Health24.com | How to avoid a breakout when you work out

While working out might boost your health and mood, it also might cause your skin to break out.

But don’t kick your New Year’s resolutions to the curb just yet, because dermatologists say that exercise-induced acne can be prevented.

Good hygiene while working out

Experts from the American Academy of Dermatology explained that hitting the gym can cause oil, dirt and bacteria to build up on your skin and lead to acne. Practicing good hygiene before, during and after your workouts is the key to keeping your skin glowing, the doctors advised.

“While exercise itself doesn’t cause acne, the skin care habits you maintain around your workouts can significantly impact your skin,” said dermatologist Dr Elizabeth Bahar Houshmand. “Since germs thrive at the gym, it’s important to maintain good hygiene while working out to prevent clogged pores and the spread of harmful bacteria.”

To keep your skin acne-free after exercising, Houshmand recommends:

  • Choose clean, loose-fitting clothes that don’t rub against your skin.
  • Take any makeup off before working out.
  • Apply sunscreen on exposed skin when exercising outside.
  • Pat sweat off your body with a towel during your workout.
  • Clean shared equipment before using it.
  • Shower with warm water immediately after working out.
  • Change into clean clothes after showering.

“Keep in mind that acne can have many causes, including genetics, hormones, stress and medications,” Houshmand said in an academy news release. “If you still have acne after following these tips, talk to a board-certified dermatologist, as there may be a different cause.”

Image credit: iStock

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Two UK deaths ‘may be linked to vaping lung injury’

The cases are being investigated by the body that regulates e-cigarettes in the UK.

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Health24.com | Gene therapy may be long-term cure for haemophilia

A new gene therapy appears to serve as a functional cure for the most common type of haemophilia, early clinical trial results indicate.

Patients who received the one-time intravenous therapy continue to have a more than 90% decrease in bleeding events two to three years after their initial treatment, researchers reported in the New England Journal of Medicine.

Genetic mutation

The therapy fixes a broken gene in liver cells that causes production of flawed factor VIII, a protein that plays a key role in blood clotting.

People with this genetic mutation have haemophilia A, the most common type of this bleeding disorder. Haemophilia A accounts for 8 out of 10 cases of haemophilia, researchers said.

Haemophilia A patients must inject themselves with factor VIII every other day to prevent bleeding, said lead researcher John Pasi, a professor at Barts and The London School of Medicine and Dentistry in England.

“There’s been a massive reduction in bleeding in the patients, and none of them any longer needs to regularly treat themselves with factor VIII to prevent bleeding,” Pasi said of participants in the phase 1/phase 2 clinical trial. “That huge treatment burden of having to give yourself an intravenous injection every other day has gone away.”

The therapy uses a virus to carry the DNA sequence for a functional factor VIII gene into liver cells, he said.

“It infects liver cells and transfers into those cells the factor VIII gene,” Pasi said. “Liver cells make factor VIII and then secrete it, and it passes into the circulation.”

‘Hugely effective’ protection

Seven initial participants in the study have a 96% decrease in bleeding events three years out, researchers report. Another six who joined later had a 92% decrease in bleeding by the end of year two.

“At three years, the patients who were treated at a higher dose were expressing functional levels of factor VIII – somewhat lower than they were at their peak, but they’re still at really good levels that are hugely effective in protecting the patients against bleeding,” Pasi said.

A phase 3 trial involving more than 130 patients is underway, he said, and therapy manufacturer BioMarin Pharmaceutical has begun the application process with the US Food and Drug Administration.

The most notable side effect is changes in liver enzymes with some patients, but those go away after treatment with steroids, Pasi said.

The treatment will not initially be available for every haemophilia A patient.

Because it involves infecting the liver with a virus, patients with hepatitis or HIV were kept out of the clinical trial, Pasi said. The treatment is only for adults now.

‘Extremely encouraging’ results

The biggest roadblock for some patients will be whether their bodies have developed an immune reaction to factor VIII, Pasi said.

About a third of patients with severe haemophilia develop antibodies to factor VIII, he said. Half of those cases resolve on their own, and the rest might need to be treated with immune tolerance protocols to get rid of the antibody.

Meg Bradbury, research director at the Hemophilia Federation of America, said the results are “extremely encouraging.” But she noted that work needs to continue to find a cure for everyone with a bleeding disorder.

“This therapy and others like it may not be a one-size-fits-all for everyone,” Bradbury said. “We still need to think about who is eligible for this particular therapy, who it will be effective for, and how we can help everyone in our community.”

The therapy also is not likely to be cheap. Given that it will be a one-time treatment, its pricing will be different from that of a maintenance drug taken regularly, BioMarin representatives said.

They noted that the annual cost of therapy for a haemophilia A patient in the United States is around $500,000 (±R7.2 million).

Image credit: iStock

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Seriously ill wait more than hour for ambulance

Heart attack and stroke patients are among those facing long delays for crews to arrive, BBC finds.

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Clarity Through Action

What’s the connection between clarity and action? Can you achieve better clarity just by diving in and taking lots of action?

The short answer is yes. In fact, often this is a superior approach to making advance plans, at least in terms of the clarity gains you’ll experience.

A key reason that direct action can help you gain clarity is that when you take action, you map out more of the possibility space. Action usually involves exploration. The more you take action, the more you explore. Even when your actions don’t work out, you’re still mapping out part of the possibility space. And this can easily help you gain clarity about your path through this space.

Suppose you go to Disneyland for the first time in your life, and you don’t know the layout of the park. You won’t be able to spend your time there very efficiently, at least not without help, since you won’t have a good map of the possibility space. You won’t know the most efficient way to navigate the park. You won’t know what times to go on certain rides if you want to avoid the longest wait times. You’ll end up spending more time waiting in line, and you won’t be able to take in as many rides and attractions as someone with more experience.

In 2016 Rachelle and I did an experiment where we went to Disneyland every day for 30 days in a row. So we spent a lot of time there, and consequently, our minds now contain detailed mental maps of the park. Whenever I want to, I can picture myself walking around there in my mind’s eye. You can name any two rides there, and I can mentally navigate an efficient route from one to the other, as if I’m seeing all the scenery on a movie screen. And that’s simply because I took lots of action for 12-16 hours a day for a month. As a result of doing this, I can now navigate that space with greater ease than ever before.

Now I could have done a bunch of research online first, and I could have made written plans for what I was going to do. But I don’t think any of that would have given me as much clarity as just diving in and taking action day after day. The mental maps I gained through action and experience are more useful and accurate than those I acquired through learning from others.

I experienced something similar when I got into public speaking. I read many books on speaking. I attended workshops. I had conversations with professional speakers. All of that helped to some degree. But nothing moved the needle forward nearly as much as just diving in and doing a lot of speaking.

My friend Darren LaCroix, who’s the 2001 World Champion of Public Speaking, likes to say that there are three steps to getting good at speaking: stage time, stage time, and stage time. He gained skill through direct action, and he had a mentor that encouraged him to never turn down stage time. Darren was taught to always say yes to stage time, even if he had to drive hours to participate in an open mic night for a few minutes. That’s some dedication!

When Darren began building his comedy and speaking skills, by his own admission he was atrocious. Less than a decade later, he was a world champion. That’s a nice success story, but it’s also a clarity story. Darren created refined mental models of his area of expertise by speaking a lot, by doing stand-up comedy, and by traveling around the world for stage time, stage time, and more stage time. Darren is also one of the more focused people I know in terms of his goals, projects, and actions. His clarity largely comes from direct experience.

If you try to minimize how much action you take, thinking that you’re trying to be more efficient, that’s understandable. It seems logical at first. But it’s generally a mistake because you won’t map the possibility space as well if you resist taking action.

A common reason people resist action is that they have limiting beliefs about the exploration phase. They think it’s risky. They don’t want to fail. They don’t want to waste time doing things that don’t yield immediate results. And again, that’s very understandable.

But if you’re too focused on getting an immediate result, you’re surely going to struggle with clarity because you won’t develop a deep enough understanding of the possibility space around you. You won’t have a good map of the territory that you’re in.

During his championship speech, which was called “Ouch,” Darren purposefully fell down on stage to demonstrate the value of failure and how it’s all part of the learning process. It’s is also part of the mapping process.

Now if you’re in a situation where you can’t afford to map the space first, like if you’re going to Disneyland only once in your life for a single visit, and that’s it, then what’s the best way to have a good visit that packs in a lot of value? Well, you could muddle through on your own, but perhaps the best way would be to have someone with superior experience show you around and be your tour guide for the day. You’ll probably get at least 50% more value out of the experience if you can enlist the assistance of someone with a well-developed mental map.

You do something similar whenever you pay for expertise. You pay for access to the mental maps of an experienced doctor, dentist, lawyer, accountant, and so on. Realize that you’re often paying for clarity when you do this, and the way you purchase clarity is by paying for access to superior mental maps. Let that be a hint that experience gained through direct action can be an equally effective avenue for building clarity yourself.

In some spaces you can do both. When I learned public speaking, I did a lot of speaking to map the possibility space through action. I also learned from mentors like Darren with vastly more experience. That’s a quick way to learn new skills and also to gain clarity.

But between these two choices, I still think your best bet is to favor learning through direct action when you can. Put in the time to map the space. As you build a stronger mental model for the space you’re in, you’ll naturally experience an increase in clarity.

When I get an opportunity for more stage time, I still hear Darren’s “stage time, stage time, stage time” mantra echoing in the back of my mind, which nudges me to say yes most of the time. I know that more stage time will further refine my mental maps. That’s one reason I accepted an invitation to perform the emcee role at an event last week in Panama. I was already going to the event anyway, but being an emcee isn’t a role I normally do, and that means I’d learn something from it. It was a great experience and upgraded my clarity about public speaking in a way that sticking to the familiar wouldn’t have accomplished.

When you set a goal within a space that you’ve done a good job of mapping, you’ll be able to traverse the space more efficiently because you’ll know the territory. You’ll know how to get from point A to point B, just as if you were walking from one part of Disneyland to another after you’d already spent a month there.

But if you stubbornly refuse to map the space you’re in, well… good luck with that approach. I think you’re always going to suffer from a lower level of clarity and more confusion when you do that.

Ultimately this boils down to some pretty simple lessons: Explore the world around you. Explore the field you’re in. Explore the possibility space. And if you don’t know what to explore, then pick anything because any exploration will improve your mental models more than no exploration. Be willing to fall on your face now and then as well; that’s also part of the exploration process.

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Coronavirus: Hong Kong to slash border travel as virus spreads

It wants to drastically reduce visits from mainland China, where the death toll has reached 106.

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Assessing geographic origins of ancient humans

Working with lead isotopes taken from tooth enamel of prehistoric animals, researchers at the University of Arkansas have developed a new method for assessing the geographic origins of ancient humans.

John Samuelsen, doctoral candidate in anthropology and research assistant at the Arkansas Archeological Survey, analyzed linear patterning of lead isotopes on teeth from a 600- to 800-year-old skull and mandible cemetery at the Crenshaw site in southwest Arkansas. The new method allowed the researchers to compare the ancient human teeth to those of prehistoric animals, as well as rocks and soil samples, taken from the same area.

The research, sponsored in part by the National Science Foundation, was published in the Journal of Archaeological Science.

The Crenshaw site along the Red River is a culturally significant multiple-mound ceremonial center of the Caddo Indians. Previous studies have yielded conflicting interpretations of what the human skulls and mandibles reflect. Some research suggests the remains belonged to victims of violence who came from outside the region, while other research suggests the remains represent a local Caddo Indian burial practice of their own ancestors.

Samuelsen emphasized that a full evaluation of the human remains will be addressed in a future study, but he and Potra found that teeth of five of the 352 individuals tested with the new method contained isotopic signatures consistent with those found in the teeth of prehistoric animals from several sites in the area. Moreover, their isotopic signatures were inconsistent with isotopes from humans and animals from other regions.

“While our focus in this article is to establish a method for using lead isotopes to evaluate ancient human geographic origins,” Samuelsen said, “this does suggest that at least these five individuals were from southwest Arkansas.”

Lead is a toxic trace metal that affects the health of biological organisms, but it is useful for determining geographic origins. Its isotopic content within human and animal tooth enamel, via food chain pathways, reflects the geology of the region in which an organism grew up. While the lead isotopes from animal teeth were successful at identifying local human remains, versus those from other geographical areas, those isotopes taken from nearby rocks were far too variable to be useful for the same purpose, Samuelsen said. Rock analysis was done by Adriana Potra, associate professor of geosciences, who co-authored the paper.

A major research concern with lead isotope studies is modern, human-caused lead contamination found on soil, rocks and human and animal remains. If modern lead from gas, mines or industrial sources has contaminated the remains, then the lead isotopes will not reflect their original locations. Even if they are uncontaminated by modern lead, the natural soil contains lead that can affect the results similarly. For these reasons, the researchers’ study used three different methods to assess contamination and provided recommendations for future research.

With these concerns in mind, the researchers performed isotopic work within the metal-free, modular Radiogenic Isotope Laboratory, a “room inside a room” clean lab at the University of Arkansas. The isotopic and trace element data were collected at the Trace Element and Radiogenic Isotope Laboratory, with help from Erik Pollock, scientific research technician in the Department of Biological Sciences, and Barry Shaulis, research associate in the Department of Geosciences. High accuracy isotopic data were collected on a multi-collector, inductively coupled plasma mass spectrometer. Drilling of teeth was performed with a Leica M80 binocular microscope, housed by Celina Suarez, associate professor of geosciences.

The research project is supervised by George Sabo, director of the Arkansas Archeological Survey. Sabo is Samuelsen’s graduate advisor. The research was funded by the Department of Anthropology and the Arkansas Archeological Society, in addition to the National Science Foundation. The study is being conducted in collaboration with the Caddo Nation of Oklahoma to help answer questions the tribe has about the cultural affiliation and origin of the remains.

Story Source:

Materials provided by University of Arkansas. Original written by Matt McGowan. Note: Content may be edited for style and length.

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Health24.com | Could a family’s social standing be the key to happiness for teens?

How teens see their family’s social status may play a part in their mental health and success at school, a new study suggests.

Social status appears to be more important than what their parents do for a living, how much money they have or how educated they are, the researchers said.

Hierarchical system

“The amount of financial resources children have access to is one of the most reliable predictors of their health and life chances,” said Candice Odgers, a professor of psychological science at the University of California, Irvine.

“But these findings show that how young people see their family’s place in a hierarchical system also matters. Their perceptions of social status were an equally good, and often stronger, indicator of how well they were going to do with respect to mental health and social outcomes,” Odgers explained in a university news release.

For the study, the researchers followed more than 2 200 twins born in England and Wales in 1994 and 1995.

The children assessed their family’s social ranking at ages 12 and 18. By late adolescence, these beliefs were linked to how well the teen was doing, independent of the family’s income, health care, adequate nutrition and education. This pattern was not seen at age 12.

Creative solutions needed

The researchers also found that the twins’ views were not always the same. At 18, the twin who said the family’s standing was higher was less likely to be convicted of a crime, and more often better educated and employed or in training. That twin also had fewer mental health problems than his or her sibling, the findings showed.

These findings need to be taken with a grain of salt, the study authors noted, because other factors can influence how children see their family.

“Targeting adolescents’ views of where they stand in society alone will never fully combat larger inequalities,” Odgers said. “But as the gap between the rich and the rest grows, creative solutions focusing on both societal and individual factors are needed to help young people to overcome unprecedented obstacles to social mobility and move their way up the social ladder.”

The report was published in the Proceedings of the National Academy of Sciences.

Image credit: unsplash.com

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High school GPAs are stronger predictors of college graduation than ACT scores

Students’ high school grade point averages are five times stronger than their ACT scores at predicting college graduation, according to a new study published today in Educational Researcher, a peer-reviewed journal of the American Educational Research Association.

The authors of the new study, Elaine M. Allensworth and Kallie Clark, both of the University of Chicago, also found that the predictive power of GPAs is consistent across high schools. The relationship between ACT scores and college graduation depends on which high school a student attends; at many high schools there is no connection between students’ ACT scores and eventual college graduation.

“It was surprising not only to see that there was no relationship between ACT scores and college graduation at some high schools, but also to see that at many high schools the relationship was negative among students with the highest test scores,” said Allensworth, who is the director of the University of Chicago Consortium on School Research.

Across all high schools in the study, each incremental increase in GPA is associated with an increase in the odds of graduating college. The chance of graduating from college ranges from 20 percent for students with high school GPAs under 1.5 to about 80 percent for those with GPAs of 3.75 or higher, after controlling for student backgrounds and college characteristics.

“While people often think the value of GPAs is inconsistent across high schools, and that standardized test scores, like the ACT, are neutral indicators of college readiness because they are taken by everyone under the same conditions, our findings indicate otherwise,” Allensworth said. “The bottom line is that high school grades are powerful tools for gauging students’ readiness for college, regardless of which high school a student attends, while ACT scores are not.”

According to the authors, their study confirms prior research that finds high school GPAs are more predictive than SAT and ACT scores of college freshman GPA and college graduation. This study is the first to explicitly test whether standardized assessments are comparable across high schools as measures of college readiness.

The study examined 55,084 students who graduated from the Chicago public school district between 2006 and 2009 and immediately enrolled in a four-year college. The Chicago district contains schools with varying academic profiles, ranging from extremely high-achieving, selective schools to schools with very low average test scores. At the time the study students were in high school, all students in Illinois took the ACT in the spring of 11th grade.

In the authors’ view, the fact that high school GPAs are based on many factors — including effort over an entire semester in many different types of classes, demonstration of academic skills through multiple formats, and different teacher expectations — might be why GPAs are strong indicators of college readiness.

“GPAs measure a very wide variety of skills and behaviors that are needed for success in college, where students will encounter widely varying content and expectations,” said Allensworth. “In contrast, standardized tests measure only a small set of the skills that students need to succeed in college, and students can prepare for these tests in narrow ways that may not translate into better preparation to succeed in college.”

“Extensive time spent preparing for standardized tests will have much less pay-off for postsecondary success than effort put into coursework, as reflected in students’ grades,” said Clark, a doctoral student at the University of Chicago. “The more that middle and high school educators can support strong engagement in school — helping students overcome barriers to engagement in class, helping them succeed at different types of academic tasks, so that they earn strong grades — the better these educators are supporting academic skills broadly and preparing students for college.”

The authors also note that most states and districts in the United States rely heavily on standardized test scores in their accountability systems as indicators of whether students are meeting state college readiness goals. Because the relationship of test scores with college graduation is not strong or consistent, states and districts that choose this metric may misestimate the effects of policies and school practices on students’ college readiness. The authors suggest that measures of students’ actual performance in college would provide better information.

Above and beyond students’ individual achievement on high school coursework and the ACT, Allensworth and Clark found that students are more likely to graduate college if they come from some high schools rather than others. These school effects may be the result of more rigorous academic programs at some high schools, different non-academic supports for preparing students for college, or simply a tendency of families with more resources for college to send their students to particular high schools.

“There are large high school effects on college graduation that are not explained by students’ high school GPA, their individual ACT scores, or the two of them combined,” Clark said. “Understanding why students from some high schools succeed in college more than students at other schools is an important next step for better supporting all students’ ability to earn a college degree.”

This research was supported by the Bill and Melinda Gates Foundation.

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Air pollution impacts can be heart-stopping

There is an increased risk of out-of-hospital cardiac arrest (OHCA) even from short-term exposure to low concentrations of fine particulate matter PM2.5, an international study has found, noting an association with gaseous pollutants such as those from coal burning/mining, bushfires and motor vehicles.

The nationwide study of data from Japan, chosen for its superior monitoring, population density and relative air quality, is believed to be by far the largest of its kind. It provides comprehensive evidence of the relationship between PM2.5 and cardiac arrests, using a sample three times larger than all previous research combined and demonstrating the impacts on groups such as the elderly.

The study led by the University of Sydney concludes that worldwide, standards should be tightened; the implications also point to the need for cleaner energy sources.

The findings publish today in the high-impact journal The Lancet Planetary Health.

The corresponding and senior author, from the University of Sydney School of Medicine, Professor Kazuaki Negishi, said previous research into air pollution and acute cardiac events had been inconsistent, especially at air concentrations that met or bettered the World Health Organization (WHO) guidelines.

Inconsistencies in previous data were addressed through the size and robustness of this study, which found that more than 90 percent of OHCAs occurred at PM2.5 levels lower than the WHO guideline (and Australian standard level), a daily-average of 25 micrograms per cubic metre (?g/m3). As well, 98 percent of OHCAs happened at levels lower than the Japanese or American daily standard level of 35 ?g/m3.

“Out-of-hospital cardiac arrest is a major medical emergency — with less than one in 10 people worldwide surviving these events — and there has been increasing evidence of an association with the more acute air pollution, or fine particulate matter such as PM2.5,” said Professor Negishi, a cardiologist and Head of Medicine, Nepean Clinical School, at the Faculty of Medicine and Health.

“We analysed almost a quarter of a million cases of out-of-hospital cardiac arrests and found a clear link with acute air pollution levels.

“Our study supports recent evidence that there is no safe level of air pollution — finding an increased risk of cardiac arrest despite air quality generally meeting the standards.

“Given the fact that there is a tendency towards worsening air pollution — from increasing numbers of cars as well as disasters such as bushfires — the impacts on cardiovascular events, in addition to respiratory diseases and lung cancer — must be taken into account in health care responses.”

Professor Negishi, who previously conducted field work after the 2014 massive Hazelwood coal mine fire in Victoria, said that where cardiovascular impacts were concerned, those generally at risk were the elderly: “If you’re young and healthy, there should be no immediate risk of devastating consequence.” However, he highlights these findings are only in relation to the short-term and that the effects can last for up to five years.

The paper concludes that there is an “urgent” need to improve air quality. “As no boundary exists in air quality among countries, a global approach to tackle this crucial health issue is necessary for our planet,” the authors state.

Research key findings and what it means

The study drew upon data from Japan because the country keeps comprehensive records of its air pollution levels as well as a high-quality, nationwide repository of OHCA.

The researchers found a 1- 4 percent increased risk associated with every 10 ?g/m3 increase in PM2.5.

Put another way, Sydney has recently been experiencing increased air pollution because of bushfire smoke and, on its worst day PM2.5 surpassed the standard of 25 ?g/m3 to jump to more than 500 ?g/m3 in the suburb of Richmond, comparable to levels of continuous cigarette smoking. There are about 15,000 OHCAs annually in Australia so in a hypothetical situation, if there is a 10-unit increase in the daily average of PM2.5, it could lead to another 600 OHCAs resulting in 540 deaths (10% survival rate globally).

The Lancet Planetary Health paper compared OHCA that occurred up to three days after the air pollution recorded; however, the effects on the heart can occur up to five-seven days after acute air pollution, Professor Negishi says, so the entire cardiovascular impacts could be worse than indicated.

Also analysed were the impacts regarding sex and age.

Although the impacts did not divide along gender lines, for people aged over 65, PM2.5 exposure was significantly associated with incidence of all-cause OHCA.

The data revealed an association between short-term exposure to carbon monoxide, photochemical oxidants and sulphur dioxide and all-cause OHCA but not with nitrogen dioxide. Professor Negishi explains that it was likely that the levels of nitrogen dioxide, for example from car emissions, were not high enough to result in OHCA.

Adding to known impacts of air pollution on cardiovascular mortality generally, this study plugs important gaps in knowledge about the effects of short-term exposure to acute air pollution on OHCA.

The authors state: “Combined with air quality forecasts, our results can be used to predict this emergency condition and to allocate our resources more efficiently.”

Air pollution fast facts

  • There are two main sources of PM2.5 worldwide:

1. Traffic/motor vehicles

2. Bushfires (massive annual events in California and the Amazon as well as in Australia)

  • Both PM2.5 and PM10 cannot be seen by the human eye and increase the chances of cardiac arrest, meaning the heart stops, which if untreated tends to result in death within minutes.
  • Particulate matter PM10 is relatively course dust, created for example from grinding operations and stirred up on roads; in comparison, PM2.5 is fine particulate matter, which can travel further into the body and stay for longer.
  • The most dangerous air pollution is PM2.5 — fine particulate matter that measures about 3 percent the diameter of a human hair.

This research is a collaboration between the University of Sydney, the University of Tasmania/Menzies Institute for Medical Research, Monash University, the University Centre for Rural Health in Australia and Gunma University in Japan.

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