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News from the world of maths

Tuesday, October 27, 2009

Creating a virtual cancer

Cancer is one of the major causes of death in the world (particularly the developed world), with around 11 million people diagnosed and around 7 million people dying each year. The World Health Organisation predicts that current trends show around 9 million will die in 2015, with the number rising to 11.5 million in 2030.

Cancer is the focus of much medical research, but perhaps surprisingly, mathematical research is also playing its part. Mathematician Mark Chaplain and an interdisciplinary team at the University of Dundee, have been awarded 1.7 million euros to develop a virtual model of cancer growth and spread.

Read more!

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Thursday, October 15, 2009

Don't blame it on the tube

Buses may be safer than babies, at least when it comes to swine flu. Preliminary results from an online flu survey suggest that contact with children poses one of the greatest swine flu risk factors, while the use of public transport seems surprisingly safe.

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Plus will soon bring you a package of articles on the maths behind swine flu. But first we would like to know what you think has been the best source of information about swine flu? Did the media do well reporting on the virus? What about government information? Or did you go and see your GP to find out what to do about swine flu? Please let us know by voting in this quick poll, or tell us in more detail what information you found useful, or a nuisance, by leaving a comment on this blog.

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Thursday, September 24, 2009

Kelvin's bubble burst again

A researcher from the University of Bath has tackled an old geometric problem with a new method, which may lead to advances in creating hip replacements and replacement bone tissue for bone cancer patients. The Kelvin problem, posed by Lord Kelvin in 1887, is to find an arrangement of cells, or bubbles, of equal volume, so that the surface area of the walls between them is as small as possible — in other words, to find the most efficient soap bubble foam. The problem is relevant to bone replacement materials because bone tissue has a honeycomb-like structure, similar to a bubble foam.

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Friday, July 24, 2009

Swine flu uncertainty

The media is buzzing with swine flu numbers. Latest government figures say that over 100,000 people in England came down with swine flu during the last week — that's almost twice the amount of the previous week, and up to five times higher than the seasonal flu figures recorded last winter. Twenty-six people in England have died of the disease.

But where do the numbers come from? Patients with swine flu symptoms are no longer tested in the lab or traced, so the published figures are estimates, rather than absolute numbers.

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Thursday, June 25, 2009

How to measure life

Last week's BBC programme The price of life highlighted the plight of cancer sufferers awaiting a decision by NICE, the National Institute for Health and Clinical Excellence, on a new drug that could add years to their lives. If approved by NICE, the drug, called revlimid and used to treat a cancer called multiple myeloma, could be prescribed freely on the NHS. If rejected, the prohibitive cost would spell the end of the line for many patients. In the light of the suffering facing myeloma patients and their families, the main criterion for NICE's decisions — cost-effectiveness — seems almost inhumane. But exactly what kind of mathematical considerations go into NICE's calculations?

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Tuesday, May 19, 2009

Do you know what's good for you?

Should international travel be banned in the face of swine flu? Should life-saving drugs be withheld because they're too expensive? Should the government ban alcohol? And are bacon sandwiches really that dangerous?

Plus may seem like an unlikely place to look for answers to these questions, but this is about to change. With support from the Wellcome Trust we're launching a new project, called Do you know what's good for you?, which will look at the role of mathematics and statistics in the biomedical sciences.

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Wednesday, May 13, 2009

Pan(dem)ic?

Just over two weeks after the outbreak of swine flu, sorry, H1N1, most of us have come round to the idea that a pandemic doesn't always necessitate panic. The infection is spreading steadily, but in most people it's relatively mild and only a very small number of people have died outside Mexico. So were initial media reports just hype?

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Tuesday, February 24, 2009

You're more than the sum of your genes

Geneticists are usually concerned with picking apart the individual genes that make up a genome, but now two biochemical engineers from the University of Wisconsin Madison have decided to re-assemble all the pieces and give them a good shake. They found that it's not just the genes themselves, but also the way in which they are organised within the genome, that determine the characteristics of an organism.

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Friday, February 20, 2009

We're doomed, say scientists

Sometimes a boring story can become a lot more interesting if you do some skilled number juggling. This is what seems to have happened in an article in The Daily Telegraph, which claims that 90% of us carry a gene which increases the risk of high blood pressure by 18%. And high blood pressure is of course linked to dreaded killers like stroke and heart disease.

In his Understanding Uncertainty blog David Spiegelhalter traces the story back to a paper in Nature Genetics. The authors of the paper investigate three gene variants that can occur in the human genome. Two of them are rare, only about 10% of the population carry them, while the third is present in 90% of the population. The authors show that the gene variants are associated to proteins called natriuretic peptides, which are linked to blood pressure (this is the main point of the paper, since such a genetic connection had never before been found). The two rarer gene variants, according to the paper, reduce the risk of high blood pressure by 15%. The phrase "18% increased risk of high blood pressure" appears nowhere in the paper. Rather it's the result of some creative accounting on the part of someone operating in the media chain which links the actual paper to the final article in The Daily Telegraph. Here's how it's done:

Say that the risk of high blood pressure for someone carrying the more common gene variant is x. Now the 15% decrease associated to the two less common variants takes this down to 0.85x. To get back to x, we need to add 0.15x, and this is exactly 17.647% of 0.85x — hence the claim of an 18% increase in risk.

The calculation is undoubtedly correct, but it puts a spin on the story. Rather than taking the common case as a base line and talking about the risk reduction associated to the less common cases, it does things the other way around. This is in stark contrast to the paper's authors own turn of phrase, which links the rarer variants to risk reduction, but says that the common variant "was not significantly associated with either systolic or diastolic blood pressure." It's a bit like noting that some people live to 110 and then complaining that most of us die prematurely. "This is a masterful piece of re-framing of the evidence," says Spiegelhalter on his blog. "Not exactly wrong, but definitely changing the story. Just like a change from 98% to 96% in a survival rate seems a lot more innocuous than a doubling of the mortality rate from 2% to 4%."

If you'd like to find out more about risk and uncertainty, visit the Understanding Uncertainty website, or read Spiegelhalter's column in Plus.

To find out more about simple number smoke screens, read the Plus article The tiger that isn't.

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Tuesday, February 10, 2009

The agony and ecstasy of risk statistics

Last week the chairman of the Advisory Council on the Misuse of Drugs caused outrage by claiming that ecstasy was no more dangerous than horse riding. But what does "dangerous" really mean, and how is our perception of risk influenced by morality? David Spiegelhalter, Professor of the Public Understanding of Risk at the University of Cambridge, investigates in his guest column in the Times.

David Spiegelhalter runs the Understanding Uncertainty website, which explores matters of risks and uncertainty, and also has his very own column in Plus.

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Friday, January 23, 2009

Shine a light on dodgy stats

This week both the Daily Telegraph and the Daily Mail ran stories claiming that switching off street lights could significantly increase the number of road deaths. The stories were based on a paper published in the Cochrane Library, which considered three studies into the connection between road accidents and street lighting. However, it seems that the headlines are a typical example of misinterpretation of statistics.

As David Spiegelhalter, Professor for the Public Understanding of Risk at the University of Cambridge, writes on his website Understanding Uncertainty, the studies suffer from three major flaws: poor data, publication bias, and what's known as regression to the mean. Spiegelhalter points out that the three studies underlying the paper were poor and conducted decades ago, with one dating from as far back as 1948 — not a very good basis for drawing conclusions about today's traffic. The term publication bias refers to the fact that studies which show dramatic results are more likely to be published than those that don't. It's quite possible that there were other studies, which found no connection between street lights and accidents, but that no-one bothered to publish such boring results. Regression to the mean is a commonly observed effect, which results from random fluctuations. If street lights were installed on a certain road, then this is most likely because that road recently experienced a spade of accidents. Such a freak period can be purely down to chance, in which case one would expect the accident rate to return to normal after a while. Thus the improved accident rate after the installation of lights may be purely down to chance, rather than the improved lighting.

All this doesn't of course mean that street lights are useless. It simply means that the evidence is nowhere near as sound as the newspaper headlines claim. The Daily Mail, to its credit, did consult an expert, namely Spiegelhalter, but it's probably the headline, rather than his warning, that will stick in readers' minds.

If you're interested in matters of uncertainty and risk, then visit the Understanding Uncertainty website, or read Spiegelhalter's column in Plus.

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Thursday, January 15, 2009

You aren't what your mother eats

Last year a group of scientists came up with a surprising answer to a question that has occupied humanity since the dawn of time: how to influence the sex of your baby. In the paper You are what your mother eats, published in the journal Proceedings of the Royal Society B, the scientists claimed that it's all down to breakfast cereal. Eat more of it, and you increase your chances of giving birth to a boy. A highly unlikely claim, you might think, but there it was, the result of a sober statistical analysis of 740 women and their diet.

But now it seems that the team's sensational "evidence" was a result of pure chance and due to a basic methodological error. In a new paper, also published in the Proceedings of the Royal Society B, statisticians and medical experts show that the original authors most likely fell victim to a statistical pitfall that has been known to mathematicians since the nineteenth century. The problem arises when you perform too many tests on the same data set. To put it simply, the more questions you ask, the more likely it is that you get a strange answer to one of them.

As an example, imagine that your data set consists of the 740 women, information on their diet, and whether they give birth to a girl or a boy. You might then ask whether eating jellybeans influences the sex of the child. You count how many jellybean-eating mothers and how many non-jellybean-eating mothers give birth to boys and compute the percentage difference. If that difference appears large, it's tempting to conclude that jellybeans do influence the sex of the baby, but to be sure you ask yourself the following question: what is the probability that the large difference occurred purely by chance, and not because jellybeans influence gender? Using probabilistic methods, it's possible to calculate this probability, and if it is very low, you have good evidence that the result wasn't just pure chance and that jellybeans do indeed have an effect on gender.

But now imagine that you're not just testing the effect of jellybeans, but of a whole range of different foodstuffs on the same data set. For each individual food, a large discrepancy in boy-births between women who eat the food and women who don't might indicate that the food influences gender, as it is highly unlikely that such a freak event would occur purely by chance. However, the more opportunity there is for a freak event to occur, the higher the chance that it will indeed occur. In other words, the more foods you test, the higher the chance that one of them will show a large discrepancy by chance when in reality there is no connection between that food and gender. It's a bit like playing dice: the more dice you throw, the higher the chance that one of them comes up with a six.

According to the new paper, written by Stanley Young, Heejung Bang and Kutluk Oktay, the authors of the original study failed to take account of the effects of multiple testing — indeed they tested a total of 132 foods in two different time periods. Young, Bang and Oktay re-examined the data and found that with such a large number of tests, one would expect some to falsely indicate a dependence of gender on the given foodstuff.

"This paper comes across as well-intended, but it is hard to believe that women can increase the likelihood of having a baby-boy instead of a baby-girl by eating more bananas, cereal or salt," Young, Bang and Oktay say in the paper. "Nominal statistical significance, unadjusted for multiple testing, is often used to lend plausibility to a research finding; with an arguably implausible result, it is essential that multiple testing be taken into account with transparent methods for claims to have any level of credibility."

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