Current and former patients, along with medical specialists, share their stories with the BBC.
Category Archives: Nutrition
Covid: Oxford oncologist in plea to government over Evusheld
Dr Lennard Lee wants the government to reconsider rolling out Evusheld for people who are immunosuppressed.
Did my computer say it best?

With autocorrect and auto-generated email responses, algorithms offer plenty of assistance to help people express themselves.
But new research from the University of Georgia shows people who rely on algorithms for assistance with language-related, creative tasks didn’t improve their performance and were more likely to trust low-quality advice.
Aaron Schecter, an assistant professor in management information systems at the Terry College of Business, had his study “Human preferences toward algorithmic advice in a word association task” published this month in Scientific Reports. His co-authors are Nina Lauharatanahirun, a biobehavioral health assistant professor at Pennsylvania State University, and recent Terry College Ph.D. graduate and current Northeastern University assistant professor Eric Bogert.
The paper is the second in the team’s investigation into individual trust in advice generated by algorithms. In an April 2021 paper, the team found people were more reliant on algorithmic advice in counting tasks than on advice purportedly given by other participants.
This study aimed to test if people deferred to a computer’s advice when tackling more creative and language-dependent tasks. The team found participants were 92.3% more likely to use advice attributed to an algorithm than to take advice attributed to people.
“This task did not require the same type of thinking (as the counting task in the prior study) but in fact we saw the same biases,” Schecter said. “They were still going to use the algorithm’s answer and feel good about it, even though it’s not helping them do any better.”
Using an algorithm during word association
To see if people would rely more on computer-generated advice for language-related tasks, Schecter and his co-authors gave 154 online participants portions of the Remote Associates Test, a word association test used for six decades to rate a participant’s creativity.
“It’s not pure creativity, but word association is a fundamentally different kind of task than making a stock projection or counting objects in a photo because it involves linguistics and the ability to associate different ideas,” he said. “We think of this as more subjective, even though there is a right answer to the questions.”
During the test, participants were asked to come up with a word tying three sample words together. If, for example, the words were base, room and bowling, the answer would be ball.
Participants chose a word to answer the question and were offered a hint attributed to an algorithm or a hint attributed to a person and allowed to change their answers. The preference for algorithm-derived advice was strong despite the question’s difficulty, the way the advice was worded, or the advice’s quality.
Participants taking the algorithm’s advice were also twice as confident in their answers as people who used the person’s advice. Despite their confidence in their answers, they were 13% less likely than those who used human-based advice to choose correct answers.
“I’m not going say the advice was making people worse, but the fact they didn’t do any better yet still felt better about their answers illustrates the problem,” he said. “Their confidence went up, so they’re likely to use algorithmic advice and feel good about it, but they won’t necessarily be right.
Should you accept autocorrect when writing an email?
“If I have an autocomplete or autocorrect function on my email that I believe in, I might not be thinking about whether it’s making me better. I’m just going to use it because I feel confident about doing it.”
Schechter and colleagues call this tendency to accept computer-generated advice without an eye to its quality as automation bias. Understanding how and why human decision-makers defer to machine learning software to solve problems is an important part of understanding what could go wrong in modern workplaces and how to remedy it.
“Often when we’re talking about whether we can allow algorithms to make decisions, having a person in the loop is given as the solution to preventing mistakes or bad outcomes,” Schecter said. “But that can’t be the solution if people are more likely than not to defer to what the algorithm advises.”
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Materials provided by University of Georgia. Original written by J. Merritt Melancon. Note: Content may be edited for style and length.
High-fat diets trigger inflammatory immune cell generation in bone

The results may help explain how high-fat diets trigger inflammation, which can contribute to the development of insulin resistance, type 2 diabetes and other complications in individuals with obesity.
An invasion of inflammatory immune cells, called monocytes, into fat tissue is a hallmark of obesity, but what leads to this harmful phenomenon is unclear. Many immune cells, including monocytes, are produced in the bone marrow, which is very sensitive to environmental changes. Scientists have already shown that fat cells in the bone marrow rapidly expand in response to a high-fat diet.
“We wanted to know if bone marrow tissue was an early responder to a high-fat diet that could serve as a precursor to the inflammation observed in obesity,” says senior author Amira Klip, Senior Scientist in Cell Biology at SickKids, and Professor in the Departments of Paediatrics, Biochemistry, and Physiology at the University of Toronto, Canada. “Do high-fat diet-induced changes in the bone marrow lead to the production of the inflammatory monocytes that invade fat tissue in people with obesity?”
Klip and colleagues found that mice fed a high-fat diet begin to experience metabolic disturbances throughout their body and in the bone marrow within three weeks. Fat cells in the bone marrow multiply and take on white fat cell characteristics. Metabolic changes in the monocytes at the bone marrow cells also occur — they use less oxygen to break down sugar into energy, and lactic acid builds up in the cells and surrounding fluid. The team also found that mitochondria, cellular factories that break down sugar into energy, break apart into fragments within the monocytes and become less efficient. This process of mitochondrial fragmentation is associated with insulin resistance.
Over several weeks, the number of monocytes in the bone marrow shifts to include less of a monocyte called Ly6Clow to more of a monocyte called Ly6Chigh, the same type of monocyte that invades fat tissue in people with obesity. This accumulation of Ly6Chigh monocytes in the bone marrow starts before monocytes build up in fat tissue in the rest of the body to become inflammatory macrophages — the mature form of monocytes.
“These results show that high-fat diets can cause remodelling in bone marrow fat cells that disrupt the normal balance of monocytes, and can subsequently lead to invasive Ly6Chigh monocytes spilling into the body,” continues Klip.
The team further demonstrated that white fat tissue can spur these changes in experiments using cell samples from mice fed a high-fat diet. They also found that brown fat tissue, which is more abundant in leaner people, can cause a shift towards the non-invasive Ly6Clow monocytes.
“Our study reveals how high-fat diets trigger a cascade of inflammation in the body that involves the bone marrow,” concludes Klip. “More research is needed to understand this process further and find out if there are ways to prevent or reverse this process. It will also be important to know if the bone marrow is also an early responder to obesity in humans. Learning more could lead to new therapies for treating obesity and preventing complications such as diabetes.”
Researchers decipher the mechanism that enables skin cancer to metastasize to the brain — and inhibited its spread by 80 percent

Researchers from Tel Aviv University deciphered, for the first time, a mechanism that enables skin cancer to metastasize to the brain and managed to delay the spread of the disease by 60% to 80% using existing treatments. The encouraging study was led by Prof. Ronit Satchi-Fainaro and Ph.D. student Sabina Pozzi of the Sackler Faculty of Medicine at Tel Aviv University. The results were published in the scientific journal JCI Insight.
“In an advanced stage, 90% of melanoma (skin cancer) patients will develop brain metastases,” explains Prof. Satchi-Fainaro. “This is a puzzling statistic. We expect to see metastases in the lungs and liver, but the brain is supposed to be a protected organ. The blood-brain barrier keeps harmful substances from entering the brain, and here it supposedly doesn’t do the job — cancer cells from the skin circulate in the blood and manage to reach the brain. We asked ourselves with ‘whom’ the cancer cells ‘talk’ to in the brain to infiltrate it.”
The researchers from Tel Aviv University found that in melanoma patients with brain metastases, the cancer cells “recruit” cells called astrocytes, star-shaped cells found in the spinal cord and brain which are responsible for homeostasis, or maintaining stable conditions, in the brain.
“The astrocytes are the first to come to correct the situation in the event of a stroke or trauma, for example,” says Prof. Satchi-Fainaro, “and it is with them that the cancer cells interact, exchanging molecules and corrupting them. Moreover, the cancer cells recruit the astrocytes so that they do not inhibit the spread of the metastases. As such, they create local inflammation in the melanoma cells-astrocytes interaction areas that increase the permeability through the blood-brain barrier, as well as the division and migration of the cancer cells. The communication between them is reflected in the fact that the astrocytes begin to secrete a protein that promotes inflammation called MCP-1 (also known as CCL2), and in response to this, the cancer cells begin to express its receptors CCR2 and CCR4, which we suspected to be responsible for the destructive communication with the astrocytes.”
To test their hypothesis, Prof. Satchi-Fainaro and her team tried to inhibit the expression of the protein and its receptors in genetically-engineered lab models and in 3D models of primary melanoma and brain metastases. To this end, the researchers used both an antibody (biological molecule) and a small molecule (synthetic), designed to block the MCP-1 protein. They also employed CRISPR technology to genetically edit the cancer cells and cut out the two genes that express the two relevant receptors, CCR2 and CCR4. With each of the methods, the researchers were able to delay the spread of metastases.
“These treatments succeeded in delaying the penetration of the cancer cells into the brain and their subsequent spread throughout the brain,” says Prof. Satchi-Fainaro. “It’s important to note that melanoma metastases in the brain are very aggressive with a poor prognosis of 15 months following surgery, radiation and chemotherapy. We reached a 60% to 80% delay, depending on the stage of the intervention. We achieved the best results with the treatment conducted immediately after surgery to remove the primary melanoma, and we were able to prevent the metastases from penetrating the brain; therefore, I believe that the treatment is suitable for the clinic as a preventive measure. Both the antibody and the small molecule we used — which are primarily intended to treat sclerosis, diabetes, liver fibrosis, and cardiovascular diseases, as well as serve as a biomarker for other types of cancer — have already been tested on humans as part of clinical trials. Therefore, these treatments are considered safe, and we can try to repurpose them for melanoma.”
The research was conducted in collaboration with additional scientists and physicians from Tel Aviv University, including Prof. Adi Barzel, Dr. Asaf Madi, Prof. Iris Barshack, Prof. Eran Perlson, and Prof. Inna Slutsky. International researchers also participated in the study, including Prof. Eytan Ruppin from the US National Institutes of Health (NIH) , Prof. Henry Brem and Thomas Hyde from Johns Hopkins University-, and Prof. Helena Florindo from the University of Lisbon.
The study was funded by the European Research Council (ERC), the Melanoma Research Alliance (MRA), the Kahn Foundation, the Israel Cancer Research Fund (ICRF), and the Israel Science Foundation (ISF).
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Materials provided by Tel-Aviv University. Note: Content may be edited for style and length.
Scotland’s A&E waiting times worst on record
Weekly figures show that a record number of A&E patients waited more than four hours.
Somerset nurse struck off for failing to dispense morphine
A nurse who failed to administer morphine to a patient before surgery has now been struck off.
Covid-19 pandemic is over in the US – Joe Biden
The president says there is still “a lot of work” being done to control the virus in the US.
Deformation fingerprints will help researchers identify, design better metallic materials

Engineers can now capture and predict the strength of metallic materials subjected to cycling loading, or fatigue strength, in a matter of hours — not the months or years it takes using current methods.
In a new study, researchers from the University of Illinois Urbana-Champaign report that automated high-resolution electron imaging can capture the nanoscale deformation events that lead to metal failure and breakage at the origin of metal failure. The new method helps scientists to rapidly predict the fatigue strength of any alloy, and design new materials for engineering systems subject to repeated loading for medical, transportation, safety, energy and environmental applications.
The findings of the study, led by materials science and engineering professors Jean-Charles Stinville and Marie Charpagne, are published in the journal Science.
Fatigue of metals and alloys — such as the repeated bending of a metal paperclip that leads to its fracture — is the root cause of failure in many engineering systems, Stinville said. Defining the relationship between fatigue strength and the microstructure is challenging because metallic materials display complex structures with features ranging from the nanometer to the centimeter scale.
“This multiscale issue is a long-standing problem because we’re trying to observe sparse, nanometer-sized events that control macroscopic properties and can be captured only by investigating large areas with fine resolution,” Charpagne said. “The current method for determining fatigue strength in metals uses traditional mechanical testing that is costly, time-consuming and does not provide a clear picture of the root cause of failure.”
In the current study, the researchers found that the statistical investigation of the nanoscale events that appear at the metal surface when deformed can inform fatigue strength of metals. The team is the first to uncover this relationship using automated high-resolution digital image correlation collected in the scanning electron micrsocope — a technique that compiles and compares a series of images recorded during deformation, Stinville said. The researchers demonstrated this relation on alloys of aluminum, cobalt, copper, iron, nickel, steel and refractory alloys used in a large variety of key engineering applications.
“What is remarkable is that the nanoscale deformation events that appear after a single deformation cycle correlate with the fatigue strength that inform the life of a metallic part under a large number of cycles,” Stinville said. “Discovering this correlation is like having access to a unique deformation fingerprint that can help us rapidly predict the fatigue life of metallic parts.”
“Designing metallic materials with higher fatigue strength means safer, more resilient and durable materials,” Charpagne said. “This work has societal, environmental and economic impacts because it sheds light on the micro and nanoscale parameters to tune to design materials with a longer life. I think this work will define a new paradigm in alloy design.”
This study was performed in collaboration with researchers from the University of California, Santa Barbara and the Universite de Poitiers, France.
The Department of Defense, the Office of Naval Research and the department of materials science and engineering at Illinois supported this research.
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Materials provided by University of Illinois at Urbana-Champaign, News Bureau. Original written by Lois Yoksoulian. Note: Content may be edited for style and length.
Changes to animal feed could supply food for one billion people

While millions around the world face the threat of famine or malnutrition, the production of feed for livestock and fish is tying up limited natural resources that could be used to produce food for people. New research from Aalto University, published in Nature Food, shows how adjustment to the feeding of livestock and fish could maintain production while making more food available for people. These relatively simple changes would increase the global food supply significantly, providing calories for up to 13% more people without requiring any increase in natural resource use or major dietary changes.
Currently, roughly a third of cereal crop production is used as animal feed, and about a quarter of captured fish aren’t used to feed people. Matti Kummu, an associate professor of global water and food issues at Aalto, led a team that investigated the potential of using crop residues and food by-products in livestock and aquaculture production, freeing up the human-usable material to feed people.
‘This was the first time anyone has collected the food and feed flows in this detail globally, from both terrestrial and aquatic systems, and combined them together. That let us understand how much of the food by-products and residues is already in use, which was the first step to determining the untapped potential,’ explains Kummu.
The team analysed the flow of food and feed, as well as their by-products and residues, through the global food production system. They then identified ways to shift these flows to produce a better outcome. For example, livestock and farmed fish could be fed food system by-products, such as sugar beet or citrus pulp, fish and livestock by-products or even crop residues, instead of materials that are fit for human use.
With these changes, up to 10-26% of total cereal production and 17 million tons of fish (~11% of the current seafood supply) could be redirected from animal feed to human use. Depending on the precise scenario, the gains in food supply would be 6-13% in terms of caloric content and 9-15% in terms of protein content. ‘That may not sound like a lot, but that’s food for up to about one billion people,’ says Aalto’s Vilma Sandström, the first author of the study.
These findings dovetail nicely with earlier work from Kummu’s group on reducing food loss throughout the supply chain, from production, transport and storage through to consumer waste. ‘In that study, we showed that reducing food loss and waste by half would increase the food supply by about 12%. Combined with using by-products as feed, that would be about one-quarter more food,’ he says.
Some of the changes, such as feeding crop residues to livestock, would lead to a drop in livestock productivity, but the researchers accounted for that in their analysis. Another challenge is that the human-edible food currently used in livestock production and aquaculture is different from the food people are used to. For example, a different variety of corn is used in feed industries and some of the grains are lower quality, while the fish used in fishmeal production tend to be small, bony fish that currently aren’t popular with consumers.
However, overcoming these hurdles could result in substantial gains. Realising these benefits would require some adjustments in supply chains. ‘For example, we’d need to reorganise the food system so that the industries and producers with by-products can find the livestock and aquaculture producers who would need them. And some of the by-products would need processing prior to using them as feed,’ says Sandström.
‘I don’t think there’s any serious problem with doing this. What we’re suggesting is already being done on a certain scale and in some areas, so it’s not something that would have to be developed from scratch. We just need to adjust the current system and increase the scale of those practices,’ Kummu concludes.
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Materials provided by Aalto University. Note: Content may be edited for style and length.
