Learning difficulties ‘link to brain connections’

After scanning 479 children’s brains, researchers found they were organised in multiple “hubs”.

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Skin and non-adhesive cells found to play pivotal role in formation of fingers

Human fingers are sculpted from a primitive pad-like structure during embryonic development. Sometimes, this process goes awry and babies are born with fused fingers or toes. A new study from the University of California, Irvine reveals new factors involved in the congenital malformation called syndactyly.

One of the most common limb malformation in humans, syndactyly was thought to be caused by insufficient removal of the connective tissue between the developing digits. In a study, published today in Developmental Cell, researchers reveal that the overlying skin also plays an active role and is required for sculpting of the digits, and that a layer of non-adhesive cells on the skin’s surface is required to prevent the fusion of adjacent digits.

“Our study identifies epidermal developmental processes required for digit separation that expand beyond the insufficient removal of connective tissue. These additional factors play an integral role in syndactyly and may be implicated in other complex syndromes, including Van der Woude syndrome,” said Ghaidaa Kashgari, PhD, a post-doctoral researcher in the UCI School of Medicine Department of Biological Chemistry, and first author on the paper titled, “Epithelial migration and non-adhesive periderm are required for digit separation during mammalian development.”

Van der Woude syndrome is characterized by cleft lip and/or cleft palate. In addition, seven to eight percent of Van der Woude patients have limb defects, most commonly soft tissue syndactyly which suggests there is a shared developmental mechanism in oral-clefting and digit separation.

“Our research shows that the GRHL3 gene is required for normal digit separation. When this gene is mutated, it can affect the function of the non-adhesive cells on the skin’s surface causing conditions such as Van der Woude syndrome associated with syndactyly as well as cleft lip and palate,” said Bogi Andersen, MD, a professor of medicine and biological chemistry in the UCI School of Medicine, and director of the UCI Skin Biology Resource-based Center.

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

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Polymers get caught up in love-hate chemistry of oil and water

Researchers at Oak Ridge National Laboratory and the University of Tennessee achieved a rare look at the inner workings of polymer self-assembly at an oil-water interface to advance materials for neuromorphic computing and bio-inspired technologies.

Results published in the Journal of the American Chemical Society provide new insights on the way molecules pack and order themselves into “tunable” interfaces, monolayer thick surfaces with structures that can be modified for specific functionalities.

“Understanding the design rules of the chemistry happening at the liquid-liquid interface ultimately informs how we can make new materials with custom properties,” said Benjamin Doughty of ORNL’s Chemical Sciences Division.

The study expands interest in using soft materials to mimic lipid bilayers — selective membranes with important biological functions, such as processing signals across the brain’s neural network and transporting ions, proteins, and other molecules across cells.

Co-authors previously designed biomimetic membranes using lipid-coated water droplets in oil and demonstrated their potential as sensory components for neuromorphic, or brain-like, computers with natural information processing, learning and memory.

“Because lipids are inherently fragile and decay, we are interested in developing polymer-based counterparts that offer stability and can also give us a range of natural functionalities,” said Pat Collier of ORNL’s Center for Nanophase Materials Sciences, a DOE Office of Science User Facility.

Without the knowledge of interfacial chemistry, however, creating functional bilayers from natural or synthetic molecules involves a certain degree of mystery. Chemical species interacting in a beaker of solution may or may not form analogous membranes with selective properties, such as the capability to store or filter sensory impulses that make up the nondigital language of neuromorphic computing.

“To be able to train molecules for specific purposes and unlock new functionalities, we need to understand what is happening on a molecular level during self-assembly,” Collier said.

For the experiment, researchers chose an oligomer, a small polymer variant with a similar structure to natural lipids, and used surface spectroscopy methods to probe the molecular monolayer — one side of a bilayer — formed between water and oil.

The ORNL team is one of only a few groups that has probed the liquid-liquid interface, an important area of research, but understudied because of technical challenges.

“Our goal was to investigate how the asymmetry at the oil-water interface causes species to adsorb differently, to pack and order into a functional design,” Doughty said.

The studied oligomer is an amphiphilic molecule, meaning parts of its structure are hydrophobic while others are hydrophilic. When samples stabilized in oil are introduced into a water-based solution, the molecules self-assemble in response to their mixed attraction and repulsion to water.

Like goes to like — the oligomers’ slightly charged polar heads want to be in the water phase, which is also polar, and the nonpolar tails want to be in the oil phase, which is not.

“Being able to observe in real time how these molecules arrange at a varied interface is a broadly applicable fundamental scientific accomplishment,” Doughty said.

As shown in the animation, the charged oligomer heads home in on the water phase; but the flexible tails coil up in the oil when they have room to spare, or tighten to accommodate neighbors as the interface becomes crowded.

“We discovered that adjusting the ions, or charged particles, in the water phase aided in the formation of well-defined interfaces, with oligomers taking on more tightly coiled structures,” Doughty said.

Too few ions and the tails spread out loosely, leaving gaps; too many, and they squeeze in, ballooning from the surface.

“The findings point to approaches for modifying the size and shape of monolayers, and — at the next stage — enabling bilayers with asymmetrical designs, just like natural lipids,” Collier said. “The work brings us a step closer to unlocking new potentials in biomaterials.”

Tailoring surfaces on a molecular level to design new materials opens possibilities not only for biocomputing but also broadly for chemical separations, sensing and detection.

“Observing the liquid-liquid interface helps us understand the chemistry that drives all of these technologies,” said Doughty.

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Thinning, prescribed burns protected forests during the massive Carlton Complex wildfire

The 2014 Carlton Complex wildfire in north central Washington was the largest contiguous fire in state history. In just a single day, flames spread over 160,000 acres of forest and rangeland and ultimately burned more than 250,000 acres in the midst of a particularly hot, dry summer.

The wildfire, driven by strong winds and explosive growth, was unprecedented in how it burned the landscape, destroying more than 300 homes in Washington’s Methow Valley. But “megafires” like the Carlton Complex are becoming more common in western U.S. forests as the climate warms and forests are crowded with trees after years of fire exclusion.

In the first major study following the devastating Carlton Complex fire, researchers from the University of Washington and U.S. Forest Service found that previous tree thinning and prescribed burns helped forests survive the fire. The study, published Feb. 22 in the journal Ecological Applications, shows that even in extreme wildfires, reducing built-up fuels such as small trees and shrubs pays off.

“Our study suggests that the fuel treatments were worth the investment, yielding a more desirable post-fire outcome than if they hadn’t been implemented,” said lead author Susan Prichard, a research scientist at the UW School of Environmental and Forest Sciences. “There are a lot of benefits to creating more resilient landscapes, and this study suggests that even in the worst-case scenario wildfires, it can be worth it.”

On July 17, 2014, sustained winds of 35 mph raced through the Methow Valley, blasting oxygen into several fires that had started earlier that week. Before long, the fires joined and spread. A column of smoke stretched 30,000 feet high, dropping embers and igniting dry grasses, trees and other fuels on the ground over thousands of acres.

Propelled by the fast-moving column of smoke and wind, the flames traveled all the way to the Columbia River.

“It was the kind of fire that even experts who have studied them for decades had not seen before,” said Prichard, who lives in the Methow Valley. “It was a devastating fire for our community. I truly thought people would be killed by that fire, and it still feels miraculous that everyone survived.”

In the aftermath, Prichard and collaborators wondered if actions such as controlled burns and thinning were helpful in the case of a megafire like the Carlton Complex. State and federal agencies sink ample resources into these efforts to increase the resiliency of forests to wildfires by removing small- and medium-sized trees, leaving larger, mature trees that are more likely to survive future drought and wildfires.

After a forest is thinned, prescribed burning is used to reduce leftover woody debris on logging sites or across landscapes that have built up downed trees, pine needles, grasses and shrubs.

The Carlton Complex fire burned across hundreds of sites that were previously thinned or burned, offering a testbed for the researchers to analyze whether the work helped reduce fire impacts in those areas during the megafire. The researchers used satellite images of burn severity to examine how past fuel treatments performed in the context of this extreme wildfire event.

They found that even during the first explosive days of the Carlton Complex, areas that were thinned and prescribed burned had more trees survive than areas that didn’t receive those fuel treatments.

“Some of the treatments measurably reduced fire impacts even under very hot, dry and windy conditions,” said co-author David W. Peterson, a research scientist at U.S. Forest Service Wenatchee Forestry Sciences Lab. “Our results suggest that as we increase our ‘restoration footprint’ — the proportion of forest area treated to reduce fuels — forests may become increasingly resilient to wildfires under a broad range of conditions.”

They also found that thinning and burning on slopes that were protected from prevailing winds was more effective in reducing the wildfire’s impacts on the landscape than similar treatments in areas directly exposed to the wind. Because winds often move through the Methow Valley in a predictable pattern, fire managers could thin and burn strategically in areas where these activities would be most effective.

Those efforts helped mature, naturally fire-resistant ponderosa pines survive. These mature trees, in turn, will provide seeds that produce younger trees across the landscape.

While this study focused on the Carlton Complex fire, its results have broader implications for forests around the world that are prone to wildfires. This work adds to the growing library of studies showing how thinning trees and controlled burns can reduce the severity of the next fire on the landscape.

“I’m hopeful our study will encourage policymakers as well as managers to invest in restoration,” Prichard said. “It’s our best hope for protecting our streams, rivers and landscapes from catastrophic fires.”

This research was funded by the U.S. Forest Service’s Western Wildland Environmental Threat Assessment Center, the Joint Fire Science Program and the National Fire Plan.

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Northern Ireland diagnoses first coronavirus case

Authorities say the patient, who is the UK’s 16th case, had travelled from northern Italy via Dublin.

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Health24.com | WATCH | US confirms first coronavirus case of unknown origin

How coronavirus raced through quarantined cruise ship

Typical conditions on board cruise ships – how air conditioning systems mix outside air with the inside air to save energy – probably contributed to passengers aboard the Diamond Princess contracting the new coronavirus, an expert says.

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Health24.com | Got flu? Deal quickly with complications

Fighting the flu can be an unpleasant experience – but the misery may not stop there.

When you have the flu, your immune system is under attack, making complications common. Other infections can weasel their way into your body, according to Libby Richards, an associate professor at Purdue University’s School of Nursing in West Lafayette, Indiana.

Common complications include pneumonia, sinus infections, ear infections and bronchitis.

“Pneumonia can occur as a secondary bacterial infection and occurs after you have had flu symptoms for several days,” Richards said in a university news release. “It can also occur as a viral infection, which develops more rapidly.”

Additional treatment

Pneumonia is often accompanied by flu-like symptoms, including chills, fever and aches. Severe symptoms include shortness of breath, chest pains, sweating, high heart rate and a nasty cough. Signs of ear or sinus infections include facial pressure, drainage and ear pain.

If think you’re experiencing flu complications, Richards urges you to see your doctor. You may need additional treatment, such as antibiotics, to fight off infection.

“Vaccination is the best way to reduce your chance of having complications from the flu,” she said. “Second to vaccination, working to maintain a healthy immune system can help fight off complications.”

The US Centers for Disease Control and Prevention notes that rates of influenza and influenza-like illnesses are currently high throughout the country. An estimated 15 million cases have been diagnosed and 8 200 Americans have died due to influenza this season.

Image credit: iStock

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Kinky MacGyver

Last night’s kinky meetup class was titled “Kinky Crafts,” and it was about how to make do-it-yourself items for BDSM play.

Ever thought about making your own flogger using leftover supplies from some plumbing work? Me neither… but apparently this is a thing.

Imagine if MacGyver was into BDSM and taught a two-hour class on it, showing off a couple dozen items he made from PVC pipe, plastic tubing, rope, duct tape, and various industrial scraps. And then imagine him describing the sensations these contraptions generate when used on humans… and passing around most of the items for everyone in the room to (gently) test on their own bodies.

And lastly, suppose he then invites everyone to come up to a large supply table and to make their own items to keep and take home, giving people tips and guidance as they go.

That was two hours of my life last night.

Here’s what I made from some plastic tubing, a piece of PVC pipe, some duct tape, and some athletic tape to make it grippy.

BDSM MacGyver

I know, right! Now what do I do with this? And what the heck is it?

Ah but does it spark joy? Absolutely!

The mere sight of it also causes Rachelle’s face to do things I’ve seldom seen before.

I must say that I learned some things last night that I never expected to ever learn – like how to make a ball gag from a small Wiffle Ball… or the sensations that can be induced when rows of pennies secured to strips of duct tape are smacked against human flesh.

Throughout the meetup my brain kept circling through thoughts like:

  • This is a thing?
  • People do this?
  • Oooh… that has to hurt.
  • Why do some people like pain?
  • Life is pain, Highness. Anyone who says differently is selling something.
  • Maybe I should spend more time hanging out with people from yoga class instead.
  • The lengths I’ll go to ensure that I never run out of things to write about.
  • I feel oddly comfortable here.
  • Passing all these personal items around the room can’t be wise.
  • Maybe I should avoid this meetup while coronavirus is ramping up.
  • I wish I had some hand sanitizer.
  • Why are there dozens of people here?
  • I’m definitely not touching that one.
  • How does this part of reality get simulator time?
  • Human beings are doomed.
  • I don’t know why, but now I wanna make one of those.
  • If I keep coming to this meetup, what is it going to do to me?
  • Why does Rachelle keep alternating between laughing and looking scared?

One reason I like exploring different social circles is that it freshens up my thinking and keeps me on my toes. And I often pick up new ideas that benefit me, even if they’re mostly reminders of old ideas.

The main point of this kinky workshop was to demonstrate how easy and fun it is to make adult toys for very low cost, as opposed to buying much more expensive items that provide the same sensations. I haven’t been into BDSM toys, and I haven’t been into crafts, but creating my own whatever-it-is in a few minutes was kinda fun, and for some reason I felt proud of my creation afterwards. That makes me want to use it somehow. After some very modest initial testing, Rachelle quickly rejected the idea of using it on her though, and then she shot down my idea of bringing it to yoga class. So presently this item will just have to wait for an aligned opportunity to come along.

Or maybe we should put it up for sale on eFlay.

Then again, this could occasionally be useful on coaching calls, at least as a symbolic gesture for those who need it. 😉

I used to love watching MacGyver when I was a teenager, and seeing people use a MacGyver-like approach for making adult toys got me thinking of how easy it is to overthink solutions to our problems. This workshop shared simple, straightforward solutions to real problems that people have, such as, How can I make a decent whip without spending a fortune… and not embarrass myself at the next play party?

MacGyver didn’t do a bunch of online research first. He didn’t order supplies from Amazon. He just looked around and used whatever was on hand. Those Jeep payments ensured that he couldn’t afford much else.

Suppose you have to solve a problem in a few minutes using only what’s right in front of you. I’ll bet you could solve some problems faster than you thought possible. Maybe take a second look at some problems that you’ve been putting off solving due to overthinking or waiting till you have the money to afford a more expensive solution.

This class also reminded me of how rewarding it is to create and use my own tools, including physical tools and mental ones. Buying a tool is convenient, but there’s something very satisfying about creating and using more personal solutions.

And now I can’t help but see more possibilities when I look around the house. My imagination is churning over those leftover supplies from upgrading the reverse osmosis system.

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Health24.com | NHI public hearings: Broken healthcare systems come to the fore

Soshanguve, in Pretoria, and Kagiso in the West Rand saw the first two public hearings in Gauteng.

Residents, civil society organisations, political parties and medical students shared their insights into the public healthcare system, and voiced their concerns and questions about the NHI Bill. Both hearings showed that most people are in favour of the proposed legislation, although there are minority viewpoints that voice strong dissent.

Support for the NHI was conditional, as submissions raised concerns about the current healthcare system, and questioned how the draft law could solve these issues and how it will be implemented.

More questions than answers

Staff shortages, poor health infrastructure and financing of the NHI were top priorities for the attendees of these two public hearings.

Michael, a Soshanguve resident, said he is worried that the Bill will “be another tax burden on poor citizens. If South African state-owned entities have failed, how can we trust the government with NHI? Where will the money come from? Will it be another tax burden on poor citizens?” he asked.

Lerato Ledwaba, another resident from Soshanguve, told the parliamentary committee that most facilities don’t cater to people with disabilities and that cancer treatment costs are too high and inaccessible. “Toilets for people with disabilities aren’t functional. Also, this Bill must ensure that people with cancer will have access to treatment because it’s expensive and only those with money can afford help,” Ledwaba explained.

Both Soshanguve and Kagiso residents raised concerns about the shortage of ambulances, and wondered how the NHI Bill could help. According to Soshanguve residents, only two ambulances service the whole area, while Kagiso residents said they wait for long periods of time for an ambulance because it collects people from different townships and only goes with a full load of people to the nearest hospital. 

Kalafong Hospital, Dr George Mukhari Hospital and Carletonville Hospital were at the centre of complaints heard at the hearings. The residents said these hospitals offer poor healthcare services and need to be improved through the implementation of the NHI Bill.

‘A broken healthcare system’

Speaking to OurHealth, Sibongile Tshabalala of Treatment Action Campaign (TAC), said they welcome NHI on principle and believe in universal health coverage. However, Tshabalala questioned how the process will be implemented. “We haven’t got answers on how NHI is going to support or assist in fixing the broken healthcare system. As much as we support the NHI, we’re still concerned with the NHI Bill, not the NHI as a structure.

“The current Bill we’re engaging on – that’s where we have a problem,” she said. The Bill places the Minister of Health in a position of power and governance of the entire structure of the NHI scheme, Tshabalala added. “We know the capacity and the deployment that’s currently happening within the government, and if it continues like that, it means the Health Minister will be the one with powers to appoint and remove anybody.” TAC also highlighted that between 2012 to 2017 there were 11 NHI pilot districts, but that the government hasn’t released a publicly available report on results from each of the pilot sites. TAC believes this is because the pilot districts have failed.

“And when we asked the former minister where the report on the last five years of piloting NHI is, he told us that those sites weren’t related to the NHI.” 

Medical students weigh in

According to Lerato Mphahlele, a national executive member of the South African Union of Students at the Sefako Makgatho Health Science University, the Bill offers a chance for young medical students to diversify their expertise and can help lower unemployment amongst medical students. 

“There’s a fundamental need to speak to the health professional sector. We find ourselves, as young people, affected by unemployment. Now NHI presents an opportunity for us to diversify our services and our professional academic priorities to offer services to broader South Africa,” she told OurHealth. 

She continued, saying the financial model and referral system of NHI needs to be demystified. “The financial model of NHI needs to make better sense to us. The NHI must explain how a therapist and a medical doctor are going to work together in a referral mechanism that the government wants integrating within the NHI system.” The proposed referral mechanism needs to be described in-depth, said Mphahlele, as this directly impacts young health professionals.

Mphahlele told OurHealth that if the referral mechanism works well, it will allow for the expansion of professionals being integrated into the health science sector. “This will also allow us to actually cover unemployment increases, because more young people are going to be of service to the country. We are in support of the NHI but we want the image to speak more to the mechanisms of how health professions will actually get to work together.”

Elderly come last

In one of the last submissions for the day at Kagiso public hearings, a pensioner relayed his frustration with the current healthcare system. Hendricks Kgaborone, who is 69-year-old, told the committee he suffers from kidney dysfunction and feels like he is waiting for death, as he has missed several appointments at Chris Hani Baragwanath Hospital simply because he doesn’t have money to go to the hospital.

Dr Sibongiseni Dhlomo concluded the hearing at Kagiso by instructing the province and district directors that no pensioners should miss their hospital appointments because they don’t have money for taxi fare. He said that district managers need to plan how pensioners are going to be transported to hospital for their appointments.

For more NHI public hearings submissions, click on our thread on Twitter.

– Health-e News

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E. coli gut infection linked to bowel cancer

Around a fifth of people may be carrying the bacterium linked to some cancer cases, say researchers.

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