Diabetes artificial pancreas tech recommended for thousands on NHS

It can improve life for thousands with type 1 diabetes in England and Wales, health assessors say.

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I worry we’re killing people – ambulance dispatcher

An ambulance worker reveals how difficult the job now is and why they are striking.

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Cat locomotion could unlock better human spinal cord injury treatment

Cats always land on their feet, but what makes them so agile? Their unique sense of balance has more in common with humans than it may appear. Researchers at the Georgia Institute of Technology are studying cat locomotion to better understand how the spinal cord works to help humans with partial spinal cord damage walk and maintain balance.

Using a mix of experimental studies and computational models, the researchers show that somatosensory feedback, or neural signals from specialized sensors throughout a cat’s body, help inform the spinal cord about the ongoing movement and coordinate the four limbs to keep cats from falling when they encounter obstacles. Research suggests that with those motion-related sensory signals the animal can walk even if the connection between the spinal cord and the brain is partially fractured.

Understanding the mechanisms of this type of balance control is particularly relevant to older people who often have balance issues and can injure themselves in falls. Eventually, the researchers hope this could bring new understanding to somatosensory feedback’s role in balance control. It could also lead to progress in spinal cord injury treatment because the research suggests activation of somatosensory neurons can improve spinal neural networks’ function below the site of spinal cord damage.

“We have been interested in the mechanisms that make it possible to reactivate injured networks in the spinal cord,” said School of Biological Sciences Professor Boris Prilutsky. “We know from previous studies that somatosensory feedback from moving legs helps activate spinal networks that control locomotion, enabling stable movement.”

Coordinated Cats

Although genetically modified mouse models have recently become dominant in neural control of locomotion research, the cat model offers an important advantage. When they move, mice remain crouched, meaning they are less likely to have balance problems even if somatosensory feedback fails. Humans and cats, on the other hand, cannot maintain balance or even move if they lose sensory information about limb motion. This suggests that larger species, like cats and humans, might have a different organization of spinal neural network controlling locomotion compared to rodents.

Georgia Tech partnered with researchers at the University of Sherbrooke in Canada and Drexel University in Philadelphia to better understand how signals from sensory neurons coordinate movements of the four legs. The Sherbrooke lab trained cats to walk on a treadmill at a pace consistent with human gait and then used electrodes to stimulate their sensory nerve.

The researchers focused on the sensory nerve that transmits touch sensation from the top of the foot to the spinal cord. By electrically stimulating this nerve, researchers mimicked hitting an obstacle and saw how the cats stumbled and corrected their movement in response. Stimulations were applied in four periods of the walking cycle: mid-stance, stance-to-swing transition, mid-swing, and swing-to-stance transition. From this, they learned that mid-swing and the stance-to-swing transition were the most significant periods because the stimulation increased activity in muscles that flex the knee and hip joints, joint flexion and toe height, step length, and step duration of the stimulated limb.

“In order to maintain balance, the animal must coordinate movement of the other three limbs, otherwise it would fall,” Prilutsky said. “We found that stimulation of this nerve during the swing phase increases the duration of the stance phase of the other limbs and improves stability.”

In effect, when the cat stumbles during the swing phase, the sensation triggers spinal reflexes that ensure the three other limbs stay on the ground and keep the cat upright and balanced, while the swing limb steps over the obstacle.

Computational Cats

With these Canadian lab experiments, the researchers at Georgia Tech and Drexel University are using observations to develop a computational model of the cat’s musculoskeletal and spinal neural control systems. The data gathered are used to compute somatosensory signals related to length, velocity, and produced force of muscles, as well as pressure on the skin in all limbs. This information forms motion sensations in the animal’s spinal cord and contributes to interlimb coordination by the spinal neuronal networks.

“To help treat any disease, we need to understand how the intact system works,” Prilutsky said. “That was one reason why this study was performed, so we could understand how the spinal networks coordinate limb movements and develop a realistic computational model of spinal control of locomotion. This will help us know better how the spinal cord controls locomotion.”

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Wide diversity of galaxies in the early universe

New data from the James Webb Space Telescope (JWST) have revealed that the structures of galaxies in the early universe were much more diverse and mature than previously known. Scientists compared images of hundreds of galaxies taken by JWST for the Cosmic Evolution Early Release Science (CEERS) Survey with corresponding images previously taken by the Hubble Space Telescope and presented the results at the 241st meeting of the American Astronomical Society.

The study examined 850 galaxies at redshifts of z three through nine, or as they were roughly 11-13 billion years ago. Associate Professor Jeyhan Kartaltepe from Rochester Institute of Technology’s School of Physics and Astronomy said that JWST’s ability to see faint high redshift galaxies in sharper detail than Hubble allowed the team of researchers to resolve more features and see a wide mix of galaxies, including many with mature features such as disks and spheroidal components.

“There have been previous studies emphasizing that we see a lot of galaxies with disks at high redshift, which is true, but in this study we also see a lot of galaxies with other structures, such as spheroids and irregular shapes, as we do at lower redshifts,” said Kartaltepe, lead author on the paper and CEERS co-investigator. “This means that even at these high redshifts, galaxies were already fairly evolved and had a wide range of structures.”

The results of the study, which have been posted to ArXiv and accepted for publication in The Astrophysical Journal, demonstrate JWST’s advances in depth, resolution, and wavelength coverage compared to Hubble. Out of the 850 galaxies used in the study that were previously identified by Hubble, 488 were reclassified with different morphologies after being shown in more detail with JWST. Kartaltepe said scientists are just beginning to reap the benefits of JWST’s impressive capabilities and are excited by what forthcoming data will reveal.

“This tells us that we don’t yet know when the earliest galaxy structures formed,” said Kartaltepe. “We’re not yet seeing the very first galaxies with disks. We’ll have to examine a lot more galaxies at even higher redshifts to really quantify at what point in time features like disks were able to form.”

The study used an initial data set captured by CEERS when JWST first came online in June, but the survey has since captured a total of 60 observing hours, potentially providing thousands of high redshift galaxies to further explore. Kartaltepe said COSMOS-Web, the largest General Observer program selected for JWST’s first year, will provide an even larger sample through 255 hours of observing time with the telescope. COSMOS-Web began its observing campaign this month.

Several of Kartaltepe’s collaborators on the study were RIT students, including astrophysical sciences and technology Ph.D. students Caitlin Rose, Brittany Vanderhoof, and Isabella Cox; imaging science Ph.D. student James Liu; and undergraduate physics student Jayse Petersen.

Story Source:

Materials provided by Rochester Institute of Technology. Original written by Luke Auburn. Note: Content may be edited for style and length.

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Astronomers find the most distant stars in our galaxy halfway to Andromeda

Astronomers have discovered more than 200 distant variable stars known as RR Lyrae stars in the Milky Way’s stellar halo. The most distant of these stars is more than a million light years from Earth, almost half the distance to our neighboring galaxy, Andromeda, which is about 2.5 million light years away.

The characteristic pulsations and brightness of RR Lyrae stars make them excellent “standard candles” for measuring galactic distances. These new observations allowed the researchers to trace the outer limits of the Milky Way’s halo.

“This study is redefining what constitutes the outer limits of our galaxy,” said Raja GuhaThakurta, professor and chair of astronomy and astrophysics at UC Santa Cruz. “Our galaxy and Andromeda are both so big, there’s hardly any space between the two galaxies.”

GuhaThakurta explained that the stellar halo component of our galaxy is much bigger than the disk, which is about 100,000 light years across. Our solar system resides in one of the spiral arms of the disk. In the middle of the disk is a central bulge, and surrounding it is the halo, which contains the oldest stars in the galaxy and extends for hundreds of thousands of light years in every direction.

“The halo is the hardest part to study because the outer limits are so far away,” GuhaThakurta said. “The stars are very sparse compared to the high stellar densities of the disk and the bulge, but the halo is dominated by dark matter and actually contains most of the mass of the galaxy.”

Yuting Feng, a doctoral student working with GuhaThakurta at UCSC, led the new study and is presenting their findings in two talks at the American Astronomical Society meeting in Seattle on January 9 and 11.

According to Feng, previous modeling studies had calculated that the stellar halo should extend out to around 300 kiloparsecs or 1 million light years from the galactic center. (Astronomers measure galactic distances in kiloparsecs; one kiloparsec is equal to 3,260 light years.) The 208 RR Lyrae stars detected by Feng and his colleagues ranged in distance from about 20 to 320 kiloparsecs.

“We were able to use these variable stars as reliable tracers to pin down the distances,” Feng said. “Our observations confirm the theoretical estimates of the size of the halo, so that’s an important result.”

The findings are based on data from the Next Generation Virgo Cluster Survey (NGVS), a program using the Canada-France-Hawaii Telescope (CFHT) to study a cluster of galaxies well beyond the Milky Way. The survey was not designed to detect RR Lyrae stars, so the researchers had to dig them out of the dataset. The Virgo Cluster is a large cluster of galaxies that includes the giant elliptical galaxy M87.

“To get a deep exposure of M87 and the galaxies around it, the telescope also captured the foreground stars in the same field, so the data we used are sort of a by-product of that survey,” Feng explained.

According to GuhaThakurta, the excellent quality of the NGVS data enabled the team to obtain the most reliable and precise characterization of RR Lyrae at these distances. RR Lyrae are old stars with very specific physical properties that cause them to expand and contract in a regularly repeating cycle.

“The way their brightness varies looks like an EKG — they’re like the heartbeats of the galaxy — so the brightness goes up quickly and comes down slowly, and the cycle repeats perfectly with this very characteristic shape,” GuhaThakurta said. “In addition, if you measure their average brightness, it is the same from star to star. This combination is fantastic for studying the structure of the galaxy.”

The sky is full of stars, some brighter than others, but a star may look bright because it is very luminous or because it is very close, and it can be hard to tell the difference. Astronomers can identify an RR Lyrae star from its characteristic pulsations, then use its observed brightness to calculate how far away it is. The procedures are not simple, however. More distant objects, such as quasars, can masquerade as RR Lyrae stars.

“Only astronomers know how painful it is to get reliable tracers of these distances,” Feng said. “This robust sample of distant RR Lyrae stars gives us a very powerful tool for studying the halo and testing our current models of the size and mass of our galaxy.”

This study is based on observations obtained with MegaPrime/MegaCam, a joint project of CFHT and CEA/IRFU, at the Canada-France-Hawaii Telescope (CFHT), which is operated by the National Research Council (NRC) of Canada, the Institut National des Sciences de l’Univers of the Centre National de la Recherche Scientifique (CNRS) of France, and the University of Hawaii.

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Talks to resolve strikes end with little progress, unions say

Unite says NHS talks were a “missed opportunity”, as unions say planned strikes will go ahead.

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China Covid: More than 88 million people in Henan infected, official says

Some 89% of people in Henan province have been infected but visits to clinics have peaked.

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Here’s How To Tell If You’re Over-Applying Your Skincare Products

If you’re overdoing it with your skincare products, you might want to dial things back a notch or two, for the sake of both your budget and your face.

You could be wasting some serious cash by slathering on a product that’s already getting absorbed as much as possible. What’s more, you could be clogging up your pores.

And products like retinoids can have even more serious issues, since applying too much carries the risk of skin irritation.

“I always tell my patients that overusing retinol, either in the amount applied or in the frequency of application, will not bring about anti-aging benefits any faster nor reduce acne quicker,” warns dermatologist and Mount Sinai clinical instructor Dr. Rachel Westbay. “It will only lead to dryness, redness, peeling or burning.”

If a little bit of something is good for your skin, why isn’t more better? According to chemist and science educator Michelle Wong, the “depot effect” comes into play.

“This means that ingredients will absorb into the top layers of your skin and slowly absorb into the lower layers over time. And once the top layers are saturated, any extra won’t add much,” says Wong, the founder of Lab Muffin Beauty Science, a resource explaining the science behind beauty products.

“This doesn’t happen with stronger retinoids, since they’re already very irritating before the saturation point is reached. But with a lot of other products, it means that applying something five times a day isn’t going to bring much more benefit than applying it twice.”

Take it easy with retinoids

If you’re concerned about over-applying retinols in particular, dermatologist Dr. Karyn Grossman offers a helpful visual. “We’re often told to limit application to a ‘pea size,’ but some people have no idea how big or small a pea is. So I tell them to think about the size of a mechanical pencil eraser,” says Grossman, who co-founded the skincare company Raf Five.

“I recommend placing a small dot on the palm, then using the finger to tap this dot and blend tiny amounts on the forehead, cheeks, nose and chin.”

Westbay points out that it’s good to start slowly. “Begin using a retinol product just one or two nights a week at first and work up to greater frequency,” she advises.

The Mount Sinai instructor also notes that acne spot treatments are often over-applied. “Unless the product has been designed specifically to cover an entire area, like a roll-on, it should be applied in a microdot amount, like the tip of a ballpoint pen,” she says.

Advice for moisturisers, toners and serums

Other products, even moisturisers, require careful application as well. “If you use occlusive moisturisers that may clog pores, applying a very thick layer could lead to acne or other issues with occlusion of the skin,” notes dermatologist Dr. Jeremy Fenton.

Toner, which can be drying, should similarly be applied in the correct amount. “I usually advise using enough product to moisten a cotton round that can then be swiped over the desired areas,” says Dr. Courtney Rubin, a dermatologist and co-founder of skincare brand Fig.1. “If you aren’t using a cotton pad, probably a dime- or nickel-sized amount in the palm of the hand can then be pressed into the skin.”

She shouldn't be dropping that directly on her face — find out why.

Artem Varnitsin / EyeEm via Getty Images

She shouldn’t be dropping that directly on her face — find out why.

Joie Tavernise, a medical aesthetician and the founder of company JTAV Clinical Skincare, cautions that a little bit of toner goes a long way. “If you see that the cotton pad is dirty after going over your face once, you can apply more to a second cotton pad. Continue until it looks clean after wiping your face,” she says.

Serums don’t require very much product to be effective, says dermatologist Dr. Nkem Ugonabo, so save your money by applying with a light touch. “I usually tell my patients that a little goes a long way,” she says. “Typically only a couple of drops are needed for the entire face. Also, I recommend applying it with your hands, rather than using the dropper and touching it directly on your face.”

But wait… there’s sunscreen

The one exception to these guidelines is sunscreen, which calls for a heavier application than you probably realise.

“Most people only apply 25 to 50% of the recommended amount of sunscreen,” says dermatologist Dr. Hadley King. “For our body, apply about a shot glass worth, and use a nickel-sized dollop to the face.”

But if you overdo it a bit, that’s totally OK, according to Tavernise. “This is the only product that you can’t use too much of” when protecting your skin from the sun’s damaging rays, “and you should reapply it throughout the day,” she says.

Layer up and pay attention

As long as you’re considering how much to apply, it also makes sense to think about the order of application, experts say. “Start with double-cleansing, then toner, then a treatment product like serum and finally moisturiser that has SPF [sun protection factor] for the day or without SPF at night,” suggests aesthetician Rachel Roff, who is the founder and CEO of the brand Urban Skin Rx.

Another good rule of thumb came from Jennifer Weiss, a physician assistant at dermatology practice Marmur Medical, who says: “A skincare routine should always start off with the thinnest to thickest products. To prevent potential irritation, sandwich the retinol with moisturiser before and after application.”

Many experts offered a “your mileage may vary” caveat, suggesting that you pay attention to each product and how your skin responds to it. “With very nourishing products, you might not need too much. And other times it’s important to apply liberally, taking extra time to massage a nourishing blend into the skin,” says aesthetician Tammy Fender. “I like to observe how a product absorbs as I massage it in, giving it time and making sure that the skin is taking in the benefits. Otherwise you risk over-application.”

Being cautious and paying attention can save you money in the long run, experts say. Dermatologist Dr. Kseniya Kobets offers this suggestion: “Of course, companies want you to use up their products faster so you can buy more. But often if you are pumping out eye serum or cream, you can do a half a pump and see if it spreads over both eyes. If there’s extra product that doesn’t absorb after a few minutes, you may be over-applying. And if you notice new bumps, whiteheads or breakouts, reconsider how much you’re using.”

Dermatologist Dr. Michelle Henry agrees. “If you’ve just applied moisturiser and your skin feels very tacky, slimy and somewhat oily, then chances are you’ve used too much,” she says. “Your skin should feel rejuvenated and not weighed down by your skincare products.”

She also suggests adding a dollop of patience to your routine. “On average, our skin need around two to four weeks to show positive or negative reactions to new skincare products,” Henry says. “If you notice new breakouts, irritated skin or dry patches, these may be the signs that you are using too much or even the wrong products.”

Slow and steady wins the skincare race

Make sure to read the label before applying anything. “Only use products that have been clinically tested in the listed amount, and follow the product’s directions,” says facial plastic surgeon Dr. Amir Karam.

“It’s all about finding the right skincare regimen that works best for you and your skin,” Henry says. “Just be patient, listen to your skin and look for specific ingredients that work well on your skin type. Start with one new product and advance slowly.”

If you’re wondering whether all this effort is worth it, the experts HuffPost spoke to were absolutely positive about the long-term rewards of a well-planned, well-applied skincare regime. Dermatologist Dr. Ellen Marmur, who founded the brand MMSkincare, offers this inspiration: “Reward yourself with a ‘virtual’ $50 bonus every time you moisturise your skin. A happy skin barrier will be radiant and younger looking, which is like money in the bank, so you won’t need to spend as much on makeup or laser treatments later on.”

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Prince Harry Denies Royal Family Was Racist For Worrying About Archie’s Skin Colour

In a new interview, Prince Harry offered a confusing perspective on one of the most explosive revelations from his and Meghan Markle’s sit-down with Oprah Winfrey.

In the 2021 interview, Meghan said members of the royal family had “concerns and conversations” when she was pregnant with her son, Archie, about how dark his skin would be ― a claim that was widely understood and reported as an allegation of racism and prompted global uproar.

In an interview that aired on UK television Sunday, Harry denied that was the implication. When ITV’s Tom Bradby noted that the Duke of Sussex had “accused members of your family of racism” in the Winfrey interview, Harry pushed back.

“No, I didn’t. The British press said that,” Harry said. “Did Meghan ever mention that they’re racist?”

Bradby mentioned Meghan’s revelation that “there were troubling comments about Archie’s skin colour.”

“There was concern about his skin colour,” Harry replied.

“Right. Wouldn’t you describe that as essentially racist?” Bradby followed up.

“I wouldn’t,” Harry said. “Not having lived within that family.”

“The difference between racism and unconscious bias, the two things are different,” he continued. “But once it’s been acknowledged, or pointed out to you as an individual, or as an institution, that you have unconscious bias, you therefore have an opportunity to learn and grow from that in order so that you are part of the solution rather than part of the problem. Otherwise, unconscious bias then moves into the category of racism.”

The Sussexes have declined to name the members of the royal family involved in the conversations about Archie’s skin, though the couple clarified after the interview that the comments were not made by Queen Elizabeth or Prince Philip.

Prince William responded to the claims by saying that the royals are “very much not a racist family,” while Buckingham Palace issued a statement after the interview saying that “the issues raised, particularly that of race, are concerning” and would be “addressed by the family privately.”

Amid ongoing backlash at the time, royal sources told media the palace was considering appointing a diversity tsar as part of an effort to modernise the monarchy.

The Duke of Sussex spoke to ITV's Tom Bradby in an interview that aired two days before the official publication of his autobiography, "Spare."
The Duke of Sussex spoke to ITV’s Tom Bradby in an interview that aired two days before the official publication of his autobiography, “Spare.”

Jane Barlow – PA Images via Getty Images

While Harry defended his family in Sunday’s interview, he also called out the royal institution for its failure to take the opportunity for change, noting that no diversity tsar materialized.

“Everything they said was gonna happen hasn’t happened. I’ve always been open to wanting to help them understand their part in it, and especially when you are the monarchy ― you have a responsibility and quite rightly people hold you to a higher standard than others,” he said.

He pointed to a recent racist incident as a “very good example of the environment within the institution.” In December, a royal aide who had served for decades as the late Queen Elizabeth’s lady in waiting, Lady Susan Hussey, apologised and resigned after she was called out for repeatedly asking Black charity founder Ngozi Fulani where she “really came from” during a palace reception.

Later in the interview, however, Harry defended Lady Hussey and insisted she meant no harm.

“All we’ve ever asked for in the last … few years is some accountability [from the monarchy],” he said. “And I’m very happy for Ngozi Fulani to be invited into the Palace to sit down with Lady Susan Hussey to reconcile because Meghan and I love Susan Hussey. She thinks she’s great.”

“And I also know that what she meant – she never meant any harm at all, but the response from the British press and from people online because of the stories that they wrote was horrendous. Was absolutely horrendous the response.”

Harry has given a series of interviews as part of a media blitz to promote his new memoir, “Spare,” which accidentally went on sale in Spain several days before its official Jan. 10 publication date.

More bombshells from Prince Harry’s leaked memoir, “Spare”:

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NHS to buy care beds to make space in hospitals

The NHS is being given an extra £250m to buy beds in care homes as it grapples with a winter crisis.

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