1 00:00:00,740 --> 00:00:03,080 The following content is provided under a Creative 2 00:00:03,080 --> 00:00:04,470 Commons license. 3 00:00:04,470 --> 00:00:06,680 Your support will help MIT OpenCourseWare 4 00:00:06,680 --> 00:00:10,770 continue to offer high quality educational resources for free. 5 00:00:10,770 --> 00:00:13,340 To make a donation or to view additional materials 6 00:00:13,340 --> 00:00:17,300 from hundreds of MIT courses, visit MIT OpenCourseWare 7 00:00:17,300 --> 00:00:18,186 at ocw.mit.edu. 8 00:00:22,820 --> 00:00:24,690 MICHAEL SHORT: All right, guys. 9 00:00:24,690 --> 00:00:27,620 So today I'm not going to be doing most of the talking. 10 00:00:27,620 --> 00:00:30,510 You actually are, because, like I've said, 11 00:00:30,510 --> 00:00:32,940 we've been teaching you all sorts of crazy physics 12 00:00:32,940 --> 00:00:34,500 and radiation biology. 13 00:00:34,500 --> 00:00:36,870 We've taught you how to smell bullshit, 14 00:00:36,870 --> 00:00:39,000 taught you a little bit about how to read papers 15 00:00:39,000 --> 00:00:40,260 and what to look for. 16 00:00:40,260 --> 00:00:42,635 And we're going to spend the second half of today's class 17 00:00:42,635 --> 00:00:43,680 actually doing that. 18 00:00:43,680 --> 00:00:46,710 Well, we're going to have a mini debate on whether or not 19 00:00:46,710 --> 00:00:47,848 hormesis is real. 20 00:00:47,848 --> 00:00:49,890 And you guys are going to spend some time finding 21 00:00:49,890 --> 00:00:52,038 evidence for or against it. 22 00:00:52,038 --> 00:00:54,330 Instead of just me telling you this is what hormesis is 23 00:00:54,330 --> 00:00:55,930 or isn't. 24 00:00:55,930 --> 00:00:58,600 So just to finish up the multicellular effects 25 00:00:58,600 --> 00:01:00,130 from last time, we started talking 26 00:01:00,130 --> 00:01:03,310 about what's called the bystander effect, which says, 27 00:01:03,310 --> 00:01:05,560 if a cell is irradiated, and it dies 28 00:01:05,560 --> 00:01:08,440 or something happens to it, the other cells nearby notice. 29 00:01:08,440 --> 00:01:10,110 And they speed up their metabolism, 30 00:01:10,110 --> 00:01:12,520 their oxidative metabolism, which 31 00:01:12,520 --> 00:01:14,800 can generate some of the same chemical byproducts 32 00:01:14,800 --> 00:01:17,642 as radiolysis does, causing additional cell 33 00:01:17,642 --> 00:01:18,475 damage and mutation. 34 00:01:21,270 --> 00:01:23,350 And there was an interesting-- 35 00:01:23,350 --> 00:01:26,440 yeah, I think I left-- we left off here at this study, 36 00:01:26,440 --> 00:01:28,090 where they actually talked about most 37 00:01:28,090 --> 00:01:31,300 of the types of mutations found in the bystander 38 00:01:31,300 --> 00:01:32,800 cells were of different types. 39 00:01:32,800 --> 00:01:35,890 But there were mutations found, in this case, 40 00:01:35,890 --> 00:01:38,710 as a result of what's called oxidative-based damage. 41 00:01:38,710 --> 00:01:40,690 This is oxidative cell metabolism 42 00:01:40,690 --> 00:01:44,590 ramping up and producing more of those metabolic byproducts that 43 00:01:44,590 --> 00:01:47,610 can damage DNA as well. 44 00:01:47,610 --> 00:01:50,320 What we didn't get into is the statistics. 45 00:01:50,320 --> 00:01:53,650 What do the statistics look like for large sample sizes 46 00:01:53,650 --> 00:01:57,525 of people who have been exposed to small amounts of radiation? 47 00:01:57,525 --> 00:01:59,150 I'm going to show you a couple of them. 48 00:01:59,150 --> 00:02:03,820 One of them is the folks within 3 kilometers of the Hiroshima. 49 00:02:03,820 --> 00:02:06,510 So I want you to notice a couple of things. 50 00:02:06,510 --> 00:02:09,699 Here is the dose in gray, maxing out at about two gray. 51 00:02:09,699 --> 00:02:11,980 And in this case this ERR is what's 52 00:02:11,980 --> 00:02:13,755 called Excess Relative Risk. 53 00:02:13,755 --> 00:02:15,130 It's a little different than odds 54 00:02:15,130 --> 00:02:18,850 ratio, where here an excess relative risk of 0 55 00:02:18,850 --> 00:02:21,820 means it's like nothing happened. 56 00:02:21,820 --> 00:02:24,890 So anything above 0 means extra excess relative risk. 57 00:02:24,890 --> 00:02:28,120 So what are some of the features you notice about this data? 58 00:02:32,450 --> 00:02:34,520 What's rather striking about it in your opinion? 59 00:02:37,080 --> 00:02:37,580 Yeah? 60 00:02:37,580 --> 00:02:38,420 Charlie? 61 00:02:38,420 --> 00:02:40,470 AUDIENCE: [INAUDIBLE] so in the [INAUDIBLE] 62 00:02:40,470 --> 00:02:42,420 timeline from [INAUDIBLE] timeline here. 63 00:02:42,420 --> 00:02:43,420 MICHAEL SHORT: This one? 64 00:02:43,420 --> 00:02:44,045 AUDIENCE: Yeah. 65 00:02:44,045 --> 00:02:45,962 MICHAEL SHORT: Oh, yeah, these are the errors. 66 00:02:45,962 --> 00:02:46,480 Yep. 67 00:02:46,480 --> 00:02:47,397 What does it say here? 68 00:02:47,397 --> 00:02:51,814 Is it-- more than one standard error Yeah. 69 00:02:51,814 --> 00:02:54,155 AUDIENCE: There's a lot of variability? 70 00:02:54,155 --> 00:02:55,530 MICHAEL SHORT: Yeah, I mean, look 71 00:02:55,530 --> 00:02:58,850 at the confidence in this data at high doses. 72 00:02:58,850 --> 00:03:03,050 And then while you may say, OK, the amount of relative risk 73 00:03:03,050 --> 00:03:04,855 per amount of radiation increases 74 00:03:04,855 --> 00:03:06,980 with decreasing dose, which is the opposite of what 75 00:03:06,980 --> 00:03:09,200 you might think, our confidence in that number 76 00:03:09,200 --> 00:03:10,700 goes out the window. 77 00:03:10,700 --> 00:03:13,520 Now what do you think of the total number of people that led 78 00:03:13,520 --> 00:03:16,870 to each of these data points? 79 00:03:16,870 --> 00:03:18,870 How many folks do you think were exposed to gray 80 00:03:18,870 --> 00:03:22,173 versus milligray of radiation? 81 00:03:22,173 --> 00:03:25,115 AUDIENCE: A lot less for gray than [INAUDIBLE].. 82 00:03:25,115 --> 00:03:26,990 MICHAEL SHORT: That's right, the sample size. 83 00:03:26,990 --> 00:03:29,700 I thought it was cold and loud in here. 84 00:03:29,700 --> 00:03:33,870 The sample size for the folks in gray is much smaller. 85 00:03:33,870 --> 00:03:37,620 And yet the error bars are much smaller too. 86 00:03:37,620 --> 00:03:40,020 That's not usually the way it goes, is it? 87 00:03:40,020 --> 00:03:42,450 Usually, you think larger sample size, smaller error bars, 88 00:03:42,450 --> 00:03:46,110 unless the effects themselves and confounding variables are 89 00:03:46,110 --> 00:03:48,580 hard to tease out from each other. 90 00:03:48,580 --> 00:03:51,540 If you then look at another set of people, 91 00:03:51,540 --> 00:03:53,871 all of the survivor-- oh. yeah, Charlie? 92 00:03:53,871 --> 00:03:56,454 AUDIENCE: How did they determine the-- the doses [INAUDIBLE]?? 93 00:03:56,454 --> 00:03:58,788 MICHAEL SHORT: This would have to be from some estimate. 94 00:03:58,788 --> 00:04:00,070 This would be from models. 95 00:04:00,070 --> 00:04:01,990 It's not like folks had dosimeters everywhere 96 00:04:01,990 --> 00:04:03,280 in Japan in the 1940s. 97 00:04:03,280 --> 00:04:05,140 But this-- these would be estimates 98 00:04:05,140 --> 00:04:07,360 depending on where you lived, let's 99 00:04:07,360 --> 00:04:10,370 say in an urban, suburban, or rural area, 100 00:04:10,370 --> 00:04:12,760 let's see, things like milk intake 101 00:04:12,760 --> 00:04:15,250 right after the bomb, or anything that would have given 102 00:04:15,250 --> 00:04:18,880 you an unusually high amount of radiation, 103 00:04:18,880 --> 00:04:21,040 distance where the winds were going. 104 00:04:21,040 --> 00:04:24,540 This is the best you could do with that data. 105 00:04:24,540 --> 00:04:26,770 And now look at all of the bomb survivors, 106 00:04:26,770 --> 00:04:30,000 including the ones outside 3 kilometer region, 107 00:04:30,000 --> 00:04:32,180 but still got some dose. 108 00:04:32,180 --> 00:04:32,805 What's changed? 109 00:04:38,000 --> 00:04:41,450 AUDIENCE: It seems like they're less likely to get 110 00:04:41,450 --> 00:04:43,290 more risk for less dose. 111 00:04:43,290 --> 00:04:45,170 MICHAEL SHORT: Yeah, the conclusion 112 00:04:45,170 --> 00:04:47,840 is almost flipped for the low dose cases. 113 00:04:47,840 --> 00:04:51,470 If you put them side by side, depending on the folks living 114 00:04:51,470 --> 00:04:54,740 within 3 kilometers of the epicenter of Hiroshima 115 00:04:54,740 --> 00:04:58,100 versus anyone exposed, all the bomb survivors, 116 00:04:58,100 --> 00:05:01,160 you get an almost opposite conclusion for low doses, 117 00:05:01,160 --> 00:05:02,600 despite the numbers being almost, 118 00:05:02,600 --> 00:05:04,400 you know, within each others confidence 119 00:05:04,400 --> 00:05:06,710 intervals for high doses. 120 00:05:06,710 --> 00:05:08,960 So what this tells us is that the effects of high dose 121 00:05:08,960 --> 00:05:12,200 are relatively easy to understand and quite obvious 122 00:05:12,200 --> 00:05:14,060 even with low sample sizes. 123 00:05:14,060 --> 00:05:16,790 What is different between these two data sets? 124 00:05:23,910 --> 00:05:27,240 Well, it's the only difference that's actually listed here. 125 00:05:27,240 --> 00:05:29,167 Distance from the epicenter, right? 126 00:05:29,167 --> 00:05:30,750 So before I tell you what's different, 127 00:05:30,750 --> 00:05:33,030 I want you guys to try to think about what 128 00:05:33,030 --> 00:05:35,400 could be different about the folks living 129 00:05:35,400 --> 00:05:38,220 within 3 kilometers of the epicenter of Hiroshima 130 00:05:38,220 --> 00:05:43,750 versus anyone else in the city or the countryside? 131 00:05:43,750 --> 00:05:44,380 Yeah? 132 00:05:44,380 --> 00:05:46,210 AUDIENCE: Would it be like [INAUDIBLE]?? 133 00:05:46,210 --> 00:05:48,590 It seems like a the closer, like, it 134 00:05:48,590 --> 00:05:52,210 would be a lot more instances where you get a higher dose. 135 00:05:52,210 --> 00:05:54,384 So they're underestimating [INAUDIBLE].. 136 00:05:57,080 --> 00:05:58,330 MICHAEL SHORT: Could be, yeah. 137 00:05:58,330 --> 00:06:01,990 It might be harder to figure out exactly how much dose folks had 138 00:06:01,990 --> 00:06:04,900 without necessarily measuring it, right? 139 00:06:04,900 --> 00:06:08,260 But what other major factors or confounding variables 140 00:06:08,260 --> 00:06:09,860 are confusing the data here? 141 00:06:09,860 --> 00:06:10,944 Yeah? 142 00:06:10,944 --> 00:06:15,664 AUDIENCE: Wouldn't a lot of people who lived closer, 143 00:06:15,664 --> 00:06:18,690 like, not inside the radiation, like, 144 00:06:18,690 --> 00:06:24,118 the actual shockwave and heat from the bomb [INAUDIBLE]?? 145 00:06:24,118 --> 00:06:26,660 MICHAEL SHORT: So in this case, these are for bomb survivors. 146 00:06:26,660 --> 00:06:28,110 So, yes, that's true. 147 00:06:28,110 --> 00:06:30,260 If you're closer, you get the gamma blast. 148 00:06:30,260 --> 00:06:31,550 You get the pressure wave. 149 00:06:31,550 --> 00:06:34,610 AUDIENCE: But like, even if you survive that, it still like 150 00:06:34,610 --> 00:06:37,560 would affect them in addition to radiation. 151 00:06:37,560 --> 00:06:40,903 Is it counting for people who got injured from that too? 152 00:06:40,903 --> 00:06:43,320 MICHAEL SHORT: It should just account all survivors, yeah. 153 00:06:43,320 --> 00:06:44,737 AUDIENCE: So if they were injured, 154 00:06:44,737 --> 00:06:47,068 that could change how they reacted to the radiation 155 00:06:47,068 --> 00:06:47,827 exposure. 156 00:06:47,827 --> 00:06:48,660 MICHAEL SHORT: Sure. 157 00:06:48,660 --> 00:06:50,720 Absolutely. 158 00:06:50,720 --> 00:06:52,710 And then the other big one is, actually, 159 00:06:52,710 --> 00:06:56,628 someone's kind of mentioned it, but in passing, urban or rural. 160 00:06:56,628 --> 00:06:58,420 The environment that you live in depends on 161 00:06:58,420 --> 00:07:01,630 how quickly, let's say, the ecosystem replenishes or not 162 00:07:01,630 --> 00:07:04,510 if you live in a city or what sort of other toxins 163 00:07:04,510 --> 00:07:06,190 or concentrated sources of radiation 164 00:07:06,190 --> 00:07:08,890 you may be exposed to by living in a city that's 165 00:07:08,890 --> 00:07:11,558 endured a nuclear attack or something else. 166 00:07:11,558 --> 00:07:13,600 It could also depend on the amount of health care 167 00:07:13,600 --> 00:07:15,220 that you're able to receive. 168 00:07:15,220 --> 00:07:16,850 If you show some symptoms of something, 169 00:07:16,850 --> 00:07:18,705 if you live way out in the countryside, 170 00:07:18,705 --> 00:07:20,080 and there weren't a lot of roads, 171 00:07:20,080 --> 00:07:23,590 then maybe you can't get to the best hospital, 172 00:07:23,590 --> 00:07:26,260 or you go to a clinic that we don't know as much. 173 00:07:26,260 --> 00:07:29,857 The point is, there's a lot of confounding variables. 174 00:07:29,857 --> 00:07:30,940 There's a lot more people. 175 00:07:30,940 --> 00:07:32,890 But anything from like lifestyle, 176 00:07:32,890 --> 00:07:36,160 to diet, to relative exposure, think about the differences 177 00:07:36,160 --> 00:07:38,830 in how folks in the city and out in the countryside 178 00:07:38,830 --> 00:07:41,320 may have been exposed to the same dose, 179 00:07:41,320 --> 00:07:45,580 because, again, dose is given in gray, not in sieverts. 180 00:07:45,580 --> 00:07:47,170 That's the best we can estimate. 181 00:07:47,170 --> 00:07:49,150 But would it matter if you were to exposed 182 00:07:49,150 --> 00:07:52,210 to let's say, alpha-particle containing fallout 183 00:07:52,210 --> 00:07:54,970 that you would then ingest versus 184 00:07:54,970 --> 00:07:58,830 exposed to a lot of gamma rays or delayed betas. 185 00:07:58,830 --> 00:08:00,570 It absolutely would. 186 00:08:00,570 --> 00:08:04,722 So the type of radiation and the route of exposure in the organs 187 00:08:04,722 --> 00:08:06,930 that were affected are not accounted for in the study 188 00:08:06,930 --> 00:08:09,630 because, again, the data is in gray. 189 00:08:09,630 --> 00:08:12,390 It's just an estimated joules per kilogram 190 00:08:12,390 --> 00:08:15,630 of radiation exposure, not taking into account the quality 191 00:08:15,630 --> 00:08:19,230 factors for tissue, the quality factors for type of radiation, 192 00:08:19,230 --> 00:08:21,730 the relative exposure, the dose rate, 193 00:08:21,730 --> 00:08:23,250 which we've already talked about. 194 00:08:23,250 --> 00:08:27,660 How much you got as a function of time actually does matter. 195 00:08:27,660 --> 00:08:29,940 So all these things are quite important. 196 00:08:29,940 --> 00:08:32,049 And for all these sorts of studies, 197 00:08:32,049 --> 00:08:33,600 you have to consider the statistics. 198 00:08:33,600 --> 00:08:35,549 So let's now look at a-- 199 00:08:35,549 --> 00:08:38,100 I won't say, OK, a cellphone-like study 200 00:08:38,100 --> 00:08:40,470 where one might draw a conclusion if the error 201 00:08:40,470 --> 00:08:42,830 bars weren't drawn. 202 00:08:42,830 --> 00:08:45,740 So based on this, can you say that very low doses 203 00:08:45,740 --> 00:08:48,380 of radiation in this area actually 204 00:08:48,380 --> 00:08:51,770 give you some increased risk of, what do they say, 205 00:08:51,770 --> 00:08:52,760 female breast cancer? 206 00:08:55,560 --> 00:08:56,730 No. 207 00:08:56,730 --> 00:08:59,880 You can't be bold enough to draw a conclusion from the very 208 00:08:59,880 --> 00:09:04,218 low dose region from, let's say, the-- the 1s to 10s 209 00:09:04,218 --> 00:09:06,510 of milligray, that whole region right there that people 210 00:09:06,510 --> 00:09:08,550 are afraid of getting, we don't actually 211 00:09:08,550 --> 00:09:13,300 know if it hurts or it has nothing, or if it helps. 212 00:09:13,300 --> 00:09:16,585 That's a kind of weird thing to think about. 213 00:09:16,585 --> 00:09:18,210 So the question is, what do we do next? 214 00:09:18,210 --> 00:09:20,730 These are the actual recommendations from the ICRP. 215 00:09:20,730 --> 00:09:23,130 And I've highlighted the parts that 216 00:09:23,130 --> 00:09:26,460 are important, in my opinion, for everyone to read. 217 00:09:26,460 --> 00:09:30,800 And the most important one, probably we'll 218 00:09:30,800 --> 00:09:33,470 have to come to terms with some uncertainty 219 00:09:33,470 --> 00:09:37,400 in the amount of damage that little amounts of dose do. 220 00:09:37,400 --> 00:09:40,760 So this is the ICRP saying to the general public, 221 00:09:40,760 --> 00:09:42,720 you guys should chill out. 222 00:09:42,720 --> 00:09:46,070 There's not much we can do about tiny amounts of exposure. 223 00:09:46,070 --> 00:09:47,570 They happen all the time. 224 00:09:47,570 --> 00:09:50,000 You can either worry about it, and get your heart rate up, 225 00:09:50,000 --> 00:09:51,800 and elevate your own blood pressure, 226 00:09:51,800 --> 00:09:54,830 and have a higher chance of dying on your own, 227 00:09:54,830 --> 00:09:57,710 or you can just chill out because there is not 228 00:09:57,710 --> 00:10:00,170 enough evidence to say whether a tiny little amount 229 00:10:00,170 --> 00:10:03,470 of radiation, and we're talking in the milligray or below, 230 00:10:03,470 --> 00:10:07,290 helps, or hurts, or does nothing, which leads me 231 00:10:07,290 --> 00:10:11,850 into the last set of slides for this entire course, 232 00:10:11,850 --> 00:10:14,250 they're not that long because I want you guys to actually 233 00:10:14,250 --> 00:10:17,520 do a lot of the work here, is radiation hormesis, real 234 00:10:17,520 --> 00:10:18,890 or not? 235 00:10:18,890 --> 00:10:21,920 There are plenty of studies pointing one way or the other. 236 00:10:21,920 --> 00:10:26,330 And I want to show you a few of them with some other examples. 237 00:10:26,330 --> 00:10:29,030 The whole idea here is that a little bit of a bad thing 238 00:10:29,030 --> 00:10:31,370 can be a good thing, much like vitamins, 239 00:10:31,370 --> 00:10:34,730 or, let's say, vitamin A in seal livers, a little bit of it 240 00:10:34,730 --> 00:10:35,240 you need. 241 00:10:35,240 --> 00:10:36,980 It's a vital micronutrient. 242 00:10:36,980 --> 00:10:39,658 A whole lot of it can do a whole lot of damage. 243 00:10:39,658 --> 00:10:42,200 You don't usually think of that being the case for radiation. 244 00:10:42,200 --> 00:10:44,180 But some studies may have you believe otherwise 245 00:10:44,180 --> 00:10:47,730 with surprisingly high sample sizes. 246 00:10:47,730 --> 00:10:50,990 So the idea here is that if you've got anything, not just 247 00:10:50,990 --> 00:10:53,660 element and diet, but anything that happens to you, 248 00:10:53,660 --> 00:10:57,380 there's going to be some optimum level where you could 249 00:10:57,380 --> 00:11:00,200 die or have some ill effects if exposed 250 00:11:00,200 --> 00:11:02,390 to too much or too little. 251 00:11:02,390 --> 00:11:06,900 We all know that this happens with high amounts of radiation. 252 00:11:06,900 --> 00:11:11,340 The question is, is that actually happened? 253 00:11:11,340 --> 00:11:13,000 So let's look at some of the data. 254 00:11:13,000 --> 00:11:15,570 In this case, I mentioned selenium and actually 255 00:11:15,570 --> 00:11:19,910 have a fair bit of this data that shows some, 256 00:11:19,910 --> 00:11:23,170 let's say, contradictory results in this case, where 257 00:11:23,170 --> 00:11:25,540 a whole lots of different people were 258 00:11:25,540 --> 00:11:28,120 exposed to a certain amount of selenium accidentally. 259 00:11:28,120 --> 00:11:30,220 I don't think these were any intentional studies. 260 00:11:30,220 --> 00:11:33,880 But some folks received massive doses of selenium 261 00:11:33,880 --> 00:11:36,400 and tried-- folks tried to figure out, well, 262 00:11:36,400 --> 00:11:38,890 what how-- oh, yeah, if you want to see how much they got. 263 00:11:38,890 --> 00:11:44,050 Remember that you want about 5 micrograms per day on average. 264 00:11:44,050 --> 00:11:47,090 That's a pretty crazy amount of selenium 265 00:11:47,090 --> 00:11:49,970 that ended up killing this person in four hours. 266 00:11:49,970 --> 00:11:52,580 But let's look at a sort of medium dose, something way 267 00:11:52,580 --> 00:11:55,250 higher than you would normally get. 268 00:11:55,250 --> 00:11:58,640 Two different studies published in peer-reviewed places-- 269 00:11:58,640 --> 00:12:02,870 this one says, "taking mega doses of selenium," 270 00:12:02,870 --> 00:12:06,920 so enormous doses, "may have acute toxic effects 271 00:12:06,920 --> 00:12:08,750 and showed no decreased incidence 272 00:12:08,750 --> 00:12:13,550 of prostate cancer and increased prostate cancer rates. 273 00:12:13,550 --> 00:12:15,350 35,000 people. 274 00:12:15,350 --> 00:12:18,770 The same supplements greatly reduced 275 00:12:18,770 --> 00:12:22,717 secondary prostate cancer evolution in another study." 276 00:12:22,717 --> 00:12:24,800 Kind of hard to wrap your head around that, right? 277 00:12:24,800 --> 00:12:28,520 Both these studies were done with, I'd say, enough people 278 00:12:28,520 --> 00:12:31,368 and came to absolutely opposite conclusions, 279 00:12:31,368 --> 00:12:33,410 showing that there's definitely other confounding 280 00:12:33,410 --> 00:12:35,660 variables at work here. 281 00:12:35,660 --> 00:12:37,790 So there's kind of two solutions to this problem, 282 00:12:37,790 --> 00:12:39,530 increase your sample size to try to get 283 00:12:39,530 --> 00:12:42,290 a most representative set of the population 284 00:12:42,290 --> 00:12:45,430 or control for other confounding variables. 285 00:12:45,430 --> 00:12:46,930 And then the question is, how do you 286 00:12:46,930 --> 00:12:49,950 model how much is a good thing to go over 287 00:12:49,950 --> 00:12:52,300 what these models mean. 288 00:12:52,300 --> 00:12:54,760 The one that's described right now in the public 289 00:12:54,760 --> 00:12:56,920 is called the linear-no threshold model. 290 00:12:56,920 --> 00:12:59,860 This means that if this axis right here is bad 291 00:12:59,860 --> 00:13:02,410 and this is axis right here is amount 292 00:13:02,410 --> 00:13:05,420 that any amount of radiation is bad for you. 293 00:13:05,420 --> 00:13:07,420 What I think might be a little bit more accurate 294 00:13:07,420 --> 00:13:09,720 is called the linear threshold model. 295 00:13:09,720 --> 00:13:11,980 If you remember from two classes ago, 296 00:13:11,980 --> 00:13:13,570 the ICRP recommends that, I think, 297 00:13:13,570 --> 00:13:17,740 0.01 microsieverts is considered nothing officially. 298 00:13:17,740 --> 00:13:19,990 That would mean there is a threshold below which 299 00:13:19,990 --> 00:13:21,615 we absolutely don't care. 300 00:13:21,615 --> 00:13:22,990 And if there are any ill effects, 301 00:13:22,990 --> 00:13:25,870 they're statistically inseparable from anything else 302 00:13:25,870 --> 00:13:27,120 that would happen. 303 00:13:27,120 --> 00:13:29,963 And that would suggest here this linear threshold model, 304 00:13:29,963 --> 00:13:31,630 where this control line right here would 305 00:13:31,630 --> 00:13:35,740 be the incidence of whatever bad happens in the control 306 00:13:35,740 --> 00:13:39,450 population not exposed to the radiation, the selenium, 307 00:13:39,450 --> 00:13:40,700 the whatever. 308 00:13:40,700 --> 00:13:43,300 There's also a couple of other ones like the hormesis model, 309 00:13:43,300 --> 00:13:46,090 which says that if you get no radiation, 310 00:13:46,090 --> 00:13:49,788 you get the same amount of ill effects as the control group. 311 00:13:49,788 --> 00:13:51,580 If you get a little radiation, you actually 312 00:13:51,580 --> 00:13:54,460 get less ill effects. 313 00:13:54,460 --> 00:13:56,263 In this case, this would be like saying 314 00:13:56,263 --> 00:13:58,180 getting a little bit of radiation to the lungs 315 00:13:58,180 --> 00:14:00,730 could decrease your incidence of lung cancer. 316 00:14:00,730 --> 00:14:03,935 Does anyone believe that idea? 317 00:14:03,935 --> 00:14:05,560 Getting a little bit dose to your lungs 318 00:14:05,560 --> 00:14:08,670 could decrease lung cancer? 319 00:14:08,670 --> 00:14:09,470 OK. 320 00:14:09,470 --> 00:14:12,410 And then you reach some point of crossover point 321 00:14:12,410 --> 00:14:16,260 where, yeah, a lot of this thing becomes bad. 322 00:14:16,260 --> 00:14:19,540 And the question is, is radiation hormetic? 323 00:14:19,540 --> 00:14:22,190 Does this region where things get better actually 324 00:14:22,190 --> 00:14:28,090 lead all the way to x equals 0 as a function of dose? 325 00:14:28,090 --> 00:14:29,670 And I want to skip ahead a little bit 326 00:14:29,670 --> 00:14:33,110 to some of the studies. 327 00:14:33,110 --> 00:14:36,410 No, I don't want to skip ahead. 328 00:14:36,410 --> 00:14:38,210 There are some non hormetic models 329 00:14:38,210 --> 00:14:40,400 that have been proposed in the literature. 330 00:14:40,400 --> 00:14:42,890 It's easy to wrap your head around a linear model, right? 331 00:14:42,890 --> 00:14:44,030 It's just a line. 332 00:14:44,030 --> 00:14:44,920 More is worse. 333 00:14:44,920 --> 00:14:46,790 But the question is, how much? 334 00:14:46,790 --> 00:14:49,820 So folks have proposed things like linear quadratic, 335 00:14:49,820 --> 00:14:52,130 where a little bit of dose is bad. 336 00:14:52,130 --> 00:14:56,450 And then a lot more dose is more bad as a function of dose. 337 00:14:56,450 --> 00:14:59,090 That's actually kind of what we saw in the Hiroshima data. 338 00:14:59,090 --> 00:15:01,990 And I'll show you again in a sec. 339 00:15:01,990 --> 00:15:05,380 So the history of this LNT, or Linear No-Threshold model, 340 00:15:05,380 --> 00:15:07,450 states the following four things-- 341 00:15:07,450 --> 00:15:09,740 radiation exposure is harmful. 342 00:15:09,740 --> 00:15:13,582 Well, does anyone disagree with that statement? 343 00:15:13,582 --> 00:15:16,052 I think we all know that even large-- you know, 344 00:15:16,052 --> 00:15:18,630 at least large amounts of radiation exposure is bad. 345 00:15:18,630 --> 00:15:21,630 It's harmful at all exposure levels. 346 00:15:21,630 --> 00:15:23,930 That's the one you have to wonder. 347 00:15:23,930 --> 00:15:26,570 Each increment of exposure adds the overall risk, 348 00:15:26,570 --> 00:15:29,090 saying that it's an always increasing function. 349 00:15:29,090 --> 00:15:30,860 And the rate of accumulation exposure 350 00:15:30,860 --> 00:15:32,870 has no bearing on risk. 351 00:15:32,870 --> 00:15:34,730 The first one's easy. 352 00:15:34,730 --> 00:15:37,310 We know this is true because you expose people 353 00:15:37,310 --> 00:15:38,750 to a lot of radiation, bad things 354 00:15:38,750 --> 00:15:41,660 tend to happen, deterministically. 355 00:15:41,660 --> 00:15:45,450 The second one, we already know is false. 356 00:15:45,450 --> 00:15:49,110 If you look at large sample sets of data, like, the data 357 00:15:49,110 --> 00:15:50,700 we showed before, there's definitely 358 00:15:50,700 --> 00:15:54,180 a non-linear sort of relationship going, where 359 00:15:54,180 --> 00:15:56,700 each incremental amount of exposure 360 00:15:56,700 --> 00:15:59,470 has the same amount of incremental risk. 361 00:15:59,470 --> 00:16:04,090 We know from a lot of studies that's not typically true. 362 00:16:04,090 --> 00:16:09,000 Then the question is, what about these two? 363 00:16:09,000 --> 00:16:10,750 So now it's going to-- we're going to find 364 00:16:10,750 --> 00:16:14,420 and who you some fairly interesting studies. 365 00:16:14,420 --> 00:16:18,610 In this case, leukemia as a function of radiation dose, 366 00:16:18,610 --> 00:16:21,430 what do you guys think about this data set before I 367 00:16:21,430 --> 00:16:23,020 seed any ideas into your heads? 368 00:16:26,660 --> 00:16:29,180 So here is dose and sieverts, not gray. 369 00:16:29,180 --> 00:16:33,410 And here is odds ratio, relative risk of contracting leukemia. 370 00:16:38,480 --> 00:16:40,400 If you were to look at the data points alone, 371 00:16:40,400 --> 00:16:42,389 what would you say? 372 00:16:42,389 --> 00:16:45,110 AUDIENCE: A little bit of dose is good for you. 373 00:16:45,110 --> 00:16:46,960 MICHAEL SHORT: Yeah, you might think that. 374 00:16:46,960 --> 00:16:48,418 But look at all the different types 375 00:16:48,418 --> 00:16:50,520 of models you can draw through the error bars. 376 00:16:50,520 --> 00:16:51,960 As you could draw anything going, 377 00:16:51,960 --> 00:16:54,420 let's say, down and then up. 378 00:16:54,420 --> 00:16:57,150 You could draw a linear no-threshold model, 379 00:16:57,150 --> 00:16:59,250 as long as it got through this line right here 380 00:16:59,250 --> 00:17:01,530 or a linear quadratic model. 381 00:17:01,530 --> 00:17:04,470 So a study like this doesn't quite 382 00:17:04,470 --> 00:17:07,760 give you any sort of measurable conclusion. 383 00:17:07,760 --> 00:17:11,829 A study like this might, especially considering 384 00:17:11,829 --> 00:17:14,260 the number of people involved. 385 00:17:14,260 --> 00:17:17,200 In this case, this is the activity 386 00:17:17,200 --> 00:17:21,339 of radon in air as related to the incidence of lung 387 00:17:21,339 --> 00:17:24,369 cancer per 10,000 people. 388 00:17:24,369 --> 00:17:28,329 Notice the sample size here, 200,000 people 389 00:17:28,329 --> 00:17:32,620 from 1,600 counties that comprise 90% of the population. 390 00:17:32,620 --> 00:17:36,310 Chances are you've then passed the urban-rural divide. 391 00:17:36,310 --> 00:17:38,780 You've then passed any region of the country. 392 00:17:38,780 --> 00:17:41,200 So by including such a gigantic sample size, 393 00:17:41,200 --> 00:17:44,540 you do mostly eliminate the confounding variables. 394 00:17:44,540 --> 00:17:48,700 So, location, you know, house construction, 395 00:17:48,700 --> 00:17:51,880 urban versus rural, age, anything else 396 00:17:51,880 --> 00:17:54,408 are pretty much smeared out in the enormous sample size. 397 00:17:54,408 --> 00:17:55,450 And what do you see here? 398 00:17:59,772 --> 00:18:01,480 AUDIENCE: Looks pretty good for low dose. 399 00:18:01,480 --> 00:18:03,440 MICHAEL SHORT: Yeah, you see a fairly 400 00:18:03,440 --> 00:18:05,720 statistically-significant hormesis 401 00:18:05,720 --> 00:18:08,690 effect, where, you know, the route of exposure 402 00:18:08,690 --> 00:18:10,040 is very well-known. 403 00:18:10,040 --> 00:18:12,560 Everything else seems to be controlled for by-- 404 00:18:12,560 --> 00:18:15,050 I mean, we've included something like almost 0.1% 405 00:18:15,050 --> 00:18:17,000 of the US population. 406 00:18:17,000 --> 00:18:17,690 That's not bad. 407 00:18:20,450 --> 00:18:24,770 Other ones for people that get more specific, targeted dose, 408 00:18:24,770 --> 00:18:27,110 in this case, women who received multiple x-rays 409 00:18:27,110 --> 00:18:30,680 to monitor lung collapse during tuberculosis treatment, a group 410 00:18:30,680 --> 00:18:33,320 of people that can be tightly controlled 411 00:18:33,320 --> 00:18:35,600 and followed very well. 412 00:18:35,600 --> 00:18:38,300 These are numbers with one standard deviation. 413 00:18:38,300 --> 00:18:40,500 And that, right there so you can see, is centigray. 414 00:18:40,500 --> 00:18:45,650 So this dose right here is one gray worth of dose. 415 00:18:45,650 --> 00:18:47,750 That's a pretty toasty amount of radiation. 416 00:18:47,750 --> 00:18:50,840 But below that, again, statistically 417 00:18:50,840 --> 00:18:54,290 significant-looking data. 418 00:18:54,290 --> 00:18:56,650 I don't know how many people were in the study 419 00:18:56,650 --> 00:18:58,400 because I didn't extract that information. 420 00:18:58,400 --> 00:19:01,025 But it's something you might be doing in the next half an hour. 421 00:19:03,302 --> 00:19:04,740 AUDIENCE: [INAUDIBLE] 422 00:19:04,740 --> 00:19:06,790 MICHAEL SHORT: Oh, it does. 423 00:19:06,790 --> 00:19:08,200 It says deaths per 10,000 women. 424 00:19:08,200 --> 00:19:10,590 But how many people were in the study? 425 00:19:10,590 --> 00:19:12,340 The question is, what is your sample size? 426 00:19:12,340 --> 00:19:15,450 So like in the last study, it was just 200,000 people 427 00:19:15,450 --> 00:19:17,150 in the samples. 428 00:19:17,150 --> 00:19:19,400 That gives you some pretty good confidence that you've 429 00:19:19,400 --> 00:19:21,620 eliminated confounding results. 430 00:19:21,620 --> 00:19:23,840 So I don't know how many folks get tuberculosis 431 00:19:23,840 --> 00:19:27,345 these days in the US, or whether this was even a US study, 432 00:19:27,345 --> 00:19:28,970 chances are the sample size is smaller. 433 00:19:28,970 --> 00:19:32,090 So than even if the data support your idea of hormesis, 434 00:19:32,090 --> 00:19:33,830 you have to call into question, is 435 00:19:33,830 --> 00:19:36,740 this a large enough, and a representative enough, 436 00:19:36,740 --> 00:19:39,542 sample size to draw any real conclusion? 437 00:19:42,500 --> 00:19:43,700 So then let's keep going. 438 00:19:43,700 --> 00:19:45,940 More data needed. 439 00:19:45,940 --> 00:19:47,233 Evidence for a threshold model. 440 00:19:47,233 --> 00:19:49,150 This is probably the most boring-looking graph 441 00:19:49,150 --> 00:19:51,460 that actually gives you some idea of, 442 00:19:51,460 --> 00:19:53,770 should there be a threshold for how much radiation 443 00:19:53,770 --> 00:19:55,000 is a bad thing? 444 00:19:55,000 --> 00:19:58,270 In this case, it's very careful data. 445 00:19:58,270 --> 00:20:00,910 It's a very carefully-controlled data set, lung cancer 446 00:20:00,910 --> 00:20:03,807 death from radon in miners. 447 00:20:03,807 --> 00:20:05,890 And folks that are going down underground probably 448 00:20:05,890 --> 00:20:07,522 have a higher incidence of lung cancer 449 00:20:07,522 --> 00:20:08,980 overall from all the horrible stuff 450 00:20:08,980 --> 00:20:12,880 they're exposed to, whether it's coal or, you know, 451 00:20:12,880 --> 00:20:13,950 if you're mining gypsum. 452 00:20:13,950 --> 00:20:16,130 Oh, there's lots of nasty stuff down there. 453 00:20:16,130 --> 00:20:17,950 But there is an additional amount 454 00:20:17,950 --> 00:20:20,620 of deaths responsible from radon. 455 00:20:20,620 --> 00:20:23,230 Here's your relative list risk level of 1 456 00:20:23,230 --> 00:20:25,400 and up to 10 picocuries per liter, 457 00:20:25,400 --> 00:20:31,490 which was around the maximum of the last study. 458 00:20:31,490 --> 00:20:34,520 It's as boring as it gets, which helps refute 459 00:20:34,520 --> 00:20:36,680 the idea of a linear no-threshold model, 460 00:20:36,680 --> 00:20:40,190 because if there was a linear no-threshold model, 461 00:20:40,190 --> 00:20:44,960 this dose versus risk would be reliably and significantly 462 00:20:44,960 --> 00:20:46,720 going up. 463 00:20:46,720 --> 00:20:48,500 So there's data out there to support this. 464 00:20:51,170 --> 00:20:53,640 And even-- even better ones, lung cancer deaths 465 00:20:53,640 --> 00:20:54,720 from radon in homes. 466 00:20:54,720 --> 00:20:56,460 The study was careful to look at. 467 00:20:56,460 --> 00:20:58,470 If you look at the legend here, these 468 00:20:58,470 --> 00:21:02,870 are different cities ranging from Shenyang in China, 469 00:21:02,870 --> 00:21:05,630 to Winnipeg in Canada, to New Jersey, which is apparently 470 00:21:05,630 --> 00:21:08,990 a city, to places in Finland, Sweden, and Stockholm, 471 00:21:08,990 --> 00:21:11,120 which are somehow different places. 472 00:21:11,120 --> 00:21:11,690 Yeah. 473 00:21:11,690 --> 00:21:13,898 So when you see a study like this where they actually 474 00:21:13,898 --> 00:21:15,560 control and check to make sure they're 475 00:21:15,560 --> 00:21:18,080 not getting any single locality as 476 00:21:18,080 --> 00:21:20,810 an unrepresentative measurement, and the data just 477 00:21:20,810 --> 00:21:21,710 looked like a crowd-- 478 00:21:21,710 --> 00:21:25,928 a cloud along relative risk equals 1, 479 00:21:25,928 --> 00:21:28,220 this either refutes the idea that there is no threshold 480 00:21:28,220 --> 00:21:29,600 or supports the idea that there's 481 00:21:29,600 --> 00:21:34,710 got to be some threshold lying beyond 10 picocuries per liter. 482 00:21:34,710 --> 00:21:37,610 So, again, to me, it supports the ICRP's recommendation 483 00:21:37,610 --> 00:21:38,680 of chill out. 484 00:21:38,680 --> 00:21:41,180 You're going to have a little bit of radon in your basement. 485 00:21:41,180 --> 00:21:43,310 But pretty big studies, and quite a lot of them, 486 00:21:43,310 --> 00:21:46,670 show that a little bit isn't going to add any risk to you. 487 00:21:46,670 --> 00:21:48,380 So if you're worried about risk, they're 488 00:21:48,380 --> 00:21:53,020 statistically is none based on quite a few of these studies. 489 00:21:53,020 --> 00:21:56,770 And in order to enable you to find these studies on your own, 490 00:21:56,770 --> 00:21:59,090 I wanted to go through five minutes of where to look. 491 00:21:59,090 --> 00:22:02,200 And the answer is not Google because Google is not very 492 00:22:02,200 --> 00:22:04,360 good at finding every study. 493 00:22:04,360 --> 00:22:06,460 It also picks up a whole lot of garbage 494 00:22:06,460 --> 00:22:09,800 that's not peer reviewed because it just scrabbles the internet, 495 00:22:09,800 --> 00:22:10,300 you know? 496 00:22:10,300 --> 00:22:12,430 That's what it does really well. 497 00:22:12,430 --> 00:22:15,560 Instead, I want us to take the next half hour, 498 00:22:15,560 --> 00:22:18,740 split into teams for and against hormesis, 499 00:22:18,740 --> 00:22:20,660 and try and find studies that confirm 500 00:22:20,660 --> 00:22:23,660 or refute the idea that radiation hormesis is 501 00:22:23,660 --> 00:22:26,590 an actual effect. 502 00:22:26,590 --> 00:22:29,220 So how many of you have some sort of computer device 503 00:22:29,220 --> 00:22:30,830 with you here? 504 00:22:30,830 --> 00:22:31,330 Good. 505 00:22:31,330 --> 00:22:34,670 Enough so that there is equal amount in each group. 506 00:22:34,670 --> 00:22:37,132 I'd like to switch now to my own browser. 507 00:22:37,132 --> 00:22:39,090 And I want to show you guys the Web of Science. 508 00:22:46,040 --> 00:22:51,210 Web of-- yeah, [INAUDIBLE] I use Pine on my phone. 509 00:22:51,210 --> 00:22:54,460 It's much better science. 510 00:22:54,460 --> 00:22:57,730 So if you just Google search Web of Science, and you're at MIT, 511 00:22:57,730 --> 00:22:59,380 it will recognize your certificates 512 00:22:59,380 --> 00:23:03,820 and send you into the actual best scientific paper indexing 513 00:23:03,820 --> 00:23:05,002 thing out there. 514 00:23:05,002 --> 00:23:06,730 AUDIENCE: Better than Google Scholar? 515 00:23:06,730 --> 00:23:08,630 MICHAEL SHORT: Oh, my god, it's better than Google Scholar. 516 00:23:08,630 --> 00:23:09,460 Yeah. 517 00:23:09,460 --> 00:23:11,080 If you think you've found everything 518 00:23:11,080 --> 00:23:13,538 by looking at Google Scholar, you're only fooling yourself. 519 00:23:13,538 --> 00:23:15,190 You're not fooling anybody else. 520 00:23:15,190 --> 00:23:16,202 It's getting better. 521 00:23:16,202 --> 00:23:17,410 But it doesn't find anything. 522 00:23:17,410 --> 00:23:19,840 And Google Scholar is really good at finding 523 00:23:19,840 --> 00:23:21,310 things that aren't peer reviewed, 524 00:23:21,310 --> 00:23:24,040 self-published stuff, things on archive, things 525 00:23:24,040 --> 00:23:25,690 that you can't trust because they 526 00:23:25,690 --> 00:23:28,670 haven't passed the muster of the scientific community. 527 00:23:28,670 --> 00:23:31,450 So instead, let's say you would just 528 00:23:31,450 --> 00:23:33,900 do a simple search for radiation hormesis. 529 00:23:33,900 --> 00:23:34,810 You can all do this. 530 00:23:34,810 --> 00:23:35,140 Don't worry. 531 00:23:35,140 --> 00:23:36,557 I'm not showing you how to search. 532 00:23:36,557 --> 00:23:38,470 I'm showing you some of the other features 533 00:23:38,470 --> 00:23:40,500 of Web of Science. 534 00:23:40,500 --> 00:23:43,450 And you end up with 534 papers. 535 00:23:43,450 --> 00:23:46,660 You can, let's say, sort by number of times cited, 536 00:23:46,660 --> 00:23:51,190 which may or may not be a factor in how trustworthy the data is. 537 00:23:51,190 --> 00:23:54,168 It might just correlate with the age of the paper. 538 00:23:54,168 --> 00:23:55,460 It might also be controversial. 539 00:23:55,460 --> 00:23:58,510 So if people cite it as an example of what to do wrong, 540 00:23:58,510 --> 00:23:59,920 it might be highly cited. 541 00:23:59,920 --> 00:24:02,830 You know, people have made tenure cases and like careers 542 00:24:02,830 --> 00:24:04,330 on papers that ended up being wrong. 543 00:24:04,330 --> 00:24:06,840 And all you see is 10,000 citations saying this person 544 00:24:06,840 --> 00:24:07,840 is an idiot. 545 00:24:07,840 --> 00:24:10,367 If the committee val-- you know, judging you for a promotion 546 00:24:10,367 --> 00:24:11,950 doesn't read that far into it, they're 547 00:24:11,950 --> 00:24:15,300 like, oh, my god, 10,000 citations, right? 548 00:24:15,300 --> 00:24:15,800 Boom! 549 00:24:15,800 --> 00:24:18,140 Tenure, that's all you have to do. 550 00:24:18,140 --> 00:24:20,540 I think I have it a little tougher. 551 00:24:20,540 --> 00:24:25,340 The important part is while with a title like that, oh, man, 552 00:24:25,340 --> 00:24:27,110 the more-- the real fun part though is you 553 00:24:27,110 --> 00:24:29,150 can see who has cited this paper. 554 00:24:29,150 --> 00:24:31,700 So if you want to then go see, why has this paper been cited 555 00:24:31,700 --> 00:24:35,540 260 times, you can instantly see all the titles, and years, 556 00:24:35,540 --> 00:24:38,750 and number of additional citations of the papers 557 00:24:38,750 --> 00:24:40,310 that have cited it. 558 00:24:40,310 --> 00:24:45,300 So this is how you get started with a real research, research. 559 00:24:45,300 --> 00:24:46,850 Yeah, that's what I meant to say, 560 00:24:46,850 --> 00:24:49,490 is starting from a paper and a tool like Web of Science, 561 00:24:49,490 --> 00:24:52,700 you can go forward and backward in citation time, 562 00:24:52,700 --> 00:24:55,430 backward in time to see what evidence this paper used 563 00:24:55,430 --> 00:24:58,430 to make their claims, forward in time to see what 564 00:24:58,430 --> 00:25:00,707 other people thought about it. 565 00:25:00,707 --> 00:25:02,040 So who wants to be for hormesis? 566 00:25:04,930 --> 00:25:07,830 All right, everyone, all you guys on one side of the room, 567 00:25:07,830 --> 00:25:11,020 all you guys, other guys on the other side of the room. 568 00:25:11,020 --> 00:25:12,570 And I'd like you guys to try to find 569 00:25:12,570 --> 00:25:15,090 the most convincing studies that you can 570 00:25:15,090 --> 00:25:16,950 to prove the other side wrong. 571 00:25:16,950 --> 00:25:19,830 I suggest using Web Science, not Google Scholar. 572 00:25:19,830 --> 00:25:24,240 It's pretty easy to figure out how to learn how to use. 573 00:25:24,240 --> 00:25:28,220 And let's see what conclusion we come to. 574 00:25:28,220 --> 00:25:29,140 AUDIENCE: [INAUDIBLE] 575 00:25:29,140 --> 00:25:32,270 MICHAEL SHORT: Yep, hormesis by the wall-- 576 00:25:32,270 --> 00:25:34,350 yeah, anti-hormesis by the window. 577 00:25:34,350 --> 00:25:34,850 There we go. 578 00:25:37,840 --> 00:25:40,800 And I'm going to hide this because I don't want to give 579 00:25:40,800 --> 00:25:42,060 anyone an unfair advantage. 580 00:25:42,060 --> 00:25:46,060 AUDIENCE: So [INAUDIBLE]. 581 00:25:46,060 --> 00:25:48,980 SARAH: So this is a graph showing the immune response 582 00:25:48,980 --> 00:25:53,120 in the cells of mice showing that after they were given 583 00:25:53,120 --> 00:25:58,010 doses from 0 to 2 gray, or 0 to 7 on the right, 584 00:25:58,010 --> 00:25:59,480 the response of the immune system. 585 00:25:59,480 --> 00:26:05,120 So at the lower doses below like 0.5 gray, which is in the range 586 00:26:05,120 --> 00:26:10,430 that we're looking at, well, the immune system in the mice 587 00:26:10,430 --> 00:26:13,520 had a stronger response at low doses of radiation 588 00:26:13,520 --> 00:26:15,410 and then very quickly tapered off, 589 00:26:15,410 --> 00:26:19,720 supporting the claim the low doses are good for mice. 590 00:26:19,720 --> 00:26:20,541 [LAUGHTER] 591 00:26:20,541 --> 00:26:21,624 MICHAEL SHORT: [INAUDIBLE] 592 00:26:22,124 --> 00:26:23,822 SARAH: I have another graph too. 593 00:26:23,822 --> 00:26:26,030 MICHAEL SHORT: So this percentage change in response, 594 00:26:26,030 --> 00:26:30,116 I'm assuming 100 years is no dose. 595 00:26:30,116 --> 00:26:31,060 OK. 596 00:26:31,060 --> 00:26:32,620 SARAH: Yes. 597 00:26:32,620 --> 00:26:35,740 So at higher doses, the response of the immune system 598 00:26:35,740 --> 00:26:39,370 was suppressed, which follows with what all the other studies 599 00:26:39,370 --> 00:26:45,251 show about giving doses in excess of like 1 gray to cells. 600 00:26:45,251 --> 00:26:47,510 MICHAEL SHORT: Cool. 601 00:26:47,510 --> 00:26:49,617 So anti-hormesis group. 602 00:26:49,617 --> 00:26:51,200 SARAH: Oh, I have another graph, but-- 603 00:26:51,200 --> 00:26:51,710 MICHAEL SHORT: Oh, you do? 604 00:26:51,710 --> 00:26:52,310 SARAH: Yeah. 605 00:26:52,310 --> 00:26:53,290 MICHAEL SHORT: Oh, I wasn't going to call them out. 606 00:26:53,290 --> 00:26:54,950 I was going to have them criticize what's up here. 607 00:26:54,950 --> 00:26:55,805 SARAH: Oh, no. 608 00:26:55,805 --> 00:26:56,680 I have another graph. 609 00:26:56,680 --> 00:26:58,013 MICHAEL SHORT: [INAUDIBLE] next. 610 00:27:00,122 --> 00:27:01,580 SARAH: I have two of the same ones. 611 00:27:01,580 --> 00:27:03,740 No, I have another one somewhere. 612 00:27:03,740 --> 00:27:05,660 I'll find it in a sec. 613 00:27:10,560 --> 00:27:13,930 This one. 614 00:27:13,930 --> 00:27:16,600 All right, so this one is incidences 615 00:27:16,600 --> 00:27:23,170 of lung cancer based on mean radon level 616 00:27:23,170 --> 00:27:24,430 and corrected for smoking. 617 00:27:24,430 --> 00:27:27,040 So you can't say that it was just from people smoking. 618 00:27:27,040 --> 00:27:31,010 So for radon levels up to 7 picocuries per liter, 619 00:27:31,010 --> 00:27:35,710 the incidence of fatal lung cancer 620 00:27:35,710 --> 00:27:39,190 actually decreased as you had more radon. 621 00:27:42,070 --> 00:27:43,030 MICHAEL SHORT: Oh. 622 00:27:43,030 --> 00:27:43,530 AUDIENCE: 623 00:27:43,530 --> 00:27:44,518 SARAH: Yes. 624 00:27:44,518 --> 00:27:46,060 MICHAEL SHORT: Anything else you guys 625 00:27:46,060 --> 00:27:50,700 want to show before we let the anti-hormesis folks poke at it? 626 00:27:50,700 --> 00:27:52,133 SARAH: That's what I got. 627 00:27:52,133 --> 00:27:52,940 MICHAEL SHORT: OK. 628 00:27:52,940 --> 00:27:53,815 AUDIENCE: [INAUDIBLE] 629 00:27:53,815 --> 00:27:55,398 MICHAEL SHORT: What are your thoughts? 630 00:27:55,398 --> 00:27:57,550 AUDIENCE: OK, could you go back to the last one. 631 00:27:57,550 --> 00:27:58,720 SARAH: I will try, yes. 632 00:28:03,530 --> 00:28:06,420 AUDIENCE: Do you have any other [INAUDIBLE].. 633 00:28:06,420 --> 00:28:08,460 AUDIENCE: [INAUDIBLE] response. 634 00:28:08,460 --> 00:28:10,570 AUDIENCE: So-- so a mouse is twice-- 635 00:28:10,570 --> 00:28:15,490 almost twice as effective at fending off disease? 636 00:28:15,490 --> 00:28:19,378 OK, I-- I am not a mouse biologist, 637 00:28:19,378 --> 00:28:24,238 but the smell test makes me think that-- 638 00:28:24,238 --> 00:28:26,190 that perplexed me. 639 00:28:26,190 --> 00:28:30,800 And I guess you didn't do studies [INAUDIBLE].. 640 00:28:30,800 --> 00:28:32,740 SARAH: I am not personally offended by this. 641 00:28:32,740 --> 00:28:33,470 So you're good. 642 00:28:33,470 --> 00:28:37,505 AUDIENCE: Enormous-- enormous change. 643 00:28:37,505 --> 00:28:40,820 And if radiation hormesis has such a strong effect 644 00:28:40,820 --> 00:28:44,280 on these mice, then why isn't it something everywhere as a thing 645 00:28:44,280 --> 00:28:44,780 now. 646 00:28:44,780 --> 00:28:48,600 Like, if radiation-- if hormesis is responsible for 80% 647 00:28:48,600 --> 00:28:51,567 [? movement ?] in mice, [INAUDIBLE] like where-- 648 00:28:51,567 --> 00:28:53,400 SARAH: I don't know that it was improvement. 649 00:28:53,400 --> 00:28:55,800 I think it was just in the amount of response they saw. 650 00:28:55,800 --> 00:28:57,520 I don't know if that means it's-- 651 00:28:57,520 --> 00:28:59,062 well, that doesn't always mean it was 652 00:28:59,062 --> 00:29:01,480 effective at doing something. 653 00:29:01,480 --> 00:29:01,980 Right. 654 00:29:02,530 --> 00:29:03,990 MICHAEL SHORT: [INAUDIBLE] you guys have comments too? 655 00:29:03,990 --> 00:29:05,700 AUDIENCE: Additionally, that's like an extremely small 656 00:29:05,700 --> 00:29:07,680 of a dose for such a massive response 657 00:29:07,680 --> 00:29:13,000 in like a field that is so based on probability. 658 00:29:13,000 --> 00:29:15,780 Like, how can something like the dose range 659 00:29:15,780 --> 00:29:18,990 that small have that much of an impact on mice? 660 00:29:18,990 --> 00:29:22,038 SARAH: Well, from 0 to half a gray is pretty significant. 661 00:29:22,038 --> 00:29:23,080 AUDIENCE: But [INAUDIBLE] 662 00:29:23,080 --> 00:29:24,480 SARAH: [INAUDIBLE] 663 00:29:24,480 --> 00:29:27,973 AUDIENCE: --before you get to the 0.6 gray. 664 00:29:27,973 --> 00:29:29,390 AUDIENCE: You're also only looking 665 00:29:29,390 --> 00:29:33,010 at the cells from [INAUDIBLE] it seems like. 666 00:29:33,010 --> 00:29:35,650 And it like looked varied depending 667 00:29:35,650 --> 00:29:36,850 on the kind of tissue. 668 00:29:36,850 --> 00:29:39,655 So you can't do it for overall. 669 00:29:39,655 --> 00:29:41,030 MICHAEL SHORT: OK, I want to hear 670 00:29:41,030 --> 00:29:42,700 from the pro-hormesis team. 671 00:29:42,700 --> 00:29:46,380 What makes your-- what makes your legs a little shaky trying 672 00:29:46,380 --> 00:29:48,310 to stand and hold this up? 673 00:29:48,310 --> 00:29:49,270 AUDIENCE: [INAUDIBLE] 674 00:29:49,270 --> 00:29:50,062 MICHAEL SHORT: Aha. 675 00:29:50,965 --> 00:29:52,238 SARAH: Didn't read the study. 676 00:29:52,238 --> 00:29:53,134 [LAUGHTER] 677 00:29:54,463 --> 00:29:55,630 MICHAEL SHORT: I like this-- 678 00:29:55,630 --> 00:29:56,800 I like this idea that, yeah, you're 679 00:29:56,800 --> 00:29:58,990 only looking at one type of cell, which may or may 680 00:29:58,990 --> 00:30:01,570 respond differently to different types of radiation. 681 00:30:01,570 --> 00:30:03,230 There are no error bars. 682 00:30:03,230 --> 00:30:06,445 SARAH: No, not even a whole mouse either. 683 00:30:06,445 --> 00:30:08,020 AUDIENCE: [INAUDIBLE] in the mouse. 684 00:30:08,020 --> 00:30:11,040 MICHAEL SHORT: Oh, oh to trigger an immune response. 685 00:30:11,040 --> 00:30:12,317 AUDIENCE: [INAUDIBLE] 686 00:30:12,317 --> 00:30:13,900 MICHAEL SHORT: It's like-- there are-- 687 00:30:13,900 --> 00:30:15,072 there's other cells nearby. 688 00:30:15,072 --> 00:30:16,780 But they're like, oh, you're not my cell. 689 00:30:16,780 --> 00:30:17,822 I'm going to [INAUDIBLE]. 690 00:30:17,822 --> 00:30:19,120 AUDIENCE: [INAUDIBLE] mice. 691 00:30:19,120 --> 00:30:19,953 MICHAEL SHORT: Yeah. 692 00:30:19,953 --> 00:30:21,550 So that's-- that's a valid point. 693 00:30:21,550 --> 00:30:25,983 But, yeah, did it say in the study how many? 694 00:30:25,983 --> 00:30:27,525 SARAH: Again, did not read the study. 695 00:30:27,525 --> 00:30:28,233 [LAUGHTER] 696 00:30:30,070 --> 00:30:31,132 Read the conclusion. 697 00:30:31,132 --> 00:30:33,590 MICHAEL SHORT: The data alone, just taken it at face value, 698 00:30:33,590 --> 00:30:36,470 make it look like hormesis is a definite thing, Yeah, Kristin? 699 00:30:36,470 --> 00:30:40,157 AUDIENCE: I'm saying if there is [INAUDIBLE].. 700 00:30:40,157 --> 00:30:40,990 MICHAEL SHORT: Yeah. 701 00:30:40,990 --> 00:30:41,490 SARAH: True. 702 00:30:41,490 --> 00:30:43,920 Nine mice cell samples. 703 00:30:43,920 --> 00:30:46,120 MICHAEL SHORT: Let's go to the other study. 704 00:30:46,120 --> 00:30:47,830 SARAH: All right, the-- the lung one? 705 00:30:47,830 --> 00:30:48,700 MICHAEL SHORT: Yeah, it seems to be 706 00:30:48,700 --> 00:30:49,992 more controlled and more legit. 707 00:30:49,992 --> 00:30:50,950 SARAH: Yeah. 708 00:30:50,950 --> 00:30:52,130 This one has error bars. 709 00:30:52,130 --> 00:30:55,820 MICHAEL SHORT: Yeah, 1 has error bars, 2, corrected for smoking. 710 00:30:55,820 --> 00:30:58,270 So let's see what the caption says. 711 00:30:58,270 --> 00:31:01,840 Lung cancer fatality rates compared with mean radon levels 712 00:31:01,840 --> 00:31:02,410 in the US. 713 00:31:05,520 --> 00:31:09,720 SARAH: And for multiple counties because it 714 00:31:09,720 --> 00:31:11,260 talks about counties plural. 715 00:31:11,260 --> 00:31:11,760 So-- 716 00:31:16,812 --> 00:31:18,270 MICHAEL SHORT: So multiple counties 717 00:31:18,270 --> 00:31:22,510 helped control for single localities, or-- 718 00:31:22,510 --> 00:31:25,930 AUDIENCE: So the 0 level there is theoretical. 719 00:31:25,930 --> 00:31:28,850 So the data that you have down here, 720 00:31:28,850 --> 00:31:32,050 like, we don't know what actually happens [INAUDIBLE].. 721 00:31:32,050 --> 00:31:32,830 SARAH: Past what? 722 00:31:32,830 --> 00:31:36,230 AUDIENCE: Like-- like below 1, the mean radon levels 723 00:31:36,230 --> 00:31:39,140 because everyone is exposed to radon. 724 00:31:39,140 --> 00:31:41,920 SARAH: Well, it says average residential level of 1.7. 725 00:31:41,920 --> 00:31:44,560 So I think that means maybe some people have less, maybe 726 00:31:44,560 --> 00:31:45,640 some people have more. 727 00:31:45,640 --> 00:31:48,017 I don't know what the minimum radon level is. 728 00:31:48,017 --> 00:31:49,600 MICHAEL SHORT: It's not going to be 0. 729 00:31:49,600 --> 00:31:50,350 SARAH: It's not 0. 730 00:31:50,350 --> 00:31:51,910 MICHAEL SHORT: Yeah, no one gets 0 731 00:31:51,910 --> 00:31:53,410 unless you live in a vacuum chamber. 732 00:31:53,410 --> 00:31:55,452 SARAH: I don't know what kind of scale that's on. 733 00:31:55,452 --> 00:31:56,430 AUDIENCE: Me too. 734 00:31:56,430 --> 00:31:58,010 MICHAEL SHORT: Yeah. 735 00:31:58,010 --> 00:31:58,510 Cool, yeah. 736 00:31:58,510 --> 00:32:00,220 So this-- this is fairly convincing. 737 00:32:00,220 --> 00:32:02,120 If the point here was to show there 738 00:32:02,120 --> 00:32:03,838 is the theory of linear no threshold, 739 00:32:03,838 --> 00:32:06,130 and here's what's an actual data with error bars shows. 740 00:32:06,130 --> 00:32:07,930 It does a pretty good job in saying, 741 00:32:07,930 --> 00:32:11,020 the theory is not right, in this case. 742 00:32:11,020 --> 00:32:12,410 Can you say that in all cases? 743 00:32:12,410 --> 00:32:13,330 It's hard to tell. 744 00:32:13,330 --> 00:32:16,750 In the first study you found that was on the cellular level. 745 00:32:16,750 --> 00:32:18,700 Maybe the multicellular level-- 746 00:32:18,700 --> 00:32:21,940 multicellular level, certainly not the organism level, 747 00:32:21,940 --> 00:32:23,155 like we said, how many mice. 748 00:32:23,155 --> 00:32:24,280 This is just parts of mice. 749 00:32:24,280 --> 00:32:24,550 Just-- 750 00:32:24,550 --> 00:32:25,995 SARAH: It could be the same mouse. 751 00:32:25,995 --> 00:32:27,370 MICHAEL SHORT: Some cells-- yeah. 752 00:32:27,370 --> 00:32:29,300 This one is definitely at the organism level. 753 00:32:29,300 --> 00:32:32,380 It's for-- for gross amounts of exposure, how many of them 754 00:32:32,380 --> 00:32:34,810 resulted in increased incidence of lung cancer? 755 00:32:34,810 --> 00:32:36,640 The answer is pretty much none. 756 00:32:36,640 --> 00:32:39,400 They all showed a statistically-significant 757 00:32:39,400 --> 00:32:43,053 decrease, which is pretty interesting. 758 00:32:43,053 --> 00:32:43,720 So thanks a lot. 759 00:32:43,720 --> 00:32:44,220 Sarah. 760 00:32:44,220 --> 00:32:45,037 And the whole team. 761 00:32:45,037 --> 00:32:47,120 Now one of you guys come up and find [INAUDIBLE].. 762 00:32:47,120 --> 00:32:48,260 SARAH: Carrying the team. 763 00:32:48,260 --> 00:32:50,925 AUDIENCE: [INAUDIBLE] 764 00:32:50,925 --> 00:32:52,550 MICHAEL SHORT: So who wants to come up? 765 00:32:52,550 --> 00:32:54,140 Or does no one [INAUDIBLE]? 766 00:32:54,140 --> 00:32:55,590 SARAH: Let's throw down, right? 767 00:32:55,590 --> 00:32:57,697 Fixing to scrap. 768 00:32:57,697 --> 00:32:59,530 MICHAEL SHORT: OK, you can just pull it out. 769 00:32:59,530 --> 00:33:00,840 SARAH: OK, Are you sure? 770 00:33:00,840 --> 00:33:01,673 MICHAEL SHORT: Yeah. 771 00:33:01,673 --> 00:33:03,570 SARAH: OK. 772 00:33:03,570 --> 00:33:05,472 I don't want to break things. 773 00:33:05,472 --> 00:33:07,180 MICHAEL SHORT: No, pulling it out's fine. 774 00:33:07,180 --> 00:33:09,220 If you jam it in, you can bend the pins. 775 00:33:09,220 --> 00:33:11,110 And that's happened here before. 776 00:33:11,110 --> 00:33:12,010 AUDIENCE: [INAUDIBLE] 777 00:33:12,425 --> 00:33:14,800 MICHAEL SHORT: Yeah, if you want to take a minute to send 778 00:33:14,800 --> 00:33:16,740 each other the links, go ahead. 779 00:33:29,140 --> 00:33:31,350 No, I like this, though, is you can-- 780 00:33:31,350 --> 00:33:33,478 you can find a graph that supports something. 781 00:33:33,478 --> 00:33:34,770 And you can cite it in a paper. 782 00:33:34,770 --> 00:33:36,070 And you can get that paper published. 783 00:33:36,070 --> 00:33:37,710 But looking more carefully at the data 784 00:33:37,710 --> 00:33:39,520 does sometimes call things into question. 785 00:33:39,520 --> 00:33:40,260 AUDIENCE: Just like [INAUDIBLE]. 786 00:33:40,260 --> 00:33:42,052 MICHAEL SHORT: Like, I think you guys found 787 00:33:42,052 --> 00:33:44,160 a good example of that mouse cell study 788 00:33:44,160 --> 00:33:45,870 that looks like it supports hormesis, 789 00:33:45,870 --> 00:33:47,250 but you can't say so for sure. 790 00:33:56,180 --> 00:33:57,930 Make sure no one's waiting for their room. 791 00:34:01,920 --> 00:34:02,920 No one's kicking us out. 792 00:34:16,620 --> 00:34:19,560 AUDIENCE: Have we got a paper that I found here 793 00:34:19,560 --> 00:34:21,114 but we can't open up on there. 794 00:34:21,114 --> 00:34:22,239 MICHAEL SHORT: Interesting. 795 00:34:22,239 --> 00:34:24,035 Can you send me the link? 796 00:34:24,035 --> 00:34:24,910 AUDIENCE: [INAUDIBLE] 797 00:34:24,970 --> 00:34:26,553 AUDIENCE: Wait, that wasn't an option. 798 00:34:26,553 --> 00:34:27,540 AUDIENCE: [INAUDIBLE] 799 00:34:27,540 --> 00:34:28,382 MICHAEL SHORT: Yeah. 800 00:34:28,382 --> 00:34:29,590 I mean, we can continue this. 801 00:34:29,590 --> 00:34:32,007 There's-- we're not-- since we're not going to the reactor 802 00:34:32,007 --> 00:34:34,960 since that valve was broken, let's keep it up. 803 00:34:34,960 --> 00:34:36,886 AUDIENCE: Hey, [INAUDIBLE] workbook 804 00:34:36,886 --> 00:34:39,722 and [INAUDIBLE] put it in the log book. 805 00:34:39,722 --> 00:34:40,889 AUDIENCE: That's your fault. 806 00:34:40,889 --> 00:34:41,764 AUDIENCE: [INAUDIBLE] 807 00:34:41,764 --> 00:34:43,560 AUDIENCE: I wasn't even [INAUDIBLE].. 808 00:34:43,560 --> 00:34:44,484 AUDIENCE: [INAUDIBLE] 809 00:34:47,264 --> 00:34:48,686 Email us by name. 810 00:34:48,686 --> 00:34:50,108 AUDIENCE: [INAUDIBLE] 811 00:34:51,311 --> 00:34:52,478 AUDIENCE: It's not over yet. 812 00:34:52,478 --> 00:34:53,426 AUDIENCE: [INAUDIBLE] 813 00:34:54,137 --> 00:34:55,929 MICHAEL SHORT: Yeah, actually, I like this. 814 00:34:55,929 --> 00:34:57,210 This will be a good-- 815 00:34:57,210 --> 00:35:01,060 quite a good use of recitation. 816 00:35:01,060 --> 00:35:03,427 I'll keep my email open in case folks want 817 00:35:03,427 --> 00:35:04,510 to send things to present. 818 00:35:06,865 --> 00:35:08,240 AUDIENCE: That's the whole title. 819 00:35:11,570 --> 00:35:14,450 GUEST SPEAKER: So one-- one of the main problems 820 00:35:14,450 --> 00:35:16,850 that we had with the hormesis effect 821 00:35:16,850 --> 00:35:19,940 was that all of the studies that we've seen 822 00:35:19,940 --> 00:35:24,720 seem to cover a large scope of like tissues, 823 00:35:24,720 --> 00:35:27,218 different effects, and all sorts of things, 824 00:35:27,218 --> 00:35:28,760 like, yeah, there's a lot of studies. 825 00:35:28,760 --> 00:35:29,760 There's a lot of trends. 826 00:35:29,760 --> 00:35:31,400 But, like, the things in particular 827 00:35:31,400 --> 00:35:33,275 that they're studying are all over the place. 828 00:35:36,370 --> 00:35:38,935 And a lot of the-- 829 00:35:38,935 --> 00:35:41,670 a lot of the research done, like these studies 830 00:35:41,670 --> 00:35:45,540 here, are not actually meant to study hormesis. 831 00:35:45,540 --> 00:35:47,190 It's kind of like recycled data that's 832 00:35:47,190 --> 00:35:49,260 used from some other study. 833 00:35:49,260 --> 00:35:52,680 And they're kind of like pulling from multiple sources, which 834 00:35:52,680 --> 00:35:55,080 increases the uncertainty. 835 00:35:55,080 --> 00:35:57,300 Then, additionally, we have conflicting 836 00:35:57,300 --> 00:36:01,170 epidemiological evidence of low dosages. 837 00:36:01,170 --> 00:36:03,810 So we're, in one instance, you may see a reduction 838 00:36:03,810 --> 00:36:05,430 in breast cancer mortality. 839 00:36:05,430 --> 00:36:08,915 You'll see excess thyroid cancer in children, other, which is-- 840 00:36:08,915 --> 00:36:11,290 MICHAEL SHORT: That's the same study that was just shown, 841 00:36:11,290 --> 00:36:14,393 the Cohen 1995 residential radon study. 842 00:36:14,393 --> 00:36:15,226 GUEST SPEAKER: Yeah. 843 00:36:15,226 --> 00:36:16,674 AUDIENCE: [INAUDIBLE] 844 00:36:16,674 --> 00:36:17,757 MICHAEL SHORT: [INAUDIBLE] 845 00:36:18,257 --> 00:36:19,248 [LAUGHTER] 846 00:36:20,548 --> 00:36:21,840 GUEST SPEAKER: And so I think-- 847 00:36:21,840 --> 00:36:25,350 we're not-- I don't think we're trying to disqualify hormesis 848 00:36:25,350 --> 00:36:27,330 as, like, completely wrong. 849 00:36:27,330 --> 00:36:29,160 I think one of the biggest issues 850 00:36:29,160 --> 00:36:33,000 that we're taking with it is that it's a small effect, 851 00:36:33,000 --> 00:36:35,032 if anything. 852 00:36:35,032 --> 00:36:36,990 It's something that we really don't know about. 853 00:36:36,990 --> 00:36:38,170 It's hard to quantify. 854 00:36:38,170 --> 00:36:42,000 And it's, at the end of the day, really just not worth it, not 855 00:36:42,000 --> 00:36:45,900 worth looking into because of all of the variable-- 856 00:36:45,900 --> 00:36:47,680 variables that go into it. 857 00:36:47,680 --> 00:36:50,030 And the effects that, like, we just don't know about. 858 00:36:50,030 --> 00:36:52,210 We don't understand it. 859 00:36:52,210 --> 00:36:53,790 So, yeah, fire away. 860 00:36:53,790 --> 00:36:54,580 MICHAEL SHORT: That's a a great viewpoint, actually. 861 00:36:54,580 --> 00:36:55,700 Yeah, Monica? 862 00:36:55,700 --> 00:36:57,620 AUDIENCE: [INAUDIBLE] 863 00:37:00,500 --> 00:37:04,440 OK, so it says support for radiation hormesis [INAUDIBLE] 864 00:37:04,440 --> 00:37:06,039 cell in animal studies, OK? 865 00:37:06,039 --> 00:37:09,838 And then it cites an example. 866 00:37:09,838 --> 00:37:12,280 Can you tell me how that, like, you know, 867 00:37:12,280 --> 00:37:14,180 supports what you're saying? 868 00:37:14,180 --> 00:37:15,930 AUDIENCE: Can you just highlight the part? 869 00:37:15,930 --> 00:37:17,938 MICHAEL SHORT: Oh, right-- right up here. 870 00:37:17,938 --> 00:37:18,480 AUDIENCE: OK. 871 00:37:20,477 --> 00:37:22,310 GUEST SPEAKER: We haven't seen it in humans. 872 00:37:25,256 --> 00:37:27,850 AUDIENCE: Well, often, biological studies 873 00:37:27,850 --> 00:37:31,880 are done on rats because they have similar effects to humans. 874 00:37:31,880 --> 00:37:36,980 But it's a lifespan of, like, 1/10 a human's lifespan. 875 00:37:36,980 --> 00:37:38,962 So, biologically, that's accepted. 876 00:37:38,962 --> 00:37:40,420 GUEST SPEAKER: Medicine also is not 877 00:37:40,420 --> 00:37:44,155 accepted until it works on humans, not on animals. 878 00:37:44,155 --> 00:37:45,550 AUDIENCE: [INAUDIBLE] 879 00:37:45,550 --> 00:37:47,830 GUEST SPEAKER: So we can cure cancer in rats all day. 880 00:37:47,830 --> 00:37:50,780 But, like, if it doesn't work in like the human body, 881 00:37:50,780 --> 00:37:51,920 then it just-- 882 00:37:51,920 --> 00:37:54,250 we still don't use it, like, it needs 883 00:37:54,250 --> 00:37:57,280 to clear the hurdle of human usefulness 884 00:37:57,280 --> 00:37:58,380 before we actually use it. 885 00:38:03,330 --> 00:38:05,965 MICHAEL SHORT: Let's actually look at this paragraph. 886 00:38:05,965 --> 00:38:08,810 They relate to carcinogensis in different tissues 887 00:38:08,810 --> 00:38:12,588 and the dose-response relationships [INAUDIBLE].. 888 00:38:12,588 --> 00:38:14,130 AUDIENCE: So there's a line that says 889 00:38:14,130 --> 00:38:15,880 the evidence for hormesis in these studies 890 00:38:15,880 --> 00:38:18,127 is not compelling since the data may also be also 891 00:38:18,127 --> 00:38:21,100 be reasonably interpreted to support no radiogenic effect 892 00:38:21,100 --> 00:38:23,060 in the low dose range. 893 00:38:23,060 --> 00:38:24,760 MICHAEL SHORT: Oh, that's interesting. 894 00:38:24,760 --> 00:38:27,610 Now, how would one interpret-- because you showed the Cohen 895 00:38:27,610 --> 00:38:28,940 data. 896 00:38:28,940 --> 00:38:33,490 So how would one interpret that to mean no effect? 897 00:38:33,490 --> 00:38:35,760 I'm trying now determine in this-- 898 00:38:35,760 --> 00:38:38,237 are the claims of this paper that you've been [INAUDIBLE]?? 899 00:38:44,710 --> 00:38:46,590 And this brings up, actually, another point. 900 00:38:46,590 --> 00:38:49,750 They do agree that there's been hundreds of cell and animal 901 00:38:49,750 --> 00:38:50,800 studies. 902 00:38:50,800 --> 00:38:52,870 They cite three human studies. 903 00:38:52,870 --> 00:38:54,460 So since we have the time, you guys 904 00:38:54,460 --> 00:38:58,033 may want to look for more than three human studies, done 905 00:38:58,033 --> 00:38:59,200 at the time of this writing. 906 00:38:59,200 --> 00:39:03,420 It's not fair to take ones that were done afterwards. 907 00:39:03,420 --> 00:39:04,980 AUDIENCE: [INAUDIBLE] 908 00:39:04,980 --> 00:39:05,920 GUEST SPEAKER: What? 909 00:39:05,920 --> 00:39:07,142 Let's find out. 910 00:39:07,142 --> 00:39:09,390 AUDIENCE: After 2000. 911 00:39:09,390 --> 00:39:11,890 MICHAEL SHORT: It might say at the bottom of the first page. 912 00:39:11,890 --> 00:39:13,932 AUDIENCE: Oh, wait, in the-- in the [INAUDIBLE].. 913 00:39:13,932 --> 00:39:16,590 MICHAEL SHORT: 2000, yep. 914 00:39:16,590 --> 00:39:17,090 Yeah. 915 00:39:17,090 --> 00:39:18,870 So if you want to refute that point, 916 00:39:18,870 --> 00:39:22,910 you may want to find more human studies pre 2000. 917 00:39:22,910 --> 00:39:25,880 It wouldn't be fair to do otherwise. 918 00:39:25,880 --> 00:39:27,890 But, actually, I liked what you said. 919 00:39:27,890 --> 00:39:30,770 So what you're proposing-- 920 00:39:30,770 --> 00:39:36,087 if there's a mostly blank board, is 921 00:39:36,087 --> 00:39:37,920 that most people should adopt the model that 922 00:39:37,920 --> 00:39:40,930 looks something like this. 923 00:39:40,930 --> 00:39:44,880 This is the axis of how much bad or that 0. 924 00:39:44,880 --> 00:39:46,770 And this is dose in gray. 925 00:39:46,770 --> 00:39:52,320 And whether your model does this, or this, or this, 926 00:39:52,320 --> 00:39:54,600 it sounds to me like you are defining a-- 927 00:40:00,650 --> 00:40:03,550 like you're defining a kill zone. 928 00:40:03,550 --> 00:40:05,348 [INAUDIBLE] maybe the-- 929 00:40:05,348 --> 00:40:06,140 GUEST SPEAKER: Yes. 930 00:40:06,140 --> 00:40:08,930 MICHAEL SHORT: The point isn't whether or not hormesis exists. 931 00:40:08,930 --> 00:40:11,300 The effect may be so small that who cares. 932 00:40:11,300 --> 00:40:15,890 But the bigger discussion is how much is that, not 933 00:40:15,890 --> 00:40:16,820 is a little bit good. 934 00:40:16,820 --> 00:40:18,112 Is that what you're getting at? 935 00:40:18,112 --> 00:40:21,620 GUEST SPEAKER: Yeah, the like, maybe it does look like this. 936 00:40:21,620 --> 00:40:25,880 But the dip is small, really not that 937 00:40:25,880 --> 00:40:29,695 different from the linear threshold model, we noticed. 938 00:40:29,695 --> 00:40:31,070 MICHAEL SHORT: Oh, so in addition 939 00:40:31,070 --> 00:40:33,770 to being a basic science question, 940 00:40:33,770 --> 00:40:35,510 could the issue of hormesis almost 941 00:40:35,510 --> 00:40:40,507 be a sidetrack in getting proper radiation policy through? 942 00:40:43,090 --> 00:40:44,840 That's a point I hadn't heard made before, 943 00:40:44,840 --> 00:40:46,123 but I quite like it. 944 00:40:46,123 --> 00:40:47,540 Because it's not like you're going 945 00:40:47,540 --> 00:40:50,300 to recommend everyone smokes three cigarettes a day 946 00:40:50,300 --> 00:40:52,527 or, you know, everyone gets blasted 947 00:40:52,527 --> 00:40:55,110 by little bit of radiation once a year as part of a treatment. 948 00:40:55,110 --> 00:40:56,725 I don't think anyone would buy that. 949 00:40:56,725 --> 00:40:59,225 Even if it did help, I don't think anybody would emotionally 950 00:40:59,225 --> 00:41:01,790 buy that. 951 00:41:01,790 --> 00:41:02,710 But by focusing on-- 952 00:41:02,710 --> 00:41:04,460 you know, that-- there's a nice expression 953 00:41:04,460 --> 00:41:07,160 is the most important thing is make the most important thing 954 00:41:07,160 --> 00:41:08,270 the most important thing. 955 00:41:11,630 --> 00:41:14,060 It means don't lose sight of the overall goal, which 956 00:41:14,060 --> 00:41:16,490 is if you're making policy on how much radiation 957 00:41:16,490 --> 00:41:18,620 exposure you're allowed, do you focus 958 00:41:18,620 --> 00:41:20,420 on saying, a little bit is actually good, 959 00:41:20,420 --> 00:41:23,480 or do you focus on saying, here's the amount that's bad? 960 00:41:23,480 --> 00:41:25,820 And anything below that, we shouldn't 961 00:41:25,820 --> 00:41:29,540 be regulating or overregulating because there's no evidence 962 00:41:29,540 --> 00:41:34,640 to say whether it's good or bad outside the kill zone. 963 00:41:34,640 --> 00:41:36,180 I quite like that point, actually. 964 00:41:38,960 --> 00:41:41,000 It means that the supporters of radiation 965 00:41:41,000 --> 00:41:43,700 should chill out as well. 966 00:41:43,700 --> 00:41:46,947 Cool, all right, so any other studies you want to point out? 967 00:41:46,947 --> 00:41:48,780 GUEST SPEAKER: We had a couple of abstracts. 968 00:41:48,780 --> 00:41:49,430 MICHAEL SHORT: Yeah, let's see. 969 00:41:49,430 --> 00:41:50,597 GUEST SPEAKER: But I don't-- 970 00:41:50,597 --> 00:41:52,190 I'm not sure. 971 00:41:52,190 --> 00:41:53,150 AUDIENCE: [INAUDIBLE] 972 00:41:55,550 --> 00:41:57,556 GUEST SPEAKER: OK. 973 00:41:57,556 --> 00:42:04,040 AUDIENCE: Some of the other ones don't compare hormetic models. 974 00:42:04,040 --> 00:42:06,240 But they look at-- 975 00:42:06,240 --> 00:42:08,202 they say [INAUDIBLE]. 976 00:42:08,202 --> 00:42:09,030 It's like-- 977 00:42:09,030 --> 00:42:09,770 GUEST SPEAKER: Do you want to come up? 978 00:42:09,770 --> 00:42:11,562 AUDIENCE: Yeah, this one says [INAUDIBLE].. 979 00:42:11,562 --> 00:42:12,603 GUEST SPEAKER: All right. 980 00:42:12,603 --> 00:42:13,580 AUDIENCE: [INAUDIBLE] 981 00:42:14,080 --> 00:42:15,650 AUDIENCE: [INAUDIBLE] 982 00:42:15,650 --> 00:42:17,920 AUDIENCE: It basically compares threshold models 983 00:42:17,920 --> 00:42:23,962 with no-threshold models in [INAUDIBLE].. 984 00:42:23,962 --> 00:42:25,435 AUDIENCE: [INAUDIBLE] 985 00:42:30,840 --> 00:42:33,373 So perhaps hormetic is still better for you, 986 00:42:33,373 --> 00:42:39,289 but they-- the [INAUDIBLE] was good enough with [INAUDIBLE].. 987 00:42:41,988 --> 00:42:43,905 MICHAEL SHORT: So what they're saying is the-- 988 00:42:43,905 --> 00:42:45,960 the choice of model really doesn't 989 00:42:45,960 --> 00:42:48,690 matter, as long as it fits through the data 990 00:42:48,690 --> 00:42:50,400 that we've got. 991 00:42:50,400 --> 00:42:53,070 And it seems to be, again, what happens in the low-dose regime 992 00:42:53,070 --> 00:42:54,630 is less important, right? 993 00:42:54,630 --> 00:42:56,630 AUDIENCE: And it will-- they were satisfied when 994 00:42:56,630 --> 00:42:59,654 it fell from the [INAUDIBLE]. 995 00:43:01,730 --> 00:43:04,230 MICHAEL SHORT: So they're saying the best estimate of this-- 996 00:43:07,750 --> 00:43:08,320 interesting. 997 00:43:08,320 --> 00:43:10,600 AUDIENCE: They prefer no threshold [INAUDIBLE].. 998 00:43:10,600 --> 00:43:11,767 MICHAEL SHORT: That's funny. 999 00:43:11,767 --> 00:43:14,260 "If a risk model with a threshold is assumed, 1000 00:43:14,260 --> 00:43:16,780 the best estimate is below 0 sieverts. 1001 00:43:20,100 --> 00:43:22,290 But then how is their confidence interval from-- 1002 00:43:22,290 --> 00:43:23,990 oh, less than 0 to 0.13. 1003 00:43:23,990 --> 00:43:26,630 They don't quantify how much lower 1004 00:43:26,630 --> 00:43:30,585 it goes because a negative dose doesn't make sense. 1005 00:43:30,585 --> 00:43:31,085 No. 1006 00:43:40,280 --> 00:43:41,750 So, yeah, it's a strong conclusion. 1007 00:43:41,750 --> 00:43:44,090 But it looks-- looks fairly well supported 1008 00:43:44,090 --> 00:43:47,780 to say that we can't say with those confidence intervals 1009 00:43:47,780 --> 00:43:52,470 that they give if there is or isn't a threshold. 1010 00:43:52,470 --> 00:43:53,070 Interesting. 1011 00:43:53,070 --> 00:43:54,362 What do you guys think of this? 1012 00:44:00,020 --> 00:44:01,910 So what would you delve into the study 1013 00:44:01,910 --> 00:44:04,865 to try to agree with or refute this claim? 1014 00:44:17,260 --> 00:44:21,610 AUDIENCE: They use a linear quadratic model only, 1015 00:44:21,610 --> 00:44:24,222 it looks like. 1016 00:44:24,222 --> 00:44:26,510 So they're not considering any of the other proposed 1017 00:44:26,510 --> 00:44:27,710 models, which is a little-- 1018 00:44:32,130 --> 00:44:34,150 maybe not sketchy, but it just seems 1019 00:44:34,150 --> 00:44:36,560 like it'd be very easy to consider other models 1020 00:44:36,560 --> 00:44:38,290 and why didn't they do that. 1021 00:44:38,290 --> 00:44:40,000 MICHAEL SHORT: Sure. 1022 00:44:40,000 --> 00:44:43,570 You know, what no study has gotten into yet is, 1023 00:44:43,570 --> 00:44:47,260 what's the mechanism of, let's say, ill effect acceleration. 1024 00:44:47,260 --> 00:44:50,500 This is something that, at least at the grad school level, 1025 00:44:50,500 --> 00:44:52,460 we try to hammer to everyone constantly 1026 00:44:52,460 --> 00:44:54,710 is not just what's the data, but what's the mechanism. 1027 00:44:54,710 --> 00:44:59,330 What's the reason for an acceleration of ill effects? 1028 00:44:59,330 --> 00:45:02,470 So if you guys had to think with increasing radiation exposure, 1029 00:45:02,470 --> 00:45:05,920 let's say we wanted this linear quadratic model idea, what 1030 00:45:05,920 --> 00:45:10,300 could be some reasons or mechanisms for an increased 1031 00:45:10,300 --> 00:45:13,966 amount of risk per unit dose as the dose gets higher? 1032 00:45:17,560 --> 00:45:18,060 Yeah? 1033 00:45:18,060 --> 00:45:21,140 AUDIENCE: Well, your body [INAUDIBLE].. 1034 00:45:21,140 --> 00:45:24,120 But then-- so at some-- you get more dose-- 1035 00:45:24,120 --> 00:45:25,756 you get more dosing [INAUDIBLE]. 1036 00:45:25,756 --> 00:45:27,235 It just keep fixing itself. 1037 00:45:27,235 --> 00:45:28,878 And once you get past a certain point, 1038 00:45:28,878 --> 00:45:32,165 then it can't [? fix itself ?] [? fast enough. ?] The 1039 00:45:32,165 --> 00:45:37,588 additional damage keeps snowballing events. 1040 00:45:37,588 --> 00:45:39,560 And they're giving it more damage 1041 00:45:39,560 --> 00:45:43,504 to curb more radiation because you would run out of-- 1042 00:45:43,504 --> 00:45:45,772 of various [INAUDIBLE]. 1043 00:45:45,772 --> 00:45:46,605 MICHAEL SHORT: Sure. 1044 00:45:46,605 --> 00:45:48,220 Works for me. 1045 00:45:48,220 --> 00:45:50,320 Yeah, I like that-- the idea there 1046 00:45:50,320 --> 00:45:52,630 was that you've got some capacity to deal 1047 00:45:52,630 --> 00:45:54,700 with damage from radiation. 1048 00:45:54,700 --> 00:45:58,220 And then once you exceed that capacity, you don't also-- 1049 00:45:58,220 --> 00:45:59,980 with a higher dose, you don't also 1050 00:45:59,980 --> 00:46:02,680 ramp up your capacity to deal with that dose. 1051 00:46:02,680 --> 00:46:04,240 So in the linear region, let's say, 1052 00:46:04,240 --> 00:46:08,170 you're somewhat absorbing the additional ill effects of dose 1053 00:46:08,170 --> 00:46:11,380 by capacity to repair DNA or repair cells. 1054 00:46:11,380 --> 00:46:13,390 Then once you exceed that threshold, 1055 00:46:13,390 --> 00:46:16,310 you're beyond that point. 1056 00:46:16,310 --> 00:46:18,190 So that could be a plausible mechanism 1057 00:46:18,190 --> 00:46:21,250 for why there could be a linear quadratic model that could 1058 00:46:21,250 --> 00:46:25,420 be tested, certainly with single cell or multi cell studies, 1059 00:46:25,420 --> 00:46:28,800 like these-- these radiation microbeams or, you know, 1060 00:46:28,800 --> 00:46:30,550 injecting something that would be absorbed 1061 00:46:30,550 --> 00:46:32,302 by one cell [INAUDIBLE] irradiated, 1062 00:46:32,302 --> 00:46:33,760 and seeing what the ones nearby do. 1063 00:46:33,760 --> 00:46:35,740 So you could count that as number 1064 00:46:35,740 --> 00:46:38,230 of mutations, number of cell deaths, 1065 00:46:38,230 --> 00:46:41,110 anything, something that could be quantitatively tested. 1066 00:46:41,110 --> 00:46:42,620 So that's pretty cool. 1067 00:46:42,620 --> 00:46:44,770 I actually quite like this study. 1068 00:46:44,770 --> 00:46:47,560 It's awfully hard to poke a hole in-- 1069 00:46:47,560 --> 00:46:49,690 in the logic used here. 1070 00:46:49,690 --> 00:46:51,260 The claims aren't outrageous. 1071 00:46:51,260 --> 00:46:53,260 They're saying, this is what the data is saying. 1072 00:46:53,260 --> 00:46:57,850 If you change the model, you can or not have a threshold 1073 00:46:57,850 --> 00:46:59,430 and still get an acceptable fit. 1074 00:47:02,350 --> 00:47:04,070 Can we actually look in the study itself? 1075 00:47:04,070 --> 00:47:07,050 One thing I want to know is, what sort of-- 1076 00:47:07,050 --> 00:47:09,370 do they do meta analysis, or did they-- 1077 00:47:09,370 --> 00:47:13,820 yeah, so this was on the Japanese atomic bomb survivors. 1078 00:47:13,820 --> 00:47:15,620 So did they analyze previous data, 1079 00:47:15,620 --> 00:47:16,870 or did they get their own. 1080 00:47:16,870 --> 00:47:18,936 And then if so, what was the sample size? 1081 00:47:27,368 --> 00:47:31,336 Somewhere it'll be, like, yeah, [INAUDIBLE].. 1082 00:47:42,770 --> 00:47:44,400 So where [INAUDIBLE]. 1083 00:47:47,945 --> 00:47:49,070 GUEST SPEAKER: Where am I-- 1084 00:47:49,070 --> 00:47:51,390 where should I be looking for this-- 1085 00:47:51,390 --> 00:47:52,890 MICHAEL SHORT: Probably further down 1086 00:47:52,890 --> 00:47:54,790 in any sort of methodology section-- 1087 00:47:54,790 --> 00:47:58,280 materials and methods, here we go. 1088 00:47:58,280 --> 00:48:03,170 OK, here it is, 86,500 something survivors. 1089 00:48:03,170 --> 00:48:06,659 Oh, yes, with lots of follow up. 1090 00:48:06,659 --> 00:48:08,867 AUDIENCE: But how are you able to determine the dose? 1091 00:48:08,867 --> 00:48:09,655 Like-- 1092 00:48:09,655 --> 00:48:11,280 MICHAEL SHORT: That is a good question. 1093 00:48:11,280 --> 00:48:12,697 AUDIENCE: Because especially for-- 1094 00:48:12,697 --> 00:48:15,900 if we're looking like low dose, and you're estimating, 1095 00:48:15,900 --> 00:48:20,222 it's very easy to, like, estimate wrong, or, like, 1096 00:48:20,222 --> 00:48:22,430 because then-- then it calls into question you have-- 1097 00:48:22,430 --> 00:48:24,080 [INAUDIBLE] modeling they're using. 1098 00:48:24,080 --> 00:48:24,880 MICHAEL SHORT: Mhm. 1099 00:48:24,880 --> 00:48:26,430 So that's a great question is, how 1100 00:48:26,430 --> 00:48:28,830 do they know what those people die? 1101 00:48:28,830 --> 00:48:33,780 So how would we go about trying to trace that? 1102 00:48:33,780 --> 00:48:35,670 This is when you dig back in time. 1103 00:48:35,670 --> 00:48:37,728 They reference this, the data appears et al, 1104 00:48:37,728 --> 00:48:38,520 whatever, whatever. 1105 00:48:38,520 --> 00:48:40,480 So if you can go to Web of Science, 1106 00:48:40,480 --> 00:48:44,920 pull up this Pierce et al Web paper. 1107 00:48:44,920 --> 00:48:46,120 Look at cited references. 1108 00:48:46,120 --> 00:48:47,770 Yeah, right there. 1109 00:48:47,770 --> 00:48:50,830 And look for that 1996 Pierce study. 1110 00:48:50,830 --> 00:48:52,180 Let's see if it has it. 1111 00:48:55,940 --> 00:48:58,566 You can just like control F for Pierce, and we'll find it. 1112 00:49:02,040 --> 00:49:03,650 Pierce and [INAUDIBLE]. 1113 00:49:03,650 --> 00:49:05,208 Yeah, 1996, that's the one. 1114 00:49:05,208 --> 00:49:06,083 GUEST SPEAKER: Where? 1115 00:49:06,083 --> 00:49:07,070 Which one? 1116 00:49:07,070 --> 00:49:08,092 This one? 1117 00:49:08,092 --> 00:49:09,390 MICHAEL SHORT: [INAUDIBLE]. 1118 00:49:09,390 --> 00:49:10,500 This is the 1996 one. 1119 00:49:10,500 --> 00:49:13,240 Yep. 1120 00:49:13,240 --> 00:49:16,600 So let's see if we can trace this back 1121 00:49:16,600 --> 00:49:19,512 and find out how they estimated the dose of these folks. 1122 00:49:19,512 --> 00:49:21,220 GUEST SPEAKER: So I just go to full text? 1123 00:49:21,220 --> 00:49:22,053 MICHAEL SHORT: Yeah. 1124 00:49:29,635 --> 00:49:31,120 AUDIENCE: How [INAUDIBLE]. 1125 00:49:43,735 --> 00:49:44,485 MICHAEL SHORT: OK. 1126 00:49:54,900 --> 00:49:57,780 So interesting, this LLS cohort. 1127 00:49:57,780 --> 00:49:59,370 So there was some life span study, 1128 00:49:59,370 --> 00:50:01,703 which was also referred to actually in the lecture notes 1129 00:50:01,703 --> 00:50:05,380 as one of the original studies, says, 1130 00:50:05,380 --> 00:50:10,025 who met certain conditions concerning adequate follow up. 1131 00:50:10,025 --> 00:50:11,150 Although estimates of the-- 1132 00:50:11,150 --> 00:50:12,700 OK, I want to see the next page. 1133 00:50:12,700 --> 00:50:14,075 Although we estimate-- that might 1134 00:50:14,075 --> 00:50:15,424 be what we're looking for. 1135 00:50:18,180 --> 00:50:20,520 Number of survivors, let's see. 1136 00:50:24,975 --> 00:50:27,450 AUDIENCE: It's 92%. 1137 00:50:27,450 --> 00:50:29,870 MICHAEL SHORT: OK, here we go, materials and methods. 1138 00:50:29,870 --> 00:50:32,810 The portion of the LSS cohort used here 1139 00:50:32,810 --> 00:50:35,210 includes the same number of survivors 1140 00:50:35,210 --> 00:50:38,340 for whom dose estimates are currently available, 1141 00:50:38,340 --> 00:50:46,005 et cetera, with estimated doses greater than 5 millisieverts is 1142 00:50:46,005 --> 00:50:47,660 [INAUDIBLE]. 1143 00:50:47,660 --> 00:50:50,370 Table 1 summarizes the exposure distribution. 1144 00:50:50,370 --> 00:50:54,672 So let's go find table 1 and see where the data came from. 1145 00:50:58,109 --> 00:50:59,091 AUDIENCE: [INAUDIBLE] 1146 00:51:00,570 --> 00:51:04,030 MICHAEL SHORT: So it turns out that this is specifically-- 1147 00:51:04,030 --> 00:51:08,884 DS-86 weighted colon dose in sieverts. 1148 00:51:08,884 --> 00:51:09,384 Interesting. 1149 00:51:09,384 --> 00:51:13,296 AUDIENCE: It [INAUDIBLE]. 1150 00:51:13,296 --> 00:51:16,903 So how did they get that? 1151 00:51:16,903 --> 00:51:18,070 MICHAEL SHORT: I don't know. 1152 00:51:18,070 --> 00:51:22,700 But it sounds like we need to find this LSS, this Just LSS. 1153 00:51:22,700 --> 00:51:25,180 So let's look at the things that this paper cites. 1154 00:51:30,000 --> 00:51:31,095 Find this LSS. 1155 00:51:31,095 --> 00:51:33,720 So I'm walking-- what I'm doing here is walking you through how 1156 00:51:33,720 --> 00:51:35,520 to do your own research. 1157 00:51:35,520 --> 00:51:38,460 And if someone comes to you with some internet emotional 1158 00:51:38,460 --> 00:51:41,970 argument of, this and that about radiation is wrong, 1159 00:51:41,970 --> 00:51:43,560 instead of yelling back louder, which 1160 00:51:43,560 --> 00:51:46,480 means you lost the argument, you hit the books. 1161 00:51:46,480 --> 00:51:48,604 And this is how you do the research. 1162 00:51:48,604 --> 00:51:52,420 AUDIENCE: LSS-85, does that mean it was [INAUDIBLE].. 1163 00:51:52,420 --> 00:51:54,750 MICHAEL SHORT: Probably. 1164 00:51:54,750 --> 00:51:57,040 Version of-- title not available. 1165 00:51:57,040 --> 00:51:58,136 I hope it's not that one. 1166 00:52:00,372 --> 00:52:01,330 Can you search for LSS? 1167 00:52:05,520 --> 00:52:06,947 Nothing? 1168 00:52:06,947 --> 00:52:08,530 So let's go back to the paper and find 1169 00:52:08,530 --> 00:52:11,450 what citation that was. 1170 00:52:11,450 --> 00:52:14,160 If you go up a little bit, I think there was like a sup-- 1171 00:52:14,160 --> 00:52:17,790 a superscript up to the last page, I'm sorry. 1172 00:52:17,790 --> 00:52:20,286 There was a superscript on LSS stuff. 1173 00:52:33,182 --> 00:52:34,670 AUDIENCE: So general documentation 1174 00:52:34,670 --> 00:52:37,898 of the selection of LSS cohorts [INAUDIBLE].. 1175 00:52:37,898 --> 00:52:38,940 MICHAEL SHORT: Thank you. 1176 00:52:38,940 --> 00:52:43,400 All right, let's find references 9 and 10 in the-- 1177 00:52:43,400 --> 00:52:44,150 yeah, [INAUDIBLE]. 1178 00:52:44,150 --> 00:52:46,233 AUDIENCE: Can you click one of the References tab? 1179 00:52:46,233 --> 00:52:48,260 MICHAEL SHORT: Oh, yeah, up there, References. 1180 00:52:51,260 --> 00:52:53,010 Awesome! 1181 00:52:53,010 --> 00:52:54,440 9 and 10, OK. 1182 00:52:57,240 --> 00:53:00,102 Let's find them. 1183 00:53:00,102 --> 00:53:01,098 AUDIENCE: [INAUDIBLE] 1184 00:53:02,375 --> 00:53:03,750 MICHAEL SHORT: So let me show you 1185 00:53:03,750 --> 00:53:05,640 quickly how to use Web of Science 1186 00:53:05,640 --> 00:53:07,974 to get what you're looking for if I could jump on? 1187 00:53:07,974 --> 00:53:10,460 GUEST SPEAKER: [INAUDIBLE] up here? 1188 00:53:10,460 --> 00:53:12,720 MICHAEL SHORT: You don't have to, yeah. 1189 00:53:12,720 --> 00:53:16,290 But thank you for being up here for so long and running this. 1190 00:53:16,290 --> 00:53:17,580 So we're looking for-- 1191 00:53:23,090 --> 00:53:25,730 where was-- the article was here. 1192 00:53:28,610 --> 00:53:30,170 Went into references. 1193 00:53:30,170 --> 00:53:33,700 I guess that was like the last-- 1194 00:53:33,700 --> 00:53:35,200 I don't want to close all your tabs. 1195 00:53:35,200 --> 00:53:35,700 Here we go. 1196 00:53:35,700 --> 00:53:40,150 So GW, is that Beebe and Usagawa. 1197 00:53:40,150 --> 00:53:43,930 So we'll go to Web of Science, look for authors, 1198 00:53:43,930 --> 00:53:47,188 any paper with those authors. 1199 00:53:47,188 --> 00:53:48,730 So you can do a more advanced search. 1200 00:53:48,730 --> 00:53:52,690 This is where things get really interesting and specific. 1201 00:53:52,690 --> 00:53:53,850 So ditch the topic. 1202 00:53:58,180 --> 00:54:05,530 Search by Beebe and add a field, Usagawa. 1203 00:54:05,530 --> 00:54:07,360 And then anything with these two folks 1204 00:54:07,360 --> 00:54:10,300 in the author field that is indexed by Web of Science 1205 00:54:10,300 --> 00:54:10,890 will pop up. 1206 00:54:13,848 --> 00:54:14,348 Nothing. 1207 00:54:19,745 --> 00:54:21,060 Did I spell anything wrong? 1208 00:54:21,060 --> 00:54:23,330 Usagawa, of course. 1209 00:54:36,500 --> 00:54:37,410 That's unfortunate. 1210 00:54:37,410 --> 00:54:39,630 Last thing to try is Add Wild Cards. 1211 00:54:51,362 --> 00:54:52,294 Interesting. 1212 00:54:55,090 --> 00:54:57,310 This is actually one place where I would use Google 1213 00:54:57,310 --> 00:55:00,010 to find a specific report. 1214 00:55:00,010 --> 00:55:02,530 So because you're not looking to survey a field that's 1215 00:55:02,530 --> 00:55:04,840 out there, but you're looking for any document 1216 00:55:04,840 --> 00:55:06,625 that you can confirm is that document. 1217 00:55:09,970 --> 00:55:13,970 Let's head there. 1218 00:55:13,970 --> 00:55:16,858 Oh, it looks like Stanford's got it. 1219 00:55:26,618 --> 00:55:28,420 That's something that references it. 1220 00:55:28,420 --> 00:55:30,750 So at this point, we've hit the maximum 1221 00:55:30,750 --> 00:55:32,508 that we can do on the computer. 1222 00:55:32,508 --> 00:55:34,050 But if you finally want to trace back 1223 00:55:34,050 --> 00:55:38,670 to see how were the Hiroshima data acquired, 1224 00:55:38,670 --> 00:55:41,880 take these citations, bring it to one of the MIT 1225 00:55:41,880 --> 00:55:45,000 librarians like Christ Sherratt is our nuclear librarian. 1226 00:55:45,000 --> 00:55:46,458 AUDIENCE: He's a nuclear librarian? 1227 00:55:46,458 --> 00:55:49,110 MICHAEL SHORT: And we have a nuclear librarian, yeah. 1228 00:55:49,110 --> 00:55:50,563 MIT libraries is pretty awesome. 1229 00:55:50,563 --> 00:55:52,230 So when you're looking for anything here 1230 00:55:52,230 --> 00:55:54,680 in terms of research or whatever, 1231 00:55:54,680 --> 00:55:56,280 there's actually someone whose job 1232 00:55:56,280 --> 00:55:58,860 it is to help you find nuclear documents. 1233 00:55:58,860 --> 00:56:00,668 And chances are, this is a pretty big one. 1234 00:56:00,668 --> 00:56:02,210 So I wouldn't be surprised if we have 1235 00:56:02,210 --> 00:56:03,990 a physical or electronic copy. 1236 00:56:03,990 --> 00:56:06,360 So we're now like one degree of separation 1237 00:56:06,360 --> 00:56:08,850 away from finding the original Hiroshima 1238 00:56:08,850 --> 00:56:13,400 data, where we can find out how did they estimate that dose. 1239 00:56:13,400 --> 00:56:14,630 So I think this is fairly-- 1240 00:56:14,630 --> 00:56:16,172 hopefully, this is fairly instructive 1241 00:56:16,172 --> 00:56:18,950 to show you how do you go about getting the facts to prove 1242 00:56:18,950 --> 00:56:22,250 or disprove something, knowing the-- not just the physics 1243 00:56:22,250 --> 00:56:25,040 that you know, but how to go out and find that stuff. 1244 00:56:25,040 --> 00:56:28,010 Now, I did see a bunch of sources 1245 00:56:28,010 --> 00:56:31,360 from the pro hormesis team. 1246 00:56:31,360 --> 00:56:33,190 You still want me to show them? 1247 00:56:33,190 --> 00:56:34,120 AUDIENCE: [INAUDIBLE] 1248 00:56:35,430 --> 00:56:36,180 MICHAEL SHORT: OK. 1249 00:56:45,950 --> 00:56:48,760 Thanks. 1250 00:56:48,760 --> 00:56:51,940 All right, you just want to hold this up while your-- 1251 00:56:51,940 --> 00:56:54,580 let's go to your sources. 1252 00:56:54,580 --> 00:56:55,347 OK, here we go. 1253 00:56:55,347 --> 00:56:56,180 AUDIENCE: All right. 1254 00:56:56,180 --> 00:56:58,848 MICHAEL SHORT: So walk us through what you found. 1255 00:56:58,848 --> 00:57:00,640 GUEST SPEAKER: I just need to open them up. 1256 00:57:07,602 --> 00:57:09,060 AUDIENCE: Go through them all, or-- 1257 00:57:09,060 --> 00:57:11,410 MICHAEL SHORT: Yeah, let's do them all. 1258 00:57:11,410 --> 00:57:13,036 GUEST SPEAKER: There's not too much. 1259 00:57:13,036 --> 00:57:20,080 Kind of-- OK, so, I unfortunately 1260 00:57:20,080 --> 00:57:23,680 was not able to find like too many pretty graphs, or data, 1261 00:57:23,680 --> 00:57:25,330 or anything of the sort. 1262 00:57:25,330 --> 00:57:28,240 But if you look up, what did I search for this? 1263 00:57:28,240 --> 00:57:31,510 I think I just looked up radiation hormesis. 1264 00:57:31,510 --> 00:57:34,200 And this is one of the articles that turned up. 1265 00:57:34,200 --> 00:57:36,190 And it seems to be pretty well cited. 1266 00:57:36,190 --> 00:57:39,720 You can see it's been cited 184 times. 1267 00:57:39,720 --> 00:57:42,760 And kind of the quick look through the citations, 1268 00:57:42,760 --> 00:57:45,880 from what I saw, seemed to be in support of it. 1269 00:57:45,880 --> 00:57:54,902 And if you actually look at the abstract itself, where is it? 1270 00:57:54,902 --> 00:57:56,385 AUDIENCE: [INAUDIBLE] 1271 00:57:56,385 --> 00:57:58,260 GUEST SPEAKER: Yeah, well-- the last sentence 1272 00:57:58,260 --> 00:58:01,620 is pretty excellent. 1273 00:58:01,620 --> 00:58:04,380 "This is consistent with data both from animal studies 1274 00:58:04,380 --> 00:58:06,720 and human epidemiological observations 1275 00:58:06,720 --> 00:58:08,640 on low-dose induced cancer. 1276 00:58:08,640 --> 00:58:10,590 The linear no-threshold hypothesis 1277 00:58:10,590 --> 00:58:13,320 should be abandoned and should-- and be replaced 1278 00:58:13,320 --> 00:58:15,600 by a hypothesis that is scientifically justified 1279 00:58:15,600 --> 00:58:17,700 and causes less unreasonable fear 1280 00:58:17,700 --> 00:58:20,332 and unnecessary expenditure." 1281 00:58:20,332 --> 00:58:21,540 MICHAEL SHORT: You know what? 1282 00:58:21,540 --> 00:58:25,600 I want to see what are the human epidemiological observations 1283 00:58:25,600 --> 00:58:26,380 that they cite. 1284 00:58:26,380 --> 00:58:28,710 GUEST SPEAKER: Yeah, so unfortunately, the MIT 1285 00:58:28,710 --> 00:58:31,080 libraries does not have an electronic copy 1286 00:58:31,080 --> 00:58:31,800 of this article. 1287 00:58:31,800 --> 00:58:34,080 And I wasn't able to find one. 1288 00:58:34,080 --> 00:58:37,915 But going through some of the citations for it-- 1289 00:58:37,915 --> 00:58:39,540 MICHAEL SHORT: Before you do, could you 1290 00:58:39,540 --> 00:58:40,530 go back to the article? 1291 00:58:40,530 --> 00:58:41,190 GUEST SPEAKER: Sure. 1292 00:58:41,190 --> 00:58:42,270 MICHAEL SHORT: I want to point something out. 1293 00:58:42,270 --> 00:58:43,770 GUEST SPEAKER: Yes. 1294 00:58:43,770 --> 00:58:46,530 MICHAEL SHORT: Can you tell if this was peer reviewed? 1295 00:58:46,530 --> 00:58:48,735 GUEST SPEAKER: I do not know how to do that. 1296 00:58:48,735 --> 00:58:50,610 MICHAEL SHORT: It appears to be a conference. 1297 00:58:51,155 --> 00:58:51,360 GUEST SPEAKER: OK. 1298 00:58:51,360 --> 00:58:54,060 MICHAEL SHORT: Not all conferences require peer review 1299 00:58:54,060 --> 00:58:55,680 in order to present the papers. 1300 00:58:55,680 --> 00:58:58,320 So while conference proceedings will typically 1301 00:58:58,320 --> 00:59:02,040 be published as a record of what happened at the conference, 1302 00:59:02,040 --> 00:59:05,250 we don't know if this one was peer reviewed and checked 1303 00:59:05,250 --> 00:59:07,292 for facts by an independent party. 1304 00:59:07,292 --> 00:59:09,292 Could you go up a little bit, and maybe there'll 1305 00:59:09,292 --> 00:59:11,530 be some information on that? 1306 00:59:15,410 --> 00:59:17,570 Oh, it did go in the British Journal of Radiology. 1307 00:59:17,570 --> 00:59:18,580 OK, that's a good sign. 1308 00:59:18,580 --> 00:59:21,970 So conference proceedings, you don't know. 1309 00:59:21,970 --> 00:59:24,880 But in order to publish something in a journal, 1310 00:59:24,880 --> 00:59:27,130 you do because then in order to get in the journal, 1311 00:59:27,130 --> 00:59:29,320 things have to be peer reviewed to meet the journal standards, 1312 00:59:29,320 --> 00:59:31,815 regardless of whether they came from a conference or just 1313 00:59:31,815 --> 00:59:32,690 a regular submission. 1314 00:59:32,690 --> 00:59:34,640 So, OK, that's good to see. 1315 00:59:34,640 --> 00:59:36,020 So, now, what else you got? 1316 00:59:36,020 --> 00:59:38,020 GUEST SPEAKER: And then one of the key sentences 1317 00:59:38,020 --> 00:59:43,330 that I found right here, adaptive protection 1318 00:59:43,330 --> 00:59:48,730 causes DNA damage prevention, and repair, and immune system 1319 00:59:48,730 --> 00:59:50,350 or immune stimulation. 1320 00:59:50,350 --> 00:59:52,240 It develops with a delay of hours, 1321 00:59:52,240 --> 00:59:55,240 may last for days to months, decreases steadily 1322 00:59:55,240 --> 00:59:58,720 at doses above about 100 milligray to 200 1323 00:59:58,720 --> 01:00:00,580 milligray and is not observed anymore 1324 01:00:00,580 --> 01:00:05,110 after acute exposures of more than about 500 milligray. 1325 01:00:05,110 --> 01:00:06,880 That's all pretty interesting. 1326 01:00:06,880 --> 01:00:10,330 Like I said, unfortunately, I couldn't find the actual paper. 1327 01:00:10,330 --> 01:00:12,640 So you can't really delve into some of those claims. 1328 01:00:12,640 --> 01:00:16,930 But I tried to look at some of the citations that 1329 01:00:16,930 --> 01:00:17,710 delved into them. 1330 01:00:17,710 --> 01:00:20,950 And this is where my presentation gets a little bit 1331 01:00:20,950 --> 01:00:23,410 shakier because I'm not particularly 1332 01:00:23,410 --> 01:00:27,430 good at parsing some of this complex stuff very quickly. 1333 01:00:27,430 --> 01:00:28,930 MICHAEL SHORT: Let's do it together. 1334 01:00:28,930 --> 01:00:29,972 GUEST SPEAKER: All right. 1335 01:00:34,530 --> 01:00:35,453 [INAUDIBLE] 1336 01:00:35,453 --> 01:00:37,620 MICHAEL SHORT: If you could click Download Full Text 1337 01:00:37,620 --> 01:00:39,106 in PDF, it'll just be bigger. 1338 01:00:39,106 --> 01:00:39,856 GUEST SPEAKER: OK. 1339 01:00:42,675 --> 01:00:43,800 MICHAEL SHORT: There we go. 1340 01:00:47,155 --> 01:00:48,530 GUEST SPEAKER: So it seemed to me 1341 01:00:48,530 --> 01:00:51,860 this one was more looking through the statistics 1342 01:00:51,860 --> 01:00:53,730 of various studies. 1343 01:00:53,730 --> 01:00:55,700 I'm not entirely sure. 1344 01:00:55,700 --> 01:00:59,495 But I think the conclusion-- 1345 01:00:59,495 --> 01:01:00,461 [INAUDIBLE] 1346 01:01:05,291 --> 01:01:08,680 There we go. 1347 01:01:08,680 --> 01:01:11,340 So the very last paragraph, "the present practice 1348 01:01:11,340 --> 01:01:14,280 assumes linearity in assessing risk from even the lowest dose 1349 01:01:14,280 --> 01:01:17,623 exposure of complex tissue to ionizing radiation. 1350 01:01:17,623 --> 01:01:19,290 By applying this type of risk assessment 1351 01:01:19,290 --> 01:01:21,330 to radiation protection of exposed workers 1352 01:01:21,330 --> 01:01:24,900 and the public alike, society may gain a questionable benefit 1353 01:01:24,900 --> 01:01:27,030 at unavoidably substantial cost. 1354 01:01:27,030 --> 01:01:28,710 Research on the p values given above 1355 01:01:28,710 --> 01:01:30,690 may eventually reveal the true risk, 1356 01:01:30,690 --> 01:01:33,960 which appears to be inaccessible by epidemiological studies 1357 01:01:33,960 --> 01:01:35,260 alone. 1358 01:01:35,260 --> 01:01:36,802 MICHAEL SHORT: So what are they going 1359 01:01:36,802 --> 01:01:39,930 on claiming [INAUDIBLE] versus not being willing to claim it? 1360 01:01:39,930 --> 01:01:41,555 GUEST SPEAKER: So it seems like they're 1361 01:01:41,555 --> 01:01:45,230 saying that at the current, there's not really a problem-- 1362 01:01:45,230 --> 01:01:48,750 a statistically valid assertion of 1363 01:01:48,750 --> 01:01:51,540 the linear no-threshold model and that the benefits 1364 01:01:51,540 --> 01:01:55,770 to society gained from that are not worth the cost to society 1365 01:01:55,770 --> 01:01:56,760 from that assumption. 1366 01:01:56,760 --> 01:01:58,260 MICHAEL SHORT: So what sort of costs 1367 01:01:58,260 --> 01:02:00,960 do you think society incurs by adapting 1368 01:02:00,960 --> 01:02:04,390 a linear no-threshold dose risk model? 1369 01:02:04,390 --> 01:02:06,890 GUEST SPEAKER: I mean, it could pose unnecessary regulations 1370 01:02:06,890 --> 01:02:08,307 on like nuclear power, which could 1371 01:02:08,307 --> 01:02:10,460 be arguably better for society. 1372 01:02:10,460 --> 01:02:11,330 MICHAEL SHORT: Sure. 1373 01:02:11,330 --> 01:02:14,650 Nuclear power plants emit radiation, fact, 1374 01:02:14,650 --> 01:02:17,870 to use the old cell phone methodology. 1375 01:02:17,870 --> 01:02:20,870 There's always going to be some very small amount of tritium 1376 01:02:20,870 --> 01:02:21,800 released. 1377 01:02:21,800 --> 01:02:23,600 The question is, does it matter? 1378 01:02:23,600 --> 01:02:27,290 And if legislation is made to say absolutely no tritium 1379 01:02:27,290 --> 01:02:28,790 release is allowed, well, you're not 1380 01:02:28,790 --> 01:02:30,740 going be allowed to run a nuclear plant. 1381 01:02:30,740 --> 01:02:33,410 That's not the question we should be asking. 1382 01:02:33,410 --> 01:02:36,390 The question we should be asking is, how much is harmful? 1383 01:02:36,390 --> 01:02:38,640 So I think that's what this study is really getting at 1384 01:02:38,640 --> 01:02:41,300 is I'm glad to see someone say, you may have a benefit. 1385 01:02:41,300 --> 01:02:45,000 But the cost is not worth the benefit. 1386 01:02:45,000 --> 01:02:49,460 Like I-- I had a multiple of the same arguments 1387 01:02:49,460 --> 01:02:51,890 with different people when they were complaining, well, 1388 01:02:51,890 --> 01:02:56,120 how dare would you expose me to any amount of radiation 1389 01:02:56,120 --> 01:02:57,620 at any risk that I can't control. 1390 01:02:57,620 --> 01:02:59,560 I used to protest outside Draper Labs 1391 01:02:59,560 --> 01:03:01,450 for 30 years protesting nuclear power. 1392 01:03:01,450 --> 01:03:03,963 I was like, OK, how did you get there? 1393 01:03:03,963 --> 01:03:05,960 They were like, oh, I drove. 1394 01:03:05,960 --> 01:03:07,070 What? 1395 01:03:07,070 --> 01:03:09,350 In a car? 1396 01:03:09,350 --> 01:03:12,140 Do you even know the risks per mile of getting on the road, 1397 01:03:12,140 --> 01:03:14,610 let alone in Cambridge specifically? 1398 01:03:14,610 --> 01:03:16,280 No? 1399 01:03:16,280 --> 01:03:18,950 Well, I was like, you should really consider 1400 01:03:18,950 --> 01:03:21,410 where you put your effort? 1401 01:03:21,410 --> 01:03:25,257 It's-- again, it's emotions versus numbers. 1402 01:03:25,257 --> 01:03:26,840 I'm going to go with numbers because I 1403 01:03:26,840 --> 01:03:30,950 tend to make bad decisions when I follow my emotions, 1404 01:03:30,950 --> 01:03:33,710 as do most people because most decisions are 1405 01:03:33,710 --> 01:03:36,630 more complex than fight or flight nowadays. 1406 01:03:36,630 --> 01:03:37,130 Yeah? 1407 01:03:37,130 --> 01:03:38,630 AUDIENCE: So a lot of the discussion 1408 01:03:38,630 --> 01:03:43,795 just seems to be around like expanding [INAUDIBLE].. 1409 01:03:43,795 --> 01:03:45,370 But a lot of the arguments don't seem 1410 01:03:45,370 --> 01:03:50,363 to like really [INAUDIBLE]. 1411 01:03:56,520 --> 01:03:58,720 But, yeah, like there's a certain extent, 1412 01:03:58,720 --> 01:04:01,160 like, oh, you will see [INAUDIBLE].. 1413 01:04:10,247 --> 01:04:11,080 MICHAEL SHORT: Yeah. 1414 01:04:11,080 --> 01:04:13,527 AUDIENCE: [INAUDIBLE] are doing the same. 1415 01:04:13,527 --> 01:04:15,110 MICHAEL SHORT: You make a great point. 1416 01:04:15,110 --> 01:04:18,090 That's why I like your-- your chosen idea so much 1417 01:04:18,090 --> 01:04:19,830 is, well, you didn't say chosen. 1418 01:04:19,830 --> 01:04:21,993 That's what I-- yeah. 1419 01:04:21,993 --> 01:04:23,910 Yeah, the question we should be asking ourself 1420 01:04:23,910 --> 01:04:27,060 is not what is the dose-risk relationship, but when should 1421 01:04:27,060 --> 01:04:28,238 we actually care. 1422 01:04:28,238 --> 01:04:30,030 It's like both sets of studies have kind of 1423 01:04:30,030 --> 01:04:34,025 come to the conclusion that, nah, right? 1424 01:04:34,025 --> 01:04:36,270 AUDIENCE: [INAUDIBLE] dose doesn't really matter. 1425 01:04:36,270 --> 01:04:38,580 GUEST SPEAKER: Yeah, and then I found this last one 1426 01:04:38,580 --> 01:04:40,050 is a little bit more assertive. 1427 01:04:40,050 --> 01:04:43,560 It's kind of just hitting the same nail 1428 01:04:43,560 --> 01:04:47,740 on kind of the elimination of the linear no-threshold model. 1429 01:04:47,740 --> 01:04:53,430 But then it does go on to make some more powerful claim right 1430 01:04:53,430 --> 01:04:54,390 here. 1431 01:04:54,390 --> 01:04:56,520 "These data are examined within the context 1432 01:04:56,520 --> 01:04:59,400 of low-dose radiation induction of cellular signaling 1433 01:04:59,400 --> 01:05:01,740 that may stimulate cellular protection 1434 01:05:01,740 --> 01:05:04,230 systems over hours to weeks against accumulation 1435 01:05:04,230 --> 01:05:05,905 of DNA damage." 1436 01:05:05,905 --> 01:05:07,530 MICHAEL SHORT: Was this the paper cited 1437 01:05:07,530 --> 01:05:09,953 in the other one that actually said hours two weeks? 1438 01:05:09,953 --> 01:05:11,370 GUEST SPEAKER: I believe so, yeah. 1439 01:05:11,370 --> 01:05:12,370 MICHAEL SHORT: OK, cool. 1440 01:05:12,370 --> 01:05:14,341 GUEST SPEAKER: And then we can actually-- 1441 01:05:14,341 --> 01:05:15,390 MICHAEL SHORT: [INAUDIBLE] this one? 1442 01:05:15,390 --> 01:05:16,182 GUEST SPEAKER: Yes. 1443 01:05:16,182 --> 01:05:20,048 We can look up the full text on Google Scholar. 1444 01:05:20,048 --> 01:05:21,090 MICHAEL SHORT: That's OK. 1445 01:05:21,090 --> 01:05:23,465 When you know what you're looking for, you can verify it. 1446 01:05:23,465 --> 01:05:26,970 That's-- that's a useful thing for Google is like to find 1447 01:05:26,970 --> 01:05:28,000 known content. 1448 01:05:28,000 --> 01:05:32,260 But if you're trying to survey a field in Google, no. 1449 01:05:32,260 --> 01:05:34,242 GUEST SPEAKER: That's not what I wanted. 1450 01:05:34,242 --> 01:05:35,200 MICHAEL SHORT: Not yet. 1451 01:05:35,200 --> 01:05:37,255 I'm sure-- I'm sure they're working on it. 1452 01:05:37,255 --> 01:05:38,713 But they're not Web of Science yet. 1453 01:05:43,150 --> 01:05:44,629 GUEST SPEAKER: All right. 1454 01:05:44,629 --> 01:05:45,615 AUDIENCE: [INAUDIBLE] 1455 01:05:49,080 --> 01:05:52,020 GUEST SPEAKER: Does anybody see a Get The Full Paper button? 1456 01:05:52,020 --> 01:05:53,300 Oh, wait, right here, right? 1457 01:05:53,300 --> 01:05:54,120 MICHAEL SHORT: Yep. 1458 01:05:54,120 --> 01:05:54,620 That's it. 1459 01:05:54,620 --> 01:05:55,920 GUEST SPEAKER: OK. 1460 01:05:55,920 --> 01:05:56,700 Sign in? 1461 01:05:56,700 --> 01:05:59,760 MICHAEL SHORT: Sounds like we don't subscribe to this. 1462 01:05:59,760 --> 01:06:02,100 GUEST SPEAKER: Oh, I was able to get to it somehow. 1463 01:06:02,100 --> 01:06:03,065 Well, yeah. 1464 01:06:03,065 --> 01:06:05,690 AUDIENCE: I have another article supporting this claim, though. 1465 01:06:05,690 --> 01:06:06,420 MICHAEL SHORT: OK. 1466 01:06:06,420 --> 01:06:07,628 GUEST SPEAKER: But this one-- 1467 01:06:07,628 --> 01:06:09,880 AUDIENCE: Submit it, or bring yours up, or whatever. 1468 01:06:09,880 --> 01:06:11,297 GUEST SPEAKER: And then this one-- 1469 01:06:11,297 --> 01:06:12,690 this one just had some nice data. 1470 01:06:12,690 --> 01:06:14,148 If I'm going to summarize, it had-- 1471 01:06:14,148 --> 01:06:18,690 it was looking at the amount of DNA damage instances 1472 01:06:18,690 --> 01:06:23,850 compared normal background dose to like very, very low dose. 1473 01:06:23,850 --> 01:06:26,340 And the very, very low dose was significantly less 1474 01:06:26,340 --> 01:06:28,380 than the normal background dose. 1475 01:06:28,380 --> 01:06:29,880 So that just kind of shows that like 1476 01:06:29,880 --> 01:06:33,660 very low levels of radiation are like no worse for you than just 1477 01:06:33,660 --> 01:06:35,580 background dose, which is interesting. 1478 01:06:35,580 --> 01:06:36,413 MICHAEL SHORT: Cool. 1479 01:06:36,413 --> 01:06:37,300 GUEST SPEAKER: Yeah. 1480 01:06:37,300 --> 01:06:38,967 MICHAEL SHORT: I also want to make sure, 1481 01:06:38,967 --> 01:06:41,955 do you guys have more articles you want to show? 1482 01:06:41,955 --> 01:06:42,909 AUDIENCE: [INAUDIBLE] 1483 01:06:45,737 --> 01:06:47,570 MICHAEL SHORT: If you want to send it to me, 1484 01:06:47,570 --> 01:06:49,432 I'll put it up here. 1485 01:06:49,432 --> 01:06:51,890 GUEST SPEAKER: All right, I minimized because I didn't just 1486 01:06:51,890 --> 01:06:52,970 want to leave your email. 1487 01:06:52,970 --> 01:06:53,420 MICHAEL SHORT: Oh, I don't care. 1488 01:06:53,420 --> 01:06:54,140 There's nothing-- 1489 01:06:54,140 --> 01:06:54,890 GUEST SPEAKER: OK. 1490 01:06:54,890 --> 01:06:56,432 MICHAEL SHORT: I'll bring it back up. 1491 01:06:58,890 --> 01:07:00,550 So that's all the ones you sent? 1492 01:07:05,288 --> 01:07:07,256 Cool. 1493 01:07:07,256 --> 01:07:09,880 Actually, this one-- this debate is turning out 1494 01:07:09,880 --> 01:07:12,880 a whole lot more interesting than previously because, 1495 01:07:12,880 --> 01:07:14,290 well, because you're thinking. 1496 01:07:14,290 --> 01:07:16,070 It's actually really nice to see this. 1497 01:07:16,070 --> 01:07:17,435 And this is the-- 1498 01:07:17,435 --> 01:07:18,310 AUDIENCE: [INAUDIBLE] 1499 01:07:18,310 --> 01:07:19,685 MICHAEL SHORT: I'm not surprised. 1500 01:07:19,685 --> 01:07:20,620 Don't worry. 1501 01:07:20,620 --> 01:07:23,140 It's just pleasant to have a debate about something 1502 01:07:23,140 --> 01:07:25,480 controversial with a whole group of people 1503 01:07:25,480 --> 01:07:28,390 who are thinking and researching rather than shouting 1504 01:07:28,390 --> 01:07:30,116 and like throwing plates. 1505 01:07:30,116 --> 01:07:31,388 AUDIENCE: [INAUDIBLE] 1506 01:07:31,388 --> 01:07:33,430 MICHAEL SHORT: Oh, no, if you want throw a chair, 1507 01:07:33,430 --> 01:07:34,645 but I might throw one back. 1508 01:07:34,645 --> 01:07:35,635 AUDIENCE: [INAUDIBLE] 1509 01:07:56,460 --> 01:07:58,920 MICHAEL SHORT: I wonder if anyone's gone out recently 1510 01:07:58,920 --> 01:08:02,100 and has come up with all of the pro and anti hormesis studies 1511 01:08:02,100 --> 01:08:04,380 and actually written a paper that says, 1512 01:08:04,380 --> 01:08:06,870 that's not the point, because, really, what we're 1513 01:08:06,870 --> 01:08:07,770 getting-- huh? 1514 01:08:07,770 --> 01:08:08,490 AUDIENCE: You could write that. 1515 01:08:08,490 --> 01:08:10,907 MICHAEL SHORT: No, I think you could write that paper now. 1516 01:08:10,907 --> 01:08:13,173 AUDIENCE: Well, oh. 1517 01:08:13,173 --> 01:08:15,840 MICHAEL SHORT: It would make for a pretty cool undergrad thesis, 1518 01:08:15,840 --> 01:08:17,189 actually. 1519 01:08:17,189 --> 01:08:18,335 Yeah? 1520 01:08:18,335 --> 01:08:19,710 Maybe I can tell you a little bit 1521 01:08:19,710 --> 01:08:21,335 about what an undergrad thesis actually 1522 01:08:21,335 --> 01:08:23,220 entails because the seniors are all asking. 1523 01:08:23,220 --> 01:08:25,800 But it's good for you to know ahead of time. 1524 01:08:25,800 --> 01:08:28,319 So the main requirement for an undergrad thesis 1525 01:08:28,319 --> 01:08:30,112 is it's got to be your work. 1526 01:08:30,112 --> 01:08:31,529 That doesn't mean you have to have 1527 01:08:31,529 --> 01:08:35,080 collected the data yourself, like done an experiment. 1528 01:08:35,080 --> 01:08:37,590 But it has to be some original thought, or idea, 1529 01:08:37,590 --> 01:08:39,870 or accumulation of yours. 1530 01:08:39,870 --> 01:08:43,920 So trying to settle this debate and trying to figure out what 1531 01:08:43,920 --> 01:08:46,529 would be a proposed chill region to say, 1532 01:08:46,529 --> 01:08:48,660 forget the linear threshold or no threshold. 1533 01:08:48,660 --> 01:08:50,220 That's for the basic scientists. 1534 01:08:50,220 --> 01:08:53,310 If you are a government and want to legislate something that 1535 01:08:53,310 --> 01:08:56,460 actually captures should people be afraid or not, 1536 01:08:56,460 --> 01:09:00,149 defining that region would be a pretty cool study to do 1537 01:09:00,149 --> 01:09:03,029 in the meta-analysis of lots of other studies, 1538 01:09:03,029 --> 01:09:05,279 tracing back how worthy-- 1539 01:09:05,279 --> 01:09:08,279 I mean, a lot of people refer to the Hiroshima data 1540 01:09:08,279 --> 01:09:10,680 set because that's about the biggest one we have. 1541 01:09:10,680 --> 01:09:13,350 In addition to folks with radon or folks that smoke, 1542 01:09:13,350 --> 01:09:15,990 they were all exposed to the same thing 1543 01:09:15,990 --> 01:09:17,410 in the relatively same area. 1544 01:09:17,410 --> 01:09:21,120 So it's a good control group of people. 1545 01:09:21,120 --> 01:09:23,899 But how was-- how were those doses estimated? 1546 01:09:23,899 --> 01:09:24,899 You have to dig that up. 1547 01:09:24,899 --> 01:09:27,600 And the act of digging that up and then recasting 1548 01:09:27,600 --> 01:09:30,250 all of these new studies in the basis of everything 1549 01:09:30,250 --> 01:09:32,250 we've learned since would make for a pretty cool 1550 01:09:32,250 --> 01:09:34,240 undergrad thesis topic. 1551 01:09:34,240 --> 01:09:37,612 So as undergrad chair, I wouldn't say no to that. 1552 01:09:43,020 --> 01:09:47,370 Threshold and other departures from linear quadratic curvature 1553 01:09:47,370 --> 01:09:49,830 in the same data set appears to-- 1554 01:09:49,830 --> 01:09:53,189 is it the LSS data set? 1555 01:09:53,189 --> 01:09:54,490 Let's try to get the full text. 1556 01:10:00,310 --> 01:10:00,820 Awesome! 1557 01:10:00,820 --> 01:10:02,500 I think it's looking good. 1558 01:10:06,720 --> 01:10:07,220 Great! 1559 01:10:12,748 --> 01:10:14,040 Now I've seen that name before. 1560 01:10:16,970 --> 01:10:18,400 Interesting. 1561 01:10:18,400 --> 01:10:20,200 AUDIENCE: [INAUDIBLE] 1562 01:10:37,105 --> 01:10:38,230 MICHAEL SHORT: Interesting. 1563 01:10:38,230 --> 01:10:39,700 They propose another model called 1564 01:10:39,700 --> 01:10:42,290 a power of dose, a power law. 1565 01:10:42,290 --> 01:10:44,835 And they say, depending on this-- 1566 01:10:44,835 --> 01:10:46,210 there's little evidence that it's 1567 01:10:46,210 --> 01:10:49,180 statistically different from one which 1568 01:10:49,180 --> 01:10:55,000 is a what do they call one linear threshold 1569 01:10:55,000 --> 01:11:00,190 quadratic threshold or linear quadratic threshold, OK? 1570 01:11:00,190 --> 01:11:03,350 So, again, it seems to be yet another paper saying, 1571 01:11:03,350 --> 01:11:04,780 I don't think it matters. 1572 01:11:04,780 --> 01:11:07,000 Statistics says it doesn't matter. 1573 01:11:07,000 --> 01:11:10,156 You could fit any model to this data. 1574 01:11:18,730 --> 01:11:20,110 Let's get to the methods. 1575 01:11:20,110 --> 01:11:21,589 AUDIENCE: [INAUDIBLE] 1576 01:11:29,375 --> 01:11:30,500 MICHAEL SHORT: Interesting. 1577 01:11:37,560 --> 01:11:41,930 So dose response for all non-cancer mortality 1578 01:11:41,930 --> 01:11:45,090 in the atomic bomb survivors. 1579 01:11:45,090 --> 01:11:48,020 So, also, in this case, it's mortalities not 1580 01:11:48,020 --> 01:11:51,520 caused by cancer. 1581 01:11:51,520 --> 01:11:54,430 AUDIENCE: Like, caused by radiation disease? 1582 01:11:54,430 --> 01:11:56,860 Or is that caused by [INAUDIBLE]?? 1583 01:11:56,860 --> 01:11:59,250 MICHAEL SHORT: So this would be-- 1584 01:11:59,250 --> 01:12:03,750 I think what they're getting at is is there a response, 1585 01:12:03,750 --> 01:12:06,060 or is there a change in the amount of mortality 1586 01:12:06,060 --> 01:12:08,980 not due to cancer and the-- 1587 01:12:08,980 --> 01:12:09,930 the-- 1588 01:12:09,930 --> 01:12:12,780 AUDIENCE: Health benefits other than decreasing risk of cancer. 1589 01:12:12,780 --> 01:12:15,515 MICHAEL SHORT: Or in this case, health detriments, right? 1590 01:12:15,515 --> 01:12:17,640 Because in this-- you know, it never goes negative. 1591 01:12:17,640 --> 01:12:20,470 You can't really tell in some cases. 1592 01:12:20,470 --> 01:12:20,970 Let's see. 1593 01:12:30,998 --> 01:12:33,040 Yeah, quite hard to tell, especially considering. 1594 01:12:33,040 --> 01:12:36,160 And so at the low doses, what would you guys 1595 01:12:36,160 --> 01:12:38,000 say for the low dose data? 1596 01:12:38,000 --> 01:12:39,250 AUDIENCE: That doesn't matter. 1597 01:12:39,250 --> 01:12:41,458 MICHAEL SHORT: I see a pretty well-defined chill zone 1598 01:12:41,458 --> 01:12:43,860 right there, right? 1599 01:12:43,860 --> 01:12:44,998 AUDIENCE: Chill zone? 1600 01:12:44,998 --> 01:12:46,540 MICHAEL SHORT: We're definitely still 1601 01:12:46,540 --> 01:12:49,360 in the chill zone at 0.4 sieverts of colon dose. 1602 01:12:49,360 --> 01:12:51,967 And that's a pretty hefty amount of dose. 1603 01:12:51,967 --> 01:12:54,550 You know, we're talking eight or nine times the allowed amount 1604 01:12:54,550 --> 01:12:57,490 that you're able to get in a year from occupational safety 1605 01:12:57,490 --> 01:12:58,690 limits. 1606 01:12:58,690 --> 01:13:00,100 Once the doses get higher, things 1607 01:13:00,100 --> 01:13:04,750 seem to get a little more deterministic or statistically 1608 01:13:04,750 --> 01:13:07,030 significant. 1609 01:13:07,030 --> 01:13:09,430 But, yeah, look at all the different models. 1610 01:13:09,430 --> 01:13:12,040 The linear threshold, quadratic threshold, 1611 01:13:12,040 --> 01:13:14,770 linear quadratic threshold, power of dose 1612 01:13:14,770 --> 01:13:17,860 all goes straight through not just like in the error bars, 1613 01:13:17,860 --> 01:13:20,560 but almost straight through most of the data points, 1614 01:13:20,560 --> 01:13:22,913 except for the really far away ones. 1615 01:13:22,913 --> 01:13:24,580 So this is a pretty neat study, showing, 1616 01:13:24,580 --> 01:13:26,080 like, hey, the relationship does not 1617 01:13:26,080 --> 01:13:29,290 appear to matter for doses of consequence. 1618 01:13:29,290 --> 01:13:32,320 I would call 2 sieverts a dose of consequence 1619 01:13:32,320 --> 01:13:35,290 based on our earlier discussion of biological effects. 1620 01:13:35,290 --> 01:13:37,307 Luckily, it doesn't go much farther than that. 1621 01:13:37,307 --> 01:13:38,890 You don't want a lot of people to have 1622 01:13:38,890 --> 01:13:42,580 received doses beyond 10 gray. 1623 01:13:42,580 --> 01:13:44,518 But this is pretty compelling to me 1624 01:13:44,518 --> 01:13:46,810 to say, like, we can argue about what the real model is 1625 01:13:46,810 --> 01:13:49,090 and what the underlying mechanism is, but is 1626 01:13:49,090 --> 01:13:52,300 this a question we really should be asking ourselves 1627 01:13:52,300 --> 01:13:54,415 when the total risk-- 1628 01:13:54,415 --> 01:13:56,290 let's say, when the total risk to an organism 1629 01:13:56,290 --> 01:13:59,830 reaches about 100%, once you reach a a dose where it doesn't 1630 01:13:59,830 --> 01:14:03,010 even matter, then is this a question 1631 01:14:03,010 --> 01:14:06,220 that we should really be debating in the public sphere? 1632 01:14:06,220 --> 01:14:09,390 I love the outcome of this particular debate. 1633 01:14:11,920 --> 01:14:14,870 Lots of statistics, don't have time to parse. 1634 01:14:19,613 --> 01:14:21,530 Is there anything else, Chris, that you wanted 1635 01:14:21,530 --> 01:14:24,708 to highlight in this study? 1636 01:14:24,708 --> 01:14:30,065 AUDIENCE: This appears to [INAUDIBLE] comments 1637 01:14:30,065 --> 01:14:32,392 on Professor Donald Pierce on [INAUDIBLE].. 1638 01:14:32,392 --> 01:14:33,600 MICHAEL SHORT: Oh, OK, well-- 1639 01:14:33,600 --> 01:14:35,000 AUDIENCE: Do you think it could be the same Pierce? 1640 01:14:35,000 --> 01:14:35,990 MICHAEL SHORT: Maybe. 1641 01:14:35,990 --> 01:14:37,940 It was a UK Pierce, I think. 1642 01:14:45,510 --> 01:14:47,940 That's pretty cool. 1643 01:14:47,940 --> 01:14:49,440 So anyone else have any other papers 1644 01:14:49,440 --> 01:14:52,050 they want to show for or against or for our sort 1645 01:14:52,050 --> 01:14:54,000 of collective new conclusion? 1646 01:14:56,605 --> 01:14:58,063 Which is that we should just relax. 1647 01:15:02,230 --> 01:15:03,710 Cool. 1648 01:15:03,710 --> 01:15:04,710 Well, that went-- yeah? 1649 01:15:04,710 --> 01:15:05,210 Charlie? 1650 01:15:05,210 --> 01:15:06,960 AUDIENCE: I just had had a question, like, 1651 01:15:06,960 --> 01:15:09,818 what would be like a posed use of radiation 1652 01:15:09,818 --> 01:15:12,806 hormesis [INAUDIBLE]? 1653 01:15:12,806 --> 01:15:13,568 [INAUDIBLE] 1654 01:15:13,568 --> 01:15:15,110 MICHAEL SHORT: So let's say you could 1655 01:15:15,110 --> 01:15:18,740 prove beyond a shadow of a doubt that a little bit of radiation 1656 01:15:18,740 --> 01:15:20,480 exposure was a good thing. 1657 01:15:20,480 --> 01:15:22,670 You might then prescribe radiation treatments 1658 01:15:22,670 --> 01:15:25,523 in order to reap the benefits. 1659 01:15:25,523 --> 01:15:27,440 I don't think there's been a single study that 1660 01:15:27,440 --> 01:15:29,357 shows that there's like deterministic benefits 1661 01:15:29,357 --> 01:15:30,842 from irradiating people. 1662 01:15:30,842 --> 01:15:32,300 Some of the studies show that folks 1663 01:15:32,300 --> 01:15:35,390 that have gotten exposed via various routes 1664 01:15:35,390 --> 01:15:37,250 do show a lower incidence of cancer. 1665 01:15:37,250 --> 01:15:41,540 So you could almost think of it like a vitamin, not 1666 01:15:41,540 --> 01:15:43,430 an injectable vitamin. 1667 01:15:43,430 --> 01:15:46,730 But-- so back-- there are lots of pictures online 1668 01:15:46,730 --> 01:15:49,290 and stories of way up in the north in Russia 1669 01:15:49,290 --> 01:15:51,530 and northern countries that expose you 1670 01:15:51,530 --> 01:15:53,270 to ultraviolet radiation to stimulate 1671 01:15:53,270 --> 01:15:55,670 the production of vitamin D in your skin cells 1672 01:15:55,670 --> 01:15:59,120 because in the absence of an ingestible source of vitamin D, 1673 01:15:59,120 --> 01:16:03,105 you make it naturally, but not when there's eternal darkness. 1674 01:16:03,105 --> 01:16:05,480 So they'd actually have kids stand in front of a UV lamp, 1675 01:16:05,480 --> 01:16:07,610 which does have ill effects. 1676 01:16:07,610 --> 01:16:09,650 That can cause also skin cancers, 1677 01:16:09,650 --> 01:16:12,380 but the benefits of the organism in generating 1678 01:16:12,380 --> 01:16:14,793 vitamin D that you need for health are greater. 1679 01:16:14,793 --> 01:16:15,960 So that might be an example. 1680 01:16:15,960 --> 01:16:19,670 These-- these sorts of ideas are not that far fetched. 1681 01:16:19,670 --> 01:16:22,220 If you put little kids in front of UV lamps, 1682 01:16:22,220 --> 01:16:23,840 which you know can do bad things, 1683 01:16:23,840 --> 01:16:26,270 but also does more good things, then who's to say it 1684 01:16:26,270 --> 01:16:27,590 shouldn't happen for radiation? 1685 01:16:27,590 --> 01:16:29,600 Well, no one's to say yet because we 1686 01:16:29,600 --> 01:16:34,070 have no real conclusive proof that it is helpful. 1687 01:16:34,070 --> 01:16:35,824 But that was the-- yeah? 1688 01:16:36,324 --> 01:16:40,800 AUDIENCE: Have there been any mechanisms that [INAUDIBLE]?? 1689 01:16:40,800 --> 01:16:42,550 MICHAEL SHORT: You mean in-- for radiation 1690 01:16:42,550 --> 01:16:43,690 or for something else? 1691 01:16:43,690 --> 01:16:44,690 AUDIENCE: For radiation. 1692 01:16:44,690 --> 01:16:47,065 MICHAEL SHORT: The mechanisms of-- so that one study that 1693 01:16:47,065 --> 01:16:48,100 Chris showed that-- 1694 01:16:48,100 --> 01:16:51,010 what was the idea? 1695 01:16:51,010 --> 01:16:52,750 That-- [INAUDIBLE]. 1696 01:16:52,750 --> 01:16:54,988 The first one that you showed, the mouse one, 1697 01:16:54,988 --> 01:16:56,530 and then the one that Chris mentioned 1698 01:16:56,530 --> 01:16:58,210 where a little bit of radiation dose 1699 01:16:58,210 --> 01:17:00,940 stimulated the immune system. 1700 01:17:00,940 --> 01:17:03,460 That might be a potential good thing, 1701 01:17:03,460 --> 01:17:06,700 where the damage or death of a few cells 1702 01:17:06,700 --> 01:17:10,510 may stimulate the nearby ones to ramp up an immune response, 1703 01:17:10,510 --> 01:17:14,140 thus snuffing out any other infection or problem that's 1704 01:17:14,140 --> 01:17:15,040 coming up. 1705 01:17:15,040 --> 01:17:16,720 That could be a use. 1706 01:17:16,720 --> 01:17:19,090 But we have to be proved with much more confidence 1707 01:17:19,090 --> 01:17:20,356 than anything I've seen today. 1708 01:17:23,547 --> 01:17:24,630 So that's a good question. 1709 01:17:24,630 --> 01:17:25,963 Yeah, like how would you use it? 1710 01:17:25,963 --> 01:17:28,835 Use it like a vitamin, like a UV lamp, like a SAD lamp. 1711 01:17:28,835 --> 01:17:30,210 Although, I don't think SAD lamps 1712 01:17:30,210 --> 01:17:33,580 do anything bad, the Seasonal Affective Disorder, 1713 01:17:33,580 --> 01:17:36,850 the most unfortunate acronym in the world. 1714 01:17:36,850 --> 01:17:37,548 Yeah. 1715 01:17:37,548 --> 01:17:38,504 AUDIENCE: [INAUDIBLE] 1716 01:17:40,420 --> 01:17:42,970 MICHAEL SHORT: Yes. 1717 01:17:42,970 --> 01:17:45,250 I don't know if that would be easy to swallow. 1718 01:17:45,250 --> 01:17:46,980 Yeah. 1719 01:17:46,980 --> 01:17:48,130 Cool. 1720 01:17:48,130 --> 01:17:52,035 All right, any other thoughts from this exercise? 1721 01:17:52,035 --> 01:17:54,160 I think I'll do more interactive classes like this. 1722 01:17:54,160 --> 01:17:57,256 It's good to hear you guys talk for a change. 1723 01:17:57,256 --> 01:17:58,220 Cool. 1724 01:17:58,220 --> 01:17:59,770 OK.