New atomic-scale understanding of catalysis could unlock massive energy savings

In an advance they consider a breakthrough in computational chemistry research, University of Wisconsin-Madison chemical engineers have developed model of how catalytic reactions work at the atomic scale. This understanding could allow engineers and chemists to develop more efficient catalysts and tune industrial processes — potentially with enormous energy savings, given that 90% of the products we encounter in our lives are produced, at least partially, via catalysis.

Catalyst materials accelerate chemical reactions without undergoing changes themselves. They are critical for refining petroleum products and for manufacturing pharmaceuticals, plastics, food additives, fertilizers, green fuels, industrial chemicals and much more.

Scientists and engineers have spent decades fine-tuning catalytic reactions — yet because it’s currently impossible to directly observe those reactions at the extreme temperatures and pressures often involved in industrial-scale catalysis, they haven’t known exactly what is taking place on the nano and atomic scales. This new research helps unravel that mystery with potentially major ramifications for industry.

In fact, just three catalytic reactions — steam-methane reforming to produce hydrogen, ammonia synthesis to produce fertilizer, and methanol synthesis — use close to 10% of the world’s energy.

“If you decrease the temperatures at which you have to run these reactions by only a few degrees, there will be an enormous decrease in the energy demand that we face as humanity today,” says Manos Mavrikakis, a professor of chemical and biological engineering at UW-Madison who led the research. “By decreasing the energy needs to run all these processes, you are also decreasing their environmental footprint.”

Mavrikakis and postdoctoral researchers Lang Xu and Konstantinos G. Papanikolaou along with graduate student Lisa Je published news of their advance in the April 7, 2023 issue of the journal Science.

In their research, the UW-Madison engineers develop and use powerful modeling techniques to simulate catalytic reactions at the atomic scale. For this study, they looked at reactions involving transition metal catalysts in nanoparticle form, which include elements like platinum, palladium, rhodium, copper, nickel, and others important in industry and green energy.

According to the current rigid-surface model of catalysis, the tightly packed atoms of transition metal catalysts provide a 2D surface that chemical reactants adhere to and participate in reactions. When enough pressure and heat or electricity is applied, the bonds between atoms in the chemical reactants break, allowing the fragments to recombine into new chemical products.

“The prevailing assumption is that these metal atoms are strongly bonded to each other and simply provide ‘landing spots’ for reactants. What everybody has assumed is that metal-metal bonds remain intact during the reactions they catalyze,” says Mavrikakis. “So here, for the first time, we asked the question, ‘Could the energy to break bonds in reactants be of similar amounts to the energy needed to disrupt bonds within the catalyst?'”

According to Mavrikakis’s modeling, the answer is yes. The energy provided for many catalytic processes to take place is enough to break bonds and allow single metal atoms (known as adatoms) to pop loose and start traveling on the surface of the catalyst. These adatoms combine into clusters, which serve as sites on the catalyst where chemical reactions can take place much easier than the original rigid surface of the catalyst.

Using a set of special calculations, the team looked at industrially important interactions of eight transition metal catalysts and 18 reactants, identifying energy levels and temperatures likely to form such small metal clusters, as well as the number of atoms in each cluster, which can also dramatically affect reaction rates.

Their experimental collaborators at the University of California, Berkeley, used atomically-resolved scanning tunneling microscopy to look at carbon monoxide adsorption on nickel (111), a stable, crystalline form of nickel useful in catalysis. Their experiments confirmed models that showed various defects in the structure of the catalyst can also influence how single metal atoms pop loose, as well as how reaction sites form.

Mavrikakis says the new framework is challenging the foundation of how researchers understand catalysis and how it takes place. It may apply to other non-metal catalysts as well, which he will investigate in future work. It is also relevant to understanding other important phenomena, including corrosion and tribology, or the interaction of surfaces in motion.

“We’re revisiting some very well-established assumptions in understanding how catalysts work and, more generally, how molecules interact with solids,” Mavrikakis says.

Manos Mavrikakis is Ernest Micek Distinguished Chair, James A. Dumesic Professor, and Vilas Distinguished Achievement Professor in Chemical and Biological Engineering at the University of Wisconsin-Madison.

Other authors include Barbara A.J. Lechner of the Technical University of Munich, and Gabor A. Somorjai and Miquel Salmeron of Lawrence Berkeley National Laboratory and the University of California, Berkeley.

The authors acknowledge support from the U.S. Department of Energy, Basic Energy Sciences, Division of Chemical Sciences, Catalysis Science Program, Grant DE-FG02-05ER15731; the Office of Basic Energy Sciences, Division of Materials Sciences and Engineering, of the U.S. Department of Energy under contract no. DE-AC02-05CH11231, through the Structure and Dynamics of Materials Interfaces program (FWP KC31SM).

Mavrikakis acknowledges financial support from the Miller Institute at UC Berkeley through a Visiting Miller Professorship with the Department of Chemistry.

The team also used the National Energy Research Scientific Computing Center, a DOE Office of Science User Facility supported by the Office of Science of the U.S. Department of Energy under Contract No. DE-AC02-05CH11231 using NERSC award BES- ERCAP0022773.

Part of the computational work was carried out using supercomputing resources at the Center for Nanoscale Materials, a DOE Office of Science User Facility located at Argonne National Laboratory, supported by DOE contract DE-AC02-06CH11357.

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AI-Enhanced Personal Growth: My Journey with ChatGPT and Goal Planning

This year I’ve been working extensively with AI tools, especially ChatGPT and Stable Diffusion. Most recently, I used ChatGPT to conduct our quarterly goal planning reviews in Conscious Growth Club. So this is the first time our members received the AI’s feedback on their goals in addition to mine. I shared these reviews on a Zoom call on Tuesday.

Here are some thoughts about the personal growth aspect of working with AI tools professionally.

Working with AI Can Be Slow and Tiring

I’m sure some people approach AI like a personal content farm, so in that case it can be faster for them, especially if they’re not too particular about the output.

For me it’s the opposite because my priorities are different. I have no need to use AI to write for me since I don’t find the AI’s basic output that impressive most of the time, and I don’t find that aspect of it very interesting. I also think a lot of people don’t really want to see an Internet flooded with AI-generated material.

The way I use it – mostly for ideation work and to consider and explore many more options – is slower but also gives me the chance to increase the quality of my work in one or more dimensions. I like using AI to be smarter, not to be faster or more voluminous.

This extra AI exploration can be very mentally tiring though. I find it engaging while I’m doing it, but by the end of the day, I often feel spent. I think that’s mainly because I don’t have the long-term experience in working with AI to make these mental processes more efficient yet. I’d say I’ve reached the point of being consciously competent but not yet unconsciously competent. I still need to bring a lot of focus and concentration to this kind of work to make it productive. I do think I’m improving though.

I need to learn how the AI thinks to some extent (or how the underlying model behaves), so I can anticipate the best ways to prompt it to get closer to the results I’m seeking. That takes a lot of experimentation.

For now I’m okay with feeling like I have “AI brain” at the end of a day when I’m deeply engaging with it. I see it as a form of strength training for my mental circuits. It wouldn’t surprise me if other people experience this kind of fatigue as well, and there might be more of that on the horizon as these tools continue to evolve and we have to keep updating our mental models.

AI Brings a Fresh Perspective

One of my favorite aspects of working with AI is that it extends my mental capabilities in different directions. I can generate, consider, and explore more ideas and variations with its help. I can be way more thorough.

Often the AI will generate ideas I wouldn’t necessarily have thought of. Most are weak ideas, but those are easy to sort through. I will often have it generate 30 or more ideas along a certain line of thinking, and even though most may be shallow or obvious, I only need 1 or 2 good ones to make it worth scanning the list.

I often use AI to generate hundreds of ideas in a certain direction, and then I pick the best. Sometimes I even ask it to pick the top 5, and it does a pretty decent job of that most of the time. It’s especially good when I pick my favorites first and compare them to the AI’s favorites.

AI Can Be Very Supportive and Empathetic

I especially noticed that when doing the quarterly goal reviews, ChatGPT was good at suggesting ways to create more balanced goals, to practice self-care, and to suggest alternative goals that might be more accessible. I wrote the detailed prompts for it to do its part of the review, but I also invited it to share from its own best wisdom. From a human perspective, it looked like the AI really made an effort to help the humans improve their goals to be more achievable.

Sometimes I find the AI’s default tone a bit bland (too neutral), and I like that I can tell it to adopt a different tone to make interactions with it more lively and interesting. I may not mind the blandness if I just want to focus on the ideas, but I like that it can match my mood when I direct it to.

AI Can Suffer From Major Confirmation Bias

This is a known issue, as reported by teams that researched ChatGPT. I think of ChatGPT as being very obedient to the “yes, and” rule from improv. It has a penchant for being super agreeable, which can be fine if you want that, but this can really get in the way of doing intelligent knowledge work.

I can give ChatGPT the fuzziest and most unclear goal and have it comment on the goal’s specificity, and most of the time, it will claim that the goal is nice and specific. Even when I’m looking for constructive criticism, it has a huge bias towards being a people pleaser and not wanting to say anything remotely negative. I really had to tweak my prompts to get this aspect of the goal review process to work well, and even then I still had to sort through some drivel in its responses to extract the interesting bits.

I think it’s important to be aware of this bias when doing knowledge work because if you’re not careful, the AI can too easily agree and extend in the most agreeable and least resistant direction, even if that isn’t the most truthful or useful direction. I find that telling it to be surprising, divergent, or non-obvious helps to nudge it out of mirror mode. Another tip is to ask it to predict the negative consequences of an idea, and compare those to its default generations.

Working with AI Shows Great Promise

I see a lot of promise in working with AI tools, especially GPT-4. I hope they remain available and continue to evolve and that the downsides in how people use them don’t overwhelm the positive benefits.

I especially like that working with these tools is a growth experience for me creatively. It greatly extends the variety of what I can explore, and I’m keen to keep finding more ways to flow that into the service side of my work, like I did with the recent quarterly reviews in CGC.

I’m still using ChatGPT to help me co-create the new Engage course. That’s been slow-going since it wasn’t obvious to me how to best leverage ChatGPT for this kind of experience. I’m gradually figuring it out though. I anticipate launching Engage this month. My intention is to share the first few lessons of the course for free via my blog, so people can try it out and then decide if they want to enroll in the full course. If you want to be notified when Engage launches, be sure you’re subscribed to the newsletter.

We’ll also be doing our once-a-year invitation week for new members to join Conscious Growth Club in the last week of this month. We’ll be starting CGC Year 7 together on May 1st. I want to create an even better offer for CGC for Year 7, so I’m using ChatGPT to help me explore new features and benefits to include. I’ve already been hearing from readers who are eager to join CGC this year, so you only have a few more weeks till we open. In combination with the Engage course, I want to make CGC Year 7 our most engaging ever. 😀

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Travel Chaos Returns As Long Queues Form At Dover Ahead Of Easter Weekend

Dover has been blighted by travel chaos again as long queues were reported at the major port linking the UK with continental Europe.

Last weekend, a political row kicked over the thousands of people who were delayed at the Kent travel hub, reportedly by up to 14 hours.

The delays were blamed on French border officials carrying out extra checks and stamping UK passports following Brexit, though home secretary Suella Braverman dismissed the link to leaving the EU.

On Thursday, ahead of the long Easter weekend, queues of “approximately 90 minutes” for passport checks were reported by ferry operator DFDS.

The queue had eased by 1pm, with DFDS saying “traffic is free flowing through border controls and check-in”.

Port officials said they held a “urgent review” with ferry operators and the French authorities in an attempt to avoid a repeat of last weekend’s delays.

Ferry companies are asking coach operators booked on sailings on Good Friday – expected to be the busiest day for outbound Easter travel from Dover – to “spread the travel” across the three-day period from Thursday to Saturday.

Additional “temporary border control infrastructure” has also been installed.

A general strike in France in a row over pension reforms is also causing disruption.

Lorries queue for the Port of Dover along the A20 in Kent as the getaway begins for the Easter weekend.
Lorries queue for the Port of Dover along the A20 in Kent as the getaway begins for the Easter weekend.

Gareth Fuller via PA Wire/PA Images

Lorries queue for the Port of Dover along the A20 in Kent as the getaway begins for the Easter weekend.
Lorries queue for the Port of Dover along the A20 in Kent as the getaway begins for the Easter weekend.

Gareth Fuller via PA Wire/PA Images

Last Sunday, Bravermandenied that Brexit was to blame for the travel chaos at Dover.

The home secretary instead urged holidaymakers stuck in huge queues as they try to get to France that they need to “be a bit patient”.

Appearing on Sophy Ridge on Sunday on Sky News, Braverman rejected comments by Doug Bannister, the chief executive of the port at Dover, who said that the “post-Brexit environment means that every passport needs to be checked”.

Ridge asked the home secretary: “Do we need to, after Brexit, just get used to this happening at busy periods?”

Braverman replied: “I don’t think that’s fair to say this has been an adverse effect of Brexit.

“I think we’ve had many years now since leaving the European Union and there’s been on the whole very good operations and processes at the border.

″What I would say is that at acute times, when there is a lot of pressure crossing the Channel, whether that’s on the tunnel or ferries, then I think that there’s always going to be a backup and I just urge everybody to be a bit patient while the ferry companies work their way through the backlog.”

HuffPost UK has reported ministers turned down a bid by the Port of Dover for funding to build more passport booths.

Officials at the port applied to the Cabinet Office for £33 million from a special infrastructure fund in 2020.

The cash would have paid for “additional French passport control booths to compensate for slower transaction times and a reordering of controls within the port” following Brexit.

But a press release issued by the port in December 2020 says that “at the eleventh hour the port [was] offered just one tenth of one per cent of what was needed”.

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Oh Good – Even Vegetables Can Cause Food Poisoning

Still believe the myth that only animal products can give you food poisoning? Consumer Reports released the top 10 foods linked to outbreaks and recalls between 2017 and 2022 and the results included meat, vegetables, fruits and even flour…!

Brian Renholm, the director of food policy at Consumer Reports was keen to point out that these foods shouldn’t be avoided, ‘these foods are all usually safe and many of them are important parts of a healthy diet’.

Instead, he says, the research underscores ‘the importance of following best food safety practices with all of your foods, including knowing how to track, and respond, to food recalls when they happen.’

This is very welcome news since many dietary staples are included in the list including cheese which 35% of adults in the UK eat 2-3 times a week!

Foods That Were Most Frequently Recalled

Leafy Greens… Yes, Really

Something that our parents once had to beg us to eat a few mouthfuls of was one of the most recalled foods over the five year period. Outbreaks were linked to romaine lettuce and bagged salads and, in fact, these caused more deaths than any other food category over the past five years.

This is likely due to water contamination from the water used to irrigate lettuce fields. If manure from a nearby field lot gets into the irrigation system, the bacteria from animal faeces may get into your salad. Lovely.

This is likely also because people tend to eat leafy greens raw and don’t re-wash bagged salad.

Consumer Reports recommended buying whole heads of lettuce and removing the outer leaves before eating or, alternatively, cook kale, collard greens or swiss chard instead of eating your greens raw.

Another food that you would assume would be a safe bet for eating, peaches actually face the same contamination route to that of leafy greens, according to Consumer Reports. To avoid any illness from peaches, make sure that you wash them before consuming to remove any potentially harmful bacteria.

Cheeses and Deli Meats

Many cheese and deli meats such as salami, ham, and sausage as well as soft cheese such as brie have been recalled due to contamination with listeria. Unlike many other bacterias, listeria can survive the cold temperatures of fridges and just one small part of the meat being touches with contaminated hands can leave the entire deli counter being contaminated.

According to the FDA, 90% of people infected with listeria are hospitalised and it can lead to miscarriages and stillbirths in pregnant people.

If you are pregnant or at high-risk of infection, avoid deli meats and cheese and instead stick to pre-packaged goods.

Ground Beef

Packaged ground beef was found to contain strains of E.coli and salmonella.

Salmonella is the more common of the bacterias but some strains of E.coli can be so dangerous that the food is recalled before anybody even gets sick.

Make sure that you’re following the Food Standard Agency’s alerts for any recalls.

Perhaps the least surprising entry on this list, chicken is a common cause of food poisoning. Make sure that whenever you are cooking chicken, you follow the package instructions properly and that the chicken is fully cooked (no pink!) before consuming.

Infecting 62 people in the United States over a 5 year period, papaya is one of the lower risk foods on this list but for any fruit and vegetables, it’s important to remember to wash them before consuming, you never know who has handled them in shops!

An outbreak of salmonella was tied to raw flour, making 12 people unwell. Most of them ate raw dough or batter before they became ill.

While it might be tempting to lick the last of the cake batter off the bowel or spoon, even a small amount of uncooked dough is enough to make you unwell, the CDC reports. Raw flour is an ingredient that must be oven or microwave heated before eating.

Due to being cut into cubes or balls before eating, melons are at a higher risk of contamination as the cutting can spread bacteria from surface to flesh.

It’s better to cut your own fruit at home and, before doing so, make sure you wash the skin first to reduce the risks of spreading bacteria.

If you need pre-packaged fruit, make sure it’s washed thoroughly once you get it home.

Poultry is more susceptible to salmonella, in part because of the long process of workers removing feathers from chickens and turkeys.

A total of 398 people reported getting sick from turkey between 2017 and 2022, according to Consumer Reports.

The good news is, nobody has died from eating a contaminated onion. The bad news is, the vegetable has caused 2,167 to fall ill in the past five years. However, this was mostly during two large recalls of onions in 2020 and 2021, which were thought to be irrigated with bacteria-laden water in the US. So it is a very small risk that they’ll make you unwell.

If you’re still worried, rather than washing onions, which can cause them to rot faster, follow product recalls and don’t eat them raw.

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Unable To Do Anything When Stressed? You’re Probably In ‘Freeze Mode’

You’ve heard of fight or flight but do you know the third stress response? It’s called a freeze response and it’s more common than you’d think. Put simply: the freeze response renders sufferers immobile. This is an acute stress response, much like the fight or flight response.

What Happens During A Freeze Response?

A freeze response is actually a different physiological process than fight or flight. Researchers describe the response as ‘attentive immobility’ as when the person is in a ‘freeze response’, they are unable to move or take action against real or perceived danger. During a freeze response, sufferers experience:

  • Physical immobility
  • A drop in heart rate as opposed to the increase found in fight or flight
  • Muscle tension

What Causes People to Freeze?

While it may seem like a counterintuitive reaction, the freeze response, it does serve a purpose and is rooted in some of our most primal instincts

Research in 2017 suggests that the freeze response is similar and potentially related to disassociation. This is something that can occur when somebody goes through a particularly traumatic event. It makes the event feel less reason, causing the person to feel detached. This makes sense given that the freeze response is more common in people that have had traumatic experiences.

Are You Stuck In Freeze Mode?

While this sounds like a response to external triggers that won’t impact your day-to-day life, anxiety sufferers can be triggered into a stress response due to their nervous systems being overwhelmed. So, for what would usually be a small, inconsequential thing can set off the symptoms of a freeze response.

This can be especially stressful if you’re trying to get on with your daily life and work. According to psychologists, people stuck in Freeze Mode will find themselves feeling heavier, struggling to ‘get going’ with work or household tasks and will often stay in the same place feeling frozen for long periods of time. Of course, not being able to do the things that are usually second nature comes with its own issues such as guilt, frustration and low mood – all of which can compound the freeze response even further.

How To Snap Out Of Freeze Mode

While this can understandably feel inescapable for sufferers, freeze mode is something that you can bring yourself out of. The first thing you can do to help yourself, which may help to gain some clarity, is recognise that what you’re experiencing is freeze mode.

Be mindful of the symptoms that you’re experiencing and then acknowledge them for what they are. This creates a barrier between you and the response. Next, start at your toes and slowly move parts of your body all the way to your head to reconnect with your body and break free from the disconnect that freeze mode creates.

Finally, do something completely different in a different room. This could be pouring yourself a glass of water, washing your face or simply opening a window.

Be gentle with yourself in the days following a freeze response In the hours and days following a freeze response, you may feel tired, aching and even have some residual anxiety.

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Covid jabs for under fives in at-risk groups

Jabs will be offered from mid-June, after government vaccine experts made the recommendation.

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Love for Dame Deborah James breathtaking, says husband

The late campaigner’s family vow to do all they can to prevent cancer deaths, as fund raises £11.3m.

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Air pollution may increase risk for dementia

Exposure to fine particulate air pollutants (PM2.5) may increase the risk of developing dementia, according to a new meta-analysis from Harvard T.H. Chan School of Public Health.

“This is a big step in providing actionable data for regulatory agencies and clinicians in terms of making sense of the state of the literature on this hugely important health topic. The results can be used by organizations like the Environmental Protection Agency, which is currently considering strengthening limits on PM2.5 exposure,” said lead author Marc Weisskopf, Cecil K. and Philip Drinker Professor of Environmental Epidemiology and Physiology. “Our findings support the public health importance of such a measure.”

The study is the first systematic review and meta-analysis to use the new Risk of Bias In Non-Randomized Studies of Exposure (ROBINS-E) tool, which addresses bias in environmental studies in greater detail than other assessment approaches. It also is the first to include newer studies that used “active case ascertainment,” a method that involved screening of entire study populations followed by in-person evaluation for dementia among individuals who did not have dementia at baseline.

The study will be published online April 5, 2023, in The BMJ.

More than 57 million people worldwide are currently living with dementia, and estimates suggest that number will increase to 153 million by 2050. Up to 40% of these cases are thought to be linked to potentially modifiable risk factors, such as exposure to air pollutants.

Weisskopf and his co-authors, Elissa Wilker, researcher in the Harvard Chan-NIEHS Center for Environmental Health, and Marwa Osman, a doctoral student in the Biological Science in Public Health program, scanned more than 2,000 studies and identified 51 that evaluated an association between ambient air pollution and clinical dementia, all published within the last 10 years. Those studies were assessed for bias using ROBINS-E, and 16 of them met the criteria for the meta-analysis. The majority of the research was about PM2.5, with nitrogen dioxide and nitrogen oxide being the next most common pollutants studied. Of the studies used in the meta-analysis, nine used active case ascertainment.

The researchers found consistent evidence of an association between PM2.5 and dementia, even when annual exposure was less than the current EPA annual standard of 12 micrograms per cubic meter of air (μg/m3). In particular, among the studies using active case ascertainment, the researchers found a 17% increase in risk for developing dementia for every 2 μg/m3 increase in average annual exposure to PM2.5. They also found evidence suggesting associations between dementia and nitrogen oxide (5% increase in risk for every 10 μg/m3 increase in annual exposure) and nitrogen dioxide (2% increase in risk for every 10 μg/m3 increase in annual exposure), though the data was more limited.

The researchers noted that air pollution’s estimated association with risk of dementia is smaller than that of other risk factors, such as education and smoking. However, because of the number of people exposed to air pollution, the population-level health implications could be substantial.

“Given the massive numbers of dementia cases, identifying actionable modifiable risk factors to reduce the burden of disease would have tremendous personal and societal impact,” Weisskopf said. “Exposure to PM2.5 and other air pollutants is modifiable to some extent by personal behaviors — but more importantly through regulation.”

Funding for the study came from Biogen and from National Institutes of Health grants P30 ES000002 and T32 HL007118.

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Healthy lifestyle associated with reduced mortality risk in childhood cancer survivors

A report from the Childhood Cancer Survivor Study (CCSS) provides strong evidence of the importance of a healthy lifestyle for adults who were treated for cancer as children. The study is the first to find that the specific primary causes of death in long term survivors are many of the same leading causes of death in the U.S. population, often occurring at younger than expected ages. It also found that adult survivors of childhood cancer experience four times the risk of late mortality as the general population, even 40 years after diagnosis. However, the study contains reason for hope: survivors without certain modifiable lifestyle and cardiovascular risk factors had a lower risk of death, suggesting survivors may be able to improve their odds. For example, survivors maintaining a healthy lifestyle had a 20% lower risk of mortality than those following an unhealthy lifestyle. The findings were published today in The Lancet.

Empowering survivors with the numbers

Despite the finding of excess mortality in survivors, the investigators found that patients’ health behaviors had an impact on their risk. Maintaining a healthy lifestyle (defined as having a healthy weight, not drinking more than moderate amount of alcohol, not smoking and exercising at or above the intensity recommended by the Centers for Disease Control guidelines) was associated with a 20% reduction in the risk of mortality, compared to those who did not.

“These findings provide important evidence that the high-risk for mortality that this population faces may be able to be reduced through changes in their health behaviors,” said senior author Greg Armstrong, M.D., M.S.C.E., St. Jude Department of Epidemiology and Cancer Control chair. “This is important because our goal is to extend the lifespan of survivors and to improve their healthspan as well.”

In addition to lifestyle, several major risk factors for heart disease and related issues were associated with mortality risk. Survivors with hypertension or diabetes had a significantly higher mortality rate than survivors without those conditions. However, these conditions are modifiable — patients can improve or prevent them, and physicians can provide treatments effective against these diseases.

“Much research has demonstrated that survivors are vulnerable to early onset of chronic disease and mortality,” said co-author Melissa Hudson, M.D., St. Jude Cancer Survivorship Division director. “The study highlights the importance of encouraging survivors to practice healthy behaviors and maintain good control of cardiovascular disease risk factors to improve their healthspan and lifespan.”

Excess mortality and cause of death in survivors

In addition to the importance of potentially modifiable risk factors, this report is the first to detail that the specific primary causes of death in long term survivors are similar to the leading causes of death in the U.S. population, occurring earlier in survivors.

“We identified that long-term survivors of childhood cancer are experiencing a large number of deaths in excess of what would be expected for the general, aging population,” said the first and corresponding author Stephanie Dixon, M.D., MPH, St. Jude Department of Oncology. “We were the first to find that decades after treatment, these excess deaths are predominantly due to the same leading causes of death as in the general population, including second cancers, heart disease, cerebrovascular disease/stroke, chronic liver and kidney disease and infectious causes of death, experienced at a younger age and higher rate, in childhood cancer survivors,” Dixon said.

Treatments for childhood cancers have improved to the point where over 85% of U.S. patients are effectively cured of their primary tumor after frontline treatment. As more patients survive their childhood cancer, there is a growing population of adult survivors. By comparing the CCSS cohort to the public, the researchers found that decades after treatment survivors still experience four times the expected risk of death.

The largest cancer survivor cohort feeds discovery

The researchers were able to understand the problems affecting survivors using detailed health data from thousands of CCSS participants. The CCSS is the largest cohort of cancer survivors in North America, representing an estimated 20% of all childhood cancer survivors in that region. The scientists were able to take this vast swath of data to statistically isolate variables affecting survivor mortality. The group showed that even when common confounders, such as sociodemographic features, were controlled for, the gap in mortality between survivors and the general public persisted, but so did the protective effects of a healthy life.

“What was most exciting to see was that, independent of prior treatment exposures and sociodemographic factors, a healthy lifestyle and absence of hypertension or diabetes were each associated with a reduced risk of health-related mortality,” Dixon said. “This suggests that while continued efforts to reduce treatment intensity while maintaining (or improving) 5-year survival are needed, future research should also focus on interventions for modifiable lifestyle and cardiovascular risk factors which may need to be specifically tailored to survivors with the goal of reducing chronic disease development and extending the lifespan of survivors of childhood cancer.”

Intensive treatments continue to tax childhood cancer survivors

Patients treated with more intensive therapies continued to experience higher mortality than other survivors. Much research has focused on minimizing the harms of therapy, but many survivors in the CCSS were treated before improved techniques were widely available. This study showed that physicians and researchers need to consider interventions that can decrease risk for the vulnerable population of survivors that were treated with aggressive therapies in their youth.

“The Childhood Cancer Survivors Study continues to provide important insights into the long-term outcomes of the growing number of children successfully treated for cancer,” said co-author Leslie Robison, emeritus St. Jude Department of Epidemiology and Cancer Control chair. “The findings from the current analysis further emphasize the need to expand our efforts to reduce acute, chronic and late-onset toxicities of treatment, particularly those toxicities that can directly or indirectly result in premature mortality.”

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New technology to select healthier sperm for IVF success

Scientists have developed new technology to help couples undergoing in-vitro fertilisation (IVF) due to male fertility problems to increase their chances of success in having a baby.

Approximately one in six people worldwide is affected by infertility, according to the World Health Organization, and one in every 22 children in Australia is born via assisted reproduction. With a 78% failure rate, each IVF cycle can be an emotional rollercoaster that often ends in heartbreak.

“Male infertility plays a role in around 30% of cases, due to problems such as low sperm count, reduced motility or movement or poor sperm quality,” says Professor Majid Warkiani from the School of Biomedical Engineering at the University of Technology Sydney (UTS).

“While much work has been done around selecting eggs and embryos to boost the success rates of IVF, sperm selection, an essential component in assisted reproduction, is by far the most neglected step in regard to technological innovation,” he says.

To tackle this problem, researchers from UTS and NeoGenix Biosciences, a UTS-born start-up, have created and tested a new microfluidic sperm selection device that provides a more reliable process for selecting high-quality sperm.

Traditional sperm selection methods, such as density gradient centrifugation and swim-up, can cause DNA fragmentation and cell death, leading to unsuccessful IVF cycles.

“This new technology is a 3D printed, biologically inspired microfluidic sperm selection device, which replicates the female reproductive tract and the natural sperm selection process, where only a small percentage of total sperm reach the egg,” Professor Warkiani said.

“We conducted extensive testing against conventional IVF selection methods, with the new method showing an 85% improvement in DNA integrity and an average 90% reduction in sperm cell death. The sperm selected by our method also demonstrated better recovery after freezing than traditional methods,” he said.

The study results were recently published in Nature: Microsystems & Nanoengineering.

The researchers have partnered with Monash University and Australian IVF clinics to implement the technology into clinical practice. They hope the device will provide help for those struggling with infertility and reduce the number of unsuccessful IVF cycles.

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