Tuesday, December 20, 2022

REPLACE IT WITH ASPHALT

Santa should phase out coal as punishment in Christmas stockings

Coal for 'naughty' children damages children's health and the environment, argue experts

Peer-Reviewed Publication

BMJ

Father Christmas has long been doling out coal to children on the 'naughty list’, but with the climate emergency in mind, isn't it time to phase out this festive punishment? 

In the Christmas issue of The BMJ, paediatrician Tamsin Holland Brown, and her daughters Lilac and Marigold, make the environmental—and compassionate—case for ending this "outdated and potentially harmful" tradition.

The traditional practice of rewarding well-behaved children with gifts but leaving miscreant ones with coal in the festive season persists; lumps of coal are widely available from major online retailers, and the #coalforchristmas hashtag crops up on social media.

However, the authors point out that not only does the burning of this non-renewable fossil fuel exacerbate the climate crisis, but its impact on air quality can also be bad for children's health. "It would be good for goodness' sake if coal was left in the ground", they argue.

Receiving a lump of coal might also have a negative impact on kids' mental health, they suggest. 

As the covid-19 pandemic, war, cost of living crisis, and the climate emergency have already added to anxieties, the authors suggest fostering friendships, and connections between generations, "might combat anxiety" better than a lump of coal.

The authors also make the case for rewarding 'naughtiness', citing Greta Thunberg, the eco-activist who inspired millions of children to go on school strikes for climate. As Thunberg says, children "can't save the world by playing by the rules," so these children deserve to be on the nice—not naughty—list, suggest the authors.

So as alternatives to punitive coal, the authors suggest recycled/upcycled gifts, plant-based foods, walks and bike rides in nature, inspiring novels, or even a stick insect. 

While the co-authors Lilac and Marigold have admitted that they missed school to attend a climate march in 2019, they point out that "[coal] is a fossil fuel and so giving children [coal means] the adults are being the naughty ones." 

We need to "Be kind to the world," they conclude.

 

SHOULD HAVE DONE THIS BEFORE THE STRIKE

How many free hot drinks and biscuits are excessive?

Free hot drinks and biscuits would boost staff morale and cost less than 0.1% of the NHS budget, say researchers

Peer-Reviewed Publication

BMJ

When free hot drinks and biscuits are on offer to healthcare staff, how much is reasonable to take before it’s deemed “excessive” consumption, ask researchers in the Christmas issue of The BMJ?

Might some staff be “taking the biscuit” while others end up getting the short end of the teaspoon? 

And could imposing limits on free refreshments for staff achieve nothing other than fostering resentment and even counterintuitively increasing consumption?

To find out, they surveyed 1,874 healthcare workers and academics, asking how many free hot drinks and packets of biscuits they would take during a single visit to a hospital library before considering their consumption "excessive."

Having collected data over a four-week period, they found that respondents would take an average of 3.32 drinks before considering it excessive.

This is slightly higher than the average number of hot drinks respondents consume over a typical day when left to supply their own refreshments (3.04). Coffee is the drink of choice for just over half of respondents. 

The highest number of acceptable free hot drinks varied by choice of drink. For example, respondents who preferred to drink free coffee would consume more cups in a visit than those who preferred to drink free tea (average 3.44 v 3.29). 

Department of work or clinical specialty also appeared to have an impact on the number of free drinks deemed excessive. General practitioners, for example, would consume more free hot drinks than staff working in emergency departments (average 3.67 v 3.22).

Regardless of beverage choice, respondents considered taking more than an average of 2.25 packets of free biscuits to be excessive.

This varied by role, with doctors having a slightly higher threshold for acceptable number of packets taken than non-doctors (average 2.35 v 2.14).

The number of packets perceived to be excessive also varied by time in role (average 2.89 for those less than two years in role compared with 2.16 for those more than eight years in role).

Although no formal cost effectiveness evaluation was carried out, the researchers estimate that a centrally funded initiative to provide all NHS staff with three hot drinks daily (excluding milk) would cost about £32,692,935 (€37,987,556; $39,570,875) per year.

The additional daily provision of two snack sized biscuit packets for every NHS employee at a cost of 25p each would cost £128,188,286 annually; this equates to a total refreshment cost of £160,881,221 per year, or a not excessive 0.084% of the NHS budget.

The researchers point out that office workers have previously identified free hot drinks as a more important workplace benefit than free support for mental health, and free coffee is associated with improved morale and productivity.

“Given the current concerns over the morale, recruitment, and retention of NHS staff, the estimated £21.7bn cost of a potential staff exodus, and the well documented challenges facing providers of healthcare and social care, the provision of free hot drinks and biscuits could be a worthy and cost effective expense,” they write.

They note that limiting the availability of biscuits and hot drinks is certainly not in the holiday spirit, and they suggest that healthcare employers “should allow biscuits and hot drinks to be freely available to staff, and they should leave these grateful recipients to judge for themselves what constitutes reasonable consumption.”

 

Harnessing artificial intelligence technology for IVF embryo selection

Peer-Reviewed Publication

WEILL CORNELL MEDICINE

Harnessing Artificial Intelligence Technology for IVF Embryo Selection 

IMAGE: EXAMPLES OF EMBRYOS EVALUATED BY THE STORK-A ALGORITHM. FROM LEFT TO RIGHT, AN EMBRYO PREDICTED TO HAVE A NORMAL CHROMOSOME COUNT OR A SINGLE CHROMOSOMAL ABNORMALITY; AN EMBRYO PREDICTED TO HAVE A NORMAL CHROMOSOME COUNT; AN EMBRYO PREDICTED TO HAVE MORE THAN ONE CHROMOSOMAL ABNORMALITY. view more 

CREDIT: WEILL CORNELL MEDICINE

An artificial intelligence algorithm can determine non-invasively, with about 70 percent accuracy, if an in vitro fertilized embryo has a normal or abnormal number of chromosomes, according to a new study from researchers at Weill Cornell Medicine.

Having an abnormal number of chromosomes, a condition called aneuploidy, is a major reason embryos derived from in vitro fertilization (IVF) fail to implant or result in a healthy pregnancy. One of the current methods for detecting aneuploidy involves the biopsy-like sampling and genetic testing of cells from an embryo—an approach that adds cost to the IVF process and is invasive to the embryo. The new algorithm, STORK-A, described in a paper published Dec. 19 in Lancet Digital Health, can help predict aneuploidy without the disadvantages of biopsy.  It operates by analyzing microscope images of the embryo and incorporates information about maternal age and the IVF clinic’s scoring of the embryo’s appearance.

“Our hope is that we’ll ultimately be able to predict aneuploidy in a completely non-invasive way, using artificial intelligence and computer vision techniques,” said study senior author Dr. Iman Hajirasouliha, associate professor of computational genomics and of physiology and biophysics at Weill Cornell Medicine and a member of the Englander Institute for Precision Medicine.

The study’s first author is Josue Barnes, a doctoral student in the Weill Cornell Graduate School of Medical Sciences who studies in the Hajirasouliha Laboratory. Dr. Nikica Zaninovic, associate professor of embryology in clinical obstetrics and gynecology and director of the Embryology Laboratory at the Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine at Weill Cornell Medicine and NewYork-Presbyterian/Weill Cornell Medical Center led the embryology work for the study.

According to the U.S. Centers for Disease Control and Prevention, there were more than 300,000 IVF cycles performed in the United States in 2020, resulting in about 80,000 live births. IVF experts are always looking for ways to boost that success rate, to achieve more successful pregnancies with fewer embryo transfers—which means developing better methods for identifying viable embryos.

Fertility clinic staff currently use microscopy to assess embryos for large-scale abnormalities that correlate with poor viability. To obtain information about the chromosomes, clinic staff may also use a biopsy method called preimplantation genetic testing for aneuploidy (PGT-A), predominantly in women over the age of 37.

To develop a computational approach to embryo assessment that capitalized on the Embryology Laboratory’s pioneering use of time lapse photography, investigators from the Center for Reproductive Medicine teamed up with colleagues in the Englander Institute.

In a 2019 study, the teams developed an artificial intelligence (AI) algorithm, STORK, that could assess embryo quality about as well as IVF clinic staff. For the new study, they developed STORK-A as a potential replacement for PGT-A—or as a more selective way of deciding which embryos should have PGT-A testing.

The new STORK-A algorithm uses microscope images of embryos taken at five days past fertilization, clinic staff’s scoring of embryo quality, maternal age, and other information that is normally gathered as part of the IVF process. Because it uses AI, the algorithm automatically “learns” to correlate certain features of the data, often too subtle for the human eye, with the chance of aneuploidy. The team trained STORK-A on a dataset of 10,378 blastocysts for which ploidy status was already known.

From its performance, they assessed the algorithm’s accuracy in predicting aneuploid versus normal-chromosome “euploid” embryos at nearly 70 percent (69.3%). In predicting aneuploidy involving more than one chromosome—complex aneuploidy—versus euploidy, STORK-A was 77.6 percent accurate. They later tested the algorithm on independent datasets, including one from an IVF clinic in Spain, and found comparable accuracy results, demonstrating the generalizability of STORK-A.

The study provides a proof of concept for an approach that is currently experimental. Standardizing the use of STORK-A in clinics would require clinical trials comparing it to PGT-A, and Food and Drug Administration approval—all years in the future. But the new algorithm represents progress on the way to making IVF embryo selection less risky, less subjective, less costly and more accurate.

“This is another great example of how AI can potentially transform medicine. The algorithm turns tens of thousands of embryo images into AI models that may ultimately be used to help improve IVF efficacy and further democratize access by reducing costs,” said co-author Dr. Olivier Elemento, director of the Englander Institute for Precision Medicine and a professor of physiology and biophysics and of computational genomics in computational biomedicine at Weill Cornell Medicine.

“We believe that ultimately by using this technology we can reduce the number of embryos to be biopsied, reduce the costs, and provide a very good tool for consultation with the patient when they need to make decision whether to do PGT-A or not,” said Dr. Zaninovic.

The team now plans to build on this success with algorithms trained on videos of embryo development.

“By using video classification, we can leverage both temporal and spatial information about the embryo’s development, and hopefully that will allow the detection of trends in development that distinguish aneuploidy from euploidy with even higher accuracy,” Barnes said.

“This technology is being optimized with the hope that at some point its accuracy will be close to genetic testing, which is the gold standard and is more than 90 percent accurate,” said co-author Dr. Zev Rosenwaks, director and physician-in-chief of the Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine at NewYork-Presbyterian/Weill Cornell Medical Center and Weill Cornell Medicine, and the Revlon Distinguished Professor of Reproductive Medicine in Obstetrics and Gynecology at Weill Cornell Medicine. “But we realize that this goal is aspirational.”

Many Weill Cornell Medicine physicians and scientists maintain relationships and collaborate with external organizations to foster scientific innovation and provide expert guidance. The institution makes these disclosures public to ensure transparency. For this information, see profiles for Dr. Iman HajirasoulihaDr. Nikica ZaninovicDr. Olivier Elemento and Dr. Zev Rosenwaks.

Research reveals which animals perceive time the fastest

Reports and Proceedings

BRITISH ECOLOGICAL SOCI

New research reveals that the animals that perceive time the fastest are those that are small, can fly, or are marine predators.

These preliminary results will be presented at the British Ecological Society’s annual meeting in Edinburgh on Tuesday 20th December by Dr Kevin Healy at the University of Galway.

The study, which is the largest of its kind to date, analysed the rate at which over 100 animals  perceive changes in the world – known as temporal perception. The researchers found that animals with fast paced lifestyles have visual systems that can detect changes at higher rates.

Species such as blow flies and Dragon flies were able to detect changes at the highest rate, with vision that could handle 300hz (able to see changes 300 times a second), significantly faster than humans which can see at 65hz. In vertebrates, the fastest eyes belonged to the pied fly catchers which could see at 146hz. Salmon clocked in at 96hz and Dogs at 75hz. The slowest eyes belonged to crown-of-thorns starfish at 0.7hz.

“Having fast vision helps a species perceive rapid changes in the environment. Such detailed perception of changes is very useful if you move quickly or need to pinpoint the trajectory of  moving prey.” Explained Dr Kevin Healy.

“By looking at such a wide range of animals, from dragonflies to starfish, our findings show that a species’ perception of time itself is linked to how fast its environment can change. This can help our understanding of predator-prey interactions or even how aspects such as light pollution may affect some species more than others.”

One unexpected finding from the research is that many terrestrial predators have relatively slow time perception compared to aquatic predators. Dr Kevin Healy said: “We think this difference may be because in aquatic environments predators can continuously adjust their position when lunging for prey, while in terrestrial environments, predators that lunge at prey, such as a jumping spider, are not able to make adjustments once they’ve launched.”

Not all animals have fast temporal perception as it’s energetically costly and limited by how quickly neurons linked to retinal cells in the eye can recharge. Animals that don’t require rapid vision use this energy for other requirements, such as growth or reproduction.

Variation in time perception also occurs within species, including in humans, with some studies suggesting that in football, goalkeepers see changes at a higher rate and that coffee can temporarily boost this by a small amount.

The analysis in this research used data collected from numerous studies which measured time perception using flickering light experiments. Each experiment flickered a light and recorded the rate the optic nerve sent information, using special devices called electroretinograms, which in turn measured how fast an animal could detect the rate of a light flashing. This is known as critical flicker fusion frequency.

Dr Kevin Healy will present the work at the British Ecological Society annual meeting. This work is currently unpublished. This conference will bring together over 1200 ecologists to discuss the latest breakthroughs in ecology.

-ENDS-

 Lonely heart-failure patients face worse outcomes than sociable peers

A perceived loss of social role, such as caring for family and friends, has been linked to worse outcomes for heart failure patients, which suggests social engagement should form part of their care

Peer-Reviewed Publication

FRONTIERS

Older heart failure patients who feel that they have lost their social role amongst friends and family are more likely to suffer poor clinical outcomes. This is the finding of a new study in Frontiers in Cardiovascular Medicine that has examined the specific aspects of social interaction that can lead to a poor prognosis for these patients.

“We are the first to show a close association between the loss of perceived social role and long-term poor clinical outcomes in older heart failure patients,” said Dr Satoshi Katano, first author of this research, based at Sapporo Medical University Hospital, Sapporo, Japan. “Our study highlights the real need to develop a management program that includes a social approach to the care of these patients.”

Healthy aging

Social frailty has been widely identified as a risk to healthy aging. Social frailty covers areas such as the loss of social roles, social networks, and social activities.

“Recent research has shown that social frailty is present in two thirds of older people that suffer heart failure, and it has been linked to worse outcomes for these patients. However, it hasn’t been clear exactly why social frailty makes the prognosis worse,” explained Katano. “To examine the aspects of social frailty that may contribute to poor outcomes, we measured social frailty using the Makizako questionnaire in over 300 heart failure patients over the age of 65 that were admitted to our hospital for care.”

The Makizako questionnaire is a trusted method of assessing social frailty. It asks participants five questions that evaluate the patient’s social support, social activities, living situation, and perceived social role. A negative response to two or more of the five questions is an indicator of social frailty.

“We found that a patient’s perceived social role, as well as their social frailty as a whole, was associated with long-term adverse clinical outcomes in older heart failure patients. In addition, both of these factors added to the likelihood of a negative prognosis,” reported Katano.

He continues, “Our study followed patients for three years after their admission to hospital, which is much longer than previous studies that have only followed patients up to a year. This enabled us to examine the long-term impact of social frailty on adverse clinical outcomes in older heart failure patients.”

Social aspect to aftercare

The study was conducted in Japan, and while the researchers highlighted that social interactions may vary across different cultures, it is likely that social frailty will adversely impact health in older heart failure patients in all societies. Therefore, Katano believes that including a social aspect to aftercare is essential.

“The next important step is to develop programs to help older heart failure patients who have social frailty. Participation in domestic tasks and social activities such as engagement in meaningful volunteer activities that serve to help others, can all help to improve the perception of social role in older heart failure patients. These lifestyle changes will help older heart failure patients live longer, healthier, and more productive lives.”

 


Paying farmers to create woodland and wetland is the most cost-effective way to hit UK environment targets, study suggests

Study of farmer preferences shows that turning whole areas of farmland into habitats comes with half the price tag of integrating nature into productive farmland , whilst delivering the same, biodiversity and carbon targets

Peer-Reviewed Publication

BRITISH ECOLOGICAL SOCIETY

Incentivising farmers to restore some land as habitats for nature could deliver UK climate and biodiversity targets at half the taxpayer cost of integrating nature into land managed for food production, according to a new study published today in the British Ecological Society journal People and Nature.

This research is also being presented today at the British Ecological Society’s annual meeting in Edinburgh by Professor Nicholas Hanley, an environmental ecologist based at the University of Glasgow.

The research, led by the universities of Cambridge, Leeds and Glasgow, provides the first evidence for the taxpayer savings offered by focusing food production in certain areas to allow the creation of new woods, wetland and scrub habitats on some of the land currently used for farming.

The study suggests that this “land sparing” approach would cost just 48% of the funds required to achieve the same outcomes for biodiversity and the climate through an approach known as “land sharing”, where conservation measures get mixed into farming by adding hedgerows to fields, reducing pesticides, and so on – all of which lowers food yield.

Additionally, the researchers say that trying to share land with nature through making farming more wildlife-friendly would see the UK lose 30% more of its food production capacity than if farmers are encouraged to spare portions of land entirely for creating semi-natural habitats.

The UK government has legally binding commitments to reverse nature declines by 2030 and reach net zero carbon by 2050. Sparing land for habitats could hit these targets at half the cost of trying to farm on land shared with nature, say researchers.

“Currently, only a fraction of the £3.2 billion of public money annually paid to farmers goes on biodiversity and climate mitigation, some £600m a year,” said Lydia Collas, who led the study as part of her PhD at Cambridge’s Department of Zoology.

“Almost all this fraction of funding supports land-sharing approaches that may do little to benefit species or sequester carbon, but do typically reduce food yields. Until now there has been no research on whether this is the most cost-effective solution to delivering environmental targets.”

Cambridge’s Prof Andrew Balmford, senior author of the study, said: “Greater incentives for farmers to create woodlands and wetlands will deliver for wild species and climate mitigation at half the cost to the taxpayer of the land-sharing approach that currently receives ten times more public funding.”

The researchers say their findings – presented at the British Ecological Society’s annual meeting by study co-author Prof Nick Hanley, an environmental economist from the University of Glasgow – should inform the current Brexit-prompted rethink of England’s new Environmental Land Management Scheme (ELMs).

The researchers conducted a choice experiment study with 118 farmers responsible for 1.7% of all England’s arable land, asking them to estimate the payments they would require to implement land-sharing practices or habitat-creating “sparing” approaches on their land.

Farmers chose from a variety of agricultural approaches, nature interventions and, crucially, payment rates. The study also considered the government's costs of administering and monitoring these schemes.

The team used three bird species – yellowhammers, bullfinches and lapwings – as a proxy for effects on biodiversity, as well a range of ways farmers could help slow climate change, such as woodland and hedgerow creation.

On average, farmers in the experiment accepted lower payments per hectare for land sharing practices. However, habitat creation schemes deliver far greater environmental outcomes per hectare, so creating woodlands, wetlands and scrublands would deliver the same overall biodiversity and climate mitigation benefits at half the cost to the taxpayer.

“We found that enough farmers are willing to substantially change their business to benefit from payments for public goods in the form of habitats, provided the government rewards them properly for doing so,” said Balmford.

Collas, now a now a Policy Analyst at Green Alliance, added: “Existing evidence already shows that semi-natural habitats deliver far more biodiversity and climate mitigation per unit area, and creating them has far less impact on food production than meeting targets through land sharing.

“This evidence is dismissed when thinking about agricultural policy in the UK because of an untested assumption that farmers are unwilling to create natural habitat. We now have evidence showing this assumption is wrong.”

A small structural change but a large biochemical effect – Structure of a bacteriophytochrome in two states revealed

Peer-Reviewed Publication

UNIVERSITY OF JYVÄSKYLÄ - JYVÄSKYLÄN YLIOPISTO

Phytochrome structures shown in dark and illuminated states 

IMAGE: PHYTOCHROME STRUCTURES SHOWN IN DARK AND ILLUMINATED STATES view more 

CREDIT: HEIKKI TAKALA

Scientist have revealed both dark adapted and light-activated structures of a red photosensory protein, phytochrome. According to the results of the study, almost non-existent structural changes in the regulatory domains can cause large changes elsewhere. The study is published in Nature Communications.

“Nobody has succeeded in this before”

Plants and bacteria adapt to light environment by using various photoreceptor proteins. Phytochromes are a group of photoreceptors that respond to red and far-red light. The function of phytochromes have been studied extensively. Still, their full and biologically relevant structures have remained elusive.

Now, full-length structures of a model bacterial phytochrome, DrBphP, from Deinococcus radiodurans have been revealed in two activity states. “Although many groups have tried, nobody has succeeded to solve a crystal structure of a full-length phytochrome,” explains docent Heikki Takala from the University of JyvĂ€skylĂ€. “We therefore decided to apply cryo-electron microscopy to this model phytochrome.”

Light-triggered structural changes revealed by cryogenic electron microscopy

An international team, including the groups of Dr. Heikki Takala and Prof. Janne Ihalainen from the University of JyvĂ€skylĂ€, have now successfully uncovered the structure of DrBphP. By using single particle cryo-electron microscopy (cryo-EM), they found out that the structure of the full-length phytochrome is symmetrical and relatively well-defined dimer in the dark-adapted state. However, when illuminated with red light, its output histidine kinase module becomes asymmetrical and less defined.

Unlike predicted in previous studies, the light-induced structural changes in the photosensory module were small but amplified only at the output module. “These results show that almost non-existent structural changes in the regulatory domains can cause large changes elsewhere, giving valuable information about signal propagation and allostery in sensory proteins“, concludes Prof. Janne Ihalainen, one of the senior scientists in the team.