‘Where I live, many people don’t have teeth’

As the government unveils its NHS dentistry plan, people in England speak about their fight to get seen.

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Health scandal victims need payouts soon – report

Patient watchdog calls for payouts for those left disabled by an epilepsy drug or hurt by pelvic mesh.

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Dentist shortages to be tackled with cash incentive

Dental leaders say new measures to improve access to care in England do not go far enough in meeting needs.

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Study finds strongest evidence to date of brain’s ability to compensate for age-related cognitive decline

Scientists have found the strongest evidence yet that our brains can compensate for age-related deterioration by recruiting other areas to help with brain function and maintain cognitive performance.

As we age, our brain gradually atrophies, losing nerve cells and connections and this can lead to a decline in brain function. It’s not fully understood why some people appear to maintain better brain function than others, and how we can protect ourselves from cognitive decline.

A widely accepted notion is that some people’s brains are able to compensate for the deterioration in brain tissue by recruiting other areas of the brain to help perform tasks. While brain imaging studies have shown that the brain does recruit other areas, until now it has not been clear whether this makes any difference to performance on a task, or whether it provides any additional information about how to perform that task.

In a study published in the journal eLife, a team led by scientists at the University of Cambridge in collaboration with the University of Sussex have shown that when the brain recruits other areas, it improves performance specifically in the brains of older people.

Study lead Dr Kamen Tsvetanov, an Alzheimer’s Society Dementia Research Leader Fellow in the Department of Clinical Neurosciences, University of Cambridge, said: “Our ability to solve abstract problems is a sign of so-called ‘fluid intelligence’, but as we get older, this ability begins to show significant decline. Some people manage to maintain this ability better than others. We wanted to ask why that was the case — are they able to recruit other areas of the brain to overcome changes in the brain that would otherwise be detrimental?”

Brain imaging studies have shown that fluid intelligence tasks engage the ‘multiple demand network’ (MDN), a brain network involving regions both at the front and rear of the brain, but its activity decreases with age. To see whether the brain compensated for this decrease in activity, the Cambridge team looked at imaging data from 223 adults between 19 and 87 years of age who had been recruited by the Cambridge Centre for Ageing & Neuroscience (Cam-CAN).

The volunteers were asked to identify the odd-one-out in a series of puzzles of varying difficulty while lying in a functional magnetic resonance imaging (fMRI) scanner, so that the researchers could look at patterns of brain activity by measuring changes in blood flow.

As anticipated, in general the ability to solve the problems decreased with age. The MDN was particularly active, as were regions of the brain involved in processing visual information.

When the team analysed the images further using machine-learning, they found two areas of the brain that showed greater activity in the brains of older people, and also correlated with better performance on the task. These areas were the cuneus, at the rear of the brain, and a region in the frontal cortex. But of the two, only activity in the cuneus region was related to performance of the task more strongly in the older than younger volunteers, and contained extra information about the task beyond the MDN.

Although it is not clear exactly why the cuneus should be recruited for this task, the researchers point out that this brain region is usually good at helping us stay focused on what we see. Older adults often have a harder time briefly remembering information that they have just seen, like the complex puzzle pieces used in the task. The increased activity in the cuneus might reflect a change in how often older adults look at these pieces, as a strategy to make up for their poorer visual memory.

Dr Ethan Knights from the Medical Research Council Cognition and Brain Sciences Unit at Cambridge said: “Now that we’ve seen this compensation happening, we can start to ask questions about why it happens for some older people, but not others, and in some tasks, but not others. Is there something special about these people — their education or lifestyle, for example — and if so, is there a way we can intervene to help others see similar benefits?”

Dr Alexa Morcom from the University of Sussex’s School of Psychology and Sussex Neuroscience research centre said: “This new finding also hints that compensation in later life does not rely on the multiple demand network as previously assumed, but recruits areas whose function is preserved in ageing.”

The research was supported by the Medical Research Council, the Biotechnology and Biological Sciences Research Council, the European Union’s Horizon 2020 research and innovation programme, the Guarantors of Brain, and the Alzheimer’s Society.

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Understanding the moon’s history with Chang’e-5 sample

Earth’s moon achieved its Swiss cheese appearance from celestial objects crashing into its surface, forming impact craters. But craters weren’t all that was left behind; the intense pressure and temperature of such a collision also impacts the rocks and dust covering the lunar surface, known as regolith, altering its mineral composition and structure. Analyzing the resulting minerals provides modern researchers clues to the moon’s past.

China’s Chang’e-5, the first lunar sample return mission since the Soviet Union’s Luna 24 in 1976, delivered 1.73 kilograms of regolith from the Oceanus Procellarum, a plane named for its vast size. The sample landed with Chang’e-5 (CE-5) in late 2020 and included a new mineral, Changesite-(Y), as well as a perplexing combination of silica minerals.

In Matter and Radiation at Extremes, an AIP Publishing journal, researchers from the Chinese Academy of Sciences compared CE-5’s material composition to other lunar and Martian regolith samples. They examined potential causes and origins for the lunar sample’s unique makeup.

Asteroids and comets collide with the moon at extreme velocities, causing impact (shock) metamorphism in the lunar rocks. This temperature and pressure change occurs rapidly and has distinctive features, including the formation of silica polymorphs like stishovite and seifertite, which are chemically identical to quartz but have different crystalline structures.

“Although the lunar surface is covered by tens of thousands of impact craters, high-pressure minerals are uncommon in lunar samples,” said author Wei Du. “One of the possible explanations for this is that most high-pressure minerals are unstable at high temperatures. Therefore, those formed during impact could have experienced a retrograde process.”

However, a silica fragment in the CE-5 sample contains both stishovite and seifertite, minerals that theoretically only coexist at much higher pressures than the sample seemingly experienced.

The authors determined that seifertite exists as the phase between stishovite and a third silica polymorph, α-cristobalite, also present in the sample.

“In other words, seifertite could form from α-cristobalite during the compressing process, and some of the sample transformed to stishovite during the subsequent temperature-increasing process,” said Du.

This mission also returned a new lunar mineral, Changesite-(Y), a phosphate mineral characterized by colorless, transparent columnar crystals.

The researchers estimated the peak pressure (11-40 GPa) and impact duration (0.1-1.0 second) of the collision that shaped the sample. Combining that information with shock wave models, they estimated the resulting crater to be anywhere from 3 to 32 kilometers wide, depending on the impact angle.

Remote observations show that distant ejecta in CE-5 regolith mainly come from four impact craters, and the Aristarchus crater is the youngest among the four distant craters. Because seifertite and stishovite are easily disturbed by thermal metamorphism, they inferred the silica fragment likely originated from the collision that formed the Aristarchus crater.

This sample return mission demonstrated the power of modern analysis and how it can help uncover the history of celestial bodies.

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Which came first: Black holes or galaxies?

Black holes not only existed at the dawn of time, they birthed new stars and supercharged galaxy formation, a new analysis of James Webb Space Telescope data suggests.

The insights upend theories of how black holes shape the cosmos, challenging classical understanding that they formed after the first stars and galaxies emerged. Instead, black holes might have dramatically accelerated the birth of new stars during the first 50 million years of the universe, a fleeting period within its 13.8 billion — year history.

“We know these monster black holes exist at the center of galaxies near our Milky Way, but the big surprise now is that they were present at the beginning of the universe as well and were almost like building blocks or seeds for early galaxies,” said lead author Joseph Silk, a professor of physics and astronomy at Johns Hopkins University and at Institut of Astrophysics, Paris, Sorbonne University. “They really boosted everything, like gigantic amplifiers of star formation, which is a whole turnaround of what we thought possible before — so much so that this could completely shake up our understanding of how galaxies form.”

The work is newly published in the Astrophysical Journal Letters.

Distant galaxies from the very early universe, observed through the Webb telescope, appear much brighter than scientists predicted and reveal unusually high numbers of young stars and supermassive black holes, Silk said.

Conventional wisdom holds that black holes formed after the collapse of supermassive stars and that galaxies formed after the first stars lit up the dark early universe. But the analysis by Silk’s team suggests that black holes and galaxies coexisted and influenced each other’s fate during the first 100 million years. If the entire history of the universe were a 12-month calendar, those years would be like the first days of January, Silk said.

“We’re arguing that black hole outflows crushed gas clouds, turning them into stars and greatly accelerating the rate of star formation,” Silk said. “Otherwise, it’s very hard to understand where these bright galaxies came from because they’re typically smaller in the early universe. Why on earth should they be making stars so rapidly?”

Black holes are regions in space where gravity is so strong that nothing can escape their pull, not even light. Because of this force, they generate powerful magnetic fields that make violent storms, ejecting turbulent plasma and ultimately acting like enormous particle accelerators, Silk said. This process, he said, is likely why Webb’s detectors have spotted more of these black holes and bright galaxies than scientists anticipated.

“We can’t quite see these violent winds or jets far, far away, but we know they must be present because we see many black holes early on in the universe,” Silk explained. “These enormous winds coming from the black holes crush nearby gas clouds and turn them into stars. That’s the missing link that explains why these first galaxies are so much brighter than we expected.”

Silk’s team predicts the young universe had two phases. During the first phase, high-speed outflows from black holes accelerated star formation, and then, in a second phase, the outflows slowed down. A few hundred million years after the big bang, gas clouds collapsed because of supermassive black hole magnetic storms, and new stars were born at a rate far exceeding that observed billions of years later in normal galaxies, Silk said. The creation of stars slowed down because these powerful outflows transitioned into a state of energy conservation, he said, reducing the gas available to form stars in galaxies.

“We thought that in the beginning, galaxies formed when a giant gas cloud collapsed,” Silk explained. “The big surprise is that there was a seed in the middle of that cloud — a big black hole — and that helped rapidly turn the inner part of that cloud into stars at a rate much greater than we ever expected. And so the first galaxies are incredibly bright.”

The team expects future Webb telescope observations, with more precise counts of stars and supermassive black holes in the early universe, will help confirm their calculations. Silk expects these observations will also help scientists piece together more clues about the evolution of the universe.

“The big question is, what were our beginnings? The sun is one star in 100 billion in the Milky Way galaxy, and there’s a massive black hole sitting in the middle, too. What’s the connection between the two?” he said. “Within a year we’ll have so much better data, and a lot of our questions will begin to get answers.”

Authors include Colin Norman and Rosemary F. G. Wyse of Johns Hopkins; Mitchell C. Begelman of University of Colorado and National Institute of Standards and Technology; and Adi Nusser of the Israel Institute of Technology.

The team is supported by the Israel Science Foundation and the Asher Space Research Institute, as well as Eric and Wendy Schmidt by recommendation of the Schmidt Futures program.

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How common is King’s incidental cancer diagnosis?

Being diagnosed with cancer during treatment for another condition is something many experience.

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New mum urges HIV checks amid case rise

Becky has spoken out as official figures show testing for HIV remains below pre-pandemic levels.

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Sunak admits he has failed to cut NHS waiting lists

The PM is also challenged to make a bet on another of his key pledges, of sending some asylum seekers to Rwanda.

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Under fives betrayed as health declines – experts

Experts highlight child obesity, tooth decay and infant deaths, saying urgent action needed in UK.

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