More than 50 ambulance staff assisted an operation to get child patients to UK hospitals.
Category Archives: Mind Building
NHS struggling with ‘long tail’ of pandemic mental ill health
There were 4.3 million NHS referrals for conditions such as anxiety and depression in 2021 across England.
Climate scientists reconsider the meaning and implications of drought in light of a changing world

Maps of the American West have featured ever darker shades of red over the past two decades. The colors illustrate the unprecedented drought blighting the region. In some areas, conditions have blown past severe and extreme drought into exceptional drought. But rather than add more superlatives to our descriptions, one group of scientists believes it’s time to reconsider the very definition of drought.
Researchers from half a dozen universities investigated what the future might hold in terms of rainfall and soil moisture, two measurements of drought. The team, led by UC Santa Barbara’s Samantha Stevenson, found that many regions of the world will enter permanent dry or wet conditions in the coming decades, under modern definitions. The findings, published in the Proceedings of the National Academy of Sciences, reveal the importance of rethinking how we classify these events as well as how we respond to them.
“Essentially, we need to stop thinking about returning to normal as a thing that is possible,” said Stevenson, an assistant professor in the Bren School of Environmental Science & Management. This idea affects both how we define drought and pluvial (abnormally wet) events and how we adapt to a changing environment.
A drought is when conditions are drier than expected. But this concept becomes vague when the baseline itself is in flux. Stevenson suggests that, for some applications, it’s more productive to frame drought relative to this changing background state, rather than a region’s historical range of water availability.
To predict future precipitation and soil moisture levels, Stevenson and her colleagues turned to a new collection of climate models from different research institutions. Researchers had run each model many times with slightly different initial conditions, in what scientists call an “ensemble.” Since the climate is an inherently chaotic system, researchers use ensembles to account for some of this unpredictability.
The results show a world where certain regions are in permanent drought while others experience perennial pluvial for the rest of the 21st century. The team calculated the year in which average soil moisture will exceed the threshold that defines either a megadrought or a megapluvial. “In other words, at what point do average conditions exceed what we would consider a megadrought if it happened now, [and never return to ‘normal’]” Stevenson said.
The western United States has already crossed this benchmark, and there are other places headed that way as well, including Australia, southern Africa and western Europe. “But, again, that’s if we use today’s definition of a drought,” Stevenson said.
The authors argue that we need to move away from fixed definitions toward a more nuanced account of drought and pluvial. “Our idea of normal is, in a sense, meaningless when ‘normal’ is continuously changing,” Stevenson added.
Climate models indicate that average soil moisture in many regions will continue to drop. That said, the team’s ensembles suggests that soil moisture will continue to experience drought-related variation similar to today, relative to the ever-drier baseline.
The fluctuation highlights the need to consider both long term changes and the usual ups and downs associated with historic droughts and pluvials. “The most important management challenge will be to adjust for the relentless declines in water availability, as this exceeds the expected impact of future megadroughts,” said co-author Julia Cole, a professor at the University of Michigan.
Precipitation patterns, on the other hand, will become much more extreme. Warm air holds more moisture than cold air. So as the atmosphere heats up, it’ll be able to suck more moisture from dry areas and dump more precipitation on wet regions.
“We wanted to consider both precipitation and soil moisture at the same time because that can be important for water management,” Stevenson said. For instance, we will need to adapt infrastructure to more arid conditions in the American West, but that infrastructure will also need to handle more intense rainfall.
“When we talk about being in a drought, the presumption is that eventually the drought will end, and conditions will return to normal,” Stevenson said. “But if we’re never returning to normal, then we need to adapt all of the ways that we manage water with the expectation that normal will continually be drier and drier every year.”
Ready, set…GO! Scientists discover a brain circuit that triggers the execution of planned movement

Planned movement is essential to our daily lives, and it often requires delayed execution. As children, we stood crouched and ready but waited for the shout of “GO!” before sprinting from the starting line. As adults, we wait until the traffic light turns green before making a turn. In both situations, the brain has planned our precise movements but suppresses their execution until a specific cue (e.g., the shout of “GO!” or the green light). Now, scientists have discovered the brain network that turns plans into action in response to this cue.
The discovery, published in the scientific journal Cell, results from a collaboration of scientists at the Max Planck Florida Institute for Neuroscience, HHMI’s Janelia Research Campus, the Allen Institute for Brain Science, and others. Led by co-first authors Dr. Hidehiko Inagaki and Dr. Susu Chen and senior author Dr. Karel Svoboda, the scientists set out to understand how cues in our environment can trigger planned movement.
“The brain is like an orchestra,” said Dr. Inagaki. “In a symphony, instruments play diverse tunes with different tempos and timbres. The collective of these sounds shapes a musical phrase. Similarly, neurons in the brain are active with diverse patterns and timing. The ensemble of neuronal activities mediates specific aspects of our behavior.”
For example, the motor cortex is a brain area that controls movement. Activity patterns in the motor cortex are dramatically different between the planning and execution phases of movement. The transition between these patterns is critical to trigger movement. Yet, the brain areas controlling this transition were unknown. “There must be brain areas acting as the conductor,” described Dr. Inagaki. “Such areas monitor environmental cues and orchestrate neuronal activities from one pattern to the other. The conductor ensures that plans are converted into action at the right time.”
To identify the neural circuit that serves as the conductor to initiate planned movement, the team simultaneously recorded the activity of hundreds of neurons while a mouse performed a cue-triggered movement task. In this task, mice were trained to lick to the right if whiskers were touched or to the left if whiskers were not touched. If the animals licked in the correct direction, they received a reward. However, there was a catch. The animals had to delay their movement until a tone, or “go cue,” was played. Only correct movements after the go cue would be rewarded. Therefore, mice maintain a plan of the direction they will lick until the go cue and execute the planned lick after.
The scientists then correlated complex neuronal activity patterns to relevant stages of the behavioral task. The researchers found brain activity occurring immediately after the go cue and during the switch between motor planning and execution. This brain activity arose from a circuit of neurons in the midbrain, thalamus, and cortex.
To test whether this circuit acted as a conductor, the team used optogenetics. This approach enabled the scientists to activate or inactivate this circuit using light. Activating this circuit during the planning phase of the behavioral task switched the mouse’s brain activity from motor planning to execution and caused the mouse to lick. On the other hand, turning off the circuit while playing the go cue suppressed the cued movement. The mice remained in a motor planning stage as if they had not received the go cue.
This work by Dr. Inagaki and his colleagues identified a neural circuit critical for triggering movement in response to environmental cues. Dr. Inagaki explains how their findings demonstrate generalizable features of behavioral control. “We have found a circuit that can change the activity of the motor cortex from motor planning to execution at the appropriate time. This gives us insight into how the brain orchestrates neuronal activity to produce complex behavior. Future work will focus on understanding how this circuit and others reorganize neuronal activity across many brain regions.”
In addition to these fundamental advances in understanding how the brain functions, this work has important clinical implications. In motor disorders, such as Parkinson’s disease, patients experience difficulty in self-initiated movement, including difficulty in walking. However, adding environmental cues to trigger movements, such as lines on the floor or auditory tones, can dramatically improve a patient’s mobility. This phenomenon, known as paradoxical kinesia, suggests that different mechanisms in the brain are recruited for self-initiated movement and cue-triggered movement. Discovering the brain networks involved in cue-triggered movements, which are relatively spared in Parkinson’s disease, may help to optimize treatment.
Fast-melting alpine permafrost may contribute to rising global temperatures

From the ancient sludge of lakebeds in Asia’s Tibetan Plateau, scientists can decipher a vision of Earth’s future. That future, it turns out, will look very similar to the mid-Pliocene warm period — an epoch 3.3 million to 3 million years ago when the average air temperature at mid-latitudes rarely dropped below freezing. It was a time when permanent ice was just beginning to cling to the northern polar regions, and mid-latitude alpine permafrost — or perpetually frozen soil — was much more limited than today.
Global permafrost today contains a whopping 1,500 trillion grams of carbon. That’s twice as much as what’s stored in the atmosphere. Alpine permafrost, which is found closer to the equator at high elevations, isn’t as well studied as arctic permafrost but contains 85 trillion grams of carbon. When melted, it can release carbon dioxide and methane — greenhouse gases that influence global temperature.
Alpine permafrost is expected to melt at a faster rate than arctic permafrost under current global warming conditions, according to new research published in Nature Communications, and this may contribute even more to rising global temperatures.
“Atmospheric carbon dioxide concentrations today are similar, or maybe even higher, than the mid-Pliocene because of the burning of fossil fuels, and so scientists point at that time period as an analog for our current and near-future climate,” said paper co-author Carmala Garzione, dean of the University of Arizona College of Science. “We’re not feeling the full effects of the rise in atmospheric carbon dioxide yet because our Earth system takes time to adjust.”
“We wanted to estimate the stability of modern permafrost globally in a warmer-than-today climate scenario,” said Feng Cheng, the paper’s lead author and a professor at Peking University in China. Cheng formerly worked with Garzione as a postdoctoral fellow. “Our findings were very surprising and highlight the fact that we need to put more effort into monitoring the stability of the permafrost in the alpine region.”
The team used carbonate — a family of minerals — that formed in a Tibetan Plateau lake to estimate temperatures during the Pliocene period (5.3 to 2.6 million years ago) and the Pleistocene period (between 2.6 million and 11,700 years ago). When algae grows in lakes, it absorbs carbon dioxide from the water and, as a result, decreases lake acidity. That decrease drives the lake to form finely grained carbonate minerals that settle at the lake bottom. The atoms in that carbonate reflect the temperature at which the carbonate formed, and can be used like a time-traveling thermometer.
The Tibetan Plateau, which sits at an elevation over 15,400 feet, is the largest alpine permafrost region on Earth, but others can be found in the Mongolian Plateau in central Asia, the Canadian and American Rocky Mountains, the southern stretches of the Andes, and other mountain ranges worldwide at elevations where the air temperature is consistently below freezing.
The team also modeled the paleoclimate on Earth during the Pliocene. They found that not only was the average temperature of much of the Tibetan Plateau above freezing in the Pliocene, but the same was true for many of the alpine regions across the globe.
Ultimately, the modeling suggests that under current levels of atmospheric carbon dioxide, 20% of arctic permafrost land area and 60% of alpine permafrost land area will be lost in the future. High altitude alpine regions are more sensitive than high latitude arctic regions to warming under higher atmospheric carbon dioxide conditions.
“The Pliocene is an important period as an ancient analog for how Earth will adjust to the carbon dioxide that humans have already released to the atmosphere,” Garzione said. “We need better and broader studies of the vulnerability of alpine regions under global warming scenarios. There’s been a lot of focus on the stability of arctic permafrost, because it covers more land area and contains a huge reservoir of organic carbon trapped in permafrost, but we also need to be aware that alpine regions stand to lose more permafrost proportionally and are important in understanding of potential carbon release under global warming scenarios.”
Story Source:
Materials provided by University of Arizona. Original written by Mikayla Mace Kelley. Note: Content may be edited for style and length.
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How do blind cavefish survive their low-oxygen environment?

Cavefish have obvious adaptations such as missing eyes and pale colors that demonstrate how they evolved over millennia in a dark, subterranean world.
Now researchers at the University of Cincinnati say these incredible fish have an equally remarkable physiology that helps them cope with a low-oxygen environment that would kill other species.
Biologists in UC’s College of Arts and Sciences found that Mexican cavefish produce more hemoglobin through red blood cells that are much larger compared to those of surface-dwelling fish. Hemoglobin helps the body transport oxygen and carbon dioxide between a fish’s cells and organs and its gills.
The study was published in the Nature journal Scientific Reports. It demonstrates how much more there is to learn about animals that have intrigued biologists for 200 years.
“I’ve been fascinated by these fish for a long time,” UC associate professor Joshua Gross said.
Cavefish evolved in caverns around the world. The species UC biologists examined, Astyanax mexicanus, diverged as recently as 20,000 years ago from surface fish still found in nearby streams in Sierra de El Abra, Mexico.
Cavefish are pale pink and nearly translucent compared to their silvery counterparts on the surface. While cavefish have the faintest outline of vestigial eye sockets, the surface tetras have enormous round eyes that give them a perpetually surprised expression.
Despite their many obvious physical differences, the two fish are considered by many to be members of the same species, Gross said.
“Unlike Charles Darwin’s finches in the Galapagos that are separated at the species level, both the cavefish and surface fish are considered members of the same species and can interbreed,” he said.
That makes them a good model system for biologists to study evolutionary and genetic adaptations, Gross said.
Gross and his students have learned a lot about these puzzling fish over the years. They found that the fish’s skull is asymmetrical, which could be an adaptation for navigating in a world with no visual cues. And they identified the gene responsible for the fish’s ghostly pallid color. It’s the same gene responsible for red hair color in people.
Scientists elsewhere have reported that cavefish sleep less than surface fish.
For the latest study, Gross and UC biology students Jessica Friedman and Tyler Boggs, the study’s lead author, examined hemoglobin in cavefish blood to see if it might explain how they survive the low-oxygen environment of deep underground caves. The UC study examined cavefish from three populations in Mexican caves called Chica, Tinaja and Pachón.
While fast-moving surface streams are saturated with oxygen, cavefish live in deep caverns where standing water lies undisturbed for long periods. Studies have found that some of these standing pools have far less dissolved oxygen than surface waters.
“They move around all the time, but they have little access to nutrition,” Boggs said. “It’s a paradox. They’re expending all this energy. Where does it come from?”
Blood samples revealed that cavefish have more hemoglobin than surface fish. UC researchers assumed that cavefish must have a higher hematocrit — a clinical measure of the relative contribution of red blood cells in whole blood.
These researchers expected to find more red blood cells in cavefish, “But they were virtually the same,” Gross said. “We couldn’t figure out what was going on.”
UC biologists examined the red blood cells of both fish and found that those of cavefish are much larger by comparison.
“That size difference largely explains the differences in hematocrit,” Gross said. “We know very little about the mechanism of cell size in evolution, so this finding is something we could capitalize on to gain insight into how animals evolve elevated hemoglobin capacity.”
Gross said the elevated hemoglobin might allow cavefish to forage longer in the low-oxygen environment. Cavefish often have to work harder to find limited food available in the caves.
Boggs said scientists are very interested in how fish draw oxygen from the water. Because of climate change and human development, marine systems are seeing more ecological disasters such as red tides, algae blooms that create low-oxygen environments that often lead to massive fish kills.
“There is a lot of ecological relevance here,” he said. “It’s happening in freshwater environments, saltwater environments. Researchers are trying to call attention to this awful issue.”
