What you need to know about the ambulance workers’ strike and other industrial action, by the BBC’s Zoe Conway.
Compact, non-mechanical 3D lidar system could make autonomous driving safer

Our roads might one day be safer thanks to a completely new type of system that overcomes some of lidar’s limitations. Lidar, which uses pulsed lasers to map objects and scenes, helps autonomous robots, vehicles and drones to navigate their environment. The new system represents the first time that the capabilities of conventional beam-scanning lidar systems have been combined with those of a newer 3D approach known as flash lidar.
In Optica, Optica Publishing Group’s journal for high-impact research, investigators led by Susumu Noda from Kyoto University in Japan describe their new nonmechanical 3D lidar system, which fits in the palm of the hand. They also show that it can be used to measure the distance of poorly reflective objects and automatically track the motion of these objects.
“With our lidar system, robots and vehicles will be able to reliably and safely navigate dynamic environments without losing sight of poorly reflective objects such as black metallic cars,” said Noda. “Incorporating this technology into cars, for example, would make autonomous driving safer.”
The new system is possible thanks to a unique light source the researchers developed called a dually modulated photonic-crystal laser (DM-PCSEL). Because this light source is chip-based it could eventually enable the development of an on-chip all-solid-state 3D lidar system.
“The DM-PCSEL integrates non-mechanical, electronically controlled beam scanning with flash illumination used in flash lidar to acquire a full 3D image with a single flash of light,” said Noda. “This unique source allows us to achieve both flash and scanning illumination without any moving parts or bulky external optical elements, such as lenses and diffractive optical elements.”
Combining scanning and flash illumination
Lidar systems map objects within view by illuminating those objects with laser beams and then calculating the distance of those objects by measuring the beams’ time of flight (ToF) — the time it takes for the light to travel to objects, be reflected and then return to the system. Most lidar systems in use and under development rely on moving parts such as motors to scan the laser beam, making these systems bulky, expensive and unreliable.
One non-mechanical approach, known as flash lidar, simultaneously illuminates and evaluates the distances of all objects in the field of view with a single broad, diffuse beam of light. However, flash lidar systems can’t be used to measure the distances of poorly reflective objects like black metallic cars due to the very small amount of light reflected from these objects. These systems also tend to be large because of the external lenses and optical elements needed to create the flash beam.
To address these critical limitations, the researchers developed the DM-PCSEL light source. It has both a flash source that can illuminate a wide 30°×30° field of view and a beam-scanning source that provides spot illumination with 100 narrow laser beams.
They incorporated the DM-PCSEL into a 3D lidar system, which allowed them to measure the distances of many objects simultaneously using wide flash illumination while also selectively illuminating poorly reflective objects with a more concentrated beam of light. The researchers also installed a ToF camera to perform distance measurements and developed software that enables automatic tracking of the motion of poorly reflective objects using beam-scanning illumination.
Measuring objects with varying reflectivity
“Our DM-PCSEL-based 3D lidar system lets us range highly reflective and poorly reflective objects simultaneously,” said Noda. “The lasers, ToF camera and all associated components required to operate the system were assembled in a compact manner, resulting in a total system footprint that is smaller than a business card.”
The researchers demonstrated the new lidar system by using it to measure the distances of poorly reflective objects placed on a table in a lab. They also showed that the system can automatically recognize poorly reflective objects and track their movement using selective illumination.
The researchers are now working to demonstrate the system in practical applications, such as the autonomous movement of robots and vehicles. They also want to see if replacing the ToF camera with a more optically sensitive single-photon avalanche photodiode array would allow the measurement of objects across even longer distances.
Researchers link 27 genetic variants to ADHD

Why do some people get ADHD, while others do not? And how early in life or in the womb is the seed of ADHD sown?
Researchers from Aarhus University have come closer to answering this question in a large study, which has just been published in the journal Nature Genetics.
Together with national and international partners, the researchers have studied more than six million genetic variants in 38,691 people with ADHD and 186,843 people without ADHD. By this means it has been possible to identify 27 genetic risk variants for the common neurodevelopmental disorder.
Risk genes are expressed in the brain and neurons
The study is ground-breaking, inter alia because it finds more than twice as many risk variants as previous studies have identified.
The term “genetic variants” means specific variations in the DNA code — in this case, variants which are observed more frequently in people with ADHD than in people without the diagnosis. Variants in DNA affect, for example, the degree to which a gene is expressed and subsequently the amount of protein that is encoded by the gene.
By linking the genetic variants — i.e. the variations in DNA — to specific genes, the researchers have gained new knowledge about which tissues and cell types are particularly affected in individuals with ADHD. The study is based on data from the Danish iPSYCH cohort, deCODE Genetics in Iceland and the Psychiatric Genomics Consortium.
Subsequently, the researchers combined the results with existing data on gene expression in different tissues, cell types and brain development stages, and they discovered that genes involved in ADHD have a particularly high level of expression in a wide range of brain tissues and early in brain development — in fact already at the embryonic stage.
“This emphasises that ADHD should be seen as a brain developmental disorder, and that this is most likely influenced by genes that have a major impact on the brain’s early development,” says Professor Ditte Demontis of the Department of Biomedicine at Aarhus University, who is first author of the study.
In addition, the researchers found that the genetics that increase the risk of ADHD particularly affect genes that are expressed in neurons, especially dopaminergic neurons.
“This is interesting because dopamine plays a role in relation to the reward response in the brain, and because a frequently used form of ADHD medicine works by increasing the concentration of dopamine in different brain regions. Our results indicate that the imbalance in dopamine in the brains of people with ADHD is partly attributable to genetic risk factors,” says Ditte Demontis.
Associated with reduced concentration capacity and short-term memory
ADHD is influenced by many common genetic variants, each of which increases the risk slightly, says the professor.
In fact, with the help of advanced statistical models, the researchers have estimated that there are around 7,300 common genetic variants that increase the risk of ADHD. It is particularly interesting that the vast majority of these variants — 84-98 percent — also have an influence on other mental disorders, e.g. autism, depression and schizophrenia.
It has previously been shown that risk variants for ADHD can affect a person’s cognitive abilities.
To investigate this further, the researchers analysed data from an independent dataset, consisting of 4,973 people who had undergone extensive neuro-cognitive tests. By using information from the new study about which variants increase the risk of ADHD, they found in the independent data set that an increased load of ADHD risk variants in the genome of an individual is associated with reduced reading and mathematical abilities, reduced attention and reduced short-term memory.
“The results increase our knowledge of the biological mechanisms underlying ADHD, and they point to specific genes, tissues and cell types involved in ADHD. This knowledge can be used as a starting point for further studies of the disease mechanisms and identification of new drug targets,” explains Ditte Demontis.
And the study must be followed up, she emphasises.
“We have only mapped a small fraction of the common variants that influence ADHD — just 27 of the 7,300 that potentially exist. So there is a need for larger genetic studies,” she says.
International cross-disciplinary collaboration is the way forward
Large international collaborations are crucial to identifying the genetic causes of psychiatric diseases and neurodevelopmental disorders, because to do so requires studies of tens or hundreds of thousands of people with these conditions. Just as in the current ADHD study, there are often 100 or more researchers involved, with different areas of expertise, such as genetics, psychiatry, psychology, epidemiology, molecular biology, statistics, bioinformatics and computer science.
“In order to understand more of the genetic and biological mechanisms, it is important to have even larger studies, involving more people with ADHD,” says Professor Anders Børglum of the Department of Biomedicine, Aarhus University, who is the last author of the study and one of the research directors of the Danish iPSYCH project.
“But it is also important to undertake studies that focus on identifying how the genetic risk variants perturb biological processes in the brain cells (the neurons), and their way of joining up and communicating with each other in the brain. For the latter, both brain cells and early developmental stages of the brain, so-called mini-brains or brain organoids, are currently being examined” he says.
Calorie restriction slows pace of aging in healthy adults

In a first of its kind randomized controlled trial an international team of researchers led by the Butler Columbia Aging Center at the Columbia University Mailman School of Public Health shows that caloric restriction can slow the pace of aging in healthy adults. The CALERIE™ intervention slowed pace of aging measured from participants’ blood DNA methylation using the algorithm DunedinPACE (Pace of Aging, Computed from the Epigenome). The intervention effect on DunedinPACE represented a 2-3 percent slowing in the pace of aging, which in other studies translates to a 10-15 percent reduction in mortality risk, an effect similar to a smoking cessation intervention. The results are published online in the journal Nature Aging.
“In worms, flies, and mice, calorie restriction can slow biological processes of aging and extend healthy lifespan” says senior author Daniel Belsky, PhD, associate professor of epidemiology at Columbia Mailman School and a scientist with Columbia’s Butler Aging Center. “Our study aimed to test if calorie restriction also slows biological aging in humans.”
The CALERIE™ Phase-2 randomized controlled trial, funded by the US National Institute on Aging, is the first ever investigation of the effects of long-term calorie restriction in healthy, non-obese humans. The trial randomized 220 healthy men and women at three sites in the U. S. to a 25 percent calorie-restriction or normal diet for two years. CALERIE™ is an acronym for ‘Comprehensive Assessment of Long-Term Effects of Reducing Intake of Energy’.
To measure biological aging in CALERIE Trial participants, Belsky’s team analyzed blood samples collected from trial participants at pre-intervention baseline and after 12- and 24-months of follow-up. “Humans live a long time,” explained Belsky, “so it isn’t practical to follow them until we see differences in aging-related disease or survival. Instead, we rely on biomarkers developed to measure the pace and progress of biological aging over the duration of the study.” The team analyzed methylation marks on DNA extracted from white blood cells. DNA methylation marks are chemical tags on the DNA sequence that regulate the expression of genes and are known to change with aging.
In the primary analysis Belsky and colleagues focused on three measurements of the DNA methylation data, sometimes known as “epigenetic clocks”. The first two, the PhenoAge and GrimAge clocks, estimate biological age, or the chronological age at which a person’s biology would appear “normal”. These measures can be thought of as “odometers” that provide a static measure of how much aging a person has experienced. The third measure studied by the researchers was DunedinPACE, which estimates the pace of aging, or the rate of biological deterioration over time. DunedinPACE can be thought of as a “speedometer”.
“In contrast to the results for DunedinPace, there were no effects of intervention on other epigenetic clocks,” noted Calen Ryan, PhD, Research Scientist at Columbia’s Butler Aging Center and co-lead author of the study. “The difference in results suggests that dynamic ‘pace of aging’ measures like DunedinPACE may be more sensitive to the effects of intervention than measures of static biological age.”
Our study found evidence that calorie restriction slowed the pace of aging in humans” Ryan said. “But calorie restriction is probably not for everyone. Our findings are important because they provide evidence from a randomized trial that slowing human aging may be possible. They also give us a sense of the kinds of effects we might look for in trials of interventions that could appeal to more people, like intermittent fasting or time-restricted eating.”
A follow-up of trial participants is now ongoing to determine if the intervention had long-term effects on healthy aging. In other studies, slower DunedinPACE is associated with reduced risk for heart disease, stroke, disability, and dementia. “Our study of the legacy effects of the CALERIE™ intervention will test if the short-term effects observed during the trial translated into longer-term reduction in aging-related chronic diseases or their risk factors,” says Sai Krupa Das, a senior scientist and CALERIE investigator who is leading the long-term follow up of CALERIE™ participants.
DunedinPACE was developed by Daniel Belsky and colleagues at Duke University and the University of Otago. To develop DunedinPACE, researchers analyzed data from the Dunedin Longitudinal Study, a landmark birth cohort study of human development and aging that follows 1000 individuals born in 1972-73 in Dunedin, New Zealand. Researchers first analyzed the rate of change in 19 biomarkers across 20 years of follow-up to derive a single composite measure of the Pace of Aging. Next, the researchers used machine-learning techniques to distill this 20-year Pace of Aging into a single-time-point DNA methylation blood test. The values of the DunedinPACE algorithm correspond to the years of biological aging experienced during a single calendar year, providing a measure of the pace of aging.
The study was supported by US National Institute on Aging grant R01AG061378 and also utilized resources provided by the CALERIE Research Network (R33AG070455) and the Dunedin Study (R01AG032282). Coauthors received additional support from the American Brain Foundation, and NIH grants P30AG028716, R01AG054840, R33AG070455, CIHR RN439810, R01 AG071717, R03AG071549 U01AG060906.
Cervical cancer: Health trusts miss abnormal cells in smear tests
A 45-year-old woman says she was devastated after learning that three previous checks had been misread.
Former Chancellor Philip Hammond Spells It Out: ‘We’ve Got Poorer Because Of Brexit’

Britain has got poorer because of Brexit, former chancellor Philip Hammond has admitted.
The senior Tory said the Covid-19 pandemic and the soaring cost of energy have also contributed to the cost of living crisis.
His comments are significant because the government has repeatedly denied that leaving the European Union has had a negative impact on the economy.
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Speaking to Bloomberg TV, Hammond said: “The truth is we’ve got poorer. We’ve got poorer because of Brexit, we’ve got poorer because of Covid, we’ve got poorer because of the changed energy economy in the world, the higher price of the energy we consume.
“And that has to be reflected in reduced living standards and the transmission mechanism for those external shocks into the domestic economy is inflation.”
Hammond – who was chancellor between 2016 and 2019 and an MP for 22 years – backed Remain in the Brexit referendum.
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His comments come after the International Monetary Fund forecast last month that the UK economy will perform worse than every other major country in 2023.
Even Russia – hit by swingeing economic sanctions by the global community due to its invasion of Ukraine – will out-perform Britain, the IMF said.
In its latest World Economic Outlook update, which was released on the third anniversary of Brexit, the IMF predicted the UK economy will shrink by 0.6% this year, compared to its October prediction that it would grow by 0.3%.
By contrast, every other country in the G7 group of advanced nations will see their economy grow – with America’s set to expand by 1.4%.
Russia’s economy will grow by 0.3% over the next 12 months, the IMF said.
Among the other G7 nations, the IMF’s 2023 predictions show growth, 0.1% in Germany, 0.7% in France, 0.6% in Italy, 1.8% in Japan and 1.5% in Canada.
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China’s economy will grow by 5.2%, the IMF said, with India’s expanding by 6.1%.
Overall, the IMF said the global economy will grow by 2.9%.
Rishi Sunak Rejects Call From Deputy Tory Chairman For Return Of Death Penalty

Rishi Sunak has rejected calls for the return of the death penalty made by the new deputy chairman of the Conservative Party.
Lee Anderson said he backed the death penalty because “nobody has ever committed a crime after being executed”.
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He told The Spectator magazine that capital punishment has a “100% success rate” when it came to stopping repeat offenders.
But speaking to reporters during a visit to Cornwall on Thursday, the prime minister said that was “not my view” and “not the government’s view”.
Sunak added: “But we are united in the Conservative Party in wanting to be absolutely relentless in bearing down on crime and making sure people are safe and feel safe.”
The prime minister said his government had “tightened up sentencing laws for the most violent criminals” and “they spend longer in prison”.
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The death penalty for murder in the UK was outlawed permanently in 1969, with it totally abolished for all crimes in 1998.
Anderson was the most eye-catching appointment made as part of Sunak’s mini-reshuffle on Monday.
A former Labour councillor before converting to the Tories, he has been no stranger to controversy since being elected as MP for Ashfield in 2019.
He has criticised food bank users and also the England men’s football team for taking the knee in protest at racism.
Earlier, children’s minister Claire Coutinho said that while she was a “big fan” of Anderson, she didn’t back the return of capital punishment.
Itchy Breasts And Nipples: The Causes And Treatments For This Common Issue
Basically, anywhere on your body can sometimes feel itchy, but some places are a little more unsettling than others.
If you’ve ever experienced itchiness, or irritation on your breasts or even your nipples, you know the frustration of needing to scratch a place you can’t easily access in public. Unfortunately, there are various reasons and treatments for itchy breasts, so it might take time to figure out the issue.
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But that doesn’t mean the situation is hopeless. Below, dermatologists break down the potential causes and offer advice for itchy breasts.
Eczema is a common reason.
“Eczema of the breast is a common cause of itchy breasts and nipples,” said Dr. Azadeh Shirazi, a dermatologist based in La Jolla, California. “The tissue and skin is more sensitive and more prone to irritation.”
The most common form of eczema is atopic dermatitis, which typically manifests as itchy, dry, irritated skin around creases like the backs of the knees and elbows. It can, however, occur on the breasts and nipples as well. There’s also contact eczema, or contact dermatitis, a similar itchy flare-up that stems from contact with an irritant.
“Itchy breasts or nipples can be caused by an irritant dermatitis, such as excessive rubbing or chafing on harsh fabrics,” said Dr. Lauren Penzi, a New York-based dermatologist. “It can be caused by a true allergic contact dermatitis to certain ingredients in soaps, fabrics, laundry detergent, etc.”
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She pointed to a study that found Cl+Me-isothiazolinone, cobalt chloride, thimerosal, nickel sulfate, and 4-tert-butylphenol-formaldehyde resin were common causes of nipple eczema. These ingredients are sometimes used in clothing, cleaning products, cosmetics and other personal care items.
“For those who may be experiencing a sensitivity to something they are coming into contact with ― which can be a new detergent, a new bra or undergarment, a new soap or clothing ― it can help to avoid fragrance or certain ingredients that can be irritating on the skin,” said New York City dermatologist Dr. Marisa Garshick.
She recommended sensitive skin-friendly detergents like All Free and Clear and skincare brands like Vanicream, which offers products free of fragrances, dyes, lanolin, parabens and formaldehyde. Also, be mindful of the synthetic fabrics and dyes in the clothing you buy.
“I recommend washing new undergarments before wearing them as many manufacturers use chemicals that leach out onto the skin, causing itching and rashes,” Shirazi said.

Sakan Piriyapongsak / EyeEm via Getty Images
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The issue can also be a result of body and skin changes.
“Itchy breasts are often caused by dry skin, breast growth ― due to pregnancy, puberty or weight gain, for example, ― hormonal changes, mastitis, yeast infection and breastfeeding,” said Dr. Hadley King, a dermatologist in New York City. “Nipples often get dried out and irritated from breastfeeding.”
Be mindful of irritation from friction or rubbing, as this can also lead to itchiness. Sometimes, itchy breasts may also have to do with seasonal changes, especially in the colder months.
“Extreme temperatures like a really hot shower or cool, dry weather can all lead to skin irritation, itching, and inflammation,” Shirazi noted. “The breasts and nipples are often forgotten, and we tend to skip moisturising this delicate area.”
Garshick also encouraged moisturising year-round, especially when your skin feels dry and inflamed.
“In these cases, using a moisturising cream or ointment can be helpful to nourish the skin as well to provide a protective barrier to keep moisture in and minimise potential friction and external irritation,” she said. “Thick creams such as Cerave moisturising cream or Vaseline Healing ointment work well for this.”
In rare cases, itchy breasts may indicate something more serious.
“There is a rare but important entity called Paget’s disease of the breast that can present like an eczema of the nipple,” Penzi said. “It usually presents as persistent scaling, eczematous, or ulcerated lesion involving the nipple-areolar complex.”
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Paget’s disease typically only affects one nipple, so pay attention if you notice irritation on only one side.
“Itching and rashes can be a sign of Paget’s disease of the breast linked to underlying breast cancer where cancer cells from an existing breast tumour travel through the milk ducts to the nipple and areola,” Shirazi echoed.
Inflammatory breast cancer is another rare diagnosis that can sometimes lead to itchiness. Other symptoms may include swelling, discolouration, tenderness and other rapid changes in the breast over a period of weeks.
It’s important to contact a doctor if things don’t improve.
“There are lots of common causes of itchy breasts and nipples that are not concerning or indicative of a more serious underlying condition,” King explained. “But if common causes are ruled out, and the itching does not improve, particularly if it is unilateral and accompanied by a rash, then it’s important to have this evaluated by a doctor in order to make sure that it’s not breast cancer.”
A dermatologist can help you determine the cause of this issue and the best course of treatment. In the rare case of cancer, you may need a biopsy to confirm the diagnosis. Even if cancer is not a factor, seek medical attention if your itchiness doesn’t improve over time or respond to traditional treatments.
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“If at-home treatments are not sufficient, it is best to see a board-certified dermatologist as a prescription topical may be needed, such as a prescription topical steroid or topical non-steroid anti-inflammatory,” Garshick said. “In some cases, an oral medications such as steroids, JAK inhibitors or injectable medications, such as Dupixent, can be helpful as well. For some individuals, where there is a concern for a contact allergy, it can help to consider patch testing, a type of allergy testing.”
Ambulance waits cut from more than 90 minutes to 32
NHS performance figures in England show pressure eased in January – but concerns remain.
Mum traumatised by Nottingham maternity failings gives birth to girl
Kim Errington gave birth to her daughter Elfi almost two years after she lost her son Teddy.



