Monday, April 15, 2024

WHITE SUPREMACY KILLS

‘Deaths of despair’ among Black Americans surpassed those of white Americans in 2022



UCLA Health analysis also found that Native Americans had highest combined death rate from suicide, alcohol use and drug overdose from 1999 through 2022



UNIVERSITY OF CALIFORNIA - LOS ANGELES HEALTH SCIENCES




A new analysis by researchers at UCLA Health found that mortality rates of middle-aged Black Americans caused by the “deaths of despair” -- suicide, drug overdose and alcoholic liver disease – surpassed the rate of white Americans in 2022. Native Americans also had more than double the rate of both Black and white Americans that year.

The results of the research, published in the journal JAMA Psychiatry, are the latest from UCLA Health to counter a nearly decade-old narrative that “deaths of despair” have primarily impacted white Americans.

The “deaths of despair” theory rose to prominence following a 2015 study that analyzed rising mid-life mortality, and decreasing life expectancy, in the U.S from 1999 to 2013.

The study became a focus of ongoing national discourse after it found white Americans had the highest mortality rates from these causes at 72.15 per 100,000 people in 2013, which was two times that of Black Americans. The findings sparked a narrative that the rising death rates were primarily impacting less educated white Americans who were experiencing a perceived loss of economic and social status.

However, data for Native Americans were not included in the 2015 study or in the many follow-up analyses it triggered. A 2023 study by UCLA Health determined that Native Americans have had a considerably higher midlife death rate from deaths of despair compared to white Americans for all available years of data 1999-2021.

In the new data analysis, UCLA Health researchers used publicly available records from the U.S. Centers for disease control to determine rates of deaths of despair through 2022 for white, Black and Native Americans ages 45-54.

The analysis found:

  • The rate of deaths of despair among Black Americans (103.81 per 100,000 people) surpassed that of white Americans (102.63 per 100,000) in 2022.
  • The rate among Black Americans tripled from 2013-2022 from 36.24 per 100,000 to 103.81 per 100,000 people, with 2015 onward marking a sharp increase in deaths.
  • The rate for Native American and Alaska Native populations was the highest at 241.7 per 100,000 people in 2022.
  • The rate of deaths of despair for Native American/Alaska Native populations has remained significantly higher than white Americans from 1999 to 2022.
  • Native American/Alaska Native had the highest mortality rates from suicide, alcoholic liver disease and drug overdose compared to Black and white Americans.
  • Deaths of despair in white Americans increased from 72.15 per 100,000 people in 2013 to 102.63 per 100,000 people in 2022.

Study coauthor Joseph Friedman, PhD, MPH, of the David Geffen School of Medicine at UCLA, said the results highlight the sharply rising rates of premature mortality related to mental health issues and substance use disorders with large racial and ethnic inequalities.

“The findings reinforce the notion that we need to invest in services that can address these issues and, ultimately, we need much more comprehensive access to low-barrier mental health care and substance use treatment in the U.S.,” Friedman said. “And we need to specifically make sure those treatments, services and programs are implemented in a way that is accessible for communities of color and will actively work to address inequality.”

The data does not identify the circumstances behind these deaths, but Friedman said the increasing rates of deaths of despair largely relate to mental health and substance use disorders. Black Americans have been disproportionately affected by the drug overdose crisis. Other factors include differential access to health care and social services; an increasingly toxic illicit drug supply, namely fentanyl; and worsening economic insecurity.

Article: Trends in Deaths of Despair by Race and Ethnicity From 1999 to 2022. Published Online: April 10, 2024. doi:10.1001/jamapsychiatry.2024.0303


JAMA NETWORK

Trends in deaths of despair by race and ethnicity



JAMA Psychiatry





About The Study: As of 2022, the midlife mortality rates from deaths of despair (deaths from suicide, drug overdose, and alcoholic liver disease) among Black individuals were higher than rates among white individuals, and rates among American Indian or Alaska Native individuals remained higher than rates in the other groups. Rising inequalities in deaths of despair among American Indian or Alaska Native and Black individuals were largely attributable to disproportionate early mortality from drug- and alcohol-related causes, which increased leading up to and during the COVID-19 pandemic. 

Authors: Joseph Friedman, Ph.D., M.P.H., of the University of California, Los Angeles, is the corresponding author.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(10.1001/jamapsychiatry.2024.0303)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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Race, ethnicity, and delayed time to COVID-19 testing among health care workers


JAMA NETWORK





About The Study: In this cross-sectional study of health care personnel (HCP), compared with non-Hispanic white HCP and clinical HCP with graduate degrees, non-Hispanic Black HCP, non-Hispanic HCP of other races, and HCP of all other professional and education backgrounds were more likely to have delayed COVID-19 testing. These findings suggest that time to testing may serve as a valuable metric in evaluating sociodemographic disparities in the response to COVID-19 and future health mitigation strategies. 

Authors: DaMarcus E. Baymon, M.D., of Brigham and Women’s Hospital in Boston, is the corresponding author. 

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/ 

(doi:10.1001/jamanetworkopen.2024.5697)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication. 

 

Living near green space associated with fewer emotional problems in preschool-age kids, NIH study finds



ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES
ECHO Program 

IMAGE: 

NIH ECHO PROGRAM 

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CREDIT: NIH ECHO PROGRAM






Children who live in areas with natural spaces (e.g., forests, parks, backyards) from birth may experience fewer emotional issues between the ages of 2 and 5, according to a study funded by the NIH Environmental Influences on Child Health Outcomes (ECHO) program.

While research has suggested that time in nature is important for mental health, studies examining the effects on young children are limited. ECHO investigators addressed this research gap by analyzing information from parents about the behavior of their children from ages 2 to 11. They combined this data with the family’s residential address when the child was born and satellite data on live vegetation density around their homes.

What researchers found in their analysis, published in JAMA Network Open, was that higher levels of green spaces up to three-fourths of a mile from a child’s home were linked with lower anxiety and depression symptoms from ages 2 to 5 years. The association persisted even after researchers factored in the child’s sex, parent education, age at birth, and neighborhood socioeconomic vulnerability. Researchers did not find a significant association between green space around the home and mental health symptoms in later childhood years from ages 6 to 11, when children spend more time at school.

“Our research supports existing evidence that being in nature is good for kids,” said Nissa Towe-Goodman, PhD, an ECHO researcher from the Frank Porter Graham Child Development Institute at the University of North Carolina, Chapel Hill. “It also suggests that the early childhood years are a crucial time for exposure to green spaces.”

Most research so far has been limited to studying one or a few cities at a time, and focused on adult health. Because the ECHO Program collects data nationwide, researchers were able to examine data from children in 199 counties across 41 U.S. states, exploring the connection between exposure to green spaces from birth and anxiety, depression, aggression, and other symptoms during early or middle childhood.

The study included children born between 2007 and 2013 and whose parents completed the Child Behavior Checklist, a common survey to rate a child’s emotional and behavioral symptoms. The 2,103 children included in the study ranged in age from 2 to 11, spanning early and middle childhood.

Green space exposure was measured using the Normalized Difference Vegetation Index (NDVI), a widely used metric for quantifying vegetation density using sensor data. NDVI values range from -1 to 1. High NDVI values (approximately 0.6 to 0.9) represent dense vegetation, such as forests; values close to zero represent areas without live vegetation.

 

“In the future, researchers could look into what kinds of experiences in nature are connected to kids' early mental health,” said Dr. Towe-Goodman. “Also, we should study how creating or preserving natural areas around homes and schools might make a difference in a child’s mental health.”

Dr. Towe-Goodman lead this collaborative research in JAMA Network Open.

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About ECHO:

Launched in 2016, the Environmental influences on Child Health Outcomes (ECHO) Program is a research program in the Office of the Director at the NIH with the mission to enhance the health of children for generations to come. ECHO investigators study the effects of a broad range of early environmental influences on child health and development. For more information, visit echochildren.org.

About the NIH: NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information, visit www.nih.gov.

 

 

Quantum crystal of frozen electrons—the Wigner crystal—is visualized for the first time



Princeton University researchers detect a strange form of matter that has eluded direct detection for some 90 years



PRINCETON UNIVERSITY

Video of a Wigner crystal 

VIDEO: 

THE VIDEO DESCRIBES MELTING PROCESSES OF AN ELECTRON WIGNER CRYSTAL INTO ELECTRON LIQUID PHASES. AS THE ELECTRON DENSITY (\NU, A MEASURE OF NUMBER OF ELECTRONS IN A MAGNETIC FIELD, IS CONTROLLED BY APPLYING ELECTRIC VOLTAGES) IS INCREASED, MORE ELECTRONS (DARK BLUE SITES) ENTER THE FIELD OF VIEW, AND A PERIODIC STRUCTURE OF A TRIANGULAR LATTICE EMERGES. THE PERIODIC STRUCTURE IS FIRST MELTED (NEAR \NU = 0.334) WHERE THE MAP SHOWS HOMOGENEOUS SIGNALS. AND THEN IT REAPPEARS AT HIGHER DENSITY \NU, AND EVENTUALLY MELTS AGAIN (\NU = 0.414).

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CREDIT: YEN-CHEN TSUI, PRINCETON UNIVERSITY




Electrons—these infinitesimally small particles that are known to zip around atoms—continue to amaze scientists despite the more than a century that scientists have studied them. Now, physicists at Princeton University have pushed the boundaries of our understanding of these minute particles by visualizing, for the first time, direct evidence for what is known as the Wigner crystal—a strange kind of matter that is made entirely of electrons.

The finding, published in the April 11th issue of the journal Nature, confirms a 90-year-old theory that electrons can assemble into a crystal-like formation of their own, without the need to coalesce around atoms.  The research could help lead to the discovery of new quantum phases of matter when electrons behave collectively.

“The Wigner crystal is one of the most fascinating quantum phases of matter that has been predicted and the subject of numerous studies claiming to have found at best indirect evidence for its formation,” said Al Yazdani, the James S. McDonnell Distinguished University Professor in Physics at Princeton University and the senior author of the study. “Visualizing this crystal allows us not only to watch its formation, confirming many of its properties, but we can also study it in ways you couldn’t in the past.”

In the 1930s, Eugene Wigner, a Princeton professor of physics and winner of the 1963 Nobel Prize for his work in quantum symmetry principles, wrote a paper in which he proposed the then-revolutionary idea that interaction among electrons could lead to their spontaneous arrangement into a crystal-like configuration, or lattice, of closely packed electrons. This could only occur, he theorized, because of their mutual repulsion and under conditions of low densities and extremely cold temperatures.

“When you think of a crystal, you typically think of an attraction between atoms as a stabilizing force, but this crystal forms purely because of the repulsion between electrons,” said Yazdani, who is the inaugural co-director of the Princeton Quantum Institute and director of the Princeton Center for Complex Materials.

For a long time, however, Wigner’s strange electron crystal remained in the realm of theory. It was not until a series of much later experiments that the concept of an electron crystal transformed from conjecture to reality. The first of these was conducted in the 1970s when scientists at Bell Laboratories in New Jersey created a “classical” electron crystal by spraying electrons on the surface of helium and found that they responded in a rigid manner like a crystal. However, the electrons in these experiments were very far apart and behaved more like individual particles than a cohesive structure. A true Wigner crystal, instead of following the familiar laws of physics in the everyday world, would follow the laws of quantum physics, in which the electrons would act not like individual particles but more like a single wave.

This led to a whole series of experiments over the next decades that proposed various ways to create quantum Wigner crystals. These experiments were greatly advanced in the 1980s and 1990s when physicists discovered how to confine electrons’ motion to atomically thin layers using semiconductors. The application of a magnetic field to such layered structures also makes electrons move in a circle, creating favorable conditions for crystallization. But these experiments were never able to directly observe the crystal. They were only able to suggest its existence or indirectly infer it from how electrons flow through the semiconductor.   

“There are literally hundreds of scientific papers that study these effects and claim that the results must be due to the Wigner crystal,” Yazdani said, “but one can’t be sure, because none of these experiments actually see the crystal.”

An equally important consideration, Yazdani noted, is that what some researchers think is evidence of a Wigner crystal could be the result of imperfections or other periodic structures inherent to the materials used in the experiments. “If there are any imperfections, or some form of periodic substructure in the material, it is possible to trap electrons and find experimental signatures that are not due to the formation of a self-organized ordered Wigner crystal itself, but due to electrons ‘stuck’ near an imperfection or trapped because of the material’s structure,” he said.

With these considerations in mind, Yazdani and his research team set about to see whether they could directly image the Wigner crystal using a scanning tunneling microscope (STM), a device that relies on a technique called “quantum tunneling” rather than light to view the atomic and subatomic world. They also decided to use graphene, an amazing material that was discovered in the 21st century and has been used in many experiments involving novel quantum phenomena. To successfully conduct the experiment, however, the researchers had to make the graphene as pristine and as devoid of imperfections as possible. This was key to eliminating the possibility of any electron crystals forming because of material imperfections.

The results were impressive. “Our group has been able to make unprecedentedly clean samples that made this work possible,” Yazdani said. “With our microscope we can confirm that the samples are without any atomic imperfection in the graphene atomic lattice or foreign atoms on its surface over regions with hundreds of thousands of atoms.”

To make the pure graphene, the researchers exfoliated two carbon sheets of graphene in a configuration that is called Bernal-stacked bilayer graphene (BLG). They then cooled the sample down to extremely low temperatures—just a fraction of a degree above absolute zero—and applied a magnetic field perpendicular to the sample, which created a two-dimensional electron gas system within the thin layers of graphene.  With this, they could tune the density of the electrons between the two layers.

“In our experiment, we can image the system as we tune the number of the electrons per unit area,” said Yen-Chen Tsui, a graduate student in physics and the first author of the paper. “Just by changing the density, you can initiate this phase transition and find electrons spontaneously form into an ordered crystal.”

This happens, Tsui explained, because at low densities, the electrons are far apart from each other—and they’re situated in a disordered, disorganized fashion. However, as you increase the density, which brings the electrons closer together, their natural repulsive tendencies kick in and they start to form an organized lattice. Then, as you increase the density further, the crystalline phase will melt into an electron liquid.

Minhao He, a postdoctoral researcher and co-first author of the paper, explained this process in greater detail. “There is an inherent repulsion between the electrons,” he said. “They want to push each other away, but in the meantime the electrons cannot be infinitely apart due to the finite density. The result is that they form a closely packed, regularized lattice structure, with each of the localized electron occupying a certain amount of space.”

When this transition formed, the researchers were able to visualize it using the STM. “Our work provides the first direct images of this crystal. We proved the crystal is really there and we can see it,” said Tsui.

However, just visualizing the crystal wasn’t the end of the experiment. A concrete image of the crystal allowed them to distinguish some of the crystal’s characteristics. They discovered that the crystal is triangular in configuration, and that it can be continuously tuned with the density of the particles. This led to the realization that the Wigner crystal is actually quite stable over a very long range, a conclusion that is contrary to what many scientists have surmised.

“By being able to continuously tune its lattice constant, the experiment proved that the crystal structure is the result of the pure repulsion between the electrons,” said Yazdani.

The researchers also discovered several other interesting phenomena that will no doubt warrant further investigation in the future. They found that the location to which each electron is localized in the lattice appears in the images with a certain amount of “blurring,” as if the location is not defined by a point but a range position in which the electrons are confined in the lattice. The paper described this as the “zero-point” motion of electrons, a phenomenon related to the Heisenberg uncertainty principle. The extent of this blurriness reflects the quantum nature of the Wigner crystal.  

”Electrons, even when frozen into a Wigner crystal, should exhibit strong zero-point motion,” said Yazdani. “It turns out this quantum motion covers a third of the distance between them, making the Wigner crystal a novel quantum crystal.”

Yazdani and his team are also examining how the Wigner crystal melts and transitions into other exotic liquid phases of interacting electrons in a magnetic field. The researchers hope to image these phases just as they have imaged the Wigner crystal.  

“Direct observation of a magnetic field-induced Wigner crystal,” by Yen-Chen Tsui, Minhao He, Yuwen Hu, Ethan Lake, Taige Wang, Kenji Watanabe, Takashi Taniguchi, Michael P. Zaletel, and Ali Yazdani was published April 11, 2024 in the journal Nature DOI to come.  

Graduate student Yen-Chen Tsui, postdoctoral research associate Minhao He, and Yuwen Hu, who obtained her Ph.D. from the Princeton Department of Physics in 2023 and is now a postdoctoral fellow at Stanford, all contributed equal to this work. Other collaborators include, at the University of California-Berkeley, theoretical physicists Ethan Lake, Taige Wang, and Professor Michael Zaletel (also a member of the Material Science Division at Lawrence Berkeley National Laboratory), and Kenji Watanabe and Takashi Taniguchi from National Institute for Materials Science and International Center for Materials Nanoarchitectonics, respectively.

The work at Princeton was primarily supported by DOE-BES grant DE-FG02-07ER46419 and the Gordon and Betty Moore Foundation’s EPiQS initiative grants GBMF9469. Other support for the experimental infrastructure at Princeton was provided by NSF-MRSEC through the Princeton Center for Complex Materials NSF6 DMR- 2011750, ARO MURI (W911NF-21-2-0147), and ONR N00012-21-1-2592.

The team also acknowledges the hospitality of the Aspen Center for Physics, which is supported by National Science Foundation grant PHY-1607611, where part of this work was carried out. Work at UC Berkeley was supported by U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, Materials Sciences and Engineering Division, under Contract No. DE-AC02-05CH11231, within the van der Waals Heterostructures Program (KCWF16).


An image of a triangular Wigner crystal taken by scanning tunneling microscope. Researchers have unveiled an elusive crystal that is formed purely from the repulsive nature of electrons. Each site (blue circular region) contains a single localized electron. Image by Yen-Chen Tsui and team, Princeton University

CREDIT

Yen-Chen Tsui, Princeton University