Pediatric neurologists use MRI to understand how strokes impair verbal abilities

Friday, 2 August 2013

Islamabad, Aug 3 (Newswire): Children who have speech-impairing strokes often learn to talk again, while adult stroke victims can lose their verbal abilities for good.

By giving reading and verbal tests inside the MRI, researchers are comparing the inner workings of both children's and adults' brains that suffered from strokes, as well as of healthy subjects'. The researchers hope to develop therapies to help the adult patients talk again.

Ryan Timmerman has gone through many ups and downs. When Ryan was born he suffered a stroke. Evonne Timmerman, Ryan's mother, says, "In one minute your child goes from everything is perfect to it falls apart. It's hard."

In five short years, Ryan is almost completely recovered with absolutely no problems with his speech. Dr. Bradley Schlaggar says, "How they do it, how they recover, people don't know. If we get at that, we might be able to help other kids who don't recover so well, and maybe help adults as well."

Dr. Schlaggar, a pediatric neurologist from Washington University School of Medicine in St. Louis, Mo., is studying healthy child and adult brains and comparing their development to that of a stroke victim.

When you compare a healthy brain to a stroke brain, you can see the brain has re-wired itself and uses more areas to compensate for what was lost. How does it work? Dr. Schlaggar's team is using an fMRI machine to find out if exposure to visual or language cues encourages the brain to heal.

Dr. Schlaggar says, "We could come up with more specific rational interventions, treatments, that are really targeted at the exact problem at hand." And with the discoveries being made, things will continue to look up for stroke victims like Ryan.

Dr. Schlaggar hopes his research will help neurologists better treat their patients and come up with more specific and rational interventions that are targeted to the patient's exact problems.

Researchers at Washington University's School of Medicine in St. Louis have found that children activate different and more regions of their brains than adults when they perform word tasks. This may reflect the more efficient use of our brains as we mature. It may also shed insight on the brain function seen in children with Tourette's syndrome or cerebral palsy, among other conditions.

Magnetic resonance imaging (MRI) uses radio waves and a strong magnetic field rather than X-rays to take clear and detailed pictures of internal organs and tissues. fMRI uses this technology to identify regions of the brain where blood vessels are expanding, chemical changes are taking place, or extra oxygen is being delivered. These are indications that a particular part of the brain is processing information and giving commands to the body. As a patient performs a particular task, the metabolism will increase in the brain area responsible for that task, changing the signal in the MRI image. So by performing specific tasks that correspond to different functions, scientists can locate the part of the brain that governs that function.

The fMRI scanner takes images for long periods of time, like leaving the shutter open on a camera. While it is easy to detect brain activity, however, it's difficult to tell how the brain reacts to specific stimuli. The Washington University researchers used an improved method known as "event-related" fMRI, in which the scanner takes a series of quick snapshots three seconds apart. This enabled them to tell which parts of the brain were activated as it was stimulated by the word-generation tasks.

Even before a baby says his first word, his brain is sorting out the sounds and shapes of the words and sentences he sees around him. By the age of two, children already know quite a bit about sentence structure and basic grammar. Our ability to learn languages resides in a specific portion of the brain. The brain is hard-wired with connections, made by billions of neurons that send electrical signals to the brain when they are stimulated.
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When memory-related region of brain is damaged, other areas compensate

Islamabad, Aug 3 (Newswire): Many neuroscientists believe the loss of the brain region known as the amygdala would result in the brain's inability to form new memories with emotional content. New UCLA research indicates this is not so and suggests that when one brain region is damaged, other regions can compensate.

The research appears this week in the early online edition of the journal Proceedings of the National Academy of Sciences (PNAS).

"Our findings show that when the amygdala is not available, another brain region called the bed nuclei can compensate for the loss of the amygdala," said the study's senior author, Michael Fanselow, a UCLA professor of psychology and a member of the UCLA Brain Research Institute.

"The bed nuclei are much slower at learning, and form memories only when the amygdala is not learning," he said. "However, when you do not have an amygdala, if you have an emotional experience, it is like neural plasticity (the memory-forming ability of brain cells) and the bed nuclei spring into action. Normally, it is as if the amygdala says, 'I'm doing my job, so you shouldn't learn.' With the amygdala gone, the bed nuclei do not receive that signal and are freed to learn."

The amygdala is believed to be critical for learning about and storing the emotional aspects of experience, Fanselow said, and it also serves as an alarm to activate a cascade of biological systems to protect the body in times of danger. The bed nuclei are a set of forebrain gray matter surrounding the stria terminalis; neurons here receive information from the prefrontal cortex and hippocampus and communicate with several lower brain regions that control stress responses and defensive behaviors.

"Our results suggest some optimism that when a particular brain region that is thought to be essential for a function is lost, other brain regions suddenly are freed to take on the task," Fanselow said. "If we can find ways of promoting this compensation, then we may be in a better position to help patients who have lost memory function due to brain damage, such as those who have had a stroke or have Alzheimer's disease.

"Perhaps this research can eventually lead to new drugs and teaching regimens that facilitate plasticity in the regions that have the potential to compensate for the damaged areas," he said.

While the current study shows this relationship for emotional learning, additional research in Fanselow's laboratory is beginning to suggest this is a general property of memory.

Fanselow's PNAS study was federally funded by the National Institute of Mental Health.

Co-authors include lead author Andrew Poulos, a research scientist in Fanselow's laboratory; Ravikumar Ponnusamy, also a research scientist in Fanselow's laboratory; and Hong-Wei Dong, UCLA assistant adjunct professor of neurology and a member of UCLA's Laboratory of Neuro Imaging.
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Tongue piercing may cause gapped teeth; could cost thousands of dollars in orthodontic repairs

Islamabad, Aug 3 (Newswire): Mark this one down as a parental nightmare.

First, your child gets her tongue pierced. Then, as if you needed something else, she starts "playing" with the tiny barbell-shaped stud, pushing it against her upper front teeth. And before you know it, she forces a gap between those teeth -- a fraction-of-an-inch gap that may cost thousands of dollars in orthodontic bills to straighten.

How and why this happens has been documented in a case study by University at Buffalo researchers published in the Journal of Clinical Orthodontics.

"It is a basic tenet of orthodontic that force, over time, moves teeth," explains the study's primary investigator, Sawsan Tabbaa, DDS, MS, assistant professor of orthodontics at the UB School of Dental Medicine.

Tabbaa notes that a previous UB dental school survey study of Buffalo high school students revealed that the presence of a barbell implant/stud caused a damaging habit whereby subjects pushed the metal stud up against and between their upper front teeth, a habit commonly referred to among the students as "playing."

"And it happened in very high percent of the cases," said Tabbaa.

That repeated "playing" with the stud may result in a gap as is demonstrated in Tabbaa's current case study.

The study involved a 26- year-old female patient examined at UB's orthodontic clinic who complained that a large space had developed between her upper central incisors or upper front teeth. The patient also had a tongue piercing that held a barbell-shaped tongue stud.

The tongue was pierced seven years earlier and every day for seven years she had pushed the stud between her upper front teeth, creating the space between them and, subsequently, habitually placing it in the space. The patient did not have a space between her upper front teeth prior to the tongue piercing.

"The barbell is never removed because the tongue is so vascular that leaving the stud out can result in healing of the opening in the tongue, said Tabbaa, "so it makes perfect sense that constant pushing of the stud against the teeth -- every day with no break -- will move them or drive them apart."

The patient provided the research team with photos that demonstrated she had no diastema, or space, prior to having her tongue pierced. For the purposes of treating this patient's space, it was assumed that positioning of the tongue stud between the maxillary central incisors or "playing" caused the midline space.

Her treatment involved a fixed braces appliance to push the front teeth back together.

Tongue piercing can result in serious injury not just to teeth but has also been associated with hemorrhage, infection, chipped and fractured teeth, trauma to the gums and, in the worst cases, brain abscess, said Tabbaa.

"The best way to protect your health, your teeth and your money is to avoid tongue piercing."
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'Kabul I love you' brings Afghan woes to the big screen

Thursday, 1 August 2013

Kabul, Aug 2 (Newswire): A decade after the fall of the cinema-hating Taliban, a group of Afghan directors have created a film love letter to their capital, rooted in the grim reality of everyday life in the war-torn city.

Forced marriage, people smuggling, illegal land grabs, land mines and ethnic conflict — life in Kabul is not short of problems, and "Kabul I Love You" explores them through 10 interwoven stories.

Afghanistan's film industry was hammered by 17 years of war after the Soviet invasion in 1979 and was snuffed out entirely under the extreme rule of the Taliban.

During their 1996-2001 regime, the hardliners closed cinemas and hung televisions from lampposts, regarding all images as un-Islamic. Even sculptures were targeted, with the famous giant Buddhas of Bamiyan paying the price.

Now Afghan cinema is struggling to re-emerge amid a wrecked economy and an ongoing insurgency against the Western-backed government of President Hamid Karzai.

Afghanistan produces around 100 films a year, according to documentary-maker Malek Shafi'i, but they are shot on tiny budgets and are often very poor.

"Kabul I Love You" has been funded by the UN mission in Afghanistan, UNAMA, as a means of giving the country's cinema a boost.

Ario Soltani, from UNAMA, says the idea was to encourage filmmakers to develop their own ideas.

"We wanted to reach the filmmakers, to support them, to communicate with Afghan people," he said.

"Not with our messages but with theirs. We hope they reflect the Afghan society and the Afghan ideas of that time."

The funding project was not an unqualified success — one of the 11 directors chosen from 200 applicants fled the country as soon as he got his hands on UNAMA's US$8,000, while another left for Iran after being threatened.

But despite these setbacks, the film was shot and got a warm reception when it was screened at the French cultural centre in Kabul in May.

The directors are raw and parts of the film betrayed their lack of experience — exaggerated characters, hammy dialogue and deathly slow pace.

But others showed real flair, with the modest, restrained dialogue of Farhad Razae's segment, a bitter denunciation of forced marriage, a highlight.

In the short section, titled "Virgin Towers," the caretaker of a mosque learns that a pretty young woman in his place of worship has fled her family to escape marrying one of her relatives.

The young woman, denounced by a neighbour, ends up running from the police. Her heavy breath and field of vision restricted by the burqa she wears to hide herself allow the viewer to feel the horror of the condition of women in Afghanistan.

Rezae said he based the film on experiences he had as a young man looking after a mosque.

"During that time, a girl was coming for prayers. She would rest in the mosque two hours after the prayers. I wanted to know who this girl is, but I was ashamed and because of religion, I never asked her what her problems were," said Rezae.

Shafi'i hailed Rezae's achievement, saying he had "managed to get closer to Afghan realities" than other film-makers.

Writers and artists have been pushing boundaries in what remains an extremely conservative society in the past 5 years, Shafi'i said.

"Now, people have started to realise that if they cross borders, nothing will happen to them," he said.

NATO forces are due to depart Afghanistan by the end of 2014 and the precarious security situation they will leave behind is not likely to be conducive to this dream of artistic growth.

Saying "Kabul I Love You" is a message of hope from these budding film-makers for their future.
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