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Homes heated by human sewage could be a reality thanks to Aston University
Project to transform sewage sludge into clean water and energy awarded a share of £4.5 million by Ofwat Involves extracting energy from the waste produced during sewage and water treatment Gases obtained can be used to power engines or heat people’s homes. An Aston University project that could transform sewage sludge into clean water and energy has been awarded a share of £4.5 million by Ofwat. The University project with engineering consultancy ICMEA-UK involves extracting energy from the waste produced during sewage and water treatment and transforming it into hydrogen and/or methane. The gases can then be used to power engines or heat people’s homes. The aim is to create a sustainable and cost-efficiently run wastewater processes, plus extra energy. The initiative was one of ten winners of Ofwat’s Water Discovery Challenge, of which the Aston University scientists and two industrial partners have been awarded £427,000. Dr Jude Onwudili based at Aston University’s Energy and Bioproducts Research Institute (EBRI) is leading the team of scientists who will work with the partners to develop a trial rig to transform solid residues from wastewater treatment plants to hydrogen and/or methane. The two-stage process will involve the initial transformation of organic components in the sludge into liquid intermediates, which will then be converted to the fuel gases in a second stage. The project is called REvAR (Renewable Energy via Aqueous-phase Reforming), and Dr Onwudili will be working with lead partner and engineering consultancy company ICMEA-UK Limited and sustainable infrastructure company Costain. REVAR combines the use of hot-pressurised water or hydrothermal conditions with catalysts to achieve high conversion efficiency. The technique can treat sewage sludge in just minutes, and it is hoped that it will replace existing processes. In 2013, a Chartered Institution of Water and Environmental Management report stated that the sector is the fourth most energy intensive industry in the UK. Dr Onwudili said: “This project is important because millions of tonnes of sewage sludge are generated in the UK each year and the water industry is struggling with how to effectively manage them as waste. “Instead, they can be converted into valuable feedstocks which are used for producing renewable fuel gases, thereby increasing the availability of feedstocks to meet UK decarbonisation targets through bioenergy. “We will be taking a waste product and recovering two important products from it: clean water and renewable energy. Overall, the novel technology will contribute towards meeting UK Net Zero obligations by 2050 and ties in with the University’s purpose to make our world a better place through education, research and innovation.” The Water Discovery Challenge aims to accelerate the development and adoption of promising new innovations for the water sector. Over the next six months, winners will also receive non-financial support and will be able to pitch their projects to potential water company partners and/or investors. The 10 winning teams are from outside the water industry and were chosen because of their projects’ potential to help solve the biggest challenges facing the sector. The competition is part of the Ofwat Innovation Fund, run by the water regulator Ofwat, with Challenge Works, Arup and Isle Utilities and is the first in the water sector to invite ideas from innovators across industries. Helen Campbell, senior director for sector performance at Ofwat, said: “This competition was about reaching new innovators from outside the sector with different approaches and new ideas, and that’s exactly what the winners are doing. “The products and ideas recognised in this cross-sector challenge will equip water companies to better face challenges of the future – including achieving sustainability goals and meeting net zero targets – all while providing the highest-quality product for consumers.” ENDS A Blueprint For Carbon Emissions Reduction in the UK Water Industry The Chartered Institution of Water and Environmental Management https://www.ciwem.org/assets/pdf/Policy/Reports/A-Blueprint-for-carbon-emissions-reductions-in-the-water-industry.pdf Ofwat Innovation Fund Ofwat, the Water Services Regulation Authority for England and Wales, has established a £200 million Innovation Fund to grow the water sector’s capacity to innovate, enabling it to better meet the evolving needs of customers, society and the environment. The Innovation Fund, delivered in partnership with Challenge Works (formerly known as Nesta Challenges) and supported by Arup and Isle Utilities, is designed to complement Ofwat’s existing approach to innovation and to help deliver against Ofwat’s strategy which highlights the role of innovation in meeting many of the challenges the sector faces. About ICMEA-UK Based in Sheffield, in the North of England, ICMEA-UK is the UK arm of an established Italian innovative engineering company - ICMEA SRL. They are an innovative Engineering consultancy company, and work in partnership with a range of other organisations to provide innovative, bespoke solutions to problems where an Engineering solution is required. About Costain Costain helps to improve people’s lives by creating connected, sustainable infrastructure that enables people and the planet thrive. They shape, create, and deliver pioneering solutions that transform the performance of the infrastructure ecosystem across the UK’s energy, water, transportation, and defence markets. They are organised around their customers anticipating and solving challenges and helping to improve performance. By bringing together their unique mix of construction, consulting, and digital experts they engineer and deliver sustainable, efficient, and practical solutions. About Aston University For over a century, Aston University’s enduring purpose has been to make our world a better place through education, research and innovation, by enabling our students to succeed in work and life, and by supporting our communities to thrive economically, socially and culturally. Aston University’s history has been intertwined with the history of Birmingham, a remarkable city that once was the heartland of the Industrial Revolution and the manufacturing powerhouse of the world. Born out of the First Industrial Revolution, Aston University has a proud and distinct heritage dating back to our formation as the School of Metallurgy in 1875, the first UK College of Technology in 1951, gaining university status by Royal Charter in 1966, and becoming The Guardian University of the Year in 2020. Building on our outstanding past, we are now defining our place and role in the Fourth Industrial Revolution (and beyond) within a rapidly changing world. For media inquiries in relation to this release, contact Nicola Jones, Press and Communications Manager, on (+44) 7825 342091 or email: n.jones6@aston.ac.uk
Today is Victory in Europe Day (VE Day) - Our history #experts are here to help with your stories
Victory in Europe Day marks a monumental moment in human history, signifying the end of World War II in Europe and the dawn of a new era of peace and reconstruction. This event matters to the public as it commemorates the sacrifices made by millions and celebrates the triumph of freedom over tyranny. VE Day offers a plethora of compelling story angles that resonate with a broad audience: The human stories behind the victory: tales of courage, resilience, and sacrifice The significance of VE Day in shaping post-war geopolitics and international relations Commemorative events and ceremonies honoring veterans and their legacies Reflections on the lessons learned from World War II and their relevance today The cultural impact of VE Day on art, literature, and popular culture Continuing efforts for reconciliation and remembrance across generations As we mark Victory in Europe Day, journalists have an opportunity to delve into these rich narratives, shedding light on the enduring legacy of the Greatest Generation and the ongoing quest for peace and freedom worldwide. Connect with an Expert about WWII and Victory in Europe Day (VE Day): Colin Rafferty Associate Professor · University of Mary Washington Patrick Jung, Ph.D. Professor · Milwaukee School of Engineering Marc Gallicchio, PhD Professor and Mary M. Birle Chair in History | College of Liberal Arts and Sciences · Villanova University Kara Dixon Vuic LCpl. Benjamin W. Schmidt Professor of War, Conflict, and Society in 20th-Century America · Texas Christian University Stephen Sloan, B.B.A., M.A., PhD. Director of Institute for Oral History, Associate Professor of History · Baylor University To search our full list of experts visit www.expertfile.com Photo Credit: Galt Museum & Archives
Ready for takeoff! The Starliner is set for its first mission to the ISS
Since 2011, any American astronaut looking to get to or from the International Space Station (ISS) had to lift off from the Baikonur Cosmodrome, a spaceport operated by Russia within Kazakhstan. It was the only way to get up into space - for now. It's why almost a decade ago private sector companies Boeing and SpaceX were engaged by NASA to develop a new way to get to the ISS from American soil. All of that is about to change, and all eyes have been on Boeing's Starliner as it readies to take flight with a crew for the first time. Florida's Tech's Don Platt , the Director of the Spaceport Education Center, has also been busy as the media coverage has been intense. “In this case, NASA is truly buying a service and it’s up to the company to get it all right. With just some oversight," said Don Platt, of Florida Tech. Starliner rolled out to Launch Complex 41 in the early morning on Tuesday. It will be positioned atop a ULA Atlas 5 rocket for the planned liftoff on May 6 from the Cape Canaveral Space Force Station. As Platt explained, Starliner is a critical second option for NASA. “With all the success of SpaceX has had recently, we can’t simply rely on SpaceX to provide all services to the American space program," Platt said. This is the first flight of Starliner with a crew onboard so it’ll be the first time for it to fly in this configuration. During these test missions, there are always lessons to be learned. “We are all aware of some of the issues the Boeing company has experienced in the last couple of years. And to have a successful test flight here with astronauts onboard is a definite plus from PR aspect,” Platt said. Two seasoned NASA astronauts will be the first to take a ride in Starliner up to the ISS; Suni Williams and Barry “Butch” Wilmore. They’ll be up there for eight days on this test mission and if all goes well, the first Starliner mission on NASA crew rotation up to the ISS will come next spring. -- April 16 - NBC News Getting to the ISS, Moon and even Mars are getting a lot of attention lately. If you're a journalist look to cover the topic, let us help. Dr. Don Platt's work has involved developing, testing and flying different types of avionics, communications, rocket propulsion systems as well as astrobiology/biotechnology systems and human deep space exploration tools. Don is available to speak with media anytime. Simply click on the icon below to arrange an interview today.
This Is a Critical Moment: Delaware Must Not Go Backward in Health Equity
The proposed Delaware House Bill 350 is well-intended but would have terrible consequences for Delaware’s most vulnerable populations. There is a better way. By LeRoi S. Hicks, M.D., MPH, FACP As a Black physician who has dedicated his 25-year career to understanding and addressing health equity, I am deeply concerned about Delaware’s proposed House Bill 350, which aims to address rising health care costs by establishing a body of political appointees that would oversee the budgets of Delaware’s nonprofit hospitals. While the goal of bending the cost curve in health care may be well-intentioned, this bill will have horrific consequences for Delaware’s most vulnerable populations, including Black people, Hispanic people and other groups that have been traditionally underserved in health care. We can and must work together to solve this problem and provide the right care, in the right place, at the right time. A tale of two cities To borrow a phrase from Charles Dickens, Delaware, like much of America, is a tale of two cities. The experience of life—including a healthy, safe environment and access to good-quality health care—is vastly different depending on where you live and your demographic background. In the city of Wilmington, for example, ZIP codes that are just a few miles apart represent more than 20 years difference in life expectancy. This is not OK—it’s a sign that we have serious structural problems in our communities that are causing harm to people and making their lives shorter. Importantly, chopping $360 million out of Delaware’s hospital budgets, as House Bill 350 would do in year one, is not going to help this problem—it’s going to make it worse. And in doing so, it would ultimately make health care in Delaware more expensive—not less expensive. The key to lowering health care costs is to improve quality, access and equity Data show that about 5% of patients in the United States account for more than 50% of all health care costs. These are primarily patients who have complex and poorly managed chronic conditions that cause them to end up in the most expensive care settings—hospitals, operating rooms, emergency departments. The key to driving down health care costs is to improve quality and equity so that everyone is supported in achieving their best health, and these high users of the most expensive kinds of care are better supported in managing their health conditions such as diabetes or heart failure in the appropriate way. In doing so, they prevent the need for costly emergency or “rescue” care. Let’s do more—not less—of what we already know works Health care is not a one-size-fits-all industry. The delivery of care for patients across a diverse population requires multiple interventions at the same time. These interventions are designed not only to improve the quality of care but also to close the gap in terms of health care disparities. That’s important, because when we improve care and outcomes for the most vulnerable populations, we tend to get things right for everyone. One type of intervention is about doing exactly the right things for a patient based on the evidence of what will help—and doing nothing extra that will cause harm or generate additional costs without providing additional benefit. An example of this might be ensuring that every patient who has a heart attack gets a certain drug called a beta blocker right after their heart attack, and they receive clear guidance and support on the actions they must take to reduce their risk of a second heart attack, such as regular exercise and good nutrition. The second type of intervention is for the highest-risk populations. These are patients who live in poor communities where there are no gyms and no grocery stores, and people commonly have challenges with transportation and lack of access to resources that makes it difficult—sometimes impossible—to follow their plan for follow-up care. They lack access to high-nutrient food that reduces their risk of a second heart attack. They also live in areas where there are fewer health care providers compared to more affluent areas. These interventions tend to be very intensive and do not generate income for health systems; in fact, they require significant non-reimbursed investment, but they are necessary to keep our most vulnerable patients healthy. The medical community has developed interventions for these populations that are proven to work. A local example is the Delaware Food Pharmacy program, which connects at-risk patients with healthy food and supports their ability to prepare it. The program helps patients improve their overall health and effectively manage their chronic conditions so they can prevent an adverse event that would put them back in the hospital or emergency department. When we work together, we succeed We’ve seen incredible examples of how this work can be successful right here in Delaware. Delaware was the first state in the country to eliminate a racial disparity in colorectal cancer, and we did this by expanding cancer services, including making it easy for vulnerable people to get preventive cancer care and screenings. This is an incredible success story that continues to this day, and it was the result of thoughtful, detail-oriented partnerships among the state and the health care community. The work continues as we collaborate to reduce the impact and mortality of breast cancer in our state. Unfortunately, these kinds of interventions are the first thing to go when health care budgets get slashed, because they don’t generate revenue and are not self-sustaining. These kinds of activities need to be funded—either through grants or an external funder, or by the hospitals and health care systems. By narrowly focusing on cost, we risk losing the progress we have made Delaware House Bill 350, as it’s proposed, would cause harm in two ways: First, it would compromise our ability to invest in these kinds of interventions that work. Second, it increases the risk that higher-cost health services and programs that are disproportionately needed by people in vulnerable communities could become no longer available in Delaware. In states where the government has intervened in the name of cutting costs, like Vermont and Massachusetts, we see the consequences–less quality and reduced equitable access to much-needed services. House Bill 350 will widen the gap between those who have means and those who are more vulnerable. These changes will lead to increased disease burden on these populations. They will end up in the emergency room more and hospitalized more, which is by far the most expensive kind of care. That’s not what anyone wants—and it’s the opposite of what this bill was intended to accomplish. At this moment, in Delaware, we have an opportunity to put our state on a sustainable path to better health for all Delawareans. House Bill 350 is not that path. However, the discussion that House Bill 350 has started is something that we can build on by bringing together the stakeholders we need to collaborate with to solve these complicated problems. That includes Delaware’s government and legislators, the hospitals and health centers, the insurance, pharmacy and medical device industries, and most importantly, patients and the doctors who care for them. LeRoi Hicks, M.D., is the campus executive director for ChristianaCare, Wilmington Campus.
Innovative EEG Brain Monitoring Program Provides Optimal Care for Critically Ill Patients
ChristianaCare has launched an innovative electroencephalogram (EEG) brain monitoring program that represents a significant leap forward in the diagnosis and management of neurological conditions. The easy-to-use EEG program is the first of its kind that can be performed at the bedside to measure the electrical activity of the brain, providing a vital sign for brain function to help diagnose seizures more quickly. ChristianaCare is the first hospital system in Delaware to use the Ceribell point-of-care EEG monitoring system, which can reduce the time it takes to diagnose certain neurological conditions from hours to mere minutes. Using the system, clinicians have immediate access to EEG information so they can triage at-risk patients in just five minutes and monitor patients for treatment optimization. “With this new program, our team of expert clinicians will have the diagnostic information they need to provide high-risk patients with the right care at the right time, ensuring the best outcomes for our patients and their families,” said Kim Gannon, M.D., Ph.D., service line leader for Neurosciences at ChristianaCare. New technology detects ‘silent seizures’ Critically ill patients are at high risk of harmful brain electrical discharges called seizures. Some of these patients experience a type of “silent seizure” with no noticeable symptoms (non-convulsive) that can only be detected using EEG. If prolonged, non-convulsive seizures can lead to permanent brain injury and higher risk of morbidity and mortality. Demonstration of EEG device on patient at ChristianaCare Newark Campus. As a result, guidelines from the Neurocritical Care Society recommend EEG should be initiated within 15-60 minutes when these seizures are suspected. Meeting these guidelines has proven difficult due to the limitations of conventional EEG systems, which were not designed for use in emergency situations. Even top academic centers that have 24/7 EEG capabilities may experience wait times of four hours or more for conventional equipment. When relying on clinical judgement alone while waiting for these conventional EEG systems, diagnostic accuracy has been shown to be only slightly better than chance (65%). The value of this new technology for patients is that it provides accurate results quickly so that the care team can intervene early. “The neuroscience and critical care teams at ChristianaCare believe that ‘time is brain’ not only applies to stroke but also when dealing with seizure,” Gannon said. Gannon is referring to the fact that for every minute that passes when someone is having a stroke, 1.9 million brain cells are lost, increasing the chance of disability or death. That same kind of speed and urgency can now more easily be brought to bear for patients when a seizure is suspected. “This monitoring system is easy to use and can be set up in about five minutes,” said Richard Choi, D.O., medical director of the Neurocritical Care Unit at Christiana Hospital. “It consists of a simple headband, pocket-sized recorder with intuitive software and an on-line portal for remote viewing. Using the system, we can review EEG data, assess response to treatment and optimize care, all in real-time.” Neurosciences at ChristianaCare ChristianaCare’s multidisciplinary neurosciences team provides comprehensive and advanced care for neurologic illnesses across the acute and ambulatory settings. As the largest and most comprehensive neurology practice in Delaware with more than 55,000 patient visits last year, ambulatory subspecialties include stroke, epilepsy, multiple sclerosis, movement disorders, neuromuscular disorders, headaches/migraines, pediatric neurology and Botox specialists. The inpatient team of experts includes neurosurgeons, neurointerventional surgeons, neurocritical care physicians and vascular neurologists. The Newark Campus serves as the only comprehensive stroke center in the state and includes the only Epilepsy Monitoring Unit in Delaware.
Sunday is Cinco de Mayo. Do you know the history behind the day?
Celebrated annually on May 5th, Cinco de Mayo commemorates the Mexican army's victory over French forces at the Battle of Puebla in 1862. While often associated with festive gatherings and cultural celebrations, Cinco de Mayo also holds significant relevance beyond its historical origins, offering various story angles that appeal to a broad audience. Cultural significance and heritage preservation: Explore the historical context of Cinco de Mayo and its importance in Mexican culture, highlighting the traditions, food, music, and art associated with the holiday. Immigration and identity: Examine how Cinco de Mayo is celebrated in different parts of the world, particularly in the United States, and its role in shaping the Mexican-American identity and fostering cross-cultural understanding. Political implications and national pride: Investigate the political undertones of Cinco de Mayo, considering its significance in Mexican nationalism and its portrayal in international relations. Economic impact and tourism: Analyze the economic implications of Cinco de Mayo festivities, including the boost in tourism, sales of Mexican-themed products, and the commercialization of cultural heritage. Education and historical awareness: Discuss the educational value of Cinco de Mayo in schools and communities, examining how it promotes historical awareness, tolerance, and multiculturalism. Social justice and activism: Explore how Cinco de Mayo intersects with social justice movements, addressing issues such as immigration reform, cultural appropriation, and representation in media and politics. By covering these angles, journalists can provide their audiences with a deeper understanding of Cinco de Mayo beyond its surface-level festivities, fostering meaningful dialogue and engagement with the holiday's historical, cultural, and societal significance. Connect with an Expert about Cinco de Mayo: Margarita R. Ochoa Associate Professor and Associate Chair of History · Loyola Marymount University Timothy Matovina Chair, Department of Theology · University of Notre Dame Rodrigo Vargas Professor, Ecosystem Ecology and Environmental Change · University of Delaware Heather Chiero, PhD Associate Professor of History, Anthropology and Philosophy · Augusta University To search our full list of experts visit www.expertfile.com Photo Credit: Daniel Lloyd Blunk-Fernández
Researcher develops microrobots to battle cancer with unique precision
Magnetic robots that can target cancer cells are nothing new. But the patented microrobots developed by the University of Delaware's Sambeeta Das can be guided with a magnetic field to deliver medication to cells – or to destroy infectious cells, such as cancer – inside the body. To mark the launch of National Inventors Month, Das, assistant professor of mechanical engineering, shared her journey toward invention. Q: Tell us about your patented invention on microrobots for cancer research. What problem were you trying to solve? Das: One of the biggest issues with cancer research is the ability to target cancer cells without harming healthy cells. Cancer cells are sneaky, and they have evolved ways of hiding from the body’s immune cells. A big part of our research focuses on targeting, specifically precision targeting. We want to be able to target a single cell in a mass of cells, whether that is a single cell in a mass of cancer cells or whether it is a single abnormal cell surrounded by healthy cells. To do this, we use magnetic microrobots that can be driven inside the body by magnetic fields to a particular cell location. Magnetic fields are biocompatible, meaning they are not harmful to biological tissues, and our microrobots are very small, around 20 microns, which is about the size of a single bacteria cell. We can load our microrobots with various drugs and modify their surface in such a way that when the robots come in contact with the cells we are targeting, they can kill the target cell or perform some other function. Q: How is this solution unique? Das: Other people have made magnetic microrobots, but our system is unique since it allows us to do automatic targeting with a lot of precision. For example, a person operating our microrobots can just point to a cell and our system will drive the microrobot there. Additionally, the instrument we have made and patented is an all-in-one portable device that can be used anywhere. We don’t need a separate microscope, camera or software, it is all built in and very user friendly. Anyone can use it. This makes it super portable, which means quick solutions for health practitioners. In addition, poor and resource challenged areas can also be accessed with this portable solution. Q: What drives you toward invention? Das: I like to solve problems, and I like seeing something come together from nothing. I am very interested in problems that affect human health and longevity, particularly those that affect the common person. Q: How do you approach solving a problem, and whose support has been critical along the way? Das: One thing I have realized is that it is imperative to ask the right question to solve a problem. You must really get to the core of the issue. The second thing is to always keep the end user in mind. So, it’s kind of a two-pronged approach—looking from both ends of the problem. For support, I would say my team members and my collaborators. Their support has been invaluable in helping me solve the problems that I want to solve. In fact, my graduate students keep a running list of crazy ideas that they have come up with. It helps us look at problems in a unique way and come up with innovative solutions. Q: Not every invention makes it. How do you deal with failure? Das: The way that I start working on a problem is to assume that whatever we do, we are going to fail. I always tell my students that their first couple of experiments or designs will always fail. But failure is essential because it will teach you what not to do. And knowing what not to do is sometimes the critical part of the invention process. The failures inform us about the ways of not doing something which means now there is another way of doing something. Q: What is the best advice you’ve ever received? Das: The best career advice I’ve ever received is that there is always another way. If you run into roadblocks there is always another answer, there is always another opportunity. So we just need to keep going and trying new and crazy ideas. Q: How are inventive minds created – is it innate or can it be developed? How do you encourage innovation among your students? Das: That’s an interesting question and honestly, I am not sure. I do believe in what Edison said, “Genius is 1% inspiration and 99% perspiration.” He is a known inventor, so I would go with his interpretation on this. As for my students, I give them lots of freedom. I think freedom is essential in encouraging innovation. The freedom to come up with crazy ideas without anyone saying that won't work and the freedom to fail—multiple times. Das is available for interviews to talk about her microrobots and other projects at UD. To reach her, visit her profile and click the "contact" button.
The ChristianaCare Hospital Care at Home program, a national leader in providing acute care in a place most familiar to patients – their own homes – has reached a new milestone with more than 1,000 admissions since opening in December 2021. ChristianaCare’s innovative program enables patients with common chronic conditions, such as congestive heart failure and diabetes complications, as well as infections like pneumonia, to receive hospital-level care at home through virtual and in-person care provided by a team of physicians, nurse practitioners, paramedics and others. Technology kits deployed to patient homes ensure round-the-clock access to a health care professional, along with twice daily visits from caregivers, medication deliveries and mobile laboratory services. ‘Absolutely amazing’ for patients Patients are evaluated for the hospital care at home program when they come to Wilmington or Christiana hospital emergency departments. Those who can be treated at home receive a technology kit that connects them to the command center, powered by the ChristianaCare Center for Virtual Health. With a touch of a button, they can access an expert team of ChristianaCare doctors and nurses. But hospital care at home isn’t just virtual care — the technology supports an entire care team that works inside the patient’s home and remotely to provide optimal support at all times — just like in a hospital. Carol Bieber, whose 98-year-old father Bill has been a hospital care at home patient, sees the difference it makes for him to wake up in his own bed, sit in his own living room and still get the care he needs to get better. “The whole hospital care at home experience is really calm and easy and familiar to him,” said Bieber, who lives in Newark, Delaware. “My dad is a people person, so to be able to connect with everybody who comes in to see him or talk to him on the screen is just amazing.” Innovative solutions for in-home care ChristianaCare’s Hospital Care at Home program was developed in 2021 after the Centers for Medicaid & Medicare Services (CMS) began the Acute Hospital Care at Home waiver program to allow Medicare beneficiaries to receive acute-level health care services in their home. U.S. Sen. Tom Carper, who represents Delaware, worked to pass the bipartisan “Hospital Inpatient Services Modernization Act” in 2023 that extended this program. Last month. Sen. Carper introduced the bipartisan “At-Home Observation and Medical Evaluation (HOME) Services Act” that would expand this lifesaving and cost-saving program. “Hospital at Home – which grew out of the COVID pandemic – was an opportunity for us to meet seniors where they are,” Carper said. “It has delivered positive outcomes, higher patient satisfaction, and saves money.” Sarah Schenck, M.D., FACP, executive director of the ChristianaCare Center for Virtual Health, said the hospital care at home program has yielded lower readmission rates than brick-and-mortar hospitals. Patient experience scores are about three times higher than a national average traditional hospital experience. “We’ve been conditioned to believe that care only happens within the four walls of a hospital. For our patients who have loved ones at home or their pets, a favorite chair or favorite food, they’re now able to have all of that as they heal,” Schenck said. “Once our patients have experienced this, what we hear from them is that they are truly grateful.” Promoting healing – at home Helping patients recover in their homes also has been transformational for caregivers who get to see a different side of their patients and better understand what they need to successfully recover. “I can’t express how much I enjoy the patients and their families,” said Heather Orkis, a paramedic with Hospital Care at Home. “To be able to enjoy the family and see these people get better in their own homes, with their families, their grandkids, their dogs, their cats – it’s just a completely different kind of medicine.” For Bill Bieber’s family, hospital care at home is more than health care. “It’s just the best thing ever,” Carol Bieber said.
Dr Carl Senior identified two types of smile – affiliative and reward – given by political leaders during the last UK general election in 2019 The eventual winner, Boris Johnson, was found to display the affiliative smile, which acts to align voter behaviour The study is the first to look at how supporters of election losers react to the eventual winner. New research led by Aston University’s Dr Carl Senior has found that the type of smile used by a political leader can influence voters to support them and their political agenda. There are many different types of smile, and the researchers, which also included Professor Patrick Stewart from the University of Arkansas, US, Professor Erik Bucy from Texas Tech University, US, and Professor Nick Lee from Warwick Business School at the University of Warwick, UK, focused on two in particular – the ‘reward’ smile and the ‘affiliative’ smile. They used videos from political leaders from the 2019 UK general election, which was won by the Conservative party, then led by Boris Johnson. The Labour party, then led by Jeremy Corbyn, came second. Jo Swinson was the leader of the third-placed Liberal Democrat party. The ‘reward’ smile is the genuine, or felt smile, associated with joy and enthusiasm. It is the smile most likely to be contagious with onlookers, and has been linked to higher levels of trust. The ‘affiliative’ smile, meanwhile, communicates approachability, acknowledgement, and appeasement. It is associated with an affinity towards the onlooker and is thought to be important for developing cooperative relationships. The researchers selected volunteers professing to be supporters of each of the three main parties and showed them the same video footage of the three leaders – Johnson, Corbyn and Swinson – before and after the 2019 election. The team assessed the emotional response to the different smiles for the candidates, whether positive (happiness and affinity) or negative (anger and distress). When shown footage of election winner Johnson’s affiliative smile after the election, people in all groups showed an increase in happiness and affinity compared to when they were shown the footage before the election. Supporters of the losing parties showed an overall decrease in the negative effect. It was only this affiliative smile which was found to act as a mechanism to align voter feelings and behaviour to the dominant, or winning, political message. The reward smile did not have the same effect. Supporters of Labour showed an increased level of anger and distress when viewing Johnson’s reward smile after the election compared to before it. The effects for Corbyn and Swinson were less marked, showing that they failed to significantly change voters’ responses to them. Their appeal was somewhat fixed and failed to match Johnson’s charm. Johnson tapped into the voters’ feeling of annoyance about the slow Brexit process with his ‘Get Brexit done’ slogan, while Corbyn’s position was ambiguous. Swinson’s party was pro-Europe but lacked Johnson’s performative abilities to link a strong message to his nonverbal communication. Previous work by various researchers has shown that observers judge leadership traits and behaviour, or a lack thereof, from non-verbal cues such as facial expressions. However, there has, until now, been little research outside the US on the effect of facial displays on voter behaviour. Dr Senior said: “The human smile can convey both rewarding and affiliative social intent and thus has significant utility in politics, where the ability to bond with and reassure voters is vital to electoral success. We are in an unprecedented year as there are numerous elections scheduled to take place across several continents. The outcome of these campaigns will have a significant impact on millions of people across vast geopolitical regions. Given that almost all politicians involved in these election campaigns will make full use of broadcast media to reach voters, it is crucial to understand the effectiveness of their non-verbal displays in shifting voting preference.” Professor Lee said: “The individual appeal of party leaders has become increasingly influential. A smile can’t win an election on its own. But Johnson’s personal appeal transcended party policies, connecting with people who hadn’t planned to vote for him. “The upside for today’s politicians is that charisma is not an innate quality. It can be taught. By paying attention to their facial behaviour and ensuring they display the right smile in the right context, they can still leverage the power of emotional responses. It is something leaders of all organisations can learn.” The researchers say more work is required to understand how smiles work together with other verbal and nonverbal displays to generate affinity in voters and convey social dominance to other leaders. PLOS ONE DOI: 10.1371/journal.pone.0301113
Two decades ago, the European Union welcomed ten new member states, including Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, and Slovenia. This historic expansion not only reshaped the geopolitical landscape of Europe but also holds significance for global politics, economics, and cultural integration. Understanding this event's importance requires recognizing its impact on various fronts, from fostering regional stability to influencing trade dynamics and promoting cross-cultural exchange. Key sub-topics that may interest journalists and the public include: European Integration and Unity: Exploring how the expansion has contributed to the European Union's efforts towards unity, cooperation, and peace among member states. Economic Implications: Analyzing the economic effects of the expansion on both existing and new member states, including trade patterns, investment flows, and disparities in development. Political Dynamics: Investigating the political changes within the European Union, such as shifts in power dynamics, decision-making processes, and the challenges of governance in a larger union. Cultural Exchange and Identity: Examining the cultural exchange and diversity resulting from the inclusion of new member states, and how it has enriched the European cultural tapestry. Challenges and Achievements: Assessing the successes and ongoing challenges faced by the European Union post-expansion, including issues related to migration, integration, and institutional reforms. Future Prospects: Speculating on the future of the European Union, considering factors like potential further expansions, the rise of Euroscepticism, and the Union's role in global affairs. The 20th Anniversary of the Expansion of the European Union marks a significant milestone in the continent's history, offering journalists and the public alike a chance to reflect on the achievements, challenges, and the future trajectory of European integration. Connect with an Expert about the EU: Carolyn Dudek Professor of Political Science · Hofstra University Dr Martin Brenncke Lecturer in Law · Aston University David R. Dorondo Professor · Western Carolina University To search our full list of experts visit www.expertfile.com Photo Credit: Guillaume Périgois