Let down by ‘agonising’ end-of-life care

Variation in care homes in England means some people face distressing and painful deaths, warns expert.

Share Button

Public may have to stockpile drugs in no-deal Brexit

Industry leaders say government plans for medicines supply are not enough and leaving EU could threaten supply chain.

Share Button

Shropshire baby deaths trust must report weekly to CQC

Health watchdog the Care Quality Commission has concerns over maternity and emergency services.

Share Button

MRSA link to baby’s death investigated

The superbug outbreak at a Belfast hospital affected two babies, one of whom recovered.

Share Button

Will folic acid ever be added to UK flour?

After repeated calls by health campaigners, the government says it will now consult on the issue.

Share Button

Cervical screening: Millions missing smear tests

Health data shows a lower proportion of women have been having the test when they should.

Share Button

Mars: Oxygen-rich, life-supporting liquid water?

A team led by scientists at Caltech and the Jet Propulsion Laboratory (JPL), which Caltech manages for NASA, has calculated that if liquid water exists on Mars, it could — under specific conditions — contain more oxygen than previously thought possible. According to the model, the levels could even theoretically exceed the threshold needed to support simple aerobic life.

That finding runs contrary to the current, accepted view of Mars and its potential for hosting habitable environments. The existence of liquid water on Mars is not a given. Even if it is there, researchers have long dismissed the idea that it might be oxygenated, given that Mars’s atmosphere is about 160 times thinner than that of Earth and is mostly carbon dioxide.

“Oxygen is a key ingredient when determining the habitability of an environment, but it is relatively scarce on Mars,” says Woody Fischer, professor of geobiology at Caltech and a co-author of a Nature Geoscience paper on the findings, which were published on October 22.

“Nobody ever thought that the concentrations of dissolved oxygen needed for aerobic respiration could theoretically exist on Mars,” adds JPL’s Vlada Stamenković, lead author of the Nature Geoscience paper.

Finding liquid water on Mars is one of the major goals of NASA’s Mars program. In recent months, data from a European spacecraft have suggested that liquid water may lie beneath a layer of ice at Mars’s south pole. It has also been hypothesized that water could exist in salty subsurface pools, because perchlorate salts (compounds of chlorine and oxygen) have been detected at various places on Mars. Salt lowers the freezing point of water, which means that water with perchlorate in it could potentially stay liquid despite the freezing temperatures on Mars, where summer nights on the equator can still dip down to -100 degrees Fahrenheit.

That hypothetical salty water is what interested Fischer and Stamenković. Oxygen enters water from the atmosphere, diffusing into the liquid to maintain an equilibrium between the water and the air. If salty water were close enough to the surface of the Martian soil, then it could effectively absorb oxygen from the thin atmosphere.

To find out just how much oxygen could be absorbed, Stamenković, Fischer, and their colleagues Michael Mischna at JPL and Lewis Ward (MS ’14, PhD ’17) at Harvard, did two things: First, they developed a chemical model describing how oxygen dissolves in salty water at temperatures below the freezing point of water. Second, they examined the global climate of Mars and how it has changed over the past 20 million years, during which time the tilt of the axis of the planet shifted, altering regional climates. The solubility and climate models together allowed the researchers to infer which regions on Mars are most capable of sustaining high oxygen solubilities, both today and in the planet’s geologically recent past.

The team found that, at low-enough elevations (where the atmosphere is thickest) and at low-enough temperatures (where gases like oxygen have an easier time staying in a liquid solution), an unexpectedly high amount of oxygen could exist in the water — a value several orders of magnitude above the threshold needed for aerobic respiration in Earth’s oceans today. Further, the locations of those regions have shifted as the tilt of Mars’s axis has changed over the past 20 million years. During that time, the highest oxygen solubilities have occurred within the past five million years.

The findings could inform future missions to Mars by providing better targets to rovers searching for signs of past or present habitable environments, Stamenković says.

Story Source:

Materials provided by California Institute of Technology. Original written by Robert Perkins. Note: Content may be edited for style and length.

Share Button

NASA’s first image of Mars from a CubeSat

NASA’s MarCO mission was designed to find out if briefcase-sized spacecraft called CubeSats could survive the journey to deep space. Now, MarCO — which stands for Mars Cube One — has Mars in sight.

One of the twin MarCO CubeSats snapped this image of Mars on Oct. 3 — the first image of the Red Planet ever produced by this class of tiny, low-cost spacecraft. The two CubeSats are officially called MarCO-A and MarCO-B but nicknamed “EVE” and “Wall-E” by their engineering team.

A wide-angle camera on top of MarCO-B produced the image as a test of exposure settings. The MarCO mission, led by NASA’s Jet Propulsion Laboratory in Pasadena, California, hopes to produce more images as the CubeSats approach Mars ahead of Nov. 26. That’s when they’ll demonstrate their communications capabilities while NASA’s InSight spacecraft attempts to land on the Red Planet. (The InSight mission won’t rely on them, however; NASA’s Mars orbiters will be relaying the spacecraft’s data back to Earth.)

This image was taken from a distance of roughly 8 million miles (12.8 million kilometers) from Mars. The MarCOs are “chasing” Mars, which is a moving target as it orbits the Sun. In order to be in place for InSight’s landing, the CubeSats have to travel roughly 53 million miles (85 million kilometers). They have already traveled 248 million miles (399 million kilometers).

MarCO-B’s wide-angle camera looks straight out from the deck of the CubeSat. Parts related to the spacecraft’s high-gain antenna are visible on either side of the image. Mars appears as a small red dot at the right of the image.

To take the image, the MarCO team had to program the CubeSat to rotate in space so that the deck of its boxy “body” was pointing at Mars. After several test images, they were excited to see that clear, red pinprick.

“We’ve been waiting six months to get to Mars,” said Cody Colley, MarCO’s mission manager at JPL. “The cruise phase of the mission is always difficult, so you take all the small wins when they come. Finally seeing the planet is definitely a big win for the team.”

For more information about MarCO, visit: https://www.jpl.nasa.gov/cubesat/missions/marco.php

Story Source:

Materials provided by NASA/Jet Propulsion Laboratory. Note: Content may be edited for style and length.

Share Button

Mystery of how black widow spiders create steel-strength silk webs further unravelled

Researchers at Northwestern University and San Diego State University (SDSU) have better unraveled the complex process of how black widow spiders transform proteins into steel-strength fibers. This knowledge promises to aid scientists in creating equally strong synthetic materials.

Black widow spiders and their relatives, native to temperate climates in North America, Europe, Asia, Australia, Africa and South America, produce an array of silks with exceptional materials properties.

Scientists have long known the primary sequence of amino acids that make up some spider silk proteins and understood the structure of the fibers and webs. Previous research theorized that spider silk proteins await the spinning process as nano-size amphiphilic spherical micelles (clusters of water soluble and non-soluble molecules) before being funneled through the spider’s spinning apparatus to form silk fibers. However, when scientists attempted to replicate this process, they were unable to create synthetic materials with the strengths and properties of native spider silk fibers.

“The knowledge gap was literally in the middle,” Northwestern’s Nathan C. Gianneschi said. “What we didn’t understand completely is what goes on at the nanoscale in the silk glands or the spinning duct — the storage, transformation and transportation process involved in proteins becoming fibers.”

Gianneschi is the Jacob and Rosaline Cohn Professor in the department of chemistry in the Weinberg College of Arts and Sciences and in the departments of materials science and engineering and of biomedical engineering in the McCormick School of Engineering. He and Gregory P. Holland, associate professor in the department of chemistry and biochemistry at SDSU and the author of more than 40 papers on spider silk, are the paper’s co-corresponding authors.

The research will be published online the week of Oct. 22 in the Proceedings of the National Academy of Sciences (PNAS).

Utilizing complementary, state-of-the-art techniques — nuclear magnetic resonance (NMR) spectroscopy, the same technology utilized in MRI, at SDSU, followed by electron microscopy at Northwestern — the research team was able to more closely see inside the protein gland where the silk fibers originate, revealing a much more complex, hierarchical protein assembly.

This “modified micelles theory” concludes that spider silk proteins do not start out as simple spherical micelles, as previously thought, but instead as complex, compound micelles. This unique structure is potentially required to create the black widow spider’s impressive fibers.

“We now know that black widow spider silks are spun from hierarchical nano-assemblies (200 to 500 nanometers in diameter) of proteins stored in the spider’s abdomen, rather than from a random solution of individual proteins or from simple spherical particles,” Holland said.

If duplicated, “the practical applications for a material like this are essentially limitless,” Holland said, and could include high-performance textiles for military, first responders and athletes; building materials for cable bridges and other construction; environmentally friendly replacements for plastics; and biomedical applications.

“One cannot overstate the potential impact on materials and engineering if we can synthetically replicate this natural process to produce artificial fibers at scale,” said Gianneschi, who also is the associate director of the International Institute for Nanotechnology and a member of the Simpson Querrey Institute and the Chemistry of Life Processes Institute at Northwestern. “Simply put, it would be transformative.”

Story Source:

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

Share Button

Health24.com | Going deaf – a story of gradual hearing loss

According to 2012 World Health Organization (WHO) global estimates on the prevalence of hearing loss, approximately 15% of the world’s adult population has some degree of hearing impairment.

The prevalence increases with age – from 1.7% in children to almost 33% in adults older than 65 years.

In South Africa, approximately 10% of the population has significant hearing loss, but only about 2% seek treatment. It takes an average of seven years to seek help.

‘Everybody is mumbling’

There are many causes of hearing loss, which can be temporary or permanent. Temporary causes include noise-induced hearing loss, a blocked ear canal and ototoxic medication.

Permanent hearing loss can be inherited (congenital) or caused by loud noise, an ear infection, ageing or injury to the head or ears.

Hearing loss caused by age and exposure to noise are the two most common reasons for gradual loss of hearing. People might complain that everybody is mumbling and get frustrated because they are missing parts of conversations.  

According to the National Institute on Deafness and Other Communication disorders (NIDCD), you may be suffering from gradual hearing loss if:

  • You sometimes feel embarrassed when you meet new people because you struggle to hear.
  • You feel frustrated when talking to family members because you find it difficult to hear them.
  • You have difficulty hearing or understanding co-workers, clients or customers.
  • You have difficulty hearing when visiting friends, relatives or neighbours.
  • You have trouble hearing in the movies or in the theatre.
  • Hearing problems cause you to argue with family members.
  • You have trouble hearing the TV or radio at levels that are loud enough for others.
  • You feel that any difficulty with your hearing limits your personal or social life.
  • You have trouble hearing family or friends when you are together in a restaurant.

Noise exposure

The NIH explains that loud sounds can be harmful to the ears, both when the exposure is brief and in cases where it is long-lasting. Loud sounds can damage sensitive structures in the inner ear and cause noise induced hearing loss (NIHL). The louder the sound, the more quickly NIHL is likely to happen.

NIHL can have an immediate effect or it can take a while to be noticeable. It can also be temporary or permanent and affect one or both ears. We can safely be exposed to sounds ranging from 0 to 85dB. Anything louder than that can damage our hearing. An ambulance siren measures about 125dB, while normal human speech is around 65dB.

Target shooting and hunting can put you at risk for NIHL, and young adults and teens who listen to their iPods or MP3s through headphones for hours every day are reportedly being diagnosed with hearing at the level of 50-year-olds. Others who frequent nightclubs or play in bands can also experience long-term effects on their hearing. 

Effects of ageing

Age-related hearing loss (presbycusis) is one of the most common conditions affecting older adults and gradually happens in most of us as we grow older. It also mostly occurs in both ears and because it happens gradually, many people don’t realise that they’ve lost some of their hearing ability.

According to Action On Hearing Loss, the main cause of age-related hearing loss is wear and tear to the tiny sensory cells known as hair cells in the cochlea. (The cochlea is the spiral-shaped cavity of the inner ear that contains nerve endings essential for hearing.) Genetic factors can, however, also play a part.

Implications of hearing loss

Many people, after being diagnosed with hearing loss, are not keen to admit it, and a US study by the National Council on Aging (NCOA) found that three out of five older subjects who suffer from hearing loss did not use hearing aids.

Studies have found that hearing loss may lead to:

  • Irritability and anger
  • Tension, stress and depression
  • Avoidance of social situations
  • Feelings of rejection and loneliness
  • Reduced alertness
  • Reduced ability to learn new tasks
  • Compromised job performance
  • Compromised psychological and overall health

How to remedy the situation

Hearing loss that originates in the inner ear and/or auditory nerve, caused by damage to the hair cells is called sensorineural hearing loss.

Sensorineural hearing loss is a permanent condition, and because it’s not possible to restore the lost hearing, the best remedy, in cases where hearing loss is not complete, is using a hearing aid.

Image credit: iStock

Share Button