Culture

Alcohol consumption has become more prevalent in China in recent years but limited large-scale epidemiological evidence has made it difficult to know the true scale of the problem. A new large study of Chinese adults, published by the scientific journal Addiction, has found that eight percent of men in China are problem drinkers, and that problem drinking is more prevalent among men of lower socio-economic status and in rural areas. Problem drinking is associated with significantly increased risk of physical and mental health problems and premature death.

Researchers from Oxford University, Peking University, and the Chinese Academy of Medical Sciences led a large collaborative study of over 500,000 men and women aged 30-79 years from ten rural and urban areas in China. Women in the study drank little alcohol, but a third of men drank alcohol regularly and one in four of these men experienced at least one indicator of problem drinking.

'Problem drinking' was defined by self-report as one or more of the following indicators in the past month: drinking in the morning, being unable to work or to do anything due to drinking, negative emotions after drinking, being unable to avoid drinking, or having the shakes when stopping drinking.

Co-author Pek Kei Im, of the Nuffield Department of Population Health at the University of Oxford, says: "In China, the patterns of drinking differ from Western populations. Our study shows that problem drinking is fairly common among Chinese men, particularly among more disadvantaged groups."

Compared with low-risk drinkers, men with problem drinking had poorer self-reported health, poorer life satisfaction, more sleep problems, and a higher risk of depression and anxiety. Men with two or more problem drinking indicators had an approximately two-fold higher risk for all-cause mortality and a 15% higher risk for hospitalisation compared with low-risk drinkers. Professor Zhengming Chen, co-author from the Nuffield Department of Population Health at the University of Oxford, says: "This large collaborative study has shown that drinking alcohol can result in significant adverse consequences, for both mental and physical health and wellbeing."

The prevalence of alcohol dependence in China increased from 0.02% to 0.68% between the 1980s and 1990s, and per capita alcohol consumption increased from 4.1L in 2005 to 7.2L in 2016, whereas in Europe per capita consumption decreased from 12.3L to 9.8L over the same period.

Co-author Dr Iona Millwood, of the Nuffield Department of Population Health at the University of Oxford, says: "Drinking has been on the rise in China since the 1980s, and now we're looking at a significant national health problem that is beginning to resemble those in Western countries. Knowing the scale of the problem, and the fact that it's more intense in rural and poorer areas, can help to inform policy decisions to improve health outcomes in China."

LAWRENCE -- When food we've swallowed reaches our stomachs, it finds an acidic environment. The low pH in the stomach helps to begin digestion -- and has been thought to kill the bacteria that hides in food that otherwise could harm our bodies.

However, recent work from the Ackley and Chandler labs in the Department of Molecular Biosciences at the University of Kansas runs counter to this idea, instead suggesting lower pH in the digestive tract may make some bacterial pathogens even more harmful.

Their findings, published in the peer-reviewed journal PLOS Pathogens, could have implications for addressing the crisis of antibiotic resistance in bacterial infections around the world.

The investigation was performed using small, bacteria-eating organisms called Caenorhabditis elegans.

"These wormlike animals are transparent, so we can watch things that happen inside them quite easily," said co-author Brian Ackley, associate professor of molecular biosciences at KU. "Using pH-sensitive chemicals developed at KU, called Kansas Reds, we were able to monitor the pH inside the digestive system and watch what happens when they eat harmful bacteria, compared to nonharmful bacteria."

According to the KU researchers, under normal conditions while feeding on healthy bacteria, C. elegans digestive tracts are moderately acidic compared to human stomachs. But these model species' stomachs also show regional differences within the digestive tract. When they ingest pathogens, they neutralize the acidic environment.

This observation suggested the animals could discriminate between good and bad bacteria, and harmful bacteria prompted a less acidic digestive tract in C. elegans -- a result that runs counter to what one might expect if the acidic environment was generated to kill bacteria.

To test this, the researchers used animals with mutations in genes that helped regulate the pH in their digestive tracts.

"When animals had a more acidic digestive system, they were more likely to be affected by pathogenic bacteria -- again counter to what one might guess if acidity was useful in killing harmful bugs that might sneak into the body with food," Ackley said. "Our lab teams were able to show the effect on the animals was specifically due to the pH by adding a base to buffer the digestive tract. We used bicarbonate, the same agent our bodies use to neutralize stomach contents when they pass into our intestines. Neutralizing the pH in the mutant animals reverted the accelerated infection by the pathogenic bacteria."

The KU researcher said different species react differently when their bodies sense pathogenic bacteria -- but some biological reactions are common to many animals.

"A general response involves the creation of chemicals, like hydrogen peroxide or hypochlorous acid -- aka bleach -- near the bacteria, and then having specialized immune cells eat the dying bacteria," Ackley said. "To keep our bodies safe, the immune system only deploys these defenses when it's sure it is being invaded. The work in C. elegans may suggest a way the body can have these defenses ready to go at a moment's notice -- that is, keep the chemical environment in a moderately acidic state where making those chemicals is difficult, then, upon infection, simply neutralize the environment to deploy the defenses."

Ackley's KU colleagues on the work were lead author Saida Benomar, Patrick Lansdon and Josephine R. Chandler of the Department of Molecular Biosciences, along with Aaron Bender of the Department of Medicinal Chemistry, and Blake R. Peterson of The Ohio State University.

The researchers believe there may be reasons to believe these systems could work similarly in people.

The genes they studied in C. elegans also exist in humans and control parts of the immune system. Further, research in other labs has shown occasions in humans where problems with regulating pH are associated with increased risk of infection. Moving forward, the researchers want to understand the mechanism at a deeper level.

"Our goal is to boost this natural defense system in people as a way to either avoid or reduce the use of antibiotics," Ackley said. "Right now, our antibiotic use is unsustainable, and bacteria are evolving resistance at an alarming rate. If the system discovered in C. elegans is in fact still present in humans, it would suggest bacteria are much slower to adapt to this defensive strategy than they are to antibiotics."

Hidden away on a trio of tiny and under-explored Wallacean islands off the eastern Indonesian coast, researchers discovered 10 new species and subspecies of songbirds, according to a new study, bringing a long-overlooked pocket of local biodiversity to light. The findings mark the largest number of new species identified from such a small geographically confined region in more than a century. Birds are perhaps the best-known groups of animals on Earth. However, despite the roughly 11,000 presently recognized species, it's estimated that many thousands more remain undiscovered. Still, identifying new taxa is relatively rare; between 1990-2019 only 161 new species descriptions have been made worldwide - even rarer is the discovery of multiple new species from a geographically restricted area. Here, Frank Rheindt and colleagues report on the combined discovery of five new songbird species and five new subspecies from three islands off the eastern coast of Sulawesi, Indonesia. During their six-week bird collecting expedition, Rheindt et al. explored the remote islands of Taliabu, Peleng and Batudaka - three out of hundreds in the region - which were targeted based on their geological history and complexity as well as their sparse historic record of biological exploration. According to the authors, similar approaches could be used to identify areas in other regions that could similarly lead to new species discoveries. "These findings suggest that many biologically underexplored places still exist across the Earth's surface," write Jonathan Kennedy and Jon Fjeldsa in a related Perspective. "Formal species descriptions, such as those by Rheindt et al. are a necessary step towards the initiation of conservation actions that aim to preserve these little-known biotas," Kennedy and Fjeldsa write

New dates from the World Heritage archeological site at Sangiran on the island of Java suggest that that the first appearance of Homo erectus occurred more recently than previously thought, researchers report. The new findings place the arrival of the first hominins in Sangiran between 1.3-1.5 million years ago (Ma), suggesting that early humans migrated from Asia to Southeast Asia and Java nearly 300,000 years later than previously believed. The fossil-rich Sangiran dome in Java contains the oldest human fossils in Southeast Asia and is widely regarded as one of the most important sites in understanding the evolution of our early ancestors and their slow march across the globe. To date, more than 100 specimens from at least three different hominid species have been recovered from Sangrian sediments. However, despite decades of research, the site's chronology remains uncertain and controversial, particularly the timing of H. erectus' first appearance in the region, and the current widely accepted dates are difficult to reconcile with other early sites in Asia. An accurate understanding of the Sangiran chronology is crucial for understanding the earliest human migrations and settlements in Asia. To resolve this debate, Shuji Matsu'ura and colleagues used a combination of fission-track and Uranium/Lead (U/Pb) dating to determine the age of volcanic zircons found above, below and within the hominin-bearing layers of the Sangiran fossil deposit. While previous estimates have estimated hominin arrival as early as 1.7 Ma, Matsu'ura et al.'s findings suggest a much younger date; likely by 1.3 Ma, however no earlier than 1.5 Ma. In a related Perspective, Boris Brasseur discusses the study's findings in more detail.

An international study led by Drs Miguel Torres and Ghislaine Lioux of the Centro Nacional de Investigaciones Cardiovasculares (CNIC), has identified and characterized a new vasculogenic niche that contributes to the development of the cardiac lymphatic system. The study shows that the coronary lymphatic vessels have varied origins and functions: the results of the study reveal that the coronary lymphatic vasculature does not have a single origin, but instead forms through the participation of cells from different tissues.

The study, published today in Developmental Cell, opens the way to future research into the mechanism underlying lymphatic vasculogenesis in this new niche and the functional diversity of coronary lymphatics.

The coronary circulation, essential for heart function, is not only composed of the arteriovenous system that provides oxygen and nutrients, but also includes lymphatic vessels. The essential functions of the cardiac lymphatic vessels include protecting the heart against infection, preventing edema (fluid retention) in the myocardium, and the recovery of cardiac function after an infarction. Despite its importance, the coronary lymphatic vasculature is little understood and has received much less attention than the coronary arteries and veins.

This international study was led by Dr Miguel Torres's group at the CNIC in partnership with Dr Guillermo Oliver's group at the University of Chicago, Dr Robert Kelly at the University of Marseilles, and Dr Sagrario Ortega at the Centro Nacional de Investigaciones Oncológicas (CNIO). The study examines the origin of the coronary lymphatic system during the formation of the heart in the mouse embryo.

Until now, explained Dr Torres, all lymphatic vessels were believed to develop from cells derived from the major veins of the early embryo, from where they migrate to colonize all the tissues and organs in the embryo.

The new study shows that, in the heart, there is a second population of lymphatic cells that is recruited later during development and is derived not from veins, but from a region called the second heart field.

The second heart field, explained Ghislaine Lioux, is composed of multipotent cells "able to generate different types of heart cells, including cardiomyocytes (the cells of the cardiac muscle), smooth muscle cells, and the endothelial cells of the arteries and veins."

The study shows that the repertoire of cells generated by the second heart field is wider than previously thought and also includes the lymphatic endothelium. According to Dr Torres "this unique feature of the coronary lymphatic vasculature opens up several interesting avenues for future research."

One of the more surprising findings was that lymphatic cells generated in the second heart field mix with lymphatic cells with a different, likely venous, origin; the two populations together form the lymphatic vessels in the ventral part of the heart.

Although the second heart field contributes only 50% of the cells of the lymphatic vessels, blockade of their formation completely prevented the formation of the coronary lymphatic vasculature.

This result indicates that the newly discovered cell population not only contributes a large proportion of the cells of the coronary lymphatic system, but also leads a specific and irreplaceable process in the formation of the coronary lymphatic vasculature. "This function reveals, for the first time, the specialization of endothelial subpopulations in the formation of the coronary vasculature and opens the way toward a better understanding of the formation of lymphatic vessels, a process essential not only for embryonic heart development but also for the response of the heart to stress and disease in adulthood."

[HILLSBOROUGH, NJ - January 2020] On Thursday, January 9, The American Association of Feline Practitioners (AAFP) will release updated Feline Retrovirus Testing and Management Guidelines to the veterinary community, which will be published in the Journal of Feline Medicine and Surgery. In publishing these Guidelines, the AAFP aims to provide the most current information about feline retrovirus infections to veterinary practitioners so they may optimize the care and management of their feline patients. In addition, the Client Brochure provides cat caregivers with information regarding transmission, testing, prevalence, and precautions. These Guidelines focus on feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) infections, which are found in cats worldwide. The spread of these viruses can be minimized through education, testing, and vaccinations.

The updated Guidelines represent a consensus of current information compiled by an international panel of researchers and practitioners, and is an update of the AAFP's heavily referenced 2008 Retrovirus Testing and Management Guidelines.

"Education and early testing can greatly assist in the treatment and management of feline retrovirus infections. Routine veterinary care, when cats are well and when they are sick, can lead to better care and decrease the spread of infection. We are pleased to present these Guidelines to support both veterinary professionals and cat caregivers in the management of these illnesses. We further stress the partnership between veterinarians and cat owners in caring for infected cats because with regular healthcare and reduced stress, cats infected with retroviruses, especially FIV, may live many healthy years," said Heather O'Steen, CEO, AAFP.

"The 2020 Feline Retrovirus Testing and Management Guidelines contain much new information about feline leukemia and feline immunodeficiency virus infections. The Guidelines were written by an international panel of experts and included not only retrovirus researchers, but veterinarians working in private practice and in shelters. We hope these Guidelines will be of practical use for all veterinarians. The panel is especially proud to have endorsement of the Guidelines by the International Society of Feline Medicine," said Retrovirus Guidelines Co-Chair Susan Little, DVM, DABVP (Feline).

Julie Levy, DVM, PhD, DACVIM, DABVP (Shelter Medicine) added, "These guidelines address rapidly evolving knowledge about how testing results, clinical expression, and prognosis for FeLV may change over time relative to the cat's current immune response and resulting levels of virus in circulation, how quantitative testing may be used to better inform clinical decision-making, and an emerging trend in which screening for FeLV and FIV is increasingly shifting from animal shelters, where cats are adopted, to veterinary practices, where animals receive comprehensive care."

More About Retroviruses:

These Guidelines and Client Brochure represent current knowledge on the pathogenesis, diagnosis, prevention, and treatment of retrovirus infections in cats. Infections with FeLV and FIV are associated with a variety of clinical signs and can impact quality of life and longevity. Although vaccines are available for FeLV in many countries and for FIV in some countries, identification of infected cats remains an important factor for preventing new infections. The retrovirus status of every cat at risk of infection should be known. Cats should be tested as soon as possible after they are acquired, following exposure to an infected cat or a cat of unknown infection status, prior to vaccination against FeLV or FIV, and whenever clinical illness occurs. It might not be possible to determine a cat's infection status based on testing at a single point in time; repeat testing using different methods could be required. Although FeLV and FIV infections can be associated with clinical disease, some infected cats, especially those infected with FIV, can live for many years with good quality of life. There is a paucity of data evaluating treatments for infected cats, especially antiretroviral and immunomodulatory drugs. Management of infected cats is focused on effective preventive health care strategies and prompt identification and treatment of illness, as well as limiting spread of infection.

Prevalence and the Spread of Retroviruses in Cats:

FIV: Feline immunodeficiency virus is more commonly found in male cats and cats that fight with other cats. It is found less often in kittens and neutered adult cats. The virus is spread primarily through saliva and is usually passed to other cats by bite wounds. In North America, about 3 to 5% of tested cats are found to be infected with FIV.

FeLV: Feline leukemia virus infection is more commonly spread from mother to kittens. The virus can also be spread between cats that live together or those that fight. It is mainly spread in saliva during grooming and when food and water bowls are shared. The virus is less often spread through urine, feces, or nasal discharge. In North America, 4% of tested cats are found to be infected with the virus.

Prevention:

There are no vaccines marketed in the United States or Canada that can protect cats from FIV infection.

Vaccines to protect cats from FeLV infection are available. The vaccine is recommended for all kittens, again one year later, and for cats that have ongoing risk of infection. Adult indoor-only cats living alone or with uninfected cats may not need to be vaccinated after the first two years. Veterinarians will help assess an individual cat's vaccination needs.

To access the Feline Retrovirus Guidelines, visit catvets.com/retroviruses. Cat caregivers can learn more about feline retroviruses at catfriendly.com/felv and catfriendly.com/fiv.

The peaceful and delicate co-existence of friendly gut bacteria and the immune system relies on highly coordinated information exchange between immune system cells and certain cells lining the intestine. Until now, scientists generally believed these two cell types were also central to the production of antibacterial molecules that fend off dangerous infections.

But scientists at Yale and Harvard medical schools have discovered that, in response to bacterial invaders, nerve cells within the intestine -- and not immune cells or cells lining the intestinal wall -- release infection-fighting cytokines. They report their findings Jan. 9 in the journal Cell.

The findings provide new insights into the body's response to bacterial infections that cause food poisoning and other illnesses.

"We used to believe that the immune system cells and intestinal barrier cells communicated to keep out invading bugs by mobilizing anti-microbial proteins," said co-corresponding author Richard Flavell, Sterling Professor of Immunobiology at Yale and a Howard Hughes Medical Institute investigator. "The story is actually not true -- it is the nervous system telling barrier cells what to do."

The foot soldiers in the war against intestinal pathogens, it turns out, are the immune system molecules interleukin-18 or IL-18. Interleukins are part of the immune system's arsenal.

When the researchers deleted IL-18 from both immune cells and cells lining intestinal barriers, mice were still able to fend off intestinal infection from Salmonella bacteria. This ruled them out as the agents responsible for the immune response, said Flavell. But mice without IL-18 produced by nervous system cells were more susceptible to infection, revealing its key role in fighting infection.

The key role of nerve cells in the defense against pathogens makes sense, given the ability of the nervous system to communicate across long distances, Flavell said.

"The findings offer an opportunity to explore new ways to intervene in infections through the nervous system," he said.

Researchers have devised a straightforward technique for building a laboratory device known as an electroporator - which applies a jolt of electricity to temporarily open cell walls - from inexpensive components, including a piezoelectric crystal taken from a butane lighter.

The goal would be to make the low-cost device available to high schools, budget-pressed laboratories and other organizations whose research might otherwise be limited by access to conventional lab-grade electroporators. Plans for the device, known as the ElectroPen, are being made available, along with the files necessary for creating a 3D-printed casing

"Our goal with the ElectroPen was to make it possible for high schools, budget-conscious laboratories and even those working in remote locations without access to electricity to perform experiments or processes involving electroporation," said M. Saad Bhamla, an assistant professor in Georgia Tech's School of Chemical and Biomolecular Engineering. "This is another example of looking for ways to bypass economic limitations to advance scientific research by putting this capability into the hands of many more scientists and aspiring scientists."

In a study to be reported January 9 in the journal PLOS Biology and sponsored by the National Science Foundation and the National Institutes of Health, the researchers detail the method for constructing the ElectroPen, which is capable of generating short bursts of more than 2,000 volts needed for a wide range of laboratory tasks.

One of the primary jobs of a cell membrane is to serve as a protective border, sheltering the inner workings of a living cell from the outside environment.

But all it takes is a brief jolt of electricity for that membrane to temporarily open and allow foreign molecules to flow in -- a process called electroporation, which has been used for decades in molecular biology labs for tasks ranging from bacterial detection to genetic engineering.

Despite how commonplace the practice has become, the high cost of electroporators and their reliance on a source of electricity has kept the technique mostly within the confines of academic or professional labs. Bhamla and undergraduate student Gaurav Byagathvalli set out to change that, with help from collaborators Soham Sinha, Yan Zhang, Assistant Professor Mark Styczynski and Lambert High School teacher Janet Standeven.

"Once we decided to tackle this issue, we began to explore the inner workings of electroporators to understand why they are so bulky and expensive," said Byagathvalli. "Since their conception in the early 1980s, electroporators have not had significant changes in design, sparking the question of whether we could achieve the same output at a fraction of the cost. When we identified a lighter that could produce these high voltages through piezoelectricity, we were excited to uncover new mysteries behind this common tool."

In addition to the piezoelectric lighter crystal - which generates current when pressure is applied to it - the other parts in the device include copper-plated wire, heat-shrinking wire insulator and aluminum tape. To hold it all together, the researchers designed a 3D-printed casing that also serves as its activator. With all the parts on hand, the device can be assembled in 15 minutes, the researchers reported.

While the ElectroPen is not designed to replace a lab-grade electroporator, which costs thousands of dollars and is capable of processing a broad range of cell mixtures, the device is still highly capable of performing tasks when high volumes are not required.

The researchers tested several different lighter crystals to find ones that produced a consistent voltage using a spring-based mechanism. To understand more about how the lighters function, the team used a high-speed camera at 1,057 frames-per-second to view their mechanics in slow motion.

"One of the fundamental reasons this device works is that the piezoelectric crystal produces a consistently-high voltage, independent of the amount of force applied by the user," Bhamla said. "Our experiments showed that the hammer in these lighters is able to achieve acceleration of 3,000 Gs, which explains why it is capable of generating such a high burst of voltage."

To test its capabilities, the researchers used the device on samples of E. coli to add a chemical that makes the bacterial cells fluorescent under special lights, illuminating the cell parts and making them easier to identify. Similar techniques could be used in a lab or in remote field operations to detect the presence of bacteria or other cells.

The team also evaluated whether the device was easy to use, shipping the assembled ElectroPens to students at other universities and high schools.

"The research teams were able to successfully obtain the same fluorescence expression, which I think validates how easily these devices can be disseminated and adopted by students across the globe," Bhamla said.

To that end, the researchers have made available the plans for how to build the device, along with digital files to be used by a 3D printer to fabricate the casing and actuator. Next steps of the research include testing a broader range of lighters looking for consistent voltages across a wider range, with the goal of creating ElectroPens of varying voltages.

The flight navigation strategy of moths can be used to develop programs that help drones to navigate unfamiliar environments, report Ioannis Paschalidis at Boston University, Thomas Daniel at University of Washington, and colleagues, in the open-access journal PLOS Computational Biology.

To understand how real moths plan their route, the researchers mounted 8 hawk moths (Mantuca sexta) on metal rods connected to a torque meter. In front of each moth they projected a moving forest scene created from beams of light for the moth to navigate. They captured data from the moth flight and built a mathematical model to describe the moth trajectory through the virtual forest. The flight data were translated into a decision-making program that could be used to control a drone. They compared how the drone and the moth performed in simulations of the same forest layout, as well as new configurations with different densities of trees.

The researchers found that hawk moths mainly rely on the pattern created by the apparent motion of objects caused by their flight, which agrees with studies of flight behavior in other insects. However, the flight programs optimized for drones performed 60% better in the simulated forest because they also incorporated information about the exact location of objects in their surroundings into their navigational decisions.

Although the researchers were able to optimize the strategy used by moths to improve performance in certain environments, the moths' strategy was more adaptable, performing well in a variety of different forest layouts. The moth model performed best in dense forests, suggesting that hawk moths have evolved a flight strategy adapted to the thick forests they often encounter.

The researchers say that by using real data from animal flight paths they can program bio-inspired drones that will be able to navigate autonomously in cluttered environments.

The small red planet is losing water more quickly than what theory as well as past observations would suggest. The gradual disappearance of water (H2O) occurs in the upper atmosphere of Mars: sunlight and chemistry disassociate water molecules into hydrogen and oxygen atoms that the weak gravity of Mars cannot prevent from escaping into space. An international research team,1 led partly by CNRS researcher Franck Montmessin, has just revealed that water vapour is accumulating in large quantities and unexpected proportions at an altitude of over 80 km in the Martian atmosphere. Measurements showed that large atmospheric pockets are even in a state of supersaturation, with the atmosphere containing 10 to 100 times more water vapour than its temperature should theoretically allow. With the observed supersaturation rates, the capacity of water to escape would greatly increase during certain seasons. These results, which were published in Science on 9 January 2020, were obtained thanks to the Trace Gas Orbiter probe from the ExoMars mission, financed by the European Space Agency and the Russian space agency Roscosmos.

The ongoing social unrest in Hong Kong may be affecting the mental health of the general adult population--potentially leading to substantial increases in demand for mental and psychosocial support services, according to a 10-year observational study published in The Lancet.

The new estimates obtained from surveys suggest that the prevalence of probable depression [1] (in Hong Kong residents aged 18 years or more) was five times higher during the 2019 social unrest than the general population norm before the 2014 Occupy Central Movement (11% vs 2%); whilst post-traumatic stress disorder (PTSD) symptoms were estimated to be six times higher (rising from around 5% shortly after Occupy Central in March 2015 to almost 32% in Sept-Nov, 2019).

Even though less than half of those affected by health problems related to the social unrest said they would seek professional help, the authors estimate that mental health-care providers should prepare for potentially a 12% rise in demand for public sector services, which will require major increases in the surge capacity of these services.

"Hong Kong is under-resourced to deal with this excess mental health burden", explains Professor Gabriel Leung from The University of Hong Kong who co-led the research. "With only around half the per-capita psychiatry capacity of the UK, and pre-existing average public sector outpatient waiting times of up to 64 weeks, it is important that we enhance mental health and social care provision so that all those in need are able to access high-quality services." [2]

The study is the largest and longest prospective cohort study of the population-wide impact of social unrest on mental health in the world. However, the researchers caution that measuring the impact of mental health due to social unrest has several data and methodological issues that might affect the accuracy of the estimates, including the potential measurement error of assessment tools for depression and PTSD, and the many assumptions around care-seeking behaviour, psychopathology, and the duration and disposition of the ongoing social unrest.

Hong Kong has experienced a wave of mass protests since June 2019, initiated by the now shelved extradition bill. Over the course of 7 months, peaceful protests have descended into escalating levels of violence. Depressive and PTSD symptoms have been reported following widespread unrest worldwide, including after the 2014 Ferguson unrest and the 2015 Baltimore unrest in the USA. However, little is known about the mental health impact on the general population during recent protests in Hong Kong.

Researchers at The University of Hong Kong used the large population-based FAMILY Cohort with nine successive waves of longitudinal data to assess the population mental health burden before, during, and after major protests over 10 years [3]. The findings of two initial surveys (March 2009-April 2011 and Aug 2011-March 2014) involving more than 18,000 randomly sampled Hong Kong residents were compared with a representative sample of 1,213-1,715 adults surveyed five times during and following the Occupy Central Movement (Oct and Nov, 2014; March and Nov, 2015; Sept 2017), and 1,600-1,736 adults surveyed two times during the 2019 social unrest (June-Aug and Sept-Nov, 2019).

Questionnaires were used to measure changes in the prevalence of probable major depression, suspected PTSD (which included direct exposure to traumatic events such as tear gas or physical violence), and symptoms of depression and PTSD. The researchers used a weighted prevalence approach such that the rate of probable depression and suspected PTSD in the adults surveyed would be more representative of all adults in Hong Kong.

The study also examined risk factors associated with social unrest (after adjusting for socio-demographics and doctor-diagnosed depression or anxiety disorders before the 2019 unrest), and estimated potential health-care needs.

One in five Hong Kong residents (22%; aged 18 or older) surveyed during the 2019 social unrest reported probable major depression or suspected PTSD. The authors say that this is comparable to the prevalence of mental health conditions observed following large-scale disasters, armed conflicts, or terrorist attacks.

Estimates suggest that up to 11% of the adult general population in 2019 were affected by probable depression compared to around 2% in 2009-2014 before the 2014 Occupy Central Movement, and 6.5% in 2017 (figure 2)--potentially equivalent to an additional 590,000 adults with probable depression compared to a decade ago, with an estimated 300,000 of these cases potentially linked to the 2019 unrest (figure 3C).

Similarly, symptoms of PTSD were reported by an estimated 2% of adults in November, 2015 (a year after Occupy Central), rising to almost 32% of those surveyed in September-November, 2019--and could be equivalent to an additional 1.9 million adults with PTSD symptoms.

During the 2019 social unrest, the researchers estimate that the prevalence of suspected PTSD was around 13%--equivalent to around 810,000 adults with PTSD (figure 3A).

Adults using social media for two hours or more a day on socio-political news and events appear to be more at risk of probable depression and suspected PTSD, the findings suggest. However, family support seemed to protect against probable depression, potentially acting as a buffer against stress (figures 4 & 5).

Whilst fewer than half of those affected said they would seek help from health-care professionals--citing a preference for self-management, seeking help from family or friends, and privacy concerns among others--the researchers estimate that the 2019 social unrest may be associated with an additional 140,000 adults seeking outpatient support services for depression, and roughly 360,000 adults looking for help with PTSD (figure 3C).

The authors acknowledge that their findings provide observational associations rather than cause and effect, and point to several limitations of their study, including that the true population burden may be underestimated because they did not account for individuals younger than 18 years old who make up a substantial proportion of protesters, and did not specially oversample members of the police force. They also note that probable depression or suspected PTSD might represent psychological distress in response to an abnormal event rather than true mental illness.

"With social unrest rising around the world, including in major cities such as Barcelona, Delhi, Paris, and Santiago in 2019, the issue of how social unrest impacts population mental health is of great public-health importance," says Dr Michael Ni from The University of Hong Kong who co-led the research. [2]

"We hope our study will alert health-care professionals, service planners, and policy makers to the need for mental health and psychosocial support during and after widespread unrest to better protect population mental health globally," adds co-author Ms Cynthia Yau from The University of Hong Kong. [2]

Plant life is expanding in the area around Mount Everest, and across the Himalayan region, new research shows.

Scientists used satellite data to measure the extent of subnival vegetation - plants growing between the treeline and snowline - in this vast area.

Little is known about these remote, hard-to-reach ecosystems, made up of short-stature plants (predominantly grasses and shrubs) and seasonal snow, but the study reveals they cover between 5 and 15 times the area of permanent glaciers and snow.

Using data from 1993 to 2018 from NASA's Landsat satellites, University of Exeter researchers measured small but significant increases in subnival vegetation cover across four height brackets from 4,150-6,000 metres above sea level.

Results varied at different heights and locations, with the strongest trend in increased vegetation cover in the bracket 5,000-5,500m.

Around Mount Everest, the team found a significant increase in vegetation in all four height brackets. Conditions at the top of this height range have generally been considered to be close to the limit of where plants can grow.

Though the study doesn't examine the causes of the change, the findings are consistent with modelling that shows a decline in "temperature-limited areas" (where temperatures are too low for plants to grow) across the Himalayan region due to global warming.

Other research has suggested Himalayan ecosystems are highly vulnerable to climate-induced vegetation shifts.

"A lot of research has been done on ice melting in the Himalayan region, including a study that showed how the rate of ice loss doubled between 2000 and 2016," said Dr Karen Anderson, of the Environment and Sustainability Institute on Exeter's Penryn Campus in Cornwall.

"It's important to monitor and understand ice loss in major mountain systems, but subnival ecosystems cover a much larger area than permanent snow and ice and we know very little about them and how they moderate water supply.

"Snow falls and melts here seasonally, and we don't know what impact changing subnival vegetation will have on this aspect of the water cycle - which is vital because this region (known as 'Asia's water towers') feeds the ten largest rivers in Asia."

Dr Anderson said "some really detailed fieldwork" and further validation of these findings is now required to understand how plants in this high-altitude zone interact with soil and snow.

Dominic Fawcett, who coded the image processing, said: "These large-scale studies using decades of satellite data are computationally intensive because the file sizes are huge. We can now do this relatively easily on the cloud by using Google Earth Engine, a new and powerful tool freely available to anyone, anywhere."

The Hindu Kush Himalayan region extends across all or part of eight countries, from Afghanistan in the west to Myanmar in the east. More than 1.4 billion people depend on water from catchments emanating here.

The paper, published in the journal Global Change Biology, is entitled: "Vegetation expansion in the subnival Hindu Kush Himalaya."

RICHLAND, Washington -- A protein newly identified as important in type 1 diabetes can delay onset of the disease in diabetic mice, providing a new target for prevention and treatment in people, according to research led by scientists at the U.S. Department of Energy's Pacific Northwest National Laboratory and Indiana University School of Medicine. Because type 1 diabetes is incurable and has serious lifelong health consequences, prevention is a major research goal.

The key to the new study, published online January 9, 2020, in the journal Cell Metabolism, is a technique called mass spectrometry, which can comprehensively detect proteins that are found at extremely low levels in the body, but can have large effects on health.

The multidisciplinary research team of physicians and biochemists used a new strategy to pinpoint proteins in beta cells, a subset of pancreatic islets that increase or decrease in response to immune system attack. Beta cells normally regulate blood sugar levels in the pancreas. In people susceptible to type 1 diabetes (previously called insulin-dependent or juvenile diabetes) these cells are slowly destroyed by the body's own immune system. Here, the researchers focused on how islets respond to inflammation.

The researchers treated human pancreatic islets with substances produced by the body and thought to be involved in the diabetes disease process. They identified a total of 11,324 proteins, with 387 affected by the treatment. Of these 387, they narrowed their focus to one: growth differentiation factor 15 (GDF15).

"We wanted to identify proteins that can intervene in the diabetes disease process," said Ernesto Nakayasu, a biomedical scientist at PNNL and co-lead author of the study. "We became interested in GDF15 because the protein level was suppressed by 70 percent after treatment."

GDF15 is known for its protective effects in different types of cells in the human body but it had never been studied in islets. When the researchers measured levels of GDF15 in pancreas tissue from people with diabetes, they found the protein was depleted in their malfunctioning islet cells.

But the key piece of evidence emerged when the scientists treated non-obese diabetic mice with GDF15, and it reduced development of diabetes by 53%. Non-obese diabetic mice are a common model for testing type 1 diabetes treatments because they spontaneously develop autoimmune diabetes with many similarities to the human disease.

"We hypothesized that reduced GDF15 was not a good thing for islet survival, and indeed that was the case," said Raghu Mirmira, a study principal investigator. "This work opens the way for us to consider these sorts of 'islet protective factors' as therapies to prevent or reverse type 1 diabetes." Mirmira until recently served as professor of pediatric diabetes and director of the Center for Diabetes and Metabolic Diseases at Indiana University School of Medicine. He is now a professor of medicine in the Section of Endocrinology, Diabetes & Metabolism at the University of Chicago.

"This approach differs substantially from current thinking that targets the immune system. While GDF15 may be one new therapy, we identified other proteins that may work in conjunction with GDF15, so this work really represents a treasure-trove of information that can be mined for new therapies," said Mirmira.

PNNL's Tom Metz, the co-principal investigator and an expert in mass spectrometry-based proteomics of islets, agreed, adding, "This study illustrates the power of non-reductionist, comprehensive approaches, such as proteomics, for discovering new information in complex systems. The protective role of GDF15 against islet destruction and its ability to delay onset of type 1 diabetes in the mouse model would have been very difficult to discover without performing the initial comprehensive proteomics analysis of stressed human islets."

The researchers are now working on the idea that low levels of GDF15 in islets may somehow be playing a proactive role in instigating the autoimmune attack that ultimately kills them.

"This thinking is somewhat counterintuitive in the type 1 diabetes field, but it is this kind of out-of-the-box thinking that may lead to therapies we never thought of previously," said Mirmira.

Scientists could soon better investigate the feeding behaviors of extinct dolphin and whale species. A third year student at Japan's Nagoya University has found that the range of motion offered by the joint between the head and neck in modern-day cetaceans, a group of marine mammals that also includes porpoises, accurately reflects how they feed. The authors of the study, published in the Journal of Anatomy, suggest this method could help overcome current limitations in extrapolating the feeding behaviors of extinct cetaceans.

Taro Okamura of Nagoya University and Shin-ichi Fujiwara of the Nagoya University Museum examined the skulls and cervical skeletons of 56 cetaceans that are still in existence, representing 30 different species. They assessed the range of motion of the 'atlanto-occipital joint' in each skeleton, a joint that forms between the base of the skull and the first cervical vertebra. They then categorized each cetacean according to their well-studied feeding behaviors, including how they approach their prey, move it within their oral cavities, and swallow it.

"We found that the range of neck-head flexibility strongly reflects the difference of feeding strategies among whales and dolphins," says Okamura. "This index can be easily applied to reconstruct the feeding strategies of extinct whales and dolphins," he adds.

Cetaceans are known for their diverse behaviors, physiologies, ecologies and diets. Some cetaceans feed on organisms in the open water, while others feed on those found near the ocean floor. Some whales are ram feeders, widely opening their mouths to gather zooplankton and other actively swimming organisms into their mouths while moving forward. Other whales, like the sperm whale, suction their prey into their oral cavities. The orca whale and some dolphins bite the fish they catch into smaller segments, a process that may require head movement. Other dolphins swallow their prey whole.

Until now, scientists have used the structures of teeth, throat bones and lower jaws in cetacean fossils to develop an idea of what their feeding behaviors might have looked like. But these individual features can't accurately predict the behaviors of extinct cetaceans. For example, the teeth of some suction feeders, like those of the sperm whale, aren't suggestive of this kind of feeding. Okamura and Fujiwara propose that using a combination of features, which include the range of motion of the atlanto-occipital joint, could help to develop more accurate descriptions of extinct cetacean feeding behaviors.

In prehistoric times, many different types of cetaceans existed, including ones with walrus-like tusks, extremely long snouts, and an ancient sperm whale with huge predatory teeth. The ancient baleen whale had teeth, whereas modern-day baleen whales have 'baleen,' or fringed plates, in their place. This has created much interest in how baleen whale feeding, for example, has evolved from catching prey with teeth to filtering it with baleen.

The two researchers next plan to determine the atlanto-occipital joint range of motion in some of these cetacean fossils to attempt to develop reconstructions of how they used to feed. Answering these questions could help reveal the evolutionary process of the diverse feeding behaviors among cetaceans.

In a world first, University of Sydney researchers have found evidence of how hydrogen causes embrittlement of steels. When hydrogen moves into steel, it makes the metal become brittle, leading to catastrophic failures. This has been one of the major challenges in moving towards a greener, hydrogen-fuelled future, where steel tanks and pipelines are essential components that must be able to survive in pure hydrogen environments.

Published in Science, the researchers found hydrogen accumulates at microstructures called dislocations and at the boundaries between the individual crystals that make up the steel.

This accumulation weakens the steel along these features, leading to embrittlement.

The researchers also found the first direct evidence that clusters of niobium carbide within the steel trap hydrogen in such a way that it cannot readily move to the dislocations and crystal boundaries to cause embrittlement. This effect has the potential to be used to design steels that can resist embrittlement.

Lead researcher Dr Yi-Sheng Chen from the Australian Centre for Microscopy and Microanalysis and Faculty of Engineering at the University of Sydney said these findings were an important step to finding a safe solution to produce, store and transport hydrogen.

"These findings are vital for designing embrittlement-resistant steel; the carbides offer a solution to ensuring high-strength steels are not prone to early fracture and reduced toughness in the presence of hydrogen," Dr Chen said.

Senior author Professor Julie Cairney from the Australian Centre for Microscopy and Microanalysis and Faculty of Engineering at the University of Sydney said these findings were a positive step towards implementing clean fuels.

"Hydrogen is a low carbon fuel source that could potentially replace fossil fuels. But there are challenges with the use of steel, the world's most important engineering material, to safely store and transport it. This research gives us key insights into how we might be able to improve this situation," Professor Cairney said.

Working in partnership with CITIC Metal, the researchers were able to directly observe hydrogen at microstructures in steels thanks to Microscopy Australia's state-of-the-art custom-designed cryogenic atom probe microscope.