Voyager Celebrates 20-Year-Old Valentine to Solar System

six narrow-angle color images taken from Voyager 1
These six narrow-angle color images were made from the first ever 'portrait' of the solar system taken by Voyager 1, which was more than 4 billion miles from Earth and about 32 degrees above the ecliptic. › Full image and caption
Twenty years ago on February 14, NASA's Voyager 1 spacecraft had sailed beyond the outermost planet in our solar system and turned its camera inward to snap a series of final images that would be its parting valentine to the string of planets it called home.

Mercury was too close to the sun to see, Mars showed only a thin crescent of sunlight, and Pluto was too dim, but Voyager was able to capture cameos of Neptune, Uranus, Saturn, Jupiter, Earth and Venus from its unique vantage point. These images, later arranged in a large-scale mosaic, make up the only family portrait of our planets arrayed about the sun.

The Apollo missions in the 1960s and 70s had already altered our perspective of Earth by returning images of our home planet from the moon, but Voyager was providing a completely new perspective, said Ed Stone, Voyager project scientist at the California Institute of Technology in Pasadena.

"It captured the Earth as a speck of light in the vastness of the solar system, which is our local neighborhood in the Milky Way galaxy, in a universe replete with galaxies," Stone said.

In the years since the twin Voyager spacecraft were launched in 1977, they had already sent back breathtaking, groundbreaking pictures of the gas giants Jupiter, Saturn, Uranus and Neptune. It took Voyager 1 more than 12 years to reach the place where it took the group portrait, 6 billion kilometers (almost 4 billion miles) away from the sun. The imaging team started snapping images of the outer planets first because they were worried that pointing the camera near the sun would blind it and prevent more picture-taking.

Candy Hansen, a planetary scientist based at NASA's Jet Propulsion Laboratory in Pasadena, Calif., who worked with the Voyager imaging team at the time, remembers combing through the images and finally finding the image of Earth. She had seen so many pictures over the years that she could distinguish dust on the lens from the black dots imprinted on the lens for geometric correction.

There was our planet, a bright speck sitting in a kind of spotlight of sunlight scattered by the camera. Hansen still gets chills thinking about it.

"I was struck by how special Earth was, as I saw it shining in a ray of sunlight," she said. "It also made me think about how vulnerable our tiny planet is."

This was the image that inspired Carl Sagan, the the Voyager imaging team member who had suggested taking this portrait, to call our home planet "a pale blue dot."

As he wrote in a book by that name, "That's here. That's home. That's us. On it everyone you love, everyone you know, everyone you ever heard of, every human being who ever was, lived out their lives. … There is perhaps no better demonstration of the folly of human conceits than this distant image of our tiny world."

After these images were taken, mission managers started powering down the cameras. The spacecraft weren't going to fly near anything else, and other instruments that were still collecting data needed power for the long journey to interstellar space that was ahead.

The Voyagers are still transmitting data daily back to Earth. Voyager 1 is now nearly 17 billion kilometers (more than 10 billion miles) away from the sun. The spacecraft have continued on to the next leg of their interstellar mission, closing in on the boundary of the bubble created by the sun that envelops all the planets. Scientists eagerly await the time when the Voyagers will leave that bubble and enter interstellar space.

"We were marveling at the vastness of space when this portrait was taken, but 20 years later, we're still inside the bubble," Stone said. "Voyager 1 may leave the solar bubble in five more years, but the family portrait gives you a sense of the scale of our neighborhood and that there is a great deal beyond it yet to be discovered."

The Voyagers were built by JPL, which continues to operate both spacecraft. Caltech manages JPL for NASA.

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Acer’s Aspire One 532G Is First Netbook With NVIDIA’s Ion 2 Graphics [NetBooks]

Acer's keen on racking up lots of firsts for its netbook arm, with this Aspire One 532G having the claim of being the world's first to use NVIDIA's Ion 2 graphics technology for 1080p playback.

The 10.1-inch LED-backlit screen will playback videos at 1080p with 7.1-channel audio output. It'll also be suitable for 3D gaming, Acer claims, though why you'd want to do that on a little netbook is beyond me. A 10-hour battery life, Wi-Fi and the choice of embedded 3G all figure, along with an Intel N450 Pine Trail chip and HDMI video output. On sale in just a month or two, it'll be available in several colors—blue, red, and silver.

Acer Aspire One 532G: first netbook with dedicated graphics for true
Hi-Def video enjoyment

Playback 1080p on external screen for viewing Hi-Def content with friends and family

The new Acer Aspire One 532G sets the netbook trend in the digital world where Hi-Def viewing online is growing dramatically. Acer presents the world's first netbook with dedicated next-generation NVIDIA® ION™ graphics acceleration enabling users to enjoy Hi-Def content online as well as playback at 720p; alternatively, connect through HDMI output to a secondary Hi-Def TV/LCD monitor for sharing Hi-Def content with friends at a larger 1080p resolution.

With up to 10 hours* of battery life, integrated Wi-Fi®, 10.1" Hi-Def LED backlit display and optional 3G, the Aspire One 532G matches outstanding performance with an ultra-compact design, offering all the power you need. Netbook users can now enjoy flawless Hi-Def web content streaming and multiple Internet applications with ease.

Flawless web Hi-Def acceleration† and Hi-Def entertainment
Go beyond simple Internet browsing to experience full high-definition video on sites like YouTube HD, Hulu and Facebook, Aspire One 532G with dedicated graphics accelerates web Hi-Def content streaming effortlessly. Enjoy smooth and flawless 3D computing, mainstream PC gaming, boost the performance of editing and converting videos, face-tagging photos and Hi-Def video playback up to 1080p via HDMI-output to HDTV; and effectively perform everyday Internet browsing, emailing, chats, photo viewing, document editing and such on the Aspire One 532G. All of these are achieved with the new Intel Atom™ N450 platform and next-generation NVIDIA® ION™ GPU with dedicated 512MB memory.

Smart power and Hi-Def performance
The Aspire One 532G makes no compromise on great performance and battery life; it mobilizes online Hi-Def computing, at the same time lowers power consumption for longer-lasting battery. NVIDIA® Optimus™ Technology intelligently, automatically, and seamlessly transitions between the powerful NVIDIA® ION™ GPU, and battery-saving integrated graphics – depending on the needs of the application – delivering great battery life and great performance when you need it.

Care-free mobile companion
Making light work of Internet multi-tasking, the Aspire One 532G needs only a single charge for up to 10 hours* of cable-free power, enabling users to stay connected and get the most on-the-go. The innovative AC adapter is travel friendly, lighter than typical adapters, saves 1/3 charging time and comes with interchangeable AC converters. No matter where you are, you can always have the right plug.

Measuring only 1" thin and about 1 kg in weight, the Aspire One 532G is available in three contemporary colors – Sapphire Blue, Ruby Red and Pearl Silver. Its compact form, fluid Hi-Def cinema and flawless Hi-Def flash video quality along with great battery life, truly realizes barrier-free communication.

This highly efficient netbook is Energy Star® v5.0 qualified and compliant with RoHS and WEEE EU directives, regulating the use and disposal of hazardous substances in electrical and electronic equipment. It also features LED backlight, making it mercury free.

The Aspire One 532G will start shipping at the end of Q1 2010.


Cassini Set to Do Retinal Scan of Saturnian Eyeball

Saturn's moon Mimas
During its approach to Mimas on Aug. 2, 2005, the Cassini spacecraft narrow-angle camera obtained multi-spectral views of the moon from a range of 228,000 kilometers (142,500 miles).
On Feb. 13, 2010, NASA's Cassini spacecraft will make its closest examination yet of Mimas, an eyeball-shaped moon of Saturn that has also been likened to the Death Star of "Star Wars." The spacecraft will be returning the highest-resolution images yet of this battered satellite.

Mimas bears the mark of a violent, giant impact from the past - the 140-kilometer-wide (88-mile-wide) Herschel Crater - and scientists hope the encounter will help them explain why the moon was not blown to smithereens when the impact happened. They will also be trying to count smaller dings inside the basin of Herschel Crater so they can better estimate its age.

In addition, Cassini's composite infrared spectrometer will be working to determine the thermal signature of the moon, and other instruments will be making measurements to learn more about the surface composition.

The Mimas flyby involves a significant amount of skill because the spacecraft will be passing through a dusty region to get there. Mission managers have planned for the Cassini spacecraft to lead with its high-gain antenna to provide a barrier of protection. At closest approach, the spacecraft will be flying about 9,500 kilometers (5,900 miles) above the moon. Cassini will start taking images and measurements shortly after closest approach.

Mimas is an inner moon of Saturn that averages 396 kilometers (246 miles) in diameter. The diameter of Herschel Crater is about one-third that of the entire moon. The walls of the crater are about 5 kilometers (3 miles) high, and parts of the floor are approximately 10 kilometers (6 miles) deep.

More information is available at http://www.nasa.gov/cassini and http://saturn.jpl.nasa.gov.

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Endeavour Brings Tranquility

Backdropped by the blackness of space, space shuttle Endeavour was photographed by the Expedition 22 crew as the shuttle approached the International Space Station during STS-130 rendezvous and docking operations on Feb. 9, 2010. The Tranquility node can be seen in the shuttle's payload bay.

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NASA to Discuss Supernova and Dark Energy Research at Feb. 17 Teleconference

NASA will hold a teleconference with reporters at 1 p.m. EST on Wednesday, Feb. 17, to discuss the latest Chandra X-ray Observatory findings that advance our understanding of certain supernovae. This research is critical for studying dark energy, which astronomers believe pervades the universe.

The panelists are:
- Marat Gilfanov, astrophysicist, Max Planck Institute for Astrophysics, Garching, Germany
- Akos Bogdan, astrophysicist, Max Planck Institute for Astrophysics
- Mario Livio, astrophysicist, Space Telescope Science Institute, Baltimore

To reserve a telephone line, journalists should e-mail their name, media affiliation and telephone number to J.D. Harrington at:

j.d.harrington@nasa.gov

Audio of the teleconference will be streamed live on NASA's Web site at:

http://www.nasa.gov/newsaudio

For more information about NASA's Chandra X-ray Observatory, visit:

http://www.nasa.gov/chandra

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Public Education and Thought Control

One argument libertarians offer against government funding for education is that it facilitates thought control, since funding education means defining education.  This problem is particularly accute if funding comes in the form of public schools; it exists but is more easily avoided if funding comes as education vouchers.

Advocates of public schools view this concern as wild exaggeration, but I wonder what they think about a recent decision by the Texas School Board:

Finally, the board considered an amendment to require students to evaluate the contributions of significant Americans. The names proposed included Thurgood Marshall, Billy Graham, Newt Gingrich, William F. Buckley Jr., Hillary Rodham Clinton and Edward Kennedy. All passed muster except Kennedy, who was voted down.

More broadly, as this article explains, Christian Conservatives have become almost a majority of the Texas Board, and they want the public school curriculum to teach that the founding fathers were Christian and intended for the country to be the same.

The power to fund is the power to control.

Curtain Pulled Back for Windows Phone 7 Sneak Peek [Microsoft]

Behold! Windows Phone 7. Someone wasn't quite careful enough with his last minute update of this MWC signage and a passerby managed to snap this first glimpse of the WP7 interface, featuring bold, rectangular icons and Xbox integration.

This shot seems to confirm, to some extent, the bit of the last significant batch of rumors that promised tight Xbox integration. It also shows off the simplistic, geometric start page, including big, square icons for phone calls, messages, Twitter, and Facebook and a large band for accessing your pictures.

The device in the shot is a simple one: the screen is surrounded by a black bezel with a thin metal trim. Three hardware (or maybe touch?) buttons below the screen are the only visible controls, with a backwards arrow, a home-button with the Windows icon, and something that looks like a sideways magnifying glass. Is this the Zune phone? Or just another device in the WP7 stable? [Engadget]


Qualcomm’s FLO TV Service Will Be Demoed On Snapdragon Smartbooks At MWC [Qualcomm]

We've seen bits and pieces of Qualcomm's FLO live TV service, curiously even on an iPhone, but at MWC it'll be showing it off on Snapdragon-powered smartbooks. It enables real-time updates via Twitter while watching live TV.

If you don't have a Twitter account, or can't stand the thought of getting updates about footballers while watching a sports match, Qualcomm will also give the viewer info from breaking news services and other e-magazines. FLO TV has heaps of different channels to watch, including ESPN, Comedy Central, MTV, NBC and Nickelodeon. The jargon-filled press release is below, but in the meantime there should be some solid news including product launches with FLO TV coming this week. [Qualcomm via TechRadar]

Image credit: Electricpig

Qualcomm Incorporated (Nasdaq: QCOM), a leading developer and innovator of advanced wireless technologies, products and services, today announced FLO-EV, the next evolution of the FLO™ air interface for new deployments of mobile TV and other advanced broadcast mobile media services. Intended primarily for international markets, FLO-EV builds on the success of FLO technology to enable a rich suite of mobile content and services with greater channel capacity and significant performance improvements. FLO-EV is designed to help wireless operators lower the deployment costs for delivering multimedia content to mobile devices.

Analysts have predicted the global market for mobile media services will surpass $90 billion by 2018. Adoption of mobile media is being driven through a combination of increasing consumer awareness and industry investment. Wireless operators, broadcasters and content providers are all seeking to implement the best technologies to drive new mobile media business models. FLO-EV can help them by substantially lowering the cost of rolling out mobile media services while preserving features critical to the user experience, such as high-quality video, reduced power consumption, rapid channel changing times and increased channel capacity.

"As a technology enabler and leader in the mobile media space, Qualcomm is continually looking to improve the capabilities of FLO technology to deliver more advanced broadcast services to our worldwide customers," said Neville Meijers, senior vice president and general manager of MediaFLO Technologies. "FLO-EV is the result of our continued innovation and dedication to providing the most compelling and technically advanced offering to both wireless operators and mobile media consumers. By pushing the envelope with our design and development efforts, we are confident of staying at the forefront of the rapidly expanding and dynamic mobile media industry."

FLO-EV features a variety of technical enhancements to the original FLO Rev. A air interface (TIA-1099), including a 3-5 dB improvement in performance with the same spectral efficiency. This link margin can translate into a 30-50 percent reduction in capital and operating costs to deploy a FLO-EV network. Moreover, the costs savings can be realized without negatively affecting channel change times or increasing power consumption on the mobile device, thereby preserving a high-quality user experience. FLO-EV is well suited for new mobile TV network launches and as an upgrade to existing FLO Rev. A networks. FLO-EV can increase the channel capacity of a FLO Rev. A network by 50 percent or more using the existing transmit sites with no increase in radiated power.

The MediaFLO™ services platform enables the broadcast delivery of high-quality mobile entertainment and information to the mass market. In addition to live mobile TV, the MediaFLO platform supports enhanced mobile broadcast services such as streaming video and audio, clipcasting media, datacasting, interactive applications and targeted advertising – providing a compelling mobile media experience while enabling profitable business models. Invented for mobility and complementary to 3G and Wi-Fi services, the MediaFLO platform is designed to increase capacity and coverage and reduce costs for multimedia content delivery to unlimited mobile devices simultaneously. The MediaFLO platform is based on the FLO™ air interface, an open standard recognized by ETSI, ITU-R and TIA. Additional information is available at http://www.mediaflo.com.


Intel and Nokia Mate Their Moblin and Maemo Platforms, Spawn MeeGo OS [Nokia]

Nokia and Intel have joined up to marry their Moblin and Maemo platforms, creating the MeeGo spawn which will be seen on devices by the ends of the year. Another operating system?

Moblin is, of course, the open source mobile Linux that's been seen on phones and netbooks with Intel's Atom processor. Maemo was seen on Nokia's N900, and was pretty much heralded as the savior for their phones, especially with the latest version, Maemo 6, expected to debut on some phones this year.

While the jury is out on whether we need another mobile OS, MeeGo "will acelerate industry innovation and time-to-market for a wealth of new internet-based applications and services and exciting user experiences," according to reps from both Intel and Nokia, at a Mobile World Congress event in Barcelona.

Actual firm information on what MeeGo will look like, do or why the hell there's a market for it are beyond me, but all shall be revealed soon, I'm sure. [MeeGo via TechRadar]

From the MeeGo site:

MeeGo includes:

* Performance optimizations and features which enable rich computational and graphically oriented applications and connected services development
* No-compromise internet standards support delivering the best web experiences
* Easy to use, flexible and powerful UI/app development environment based on Qt
* Open source project organization managed by the Linux Foundation
* State of the Art Linux stack optimized for the size and capabilities of small footprint platforms and mobile devices, but delivering broad linux software application compatibility

MeeGo currently targets platforms such as netbooks/entry-level desktops, handheld computing and communications devices, in-vehicle infotainment devices, connected TVs, and media phones. All of these platforms have common user requirements in communications, application, and internet services in a portable or small form factor. The MeeGo project will continue to expand platform support as new features are incorporated and new form factors emerge in the market.


Toshiba’s K01 Smartphone Has a 4.1-Inch OLED Screen and QWERTY Keyboard [Toshiba]

As well as the TG02, Toshiba's brought the K01 slider phone all the way from its Japanese R&D department to Mobile World Congress, showing off a very nice sounding 4.1-inch OLED screen.

It's a bit thicker than the TG02 at 12.9mm deep, mostly due to the addition of a QWERTY keyboard. A 1Ghz Snapdragon processor, and microSD card slot are all that's known about the TG02, until we grab some more information (and pics) from Toshiba.


Toshiba’s TG02 Smartphone Delivers WinMo 6.5 and 1Ghz Snapdragon—Nothing Has Changed Much Since The TG01 [Toshiba]

The TG01 had it all on paper—an amazing screen, the first use of the super-fast Snapdragon processor, and a thin build not seen since before Nicole Richie started putting on the pounds. The TG02 will hopefully perform better.

It's not that the TG01 had anything particularly wrong with it, it just didn't live up to its specs. Lag weighed it down, as did Windows 6.5—which could be the downfall of the TG02, as it's not been updated with the later 6.5.3 by the sounds of it. We presume it'll be available as an OTA update, and perhaps even Windows Phone 7 at a later date, too.

Anyway, the TG02, which we first caught wind of in late January, has a 4.1-inch capacitive display, 1GHz Snapdragon processor, and newly-designed 3D interface. It's 9.9mm thick, which is only 0.1mm slimmer than the TG01, but is still slinky on the greater scheme of things. One thing I didn't like about the TG01 was the cheap build, so I hope Toshiba's at least used some more premium materials for the TG01.

UPDATE: Full specs below.


Symbian^3 Will Be Running On Phones Later This Year, But See What It Looks Like Now [Symbian]

Details were shed on the open source Symbian^3 platform just a week ago, but at Mobile World Congress the friendly guys at The Symbian Foundation got reckless with details on HDMI support, and both 2D and 3D gaming graphics.

It'll be "feature complete" within the next month or two, and the first products with the platform will be released in the third quarter. More information is below via the press release, but do check out this spiffy video of the Android-esque multi-screens with widgets, and Cover Flow-like media player. [Business Wire via Nokia Conversations]

The Symbian Foundation today unveiled the Symbian^3 (S^3) platform, the first entirely open source release following the platform's transition to an open source license on 4 February, 2010, which was the largest of its kind in history.

S^3 is expected to be "feature complete" by the end of Q1 and the release will include: significant usability and interface advances, faster networking, acceleration for 2D and 3D graphics in games and applications, HDMI support (High-Definition Multimedia Interface), music store integration, an improved user interface with easier navigation and multi-touch gesture support, a feature-rich homescreen, and the ability to run even more applications simultaneously.

Members of the Symbian community, including device creators, network operators, hardware technology providers, professional services companies and application developers are already engaged with S^3 and the first devices using the platform are expected to ship as early as Q3 this year.

S^3 introduces major advances, which include:

* HDMI support enables users to plug their phone into a TV and watch a high-definition movie at 1080p quality without a Blu-ray player.
* Music store integration embedded within the radio enables users to identify a song and learn more about it. The addition of a "buy now" button, which links with the user's chosen music store, makes purchasing easy.
* More efficient memory management due to Writeable Data Paging allows more applications to run in parallel for a faster, more complete and efficient multi-tasking experience, especially on mid-range hardware.
* A new 2D and 3D graphics architecture takes full advantage of the hardware acceleration available to deliver a faster and more responsive user interface. Users, developers and device creators will all benefit greatly from the visual enhancements and smooth transitions that will significantly improve the look-and-feel of their applications and services. Combined with industry-standard OpenGL ES, the new architecture also provides a great platform for high performance games – all without slowing the phone down.
* The industry-leading networking architecture, ready for 4G networks, provides next-generation Internet experiences on today's devices. Consumers will benefit from the architecture's ability to seamlessly balance each individual application's needs regarding factors such as bandwidth, latency and jitter. This improves the consumer's experience of network-dependent applications and Internet services like VoIP and media content streaming.
* One-click connectivity for all applications greatly simplifies the process of connecting to the Internet, without interrupting the user. New global settings allow the user to configure platform-wide behaviour, for example ensuring the device automatically switches from cellular to WLAN when a free WLAN network is available.
* Usability enhancements across the user interface include the adoption of a direct "single tap" interaction model, making it much easier to complete common tasks on a device. Multi-touch support for gestures such as "pinch-to-zoom" forms the basis of a gesture framework that can be extended and leveraged by the developer community.
* The Homescreen takes a big step forward with support for multiple pages of widgets and a simple flick gesture to move between them. The widget manager makes discovery and download of new widgets simple and support for multiple instances of a native widget means that consumers can monitor multiple weather forecasts, news feeds, social networking accounts or multiple email accounts simultaneously through a common interface.

Lee M. Williams, Executive Director of the Symbian Foundation, said: "S^3 is another huge milestone in the evolution of our platform. Now that it is fully open source, the door is open to individual contributors, device creators and third-party developer companies, as well as other organizations, to create more compelling products and services than ever before. We have enjoyed significant momentum since we completed S^2, with companies including Sun, Nokia, Ixonos, Comarch and Accenture, among others, contributing to S^3. We are now looking to build on this momentum and remain on course to complete S^4 later this year."

The developer experience has also been greatly improved. The Qt toolkit is pre-integrated into all kits and the runtime in S^3 will run on existing devices back to S60 3.1. The Web Runtime support provided in the platform remains a key part of the developer story, allowing web developers to directly re-use their skills in HTML, CSS, Javascript and AJAX to create Homescreen widgets and standalone applications.


Acer’s Android 2.1-Powered Liquid e May Be The Ecstasy You’ve Been Looking For [Android]

Acer's updated its Android range of phones with the Liquid e, running Android 2.1 and built using a Qualcomm Snapdragon 768 MHz processor, so isn't quite as zappy as some others we've seen recently.

While we don't have images of the Liquid e yet (seen above is the previous Liquid model), it has a 3.5-inch capacitive touchscreen is a WVGA job, the camera is a 5.0-megapixel sensor with autofocus; and there's Wi-Fi, Bluetooth, GPS and HSDPA/HSUPA on the wireless side.

Internally, the ROM is 512MB (with a microSD slot), RAM is 256MB and an accelerometer, light sensor and proximity sensor all feature. Full release and specs below, with pricing and availability not yet known. Acer's not exactly known for its smartphones, but this Liquid e sounds like quite a step-up from the first Liquid which we saw last year.

Acer is proud to present Liquid e, the new version of the already well known Liquid smartphone.

Acer Liquid e features the latest Android™ 2.1 Operating System (aka Éclair). Building on the processing and graphical capabilities of the Qualcomm™ Snapdragon™ and its high definition screen, Liquid e is the state-of-the-art for multimedia, web browsing, and social media integration. It should thrill both avid users of internet on-the-go and new users eager to experience the rich possibilities offered by this innovative device.

This appealing high definition smartphone is the ideal solution for users demanding the best from their devices and in particular for high-definition video playback or streaming, gaming and browsing smoothly rich-content internet sites.

What's new on Liquid e with Android Éclair 2.1:
• Home screens - The new version now handles five home screens by default, allowing users to easily install more applications from the rich selection available on the Android Market, as well as shortcuts and widgets;
• Quick Contacts – a feature that lets users easily switch between the address book and the social network applications;
• Live wallpapers to customize your Liquid e on the fly;
• A new keyboard layout with an extended dictionary for predictive input;
• An updated version of the Android browser, supporting HTML5, double-tap zooming, video tagging support and geo-location API support.

With its 3.5" high-definition capacitive touch screen, Acer Liquid e offers an unparalleled experience when watching pictures or videos, and proposes an abundance of new applications on Android™ Smart Handhelds - games, professional applications and web applets that will enrich the end user experience.

Powered by the powerful Qualcomm™ Snapdragon™ processor, Acer Liquid e provides instant access to web pages, smooth streaming of videos or music, and instant response from popular mail, maps and search applications. The high-speed processing capabilities and high-speed internet access (HSPA) of Snapdragon™ brings to life the Android™ experience: no idle-time, almost instant uploads of web pages and downloads of rich multimedia content. The developer community can now take full advantage of these capabilities to bring to market innovative applications that demand raw computing power and superior handling of 3D graphics.


Motorola’s Eighth Android Will Be Called Cliq XT in US, Quench In Europe [Motorola]

A follow-up from the Cliq, called the Cliq XT—or Quench, depending on where you live—has been shown off running Android 1.5 (which is a shame when most companies are looking at 2.1 now), and has MOTOBLUR.

Whether that's for better or worse, I'll leave up to you to decide—but in the meantime it has support for Adobe Flash Lite, a 3.1-inch 320 x 480 screen and a 5.0-megapixel camera with autofocus and flash. A-GPS with turn-by-turn directions, and Wi-Fi and HSDPA connectivity.

On sale sometime in the next month or two, it'll be exclusive to T-Mobile in the US, under the name of Cliq XT, but in other parts of the world it'll be known as the Quench. Hate to say it Moto, but with Android 1.5 you're not quenching my desire for an Eclair. Full release below. [Motorola]

Today Motorola, Inc. (NYSE: MOT) announced QUENCH with MOTOBLUR, Motorola's Android-powered content delivery service, which organizes messages and synchronizes contacts to keep conversations in constant motion. QUENCH's sleek touch-screen design, combined with great navigational features such as pinch and zoom and a touch pad, as well as the inclusion of Adobe Flash Lite, make browsing the web on its 3.1" high-resolution display a breeze. Motorola QUENCH™ will be available beginning in the first quarter of 2010. In the U.S., it will be called CLIQ XT™ and be available next month exclusively through T-Mobile USA. This is the eighth Android-powered device launched by Motorola around the globe.

"As we continue to expand Motorola's portfolio of Android-powered devices, we remain committed to delivering more of what people want from their handheld devices in easier ways," said Sanjay Jha, co-CEO of Motorola and CEO of Motorola Mobile Devices and Home business. "QUENCH with MOTOBLUR showcases Motorola's design heritage by offering a compelling differentiation from the traditional Android experience, giving people an easier way to have more messaging, more Web and more music."

MOTOBLUR is Motorola's Android-powered content delivery service created to make phones more personal and socially smart. It is the first solution to sync contacts, posts, messages, photos and much more - from sources such as Facebook®, MySpace, Twitter®, Gmail™, work and personal e-mail and Last.FM - and automatically deliver them to the home screen. Content is fed into easy-to-manage streams allowing you to spend less time managing your life and more time living it.

Messaging is made easier on QUENCH with the combination of MOTOBLUR features, a palm and pocket-friendly design and Swype, a new feature that makes responding to messages and entering text easier than ever. MOTOBLUR keeps happenings, messages, news feeds and more readily available for browsing and responding on the customizable home screen. Contact information, such as email addresses, profile pictures and phone numbers, is automatically synced whenever the details change online, so there's no need to manually update.

QUENCH delivers a complete Web experience on a full touch-screen device with pinch and zoom capabilities. Navigation is enhanced with a front-facing, centrally-located touch pad, so it's easier and more intuitive to flick through the Web. Adobe Flash Lite enables rich media content such as banners and videos to be displayed and fully enjoyed on the 3.1" high-resolution display.

The innovative new connected media player on QUENCH is not only connected to the Internet but your social networks as well. QUENCH connects you to your music with a new style of media player that lets you buy and instantly download music from an MP3 store while integrating third-party apps such as TuneWiki, SoundHound, GoTV, and YouTube™. The music search feature makes finding your songs easy while synchronized lyrics in any language you choose make learning songs easier than before. Share your favorite tracks, discover new ones2, find lyrics, watch videos, and stream FM radio.

QUENCH enables clear calls using dual microphones and noise cancellation technology, while crystal clear pictures are enabled by a 5.0 megapixel camera with autofocus and LED flash. Finding information online or within the device is made even easier with voice-activated search (English only). Simply say what you are looking for and QUENCH will find contacts, serve up Google™ Web search results based on location, or launch applications. Android Market™ provides fast access to more than 20,000 apps and widgets for limitless customizations and enhancements to QUENCH. Extras such as 3G and Wi-Fi® access, aGPS and stereo Bluetooth®1 make QUENCH a solid Android-powered device.

Finally, MOTOBLUR provides end-users with convenience and peace of mind, as lost devices can be located from a secure personal information portal and even remotely erased if necessary. Then, one user name and password brings back your contacts, messages and connectivity to your previously configured networks and email providers. Plus, with over-the-air updates, Motorola has the ability to improve current features and add new ones to QUENCH, ensuring the overall experience is continually enhanced.

Availability
QUENCH with MOTOBLUR will be available in multiple regions around the globe beginning in Q1 2010. In the U.S., the device will be called CLIQ XT with MOTOBLUR and will be available exclusively through T-Mobile USA beginning next month. For specific regional availability and pricing, contact your local Motorola representative. For more information, product specifications and images of QUENCH, please visit Media Center Fact Sheets. For multimedia assets from Mobile World Congress, visit MWC 2010 Press Kit. Also, follow us on Facebook and Twitter.


Samsung Shows The Future Of Its Camera Phones With New Sensor Technology [Samsung]

Samsung's headline act may've been the new Wave handset yesterday, but here at Gizmodo we're equally interested in the guts of these portable talky-phones. Take their two new CMOS sensors for phones, which show the future for Samsung's new camphones.

The S5K4E2 is a 5.0-megapixel sensor that measures just 1/4 of an inch and has an extended depth of field which will make for sharp photos (supposedly). It'll also shoot video at 14fps "at full resolution" and uses noise removal technology for clearer, less-noisy pics.

The second sensor, the S5K5CA, is 1/5th of an inch and is only 3.0-megapixels, with the main aim here being able to squeeze into extra small and slim phones. It'll shoot video in 720p and features a new JPEG rotation feature, which Samsung claims will save time when rotating images, eliminating lag.

Both camera sensors will be seen in phones in just a month or two, though I'm guessing the latter sensor has been used in the Wave, judging by the specs. [Business Wire]


ASUS’ Eee PC T101MT Has A Multitouch Tablet Display and New Pine Trail Chip [NetBooks]

Eee PCs may not be as ubiquitous now as they were a year or two ago, but this T101MT model has popped up in France with its swiveling multitouch display and Windows 7 OS, looking mighty fiiiiine.

That display is a 10.1-inch LED backlit resistive multitouch with 1024 x 600 resolution. Inside is an Intel Atom N450 processor—better known as one of the new Pine Trail chips—and either 1GB or 2GB of DDRR2 RAM. Storage is listed as 160GB or 320GB (both with 500GB of ASUS WebStorage), depending on if you splurge for Windows 7 Starter or Windows 7 Home Premium.

The webcam is 0.3-megapixels, and a built-in mic is included along with three USB ports, one LAN and two audio jacks. A MMC/SD card reader polishes it off, with Wi-Fi and Bluetooth.

Battery life is a purported 6.5 hours, which isn't that bad but we've seen better from other manufacturers. It'll go on sale in April—at least in Europe—with the price not yet known. It's a definite step-up from the early days of Eee PCs, so if you're in need of a dinky little portable machine, this one sounds like a player. [Blogeee via EeePC.it]


The Winkler County nurse case and the problem of physician accountability

A MISCARRIAGE OF JUSTICE THAT HAD A (SORT OF) HAPPY ENDING

Back in September and then again last week, I wrote briefly (for me) about an incident that I considered to be a true miscarriage of justice, namely the prosecution of two nurses for having reported the dubious and substandard medical practices of a physician on the staff of Winkler County Hospital in Kermit, Texas. The physician’s name is Dr. Rolando Arafiles, and he happened to be a friend of the Winkler County Sheriff, Robert Roberts, who also happened to have been a patient of Dr. Arafiles and very grateful to him for having saved his life. The nurses, Anne Mitchell and Vickilyn Galle, were longtime employees of Winkler County Hospital, a fifteen bed hospital in rural West Texas. Although some of you may have seen extensive blogging about this before, I thought it very important to discuss some of the issues involved on this blog. Moreover, there is an aspect to this case that the mainstream media reporting on it has missed almost completely, as you will see. Finally, this case showed me something very ugly about my profession, not just because a doctor tried to destroy the lives of two good nurses through his connections to the good ol’ boy network in Winkler County

Let’s recap what happened, a story that reached its climax last Thursday. In 2008, Dr. Arafiles joined the staff of Winkler County Hospital (WCH). It did not take too long for it to become apparent that there were serious problems with this particular doctor. Mitchell and Galle, who worked in quality assurance were dismayed to learn that Dr. Arafiles would abuse his position to try to sell various herbal remedies to patients in the WCH emergency room and the county health clinic and to take supplies from the hospital to perform procedures at a patient’s home rather than in the hospital. No, it wasn’t the fact that Dr. Arafiles recommended supplements and various other “alt-med” remedies, it’s that he recommended supplements and various other “alt-med” remedies that he sold from his own business–a definite no-no both ethically and, in many states, legally. Mitchell reported her concerns to the administration of WCH, which did pretty much absolutely nothing. Consequently, on April 7, 2009, Mitchell and Galle anonymously reported their concerns to the Texas Medical Board (TMB). In June, WCH fired the two nurses without explanation.

That’s bad enough, but happened next is about as appalling as it gets. When Dr. Arafiles received a letter from the TMB informing him that he was being investigated, he went to his good buddy and patient Sheriff Roberts, who suddenly transformed from a small town sheriff to Jack Bauer on crack. Showing an initiative that one would think would normally be reserved for thieves, rapists, and murderers, Sheriff Roberts set himself to discovering the identities of the anonymous complainants against Dr. Arafiles with a vengeance. He interviewed each and every patient listed in the anonymous complaint, asked WCH administration to tell him which of its personnel would have had access to these patient records, and obtained a copy of the anonymous complaint. The description of the nurses as “females over 50″ allowed him to narrow down the possibilities to Mitchell and Galle. Sheriff Roberts then obtained a search warrant for Mitchell’s computer at WCH and found a copy of the letter of complaint on it. As a result, Sheriff Roberts charged Mitchell and Galle with the “misuse of official information,” a third degree felony that carries a potential penalty of 2-10 years in prison.

Yes, prison.

It also turns out that the sheriff had at some time in the past been in business with Dr. Arafiles selling a nutritional supplement called Zrii, even going so far as to hold meetings at the local Pizza Hut to recruit new sellers in what sounds very much like a multilevel marketing scam. Apparently unperturbed by his massive conflict of interest, the Sheriff apparently convinced Winkler County Attorney Scott Tidwell to forget Article 2.01 of the Texas Code of Criminal Procedure that is quoted so prominently under his name that “It shall be the primary duty of all prosecuting attorneys…not to convict, but to see that justice is done.” Although Galle was dropped from the case for unclear reasons, Tidwell pursued the case against Mitchell all the way to trial last week. It was a trial that had to be moved to neighboring county because the case had so polarized Winkler County. Fortunately, on Thursday, after less than an hour of deliberation the jury found Mitchell not guilty. It was a Pyrrhic victory. Yes, Anne Mitchell was not convicted and wouldn’t be going to prison for as long as 10 years. Yes, the jury had resoundingly slapped down Tidwell and Roberts, heaping humiliation on them. Yes, even the Winkler County judge (not the trial judge–remember, the trial had been moved to a different county) Bonnie Leck had testified in favor of Mitchell and that she had discussed her concerns about Dr. Arafiles with her. All of that is true, but Mitchell and Galle have been out of work since June and racked up huge legal bills, and their futures are anything but clear. Even though legally Mitchell and Galle are out of the woods, their futures are anything but clear. In the meantime, they have filed a civil suit that, if there is any justice left in this country, will result in Dr. Arafiles, Sheriff Roberts, County Attorney Tidwell, and the administration of WCH paying dearly for their misdeeds.

THE UNTOLD STORY

The story as relayed above and in the news was horrifying enough, but it’s worse than what was reported. The reason is that Dr. Arafiles is a lot worse than he came off in most news reports. In the news reports, Dr. Arafiles is mostly described as selling supplements, which doesn’t sound particularly bad. Even though evidence for the claims made for most supplements is lacking, so ingrained are supplements in our culture, in no small part thanks to the DSHEA of 1994, that many doctors do recommend them. Although I might frown on such recommendations as not being science-based, I couldn’t consider them so far outside the norm that on that basis alone I’d condemn Dr. Arafiles for anything other than being highly unethical in selling them to patients after seeing them in the emergency room or county health clinic. However, there was much more to the story than this. It turns out that Dr. Arafiles was much further down the rabbithole of woo than anyone reports. I learned of this when I was directed to a series of videos that Dr. Arafiles did with a man named Marc Neumann, in which both were guests on a television show that aired on God’s Learning Channel in October on Morgellons disease. I am listing them below, but don’t bother to try to watch them. Mr. Neumann made the videos private when they came to light, thanks to some bloggers. The reason I list them is in case Mr. Neumann decides to reactivate them. If he ever does, you’ll be able to see Dr. Arafiles himself in parts one, two, three, four, five.

I’m really sorry that you can’t view the content of the videos. It’s painful to watch, and Dr. Arafiles buys into a whole lot of woo about Morgellons disease. I also didn’t know who Marc Neumann was but a little Googling quickly located his Morgellons Research Organization. Unfortunately, you can’t access the English language portion of the website because Mr. Neumann has removed it, again apparently in the wake of the attention he got from certain bloggers, but the German language section is still there. So is one page that I can find. If you peruse it, you’ll notice that Neumann blames Morgellons on genetically modified organisms and a whole lot of woo.

Although I haven’t, Steve Novella, Wally Sampson, and Peter Lipson have all discussed Morgellons disease before on this blog. Suffice it to say that it is a condition that probably doesn’t exist as a distinct, biologic entity. By saying that I don’t mean that patients who are convinced they have Morgellons aren’t suffering and don’t have something wrong with them, but rather that whatever it is is not explained by the wastebasket of woo that “defines” Morgellons:

Morgellons is a multi-symptom disease that is just now starting to be researched and understood. It has a number primary symptoms:

Physical

  • Sponanteously Erupting Skin lesions
  • Sensation of crawling, biting on and under the skin
  • Appearance of blue, black or red fibers and granules beneath and/or extruding from the skin
  • Fatigue

Mental

  • Short-term memory loss
  • Attention Deficit, Bipolar or Obsessive-Compulsive disorders
  • Impaired thought processing (brain fog)
  • Depression and feelings of isolation

It is frequently misdiagnosed as Delusional Parasitosis or an Obsessive Picking Disorder.

There’s a good reason for that, namely because Morgellons actually very much resembles delusional parasitosis. Indeed, that is very likely what many, if not most, cases of Morgellons are in reality–a form of delusional parasitosis. For example, one aspect that is always claimed are “fibers” or “granules.” However, no advocate of Morgellons has ever been able to produce these fibers and show that they are anything other than contaminants from clothing or fibers from the environment or that these “spontaneously erupting skin lesions” are anything more than the consequence of scratching or picking at the skin due to sensations of crawling, itching, or biting on or under the skin.

Peter pointed this out, but if you really want to see the weakness of the evidence for the existence of these fibers as anything other than clothing fibres, check out the “research” section of pretty much any major Morgellons website. How hard would it be to recruit a bunch of people who think they have Morgellons, take fiber samples and possibly skin biopsies, and then subject the fiber samples to real chemical analysis and have real pathologists look at the skin biopsies systematically. That’s probably because pretty much every Morgellons “fiber” that I’ve ever seen presented as evidence of the disease looks more like oils and dirt from impacted pores, fibers from clothing, or clumps of dead skin cells that we all flake off. It doesn’t help that all the “evidence” on various websites has not been subjected to anything resembling peer review or independent replication. Indeed, every Morgellons website I’ve seen save one (Morgellons Watch, which concludes that the fibers are environmental and unrelated to any illness; that Morgellons is not a distinct disease; and that eople who think they have “Morgellons” probably have a mixed variety of physical and/or mental illnesses) demonstrate serious crank qualities. Indeed, Neumann’s site, the one being hawked by Dr. Arafiles, goes beyond even this and postulates that that the organisms causing Morgellons are some sort of genetically modified organism, a “bacterial-fungal GMO used as a bioinsectizide,” as he puts it. Some Morgellons even blame that woo of woo, chemtrails.

Does this mean Morgellons doesn’t exist? Possibly. Or it might exist, although, to be honest I very much doubt it. Still, there are lots of patients with symptoms to which they have placed the label “Morgellons” who are genuinely suffering. Unfortunately, attaching a label to these patients that is not rooted in science and evidence does them a disservice, and the very best that can be said is that evidence is sore lacking that there is even such a disease as Morgellons. That’s why it’s really hard to say whether the disease exists, because the “evidence” for Morgellons disease can only be found on websites devoted to promoting the idea that Morgellons exists as a distinct clinical syndrome. If you do a PubMed search, pretty much all you’ll find are articles on delusional parasitosis and commentaries asking whether Morgellons actually exists as a distinct disease entity. About the best evidence suggesting that Morgellons may be a distinct disease is a single case series consisting of 25 patients carrying a diagnosis of Morgellons from whatever source. Let’s just say I’m not convinced. It’s a small case series; there are no statistics to speak of; the autoimmune measures reported are wildly inconsistent; and there are no consistent abnormalities that stand out as pathognemonic of a distinct disease.

Whether Morgellons exists as a disease or is in fact a form of delusional parasitosis, however, it is a magnet for quackery and pseudoscience (which is why attaching a fake label to a probably nonexistent disease does patients who can be labeled with that pseudodisease does them no service at all), and Dr. Arafiles’ video is chock full of both. The reason I mention the videos is that they were his undoing in terms of showing just how deep into pseudoscience Arafiles had fallen. In part 5 Dr. Arafiles mentions a website, Health2Fit. Although nowhere on the website is Dr. Arafiles’ name mentioned, it’s clear that it’s Dr. Arafiles’ website because its contact information lists Kermit, TX as where it is located and, more importantly, Dr. Arafiles’ LinkedIn profile lists him as the owner of Health2Fit. (I’ve saved a screenshot in case Dr. Arafiles decides to try to make the evidence disappear down the memory hole the same way Marc Neuman has tried to make the English language portion of his website disappear.)

Dr. Arafiles, if he is smart, has plenty of reason to try to get rid of the evidence, because on the website he reveals himself not only to be anti-vaccine but heavily into pseudoscience. One example is that Dr. Arafiles sells colloidal silver (yes, that colloidal silver!) to treat H1N1 and seasonal flu. Worse, the website claims that colloidal silver is FDA-approved for treating the flu. As Peter points out, that is a lie, pure and simple. Moreover, on the same page, there are links to antivaccine websites like the National Vaccine Information Center, a lawyer specializing in vaccine exemptions, and to über-quack Gary Null testifying in New York. That’s right. Gary Null. That Gary Null, who is an HIV/AIDS denialist, an anti-vaccine loon (I’m being generous here), and a supporter of cancer quackery. To top it all off, Dr. Arafiles has a presentation on the swine flu with his name on the first slide that includes slides like this:

SwineFlu-22

SwineFlu-23

SwineFlu-24

It looks as though Dr. Arafiles buys into the dreaded “toxin gambit” and the “aborted fetal tissue in the vaccines!” gambit. He even has a PDF of an article by the “Health Ranger” himself, Mike Adams entitled Ten Swine Flu Lies, as well as a link to an fear mongering article about mercury in the H1N1 vaccine. But it’s even worse than that. Dr. Arafiles appears to be selling colloidal silver for Morgellons disease as well. (Remember how I said that Morgellons disease is a magnet for quackery?) He’s also selling a very expensive water alkalinizer for $1495 on his website. Meanwhile, Dr. Arafiles actually testified in this case that diabetics heal as well as anyone else, which actually caused those attending the trial to laugh.

If anyone has any further doubt as to just how far outside the realm of science-based medicine Dr. Arafiles has wandered. I’ll mention two more tidbits. As Mike Dunford shows, in 2002 Dr. Arafiles appeared on a list of U.S. & International Physicians Who Offer IV Hydrogen Peroxide & Bioluminescence Therapy. But it’s even worse than that. In December 2009, there appeared a message from him on the Yahoo! newsgroup No Forced Vaccination to Sherri Nakken, an unabashedly anti-vaccine activist who bills herself as a “Hahnemannian Homeopath” and offers an online homeopathy course asking “When do I get my materials for the homeopathy class?” It would appear that not only is Dr. Arafiles anti-vaccine, but he is currently studying homeopathy as well.

The bottom line is that Dr. Arafiles is more than just a dubious doctor who has a penchant for supplements and a soft spot for a little bit of woo. He’s a doctor who has drunk the Kool Aid, someone who has been reported to the TMB on more than one occasion. Worse, Dr. Arafiles is in a position of power in an underserved rural area in far West Texas, and used that power, which derives from his privileged status as a doctor in the small town of Kermit and his connections with a sheriff who thinks nothing of ignoring his conflicts of interest, ignoring warnings from the TMB that what the nurses he pursued did was not wrong and was in fact state business, and abusing his power to punish two nurses for daring to try to do something to protect the citizens of Winkler County from him. Whether the TMB will do anything about it remains to be seen, but I’m not very optimistic.

BAD DOCTORS, QUACKS, AND THE PROBLEM OF REGULATION

It is hard to become a physician. It takes brains, patience, dedication, and, even in the age of 80 hour work weeks, an almost superhuman ability to take abuse. The flip side of this is that being a physician is a highly privileged position. After all, we hold human lives in our hands. People trust us enough to tell us things about themselves that they wouldn’t tell anyone else, possibly not even their spouses, in the hope that we can use that information to diagnose and treat them. Society has given me, as a surgeon, the supreme privilege of being able to take a knife to human flesh in order to try to cure women of breast cancer, and, back when I did more than just breast cancer surgery I used to joke that surgeons were allowed to forcibly rearrange people’s anatomy for therapeutic intent. We see parts of people that no one else sees, and we do things to people that no one else is allowed to do legally. It is a great power and a great trust.

Doctors like Dr. Arafiles abuse that power and trust.

Unfortunately, the sense of privilege has consequences. Once a person becomes a doctor, it shouldn’t be viewed by society as a right, but in effect it is. It is, in fact, very difficult in most states to strip a bad doctor of his medical license, and, even when sanctions are issued, it seems that every effort is made to get that physician back to practicing as fast as possible. You may recall a couple of years ago how I lamented the seeming powerlessness of the North Carolina Board of Medical Examiners in the face of Dr. Rashid Buttar’s autism and cancer quackery. Kim Atwood has also described how state medical boards often fail when confronted with physicians practicing medicine far outside the bound of what is science-based, tending to be lenient at first; sometimes even documented evidence of patient harm does not sway them. One reason is that state medical boards are often overwhelmed. It’s hard enough for them to keep up with disciplining physicians with substance abuse problems or taking sexual liberties with patients, much less adjudicating whether as treatment is science based and what is the standard of care.

However, I fear that it may be more than that. There is a strain of belief and attitude among many physicians that we really are a privileged class and that complaints against us are unwarranted. One need look no further than this post by the American Association of Physicians and Surgeons for this attitude. In a stunning post entitled Is there accountability for malice?, the AAPS takes Dr. Arafiles side against the nurses:

It has been open season for false allegations against physicians for too long. Each year too many physicians are distracted or even destroyed by malicious claims about them, whether in malpractice cases, sham peer review by hospitals or health plans, or witch-hunts by medical boards.

Is nurse Anne Mitchell guilty of acting in bad faith? The jury will decide.

Note the juxtaposition of complaints against false allegations against physicians with the disingenuous statement that “the jury will decide.” While that was literally true (the jury would and did decide–and it decided in under an hour that the allegations against Anne Mitchell were completely unjustified), it’s very clear where the AAPS stands on this issue, and it’s not with the whistleblowers or in favor of physician accountability:

The blogosphere is filled with rants against the doctor, Rolando G. Arafiles, Jr., M.D.; the prosecutor; and West Texas itself. The doctor has dark skin, a foreign accent, and some unconventional ideas. But his ideas and his practice are not on trial. The question before the court is whether the nurse, not the doctor, acted wrongfully.

This is an example of some spectacularly Orwellian misdirection. First off, the attacks in the blogosphere were against more than just Dr. Arafiles. They were against the Winkler County Sheriff who went to great lengths to hunt down the two whistle blowing nurses. They were against a clueless and vindictive prosecutor who decided to prosecute them. They were about payback against the nurse. In fact, the uproar was about about exactly the opposite of what AAPS thinks it’s about. It’s also spectacularly hypocritical of the AAPS to cry racism over this issue because Dr. Arafiles is Filipino when it has a history of some truly despicable and racist anti-immigrant rhetoric. Indeed, as I documented a year and a half ago, the AAPS is an organization that in essence believes that there should be no constraints on physicians “exercising their judgment.” They are an extreme example, but I’ve encountered such thoughts before. For example, on my Facebook page, a physician named Richard Willner weighed in:

This will have no effect on whistleblowing of RNs against MDs. I see them almost every day.

Followed by:

I also see outrageous RN complaints against MDs. If I was the RN Licensing Board, I’d discipline them for incompetence.

When I provided links to show what a miscarriage of justice this case is and to point out the information about Dr. Arafiles that I described in the first section of this post, Dr. Willner replied:

This Tx case is incredible. I have known all about it for a while. This is an aberation that can only occur in a local southern town.

My other opinion that many RNs write formal complaints on MDs for simply doing their jobs, writing correct orders that the RN are “not comfortable with”, that is a fact. If you want an unique view point just call me at 504-621-XXXX after rounds. This is a real problem for many MDs and it is not taught in Residencies.

To which I replied:

Nurses are supposed to question orders they aren’t comfortable with. They aren’t mindless automatons who are supposed to follow orders without question. They are professionals.

Now, I’m not going to deny that sham peer review based on anonymous complaints isn’t a problem in some hospitals. Physicians, however, appear to have an exaggerated view of just how common it is. As often as sham peer review is alleged by doctors, the AMA (not exactly a source that would be opposed to physicians rights) investigated and concluded:

Abuse of peer review is easy to allege but, for the reasons discussed above, can be difficult to prove. Considering the nature of the proceedings, it is to be expected that such charges will be raised by physicians who disagree with the results. In fairness, though, those who raise such claims should have the burden of proving them. Since the passage of HCQIA in 1986, the AMA is aware of only exceptional, isolated instances of peer review determinations that have resulted from improper motivations, rather than a good faith desire to improve patient care.

This may partly be explained by the difficulties in proving such a case and the legal disincentives against bringing this type of lawsuit. More likely, though, is that peer review abuse is a rarity. The legal obstacles make a claim of inappropriate peer review difficult to prove; they do not make it impossible. If abusive peer review were indeed “epidemic,” there would probably be a more substantial track record of definitive and proven malfeasance. The absence of such a record suggests that the claims of widespread or frequent “sham peer review” are speculative.

No doubt I’ll get an angry complaint or two, either in the comments or by e-mail, for taking this position, but you can be pretty sure that the AMA would be unlikely to cover up evidence of sham peer review, given its mission to promote the interests of physicians as a profession. Yet such is the widespread perception that peer review by hospitals resulting in false accusations and unjustified sanctions against doctors that doctors have a tendency to side with other doctors, particularly when it is nurses making the accusation. So powerful is that perception that it’s not just cranks like the AAPS who immediately doubted the Winkler County nurses and lept to defend Dr. Arafiles. And it doesn’t just stop there. Hospitals, state medical boards, virtually the entire establishment is tilted in favor of physicians when it comes to matters of physician misconduct. Our physician culture is to tend to close ranks when one of the tribe is attacked, and state medical boards are loathe to do anything about any but the most egregious offenses. That tendency has led some physicians to wrongly conflate the Winkler Nurses case with sham peer review and conclude that the nurses deserved to be punished for making what they assumed in a knee-jerk fashion to be a bogus complaint against the poor sainted Dr. Arafiles.

And that attitude is a threat to science-based medicine, arguably as serious a threat as the infiltration of quackery into bastions of science-based medicine and the corruption of medicine by “integration” with that quackery.

Dr. Arafiles’ case is about more than just Dr. Arafiles. It revealed serious problems with how physician misconduct is reported and how it is dealt with by hospitals and the governmental entities charged with protecting the public from bad doctors and even outright quacks. Perhaps most disturbing is the utter silence from major medical organizations other than the Texas Nurses Association, which rallied to set up a legal defense fund for Galle and Mitchell, and the American Nurses Association. To our disgrace as a profession, not a single major national physicians organization that I’m aware of stood by the nurses and their duty to report physician malfeasance or, at the very least, against the prosecution of fellow professionals who were being punished through the loss of their jobs and the potential loss of their freedom. The only physicians organization that spoke up was a crank organization that took exactly the wrong position on this matter. Instead of siding with patients and the need for physicians to be accountable, the AAPS supported punishing the nurses, likening them to nurses making false charges against physicians. All of this occurred in the face of the TMB having sent a very harsh letter telling County Attorney Tidwell that his prosecution was wrong, not based in law, and that it had “potentially created a significant chilling effect on the cooperation of any other hospital personnel who might have been able to provide additional information needed by the Board” to carry out its investigation of Dr. Arafiles.

Of course, that was almost certainly exactly the intent of the sheriff’s vendetta against these nurses, to keep his good budy Dr. Arafiles’ medical license safe and secure against the actions of the TMB and to intimidate other potential witnesses into silence. As Dr. Kate Scannell put it, the medical establishment send a clear, unmistakable message to nurses and non-physician health care professionals and workers: Don’t rock the boat. Doctors are supreme. Don’t question them. If you do, you risk everything, your job, your money, even your freedom.

This is hardly a situation that promotes the practice of science-based medicine or even something more basic, patient safety.


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Adobe AIR for Smartphones Wants to Be One Platform to Rule Them All [Smartphones]

Adobe's launching AIR, its cross-platform runtime, for smartphones. Why's that a big deal? It theoretically means developers can write an app once, and it'll work on tons of OSes—at least any that support AIR. Oh, and the iPhone.

Android's the first to get AIR, but WebOS, BlackBerrry and Windows Mobile are slated to get it too. And remember Adobe's initiative to push Flash apps onto the App Store for the iPhone? Apps developed for that will work just fine in AIR on other phones, letting Adobe have their iPhone cake and eat it too.

I saw an early build of it running on a Droid and Nexus One, where we messed with a couple of apps, like one streaming live video from a computer, and it's pretty impressive stuff, with multitouch and close-to-native performance in some instances. If AIR succeeds the way Adobe hopes, it'll be what Java once promised to be, a way to write once for tons of platforms. That's a not-insignificant-sized "if" though. [Adobe]