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Intriguing clinical meta analysis of a unique dataset in traumatic brain injury from the "Asterix" comic books


Researchers from Heinrich-Heine University in Düsseldorf, Germany, have published an intriguing study on traumatic brain injury using a dataset taken from the Asterix comic series. The report appeared in Acta Neurochir (2011) 153:13511355.

We learn that the goal of the study was to “analyze the epidemiology and specific risk factors of traumatic brain injury (TBI) in the Asterix illustrated comic books. Among the illustrated literature, TBI is a predominating injury pattern.” One of the major strengths of the study is that clinical data were “correlated to information regarding the trauma mechanism, the sociocultural background of victims and offenders, and the circumstances of the traumata, to identify specific risk factors.”

Through painstaking analysis of all 34 Asterix comic books, the researchers identified 700 hundred cases of TBI in the study. “The majority of persons involved were adult and male. The major cause of trauma was assault (98.8%).” Among the most intriguing results, they found that “although over half of head-injury victims had a severe initial impairment of consciousness, no case of death or permanent neurological deficit was found.”

Epidemiological results indicated that “the largest group of head-injured characters was constituted by Romans (63.9%), while Gauls caused nearly 90% of the TBIs. A helmet had been worn by 70.5% of victims but had been lost in the vast majority of cases (87.7%). In 83% of cases, TBIs were caused under the influence of a doping agent called “the magic potion (p ≤ 0.05)”.

There is no shortage of curious information in the paper. Among other jewels, the authors found that, among victims of head injuries, 4 out of 700 were extraterrestrials. The generally favorable outcome was surprising, given the severity of the injuries (see figure below). One possible explanation given by the authors lies in the follow-up. In their own words, “in many cases, follow-up was only a few minutes. Here, a secondary deterioration after a “lucid interval” and development of intracranial hemorrhage might have been overlooked. However, most figures returned at later time points without any deficit.”

Clearly, more work needs to be done to follow-up this very interesting research. The authors declared no conflict of interest. The funding source was not acknowledged in the paper, however. ;-)

Making science (part V): Bad project

“I want good data, a paper in Cell
But I got a project straight from Hell”

“I wanna graduate in less than five years
But there ain’t no getting out of here”

“Oh oh oh… caught in a bad project”


Crazy mice. Smelly brain cells. Empty Western blots. It’s a bad project alright. Or… is it? There are indeed bad projects out there. Research projects begin with a question that is to be answered. If no question has been formulated, however general, and experiments are being done only because they are doable, then a bad project is on the horizon. With a question at hand, hypotheses have to be made as to the posssible answers, ideally covering all logical possibilities. Lack of hypotheses in a project is not a good sign. The question posed may not be answereable. (We’ve all heard about hypothesis-free studies. That’s okey for a group leader with 50 postdocs and lots of other projects. Not recommended  to anyone that wants to graduate and get a job in less than five years!) Hypotheses help designing the experiments that are going to distinguish between them. Experiments are typically designed to systematically disprove them one by one. A neat, key experiment to prove one of the hypothesis upfront is more difficult to come by. Some experiments may just add support to a particular hypothesis, but not prove it or disprove it outright. So far so good. But a good project should also allow for serendipitous discoveries. Paradoxically, serendipity is one of the most common ways of advancement in science. Alas, serendipity can not be planned. But it can be encouraged. In addition to concrete goals and defined questions, research projects that allow some amount of open-ended possibilites have greater chances to extend into (positively) unexpected directions. It’s a fine balance, in which informed intuition plays a vital role. (For a discussion of intuitive thinking, see Making Science Part III.) Lady Science in the video above seems to be having more problems than just a bad project. But those are topics of other discussions.

Making science (part IV): Good science, good writing

Can a good scientist be a bad writer? The answer, in my opinion, is nope. Here is the story.

The registrator office at the Karolinska Institute has recently received a request to release the full texts of several of their successful grant applications to the European Research Council (ERC) as well as the texts of their respective evaluations and referee comments. ERC grants are both generous and prestigious awards that have come symbolize the success of the European scientific elite. Under Swedish freedom of information legislation, the Karolinska Institute -which is ultimately under state jurisdiction- is obliged to release these documents, as astonishing as this may sound. (A topic that surely deserves a post of its own.) Needless to say, such a request has come down as nothing short of controversial among the scientists involved, since grant applications contain unpublished data and detailed confidential information about their future research programs. Who could have made such a preposterous request?

As it turned out, the request came from an employee from the grants office of a provincial high school (recently upgraded to the rank of university) located south of Stockholm known as Mälardalenshögskola (MDH). As the story goes, school authorities reasoned that their scientists could learn how to write successful grant applications by looking at successful proposals written by scientists from a high-profile university such as KI. Apart from the fact that MDH has not been known to have a program in biomedicine, let alone any significant biomedical research, the idea that someone could succeed with a grant proposal by simply copying another one is at best controversial and at worst utterly naive.

A successful grant proposal is invariably centered around a good idea. And good ideas come from good scientists, who also happen to write well. So MDH authorities would do better by focusing on the quality of their scientists than on imitating already funded applications. Good science requires analytic capacity, the ability to formulate ideas clearly and logically. In a grant application, as in any scientific text, analytic power and logical reasoning help taking the reader from what is known to what is unknown in a systematic fashion, what to do in order to reveal the unknown and why should one do it. These are attributes inherent to science making, not special faculties restricted to good writers. A good scientist knows how to be analytic, systematic and how to formulate research, its part of the job description. If you are a good scientist, you also know how to write well, it comes in a package. Imitating the writings of others does not help.

Making science (part III): Intuition

Intuition is as important in science as it is in the arts and any other creative activity. Intuition can allow the formulation of novel ideas or solutions to complex problems that would otherwise be difficult or improbable to reach via conventional, logical reasoning. Although the popular term “gut feeling” would appear to indicate that intuitive processes take place outside the brain, it is a misplaced metaphor, as intuition is very much a mental activity.

As in conventional reasoning, intuitive thinking computes the odds of competing ideas or solutions. Unlike the former, however, the intuitive process is largely unconscious. We are only aware of the result of the computation but not the process by which it was obtained. It is nevertheless a mental calculation like any other: it utilizes data stored in memory to deduce connections, predict missing bits of information, or generate new hypotheses.

Unlike conscious reasoning, intuitive thinking takes place off-line. However, it is possible to direct, facilitate and enhance intuitive thinking, even though the process itself will always remain unavailable to conscious, on-line processing. Intuitive computations are intrinsically soft, but can be made more robust by increasing the amount of data available to intuitive processing. In science, this amounts to acquire as much information and experience as possible by reading extensively, brain-storming with colleagues and sitting at the bench.

There is a neurobiological basis for intuition.Regions of the brain involved in intuitive thinking are likely to show some overlap with areas involved in normal conscious reasoning.Antonio Damasio is one of several scientists currently investigating this and related questions. He has highlighted the importance of emotional states, largely under the influence of peripheral organs (i.e. body viscera and such), in decision-making processes including intuitive thinking. Damasio has identified patients with lesions in specific brain areas that show deficits in risk-taking, decision-making and intuitive reasoning. It is likely that different brains are able to support intuitive processing to different extents. Do non-human primates have intuition? Proof for the evolution of intuition will clearly have to await a better understanding of its hardware. However, its important contribution to decision-making processes suggests that it may have been positively selected in humans.

Intuition is a real mental process that is crucial for creativity. It can not be completely controlled, but it can be trained and enhanced. Sure enough, not all reasoning in science is intuitive, but given the shear volume of scientific data and information currently available (and constantly increasing), intuitive thinking is an indispensable allied in scientific creativity.

Making science (part II): The making of a scientist


Former postdoc fellow Svend Kjaer has today published his first first-author paper after leaving the lab. It has appeared online at the Nature Structure and Molecular Biology website. He’s got the first glimpse of the three-dimensional structure of the extracellular domain of the RET receptor, giving insights into how it binds ligand and how its mutation causes disease. Something we were striving to see for several years while he was at our lab has now been achieved and it’s one of the great success stories of making science. It took a lot of perseverance, a good measure of ingenuity and the crucial guidance and support of Svend’s current mentor and common friend Neil McDonald from the CRUK institute in London. As if by coincidence, from Svend comes also this link to the one-hour film “Naturally Obsessed: The Making of a Scientist” telling the story of three graduate students in a crystallography lab at Columbia University, NYC and their road to success (or failure) through “years of trial and error and unflinching dedication”. It gives good insights into real science making in a lab, the elusive thrill of its ups and downs, and what it takes to get to the finish line. Link from the picture above.