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PubMed2006

Biostatisticians, biostatistical science and the future.

Biostatistical Science is in a 'golden period'. The definition of Biostatistical Science is the application of statistics, probability, mathematics and computing to advance our understanding of the subject matter in the biomedical sciences. Our field is experiencing unparallel developments due of the advances in communication and computing. We are becoming more global, we have resources which can expand educational opportunities for distant learning; the growth of quantitative methods in the biomedical sciences has made biostatistical science a key component in many research areas. What about the future? Are we receptive to change as many new scientific areas expand? Will the interaction between academia and industry likely to grow-especially in the training of future practitioners of biostatistical science. This paper discusses some of challenges facing our profession if we are to continue to be relevant in the biomedical sciences.

Biological Science Disciplines↗
PubMed2000

The National Academy of Sciences offers a new framework for addressing global warming issues.

The recent landmark report by the National Academy of Sciences reviewed the science on which the Kyoto Protocol was based. NAS concluded that the policy choices and the mandatory reductions in greenhouse gases by the developed nations were based on incomplete science with significant uncertainties. In view of these uncertainties the NAS report developed a comprehensive strategic 10-year research program to address the basic issue of whether human activity that results in environmental changes is responsible for climate changes. The report provides a new framework for consideration of global warming issues. The UN International Panel on Climate Change (the UN science advisor) in its 1997 report to the Kyoto parties pointed out the confusing difference between scientific usage of the term "climate change" that distinguishes human from natural causes of change and the official usage that combines natural and human causes of changes in climate. The conclusion of the UN panel on human causes is equivocal. The 1999 report of the U.S. Global Science Research Committee also reached an equivocal conclusion on human causes and announced a 10-year research program to be developed in consultation with NAS. The precautionary measures provided in the 1992 UN Framework Convention differ from the ill-defined "precautionary principle" based on fear of uncertainty, and are consistent with the objectives of the NAS proposed research program. These developments together with the third report of the UN Intergovernmental Science Panel on developments in climate science due in 2001 merit consideration by the convention of the parties under the Kyoto Protocol.

Climate↗
PubMed2005

Community psychology is (thank God) more than science.

Thinking about Community Psychology primarily as a science may make it harder, rather than easier, to embrace certain aspects of the field to which we are deeply committed, but usually fall outside the conventional meaning of "doing science." While community psychologists use (and expand) the tools of science, this is different than saying that Community Psychology is only, or even primarily, a science. The field is just as much social criticism as it is science. In order to further conversation about these matters, seven thoughts about why (thank God) community psychology is more than a science are offered, the most basic of which is that today the greatest danger to freedom is not in the union of church and state, but in the union of science and state.

Community Mental Health Services↗
PubMed2000

Ethical issues in communicating science.

Most of the publicized work on scientific ethics concentrates on establishing professional norms and avoiding misconduct. The successful communication of science is the responsibility of all involved in the process. In one study, the increased incidence of autism and other social developmental disorders in males was investigated by examining individuals with Turner's syndrome (XO females). In the national newspaper this became "Genetic X-factor explains why boys will always be boys". The steps by which a study on developmental disorders, published in a highly prestigious journal, was transformed into an article in the science section which 'explained' the socially expected gender-based behavior of genetically normal children are fascinating and, unfortunately far too typical. The scientists wrote an excellent article that has just one sentence at the end that hesitantly suggests that the findings might, with further study, have some relevance to understanding normal behavior. The general interest article in the front of the journal gave a good account of the research, but suggested more strongly that there could be an in-built biological dimorphism in social cognition. This was misrepresented in the press as proof of gender differences that "undermines the trend towards sexual equality", and both illustrates cultural bias and provides fodder for feminist critiques of science. The study has been made to appear to be biased in favor of justifying the social structure of society, and yet it was the translation from the scientific study to national news that produced this transformation to biased genetic determinism. It is poor communication of the actual science, coupled with a lack of skepticism on the part of the public, that contributes to such a misapplication of science. Scientists should resist the urge to generalize their results to make them more compelling. The science community should not allow misconstructions of scientific facts to go unchallenged. Journalists, for both the scientific publication and the newspaper, should resist the inclination to embellish the finding with social significance that is not present. For their part, readers must be doubly skeptical of any finding that appears to underwrite any current social hierarchy. We are all responsible for a communication and interpretation of science that is as accurate and socially responsible as possible.

Communication↗
PubMed2005

Social science research in malaria prevention, management and control in the last two decades: an overview.

In the recent past, considerable progress has been made in understanding how human behavior and social organization, macro- and micro-level economic processes, and health and political systems affect responses to malaria at global, national, community, household, and individual levels. Advances in malaria-related social, behavioral, economic, evaluation, health systems, and policy (social science) research have resulted in improvements in the design and implementation of malaria prevention, management and control (PMC) strategies. Indeed, the past two decades chronicle dramatic advances in the implementation of evidence-based interventions, drawn not only from biomedical but also from social science research. Malaria awareness-raising, advocacy, case management, and prevention efforts have reaped the benefits of social science research and as a result, many programs are implemented and evaluated in a more effective manner than in the past. However, the pace at which findings from social science research are integrated into program and policy implementation is unsatisfactory. Additionally, examples remain of programs that fail to utilize findings from social science research and as a result, achieve minimal results. Furthermore, there is a sizeable body of knowledge that is underutilized and which, if assimilated into programs and policies, could accelerate progress in malaria PMC. Examples include information on meaningful community participation, gender, socio-economic status, and health systems. Regrettably, although social science input is necessary for almost all interventions for malaria management and control, the numbers of scientists working in this area are dismal in most of the key disciplines-medical anthropology; demography; geography and sociology; health economics and health policy; social psychology; social epidemiology; and behavior-change communication. Further, skills of program workers charged with implementation of interventions and strategies at country level are most often inadequate. The Special Program for Research and training in tropical diseases (TDR) and the multi-lateral initiative on malaria (MIM) have remained in the forefront of capacity building for this area of research, but additional efforts are needed to bring more applied social scientists into the fold. Their skills are necessary to ensure that social science findings get to program planners and implementers in a useful form that allows for more rapid and appropriate integration of the results into malaria PMC programs and policies. A re-thinking of the current focus within capacity building efforts is proposed.

Communication↗
PubMed2006

Globalization in science education: an inevitable and beneficial trend.

Globalization is one aspect of the larger phenomenon of modernization, which describes societies characterized by progressive growth in the complexity of communications. Despite its inevitable problems, globalization is a generally desirable phenomenon, since it enables increased efficiency, effectiveness and capability of societies and thereby, potentially benefits most people most of the time. Scientific research was one of the first global communication systems, especially at its most advanced levels. And high quality scientific education at the post-doctoral level is also now essentially global. The next steps will be for lower level science education - at doctoral, undergraduate, and even school teaching levels - to become progressively globalized. This phenomenon is already happening in the mathematical and quantitative sciences, and will probably spread to include other kinds of science. But to be efficient requires the development of a trading medium of internationally standardized and quantitative educational credits - for instance, standard certificates, objective comparative examinations, and a hierarchical qualifications structure (which will almost certainly be based on the United States system). Globalized education also requires a common language for organizational communications, which is already in place for the quantitative and mathematical sciences, and will be increasingly the case as competence in a simplified form of international scientific English becomes more universal. As such a global science education system grows there will be increased competition and migration of teachers and students. The law of comparative advantage suggests that such mobility will encourage societies to specialize in what they do best. For example, some countries (even among wealthy nations) may provide little advanced scientific education, and import the necessary expertise from abroad - this situation seems to be developing in Germany and France, who lack any top-quality research universities. Conversely, just a few countries may provide the bulk of advanced science education teaching - as well as applied and pure research personnel - for the rest of the world: potentially China and India might supply most of world's mathematical expertise. In conclusion, there are two complementary aspects to the globalization of science education: these are standardization and specialization. We anticipate a simultaneous trend towards international convergence of basic educational structures, certificates and English usage; with increasing national differentiation of specialist educational functions.

Forecasting↗
PubMed2005

An investigation into adult nursing students' experience of the relevance and application of behavioural sciences (biology, psychology and sociology) across two different curricula.

Curriculum development for nurse education is constantly changing to reflect the sociopolitical context and medical advancement. Throughout this process the contribution of the behavioural sciences to each curriculum has been widely debated. Nurse educators encourage students to acquire and develop academic knowledge to underpin their practical skills and professional competencies. However with new political agendas science content within the new curricula is being marginalised, [United Kingdom Central Council for Nursing Midwifery and Health Visiting, 1999. Fitness for Practice. London, UKCC]. This qualitative study investigated adult branch nursing students' experiences of the behavioural sciences while studying two different curricula: one a new integrated delivery of the sciences, the other involving discrete science modules. The study utilised focus group interviews at two distinct phases of their courses: 12-18 and 24-30 months. Each interview was tape recorded, transcribed verbatim and inductive thematic analysis [Hayes, N., 1997. Doing Qualitative Analysis in Psychology. Psychology Press Erlbaum Taylor & Francis Ltd.] was applied. This article reports the findings and discusses the relevance of the sciences to students and their patient care, and how the sciences underpin their view of health and illness.

Adult↗
PubMed2005

Before and beyond the precautionary principle: epistemology of uncertainty in science and law.

The precautionary principle has become, in European regulation of science and technology, a general principle for the protection of the health of human beings, animals, plants, and the environment. It requires that "[w]here there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation". By focusing on situations of scientific uncertainty where data are lacking, insufficient, or inconclusive, the principle introduced a shift from a neutral legal attitude towards science to a bias in favor of safety, and a shift from the paradigm of science certain and objective to the awareness that the legal regulation of science involves decisions about values and interests. Implementation of the precautionary principle is highly variable. A crucial question still needs to be answered regarding the assumption that scientific certainty is a 'normal' characteristic of scientific knowledge. The relationship between technoscience and society has moved into a situation where uncertain knowledge is the rule. From this perspective, a more general framework for a democratic governance of science is needed. In democratic society, science may still have a special authoritative voice, but it cannot be the ultimate word on decisions that only the broader society may make. Therefore, the precautionary model of scientific regulation needs to be informed by an 'extended participatory model' of the relationship between science and society.

Models, Theoretical↗
PubMed2003

Traditional healing systems and the ethos of science.

This paper addresses the challenge posed to traditional Chinese medicine by the ethos of science and explores three related assumptions. First, the ethos of traditional Chinese medicine is incompatible with the ethos of science. Second, the challenge of science to traditional Chinese medicine is represented by the requirement to comply with internationally recognized standards of medical research and practice applied to biomedicine, adopted and implemented by the State. The State requires that the safety and effectiveness of traditional Chinese medicine procedures and medications be ascertained following the methodology chartered by the ethos of science. Third, traditional Chinese medicine practitioners present a third ethos, the "ethos of pragmatic healing" based on the pragmatic acculturation of clinical practice, as an alternative to the ethos of science. This third ethos is an inadequate response to the challenge because it increases the divergence between health care policy requirements of scientific scrutiny and the fostering of traditional Chinese medicine as an icon of Chinese culture. The study is based on data from personal interviews with representative samples of three ethnic populations in Singapore; secondary data from other studies; relevant official data; and documents from biomedical and traditional Chinese medicine organizations. The methods include inductive analysis, multiple correlation and regression, and factor analysis among others. The analysis indicates that the pressure to comply with official health regulations and the inability to succeed under the ethos of science lead traditional Chinese medicine practitioners to respond with an ethos of pragmatic healing that eschews conceptual analysis, ignores the paradigmatic divide with biomedicine, and focuses on "using what works". This third ethos can only be a temporary response to the pressure to upgrade the practice of traditional Chinese medicine and it does not correspond to pragmatic acculturation commonly found in the population. The ethos of pragmatic healing leaves the challenge of science unresolved and it is likely to increase the level of conflict between the realm of biomedicine (including health care policy requirements of scientific scrutiny) and the ethos of traditional Chinese medicine.

Acculturation↗
PubMed2004

The ambivalence of error: "scientific ideology" in the history of the life sciences and psychosomatic medicine.

This paper discusses the concept of "scientific ideology" as it appears in the work of the historian and philosopher of medicine Georges Canguilhem, whose work is becoming increasingly well known and used amongst anglophone social scientists. Whilst addressing the problematic of legitimacy and illegitimacy in the history of science, the concept of "scientific ideology" does something different and more complex than either the opposition between science and false science, or the one between orthodoxy and heresy, allow for. On the one hand, it enables us to preserve a crucial acknowledgment of the specificity of science in general, and of medical science in particular. On the other hand, it also allows us to challenge the sharp contrast between science and non-science by setting that contrast in a diachronic perspective. Drawing also on the work of Isabelle Stengers, the last part of the paper discusses an application of the concept of scientific ideology in relation to the field of psychosomatic medicine and psychoneuroimmunology.

Biological Science Disciplines↗
PubMed1998

Medical theories, science, and the practice of medicine.

Ours is the age of science and technology. The conclusions of modern medical science and theories are derived from experimental research developed since the last century by the life sciences, with the methods of the exact and physical sciences, and the invaluable aid of technology. This paper compares past systems of medicine with our own, and examines the role of science and theory in medical practice, in the remote and recent past and at present. Has medical science and theory in the past been of benefit to medical practice? Has it helped the physician to understand disease? To treat the sick? Finally, the paper looks at a number of uncomfortable questions raised by medical practice in our own time. The widespread rejection of today's medical practice with its flawed doctor-patient relationship, its super-specialization and mechanization, and its incessantly growing reliance on technology, is examined in the light of the prodigious advances of modern medical science and some of its abuses and exorbitant claims as well as its rejection of the value of past medical systems. Our need is for an integration of the old and the new, in a synthesis that will lead us back to a more human medicine.

Greece↗
PubMedDate not supplied

Promoting science-based prevention in communities.

In the past decade, prevention science has emerged as a discipline built on the integration of life course development research, community epidemiology, and preventive intervention trials [Am. Psychol. 48 (1993) 1013; Am. J. Community Psychol. 27 (1999) 463; Kellam, S. G., & Rebok, G. W. (1992). Building developmental and etiological theory through epidemiologically based preventive intervention trials. In J. McCord & R. E. Tremblay (Eds.), Preventing antisocial behavior: interventions from birth through adolescence (pp. 162-195). New York: Guilford Press.]. Prevention science is based on the premise that empirically verifiable precursors (risk and protective factors) predict the likelihood of undesired health outcomes including substance abuse and dependence. Prevention science postulates that negative health outcomes like alcohol abuse and dependence can be prevented by reducing or eliminating risk factors and enhancing protective factors in individuals and their environments during the course of development. A growing number of interventions have been found to be effective in preventing adolescent tobacco, alcohol, and other drug abuse, delinquency, violence, and related health risk behaviors by reducing risk and enhancing protection. During the same decade, comprehensive community-based interventions to prevent adolescent health and behavior problems have been widely implemented in the U.S. with federal and foundation support. Despite the advances in the science base for effective preventive interventions and the investments in community-wide preventive interventions, many communities continue to invest in prevention strategies with limited evidence of effectiveness [Am. J. Public Health 84 (1994) 1394; J. Res. Crime Delinq. 39 (2002) 3; J. Community Psychol. 28 (2000) 237; J. Community Psychol. 28 (2000) 237; J. Consult. Clin. Psychol. 67 (1999) 590; Eval. Program Plann. 20 (1997) 367.]. Translating prevention science into community prevention systems has emerged as a priority for prevention research [J. Community Psychol. 28 (2000) 363; J. Appl. Behav. Anal. 28 (1995) 479.]. The Communities That Care (CTC) prevention operating system is a field-tested strategy for activating communities to use prevention science to plan and implement community prevention systems. CTC provides tools that assist communities to use local data on risk and protective factors to identify elevated risks and depressed protective factors in geographic areas where levels of risk are high and levels of protection are low and then to implement tested, effective preventive interventions that reduce the identified risks and enhance protection in these [Developmental Research and Programs. (1997). Communities That Care: a comprehensive prevention program. Seattle, WA: Author; Developmental Research and Programs. (2000a). Communities That Care: a comprehensive prevention program. Seattle: Author; Hawkins, J. D., Catalano, R. F., et al. (1992). Communities That Care: action for drug abuse prevention (1st ed.). A joint publication of the Jossey-Bass social and behavioral science series and the Jossey-Bass education series. San Francisco: Jossey-Bass]. The CTC system is widely implemented, and process evaluations of CTC suggest that it can assist communities to develop more effective prevention systems. This paper describes the background and use of the CTC operating system and results of evaluations of implementation of the system.

Adolescent↗
PubMed1999

Teaching of space life sciences.

Space life sciences is not really a new life sciences discipline such as immunology was some decades ago and it may never be so. Rather it is a field that will provide each existing life sciences discipline with new and more information gathered from space research. In fact, the danger is that space research will be confined in a separate discipline, and thus it will be cut off from classical ground research. Conversely, scientists should increasingly consider spaceflight as a tool and should integrate the findings of space research into their traditional disciplines. A brief survey of topics and main findings in the various subdisciplines of space life sciences is provided. This is followed by a discussion of typical problems encountered such as access to space, controls, ground-based simulations, medical care in space, extravehicular activity, and environmental control and life support. As many space life sciences courses are initiated around the world either by space agencies or universities or jointly, there is a need to consider the international, intercultural, and interdisciplinary aspects of such programs. It is argued that the growing knowledge derived from space research should be integrated into the regular teaching of life sciences rather than leaving it confined to a separate field. Teaching of space life sciences is a prime candidate for the application of the new techniques of "cyberspace education", where interactive learning and globalization of the learning process will take a leading place. The experts and student body are dispersed over many nations, research is of necessity conducted on a basis of international cooperation. The conduct of tele-education is discussed and existing information sources and courses are listed.

Biological Science Disciplines↗
PubMed2003

The randomised controlled trial design: unrecognized opportunities for health sciences librarianship.

OBJECTIVE: to describe the essential components of the Randomised Controlled Trial (RCT) and its major variations; to describe less conventional applications of the RCT design found in the health sciences literature with potential relevance to health sciences librarianship; to discuss the limited number of RCTs within health sciences librarianship. METHODS: narrative review supported to a limited extent with PubMed and Library Literature database searches consistent with specific search parameters. In addition, more systematic methods, including handsearching of specific journals, to identify health sciences librarianship RCTs. RESULTS: While many RCTs within the health sciences follow more conventional patterns, some RCTs assume certain unique features. Selected examples illustrate the adaptations of this experimental design to answering questions of possible relevance to health sciences librarians. The author offers several strategies for controlling bias in library and informatics applications of the RCT and acknowledges the potential of the electronic era in providing many opportunities to utilize the blinding aspects of RCTs. RCTs within health sciences librarianship inhabit a limited number of subject domains such as education. This limited scope offers both advantages and disadvantages for making Evidence-Based Librarianship (EBL) a reality. CONCLUSIONS: The RCT design offers the potential to answer far more EBL questions than have been addressed by the design to date. Librarians need only extend their horizons through use of the versatile RCT design into new subject domains to facilitate making EBL a reality.

Evidence-Based Medicine↗
PubMed1998

Self-efficacy as a predictor of academic performance in science.

Nursing students have traditionally experienced difficulties with the science subjects in nursing curricula, and irrespective of the institution conducting a nursing programme, this trend appears to be continuing. A satisfactory means of predicting academic performance in these subjects will facilitate the development of educational strategies designed to assist students overcome their difficulties. In this study, an instrument called the Self-Efficacy for Science (SEFS) was developed and tested. The SEFS was designed to predict academic performance in the science areas of a first-year undergraduate nursing course. A cohort of first-year students enrolled in a bachelor of nursing course were surveyed by questionnaire. Students' academic scores for two first-year science subjects were obtained and used as the criterion measure for the study. Principal component factor analysis revealed the SEFS contained six instead of the hypothesized four factors. These six factors could explain 70% of students' self-efficacy for science. Cronbach alpha of the SEFS was 0.9. The SEFS could predict 24% of the cohort's academic performance in a physical science subject and 18.5% for a bioscience subject. Studying science in the final year at high school was not statistically significantly related to the SEFS. Implications for students and future research are discussed.

Australia↗
PubMed2005

The principles, definition and dimensions of the new nutrition science.

OBJECTIVE: To specify the principles, definition and dimensions of the new nutrition science. PURPOSE: To identify nutrition, with its application in food and nutrition policy, as a science with great width and breadth of vision and scope, in order that it can fully contribute to the preservation, maintenance, development and sustenance of life on Earth. METHOD: A brief overview shows that current conventional nutrition is defined as a biological science, although its governing and guiding principles are implicit only, and no generally agreed definition is evident. Following are agreements on the principles, definition and dimensions of the new nutrition science, made by the authors as participants at a workshop on this theme held on 5-8 April 2005 at the Schloss Rauischholzhausen, Justus-Liebig University, Giessen, Germany. RESULT: Nutrition science as here specified will retain its current 'classical' identity as a biological science, within a broader and integrated conceptual framework, and will also be confirmed as a social and environmental science. As such it will be concerned with personal and population health, and with planetary health--the welfare and future of the whole physical and living world of which humans are a part.

Biological Science Disciplines↗
PubMed2005

Psychoanalysis, science and the seductive theory of Karl Popper.

OBJECTIVE: To present a critique of the ideas of Karl Popper, the philosopher of science, whose depiction of psychoanalysis as a pseudoscience is often used to justify attacks on psychoanalysis. METHOD: Published sources are used to provide a brief intellectual biography of Popper, a summary of his concept of science and a summary of criticisms of Popper's view of science. His depiction of psychoanalysis and Freud's reply are presented. Clinical, experimental and neurobiological research which refutes Popper's view is summarized. RESULTS: There is a vast scholarly published work critical of Popper's falsifiability criterion of science. Less recognized is Popper's misunderstanding and misrepresentation of psychoanalysis; his argument against it is logically flawed and empirically false. Even if Popper's theory of science is accepted, there is considerable clinical, experimental and neurobiological research in psychoanalysis which meets Popper's criterion of science. CONCLUSION: Attacks on psychoanalysis based on Popper's theory of science are ill-founded and reflect inadequate scholarship.

Austria↗
PubMed2001

Why can't you scientists leave things alone? Science questioned in British films of the post-war period (1945-1970).

Considerable attention has been paid to the representation of scientists as villains in horror and science fiction films, and to the part this has played in creating the public perception of scientists. But science and scientists have also been represented in films which do not fit readily with the conventions of these genres, and these "mainstream" films allow a more detailed investigation of the public perception of science at the time they were made. This paper examines a number of British mainstream films portraying scientists and science from the period 1945-1970 to see in what ways the conduct of science was being questioned. A concern with the political control of science and the resulting secrecy is evident in a number of the films. The criticism of scientists seems to come from two contradictory directions. Scientists were either seen as too detached and unconcerned about the consequences of their work, or they were too emotional and insufficiently objective. This is in part explained by newer, less deferential attitudes to science co-existing with the older, heroic view during the period under study.

History, 20th Century↗