Wednesday, September 12, 2012

Microbes for Breakfast!

On the breakfast buffet table was a big bowl of white stuff the consistency of thick whipped cream.  The little sign beside it said "Yogurt." Normally I would have moved right on to the real food, since at that time I placed yogurt in the same "not-past-my-lips" category as cottage cheese (what are all those lumps, anyway?) and buttermilk (anything that leaves scum that thick on the empty glass can't be good).

This was in 2003, on our third trip to France. Previous visits had introduced me to some fabulous French food and although for most of my life I've not been very adventurous when it comes to eating I tend to throw caution to the wind when traveling there.  And so I tasted it.

Well, as has happened a few other times in France, I thought I had died and gone to heaven (two other occasions were when I tried my first chocolate croissant and when I took my first bite of Roquefort cheese).  This homemade yogurt stuff was rich and creamy and smooth and not quite like anything I had ever tasted before -- I loved it.  Wow, me eating yogurt -- wonders will never cease!

Since then I have become a real yogurt fan, and now I have it for breakfast (usually with granola my wife makes) almost every day, and when we travel I seek it out whenever possible. But those who know me will understand that I don't just eat it -- I've had to investigate it and research it so I can justify my recent passion for something I rejected for most of my life.  And what I've learned is that (a) yogurt is one of nature's most perfect foods and (b) many of its beneficial qualities come from a most unlikely source -- microbes, aka "germs."

Webster's defines yogurt as "a fermented slightly acid often flavored semisolid food made of milk and milk solids to which cultures of two bacteria (Lactobacillus bulgaricus and Streptococcus thermophilus) have been added."  Sometimes other strains of bacteria are also added.  Sounds yummy, right?  Fermented....semi-solid...bacteria...... Had I read this first I would never have tried it.

Yogurt can be made from the milk of cows (most common in the U.S. and Europe), sheep or goats (common in Turkey, where yogurt probably originated), and water buffalo (India & Egypt). Each of these has a different flavor and texture.  Greek style yogurt is strained to remove some of the liquid and is therefore thicker and a bit more tart.  Yogurt can be made from whole milk or from reduced-fat milk.  When the source is low-fat or non-fat milk the resulting yogurt has almost no cholesterol and the calories it contains are nearly all from protein, a very good thing from a health viewpoint (though there is some loss of flavor -- let's face it, fat tastes goooood).  Assuming the yogurt hasn't been adulterated by adding sweeteners, the nutritional qualities are remarkable.  It is a food that is high in protein, calcium, and several vitamins but low in fat and cholesterol.

But that's not all.  What about those bacteria?  It may be obvious that they are responsible for the fermentation process that results in yogurt, just like microbes are used to make beer, cheese, and wine.  However, in those cases the bacteria are pretty much finished once the job is done and they convey no particular health benefits of their own.  In yogurt, though, they continue to produce benefits even after the yogurt is consumed, assuming they are still alive (some manufacturers heat the finished yogurt, which kills the bacteria).  That's right, it is healthier to eat live germs than dead ones.  Here are some of the health benefits that research has shown derive directly from the live bacteria, excerpted from a summary by the Dr. Sears Health Group:
  • Yogurt is easier to digest than milk. Many people who cannot tolerate milk, either because of a protein allergy or lactose intolerance, can enjoy yogurt. The culturing process makes yogurt more digestible than milk. The live active cultures create lactase, the enzyme lactose-intolerant people lack, and another enzyme contained in some yogurts (beta-galactosidase) also helps improve lactose absorption in lactase-deficient persons. Bacterial enzymes created by the culturing process, partially digest the milk protein casein, making it easier to absorb and less allergenic.
  • Yogurt contributes to colon health.  ... yogurt contains lactobacteria, intestines-friendly bacterial cultures that foster a healthy colon, and even lower the risk of colon cancer. Lactobacteria, especially acidophilus, promotes the growth of healthy bacteria in the colon and reduces the conversion of bile into carcinogenic bile acids. The more of these intestines-friendly bacteria that are present in your colon, the lower the chance of colon diseases. Basically, the friendly bacteria in yogurt seems to deactivate harmful substances (such as nitrates and nitrites before they are converted to nitrosamines) before they can become carcinogenic...For senior citizens, who usually have more sensitive colons or whose intestines have run out of lactase, yogurt is also a valuable food. Elderly intestines showed declining levels of bifidus bacteria, which allow the growth of toxin-producing and, perhaps, cancer-causing bacteria. [my italics]
  • Yogurt improves the bioavailability of other nutrients. Culturing of yogurt increases the absorption of calcium and B-vitamins. The lactic acid in the yogurt aids in the digestion of the milk calcium, making it easier to absorb.  
  • Yogurt can boost immunity. Researchers who studied 68 people who ate two cups of live-culture yogurt daily for three months found that these persons produced higher levels of immunity boosting interferon. The bacterial cultures in yogurt have also been shown to stimulate infection-fighting white cells in the bloodstream. Some studies have shown yogurt cultures to contain a factor that has anti-tumor effects in experimental animals.
  • Yogurt is a rich source of calcium. An 8-ounce serving of most yogurts provides 450 mg. of calcium, one-half of a child's RDA and 30 to 40 percent of the adult RDA for calcium. Because the live-active cultures in yogurt increase the absorption of calcium, an 8-ounce serving of yogurt gets more calcium into the body than the same volume of milk can.  [my italics]
  • Yogurt is an excellent source of protein. ...Besides being a rich source of proteins, the culturing of the milk proteins during fermentation makes these proteins easier to digest. For this reason, the proteins in yogurt are often called "predigested." 
  • Yogurt can lower cholesterol. There are a few studies that have shown that yogurt can reduce the blood cholesterol. This may be because the live cultures in yogurt can assimilate the cholesterol or because yogurt binds bile acids, (which has also been shown to lower cholesterol), or both. 
So the lesson here is that although there are plenty of nasty microbes out there that will kill us or make us very sick, there are many that do the opposite.  In fact, as detailed in my blog "How About A Fecal Transplant?"  we apparently can't live without some of them residing in our guts.

And of course the additional lesson of yogurt is that these little critters can be very tasty, too.

________________________
Some additional info:
A summary of research studies on the benefits of yogurt from the National Yogurt Association.

WebMD's summary of yogurt benefits.

Friday, August 24, 2012

Mini Monks in Myanmar

Earlier this year my wife and I had the good fortune to visit Myanmar (aka Burma) for about three weeks.  I emphasize "good fortune" because it was one of our best travel experiences ever -- warm, friendly and welcoming people, surprisingly good food, rich history, exotic culture, astonishingly beautiful Buddhist monuments and archeological sites.  "Good fortune" too in that geopolitical shifts suddenly allowed us to make the trip before mass tourism takes its inevitable toll.

We've wanted to travel there for years but didn't want to support the corrupt and repressive military regime that seized power in 1962.  This is the government that caused international condemnation in 2007 when it refused humanitarian aid after a horrific typhoon hit the southern provinces leading to an estimated 180,000 deaths from disease and starvation.  It also held the pro-democracy leader Aung San Suu Kyi under house arrest for much of the last 20 years, despite the fact that in 1990 she resoundingly won the first election held after the military takeover. Recently however the military has introduced significant political, social, and economic reforms that have led to an improvement in relations with the U.S., giving us the opportunity we've been waiting for.

Of Myanmar's 56 million population, about 500,000 are in the military.  A fairly large army is needed because this is one of many countries in the world where order and stability come from the barrel of a gun.  But there are also about 300,000 Buddhist monks in Myanmar, a striking spiritual counterweight to raw physical force. Their orange robes and shaved heads make them stand out everywhere, adding to the exotic atmosphere that emphasizes to a Western visitor that "Toto, we're not in Kansas anymore."  There are also about 20,000 Buddhist nuns who also shave their heads but wear pink robes instead of orange.

The country is 89% Buddhist, a large portion of whom are fairly devout. Christians and Muslims are a tiny minority, about 4% each, with the remainder being mostly Hindu. There are very few Jewish citizens. This is a different variety of Buddhism than the type we saw in Bhutan (see my blog Bummin' With Buddha in Bhutan) though the basic tenets are the same. As was the case in Bhutan, Buddhism incorporated earlier religious beliefs rather than attempting to supplant them. In Myanmar this involves belief in Nats, spirits who inhabit objects and places and who have the power to protect those who worship them.  Monks seem to tolerate this but do not promote Nat worship. In the 11th century the monastic order cleverly declared that the most powerful of Nats had historically paid homage to Buddha, thus making all Nats subordinate to Buddhism. Despite this rather obvious self-serving maneuver, I found Buddhist practice in Myanmar much more agreeable than in Bhutan, where the monastic order seems to actively encourage and benefit from decidedly non-Buddhist beliefs in magic, superstition and demons.

The sight of thousands of monks and nuns is certainly novel to most Western visitors who have at best a rudimentary understanding of Buddhism.  Even more striking is that many of these monks and nuns are children as young as ten years old. This is very hard for someone raised in the deist religions of Christianity, Judaism, or Islam to grasp. For us clerical robes usually signify a consecrated spiritual leader dedicated to transmitting received knowledge to the laity -- definitely not something a 10-year old is capable of doing. Somewhat closer to the Buddhist concept are cloistered monastic orders in which monks and nuns dedicate themselves to a contemplative life rather than service to the larger community. But in Western religions children would not likely be candidates for such an order.

So what are these mini monks and mini nuns doing and why are they doing it?  The answer is a bit different for males and females.  In Myanmar (as in neighboring Buddhist countries Thailand, Laos and Cambodia) all Buddhist males are expected to become members of the monastic order twice during their lives -- once as novices between the ages of 10 and 20, and again as an ordained monk sometime after age 20.  These are usually temporary associations, though about 15% become permanent.  For girls there is no requirement to become a nun, but joining the order offers an attractive means for social advancement, especially for those of low economic status.

The novices reside in a monastery or convent and follow the daily monastic routine which involves secular and religious education as well as meditative practice.  For Buddhists meditation is the primary means of progressing toward the goal of enlightenment and thereby achieving Nirvana, the complete absence of suffering and unhappiness.  Meditation is not prayer or worship in the sense of deist religions but rather a way to gain control over one's mind and emotions, to develop insight into the nature of suffering and unhappiness, and to achieve a deeper understanding of life. I suspect that younger novices might have difficulty with some of the more complex issues but they still benefit in both the short and long term from acquiring the self-control and discipline needed for meditative practice. Thinking back to my own youth I am certain this would have been time better spent for me than the semi-delinquent and angst-ridden things I actually did.

For us the chance to interact with these mini-monks and nuns was one of the highlights of the trip.  Like many children of that age they were very curious about us and eager to practice their English. We had many enjoyable encounters with them but one special time for me was at the beginning of the trip in Yangon, when we paid an evening visit to the famous Shwedagon Paya, one of the largest Buddhist monuments in the world.  Local people gather on the terrace below the central stupa in the evening to socialize and pay homage to Buddha.  I broke away from our tour group and found a quiet place to sit and observe the scene. I was soon approached by three novices 14-15 years old who politely initiated a conversation about politics, religion, and social norms.  This is a situation where my years of world travel caused a cautionary alarm to sound in my head at the beginning but it was clearly unfounded. They were delighted to learn I was an American, and even more pleased to learn I was a teacher (educators in Myanmar are highly revered).  But in this case I was the one who learned the most -- I saw first-hand the disciplined thinking, openness to ideas, skillful concentration and emotional control that are very likely attributable at least in part to being mini-monks.

I have no illusions that Buddhism in Myanmar has avoided the kinds of gaps between principle and practice that are characteristic of other religions. History has shown that when religions become institutionalized they often transform from spiritual philosophies to social organizations focused on power, status, dominance and self-preservation.  Self-righteous violence against others, exploitative accumulation of wealth, sexual misconduct of spiritual leaders, and ruthless suppression of dissent are the frequent result. A glaring example in Myanmar is the long-standing conflict between two ethnic/religious groups in the northwest: Rakhine Buddhists and Rohingya Muslims.  As reported by the BBC, recent violence erupted in late May when a Buddhist woman was raped and murdered by three Muslims. A Buddhist mob later killed 10 Muslims in retaliation, though they were unconnected with the earlier incident. In the violence that has followed about 80,000 people have been displaced and thousands of homes destroyed.

All religions are characterized by such disconnects between behavior and belief, including Buddhism, and my travels have frequently brought me face-to-face with their historical remnants around the world.  Although Buddhism is clearly not immune to this shortcoming, the historical record seems rather more negative for the major deist religions.  I am unaware of any Buddhist equivalents equal in scale to crusades, holocausts, jihads, or inquisitions.

Maybe these mini monks are on to something.

Saturday, July 21, 2012

Let's Ban Political Ads!

There are many advantages to living here in Hawai'i, but one of the best is that in Presidential campaigns we don't matter.  The state population is small by national standards and our one puny little Electoral College vote doesn't warrant spending much time or money on us.  This means that we are spared the media blitz during election years that is targeted at those of you who live in more important "swing" states.

We used to live in Ohio, a state that is regularly a focus of intense campaigning. This meant lots of visits by the Presidential candidates or their surrogates, rallies, door-to-door canvasing, and a relentless barrage of 30-second t.v. spots.  This began during the primary season and continued right to the November election.

I was reminded of the obnoxiousness of the t.v. ads recently when I had to make a short trip to the mainland to attend a funeral.  The airwaves were full of 30-second ads for Romney and Obama, all of which seemed designed to be low on information and high on emotional impact. Careful factual analysis of the messages in many of these ads would reveal them to be vacuous, but then they aren't supposed to be logical or informative.  The media specialists who create these spots are masters at manipulating image, innuendo, and emotional associations (you can enjoy recent ads from this year's campaigns at Stanford's Political Communications Lab web site).  The messages may be logically weak but they can be highly effective in swaying voter opinion anyway, particularly as part of negative advertising campaigns.  This is why candidates and their supporting organizations spend so much money on media, estimated to be nearly $100 million for this month of July alone, according to Washington Post's Dan Eggan.

In the 2008 election, the total spent on media reached a staggering $359 million (see the Center for Responsive Politics for more detailed information).  The total campaign spending by McCain and Obama during that election was more that $1 billion (!) according to data released by the Federal Election Commision.  This time around more relaxed accountability rules for donations via so-called "Social Welfare Organizations," like Karl Rove's Crossroads GPS, and the recent Supreme Court ruling that corporations can donate unlimited amounts to "SuperPacs" are likely to push spending even higher.  If it weren't for the questionable ways in which this money is spent, we could regard it as a nice economic stimulus package.

Political ads have become increasingly negative over the last 20-30 years.  According to Shanto Iyengar, Director of the Stanford Political Communication Lab, negative campaigning in American politics blossomed as an effective strategy in the 1980's, pioneered by Fox News' Roger Ailes who was a campaign consultant to Ronald Reagan and George Bush at that time. Although the Republicans were the first to use negative campaigning effectively, Iyengar points out that the Democrats caught up quickly and are just as apt to use it as a campaign strategy.  His research shows that negative campaigning is particularly prominent in close elections and tends to depress voter turnout and polarize the electorate.  Given the likely closeness of the Obama/Romney race, then, we are probably going to see more and more negative ads this time around, and the campaigns will unfortunately reinforce the extreme polarization that is now paralyzing our government and will further reduce public perceptions of congress, already at an all-time low.  Whoopee.
 
Political ads are not held to the same "truth-in-advertising" principle that governs commercial advertising.  This is because they are considered "political speech" and are therefore protected by the First Amendment, to the point that broadcasters are required by law to air ads even if they contain demonstrably false information.  As a Time Magazine analysis of the 2008 election put it:
The noble idea undergirding what otherwise seems like a political loophole is the belief that voters have a right to uncensored information on which to base their decisions. Too often, however, the result is a system in which the most distorted information comes from the campaigns themselves. And as this year's presidential race is showing, that presents an opportunity for a candidate willing to go beyond simple distortions and exaggerations by making repeated and unapologetic use of objectively false statements.
So far I'd say the "this year" referred to in this analysis applies equally well to the current 2012 election.  Two online sources of unbiased examinations of the truth or falseness of  political statements that I find useful are PolitiFact.com and FactCheck.org , which I check regularly to get a more objective assessment of current campaign claims. Don't go to these sites expecting to support your hunch that one side is far more truthful than the other -- so far as I can tell the facts are abused about equally.  But the careful analyses of positions and statements (not just ads) can be very informative.

Shanto Iyengar points out that a growing trend in broadcast journalism has been to focus on political ads as news stories, which often simply gives them free air time and reduces a factual analysis to a matter of  "he-said-she-said."  In fact, savvy media consultants craft ads with this media attention in mind. For those voters who missed seeing the ads at other times, watching a news broadcast almost guarantees being exposed to at least some of them. Those who did see them during regular programming are exposed a second time.  In general news media attention to ad content rather than policy positions and proposals for solving problems may reinforce the negative tone of the election process and add to the polarization.  At the very least, focusing on ads and campaign strategy reduces coverage of more substantive information about candidates and their positions.  As Iyengar puts it: "in place of candidate positions and past performance on the issues, reporters gravitate toward the more entertaining facets of the campaign: the horse race, the advertising, the strategy, and whenever possible, instances of scandalous or unethical behavior."

Can the internet save us from this media morass?  There is no doubt that campaigning is incorporating more online technology as strategists try to reach the growing number of voters don't watch much t.v. but spend a lot of time online.  A recent report by Ryan Grim estimates that about 25% of consultant expenditures during this election cycle are going to online efforts.  And online ad campaigns seem to be effective. For example, the consulting firm Chong & Koster targeted some Florida voters with an average of five ads a day on Facebook, encouraging a no vote on a proposition that would have increased school class sizes. Voters exposed to the ads were more likely to vote no than a typical voter -- and more likely to oppose it than a typical Democrat. 

Online technology offers more than just a digitized medium for delivering the same ads, however.  Facebook and other social media are potentially powerful tools for linking candidate supporters and actively involving them in the campaign.  For instance, in one study described by Ryan Grim voter turnout was increased by messages from Facebook "friends" and people were more likely to remember information about the election when it came from a "friend" than from less personal sources.  As one top media consultant put it, candidates should not underestimate the power of social networks and peer-to-peer activism, and even though some politicians get nervous about the two-way nature of the online medium, they need to trust their supporters to fight for them in the online political debate. Whether this kind of activism produces positive or negative outcomes for the country as a whole remains to be seen.  Surely it depends on the quality and thoroughness of the information it is based on -- and this brings us right back to the original question concerning the content of campaign rhetoric.

A glimmer of hope for our electoral process is that online resources give voters access to substantive information about candidate positions on issues that is given short-shrift in in 30-second t.v. or internet ads and in most t.v. news coverage of campaign developments. Iyengar's assessment of the internet in this regard is particularly optimistic: 
...[internet] technology at least makes it possible for voters to bypass or supplement media treatment of the campaign and access information about the issues that affect them. Rather than waiting for news organizations to report on the policies they might care about, voters can take matters into their own hands and visit candidate websites to examine their positions on the issues. This form of motivated exposure is hardly an impediment to deliberation: paying attention to what the candidates have to say on the issues facilitates issue-oriented voting; paying attention to the media circus does not. Thus, there is some reason to hope that the spread of new forms of unmediated communication will eventually provide a better way to inform and engage voters.
 "Eventually" can't come soon enough for me.




Thursday, July 5, 2012

Hiding From Facebook

I'm a pretty tech-savy guy.  I have a blog and my own homepage.  I have three email accounts. I own three computers, two Ipods and an Ipad. I manage our home wireless network.  I back everything up in the cloud. I'm a webmaster for an educational resource called PsyberSite. I've even taught courses about how the internet has influenced our society, for example "The Social Psychology of Cyberspace."

You might think I would be in the thick of the social network phenomenon --Tweeting and Google +'ing and Facebooking like crazy.  But you would be wrong.

There is no doubt that these recent developments in internet technology are having a tremendous impact on social relationships and the structure of our social world.  As a social psychologist I regard the social networking phenomenon as something that is very significant and fascinating to study.  And to my friends  who are Facebook fans (some of whom are reading this right now), let me assure you that I appreciate the many positive benefits this technology can have -- staying in contact with friends, sharing important life experiences with them, finding and reconnecting with old friends, and in general adding to the social richness of life. 

However, my personal reaction has been quite different.  You see, despite (or maybe because of ) my close involvement with internet technology over the years I have a skeptical, aversive, even paranoid stance regarding these latest social developments.  My wife and I do have a Facebook page, but we hardly ever post anything on it.  We have a whopping total of 36 Friends, a pretty puny number compared to some people who have hundreds.  And I admit it is fun to read the posts of others and to learn of the events in their lives and the lives of their family and friends.  But we both balk when it comes to sharing the same sort of information on our own Facebook page.  I should point out here that my reluctance is greater than my wife's, and she has sometimes expressed regret at feeling left out of this phenomenon.  (Perhaps we will soon go our separate ways and get individual accounts.)

I think there are a couple of reasons why I'm hiding from Facebook, both of them stemming from personality flaws that are long-standing and deeply rooted.

First, I'm generally a very private person and even in face-to-face situations I'm not comfortable disclosing personal information, even to very close friends.  Of course, professorial pontificating is an entirely different matter, and I have never been reluctant to do that, though my students often viewed me as "aloof" and "impersonal."  I think I'm friendly and approachable but I'm hesitant to be very open except with a few people I've know for a long time.

It is possible on Facebook to divide "friends" into differing categories like "Close Friends, " "Acquaintances,"  "Family," and even to create your own divisions.  You can also create groups of "friends" within each of these categories depending on interests or activities and then share different information with people in each one.  I don't know how many Facebook users take advantage of these features, but I find the categorization process very daunting and fraught with the danger of forgetting who is in which group and posting something that inadvertently offends someone or is at least regarded by them as inappropriate.

Another related issue for me is that as part of my private personality it is difficult to feel comfortable with the high frequency that seems to be the norm in posting Facebook information. Even with very close friends I much prefer fewer but more intense and personal interactions.

My second reason for hiding from Facebook may be that I have this "thing" about institutions or organizations that quickly become big and powerful, no matter how benign they may seem.  (See my slogan for Snow Crash.) My negative reaction is a complex bundle of paranoia, issues with authority, and wanting to assert independence by being non-conformist -- in short, not entirely rational.  Facebook is indeed big, reaching 750 million users in just eight years. And it has certainly become powerful as well.  As Steven Johnson noted in a recent Wired Magazine analysis, "Facebook is on the cusp of becoming a medium unto itself—more akin to television as a whole than a single network, and more like the entire web than just one online destination.....The difference, of course, is that no one owns the web—or in some strange way we all own it. But with Facebook we are ultimately just tenant farmers on the land; we make it more productive with our labor, but the ground belongs to someone else."

Mark Zuckerberg, founder of Facebook, wants us to be able to share everything, "...to make the world more open and connected."  He has created an interface that makes sharing extraordinarily easy to do -- but also that makes it easy for our social connections to be tracked and exploited.  Here's a small excerpt from the list of data Facebook receives and stores about users, taken from its Data Use Policy:
  • We receive data about you whenever you interact with Facebook, such as when you look at another person's timeline, send or receive a message, search for a friend or a Page, click on, view or otherwise interact with things, use a Facebook mobile app, or purchase Facebook Credits or make other purchases through Facebook. 
  • When you post things like photos or videos on Facebook, we may receive additional related data (or metadata), such as the time, date, and place you took the photo or video. 
  • We receive data from the computer, mobile phone or other device you use to access Facebook, including when multiple users log in from the same device. This may include your IP address and other information about things like your internet service, location, the type (including identifiers) of browser you use, or the pages you visit. For example, we may get your GPS or other location information so we can tell you if any of your friends are nearby. 
  • We receive data whenever you visit a game, application, or website that uses Facebook Platform or visit a site with a Facebook feature (such as a social plugin), sometimes through cookies. This may include the date and time you visit the site; the web address, or URL, you're on; technical information about the IP address, browser and the operating system you use; and, if you are logged in to Facebook, your User ID. 
  • Sometimes we get data from our advertising partners, customers and other third parties that helps us (or them) deliver ads, understand online activity, and generally make Facebook better. For example, an advertiser may tell us information about you (like how you responded to an ad on Facebook or on another site) in order to measure the effectiveness of - and improve the quality of - ads.
I get very nervous when I read that list, despite assurances that my information is shared only "after we have removed your name or any other personally identifying information from it."  It seems to me that the detail contained in the information makes it very personal indeed, whether my name is associated with it or not.  I note also that the use to which my information may be put is rather open-ended.  I really don't know the specific ways Facebook uses tracking information and so I just have to trust that it will be benign.

My issues with authority and control lead me to get nervous about another aspect of Facebook -- its tendency to try to keep me within its warm and fuzzy embrace.  For example, a recent unannounced move was for Facebook to change people's email addresses that they had listed in their public profiles to addresses that use a Facebook email account.  If a friend sends a message to me at earthlink.com, for instance, it gets delivered to my Facebook email account instead.  Another development is Facebook's "Open Graph" initiative to encourage users to install apps that function within the Facebook interface even though they utilize content from the broader internet.  For example, if a friend has posted a link to a Washington Post news article, clicking on that link doesn't take you to the Washington Post web site, but rather serves the article to you through a internal app that you must install within Facebook. Of course, keeping a user within the Facebook interface allows even more thorough tracking of online behavior.  Wired's Steven Johnson raised a broader and more philosophical objection in his article that resonates well with my personality quirks:
This reluctance to link to the outside is, to say the least, hard to reconcile with Zuckerberg’s paean to open connection. Hyperlinks are the connective tissue of the online world; breaking them apart with solicitations to download apps may make it easier to share data passively with your friends, but the costs—severing the link itself and steering people away from unlit corners of the web—clearly outweigh the gains. Surely we can figure out a way to share seamlessly without killing off the seamless surfing that has done so much for us over the past two decades.
In the meantime, I'll just keep hiding......
 

Friday, June 22, 2012

How About A Fecal Transplant?

Yes, you read correctly.  A fecal transplant.  "Fecal" as in "poop."  "Transplant" as in "from one person to another."

This new medical procedure makes the idea of using leeches, maggots, and flesh-nibbling fish seem appetizingly appealing by comparison.  I recently learned about it from a couple of New York Times science articles by Carl Zimmer and Gina Kolata, and it was so interesting I did some followup investigating of my own. The transplant is one promising development in the treatment of all kinds of health problems that has emerged from the field of medical ecology, a branch of microbiology which studies the complex interactions between health and a person's microbiota (or microbiome), the collection of 100 trillion microbes that live on and in each human body.

The two to five pounds of complex microbial communities that inhabit our bodies are apparently essential to not just our health but to our very existence.  Without them we would be unable to digest food, synthesize certain vitamins, and fight off many infectious diseases.  While it is certainly true that quite a few bacteria are harmful to us, many more are beneficial to the point that we can't live without them.  Our microbiome is as essential to us as our heart or our brain.

A microbiome is a true ecosystem in the sense that it involves a complex balance among the many different species of bacteria, viruses and fungi that comprise it.  In fact, one difficulty in studying these organisms has been that they are so adapted to living surrounded by other microbes and are so dependent on their host body that many can't be isolated and grown in the lab, and even if they do survive outside of the body they often behave differently than in their natural environment. However, a recent five-year federally funded research program has begun to give a clearer picture of our microbial communities and their impact on our health by using DNA analysis that doesn't require laboratory cultures. Called the Human Microbiome Project, the study involves 200 scientists at 80 institutions who have sequenced the genetic material of bacteria taken from nearly 250 healthy people, an immense effort that has led to some surprising findings.

For one thing, the researchers discovered more strains than they had ever imagined — as many as a thousand bacterial strains on each person. And each person’s collection of microbes was different from the next person’s, a kind of microbial fingerprint that uniquely identifies each individual.  Also surprising was that there were genetic signatures of disease-causing bacteria and viruses lurking in the microbiome of every one of these healthy individuals.  Instead of making people ill, or even infectious, the disease-causing microbes were simply living peacefully among their neighbors, held in check by the complex interactions of the microbiome community.

Another finding is that a person's microbiome changes throughout life in response to environmental and biological influences.  This process begins at birth, when certain key bacteria are transferred from mother to child during delivery and afterward during nursing. In pregnancy the relative concentrations of certain bacteria change in a women's birth canal in response to hormonal shifts.  One species of bacteria that is normally rare but becomes dominant is lactobacillus johnsonii. It is usually found in the gut, where it produces enzymes that digest milk. It’s an odd species to find proliferating in the vagina, to say the least. Dr. Aagaard-Tillery, one of the scientists who made this discovery, speculates that during delivery a baby will be coated by lactobacillus johnsonii and ingest some of it, an inoculation that prepares the infant to digest breast milk. The milk, it turns out, contains some 600 species of beneficial bacteria and also certain sugars that the baby can't digest but which nourish the bacteria. It seems the mother is not only feeding the child but also the child's bacteria and thereby promoting the development of the child's microbiome.

Our cultural attitude toward microbes is decidedly negative and non-selective:  "The only good microbe is a dead microbe."  However, the more we learn about the microbiome the clearer it becomes that this is not really justified and may be very harmful to us in the end.  For example, the use of broad-spectrum antibiotics to treat infections, while effective in the short run, wipes out not only the bad bacteria but also many of the the ones that are necessary to restore and maintain health.  We have generally assumed that the microbiome would return to normal on its own, but scientists are now realizing that assumption isn't justified -- it would be like assuming that lettuce and tomatoes would spontaneously return after spraying the whole garden with herbicide to kill the weeds.  In fact, there appear to be certain strains of harmful bacteria that thrive in disrupted or diminished microbiomes following broad-spectrum antibiotic treatments, like the antibiotic-resistant Clostridium difficile.  Re-establishing a healthy microbiome is very difficult in these circumstances.

Enter the fecal transplant.

According to Lita Proctor, program director for the Human Microbiome Project, "Half of your stool is not leftover food. It is microbial biomass.”  Assuming the donor is healthy, this means stool contains the complex collection of microbes needed to restart a depleted microbiome in another person.  And it seems to work.  Initial studies using fecal suppositories to treat Clostridium difficile infections have been very promising, and larger clinical trials are underway.  Fecal transplants are also being studied as a way to treat obesity by transplanting fecal samples from lean donors to obese patients. Researchers at the Academic Medical Center in Amsterdam are running a clinical trial to see if fecal transplants can help treat obesity. They have recruited 45 obese men; some are getting transplants from their own stool, while others get transplants from lean donors. The scientists are finding that the transplants from lean donors are changing how the obese subjects metabolize sugar.

Efforts are also underway to isolate the bacteria from the poop, to remove the "ick" factor, as researcher Dr. Alexander Khoruts puts it.  He would eventually like to develop probiotic pills that contain just a few key species required to build the intestinal ecosystem  -- Poop Pills, so to speak.

I certainly learned a lot from researching this topic, and the information has changed my outlook about who and what I am. For one thing, I realize how wrong my belief is that I am separate and independent from my environment.  "I" am composed of trillions of other organisms without which I could not exist.  They are as much "me" as any other part of my body.  As Dr. Barnett Kramer of the National Cancer Institute has said,  "humans in some sense are made mostly of microbes. From the standpoint of our microbiome, we may just serve as packaging.”

Certainly a humbling thought.





Friday, June 8, 2012

Disney Dreams

Walt Disney opened his California theme park in 1955 with these words: "To all who come to this happy place, welcome."

"This happy place" quickly morphed into the slogan of the park that persists to this day -- "The Happiest Place on Earth."  The recognizability of the phase as referring to Disneyland and now to other Disney parks certainly attests to its success as a marketing logo, but also to the fact that several generations of visitors have agreed with the sentiment it expresses.

Although Walt clearly wanted to make people happy, there was quite a bit more to it than that.  At the 1955 opening ceremony he went on to say,
 "Disneyland is your land. Here age relives fond memories of the past...and here youth may savor the challenge and promise of the future. Disneyland is dedicated to the ideals, the dreams and the hard facts that have created America...with the hope that it will be a source of joy and inspiration to all the world."
His own dream was embodied in his plans for Disney World in Florida,  a project that went way beyond anything he had accomplished at Disneyland.  As I mentioned in my last blog, Disney World was opened in 1971 but sadly Disney died of lung cancer before it was completed. The official motto of WDW became "Where Dreams Come True," perhaps a reference not only to the dreams of visitors but also to Walt's own. At the grand opening Walt's brother Roy alluded to this:
"Walt Disney World is a tribute to the philosophy and life of Walter Elias Disney ... and to the talents, the dedication, and the loyalty of the entire Disney organization that made Walt Disney's dream come true. May Walt Disney World bring joy and inspiration and new knowledge to all who come to this happy place ... a Magic Kingdom where the young at heart of all ages can laugh and play and learn ... together."
And Julie Andrews, host of the televised ceremonies, made the connection very clear, referring to the park as "...a joyful land built by an inspired dreamer for other dreamers and dreams still to come."

It is hard to find fault with these sentiments.  They seem particularly uplifting in this time of economic, political, and social malaise.  After the deaths of Walt and Roy, it fell to the corporate structure they created to carry on the ideals they had espoused in these dedication speeches. For the most part I think the Disney brothers would approve of the changes in the parks and the numerous other new projects and developments that have taken place in their name over the years.

The many times I have visited the parks (almost always WDW) I have enjoyed myself thoroughly.  However, my last stay at WDW produced some nagging qualms that I have been struggling to deal with.  In my last blog I explored one of them, the presence of thousands of school-age children before the end of the school year who did not seem to be there to "...savor the challenge and promise of the future" nor to appreciate "new knowledge."  But they were certainly managing to "...laugh and play"  (well, when they weren't on their cell phones).

Another qualm has to do with the message that seems to underlie the current use of the slogans mentioned above.  It was about five years since I was at WDW, and I'm not sure whether it is me who has changed or whether it is the way the taglines are being used, but during my most recent visit I began to detect a shallowness to the constant emphasis on dreams, wishes, memories and magic -- a shallowness that certainly doesn't do justice to Walt and Roy.  The message, delivered in performances and attractions that were invariably entertaining and thoroughly effective at evoking warm and fuzzy visceral emotional responses, seemed to be that your dreams will always come true if you just wish with all your heart.  Just wish it and it will happen, no matter what you want.

This idea appeared in many venues and was especially evident in the spectacularly well-produced nightly fireworks show called, appropriately enough, Wishes. The show begins with some great fireworks and a few words from the Blue Fairy, who proclaims that when a star is born it has the power to grant a wish.  A song follows ending with the well-known refrain "When you wish upon a star, makes no difference who you are, anything your heart desires will come...to...you."  Jiminy Cricket then directly addresses those who might be skeptical:  "I'll bet a lot of you folks don’t believe that, about a wish coming true, do ya? We'll I didn’t either. Course, I’m just a cricket, but lemme tell you what made me change my mind. You see, the most fantastic, magical things can happen, and it all starts with a wish!"  The evidence is then presented in the form of the wishes-come-true of Tinkerbell, Cinderella, Snow White, Ariel, Peter Pan, Pinocchio, and Aladdin.  Jiminy concludes "You see, its just like I told ya. Wishes can come true, if you believe in them with all your heart."

Well, ok.  But I wonder if a more beneficial lesson might not be drawn from Disney's own life.  His dreams didn't come true just because he wished them to but rather because he worked hard, took great risks, and sacrificed much to overcome many difficulties and obstacles.  He was frequently on the brink of financial disaster;  his creative ideas and plans were often met with skepticism and derision;  a number of his projects were failures, or were abandoned before they were started.  Despite these challenges he persevered when many of us would have given up.  Wishing and dreaming were necessary to his success, but hardly sufficient. 

In my view that's the true legacy of Disney.

Wednesday, May 16, 2012

A Disney Education

My wife and I just spent a week at Walt Disney World Resort in Florida. No, we didn't take kids or grand kids with us -- we don't have any, and besides in our view they would spoil our fun.

We have visited WDW many times since it was opened in 1971, usually every five years or so.  Any more often is an overdose, similar to going to Las Vegas too often.  Both places offer escapist fantasy of the highest order, best enjoyed after a break to re-center and re-ground your sensibilities.

It is important to distinguish between Walt Disney World (WDW) in Florida and Disneyland in California.  Disneyland was Walt's first theme park, a ground-breaking concept that opened in 1955 and almost immediately outgrew its available space.  WDW in contrast consists of a vast tract of 47 square miles in central Florida, with four widely spaced theme parks (Magic Kingdom, Hollywood Studios, EPCOT, and Animal Kingdom),  two water parks, 23 on-site themed resort hotels (excluding eight more that are on-site, but not owned by the Walt Disney Company),  a campground, two spas and physical fitness centers, five golf courses, and other recreational and entertainment venues in an area known as Downtown Disney.  If you stay on site, as we choose to do, you are immersed in the whole Disney experience 24/7.  Mickey and friends are everywhere, including on the soap in your bathroom;  everything is neat and tidy; everyone is polite, friendly, and happy.  As I said, escapist fantasy of the highest order.  Sadly, Walt Disney died at 65 from lung cancer, five years before his dream opened in 1971.  His older brother Roy delayed retirement to oversee the initial development of WDW and then died a few months after the opening. 

Our visit was at the end of April, a time we thought would be less crowded because it was after most school spring breaks and before summer vacations.  We reasoned that most parents are concerned with their children's education and wouldn't take them out of school just to visit a theme park. This is also a time when central Florida weather is still moderate.  Our other visits have been in the fall, around Christmas, and during the summer, and so we were looking forward to our first springtime visit.

We were right about the weather --  most days were clear and the temperature was pleasant.  And the crowds weren't as bad as they can be in the peak summer months.

But we were dead wrong about the numbers of school-age kids.  Besides quite a few families with one or more children there were many, many groups of junior high and high school kids from all parts of the country, apparently on field trips or senior outings.  And there were thousands of teenage girls who were participating in the annual World Championship Cheerleading competitions being held at EPCOT.  When the cheerleaders weren't competing they were roaming the parks in packs of 10 to 20 giggling and jiggling "nubile nymphettes," as I called them. Needless to say, this altered the "Magical" atmosphere considerably.

The presence of so many kids whose schools were still weeks away from summer break raised questions in our minds about the commitment of the kids as students, the educational priorities of their parents, and the values of the sponsoring organizations (maybe including Disney Corp.).  I'm sure there are all kinds of practical justifications for these children to miss school in order to visit WDW;  parents cannot always control the timing of their vacations from work;  it's easier for organizations to schedule venues at WDW during this time of year;  travel arrangements are cheaper and more plentiful now than in the summer.  It is also true that not all "education" takes place in a classroom and indeed there are a number educational aspects to be found in WDW. 

These justifications seem reasonable but I think they may be problematic in several ways.  First, though visiting WDW can be educational in some ways, that is true no matter when it occurs.  On the other hand certain important educational experiences are closely tied to a classroom --  for example, I've never seen anything in WDW that would substitute for a skillful explanation of algebraic expansion or the laboratory experience of working through an analytical chemistry problem.  Second, the absence of large numbers of students poses significant logistical problems for teachers and schools, both in altering the classroom structure that is supportive of learning and in placing additional demands on teachers to help students make up work they have missed. Third, when parents and organizations endorse school absence they convey to young people that education is less important than entertainment and enjoyment.  I'm afraid this is a general trend in our society today, and I don't believe it serves us well in the global community.  As my wife and I have traveled around the world we have seen many developing countries investing heavily in education and  infrastructure. The support for educational institutions and teachers is striking.  Just the opposite seems to be the case in the U.S., as illustrated by recent budget cuts to schools and universities and salary freezes and reductions for teachers.

Maybe I'm making too much of this.  Or maybe I just received my very own Disney Education.

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An additional resource on Disney can be found at http://www.units.muohio.edu/psybersite/disney.  This web site was created by a group of my students as a class project some years ago.

Here are a couple of quotes about Disney you may find interesting:

When Dwight D. Eisenhower was President, called Disney a "genius as a creator of folklore" and said his "sympathetic attitude toward life has helped our children develop a clean and cheerful view of humanity, with all its frailties and possibilities for good."

Prof. William Lyon Phelps of Yale said of Mr. Disney: "He has accomplished something that has defied all the efforts and experiments of the laboratories in zoology and biology. He has given animals souls."