AI

New XPrize Challenge: Predicting Covid-19's Spread and Prescribing Interventions (ieee.org) 22

Slashdot reader the_newsbeagle shares an article from IEEE Spectrum: Many associate XPrize with a $10-million award offered in 1996 to motivate a breakthrough in private space flight. But the organization has since held other competitions related to exploration, ecology, and education. And in November, they launched the Pandemic Response Challenge, which will culminate in a $500,000 award to be split between two teams that not only best predict the continuing global spread of COVID-19, but also prescribe policies to curtail it...

For Phase 1, teams had to submit prediction models by 22 December... Up to 50 teams will make it to Phase 2, where they must submit a prescription model... The top two teams will split half a million dollars. The competition may not end there. Amir Banifatemi, XPrize's chief innovation and growth officer, says a third phase might test models on vaccine deployment prescriptions. And beyond the contest, some cities or countries might put some of the Phase 2 or 3 models into practice, if Banifatemi can find adventurous takers.

The organizers expect a wide variety of solutions. Banifatemi says the field includes teams from AI strongholds such as Stanford, Microsoft, MIT, Oxford, and Quebec's Mila, but one team consists of three women in Tunisia. In all, 104 teams from 28 countries have registered. "We're hoping that this competition can be a springboard for developing solutions for other really big problems as well," Miikkulainen says. Those problems include pandemics, global warming, and challenges in business, education, and healthcare. In this scenario, "humans are still in charge," he emphasizes. "They still decide what they want, and AI gives them the best alternatives from which the decision-makers choose."

But Miikkulainen hopes that data science can help humanity find its way. "Maybe in the future, it's considered irresponsible not to use AI for making these policies," he says.

For the Covid-19 competition, Banifatemi emphasized that one goal was "to make the resulting insights available freely to everyone, in an open-source manner — especially for all those communities that may not have access to data and epidemiology divisions, statisticians, or data scientists."
Medicine

Autopsies Reveal the Terrible Damage COVID-19 Can Inflict On the Human Brain (sciencealert.com) 162

"As COVID-19 relentlessly infects more and more of us, scientists are getting a close look at the strange and frightening damage it can inflict on our bodies," writes Science Alert (in an article shared by long-time Slashdot reader AmiMoJo): We've known since early in the pandemic this disease wreaks havoc on more than just the respiratory system, also causing gastrointestinal conditions, heart damage and blood clotting disorders. Now, a year into the pandemic, in-depth autopsies of COVID-19 patients have revealed greater details of widespread inflammation and damage in brain tissues. This may help explain the deluge of neurological symptoms that have manifested in some patients, from headaches, memory loss, dizziness, weakness and hallucinations to more severe seizures and strokes.

Some estimate that up to 50 percent of those hospitalised with COVID-19 could have neurological symptoms that can leave people struggling to do even common daily tasks like preparing a meal. "We were completely surprised. Originally, we expected to see damage that is caused by a lack of oxygen," said physician and clinical director at National Institute of Health (NIH), Avindra Nath. "Instead, we saw multifocal areas of damage that is usually associated with strokes and neuroinflammatory diseases...."

Their report was published in the New England Journal of Medicine.

The article also remembers a September remark by a University of Liverpool neurologist to Nature magazine back in September who had also suggested possible neurological symptoms from COVID-19. "We've seen this group of younger people without conventional risk factors who are having strokes, and patients having acute changes in mental status that are not otherwise explained."
Medicine

Researchers are Closing In on a 'Universal' Flu Vaccine (upi.com) 36

The Weather Channel reports: One main reason humans need to get a flu vaccine annually: flu strains mutate regularly so vaccines need to be slightly altered every year. During past flu seasons, the CDC has noted a vaccine effectiveness range between 40-60%, and a reduced the risk of flu-related illness by 40-60% within the overall population. There are, however, several "universal" flu vaccines currently being studied that aim to make annual flu vaccinations a thing of the past. In fact, according to the American Society for Microbiology, some of these vaccine candidates are in phase 2 and phase 3 trials right now.
Now UPI reports: Researchers believe they are one step closer to a "universal" flu vaccine, even as concerns over the seasonal virus move to the back burner during the COVID-19 pandemic. T cells found in the lungs may hold the key to long-lasting immunity against influenza A, the more common and often more severe form of the virus, according to the researchers behind a study published Friday by Science Immunology.

These cells, which the researchers call resident helper T cells, help the body initiate antiviral responses against new influenza strains even after experience with only one type of the virus, the researchers said. This type of "generalized" immune response, against all virus strains, is not possible with the currently available yearly vaccine formulations, they said.

Medicine

Pfizer's COVID-19 Vaccine Appears To Work Against New Coronavirus Strains, Study Finds (cnn.com) 51

A new study provides early evidence that a Covid-19 vaccine might be effective against two new coronavirus strains first identified in South Africa and the UK, despite a concerning mutation. CNN reports: The two strains share a mutation known as N501Y that scientists worry could allow the virus to evade the immune protection generated by a vaccine. In research posted online Thursday, scientists found that antibodies from people who had received the Pfizer/BioNTech vaccine showed "no reduction in neutralization activity" against a version of the virus that carries the N501Y mutation, which they created in the lab. In order to do this, researchers tested the virus against blood from 20 people who had received two doses of the vaccine as part of a clinical trial.

The N501Y mutation is located in the coronavirus' spike protein -- the same structure targeted by vaccines. The virus uses this protein to enter the cells it attacks. This particular mutation appears to help the virus attach to human cells, which may partly explain why these new strains appear to be more transmissible. But it is just one of many mutations in both strains that scientists have worried could make the virus less susceptible to vaccines or treatments. The study -- conducted by researchers at Pfizer and the University of Texas Medical Branch -- does not test the full array of these mutation, nor has it been peer-reviewed.

Medicine

UK Scientists Worry Vaccines May Not Protect Against South African Coronavirus Variant (trust.org) 238

UK scientists have expressed concern that COVID-19 vaccines being rolled out in Britain may not be able to protect against a new variant of the coronavirus that emerged in South Africa and has spread internationally. From a report: Both Britain and South Africa have detected new, more transmissible variants of the COVID-19-causing virus in recent weeks that have driven a surge in cases. British Health Secretary Matt Hancock said on Monday he was now very worried about the variant identified in South Africa. Simon Clarke, an associate professor in cellular microbiology at the University of Reading, said that while both variants had some new features in common, the one found in South Africa "has a number additional mutations ... which are concerning." He said these included more extensive alterations to a key part of the virus known as the spike protein -- which the virus uses to infect human cells -- and "may make the virus less susceptible to the immune response triggered by the vaccines." Lawrence Young, a virologist and professor of molecular oncology at Warwick University, also noted that the South African variant has "multiple spike mutations."
Medicine

Whole Foods CEO John Mackey: The 'Best Solution' is To Not Need Health Care and For Americans To Change How They Eat and Live (cnbc.com) 398

Whole Foods CEO John Mackey says the key to keeping people healthy in the United States is for people to eat better and live healthier lives. From a report: "I mean, honestly, we talk about health care. The best solution is not to need health care," Mackey told Freakonomics Radio host Stephen Dubner in an episode. "The best solution is to change the way people eat, the way they live, the lifestyle, and diet," Mackey says. "There's no reason why people shouldn't be healthy and have a longer health span. A bunch of drugs is not going to solve the problem." Americans are not taking as good care of their own bodies as they ought to be, Mackey says: "71% of Americans are overweight and 42.5% are obese. Clearly, we're making bad choices in the way we eat," he says. "It's not a sustainable path. And so, I'm calling it out."
Businesses

Haven, the Amazon-Berkshire-JPMorgan Venture To Disrupt Healthcare, is Disbanding After 3 Years (cnbc.com) 163

Haven, the joint venture formed by three of America's most powerful companies to lower costs and improve outcomes in health care, is disbanding after three years, CNBC has learned exclusively. From a report: The company began informing employees Monday that it will shut down by the end of next month, according to people with direct knowledge of the matter. Many of the Boston-based firm's 57 workers are expected to be placed at Amazon, Berkshire Hathaway or JPMorgan Chase as the firms each individually push forward in their efforts, and the three companies are still expected to collaborate informally on healthcare projects, the people said. The announcement three years ago that the CEOs of Amazon, Berkshire Hathaway and JPMorgan Chase had teamed up to tackle one of the biggest problems facing corporate America -- high and rising costs for employee health care -- sent shock waves throughout the world of medicine. Shares of healthcare companies tumbled on fears about how the combined might of leaders in technology and finance could wring costs out of the system. Brooke Thurston, a spokeswoman for Haven, confirmed the company's plans to close.
Medicine

71-Year-Old Slashdot Reader Describes His 'Moderate' Case of Covid (researchandideas.com) 279

71-year-old Hugh Pickens (Slashdot reader #49,171) is a physicist who explored for oil in the Amazon jungle, commissioned microwave communications systems in Saudi Arabia, and built satellite control stations for Goddard Space Flight Center around the world including Australia, Antarctica, and Guam.

After retiring in 1999, he wrote over 1,400 Slashdot posts, and in the site's 23-year history still remains one of its two all-time most active submitters (behind only long-time Slashdot reader theodp). Today theodp shares an article by Hugh Pickens: I am a Covid Survivor," writes former Slashdot contributor extraordinaire Hugh Pickens (aka pickens, aka Hugh Pickens writes, aka Hugh Pickens DOT Com, aka HughPickens.com, aka pcol, aka ...). "I got the Covid six weeks ago and yesterday I was declared virus free. I had what was called a moderate case of Covid. I was never hospitalized. I was never in any real danger of death. But I was in bed for three weeks.

"It knocked me on my ass. I have been talking about my Covid when I go out and a lot of people are interested in what it really means to have a moderate case of Covid. I don't claim to speak for every Covid patient. I certainly can't speak for the ones who went into the hospital and are on ventilators. But I think the majority of people have a moderate case of Covid so I thought I would write this up for people that were interested."

During those three consecutive weeks in bed, "I guess I ate Jell-O for about two weeks..." Pickens writes. "I was laying in bed all day long. I was sleeping 12 to 14 hours a day..." He lost 25 pounds — and vividly describes having nightmares "every night like clockwork." But the essay ends with him committed to making the most of his second chance. "I'm only going to do what's important from now on...

"I'm 71 years old and I may have five more years or ten but I am going to live every day like it's my last."
Medicine

Among 2020's Most Underreported Stories: Pharmaceutical Profiteering May Accelerate Superbugs (projectcensored.org) 86

Since 1976 "Project Censored," a U.S.-based nonprofit media watchdog organization, has been identifying "the news that didn't make the news," the most significant stories it believes are being systematically overlooked. Slashdot ran stories about its annual list of the year's most censored news stories in 1999, 2003, 2004, and in 2007, when they'd presciently warned that the media was ignoring the issue of net neutrality.

But their latest list of underreported stories includes this disturbing headline: "Antibiotic Abuse: Pharmaceutical Profiteering Accelerates Superbugs." Pharmaceutical giants Abbott and Sun Pharma are providing dangerous amounts of antibiotics to unlicensed doctors in India and incentivizing them to overprescribe. In August 2019 the Bureau of Investigative Journalism (BIJ) reported that these unethical business practices are leading to a rise in superbugs, or bacterial infections that are resistant to antibiotic treatment. Bacteria naturally evolve a resistance to antibiotics over time, but the widespread and inappropriate use of antibiotics accelerates this process. Superbugs are killing at least 58,000 babies each year and rendering a growing number of patients untreatable with all available drugs.

India's unlicensed medical practitioners, known as "quack" doctors, are being courted by Abbott and Sun Pharma, billion-dollar companies that do business in more than one hundred countries, including the United States. The incentives these companies provide to quack doctors to sell antibiotics have included free medical equipment, gift cards, televisions, travel, and cash, earning some doctors nearly a quarter of their salary. "Sales representatives would also offer extra pills or money as an incentive to buy more antibiotics, encouraging potentially dangerous overprescription," a Sun Pharma sales representative revealed to an undercover BIJ reporter... [P]atients without access to better care often turn to quack doctors for treatment, and many are unaware that their local medical "professionals" have no formal training and are being bribed to sell unnecessary antibiotics.

In September 2019, the BIJ reported on similar problems with broken healthcare systems, medical corruption, and dangerous superbugs in Cambodia. Their account describes how patients often request antibiotics for common colds, to pour onto wounds, and to feed to animals. Illegally practicing doctors and pharmacists in Cambodia admitted that they would often prescribe based on customer requests rather than appropriate medical guidelines. As the BIJ noted, "This kind of misuse speeds up the creation of drug resistant bacteria, or superbugs, which are predicted to kill 10 million people by 2050 if no action is taken...."

Although superbugs have attracted some attention, their cause and importance remain poorly understood by the public. The Independent and BuzzFlash republished the Bureau of Investigative Journalism's report; otherwise, the role of pharmaceutical companies in the rise of dangerous superbugs has been drastically underreported.

The site's list of the top 25 censored stories of 2019 - 2020 also includes:
Medicine

The Secret to Longevity? 4-Minute Bursts of Intense Exercise May Help (msn.com) 82

The New York Times reports on results from a rigorous five-year study in Trondheim, Norway that raises the question: If you increase your heart rate, will your life span follow? The study, one of the largest and longest-term experimental examinations to date of exercise and mortality, shows that older men and women who exercise in almost any fashion are relatively unlikely to die prematurely. But if some of that exercise is intense, the study also finds, the risk of early mortality declines even more, and the quality of people's lives climbs...

Their first step was to invite every septuagenarian in Trondheim to participate... More than 1,500 of the Norwegian men and women accepted... All agreed to start and continue to exercise more regularly during the upcoming five years... The first group, as a control, agreed to follow standard activity guidelines and walk or otherwise remain in motion for half an hour most days. (The scientists did not feel they could ethically ask their control group to be sedentary for five years.) Another group began exercising moderately for longer sessions of 50 minutes twice a week. And the third group started a program of twice-weekly high-intensity interval training, or HIIT, during which they cycled or jogged at a strenuous pace for four minutes, followed by four minutes of rest, with that sequence repeated four times... During that time, the scientists noted that quite a few of the participants in the control had dabbled with interval-training classes at local gyms, on their own initiative and apparently for fun...

After five years, the researchers checked death registries and found that about 4.6 per cent of all of the original volunteers had passed away during the study, a lower number than in the wider Norwegian population of 70-year-olds, indicating these active older people were, on the whole, living longer than others of their age. But they also found interesting, if slight, distinctions between the groups. The men and women in the high-intensity-intervals group were about 2 per cent less likely to have died than those in the control group, and 3 per cent less likely to die than anyone in the longer, moderate-exercise group. People in the moderate group were, in fact, more likely to have passed away than people in the control group.

The men and women in the interval group also were more fit now and reported greater gains in their quality of life than the other volunteers....

Dorthe Stensvold, a researcher at the Norwegian University of Science and Technology who led the new study, believes the study's message can be broadly applicable to almost all of us.. "Adding life to years, not only years to life, is an important aspect of healthy ageing, and the higher fitness and health-related quality of life from high-intensity interval training in this study is an important finding."

Medicine

Many Formerly-Skeptical Americans are Now Eager to Get Covid-19 Vaccines (deccanherald.com) 247

The New York Times reports: Ever since the race to develop a coronavirus vaccine began last spring, upbeat announcements were stalked by ominous polls: No matter how encouraging the news, growing numbers of people said they would refuse to get the shot... But over the past few weeks, as the vaccine went from a hypothetical to a reality, something happened. Fresh surveys show attitudes shifting and a clear majority of Americans now eager to get vaccinated. In polls by Gallup, the Kaiser Family Foundation and the Pew Research Center, the portion of people saying they are now likely or certain to take the vaccine has grown from about 50 per cent this summer to more than 60 per cent, and in one poll 73 per cent — a figure that approaches what some public health experts say would be sufficient for herd immunity...

[T]he attitude improvement is striking. A similar shift on another heated pandemic issue was reflected in a different Kaiser poll this month. It found that nearly 75 per cent of Americans are now wearing masks when they leave their homes.

The change reflects a constellation of recent events: the uncoupling of the vaccine from Election Day; clinical trial results showing about 95 per cent efficacy and relatively modest side effects for the vaccines made by Pfizer-BioNTech and Moderna; and the alarming surge in new coronavirus infections and deaths... The lure of the vaccines' modest quantities also can't be underestimated as a driver of desire, somewhat like the must-have frenzy generated by a limited-edition Christmas gift, according to public opinion experts... A barrage of feel-good media coverage, including rapt attention given to leading scientists and politicians when they get jabbed and joyous scrums surrounding local health care workers who become the first to be vaccinated, has amplified the excitement, public opinion experts say.

Biotech

Can mRNA Biotechnology be Adapted to Improve Flu Vaccines and Fight Cancer? (reuters.com) 75

Reuters notes the "miraculous speed" of mRNA vaccines, while also calling it "a glimpse of what's possible if it can be applied post-pandemic to treat cancer or rare diseases."

The vaccine market alone is worth about $35 billion each year, and investors apparently believe mRNA companies will capture around two-third of that, leading market researcher Bernstein to evalaute the combined worth of mRNA companies at nearly $180 billion. The technology is the closest thing yet to making medicine digital. MRNA vaccines essentially inject genetic code that instructs a recipients' cells to construct a part of the virus. The body recognizes the produced protein as foreign and mounts a future immune response when exposed. Moderna and BioNTech's vaccines show the technology works fast. Vaccines typically take a decade to develop. They took less than a year...

The speed of mRNA therapeutics is a big advantage. For example, flu vaccines only reduce the risk of illness by up to 60% because makers must guess which strains will be prevalent each season. Sometimes they're wrong. Shaving months off means better guesses, and higher efficacy.

The bigger opportunity comes from the validation of the mRNA "platform". Instructing cells to produce desired proteins could lead to multiple advances. Perhaps they can instruct the body to more vigorously attack cancerous cells or repair damaged tissue. Producing missing proteins might fight inherited diseases...

Success against Covid-19 means these companies will be flush with cash from sales and attract partnerships and scientific talent. That should make 2021 a watershed.

Medicine

The World's Most Loathed Industry Gave Us a Vaccine in Record Time (bloomberg.com) 443

An anonymous reader shares a feature report: At the end of 2019, before the coronavirus pandemic started, the two best-known faces of the pharmaceutical business were the imprisoned Martin Shkreli and the lawsuit-laden opioid makers at Purdue Pharma. The rest of the industry was perhaps best known for the skyrocketing prices of its medicines. In a Gallup Poll of the public's view of various business sectors, pharma was ranked at the bottom, behind the oil industry, advertising and public relations, and lawyers. Who'd have guessed that a year later pharma would be getting credit for saving the world?

From cruise lines to meatpackers, business will have plenty to answer for in its handling of the pandemic, but this part of it worked. The Covid-19 vaccines developed by the drug industry, in partnership with governments, will almost certainly prevent hundreds of thousands of American deaths and millions more around the world. They will revive trillions of dollars in economic activity, let grandparents see grandchildren, and finally bring an end to a year that has -- sing it together one last time as the ball drops over an empty Times Square -- really sucked. In a time where almost everything else went wrong, the vaccine effort was something that went (mostly) right.

Medicine

Pfizer To Supply US With 100 Million More Vaccine Doses (bloomberg.com) 57

Pfizer and partner BioNTech agreed to supply an additional 100 million doses of their Covid-19 vaccine to the U.S., as the country seeks to widen its immunization program and revive its economy. From a report: The agreement brings the total number of doses to be delivered to the U.S. to 200 million, the companies said Wednesday in a statement. The drugmaker expects to deliver all the doses to U.S. vaccine and drug accelerator Operation Warp Speed by July 31. Countries around the world are seeking supplies of vaccine they hope will allow the reopening of schools and businesses and the resumption of travel. The U.K. has also begun administering doses of the Pfizer-BioNTech shot, and European drug authorities cleared it for use on Monday.

The U.S. has been working to expand supplies of the front-runner vaccine, in light of the drugmakers' commitments to other countries. Earlier this month, the U.S. exercised an option to buy 100 million additional vaccine doses from Moderna, doubling the number it has on order from that company to 200 million. Like Pfizer and BioNTech's vaccine, Moderna's is a two-shot regimen based on new technology known as messenger RNA, but it doesn't have to be stored at the same ultracold temperatures as the Pfizer-BioNTech shot.

Medicine

Stanford Algorithm Decided To Vaccinate Only Seven of Its Frontline COVID-19 Workers, Out of 5,000 Doses (theverge.com) 126

An algorithm determining which Stanford Medicine employees would receive its 5,000 initial doses of the COVID-19 vaccine included just seven medical residents / fellows on the list, according to a December 17th letter sent from Stanford Medicine's chief resident council. The Verge reports: Stanford Medicine leadership has since apologized and promised to re-evaluate the plan. "We take complete responsibility for the errors in the execution of our vaccine distribution plan," a Stanford Medicine spokesperson said in a statement to The Verge. "Our intent was to develop an ethical and equitable process for distribution of the vaccine. We apologize to our entire community, including our residents, fellows, and other frontline care providers, who have performed heroically during our pandemic response. We are immediately revising our plan to better sequence the distribution of the vaccine." The residents' letter also alleges that the error in the algorithm was found on Tuesday but that leadership opted not to make changes to the plan ahead of its December 17th release.

The initial plan led to demonstrations from medical staff in addition to the letter sent by the chief resident council. Here's how the algorithm reportedly worked, according to NPR: "According to an email sent by a chief resident to other residents, Stanford's leaders explained that an algorithm was used to assign its first allotment of the vaccine. The algorithm was said to have prioritized those health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents apparently did not have an assigned location, and along with their typically young age, they were dropped low on the priority list."

Medicine

Biomarker of Alzheimer's Found To Be Regulated By Sleep Cycles (newatlas.com) 23

Following a 2018 study demonstrating how disrupted sleep can accelerate the buildup of toxic plaques associated with the disease, scientists from Washington University School of Medicine (WUSM) in St. Louis have now identified a protein implicated in the progression of the disease that appears highly regulated by the circadian rhythm, helping them join the dots and providing a potential new therapeutic target. New Atlas reports: In their previous research, the WUSM team set out to explore how disruptions to our natural sleep cycles, or circadian rhythm, may accelerate the accumulation of amyloid plaques in the brain, which are strongly linked to Alzheimer's disease. Through studies on humans and in mice, the team was able to show a strong correlation between the two, and now through follow up work, the team has identified a brain protein that appears to play a role in this relationship. The brain protein in question is called YKL-40 and for years has served as a biomarker for Alzheimer's, as high levels of it have been found in the cerebrospinal fluid of those suffering from the disease and these levels rise as the disease progresses. The researchers were screening for genes that are regulated by the circadian rhythm, and were intrigued to see the gene for this brain protein pop up.

From there, the team investigated this connection between YKL-40 and Alzheimer's, which is characterized by chronic inflammation, by exploring how much of the protein is made under inflammatory conditions both with and without a key circadian gene. Indeed, this demonstrated that the circadian rhythm controls how much YKL-40 is produced. Next up, the team worked with mice prone to developing amyloid plaques, and genetically modified one group of them to be lacking the gene for YKL-40. As the mice reached old age, the team analyzed their brains and found that those without the YKL-40 protein exhibited around half the amyloid plaques of the control group.

Digging deeper into the reasons why, the team found that the mice lacking the YKL-40 gene featured more microglia, which are immune cells that surround amyloid plaques and prevent them from spreading. Essentially, this meant that those mice had more hungry immune cells prepared to gobble up the amyloid. [...] The team also examined this idea in human subjects, drawing on genetic data on 778 subjects from aging and dementia studies and finding only a quarter of them featured a genetic variant that lowers levels of YKL-40, and that cognitive function declined 16 percent more slowly in that group.
The research was published in the journal Science Translational Medicine.
The Internet

'We Need a Broadband Internet Pricing Equivalent of Nutrition Labels' (slate.com) 94

An anonymous reader shares an article that's part of the Future Agenda, a series from Slate in which experts suggest specific, forward-looking actions the new Biden administration should implement. Here's an excerpt: Consumers in the U.S. face an infuriating lack of transparency when it comes to purchasing broadband services. Bills are convoluted, featuring complex pricing schemes. Roughly 7 in 10 U.S. adults surveyed by Consumer Reports who have used a cable, internet, or phone service provider in the past two years said they experienced unexpected or hidden fees. Unsurprisingly, 96 percent of those who had experienced hidden fees found them annoying. (To the other 4 percent: Are you OK?) We've been here before. In 1990, a similar crisis of consumer confidence prompted one Cabinet secretary to decry that "as consumers shop they encounter confusion and frustration." He said the market had become "a Tower of Babel, and consumers need to be linguists, scientists and mind readers to understand the many labels they see." While this diagnosis could apply almost word-for-word to today's broadband market, then-Secretary of Health and Human Services Louis W. Sullivan was talking about the grocery store. The solution then offers a ready-made formula for how the incoming Biden administration can help consumers now: add a label.

Before regulatory changes in the late 1980s and early 1990s culminating in the 1994 adoption of the now-iconic Nutrition Facts panel, consumers were faced with a variety of hard-to-understand food labels peddling often-misleading information. While labels were required to list calories, serving sizes, and other nutritional information, including such a label was voluntary except when a company made nutritional claims about a food (such as "low in fat" or "high in vitamins"), or a food contained added nutrients. Without standards for what nutritional claims actually meant, and with no uniform nutrition label with which to compare products, consumers were left to decipher labels that were, according to the nonprofit Institute of Medicine, "at best, confusing and, at worst, deceptive economically and potentially harmful." Today, it's difficult to imagine not having the ability to read straightforward facts about the nutrition content of our food and comparison shop between competing products.

The same could be true for broadband. As far back as 2010, our organization has been advocating for the adoption of a broadband nutrition label. In fact, labeling is such a common-sense measure that it has been adopted in the broadband context before. In 2016, the FCC and the Consumer Financial Protection Bureau together rolled out their version of the "broadband nutrition label." "Broadband Facts" resembles Nutrition Facts, emulating a disclosure method the American public is already familiar with. It breaks down a plan's cost and performance, including all additional fees and taxes, so that people don't have to dig through complicated terms of service and contracts to find simple information.

AI

Salesforce Claims Its AI Can Spot Signs of Breast Cancer With 92% Accuracy (venturebeat.com) 24

Salesforce today peeled back the curtains on ReceptorNet, a machine learning system researchers at the company developed in partnership with clinicians at the University of Southern California's Lawrence J. Ellison Institute for Transformative Medicine of USC. From a report: The system, which can determine a critical biomarker for oncologists when deciding on the appropriate treatment for breast cancer patients, achieved 92% accuracy in a study published in the journal Nature Communications. Breast cancer affects more than 2 million women each year, with around one in eight women in the U.S. developing the disease over the course of their lifetime. In 2018 in the U.S. alone, there were also 2,550 new cases of breast cancer in men. And rates of breast cancer are increasing in nearly every region around the world.

In an effort to address this, Salesforce researchers developed an algorithm -- the aforementioned ReceptorNet -- that can predict hormone-receptor status from inexpensive and ubiquitous images of tissue. Typically, breast cancer cells extracted during a biopsy or surgery are tested to see if they contain proteins that act as estrogen or progesterone receptors. (When the hormones estrogen and progesterone attach to these receptors, they fuel the cancer growth.) But these types of biopsy images are less widely available and require a pathologist to review. In contrast to the immunohistochemistry process favored by clinicians, which requires a microscope and tends to be expensive and not readily available in parts of the world, ReceptorNet determines hormone receptor status via hematoxylin and eosin (H&E) staining, which takes into account the shape, size, and structure of cells. Salesforce researchers trained the system on several thousand H&E image slides from cancer patients in "dozens" of hospitals around the world.

Medicine

UK Warns People With Serious Allergies To Avoid Pfizer Vaccine (reuters.com) 175

Britain's medicine regulator warned people with significant allergies not to get Pfizer-BioNTech's COVID-19 vaccine after two people suffered adverse reactions, but was set to give more detailed guidance on Wednesday based on reviews of those cases. Reuters reports: Starting with the elderly and frontline workers, Britain began mass vaccinating its population on Tuesday, part of a global drive that poses one of the biggest logistical challenges in peacetime history. National Health Service medical director Stephen Powis said the advice had been changed as a precaution after two NHS workers reported anaphylactoid reactions from the vaccine. "Two people with a history of significant allergic reactions responded adversely yesterday," Powis said. "Both are recovering well."

The Medicines and Healthcare Products Regulatory Agency (MHRA) initially advised anyone with "a history of a significant allergic reaction to a vaccine, medicine or food" to avoid taking the vaccine. However, by the end of Wednesday that guidance was set to be refined after discussions with experts on the nature of the reactions. "We're tweaking advice to make it very clear that if you've got a food allergy, you're not more at risk," Imperial College London's Paul Turner, an expert in allergy and immunology who has been advising the MHRA on their revised guidance, told Reuters. Pfizer and BioNTech said they were supporting the MHRA's investigation.
In other vaccine-related news, the European Medicines Agency (EMA), the EU regulatory body in charge of approving COVID-19 vaccines, said today it was the victim of a cyberattack.
Medicine

Psilocybin and Migraine: First of Its Kind Trial Reports Promising Results (newatlas.com) 61

An anonymous reader quotes a report from New Atlas: A first-of-its-kind exploratory study, led by researchers from Yale School of Medicine, has found a single dose of the psychedelic psilocybin can reduce migraine frequency by 50 percent for a least two weeks. The preliminary trial was small, with follow-up work necessary to validate the results, but the promising findings suggest great potential for psychedelics to treat migraines and cluster headaches.

A new study, published in the journal Neurotherapeutics, is offering the first double-blind, placebo-controlled, cross-over study on the effects of a moderate psilocybin dose on migraine frequency and severity. The research is only preliminary and small but its results are deeply encouraging. Ten migraine sufferers were recruited for the trial. Each subject completed two sessions, one with a placebo and one with a moderate psilocybin dose. Headache diaries were used to track headache frequency and severity in the two weeks leading up to, and following, each experimental session. "Compared to placebo, a single administration of psilocybin reduced migraine frequency by about half over the two weeks measured," explains corresponding author on the new study Emmanuelle Schindler, in an email to New Atlas. "In addition, when migraine attacks did occur in those two weeks, pain intensity and functional impairment during attacks were reduced by approximately 30 percent each."

Perhaps the most intriguing finding from this small study was the lack of any correlation between the subjective strength of the psychedelic experience and the therapeutic effect. Prior trials using psilocybin to treat depression or addiction have suggested the overwhelming magnitude of a psychedelic experience seems to be fundamentally entwined with its therapeutic efficacy. So essentially, the more powerful the experience the better the result. But unexpectedly, this migraine/psilocybin trial did not detect that association. In fact, those subjects reporting the highest scores on a self-reported altered state of consciousness scale showed some of the smaller reductions in migraine burden. What this intriguingly suggests is that, in the case of psilocybin for migraine, it may be possible to separate out the drug's psychotropic effects from its therapeutic effects. This could be achieved either by exploring microdoses and sub-hallucinogenic doses, or even homing in on the mechanism by which the drug is helping prevent migraines and finding a new way to pharmacologically target it.

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