Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Waste. Show all posts
Showing posts with label Waste. Show all posts

Wednesday, July 27, 2022

Blots on a Field? (A modern story of unethical research related to Alzheimer's)

Charles Pillar
Science Magazine
Originally posted 21 JUL 22

Here is an excerpt:

A 6-month investigation by Science provided strong support for Schrag’s suspicions and raised questions about Lesné’s research. A leading independent image analyst and several top Alzheimer’s researchers—including George Perry of the University of Texas, San Antonio, and John Forsayeth of the University of California, San Francisco (UCSF)—reviewed most of Schrag’s findings at Science’s request. They concurred with his overall conclusions, which cast doubt on hundreds of images, including more than 70 in Lesné’s papers. Some look like “shockingly blatant” examples of image tampering, says Donna Wilcock, an Alzheimer’s expert at the University of Kentucky.

The authors “appeared to have composed figures by piecing together parts of photos from different experiments,” says Elisabeth Bik, a molecular biologist and well-known forensic image consultant. “The obtained experimental results might not have been the desired results, and that data might have been changed to … better fit a hypothesis.”

Early this year, Schrag raised his doubts with NIH and journals including Nature; two, including Nature last week, have published expressions of concern about papers by Lesné. Schrag’s work, done independently of Vanderbilt and its medical center, implies millions of federal dollars may have been misspent on the research—and much more on related efforts. Some Alzheimer’s experts now suspect Lesné’s studies have misdirected Alzheimer’s research for 16 years.

“The immediate, obvious damage is wasted NIH funding and wasted thinking in the field because people are using these results as a starting point for their own experiments,” says Stanford University neuroscientist Thomas Südhof, a Nobel laureate and expert on Alzheimer’s and related conditions.

Lesné did not respond to requests for comment. A UMN spokesperson says the university is reviewing complaints about his work.

To Schrag, the two disputed threads of Aβ research raise far-reaching questions about scientific integrity in the struggle to understand and cure Alzheimer’s. Some adherents of the amyloid hypothesis are too uncritical of work that seems to support it, he says. “Even if misconduct is rare, false ideas inserted into key nodes in our body of scientific knowledge can warp our understanding.”

(cut)

The paper provided an “important boost” to the amyloid and toxic oligomer hypotheses when they faced rising doubts, Südhof says. “Proponents loved it, because it seemed to be an independent validation of what they have been proposing for a long time.”

“That was a really big finding that kind of turned the field on its head,” partly because of Ashe’s impeccable imprimatur, Wilcock says. “It drove a lot of other investigators to … go looking for these [heavier] oligomer species.”

As Ashe’s star burned more brightly, Lesné’s rose. He joined UMN with his own NIH-funded lab in 2009. Aβ*56 remained a primary research focus. Megan Larson, who worked as a junior scientist for Lesné and is now a product manager at Bio-Techne, a biosciences supply company, calls him passionate, hardworking, and charismatic. She and others in the lab often ran experiments and produced Western blots, Larson says, but in their papers together, Lesné prepared all the images for publication.

Thursday, June 28, 2018

Are Most Clinical Trials Unethical?

Michel Shamy
American Council on Science and Health
Originally published May 21, 2018

Here is an excerpt:

Therefore, to render RCTs scientifically and ethically justifiable, certain conditions must be met. But what are they?

Much of the recent literature on the topic of RCT ethics references the concept of “equipoise,” which refers to uncertainty or disagreement in the medical community. Though it is widely cited, “equipoise” has been defined inconsistently, is not universally accepted, and can be difficult to operationalize. Most scientists agree that we should not do another study when the answer is known ahead of time; to do so would be redundant, wasteful, and ultimately harmful to patients. When some estimates suggest that as much as 85% of clinical research may be wasteful, there is a strong imperative to develop clear criteria for when RCTs are necessary. In the absence of such criteria, RCTs that are unnecessary may be allowed to proceed – and unnecessary RCTs are, by definition, unethical.

We have proposed a preliminary set of criteria to guide judgments about whether a proposed RCT is scientifically justified. Every RCT should (1) ask a clear question, (2) assert a specific hypothesis, and (3) ensure that the hypothesis has not already been answered by available knowledge, including non-randomized studies. Then, we examined a sample of high quality, published RCTs and found that only 44% met these criteria.

The information is here.

Sunday, September 24, 2017

Ethics experts say Trump administration far from normal

Rachael Seeley Flores
The Center for Public Integrity
Originally published September 23, 2017

President Donald Trump’s young administration has already sharply diverged from the ethical norms that typically govern the executive branch, exposing vulnerabilities in the system, a small group of ethics experts and former government officials agreed Saturday.

The consensus emerged at a panel titled “Trump, Ethics and the Law” at the Texas Tribune Festival in Austin, Texas. The panel was moderated by Dave Levinthal, a senior reporter at the Center for Public Integrity.

“There have been untidy administrations in the past, but usually it takes a while to see these things develop,” said Ken Starr, a lawyer and judge who served as solicitor general under President George H.W. Bush and is best known for heading the investigation that led to the impeachment of President Bill Clinton.

Ethics laws are based on the idea that norms will be followed, said Walter Shaub, former director of the U.S. Office of Government Ethics (OGE).

“When they’re not followed, we suddenly discover how completely vulnerable our system is,” Shaub said.

The article is here.

Saturday, September 23, 2017

Tom Price Flies Blind on Ethics

Editors
Bloomberg View
Originally published September 21, 2017

Under the lax ethical standards President Donald Trump brought to the White House, rampant conflicts of interest are treated with casual indifference. This disregard has sent a message to his entire administration that blurring lines -- between public and private, right and wrong -- will be not just tolerated but defended. At least one cabinet member appears to have taken the message to heart.

Health and Human Services Secretary Tom Price took five chartered flights last week, including one to a conference at a resort in Maine. Two of the flights -- round-trip from Washington to Philadelphia -- probably cost about $25,000, or roughly $24,750 more than the cost of an Amtrak ticket, for a trip that would have taken roughly the same amount of time. Total costs for the five flights are estimated to be at least $60,000.

The department has yet to reveal how many times Price has flown by charter since being sworn into office. There would be no problem were he picking up the tab himself, as Education Secretary Betsy DeVos reportedly does. But cabinet secretaries -- other than for the Defense and State departments, who often ride in military planes -- typically fly commercial. Taxpayers should not have to foot the bill for charters except in emergency situations.

The article is here.

Sunday, July 14, 2013

New whistleblower protections take effect for federal contractors

By Jared Serbu
Federal News Radio
Originally published July 1, 2013

Effective Monday, whistleblower protections for federal contractors are being expanded to fill gaps that whistleblower advocates say have, until now, left tens of thousands of potential witnesses to wrongdoing vulnerable to retaliation by their employers.

Under any federal contract that's signed on or after July 1, reprisal protections will be extended for the first time to subcontractors who report waste, fraud or abuse.

The revision to federal statutes also entitles contractor employees to whistleblower protection when they report wrongdoing on a federal contract to supervisors within their own companies. Previous laws required them to take their complaints to a government office such as an inspector general, a government contract manager or a member of Congress in order to receive protection.

The entire article is here.