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Have you perform the wrong exercises – You must keep revising your exercises and keep upgrading your knowledge about the proper use of equipment, and everything else related to fitness so that you don’t make any mistake in giving your clients the wrong exercises Go back Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Examples of negligence in personal training on the impact of physiology Last updated: 14/11/24 Published: 26/01/23 Negligence in personal training is a failure to look after clients to avoid them getting injured while training. There are many ways this can happen, below are some examples of negligence in personal training. Making use of equipment that is defective – Using a defective equipment can easily lead to injury or at least poor exercising form. Trainers should be able to differentiate between effective and defective equipment if they want to avoid negligence in training their clients. In that scenario, the best thing a personal trainer can do is to repair the equipment or replace it with new ones instead of putting a ‘defect’ or ‘out of order’ sign on it. Telling you to lift too much weight – You can’t just tell your clients to lift too much weight without even knowing their capacity, their way of eating and experience from past training. This is irrational and unprofessional, thus neglecting your clients directly which can lead to causing them injuries like muscle tears, muscle strains and even worse, a wrong death. Have you perform the wrong exercises – You must keep revising your exercises and keep upgrading your knowledge about the proper use of equipment, and everything else related to fitness so that you don’t make any mistake in giving your clients the wrong exercises to do that can lead to stopping them from achieving their desired physiques, and fitness goals. Muscle imbalances will occur as well if not done properly. Make you exercise for too long – Exercising for too long can cause excess fatigue and can lead to muscle strains and sprains. Coaches must not let their clients push themselves too far. It may sound cool but it is not really healthy. Everything we do must be done in an appropriate manner to avoid consequences that will harm us. Written by Kushwant Nathoo Related articles: A perspective on well-being / Gentrification in the context of health

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link A new tool to diagnose: liquid biopsies 27/01/25, 16:33 Last updated: Published: 15/01/24, 23:48 Testing cancerous tumours Liquid biopsies are an example of integrating next-generation sequencing to diagnose and study tumours using only blood or other fluid samples rather than solid tissue. These biopsies are significant in modern medicine, particularly in treating cancer, as they enable the earlier detection of cancers in a less invasive manner. In this article, I aim to explore liquid biopsies, their role in disease detection and issues which arise from their usage. A liquid biopsy is a test which detects cancerous tumours from the pieces of tumour that break off and circulate in the bloodstream. A liquid biopsy involves a simple blood test and analysis in the lab with a machine that separates blood cells from the plasma, allowing a pathologist to examine the fluid and look for biomarkers. These include circulating tumour cells (CTC) or circulating tumour DNA (ctDNA). CTCs are cancer cells that disseminate from a tumour and travelling in the bloodstream, whereas ctDNA is a DNA fragment from the tumour circulating in the blood. See Figure 1 for a diagram summarising this process in more detail. Finding these biomarkers shows evidence of a malignant tumour, possibly revealing its stage of development and potential metastases. Oncologists use this information to form the basis of cancer prognosis. Furthermore, genetic data from these tests provides information on suitable and effective treatments specific to the patient. In particular, the suitability for targeted therapies, which target specific genes or proteins within the cancer. Furthermore, it can monitor how well a treatment is working by seeing if the tumour has stopped growing after treatment. Finally, it can be used to predict and help prevent recurrence of cancer or progression of cancer by detecting minimal residual disease (where a small number of cancer cells remain in the body after treatment). Liquid biopsies are perhaps better and more advantageous than normal biopsies, as the method is quicker without requiring surgical intervention. In addition, liquid biopsies provide a more comprehensive tissue profile by taking tumour heterogeneity into account. This includes revealing more information about genetic variations, monitoring clonal evolution, assessing treatment resistance, and aiding in the customisation of targeted therapies. This means a more comprehensive view is provided compared to tissue biopsies, which do not represent the entire genetic diversity of a tumour. Liquid biopsies excel in overcoming these limitations by providing a systematic and dynamic assessment of the entire tumour’s genetic diversity. Unlike tissue biopsies, which may miss subclones, liquid biopsies offer a more comprehensive understanding of the overall tumour, making them a valuable tool for precision oncology. The process is also minimally invasive and only causes minimal pain. While liquid biopsies offer a less invasive means of monitoring diseases, their sensitivity and specificity in detecting biomarkers, such as circulating tumour DNA (ctDNA) or circulating tumour cells (CTCs), might vary, leading to potential false positives or negatives. Additionally, the quantity and quality of biomarkers present in bodily fluids can fluctuate, impacting the reliability of liquid biopsy results for consistent monitoring. Furthermore, the associated cost of analysing liquid biopsy samples and the technology required for accurate detection can pose financial constraints for widespread implementation in healthcare systems. See Figure 2 which summarises the advantages and disadvantages of each method. Currently, there are a few liquid biopsy tests approved by the FDA to detect cancer within a patient. One example is the “Guardant 360 CDx”, approved for use in people with non-small cell lung cancer (NSCLC). Another example is the “Foundation One liquid CDx”, which is approved for use in people with a range of cancers such as NSCLC, prostate, ovarian and breast cancer. However, more research is needed to clinically evaluate the efficacy of liquid biopsies when compared to tissue biopsies. Nevertheless, liquid biopsies show a positive prospect for cancer diagnosis. Furthermore, liquid biopsies have also been used outside of cancer, such as in cardiovascular conditions such as myocardial infarction. In myocardial infarction, specific miRNA signatures released during myocardial necrosis provide accurate early detection of myocardial infarction. Further highlighting the multilevel potential of liquid biopsies. One of the main ethical concerns surrounding liquid biopsies involves the revealing of sensitive genetic information about a patient, encompassing medical history, and genetic identity, and potentially impacting familial relationships and legal affairs. This raises critical issues regarding privacy, consent, and the secure storage of such sensitive data. Additionally, challenges surrounding standardisation, cost-effectiveness, and the establishment of robust regulatory frameworks for the handling and storage of this genetic information further underscore the ethical complexities and necessity for stringent protocols in the implementation and management of liquid biopsy technologies. To conclude, it is clear that liquid biopsies have a lot of potential in diagnosing patients and, therefore, treating patients by aiding clinical decisions made by healthcare professionals. It has proven to be useful not just in diagnosing cancer but also in cardiovascular conditions such as myocardial infarction. The process has the potential to improve future patient outcomes. However, for this to happen, issues such as costs and ethics must be addressed so that liquid biopsies can be utilised more effectively in clinical practice. Written by Harene Elayathamby References: professional, C.C. medical Liquid biopsy: What it is & procedure details , Cleveland Clinic . Available at: https://my.clevelandclinic.org/health/diagnostics/23992-liquid-biopsy (Accessed: 19 December 2023). A tale of two biopsies: Liquid biopsy vs tissue biopsy (no date) Biochain Institute Inc. Available at: https://www.biochain.com/blog/a-tale-of-two-biopsies-liquid-biopsy-vs-tissue-biopsy/ (Accessed: 19 December 2023). Adhit, K.K. et al. (2023) ‘Liquid biopsy: An evolving paradigm for non-invasive disease diagnosis and monitoring in medicine’, Cureus [Preprint]. doi:10.7759/cureus.50176. Mannelli, C. (2019) ‘Tissue vs liquid biopsies for cancer detection: Ethical issues’, Journal of Bioethical Inquiry , 16(4), pp. 551–557. doi:10.1007/s11673-019-09944-y. Figures: Journey of a liquid biopsy (no date) Diagnostics . Available at: https://diagnostics.roche.com/global/en/article-listing/infographic-journey-of-a-liquid-biopsy.html (Accessed: 19 December 2023). A tale of two biopsies: Liquid biopsy vs tissue biopsy (no date) Biochain Institute Inc. Available at: https://www.biochain.com/blog/a-tale-of-two-biopsies-liquid-biopsy-vs-tissue-biopsy/ (Accessed: 19 December 2023) Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Understanding and detecting Kawasaki disease on time Last updated: 24/02/25, 11:31 Published: 06/02/25, 08:00 A rare disease that causes inflammation in the blood vessels What is Kawasaki disease? Kawasaki disease is a rare type of vasculitis that damages blood vessels through inflammation and is prevalent in children under the age of five. Kawasaki disease is predominantly found in children of Asian races–mainly in Japan, Korea, Taiwan, and Asian races in the US–and is the leading cause of acquired heart disease in children in most developed countries. What causes Kawasaki disease? There is no known cause of Kawasaki disease, however, studies suggest a link between genetics and the disease, noting a high incidence between siblings and in children with a parental history of Kawasaki disease. Another study provided further evidence of genetic susceptibility, stating that variation in the expression of CASP3 and ITPKC—genes heavily involved in T cell function—leads to an overexpression of T cells.This can be attributed to the inflammatory symptoms of the disease. There are speculations that it may be caused by an airborne agent originating in Central Asia which moves across different geographical regions. This study suggests that through winds, the airborne agent is able to cause Kawasaki disease via infection of the respiratory tract–further investigation is needed regarding this hypothesis. Diagnosing Kawasaki disease Symptoms of Kawasaki disease, which are often accompanied by a fever, are classified into three phases: acute, subacute, and convalescent. The acute phase usually lasts between two to three weeks and symptoms include: Carditis Mucosal inflammation (cracked and dry lips, strawberry tongue, swollen lymph nodes) Polymorphous rash Coronary artery aneurysms The subacute phase also lasts up to three weeks and includes symptoms such as: - Perineal and periungual desquamation - Arthralgia - Myocardial disease The convalescent phase is when most clinical signs dissolve and usually lasts up to three months. It is important to note that while most symptoms clear up during this phase, cardiac issues may still persist in some patients. Misdiagnosing Kawasaki disease is very common as its symptoms are similar to that of many diseases like scarlet fever or toxic shock syndrome. With that being said, confirming its diagnosis is often a case of ruling out these diseases. In addition to identifying symptoms linked to other diseases, conducting laboratory tests such as CRP, CBC, and ESR can help confirm a diagnosis of Kawasaki disease. Additionally, echocardiograms and electrocardiograms can help assess coronary abnormalities as well as overall heart function. Treating Kawasaki disease Following diagnoses, patients are first administered an IVIG and a high dose of aspirin to reduce inflammation as well as eliminate pain, swelling and fever. Patients are then administered lower doses of aspirin which helps prevent blood clotting. Roughly 25% of untreated patients are at a higher risk of developing coronary artery aneurysms and lasting cardiovascular issues in general. This risk drops down to 5% when treated appropriately. IVIG is proven to be effective in treating approximately 85-90% of cases when administered within the first ten days of the illness which is why it is imperative that patients are treated early. X-rays are regularly conducted on patients as they can help visualise blood vessels and potential heart abnormalities that may suggest further complications. It can also observe the effectiveness of treatment over time. Post-recovery, an echocardiogram is recommended periodically to detect any coronary abnormalities that may have developed much later on. Summary Kawasaki disease is a rare disease that causes inflammation in the blood vessels. It normally develops in children under the age of five and is yet to have a known cause. It is often hard to diagnose as its symptoms are similar to that of other diseases, which is why it is important to identify its symptoms (polymorphous rash, mucosal inflammation, desquamation, etc) as well as conduct tests such as CBC, CRP, ESR, an electrocardiogram, etc to help rule out other diseases. It is essential that children with Kawasaki disease are diagnosed and treated early as this can help treat coronary artery aneurysm and prevent lasting coronary and cardiovascular abnormalities. Written by Sherine Latheef Related articles: Sideroblastic anaemia / Blood / Inflammation therapy REFERENCES Onouchi, Y., Ozaki, K., Buns, J.C., Shimizu, C., Hamada, H., Honda, T., Terai, M., Honda, A., Takeuchi, T., Shibuta, S., Suenaga, T., Suzuki, H., Higashi, K., Yasukawa, K., Suzuki, Y., Sasago, K., Kemmotsu, Y., Takatsuki, S., Saji, T. and Yoshikawa, T. (2010). Common variants in CASP3 confer susceptibility to Kawasaki disease. Human Molecular Genetics , 19(14), pp.2898–2906. doi: https://doi.org/10.1093/hmg/ddq176 . Agarwal, S. and Agrawal, D.K. (2017). Kawasaki Disease: Etiopathogenesis and Novel Treatment Strategies. Expert review of clinical immunology , [online] 13(3), pp.247–258. doi: https://doi.org/10.1080/1744666X.2017.1232165 . Wolff, A.E., Hansen, K.E. and Zakowski, L. (2007). Acute Kawasaki Disease: Not Just for Kids. Journal of General Internal Medicine , [online] 22(5), pp.681–684. doi: https://doi.org/10.1007/s11606-006-0100-5 . Oh, J.-H., Cho, S. and Choi, J.A. (2023). Clinical Signs of Kawasaki Disease from the Perspective of Epithelial-to-Mesenchymal Transition Recruiting Erythrocytes: A Literature Review. Reviews in Cardiovascular Medicine , 24(4), pp.109–109. doi: https://doi.org/10.31083/j.rcm2404109 . Team, H.J. (2018). Kawasaki Disease - Causes, Signs, Symptoms,Treatment . [online] Health Jade. Available at: https://healthjade.com/kawasaki-disease/ . Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Life under occupation: the health and well-being of Palestinians Last updated: 13/03/25, 11:44 Published: 13/03/25, 08:00 Impact of war and geopolitics on health in Palestine This is article no. 1 in a series about global health injustices. Next article: Civil war in Sudan (coming soon). Introduction Welcome to the Global Health Injustices Series, which will focus on critically examining the health inequalities and inequities faced by vulnerable populations within different countries and regions worldwide and even put forward actionable steps to improve their health and wellbeing. This series will begin with Palestine, as it has been an enduring crisis that should be addressed to include long-lasting benefits and outcomes for the Palestinians. Palestine: from a rich history to current occupation Palestine is a country in the Middle East (West Asia) mainly bordered by Israel. Palestine is unique in its various cultures and knowledge, moulded by multifaceted events and geopolitical shifts over centuries. The multidimensional cultural landscape of Palestine illustrates the impact of civilisations, such as the Romans, Byzantines, and Ottomans, who each had their religions, languages, and cultures, which still exist in various forms today. The resilience of the Palestinians is evident through their distinct traditions, art, food and environment, which are essential to their identity. With these testaments in mind, Palestinians are facing consistent strife because they are under constant occupation, blockade and cutting off of needed supplies carried out by Israel, as noted by several humanitarian and human rights non-governmental organisations (NGOs) like Amnesty International and Save the Children. These actions are facilitated by nations, notably the United States and the United Kingdom, through arms and weapons trade. Hence, the struggle for the Palestinians to have autonomy and freedom, among other human rights within their own homeland, is a consistent fight that requires ongoing international cooperation and solidarity. Geopolitics: its detrimental impacts on the Palestinians Given the currently divisive geopolitical landscape, it is essential to bring attention to the health outcomes of the Palestinian population, especially since at least half of them are children. A report from the Global Nutrition Cluster called “Nutrition Vulnerability and Situation Analysis / Gaza” had several key findings and tables (see Tables 1 and 2 ). Firstly, more than 90% of children less than a year old, along with pregnant and breastfeeding women, encounter high under-nutrition due to poverty. Another finding was that approximately 90% of children under five are impacted by at least one infectious disease, and 81% of households in Gaza lack clean and safe water. However, the authors noted limitations in their analysis, such as limited data sources because collecting it is difficult within the context of Gaza, and this was true for screening. Another report from the organisation Medical Aid For Palestinians (MAP), titled “Health Under Occupation” from 2017, discussed healthcare access and outcomes more broadly. For example, they noted that in 2016, up to one-third of patients’ permits to exit Gaza for healthcare access were either denied or delayed. Moreover, they stated that 40% of people in Gaza live below the poverty line. Given the recent geopolitical shifts in power, these findings from both reports will likely be higher now. This brings forthcoming uncertainty about whether the health outcomes of Palestinians will improve. In a recent qualitative study involving the views of Palestinian physicians in the West Bank, they shared their experiences of violence, threats of violence, issues with healthcare access for themselves and patients, financial difficulties to support their families, struggle to help their patients and limited access to education due to harsher life under occupation. Thinking more largely about emergency care in Palestine, one scoping review reported the depletion of healthcare resources such as medical equipment and medications. The authors even related how human rights violations and the destruction of the Palestinian healthcare system, including emergencies, have exacerbated outcomes; the most notable were stroke, myocardial infarction and traumatic injury, among other non-infectious diseases. Although the authors included this information from a human rights standpoint, they called for additional interventions and research to fill in and learn gaps within emergency care to enhance health outcomes for Palestinians. This review was published in 2022, and again, many geopolitical shifts in power have taken place within a few years. Therefore, it can be deduced that emergency care is drastically needed for the Palestinians; this is primarily compelled by the blockade in Gaza and occupation in the West Bank. Focusing on the mental health outcomes among Palestinians, they have become worse. In another scoping review, researchers focused on trauma among young Palestinian people in Gaza; the authors noted that events, such as exposure to devastation and violence, as well as the death or loss of friends and family, have contributed to mental health outcomes ranging from post-traumatic stress disorder (PTSD) to depression. Nevertheless, the authors stated that further qualitative research is vital to addressing gaps in knowledge and enhancing mental health outcomes among the Palestinian youth and the wider population. Connecting back to how the modern geopolitical landscape is very dynamic, the poorer mental health outcomes among Palestinians have conceivably increased. Urgent calls to action: recommendations from NGOs to upholding human rights Given all of these detrimental impacts on the health and wellbeing of Palestinians, there are recommendations from organisations, notably the United Nations (UN), for ways forward towards upholding the human rights of Palestinians: Immediately end all practices of collective punishment, including lifting its blockade and closures – and the “complete siege”- of Gaza, and urgently ensure immediate access to humanitarian and commercial goods throughout Gaza, commensurate with the immense humanitarian needs. Ensure that all Palestinians forcibly displaced from Gaza are allowed to return to their homes creating safe conditions and fulfil its responsibilities as an occupying Power in this regard. End the 56-year occupation of the Occupied Palestinian Territory, including East Jerusalem as part of a broader process towards achieving equality, justice, democracy, non-discrimination, and the fulfilment of all human rights for all Palestinians. These recommendations, among others mentioned in the report from the United Nations (UN) High Commissioner for Human Rights, were divulged in 2024; the year had been a challenging time, particularly in Gaza, due to the complete blockade of food, water and essentials like medical supplies; in addition to this, many explosives were dropped on Gaza, killing thousands of men, women and children. Finally, buildings, such as hospitals and homes, were destroyed. Conclusion: moving forward towards a equitable and equal future for Palestinians Reflecting on everything discussed in this article, the numerous injustices happening to Palestinians must not go on; they have been suppressed for nearly 75 years by governments and the mainstream media before receiving closer attention, examination and debate within Western society recently. Therefore, we need to take actionable steps by initiating more open discussions of justice and advocacy involving the voices of Palestinians, such as myself and others. Furthermore, it is crucial always to nudge those in positions of power worldwide to fulfil their responsibilities as civil servants and defend human rights for everyone. Both of these actions uphold the health and wellbeing of Palestinians living in Gaza and the West Bank, especially as enabling the recommendations from the UN and other NGOs. As for the wider international community, we must continue upholding human rights to maintain our health and wellbeing. In my next article, I will discuss Sudan because this population has also encountered many injustices, primarily the civil war that has been occurring since 2023. This has impacted the health and wellbeing of the Sudanese population, which requires thorough attention and discussion. Written by Sam Jarada Related articles: A perspective on well-being / Gentrification and well-being REFERENCES Human rights in Israel and the Occupied Palestinian Territory. Amnesty International. 2022. Available from: https://www.amnesty.org/en/location/middle-east-and-north-africa/middle-east/israel-and-the-occupied-palestinian-territory/report-israel-and-the-occupied-palestinian-territory/ Occupied Palestinian Territory. Save the Children International. 2024. Available from: https://www.savethechildren.net/occupied-palestinian-territory Nutrition Vulnerability and Situation Analysis / Gaza. 2024. Available from: https://www.nutritioncluster.net/sites/nutritioncluster.com/files/2024-02/GAZA-Nutrition-vulnerability-and-SitAn-v7.pdf HEALTH UNDER OCCUPATION. Medical Aid For Palestinians. 2017. Available from: https://www.map.org.uk/downloads/health-under-occupation---map-report-2017.pdf Husam Dweik, Hadwan AA, Beesan Maraqa, Taher A, Zink T. Perspectives of Palestinian physicians on the impact of the Gaza War in the West Bank. SSM - Qualitative Research in Health. 2024 Nov 14;6:100504–4. Available from: https://www.sciencedirect.com/science/article/pii/S2667321524001136 Rosenbloom R, Leff R. Emergency Care in the Occupied Palestinian Territory: A Scoping Review. Health and Human Rights. 2022 Dec;24(2):255. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9790939/ Abdallah Abudayya, Fugleberg T, Nyhus HB, Radwan Aburukba, Tofthagen R. Consequences of war-related traumatic stress among Palestinian young people in the Gaza Strip: A scoping review. Mental Health & Prevention. 2023 Nov 25;32:200305–5. Available from: https://www.sciencedirect.com/science/article/pii/S2212657023000478 M.I. Human rights situation in the Occupied Palestinian Territory, including East Jerusalem, and the obligation to ensure accountability and justice - Report of the United Nations High Commissioner for Human Rights - Advance unedited version (A/HRC/55/28) - Question of Palestine. United Nations. Available from: https://www.un.org/unispal/document/human-rights-situation-in-opt-unohchr-23feb-2024/ Project Gallery

Manufacturing doubt is another strategy where facts are intentionally changed to promote an agenda. It is used in the tobacco industry and against the climate crisis. Meaning articles can maintain the façade of using scientific methods by referencing sources that are difficult to interpret whilst research supported by sound evidence is labelled and downplayed. Go back Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link How fake science websites hijack our trust in experts to misinform and confuse Last updated: 07/11/24 Published: 29/12/22 In science, all research is peer-reviewed by experts. Now, fake science websites are mimicking these disciplines. These websites capitalise on our trust in experts. In some cases, these websites are paid to publish fake science. This is becoming more common. In a recent global survey, almost 50% of respondents said they see false or misleading information online daily. By understanding the methods these sites use we can prevent their influence. Hyperlinking is a technique used to convince website users. They reassure the user that the content is credible, but most people don’t have experience in analytical techniques and so these links aren’t questioned. Repetition is used to increase the visibility of fake science content but also saturate search engines. This content can be repeated and spread across different sites. Users of “lateral reading” get multiple websites that corroborate the fake science from the initial source. Many of these sites only choose articles that agree with their perspective and depend on the audience not taking time to follow up. Manufacturing doubt is another strategy where facts are intentionally changed to promote an agenda. It is used in the tobacco industry and against the climate crisis. Meaning articles can maintain the façade of using scientific methods by referencing sources that are difficult to interpret whilst research supported by sound evidence is labelled and downplayed. On fake science websites first, check the hyperlinked articles. These websites will use sites with repeated content from disreputable sites. Next, look at the number of reposts a website has. Legitimate science posts are on credible websites. Some websites investigate websites that feature fake science. Ultimately, these websites thrive on users not having the time or skills to look deeper into the evidence, so doing so will help expose the fake websites. Written by Antonio Rodrigues Related articles: Digital disinformation / COVID-19 misconceptions

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Teaching maths like it matters 11/02/25, 12:24 Last updated: Published: 03/10/23, 13:43 The importance of implementing Maths into our lives …But I’m never going to use Algebra in my life! The above is a typical response from students across the country when walking into a Maths class. I did not understand others’ disdain, because I love Maths. I got satisfaction from solving numerical problems, stimulation from equations, and excitement from learning new variables like alpha, or constants like Pi. The abstract nature of Maths was like art to me. Later, I realised that not all my peers felt the same way, that somehow, I was the anomaly and that they were the norm. Many maths teachers feel the same way. They get lost in the subject that they love and try to teach it in the way that makes sense to them, without thinking on how the lack of context in equations and processes means nothing to disengaged students. As teachers, our job is to show how applicable Maths can be to our students on an individual basis. Rather than using real-life questions as extensions after the core activity, we must utilise them from the beginning when introducing topics, showing student’s how the methods that they learn can be applied to have some use beyond a pass mark in their exams. I am not talking about examples of ladders leaning against walls when teaching Pythagoras’ theorem and SOHCAHTOA, or, taking counters from a bag, to explain Probability. The examples here are forced, no student will connect with them because they are not lived examples or likely scenarios in most of their lives. We need to build strong relationships with our students, understand their demographic and interests, then introduce topics based on this. For example: If I know that my class enjoys football, I will begin with a video of Messi playing the game, pausing the video, and splitting the pitch up into segments, which can lead a conversation into areas of segments and circles, or, I can discuss the trajectory of the ball after a kick, to talk about quadratic equations. In another class, we can ask what students are budgeting for, perhaps concert tickets or new clothes, and use that to open a discussion into arithmetic series. Another great example is asking students to find an event happening somewhere in the country that they would like to go to, and as a class, plan for this. We would use research skills, calculate speed, distance and time if going by car, or pull up a train timetable where we can teach two-way tables and time conversions. To create meaningful connections to Math topics will take time, effort, and research, and the difficulty will be that not every application will be relatable to every cohort. We will need to build a portfolio of contextual examples related to each topic, however, if there is buy-in from others in our departments, it is an achievable target. In conclusion, we must teach Maths to students in meaningful ways that applies to their life, to keep up engagement and motivation as well as providing opportunities to deepen understanding. Maths should be based around conversation and interests, rather than an exercise of memorising and processes. It should make sense to students, it should matter. Written by Sara Altaf Related article: The game of life Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The role of chemistry in space exploration 17/02/25, 14:47 Last updated: Published: 05/08/23, 09:41 How chemistry plays a part Background Space exploration is without a doubt one of the most intriguing areas of science. As humans, we have a natural tendency to investigate everything around us – with space, the main question we want to answer is if there is life beyond us on Earth. Astronomers use advanced telescopes to help look for celestial objects and therefore study their structures, to get closer in finding a solution to this question. However, astronomers do have to communicate with other scientists in doing so. After all, the field of science is all about collaboration. One example is theoretical physicists studying observed data and, as the name suggests, come up with theories using computational methods for other scientists to examine experimentally. In this article, we will acknowledge the importance of chemistry in space exploration, from not only studying celestial bodies but also to life support technology for astronauts and more. Examples of chemistry applications 1) Portable life support systems To survive in space requires advanced and well-designed life support systems due to being exposed to extreme temperatures and conditions. Portable life support systems (PLSS) are devices connected to an astronaut’s spacesuit that supplies oxygen as well as removal of carbon dioxide (CO2). The famous apollo lunar landing missions had clever PLSS – they utilised lithium hydroxide to remove CO2 and liquid cooling garments, which used any water to remove heat from breathing air. However, these systems are large and quite bulky, so hopefully we can see chemistry help us design even more smart PLSS in the future. 2) Solid rocket propulsion systems Chemical propellants in rockets eject reaction mass at high velocities and pressure using a source of fuel and oxidiser, causing thrust in the engine. Simply put, thrust is a strong force that causes an object to move – in this case, a rocket launching into space. Advancements in propellant chemistry has allowed greater space exploration to take place due to more efficient and reliable systems. 3) Absorption spectroscopy Electromagnetic radiation is energy travelling at the speed of light (approx. 3.0 x 108 m/s!) that can interact with matter. This radiation consists of different wavelengths and frequencies, with longer wavelengths possessing shorter frequencies and vice versa. Each molecule has unique absorption wavelength(s) – this means that if specific wavelengths of radiation ‘hits’ a substance, electrons in the ground state will become excited and can jump up to higher energy states. A line appears in the absorption spectrum for every excited electron (see Figure 1 ). As a result, spectroscopic analysis of newly discovered planets or moons can give us information on the different elements that are present. It should also be noted that the excited electrons will relax back down to the ground state and emit a photon, allowing us to observe emission spectra as well. In the emission spectra, the lines would be in the exact same place as those in the absorption, but coloured in a black background (see Figure 2 ). Fun fact: There are six essential elements needed for life – carbon, hydrogen, nitrogen, oxygen, phosphorus and sulfur. In 2023, scientists concluded that Saturn’s moon Enceladus has all these which indicates that life could be present here! 1) Space medicine Whilst many people are fascinated by the idea of going to space, it is definitely not an easy task as the body undergoes more stress and changes than one can imagine. For example, barotrauma is when tissues filled with air space due to differences in pressure between the body and ambient atmosphere becomes injured. Another example is weakening of the immune system, as researchers has been found that pre-existing T cells in the body were not able to fight off infection well. However, the field of space medicine is growing and making sure discomforts like those above are prevented where possible. Space medicine researchers have developed ‘countermeasures’ for astronauts to follow, such as special exercises that maintain bone/muscle mass as well as diets. Being in space is isolating which can cause mental health problems, so early-on counselling and therapy is also being provided to prevent this. To conclude Overall, chemistry plays a vital role in the field of space exploration. It allows us to go beyond just analysis of celestial objects as demonstrated in this article. Typically, when we hear the word ‘chemistry’ we often just think of its applications in the medical field or environment, but its versatility should be celebrated more often. Written by Harsimran Kaur Related articles: AI in space / The role of chemistry in medicine / Astronauts in space Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The Genetics of Ageing and Longevity 20/02/25, 11:55 Last updated: Published: 13/05/24, 15:20 A well-studied longevity gene is SIRT1 Ageing is a natural process inherent to all living organisms. Yet, its mechanisms remain somewhat enigmatic. While lifestyle factors undoubtedly influence longevity, recent advancements in genetic research have revealed the influence of our genomes on ageing. Through understanding these influences, we can unlock further knowledge on longevity, which can aid us in developing interventions to promote healthy ageing. This article delves into the world of ageing and longevity genetics and how we can use this understanding to our benefit. Longevity genes A number of longevity genes, such as APOE , FOXO3 , and CETP, have been identified. These genes influence various biological processes, including cellular repair, metabolism, and stress response mechanisms. A well-studied longevity gene is SIRT1 . Located on chromosome 10, SIRT1 encodes sirtuin 1, a histone deacetylase, transcription factor, and cofactor. Its roles include protecting cells against oxidative stress, regulating glucose and lipid metabolism, and promoting DNA repair and stability via deacetylation. Sirtuins are an evolutionarily conserved mediator of longevity in many organisms. One study looked at mice with knocked-out SIRT1 ; these mice had significantly lower lifespans when compared with WT mice1. The protective effects of SIRT1 are thought to be due to deacetylating p53, which promotes cell death2. SIRT1 also stimulates the cytoprotective and stress-resistance gene activator FoxO1A (see Figure 1 ), which upregulates catalase activity to prevent oxidative stress3. Genome-wide association studies (GWAS) have identified several genetic variants associated with ageing and age-related diseases. Such variants influence diverse aspects of ageing, such as cellular senescence, inflammation, and mitochondrial function. For example, certain polymorphisms in APOE are associated with an increased risk of age-related conditions like Alzheimer's and Parkinson’s disease4. These genes have a cumulative effect on the longevity of an organism. Epigenetics of ageing Epigenetic modifications, such as histone modifications and chromatin remodelling, regulate gene expression patterns without altering the DNA sequence. Studies have shown that epigenetic alterations accumulate with age and contribute to age-related changes in gene expression and cellular function. For example, DNA methylation is downregulated in human fibroblasts during ageing. Furthermore, ageing correlates with decreased nucleosome occupancy in human fibroblasts, thereby increasing the expression of genes unoccupied by nucleosomes. One specific marker of ageing in metazoans is H3K4me3, indicating the trimethylation of lysine 4 on histone 3; in fact, H3K4me3 demethylation extends lifespan. Similarly, H3K27me3 is also a marker of biological age. By using these markers as an epigenetic clock, we can predict biological age using molecular genetic techniques. As a rule of thumb, genome-wide hypomethylation and CpG island hypermethylation correlate with ageing, although this effect is tissue-specific5. Telomeres are regions of repetitive DNA at the terminal ends of linear chromosomes. Telomeres become shorter every time a cell divides (see Figure 2 ), and eventually, this can hinder their function of protecting the ends of chromosomes. As a result, cells have complex mechanisms in place to prevent telomere degradation. One of these is the enzyme telomerase, which maintains telomere length by adding G-rich DNA sequences. Another mechanism is the shelterin complex, which binds to ‘TTAGGG’ telomeric repeats to prevent degradation. Two major components of the shelterin complex are TRF1 and TRF2, which bind telomeric DNA. They are regulated by the chromatin remodelling enzyme BRM-SWI/SNF, which has been shown to be crucial in promoting genomic stability, preventing cell apoptosis, and maintaining telomeric integrity. BRM-SWI/SNF regulates TRF1/2, thereby, regulating the shelterin complex, by remodelling the TRF1/2 promoter region to convert it to euchromatin and increase transcription. BRM-SWI/SNF inactivating mutations have been shown to contribute to cancer and cellular ageing through telomere degradation6. Together, the mechanisms cells have in place to protect telomeres provide protection against cancer as well as cellular ageing. Future of anti-ageing drugs Anti-ageing drugs are big business in the biotechnology and cosmetics sector. For example, senolytics are compounds that decrease the number of senescent cells in an individual. Senescent cells are those that have permanently exited the cell cycle and now secrete pro-inflammatory molecules (see Figure 3); they are a major cause of cellular and organismal ageing. Senolytic drugs aim to provide anti-ageing benefits to an individual, whereby senescent cells are removed, therefore, decreasing inflammation. Currently, researchers are certain that removing senescent cells would have an anti-ageing effect, although senolytic drugs currently on the market are understudied, and so their side effects are unknown. Speculative drugs could include those that enhance telomerase or SIRT1 activity. Evidently, ageing is not purely determined by lifestyle and environmental factors alone but also by genetics. While longevity genes are hereditary, epigenetic modifications may be influenced by external factors. Therefore, we can attribute the complex interplay between various external factors and an individual’s genome to understanding the role of genetics in ageing. Perhaps we will see a new wave of anti-ageing treatments in the coming years, developed on the genetics of ageing. Written by Malintha Hewa Batage Related articles: An introduction to epigenetics / Schizophrenia, inflammation and ageing / Ageing and immunity REFERENCES Cilic, U et al., (2015) ‘A Remarkable Age-Related Increase in SIRT1 Protein Expression against Oxidative Stress in Elderly: SIRT1 Gene Variants and Longevity in Human’, PLoS One , 10(3). Alcendor, R et al., (2004) ‘Silent information regulator 2alpha, a longevity factor and class III histone deacetylase, is an essential endogenous apoptosis inhibitor in cardiac myocytes’, Circulation Research , 95(10):971-80. Alcendor, R et al., (2007) ‘Sirt1 regulates aging and resistance to oxidative stress in the heart’, Circulation Research , 100(10):1512-21. Yin, Y & Wang, Z, (2018) ‘ApoE and Neurodegenerative Diseases in Aging’, Advances in Experimental Medicine and Biology , 1086:77-92. Wang, K et al., (2022) ‘Epigenetic regulation of aging: implications for interventions of aging and diseases’, Signal Transduction and Targeted Therapy , 7(1):374. Images made using BioRender. Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link 'The Emperor of All Maladies' by Siddhartha Mukherjee 08/03/25, 14:04 Last updated: Published: 28/11/24, 14:55 Book review Stretching nearly 4,000 years of history, Pulitzer Prize winner Siddhartha Mukherjee sets on a journey to document the biography of cancer in The Emperor of All Maladies. Drawing from a vast array of books, studies, interviews, and case studies, Mukherjee crafts a narrative that is as comprehensive as it is compelling. Driven by curiosity and a desire to understand the origins of cancer, Mukherjee sets the tone by reflecting on his experiences as an oncology trainee, drawing insightful parallels to contemporary perspectives on the fight against this relentless disease. Mukherjee also pays homage to Ancient Egyptian and Greek physicians for their early observations on cancer, from the work on Imhotep to Claudius Galen. He then introduces Sidney Farber, whose monumental contributions to modern chemotherapy are brought to life through Mukherjee's exceptional storytelling—tracing Farber's journey from his initial observations to his unprecedented success in treating children with leukaemia. As you progress through each chapter of this six-part book, your appreciation deepens for how far cancer treatments have advanced - and how much further they can go. Mukherjee’s unparalleled skill as a science communicator shines through, seamlessly weaving together groundbreaking scientific discoveries with the historical contexts in which they emerged contributing to an immersive reading experience. Siddhartha Mukherjee, The Emperor of All Maladies : In 2005, a man diagnosed with multiple myeloma asked me if he would be alive to watch his daughter graduate from high school in a few months. In 2009, bound to a wheelchair, he watched his daughter graduate from college. The wheelchair had nothing to do with his cancer. The man had fallen down while coaching his youngest son's baseball team. Mukherjee also makes an effort to highlight the critical role of raising awareness in shaping public health outcomes. ‘Jimmy’ was a cancer patient that represented children with cancer, his real name was Einar Gustafson, but his individual story was able to galvanise large-scale support. As the face of the ‘Jimmy Fund’, he was able to assist in raising $231,485.51 for the Dana-Farber Institute subsequently becoming the official charity for the Boston Red Sox. Mukherjee underscores how storytelling can serve as a catalyst for change, not just in raising money, but also in enacting larger societal and governmental shifts. In 1971, President Richard Nixon signed the National Cancer Act, the first of its kind where federal funding went directly into advancing cancer research. What struck me most was how Mukherjee connects this historical event to the broader need for advocacy, as science doesn’t just happen in the lab. It is a collective effort, driven by awareness, to push funding and influence policy. The ability to link individual stories to broader missions, as Mukherjee illustrates, continues to be one of the most effective strategies in keeping cancer research in the public eye. Mukherjee delves into the pivotal role of genetics in cancer research, tracing its evolution from the discovery of DNA's structure by Francis Crick, James Watson, and Rosalind Franklin to Robert Weinberg's ground-breaking work on how proto-oncogenes and tumour suppressors drive cancer progression. These discoveries ushered in a new era in cancer drug development. Mukherjee also emphasises the importance of collaboration and the rise of the internet, which gave birth to The Cancer Genome Atlas, a landmark program, that unites various research disciplines to diagnose, treat, and prevent cancer. In concluding the book, Mukherjee looks ahead to the future of cancer treatment, seamlessly connecting this discussion to his second book, The Gene . This book takes readers on a remarkable journey through the history of cancer, from the earliest recorded cases to groundbreaking discoveries in genetics. It weaves together compelling personal stories as well as pivotal moments in governmental policy. The storytelling is rich and immersive, drawing you in with its detail and depth. By the time you finish, you'll find yourself returning to its pages, eager to revisit the knowledge and insights it offers. Written by Saharla Wasarme Related book review: Intern Blues Project Gallery

Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Beyond the bump: unravelling traumatic brain injuries 16/01/25, 11:27 Last updated: Published: 15/10/24, 11:32 The yearly incidence of TBI is around 27 and 69 million people worldwide A traumatic brain injury (TBI) is one of the most serious and complex injuries sustained by the human body, often with profound and long-term effects on an individual’s physical, emotional, behavioural and cognitive abilities. What is a traumatic brain injury? A TBI results from an external force which causes structural and physical damage to the brain. The primary injury refers to the immediate damage to the brain tissue which is caused directly by the event. Whereas secondary injuries result from the cascade of cellular and molecular processes triggered by the initial injury and develop from hours to weeks following the initial TBI. Typically, the injury can be penetrating, where an object pierces the skull and damages the brain, or non-penetrating which occurs when the external force is large enough to shake the brain within the skull causing coup- contrecoup damage. Diagnosis and severity The severity of a TBI is classified as either mild (aka concussion), moderate, or severe, using a variety of indices. Whilst more than 75% of TBIs are mild, even these individuals can suffer long-term consequences from post-concussion syndrome. Here are two commonly used measures to initially classify severity: The Glasgow Coma Scale (GCS) is an initial neurological examination which assesses severity based on the patient’s ability to open their eyes, move, and respond verbally. It is a strong indicator of whether an injury is mild (GCS 13-15), moderate (GCS 9-12) or severe (≤8). Following the injury and any period of unconsciousness, when a patient has trouble with their memory and is confused, they are said to have post-traumatic amnesia (PTA). This is another measure of injury severity and lasts up to 30 30 minutes in mild TBI, between 30 minutes and 24 hours in moderate TBI, and over 24 hours in severe TBI. Imaging tests including CT scans and MRIs are used to detect brain bleeds, swelling or any other damage. These tests are essential upon arrival to the hospital, especially in moderate and severe cases to understand the full extent of the injury. Leading causes of TBI Common causes of TBI are a result of: Falls (most common in young children and older adults) Vehicle collisions (road traffic accidents- RTAs) Inter-personal violence Sports injuries Explosive blasts Interestingly, the rate of TBI is 1.5 times more common in men than women. General symptoms The symptoms and outcome of a TBI depend on the severity and location of the injury. They differ from person to person based on a range of factors which include pre-injury sociodemographic vulnerabilities including age, sex and level of education, as well as premorbid mental illnesses. There are also post-injury factors such as access to rehabilitation and psychosocial support which influence recovery. Due to this, nobody will have the same experience of a TBI, however there are some effects which are more common than others which are described: Mild TBI: Physical symptoms: headaches, dizziness, nausea, and blurred vision. Cognitive symptoms: confusion, trouble concentrating, difficulty with memory or disorientation. Emotional symptoms: mood swings, irritability, depression or anxiety. Moderate-to-severe TBI: Behavioural symptoms: aggression, personality change, disinhibition, impulsiveness. Cognitive symptoms: difficulties with attention and concentration, decision making, memory, executive dysfunction, information processing, motivation, language, reasoning, self-awareness. Physical symptoms: headaches, seizures, speech problems, fatigue, weakness or paralysis. Many of these symptoms are ‘hidden’ and can often impact functional outcomes for an individual, such as their capacity for employment and daily living (i.e., washing, cooking, cleaning etc.). The long-term effects of TBI can vary, with some returning to normal functioning. However, others might experience lifelong disabilities and require adjustments in their daily lives. For more information and support, there are some great resources on the Headway website, a leading charity which supports individuals after brain injury. Written by Alice Jayne Greenan Related article: Neuroimaging Project Gallery