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Javier E

A German Writer Translates a Puzzling Illness Into a Best-Selling Book - The New York T... - 0 views

  • Back in 2007, after a series of mostly ineffective treatments prescribed by doctors, Ms. Enders, then 17, decided to take matters into her own hands. Convinced that the illness was somehow associated with her intestines, she pored over gastroenterological research, consumed probiotic bacterial cultures meant to aid digestion and tried out mineral supplements.
  • The experiments worked (although she is not sure which one did the trick), leaving her with healthy skin and a newfound interest in her intestines. “I experienced with my own body that knowledge is power,” she writes of the episode in “Gut: The Inside Story of Our Body’s Most Underrated Organ,”
  • growing body of research indicating that our intestines may have a far greater influence on our feelings, decisions and behavior than previously realized. The primary evidence for this, Ms. Enders writes, is the vast network of nerves attached to our guts that monitors our deepest internal experiences and sends information to the brain, including to those regions responsible for self-awareness, memory and even morality.
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  • Just how much your lunch will affect ethical decision making remains unclear; we still know very little about this “gut brain,” as Ms. Enders refers to it. But this byzantine neural architecture suggests that our intestines may play a large part in determining who we are and what we do.
Javier E

Colonic electrical stimulation promotes colonic motility through regeneration of myente... - 0 views

  • Slow transit constipation (STC) is a common disease characterized by markedly delayed colonic transit time as a result of colonic motility dysfunction. It is well established that STC is mostly caused by disorders of relevant nerves, especially the enteric nervous system (ENS).
  • After 5 weeks of treatment, CES could enhance the colonic electromyogram (EMG) signal to promote colonic motility, thereby improving the colonic content emptying of STC beagles. HE staining and transmission electron microscopy confirmed that CES could regenerate ganglia and synaptic vesicles in the myenteric plexus.
  • Taken together, pulse train CES could induce the regeneration of myenteric plexus neurons, thereby promoting the colonic motility in STC beagles.
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  • onic constipation, a functional bowel disorder, affects approximately 14% of adults worldwide [1]. Slow transit constipation (STC) is the major cause of chronic constipation which is characterized by markedly prolonged colonic transit time as a result of the colonic motility function disorde
  • Usually, patients with STC suffer from a common sense of abdominal pain, nausea, depression and sickness, which seriously influence their social ability and health-related quality of life [4–6
  • Current clinical treatments include cathartics, prokinetics and aggressive surgery which can increase bowel movement frequency to a certain degree.
  • However, pharmacological interventions is prone to drug dependency and relapse after drug withdrawal [3]
  • Surgical treatments such as subtotal colectomy and total colectomy in STC patients may adversely affect the quality of life due to the risk of postoperative diarrhea or incontinence, and result in a heavy healthcare burden
  • The enteric nervous system (ENS), located in the intestinal wall, regulates various functions including contraction of intestine, homeostasis and blood flow [10]. As the ‘second brain’, the ENS contains large amounts of neurons working independently from the central nervous system [11]. Researches have identified that STCs are mostly caused by disorders of the relevant nerves, especially the ENS [12,13].
  • McCallum et al. [35] found that gastric electrical stimulation in combination with pharmacological treatment could also enhance emptying in patients with gastroparesis. Especially, gastric electrical stimulation has been approved as a clinical therapy method for gastroparesis and obesity in European and American countries [36].
  • we employed pulse train stimulation and implanted electrodes at the proximal colon in dogs.
  • After CES treatment, we observed the colonic transit time of the sham treatment group was longer than that of CES treatment and control groups, and electrical stimulation significantly enhanced the colonic electromyogram (EMG) signal.
  • histopathology and TEM analysis showed increased ganglia and synaptic vesicles existing in the colon myenteric plexus of the CES treatment group as compared with that of the sham CES group
  • Our results suggested that CES might reduce the degeneration of the myenteric plexus neurons, thereby contributing to the therapeutic effect on STC beagles.
  • the defecating frequency and the feces characteristics of STC beagles returned to normal after CES treatment. The result indicated that CES could improve the symptoms of STC.
  • The colonic EMG signal was strongly promoted by CES
  • Especially, the colonic EMG signal of the beagles with STC was remarkably enhanced by CES (Figure 3), indicating that CES could not only improve the colonic content emptying, but also enhance the EMG signal to promote colonic motility.
  • Colonic electrical stimulation (CES), a valuable alternative for the treatment of STC, was reported to improve the colon motility by adjusting the bioelectrical activity in animal models or patients with STC [17]. However, little report focuses on the underlying nervous mechanism to normalize the delayed colonic emptying and relieve symptoms. We hypothesized that CES may also repair the disorders of the relevant nerves and then improve the colonic motility.
  • The first study regarding the CES to modulate colonic motility was performed by Hughes et al. [37]. Since then, many researchers employed short-pulse CES in canine descending colon or pig cecum [20,21,38]. Researchers also applied long-pulse CES to stimulate the colon of human or animals [39]
  • Recently, studies showed that the prokinetic effect of pulse train CES is better than that of short-pulse CES or long-pulse CES [25]
  • Our study indicated that CES could enhance the colonic motility, and then accelerate the colonic content emptying. Thereafter, we investigated the underlying mechanism and presumed that CES might improve the STC symptom through the repairment of the ENS.
  • The neuropathy in ENS is considered to be responsible for various kinds of disordered motility including STC and the related pathophysiologic symptoms [40]. In agreement with this view, our study discovered the decreased number of ganglia in the myenteric plexus, as well as the destruction of the enteric nerve axon terminals and synaptic vesicles in the sham CES group beagles
  • The present study proves that CES with pulse trains has curative effects on the colonic motility and content emptying in STC beagles. The up-regulation of intestinal nerve related proteins such as SYP, PGP9.5, CAD and S-100B in the colonic myenteric plexus suggests that CES might reduce the degeneration of the myenteric plexus neurons, thereby producing the therapeutic effect on STC beagles. Further investigation for the underlying mechanism of nerve regeneration is necessary to better understand how CES promotes the recovery of delayed colonic motility induced by STC.
Javier E

Disruptions: Medicine That Monitors You - NYTimes.com - 0 views

  • researchers and some start-ups are already preparing the next, even more intrusive wave of computing: ingestible computers and minuscule sensors stuffed inside pills.
  • some people on the cutting edge are already swallowing them to monitor a range of health data and wirelessly share this information with a doctor
  • does not need a battery. Instead, the body is the power source. Just as a potato can power a light bulb, Proteus has added magnesium and copper on each side of its tiny sensor, which generates just enough electricity from stomach acids.
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  • People with heart failure-related difficulties could monitor blood flow and body temperature; those with central nervous system issues, including schizophrenia and Alzheimer’s disease, could take the pills to monitor vital signs in real time.
  • Future generations of these pills could even be convenience tools.
  • Once that pill is in your body, you could pick up your smartphone and not have to type in a password. Instead, you are the password. Sit in the car and it will start. Touch the handle to your home door and it will automatically unlock. “Essentially, your entire body becomes your authentication token,
  • “The wonderful is that there are a great number of things you want to know about yourself on a continual basis, especially if you’re diabetic or suffer from another disease. The terrible is that health insurance companies could know about the inner workings of your body.”
  • And the implications of a tiny computer inside your body being hacked? Let’s say they are troubling.
  • After it has done its job, flowing down around the stomach and through the intestinal tract, what happens next?“It passes naturally through the body in about 24 hours,” Ms. Carbonelli said, but since each pill costs $46, “some people choose to recover and recycle it.”
grayton downing

Lab-Grown Model Brains | The Scientist Magazine® - 0 views

  • In an Austrian laboratory, a team of scientists has grown three-dimensional models of embryonic human brain
  • “Even the most complex organ—the human brain—can start to form without any micro-manipulation.”
  • Knoblich cautioned that the organoids are not “brains-in-a-jar.” “We’re talking about the very first steps of embryonic brain development, like in the first nine weeks of pregnancy,” he said. “They’re nowhere near an adult human brain and they don’t form anything that resembles a neuronal network.”
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  • It took a huge amount of work to fine-tune the conditions, but once the team did, the organoids grew successfully within just 20 to 30 days.
  • scientists have developed organoids that mimic several human organs, including eyes, kidneys, intestines, and even brains.
  • They really highlight the ability just nudge these human embryonic cells and allow them to self-assemble
  • The mouse brain isn’t good enough for studying microcephaly,” said Huttner. “You need to put those genes into an adequate model like this one. It is, after all, human. It definitely enriches the field. There’s no doubt about that.”
  • organoids are unlikely to replace animal experiments entirely. “We can’t duplicate the elegance with which one can do genetics in animal models,” he said, “but we might be able to reduce the number of animal experiments, especially when it comes to toxicology or drug testing.”
  • the future, he hopes to develop larger organoids.
anonymous

Opinion | I Survived 18 Years in Solitary Confinement - The New York Times - 0 views

  • I Survived 18 Years in Solitary Confinement
  • Mr. Manuel is an author, activist and poet. When he was 14 years old, he was sentenced to life in prison with no parole and spent 18 years in solitary confinement.
  • Imagine living alone in a room the size of a freight elevator for almost two decades.
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  • As a 15-year-old, I was condemned to long-term solitary confinement in the Florida prison system, which ultimately lasted for 18 consecutive years
  • From age 15 to 33.
  • For 18 years I didn’t have a window in my room to distract myself from the intensity of my confinement
  • I wasn’t permitted to talk to my fellow prisoners or even to myself. I didn’t have healthy, nutritious food; I was given just enough to not die
  • These circumstances made me think about how I ended up in solitary confinement.
  • United Nations standards on the treatment of prisoners prohibits solitary confinement for more than 15 days, declaring it “cruel, inhuman or degrading.”
  • For this I was arrested and charged as an adult with armed robbery and attempted murder.
  • My court-appointed lawyer advised me to plead guilty, telling me that the maximum sentence would be 15 years. So I did. But my sentence wasn’t 15 years — it was life imprisonment without the possibility of parole.
  • But a year and a half later, at age 15, I was put back into solitary confinement after being written up for a few minor infractions.
  • Florida has different levels of solitary confinement; I spent the majority of that time in one of the most restrictive
  • I was finally released from prison in 2016 thanks to my lawyer, Bryan Stevenson
  • Researchers have long concluded that solitary confinement causes post-traumatic stress disorder and impairs prisoners’ ability to adjust to society long after they leave their cell.
  • In the summer of 1990, shortly after finishing seventh grade, I was directed by a few older kids to commit a robbery. During the botched attempt, I shot a woman. She suffered serious injuries to her jaw and mouth but survived. It was reckless and foolish on my part, the act of a 13-year-old in crisis, and I’m simply grateful no one died.
  • More aggressive change is needed in state prison systems
  • In 2016, the Obama administration banned juvenile solitary confinement in federal prisons, and a handful of states have advanced similar reforms for both children and adults.
  • Yet the practice, even for minors, is still common in the United States, and efforts to end it have been spotty
  • Because solitary confinement is hidden from public view and the broader prison population, egregious abuses are left unchecked
  • I watched a corrections officer spray a blind prisoner in the face with chemicals simply because he was standing by the door of his cell as a female nurse walked by. The prisoner later told me that to justify the spraying, the officer claimed the prisoner masturbated in front of the nurse.
  • I also witnessed the human consequences of the harshness of solitary firsthand: Some people would resort to cutting their stomachs open with a razor and sticking a plastic spork inside their intestines just so they could spend a week in the comfort of a hospital room with a television
  • On occasion, I purposely overdosed on Tylenol so that I could spend a night in the hospital. For even one night, it was worth the pain.
  • Another time, I was told I’d be switching dorms, and I politely asked to remain where I was because a guard in the new area had been overly aggressive with me. In response, four or five officers handcuffed me, picked me up by my feet and shoulders, and marched with me to my new dorm — using my head to ram the four steel doors on the way there.
  • The punishments were wholly disproportionate to the infractions. Before I knew it, months in solitary bled into years, years into almost two decades.
  • As a child, I survived these conditions by conjuring up stories of what I’d do when I was finally released. My mind was the only place I found freedom from my reality
  • the only place I could play basketball with my brother or video games with my friends, and eat my mother’s warm cherry pie on the porch.
  • No child should have to use their imagination this way — to survive.
  • It is difficult to know the exact number of children in solitary confinement today. The Liman Center at Yale Law School estimated that 61,000 Americans (adults and children) were in solitary confinement in the fall of 2017
  • No matter the count, I witnessed too many people lose their minds while isolated. They’d involuntarily cross a line and simply never return to sanity. Perhaps they didn’t want to. Staying in their mind was the better, safer, more humane option.
  • Solitary confinement is cruel and unusual punishment, something prohibited by the Eighth Amendment, yet prisons continue to practice it.
  • When it comes to children, elimination is the only moral option. And if ending solitary confinement for adults isn’t politically viable, public officials should at least limit the length of confinement to 15 days or fewer, in compliance with the U.N. standards
  • As I try to reintegrate into society, small things often awaken painful memories from solitary. Sometimes relationships feel constraining. It’s difficult to maintain the attention span required for a rigid 9-to-5 job. At first, crossing the street and seeing cars and bikes racing toward me felt terrifying.
  • I will face PTSD and challenges big and small for the rest of my life because of what I was subjected to.
  • And some things I never will — most of all, that this country can treat human beings, especially children, as cruelly as I was treated.
  • Sadly, solitary confinement for juveniles is still permissible in many states. But we have the power to change that — to ensure that the harrowing injustice I suffered as a young boy never happens to another child in America.
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    A very eye-opening article and story told by a victim about young children facing solitary confinement.
tonycheng6

Anti-ageing effects of protein restriction unpacked - 0 views

  • The idea that dietary restriction can be used as a tool to increase lifespan has been a centrepiece of ageing research for decades. But the mechanisms by which dietary restriction might act, and the specific nutritional components involved, remain unclear.
  • Both dietary protein restriction (which results in low levels of leucine and other BCAAs) and inhibition of mTOR can extend lifespan in animals
  • Flies that carry a mutation in this residue have lower mTOR activity than do controls. They are also longer-lived, and are protected against the negative lifespan-shortening effects of a high-protein diet.
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  • In contrast to a previous study6, they observed a robust lifespan extension in male mice fed a BCAA-restricted diet throughout life, equal to the benefits of dietary protein restriction.
  • Interestingly, female mice showed no lifespan extension from BCAA or dietary protein restriction, and if BCAA restriction was started during middle age, the benefits on males were greatly reduced. Thus, both studies collectively point to mTOR as a primary mediator of the benefits associated with BCAA restriction (Fig. 1).
  • A clear picture is emerging of how specific amino acids are sensed by sestrin to regulate mTOR signalling and autophagy and so preserve the function of intestinal stem cells during ageing.
  • Genetic background is crucial in the response to dietary restriction, with an identical low-calorie regimen increasing lifespan in some mouse strains but shortening it in others
  • There is also evidence that dietary restriction initiated later in life might have reduced benefits in rodents and, in some cases, result in premature death
  • Taken together, these observations suggest that although protein- and BCAA-restricted diets are a powerful research tool for exploring the fundamental mechanisms of ageing, it is premature to recommend adoption by the general population.
Javier E

The War in Ukraine Has Unleashed a New Word - The New York Times - 0 views

  • As I read about Irpin, about Bucha, about Trostyanets, of the bodies crushed by tanks, of the bicyclists shot on the street, of the desecrated corpses, there it was, “рашизм,” again and again
  • Grasping its meaning requires crossing differences in alphabet and pronunciation, thinking our way into the experience of a bilingual society at war with a fascist empire.
  • “Pашизм” sounds like “fascism,” but with an “r” sound instead of an “f” at the beginning; it means, roughly, “Russian fascism.”
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  • The aggressor in this war keeps trying to push back toward a past as it never happened, toward nonsensical and necrophiliac accounts of history. Russia must conquer Ukraine, Vladimir Putin says, because of a baptism a thousand years ago, or because of bloodshed during World War II.
  • The new word “рашизм” is a useful conceptualization of Putin’s worldview. Far more than Western analysts, Ukrainians have noticed the Russian tilt toward fascism in the last decade.
  • Undistracted by Putin’s operational deployment of genocide talk, they have seen fascist practices in Russia: the cults of the leader and of the dead, the corporatist state, the mythical past, the censorship, the conspiracy theories, the centralized propaganda and now the war of destruction
  • we have tended to overlook the central example of fascism’s revival, which is the Putin regime in the Russian Federation.
  • A bilingual nation like Ukraine is not just a collection of bilingual individuals; it is an unending set of encounters in which people habitually adjust the language they use to other people and new settings, manipulating language in ways that are foreign to monolingual nations
  • I have gone on Ukrainian television and radio, taken questions in Russian and answered them in Ukrainian, without anyone for a moment finding that switch worthy of mention.
  • Ukrainians change languages effortlessly — not just as situations change, but also to make situations change, sometimes in the middle of a sentence, or even in the middle of a word.
  • “Pашизм” is a word built up from the inside, from several languages, as a complex of puns and references that reveal a bilingual society thinking out its predicament and communicating to itself.
  • Putin’s ethnic imperialism insists that Ukrainians must be Russians because they speak Russian. They do — and they speak Ukrainian. But Ukrainian identity has as much to do with an ability to live between languages than it does with the use of any one of them
  • Those six Cyrillic letters contain references to Italian, Russian and English, all of which a mechanical, letter-by-letter transliteration would block
  • The best (if imperfect) way I have found to render “рашизм” from Ukrainian into English is “ruscism”
  • When we see “ruscism” we might guess this word has to do with Russia (“rus”), with politics (“ism”) and with the extreme right (“ascism”) — as, indeed, it does
  • I have had to spell “рашизм” as “ruscism” in English because we need “rus,” with a “u,” to see the reference to Russia. In losing the original Ukrainian “a,” though, we weaken a multilayered reference — because the “a” in “рашизм,” conveniently, allows the Ukrainian word to associate Russia and fascism in a way English cannot.
  • If you don’t know either language, you might think that Russian and Ukrainian are very similar. They are pretty close — much as, say, Spanish and Italian are.
  • the semantics are not that close
  • From a Russian perspective, the false friends are legion. There is an elegant four-syllable Ukrainian word that simply means “soon” or “without delay,” but to a Russian it sounds like “not behind the bar.” The Ukrainian word for “cat” sounds like the Russian for “whale,” while the Ukrainian for “female cats” sounds like Russian for “intestines.”
  • Russians do not understand Ukrainian, because they have not learned it. Ukrainians do understand Russian, because they have learned it.
  • Ukrainian soldiers often speak Russian, though they are instructed to use Ukrainian to spot infiltrators and spies. This is a drastic example of a general practice of code-switching.
  • Ukrainians are perfectly capable of writing Russian correctly, but during the war some internet commentators have spelled the occasional Russian word using the Ukrainian writing system, leaving it looking unmoored and pitiable. Writing in Ukrainian, you might spell “oсвобождение” as “aсвобaждениe,” the way it is pronounced — a bit of lexicographic alchemy that makes it (and, by extension, Russians) look silly, and mocks the political concepts being used to justify a war. In a larger sense, such efforts are a means of displacing Russia from its central position in regional culture.
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