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Many different drugs found to kill the SARS-CoV-2 virus within the lab are now being tested to determine if they're effective in humans. One, however, has attracted way more attention than all the remainder, leading some people to act in dangerous ways.
Hydroxychloroquine and therefore the closely related chloroquine are drugs known to be effective against malaria and lupus, but they also carry serious risks. Its potential against a variety of other diseases is under investigation, including as a promising candidate for Covid-19. After one small, flawed study created a buzz and reached President Trump, things began to get wrong.
Trump praised a mixture of hydroxychloroquine and also the antibiotic azithromycin in tweets and at press conferences. Initially, this led to some people buying all the hydroxychloroquine they may obtain to require themselves, resulting in a shortage for those with lupus.
Not only that but NPR reports that Dr. Robin Armstrong in Texas has started giving patients hydroxychloroquine in an unregistered trial. Worse still, there's considerable doubt about whether the patients involved gave consent. Dr. Armstrong admitted to not telling families he was giving the drug to their relatives when patients couldn't consent. Having played down the drug's risks in an interview with the Houston Chronicle, it seems unlikely those given the drug were alerted to the complete list of side-effects. NIH-registered trials require extensive paperwork precisely so everyone can see what patients are being told. By using his political contacts to form an “observational study”, Armstrong appears to possess avoided these.
Meanwhile, several trials of hydroxychloroquine/chloroquine are abandoned due to the intense side effects, including potentially fatal irregular heart rates. Other trials didn't find any benefits from the drug. Many physicians remain cautious about the drug.
"There is also a task for it for a few people,” Dr. Megan L. Ranney of the university told The the big apple Times, “but to inform Americans ‘you don’t have anything to lose,’ that’s not true. People certainly have something to lose by taking it indiscriminately.”
Meanwhile, anti-vaxxers are spreading the claim hydroxychloroquine is such a miracle cure that we do not need vaccines in the slightest degree. Ridiculous because the idea is, it's going to sound credible to those immersed within the hydroxychloroquine hype. it's indeed possible hydroxychloroquine, perhaps together with other drugs, will prove helpful for a few people, which is why several proper trials continue. However, its supporters, including Brazilian President Jair Bolsonaro and Trump lawyer Rudy Giuliani, have gone beyond claiming it works to describing it as a silver-bullet, capable of saving everyone infected with the virus. We already know this can be not true.
Hydroxychloroquine is reportedly being widely employed in Italy and Spain, and it's not stopped the toll there, leading experts to conclude that if it works in the slightest degree the advantages are modest. In March, Dr Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, and therefore the president's leading advisor on Covid-19 described the reported benefits of hyroxychloroquine as "anecdotal" and there aren't any signs his position has changed.
The wealthy Bill & Melinda Gates Foundation called Wednesday for global cooperation to ready COVID-19 vaccines for 7 billion people, while offering an extra US$150 million toward developing therapeutics and coverings for the virus. While it's likely to require as many as 18 months to develop and fully test a secure coronavirus vaccine, global authorities and businesses must start now on plans to manufacture it, said foundation chief executive Mark Suzman.
"It's normal to own, at maximum, many a lot of doses manufactured," he said.
"When you're addressing a completely unique pathogen like COVID-19, as and after we get to identifying a successful vaccine, we are visiting need billions of doses."
"There are 7 billion people on the earth," he said. "We are visiting have to vaccinate nearly all. there's no manufacturing capacity to try to do that."
Suzman announced the muse, started and controlled by mega-billionaire Microsoft founder Bill Gates and his wife Melinda Gates, is adding US$150 million to the $100 million it announced in February to assist in international efforts to battle the coronavirus pandemic.
Much of the money is to support the event of COVID-19 diagnostic tests, therapeutic treatments, and vaccines, and to create them globally available, he said.
Some are additionally for helping the poorest countries in South Asia and the geographical area, which lack supplies, equipment, and infrastructure to counter the new epidemic.
But the muse has concentrated on preparing for the creation of a vaccine that might effectively halt the spread of coronavirus.
Some 100 potential vaccines are being developed and tested by scientists around the world, Suzman said.
Many might appear hopeful in initial, small tests, he said, but most will fail in larger trials.
"A successful vaccine must be available for 7 billion people. you wish to check if there are unexpected side effects, or side effects within cohorts or groups, whether it's pregnant women or the elderly or the very young," said Suzman.
"The overwhelming majority of vaccine candidates fail in those larger trials, the so-called phase-three trials."
Fastest vaccine ever
But while those trials happen, he said, there must be a world group of experts, countries, and corporations honing in on those with the foremost promise and preparing previous time to manufacture them.
He said both China and also us should be a part of the joint effort, yet because of the World Health Organization. On Tuesday, US President Donald Trump said he was setting apart US funds for the WHO.
"Clearly for us, the globe Health Organization could be a very strong, reliable partner," Suzman said, noting the Gates Foundation is WHO's second-largest source of funding after the US.
Earlier Wednesday, European Commissioner chief Ursula von der Leyen called a donors conference for May 4 to fund the creation and global deployment of a vaccine, calling it "our collective best shot at beating the virus."
Suzman said the Gates Foundation is "reasonably optimistic" that one or more successful vaccines may be proven within 12 to 18 months.
"This is the fastest vaccine ever developed in human history," he said.
Yet getting the assembly going, he estimated, will cost several billion dollars.
Each vaccine finally approved would require its own manufacturing process, and if people don't begin to arrange within months, lots of your time are lost, he warned.
"There is no return to 'normal' until there's a vaccine," Suzman said. "But there are not any dramatic ways to short-cut it."
Dr. Hamm warns, however, that dandelion root extract can have a negative impact on the
effects of chemotherapy. It is always best to consult your doctor and let them know about
any supplements or foods that you consume regularly. Even if you don't have cancer, eating
vegetables or drinking dandelion tea can still give you great health! For example, dandelion
roots and stems can help fight diabetes. It does this by stimulating the pancreas to produce
insulin, which in turn stabilizes spikes in blood sugar levels.
If you suffer from digestive problems or need to get rid of toxins, dandelion tea might be
just what the herbal medicine doctor ordered!
The liver helps the digestive system by producing bile and also filters the blood of
chemicals and other impurities.
According to Dr. Ax, the vitamins and minerals present in dandelions can help cleanse the
liver and keep it in perfect shape. So by supporting your liver, you are actually creating
better health!
Dandelions are also rich in antioxidants and vitamin C, which is essential in helping the
body fight infections, such as bacteria that cause urinary tract infections.
If you suffer from frequent IVU attacks, drinking dandelion tea on a daily basis can prevent
it from ever happening again.
Dandelion greens are bitter, but completely edible, as long as you get it from an area that
hasn't been sprayed with chemicals. Greens are high in fiber, which is great for intestinal
health! High-fiber diets have also been shown to reduce the risk of obesity, heart disease
and irritable bowel syndrome.
Greens are also rich in vitamin A: only one cup contains 100% of the recommended daily
allowance. Vitamin A is essential for maintaining healthy eyesight and can also prevent
premature aging of the skin.
Since you probably won't have a whole cup of bitter vegetables to eat on your own, you can
incorporate it into a morning smoothie. Just blend it with your favorite fruit, which will
compensate for the bitter taste.
Scientists have developed a brand new hydrogel ready to quickly heal animal wounds while minimizing scarring, with the immune system's help. It could potentially work as an upgrade to our body's injury-healing abilities.
The microporous annealed particle (MAP) gel had previously shown promise as a structure designed to support tissue growth and speed up wound healing. Here, the MAP gel was modified to trigger a specific response too.
So far, the research has only checked out wound healing in mice, but it could potentially help people with burns, cuts, diabetic ulcers, and other styles of wounds that will otherwise leave damaged, scarred skin behind.
A repaired wound with hair follicles shown in green. (Duke University)
"This study shows us that activating the system is often accustomed to tilt the balance of wound healing from tissue destruction and scar formation to tissue repair and skin regeneration," says biomedical engineer Tatiana Segura, from Duke University.
Scar tissue is made as a part of a rapid reaction to injury by the body: it reduces pain and limits the prospect of infection. However, the regrown skin isn't complete, lacking sweat glands and hair follicles, and it is also more liable to future injury.
Having already used MAP gels as how of organizing cells to repair wounds faster, here the team tried to stay the biological scaffold in situ for extended by flipping the peptide structure of a specific chemical linker within the gel therefore the body wouldn't see it as being familiar and – in theory – make it tougher to interrupt down.
"Previously we'd seen that because the wound began to heal, the MAP gel began to lose porosity, which limited how the tissue could grow through the structure," says biomedical engineer Don Griffin from the University of Virginia.
"We hypothesized that slowing down the degradation rate of the MAP scaffold would prevent the pores from closing and supply additional support to the tissue because it grows, which might improve the tissue's quality."
However, in experiments on mice, the team's attempts to prolong the lifetime of the scaffold by making it more alien to the body had the alternative effect: the gel had almost entirely disappeared from the wound site by the time it had healed.
The peptide structure flip did trigger a unique reaction, but from the more specialized adaptive system – it uses different kinds of cells and a more regenerative reaction to try and do its work.
The antibodies and macrophage cells that were triggered during this case were better ready to remove traces of the hydrogel, moreover as repairing skin in a very way that was more just like the original skin (including hair follicles).
This process still must be adapted for the organic structure, of course, but we share plenty of the repair mechanisms with other mammals, and also the scientists are hopeful that a modified version of their hydrogel could eventually be accustomed repair wounds faster and more naturally – and maybe even contribute to vaccine development.
"I am excited about the chance of designing materials that will directly interact with the system to support tissue regeneration," says Segura. "This may be a new approach for us."
We’re all here thanks to mutations. Random changes in genes are what create variety during a species, and this can be what allows it to adapt to new environments and eventually evolve into a completely new species. But most random mutations actually disrupt the functions of our genes then are a standard source of genetic diseases.
This ambiguity creates a good challenge. On the one hand, mutations are needed for biological innovation, and on the opposite hand, they cause diseases. How does nature resolve this conflict? Research by me and my colleagues suggests that one answer could exist an order that enables evolution to innovate while minimizing the disruption this will create.
This code is hidden within a component of our genome (the complete set of our genetic material) referred to as repetitive genetic elements, which we now know plays a key role in evolution. These elements are sequences within our DNA which will make many copies of themselves. so as to create the proteins that our bodies need, our cells take instructions from our DNA by transcribing it into the same molecule called RNA. But in rare cases, rather than building a protein, some RNA molecules convert into DNA and insert themselves at new locations in our genome.
In this way, the repetitive elements can continually create new copies of themselves. As a result, the human genome contains thousands of repetitive elements that aren't present in the other species because they need to copy themselves since humans evolved.
But repetitive elements aren’t just useless copies. Barbara McClintock, the scientist who discovered them in 1948, showed they'll act as switches that switch genes on and off in maize. This was initially thought to be an obscure phenomenon with no relevance for humans. Yet now it's become clear that repetitive elements are a vital toolkit for evolution. By turning genes on and off, the repetitive elements can influence what characteristics a species evolves. they need been useful for biological innovations, like the evolution of pregnancy in mammals.
Perhaps the foremost elegant example of this is often within the evolution of the peppered moth. This moth normally has light-colored wings, but during Britain’s age, a repetitive element inserted itself into the gene that controls the color pattern of the wings. As a result, a black strain of the peppered moth evolved and this allowed it to blend in and escape its predators amid the polluted environment.
So what does all this should do with managing the disruption of mutations? Our research looks at the repetitive elements that were copied within the genome of the ancestors of contemporary primates. There are over 1.6m of those “Alu elements” dispersed everywhere in the human genome, and a few of them have accumulated random mutations that enabled them to become functional parts of our genes.
We have found a code within the RNA that controls Alu elements hiding inside human genes. This code combines competing for positive and negative molecular forces, sort of a yin and yang in our cells. it's well-known that competing molecular forces control many aspects of our genes. In our case, the positive force (acting through the protein called U2AF65) allows the Alu elements to stay a part of RNA and also the resulting protein. The negative force (acting through the protein called hnRNPC) opposes this and removes the weather from the RNA.
We’ve known for many years that evolution has to tinker with genetic elements so that they can accumulate mutations while minimizing disruption to the fitness of a species. Research, published within the journal eLife, checked out over 6,000 Alu elements to indicate that our code does exactly this.
The two forces are tightly coupled in evolution, so as soon as any mutations make the ying stronger, the yang catches up and stops them. this enables the Alu elements to stay during a harmless state in our DNA over long evolutionary periods, during which they accumulate plenty of change via mutations. As a result, they decrease harm and gradually start escaping the repressive force. Eventually, a number of them tackle a very important function and have become indispensable pieces of human genes.
To put it otherwise, the balanced forces buy the time needed for mutations to create beneficial changes, instead of disruptive ones, to a species. And this is often why evolution proceeds in such small steps – it only works if the 2 forces remain balanced by complementary mutations, which takes time. Eventually, important new molecular functions can emerge from randomness.
These findings tell us that humans don't seem to be a set pinnacle of evolution. Our genomes are like those of the other species: a fluid landscape of DNA sequences that keep changing. This explains how our genome can host its ever-changing repetitive elements despite their potential to disrupt the prevailing order in our cells.
It's a tantalizing prospect to think that herd immunity could end the coronavirus pandemic. If true herd immunity were achieved, the coronavirus would not spread, and that we could return to normal life as we knew it before.
But herd immunity is difficult to drag off. It can only be achieved in two ways: by getting plenty of people sick, or by giving many people a good, safe vaccine.
The goal is that the same: to urge a sizeable majority of the population proof against infection, so a disease can not spread among our collective 'herd'.
The consensus among epidemiologists is that chasing herd immunity without a vaccine wouldn't work. It risks too many unnecessary deaths.
Even so, the concept has become a subject of conversation in households, on social media, on TV, in bars - with people asking: "Why not try it?" Those conversations gained steam last month when the White House propped up the nice Barrington Declaration, a document drafted at a Libertarian company suggesting that almost all people should try and select herd immunity, encouraging infections among the world's young, healthy population.
"For those that are under … for example 60 or 50, the lockdown harms are, mentally and physically, worse than COVID," Jay Bhattacharya, one in every one of the authors of the declaration said last week, during a debate hosted by the medical journal JAMA.
Opposite him was epidemiologist Marc Lipsitch from Harvard, one amongst the thousands of leading experts who signed on to a stinging rebuttal of the declaration, who explained why the approach is so dangerous.
"I think it is a great idea to appear for creative solutions, but nobody responsible would abandon what we all know works, which is controlling viral spread," Lipsitch said.
Their conversation threw up six overarching reasons why achieving natural herd immunity - the sort that does not require a coronavirus vaccine - won't work.
One: Nobody thinks it is a good idea to induce everybody infected, but just targeting the young is near impossible
You'd be hard-pressed to seek out a significant public health expert who thinks natural herd immunity will work.
Leaders in Sweden recently backtracked on their unique stab at herd immunity against the virus because it killed such a lot of people in their nursing homes.
Bhattacharya name-checked Sweden as a decent example of herd immunity done right.
But, when pressed, he agreed that letting anyone within the population get sick so as to draw near disease resistance within the community isn't a decent idea. "You should social distance once you can definitely use masks after you can't social distance," he said. "All of the mitigation measures are really important."
Even Sweden's approach failed to follow what the nice Barrington Declaration suggests: "focused protection" for the vulnerable, and focused infection of the young and healthy.
Bhattacharya asked listeners for his or her ideas about the way to achieve this focused approach and added some of his own ideas, including employing rapid testing in nursing homes and multi-generational households and isolating cases.
"We protect the vulnerable with every single tool we've got," he said. "We use our testing resources. We use our staff rotations in nursing homes. We use PPE. We do every kind of thing."
The problem is, those ideas are already being tried across the US, to only mixed success.
Nevada has found the US's new federal rapid testing protocol in nursing homes so unreliable that the state sought to ban them last month, a home workforce already spread thin is getting sick, and case isolation is near-impossible to attain within the dangerous pre-symptomatic phase of the many illnesses, when people may transmit their virus to others before they even know they need it.
Two: COVID-19 has many long-term side effects which will impact lives and also the healthcare system for years to come back
The second issue with this idea of "focused protection" is that we do not actually know who we'd like to safeguard.
"For younger populations, and folks who are less in danger, frankly, COVID is a smaller amount of a risk than the lockdown," Bhattacharya said, reiterating that such closures harm people's psychological, mental, and physical health.
But COVID-19 doesn't just kill people. It also has devastating long-term effects on many of its survivors, including debilitating brain fog, hair loss, swollen toes, and scaly rashes, tinnitus, and loss of smell.
The Centres for Disease Control and Prevention notes that almost half (45.4 percent) of the adult population within the US is in danger for COVID-19 complications - including death - "because of upset, diabetes, respiratory illness, hypertension, or cancer."
Three: we do not actually know who COVID-19 kills and why
The argument for "focused protection" also ignores the truth of what we've learned about the coronavirus: it's killed people of each age, race, and sex because it tears through community after community across the world.
In the US, quite 45,500 people under the age of 65 have died from the coronavirus thus far, per the CDC.
It's impossible to understand, before someone becomes infected, what their true risk is. Children have died. So have college students and lots of others who failed to necessarily have hallmark preconditions.
Scientists are still studying the virus to raised understand how it works, but a unifying thread among severe cases could also be what percentage of ACE-2 receptors (which the virus uses to invade our cells) we've got.
Four: Lockdowns save lives
Lockdowns, though they're an extreme disease-fighting measure, have saved tens of thousands of lives around the world, on nearly every continent.
When schools are closed, more kids go hungry, and education gets interrupted too. Domestic abuse, ill-usage, habit, and suicidal ideation have all gone up in recent months within the US.
"I haven't been able to visit church nose to nose, really, in seven months," Bhattacharya lamented.
However, these measures have bought critical, life-saving time for developing vaccines, formulating drugs, and discovering best practices for patient treatment. "Six months from now, [a] case may well be prevented by vaccination, or can be treated by a far better therapeutic," Lipsitch said.
Bhattacharya also argued that lockdowns are "the single biggest generator of inequality since segregation."
But that's a deeply misleading statement. Racial inequality, for instance, has not been generated by the pandemic, if anything it's only been unmasked.
"Obviously, the African-American community has suffered from racism for a really, very long period of your time," Dr. Fauci told members of Congress in June. "
And I cannot imagine that that has not contributed to the conditions that they find themselves in, economically and otherwise."
Five: Getting obviate the virus is feasible, and it doesn't require killing people
Bhattacharya, and other backers of herd immunity, often peddle a false dichotomy between lockdowns and "normal life," with no area or room for virus-fighting in between.
But that either-or approach doesn't take into consideration what proportion mitigation measures like distancing, avoiding crowds, and getting everybody wearing masks can really help slow viral transmission.
Besides, the US has never really, truly tried to lock down yet. Even within the spring, "we really functionally close up only about 50 percent," Fauci recently told members of Congress.
Countries including Australia, New Zealand, and China have already achieved the "impossible goal" of zero (or, near zero) COVID, and have largely gone back to normal life after strict lockdowns.
Taiwan even did it without locking down the least bit, by instituting strict screening and surveillance measures, effective isolation and quarantining, and widespread masking.
Six: Natural herd immunity probably won't work for this pandemic, irrespective of how hard we try
The US, like everywhere else within the world, still features a great distance to travel to hit even a number of very cheap posited herd immunity thresholds, which require 50 percent (or more) of the population to be exposed and subsequently immune. At best, only around 10 percent to twenty percent of individuals nationwide are exposed.
But whether or not everyone was to become exposed to the virus, natural herd immunity likely still wouldn't work.
This is thanks to the way that our immunity against all coronaviruses - from common colds to the current novel coronavirus - wanes over time. Immunity to the present virus through prior infection isn't definitive, or lasting: coronavirus reinfections are possible, and they are happening in some rare cases already.
That's why serious scientists agree it's better to attend for a vaccine and build up our collective immunity against the virus simultaneously.
"Humans don't seem to be herded," the WHO decision-maker of Health Emergencies Mike Ryan said in May, slamming the thought.
"I think we want to be really careful after we use terms during this way around natural infections in humans because it can cause an awfully brutal arithmetic which doesn't put people, and life, and suffering at the center of that equation."
One projection suggests that attempting herd immunity within the US would end in 640,000 deaths by February 2023.
It's true that there are adverse consequences. many folks have lost their jobs, shuttered their businesses, missed doctor's appointments, experienced more loneliness, and commenced drinking more alcohol.
Amongst the numerous problems we've had with the spread of COVID-19 is the coronavirus's ability to survive on surfaces for hours on end. While we will effectively wipe down hard materials or sterilize them with alcohol, what about more delicate surfaces like cardboard?
Even within the atmosphere, SARS-CoV-2 can survive up to some hours; on cardboard, it can last for up to 24 hours, and viable particles are detected on plastic up to 3 days after it had been contaminated.
Scientists across many disciplines are throwing their vast talents into tackling the pandemic. Now, a team led by engineer Zhitong Chen from the University of California in la may have found an answer. they merely demonstrated cold plasma has the power to destroy the virus on a large range of surfaces without damaging the fabric.
"Everything we use comes from the air," explains engineer Richard Wirz. "Air and electricity: it is a very healthy treatment with no side effects."
Plasma, the smallest amount well-known of the four main states of matter (the other three being solid, liquid and gas), occurs naturally in our upper atmosphere. It forms when electrons become separated from their atoms (making the atoms positively charged), and together create a soup of charged particles that are unstable then more reactive than in their equivalent gas state.
Cold plasma has already been shown to figure against drug-resistant bacteria. It interferes with their surface structure and DNA without harming human tissue. It even works against cancer cells.
Chen, Wirz, and colleagues designed and 3D-printed an atmospheric plasma jet device fuelled by argon gas - an inert and stable element that's one among the foremost abundant gases in our air. The device sends speeding electrons through the gas, stripping the gas atoms of outer electrons as they collide; it requires just 12 W of continuous power to figure.
The team directed a near-room-temperature stream of reactive particles onto contaminated surfaces, exposing them to an electrical current, charged atoms and molecules (ions), and UV radiation.
They tested the plasma's effect on six surfaces, including cardboard, football leather, plastic, and metal, and located that on each of those, most of the virus particles were inactivated after only 30 seconds. Three minutes of contact with the plasma destroyed all of the viruses.
The team believes it is the reactive oxygen and nitrogen ions, formed because the plasma interacts with air, that are destroying the viral particles; after they tested a helium-fed plasma, which produces less of those species of atoms, it absolutely was not effective even after five minutes of application.
They explain that as charged particles gather on the virion's surface, they will damage its envelope through electrostatic forces resulting in its rupture. The ions also can break structurally important bonds like those between two carbon atoms, carbon and oxygen, and carbon and nitrogen atoms.
Experiments on the consequences of plasma on bacteria and viruses have revealed the damage to the virus's outer envelope can include proteins important for binding to host cells.
"These results also suggest that cold plasma should be investigated for the inactivation of aerosol-borne SARS-CoV-2," Wirz and colleagues wrote in their paper.
Last year another team created a plasma filter that would sterilize the air from 99 percent of viruses. In their device, as air moves through gaps in a very bed of borosilicate glass beads, it's oxidized the unstable atoms that form the plasma. This damages viral particles, leaving them with a greatly diminished ability to infect us.
Of course, there's still the simplest way to travel from proof of concept to a tool we will all use. But Wirz and the team are now acting on building such a tool.
"This is just the start," Wirz said. "We are very confident and have very high expectations for plasma in future work."
Climate change poses an on the spot threat to human health, and growing evidence suggests pregnant people are especially at risk of hotter-than-normal summers.
A new analysis of 70 studies from around the world has found higher temperatures during pregnancy are linked to a little increase in preterm births and stillbirths, especially in low- and middle-income countries.
While the danger appears relatively minimal, scientists are worried it could have a significant impact on public health within the future, especially with global climate change driving more intense and frequent heatwaves.
Just as young children, the elderly, and people with pre-existing conditions are warned about the risks of maximum heat events, we must always also warn people who are pregnant, they advise.
Carrying a toddler places many new demands on the anatomy, forcing the guts to figure harder, raising internal temperatures, and leaving the body at risk of heat stress, exhaustion, and dehydration.
"Pregnant women merit an area alongside the groups typically considered as a high risk for warmth related conditions," the international team concludes.
This field of research continues to be relatively new, but from what we all know thus far, there's reason to fret both for the mother and therefore the baby.
None of the studies included within the current review are perfect or able to provide a transparent cause or effect. Yet within the larger literature, the pattern is both consistent and concerning.
An observational study published last year supported an assessment of 56 million births within the US also identified a link between rising temperatures and shrinking gestation periods.
"When more and more studies start to gather and coalesce round the same conclusion, we've to listen, especially when there's biological plausibility behind the result," explains obstetrician-gynecologist Nathaniel DeNicola in a very separate 2019 paper on the topic.
Analyzing more studies on the topic than ever before, the present meta-analysis examines how heat sensitivity impacts three outcomes in pregnancy: stillbirths, premature births, and low birth weight.
The research came from 24 countries, most of which were based in North America, the EU Union, Australia, and New Zealand, although seven came from low- and middle-income countries.
For each 1°C increase in temperature, researchers found the danger of early birth and stillbirth increased by roughly 5 percent on average. in an exceedingly prolonged wave, the chance of early birth rose by 16 percent.
To put that in perspective, the world average rate of preterm births is about 10 percent, therefore the impact of maximum heat, if there's one, is comparatively small compared to any or all the opposite factors that may influence the outcomes of pregnancy.
The analysis showed low birth weight, for instance, occurred in exactly 3 percent of the infants born during a heatwave, and also the relationship was found much less often.
While only 18 out of 28 studies found a link between birth weight and warmth exposure, 40 out of 47 studies found a link between preterm births and warmth exposure.
"The evidence was strongest and most consistent for heatwaves," the authors write, "although the most important effect sizes were from measures of the cumulative dose of warmth over the entire pregnancy."
This means heat exposure could fine add up throughout pregnancy, although outcomes appear to fluctuate between certain socioeconomic groups.
For instance, while a number of studies suggest low- and middle-income pregnancies are prone to heat exposure for the total nine months, other studies in high-income countries suggest the last weeks of pregnancy are where exposure is most risky.
The different methodologies used and therefore the various different subpopulations examined make it hard to generalize.
What's more, nearly a 3rd of the studies included were deemed of caliber, which implies the conclusions we will draw are limited.
Several studies, for example, found preterm birth rates escalated only if temperatures exceeded 25°C (77°F), and this might explain why other research, which only included temperatures below this threshold, failed to show similar results.
There are with great care many factors to contemplate and control when it involves pregnancy outcomes, including education, access to health care, food security, and availability of air con. Even the sex of the fetus might play a job.
A study in Japan, as an example, found spontaneous abortions were higher among male fetuses after a period of warmth exposure. viewing all 70 studies, the new review found an identical pattern.
What's driving these results is unclear. Some animal studies have found heat exposure during pregnancy can interfere with the synthesis of warmth shock proteins, resulting in fetal cell damage, oxidative stress, or inflammation. Whether this is up in humans remains to be seen.
Further research should be a high priority, especially since the pregnancy risks of heatwaves appear much higher in areas where far fewer protections exist.
"Exposure to high temperatures in agricultural and other outdoor work could occur before the pregnancy is recognized, and, even late in pregnancy, poorer women might work beyond their heat tolerance limits to avoid losing pay," the authors worry.
From what we all know to date, that's cause for concern, yet up to now, many emergency heat plans around the world, including those within us and Europe, fail to incorporate pregnant people as a vulnerable group.
"Pregnant women as an at-risk group to temperature change are largely ignored," Skye Wheeler, an emergencies researcher for the Women's Rights Division of Human Rights Watch, told BuzzFeed News earlier this year.
That clearly must change.
When psilocybin - the hallucinogenic compound in magic mushrooms - is employed during supportive psychotherapy, there appear to be rapid, substantial, and enduring antidepressant effects, per a replacement trial.
The randomized study is tiny and there was no traditional control group, but lead researcher Alan Davis from Johns Hopkins University says he and his team are "really excited about the results."
"We found a statistically significant and extremely large effect," Davis said during a recent podcast.
Among 24 volunteers with major major affective disorder, researchers found psilocybin-assisted therapy was a minimum of twice as effective as psychotherapy on its own, and over fourfold as effective as available antidepressant drugs.
The drug also doesn't require taking a pill every single day, nor does it include nearly as many side effects as antidepressants or ketamine. but occasional mild to moderate headaches and some emotional moments, volunteers within the study tolerated psilocybin quite well and there have been no serious dangers.
The research included two therapy sessions on the drug with 8 hours of prep and a pair of hours of follow-up with a therapist. During the sessions, a pill of psilocybin was administered and participants extended on a couch in a very living room-like space with headphones on for musical stimulation and eyeshades on to spur inward reflection.
During the trial, roughly half the volunteers began psilocybin therapy right away, while the opposite half was placed on a 'waiting list' for eight weeks with regular mental state check-ups.
This served as a kind of control group, with the immediate treatment group faring significantly better than those within the delayed group who weren't receiving the other sorts of treatment.
By the purpose of 4 weeks into the trial, 71 percent of the volunteers showed an improvement, with 50 percent come by depressive symptoms.
A month later, over half the group was considered 'in remission', and therefore the average depression score dropped from 23 to eight.
"The present trial showed that psilocybin administered within the context of supportive psychotherapy (approximately 11 hours) produced large, rapid, and sustained antidepressant effects," the authors conclude.
Up to a year after the trial, patients were still being checked abreast of, and researchers arrange to publish those ends up in the long run.
Even what we have got up to now looks promising. The findings support other recent studies, which suggest psilocybin-assisted therapy can produce significant and lasting antidepressant effects in precisely one or two sessions.
One prior clinical test found a high-dose and a low-dose session decreased depression and anxiety in patients with life-threatening cancer. Six months later, 80 percent of the patients were still reaping the advantages.
Another trial among people who weren't responding to other depression and anxiety treatments found similar benefits with two doses that lasted for up to 3 months.
While it's still not clear how psilocybin improves depressive symptoms, the hallucinogen has been tied to several of the identical neural networks as current antidepressant drugs, although it appears to act in a different way.
Brain imaging studies on those with treatment-resistant depression suggest psilocybin has the alternative effect of selective serotonin reuptake inhibitors (SSRIs), increasing emotional connection rather than blunting it like SSRIs tend to try and do.
In the current trial, for example, researchers say their volunteers reported mystical, personally meaningful, and insightful experiences that were related to a decrease in depression at 4 weeks.
Major clinical depression impacts over 300 million people worldwide and lots of them don't respond easily to existing styles of treatment. Finding better ways to treat this mental disease could bring relief to such a lot of.
Twice last year, the United States' Food and Drug Advisory (FDA) designated psilocybin a "breakthrough therapy" within the hopes it might speed up research, and one in every one of these clinical trials is looking specifically at major depression.
The results are just beginning to are available in, and that we will verify them amongst much larger cohorts and with stronger control groups, but the findings to this point are strong and researchers remain optimistic.
"This is that the first of what's visiting be, over the following number of years, many clinical trials on this subject in depressed populations," says Davis.
"It's looking like within the next four to 6 years that it's possible the FDA might need enough evidence to work out if this treatment is often made available to the general public."
In some areas, the therapy might arrive even sooner. only in the near past, Oregon became the primary state within the US to legalize psilocybin therapy, given its promising results among those with PTSD, addiction, and also depression.
You might be hearing about psychedelic therapy lots more within the future.
Scientists have found a brand new thanks to regenerate damaged nervus opticus cells taken from mice and grown during a dish. This exciting development could lead to potential disease treatments within the future.
Damage to full-grown nerve cells causes irreversible and life-altering consequences because once nerve fibers mature, they lose their ability to regenerate after injury or disease. The new experiments show how activating a part of a nerve cell's regenerative machinery, a protein referred to as protrudin could stimulate nerves within the eye to regrow after injury.
With more research, the achievement could be a step towards future treatments for glaucoma, a bunch of eye diseases that cause vision loss by damaging the cranial nerve (that links the attention to the brain).
"What we have seen is that the strongest regeneration of any technique we've used before,'' said ophthalmologist Keith Martin from the University of Melbourne in Australia.
"In the past, it seemed impossible we might be able to regenerate the nervus opticus but this research shows the potential of gene therapy to try and do this."
We have seen similar attempts to revive vision in mice and a few promising results before.
In 2016, scientists were ready to regrow a tiny low fraction of retinal ganglion cells in adult mice by turning on a dormant growth switch and showed these new nerve cells at the rear of the attention reconnected to the proper part of the brain in addition.
And before that, a 2012 study also partially restored 'simple' vision to adult mice after regenerating nerves along the complete length of the optic pathway.
This latest research remains in its early stages and has focused on understanding precisely how protrudin, a scaffolding molecule present in sprouting neurons, works to support cell growth.
It's always good to possess some options because there is no guarantee that promising leads to mouse studies translate to safe and effective treatments for people.
In this study, scientists stimulated nerve cells of the attention to supply more protrudin, to determine if this could help protect the cells from damage and even repair after injury.
First, in optical nerve cells cultured in a very dish, the researchers showed that ramping up protrudin production stimulated regeneration of nerve cells that had been cut by a laser. Their spindly axons regenerated over longer distances, and in less time than untreated cells.
(Petrova et al., Nature Communications, 2020)
Above: A regenerating and a non-regenerating axon over 14 hours after laser axotomy. Red arrows at 0 h post-injury show the purpose of injury; white arrows trace the trail of a regenerating axon.
Next, adult mice were administered gene therapy - an injection straight into the attention - carrying instructions for nerve cells to raise protrudin production. As painful as that sounds, this procedure can actually be done safely in people (the injection, that is, not yet the gene therapy).
A few weeks and one-second cranial nerve injury later, these mice had more surviving nerve cells in their retinas than the control group did.
In one final experiment, the scientists used whole retinas from mice removed a fortnight after giving them a protrudin boost, to determine if this treatment could prevent nerve cells from dying in the first place.
The researchers found, three days later, that stimulating protrudin production had been almost "entirely neuroprotective, with these retinas exhibiting no loss of [retinal] neurons," the researchers wrote in their paper. Usually, about 1/2 retinal neurons removed during this way die within a pair of days.
"Our strategy relies on using gene therapy – an approach already in clinical use – to deliver protruding into the attention," said Veselina Petrova, a neuroscience student at the University of Cambridge.
"It's possible our treatment may be further developed as the simplest way of protecting retinal neurons from death, also as stimulating their axons to regrow."
It's important to notice that we're a protracted way from restoring vision during a person: Regenerating cells in an exceeding dish is great, but we do not know from these experiments if giving a mouse more protrudin would restore its sight.
One of the following steps is to appear at whether protrudin has an identical protective effect in cultured human retinal cells.
The scientists publishing this work also plan on studying whether the identical technique may well be wont to repair damaged neurons after neural structure injury.
"Treatments identified this fashion often show promise within the injured neural structure," said Petrova. "It's possible that increased or activated protrudin can be wont to boost regeneration within the injured neural structure."
Exercise might prevent some sorts of cancer from growing and spreading, and while scientists still aren't sure why that's, new research on mice offers a possible explanation.
After intense physical activity, elevated levels of certain metabolites, like lactate, maybe 'feeding' important immune cells in our blood. The results are mainly supported experiments with mice, but preliminary tests in male humans suggest an identical mechanism may be at play.
"Our research shows that exercise affects the assembly of several molecules and metabolites that activate cancer-fighting immune cells and thereby inhibit cancer growth," says Helene Rundqvist, a cancer researcher at the Karolinska Institutet in Sweden.
Past research has shown that exercise is linked to a rather lower risk of tumours within the bladder, breast, colon, kidney and stomach and that we have strong clinical evidence that physical movement can help some patients cope and recover. it would even extend their life.
Further research on animals has shown similar results, with regular exertion somehow reducing the expansion of malignant tumours.
Still, the underlying mechanism behind this relationship has remained elusive. The cancer-fighting benefits of exercise could have something to try and do with changes during a person's weight, their hormones, or their system.
The new research investigates the latter possibility. Dividing cancerous mice into two groups - one with access to a spinning machine, and another with no type of physical activity - researchers found that the mice that often exercised showed slower cancer growth and better rates of survival.
To achieve this, however, mice needed to be able to produce cytotoxic T-cells, which are the white blood cells specialised to attack cancer within the body. Without the flexibility to supply these important immune markers, physical activity was unable to suppress cancer growth to an identical extent.
On the opposite hand, when mice with cancer weren't exercising but instead got an injection of T-cells from exercising peers, their prospects generally improved.
"These results demonstrate that [cytotoxic T cells] are altered by exercise to enhance their effectiveness against tumours," the authors write.
These changes appear to own something to try and do with lactate - a metabolite produced within the muscle during exercise, which later seeps into the blood.
In mice, metabolites linked to exercise increased by up to 8-fold following exercise. for sure, T-cells within the blood showed increased uptake of those products.
The results support the findings of a previous study by a number of identical authors, which discovered that lactate can help fuel T-cells within the blood, potentially increasing their "anti-tumour activity".
In this case, when mice got daily, high-dosage injections of lactate alone, the animals showed a rise in T-cells within the tumour and a decrease in overall tumour growth, even without exercise.
"These findings indicate that lactate infusion mimics a number of the consequences of exercise, but that exercise has additional, integrative, components beyond merely increased levels of lactate," the authors write.
While the research to date has mainly been focused on animal models, the new study conducted a preliminary test among humans that offered somewhat similar results.
Taking blood samples from eight healthy men before and after a 30-minute cycle, the team noticed a rise in a number of the identical elevated metabolites they saw in exercising mice.
If the identified metabolites are increasing in humans like they are doing in mice, the team is hopeful that products of exercise like lactate may boost the system, making T-cells simpler at killing cancer in humans also, although more research is required to analyze this link in our own species.
"We hope these results may contribute to a deeper understanding of how our lifestyle impacts our system and inform the event of recent immunotherapies against cancer," says Rundqvist.
Although this is often an exciting development, like most things in cancer research, exercise should not be checked out as some reasonable solution.
For example, during a meta-analysis back in 2016, researchers found that among people who did the foremost physical activity within the study, their total cancer risk was reduced by 10 per cent compared to people who did the smallest amount.
If your risk of developing cancer is 40 per cent over a lifetime, however, that only changes your cancer chance from 40 per cent to 36 per cent – a big reduction, sure, but also slight overall.
Still, if exercise really can modify the ability of cytotoxic T-cells in humans, then mimicking its underlying effects could also be one in all the foremost promising routes for future cancer treatments. Now we just should determine how it works.
Across the globe, immunologists who retooled their labs to hitch the fight against SARS-CoV-2 are furiously trying to clarify why some people get so sick while others recover unscathed. The pace is dizzying, but some clear trends have emerged.
One area of focus has been the assembly of antibodies – powerful proteins capable of disabling and killing invading pathogens like viruses. Of great concern has been the sporadic identification of so-called autoreactive antibodies that, rather than targeting disease-causing microbes, target the tissues of people full of severe cases of COVID-19.
Early studies implicated these autoantibodies in dangerous blood clots forming in patients admitted to medical aid. More recently, they need been linked to severe disease by inactivating critical components of viral immune defenses during a significant fraction of patients with severe disease.
As an immunologist within the Lowance Center for Human Immunology at Emory University, I've got been investigating the response accountable for producing antibodies in COVID-19. Under the direction of Dr. Ignacio Sanz, our group has previously investigated immune responses contributing to autoantibody production in autoimmune disorders like lupus, and more recently in severe cases in COVID-19.
However, while we were ready to characterize the response in COVID-19 patients as autoimmune like, we couldn't confirm the assembly of autoantibodies hidden within their antiviral responses.
Now we can.
In a newly released study awaiting peer-review, we describe the alarming finding that within the sickest patients with COVID-19, autoantibody production is common – a finding with a large potential impact on both acute patient care and infection recovery.
Severe infection is linked with autoantibody production
Autoantibodies are available "flavors" that are usually related to specific disease types. Patients with lupus, for instance, will often have antibodies that concentrate on their own DNA – the molecules that compose the human genome.
Patients with autoimmune disease arthritis are less likely to own those antibodies, but more likely to indicate positive tests for autoantibody – antibodies that focus on other antibodies.
In this study, the Lowance Center group analyzed the medical charts of 52 patients in medical aid who were diagnosed with COVID-19. None of them had a history of autoimmune disorders. However, they were tested during infection for autoantibodies found in a very style of disorders.
The results are stark. quite 1/2 the 52 patients tested positive for autoantibodies. In patients with the very best levels of C-reactive protein (a marker of inflammation) within the blood, over two-thirds displayed evidence that their system was producing antibodies attacking their own tissue.
While these findings raise concerns, there are things that our data don't reveal. Although patients with severe disease clearly display autoantibody responses, the information doesn't tell us to what extent these autoantibodies contribute to the foremost severe symptoms of COVID-19.
It may be that severe viral illness routinely ends up in the assembly of autoantibodies with little consequence; this might just be the primary time we're seeing it. We also do not know how long the autoantibodies last. Our data suggest that they're relatively stable over some weeks. But, we want follow-up studies to know if they're persisting routinely beyond infection recovery.
Importantly, we believe that the autoreactive responses we've got identified here are specific to the SARS-CoV-2 infection – there's no reason to believe that similar results would be expected through vaccination against the virus.
Understanding the role of autoantibodies in COVID-19
However, while it's possible that these autoantibodies are benign, or maybe helpful in an exceedingly yet-unidentified manner, it is also possible that they are not. Maybe these self-targeted antibody responses do indeed contribute to disease severity, helping explain the delayed onset of severe symptoms in some patients which will correlate with antibody production.
This could be a reason that treatment with dexamethasone, an immunosuppressant often accustomed quell "flare-ups" of autoimmune disorders, could be effective in treating patients with only the foremost severe disease. it's also possible that these responses aren't short-lived, outlasting the infection and contributing to ongoing symptoms now experienced by a growing number of "long-hauler" COVID-19 patients.
Most concerning, it's possible that these responses could self-perpetuate in some patients, leading to the emergence of recent, permanent autoimmune disorders.
My colleagues and that I sincerely hope that this is often not the case – rather, that the emergence of autoantibodies in these patients could be a red herring, a quirk of viral response in some patients that may resolve on its own.
But we'd like to try to better than hope – we want to ask the correct questions and determine the answers. Fortunately, this study also gives us the tools to try and do that.
Autoreactive antibody test may reveal better treatments
The tests that were run on these patients to work out their "autoreactive profile" don't seem to be specialized. they're available to most hospital labs across the country.
Indeed, the 2 most typical antibodies that we discover in these patients, antinuclear antibodies and autoantibody, are detected by common tests utilized by rheumatologists.
Our study shows that by testing for just these two autoantibodies, and also the inflammatory marker CRP, we could also be ready to identify patients more likely to be experiencing potentially dangerous immune responses which may take pleasure in more aggressive immune modulation.
Further, autoreactivity testing might help identify patients who might enjoy rheumatological follow-up to observe recovery and help us understand whether some cases of "long-hauler" COVID-19 could be associated with persisting autoantibodies. If so, these patients might reply to the identical immune-targeted therapies that are successful in MIS-C where autoantibody production has now been documented.
Finally, by testing patients immediately following COVID-19 recovery, we will establish baselines and start to trace the possible emergence of the latest cases of autoimmunity following this terrible disease, and plan early rheumatological intervention if needed.
We now have the tools. it is time to begin using them. The Conversation
Matthew Woodruff, Instructor, Lowance Center for Human Immunology, Emory University.
The quality and complexity of dreams appear to vary with our stages of sleep, per a replacement analysis.
Before the twenty-first century, we accustomed think dreams only occurred during rapid eye movement (REM) sleep, but more modern research shows people sometimes recall dreams even once they are woken from non-REM stages of sleep.
Whether these two kinds of dreaming are inherently different are a few things neuroscientists are still trying to work out.
When patients are woken during slumber, research shows they'll usually recall elaborate, vivid, and emotional story-like dreams. In contrast, those woken during non-REM stages remember their dreams less, and also the dreams themselves tend to be more thought-like.
These are important findings, but they're also supported by subjective reports. REM dreams are often described in additional words, for example, but when the length of the outline is controlled for, differences in elaboration disappear or are highly diminished.
Researchers in Brazil have now developed a high-speed analyzing tool that may take these qualitative reports and display them in a very more objective graph form, taking under consideration biases for both length and language.
"We know REM dreams are longer and more like movies," says neuroscientist Sidarta Ribeiro from the University of Sao Paulo in Brazil.
"Automating the method of study, as we did within the study, made possible the first-ever quantitative measurement of this structural difference."
Compared to traditional methods, which depend on parsing out the meaning of words, this non-semantic graph analysis was able to instead target the general tone of what was said.
Focusing on 133 previously collected dream reports from 20 participants, who were woken at different stages of dreaming, researchers graphed out the words, replacing them with nodes on a graph.
Analyzing their structural organization, the new tool found REM dream reports were way more complex and filled with connected information compared to dreams during non-REM sleep.
And this was true no matter the report's length.
"This is that the first study to use graph theory to point out that REM dream reports have more structural connectedness than non-REM dream reports," says neuroscientist Joshua Martin from Humboldt University in Berlin.
"Not to depreciate the relevance of traditional methods, but these results are important because they show that computational methods may be applied to studies of dreaming."
While non-REM sleep is suspected of getting some restorative function, we're still not really sure why sleep exists. If dreaming during this stage is really of unique quality, as this new research suggests, then REM and non-REM dreaming may well be driven by distinct underlying mechanisms that might play differing roles in our biology.
Compared to REM dreams, dreams from the N2 stage – a deep, non-REM, slow-wave sleep – were shorter, less frequently recalled, less intense, and more thought-like.
Of course, sleep studies include many limitations beyond mere subjectivity. Being woken up continuously throughout the night could itself be impacting the standard of sleep among volunteers.
Recall of dreams may additionally be warped by sleep inertia – that weird stage between waking and sleeping – although dreams' narrative complexity appears to remain identical even once participants have woken up properly.
While complex dream narratives can still occur in non-REM sleep, the authors suspect the very physiology of REM sleep, which shows great cortical activity and muscle atonia, could be a better time for interactive narratives to unfold uninterrupted.
"In this sense, dream experiences that are coherent, immersive, and story-like could also be more easily organized into a report with larger connectedness, while dream experiences that are fragmented and isolated are relatively harder to prepare mentally and thus are structurally less connected," the authors explain.
Not only do the results of the study complement existing literature on dream reports and sleep, but they also support recent and more objective measurements of dream bank databases.
A study published in 2020, for example, used an algorithm to sift through 24,000 dreams and located various "statistical markers" that support the hypothesis that our dreams are a continuation of lifestyle.
One algorithm isn't enough to place this mystery to bed, but mathematical tools like this one may be useful when it involves assessing our sleep and our dreams with as little bias and with as many considered factors as possible.
The current study was conducted at a way smaller scale, but it offers a number of the primary really objective measurements on dreams that we have got.
The laws of thermodynamics don’t allow us to urge something out of nothing. Whenever you spend energy, you have got waste, more often than not as heat. Trying to “recycle” a number of that heat has been a goal for a protracted time. Now researchers have developed a brand new approach that may use for tiny devices like remote sensors or wearable tech. the event is reported in Nature.
Researchers from the University of Tokyo have designed a skinny iron-based thermoelectric generator that converts heat into electricity and may power a tool with low-energy demands. The newly announced generator employs iron and either aluminum or gallium. this can be advantageous for 3 reasons: the metals are non-toxic, the fabric is molded into many alternative shapes, and therefore the elements are quite common, making its products affordable.
"So far, all the study on thermoelectric generation has focused on the established but limited Seebeck effect," senior author Professor Satoru Nakatsuji said in a very statement. "In contrast, we focused on a comparatively less familiar phenomenon called the anomalous Nernst effect (ANE)."
The ANE allowed the team to come up with a current perpendicular to the gradient, instead of parallel. this can be advantageous joined can shape the mini generators in ways in which make them ideal for wearable tech. In both ANE and Seebeck effect scenarios, the generator is placed between a hot and a chilly body, but there's a key difference. Just imagine the generator on your skin for example: When your body radiates heat out, this produces a current. within the Seebeck setup, this generated goes within the same direction because of the heat (it's pointing out), that the device must be of a particular thickness to form it worth its while. within the ANE setup, the present goes perpendicular to the warmth and moves parallel to the skin, which allows for the development of much thinner generators. Previous attempts to use ANE required toxic and/or expensive material, which is why it's not been a serious focus up to now.
Thermoelectric devices supported the anomalous Nernst effect (left) and therefore the Seebeck effect (right). (V) represents the direction of current, (T) the gradient, and (M) the magnetic flux. 2020 Sakai et al
"We made a fabric that's 75 percent iron and 25 percent aluminum (Fe3Al) or gallium (Fe3Ga) by a process called doping," lead author Dr. Akito Sakai explained. "This significantly boosted ANE. We saw a twentyfold jump in voltage compared to undoped samples, which was exciting to determine."
Designing new materials to require advantage of some quirky physical law is usually a laborious process of trial and error. Repeated iterations are necessary and often use materials initially too expensive and time-consuming to form on an outsized scale. The team took advantage of the newest powerful computer simulations for the design, allowing them to seek out the correct materials to check.
"Numerical calculations contributed greatly to our discovery; for instance, high-speed automatic calculations helped us find suitable materials to check," said Nakatsuji. "And first-principles calculations supported quantum physics shortcut the method of analyzing electronic structures we call nodal webs which are crucial for our experiments."
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