An NHS Trust with a low ranking could still provide good care, the doctor and BBC medical expert says.
Category Archives: Mind Building
How does the disposable vape ban work, and how harmful is vaping?
The disposable vape ban is designed to reduce environmental damage and protect children’s health.
Smog in the brain: Dirty air speeds Alzheimer’s decline

Exposure to high concentrations of air pollution may worsen Alzheimer’s disease (AD) by accelerating the buildup of toxic proteins in the brain and speeding up cognitive decline. For the first time, post-mortem tissue from people with AD revealed that those who lived in areas with higher concentrations of fine particulate matter in the air even just one year had more severe accumulation of amyloid plaques and tau tangles — hallmarks of Alzheimer’s pathology — compared to those with less exposure. These individuals also experienced faster cognitive and functional decline, including memory loss, impaired judgment, and difficulty with personal care, according to research published today (September 8) in JAMA Neurologyfrom the Perelman School of Medicine at the University of Pennsylvania.
“This study shows that air pollution doesn’t just increase the risk of dementia — it actually makes Alzheimer’s disease worse,” said Edward Lee, MD, PhD, co-director of Penn’s Institute on Aging. “As researchers continue to search for new treatments, it’s important to uncover all of the factors that contribute to the disease, including the influence of the environment in which they live.”
Health risks from tiny air particles
Air pollution is made up of fine particulate matter, or the tiny, inhalable particles, ranging from 10 micrometers to less than 2.5 micrometers wide, about half the width of a single strand of spider web. It can come from wildfire smoke, car exhaust, construction site debris, or combustion from factories. Particulate matter 2.5 micrometers and smaller (PM2.5) is so small that when inhaled, the particles can be absorbed into the blood stream and cause health concerns. Previous research has linked air pollution containing PM2.5 with dementia, loss of cognitive function, and accelerated cognitive decline.
The researchers examined brain samples from over 600 autopsies from the Penn Medicine Brain Bank. Using data from satellites and local air quality monitors, the researchers modeled the amount of PM2.5 in the air based on where each person lived. They found that for every increase of 1 microgram per cubic meter of PM2.5, the risk for worse Alzheimer’s disease amyloid and tau buildup increased by 19 percent.
Further, when they examined the clinical records of these individuals, researchers found that those who lived in areas with high concentrations of PM2.5 with advanced pathology also had greater cognitive impairment and more rapid onset of symptoms, including memory loss, difficulty with speech, and diminished judgement, compared to people who lived in areas with lower concentrations of air pollution.
While this study focused on exposures to PM2.5 based on geographic location, researchers acknowledgethat they could not account for individual-specific exposures to air pollution, such as exposure to second-hand smoke in the home, or working with potentially dangerous chemicals.
“In the United States, air pollution is at the lowest levels in decades, but even just a year living in an area with high levels of pollution can have a big impact on a person’s risk for developing Alzheimer’s disease,” said Lee. “It underscores the value of environmental justice efforts that focus on reducing air pollution to improve public health.”
This research is funded by the National Institutes of Health and the National Institute of Environmental Health Sciences (P30AG072979, P01AG066597, U19AG062418, P01AG084497, and P30ES013508).
The sleep switch that builds muscle, burns fat, and boosts brainpower

As every bodybuilder knows, a deep, restful sleep boosts levels of growth hormone to build strong muscle and bone and burn fat. And as every teenager should know, they won’t reach their full height potential without adequate growth hormone from a full night’s sleep.
But why lack of sleep — in particular the early, deep phase called non-REM sleep — lowers levels of growth hormone has been a mystery.
In a study published in the current issue of the journal Cell, researchers from University of California, Berkeley, dissect the brain circuits that control growth hormone release during sleep and report a novel feedback mechanism in the brain that keeps growth hormone levels finely balanced.
The findings provide a map for understanding how sleep and hormone regulation interact. The new feedback mechanism could open avenues for treating people with sleep disorders tied to metabolic conditions like diabetes, as well as degenerative diseases like Parkinson’s and Alzheimer’s.
“People know that growth hormone release is tightly related to sleep, but only through drawing blood and checking growth hormone levels during sleep,” said study first author Xinlu Ding, a postdoctoral fellow in UC Berkeley’s Department of Neuroscience and the Helen Wills Neuroscience Institute. “We’re actually directly recording neural activity in mice to see what’s going on. We are providing a basic circuit to work on in the future to develop different treatments.”
Because growth hormone regulates glucose and fat metabolism, insufficient sleep can also worsen risks for obesity, diabetes and cardiovascular disease.
The sleep-wake cycle
The neurons that orchestrate growth hormone release during the sleep-wake cycle — growth hormone releasing hormone (GHRH) neurons and two types of somatostatin neurons — are buried deep in the hypothalamus, an ancient brain hub conserved in all mammals. Once released, growth hormone increases the activity of neurons in the locus coeruleus, an area in the brainstem involved in arousal, attention, cognition and novelty seeking. Dysregulation of locus coeruleus neurons is implicated in numerous psychiatric and neurological disorders.
“Understanding the neural circuit for growth hormone release could eventually point toward new hormonal therapies to improve sleep quality or restore normal growth hormone balance,” said Daniel Silverman, a UC Berkeley postdoctoral fellow and study co-author. “There are some experimental gene therapies where you target a specific cell type. This circuit could be a novel handle to try to dial back the excitability of the locus coeruleus, which hasn’t been talked about before.”
The researchers, working in the lab of Yang Dan, a professor of neuroscience and of molecular and cell biology, explored the neuroendocrine circuit by inserting electrodes in the brains of mice and measuring changes in activity after stimulating neurons in the hypothalamus with light. Mice sleep for short periods — several minutes at a time — throughout the day and night, providing many opportunities to study growth hormone changes during sleep-wake cycles.
Using state-of-the-art circuit tracing, the team found that the two small-peptide hormones that control the release of growth hormone in the brain — GHRH, which promotes release, and somatostatin, which inhibits release — operate differently during REM and non-REM sleep. Somatostatin and GHRH surge during REM sleep to boost growth hormone, but somatostatin decreases and GHRH increases only moderately during non-REM sleep to boost growth hormone.
Released growth hormone regulates locus coeruleus activity, as a feedback mechanism to help create a homeostatic yin-yang effect. During sleep, growth hormone slowly accumulates to stimulate the locus coeruleus and promote wakefulness, the new study found. But when the locus coeruleus becomes overexcited, it paradoxically promotes sleepiness, as Silverman showed in a study published earlier this year.
“This suggests that sleep and growth hormone form a tightly balanced system: Too little sleep reduces growth hormone release, and too much growth hormone can in turn push the brain toward wakefulness,” Silverman said. “Sleep drives growth hormone release, and growth hormone feeds back to regulate wakefulness, and this balance is essential for growth, repair and metabolic health.”
Because growth hormone acts in part through the locus coeruleus, which governs overall brain arousal during wakefulness, a proper balance could have a broader impact on attention and thinking.
“Growth hormone not only helps you build your muscle and bones and reduce your fat tissue, but may also have cognitive benefits, promoting your overall arousal level when you wake up,” Ding said.
The work was funded by the Howard Hughes Medical Institute (HHMI), which until this year supported Dan as an HHMI investigator, and the Pivotal Life Sciences Chancellor’s Chair fund. Dan is the Pivotal Life Sciences Chancellor’s Chair in Neuroscience. Other co-authors of the paper are Peng Zhong, Bing Li, Chenyan Ma, Lihui Lu, Grace Jiang, Zhe Zhang, Xiaolin Huang, Xun Tu and Zhiyu Melissa Tian of UC Berkeley; and Fuu-Jiun Hwang and Jun Ding of Stanford University.
Seven blood molecules that could explain why you’re always sleepy

Mass General Brigham researchers identified seven molecules in the blood linked to excessive daytime sleepiness, including factors related to diet and hormones.
Approximately one in three Americans reports experiencing overwhelming drowsiness during the day — a condition known as excessive daytime sleepiness (EDS). EDS is linked to an increased risk of serious conditions such as cardiovascular disease, obesity, and diabetes. A new study led by investigators from Mass General Brigham and Beth Israel Deaconess Medical Center identifies several molecules in the blood, known as metabolites, that are linked to EDS. Findings suggest that risk of the condition may be influenced by both internal body processes, such as hormone levels, and external factors such as diet. Results are published in Lancet eBioMedicine.
“Our study suggests diet and genetics may play an important role in EDS,” said lead author Tariq Faquih, PhD, a postdoctoral fellow in the Division of Sleep and Circadian Disorders at Brigham and Women’s Hospital, a founding member of the Mass General Brigham healthcare system. “As we learn what’s happening biologically, we are beginning to understand how and why EDS occurs, the early signs that someone might have it, and what we can do to help patients.”
Researchers collected data on 877 metabolites, naturally occurring molecules in the body influenced by diet and hormones. The team used blood samples from 6,000 participants in the Hispanic Community Health Study/Study of Latinos. The team also used data from a questionnaire that assesses how often a person dozes off during the day in various scenarios. The team replicated the findings in The Multi-Ethnic Study of Atherosclerosis (MESA) study and studies in the UK and Finland.
They identified seven metabolites associated with EDS. An additional three metabolites were identified that varied by sex. The team found that omega-3 and omega-6 fatty acids, which are commonly found in foods that make up Mediterranean-like diets, were associated with lower risk of EDS. Other metabolites, such as tyramine, which is found in fermented and overripe foods, were associated with increased daytime sleepiness, particularly in men. Sex steroid metabolites, such as progesterone, were associated with sleep-related processes such as melatonin production.
Researchers note that the results suggest potential treatment targets for EDS and that dietary changes or medications may lead to better treatment. They also note some limitations to the study, including difficulty in interpreting exact values of metabolites and using a sleep questionnaire instead of bringing participants into a sleep lab for tests.
Future directions could include conducting a clinical trial to see if dietary changes or supplements can help reduce daytime sleepiness. Additionally, the authors identified some unknown metabolites that they plan to explore further.
“Conducting a clinical trial would be a big next step and could help us understand if omega-3s and omega-6s obtained from diet could help lower risk of EDS,” said Faquih.
Authorship: In addition to Faquih, MGB authors include Kaitlin S. Potts, Pavithra Nagarajan, Hanna M. Ollila, Tianyi Huang, Clary B. Clish, Susan Redline, Tamar Sofer, and Heming Wang.
Disclosures: Redline discloses consulting relationships with Eli Lilly Inc., Jazz Pharma, and Apnimed Inc. Additionally, Redline serves as an unpaid board member for the Alliance for Sleep Apnoea Partners and has received loaned equipment for a multi-site study: oxygen concentrators from Philips Respironics and polysomnography equipment from Nox Medical.
Funding: This study was funded by the National Institutes of Health (R01HL153814, R01HL161012 and 7R01HL161012) and the JLH Foundation.
Lab ‘revolutionising’ maternity training – NHS
The lab is used to recreate emergency situations so staff can learn in a risk-free environment.
AI has no idea what it’s doing, but it’s threatening us all

The age of artificial intelligence (AI) has transformed our interactions, but threatens human dignity on a worldwide scale, according to a study led by Charles Darwin University (CDU).
Study lead author Dr Maria Randazzo, an academic from CDU’s School of Law, found the technology was reshaping Western legal and ethical landscapes at unprecedented speed but was undermining democratic values and deepening systemic biases.
Dr Randazzo said current regulation failed to prioritize fundamental human rights and freedoms such as privacy, anti-discrimination, user autonomy, and intellectual property rights – mainly thanks to the untraceable nature of many algorithmic models.
Calling this lack of transparency a “black box problem,” Dr Randazzo said decisions made by deep-learning or machine-learning processes were impossible for humans to trace, making it difficult for users to determine if and why an AI model has violated their rights and dignity and seek justice where necessary.
“This is a very significant issue that is only going to get worse without adequate regulation,” Dr Randazzo said.
“AI is not intelligent in any human sense at all. It is a triumph in engineering, not in cognitive behavior.
“It has no clue what it’s doing or why – there’s no thought process as a human would understand it, just pattern recognition stripped of embodiment, memory, empathy, or wisdom.”
Currently, the world’s three dominant digital powers – the United States, China, and the European Union – are taking markedly different approaches to AI, leaning on market-centric, state-centric, and human-centric models respectively.
Dr Randazzo said the EU’s human-centric approach is the preferred path to protect human dignity but without a global commitment to this goal, even that approach falls short.
“Globally, if we don’t anchor AI development to what makes us human – our capacity to choose, to feel, to reason with care, to empathy and compassion – we risk creating systems that devalue and flatten humanity into data points, rather than improve the human condition,” she said.
“Humankind must not be treated as a means to an end.”
“Human dignity in the age of Artificial Intelligence: an overview of legal issues and regulatory regimes” was published in the Australian Journal of Human Rights.
The paper is the first in a trilogy Dr Randazzo will produce on the topic.
This common sugar builds stronger cancer-killing T cells

For cancer, and infection-fighting T cells, glucose offers far more than a simple sugar rush.
A new discovery by Van Andel Institute scientists reveals that glucose, an essential cellular fuel that powers immune cells, also aids in T cells’ internal communication and boosts their cancer-fighting properties. The findings may help optimize T cells’ ability to combat cancer and other diseases.
A study describing the work published on September 2 in Cell Metabolism.
“Immune cells are highly influenced by their environment” said Joseph Longo, Ph.D., the study’s first author and a postdoctoral fellow in the lab of Russell Jones, Ph.D. “We knew that T cells need access to glucose to function, but we didn’t know exactly why. It was previously thought that T cells mainly break down glucose for energy, but our new work shows that T cells use glucose as a building block for other molecules that are necessary to support T cells’ anti-cancer properties.”
The findings reveal that T cells allocate significant portions of glucose to build large molecules called glycosphingolipids (GSLs). These sugar-fat compounds are essential for T cell growth and making proteins that T cells use to combat cancer.
GSLs help form fat-rich structures on T cell surfaces called lipid rafts, which bring together cell signaling proteins that instruct the T cell to kill cancer cells. Without GSLs, these signals are weaker, making T cells less effective at destroying tumors.
“Both T cells and cancer cells leverage different nutrients to support varying aspects of their function,” Jones said. “The more we know about these different fuel sources, the better we can support T cells’ innate cancer-fighting abilities while also developing ways to possibly make cancer cells more vulnerable to immune attack.”
Other authors include Lisa M. DeCamp, Brandon M. Oswald, Ph.D., Robert Teis, Alfredo Reyes-Oliveras, Ph.D., Michael S. Dahabieh, Ph.D., Abigail E. Ellis, Michael P. Vincent, Ph.D., Hannah Damico, M.B., Kristin L. Gallik, Ph.D., Nicole M. Foy, Shelby E. Compton, Ph.D., Colt D. Capan, M.S., Kelsey S. Williams, Ph.D., Corinne R. Esquibel, Ph.D., Zachary B. Madaj, M.S., Hyoungjoo Lee, Ph.D., Connie Krawczyk, Ph.D., Brian B. Haab, Ph.D., and Ryan D. Sheldon, Ph.D., of VAI; and Dominic G. Roy, Ph.D., of Université de Montréal.
Research reported in this publication was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under award no. R01AI165722 (Jones). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Dinosaur teeth reveal secrets of Jurassic life 150 million years ago

What did long-necked dinosaurs eat – and where did they roam to satisfy their hunger? A team of researchers has reconstructed the feeding behavior of sauropods using cutting-edge dental wear analysis. Their findings, published in Nature Ecology and Evolution, show that microscopic enamel wear marks provide surprising insights into migration, environmental conditions, and niche distribution within ecosystems from 150 million years ago.
How did massive dinosaurs live during the Jurassic period? What did they eat, how did they share their habitats – and did they perhaps migrate seasonally? These questions have been explored by an international team of researchers led by Dr Daniela E. Winkler, a postdoctoral researcher at Kiel University, Dr Emanuel Tschopp, visiting scientist at the LIB and research associate at Freie Universität Berlin, and André Saleiro, PhD student at NOVA University Lisbon. Their new study employs an unusual method: using wear marks on fossilised teeth as a window into the past.
“I still find it fascinating that microscopic scratches on fossil teeth can tell us so much about diet and even behavior,” says Winkler, an expert in the applied methodology. The technique, known as Dental Microwear Texture Analysis (DMTA), was originally developed by a research group led by LIB scientist Professor Thomas Kaiser for studying mammals. The current study, published in Nature Ecology and Evolution, marks the first systematic application of the method to sauropods. The analyses were carried out in the laboratories of the LIB.
Tooth Enamel as an Environmental Archive
The team analyzed 322 high-resolution 3D scans of tooth surfaces from three geological formations that are famous for their dinosaur fossils: the Lourinhã Formation in Portugal, the Morrison Formation in the USA, and the Tendaguru Formation in Tanzania. All the teeth came from a total of 39 individuals. Samples were taken directly from original teeth or from high-resolution silicone molds. “We’re talking about structures at the micrometer scale,” Winkler explains. “These tiny wear marks results from the interaction between tooth and food – they reveal what the animals had eaten in the last days or weeks of their lives.”
Surprising Differences between Species and Regions
The statistical analyses revealed clear differences between various sauropod groups and their localities oder geographic regions. Particularly striking was the high variability in wear patterns among the flagellicaudatans – a group of long-tailed sauropods that includes the well-known Diplodocus. This heterogeneity suggests that these animals had access to a variety of food sources and displayed generalist feeding behavior.
A particular surprise was that Camarasaurus specimens from both Portugal and the USA had highly uniform wear patterns. Such consistency in microwear is unlikely to be explained solely by uniform plant availability – rather, it indicates that these dinosaurs deliberately sought out the same preferred food sources throughout the year. “The climate at the time in both Portugal and the USA was highly seasonal, so certain plants likely weren’t available year-round,” explains Emanuel Tschopp. “The consistency in Camarasaurus tooth wear suggests they may have migrated seasonally to access the same resources.”
Things were different with the titanosauriforms from Tanzania, whose teeth showed significantly more intense and complex wear. The researchers interpret this as a result of specific environmental conditions: the Tendaguru Formation featured tropical to semi-arid climates and nearby was a large desert belt, from where quartz sand was probably often blown onto plants these sauropods ate. This sand-contaminated diet likely caused the highly abrasive wear patterns seen on the teeth.
Climate, Not Plant Variety, as the Key Factor
There were also clear differences between the regions themselves: teeth from Tanzania were consistently more heavily worn than those from Portugal or the USA. The crucial influencing factor? Climate.
“One of the most interesting aspects of this work is that we were able to relate differences in dental wear patterns to palaeogeography and the habitat preferences of different sauropod faunas,” concludes André Saleiro. These findings also guide his future research: “The study showed me how to approach my ongoing work on niche partitioning in herbivorous dinosaurs – by focusing on specific palaeo-environments to better understand the ecological relationships within species groups, and how these differences evolved across ecosystems.”
For Emanuel Tschopp, this is also one of the most exciting elements of the research: “With these microscopic traces, we can suddenly make behavioral statements about these enormous extinct animals. Migration, specialization, niche use – it all becomes tangible.” Another notable aspect: wear patterns differed depending on the area of the tooth – on the side (buccal) or on the chewing surface (occlusal). These differences were accounted for in the analysis to avoid distortion.
Relevance for Biodiversity Research
This study provides not only new insights into the lives of individual dinosaur species but also contributes to a broader understanding of paleoecological relationships. Niche partitioning, climate-driven adaptations, and potential competition avoidance can thus be identified even in fossilized ecosystems.
“We demonstrate that ecological principles like niche formation and migration behavior were important not just today, but already 150 million years ago,” says Winkler. Tschopp adds: “The sauropods of the Morrison Formation show enormous species diversity – and that diversity was only possible because the species behaved differently and occupied different dietary niches.”
Looking Ahead: More Teeth, More Knowledge
The research is far from over. Future studies aim to explore whether juvenile and adult sauropods differed in their diets, or how dwarf species such as Europasaurus from Lower Saxony adapted to their specific island environment. Saleiro is already working on an expanded dataset for the Portuguese fauna, including other herbivorous dinosaurs.
“What excites me is that we can keep refining this method – and every new sample adds another piece to the puzzle,” says Winkler. “Our tools are getting better – and so is our understanding of what life back then was really like.” Tschopp agrees: “We’re still at the beginning with this method – but combining paleontology, modern technology and interdisciplinary collaboration opens up fascinating insights into ancient worlds.”
Disabled NHS medic told she’s ‘not a real doctor’
Disabled and neurodivergent doctors say the lack of reasonable adjustments is pushing some out.
