• Technician called ’sole bad actor’ in Massachusetts drug lab debacle - CNN.com

    L’encadrement était juste mauvais mais pas méchant

    http://edition.cnn.com/2014/03/04/us/massachusetts-drug-lab-report

    “Dookhan was the sole bad actor at the Drug Lab. Though many of the chemists worked alongside Dookhan for years, the OIG (Office of the Inspector General) found no evidence that any other chemist at the Drug Lab committed any malfeasance with respect to testing evidence or knowingly aided Dookhan in committing her malfeasance,” the report said.
    But the report didn’t stop short of blaming the unprecedented breach in confidence solely on Dookhan.
    “The directors were ill-suited to oversee a forensic drug lab, provided almost no supervision, were habitually unresponsive to chemists’ complaints and suspicions, and severely downplayed Dookhan’s major breach in chain-of-custody protocol upon discovering it,” according to the inspector general’s report.

    Rappel des faits et de la condamnation de l’intéressée en novembre 2013

    After Dookhan’s co-workers told state police her work might be unreliable, the state attorney general’s office began investigating the case in July 2012. The tampering called into question at least 40,000 cases going back to 2003 and, in some cases, may have wrongfully convicted the innocent.
    She was found guilty of multiple charges related to the case, including obstruction of justice, mishandling of drug evidence and lying about holding a master’s degree in chemistry from the University of Massachusetts. She was sentenced in November of last year to three to five years in prison.

    Pour l’encadrement…

    “The directors were ill-suited to oversee a forensic drug lab, provided almost no supervision, were habitually unresponsive to chemists’ complaints and suspicions, and severely downplayed Dookhan’s major breach in chain-of-custody protocol upon discovering it,” according to the inspector general’s report.

    Ah, tant qu’on y est : il y a aussi 2000 résultats de tests douteux dans lesquels elle n’est pas intervenue…

    In addition to the drug samples Dookhan mishandled, an additional 2,000 drug samples not handled by Dookhan were found to potentially contain “exculpatory evidence” to defendants in criminal cases because the drug lab failed to disclose “additional, inconsistent testing results,” the report said.

    À l’époque, http://seenthis.net/messages/93040 et http://seenthis.net/messages/93084. Dans ce dernier, @touti faisait déjà la comparaison avec le petit Kerviel auquel on pense instantanément à la lecture du rapport ci-dessus.

  • Teen to government : Change your typeface, save millions - CNN.com
    http://edition.cnn.com/2014/03/27/living/student-money-saving-typeface-garamond-schools

    “Ink is two times more expensive than French perfume by volume,” (...)

    So Suvir decided to focus his project on finding ways to cut down on the costly liquid.(...) Suvir figured out that by using #Garamond with its thinner strokes, his school district could reduce its ink consumption by 24%, and in turn save as much as $21,000 annually.

    #typographie #écologie (et pour une fois, pas d’#effet_rebond à craindre ??)

  • Russia sanctions: Why the U.S. and Europe are not quite in step - CNN.com
    http://edition.cnn.com/2014/03/07/business/russia-sanctions-why-the-u-s-and-europe-are-not-quite-in-step/index.html?hpt=hp_c2

    How important is Russia’s economy?

    Russia is the eight biggest economy in the world, with GDP of more than $2 trillion. Its economy — which is heavily reliant on commodities, particularly oil and gas — is expected to grow only slightly in 2014 to around $2.4 trillion. Hopes it would be one of the decade’s powerhouse economies have faded, with its GDP growing just 1.3% last year compared to 2012, one of the sharpest slowdowns in the emerging markets.

    Russia boomed in the late 1990s and early 2000s as energy prices rose, then stumbled as demand for commodities contracted. But its energy supplies remain vitally important for the European Union, to which it supplies a third of its natural gas. Germany, the eurozone’s biggest economy, imports around 40% of its gas from Russia.

    But Russia’s relationship with the West has fractured over the Ukraine crisis, and it now risks being economically isolated by the U.S. and the European Union. Visa bans have been introduced, and harsher sanctions threatened.

    What is Russia’s economic relationship with the U.S?
    Obama: The world should support Ukraine
    Obama orders sanctions over Ukraine

    The economic relationship between Russia and the U.S. is unbalanced. Russia is the 20th largest trading partner for the U.S., with $27 billion worth of trade exported across the Atlantic. On the flip-side, the U.S. is Russia’s fifth largest partner, with just $11 billion worth of trade.
    Barroso: Ukrainian goal is convergence

    According to Russian Foundation chair David Clark, trade is a “relatively unimportant” component of relations. Energy links are also weakening as the U.S. looks to shale gas for its energy supplies and heads towards self-sufficiency.

    However, on Thursday the U.S. State Department imposed a visa ban on Russian and Ukrainian officials and individuals “responsible for, or complicit in threatening the sovereignty and territorial integrity of Ukraine.” President Barack Obama also signed an Executive Order laying the groundwork to impose sanctions against individuals and entities responsible for the crisis.

    In a statement the White House said the move was a response to “Russia’s ongoing violation of Ukraine’s sovereignty and territorial integrity — actions that constitute a threat to peace and security and a breach of international law.”

    Clark said the U.S. could get greater leverage over Russia from financial sanctions aimed at the country’s banking system and stability of the ruble. Measures targeted at named individuals, similar to those contained in the Magnitsky Act, could also be effective. “Russia’s angry response to the act shows that it works,” Clark said.

    Russia has threatened to retaliate against sanctions but, according to Clark, it “has a great deal to lose by escalating too far. Seizing western property would make Russia a no-go zone for foreign investors who Russia desperately needs to modernize its economy and maintain energy production.”

    s Europe going to do the same?

    The EU is Russia’s largest trading partner, and there are deep economic links between the two. Almost half of Russia’s exports — $292 billion worth — end up in EU countries. Russia, in turn, is the third biggest trading partner for the EU, with $169 billion in imports.

    The EU has stepped more cautiously than the U.S. on sanctions. On Thursday, the EU threatened to impose sanctions on Russia if the negotiations between Moscow and Kiev did not prove effective in dealing with the Ukraine crisis.

    European Council President Herman Van Rompuy said negotiations needed to start in the next few days and “produce results.” Without that, he said, the EU would look to additional measures such as travel bans, asset freezes, and cancellation of the EU and Russia summit.

    Earlier, a document leaked from British government suggested the UK was happy to impose sanctions — but only those that would not cause harm to the country’s financial sector.

    And while G8 members — excluding Russia — are threatening to abandon a Sochi summit planned for later this year, Germany has also pushed for more diplomacy.

    Clark believes Russia could retaliate against any European sanctions, saying it would probably try and “pick-off some of the countries that have been most forceful in advocating tough measures against it — especially Poland and the Baltic States.” However, “it probably wouldn’t retaliate against the EU as a whole or against Germany.”

    Meanwhile, the West has offered $16 billion in aid for Ukraine, helping the country prop up its ailing finances. Ukrainian leaders have said they will be $30 billion in the hole by the end of 2015. About half of that debt comes due in 2014.

    Why the different approaches?

    The eurozone has only just emerged from its own crisis, and would be wary of cutting ties with such a powerful economic partner. Its reliance on gas out of Russia would also feed caution. In contrast, the U.S. is weaning itself off Russia’s energy supplies and its trade relationship is much less intertwined.

    But Louise Cooper, of financial blog CooperCity, said the West risks looking weak if it doesn’t follow tough talk with action. The EU has so far “only come up with a threat of symbolic sanctions, even after Crimea has effectively been taken over by Russia with a new pro-Russian government,” she noted. Even the U.S. visa ban “will have no impact on either the Russian economy or the American one,” she said.

    Meanwhile Russia risks isolating itself, Clark said. “It can maintain de facto control over Crimea indefinitely, but it will come at a very considerable long-term cost to Europe’s willingness to consider Russia as anything other than a source of trouble and insecurity.”

    #Russie
    #Ukraine
    #Etats-Unis
    #Europe

  • Prostate surgery edges slightly ahead of ’watchful waiting’ in study - CNN.com
    http://edition.cnn.com/2014/03/05/health/prostate-surgery-study

    When it comes to prostate cancer, aggressive surgery saves lives and leads to a better quality of life, according to a new study that could inflame the debate over how best to treat the disease — and in some cases, whether to treat it at all.
    The paper, published in the New England Journal of Medicine, is an update on a study that was launched in Sweden, Finland and Iceland a quarter-century ago. Nearly 700 men newly diagnosed with prostate cancer were split into two groups: half had their prostate gland fully removed — a radical prostatectomy — and half were followed through a protocol of “watchful waiting,” where doctors only treated them if symptoms progressed.
    On average, men who underwent immediate surgery lived longer, were less likely to see the cancer spread and had fewer complications from the disease. The longevity benefit was greatest for men in their 50s and early 60s, where over an 18-year period, surgery cut the death rate by more than a third.

    Le papier d’origine #paywall
    Radical Prostatectomy or Watchful Waiting in Early Prostate Cancer — NEJM
    http://www.nejm.org/doi/full/10.1056/NEJMoa1311593

    RESULTS
    During 23.2 years of follow-up, 200 of 347 men in the surgery group and 247 of the 348 men in the watchful-waiting group died. Of the deaths, 63 in the surgery group and 99 in the watchful-waiting group were due to prostate cancer; the relative risk was 0.56 (95% confidence interval [CI], 0.41 to 0.77; P=0.001), and the absolute difference was 11.0 percentage points (95% CI, 4.5 to 17.5). The number needed to treat to prevent one death was 8. One man died after surgery in the radical-prostatectomy group. Androgen-deprivation therapy was used in fewer patients who underwent prostatectomy (a difference of 25.0 percentage points; 95% CI, 17.7 to 32.3). The benefit of surgery with respect to death from prostate cancer was largest in men younger than 65 years of age (relative risk, 0.45) and in those with intermediate-risk prostate cancer (relative risk, 0.38). However, radical prostatectomy was associated with a reduced risk of metastases among older men (relative risk, 0.68; P=0.04).
    CONCLUSIONS
    Extended follow-up confirmed a substantial reduction in mortality after radical prostatectomy; the number needed to treat to prevent one death continued to decrease when the treatment was modified according to age at diagnosis and tumor risk. A large proportion of long-term survivors in the watchful-waiting group have not required any palliative treatment.

    La suite de l’article de CNN rend la lecture plus confuse, car il donne la parole à des spécialistes non signataires de l’étude qui donnent leurs points de vue. Essentiellement,

    Carroll agrees that mortality is only part of the picture and says the new study underscores a need to better differentiate between high- and low-risk cancers.

    Yapuka…