Search

Chronic care manages long-term, progressive conditions, while acute care handles short-term ones. Here, authors show chronic conditions account for most of the global health burden, with 68% of DALYs and 93% of YLDs attributed to chronic care needs.

A global network of researchers was formed to investigate the role of human genetics in SARS-CoV-2 infection and COVID-19 severity; this paper reports 13 genome-wide significant loci and potentially actionable mechanisms in response to infection.

Recent studies have produced conflicting results about the impacts of climate change on drought. In this Perspective, a commonly used drought index and observational data are examined to identify the cause of these discrepancies. The authors indicate that improvements in the quality and coverage of precipitation data and quantification of natural variability are necessary to provide a better understanding of how drought is changing.

A graph neural network framework enables individualized genetic risk prediction at the single-cell level.

An analysis of 24,202 critical cases of COVID-19 identifies potentially druggable targets in inflammatory signalling (JAK1), monocyte–macrophage activation and endothelial permeability (PDE4A), immunometabolism (SLC2A5 and AK5), and host factors required for viral entry and replication (TMPRSS2 and RAB2A).

A physically based approach to drought modelling shows that there has been little change in drought from 1950 to 2008, contradicting previous work that suggested an increase in recent years.

What is the state of trust in scientists around the world? To answer this question, the authors surveyed 71,922 respondents in 68 countries and found that trust in scientists is moderately high.

Resistance to first line treatment is a major hurdle in cancer treatment, that can be overcome with drug combinations. Here, the authors provide a large drug combination screen across cancer cell lines to benchmark crowdsourced methods and to computationally predict drug synergies.

Increased atmospheric evaporative demand in recent years has increased drought severity by an average of 40% globally across both dry and wet regions, and the trend is likely to continue under future warming scenarios.

COVID-19 can be associated with neurological complications. Here the authors show that markers of brain injury, but not immune markers, are elevated in the blood of patients with COVID-19 both early and months after SARS-CoV-2 infection, particularly in those with brain dysfunction or neurological diagnoses.

Openshaw and colleagues find myeloid inflammation and complement activation signatures in patients with long COVID who were previously hospitalized.

Chronic lymphocytic leukemia is a highly inheritable cancer. Here the authors conduct a metaanalysis of four genome-wide association studies and identify three novel loci located near EOMES, SERPINB6 and LPPassociated with risk of this disease.

National implementation of a computed tomographic angiography and AI-diagnostic tool, CT-derived fractional flow reserve (FFR-CT), did not provide significant benefits in reducing mortality but led to fewer invasive coronary angiograms and downstream cardiac tests.

Eitan et al. discovered genetic variants in the 3′UTR for the gene encoding IL-18 receptor that protect against ALS. The variant 3′UTR destabilizes the mRNA and dampens microglia NF-κB signaling and neurotoxicity, thus emphasizing the value of noncoding genetic association studies.

The Omicron variant evades vaccine-induced neutralization but also fails to form syncytia, shows reduced replication in human lung cells and preferentially uses a TMPRSS2-independent cell entry pathway, which may contribute to enhanced replication in cells of the upper airway. Altered fusion and cell entry characteristics are linked to distinct regions of the Omicron spike protein.

A de novo-designed protein that precisely assembles a chlorophyll dimer has been developed. The design matches the conformation of the native ‘special pair’ of chlorophylls that functions as the primary electron donor in natural photosynthetic reaction centers. In the designed protein, excitonically coupled chlorophylls participate in energy transfer. The proteins were also redesigned to assemble into 24-chlorophyll nanocages.

The role of solar and wind energy (SWE) in management of water-food-energy (WFE) nexus is largely neglected. Here the authors developed a trade-off frontier framework to quantify the water sustainability value of SWE and applied it in California, where they found that SWE penetration creates beneficial feedback for the WFE nexus by enhancing drought resilience and benefits groundwater sustainability over long run.

Post-international travel quarantine has been widely implemented to mitigate SARS-CoV-2 transmission, but the impacts of such policies are unclear. Here, the authors used linked genomic and contact tracing data to assess the impacts of a 14-day quarantine on return to England in summer 2020.

In this study, Aggarwal and colleagues perform prospective sequencing of SARS-CoV-2 isolates derived from asymptomatic student screening and symptomatic testing of students and staff at the University of Cambridge. They identify important factors that contributed to within university transmission and onward spread into the wider community.

Genetic and testing data from England show that the SARS-CoV-2 variant of concern B.1.1.7 has a transmission advantage over other lineages.

Chronic infection with SARS-CoV-2 leads to the emergence of viral variants that show reduced susceptibility to neutralizing antibodies in an immunosuppressed individual treated with convalescent plasma.

Sera from vaccinated individuals and some monoclonal antibodies show a modest reduction in neutralizing activity against the B.1.1.7 variant of SARS-CoV-2; but the E484K substitution leads to a considerable loss of neutralizing activity.

A study of the evolution of the SARS-CoV-2 virus in England between September 2020 and June 2021 finds that interventions capable of containing previous variants were insufficient to stop the more transmissible Alpha and Delta variants.

Fine-scale geospatial mapping of overweight and wasting (two components of the double burden of malnutrition) in 105 LMICs shows that overweight has increased from 5.2% in 2000 to 6.0% in children under 5 in 2017. Although overall wasting decreased over the same period, most countries are not on track to meet the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025.

The understanding of how a singlet exciton separates into triplet states in organic semiconductors is crucial to the design of efficient organic solar cells. Here, Lukmanet al. identify the role played by charge-transfer states during triplet formation through side-group engineering of pentacenes.

TDP-43 gains function due to perturbed autoregulation in a Tardbp knock-in mouse model of ALS-FTD, leading to aberrant Mapt splicing and a paucity of parvalbumin interneurons. Phenotypic heterogeneity is exploited to yield modifiers of disease.

In this work, the authors report that hyperphosphorylated recombinant tau spontaneously assembles into small, amorphous aggregates, which disrupt membranes and induce Toll-like receptor 4-dependent responses in human macrophages.

Diversified renewable energy sources can enable the sustainable operation of multisector resource systems. An artificial intelligence-assisted multi-objective design framework, applied in Ghana, explores optimized management and investment strategies balancing hydropower, bioenergy, solar and wind energies, and their impacts.

The Nile River system is faced with challenges including increasing water demands, political tensions, and future climate and socio-economic uncertainties. Cooperative adaptive management can help increase synergies, balance trade-offs and bring various benefits to riparian countries.

Climate change is expected to intensify the global hydrological cycle and to alter evapotranspiration, but direct observational constraints are lacking at the global scale. Now a data-driven, machine-learning technique and a suite of process-based models have been used to show that from 1982 to 1997 global evapotranspiration increased by about 7.1 millimetres per year per decade. But since 1998 this increase has ceased, probably because of moisture limitation in the Southern Hemisphere.

Past continental dryness trends are difficult to assess. A comprehensive analysis of hundreds of combinations of data sets suggests that only 24.6% of the global land area have been exposed to robust dryness changes since 1948.

Droughts can cause dry-season productivity to decline in tropical forests. This decline occurs when precipitation is below 2,000 mm yr⁻¹, resulting in insufficient subsurface water storage to maintain constant production through the dry season.

Deforestation causes elevation-dependent warming over tropical mountain regions, according to high-resolution climate simulations.

Flash droughts are widely discussed in the scientific community since the rapid onset of the 2012 drought in the USA. Here, the authors model the temporal frequency of potential flash drought events and the exposure risk over China for the next 80 years.

An international consortium reports the genomic sequence for ten Drosophila species, and compares them to two other previously published Drosophila species. These data are invaluable for drawing evolutionary conclusions across an entire phylogeny of species at once.

Singlet fission — the conversion of one singlet exciton into two triplet excitons, could improve the efficiency of photovoltaic devices — but its mechanism is still to be fully understood. Now, in films of TIPS-tetracene, it has been shown that the formation of the triplet pair state, which has been proposed to mediate singlet fission, is ultrafast and vibronically coherent in this endothermic fission system.

High uncertainty exists in the projected climate change impacts on the Nile’s economies and water-dependent sectors. Under these uncertainties, managing the Grand Ethiopian Renaissance Dam cooperatively and adaptively can produce economic and water management benefits for Ethiopia, Sudan and Egypt.

This Review examines the pathways through which humans are impacted by climate change and shows that by 2100 the world’s population will be simultaneously exposed to at least three hazards, and in some locations as many as six, under an RCP 8.5 scenario.