Public sector pay: Workers offered pay rises of around 6%

PM Rishi Sunak said the offer to workers was final and there would be “no more talks on pay”.

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Pay rise announced as junior doctors strike in England

NHS doctors will get pay rise of 6%, says government, as junior medics in England stage longest strike yet.

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NHS waiting lists hit record high in England

The latest data shows 7.47 million people are waiting for routine hospital treatment.

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Activation and Suppression: A New 60-Day Challenge

Recently I had a delightful three-hour Zoom conversation with a friend, mostly about psychedelics. One key insight – very applicable outside of psychedelics – was realizing how important it is to be cognizant of our inner suppression circuitry and to challenge it, question it, and sometimes bypass it. Lots of ideas that we generate each day are decent and workable, but our brains internally reject or dismiss them.

Think of this as the default mode network (your everyday way of thinking) defending its equilibrium. It tries to maintain the status quo, such that your future expectations are projected forward as relatively predictable extensions of your past. So you largely keep doing what you’ve been doing. And consequently, your results will fall within a certain range of predictability as well.

This keeps your life fairly stable, but it’s also limiting, holding you back from turning in different directions or powerfully pursuing stretch goals that would disrupt your old status quo.

What if your default mode network is keeping you broke? Or depressed? Or anxious? Or lonely? Or addicted? It doesn’t always work as we’d like. Stability can be nice for some, but many people really struggle with their brain’s current default mode.

Knowing that your default mode network will defend your status quo is empowering because then you can be on the lookout for its defenses kicking in, and this creates opportunities to consciously bypass them. You can use other parts of your brain to challenge the default mode network, nudging your thoughts, feelings, and actions down different pathways.

Psychedelics can help us see that more options are viable, and such substances can even rewire the default mode network, but we can also consciously strive to catch these suppressions as they arise. Note the inner objections that arise when you consider certain ideas, and lean towards implementing those ideas anyway. Be a bit like Jim Carrey’s character in the Yes Man movie, at least when you’re considering new actions that your default mode network would otherwise object to. The article Embrace the New goes into more detail on leaning into new experiences.

We don’t necessarily need more or better ideas to open up a tremendous world of abundance and possibility. We just need to suppress fewer ideas and allow more of them to flow into action and exploration. We can consciously develop more neural flexibility by becoming aware of how the default mode network operates and by challenging and redirecting some of its decisions. Deliberately override some of those default choices.

When I think about blogging about psychedelics and openly sharing what I’m learning from these explorations, I can feel my suppression circuitry objecting because this is a relatively recent exploration that’s been ramping up for me, so my default mode network isn’t fully on board with it. Internally it still generates thoughts like these:

  • Your audience isn’t a match for this kind of content.
  • Writing about this will scare people away.
  • It’s too early; maybe wait a few years till the current psychedelics wave has grown more prominent, so more people are already into it.
  • You’re not a psychedelics coach or therapist, so why are you sharing about this?
  • Why not write about some safer vanilla topics instead?
  • You could just keep this exploration to yourself .
  • And so on…

This reminded me of how useful my 30-day challenge of generating 100 ideas per day was, back in the Fall of 2021. I became more aware of how many ideas my mind quickly rejects and how it rejects them. During that challenge I ended up implementing some of those previously rejected ideas, and they worked very well. Some were financially lucrative too.

In general I’ve benefitted greatly by challenging my default mode network repeatedly, even to the point where I’ve trained it to be more cooperative and flexible over time. For instance, by thinking of myself as an explorer, including asking questions like, “What would a personal growth explorer do here?” I got this frame pretty well embedded into my default way of thinking about life and work. I consider this superior to thinking of myself primarily as a blogger, writer, speaker, coach, etc. because the explorer frame is way more flexible. It gives me more freedom to have new experiences, and it actually fuels other aspects of my work, such as by always giving me fresh experiences from which to derive and share insights.

I’m also reminded of how easy it is to see opportunity blindness in other people and hard to see it in ourselves. You’re probably surrounded by accessible opportunities each day, yet you talk yourself out of them constantly, or your subconscious mind blocks them from even bubbling up to your conscious awareness. Especially notice the ideas that have been resurfacing now and then for years, and you keep dismissing them. What if you did the opposite for a change?

How easy is it for you to quickly act upon new ideas? If a divergent new possibility or invitation comes onto your radar, can you get yourself to explore it with ease? I like having flexible neurology that lets me quickly explore something new and promising, not recklessly or randomly but intelligently. I can quickly assess whether it seems worth exploring without having my default mode network over-suppress.

For instance, I only learned about the Psychedelic Science 2023 conference’s existence a couple weeks before it happened, and I quickly signed up and went, including doing some touristy stuff in Denver too, a city which was new to me as well. In the past when I learned about a potentially interesting and relevant conference, my default mode network would have easily talked me out of it for being too far removed from my status quo. It would have raised immediately objections regarding the time, cost, scheduling, inconvenience, doubts about the benefits, etc.

I can see that many of my best ideas were ones that I had many years prior that kept resurfacing, until I finally loosened up on objecting to them and leaned into exploring them. Exploring psychedelics was just one of many that I suppressed for years with thoughts like “Well, I don’t even know where to get anything,” until I eventually stopped suppressing and began considering it rationally.

Suppression often seems rational but frequently isn’t. Typically the default mode network’s defenses are very thin, hinting that some deep thought went into them when in reality they’re usually superficial calculations with very little substance when you look beneath the surface.

A 60-Day Activation & Suppression Challenge

To help train my brain to be more even more flexible, I’ve decided to deliberately practice this conscious activation of otherwise suppressed ideas.

Yesterday I began a new 60-day challenge of identifying at least one suppressed idea each day and implementing it instead of suppressing it. Pick something that my default mode network is trying to talk me out of, and talk myself into it and do it instead. See what happens.

Some days this will involve catching my brain in the act of suppressing an idea, and I’ll un-suppress it and do it instead. If it’s complex or can’t be done right away, I’ll aim to take some action to advance it that same day. I’ll be traveling for three weeks during this time, so I’ll need some flexibility there, but this kind of challenge fits nicely with travel, encouraging more spontaneity and flexibility.

Other days I may brainstorm some ideas first, and then I’ll identify one where my default response is to dismiss the idea as bad, and I’ll advance it instead.

I like that this is fairly simple and action-oriented but also flexible. I think it will be pretty easy for me to know if I meet this standard each day. I just have to be able to end each day with one identifiable action I took that I’d have otherwise suppressed if I wasn’t doing this challenge.

A short while after making this commitment, I had the thought to add another spin to this challenge, which is to flip it around and also catch an idea that I’d normally advance by default each day, and suppress it instead. So each day for 60 days, I will:

  1. Advance one suppressed-by-default idea.
  2. Suppress one activated-by-default idea.

This seems like a great way to practice consciously challenging and redirecting my default mode network, ideally training it to be more flexible.

Doing one of each is the minimum to check off each day, but I’ll likely do more than one of each per day.

I only began yesterday, so I’m just getting started, but I’m already noticing that this is making me more aware of how my default mode network is working. I’m noticing when ideas it allows to pass through by default versus ideas where it objects and quickly tries to suppress them, redirecting my thoughts and actions down a different pathway.

Wish me luck! 😀

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Covid inquiry: Tick-box meetings with government during pandemic, says O’Neill

Former deputy first minister Michelle O’Neill was giving evidence to the Covid-19 inquiry.

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Detailed map of the heart provides new insights into cardiac health and disease

In a new study, published today (12 July) in Nature, researchers have produced the most detailed and comprehensive human Heart Cell Atlas to date, including the specialised tissue of the cardiac conduction system — where the heartbeat originates.

The multi-centre team is led by the Wellcome Sanger Institute and the National Heart and Lung Institute at Imperial College London, and has also presented a new drug-repurposing computational tool called Drug2cell, which can provide insights into the effects of drugs on heart rate.

This study is part of the international Human Cell Atlas* (HCA) initiative, which is mapping every cell type in the human body, to transform our understanding of health and disease, and will form the foundation for a fully integrated HCA Human Heart Cell Atlas.

Charting eight regions of the human heart, the work describes 75 different cell states including the cells of the cardiac conduction system — the group of cells responsible for the heartbeat — not understood at such a detailed level (1) in humans before. The human cardiac conduction system, the heart’s ‘wiring’, sends electrical impulses from the top to the bottom of the heart and coordinates the heartbeat.

By using spatial transcriptomics, which gives a “map” of where cells sit within a tissue, researchers were also able to understand how these cells communicate with each other for the first time. This map acts as a molecular guidebook, showing what healthy cells look like, and providing a crucial reference to understand what goes wrong in disease. The findings will help understand diseases such as those affecting the heart rhythm.

The assembly of a Human Heart Cell Atlas is key given that cardiovascular diseases are the leading cause of death globally. Around 20,000 electronic pacemakers are implanted each year in the UK for these disorders (2). These can be ineffective and are prone to complications and side-effects (3). Understanding the biology of the cells of the conduction system and how they differ from muscle cells paves the way to therapies to boost cardiac health and develop targeted treatments for arrhythmias.

The team also presents a new computational tool called Drug2cell. The tool can predict drug targets as well as drug side effects. It leverages single-cell profiles and the 19 million drug-target interactions in the EMBL-EBI ChEMBL database.

Unexpectedly, this tool identified that pacemaker cells express the target of certain medications, such as GLP1 drugs, which are used for diabetes and weight loss and are known to increase the heart rate as a side-effect, the mechanism of which was unclear. This study suggests that the increase in heart rate might be partly due to a direct action of these drugs on pacemaker cells, a finding the team also showed in an experimental stem cell model of pacemaker cells.

Dr James Cranley, joint first author, a cardiologist specialising in heart rhythm disorders and PhD student at the Wellcome Sanger Institute, said: “The cardiac conduction system is critical for the regular and coordinated beating of our hearts, yet the cells which make it up are poorly understood. This study sheds new light by defining the profiles of these cells, as well as the multicellular niches they inhabit. This deeper understanding opens the door to better, targeted anti-arrhythmic therapies in the future.”

Dr Kazumasa Kanemaru, joint first author and Postdoctoral Fellow in the Gene Expression Genomics team at the Wellcome Sanger Institute, said: “The mechanism of activating and suppressing pacemaker cell genes is not clear, especially in humans. This is important for improving cell therapy to facilitate the production of pacemaker cells or to prevent the excessive spontaneous firing of cells. By understanding these cells at an individual genetic level, we can potentially develop new ways to improve heart treatments.”

The study unearthed an unexpected discovery: a close relationship between conduction system cells and glial cells. Glial cells are part of the nervous system and are traditionally found in the brain. They have been explored very little in the heart. This research suggests that glial cells are in physical contact with conduction system cells and may play an important supporting role: communicating with the pacemaker cells, guiding nerve endings to them, and supporting their release of glutamate, a neurotransmitter.

Another key finding of the study is an immune structure on the heart’s outer surface. This contains plasma cells, which release antibodies into the space around the heart to prevent infection from the nearby lungs. The researchers also identified a cellular niche enriching for a hormone (4) that could be interpreted as an early warning sign of heart failure.

Dr Michela Noseda, senior Lecturer in Cardiac Molecular Pathology at the National Heart and Lung Institute, Imperial College London, a Coordinator of the Human Cell Atlas Heart BioNetwork and a lead author, said: “We often don’t fully know what impact a new treatment will have on the heart and its electrical impulses — this can mean a drug is withdrawn or fails to make it to the market. Our team developed the Drug2cell platform to improve how we evaluate new treatments and how they can affect our hearts, and potentially other tissues too. This could provide us with an invaluable tool to identify new drugs which target specific cells, as well as help to predict any potential side-effects early on in drug development.”

Professor Metin Avkiran, Associate Medical Director at the British Heart Foundation, which part-funded the research with the German Centre for Cardiovascular Research (DZHK), said: “Using cutting-edge technologies, this research provides further intricate detail about the cells that make up specialised regions of the human heart and how those cells communicate with each other. The new findings on the heart’s electrical conduction system and its regulation are likely to open up new approaches to preventing and treating rhythm disturbances that can impair the heart’s function and may even become life-threatening.”

“International collaboration is key to scientific progress. This impactful study and other discoveries from the broader Human Cell Atlas initiative are excellent examples of what can be achieved when the international research community works together across borders. Our combined efforts can ultimately produce better outcomes for patients worldwide.”

Dr Sarah Teichmann, a senior author of the study from the Wellcome Sanger Institute and co-chair of the Human Cell Atlas Organising Committee, said: “This Heart Cell Atlas reveals cardiac microanatomy in unprecedented detail, including the cardiac conduction system that enables each heartbeat, and is a valuable reference for studying heart disease and designing potential therapeutics. An important contribution to the global Human Cell Atlas initiative, which is mapping every cell type in the body to understand health and disease, it will form the foundation for a fully integrated HCA Human Heart Cell Atlas. In addition, our suite of computational methods will help identify possibilities for repurposing existing drugs to treat diseases in other tissues.”

More information can be found at https://www.humancellatlas.org/

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Global study details microplastics contamination in lakes and reservoirs

Around 14 million tons of plastic end up in the ocean every year. But that is not the only water source where plastic represents a significant intrusion.

“We found microplastics in every lake we sampled,” said Ted Harris, associate research professor for the Kansas Biological Survey & Center for Ecological Research at the University of Kansas.

“Some of these lakes you think of as clear, beautiful vacation spots. But we discovered such places to be perfect examples of the link between plastics and humans.”

Harris is one of 79 researchers belonging to the international Global Lake Ecological Observatory Network (GLEON), which examines processes and phenomena occurring in freshwater environments. Their new paper, titled “Plastic debris in lakes and reservoirs,” reveals that concentrations of plastic found in freshwater environments are actually higher than those found in so-called “garbage patches” in the ocean. The article is published in Nature.

For his role, Harris teamed with Rebecca Kessler, his former student and recent KU graduate, to test two Kansas lakes (Clinton and Perry) and the Cross Reservoir at the KU Field Station.

“That entailed us going out, tolling a net with tiny little holes in it, dragging it for about two minutes, then collecting those samples of microplastics and sending them off to (the lead researchers),” Kessler said.

The research project was designed and coordinated by the Inland Water Ecology and Management research group of the University of Milano-Bicocca, Italy (headed by Barbara Leoni and Veronica Nava). The team sampled surface waters of 38 lakes and reservoirs, distributed across gradients of geographical position and limnological attributes. It detected plastic debris in all studied lakes and reservoirs.

“This paper essentially shows the more humans, the more plastics,” Harris said. “Places like Clinton Lake are relatively low in microplastics because — while there are many animals and trees — there aren’t a lot of humans, relative to somewhere like Lake Tahoe where people are living all around it. Some of these lakes are seemingly pristine and beautiful, yet that’s where the microplastics come from.”

Harris said that many of the plastics are from something as outwardly innocuous as T-shirts.

“The simple act of people getting in swimming and having clothing that has microplastic fibers in it leads to microplastics getting everywhere,” he said.

The GLEON study cites two types of water bodies studied that are particularly vulnerable to plastic contamination: lakes and reservoirs in densely populated and urbanized areas; and those with elevated deposition areas, long water retention times and high levels of anthropogenic influence.

“When we started the study, I didn’t know a lot about microplastics versus large plastics,” Harris said.

“When this paper says ‘concentrations as much or worse than the garbage patch,’ you always think of the big bottles and stuff, but you’re not thinking of all that smaller stuff. You don’t see a huge garbage patch in Lake Tahoe, yet it’s one of the most impacted lakes when it comes to microplastics. Those are plastics you can’t really see with the naked eye, and then you get underneath a scope at 40,000x, and you see these little jagged pieces and other particles that are the same size as algae or even smaller.”

Part of Harris and Kessler’s enthusiasm for taking part in this project was to highlight a region of the U.S. that is often overlooked.

“In this study, there’s one dot in the middle of the country, and that’s our sample,” he said. “In Iowa, Missouri and Colorado, there’s this huge swath of area that has water bodies, but we often don’t get them into those massive global studies. So it was really important for me to put Kansas on the map to see and contextualize what these differences are in our lakes.”

Harris has worked at KU since 2013, where his research focuses on aquatic ecology. Kessler graduated KU in 2022 with a degree in ecology, evolutionary & organismal biology.

“The biggest takeaway from our study is that microplastics can be found in all lakes,” Kessler said. “Obviously, there are different concentrations. But they are literally everywhere. And the biggest contributing factor to these microplastics is human interaction with the lakes.”

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A foundation that fits just right gives superconducting nickelates a boost

Researchers at the Department of Energy’s SLAC National Accelerator Laboratory and Stanford University say they’ve found a way to make thin films of an exciting new nickel oxide superconductor that are free of extended defects.

Not only does this improve the material’s ability to conduct electricity with no loss, they said, but it also allows them to discover its true nature and properties, both in and out of the superconducting state, for the first time.

Their first look at a superconducting nickel oxide, or nickelate, that does not have defects revealed that it is more like the cuprates – which hold the world’s high-temperature record for unconventional superconductivity at normal pressures — than previously thought. For instance, when the nickelate is tweaked to optimize its superconductivity and then heated above its superconducting temperature, its resistance to the flow of electric current increases in a linear fashion, just as in cuprates.

Those striking similarities, they said, may mean these two very different materials achieve superconductivity in much the same way.

It’s the latest step in a 35-year quest to develop superconductors that can operate at close to room temperature, which would revolutionize electronics, transportation, power transmission and other technologies by allowing them to operate without energy-wasting electrical resistance.

The research team, led by Harold Hwang, director of the Stanford Institute for Materials and Energy Sciences (SIMES) at SLAC, described their work today in the journal Nature.

“Nickelate films are really unstable, and until now our efforts to stabilize them on top of other materials have produced defects that are like speed bumps for electrons,” said Kyuho Lee, a SIMES postdoctoral researcher who contributed to the discovery of superconductivity in nickelates four years ago and has been working on them ever since.

“These quality issues have led to many debates and open questions about nickelate properties, with research groups reporting widely varying results,” Lee said. “So eliminating the defects is a significant breakthrough. It means we can finally address the underlying physics behind these materials and behind unconventional superconductivity in general.”

Jenga chemistry and a just-right fit

The defects, which are a bit like misaligned zipper teeth, arise from the same innovative process that allowed Hwang’s team to create and stabilize a nickelate film in the first place.

They started by making a common material known as perovskite. They “doped” it to change its electrical conductivity, then exposed it to a chemical that deftly removed layers of oxygen atoms from its molecular structure, much like removing a stick from a tower of Jenga blocks. With the oxygen layers gone, the film settled into a new structure — known as an infinite-layer nickelate -that can host superconductivity.

The atomic latticework of this new structure occupied a slightly bigger surface area than the original. With this in mind, they had built the film on a foundation, or substrate, that would be a good fit for the finished, spread-out product, Lee said.

But it didn’t match the atomic lattice of the starting material, which developed defects as it tried to fit comfortably onto the substrate — and those imperfections carried through to the finished nickelate.

Hwang said it’s as if two friends of different sizes had to share a coat. If the coat fit the smaller friend perfectly, the larger one would have a hard time zipping it up. If it fit the larger friend perfectly, it would hang like a tent on the smaller one and let the cold in. An in-between size might not be the best fit for either of them, but it’s close enough to keep them both warm and happy.

That’s the solution Lee and his colleagues pursued.

In a series of meticulous experiments, they used a substrate that was like the in-between coat. The atomic structure of its surface was a close enough fit for both the starting and ending materials that the finished nickelate came out defect-free. Lee said the team is already starting to see some interesting physics in the nickelate now that the system is much cleaner.

“What this means,” Hwang said, “is that we are getting closer and closer to measuring the intrinsic properties of these materials. And by sharing the details of how to make defect-free nickelates, we hope to benefit the field as a whole.”

Researchers from Cornell University contributed to this work, which was funded by the DOE Office of Science and the Gordon and Betty Moore Foundation’s Emergent Phenomena in Quantum Systems Initiative.

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Call for clarity over NHS role after misdiagnosis death

Emily Chesterton, who saw a physician associate twice before she died, did not know they were not a GP.

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Concerns over focus on skin colour in newborn checks

A report questions the language used for some checks, including assessing whether the baby is “pink all over”.

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