Culture

New research from the University of South Australia finds that Australian businesses are ill-prepared for mandatory modern slavery reporting, with more than two-thirds of ASX 100 companies unable to produce a disclosure statement about potentially exploitative labour practices.

It is a concerning finding given that initial reporting periods have already commenced requiring Australian businesses to deliver their first modern slavery statements by 31 December 2020.

UniSA researchers Dr Katherine Christ and Dr Kathy Rao say that in order to meet the requirements of Australia’s Modern Slavery Act, businesses must significantly ramp up their efforts to ensure they have the systems and procedures ready to report on modern slavery.

“Under federal legislation, businesses with turnovers of more than $100 million must declare what they’re doing to eradicate slavery in their operations and supply chains, yet evidence shows the majority of Australian businesses are underprepared,” Dr Katherine Christ says.

“While a third of Australian businesses sampled in this research were able to produce a modern slavery statement, the volume and quality of their disclosures was low – typically narrative and descriptive of policy – plus there were many inconsistencies of where and how it was reported.

“The general nature of these disclosures just isn’t enough. For Australian businesses to appropriately report on modern slavery, they must be able to produce systematic quantitative data with associated targets and finances.”

Modern slavery is the illegal and inappropriate labour practices that include human trafficking, forced labour, child labour, organ trafficking, sex exploitation, debt bondage and other slavery-like practices. Driven by consumer demand for cheap goods it is embedded within many of the products used by Australians every day, including 73 per cent of imported computers, mobile phones and laptops (representing an estimated US$7.0 billion) and 70 per cent of imported clothing and accessories (representing an estimated US$4.5 billion).

Globally, more than 40 million people are trapped in modern slavery with nearly 25 million of these forced into slave labour. In Australia, 15,000 people are victims of modern slavery.

This research is the first to consider the state of modern slavery disclosures within an Australian context, providing a useful benchmark against which the impact of Australia’s Modern Slavery Act can be measured.

Dr Kathy Rao says that eradicating modern slavery requires commitment across all levels of Australian business.

“Modern slavery is a far-reaching and devastating issue, but the responsibility to eliminate it does not sit with business alone,” Dr Rao says.

“While all businesses have a responsibility to mitigate the risks of modern slavery, addressing modern slavery requires a joint and ongoing commitment from all parties including governments, business leaders and boards, suppliers, contractors, NGOs, researchers, professional bodies and the general public.

“Only through a committed process of ongoing and continuous improvement will we be able to ensure modern slavery is truly a thing of the past.”

The European project Diverfarming, founded by the European Commission within its Horizon 2020 programme, not only seeks environmental sustainability among crop diversification and low input management practices, but also seeks to implement sustainable innovations into the agri - food supply chain making it more sustainable too. In this way, value chain actors will also obtain benefits such as economic stability.

On the way to getting these agri - food supply chain improvements, researchers from Diverfarming investigate into two different ways: the design and analysis of the value chains and the framework for relevant policies.

The latest advance in this field has been the release of a study on how partnering can promote sustainability in agri-food supply chains focusing on the case of Barilla Sustainable Farming in the Po Valley (Italy).

While climate change, eating habits, pesticides pollution, decrease in the amount of arable land available and intensive exploitation of the natural resources like the soil (in continuous decline in fertility) are issues that threaten the sustainability and stability of the agri-food market; it is necessary to address these issues from different areas.

Considering that multinationals are in charge of the food production system, they should stimulate democratic multi - level governance to make food production more sustainable, some researchers have proposed the so-called multi - stakeholder partnerships (MSP), that means some different groups sharing a common problem or objective while having different interests.

Within this approach, Diverfarming researchers Barbara Pancino and Emmanuele Blasi from University of Tuscia, Stefano Pascucci from University of Exeter and Cesare Ronchi from Barilla G&R Fratelli SPA have studied de case of Barilla Sustainable Farming (BSF), an initiative currently designing a multi - stakeholder partnership and implementing some type of agreements between the different stakeholders.

This initiative is carried out by the Barilla group that, in 2013, introduced sustainable agriculture practices by establishing horizontal agreements between Co.Pro.B, Cereal Docks and Casalasco Tomato Consortium, its main input suppliers. Through this agreement the three companies integrated their supply chains by means of a crop rotation system that combines wheat crops, sugar beet, rapeseed, and sunflower. Although the agreements are now bilateral, they are working on change it to a multilateral one.

After the study, a two - level approach to implement the crop rotation system is suggested in the scientific article. The first level is a contract to involve farmers around the benefits of crop diversification while the second one refers to the collaboration between the stakeholders in the partnership seeking to integrate the supply chains, the collaboration between partners and the development of a set of contracts that can be offered to the farmers. With this type of partnership and multi - stakeholder partnerships the implementation of crop diversification and other sustainable management practices could be effective and useful for achieving a more sustainable agricultural system throughout Europe.

Diverfarming is a project financed by the Horizon 2020 Programme of the European Commission, within the challenge of "Food Security, Sustainable Agriculture and Forestry, Marine, Maritime and Inland Water Research and the Bioeconomy", which counts on the participation of the Universities of Cartagena and Córdoba (Spain), Tuscia (Italy), Exeter and Portsmouth (United Kingdom), Wageningen (Netherlands), Trier (Germany), Pecs (Hungary) and ETH Zurich (Switzerland), the research centres Consiglio per la ricerca in agricoltura e l'analisi dell'economia agraria (Italy), the Consejo Superior de Investigaciones Científicas (Spain) and the Natural Resources Institute LUKE (Finland), the agrarian organisation ASAJA, and the companies Casalasco and Barilla (Italy), Arento, Disfrimur Logística and Industrias David (Spain), Nieuw Bromo Van Tilburg and Ekoboerdeij de Lingehof (Netherlands), Weingut Dr. Frey (Germany), Nedel-Market KFT and Gere (Hungary) and Paavolan Kotijuustola and Polven Juustola (Finland).

What The Study Did: This study used national insurance claims data for about 988,000 women to look at the association between an opioid prescription after a vaginal or cesarean delivery and rates of new persistent opioid use among U.S. women.

Authors: Alex F. Peahl, M.D., of the University of Michigan in Ann Arbor, is the corresponding author.

(doi:10.1001/jamanetworkopen.2019.7863)

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

Boston - The population in the United States is expected to become increasingly older, with estimates indicating that by the year 2030, nearly 40 percent of Americans will be over the age of 65.

As people are living longer, their skin is not only chronologically, or biologically aging, but it is also being exposed to environmental factors, such as sunlight, which can cause age-related damage to the skin.

Neelam Vashi, MD, director of the Center for Ethnic Skin at Boston Medical Center, has published a review paper in Clinics in Dermatology that discusses how aging presents in patients, and the differences that are attributed to skin type, exposures and genetic factors.

For the review, the researchers examined 41 peer-reviewed published articles between 1970 and 2018 that focused on aging in ethnic skin through PubMed. The data included in the articles demonstrate that all skin types will show signs of damage from exposure to Ultraviolet rays from the sun, which include skin discoloration, loss of collagen and/or skin cancer.

Here are some key findings from the review:

Melanin is a key difference in those of light and dark skin types

Patients of color are more likely to experience changes in pigmentation (dyschromia)

Key differences in fibroblasts (cells that promote wound healing and collagen production) account for increased skin thickness of African-American patients, resulting in wrinkles that appear several years later than white counterparts

Patients of East Asian descent have a higher likelihood of experiencing hyperpigmentation, but wrinkles don't form as early in the aging process

Patients of Hispanic descent also experience fewer wrinkles earlier in the aging process

Patients of Caucasian descent (European, North African, Southwest Asian ancestry) more commonly have thinner skin and experience wrinkles, loss of skin elasticity, and reduced lip volume

"Aging is inevitable, and each person will have a unique experience with how their skin changes as it ages," said Vashi, who is also an associate professor of dermatology at Boston University School of Medicine.

As a dermatologist, Vashi treats a large number of patients for a variety of skin conditions related to aging. The one treatment she always recommends is UV protection, which helps shield all skin types from the sun's harmful rays. "Skin cancer is the most common type of cancer in the US, and using sunscreen is an extremely important practice to protect your skin," added Vashi.

Some of the other available treatments for skin aging include:

Topical agents, antioxidants, chemical peels and lasers can be effective to treat dyschromia

Botulinum and toxin and soft-tissue fillers can help treat wrinkles and sagging skin

NEW YORK, NY (JULY 26, 2019) -- Although fewer young people with ADHD are treated with antipsychotic drugs than suspected, many prescriptions for the drugs do not appear to be clinically warranted, according to a new study from psychiatry researchers at Columbia University Vagelos College of Physicians and Surgeons. They also found that antipsychotic use among youths with ADHD was highest among preschool-age children.

Background

In recent years, pediatricians and parents have expressed concern that some physicians are prescribing antipsychotic drugs to youths with ADHD who have significant aggressive or impulsive behavior. Youths with ADHD who are treated with antipsychotics are often also diagnosed with depression, oppositional defiant disorder (ODD), or conduct disorders (CD), even though there is limited evidence that the drugs are effective for ODD or CD and no evidence they are effective in treating depression.

"We didn't know how widespread this practice was among young people starting ADHD treatment," says senior author Mark Olfson, MD, MPH, Elizabeth K Dollard Professor of Psychiatry, Medicine, and Law at Columbia University Vagelos College of Physicians and Surgeons. "There are substantial risks associated with the use of antipsychotic drugs in young people, including weight gain, hyperlipidemia, diabetes, and even unexpected death."

To determine the prevalence of antipsychotic use in youths with ADHD, the researchers analyzed medical and prescription drug data on 187,563 commercially insured youths (ages 3 to 24) who were diagnosed with ADHD between 2010 and 2015. None of the youths had a recent coexisting psychiatric diagnosis (such as schizophrenia or bipolar disorder) that would warrant treatment with antipsychotic drugs.

What the Study Found

The researchers found that 2.6% of youths diagnosed with ADHD were prescribed an antipsychotic drug within a year of diagnosis--four times the rate among young people in general. Antipsychotic drug use was highest (4.3%) in the youngest children diagnosed with ADHD, those aged 3-5 years.

In about half of those taking antipsychotic drugs, the researchers identified a potential diagnostic rationale--such as bipolar disorder, psychosis, ODD, or CD--for prescribing them.

"While antipsychotics are not FDA-approved for these diagnoses, there is scientific evidence to support their use in treating severe symptoms of ADHD," says Ryan S. Sultan, MD, lead author of the paper and assistant professor of clinical psychiatry at Columbia University Vagelos College of Physicians and Surgeons.

The study also found that fewer than half of the children and adolescents taking antipsychotic drugs had been treated first with stimulants such as Adderall and Ritalin, the recommended medication treatment for ADHD.

"Many physicians bypassed stimulants and went right to antipsychotics--contrary to expert opinion about treatment for ADHD, and unnecessarily exposing patients to the risk of severe side effects such as substantial weight gain," adds Sultan.

What the Study Means

"It's reassuring that only a relatively small percentage of these children were prescribed antipsychotics," Olfson says. "But we should be working to reduce that number even further. For at least half of the young people in our sample who were prescribed antipsychotics, we couldn't find a rationale in their claims records to explain why they were taking these medications."

"While hospitalization and use of other medications may be markers for more severe symptoms, we don't have enough information from these records to determine symptom severity," adds Sultan. "Antipsychotic medications play a small role in the treatment of severe ADHD symptoms, but in the absence of severe symptoms, there are safer, more effective medications for youths with ADHD."

Both Sultan and Olfson suggested that many of the behavioral symptoms that prompted physicians to prescribe antipsychotic medications as an initial treatment might have been resolved by prescribing recommended ADHD medications first.

EAST LANSING, Mich. -- Alexandra Kravchenko, Michigan State University professor in the Department of Plant, Soil and Microbial Sciences, and several of her colleagues recently discovered a new mechanism determining how carbon is stored in soils that could improve the climate resilience of cropping systems and also reduce their carbon footprints.

The findings, published last week in the scientific journal Nature Communications, reveal the importance of soil pore structure for stimulating soil carbon accumulation and protection.

"Understanding how carbon is stored in soils is important for thinking about solutions for climate change," said Phil Robertson, University Distinguished Professor of Plant, Soil and Microbial Sciences, and a co-author of the study. "It's also pretty important for ways to think about soil fertility and therefore, crop production."

The study was conducted through the MSU Great Lakes Bioenergy Research Center, funded by the U.S. Department of Energy, and the Kellogg Biological Station Long-term Ecological Research program funded by the National Science Foundation, or NSF, and it was supported by NSF's Division of Earth Sciences.

Over a period of nine years, researchers studied five different cropping systems in a replicated field experiment in southwest Michigan. Of the five cropping systems, only the two with high plant diversity resulted in higher levels of soil carbon. Kravchenko and her colleagues used X-ray micro-tomography and micro-scale enzyme mapping to show how pore structures affect microbial activity and carbon protection in these systems, and how plant diversity then impacts the development of soil pores conducive to greater carbon storage.

John Schade, from the NSF Division of Environmental Biology, said the results may transform the understanding of how carbon and climate can interact in plant and soil microbial communities.

"This is a clear demonstration of a unique mechanism by which biological communities can alter the environment, with fundamental consequences for carbon cycling," Schade said.

"One thing that scientists always tend to assume is that the places where the new carbon enters the soil are also the places where it is processed by microbes and is subsequently stored and protected," Kravchenko said. "What we have found is that in order to be protected, the carbon has to move; it cannot be protected in the same place where it enters."

Scientists have traditionally believed soil aggregates, clusters of soil particles, were the principal locations for stable carbon storage.

Recent evidence, however, shows that most stable carbon appears to be the result of microbes producing organic compounds that are then adsorbed onto soil mineral particles. The research further reveals that soil pores created by root systems provide an ideal habitat where this can occur.

Of particular importance are soils from ecosystems with higher plant diversity. Soils from restored prairie ecosystems, with many different plant species, had many more pores of the right size for stable carbon storage than did a pure stand of switchgrass.

"What we found in native prairie, probably because of all the interactions between the roots of diverse species, is that the entire soil matrix is covered with a network of pores," Kravchenko said. "Thus, the distance between the locations where the carbon input occurs, and the mineral surfaces on which it can be protected is very short.

"So, a lot of carbon is being gained by the soil. In monoculture switchgrass the pore network was much weaker, so the microbial metabolites had a much longer way to travel to the protective mineral surfaces," explained Kravchenko.

Robertson said the research may prompt farmers to focus on plant diversity when attempting to increase soil carbon storage.

"We used to think the main way to put more carbon in soil is to have plants produce more biomass either as roots or as residue left on the soil surface to decompose," Robertson said.

"What this research points out is that there are smarter ways of storing carbon than such brute force approaches. If we can design or breed crops with rooting characteristics that favor this kind of soil porosity and therefore that favor soil carbon stabilization, that would be a pretty smart way to design systems that can build carbon faster."

Nick Haddad, director of the Kellogg Biological Station Long-term Ecological Research program, said research that builds from these findings will continue to discover ways to improve the sustainability of agricultural ecosystems and landscapes.

"Long-term research shows surprising ways that a diversity of plants can benefit the microbes needed for a resilient agricultural system," Haddad added.

(Note for media: Please include a link to the original paper in online coverage: https://www.nature.com/articles/s41467-019-11057-4)

More than 64% of employed Russians work evenings, nights or weekends, and this is one of the highest figures among European countries. Andrei Shevchuk and Anna Krasilnikova from HSE University were the first to study the extent of nonstandard working hours in Russia and its impact on work-life balance.

Departure from Traditions

A five-day week of eight-hour workdays, with two days off, is the generally accepted standard of employment. But deviations from this schedule are not uncommon, and emergency services are not the only ones operating 24/7.

The negative effects of unconventional working schedules are well known and include disruption of biological and social rhythms and damage to health and subjective wellbeing.

Interference with circadian rhythms has been found to cause depression, headaches and burnout as well as limiting one's quality time with loved ones and eroding family relations and social life. Chronic fatigue and sleepiness can lead to workplace accidents and injuries.

These are the findings of international researchers. Similar studies in Russia have been limited to specific groups such as freelancers and employees of certain services and call centres, but no general conclusions or quantitative assessments have been published so far.

Night Shift Majority

The first attempt to assess the scale of the problem was based on data from the European Social Survey Round 5 (?SS, 2011), which included questions about working evenings, nights and weekends.

The findings were startling. According to the study authors,

only 41% of employed Russians do not work evenings and nights, and only 23% do not work at weekends;

one in two employees works evening/night shifts at least a few times each month, and one in four works evenings or nights several times a week or every day;

some 60% work on Saturdays and Sundays at least once every month, and about one-half work at weekends several times a month or every week;

36% of employees face both types of work schedules, i.e. evening/night shifts as well as working weekends.

Overall, slightly more than 64% of Russian employees are engaged in nonstandard work schedules on a consistent basis. These are primarily men, top and middle managers, highly-skilled industrial personnel, as well as those employed in agriculture, retail and service sectors.

Ahead of Other Countries

Conducted in 27 countries, the ESS found that countries with the highest rates of nonstandard working hours included Croatia (71%), Greece (70%) and Poland (65%), while those where nonstandard schedules were less common included Denmark, France and Portugal (51% each), Bulgaria (50%), the Netherlands (49%), and Israel (44%).

Russia ranked in the top four countries in terms of all types of nonstandard working schedules combined and also showed a high rate (36%) of dual nighttime and weekend work (30% average across countries).

But according to the researchers, the actual prevalence of nonstandard working hours may be even greater, since an estimated one-third of working Russians have additional employment, whereas ESS questions focused on respondents' main place of work only.

Disrupted Balance

In terms of subjective wellbeing and self-esteem, one's perception of work-life balance (family/ partnership, household work, cultural development, hobbies, sports, recreation and entertainment) is particularly affected by nonstandard working hours.

The researchers applied regression analysis using a specially constructed index - the average value of three variables (based on responses to three ESS questions) - to measure the deviation from the equilibrium:

How often does a person feel too tired after work to enjoy the things they would like to do at home?

How satisfied are they with the balance between the time they spend on their paid work and the time they spend on other aspects of life?

How often do they find that their job prevents them from giving the time they want to their partner or family?

The lower the index, the harder it is for the subject to maintain work-life balance, and all types of nonstandard working schedules have been found to play a role.

According to the study authors, 'Someone can feel a deterioration of their work-life balance just by working evenings/nights a few times a month or weekends once a month'.

The negative impact of night shifts grows with increasing frequency: the more often one is required to work nights, the lower the chances of a balanced life. In contrast, the frequency of weekend work does not seem to make a difference: no matter whether one has to work weekends once a month or once a week, the negative effect is the same.

DUARTE, Calif. -- PD-L1 checkpoint inhibitors are a powerful and growing form of immunotherapy used to treat melanoma, kidney cancer, head and neck cancers, Hodgkin's lymphoma and other cancers. The PD-L1 protein is expressed on tumor cells and aids the cancer by signaling to immune cells, such as T cells, to stop working against tumors.

Checkpoint inhibitors, also called anti-PD-L1 monoclonal antibodies, block the PD-L1 protein to help the immune system and, specifically, T cells, do what they're designed to do, eradicate cancer. However, in some instances, anti-PD-L1 antibodies show anti-tumor activity in patients whose tumors do not express PD-L1.

Now, for the first time, City of Hope scientists have discovered that natural killer (NK) cells provide one reason why anti-PD-L1 antibodies might work when tumor cells do not express PD-L1. The study, published today in Cancer Discovery, found that NK cells can also express PD-L1 in some cancer patients. PD-L1 expression on the NK cells identifies them as charged or highly activated and can demonstrate anti-tumor activity.

Further, when bound by the anti-PD-L1 antibody, the NK cells can kill the tumor cell better regardless of PD-L1 expression on the tumor cells.

If an NK cell expressing PD-L1 is treated with a PD-L1 antibody, the interaction activates PD-L1+ NK cells to control the growth of tumors by killing those tumors and by the secretion of cytokines. This demonstrates a novel mechanism of action that provides a significant role for the NK cell and the anti-PD-L1 antibody in anti-tumor activity especially in instances where the tumor cell does not express PD-L1.

"We have provided a scientific explanation as to how checkpoint inhibitor therapy can work when there's no checkpoint expressed on a patient's cancer cells," said Jianhua Yu, Ph.D., one of the study's senior authors, City of Hope professor in the Department of Hematology & Hematopoietic Cell Transplantation, and a Scholar of The Leukemia & Lymphoma Society. "Using checkpoint inhibitors for NK cells with PD-L1 expression can lead to stronger anti-cancer activity, providing us with another powerful therapy against even more cancers."

Michael Caligiuri, M.D., the study's other senior author, president of City of Hope National Medical Center and Deana and Steve Campbell Physician-in-Chief Distinguished Chair, M.D., noted that NK cells comprise a group of innate immune cells that can attack cancer and viral infections. But there's been no research on how PD-L1 and NK cells interact against cancer.

"Natural killer cells are the body's first line of defense against cancer and viral infections," Caligiuri said. "When NK cells detect tumor or viral cells in the body, they have the potential to kill them immediately. But in those with cancer, tumors have developed mechanisms to circumvent NK cells and T cells. We believe PD-L1 expression on NK cells identifies tumors that could be susceptible to destruction by NK cells, thereby providing a new immunotherapeutic avenue to explore."

The scientists studied PD-L1+ and PD-L1- NK cells in both humans and mice with PD-L1- tumors. PD-L1+ NK cells, upon encountering and being activated by NK-susceptible tumor cells, secreted more cytokines and cytolytic granules, which both increased the immune cells' effectiveness. PD-L1+ NK cells, which can also be generated in the laboratory by culturing with some tumor cells or with cytokines, killed more tumor cells in vitro than NK cells that were PD-L1- or than NK cells that do not see tumor cells or cytokines. These results were able to be repeated in an in vivo mouse model containing human NK cells.

Researchers also found that NK cells from a majority of 79 AML patients examined had expressed moderate to high levels of PD-L1, and those who entered a complete remission from their leukemia had a higher percentage of PD-L1+ NK cells at the time of remission when compared to diagnosis. In contrast, patients who failed to enter a complete response had no change in the percentage of PD-L1+ NK cells at remission when compared to diagnosis.

Because the percentage of PD-L1+ NK cells following chemotherapy correlated with a positive clinical response - in contrast to those AML patients whose NK cells did not express PD-L1 - the study's authors believe a next step could be a clinical trial for particular AML patients displaying an increase in PD-L1+ NK cells at the time of remission. The trial would include anti-PD-L1 monoclonal antibodies with or without NK cell-activating cytokines, thereby exploiting a novel pathway that is independent of T cells and PD-1, the other target for checkpoint inhibitor therapy.

City of Hope is also planning similar clinical trials for patients with other cancers such as lung cancer.

BOSTON - Using novel transgenic mouse models they developed, Massachusetts General Hospital (MGH) investigators have provided new evidence that it is the ratio of omega-6 and omega-3 fatty acids, rather than the total amount of them, that influences risk of developing chronic disease. This work has important implications for wellness and dietary guidelines. Their paper is just out in Nature's Communications Biology.

"Understanding of the differential effects of these two classes of polyunsaturated fatty acids on the development of chronic disease is important but challenging due to confounding dietary factors. We have developed a unique approach to address that." says the study's senior author Jing X. Kang, MD, PhD, director of the Laboratory for Lipid Medicine and Technology at MGH and associate professor of Medicine at Harvard Medical School. The team led by Kang has created several novel mouse models for studying health effects of omega-6 and omega-3 fatty acids.

The role of polyunsaturated fatty acids (PUFAs) in human health has long been debated but is of great interest. They are one of many factors thought to influence chronic disease, such as obesity, type 2 diabetes, cardiovascular disease, and cancer, but studies have shown inconsistent results regarding exactly how they impact risk. The MGH researchers' new paper lends important new evidence to this field by using mouse models that helps eliminate some of the myriad confounding dietary factors that affect studies in this field. The transgenic mice used are identical -- except in the levels of n-6 and n-3 they naturally produce, whatever their diet.

The researchers used four strains of mice for their study, a wild type or "normal" mouse, and then three related mouse strains engineered to produce varying levels of n-6 and n-3 PUFA, no matter what they were fed. These mice can synthesize sufficient levels of specific PUFAs to adjust for dietary factors that would normally disrupt PUFA levels.

The MGH team studied whether the four types of mice showed different rates of metabolic disorders, including metabolic endotoxemia, systemic inflammation, obesity, fatty liver, glucose intolerance, and cancer. The mice that over-produced n-6 PUFA had a higher risk of metabolic disease and cancer, while mice able to convert n-6 to n-3, thereby lowering the ratio, showed a healthier phenotype. The researchers were also able to uncover details about the molecular interactions between these fatty acids and biological networks. For example, the alteration of the PUFA n-6 to n-3 ratio led to changes in the gut microbiome and fecal and serum metabolites.

"The beauty of these mouse models is that they reduce confounding effects," says the study's lead author Kanakaraju Kaliannan, MD, MGH investigator of the study and instructor in Medicine at Harvard Medical School. "We will be able to use them to study many other things, including how PUFA levels specifically impact disease risk."

"Many lines of evidence now support the notion that the omega-6/omega-3 imbalance is a critical factor that contributes to the development of chronic disease," Kang added. "Balancing the PUFA ratio may be a safe and effective solution to some modern health problems." His team is currently working on translational research to explore the clinical utility of the balancing intervention and the feasibility of using the tissue omega-6/omega-3 ratio as a new health biomarker.

Some countries' Paris Climate Agreement pledges may not be as ambitious as they appear, a new study has found.

The Paris Agreement takes a bottom-up approach to tackling climate change, with countries submitting pledges in the form of nationally determined contributions (NDCs) to greenhouse emissions.
However, writing today in Environmental Research Letters, researchers from the Autonomous University of Barcelona (UAB), Spain, reveal a lack of consistency and transparency between the various commitments.

Lead author Lewis King, from UAB, said: "The Paris Climate Agreement was a step in the right direction for international climate policy. But in its current form, it is at best inadequate and at worst grossly ineffective.

"Our study highlights significant issues around transparency and consistency in the agreement's pledges, which may be a contributory factor towards the lack of ambition in the pledges from some parties."

Co-author Professor Jeroen van den Bergh explained: "The sum of the agreement's national pledges on greenhouse gas emission mitigation - in the form of NDCs - falls short of meeting the agreement's 2°C target."

To shed light on the reasons behind this, the researchers analysed the different country-level commitments by categorising and normalising them to make them comparable. Their four categories were:

Absolute emission reduction targets - absolute emission reductions for a target year in percentage terms relative to a historic base year. The base year is set by the country and ranges from 1990 to 2014, while the target year is typically 2030, and in a few cases 2025.

´Business as usual´ (BAU) reduction - a percentage reduction in emissions relative to a 'business as usual' scenario, typically to 2030. It is defined by each country itself, causing a large variance in emissions growth among scenarios.

Emission intensity reductions - a reduction in emission intensity per GDP relative to a historic base year.

Projects absent of GHG-emission targets - NDCs that do not include an explicit greenhouse gas emission target.

The researchers assessed these categories by adding the dimensions of geographic region and emission intensity per capita.

Mr King said: "Our normalisation of the pledges effectively converts them all to the absolute emission reduction target format, but indicating actual emission change - whether positive or negative - compared with a consistent base year.

"We found that authentic absolute reduction pledges had the highest ambition in terms of tangible emissions reduction. By contrast, pledges in the other three categories tend to produce low ambitions with significant emissions increases of 29-53 per cent at a global level.

"Significantly, we found that Northern America and the EU were the only regions aiming for absolute reductions in emissions. In the Middle East and North Africa, and South Asia, substantial increases are expected."

Professor van de Bergh said: "The current format of the pledges mean it's difficult to accurately assess and compare what the pledges mean in actual emissions terms.

"For example, Russia, India and Pakistan all frame their NDCs in terms of percentage reductions; Russia relative to a base year, India relative to emissions per GDP and Pakistan relative to a BAU scenario. However, after the normalisation, the pledges result in substantial percentage increases in emissions by 2030. Not only does this make the associated pledges difficult to interpret and compare to other pledges without detailed analysis, but may produce a psychological effect of reducing ambition level due to framing the pledge as a percentage reduction even though emissions actually increase."

Mr King added: "Society has the right to be able to clearly understand and compare climate change commitments by countries, including whether they are fair, ambitious and add up to international climate goals. We also know that providing consistent and easily comparable information about national climate goals helps with public acceptance.

"The current lack of transparency and consistency will hinder the NDC process. To move forward, we suggest the principles of transparency and consistency from the TACCC framework are extended to the framing of the NDCs themselves. This would be easy to achieve, by having countries convert their pledges into clear emission targets relative to the most recent available base year, inclusive of all significant gases and sectors.

"Not only can this help produce targets of greater ambition that are more open to external scrutiny, but it also will assist in improving effectiveness through minimising counterproductive systemic effects."

Central London's freshwater sources contain high levels of antibiotic resistant genes, with the River Thames having the highest amount, according to research by UCL.

The Regent's Canal, Regent's Park Pond and the Serpentine all contained the genes but at lower levels than the Thames, which contained genes providing resistance for bacteria to common antibiotics such as penicillin, erythromycin and tetracycline.

The genes come from bacteria in human and animal waste. When antibiotics are taken by humans much of the drug is excreted into the sewer system and then into freshwater sources. The presence of antibiotics in these water sources provides an environment where microbes carrying the resistance genes can multiply quicker and share their resistance with other microbes.

Project lead Dr Lena Ciric (UCL Civil, Environmental & Geomatic Engineering) said: "This shows that more research is needed into the efficiency of different water treatment methods for antibiotic removal, as none of the treatments currently used were designed to incorporate this.

"This is particularly important in the case of water bodies into which we discharge our treated wastewater, which currently still contains antibiotics. It is also important to look into the levels of antibiotics and resistant bacteria in our drinking water sources."

There is currently no legislation to remove antibiotics or the resistant genes from water sources, implying that antibiotics and the resistant genes could be present in small amounts in drinking water, although this would require testing.

The Thames is likely to have higher levels of antibiotics and resistant genes because a large number of wastewater treatment works discharge into it both upstream and in London.

Antibiotics entering the sewer system are diluted through flushing, but even low levels can encourage resistance genes to multiply and spread to more microbes.

The research team developed a DNA-based method which can provide information about the number of each of the resistant genes per litre of water. They then compared the numbers of the resistant genes in the different London water systems.

The team are now experimenting with removing antibiotics and the resistant bacteria and genes from water taken from London's natural water system using slow sand filtration, which is a form of drinking water treatment.

This technique is used around the world including at Thames Water's Coppermills Treatment Works which provides drinking water for most of north east London. They are investigating using different variations of the filtration, with changing proportions of sand and activated carbon and different flow rates.

Like Kenny Rogers' gambler, who has to "know when to hold 'em, know when to fold 'em," banks face financial risks and uncertainty when deciding when to chase consumers who default on their credit card payments and when to let them go.

A new study from the McCombs School of Business at The University of Texas at Austin analyzes delinquent credit card user behaviors and develops a predictive model for sorting them into categories based on whether they are more or less likely to pay back their overdue debt.

The model was developed by Naveed Chehrazi, assistant professor of information, risk and operations management at the McCombs School, and co-authors Peter Glynn from Stanford University and Thomas Weber from École Polytechnique Fédérale de Lausanne. Their research was recently published in the journal Management Science.

"When you know how much capital is at risk when an account holder defaults, you are able to better assess the risk of an applicant and properly adjust the parameters of the account," Chehrazi said.

Banks typically rely on outside collection agencies to recoup significant credit card debts, but that can be expensive. Chehrazi and his fellow researchers worked with banks and collection agencies to develop a model so banks can determine when to chase a delinquent account and when to let it go.

Using information such as the likelihood of repayment and the amount still in debt, the method can help bankers decide the optimal collection strategy based on the state of the account and information about the user.

The optimal collection strategy maps any possible state of the account to an action. The model can help collection managers identify the right time and nature of an action, which can take the form of establishing contact, negotiating a repayment plan, or filing for a lawsuit. For example, the higher a person's unpaid debt, the more it makes sense for the bank to invest in strong actions to spur repayment. For smaller delinquencies, the cost of pursuit may not be worth it.

The research also develops an "economic balance threshold," a point at which the active pursuit of reclaiming debt no longer makes economic sense. For example, if a person initially owes $1,000, but after being contacted numerous times by credit collectors, pays his debt down to $100, the bank may be better off ceasing collection activities. This is because the person's inferred willingness and ability to pay suggest the portion of $100 that would be recovered by pursuing collection would not be enough to cover the cost of taking further action. From this perspective, the economic balance threshold of an account can be viewed as the minimum expected loss that a bank could incur when an account defaults.

The model could make it much easier for banks to determine what accounts are worth spending time and money on, but Chehrazi said the method can also be used in many different stages of the collection process.

"One application of this is determining how much capital reserve banks have to hold in order to properly take into account the risk of delinquency and loss," Chehrazi said. "It is useful for an account, it is useful for banks and also it is useful for the general consumer population. The benefit of this for the whole economy is that the risk of default is better accounted for and that the general population would have easier access to credit they need."

(Carlisle, Pa.) - An analysis of legal and regulatory strategies that may help combat rampant "photoshopping" and the portrayal of unrealistic beauty standards in advertising has been published in the American Journal of Law & Medicine.

Researchers from Harvard University, Dickinson College and Michigan State University College of Law are calling for industry regulation to curtail the digital alteration of images in advertising. Researchers say the well-documented connection between misleading beauty standards and harmful effects on public health--such as increased risk for eating disorders--makes the need to scale up prevention efforts an urgent matter.

"Many studies indicate exposure to unrealistic standards of beauty, such as through digitally-altered imagery, contribute to body dissatisfaction and disordered weight control behaviors," said Dickinson College Associate Professor of Psychology Suman Ambwani, a coauthor of the study. "Given the seriousness of eating disorders, which impact millions of Americans across genders, racial and ethnic groups and socioeconomic statuses, we must consider public health strategies to reduce eating disorder risk."

"We've known for years how harmful these ad images are to young people, especially to those struggling with body image and low self-esteem," said study principal investigator Professor S. Bryn Austin from the Harvard T.H. Chan School of Public Health. "But what we haven't known is what options we have to combat these images. In the U.S., where we have strong First Amendment rights that include advertisers too, we knew we'd need to come up with creative ideas to encourage businesses to do the right thing. Our study suggests that incentivizing companies to promote healthier advertising images will be good for business and good for the mental health of young people."

The analysis is the basis for #theRealMe Bill, which was introduced in the Massachusetts Legislature by Representative Kay Khan (D-Newton). The proposed legislation aims to accelerate change by providing tax incentives for companies using "realistic advertising"-images that do not change a model's skin tone or texture or body size and shape.

The researchers list tax incentives, like those offered in the Massachusetts bill, as one of several strategies to combat the proliferation of digitally altered images. They also examined the possibility of direct taxes, Federal Trade Commission regulation, voluntary incentives and industry self-regulation to change advertising behavior. They conclude that as pressure rises from consumers challenging digital manipulation practices in advertising and some companies adopt "no-photoshopping" campaigns, the time is ideal for policymakers, advocates and corporations to consider the options available to create innovative policy and improve health by reducing the harm caused by digitally manipulated images.

ANN ARBOR, Mich. - A new study found having an intensive care unit within the emergency department improved care and survival rates for the entire emergency department population.

"The time patients have to wait in the emergency department for inpatient critical care resources is increasing nationwide, and longer wait times for intensive care units have been associated with decreased survival rates," says Kyle Gunnerson, M.D., an associate professor of emergency critical care medicine at Michigan Medicine.

Gunnerson, the lead author on the study published in JAMA Network Open, examined Michigan Medicine's own emergency department-based intensive care unit, the Massey Family Foundation Emergency Critical Care Center - EC3, and its impact on the rest of the emergency department and the patients it serves.

"By applying cutting-edge critical care diagnostics and therapies to our sickest patients very early in their presentation to the emergency department, we were able to optimize their care in a way that improved outcomes and often reduced the need for an inpatient ICU admission," says Robert Neumar, M.D., Ph.D., professor and chair of emergency medicine at Michigan Medicine and the study's senior author.

Examining data

The EC3 is one of the most advanced emergency critical care centers in the country. The 7,800 square-foot unit opened in February 2015 and has five resuscitation trauma bays and nine patient rooms. The unit is adjacent to the main adult emergency department.

In the study, the research team collected data from electronic health records for all Michigan Medicine emergency department visits between September 1, 2012 and July 31, 2017, and divided them into a pre-EC3 implementation cohort and a post-EC3 implementation cohort. Then they examined 30-day patient mortality outcomes, as well as ICU admission rates, among all emergency department patients before and after EC3 implementation.

"By deploying this new critical care delivery approach in the EC3, we observed an improved survival rate among all of the emergency department patients in our data," says Gunnerson, the medical director of the EC3.

"Mortality rates decreased from 2.13 % pre-EC3 to 1.83% post-EC3 implementation, and the survival benefit was evident for up to 30 days after admission to the emergency department."

The research team also found a decrease in ICU admissions, from 3.2% pre-EC3, to 2.7% post-EC3.

"We were also able to safely decrease ICU admissions because we were able to rapidly initiate that level of care right in our own emergency department," Neumar says. "In addition to improving patient care within the emergency department, this strategy increased the availability of inpatient critical care resources to other patients already in the hospital or awaiting a transfer to our hospital."

Benjamin Bassin, M.D., an assistant professor of emergency medicine at Michigan Medicine and the EC3's director of clinical operations, explains that the findings of the study have an important impact on clinical care.

"Our study found that for every 333 patients that presented to our emergency room, we were able to save one life by utilizing our new clinical approach," says Bassin, a co-author on the study.

"At Michigan Medicine, we average about 250 emergency department visits each day, so an additional life was saved approximately every 36 hours because of this unit."

Future care

The EC3's medical team hopes this study proves the benefits of having a dedicated, emergency medicine department-based intensive care unit.

"We hope this study and the level of care we are able to provide in our EC3 will encourage other health systems to consider implementing an emergency medicine department-based intensive care unit in their own hospital," says Renee Havey, M.S., R.N., clinical nurse specialist of the EC3 and a co-author on the study.

Nathan Haas, M.D., an attending physician in the EC3 and a co-author on the study, agrees, "And if they can't build their own unit at this time, we hope this study offers them strategies they could tailor and use in their own current emergency department setting."

The EC3 team notes that the creation and implementation of the EC3 would not be possible without one main ingredient: teamwork.

"Through the entirety of the design process to its implementation, a large multidisciplinary team consisting of every job category within the emergency department helped us create this unique care delivery model that will impact our patients for years to come," Neumar says.

CLEMSON, South Carolina -- How many times have you wished you could give your younger self a piece of advice? Robin Kowalski, professor in Clemson University's psychology department, is willing to bet there's not a single person who hasn't thought about this at least once in the last year. Her research indicates the odds are pretty good that she's right.

Kowalski's results have revealed that many people have these thoughts multiple times per week, and for many this mental exercise is anything but futile. Her latest article in the Journal of Social Psychology, "If I knew then what I know now: Advice to my younger self," analyzes the results of two studies of more than 400 individuals 30 years of age or older. Kowalski said the results have been truly revealing about the nature of regret, how people can use it to self-actualize and what areas people tend to fixate on in their later years.

You shouldn't dwell on the past, right?

"My findings would suggest otherwise as long as you're not obsessing about it," Kowalski said. One third of the participants in the study spontaneously think about advice they would offer their younger selves at least once a week, which is a significant number.

These people -- and those who may think about the past a little less -- can benefit from doing so because it helps them conceptualize and even realize their "ideal self," which reflects who the person thinks they would like to be. "Following the advice helped participants overcome regret," Kowalski said. "When participants followed their advice in the present, they were much more likely to say that their younger selves would be proud of the person they are now."

Kowalski also found that almost half of participants said the advice they would offer their younger selves influenced their description of their future selves, whether that was "successful and financially stable" or "old and decrepit."

What areas do people tend to focus on when it comes to advice to the younger self?

Kowalski said the top three areas clearly are education, self-worth and relationships. Advice tied to education often was individuals urging themselves to return to or finish school and many participants offered a timeline, such as "get master's while in your 20s" or "finish college in four years."

Advice related to self-worth, such as "be yourself" or "think through all options before making a decision," tended to be more inspirational and corrective than the more temporal advice about education.

Kowalski said all of this advice, particularly related to relationships, can lead to corrective behavior. "My favorite piece of advice in the whole paper came from a guy who said 'Do. Not. Marry. Her.,'" Kowalski says. "That's valuable for the person that he is now because he can reflect and have a better idea of what he's looking for in an ideal mate, plus he can offer advice to others."

Does the younger self tend to be a certain age?

Kowalski's findings are consistent with research on the "reminiscence bump," which is the tendency for older adults to have increased recollection for events that occurred during their adolescence and early adulthood. Most of the advice participants offered to themselves was tied to a pivotal event that had occurred between the ages of 10 and 30.

"These are critical years; people go through high school and college, get married, have kids and start their careers," Kowalski said. "On the one hand you can say, 'Duh, of course these are important years,' but when we separated positive pivotal events and negative pivotal events, almost all of them fell into that time period. It's interesting to find clear evidence to support the reminiscence bump."

Will this research make it more likely that children will follow their parents' advice?

"No," Kowalski said, laughing, "but that's an interesting way of looking at things, because I think children between 10 and 30 tend to deny how similar they are to their parents. If they embraced it they might be more likely to listen to the advice their parents would have given to their younger selves, and the closest thing to that younger self is their children."

What surprised you about this research?

Kowalski said the honesty and poignancy of some of the responses were surprising. Many had to do with addiction, and one participant offered advice to his younger self that would have prevented a car accident that killed his uncle.

Kowalski's other research interests include cyberbullying and hazing, but she said she's only preoccupied with these "dark side" subjects because it helps her appreciate the light.

"There's a real emotional pull to this topic and it's what drew me to it in the first place," Kowalski said. "These are two of my favorite studies I've ever done because everyone can relate to it and everyone has asked themselves this question."

What could a young Robin Kowalski learn from today's Robin Kowalski?

"I would do high school totally differently. I was so academically focused, so I think I would tell myself to have a little bit more fun and enjoy high school a little more."