutaneous melanoma-specific or overall death in the multivariable models.

Messy interviews: changing conditions for politicians' visibility on the web

This article provides an updated analysis relating to John B. Thompson's argument about political visibility and fragility. It does so in light of recent years' development of communication technologies and the proliferation of nonbroadcasting media organizations producing TV. Instances of a new mediated encounter for politicians is analyzed in detail - the live web interview - produced and streamed by two Swedish tabloids during election campaigning 2014. It is argued that the live web interview is not yet a recognizable 'communicative activity type' with an obvious set of norms, rules, and routines. This fact makes politicians more intensely exposed to moments of mediated fragility which may be difficult to control. The most crucial condition that changes how politicians are able to manage their visibility is the constantly rolling 'non-exclusive' live camera which does not give the politician any room for error. The tabloids do not seem to mind 'things going a bit wrong' while airing; rather, interactional flaws are argued to be part and parcel of the overall web TV performance.

Opportunities for Academic Pathology: The Thoughts and Perspectives of a Legal Observer

As American health care undergoes great change, academic pathology is uniquely positioned to establish pathologists as key to the new health-care environment. Pathologists are at the forefront of major innovations in health care and are specialists who interact with all other medical specialists and essentially the entire range of health-care services. Academic pathologists benefit from being subspecialist experts who provide care to patients referred from large geographic areas, who can attain high academic stature over the course of their careers, and who serve as mentors for learners across virtually all medical specialties. Academic medical centers, in turn, have excellent credibility in the community, strong information technology infrastructure with the ability for data accrual and analysis not available in community health-care settings, and strong liaisons with civic authorities and policy makers. However, pathologists have to overcome their own tendencies toward modesty and lack of assertiveness, in order to help counter the significant trends in the health-care marketplace that disempower health-care providers and place health industry decision-making in the hands of nonmedical stakeholders. Specifically, academic pathologists need to proactively play a major role in institutional efforts to improve performance in quality, patient safety, efficiency, and coordinated care delivery and become leaders in the delivery of effective and efficient patient care. They need to play an essential role in utilization management, including molecular testing. They need to develop their value propositions for payers and seek to gain access to payers in order to represent these value statements. They should gain visibility directly to patients seeking expertise for second opinions and pursue opportunities for outreach programs in the community well beyond the academic medical center. Absent such efforts by academic pathologists, pathology is at risk of continued commoditization by nonpathologists, with weakening of the value proposition that pathology might bring forward.

Under the Weather: Legionellosis and Meteorological Factors

The incidence of legionellosis, caused by the bacteria Legionella which are commonly found in the environment, has been increasing in New Jersey (NJ) over the last decade. The majority of cases are sporadic with no known source of exposure. Meteorological factors may be associated with increases in legionellosis. Time series and case-crossover study designs were used to evaluate associations of legionellosis and meteorological factors (temperature (daily minimum, maximum, and mean), precipitation, dew point, relative humidity, sea level pressure, wind speed (daily maximum and mean), gust, and visibility). Time series analyses of multi-factor models indicated increases in monthly relative humidity and precipitation were positively associated with monthly legionellosis rate, while maximum temperature and visibility were inversely associated. Case-crossover analyses of multi-factor models indicated increases in relative humidity occurring likely before incubation period was positively associated, while sea level pressure and visibility, also likely preceding incubation period, were inversely associated. It is possible that meteorological factors, such as wet, humid weather with low barometric pressure, allow proliferation of Legionella in natural environments, increasing the rate of legionellosis.

Visibility Is Not Equivalent to Confidence in a Low Contrast Orientation Discrimination Task

In several visual tasks, participants report that they feel confident about discrimination responses at a level of stimulation at which they would report not seeing the stimulus. How general and reliable is this effect? We compared subjective reports of discrimination confidence and subjective reports of visibility in an orientation discrimination task with varying stimulus contrast. Participants applied more liberal criteria for subjective reports of discrimination confidence than for visibility. While reports of discrimination confidence were more efficient in predicting trial accuracy than reports of visibility, only reports of visibility but not confidence were associated with stimulus contrast in incorrect trials. It is argued that the distinction between discrimination confidence and visibility can be reconciled with both the partial awareness hypothesis and higher order thought theory. We suggest that consciousness research would benefit from differentiating between subjective reports of visibility and confidence.

Compression of Space for Low Visibility Probes

Stimuli briefly flashed just before a saccade are perceived closer to the saccade target, a phenomenon known as perisaccadic compression of space (Ross et al., 1997). More recently, we have demonstrated that brief probes are attracted towards a visual reference when followed by a mask, even in the absence of saccades (Zimmermann et al., 2014a). Here, we ask whether spatial compression depends on the transient disruptions of the visual input stream caused by either a mask or a saccade. Both of these degrade the probe visibility but we show that low probe visibility alone causes compression in the absence of any disruption. In a first experiment, we varied the regions of the screen covered by a transient mask, including areas where no stimulus was presented and a condition without masking. In all conditions, we adjusted probe contrast to make the probe equally hard to detect. Compression effects were found in all conditions. To obtain compression without a mask, the probe had to be presented at much lower contrasts than with masking. Comparing mislocalizations at different probe detection rates across masking, saccades and low contrast conditions without mask or saccade, Experiment 2 confirmed this observation and showed a strong influence of probe contrast on compression. Finally, in Experiment 3, we found that compression decreased as probe duration increased both for masks and saccades although here we did find some evidence that factors other than simply visibility as we measured it contribute to compression. Our experiments suggest that compression reflects how the visual system localizes weak targets in the context of highly visible stimuli.

Design to Improve Visibility: Impact of Corridor Width and Unit Shape

OBJECTIVE

This study analyzes 10 intensive care units (ICUs) to understand the associations between design features of space layout and nurse-to-patient visibility parameters.

BACKGROUND

Previous studies have explored how different hospital units vary in their visibility relations and how such varied visibility relations result in different nurse behaviors toward patients. However, more limited research has examined the specific design attributes of the layouts that determine the varied visibility relations in the unit. Changes in size, geometry, or other attributes of design elements in nursing units, which might affect patient observation opportunities, require more research.

METHODS

This article reviews the literature to indicate evidence for the impact of hospital unit design on nurse/patient visibility relations and to identify design parameters shown to affect visibility. It further focuses on 10 ICUs to investigate how different layouts diverge regarding their visibility relations using a set of metrics developed by other researchers. Shape geometry and corridor width, as two selected design features, are compared.

RESULTS

Corridor width and shape characteristics of ICUs are positively correlated with visibility. Results suggest that floor plans, which are repeatedly broken down into smaller convex (higher convex fragmentation values), or units, which have longer distances between their rooms or between their two opposite ends (longer relative grid distances), might have lower visibility levels across the unit. The findings of this study also suggest that wider corridors positively affect visibility of patient rooms.

CONCLUSION

Changes in overall shape configuration and corridor width of nursing units may have important effects on patient observation and monitoring opportunities.

Usability of assistive listening devices by older adults with low vision

PURPOSE

This study examines the performance of individuals with both hearing and vision loss when using assistive listening devices.

METHODS

Older adults (age 60-100) with low vision only (n = 23), combined vision and hearing loss (n = 25) and a control group (n = 12) were asked to assemble a pocket talker, and operate a talking clock and an amplified telephone. They either received minimal or no instruction. Success at using the devices properly, as well as performance speed, was recorded.

RESULTS

The proportion of individuals with sensory loss that was able to complete our naturalistic tasks without mistakes ranged from 20% to 95%, depending on the device, the task complexity and the instruction provided. Both instruction as well as simple repetition had statistically significant and separate beneficial effects; however, neither was able to bring success to 100% on any device. Speed and task success were linked in an intuitive way, whereby individuals who succeeded at a task also performed it faster.

CONCLUSIONS

Even minimal explanation during the introduction of assistive listening devices to persons with low vision facilitates user success. Device visibility, cognitive and motor complexity of the task, as well as manual dexterity warrant further investigation as potential barriers to device use. Implications for Rehabilitation Hearing rehabilitation with individuals affected by vision loss requires additional attention and time to accommodate challenges with visibility and task complexity. Even minimal rehabilitation interventions can improve success and speed of device use. Repetition (practice) and instruction (strategy) have independent beneficial effects on device use. Dexterity, visibility, hand-eye-coordination, task complexity and cognitive ability need to be considered when assigning assistive devices for older adults with vision and/or hearing loss.

Intracranial spectral amplitude dynamics of perceptual suppression in fronto-insular, occipito-temporal, and primary visual cortex

If conscious perception requires global information integration across active distant brain networks, how does the loss of conscious perception affect neural processing in these distant networks? Pioneering studies on perceptual suppression (PS) described specific local neural network responses in primary visual cortex, thalamus and lateral prefrontal cortex of the macaque brain. Yet the neural effects of PS have rarely been studied with intracerebral recordings outside these cortices and simultaneously across distant brain areas. Here, we combined (1) a novel experimental paradigm in which we produced a similar perceptual disappearance and also re-appearance by using visual adaptation with transient contrast changes, with (2) electrophysiological observations from human intracranial electrodes sampling wide brain areas. We focused on broadband high-frequency (50–150 Hz, i.e., gamma) and low-frequency (8–24 Hz) neural activity amplitude modulations related to target visibility and invisibility. We report that low-frequency amplitude modulations reflected stimulus visibility in a larger ensemble of recording sites as compared to broadband gamma responses, across distinct brain regions including occipital, temporal and frontal cortices. Moreover, the dynamics of the broadband gamma response distinguished stimulus visibility from stimulus invisibility earlier in anterior insula and inferior frontal gyrus than in temporal regions, suggesting a possible role of fronto-insular cortices in top–down processing for conscious perception. Finally, we report that in primary visual cortex only low-frequency amplitude modulations correlated directly with perceptual status. Interestingly, in this sensory area broadband gamma was not modulated during PS but became positively modulated after 300 ms when stimuli were rendered visible again, suggesting that local networks could be ignited by top–down influences during conscious perception.

Ghosted images: old lesbians on screen

Screen images of old lesbians combine modes of representing female gender, lesbian sexuality, and old age, all of which contain layers of otherness within a hetero-patriarchal and youth-centered society. Analyzing a range of films, from independent to mainstream cinema, this article explores how the ghosted lesbian paradigm intersects with narratives of aging as decline in representations of lesbian characters who are over the age of sixty. The spectral matters of illness, death, mourning, and widowhood inevitably culminate in an unhappy ending. Removed from a lesbian community context, intergenerational continuity vanishes and the old lesbian emerges as the cultural other.

Visibility of different foreign bodies in the maxillofacial region using plain radiography, CT, MRI and ultrasonography: an in vitro study

OBJECTIVES

To compare the usefulness of four imaging modalities in visualizing various foreign bodies of different sizes.

METHODS

Foreign bodies of four sizes (0.5, 1, 2 and 3 mm) including metal, tooth, wood, plastic, stone, glass and graphite were embedded in six fresh sheep heads on bone surface between the corpus mandible and muscle, and inside the tongue muscle. A human dry skull served as an air-filled space. Plain radiography, CT, MRI and ultrasonography were used, and four skilled radiologists rated the findings individually.

RESULTS

All embedded foreign bodies except wood were best visualized using CT. Wood could only be detected using ultrasonography, and then only when fragments were >0.5 mm in size. Plain radiography and CT were almost equally accurate in visualizing metal and graphite. MRI was the least useful imaging technique.

CONCLUSIONS

In cases with suspected foreign bodies in the maxillofacial region, CT seems to be the optimal initial imaging study. Wood, however, could only be detected using ultrasonography.

Invisibility and interpretation

Invisibility is often thought to occur because of the low-level limitations of the visual system. For example, it is often assumed that backward masking renders a target invisible because the visual system is simply too slow to resolve the target and the mask separately. Here, we propose an alternative explanation in which invisibility is a goal rather than a limitation and occurs naturally when making sense out of the plethora of incoming information. For example, we present evidence that (in)visibility of an element can strongly depend on how it groups with other elements. Changing grouping changes visibility. In addition, we will show that features often just appear to be invisible but are in fact visible in a way the experimenter is not aware of.

Climate and the landscape of fear in an African savanna

Herbivores frequently have to make trade-offs between two basic needs: the need to acquire forage and the need to avoid predation. One manifestation of this trade-off is the 'landscape of fear' phenomenon - wherein herbivores avoid areas of high perceived predation risk even if forage is abundant or of high quality in those areas. Although this phenomenon is well established among invertebrates, its applicability to terrestrial large herbivores remains debated, in part because experimental evidence is scarce. This study was designed to (i) experimentally test the effects of tree density - a key landscape feature associated with predation risk for African ungulates - on herbivore habitat use and (ii) establish whether habitat use patterns could be explained by trade-offs between foraging opportunities and predation risk avoidance. In a Kenyan savanna system, replicate plots dominated by the tree Acacia drepanolobium were cleared, thinned or left intact. Ungulate responses were measured over four years, which included years of moderate rainfall as well as a severe drought. Under average rainfall conditions, most herbivores (primarily plains zebra, Grant's gazelle and hartebeest) favoured sites with fewer trees and higher visibility - regardless of grass production - while elephants (too large to be vulnerable to predation) favoured sites with many trees. During the drought, however, herbivores favoured sites that had high grass biomass, but not high visibility. Thus, during the drought, herbivores sought areas where food was more abundant, despite probable higher risk of predation. These results illustrate that the 'landscape of fear', and the associated interactions between top-down and bottom-up effects, is not static, but rather shifts markedly under different conditions. Climate thus has the potential to alter the strength and spatial dynamics of behaviourally mediated cascades in large herbivore systems.

Influence of learning disabilities on the tumour predisposition syndrome NF1--survey from adult patients' perspective

AIM

To analyze psychosocial burdens associated with neurofibromatosis type-1 (NF1) phenotype--visible symptoms, medical complications, learning disabilities (LD)--from patients' perspective with focus on LD.

PATIENTS AND METHODS

A survey of 228 adult patients with NF1 was carried-out. Symptoms to estimate disease severity and visibility, and learning disability were assessed. Outcome parameters were social situation and psychosocial aspects.

RESULTS

Social situation and psychosocial aspects differed depending on NF1 phenotype. Patients with LD (n=55) were less frequently in a partnership (p=0.005) or had children (p=0.015) than those without (n=132). They also reported a higher frequency of depression (p=0.019) and sensitivity to stress (p<0.001) and more uncertainty regarding NF1-associated symptoms. These differences were significant when adjusting for disease severity and self-perceived disease visibility.

CONCLUSION

Beside the psychosocial needs of patients with LD with NF1, medical management of this sub-group should include doctor-patient communication in easy language to compensate for patients' lack of knowledge about symptoms associated with cancer.

Ankle arthroscopy: a study of tourniquet versus no tourniquet

BACKGROUND

More than 10,000 ankle arthroscopy procedures are performed in the United Kingdom annually. Tourniquet use is thought to allow improved visibility and reduce operative time. However this is not without risk as it predisposes to neurovascular injury. The purpose of our study was to establish the feasibility of a subsequent larger randomized controlled trial, to test the hypothesis that tourniquet use might be unnecessary in ankle arthroscopy.

METHODS

We performed a prospective nonrandomized case control study on 63 patients undergoing ankle arthroscopy to assess the feasibility of a randomized control trial comparing tourniquet versus no tourniquet. All patients had a tourniquet placed on the thigh and a standard arthroscopic technique. In 1 group (n = 31) the tourniquet was routinely inflated, whereas in a second group (n = 32) the tourniquet was not inflated. Demographic data, intraoperative fluid pressures, and visibility were recorded, as were any intraoperative or postoperative complications.

RESULTS

There were no significant differences between the 2 groups with respect to duration of operation, maximum intraoperative fluid pressures or visibility, and postoperative complications. In no cases where a tourniquet was not used did the surgeon need to inflate the tourniquet during the case.

CONCLUSION

Most orthopaedic surgeons continue to use a tourniquet routinely for ankle arthroscopy, presumably on the belief that a clear operative view can be achieved only with a tourniquet. The findings of our feasibility study revealed that ankle arthroscopy was possible without the use of a tourniquet. We propose a randomized clinical trial to determine the best option for patient care.

LEVEL OF EVIDENCE

Level III, comparative series.

A Multi-Year Aerosol Characterization for the Greater Tehran Area Using Satellite, Surface, and Modeling Data

This study reports a multi-year (2000–2009) aerosol characterization for metropolitan Tehran and surrounding areas using multiple datasets (Moderate Resolution Imaging Spectroradiometer (MODIS), Multi-angle Imaging Spectroradiometer (MISR), Total Ozone Mapping Spectrometer (TOMS), Goddard Ozone Chemistry Aerosol Radiation and Transport (GOCART), and surface and upper air data from local stations). Monthly trends in aerosol characteristics are examined in the context of the local meteorology, regional and local emission sources, and air mass back-trajectory data. Dust strongly affects the region during the late spring and summer months (May–August) when aerosol optical depth (AOD) is at its peak and precipitation accumulation is at a minimum. In addition, the peak AOD that occurs in July is further enhanced by a substantial number of seasonal wildfires in upwind regions. Conversely, AOD is at a minimum during winter; however, reduced mixing heights and a stagnant lower atmosphere trap local aerosol emissions near the surface and lead to significant reductions in visibility within Tehran. The unique meteorology and topographic setting makes wintertime visibility and surface aerosol concentrations particularly sensitive to local anthropogenic sources and is evident in the noteworthy improvement in visibility observed on weekends. Scavenging of aerosol due to precipitation is evident during the winter when aconsistent increase in surface visibility and concurrent decrease in AOD is observed in the days after rain compared with the days immediately before rain.

Performance enhancement, elite athletes and anti doping governance: comparing human guinea pigs in pharmaceutical research and professional sports

In light of the World Anti Doping Agency's 2013 Code Revision process, we critically explore the applicability of two of three criteria used to determine whether a method or substance should be considered for their Prohibited List, namely its (potential) performance enhancing effects and its (potential) risk to the health of the athlete. To do so, we compare two communities of human guinea pigs: (i) individuals who make a living out of serial participation in Phase 1 pharmacology trials; and (ii) elite athletes who engage in what is effectively 'unregulated clinical research' by using untested prohibited or non-prohibited performance enhancing substances and methods, alone or in combination. Our comparison sheds light on norms of research ethics that these practices exacerbate with respect to the concepts of multiplicity, visibility, and consistency. We argue for the need to establish a proper governance framework to increase the accountability of these unregulated research practices in order to protect the human guinea pigs in elite sports contexts, and to establish reasonable grounds for the performance enhancing effects, and the risks to the health of the athlete, of the methods and substances that might justify their inclusion on the Prohibited List.

Personal and trip characteristics associated with safety equipment use by injured adult bicyclists: a cross-sectional study

BACKGROUND

The aim of this study was to estimate use of helmets, lights, and visible clothing among cyclists and to examine trip and personal characteristics associated with their use.

METHODS

Using data from a study of transportation infrastructure and injuries to 690 adult cyclists in Toronto and Vancouver, Canada, we examined the proportion who used bike lights, conspicuous clothing on the torso, and helmets on their injury trip. Multiple logistic regression was used to examine associations between personal and trip characteristics and each type of safety equipment.

RESULTS

Bike lights were the least frequently used (20% of all trips) although they were used on 77% of trips at night. Conspicuous clothing (white, yellow, orange, red) was worn on 33% of trips. Helmets were used on 69% of trips, 76% in Vancouver where adult helmet use is required by law and 59% in Toronto where it is not. Factors positively associated with bike light use included night, dawn and dusk trips, poor weather conditions, weekday trips, male sex, and helmet use. Factors positively associated with conspicuous clothing use included good weather conditions, older age, and more frequent cycling. Factors positively associated with helmet use included bike light use, longer trip distances, hybrid bike type, not using alcohol in the 6 hours prior to the trip, female sex, older age, higher income, and higher education.

CONCLUSIONS

In two of Canada's largest cities, helmets were the most widely used safety equipment. Measures to increase use of visibility aids on both daytime and night-time cycling trips may help prevent crashes.

Daily visibility and mortality: assessment of health benefits from improved visibility in Hong Kong

Visibility in Hong Kong has deteriorated significantly over 40 years with visibility below 8km in the absence of fog, mist, or precipitation, increasing from 6.6 days in 1968 to 54.1 days in 2007. We assessed the short-term mortality effects of daily loss of visibility. During 1996-2006, we obtained mortality data for non-accidental and cardiorespiratory causes, visibility recorded as visual range in kilometers, temperature, and relative humidity from an urban observatory, and concentrations of four criteria pollutants. A generalized additive Poisson regression model with penalized cubic regression splines was fitted to control for time variant covariates. For non-accidental mortality, an interquartile range (IQR) of 6.5km decrease in visibility at lag0-1 days was associated with an excess risk (ER%) [95% CI] of 1.13 [0.49, 1.76] for all ages and 1.37 [0.65, 2.09] for ages 65 years and over; for cardiovascular mortality of 1.31 [0.13, 2.49] for all ages, and 1.72 [0.44, 3.00] for ages 65 years and over; and for respiratory mortality of 1.92 [0.49, 3.35] for all ages and 1.76 [0.28, 3.25] for ages 65 years and over. The estimated ER% for daily mortality derived from both visibility and air pollutant data were comparable in terms of magnitude, lag pattern, and exposure-response relationships especially when using particulate matter with aerodynamic diameter < or = 10 microm to predict the mortality associated with visibility. Visibility provides a useful proxy for the assessment of environmental health risks from ambient air pollutants and a valid approach for the assessment of the public health impacts of air pollution and the benefits of air quality improvement measures in developing countries where pollutant monitoring data are scarce.

Is fasting a necessary preparation for abdominal ultrasound?

OBJECTIVE: To study the effect of fasting on the technical success of abdominal ultrasound examination. METHODS: In a randomized, prospective study, 150 patients for abdominal ultrasound were divided into two groups of 75 patients each with instructions to fast for six hours or have normal breakfast respectively. RESULT: The technical success of the abdominal ultrasound performed by radiologists blinded to the instruction did not differ significantly between the groups. CONCLUSION: It appears that routine fasting before abdominal ultrasound is not necessary.