Draft guidelines for the NHS say women giving birth can ask for a morphine-like painkiller instead of a spinal block.
Category Archives: Mind Building
Mudskippers could be key to understanding evolution of blinking

Blinking is crucial for the eye. It’s how animals clean their eyes, protect them, and even communicate. But how and why did blinking originate? Researchers at the Georgia Institute of Technology, Seton Hill University, and Pennsylvania State University studied the mudskipper, an amphibious fish that spends most of its day on land, to better understand why blinking is a fundamental behavior for life on land.
Although mudskippers are distantly related to tetrapods, the group that includes humans and other four-limbed vertebrates, researchers believed studying the fish could unlock how blinking evolved as these animals began to move on land.
The research team, which included several undergraduates, published their findings in the paper, “The Origin of Blinking in Both Mudskippers and Tetrapods Is Linked to Life on Land,” in Proceedings of the National Academies of Science.
“By comparing the anatomy and behavior of mudskippers to the fossil record of early tetrapods, we argue that blinking emerged in both groups as an adaptation to life on land,” said Tom Stewart, an assistant professor at Penn State and an author of the paper. “These results help us understand our own biology and raise a whole set of new questions about the variety of blinking behaviors we see in living species.”
Breaking Down Blinking
Mudskippers blink by sucking their eye downward into their eye socket. The evolution of this behavior did not require the evolution of a lot of new parts such as new muscles or special glands, though. Instead, mudskippers use their existing set of eye muscles in a new way.
“This is a very exciting result because it demonstrates that the evolution of a new, complex behavior can be achieved using a relatively rudimentary set of structures,” said Brett Aiello, a former postdoctoral fellow in the Agile Systems Lab and now assistant professor at Seton Hill.
Next, the research team set out to determine why mudskippers blink. In a series of experiments, they found that mudskippers blink for three main functions: to wet, clean, and protect the eye. These functions are also why humans and other land-dwelling vertebrates blink.
“We find that a single behavior can be deployed to accomplish three complex, distinct functions,” said Aiello. “These results not only help humans understand our own history, but also help us reevaluate the adaptations necessary for major transitions in the evolutionary history of vertebrates, like moving from water to land.”
Blinking isn’t just a unique research question, but also an important mechanism to understand, according to Saad Bhamla, an assistant professor in Georgia Tech’s School of Chemical and Biomolecular Engineering and author on the paper.
“We all blink without thinking, and understanding why we blink is just such a beautiful puzzle right in front of our eyes,” Bhamla said. “Through our research on mudskippers and by conducting biophysical and morphological analyses, we expose how blinking serves a multitude of functions for adapting to life out of water.”
Engaging Undergraduates
To explore such open-ended questions, the researchers engaged the Vertically Integrated Projects (VIP) program, which allows undergraduates to conduct long-term, large-scale research projects as part of their coursework at Georgia Tech.
“The structure of the VIP course empowers students to really lean on their own creativity and drive the project in the directions that are most exciting to them,” said Aiello. “It helps our students gain the ability to solve unknown problems on the ground as they arise — a lot of people become scientists to push research somewhere where nobody else has tried to go before.”
The VIP structure is inherently multidisciplinary. While Aiello is a biologist, most students were engineers and brought their respective expertise. Manognya Sripathi was a biomedical engineering major with a minor in computer science and offered her unique experience to the mudskipper problem.
“I used my computer science skills to gather raw data and analyze and plot them using programs like MATLAB or Python,” Sripathi said. “I also used engineering skills to help build the experimental equipment, allowing us to apply engineering methods to study a biological problem in a unique way.”
Moving Beyond Mudskippers
Te research didn’t just expand knowledge of mudskippers — it also contributed to each student’s future aspirations. For example, Kendra Washington’s trajectory was influenced by the two semesters she spent in the lab.
“VIP drew me closer to the programming and device areas of my biomedical engineering major and solidified why I picked up a computer science minor,” she said. “I continued to pursue that fusion through later internships and research, and now work with hemodynamic monitoring. But in a sense, I still help characterize physiology through programming.”
VIP also expanded the students’ knowledge and scientific experience that have propelled them far beyond the lab. Hajime Minoguchi, a biomedical engineering graduate, now works as a systems integration research and development engineer thanks to his experience in the class.
“Working in an interdisciplinary team like this has allowed me to learn how to understand and communicate ideas between disciplines, which allowed me to be a more well-rounded engineer,” Minoguchi said. “My work requires a thorough understanding of biology, electrical circuitry, software, firmware, mechanical interactions, and physics. This VIP experience was instrumental for me in being successful at my current job.”
The research is far greater than the sum of its parts and brings a greater understanding of evolution, noted Simon Sponberg, an associate professor in the School of Physics and the School of Biological Sciences.
“Blinking is a reflection of a bigger question,” Sponberg said. “How did major evolutionary transitions occur that enabled organisms to inhabit basically every environment on this planet? What we learned is you don’t need the evolution of a lot of specialized musculature or glands; evolution can tinker with the structures that are already there, allowing them to be used in a new way and for a new behavior.”
Scientists detect seismic waves traveling through Martian core

Scientists observed seismic waves traveling through Mars’ core for the first time and confirmed model predictions of the core’s composition.
An international research team — which included University of Maryland seismologists — used seismic data acquired by the NASA InSight lander to directly measure properties of Mars’s core, finding a completely liquid iron-alloy core with high percentages of sulfur and oxygen. Published in the Proceedings of the National Academy of Sciences on April 24, 2023, these findings reveal new insights into how Mars formed and geological differences between Earth and Mars that may ultimately play a role in sustaining planetary habitability.
“In 1906, scientists first discovered the Earth’s core by observing how seismic waves from earthquakes were affected by traveling through it,” said UMD Associate Professor of Geology Vedran Lekic, second author of the paper. “More than a hundred years later, we’re applying our knowledge of seismic waves to Mars. With InSight, we’re finally discovering what’s at the center of Mars and what makes Mars so similar yet distinct from Earth.”
To determine these differences, the team tracked the progression of two distant seismic events on Mars, one caused by a marsquake and the other by a large impact, and detected waves that traveled through the planet’s core. By comparing the time it took those waves to travel through Mars compared to waves that stayed in the mantle, and combining this information with other seismic and geophysical measurements, the team estimated the density and compressibility of the material the waves traveled through. The researchers’ results indicated that Mars most likely has a completely liquid core, unlike Earth’s combination of a liquid outer core and solid inner core.
Additionally, the team inferred details about the core’s chemical composition, such as the surprisingly large amount of light elements (elements with low atomic numbers) — namely sulfur and oxygen — present in Mars’ innermost layer. The team’s findings suggested that a fifth of the core’s weight is made up of those elements. This high percentage differs sharply from the comparatively lesser weight proportion of light elements in Earth’s core, indicating that Mars’ core is far less dense and more compressible than Earth’s core, a difference that points to different conditions of formation for the two planets.
“You can think of it this way; the properties of a planet’s core can serve as a summary about how the planet formed and how it evolved dynamically over time. The end result of the formation and evolution processes can be either the generation or absence of life-sustaining conditions,” explained UMD Associate Professor of Geology Nicholas Schmerr, another co-author of the paper. “The uniqueness of Earth’s core allows it to generate a magnetic field that protects us from solar winds, allowing us to keep water. Mars’ core does not generate this protective shield, and so the planet’s surface conditions are hostile to life.”
Although Mars does not currently have a magnetic field, scientists hypothesize that there was once a magnetic shielding similar to Earth’s core-generated field due to traces of magnetism lingering in Mars’ crust. Lekic and Schmerr noted that this might mean that Mars gradually evolved to its current conditions, changing from a planet with a potentially habitable environment into an incredibly hostile one. Conditions in the interior play a key role in this evolution, as might violent impacts, according to the researchers.
“It’s like a puzzle in some ways,” Lekic said. “For example, there are small traces of hydrogen in Mars’ core. That means that there had to be certain conditions that allowed the hydrogen to be there, and we have to understand those conditions in order to understand how Mars evolved into the planet it is today.”
The team’s findings have ultimately confirmed the accuracy of current modeling estimates that aim to unravel the layers hidden beneath a planet’s surface. For geophysicists like Lekic and Schmerr, research like this is also paving the way for future geophysics-oriented expeditions to other celestial bodies, including planets like Venus and Mercury.
“This was a huge effort, involving state-of-the-art seismological techniques which have been honed on Earth, in conjunction with new results from mineral physicists and the insights from team members who simulate how planetary interiors change over time,” noted Jessica Irving, a senior lecturer at Bristol University and first author of the study. “But the work paid off, and we now know much more about what’s happening inside the Martian core.”
“Even though the InSight mission ended in December 2022 after four years of seismic monitoring, we’re still analyzing the data that was collected,” Lekic said. “InSight will continue to influence how we understand the formation and evolution of Mars and other planets for years to come.”
Vaccine printer could help vaccines reach more people

Getting vaccines to people who need them isn’t always easy. Many vaccines require cold storage, making it difficult to ship them to remote areas that don’t have the necessary infrastructure.
MIT researchers have come up with a possible solution to this problem: a mobile vaccine printer that could be scaled up to produce hundreds of vaccine doses in a day. This kind of printer, which can fit on a tabletop, could be deployed anywhere vaccines are needed, the researchers say.
“We could someday have on-demand vaccine production,” says Ana Jaklenec, a research scientist at MIT’s Koch Institute for Integrative Cancer Research. “If, for example, there was an Ebola outbreak in a particular region, one could ship a few of these printers there and vaccinate the people in that location.”
The printer produces patches with hundreds of microneedles containing vaccine. The patch can be attached to the skin, allowing the vaccine to dissolve without the need for a traditional injection. Once printed, the vaccine patches can be stored for months at room temperature.
In a study appearing today in Nature Biotechnology, the researchers showed they could use the printer to produce thermostable Covid-19 RNA vaccines that could induce a comparable immune response to that generated by injected RNA vaccines, in mice.
Jaklenec and Robert Langer, the David H. Koch Institute Professor at MIT and a member of the Koch Institute, are the senior authors of the study. The paper’s lead authors are former MIT postdoc Aurelien vander Straeten, former MIT graduate student Morteza Sarmadi ’21, and postdoc John Daristotle.
Printing vaccines
Most vaccines, including mRNA vaccines, have to be refrigerated while stored, making it difficult to stockpile them or send them to locations where those temperatures can’t be maintained. Furthermore, they require syringes, needles, and trained health care professionals to administer them.
To get around this obstacle, the MIT team set out to find a way to produce vaccines on demand. Their original motivation, before Covid-19 arrived, was to build a device that could quickly produce and deploy vaccines during outbreaks of diseases such as Ebola. Such a device could be shipped to a remote village, a refugee camp, or military base to enable rapid vaccination of large numbers of people.
Instead of producing traditional injectable vaccines, the researchers decided to work with a novel type of vaccine delivery based on patches about the size of a thumbnail, which contain hundreds of microneedles. Such vaccines are now in development for many diseases, including polio, measles, and rubella. When the patch is applied to the skin, the tips of the needles dissolve under the skin, releasing the vaccine.
“When Covid-19 started, concerns about vaccine stability and vaccine access motivated us to try to incorporate RNA vaccines into microneedle patches,” Daristotle says.
The “ink” that the researchers use to print the vaccine-containing microneedles includes RNA vaccine molecules that are encapsulated in lipid nanoparticles, which help them to remain stable for long periods of time.
The ink also contains polymers that can be easily molded into the right shape and then remain stable for weeks or months, even when stored at room temperature or higher. The researchers found that a 50/50 combination of polyvinylpyrrolidone and polyvinyl alcohol, both of which are commonly used to form microneedles, had the best combination of stiffness and stability.
Inside the printer, a robotic arm injects ink into microneedle molds, and a vacuum chamber below the mold sucks the ink down to the bottom, making sure that ink reaches all the way to the tips of the needles. Once the molds are filled, they take a day or two to dry. The current prototype can produce 100 patches in 48 hours, but the researchers anticipate that future versions could be designed to have higher capacity.
Antibody response
To test the long-term stability of the vaccines, the researchers first created an ink containing RNA that encodes luciferase, a fluorescent protein. They applied the resulting microneedle patches to mice after being stored at either 4 degrees Celsius or 25 degrees Celsius (room temperature) for up to six months. They also stored one batch of the particles at 37 degrees Celsius for one month.
Under all of these storage conditions, the patches induced a strong fluorescent response when applied to mice. In contrast, the fluorescent response produced by a traditional intramuscular injection of the fluorescent-protein-encoding RNA declined with longer storage times at room temperature.
Then, the researchers tested their Covid-19 microneedle vaccine. They vaccinated mice with two doses of the vaccine, four weeks apart, then measured their antibody response to the virus. Mice vaccinated with the microneedle patch had a similar response to mice vaccinated with a traditional, injected RNA vaccine.
The researchers also saw the same strong antibody response when they vaccinated mice with microneedle patches that had been stored at room temperature for up to three months.
“This work is particularly exciting as it realizes the ability to produce vaccines on demand,” says Joseph DeSimone, a professor of translational medicine and chemical engineering at Stanford University, who was not involved in the research. “With the possibility of scaling up vaccine manufacturing and improved stability at higher temperatures, mobile vaccine printers can facilitate widespread access to RNA vaccines.”
While this study focused on Covid-19 RNA vaccines, the researchers plan to adapt the process to produce other types of vaccines, including vaccines made from proteins or inactivated viruses.
“The ink composition was key in stabilizing mRNA vaccines, but the ink can contain various types of vaccines or even drugs, allowing for flexibility and modularity in what can be delivered using this microneedle platform,” Jaklenec says.
Other authors of the paper are Maria Kanelli, Lisa Tostanoski, Joe Collins, Apurva Pardeshi, Jooli Han, Dhruv Varshney, Behnaz Eshaghi, Johnny Garcia, Timothy Forster, Gary Li, Nandita Menon, Sydney Pyon, Linzixuan Zhang, Catherine Jacob-Dolan, Olivia Powers, Kevin Hall, Shahad Alsaiari, Morris Wolf, Mark Tibbitt, Robert Farra, and Dan Barouch.
The research was funded by the Biomedical Advanced Research and Development Authority (BARDA), the Belgian American Educational Foundation, Wallonia-Brussels International, the Bodossaki Foundation, the Onassis Foundation, the National Institutes of Health, and the Koch Institute Support (core) Grant from the National Cancer Institute.
Ministers in legal move to cut nurse strike short
Health secretary asks judges to rule whether union has mandate for the last day of its next walkout.
Cryo-imaging lifts the lid on fuel cell catalyst layers

Proton-exchange membrane fuel cells (PEMFC), which are being developed for use in electric vehicles, rely on nanoparticles called catalysts to trigger electricity-producing reactions between hydrogen and oxygen. Most PEMFC catalysts contain platinum — a scarce and precious metal. There is therefore a pressing global need to develop catalysts that can generate the most power while minimizing platinum content.
Manufacturers integrate these catalysts in complex assemblies called catalyst layers. Until now, they had to do so without a detailed picture of the resulting structure, as traditional imaging processes almost always cause some degree of damage. Vasiliki Tileli, head of the Laboratory for in-situ nanomaterials characterization with electrons in the School of Engineering, has found a way around this challenge. By imaging catalysts and their environment at below-freezing temperatures using cryogenic transmission electron tomography and processing the images with deep learning, she and her colleagues have succeeded in revealing, for the first time, the nanoscale structure of catalyst layers.
“We’re still far away from PEMFCs without platinum, which is very expensive, so in the short term, we need to reduce platinum loading to make this technology viable for mass production. It’s therefore imperative to understand how platinum sits in relation to other materials within the catalyst layer, to increase the surface area contact required for chemical reactions to take place,” Tileli explains.
“That’s why it’s quite an achievement to image these catalysts in three dimensions; before, it was impossible to have the right contrast between the different catalyst layer components.” The work has recently been published in the journal Nature Catalysis.
Better preservation; higher resolution
During imaging using conventional electron microscopy, delicate catalyst layer samples often become damaged by electron beams, causing materials to shrink or deform. By carrying out the imaging in-situ at cryo-temperatures, Tileli and her team were able to preserve most of the catalyst layer’s morphology. Then, they used a machine learning algorithm to more accurately denoise and classify the images, allowing them to achieve a higher image resolution than had ever previously been possible.
Crucially, the scientists were able to reveal the heterogenous thickness of a porous polymer layer on the catalysts called ionomer. Ionomer thickness strongly influences how well platinum catalysts perform.
“The ionomer must have a certain thickness for the catalytic reactions to happen efficiently. Because we could do a full reconstruction of catalyst layers with limited damage to the structure, we could show, for the first time, how much platinum is covered with ionomer and the thickness of that coverage,” Tileli explains.
Such information could be a gold mine for catalyst manufacturers, who could use it to produce catalysts with more platinum particles that are covered by the right amount of ionomer — and that therefore perform optimally.
“The cryo-aspect is the key component of this study. Ionomers are like proteins: they are soft, and require freezing conditions to stabilize and protect their structure,” Tileli says.
“I think this advanced technique will therefore be useful not just for facilitating the mass manufacturing of PEMFCs through optimized platinum use, but also for many different materials science and energy applications — for example, battery storage, water electrolysis, and energy conversion systems in general.”
Arterial stiffness may cause metabolic syndrome in adolescents via an increase in fasting insulin and LDL cholesterol

Arterial stiffness may be a novel risk factor for metabolic syndrome in teens, a paper published in the American Journal of Physiology-Heart and Circulatory Physiology concludes. The study was conducted in collaboration between the University of Bristol in the UK, the University of Exeter in the UK, and the University of Eastern Finland.
The World Health Organization describes metabolic syndrome as the constellation of three or more of the following: abdominal obesity, insulin resistance, hypertension, and hyperlipidemia. The prevalence of metabolic syndrome in US middle-aged adults is 30%, increasing to 50% in adults older than 60 years. In Finland, the prevalence of metabolic syndrome is 30% in men and 25% in women. Metabolic syndrome increases the risk of worsening obesity, type 2 diabetes, cardiovascular disease, and premature death.
Already among children aged 6 — 12 years, the prevalence of metabolic syndrome is approximately 3% while among adolescents aged 13 — 18 years, the prevalence is approximately 5% globally. Among children who are overweight, the prevalence of metabolic syndrome is 12% but 29% among children who are obese. This trend in the prevalence of metabolic syndrome is consistent across the globe; hence the need to identify novel causes and prevent or reverse the disease.
A new risk factor for childhood and adolescent metabolic disease such as obesity and insulin resistance is arterial stiffness. This risk factor is being established as a potential cause of type 2 diabetes among adults globally. However, it is not clear whether arterial stiffness causes metabolic syndrome.
The current study included 3,862 adolescents (1,719 males and 2,413 females) aged 17 years who were followed up until age 24 years. These adolescents had dual-energy Xray absorptiometry measurement for trunk fat mass and skeletal muscle mass, as well as fasting blood samples such as glucose, insulin, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglyceride, and high sensitivity C-reactive protein, in addition to smoking status, socio-economic status, family history of cardiovascular disease, and moderate-to-vigorous physical activity. Arterial stiffness was measured with carotid-femoral pulse wave velocity and the presence of any three of high blood pressure, high trunk fat mass, high fasting glucose, high fasting triglyceride, or low fasting high-density lipoprotein cholesterol was considered to describe metabolic syndrome.
The prevalence of metabolic syndrome in the study was 5% in males and 1.1% in females at age 17 years but 8.8% in males and 2.4% in females at age 24 years. This significant sex-difference in the prevalence of metabolic syndrome is due to a higher proportion of males having elevated systolic blood pressure, hyperglycemia, elevated triglyceride, and reduced high-density lipoprotein cholesterol compared to females. However, females had significantly higher trunk fat mass than males.
During the 7-year follow-up, worsening arterial stiffness was associated with a 9% risk of metabolic syndrome in males but there was no statistically significant risk among females. It was also observed that arterial stiffness potentially caused metabolic syndrome; however, metabolic syndrome did not cause arterial stiffness. The pathway through which arterial stiffness caused metabolism syndrome could be partly explained by an increase in fasting insulin (12% contribution) and low-density lipoprotein cholesterol (9% contribution).
“We are seeing for the first time that arterial stiffness in adolescents is an unknown risk factor for metabolic syndrome which may initiate a cascade of disease processes that might lead to type 2 diabetes, cardiovascular disease, and premature death. Early intervention might likely reduce high fasting insulin and low-density lipoprotein cholesterol thereby cutting off 20% of the potential causal effect of arterial stiffness on metabolic syndrome,” says Andrew Agbaje, a physician and clinical epidemiologist at the University of Eastern Finland.
“Pending when randomized clinical trials will be successful in reversing and treating arterial stiffness, it is expedient for caregivers, pediatricians, public health experts, and policymakers to focus on ways to reduce high fasting insulin or insulin resistance and low-density lipoprotein cholesterol, particularly from adolescence through improvement in diet and physical activity,” Agbaje continues.
Dr Agbaje’s research group (urFIT-child) is supported by research grants from Jenny and Antti Wihuri Foundation, the Finnish Cultural Foundation Central Fund, the Finnish Cultural Foundation North Savo Regional Fund, the Orion Research Foundation sr, the Aarne Koskelo Foundation, the Antti and Tyyne Soininen Foundation, the Paulo Foundation, the Yrjö Jahnsson Foundation, the Paavo Nurmi Foundation, the Finnish Foundation for Cardiovascular Research and the Foundation for Pediatric Research.
Teenagers at risk after drop in vaccine take-up
The number of youngsters having jabs since the pandemic has fallen, UK health officials say.
Barry: ‘A stranger I met at the beach gave me her kidney’
Lucy Humphrey’s dog, Indie, “chose” the woman who was able to give her the transplant she needed.
The London Marathon runners who are proud to be slower
Course records were smashed in some London Marathon elite races but how did slower runners get on?
