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AI

Why Mastering Language Is So Difficult For AI (undark.org) 75

Long-time Slashdot reader theodp writes: UNDARK has an interesting interview with NYU professor emeritus Gary Marcus (PhD in brain and cognitive sciences, MIT) about Why Mastering Language Is So Difficult for AI. Marcus, who has had a front-row seat for many of the developments in AI, says we need to take AI advances with a grain of salt.

Starting with GPT-3, Marcus begins, "I think it's an interesting experiment. But I think that people are led to believe that this system actually understands human language, which it certainly does not. What it really is, is an autocomplete system that predicts next words and sentences. Just like with your phone, where you type in something and it continues. It doesn't really understand the world around it.

"And a lot of people are confused by that. They're confused by that because what these systems are ultimately doing is mimicry. They're mimicking vast databases of text. And I think the average person doesn't understand the difference between mimicking 100 words, 1,000 words, a billion words, a trillion words — when you start approaching a trillion words, almost anything you can think of is already talked about there. And so when you're mimicking something, you can do that to a high degree, but it's still kind of like being a parrot, or a plagiarist, or something like that. A parrot's not a bad metaphor, because we don't think parrots actually understand what they're talking about. And GPT-3 certainly does not understand what it's talking about."

Marcus also has cautionary words about Google's LaMDA ("It's not sentient, it has no idea of the things that it is talking about."), driverless cars ("Merely memorizing a lot of traffic situations that you've seen doesn't convey what you really need to understand about the world in order to drive well"), OpenAI's DALL-E ("A lot of AI right now leverages the not-necessarily-intended contributions by human beings, who have maybe signed off on a 'terms of service' agreement, but don't recognize where this is all leading to"), and what's motivating the use of AI at corporations ("They want to solve advertisements. That's not the same as understanding natural language for the purpose of improving medicine. So there's an incentive issue.").

Still, Marcus says he's heartened by some recent AI developments: "People are finally daring to step out of the deep-learning orthodoxy, and finally willing to consider "hybrid" models that put deep learning together with more classical approaches to AI. The more the different sides start to throw down their rhetorical arms and start working together, the better."

Biotech

Rats With (Part) Human Brains (statnews.com) 54

Long-time Slashdot reader mspohr shares a report from the Boston Globe's health-news site STAT: The scientist flicked on a laser, filling the rat's brain with blue light. The rodent, true to its past two weeks of training, scampered across its glass box to a tiny spout, where it was duly rewarded with a drink of water. From the outside, this would appear to be a pretty run-of-the-mill neuroscience experiment, except for the fact that the neurons directing the rat to its thirst-quenching reward didn't contain any rat DNA. Instead, they came from a human "mini-brain" — a ball of human tissue called an organoid — that researchers at Stanford University School of Medicine had grown in a lab and implanted in the rodent's cortex months before.

The experiment — part of a study published Wednesday in Nature — is the first describing human neurons influencing another species' behavior. The study also showed that signals could go the other way; tendrils of human neurons mingled with the rodent brain cells and fired in response to air rustling the rats' whiskers.

The advance opens the door to using such human-rodent chimeras to better understand how the human brain develops and what goes wrong in neurological and psychiatric conditions such as schizophrenia, autism, and epilepsy. When the Stanford scientists implanted organoids grown from the cells of patients with a severe genetic brain disorder, they could watch the neurons develop abnormally with unprecedented clarity.

"This paper really pushes the envelope," said neuroscientist Tomasz Nowakowski, of the University of California, San Francisco, who uses brain organoids in his research on neurodevelopmental disorders but was not involved in the new work. "The field is desperate for more experimental models. And what's really important about this study is it demonstrates that brain organoids can complete their maturation trajectory when transplanted. So it really expands our toolkit for asking more nuanced questions about how genetic mutations lead to behavioral disorders."

It's an example of how stem cells have revolutionized brain research. By "doing their experiments in very young rats whose cortexes are not yet saturated with synapses," the article points out, the researchers "found that the human neurons easily integrated into the animals' rapidly expanding circuitry, which provided them with the stimulation they needed to push past previous developmental barriers."
Science

Fungi Find Their Way Into Cancer Tumors, But What They're Doing There is a Mystery (statnews.com) 42

Angus Chen, reporting for StatNews: For a while, scientists thought the trillions of microbes on our bodies lived in landscapes connected to the outside world -- our skin, hair, and gut -- but research in the last few years has shown that's not so. When Ravid Straussman, a cancer biologist at the Weizmann Institute of Science in Israel, looked deeper, he and several other research groups around the world found bacteria in the milieu of tumors. Then, he and other scientists began wondering: if tumors are home to bacteria, then what about another major resident of our microbiome, fungi? Now, two new papers published in Cell, one from Straussman's lab and collaborators at the University of California San Diego and another from researchers at Weill Cornell Medicine and Duke University, have found genetic footprints of fungi in tumors across the human body.

Together, the studies provide a "nice, rigorous association" between fungi and cancer, said Ami Bhatt, an associate professor of medicine and genetics at Stanford University who did not work on either paper. "It provides pretty compelling evidence there may be rare fungi within tumors," she said. But the work raises far more questions than it answers. "Are they alive or not? And assuming they really are there, then why are they there? And how did they get there?"

Medicine

Nobel Prize in Physiology or Medicine Is Awarded To Svante Paabo 10

The Nobel Prize in Physiology or Medicine was awarded to Svante Paabo on Monday for his discoveries concerning the genomes of extinct hominins and human evolution. From a report: It was the first of several prizes to be given over the next week. The Nobel Prizes, among the highest honors in science, recognize groundbreaking contributions in a variety of fields. "Through his pioneering research, Svante Paabo -- this year's Nobel Prize laureate in physiology or medicine -- accomplished something seemingly impossible: sequencing the genome of the Neanderthal, an extinct relative of present-day humans," the Nobel committee said in a statement. "Paabo's discoveries have generated new understanding of our evolutionary history," the statement said, adding that this research had helped establish the burgeoning science of "paleogenomics," or the study of genetic material from ancient pathogens.

Nils-Goran Larsson, a professor in medical biochemistry for the Karolinska Institute in Stockholm, said that Dr. Paabo had used existing technology and his own methods to extract and analyze the ancient DNA. "It was certainly considered to be impossible to recover DNA from 40,000-year-old bones," Dr. Larsson said, adding later that the discoveries would "allow us to compare changes between contemporary Homo sapiens and ancient hominins. And this, over the years to come, will give us huge insights into human physiology."
Australia

Pandemic Sends Australia's Gambling Problem Online (nbcnews.com) 10

Already the world's biggest gambling nation in terms of loss per person, Australia has seen a shift in betting behavior since the pandemic-forced closure of public venues. From a report: Gamblers' losses on poker machines shrank for the first time during the pandemic, but at a rate far slower than an unprecedented increase in money lost on apps, data showed. That means more players are being exposed to an industry that is harder to regulate than traditional gambling. Australia's gambling industry has been in the spotlight in recent years, with public inquiries lashing its biggest casino operators due to lapses in money laundering protections. Online gambling has also been the focus of inquiries, but with its increasing prevalence, the government has answered consumer advocates with a pledge to take a deeper look.

App providers are mostly foreign such as London-listed Flutter Entertainment -- owner of the most popular betting app in Australia, Sportsbet -- and Entain, owner of third-ranked app Ladbrokes. Unlike venues, they benefit from marketing methods such as text message-based promotions falling outside the scope of gambling advertising restrictions. Gamblers' loss on poker machines was A$11.4 billion ($7.3 billion USD) in 2021, shrinking A$1.1 billion or 17% from 2019, the year before lockdowns began, showed data from Monash University's School of Public Health & Preventive Medicine. But gamblers' loss in online sports betting swelled A$3.2 billion or 80% to A$7.1 billion in the same period, showed figures supplied by industry consultancy H2 Gambling Capital, which excluded credit often rewarded in promotions.

Medicine

Brussels Tests Cultural Visits To Treat Anxiety (theguardian.com) 14

Psychiatrists in Brussels can now prescribe free visits to cultural venues to people suffering from depression, stress or anxiety. The Guardian reports: Delphine Houba, a Brussels deputy mayor in charge of culture, believes the project is the first of its kind in Europe. The first objective is to reinforce access to culture after the pressured days of lockdown, she told the Observer. "I want everybody back in our cultural institutions... but we know that, even before Covid, for some people it [was] not easy to open the door of a museum, they don't feel at ease, they don't think that it's for them. And I really want to show that cultural venues are for everybody." The second goal, she said, is to give doctors "a new tool in the healing process." The young socialist politician was inspired by a similar project in Canada, where doctors have been issuing prescriptions to the Montreal Museum of Fine Arts since 2018.

In Brussels, the pilot project is running for six months, involving five museums that are directly under the control of city authorities. These include the city's history museum, a centre for contemporary art, and the fashion and lace museum. Patients may also discover the sewer museum, which allows them to stroll 10 meters underground along the banks of the Senne, the hidden river of Brussels, largely paved over in the 19th century. Or they could explore the collection of outfits belonging to the Manneken Pis, the statue of a peeing boy that has become a symbol of Belgium's self-deprecating humor

"Anything could have therapeutic value if it helps people get a good feeling and get in touch with themselves," said Dr Johan Newell, a psychiatrist at Brugmann University Hospital, which is taking part in the pilot scheme. He expects museum prescriptions would suit people suffering from depression, anxiety, autism spectrum disorders, psychosis and bipolar disorder. "I think almost anyone could benefit from it," he said. "It would probably be more adapted for people who are already a little bit further on in the recovery process," rather than those who are severely ill, he said. Museum prescriptions, Newell stressed, were a voluntary addition to medication, psychotherapy, individual or group therapy, as well as exercise, healthy eating and other forms of relaxation. "It's just one extra tool that could help people get out of the house: to resocialize, reconnect with society."
Newell suggests that the pilot could eventually be expanded to include other museums, cinemas, hospitals and groups of patients.
Math

Saul Kripke, Philosopher Who Found Truths In Semantics, Dies At 81 (nytimes.com) 31

Saul Kripke, a math prodigy and pioneering logician whose revolutionary theories on language qualified him as one of the 20th century's greatest philosophers, died on Sept. 15 in Plainsboro, N.J. He was 81. The New York Times reports: His death, at Penn Medicine Princeton Medical Center, was caused by pancreatic cancer, according to Romina Padro, director of the Saul Kripke Center at the City University of New York, where Professor Kripke had been a distinguished professor of philosophy and computer science since 2003 and had capped a career exploring how people communicate. Professor Kripke's classic work, "Naming and Necessity," first published in 1972 and drawn from three lectures he delivered at Princeton University in 1970 before he was 30, was considered one of the century's most evocative philosophical books.

"Kripke challenged the notion that anyone who uses terms, especially proper names, must be able to correctly identify what the terms refer to," said Michael Devitt, a distinguished professor of philosophy who recruited Professor Kripke to the City University Graduate Center in Manhattan. "Rather, people can use terms like 'Einstein,' 'springbok,' perhaps even 'computer,' despite being too ignorant or wrong to provide identifying descriptions of their referents," Professor Devitt said. "We can use terms successfully not because we know much about the referent but because we're linked to the referent by a great social chain of communication."

The Pulitzer Prize-winning historian Taylor Branch, writing in The New York Times Magazine in 1977, said Professor Kripke had "introduced ways to distinguish kinds of true statements -- between statements that are 'possibly' true and those that are 'necessarily' true." "In Professor Kripke's analysis," he continued, "a statement is possibly true if and only if it is true in some possible world -- for example, 'The sky is blue' is a possible truth, because there is some world in which the sky could be red. A statement is necessarily true if it is true in all possible worlds, as in 'The bachelor is an unmarried man.'"

Medicine

Cybersickness Could Spell an Early Death For the Metaverse 135

An anonymous reader quotes a report from the Daily Beast: Luis Eduardo Garrido couldn't wait to test out his colleague's newest creation. Garrido, a psychology and methodology researcher at Pontificia Universidad Catolica Madre y Maestra in the Dominican Republic, drove two hours between his university's campuses to try a virtual reality experience that was designed to treat obsessive-compulsive disorder and different types of phobias. But a couple of minutes after he put on the headset, he could tell something was wrong. "I started feeling bad," Garrido told The Daily Beast. He was experiencing an unsettling bout of dizziness and nausea. He tried to push through but ultimately had to abort the simulation almost as soon as he started. "Honestly, I don't think I lasted five minutes trying out the application," he said.

Garrido had contracted cybersickness, a form of motion sickness that can affect users of VR technology. It was so severe that he worried about his ability to drive home, and it took hours for him to recover from the five-minute simulation. Though motion sickness has afflicted humans for thousands of years, cybersickness is a much newer condition. While this means that many of its causes and symptoms are understood, other basic questions -- like how common cybersickness is, and whether there are ways to fully prevent it -- are only just starting to be studied. After Garrido's experience, a colleague told him that only around 2 percent of people feel cybersickness. But at a presentation for prospective students, Garrido watched as volunteers from the audience walked to the front of an auditorium to demo a VR headset -- only to return shakily to their seats. "I could see from afar that they were getting sweaty and kind of uncomfortable," he recalled. "I said to myself, 'Maybe I'm not the only one.'"

As companies like Meta (nee Facebook) make big bets that augmented reality and virtual reality technology will go mainstream, the tech industry is still trying to figure out how to better recruit users to the metaverse, and get them to stay once there. But experts worry that cybersickness could derail these plans for good unless developers find some remedies soon.
"The issue is actually something of a catch-22: In order to make VR more accessible and affordable, companies are making devices smaller and running them on less powerful processors," adds the report. "But these changes introduce dizzying graphics -- which inevitably causes more people to experience cybersickness."

"At the same time, a growing body of research suggests cybersickness is vastly more pervasive than previously thought -- perhaps afflicting more than half of all potential users." When Garrido conducted his own study of 92 people, the results indicated that more than 65 percent of people experienced symptoms of cybersickness -- a sharp contrast to the 2 percent estimate Garrido had been told.

He says that these results should be concerning for developers. "If people have this type of bad experience with something, they're not going to try it again," Garrido said.
United States

FDA Warns Against Cooking Chicken in NyQuil. For Real. (wsj.com) 130

The Food and Drug Administration is warning people not to abuse nonprescription drugs as part of social-media challenges, including cooking chicken in NyQuil. From a report: The regulator issued a warning cautioning the public that social-media challenges where people misuse nonprescription medications can be dangerous or even fatal. It pointed to a recent challenge where people cook chicken in NyQuil or similar medications. The agency says that boiling a medication can make the drug more concentrated and that inhaling a medicine's vapors while cooking with it could cause a person to ingest a high amount of the drug. In the case of the NyQuil-chicken challenge, the FDA says a person could hurt their lungs. "The challenge sounds silly and unappetizing -- and it is," the FDA said. "But it could also be very unsafe."
Medicine

Daily 'Breath Training' Can Work As Well As Medicine To Reduce High Blood Pressure (npr.org) 56

An anonymous reader quotes a report from NPR: It's well known that weightlifting can strengthen our biceps and quads. Now, there's accumulating evidence that strengthening the muscles we use to breathe is beneficial too. New research shows that a daily dose of muscle training for the diaphragm and other breathing muscles helps promote heart health and reduces high blood pressure. "The muscles we use to breathe atrophy, just like the rest of our muscles tend to do as we get older," explains researcher Daniel Craighead, an integrative physiologist at the University of Colorado Boulder. To test what happens when these muscles are given a good workout, he and his colleagues recruited healthy volunteers ages 18 to 82 to try a daily five-minute technique using a resistance-breathing training device called PowerBreathe. The hand-held machine -- one of several on the market -- looks like an inhaler. When people breathe into it, the device provides resistance, making it harder to inhale.

"We found that doing 30 breaths per day for six weeks lowers systolic blood pressure by about 9 millimeters of mercury," Craighead says. And those reductions are about what could be expected with conventional aerobic exercise, he says -- such as walking, running or cycling. A normal blood pressure reading is less than about 120/80 mmHg, according to the Centers for Disease Control and Prevention. These days, some health care professionals diagnose patients with high blood pressure if their average reading is consistently 130/80 mmHg or higher, the CDC notes. The impact of a sustained 9 mmHg reduction in systolic blood pressure (the first number in the ratio) is significant, says Michael Joyner, a physician at the Mayo Clinic who studies how the nervous system regulates blood pressure. "That's the type of reduction you see with a blood pressure drug," Joyner says. Research has shown many common blood pressure medications lead to about a 9 mmHg reduction. The reductions are higher when people combine multiple medications, but a 10 mmHg reduction correlates with a 35% drop in the risk of stroke and a 25% drop in the risk of heart disease.

So, how exactly does breath training lower blood pressure? Craighead points to the role of endothelial cells, which line our blood vessels and promote the production of nitric oxide -- a key compound that protects the heart. Nitric oxide helps widen our blood vessels, promoting good blood flow, which prevents the buildup of plaque in arteries. "What we found was that six weeks of IMST [inspiratory-muscle strength training] will increase endothelial function by about 45%," Craighead explains. [...] There may also be benefits for elite cyclists, runners and other endurance athletes, he says, citing data that six weeks of IMST increased aerobic exercise tolerance by 12% in middle-aged and older adults. "So we suspect that IMST consisting of only 30 breaths per day would be very helpful in endurance exercise events," Craighead says. It's a technique that athletes could add to their training regimens. Craighead, whose personal marathon best is 2 hours, 21 minutes, says he has incorporated IMST as part of his own training.

Medicine

Scientists Found Genetic Mutations In Every Astronaut Blood Sample They Studied 46

When they examined decades-old blood samples from 14 NASA astronauts who flew Space Shuttle missions between 1998 and 2001, researchers found that samples from all 14 astronauts showed mutations in their DNA. Futurism reports: While these mutations are likely low enough not to represent a serious threat to the astronauts' long term health, the research underlines the importance of regular health screenings for astronauts, especially as they embark on longer missions to the Moon and beyond in coming years. The specific mutations, as identified in a new study published in the journal Nature Communications Biology, were marked by a high proportion of blood cells that came from a single clone, a phenomenon called clonal hematopoiesis. Mutations like this can be caused by exposure to excess ultraviolet radiation, and other forms of radiation including chemotherapy. In this case, researchers are suspicious that the mutations may have been the result of space radiation.

"Astronauts work in an extreme environment where many factors can result in somatic mutations, most importantly space radiation, which means there is a risk that these mutations could develop into clonal hematopoiesis," said lead author David Goukassian, professor of medicine at the Icahn School of Medicine at Mount Sinai, in a statement. The blood samples for this latest study were collected from 12 male and two female astronauts ten days before their flight and on the day of their landing. The samples were then cryogenically stored at -112 degrees Fahrenheit for around two decades. The mutations observed in the blood samples resemble the kind of somatic mutations we see in older individuals -- which is interesting on its own, considering the median age of the astronauts was only 42.

"Although the clonal hematopoiesis we observed was of a relatively small size, the fact that we observed these mutations was surprising given the relatively young age and health of these astronauts," Goukassian said. "The presence of these mutations does not necessarily mean that the astronauts will develop cardiovascular disease or cancer," he added, "but there is the risk that, over time, this could happen through ongoing and prolonged exposure to the extreme environment of deep space." Therefore, Goukassian and his team are recommending that NASA should regularly screen astronauts for these kinds of mutations.
Science

Psilocybin Therapy Sharply Reduces Excessive Drinking, Small Study Shows (nytimes.com) 89

A small study on the therapeutic effects of using psychedelics to treat alcohol use disorder found that just two doses of psilocybin magic mushrooms paired with psychotherapy led to an 83 percent decline in heavy drinking among the participants. Those given a placebo reduced their alcohol intake by 51 percent. From a report: By the end of the eight-month trial, nearly half of those who received psilocybin had stopped drinking entirely compared with about a quarter of those given the placebo, according to the researchers. The study, published Wednesday in JAMA Psychiatry, is the latest in a cascade of new research exploring the benefits of mind-altering compounds to treat a range of mental health problems, from depression, anxiety and post-traumatic stress disorder to the existential dread experienced by the terminally ill.

Although most psychedelics remain illegal under federal law, the Food and Drug Administration is weighing potential therapeutic uses for compounds like psilocybin, LSD and MDMA, the drug better known as Ecstasy. Dr. Michael Bogenschutz, director at NYU Langone Center for Psychedelic Medicine and the study's lead investigator, said the findings offered hope for the nearly 15 million Americans who struggle with excessive drinking -- roughly 5 percent of all adults. Excessive alcohol use kills an estimated 140,000 people each year.

Beer

Psychedelics Help People With Alcoholism Drink Less (theverge.com) 111

A combination of psychedelics and therapy appears to help people with alcoholism cut down on the number of days per month they drink heavily, according to a new study. The Verge reports: Researchers used psilocybin, the psychedelic compound found in magic mushrooms, to treat patients over eight months and saw a dramatic improvement in participants' drinking habits. Using psychedelics as treatments for alcoholism was a popular idea in the 1960s and 1970s, and studies on LSD found that it reduced alcohol misuse. But the approach went quiet in the decades after, according to an editorial published in the journal JAMA Psychiatry alongside the new study.

The new research marks a "rekindling of interest," the authors of the editorial wrote. The study included 93 people with alcohol dependence. In the 12 weeks leading up to the study, the participants drank alcohol an average of around 60 days. Of those 60 drinking days, about half were heavy drinking days -- defined as five or more drinks a day for a man and four or more drinks in a day for a woman. People in the trial were randomly assigned to either take a capsule of psilocybin or an antihistamine twice over the course of the 36-week-long study. They had four sessions with therapists before the first time they took the drug, four sessions between the two drug doses, and four sessions after the second drug dose.

Everyone in the study started drinking less after the first four weeks of therapy -- the percentage of heavy drinking days dropped from around half of all drinking days to around a quarter. But that number kept falling for the people who took psilocybin. After the end of the full study, they drank heavily on around 10 percent of the days when they drank. People who took the antihistamine were still drinking heavily on around a quarter of drinking days. The effects lasted for months after the second dose of the psilocybin, study author Michael Bogenschutz, a psychiatrist and director of the NYU Langone Center for Psychedelic Medicine, stressed during a press briefing. "This suggests that psilocybin is treating the underlying disorder of alcohol addiction rather than merely treating symptoms," he said.

AI

AI Model Can Detect Parkinson's From Breathing Patterns 14

An anonymous reader quotes a report from MIT News: Parkinson's disease is notoriously difficult to diagnose as it relies primarily on the appearance of motor symptoms such as tremors, stiffness, and slowness, but these symptoms often appear several years after the disease onset. Now, Dina Katabi, the Thuan (1990) and Nicole Pham Professor in the Department of Electrical Engineering and Computer Science (EECS) at MIT and principal investigator at MIT Jameel Clinic, and her team have developed an artificial intelligence model that can detect Parkinson's just from reading a person's breathing patterns. The tool in question is a neural network, a series of connected algorithms that mimic the way a human brain works, capable of assessing whether someone has Parkinson's from their nocturnal breathing -- i.e., breathing patterns that occur while sleeping. The neural network, which was trained by MIT PhD student Yuzhe Yang and postdoc Yuan Yuan, is also able to discern the severity of someone's Parkinson's disease and track the progression of their disease over time.

The MIT researchers demonstrated that the artificial intelligence assessment of Parkinson's can be done every night at home while the person is asleep and without touching their body. To do so, the team developed a device with the appearance of a home Wi-Fi router, but instead of providing internet access, the device emits radio signals, analyzes their reflections off the surrounding environment, and extracts the subject's breathing patterns without any bodily contact. The breathing signal is then fed to the neural network to assess Parkinson's in a passive manner, and there is zero effort needed from the patient and caregiver. "A relationship between Parkinson's and breathing was noted as early as 1817, in the work of Dr. James Parkinson. This motivated us to consider the potential of detecting the disease from one's breathing without looking at movements," Katabi says. "Some medical studies have shown that respiratory symptoms manifest years before motor symptoms, meaning that breathing attributes could be promising for risk assessment prior to Parkinson's diagnosis."
The research has been published in the journal Nature Medicine.
Science

An Old Medicine Grows New Hair for Pennies a Day, Doctors Say (nytimes.com) 66

Several readers have shared a report: The ads are everywhere -1 and so are the inflated claims: Special shampoos and treatments, sometimes costing thousands of dollars, will make hair grow. But many dermatologists who specialize in hair loss say that most of these products don't work. [...] But there is a cheap treatment, he and other dermatologists say, costing pennies a day, that restores hair in many patients. It is minoxidil, an old and well-known hair-loss treatment drug used in a very different way. Rather than being applied directly to the scalp, it is being prescribed in very low-dose pills.

Although a growing group of dermatologists is offering low-dose minoxidil pills, the treatment remains relatively unknown to most patients and many doctors. It has not been approved by the Food and Drug Administration for this purpose and so is prescribed off-label -- a common practice in dermatology. "I call us the off-label bandits -- a title I am proud to bear," said Dr. Adam Friedman, professor and chair of dermatology at George Washington University. He explained that dermatologists have been trained to understand how medicines work, which allows them to try drugs off-label.

Medicine

New Study Results: Ivermectin Failed to Help Covid-19 Patients Avoid Hospitalization (marketwatch.com) 194

This week the New England Journal of Medicine published results from a one year, randomized, placebo-controlled study on whether Ivermectin (or the drugs metformin and fluvoxamine) helped patients when administered at the beginning of a COVID-19 infection. Here's how MarketWatch summarized the results:

Ivermectin "failed to prevent the kind of severe COVID-19 that leads to an emergency-room visit or hospitalization." "None of the medications showed any impact on the primary outcome, which included experiencing low oxygen as measured on an home oxygen monitor," said Dr. Carolyn Bramonte, principal investigator of the study and an assistant professor of internal medicine and pediatrics at the University of Minnesota Medical School. Having low blood oxygen levels, or hypoxemia, is a common reason why COVID-19 patients end up seeking care in an ER, being hospitalized, or dying....

Each of the three generic medications has been held up as a possible COVID-19 drug, particularly ivermectin, which gained a cult following over the course of the pandemic despite well-documented issues with the flawed science that in some cases fraudulently touted the drug's benefits. Yet none so far have demonstrated in robust clinical trials that they actually help treat people with COVID-19.

A long-awaited double-blind, randomized, placebo-controlled study conducted by Duke University School of Medicine and funded by the U.S. concluded in June that ivermectin did not improve symptom duration among COVID-19 patients with mild-to-moderate forms of the disease. The same research found that the drug did not reduce hospitalizations or death.

Medicine

An Eye Implant Engineered From Proteins In Pigskin Restored Sight In 14 Blind People (nbcnews.com) 19

According to a new study published in the journal Nature Biotechnology, researchers implanted corneas made from pig collagen to restore sight in 20 people who were blind or visually impaired. "Fourteen of the patients were blind before they received the implant, but two years after the procedure, they had regained some or all of their vision," notes NBC News. "Three had perfect vision after the surgery." From the report: The patients, in Iran and India, all suffered from keratoconus, a condition in which the protective outer layer of the eye progressively thins and bulges outward. "We were surprised with the degree of vision improvement," said Neil Lagali, a professor of experimental ophthalmology at Linkoping University in Sweden who co-authored the study. Not all patients experienced the same degree of improvement, however. The 12 Iranian patients wound up with an average visual acuity of 20/58 with glasses; functional vision is defined as 20/40 or better with lenses. Nonetheless, Dr. Marian Macsai, a clinical professor of ophthalmology at the University of Chicago who wasn't involved in the study, said the technology could be a game changer for those with keratoconus, which affects roughly 50 to 200 out of every 100,000 people. It might also have applications for other forms of corneal disease.

To create the implant, Lagali and his team dissolved pig tissue to form a purified collagen solution. That was used to engineer a hydrogel that mimics the human cornea. Surgeons then made an incision in a patient's cornea for the hydrogel. "We insert our material into this pocket to thicken the cornea and to reshape it so that it can restore the cornea's function," Lagali said. Traditionally, human tissue is required for cornea transplants. But it's in short supply, because people must volunteer to donate it after they die. So, Lagali said, his team was looking for a low-cost, widely available substitute. "Collagen from pigskin is a byproduct from the food industry," he said. "This makes it broadly available and easier to procure." After two years, the patients' bodies hadn't rejected the implants, and they didn't have any inflammation or scarring.

But any experimental medical procedure comes with risk. In this case, Soiberman said, a foreign molecule like collagen could induce an immune reaction. The researchers prescribed patients an eight-week course of immunosuppressive eyedrops to lower the risk, which is less than the amount given to people who receive cornea transplants from human tissue. In those cases, patients take immunosuppressive medicine for more than a year, Lagali said. "There's always a risk for rejection of the human donor tissue because it contains foreign cells," he said. "Our implant does not contain any cells ... so there's a minimal risk of rejection." The procedure itself was also quicker than traditional cornea transplants. The researchers said each operation took about 30 minutes, whereas transplants of human tissue can take a couple of hours. [...] It's not yet clear whether the surgery would work for patients who have other forms of corneal disease aside from keratoconus.

Medicine

New Research Reveals the Circadian Clock Influences Cell Growth, Metabolism, and Tumor Progression (phys.org) 19

An anonymous reader quotes a report from Phys.Org: In a new University of California, Irvine-led study, researchers define how the circadian clock influences cell growth, metabolism and tumor progression. Their research also reveals how disruption of the circadian clock impacts genome stability and mutations that can further drive critical tumor-promoting pathways in the intestine. In this study, researchers found that both genetic disruption and environmental disruption of the circadian clock contribute to the mutation of the adenomatous polyposis coli (APC) tumor suppressor, which is found in the vast majority of human colorectal cancers (CRC). APC point mutations, deletions, and loss of heterozygosity (LOH) events have been reported in approximately 80 percent of human CRC cases, and it is these mutations that drive the initiation of intestinal adenoma development.

"As a society, we are exposed to several environmental factors that influence our biological clock, including night shift work, extended light exposure, changes in sleep/wake cycles and altered feeding behavior," said Selma Masri, Ph.D., assistant professor of biological chemistry at UCI School of Medicine. "Strikingly, we have seen an alarming increase in several young-onset cancers, including colorectal cancer. The underlying cause of this increased incidence of cancer in adults in their 20s and 30s remains undefined. However, based on our findings, we now believe that disruption of the circadian clock plays an important role."
The study has been published in the journal Science Advances.
China

China Overtakes the US In Scientific Research Output (theguardian.com) 127

An anonymous reader quotes a report from The Guardian: China has overtaken the US as the world leader in both scientific research output and "high impact" studies, according to a report published by Japan's science and technology ministry. The report, which was published by Japan's National Institute of Science and Technology Policy (NISTP) on Tuesday, found that China now publishes the highest number of scientific research papers yearly, followed by the US and Germany. The figures were based on yearly averages between 2018 and 2020, and drawn from data compiled by the analytics firm Clarivate.

The Japanese NISTP report also found that Chinese research comprised 27.2% of the world's top 1% most frequently cited papers. The number of citations a research paper receives is a commonly used metric in academia. The more times a study is cited in subsequent papers by other researchers, the greater its "citation impact." The US accounted for 24.9% of the top 1% most highly cited research studies, while UK research was third at 5.5%. China published a yearly average of 407,181 scientific papers, pulling ahead of the US's 293,434 journal articles and accounting for 23.4% of the world's research output, the report found. China accounted for a high proportion of research into materials science, chemistry, engineering and mathematics, while US researchers were more prolific in research into clinical medicine, basic life sciences and physics.
"China is one of the top countries in the world in terms of both the quantity and quality of scientific papers," Shinichi Kuroki of the Japan Science and Technology Agency told Nikkei Asia. "In order to become the true global leader, it will need to continue producing internationally recognized research."
Science

Scientists Create a More Sustainable LED From Fish Scales (smithsonianmag.com) 25

Scientists have discovered that by microwaving fish waste, they can quickly and efficiently create carbon nano-onions (CNOs) -- a unique nanoform of carbon that has applications in energy storage and medicine. This method could be used to make cheaper and more sustainable LEDs in the future. The researchers from Nagoya Institute of Technology in Japan published their findings in Green Chemistry. Smithsonian Magazine reports: CNOs are nanostructures with spherical carbon shells in a concentric layered structure similar to an onion. They have "drawn extensive attention worldwide in terms of energy storage and conversion" because of their "exceptionally high electrical and thermal conductivity, as well as large external surface area," per the paper. They've been used in electronics and for biomedical applications, such as bio-imaging and sensing and drug delivery, write the authors in the study. Though CNOs were first reported in the 1980s, conventional methods of manufacturing them have required high temperatures, a vacuum and a lot of time and energy. Other techniques are expensive and call for complex catalysts or dangerous acidic or basic conditions. This "greatly limits the potential of CNOs," per a statement from Nagoya Institute of Technology.

The newly discovered method requires only one step -- microwave pyrolysis of fish scales extracted from fish waste -- and can be done within ten seconds, per the authors. How exactly the fish scales are converted into CNOs is unclear, though the team thinks it has to do with how collagen in the fish scales can absorb enough microwave radiation to quickly increase in temperature. This leads to pyrolysis, or thermal decomposition, which causes the collagen to break down into gasses. These gasses then support the creation of CNOs. This method is a "straightforward way to convert fish waste into infinitely more useful materials," and the resulting CNOs have a high crystallinity, which gives them "exceptional optical properties," per the statement. They also have high functionalization, which means they're "bonded to other small molecules on their surface," writes Ellen Phiddian for Cosmos. This combination of attributes means the CNOs can glow bright blue.

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