The findings appear in the journal Computers in Human Behavior.

Researchers say the findings give parents and children a moderate threshold for using entertainment-related technology — no more than one hour daily on school days and four hours a day on weekends.

“Interactive technology is widely used to promote children’s educational access and achievement,” said lead author Vivien (Wen Li) Anthony, an assistant professor at the School of Social Work and research associate at the Rutgers Center for Gambling Studies. “During the COVID-19 pandemic, technology has been essential to facilitating remote learning. At the same time, there is a growing concern that excessive technology use, particularly for entertainment, may adversely affect children’s educational development by facilitating undesirable study habits and detracting from time spent on learning activities.”

The researchers, which include Professor Lia Nower of the Rutgers Center for Gambling Studies and a researcher from Renmin University of China, analyzed the China Education Panel Survey data, a national survey of educational needs and outcomes of children in China. Approximately 10,000 first-year middle school students were surveyed and followed. Their average age was 13.5 years.

The results showed that children who used the internet, social media or video games for entertainment four or more hours daily were four times more likely to skip school than those who did not. Boys used interactive technology for entertainment significantly more than girls. Boys also performed worse and showed lower school engagement levels than girls.

“Such findings are critical, particularly in light of the recent movement toward online learning in countries throughout the world,” said Anthony. “In a learning environment that integrates the internet, it is easy for children to move across educational and entertainment platforms during learning without alerting teachers or adults to alternate activities.”

Anthony said children in the study who used technology in moderation (i.e., less than one hour per day on weekends) experienced less boredom at school, potentially due to the positive effects of participation in social media, video games and video streaming such as peer bonding and relationship building. Using interactive technology for entertainment in moderation advanced children’s cognitive development.

The findings suggest that parents place time limits on their children’s interactive technology use, and that parents and teachers should help children to develop effective time management and self-regulation skills to reduce their reliance on technology.

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Galaxies more than 1 million light-years apart should have completely independent lives in terms of when they give birth to new stars. But galaxies separated by up to 13 million light-years slowed down and then simultaneously accelerated their birth rate of stars, according to a Rutgers-led study published in the Astrophysical Journal.

“It appears that these galaxies are responding to a large-scale change in their environment in the same way a good economy can spur a baby boom,” said lead author Charlotte Olsen, a doctoral student in the Department of Physics and Astronomy in the School of Arts and Sciences at Rutgers University-New Brunswick.

“We found that regardless of whether these galaxies were next-door neighbors or not, they stopped and then started forming new stars at the same time, as if they’d all influenced each other through some extra-galactic social network,” said co-author Eric Gawiser, a professor in the Department of Physics and Astronomy.

The simultaneous decrease in the stellar birth rate in the 36 dwarf galaxies began 6 billion years ago, and the increase began 3 billion years ago. Understanding how galaxies evolve requires untangling the many processes that affect them over their lifetimes (billions of years). Star formation is one of the most fundamental processes. The stellar birth rate can increase when galaxies collide or interact, and galaxies can stop making new stars if the gas (mostly hydrogen) that makes stars is lost.

Star formation histories can paint a rich record of environmental conditions as a galaxy “grew up.” Dwarf galaxies are the most common but least massive type of galaxies in the universe, and they are especially sensitive to the effects of their surrounding environment.

The 36 dwarf galaxies included a diverse array of environments at distances as far as 13 million light-years from the Milky Way. The environmental change the galaxies apparently responded to must be something that distributes fuel for galaxies very far apart. That could mean encountering a huge cloud of gas, for example, or a phenomenon in the universe we don’t yet know about, according to Olsen.

The scientists used two methods to compare star formation histories. One uses light from individual stars within galaxies; the other uses the light of a whole galaxy, including a broad range of colors.

“The full impact of the discovery is not yet known as it remains to be seen how much our current models of galaxy growth need to be modified to understand this surprise,” Gawiser said. “If the result cannot be explained within our current understanding of cosmology, that would be a huge implication, but we have to give the theorists a chance to read our paper and respond with their own research advances.”

“The James Webb Space Telescope, scheduled to be launched by NASA this October, will be the ideal way to add that new data to find out just how far outwards from the Milky Way this ‘baby boom’ extended,” Olsen added.

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Many don’t even know they have the condition.

Only 1 in 10 people with diabetes in the 55 low- and middle-income countries studied receive the type of comprehensive care that’s been proven to reduce diabetes-related problems, according to the new findings published in Lancet Healthy Longevity.

That comprehensive package of care — low-cost medicines to reduce blood sugar, blood pressure and cholesterol levels; and counseling on diet, exercise and weight — can help lower the health risks of under-treated diabetes. Those risks include future heart attacks, strokes, nerve damage, blindness, amputations and other disabling or fatal conditions.

The new study, led by physicians at the University of Michigan and Brigham and Women’s Hospital with a global team of partners, draws on data from standardized household studies, to allow for apples-to-apples comparisons between countries and regions.

The authors analyzed data from surveys, examinations and tests of more than 680,000 people between the ages of 25 and 64 worldwide conducted in recent years. More than 37,000 of them had diabetes; more than half of them hadn’t been formally diagnosed yet, but had a key biomarker of elevated blood sugar.

The researchers have provided their findings to the World Health Organization, which is developing efforts to scale up delivery of evidence-based diabetes care globally as part of an initiative known as the Global Diabetes Compact. The forms of diabetes-related care used in the study are all included in the 2020 WHO Package of Essential Noncommunicable Disease Interventions.

“Diabetes continues to explode everywhere, in every country, and 80% of people with it live in these low- and middle-income countries,” says David Flood, M.D., M.Sc., lead author and a National Clinician Scholar at the U-M Institute for Healthcare Policy and Innovation. “It confers a high risk of complications such as including heart attacks, blindness, and strokes. We can prevent these complications with comprehensive diabetes treatment, and we need to make sure people around the world can access treatment.”

Flood worked with senior author Jennifer Manne-Goehler, M.D., Sc.D., of Brigham and Women’s Hospital and the Medical Practice Evaluation Center at Massachusetts General Hospital, to lead the analysis of detailed global data.

Key findings

In addition to the main finding that 90% of the people with diabetes studied weren’t getting access to all six components of effective diabetes care, the study also finds major gaps in specific care.

For instance, while about half of all people with diabetes were taking a drug to lower their blood sugar, and 41% were taking a drug to lower their blood pressure, only 6.3% were receiving cholesterol-lowering medications.

These findings show the need to scale-up proven treatment not only to lower glucose but also to address cardiovascular disease risk factors, such as hypertension and high cholesterol, in people with diabetes.

Less than a third had access to counseling on diet and exercise, which can help guide people with diabetes to adopt habits that can control their health risks further.

Even when the authors focused on the people who had already received a formal diagnosis of diabetes, they found that 85% were taking a medicine to lower blood sugar, 57% were taking a blood pressure medication, but only 9% were taking something to control their cholesterol. Nearly 74% had received diet-related counseling, and just under 66% had received exercise and weight counseling.

Taken together, less than one in five people with previously diagnosed diabetes were getting the full package of evidence-based care.

Relationship to national income and personal characteristics

In general, the study finds that people were less likely to get evidence-based diabetes care the lower the average income of the country and region they lived in. That’s based on a model that the authors created using economic and demographic data about the countries that were included in the study.

The nations in the Oceania region of the Pacific had the highest prevalence of diabetes — both diagnosed and undiagnosed — but the lowest rates of diabetes-related care.

But there were exceptions where low-income countries had higher-than-expected rates of good diabetes care, says Flood, citing the example of Costa Rica. And in general, the Latin America and Caribbean region was second only to Oceania in diabetes prevalence, but had much higher levels of care.

Focusing on what countries with outsize achievements in diabetes care are doing well could provide valuable insights for improving care elsewhere, the authors say. That even includes informing care in high-income countries like the United States, which does not consistently deliver evidence-based care to people with diabetes.

The study also shines a light on the variation between countries and regions in the percentage of cases of diabetes that have been diagnosed. Improve reliable access to diabetes diagnostic technologies is important in leading more people to obtain preventive care and counseling.

Women, people with higher levels of education and higher personal wealth, and people who are older or had high body mass index were more likely to be receiving evidence-based diabetes care. Diabetes in people with “normal” BMI is not uncommon in low- and middle-income countries, suggesting more need to focus on these individuals, the authors say.

The fact that diabetes-related medications are available at very low cost, and that individuals can reduce their risk through lifestyle changes, mean that cost should not be a major barrier, says Flood. In fact, studies have shown the medications to be cost-effective, meaning that the cost of their early and consistent use is outweighed by the savings on other types of care later.