Novel Antioxidant Seen as an Effective Strategy for Peripheral Artery Disease – BioSpace

OMAHA, Ne., Nov.20, 2020 /PRNewswire/ -- Researchers within the School of Health and Kinesiology at the University of Nebraska at Omaha (UNO) have found that a novel antioxidant can provide a number of health benefits for individuals with peripheral artery disease.

The antioxidant specifically targets mitochondria, considered the powerhouse of the cell. The study was led by Assistant Professor Song-Young Park, Ph.D., and published in the American Journal of Physiology-Heart and Circulatory Physiology.

Park recruited eleven men and women with PAD to participate in this research; six of which received 80 milligrams of the antioxidant while the remaining five participants were given a placebo. Measurements were done before and 40 minutes after each participant took the supplement or placebo to assess the roles of vascular mitochondria in endothelial function, arterial stiffness, exercise tolerance and skeletal muscle function. After a 14 day "wash out" period, the two groups switched, with the placebo group taking the supplement and vice versa and measurements were assessed again.

When a participant took the supplement, the researchers noted an increase in dilation of the arteries, popliteal flow-mediated dilation, antioxidant superoxide dismutase, maximal walking time and distance, and time to claudication or leg pain.

"The results of this study reveal for the first time that acute oral intake of a mitochondrial-targeted antioxidant is effective for improving vascular endothelial function and superoxide dismutase in patients with peripheral artery disease (PAD)," Park said. "This improvement is clinically important and such antioxidants may potentially be utilized as therapeutic supplement for patients with PAD".

The antioxidant, commercially available as MitoQ, contains the naturally occurring ubiquinol which is a coenzyme that gives the antixoxidant the ability to cross the cell membrane and accumulate within the mitrochondria.

Peripheral artery disease (PAD) is a common cardiovascular disease in which atherosclerotic plaque forms in the arteries of the leg which can cause decrease blood flow and reduced perfusion in the lower extremity. The disease affects nearly 200 million people worldwide, with over 20 percent of individuals over 80 years old being affected by this disease. Common symptoms often include foot ulcers and leg pain during walking. If severe, medical treatment up to and including leg amputation may be required.

This study was funded in part by the University of Nebraska at Omaha Graduate Research and Creative Activity (GRACA) grant awarded to Jiwon Song, University of Nebraska at Omaha University Committee on Research and Creative Activity (UCRCA) awarded to Song-Young Park and the NASA Nebraska Space Grant (#NNX15AI09H) awarded to Song-Young Park. Doses of MitoQ were donated to UNO by MitoQ Limited for use in this research study.

About the University of Nebraska at Omaha

Located in one of America's best cities to live, work and learn, the University of Nebraska at Omaha (UNO) is Nebraska's premier metropolitan university. With more than 15,000 students enrolled in 200-plus programs of study, UNO is recognized nationally for its online education, graduate education, military friendliness and community engagement efforts. Founded in 1908, UNO has served learners of all backgrounds for more than 100 years and is dedicated to another century of excellence both in the classroom and in the community.

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SOURCE University of Nebraska at Omaha

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November: Highly cited 2020 | News and features – University of Bristol

The Highly Cited Researchers 2020 list recognises 17 University of Bristol researchers reaching the highest sphere of influence in research.

The citation analysis, now in its seventh year, identifies those who have published a high number of papers that rank in the top one per cent most cited works in their field. This year,6,389 researchers are named in theHighly Cited List.

The 17 researchers on the list (whose primary affiliation is with Bristol) this year are:Professor Jerry Nolan, Bristol Medical SchoolDr Jane Ferrie, Bristol Medical SchoolProfessor David Gunnell, Bristol Medical SchoolProfessor Matthew Hickman, Bristol Medical SchoolDr Jo House, School of Geographical SciencesProfessor Marcus Munafo, School of Psychological ScienceProfessor Kate Tilling, Bristol Medical SchoolProfessor Jonathan Bamber, School of Geographical SciencesProfessor Jules Hancox, School of Physiology, Pharmacology and NeuroscienceProfessor Eamonn Kelly, School of Physiology, Pharmacology and NeuroscienceDr Stephen Lolait, Bristol Medical SchoolProfessor Neil Marrion, School of Physiology, Pharmacology and NeuroscienceProfessor Craig McArdle, Bristol Medical SchoolProfessor Philip Donoghue, School of Earth SciencesProfessor Julian Higgins, Bristol Medical SchoolProfessor Deborah Lawlor, Bristol Medical SchoolProfessor Jonathan Sterne, Bristol Medical School

Placement on the list, which is based on qualitative and quantitative data from the Web of Science, is a significant achievement for those named.

Web of Science is the worlds most trusted and largest publisher-neutral citation index, powering global discovery and citation analytics across the sciences, social sciences and the arts and humanities. With over 1.4 billion cited references going back to 1900 and millions of users per day from leading government and academic institutions and research-intensive corporations the Web of Science citation network serves as the foundation for the Journal Impact Factor, InCites and other powerful and trusted citation-impact measures. The Web of Science helps researchers, research institutions, publishers and funders discover and assess the citation impact of over a century of research publications found in the most prestigious books, conference proceedings and journals.

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November: Highly cited 2020 | News and features - University of Bristol

Never Underestimate The Power Of Saying ‘I Like You Just The Way You Are’ – WBUR

There is no shortage of thoughts about President Donald Trumps supporters. Comments abound. They are ignorant, immoral, climate change deniers, racists, misogynists, religious fanatics, deplorables, and on and on.

Much of what is being said is silly. Or worse, it groups 74 million people into one big polluting lump of coal, making the behavior of the most extreme represent everyone. We blue folks can be pretty othering when we set ourselves to it, and we are good at the quiet sneer. Were enlightened theyre the unwashed masses. We get structural racism, climate change, gun control, science, and the real price of wealth inequality they dont. Were good. Theyre bad.

Wouldnt it be nice to think so. Ive worked for decades as a psychotherapist, and I am reminded each day what a mistake it is to assume that rational thought has the upper hand over our unconscious minds. However different our ideas about government, I believe the polarization and intense anger Red and Blue folks share springs from the unconscious wish each person possesses to feel that they are good enough just as they are.

In fact, were I to wager one vast generalization about many of the more fervent Trump voters, it would be that they experience him as their Mr. Rogers. You know, the man who so repeatedly and convincingly said, I like you just the way you are.

I understand that these two men seem like polar opposites, but its exactly that gulf that makes the comparison true. Trump is the anti-Rogers who likes his followers just the way they are.

Trump is completely unapologetic about every single aspect of his being: what he says, what he does, how often he lies, what he eats, how he cheats, who he hurts and on and on. And so they can be completely unapologetic, too.

Trump's supporters adore him because by insisting that a broad range of human behaviors are acceptable, he makes them feel understood, and not ashamed.

While humans have a capacity for love and for compassion, we have a whole host of not so pretty traits, too violence, greed, selfishness, cruelty and this president isnt having anything to do with the thick frosting of respectability that attempts to make the human cake all shiny and sweet.

He knows ugly, and he says ugly is nothing to be ashamed of. Its just part of who we are. In turn, Trump's supporters adore him because by insisting that a broad range of human behaviors are acceptable, he makes them feel understood, and not ashamed. They feel that he spares them their dignity (even if, in others' view, he's shredding every bit of decency, and deeply harming society).

That notion can be a huge relief. Especially to people who are being pushed to change in ways that seem abstract and mostly just make them feel bad about themselves and misunderstood, and like theyre being chastised, told theyre bad and that their sacrifices are meaningless.

When I think of the small, rural towns I grew up in, in Oregon and then in Vermont, normal meant occasionally enjoying being mean; making fun of peoples differences, forming cliques, bullying. We sometimes called each other ugly names, we told awful sexist and ethnic jokes. As girls, we all knew we were less than.

When, as a 22-year-old in 1974, I worked in a huge working-class daycare center in Lowell, Mass. my female boss called me The Jew when she was irritated with me, and The Wop when she wasnt. (I was both.) Other staff members included the The Polack, the Cannuck and the Mick. We all laughed a lot, not thinking much of it, but the tone was nasty.

Whats acceptable to do, or be, or say aloud, even to believe in private, has changed radically in half a century.

I worked for many of those changes, and heartily applaud the bulk of them. I passionately favor racial equality, gender equality, and on and on. But the changes have been accompanied by an unintentional oozing sense of superiority in those of us who have bought into this newer vision of whats OK and whats not.Weve seen the light. But the unspoken rest of that assumption is, We are virtuous and You are inferior, you are shameful.

[T]he changes have been accompanied by an unintentional oozing sense of superiority in those of us who have bought in to this newer vision of whats OK and whats not.

Wittingly or not, we often strip the dignity from anyone not in our club. We forget that theres a difference between feeling your vision of the world has something better to offer humanity, and feeling you are superior because you hold that vision. But the heat of the battle tends often to melt that distinction.

Part of Trumps genius has been to say, No, youre not less than to me. You are good people. I embrace you just the way you are. If you vote for me, I will have your back. I wont let anyone make you feel bad or ashamed even when you behave indecently. I do that too. The power of the message, however disingenuous the speaker, is profound.

The question facing those of us intent on creating greater racial, gender and economic equality, and on fueling a full-throttle effort to reverse climate change, is how we move forward legislatively, how we gather power and use it forcefully, without dehumanizing, devaluing or patronizing those who may disagree.

I dont know. It may be that the best our minds' hardwiring will let us do is move the othering from one place to another, and that ever rearranging groups will make meaning only by battling forever. Im not sure we can find another way. But its certainly a burning question. And were he still with us, I think Mr. Rogers would be all in on seeking an answer.

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Never Underestimate The Power Of Saying 'I Like You Just The Way You Are' - WBUR

Op-Ed: Let’s Not Lecture Healthcare Workers This Thanksgiving – MedPage Today

I read with interest the recent MedPage Today article "Demanding Thanksgiving Abstinence is Not Public Health." In it, Vinay Prasad, MD, MPH, argues that as public health officials, we should not be admonishing Americans to avoid Thanksgiving altogether during this COVID-19 resurgence. We should be more compassionate, he says, understanding that people are human beings with needs, and that many are going to do Thanksgiving the way they want to anyway. And knowing this, we should figure out how to listen to what people are telling us and work with them on ways to reduce risk without torpedoing their basic need for holiday connectedness after a long year of isolation.

This is our classic "harm reduction" approach, which is adapted from public health work with people who struggle with substance abuse, and reflects "a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use," or in this case, not adopting behaviors that increase the risk of COVID-19. Harm reduction is also defined as "a movement for social justice built on a belief in, and respect for, the rights of people who use drugs."

I agree with the harm reduction approaches for this ongoing pandemic proposed by Dr. Prasad and others, as shaming people into behavioral submission to prevent spread of the novel coronavirus isn't the answer. Where I differ is that there is indeed even more nuance to this topic than the article suggests.

First, when we say that telling people to avoid Thanksgiving is an "abstinence-only" approach, we are automatically creating parallels to historical and current public health language and approaches with substance abuse, teen pregnancy, and the HIV epidemic. In these examples, abstinence-only speaks to people simply avoiding behavior that can lead to untoward consequences such as IV drug use or sex.

While there are parallels here to Thanksgiving, in general principle abstaining from substance abuse or certain sexual behaviors embodies a lifestyle change, not a skipping of a one-time holiday that, to be honest, is a luxury, not a necessity. Moreover, just stopping a behavior may be achievable for some, but not for others, so more realistic options must be offered.

Second, since we are using language from public health approaches with substance abuse and the HIV epidemic, it is useful to refresh our memories as to what actually happened back then. During the early 1980s when HIV first began to emerge, we knew that condoms worked, but to be honest, not everyone liked using them and/or could get access to them. Additionally, we didn't have any medications or effective treatments for HIV, so people were dying in droves. We didn't even have the prospect of a vaccine on the horizon to look forward to -- and still don't 40 years later.

While flying by the seat of our pants trying to handle the HIV epidemic that was decimating white gay communities, people who used IV drugs, and in Black and Latin communities, we sometimes encouraged drastic measures like telling people to avoid sex and IV drug use altogether.

The public health messaging was often judgmental and laced with stigma, but one could argue that we were in a crisis situation at the time and needed to do what was needed for the health of our communities while we waited on our government to even acknowledge that HIV existed and that treatments could be developed. Sound familiar?

Back then, I remember people being scared -- even without the public health messaging. I recall this because I was petrified as well. We didn't need a doctor or public health official to tell us how serious HIV was, as we saw it every week in the obituaries or when a friend suddenly didn't show up for a social gathering. People were here one day and gone the next.

Many were reluctant to have sex back then, even with condoms, while others listened to scientists and that, combined with what they were seeing on the ground, was enough to encourage additional precautions.

We live in different times now. There is a campaign to discredit science, facts, and truth. Healthcare workers who risk their lives daily to treat people with COVID-19 are being smeared in political and media outlets as greedy people just out to make a buck off the pandemic. Many are burned out, have become sick, and/or died from the virus, and some have suffered such tremendous mental health trauma from witnessing death on a daily basis that they have resorted to taking their own lives.

So as a medical community, we should give our colleagues a little wiggle room for knee-jerk reactions to social media clickbait when hearing about people not taking this pandemic as seriously as we know it is.

Truth is, we don't have comparable harm reduction tools for COVID-19 -- like needle exchange programs for IV drug use and pre-exposure prophylaxis for HIV prevention. Until the vaccine arrives, which may be months away, all we have in our toolkit are masks, handwashing, and physical distancing. That's all we got.

You'll have to excuse many medical and public health professionals if they resort to endorsing "abstinence-only" COVID-19 prevention approaches as a temporary solution for holiday gatherings. They are not trying to imprison anyone by suggesting they skip Thanksgiving this year -- they are merely trying to save lives and salvage what little is left of their physical and mental health in the process.

Finally, public health is indeed a service industry in that its primary purpose is to serve our communities. However, the fundamental flaw in declaring it a service industry like Walmart or Target, is that we are charged with the ethical responsibility of trying to educate and empower people beyond thinking only for themselves and their families when it comes to epidemics and disease states, as well as challenging them to understand how their behaviors may affect others as well.

This is the basic distinction between one-on-one clinical encounters and public health. The former simply focuses on what's best for the patient, while the latter considers both the patient and our larger communities. It's a formidable task when living in a country that thrives on and rewards narcissistic behavior like a prize won at a county fair.

There is no "right" way for public health officials to respond to this never-seen-in-our-lives-before pandemic. There is just a continuum of options that may be employed that should be patient-centered and appreciate human behavior and the desire for connectedness that COVID-19 has discarded like proverbial trash.

This is especially true when treatments for the virus are both expensive and limited, and the vaccine may be months away from reaching a general population that so desperately needs it.

While avoiding Thanksgiving altogether may not be the flavor for everyone's public health palate, given the circumstances and urgency of this situation where many still are not wearing masks or maintaining distance by choice, it may not be too unreasonable as a short-term suggestion.

Our job as public health officials shouldn't be to avoid "abstinence-only" speak altogether, but rather to figure out how to better communicate this as a temporary strategy so that our families, friends, and communities may consider it without shame, stigma, or feelings of coercion.

It may not be fruitful to lecture communities on how to react to this pandemic, but it is equally unproductive to lecture healthcare workers on how to react as well. We are all going through this together.

David Malebranche, MD, MPH, is a board-certified internal medicine, HIV, and sexual health physician who resides in Atlanta.

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Op-Ed: Let's Not Lecture Healthcare Workers This Thanksgiving - MedPage Today

Ways your Healthcare Company is Breaking the Law Without Realizing it – MedPage Today

According to the U.S. Department of Health & Human Services' Breach Portal, sometimes called the "Wall of Shame," 418 breaches of HIPAA were reported in 2019. Some 34.9 million Americans had their protected health information (PHI) compromised. How is this still happening?

Healthcare companies and practices make the biggest mistake by believing human behavior can be perfect all the time. For example, the employee may not have their encrypted work phone with them, so they choose to use their personal phone to send patient information. Email had the worst breaches ever in 2019.

Also resulting from this assumption about human behavior, healthcare providers cheap out and refuse to pay for sufficient security measures for their network. A cheap security system may not contain proper firewalls and leave devices vulnerable, while wholly unencrypted devices can be a nightmare. Healthcare employees leave their cell phones, laptops, or iPads in their vehicles while they run out for coffee or to the grocery. And what happens next? The vehicles are broken into, and PHI is at risk.

Several occurrences of this type took place involving employees at the Dallas Children's Hospital. An unencrypted, non-password protected Blackberry was lost at the DFW airport in November 2009, and Children's reported the breach to the Office of Civil Rights (OCR) in January 2010. It contained the electronic PHI of 3,800 patients.

Later, an unencrypted laptop was stolen from Children's in April 2013, containing electronic PHI of 2,462 patients. However, the hospital failed to report the theft. The OCR fined Children's $3.2 million for HIPAA noncompliance on these two data breaches.

This brings up another big tip: The OCR will be much more forgiving to those who report their own breach events, rather than being found out or reported by someone outside the organization.

Even then, Dallas Children's Hospital, which is part of Children's Health, the seventh-largest pediatric healthcare provider in the U.S., did not take encryption seriously and continued to issue unencrypted Blackberries and laptops to employees until 2013, despite being notified about the necessity for encryption back in 2007.

In addition, companies need to reinforce a "minimum information necessary" motto with their employees. Employees only need to access the patient information and medical history necessary for treatment or for payment. Snooping -- just simply being nosy -- can qualify as a violation and can lead to major fines. The world witnessed this when a UCLA Health System researcher went to jail for reading 323 confidential records held by the university's school of medicine, which contained medical records of various California celebrities.

Another common mistake is when paper PHI is disposed of incorrectly. Making sure medical records are shredded is of extreme importance. In Montgomery, Alabama, records were discovered in a garbage truck and all over the ground around the truck. They included names, numbers, x-rays, ultrasound, MRIs, and were clearly labeled "Radiology Department, Baptist Medical Center."

Here are a couple other tips to protect patients' privacy:

The easiest of slip-ups in HIPAA compliance come from conversational violations or "loose lips." A common example of this is when doctors and nurses talk about a patient at the coffee bar, elevator, or in the hallways with others around. Believe it or not, it happens all the time.

One alarming example of this was in a medium-sized hospital. There were many patients around, and the doctors and nurses were holding private conversations. An associate chief medical officer said, "Maybe we should open up the death rooms!" When asked what that was, he responded, "We only use them to talk away from the gathering family members whose loved one is about to die." Protected health information comes in all forms, positive and negative. I advised him to open the rooms for all conversations involving PHI, including if someone was cured of cancer. That is private information too!

While it may be fun to create this rapport or engage in such jocularity at work, non-compliant verbiage can become a very expensive joke.

These aspects cover the waterfront for HIPAA's privacy and security rules, but it is best for every healthcare provider to have at least one in-house compliance person. Said compliance professionals should attend webinars to keep themselves constantly informed as to how providers are being breached and save their employers millions of dollars in fines born of carelessness.

Concomitantly, healthcare CEOs must develop up-to-date strict policies and mandatory compliance training quarterly. It is also recommended to prohibit access to work emails, communications, and attachments using personal cellphones.

David Silva, CHC, CPHQ, is a healthcare compliance and quality professional with over 15 years of experience in leading teams in investigations, assessments, corrective action plan creation, and validation audits.

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Ways your Healthcare Company is Breaking the Law Without Realizing it - MedPage Today

How safe is it to go to indoor movie theaters during the COVID-19 pandemic? – Gazettextra

Remember what it was like going out to see a movie?

Even though movie theaters have implemented protocols to protect guests and staff during the COVID-19 pandemic, and many of the measures have been met with praise from experts, the exhibition industry remains in a state of crisis. Indoor theaters have been closed in Los Angeles County since mid-March, and Gov. Gavin Newsom pulled the "emergency brake" on the rest of the state last week, shutting down many indoor businesses in California, including most movie theaters. Even when these restrictions lift, the industry will be anxious to reopen safely.

And in many other states, the question remains: With the national totals surpassing 12 million infections, more than 255,000 Americans dead and daily numbers surging to record highs, just how risky is it to see a movie indoors?

The argument from the exhibition industry to keep theaters open relies on confidence in the COVID-19 protocols theaters are putting in place including mask mandates, enhanced cleaning, automatic seating gaps between parties, limited auditorium capacity, staggered showtimes and other measures. They say no outbreaks have yet been traced back to movie attendance.

"That's not just (in) the U.S. but anywhere in the world," said Patrick Corcoran, vice president and chief communications officer of the National Assn. of Theater Owners, which introduced the "CinemaSafe" program that theaters can opt into. "There have been people who have worked at movie theaters or who have attended movie theaters who have had it, but it hasn't been passed on to others in that environment through any tracing."

"The guidance looks great on paper," said Dr. Peter Chin-Hong, an infectious disease specialist at UC San Francisco. "If you have a well-ventilated movie theater and people keep their masks on for the whole time and they are socially distant, and you don't go to the movies when you're sick ... it's probably going to be a relatively safe environment."

However, he notes those protocols can easily be defeated by the actions of others. "You can have a lot of recommendations, but at the end of the day, it's really human behavior."

And while Chin-Hong agrees there are "no documented COVID cases linked to movie attendance to date globally," he adds, "the absence of an association does not mean that there have not been any transmissions."

To help unpack this debate, The Times spoke with two industry spokespeople Corcoran and Chanda Brashears, vice president of investor relations and public relations of Cinemark Theaters; and three public health experts Chin-Hong, Dr. Georges Benjamin, executive director of the American Public Health Assn. and Dr. Annabelle De St. Maurice of UCLA.

The experts praised many of the industry's safety measures right up to the point of entering the auditorium. Once inside, though, the hazards increase, they agreed, mostly because of choices patrons make.

Mask mandates

Everyone interviewed for this article agreed mask wearing was key. CinemaSafe guidelines state, however, "face coverings may be removed for the limited purpose and limited time period necessary to consume food and beverages, if approved by state or local health authorities."

Benjamin, an internal medicine specialist and Maryland's former secretary of health, said, "Just like in a restaurant, you take a mask off to eat popcorn or drink, etc. And of course, when you do that, if you're infected, you will expel virus." Especially, he noted, if you laugh or scream at the movie.

De St. Maurice, a physician who specializes in pediatrics and infectious disease and is the co-chief infection prevention officer for UCLA Health, agreed, "How often are they going to pull the mask back up? And movies make you laugh and shout."

The health experts expressed concern that even proper social distancing might not be enough protection for a long period of exposure (say an average visit of two hours) to people who are not wearing masks. Benjamin invoked the CDC's definition of "community-related exposure" to infected individuals, even asymptomatic ones: "within six feet for a total of 15 minutes or more." In such cases, the CDC recommends those exposed "stay home until 14 days after last exposure," entering quarantine protocols.

"The activity within a movie theater is very different from what you have at a bar or a restaurant," Corcoran countered. "You don't have people facing each other." The duration of attendance helps mitigate risk, he added, as opposed to in a restaurant or bar, where "people finish eating, and they get up and leave, (replaced by) more people."

Cinemark has added employees whose sole job it is to make sure staff and patrons are following COVID-19 rules, Brashears said.

Still, De St. Maurice noted, enforcement could be an issue: "You may get pushback and a lot of these employees are teenagers and may not feel comfortable correcting an adult. You want to keep the theater open, and you want to keep your customers happy."

Seating and social distancingSocial distancing is defined by the CDC as maintaining six feet from people not in your household. Theaters have tried to enforce this by reducing crowds with staggered showtimes, fewer choices at concession stands, etc. AMC and Cinemark are among those that have instituted ticket-buying systems that automatically insert a one-seat buffer on either side of parties for a total of two seats separating parties from others. However, if most cinema seats are about two feet wide, that's only about a four-foot buffer.

Brashears said most of Cinemark's seats are wider-than-normal "recliners" and "rockers," so two adjacent would meet the six-foot standard.

Some auditoriums are laid out in a "stadium seating" configuration, in which rows are elevated as they progress backward.

"I think the other challenge is the stadium seating," said De St. Maurice. "You're coughing and there's droplets. Where are they going to land? Below you."

Corcoran noted that stadium seating starts with a greater distance between heads, in part because of the incline: "That distance is probably sufficient."

Ventilation

The chains tout their ventilation systems, including MERV 13 filters being installed in auditoriums. However, data wasn't available about the rate of air exchanges (the number of times per hour a ventilation system can replace the air in a room with new air from outside), which experts say matters most.

"It sounds like they've installed some MERV 13 filters in some areas, but I think without improving your air exchanges. And those filters are really expensive," De St. Maurice said, wondering if they're in every auditorium. "Optimizing air exchanges would be helpful. Opening doors so that you can get some outdoor air.

"If you think about it, if one person is sick and air just keeps recirculating, then you get into trouble. There was a restaurant in China, in Guangzhou, where the air was recirculating and (droplets) had spread more than six feet because the air basically just kept going in this loop. People who were sitting within that loop but maybe farther than six feet from the index case became infected as a result."

Brashears said, "In Cinemark theaters, the air comes straight down and then out through the side vents. We're bringing in a consistent flow of outside air, because we recognize how important that is." She also pointed out Cinemark's emphasis on "elimination of pollutants using MERV filters and integrating bipolar ionization."

Reducing crowds

The experts uniformly praised the exhibitors' masked employees, limited capacity, staggered showtimes, removal of shared condiments, cashless transactions and reduced menus.

"It's not about the menu," explained De St. Maurice. "It's about theoretically having fewer people waiting in line trying to decide what to get. Having a sign posted that says 'Don't wait in a line' isn't quite as effective as structuring things so that people are less inclined to wait in the line or really don't have to."

Off-peak hours are likely safer as well, Benjamin added. "Obviously, if they clean it real well at night, you're probably better off in the morning. You're probably better off when you have less people in the theater."

Local conditions and other concerns

All three health experts said extra caution should be exercised where infection positivity rates are higher, because any public activities would be more dangerous.

De St. Maurice said, "Whatever we can do to reduce transmission within the community is really important to keep these luxuries in our lives and allow those who are working in these industries to be able to work again."

An optimal movie theater scenario would include no concessions being sold and would have flexible schedules for workers and "good sick leave policies," De St. Maurice said, "so they could stay home when feeling ill, rather than being incentivized to work through it."

And while the experts were bullish on many of the steps taken, they were bearish on others taking patrons' temperatures, enhanced cleaning and wearing gloves, for instance. Benjamin pointed out gloves can transport contaminants just as well as bare skin can and if improperly used, can create a false sense of security. He also cited studies indicating the risk of fomite transmission (infection via touching surfaces) to be low.

Chin-Hong said, "People need to be flexible because things may change. The science is only as good as if people adhere to what's going on. Just like with a playground, you can have the guidance, but if you have a screaming child running by you ... you can't always control that environment, and I think that (the) unknown is what is probably most anxiety provoking about all of this."

So how safe is going to an indoor movie?

For perspective, The Times asked experts to rate the safety of certain activities on a scale from 0-100, 0 being the least likely to result in COVID-19 infection and 100 being the most dangerous. Among the activities listed, they separately agreed indoor moviegoing was among the riskiest. Benjamin declined to provide ratings but put moviegoing in the range of going to an indoor restaurant.

Outdoor restaurant: 10

Grocery store: 15-20 (or 30-40 if people congregate)

Commercial airliner: 40-50

Outdoor event, not socially distanced, masks not enforced: 40-50

Indoor movie: 50-60 (up to 75 if people are laughing, shouting, singing along)

Indoor bar, masks and social distancing not enforced: 80

As of this writing, the CDC lists moviegoing among its higher risk activities.

One solution that seems to address most of the experts' concerns, however, is the "Private Watch Party." In that option, up to 20 patrons can buy out a theater for a screening for $99-$149 (at Cinemark), eliminating the wild card of strangers' behavior within the auditorium. Brashears said the chain had sold upward of 50,000 of the events.

"At the end of the day, it all comes down to the consumer. Consumers have to play a part for us to operate safely," she said.

Corcoran recommended patrons visit the websites of the theaters they want to attend, to educate themselves on the specific protocols in place.

Chin-Hong said, "Being proactive rather than reactive is probably the best summary statement, but it not only depends on where you are, but who you are, how you determine what risk is. Maybe you're older or you have medical (concerns); you may decide the juice isn't worth the squeeze."

(c)2020 Los Angeles Times

Distributed by Tribune Content Agency, LLC

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How safe is it to go to indoor movie theaters during the COVID-19 pandemic? - Gazettextra

City and health officials say hospitalization and positive rates for COVID-19 have plateaued – KELOLAND.com

SIOUX FALLS, S.D. (KELO) There is some slightly good news to report tonight when it comes to COVID-19.

Health officials in Sioux Falls say the rates of positive tests and hospitalizations appear to have plateaued in the past two weeks.

But theyre also warning people to not let their guard down especially as we head into the holiday season.

The city of Sioux Falls mask mandate went into effect on Saturday to help slow the spread of COVID-19.

Today at a news conference, Mayor Paul TenHaken said people are complying.

After two days with that, theres been very few problems, at least that Ive heard about, TenHaken said.

Even though theres no penalty for not complying with the mask mandate, the mayor says he thinks people are taking it seriously.

The mandate comes at a time when positivity and hospitalization rates in Sioux Falls have plateaued over the past 14 days.

Health officials say the next two months will be crucial, though, in helping slow the spread.

Human behavior over Thanksgiving and Christmas is going to weigh in to what the positivity rates are, hospitalization rates are, the death rates are in the next couple of months, Dr. Mike Elliot of Avera Health said.

While the world waits for the approval of a vaccine, both hospitals in Sioux Falls are using a new drug to treat COVID-19 patients.

We started using the new monoclonal antibody treatment that was approved last week and that is available for infusion, they show great promise in reducing rates of hospitalizations, Dr. Mike Wilde of Sanford Health said.

Over the past couple of weeks, in general, hospitalizations have remained flat, we are all thankful for that, Id love to tell you weve turned the corner, but its too darn early to say that for sure, Dr. Elliot said.

Thats why they still want people to continue following CDC guidelines, including wearing a mask.

Over 500 businesses have now signed on to the Safer Sioux Falls pledge.

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City and health officials say hospitalization and positive rates for COVID-19 have plateaued - KELOLAND.com

Malcolm Gladwell and his tipping point – The Jakarta Post – Jakarta Post

While some people take things in life as facts or accept a because its so explanation of matters like unconscious bias when meeting new people or the reasoning behind spur-of-the-moment decisions, author and journalist Malcolm Gladwell seeks to unravel the mysteries behind the ordinary.

In his best-selling debut bookThe Tipping Point, he examined the so-called tipping point in various formats like how patient zero can lead to a global pandemic or how even one person can jumpstart a trend, in a more benign example.

In the book, he outlined three factors or agents of change: The Law of the Few or the Pareto principle, where 80 percent of consequences are caused by 20 percent of the causes; The Stickiness Factor, where the specific content of a message can provide a memorable impact; and The Power of Context, which stipulates that human behavior is always context-sensitive to the environment.

When it was published in 2000,The Tipping Pointresonated greatly with readers, and the book sold millions of copies, landing it a place on theNew York Times bestsellers list and resulting in it being named one of the 21stcenturys 100 best books byThe Guardianin 2019.

Other books by Gladwell also explore oft overlooked themes, like decision making (Blink,2005), high achievers (Outliers,2008), underdogs (David and Goliath, 2013), and dealing with the unknown (Talking to Strangers,2019).

With his flair for mixing anecdotes and research notes, its no wonder that Gladwell was named as one of the 100 Most Influential People byTIMEin 2005 and was even considered again in 2011.

When asked what exactly drives him to take a closer look at these issues, the Canadian said he was curious by nature and enjoyed looking at things from unusual perspectives.

Once Ive written something, I never go back and reread it. Once Im finished with it, Ive lost interest in it and Im on to the next thing. So maybe theres something in my restlessness that keeps me inspired, he said in an interview on the heels of IDEAFest attended byThe Jakarta Post.

However, he also observed that many people, as they grow older, tend to lose their appetite for new things even as they gain new experiences along the way.

Gladwell said he tries his best to expose himself to new ideas and new people, as he does not wish to become stale, in the way he thinks some older journalists and writers are.

Even the age-old obstacle of writers block is a non-issue for him, something he attributed to his early days working at a newspaper.

I had to write nearly every day, and that cured me of any writers block. You cant be a newspaper reporter if you have writers block. I think its impossible, right?

The writing was not the hard part, he said. Instead, it was the thinking that came before the writing process, such as establishing the topic, researching, finding sources and so on.

By the time it comes to writing, I feel like all the hard work has been done, and then Im just putting things on the page. Its the preparation for writing thats the challenge.

Recipe for success: Malcolm Gladwell, the author of five 'New York Times' bestsellers, finds himself enjoying looking at things both overlooked and misunderstood. (Courtesy of gladwellbooks.com/epost-robot)

When the topic inevitably turned to the current pandemic after all,he did say inThe Tipping Pointthat ideas, messages and behaviors spread like viruses do Gladwell took a rather diplomatic approach in saying that the handling was not as good as expected.

But at the same time, its a really difficult problem for us, dealing with a contagious disease particularly one where we dont have a good understanding of who its going to affect the worst, how it spreads, how to treat it, Gladwell said.

If COVID was something that struck every fall and we were in the tenth year of COVID, we would be responding in a very different way. Weve never had this in this form before.

He also noted previous pandemics like the influenza pandemic of the late 1950s and the 1918 Spanish flu, but said there were few who could remember those times, which highlighted the needs for society to practice dealing with challenges like COVID-19.

He said he was not surprised that it had been difficult, for democratic countries in particular, to make sure everyone behaved appropriately.

I expect by the time this happens again and it will happen again well do a much better job.

As sheltering in place has been made mandatory in a wide variety of locations, Gladwell said that his productivity had increased, but at the same time, he missed many things that traveling offered.

Think about all the things Ive missed. Ive never been to Indonesia before. I would have met you all in person. I would have experienced its culture for the first time. There are a thousand unexpected experiences I would have had that Ill never have now, he said.

So I really do think that although I have more time for myself, the cost of the pandemic is much greater than the benefit for someone like me. Im someone who, for my work, needs to be exposed to new ideas, new people and new cultures. Thats being denied to me.

Traveling, he said, offered the chance to meet people and find ways they were similar and dissimilar to himself.

I feel like every culture in the world has something to teach us. We dont know in advance what that is. Thats why you travel, Gladwell said.

If I knew in advance what I would learn from going to Indonesia, I would just read a book. You pick up something different every time you experience something, so my mind would be entirely open to what I would learn. (ste)

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Malcolm Gladwell and his tipping point - The Jakarta Post - Jakarta Post

Information Overload Helps Fake News Spread, and Social Media Knows It – Scientific American

Consider Andy, who is worried about contracting COVID-19. Unable to read all the articles he sees on it, he relies on trusted friends for tips. When one opines on Facebook that pandemic fears are overblown, Andy dismisses the idea at first. But then the hotel where he works closes its doors, and with his job at risk, Andy starts wondering how serious the threat from the new virus really is. No one he knows has died, after all. A colleague posts an article about the COVID scare having been created by Big Pharma in collusion with corrupt politicians, which jibes with Andy's distrust of government. His Web search quickly takes him to articles claiming that COVID-19 is no worse than the flu. Andy joins an online group of people who have been or fear being laid off and soon finds himself asking, like many of them, What pandemic? When he learns that several of his new friends are planning to attend a rally demanding an end to lockdowns, he decides to join them. Almost no one at the massive protest, including him, wears a mask. When his sister asks about the rally, Andy shares the conviction that has now become part of his identity: COVID is a hoax.

This example illustrates a minefield of cognitive biases. We prefer information from people we trust, our in-group. We pay attention to and are more likely to share information about risksfor Andy, the risk of losing his job. We search for and remember things that fit well with what we already know and understand. These biases are products of our evolutionary past, and for tens of thousands of years, they served us well. People who behaved in accordance with themfor example, by staying away from the overgrown pond bank where someone said there was a viperwere more likely to survive than those who did not.

Modern technologies are amplifying these biases in harmful ways, however. Search engines direct Andy to sites that inflame his suspicions, and social media connects him with like-minded people, feeding his fears. Making matters worse, botsautomated social media accounts that impersonate humansenable misguided or malevolent actors to take advantage of his vulnerabilities.

Compounding the problem is the proliferation of online information. Viewing and producing blogs, videos, tweets and other units of information called memes has become so cheap and easy that the information marketplace is inundated. Unable to process all this material, we let our cognitive biases decide what we should pay attention to. These mental shortcuts influence which information we search for, comprehend, remember and repeat to a harmful extent.

The need to understand these cognitive vulnerabilities and how algorithms use or manipulate them has become urgent. At the University of Warwick in England and at Indiana University Bloomington's Observatory on Social Media (OSoMe, pronounced awesome), our teams are using cognitive experiments, simulations, data mining and artificial intelligence to comprehend the cognitive vulnerabilities of social media users. Insights from psychological studies on the evolution of information conducted at Warwick inform the computer models developed at Indiana, and vice versa. We are also developing analytical and machine-learning aids to fight social media manipulation. Some of these tools are already being used by journalists, civil-society organizations and individuals to detect inauthentic actors, map the spread of false narratives and foster news literacy.

The glut of information has generated intense competition for people's attention. As Nobel Prizewinning economist and psychologist Herbert A. Simon noted, What information consumes is rather obvious: it consumes the attention of its recipients. One of the first consequences of the so-called attention economy is the loss of high-quality information. The OSoMe team demonstrated this result with a set of simple simulations. It represented users of social media such as Andy, called agents, as nodes in a network of online acquaintances. At each time step in the simulation, an agent may either create a meme or reshare one that he or she sees in a news feed. To mimic limited attention, agents are allowed to view only a certain number of items near the top of their news feeds.

Running this simulation over many time steps, Lilian Weng of OSoMe found that as agents' attention became increasingly limited, the propagation of memes came to reflect the power-law distribution of actual social media: the probability that a meme would be shared a given number of times was roughly an inverse power of that number. For example, the likelihood of a meme being shared three times was approximately nine times less than that of its being shared once.

This winner-take-all popularity pattern of memes, in which most are barely noticed while a few spread widely, could not be explained by some of them being more catchy or somehow more valuable: the memes in this simulated world had no intrinsic quality. Virality resulted purely from the statistical consequences of information proliferation in a social network of agents with limited attention. Even when agents preferentially shared memes of higher quality, researcher Xiaoyan Qiu, then at OSoMe, observed little improvement in the overall quality of those shared the most. Our models revealed that even when we want to see and share high-quality information, our inability to view everything in our news feeds inevitably leads us to share things that are partly or completely untrue.

Cognitive biases greatly worsen the problem. In a set of groundbreaking studies in 1932, psychologist Frederic Bartlett told volunteers a Native American legend about a young man who hears war cries and, pursuing them, enters a dreamlike battle that eventually leads to his real death. Bartlett asked the volunteers, who were non-Native, to recall the rather confusing story at increasing intervals, from minutes to years later. He found that as time passed, the rememberers tended to distort the tale's culturally unfamiliar parts such that they were either lost to memory or transformed into more familiar things. We now know that our minds do this all the time: they adjust our understanding of new information so that it fits in with what we already know. One consequence of this so-called confirmation bias is that people often seek out, recall and understand information that best confirms what they already believe.

This tendency is extremely difficult to correct. Experiments consistently show that even when people encounter balanced information containing views from differing perspectives, they tend to find supporting evidence for what they already believe. And when people with divergent beliefs about emotionally charged issues such as climate change are shown the same information on these topics, they become even more committed to their original positions.

Making matters worse, search engines and social media platforms provide personalized recommendations based on the vast amounts of data they have about users' past preferences. They prioritize information in our feeds that we are most likely to agree withno matter how fringeand shield us from information that might change our minds. This makes us easy targets for polarization. Nir Grinberg and his co-workers at Northeastern University recently showed that conservatives in the U.S. are more receptive to misinformation. But our own analysis of consumption of low-quality information on Twitter shows that the vulnerability applies to both sides of the political spectrum, and no one can fully avoid it. Even our ability to detect online manipulation is affected by our political bias, though not symmetrically: Republican users are more likely to mistake bots promoting conservative ideas for humans, whereas Democrats are more likely to mistake conservative human users for bots.

In New York City in August 2019, people began running away from what sounded like gunshots. Others followed, some shouting, Shooter! Only later did they learn that the blasts came from a backfiring motorcycle. In such a situation, it may pay to run first and ask questions later. In the absence of clear signals, our brains use information about the crowd to infer appropriate actions, similar to the behavior of schooling fish and flocking birds.

Such social conformity is pervasive. In a fascinating 2006 study involving 14,000 Web-based volunteers, Matthew Salganik, then at Columbia University, and his colleagues found that when people can see what music others are downloading, they end up downloading similar songs. Moreover, when people were isolated into social groups, in which they could see the preferences of others in their circle but had no information about outsiders, the choices of individual groups rapidly diverged. But the preferences of nonsocial groups, where no one knew about others' choices, stayed relatively stable. In other words, social groups create a pressure toward conformity so powerful that it can overcome individual preferences, and by amplifying random early differences, it can cause segregated groups to diverge to extremes.

Social media follows a similar dynamic. We confuse popularity with quality and end up copying the behavior we observe. Experiments on Twitter by Bjarke Mnsted and his colleagues at the Technical University of Denmark and the University of Southern California indicate that information is transmitted via complex contagion: when we are repeatedly exposed to an idea, typically from many sources, we are more likely to adopt and reshare it. This social bias is further amplified by what psychologists call the mere exposure effect: when people are repeatedly exposed to the same stimuli, such as certain faces, they grow to like those stimuli more than those they have encountered less often.

Such biases translate into an irresistible urge to pay attention to information that is going viralif everybody else is talking about it, it must be important. In addition to showing us items that conform with our views, social media platforms such as Facebook, Twitter, YouTube and Instagram place popular content at the top of our screens and show us how many people have liked and shared something. Few of us realize that these cues do not provide independent assessments of quality.

In fact, programmers who design the algorithms for ranking memes on social media assume that the wisdom of crowds will quickly identify high-quality items; they use popularity as a proxy for quality. Our analysis of vast amounts of anonymous data about clicks shows that all platformssocial media, search engines and news sitespreferentially serve up information from a narrow subset of popular sources.

To understand why, we modeled how they combine signals for quality and popularity in their rankings. In this model, agents with limited attentionthose who see only a given number of items at the top of their news feedsare also more likely to click on memes ranked higher by the platform. Each item has intrinsic quality, as well as a level of popularity determined by how many times it has been clicked on. Another variable tracks the extent to which the ranking relies on popularity rather than quality. Simulations of this model reveal that such algorithmic bias typically suppresses the quality of memes even in the absence of human bias. Even when we want to share the best information, the algorithms end up misleading us.

Most of us do not believe we follow the herd. But our confirmation bias leads us to follow others who are like us, a dynamic that is sometimes referred to as homophilya tendency for like-minded people to connect with one another. Social media amplifies homophily by allowing users to alter their social network structures through following, unfriending, and so on. The result is that people become segregated into large, dense and increasingly misinformed communities commonly described as echo chambers.

At OSoMe, we explored the emergence of online echo chambers through another simulation, EchoDemo. In this model, each agent has a political opinion represented by a number ranging from 1 (say, liberal) to +1 (conservative). These inclinations are reflected in agents' posts. Agents are also influenced by the opinions they see in their news feeds, and they can unfollow users with dissimilar opinions. Starting with random initial networks and opinions, we found that the combination of social influence and unfollowing greatly accelerates the formation of polarized and segregated communities.

Indeed, the political echo chambers on Twitter are so extreme that individual users' political leanings can be predicted with high accuracy: you have the same opinions as the majority of your connections. This chambered structure efficiently spreads information within a community while insulating that community from other groups. In 2014 our research group was targeted by a disinformation campaign claiming that we were part of a politically motivated effort to suppress free speech. This false charge spread virally mostly in the conservative echo chamber, whereas debunking articles by fact-checkers were found mainly in the liberal community. Sadly, such segregation of fake news items from their fact-check reports is the norm.

Social media can also increase our negativity. In a recent laboratory study, Robert Jagiello, also at Warwick, found that socially shared information not only bolsters our biases but also becomes more resilient to correction. He investigated how information is passed from person to person in a so-called social diffusion chain. In the experiment, the first person in the chain read a set of articles about either nuclear power or food additives. The articles were designed to be balanced, containing as much positive information (for example, about less carbon pollution or longer-lasting food) as negative information (such as risk of meltdown or possible harm to health).

The first person in the social diffusion chain told the next person about the articles, the second told the third, and so on. We observed an overall increase in the amount of negative information as it passed along the chainknown as the social amplification of risk. Moreover, work by Danielle J. Navarro and her colleagues at the University of New South Wales in Australia found that information in social diffusion chains is most susceptible to distortion by individuals with the most extreme biases.

Even worse, social diffusion also makes negative information more sticky. When Jagiello subsequently exposed people in the social diffusion chains to the original, balanced informationthat is, the news that the first person in the chain had seenthe balanced information did little to reduce individuals' negative attitudes. The information that had passed through people not only had become more negative but also was more resistant to updating.

A 2015 study by OSoMe researchers Emilio Ferrara and Zeyao Yang analyzed empirical data about such emotional contagion on Twitter and found that people overexposed to negative content tend to then share negative posts, whereas those overexposed to positive content tend to share more positive posts. Because negative content spreads faster than positive content, it is easy to manipulate emotions by creating narratives that trigger negative responses such as fear and anxiety. Ferrara, now at the University of Southern California, and his colleagues at the Bruno Kessler Foundation in Italy have shown that during Spain's 2017 referendum on Catalan independence, social bots were leveraged to retweet violent and inflammatory narratives, increasing their exposure and exacerbating social conflict.

Information quality is further impaired by social bots, which can exploit all our cognitive loopholes. Bots are easy to create. Social media platforms provide so-called application programming interfaces that make it fairly trivial for a single actor to set up and control thousands of bots. But amplifying a message, even with just a few early upvotes by bots on social media platforms such as Reddit, can have a huge impact on the subsequent popularity of a post.

At OSoMe, we have developed machine-learning algorithms to detect social bots. One of these, Botometer, is a public tool that extracts 1,200 features from a given Twitter account to characterize its profile, friends, social network structure, temporal activity patterns, language and other features. The program compares these characteristics with those of tens of thousands of previously identified bots to give the Twitter account a score for its likely use of automation.

In 2017 we estimated that up to 15 percent of active Twitter accounts were botsand that they had played a key role in the spread of misinformation during the 2016 U.S. election period. Within seconds of a fake news article being postedsuch as one claiming the Clinton campaign was involved in occult ritualsit would be tweeted by many bots, and humans, beguiled by the apparent popularity of the content, would retweet it.

Bots also influence us by pretending to represent people from our in-group. A bot only has to follow, like and retweet someone in an online community to quickly infiltrate it. OSoMe researcher Xiaodan Lou developed another model in which some of the agents are bots that infiltrate a social network and share deceptively engaging low-quality contentthink of clickbait. One parameter in the model describes the probability that an authentic agent will follow botswhich, for the purposes of this model, we define as agents that generate memes of zero quality and retweet only one another. Our simulations show that these bots can effectively suppress the entire ecosystem's information quality by infiltrating only a small fraction of the network. Bots can also accelerate the formation of echo chambers by suggesting other inauthentic accounts to be followed, a technique known as creating follow trains.

Some manipulators play both sides of a divide through separate fake news sites and bots, driving political polarization or monetization by ads. At OSoMe, we recently uncovered a network of inauthentic accounts on Twitter that were all coordinated by the same entity. Some pretended to be pro-Trump supporters of the Make America Great Again campaign, whereas others posed as Trump resisters; all asked for political donations. Such operations amplify content that preys on confirmation biases and accelerate the formation of polarized echo chambers.

Understanding our cognitive biases and how algorithms and bots exploit them allows us to better guard against manipulation. OSoMe has produced a number of tools to help people understand their own vulnerabilities, as well as the weaknesses of social media platforms. One is a mobile app called Fakey that helps users learn how to spot misinformation. The game simulates a social media news feed, showing actual articles from low- and high-credibility sources. Users must decide what they can or should not share and what to fact-check. Analysis of data from Fakey confirms the prevalence of online social herding: users are more likely to share low-credibility articles when they believe that many other people have shared them.

Another program available to the public, called Hoaxy, shows how any extant meme spreads through Twitter. In this visualization, nodes represent actual Twitter accounts, and links depict how retweets, quotes, mentions and replies propagate the meme from account to account. Each node has a color representing its score from Botometer, which allows users to see the scale at which bots amplify misinformation. These tools have been used by investigative journalists to uncover the roots of misinformation campaigns, such as one pushing the pizzagate conspiracy in the U.S. They also helped to detect bot-driven voter-suppression efforts during the 2018 U.S. midterm election. Manipulation is getting harder to spot, however, as machine-learning algorithms become better at emulating human behavior.

Apart from spreading fake news, misinformation campaigns can also divert attention from other, more serious problems. To combat such manipulation, we have recently developed a software tool called BotSlayer. It extracts hashtags, links, accounts and other features that co-occur in tweets about topics a user wishes to study. For each entity, BotSlayer tracks the tweets, the accounts posting them and their bot scores to flag entities that are trending and probably being amplified by bots or coordinated accounts. The goal is to enable reporters, civil-society organizations and political candidates to spot and track inauthentic influence campaigns in real time.

These programmatic tools are important aids, but institutional changes are also necessary to curb the proliferation of fake news. Education can help, although it is unlikely to encompass all the topics on which people are misled. Some governments and social media platforms are also trying to clamp down on online manipulation and fake news. But who decides what is fake or manipulative and what is not? Information can come with warning labels such as the ones Facebook and Twitter have started providing, but can the people who apply those labels be trusted? The risk that such measures could deliberately or inadvertently suppress free speech, which is vital for robust democracies, is real. The dominance of social media platforms with global reach and close ties with governments further complicates the possibilities.

One of the best ideas may be to make it more difficult to create and share low-quality information. This could involve adding friction by forcing people to pay to share or receive information. Payment could be in the form of time, mental work such as puzzles, or microscopic fees for subscriptions or usage. Automated posting should be treated like advertising. Some platforms are already using friction in the form of CAPTCHAs and phone confirmation to access accounts. Twitter has placed limits on automated posting. These efforts could be expanded to gradually shift online sharing incentives toward information that is valuable to consumers.

Free communication is not free. By decreasing the cost of information, we have decreased its value and invited its adulteration. To restore the health of our information ecosystem, we must understand the vulnerabilities of our overwhelmed minds and how the economics of information can be leveraged to protect us from being misled.

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Information Overload Helps Fake News Spread, and Social Media Knows It - Scientific American

What The University Of Illinois Learned From Reopening Amid The Pandemic – – Illinois Newsroom

URBANA When University of Illinois at Urbana-Champaign officials decided to reopen in the midst of the COVID-19 pandemic, they launched an ambitious plan to keep the virus at bay. The approach included mandatory twice-a-week testing, using a saliva-based test developed by its own researchers.

The campus own modelers predicted early on that, with the testing program and other restrictions in place, there would be no more than 500 cases by Thanksgiving break, when classes shift to entirely virtual and most students leave campus.

But the true number of coronavirus cases at the University of Illinois turned out to be much higher: more than 3,800 among all students and employees. Campus officials say at least 3,091 cases have occurred among the estimated 35,000 to 38,000 students living on or near campus, roughly 8% of the student body.

Now, those higher-than-expected case numbers are leading the university to change its approach to combating the virus. Those helping develop campus reopening plans like university epidemiologist Rebecca Smith are looking more closely at ways to modify student behavior.

What went wrong

Smith says the campus initial approach while informed by research that shows frequent mass testing is a critical component to safely reopening college campuses relied too heavily on technology. It did not take into consideration certain aspects of human behavior that could thwart reopening plans.

The biggest lesson is that technology cannot save us from a pandemic, she says.

The majority of students, faculty and staff did an amazing job at adhering to campus requirements, Smith says. But a minority of students and employees made decisions that suggest they dont believe the virus is a risk to them and are not concerned about protecting the broader community.

The models the campus relied on assumed that people would not defy public health orders and do things like host or attend parties while knowingly infected with the virus.

There was just the assumption that telling somebody that they were infected meant that they were to isolate, Smith says. We didnt think that people would choose to ignore isolation orders.

Modelers also did not expect that students would ignore contact tracers calls and voicemails. And they assumed the contact tracing process carried out by the local health department would occur more quickly than it did.

With the nature of this virus, even a small number of people flouting the rules can cause major outbreaks and thats what played out at the University of Illinois.

The campus saw a spike in coronavirus cases early on in the semester, prompting campus officials to add new restrictions and warn of the potential for shutting the campus back down.

The effort to clamp down on spread worked, Smith says, and new daily cases even dipped into the single digits for a time.

But as the virus prevalence in the community ticked up, even small gatherings like football watch parties, Halloween get-togethers of 10 people or less led to spread. Smith says students also traveled off campus more frequently than they expected, likely bringing the virus back with them.

Both the campus and the state are suffering from the fact that borders dont mean anything to a virus, she says. So right now, what were seeing on campus a lot is just the statewide spread of the virus coming onto our campus.

What went well

While there was a lot of concern early on that bringing students back would spread the virus into the community, Smith says testing and contact tracing data show no indication that that happened.

Champaign-Urbana Public Health Administrator Julie Pryde confirmed that student cases appeared to remain on campus.

There are also no signs of virus spread linked to in-person classroom settings. Rather, clusters among students tend to be either their social networks or their residences. And those two overlap, so its hard to tease them apart, Smith says.

Smith also notes that the purpose of modeling was never to make a firm prediction on how many cases would occur by the end of the semester. Rather, epidemiological modeling helps researchers compare different scenarios and make decisions about what efforts are likely to lead to the best outcomes.

She adds, People took that number [of 500 cases] and said: This is whats going to happen. Modelers will never say that. So, yes, the prediction was not correct compared to the reality, but I would not have expected it to be because there was so much we didnt know at that time.

Most other campuses that reopened only tested people with symptoms of known exposure, Smith says.

But the University of Illinois attempted whats known as a whole population surveillance program, [which] is understood by infectious disease epidemiologists as the best way to find and control a disease that spreads through asymptomatic infection, Smith says.

This is particularly important on college campuses, since college-age students who contract the virus are most likely to show few or no symptoms.

So we know that with the majority of our cases, if we had only tested [people with symptoms], we would not have found them, she says.

Pryde notes that Champaign County, which includes the university, has completed more than 1 million tests about 12% of all testing done in the entire state of Illinois.

Rapid, frequent testing is crucial, Pryde says. And [the University of Illinois] figured out a way to do that. That, coupled with the mitigation efforts, are really a model for the country.

Looking ahead

Despite these efforts, more people contracted the virus than university officials had hoped.

So going forward, Smith says the university is taking a new approach.Hard scientists, like herself, who have been mostly focused on the technological aspects of reopening, are now working closely with University of Illinois social scientists and communications experts to develop a strategy that better accounts for human behavior.

Countries that have done well at controlling the spread of the virus have a culture with a less individualistic mindset and more emphasis on care of the entire community, Smith says.

This is something that everybody at all levels of pandemic control knows: In order to control the pandemic, we have to care for other people and we have to make those choices, Smith says.

The big question is: How do you shift the culture of a college campus?

The University of Illinois is now conducting surveys and focus groups with students to learn what strategies may be more successful at motivating them to make choices that protect the health of the entire community. Smith says these efforts are ongoing.

Before we can actually change peoples minds and attitudes about how to keep everybody safe, we have to understand why theyre making the choices that they are, she says.

These strategies will be important both for the success of the spring semester and down the road when students will be asked to be immunized once a vaccine becomes available.

Meanwhile, campus officials want students who are staying in the Champaign-Urbana area between now and January to be tested at a campus testing site every other day especially if they travel away from the area and return.

The biggest change for the spring semester involves starting a week later than usual on Jan. 25 and having students return a week before classes start to quarantine until they receive two negative coronavirus test results.

Smith expects another bump in COVID-19 cases in January, as students return to campus during a time when theres likely to be even more widespread community transmission.

But shes hopeful the immediate test-and-quarantine approach, along with strategies developed in tandem with campus social scientists, will help control the spread of the virus.

This story was produced by Side Effects Public Media, a news collaborative covering public health.

Christine Herman is a reporter atIllinois Public Media. Follow her on Twitter: @CTHerman

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What The University Of Illinois Learned From Reopening Amid The Pandemic - - Illinois Newsroom