Digital therapy outperforms referrals to campus clinics among college students
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Updates every hour. Last Updated: 17-May-2026 20:15 ET (18-May-2026 00:15 GMT/UTC)
OAKLAND, Calif., May 7, 2026 -- A study published today in The Permanente Journal sheds light on what’s driving physicians to leave clinical practice early — and how those reasons are shifting. Researchers from the American Medical Association (AMA) analyzed survey responses from 971 clinically inactive physicians across all specialties who completed residency between 2000 and 2022. Their findings offer insights into why physicians are stepping away from patient care — or not entering the clinical workforce at all — especially as the nation faces a growing physician shortage.
Environmental health experts at Flinders University have found open windows and ventilation can reduce but not completely remove methamphetamine contamination on most hard surfaces of a car after an extended period.
In a new study, researchers tested various parts of a car’s interior to show concentrations in the air and surfaces exposed to controlled release of methamphetamine smoke. While levels generally dropped over time, the experts warn indirect exposure could still occur, in particular in textile or soft surfaces.
The loss of physical traits—such as limbs in snakes or eyes in cavefish—is a common feature of evolution, yet the genetic mechanisms enabling such changes remain incompletely understood. In a study published in Science Advances, researchers at the Technion–Israel Institute of Technology reveal how organisms can undergo significant morphological changes despite possessing highly stable and redundant genetic regulatory systems.
Led by Dr. Ella Preger-Ben Noon and Ph.D. candidate Areej Said-Ahmad from the Ruth and Bruce Rappaport Faculty of Medicine, the team investigated how gene expression evolves when controlled by multiple enhancers—DNA regulatory elements that ensure precise and robust activation of genes during development. These enhancers often function redundantly, buffering against mutations and maintaining stable gene activity.
Focusing on the fruit fly Drosophila sechellia, which has evolutionarily lost larval hair-like structures (trichomes), the researchers examined regulation of the shavenbaby gene, known to control this trait. Surprisingly, they found that four separate enhancers governing this gene independently lost their activity over time, each through a different molecular mechanism.
The study identified several distinct pathways leading to reduced enhancer function, including deletion of critical DNA segments, loss and gain of transcription factor binding sites, emergence of silencing elements, and activation of previously hidden repressive effects. Despite acting within the same regulatory system, these diverse changes all converged on the same evolutionary outcome: loss of gene expression and, consequently, loss of the physical trait.
These findings resolve the “stability paradox” by showing that regulatory redundancy, while promoting robustness, also creates multiple opportunities for evolutionary change. The work highlights how complex genetic systems can remain stable overall while still allowing flexibility in form and structure, offering new insights into the molecular basis of evolutionary diversity.
High concentrations of free fatty acid (FFA) in ketotic dairy cows activate endoplasmic reticulum (ER) stress pathways, contributing to mammary epithelial cell apoptosis and reduced milk yield. The study sets the stage for in vivo trials to validate ER stress inhibitors like Tauroursodeoxycholate (TUDCA) as practical solutions for managing ketosis and enhancing dairy cows health.