Sajid Javid says waiting list projections “shocked me the most” in his first days as health secretary.
Category Archives: Nutrition
Covid: Woman aged 90 died with double variant infection
Simultaneous infections are rare but can happen, particularly in people yet to be vaccinated, warn experts.
Covid: Fully jabbed NHS staff may not have to isolate
Health leaders urge the government to change quarantine rules to avoid severe staff shortages.
Scientists observe a new type of topological defect in chiral magnets

“Topological defects” are formed when the symmetry of a magnetic material is disrupted. Domain walls (DWs) are a type of topological defect that separates regions of different magnetic orientations. A widely studied phenomenon, the manipulation of these defects has potential applications in high-performance memory storage devices, energy processing devices, and quantum computing.
Recently, the possibility of other topological defects embedded in or combined with DWs has gained attention for their potential applications in different fields of physics. Some examples of these “defects within defects” called DW skyrmions and DW bimerons. While theoretical models have supported the existence of these defects, they have not been experimentally observed — not before now.
In a new study published in Nature Communications, Associate Professor Masahiro Nagao from Nagoya University, Japan, and his colleagues used Lorentz transmission electron microscopy (LTEM) to visualize these defects. They were able to do so by passing electrons and observing their deflections through a thin magnetic film. The topological defects were observed as contrasting pairs of bright and dark areas. Using this technique, the team imaged topological defects in a chiral magnetic thin film made of cobalt, zinc, and manganese.
Initially, the researchers observed a single DW defect when the film was not magnetized. On magnetizing the film by passing a magnetic field perpendicular to the film, they could observe the development of two types of DWs. The conventional DWs were seen as black lines, while chains of DW bimerons were seen as bright elliptical dots on the LTEM images. These two types of DWs appeared alternatively and in pairs. The researchers noted that these DWs increased as the strength of the magnetic field was increased and finally disappeared after a certain threshold was reached. To confirm their discovery, the researchers used the transport of intensity equation to obtain the magnetic distributions which revealed opposite magnetizations on both sides of the chain of DWs, confirming them to be DW bimerons.
The researchers could finally propose an explanation of these defects and their mechanism of formation. As Prof Nagao explains: “In our chiral magnet thin films, we show chained and isolated bimerons playing the role of and bound to DWs respectively, which are realized by not only in-plane magnetic anisotropy component but also the combination of Dzyaloshinskii-Moriya interaction, out-of-plane magnetic anisotropy, dipolar interaction, and Zeeman effect.”
The team’s findings shed light on topological defects in chiral magnets and have implications in fields of physics related to topology, ranging from cosmological length scales to condensed matter.
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Colchester parents ‘ecstatic’ after baby approved for £1.7m drug
Ten-month-old Edward will receive the world’s most expensive drug after a campaign by his parents.
For pediatric patients with Crohn’s disease, factors associated with statural growth differ by sex

Growth impairment, a common complication of Crohn’s disease in children, occurs more often in males than females, but the reasons are unclear. Now, a physician-scientist from Weill Cornell Medicine and NewYork-Presbyterian and colleagues at eight other centers have found that factors associated with statural growth differ by sex. Their recent publication, identified as the “Editor’s Choice / Leading Off” article and receiving a mention on the cover of the June issue of Inflammatory Bowel Diseases, underscores the need for investigating and developing sex-specific treatment strategies for children with Crohn’s disease, an approach that is not currently part of the pediatric Crohn’s disease management algorithm.
The Growth Study is an ongoing prospective, multicenter, longitudinal cohort study investigating sex differences in growth impairment in children with Crohn’s disease. For their current analysis, lead author Dr. Neera Gupta, principal investigator for The Growth Study, director of research for the Pediatric Inflammatory Bowel Disease (PIBD) Program and an associate professor of pediatrics at Weill Cornell Medicine and a pediatric gastroenterologist at NewYork-Presbyterian Komansky Children’s Hospital, and colleagues examined a range of variables associated with statural growth by sex for 113 children with Crohn’s disease, such as disease characteristics, patient-reported symptoms at onset and the use of certain medications.
Among 41 female patients, an initial classification of IBD as Crohn’s disease or perianal disease at diagnosis were associated with better growth. However, patient-reported joint pain at symptom onset or the use of probiotics or azathioprine/6-mercaptopurine were associated with worse growth.
Variables associated with statural growth were markedly different for 72 male patients. Patient-reported poor growth at symptom onset or the use of infliximab, biologics, methotrexate or vitamin D were associated with better growth. In contrast, an initial classification of IBD as Crohn’s disease or patient-reported anorexia or mouth sores at symptom onset were associated with worse growth.
The authors noted that female patients appear to grow better independent of disease severity/inflammatory burden and medication interventions. Their findings suggest sex-specific molecular pathways lead to growth impairment in children with Crohn’s disease, and that there may be a difference in the response of these sex-specific molecular pathways to current medications used to treat pediatric Crohn’s disease. Sex will likely be an important future determinant of treatment decisions, which will represent a major advancement in clinical decision making for pediatric Crohn’s disease.
“Through the Growth Study, we aim to transform the care of pediatric patients with Crohn’s disease by providing an evidence-based approach for the appropriate early introduction of aggressive therapy in patients with high risk for each sex because there is only a narrow therapeutic window available for intervention to improve statural growth,” the authors wrote.
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Normal brain growth curves for children will aid in diagnoses

In the United States, nearly every pediatric doctor’s visit begins with three measurements: weight, height and head circumference. Compared to average growth charts of children across the country, established in the 1970s, a child’s numbers can confirm typical development or provide a diagnostic baseline to assess deviations from the curve. Yet, the brain, of vital importance to the child’s development, is merely hinted at in these measurements.
Head circumference may indicate a head growth issue, which could be further investigated to determine if there is an issue with brain size or extra fluid. But now, in the age of noninvasive brain scanning such as magnetic resonance imaging (MRI), could researchers develop normalized growth curve charts for the brain?
That was the question Steven Schiff, Brush Chair Professor of Engineering at Penn State, and his multi-institution research team set out to answer. They published their results today (July 9) in the Journal of Neurosurgery, Pediatrics.
“Brain size research also has a very unfortunate history, as it was often used to attempt to scientifically prove one gender or race or culture of people as better than another,” said Schiff, also a professor of engineering science and mechanics in the College of Engineering and of neurosurgery in the College of Medicine. “In this paper, we discuss the research going back about 150 years and then look at what the data of a contemporary cohort really tells us.”
The researchers analyzed 1,067 brain scans of 505 healthy children, ages 13 days to 18 years old, from the National Institutes of Health (NIH) Pediatric MRI Repository. To ensure a representative sample population across sex, race, socioeconomic status and geographic location, the MRI scans were taken sequentially over several years at hospitals and medical schools in California, Massachusetts, Missouri, Ohio, Pennsylvania and Texas. To ensure calibrated results, one person was established as a control and scanned at each site.
“The study of brain size and growth has a long and contentious history — even in the era of MRI, studies defining normal brain volume growth patterns often include small sample sizes, limited algorithm technology, incomplete coverage of the pediatric age range and other issues,” said first author Mallory R. Peterson, a Penn State student who is pursuing both a doctorate in engineering science and mechanics in the College of Engineering and a medical degree in the College of Medicine. She earned her bachelor of science degree in biomedical engineering from Penn State in 2016. “These studies have not addressed the relationship between brain growth and cerebrospinal fluid in depth, either. In this paper, we resolve both of these issues.”
The first startling finding, according to Schiff and Peterson, was the difference in brain volume between male and female children. Even after adjusting for body size, males exhibited larger overall brain volume — but specific brain structures did not differ in size between sexes, nor did cognitive ability.
“Clearly, sex-based differences do not account for intelligence — we have known that for a long time, and this does not suggest differently,” Schiff said. “The important thing here is that there is a difference in how the brains of male and female children grow. When you’re diagnosing or treating a child, we need to know when a child’s brain isn’t growing normally.”
The second finding was one of striking similarity rather than differences.
“Regardless of the sex or the size of the child, we unexpectedly found that the ratio between the size of the child’s brain and the volume of fluid within the head — cerebrospinal fluid — was universal,” Schiff said. “This fluid floats and protects the brain, serving a variety of functions as it flows through the brain. Although we have not recognized this tight normal ratio before, this relationship of fluid to brain is exactly what we try to regulate when we treat children for excess fluid in conditions of hydrocephalus.”
The researchers plan to continue studying the ratio and its potential functions, as well as underlying mechanisms, in children and across the life span.
“The apparent universal nature of the age-dependent brain-cerebrospinal fluid ratio, regardless of sex or body size, suggests that the role of this ratio offers novel ways to characterize conditions affecting the childhood brain,” Peterson said.
The researchers also settled a longstanding controversy in terms of the temporal lobe, according to Schiff. After two years of age, the left side of this brain structure — where language function is typically localized — was clearly larger than the right side throughout childhood. A portion of the temporal lobe called the hippocampus, which can be a cause of epilepsy, was larger on the right than the left as it grew during childhood.
“These normal growth curves for these critical structures often involved in epilepsy will help us determine when these structures are damaged and smaller than normal for age,” said Schiff.
This approach to normal brain growth during childhood could help researchers understand normal from excessive volume loss throughout the later lifespan, according to Schiff.
“Brain volume peaks at puberty,” Schiff said. “It then decreases as we age, and it decreases more rapidly in people with certain types of dementia. If we can better understand both brain growth and the ratio of brain to fluid at every age, we can not only improve how we diagnose clinical conditions, but also how we treat them.”
Scientists solve 40-year mystery over Jupiter’s X-ray aurora

A research team co-led by UCL (University College London) has solved a decades-old mystery as to how Jupiter produces a spectacular burst of X-rays every few minutes.
The X-rays are part of Jupiter’s aurora — bursts of visible and invisible light that occur when charged particles interact with the planet’s atmosphere. A similar phenomenon occurs on Earth, creating the northern lights, but Jupiter’s is much more powerful, releasing hundreds of gigawatts of energy, enough to briefly power all of human civilisation*.
In a new study, published in Science Advances, researchers combined close-up observations of Jupiter’s environment by NASA’s satellite Juno, which is currently orbiting the planet, with simultaneous X-ray measurements from the European Space Agency’s XMM-Newton observatory (which is in Earth’s own orbit).
The research team, led by UCL and the Chinese Academy of Sciences, discovered that X-ray flares were triggered by periodic vibrations of Jupiter’s magnetic field lines. These vibrations create waves of plasma (ionised gas) that send heavy ion particles “surfing” along magnetic field lines until they smash into the planet’s atmosphere, releasing energy in the form of X-rays.
Co-lead author Dr William Dunn (UCL Mullard Space Science Laboratory) said: “We have seen Jupiter producing X-ray aurora for four decades, but we didn’t know how this happened. We only knew they were produced when ions crashed into the planet’s atmosphere.
“Now we know these ions are transported by plasma waves — an explanation that has not been proposed before, even though a similar process produces Earth’s own aurora. It could, therefore, be a universal phenomenon, present across many different environments in space.”
X-ray auroras occur at Jupiter’s north and south poles, often with clockwork regularity — during this observation Jupiter was producing bursts of X-rays every 27 minutes.
The charged ion particles that hit the atmosphere originate from volcanic gas pouring into space from giant volcanoes on Jupiter’s moon, Io.
This gas becomes ionised (its atoms are stripped free of electrons) due to collisions in Jupiter’s immediate environment, forming a donut of plasma that encircles the planet.
Co-lead author Dr Zhonghua Yao (Chinese Academy of Sciences, Beijing) said: “Now we have identified this fundamental process, there is a wealth of possibilities for where it could be studied next. Similar processes likely occur around Saturn, Uranus, Neptune and probably exoplanets as well, with different kinds of charged particles ‘surfing’ the waves.”
Co-author Professor Graziella Branduardi-Raymont (UCL Mullard Space Science Laboratory) said: “X-rays are typically produced by extremely powerful and violent phenomena such as black holes and neutron stars, so it seems strange that mere planets produce them too.
“We can never visit black holes, as they are beyond space travel, but Jupiter is on our doorstep. With the arrival of the satellite Juno into Jupiter’s orbit, astronomers now have a fantastic opportunity to study an environment that produces X-rays up close.”
For the new study, researchers analysed observations of Jupiter and its surrounding environment carried out continuously over a 26-hour period by the Juno and XMM-Newton satellites.
They found a clear correlation between waves in the plasma detected by Juno and X-ray auroral flares at Jupiter’s north pole recorded by X-MM Newton. They then used computer modelling to confirm that the waves would drive the heavy particles towards Jupiter’s atmosphere.
Why the magnetic field lines vibrate periodically is unclear, but the vibration may result from interactions with the solar wind or from high-speed plasma flows within Jupiter’s magnetosphere.
Jupiter’s magnetic field is extremely strong — about 20,000 times as strong as Earth’s — and therefore its magnetosphere, the area controlled by this magnetic field, is extremely large. If it was visible in the night sky, it would cover a region several times the size of our moon.
The work was supported by the Chinese Academy of Sciences, the National Natural Science Foundation of China, and the UK’s Science and Technology Facilities Council (STFC), Royal Society, and Natural Environment Research Council, as well as ESA and NASA.
* Jupiter’s X-ray aurora alone releases about a gigawatt, equivalent to what one power station might produce over a period of days.
Remote control for plants

Plants have microscopically small pores on the surface of their leaves, the stomata. With their help, they regulate the influx of carbon dioxide for photosynthesis. They also use the stomata to prevent the loss of too much water and withering away during drought.
The stomatal pores are surrounded by two guard cells. If the internal pressure of these cells drops, they slacken and close the pore. If the pressure rises, the cells move apart and the pore widens.
The stomatal movements are thus regulated by the guard cells. Signalling pathways in these cells are so complex that it is difficult for humans to intervene with them directly. However, researchers of the Julius-Maximilians-Universität (JMU) Würzburg in Bavaria, Germany, nevertheless found a way to control the movements of stomata remotely — using light pulses.
Light-sensitive protein from algae used
The researchers succeeded in doing this by introducing a light-sensitive switch into the guard cells of tobacco plants. This technology was adopted from optogenetics. It has been successfully exploited in animal cells, but the application in plant cells it is still in its infancy.
The team led by JMU biophysicist and guard cell expert Professor Rainer Hedrich describes their approach in the scientific journal Science Advances. JMU researchers Shouguang Huang (first author), Kai Konrad and Rob Roelfsema were significantly involved.
The group used a light-sensitive protein from the alga Guillardia theta as a light switch, namely the anion channel ACR1 from the group of channelrhodopsins. In response to light pulses, the switch ensures that chloride flows out of the guard cells and potassium follows. The guard cells lose internal pressure, slacken and the pore closes within 15 minutes. “The light pulse is like a remote control for the movement of the stomata,” says Hedrich.
Anion channel hypothesis confirmed
“By exposing ACR1 to light, we have bridged the cell’s own signalling chain, thus proving the hypothesis that the opening of anion channels is essential and sufficient for stomatal closure,” Hedrich summarises the results of the study. The exposure to light had almost completely prevented the transpiration of the plants.
With this knowledge, it is now possible to cultivate plants with an increased number of anion channels in the guard cells. Plants equipped in this way should close their stomata more quickly in response to approaching heat waves and thus be better able to cope with periods of drought.
“Plant anion channels are activated during stress; this process is dependent on calcium. In a follow up optogenetics project, we want to use calcium-conducting channelrhodopsins to specifically allow calcium to flow into the guard cells cell through exposure to light and to understand the mechanism of anion channel activation in detail,” Hedrich outlines the upcoming goals of his research.
Basic scientific research can also benefit from the results from Würzburg: “Our new optogenetic tool has enormous potential for research,” says the JMU professor. “With it, we can gain new insights into how plants regulate their water consumption and how carbon dioxide fixation and stomatal movements are coupled.”
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Materials provided by University of Würzburg. Original written by Robert Emmerich. Note: Content may be edited for style and length.
Dying cells protect their neighbors to maintain tissue integrity

To enable tissue renewal, human tissues constantly eliminate millions of cells, without jeopardizing tissue integrity, form and connectivity. The mechanisms involved in maintaining this integrity remain unknown. Scientists from the Institut Pasteur and the CNRS today revealed a new process which allows eliminated cells to temporarily protect their neighbors from cell death, thereby maintaining tissue integrity. This protective mechanism is vital, and if disrupted can lead to a temporary loss of connectivity. The scientists observed that when the mechanism is deactivated, the simultaneous elimination of several neighboring cells compromises tissue integrity. This lack of integrity could be responsible for chronic inflammation. The results of the research were published in the journal Developmental Cell on June 2, 2021.
Human epithelia are tissues found in several parts of the body (such as the epidermis and internal mucosa). They are composed of layers of contiguous cells that serve as a physical and chemical barrier. This role is constantly being put to the test by both the outside environment and their own renewal. Tissue renewal involves the formation of new cells by cell division and the elimination of dead cells. The mechanisms that regulate the ability of epithelia to maintain their integrity in contexts involving large numbers of eliminated cells remain poorly understood, despite the fact that this situation occurs regularly during embryogenesis or the maintenance of adult tissues. For example, more than ten billion cells can be eliminated every day in an adult intestine. How are these eliminations orchestrated to maintain tissue integrity and connectivity?
Scientists from the Institut Pasteur and the CNRS set out to identify the mechanisms involved in epithelial integrity and the conditions that can affect epithelial connectivity by using Drosophila (or vinegar flies), an organism studied in the laboratory with a similar epithelial architecture to humans.
Using protein-sensitive fluorescent markers, the research team revealed that when a cell dies, the EGFR-ERK pathway — a cell activation signaling pathway known for its involvement in the regulation of cell survival — is temporarily activated in the neighboring cells. The scientists observed that the activation of the EGFR-ERK pathway protected neighboring cells from cell death for approximately one hour, thereby preventing the simultaneous elimination of a group of cells. “We already knew that this pathway plays a key role in regulating cell survival in epithelial tissue, but we were surprised to observe such protective dynamics between cells,” comments Romain Levayer, Head of the Cell Death and Epithelial Homeostasis Unit at the Institut Pasteur and last author of the study.
The scientists’ research also shows that inhibiting this protective mechanism has a drastic effect on epithelial tissue: cell elimination becomes random and neighboring cells can be eliminated simultaneously, leading to repeated losses of connectivity. The elimination of groups of neighboring cells is never observed in epithelial tissue in normal conditions, when the EGFR-ERK pathway is not deliberately inhibited, even if a large number of cells are eliminated.
By using a new optogenetic tool that can control cell death in time and space and bypass the protective mechanism, the scientists confirmed that epithelial integrity was compromised when neighboring cells were eliminated simultaneously. “Surprisingly, epithelial tissue is highly sensitive to the spatial distribution of eliminated cells. Although it can withstand the elimination of a large number of cells, epithelial integrity is affected if just three neighboring cells are eliminated simultaneously,” explains Léo Valon, a scientist in the Cell Death and Epithelial Homeostasis Unit at the Institut Pasteur and first author of the study.
The scientists’ observations confirm that tissues need to develop mechanisms preventing the elimination of neighboring groups of cells. “These observations are important as they illustrate the incredible self-organizing ability of biological tissues, a property that enables them to withstand stressful conditions. So there is no need for a conductor to orchestrate where and when the cells should die; everything is based on highly local communications between neighboring cells,” adds Romain Levayer.
This process seems to have been conserved during evolution. The same protective mechanism based on local EGFR-ERK activation was discovered independently in human cell lines by the research group led by Olivier Pertz at the University of Bern in Switzerland (the results are published in the same journal2). The results of the other study suggest that the protective mechanism is conserved between species separated by hundreds of millions of years, indicating that it is a relatively universal mechanism.
Future research will reveal whether disruption to this cell death coordination mechanism and repeated loss of connectivity in epithelial tissue could be one of the roots of chronic inflammation, a phenomenon responsible for various diseases that are currently among the leading causes of death worldwide.
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Materials provided by Institut Pasteur. Note: Content may be edited for style and length.
