Stiffer roadways could improve truck fuel efficiency

Every time you hear a deep rumble and feel your house shake when a big truck roars by, that’s partly because the weight of heavy vehicles causes a slight deflection in the road surface under them. It’s enough of a dip to make a difference to the trucks’ overall fuel efficiency.

Now, a theoretical study by MIT researchers suggests that small changes in roadway paving practices could reduce that efficiency loss, potentially eliminating a half-percent of the total greenhouse gas emissions from the transportation sector, at little to no cost.

The findings are detailed in a paper in the journal Transportation Research Record, by MIT postdoc Hessam Azarijafari, research scientist Jeremy Gregory, and principal research scientist in the Materials Research Laboratory Randolph Kirchain. The study examined state-by-state data on climate conditions, road lengths, materials properties, and road usage, and modeled different scenarios for pavement resurfacing practices.

They found that that one key to improving mileage efficiency is to make pavements that are stiffer, Kirchain explains. That reduces the amount of deflection, which reduces wear on the road but also reduces the slightly uphill motion the vehicle constantly has to make to rise out of its own depression in the road.

“When we as individuals walk on pavements, they seem like perfectly rigid things. They’re not responding to us,” he says. “But for trucks, that is not the case. There is enough of a deflection in that surface that some amount of energy is expended to overcome the little divot that you create as you drive along.” He likens it to the difference between walking on a hard surface versus walking on sand, which takes more effort because you sink in with each step.

Looking to the future, Kirchain says that while projections show a slight decline in passenger car travel over coming decades, they show an increase in truck travel for freight delivery — the kind where pavement deflection could be a factor in overall efficiency.

There are several ways to make roadways stiffer, the researchers say. One way is to add a very small amount of synthetic fibers or carbon nanotubes to the mix when laying asphalt. Just a tenth of a percent of the inexpensive material could dramatically improve its stiffness, they say. Another way of increasing rigidity is simply to adjust the grading of the different sizes of aggregate used in the mix, to allow for a denser overall mix with more rock and less binder.

“If there are high quality local materials available” to use in the asphalt or concrete mix, “we can use them to improve the stiffness, or we can just adjust the grading of the aggregates that we are using for these pavements,” says Azarijafari. And adding different fibers is “very inexpensive compared to the total cost of the mixture, but it can change the stiffness properties of the mixture significantly.”

Yet another way is to switch from asphalt pavement surfaces to concrete, which has a higher initial cost but is more durable, leading to equal or lower total lifecycle costs. Many road surfaces in northern U.S. states already use concrete, but asphalt is more prevalent in the south. There, it makes even more of a difference, because asphalt is especially subject to deflection in hot weather, whereas concrete surfaces are relatively unaffected by heat. Just upgrading the road surfaces in Texas alone, the study showed, could make a significant impact because of the state’s large network of asphalt roads and its high temperatures.

Kirchain, who is co-director of MIT’s Concrete Sustainability Hub, says that in carrying out this study, the team is “trying to understand what are some of the systemic environmental and economic impacts that are associated with a change to the use of concrete in particular in the pavement system.”

Even though the effects of pavement deflection may seem tiny, he says, “when you take into account the fact that the pavement is going to be there, with thousands of cars driving over it every day, for dozens of years, so a small effect on each one of those vehicles adds up to a significant amount of emissions over the years.” For purposes of this study, they looked at total emissions over the next 50 years and considered the reductions that would be achieved by improving anywhere from 2 percent of road surfaces to 10 percent each year.

With a 10 percent improvement rate, they calculated, a total of 440 megatons of carbon dioxide-equivalent emissions would be avoided over the 50 years, which is about 0.5 percent of total transportation-related emissions for this period.

The proposal may face some challenges, because changing the mix of materials in asphalt might affect its workability in the field, perhaps requiring adjustments to the equipment used. “That change in the field processing would have some cost to it as well,” Kirchain says.

But overall, implementing such changes could in many cases be as simple as changing the specifications required by state or local highway authorities. “These kinds of effects could be considered as part of the performance that’s trying to be managed,” Kirchain says. “It largely would be a choice from the state’s perspective, that either fuel use or climate impact would be something that would be included in the management, as opposed to just the surface performance of the system.”

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An aspirin a day keeps the bowel doctor away

A regular dose of aspirin to reduce the risk of inherited bowel cancer lasts at least 10 years after stopping treatment, research has revealed.

The international trial — known as CAPP2 — involved patients with Lynch syndrome from around the world and revealed that two aspirins a day, for an average of two and a half years, reduced the rate of bowel cancer by half.

The study, led by experts at the Universities of Newcastle and Leeds, UK, published in The Lancet today, is a planned double blind 10 year follow-up, supplemented in more than half of recruits with comprehensive national cancer registry data for up to 20 years.

Supports national guidance

The findings of the study further strengthens the National Institute for Health and Care Excellence (NICE) recommendation on taking daily aspirin for those at high risk and supports wider use of aspirin to prevent cancer.

Based on the preliminary five year data from the CAPP2 trial, NICE recommended that aspirin should be offered for the prevention of bowel cancer in adults with Lynch syndrome.

Professor Sir John Burn, from Newcastle University and Newcastle Hospitals NHS Foundation Trust, who led the research, said the new findings further support this important guidance.

He said: “I had an idea 30 years ago that people with a genetic predisposition to colon cancer could help us to test whether aspirin really could reduce the risk of cancer.

“Patients with Lynch syndrome are high risk and this offered statistical power to use cancer as an endpoint — they are like the canaries in the mine who warned the miners that there was gas.

“It took a long time to start the trial and to recruit enough people in 16 countries, but this study has finally given us an answer.

“Two aspirins a day for a couple of years gives protection that lasts more than 10 years and the statistical analysis has become much stronger with time.

“For people at high cancer risk, the benefits are clear — aspirin works. Our new international trial, CaPP3, will see if smaller doses work just as well.”

Findings showed that when all original recruits were included in the study, those on aspirin had 42% fewer colon cancers. Among those who took the aspirin for a full two years, there were 50% fewer colon cancers.

The study involved 861 patients with Lynch syndrome, which affects about one in 200 people in the population. These people have a genetic problem with DNA repair, making them at much higher risk of cancers such as bowel and womb.

A group of 427 were randomised to aspirin continuously for two years and 434 were allocated to a placebo and then they were all followed for 10 years. Out of those given two aspirins each day (600mg) there were 18 fewer colon cancers, representing a drop of 42.6%.

When all 163 Lynch syndrome cancers are included in the analysis — such as cancer of the endometrium or womb — there was an overall reduced risk of cancer of 24% in those taking aspirin, or 37% in those who took aspirin for the full two years.

Historic background

Between 1999 and 2005 participants began either taking two aspirins every day for two years or a placebo.

At the end of the treatment stage in 2007 there was no overall difference between those who had taken aspirin and those who had not. However, the research team anticipated a longer term effect and designed the study for continued follow-up.

By 2010 there had been 19 new bowel cancers among those who had received aspirin and 34 among those on placebo. The incidence of cancer among the group who had taken aspirin had halved — and the effect began to be seen five years after patients starting taking the aspirin.

Professor Sir John said: “Aspirin has a major preventative effect on cancer but this doesn’t become apparent until at least four years later. With the help of these dedicated volunteers we have learned something of value to us all.

“Before anyone begins to take aspirin on a regular basis they should consult their doctor first as aspirin is known to bring with it a risk of stomach complaints, including ulcers and bleeding.

“However, if there is a strong family history of cancer then people may want to weigh up the cost and health benefits of taking aspirin for at least two years.”

The team are now leading a new international trial, CaPP3, with more than 1,800 people with Lynch syndrome enrolled to look at whether smaller, safer doses of aspirin can be used to help reduce the cancer risk.

The research is funded by Cancer Research UK, NIHR, Bayer Pharma AG and the Barbour Foundation.

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Coronavirus: England test and trace system identifies 31,000 contacts

The test and trace system identifies 31,000 contacts of people with coronavirus in its first week.

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Health24.com | An expert breaks down a viral message you’ve likely seen – ‘advice’ from a UK ‘nurse’ on Covid-19

  • Fake coronavirus news continues to spread amid the pandemic
  • A recent viral WhatsApp message offers several Covid-19 recommendations
  • A Wits Professor responds, and separates facts from fiction

Since the outbreak of the new coronavirus, plenty of unreliable and false information has been doing the rounds on several socila media and messaging platforms, including WhatsApp, with many people not always questioning the truth and validity of the messages.

In recent weeks, a lengthy WhatsApp text message has been widely shared, and claims to be “from a GP Nurse in the UK” who put together “some sensible advice” for people who become infected with Covid-19.

Part of the text message reads:

BE PREPARED 

“Everyone is telling you how to NOT catch #coronavirus, but NO ONE is saying what to do if you get it. Thanks to this nurse in the UK for putting this guide together:

“… what I have NOT seen a lot of is advice for what happens if you actually get it, which many of us will. So as your friendly neighbourhood Nurse let me make some suggestions… (sic)” 

Many people are vulnerable to falling for messages such as the above. Health24, therefore, reached out to Professor Susan Goldstein, a public health specialist in the Wits School of Public Health.

Although the original source of the message remains undetermined, Goldstein broke down the contents of the message, setting apart facts from fiction.

Can paracetamol help?

“If affordable take a good general supplement, plus 2 000mg Vit C a day. Include ZINC, SELENIUM & GLUTATHIONE… Scott’s Emulsion is a great general tonic (cod liver oil)… Things you should actually buy ahead of time: *Kleenex*… *Paracetamol* (sic),” the message reads. 

In terms of preparing for getting sick, Goldstein says that having paracetamol (panado) is not a bad idea, as it can be used for any fever.  

“However, the other recommendations are not evidence-based, so the use of 2 000mg Vitamin C a day, zinc, selenium and glutathione [antioxidants], and Scott’s Emulsion is an absolute waste of money,” Goldstein adds. 

Do you need cough medicine and throat spray?

The widely-shared message also mentions that the following should be bought ahead of time:

  • Cough medicine of choice
  • Zinc lozenges
  • Throat spray like Andolex or TCP
  • Vicks VapoRub for your chest
  • A humidifier, or turning up the heat of a shower and sitting in the steam

Goldstein explains that none of the above is evidence-based, but that if you can afford them, they may help ease symptoms. A humidifier is not necessary, though, and while steaming a room may help to make you feel better, it is not a treatment for Covid-19, Goldstein added.

Wearing face masks and gloves

“Wear gloves and a mask to avoid contaminating others in your house,” the message reads. Wearing a cloth mask in public places was announced by President Cryril Ramaphosa as mandatory for all South Africans. According to the National Institute for Communicable Diseases (NICD), there is sufficient evidence to suggest droplet transmission of the Covid-19 virus from each person can be reduced and minimised through mask-wearing.

However, in most situations, such as running errands, wearing gloves is not necessary, explains the Centers for Disease Control and Prevention (CDC).

“Wearing gloves outside of these instances (for example, when using a shopping cart or using an ATM) will not necessarily protect you from getting Covid-19 and may still lead to the spread of germs.

“The best way to protect yourself from germs when running errands and after going out is to regularly wash your hands with soap and water for 20 seconds or use hand sanitiser with at least 60% alcohol,” their website advises.

Alkaline foods as treatment? 

According to the WhatsApp message, “the pH for coronavirus varies from 5.5 to 8.5” and that, to beat the virus, we need to consume alkaline foods that are above the pH level of the virus. It then goes on to recommend certain fruits and vegetables, including lemon, avocado, garlic, and orange.

Goldstein responds: “Once food enters into your stomach, the pH of the food is irrelevant as your stomach has very strong acid which breaks down the various foods. Food stays in your mouth for a relatively short time and is acted upon by various bacteria, so I don’t see how the pH of the food can make any difference.

“The range that is quoted of 5.8-8.5 is very broad, and in fact, the whole idea doesn’t make any sense to me.”

When to seek help

If you experience any symptoms associated with the virus, you should contact your doctor or the SA Covid-19 helpline by calling the official toll free call centre at 0800 029 999, or send “Hi” to 0600 123 456 – the official WhatsApp help service.

Spotting fake news

Shortly after President Ramaphosa declared a national state of disaster earlier this year, regulations that criminalised the intentional distribution of fake news were soon published, reported News24. 

To help prevent the spread of rumours, WhatsApp offers some tips on identifying fake messages. 

READ | Coronavirus in SA: All the confirmed cases

READ | Coronavirus: What are the criteria for a suspected case?

READ | Coronavirus: Basic protective measures

Image: Unsplash/Christian Wiediger

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Health24.com | Schools, children and Covid-19 risk – experts weigh in

  • In a panel discussion about schools opening, experts emphasised the low-risk of children under 19 when it comes to contracting and spreading the coronavirus
  • Even children with comorbidities like asthma and diabetes – with their condition under control – are deemed to be low-risk
  • Leading paediatric allergologist Professor Eugene Weinberg noted that only 1% of kids who contract Covid-19 have severe symptoms

South African children have slowly started to return to school this week, with many parents still wondering how safe it is in the face of Covid-19.

Experts, however, stand behind the opening of schools, citing that children under the age of 19 are highly unlikely to contract Covid-19 or transmit it. 

In a News24 Frontline panel discussion on Wednesday, Professor Eugene Weinberg – a paediatric allergologist – and Professor Heather Zar – a paediatric pulmonologist – weighed in on the health risks to children going back to school. 

READ: Children and Covid-19: What the latest study says

“Getting the flu is a higher risk than getting Covid-19 for kids,” says Zar, including dying from it. Children have a strong immunity to it, even those with comorbidities like asthma and diabetes – as long as the condition is well-medicated and under control. 

And if children with comorbidities do catch it, symptoms remain mild or kids may even remain asymptomatic. 

She also added that the coronavirus is far more like to spread in an office or grocery store than a school, and if a child catches it they are more likely to have caught it from their parents. 

For those who do contract the virus, only 1% have severe symptoms according to Weinberg, the rest having mild or no symptoms. They are also unlikely to spread it. 

He says many paediatric associations have put their weight behind sending children to school, including for their mental and social well-being. 

“It’s unusual for a child to die from Covid-19, but the ‘What if I’m the statistic?’ is the concern for many parents,” says Weinberg. 

ALSO READ: Kids with cancer not at greater risk for severe Covid-19

What studies say

Around the world, studies have shown resilience in children regarding Covid-19. According to research, less than 2% of reported infections in China, Italy and the US have been in people under the age of 18.

One case investigation published in the American Journal of Roentgenology (AJR) showed that most young patients who contract Covid-19 had normal lungs with little damage. 

While there have been some concerns about an abnormal autoimmune response called Kawasaki disease in children contracting Covid-19, research shows these also to be rare cases. 

There is, however, one study that suggested that obesity seemed to have had some influence in cases where children develop severe symptoms from Covid-19. 

SEE: Similar to adults, obesity raises kids’ odds for severe Covid-19

Mask-wearing remains essential

The most important thing that both Zar and Weinberg encourage is for parents and teachers to be strict with children wearing masks as the best defence. 

It’s something that can be done by everyone – unlike physical distancing and handwashing that can be difficult in certain situations. 

Zar added that with smaller kids where mask-wearing can be problematic, opt for visors as an alternative, but notes that they are far less effective than masks. 

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Coronavirus: Growing calls for government to scrap 2m rule

Conservative backbenchers say easing the restriction in England is essential for economic recovery.

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Coronavirus: Major disruption to cancer care revealed

Charities concerned as number of patients seen following an urgent referral by a GP drop in England.

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Health24.com | Not all psychopaths are criminals – some turn out to be ‘successful’ instead

  • Many psychopaths refrain from antisocial or criminal acts
  • To understand why, researchers at Virginia Commonwealth University carried out a study
  • Their results revealed a key difference between ‘successful’ and ‘unsuccessful’ psychopaths

Psychopaths can be alarmingly violent, but, contrary to popular belief, this may only apply to the minority. Instead, many people with the personality disorder refrain from criminal or antisocial acts, and may even go on to become successful in the working field.

A team of researchers from Virginia Commonwealth University in the US wanted to understand what leads to this success. Through their research, they discovered what leads to the formation of this “successful” phenotype. 

Psychopaths in the world

It’s unclear exactly how many psychopaths exist in the world today. Research published in the American Psychological Association journal indicates that, for reasons poorly understood, males demonstrate higher levels of psychopathic traits than females, while the Atlantic reports that psychopaths make up around 1% of the US population.

According to a previous Health24 article, a psychopath is, as defined by internationally renowned psychopathy researcher Robert Hare: “A social predator who often charms and manipulates his or her way through life. Psychopaths are completely lacking in conscience and feelings for others; they take what they want and do as they please without the slightest sense of guilt or regret.”

If you’re wondering what makes a psychopath, it may be a “mixture of nature and nurture” in that it could be in one’s DNA, or that one’s upbringing could have an impact on whether you become a psychopath, Business Insider reported. 

Why the common perception of psychopaths as violent?

There is truth to the notion that psychopathic individuals are more likely than others to commit crimes. However, this does not mean that all psychopaths are criminals.

According to an article published by The Conversation and written by Scott Lilienfeld, a professor of psychology and Ashley Watts, this misconception is largely due to researchers who have tended to seek out psychopaths where they can locate them in large numbers, i.e. prisons. This means that much of the research is focused on “unsuccessful” psychopaths.

In fact, Health24 published an article on the topic last year, noting that there’s a growing realisation that many psychopaths thrive in the workplace. 

Ability to ‘inhibit’ impulses

Researchers of the study, which will be published in a forthcoming issue of the journal Personality Disorders: Theory, Research, and Treatment, separated psychotic individuals into two groups: “successful” vs. “unsuccessful”. This was based on their life trajectories (the path in life one chooses) and outcomes. 

The successful psychopath, for instance, is a CEO or lawyer, whereas an unsuccessful psychopath, who may possess the same traits, is someone who has been convicted of a crime.

Researchers incorporated a compensatory model of “successful” psychopathy into their study. This model theorises that relatively successful psychopaths develop greater conscientious traits, which ultimately leads to an inhibition of heightened antisocial impulses. 

“The compensatory model posits that people higher in certain psychopathic traits (such as grandiosity and manipulation) are able to compensate for and overcome, to some extent, their antisocial impulses via increases in trait conscientiousness, specifically impulse control,” said lead author Emily Lasko, a doctoral candidate in the Department of Psychology in the College of Humanities and Sciences.

Control and aggression

Data from around 1 354 serious juvenile offenders in Arizona and Pennsylvania in the US were collected, and the research team used this to test the model. Among the offenders who re-offended less, termed as the “successful” offenders by the researchers, an especially magnified link between steep increases in general inhibitory control, as well as the inhibition of aggression over time was observed. 

“Psychopathic individuals are very prone to engaging in antisocial behaviours, but what our findings suggest is that some may actually be better able to inhibit these impulses than others,” Lasko said, adding: “Although we don’t know exactly what precipitates this increase in conscientious impulse control over time, we do know that this does occur for individuals high in certain psychopathy traits who have been relatively more ‘successful’ than their peers.”

How the study’s findings may help

The researchers’ results, therefore, support the compensatory model of “successful” psychopathy and run contradictory to other existing psychopathy models, Lasko explained: “Our findings… focus more on the strengths or ‘surpluses’ associated with psychopathy rather than just deficits. Psychopathy is not a personality trait simply composed of deficits – there are many forms that it can take.”

Lasko further explained that the team hopes these findings could be useful within clinical and forensic settings, especially in developing effective and early intervention strategies that could potentially identify the strengths of psychopathic individuals, and ultimately deter any future antisocial behaviour.

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Ancient bird figurine recovered from refuse heap the oldest instance of East Asian 3D art

A small bird carving — the oldest instance of East Asian three-dimensional art ever discovered — is described in a study published June 10, 2020 in the open-access journal PLOS ONE by Zhanyang Li from Shandong University, China, and colleagues.

European animal and human mammoth ivory carvings dated to 40-38 ka are our earliest examples of prehistoric humans three-dimensionally representing the world around them — though due to a lack of evidence, it’s unclear when this type of three-dimensional representation became part of the cultural repertoire of prehistoric groups around the rest of the world. In this study, Li and colleagues describe the remarkable discovery of a small standing bird carving from the Paleolithic site of Lingjing, in Henan, China, that sheds further light on humanity’s earliest three-dimensional art.

During Li’s initial excavation at Lingjing in 2005, he uncovered eleven distinct stratified layers ranging in age from 120,000 years ago to the Bronze Age — and found that most of the fifth layer had been removed during a well-digging operation in 1958. However, the refuse heap from the well’s creation was still intact and remained nearby. After sifting through the sediment in the refuse heap, the authors discovered black flint identical to (and only found in) what remained of Layer 5 at the dig site. They also uncovered several artifacts, including pottery sherds, burned animal remains, and the bird figurine, which is carved from bone and shaped like a songbird on a pedestal.

Using radiocarbon dating on the uncovered burned animal remains (including one bone with anthropogenic gouging marks also observed on the bird carving), the authors were able to estimate the age of the bird figurine and associated bone material to be approximately 13.4-13.2 ka cal BP. Based on evidence from other Northern Chinese sites of similar age, this suggests that hunter-gatherers with stone tool technologies occupied Lingjing and created the bird carving during this time.

Bird representations are a theme in Chinese Neolithic art, with the oldest example a jade songbird dated to approximately 5 ka BP. This Paleolithic bone bird figurine from Lingjing predates previously known instances from this region by almost 8,500 years, and has several technological and stylistic elements distinguishing it from contemporaneous representations of birdlike creatures from Western Europe and Siberia (such as the pedestal on which the Lingjing bird is perched). Though more examples of Paleolithic carving art are needed to confirm this possibility, the Lingjing bird figurine suggests the presence of a longstanding artistic tradition specific to East Asia, with origins much earlier in the Paleolithic.

The authors add: “This discovery identifies an original artistic tradition and pushes back by more than 8,500 years the representation of birds in Chinese art. The figurine differs technologically and stylistically from other specimens found in Western Europe and Siberia, and it could be the missing link tracing the origin of Chinese statuary back to the Palaeolithic period.”

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Materials provided by PLOS. Note: Content may be edited for style and length.

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Coronavirus: ‘Earlier lockdown would have halved death toll’

Former government adviser Prof Neil Ferguson was giving evidence to a committee of MPs.

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