Archive for May, 2008

The university vs the student

Monday, May 12th, 2008

An interesting situation has arisen at Central Michigan University. The university hired a Democratic Congressional candidate to teach one class a week but at a full-time salary. A student became upset at what he perceived to be support of this candidate with tax-payer funds. His efforts have drawn the ire of the university which is now trying to kick him out.

Here is the story. I don’t think anyone is still so naive as to believe that universities are neutral in politics but few show the blatant favoritism of this story.

Obama’s Values

Monday, May 12th, 2008

There has been considerable discussion of Obama’s values as an index of his electability as president. He is not a Muslim and he now says he rejects the values of his pastor, Reverend Wright.

Here is one indication of where those values might be found. They seem to parallel the values of the philanthropic left today, and that includes most philanthropic foundations. Long ago, these foundations were funded with the estates of great capitalists. It is not unusual for the descendants of these people to lose the connection between capitalism and their own comfortable lives. For example, Ned Lamont, the far-left candidate who opposed Senator Lieberman in the Democratic primary in Connecticut in 2006 and won, forcing Lieberman to run (and win) as an independent, is the grandson of Thomas W Lamont, partner of J.P. Morgan, the greatest financier of the “Gilded Age.” Ned Lamont, of course, has an inherited fortune of “between 90 and 300 million” dollars.

Maybe the trouble is with Obama’s staff. Everything else is.

Afghanistan is turning around

Monday, May 12th, 2008

There has been speculation that, while Iraq is responding to the COIN methodology of David Petraeus, Afghanistan was being lost. Some of this is the ineptitude of NATO forces that have been so risk averse that they have barricaded themselves in their bases and ignored the Afghans. Given the lack of political support in their home countries, avoiding casualties has been a major consideration, if not the only one.

This report suggests that things are not that bad and/or are getting better using the same COIN tactics that we use in Iraq. This suggests that the Army has been successfully transformed since 2003 and the lessons learned will remain as the junior officers rise in the Army command structure. The Marines were already preparing for the COIN warfare of the 21st century.

The future of air power

Sunday, May 11th, 2008

I have previously posted about the end of manned flight, at least in fighters. Here is what it will look like. The last manned fighter has been built.

Is the blog the next education methodology ?

Friday, May 9th, 2008

I have been told by my students that some do not attend class because the class material is posted on the school web site (the password protected one) and there are students who are discourteous enough in class to distract others who are serious about study. I was shocked by the last statement but I now hear about students who talk during lectures in medical school. When I was a student, only an idiot would pay so little attention to lectures, which were the backbone of the course. Textbooks were sometimes of marginal value because, in being complete, they failed to discriminate between key facts and minutiae.  I did have one such idiot in my class so, even then, there were those who had trouble with impulse control.

This article also stimulates some thought about tuition. Universities are incredibly inefficient economic units. When I wrote a grant proposal 13 years ago for a study that would be conducted mostly by computer analysis of Medicare billing records, the overhead factor that had to be added for the university (Dartmouth) was over 40%. Now, we have medical students paying $40,000 per year tuition who do not attend class but essentially take the course online. Of course, that doesn’t apply to clinical study with patients and hospital wards but there is a lot of simulation going on there, too. My student group spent a day at the Surgical Skills Center at USC a couple of weeks ago, practicing tying knots and suturing pigs’ feet back together.

This piece in Inside Higher Ed discusses the role of blogs in law schools and legal education. Online education is coming and high tuition is pushing it faster. I worked on a program to teach medical students to listen to heart sounds a few years ago. My skills at programming animation were not good enough but it is coming and we will be better for it.

Post American world II

Monday, May 5th, 2008

Last week, I posted a link to a Fareed Zakaria essay, an excerpt from his new book, that looks at the future of America with both hope and some reservations. Today, he has another piece in Newsweek that is based on the other essay with some additions. He has one big problem, however. Zakaria is a supporter of the Democratic Party.

How does he reconcile this:
The global economy has more than doubled in size over the last 15 years and is now approaching $54 trillion! Global trade has grown by 133 percent in the same period. The expansion of the global economic pie has been so large, with so many countries participating, that it has become the dominating force of the current era. Wars, terrorism, and civil strife cause disruptions temporarily but eventually they are overwhelmed by the waves of globalization. These circumstances may not last, but it is worth understanding what the world has looked like for the past few decades.

with this:

Much of the criticism was initiated by Clinton. But it assumed a life of its own as Obama struggled to explain why a Canadian government memo quoted one of his aides as saying Obama’s opposition to NAFTA was for political show.

and this:

PITTSBURGH – Sen. Hillary Rodham Clinton told manufacturers and union workers on Monday that her husband made mistakes related to the North American Free Trade Agreement that she plans to fix. Her comment came in response to a question by a union worker at a summit sponsored by the Alliance for American Manufacturing. The worker said President Clinton had tricked them when he championed NAFTA during his presidency.

Zakari has to deal with the paradox that the party he supports is isolationist and irresponsible on issues like  regulation and taxes. He comments in the article that London is now the world financial capital because of litigation and new laws like Sarbanes-Oxley that drive financial business away from our country. He comments that we have one of the highest corporate tax rates in the world, ignoring the fact that his favorite candidate for president has just said he would raise the capital gains and corporate tax rates even if they lost money for the government.

Zakaria has a valuable new book but he must reconcile his preferred party’s policies with the world that he sees. It will be a problem.

The Huffington Post shows courage

Monday, May 5th, 2008

Today, the Huffngton Post, Arianna Huffington’s left wing web site, carries an article on militant Islam that was rejected by the Washington Post, in spite of having been solicited by them, because it was too inflammatory toward radical Islam.

In a thrillingly ironic turn of events, a shorter version of the very essay you are now reading was originally commissioned by the opinion page of Washington Post and then rejected because it was deemed too critical of Islam. Please note, this essay was destined for the opinion page of the paper, which had solicited my response to the controversy over Wilders’ film. The irony of its rejection seemed entirely lost on the Post, which responded to my subsequent expression of amazement by offering to pay me a “kill fee.” I declined.

His thesis ? Here is part of it.

Our capitulations in the face of these threats have had what is often called “a chilling effect” on our exercise of free speech. I have, in my own small way, experienced this chill first hand. First, and most important, my friend and colleague Ayaan Hirsi Ali happens to be among the hunted. Because of the failure of Western governments to make it safe for people to speak openly about the problem of Islam, I and others must raise a mountain of private funds to help pay for her round-the-clock protection. The problem is not, as is often alleged, that governments cannot afford to protect every person who speaks out against Muslim intolerance. The problem is that so few people do speak out. If there were ten thousand Ayaan Hirsi Ali’s, the risk to each would be radically reduced.

Read all of it.

A thought experiment

Monday, May 5th, 2008

The Washington Post today suggests a “thought experiment.

Conduct a thought experiment: Imagine that the Rev. Jeremiah Wright, former pastor to presidential candidate Barack Obama and preacher with controversial views, was not an outspoken black man but a white woman who penned her controversial ideas in a scholarly journal. If Wright’s views were the only thing that mattered, his race, sex and public style ought to make no difference.

Let’s try this. The “white woman” would have suggested the following:

At the NAACP meeting, Mr. Wright proudly propounded the racist contention that blacks have inherently different “learning styles,” correctly citing as authority for this view Janice Hale of Wayne State University. Pursuing a Ph.D. by logging long hours in the dusty stacks of a library, Mr. Wright announced, is “white.” Blacks, by contrast, cannot sit still in class or learn from quiet study, and they have difficulty learning from “objects” — books, for example — but instead learn from “subjects,” such as rap lyrics on the radio. These differences are neurological, according to Ms. Hale and Mr. Wright: Whites use what Mr. Wright referred to as the “left-wing, logical and analytical” side of their brains, whereas blacks use their “right brain,” which is “creative and intuitive.”

Does anyone imagine she would have gotten away with that ? Imagine this :

Mr. Wright also praised the work of Geneva Smitherman of Michigan State University, who has called for the selective incorporation of Ebonics into the curriculum in order to validate the black experience. Mr. Wright gave another shout-out to the late Asa Hilliard of Georgia State University, who told us, Mr. Wright said, “how to fix the schools.” Like Ms. Hale, Mr. Hilliard argued that disrupting the classroom through “impulsive interrupting and loud talking” is inherently black. His bogus Afrocentrism, propounded in his “African-American Baseline Essays,” metastasized in educational circles during the late 1980s and early 1990s. Mr. Hilliard argued that Western civilization was at once stolen from black Africa and crippling to black identity. As the late Arthur M. Schlesinger recounted in his 1991 alarum about multiculturalism, “The Disuniting of America,” Mr. Hilliard urged schools to teach black students that Egypt was a black country; that Africans invented birth control and carbon steel; that they discovered America long before Columbus did; that Robert Browning and Ludwig von Beethoven were “Afro-European

Had enough ? No ?

There is

University of Pennsylvania law professor Regina Austin. In a widely reprinted California Law Review article from 1992, Ms. Austin asserted that the black community should embrace the criminals in its midst as a form of resistance to white oppression. People of color should view “hustling” as a “good middle ground between straightness and more extreme forms of lawbreaking.” Examples of hustling include “clerks in stores [who] cut their friends a break on merchandise, and pilfering employees [who] spread their contraband around the neighborhood.

So, our mythical white female professor would suggest that

Blacks, by contrast, cannot sit still in class or learn from quiet study, and they have difficulty learning from “objects” — books.

They should embrace thievery as a cultural norm.

People of color should view “hustling” as a “good middle ground between straightness and more extreme forms of lawbreaking.

And,

In his NAACP speech, he mocked the tendency of “those of us who never got caught” to treat “those of us who are incarcerated” with disrespect.

That should certainly prove the thought experiment’s point.

a white female scholar ought to damage Obama’s popularity in the same way the pastor has done recently.

Well, she would have to suggest that he sat for 20 years listening to these theories and exposing his children to them.

Having established that as a fact, yes, I think it would hurt him just as much.

Tuskeegee

Sunday, May 4th, 2008

There is so much horse shit being put out about the Tuskeegee Study,  most recently this weekend, that it is time to add a few facts. Syphilis was a great scourge brought to Europe from the Americas by Columbus’ crew when they returned. It was ferocious when the epidemic was still new. With time, the manifestations of the disease were less horrible but it was very common. By 1600, one third of Paris was infected. With time, as in all infectious diseases, the virulence declined but it was still a serious disease.

The first successful treatment was with the use of Mercury, first described by Paracelsus who cured nine syphlitics with mercury in 1530. He also provided the first accurate description of the disease and described its manifestations. For centuries after, it was said “One night with Venus may lead to a life with Mercury.” The treatment was onerous and needed to be repeated periodically for life. The discovery of mercurial diuretics in the 1920s came about accidentally through the treatment of syphlis cases with heart failure from syphlitic heart lesions. When I was a medical student, the only powerful diuretics we had were still mercurials.

In 1905, Paul Ehrlich was searching for an antibiotic for syphilis when he stumbled upon the use of organic arsenic. Eventually, by 1910, he announced the new drug called compound 606, or Salvarsan. This was more effective than Mercury and moderately less toxic but it was not the “silver bullet” that he had been searching for. Of course, we currently have hysteria over tiny doses of Mercury in vaccines to prevent contamination.

In 1932, the Public Health Service began a study of negro males who were infected with syphilis. No one was “given” syphilis. This Wikipedia entry, while somewhat biased in tone, gets the facts right in the beginning. The group of subjects was divided into those with early signs, such as genital lesions, and those who were in what is called the “latent phase.” Those with early signs were treated with arsenicals. There was no evidence that latent phase syphilis was treatable.

Instead, we get this sort of thing;
And, you know, you can explain them, as he explained, for instance, the idea that the government in fact would infect blacks with AIDS, by saying, well, remember Tuskegee, when the government actually did infect blacks with syphilis. He does come from a different era, a different age. And so the way he presents himself is very different.

from Sally Quinn of the Washington Post who should know better but probably doesn’t do science.

The discovery and manufacture of penicillin came about in the 1940s and by 1950 there are serious questions about whether treatment should have been offered to those men. The  treatment of tertiary syphilis, especially neurosyphilis, requires very high doses of penicillin, doses that were not available until after 1950.
Penicillin remains the treatment of choice for all stages of syphilis, although it penetrates the blood brain barrier poorly. Treatment with intramuscular benzathine penicillin 2.4 million units stat, or 600,000 units procaine penicillin daily does not produce treponemicidal levels within the CSF. However, the incidence of neurosyphilis is low in immunocompetent patients treated with such regimens during early syphilis.

In late syphilis, it is the policy to treat everyone.

Does penicillin cure tertiary syphilis ? Sometimes.

Should the “Tuskegee Boys” have been offered penicillin in 1950 and after ? Yes.

Would it have made a difference ? I don’t know.

I do know that Reverend Wright and Sally Quinn are ignoramuses although he may actually know better.

Why the Clinton/Obama method does not work

Sunday, May 4th, 2008

Bill Clinton fought terrorism, to the extent he fought it at all, as a crime problem. He promised to prosecute the perpetrators when they were caught. Well, the bombing of the USS Cole occurred on his watch and his methods were used. The result ? Not very satisfactory.

When the Khobar Towers barracks was blown up by al Qeada in Saudi Arabia, President Clinton promised FBI Director Louis Freeh that he would ask the Saudis to allow FBI agents to witness interrogation of suspects. He didn’t make an effort. Freeh finally got the former President Bush, who had lost the 1992 election to Clinton, for help and he interceded with the Saudis.

John Kerry has said he wants to go back to the criminal model of anti-terrorism action. Presumably, Obama, who wants to meet with every anti-American dictator he can find, has the same opinion. It doesn’t work as even the Washington Post acknowledges.