Health24.com | Smoking ups your risk of a fatal brain bleed

  • A study has provided further evidence of a link between smoking and bleeding in the brain
  • External factors, such as smoking, have a much greater influence on the condition than genetics
  • Not smoking, or quitting if you’ve already started, is, therefore, an essential component of primary prevention

Smokers have a significantly raised risk of dying from a bleeding stroke, a new study warns.

For the study, researchers analysed data from over 16 000 same-sex twin pairs in Finland. The twins were born before 1958 and followed for about 42 years (between 1976 and 2018).

During the follow-up, there were 120 deaths from subarachnoid haemorrhage (SAH). This is a type of bleeding stroke that occurs under the membrane that covers the brain. The median age at death was about 61.

Further evidence

Compared to nonsmokers, the risk of fatal bleeding in the brain was three times higher among heavy and moderate smokers, and 2.8 times higher among light smokers.

The findings were published on 17 September in the journal Stroke.

“Our study provides further evidence about the link between smoking and bleeding in the brain,” co-author Ilari Rautalin said in a journal news release. Rautalin is a sixth-year medical and PhD student at the University of Helsinki in Finland.

Unlike previous research, this study found that high blood pressure, lower levels of physical activity and being female weren’t significant factors in the risk of a fatal brain bleed.

The paper didn’t have data on nonfatal cases. And the researchers couldn’t assess the impact of previous smoking on these brain bleeds, because former smokers and never smokers were combined in the nonsmoking category.

Essential component of primary prevention

Still, “this long-term study in twins helps to confirm the link between subarachnoid haemorrhage and smoking,” said Dr Rose Marie Robertson, deputy chief science and medical officer of the American Heart Association (AHA).

“Not smoking, or quitting if you’ve already started, is an essential component of primary prevention,” added Robertson, co-director of the AHA Tobacco Center for Regulatory Science. She was not involved in the study.

A previous study of nearly 80 000 twins in Denmark, Finland and Sweden suggested that external risk factors, such as smoking, have a much greater influence on subarachnoid haemorrhage than genetics.

Image credit: iStock

Share Button

New design principles for spin-based quantum materials

As our lives become increasingly intertwined with technology — whether supporting communication while working remotely or streaming our favorite show — so too does our reliance on the data these devices create. Data centers supporting these technology ecosystems produce a significant carbon footprint — and consume 200 terawatt hours of energy each year, greater than the annual energy consumption of Iran. To balance ecological concerns yet meet growing demand, advances in microelectronic processors — the backbone of many Internet of Things (IoT) devices and data hubs — must be efficient and environmentally friendly.

Northwestern University materials scientists have developed new design principles that could help spur development of future quantum materials used to advance (IoT) devices and other resource-intensive technologies while limiting ecological damage.

“New path-breaking materials and computing paradigms are required to make data centers more energy-lean in the future,” said James Rondinelli, professor of materials science and engineering and the Morris E. Fine Professor in Materials and Manufacturing at the McCormick School of Engineering, who led the research.

The study marks an important step in Rondinelli’s efforts to create new materials that are non-volatile, energy efficient, and generate less heat — important aspects of future ultrafast, low-power electronics and quantum computers that can help meet the world’s growing demand for data.

Rather than certain classes of semiconductors using the electron’s charge in transistors to power computing, solid-state spin-based materials utilize the electron’s spin and have the potential to support low-energy memory devices. In particular, materials with a high-quality persistent spin texture (PST) can exhibit a long-lived persistent spin helix (PSH), which can be used to track or control the spin-based information in a transistor.

Although many spin-based materials already encode information using spins, that information can be corrupted as the spins propagate in the active portion of the transistor. The researchers’ novel PST protects that spin information in helix form, making it a potential platform where ultralow energy and ultrafast spin-based logic and memory devices operate.

The research team used quantum-mechanical models and computational methods to develop a framework to identify and assess the spin textures in a group of non-centrosymmetric crystalline materials. The ability to control and optimize the spin lifetimes and transport properties in these materials is vital to realizing the future of quantum microelectronic devices that operate with low energy consumption.

“The limiting characteristic of spin-based computing is the difficulty in attaining both long-lived and fully controllable spins from conventional semiconductor and magnetic materials,” Rondinelli said. “Our study will help future theoretical and experimental efforts aimed at controlling spins in otherwise non-magnetic materials to meet future scaling and economic demands.”

Rondinelli’s framework used microscopic effective models and group theory to identify three materials design criteria that would produce useful spin textures: carrier density, the number of electrons propagating through an effective magnetic field, Rashba anisotropy, the ratio between intrinsic spin-orbit coupling parameters of the materials, and momentum space occupation, the PST region active in the electronic band structure. These features were then assessed using quantum-mechanical simulations to discover high-performing PSHs in a range of oxide-based materials.

The researchers used these principles and numerical solutions to a series of differential spin-diffusion equations to assess the spin texture of each material and predict the spin lifetimes for the helix in the strong spin-orbit coupling limit. They also found they could adjust and improve the PST performance using atomic distortions at the picoscale. The group determined an optimal PST material, Sr3Hf2O7, which showed a substantially longer spin lifetime for the helix than in any previously reported material.

“Our approach provides a unique chemistry-agnostic strategy to discover, identify, and assess symmetry-protected persistent spin textures in quantum materials using intrinsic and extrinsic criteria,” Rondinelli said. “We proposed a way to expand the number of space groups hosting a PST, which may serve as a reservoir from which to design future PST materials, and found yet another use for ferroelectric oxides — compounds with a spontaneous electrical polarization. Our work also will help guide experimental efforts aimed at implementing the materials in real device structures.”

Story Source:

Materials provided by Northwestern University. Original written by Alex Gerage. Note: Content may be edited for style and length.

Share Button

Solar storm forecasts for Earth improved with help from the public

Solar storm analysis carried out by an army of citizen scientists has helped researchers devise a new and more accurate way of forecasting when Earth will be hit by harmful space weather. Scientists at the University of Reading added analysis carried out by members of the public to computer models designed to predict when coronal mass ejections (CMEs) — huge solar eruptions that are harmful to satellites and astronauts — will arrive at Earth.

The team found forecasts were 20% more accurate, and uncertainty was reduced by 15%, when incorporating information about the size and shape of the CMEs in the volunteer analysis. The data was captured by thousands of members of the public during the latest activity in the Solar Stormwatch citizen science project, which was devised by Reading researchers and has been running since 2010.

The findings support the inclusion of wide-field CME imaging cameras on board space weather monitoring missions currently being planned by agencies like NASA and ESA.

Dr Luke Barnard, space weather researcher at the University of Reading’s Department of Meteorology, who led the study, said: “CMEs are sausage-shaped blobs made up of billions of tonnes of magnetised plasma that erupt from the Sun’s atmosphere at a million miles an hour. They are capable of damaging satellites, overloading power grids and exposing astronauts to harmful radiation.

“Predicting when they are on a collision course with Earth is therefore extremely important, but is made difficult by the fact the speed and direction of CMEs vary wildly and are affected by solar wind, and they constantly change shape as they travel through space.

“Solar storm forecasts are currently based on observations of CMEs as soon as they leave the Sun’s surface, meaning they come with a large degree of uncertainty. The volunteer data offered a second stage of observations at a point when the CME was more established, which gave a better idea of its shape and trajectory.

“The value of additional CME observations demonstrates how useful it would be to include cameras on board spacecraft in future space weather monitoring missions. More accurate predictions could help prevent catastrophic damage to our infrastructure and could even save lives.”

In the study, published in AGU Advances, the scientists used a brand new solar wind model, developed by Reading co-author Professor Mathew Owens, for the first time to create CME forecasts.

The simplified model is able to run up to 200 simulations — compared to around 20 currently used by more complex models — to provide improved estimates of the solar wind speed and its impact on the movement of CMEs, the most harmful of which can reach Earth in 15-18 hours.

Adding the public CME observations to the model’s predictions helped provide a clearer picture of the likely path the CME would take through space, reducing the uncertainty in the forecast. The new method could also be applied to other solar wind models.

The Solar Stormwatch project was led by Reading co-author Professor Chris Scott. It asked volunteers to trace the outline of thousands of past CMEs captured by Heliospheric Imagers — specialist, wide-angle cameras — on board two NASA STEREO spacecraft, which orbit the Sun and monitor the space between it and Earth.

The scientists retrospectively applied their new forecasting method to the same CMEs the volunteers had analysed to test how much more accurate their forecasts were with the additional observations.

Using the new method for future solar storm forecasts would require swift real-time analysis of the images captured by the spacecraft camera, which would provide warning of a CME being on course for Earth several hours or even days in advance of its arrival.

Story Source:

Materials provided by University of Reading. Note: Content may be edited for style and length.

Share Button

Biologists create new genetic systems to neutralize gene drives

In the past decade, researchers have engineered an array of new tools that control the balance of genetic inheritance. Based on CRISPR technology, such gene drives are poised to move from the laboratory into the wild where they are being engineered to suppress devastating diseases such as mosquito-borne malaria, dengue, Zika, chikungunya, yellow fever and West Nile. Gene drives carry the power to immunize mosquitoes against malarial parasites, or act as genetic insecticides that reduce mosquito populations.

Although the newest gene drives have been proven to spread efficiently as designed in laboratory settings, concerns have been raised regarding the safety of releasing such systems into wild populations. Questions have emerged about the predictability and controllability of gene drives and whether, once let loose, they can be recalled in the field if they spread beyond their intended application region.

Now, scientists at the University of California San Diego and their colleagues have developed two new active genetic systems that address such risks by halting or eliminating gene drives in the wild. On Sept.18, 2020 in the journal Molecular Cell, research led by Xiang-Ru Xu, Emily Bulger and Valentino Gantz in the Division of Biological Sciences offers two new solutions based on elements developed in the common fruit fly.

“One way to mitigate the perceived risks of gene drives is to develop approaches to halt their spread or to delete them if necessary,” said Distinguished Professor Ethan Bier, the paper’s senior author and science director for the Tata Institute for Genetics and Society. “There’s been a lot of concern that there are so many unknowns associated with gene drives. Now we have saturated the possibilities, both at the genetic and molecular levels, and developed mitigating elements.”

The first neutralizing system, called e-CHACR (erasing Constructs Hitchhiking on the Autocatalytic Chain Reaction) is designed to halt the spread of a gene drive by “shooting it with its own gun.” e-CHACRs use the CRISPR enzyme Cas9 carried on a gene drive to copy itself, while simultaneously mutating and inactivating the Cas9 gene. Xu says an e-CHACR can be placed anywhere in the genome.

“Without a source of Cas9, it is inherited like any other normal gene,” said Xu. “However, once an e-CHACR confronts a gene drive, it inactivates the gene drive in its tracks and continues to spread across several generations ‘chasing down’ the drive element until its function is lost from the population.”

The second neutralizing system, called ERACR (Element Reversing the Autocatalytic Chain Reaction), is designed to eliminate the gene drive altogether. ERACRs are designed to be inserted at the site of the gene drive, where they use the Cas9 from the gene drive to attack either side of the Cas9, cutting it out. Once the gene drive is deleted, the ERACR copies itself and replaces the gene-drive.

“If the ERACR is also given an edge by carrying a functional copy of a gene that is disrupted by the gene drive, then it races across the finish line, completely eliminating the gene drive with unflinching resolve,” said Bier.

The researchers rigorously tested and analyzed e-CHACRs and ERACRs, as well as the resulting DNA sequences, in meticulous detail at the molecular level. Bier estimates that the research team, which includes mathematical modelers from UC Berkeley, spent an estimated combined 15 years of effort to comprehensively develop and analyze the new systems. Still, he cautions there are unforeseen scenarios that could emerge, and the neutralizing systems should not be used with a false sense of security for field-implemented gene drives.

“Such braking elements should just be developed and kept in reserve in case they are needed since it is not known whether some of the rare exceptional interactions between these elements and the gene drives they are designed to corral might have unintended activities,” he said.

According to Bulger, gene drives have enormous potential to alleviate suffering, but responsibly deploying them depends on having control mechanisms in place should unforeseen consequences arise. ERACRs and eCHACRs offer ways to stop the gene drive from spreading and, in the case of the ERACR, can potentially revert an engineered DNA sequence to a state much closer to the naturally-occurring sequence.

“Because ERACRs and e-CHACRs do not possess their own source of Cas9, they will only spread as far as the gene drive itself and will not edit the wild type population,” said Bulger. “These technologies are not perfect, but we now have a much more comprehensive understanding of why and how unintended outcomes influence their function and we believe they have the potential to be powerful gene drive control mechanisms should the need arise.”

Share Button

Coronavirus: ‘Widespread virus growth across the country’

The R number has risen to between 1.1 and 1.4 as officials warn of “far worse things to come”.

Share Button

Health24.com | Death from Covid-19 very rare for Americans 21 and under

  • Covid-19 kills very few people under 21
  • In the US, only those from minority groups and with chronic health problems tend to die
  • Health services need to focus on removing systemic barriers that contribute to healthcare disparities 

Only a tiny fraction of children and young adults who have contracted Covid-19 have died from their infection, a new government report shows.

Just 121 people younger than 21 have died from Covid-19 through the end of July, out of nearly 392 000 confirmed or probable cases, said researchers led by Dr Danae Bixler from the US Centers for Disease Control and Prevention.

The deaths of young Americans generally fall along the lines of risk that have applied to all people since the start of the pandemic.

Underlying conditions play a major role

Kids are more likely to die from Covid-19 as they enter young adulthood if they suffer from chronic health problems, and if they are part of a minority group, the results revealed.

“The study illustrates that in the relatively rare instance of death in someone less than 21 years of age, underlying conditions play a major role,” said Dr Amesh Adalja, who reviewed the findings. He’s a senior scholar with the Johns Hopkins Center for Health Security in Baltimore. “This fact underscores the need for those with underlying conditions, irrespective of age, to take Covid-19 seriously and to consider these individuals high-risk.”

Reports of Covid-19 infection among young people have steadily increased during the pandemic, peaking in July, the last month included in this study.

But Covid-19 deaths tended to hover around 30 per month for young people between May and July, the study showed.

More than 40% of Covid deaths among young people occurred in those aged 18 to 20, and nearly 20% in teens aged 14 to 17, the report found.

Three out of four kids who died from Covid were suffering from at least one underlying medical condition, the researchers found.

Hispanic youth most at risk

The most common chronic conditions associated with Covid death were chronic lung disease (28%), obesity (27%), neurological or developmental disorders (21.5%), cardiovascular disease (18%), cancer (14%) and diabetes (9%).

Hispanic youth were most at risk, representing nearly 45% of all Covid-related deaths among children. Black children represented another 29% of deaths, and whites 14%.

“In light of these new findings, we need to continue to focus on interventions to address such health disparities as the pandemic continues, especially in rural and underserved communities,” said Dr Robert Glatter, an emergency physician at Lenox Hill Hospital in New York City.

“Removing systemic barriers that contribute to such healthcare disparities is even more important. A focus on providing adequate housing and food to those most at risk can be instrumental in this respect,” said Glatter, who wasn’t part of the report.

The new study was published on 15 September in the CDC’s Morbidity and Mortality Weekly Report.

Image credit: Getty

Share Button

Health24.com | For stroke survivors, timely rehab has been jeopardized during pandemic

  • Because of the coronavirus epidemic, stroke survivors may not be receiving rehabilitation in time
  • Rehabilitation should be started within three months of a stroke
  • The pandemic has prompted professionals to deliver rehabilitation services in creative ways

Timely rehabilitation is crucial for stroke survivors, but some may not be receiving it due to the coronavirus pandemic, experts say.

Rehabilitation can help the 795 000 stroke survivors in the United States achieve the best possible recovery, according to the American Stroke Association (ASA).

That’s why it’s critical to begin rehabilitation within three months of a stroke, when the brain most quickly adapts to stroke damage and survivors are best able to learn new ways to do things.

“After a stroke, a person may need therapy to learn to walk or talk again, relearn skills needed to be independent, recover communications and cognition skills, and address other consequences of stroke,” said Dr Joel Stein, vice-chair of the ASA’s Guidelines for Adult Stroke Rehabilitation and Recovery.

Rehabilitation an important step

“Unfortunately, during the Covid-19 pandemic, some recent stroke patients may be going without rehab during this important ‘golden’ time and other survivors may also be forgoing helpful therapy,” he said in an association news release.

The pandemic has forced rehabilitation professionals to get creative to deliver services. Steps include video calls, teaming up with organisations providing in-home support, and the use of personal protective equipment for staff and patients at in-person visits.

“Rehabilitation is an important step in a stroke survivor’s recovery,” Stein said. “Knowing how important it is and how to best support someone who has recently had a stroke during the pandemic may be one of the most impactful things you can do as a caregiver.”

The association recommends that stroke survivors ask their doctor for an assessment of the physical and mental challenges they face and a plan to address each one. Patients should then work with their doctor on steps to manage risk factors to prevent another stroke. Those steps could include more physical activity, not smoking and managing blood pressure.

Stroke survivors should start rehabilitation as soon as they get the go-ahead from their medical team, the ASA said.

Image credit: iStock

Share Button

Health24.com | Doctors should watch for punctured lungs in Covid patients

  • Damage to the lungs can lead to a puncture, causing lung collapse which is called a pneumothorax
  • This is happening in about 1% of hospitalised Covid-19 patients
  • Most younger patients with punctured lungs survive, but older patients are at greater risk

Punctured lungs occur in as many as one in 100 hospitalised Covid-19 patients, a new study finds.

Before the pandemic, this problem was typically seen in very tall young men or older patients with severe lung disease. But some British researchers noticed that several patients with Covid-19 developed the condition and decided to investigate.

“We started to see patients affected by a punctured lung, even among those who were not put on a ventilator,” said Stefan Marciniak, a professor at the University of Cambridge Institute of Medical Research.

“To see if this was a real association, I put a call out to respiratory colleagues across the UK via Twitter,” Marciniak said in a university news release. “The response was dramatic – this was clearly something that others in the field were seeing.”

Increased risk of death

The researchers noted that damage to the lungs can lead to a puncture. As air leaks out, it builds up in the space between the lung and chest, causing lung collapse. This is also called a pneumothorax.

For the study, Marciniak analysed data from 16 hospitals in Britain. He found that 0.91% of their Covid-19 patients had developed a punctured lung.

Of those patients with a punctured lung, 63% survived, but older patients had an increased risk of death. The survival rate among those younger than 70 was 71%, compared with 42% among those who were older, according to the study. The results are in the 9 September European Respiratory Journal.

Patients with abnormally acidic blood, called acidosis, also had poorer outcomes. Acidosis can result from poor lung function.

Diagnosis by chance

“Doctors need to be alert to the possibility of a punctured lung in patients with Covid-19, even in people who would not be thought to be typical at-risk patients,” Marciniak said.

“Many of the cases we reported were found incidentally – that is, their doctor had not suspected a punctured lung and the diagnosis was made by chance,” he noted.

The researchers said there are a number of ways that Covid-19 could lead to a punctured lung, including the formation of cysts in the lungs.

Image credit: Getty 

Share Button

Declining Emotional Invitations

This is a follow-up to the last two posts on emotional consent and how to invite emotional consent.

What if someone makes an emotional offer, either directly or indirectly, and you’d actually like to decline?

Suppose someone starts venting at you emotionally, and you know that if you continue to listen, it’s likely to be draining. Or suppose someone is pretty aware of the importance of emotional consent, and they ask you if you’re up for a heart-to-heart about something important to them. And suppose you don’t feel up to having that kind of conversation.

What’s a good way to decline the invitation, whether that invitation is directly expressed or indirectly implied?

Of course that depends on the situation, your relationship with the person, and how aware they are of the importance of emotional consent. But here are some empowering ways to frame this, so you can decide upon a healthy response.

Is It a Good Offer?

First consider whether the offer of an emotional conversation is a good one. Do you feel good about saying yes to it? Can you say an aligned yes?

Or do you feel it’s a bad, lopsided, or unfair offer? Do you sense some resistance within yourself? Are you thinking something like “Oh boy… here comes some drama,” or “Why do I have to be this person’s shoulder to cry on?” or “Oh no… not more whining today!” or even “How much time is this gonna chew up if we get into this now?”

How’s your energy when you receive the invite? Are you capable of playing the role the other person wants from you? Are you willing to have that kind of experience? Or would you rather avoid it?

Are you feeling generous, kind, and helpful? Or would it be better to decline the offer and focus on other needs and interests?

It’s wise to do a quick check-in with yourself before responding in a way that the other person would interpret as consent to proceed. Even if you do go some ways into such a conversation, you still have the ability to stop, although it’s easier when you catch what’s happening earlier.

If you want to support someone emotionally, that’s your choice. Just remember that it really is a choice. You’re not obligated to be anyone’s emotional punching bag or teddy bear unless you really want to play those roles.

I’d recommend doing a quick assessment (like in your journal) regarding what kinds of emotional offers you’d appreciate receiving. Even say your preferences aloud, like you’re telling life what you want.

I tend to accept emotional intimacy offers that seem:

  • genuine
  • win-win
  • freely made without attachment to outcomes (no neediness or desperation)
  • interesting, fun, growth-oriented or otherwise worthwhile
  • fair
  • honest

I tend to decline or ignore offers that seem:

  • presumptuous
  • obligatory
  • win-lose, lose-win, or lose-lose
  • uninteresting
  • unfair
  • creepy or threatening
  • likely to have a hidden agenda

I like emotional depth, so I’m usually okay having deep and emotional conversations with people. I like them to be purposeful though. Even if it’s pretty one-sided, I want to feel like I’m somehow helping the other person or making a difference. I’m often willing to listen and offer advice and help with growth-oriented people.

I am sensitive, however, to wasting my time and energy. I don’t like feeling vamped or drained. There’s a huge difference between entering an emotional space with someone who has a growth mindset and doing this with someone who has a victim mindset. When I discover I’m dealing with the latter, my shields go up.

Fortunately the victim mindset isn’t too common among my readers, at least not the ones who’ve been reading my work for years. It can be common among their friends, family members, and co-workers though, and good boundary management is essential here.

What are your standards or boundaries regarding emotional conversations? What kinds of offers would you like to receive more of here? Less of?

If you’re not getting many offers in the part of the spectrum you’d prefer, it’s likely because you’re wallowing in partial matches. When you start declining partial matches more consistently, more of the spectrum will open up to you. You don’t get what you want here per se. You get what you’re willing to tolerate.

Declining Misaligned Offers

How would you decline any other kind of offer that didn’t interest you? You have essentially the same options here.

To decline an emotional offer, you could directly decline it, ignore it, make a counter-offer, let it go into your spam folder, etc.

My advice here is to be honest and firm yet compassionate, and let the other person fully own their reaction.

How you respond may depend on how the other person asks. Some invites may be so inauthentic, fake, impersonal, or vampy that you may just delete or ignore them. Others you may politely decline. Others you may accept.

How I decline (if I do that directly) may depend on the invite. It could take one of these forms, for instance:

  • No, thanks
  • I’ll pass.
  • I don’t have the capacity for that kind of discussion right now. Hope you understand.
  • Normally I’d love to, but ___ is a priority for me right now… gotta pass.
  • My intuition says no on this, so I’ll have to pass. Hope you understand.
  • I’m not up for talking about ___ right now, but if you want to talk about ___ instead, I’m game!
  • We’ve talked about this at length before. Why do you want to discuss it again? What other project are you procrastinating on?
  • Goodness no… not a match!
  • Not a fair offer… no.
  • Various expletives

Sometimes you may have to decline more than once, especially if it’s an in-person invitation and the other person is trying to run the entitlement script. You might need to physically walk away as part of saying no.

Incidentally, some people invite an emotional discussion as a delay tactic. It’s surprisingly common actually. What are they avoiding by inviting an emotional discussion, especially one that could chew up a lot of time? Hint: It’s probably some kind of challenging, goal-oriented work.

Also note that it isn’t your personal responsibility to educate everyone who makes a bad offer on how to make a better one. But you may find that worth doing if someone genuinely asks you.

Sharing emotional intimacy can be wonderful, but as with any other part of life, there are aligned offers and misaligned ones. A good way to shift over to the aligned side is to get really good at saying no to misaligned invitations.

Share Button

Coronavirus testing: Simple test gives results in 90 minutes

The device is already being used in some hospitals to identify Covid patients.

Share Button