Monthly Archives: August 2014

Errors committed by surgeons, plagiarism, and disciplinary errors

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Megan McArdle highlights the work of a sociologist who studied the categories of errors made by surgeons and then connects those findings to plagiarism in journalism:

For my book on failure, I thought a lot about what constitutes failure. One of the most interesting interviews I did was with Charles Bosk, a sociologist who has spent his career studying medical errors. Bosk did his first work with surgical residents, and his book divides the errors into different categories: technical errors (failures of skill or knowledge), judgment errors (failing to make the right decision in a difficult case), and normative errors. The last category includes not being prepared to discuss every facet of your patient’s case, and interestingly, trying to cover up one of the other kinds of error.

Surgeons, he said, view the first two kinds of errors as acceptable, indeed inevitable, during residency. You learn to do surgery by doing surgery, and in the early days, you’re going to make some mistakes. Of course, if you just can’t seem to acquire the manual skills needed to do surgery, then you may have to leave the program for another branch of medicine, but some level of technical and judgment error is expected from everyone. Normative error is different; it immediately raises the suspicion that you shouldn’t be a surgeon…

Plagiarism might actually fall into Bosk’s fourth category of error, the one I find most interesting: quasi-normative error. That’s when a resident does something that might be acceptable under the supervision of a different attending physician, but is forbidden by the attending physician he reports to. In the program he studied, if your attending physician did a procedure one way, that’s the way you had to do it, even if you thought some other surgeon’s way was better.

In other words, quasi-normative error is contextual. So with plagiarism. In college and in journalism, it’s absolutely wrong, because “don’t plagiarize” is — for good reason — in your job description. In most of the rest of corporate America, lifting copy from somewhere else might be illegal if the material is copyrighted, but in many situations, maybe even most situations, no one, including the folks from whom you are lifting the copy, will care. They certainly won’t care if you “self-plagiarize” (as Jonah Lehrer was also accused of doing), and I’m very thankful for that, because I wrote a lot of proposals for my company, and there are only so many original ways to describe a computer network. Yet I’d never copy and paste my own writing for Bloomberg without a link, a block quote and attribution.

All errors are not created equal yet I suspect all professional and academic fields could come up with similar lists. The third and fourth types of errors above seemed to be related to professional boundaries; how exactly are surgeons supposed to act, whether when in surgery or not? The first two are more linked to surgery themselves: could you make the right decision and execute the decision? Somewhat frustratingly, some of the same language might be used across fields yet be defined differently. Plagiarism in journalism will look different than it does it academic settings where the practice McArdle describes of “re-researching” a story and not making any attributions to the original researcher would not be good in a peer-reviewed article.

Medical TV shows skew how Americans view doctors, health

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The portrayals of medical work on television have had an effect on American viewers:

A 2005 survey by the Centers for Disease Control and Prevention found that the majority of primetime TV viewers reported learning something new about a disease or other health issue over six months of viewing. About one-third of viewers took some kind of action after learning about a health issue on TV…

As a result, “a fan of medical dramas … can develop a skewed perception of what are more or less prevalent health issues in the real world,” study author Dr. Jae Eun Chung, an assistant professor in the school of communication at Howard University, told me in an email. Heavy viewers of medical dramas in her study were less likely to rate cardiovascular disease and cancer as important societal issues (when they are, in fact, the top two causes of death in the U.S.), and when it came to cancer, they were more fatalistic, “more likely to say that cancer prevention is uncertain and that the disease is fatal.”…

Studies of modern medical shows have found fictional doctors’ professionalism disappointing at best. In an analysis of 50 episodes of Grey’s Anatomy and House, researchers found that the characters handled issues involving patient consent well 43 percent of the time. “The remainder [of the depictions] were inadequate,” the study says.

The analysis also found several incidents of doctors endangering patients without being punished, sexual misconduct (of course), and disrespect. The study notes that “88 percent of disrespectful incidents in House involved Dr. House.”

But despite all the inappropriate romances, and Dr. House’s rude mouth, the analysis found that there’s one arena in which TV doctors still shine: caring for patients.

Interesting contrast: TV doctors are caring people but to be that, they cut corners in terms of professionalism as they treat a whole range of odd medical conditions. Additionally, could there be a compelling medical TV show that addresses normal American health problems like obesity and heart disease? (Cancer does get some coverage on these shows.)

All of this makes me wonder whether all professions really would want their activities portrayed on TV. While certain fields may not get much airtime, like sociology, wouldn’t TV likely warp any of these professions in the name of entertainment and stereotypes?

Better economy = more teardowns

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One side effect of an economic recovery may just be more teardowns:

For some historic preservationists on the North Shore, the economic downturn in 2008 had a silver lining, bringing a lull in tear-downs and new-home construction that gave scores of vintage properties a reprieve from the wrecking ball.

But six years later, officials in north suburban Winnetka tasked with preserving historic homes say that reprieve has clearly ended. They report that demolition permits have nearly doubled, with 36 issued in 2013, up from 19 in 2009…

In addition, [Highland Park] nearly tripled the number of demolition permits issued in recent years — 27 in 2013, up from 10 in 2009, officials said.

Granted, these are pretty wealthy and desirable suburbs, places that still have teardowns when the overall economy is bad. But, this article does highlight the dilemma for preservationists: more money in the real estate market means more people can purchase teardowns in desirable neighborhoods. Does that mean preservationists should wish for a less heated housing market?

People leaving blue states tilting national elections?

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An analysis of the “blue-state diaspora” suggests this has helped Democrats in presidential elections:

Over the last few decades, residents of many traditionally liberal states have moved to states that were once more conservative. And this pattern has played an important role in helping the Democratic Party win the last two presidential elections and four of the last six. The growth of the Latino population and the social liberalism of the millennial generation may receive more attention, but the growing diaspora of blue-state America matters as well.

The blue diaspora has helped offset the fact that many of the nation’s fastest-growing states are traditionally Republican. You can think of it as a kind of race: Population growth in these Republican states is reducing the share of the Electoral College held by traditionally Democratic states. But Democratic migration has been fast enough, so far, to allow the party to overcome the fact that the Northeast and industrial Midwest contain a smaller portion of the country’s population than they once did…

The spread of people born in New York State offers a particularly telling example: Of the 20 million Americans alive today who were born in New York, nearly one in six now live in the South. That would have been almost unthinkable 50 years ago, when the share was one in 25…

The first thing we noticed was a major blue-to-red shift: Since 2000, the blue-born population in red states has grown by almost a quarter, to 11.5 million, or 12 percent of the states’ total population.

The paradox here is that this trend could be positive or negative depending on the level of analysis. Typically, population loss is seen as a negative thing. If there are large numbers of people leaving New York City, we might ask whether something is wrong in NYC. Actually, New York City may not be a good example because it always tends to draw people but think instead of liberal Midwestern cities, places like Chicago or Detroit or Cleveland, that have lost population and this has been tied to problems within those cities. Yet, the spreading out of liberals could work well on a national scale if those places losing liberals aren’t filled up with conservatives and the liberals who move weaken the conservative advantages elsewhere.

It is hard to imagine that any of this could be planned but I could imagine some interesting future scenarios where political parties encourage enough people to move, perhaps temporarily, so they can vote in a different place to help swing an election.

Wait, they are “practically giving away” “suburban mega-McMansions”?

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Curbed Chicago returns to a listing for a 19,438 square foot suburban home and notes the reduced price:

Demand for suburban McMansions is so low that some owners are practically giving them away. Take for instance this totally redonkulous 19,438 square foot home set on a 10 acre parcel of prime Barrington Hills real estate. It’s gone on and off the market since 2010, when it was originally listed for $10.5 million. Today, it can be had for $4.75 million. Its ask is now less than half of what it was when it first listed four years ago. This McMansion joins many others in the Barrington area to take huge price chops. While the value of most homes in the city have begun to rise again since the 2008 foreclosure crisis, large suburban McMansions continue to feel the hurt. The good news is, if you’ve always wanted to live the 1990s MTV Cribs lifestyle, it can now be had for about half the price.

Large home with lots of features. Yet…

1. The price may have been cut by half but it is still $4.75 million. In fact, this price reduction may not indicate that the owner is ready to give this away but rather that it was overpriced to begin with. I think the piece is trying to imply that the demand for “mega-McMansions” is low so the price was cut but we would need some more evidence before jumping to that conclusion.

2. What exactly is a “mega-McMansion”? The square footage puts this home way out of reach of the normal suburban McMansion owner as does the price. The home may not be pleasing to everyone – I’m thinking the pool room looks most desirable – but it is a scale above McMansions. Again, tying a home like this to the term McMansion is intended to add another layer of criticism that “mansion” just doesn’t add.

Going sewer fishing in Katy, Texas

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You may not be able to find alligators in the New York City sewers but one teenager has caught numerous fish in the storm sewer in Katy, Texas:

A teenager in Katy, Texas, has one of the most unique—and oddest—fishing holes you’ll ever see and it’s located just off the sidewalk near his house. Kyle Naegeli, 16, goes sewer fishing through the holes of the storm drain manhole cover. Certainly it’s the craziest-type fishing we’ve ever encountered.

Naegeli baits a hook, puts it through a hole in the manhole cover, and drops it down into the water of the storm sewer below. A cork attacked to the line above prevents losing the line. Then he waits…

“In the past four years I’ve caught hundreds of fish in the sewer with the biggest being a 3-pound bullhead. Only three bass have been caught because I’m using hotdogs and not live bait (which I will do sometime).”

So, where do fish come from? The storm drain empties into a nearby pond and the fish swim up the sewer system, providing one very unusual fishing hole.

A reasonable explanation for this oddity. Some of the American suburban sprawl of recent decades likely includes large storm sewers, especially in areas that get heavy rains. Yet, I would guess this could be done in other places as well though it requires someone to try to go fishing in the sewer before we would find out. Not too surprising a teenager figured this out…

Who knows what lurks in sewer and storm sewers? I’ve always been intrigued by such settings, particularly in large cities. TV shows and films regularly make use of large sewer tunnels as scenes for chases and shootouts. But, there are older roots than that. Victor Hugo devotes a long section toward the end of Les Miserables discussing the Paris sewers and then describing the action of the main characters under the streets. Alas, Snopes did find stories of alligators in the New York City region over the decades but only one involving an alligator in the sewer.

When gentrifiers are pushed out of Brooklyn to places like New Jersey

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Gentrifying doesn’t last forever: when the big money arrives, gentrifiers in places like Brooklyn have to move on.

By many measures, Jeff Huston and his wife, Lisa Medvedik-Huston, arrived late to Williamsburg, Brooklyn. They weren’t among the first waves of artists and hipsters in the early-to-mid ’90s to cross the East River in search of cheaper, grittier confines. When they rented a spacious, duplex loft two blocks from the Bedford Avenue subway stop in 2007, they found a safe neighborhood already dotted with clothing boutiques and wine shops. The height of the real estate boom was approaching, and condos were rising along both the waterfront and McCarren Park…

And last year, when they were ready to buy, the couple quickly realized they had been priced out. “I can’t tell you how many listings said, ‘cash only,’ ” said Mr. Huston, whose real estate search included everything from $500,000 apartments to $900,000 fixer-upper rowhouses and took him from Williamsburg to Bedford-Stuyvesant. “That was a wake-up call.”…

And so the Hustons bid farewell to Brooklyn. In October, they spent $550,000 on a 2,000-square-foot loft in a converted suitcase factory in Jersey City Heights, a section of Jersey City that overlooks Hoboken. “We weren’t sure there was anyone like us in the neighborhood,” he said. Then a Brooklyn-style coffee shop arrived. “The line down the street was all people like us. We could have been in Williamsburg. It was all, like, expats.”…

Many have tried in earnest to stay in Brooklyn, squeezing into smaller spaces or heading deeper into the borough in search of affordability. But there comes a point when that hourlong commute becomes difficult to justify, and the realization strikes that a house with a yard in Maplewood, N.J., can be had for about the same price as a condo in Midwood.

Gentrification tends to draw attention – whether from existing residents who see problems in new residents moving in or from people celebrating the revival of a neighborhood – but this is a reminder that neighborhoods can go through numerous cycles. In this case, Brooklyn’s real estate is on a continued upward swing due to a lack of inventory and high prices in nearby Manhattan. But, even that upward swing is not guaranteed and is contingent on future social and economic changes.

It would also be interesting to track what happens to these ex-pats from Brooklyn. These changes to Brooklyn have the potential to transform numerous other communities, like the “hipsturbia” north of New York City. Opinions and studies about gentrification tend to focus on a defined geographic location but this limits seeing the true big impact gentrification can have across a metropolitan region.

Canadian PM says 1,100 cases of missing or murdered aboriginal women “crime,” not “sociological phenomenon”

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Canadian Prime Minster Stephen Harper makes a distinction between “crime” and “sociological phenomenon”:

Rejecting a formal inquiry into the more than 1,100 cases of missing or murdered aboriginal women in Canada, Harper said the issues are “first and foremost” crimes and should be dealt with by police.

“I think we should not view this as sociological phenomenon. We should view it as crime,” Harper told a crowd at Yukon College in Whitehorse on Thursday.

“It is crime, against innocent people, and it needs to be addressed as such. We brought in laws across this country that I think are having more effect, in terms of crimes of violence against not just aboriginal women, but women and persons more generally. And we remain committed to that course of action.”

Harper was responding to a question about renewed calls for a formal federal inquiry in the wake of the tragic death of 15-year old Tina Fontaine in Winnipeg. Fontaine had been missing since Aug. 9, after running away from her foster home.

Harper made similar comments involving sociology regarding terrorism last year. He seems to have two general purposes by invoking sociology negatively. He want to look tough on crime. This is a matter that should remain with the police and larger discussions about the implications of these missing and murdered women aren’t welcome. Cracking down on crime is a positive point for conservatives and even more liberal politicians usually can’t afford to be seen as soft on crime. But, this also seems like odd shorthand for trying to cut off concerns of political liberals who see larger forces at work here, perhaps broader patterns including violence against women as well as a against native populations. Sociology here represents liberal concerns. Is there any sort of deviant behavior that Harper thinks would benefit from a sociological perspective? It doesn’t sound like it and this inability to see the larger picture surrounding sets of events may just prove to be shortsighted in the long run.

New novel “The Megabuilders of Queenston Park” addresses McMansions

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The problems McMansions can pose are addressed in a new novel where builders spread teardowns in suburban Princeton, New Jersey:

Author, translator, Greek poetry scholar and Princeton University Professor Emeritus Edmund Keeley tackles this issue in his newest novel, “The Megabuilders of Queenston Park,” published by the Lambertville-based independent Wild River Books. Joyce Carol Oates has called it a deftly written “contemporary comedy of manners.”

Set in present-day suburban Princeton, with its architecturally distinct buildings, the book’s “megabuilders” roam neighborhoods in search of modest homes to tear down. When a smooth-talking real estate developer tries to convince Cassie Mandeville to sell her beloved home and property, she and her husband Nick decide to take action. Nearing retirement, Cassie and Nick find themselves thrust into a battle with a father-and-son construction company that plans to erect an overgrown, high-end eyesore next door and convince the Mandevilles to sell their home as a teardown. As the couple tries to save their neighborhood, they run headlong into an insensitive and possibly corrupt local government as they navigate the maze of community zoning.

“The Megabuilders of Queenston Park” brings to life unsettling environmental questions that plague many families and communities, large and small. What is the true value of real estate? How do we measure the stability and familial loyalty our homes nurture and shelter? How do we protect our neighborhoods from large-scale development, construction, pollution and sewage run-off?…

Says the developer to the fictional Mandevilles: “I understand how you and a few others around here feel, but I’m afraid you’re all living in dream land. I promise you, if it isn’t Solar Estates working to revitalize the neighborhood, it will be somebody else moving in for their own kind of upgrading. The lots in your neighborhood are just too valuable and — forgive me — the houses are too old and small. Someday soon they will have to come down, and I’m afraid that includes yours.”

Novels have been a common way to express critiques of the suburbs since the early 1900s. Teardowns are common in numerous older suburbs with a higher quality of life as people want to move into homes with all the amenities but still live in quaint neighborhoods with plenty of character. I wonder just how many novels provide positive perspectives on McMansions and teardowns?

I hope the book isn’t as didactic as this summary makes it sound…

The social networks of white Americans are 93% white

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In trying to explain why white Americans don’t see racial issues in Ferguson, Missouri, one writer points to this: white Americans tend to interact largely with other white Americans.

Drawing on techniques from social network analysis, PRRI’s 2013 American Values Survey asked respondents to identify as many as seven people with whom they had discussed important matters in the six months prior to the survey. The results reveal just how segregated white social circles are.

Overall, the social networks of whites are a remarkable 93 percent white. White American social networks are only one percent black, one percent Hispanic, one percent Asian or Pacific Islander, one percent mixed race, and one percent other race. In fact, fully three-quarters (75 percent) of whites have entirely white social networks without any minority presence. This level of social-network racial homogeneity among whites is significantly higher than among black Americans (65 percent) or Hispanic Americans (46 percent)…

For most white Americans, #hoodies and #handsupdontshoot and the images that have accompanied these hashtags on social media may feel alien and off-putting given their communal contexts and social networks.

If perplexed whites want help understanding the present unrest in Ferguson, nearly all will need to travel well beyond their current social circles.

This is a good use of social network data. We know that who people interact with and who they are connected to matters. Want more evidence in a pretty easy read? Read Connected, which I have my Introduction to Sociology students read. If I remember correctly, that book addresses all sorts of areas where social networks matter – health, economics, politics, emotions, etc. – but doesn’t address race. Yet, this all makes sense with what we know about how easy it can be for whites to ignore race in America since they aren’t always personally confronted with race or live in places where race is consistently a social issue. And, interacting with people you know like family or coworkers or neighbors matters a lot more than getting more impersonal information from the media which some whites argue is always talking about race.

One other thought: social networks are also related to where people live. Given the propensity of white Americans to move to places that are largely white, residential segregation plays into this.