Nuclear medicine Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Physics in healthcare 10/07/25, 11:28 Last updated: Published: 06/01/24, 10:47 Nuclear medicine When thinking about a career or what to study in university, many students interested in science think that they have to decide between a more academic route or something more vocational, such as medicine. Whilst both paths are highly rewarding, it is possible to mix the two. An example of this is nuclear medicine, allowing physics students to become healthcare professionals. Nuclear medicine is an area of healthcare that involves introducing a radioactive isotope into the system of a patient in order to image their body. A radioactive isotope is an unstable nucleus that decays and emits radiation. This radiation can then be detected, usually by a tool known as a gamma camera. It sounds dangerous, however it is a fantastic tool that allows us to identify abnormalities, view organs in motion and even prevent further spreading of tumours. So, how does the patient receive the isotope? It depends on the scan they are having! The most common route is injection but it is also possible for the patient to inhale or swallow the isotope. Some hospitals give radioactive scrambled eggs or porridge to the patient in gastric emptying imaging. The radioisotope needs to obey some conditions: ● It must have a reasonable half-life. The half-life is the time it takes for the isotope to decay to half of the original activity. If the half-life is too short, the scan will be useless as nothing will be seen. If it is too long, the patient will be radioactive and spread radiation into their immediate surroundings for a long period of time. ● The isotope must be non-toxic. It cannot harm the patient! ● It must be able to biologically attach to the area of the body that is being investigated. If we want to look at bones, there is no point in giving the patient an isotope that goes straight to the stomach. ● It must have radiation of suitable energy. The radiation must be picked up by the cameras and they will be designed to be most efficient over a specific energy range. For gamma cameras, this is around 100-200 keV. Physicists are absolutely essential in nuclear medicine. They have to understand the properties of radiation, run daily quality checks to ensure the scanners are working, they must calibrate devices so that the correct activity of radiation is being given to patients and so much more. It is essential that the safety of patients and healthcare professionals is the first priority when it comes to radiation. With the right people on the job, safety and understanding is the priority of daily tasks. Nuclear medicine is indeed effective and is implemented into standard medicine thanks to the work of physicists. Written by Megan Martin Related articles: Nuclear fusion / The silent protectors / Radiotherapy Project Gallery

Pathology and promising therapeutics Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Secondary bone cancer 11/07/25, 10:52 Last updated: Published: 13/12/23, 17:27 Pathology and promising therapeutics Introduction: what is secondary bone cancer? Secondary bone cancer occurs when cancer cells spread to the bones from a tumour that started somewhere else in the body. The site where the tumour first develops is called primary cancer. Cancer cells can break away from the primary cancer, travel through the bloodstream or lymphatic system, and establish secondary cancers, known as metastasis. Bones are among the most common sites to which cancer can spread. Most type of cancer has the potential to metastasise to the bones, with the most frequent occurrences seen in prostate, breast, lung, thyroid, kidney, and myeloma cancers. Throughout the literature, secondary cancer in the bones is referred to as bone secondaries or bone metastases. The most common areas of secondary bone cancer are the spine, ribs, pelvis, humerus (upper bone of the arm), femur (upper bone of the leg) and skull. There are two main types of bone cancer referred to as osteolytic and osteoblastic metastases. In osteolytic metastases, cancer cells break down the bone, leading to significant weakening. This type of metastasis is more common than osteoblastic metastases and often occurs when breast cancer spreads to the bone. In osteoblastic metastases, cancer cells invade the bone and stimulate excessive bone cell formation. This process results in the bone becoming very dense (sclerotic). Osteoblastic metastases frequently occur when prostate cancer spreads to the bone. Although new bone forms, it grows abnormally, which weakens the overall bone structure. Hormone therapy Like primary bone cancer, treatment for secondary bone cancer includes surgical excision, chemotherapy, and radiation therapy. Treatment for secondary bone cancer aims to control the cancer growth and symptoms. Treatment depends on several factors, including the type of primary cancer, previous treatment, the number of bones affected by cancer, whether cancer has spread to other body parts, overall health, and symptoms. Breast and prostate cancers rely on hormones for their growth. Reducing hormone levels in the body can be effective in managing the proliferation of secondary cancer. Hormone therapy, also known as endocrine therapy, uses synthetic hormones to inhibit the impact of the body’s innate hormones. Typical side effects include hot flashes, mood fluctuations, changes in weight, and sweating. Bisphosphonates Bone is a dynamic tissue with a continuous process of bone formation and resorption. Osteoclasts are cells responsible for breaking down bone tissue. In secondary bone cancer, cancer cells often produce substances that stimulate the activity of osteoclasts. This leads to elevated levels of calcium in the blood (hypercalcemia), resulting in feelings of nausea and excessive thirst. Treating secondary bone cancer involves strengthening bones, alleviating bone pain and managing hypercalcaemia). One option for bone-strengthening is bisphosphonates. Bisphosphonates can be administered orally or intravenously. They have been in clinical practice for over 50 years and are used to treat metabolic bone diseases, osteoporosis, osteolytic metastases, and hypercalcaemia. These compounds selectively target osteoclasts to inhibit their function. Bisphosphonates can be classified into two pharmacologic categories based on their mechanism of action. Nitrogen-containing bisphosphonates, the most potent class, function by suppressing the activity of farnesyl pyrophosphate synthase, a key factor in facilitating the binding of osteoclasts to bone. Consequently, this interference causes the detachment of osteoclasts from the bone surface, effectively impeding the process of bone resorption. Examples of these bisphosphonates include alendronate and zoledronate. Bisphosphonates without nitrogen in their chemical structure are metabolised intracellularly to form an analogue of adenosine triphosphate (ATP), known as 5'-triphosphate pyrophosphate (ApppI). ApppI is a non-functional molecule that disrupts cellular energy metabolism, leading to osteoclast cell death (apoptosis) and, consequently, reduced bone resorption. Examples of these bisphosphonates include etidronate and clodronate. Non-nitrogen-containing bisphosphonates can inhibit bone mineralisation and cause osteomalacia, a condition characterised by bones becoming soft and weak. Due to these considerations, they are not widely utilised. Denosumab Denosumab is another option for bone strengthening. It is administered as an injection under the skin (subcutaneously). Denosumab is a human monoclonal antibody that inhibits RANKL to prevent osteoclast-mediated bone resorption. Denosumab-mediated RANKL inhibition hinders osteoclast maturation, function, and survival in contrast to bisphosphonates, which bind to bone minerals and are absorbed by mature osteoclasts. In some studies, Denosumab demonstrated equal or superior efficacy compared to bisphosphonates in preventing skeletal-related events (SREs) associated with bone metastasis. Denosumab’s mechanism of action provides a targeted approach that may offer benefits for specific populations, such as patients with renal impairment. Bisphosphonates are excreted from the human body by the kidneys. A study by Robinson and colleagues demonstrated that bisphosphonate users had a 14% higher risk of chronic kidney disease (CKD) stage progression (including dialysis and transplant) than non-users. On the other hand, denosumab is independent of renal function and less likely to promote deteriorations in kidney function. Take-home message Secondary bone cancer, resulting from the spread of cancer cells to the bones, poses challenges across various cancers. Two main types, osteolytic and osteoblastic metastases, impact bone structure differently. Hormone therapy, bisphosphonates, and Denosumab have shown promising results and offer effective management of secondary bone cancers. Ultimately, the decision between treatments should be made in consultation with a healthcare professional who can evaluate the specific clinical situation and individual patient factors. The choice should be tailored to meet the patient’s needs and treatment goals. Written by Favour Felix-Ilemhenbhio Related article: Bone cancer Project Gallery

Impact of war and geopolitics on health in Palestine Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Life under occupation: the health and well-being of Palestinians Last updated: 08/01/26, 18:56 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 . 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: Gentrification and well-being / Health Inequalities / Impacts of global warming on NTDs / Global health injustices- Bangladesh , Sri Lankan Tamils 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

AI can process data sets and identify patterns and biomarkers Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link AI: the next step in diagnosis and treatment of genetic diseases 08/07/25, 17:19 Last updated: Published: 23/03/24, 17:59 AI can process data sets and identify patterns and biomarkers With the development of more intricate Artificial Intelligence (AI) software, which has rapidly grown from the chaotic chatbots to the more well-formed ChatGPT, it is easy to think we are seeing the rise of powerful artificial intelligence that could potentially replace us all. However, there is one problem. Originality does not exist for AI, at least not complete originality. At its most basic, an AI program is trained on a set of data, whether this be an entire search engine’s worth of data, as is the case for ChatGPT, or a few images and phrases gathered from the internet. Therefore, an AI does not know any more than what it can quote or infer from the provided data, which means that a piece of art, a picture of a family, or any short story AI is asked to produce is often a replica of techniques or a chaotic and terrifying mess of images it has been given to use. However, here also lies its strength. AI can take in thousands of images and data sets and notice minor changes and differences the average person could not. It is, therefore, not AI’s ability to create the unique, but instead its ability to recognise the mundane that we can utilise, even in diagnosing and treating genetic disorders. Diagnosis By analysing PET, MRI, fMRI and genetic data, AI can process enormous data sets and identify subtle patterns and biomarkers that often elude human observations, enabling earlier and more precise diagnosis. When looking at examples of the application of AI in the diagnosis of genetic disorders, a good reference is the so-far successful use of AI in diagnosing Huntington’s disease. Huntington’s disease diagnosis using AI Huntington’s disease symptoms present as patients experience involuntary movements and a decline in decision-making processes. Huntington's disease is a genetic disorder, meaning it is caused by a faulty gene, in this case, a fault in the Huntingtin gene (Htt). The Huntington’s disease mutation in Htt results from CAG trinucleotide repeats, a highly polymorphic expansion of Htt consisting of the CAG (cytosine, adenine, guanine) nucleotides (DNA building blocks). Whilst CAG repeats are common and often normal and unharmful, individuals with Huntington’s disease possess an abnormally high number of these CAG repeats (more than 36). When an individual has an abnormally high number of CAG repeats, their Htt proteins do not fold into their proper shape, causing them to bond with other proteins and become toxic to a cell, which ultimately causes cell death in crucial medium spiny neurons (MSN) in the basal ganglia. Basal ganglia are brain structures responsible for the fine-tuning of our motor processes, which they do by essentially allowing neurons to respond in a preferred direction (a target muscle) rather than a null direction using MSNs. So, it is clear how Huntington's disease symptoms occur; mutant Htt leads to cell death in MSNs, leading to the basal ganglia’s inability to control movement, which causes characteristic involuntary behaviours, among other symptoms. Because we identified these changes in Htt and loss of MSN in the basal ganglia, PET, MRI, and fMRI scans are often used in the diagnosis of Huntington’s disease, in addition to genetic and mobility tests. By collecting and extracting clinical and genetic data, certain AI algorithms can analyse the broad range of Huntington’s disease clinical manifestations, identify differences, including even minute changes in the basal ganglia that a doctor may not have, and make an earlier diagnosis. One branch of AI that has proved effective is machine learning. Machine learning models in diagnosis Machine learning uses data and algorithms to imitate the way humans learn. For Huntington's disease diagnosis, this involves the identification of biomarkers and patterns in medical images, gene studies and mobility tests, and detecting subtle changes between data sets, distinguishing Huntington’s disease patients from healthy controls. While machine learning in Huntington’s disease diagnosis comes in many forms, the decision tree model, where the AI uses a decision tree as illustrated in the Project Gallery, has proven very effective. A decision tree model looks at decisions and their possible consequences and breaks them into subsets branching downward, going from decision to effect. Recent research using AI in Huntington’s disease diagnosis has utilised this model to analyse gait dynamics data. This data looks at variation in stride length, how unsteady a person is while walking, and the degree to which one stride interval (the time between strides) differs from any previous and any subsequent strides. For an individual, it is widely accepted that if they have abnormal variations in stride (their walking speed is reduced, their stance is widened), then they are exhibiting symptoms of Huntington’s disease. Therefore, by using this gait data, and having the machine learning model come up with a mean value for stride variation for trial patients, it will be able to discern which patients have stride variation associated with Huntington’s disease (a higher variation in stride) and those that do not. Researchers found that using this method of diagnosis, they were able to accurately identify which gaits belonged to Huntington's disease patients, with an accuracy of up to 100%. Furthermore, researchers also found decision tree models useful when identifying whether a gene links with Huntington’s disease when comparing patients' genetic information with prefrontal cortex samples, with this method’s accuracy being 90.79%. With these results and even more models showing incredible promise, AI is already proving itself useful when it comes to identifying and diagnosing sufferers of genetic disorders, such as those with Huntington’s disease. But this leads us to ask, can AI even help in the treatment of those suffering from genetic disorders? Treatment- current studies in cystic fibrosis While AI models can be applied diagnostically for disorders such as Huntington's disease, they may also be relied upon in disease treatment. The use of AI in tailored treatment is the focus of current research, with one even looking at improving the lives of those suffering from cystic fibrosis. Around 10,800 people are recorded as having cystic fibrosis in the UK, and this debilitating disorder results in a buildup of thick mucus, leading to persistent infections and other organ complications. The most common cause of cystic fibrosis is a mutation in the gene coding for the protein CFTR, resulting from a deletion in its coding gene, causing improper folding in the protein CFTR, as we saw in Huntington’s disease. This misfolding leads to its retention in the wrong place in a cell, so it can no longer maintain a balance of salt and water on body surfaces. Because of the complex symptoms arising from this imbalance, this disease is very difficult to manage, but there is hope, and hope comes as SmartCare. SmartCare involved home monitoring and followed 150 people with cystic fibrosis for six months, having them monitor their lung function, pulse, oxygen saturation and general wellness and upload recorded data to an app. Subsequently, researchers at the University of Cambridge used machine learning to create a predictive algorithm that used this lung, pulse, and oxygen saturation data, identifying patterns that were associated with a decline in a patient's condition, and then predicted this decline much faster than the patient of their doctor could. On average, this model could predict a decline in patient condition 11 days earlier than when the patient would typically start antibiotics, allowing health providers to respond quicker and patients to feel less restricted by their health. This project was, in fact, so successful that the US CF Foundation is now supporting a clinical implementation study, called Breath, which began in 2019 and continues to this day. Although there is a long way to go, using AI, the future can seem brighter. In Huntington’s disease and cystic fibrosis, we can see its effectiveness in both disease diagnosis and treatment. With the usage of AI predicted to increase in the future, there is a great outlook for patients and an opportunity for greater quality of care. This ultimately could ease patient suffering and prevent patient deaths. All this positive research tells us AI is our friend (although science fiction would often persuade us otherwise), and it will guide us through the tricky diagnosis and treatment of our most challenging diseases, even those engrained in our DNA. Written by Faye Boswell Related articles: AI in drug discovery / Can a human brain be linked to a computer? / AI in medicinal chemistry Project Gallery

Characteristics, triggers and theoretical models of embarrassment Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Psychology of embarrassment: why do we get embarrassed? 05/06/25, 11:07 Last updated: Published: 06/09/24, 12:07 Characteristics, triggers and theoretical models of embarrassment The six basic emotions proposed by Ekman and recognised worldwide are sadness, happiness, fear, anger, surprise and disgust- Ekman (1999). Recently, the list of basic emotions has expanded to include self-conscious emotions, such as embarrassment, pride and shame, as all of those emotions show evidence for cross-cultural and cross-species production and perception. According to Miller (1995), embarrassment is the self-conscious feeling individuals get after realising they have done something stupid, silly or dishonourable. Embarrassment is a social emotion that emerges at around 18 months of age and the development of which is related to self-recognition. Characteristics of embarrassment in humans are gaze aversion, downward head movements, controlled smile and face touching. Embarrassment has been linked to the two main personality dimensions proposed by Eysenck (1983): extraversion/introversion and neuroticism/emotional stability. Kelly & Jones (1997) found that neuroticism is positively associated with embarrassment, suggesting that the individuals who score highly in neuroticism are more prone to experiencing embarrassment. The same researchers also concluded that embarrassment is negatively related to extraversion, implying that introverted individuals are more likely to feel embarrassed than extroverted individuals. The three triggers of embarrassment, according to Sabini, Siepmann & Meyerowitz (2000), are faux pas, sticky situations and centre of attention. Faux pas causes embarrassment when an individual creates a social mistake that forces them to think of others’ evaluation, like misspelling a word in a presentation and only realising when presenting it to a supervisor. Sticky situations lead to embarrassment when they threaten an individual's role, not their self-esteem, such as a leader being challenged publicly by their second in command. Centre of attention describes an anomaly when embarrassment is not a result of failure but of increased attention, for example being at your own birthday party. The faux pas trigger aligns with the social evaluation model of embarrassment, whilst sticky situations are in line with the dramaturgic model of embarrassment. There are four prominent theories of embarrassment: the dramaturgic model, the social evaluation model, the situational self-esteem model and the personal standards model. The dramaturgic model proposed by Silver, Sabini and Parrott (1987) says that embarrassment is the flustered uncertainty that follows a poor public performance and leaves the individual at a loss of what to do. This model suggests that anxiety and aversive arousal trigger embarrassment after realising a performance has gone wrong (see Figure 4 ). In this model, concern about what others think accompanies embarrassment but does not cause it. Miller (1996) suggests that whilst the dramaturgic model has substantial support, it is difficult for a dramaturgic dilemma to cause embarrassment without simultaneously creating unwanted social evaluations, highlighting a limitation of this model. The social evaluation model of embarrassment put forward by Edelmann (1987) suggests that embarrassed individuals fear failure to impress others and feeling at a loss of what to do is a result of embarrassment, not the cause (see Figure 5 ). This model assumes that individuals are concerned about others’ opinions. Miller (1996) supports this theory, saying that negative evaluation from others is crucial to embarrassment. The situational self-esteem model by Modigliani (1971) proposes that the root cause of embarrassment is the temporary loss of self-esteem that results from public failures based on one’s own opinions of self and performance in faulty situations (see Figure 6). Miller (1995) does not support this theory, arguing that self-esteem plays a secondary role in embarrassment and states that susceptibility to embarrassment depends more on the persistent concern about others’ evaluations of us. The personal standards model of embarrassment introduced by Babcock (1988) presents the view that embarrassment is caused by the individual realising they have failed the standards of behaviour that they have set for themselves, implying that the situation does not matter and that individuals can feel embarrassment when they are alone (see Figure 7 ). Miller (1992) disagrees with this theory, saying that guidelines for self are linked to impressions made on other people and that embarrassment can happen due to poor audience reaction, not letting yourself down. Therefore, there are many plausible theories behind embarrassment that have been linked to various causes like dispositional, situational and personality factors. Whilst it is unlikely that one theory can perfectly explain such a complex social emotion like embarrassment, the consensus among psychologists in the recent years has created the most support for a combination of the dramaturgic and the social evaluation models. I agree with the consensus and think that the different theories behind embarrassment may all apply to a given situation. For instance, forgetting someone’s name may lead to embarrassment due to being at a loss of what to say (the dramaturgic model), unwanted social judgements (the social evaluation model), the negative effects of this situation on the self-esteem (the situational self-esteem model) and the painful realisation of letting yourself down (the personal standards model). Thus, like many subjects in psychology, embarrassment is a multidimensional concept that can be looked at from many different angles. Written by Aleksandra Lib Related articles: Chemistry of emotions / Unmasking aggression / Inside out: chemistry of depression REFERENCES Babcock, M. K. (1988). Embarrassment: A window on the self. Journal for the Theory of Social Behaviour . Edelmann, R. J. (1987). The psychology of embarrassment . John Wiley & Sons. Ekman, P. (1999). Basic emotions. Handbook of cognition and emotion , 98 (45-60), 16. Eysenck, H. J. (1983). Psychophysiology and personality: Extraversion, neuroticism and psychoticism. In Individual differences and psychopathology (pp. 13-30). Academic Press. Kelly, K. M., & Jones, W. H. (1997). Assessment of dispositional embarrassability. Anxiety, Stress, and Coping, 10 (4), 307-333. Lewis, M., Sullivan, M. W., Stanger, C., & Weiss, M. (1989). Self development and self-conscious emotions. Child development , 146-156. Miller, R. S. (1992). The nature and severity of self-reported embarrassing circumstances. Personality and Social Psychology Bulletin , 18 (2), 190-198. Miller, R. S. (1995). On the nature of embarrassabllity: Shyness, social evaluation, and social skill. Journal of personality , 63 (2), 315-339. Miller, R. S. (1996). Embarrassment: Poise and peril in everyday life. Guilford Press. Modigliani, A. (1971). Embarrassment, facework, and eye contact: Testing a theory of embarrassment. Journal of Personality and social Psychology , 17 (1), 15. Sabini, J., Siepmann, M., Stein, J., & Meyerowitz, M. (2000). Who is embarrassed by what?. Cognition & Emotion , 14 (2), 213-240. Silver, M., Sabini, J., Parrott, W. G., & Silver, M. (1987). Embarrassment: A dramaturgic account. Journal for the Theory of Social Behaviour , 17 (1), 47-61. Tracy, J. L., Robins, R. W., & Tangney, J. P. (2007). The self-conscious emotions. New York: Guilford . Project Gallery

Symmetry in spectroscopy, reaction mechanisms and bonding Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The importance of symmetry in chemistry Last updated: 02/04/26, 18:25 Published: 08/01/26, 08:00 Symmetry in spectroscopy, reaction mechanisms and bonding Introduction Symmetry is everywhere- in snowflakes, flowers and even art. Chemistry is no different and the symmetrical properties of a molecule often dictate its behaviour. From interpreting spectra, to predicting reaction pathways and understanding bonding, symmetry shapes all chemical disciplines. 1. Symmetry in spectroscopy Firstly, understanding the symmetry of molecules is essential in a range of characterisation techniques. In 1 H NMR spectroscopy, the number of peaks seen in a spectrum correspond to the number of unique chemical environments. For example, dibenzylidene acetone has a plane of symmetry and a rotational axis (C 2 ) through the centre of the carbonyl. This explains why the spectrum only has 5 different proton environments. In IR spectroscopy, infrared radiation is absorbed by a molecule causing stretching and bending of bonds when they vibrate. The total number of vibrational modes can be predicted using: • 3N – 5 rule for linear molecules • 3N – 6 rule for non-linear molecules (where N = no. of atoms) However, only vibrations which cause a change in dipole moment are seen in IR spectra. This explains why CO 2 only shows 3 main absorption peaks, despite having 4 vibrational modes. 2. Symmetry in reaction mechanisms Considering the symmetry of molecules also helps chemists predict the stereochemical outcome of organic reactions. A common example is the E2 elimination of a halogenoalkane, where an alkene is formed via elimination of a halogen. For an E2 elimination to occur, the H and the leaving group must be 180 ° from each other, in an ‘anti-periplanar’ conformation. To predict which groups, have this relationship, Newman projections are used to easily assign and rotate bonds. A Newman projection is a perspective of a molecule, typically by imagining you are looking down a specific C-C bond. See Figure 3 . 3. Symmetry in bonding Lastly, considering the symmetry of a molecule is vital for understanding Molecular Orbital (MO) Theory. MO theory explains how covalent bonding occurs by considering the symmetry elements of the valence orbitals. For example, in H 2 , the two valence 1s orbitals are completely symmetric and therefore can overlap effectively to form a σ molecular orbital. However, in HF, the introduction of 2p orbitals means the shape and symmetry has changed. The 2p x and 2p y orbitals can no longer overlap with the 1s H orbital as their symmetries are incompatible. Using this information, a MO diagram can be constructed to show how the orbitals combine, explaining why H 2 has a single bond. In essence, symmetry determines which orbitals can ‘match up’ to form bonds. See Figure 4 . Conclusion Symmetry influences every aspect of chemistry and is frequently employed to rationalise observed molecular characteristics. While sometimes overlooked, considering the symmetry of a molecule underpins any chemistry undertaken across industry and academia. If you enjoyed this article, future articles could build on this topic by introducing Group Theory and showing how you can predict an entire vibrational spectrum, or the molecular geometry of a compound based entirely on its symmetry. Written by Antony Lee Related article: Diels-Alder reaction REFERENCES S. Civis, M. Ferus, A. Knizek, in The Chemistry of CO 2 and TiO 2 : From Breathing Minerals to Life on Mars, ed. S. Civis, M. Ferus, A. Knizek, Springer Nature, Switzerland, 1 st edn., 2019, vol. 1, ch. 1, pp. 1-7 A. Burrows, J. Holman, S. Lancatser, T. Overton, A. Parsons, G. Pilling, G. Price, in Chemistry 3 , Oxford University Press, Oxford, 3 rd edn., 2017, ch.4, pp. 172-219 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: 13/06/26 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. In the age of AI, low-quality and 'spammy' content are being generated automatically. This is a much faster process than writing content manually, and it is not easy to spot textual AI content. The content is low-quality due to heavy misinformation (incorrect factual data), and hallucinations (un-grounded, unverified facts or claims). It is important to differentiate between factual and misleading information, as science often involves a lot of high-risk data e.g. in medicine, health. 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. Cross-checking and re-verifying the information produced on these websites will also aid in spotting 'fake' content. 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

It’s been found that the species Dicrurus adsimilis (fork-tailed drongos) uses deception by flexible alarm mimicry to target and carry out food-theft attempts. The deceptive tactics of the fork-tailed drongo were studied which includes the use of false alarm calls and mimicked calls. Research was done on 64 wild drongos in the Kalahari Desert and it was found that the drongos spent more than a quarter of their time watching their target species which included southern pied babblers and meerkats Go back Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Deception by flexible alarm mimicry in an African bird Last updated: 03/10/26 Published: 28/12/22 It’s been found that the species Dicrurus adsimilis (fork-tailed drongos) uses deception by flexible alarm mimicry to target and carry out food-theft attempts. The deceptive tactics of the fork-tailed drongo were studied which includes the use of false alarm calls and mimicked calls. Research was done on 64 wild drongos in the Kalahari Desert and it was found that the drongos spent more than a quarter of their time watching their target species which included southern pied babblers and meerkats. The other species’ would listen to the alarm calls made by drongos and would rush to take cover as they would if it was an alarm call from their species. These alarm calls were beneficial to them as it increased the number of returns from foraging and reduced their vigilance. However, the drongos used this to their advantage and if the target species was to find a large item of food the drongos could produce a false alarm call to make the target species run to cover out of fear which allowed the observing drongo to steal the deserted food. In 42% of cases of false alarms the drongos used a mimicked cry and in another 27% it was a mixture of mimicked and drongo-specific. This could be because target species are more likely to respond to a mimicked alarm call. In the case of babblers, if they heard a mimicked alarm call they would take longer to carry on foraging than with a drongo-specific call. The results show that false alarm calls by drongos work to distract their target but the call should also be frequently changed and not overused for best results. Written by Areebah Khan Related article: Conserving the Californian condor SUMMARISED FROM Flower, T.P., Gribble, M. and Ridley, A.R. (2014) “Deception by flexible alarm mimicry in an African bird,” Science, 344(6183), pp. 513–516.

Health in Syria and Lebanon are hindered by inequities and inequalities stemming primarily from warfare Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Syria and Lebanon’s diverging yet connected struggles Last updated: 03/05/26, 18:23 Published: 19/06/25, 08:00 Health in Syria and Lebanon are hindered by inequities and inequalities stemming primarily from warfare This is article no. 4 in a series about global health injustices. Previous article: Yemen- a neglected humanitarian crisis . Next article: Injustices in conflicted Kashmir . Introduction Welcome to the fourth article of the Global Health Injustices Series. The previous article discussed Yemen, specifically how the health and well-being of the population are affected by the intricate geopolitics at play. In this article, I collaborated with Jana Antar , to discuss Syria and Lebanon. Although these countries border one another, they encounter distinct challenges. Similar to previous articles, the health and wellbeing of the Syrian and Lebanese people are hindered by the inequities and inequalities stemming primarily from warfare. Impact of war on healthcare: Syria's deliberate destruction Since the onset of the Syrian conflict in 2011, the country’s healthcare system has been systematically dismantled. Beyond the direct casualties of war, the destruction of hospitals, clinics, and medical supply chains has led to a secondary crisis, one where preventable deaths become inevitable. Between 2011 and 2020, Physicians for Human Rights documented nearly 600 attacks on healthcare facilities. Since 2 March 2026, 92 attacks on health care have been reported in Lebanon, resulting in 137 injuries and 53 deaths. The deliberate targeting of hospitals and medical personnel has rendered healthcare not just a casualty of war, but a weapon of war itself ( Figure 1 ). This destruction has had catastrophic consequences. Maternal and infant mortality rates have soared, vaccination coverage has plummeted, and chronic disease management has become nearly impossible. In the northwest of Syria, where displaced populations reside in makeshift camps, infectious diseases such as cholera and tuberculosis continue to spread due to poor sanitation and lack of medical oversight. The COVID-19 pandemic only exacerbated these challenges, whereby 46% of reported cases in Northwest Syria resulted in death due to the collapse of medical infrastructure. As of early 2025, only 57% of hospitals and 37% of primary healthcare centres in Syria remain fully functional. The remaining facilities operate under severe constraints due to damage from attacks and resource shortages. In 2024 alone, there were 77 attacks on healthcare facilities, further disrupting access to trauma care, maternal health, and treatment for chronic illnesses. Overcrowding in displacement camps and poor sanitation have also heightened the risk of outbreaks such as tuberculosis, making urgent intervention critical ( Figure 2 ). Impact of war on healthcare: Lebanon's fragile healthcare system Lebanon, a country once regarded as a regional medical hub, has borne the brunt of Syria’s refugee crisis. With an estimated 1.5 million Syrian refugees seeking shelter within its borders, the country has faced a 50% surge in demand for healthcare services. The healthcare system, already strained before the crisis, has since crumbled under the weight of economic collapse, political instability, and donor fatigue. The Lebanese economic crisis, which began in 2019, had devastating effects on healthcare delivery. The Lebanese pound has lost over 90% of its value, placing essential medical supplies out of reach for hospitals and individuals. Pharmacies frequently run out of life-saving medications, power outages disrupt critical care units, and the departure of healthcare professionals has left hospitals understaffed. The situation has worsened due to escalating hostilities, starting from the south of Lebanon and later expanding, displacing over 112,000 people as of February 2025. The violence has led to the closure of 130 primary health centres and seven hospitals, with 15 out of 153 hospitals either non-functional or operating at reduced capacity. In Nabatieh Governorate alone, 40% of hospital bed capacity has been lost. Attacks on health workers and facilities continued to mount between January and November 2024, when 137 attacks were reported, nearly half of which resulted in fatalities. These disruptions create a ripple effect, limiting immediate medical care and undermining public health initiatives such as vaccination programs and maternal health services. NGOs: the last line of defence In the face of government inaction, non-governmental organisations (NGOs) have become the backbone of healthcare provision in Syria and Lebanon. International and local NGOs have mobilised to provide vaccination campaigns, mental health support, and medical supplies to those in need. For example, WHO and UNICEF have facilitated vaccination drives, reaching 250,000 children under five years old, 30% of whom were displaced Syrians. However, while NGOs have played a crucial role in mitigating healthcare crises, their efforts remain primarily reactive rather than systemic and preventative, addressing immediate needs without long-term sustainability, and not adequately focusing on precautionary measures to avoid these undesirable situations. In fact, NGOs face mounting challenges. The overwhelming demand for services, lack of sustainable funding, and security threats have made it increasingly difficult for organisations to operate. Moreover, while NGOs are stretched in their deliverables, the humanitarian workers encounter frequent targeting, making their mission even more perilous. Conclusion: the role of the international community The crises in Syria and Lebanon are not isolated events; they are a reflection of global health injustices that demand international attention and intervention. Providing short-term aid is no longer enough, so long-term solutions must be prioritised to rebuild these destroyed healthcare systems. Moreover, de-escalating both crises would improve health outcomes for the vulnerable communities in Syria and Lebanon. The next article will focus on the population in conflicted Kashmir; addressing their injustices is crucial because of the profound impact and lack of coverage in mainstream discussions. Written by Jana Antar and Sam Jarada Related articles: Understanding health through different stances / Ethnic , and Socioeconomic health equalities REFERENCES A Decade of Destruction: Attacks on health care in Syria. The IRC. 2025. Available from: https://www.rescue.org/report/decade-destruction-attacks-health-care-syria-0 The Syrian Conflict: Eight Years of Devastation and Destruction of the Health System - PHR. PHR. 202. Available from: https://phr.org/our-work/resources/the-syrian-conflict-eight-years-of-devastation-and-destruction-of-the-health-system/ Ammar W, Kdouh O, Hammoud R, Hamadeh R, Harb H, Ammar Z, et al. Health system resilience: Lebanon and the Syrian refugee crisis. Journal of Global Health. 2016 Dec;6(2). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5234495/ Lebanon 2025 Indicators and Targets Lebanon Multi-year Strategy 2023 -2025. Available from: https://reporting.unhcr.org/sites/default/files/2025-01/Lebanon%20-%20Strategy%202023%20%E2%80%93%202025_0.pdf Lebanon | Humanitarian Action. Humanitarianaction.info . 2024. Available from: https://humanitarianaction.info/document/global-humanitarian-overview-2025/article/lebanon-1 WHO. WHO’s Health Emergency Appeal 2025 [Internet]. 2025. Available from: https://cdn.who.int/media/docs/default-source/documents/emergencies/2025-appeals/2025-hea-lebanon.pdf?sfvrsn=45f2a018_5&download=true Lebanon’s Pharmaceutical Sector: Challenges, Opportunities, and Strategic Solutions. LCPS. 2025. Available from: https://www.lcps lebanon.org/en/articles/details/4903/lebanon%E2%80%99s-pharmaceutical-sector-challenges-opportunities-and-strategic-solutions Sousa C, Akesson B, Badawi D. “Most importantly, I hope God keeps illness away from us”: The context and challenges surrounding access to health care for Syrian refugees in Lebanon. Global Public Health. 2020 Jun 12;1–10. Syrian refugee access to healthcare in Lebanon - Lebanon. ReliefWeb. 2020. Available from: https://reliefweb.int/report/lebanon/syrian-refugee-access-healthcare-lebanon World. Lebanon: a conflict particularly destructive to health care [Internet]. Who.int . World Health Organization: WHO; 2024. Available from: https://www.who.int/news/item/22-11-2024-lebanon--a-conflict-particularly-destructive-to-health-care Project Gallery

The most famous pericyclic reaction is the Diels–Alder cycloaddition Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Diels–Alder Reaction Last updated: 02/04/26, 18:27 Published: 02/04/26, 08:00 The most famous pericyclic reaction is the Diels–Alder cycloaddition Introduction How does a chemical reaction proceed? This is one of the most important questions in chemistry and still drives research today. Traditionally, reactions have been classed as either ionic or radical processes. But there is a third class: a pericyclic reaction. The pericyclics, named because of their concerted curly arrow mechanisms, are a class of reaction governed by orbital symmetry. Often triggered by heat or light, they are some of the ‘greenest’ reactions, frequently achieving 100% atom economy. Perhaps the most famous pericyclic reaction is the Diels–Alder cycloaddition. Awarded a Nobel Prize in 1950, this reaction has been used extensively in both industry and academia. This article will explore how the Diels–Alder reaction works, supported by examples of its use in total natural product syntheses. Diels-Alder reaction: orbital considerations The Diels–Alder reaction proceeds thermally, with a diene and a dienophile interacting with the correct orbital phases. To explain this, let’s consider the reaction of butadiene (diene) with ethene (dienophile) to form cyclohexene. In butadiene, there are four valence p orbitals, each of which can interact in phase (same colours touching) or out of phase (different colours overlapping), leading to the generation of four molecular orbitals. For ethene, two molecular orbitals are generated, as there are only two valence p orbitals. For all chemical reactions to proceed, the highest occupied molecular orbital (HOMO) and the lowest unoccupied molecular orbital (LUMO) of the reactants must overlap in phase. Considering the phases of the diene HOMO and the dienophile LUMO shows they can interact favourably. The curly arrows move cyclically to generate cyclohexene. Stereochemistry In terms of stereochemistry, the Diels–Alder reaction follows two rules which govern its reactivity. Firstly, the diene starting material must be s‑cis, meaning the double bonds must be cis to one another for the orbital overlap to be successful. Secondly, the Diels–Alder reaction always maintains any stereochemical information of the starting material. For example, reacting butadiene with dimethyl maleate always gives a cis product. Both isomers of the product will form, as this reaction is not stereoselective. Applications of the Diels–Alder Reaction The Diels–Alder reaction has a rich and diverse history in the synthesis of total natural products. In 1952, Woodward et al. were the first to incorporate a Diels–Alder reaction into a total synthesis of cholesterol. Woodward also used a Diels–Alder reaction in his famous synthesis of reserpine, a medicinal product used to treat high blood pressure. Another interesting example of the Diels–Alder reaction in a complex synthesis was Danishefsky’s synthesis of myrocin C, an antibiotic with anti‑tumour properties. The ingenuity of this synthesis is that the intermediary fragment was specifically designed to undergo an intramolecular Diels–Alder reaction. Conclusion In conclusion, the Diels–Alder reaction is a titan of synthetic chemistry. As the chemical industry continues to adopt more sustainable chemistry, the Diels–Alder reaction is still as relevant as it was almost 100 years ago. While this article has centred on the Diels–Alder reaction, the pericyclic reactions are far more extensive. There are further cycloadditions as well as electrocyclisations, sigmatropic rearrangements and group transfer reactions. These transformations show the elegance of synthetic chemistry and re‑emphasise the importance of symmetry in all chemical disciplines. Written by Antony Lee Related article: Symmetry in chemistry Project Gallery