The Ukrainian War Is Getting Bloodier. Is The West Doing Enough?

As the war enters its third month, it’s clear the Russian invasion has not gone entirely to plan – but that doesn’t mean victory for the Ukrainian resistance is on the horizon.

Further horrors have been unfolding in the east of Ukraine recently, particularly in the besieged city of Mariupol, suggesting Russia has no intention of giving up or going quietly.

The Ukrainian president has laid out exactly the kind of help the country needs from the west to prevent the war from spilling over into the rest of Europe. So will Nato step up, or will it continue holding back?

The war took a turn for the worse this week

Russia has focused its efforts on the east of Ukraine, while its attacks become more merciless.

Newly released satellite images suggest haunting mass graves have been dug near the Ukrainian port city of Mariupol, which has been under siege for more than a month. The graves could hold as many as 9,000 bodies according to the local authorities.

Around three-quarters of Mariupol’s residents have already fled, and a shocking 20,000 civilians are estimated to have been killed.

Despite all of this, Ukrainian forces allege they are still in control of the city – even as Russia declares its first substantial victory in the war.

Russian president Vladimir Putin previously told the forces in the area they had to either surrender or die but he has since called off an attack on the final stronghold, a steel mill where around 2,000 Ukrainian fighters are reportedly hiding.

Instead, he ordered such an unshakable blockade of the plant “so that a fly can’t get through”, which gave the Kremlin a chance to declare a win without significant casualities.

The city is a significant battleground in the war because it is the last hurdle in Moscow’s bid to create a land bridge between its territories in the eastern Donbas region and the Crimean Peninsula.

The Ministry of Defence has warned that Putin’s decision to blockade the steel plant “likely indicates a desire to contain Ukrainian resistance in Mariupol” so the Russian forces can be spread across the east of the country.

Meanwhile, eastern Donbas still faces intense shelling by the Russians, even as its troops “are still suffering from losses sustained earlier in the conflict”.

Detective chief superintendent Dominic Murphy from the Met War Crimes police also told PA new agency that it had received approximately 50 referrals from people with UK links about the Russian invasion.

As the war continues to escalate, he explains: “What we’re seeing is incredibly harrowing, beyond comprehension.

“In not far off 17 years in counterterrorism, (it is) some of the worst possible footage you could imagine seeing.”

He said it is possible that he has seen evidence of war crimes in these referrals, along with evidence of “other international crimes”.

So what kind of help does Ukraine want?

The main request coming from Ukraine now is for more money.

Ukrainian president Volodymyr Zelenskyy told the World Bank and IMF that the country needs $7 billion (£5.4 billion) per month to supplement its losses caused by Russia.

It comes after the country has already suffered around $60 billion (£46.6 billion) in physical damage from the Russian invasion.

He explained: “We will need hundreds of billions of dollars to rebuild all this later and recover from this war.”

The Ukrainian president also called for Russia to be excluded from the World Bank and IMF, saying such bodies are “definitely not the place for a country which is trying to ruin the lives of its neighbours”.

Ukraine used to want to join Nato so that its forces would help defend the country, but it has since abandoned this effort.

In mid-March, Zelenskyy said: “Ukraine is not a member of Nato. We understand that. We have heard for years that the doors were open, but we also heard that we could not join. It’s a truth and it must be recognised.”

Ukraine used to plead for a no-fly zone, but to the country’s disappointment, this was rejected by the west over fears it would be seen as an escalation of tensions with Russia and officially pull Nato into the war.

Instead, Zelenskyy now asks for weapons which are “comparable” with Moscow’s, including fighter jets.

The mayor of Mariupol, Vadym Boychenko, has also called for more humanitarian corridors, explaining: “We need only one thing – the full evacuation of the population. About 100,000 people remain in Mariupol.”

President of the European Council Charles Michel in a shared press conference with Ukrainian president Volodymyr Zelensky this week.
President of the European Council Charles Michel in a shared press conference with Ukrainian president Volodymyr Zelensky this week.

SERGEI SUPINSKY via Getty Images

So what is the west actually doing?

The UK supplied Kyiv with 4,000 anti-tank weapons and anti-tank Javelin missiles, while another batch of 6,000 firearms is on its way now.

Around £25 million in financial support was announced in March, along with body armour, helmets and combat boots.

The US and the EU have pledged to send more weapons, while France has sent £83 million worth of equipment.

Canada, Norway and even Sweden – famously neutral – have chipped in too to support Ukraine with weapons.

Since Zelenskyy’s plea, the US has promised to pass an extra $800 million (£615 million) to supply Ukraine with more equipment, ammunition and drones while. The UK is now training some Ukrainian soldiers to use armoured vehicles.

Boris Johnson said earlier this week: “They need support with more artillery, that is what we will be giving them.”

Why stop there?

The west has been extremely reluctant to interfere with the war out of fear that the war would escalate.

But, critics claim what Ukraine’s allies have offered so far is simply not enough.

Tory MP Tobias Ellwood told Radio 4′s Today programme: “The bigger question, not answered by Nato or indeed us, is what does success look like?

“We are doing enough to prevent Ukraine from losing but not enough to ensure they win.

“So what does our long-term mission objective look like? Is it pushing Russia back to pre-February lines or is it liberating the entire Donbas region? That’s absolutely critical in how we choose to up-arm the Ukrainians.”

He said there was an “absence of overall strategy” on how to end the war from Nato, and warned that he believes Putin will not stop his attack unless he is stopped.

Now more than five million Ukrainian refugees have now fled from the country, primarily to the rest of Europe, there is also an argument that the west is already involved.

Russian propagandists have already claimed that “World War 3” has started and that Russia is “fighting Nato”.

The Kremlin has even warned Washington recently that continued military aid could lead to “unpredictable consequences”.

Former vice chief of staff at Nato’s Supreme Headquarters Allied Powers Europe (SHAPE), Michel Yakovleff, also called for the west to take further action this week.

Asked if the west has done enough to help Ukraine, he told French broadcaster France24: “Very bluntly, and that is my personal opinion, no, not since 2014.

“Ukraine is paying now for our desire not to escalate since 2014.”

He said that while the UK and the US’ actions now “have helped massively”, the influx of new materials has come at a time when both sides are exhausted.

“Will Ukraine have time to integrate this new equipment before utter exhaustion? I don’t know.”

He concluded that Nato, which calls itself the “most powerful alliance in history”, should not be “frightened” of Putin and “cower” in the face of the potential “consequences”.

Service members of pro-Russian troops are seen atop of an armoured vehicle in the southern port city of Mariupol.
Service members of pro-Russian troops are seen atop of an armoured vehicle in the southern port city of Mariupol.

Chingis Kondarov via Reuters

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21 Little Milestones That Are Secretly A Big Deal For Kids

Rolling over. The first step. The first word. Parents often fixate on these classic developmental milestones, but doing so can lead to unhealthy comparisons and insecurity.

“Milestones are exciting, but also know that your child may not follow the ‘expected’ ages for specific actions,” said Christina Furnival, a psychotherapist who specializes in children’s mental health. “Each child is unique and special and wonderful, regardless of the standard milestones they reach and the age at which they reach them.”

Of course, if you have serious concerns about your child’s development, it’s important to talk to your pediatrician. But if you simply find yourself feeling worried about their progress and your ability as a parent, remember that there are so many milestones worthy of celebration, including more nuanced and subtle ones.

Below, Furnival and other experts share 21 interesting and insightful small milestones in childhood development.

Showing visual attention

“Visual attention is a very important early developmental milestone that is more difficult to measure in a concrete way,” said Lauren C. Shuffrey, a developmental neuroscientist. “At birth, infants already have the ability to visually distinguish different types of objects, such as human faces, and this skill continues to develop over time. Visual attention to social or nonsocial stimuli in the early life environment helps form the basis for more complex skills later in infancy, such as social communication and joint attention.”

Kristene Geering, director of content at Parent Lab, noted that she looks for and delights in seeing a baby express joint attention ― another big step in their visual attention development.

“This might be a child looking at something, turning back to the parent, then looking back at the object,” she explained. “Or it could be them pointing at something and checking to see if you’re looking, too. A lot of parents don’t realize what a big deal that is for both communication and cognitive development, but it’s huge!”

Dropping and knocking things over

It may seem annoying when your little one drops their toy every time you hand it to them, but Rachel Robertson, vice president of education at Bright Horizons, said this is another big sign of growth.

“Toddlers are really great scientists,” she explained. “They are exploring a lot of cause and effect: Like what happens when I drop my spoon once, twice, 10 times! How about if I dump this bucket of blocks? They are working on muscle control.”

Amanda Gummer, a child psychologist and founder of The Good Play Guide, noted that babies dropping things is a step toward understanding “that they can have an impact on their environment” ― thus making major strides in cognitive development.

“For example, splashing water, knocking over a pile of blocks, or pressing a button on a toy to set off lights and sound,” she added. “Toddlers and preschoolers will then progress from seeing the world in a very concrete way, to being able to use symbolic and logical thinking.”

Forming a strong attachment

“Has your infant around five months on become less comfortable with being passed around and a little more clingy?” said Noel McDermott, a psychotherapist. “They are forming attachments in a healthy way to a primary carer. Their neurological frontal lobe development ― the brain development crucial for language, social, thinking, executive decision making ― is happening.”

He explained that this mechanism allows them to develop bonds with others throughout their lives. While this can manifest as separation anxiety and pose challenges, it’s actually a milestone when your child shows a strong attachment to a parent or friend.

“Even when your preschooler cries at drop-off because they are so comfortable with you ― that’s a milestone to note,” Furnival added. “Also when they run into class without looking back.”

Playing peekaboo

“Peekaboo is another milestone that, while parents certainly enjoy it, they don’t often recognize as a sign of object permanence,” Geering said.

Object permanence is the ability to understand that items or people still exist even when you can’t see them. “There are several stages for object permanence, and recognizing that this is a milestone … can make a parent’s day.”

Smiling at and with you

When your baby smiles at and with you, that’s a powerful developmental milestone that fosters connection and communication. Pay attention to “social smiles.”

“Smiling is a way to bond with your child,” said Dr. Ann-Louise Lockhart, a pediatric psychologist and parent coach.

“It also helps them with their self-concept ― understanding who they are in relation to others,” she added. “It gives them reassurance that you love and care about them. It’s also a way for people to connect since so much of our communication is nonverbal and subtle.”

Eventually they will recognize themselves in the mirror and smile then as well, indicating an understanding of self.

Engaging in imaginative play

Playtime is an important part of child development, and the toddler years are when things start to evolve quickly.

“Your kid will start to play by themselves, and in their play space, objects can change and morph,” McDermott said. “Blocks can transform from one thing to another. A pencil may become a rocket. A toy car may become a submarine. Your kid is developing their literacy. This ability to imaginatively transform and maintain transformation in a creative internal narrative is the cognitive skill needed for reading.”

Kelly Oriard, a family therapist and co-founder of Slumberkins, an educational brand focused on emotional learning, said parents can get a glimpse into their child’s inner world by joining them during playtime. She noted that imaginative play fosters language development, relational interactions, problem-solving skills, and self-esteem.

“This magical milestone is such a fun one,” Oriard said. “Your child will begin to imagine and create their own little worlds for themselves and their toys. Through this milestone, children can better figure out their place in the world and their roles within their different systems. Another benefit of imaginative play is that kids can also explore their emotional identification and expression.”

Taking turns

“From ages 1-3 years, milestones can include sharing toys with friends or siblings and learning to take turns during play,” said Sanam Hafeez, a neuropsychologist.

This milestone manifests earlier than many parents expect, so they might not recognize its importance.

“Of course, we want our kids to take turns on the playground, but when your toddler rolls the ball back and forth with you ― that’s also turn-taking!” Geering said. “And it builds not just the social-emotional skills we want our kids to have, it also helps in communication, that back-and-forth part of speech.”

Saying ‘no’

Hearing “no” from your toddler can get frustrating, but Robertson explained that it is not necessarily a bad thing.

“For toddlers, saying ‘no!’ means they are discovering their independence and exercising some control,” she said. “They are figuring out they have preferences and opinions, but don’t have a lot of words or methods of expressing them. It is worth noting when they start to be able to express their feelings like that, it is a sign of identity development. ‘Me do it’ or ‘I no want broccoli’ means they understand they are an individual who can express thoughts and have some autonomy.”

Matching objects

“It’s important to understand that one skill usually builds on another,” Geering said. “For example, while parents may think of reading as a milestone, it’s actually several milestones building on one another. One very early reading skill is being able to match two objects. A later stage would be matching that object to a photo, and then to an illustration.”

The smaller steps that build up to reading are important little milestones on their own. Parents can see that their child is making progress when they learn to recognize those incremental skills.

“If you see rows of patterned scribbles or shapes that sort of resemble letters, that means they are beginning to understand communication and that markings are symbols that represent words and ideas,” Robertson added.

Asking ‘why’ questions

“When you child is about 3, they start to ask ‘why’ questions,” said John and Kyle Hattie, co-authors of “10 Steps to Develop Great Learners.”

“This is a big deal as they are trying to understand the weird world they have come into. Things are happening that they want to begin to understand, see how their thinking about the world is true or not, and become genuinely curious.”

The authors noted that it’s important for parents to help their children find answers to their queries because during this time is when their child is developing a theory of the world around them.

“Children who do not get answers to the many ‘why’ questions begin to fall behind their peers, become less trusting in the world and people around them, and later in school struggle to make meaning,” they said.

Recognizing the urge to use the bathroom

“While parents often think of potty training as one thing, it’s made up of a lot of steps along the way,” Geering said. “It starts with the brain being able to even recognize the urge to go.”

During this time, kids are also “learning to coordinate their brains and bodies,” she said, for example, when they are figuring out how to pull their pants down and back up.

Starting daycare

“Entering daycare is a big milestone for toddlers and parents,” Lockhart said. “It introduces the concept of separation from primary caregivers, socializing and connecting with other adults and peers, independent play, gross and fine motor skills, and executive functioning skills, like problem-solving.”

She acknowledged separating from your little one can be nerve-wracking for many parents, but it’s a powerful and important developmental task.

Engaging in parallel play

“A stage of social development that’s easy to miss is when babies are playing next to other babies, but not together,” Gummer said. “They may be doing something completely different, watching the other child, or perhaps copying what the other infant is doing. This is known as parallel play and it will progress into playing with others as they get older.”

She emphasized that parallel play is a big first step toward collaborative play and making their first friend.

Experiencing humor

“The first laugh or even the first time your child understands humor and cracks a real joke ― should be noted and observed with greater frequency,” Oriard said.

She explained that a child’s displays of humor are joyful moments but also important social-emotional milestones to celebrate. Take note when you see your kid “get” a joke and laugh, relish in making other people laugh, or laugh at themselves when they do something silly.

Showing empathy

“Social-emotional milestones are being able to recognize emotions in themselves and others, and demonstrate compassion,” Robertson said. “Maybe they share something with a friend who is sad or offer you a hug without prompting. This shows you that they’re developing perspective and empathy.”

Acknowledge the first time your children show concern when someone is sad or hurt. Foster this empathy by helping them identify big feelings in themselves and others.

“Empathy is such a powerful skill, and throughout your child’s life, it can help create more robust and healthier relationships with others, including peers,” Oriard said.

Developing motor skills

“As a parent, point out those small skills your kids have now that they didn’t have a few months ago,” advised Deborah Farmer Kris, a parent educator. “Zipping up their jacket, putting on their socks, using a spoon, sorting their toys. Walking, talking, reading and writing aren’t events ― they are a cumulative processes.”

Furnival added that fine motor milestones may look like anything from using scissors to holding a pencil a certain way, while gross motor milestones can be going up the stairs one foot at a time or throwing a ball.

Seeing things as right and wrong

“Another important social-emotional milestone occurs around the ages of 4-5,” Oriard said. “At this stage, children begin to understand right and wrong and begin to conceptualize things from a moral viewpoint.”

Beginning to see things as right and wrong indicates that your child’s worldview is broadening, so they are better understanding how their actions can affect others.

“While moral development doesn’t happen all at once and is fine-tuned through many years, at this age, we begin to see it burgeoning into our children’s day-to-day interactions.”

Demonstrating emotional self-regulation

In addition to recognizing and expressing emotions, showing signs of emotional self-regulation is a significant milestone.

“When a child tries ― maybe doesn’t always succeed ― but tries to calm their own emotions, that is a really important sign of a critical life skill of self-regulation, being able to control emotions and actions,” Robertson said. “This is paramount in a classroom or a boardroom.”

Practicing complex and flexible thinking

An underappreciated sign of development is when a child demonstrates an ability to hold more than one thing in their mind at once and think flexibly. Robertson believes that this shows budding executive function control.

“Executive function is the most sophisticated set of brain functions and develops into a person’s 20s,” she explained. “It’s often compared to the CEO of the mind and includes working memory, self-control, and flexible thinking. If a child can remember three-step directions, or plan ahead and follow through even when distracted, or play a game like Simon Says, they are developing those very important abilities.”

Gummer pointed to another important step in the development of logical thinking and cognitive reasoning skills.

“Until around age 7, a child will believe that a tall, thin cup holds more liquid than a short, wide cup,” she said. “This is known as conservation. It can support a child’s math skills and along with other types of logic, can help children to problem solve in many different scenarios.”

Finding success at school

Parents often fixate on report cards as the most significant marker of a child’s development in an academic setting. But Joanne Frederick Washington, a licensed mental health counselor, believes there’s much more to it than grades.

“Other milestones that may not get recognized are kids waking up on their own every morning to go to school, their achievement of going into the next grade level, no days absent in a school year, not getting suspended, or having detention in a school year,” she said.

Overcoming a challenge

Going to school or participating in sports and other activities gives kids the opportunity to overcome a challenge or persevere after making a mistake.

“When they make a mistake, the big deal is what then happens next,” John and Kyle Hattie noted. “It’s learning that errors and failure are the learner’s best friends, and they are opportunities to learn.”

Challenges force kids to develop interpersonal skills, resilience, self-awareness, creativity and confidence.

“Going from frustration to satisfaction is the goal,” said Susan G. Groner, author and founder of “The Parenting Mentor.”

“We need to allow our kids to experience the frustration in order for them to figure it out and problem solve and then feel the satisfaction.”

She emphasized enjoying your time with your child and supporting them as they grow. “Observe the little things. Maybe we call them ‘inch stones,’ she said. “Hitting markers should be fun, rather than stressful!”

This is part of a HuffPost Parents series called Enjoy The Ride. Read more here.

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Women asked if bladder drug should be available to buy

The medication could help millions of UK women with overactive bladders, say experts.

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New miniature heart could help speed heart disease cures

There’s no safe way to get a close-up view of the human heart as it goes about its work: you can’t just pop it out, take a look, then slot it back in. Scientists have tried different ways to get around this fundamental problem: they’ve hooked up cadaver hearts to machines to make them pump again, attached lab-grown heart tissues to springs to watch them expand and contract. Each approach has its flaws: reanimated hearts can only beat for a few hours; springs can’t replicate the forces at work on the real muscle. But getting a better understanding of this vital organ is urgent: in America, someone dies of heart disease every 36 seconds, according to the Centers for Disease Control and Prevention.

Now, an interdisciplinary team of engineers, biologists, and geneticists has developed a new way of studying the heart: they’ve built a miniature replica of a heart chamber from a combination of nanoengineered parts and human heart tissue. There are no springs or external power sources — like the real thing, it just beats by itself, driven by the live heart tissue grown from stem cells. The device could give researchers a more accurate view of how the organ works, allowing them to track how the heart grows in the embryo, study the impact of disease, and test the potential effectiveness and side effects of new treatments — all at zero risk to patients and without leaving a lab.

The Boston University-led team behind the gadget — nicknamed miniPUMP, and officially known as the cardiac miniaturized Precision-enabled Unidirectional Microfluidic Pump — says the technology could also pave the way for building lab-based versions of other organs, from lungs to kidneys. Their findings have been published in Science Advances.

“We can study disease progression in a way that hasn’t been possible before,” says Alice White, a BU College of Engineering professor and chair of mechanical engineering. “We chose to work on heart tissue because of its particularly complicated mechanics, but we showed that, when you take nanotechnology and marry it with tissue engineering, there’s potential for replicating this for multiple organs.”

According to the researchers, the device could eventually speed up the drug development process, making it faster and cheaper. Instead of spending millions — and possibly decades — moving a medicinal drug through the development pipeline only to see it fall at the final hurdle when tested in people, researchers could use the miniPUMP at the outset to better predict success or failure.

The project is part of CELL-MET, a multi-institutional National Science Foundation Engineering Research Center in Cellular Metamaterials that’s led by BU. The center’s goal is to regenerate diseased human heart tissue, building a community of scientists and industry experts to test new drugs and create artificial implantable patches for hearts damaged by heart attacks or disease.

“Heart disease is the number one cause of death in the United States, touching all of us,” says White, who was chief scientist at Alcatel-Lucent Bell Labs before joining BU in 2013. “Today, there is no cure for a heart attack. The vision of CELL-MET is to change this.”

Personalized Medicine

There’s a lot that can go wrong with your heart. When it’s firing properly on all four cylinders, the heart’s two top and two bottom chambers keep your blood flowing so that oxygen-rich blood circulates and feeds your body. But when disease strikes, the arteries that carry blood away from your heart can narrow or become blocked, valves can leak or malfunction, the heart muscle can thin or thicken, or electrical signals can short, causing too many — or too few — beats. Unchecked, heart disease can lead to discomfort — like breathlessness, fatigue, swelling, and chest pain — and, for many, death.

“The heart experiences complex forces as it pumps blood through our bodies,” says Christopher Chen, BU’s William F. Warren Distinguished Professor of Biomedical Engineering. “And while we know that heart muscle changes for the worse in response to abnormal forces — for example, due to high blood pressure or valve disease — it has been difficult to mimic and study these disease processes. This is why we wanted to build a miniaturized heart chamber.”

At just 3 square centimeters, the miniPUMP isn’t much bigger than a postage stamp. Built to act like a human heart ventricle — or muscular lower chamber — its custom-made components are fitted onto a thin piece of 3D-printed plastic. There are miniature acrylic valves, opening and closing to control the flow of liquid — water, in this case, rather than blood — and small tubes, funneling that fluid just like arteries and veins. And beating away in one corner, the muscle cells that make heart tissue contract, cardiomyocytes, made using stem cell technology.

“They’re generated using induced pluripotent stem cells,” says Christos Michas (ENG’21), a postdoctoral researcher who designed and led the development of the miniPUMP as part of his PhD thesis.

To make the cardiomyocyte, researchers take a cell from an adult — it could be a skin cell, blood cell, or just about any other cell — reprogram it into an embryonic-like stem cell, then transform that into the heart cell. In addition to giving the device literal heart, Michas says the cardiomyocytes also give the system enormous potential in helping pioneer personalized medicines. Researchers could place a diseased tissue in the device, for instance, then test a drug on that tissue and watch to see how its pumping ability is impacted.

“With this system, if I take cells from you, I can see how the drug would react in you, because these are your cells,” says Michas. “This system replicates better some of the function of the heart, but at the same time, gives us the flexibility of having different humans that it replicates. It’s a more predictive model to see what would happen in humans — without actually getting into humans.”

According to Michas, that could allow scientists to assess a new heart disease drug’s chances of success long before heading into clinical trials. Many drug candidates fail because of their adverse side effects.

“At the very beginning, when we’re still playing with cells, we can introduce these devices and have more accurate predictions of what will happen in clinical trials,” says Michas. “It will also mean that the drugs might have fewer side effects.”

Thinner than a Human Hair

One of the key parts of the miniPUMP is an acrylic scaffold that supports, and moves with, the heart tissue as it contracts. A series of superfine concentric spirals — thinner than a human hair — connected by horizontal rings, the scaffold looks like an artsy piston. It’s an essential piece of the puzzle, giving structure to the heart cells — which would just be a formless blob without it — but not exerting any active force on them.

“We don’t think previous methods of studying heart tissue capture the way the muscle would respond in your body,” says Chen, who’s also director of BU’s Biological Design Center and an associate faculty member at Harvard University’s Wyss Institute for Biologically Inspired Engineering. “This gives us the first opportunity to build something that mechanically is more similar to what we think the heart is actually experiencing — it’s a big step forward.”

To print each of the tiny components, the team used a process called two-photon direct laser writing — a more precise version of 3D printing. When light is beamed into a liquid resin, the areas it touches turn solid; because the light can be aimed with such accuracy — focused to a tiny spot — many of the components in the miniPUMP are measured in microns, smaller than a dust particle.

The decision to make the pump so small, rather than life-size or larger, was deliberate and is crucial to its functioning.

“The structural elements are so fine that things that would ordinarily be stiff are flexible,” says White. “By analogy, think about optical fiber: a glass window is very stiff, but you can wrap a glass optical fiber around your finger. Acrylic can be very stiff, but at the scale involved in the miniPUMP, the acrylic scaffold is able to be compressed by the beating cardiomyocytes.”

Chen says that the pump’s scale shows “that with finer printing architectures, you might be able to create more complex organizations of cells than we thought was possible before.” At the moment, when researchers try to create cells, he says, whether heart cells or liver cells, they’re all disorganized — “to get structure, you have to cross your fingers and hope the cells create something.” That means the tissue scaffolding pioneered in the miniPUMP has big potential implications beyond the heart, laying the foundation for other organs-on-a-chip, from kidneys to lungs.

Refining the Technology

According to White, the breakthrough is possible because of the range of experts on CELL-MET’s research team, which included not just mechanical, biomedical, and materials engineers like her, Chen, and Arvind Agarwal of Florida International University, but also geneticist Jonathan G. Seidman of Harvard Medical School and cardiovascular medicine specialist Christine E. Seidman of Harvard Medical School and Brigham and Women’s Hospital. It’s a breadth of experience that’s benefited not just the project, but Michas. An electrical and computer engineering student as an undergraduate, he says he’d “never seen cells in my life before starting this project.” Now, he’s preparing to start a new position with Seattle-based biotech Curi Bio, a company that combines stem cell technology, tissue biosystems, and artificial intelligence to power the development of drugs and therapeutics.

“Christos is someone who understands the biology,” says White, “can do the cell differentiation and tissue manipulation, but also understands nanotechnology and what’s required, in an engineering way, to fabricate the structure.”

The next immediate goal for the miniPUMP team? To refine the technology. They also plan to test ways to manufacture the device without compromising its reliability.

“There are so many research applications,” says Chen. “In addition to giving us access to human heart muscle for studying disease and pathology, this work paves the way to making heart patches that could ultimately be for someone who had a defect in their current heart.”

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Two largest Mars-quakes to date recorded from planet’s far side

The seismometer placed on Mars by NASA’s InSight lander has recorded its two largest seismic events to date: a magnitude 4.2 and a magnitude 4.1 marsquake. The pair are the first recorded events to occur on the planet’s far side from the lander and are five times stronger than the previous largest event recorded.

Seismic wave data from the events could help researchers learn more about the interior layers of Mars, particularly its core-mantle boundary, researchers from InSight’s Marsquake Service (MQS) report in The Seismic Record.

Anna Horleston of the University of Bristol and colleagues were able to identify reflected PP and SS waves from the magnitude 4.2 event, called S0976a, and locate its origin in the Valles Marineris, a massive canyon network that is one of Mars’ most distinguishing geological features and one of the largest graben systems in the Solar System. Earlier orbital images of cross-cutting faults and landslides suggested the area would be seismically active, but the new event is the first confirmed seismic activity there.

S1000a, the magnitude 4.1 event recorded 24 days later, was characterized by reflected PP and SS waves as well as Pdiff waves, small amplitude waves that have traversed the core-mantle boundary. This is the first time Pdiff waves have been spotted by the InSight mission. The researchers could not definitively pinpoint S1000a’s location, but like S0976a it originated on Mars’ far side. The seismic energy from S1000a also holds the distinction of being the longest recorded on Mars, lasting 94 minutes.

Both marsquakes occurred in the core shadow zone, a region where P and S waves can’t travel directly to InSight’s seismometer because they are stopped or bent by the core. PP and SS waves don’t follow a direct path, but rather are reflected at least once at the surface before traveling to the seismometer.

“Recording events within the core shadow zone is a real steppingstone for our understanding of Mars. Prior to these two events the majority of the seismicity was within about 40 degrees distance of InSight,” said Savas Ceylan, a co-author from ETH Zürich. “Being within the core shadow, the energy traverses parts of Mars we have never been able to seismologically sample before.”

The two marsquakes differ in some important ways. S0976a is characterized by only low frequency energy, like many of the quakes identified so far on the planet, while S1000a has a very broad frequency spectrum. “[S1000a] is a clear outlier in our catalog and will be key to our further understanding of Martian seismology,” Horleston said.

S0976a is likely to have a much deeper origin than S1000a, she noted. “The latter event has a frequency spectrum much more like a family of events that we observe that have been modeled as shallow, crustal quakes, so this event may have occurred near the surface. S0976a looks like many of the events we have located to Cerberus Fossae — an area of extensive faulting — that have depths modeled to be around 50 kilometers or more and it is likely that this event has a similar, deep, source mechanism.”

Compared to the rest of the seismic activity detected by InSight, the two new far-side quakes are true outliers, the researchers said.

“Not only are they the largest and most distant events by a considerable margin, S1000a has a spectrum and duration unlike any other event previously observed. They truly are remarkable events in the Martian seismic catalog,” Horleston said.

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Materials provided by Seismological Society of America. Note: Content may be edited for style and length.

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Federal research funding has positive ‘ripple effects’

Federal funding for biomedical research has a “ripple effect” of stimulating new studies even beyond the original purposes of a grant and may provide unexpected benefits, a new study suggests.

Researchers used a unique dataset to get a never-before-seen view of how science funding is spent and the results it produces.

The findings, published today (April 22, 2022) in the journal Science Advances, showed that funding of research by the National Institutes of Health mostly goes to hiring people who work on the projects funded by grants.

But these people — which includes staff and trainees like graduate students — go on to do more than just work on the grants for which they were hired, said Enrico Berkes, co-author of the study and postdoctoral researcher in economics at The Ohio State University.

“We see a great increase in productivity in publications directly linked to a grant but also in new studies that go beyond it,” Berkes said. “There is this ripple effect where people supported by the grant also produce other quality work.”

And the biomedical researchers who are the focus of this study produced more clinical research as the result of receiving more funding — studies directly related to patient care and health, said study co-author Bruce Weinberg, professor of economics at Ohio State.

“Funding is actually producing the kind of research that would lead to improvements in clinical outcomes for patients,” Weinberg said.

The key to this study is the UMETRICS dataset available through the Institute for Research on Innovation and Science. It provides detailed information concerning payments on sponsored research projects at 72 universities.

This allowed the researchers to use payments to identify all people working on research projects funded by NIH — from faculty members to trainees to staff.

Berkes, Weinberg and colleagues then used the PubMed database to find all research publications produced by the scientists in the UMETRICS database. They examined NIH grants between 1985 and 2020.

“We were able to link people to research projects by following the money,” Weinberg said. “This allowed us to answer a question that wasn’t possible before — how money spent on research impacts people.”

Results showed that 68% of grant funding went to spending on employees, which included faculty members, postdoctoral researchers, graduate and undergraduate students, research staff and other staff.

Increases in funding led labs to become more professionalized by hiring more staff and career researchers, findings showed. In fact, research and other staff showed a higher percentage of growth in employment than faculty members when funding increased.

As funding increased and research teams got larger, they produced more scientific papers — and the quality of research did not decline.

“One hypothesis would be that as teams grow larger, they would become more bureaucratic, and it would become more difficult to produce quality science. But we found that labs kept productivity up, likely because they become more professionalized,” Berkes said.

Findings showed that the largest increase in papers comes from studies not directly related to the grant. These are often papers that are not co-authored by the principal investigator, the researcher who is responsible for getting and managing the funding.

One way to understand the ripple effects of funding for medical research is to see how many research papers the people involved with the grants produce.

Unsurprisingly, faculty members have the largest increase in new scientific papers as the result of additional funding. But in relative terms, the trainees — including graduate students and postdoctoral researchers — have a larger-percentage increase in papers they produce.

“We can see how research funding is jump-starting the careers of trainees who take what they learn while working on these funded projects, and the collaborators they met on the grant, and start investigating other important issues,” Weinberg said.

Funding for biomedical research tends to increase both the number of clinical papers directly tied to patient care, and other types of medical research, results showed.

These findings may provide the best view yet of how federal grants awarded for research are spent, Berkes said.

“Funders tend to focus, understandably, on the impact of their money on the specific issue they funded,” Berkes said.

“But they should be aware of how their funding moves through a wide range of people and produces benefits they may have not expected.”

Funding for the study came from the National Institute on Aging, the Office of Behavioral and Social Science Research, the National Institute of General Medical Sciences, the National Center for Advancing Translational Sciences, the National Science Foundation, and the Ewing Marion Kauffman and Alfred P. Sloan foundations.

Other authors on the study were Reza Sattari, a former postdoctoral researcher, and Jung Bae, a PhD graduate, both from Ohio State.

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Some cases of long COVID-19 may be caused by an abnormally suppressed immune system, research suggests

A UCLA-led team of researchers studying the effect of the monoclonal antibody Leronlimab on long COVID-19 may have found a surprising clue to the baffling syndrome, one that contradicts their initial hypothesis. An abnormally suppressed immune system may be to blame, not a persistently hyperactive one as they had suspected.

The study, which was funded by Leronlimab maker CytoDyn Inc. and conducted by researchers either employed by or serving as consultants to the company, will be published online April 22 in the peer reviewed journal Clinical Infectious Diseases.

“While this was a small pilot study, it does suggest that some people with long COVID may actually have under-active immune systems after recovering from COVID-19, which means that boosting immunity in those individuals could be a treatment,” said senior author Dr. Otto Yang, a professor of medicine, division of infectious diseases, and of microbiology, immunology and molecular genetics at the David Geffen School of Medicine at UCLA.

COVID-19 is known to be caused by hyperactive immune responses against SARS-CoV-2 resulting in damage to lungs and other organs, and sometimes what is known as a “cytokine storm” that overwhelms the individual, which could lead to severe illness and death.

In a subset of persons who recover from the initial illness, various symptoms persist, such as fatigue, mental haziness, and shortness of breath, which can be debilitating and last for months. This is generally classified as long COVID, although symptoms vary widely and this syndrome is probably not a single disease entity. Limited understanding of its causes, however, makes finding ways to treat the condition particularly difficult.

Many scientists have suggested that persistence of immune hyperactivity after COVID-19 is a major contributor. Working under this theory, the researchers conducted a small exploratory trial of Leronlimab — an antibody that attaches to an immune receptor called CCR5 that is involved in inflammation — on 55 people with the syndrome.

Participants were randomly assigned to receive weekly injections of the antibody or a saline placebo for eight weeks, over which time they tracked any changes in 24 symptoms associated with long COVID, which also included loss of smell and taste, muscle and joint pain, and brain fog.

The researchers originally thought that blocking CCR5 with the antibody would dampen the activity of an overactive immune system after COVID-19 infection.

“But we found just the opposite,” Yang said. “Patients who improved were those who started with low CCR5 on their T cells, suggesting their immune system was less active than normal, and levels of CCR5 actually increased in people who improved. This leads to the new hypothesis that long COVID in some persons is related to the immune system being suppressed and not hyperactive, and that while blocking its activity, the antibody can stabilize CCR5 expression on the cell surface leading to upregulation of other immune receptors or functions.”

The findings, the researchers write, “suggests a complex role for CCR5 in balancing inflammatory and anti-inflammatory effects, e.g. through T regulatory cells,” although the results need to be confirmed in a larger, more definitive study.

Study co-authors are Norman Gaylis of Arthritis & Rheumatic Disease Specialties in Aventura, Florida; Angela Ritter of the Center for Advanced Research & Education in Gainesville, Georgia; Scott Kelly, Nader Pourhassan, and Christopher Recknor of CytoDyn Inc. in Vancouver, Washington; and Meenakshi Tiwary, Jonah Sacha, and Scott Hansen of Oregon Health & Science University.

Sacha, Hansen, and Yang are paid consultants for CytoDyn. Gaylis is on CytoDyn’s scientific board with stock options.

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Breakthrough in estimating fossil fuel carbon dioxide emissions

A team of scientists led by the University of East Anglia (UEA) has made a major breakthrough in detecting changes in fossil fuel carbon dioxide emissions more quickly and frequently.

In a study published today they quantified regional fossil fuel CO2 emissions reductions during the Covid-19 lockdowns of 2020-2021, using atmospheric measurements of CO2 and oxygen (O2) from the Weybourne Atmospheric Observatory, on the north Norfolk coast in the UK.

The estimate uses a new method for separating CO2 signals from land plants and fossil fuels in the atmosphere. Previously it has not been possible to quantify changes in regional-scale fossil fuel CO2 emissions with high accuracy and in near real-time.

Existing atmospheric-based methods have largely been unsuccessful at separating fossil fuel CO2 from large natural CO2 variability, so that estimates of changes, such as those occurring in response to the lockdowns, must rely on indirect data sources, which can take months or years to compile.

The atmospheric O2-based method, published in the journal Science Advances, is in good agreement with three lower frequency UK emissions estimates produced during the pandemic by the Department for Business, Energy and Industrial Strategy, the Global Carbon Budget and Carbon Monitor, which used different methods and combinations of data, for example those based on energy usage.

Crucially, as well as being completely independent of the other estimates, this approach can be calculated much more quickly.

The researchers are also able to detect changes in emissions with higher frequency, such as daily estimates, and can clearly see two periods of reductions associated with two UK lockdown periods, separated by a period of emissions recovery when Covid restrictions were eased, during the summer of 2020.

Researchers at UEA — home of the UK’s only high-precision atmospheric O2 measurement laboratory — worked with colleagues at Wageningen University in the Netherlands and the Max Planck Institute for Biogeochemistry, Germany.

The study’s lead author, Dr Penelope Pickers, of UEA’s Centre for Ocean and Atmospheric Sciences, said: “If humans are to reduce our CO2 emissions from fossil fuels and our impact on the climate, we first need to know how much emissions are changing.

“Our study is a major achievement in atmospheric science. Several others, based solely on CO2 data, have been unsuccessful, owing to large emissions from land plants, which obscure fossil fuel CO2 signals in the atmosphere.

“Using atmospheric O2 combined with CO2 to isolate fossil fuel CO2 in the atmosphere has enabled us to detect and quantify these important signals using a ‘top-down’ approach for the first time. Our findings indicate that a network of continuous measurement sites has strong potential for providing this evaluation of fossil fuel CO2 at regional levels.”

Currently, fossil fuel CO2 emissions are officially reported with a ‘bottom-up’ approach, using accounting methods that combine emission factors with energy statistics to calculate emissions.

These are then compiled into national inventories of estimated greenhouse gas (GHG) emissions to the atmosphere from anthropogenic sources and activities, such as domestic buildings, vehicles, and industrial processes.

However, inventories can be inaccurate, especially in less developed countries, which makes it more difficult to meet climate targets.

It can also take years for the inventory assessments to be completed, and at the regional scale, or on a monthly or weekly basis, the uncertainties are much larger.

An alternative method of estimating GHG emissions is to use a ‘top-down’ approach, based on atmospheric measurements and modelling.

The UK emissions inventory is already successfully informed and supported by independent top-down assessments for some key GHGs, such as methane and nitrous oxide.

But for CO2, the most important GHG for climate change, this has never before been feasible, because of the difficulties distinguishing between CO2 emissions from fossil fuels and land plant sources in the atmosphere.

Dr Pickers said: “The time taken for inventories to be completed makes it hard to characterise changes in emissions that happen suddenly, such as the reductions associated with the Covid pandemic lockdowns.

“We need reliable fossil fuel CO2 emissions estimates quickly and at finer scales, so that we can monitor and inform climate change policies to prevent reaching 2°C of global warming.

“Our O2-based approach is cost-effective and provides high frequency information, with the potential to provide fossil fuel CO2 estimates quickly and at finer spatial scales, such as for counties, states or cities.”

The team used 10 years of high-precision, hourly measurements of atmospheric O2 and CO2 from Weybourne Atmospheric Observatory, which are supported by the UK’s National Centre for Atmospheric Science. Having long-term measurements of these climatically important gases was crucial to the success of the study.

To detect a Covid signal, they had to first remove the effects of atmospheric transport on their O2 and CO2 datasets, using a machine learning model.

They trained the machine learning model on pre-pandemic data, to estimate the fossil fuel CO2 they would have expected to observe at Weybourne if the pandemic had never occurred.

They then compared this estimate to the fossil fuel CO2 that was actually observed during 2020-2021, which revealed the relative reduction in CO2 emissions.

‘Novel quantification of regional fossil fuel CO2 reductions during COVID-19 lockdowns using atmospheric oxygen measurements’, Penelope A. Pickers et al., is published in Science Advances on Friday, April 22, 2022.

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An ocean in your brain: Interacting brain waves key to how we process information

For years, the brain has been thought of as a biological computer that processes information through traditional circuits, whereby data zips straight from one cell to another. While that model is still accurate, a new study led by Salk Professor Thomas Albright and Staff Scientist Sergei Gepshtein shows that there’s also a second, very different way that the brain parses information: through the interactions of waves of neural activity. The findings, published in Science Advances on April 22, 2022, help researchers better understand how the brain processes information.

“We now have a new understanding of how the computational machinery of the brain is working,” says Albright, the Conrad T. Prebys Chair in Vision Research and director of Salk’s Vision Center Laboratory. “The model helps explain how the brain’s underlying state can change, affecting people’s attention, focus, or ability to process information.”

Researchers have long known that waves of electrical activity exist in the brain, both during sleep and wakefulness. But the underlying theories as to how the brain processes information — particularly sensory information, like the sight of a light or the sound of a bell — have revolved around information being detected by specialized brain cells and then shuttled from one neuron to the next like a relay.

This traditional model of the brain, however, couldn’t explain how a single sensory cell can react so differently to the same thing under different conditions. A cell, for instance, might become activated in response to a quick flash of light when an animal is particularly alert, but will remain inactive in response to the same light if the animal’s attention is focused on something else.

Gepshtein likens the new understanding to wave-particle duality in physics and chemistry — the idea that light and matter have properties of both particles and waves. In some situations, light behaves as if it is a particle (also known as a photon). In other situations, it behaves as if it is a wave. Particles are confined to a specific location, and waves are distributed across many locations. Both views of light are needed to explain its complex behavior.

“The traditional view of brain function describes brain activity as an interaction of neurons. Since every neuron is confined to a specific location, this view is akin to the description of light as a particle,” says Gepshtein, director of Salk’s Collaboratory for Adaptive Sensory Technologies. “We’ve found that in some situations, brain activity is better described as interaction of waves, which is similar to the description of light as a wave. Both views are needed for understanding the brain.”

Some sensory cell properties observed in the past were not easy to explain given the “particle” approach to the brain. In the new study, the team observed the activity of 139 neurons in an animal model to better understand how the cells coordinated their response to visual information. In collaboration with physicist Sergey Savel’ev of Loughborough University, they created a mathematical framework to interpret the activity of neurons and to predict new phenomena.

The best way to explain how the neurons were behaving, they discovered, was through interaction of microscopic waves of activity rather than interaction of individual neurons. Rather than a flash of light activating specialized sensory cells, the researchers showed how it creates distributed patterns: waves of activity across many neighboring cells, with alternating peaks and troughs of activation — like ocean waves.

When these waves are being simultaneously generated in different places in the brain, they inevitably crash into one another. If two peaks of activity meet, they generate an even higher activity, while if a trough of low activity meets a peak, it might cancel it out. This process is called wave interference.

“When you’re out in the world, there are many, many inputs and so all these different waves are generated,” says Albright. “The net response of the brain to the world around you has to do with how all these waves interact.”

To test their mathematical model of how neural waves occur in the brain, the team designed an accompanying visual experiment. Two people were asked to detect a thin faint line (“probe”) located on a screen and flanked by other light patterns. How well the people performed this task, the researchers found, depended on where the probe was. The ability to detect the probe was elevated at some locations and depressed at other locations, forming a spatial wave predicted by the model.

“Your ability to see this probe at every location will depend on how neural waves superimpose at that location,” says Gepshtein, who is also a member of Salk’s Center for the Neurobiology of Vision. “And we’ve now proposed how the brain mediates that.”

The discovery of how neural waves interact is much more far-reaching than explaining this optical illusion. The researchers hypothesize that the same kinds of waves are being generated — and interacting with each other — in every part of the brain’s cortex, not just the part responsible for the analysis of visual information. That means waves generated by the brain itself, by subtle cues in the environment or internal moods, can change the waves generated by sensory inputs.

This may explain how the brain’s response to something can shift from day to day, the researchers say.

Additional co-authors of the paper include Ambarish Pawar of Salk and Sunwoo Kwon of the University of California, Berkeley.

The work was supported in part by the Salk Institute’s Sloan-Swartz Center for Theoretical Neurobiology, the Kavli Institute for Brain and Mind, the Conrad T. Prebys Foundation, the National Institutes of Health (R01-EY018613, R01-EY029117) and the Engineering and Physical Sciences Research Council (EP/S032843/1).

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Making 3D printing truly 3D: eliminating need for 2D layering

Don’t be fooled by the name. While 3D printers do print tangible objects (and quite well), how they do the job doesn’t actually happen in 3D, but rather in regular old 2D.

Working to change that is a group of former and current researchers from the Rowland Institute at Harvard.

First, here’s how 3D printing works: The printers lay down flat layers of resin, which will harden into plastic after being exposed to laser light, on top of each other, again and again from the bottom to the top. Eventually, the object, such as a skull, takes shape. But if a piece of the print overhangs, like a bridge or a wing of a plane, it requires some type of flat support structure to actually print, or the resin will fall apart.

The researchers present a method to help the printers live up to their names and deliver a “true” 3D form of printing. In a new paper in Nature, they describe a technique of volumetric 3D printing that goes beyond the bottom-up, layered approach. The process eliminates the need for support structures because the resin it creates is self-supporting.

“What we were wondering is, could we actually print entire volumes without needing to do all these complicated steps?” said Daniel N. Congreve, an assistant professor at Stanford and former fellow at the Rowland Institute, where the bulk of the research took place. “Our goal was to use simply a laser moving around to truly pattern in three dimensions and not be limited by this sort of layer-by-layer nature of things.”

The key component in their novel design is turning red light into blue light by adding what’s known as an upconversion process to the resin, the light reactive liquid used in 3D printers that hardens into plastic.

In 3D printing, resin hardens in a flat and straight line along the path of the light. Here, the researchers use nano capsules to add chemicals so that it only reacts to a certain kind of light — a blue light at the focal point of the laser that’s created by the upconversion process. This beam is scanned in three dimensions, so it prints that way without needing to be layered onto something. The resulting resin has a greater viscosity than in the traditional method, so it can stand support-free once it’s printed.

“We designed the resin, we designed the system so that the red light does nothing,” Congreve said. “But that little dot of blue light triggers a chemical reaction that makes the resin harden and turn into plastic. Basically, what that means is you have this laser passing all the way through the system and only at that little blue do you get the polymerization, [only there] do you get the printing happening. We just scan that blue dot around in three dimensions and anywhere that blue dot hits it polymerizes and you get your 3D printing.”

The researchers used their printer to produce a 3D Harvard logo, Stanford logo, and a small boat, a standard yet difficult test for 3D printers because of the boat’s small size and fine details like overhanging portholes and open cabin spaces.

The researchers, who included Christopher Stokes from the Rowland Institute, plan to continue developing the system for speed and to refine it to print even finer details. The potential of volumetric 3D printing is seen as a game changer, because it will eliminate the need for complex support structures and dramatically speed up the process when it reaches its full potential. Think of the “replicator” from “Star Trek” that materializes objects all at once.

But right now, the researchers know they have quite a ways to go.

“We’re really just starting to scratch the surface of what this new technique could do,” Congreve said.

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Materials provided by Harvard University. Original written by Juan Siliezar. Note: Content may be edited for style and length.

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