A Review of Organ and Tissue Donation Procedures by the Royal Australasian College of Physicians nicely summarizes some of the different ways deceased donor organs are dealt with around the world.
The ‘blood group O problem’ in kidney transplantation—time to change? discusses the Eurotransplant Kidney Allocation System, which apparently allows some O kidneys to go to patients who aren't type O.
Mike Rees' revolution of non-simultaneous non-directed donor chains continues to bear fruit in unexpected ways: LOYOLA PROGRAM A RADICAL SHIFT IN LIVING DONOR KIDNEY TRANSPLANTS
"In a first, four people step forward to donate kidneys to complete strangers across the country with no strings attached."...
"It's extremely rare when someone asking for nothing in return steps forward at a hospital and offers to donate a kidney to a complete stranger.
What's rarer still is what has happened at Loyola University Medical Center -- four people have stepped forward and offered to donate kidneys to four complete strangers and none have asked for a thing in return.
"This is completely unique and totally unheard of," said Garet Hill, founder of the nonprofit National Kidney Registry, which coordinated the donations. "We have never had four donors from one institution come forward at one time to offer up kidneys for donation with no strings attached."
The selfless acts by the four have helped Loyola launch its Pay-it-Forward Kidney Transplant Program, the first of its kind in the Midwest, and the largest number of altruistic donors to ever begin such a program in the United States."
Here's a collection of kidney exchange stories and videos from MSNBC, some rather old: http://article.wn.com/view/2010/05/04/Kidney_swap_program_posts_high_success_rate/
And here's a live donor story: From Fear To Elation: Prepping To Be An Organ Donor
Deceased donor allocation policies are also a very big deal. Alex Tabarrok at MR has a thought provoking post on one aspect of the debate: Optimizing Kidney Allocation: LYFT for LIFE which touches on the issue of how it's often difficult to make changes in health care policy that aren't Pareto improvements, even if they are improvements by other measures.
Sunday, June 27, 2010
Saturday, June 26, 2010
Decent work research prize
When I read that the International Labour Organization had a Decent Work Research Prize, my initial thought was "finally, a research prize for the rest of us." (It's hard to do exceptional work, but doing decent work seems like an achievable goal...)
But that turns out to be a mis-reading: here's the beginning of the prize description.
"The ILO’s International Institute for Labour Studies has created a research prize to annually reward outstanding contributions to the advancement of knowledge on the ILO’s central goal of decent work for all."
That seems like a good goal too:)
But that turns out to be a mis-reading: here's the beginning of the prize description.
"The ILO’s International Institute for Labour Studies has created a research prize to annually reward outstanding contributions to the advancement of knowledge on the ILO’s central goal of decent work for all."
That seems like a good goal too:)
Changing sexual mores in China
Swinger Tests China’s Sex Morals
"On Thursday, a court sentenced Mr. Ma to three-and-a-half years in prison, a severe penalty for a crime that the Chinese government calls “crowd licentiousness.” Mr. Ma, now China’s most famous swinger, remains defiant and plans to appeal, saying his sex life is his own business, not subject to the law as long as he causes no social disturbance, according to his lawyer, Yao Yong’an. "
...
"The case of Mr. Ma, who was arrested last August and went on trial last month, has drawn attention across China not only for its titillating details, but also because it also raises questions about an authoritarian government’s attempts to curb sexual freedom and limit privacy in a society where rapid economic growth and the ubiquity of the Internet have upended traditional values. "
...
"The Communist Party no longer maintains the kind of tight control over people’s private lives that it did decades ago. Yet, some officials still try to prosecute citizens based on laws that seem increasingly out of step with social mores. One example is criminal law 301, under which Mr. Ma and 21 fellow swingers were prosecuted, and which can result in a five-year prison term.
Chinese Internet users and even some official news organizations have debated the case."
...
"The law against group sex, generally interpreted by judges as involving three or more people, is left over from an earlier law against “hooliganism” that was used to prosecute people who had sex outside of marriage, Ms. Li said. The hooliganism law was scrapped in 1997. One notable swingers case took place in the early 1980s, when the leader of a swingers club involving four middle-aged couples was executed, she added.
At least three recent surveys have shown that prosecution of group sex does not enjoy widespread support today.
Several Chinese news Web sites posted editorials echoing that sentiment after the verdict was announced. "
"On Thursday, a court sentenced Mr. Ma to three-and-a-half years in prison, a severe penalty for a crime that the Chinese government calls “crowd licentiousness.” Mr. Ma, now China’s most famous swinger, remains defiant and plans to appeal, saying his sex life is his own business, not subject to the law as long as he causes no social disturbance, according to his lawyer, Yao Yong’an. "
...
"The case of Mr. Ma, who was arrested last August and went on trial last month, has drawn attention across China not only for its titillating details, but also because it also raises questions about an authoritarian government’s attempts to curb sexual freedom and limit privacy in a society where rapid economic growth and the ubiquity of the Internet have upended traditional values. "
...
"The Communist Party no longer maintains the kind of tight control over people’s private lives that it did decades ago. Yet, some officials still try to prosecute citizens based on laws that seem increasingly out of step with social mores. One example is criminal law 301, under which Mr. Ma and 21 fellow swingers were prosecuted, and which can result in a five-year prison term.
Chinese Internet users and even some official news organizations have debated the case."
...
"The law against group sex, generally interpreted by judges as involving three or more people, is left over from an earlier law against “hooliganism” that was used to prosecute people who had sex outside of marriage, Ms. Li said. The hooliganism law was scrapped in 1997. One notable swingers case took place in the early 1980s, when the leader of a swingers club involving four middle-aged couples was executed, she added.
At least three recent surveys have shown that prosecution of group sex does not enjoy widespread support today.
Several Chinese news Web sites posted editorials echoing that sentiment after the verdict was announced. "
Friday, June 25, 2010
Couples match
The University of Alabama at Birmingham magazine (June 2010) writes about the couples match: Match Making--Software Helps Medical Couples Stay Together
(Here's a paper with a more technical description of how the couples match works...
Roth, A. E. and Elliott Peranson, "The Redesign of the Matching Market for American Physicians: Some Engineering Aspects of Economic Design," American Economic Review, 89, 4, September, 1999, 748-780.,
and here's a paper that's about why it works as well as it does...
Kojima, Fuhito, Parag A. Pathak, and Alvin E. Roth, " Matching with Couples: Stability and Incentives in Large Markets," working paper, April 8 2010.)
Thursday, June 24, 2010
NYU in Abu Dhabi
I've blogged before about the problems of establishing and maintaining universities in places whose culture may be antagonistic to university culture.
NYU seems to be attacking that from an interesting angle in it's Abu Dhabi venture, the modal student will be an American: N.Y.U. Abu Dhabi Scours Globe for Top Students
Abu Dhabi "...is where N.Y.U. will open a campus in September with an inaugural freshman class of 150 students from 39 countries."..."Although the students come from 39 countries, with 43 languages, about a third are from the United States. The next four biggest sources are the United Arab Emirates, China, Hungary and Russia. "
...
"Backed by the open checkbook of the Abu Dhabi government, the wealthiest of the seven United Arab Emirates, N.Y.U. Abu Dhabi scoured the planet for candidates. It called on the Institute of International Education, which administers the Fulbright scholarships, to help it identify 900 of the world’s top high schools, and then pressed the schools for their best students.
Though based in Abu Dhabi, students will be encouraged to spend time at some of N.Y.U.’s 16 other sites, on five continents — more traditional study-abroad centers with short-term or narrowly focused programs. In a promotional booklet, the university sketched out a hypothetical plan for film and media majors, with sojourns in Berlin, Buenos Aires, Prague and New York.
The project carries risks. While Abu Dhabi is a relatively modern, multicultural Muslim state, homosexual acts are illegal and the Internet is censored. And there is no guarantee that the seemingly limitless resources of its oil-rich government will remain so, given the precarious global economy and Middle East politics.
But the Abu Dhabi government has agreed to pay for the entire N.Y.U. project, though neither it nor the university has detailed a price. And the emirate has embraced N.Y.U.’s vision of a liberal arts institution with full access to ideas, books and the Internet. "
...
"Some in the new freshman class, including Mr. Aqel, have already used Facebook to discuss a possible civil rights club. “In a way, it’s almost a challenge because we can’t hold protests,” Mr. Aqel said. “But I think we’ll be able to find creative ways to circumvent restrictions while maintaining respect for our host country.” "
You can pick up the thread of previous posts here: Universities and culture.
NYU seems to be attacking that from an interesting angle in it's Abu Dhabi venture, the modal student will be an American: N.Y.U. Abu Dhabi Scours Globe for Top Students
Abu Dhabi "...is where N.Y.U. will open a campus in September with an inaugural freshman class of 150 students from 39 countries."..."Although the students come from 39 countries, with 43 languages, about a third are from the United States. The next four biggest sources are the United Arab Emirates, China, Hungary and Russia. "
...
"Backed by the open checkbook of the Abu Dhabi government, the wealthiest of the seven United Arab Emirates, N.Y.U. Abu Dhabi scoured the planet for candidates. It called on the Institute of International Education, which administers the Fulbright scholarships, to help it identify 900 of the world’s top high schools, and then pressed the schools for their best students.
Though based in Abu Dhabi, students will be encouraged to spend time at some of N.Y.U.’s 16 other sites, on five continents — more traditional study-abroad centers with short-term or narrowly focused programs. In a promotional booklet, the university sketched out a hypothetical plan for film and media majors, with sojourns in Berlin, Buenos Aires, Prague and New York.
The project carries risks. While Abu Dhabi is a relatively modern, multicultural Muslim state, homosexual acts are illegal and the Internet is censored. And there is no guarantee that the seemingly limitless resources of its oil-rich government will remain so, given the precarious global economy and Middle East politics.
But the Abu Dhabi government has agreed to pay for the entire N.Y.U. project, though neither it nor the university has detailed a price. And the emirate has embraced N.Y.U.’s vision of a liberal arts institution with full access to ideas, books and the Internet. "
...
"Some in the new freshman class, including Mr. Aqel, have already used Facebook to discuss a possible civil rights club. “In a way, it’s almost a challenge because we can’t hold protests,” Mr. Aqel said. “But I think we’ll be able to find creative ways to circumvent restrictions while maintaining respect for our host country.” "
You can pick up the thread of previous posts here: Universities and culture.
Wednesday, June 23, 2010
Debra Satz on noxious markets
The Stanford class day speech: Satz to graduates: Some goods should never be for sale by Stanford philosopher Debra Satz, whose interests extend to sales of kidneys
Debra Satz (2008). The Moral Limits of Markets: The Case of Human Kidneys. Proceedings of the Aristotelian Society 108 (1pt3):269-288.
From the news story on her class day address:
"What are the different characteristics of markets? Why do some exchanges prompt "extreme revulsion"? Among the examples Satz raised: child labor, body parts, reproductive services, international arms, addictive drugs.
"What makes particular markets appear undesirable or, in my terminology, noxious?" she asked. The intrinsic nature of certain goods – friendship, a person's good name, various prizes and honor – can immediately diminish their value when they are sold.
There are also extrinsic reasons that make markets noxious, and this was Satz's focus. Is the agent fully aware of the consequences of his or her actions? Do all agents have the same information? Does the market cause extreme harm to individuals? And how extreme does it have to be to make it noxious? Does it cause harm to society?
As Satz said – with a nod to Tolstoy's line about unhappy families – "Each noxious market is noxious in its own way," and there will not be agreement on these issues. For example, the sale of kidneys is among one of the most difficult questions. Sales are illegal in every developed society, she said. Kidneys can be donated altruistically while the donor is alive or after death, but no society makes donation mandatory, even in death. Some would argue that with two kidneys people have more than they need. As of June 10, more than 80,000 Americans were on the waiting list for a kidney, and many of them will die waiting, Satz said. "...
"In closing, Satz threw up two final challenges: "Noxious markets" reflect some of the most fundamental problems of our globe, and they will not go away unless and until the underlying problems are addressed. That will require public debate and a willingness to confront hard issues."
Debra Satz (2008). The Moral Limits of Markets: The Case of Human Kidneys. Proceedings of the Aristotelian Society 108 (1pt3):269-288.
From the news story on her class day address:
"What are the different characteristics of markets? Why do some exchanges prompt "extreme revulsion"? Among the examples Satz raised: child labor, body parts, reproductive services, international arms, addictive drugs.
"What makes particular markets appear undesirable or, in my terminology, noxious?" she asked. The intrinsic nature of certain goods – friendship, a person's good name, various prizes and honor – can immediately diminish their value when they are sold.
There are also extrinsic reasons that make markets noxious, and this was Satz's focus. Is the agent fully aware of the consequences of his or her actions? Do all agents have the same information? Does the market cause extreme harm to individuals? And how extreme does it have to be to make it noxious? Does it cause harm to society?
As Satz said – with a nod to Tolstoy's line about unhappy families – "Each noxious market is noxious in its own way," and there will not be agreement on these issues. For example, the sale of kidneys is among one of the most difficult questions. Sales are illegal in every developed society, she said. Kidneys can be donated altruistically while the donor is alive or after death, but no society makes donation mandatory, even in death. Some would argue that with two kidneys people have more than they need. As of June 10, more than 80,000 Americans were on the waiting list for a kidney, and many of them will die waiting, Satz said. "...
"In closing, Satz threw up two final challenges: "Noxious markets" reflect some of the most fundamental problems of our globe, and they will not go away unless and until the underlying problems are addressed. That will require public debate and a willingness to confront hard issues."
HT: Michael Ostrovsky
And here's Megan McArdle on Satz: What We Should Feel and What We Should Not Sell
She quotes Satz's book Why Some Things Should Not Be for Sale: The Moral Limits of Markets on the following juxtaposition of moral positions:
"[T]here is a dilemma for those who wish to use the mother-fetus bond to condemn pregnancy contracts while endorsing a woman's right to choose an abortion. They must hold it acceptable to abort a fetus but not to sell it."
Tuesday, June 22, 2010
Lotteries for private schools
Over at the Education Sector, there's a movie review about school choice.
Analysis and Perspectives » What We're Watching » Tough Luck
A review of the film 'The Lottery'
Authors:
Chad Aldeman
Erin Dillon
Publication Date:
June 8, 2010
"The Lottery" (2010), directed by Madeleine Sackler. The film opens to a wider audience on June 8. For theater listings, visit: http://www.screenvision.com/s/showing/TheLottery/.
"Newark, N.J., Mayor Cory Booker supports charter schools. But he might hesitate before encouraging everyone to see the new documentary "The Lottery," which follows four young children and their families as they vie for a spot at Harlem Success Academy, a coveted charter school across the river in New York City. In the film, Booker says he no longer attends the lotteries that over-subscribed charter schools like Harlem Success Academy use to select students because they break his heart, and because "a child's destiny should not be determined on the pull of a draw."
"Many who see "The Lottery" will likely share Booker's conflicted feelings. The film does an excellent job of showing both the promise and the limits of charter schools and public school choice. When Booker uses the word "destiny," he's not exaggerating; the families feel that winning or losing this lottery will go a long way to determine their child's future. As one prospective Harlem Success parent says in the film, "They instill in those kids from the beginning that 'my goal is to become a college graduate.' I think that if I had had that type of setting ... I think that would have made a big difference in my life."
"And yet, it's no spoiler to alert audience members that some of the families profiled will lose the lottery; more than 3,000 families apply for 475 seats. Those who stay to attend a neighborhood school will be assigned to one of 23 elementary schools. At 19 of these schools, fewer than half of the students are reading on grade level. In contrast, at Harlem Success Academy, 95 percent of third-graders read at grade level, and 100 percent score proficient on the state math exam. Thus, the stakes for these four particular families are high.
""The Lottery's" strength is in showing the audience the school choice process through the eyes of these families..."
Analysis and Perspectives » What We're Watching » Tough Luck
A review of the film 'The Lottery'
Authors:
Chad Aldeman
Erin Dillon
Publication Date:
June 8, 2010
"The Lottery" (2010), directed by Madeleine Sackler. The film opens to a wider audience on June 8. For theater listings, visit: http://www.screenvision.com/s/showing/TheLottery/.
"Newark, N.J., Mayor Cory Booker supports charter schools. But he might hesitate before encouraging everyone to see the new documentary "The Lottery," which follows four young children and their families as they vie for a spot at Harlem Success Academy, a coveted charter school across the river in New York City. In the film, Booker says he no longer attends the lotteries that over-subscribed charter schools like Harlem Success Academy use to select students because they break his heart, and because "a child's destiny should not be determined on the pull of a draw."
"Many who see "The Lottery" will likely share Booker's conflicted feelings. The film does an excellent job of showing both the promise and the limits of charter schools and public school choice. When Booker uses the word "destiny," he's not exaggerating; the families feel that winning or losing this lottery will go a long way to determine their child's future. As one prospective Harlem Success parent says in the film, "They instill in those kids from the beginning that 'my goal is to become a college graduate.' I think that if I had had that type of setting ... I think that would have made a big difference in my life."
"And yet, it's no spoiler to alert audience members that some of the families profiled will lose the lottery; more than 3,000 families apply for 475 seats. Those who stay to attend a neighborhood school will be assigned to one of 23 elementary schools. At 19 of these schools, fewer than half of the students are reading on grade level. In contrast, at Harlem Success Academy, 95 percent of third-graders read at grade level, and 100 percent score proficient on the state math exam. Thus, the stakes for these four particular families are high.
""The Lottery's" strength is in showing the audience the school choice process through the eyes of these families..."
Monday, June 21, 2010
Misc. non-simultaneous kidney exchange chains
Allegheny General part of multistate kidney exchange
Wednesday, April 14, 2010, By Jill Daly, Pittsburgh Post-Gazette
"Twelve donors and 12 recipients with advanced renal disease will be part of the chain when it is completed."
A discussion in the Student BMJ of kidney exchange in England: Would you donate your kidney to a stranger? Donors give a kidney to strangers in paired, pooled, and chain kidney transplants
A big kidney exchange involving four DC area hospitals, organized at Georgetown U. Hospital, including a June 15 video on the Early Show with the crowd of patients and donors.
See a chain of stories on chains here.
Wednesday, April 14, 2010, By Jill Daly, Pittsburgh Post-Gazette
"Twelve donors and 12 recipients with advanced renal disease will be part of the chain when it is completed."
A discussion in the Student BMJ of kidney exchange in England: Would you donate your kidney to a stranger? Donors give a kidney to strangers in paired, pooled, and chain kidney transplants
A big kidney exchange involving four DC area hospitals, organized at Georgetown U. Hospital, including a June 15 video on the Early Show with the crowd of patients and donors.
The National Kidney Registry, a private organization, has generated a report about some of their successful activities in organizing kidney exchanges in partnership with a number of hospitals, including many nonsimultaneous chaings: The National Kidney Registry: transplant chains--beyond paired kidney donation by Veale J, and Hil G., Clinical Transplants. 2009:253-64. [I haven't been able to find the whole article yet: Pub Med lists it as "in process," but here's the abstract:]
"Abstract: The National Kidney Registry (NKR) has facilitated more than 100 transplants at 24 centers in the past 2 years and the numbers are rapidly increasing. The NKR has inherent capability for rapid change as innovations are developed and incorporated in the approach to matching donors and recipients in transplant chains. Kidneys are shipped with geotracking devices utilizing existing OPO procedures whenever patients are willing to accept them. This reduces the need for donor travel and increases the geographic area where matches can be made. Out-of-sequence transplants can be performed to improve logistics. Matching software is designed to facilitate chain transplantation and incorporates metrics that help transplant centers develop strategies to improve the chances that their patients can be transplanted. Daily match runs and close attention to repairing broken chains have been critical to growing the number of transplants that can be facilitated. A number of new innovations are expected to increase the opportunities for patients and their potential living donors."
"Abstract: The National Kidney Registry (NKR) has facilitated more than 100 transplants at 24 centers in the past 2 years and the numbers are rapidly increasing. The NKR has inherent capability for rapid change as innovations are developed and incorporated in the approach to matching donors and recipients in transplant chains. Kidneys are shipped with geotracking devices utilizing existing OPO procedures whenever patients are willing to accept them. This reduces the need for donor travel and increases the geographic area where matches can be made. Out-of-sequence transplants can be performed to improve logistics. Matching software is designed to facilitate chain transplantation and incorporates metrics that help transplant centers develop strategies to improve the chances that their patients can be transplanted. Daily match runs and close attention to repairing broken chains have been critical to growing the number of transplants that can be facilitated. A number of new innovations are expected to increase the opportunities for patients and their potential living donors."
See a chain of stories on chains here.
Sunday, June 20, 2010
Father's day
Father's Day is a great academic holiday, if you think of academics as being concerned not just with ideas and institutions, but with their whole history and earliest conception. Other kinds of coauthors sometimes have difficulty figuring out who did what. But my wife agrees that my contributions were seminal. She was the biggest contributor in the subsequent, germinal stages. The division of labor has been less clear in the happy, fast decades since.
Happy Fathers' Day to all you fathers and children out there.
Happy Fathers' Day to all you fathers and children out there.
Indian weddings in New England: the hotel market
The Boston Globe reports: For hotels, a perfect match--Recession-hit hosts embrace Indian weddings.
"On a hot, sunny Saturday in early May, a raucous wedding procession of women in bright, shimmery saris and men in long embroidered kurtas and sunglasses danced through a hotel parking lot behind a van blaring bhangra beats. The groom brought up the rear on a dappled white horse.
"It was the first time the Marlborough Best Western had hosted a traditional Indian wedding and, in keeping with Indian culture, it was an elaborate, all-day affair, with 450 guests.
"On a hot, sunny Saturday in early May, a raucous wedding procession of women in bright, shimmery saris and men in long embroidered kurtas and sunglasses danced through a hotel parking lot behind a van blaring bhangra beats. The groom brought up the rear on a dappled white horse.
"It was the first time the Marlborough Best Western had hosted a traditional Indian wedding and, in keeping with Indian culture, it was an elaborate, all-day affair, with 450 guests.
"Best Western is among the many hotels actively pursuing this lucrative market as they struggle to make up for last year’s recession-diminished revenues.
"The InterContinental Hotel, the Ritz-Carlton, the Taj Boston, and the Westin in Waltham have all hosted Indian wedding expos in the past year. Hyatt Hotels Corp. developed an Indian wedding webinar to educate staff about ceremonial customs, cuisine, even popular brands of alcohol.
"And India New England, a newspaper published in Waltham, has had so much demand from advertisers that it put out two wedding supplements instead of one last year and plans to do the same this year.
“Literally, this market is just exploding,’’ said publisher Upendra Mishra."
..."The weddings, [wedding planner and decorator Shobha Shastry] said, typically range from $50,000 to $150,000 and can go as high as $300,000.
"The average cost of a wedding in Massachusetts, by comparison, is closer to $30,000, according to the research company the Wedding Report Inc."
..."There are about 1,500 Indian weddings a year in the region, according to India New England — more than double the number 10 years ago."
Saturday, June 19, 2010
Unraveling of day care
The WSJ reports on the increasingly early reservations being made for day care:Day Care? Take a Number, Baby
"These days, many parents are so intent on getting high-quality care for their kids, that they are signing up at popular child-care centers at the moment they know they are expecting a baby—or before. Some child-care centers don't even offer applications, but merely hand parents a wait-list form. That means some kids spend the first two years of their lives on a day-care wait list.
"These days, many parents are so intent on getting high-quality care for their kids, that they are signing up at popular child-care centers at the moment they know they are expecting a baby—or before. Some child-care centers don't even offer applications, but merely hand parents a wait-list form. That means some kids spend the first two years of their lives on a day-care wait list.
"With more women than ever in the work force, many of the country's roughly 11,000 nationally accredited child-care centers are full to capacity. The rules governing wait lists are roughly the same for all of them: Slots are assigned on a first-come, first-served basis. Infant care usually has the longest wait lists. Siblings of children who are already enrolled typically get first dibs on openings, to keep families together.
"Even so, the decision-making process behind filling these coveted slots is complex.
"Directors must match up age groupings so classmates' napping and eating routines are similar. And they must coordinate children's admission to match the unpredictable "graduation" dates of older children.
"To secure a slot, directors advise wait-listing your child at least a year or more before you expect to need care. Jessica Cavens put her baby-to-be on a child-care wait list last August, as soon as she got the results of her home-pregnancy test. The child-care center director got the good news even before the baby's grandparents. Now, one year later, Ms. Cavens's baby, Peyton, has been promised a coveted slot in August in the infant-care room at Primrose School at Stapleton, Colo.
"Some child-care centers allow parents to wait-list children not yet conceived. At centers franchised by Goddard Systems Inc., with 362 schools in 37 states, directors generally accept a wait-list entry before conception as long as parents pay a refundable deposit, usually of about $200, says Joseph Schumacher, chief executive of the King of Prussia, Pa., company."Other directors accept wait-list entries with no questions asked. "I can't do a pregnancy test," says Vallerie Tribble, director of Innovation Station Child Development Center, Alexandria, Va., owned by Bright Horizons Family Solutions, Watertown, Mass.
"Alyssa Soper, director of Bright Horizons at the Prudential Center in Boston, where wait lists are about a year long, says she gets wait-list requests from families who say "they're trying or thinking about" having a baby.
"It pays to enroll all your kids at the same center. Even signing up an older sibling for after-school care or summer camp at your target center may be enough to earn his or her younger sib a slot."
HT: Benjamin Kay at UCSD
Friday, June 18, 2010
Misc. kidney exchange news
A May 17, 2010 story: Innovative Transplant Procedure at Emory Opens Door to More Patients in Need
"The Emory Transplant Center at Emory University Hospital in Atlanta has recently opened its innovative Paired Donor Kidney Exchange Program, providing greater hope for patients in need of kidney transplants."
...
"Dr. Newell and his team this past month completed the third paired donor exchange surgeries involving a total of six patients - three donors and three recipients - from Texas, Colorado and Georgia. As part of this, as well as one of the two previous exchanges, Emory partnered with the Texas Transplant Institute in San Antonio, the largest independent paired donor program in the country. The program is led by Adam Bingaman, MD, a former Emory trainee who completed both his residency in general surgery and his PhD work at Emory School of Medicine. "To get the ball rolling initially on our program here at Emory, one of the first things we did was partner with the Alliance for Paired Donation," says Dr. Newell. "APD maintains a database of patients who have incompatible donors from over 50 other transplant centers, and the Alliance runs a computer program once a month to find matches between them.
"After about a year, we decided to focus on developing our own database rather than depending on APD's, and we naturally approached Dr. Bingaman about collaborating," says Newell. "Now, building our own listing of donor-recipient pairs remains paramount, an effort expedited by weekly meetings and consultations. Whenever new candidates are added, the data is shared with Dr. Bingaman's program, further increasing each patient's chance of receiving a compatible kidney from a living donor.""
Here's a paper in the June 2010 American Journal of Transplantation:
Ethical Considerations for Participation of Nondirected Living Donors in Kidney Exchange Programs
E.S. Woodle, J. A. Daller, M. Aeder, R. Shapiro, T. Sandholm, V. Casingal, D. Goldfarb, R. M. Lewis, J. Goebel and M. Siegler ; for the Paired Donation Network
"The Emory Transplant Center at Emory University Hospital in Atlanta has recently opened its innovative Paired Donor Kidney Exchange Program, providing greater hope for patients in need of kidney transplants."
...
"Dr. Newell and his team this past month completed the third paired donor exchange surgeries involving a total of six patients - three donors and three recipients - from Texas, Colorado and Georgia. As part of this, as well as one of the two previous exchanges, Emory partnered with the Texas Transplant Institute in San Antonio, the largest independent paired donor program in the country. The program is led by Adam Bingaman, MD, a former Emory trainee who completed both his residency in general surgery and his PhD work at Emory School of Medicine. "To get the ball rolling initially on our program here at Emory, one of the first things we did was partner with the Alliance for Paired Donation," says Dr. Newell. "APD maintains a database of patients who have incompatible donors from over 50 other transplant centers, and the Alliance runs a computer program once a month to find matches between them.
"After about a year, we decided to focus on developing our own database rather than depending on APD's, and we naturally approached Dr. Bingaman about collaborating," says Newell. "Now, building our own listing of donor-recipient pairs remains paramount, an effort expedited by weekly meetings and consultations. Whenever new candidates are added, the data is shared with Dr. Bingaman's program, further increasing each patient's chance of receiving a compatible kidney from a living donor.""
Here's a paper in the June 2010 American Journal of Transplantation:
Ethical Considerations for Participation of Nondirected Living Donors in Kidney Exchange Programs
E.S. Woodle, J. A. Daller, M. Aeder, R. Shapiro, T. Sandholm, V. Casingal, D. Goldfarb, R. M. Lewis, J. Goebel and M. Siegler ; for the Paired Donation Network
ABSTRACT Kidneys from nondirected donors (NDDs) have historically been allocated directly to the deceased donor wait list (DDWL). Recently, however, NDDs have participated in kidney exchange (KE) procedures, including KE 'chains', which have received considerable media attention. This increasing application of KE chains with NDD participation has occurred with limited ethical analysis and without ethical guidelines. This article aims to provide a rigorous ethical evaluation of NDDs and chain KEs. NDDs and bridge donors (BDs) (i.e. living donors who link KE procedures within KE chains) raise several ethical concerns including coercion, privacy, confidentiality, exploitation and commercialization. In addition, although NDD participation in KE procedures may increase transplant numbers, it may also reduce NDD kidney allocation to the DDWL, and disadvantage vulnerable populations, particularly O blood group candidates. Open KE chains (also termed 'never-ending' chains) result in a permanent diversion of NDD kidneys from the DDWL. The concept of limited KE chains is discussed as an ethically preferable means for protecting NDDs and BDs from coercion and minimizing 'backing out', whereas 'honor systems' are rejected because they are coercive and override autonomy. Recent occurrences of BDs backing out argue for adoption of ethically based protective measures for NDD participation in KE.
Paying It Forward
Tulane surgeons performed what is believed to be the first “domino” paired-donor kidney exchange in Louisiana at Tulane Medical Center. Three patients in dire need of a kidney transplant received new organs from people they had never met.
Thursday, June 17, 2010
Online labor markets, as an experimental lab
There are a growing number of online labor markets (for a description of a wide range, see Work the New Digital Sweatshops By Jonathan Zittrain).
A recent paper explores their use for conducting experiments: The Online Laboratory: Conducting Experiments in a Real Labor Market by John Horton, David Rand and Richard Zeckhauser . They suggest that Amazon's Mechanical Turk is a convenient venue to do experiments, with some natural advantages (e.g. it's possible to recruit large numbers of participants, who don't need to know they are in an experiment), in which adequate control is possible.
"Abstract: "Online labor markets have great potential as platforms for conducting experiments, as they provide immediate access to a large and diverse subject pool and allow researchers to conduct randomized controlled trials. We argue that online experiments can be just as valid – both internally and externally – as laboratory and field experiments, while requiring far less money and time to design and to conduct. In this paper, we first describe the benefits of conducting experiments in online labor markets; we then use one such market to replicate three classic experiments and confirm their results. We confirm that subjects (1) reverse decisions in response to how a decision-problem is framed, (2) have pro-social preferences (value payoffs to others positively), and (3) respond to priming by altering their choices. We also conduct a labor supply field experiment in which we confirm that workers have upward sloping labor supply curves. In addition to reporting these results, we discuss the unique threats to validity in an online setting and propose methods for coping with these threats. We also discuss the external validity of results from online domains and explain why online results can have external validity equal to or even better than that of traditional methods, depending on the research question. We conclude with our views on the potential role that online experiments can play within the social sciences, and then recommend software development priorities and best practices. "
A recent paper explores their use for conducting experiments: The Online Laboratory: Conducting Experiments in a Real Labor Market by John Horton, David Rand and Richard Zeckhauser . They suggest that Amazon's Mechanical Turk is a convenient venue to do experiments, with some natural advantages (e.g. it's possible to recruit large numbers of participants, who don't need to know they are in an experiment), in which adequate control is possible.
"Abstract: "Online labor markets have great potential as platforms for conducting experiments, as they provide immediate access to a large and diverse subject pool and allow researchers to conduct randomized controlled trials. We argue that online experiments can be just as valid – both internally and externally – as laboratory and field experiments, while requiring far less money and time to design and to conduct. In this paper, we first describe the benefits of conducting experiments in online labor markets; we then use one such market to replicate three classic experiments and confirm their results. We confirm that subjects (1) reverse decisions in response to how a decision-problem is framed, (2) have pro-social preferences (value payoffs to others positively), and (3) respond to priming by altering their choices. We also conduct a labor supply field experiment in which we confirm that workers have upward sloping labor supply curves. In addition to reporting these results, we discuss the unique threats to validity in an online setting and propose methods for coping with these threats. We also discuss the external validity of results from online domains and explain why online results can have external validity equal to or even better than that of traditional methods, depending on the research question. We conclude with our views on the potential role that online experiments can play within the social sciences, and then recommend software development priorities and best practices. "
Wednesday, June 16, 2010
Renting art at Brandeis
Can a university profit from artwork it owns (that has been donated to it)? Last year Brandeis University raised a storm by proposing to close its museum and sell its art (see my posts here and here.) Now it has proposed renting some of its art (here's the story from the Brandeis student newspaper, The Justice), and that too has generated some criticism. But the Globe thinks renting rather than selling is supportable, here's their editorial:Brandeis: Renting out art for art’s sake
"Brandeis University is raising eyebrows in the museum world with its plans to lend out artworks for money, but exploring this option is a reasonable way to preserve the financially strapped school’s collection.
"Last year, Brandeis considered closing the renowned Rose Art Museum and selling off some of its 7,500 objects. Had that happened, both the school and the region would have been worse off for it. Now, the Globe recently reported, the school is hiring auction house Sotheby’s as a lending broker. Collecting fees from institutions that might want to display some of the museum’s works could generate badly needed funding and might even increase awareness of the Rose as well."
Update: [6:14:18 AM] Bettina Klaus writes "saw your blogpost on renting art and remembered that my Maastricht neighbors are renting some http://www.bonnefanten.nl/en/art_lease (Bonnefanten Art Lease Contemporary art at your home)
"Brandeis University is raising eyebrows in the museum world with its plans to lend out artworks for money, but exploring this option is a reasonable way to preserve the financially strapped school’s collection.
"Last year, Brandeis considered closing the renowned Rose Art Museum and selling off some of its 7,500 objects. Had that happened, both the school and the region would have been worse off for it. Now, the Globe recently reported, the school is hiring auction house Sotheby’s as a lending broker. Collecting fees from institutions that might want to display some of the museum’s works could generate badly needed funding and might even increase awareness of the Rose as well."
Update: [6:14:18 AM] Bettina Klaus writes "saw your blogpost on renting art and remembered that my Maastricht neighbors are renting some http://www.bonnefanten.nl/en/art_lease (Bonnefanten Art Lease Contemporary art at your home)
Tuesday, June 15, 2010
The market for shorthand
When I was in high school in New York City in the 1960's, there was a department called Secretarial Studies that taught typing and shorthand (in two flavors, Gregg and Pitman). The students were mostly girls planning on looking for work as secretaries.
Well, recording machines changed the way people dictated letters (and computers of course changed it again), and nowadays the WSJ reports that you need a translator to recover the contents of old shorthand notes:Do You Know, Offhand, Anyone Who Knows Shorthand?As a Skill Fades, Translators Are in Demand; Ms. Sanders Charges 20.5 Cents a Word
It's probably also hard to find someone to repair buggy whips, not to mention recovering files stored in WordPerfect on floppy disks...
If anyone needs someone who once mastered Scribe (since displaced by TeX), let me know.
Well, recording machines changed the way people dictated letters (and computers of course changed it again), and nowadays the WSJ reports that you need a translator to recover the contents of old shorthand notes:Do You Know, Offhand, Anyone Who Knows Shorthand?As a Skill Fades, Translators Are in Demand; Ms. Sanders Charges 20.5 Cents a Word
It's probably also hard to find someone to repair buggy whips, not to mention recovering files stored in WordPerfect on floppy disks...
If anyone needs someone who once mastered Scribe (since displaced by TeX), let me know.
Monday, June 14, 2010
Heart transplant pro golfer
Until I read the story, I wasn't sure how to parse this AP headline: Heart Transplant Survivor Gets Shot at US Open
It turns out the headline means the golfer Erik Compton got _a_ shot at playing in the Open. He's a survivor of two heart transplants who wants to make a living playing golf. He's one of 156 players in possession of what he calls a Golden Ticket -- a tee time this week at Pebble Beach to play in the U.S. Open."
It turns out the headline means the golfer Erik Compton got _a_ shot at playing in the Open. He's a survivor of two heart transplants who wants to make a living playing golf. He's one of 156 players in possession of what he calls a Golden Ticket -- a tee time this week at Pebble Beach to play in the U.S. Open."
Universities and culture
A Campus Where Unlearning Is First reports on the challenges facing the American University in Cairo in its quest to offer an American style education to Egyptian students. It starts with what the university president calls "disorientation."
"During disorientation, the students — 85 percent of them Egyptians — are taught to learn in ways quite at odds with the traditional method of teaching in this country, where instructors lecture, students memorize and tests are exercises in regurgitation."
See this earlier post touching on university culture and national culture: Worldwide university rankings, compared to GNP .
"During disorientation, the students — 85 percent of them Egyptians — are taught to learn in ways quite at odds with the traditional method of teaching in this country, where instructors lecture, students memorize and tests are exercises in regurgitation."
See this earlier post touching on university culture and national culture: Worldwide university rankings, compared to GNP .
Sunday, June 13, 2010
Live Liver donation tragedy
The Boston Globe reports: At the Lahey, a stunning, rare tragedy--Donor dies in liver transplant attempt.
"A man who agreed to donate part of his liver to help a sick relative died while undergoing the transplant procedure at Lahey Clinic in Burlington two weeks ago, the hospital said yesterday.
"A man who agreed to donate part of his liver to help a sick relative died while undergoing the transplant procedure at Lahey Clinic in Burlington two weeks ago, the hospital said yesterday.
"It was only the third death of an adult living liver donor in the United States in the two decades since the first procedure was done, according to two leading transplant surgeons. A total of 4,036 have been performed.
..."“The safety of the donor is foremost in everyone’s mind,’’ said Dr. James Markmann, chief of transplant surgery at Massachusetts General Hospital. “It is a very safe operation, but the risk is not zero. If you do enough [of these operations], it will happen. Our thoughts go out to the donor’s family. They did a wonderful thing, and it’s tragic that it ended up this way.’’
"Markmann put the risk of death at one or two in 1,000 operations and said the risks to donors are like those for any type of major surgery, including infection, but generally are less because patients are healthy. He said these risks are weighed against the benefits to recipients: 10 to 15 percent of people waiting for a liver donation die each year because of a shortage of cadaver donors. About 1,500 liver transplant candidates died last year across the United States."
"Dr. Giuliano Testa, director of liver transplantation at the University of Chicago Medical Center, said there have been just three deaths of adult liver donors, the last in 2002 at Mount Sinai Medical Center in New York. He called the Lahey team one of the most “experienced and most expert’’ in the country."
..."Until 2001, the number of liver transplants from living donors in the United States had been growing, reaching a peak of 524 that year. Since then the number has declined, with 219 operations performed last year. Of those, 24 were done at Lahey.
"Surgeons said that the Mount Sinai death may have had a chilling effect on living liver donor transplants, but that in 2002 the cadaver liver allocation system was reorganized so that organs went to the sickest patients. This change reduced the need for living donors.
"Of the 323 living donor liver transplants done in Massachusetts since 1994, 215 were performed at Lahey. This is the first donor death since the program began in 1999, the hospital said."
Saturday, June 12, 2010
Organs for sale? Repugnance as controversy to sell magazines
Mohammad Mahdian points out this ad for the Economist magazine, entitled
"Trading Human Organs Should Be Allowed"
"Trading Human Organs Should Be Allowed"
Dating sites that limit your options
A new paper by my HBS colleagues Hanna Halaburda and Misiek Piskorski discusses why a dating/matrimony site that limits your options (like eHarmony) might be attractive. Their paper is called Platforms and Limits to Network Effects
The idea is that, even if you would prefer to have lots of options yourself, you might prefer to be one of a small set of options your dating partners are considering.
Abstract:We model conditions under which agents in two-sided matching markets would rationally prefer a platform limiting choice. We show that platforms that offer a limited set of matching candidates are attractive by reducing the competition among agents on the same side of the market. An agent who sees fewer candidates knows that these candidates also see fewer potential matches, and so are more likely to accept the match. As agents on both sides have access to more candidates, initially positive indirect network effects decrease in strength, reach their limit and eventually turn negative. The limit to network effects is different for different types of agents. For agents with low outside option the limit to network effects is reached relatively quickly, and those agents choose the platform with restricted number of candidates. This is because those agents value the higher rate of acceptance more than access to more candidates. Agents with higher outside option choose the market with larger number of candidates. The model helps explain why platforms offering restricted number of candidates coexist alongside those offering larger number of candidates, even though the existing literature on network effects suggests that the latter should always dominate the former.
The idea is that, even if you would prefer to have lots of options yourself, you might prefer to be one of a small set of options your dating partners are considering.
Abstract:We model conditions under which agents in two-sided matching markets would rationally prefer a platform limiting choice. We show that platforms that offer a limited set of matching candidates are attractive by reducing the competition among agents on the same side of the market. An agent who sees fewer candidates knows that these candidates also see fewer potential matches, and so are more likely to accept the match. As agents on both sides have access to more candidates, initially positive indirect network effects decrease in strength, reach their limit and eventually turn negative. The limit to network effects is different for different types of agents. For agents with low outside option the limit to network effects is reached relatively quickly, and those agents choose the platform with restricted number of candidates. This is because those agents value the higher rate of acceptance more than access to more candidates. Agents with higher outside option choose the market with larger number of candidates. The model helps explain why platforms offering restricted number of candidates coexist alongside those offering larger number of candidates, even though the existing literature on network effects suggests that the latter should always dominate the former.
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