Tackling stereotypes and equal access Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Why representation in STEM matters Last updated: 03/04/25, 11:38 Published: 13/03/25, 08:00 Tackling stereotypes and equal access In collaboration with Stemmettes for International Women's Month Representation in Science, Technology, Engineering, and Mathematics (STEM) and Science, Technology, Engineering, Art and Mathematics (STEAM), is crucial for everyone. Historically, STEM fields have been dominated by certain demographics that don’t show the true picture of our world. Maybe you grew up seeing no (or very few) women, people of colour, or other marginalised groups mentioned in your science curriculum. This needs to change because your voice, experiences and talents should be celebrated in any career you choose. Below, we’ll list some of the top reasons why representation is so important. Equal access Why does representation matter? Because it promotes equal access! Whether in an educational or career setting, seeing someone who looks like you do something you never thought possible can be life-changing. After all, you can’t be what you can’t see . Showing up in your role and sharing what you do or your STEM/STEAM interests show other people that these fields are accessible to everyone. Also, finding someone in a field you are (or would like to) get into is a great way to find a mentor, build a network, and boost your knowledge. Feeling excluded or discouraged is bound to happen at some point in your career, but anyone can succeed, no matter their background. Innovation When STEM fields are equally represented, better (and more innovative) ideas come to the table. Everything you’ve experienced can be useful in developing solutions to STEM and STEAM problems, no matter your level of education or upbringing. A lot of STEM doesn’t rely so much on your qualifications, but instead on your problem-solving, creativity, and innovation skills. For example, if you’re part of a culture that nobody else in your team has experienced, or you’ve experienced a disability and made adaptations for yourself, you bring a unique set of ideas to the table that can help solve many different problems. Inclusion There are many examples of when certain demographics haven’t been included in STEM decision-making processes. For example, many face recognition apps have failed to recognise the faces of people of colour, and period trackers have been made with misinformation about cycle lengths. If more diversity were seen throughout the process of creating a STEM product or service, we would see a lot fewer issues and a lot better products! Now, more than ever, your voice is important in STEM because science and technology are shaping the future at a fast rate. With the boom in artificial intelligence (AI) technology and its impact on almost every industry, we can’t afford to have models being trained from an unrepresentative data set. Look at people like Katherine Johnson, who despite facing setbacks as an African American at the time, was a pivotal part of sending astronauts aboard Apollo 11 into space. Or, more recently, Dr Ronx, who is paving the way as a trans-non-binary emergency medicine doctor. Tackling stereotypes Showing up in STEM & STEAM fields is a great way to tackle stereotypes. So many underrepresented groups are usually stereotyped into different career paths that are based on old, outdated notions about what certain people should do. By showing up and talking about what you love, you show that you’re not less capable than anyone else. Shout about your achievements, no matter how big or small, no matter where you are on your career journey so that we can encourage a new idea of what STEM looks like. Conclusion If this article hasn’t already given you the confidence to explore STEM and STEAM fields and all they have to offer, there are so many other reasons why you’re important to these fields and capable of achieving your dreams. Representation from you and others helps us create a more equitable, innovative, and inclusive future. It matters because the progress of science and society depends on the contributions of all, not a select few. Written by Angel Pooler -- Scientia News wholeheartedly thanks Stemmettes for this pertinent piece on the importance of representation in STEM. We hope you enjoyed reading this International Women's Month Special piece! Check out their website , and Zine / Futures youth board (The Stemette Futures Youth Board is made up of volunteers aged 15-25 from the UK and Ireland who will ensure the voices of girls, young women and non-binary young people are heard. They will work alongside the Stemette Futures charity board to guide and lead the mission to inspire more girls, young women and non-binary young people in to STEAM). -- Related articles: Sisterhood in STEM / Women leading in biomedical engineering / African-American women in cancer research Project Gallery

Diving deep Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The science and controversy of water fluoridation 03/04/26, 17:23 Last updated: Published: 17/11/23, 17:00 Diving deep In the pursuit of national strategies to improve oral health, few interventions have sparked as much debate and divided opinions as water fluoridation. Whilst some have voiced concerns about water fluoridation in recent years, viewing it as mass medicalisation and an intrusion into personal choice, researchers and dental professionals continue to champion its benefits as a cost-effective, population-wide approach that can significantly reduce tooth decay and enhance the oral health of communities across the country. The statistics from 2021-2022 paint a concerning picture, with a staggering 26,741 extractions performed on 0-19-year-olds under the NHS due to preventable tooth decay, amounting to an estimated cost of £50 million. With the NHS bearing the responsibility of providing dental care to millions of people nationwide, the introduction of water fluoridation stands out as a promising ally in the quest for more efficient healthcare and the alleviation of the burden on our already-strained healthcare system, all while improving dental health in a cost-effective manner. Fluoride is a naturally occurring chemical element found in soil, plants and groundwater, which can reduce dental decay through a dual mechanism; fluoridating water reduces dental decay by both impeding demineralisation of enamel and enhancing remineralisation of teeth following acid attacks in the mouth. When sugars from food or drinks enter the mouth, the bacteria present in plaque act to convert these sugars to acid, demineralising the outer surface of teeth and leading to the formation of cavities. The incorporation of fluoride into the structure of tooth enamel during remineralisation strengthens and hardens the outer layer of teeth, rendering teeth less susceptible to damage and more resistant to acid-induced demineralisation. Moreover, fluoride has also been proven to reverse early tooth decay by repairing and remineralising weakened enamel, thus averting the need for restorative dental procedures such as fillings. The inhibition of demineralisation and encouragement of remineralisation overall prevents cavities forming and preserves the vitality of our smiles. The main adverse effect of fluoridating water is the risk of dental fluorosis, which affects the appearance of teeth. Dental fluorosis is a cosmetic dental condition caused by excessive fluoride exposure, resulting in changes in tooth colour and texture. It presents as small opaque white spots or streaks on the tooth surface. It is important to note that these conditions generally occur at fluoride levels significantly higher than those recommended for water fluoridation. Opponents of water fluoridation also argue on ethical grounds, citing concerns about mass medication infringing on personal choice and the right to decide whether to use fluoride or dental products containing fluoride. In some cases, opposition is rooted in conspiracy theories and scepticism about government motives. Findings from the Office for Health Improvement and Disparities and the UK Health Security Agency highlight the benefits of water fluoridation. The data collected illustrates young populations in areas of England with higher fluoride concentrations are up to 63% less likely to be admitted to hospital for tooth extractions due to decay compared to their counterparts in areas of lower fluoridation levels. This disparity is most pronounced in the most deprived areas, where children and young adults benefit the most from the addition of fluoride to the water supply. These findings strongly support the evidence for the advantages of water fluoridation and highlight how this simple method can substantially improve health outcomes for our population. While fluoridation has proven beneficial for communities, especially those from deprived backgrounds, it has demonstrated successful outcomes for individuals across all demographics, irrespective of age, education, employment, or oral hygiene habits. It's essential to emphasize that water fluoridation should not replace other essential oral health practices such as regular tooth brushing, prudent sugar intake, and dental appointments. Instead, it should complement these practices, working in synergy to optimize oral health. As of now, approximately 10% of the population in England receives water from a fluoridation scheme. While the protective and beneficial effects of fluoridation are well-established, the decision to move towards a nationwide water fluoridation scheme ultimately rests with the Secretary of State for Health in the coming years. As of 2025-26, the government is actively moving to expand coverage (inc. in the North East England) to reduce NHS dental costs. Written by Isha Parmar Project Gallery

VR in pain management, and mental health treatment Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The potential of virtual reality (VR) in healthcare Last updated: 27/03/25, 15:44 Published: 06/03/25, 08:00 VR in pain management, and mental health treatment Introduction The term 'extended reality' (XR) consists of three concepts: augmented reality, mixed reality and virtual reality (VR). The Oxford English Dictionary defines VR as a 'computer-generated simulation of a lifelike environment that a person can interact with in a seemingly real or physical way'. When you think of VR, you might think of headsets, goggles and gaming. However, you might not know that VR can have huge potential in healthcare as a non-pharmacological intervention. Research has shown that active VR, where patients interact and engage more with the virtual environment, becoming immersed, works better than passive VR, where patients just view content. In this article, I will look at the use of VR in two cases: for pain management and mental health treatment. VR for pain management VR-based treatments for pain management work by attention modulation, also known as focus-shifting, providing distraction analgesia (pain relief) by shifting a patient’s focus away from the pain to the virtual environment. To access the VR set-up, patients use a head-mounted display (HMD) and hardware. VR uses technology that stimulates the senses, particularly sight, sound, and touch, reducing the amount of pain a patient feels by changing the pain intensity; it is especially useful when a patient experiences sharp and sudden pain, including pain during labour or post-surgery. Additionally, VR changes how the brain processes pain by affecting the pain-control system, which includes regions like the periaqueductal grey (PAG) and the anterior cingulate cortex (ACC). Specifically for chronic pain (persistent pain that lasts for more than three months), VR can help patients develop techniques to manage their pain better over time, such as by improving their physical abilities, like moving their arms or legs more easily and improving their muscular endurance. For example, Merlot et al. (2023) found that for women with endometriosis-related pelvic pain who used Endocare (a VR software designed to reduce pain for those with endometriosis), women reported that it reduced pain intensity, with Endocare's maximum pain reduction being 51.58% compared to 27.37% in the sham control group. VR for mental health treatment VR-based treatments have also proven to be effective in treating mental health conditions, helping patients to manage conditions such as anxiety and depression. This is because they can replicate a negative environment within a controlled and safe VR setting, helping patients manage and confront their triggers. The Institute for Health Metrics and Evaluation has stated that as of 2019, 301 million people were living with an anxiety disorder, and 58 million of them (about 20% of those with anxiety) were children and adolescents. Regarding depression, the statistic was 280 million people, including 23 million (nearly 10% of those with anxiety) children and adolescents. For anxiety, VR-based treatments use exposure treatment, where patients are confronted with the stimuli, but the expected outcome does not occur. Repeating the exposure leads to patients’ anxiety decreasing over time since their perception of the stimuli leading to the feared outcome does not come true. For example, someone with a fear of heights would undergo VR-based exposure treatment where they would be exposed to heights. They would be guided through a learning process, and after multiple exposures, they would think of heights as being safe, leading to less fear of heights overall. For depression, VR-based treatments use behavioural activation so that individuals can reconnect with activities they enjoy. This can help patients develop and learn coping strategies, improving their mood and reducing depressive symptoms. VR-based treatments will be particularly helpful for children and adolescents. The statistics by the Institute for Health Metrics and Evaluation clearly show that a high percentage of those with mental health conditions are young people, and general research has shown that they will be less likely to seek professional help and receive appropriate care. VR could help this group by becoming a more appealing therapy method, especially through gamification, making children and adolescents more motivated and more likely to participate in treatment. This method would provide an immersive environment and could be a personalised form of therapy. Implications for the future It is important to note that there are still limitations stopping a wider roll-out of VR within healthcare. For example, VR can cause cybersickness, the virtual equivalent of motion sickness, resulting in nausea, disorientation, and headaches. In addition, within the use of VR for young people, more research needs to be conducted on whether gamified therapies are safe and effective. Nevertheless, these limitations can be mitigated. Technology is advancing rapidly, and newer hardware have a better field of vision and refresh rates of visual content. The VR environment is also being designed better, accounting for individual patient preferences. With further research, scientists can examine in more detail the factors that make VR-based therapies effective and implement them in a way that addresses ethical concerns and increases their effectiveness. Written by Naoshin Haque Related articles: Clinical scientist computing / Smart bandages / Emojis in healthcare Project Gallery

Heteroelements, defined as elements other than C or H, frequently include the p-block elements. Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Chemistry beyond carbon: the heteroelements Last updated: 17/09/26, 16:01 Published: 07/05/26, 08:00 Heteroelements, defined as elements other than C or H, frequently include the p-block elements. Introduction Organic chemistry is often teased as ‘elementally boring’, a joke among inorganic chemists, because of its reliance on C, H, O and N. While organic chemistry is broadly defined as the study of carbon containing compounds, this overlooks the role of heteroelements in synthetic chemistry. Heteroelements, defined as elements other than C or H, frequently include the p-block elements. Their diversity in chemical properties often enables exotic functional group transformations; inaccessible with ‘traditional elements’. Therefore, this article will explore the roles of selenium, phosphorus and sulphur in organic synthesis, highlighting how their unique reactivity expands the synthetic toolbox. Selenium Selenium’s unique position within Group 16 underpins all of its reactive behaviour. Selenium’s polarisability means it can act as both a nucleophile and electrophile depending on the context. Its larger atomic size stabilises lower oxidation states making Se (IV) compounds readily accessible, while the orbital mismatch between selenium and oxygen explains why selenoxides are prone to decomposition. Selenium anions readily undergo nucleophilic substitution (S N 2) with halogenoalkanes to form alkyl selenides (Se-C). Upon oxidation (i.e. H 2 O 2 ), selenium is oxidised to form a selenoxide which undergoes syn elimination to form alkenes. This provides a useful alternative to E 1 and E 2 eliminations, as no leaving group is required. See Figure 1 . Selenium dioxide (SeO 2 ), a direct analogue of CO 2, enables allylic oxidation of C-H bonds. This reaction has been used widely across industry and academia as a method of functionalising otherwise inert positions. Sulphur Just above Selenium in the periodic table, sulphur chemistry parallels many of the chemical properties of selenium. Thiols (C-S) can readily participate in S N 2 reactions to generate thioethers. Under oxidising conditions, these species can form disulfides, an important feature of the tertiary protein structure. The nucleophilic character of sulphur can also be exploited to functionalise ketones without reducing the carbonyl group. The ketone can undergo a reaction with 1,3 - propanedithiol to generate a dithiane. This dithiane intermediate can then perform further S N 2 reactions under basic conditions before addition of HgCl 2 to remove the dithiane and unmask the ketone. Additionally, sulphur can also react to form sulfonium ylides. An ylide is a neutral molecule in which adjacent atoms carry a positive and negative charge. These compounds are formed from nucleophilic attack followed by base deprotonation of one of the adjacent C H bonds. These species are ideal reactants for forming strained rings. Phosphorus The chemistry of phosphorus is largely dominated by its ability to form stable compounds in the +3 and +5 oxidation states. Again, phosphorus largely acts as a nucleophile and, like sulphur, is able to form ylides. This is central to one of the most important alkene forming reactions; the Wittig Olefination. The Wittig reaction selectively forms both E and Z alkenes from a phosphonium ylide and either a ketone or an aldehyde. To synthesise the ylides, the same procedure is used as described with sulphur, with the nucleophilic species typically triphenylphosphine (PPh 3 ). The adjacent positive and negative charges form a polarised bond which matches the dipole of the carbonyl. The carbonyl species then aligns with its respective opposite charge on the ylide to form an oxaphosphetane intermediate after a [2+2] cycloaddition. The ring strain of this intermediate means it decomposes to form an alkene and a strong P=O bond. Phosphonium ylides are also key intermediates in the Corey-Fuchs reaction. The ylide is crucial to the formation of a dibromoalkene intermediate from a starting aldehyde. Under basic conditions and slow heating, the alkene decomposes to form an alkyne from an aldehyde in a single step. Conclusion Heteroelement chemistry plays a vital role in expanding the scope of organic synthesis, enabling transformations that would otherwise be difficult. The importance of this field is reflected industrially where sulfonamide formation and the Wittig reaction rank among the 20 most commonly used reactions in drug discovery. While this article has focused on the roles of Se, S and P in ionic mechanisms, both silicon and boron are also central to modern organic synthesis, especially catalysis and cross coupling mechanisms. Written by Antony Lee Related article: Chemistry beyond the molecule (supramolecular chemistry) REFERENCES E. Vedejs, J. Org. Chem., 2004, 69, 5159-5167 C. G. Rodriguez, J.B. Rodriguez, ChemMedChem , 2024, 19, e202400063 Nobel Prize – https://www.nobelprize.org/prizes/chemistry/1979/press-release/ (Accessed March 2026) D.G. Brown, J. Bostrom, J. Med. Chem ., 2016, 59, 4443-4458 Project Gallery

It's in the diet Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link How epigenetic modification gives the queen bee her crown 23/01/25, 11:52 Last updated: Published: 26/11/23, 10:46 It's in the diet Honey bee colonies are comprised of three kinds of adult bees: workers, drones and a single queen. While all drones are male, the queen and the worker bees are female. Within the female population, only the queen bee is fertile and is thus responsible for laying eggs which are fertilised by drones. Additionally, a queen bee is larger than worker bees and produces pheromones to allow the colony to function. However, worker and queen bees are genetically identical, so how is it possible that they are so fundamentally different? ( Figure 1 ) The answer lies in epigenetic modification , defined as the alteration in gene function without a change in the DNA sequence. Types of epigenetic regulation include histone modification, DNA methylation and action of noncoding RNA. The honey bee Apis mellifera is amongst the many species that can produce different characteristics of organisms using the same genome. The mechanism by which honey bees do this derives from epigenetic modification resulting from the difference in diet during larval development. All larvae feed on royal jelly during the first three days of their development ( Figure 2 ). However, worker larvae will then feed on a diet of honey and pollen, which constitutes worker jelly. In comparison, the queen larva maintains a diet of royal jelly; this is a complex mixture produced by nurse bees and contains water, crude protein, monosaccharides, and fatty acids. Subsequently, the difference in dietary intake provides information to facilitate the correct epigenome which in turn allows correct transcription. Thus, key studies have taken place to investigate the effect of epigenetic marks on the development of bees. DNA methyltransferase DNMT3 is responsible for the methylation of DNA and is a repressive mark; a study found that the silencing of DNMT3 resulted in worker larvae developing into queens that had developed ovaries. Consequently, this shows that royal jelly gives information to larvae destined to be queens that can be interpreted to apply the correct epigenome. Additionally, certain histone deacetylase inhibitors have been observed in royal jelly including the compound 10 HDA and phenylbutyrate. Histone acetylation within regions of the genome results in chromatin opening; acetylation is associated with active regions. HDACi activity will inhibit the removal of such acetylation and maintain open regions of DNA. However, note that worker bees are not just a repressed version of queen bees, as they have overexpressed genes of their own to facilitate their specific behaviours. On examination of the methylome (see Figure 3 ), different genes were identified as being hypo- or hyper- methylated within worker vs queen bees. See the table below for a detailed analysis of worker and queen bees on days 3-5 of development. How exactly the specificity of epigenetic modifications is accomplished is not completely realised. To exemplify this, DNMTs do not have specificity, and thus, there must be an interplay between chromatin modifiers and cellular components to accomplish the correct recruitment of enzymes involved in epigenetic modification. However, it is clear that the epigenomes of workers vs queen bees are decidedly different and thus are the cause of different physiological and behavioural characteristics. Written by Isobel Cunningham Related articles: An introduction to epigenetics / Famine-induced epigenetic changes Project Gallery

An explanation of how cumulus clouds form and grow in the atmosphere Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link The physics behind cumulus clouds 14/07/25, 15:58 Last updated: Published: 07/10/23, 13:51 An explanation of how cumulus clouds form and grow in the atmosphere When you think of a cloud, it is most likely a cumulus cloud that pops into your head, with its distinct fluffy, cauliflower-like shape. The word ‘cumulus’ means ‘heaped’ in Latin, and aptly describes the clumpy shape of these detached clouds. They are one of the lowest clouds in the sky at altitudes of approximately 600 to 1000 metres, while the highest clouds form nearly 14 km up in the atmosphere. Depending on the position of the clouds in relation to the sun, they can appear in a brilliant white colour, or in a more foreboding grey colour. Cumulus clouds are classified into four different species: cumulus humilis clouds which are wider than they are tall, cumulus mediocris which have similar widths and heights, cumulus congestus which are taller than they are wide, and finally, cumulus fractus which have blurred edges as this is the cloud in its decaying form. Cumulus clouds are often associated with fair weather, with cumulus congestus being the only species that produces rain. So, how do cumulus clouds form, and why are they associated with fair weather? To understand the formation of these clouds, think of a sunny day. The sun shines on the land and causes surface heating. The warm surface heats the air above it which causes this air to rise in thermals, or convection currents. The air in the thermal expands and becomes less dense as it rises through surrounding cool air. The water vapour that is carried upwards in the convection current condenses when it gets cool enough and forms a cumulus cloud. Due to the varying properties of different surface types, some types are better at causing thermals than others. For example, the sun’s radiation will warm the surface of land more efficiently than the sea, leading to the formation of cumulus clouds over land rather than the sea. This is because water has a higher heat capacity than land, meaning it will take more heat to warm the water than the land. As cumulus clouds form on the top of independent thermals, they appear as individual floating puffs. But, what happens when cumulus clouds are knocked off the perch of their thermal by a breeze? How do they keep growing from an innocent, lazy cumulus humilis to a dark cumulus congestus, threatening rain showers? Latent heat gives us the answer. This is the energy that is absorbed, or released, by a body when it changes state. A cumulus cloud forms at the top of a thermal as the water molecules condense (changing state from a gas to a liquid) to form water droplets. When this happens, the warmth given off by the latent heat of condensation heats up the surrounding air causing it to expand and rise further, repeating the cycle and forming the characteristic cauliflower mounds of the cloud. The development of a cumulus humilis to cumulus congestus depends on the available moisture in the atmosphere, the strength of the sun’s radiation to form significant thermals, and whether there is a layer of warmer air higher up in the atmosphere that can halt the rising thermals. If the conditions are right, a cumulus congestus can keep growing and form a cumulonimbus cloud, which is an entirely different beast, more than deserving of its own article. So, the next time you see a cumulus cloud wandering through the sky, you will know how it came to be there. Written by Ailis Hankinson Related article: The physics of LIGO Project Gallery

Famous sites in the Chaco Canyon region include Pueblo Alto and Pueblo Bonito Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Cities designed to track the heavens: Chaco Canyon, New Mexico 06/03/25, 12:25 Last updated: Published: 02/07/24, 11:22 Famous sites in the Chaco Canyon region include Pueblo Alto and Pueblo Bonito This is Article 1 in a series about astro-archaeology. Next article: The astronomical symbolism of the Giza Pyramids . In the desert of New Mexico are the remains of a major center of ancestral Puebloan culture. Within the Chaco Canyon region, several places of incredible architecture and complex cultural life have been identified, called Great Houses. It is suggested that over 150 Great Houses were constructed between the 9th and 12th centuries and connected by intricate road systems. Famous sites in the Chaco Canyon region include Pueblo Alto and Pueblo Bonito, which showcase the incredible architectural feats of the culture. Interestingly, scholars have deduced that the Great Houses were not only built to support the forming society, but the details of construction were specific for another reason: astronomy. Often, the structures were oriented according to at least one of three following ways: The south-southeast direction : Researchers suggest that the south-southeast orientation originates from a Snake Myth, which describes the use of a staff and the stars to facilitate migration in the southeast direction. Aligned with the cardinal directions : A great example of this is Pueblo Alto. Built in the 11th century, its main wall aligned within 5° of the EW latitude. Hungo Pavi is less than 5° offset from true NS. Built at horizon calendrical stations: Calendrical stations are often natural structures that, when viewed at a particular location, the sun can be seen in a memorable relation to it. For example, Figure 1 shows the sun between two prominent rock formations. Imagine this occurred only once per year. The event would mark the same day and thus would denote the annual occasion. Many of the ancestral Puebloan Great Houses are understood to have been built near such calendrical stations that operate for different events like the solstices. Although the ancestral Puebloan culture may not have used physics and astronomy as we do now, it was built into the fundamentals of their society, and central to their community. Written by Amber Elinsky REFERENCES & RESOURCES “History and Culture: The Center of Chalcoan Culture.” Chaco Culture, National Park Service . Accessed May 2024. https://www.nps.gov/chcu/learn/historyculture/index.htm . Munro, Andrew M., and J. McKim Malville. “Ancestors and the Sun: Astronomy, Architecture and Culture at Chaco Canyon.” Proceedings of the International Astronomical Union 7, no. S278 (2011): 255–64. https://doi.org/10.1017/S1743921311012683 . Images from nps.gov Project Gallery

Exploring the genetic roots of a neurological tragedy Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Breaking down Tay-Sachs 15/05/25, 11:43 Last updated: Published: 20/04/24, 12:29 Exploring the genetic roots of a neurological tragedy This is article no. 9 in a series on rare diseases. Next article: Ehlers-Danlos Syndrome . Previous article: Pseudo-Angelman Syndrome . Tay-Sachs disease is a heritable metabolic condition that affects the neurons in the brain. The disease is more common in infants and young children as well as people of Ashkenazi Jewish descent, although it can occur in any ethnicity. Symptoms of the disease most commonly manifest themselves in children around six months of age. However, it is possible to develop symptoms from five years old to the teenage years. There are three different forms of the disease, each appearing at different stages of life: infantile, juvenile, and adult. The adult form is much rarer and non-fatal but can still cause neuron dysfunction and psychosis. Early symptoms of the disease include mobility issues such as difficulty crawling, and as the disease progresses, the child may suffer from seizures, vision, and hearing loss. In the classic infantile form, the disease is fatal within the first few years of life or by three to five years old. In infants, infection and respiratory complications, such as pneumonia, are the most common cause of death. Being categorised as an autosomal recessive disease means that in order to display the phenotype, two copies of the mutated HEXA gene must be present in an individual. This HEXA gene is located on chromosome 15 and is responsible for producing enzymes that affect the nerve cells. The carrier frequency of Tay-Sachs is highly dependent on ethnic backgrounds, with carrier frequency being 1 in 30 for those of Ashkenazi Jewish descent and 1 in 300 for others. The chance of developing the disease early or late is predicated on the specific type of HEXA mutation that is inherited within the family. Meaning, if one child in a family possesses the infantile form, all other members of the family will also possess the infantile form (if they express the phenotype). When both parents are carriers of the Tay-Sachs gene mutation, there is a 25% chance with each pregnancy that the child will inherit two mutated copies of the HEXA gene and thus be affected by the disease. Also, there is a 50% chance the child will be a carrier like the parents and a 25% chance the child will inherit two normal copies of the gene and be unaffected. Furthermore, this particular type of gene mutation results in the disease being commonly labelled as a hexosaminidase A deficiency. The HEXA gene’s significance in the disease is further highlighted due to its ability to code for specific alpha subunits in the enzyme β-hexosaminidase A. This enzyme is involved in breaking down molecules that can be recycled in a cell through the use of lysosomes. This key cellular function helps a cell undergo apoptosis (programmed cell death) or help evade bacteria that can damage a cell. However, in individuals with this HEXA gene mutation, less of the enzyme β-hexosaminidase A is produced, which results in less degradation of GM2 ganglioside. GM2 ganglioside is a lipid involved in a host of processes such as membrane organisation, neuronal differentiation, and signal transduction. In addition, due to its lack of degradation, it accumulates inside the body. The rate at which the lipid accumulates inside the cell ultimately determines the form of Tay-Sachs an individual will possess. It is worth noting that this GM2 ganglioside pathology also includes other diseases, such as Sandhoff disease and the AB variant, which have similar disease prognoses. Furthermore, the disease specifically targets the brain as gangliosides are the main lipids that compose neuronal plasma membranes. Their expression is specific to brain regions, impacting key neurodevelopmental processes like neural tube formation and synaptogenesis. Furthermore, ganglioside synthesis is a highly regulated process facilitated by glycosyltransferases during transcription and post-transcription. They also modulate ion channels and receptor signalling, which are crucial for neurotransmission, memory, and learning. The exact mechanism of how this ganglioside accumulation due to HEXA malfunction leads to neuronal death remains unclear. Figure 1 illustrates the dysfunction of the alpha subunit in HEXA as it cannot break down GM2 gangliosides. This results in an accumulation of GM2 within the liposome, contrasting with its concentration in the external environment. This accumulation of GM2 causes lysosomal dysfunction and eventually cell damage, which leads to the symptoms commonly associated with Tay-Sachs. Mouse models have been created to understand this GM2 pathway in greater detail to develop treatments. However, this is quite limited as mice do not have the same pathway of breaking down GM2 as humans. Also, since the disease may be prevalent before birth, it is hard to establish the damage done to a baby inside the womb, making reversing this disease in infants very challenging. However, the later onset types of Tay-Sachs disease might respond to treatment. Implementing ganglioside synthesis inhibitors in combination with existing DNA and enzymatic screening programs holds promise for eventually managing and controlling this condition. Parents can undergo genetic screening to assess their risk of carrying the Tay-Sachs gene, which is done by doing a simple blood test that examines the DNA for mutations in the HEXA gene. Genetic screening is particularly important for couples who have a family history of Tay-Sachs disease or who belong to ethnic groups with a higher prevalence of the condition. Early detection through genetic screening allows couples to make informed reproductive decisions, such as pursuing in vitro fertilisation with preimplantation genetic testing or opting for prenatal testing during pregnancy to determine if the foetus has inherited the mutated gene. Utilising the acronym SHADES as a mnemonic to recognise potential signs of Tay-Sachs disease in their child can help parents get a prompt medical evaluation if any symptoms arise. SHADES: S tartle response H earing loss A ffecting vision D evelopmental delay E pileptic seizures S wallowing difficulties Written by Imron Shah REFERENCES Center, N. (2015). Tay-Sachs disease. Nih.gov . Available at: https://www.ncbi.nlm.nih.gov/books/NBK22250/ . Leal, A.F., Benincore-Flórez, E., Solano-Galarza, D., Garzón Jaramillo, R.G., Echeverri-Peña, O.Y., Suarez, D.A., Alméciga-Díaz, C.J. and Espejo-Mojica, A.J. (2020). GM2 Gangliosidoses: Clinical Features, Pathophysiological Aspects, and Current Therapies. International Journal of Molecular Sciences, 21(17), p.6213. doi: https://doi.org/10.3390/ijms21176213 . Ramani, P.K. and Parayil Sankaran, B. (2022). Tay-Sachs Disease. PubMed. Available at: https://www.ncbi.nlm.nih.gov/books/NBK564432/ . Project Gallery

Preserving trust and exposing betrayal Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Uncovering the Disturbing World of Healthcare Serial Killers 14/07/25, 16:06 Last updated: Published: 25/02/24, 15:08 Preserving trust and exposing betrayal Background We depend heavily on medical professionals during our most defenceless and vulnerable moments, trusting them with our well-being. However, what would happen if this trust was broken? What if the medical professionals were to pose harm rather than fulfil their intended function as protectors? Healthcare serial killers are one of the most disturbing subsets of serial killers - the name itself suggests that individuals within the healthcare industry exploit their position to murder patients. True crime and media often go hand in hand in the modern era. There are many web series, TV dramas, and movies that delve into real-life narratives. Accumulating over 68.31 million hours watched, Netflix's film "The Good Nurse" in 2022, depicts the story of Charles Cullen, a figure recognised as one of the most prolific serial killers in American history. The film quickly rose to prominence and became the best-performing English-language film production on the platform. This phenomenon in media underscores a broader pattern wherein the portrayal of serial killers becomes increasingly prevalent within popular culture. Motives Criminologists and true crime filmmakers engaged in extensive efforts to figure out what motivates serial killers to carry out such horrific crimes for decades. The motives behind killings are diverse, complex and sometimes unknown. Some perpetrators may attempt to justify their actions by claiming to ease the patient's suffering under the guise of “mercy killing”. Others can be driven by the desire to be praised, to exert power or control over the patient, or to gain financial benefits. For example, Dr. Harold Shipman, a British doctor killed over 200 patients, primarily driven by sadistic motives. His misdeeds were ultimately exposed when he attempted to forge the will of one of his victims. Key traits and methods Although it might be tempting to create a list of characteristics typical of healthcare serial killers, no universally applicable formula defines their personalities. However, according to research by Yardley, E., and Wilson, D. (2016), attention-seeking, strange behaviour when a patient dies, and frequent changes in hospital working locations are characteristics that healthcare serial killers frequently exhibit. Furthermore, the study conducted by Birmingham City University criminologists shows that the most popular technique employed by healthcare serial killers is poisoning, specifically through insulin overdose. Notably, insulin overdose was the principal method employed by 25% of healthcare serial killers. For instance, in the case of British nurse Lucy Letby, who was given a life sentence for killing seven infants and attempting to murder six others, the use of an insulin overdose was a notable method employed. Ethics Examining the ethical implications of healthcare serial killing is essential, as it involves the breach of trust and violation of core principles of the healthcare profession. The relationship between a medical professional and a patient is based solely on trust, which healthcare serial killers have exploited. What's worse is that medical professionals frequently target elderly, chronically ill, or vulnerable patients, highlighting significant ethical issues. Challenges Detecting healthcare serial killers is difficult, primarily because their victims are frequently elderly or suffering from chronic illnesses. Investigations typically stem from an unusually high number of deaths rather than patient or family complaints. Even if the police initiate an investigation, it may be too late to collect physical evidence, as bodies may have been cremated or significantly decomposed, leaving no trace of substances in the patients' systems. Furthermore, in rare cases where a medical professional faces charges, they may use defences such as assisted suicides or attribute deaths to unintentional medical errors, potentially resulting in reduced sentences or lesser degrees of homicide . Conclusion Healthcare serial killers are a deeply disturbing phenomenon within the medical profession. The idea that people upon whom we rely on to take care of us can occasionally exhibit malevolence is extremely unsettling. By employing research to understand the existence of serial killers in the healthcare industry, we can address the many questions that surround their behaviour. Studying the motive behind such crimes, looking at the key traits and methods, and addressing the challenges associated with identifying such perpetrators provide insights crucial for safeguarding the community of patients who are at risk and preserving the core moral principles of the medical field. Let’s conclude by saying that the way that healthcare serial killings are portrayed in popular media is a clear reminder of the moral and professional obligations inherent in the provision of healthcare. Written by Prabha Rana Related articles: Neurology of serial killers / Intern Blues References ‘The True Story Behind Netflix’s The Good Nurse’. TIME, 27 Oct. 2022, https://time.com/6225730/the-good-nurse-true-story-netflix/ . Menshawey, Rahma, and Esraa Menshawey. ‘Brave Clarice-Healthcare Serial Killers, Patterns, Motives, and Solutions’. Forensic Science, Medicine, and Pathology, vol. 19, no. 3, Sept. 2023, pp. 452–63. PubMed, https://doi.org/10.1007/s12024-022-00556-4 . Tinning, Danielle. ‘Meet The British Physician Who Killed Hundreds Of His Patients — On Purpose’. All That’s Interesting, 21 Apr. 2023, https://allthatsinteresting.com/haroldshipman . Guy, Fiona. ‘Medical Serial Killers: The So-Called Angels of Mercy’. Crime Traveller, 27 June 2018, https://www.crimetraveller.org/2018/06/healthcare-medical-serial-killers/ . Townsend, Mark. ‘Study Identifies Key Traits and Methods of Serial Killer Nurses’. The Guardian, 22 Nov. 2014. The Guardian, https://www.theguardian.com/uknews/2014/nov/22/study-identified-key-traits-serial-killer-nurses . Project Gallery

New research suggests that the cause extends far beyond the nervous system Facebook X (Twitter) WhatsApp LinkedIn Pinterest Copy link Can what we eat, breathe, and do for a living affect our Parkinson’s risk? Last updated: 21/03/25, 11:59 Published: 10/04/25, 08:00 New research suggests that the cause extends far beyond the nervous system Introduction Parkinson’s disease (PD) is the most prevalent movement disorder and the second most common neurodegenerative disorder worldwide. PD is best known for causing tremors and stiffness, but it’s much more than a movement disorder. It also affects mood and speech. While PD is caused by the loss of dopamine-producing neurons in the brain’s substantia nigra, new research suggests that its roots may extend far beyond the nervous system. Surprisingly, the gut microbiome – trillions of bacteria living in our digestive tract – may play a key role in both the development and prevention of PD. These microbes help regulate inflammation and support brain health by influencing microglia, the brain’s immune cells. Diet also seems to matter: a Mediterranean-style diet rich in fruits, vegetables, and healthy fats appears to lower PD risk, while smoking – despite its well-known dangers – has been linked to a puzzling protective effect, possibly due to nicotine’s impact on the brain. Meanwhile, specific jobs, like farming, may increase PD risk due to pesticide exposure, which has been associated with neurodegeneration. The idea that what we eat, breathe, and do for a living could shape our brain health is intriguing. As research continues to uncover these surprising links, it raises an important question: could simple lifestyle changes help protect against neurodegenerative diseases? Gut-Brain Axis The gut-brain axis (GBA) is a two-way communication network between the enteric nervous system of the gastrointestinal (GI) tract and the central nervous system, connecting emotions and cognition with the intestines’ functions. This involves the brain sending signals to the gut and vice versa, which happens through the vagus nerve, gut hormones and the gut microbiome, which can produce chemicals to impact brain activity. This usually explains why stress signals from the brain can influence the digestion of food, causing symptoms such as stomach pain, bloating or changes in bowel movements. Alternatively, signals travelling from the gut to the brain can be seen when we eat something that makes us feel sick – we naturally avoid that food and the place where we ate it. Gut dysbiosis can be triggered by multiple factors, including diet, antibiotic use, infection, inflammation, and chronic stress. Dysbiosis is the imbalance in the composition and activity of the microbiota (microorganisms present in the gut). It is considered a risk factor for PD, but is not a direct cause of it. Changes in the microbiota can induce metabolic changes, which can result in increased local and systemic inflammation in addition to increased permeability of the intestines, making the gut ‘leaky’. Additionally, this can cause increased harmful gut bacteria (such as E. coli or Salmonella ) as they leak through the intestinal lining, producing amyloid proteins which can travel to the brain and cause the accumulation of α-synuclein – a protein linked to neurodegenerative diseases such as PD. There is also a reduction in healthy gut bacteria – which usually produce short-chain fatty acids (SCFAs) such as butyrate – which reduce inflammation and protect the brain cells. Less SCFAs cause an increase in inflammation and loss of the neuroprotective effects of SCFAs. Increased inflammation can eventually cause the weakening of the gut lining and a cycle of worsening dysbiosis, increased inflammation and increased α-synuclein accumulation, which spreads to the brain. Furthermore, gut dysbiosis can decrease the efficacy of dopaminergic treatments, which may be used to treat PD. In gut dysbiosis, harmful bacteria can produce an enzyme called dopa-decarboxylase – which converts Levodopa (a drug used to treat PD) into dopamine within the intestines. Hence, less Levodopa reaches the bloodstream and the brain, where it primarily acts and is converted to dopamine. This results in less Levodopa being converted to dopamine within the brain, reducing the effectiveness of the treatment. Consequently, this leads to motor symptoms and impairments such as tremors, which is a characteristic symptom of PD. Can food protect the brain? Could your diet be influencing your brain health in ways you never imagined? Research suggests that what you eat might play a critical role in either protecting your brain from PD or increasing your risk. People who follow a Mediterranean diet (MD) – rich in olive oil, fish, fruits, vegetables, whole grains, and nuts – may have up to a 25% lower risk of developing PD. Interestingly, this protective effect appears stronger in younger individuals and those in the early stages of PD. So.. what makes the MD so powerful? Gut microbiome boost: the MD promotes beneficial gut bacteria while reducing harmful microbes, supporting overall brain health. Anti-inflammatory effects: fibre from plant-based foods fuels the gut microbiome, leading to the production of SCFAs, which reduce inflammation and may slow PD progression. Mitochondrial protection: compounds in the MD, such as polyphenols in olive oil and omega-3 fatty acids in fish, help repair and protect mitochondria – the powerhouses of our cells. This helps prevent brain cell damage and maintain dopamine function. Neural growth & repair: walnuts and omega-3s may support neuronal growth and reduce protein clumping, a hallmark of PD. On the other hand, a Western diet – high in processed foods, saturated fats, refined sugars, and excess salt – may increase the risk of developing and worsening PD symptoms. Foods commonly associated with faster PD progression include canned fruits and vegetables, soda, fried foods, beef, ice cream, and cheese. Why does this happen? Microbiome disruption: the Western diet fosters an imbalance in gut bacteria, leading to inflammation and potential brain damage. Gut leakiness and neuroinflammation: a diet high in unhealthy fats and low in fibre can damage the gut lining, allowing harmful substances to enter the bloodstream and trigger brain inflammation. Hormonal imbalance: key gut-derived hormones (GLP-1, GIP, and IGN) that help protect neurons are disrupted by poor diet but can be restored through healthier food choices. While diet alone cannot cure PD, growing evidence suggests it can modify the disease course. A diet rich in fibre, healthy fats, and plant-based foods supports gut health, reduces inflammation, and may protect neurons from degeneration. Understanding these diet-microbiome-brain interactions could open new doors to PD prevention and treatment – proving once again that food truly is medicine. The smoking paradox One of the most intriguing findings in PD research is that smokers appear to have a lower risk of developing the disease. Epidemiological studies consistently show that people who smoke are less likely to be diagnosed with PD compared to non-smokers. But why? Scientists believe that nicotine, a key compound in tobacco, may play a neuroprotective role by affecting dopamine-producing neurons – the same cells that are progressively lost in PD disease. Nicotine interacts with receptors in the brain that influence dopamine release, which could help protect these neurons from degeneration. However, clinical trials testing nicotine as a treatment for PD have not shown significant benefits, suggesting that other compounds in tobacco or alternative mechanisms might be involved. Some researchers propose that additional chemicals in cigarette smoke, such as monoamine oxidase inhibitors, antioxidants, or even carbon monoxide at low levels, might contribute to this protective effect. Others suggest that genetic factors or lifestyle differences between smokers and non-smokers could also explain the association. Despite this fascinating link, smoking is not a recommended strategy for preventing PD. The well-documented risks – including cancer, cardiovascular disease, and lung damage – far outweigh any potential benefit. Instead, scientists are investigating whether specific compounds found in tobacco could be harnessed for new treatments without the harmful effects of smoking itself. What about my job? Can your job affect your risk of developing PD? Some studies suggest that certain occupations – like farming – might increase the risk, while others find no clear connection. So, what’s the truth? Let’s break it down. Some research suggests that farmers are more likely to develop PD, possibly due to exposure to pesticides like paraquat and rotenone, which have been linked to brain cell damage. Additionally, heavy metals found in agricultural environments – such as lead and manganese – may contribute to brain inflammation and oxidative stress, both of which play a role in PD. Furthermore, certain metals, including iron, mercury, copper, and manganese, can build up in the brain over time. Scientists believe that long-term exposure could damage the neurons that produce dopamine. However, the exact link isn’t fully understood, and not everyone exposed to these metals develops PD. That said, not all studies agree. Some large-scale research has found no significant link between farming, pesticide exposure, heavy metals and PD risk. This means that while environmental factors might play a role, other things – like genetics, lifestyle, or how long and intensely someone is exposed – could be just as important. So.. should you worry? If you work in farming or are regularly exposed to pesticides and heavy metals, it might be a good idea to take precautions, like using protective equipment and following safety guidelines. However, more research is needed to fully understand how these exposures contribute to PD. For now, staying informed and taking steps to reduce unnecessary exposure to harmful chemicals is a smart approach. What can you do? While there’s no guaranteed way to prevent PD, research suggests that certain lifestyle choices may help reduce the risk. Here are some science-backed steps you can take: 1. Adopt a Mediterranean-style diet: eating a diet rich in whole, plant-based foods, healthy fats (like olive oil and nuts), and lean proteins has been linked to a lower risk of PD. The Mediterranean diet is packed with antioxidants and anti-inflammatory compounds that may help protect brain cells. 2. Stay active: regular exercise isn’t just good for your muscles and heart – it may also help maintain gut health and protect neurons. Activities like walking, swimming, or strength training have been associated with a reduced risk of PD and other neurodegenerative diseases. 3. Limit pesticide exposure: for those in agricultural or industrial settings, protective measures, such as wearing gloves and masks and following safety guidelines, can help reduce exposure to potentially harmful chemicals linked to PD. 4. Monitor gut health: emerging research suggests that the gut microbiome may play a key role in PD. While scientists are still exploring microbiome-targeted therapies, maintaining good gut health by eating fibre-rich foods, fermented foods (like yogurt and kimchi), and staying hydrated may support overall well-being. Conclusion The connection between diet, gut health, lifestyle, and PD is an exciting area of research. While we don’t yet have all the answers, it’s clear that healthy habits – such as eating well, staying active, and minimising harmful exposures – can support both brain and overall health. As science continues to uncover new insights, making informed choices today can help protect your well-being in the long run! Written by Joecelyn Kirani Tan, Hanin Salem, Devikka Sivashanmuganathan & Barayturk Aydin Related articles: TDP43 and Parkinsonism / Diabetes drug to treat Parkinson's REFERENCES Berthouzoz E, Lazarevic V, Zekeridou A, Castro M, Debove I, Aybek S, Schrenzel J, Burkhard PR, Fleury V. Oral and intestinal dysbiosis in Parkinson's disease. 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Gut Microbiota Dysbiosis: Triggers, Consequences, Diagnostic and Therapeutic Options. Microorganisms, [online] 10(3), p.578. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC8954387/#:~:text=Dysbiosis%20can%20be%20caused%20by,food%20additives)%2C%20and%20hygiene .. Jackson A, Forsyth CB, Shaikh M, Voigt RM, Engen PA, Ramirez V, Keshavarzian A. Diet in Parkinson's Disease: Critical Role for the Microbiome. Front Neurol. 2019 Dec 10;10:1245. doi: 10.3389/fneur.2019.01245. PMID: 31920905; PMCID: PMC6915094. Johns Hopkins Medicine (2025). Can Environmental Toxins Cause Parkinson’s Disease? https://www.hopkinsmedicine.org/health/conditions-and-diseases/parkinsons-disease/can-environmental-toxins-cause-parkinson-disease Kwon, D. et al. (2024) ‘Diet and the gut microbiome in patients with parkinson’s disease’, npj Parkinson’s Disease , 10(1). doi:10.1038/s41531-024-00681-7. Physiopedia. (n.d.). Gut Brain Axis (GBA). 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