Wednesday, December 23, 2020

Prenatal testing has halved the number of babies born with Down syndrome in Europe

As European countries roll out new noninvasive prenatal screening, it's important for them to have accurate estimates of babies currently being born with Down syndrome

MASSACHUSETTS GENERAL HOSPITAL

Research News

BOSTON -- The growth of prenatal screening in Europe has reduced the number of babies being born per year with Down syndrome (DS) by an average of 54%, according to a new study published in the European Journal of Human Genetics by researchers from Massachusetts General Hospital (MGH) and international Down syndrome organizations. In research published in 2016, the same team found that 33% fewer babies with DS per year were born in the United States as a result of pregnancy terminations.

The researchers spent three years collecting data from multiple registries and databases in every country in Europe to estimate the number of babies being born with DS and the overall number of people with DS in the population. "People with DS were being counted sporadically, inconsistently, or not at all, depending on the country," says Brian G. Skotko, MD, MPP, a medical geneticist at MGH and senior author. "But without an accurate estimate, it's impossible for policymakers and advocacy organizations to determine how many resources and support services are needed for its Down syndrome population." The researchers applied statistical modeling to create estimates in countries where there were gaps in data. "These data are as close to accurate as possible," says Skotko. The data are laid out in both the study and an associated fact sheet.

Equally important, however, was for the study to establish a baseline of DS birth rates and pregnancy termination rates ahead of widespread adoption of new noninvasive prenatal screenings (NIPS). The new screening tests can detect the likelihood of a chromosomal condition in a fetus as early as nine weeks of gestation, after which an expectant couple can elect to pursue definitive genetic testing. As NIPS becomes widely available, fewer babies with DS are expected to be born.

NIPS was introduced in the U.S. in 2011 but has yet to be widely covered by national health care systems in European countries. "Countries that are grappling with funding decisions for NIPS should certainly be having deep discussions about its impact on the country's Down syndrome population," says Skotko, who has a 40-year-old sister with DS. Countries also must create an adequate infrastructure of support and information so that expectant couples can make informed decisions about NIPS and subsequent pregnancies.

The researchers discovered a wide variation in DS birth rates among European regions. From 2011 to 2015, Southern Europe had the highest reduction in DS births due to pregnancy terminations (71%), followed by Northern Europe (51%) and Eastern Europe (38%). There were, however, considerable differences among countries, ranging from no reduction in the percentage of babies being born with DS in Malta, where pregnancy termination is highly restricted, to an 83% reduction in Spain.

Pregnancy terminations related to DS are influenced by multiple factors. Some nations, such as Denmark, provide free access to prenatal screening, whereas there may be cost barriers for couples in other countries. A country's religious and cultural mores also play a role, as does a country's policies about the way expectant couples are counseled about prenatal screening and DS. Parents' decisions might also be influenced by the opportunities that exist for people with DS to live fulfilling, productive lives within a country. "In the U.S., people with Down syndrome have great opportunities to get an education, to fall in love, and to find satisfying jobs," says Skotko.

The modeling study also estimated the number of people with DS currently living in each country. The decreasing number of DS births is offset by people with DS living longer than ever--to an average age of around 60 in countries with resource-rich health care systems. In Europe there were 27% fewer people living with DS in the overall population in 2015 (and 21% fewer people with DS in the U.S)as a consequence of elective pregnancy termination from previous years.

Skotko and his international colleagues hope that the European and U.S. studies will pave the way for governments and DS organizations to work together and share best practices on thoughtful approaches to implementing NIPS and to supporting couples who receive a prenatal DS diagnosis. "Massachusetts, for example, has an outstanding network of parents who are willing to talk about their lived experiences of raising children with Down syndrome to expectant couples," says Skotko. "That nonprofit has trained parent groups in Brazil, Japan and elsewhere so they don't have to reinvent the wheel."

The researchers are planning a similar modeling study in Australia and New Zealand, and they will continue to update each country's data to measure the impact of different prenatal testing policies and of NIPS as it becomes more widely available. This research is unfunded; Skotko and his colleagues have volunteered their time to do these analyses. "We just feel it is so important to provide countries with accurate numbers of their citizens with Down syndrome," says Skotko.

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Brian Skotko, MD, MPP, is the Emma Campbell Endowed Chair on Down Syndrome and director of the Down Syndrome Program at MGH. Gert de Graaf, PhD, is the education and science officer of the Dutch Down Syndrome Foundation and the paper's first author. Co-author Frank Buckley is CEO of the Down Syndrome Education International and Down Syndrome Education USA.

About the Massachusetts General Hospital

Massachusetts General Hospital, founded in 1811, is the original and largest teaching hospital of Harvard Medical School. The Mass General Research Institute conducts the largest hospital-based research program in the nation, with annual research operations of more than $1 billion and comprises more than 9,500 researchers working across more than 30 institutes, centers and departments. In August 2020, Mass General was named #6 in the U.S. News & World Report list of "America's Best Hospital

Low-income preschoolers exposed to nurturing care have with higher IQ scores later on

UM School of Medicine researchers find lower IQ scores in impoverished children can be mitigated with responsive care and learning opportunities

UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE

Research News

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IMAGE: THIS MODEL ILLUSTRATES THE PROPOSED ASSOCIATION BETWEEN EARLY CUMULATIVE ADVERSITIES IN CHILDHOOD AND BENEFITS IN ADOLESCENCE THAT MIGHT BE MODIFIED BY NURTURING CARE IN THE HOME; THE RESEARCHERS FOUND ONLY... view more 

CREDIT: REPRINTED FROM THE LANCET CHILD & ADOLESCENT HEALTH, HTTP://WWW.THELANCET.COM/JOURNALS/LANCHI/ARTICLE/PIIS2352-4642(20)30309-6/FULLTEXT , ANGELA C B TRUDE ET ALEFFECTS OF RESPONSIVE CAREGIVING AND LEARNING OPPORTUNITIES DURING PRE-SCHOOL AGES ON THE ASSOCIATION OF...

Preschoolers living in impoverished communities who have access to a nurturing home environment have significantly higher intelligence quotient (IQ) scores in adolescence compared to those raised without nurturing care. That is the finding of a new international study conducted by University of Maryland School of Medicine (UMSOM) researchers, which examined data from more than 1600 children from Brazil and South Africa who were followed from birth through their teenage years. Results were published this week in The Lancet Child & Adolescent Health journal.

The researchers analyzed data from long-running studies conducted in Brazil and South Africa to assess whether children exposed to early adversities (such as extreme poverty, low birth weight, or pre-term birth) could reach their full learning potential by experiencing responsive caregiving and opportunities to learn in their home. They found that prenatal and early life adversities matter throughout life. Adolescents who had been exposed to multiple adversities early in life had lower IQ scores, were more likely to have difficulties adjusting socially and psychologically, and achieved a lower physical height compared to adolescents exposed to fewer adversities. They also found that being raised in a nurturing environment could significantly counteract the detrimental effect of early adversities on IQ and help children achieve their full intellectual potential.

"We found that adolescents who were raised in nurturing environments had IQ scores that were on average 6 points higher than those who were not. This is a striking difference that has profound implications by increasing the intelligence of entire communities," said study corresponding author Maureen Black, PhD, the John A Scholl and Mary Louise Scholl Endowed Professor of Pediatrics at UMSOM. "A nurturing environment also led to better growth and fewer psycho-social difficulties in adolescence, but it did not mitigate the effects of early adversities on growth and psycho-social difficulties."

Globally, more than 250 million children younger than 5 years are at risk of not reaching their developmental potential because of adversities that co-occur early in life and accumulate with age. In the U.S, almost one in five children are raised in poverty and 15 percent do not complete high school, with higher rates for children in Black and Hispanic families. Exposing these children to a nurturing environment, whether at home or in daycare or pre-school settings, can lead to cognitive benefits that last into adolescence and beyond.

"I think our findings could apply to communities here in the U.S. where children are hungry, living in poverty or lacking in access to medical care," Dr. Black said.

Added study lead author Angela Trude, PhD, a post-doctoral fellow in the UMSOM Department of Pediatrics, "Parents want to provide nurturing environments and we need to help them." She said this includes interacting with young children in a positive way such as reading children's books from the library, singing songs together, and playing games with numbers and letters. Children who engage in age-appropriate chores with adult supervision like picking up toys and clearing the table gain skills and feel good about helping.

"Get children involved in friendly activities as much as possible rather than parking them in front of a screen," Dr. Black said. "Children love to learn and in a nurturing environment they can grow into adolescents and adults with the abilities to care for themselves, their families, and their communities."

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The research was funded by the Bill & Melinda Gates Foundation.

"As the world continues to suffer through a global pandemic, we must not let our youngest children fall through the cracks," said E. Albert Reece, MD, PhD, MBA, Executive Vice President for Medical Affairs, UM Baltimore, and the John Z. and Akiko K. Bowers Distinguished Professor and Dean, University of Maryland School of Medicine. "This research highlights the importance of nurturing caregivers, both at home and at school to help children lead more productive lives as adults."

About the University of Maryland School of Medicine

Now in its third century, the University of Maryland School of Medicine was chartered in 1807 as the first public medical school in the United States. It continues today as one of the fastest growing, top-tier biomedical research enterprises in the world -- with 45 academic departments, centers, institutes, and programs; and a faculty of more than 3,000 physicians, scientists, and allied health professionals, including members of the National Academy of Medicine and the National Academy of Sciences, and a distinguished two-time winner of the Albert E. Lasker Award in Medical Research. With an operating budget of more than $1.2 billion, the School of Medicine works closely in partnership with the University of Maryland Medical Center and Medical System to provide research-intensive, academic and clinically based care for nearly 2 million patients each year. The School of Medicine has more than $563 million in extramural funding, with most of its academic departments highly ranked among all medical schools in the nation in research funding. As one of the seven professional schools that make up the University of Maryland, Baltimore campus, the School of Medicine has a total population of nearly 9,000 faculty and staff, including 2,500 student trainees, residents, and fellows. The combined School of Medicine and Medical System ("University of Maryland Medicine") has an annual budget of nearly $6 billion and an economic impact more than $15 billion on the state and local community. The School of Medicine, which ranks as the 8th highest among public medical schools in research productivity, is an innovator in translational medicine, with 600 active patents and 24 start-up companies. The School of Medicine works locally, nationally, and globally, with research and treatment facilities in 36 countries around the world. Visit medschool.umaryland.edu


Child care facilities can be safe and are essential: new Case Western Reserve study

Researchers outline recommendations to maintain safety standards during the pandemic

CASE WESTERN RESERVE UNIVERSITY

Research News

Cleveland - Child care programs can be safe within the context of low community transmission of COVID-19, according to new research from Case Western Reserve University, based on data from child care programs throughout Ohio.

The study took place from Aug. 15 to Nov. 20, during a timeframe of relatively low community transmission of COVID-19. The team found COVID-19 infection rates at child care programs have been low as a result of:

  • clear and comprehensive state guidelines for mitigating transmission within child care settings;
  • streamlined reporting of cases to monitor trends;
  • resources to support adherence to state guidelines; and
  • high compliance with these guidelines by child care workers and families.

The Case Western Reserve study was funded by the Ohio Bureau of Workers' Compensation (BWC) and supported by the Ohio Department of Job and Family Services (ODJFS). The study relied on a sample of child care facilities that mirrors a mix of urban, suburban, and rural settings found across the country, offering insight into child care experiences nationally.

Additional findings from the ongoing study will provide another look as community transmission rates rise, with data collection continuing until the end of December. These new findings will be released in early 2021.

"We all have seen reports from across the country of vast numbers of parents--mostly women--dropping out of the workforce during the pandemic to care for their children as schools and child care facilities closed," said Darcy Freedman, professor of Population and Quantitative Health Sciences at the Case Western Reserve School of Medicine and director of the Mary Ann Swetland Center for Environmental Health, who served as the principal investigator of the study. "How to reopen and stay open safely is important to tens of thousands of families across the state and hundreds of thousands of families across the country."

The findings show that child care programs in Ohio may have had higher readiness to handle COVID-19 than other sectors of the economy because of already-existing standards designed to promote safe and healthy environments, Freedman said. These, combined with statewide infection control guidelines adopted with high compliance by child care workers and families, resulted in lower levels of COVID-19 transmission within child care settings during the study's initial phase through early November.

But Freedman cautioned that additional supports, such as steady access to affordable personal protective equipment (PPE) and sanitizing materials, may be needed for child care programs to remain vigilant as the COVID-19 epidemic continues.

Case Western Reserve researchers note that public health officials anticipate that even with the distribution of a vaccine, communities across the country may continue to see consistent low to moderate community transmission rates through 2021.

From the start of the pandemic in March 2020 until Nov. 13, less than 1% of all COVID-19 cases in Ohio were among child care workers and children affiliated with child care programs, based on incident reporting from child care programs to ODJFS. During most of the study's timeframe, COVID-19 positivity rates in Ohio were below the 5% threshold used to establish low risk of community transmission. COVID-19 positivity rates in Ohio began rising above 5% starting Oct. 20.

"Maintaining safety within child care programs requires capacity for staff and families to fully adhere to mitigation strategies, both within child care programs and outside in the community," Freedman said.

More than 6,000 child care programs are licensed in the state. Pre-pandemic, these facilities cared for more than 500,000 children each day. The Case Western Reserve survey of parents participating in this study noted that shuttering child care programs due to COVID-19 transmission would have the following results:

  • Nearly 75% of families would have to reduce their work hours.
  • More than half of families--59%--would need one person in the household to leave the workforce to stay home with children.

Key recommendations based on the study findings:

  • Maintain child care capacity to fully comply with COVID-19 mitigation strategies;
  • Develop a supply chain for affordable personal protective equipment and cleaning materials, allowing child care programs to uphold rigorous hygiene and sanitizing procedures;
  • Standardize communication about COVID-19 disseminated through child care programs;
  • Expand workforce pipeline for child care staffing during the pandemic.

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About the study:

The study is based on statewide incident reporting of COVID-19 from all child care programs and more in-depth analysis among a sample of 46 child care programs operating in the 10 Ohio counties that account for about two-thirds of all child care programs statewide. These programs are located in: Ashtabula, Butler, Cuyahoga, Franklin, Hamilton, Licking, Lucas, Montgomery, Stark and Summit counties. Data were collected from child care staff, administrators and parents or family caregivers from Aug. 15 - Nov. 20, 2020.

About Case Western Reserve University:

Case Western Reserve University is one of the country's leading private research institutions. Located in Cleveland, we offer a unique combination of forward-thinking educational opportunities in an inspiring cultural setting. Our leading-edge faculty engage in teaching and research in a collaborative, hands-on environment. Our nationally recognized programs include arts and sciences, dental medicine, engineering, law, management, medicine, nursing and social work. About 5,100 undergraduate and 6,700 graduate students comprise our student body. Visit case.edu to see how Case Western Reserve thinks beyond the possible.


Community-based COVID-19 testing site highlight importance of understanding the virus'

One in four kids tested positive, with minorities impacted at higher rate


CHILDREN'S NATIONAL HOSPITAL

Research News

WASHINGTON - (December 18, 2020) A new study looking at the results of testing children for COVID-19 through a Children's National Hospital community-based testing site found that one in four patients had a positive test. The findings, reported online Dec. 18 in The Journal of Pediatrics, reinforce that children and young adults are impacted by the virus more than originally believed, and that the continued understanding of their role in transmitting COVID-19 is essential to getting the virus under control.

Of the 1,445 patients tested at the specimen collection site for SARS-CoV-2 virus between March 21 and May 16, 2020, the median age was 8 years old, and more than 34% of positive patients were Hispanic, followed by non-Hispanic Black and non-Hispanic white. The daily positivity rate increased over the study period, from 5.4% during the first week to a peak of 47.4% in May. Children and adolescents were referred to the testing site because of risk of exposure or mild symptoms.

"We knew that community-based testing sites were key in minimizing exposure risk to other patients and health care workers, preserving PPE, centralizing specimen collection services, mitigating acute care site overcrowding and informing our community of the burden caused by this disease," says Joelle Simpson, M.D., medical director of Emergency Preparedness at Children's National.

Drive-through/walk-up testing sites outside of a traditional acute care setting have emerged around the world to meet the need for testing mildly ill or asymptomatic individuals. In March, Children's National Hospital opened a drive-up/walk-up location - one of the first exclusively pediatric testing sites for the virus in the U.S. -- where primary care doctors in the Washington, D.C., region could refer young patients for COVID-19 specimen collection and testing.

"At first, children were not the target of testing initiatives, but it is clear that making testing available to pediatric patients early was a very important part of the pandemic response," says Meghan Delaney, D.O., M.P.H., chief of Pathology and Laboratory Medicine at Children's National. "Not only can children get severe disease, they can be part of positive clusters with the adults they live with. The knowledge we have gained by testing many thousands of children over the pandemic has provided key information."

Compared with non-Hispanic white children and after adjustments for age, sex and distance of residence from specimen collection site, minority children had a higher likelihood of infection.

"We wanted to identify the features of children tested at this site who did not require acute medical care and be able to compare demographic and clinical differences between patients who tested positive and negative for COVID-19," says Dr. Simpson.

Patients with COVID-19 exposure and symptoms were more likely to have a positive test than patients without symptoms. This supports contact tracing for symptomatic cases and testing as an important tool in detecting and containing community spread, according to the study's findings. Although most patients were referred because they lived with a family member with high risk for exposure or infection, this was not associated with positive test results.

"The impact of this virus is broad and affects planning for children, especially as schools and childcare centers work to reopen," Dr. Simpson says. "In order to guide the development of measures to control the ongoing pandemic, we need better understand the transmission potential of these mildly symptomatic or well children and young adults."

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Media contact:
Ariana Perez | ariana.perez@childrensnational.org | 301-244-6731

About Children's National Hospital

Children's National Hospital, based in Washington, D.C., celebrates 150 years of pediatric care, research and commitment to community. Volunteers opened the hospital in 1870 with 12 beds for children displaced after the Civil War. Today, 150 years stronger, it is among the nation's top 10 children's hospitals. It is ranked No. 1 for newborn care for the fourth straight year and ranked in all specialties evaluated by U.S. News & World Report. Children's National is transforming pediatric medicine for all children. In 2020, construction will be complete on the Children's National Research & Innovation Campus, the first in the nation dedicated to pediatric research. Children's National has been designated three times in a row as a Magnet® hospital, demonstrating the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers in the D.C., metropolitan area, including the Maryland and Northern Virginia suburbs. Children's National is home to the Children's National Research Institute and Sheikh Zayed Institute for Pediatric Surgical Innovation and is the nation's seventh-highest NIH-funded children's hospital. It is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels.

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Chemical composition of wild potato relative contributes to its resistance to pathogen

AMERICAN PHYTOPATHOLOGICAL SOCIETY

Research News

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IMAGE: COLONIZATION AND MULTIPLICATION OF PECTOBACTERIUM BRASILIENSE PB1692 view more 

CREDIT: JANAK R. JOSHI, LINXING YAO, AMY O. CHARKOWSKI, AND ADAM L. HEUBERGER

Potato is the most consumed vegetable crop worldwide. However, despite its importance, potato production is severely affected by high susceptibility to a wide range of microbial pathogens, such as bacteria from the genus Pectobacterium, which cause various devastating diseases in potato and produce important economic losses.

Even though resistance to Pectobacterium species is limited within cultivated potato varieties, it is known that a potato wild relative (S. chacoense) is resistant to them; however, until recently, the underlying mechanisms of this phenomenon remained unknown.

In a recent study published in the Molecular Plant-Microbe Interactions (MPMI) journal, scientists from Colorado State University (CSU) revealed that metabolites from S. chacoense contribute to disease resistance by altering the pathogenic behavior of Pectobacterium brasiliense, rather than inhibiting its growth or killing it.

"We tested if chemicals extracted from the wild potato affect the behavior of the bacterium and found that these inhibited their ability to produce the enzymes that degrade plant cell walls. The chemicals also intercepted their ability to communicate with each other. To use a battle analogy, the wild potato plant chemicals intercepted the bacteria's missiles, they cut off their radio communications, and together this encouraged the bacteria to remain friendly neighbors," explained Adam Heuberger, a CSU Associate Professor involved in the research.

"This wild potato is also resistant to insects, viruses, and fungi. The question is always why, and then how, we can translate this information to improve society. There is much to learn by studying wild relatives of food and ornamental plants," Heuberger added.

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For more information about this research, read "Metabolites from Wild Potato Inhibit Virulence Factors of the Soft Rot and Blackleg Pathogen Pectobacterium brasiliense" published in MPMI in November.

Water and genes flow between the two largest Baltic salmon rivers

UNIVERSITY OF HELSINKI

Research News

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IMAGE: JUVENILE SALMON FROM THE TORNIO RIVER. view more 

CREDIT: VILLE VÄHÄ

Salmon from upstream reaches of the two northernmost Baltic rivers are different from downstream salmon. A recent study found that upstream salmon from the large Tornio and Kalix Rivers in Finland and Sweden are genetically distinct and migrate at different times and ages than their downstream counterparts. However, there seems to be no such distinction between salmon from these two neighbouring rivers.

Traffic is busy below the surface of the Baltic Sea and rivers flowing into it. Starting in early summer, mature salmon migrate from the sea into their home rivers to spawn. The study by the University of Helsinki, Natural Resources Institute Finland (Luke) and Swedish University of Agricultural Sciences (SLU) found that salmon destined to spawn far upstream entered the Tornio (Torne in Swedish) River at an earlier date during their spawning migration.

Morever, salmon heading to the upper parts of the river system had almost always spent more than one year at the sea. This is relevant for fisheries, as salmon grow larger the more time they spend at sea. Old and large salmon are particularly prized catches, and essential for the stocks' wellbeing: large salmon produce the most offspring. How to preserve this kind of diversity is an important consideration in the management and conservation of the largest wild Baltic salmon stocks.

"Salmon that entered the Tornio River earliest in the summer appeared to be mostly on their way to the upper reaches. This suggests that there is good reason to study and closely follow how fishing early in the season may affect the upstream populations," says lead author of the article Antti Miettinen, from the Faculty of Biological and Environmental Sciences, University of Helsinki.

Sal­mon don't fol­low bor­ders

The Tornio River acts as the border between Finland and Sweden, whereas the neighbouring Kalix River is located entirely in Sweden. These rivers host by far the largest remaining wild Baltic salmon stocks.

Surprisingly, the study found no clear genetic differences separating salmon from the two rivers. This may partly be explained by the rivers being connected to each other by one of the largest bifurcations in the world. About half of the water from the Swedish Torne River flows into the Kalix River through the bifurcation. From the salmon's perspective, it makes the rivers one vast system to navigate in. In practice, salmon and their genes have a way of reaching the other river.

"The bifurcation and intriguing genetic similarity between salmon from these rivers highlight the significance of cross-border collaboration in conserving and managing this important salmon stock," Miettinen says.

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The research was funded by fishing license revenues from the Tornio/Torne River, The Swedish Agency for Marine and Water Management, The Swedish Research Council Formas, The Natural Resources Institute Finland (Luke), Societas pro Fauna et Flora Fennica, The Betty Väänänen Fund from The Kuopio Naturalists' Society (KLYY), The Raija and Ossi Tuuliainen Foundation (Raija ja Ossi Tuuliaisen Säätiö), and The Baltic Sea Fund from The Finnish Foundation for Nature Conservation (Suomen Luonnonsuojelun Säätiö).

 

Researchers deconstruct ancient Jewish parchment using multiple imaging techniques

Analyses of the materials in the scrolls helps put the object into an historical context and guides conservators in future restoration efforts

FRONTIERS

Research News

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IMAGE: UV FLUORESCENCE EXAMINATION view more 

CREDIT: THE AUTHORS

A picture may be worth a thousand words, but capturing multiple images of an artifact across the electromagnetic spectrum can tell a rich story about the original creation and degradation of historical objects over time. Researchers recently demonstrated how this was possible using several complementary imaging techniques to non-invasively probe a Jewish parchment scroll. The results were published in the journal Frontiers in Materials.

A team of scientists from Romania's National Institute for Research and Development in Optoelectronics extracted details about the manuscript's original materials and manufacturing techniques employing various spectroscopic instruments. These specialized cameras and devices capture images that the human eye normally can't see.

"The goal of the study was ... to understand what the passing of time has brought upon the object, how it was degraded, and what would be the best approach for its future conservation process," explained Dr Luminita Ghervase, a co-author on the paper and research scientist at the institute.

The manuscript the team investigated was a poorly preserved but sacred scroll containing several chapters of the Book of Esther from the Hebrew Bible. An artifact from a private collection, little was known of the object's provenance or history.

"The use of complementary investigation techniques can shed light on the unknown history of such an object," Ghervase noted. "For some years now, non-invasive, non-destructive investigation techniques are the first choice in investigating cultural heritage objects, to comply with one of the main rules of the conservation practice, which is to not harm the object."

One of the more common imaging techniques is multispectral imaging, which involves scanning an object within specific parts of the electromagnetic spectrum. Such images can show otherwise invisible details about the manuscript's wear and tear. Different ultraviolet modes, for example, revealed a dark stain on the scroll that might indicate a repair using an organic material such as a resin, because the spot strongly absorbs UV light.

A related technique, hyperspectral imaging, was used to determine the material basis of the ink on the aged parchment. The scientists detected two distinct types of ink, another indication that someone may have attempted to repair the item in the past. They also used a computer algorithm to help characterize the spectral signals of individual pixels to further discriminate the materials - a method that holds promise for reconstructing the text itself.

"The algorithm used for materials classification has the potential of being used for identifying traces of the ink to infer the possible original shape of the letters," Ghervase said.

The team also employed an imaging technique known as x-ray fluorescence (XRF), which can identify the kinds of chemicals used in both the ink and the manufacturing of the parchment. For instance, the XRF found rich concentrations of zinc, a chemical often linked to the bleaching process, but possibly another indication of past restoration efforts. Finally, the scientists employed a Fourier-transform infrared (FTIR) spectrometer to identify other chemicals present using an infrared light source to measure absorption. Specifically, the FTIR analysis provided an in-depth view regarding the deterioration rate of the collagen in the scroll, which is made from animal skin, among other insights.

Employing these various imaging techniques to dissect the parchment could help conservators restore the object closer to its original condition by identifying the materials used to create it.

"They can wisely decide if any improper materials had been used, and if such materials should be removed," Ghervase said. "Moreover, restorers can choose the most appropriate materials to restore and preserve the object, ruling out any possible incompatible materials."

CAPTION

Hyperspectral imaging


CAPTION

Details of the scroll, showing various types of degradation

Droughts, viruses and road networks: Trends that will impact our forests

A new UCPH study assembled an array of experts to highlight major trends that will impact the world's forests, and the people living around them, in the decade ahead; these trends include drought, viral outbreaks and vast infrastructure expansions across

FACULTY OF SCIENCE - UNIVERSITY OF COPENHAGEN

Research News

Earth's forests are indispensable for both humans and wildlife: they absorb CO2, provide food for large parts of the world's population and are home to all sorts of animals.

However, forest conservation measures are lagging in many countries, says Laura Vang Rasmussen, an assistant professor at the University of Copenhagen's Department of Geosciences and Nature Management.

"It is critical for all countries - especially those with poor economic conditions, to prioritize forests and have forest conservation plans. Without the adoption of conservation strategies, droughts and viral outbreaks could have severe consequences on forests and humans alike," she says.

Rasmussen, along with fellow researchers from the University of Manchester, is behind a new Nature-study in which 24 experts from the around the world have ranked the most significant trends that will affect the world's forests over the coming decade.

Drought and new viral outbreaks

In Denmark, we have seen an increase in the number of summers with scant rainfall, and in the rest of the world - particularly on the US West Coast - droughts have been responsible for massive and devastating forest fires. The new study argues that this trend will continue:

"When we lose forest, due to drought for example, the risk of spreading viruses like coronavirus increases. When forest fires disturb natural ecosystems, disease carrying animals such as bats or rats flee from their charred ecosystems into towns and villages. And, as we have seen with the coronavirus pandemic, viral outbreaks have enormous consequences on global health and economy," explains Rasmussen.

Humans are migrating from the countryside to cities, with more people on the way

More people wanting to move from rural areas into the cities can have both positive and negative consequences for the world's forests.

"It could be that the amount of forest increases as more and more farmers abandon their livelihoods in favour of higher wage urban jobs. This would allow forests room to grow. Conversely, we run the risk that ballooning urban populations will increase demand for marketable crops, which will result in more forests being cleared for agriculture," says Laura Vang Rasmussen.

Furthermore, the planet's human population is projected to increase to roughly 8.5 billion by 2030. This will result in an increased demand for meat, cereals, vegetables, etc., meaning that more forests will need to be cleared to accommodate for fields and meat production farms and facilities.

25 million kilometres of new road networks worldwide

By 2050, global road networks are projected to expand by roughly 25 million kilometres.

This is likely to have a positive effect on human mobility, allowing people to shuttle between cities with ease and more readily move and sell goods.

However, the downside of road building is the inevitably of having to clear forestland for roadbed.

Besides having to look after forests for the sake of the environment and wildlife, forest conservation also relates to poverty, concludes Laura Vang Rasmussen:

"It is problematic that forest conservation, agriculture and poverty are seen as distinct from one another. Indeed, the three factors influence each other, as strategies to increase agricultural production can negatively impact forests. On the other hand, an increase in forested areas makes it more difficult for agriculture to produce enough food. As such, we hope that our research is able to contribute towards highlighting the complex dynamics between agricultural production, deforestation, poverty and food security."

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FACTS - The process of the study:

136 individuals from 23 different countries submitted 98 suggestions about which trends will be dominant vis-à-vis the world's forests and global poverty over the next decade. University of Copenhagen researchers then established a panel of 24 experts - researchers and representatives from a host of organisations, including CIFOR, Resources for the Future, Rights and Resources Initiative and the Ford Foundation - to rank the five most important global forest trends and how human-forest interaction will play out over the next decade

It's electrifying! This is how Earth could be entirely powered by sustainable energy

TRINITY COLLEGE DUBLIN

Research News

Can you imagine a world powered by 100% renewable electricity and fuels? It may seem fantasy, but a collaborative team of scientists has just shown this dream is theoretically possible - if we can garner global buy-in.

The newly published research, led by Professor James Ward from the University of South Australia and co-authored by a team including Luca Coscieme from Trinity College Dublin, explains how a renewable future is achievable.

The study, published in the international journal, Energies, explores what changes are needed in our energy mix and technologies, as well as in our consumption patterns, if we are to achieve 100% renewability in a way that supports everyone, and the myriad of life on our planet.

The fully renewable energy-powered future envisioned by the team would require a significant "electrification" of our energy mix and raises important questions about the potential conflict between land demands for renewable fuel production.

Explaining the work in some detail, Luca Coscieme, Research Fellow in Trinity's School of Natural Sciences, said:

"Firstly, the high fuel needs of today's high-income countries would have to be reduced as it would require an unsustainably vast amount of land to be covered with biomass plantations if we were to produce enough fuel to satisfy the same levels.

"Additionally, our research shows that we would need to radically 'electrify' the energy supply of such countries - including Ireland - with the assumption that these changes could supply 75% of society's final energy demands. We would also need to adopt technology in which electricity is used to convert atmospheric gases into synthetic fuels.

"We very much hope that the approach designed in this research will inform our vision of sustainable futures and also guide national planning by contextualising energy needs within the broader consumption patterns we see in other countries with energy and forest product consumption profiles that--if adopted worldwide--could theoretically be met by high-tech renewably derived fuels. Countries such as Argentina, Cyprus, Greece, Portugal and Spain are great examples in this regard.

"Even so, the success of this green ideal will be highly dependent on major future technological developments, in the efficiency of electrification and in producing and refining new synthetic fuels. Such a scenario is still likely to require the use of a substantial - albeit hopefully sustainable - fraction of the world's forest areas."

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What if clean air benefits during COVID-19 shutdown continued post-pandemic?

COLUMBIA UNIVERSITY'S MAILMAN SCHOOL OF PUBLIC HEALTH

Research News

A new study by Columbia University Mailman School of Public Health researchers poses a hypothetical question: What if air quality improvements in New York City during the spring 2020 COVID-19 shutdown were sustained for five years without the economic and health costs of the pandemic? They estimate cumulative benefits of clean air during this period would amount to thousands of avoided cases of illness and death in children and adults, as well as associated economic benefits between $32 to $77 billion. The study's findings are published in the journal Environmental Research.

The researchers leveraged the unintended "natural experiment" of cleaner air in New York City during the COVID-19 shutdown to simulate the potential future health and economic benefits from sustained air quality improvements of a similar magnitude. They do not frame this study as an estimate of the benefits of the pandemic. Rather they offer this hypothetical clean air scenario as an aspirational goal for policies to reduce emissions, largely from fossil fuel combustion.

Exploratory analyses found that neighborhoods with higher percentages of low-income residents or higher percentages of Black or Latinx residents tended to have proportionally higher benefits from reduced PM2.5 concentrations when compared to neighborhoods with lower levels of poverty or Black or Latinx populations. However, this does not mean that the disparity in health outcomes across neighborhoods would be eliminated under this scenario because underlying risk factors would still remain. The researchers also caution that limited air quality monitors and available data during the shutdown period constrained their ability to assess the impact of improved air quality on health disparities across neighborhoods.

Air quality improvements during the New York City spring shutdown were the result of an estimated 60-percent decline in automobile traffic, as well as declines in air traffic, construction, restaurant operation, and electricity generation.

"Air quality improvements from the shutdown happened as the result of a tragic situation. However, our hypothetical clean air scenario could be achieved through air pollution and climate mitigation policies, including those that support low carbon modes of transportation and reduce emissions in other sectors," says study first author Frederica Perera, DrPH, PhD, director of translational research at the Columbia Center for Children's Environmental Health and professor of environmental health sciences at Columbia Mailman School.

The researchers estimated a citywide 23-percent reduction in fine particulate matter (PM2.5 ) concentrations during the COVID-19 shutdown period (March 15-May 15, 2020) compared to the average level for those months in 2015-2018 (the business-as-usual period) using air quality monitoring data from the New York State Department of Environmental Conservation. Based on 2020 data, they extrapolated ambient levels of PM2.5 for a five-year period. They then used BenMAP, a publicly available computer tool supported by the U.S. Environmental Protection Agency, to estimate the number of avoided air pollution-related illnesses and deaths and quantify their economic value using methods the researchers developed in earlier research. Specifically, they estimate potential avoided cases of infant and adult mortality, adverse birth outcomes, autism spectrum disorder, and childhood asthma.

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Co-authors include Alique Berberian and Thomas Matte at Columbia Mailman; David Cooley and Elizabeth Shenaut at Abt Associates, Durham, North Carolina; and Hollie Olmstead and Zev Ross at Zev Ross Spatial Analysis, Ithaca, NY.

This study was supported by grants from the Environmental Protection Agency (RD83615401) and the National Institute of Environmental Health Sciences (ES09600), the John and Wendy Neu Foundation, the John Merck Fund, and New York Community Trust.